Authors,Author(s) ID,Title,Year,Source title,Volume,Issue,Art. No.,Page start,Page end,Page count,Cited by,DOI,Link,Affiliations,Authors with affiliations,Abstract,Author Keywords,Index Keywords,Molecular Sequence Numbers,Chemicals/CAS,Tradenames,Manufacturers,Funding Details,Funding Text 1,Funding Text 2,References,Correspondence Address,Editors,Sponsors,Publisher,Conference name,Conference date,Conference location,Conference code,ISSN,ISBN,CODEN,PubMed ID,Language of Original Document,Abbreviated Source Title,Document Type,Publication Stage,Access Type,Source,EID "Connell J.","56227359000;","Medical tourism: Sea, sun, sand and ... surgery",2006,"Tourism Management","27","6",,"1093","1100",,489,"10.1016/j.tourman.2005.11.005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33746326777&doi=10.1016%2fj.tourman.2005.11.005&partnerID=40&md5=9b690a292bd6001db77e2fae8f956053","School of Geosciences, University of Sydney, NSW 2006, Australia","Connell, J., School of Geosciences, University of Sydney, NSW 2006, Australia","Medical tourism, where patients travel overseas for operations, has grown rapidly in the past decade, especially for cosmetic surgery. High costs and long waiting lists at home, new technology and skills in destination countries alongside reduced transport costs and Internet marketing have all played a role. Several Asian countries are dominant, but most countries have sought to enter the market. Conventional tourism has been a by-product of this growth, despite its tourist packaging, and overall benefits to the travel industry have been considerable. The rise of medical tourism emphasises the privatisation of health care, the growing dependence on technology, uneven access to health resources and the accelerated globalisation of both health care and tourism. © 2006 Elsevier Ltd. All rights reserved.","Asia; Economics; Health; Medicine; Tourism","globalization; health care; medicine; privatization; tourism economics; tourism management; Asia; Eurasia",,,,,,,,"Ai-Lien, C., Singapore steps up efforts to woo foreign patients (2005) Straits Times, 1 September, pp. H8; Andrews, M., Vacation makeovers (2004) US News and World Report, 19 January; Borman, E., Health tourism: Where health care ethics and the state collide (2004) British Medical Journal, 328, pp. 60-61; Chaynee, W., (2003) Health tourism to drive earnings, , Malaysian Institute of Economic Research, Kuala Lumpur; Garcia-Altes, M., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gilbert, E., (1954) Brighton: Old ocean's bauble, , Methuen, London; Graham, K., It was a big leap of faith (2005) Guardian, 21 June, pp. 8-9; Huff-Rousselle, M., Shepherd, C., Cushman, R., Imrie, J., Lalta, S., (1995) Prospects for health tourism exports for the English-speaking Caribbean, , World Bank, Washington, DC; Kinavanod, N., French doctor sets sight on medical tourism (2005) Manila Bulletin, 15 April; Levett, C., A slice of the action (2005) Sydney Morning Herald, 29 October, p. 27; Neelankantan, S., India's global ambitions (2003) Far Eastern Economic Review, 6 November; Ramesh, R., This UK patient avoided the NHS list and flew to India for a heart bypass. Is health tourism the future? (2005) The Guardian, 1 February; Schofield, P., Health tourism in Kyrgyz Republic: The soviet salt mine experience (2004) New horizons in tourism, strange experiences and stranger practices, pp. 135-145. , Singh T.V. (Ed), CABI Publishing, Wallingford; Smyth, F., Medical geography: Therapeutic places, spaces and networks (2005) Progress in Human Geography, 29, pp. 488-495; Taffel, J., Fixed up in a foreign land (2004) Sydney Morning Herald, 9 December, pp. 4-5","Connell, J.; School of Geosciences, University of Sydney, NSW 2006, Australia; email: jconnell@mail.usyd.edu.au",,,,,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-33746326777 "Bookman M.Z., Bookman K.R.","7005651465;57193532861;","Medical tourism in developing countries",2007,"Medical Tourism in Developing Countries",,,,"1","245",,257,"10.1057/9780230605657","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014664334&doi=10.1057%2f9780230605657&partnerID=40&md5=17bae7ae5fb02e34f0d9ac902a41fcb5","St. Joseph’s University, Philadelphia, United States","Bookman, M.Z., St. Joseph’s University, Philadelphia, United States; Bookman, K.R.","Western patients are increasingly travelling to developing countries for health care and developing countries are increasingly offering their skills and facilities to paying foreign customers. The potential and implications of this international trade in medical services is explored in this book through analysis of the market. © Milica Z. Bookman and Karla R. 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Tourism in Developing Ctries.",Book,"Final",,Scopus,2-s2.0-85014664334 "Connell J.","56227359000;","Contemporary medical tourism: Conceptualisation, culture and commodification",2013,"Tourism Management","34",,,"1","13",,230,"10.1016/j.tourman.2012.05.009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867139510&doi=10.1016%2fj.tourman.2012.05.009&partnerID=40&md5=3bb873ce02c0512835e7232450431d9f","School of Geosciences, University of Sydney, NSW 2006, Australia","Connell, J., School of Geosciences, University of Sydney, NSW 2006, Australia","An overview is given of the short history and rapid rise of medical tourism, its documentation, and current knowledge and analysis of the industry. Definitions of medical tourism are limited hence who medical tourists are and how many exist are both indeterminate and inflated. Definitions often conflate medical tourism, health tourism and medical travel, and are further complicated by the variable significance of motivation, procedures and tourism. While media coverage suggests long-distance travel for surgical procedures, and the dominance of middle class European patients, much medical tourism is across nearby borders and from diasporas, and of limited medical gravity, conflicting with popular assumptions. Numbers are usually substantially less than industry and media estimates. Data must remain subject to critical scrutiny. Medical travel may be a better form of overall categorisation with medical tourism a sub-category where 'patient-tourists' move through their own volition. Much medical tourism is short distance and diasporic, despite being part of an increasingly global medical industry, linked to and parallel with the tourism industry. Intermediaries (medical tourism companies) are of new significance. Opportunities are diffused by word of mouth with the internet of secondary value. Quality and availability of care are key influences on medical tourism behaviour, alongside economic and cultural factors. More analysis is needed of the rationale for travel, the behaviour of medical tourists, the economic and social impact of medical tourism, the role of intermediaries, the place of medical tourism within tourism (linkages with hotels, airlines, travel agents), ethical concerns and global health restructuring. © 2012 Elsevier Ltd.","Diaspora; Marketing; Medical tourism; Medical travel; Multinationals; Procedures; Thailand; Tourist numbers; Typology","diaspora; medical geography; tourism; tourism economics; tourist attraction; tourist destination; typology; Thailand",,,,,,,,"Ackerman, S., Plastic paradise: transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Medical Anthropology, 29, pp. 403-423; Al-Hinai, S., Al-Busaidi, A., Al-Busaidi, I., Medical tourism abroad. 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(2010) International Medical Travel Journal, , 12 November; Youngman, I., How trends in global travel will change medical tourism (2010) International Medical Travel Journal, , 9 October; Yu, J., Ko, T., A cross-cultural study of the perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88","Connell, J.; School of Geosciences, University of Sydney, NSW 2006, Australia; email: john.connell@sydney.edu.au",,,,,,,,02615177,,,,"English","Tour. Manage.",Review,"Final",,Scopus,2-s2.0-84867139510 "Mueller H., Kaufmann E.L.","56127515200;7005400051;","Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry",2001,"Journal of Vacation Marketing","7","1",,"5","17",,202,"10.1177/135676670100700101","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899155038&doi=10.1177%2f135676670100700101&partnerID=40&md5=a31edc451aafcd0151cf244d7511b595","Research Institute for Leisure and Tourism, University of Berne, Switzerland","Mueller, H., Research Institute for Leisure and Tourism, University of Berne, Switzerland; Kaufmann, E.L., Research Institute for Leisure and Tourism, University of Berne, Switzerland","The term 'wellness' is widely used in European tourism. The principal observations regarding the wellness industry concern an expanding supply of and an insufficiently researched demand for wellness programmes. The quality dimension of wellness services is increasingly becoming the decisive competitive factor. For this reason quality management plays an important role. Market research shows that average three- to five-star hotels provide fairly comprehensive wellness facilities. Wellness hotels should therefore specialise in health information, individual care and a wide range of cultural and relaxation programmes. Although the same hotel can host cure and wellness guests at the same time, these two segments have to be considered separately when deciding on the marketing strategy. It is therefore assumed that wellness is pursued solely by 'healthy' people, the prime aim being prevention. 'Normal cure' guests aim to heal their illness. © Henry Stewart Publications.","cluster analysis; health tourism; marketing solutions",,,,,,,,,"(1999) Wellness-Tourismus in Der Schweiz - QualitaÈtsanforderungen an Die Hotellerie, , Bern: Berner Studien zu Freizeit und Tourismus; High-level Wellness for Man and Society (1959) American Journal of Public Health, 49 (6), pp. 786-792; What High-level Wellness Means (1959) Canadian Journal of Public Health, 50, pp. 447-457; (1961) High Level Wellness, , Arlington: R. W. 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J.), DuÈsseldorf; Anforderungsprofil fuÈr Wellness-Hotels (1996) Wilder-mieming, , Wellness Austria Hotels; Bortz, J., (1989) Statistik fu Èr Sozialwissenschaftler, , Berlin, Springer; Cluster Analysis in Marketing Research: Review and Suggestions for Applications (1983) Journal of Marketing Research, 20, pp. 134-148. , May; (1990) Multivariate Analysemethoden, , Berlin; Brogini, M., U È ber Kundengruppen zur Marktstruktur - Das Modell der SegmentintensitaÈt (1998) Berner betriebswirtschaftliche Schriften, 18. , Bern, Paul Haupt; Freyer, W., (1997) Tourismus-Marketing: Marktorientiertes Management im Mikround Makrobereich der Tourismuswirtschaft, , Munich/Vienna; Kaiser, A., (1978) Die Identifikation von Marktsegmenten, , Berlin, Duncker und Humbolt; Anforderungsprofil fuÈr Wellness-Hotels (1996) Wilder-mieming, , Wellness Austria Hotels; Cluster Analysis in Marketing Research: Review and Suggestions for Applications (1983) Journal of Marketing Research, 20, pp. 134-148. , May; (1998) SPSS User's Guide Base 8.0, , Chicago: SPSS Inc; (1990) Multivariate Analysemethoden, , Berlin; Importance-Performance Analysis (1977) Journal of Marketing, 41 (1), pp. 13-17; Measuring Service Quality at Tourist Destinations: An Application of Importance-Performance Analysis to an Alpine Ski Resort (1998) Journal of Travel and Tourism Marketing, 7 (3), pp. 61-77; (1999) European Foundation for Quality Management: Das EFQM-Modell fuÈr Excellence, , EFQM, Brussels, EFQM",,,,,,,,,13567667,,,,"English","J. Vacat. Mark.",Article,"Final",,Scopus,2-s2.0-84899155038 "Horowitz M.D., Rosensweig J.A., Jones C.A.","57210536016;23005952900;57183388900;","Medical tourism: Globalization of the healthcare marketplace",2007,"MedGenMed Medscape General Medicine","9","4", 33,"","",,190,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-36249026987&partnerID=40&md5=3544438d0acc1f6655ef13814eebdd02","Global Perspectives Program, Goizueta Business School, Emory University, Atlanta, GA, United States; International Business and Finance, Goizueta Business School, Emory University, Atlanta, GA, United States; Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States","Horowitz, M.D., Global Perspectives Program, Goizueta Business School, Emory University, Atlanta, GA, United States; Rosensweig, J.A., International Business and Finance, Goizueta Business School, Emory University, Atlanta, GA, United States; Jones, C.A., Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States","The citizens of many countries have long traveled to the United States and to the developed countries of Europe to seek the expertise and advanced technology available in leading medical centers. In the recent past, a trend known as medical tourism has emerged wherein citizens of highly developed countries choose to bypass care offered in their own communities and travel to less developed areas of the world to receive a wide variety of medical services. Medical tourism is becoming increasingly popular, and it is projected that as many as 750,000 Americans will seek offshore medical care in 2007. This phenomenon is driven by marketplace forces and occurs outside of the view and control of the organized healthcare system. Medical tourism presents important concerns and challenges as well as potential opportunities. This trend will have increasing impact on the healthcare landscape in industrialized and developing countries around the world. © 2007 Medscape.",,"article; community; developed country; Europe; health care quality; health care system; marketing; medical care; medical service; medical technology; safety; tourism; United States; developing country; economic aspect; financial management; forecasting; health; health care delivery; human; international cooperation; review; standard; travel; Delivery of Health Care; Developed Countries; Developing Countries; Economic Competition; Forecasting; Humans; International Cooperation; Internationality; Marketing of Health Services; Technology, Medical; Travel; World Health",,,,,,,,"Lancaster, J., Surgeries, side trips for medical tourists (2004) Washington Post, , October 21, A1; Kher, U., Outsourcing your heart (2006) Time, pp. 44-47. , May 29; Appleby, J., Schmidt, J., (2006) Sending patients packing, , http://www.usatoday.com/money/industries/health/ 2006-07-26-travel-surgery-usat_x.htm, USA Today. 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July 29, 2005; Sen, C., Thai health tourism gives India headache (2005) The Economic Times, , India, July 24; Baliga, H., (2007) Medical tourism, , http://www.indiadaily.com/ editorial/14858.asp, is the new wave of outsourcing from India. India Daily. December 23, 2006. Available at Accessed January 2; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) Int J Fertil Womens Med, 51, pp. 251-255; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850; Leigh, S., (2005) Reproductive 'tourism, pp. D7. , USA Today. May 2; Milstein, A., Smith, M., America's new refugees - seeking affordable surgery offshore (2006) N Engl J Med, 355, pp. 1637-1640; Beat waiting lists with overseas op. Daily Express (UK). July 3, 2005; http://www.stemcellbangkok.com, Bangkok International Symposium on Stem Cell Therapy for the Failing Heart. Available at Accessed May 12, 2007; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25, pp. 358-368; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, pp. 169-185. , New York, NY: Palgrave Macmillan Ltd; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85, pp. 164-165; http://wwwjointcommissioninternational.org/10241, Joint Commission International Accredited Organizations. Available at Accessed July 29, 2007; (2007) Briefing papers: Cosmetic surgery tourism, , http://www.plasticsurgery.org/media/ briefing_papers/Cosmetic-Surgery-Tourism-Briefing-Paper.cfm, American Society of Plastic Surgeons, Available at Accessed June 7; Safety of Medical Tourism [video]. C-SPAN Web site. June 27, 2006, , http://www.c-spanstore.org/shop/index.php?main_page= product_video_info&cPath=6_11&products_id=193173-1, Available at Accessed July 25, 2007","Horowitz, M.D.; Global Perspectives Program, Goizueta Business School, Emory University, Atlanta, GA, United States; email: Michael_Horowitz@bus.emory.edu",,,,,,,,15310132,,MMGMC,"18311383","English","Medgenmed Medscape Gen. Med.",Article,"Final",,Scopus,2-s2.0-36249026987 "Riemer B.L., Butterfield S.L., Diamond D.L., Young J.C., Raves J.J., Cottington E., Kislan K.","7003978281;7006102456;7102620005;7408525971;6602798782;6603833536;6505560935;","Acute mortality associated with injuries to the pelvic ring: The role of early patient mobilization and external fixation",1993,"Journal of Trauma - Injury, Infection and Critical Care","35","5",,"671","677",,187,"10.1097/00005373-199311000-00003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0027484198&doi=10.1097%2f00005373-199311000-00003&partnerID=40&md5=39f384c9693c4196cf3511f68ea39f19","Department of Orthopaedic Surgery, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States; Division of General Surgery, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States; Allegheny Singer Research Institute, Allegheny General Hospital, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States","Riemer, B.L., Department of Orthopaedic Surgery, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States; Butterfield, S.L., Department of Orthopaedic Surgery, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States; Diamond, D.L., Division of General Surgery, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States; Young, J.C., Division of General Surgery, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States; Raves, J.J., Division of General Surgery, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States; Cottington, E., Allegheny Singer Research Institute, Allegheny General Hospital, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States; Kislan, K., Division of General Surgery, Medical College of Pennsylvania, Allegheny Campus, Pittsburgh, PA, United States","Purpose: To analyze the effect on mortality of a protocol for early mobilization with external fixation of patients with pelvic ring injuries. Methods: From 1981 through 1988, 605 patients with pelvic ring fractures and dislocations were treated. In 1982, a protocol for early external fixation of hemodynamically unstable patients and those with structurally unstable pelvic fracture patterns to achieve early mobilization to an upright chest position was initiated. Mortality rates were compared between 1981 (pre-protocol), 1982 (transitional), and 1983 through 1988, after initiation of a protocol of care that included external fixation of the pelvic injury. No statistical changes occurred from 1983 through 1988. Results: Mortality rates in pelvic ring injury patients fell from 26% in 1981, to 6% in 1983 through 1988 (p < 0.001), whereas during the study period the mean Injury Severity Score (ISS), 23, did not change. The mortality rate of a group of consecutive patients with comparable ISSs, but without pelvic ring injuries did not change. The mortality rate in patients with systolic blood pressure < 100 mm Hg at admission fell from 41% in 1981 to 21% 1983 through 1988 (p =0. 0001). Mortality in patients with closed head injuries associated with pelvic ring injuries fell from 43% in 1981 to 7% from 1983 through 1988 (p = 0.0001). The proportion of patients undergoing external fixation rose from 3% in 1981 to 31% in 1983 through 1988 (p = 0.0001). Conclusions: An organized protocol including external fixation and early patient mobilization to an upright chest position reduced mortality associated with injuries of the pelvic ring. Orthopedic stabilization of major skeletal injuries should be viewed as part of patient resuscitation, not reconstruction. © 1993 by Williams and Wilkins.",,"analgesia; bleeding; conference paper; controlled study; fracture external fixation; head injury; hemodynamics; human; injury scale; major clinical study; mobilization; mortality; patient positioning; pelvis injury; priority journal; resuscitation; wound care; Clinical Protocols; Comparative Study; Craniocerebral Trauma; Dislocations; Early Ambulation; External Fixators; Fracture Fixation; Fractures; Human; Injury Severity Score; Multiple Trauma; Pelvic Bones; Pennsylvania; Time Factors",,,,,,,,"Bone, L.B., Johnson, K.D., Weigelt, J., Early versus delayed stabilization of femoral fractures (1989) J Bone Joint Surg, 71, p. 336; Johnson, K.D., Cadambi, A., Seibert, G.B., Incidence of adult respira tory distress syndrome in patients with multiple musculoskeletal injuries: Effect of early operative stabilization of fractures (1985) J Trauma, 25, p. 375; Riemer, B.L., Butterfield, S.L., Burke, C.J., Immediate plate fixation of highly comminuted femoral diaphyseal fractures in blunt polytrauma patients (1992) Orthopedics, 15, p. 907; Seibel, R., Laduca, J., Hassett, J.M., Blunt multiple trauma (ISS 36), femur traction, and the pulmonary failure-septic state (1985) Ann Surg, 202, p. 283; Browner, B.D., Cole, J.D., Graham, J.M., Delayed posterior inter nal fixation of unstable pelvic fractures (1987) J Trauma, 27, p. 998; Connolly, J.F., Closed treatment of pelvic and lower extremity frac tures (1989) Clin Orthop, 240, p. 115; Ganz, R., Krushell, R.J., Jakob, R.P., The antishock pelvic clamp (1991) Clin Orthop, 267, p. 71; Goldstein, A., Phillips, T., Sclafani, S., Early open reduction and internal fixation of the disrupted pelvic ring (1986) J Trauma, 26, p. 325; Moreno, C., Moore, E.E., Rosenberger, A., Hemorrhage associated with major pelvic fracture: A multispecialty challenge (1986) J Trauma, 26, p. 987; Mucha, P., Jr., Recognizing and avoiding complications with pelvic fractures (1985) Infect Surg, 11, p. 53; Mucha, P., Jr., Farnell, M.B., Analysis of pelvic fracture management (1984) J Trauma, 24, p. 379; Mucha, P., Jr., Welch, T.J., Hemorrhage in major pelvic fractures (1988) Surg Clin North Am, 68, p. 757; Tile, M., (1984) Fractures of the Pelvis and Acetabulum, pp. 70-131. , Baltimore, Wil liams & Wilkins; Kellam, J.F., The role of external fixation in pelvic disruptions (1989) Clin Orthop, 241, p. 66; Kellam, J.F., Mc Murtry, R.Y., Paley, D., The unstable pelvic fracture: Operative treatment (1987) Orthop Clin North Am, 18, p. 25; Matta, J.M., Saucedo, T., Internal fixation of pelvic ring fractures (1989) Clin Orthop, 242, p. 83; Wild, J.J., Hanson, G.W., Tullos, H.S., Unstable fractures of the pelvis treated by external fixation (1982) J Bone Joint Surg, 64, p. 1010; Rothenberger, D.A., Fischer, R.P., Strate, R.G., The mortality associated with pelvic fractures (1978) Surgery, 84, p. 356; Rothenberger, D., Velasco, R., Strate, R., Open pelvic fracture: A lethal injury (1978) J Trauma, 18, p. 184; Aprahamian, C., Gessert, G., Bandyk, D.F., MAST-associated compartment syndrome (MACS): A review (1989) J Trauma, 29, p. 549; Mansour, A., Moore, F.A., Moore, E.E., Hypogastric arterial embolization in pelvic fracture hemorrhage: Case report (1990) J Trauma, 30, p. 1417; Panetta, T., Sclafani, S., Goldstein, A.S., Percutaneous transcatheter embolization for massive bleeding from pelvic fractures (1985) J Trauma, 25, p. 1021; Gilliland, M.G., Ward, R.E., Flynn, T.C., Peritoneal lavage and angiography in the management of patients with pelvic fractures (1982) Am J Surg, 144, p. 744; Huittinen, V.M., Slatis, P., Postmortem angiography and dissection of the hypogastric artery in pelvic fractures (1973) Surgery, 73, p. 454; Ayella, R.J., Dupriest, R.W., Khaneja, S.C., Transcatheter embo lization of autologous clot in the management of bleeding associated with fracture of the pelvis (1978) Surg Gynecol Obstet, 147, p. 849; Flint, L.M., Brown, A., Richardson, J.D., Definitive control of bleeding from severe pelvic fractures (1979) Ann Surg, 189, p. 709; Margolies, M.N., Ring, E.J., Waltman, A.C., Arteriography in the management of hemorrhage from pelvic fractures (1972) N Engl J Med, 287, p. 317; Matalon, T.S., Athanasoulis, C.A., Margolies, M.N., Hemorrhage with pelvic fractures: Efficacy of transcatheter embolization (1979) Am J Med, 183, p. 859; Mc avoy, J.M., Cook, J.M., A treatment plan of rapid assessment of the patient with blood loss and pelvic fractures (1978) Arch Surg, 113, p. 986; Ring, E.J., Athanasoulis, C.A., Waltman, N.C., Arteriographic management of hemorrhage following pelvic fracture (1973) Diagn Radiol, 109, p. 65; Gilliland, M.G., Ward, R.E., Barton, R.M., Factors affecting mortality in pelvic fractures (1982) J Trauma, 22, p. 691; Green, S.A., Pin tract infection. In Green SA: Complications of External Skeletal Fixation. Springfield, 111 (1981) Charles C Thomas, pp. 15-16; Mears, D.C., Fu, F.H., Modern concepts of external skeletal fixation of the pelvis (1980) Clin Orthop, 151, p. 65; Slatis, P., Karaharju, E.D., External fixation of unstable pelvic frac tures: Experiences in 22 patients treated with trapezoid compression frame (1980) Clin Orthop, 151, p. 73; Tile, M., Pelvic ring fractures: Should they be fixed? (1988) J Bone Joint Surg, 70, p. l; Burgess, A.R., Eastridge, B.J., Young, J.W., Pelvic ring disruptions: Effective classification system and treatment protocols (1990) J Trauma, 30, p. 848; Cryer, H.M., Miller, F.B., Evers, B.M., Pelvic fracture classifica tion: Correlation with hemorrhage (1988) J Trauma, 28, p. 973; Pennal, G.F., Tile, M., Waddell, J.P., Pelvic disruption: Assess ment and classification (1980) Clin Orthop, 151, p. 12; Baker, S.P., O’neill, B., Haddon, W., Jr., The Injury Severity Score: A method for describing patients with multiple injuries and evaluating emergency care (1974) J Trauma, 14, p. 187; Cottington, E.M., Young, J.C., Shufflebarger, C.M., The utility of physiological status, injury site, and injury mechanism in identifying patients with major trauma (1988) J Trauma, 28, p. 305; Border, J.R., Allgower, M., Hansen, S.T., (1990) Fracture Management and Pulmonary Failure. In Border JR: Blunt Multiple Trauma: Comprehensive Pathophysiology and Care, pp. 77-91. , New York, Marcel Dekker; Mc murtry, R., Walton, D., Dickinson, D., Pelvic disruption in the polytraumatized patient: A management protocol (1980) Clin Orthop, 151, p. 22; Mears, D.C., (1983) Clinical Techniques In Pelvis. In Mears DC: External Skeletal Fixation, pp. 378-478. , Baltimore, Williams & Wilkins; Miller, J.D., Sweet, R.C., Narayan, R., Early insults to the brain (1978) JAMA, 240, p. 439; Chesnut, R.M., Marshall, L.F., Analysis of the role of secondary brain injury in determining outcome from severe head injury (1990) (Abstract.) J Neurosurg, 72, p. 360A; Becker, D.P., Miller, J.D., Ward, J.D., The outcome from severe head injury with early diagnosis and intensive management (1977) J Neurosurg, 47, p. 491; Marmanou, A., Erson, R.L., Ward, J.D., Impact of ICP instability and hypotension on outcome in patients with severe head trauma (1991) J Neurosurg, 75, p. S59; Piek, J., Chesnut, R.M., Marshall, L.F., Extracranial complica tions of severe head injury (1992) J Neurosurg, 77, p. 901; Price, J.E., Murray, A., The influence of hypoxia and hypotension on recovery from head injury (1972) Injury: Br J Accid Surg, 3, p. 218","Riemer, B.L.420 East North Ave., Ste 401, Pittsburgh, PA, 15212, United States",,,,,,,,00225282,,,"8230327","English","J. Trauma Inj. Infect. Crit. Care",Article,"Final",,Scopus,2-s2.0-0027484198 "Lunt N., Carrera P.","6603761945;55362546400;","Medical tourism: Assessing the evidence on treatment abroad",2010,"Maturitas","66","1",,"27","32",,184,"10.1016/j.maturitas.2010.01.017","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77950956883&doi=10.1016%2fj.maturitas.2010.01.017&partnerID=40&md5=eb0f481d582276b75a63a06375376003","The York Management School, University of York, Sally Baldwin Buildings, Heslington, York YO10 5DD, United Kingdom; Mannheim Institute of Public Health, Social and Preventive Medicine, University of Heidelberg, Germany","Lunt, N., The York Management School, University of York, Sally Baldwin Buildings, Heslington, York YO10 5DD, United Kingdom; Carrera, P., Mannheim Institute of Public Health, Social and Preventive Medicine, University of Heidelberg, Germany","The review focuses on one growing dimension of health care globalisation - medical tourism, whereby consumers elect to travel across borders or to overseas destinations to receive their treatment. Such treatments include cosmetic and dental surgery; cardio, orthopaedic and bariatric surgery; IVF treatment; and organ and tissue transplantation. The review sought to identify the medical tourist literature for out-of-pocket payments, focusing wherever possible on evidence and experience pertaining to patients in mid-life and beyond. Despite increasing media interest and coverage hard empirical findings pertaining to out-of-pocket medical tourism are rare. Despite a number of countries offering relatively low cost treatments we know very little about many of the numbers and key indicators on medical tourism. The narrative review traverses discussion on medical tourist markets, consumer choice, clinical outcomes, quality and safety, and ethical and legal dimensions. The narrative review draws attention to gaps in research evidence and strengthens the call for more empirical research on the role, process and outcomes of medical tourism. In concluding it makes suggestion for the content of such a strategy. © 2010 Elsevier Ireland Ltd. All rights reserved.","Medical tourism; Overseas surgery; Treatment abroad","bariatric surgery; consumer; cost; dental surgery; empirical research; esthetic surgery; ethics; heart surgery; human; legal aspect; market; medical tourism; organ transplantation; orthopedic surgery; outcome assessment; patient safety; review; tissue transplantation; tourism; travel; economics; Europe; health care cost; legislation and jurisprudence; medical tourism; treatment outcome; Europe; Health Care Sector; Health Expenditures; Humans; Medical Tourism; Treatment Outcome; Europe; Health Care Sector; Health Expenditures; Humans; Medical Tourism; Treatment Outcome",,,,,,,,"Smith, R.D., Foreign direct investment and trade in health services: a review of the literature (2004) Soc Sci Med, 59 (11), pp. 2313-2323; (2005) International trade in health services: debates on the GATS, , Blouin C., Drager N., and Smith R. (Eds), World Bank, Washington, DC; Carrera, P., Medical tourism (2006) Health Affair, 25 (5), p. 1453; Goodrich, J.N., Goodrich, G.E., Health tourism: an exploratory study (1987) Tourism Manage, 8 (3), pp. 217-222; Carrera, P., Bridges, J.F.P., Globalization and healthcare: understanding health and medical tourism (2006) Expert Rev Pharmacoecon Outcomes Res, 6 (4), pp. 447-454; Bertinato, L., Busse, R., Fahy, N., (2005) Cross-border health care in Europe, , Policy Brief, WHO on behalf of the European Observatory on Health Systems and Policies, Denmark; (2006) Patient mobility in the European Union: learning from experience, , Rosenmöller M., McKee M., and Baeten R. (Eds), European Observatory on Health Systems and Policies, Denmark; King, R., Warnes, T., Williams, A., (2000) Sunset lives, , Berg, Oxford; Lowson, K., West, P., Chaplin, S., O'Reilly, J., (2002) Evaluation of patients travelling overseas: final report, , YHEC, York; Burge, P., Devlin, N., Appleby, J., Rohr, C., Grant, J., Do patients always prefer quicker treatment? A discrete choice analysis of patients' stated preferences in the London patient choice project (2004) Appl Health Econ Health Policy, 3, pp. 183-194; Glinos, I.A., Baeten, R., Boffin, N., Cross-border contracted care in Belgium hospitals (2006) Patient mobility in the European Union: learning from experience, pp. 97-118. , Rossenmöller M., McKee M., and Baeten R. (Eds), European Observatory on Health Systems and Policies, Copenhagen, Denmark; Greer, S.C., Choosing paths in European Union health services policy: a political analysis of a critical juncture (2008) J Eur Soc Policy, 18 (3), pp. 219-231; Flash Eurobarometer 210. Cross-border health services in the EU. The Gallup Organization upon the request of the Health and Consumer Protection Directorate-General, Health Strategy Unit; 2007; Bridge, M., Medical tourism; the pros and cons (2007) The Times, , 13 October; Britten, N., Patients go abroad as dentists' fees soar (2008) Telegraph, , 11 January; Carter, H., Nip, tuck, hard sell: Don't let ads seduce you, plastic surgeons warn (2008) The Guardian, , 19 September; Leafe, D., Health tourism: Have your eyes done, then see the fjords (2008) Telegraph, , 20 October; Moore, A., Health tourism: don't forget your toothbrush (2009) Health Serv J, , http://www.hsj.co.uk/health-tourism-dont-forget-your-toothbrush/1945064. article, http://www.hsj.co.uk/health-tourism-dont-forget-your-toothbrush/1945064. article; Treatment Abroad. Treatment Abroad PriceWatch Survey 2008. http://www.treatmentabroad.com (January 5, 2010); Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical tourism (2008) McKinsey Quart, May, pp. 1-11; Youngman I. Medical tourism statistics: why McKinsey has got it wrong. Int Med Travel J 2009. Available from: URL: http://www.imtjonline.com/articles/2009/mckinsey-wrong-medical-travel/; Treatment Abroad. 2007, , http://www.treatmentabroad.com/about/medical-tourism-survey/?locale=en, January 17, 2009; McKelvey, A., David, A., Shenfield, F., Jauniaux, E., The impact of cross-border reproductive care or 'fertility tourism' on NHS maternity services (2009) BJOG, 116 (11), pp. 1520-1523; Mudur, G., Hospitals in India woo foreign patients (2004) BMJ, 328, p. 1338; Connell, J., Medical tourism: sea, sun, sand, and ... surgery (2006) Tourism Manage, 27 (6), pp. 1093-1100; De Arellano, R., Patients without borders: the emergence of medical tourism (2007) Int J Health Serv, 37 (1), pp. 193-198; MacReady, N., Developing countries court medical tourists (2007) J Lancet, 369, pp. 1849-1850; Turner, L., First world health care at third world prices: globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Brown, A., Furnham, A., Glanville, L., Swami, V., Factors that affect the likelihood of undergoing cosmetic surgery (2007) Aesthet Surg J, 27 (5), pp. 501-508; Terzi, E., Kern, T., Kohnen, T., Complications after refractive surgery abroad (2008) Ophthalmologe, 105 (5), p. 474. , EP +; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82 (12), pp. 1658-1661; Geddes, C.C., Henderson, A., Mackenzie, P., Rodger, S.C., Outcome of patients from the West of Scotland travelling to Pakistan for living donor kidney transplants (2008) Transplantation, 86 (8), pp. 1143-1145; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: the dawning of a new paradigm for healthcare (2006) Int J Fertil, 51 (6), pp. 251-255; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) J Plast Reconstr Aesthet Surg, 61 (12), pp. 1423-1424; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism'-an avoidable burden on the NHS (2007) J Plast Reconstr Aesthet Surg, 60 (9), pp. 1075-1077; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med J Aust, 187 (11-12), pp. 666-667; Newman, M.I., Camberson, A.E., Ascherman, J., Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter (2005) Ann Plast Surg, 55 (1), pp. 107-110; Sarai, A.B.A., Sheldon, T.A., Cracknell, A., Extent, nature and consequences of adverse events: results of a retrospective case note review in a large NHS hospital (2007) Qual Saf Health Care, 16, pp. 434-439; Karshier, H., German doctors protest against 'organ tourism' (1996) BMJ, 313 (7068), p. 1282; Ledger, W.L., Anumba, D., Marlow, N., Thomas, C.M., Wilson, E.C., The costs to the NHS of multiple births after IVF treatment in the UK (2006) BJOG, 113 (1), pp. 21-25; Sengupta, A., Nundy, S., The private health care sector in India (2005) BMJ, 331, pp. 1157-1158; Bose, A., Private health sector in India: is private health care at the cost of public health care? (2005) BMJ, 331, pp. 1338-1339; Zavod, M.B., Adamson, P.A., Analysis of the efficacy of marketing tools in facial plastic surgery (2008) J Otolaryngol Head Neck Surg, 37 (3), pp. 299-308; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: medical tourism and the emergence of web-based health information (2009) Open Med Inform J, 3, pp. 77-87; Wachter, R., The dislocation of US medicine-the implication of medical outsoursing (2006) N Engl J Med, 354, pp. 661-665; Clarke, L.H., Griffin, M., Visible, invisible ageing: beauty work as a response to ageism (2008) Ageing Soc, 28, pp. 653-674; Clarke, L.H., Griffin, M., The body natural and the body unnatural: beauty work and aging (2007) J Aging Stud, 21 (3), pp. 187-201; Nahai, F., Minimizing risk in aesthetic surgery (2009) Clin Risk, 15, pp. 232-236","Lunt, N.; The York Management School, University of York, Sally Baldwin Buildings, Heslington, York YO10 5DD, United Kingdom; email: nl517@york.ac.uk",,,,,,,,03785122,,MATUD,"20185254","English","Maturitas",Review,"Final",,Scopus,2-s2.0-77950956883 "Crooks V.A., Kingsbury P., Snyder J., Johnston R.","35585107800;8873935100;24170239100;36500711800;","What is known about the patient's experience of medical tourism? A scoping review",2010,"BMC Health Services Research","10",, 266,"","",,182,"10.1186/1472-6963-10-266","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956461652&doi=10.1186%2f1472-6963-10-266&partnerID=40&md5=12257b43d58c716660ad4b7b846e6b16","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Kingsbury, P., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada","Background. Medical tourism is understood as travel abroad with the intention of obtaining non-emergency medical services. This practice is the subject of increasing interest, but little is known about its scope. Methods. A comprehensive scoping review of published academic articles, media sources, and grey literature reports was performed to answer the question: what is known about the patient's experience of medical tourism? The review was accomplished in three steps: (1) identifying the question and relevant literature; (2) selecting the literature; (3) charting, collating, and summarizing the information. Overall themes were identified from this process. Results. 291 sources were identified for review from the databases searched, the majority of which were media pieces (n = 176). A further 57 sources were included for review after hand searching reference lists. Of the 348 sources that were gathered, 216 were ultimately included in this scoping review. Only a small minority of sources reported on empirical studies that involved the collection of primary data (n = 5). The four themes identified via the review were: (1) decision-making (e.g., push and pull factors that operate to shape patients' decisions); (2) motivations (e.g., procedure-, cost-, and travel-based factors motivating patients to seek care abroad); (3) risks (e.g., health and travel risks); and (4) first-hand accounts (e.g., patients' experiential accounts of having gone abroad for medical care). These themes represent the most discussed issues about the patient's experience of medical tourism in the English-language academic, media, and grey literatures. Conclusions. This review demonstrates the need for additional research on numerous issues, including: (1) understanding how multiple information sources are consulted and evaluated by patients before deciding upon medical tourism; (2) examining how patients understand the risks of care abroad; (3) gathering patients' prospective and retrospective accounts; and (4) the push and pull factors, as well as the motives of patients to participate in medical tourism. The findings from this scoping review and the knowledge gaps it uncovered also demonstrate that there is great potential for new contributions to our understanding of the patient's experience of medical tourism. © 2010 Crooks et al; licensee BioMed Central Ltd.",,"attitude to health; Canada; cost control; decision making; economic aspect; economics; female; financial management; health care cost; health care delivery; human; male; medical tourism; patient preference; patient satisfaction; review; statistics; British Columbia; Cost Savings; Decision Making; Delivery of Health Care; Economic Competition; Female; Health Care Costs; Health Knowledge, Attitudes, Practice; Humans; Male; Marketing of Health Services; Medical Tourism; Patient Preference; Patient Satisfaction",,,,,,,,"Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245. , DOI 10.1080/01947640701357763, PII 779409809; Mudur, G., Hospitals in India try and woo patients (2004) BMJ, 328, pp. 1338-1338. , 10.1136/bmj.328.7452.1338. 15178611; Ramirez De Arellano, A., Patients without borders: The emergence of medical tourism (2007) Int J Health Serv, 37, pp. 193-198. , 10.2190/4857-468G-2325-47UU. 17436992; Unti, J.A., Medical and surgical tourism: The new world of health care globalization and what it means for the practicing surgeon (2009) Bull Am Coll Surg, 94, pp. 18-25. , 19492750; Howze, K.S., Medical tourism: Symptom or cure? 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INDIA (2006) People, 65, pp. 131-135; Copeland, J., (2004) Canadian Medical Tourist in India, , http://www.cbc.ca/news/viewpoint/vp_copeland/20040920.html, CBC News; Termonti, A.M., The Current (2005) CBC Television, , http://archives.cbc.ca/programs/719/; Donaldson, M.S., Continuity of Care: A Reconceptualization (2001) Medical Care Research and Review, 58 (3), pp. 255-290. , 10.1177/107755870105800301. 11523291; Saultz, J.W., Albedaiwi, W., Interpersonal continuity of care and patient satisfaction: A critical review (2004) Annals of Family Medicine, 2 (5), pp. 445-451. , 10.1370/afm.91. 15506579; Crooks, V.A., Agarwal, G., What are the roles involved in establishing and maintaining informational continuity of care within family practice? A systematic review (2008) BMC Family Practice, 9, p. 65. , 10.1186/1471-2296-9-65. 19068124; Graves, N., Halton, K., Doidge, S., Clements, A., Lairson, D., Whitby, M., Who bears the cost of healthcare-acquired surgical site infection? (2008) Journal of Hospital Infection, 69, pp. 274-282. , 10.1016/j.jhin.2008.04.022. 18550220; Ferraro, G., Grella, R., D'Andrea, F., Abdominoplasty: Thromboembolic risks for both sexes (2004) Aesthetic Plastic Surgery, 28 (6), pp. 412-416. , 10.1007/s00266-004-0021-9. 15592931; Terry, N.P., Under-regulated health care phenomena in a flat world: Medical tourism and outsourcing Western New England Law, 26, pp. 421-426","Crooks, V. A.; Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; email: crooks@sfu.ca",,,,,,,,14726963,,,"20825667","English","BMC Health Serv. Res.",Article,"Final",Open Access,Scopus,2-s2.0-77956461652 "Han H., Hyun S.S.","21233360400;26325461500;","Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness",2015,"Tourism Management","46",,,"20","29",,168,"10.1016/j.tourman.2014.06.003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84903546783&doi=10.1016%2fj.tourman.2014.06.003&partnerID=40&md5=78f3ced99fdc43d2356e53fa8e2540b5","College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul 143-747, South Korea; Department of Tourism and Convention, Pusan National University, Jangjeon-Dong, San 30, Kumjung-Gu, Busan 609-735, South Korea","Han, H., College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul 143-747, South Korea; Hyun, S.S., Department of Tourism and Convention, Pusan National University, Jangjeon-Dong, San 30, Kumjung-Gu, Busan 609-735, South Korea","Repeat business is critical to the success of medical clinics in the competitive medical tourism market. This study develops a model explaining international medical travelers' intention formation by considering the impact of quality, satisfaction, trust, and price reasonableness. A field survey was conducted at medical clinics. Findings from structural analysis indicate a good fit for the proposed model; perceived quality, satisfaction, and trust in the staff and clinic have significant associations affecting intentions to revisit clinics and the destination country; and satisfaction and trust acted as significant mediators. In general, support for the hypothesized moderating impact of price reasonableness in the proposed theoretical model was evident in the results of the metric-invariance test. Implications for theory and practice are discussed. © 2014 Elsevier Ltd.","Medical clinic; Medical tourism; Price reasonableness; Quality; Satisfaction; Trust","modeling; price dynamics; survey method; tourism economics; tourism market; tourist destination; health services; price determination; theoretical study; tourist behavior; travel behavior",,,,,,,,"Agustin, C., Singh, J., Curvilinear effects of consumer loyalty determinants in relational exchanges (2005) Journal of Marketing Research, 42 (1), pp. 96-108; Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Ajzen, I., Fishbein, M., (1980) Understanding attitude and predicting social behavior, , Prentice-Hall, Englewood Cliffs, NJ; Bagozzi, R.P., Yi, Y., On the evaluation of structural equation models (1988) Journal of the Academy of Marketing Science, 16, pp. 74-94; Bernstein, N., Chefs, butlers, marble baths: hospitals vie for the affluent (2012) The New York Times, , http://www.nytimes.com/2012/01/22/nyregion/chefs-butlers-and-marble-baths-not-your-average-hospital-room.html?pagewanted=1%26_r=3%26ref=general%26src=me%26, Retrieved March 15, 2013, from; Bitner, M.J., Booms, B.H., Tetreault, M.S., The service encounter: diagnosing favorable and unfavorable incidents (1990) Journal of Marketing, 54, pp. 71-84; Bollen, K.A., (1989) Structural equations with latent variables, , Wiley, New York, NY; Bookman, M.Z., Bookman, M.R., (2007) Medical tourism in developing countries, , Palgrave Macmillan, New York, NY; Bowen, J.T., Chen, S., The relationship between customer loyalty and customer satisfaction (2001) International Journal of Contemporary Hospitality Management, 13 (4), pp. 213-217; Bracken, B.A., Barona, A., State of the art procedures for translating and using psychoeducational tests in cross-cultural assessment (1991) School Psychology International, 12, pp. 119-132; Chen, L.J., Gupta, A., Rom, W., Astudy of price and quality in service operations (1994) International Journal of Service Industry Management, 5 (2), pp. 23-34; Chiu, C., Hsu, M., Lai, H., Chang, C., Re-examining the influence of trust on online repeat purchase intention: the moderating role of habit and its antecedents (2012) Decision Support Systems, 53 (4), pp. 835-845; Clemmer, J., The three rings of perceived value (1990) Canadian Manager, 15, pp. 12-15; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Cronin, J.J., Taylor, S.A., Measuring service quality: a reexamination and extension (1992) Journal of Marketing, 56, pp. 55-68; Crozier, G.K.D., Baylis, F., The ethical physician encounters international medical travel (2010) Journal of Medical Ethics, 36, pp. 297-301; Fornell, C., Larcker, D.F., Evaluating structural equation models with unobservable variables and measurement error (1981) Journal of Marketing Research, 18, pp. 39-50; Gan, L.L., Frederick, J.R., Medical tourism facilitators: patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Hair, J.F., Anderson, R.E., Tatham, R.L., Black, W.C., (1998) Multivariate data analysis (8th), , Prentice-Hall, Upper Saddle River, NJ; Han, H., The healthcare hotel: distinctive attributes for international medical travelers (2013) Tourism Management, 36, pp. 257-268; Han, H., Hwang, J., Multi-dimensions of the perceived benefits in a medical hotel and their roles in international travelers' decision-making process (2013) International Journal of Hospitality Management, 35, pp. 100-108; Han, H., Hyun, S., Image congruence and relationship quality in predicting switching intention: conspicuousness of product use as a moderator variable (2013) Journal of Hospitality and Tourism Research, 37 (3), pp. 303-329; Han, H., Kim, W., Outcomes of relational benefits: restaurant customers' perspective (2009) Journal of Travel and Tourism Marketing, 26, pp. 820-835; Han, H., Ryu, K., Moderating role of personal characteristics in forming restaurant customers' behavioral intentions: an upscale restaurant setting (2006) Journal of Hospitality & Leisure Marketing, 15 (4), pp. 25-53; Helegeson, J.G., Beatty, S.E., An information processing perspective on the internationalization of the price stimuli (1985) Advances in Consumer Research, 12, pp. 91-96; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: an assessment of the barriers (2011) Tourism Management, 32, pp. 995-1005; Hume, L.F., DeMicco, F.J., Bringing hotels to healthcare: a Rx for success (2007) Journal of Quality Assurance in Hospitality and Tourism, 8 (1), pp. 75-84; Jacoby, J., Olson, J.C., Consumer response to price: an attitudinal, information processing perspective (1977) Moving ahead with attitude research, pp. 73-86. , American Marketing Association, Greenberg, Chicago, Y. 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Bagozzi, A.M. Tybout (Eds.)","Hyun, S.S.; Department of Tourism and Convention, Pusan National University, Jangjeon-Dong, San 30, Kumjung-Gu, Busan 609-735, South Korea; email: shyun@pusan.ac.kr",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84903546783 "Hopkins L., Labonté R., Runnels V., Packer C.","36514890400;55334992200;12774356700;14422513200;","Medical tourism today: What is the state of existing knowledge",2010,"Journal of Public Health Policy","31","2",,"185","198",,164,"10.1057/jphp.2010.10","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953499765&doi=10.1057%2fjphp.2010.10&partnerID=40&md5=b139b693df7a7e94c3db25d34e1c7b24","School of Public Health, Health Sciences Building, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK S7N 5E5, Canada; Globalization and Health Equity, Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada","Hopkins, L., School of Public Health, Health Sciences Building, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK S7N 5E5, Canada; Labonté, R., Globalization and Health Equity, Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada; Runnels, V., Globalization and Health Equity, Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada; Packer, C., Globalization and Health Equity, Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada","One manifestation of globalization is medical tourism. As its implications remain largely unknown, we reviewed claimed benefits and risks. Driven by high health-care costs, long waiting periods, or lack of access to new therapies in developed countries, most medical tourists (largely from the United States, Canada, and Western Europe) seek care in Asia and Latin America. Although individual patient risks may be offset by credentialing and sophistication in (some) destination country facilities, lack of benefits to poorer citizens in developing countries offering medical tourism remains a generic equity issue. Data collection, measures, and studies of medical tourism all need to be greatly improved if countries are to assess better both the magnitude and potential health implications of this trade. © 2010 Macmillan Publishers Ltd.","Cross-border health care; Global health equity; Medical tourism","article; developed country; developing country; economic aspect; economics; health; health care cost; health care delivery; health care disparity; health care quality; human; medical tourism; patient attitude; travel; Developed Countries; Developing Countries; Economic Competition; Health Care Costs; Health Services Accessibility; Healthcare Disparities; Humans; Medical Tourism; Patient Acceptance of Health Care; Quality of Health Care; Travel; World Health",,,,,,,,"Smith, R.D., Foreign direct investment and trade in health services: A review of the literature (2004) Social Science & Medicine, 59 (11), pp. 2313-2323; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83, pp. 71-132; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92 (6), pp. 1433-1446; Turner, L., First world health care at third world prices': Globalization, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician, 53 (10), pp. 1639-1641; Burkett, L., Medical tourism. Concerns, benefits, and the American legal perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245; (2008) Medical Tourism: Consumers in Search of Value, , http://www2.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/ Documents/us_chs_MedicalTourismStudy(1).pdf, accessed 9 December 2009; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical Tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine (The Medscape Journal of Medicine ), 9 (4), pp. 24-30; MacReady, N., Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; (2009) Keeping Health-care Money Home. Metro Weekend, p. 5. , The Canadian Press. 27-29 November:, (Toronto Edition); (2007) Medical Travel in Asia and the Pacific. Challenges and Opportunities, , ESCAP. Bangkok: United Nations Economic and Social Commission for Asia and the Pacific; York, D., Medical tourism: The trend towards outsourcing medical procedures to foreign countries (2008) The Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Woodman, J., (2008) Patients beyond Borders: Everybody's Guide to Affordable, World-Class Medical Travel, , 2nd edn. Chapel Hill, NC: Healthy Travel Media; Sengupta, A., Nundy, S., The private health sector in India (2005) British Medical Journal, 331 (7526), pp. 1157-1158; Bhagwati, J., Madan, S., (2008) Comprehensive Healthcare in US Can Be Realized, , http://www.ft.com/cms/s/0/fc8a870a-d091-11dd-ae00-000077b07658.html? nclick_check=1, (Letter to the editor). FT.com, accessed 27 January 2010; McLean, T.R., Commentary: The industrialization of medical tourism and the Blue Ridge Paper claim (2007) Journal of Controversial Medical Claims, 14 (1), pp. 18-19; Higgins, L.A., Medical tourism takes off, but not without debate (2007) Managed Care, 16 (4), pp. 45-47; Carroll, J., Aetna and Hannaford make a Singapore connection (2008) Managed Care, 17 (3), pp. 44-47; (2008) Birmingham Hip Resurfacing System Approval, , http://www.accessdata.fda.gov/cdrh_docs/pdf4/p040033a.pdf, Food and Drug Administration. accessed 27 January 2010; Dunn, P., Medical tourism takes flight (2007) Hospitals and Health Networks, 81 (11), pp. 40-44; Shimazono, Y., The state of the international organ trade: A provisional picture based on integration of available information (2007) Bulletin of the World Health Organization, 85 (12), pp. 955-962; Turner, L., Medical tourism' initiatives should exclude commercial organ transplantation (2008) Journal of the Royal Society of Medicine, 101 (8), pp. 391-394; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28 (6), pp. 337-341; Mulay, S., Gibson, E., Marketing of assisted human reproduction and the Indian State (2006) Development, 49, pp. 84-93; Khamash, H.A., Gaston, R.S., Transplant tourism: A modern iteration of an ancient problem (2008) Current Opinion in Organ Transplantation, 13 (4), pp. 395-399; Budiani-Saberi, D.A., Delmonico, F.L., Organ trafficking and transplant tourism: A commentary on the global realities (2008) American Journal of Transplantation, 8 (5), pp. 925-929; Epstein, M., Sociological and ethical issues in transplant commercialism (2009) Current Opinion in Organ Transplantation, 14 (2), pp. 134-139; Noorani, M.A., Commercial transplantation in Pakistan and its effects on Western countries (2008) British Medical Journal, 336 (7657), p. 1378; Cohen, L., Where it hurts: Indian materials for an ethics of organ transplantation (1999) Daedalus, 128 (4), pp. 135-165; Phadke, K.D., Anandh, U., Ethics of paid organ donation (2002) Pediatric Nephrology, 17 (5), pp. 309-311; Naqvi, S.A., Ali, B., Mazhar, F., Zafar, M.N., Rizvi, S.A., A socioeconomic survey of kidney vendors in Pakistan (2007) Transplant International, 20 (11), pp. 934-939; Bakdash, T., Scheper-Hughes, N., Is it ethical for patients with renal disease to purchase kidneys from the world's poor? (2006) PLoS Medicine, 3 (10), pp. 1699-1702. , (e349); Scheper-Hughes, N., The ends of the body - Commodity fetishism and the global traffic in organs (2002) SAIS Review, 22 (1), pp. 61-80; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care: Eliminating the current bias in health plans against treatment abroad could lead to significant cost savings (2006) Health Affairs, 25 (2), pp. 358-368; Wapner, J., American Medical Association provides guidance on medical tourism (2008) British Medical Journal, 337, pp. a575; Newman, M.I., Camberos, A.E., Ascherman, J., Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter (2005) Annals of Plastic Surgery, 55 (1), pp. 107-110; Healy, C., Surgical tourism and the globalisation of healthcare (2009) Irish Journal of Medical Science, 178 (2), pp. 125-127; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) Journal of Plastic, Reconstructive & Aesthetic Surgery, 61 (12), pp. 1423-1424; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; (2008) Medical Tourism Statistics, , http://www.discovermedicaltourism.com/statistics/#, accessed 26 January 2010; (2009), http://www.health-tourism.com/destinations, accessed 26 January 2010; Mullan, F., Doctors for the world: Indian physician emigration (2006) Health Affairs, 25 (2), pp. 380-393; Otley, T., Patients without borders (2007) Business Traveller, pp. 36-37. , 11 November; Chanda, R., (2007) Foreign Investment in Hospitals in India: Status and Implications, , India: Ministry of Health and Family Welfare and WHO Country Office; (2009) Globalization and Health: Pathways, Evidence and Policy, , Labonté, R., Schrecker, T., Packer, C. and Runnels, V. (eds.), New York: Routledge; Meghani, Z., A robust, particularist ethical assessment of medical tourism Developing World Bioethics, , forthcoming, in press; Sen Gupta, A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1), pp. 4-5; Saniotis, A., Changing ethics in medical practice: AThai perspective (2007) Indian Journal of Medical Ethics, 4 (1), pp. 24-25; Gilson, L., Doherty, J., Loewenson, R., Francis, V., (2007) Challenging Inequity Through Health Systems, , Geneva: World Health Organization. Final Report of the Knowledge Network on Health Systems; (2008) Primary Health Care: Now More Than Ever, , World Health Organization. Geneva: WHO. The World Health Report 2008","Labonté, R.; Globalization and Health Equity, Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada; email: rlabonte@uottawa.ca",,,,,,,,01975897,,JPPOD,"20535101","English","J. Public Health Policy",Article,"Final",,Scopus,2-s2.0-77953499765 "Ramirez De Arellano A.B.","6603923131;","Patients without borders: The emergence of medical tourism",2007,"International Journal of Health Services","37","1",,"193","198",,162,"10.2190/4857-468G-2325-47UU","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34248525101&doi=10.2190%2f4857-468G-2325-47UU&partnerID=40&md5=300c62fc59857c326c85ac548b674a3e","3745 Winfield Lane, NW, Washington, DC 20007, United States","Ramirez De Arellano, A.B., 3745 Winfield Lane, NW, Washington, DC 20007, United States","A growing number of patients from the United States and other developed countries are traveling abroad with the express purpose of obtaining health care, including elective surgery and long-term care. This trend is not innocuous. It can lead developing countries to emphasize technology-intensive tertiary care for foreigners at the expense of basic health care for their citizens. Moreover, it can exacerbate the brain drain from the public to the private sector. The examples of Thailand and India suggest the distorting effects of this trend and raise questions of social equity in the distribution of scarce resources. © 2007, Baywood Publishing Co., Inc.",,"brain drain; developing world; equity; health care; public-private partnership; tourism; article; developing country; elective surgery; health care access; health care system; health care utilization; health service; human; long term care; travel; developed country; economics; health care delivery; India; international cooperation; investment; management; politics; Thailand; travel; Asia; Eurasia; India; North America; South Asia; Southeast Asia; Thailand; United States; Developed Countries; Developing Countries; Health Services Accessibility; Humans; India; Internationality; Investments; Policy Making; Politics; Surgical Procedures, Elective; Thailand; Travel",,,,,,,,"Kher, U., Outsourcing your heart (2006) Time, , May 29; Less, G., (2005) Travelling for health, , www.asia-inc.com/may05/Fea_traveling_may.htm, Asia, Inc, May; Marcelo, R. India fosters growing medical tourism sector. Financial Times, July 2, 2003. Reprinted at http://yaleglobal.yale.edu/ display.article?id=2016; Medical tourism: Need surgery, will travel CBC News, , www.cbcc.ca/news/background/healthcare/medicaltourism.html, Online, June 2004; Chinai, R., Goswammi, R., Are we ready for medical tourism? (2005) The Hindu, , www.thehindu.com/thehindu/mag/2005/04/17/stories/ 2005041700060100.htm, April 17; Sen Gupta, A., Medical tourism and public health (2004) People's Democracy, 27 (19). , http://pd.cpim.org/2004/05092004_snd.htm, May 9","Ramirez De Arellano, A.B.3745 Winfield Lane, NW, Washington, DC 20007, United States; email: aramirez@citizen.org",,,,,,,,00207314,,IJHSC,"17436992","English","Int. J. Health Serv.",Article,"Final",,Scopus,2-s2.0-34248525101 "Carrera P.M., Bridges J.F.P.","55362546400;7102617650;","Globalization and healthcare: Understanding health and medical tourism",2006,"Expert Review of Pharmacoeconomics and Outcomes Research","6","4",,"447","454",,155,"10.1586/14737167.6.4.447","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33748092566&doi=10.1586%2f14737167.6.4.447&partnerID=40&md5=4fc223ff0ef200a290316d0e4c7a0140","International Health Economics and Outcome Research Group, Department of Tropical Hygiene and Public Health, University of Heidelberg - Medical School, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany; John Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, United States","Carrera, P.M., International Health Economics and Outcome Research Group, Department of Tropical Hygiene and Public Health, University of Heidelberg - Medical School, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany; Bridges, J.F.P., John Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, United States","Faced with long waiting lists, the high cost of elective treatment and fewer barriers to travel, the idea of availing healthcare in another country is gaining greater appeal to many. The objective of this review is to perform a literature review of health and medical tourism, to define health and medical tourism based on the medical literature and to estimate the size of trade in healthcare. The Medline database was used for our literature review. In our initial search for 'health tourism' and 'medical tourism' we found a paucity of formal literature as well as conceptual ambiguity in the literature. Subsequently, we reviewed the literature on 'tourism' in general and in the context of healthcare. On the basis of 149 papers, we then sought to conceptualize health tourism and medical tourism. Based on our definitions, we likewise sought to estimate market capacity internationally. We defined health tourism as ""the organized travel outside one's local environment for the maintenance, enhancement or restoration of an individual's wellbeing in mind and body"". A subset of this is medical tourism, which is ""the organized travel outside one's natural healthcare jurisdiction for the enhancement or restoration of the individual's health through medical intervention"". At the international level, health tourism is an industry sustained by 617 million individuals with an annual growth of 3.9% annually and worth US$513 billion. In conclusion, this paper underscored the issue of a severely limited formal literature that is compounded by conceptual ambiguity facing health and medical tourism scholarship. In clarifying the concepts and standardizing definitions, and providing evidence with regard to the scale of trade in healthcare, we hope to assist in furthering fundamental research tasks, including the further development of reliable and comparable data, the push and pull factors for engaging in health and medical tourism, and the impact of health tourism but, more so, medical tourism on local healthcare systems. © 2006 Future Drugs Ltd.","Access; Globalization; Health policy; Healthcare","health care cost; health care organization; health care system; health service; medical care; medical literature; MEDLINE; methodology; reliability; review; travel; wellbeing",,,,,,,,"Chanda, R., (2001) Trade in Health Services, 4 (5). , CMH Working Paper Series, World Health Organization, Geneva, Switzerland, WG; Bramley-Harker, E., Global principles for better healthcare (2004) Pharmacoeconomics, 22 (SUPPL. 2), pp. 73-79; Lowson, K., West, P., Chaplin, S., O'Reilly, J., Department of Health: Evaluation of treating patients overseas (2002) York Health Economics Consortium, , York, UK; Palm, W., Nickless, J., Lewalle, H., Coheur, A., Implications of recent jurisprudence on the coordination of healthcare protection systems (2000) Association Internationale De La Mutalite, , Brussels, Belgium; Busse, R., Drews, M., Wismar, M., Consumer choice of healthcare services across borders (2002) The European Union and Health Services - The Impact of the Single European Market on Member States, , In: Busse R, Wismar M, Berman P (Eds). IOS Press, Amsterdam, The Netherlands; Kanavos, P., Health as a tradable service: A prospective view of the European Union (1999) Eurohealth, 5 (1), pp. 18-20; Smith, R., Foreign direct investment and trade in health services: A review of the literature (2004) Soc. Sci. Med., 59, pp. 2313-2323; Huberman, M., Miles, M., (1994) Qualitative Data Analysis, , Sage Publications, Thousand Oaks, California, USA; Sartori, G., (1984) Social Science Concepts, , Sage Publications, Beverly Hills, USA; Gerring, J., (2002) Social Science Methodology: A Critical Framework, , Cambridge University Press, Cambridge, UK; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) J. Med. Ethics, 28, pp. 337-341; Castonguay, G., Brown, A., Plastic surgery tourism proving a boon for Costa Rica's surgeons (1993) CMAJ, 148 (1), pp. 74-76; Kmietowicz, Z., GPs to check on patients' residency status to stop 'health tourism' (2004) Br. Med. J., 328, p. 1217; Bass, D., Kidneys for cash and egg safaris - Can we allow 'transplant tourism' to flourish in South Africa? (2005) S. Afr. Med. J., 95 (1), pp. 42-44; Karshier, H., German doctors protest against 'organ tourism' (1996) Br. Med. J., 313 (7068), p. 1282; Mckenna, D., Clinical investigations of the therapeutic tradition of Ayahuasca: Rational and regulatory challenges (2004) Pharmacol. Ther., 102 (2), pp. 111-129; Borman, E., Health tourism: Where healthcare, ethics and the state collide (2004) Br. Med. J., 328, pp. 60-61; Bishop, R., Litch, J., Medical tourism can do harm (2000) Br. Med. J., 320, p. 1017; Bezruchka, S., Medical tourism as medical harm to the third world: Why? For whom? (2001) Wilderness Environ. Med., 11, pp. 77-78; Johnson, O., Bogota launches health tourism project (2002) Br. Med. J., 325 (7354), p. 10; Sheaff, R., Healthcare access and mobility between the UK and other European Union states: An 'implementation surplus' (1997) Health Policy, 42 (3), pp. 239-253; Parshall, A., Controversy over psychiatric tourism: A real phenomenon (1995) Br. Med. J., 311 (7019), p. 1567; Weber, W., Controversy leads to new Netherlands HIV-test guidelines (2002) Lancet, 355 (9202), p. 475; Tannock, C., Turner, T., Psychiatric tourism is overloading London beds (1995) Br. Med. J., 311, p. 806; Charatan, F., Foreigners flock to Cuba for medical care (2001) Br. Med. J., 322, p. 1198; McKee, M., MacLehose, L., Albrecht, J.H., Free movement of patients (2004) Health Policy and the European Union Enlargement, pp. 156-175. , In: McKee M, MacLehose L, Nolte E (Eds). Open University Press, Berkshire, UK; Larson, J.A., Conceptualization of health (1999) Med. Care Res. Rev., 56 (2), pp. 123-136; Rodriguez-Garcia, R., The health development link: Travel as a public health issue (2001) J. Community Health, 26 (2), pp. 93-112; Digby, A., (1994) Making a Medical Living, , Cambridge University Press, Cambridge, UK; Hembry, P.M., (1990) The English Spa, 1560-1815: A Social History, , Athlone Press, London, UK; Arrow, K., Uncertainty and the welfare economics of medical care (1963) Am. Econ. Rev., 53 (6), pp. 941-973; Kanavos, P., The single market for pharmaceuticals in the European Union in light of the European Court of Justice Rulings (2000) Pharmacoeconomics, 18 (6), pp. 523-532; (1994) Dorland's Illustrated Medical Dictionary, 980, p. 1450. , (28th Edition). WB Saunders Company, PA, USA; Patton, M., (1990) Qualitative Evaluation and Research Methods, , (2nd Edition). SAGE Publications, Thousands Oak, CA, USA; (2000) Handbook of Qualitative Research, , (2nd Edition). Denzin N, Lincoln Y (Eds). Sage Publications, Thousands Oak, CA, USA; (2005) Tourism Market Trends 2004: World Overview and Tourism Topics, , World Tourism Organization. World Tourism Organization, Madrid, Spain; Kher, U., Outsourcing your heart (2006) Time, 167 (22), pp. 44-47; Mattoo, A., Rathindran, R., How health insurance inhibits trade in healthcare (2006) Health Affairs, 25 (2), pp. 358-368; Katz, S.J., Verilli, D., Barer, M.L., Canadians' use of US medical services (1998) Health Affairs, 17 (1), pp. 225-235; Brouwer, W., van Exel, J., Hermans, B., Stoop, A., Should I stay or should I go? Waiting lists and cross-border care in the Netherlands (2003) Health Policy, 63, pp. 289-298; Carrera, P., Bridges, J.F.P., Medical Tourism and its implications for the single market (2006) 6th European Conference in Health Economics, , Budapest, Hungary, 6-9 July; Fulder, S., (1984) The Handbook Of Complementary Medicine, , Oxford University Press, Oxford, UK; (1994) Oxford Medical Companion, , Walton W. Barondess J, Lock S (Eds). Oxford University Press, New York, USA","Carrera, P.M.; International Health Economics and Outcome Research Group, Department of Tropical Hygiene and Public Health, University of Heidelberg - Medical School, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany; email: percivil.carrera@urz.uni-heidelberg.de",,,,,,,,14737167,,ERPOB,,"English","Expert Rev. Pharmacoecon. Outcomes Res.",Review,"Final",,Scopus,2-s2.0-33748092566 "Pocock N.S., Phua K.H.","56562723900;7003537994;","Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia",2011,"Globalization and Health","7",, 12,"","",,145,"10.1186/1744-8603-7-12","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955499770&doi=10.1186%2f1744-8603-7-12&partnerID=40&md5=a1ce256dda1d9d0d2d6161deb3d73ca0","Lee Kuan Yew School of Public Policy, National University of Singapore, 469C Bukit Timah Road, OTH Building, Singapore 259772, Singapore","Pocock, N.S., Lee Kuan Yew School of Public Policy, National University of Singapore, 469C Bukit Timah Road, OTH Building, Singapore 259772, Singapore; Phua, K.H., Lee Kuan Yew School of Public Policy, National University of Singapore, 469C Bukit Timah Road, OTH Building, Singapore 259772, Singapore","Medical tourism is a growing phenomenon with policy implications for health systems, particularly of destination countries. Private actors and governments in Southeast Asia are promoting the medical tourist industry, but the potential impact on health systems, particularly in terms of equity in access and availability for local consumers, is unclear. This article presents a conceptual framework that outlines the policy implications of medical tourism's growth for health systems, drawing on the cases of Thailand, Singapore and Malaysia, three regional hubs for medical tourism, via an extensive review of academic and grey literature. Variables for further analysis of the potential impact of medical tourism on health systems are also identified. The framework can provide a basis for empirical, in country studies weighing the benefits and disadvantages of medical tourism for health systems. The policy implications described are of particular relevance for policymakers and industry practitioners in other Southeast Asian countries with similar health systems where governments have expressed interest in facilitating the growth of the medical tourist industry. This article calls for a universal definition of medical tourism and medical tourists to be enunciated, as well as concerted data collection efforts, to be undertaken prior to any meaningful empirical analysis of medical tourism's impact on health systems. © 2011 Pocock and Phua; licensee BioMed Central Ltd.",,"conceptual framework; empirical analysis; health impact; health policy; policy implementation; policy making; tourism market; comparative study; conceptual framework; health care cost; health care delivery; health care financing; health care personnel; health care policy; health care system; health service; Malaysia; medical tourism; priority journal; review; Singapore; Thailand; Malaysia; Singapore [Southeast Asia]; Thailand",,,,,,,,"Hazarika, I., Medical tourism: its potential impact on the health workforce and health systems in India (2010) Health Policy and Planning, 25, pp. 248-251. , 10.1093/heapol/czp050, 19926658; Medical travel in Asia and the Pacific: challenges and opportunities (2007), http://www.unescap.org/ESID/hds/lastestadd/MedicalTourismReport09.pdf, Thailand, United Nations Economic and Social Commission for Asia and the Pacific, Accessed 29-09-2010, UNESCAP; Chongsuvivatwong, V., Phua, K.H., Yap, M.T., Pocock, N.S., Hashim, J.H., Chhem, R., Wilopo, S.A., Lopez, A.D., Health and health-care systems in southeast Asia: diversity and transitions (2011) Lancet, 377 (9763), pp. 429-437. , 10.1016/S0140-6736(10)61507-3, 21269685; Media info: Health tourism in Malaysia (2008), http://www.tourism.gov.my/corporate/images/media/features/Health%20Tourism%20Oct%202008.pdf, Communications and Publicity Division, Tourism Malaysia, Accessed 29-9-2010, Tourism Malaysia; Media Factsheet: Singapore, more than just a world class healthcare destination (2010), Singapore Medicine, Singapore Medicine; Carrera, P., Bridges, J., Health and medical tourism: what they mean and imply for health care systems (2006) Health and Ageing, 15. , The Geneva Association; Carrera, P., Bridges, J., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (SUPPL. 4), pp. 447-454; Chee, H.L., Medical tourism in Malaysia: international movement of healthcare consumers and the commodification of healthcare (2007) Asia Research Institute, National University of Singapore, submitted, , Accessed 04-03-2011; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: understanding medical travel (2010) Medical Anthropology, 29 (4), pp. 336-343. , 10.1080/01459740.2010.501318, 21082481; Smith, R., Chanda, R., Tangcharoensathien, V., Trade in health related services (2009) Lancet, 373, pp. 593-601. , 10.1016/S0140-6736(08)61778-X, 19167053; Blouin, C., Chopra, M., Van Der Hoeven, R., Trade and social determinants of health (2009) Lancet, 373, pp. 502-507. , 10.1016/S0140-6736(08)61777-8, 19167058; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organisation, 80, pp. 158-163; Hopkins, K., Labonte, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing nowledge? 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Lee Kuan Yew School of Public Policy, National University of Singapore, 469C Bukit Timah Road, OTH Building, Singapore 259772, Singapore; email: sppnp@nus.edu.sg",,,,,,,,17448603,,,,"English","Globalization Health",Review,"Final",Open Access,Scopus,2-s2.0-79955499770 "Johnston R., Crooks V.A., Snyder J., Kingsbury P.","36500711800;35585107800;24170239100;8873935100;","What is known about the effects of medical tourism in destination and departure countries? A scoping review",2010,"International Journal for Equity in Health","9",, 24,"","",,142,"10.1186/1475-9276-9-24","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78049323143&doi=10.1186%2f1475-9276-9-24&partnerID=40&md5=7d369f96b207daa4eb45cabf96a84890","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada","Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Kingsbury, P., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada","Background. Medical tourism involves patients intentionally leaving their home country to access non-emergency health care services abroad. Growth in the popularity of this practice has resulted in a significant amount of attention being given to it from researchers, policy-makers, and the media. Yet, there has been little effort to systematically synthesize what is known about the effects of this phenomenon. This article presents the findings of a scoping review examining what is known about the effects of medical tourism in destination and departure countries. Methods. Drawing on academic articles, grey literature, and media sources extracted from18 databases, we follow a widely used scoping review protocol to synthesize what is known about the effects of medical tourism in destination and departure countries. The review design has three main stages: (1) identifying the question and relevant literature; (2) selecting the literature; and (3) charting, collating, and summarizing the data. Results. The large majority of the 203 sources accepted into the review offer a perspective of medical tourism from the Global North, focusing on the flow of patients from high income nations to lower and middle income countries. This greatly shapes any discussion of the effects of medical tourism on destination and departure countries. Five interrelated themes that characterize existing discussion of the effects of this practice were extracted from the reviewed sources. These themes frame medical tourism as a: (1) user of public resources; (2) solution to health system problems; (3) revenue generating industry; (4) standard of care; and (5) source of inequity. It is observed that what is currently known about the effects of medical tourism is minimal, unreliable, geographically restricted and mostly based on speculation. Conclusions. Given its positive and negative effects on the health care systems of departure and destination countries, medical tourism is a highly significant and contested phenomenon. This is especially true given its potential to serve as a powerful force for the inequitable delivery of health care services globally. It is recommended that empirical evidence and other data associated with medical tourism be subjected to clear and coherent definitions, including reports focused on the flows of medical tourists and surgery success rates. Additional primary research on the effects of medical tourism is needed if the industry is to develop in a manner that is beneficial to citizens of both departure and destination countries. © 2010 Johnston et al; licensee BioMed Central Ltd.",,"database; empirical analysis; health care; health services; literature review; medical geology; policy making; research work; tourism; article; developed country; health care quality; health care system; health economics; income; medical literature; priority journal; profit; tourism",,,,,,,,"Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Glob Public Health, 3, p. 271. , 10.1080/17441690701463936; Ehrbeck, T., Guevara, C., Mango, P.D., Cordina, J., Singhal, S., Health care and the consumer (2008) McKinsey Quarterly, pp. 80-81; Leahy, A., Medical tourism: The impact of travel to foreign countries for healthcare (2008) Surgeon, 6, pp. 260-261. , 10.1016/S1479-666X(08)80047-9. 18939370; Horowitz, M.D., Marsek, P., Mohanasundaram, S., Pachisa, M., Jones, C.A., Keith, L.G., Metaxotos, N., Yiun Teo, S., Why in the world do patients travel for health care? 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(2007) NIP, pp. 4-4; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Rev Pharmacoecon Outcomes Res, 6, pp. 447-454. , 10.1586/14737167.6.4.447. 20528514; Moore, G., The fair trade movement: Parameters, issues and future research (2004) Journal of Business Ethics, 53 (1-2), pp. 73-86. , DOI 10.1023/B:BUSI.0000039400.57827.c3, Building Ethical Institutions for Business; Raynolds, L.T., Murray, D., Taylor, P.L., Fair Trade coffee: Building producer capacity via global networks (2004) Journal of International Development, 16 (8), pp. 1109-1121. , DOI 10.1002/jid.1136; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) J Health Care Finance, 34, pp. 27-35. , 18972983; Pooley, E., Have Ailment, Will Travel (2006) Can Bus, 79, p. 68; Mirrer-Singer, P., Medical Malpractice Overseas: The Legal Uncertainty surrounding Medical Tourism (2007) Law Contemp Probs, 70, pp. 211-232","Johnston, R.; Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; email: rrj1@sfu.ca",,,,,,,,14759276,,,,"English","Int. J. Equity Health",Article,"Final",Open Access,Scopus,2-s2.0-78049323143 "Yu J.Y., Ko T.G.","36998989200;7201681512;","A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea",2012,"Tourism Management","33","1",,"80","88",,133,"10.1016/j.tourman.2011.02.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80052432155&doi=10.1016%2fj.tourman.2011.02.002&partnerID=40&md5=678009b0b73054fb5632d5cd9b1d9112","Korea Culture and Tourism Institute, Kang Seo Gu, Seoul, South Korea; Department of Convention and Tourism Management, Hallym University, Chun Cheon, Gang Won Do, South Korea","Yu, J.Y., Korea Culture and Tourism Institute, Kang Seo Gu, Seoul, South Korea; Ko, T.G., Department of Convention and Tourism Management, Hallym University, Chun Cheon, Gang Won Do, South Korea","The purpose of this study is to observe factors related to perceptions of and possible participation in medical tourism by Chinese, Japanese, and Korean visitors to Jeju Island in Korea. It aims to identify cultural differences among them, and how those differences affect their pursuit of medical tourism in the future. The research results illustrate that significant differences exist in how Chinese, Japanese and Korean visitors view factors of choice, discomfort and preferred product items. The study establishes four factor groups regarding medical tourism with exploratory factor analysis. Based on these findings, differences of participation intention and behaviors among the three groups are explained. From this, the study describes distinct characteristics of medical tourism among the three cultural groups. The differences among Chinese, Japanese, and Korean tourists with regard to the selection of destination, inconveniences, and preferred products were found to be all significant. Korean tourists placed most significance on selection factors, followed by Chinese tourists, and, lastly, the Japanese. On the other hand, inconveniences related to medical and care services, stay and cost, and information and insurance elements were most strongly associated with Japanese tourists. This may be a reflection of a possible tendency of Japanese tourists to value safety and cost effectiveness. For Chinese tourists, the importance of stay and cost was equally high as those of their Japanese counterparts, which is indicative of Chinese tourists' cost sensitivity. Light treatments (minor surgery) were preferred by Chinese tourists, while more significant treatments (major surgery) were preferred by Japanese tourists. In terms of aesthetic and healthcare services, Chinese tourists showed the most interest, while Japanese tourists placed emphasis on rehabilitation (lifestyle-related), which may reflect the Korean Wave's influence in certain Chinese market segments, leading to an increased demand for cosmetic or plastic surgery. © 2011 Elsevier Ltd.","Cross-cultural study; Health tourism; Medical tourism; Participation intention; Perception","cost-benefit analysis; cultural identity; health care; health services; heritage tourism; perception; tourism; tourist destination; Korea",,,,,,,,"Setting the standards for medical tourism, , http://www.ama-assn.org/amednews/, Editorial. 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Manage.",Article,"Final",,Scopus,2-s2.0-80052432155 "Glinos I.A., Baeten R., Helble M., Maarse H.","15836850800;6507750396;18037202200;6602716841;","A typology of cross-border patient mobility",2010,"Health and Place","16","6",,"1145","1155",,119,"10.1016/j.healthplace.2010.08.001","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77957654236&doi=10.1016%2fj.healthplace.2010.08.001&partnerID=40&md5=ff007fd99930575b7edb5a948691d061","Department of Health Organisation, Policy and Economics, Faculty of Health, Medicine and Life Sciences, University of Maastricht, Universiteitssingel 40, P.O. Box 616, 6229 ER Maastricht, NL-6200 MD Maastricht, Netherlands; Observatoire Social Européen (a.s.b.l.), Rue Paul Emile Janson 13, B-1050 Brussels, Belgium; Trade and Environment Division, World Trade Organization, Rue de Lausanne 154, CH-1211 Geneva, Switzerland","Glinos, I.A., Department of Health Organisation, Policy and Economics, Faculty of Health, Medicine and Life Sciences, University of Maastricht, Universiteitssingel 40, P.O. Box 616, 6229 ER Maastricht, NL-6200 MD Maastricht, Netherlands; Baeten, R., Observatoire Social Européen (a.s.b.l.), Rue Paul Emile Janson 13, B-1050 Brussels, Belgium; Helble, M., Trade and Environment Division, World Trade Organization, Rue de Lausanne 154, CH-1211 Geneva, Switzerland; Maarse, H., Department of Health Organisation, Policy and Economics, Faculty of Health, Medicine and Life Sciences, University of Maastricht, Universiteitssingel 40, P.O. Box 616, 6229 ER Maastricht, NL-6200 MD Maastricht, Netherlands","Based on systematic observation and analysis of available evidence, we propose a typology of cross-border patient mobility (rather than the so-called 'medical tourism') defined as the movement of a patient travelling to another country to seek planned health care. The typology is constructed around two dimensions based on the questions 'why do patients go abroad for planned health care?' and 'how is care abroad paid for?' Four types of patient motivations and two funding types have been identified. Combined in a matrix, they make eight possible scenarios of patient mobility each illustrated with international examples. © 2010 Elsevier Ltd.","Access; Cross-border health care; Health funding; Patient mobility; Travel","accessibility; cross-border relations; health care; medical geography; mobility; spatial analysis; travel behavior; article; funding; health care availability; health care cost; health care facility; health care need; health care practice; health care utilization; health insurance; help seeking behavior; human; integrated health care system; patient attitude; patient care planning; priority journal; travel",,,,,,,,"(2010), AMI (African Medical Investments). AMI Well Woman Clinic a Lifeline for Mozambican Mothers. 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Box 616, 6229 ER Maastricht, NL-6200 MD Maastricht, Netherlands; email: i.glinos@beoz.unimaas.nl",,,"Elsevier Ltd",,,,,13538292,,HEPLF,,"English","Health Place",Article,"Final",,Scopus,2-s2.0-77957654236 "Connell J.","56227359000;","Medical tourism",2011,"Medical tourism",,,,"1","209",,118,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890198296&partnerID=40&md5=d26a37f1941f5b49f9c6d1e72180f96f","School of Geosciences, University of Sydney, Australia","Connell, J., School of Geosciences, University of Sydney, Australia","Tourism has long been associated with improved health, resulting in a boom of spas, yoga and rejuvenation treatments. Medical tourism itself is a more recent example of niche tourism, with increasing numbers of people travelling abroad in search of cosmetic enhancement and solutions to various serious medical conditions often by surgery. Medical Tourism looks at the background and rise of health tourism, new emerging facets of the sector, and examines how medical tourism benefits local health care providers, economies and the tourism industry as a whole. It offers a unique overview of an emerging component of the tourist industry and a distinct and controversial element of health provision. © CAB International 2011. 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With improvements in mortality, the field of critical care has seen increased opportunities to improve posthospital quality of life for survivors of critical illness. This article focuses particularly on how mobilization may improve quality of life for patients. © 2007 Elsevier Inc. All rights reserved.",,"bed; bed rest; bone; cardiovascular function; clinical practice; cost; critical illness; critically ill patient; electrostimulation; human; intensive care; intensive care unit; medical literature; mobilization; muscle contraction; muscle disease; muscle function; neuropathy; obesity; patient care; priority journal; quality of life; range of motion; resuscitation; review; safety; sedation; survival; survivor; tilt table test; time; vascular access; Bed Rest; Critical Care; Critical Illness; Early Ambulation; Humans; Immobilization; Intensive Care; Intensive Care Units; Muscle, Skeletal; Muscular Atrophy; Range of Motion, Articular",,,,,,,,"Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. 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Effects of continuous passive motion (1985) Am J Sports Med, 13 (6), pp. 415-418; Milne, S., Brosseau, L., Robinson, V., Continuous passive motion following total knee arthroplasty (2003) Cochrane Database Syst Rev, 2. , CD004260; Casaburi, R., Petty, T., (1993) Exercise training in chronic obstructive lung disease: principles and practice of pulmonary rehabilitation, , Saunders, Philadelphia p. 204-24; Ries, A.L., Make, B.J., Lee, S.M., The effects of pulmonary rehabilitation in the national emphysema treatment trial (2005) Chest, 128 (6), pp. 3799-3809; Skeletal muscle dysfunction in chronic obstructive pulmonary disease: a statement of the American Thoracic Society and European Respiratory Society (1999) Am J Resp Crit Care Med, 159, pp. S1-S40; Zanotti, E., Felicetti, G., Maini, M., Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of electrical stimulation (2003) Chest, 124 (1), pp. 292-296; Chang, A.T., Boots, R., Hodges, P.W., Standing with assistance of a tilt table in intensive care: a survey of Australian physiotherapy practice (2004) Aust J Physiother, 50 (1), pp. 51-54; Norrenberg, M., Vincent, J.L., A profile of European intensive care unit physiotherapists. European Society of Intensive Care Medicine (2000) Intensive Care Med, 26 (7), pp. 988-994; King, J., Crowe, J., Mobilization practices in Canadian critical care units (1998) Physiother Can, 50, pp. 206-211; Bailey, P.B., Thomsen, G.E., Bezdjian, L., The progression of early activity in mechanically ventilated patients is improved upon transfer within ICUs (2005) Crit Care, 33 (12), pp. A118","Morris, P.E.; Pulmonary Medical, Wake Forest University School of Medicine, Gray Building, Winston-Salem, NC 27157, United States; email: pemorris@wfubmc.edu",,,,,,,,07490704,,CCCLE,"17307113","English","Crit. Care Clin.",Review,"Final",,Scopus,2-s2.0-33846973997 "Crooks V.A., Turner L., Snyder J., Johnston R., Kingsbury P.","35585107800;7202689997;24170239100;36500711800;8873935100;","Promoting medical tourism to India: Messages, images, and the marketing of international patient travel",2011,"Social Science and Medicine","72","5",,"726","732",,114,"10.1016/j.socscimed.2010.12.022","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952003193&doi=10.1016%2fj.socscimed.2010.12.022&partnerID=40&md5=c3002cde8c3aeeb4ee8206bb35957f9a","Simon Fraser University, Department of Geography, RCB 7123, 8888 University Drive, Burnaby, BC, Canada; University of Minnesota, United States; Simon Fraser University, Faculty of Health Sciences, Canada","Crooks, V.A., Simon Fraser University, Department of Geography, RCB 7123, 8888 University Drive, Burnaby, BC, Canada; Turner, L., University of Minnesota, United States; Snyder, J., Simon Fraser University, Faculty of Health Sciences, Canada; Johnston, R., Simon Fraser University, Department of Geography, RCB 7123, 8888 University Drive, Burnaby, BC, Canada; Kingsbury, P., Simon Fraser University, Department of Geography, RCB 7123, 8888 University Drive, Burnaby, BC, Canada","The practice of medical tourism depends on successfully informing potential patients about procedure options, treatment facilities, tourism opportunities, travel arrangements, and destination countries. The promotion of medical tourism includes a wide range of marketing materials such as flyers, booklets, and websites. Yet, there is a paucity of knowledge about the dissemination, content, and reception of these promotional materials. Drawing on a thematic content analysis of the promotional print material distributed at the first medical tourism trade show in Canada in 2009, the main purpose of this article is to identify and understand the messages and images that companies use to market India as a global destination. While researchers and news media frequently cite low cost procedures as a key determinant for international patient travel, particularly to developing nations, our analysis reveals few low cost-related images or messages in the promotional materials distributed at the trade show. To help explain this surprising disjuncture, we consider four related issues: (1) promotional materials may be designed to be circulated amongst potential patients' concerned family and friends who privilege knowing about things such as the use of advanced technologies; (2) developing nations need to portray safe and advanced treatment facilities in order to dispel potential patients' suspicions that their medical care is inferior; (3) companies may avoid making cost saving claims that cannot be fulfilled for all of their international patients, especially those traveling from developing nations; and (4) messages of low cost may detract from and even undermine messages about quality. We conclude by identifying numerous avenues for future research by social and health scientists, and by considering the implications of our findings for existing knowledge gaps and debates within health geography specifically. © 2011 Elsevier Ltd.","Advertising; Canada; Globalization; India; Marketing; Medical tourism; Thematic content analysis; Trade in health services","advertising; developing world; globalization; health geography; health services; international tourism; marketing; advertizing; article; developing country; health care cost; health care facility; health care quality; India; marketing; mass medium; medical tourism; travel; Advertising as Topic; Canada; Humans; India; Marketing of Health Services; Medical Tourism; Canada; India",,,,,"Canadian Institutes of Health Research, CIHR","Our thanks to BJC and BJC for obtaining one of the two sets of promotional materials examined in this analysis. This research has been funded by a Catalyst Grant from the Canadian Institutes of Health Research .",,"Aronson, J., A pragmatic view of thematic analysis (1994) The Qualitative Report, 2, p. 1; Badam, R.T., (2005) Medical tourists go to India for treatment, , The Toronto Star, Retrieved October 22, 2009 from LexisNexis database, September 23; Burkett, L., Medical tourism: concerns, benefits and the American legal perspective (2007) The Journal of Legal Medicine, 28, pp. 223-245; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Companion Global Healthcare Inc. A world of choices - A world of savings. [Brochure]. No Location: Companion Global Healthcare, Inc; Connell, J., Tummy tucks and the Taj mahal? Medical tourism and the globalization of health care (2008) Tourism management: Analysis, behaviour and strategy, pp. 232-244. , Biddles, King's Lynn, UK, A.G. Woodside, D. 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Williams (Ed.)","Crooks, V.A.; Simon Fraser University, Department of Geography, RCB 7123, 8888 University Drive, Burnaby, BC, Canada; email: crooks@sfu.ca",,,,,,,,02779536,,SSMDE,"21310519","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-79952003193 "Hall C.M.","55017070000;","Health and medical tourism: A kill or cure for global public health?",2011,"Tourism Review","66",,,"4","15",,109,"10.1108/16605371111127198","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992993085&doi=10.1108%2f16605371111127198&partnerID=40&md5=27b05b4a3ef14bbc27db3cbe30932135","Department of Management, University of Canterbury, Christchurch, New Zealand","Hall, C.M., Department of Management, University of Canterbury, Christchurch, New Zealand","The major purpose of this introduction to the special issue of Tourism Review on health and medical tourism is to outline some of main issues that exist in the academic literature in this rapidly developing field. The paper reviews relevant health and medical tourism and cognate literature. The paper identifies some of the interrelationships between different areas of health and medical tourism, including wellness and wellbeing tourism, dental tourism, stem-cell tourism, transplant tourism, abortion tourism, and xeno-tourism. Key to defining these areas are the relationships to concepts of wellness and illness and the extent to which regulation encourages individuals to engage in cross-border purchase of health services and products. Key themes that emerge in the literature include regulation, ethics, the potential individual and public health risks associated with medical tourism, and the relative lack of information on the extent of medical tourism. The development of international medical tourism is demonstrated to have potentially significant implications for global public health. The paper covers an extensive range of academic literature on international medical tourism which indicates the different approaches and emphases of research in different disciplines as well as the ideological and philosophical differences that exist with respect to health medical tourism. The paper also notes that some of the individual and public health risks of medical tourism are not usually incorporated into assessments of its potential economic benefits. © 2011, Emerald Group Publishing Limited","International travel; Medical treatment; Public health; Tourism",,,,,,,,,"Asai, R., Jones, K., Jr., Ethical moment: am I obligated to treat a patient whose need for emergency care stems from dental tourism? 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A scoping review (2010) BMC Health Services Research, 10, p. 266; Crozier, G.K.D., Baylis, F., The ethical physician encounters international medical travel (2010) Journal of Medical Ethics, 36 (5), pp. 297-301; de Arellano, A.B.R., Patients without borders: the emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; de Arellano, A.B.R., Medical tourism in the Caribbean (2011) Signs, 36 (2), pp. 289-297; Devereaux, M., Loring, J.F., Growth of an industry: how US scientists and clinicians have enabled stem cell tourism (2010) American Journal of Bioethics, 10 (5), pp. 45-46; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ: Canadian Medical Association Journal (journal de l'Association medicale canadienne), 174 (9), p. 1247; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Channel View, Bristol; (2009) Medical Travel in Asia and the Pacific. 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The National Academies Press, Washington, DC; Zarzeczny, A., Caulfield, T., Stem cell tourism and doctors' duties to minors – a view from Canada (2010) American Journal of Bioethics, 10 (5), pp. 3-15","Hall, C.M.; Department of Management, University of Canterbury, Christchurch, New Zealand",,,,,,,,16605373,,,,"English","Tour. Rev.",Review,"Final",,Scopus,2-s2.0-84992993085 "Heung V.C.S., Kucukusta D., Song H.","6602945016;33867682100;7404036753;","Medical tourism development in Hong Kong: An assessment of the barriers",2011,"Tourism Management","32","5",,"995","1005",,105,"10.1016/j.tourman.2010.08.012","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955483498&doi=10.1016%2fj.tourman.2010.08.012&partnerID=40&md5=5d75a0cb5ce593046cac71119090c8a4","School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong","Heung, V.C.S., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong; Kucukusta, D., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong; Song, H., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong","The aim of this study is to determine the factors influencing the development of medical tourism in Hong Kong. A qualitative research method was adopted to collect data from representatives of private and public hospitals, government bodies, and medical institutions. The results reveal that policies and regulations, government support, costs, capacity problems, and the healthcare needs of the local community are the main barriers to the development of such tourism. Several strategies for lifting these barriers are suggested, such as new promotional activity policies, government action to encourage investment in the medical tourism market, and cooperative efforts by the hospitality sector and medical institutions to develop medical tourism products. © 2010 Elsevier Ltd.","Barriers; Hong Kong; Medical tourism; Tourism development","assessment method; government; investment; policy implementation; regulatory framework; strategic approach; tourism development; China; Hong Kong",,,,,"Hong Kong Polytechnic University, PolyU: G-YX1G","This study was supported by The Hong Kong Polytechnic University under research grant number G-YX1G .",,"Adams, M., Rising popularity of medical tourism reveals deterioration of U.S. healthcare system, , http://www.newstarget.com/007097.html, Retrieved 15.02.09, from; Awadzi, W., Panda, D., Medical tourism: globalization and the marketing of medical services (2006) Consortium Journal of Hospitality and Tourism, 11 (1), pp. 75-81; Ben-Natan, M., Ben-Sefer, E., Ehrenfeld, M., Medical tourism: a new role for nursing? 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In A PTA annual conference, Bangkok, Thailand; Yuen, P., Healthcare financing reform in Hong Kong, , http://www.hkdf.org/newsarticles.asp%3Fshow%3dnewsarticles&newsarticle%3d92, Retrieved 20.07.09, from","Heung, V.C.S.; School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong; email: hmvheung@polyu.edu.hk",,,,,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-79955483498 "Heung V.C.S., Kucukusta D., Song H.","6602945016;33867682100;7404036753;","A conceptual model of medical tourism: Implications for future research",2010,"Journal of Travel and Tourism Marketing","27","3",,"236","251",,105,"10.1080/10548401003744677","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952121367&doi=10.1080%2f10548401003744677&partnerID=40&md5=ccc52ad3d1996ff60043b4c3e04868aa","School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, China","Heung, V.C.S., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, China; Kucukusta, D., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, China; Song, H., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, China","An extensive review of the current literature reveals that no integrated theoretical framework for the holistic study of the medical tourism industry exists. This study, therefore, aims to fill this gap by proposing an integrated model for the investigation of this burgeoning tourism field. It is developed with a view to capturing the current situation of medical tourism in a given country or region from the supply and demand perspectives. Both qualitative and quantitative techniques are suggested as systematic tools to test and validate the model. This study not only has implications for future research, but also provides useful information for practitioners in the medical tourism. © Taylor & Francis Group, LLC.","Demand model; Empirical testing; Medical tourism; Supply model",,,,,,"Hong Kong Polytechnic University, PolyU","Vincent C. S. Heung (E-mail: hmvheung@polyu.edu.hk) is an Associate Professor; Deniz Kucukusta (E-mail:hmdeniz@polyu.edu.hk) is a Post-doctoral Fellow; and Haiyan Song (E-mail:hmsong@polyu.edu.hk) is a Professor in the School of Hotel and Tourism Management at The Hong Kong Polytechnic University, Hung Hom, Kowloon, China. This study was supported by The Hong Kong Polytechnic University under research grant number G-YX1G Address correspondence to: Dr. Vincent C. S. Heung, School of Hotel & Tourism Management, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, PR China.",,"Adams, M., (2006) Rising Popularity of Medical Tourism Reveals Deterioration of U.S. Healthcare System, , http://www.newstarget.com/007097.html, Retrieved March 7, 2010, from; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consortium Journal of Hospitality & Tourism, 11 (1), pp. 75-81; Bennet, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; Bitner, M.J., Zeithaml, V., (2003) Services Marketing-Integrating Customer Focus Across the Firm, , New York: McGraw Hill; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave McMillan; Burkett, L., Medical tourism: Concerns, benefits, and the American perspective (2007) The Journal of Legal Medicine, 28, pp. 223-245; Caballero-Danell, S., Mugomba, C., (2007) Medical Tourism and its Entrepreneurial Opportunities: A Conceptual Framework for Entry Into the Industry, , http://gupea.ub.gu.se/dspace/handle/2077/4671, Unpublished master's thesis, University of Gothenburg, Gothenburg, Sweden. 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Mark.",Article,"Final",,Scopus,2-s2.0-77952121367 "Smith M., Puczkó L.","55495915200;6507221735;","Health and wellness tourism",2008,"Health and Wellness Tourism",,,,"1","400",,104,"10.4324/9780080942032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906636431&doi=10.4324%2f9780080942032&partnerID=40&md5=910508f45304f4827c6dc394ea0a61b3","Institute for Environmental Sciences, Faculty of Business, Corvinus University, Budapest, Hungary; Xellum Ltd, Budapest, Hungary","Smith, M., Institute for Environmental Sciences, Faculty of Business, Corvinus University, Budapest, Hungary; Puczkó, L., Xellum Ltd, Budapest, Hungary","Health and Wellness Tourism takes an innovative look at this rapidly growing sector of today's thriving tourism industry. This book examines the range of motivations that drive this diverse sector of tourists, the products that are being developed to meet their needs and the management implications of these developments. A wide range of international case studies illustrate the multiple aspects of the industry and new and emerging trends including spas, medical wellness, life-coaching, meditation, festivals, pilgrimage and yoga retreats. The authors also evaluate marketing and promotional strategies and assess operational and management issues in the context of health and wellness tourism. This text includes a number of features to reinforce theory for advanced students of hospitality, leisure and tourism and related disciplines. © 2009 Elsevier Ltd. 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Global grooming hotspots for the guys (2007), http://www.gaywired.com/article.cfm?section=90&id=16619, 09/26/2007; Whitman, C., Fadra, M., 15 Keys to Improving Med Spa Efficiences (2007) MEDI-CALSPAS, pp. 14-18. , July/August; White, G., (2003) Hot Bath: The story of the spa, , Bath, Nutbourne Publishing Ltd; Whittall, J., 2003 Guide to Men's Spa Service (2003), www.menessentials.com, MenEssentials, February, accessed 5th March 2008; (2008), http://www.wildfitness.com/page/eco_wildfitness.htm, Wildfitness accessed 27th March 2008; Williams, S., (2003) The Reluctant Spa Director and the Mission Dream, , Haverford, PA, Infinity Publishing; Witepski, L., Botox in the Bush (2005), http://www.surgeon-and-safari.co.za/news/british-airways-hl.html, British Airways High Life Magazine, accessed 12th November 2007; Wolsko, C., Lardon, C., Hopkins, S., Ruppert, E., Conceptions of wellness among the Yup'ik of the Yukon-Kuskokwim delta: The vitality of social and natural connection (2006) Ethnicity and Health, 11 (4), pp. 345-363; Wong, C., Alternative Medicine: Detox Diet (2007), http://altmedicine.about.com/cs/dietarytherapy/a/DetoxBasics.htm, accessed 24th October 2007; Woods Smith, D., Theory of Sprituality (1994), http://www.housesofhealing.com/source/Spirarticle94.pdf, accessed 14th February 2008; (1948), http://www.who.int/about/en, World Health Organisation accessed 20th October 2007; (1984) Health Promotion: A Discussion Document, , World Health Organisation. Copenhagen, WHO; (1997) Tourism Highlights 1996, , World Tourism Organization. Madrid, WTO; The Pursuit of Happiness (2003), 179, pp. 40-43. , World Values Survey in Bond M. 2003, New Scientist; Wellness Wheel (2003), http://www.wright.edu/admin/wellness/wellnesswheel.htm, Wright State University, accessed 21st September 2005; (2008), http://www.yogaholidays.net/magazine/Rishikesh.htm, Yoga Holidays accessed 7th February 2008; Find your ideal type (2007), (56), pp. 66-71. , Yoga Magazine, September 2007; (2007), http://www.yogatravel.co.uk/morocco.htm, Yoga Travel accessed 20th November 2007; (2008), http://yogatv.nl, Yoga TV accessed 31st March 2008; (2008), http://www.zaraspa.com/main.asp, Zara Spa Dead Sea accessed 24th March 2008","Smith, M.; Institute for Environmental Sciences, Faculty of Business, Corvinus University, Budapest, Hungary",,,"Butterworth-Heinemann",,,,,,9780080942032,,,"English","Health and Wellness Tour.",Book,"Final",,Scopus,2-s2.0-84906636431 "Taylor R., Lovelock L., Tunbridge W.M.G., Alberti K.G.M.M., Brackenridge R.G., Stephenson P., Young E.","7405756928;6507745219;7003841791;36062383700;57056222900;7103060206;57197290197;","Comparison of non-mydriatic retinal photography with ophthalmoscopy in 2159 patients: Mobile retinal camera study",1990,"British Medical Journal","301","6763",,"1243","1247",,104,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0025602956&partnerID=40&md5=3235e7bb060b76e4c79ee67b4771dcd3","Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States","Taylor, R., Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States; Lovelock, L., Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States; Tunbridge, W.M.G., Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States; Alberti, K.G.M.M., Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States; Brackenridge, R.G., Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States; Stephenson, P., Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States; Young, E., Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States","Objective - To determine whether non-mydriatic Polaroid retinal photography was comparable to ophthalmoscopy with mydriasis in routine clinic screening for early, treatable diabetic retinopathy. Design - Prospective study of ophthalmoscopic findings according to retinal camera screening and ophthalmoscopy and outcome of referral to ophthalmologist. Setting - Outpatient diabetic clinics of three teaching hospitals and three district general hospitals. Patients - 2159 Adults selected randomly from the diabetic clinics, excluding only those registered as blind or those in wheelchairs and unable to enter the screening vehicle. Main outcome measures - Numbers of patients and eyes correctly identified by each technique as requiring referral with potentially treatable retinopathy (new vessel formation and maculopathy) and congruence in numbers of microaneurysms, haemorrhages, and exudates reported. Results - Camera screening missed two cases of new vessel formation and did not identify a further 12 but indicated a need for referral. Ophthalmoscopy missed five cases of new vessel formation and indicated a need for referral in another four for other reasons. Maculopathy was reported in 147 eyes with camera screening alone and 95 eyes by ophthalmoscopy only (χ2 = 11.2; p < 0.001), in 66 and 29 of which respectively maculopathy was subsequently confirmed. Overall, 38 eyes received laser treatment for maculopathy after detection by camera screening compared with 17 after ophthalmoscopic detection (χ2 = 8.0; p < 0.01). Camera screening underestimated numbers of microaneurysms (χ2 = 12.9; p < 0.001) and haemorrhages (χ2 = 7.4; p < 0.01) and ophthalmoscopy underestimated hard exudates (χ2 = 48.2; p < 0.001). Conclusions - Non-mydriatic Polaroid retinal photography is at least as good as ophthalmoscopy with mydriasis in routine diabetic clinics in identifying new vessel formation and absence of retinopathy and is significantly better in detecting exudative maculopathy.",,"adult; article; clinical trial; controlled study; diabetes mellitus; female; human; major clinical study; male; mydriasis; ophthalmoscopy; photography; priority journal; retina; retinopathy; Adolescent; Adult; Aged; Aged, 80 and over; Ambulatory Care; Child; Comparative Study; Diabetic Retinopathy; Human; Macula Lutea; Middle Age; Mydriatics; Neovascularization, Pathologic; Ophthalmoscopy; Photography; Prospective Studies; Support, Non-U.S. Gov't",,"Mydriatics",,,,"Robert Gillon and colleagues in the department of medical physics, Royal Victoria Infirmary, and the ambulance conver- sion was carried out by the Newcastle ambulance body shop. We thank the outpatient staff in each hospital for their cooperation, Professor A L Crombie and Mr K Stannard for their ophthalmological advice, Dr P D Home, Freeman Hospital, for his cooperation, Dr J D Matthews for statistical advice, Mrs Christine Hamilton for entry of the computer data, and the medical records departments for their help. The database program was written and operated by Mr N D Hamilton, department of medicine. The project was financed by the British Diabetic Association.",,,"Taylor, R.; Department Internal Medicine, Yale Medical School, Division of Endocrinology, 333 Cedar Street, New Haven, CT 06510-8056, United States",,,,,,,,09598146,,BMJOA,"1703024","English","BR. MED. J.",Article,"Final",,Scopus,2-s2.0-0025602956 "García-Altés A.","6602839153;","The development of health tourism services",2005,"Annals of Tourism Research","32","1",,"262","266",,101,"10.1016/j.annals.2004.05.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-14544304577&doi=10.1016%2fj.annals.2004.05.007&partnerID=40&md5=16416aac99adbac86b6dbacf7786c0da","Fund. Inst. de Invest./Serv. Salud, Pere Serafi 38, 08012 Barcelona, Spain","García-Altés, A., Fund. Inst. de Invest./Serv. Salud, Pere Serafi 38, 08012 Barcelona, Spain",[No abstract available],,,,,,,,,,"Health Tourism (2004), http://www.hospitals-malaysia.org, APHM, Association of Private Hospitals of Malaysia, (accessed April 2004); Borman, E., Health tourism. Where healthcare, ethics, and the state collide (2004) British Medical Journal, 328, pp. 60-61; Chanda, R., (2001) Trade in Health Services, , Indian Council for Research on International Economic Relations Working Paper No. 70. New Delhi: Indian Council for Research on International Economic Relations; Chaynee, W., (2003) Health Tourism to Drive Earnings, , Kuala Lumpur: Malaysian Institute of Economic Research; Handszuh, H., Waters, S., Travel and tourism patterns (1997) Textbook of Travel Medicine and Health, pp. 20-26. , H. Dupont R. Steffen ed. BC Decker Hamilton; Huff-Rousselle, M., Shepherd, C., Cushman, R., Imrie, J., Lalta, S., (1995) Prospects for Health Tourism Exports for the English-Speaking Caribbean, , Washington, DC: World Bank; Ross, K., Health Tourism: An Overview. HSMAI Marketing Review (2001), http://www.hospitalitynet.org/news/4010521.search?query =%22health+tourism%22, (accessed April 2004)","García-Altés, A.; Fund. Inst. de Invest./Serv. Salud, Pere Serafi 38, 08012 Barcelona, Spain; email: agarcia@imsb.bcn.es",,,"Elsevier Ltd",,,,,01607383,,,,"English","Ann. Tour. Res.",Article,"Final",,Scopus,2-s2.0-14544304577 "Goodrich J.N., Goodrich G.E.","7102131344;7003298181;","Health-care tourism - an exploratory study",1987,"Tourism Management","8","3",,"217","222",,98,"10.1016/0261-5177(87)90053-7","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0023482912&doi=10.1016%2f0261-5177%2887%2990053-7&partnerID=40&md5=3410e5ea9ca5f545862bf1fef49b33fb","Florida International University, University Park Campus, Miami, FL 33199, United States; Grace Goodrich is at the Kendall Regional Medical Center, 11750 Bird Road, Miami, FL 33175, United States","Goodrich, J.N., Florida International University, University Park Campus, Miami, FL 33199, United States; Goodrich, G.E., Grace Goodrich is at the Kendall Regional Medical Center, 11750 Bird Road, Miami, FL 33175, United States","This article explores the concept of health-care tourism. It is based on a pilot study that involved a survey of 206 travellers, 22 travel agents, 12 medical doctors and two herbalists; a review of the tourism and travel literature; and content analysis of 284 travel brochures about 24 countries. Healthcare tourism is defined, the sample, methods of data collection, findings, and implications are discussed, and future research areas suggested. Health-care tourism can be used to define an effective marketing strategy. © 1987.","health-care tourism",,,,,,,,,"McIntosh, Goeldner, (1986) Tourism: Principles, Practices, Philosophies, , See, eg, Grid Publishing, Columbus, Ohio; Rosenow, Pulsipher, (1979) Tourism: The Good, The Bad and The Ugly, , Century Three, Lincoln, Nebraska; Archer, (1977) Tourism in the Bahamas and Bermuda: Two Case Studies, , University of Wales Press, Bangor, Wales, UK; Choy, Li Dong, Wen, Tourism in PR China (1986) Tourism Management, 7, pp. 197-201; As far as we know, the term ‘health-care tourism’ is new, but the phenomenon we describe in this article has existed for some time; The countries concerned were Canada, USA, Jamaica, Brazil, Argentina, Colombia, England, France, Italy, Switzerland, Austria, FRG, Hungary, Sweden, Spain, USSR, India, Pakistan, Japan, Egypt, Kenya, Nigeria, Israel and Australia. Some brochures and booklets with the following names covered more than one country, eg Egypt and Israel, Scandinavia and Russia, Australia and New Zealand; Two each of the following: cardiologist, rheumatologist, gastrointestinal specialist, dermatologist, orthopedic surgeon and psychiatrist. Two criteria were used to select these doctors: (1) each had to have five or more years experience in his/her field; and (2) their collective areas of specialization had to be relevant to ‘healthcare’ tourism. The herbalists were selected to add balance and other perspectives to the topic; Bricklin, (1983) The Practical Encyclopedia of Natural Healing, , Rodale, Emmanus, Pennsylvania; Clymer, (1963) Nature's Healing Agents, , Dorrance and Co, Philadelphia, Pennsylvania; Conway, (1973) The Magic of Herbs, , E.P. Dutton, New York, NY; Coon, (1979) Using Plants for Healing, , Rodale Emmanus, Pennsylvania; Trotter, II., Chavira, (1981) Curandirismo: Mexico American Folk Healing, , University of Georgia, Athens, Georgia; Barrett, (1976) The Sun and the Drum: African Roots in Jamaican Folk Tradition, , Heinemann Educational Books, London, UK; Finkler, (1985) Spiritualist Healers in Mexico, , Praeger, New York, NY; Trotter, II, Chavira, (1981) Curandirismo: Mexico American Folk Healing, , University of Georgia, Athens, Georgia; Engle, Fiorillo, Cayley, (1972) Market Segmentation: Concepts and Applications, , Holt, Rinehart and Winston, New York, NY; Frank, Massy, Wind, (1972) Market Segmentation, , Prentice-Hall, Englewood Cliffs, NJ; Smith, Product differentiation and market segmentation as alternative marketing strategies (1956) Journal of Marketing, 21, pp. 3-8","Goodrich, J.N.; Florida International University, University Park Campus, Miami, FL 33199, United States",,,,,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-0023482912 "Erfurt-Cooper P., Cooper M.","55942611900;14032718400;","Health and wellness tourism: Spas and hot springs",2009,"Health and Wellness Tourism: Spas and Hot Springs",,,,"1","362",,96,"10.1007/9781845411138","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949205937&doi=10.1007%2f9781845411138&partnerID=40&md5=a4c5f658f03bd0db5d7aaadfb5fb8aa3",,"Erfurt-Cooper, P.; Cooper, M.","Geothermal springs constitute a major tourism resource, providing spectacular settings, recreation facilities, a recognised value in treatments beneficial for health and wellness, a sense of heritage and adventure, and links with the natural environment. Health and wellness tourism accounts for a significant proportion of the world’s tourism consumption, with components ranging from hot spring bathing for leisure and recreation, through mineral water use in health treatments under the supervision of highly specialised medical professionals, to water treatments in the wellness and beauty therapy sector and the use of mineral water for drinking purposes. This makes it an economically and socially important area of tourism demanding in-depth analysis. This book explores health and wellness tourism from a range of perspectives including usage, heritage, management, technology, environmental and cultural features, and marketing. © 2009 Patricia Erfurt-Cooper and Malcolm Cooper. 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Donnelly and W.R. George, Chicago: American Marketing Association; Zeithaml, V.A., Bitner, M.J., (2000) Services Marketing, , 2nd edn). New York: McGraw-Hill; Zúñiga, A., Su, M., Sánchez, M., Thermal manifestations in nicaragua (2003) GHC Quarterly Bulletin, 24 (3), pp. 23-25; Zúñiga, P.A., The Dead Sea - 50Th Anniversary and Opening of the Tourism of Health and Leisure, , http://termasworld.com/content/view/188/43",,,,"Channel View Publications",,,,,,9781845411138; 9781845411114,,,"English","Health and Wellness Tourism: Spas and Hot Springs",Book,"Final",,Scopus,2-s2.0-84949205937 "MacReady N.","24332466900;","Developing countries court medical tourists.",2007,"Lancet","369","9576",,"1849","1850",,96,"10.1016/S0140-6736(07)60833-2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34250337797&doi=10.1016%2fS0140-6736%2807%2960833-2&partnerID=40&md5=92aa0aca8ac9dbf95e05b79149c9773f",,"MacReady, N.",[No abstract available],,"accreditation; article; developing country; economics; financial management; health care quality; hospital; human; standard; surgery; travel; Accreditation; Developing Countries; Hospitals; Humans; Marketing of Health Services; Quality of Health Care; Surgical Procedures, Operative; Travel",,,,,,,,,"MacReady, N.",,,,,,,,1474547X,,,"17549816","English","Lancet",Article,"Final",,Scopus,2-s2.0-34250337797 "Horowitz M.D., Rosensweig J.A.","57210536016;23005952900;","Medical tourism--health care in the global economy.",2007,"Physician executive","33","6",,"24","26, 28-2630",,94,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-38449103963&partnerID=40&md5=5b3a7473e8d86d84db789edfd14fafb4","Medical Insights International, United States","Horowitz, M.D., Medical Insights International, United States; Rosensweig, J.A., Medical Insights International, United States",[No abstract available],,"article; economic aspect; health care delivery; human; international cooperation; travel; United States; Delivery of Health Care; Economic Competition; Humans; International Cooperation; Travel; United States",,,,,,,,,"Horowitz, M.D.email: Michael_Horowitz@bus.emory.edu",,,,,,,,08982759,,,"18092615","English","Physician Exec",Article,"Final",,Scopus,2-s2.0-38449103963 "Smith M., Kelly C.","55495915200;10144553400;","Wellness tourism",2006,"Tourism Recreation Research","31","1",,"1","4",,93,"10.1080/02508281.2006.11081241","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979917913&doi=10.1080%2f02508281.2006.11081241&partnerID=40&md5=28762a5001a4ac56421c584f94984d25","University of Greenwich, Business School, Maritime Campus, 30 Park Row, Greenwich, London, SE109LS, United Kingdom","Smith, M., University of Greenwich, Business School, Maritime Campus, 30 Park Row, Greenwich, London, SE109LS, United Kingdom; Kelly, C., University of Greenwich, Business School, Maritime Campus, 30 Park Row, Greenwich, London, SE109LS, United Kingdom",[No abstract available],,,,,,,,,,"Adams, T.B., The Power of Perceptions: Measuring Wellness in a Globally Acceptable, Philosophically Consistent Way (2003) Wellness Management, , www.hedir.org, Accessed on 20 September 2005; Bauman, Z., (2001) Community: Seeking Safety in an Insecure World, , Cambridge. Polity; Bauman, Z., (2003) Liquid Love, , Cambridge. Polity; Chaline, E., (2002) Zen and the Art of Travel, , London. MQ Publications Ltd; De Botton, A., (2002) The Art of Travel, , London. Penguin; Gray, J., (2002) Men are from Mars, Women are from Venus: How to Get What You Want in Your Relationships, , London. HarperCollins; (2000) Complementary and Alternative Medicine, , http://www.parliament.the-stationery-office.co.uk/pa/ld199900/ldselect/ldsctech/123/1230l.htm, Accessed on 21 September 2005; Monteson, P.A., Singer, J., Marketing a Resort-based Spa (2004) Journal of Vacation Marketing, 10 (3), pp. 282-287; Mullholland, C., (2005) Depression and Suicide in Men, , http://www.netdoctor.co.uk, Accessed on 20 September 2005; Myers, J.E., Sweeney, T.J., Witmer, M., (2005) A Holistic Model of Wellness, , http://www.mindgarden.com/products/wells.htm, Accessed on 20 September 2005; (2005) Wellness, , http://www.accd.edu/sac/wellness/wellpage.htm, Accessed on 21 September 2005; Saracci, R., (1997) The World Health Organisation Needs to Reconsider Its Definition of Health, , http://bmj.bmjjournals.com, Accessed on 20 September 2005; (2003) Wellness Wheel, p. 4. , http://www.wright.edu/admin/wellness/wellnesswheel.htm, Accessed on 21 September 2005",,,,"Taylor and Francis Ltd.",,,,,02508281,,,,"English","Tour. Recreat. Res.",Editorial,"Final",,Scopus,2-s2.0-84979917913 "York D.","24469353500;","Medical tourism: The trend toward outsourcing medical procedures to foreign countries",2008,"Journal of Continuing Education in the Health Professions","28","2",,"99","102",,92,"10.1002/chp.165","https://www.scopus.com/inward/record.uri?eid=2-s2.0-47249112596&doi=10.1002%2fchp.165&partnerID=40&md5=aadb9a49440eb4a7ce79e26b683b135a","1500 Cedarbluff Drive, Richmond, VA 23238, United States","York, D.1500 Cedarbluff Drive, Richmond, VA 23238, United States","The rising costs of medical treatment in the United States are fueling a movement to outsource medical treatment. Estimates of the number of Americans traveling overseas for treatment range from 50,000 to 500,000. Charges for common procedures such as heart bypass can be $11,000 in Thailand compared to $130,000 in the United States. Knee replacement in the United States can cost $40,000 compared to $13,000 in Singapore. A new industry, medical tourism, has been created to advise patients on the appropriate facility in the right country for their condition, handle all travel arrangements, teleconference with physicians, and send medical records. To respond to the growth in medical travel, the Joint Commission (formerly the Joint Commission on Accreditation of Health Care Organizations) initiated the Joint Commission International (JCI) to accredit hospitals worldwide. Although outcome statistics from hospitals outside the United States are rare, first-person reports on quality are numerous. Making surgery possible for uninsured and underinsured individuals or self-insured state, municipal, and private entities is a major benefit of medical tourism. Mitigating against medical travel are the lack of legal remedies in place for malpractice and the possibility that travel itself can impose risk to patients. For example, lengthy air flights where the patient is in a fixed position for hours at a time can cause embolisms. If the trend toward medical tourism continues, continuing education, credentialing, and certification services may be required to help assure patient safety.","Accreditation; Certification; Continuing medical education; Health care; Medical tourism","article; economics; financial management; health; health care cost; health care delivery; human; international cooperation; reimbursement; travel; United States; Delivery of Health Care; Health Expenditures; Health Services Accessibility; Humans; Insurance, Health, Reimbursement; Internationality; Outsourced Services; Travel; United States; World Health",,,,,,,,"Freidman, T., (2005) The World Is Flat, p. 287. , New York, NY: Farrar, Straus & Giroux;; Governing Council Report B, p. 1. , American Medical Association-Organized Medical Staff Section; Governing Council Report B, p. 7. , American Medical Association, Organized Medical Staff Section; Governing Council Report B, p. 3. , American Medical Association, Organized Medical Staff Section; http://www.cbpp.org/8-29-06health.htm, Accessed January 16, 2008, at; Consumer Affairs, , http://www.consumeraffairs.com/news04/2005/bankruptcy_study.html, Accessed September 11, 2007, at; Consumer Affairs, , http://www.consumeraffairs.com/news04/2005/bankruptcy_study.html, Accessed September 11, 2007, at; University of Delaware. Speech by Marvin Cetron at University of Delaware on July 25, 2005. Accessed July 25, 2007, at: http://www.udel.edu/PR/UDaily/ 2005/mar/tourism072505.html; Reuters Website, , http://www.reuters.com/article/healthNews/idUSN2523792720080226?feedType=RSS&feedName=healthNews, Accessed February 27, 2008, at; http://www.nchc.org/facts/cost.shtml, Accessed September 12, 2007, at; Yale Global, , http://yaleglobal.yale.edu/display.article?id=3340, Yale University Center for the Study of Globalization, Online 2008. Accessed January 23, 2008, at; http://www.jointcommissioninternational.com, Accessed January 15, 2008, at; Governing Council Report B, p. 3. , American Medical Association, Organized Medical Staff Section; University of Delaware. Speech by Marvin Cetron at University of Delaware on July 25, 2005. Accessed November 20, 2007, at: http://www.udel.edu/PR/ UDaily/2005/mar/tourism072505.html; Telephone interview with Eileen Clemenzi, Vero Beach, FL, September 7, 2007; Telephone interview with Mary Percak-Dennet, Waisila, AK, September 7, 2007; Telephone interview with Patrick Marseck of Med Retreat, October 11, 2007; Introduction, , World Health Organization, International Travel & Health, 2007 edition; Telephone interview with Mary Percak-Dennet, Wasilla, AK, September 7, 2007; Whitehouse Website, , http://www.whitehouse.gov/news/releases/2006/08/20060822.html, Accessed January 8, 2008, at; Governing Council Report B, p. 2. , American Medical Association, Organized Medical Staff Section; http://www.nchc.org/facts/cost.shtml, Accessed September 12, 2007, at; (2007), http://www.healthgrades.com, September 13, at","York, D.1500 Cedarbluff Drive, Richmond, VA 23238, United States; email: dianeblc@comcast.net",,,,,,,,08941912,,JCHPE,"18521877","English","J. Cont. Educ. Health Prof.",Article,"Final",,Scopus,2-s2.0-47249112596 "Burkett L.","16479936600;","Medical tourism: Concerns, benefits, and the American legal perspective",2007,"Journal of Legal Medicine","28","2",,"223","245",,90,"10.1080/01947640701357763","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34250214517&doi=10.1080%2f01947640701357763&partnerID=40&md5=6dffc5281817cf5f733ea1e4396d7f02","Southern Illinois University School of Law, United States; Southern Illinois University School of Law, C/o Law Journal Office, Lesar Law Building, Carbondale, IL 62901, United States","Burkett, L., Southern Illinois University School of Law, United States, Southern Illinois University School of Law, C/o Law Journal Office, Lesar Law Building, Carbondale, IL 62901, United States",[No abstract available],,"cost control; health care cost; health care system; health economics; health insurance; hospital service; human; human rights; malpractice; medical practice act; medical service; review; United States; Developing Countries; Health Care Costs; Health Policy; Health Services; Humans; Insurance, Health; International Cooperation; Quality of Health Care; Travel; United States",,,,,,,,"Jonathan G. Bethely, Exporting Patients: Money Versus Possible Safety Issues, AM. MED. NEWS, Sept. 18, 2006, available at http://www.ama-assn.org/amednews/2006/09/18/bisa0918.htm (last visited Jan. 30, 2007); Id; Id; Mark Repasky, A Cut Below: Americans Look Abroad for Health Care, ABCNEWS.COM, Aug. 29, 2006, at http://abcnews.go.com/Business/ IndustryInfo/story?id=2320839&page=1 (last visited Sept. 23, 2006); Unmesh Kher, Outsourcing Your Heart: Elective Surgery in India: Medical Tourism Is Booming, and U.S. Companies Trying to Contain Health-Care Costs Are Starting to Take Notice, TIME, May 21, 2006, at 44; Michael Klaus, Outsourcing Vital Operations: What if U.S. Health Care Costs Drive Patients Overseas for Surgery?, 9 QUINNIPIAC HEALTH L.J. 219, 229-32 (2006); Cameron MacIntosh, Medical Tourism: Need Surgery, Will Travel, CBCNEWS.COM, June 18, 2004, at http://www.cbc.ca/news/ background/healthcare/medicaltourism.html (last visited Sept. 22, 2006); See, e.g, Bethely, supra note 1; Id; Storrow, R.F., Quests for Conception: Fertility Tourists, Globalization and Feminist Legal Theory, 57 (2005) HASTINGS L.J, 295, pp. 295-299; Aston, G., (2007) Uninsured Climb to 46.6 Million, AM. MED. NEWS, Sept. 18, 2006, available at, , http://www.ama-assn.org/amednews/2006/09/18/gv1110918.htm, last visited Jan. 30; See id. This number, 46.6 million uninsured, does not include those persons who are covered by Medicare insurance or who have less than adequate coverage. See, e.g., KENNETH WING, AMERICAN HEALTH LAW 68-69 (unpublished ed. 2006); See generally WING, supra note 12, ch. 2. In 2004, the number of Americans who were insured was about 70%; clearly, the number is dropping; See generally id; Klaus, supra note 6, at 222; Id. at 222-23; Minutes: Vacation, Adventure and Surgery (CBS television broadcast Sept. 4, 2005), available at http://www.cbsnews.com/stories/2005/04/21/ 60minutes/main689998.shtml (last visited Sept. 23, 2006). Most surgical procedures in Thailand are one-eighth the cost of those in the United States; Myands, S., Fuller, T., (2006) With Premier at U.N., Thai Military Stages Coup, pp. A1. , N.Y. TIMES, Sept. 20, at, The Thai military command staged a bloodless coup, ousting the Prime Minister, Parliament, and Congressional High Court; See generally Klaus, supra note 6; MacIntosh, supra note 7; Id; Becca Hutchinson, Medical Tourism Growing Worldwide, UDAILY.COM, July 25, 2005, at http://www.webcitation.org/ 5Ig0CGpSv (last visited Sept. 23, 2006); See generally MacIntosh, supra note 7; See Klaus, supra note 6, at 219; Id; See Bethely, supra note 1 chart listing current medical tourism hospitals seeking accreditation through the Joint Commission; Balfour, F., Kripalani, M., Over the Sea, Then Under the Knife (2004) BUS. WK, p. 18. , Feb. 16, at; Id; Id; Talwar Badam, R., Need Surgery? Buy a Plane Ticket to India (2005) VENTURA CTY. STAR, pp. B1. , Sept. 25, at; Lancaster, J., Surgeries, Side Trips for Medical Tourists (2004) WASH. POST, pp. A1. , Oct. 21, at; Id; Id; Id; Id; Id; Id; Great, (2005) Indian Hospitality Can Be Biz Too, ECON, , http://economictimes. indiatimes.com/articleshow/1185175.cms, TIMES India, July 29, available at; Hutchinson, supra note 22; Mike Adams, Rising Popularity of Medical Tourism Reveals Deterioration of U.S. Healthcare System, NEWSTARGET.COM, Apr. 21, 2005, at http://www.newstarget.com/007097.html (last visited Sept. 23, 2006); Id; Badam, supra note 30; Apollo Hospitals Group, http://www.apollohospitalgroup.com/ (last visited Sept. 23, 2006); 60 Minutes, supra, , note 17; Id; Klaus, supra note 6, at 224; Id; Hillestad, R., Can Electronic Medical Record Systems Transform Health Care? Potential Health Benefits, Savings, and Costs, 24 (2005) HEALTH AFFAIRS, 1103, p. 1108. , See, Sept.-Oct; Apollo, Hospitals Group, , http://www.apollohospitalgroup.com, See; http://www.bumrungrad.com, Bumrungrad Hospital; Med Retreat, , http://www.medretreat.com/destinations; See sources cited supra note 49; See sources cited supra note 49; See sources cited supra note 49; See sources cited supra note 49; See sources cited supra note 49; See sources cited supra note 49; See Bethely, supra note 1; See, e.g, sources cited supra note 49; Joint Commission International, http://www.jointcommission.org/ (last visited Nov. 11, 2006); Bethely, supra note 1; Id; Id; Apollo Hospitals Group, International Patients, at http://www.apollohospitalgroup.com/International.htm (last visited Sept. 23, 2006); Fred de Sam Lazaro, NewsHour with Jim Lehrer: Traveling for Treatment (PBS television broadcast Feb. 21, 2005) (transcript available at http://www.pbs.org/newshour/bb/health/jan-june05/thailand_2-21.html); Ctr. za Oploditev z Biomedicinsko Pomocjo, http://www.neplodnost.com (last visited Sept. 23, 2006); Storrow, supra note 10, at 305; See generally Klaus, supra note 6; See generally Repasky, supra note 4; See Klaus, supra note 6, at 233-46; See, e.g, 60 Minutes, supra note 17; Id; Id; Id; Id; Id; Id; WORLD BANK, HUMAN DEV. SECTOR UNIT, BELARUS: POVERTY ASSESSMENT 47 (Nov. 2004); See Balfour et al, supra note 27; Eric Blyth & Abigail Farrand, Reproductive Tourism: A Price Worth Paying for Reproductive Autonomy?, 25 CRITICAL SOC. POL'Y 91, 96 (2005); Id; Id; Lee, F.R., (2005) Driven by Costs, Fertility Clients Head Overseas, , N.Y. TIMES, Jan. 25, at Al; Jesus Zeniga, Cuba: The Thailand of the Caribbean, NEW W. INDIAN, Mar. 2001, available at http://www.awigp.com/default. asp?numcat=sextour4 (last visited Sept. 24, 2006); Id; MICHEL FOUCAULT, THE BIRTH OF THE CLINIC 33 (1963); See, e.g, 60 Minutes, supra note 17; Google Home Page, http://www.google.com (accessed Sept. 14, 2006). A simple Google search using the phrase medical tourism returned 31,000,000 pages, a significant number of which were individual Web sites for hospitals which, judging by their Web sites, were of varying quality; WING, supra note 12, at chs. 1 & 2; See 60 Minutes, supra note 17; Id; Id; Id; Law, M.T., How Do Regulators Regulate? Enforcement of the Pure Food and Drugs Act, 22 (2006) J.L. ECON. & ORG, 459. , See generally; See generally id; See Joint Commission, supra note 61; See Bethely, supra note 1; See generally WING, supra note 12, at ch. 1; Id. at 22; See MacIntosh, supra note 7; See Bethely, supra note 1; Id; Id; Id; Id; Id; Id; WING, supra, pp. 1-2. , See note 12, ch. 2, at; Id; Bendix Autolite Corp. v. Midwesco Enters., 486 U.S. 888, 897 (1988) (Scalia, J., concurring); See sources cited supra note 49; See Kher, supra note 5, at 44; Id; See Bethely, supra note 1; Id; See WING, supra note 12, at ch. 2; See generally Storrow, supra note 10; See Klaus, supra note 6, at 229; See Badam, supra note 30; See Bethely, supra note 1; Id; See sources cited supra note 49; (1982) re Aircrash in Bali, Indonesia on April 22, 1974, 684 F.2d 1301 (9th Cir; Id. at 1309; See generally Gregory B. Hartch, Comment, Wrong Turns: A Critique of the Supreme Court's Right to Travel Cases, 21 WM. MITCHELL L. REV. 457 (1995); See Aircrash in Bali, 684 F.2d at 1301; Haig v. Agee, 453 U.S. 280 (1981); Id. at 309; Id; 381 U.S. 1 1965; 499 F.2d 514 (D.C. Cir. 1974); Zemel, 381 U.S. at 15; Berrigan, 499 F.2d at 522; 16A C.J.S. Constitutional Law § 693 (2007); Id; See Bethely, supra note 1; Violent Crime Control and Enforcement Act, 42 U.S.C.A. § 3796 et seq, 2006; Id; Worthy v. Herter, 270 F.2d 905, 910 (D.C. Cir. 1959); E.g., Marshal S. Zolla & Deborah E. Zolla, Lasting Wishes, L.A. LAWYER, Dec. 2000, at 42, 46; See id.; Anita Pereira, Live and Let Live: Healthcare Is a Fundamental Human Right, 3 CONN. PUB. INT'L L.J. 414 (2004);; Hastings, D.A., Foreward, 26 (2000) AM. J.L. & MED, 135, p. 140; International Covenant on Economic and Social Rights, at http://www.ohchr.org/english/law/cescr.htm (last visited Oct. 29, 2006); Pereira, supra note 139; See International Covenant, supra note 140; See supra, , text accompanying note 139; Metropolitan Life Ins. Co. v. Massachusetts, 471 U.S. 724 (1985); Id. at 731; See Violent Crime Control and Enforcement Act, 42 U.S.C.A. §§ 3796 et seq, 2006; Federal Tort Claims Act, 28 U.S.C.A. § 1346(b) (1997), 28 U.S.C.A. § 2671 (2000), 28 U.S.C.A. § 2680 (2006); See sources cited supra note 147; See sources cited supra note 147; Leg. Action Aug. 6, 1981, Pub. L. No. 97-31, § 12(30), 95 Stat. 156, repealed by Pub. L. No. 109-304, §§ 19, 120 Stat. 1710 (Oct. 6, 2006). Although this shipping statute was repealed in October of 2006, its prior existence serves as an example of the type of legislation Congress is willing to pass to regulate the international activity of American citizens; (2006) See generally The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs?, Hearing Before the Senate Special Comm. on Aging, , 109th Cong; Id. at 43-44; Id. at 35; See Health and Human Services Hospital Compare, at http://www.hospitalcompare.hhs.gov/ (last visited Oct. 29, 2006). Such a Web site could be effective for comparing services in destination hospitals; Metropolitan Life, 471 (U), p. 724. , S. at; Jonathan G. Bethely, North Carolina Company Drops Plan for Overseas Care, AM. MED. NEWS, Oct. 23, 2006, available at http://www.ama-assn.org/amednews/2006/10/23/bise1023.htm (last visited Jan. 30, 2007); Id","Burkett, L.; Southern Illinois University School of Law, C/o Law Journal Office, Lesar Law Building, Carbondale, IL 62901, United States; email: lburkett@gmail.com",,,,,,,,01947648,,JLMDB,"17558794","English","J. Leg. Med.",Review,"Final",,Scopus,2-s2.0-34250214517 "Naranong A., Naranong V.","6505698917;24477862600;","The effects of medical tourism: Thailand's experience [Les effets du tourisme médical: l'expérience thaïlandaise]",2011,"Bulletin of the World Health Organization","89","5",,"336","344",,87,"10.2471/BLT.09.072249","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955954332&doi=10.2471%2fBLT.09.072249&partnerID=40&md5=11263d193d1be27b5a74b69be196a2fe","School of Public Administration, National Institute of Development Administration, 118 Sereethai Road, Klong Chan, Bangkapi, Bangkok,10240, Thailand; Thailand Development Research Institute, Bangkok, Thailand","Naranong, A., School of Public Administration, National Institute of Development Administration, 118 Sereethai Road, Klong Chan, Bangkapi, Bangkok,10240, Thailand; Naranong, V., Thailand Development Research Institute, Bangkok, Thailand","Objective To explore the positive and negative effects of medical tourism on the economy, health staff and medical costs in Thailand. Methods The financial repercussions of medical tourism were estimated from commerce ministry data, with modifications and extrapolations. Survey data on 4755 foreign and Thai outpatients in two private hospitals were used to explore how medical tourism affects human resources. Trends in the relative prices of caesarean section, ppendectomy, hernia repair, cholecystectomy and knee replacement in five private hospitals were examined. Focus groups and in-depth interviews with hospital managers and key informants from the public and private sectors were conducted to better understand stakeholders' motivations and practices in connection with these procedures and learn more about medical tourism. Findings Medical tourism generates the equivalent of 0.4% of Thailand's gross domestic product but has exacerbated the shortage of medical staff by luring more workers away from the private and public sectors towards hospitals catering to foreigners. This has raised costs in private hospitals substantially and is likely to raise them in public hospitals and in the universal health-care insurance covering most Thais as well. The ""brain drain"" may also undermine medical training in future. Conclusion Medical tourism in Thailand, despite some benefits, has negative effects that could be mitigated by lifting the restrictions on the importation of qualified foreign physicians and by taxing tourists who visit the country solely for the purpose of seeking medical treatment. The revenue thus generated could then be used to train physicians and retain medical school professors.",,"brain drain; health care; health insurance; hospital sector; human resource; private sector; public sector; questionnaire survey; stakeholder; tourism; appendectomy; article; cesarean section; cholecystectomy; economic aspect; foreign worker; gross national product; health care cost; health care personnel management; health insurance; hernioplasty; hospitalization cost; knee arthroplasty; medical education; medical tourism; personnel shortage; private hospital; public hospital; Thailand; Costs and Cost Analysis; Delivery of Health Care; Health Manpower; Health Personnel; Humans; Interviews as Topic; Medical Tourism; Physicians; Surgical Procedures, Operative; Thailand; Time Factors; Thailand; Thais",,,,,,,,"New Delhi: RNCOS Industry Research Solutions; 2009, , http://www.rncos.com/Market-Analysis-Reports/Asian-Medical-Tourism-Analy sis-2008-2012-IM105.htm, Asian medical tourism analysis (2008-2012, accessed 18 February 2011; (2003) Strategies to Develop Thailand As a Centre Ofexcellent Health Care of Asia, , Ministry of Public Health, Nonthaburi: MPH; (2002) Developing Singapore As the Compellinghub For Healthcare Service In Asia, , https://app.mti.gov.sg/data/pages/507/doc/ERC_SVS_HEA_Annex1.pdf, Healthcare Services Working Group, Singapore: Ministry of Trade and Industry, accessed 18 February 2011; (2008) Overview of Medical Tourism- Give Back Deck, , Boston Consulting Group; Naranong, A., Naranong, V., Jindarak, S., (2009) The Development Guideline For Thailand's Medical Hub, , Bangkok: National Institute of DevelopmentAdministration; Tisayaticom, K., Patcharanarumol, W., Tangcharoensathien, V., Unit cost analysis: Standard and quick method (2001) J Health Sc, 1, pp. 359-367; Chalie, C., (1987) Costs of Health Care Services of Public Hospital: The Case Study of Four Hospitals In Bangkok [thesis], , Bangkok: Chulalongkorn University; Naranong, V., Naranong, A., (2005) The Flow of Health Personnel In Public Hospitals (Research Report, 5. , Bangkok: Thailand Development Research Institute; Monitoring and management system (MMS)[Internet] (2006), http://moc.moph.go.th/Resource/Personal/index,new.php, Ministry of Public Health, Bureau of Policy and Strategy, Ministry of Public Health, Thai accessed 18 February 2011; Pachanee, C.A., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy Plan, 21, pp. 310-318. , doi:10.1093/heapol/czl017PMID:16728511; Thammarangsri, T., (2006) The Appropriate Geographical Distribution of Doctors Under the Universal Health Care Coverage Schemes, , Bangkok: Health Insurance System Research Office; Pananiramai, M., Sooksirisereekul, S., (1996) Projection of Illness Patterns and Demand For Doctors, , Bangkok: Thailand Development Research Institute; Naranong, V., Naranong, A., Triamworakul, S., Wongmonta, S., (2005) Universal Health Coverage Schemes In Thailand 2002-2003 (revised March 2005, , Bangkok: Thailand Development Research Institute; Naranong, A., (2006) The 30 Baht Health Care Scheme and Health Security In Thailand, , Bangkok: National Institute of Development Administration; Thukral, P., Indian Government All Set to Boost Medical Tourism, , http://www.thaindian.com/newsportal/press-release/indian-government-all- set-to-boost-medicaltourism_100153734.html, Thaindian News. 2009 Feb 14, accessed 23 February 2011; Leng, C.H., (2007) Medical Tourism In Malaysia: International Movement of Healthcare Consumers and The Commodification of Healthcare, , http://www.arinus.edu.sg/showfile.asp?pubid=642&type=2, Working Paper Series No. Singapore: Asia Research Institute, accessed 18 February 2011; Singapore Set to Be Healthcare Serviceshub of Asia, , http://www.singaporemedicine.com/pr/new0201c.asp?id=881, Singapore's Tourism Board, press release]. 2003 Oct 20, accessed 23 February2011; Hazarika, I., (2008) The Potential Effect of Medical Tourism On Health Workforce and Health Systems In India, , http://www.hrhresourcecenter.org/node/2281, Asia Pacific Action Alliance on Human Resources for Health, accessed 23 February 2011; de Ramírez, A.A.B., Patients without borders: The emergence of medicaltourism (2007) Int J Health Serv, 37, pp. 93-98. , doi:10.2190/4857-468G-2325-47UU PMID:17436992","Naranong, A.; School of Public Administration, National Institute of Development Administration, 118 Sereethai Road, Klong Chan, Bangkapi, Bangkok, Thailand; email: anchana@gmail.com",,,,,,,,00429686,,BWHOA,"21556301","French","Bull. WHO",Article,"Final",Open Access,Scopus,2-s2.0-79955954332 "Voigt C., Brown G., Howat G.","36024612300;8206198200;24801955500;","Wellness tourists: In search of transformation",2011,"Tourism Review","66",,,"16","30",,86,"10.1108/16605371111127206","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84868257913&doi=10.1108%2f16605371111127206&partnerID=40&md5=e146151544c397c7faa627210d79347b","Researcher at the School of Management, Centre for Tourism & Leisure Management, University of South Australia, Adelaide, Australia","Voigt, C., Researcher at the School of Management, Centre for Tourism & Leisure Management, University of South Australia, Adelaide, Australia; Brown, G., Researcher at the School of Management, Centre for Tourism & Leisure Management, University of South Australia, Adelaide, Australia; Howat, G., Researcher at the School of Management, Centre for Tourism & Leisure Management, University of South Australia, Adelaide, Australia","The purpose of this paper is to explore and compare the benefits sought by three different types of wellness tourists: beauty spa, lifestyle resort, and spiritual retreat visitors. Based on the findings from 27 semi-structured interviews with wellness tourists a benefits of wellness tourism scale (BWTS) was developed. It was used to measure 46 benefit items and was mailed to people included on the client/member lists of three Australian wellness tourism organisations. In total, six benefit factors emerged from a principal axis factor analysis: transcendence; physical health and appearance; escape and relaxation; important others and novelty; re-establish self-esteem; and indulgence. A one-way MANOVA, followed by a series of ANOVAS, revealed significant differences between the three types of tourists regarding the importance attributed to each of the six benefit factors. While all participants in the study sought transformation of the self, each identifiable group of tourists placed different emphasis on physical, psychological or spiritual transformations. Moreover, each group differed significantly in terms of demographic and travel behaviour characteristics. The relevance of this paper lies in its adoption of a comprehensive approach to the investigation of the potential differences between three wellness tourist groups regarding the socio-demographic profile, travel behaviour, and the benefits sought. Previous studies have focused on a single particular wellness tourist group. Furthermore, the BWTS may be applicable for use in future comparative studies of wellness tourist motivation. © 2011, Emerald Group Publishing Limited","Consumer behaviour; Personal health; Tourism",,,,,,,,,"Ali-Knight, J., Yoga tourism (2009) Wellness and Tourism: Mind, Body, Spirit, Place, pp. 84-95. , in Bushell, R. and Sheldon, P.J. (Eds) Cognizant Communication Corporation, New York, NY; Brown, S., Letho, X.Y., Travelling with a purpose: understanding the motives and benefits of volunteer vacationers (2005) Current Issues in Tourism, 8 (6), pp. 479-496; Dattalo, P., (2008) Determining Sample Size: Balancing Power, Precision, and Practicality, , Oxford University Press, New York, NY; Devereux, C., Carnegie, E., Pilgrimage: journeying beyond self (2006) Tourism Recreation Research, 31 (1), pp. 47-56; Digance, J., Religious and secular pilgrimage (2006) Tourism, Religion and Spiritual Journeys, pp. 36-48. , in Timothy, D.J. and Olsen, D.H. (Eds) Routledge, New York, NY; Douglas, N., Travelling for health: spa and health resorts (2001) Special Interest Tourism: Context and Cases, pp. 260-282. , in Douglas, N., Douglas, N. and Derrett, R. (Eds) Wiley, Milton; Fabrigar, L.R., Wegener, D.T., MacCallum, R.C., Strahan, E.J., Evaluating the use of exploratory factor analysis in psychological research (1999) Psychological Methods, 4 (3), pp. 272-299; Field, A.P., (2009) Discovering Statistics Using SPSS, , Sage, London; Fodness, D., Measuring tourist motivation (1994) Annals of Tourism Research, 21 (3), pp. 555-581; Frochot, I., Morrison, A., Benefit segmentation: a review of its applications to travel and tourism research (2000) Journal of Travel and Tourism Marketing, 9 (4), pp. 21-45; Gitelson, R.J., Kerstetter, D.L., The relationship between sociodemographic variables, benefits sought and subsequent vacation behavior: a case study (1990) Journal of Travel Research, 28 (3), pp. 24-29; Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., Tatham, R.L., (2006) Multivariate Data Analysis, , Pearson Education, Upper Saddle River, NJ; Hall, C.M., Adventure, sport and health tourism (1992) Special Interest Tourism, pp. 141-158. , in Weiler, B. and Hall, C.M. (Eds) Belhaven Press, London; Henderson, J.C., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7 (3-4), pp. 111-121; Horx, M., (2005) Der Selfness Trend: Was Kommt Nach Wellness?, , Zukunftsinstitut, Kelkheim; Understanding wellbeing tourism: market research findings (2007) Research report prepared for Tourism Australia, , Sydney; The ISPA 2004 consumer trends report: executive summary (2004), www.experienceispa.com/ISPA/Media+Room/Press+Releases/2004+Consumer+Trends+Summary.htm, available at:, (accessed 6 October 2006); Iso-Ahola, S.E., Toward a social psychology of recreational travel (1983) Leisure Studies, 2 (2), pp. 45-56; Jang, S.C., Morrison, A., O'Leary, J.T., Benefit segmentation of Japanese pleasure travelers to the USA and Canada: selecting target markets on the profitability and risk of individual market segments (2002) Tourism Management, 23 (4), pp. 367-378; Kulczycki, C., Lück, M., Outdoor adventure tourism, wellness, and place attachment (2009) Wellness and Tourism: Mind, Body, Spirit, Place, pp. 165-176. , in Bushell, R. and Sheldon, P.J. (Eds) Cognizant Communication Corporation, New York, NY; Lean, G.L., Transformative travel: inspiring sustainability (2009) Wellness and Tourism: Mind, Body, Spirit, Place, pp. 191-205. , in Bushell, R. and Sheldon, P.J. (Eds) Cognizant Communication Corporation, New York, NY; Letho, X.Y., Brown, S., Chen, Y., Morrison, A.M., Yoga tourism as a niche within the wellness tourism market (2006) Tourism Recreation Research, 31 (1), pp. 25-35; Loker, L.E., Perdue, R.R., A benefit-based segmentation of a nonresident summer travel market (1992) Journal of Travel Research, 31 (1), pp. 30-35; Mak, A.H.N., Wong, K.K.F., Chang, R.C.Y., Health or self-indulgence? The motivations and characteristics of spa-goers (2009) International Journal of Tourism Research, 11 (2), pp. 185-199; Mannell, R.C., Leisure experience and satisfaction (1999) Leisure Studies: Prospects for the Twenty-first Century, pp. 235-251. , in Burton, T.L. and Jackson, E.L. (Eds) Venture Publishing, State College, PA; Molera, L., Albaladejo, I.P., Profiling segments of tourists in rural areas of south-eastern Spain (2007) Tourism Management, 28 (3), pp. 757-767; Müller, H., Lanz Kaufmann, E., Wellness tourism: market analysis of a special health tourist segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Nahrstedt, W., Wellness: a new perspective for leisure centers, health tourism, and spas in Europe on the global health market (2004) The Tourism and Leisure industry: Shaping the Future, pp. 181-198. , in Weiermair, K. and Mathies, C. (Eds) Haworth Hospitality Press, New York, NY; Naylor, G., Kleiser, S.B., Exploring the differences in perceptions of satisfaction across lifestyle segments (2002) Journal of Vacation Marketing, 8 (4), pp. 343-351; Olsson, U., On the robustness of factor analysis against crude classification of the observations (1979) Multivariate Behavioral Research, 14 (4), pp. 485-500; Palacio, V., McCool, S.F., Identifying ecotourists in Belize through benefit segmentation: a preliminary analysis (1997) Journal of Sustainable Tourism, 5 (3), pp. 234-243; Pallant, J.F., (2007) SPSS Survival Manual: A Step by Step Guide to Data Analysis Using SPSS for Windows, , Allen & Unwin, Crows Nest; Pearce, P.L., Lee, U.-I., Developing the travel career approach to tourist motivation (2005) Journal of Travel Research, 43 (3), pp. 226-237; Pernecky, T., Johnston, C., Voyage through numinous space: applying the specialization concept to new age tourism (2006) Tourism Recreation Research, 31 (1), pp. 37-46; Pollock, A., Williams, P., tourism trends: closing the gap between health care and tourism (2000) Trends in Outdoor Recreation, Leisure and Tourism, , in Lime, D.W. and Gartner, W.C. (Eds) CABI, New York, NY; Puczkó, L., Bacharov, M., Spa, bath, thermae: what's behind the labels (2006) Tourism Recreation Research, 31 (1), pp. 83-91; Ryan, C., Glendon, I., Application of leisure motivation scale to tourism (1998) Annals of Tourism Research, 25 (1), pp. 169-184; Sheldon, P.J., Bushell, R., Introduction to wellness and tourism (2009) Wellness and Tourism: Mind, Body, Spirit, Place, pp. 3-18. , in Bushell, R. and Sheldon, P.J. (Eds) Cognizant Communication Corporation, New York, NY; Smith, M., Kelly, C., Holistic tourism: journeys of the self? (2006) Tourism Recreation Research, 31 (1), pp. 15-24; Smith, M., Puczkó, L., (2008) Health and Wellness Tourism, , Butterworth-Heinemann, Oxford; Sointu, E., The search for wellbeing in alternative and complementary health practices (2006) Sociology of Health & Illness, 28 (3), pp. 330-349; Swarbrooke, J., Beard, C., (2003) Adventure Tourism, , Butterworth-Heinemann, Oxford; Tabachnick, B.G., Fidell, L.S., (2007) Using Multivariate Statistics, , Pearson/Allyn & Bacon, Boston, MA; Timothy, D.J., Conover, P.J., Nature religion, self-spirituality and new age tourism (2006) Tourism, Religion and Spiritual Journeys, pp. 139-155. , in Timothy, D.J. and Olsen, D.H. (Eds) Routledge, New York, NY; Voigt, C., Understanding wellness tourism: an analysis of benefits sought, health-promoting behaviours and positive psychological well-being (2010) unpublished doctoral dissertation, , University of South Australia, Adelaide; Wang, N., Rethinking authenticity in tourism experience (1999) Annals of Tourism Research, 26 (2), pp. 349-370; Weaver, P., Kaufman, T.J., Yoon, Y., A market segmentation study based on benefits sought by visitors at heritage sites (2002) Tourism Analysis, 6 (3-4), pp. 213-222; Weiermair, K., Steinhauser, C., New tourism clusters in the field of sports and health: the case of Alpine Wellness (2003) 12th International Tourism and Leisure Symposium, , Barcelona, 15-18 June","Brown, G.; Researcher at the School of Management, Centre for Tourism & Leisure Management, University of South Australia, Adelaide, Australia",,,,,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-84868257913 "Chinai R., Goswami R.","7801604103;57061994000;","Medical visas mark growth of Indian medical tourism.",2007,"Bulletin of the World Health Organization","85","3",,"164","165",,84,"10.2471/BLT.07.010307","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34249671617&doi=10.2471%2fBLT.07.010307&partnerID=40&md5=473017b5c866057223735b390981aab8",,"Chinai, R.; Goswami, R.",[No abstract available],,"article; developing country; health; health care delivery; health service; human; India; information processing; organization and management; public health service; statistics; travel; Delivery of Health Care; Developing Countries; Health Services Needs and Demand; Humans; India; Public Health Practice; Records; Travel; World Health",,,,,,,,,"Chinai, R.",,,,,,,,00429686,,,"17486202","English","Bull. World Health Organ.",Article,"Final",Open Access,Scopus,2-s2.0-34249671617 "Garzon-Serrano J., Ryan C., Waak K., Hirschberg R., Tully S., Bittner E.A., Chipman D.W., Schmidt U., Kasotakis G., Benjamin J., Zafonte R., Eikermann M.","37088653100;37162094300;37162583000;24467957000;37162425700;24075583100;8453583800;35745202800;12782313200;37161011600;7005063382;6603392762;","Early mobilization in critically ill patients: Patients' mobilization level depends on health care provider's profession",2011,"PM and R","3","4",,"307","313",,80,"10.1016/j.pmrj.2010.12.022","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79954554976&doi=10.1016%2fj.pmrj.2010.12.022&partnerID=40&md5=9d714d6a08530294f18167de885a07c4","Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States; Department of Physical and Occupational Therapy, Massachusetts General Hospital, Boston, MA, United States; Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Boston, MA, United States; Department of Respiratory Care, Massachusetts General Hospital, Boston, MA, United States; Division of Trauma and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, United States","Garzon-Serrano, J., Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States; Ryan, C., Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States; Waak, K., Department of Physical and Occupational Therapy, Massachusetts General Hospital, Boston, MA, United States; Hirschberg, R., Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Boston, MA, United States; Tully, S., Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States; Bittner, E.A., Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States; Chipman, D.W., Department of Respiratory Care, Massachusetts General Hospital, Boston, MA, United States; Schmidt, U., Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States; Kasotakis, G., Division of Trauma and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, United States; Benjamin, J., Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States; Zafonte, R., Department of Physical and Occupational Therapy, Massachusetts General Hospital, Boston, MA, United States; Eikermann, M., Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States","Objective: To evaluate whether the level of mobilization achieved and the barriers for progressing to the next mobilization level differ between nurses and physical therapists. Design: Prospective, observational study. Setting: Twenty-bed surgical intensive care unit (SICU) of the Massachusetts General Hospital. Participants: Sixty-three critically ill patients. Methods: Physical therapists and nurses performed 179 mobilization therapies with 63 patients. Outcome Measurement: Mobilization was defined as the process of enhancing mobility in the SICU, including bed mobility, edge of bed activities, transfers out of bed to a chair, and gait training; the mobilization level was measured on the SICU optimal mobilization scale, a 5-point (0-4) numerical rating scale. Results: Patients' level of mobilization achieved by physical therapists was significantly higher compared with that achieved by nurses (2.3 - 1.2 mean - SD versus 1.2 - 1.2, respectively P < .0001). Different barriers for mobilization were identified by physical therapists and nurses: hemodynamic instability (26% versus 12%, P = .03) and renal replacement therapy (12% versus 1%, P = .03) were barriers rated higher by nurses, whereas neurologic impairment was rated higher by physical therapists providers (18% versus 38%, P = .002). No mobilization-associated adverse events were observed in this study. Conclusions: This study showed that physical therapists mobilize their critically ill patients to higher levels compared with nurses. Nurse and physical therapists identify different barriers for mobilization. Routine involvement of physical therapists in directing mobilization treatment may promote early mobilization of critically ill patients. © 2011 American Academy of Physical Medicine and Rehabilitation.",,"adult; article; controlled study; critically ill patient; female; gait; hemodynamics; human; intensive care unit; major clinical study; male; mobilization; neurologic disease; nurse; physiotherapist; priority journal; prospective study; renal replacement therapy; Critical Illness; Early Ambulation; Female; Health Personnel; Hospitals, General; Humans; Interprofessional Relations; Male; Massachusetts; Middle Aged; Outcome Assessment (Health Care); Prospective Studies; Surgicenters; Time Factors",,,,,,,,"Morris, P.E., Goad, A., Thompson, C., Early intensive care unit mobility therapy in the treatment of acute respiratory failure (2008) Crit Care Med, 36, pp. 2238-2243; Needham, D.M., Mobilizing patients in the intensive care unit: Improving neuromuscular weakness and physical function (2008) JAMA, 300, pp. 1685-1690; Bourdin, G., Barbier, J., Burle, J.F., The feasibility of early physical activity in intensive care unit patients: A prospective observational one-center study (2010) Respir Care, 55, pp. 400-407; De Jonghe, B., Sharshar, T., Lefaucheur, J.P., Paresis acquired in the intensive care unit: A prospective multicenter study (2002) JAMA, 288, pp. 2859-2867; Berg, H.E., Larsson, L., Tesch, P.A., Lower limb skeletal muscle function after 6 wk of bed rest (1997) J Appl Physiol, 82, pp. 182-188; Topp, R., Ditmyer, M., King, K., Doherty, K., Hornyak, J., The effect of bed rest and potential of prehabilitation on patients in the intensive care unit (2002) AACN Clin Issues, 13, pp. 263-276; Herridge, M.S., Legacy of intensive care unit-acquired weakness (2009) Crit Care Med, 37 (SUPPL), pp. S457-S461; Needham, D.M., Korupolu, R., Zanni, J.M., Early physical medicine and rehabilitation for patients with acute respiratory failure: A quality improvement project (2010) Arch Phys Med Rehabil, 91, pp. 536-542; Markey, D.W., Brown, R.J., An interdisciplinary approach to addressing patient activity and mobility in the medical-surgical patient (2002) J Nurs Care Qual, 16, pp. 1-12; Mundy, L.M., Leet, T.L., Darst, K., Schnitzler, M.A., Dunagan, W.C., Early mobilization of patients hospitalized with community-acquired pneumonia (2003) Chest, 124, pp. 883-889; Siebens, H., Aronow, H., Edwards, D., Ghasemi, Z., A randomized controlled trial of exercise to improve outcomes of acute hospitalization in older adults (2000) J Am Geriatr Soc, 48, pp. 1545-1552; Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial (2009) Lancet, 373, pp. 1874-1882; Charlson, M.E., Pompei, P., Ales, K.L., MacKenzie, C.R., A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation (1987) J Chron Dis, 40, pp. 373-383; Brower, R.G., Consequences of bed rest (2009) Crit Care Med, 37 (SUPPL), pp. S422-S428; Bailey, P., Thomsen, G.E., Spuhler, V.J., Early activity is feasible and safe in respiratory failure patients (2007) Crit Care Med, 35, pp. 139-145; Padula, C.A., Hughes, C., Baumhover, L., Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults (2009) J Nurs Care Qual, 24, pp. 325-331; Killey, B., Watt, E., The effect of extra walking on the mobility, independence and exercise self-efficacy of elderly hospital in-patients: A pilot study (2006) Contemp Nurse, 22, pp. 120-133; Burtin, C., Clerckx, B., Robbeets, C., Early exercise in critically ill patients enhances short-term functional recovery (2009) Crit Care Med, 37, pp. 2499-2505; Morris, P.E., Moving our critically ill patients: Mobility barriers and benefits (2007) Crit Care Clin, 23, pp. 1-20; Morris, P.E., Herridge, M.S., Early intensive care unit mobility: Future directions (2007) Crit Care Clin, 23, pp. 97-110; Milbrandt, E.B., Use it or lose it! (2008) Crit Care Med, 36, pp. 2444-2445. , [editorial]; Gurses, A.P., Carayon, P., Performance obstacles of intensive care nurses (2007) Nurs Res, 56, pp. 185-194; Stiller, K., Physiotherapy in intensive care: Towards an evidence-based practice (2000) Chest, 118, pp. 1801-1813; Fiatarone, M.A., O'Neill, E.F., Ryan, N.D., Exercise training and nutritional supplementation for physical frailty in very elderly people (1994) N Engl J Med, 330, pp. 1769-1775; Binder, E.F., Brown, M., Sinacore, D.R., Steger-May, K., Yarasheski, K.E., Schechtman, K.B., Effects of extended outpatient rehabilitation after hip fracture: A randomized controlled trial (2004) JAMA, 292, pp. 837-846; Wolf, S.L., Winstein, C.J., Miller, J.P., Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: The EXCITE randomized clinical trial (2006) JAMA, 296, pp. 2095-2104; Cifu, D.X., Stewart, D.G., Factors affecting functional outcome after stroke: A critical review of rehabilitation interventions (1999) Arch Phys Med Rehabil, 80 (SUPPL 1), pp. S35-S359; Gotts, J.E., Press, C., Leasure, J.L., Schallert, T., Focal brain injury, FGF-2 and the adverse effects of excessive motor demand on cortical and nigral degeneration: Marked protection by delayed intermittent exposure to halothane (2000) J Neurotrauma, 17, pp. 1067-1077; Hodgin, K.E., Nordon-Craft, A., McFann, K.K., Mealer, M.L., Moss, M., Physical therapy utilization in intensive care units: Results from a national survey (2009) Crit Care Med, 37, pp. 561-566. , quiz 6-8; Thomsen, G.E., Snow, G.L., Rodriguez, L., Hopkins, R.O., Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority (2008) Crit Care Med, 36, pp. 1119-1124; Ross, A.G., Morris, P.E., Safety and barriers to care (2010) Crit Care Nurse, 30, pp. S11-S13; Gosselink, R., Bott, J., Johnson, M., Physiotherapy for adult patients with critical illness: Recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients (2008) Intensive Care Med, 34, pp. 1188-1199","Eikermann, M.; Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States; email: meikermann@partners.org",,,,,,,,19341482,,,"21497316","English","PM R",Article,"Final",,Scopus,2-s2.0-79954554976 "Cormany D., Baloglu S.","36668193400;55902392600;","Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist",2011,"Tourism Management","32","4",,"709","716",,79,"10.1016/j.tourman.2010.02.008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953879112&doi=10.1016%2fj.tourman.2010.02.008&partnerID=40&md5=7b8f12e36c1fece9def675a84b307a78","University of Nevada, Harrah College of Hotel Administration, 4505 Maryland Parkway, Las Vegas, NV 89154, United States; Tourism and Convention Department, Harrah College of Hotel Administration, 4505 Maryland Parkway, Las Vegas, NV 89154-6023, United States","Cormany, D., University of Nevada, Harrah College of Hotel Administration, 4505 Maryland Parkway, Las Vegas, NV 89154, United States; Baloglu, S., Tourism and Convention Department, Harrah College of Hotel Administration, 4505 Maryland Parkway, Las Vegas, NV 89154-6023, United States","The growing trend of traveling outside of one's country for medical services, commonly known as ""medical tourism"" is expected to continue to grow exponentially in the next ten years (Keckley, 2008). With multiple destinations from which to select, and available information representing this type of travel being of variable reliability, many prospective medical travelers turn to the use of a ""medical tourism facilitator"", who perform a variety of trip coordination responsibilities for the medical traveler. These medical tourism facilitators, themselves a new phenomenon to support travel to various global regions, may operate within the traveler's home country or the destination region. This study explores the services offered on medical tourism facilitators' websites to the prospective traveler. Through the application of correspondence analysis, it was discovered that differences in both website content and in services offered varied by the continent upon which the facilitator operated. With little yet known as to the motivations of a medical traveler in the selection of a specific destination, these discovered differences may be a first insight into regional differences that may play a role in such destination selection. © 2010 Elsevier Ltd. All rights reserved.","Health tourism; Medical facilitators; Medical tourism; Medical travel facilitators","reliability analysis; tourism development; travel behavior",,,,,,,,"Baloglu, S., Pekcan, Y.A., The website design and internet site marketing practices of upscale and luxury hotels in Turkey (2006) Tourism Management, 27, pp. 171-176; Benckendorff, P.J., Black, N.L., Destination marketing on the internet. A case study of Australian regional tourism authorities (2000) The Journal of Tourism Studies, 11 (1), pp. 11-21; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave MacMillan; Choi, S., Lehto, X.Y., Morrison, A.M., Destination image representation on the web: Content analysis of Macau travel related websites (2007) Tourism Management, 28 (1), pp. 118-129; Choi, S., Morrison, A.M., Website effectiveness for bricks and mortar travel retailers (2005) Anatolia: An International Journal of Tourism and Hospitality Research, 16 (1), pp. 63-78; Clausen, S., (1998) Applied Correspondence Analysis, , Thousand Oaks, CA: Sage Publications; Cormany, D., Taking a pulse on potential medical tourism destinations: The hospitality and tourism industries (2008) Medical Tourism Magazine, 7, pp. 34-37. , November; Dann, G., Anomie, ego-enhancement and tourism (1977) Annals of Tourism Research, 4, pp. 184-194; Edelheit, J., The effects of the world economic recession on medical tourism (2009) Medical Tourism Magazine, 9, pp. 22-24; Cahlinger, P., (2008) The Medical Tourism Travel Guide, , North Branch, MN: Sunrise River Press; (2009) Germanmedicine, , http://germanmedicine.net, Retrieved 20.04.09; Grace, M.A., (2007) State of the Heart, , Oakland, CA: New Harbinger Publications; Hair Jr., J.F., Black, W.C., Babin, B.J., Anderson, R.E., Tatham, R.L., (2006) Multivariate Data Analysis, , 6th ed., Upper Saddle River, NJ: Pearson Prentice Hall; Ha, M., Love, C., Exploring content and design factors associated with convention and visitors bureau web site development: An analysis of recognition by meeting managers (2005) Journal of Convention & Event Tourism, 7 (1), pp. 43-59; Hancock, D., (2006) The Complete Medical Tourist, , London: John Blake; Hoffman, D.L., Franke, G.R., Correspondence analysis: Graphical representation of categorical data in marketing research (1986) Journal of Marketing Research, 23 (3), pp. 213-227; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33. , November 13; Hyde, K., Contemporary information search strategies of destination-naive international vacationers (2006) Journal of Travel & Tourism, 21 (2-3), pp. 63-76; Javalgi, R.G., Whipple, T.W., McManamon, M.K., Edick, V.L., Hospital image: A correspondence analysis approach (1992) Journal of Health Care Marketing, 12 (4), pp. 34-41; (2009) Retrieved 20.04.09 from Joint Committee International Website, , http://www.jointcommissioninternational.com; Kah, J.A., Vogt, C., MacKay, K., Online travel information search and purchasing by internet use experiences (2008) Information Technology & Tourism, 10, pp. 227-243; Keckley, P.H., (2008) Medical Tourism: Consumers in Search of Value, , Washington, DC: Deloitte Center for Health Solutions; Keckley, P.H., (2009) Medical Tourism: Updates and Implications, , Washington, DC: Deloitte Center for Health Solutions; Kim, Y.H., Yuan, J., Coh, B., Antun, J.M., Web marketing in food tourism: A content analysis of web sites in West Texas (2009) Journal of Culinary Science & Technology, 7 (1), pp. 52-64; Lee, G., Cai, L.A., O'Leary, J.T., An analysis of brand-building elements in the US state tourism websites (2006) Tourism Management, 27 (5), pp. 815-828. , WWW.Branding.States.US; Lee, J., Soutar, G., Daly, T., Tourists' search for different types of information: A cross-national study (2007) Information Technology & Tourism, 9, pp. 165-176; Marsek, P., Sharpe, F., (2009) The Complete Idiot's Guide to Medical Tourism, , Indianapolis, IN: Alpha Books; (2008) First World Congress on Medical Tourism, , MTA, Unpublished conference presentations. San Francisco, CA: Medical Tourism Association. medicaltourismassociation. com; Myers, G.N., Caribbean confab stresses cooperation during 'perilous time' (2009) Travel Weekly, 59. , April 27; Oorni, A., Consumer objectives and the amount of search in electronic travel and tourism markets (2004) Journal of Travel & Tourism Marketing, 17 (2-3), pp. 3-14; Park, Y.A., Gretzel, U., Sirakaya-Turk, E., Measuring web site quality for online travel agencies (2007) Journal of Travel & Tourism Marketing, 23 (1), pp. 15-30; Patterson, I., Information sources used by older adults for decision making about tourist and travel destinations (2007) International Journal of Consumer Studies, 31, pp. 528-533; Roney, S.A., Ozturan, M., A content analysis of the web sites of Turkish travel agencies (2006) Anatolia, 17 (1), pp. 43-54; Shult, J., (2006) Beauty from Afar: A Medical Tourist's Guide to Affordable and Quality Cosmetic Care Outside the US, , New York: Stewart, Tabori & Chang; Sigala, M., Modeling e-marketing strategies: Internet presence and exploitation of Greek hotels (2001) Journal of Hospitality and Tourism Marketing, 11 (2-3), pp. 83-97; Sirgy, M.J., Su, C., Destination image, self-congruity, and travel behavior: Toward an integrative model (2000) Journal of Travel Research, 38, pp. 340-352; Stephano, R., Edelheit, J., The future of medical tourism (2009) Medical Tourism Magazine, 8, pp. 10-15; Wan, C.S., The web sites of international tourist hotels and tour wholesalers in Taiwan (2002) Tourism Management, 23, pp. 155-160; Weiermair, K., Mathies, C., (2004) The Tourism and Leisure Industry: Shaping the Future, , New York: Haworth Hospitality Press; Woodman, J., (2008) Patients Beyond Borders: Everybody's Guide to Affordable, Worldclass Medical Tourism, , Chapel Hill, NC: Healthy Travel Media","Cormany, D.; University of Nevada, Harrah College of Hotel Administration, 4505 Maryland Parkway, Las Vegas, NV 89154, United States; email: dancormany.medtourism@yahoo.com",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-79953879112 "Leng C.H.","7004224160;","Medical tourism and the state in Malaysia and Singapore [Lien entre l'Etat et le tourisme médical en Malaisie et à Singapour]",2010,"Global Social Policy","10","3",,"336","357",,79,"10.1177/1468018110379978","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650266032&doi=10.1177%2f1468018110379978&partnerID=40&md5=fa0c86127358227e3e63321f7e003184","Asia Research Institute, National University of Singapore, 469A Tower Block, Bukit Timah Road, #10-01, Singapore 259770, Singapore","Leng, C.H., Asia Research Institute, National University of Singapore, 469A Tower Block, Bukit Timah Road, #10-01, Singapore 259770, Singapore","A striking feature of the medical tourist industry that has developed in Asia since the late 1990s is the involvement of States in supporting the private sector in marketing healthcare services to foreign patients. Malaysia and Singapore, two of the leading players in this field, have, since the 1980s, embarked on healthcare reforms, resulting in an enlarged private healthcare sector. The Singapore state, moving toward state corporatism, has advanced further in its healthcare reforms, and is therefore able to minimize the gap between government and private health services. The Malaysian state, fragmented and facing greater opposition, has not been able to advance as far in its healthcare reforms, and faces a growing gap between public and private health services. Nevertheless, both countries face a shortage of doctors in the public sector, and rising costs and user charges: problems that are exacerbated by a growing private market in healthcare to which the medical tourist industry contributes. 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May; Teo, D., Update on medishield experience 2004-2007 (2008) MOH Information Paper, 26. , Ministry of Health, Singapore, 2008; (1998) Southeast Asian Populations in Crisis: Challenges to the Implementation of the ICPD Programme of Action, , United Nations Population Fund in collaboration with The Australian National University, New York: UNFPA; (2010) National Health Accounts (NHA): Malaysia, 2010, , http://www.who.int/nha/country/mys/en/, WHO, Available at; (2010) National Health Accounts (NHA): Singapore, 2010, , http://www.who.int/nha/country/mys/en/, WHO, Available at; (1978) Declaration of Alma-Ata, , http://www.who.int/publications/almaata_declaration_en.pdf, Who-Unicef, Available at; Wong, M.L.L., (2008) The Development of the Health Care System in Malaysia - with Special Reference to Government Health Services, 1970-2000, , PhD dissertation, Department of Community, Occupational and Family Medicine, National University of Singapore; Woodman, J., (2007) Patients beyond Borders: Singapore, , edition, Chapel Hill: Healthy Travel Media; Yap, J.C.H., Medical tourism/medical travel (part one) (2006) Singapore Medical Association News, 38, pp. 16-21","Leng, C. H.; Asia Research Institute, National University of Singapore, 469A Tower Block, Bukit Timah Road, #10-01, Singapore 259770, Singapore; email: arichl@nus.edu.sg",,,,,,,,14680181,,,,"English; French; Spanish","Global Soc. Policy",Article,"Final",,Scopus,2-s2.0-78650266032 "Geraghty M., Glynn F., Amin M., Kinsella J.","57213895280;20733977000;16425368700;35271998700;","Patient mobile telephone 'text' reminder: A novel way to reduce non-attendance at the ENT out-patient clinic",2008,"Journal of Laryngology and Otology","122","3",,"296","298",,79,"10.1017/S0022215107007906","https://www.scopus.com/inward/record.uri?eid=2-s2.0-40549083716&doi=10.1017%2fS0022215107007906&partnerID=40&md5=66e1503edea7d71f7b1687ca13036241","Department of Otolaryngology, Head and Neck Surgery, Adelaide and Meath and the National Children's Hospital, Tallaght, Dublin, Ireland; Department of Surgery, Adelaide and Meath and the National Children's Hospital, Tallaght, Dublin 24, Ireland","Geraghty, M., Department of Otolaryngology, Head and Neck Surgery, Adelaide and Meath and the National Children's Hospital, Tallaght, Dublin, Ireland, Department of Surgery, Adelaide and Meath and the National Children's Hospital, Tallaght, Dublin 24, Ireland; Glynn, F., Department of Otolaryngology, Head and Neck Surgery, Adelaide and Meath and the National Children's Hospital, Tallaght, Dublin, Ireland; Amin, M., Department of Otolaryngology, Head and Neck Surgery, Adelaide and Meath and the National Children's Hospital, Tallaght, Dublin, Ireland; Kinsella, J., Department of Otolaryngology, Head and Neck Surgery, Adelaide and Meath and the National Children's Hospital, Tallaght, Dublin, Ireland","Background: Non-attendance at out-patient clinics is a seemingly intractable problem, estimated to cost £65 (€97) per incident. This results in under-utilisation of resources and prolonged waiting lists. In an effort to reduce out-patient clinic non-attendance, our ENT department, in conjunction with the information and communication technology department, instigated the use of a mobile telephone short message service ('text') reminder, to be sent out to each patient three days prior to their out-patient clinic appointment. Objective: To audit non-attendance rates at ENT out-patient clinics following the introduction of a text reminder system. Study design: Retrospective review. Methods: Non-attendance at our institution's ENT out-patient clinics was audited, following introduction of a text message reminder system in August 2003. Rates of non-attendance were compared for the text message reminder group and a historical control group. Results: Before the introduction of the text message reminder system, the mean rate of non-attendance was 33.6 per cent. Following the introduction of the system, the mean rate of non-attendance reduced to 22 per cent. Conclusion: Sending text message reminders is a simple and cost-effective way to improve non-attendance at ENT out-patient clinics. © 2007 JLO (1984) Limited.","Ireland; Mobile Phones; Otolaryngology; Outpatients; Patient Non-Compliance","article; comparative study; control group; controlled study; cost effectiveness analysis; human; institutional care; medical audit; mobile phone; otorhinolaryngology; outpatient department; reminder system; retrospective study; Appointments and Schedules; Cellular Phone; Female; Humans; Male; Outpatient Clinics, Hospital; Patient Compliance; Reminder Systems; Retrospective Studies",,,,,,,,"Karter, A., Parker, M., Moffet, H., Ahmed, A., Ferrara, A., Liu, J., Missed appointments and poor glycemic control: An opportunity to identify high-risk diabetic patients (2004) Med Care, 42, pp. 110-115; Sawyer, S., Zalan, A., Bond, L., Telephone reminders improve adolescent clinic attendance: A randomized controlled trial (2002) J Paediatr Child Health, 38, pp. 79-83; (2001), http://www.nrr.nhs.uk/ViewDocument.asp?ID=N0240056126, NHS National Research Register , 17 December 2006; Collins, J., Santamaria, N., Clayton, L., Why outpatients fail to attend their scheduled appointments: A prospective comparison of differences between attenders and non-attenders (2003) Aus Health Rev, 26, pp. 52-63; Dockery, F., Rajkumar, C., Chapman, C., Bulpitt, C., Nicholl, C., The effect of reminder calls in reducing non-attendance rates at care of the elderly clinics (2001) Postgrad Med J, 77, pp. 37-39; Lieu, T., Black, S., Ray, P., Computer-generated recall letters for underimmunized children: How cost-effective? (1997) Paed Infect Dis J, 16, pp. 28-33; Reekie, D., Devlin, H., Preventing failed appointments in general dental practice: A comparison of reminder methods (1998) Br Dent J, 185, pp. 472-474; Brien, G., Lazebnik, R., Telephone call reminder and attendance in an adolescent clinic (1998) Paediatrics, 101, pp. E6; Downer, S., Meara, J., Da Costa, C., Use of SMS text messaging to improve outpatient attendance (2005) Med J Aust, 183, pp. 366-368; (2005) Commission for Communications Regulation Report, , http://www.comreg.ie, 17 December, 2006; Stone, C., Palmer, J., Saxby, P., Devaraj, V., Reducing non-attendance at outpatient clinics (1999) J R Soc Med, 92, pp. 114-118; Hashim, M., Franks, P., Fiscella, K., Effectiveness of telephone reminders in improving rate of appointments kept at an outpatient clinic: A randomized control trial (2001) J Am Board Fam Pract, 14, pp. 193-196; Martin, C., Perfect, T., Mantle, G., Non-attendance in primary care: The views of patients and practices on its causes, impact and solutions (2005) Fam Pract, 22, pp. 638-643","Geraghty, M.; Department of Surgery, Adelaide and Meath and the National Children's Hospital, Tallaght, Dublin 24, Ireland; email: michaegeraghty@rcsi.ie",,,,,,,,00222151,,JLOTA,"17470313","English","J. Laryngol. Otol.",Article,"Final",,Scopus,2-s2.0-40549083716 "Yeoh E., Othman K., Ahmad H.","55228393200;57214557619;55228548800;","Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools",2013,"Tourism Management","34",,,"196","201",,78,"10.1016/j.tourman.2012.04.010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867138810&doi=10.1016%2fj.tourman.2012.04.010&partnerID=40&md5=7f751b549a1ed82394a263f507403aac","Centre of Graduate Studies, Universiti Selangor, Jalan Zirkon A 7/A, Seksyen 7, 40000 Shah Alam, Selangor, Malaysia; Institut Pengajian Eksekutif, Universiti Pertahanan Nasional Malaysia, Kem Sungai Besi, 57000 Kuala Lumpur, Malaysia; Faculty of Business, Universiti Selangor, Jalan Zirkon A 7/A, Seksyen 7, 40000 Shah Alam, Selangor, Malaysia","Yeoh, E., Centre of Graduate Studies, Universiti Selangor, Jalan Zirkon A 7/A, Seksyen 7, 40000 Shah Alam, Selangor, Malaysia; Othman, K., Institut Pengajian Eksekutif, Universiti Pertahanan Nasional Malaysia, Kem Sungai Besi, 57000 Kuala Lumpur, Malaysia; Ahmad, H., Faculty of Business, Universiti Selangor, Jalan Zirkon A 7/A, Seksyen 7, 40000 Shah Alam, Selangor, Malaysia","The medical tourism industry in Malaysia has grown drastically over the past ten years. This research seeks to determine the demographics of the medical tourists that are visiting Malaysia for various medical treatments. A nationwide questionnaire survey was carried out amongst outpatient medical tourists from medical tourism certified hospitals. The results indicated that majority of the tourists were repeat tourists from Indonesia and most of these outpatient patients spend about seven days in Malaysia with at least one companion. The results also revealed that most of the tourists were influenced by friends, family, relatives and doctor's referral. © 2012 Elsevier Ltd.","Demographics; Healthcare strategy; Malaysia; Medical tourism","demography; health services; medical geography; tourism; tourist destination; Malaysia",,,,,,,,"Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the United Sates (2011) Journal of General Internal Medicine, 26 (6), pp. 492-497; Allsop, D.T., Bassett, B.R., Hoskins, J.A., Word-of-mouth research: principles and applications (2007) Journal of Advertising Research, 47 (4), pp. 398-411; Anderson, E., Customer dissatisfaction and word of mouth (1998) Journal of Service Research, 1 (1), pp. 5-17; Arndt, J., Role of product-related conversations in the diffusion of a new product (1967) Journal of Marketing Research, 4 (3), pp. 291-295; Bailey, A.A., Thiscompanysucks.com: the use of the internet in negative consumer to consumer articulations (2004) Journal of Marketing Communications, 10 (3), pp. 169-182; Bello, W., (1997) Addicted to capital: The ten-year high and present-day withdrawal trauma of South East Asia's economies, , http://www.focusweb.org/focus/library/addicted_to_capital.html, Retrieved January 9, 2001, from; Campbell, A., (2012) Word of mouth model of sales, , http://faculty.som.yale.edu/arthurcampbell/documents/WOMSalesv2_000.pdf, (working paper)., Retrieved from Google Scholar website; Carabello, L., A medical tourism primer for U.S. physicians (2008) Journal of Medical Practice Management, 23 (5), pp. 291-294; Connell, J., Medical tourism: sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cruez, A., Healthy outlook for health tourism (2008) The New Straits Times, p. 10; Dichter, E., How word-of-mouth advertising works (1966) Harvard Business Review, 44 (6), pp. 147-160; East, R., Hammond, K., Wright, M., The relative incidence of positive and negative word of mouth: a multi-category study (2007) International Journal of Research in Marketing, 24 (2), pp. 175-184; Ehrbeck, T., Guevara, C., Mango, P., (2008) Mapping the market for medical travel, , http://www.mckinseyquarterly.com/PDFDownload.aspx?L2%3D12&L3%3D63&ar%3D2134, The McKinseyQuarterly, Retrieved June 27, 2008, from; Why health tourism matters? (2007) EUMCCI Review, 3 (4), pp. 21-22. , EUMCCI Review; Forbes, S., (2007) Open-heart surgery - 90% off, , Forbes; Forgione, D., Smith, P., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-33; Freire, N.A., The emergent medical tourism: advantages and disadvantages of the medical treatment abroad (2012) International Business Research, 5 (2), pp. 41-50; Gajendra, S., Ye, Q., Sun, W., Li, Q., Communication in virtual world: second life and business opportunities (2012) Information Systems Frontiers, 14. , (online first); Gerst, S., American at the crossroads (2008) The International Medical Travel Journal, (5), pp. 52-55; Gupta, P., Harris, J., How e-WOM recommendations influence product consideration and quality of choice: a motivation to process information perspective (2010) Journal of Business Research, 63 (9-10), pp. 1041-1049; Ha, Y., Im, H., Role of web site design quality in satisfaction and word of mouth generation (2012) Journal of Service Management, 23 (1), pp. 79-96; Hall, C.M., Health and medical tourism: a kill or cure for global public health? 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Chowdhury, Helsinki, Finland, Retrieved April 5, 2012, from, UNU World Industry for Development Economies Research; Valck, K.D., Bruggen, G.H., Wierenga, B., Virtual communities: a marketing perspective (2009) Decision Support System, 47 (3), pp. 185-203; Woo, W.T., Coping with accelerated capital flows from the globalization of financial markets (2000) ASEAN Economic Bulletin, 17 (2), pp. 193-204; Wood, L., (2007) The medical devices in South East Asia report provides a comprehensive analysis of the medical device market including five year market forecasts, , http://proquest.umi.com.ezproxy.scu.edu.au./pqdweb, Business Wire, New York, Retrieved September 30, 2007, from; Woodman, J., (2007) Patients beyond borders: Everybody's guide to affordable, world-class medical tourism, , Healthy Travel Media, Chapel Hill; Xu, P., (2007) The effectiveness of business-to-business word-of-mouth marketing strategies, , Retrieved September 16, 2009, from Purdue University Digital Theses; Yang, H.K., The impact of moving pharmaceutical products from prescription only to over-the-counter status on consumer exposure to advertising (2011) International Journal of Human Ecology, 12 (2), pp. 1-12; York, D., Medical tourism: the trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Youngman, I., Will the boss pick up the bill? (2008) The International Medical Travel Journal, 5, pp. 16-21","Yeoh, E.; Centre of Graduate Studies, Universiti Selangor, Jalan Zirkon A 7/A, Seksyen 7, 40000 Shah Alam, Selangor, Malaysia; email: eybc@yahoo.com",,,,,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84867138810 "Hanefeld J., Lunt N., Smith R., Horsfall D.","26430746700;6603761945;55746369800;35848647100;","Why do medical tourists travel to where they do? The role of networks in determining medical travel",2015,"Social Science and Medicine","124",,,"356","363",,76,"10.1016/j.socscimed.2014.05.016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920261607&doi=10.1016%2fj.socscimed.2014.05.016&partnerID=40&md5=e85c3a8c458893caeb38347fe39ce653","Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom; Department of Social Policy and Social Work, University of York, United Kingdom","Hanefeld, J., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom; Lunt, N., Department of Social Policy and Social Work, University of York, United Kingdom; Smith, R., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom; Horsfall, D., Department of Social Policy and Social Work, University of York, United Kingdom","Evidence on medical tourism, including patient motivation, is increasing. Existing studies have focused on identifying push and pull factors across different types of treatment, for example cosmetic or bariatric surgery, or on groups, such as diaspora patients returning 'home' for treatment. Less attention has been on why individuals travel to specific locations or providers and on how this decision is made. The paper focused on the role of networks, defined as linkages - formal and informal - between individual providers, patients and facilitators to explain why and where patients travel. Findings are based on a recently completed, two year research project, which examined the effects of medical tourism on the UK NHS. Research included in-depth interviews with 77 returning medical tourists and over sixty managers, medical travel facilitators, clinicians and providers of medical tourism in recipient countries to understand the medical tourism industry. Interviews were conducted between 2011 and 2012, recorded and transcribed, or documented through note taking. Authors undertook a thematic analysis of interviews to identify treatment pathways by patients, and professional linkages between clinicians and facilitators to understand choice of treatment destination. The results highlight that across a large sample of patients travelling for a variety of conditions from dental treatment, cosmetic and bariatric surgery, through to specialist care the role of networks is critical to understand choice of treatment, provider and destination. While distance, costs, expertise and availability of treatment all were factors influencing patients' decision to travel, choice of destination and provider was largely the result of informal networks, including web fora, personal recommendations and support groups. Where patients were referred by UK clinicians or facilitators these followed informal networks. In conclusion, investigating medical travel through focus on networks of patients and providers opens up novel conception of medical tourism, deepening understanding of patterns of travel by combining investigation of industry with patient motivation. © 2014 Elsevier Ltd.","Medical tourism; Networks; Patient motivation; UK NHS","health worker; medical geography; tourism; tourist destination; travel behavior; Article; bariatric surgery; cultural value; dental procedure; esthetic surgery; health care access; health care availability; health care cost; health care delivery; health care industry; health care personnel; health care system; human; infertility therapy; medical decision making; medical tourism; motivation; patient referral; professional competence; self report; social network; thematic analysis; travel; United Kingdom; cultural anthropology; decision making; elective surgery; hospital admission; interview; medical tourism; psychology; self help; social network; social support; United Kingdom; Choice Behavior; Culture; Decision Making; Elective Surgical Procedures; Health Services Accessibility; Humans; Interviews as Topic; Medical Tourism; Motivation; Self-Help Groups; Social Networking; Social Support; Waiting Lists",,,,,"Health Services and Delivery Research Programme, HS&DR Health Services and Delivery Research Programme, HS&DR: HSR 09/2001/21","This project was funded by the National Institute for Health Research Health Services and Delivery Research (HS&DR) Programme (project number HSR 09/2001/21 ). 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Assoc., 52, pp. 844-846","Hanefeld, J.; Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, United Kingdom",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"24976006","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-84920261607 "Abubakar A.M., Ilkan M.","57193113146;6505939909;","Impact of online WOM on destination trust and intention to travel: A medical tourism perspective",2016,"Journal of Destination Marketing and Management","5","3",,"192","201",,74,"10.1016/j.jdmm.2015.12.005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84953431868&doi=10.1016%2fj.jdmm.2015.12.005&partnerID=40&md5=4702b6e22055c22b8c7af3bd4857c8be","Department of Economics and Business Administration Eastern Mediterranean University, P.O box 95, Famagusta North Cyprus via Mersin 10, Turkey; School of Computing and Technology Eastern Mediterranean University, P.O box 95, Famagusta North Cyprus via Mersin 10, Turkey","Abubakar, A.M., Department of Economics and Business Administration Eastern Mediterranean University, P.O box 95, Famagusta North Cyprus via Mersin 10, Turkey, School of Computing and Technology Eastern Mediterranean University, P.O box 95, Famagusta North Cyprus via Mersin 10, Turkey; Ilkan, M., School of Computing and Technology Eastern Mediterranean University, P.O box 95, Famagusta North Cyprus via Mersin 10, Turkey","Electronic word-of-mouth (WOM), also known as eWOM, is one of the most influential sources of information on the web. The aim of this study is to examine the impact of online WOM on destination trust and intention to travel in the medical tourism sector. In addition, the paper examines the moderating effect of income on the researched variables. Structural equation modeling is applied to examine the interplay between the proposed variables, using a sample of 216 respondents. The empirical results suggest that: online WOM positively influences destination trust and intention to travel; destination trust positively influences intention to travel; rising income strengthens the relationship between online WOM and intention to travel; and rising income weakens the relationship between destination trust and intention to travel. Implications and future research directions are discussed. © 2015 Elsevier Ltd","Destination trust; eWOM; Medical tourism; Online WOM; Travel intention",,,,,,,,,"Abubakar, A.M., Ilkan, M., More adverts or more e-WOM's (2013) Journal of Business Financial Affairs, 2 (2), p. 129; Abubakar, A.M., Ilkan, M., (2014) eWOM and the 3W's: Who, why and what, , Morebooks Germany; Abubakar, A.M., Shneikata, B.H.T., Oday, A., Motivational factors for educational tourism: A case study in Northern Cyprus (2014) Tourism Management Perspectives, 11 (1), pp. 58-62; http://www.hurriyetdailynews.com/turkey-sees-rise-in-medical-tourism—.aspx?pageID=238&nID=80466&NewsCatID=349, Anadolu Agency (2015). Turkey sees rise in medical tourism. 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Available from: 〈(retrieved 7.10.11)","Abubakar, A.M.; Department of Economics and Business Administration Eastern Mediterranean University, P.O box 95, Famagusta North Cyprus via Mersin 10, Turkey; email: mohammed.abubakar@cc.emu.edu.tr",,,"Elsevier Ltd",,,,,2212571X,,,,"English","J. Destin. Mark. Manage.",Article,"Final",,Scopus,2-s2.0-84953431868 "Jones C.A., Keith L.G.","57183388900;7102038649;","Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare",2006,"International Journal of Fertility and Women's Medicine","51","6",,"251","255",,72,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-34249043841&partnerID=40&md5=44551d6c54d4aebebf66c17584095989","Research Associate Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD, United States; Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States; Bloomberg School of Public Health, Department of Health Policy and Management, 624 N. Broadway, Baltimore, MD 21205-1996, United States","Jones, C.A., Research Associate Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD, United States, Bloomberg School of Public Health, Department of Health Policy and Management, 624 N. Broadway, Baltimore, MD 21205-1996, United States; Keith, L.G., Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States","Medical tourism, a term that also can be used to describe medical outsourcing, is characterized by travel away from one's home region to procure treatment in another. It may take one of two forms: obligatory or elective. The former occurs when necessary treatments are unavailable or illegal in the place of origin. The latter includes elective and medically indicated procedures that, although available at the place of origin, may be delivered more quickly or in a more cost-effective manner in another location. Reproductive outsourcing is a special form of medical tourism that has quickly become an important area of present-day medicine because the changes of the last four decades have left all but the most advanced fertility centers breathless as they try to adjust their treatment protocols in effective and ethical manners. Legal and policy limitations have created a global environment where, in a rising number of instances, individuals and couples must travel elsewhere to procure fertility procedures that are unavailable back home. With low cost airfares to and from America, a growing number of ""medical cartographers"" have set out to map which places are the ""best"" (in terms of cost, effectiveness and timeliness), for what procedures, and for whom. On the other hand, physicians, legal experts and policy makers have only begun to shape how government and health care agencies should formally guide or regulate medical tourism. In doing so, a number of factors may challenge the limits of ethics, policy and legality in this most important trend in modern medicine. © 2006 Controversies in Obstetrics and Gynecology, Polish Society of Perinatal Medicine, the International Society of Reproductive Medicine, the World Foundation for Medical Studies in Female Health and the Center for the Study of Cryopreservation of Oocytes and Spermatozoa.","Ethics; Fertility; Health care agencies; In vitro fertilization (IVF); Legal studies; Medical outsourcing; Medical tourism; Modern medicine; Reproductive outsourcing; Reproductive tourism","article; cost effectiveness analysis; female infertility; fertilization in vitro; health care policy; health service; legal aspect; medical ethics; medical record; medical tourism; morality; priority journal; reproduction; tourism; Cost of Illness; Female; Health Care Reform; Health Knowledge, Attitudes, Practice; Health Services Accessibility; Humans; Infertility; Male; Reproductive Techniques, Assisted; Surgical Procedures, Elective; Travel; United States",,,,,,,,"Arnold, K., Going under the knife abroad: Medical tourism industry booms as health costs rise (2006) The Monitor, , www.themonitor.com, McAllen, Texas, Nov. 15; Jones, CA: Costs and benefits of in-vitro fertilisation (IVF), Master's Thesis, University of Oxford, 2000; Milstein, A., Smith, M., America's new refugees - seeking affordable surgery offshore (2006) NEJM, 355, pp. 1637-1640; Serour, G.I., Bioethics in artificial reproduction in the Muslim world (1993) Bioethics, 7, pp. 207-217; Sheaff, R., Healthcare access and mobility between the UK and other European Union states: An 'implementation surplus' (1997) Health Policy, 42 (3), pp. 239-253; Spar, D., Reproductive tourism and the regulatory map (2005) NEJM, 352 (6), pp. 531-534; Wachter, R.M., The ""dis-location"" of U.S. medicine - the implications of medical outsourcing (2006) NEJM, 354, pp. 661-665; Wennberg, J.E., Understanding geographic variations in health care delivery (1999) NEJM, 340, pp. 52-53; World Health Organization: Infertility: a tabulation of available data on prevalence of primary and secondary infertility. WHO/MCH/91.9, 1991; (2005) Tourism market trends 2004: World overview and tourism topics, , World Tourism Organization:, Madrid: World Tourism Organization","Jones, C.A.; Bloomberg School of Public Health, Department of Health Policy and Management, 624 N. Broadway, Baltimore, MD 21205-1996, United States; email: chjones@jhsph.edu",,,,,,,,1534892X,,IJWMF,"17566566","English","Int. J. Fertil. Women's Med.",Article,"Final",,Scopus,2-s2.0-34249043841 "Nydahl P., Sricharoenchai T., Chandra S., Kundt F.S., Huang M., Fischill M., Needham D.M.","8298956400;55805441600;57194159596;57194164029;56606520100;57194163398;7102365588;","Safety of patient mobilization and rehabilitation in the intensive care unit: Systematic review with meta-analysis",2017,"Annals of the American Thoracic Society","14","5",,"766","777",,71,"10.1513/AnnalsATS.201611-843SR","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018977607&doi=10.1513%2fAnnalsATS.201611-843SR&partnerID=40&md5=1f9b5ec7f023fd8dcc447e6630dd23cf","Nursing Research, University Hospital of Schleswig-Holstein, Brunswiker Strasse 10, Kiel, 24105, Germany; Division of Pulmonary and Critical Care Medicine, Thammasat University, PathumThani, Thailand; Telehealth Program, Northwell Health, New York, NY, United States; Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Nursing Development, University Hospital Salzburg, Salzburg, Austria; Division of Pulmonary and Critical Care Medicine, Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States","Nydahl, P., Nursing Research, University Hospital of Schleswig-Holstein, Brunswiker Strasse 10, Kiel, 24105, Germany; Sricharoenchai, T., Division of Pulmonary and Critical Care Medicine, Thammasat University, PathumThani, Thailand; Chandra, S., Telehealth Program, Northwell Health, New York, NY, United States; Kundt, F.S., Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria; Huang, M., Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Fischill, M., Nursing Development, University Hospital Salzburg, Salzburg, Austria; Needham, D.M., Division of Pulmonary and Critical Care Medicine, Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States","Background: Early mobilization and rehabilitation of patients in intensive care units (ICUs) may improve physical function, and reduce the duration of delirium, mechanical ventilation, and ICU length of stay. However, safety concerns are an important barrier to widespread implementation. Objectives: To synthesize safety data regarding patient mobilization and rehabilitation in the ICU, including falls, removal of endotracheal tubes, removal or dysfunction of intravascular catheters, removal of other catheters/tubes, cardiac arrest, hemodynamic changes, and desaturation. Data Sources: Systematic literature review, including searches of five databases. Eligible studies evaluated patients who received mobilization-related interventions in the ICU. Exclusion criteria included: (1) case series with fewer than 10 patients; (2) majority of patients under 18 years of age; and (3) data not reported to permit calculation of incidence of safety events. Data Extraction: Number of patients, mobilization/rehabilitation sessions, potential safety events, and events with negative consequences (e.g., requiring intervention or additional therapy). Synthesis: Heterogeneity was assessed by I2statistics, and bias assessed by the Newcastle-Ottawa Scale and Cochrane risk of bias assessment. The literature search identified 20,660 titles. There were 48 eligible publications evaluating 7,546 patients, with 583 potential safety events occurring in 22,351 mobilization/rehabilitation sessions. There was a total of 583 (2.6%) potential safety events with heterogeneity in the definitions for these events. For the safety event types that could be meta-analyzed, pooled incidences per 1,000 mobilization/rehabilitation sessions (95% confidence interval), were: hemodynamic changes, 3.8 (1.3-11.4), and desaturation, 1.9 (0.9-4.3). A total of 24 studies of 3,404 patients reported on any consequences of potential safety events (e.g., needing to increase dose of vasopressor due to mobility-related hypotension), with a frequency of 0.6% in 14,398 mobilization/rehabilitation sessions. Conclusions: Patient mobilization and physical rehabilitation in the ICU appears safe, with a low incidence of potential safety events, and only rare events having any consequences for patient management Heterogeneity in the definition of safety events across studies emphasizes the importance of implementing existing consensus-based definitions. 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Kayambu, G., Boots, R., Paratz, J., Early physical rehabilitation in intensive care patients with sepsis syndromes: A pilot randomised controlled trial (2015) Intensive Care Med, 41, pp. 865-874; Moss, M., Nordon-Craft, A., Malone, D., Van Pelt, D., Frankel, S.K., Warner, M.L., Kriekels, W., Schenkman, M., A randomized trial of an intensive physical therapy program for patients with acute respiratory failure (2016) Am J Respir Crit Care Med, 193, pp. 1101-1110; Hildreth, A.N., Enniss, T., Martin, R.S., Miller, P.R., Mitten-Long, D., Gasaway, J., Ebert, F., Chang, M.C., Surgical intensive care unit mobility is increased after institution of a computerized mobility order set and intensive care unit mobility protocol: A prospective cohort analysis (2010) Am Surg, 76, pp. 818-822; Dafoe, S., Chapman, M.J., Edwards, S., Stiller, K., Overcoming barriers to the mobilisation of patients in an intensive care unit (2015) Anaesth Intensive Care, 43, pp. 719-727; Piva, S., Dora, G., Minelli, C., Michelini, M., Turla, F., Mazza, S., D'Ottavi, P., Eikermann, M., The Surgical Optimal Mobility Score predicts mortality and length of stay in an Italian population of medical, surgical, and neurologic intensive care unit patients (2015) J Crit Care, 30, pp. 1251-1257; Lee, H., Ko, Y.J., Suh, G.Y., Yang, J.H., Park, C.M., Jeon, K., Park, Y.H., Chung, C.R., Safety profile and feasibility of early physical therapy and mobility for critically ill patients in the medical intensive care unit: Beginning experiences in Korea (2015) J Crit Care, 30, pp. 673-677; Skinner, E.H., Haines, K.J., Berney, S., Warrillow, S., Harrold, M., Denehy, L., Usual care physiotherapy during acute hospitalization in subjects admitted to the ICU: An observational cohort study (2015) Respir Care, 60, pp. 1476-1485; Hodgson, C., Bellomo, R., Berney, S., Bailey, M., Buhr, H., Denehy, L., Harrold, M., Saxena, M., Early mobilization and recovery in mechanically ventilated patients in the ICU: A bi-national, multi-centre, prospective cohort study (2015) Crit Care, 19, p. 81; Toonstra, A.L., Zanni, J.M., Sperati, C.J., Nelliot, A., Mantheiy, E., Skinner, E.H., Needham, D.M., Feasibility and safety of physical therapy during continuous renal replacement therapy in the intensive care unit (2016) Ann Am Thorac Soc, 13, pp. 699-704; Fields, C., Trotsky, A., Fernandez, N., Smith, B.A., Mobility and ambulation for patients with pulmonary artery catheters: A retrospective descriptive study (2015) J Acute Care Phys Ther, 6, pp. 64-70; Lima, N.P., Silva, G.M., Park, M., Pires-Neto, R.C., Mobility therapy and central or peripheral catheter-related adverse events in an ICU in Brazil (2015) J Bras Pneumol, 41, pp. 225-230; Pires-Neto, R.C., Lima, N.P., Cardim, G.M., Park, M., Denehy, L., Early mobilization practice in a single Brazilian intensive care unit (2015) J Crit Care, 30, pp. 896-900; Lee, H., Ko, Y.J., Jung, J., Choi, A.J., Suh, G.Y., Chung, C.R., Monitoring of potential safety events and vital signs during active mobilization of patients undergoing continuous renal replacement therapy in a medical intensive care unit (2016) Blood Purif, 42, pp. 83-90; McGarrigle, L., Caunt, J., Physical therapist-led ambulatory rehabilitation for patients receiving centrimag short-term ventricular assist device support: Retrospective case series (2016) Phys Ther, 96, pp. 1865-1873; Umei, N., Atagi, K., Okuno, H., Usuke, S., Otsuka, Y., Ujiro, A., Shimaoka, H., Impact of mobilisation therapy on the haemodynamic and respiratory status of elderly intubated patients in an intensive care unit: A retrospective analysis (2016) Intensive Crit Care Nurs, 35, pp. 16-21; Sterne, J.A.C., Sutton, A.J., Ioannidis, J.P.A., Terrin, N., Jones, D.R., Lau, J., Carpenter, J., Schmid, C.H., Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials (2011) BMJ, 343, p. d4002; De Jong, A., Molinari, N., De Lattre, S., Gniadek, C., Carr, J., Conseil, M., Susbielles, M.P., Chanques, G., Decreasing severe pain and serious adverse events while moving intensive care unit patients: A prospective interventional study (the NURSE-DO project) (2013) Crit Care, 17, p. R74; Chillingworth, S., Slater, B., Simpson, G., A prospective observational study of significant airway events in intensive care (2014) JICS, 15, pp. 309-313; Amidei, C., Measurement of physiologic responses to mobilisation in critically ill adults (2012) Intensive Crit Care Nurs, 28, pp. 58-72; Burtin, C., Clerckx, B., Robbeets, C., Ferdinande, P., Langer, D., Troosters, T., Hermans, G., Gosselink, R., Early exercise in critically ill patients enhances short-term functional recovery (2009) Crit Care Med, 37, pp. 2499-2505; Needham, D.M., Truong, A.D., Fan, E., Technology to enhance physical rehabilitation of critically ill patients (2009) Crit Care Med, 37 (10), pp. S436-S441; Hodgson, C.L., Stiller, K., Needham, D.M., Tipping, C.J., Harrold, M., Baldwin, C.E., Bradley, S., Elliott, D., Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults (2014) Crit Care, 18, p. 658; Berry, A., Beattie, K., Bennett, J., Cross, Y., Cushway, S., Hassan, A., Longhurst, E., Plowman, E., (2014) Physical Activity and Movement: A Guideline for Critically Ill Adults, , https://www.aci.health.nsw.gov.au/_data/assets/pdf_file/0005/239783/ACI14-PAM-1-3.pdf, Chatswood, NSW, Australia: Agency for Clinical Innovation;, accessed 2016 Apr. 2; Mueller, K.F., Meerpohl, J.J., Briel, M., Antes, G., Von Elm, E., Lang, B., Motschall, E., Bassler, D., Methods for detecting, quantifying, and adjusting for dissemination bias in meta-analysis are described (2016) J Clin Epidemiol, 80, pp. 25-33","Nydahl, P.; Nursing Research, University Hospital of Schleswig-Holstein, Brunswiker Strasse 10, Germany; email: peter.nydahl@uksh.de",,,"American Thoracic Society",,,,,23256621,,,"28231030","English","Ann. Am. Thorac. Soc.",Review,"Final",,Scopus,2-s2.0-85018977607 "Penney K., Snyder J., Crooks V.A., Johnston R.","53164526600;24170239100;35585107800;36500711800;","Risk communication and informed consent in the medical tourism industry: A thematic content analysis of canadian broker websites",2011,"BMC Medical Ethics","12","1", 17,"","",,71,"10.1186/1472-6939-12-17","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053350814&doi=10.1186%2f1472-6939-12-17&partnerID=40&md5=f3c5ab469e0ff624aad6c6e32d6c0d55","Faculty of Medicine, University of Calgary, 2500 University Drive, NW, Calgary, AB, Canada; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada","Penney, K., Faculty of Medicine, University of Calgary, 2500 University Drive, NW, Calgary, AB, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada","Background: Medical tourism, thought of as patients seeking non-emergency medical care outside of their home countries, is a growing industry worldwide. Canadians are amongst those engaging in medical tourism, and many are helped in the process of accessing care abroad by medical tourism brokers - agents who specialize in making international medical care arrangements for patients. As a key source of information for these patients, brokers are likely to play an important role in communicating the risks and benefits of undergoing surgery or other procedures abroad to their clientele. This raises important ethical concerns regarding processes such as informed consent and the liability of brokers in the event that complications arise from procedures. The purpose of this article is to examine the language, information, and online marketing of Canadian medical tourism brokers' websites in light of such ethical concerns. Methods. An exhaustive online search using multiple search engines and keywords was performed to compile a comprehensive directory of English-language Canadian medical tourism brokerage websites. These websites were examined using thematic content analysis, which included identifying informational themes, generating frequency counts of these themes, and comparing trends in these counts to the established literature. Results: Seventeen websites were identified for inclusion in this study. It was found that Canadian medical tourism broker websites varied widely in scope, content, professionalism and depth of information. Three themes emerged from the thematic content analysis: training and accreditation, risk communication, and business dimensions. Third party accreditation bodies of debatable regulatory value were regularly mentioned on the reviewed websites, and discussion of surgical risk was absent on 47% of the websites reviewed, with limited discussion of risk on the remaining ones. Terminology describing brokers' roles was somewhat inconsistent across the websites. Finally, brokers' roles in follow up care, their prices, and the speed of surgery were the most commonly included business dimensions on the reviewed websites. Conclusion: Canadian medical tourism brokers currently lack a common standard of care and accreditation, and are widely lacking in providing adequate risk communication for potential medical tourists. This has implications for the informed consent and consequent safety of Canadian medical tourists. © 2011 Penney et al; licensee BioMed Central Ltd.",,"article; Canada; decision making; epidemiology; ethics; financial management; health care cost; human; information dissemination; informed consent; Internet; language; medical tourism; nomenclature; risk; standard; Canada; Choice Behavior; Confounding Factors (Epidemiology); Decision Making; Health Care Sector; Humans; Information Dissemination; Informed Consent; Internet; Language; Marketing of Health Services; Medical Tourism; Risk; Terminology as Topic",,,,,,,,"Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? a scoping review (2010) BMC Health Serv Res, 10, p. 266. , 10.1186/1472-6963-10-266 20825667; Abdullah, B.J.J., The sky is falling (2006) Biomed Imaging Intervention J, 2, p. 529; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , DOI 10.1016/j.tourman.2005.11.005, PII S0261517705001871; Morrow, A., Man Dies after Controversial MS Treatment, Doctor Says, , http://www.theglobeandmail.com/news/national/man-dies-after- controversial-ms-treatment-doctor-says/article1805379/; Jacobs, M., Fixing Foreign Foul-ups, , http://www.edmontonsun.com/comment/columnists/mindelle_jacobs/2010/12/07/ 16465056.html; Snyder, J., Crooks, V.A., Kingsbury, P., Adams, K., Johnston, R., The 'Patient's Physician One-Step Removed': The evolving roles of medical tourism facilitators (2011) J Med Ethics, 37 (SUPPL. 9), pp. 530-534. , 21478420; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Info J, 4, pp. 1-11. , 10.2174/1874431101004010001; Turner, L., ""Medical tourism"" and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care (2010) Int J Health Serv, 40, pp. 443-67. , 10.2190/HS.40.3.d 20799670; Klaus, M., Outsourcing vital operations: What if US health care costs drive patients overseas for surgery? (2006) Quinnipiac Health Law J, 9, pp. 219-247; Impicciatore, P., Pandolfini, C., Casella, N., Bonati, M., Reliability of health information for the public on the world wide web: Systematic survey of advice on managing fever in children at home (1997) British Medical Journal, 314 (7098), pp. 1875-1879; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2010) Tourism Manage; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism websites (2011) J Health Comm, 16 (SUPPL. 2), pp. 1-15; Beauchamp, T.L., Childress, J.F., (2001) Principles of Biomedical Ethics, , New York: Oxford University Press 5; Turner, L., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int J Qual Health Care, 23, pp. 1-7. , 10.1093/intqhc/mzq078 21148210; Manson, N.C., O'Neill, O., (2007) Rethinking Informed Consent in Bioethics, , New York: Cambridge University Press; Paling, J., Strategies to help patients understand risks (2003) BMJ, 327, p. 745. , 14512489; Ball, L.K., Evans, G., Bostrom, A., Risky business: Challenges in vaccine risk communication (1998) Pediatrics, 101 (3), pp. 453-466. , DOI 10.1542/peds.101.3.453; Bogardus Jr., S.T., Holmboe, E., Jekel, J.F., Perils, pitfalls, and possibilities in talking about medical risk (1999) Journal of the American Medical Association, 281 (11), pp. 1037-1041. , DOI 10.1001/jama.281.11.1037; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14 (3), pp. 293-305. , DOI 10.1080/13648470701612646, PII 787565978; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850. , 10.1016/S0140-6736(07)60833-2 17549816; Ansari, M.T., Cheung, M.Y., Huang, J.Q., Eklof, B., Karlberg, J.P.E., Traveler's thrombosis: A systematic review (2005) J Travel Med, 12, pp. 142-145. , 15996443; Page, S.J., The evolution of travel medicine: A new research agenda for tourism? (2009) Tourism Manage, 30, pp. 149-157. , 10.1016/j.tourman.2008.04.011; Reed, C.M., Medical tourism (2008) Med Clin NA, 92, pp. 1433-1446. , 10.1016/j.mcna.2008.08.001; Howze, K.S., Medical tourism: Symptom or cure? (2007) Ga L Rev, 41, pp. 1013-1050; Terry, N.P., Under-regulated health care phenomena in a flat world: Medical tourism and outsourcing (2007) West New Eng L Rev, 29, pp. 421-72; Weber, R.P., (1990) Basic Content Analysis, , Newbury Park, CA: Sage 2; Spece Jr., R.G., Medical tourism: Protecting patients from conflicts of interest in broker's fees paid by foreign providers (2009) Ariz Legal Stud: Discussion Paper No. 09-41; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) Int J Health Serv, 40, pp. 469-84. , 10.2190/HS.40.3.e 20799671; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245. , DOI 10.1080/01947640701357763, PII 779409809; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72, pp. 726-732. , 10.1016/j.socscimed.2010.12.022 21310519; Turner, L., 'First world health care at third world prices': Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-25. , 10.1017/S1745855207005765; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? a scoping review (2010) Int J Equity Health, 9, p. 24. , 10.1186/1475-9276-9-24 21047433; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Can Fam Physician, 53, pp. 1639-1641. , 17934018; Crooks, V.A., Snyder, J., Medical tourism: What Canadian family physicians need to know (2011) Can Fam Physician, 57 (SUPPL. 5), pp. 527-529. , 21571709; Crooks, V.A., Snyder, J., Regulating medical tourism (2010) Lancet, 376 (SUPPL. 9751), pp. 1465-1466. , 21036273; Faden, R.R., Beauchamp, T.L., King, N.M.P., (1986) A History and Theory of Informed Consent, , New York: Oxford University Press","Snyder, J.; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; email: jeremycsnyder@sfu.ca",,,,,,,,14726939,,,"21943392","English","BMC Med. Ethics",Article,"Final",Open Access,Scopus,2-s2.0-80053350814 "Bies W., Zacharia L.","36978522000;6701756552;","Medical tourism: Outsourcing surgery",2007,"Mathematical and Computer Modelling","46","7-8",,"1144","1159",,71,"10.1016/j.mcm.2007.03.027","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34548127686&doi=10.1016%2fj.mcm.2007.03.027&partnerID=40&md5=49719da900380e4feaf98ffc2a1e6346","Katz Graduate School of Business, University of Pittsburgh, Pittsburgh, PA, United States; Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States","Bies, W., Katz Graduate School of Business, University of Pittsburgh, Pittsburgh, PA, United States; Zacharia, L., Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States","A trend emerging in recent years has been travel from industrialized nations to developing countries such as India and Thailand for purposes of undergoing medical procedures, a phenomenon we call medical tourism. Medical tourism offers the prospect of greatly reduced expenses for health care as well as other advantages such as reduced waiting times, but there are risks associated with seeking health care overseas. In order to determine whether medical tourism should be encouraged, and if so in what form, we develop an ANP model. We find that self-selected medical tourism is preferred over employer- or government-sponsored programs and over the status quo. © 2007 Elsevier Ltd. All rights reserved.","ANP models; Medical outsourcing; Medical tourism","Decision theory; Developing countries; Health care; Social aspects; Medical outsourcing; Medical tourism; Outsourcing",,,,,,,,"","Bies, W.; Katz Graduate School of Business, University of Pittsburgh, Pittsburgh, PA, United States; email: webies@katz.pitt.edu",,,,,,,,08957177,,MCMOE,,"English","Math. Comput. Model.",Article,"Final",Open Access,Scopus,2-s2.0-34548127686 "Smith P.C., Forgione D.A.","55643420200;6602926684;","Global Outsourcing of Healthcare: A Medical Tourism Decision Model",2007,"Journal of Information Technology Case and Application Research","9","3",,"19","30",,71,"10.1080/15228053.2007.10856117","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952175138&doi=10.1080%2f15228053.2007.10856117&partnerID=40&md5=1a739b65e3cd930df736ae6ce404ca86","College of Business, University of Texas at San Antonio, United States","Smith, P.C., College of Business, University of Texas at San Antonio, United States; Forgione, D.A., College of Business, University of Texas at San Antonio, United States","The demand for global healthcare services is experiencing tremendous growth. US patients are seeking to reduce their expenditures on healthcare through obtaining treatment on an internationally competitive basis. This trend, known as medical tourism, is on the rise, and US legislators and policy makers must be aware of the issues facing American patients. This paper seeks to model factors that influence a patient’s decision to seek healthcare services abroad. We develop a two-stage model for medical tourism - the first stage being the evaluation of the foreign country and the second stage choosing the healthcare facility. We argue country-specific characteristics influence the country of choice - including economic conditions, political climate, and regulatory policies. We also argue that certain factors - including costs, hospital accreditation, quality of care, and physician training - impact the choice of healthcare facility. The model suggests that no one factor is dominant in the decision, but all play a crucial role in choosing healthcare on an international basis. Policy makers must use these factors to evaluate the impact medical tourism will continue to have on the US healthcare system in order to effectively compete in today’s global, consumer-driven healthcare market. © 1970, © 1970 Elsevier Ltd.","decision model; global outsourcing; health care system; health costs; health policy; healthcare services; Medical tourism",,,,,,,,,"Annual Report (2006) Accessed May, 9. , 2007 at; Amirthalingam, K., Judging doctors and diagnosing the law: Bolam rules in Singapore and Malaysia (2007) Singapore Journal of Legal Studies, pp. 125-146. , http://ssrn.com/abstract=954530, May. Accessed, at; Anderson, G.F., Hussey, P.S., Frogner, B.K., Waters, H.R., Health spending in the United States and the rest of the industrialized world (2005) Health Affairs, 24 (4), pp. 903-914; Business: Sun, sand and scalpels; medical tourism (2007) The Economist, 382, p. 79. , March, Anonymous a; Hospitals act more like hotels (2007) Health Care Strategic Management, 25 (7), p. 9. , Anonymous b; Blesch, G., Rising in the Persian Gulf (2007) Modern Healthcare, 37 (31), pp. 26-28; (2004) Medical Tourism: Need Surgery, Will Travel, , http://cbc.ca/news/background/healthcare/medicaltourism.html, (Jun. 18). Accessed May 9, 2007 at; National Health Expenditures Projections 2006- 2016 (2006) Accessed September, 4. , 2007 at; Chandra, R., Trade in health services (2002) Bulletin of the World Health Organization: the International Journal of Public Health, 80 (2), pp. 158-163; Cortez, N., (2007) Patients without borders: The emerging global market for patients and the evolution of modern health care, p. 83. , Forthcoming, Indiana Law Journal; DeNavas-Walt, C., Proctor, B.D., Lee, C.H., Income, Poverty, and Health Insurance Coverage in the United States: 2005 (2006) US Government Printing Office, Washington, DC. Accessed May, 9. , 2007 at; (2006) Number of “cyberchondriacs” - Adults Who have Ever Gone Online for Health Information - Increases to an Estimated 136 Million Nationwide, , http://www.harrisinteractive.com/harris_poll/index.asp?PID=686, Accessed September 18, 2007 at; Medical Malpractice (May) (2007) Accessed September, 4. , 2007 at; (2007) Home Page, , www.jointcommission.org/, Accessed August 27, 2007; Home page (2007) Accessed August, 27. , 2007 at; Kher, U., (2007) Outsourcing your heart, , www.time.com/time/magazine/article/0,9171,1196429,00,html, May, September, Time Magazine,). Accessed, at; Knapp, D., (2007) Medical Tourism, , Feb., Documentary report on KENS-5 Eyewitness News Television, (Aired; Mattoo, A., Rathindran, R., (2005) Does health insurance impede trade in health care services?, , World Bank Policy Research Working Paper #3667 (Jul; Marlowe, J., Sullivan, P., Medical tourism: the ultimate outsourcing (2007) HR. Human Resource Planning, 30 (2), pp. 8-10; Mello, M.M., Understanding medical malpractice insurance: a primer (2006) Research Synthesis Report No. 8, , The Robert Wood Johnson Foundation; Mudur, G., Indian doctors not accountable, says consumer report (2000) British Medical Journal, 321, p. 588; Palvia, S., (2007) Managing Global Information Technology: Strategies and Challenges, pp. 433-458. , Marietta, GA: Ivy League Publishing; (2005) Traveling for Treatment, the News Hour with Jim Lehrer, , www.pbs.org/newshour/bb/health/jan-june05/thailand_2-21.html, (Feb. 21). Accessed September 4, 2007 at; Ramirez de Arellano, A., Patients without borders (2007) International Journal of Health Services, 37 (1), pp. 193-198; Roth, M., A cheaper medical alternative for those with minimal health insurance—getting surgery abroad may be a sound option (2006) Pittsburgh Post-Gazette, p. G1. , Sept; Segouin, C., Hodges, B., Brechat, P., Globalization in health care: Is international standardization of quality a step toward outsourcing? (2005) International Journal for Quality in Health Care, 17 (4), pp. 277-279; Tasker, R., Thai Hospitality (2000) Far Eastern Economic Review, 163 (36), p. 38; (2007) The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs?, , May, (Jun. 27). Accessed, at; Summary of the HIPPA Privacy Rule (2003) Accessed September, 4. , www.hhs.gov/ocr/privacysummary.pdf, 2007 at",,,,"Routledge",,,,,15228053,,,,"English","J. Inf. Technol. Case Appl. Res.",Article,"Final",,Scopus,2-s2.0-77952175138 "Hodgson C.L., Berney S., Harrold M., Saxena M., Bellomo R.","57189236566;57200710357;57189854987;57193643332;35447905100;","Clinical review: Early patient mobilization in the ICU",2012,"Critical Care","17","1", 207,"","",,69,"10.1186/cc11820","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874391723&doi=10.1186%2fcc11820&partnerID=40&md5=02555da5fa9b12e11035f9091d6e7435","Australia and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia; The Alfred, Commercial Rd, Prahran, VIC, 3181, Australia; Austin Health, 145 Studley Rd, Heidelberg, VIC, 3084, Australia; University of Melbourne, Grattan St Parkville, Melbourne, VIC, 3010, Australia; Curtin University, GPO Box U1987, Perth, WA, 6845, Australia; Royal Perth Hospital, 197 Wellington St, Perth, WA, 6000, Australia; The St George Hospital, Gray St, Kogarah, NSW, 2217, Australia; The University of New South Wales, High St, Kensington, NSW, 2052, Australia; The George Institute For Global Health, Level 13, 321 Kent Street, Sydney, NSW, 2000, Australia","Hodgson, C.L., Australia and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia, The Alfred, Commercial Rd, Prahran, VIC, 3181, Australia; Berney, S., Austin Health, 145 Studley Rd, Heidelberg, VIC, 3084, Australia, University of Melbourne, Grattan St Parkville, Melbourne, VIC, 3010, Australia; Harrold, M., Curtin University, GPO Box U1987, Perth, WA, 6845, Australia, Royal Perth Hospital, 197 Wellington St, Perth, WA, 6000, Australia; Saxena, M., The St George Hospital, Gray St, Kogarah, NSW, 2217, Australia, The University of New South Wales, High St, Kensington, NSW, 2052, Australia, The George Institute For Global Health, Level 13, 321 Kent Street, Sydney, NSW, 2000, Australia; Bellomo, R., Australia and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia","Early mobilization (EM) of ICU patients is a physiologically logical intervention to attenuate critical illness-associated muscle weakness. However, its long-term value remains controversial. We performed a detailed analytical review of the literature using multiple relevant key terms in order to provide a comprehensive assessment of current knowledge on EM in critically ill patients. We found that the term EM remains undefined and encompasses a range of heterogeneous interventions that have been used alone or in combination. Nonetheless, several studies suggest that different forms of EM may be both safe and feasible in ICU patients, including those receiving mechanical ventilation. Unfortunately, these studies of EM are mostly single center in design, have limited external validity and have highly variable control treatments. In addition, new technology to facilitate EM such as cycle ergometry, transcutaneous electrical muscle stimulation and video therapy are increasingly being used to achieve such EM despite limited evidence of efficacy. We conclude that although preliminary low-level evidence suggests that EM in the ICU is safe, feasible and may yield clinical benefits, EM is also labor-intensive and requires appropriate staffing models and equipment. More research is thus required to identify current standard practice, optimal EM techniques and appropriate outcome measures before EM can be introduced into the routine care of critically ill patients. © 2013 BioMed Central Ltd.",,"bicycle ergometry; clinical effectiveness; clinical practice; critically ill patient; evidence based practice; external validity; human; intensive care unit; leisure; mobilization; muscle weakness; observational study; patient mobility; patient safety; physiotherapy; priority journal; professional knowledge; recreation; review; therapy effect; transcutaneous nerve stimulation; critical illness; ergometry; intensive care; walker; Critical Illness; Early Ambulation; Ergometry; Humans; Intensive Care; Intensive Care Units; Physical Therapy Modalities; Transcutaneous Electric Nerve Stimulation; Video Games; Walkers",,,,,,,,"Saxena, M.K., Hodgson, C.L., Intensive care unit acquired weakness (2012) Anaesth Intensive Care Med, 13, pp. 145-147; Morris, P.E., Griffin, L., Berry, M., Thompson, C., Hite, R.D., Winkelman, C., Hopkins, R.O., Haponik, E., Receiving early mobility during an intensive care unit admission is a predictor of improved outcomes in acute respiratory failure (2011) Am J Med Sci, 341, pp. 373-377. , 10.1097/MAJ.0b013e31820ab4f6, 3082620, 21358312; Needham, D.M., Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical function (2008) JAMA, 300, pp. 1685-1690. , 10.1001/jama.300.14.1685, 18840842; Needham, D.M., Korupolu, R., Zanni, J.M., Pradhan, P., Colantuoni, E., Palmer, J.B., Brower, R.G., Fan, E., Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project (2010) Arch Phys Med Rehabil, 91, pp. 536-542. , 10.1016/j.apmr.2010.01.002, 20382284; Griffiths, R.D., Hall, J.B., Intensive care unit-acquired weakness (2010) Crit Care Med, 38, pp. 779-787. , 10.1097/CCM.0b013e3181cc4b53, 20048676; Maramattom, B.V., Wijdicks, E.F., Acute neuromuscular weakness in the intensive care unit (2006) Crit Care Med, 34, pp. 2835-2841. , 10.1097/01.CCM.0000239436.63452.81, 16932235; de Jonghe, B., Lacherade, J.C., Sharshar, T., Outin, H., Intensive care unit-acquired weakness: risk factors and prevention (2009) Crit Care Med, 37 (10 SUPPL), pp. S309-S315; Nordon-Craft, A., Moss, M., Quan, D., Schenkman, M., Intensive care unit-acquired weakness: implications for physical therapist management (2012) Phys Ther, 92, pp. 1494-1506. , 10.2522/ptj.20110117, 22282769; Herridge, M.S., Long-term outcomes after critical illness: past, present, future (2007) Curr Opin Crit Care, 13, pp. 473-475. , 10.1097/MCC.0b013e3282eff3af, 17762221; Herridge, M.S., Legacy of intensive care unit-acquired weakness (2009) Crit Care Med, 37 (10 SUPPL), pp. S457-S461; Rubenfeld, G.D., Herridge, M.S., Epidemiology and outcomes of acute lung injury (2007) Chest, 131, pp. 554-562. , 10.1378/chest.06-1976, 17296661; Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Nigos, C., Pawlik, A.J., Esbrook, C.L., Spears, L., Kress, J.P., Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial (2009) Lancet, 373, pp. 1874-1882. , 10.1016/S0140-6736(09)60658-9, 19446324; Morandi, A., Brummel, N.E., Ely, E.W., Sedation, delirium and mechanical ventilation: the 'ABCDE' approach (2011) Curr Opin Crit Care, 17, pp. 43-49. , 10.1097/MCC.0b013e3283427243, 21169829; Morris, P.E., Moving our critically ill patients: mobility barriers and benefits (2007) Crit Care Clin, 23, pp. 1-20. , 10.1016/j.ccc.2006.11.003, 17307113; Perme, C., Chandrashekar, R., Early mobility and walking program for patients in intensive care units: creating a standard of care (2009) Am J Crit Care, 18, pp. 212-221. , 10.4037/ajcc2009598, 19234100; O'Connor, E.D., Walsham, J., Should we mobilise critically ill patients? 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(2010) Crit Care, 14, p. 160. , 10.1186/cc9005, 2911708, 20519035; Gerovasili, V., Stefanidis, K., Vitzilaios, K., Karatzanos, E., Politis, P., Koroneos, A., Chatzimichail, A., Nanas, S., Electrical muscle stimulation preserves the muscle mass of critically ill patients: a randomized study (2009) Crit Care, 13, pp. R161. , 10.1186/cc8123, 2784391, 19814793; Gerovasili, V., Tripodaki, E., Karatzanos, E., Pitsolis, T., Markaki, V., Zervakis, D., Routsi, C., Nanas, S., Short-term systemic effect of electrical muscle stimulation in critically ill patients (2009) Chest, 136, pp. 1249-1256. , 10.1378/chest.08-2888, 19710290; Routsi, C., Gerovasili, V., Vasileiadis, I., Karatzanos, E., Pitsolis, T., Tripodaki, E., Markaki, V., Nanas, S., Electrical muscle stimulation prevents critical illness polyneuromyopathy: a randomized parallel intervention trial (2010) Crit Care, 14, pp. R74. , 10.1186/cc8987, 2887197, 20426834; Rodriguez, P.O., Setten, M., Maskin, L.P., Bonelli, I., Vidomlansky, S.R., Attie, S., Frosiani, S.L., Valentini, R., Muscle weakness in septic patients requiring mechanical ventilation: protective effect of transcutaneous neuromuscular electrical stimulation (2012) J Crit Care, 27. , 319-e1-8; Rodriguez, P.O., Setten, M., Valentini, R., Electrical muscle stimulation for prevention of critical illness polyneuropathy (2010) Crit Care, 14, p. 428. , 10.1186/cc9081, 2945080, 20624326; Gruther, W., Kainberger, F., Fialka-Moser, V., Paternostro-Sluga, T., Quittan, M., Spiss, C., Crevenna, R., Effects of neuromuscular electrical stimulation on muscle layer thickness of knee extensor muscles in intensive care unit patients: a pilot study (2010) J Rehabil Med, 42, pp. 593-597. , 10.2340/16501977-0564, 20549166; Zanotti, E., Felicetti, G., Maini, M., Fracchia, C., Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation (2003) Chest, 124, pp. 292-296. , 10.1378/chest.124.1.292, 12853536; Chi-Fishman, G., Hicks, J.E., Cintas, H.M., Sonies, B.C., Gerber, L.H., Ultrasound imaging distinguishes between normal and weak muscle (2004) Arch Phys Med Rehabil, 85, pp. 980-986. , 10.1016/j.apmr.2003.07.008, 15179654; Seymour, J.M., Ward, K., Sidhu, P.S., Puthucheary, Z., Steier, J., Jolley, C.J., Rafferty, G., Moxham, J., Ultrasound measurement of rectus femoris cross-sectional area and the relationship with quadriceps strength in COPD (2009) Thorax, 64, pp. 418-423. , 10.1136/thx.2008.103986, 19158125; Kho, M.E., Damluji, A., Zanni, J.M., Needham, D.M., Feasibility and observed safety of interactive video games for physical rehabilitation in the intensive care unit: a case series (2012) J Crit Care, 27. , 219-e1-e6; Hopkins, R.O., Spuhler, V.J., Strategies for promoting early activity in critically ill mechanically ventilated patients (2009) AACN Adv Crit Care, 20, pp. 277-289. , 10.1097/NCI.0b013e3181acaef0, 19638749; Vasilevskis, E.E., Ely, E.W., Speroff, T., Pun, B.T., Boehm, L., Dittus, R.S., Reducing iatrogenic risks: ICU-acquired delirium and weakness - crossing the quality chasm (2010) Chest, 138, pp. 1224-1233. , 10.1378/chest.10-0466, 21051398; Bigatello, L.M., Citerio, G., The long-lasting damage of delirium: another burden to intensive care unit survivors (2012) Crit Care Med, 40, pp. 319-320. , 10.1097/CCM.0b013e318232d2cc, 22179359; Morandi, A., Jackson, J.C., Delirium in the intensive care unit: a review (2011) Neurol Clin, 29, pp. 749-763. , 10.1016/j.ncl.2011.08.004, 22032658; Page, V., Gough, K., Management of delirium in the intensive care unit (2010) Br J Hosp Med (Lond), 71, pp. 372-376; Genc, A., Ozyurek, S., Koca, U., Gunerli, A., Respiratory and hemodynamic responses to mobilization of critically ill obese patients (2012) Cardiopulm Phys Ther J, 23, pp. 14-18. , 3286495, 22807650; Leditschke, I.A., Green, M., Irvine, J., Bissett, B., Mitchell, I.A., What are the barriers to mobilizing intensive care patients? (2012) Cardiopulm Phys Ther J, 23, pp. 26-29. , 3286497, 22807652","Hodgson, C.L.; Australia and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia; email: carol.hodgson@monash.edu",,,,,,,,13648535,,CRCAF,"23672747","English","Crit. Care",Review,"Final",Open Access,Scopus,2-s2.0-84874391723 "Turner L.G.","7202689997;","Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies",2011,"International Journal for Quality in Health Care","23","1", mzq078,"1","7",,69,"10.1093/intqhc/mzq078","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78751689192&doi=10.1093%2fintqhc%2fmzq078&partnerID=40&md5=d165b0b2357422d58292ad29701c9e63","Center for Bioethics and School of Public Health, University of Minnesota, Minneapolis, MN, United States","Turner, L.G., Center for Bioethics and School of Public Health, University of Minnesota, Minneapolis, MN, United States","Patients are crossing national borders in search of affordable and timely health care. Many medical tourism companies are now involved in organizing cross-border health services. Despite the rapid expansion of the medical tourism industry, few standards exist to ensure that these businesses organize high-quality, competent international health care. Addressing the regulatory vacuum, 10 standards are proposed as a framework for regulating the medical tourism industry. Medical tourism companies should have to undergo accreditation review. Care should be arranged only at accredited international health-care facilities. Standards should be established to ensure that clients of medical tourism companies make informed choices. Continuity of care needs to become an integral feature of cross-border care. Restrictions should be placed on the use of waiver of liability forms by medical tourism companies. Medical tourism companies must ensure that they conform to relevant legislation governing privacy and confidentiality of patient information. Restrictions must be placed on the types of health services marketed by medical tourism companies. Representatives of medical tourism agencies should have to undergo training and certification. Medical travel insurance and medical complications insurance should be included in the health-care plans of patients traveling for care. To protect clients from financial losses, medical tourism companies should be mandated to contribute to compensation funds. Establishing high standards for the operation of medical tourism companies should reduce risks facing patients when they travel abroad for health care. © The Author 2010. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.","Accreditation; Globalization; Legal standards; Medical travel; Regulation and oversight","article; certification; compensation; confidentiality; health care facility; health care quality; health insurance; health service; medical tourism; priority journal; privacy; standard; Accreditation; Confidentiality; Continuity of Patient Care; Health Services Accessibility; Humans; Informed Consent; Insurance Coverage; Internationality; Medical Tourism; Quality of Health Care; Treatment Outcome",,,,,,,,"Connell, J., Medical tourism: sea, sun, sand and... surgery (2006) Tourism Manage, 27, pp. 1093-1100; Ramirez de Arellano, A., Patients without borders: the emergence of medical tourism (2007) Int J Health Serv, 37, pp. 193-198; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Global Public Health, 3, pp. 271-290; Henderson, J., Healthcare tourism in Southeast Asia (2003) Tourism Rev Int, 7, pp. 111-121; Judkins, G., Persistence of the U.S.-Mexico border: expansion of medical tourism and trade liberalization (2007) J Lat Am Geogr, 6, pp. 11-32; Cuddehe, M., Patients without borders: the rise of Mexican medical tourism (2009) New Republic, 17, pp. 16-17; Castonguay, G., Brown, A., 'Plastic surgery tourism' proving a boon for Costa Rica's surgeons (1993) Can Med Assoc J, 148, pp. 74-76; Osterle, A., Balazs, P., Delgado, J., Travelling for teeth: characteristics and perspectives of dental care tourism in Hungary (2009) Br J Dentist, 206, pp. 425-428; Turner, L., Cross-border dental care: 'dental tourism' and patient mobility (2008) Br J Dentist, 204, pp. 553-554; Sobo, E., Medical travel: what it means, why it matters (2009) Med Anthropol, 28, pp. 326-335; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) Can Med Assoc J, 174, p. 1247; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850; Milstein, A., Smith, M., America's New Refugees-seeking affordable surgery offshore (2006) N Engl J Med, 355, pp. 1637-1640; Lee, J.Y., Kearns, R., Friesen, W., Seeking affective health care: Korean immigrants' use of homeland medical services (2010) Health Place, 16, pp. 108-115; Enserink, M., Selling the stem cell dream (2006) Science, 313, pp. 160-163; MacReady, N., The murky ethics of stem-cell tourism (2009) Lancet, 10, pp. 317-318; Scheper-Hughes, N., Keeping an eye on the global traffic in human organs (2003) Lancet, 361, pp. 1645-1648; Bramstedt, K.A., Xu, J., Checklist: passport, plane ticket, organ transplant (2007) Am J Transplant, 7, pp. 1698-1701; Reed, C., Medical tourism (2008) Med Clin North Am, 92, pp. 1433-1446; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism'-an avoidable burden on the NHS (2007) J Plast Reconstr Aesthet Surg, 60, pp. 1075-1077; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) J Plast Reconstr Aesthet Sur, 61, pp. 1423-1424; Cheung, I., Wilson, A., Arthroplasty tourism (2007) M J Aust, 187, pp. 666-667; Newman, M., Camberos, A., Clynes, N., Outbreak of atypical mycobacteria infections in U.S. patients traveling abroad for cosmetic surgery (2005) Plast Reconstr Surg, 115, pp. 964-965; Handschin, A., Banic, A., Constantinescu, M., Pulmonary embolism after plastic surgery tourism (2007) Clin Appl Thromb Hemost, 13, p. 340; Walker, H., Brooker, T., Gelman, W., Abdominal wall reconstruction following removal of a chronically infected mid-urethral tape (2009) Int Urogynecol J, 20, pp. 1273-1275; Newman, M., Camberos, A., Ascherman, J., Mycobacteria abscessus outbreak in US Patients linked to offshore surgicenter (2005) Ann Plast Surg, 55, pp. 107-110; Hanna, S., Saksena, J., Legge, S., Sending NHS patients for operations abroad: is the holiday over? (2009) Ann R Coll Surg Engl, 91, pp. 128-130; Furuya, E.Y., Paez, A., Srinivasan, A., Outbreak of Mycobacterium abscessus wound infections among 'Lipotourists' from the United States who underwent abdominoplasty in the Dominican Republic (2008) CID, 46, pp. 1181-1188; Turner, L., 'First world health care at third world prices': globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Horowitz, M.D., Rosensweig, J.A., Medical tourism-health care in the global economy (2007) Physician Exec, 33, pp. 24-26. , 8-30","Turner, L.G.N504 Boynton, 410 Church Street SE, Minneapolis, MN 55455, United States; email: turne462@umn.edu",,,,,,,,13534505,,IJQCF,"21148210","English","Int. J. Qual. Health Care",Article,"Final",Open Access,Scopus,2-s2.0-78751689192 "Han H.","21233360400;","The healthcare hotel: Distinctive attributes for international medical travelers",2013,"Tourism Management","36",,,"257","268",,66,"10.1016/j.tourman.2012.11.016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84872477205&doi=10.1016%2fj.tourman.2012.11.016&partnerID=40&md5=91a4ae2f793f33f73a51dd1de2807d42","College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul 143-747, South Korea","Han, H., College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul 143-747, South Korea","Despite rapid growth in the medical/healthcare-tourism industry, research on the concept of the healthcare hotel, which can be a significant part of this industry, is rare. This study was designed to identify the distinctive attributes of a healthcare hotel-those facets unlikely to be available in regular medical clinics-and to test the role of these identified attributes in building visit intention among international travelers by considering the impact of perceptions/cognitions, affect, and trust. Qualitative and quantitative approaches generated three dimensions (monetary and convenience advantages, personal security, and availability of products/services) involving 23 attributes and validated the assessment tool for them. The results from the structural model revealed that the proposed relationships among study variables are positively and significantly associated. In addition, perceptions/cognitions, affect, and trust were found to be mediators in the proposed theoretical framework. Implications related to the identified attributes and tested relationships are discussed. © 2012 Elsevier Ltd.","Affect; Healthcare hotel; Medical tourism; Perceptions/cognitions; Trust; Visit intention","health care; medical geography; perception; qualitative analysis; quantitative analysis; tourism; cognition; health care; health services; perception; tourism management; tourist destination",,,,,,,,"Assael, H., (1984) Consumer behavior and marketing action, , Kent, Boston, MA; Aydin, S., Ozer, G., Arasil, O., Customer loyalty and the effect of switching costs as a moderator variable: a case in the Turkish mobile phone market (2005) Marketing Intelligence & Planning, 23 (1), pp. 89-103; Back, K., Parks, S.C., A brand loyalty model involving cognitive, affective, and conative brand loyalty and customer satisfaction (2003) Journal of Hospitality and Tourism Research, 27 (4), pp. 419-435; Bagozzi, R.P., Yi, Y., On the evaluation of structural equation models (1988) Journal of the Academy of Marketing Science, 16, pp. 74-94; 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Manage.",Article,"Final",,Scopus,2-s2.0-84872477205 "Ormond M.","7801551522;","Neoliberal governance and international medical travel in Malaysia",2013,"Neoliberal Governance and International Medical Travel in Malaysia",,,,"1","164",,66,"10.4324/9780203077566","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84909436212&doi=10.4324%2f9780203077566&partnerID=40&md5=32b6c36d626100bdb078514ee9c90a31","Cultural Geography Department, Wageningen University, Netherlands","Ormond, M., Cultural Geography Department, Wageningen University, Netherlands","International medical travel (IMT), people crossing national borders in the pursuit of healthcare, has become a growing phenomenon. With many of the countries currently being promoted as IMT destinations located in the ‘developing’ world, IMT poses a significant challenge to popular assumptions about who provides and receives care since it inverses and diversifies presumed directionalities of care.This book analyses the development of international medical travel in Malaysia, by looking at the benefits and challenges of providing health care to non-Malaysians. It challenges embedded assumptions about the sources, directions and political value of care. The author situates the Malaysian case study material at the fruitful cross-section of a range of literatures on transnational mobility, hospitality, therapeutic landscapes and medical diplomacy to examine their roles in the construction of national identity. 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Travel in Malaysia",Book,"Final",,Scopus,2-s2.0-84909436212 "Turner L.","7202689997;","Medical tourism: Family medicine and international health-related travel [Tourisme médical: La médecine familiale et les voyages internationaux reliés à la santé]",2007,"Canadian Family Physician","53","10",,"1639","1641+1646-1648",,66,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-38449088638&partnerID=40&md5=37c94c699993f569cd3c788f2071243b","Biomedical Ethics Unit, McGill University, Montreal, QC, Canada; Biomedical Ethics Unit, McGill University, 3647 Peel St, Montreal, QC H3A 1X1, Canada","Turner, L., Biomedical Ethics Unit, McGill University, Montreal, QC, Canada, Biomedical Ethics Unit, McGill University, 3647 Peel St, Montreal, QC H3A 1X1, Canada",[No abstract available],,"health care; health care system; health promotion; human; medical research; note; physician; tourism; article; Canada; general practice; health; health care cost; health care delivery; organization and management; travel; Canada; Delivery of Health Care; Family Practice; Health Expenditures; Humans; Travel; World Health",,,,,,,,"Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ, 174, p. 1247; Johnston, C., US ad uses lure of prompt treatment to entice Canadians needing joint replacement (1996) CMAJ, 154, pp. 1071-1072; Katz, S.J., Cardiff, K., Pascali, M., Barer, M.L., Evans, R.G., Phantoms in the snow: Canadians' use of health care services in the United States (2002) Health Aff (Millwood), 21, pp. 19-31; Korcok, M., Excess demand meets excess supply as referral companies link Canadian patients, US hospitals (1997) CMAJ, 157, pp. 767-770; Alcoba, N., Patrick, K., Ontario agrees to pay $52,000 cancer bill (2007) National Post, , 31 janv.;Sect. A:13; Priest, L., Panel orders Ontario to pay for hip surgery (2007), Sect. A:6; Priest, L., Long wait forces cancer patient to buy operation in land he fled (2007) The Globe and Mail janv, , Sect. A:1; Roth, M., Surgery abroad an option for those with minimal health coverage (2006) Pittsburgh Post-Gazette 10 sept, , www.post-gazette.com/pg/06253/719928-37.stm, Accessible à:, Accédé le 28 août; Yi, D., Overseas surgery a clamp on costs (2006) Los Angeles Times juil, , Sect. A:1; Appleby, J., Schmit, J., Sending patients packing (2006) USA Today, , www.usatoday.com/money/industries/health/2006-07-26-travel-surgery-usat_x.htm, 9 août, Accessible à:, Accédé le 27 août; Anderson J. Hospitals oppose 'medical tourism' bill. Charleston Daily Mail fév. 2007; Canales, M., Kasiske, B., Rosenberg, M., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82, pp. 1658-1661; Kennedy, S., Shen, Y., Charlesworth, J., Mackie, J., Mahony, J., Kelly, J., Outcome of overseas commercial kidney transplantation: An Australian perspective (2005) Med J Aust, 182, pp. 224-227; Prasad GV, Shukla A, Huang M, D'A Honey RJ, Zaltzman JS. Outcomes of commercial renal transplantation: a Canadian experience. Transplantation 2006;82:1130-5","Turner, L.; Biomedical Ethics Unit, McGill University, 3647 Peel St, Montreal, QC H3A 1X1, Canada; email: leigh.turner@mcgill.ca",,,,,,,,0008350X,,CFPHA,"17934018","French; English","Can. Fam. Phys.",Note,"Final",,Scopus,2-s2.0-38449088638 "Ehrbeck T., Guevara C., Mango P.O.","37044953500;52863623100;52864165900;","Mapping the market for medical travel",2008,"McKinsey Quarterly",,"4",,"80","",,65,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-54849423768&partnerID=40&md5=5f87dd2509e377e169aabad47afcba68","Mckinsey's Delhi Office; Dubai Office; Pittsburgh Office","Ehrbeck, T., Mckinsey's Delhi Office; Guevara, C., Dubai Office; Mango, P.O., Pittsburgh Office",[No abstract available],,,,,,,,,,,"Ehrbeck, T.; Mckinsey's Delhi OfficeIndia",,,,,,,,00475394,,,,"English","McKinsey Q.",Note,"Final",,Scopus,2-s2.0-54849423768 "Chen K.-H., Liu H.-H., Chang F.-H.","55782998400;15070889700;7403649075;","Essential customer service factors and the segmentation of older visitors within wellness tourism based on hot springs hotels",2013,"International Journal of Hospitality Management","35",,,"122","132",,64,"10.1016/j.ijhm.2013.05.013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879745117&doi=10.1016%2fj.ijhm.2013.05.013&partnerID=40&md5=521f911bea32383552b7c82a353b349a","Department of Tourism Management, National Kaohsiung University of Applied Sciences, No. 415, Chien Kung Road, Kaohsiung 807, Taiwan; Department of Leisure, Recreation and Tourism Management, Tzu Hui Institute of Technology, No. 367, Sanmin Road, Nanjhou Hsian, Pingtung 926, Taiwan","Chen, K.-H., Department of Tourism Management, National Kaohsiung University of Applied Sciences, No. 415, Chien Kung Road, Kaohsiung 807, Taiwan; Liu, H.-H., Department of Tourism Management, National Kaohsiung University of Applied Sciences, No. 415, Chien Kung Road, Kaohsiung 807, Taiwan; Chang, F.-H., Department of Leisure, Recreation and Tourism Management, Tzu Hui Institute of Technology, No. 367, Sanmin Road, Nanjhou Hsian, Pingtung 926, Taiwan","Tourism-related industries have emphasized the wellness tourism market when numerous countries now face an aging population. Many studies have indicated that strong customer service increases competitive advantage. However, customer service-related research from the perspectives of customers and operators is rare. This study adopted a two-phase approach to incorporate the perspectives of older adults and operators in wellness tourism into the service factors. We extracted service factors from face-to-face interviews with senior managers and experienced consultants of the hot springs hotel industry conducted in Phase 1. During Phase 2, we interviewed older adults at hot springs, and performed exploratory and confirmatory factor analyses to examine the reliability and validity of customer service factors. The results highlighted the following seven customer service factors: ""health promotion treatments,"" ""mental learning,"" ""experience of unique tourism resources,"" ""complementary therapies,"" ""relaxation,"" ""healthy diet,"" and ""social activities."" According to these service factors, the older adults interviewed were divided into a holistic group, physiocare group, and leisure and recreation group using cluster analysis. Finally, we propose socio-demographic variables for describing the specific characteristics of the three clusters identified. © 2013 Elsevier Ltd.","Customer service; Older adults; Segmentation; Wellness tourism",,,,,,,,,"Adams, T.B., (2003) The power of perceptions: measuring wellness in a globally acceptable philosophically consistent way, , http://www.hedir.org/, retrieved from, (20.09.08); Ardell, D.B., (1977) High Level Wellness: An Alternative to Doctors, Drugs, and Disease, , Rodale Press, Emmaus, PA; Ballou, R.H., (1994) Business Logistics Management, , Prentice-Hall, Englewood Cliffs, NJ; Barrows, C., Powers, T., Reynolds, D., (2012) Introduction to Management in the Hospitality Industry, pp. NJ-NJ9. , John Wiley & Sons, Hoboken; Blazey, M.A., Travel and retirement status (1992) Annals of Tourism Research, 19 (4), pp. 771-783; Boksberger, P.E., Laesser, C., Segmentation of the senior travel market by the means of travel motivations (2009) Journal of Vacation Marketing, 15 (4), pp. 311-322; Chang, K.C., Chen, M.C., Applying the Kano model and QFD to explore customers' brand contacts in the hotel business: a study of a hot spring hotel (2011) Total Quality Management, 22 (1), pp. 1-27; Cohen, M., Spa introduction (2008) Understanding the Global Spa Industry: Spa Management, , Elsevier Ltd., MA, G. Bodeker, M. 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J. Hosp. Manage.",Article,"Final",,Scopus,2-s2.0-84879745117 "Sen Gupta A.","24598104500;","Medical tourism in India: winners and losers.",2008,"Indian journal of medical ethics","5","1",,"4","5",,64,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-49849099804&partnerID=40&md5=0cf0347e65483a7802cb2fdf72dbb61f",,"Sen Gupta, A.",[No abstract available],,"developed country; developing country; economics; editorial; ethics; health care policy; health care quality; human; India; organization and management; patient attitude; psychological aspect; public health; statistics; travel; Developed Countries; Developing Countries; Health Policy; Humans; India; National Health Programs; Patient Acceptance of Health Care; Quality of Health Care; Travel",,,,,,,,,"Sen Gupta, A.",,,,,,,,,,,"18630244","English","Indian J Med Ethics",Editorial,"Final",,Scopus,2-s2.0-49849099804 "Lehto X.Y., Brown S., Chen Y., Morrison A.M.","6507157583;56327437100;57190430179;7402256956;","Yoga tourism as a niche within the wellness tourism market",2006,"Tourism Recreation Research","31","1",,"25","35",,63,"10.1080/02508281.2006.11081244","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979884886&doi=10.1080%2f02508281.2006.11081244&partnerID=40&md5=4a77fda0ba4d2d591332ee2b0ad8dfc0","Department of Hospitality and Tourism Management, Purdue University, West Lafayette, IN 47907, United States; Purdue University, West Lafayette, IN 47907, United States","Lehto, X.Y., Department of Hospitality and Tourism Management, Purdue University, West Lafayette, IN 47907, United States; Brown, S., Purdue University, West Lafayette, IN 47907, United States; Chen, Y., Purdue University, West Lafayette, IN 47907, United States; Morrison, A.M., Department of Hospitality and Tourism Management, Purdue University, West Lafayette, IN 47907, United States","Yoga tourism has emerged and grown with the 'travel to feel well' trend. This study explored this under-researched market by interviewing and surveying a group of yoga retreat participants in central Indiana, USA. This research, while exploratory in nature, delineated the socio-demographic and motivational characteristics of yoga tourists and provided empirical evidences that an individual's involvement level with yoga, physical health as well as mental wellbeing positively contribute to the propensity to travel for yoga. The findings bear practical relevance for tour operators and destinations that are trying to develop niche travel markets by tapping into the growing special-interest tourism market. This research provides a good baseline for future research on the yoga tourism phenomenon. © 2006 Tourism Recreation Research.","Health and wellness tourism; Involvement; Special-interest tourism; Well-being; Yoga tourists",,,,,,,,,"Ardell, D.B., (1977) High Level Wellness: An Alternative to Doctors, Drugs and Disease, , Emmaus, PA. Rodale Press; Ardell, D.B., (1986) High Level Wellness, , Berkeley, CA. Ten Speed Press; Brotherton, B., Himmetoglu, B., Beyond Destination-Special Interest Tourism (1997) Anatolia, 8 (3), pp. 11-30; Douglas, N., Douglas, N., Derrett, R., (2001) Special Interest Tourism: Context and Cases, , Brisbane, New York. John Wiley and Sons; (2003) Fodor's Healthy Escapes: 288 Spas, Resorts, and Retreats Where You Can Relax, Recharge, Get Fit, and Getaway from It All (8Thed.), , New York. Random House, Inc; Garcfa-Altes, A., The Development of Health Tourism Services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Ha Vitz, M., Dimanche, F., Propositions for Testing the Involvement Construct in Recreational and Tourism Contexts (1990) Leisure Science, 12 (2), pp. 179-195; Ha Vitz, M., Dimanche, F., Leisure Involvement Revisited: Conceptual Conundrums and Measurement Advances (1997) Journal of Leisure Research, 29 (3), pp. 245-278; Hill, M., (2004) Get away from It All, , http://www.travelweekly.co.uk/Home/Default.aspx, Travel Weekly, Factiva database, Accessed on 25 March 2005; Iyengar, B.K.S., (1989) The Tree of Yoga. Boston, Mass, , Shambhala Publications, Inc; Kapferer, J.N., Laurent, G., Consumer Involvement Profiles: A New Practical Approach to Consumer Involvement (1985) Journal of Advertising Research, 25 (6), pp. 48-56; Klein, D.A., (2002) Inner Peace, Good Eats!Newsweek, 139. , 18 March; Lederman, E., (1996) Vacations that Can Change Your Life, , Naperville, Illinois. Sourcebooks, Inc; Mathieson, A., Wall, G., (1982) Tourism Economic, Physical and Social Impacts., , Harlow. Longman Scientific and Technical press; Mueller, H., Kaufmann, E.L., Wellness Tourism: Market Analysis of a Special Health Tourism Segment and Implications for the Hotel Industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Parker-Pope, T., Doctors Study: The Health Benefits of Yoga (2002) The Wall Street Journal, , 23 July; Read, S.E., A Prime Force in the Expansion of Tourism in the Next Decade: Special Interest Travel (1980) Tourism Marketing and Management Issues, , Hawkins, D. E., Shafer, E. 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Halsted Press; (1985) The Role of Recreation Management in the Development of Active Holidays and Special Interest Tourism and Consequent Enrichment of the Holiday Experience, , Madrid. World Tourism Organization; (2003) Travel Weekly: The Choice of Travel Professionals, pp. 50-59. , Reed, 8 September; http://yogatourism.com/, Accessed on 17 March 2005; (2000), http://www.goldcoast.qld.gov.au/attachment/tourism/ts_part3_12.pdf, Accessed on 15 March 2004; http://www.hwta.net/, Accessed on 20 January 2005; http://www.india-tourism.net/Yoga.htm, Accessed on 17 March 2005",,,,"Taylor and Francis Ltd.",,,,,02508281,,,,"English","Tour. Recreat. Res.",Article,"Final",,Scopus,2-s2.0-84979884886 "Smith R., Martínez Álvarez M., Chanda R.","55746369800;37111139100;7004477781;","Medical tourism: A review of the literature and analysis of a role for bi-lateral trade",2011,"Health Policy","103","2-3",,"276","282",,61,"10.1016/j.healthpol.2011.06.009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80255126820&doi=10.1016%2fj.healthpol.2011.06.009&partnerID=40&md5=6ccbf27b23885a449286a4ec792f02a5","Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom; Institute of Management Bangalore, Bannerghatta Road, Bangalore 560076, India","Smith, R., Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom; Martínez Álvarez, M., Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom; Chanda, R., Institute of Management Bangalore, Bannerghatta Road, Bangalore 560076, India","Objectives: With increasing globalization, many countries are considering opening their health systems to greater cross-border movement of patients. This is usually done from the viewpoint of a multi-lateral trade relationship. This paper considers the issues that arise from this debate from a bi-lateral perspective. Methods: A systematic literature review was carried out on 'Medical Tourism' from the perspective of a bi-lateral trade relationship, using the UK and India as a case study. Results: There is a dearth of data and discussion on such bi-lateral trade. This limited evidence offers some suggestions. Exporting countries may benefit from medical tourism by generating foreign exchange and reversing the brain drain, but run the risk of creating a dual system, where the local population is crowded out. Importing countries can benefit from alleviating waiting lists and lowering healthcare costs, but may risk quality of care and legal liability. However, evidence from a bi-lateral perspective suggests that the positive aspects can be capitalised, and the negative ones reduced. Conclusions: The key recommendations from this paper are for more evidence to be collected at the country and international level, and for countries to consider trade in health services from a bi-lateral rather than multi-lateral perspective. © 2011 Elsevier Ireland Ltd.","GATS; Medical tourism; Trade in health services","accreditation; Africa; article; Asia; cost control; dentistry; Eastern Europe; health care cost; health care quality; health care system; heart surgery; hospital admission; human; India; joint prosthesis; legal liability; medical tourism; North America; risk; South and Central America; systematic review (topic); trade union; United Kingdom; Western Europe; Commerce; Great Britain; Humans; India; International Cooperation; Internationality; Medical Tourism",,,,,,,,"Smith, R., Trade in health services: current challenges and future prospects of globalisation (2006) Elgar Companion to Health Economics, , Edward Elgar, I.J. Am (Ed.); Smith, R.D., Trade and public health: facing the challenges of globalisation (2006) Journal of Epidemiology and Community Health, 60 (8), pp. 650-651; Blouin, C., Drager, N., Smith, R.D., International trade in health services and the GATS: current issues and debates (2005) World Bank; Blouin, C., Drager, N., Smith, R.D., Building a National Health Strategy for Trade: A Guide for Policy Making. Press MU; in press; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373 (9663), pp. 593-601; Burkett, L., Medical tourism. 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Woodside, D. Martin (Eds.); Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92 (6), pp. 1433-1446. , xi; (1998) International Trade in Health Services. A Development Perspective, , UNCTAD-WHO, Geneva, UNCTAD-WHO; Lautier, M., Export of health services from developing countries: the case of Tunisia (2008) Social Science and Medicine, 67 (1), pp. 101-110; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), pp. p33; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82 (12), pp. 1658-1661; Prasad, G.V., Shukla, A., Huang, M., D'A Honey, R.J., Zaltzman, J.S., Outcomes of commercial renal transplantation: a Canadian experience (2006) Transplantation, 82 (9), pp. 1130-1135; Botten, G., Grepperud, S., Nerland, S.M., Trading patients. Lessons from Scandinavia (2004) Health Policy, 69 (3), pp. 317-327; Beecham, L., British patients willing to travel abroad for treatment (2002) British Medical Journal, 325 (7354), p. 10; Starmans, B., Leidl, R., Rhodes, G., A comparative study on cross-border hospital care in the Euregio Meuse-Rhine (1997) European Jouranl of Public Health, 7 (S3), pp. 33-41; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Affairs, 26 (1), pp. 137-141; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368; Merrell, R.C., Boucher, D., Carabello, L., Herrick, D.M., Lazzaro, V., Ludwick, L., Medical tourism (2008) Telemedicine Journal and E-Health, 14 (1), pp. 14-20; Carrera, P.M., Bridges, J.F., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; http://www.jointcommissioninternational.org/, [accessed 29.04.09]; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Turner, L., ""First world health care at third world prices"": globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Medical Journal of Australia, 187 (11-12), pp. 666-667; Martinez, D., Ferriol, P., Tous, X., Cabrer, M., Prats, M., Virtual health platform for medical tourism purposes (2008) Studies in Health Technology and Informatics, 137, pp. 269-274; (2006) TRAM, Medical Tourism: A Global Analysis, , ATLAS, Arnhem; Timmermans, K., Developing countries and trade in health services: which way is forward? (2004) International Journal of Health Services, 34 (3), pp. 453-466; Lee, C., Just what the doctor ordered: medical tourism (2007) Monash Bus Rev, 3, pp. 10-12; Arunanondchai, J., Fink, C., Trade in health services in the ASEAN region (2006) Health Promotion International, 21 (SUPPL. 1), pp. 59-66; Pachanee, C.A., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy and Planning, 21 (4), pp. 310-318; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80 (2), pp. 158-163; Garud, A.D., Medical tourism and its impact on our healthcare (2005) National Medical Journal of India, 18 (6), pp. 318-319; Leahy, A.L., Medical tourism: the impact of travel to foreign countries for healthcare (2008) Surgeon, 6 (5), pp. 260-261; Turner, L., 'Medical tourism' initiatives should exclude commercial organ transplantation (2008) Journal of the Royal Society of Medicine, 101 (8), pp. 391-394; (2008), Commission of the European Communities. Proposal for a Directive of the European Parliament and of the Council on the Application of Patients' Rights in Cross-Border Healthcare. Brussels;; (2002), McKinsey and C.o.I. Industries, Healthcare in India: The Road Ahead;; Sen Gupta, A., Medical tourism in India: winners and losers (2008) Indian Journal of Medical Ethics, 5 (1), pp. 4-5; http://www.qcin.org/nabh/hospitat_accre/accredited.php; Connell, J., Medical tourism: sea, sun, sand and ... surgery (2006) Tourism Management, 27, pp. 1093-1100; Chatterjee, A., The art, science and commerce of medical tourism (2007) Journal of the Indian Medical Association, 105 (11), pp. 619-620; http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/HealthServiceGuidelines/DH_4018014, Department of Health; Smith, R.D., Lee, K., Drager, N., Trade and health: an agenda for action (2009) Lancet, 373 (9665), pp. 768-773; Smith, R.D., Foreign direct investment and trade in health services: a review of the literature (2004) Social Science and Medicine, 59 (11), pp. 2313-2323","Smith, R.; Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom; email: Richard.Smith@lshtm.ac.uk",,,,,,,,01688510,,HEPOE,"21767892","English","Health Policy",Article,"Final",,Scopus,2-s2.0-80255126820 "Snyder J., Crooks V.A., Adams K., Kingsbury P., Johnston R.","24170239100;35585107800;37074104200;8873935100;36500711800;","The 'patient's physician one-step removed': The evolving roles of medical tourism facilitators",2011,"Journal of Medical Ethics","37","9",,"530","534",,61,"10.1136/jme.2011.042374","https://www.scopus.com/inward/record.uri?eid=2-s2.0-81755179435&doi=10.1136%2fjme.2011.042374&partnerID=40&md5=405827d76ee58286e07a4ff4846b21b4","Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Department of Geography, Simon Fraser University, Burnaby, Canada","Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, Canada; Adams, K., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Kingsbury, P., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Johnston, R., Department of Geography, Simon Fraser University, Burnaby, Canada","Background: Medical tourism involves patients travelling internationally to receive medical services. This practice raises a range of ethical issues, including potential harms to the patient's home and destination country and risks to the patient's own health. Medical tourists often engage the services of a facilitator who may book travel and accommodation and link the patient with a hospital abroad. Facilitators have the potential to exacerbate or mitigate the ethical concerns associated with medical tourism, but their roles are poorly understood. Methods: 12 facilitators were interviewed from 10 Canadian medical tourism companies. Results: Three themes were identified: facilitators' roles towards the patient, health system and medical tourism industry. Facilitators' roles towards the patient were typically described in terms of advocacy and the provision of information, but limited by facilitators' legal liability. Facilitators felt they played a positive role in the lives of their patients and the Canadian health system and served as catalysts for reform, although they noted an adversarial relationship with some Canadian physicians. Many facilitators described personally visiting medical tourism sites and forming personal relationships with surgeons abroad, but noted the need for greater regulation of their industry. Conclusion: Facilitators play a substantial and evolving role in the practice of medical tourism and may be entering a period of professionalisation. Because of the key role of facilitators in determining the effects of medical tourism on patients and public health, this paper recommends a planned conversation between medical tourism stakeholders to define and shape facilitators' roles.",,"adult; article; Canada; clinical trial; doctor patient relation; ethics; financial management; health care cost; human; interpersonal communication; interview; medical ethics; medical tourism; multicenter study; patient care; public health; role playing; social control; standard; travel; Adult; Canada; Communication; Continuity of Patient Care; Ethics, Medical; Health Care Sector; Humans; Interviews as Topic; Marketing of Health Services; Medical Tourism; Physician-Patient Relations; Public Health; Role; Social Control, Formal; Travel",,,,,,,,"Shetty, P., Medical tourism booms in India but at what cost? (2010) Lancet, 376, pp. 671-672; Snyder, J., Crooks, V.A., Medical tourism and bariatric surgery; more moral challenges (2010) Am J Bioeth, 12, pp. 28-30; (2010) Lack of followup deplored after, MS., death., , http://www.cbc.ca/canada/story/2010/11/19/multiple-sclerosis-mostic-deat h-ccsvi.html, CBC News. CBC News. CBC News. (accessed 19 Nov); Turner, L., First World Health Care at Third World Prices': globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Morrow, A., Man dies after controversial MS treatment, doctor says (2010) The Globe and Mail, , http://www.cbc.ca/news/health/story/2010/11/18/multiple-sclerosis-veinde ath-costa-rica-mostic.html, (accessed 18 Nov); Cormany, D., Baloglu, S., Medical travel facilitators websites: an exploratory study of web page contents and services offered to the perspective medical tourist (2011) Tourism Manag, 32, pp. 709-716; Mason, A., Wright, K.B., Framing medical tourism: an excamination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) J Health Commun, 15, pp. 163-177; Foreman, S., Social responsibility and the academic medical center: building community-based systems for the nation's health (1994) Acad Med, 69, pp. 97-102; Crozier, G.K.D., Baylis, F., The ethical physician encounters international medical travel (2010) J Med Ethics, 36, pp. 297-301; Medical travel agency lifts, off, , http://www.canada.com/montrealgazette/story.html?id=fdd35dc3-d0cf-420b-8 6ae-6eca2bc694de&k=66213, The Gazette. (accessed 26 Mar); Piper, A., Medical tourism facilitator certificationdHow to Gain Credibility in the Medical Tourism Industry Health Tourism Magazine, , http://www.healthtourismmagazine.com/article-detail.php?issue_issue-6 &article_facilitatorcertification, (accessed 26 Mar 2011); Audi, T., Chang, A., Assembling the global baby (2010) Wall Street Journal, , http://online.wsj.com/article/SB1000142405274870349350457600777415527392 8.html?mod=WSJ_hp_MIDDLENexttoWhatsNewsSecond, (accessed 10 Dec); Crooks, V.A., Kingsbury, P., Snyder, J., What is known about the patient's experience of medical tourism? (2010) BMC Health Serv Res, 10, p. 266; Carrera, P., Lunt, N., A European perspective on medical tourism: the need for a knowledge base (2010) Int J Health Serv, 40, pp. 469-484; Law, J., Sun, sand and stitches (2008) Profit, 27, pp. 69-70; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave MacMillan; Spece, R.G., Medical tourism: protecting patients from conflicts of interest in broker's fees paid by foreign providers (2010) J Health Biomed Law; Johnston, R., Crooks, V., Snyder, J., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Martin, M., (2011) MS clinic's practices stir alarm, , http://www.winnipegfreepress.com/local/ms-clinics-practices-stir-alarm-1 13126744.html, Winnipeg Free Press, (accessed 8 Jan); Denzin, N., Lincoln, Y., (2005) The Sage handbook of qualitative research, , 3rd edn. Thousand Oaks, CA: Sage Publications Ltd; Aronson, J.A., Pragmatic view of thematic analysis (1994) Qual Rep, 2, p. 1; Whittemore, R., Chase, S.K., Mandle, C.L., Validity in qualitative research (2001) Qual Health Res, 11, pp. 522-537; Miles, M.B., Huberman, A.M., (1994) Qualitative data analysis, , 2nd edn. Thousand Oaks CA: Sage Publications Ltd; Cortez, N., Patients without borders: the emerging global market for patients and the evolution of modern health care (2008) Indiana Law J, 83, p. 71; Turner, L., Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies (2011) Int J Quality Health Care, 23, pp. 1-7","Snyder, J.; Faculty of Health Sciences, Simon Fraser University, Blusson Hall 10516. 8888 University Drive, Burnaby, BC V5A 1S6, Canada; email: jcs12@sfu.ca",,,,,,,,03066800,,JMETD,"21478420","English","J. Med. Ethics",Article,"Final",,Scopus,2-s2.0-81755179435 "Fetscherin M., Stephano R.-M.","6508191793;56826122400;","The medical tourism index: Scale development and validation",2016,"Tourism Management","52",,,"539","556",,60,"10.1016/j.tourman.2015.08.010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84941037206&doi=10.1016%2fj.tourman.2015.08.010&partnerID=40&md5=4079e50e391495e402b56fab98ceccf3","Rollins College, Department of Business, 170 W. Fairbanks Avenue, Winter ParkFL 32789, United States; Medical Tourism Association, Northlake Blvd Suite 214-315, West Palm BeachFL 33412, United States","Fetscherin, M., Rollins College, Department of Business, 170 W. Fairbanks Avenue, Winter ParkFL 32789, United States; Stephano, R.-M., Medical Tourism Association, Northlake Blvd Suite 214-315, West Palm BeachFL 33412, United States","Medical tourism is an estimated $100 billion dollar industry. Despite the increasing number of people, companies and countries involved in medical tourism, we know very little about the key drivers and how countries are perceived as medical tourism destinations. The purpose of this paper is to present the Medical Tourism Index, a new type of country-based performance measure to assess the attractiveness of a country as a medical tourist destination. We followed a rigorous multi-steps scale development procedure by using four empirical studies based on 4995 respondents. The MTI is a multidimensional construct with 4 dimensions (country, tourism, medical costs, medical facility and services) with 34 underlying items. Our results show the MTI allows to measure meaningful differences between countries, not only on an aggregated level but also on each sub-indexes. It provides a useful tool for the various stakeholders to measure and manage their medical tourism destination brand. © 2015 Elsevier Ltd.","Index; Medical tourism; Place branding; Scale development","index method; marketing; tourism development; tourism market; tourist destination",,,,,,"Marc Fetscherin is an Associate Professor of International Business and Marketing at Rollins College, Florida, USA. His expertise is in international marketing and branding. He has a Master's degree from the University of Lausanne (HEC) as well as a diploma from the London School of Economics (LSE), a Ph.D. from the University of Bern and a Post-Doc from Harvard University. Prior his academic career he was a consultant for McKinsey & Company. He was also an adviser to the Swiss Government as a member of the Federal Commission of Consumer Affairs. He is an editorial board member of the Journal of Brand Management and the Journal of Place Branding and Public Diplomacy . He has published 3 books, numerous book chapters and journal articles. His articles have appeared in Harvard Business Review, Journal of Business Research, Journal of Global Marketing, International Marketing Review, Journal of Consumer Marketing, Journal of Brand Management, Journal of Product and Brand Management, Journal of Place Branding and Public Diplomacy, or International Journal of Market Research . Professor Fetscherin developed the Medical Tourism Index (MTI) in collaboration and with financial support from the International Healthcare Research Center.",,"Alhemoud, A.M., Armstrong, E.G., Image of tourism attractions in Kuwait (1996) Journal of Travel Research, 34 (4), pp. 76-80; Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the United States (2011) Journal of General Internal Medicine, 26 (5), pp. 492-497; Bagozzi, R.P., (1980) Causal models in marketing, , Wiley, New York; Bagozzi, R.P., Yi, Y., On the evaluation of structural equation models (1988) Journal of the Academy of Marketing Science, 16 (1), pp. 74-94; Beerli, A., Martín, J.D., Tourists' characteristics and the perceived image of tourist destinations: a quantitative analysis-a case study of Lanzarote, Spain (2004) Tourism Management, 25 (5), pp. 623-636; Berkowitz, E.N., Flexner, W., The market for health services: is there a non-traditional consumer? (1980) Journal of Health Care Marketing, 1 (1), pp. 25-34; Boscarino, J., Steiber, S.R., Hospital shopping and consumer choice (1982) Journal of Health Care Marketing, 2 (2), pp. 15-23; Census, U., (2013) Income, poverty, and health insurance coverage in the United States, , https://www.census.gov/hhes/www/hlthins/data/incpovhlth/2012/index.html, Retrieved July 1 2015, from; Churchill, G.A., A paradigm for developing better measures of marketing constructs (1979) Journal of Marketing Research, pp. 64-73; Connell, J., Medical tourism: sea, sun, sand and. . surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary medical tourism: conceptualization, culture and commodification (2013) Tourism Management, 34 (February), pp. 1-13; Crompton, J., Structure of vacation destination choice sets (1992) Annals of Tourism Research, 19 (3), pp. 420-434; Cronbach, L.J., Meehl, P.E., Construct validity in psychological tests (1955) Psychological Bulletin, 52 (4), p. 281; Dann, G., Anomie, ego-enhancement and tourism (1977) Annals of Tourism Research, 4 (4), pp. 184-194; Deloitte, (2009) Medical tourism: Update and implications, , Deloitte Centre for Health Solutions, Washington, DC; Demicco, F.J., Cetron, M., Club medic (2006) Asia Pacific Biotech News, 10 (10), pp. 527-531; Diamantopoulos, A., The C-OAR-SE procedure for scale development in marketing: a comment (2005) International Journal of Research in Marketing, 22 (1), pp. 1-9; Dunn, J.G., Bouffard, M., Rogers, W.T., Assessing item content-relevance in sport psychology scale-construction research: issues and recommendations (1999) Measurement in Physical Education and Exercise Science, 3 (1), pp. 15-36; Dwyer, L., Kim, C., Destination competitiveness: determinants and indicators (2003) Current Issues in Tourism, 6 (5), pp. 369-414; Fornell, C., Larcker, D.F., Evaluating structural equation models with unobserved variables and measurement error (1981) Journal of Marketing Research, 18 (1), pp. 39-50; Gallarza, M.G., Saura, I.G., García, H.C., Destination image: towards a conceptual framework (2002) Annals of Tourism Research, 29 (1), pp. 56-78; Gan, L.L., Frederick, J.R., Medical tourism facilitators: patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Gill, H., Singh, N., Exploring the factors that affect the choice of destination for medical tourism (2011) Journal of Service Science and Management, 4 (3), p. 315; Gorsuch, R.L., (1983) Factor analysis, , Erlbaum, Hillsdale, NJ; Heung, V., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: an assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Horowitz, M.D., Rosensweig, J.A., Medical tourism vs. traditional international medical travel: a tale of two models (2008) International Medical Travel Journal, 3, pp. 30-33; (2008) Handbook on constructing composite indicators: Methodology and user guide, , OECD Publishing; Kleinbaum, D.G., Kupper, L., Müller, K.E., (1998) Applied regression analysis and other multivariate methods, , PWS-Kent, Boston; Lee, O.F., Davis, T.R., International patients: a lucrative market for US hospitals (2005) Health Marketing Quarterly, 22 (1), pp. 41-56; Lin, X., Guan, J., Patient satisfaction and referral intention: effect of patient-physician match on ethnic origin and cultural similarity (2003) Health Marketing Quarterly, 20 (2), pp. 49-68; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368; (2013) Medical tourism climate survey 2013, pp. 1-92; Moghimehfar, F., Nasr-Esfahani, M.H., Decisive factors in medical tourism destination choice: a case study of Isfahan, Iran and fertility treatments (2011) Tourism Management, 32 (6), pp. 1431-1434; Norusis, M., (2005) Ordinal regression, PASW statistics, advanced statistical procedures companion, pp. 69-89; Nunnally, J.C., (1978) Psychometric theory, , McGraw-Hill, New York; (2011) Medical tourism: Treatments, markets and health system implications: A scoping review, , OECD, Directorate for Employment, Labour and Social Affairs; (2012) Focus on: Bumrungrad international hospital, , http://www.patientsbeyondborders.com/sites/default/files/PBB_FocusOn_BIH_spreads_Nov2012.pdf, available at, (Accessed 10.01.15.); Qu, H., Kim, L.H., Im, H.H., A model of destination branding: integrating the concepts of the branding and destination image (2011) Tourism Management, 32 (3), pp. 465-476; Riefler, P., Diamantopoulos, A., Siguaw, J., Cosmopolitan consumers as a target group for segmentation (2012) Journal of International Business Studies, 43 (3), pp. 285-305; Rossiter, J.R., The C-OAR-SE procedure for scale development in marketing (2002) International Journal of Research in Marketing, 19 (4), pp. 305-335; Saadatnia, F., Mehregan, M.R., Determining and prioritizing factors affecting to increase customers attraction of medical tourism from the perspective of Arabic countries (2014) International Journal of Marketing Studies, 6 (3), p. 155; Schneider, I., Sönmez, S., Exploring the touristic image of Jordan (1999) Tourism Management, 20 (4), pp. 539-542; Sharma, P., Measuring personal cultural orientations: scale development and validation (2009) Journal of the Academy of Marketing Science, 38 (6), pp. 787-806; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: a medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Smith, R., Martínez-Álvarez, M., Chanda, R., Medical tourism: a review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2), pp. 276-282; Smith, M., Puczko, L., (2009) Health and wellness tourism, , Elsevier, Oxford; Walsh, G., Beatty, S.E., Customer-based corporate reputation of a service firm: scale development and validation (2007) Journal of the Academy of Marketing Science, 35 (1), pp. 127-143; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Fetscherin, M.; Rollins College, Department of Business, 170 W. Fairbanks Avenue, Winter Park, United States",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84941037206 "Bender J.G., Lum L., Unverzagt K.L., Lee W., Van Epps D., George S., Coon J., Ghalie R., McLeod B., Kaizer H., Williams S.F.","7201542452;57203036808;6602497289;7407086667;7005791993;57191135811;57196759208;6603784964;7102509662;57197803726;35459635600;","Correlation of colony-forming cells, long-term culture initiating cells and CD34+ cells in apheresis products from patients mobilized for peripheral blood progenitors with different regimens",1994,"Bone Marrow Transplantation","13","4",,"479","485",,60,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028231157&partnerID=40&md5=68128c17fd94cdbff2ab0ae47f344fcf","WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States","Bender, J.G., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; Lum, L., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; Unverzagt, K.L., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; Lee, W., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; Van Epps, D., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; George, S., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; Coon, J., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; Ghalie, R., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; McLeod, B., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; Kaizer, H., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States; Williams, S.F., WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States","Peripheral blood progenitor cell (PBPC) populations used for transplantation were analyzed for the presence of CD34+ cells, colony-forming cells (inital CFC), and long-term culture initiating cells (LTC-IC) cultured on irradiated stroma for 5 weeks. Thirty-eight leukapheresis products were studied from 11 patients with breast cancer, 2 with non-Hodgkin's lymphoma and 1 with ovarian cancer harvested during recovery from either cyclophosphamide (CY) chemotherapy or cyclophosphamide-VP16 with G-CSF (CY-VP-G). CY-VP-G products had a threefold higher median number of mononuclear cells collected, a fivefold higher median concentration of CD34 and LTC-IC and a threefold higher concentration of inital-CFC when compared with CY products. CY-VP-G products had a significantly higher ratio of CFU-GM to BFU-E than the CY-mobilized products. Significant correlations of r = 0.89 and r = 0.68 were observed when comparing CD34 and CFC in products from CY or CY-VP-G patients, respectively. Analysis of the regression lines indicated that slopes of these regression lines were significantly different with a ratio of CD34 to initial CFC of 15:1 in the CY-VP-G products versus 5.2:1 with the CY products. These data indicate a higher cloning efficiency of the CD34+ population in the products from CY-mobilized patients. Significant correlations of r = 0.9 (CY) and r = 0.53 (CY-VP-G) were observed when the initial CD34 concentration and the LTC-IC were compared. Comparison of inital CFC with LTC-IC also showed significant correlations (r = 0.94, CY; r = 0.58, CY-VP-G) in samples from both patient groups. These data quantitate the levels of CFC and precursors of CFC in harvests of PBPC, demonstrate the augmentation of this population with G-CSF and show a correlation of these cells with the presence of CD34+ cells and each other.",,"CD34 antigen; cyclophosphamide; etoposide; granulocyte colony stimulating factor; adult; antigenicity; article; bone marrow transplantation; breast cancer; burst forming unit E; cancer chemotherapy; cell cloning; cell culture; clinical article; colony forming cell; colony forming unit GM; female; hematopoietic cell; human; human cell; leukapheresis; mononuclear cell; nonhodgkin lymphoma; ovary cancer; priority journal; regression analysis; stem cell; stroma; subcutaneous drug administration; Adult; Antigens, CD; Antigens, CD34; Antineoplastic Combined Chemotherapy Protocols; Biological Response Modifiers; Blood Component Transfusion; Blood Transfusion, Autologous; Breast Neoplasms; Colony-Forming Units Assay; Comparative Study; Cyclophosphamide; Etoposide; Female; Flow Cytometry; Granulocyte Colony-Stimulating Factor; Hematopoiesis; Hematopoietic Stem Cells; Human; Leukapheresis; Lymphoma, Non-Hodgkin; Middle Age; Neutropenia; Ovarian Neoplasms",,"Antigens, CD; Antigens, CD34; Antineoplastic Combined Chemotherapy Protocols; Biological Response Modifiers; Cyclophosphamide, 50-18-0; Etoposide, 33419-42-0; Granulocyte Colony-Stimulating Factor, 143011-72-7",,,,,,,"Bender, J.G.; WG2-2S Baxter Technology Park, Round Lake, IL 60073, United States",,,,,,,,02683369,,BMTRE,"7517260","English","BONE MARROW TRANSPLANT.",Article,"Final",,Scopus,2-s2.0-0028231157 "Johnston R., Crooks V.A., Snyder J.","36500711800;35585107800;24170239100;","""I didn't even know what I was looking for"" : A qualitative study of the decision-making processes of Canadian medical tourists",2012,"Globalization and Health","8",, 23,"","",,59,"10.1186/1744-8603-8-23","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863424114&doi=10.1186%2f1744-8603-8-23&partnerID=40&md5=509952a0feb64fe8d7d07e96346bb896","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada","Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada","Background: Medical tourism describes the private purchase and arrangement of medical care by patients across international borders. Increasing numbers of medical facilities in countries around the world are marketing their services to a receptive audience of international patients, a phenomenon that has largely been made possible by the growth of the Internet. The growth of the medical tourism industry has raised numerous concerns around patient safety and global health equity. In spite of these concerns, there is a lack of empirical research amongst medical tourism stakeholders. One such gap is a lack of engagement with medical tourists themselves, where there is currently little known about how medical tourists decide to access care abroad. We address this gap through examining aspects of Canadian medical tourists' decision-making processes.Methods: Semi-structured phone interviews were administered to 32 Canadians who had gone abroad as medical tourists. Interviews touched on motivations, assessment of risks, information seeking processes, and experiences at home and abroad. A thematic analysis of the interview transcripts followed.Results: Three overarching themes emerged from the interviews: (1) information sources consulted; (2) motivations, considerations, and timing; and (3) personal and professional supports drawn upon. Patient testimonials and word of mouth connections amongst former medical tourists were accessed and relied upon more readily than the advice of family physicians. Neutral, third-party information sources were limited, which resulted in participants also relying on medical tourism facilitators and industry websites.Conclusions: While Canadian medical tourists are often thought to be motivated by wait times for surgery, cost and availability of procedures were common primary and secondary motivations for participants, demonstrating that motivations are layered and dynamic. The findings of this analysis offer a number of important factors that should be considered in the development of informational interventions targeting medical tourists. It is likely that trends observed amongst Canadian medical tourists apply to those from other nations due to the key role the transnational medium of the Internet plays in facilitating patients' private international medical travel. © 2012 Johnston et al.; licensee BioMed Central Ltd.","Canada; Decision-making; Medical tourism; Qualitative; Surgery","cost-benefit analysis; decision making; disease treatment; empirical analysis; health services; international tourism; Internet; qualitative analysis; risk assessment; stakeholder; tourism development; tourism market; adult; aged; article; female; general practitioner; human; information processing; information seeking; male; medical decision making; medical information; medical tourism; motivation; priority journal; qualitative research; risk assessment; semi structured interview; thematic analysis; work experience; Canada; decision making; interview; patient; psychological aspect; Canada; Adult; Canada; Decision Making; Female; Humans; Information Seeking Behavior; Interviews as Topic; Male; Medical Tourism; Motivation; Patients; Qualitative Research",,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , Palgrave Macmillan, New York; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism? A scoping review (2011) Open Med, 5 (3), pp. e139-e148. , 3205829, 22046228; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? (2010) A scoping review. Int J Equity Health, 9, p. 24; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11. , 10.2174/1874431101004010001, 2874214, 20517465; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Soc Sci Med, 67 (1), pp. 101-110. , 10.1016/j.socscimed.2008.01.057, 18468756; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Glob Public Health, 3 (3), pp. 271-290; Cortez, N., Patients without borders: the emerging global market for patients and the evolution of modern health care (2008) Ind L J, 83, pp. 71-132; Neelakantan, S., India's Global Ambitions (2003) Far East Econ Rev, 166, pp. 52-54; Turner, L., 'First world health care at third world prices': globalization, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Gaibani, P., Ambretti, S., Berlingeri, A., Cordovana, M., Farruggia, P., Panico, M., Landini, M.P., Sambri, V., Outbreak of NDM-1-producing enterobacteriaceae in northern Italy, July to August 2011 (2011) Euro Surveill, 16 (47), p. 20027; Sen Gupta, A., Medical tourism in India: winners and losers (2008) Indian J Med Ethics, 5 (1), pp. 4-5; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, pp. 266-277. , 10.1186/1472-6963-10-266, 2944273, 20825667; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31 (2), pp. 185-198. , 10.1057/jphp.2010.10, 20535101; Lunt, N., Machin, L., Green, S., Mannion, R., Are there implications for quality of care for patients who participate in international medical tourism? (2011) Expert Rev Pharmacoecon Outcomes Res, 11 (2), pp. 133-136. , 10.1586/erp.11.4, 21476813; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand (2011) Singapore and Malaysia. 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Sultan Qaboos Univ Med J, 11 (4), pp. 477-484. , 3206750, 22087396; Bederman, S., Mahomed, N., Kreder, H., McIsaac, W., Coyte, P., Wright, J., In the eye of the beholder: preferences of patients, family physicians, and surgeons for lumbar spinal surgery (2010) Spine, 35 (1), pp. 108-115. , 10.1097/BRS.0b013e3181b77f2d, 20042962; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropol Med, 14 (3), p. 293; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, p. 17. , 10.1186/1472-6939-12-17, 3189886, 21943392; Turner, L., ""Medical Tourism"" and the Global Marketplace in Health Services: U.S. Patients, International Hospitals, and the Search for Affordable Health Care (2010) Int J Health Serv, 40 (3), pp. 443-467. , 10.2190/HS.40.3.d, 20799670; Lunt, N., Smith, R.D., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., Medical Tourism: Treatments, markets and health system implications, A scoping review; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) Am J Surg, 199 (5), pp. 604-608. , 10.1016/j.amjsurg.2010.01.002, 20346442; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med J Aust, 87 (11-12), pp. 666-667; Pachanee, C.A., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy Plan, 21 (4), pp. 310-318. , 10.1093/heapol/czl017, 16728511; Connell, J., Medical tourism: sea, sun, sand and... surgery (2006) Tour Manage, 27 (6), pp. 1093-1100; Moore, A., Health tourism. Don't forget your toothbrush (2009) Health Serv J, 119 (6139), pp. 18-20","Johnston, R.; Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; email: rrj1@sfu.ca",,,,,,,,17448603,,,"22769723","English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-84863424114 "Turner L.","7202689997;","""Medical tourism"" and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care",2010,"International Journal of Health Services","40","3",,"443","467",,59,"10.2190/HS.40.3.d","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953845629&doi=10.2190%2fHS.40.3.d&partnerID=40&md5=adb03d7ad741b722d70bd7ab3e57486b",,"Turner, L.","Health services are now advertised in a global marketplace. Hip and knee replacements, ophthalmologic procedures, cosmetic surgery, cardiac care, organ transplants, and stem cell injections are all available for purchase in the global health services marketplace. ""Medical tourism"" companies market ""sun and surgery"" packages and arrange care at international hospitals in Costa Rica, India, Mexico, Singapore, Thailand, and other destination nations. Just as automobile manufacturing and textile production moved outside the United States, American patients are ""offshoring"" themselves to facilities that use low labor costs to gain competitive advantage in the marketplace. Proponents of medical tourism argue that a global market in health services will promote consumer choice, foster competition among hospitals, and enable customers to purchase high-quality care at medical facilities around the world. Skeptics raise concerns about quality of care and patient safety, information disclosure to patients, legal redress when patients are harmed while receiving care at international hospitals, and harms to public health care systems in destination nations. The emergence of a global market in health services will have profound consequences for health insurance, delivery of health services, patient-physician relationships, publicly funded health care, and the spread of medical consumerism.",,"global trade; health expenditure; health insurance; health services; hospital sector; market system; medical geography; public health; service sector; tourism; article; commercial phenomena; contract; economics; financial management; health care delivery; health insurance; human; international cooperation; interpersonal communication; medical tourism; patient; patient care; patient satisfaction; safety; United States; economics; health care delivery; medical tourism; medically uninsured; Commerce; Communication; Continuity of Patient Care; Contracts; Financing, Government; Health Benefit Plans, Employee; Health Services Accessibility; Humans; Insurance, Health; International Cooperation; Marketing of Health Services; Medical Tourism; Medically Uninsured; Patient Satisfaction; Patients; Safety; United States; Costa Rica; Federal District [Mexico]; India; Mexico [North America]; Mexico City; Singapore [Singapore (NTN)]; Singapore [Southeast Asia]; Thailand; United States; Commerce; Communication; Continuity of Patient Care; Contracts; Financing, Government; Health Benefit Plans, Employee; Health Services Accessibility; Humans; Insurance, Health; International Cooperation; Marketing of Health Services; Medical Tourism; Medically Uninsured; Patient Satisfaction; Patients; Safety; United States",,,,,,,,"Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Manage., 27; De Arellano, A.R., Patients without borders: The emergence of medical tourism (2007) Int. J. Health Serv., 37 (1); Turner, L., ""First world health care at third world prices"": Globalization, bioethics, and medical tourism (2007) BioSocieties, 2; Gould, E., The erosion of employment-based insurance: More working families left uninsured (2008) Int. J. Health Serv., 38 (2); Milstein, A., Smith, M., America's new refugees: Seeking affordable surgery offshore (2006) N. Engl. J. Med., 355; Himmelstein, D., Illness and injury as contributors to bankruptcy (2005) Health Aff., 5; Seifert, R., Rukavina, M., Bankruptcy is the tip of a medical-debt iceberg (2006) Health Aff., 25; Blinder, A., Offshoring: The next industrial revolution? (2006) Foreign Aff., , March/April; Blumenthal, D., Employer-sponsored health insurance in the united states: Origins and implications (2006) N. Engl. J. Med., 355; Foster, M., Mason, M., Businesses may move health care overseas (2006) Seattle-Post Intelligencer, 2. , November; Kher, U., Outsourcing your heart (2006) Time, , May 21; Lancaster, J., (2004) Surgeries, Side Trips for ""Medical Tourists, 21. , Washington Post October; Roth, M., Surgery abroad an option for those with minimal health coverage (2006) Pittsburgh Post-Gazette, , September 20; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Rev. Pharmacoecon. Outcomes Res., 6; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Aff., 25; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Aff., 26; Rai, S., Union disrupts plan to send ailing workers to India for cheaper medical care (2006) New York Times, , October 11; Searls, T., Overseas surgery debated in house (2006) Charleston Gazette, , February 24; Starr, P., (1982) The Social Transformation of American Medicine, , Basic Books, New York; Cohn, J., (2007) Sick: The Untold Story of America's Health Care Crisis-and the People Who Pay the Price, , HarperCollins, New York; Blustein, P., (2001) The Chastening: Inside the Crisis That Rocked the Global Financial System and Humbled the IMF, , Public Affairs, New York; Talbot, M., Nip, tuck, and frequent-flier miles (2001) New York Times, , May 6; Gin, B., Singapore: A global biomedical sciences hub (2005) Drug Discov. Today, 10; Chantarapitak, P., The transformation into one of the leading destinations for health-care (2006) Singapore Med. Assoc. News, 38; Yap Chin Huat, J., Medical tourism/medical travel (part one) (2006) Singapore Med. Assoc. News, 38 (5); Yap Chin Huat, J., Medical tourism/medical travel (part two) (2006) Singapore Med. Assoc. News, 38 (7); Travel Smart-Asia Watch. Travel and hospitality industry set to tap into Asia's US $4 billion medical tourism market (2006) Travel Smart-Asia Watch, , April-May; Mudur, G., India plans to expand private sector in healthcare review (2003) BMJ, 326; Mudur, G., Hospitals in India woo foreign patients (2004) BMJ, 328; Sengupta, A., Nundy, S., The private health sector in India (2005) BMJ, 331; Wagner, M., Duke on track with $100M Singapore medical school (2006) Triangle Business J, , August 11; Rapidly growing mycobacterial infection following liposuction and liposculpture-Caracas, Venezuela, 1996-1998 (1998) MMWR Morb. Mortal. Wkly Rep., 47 (49). , Centers for Disease Control; Brief report: Nontuberculous mycobacterial infections after cosmetic surgery-Santo Domingo, Dominican Republic, 2003-2004 (2004) MMWR Morb. Mortal. Wkly Rep., 53 (23). , Centers for Disease Control; Thomas, L., (1983) The Youngest Science: Notes of A Medicine-Watcher, , Viking, New York; May, W., (1983) The Physician's Covenant: Images of the Healer in Medical Ethics, , Westminster Press, Philadelphia; Petromilli, M., Michalczyk, D., Your most valuable asset: Increasing the value of your hospital through its brand (1999) Marketing Health Serv., 19; Garloch, K., High costs send patients overseas for care (2006) Charlotte Observer, , December 10; Mudur, G., Inadequate regulations undermine India's health care (2004) BMJ, 328; Wibulpolprasert, S., International service trade and its implications for human resources for health: A case study of Thailand (2004) Hum. Resourc. Health, 2","Turner, L.",,,,,,,,00207314,,IJHSC,"20799670","English","Int. J. Health Serv.",Article,"Final",,Scopus,2-s2.0-77953845629 "Kangas B.","6507921262;","Hope from abroad in the international medical travel of Yemeni patients",2007,"Anthropology and Medicine","14","3",,"293","305",,59,"10.1080/13648470701612646","https://www.scopus.com/inward/record.uri?eid=2-s2.0-36749091761&doi=10.1080%2f13648470701612646&partnerID=40&md5=c07296a3a8765eb086956bc29ed9efe0","Department of Sociology and Anthropology, Oaklan University, Rochester, MI 48309-4495, United States","Kangas, B., Department of Sociology and Anthropology, Oaklan University, Rochester, MI 48309-4495, United States","Studies of care-seeking behaviour have generally focused only on the medical facilities that are available within a country's national boundaries. However, a growing number of patients worldwide are pursuing medical services outside of their own countries. The burgeoning literature on 'medical tourism' tends to offer the perspectives of the treatment destinations, not the experiences of patients. This paper examines the international medical travel of patients from the capital-poor country of Yemen. Families in Yemen often sacrifice greatly to seek the advanced, trustworthy technological medicine that is unavailable locally. The paper draws on interviews conducted with 71 Yemeni medical travellers in India and Jordan, as well as a survey of 205 doctors in Yemen about their disclosure practices regarding terminally ill patients. While perhaps an attractive option in today's global world, the use of medical services abroad affects local perceptions: it perpetuates a lack of trust in local capabilities, invites criticism of the government for not providing care to its citizens and fosters the hope that a cure exists somewhere in the world. © 2007 Taylor & Francis.",,"adult; aged; article; family; female; government; health care; human; India; interview; Jordan; male; medical practice; medical service; perception; physician; priority journal; terminal disease; tourism; travel; Yemen",,,,,,,,"al-Haruji, K., Two-part series on treatment abroad (1998) al-Thawra, pp. 3,3. , 16 Feb, p, 17 Feb, p; Casner, P.R., Guerra, L.G., Purchasing prescription medication in Mexico without a prescription: The experience at the border (1992) Western Journal of Medicine, 156 (5), pp. 512-516; (1997) Statistical Year-Book 1996, , Central Statistical Organization CSO, Central Statistical Organization, Sanaa, Yemen; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) Canadian Medical Association Journal, 174 (9), p. 1247; Guendelman, S., Health care users residing on the Mexican border: What factors determine choice of the US or Mexican health system? (1991) Medical Care, 29 (5), pp. 419-429; Hancock, D., (2006) The Complete Medical Tourist, , John Blake, London; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21, pp. 35-78; Kangas, B., Informing terminally ill patients in and around Yemen in prep. a; Kangas, B., Accepting God's will and human agency: The pursuit of medical care among Muslim patients in prep. b; Milstein, A., Smith, M., America's new refugees - seeking affordable surgery offshore (2006) New England Journal of Medicine, 355 (16), pp. 1637-1640; Schult, J., (2006) Beauty from Afar: A Medical Tourist's Guide to Affordable and Quality Cosmetic Care Outside the US, , Stewart, Tabori & Chang, New York; (1993) The Situation of Children and Women in the Republic of Yemen, , UNICEF , UNICEF, Sanaa, Yemen; (2000) Human Development Report, , United Nations Development Programme UNDP, 1999, Oxford University Press, New York; Varisco, D.M., On the meaning of chewing, the significance of qat (Catha equlis) in the Yemen Arab Republic (1986) International Journal of Middle East Studies, 18, pp. 1-13; Weir, S., (1995) Qat in Yemen: Consumption and social change, , British Museum, London; (1993) World Development Report 1993: Investing in Health, , World Bank , Oxford University Press, New York; (1996), World Bank () Republic of Yemen Poverty Assessment, Report No. 15158-YEM, World Bank, Washington DC, USA; (2001) Country Outline Strategy - Yemen, , World Food Programme WFP, World Food Programme, Rome, Italy","Kangas, B.; Department of Sociology and Anthropology, Oaklan University, Rochester, MI 48309-4495, United States; email: kangas2@oakland.edu",,,,,,,,13648470,,APMDF,,"English","Anthropol. Med.",Article,"Final",,Scopus,2-s2.0-36749091761 "Crush J., Chikanda A.","7003748511;8548742400;","South-South medical tourism and the quest for health in Southern Africa",2014,"Social Science and Medicine","124",,,"313","320",,58,"10.1016/j.socscimed.2014.06.025","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920269847&doi=10.1016%2fj.socscimed.2014.06.025&partnerID=40&md5=740a0a7e3a174b8f1e74f81c3270d91a","Balsillie School of International Affairs, Waterloo, ON, Canada; University of Cape Town, Rondebosch, South Africa","Crush, J., Balsillie School of International Affairs, Waterloo, ON, Canada, University of Cape Town, Rondebosch, South Africa; Chikanda, A., Balsillie School of International Affairs, Waterloo, ON, Canada","Intra-regional South-South medical tourism is a vastly understudied subject despite its significance in many parts of the Global South. This paper takes issue with the conventional notion of South Africa purely as a high-end ""surgeon and safari"" destination for medical tourists from the Global North. It argues that South-South movement to South Africa for medical treatment is far more significant, numerically and financially, than North-South movement. The general lack of access to medical diagnosis and treatment in SADC countries has led to a growing temporary movement of people across borders to seek help at South African institutions in border towns and in the major cities. These movements are both formal (institutional) and informal (individual) in nature. In some cases, patients go to South Africa for procedures that are not offered in their own countries. In others, patients are referred by doctors and hospitals to South African facilities. But the majority of the movement is motivated by lack of access to basic healthcare at home. The high demand and large informal flow of patients from countries neighbouring South Africa has prompted the South African government to try and formalise arrangements for medical travel to its public hospitals and clinics through inter-country agreements in order to recover the cost of treating non-residents. The danger, for 'disenfranchised' medical tourists who fall outside these agreements, is that medical xenophobia in South Africa may lead to increasing exclusion and denial of treatment. Medical tourism in this region and South-South medical tourism in general are areas that require much additional research. © 2014.","Medical tourism; Migration; South Africa; South-South; Transnational healthcare","health care; internal migration; public health; tourism; tourist destination; Article; government; health care access; home; medical tourism; migration; patient referral; physician; public hospital; South Africa; travel; Africa; health care delivery; health care planning; HIV Infections; human; medical tourism; organization and management; South Africa; statistics and numerical data; supply and distribution; tertiary health care; South Africa; Southern Africa; anti human immunodeficiency virus agent; Africa, Southern; Anti-HIV Agents; Health Services Accessibility; HIV Infections; Humans; Medical Tourism; Medically Underserved Area; Referral and Consultation; South Africa; Tertiary Healthcare",,"Anti-HIV Agents",,,,,,"Ahwireng-Obeng, F., van Loggerenberg, C., Africa's middle class women bring entrepreneurial opportunities in breast care medical tourism to South Africa (2010) Int. 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J. Health Serv., 40, pp. 443-467; (2011) Drug Addiction Treatment in South Africa, , http://wedorecover.com/articles/article/drug-addiction-treatment-in-south-africa.html, Retrieved from; (2012) Swaziland's Funding of Referrals Abroad: Assessment of the Phalala and Civil Servants' Medical Schemes and Options for Improvement, , http://documents.worldbank.org/curated/en/2012/01/16724189/swazilands-funding-referrals-abroad-assessment-phalala-civil-servants-medical-schemes-options-improvement, World Bank, Washington, DC, Retrieved from","Crush, J.; Balsillie School of International AffairsCanada",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"24973022","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-84920269847 "Hanefeld J., Horsfall D., Lunt N., Smith R.","26430746700;35848647100;6603761945;55746369800;","Medical Tourism: A Cost or Benefit to the NHS?",2013,"PLoS ONE","8","10", e70406,"","",,58,"10.1371/journal.pone.0070406","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886263333&doi=10.1371%2fjournal.pone.0070406&partnerID=40&md5=a4ed7d15a359b976c279400e013ad3d0","Department Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Social Work and Social Policy, University of York, York, United Kingdom; London School of Hygiene and Tropical Medicine, London, United Kingdom","Hanefeld, J., Department Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; Horsfall, D., Department of Social Work and Social Policy, University of York, York, United Kingdom; Lunt, N., Department of Social Work and Social Policy, University of York, York, United Kingdom; Smith, R., London School of Hygiene and Tropical Medicine, London, United Kingdom","'Medical Tourism' - the phenomenon of people travelling abroad to access medical treatment - has received increasing attention in academic and popular media. This paper reports findings from a study examining effect of inbound and outbound medical tourism on the UK NHS, by estimating volume of medical tourism and associated costs and benefits. A mixed methods study it includes analysis of the UK International Passenger Survey (IPS); interviews with 77 returning UK medical tourists, 63 policymakers, NHS managers and medical tourism industry actors policymakers, and a review of published literature. These informed costing of three types of treatments for which patients commonly travel abroad: fertility treatment, cosmetic and bariatric surgery. Costing of inbound tourism relied on data obtained through 28 Freedom-of-Information requests to NHS Foundation Trusts. Findings demonstrate that contrary to some popular media reports, far from being a net importer of patients, the UK is now a clear net exporter of medical travellers. In 2010, an estimated 63,000 UK residents travelled for treatment, while around 52,000 patients sought treatment in the UK. Inbound medical tourists treated as private patients within NHS facilities may be especially profitable when compared to UK private patients, yielding close to a quarter of revenue from only 7% of volume in the data examined. Costs arise where patients travel abroad and return with complications. Analysis also indicates possible savings especially in future health care and social costs averted. These are likely to be specific to procedures and conditions treated. UK medical tourism is a growing phenomenon that presents risks and opportunities to the NHS. To fully understand its implications and guide policy on issues such as NHS global activities and patient safety will require investment in further research and monitoring. Results point to likely impact of medical tourism in other universal public health systems. © 2013 Hanefeld et al.",,"article; bariatric surgery; cost benefit analysis; cost control; esthetic surgery; health care cost; health care management; health care policy; health care system; human; income; infertility therapy; information processing; interview; medical tourism; national health service; short survey; travel; United Kingdom; Cost-Benefit Analysis; Delivery of Health Care; Great Britain; Humans; Medical Tourism; State Medicine; Travel",,,,,"Department of Health, DH National Institute for Health Research, NIHR",,,"Lunt, N., Carrera, P., Medical tourism: assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Smith, R., Lunt, N., Hanefeld, J., The implications of PIP are more than just cosmetic (2012) The Lancet, 379, pp. 1180-1181; Vick, L., The perils of cosmetic surgery/medical tourism (2012) Clinical Risk, 18, pp. 106-109; Pollock, A.M., Price, D., Roderick, P., Treuherz, T., McCoy, D., How the Health and Social Care Bill 2011 would end entitlement to comprehensive health care in England (2012) Lancet, 379, pp. 387-389; Legido-Quigley, H., Passarani, I., Knai, C., Busse, R., Palm, W., Cross-border healthcare in the European Union: clarifying patients' rights (2011) BMJ, 342; Pollock, A.M., Will expansion of the NHS abroad benefit UK patients? No (2013) BMJ, 346; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Hanefeld, J., Smith, D.R., Lunt, N., Horsfall, D., King, H., What do we know about medical tourism - a review of the literature (2012) Health Policy; Johnson, T.J., Garman, A.N., Impact of medical travel on imports and exports of medical services (2010) Health Policy, 98, pp. 171-177; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (3); Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7; Smith, M., Divided by a common tongue - 'Access (2009) Br Dent J, 206, p. 185; Culley, L., Hudson, N., Rapport, F., Blyth, E., Norton, W., Crossing borders for fertility treatment: motivations, destinations and outcomes of UK fertility travellers (2011) Human Reproduction, 26, pp. 2373-2381; Kentikelenis, A., Karanikolos, M., Papanicolas, I., Basu, S., McKee, M., Health effects of financial crisis: omens of a Greek tragedy (2011) Lancet, 378, pp. 1457-1458; McKelvey, A., David, A.L., Shenfield, F., Jauniaux, E.R., The impact of cross-border reproductive care or 'fertility tourism' on NHS maternity services (2009) BJOG: An International Journal of Obstetrics and Gynaecology, 116, pp. 1520-1523; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) Journal of Plastic, Reconstructive & Aesthetic Surgery, 65, pp. 22-28; O'Neil, P., (2010) Shedding the Pounds: Obesity Management, NICE Guidance and Bariatric Surgery in England, , London: Office of Health Economics; Hawkins, S., Osborne, A., Finlay, I., Alagaratnam, S., Edmond, J., Paid Work Increases and State Benefit Claims Decrease after Bariatric Surgery (2007) Obesity Surgery, 17, pp. 434-437","Hanefeld, J.; Department Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; email: Johanna.Hanefeld@lshtm.ac.uk",,,,,,,,19326203,,POLNC,"24204556","English","PLoS ONE",Article,"Final",Open Access,Scopus,2-s2.0-84886263333 "Snyder J., Dharamsi S., Crooks V.A.","24170239100;15826323500;35585107800;","Fly-By medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists",2011,"Globalization and Health","7",, 6,"","",,58,"10.1186/1744-8603-7-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953670954&doi=10.1186%2f1744-8603-7-6&partnerID=40&md5=290035aec119c19ec0da498ad69b9f28","Faculty of Health Sciences, Simon Fraser University, 8888 University Drive Burnaby, Blusson Hall 11300, BC, Canada; Department of Family Practice, University of British Columbia, David Strangway Building, University Boulevard, 3rd Floor 5950, Vancouver, BC, Canada; Department of Geography, Simon Fraser University, 8888 University Drive Burnaby, RCB 6141, BC, Canada","Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive Burnaby, Blusson Hall 11300, BC, Canada; Dharamsi, S., Department of Family Practice, University of British Columbia, David Strangway Building, University Boulevard, 3rd Floor 5950, Vancouver, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive Burnaby, RCB 6141, BC, Canada","Background: Medical tourism is a global health practice where patients travel abroad to receive health care. Voluntourism is a practice where physicians travel abroad to deliver health care. Both of these practices often entail travel from high income to low and middle income countries and both have been associated with possible negative impacts. In this paper, we explore the social responsibilities of medical tourists and voluntourists to identify commonalities and distinctions that can be used to develop a wider understanding of social responsibility in global health care practices.Discussion: Social responsibility is a responsibility to promote the welfare of the communities to which one belongs or with which one interacts. Physicians stress their social responsibility to care for the welfare of their patients and their domestic communities. When physicians choose to travel to another county to provide medical care, this social responsibility is expanded to this new community. Patients too have a social responsibility to use their community's health resources efficiently and to promote the health of their community. When these patients choose to go abroad to receive medical care, this social responsibility applies to the new community as well. While voluntourists and medical tourists both see the scope of their social responsibilities expand by engaging in these global practices, the social responsibilities of physician voluntourists are much better defined than those of medical tourists. Guidelines for engaging in ethical voluntourism and training for voluntourists still need better development, but medical tourism as a practice should follow the lead of voluntourism by developing clearer norms for ethical medical tourism.Summary: Much can be learned by examining the social responsibilities of medical tourists and voluntourists when they engage in global health practices. While each group needs better guidance for engaging in responsible forms of these practices, patients are at a disadvantage in understanding the effects of medical tourism and organizing responses to these impacts. 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Knowledge Across Cultures: A Contribution to Dialogue Among Civilizations, , Hong Kong: Comparative Education Research Centre, The University of Hong Kong; Wikler, D., Personal and Social Responsibility for Health (2002) Ethics & Int Affairs, 16, pp. 47-55; Schmidt, H., Just Health Responsibility (2009) J Med Ethics, 35, pp. 21-26. , 10.1136/jme.2008.024315, 19103938; Buyx, A., Personal Responsibility for Health As a Rationing Criterion: Why We Don't Like It and Why Maybe We Should (2008) J Med Ethics, 34, pp. 871-874. , 10.1136/jme.2007.024059, 19043112; Schmidt, H., Patient's Charters and Health Responsibilities (2007) BMJ, 335, pp. 1187-1189. , 10.1136/bmj.39387.393160.AD, 2128628, 18003858; (2002) Building on Values: The Future of Health Care in Canada, , Saskatoon: Commission on the Future of Health Care in Canada, Commission on the Future of Health Care in Canada; Scotland, N.H.S., (2006) The NHS and You, , Scotland; (2006) West Virginia Medicaid Member Agreement, , Virginia, Virginia Department of Health and Human Resources; (2006) KyHealth Choices: Kentucky's Medicaid Transformation Initiative, , Kentucky, Cabinet for health Cabinet for Health and Family Services; Steinbrook, R., Imposing Personal Responsibility for Health (2006) New Enlg J Med, 355, pp. 753-756; Bishop, G., Brodkey, A., Personal responsibility and physician responsibility--West Virginia's Medicaid plan (2006) N Engl J Med, 355, pp. 756-758. , 10.1056/NEJMp068170, 16928992; Pennings, G., Ethics without Boundaries: Medical Tourism (2007) Principles of Health Care Ethics, , Sussex: Wiley & Sons Ltd, Ashcroft RE, Dawson A, Draper H, McMillan JR, 2; Turner, L., From Durham to Delhi: ""Medical Tourism"" and the Global Economy (2007) Comparative Program on Health and Society Lupina Foundation Working Papers Series 2006-2007, pp. 109-131. , Toronto: University of Toronto Press, Cohen-Kohler JC, Seaton MB; Turner, L., Canadian Medicare and the Global Health Care Bazaar (2007) Policy Options, pp. 73-77; Carabello, L., A Medical Tourism Primer for U.S. Physicians (2008) J Med Practice Manag, 23, p. 291; Unti, J.A., Medical and surgical tourism: the new world of health care globalization and what it means for the practicing surgeon (2009) Bull Am Coll Surg, 94, pp. 18-25; Snyder, J., Crooks, V.A., Medical Tourism and Bariatric Surgery: More Moral Challenges Am J Bioethics, 10, pp. 28-30; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Bagaria, J., Butt, F., Balakrishnan, R., Emergence of a new antibiotic resistant mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study (2010) The Lancet Infect Dis, 10, pp. 597-602; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Update and Implications, , Washington, D.C.: Deloitte Centre for Health Solutions; Burkett, L., Medical Tourism: Concerns, Benefits and the American Legal Perspective (2007) J Legal Med, 28, pp. 223-245; Schmidt, H., Voigt, K., Wikler, D., Carrots, Sticks, and Healthcare Reform - Problems with Wellness Incintives (2010) New Engl J Med, 362, p. 3. , 10.1056/NEJMp0911552, 20007550; Einhorn, B., Medical Tourism: Surviving the Global Recession (2008) BusinessWeek: Asia; Grace, M., (2007) State of the heart: a medical tourist's true story of lifesaving surgery in India, , Oakland CA: New Harbinger Publications; Turner, L., 'First World Health Care at Third World Prices': Globalization, Bioethics and Medical Tourism (2007) BioSocieties, 2, pp. 303-325; White, M.T., Cauley, K.L., A caution against medical student tourism (2006) J Am Med Assoc Ethics, 8, pp. 851-854; Drain, P.K., Holmes, K.K., Skeff, K.M., Hall, T.L., Gardner, P., Global health training and international clinical rotations during residency: current status, needs, and opportunities (2009) Acad Med, 84, pp. 320-325. , 10.1097/ACM.0b013e3181970a37, 19240438; Mezirow, J., (1991) Transformative Dimensions of Adult Learning, , San Francisco: Jossey-Bass; Kumagai, A.K., Lypson, M.L., Beyond cultural competence: critical consciousness, social justice, and multicultural education (2009) Acad Med, 84, pp. 782-787. , 10.1097/ACM.0b013e3181a42398, 19474560; Spiegel, J.M., Dharamsi, S., Wasan, K.M., Yassi, A., Singer, B., Hotez, P.J., Hanson, C., Bundy, D.A., Which new approaches to tackling neglected tropical diseases show promise? (2010) PLoS Med, 18, p. 7; Flanagan, J.C., The critical incident technique (1954) Psycholog Bull, 51, pp. 327-358; Mofidi, M., Strauss, R., Pitner, L.L., Sandler, E.S., Dental students' reflections on their community-based experiences: the use of critical incidents (2003) J Dent Educ, 67, pp. 515-523; (2003) Statement on Ethics and Travel, 29. , Canada Communicable Disease Report, Public Health Agency of Canada; Turner, L.G., Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies (2010) Int J Quality in Health Care, 23, pp. 1-7; Carroll, A.B., Corporate Social Responsibility (1999) Bus & Society, 38, pp. 268-295","Snyder, J.; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive Burnaby, Blusson Hall 11300, BC, Canada; email: jcs12@sfu.ca",,,,,,,,17448603,,,,"English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-79953670954 "Silva Cunha J.P., Cunha B., Pereira A.S., Xavier W., Ferreira N., Meireles L.","55663288500;24476249900;57214146946;36163640500;57197650336;36163466100;","Vital-Jacket®: A wearable wireless vital signs monitor for patients' mobility in cardiology and sports",2010,"2010 4th International Conference on Pervasive Computing Technologies for Healthcare, Pervasive Health 2010",,, 5482268,"","",,58,"10.4108/ICST.PERVASIVEHEALTH2010.8991","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77954389671&doi=10.4108%2fICST.PERVASIVEHEALTH2010.8991&partnerID=40&md5=e8b055cacdbf4828124949265ee025e3","IEETA/Dep. Electronics, Telecomm. and Informatics, University of Aveiro, Aveiro, Portugal; Biodevices S.A., Aveiro, Portugal","Silva Cunha, J.P., IEETA/Dep. Electronics, Telecomm. and Informatics, University of Aveiro, Aveiro, Portugal; Cunha, B., IEETA/Dep. Electronics, Telecomm. and Informatics, University of Aveiro, Aveiro, Portugal; Pereira, A.S., IEETA/Dep. Electronics, Telecomm. and Informatics, University of Aveiro, Aveiro, Portugal; Xavier, W., Biodevices S.A., Aveiro, Portugal; Ferreira, N., Biodevices S.A., Aveiro, Portugal; Meireles, L., Biodevices S.A., Aveiro, Portugal","The Vital Jacket® (VJ) is a wearable vital signs monitoring system that joins textiles with microelectronics. After several years of development within the university lab, it has been licensed to a start-up company. Its evolutions have focused on cardiology and sports and scaled down from a jacket to a single T-shirt. The VJ manufacturing process has recently been certified to comply with the standards ISO9001 and ISO13485 and the cardiology version was approved as a Medical Device for the European market compliant with the MDD directive 42/93/CE, holding the CE1011 mark. The authors intend to wear VJs during the days of the congress to demonstrate its usefulness in first hand and will exemplify the different scenarios of use of this innovative wearable intelligent garment.","Cardiology; MDD 42/93/CE certified; Sports; Wearable electronics","European markets; ISO 9001; Manufacturing process; MDD 42/93/CE certified; Medical Devices; Monitoring system; Start-up companies; T-shirts; Vital sign; Wearable electronics; Biomedical engineering; Microelectronics; Patient monitoring; Service oriented architecture (SOA); Textile processing; Cardiology",,,,,,,,"Trigo, A., Cunha, J.P.S., Cunha, M.B., Xavier, W., Ferreira, N.S., Wireless bedside vital signs monitoring unit (2004) Med-e-Tel 2004, , Luxemburg; Capucho, J., Cunha, J.P.S., A New Paradigm in Bed-side Vital Signs Monitoring Based on Low-cost Telemonitoring Units BioEng 2001 - Sixth Portuguese Conference on Biomedical Engineering, Faro, Portugal, 2001; Fowler, M., Scott, K., (1997) UML Distilled: Applying the Standard Object Modeling Language, , Addison-Wesely","Silva Cunha, J. P.; IEETA/Dep. Electronics, Telecomm. and Informatics, University of Aveiro, Aveiro, Portugal; email: jcunha@ieeta.pt",,,,"2010 4th International Conference on Pervasive Computing Technologies for Healthcare, Pervasive Health 2010","22 March 2010 through 25 March 2010","Munich",80921,,9789639799899,,,"English","Int. Conf. Pervasive Comput. Technol. Healthc., Pervasive Health",Conference Paper,"Final",,Scopus,2-s2.0-77954389671 "Forgione D.A., Smith P.C.","6602926684;55643420200;","Medical tourism and its impact on the US health care system",2007,"Journal of Health Care Finance","34","1",,"27","35",,58,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-34948823752&partnerID=40&md5=ce4f1f7d3be1ceb1817fb21682644480","Department of Accounting, College of Business, University of Texas, San Antonio, TX, United States","Forgione, D.A., Department of Accounting, College of Business, University of Texas, San Antonio, TX, United States; Smith, P.C., Department of Accounting, College of Business, University of Texas, San Antonio, TX, United States","The health care industry within the United States continues to face unprecedented increases in costs, along with the task of providing care to an estimated 46 million uninsured or underinsured patients. These patients, along with both insurers and employers, are seeking to reduce the costs of treatment through international outsourcing of medical and surgical care. Knows as medical tourism, this trend is on the rise, and the US health care system has not fully internalized the effects this will have on its economic structure and policies. The demand for low-cost health care services is driving patients to seek treatment on a globally competitive basis, while balancing important quality of care issues. In this article, we outline some of the issues facing legislators, health care policy makers, providers, and health service researchers regarding the impact of medical tourism on the US health care system. © 2007 Aspen Publishers, Inc.","Accreditation; Cost savings; Global competition; India; Malaysia; Malpractice; Medical tourism; Outsourcing; Singapore; Surgery; Thailand","article; cost control; health care cost; health care industry; health care policy; health care quality; health care system; health insurance; human; United States; Asia, Southeastern; Cost Savings; Delivery of Health Care; Economic Competition; Humans; India; International Cooperation; Malpractice; Medically Uninsured; Outsourced Services; Quality of Health Care; Travel; United States",,,,,,,,"Kher, U., Outsourcing Your Heart Time Magazine (May 21, 2006), accessed May 9, 2007, at: www.time.com/time/magazine/article/0, 9171,1196429,00.html; (2006) National Health Expenditures Projections, 2006-2016. , www.cms.hhs.gov/NationalHealthExpendData/downloads/proj2006.pdf, Centers for Medicare & Medicaid Services, accessed May 9, 2007, at; C. DeNavas-Walt, B.D. Proctor, and C.H. Lee, Income, Poverty, and Health Insurance Coverage in the United States: 2005, Washington, DC: US Government Printing Office, 2006, accessed May 9, 2007, at: www.census.gov/prod/2006pubs/p60-231.pdf; US Senate Special Committee on Aging, The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs? (Jun. 27, 2006), accessed May 9, 2007, at: http://aging.senate.gov/hearing_detail.cfm?id= 270728&; See Kher, supra n.1; Chandra, R., Trade in Health Services (2002) Bulletin of the World Health Organization: The International Journal of Public Health, 80 (2), pp. 158-163; Singapore Medicine, Osteo-odonto Keratoprosthesis - Tooth in Eye Surgery (May 25, 2005), accessed May 10, 2007, at: http://app.singaporemedicine.com/asp/new/new0201c.asp?id=3981; See US Senate Special Committee on Aging, supra n.3; The Methodist Hospital-The Methodist Hospital System; and [Members of the Board of Directors](1990), Petition No. 494,212 (1990) District Court 126th Judicial District, Travis County, , State of Texas vs, TX Nov; Segouin, C., Hodges, B., Brechat, P., Globalization in Health Care: Is International Standardization of Quality a Step Toward Outsourcing? (2005) International Journal for Quality in Health Care, 17 (4), pp. 277-279; Cortez, N., Patients Without Borders: The Emerging Global Market for Patients and the Evolution of Modern Health Care, forthcoming (2007) Indiana Law Journal, 83; Cortez, N., Adventist Health International (2006) Annual Report, , www.adventisthealthinternational.org/documents/ ahiannualreport06.pdf, accessed May 9, 2007, at; See Chandra, supra n.5; PlanetHospital.com, Home Page (2007), accessed May 9, 2007, at: www.planethospital.com/; Knapp, D., (2007) Medical Tourism, documentary report on KENS-5 Eyewitness News Television, aired, , Feb. 23; See Cortez, supra n.10; A. Mattoo and R. Rathindran, Does Health Insurance Impede Trade in Health Care Services? World Bank Policy Research Working Paper #3667 (Jul. 2005); Anderson, G.F., Hussey, P.S., Frogner, B.K., Waters, H.R., Health Spending in the United States and the Rest of the Industrialized World (2005) Health Affairs, 24 (4), pp. 903-914; See Mattoo, supra n.16; Medical Tourism: Need Surgery, Will Travel (2004) CBC News, , http://cbc.ca/news/background/healthcare/ medicaltourism.html, Jun. 18, accessed May 9, 2007, at; See Mattoo, supra n.16; Sherman, H.D., Interpreting Hospital Performance with Financial Statement Analysis (1986) The Accounting Review, pp. 526-550. , Jul; (2007) The Report of the International Narcotics Control Board for, , www.incb.org/pdf/e/press/2007/annual-report-press- kit-2006-en-2.pdf, United Nations, 2006, United Nations Publication, Press Release Mar. 1, 2007, accessed May 9, at; See Mattoo, supra n.16; Traveling for Treatment (2005) The News Hour with Jim Lehrer, , www.pbs.org/newshour/bb/health/jan-june05/thailand.2-21.html, Public Broadcasting System, Feb. 21, accessed May 9, 2007 at; (2007) Home Page, , www.jointcommission.org, Joint Commission, accessed May 9, 2007, at; (2007) Home Page, , www.jointcommissioninternational.org, Joint Commission International, accessed May 9, 2007, at; Id; Ramirez de Arellano, A., Patients Without Borders (2007) International Journal of Health Services, 37 (1), pp. 193-198; Trent Accreditation Scheme, Home Page (2007), accessed May 9, 2007, at: www.trentaccreditationscheme.org/; (2007) Home Page, , www.achs.org.au, Australian Council, accessed May 9, 2007, at; See Knapp, supra n.14; Patient, U.K., (2006) Preventing DVT When You Travel, , www.patient.co.uk/showdoc/23069201, Jan., accessed May 10, 2007, at; See CBS News, supra n.19; Mello, M.M., Understanding Medical Malpractice Insurance: A Primer (2006) Research Synthesis Report, , No. 8, The Robert Wood Johnson Foundation; (2007) Medical Malpractice, , www.iii.org/media/hottopics/insurance/medicalmal, Insurance Information Institute, May, accessed May 9, 2007, at; Mudur, G., Indian Doctors Not Accountable, Says Consumer Report (2007) British Medical Journal, 321, p. 588. , Sept; K. Amirthalingam, Judging Doctors and Diagnosing the Law: Bolam Rules in Singapore and Malaysia, Singapore Journal of Legal Studies (2003): 125-146, accessed May 9, 2007, at SSRN: http://ssrn.com/abstract= 954530; M. Roth, A Cheaper Medical Alternative for Those with Minimal Health Insurance - Getting Surgery Abroad May be a Sound Option, Pittsburgh Post-Gazette (Sept. 10, 2006): G1; see Cortez, supra n.10; See Knapp, supra n.14; See Kher, supra n.1; (2003) Summary of the HIPPA Privacy Rule, , www.hhs.gov/ocr/privacysummary.pdf, US Department of Health & Human Services, Office of Civil Rights, accessed May 9, 2007, at; Marlowe, J., Sullivan, P., (2007) Medical Tourism: The Ultimate Outsourcing, Aon Consulting FORUM, pp. 1-5. , Mar; See US Senate Special Committee on Aging, supra n.3","Forgione, D.A.; Department of Accounting, College of Business, University of Texas, San Antonio, TX, United States",,,,,,,,10786767,,JHCFF,"18972983","English","J. Health Care Financ.",Article,"Final",,Scopus,2-s2.0-34948823752 "Bolwell B.J., Pohlman B., Rybicki L., Sobecks R., Dean R., Curtis J., Andresen S., Koo A., Mineff V., Kalaycio M., Sweetenham J.W.","7004891553;7004293420;35415268500;6603608043;11240795900;57026365800;16945398000;57211629545;19638795300;7004338441;7003363881;","Patients mobilizing large numbers of CD34+ cells ('super mobilizers') have improved survival in autologous stem cell transplantation for lymphoid malignancies",2007,"Bone Marrow Transplantation","40","5",,"437","441",,58,"10.1038/sj.bmt.1705763","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34548091639&doi=10.1038%2fsj.bmt.1705763&partnerID=40&md5=34c42d8b9504fd87072385e8d7c1acc4","Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Department of Quantitative Health Sciences, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States","Bolwell, B.J., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Pohlman, B., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Rybicki, L., Department of Quantitative Health Sciences, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Sobecks, R., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Dean, R., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Curtis, J., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Andresen, S., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Koo, A., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Mineff, V., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Kalaycio, M., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States; Sweetenham, J.W., Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States","The cellular composition of an autologous graft may influence autologous stem cell transplantation (ASCT) outcome. Etoposide (VP) plus filgrastim (G) frequently mobilizes high numbers of CD34+ cells for autologous transplantation. We investigated whether patients collecting high numbers of CD34+ cells ('super mobilizers') have a better outcome than other patients. We reviewed 350 consecutive adult patients with NHL or Hodgkin's lymphoma receiving an ASCT from January 1994 to December 2005, mobilized with VP+G. Super mobilizers were defined as collecting a minimum of 8 × 106 CD3+ cells/kg. Two hundred and three patients were super mobilizers, while 147 collected between 2.0 and 7.95 CD3+ cells/kg. Super mobilizers were younger and more likely to have received two or fewer prior chemotherapy regimens (80 versus 63%, P>0.001). Median CD34+ cell dose for the super mobilizing group was 13.7 × 106 versus 4.4 × 106/kg in the standard collecting group. The super mobilizer group had a superior overall survival (P=0.006). In multivariable analysis, favorable disease status and younger age at transplant, and super mobilization were associated with improved survival. We conclude that patients had an improved ASCT outcome if large numbers of CD34+ cells were mobilized and infused. The explanation for this observation is unknown.",,"antineoplastic agent; etoposide; recombinant granulocyte colony stimulating factor; adult; aged; article; autologous stem cell transplantation; cancer survival; CD34 selection; controlled study; Hodgkin disease; human; leukapheresis; major clinical study; multivariate analysis; nonhodgkin lymphoma; overall survival; priority journal; stem cell mobilization; treatment outcome; Adolescent; Adult; Age Factors; Aged; Antigens, CD34; Data Collection; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; Hematopoietic Stem Cells; Humans; Leukocyte Count; Lymphoma; Middle Aged; Prognosis; Retrospective Studies; Survival Rate; Transplantation, Autologous; Treatment Outcome",,"etoposide, 33419-42-0; recombinant granulocyte colony stimulating factor, 121181-53-1; Antigens, CD34",,,,,,"Bolwell, B.J., Are predictive factors clinically useful in bone marrow transplantation? (2003) Bone Marrow Transplant, 32, pp. 853-861; Copelan, E.A., Hematopoietic stem cell transplantation (2006) New Engl J Med, 354, pp. 1813-1826; Bolwell, B.J., Factors predicting success or failure associated with common types of transplants (2005) Pediatr Transplant, 9, pp. 2-11; Gluckman, E., Rocha, V., Arcese, W., Michel, G., Sanz, G., Chan, K., Factors associated with outcomes of unrelated cord blood transplant: Guidelines for donor choice (2004) Exp Hematol, 32, pp. 397-407; Allogeneic peripheral blood stem-cell compared with bone marrow transplantation in the management of hematologic malignancies: An individual patient data meta-analysis of nine randomized trials (2005) J Clin Oncol, 23, pp. 5074-5087. , Stem Cell Trialists' Collaborative Group; Porrata, L.F., Litzow, M.R., Inwards, D.J., Gastineau, D.A., Moore, S.B., Pineda, A.A., Infused peripheral blood autograft absolute lymphocyte count correlates with day 15 absolute lymphocyte count and clinical outcome after autologous peripheral hematopoietic stem cell transplantation in non-Hodgkin's lymphoma (2004) Bone Marrow Transplant, 33, pp. 291-298; Dean, R., Masci, P., Pohlman, B., Andresen, S., Serafino, S., Sobecks, R., Dendritic cells in autologous hematopoietic stem cell transplantation for diffuse large B-cell lymphoma: Graft content and post transplant recovery predict survival (2005) Bone Marrow Transplant, 36, pp. 1049-1052; Copelan, E.A., Ceselski, S.K., Ezzone, S.A., Lasky, L.C., Panza, S.L., Bechtel, T.P., Mobilization of peripheral-blood progenitor cells with high-dose etoposide and granulocyte colony-stimulating factor in patients with breast cancer, non-Hodgkin's lymphoma, and Hodgkin's disease (1997) J Clin Oncol, 15, pp. 759-765; Kanfer, E.J., McGuigan, D., Samson, D., Abboudi, Z., Abrahamson, G., Apperley, J.F., High-dose etoposide with granulocyte colony-stimulating factor for mobilization of peripheral blood progenitor cells: Efficacy and toxicity at three dose levels (1998) Br J Cancer, 78, pp. 928-932; Bolwell, B.J., Goormastic, M., Yanssens, T., Dannley, R., Baucco, P., Fishleder, A., Comparison of G-CSF with GM-CSF for mobilizing peripheral blood progenitor cells and for enhancing marrow recovery after autologous bone marrow transplant (1994) Bone Marrow Transplant, 14, pp. 913-918; Siena, S., Schiavo, R., Pedrazzoli, P., Carlo-Stella, C., Therapeutic relevance of CD34 + cell dose in blood cell transplantation for cancer therapy (2000) J Clin Oncol, 18, pp. 1360-1377; Boeve, S., Strupeck, J., Creech, S., Stiff, P.J., Analysis of remobilization success in patients undergoing autologous stem cell transplants who fail an initial mobilization: Risk factors, cytokine use and cost (2004) Bone Marrow Transplant, 33, pp. 997-1003; Ford, C.D., Green, W., Warenski, S., Petersen, F.B., Effect of prior chemotherapy on hematopoietic stem cell mobilization (2004) Bone Marrow Transplant, 33, pp. 901-905; Copelan, E., Hoshaw-Woodard, S., Elder, P., Penza, S., Farag, S., Therapy-related myelodysplasia and leukemia occur infrequently following VP-16 priming and autotransplantation without total body irradiation (2004) Bone Marrow Transplant, 34, pp. 85-87; Broxmeyer, H.E., Orschell, C.M., Clapp, D.W., Hangoc, G., Cooper, S., Plett, P.A., Rapid mobilization of murine and human hematopoietic stem and progenitor cells with AMD3100, a CXCR4 antagonist (2005) J Exp Med, 201, pp. 1307-1318; Devine, S.M., Flomenberg, N., Vesole, D.F., Liesveld, J., Weisdorf, D., Badel, K., Rapid mobilization of CD34+ cells following administration of the CXCR4 antagonist AMD3100 to patients with multiple myeloma and non-Hodgkin's lymphoma (2004) J Clin Oncol, 22, pp. 1095-1102","Bolwell, B.J.; Department of Hematologic Oncology and Blood Disorders, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, OH, United States",,,,,,,,02683369,,BMTRE,"17618321","English","Bone Marrow Transplant.",Article,"Final",Open Access,Scopus,2-s2.0-34548091639 "Ye B.H., Qiu H.Z., Yuen P.P.","36553472200;9333052600;7103123976;","Motivations and experiences of Mainland Chinese medical tourists in Hong Kong",2011,"Tourism Management","32","5",,"1125","1127",,57,"10.1016/j.tourman.2010.09.018","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955474765&doi=10.1016%2fj.tourman.2010.09.018&partnerID=40&md5=b1bcc7987ea53ea6d93778776213a756","Department of Management and Marketing, The Hong Kong Polytechnic University, Hong Kong; School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hong Kong","Ye, B.H., Department of Management and Marketing, The Hong Kong Polytechnic University, Hong Kong; Qiu, H.Z., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hong Kong; Yuen, P.P., Department of Management and Marketing, The Hong Kong Polytechnic University, Hong Kong","Medical tourism has been developing very rapidly in recent years and Hong Kong has emerged as a new medical tourism destination. The purpose of the study is to explore the motivations and experiences of a sample of medical tourists in Hong Kong and hence semi-structured in-depth interviews were conducted with obstetric patients from Mainland China. The findings indicate that one of the most important reasons for their traveling to give birth in Hong Kong was to avoid China's 'One Child' policy. Variations in staff attitudes were also found among different hospitals and even in the same hospital. The findings also suggest that perceived discrimination by the medical tourists emerges in the form of less favourable service and less information sharing. © 2010 Elsevier Ltd.","Hong Kong; Mainland Chinese medical tourist; Motivation; Perceived discrimination","health care; international tourism; questionnaire survey; tourism management; tourist behavior; tourist destination; travel behavior; China; Hong Kong",,,,,,,,"Fornell, C., Johnson, M.D., Anderson, E.W., Cha, J., Bryant, B.E., The American customer satisfaction index: nature, purpose, and findings (1996) Journal of Marketing, 60 (4), pp. 7-18; Hong Kong Health Authority (2009), Health authority statistical report, 2008-2009; (2009), Legislative Council. Information note: Cross-boundary families; , pp. A02. , Mainland mothers giving birth in Hong Kong do not regret. (2010, August 2). Wen Wei Po; Singapore:pioneering reputation draws customers (2008, June 30). South China Morning Post, p. City 8; Strauss, A.L., Corbin, J.M., (1998) Basics of qualitative research: Techniques and procedures for developing grounded theory, , Sage Publications, Thousand Oaks, Calif; (2008) Utilisation of health care services by non-eligible persons, , http://www.info.gov.hk/gia/general/200803/05/P200803050145.htm, The Government Information Centre of Hong Kong, Retrieved from; Tsoi, G., TDC seeking cut of Asia medical tourism, pp. P07. , (2008, August 12). The Standard","Ye, B.H.; Department of Management and Marketing, The Hong Kong Polytechnic UniversityHong Kong; email: 07901474r@polyu.edu.hk",,,,,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-79955474765 "Reddy S.G., York V.K., Brannon L.A.","36495507700;32868250800;7003827326;","Travel for treatment: Students' perspective on medical tourism",2010,"International Journal of Tourism Research","12","5",,"510","522",,57,"10.1002/jtr.769","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956905640&doi=10.1002%2fjtr.769&partnerID=40&md5=dc40a424e276d8328d52adafb2937ac7","Department of History, Geography and Global Studies, Coppin State University, Baltimore, MD, United States; Office of Educational Innovation and Evaluation, College of Education, Kansas State University, Manhattan, KS, United States; Department of Psychology, Kansas State University, Manhattan, KS, United States","Reddy, S.G., Department of History, Geography and Global Studies, Coppin State University, Baltimore, MD, United States; York, V.K., Office of Educational Innovation and Evaluation, College of Education, Kansas State University, Manhattan, KS, United States; Brannon, L.A., Department of Psychology, Kansas State University, Manhattan, KS, United States","Medical tourism is the act of travelling abroad for health care. The theory of planned behaviour was used to investigate the medical tourism beliefs of 336 undergraduate students in a basic psychology course at a large midwestern American university. Students did not have positive intentions for mere willingness to seek more information about travelling to a developing country to receive medical treatment. An educational intervention is necessary to help promote travel for medical treatment. The intervention may include educating people on the availability of quality health care, highly trained competent doctors and the ability to vacation and see another country. © 2010 John Wiley & Sons, Ltd.","American undergraduate students; Health tourism; Medical tourism; Theory of planned behaviour","developing world; health care; health services; student; tourism; tourist behavior",,,,,,,,"Adams, O., Kinnon, C., International trade in health services: A development perspective (1998) UNCTAD-WHO Joint Publication, , www.unctad.org/en/docs/po2he98.pdf, (accessed 20 February 2009); Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50, pp. 179-211; Ajzen, I., Fishbein, M., (1980) Understanding Attitudes and Predicting Social Behavior, , Prentice Hall: Engle-wood Cliffs, NJ; Anderson, A.S., Cox, D.N., Mckellar, S., Reynolds, J., Lean, E.J., Mela, D.J., Take five, a nutrition education intervention to increase fruit and vegetable intakes: Impact on attitudes towards dietary change (1998) British Journal of Nutrition, 80, pp. 133-140; (2007), http://www.hipresurfacingindia.com/, Asian Regional Center for Hip-Resurfacing (ARCH). (accessed 11 November 2009); Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , Palgrave Macmillan: New York; (2005) India plans for 'Medical Visas', , http://news.bbc.co.uk/2/hi/south_asia/4665961.stm, BBC News. July 8. (accessed 14 October 2008); Brubaker, R.G., Fowler, C., Encouraging college males to perform testicular self-examination: Evaluation of a persuasive message based on the revised theory of reasoned action (1990) Journal of Applied Social Psychology, 17, pp. 1411-1422; Carrera, P., Bridges, J., Globalization and health-care: Understanding health and medical tourism (2006) Review of Pharmacoeconomics and Outcomes Research, 6, pp. 447-454; (2004) Medical tourism: Need surgery, will travel, , www.cbc.ca/news/background/healthcare/medicaltourism.html, CBC News Online. June 18. (accessed 18 February 2009); Chang, L., (2006) FDA OKs hip resurfacing system, , http://arthritis.webmd.com/news/20060511/fda-oks-hip-resurfacing-system, May 11. (accessed 19 February 2009); Connell, J., Medical tourism: Sea, sun, sand and...surgery (2006) Tourism Management, 27, pp. 1093-1100; Cox, D.N., Anderson, A.S., Reynolds, J., Mckellar, S., Lean, E.J., Mela, D.J., Take five, a nutrition education intervention to increase fruit and vegetable intakes: Impact on consumer choice and nutrient intakes (1998) British Journal of Nutrition, 80, pp. 123-131; (2006) Asian medical tourism to generate $4.4b a year by 2012, , www.thedailystar.net/2006/04/08/d60408051561.htm, The Daily Star. April 8. (accessed 28 April 2008); Dellorto, D., (2009) Lower costs lure U.S. patients abroad for treatment, , www.cnn.com/2009/HEALTH/03/27/india.medical.travel/index.html, March 27. (accessed 1 October 2009); (2009), http://www.globalsurgerycenter.com/, Global Medical Service Inc. (accessed 10 November 2009); Goodrich, J.N., Health tourism: A new positioning strategy for tourists (1994) Global Tourism Behavior, pp. 227-238. , Uysal M (ed.). International Business Press: New York; Goodrich, J.N., Goodrich, G.E., Health-care tourism - an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; Grace, M., (2007) State of the Heart: A Medical Tourist's True Story of Lifesaving Surgery in India, , New Harbinger Publications: Oakland; Gupta, S., Medical tourism and public health (2004) People's Democracy, 28 (19). , May; Hancock, D., (2006) The Complete Medical Tourist, , John Blake Publishing: London; Horowitz, M.D., Rosensweig, J.A., Medical tourism vs. traditional international medical travel: A tale of two models (2008) International Medical Travel Journal; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape Genearal Medicine, 9 (4), p. 33; Horowitz, M.D., Rosensweig, J.A., Medical tourism - health care in the global economy (2007) The Physician Executive, , November December; Hunter-jones, P., Cancer and tourism (2004) Annals of Tourism Research, 32 (1), pp. 70-92; (2008), http://www.intlmta.org/web/imta/home, International Medical Travel Association. (accessed 9 November 2009); Jemmott, J.B., Jemmott, L.S., Fong, G.T., Abstinence and safer sex HIV risk-reduction interventions for African American adolescents (1998) Journal of the American Medical Association, 279, pp. 1529-1536; Johnson, H.H., Watkins, T.A., The effects of message repetitions on immediate and delayed attitude change (1971) Psychonomic Science, 22, pp. 101-103; Kher, U., Outsourcing your heart (2006) Time, , www.time.com/time/magazine/article/0,9171,1196429-1,00.html, 21 May. (accessed 12 January 2009); Knox, R., India's doctors returning home (2007) National Public Radio, , http://www.npr.org/templates/story/story.php?storyId=16774871, 30 Nov. (accessed 10 November, 2009); Laws, E., Health tourism: A business opportunity approach (1996) Health and the International Tourist, pp. 199-214. , Clift S, Page SJ (eds.). Routledge: London; Marcelo, R., India fosters growing 'medical tourism' sector (2003) The Financial Times, , http://yaleglobal.yale.edu/content/india-fosters-growing-medical-tourism-sector, July 2. (accessed 1 October 2009); Marsek, P.W., Sharpe, F., (2009) The Complete idiot's Guide to Medical Tourism, , Penguin Group: New York; McCullough, J.L., Ostrom, T.M., Repetition of highly similar messages and attitude change (1974) Journal of Applied Psychology, 59, pp. 395-397; (2009), http://www.medicalinsightsinternational.com/, Medical Insights International. (accessed 9 November 2009); (2009), http://www.medicaltourismassociation.com/, Medical Tourism Association. (accessed 9 November 2009); (2009), http://medicaltourism.com/, Medical Tourism.com. (accessed 9 November 2009); Mirrer-singer, P., Medical malpractice overseas: The legal uncertainty surrounding medical tourism (2007) Law and Contemporary Problems, 70, pp. 211-232; Quine, L., Rutter, D.R., Arnold, L., Persuading school-aged cyclists to use safety helmets: Effectiveness of an intervention based on the theory of planned behaviour (2001) British Journal of Health Psychology, 6, pp. 327-345; Ross, K., Health tourism: An overview (2001) Hospitality Sales and Marketing Association International (HSMI) Marketing Review; Satish, G., (2005) Medical tourism likely to become India's next big success story, , www.garamchai.com/MedicalTourismArticle1.htm, October 8. (accessed 13 January 2008); Schult, J., (2006) Beauty from Afar: A Medical Tourist's Guide to Affordable and Quality Cosmetic Care Outside the U.S., , Stewart, Tabori & Chang: New York; Sheeran, P., Silverman, M., Evaluation of three interventions to promote workplace health and safety: Evidence for the utility of implementation intentions (2003) Social Science & Medicine, 56, pp. 2153-2163; (2006) Medical tourism: A global analysis, , Tourism Research and Marketing (TRAM). ATLAS publications: the Netherlands; Turner, L., First world health care at third world prices: Global, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Woodman, J., (2007) Patients Beyond Borders: Everybody's Guide to Affordable, World-Class Medical Tourism, , Healthy Travel Media: Chapel Hill; (2008) World Health Statistics 2008, , www.who.int/whosis/whostat/2008/en/index.html, World Health Organization (WHO). (accessed 19 February 2009); Wilson, W., Miller, H., Repetition, order of presentation, and timing of arguments and measures as determinants of behavior change (1968) Journal of Personality and Social Psychology, 9, pp. 184-188","Reddy, S.G.; Coppin State University, Department of History, Geography and Global Studies, 2500 West North Avenue, 410 Grace Jacobs Building, Baltimore, MD 21216-3698, United States; email: sreddy@coppin.edu",,,,,,,,10992340,,,,"English","Int. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-77956905640 "Sobo E.J.","7004194791;","Medical travel: What it means, why it matters",2009,"Medical Anthropology: Cross Cultural Studies in Health and Illness","28","4",,"326","335",,57,"10.1080/01459740903303894","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77951663060&doi=10.1080%2f01459740903303894&partnerID=40&md5=05b2621b6f5f341d2fde85b2ec062ff5","Department of Anthropology, San Diego State University, Mail Code 6040, 5500 Campanile Drive, San Diego, CA 92182-6040, United States","Sobo, E.J., Department of Anthropology, San Diego State University, Mail Code 6040, 5500 Campanile Drive, San Diego, CA 92182-6040, United States","Markets for medical travel have grown immensely in the past few years. They have attracted the attention not only of healthcare consumers, providers, and payors but also of scholars from various disciplines. This editorial demon- strates some of the ways that anthropology can contribute to current efforts to better understand medical travel. Such contributions have more than important academic implications. Properly packaged, anthropological work on medical travel can be of great value to policymakers and program planners as they grapple with the changes that geographically and subjectively new patterns of healthcare procurement entail. © 2009 Taylor & Francis Group, LLC.","Globalization; Health care consumerism; Health services; Health tourism; Medical tourism; Medical travel","article; economics; health care cost; health insurance; human; international cooperation; patient advocacy; sociology; travel; United States; Health Care Costs; Humans; Insurance, Health; Internationality; Patient Advocacy; Sociology, Medical; Travel; United States",,,,,,,,"Ackerman, S., Plastic Paradise: Transforming Bodies and Selves in Costa Rica's Cosmetic Surgery Tourism Industry Medical Anthropology, , (Forthcoming); (2008) New AMA Guidelines On Medical Tourism, , American Medical Association, Chicago: American Medical Association; (2006) Medical Tourism, Asia's Growth Industry, , http://www.hotelmarketing.com/index.php/content/article/060410_medical_tourism_asias_growth_industry/, Anonymous,Hotelmarketing.com,(accessed May 22, 2009); Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism In Developing Countries, , New York: Palgrave MacMillan; Bramstedt, K., Xu, J., Checklist: Passport, Plane Ticket, Organ Transplant (2007) American Journal of Transplan-tation, 7, pp. 1698-1701; Carrol, J., Long-Distance Medicine: U.S. Businesses Are Looking Overseas for a Way to KeepEmployee Health-Care Costs Down (2007) American Way Nov, 15, pp. 56-57; Cohen, E., Medical Tourism in Thailand (2008) Explorations In Thai Tourism, pp. 225-255. , Collected CaseStudies. E. Cohen, ed, Bingley, UK: Palgrave Emerald; Operating Profit; Globalisation and Health Care (2008) The Economist, 388 (8593). , Economist; Leaders: Importing Competition; Globalisation and Health (2008) The Economist, 388 (8593). , Economist; Higgins, L.A., Medical Tourism Takes Off, But Not Without Debate (2007) Managed Care, 16 (4), pp. 45-47; Inhorn, M., Patrizio, P., Rethinking Reproductive ""Tourism"" as Reproductive ""Exile."" (2009) Fertility and Sterility, 29 (3), pp. 904-906; Kangas, B., Therapeutic Itineraries in a Global World: Yemenis and Their Search for BiomedicalTreatment Abroad (2002) Medical Anthropology, 21 (1), pp. 35-78; Kangas, B., (2007) Hope From Abroad In the International Medical Travel of Yemeni Patients.Anthropology & Medicine, 14 (3), pp. 293-305; Kangas, B., Travelling for Medical Care in a Global World: Insights from Yemen Medical Anthropology, , (Forthcoming); Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington, D.C.: Deloitte Center for Health Solutions; Milstein, A., Smith, M., America's New Refugees-Seeking Affordable Surgery Offshore (2006) New EnglandJournal of Medicine, 355 (16), pp. 1637-1640; Whittaker, A., Pleasure and Pain: Medical Travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290","Sobo, E. J.; Department of Anthropology, San Diego State University, Mail Code 6040, 5500 Campanile Drive, San Diego, CA 92182-6040, United States; email: esobo@mail.sdsu.edu",,,,,,,,01459740,,,"20182968","English","Med. Anthr. Cross Cult. Stud. Health Illn.",Article,"Final",,Scopus,2-s2.0-77951663060 "Reed C.M.","8205522700;","Medical Tourism",2008,"Medical Clinics of North America","92","6",,"1433","1446",,55,"10.1016/j.mcna.2008.08.001","https://www.scopus.com/inward/record.uri?eid=2-s2.0-54949123461&doi=10.1016%2fj.mcna.2008.08.001&partnerID=40&md5=2fbb53f8e26fe7bcff63fb085f199610","Medical Transmission Team, HIV Prevention Branch, Division of Global AIDS Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, United States","Reed, C.M., Medical Transmission Team, HIV Prevention Branch, Division of Global AIDS Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, United States","Searches of the literature or Internet using the term ""medical tourism"" produce two sets of articles: travel for the purpose of delivering health care or travel for the purpose of seeking health care. The first usage primarily appears in the medical literature and is beyond the scope of this article, which focuses on travel to seek health care. Still, there are some aspects these two topics have in common: both are affected by ease and speed of international travel and communication associated with globalization, and both raise questions about continuity of care as well as issues related to cultural, language, and legal differences; both also raise questions about ethics. This article describes some of the motivating factors, contributing elements, and challenges in elucidating trends, as well as implications for clinicians who provide pretravel advice and those who care for ill returning travelers.","Health seeking traveler; Medical tourism; Reproductive tourism; Transplant tourism; Travel","ethics; health care; health care cost; health care quality; patient care; priority journal; review; tourism; travel; Health Care Costs; Humans; Internet; Patient Acceptance of Health Care; Quality of Health Care; Travel; United States; World Health",,,,,,,,"Bishop, R., Litch, J.A., Medical tourism can do harm (2000) BMJ, 320 (7240), p. 1017; Morgan, M.A., Another view of ""humanitarian ventures"" and ""fistula tourism"" (2007) Int Urogynecol J Pelvic Floor Dysfunct, 18 (6), pp. 705-707; Lagace M. The rise of medical tourism Harvard Business School Working Knowledge. Available at: http://hbswk.hbs.edu/item/5814.html. 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Office of Travel and Tourism Industries survey of international air travelers US to overseas and Mexico 2005 report, 2005 January-December. 2006; US Department of Commerce. Office of Travel and Tourism Industries survey of international air travelers US to overseas and Mexico by birth and citizenship. 2003 report, 2003 January-December. 2005; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85 (3), pp. 164-165; Travel India Company, (2006) Medical tourism in India, , http://www.indian-medical-tourism.com/medical-visa-india-tourism.html, Available at: Accessed July 6, 2008; High Commission of India L. Visa application center in the United Kingdom. Available at: http://in.vfsglobal.co.uk/visacategory.aspx. 2008. Accessed July 22, 2008; Embassy of India WDC. India Visa Center. Available at: https://indiavisa.travisaoutsourcing.com/requirements/gather?apply=bymail. 2008. Accessed July 22, 2008; Bumrungrad International Hospital, (2008) Overseas Medical Care, , http://www.bumrungrad.com/Overseas-Medical-Care/Bumrungrad-International.aspx, Available at: Accessed July 15, 2008; US Census Bureau. Income, Poverty, and Health Insurance Coverage in the United States: 2006. In: DeNavas-Walt C, Proctor B, Smith J, editors. Current Population Reports. Available at: http://www.census.gov/prod/2007pubs/p60-233.pdfP60-233 Accessed July 22, 2008; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) N Engl J Med, 355 (16), pp. 1637-1640; Woodman, J., Patients without borders, , http://www.patientsbeyondborders.com/, Available at: Accessed July 22, 2008; Reed CM. The Health-Seeking Traveler. In: Keystone JS, Kozarsky P, Conner B, et al, editors. Travel Medicine. 2nd edition. Philadelphia: Elsevier Ltd.; 2008. p. 343-50; (2007) Health Travel Guides, , http://www.healthtravelguides.com/_Content/HTG/Default.aspx, Available at: Accessed July 22, 2008; Oxford Analytica, (2006) North America: 'Medical tourism' industry grows rapidly, , http://www.oxan.com/display.aspx?ItemIDDB129920, Available at: Accessed February 15, 2008; Stargardt, T., Health service costs in Europe: cost and reimbursement of primary hip replacement in nine countries (2008) Health Econ, 17 (1 SUPPL), pp. S9-S20; Beecham, L., British patients willing to travel abroad for treatment (2002) BMJ, 325 (7354), p. 10; Colliver, C., (2006) Dental work too expensive? Go overseas, , http://www.sfgate.com/cgi-bin/article.cgi?file=/c/a/2006/04/05/MNGHSI3N671.DTL, Available at: San Francisco Chronicle. Accessed July 22, 2008; US Senate 109th Congress. The globalization of health care: can medical tourism reduce health care costs? 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Arlington, VA: The Society for Healthcare Epidemiology of America, 2006:106. 2008; Meyers, H., Brown-Elliott, B.A., Moore, D., An outbreak of Mycobacterium chelonae infection following liposuction (2002) Clin Infect Dis, 34 (11), pp. 1500-1507; Safranek, T.J., Jarvis, W.R., Carson, L.A., Mycobacterium chelonae wound infections after plastic surgery employing contaminated gentian violet skin-marking solution (1987) N Engl J Med, 317 (4), pp. 197-201; WHO, Summary of the evidence on patient safety: implications for research, , http://www.who.int/patientsafety/information_centre/20080523_Summary_of_the_evidence_on_patient_safety.pdf, Available at: Accessed July 22, 2008; Metlikovec, J., (2007) Warning on cheap ""holiday"" surgeries, , http://www.news.com.au/travel/story/0,00.html,26058, Available at: Accessed July 22, 2008; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med J Aust, 187 (11-12), pp. 666-667; Gajic, O., Warner, D.O., Decker, P.A., Long-haul air travel before major surgery: a prescription for thromboembolism? (2005) Mayo Clin Proc, 80 (6), pp. 728-731; Turner, L., Medical tourism: family medicine and international health-related travel (2007) Can Fam Physician, 53 (10). , 1639-41, 1646-8; Duff, E., Hall, L., (2007) The ugly facts behind beauty tourism, , http://www.theage.com.au/news/beauty/the-ugly-facts-behind-beauty-tourism/2007/09/29/1191090984137.html, Available at: Accessed July 22, 2008; Labus, B., Sands, L., Rowley, P., Acute Hepatitis C Virus infections attributed to unsafe injection practices at an endoscopy clinic-Nevada, 2007 (2008) MMWR Morb Mortal Wkly Rep, 57 (19), pp. 513-517; Wasley, A., Grytdal, S., Gallagher, K., Surveillance for acute viral hepatitis-United States, 2006 (2008) MMWR Surveill Summ, 57 (2), pp. 1-24; Dayan, G.H., Ortega-Sanchez, I.R., Lebaron, C.W., The cost of containing one case of measles: the economic impact on the public health infrastructure-Iowa, 2004 (2005) Pediatrics, 116 (1), pp. e1-e4","Reed, C.M.; Medical Transmission Team, HIV Prevention Branch, Division of Global AIDS Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, United States; email: creed@cdc.gov",,,,,,,,00257125,,MCNAA,"19061760","English","Med. Clin. North Am.",Review,"Final",,Scopus,2-s2.0-54949123461 "Alleman B.W., Luger T., Reisinger H.S., Martin R., Horowitz M.D., Cram P.","57191176878;35119107100;7005686467;7501381619;57210536016;6602121327;","Medical tourism services available to residents of the United States",2011,"Journal of General Internal Medicine","26","5",,"492","497",,54,"10.1007/s11606-010-1582-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79958747109&doi=10.1007%2fs11606-010-1582-8&partnerID=40&md5=196aa7d69f1467e2f4dbffb5f955978d","University of Iowa Carver College of Medicine, 2182 Medical Laboratories, 500 Newton Rd, Iowa City, IA 52242, United States; Department of Psychology, University of Iowa, Iowa City, IA, United States; Iowa City Veterans Administration Medical Center, Iowa City, IA, United States; Division of General Internal Medicine, Department of Internal Medicine, Carver College of Medicine, Iowa City, IA, United States; Medical Insights International, Lebanon, GA, United States","Alleman, B.W., University of Iowa Carver College of Medicine, 2182 Medical Laboratories, 500 Newton Rd, Iowa City, IA 52242, United States; Luger, T., Department of Psychology, University of Iowa, Iowa City, IA, United States; Reisinger, H.S., Iowa City Veterans Administration Medical Center, Iowa City, IA, United States, Division of General Internal Medicine, Department of Internal Medicine, Carver College of Medicine, Iowa City, IA, United States; Martin, R., Department of Psychology, University of Iowa, Iowa City, IA, United States, Iowa City Veterans Administration Medical Center, Iowa City, IA, United States; Horowitz, M.D., Medical Insights International, Lebanon, GA, United States; Cram, P., Iowa City Veterans Administration Medical Center, Iowa City, IA, United States, Division of General Internal Medicine, Department of Internal Medicine, Carver College of Medicine, Iowa City, IA, United States","BACKGROUND: There are growing reports of United States (US) residents traveling overseas for medical care, but empirical data about medical tourism are limited. OBJECTIVE: To characterize the businesses and business practices of entities promoting medical tourism and the types and costs of procedures being offered. DESIGN, PARTICIPANTS, AND OUTCOMES: Between June and August 2008, we conducted a telephone survey of all businesses engaged in facilitating overseas medical travel for US residents. We collected information from each company including: the number of employees; number of patients referred overseas; medical records security processes; destinations to which patients were referred; treatments offered; treatment costs; and whether patient outcomes were collected. RESULTS: We identified 63 medical tourism companies and 45 completed our survey (71%). Companies had a meanof9.8 employees and had referred an average of 285 patients overseas (a total of approximately 13,500 patients). 35 (79%) companies reported requiring accreditation of foreign providers, 22 (50%) collected patient outcome data, but only 17 (39%) described formal medical records security policies. The most common destinations were India (23 companies, 55%), Costa Rica (14, 33%), and Thailand (12, 29%). The most common types of care included orthopedics (32 companies, 73%), cardiac care (23, 52%), and cosmetic surgery (29, 66%). 20 companies (44%) offered treatments not approved for useinthe US-most commonly stem cell therapy. Average costs for common procedures, CABG ($18,600) and knee arthroplasty ($10,800), were similar to previous reports. CONCLUSIONS: The number of Americans traveling overseas for medical care with assistance from medical tourism companies is relatively small. Attention to medical records security and patient outcomes is variable and cost-savings are dependent on US prices. That said, overseas medical care can be a reasonable alternative for price sensitive patients in need of relatively common, elective medical procedures. © 2010 Society of General Internal Medicine.","Elective surgery; Medical tourism; Travel; Uninsured","article; cardiovascular procedures; commercial phenomena; cost benefit analysis; esthetic surgery; health care cost; health care policy; health care quality; human; knee arthroplasty; medical practice; medical record; medical tourism; medicare; orthopedics; outcome assessment; patient referral; stem cell transplantation; telemedicine; United States; Data Collection; Health Services Accessibility; Humans; Marketing; Medical Records; Medical Tourism; Quality of Health Care; Residence Characteristics; Surgical Procedures, Elective; Travel; United States",,,,,"U.S. Department of Veterans Affairs, VA CD1 08-013-1, RR01997201 National Heart, Lung, and Blood Institute, NHLBI National Institutes of Health, NIH: R01 HL085347-01A1 National Center for Research Resources, NCRR","Acknowledgements: Dr. Reisinger is supported by a Career Development Award from the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service (CD1 08-013-1). Dr. Martin is an investigator at the Iowa City VA Medical Center. Dr. Cram was supported by a K23 career development award (RR01997201) from the NCRR at the NIH and the Robert Wood Johnson Physician Faculty Scholars Program. This work is also funded by R01 HL085347-01A1 from NHLBI at the NIH.",,"Grumbach, K., Anderson, G.M., Luft, H.S., Roos, L.L., Brook, R., Regionalization of cardiac surgery in the United States and Canada. 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(2008) Health Affairs, 27 (2), pp. w116-w122. , http://content.healthaffairs.org/cgi/reprint/27/2/w116, DOI 10.1377/hlthaff.27.2.w116; Ginsburg, P., Shopping for price in medical care (2007) Health Aff (Millwood), 26, pp. w208; Alderman, L., Bargaining down the medical bills (2009) NY Times 2009, 14. , March; Jones, J.W., McCullough, L.B., What to do when a patient's international medical care goes south (2007) Journal of Vascular Surgery, 46 (5), pp. 1077-1079. , DOI 10.1016/j.jvs.2007.09.003, PII S0741521407014607; Barclay, E., Stem-cell experts raise concerns about medical tourism (2009) Lancet, 373, pp. 883-884; MacReady, N., The murky ethics of stem-cell tourism (2009) Lancet Oncol., 10, pp. 317-318","Alleman, B. W.; University of Iowa Carver College of Medicine, 2182 Medical Laboratories, 500 Newton Rd, Iowa City, IA 52242, United States; email: brandon-alleman@uiowa.edu",,,,,,,,08848734,,JGIME,"21161425","English","J. Gen. Intern. Med.",Article,"Final",,Scopus,2-s2.0-79958747109 "Chen L.H., Wilson M.E.","8082938100;57193196232;","The globalization of healthcare: Implications of medical tourism for the infectious disease clinician",2013,"Clinical Infectious Diseases","57","12",,"1752","1759",,53,"10.1093/cid/cit540","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890061571&doi=10.1093%2fcid%2fcit540&partnerID=40&md5=568901e601e837a1d8c5f7fdb9fe1c30","Travel Medicine Center, Mount Auburn Hospital, Cambridge, United States; Harvard Medical School, United States; Department of Global Health and Population, Harvard School of Public Health, Boston, MA, United States","Chen, L.H., Travel Medicine Center, Mount Auburn Hospital, Cambridge, United States, Harvard Medical School, United States; Wilson, M.E., Department of Global Health and Population, Harvard School of Public Health, Boston, MA, United States","Travel abroad for healthcare has increased rapidly; interventions include organ transplant; cardiac surgery; reproductive care; and joint, cosmetic, and dental procedures. Individuals who receive medical care abroad are a vulnerable, sentinel population, who sample the local environment and can carry home unusual and resistant infections, documented in many reports. Medical tourists are at risk for hospital-associated and procedure-related infections as well as for locally endemic infections. Patients may not volunteer details about care abroad, so clinicians must inquire about medical procedures abroad as well as recent travel. Special infection control measures may be warranted. Healthcare abroad is associated with diverse financial, legal, ethical, and health-related issues. We focus on problems the infectious disease clinician may encounter and provide a framework for evaluating returned medical tourists with suspected infections. A better system is needed to ensure broad access to high-quality health services, continuity of care, and surveillance for complications. © The Author 2013. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved.","cross-border healthcare; healthcare globalization; medical tourism; multidrug-resistant organisms; transplant tourism","extended spectrum beta lactamase; abdominoplasty; antibiotic resistance; article; bone marrow transplantation; Clostridium difficile; dengue; diarrhea; endemic disease; esthetic surgery; finance; graft survival; health care; health service; healthcare associated infection; hepatitis B; hepatitis C; home; hospital infection; human; Human immunodeficiency virus infection; infection; infection control; infection rate; kidney transplantation; liver graft; malaria; medical care; medical ethics; medical procedures; medical tourism; methicillin resistant Staphylococcus aureus; Mycobacterium abscessus; Mycobacterium tuberculosis; patient care; population; priority journal; prostate biopsy; Pseudomonas aeruginosa; risk factor; septicemia; Staphylococcus aureus; surgical infection; travel; tuberculosis; typhoid fever; vancomycin resistant Enterococcus; Vibrio cholerae; wound infection; cross-border healthcare; healthcare globalization; medical tourism; multidrug-resistant organisms; transplant tourism; Humans; Infectious Disease Medicine; Internationality; Medical Tourism; Patient Safety; Societies, Medical",,,,,,"Potential conflicts of interest. L. H. C. has received honoraria for serving on the editorial boards for Thompson Media LLC and Shoreland Inc, research funding from Xcellerex Inc, and royalties from Wiley Publishing. M. E. 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(2013) Countering The Problem Of Falsified And Substandard Drugs, , Institute of Medicine. Washington, DC: The National Academies Press; Leder, K., Torresi, J., Libman, M.D., For the geosentinel surveillance network geosentinel surveillance of illness in returned travelers 2007-2011 (2013) Ann Intern Med, 158, pp. 456-468; Ghafur, A., The Chennai Declaration: A solution to the antimicrobial resistance problem in the Indian subcontinent (2013) Clin Infect Dis, 56, p. 1190; (2005) International Health Regulations, , World Health Organization Geneva, Switzerland: WHO, 2008; Wernli, D., Haustein, T., Conly, J., Carmeli, Y., Kickbusch, I., Harbarth, S., A call for action: The application of the International Health Regulations to the global threat of antimicrobial resistance (2011) PLoS Med, 8, pp. e1001022","Chen, L.H.; Division of Infectious Diseases, Mount Auburn Hospital, 330 Mount Auburn St, Cambridge, MA 02238, United States; email: lchen@hms.harvard.edu",,,,,,,,10584838,,CIDIE,"23943826","English","Clin. Infect. Dis.",Article,"Final",Open Access,Scopus,2-s2.0-84890061571 "Wang H.-Y.","57154885100;","Value as a medical tourism driver",2012,"Managing Service Quality","22","5",,"465","491",,53,"10.1108/09604521211281387","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867838470&doi=10.1108%2f09604521211281387&partnerID=40&md5=bba0e5459c89b01601e66cf25e53c2c8","Department of Hospitality Management, Chung Hua University, Hsinchu, Taiwan","Wang, H.-Y., Department of Hospitality Management, Chung Hua University, Hsinchu, Taiwan","Purpose: This study contends that customers' perceived value can drive medical tourism. To demonstrate this, the purpose of this paper is to propose and test a research model capturing elements of perceived benefits and sacrifice that, by affecting the perceived value of medical tourism products, influence the buying intention of potential customers. Design/methodology/approach: Potential medical tourists from China are tapped due to their cultural similarity to Taiwan, and the absence of a language barrier. Data from 301 usable questionnaires were tested against the research model using the structural equation modeling approach. Findings: The results indicated that perceived value was a key predictor of customer intentions. As for benefits, perceived medical quality, service quality and enjoyment were critical components that significantly influenced the perception of value. Regarding sacrifice, the effects of perceived risk on perceived value were significant. Research limitations/implications: This study targeted potential medical tourists. Therefore, a validation using another large sample gathered elsewhere is required to generalize the findings. Practical implications: The findings can assist governments in developing policies that promote medical destination and provide insights into research on how destination countries can make medical tourism a win/win option for themselves and international patients. Originality/value: The proposed model is original; unlike most prior papers which take a conceptual approach to medical tourism, this study contributes to an understanding of the factors that influence the travel intentions of medical tourists through its empirical investigation, and especially in its targeting of customers' value perception. © Emerald Group Publishing Limited.","China; Consumer behaviour; Customer intention; Medical tourism; Perceived benefits; Perceived sacrifice; Perceived value; Tourism",,,,,,,,,"Ajzen, I., Fishbein, M., (1980) Understanding Attitudes and Predicting Social Behavior, , Prentice-Hall, Englewood Cliffs, NJ; Akbaba, A., Measuring service quality in the hotel industry: A study in a business hotel in Turkey (2006) International Journal of Hospitality Management, 25 (2), pp. 170-192; Al-Sabbahy, H.Z., Ekinci, Y., Riley, M., An investigation of perceived value dimensions: Implications for hospitality research (2004) Journal of Travel Research, 42 (3), pp. 226-234; Arnold, M.J., Reynolds, K.E., Hedonic shopping motivations (2003) Journal of Retailing, 79 (2), pp. 77-95; Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14 (1), pp. e135; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) The American Journal of Surgery, 199 (5), pp. 604-608; Bolton, R.N., Drew, J.H., A multistage model of consumers' assessments of service quality and value (1991) Journal of Consumer Research, 17 (4), pp. 375-384; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan Ltd, New York, NY; Chandler, J., Stem cell tourism: Doctors' duties to minors and other incompetent patients (2010) American Journal of Bioethics, 10 (5), pp. 27-28; Chang, T.Z., Wildt, A.R., Price, product information, and purchase intention: An empirical study (1994) Journal of the Academy of Marketing Science, 22 (1), pp. 16-27; Cheng, J.M.S., Wang, E.S.T., Lin, J.Y.C., Vivek, S.D., Why do customers utilize the internet as a retailing platform? 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email: hyjenniferwang@gmail.com",,,,,,,,09604529,,,,"English","Managing Serv. Qual.",Article,"Final",,Scopus,2-s2.0-84867838470 "Gan L.L., Frederick J.R.","16480026900;39761481600;","Medical tourism facilitators: Patterns of service differentiation",2011,"Journal of Vacation Marketing","17","3",,"165","183",,53,"10.1177/1356766711409181","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960588847&doi=10.1177%2f1356766711409181&partnerID=40&md5=0d739d2cef08d13aa03f7d1f42a52974","Department of Economics, Finance, and Decision Sciences, School of Business, University of North Carolina at Pembroke, P O Box 1510, Pembroke, NC 28372-1510, United States","Gan, L.L., Department of Economics, Finance, and Decision Sciences, School of Business, University of North Carolina at Pembroke, P O Box 1510, Pembroke, NC 28372-1510, United States; Frederick, J.R., Department of Economics, Finance, and Decision Sciences, School of Business, University of North Carolina at Pembroke, P O Box 1510, Pembroke, NC 28372-1510, United States","This article studies the nature of differentiation in the market for medical tourism facilitators in the USA. Medical tourism facilitators in the USA resemble a monopolistically competitive industry. They choose to differentiate their services in several ways, including by the scope of countries and hospitals which they use, the scope of the treatments in which they specialize, the extent of involvement of medical professionals in the company, and the kinds of ancillary services they offer. The authors perform an exploratory study of the differentiation among 46 such firms. Using principal-components analysis, they detect three components: an emphasis on providing a broad selection of destinations, an emphasis on physician's concerns, and an emphasis on the travel aspects of medical tourism. Cluster analysis separates the firms' profiles into six types. © The Author(s) 2011.","cluster analysis; differentiation; healthcare tourism; medical tourism; medical tourism agents; principal component analysis",,,,,,,,,"(2007) Medical Travel outside the U.S, , Ama-Omss OMSS Governing Council Report B, June; (2008) New AMA Guidelines on Medical Tourism, , http://www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf, American Medical Association, Available at; Baliga, H., (2006) Medical Tourism is the New Wave of Outsourcing from India, , http://indiadaily.com/editorial/14858.asp, Available at, India Daily; Berkowitz, E.N., Flexner, W.A., The market for health care services: is there a non-traditional customer? 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(2007) Journal of Vascular Surgery, 46 (5), pp. 1077-1079; Lane, P.M., Linquist, J.D., Hospital choice: a summary of the key empirical and hypothetical findings of the 1980s (1988) Journal of Health Care Marketing, 8, pp. 5-20; Lunt, N., Carrera, P., Medical tourism: assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; McLean, T.R., Commentary: the industrialization of medical tourism and the Blue Ridge Paper claim (2007) Journal of Controversial Medical Claims, 14 (1), pp. 18-19; Marlowe, J., Sullivan, P., Medical tourism: the ultimate outsourcing (2007) Human Resource Planning, 30 (2), pp. 8-10; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (20), pp. 358-367; Mcol, (2005) Mexican Health Care for Americans, , http://www.mcareol.com/mcolfree/mcolfre1/mcolfre2/monthly1105.pdf, 22 October. 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An empirical study with special reference to political instability (2001) Tourism Management, 22 (2), pp. 181-191; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: a medical tourism decision model (2008) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Swalm, S., Lundberg, (2007) House Bill 1143: A Bill for an Act concerning the Option of a Covered State Employee under a Self-Insured Group Benefit Plan to Obtain Medical Care in an Accredited Foreign Health Care Facility, , Introduced in the Colorado House on 1 February; Turner, L., First world health care at third world prices: globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Uysal, M., Crompton, J.L., Determinants of demand for international tourist flows to Turkey (1984) Tourism Management, 5, pp. 288-297; Vequist, D.G., Valdez, E., Medical tourism economic report: Monterrey, Mexico (2008) Medical Tourism Magazine, 4, p. 21; Vijaya, R.M., Medical tourism: revenue generation or international transfer of healthcare problems? (2010) Journal of Economic Issues, 44 (1), pp. 53-70; Vitalis, J.E., Milton, G.A., Medical travel - Threat or opportunity for U.S. providers? It depends on your perspective (2009) Journal of the Center for Health Innovation Winter, pp. 10-13. , http://noblis.com/MissionAreas/HI/private/Documents/horizons2009.pdf, Available at; Woodman, J., (2008) Patients Beyond Borders, , (2nd Edition), Chapel Hill, NC: Healthy Travel Media; Zinkewicz, P., Medical tourism on the rise (2008) Rough Notes, 151 (8), p. 88. , http://www.roughnotes.com/rnmagazine/search/life_health_financial/08_08p088.htm, Available at","Gan, L. L.; Department of Economics, Finance, and Decision Sciences, School of Business, University of North Carolina at Pembroke, P O Box 1510, Pembroke, NC 28372-1510, United States; email: lydia.gan@uncp.edu",,,,,,,,13567667,,,,"English","J. Vacat. Mark.",Article,"Final",,Scopus,2-s2.0-79960588847 "Whittaker A., Manderson L., Cartwright E.","7102570392;7004354947;7003284398;","Patients without borders: Understanding medical travel",2010,"Medical Anthropology: Cross Cultural Studies in Health and Illness","29","4",,"336","343",,53,"10.1080/01459740.2010.501318","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78549278142&doi=10.1080%2f01459740.2010.501318&partnerID=40&md5=87cf9133124cf72809a6edc793069d01","School of Population Health, University of Queensland, Level 2, Public Health Building, Herston Road, Herston, Brisbane, QLD 4006, Australia; School of Psychology and Psychiatry, Monash University, Australia; Idaho State University, Pocatello, ID, United States","Whittaker, A., School of Population Health, University of Queensland, Level 2, Public Health Building, Herston Road, Herston, Brisbane, QLD 4006, Australia; Manderson, L., School of Psychology and Psychiatry, Monash University, Australia; Cartwright, E., Idaho State University, Pocatello, ID, United States","The rapidly growing medical travel industry has implications for the health sytems of both sending and receiving countries. This article outlines the political economy of the industry and the potential opportunities and disadvantages it poses for access, equity, and the right to health. Although the trade carries economic benefits for countries receiving foreign medical patients, it comes at a cost to the provision of public health, through distortions in the health workforce and the development of two-tiered health systems. Inequalities and failures in the health systems of sending countries largely drive the need to travel for care. © 2010 Taylor & Francis Group, LLC.","Health system; Medical travel; Trade in health services","economics; editorial; ethics; human; legal aspect; medical tourism; Humans; Medical Tourism",,,,,"Australian Research Council, ARC: DP1094895","ANDREA WHITTAKER is Associate Professor in Medical Anthropology at the School of Population Health, University of Queensland, Australia. Current research supported by an Australian Research Council Discovery Project grant (DP1094895) involves ethnographic work on cardiac and orthopedic surgery in Malaysia and Thailand, building on previous work on reproductive travel in Thailand.",,"Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism In Developing Countries, , New York: Palgrave Macmillan; Callahan, D., Medicine and the market: A research agenda (1999) Journal of Medical Philosophy, 24, pp. 224-242; Chanda, R., Trade in health services (2002) Trade In Health Services: Global, Regional, and Country Perspectives, pp. 35-44. , N. Drager and C. 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Smith, eds., Washington DC: World Bank; Sobo, E.J., Medical travel: What it means, why it matters (2009) Medical Anthropology, 28 (4), pp. 326-335; Warner, D., (2009) Trends and Drivers of Trade In Health Services, , Paper presented at the WHO Workshop on the movement of patients across international borders-Emerging challenges and opportunities for health care systems, World Health Organization Centre for Health Development. Kobe, Japan, February 24-25; Wibulpolprasert, S., Pachanee, C.A., Pitayarangsarit, S., Hempisut, P., International service trade and its implications for human resources for health: A case study of Thailand (2004) Human Resources For Health, 2, p. 10. , http://www.human-resources-health.com/content/pdf/1478-4491-2-10.pdf, accessed October 10, 2010; Woodward, D., Drager, N., Beaglehole, R., Lipson, D., Globalization, global public goods and health (2002) Trade In Health Services: Global, Regional, and Country Perspectives, pp. 1-16. , N. Drager and C. Vieira, eds., Washington, DC: Pan American Health Organization","Whittaker, A.; School of Population Health, University of Queensland, Level 2, Public Health Building, Herston Road, Herston, Brisbane, QLD 4006, Australia; email: a.whittaker2@uq.edu.au",,,,,,,,01459740,,,"21082481","English","Med. Anthr. Cross Cult. Stud. Health Illn.",Editorial,"Final",,Scopus,2-s2.0-78549278142 "Ormond M., Sulianti D.","7801551522;56262114000;","More than medical tourism: lessons from Indonesia and Malaysia on South–South intra-regional medical travel",2017,"Current Issues in Tourism","20","1",,"94","110",,52,"10.1080/13683500.2014.937324","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904086853&doi=10.1080%2f13683500.2014.937324&partnerID=40&md5=b768cfc48ba2e7962fcae00a94163205","Cultural Geography, Wageningen University, PO Box 47, Wageningen, 6700 AA, Netherlands","Ormond, M., Cultural Geography, Wageningen University, PO Box 47, Wageningen, 6700 AA, Netherlands; Sulianti, D., Cultural Geography, Wageningen University, PO Box 47, Wageningen, 6700 AA, Netherlands","While scholars increasingly acknowledge that most contemporary international medical travel comprises South–South flows, these have gone curiously unexamined. Rather, policy, scholarly and media attention focuses predominantly on North–South flows of ‘medical tourists’. However, this focus diverts attention from the actual and potential impacts of South–South intra-regional medical travel flows on both their source and receiving contexts. As such, we present findings from a study examining South–South intra-regional medical travellers' motivations, preparations and practices to better understand the social, economic and political situations that condition them and their effects on the destinations that receive them. Our study of Indonesian medical travellers pursuing health care in Malaysia draws on 35 semi-structured interviews with Indonesian patients, their companions, medical staff and agents in both countries. From this, we suggest that South–South medical travellers' diverse socio-economic conditions shape decision-making and spending behaviour relative to treatment, accommodation and transport choices as well as length of stay. We identify ways in which informal economies and social care networks sustain the formal medical travel industry. Finally, we observe how medical travel increasingly serves as a means through which chronic and everyday health needs are met through temporary, visa-free intra-regional movement. © 2014 Taylor & Francis.","cross-border health care; development; intra-regional tourism; medical tourism; regional alliances; South–South migration","decision making; health care; migration; movement; questionnaire survey; regional development; socioeconomic conditions; tourism; tourist destination; travel behavior; Indonesia; Malaysia",,,,,,,,"Aspinall, E., Health care and democratization in Indonesia (2014) Democratization; Bendixen, P., Cultural tourism–Economic success at the expense of culture? 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Retrieved March 14, 2014, from; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature an analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Solomon, H., Affective journeys: The emotional structuring of medical tourism in India (2011) Anthropology and Medicine, 18 (1), pp. 105-118; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Timothy, D.J., Supranationalist alliances and tourism: Insights from ASEAN and SAARC (2003) Current Issues in Tourism, 6 (3), pp. 250-266; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2012) Tourism Management, 34, pp. 196-201","Ormond, M.; Cultural Geography, Wageningen University, PO Box 47, Netherlands; email: meghann.ormond@wur.nl",,,"Routledge",,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Final",,Scopus,2-s2.0-84904086853 "Chuang T.C., Liu J.S., Lu L.Y.Y., Lee Y.","36640268500;35069737800;55474685300;56123379200;","The main paths of medical tourism: From transplantation to beautification",2014,"Tourism Management","45",,,"49","58",,52,"10.1016/j.tourman.2014.03.016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899015633&doi=10.1016%2fj.tourman.2014.03.016&partnerID=40&md5=3c7ff2afdf5b90c96cb922cf77f80002","Department of Information Science and Technology, Vanung University, 1, Vanung Rd., Zhongli, Taoyuan 32061, Taiwan; Graduate Institute of Technology Management, National Taiwan University of Science and Technology, 43, Sec. 4, Keelung Rd., Taipei 10607, Taiwan; College of Management, Yuan-Ze University, 135 Yuan-Tung Road, Chung-Li 32003, Taiwan","Chuang, T.C., Department of Information Science and Technology, Vanung University, 1, Vanung Rd., Zhongli, Taoyuan 32061, Taiwan; Liu, J.S., Graduate Institute of Technology Management, National Taiwan University of Science and Technology, 43, Sec. 4, Keelung Rd., Taipei 10607, Taiwan; Lu, L.Y.Y., College of Management, Yuan-Ze University, 135 Yuan-Tung Road, Chung-Li 32003, Taiwan; Lee, Y., College of Management, Yuan-Ze University, 135 Yuan-Tung Road, Chung-Li 32003, Taiwan","Medical tourism, combining the very polarized purposes of pleasurable travel and potentially stressful health care services, is an emergent and growing business worldwide. Medical tourism patients are willing to travel abroad to seek better quality, lower cost, domestically unavailable, no wait-time destinations for non-emergency medical care. There are numerous related studies in the academic literature that are substantiated with multidisciplinary and diverse backgrounds. This study uses the main path analysis, a unique quantitative and citation-based approach, to analyze the significant development trajectories, important literature, and recent active research areas in medical tourism. We find that there are two distinctive development paths: one path focuses more on the evolution of medical tourism, the motivation factors, marketing strategies, and economic analysis; the other path emphasizes organ transplant and related issues. These two paths eventually merge to a common node in the citation network, which foretells transplantation to beautification as the future research direction trend. © 2014 Elsevier Ltd.","Cosmetic tourism; Literature review; Main path analysis; Medical tourism; Transplant tourism","economic analysis; health care; health services; international tourism; literature review; marketing; medicine; tourism economics; tourism market; travel behavior",,,,,,"The authors would like to express their gratitude to three anonymous reviewers for their constructive comments, which have greatly improved the accuracy and readability of this article. This work is partially supported by Taiwan's National Science Council grant NSC 102-2410-H-011-008-MY3 and NSC 102-2410-H-155-021-MY3 .",,"Bass, D., Kidneys for cash and egg safaris - can we allow 'transplant tourism' to flourish in South Africa? (2005) SAMJ (South African Medical Journal), 95, pp. 42-44; Batagelj, V., Efficient algorithms for citation network analysis (2003) Preprint series, , University of Ljubljana, Institute of Mathematics, Physics and Mechanics Department of Theoretical Computer Science; Borman, E., Health tourism - where healthcare, ethics, and the state collide (2004) British Medical Journal, 328, pp. 60-61; Bramstedt, K.A., Xu, J., Checklist: passport, plane ticket, organ transplant (2007) American Journal of Transplantation, 7, pp. 1698-1701; Budiani-Saberi, D.A., Delmonico, F.L., Organ trafficking and transplant tourism: a commentary on the global realities (2008) American Journal of Transplantation, 8, pp. 925-929; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82, pp. 1658-1661; Chen, Y.B., Liu, J.S., Lin, P., Recent trend in graphene for optoelectronics (2013) Journal of Nanoparticle Research, 15; Colicchia, C., Strozzi, F., Supply chain risk management: a new methodology for a systematic literature review (2012) Supply Chain Management - An International Journal, 17, pp. 403-418; Connell, J., Medical tourism: sea, sun, sand and... surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10; Crooks, V.A., Snyder, J., Medical tourism: what Canadian family doctors should know (2011) Canadian Family Physician, 57, pp. E151-E153; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72, pp. 726-732; David, B.T., Fernando, J.S., Itziar, C.M., Mapping the importance of the real world: the validity of connectivity analysis of patent citations networks (2011) Research Policy, 40, pp. 473-486; Epstein, M., Sociological and ethical issues in transplant commercialism (2009) Current Opinion in Organ Transplantation, 14, pp. 134-139; Falagas, M.E., Pitsouni, E.I., Malietzis, G.A., Pappas, G., Comparison of PubMed, Scopus, Web of Science, and Google Scholar: strengths and weaknesses (2008) FASEB Journal, 22, pp. 338-342; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32, pp. 262-266; Gill, J., Madhira, B.R., Gjertson, D., Lipshutz, G., Cecka, J.M., Pham, P.T., Transplant tourism in the United States: a single-center experience (2008) Clinical Journal of the American Society of Nephrology, 3, pp. 1820-1828; Healy, C., Surgical tourism and the globalisation of healthcare (2009) Irish Journal of Medical Science, 178, pp. 125-127; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? (2010) Journal of Public Health Policy, 31, pp. 185-198; Hummon, N.P., Doreian, P., Connectivity in a citation network: the development of DNA theory (1989) Social Networks, 11, pp. 39-63; Johnston, R., Crooks, V.A., Snyder, J., ""I didn't even know what I was looking for"": a qualitative study of the decision-making processes of Canadian medical tourists (2012) Globalization and Health, 8; Liu, J.S., Lu, L.Y.Y., An integrated approach for main path analysis: development of the Hirsch index as an example (2012) Journal of the American Society for Information Science and Technology, 63, pp. 528-542; Liu, J.S., Lu, L.Y.Y., Lu, W.M., Lin, B.J.Y., Data envelopment analysis 1978-2010: a citation-based literature survey (2013) Omega - The International Journal of Management Science, 41, pp. 3-15; Liu, J.S., Lu, L.Y.Y., Lu, W.M., Lin, B.J.Y., Asurvey of DEA applications (2013) Omega - The International Journal of Management Science, 41, pp. 893-902; Lu, L.Y.Y., Lin, B.J.Y., Liu, J.S., Yu, C.Y., Ethics in nanotechnology: what's being done? What's missing? (2012) Journal of Business Ethics, 109, pp. 583-598; Lu, L.Y.Y., Liu, J.S., An innovative approach to identify the knowledge diffusion path: the case of resource-based theory (2013) Scientometrics, 94, pp. 225-246; Martinelli, A., An emerging paradigm or just another trajectory? Understanding the nature of technological changes using engineering heuristics in the telecommunications switching industry (2012) Research Policy, 41, pp. 414-429; Merion, R.M., Barnes, A.D., Lin, M., Ashby, V.B., Mcbride, V., Ortiz-Rios, E., Transplants in foreign countries among patients removed from the US transplant waiting list (2008) American Journal of Transplantation, 8, pp. 988-996; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) Bmc Medical Ethics, 12; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92, pp. 1433-1446; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Turner, L., 'Medical tourism' initiatives should exclude commercial organ transplantation (2008) Journal of the Royal Society of Medicine, 101, pp. 391-394; Turner, L., News media reports of patient deaths following 'medical tourism' for cosmetic surgery and bariatric surgery (2012) Developing World Bioethics, 12, pp. 21-34; Turner, L., The turbulent medical tourism industry of Canada (2012) Canadian Family Physician, 58, pp. E186-E189; Verspagen, B., Mapping technological trajectories as patent citation networks: a study on the history of fuel cell research (2007) Advances in Complex Systems, 10, pp. 93-115; Wongkit, M., McKercher, B., Toward a typology of medical tourists: a case study of Thailand (2013) Tourism Management, 37, pp. 4-12; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Yung, J.W., Meyer, P.S., Ausubel, J.H., The Loglet Lab software: a tutorial (1999) Technological Forecasting and Social Change, 61, pp. 273-295","Liu, J.S.; Graduate Institute of Technology Management, National Taiwan University of Science and Technology, 43, Sec. 4, Keelung Rd., Taipei 10607, Taiwan; email: johnliu@mail.ntust.edu.tw",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84899015633 "Lee M., Han H., Lockyer T.","56143660400;21233360400;6508134233;","Medical tourism—attracting japanese tourists for medical tourism experience",2012,"Journal of Travel and Tourism Marketing","29","1",,"69","86",,52,"10.1080/10548408.2012.638564","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867142303&doi=10.1080%2f10548408.2012.638564&partnerID=40&md5=1aa9338c6158e9a4d8a04dccbfe967b3","Department of Tourism Management, Dong-A University in Busan, South Korea; Department of Tourism Management, Dong-A University, 2 ga, 1bungi, Bumin-dong, Busan, South Korea; Department of Tourism and Hospitality Management of Waikato Management School, The University of Waikato in Hamilton, New Zealand","Lee, M., Department of Tourism Management, Dong-A University in Busan, South Korea; Han, H., Department of Tourism Management, Dong-A University, 2 ga, 1bungi, Bumin-dong, Busan, South Korea; Lockyer, T., Department of Tourism and Hospitality Management of Waikato Management School, The University of Waikato in Hamilton, New Zealand","This study aimed at examining the intention of Japanese tourists to travel to Korea in a medical tourism context by applying the Theory of Planned Behavior (TPB). A total of 237 responses were analyzed via structural equation modeling to test two dimensions of medical tourism models. A total of 14 salient belief items in the health treatment model and 16 salient belief items in the beautification model were identified. Reshaping dimensions of medical tourism and the proved applicability of the TPB extends the knowledge of medical tourism and understanding of Japanese tourists’ travel intentions in a medical tourism context. The findings indicate the industry practitioners should put effort into attracting Japanese medical tourists. This research has shown that authorities should influence word-of-mouth information exchange and should seek feedback to develop marketing strategies. Publicity should be coordinated with professional bodies in the originating and destination countries. The research further indicates that regulatory and safety regulations must be in place with easy access to information. © Taylor and Francis Group.","Japanese tourist; Medical tourism; Theory of Planned Behavior (TPB); Travel intention",,,,,,,,,"Adams, M., Rising popularity of medical tourism reveals deterioration of U.S. Healthcare system (2005) Retrieved from, , http://www.naturalnews.com/z007097.html; Ajzen, I., From intentions to actions: A theory of planned behavior (1985) Action-control: From cognition to behavior, pp. 11-39. , In J. Kuhl and J. 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Retrieved from, , https://www4.bankofamerica.com/foreigncurrency; Borman, E., Health tourism: Where healthcare, ethics, and the state collide (2004) British Medical Journal, 328, pp. 60-61; Chang, M.K., Predicting unethical behavior: A comparison of the theory of reasoned action and theory of planned behavior (1998) Journal of Business Ethics, 17 (16), pp. 1825-1834; Cheng, S., Lam, T., Hsu, C.H.C., Negative world-of-mouth communication intention: An application of the theory of planned behavior (2006) Journal of Hospitality and Tourism Research, 30 (1), pp. 95-116; Choi, S.B., Report for analysis of international visitors nationalities (2009) Retrieved from, , http://korean.visitkorea.or.kr/kor/tt/knowledge_db/tour_statistics/tour_realities/abroad_tour_realities/content/cms_view_864855.jsp; Connell, J., Medial tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Demicco, F.J., Cetron, M., (2005) Medical tourism growing worldwide. Retrieved from, , http://www.udel.edu/PR/UDaily/2005/mar/tourism072505.html; Eagry, A.H., Chaiken, S., The psychology of attitudes (1993) Fort Worth, TX: Harcourt Brace Jovanovich; Fishbein, M., Ajzen, L., Belief, attitude (1975) intention and behaviour: An introduction to theory and research, , Reading, MA: Addison –Wesley; Fornell, C., Larcker, D.F., Evaluating structural equation models with unobservable variables and measurement error (1981) Journal of Marketing Research, 18 (1), pp. 39-50; Garcia-Altes, M., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Glasman, L.R., Albarracín, D., Forming attitudes that predict future behaviors: A meta-analysis of the attitude-behavior relation (2006) Psychological Bulletin, 132 (5), pp. 778-822; Godin, G., Kok, G., The theory of planned behavior: A review of its applications to health-related behaviors (1996) American Journal of Health Promotion, 11 (2), pp. 87-98; Goodrich, J.N., Goodrich, G.E., Health care tourism-An exploratory study (1987) Tourism Management, 46 (3), pp. 217-222; Gupta, A.S., Medical tourism and public health (2004) People’s Democracy, 27 (19), p. 9; Hall, K., Japan wants to build medical tourism market (2009) Retrieved from, , http://www.businessweek.com/blogs/eyeonasia/archives/2009/07/japan_wants_to.html, July 27; Hair, J.F., Anderson, R.E., Tatham, R.L., Black, W.C., (1998) Multivariate data analysis, , 8th ed.). Upper Saddle River, NJ: Prentice-Hall; Han, H., Hsu, J., Sheu, C., Application of the theory of planned behavior to green hotel choice: Testing the effect of environmental friendly activities (2009) Tourism Management, 41 (3), pp. 1-10; Hee, S.P., Relationships among attitudes and subjective norm: Testing the theory of reasoned action cultures (2000) Communication Studies, 51 (2), pp. 162-175; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel and Tourism Marketing, 27 (3), pp. 236-251; Hunter, W.C., Medical tourism: A new global niche (2007) International Journal of Tourism Science, 7 (1), pp. 129-140; Kang, J.J., Oh, S.H., An exploratory analysis of demographic differences on choice of medical tourism destination (2008) The Korean Academic Society of Tourism and Leisure, 20 (4), pp. 139-158; Kim, R., Trust, consideration key to medical tourism (2009) Retrieved from, , http://www.koreatimes.co.kr/www/news/nation/2009/01/117_38289.html, January 21; Kim, S., Agrusa, J., Lee, H., Chon, K., Effects of Korean television dramas on the flow of Japanese tourists (2007) Tourism Management, 28 (5), pp. 1340-1353; Tourist Arrival Analysis by Country (2007) Retrieved from, , http://korean.visitkorea.or.kr/kor/tt/knowledge_db/tour_statistics/korea_tour_stat/immigration_imcome/content/cms_view_246502.jsp, KNTO; Lam, T., Hsu, C.H.C., Theory of planned behavior: Potential travelers from China (2004) Journal of Hospitality and Tourism Research, 28 (4), pp. 463-482; Lam, T., Hsu, C.H.C., Predicting behavioral intention of choosing a travel destination (2006) Tourism Management, 27 (4), pp. 589-599; Lee, J.H., (2009) From tradition to fast-paced life: Korea diversifies brand. Korea Herald. Retrieved from, , http://www.koreaherald.com/specialreport/Detail.jsp?newsMLId, June 8; Levett, C., A slice of the action (2005) Sydney Morning Herald, p. 27; March, R., Woodside, G., Tourism behavior: Travellers’ decisions and actions (2005) Wallingford, , United Kingdom: CABI; Mathieson, K., Predicting user intentions: Comparing the technology acceptance model with the theory of planned behavior (1991) Infromation System Research, 2 (3), pp. 173-191; Medlik, S., Dictionary of travel, tourism and hospitality (1996) Oxford, , United Kingdom: Butterworth- Heinemann; Notani, A.S., Moderators of perceived behavioral control’s productiveness in the theory of planned behavior. A meta-analysis (1998) Journal of Consumer Psychology, 7, pp. 247-271; Podsakoff, P.M.M., Mackenzie, S.B., Lee, J.Y., Podsakoff, N.P., Commmon method biases in behavioural research: A critical review of the literature and recommended remedies (2003) Journal of Applied Psychology, 88 (5), pp. 879-903; Quintal, V.A., Lee, J.A., Soutar, G.N., Risk, uncertainty and the theory of planned behavior: A tourism example (2009) Tourism Management, 31 (6), pp. 797-805; Ramirez, J., Eye on medical tourism. 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Factors that help to predict tourist behavioral intentions (2007) Tourism Management, 28, pp. 1180-1192; Sparks, B., Pan, G.W., Chinese outbound tourists: Understanding their attitudes, constraints and use of information sources (2009) Tourism Management, 30 (4), pp. 483-494; Swan, J., Disconfirmation of expectations and satisfaction with a retail service (1981) Journal of Retailing, 57 (3), pp. 49-66; Trafimow, D., Finlay, K.A., The importance of subjective norm of minority of people: Betweensubjects and within-subjects analyses (1996) Personality and Social Psychology Bulletin, 22 (8), pp. 820-829; Trafimow, D., Finlay, K.A., The importance of traits and group memberships (2001) European Journal of Social Psychology, 31, pp. 37-43; Waitt, G., Marketing Korea as an international tourist destination (1996) Tourism Management, 17 (2), pp. 113-121; Weil, A., (2009) Medical tourism: It’s a real and growing trend. Arizona Daily Star. Retrieved from, , http://azstarnet.com/lifestyles/food-and-cooking/article_7f00ec9a-261c-5e6f-80a1-c8bdddcaac00.html, March 11; Wocher, J., Japan lags behind (2009) Retrieved from, , http://www.imtj.com/articles/2008/japan-lags-behind/; Yang, Y.-T., Al-Ani, S., Bartlett, G., Moazzam, A., PR29P cosmetic medical tourism: Its true cost (2009) ANZ Journal of Surgery, 79, p. 60; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists (2008) Paper presented at the APTA Annual Conference, , Bangkok, Thailand; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Yu, J.Y., A cross-cultural study on participation intention to medical tourism among Korean, Chinese and Japanese visitors in Korea (2009) The Korean Academic Society of Tourism, 33 (3), pp. 187-204","Lee, M.; Department of Tourism Management, Dong-A University in BusanSouth Korea",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84867142303 "Birch D.W., Vu L., Karmali S., Stoklossa C.J., Sharma A.M.","7102264332;55412687000;6505890576;11840040600;7404971729;","Medical tourism in bariatric surgery",2010,"American Journal of Surgery","199","5",,"604","608",,52,"10.1016/j.amjsurg.2010.01.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77951939051&doi=10.1016%2fj.amjsurg.2010.01.002&partnerID=40&md5=55941889e4c3462fc035304d856dce73","Center for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, 10240 Kingsway, Edmonton, Alta. T5H 3V9, Canada; Department of Surgery, University of Alberta, Edmonton, Alta., Canada; Weight Wise Program, Department of Medicine, University of Alberta, Alta., Canada; Department of Surgery, University of British Columbia, BC, Canada","Birch, D.W., Center for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, 10240 Kingsway, Edmonton, Alta. T5H 3V9, Canada, Department of Surgery, University of Alberta, Edmonton, Alta., Canada; Vu, L., Department of Surgery, University of British Columbia, BC, Canada; Karmali, S., Center for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, 10240 Kingsway, Edmonton, Alta. T5H 3V9, Canada, Department of Surgery, University of Alberta, Edmonton, Alta., Canada; Stoklossa, C.J., Weight Wise Program, Department of Medicine, University of Alberta, Alta., Canada; Sharma, A.M., Weight Wise Program, Department of Medicine, University of Alberta, Alta., Canada","Background: The number of Canadians who self-refer for bariatric surgery outside of Canada or to private clinics within Canada remains undefined. The outcomes from this questionable practice have not been evaluated systematically to date. Methods: We completed a chart review of known cases referred to our center for complications related to medical tourism and bariatric surgery. Results: We present a series of patients who have experienced complications because of medical tourism for bariatric surgery and required urgent surgical management at a tertiary care center within Canada. Complications have resulted from 3 commonly used procedures: adjustable gastric banding, gastric sleeve resection, and Roux-en-Y gastric bypass. Conclusions: Because of this review, we propose that a medical tourism approach to the surgical management of obesity-a chronic disease-is inappropriate and raises clear ethical and moral issues. © 2010 Elsevier Inc. All rights reserved.","Bariatric surgery; Medical tourism; Obesity; Surgical complications","fibrin glue; proton pump inhibitor; sucralfate; adult; article; bariatric surgery; Canada; clinical article; controlled study; female; gastric banding; human; intestine ulcer; laparoscopic surgery; medical ethics; medical record review; obesity; outcome assessment; patient referral; postoperative complication; priority journal; private hospital; reoperation; Roux Y anastomosis; stent; stomach bypass; stomach fistula; stomach obstruction; tertiary health care; tourism; Adult; Bariatric Surgery; Body Mass Index; Canada; Female; Follow-Up Studies; Gastric Bypass; Gastroplasty; Humans; Laparoscopy; Medical Tourism; Middle Aged; Obesity, Morbid; Postoperative Complications; Reoperation; Retrospective Studies; Risk Assessment; Sampling Studies; Treatment Outcome; Young Adult",,"sucralfate, 54182-58-0",,,,,,"Tjepkema, M., Shields, M., Le Petit, C., (2006) Health Reports (Statistics Canada, Catalogue 82-003), 17; Padwal, R.S., Lewanczuk, R.Z., Trends in bariatric surgery in Canada, 1993-2003 (2005) CMAJ, 172, p. 735; Douketis, J.D., Feightner, J.W., Attia, J., Canadian Task Force on the Periodic Health E. Periodic health examination, 1999 update. 1. Detection, prevention and treatment of obesity (1999) CMAJ, 160, pp. 513-525; Christou, N.V., Efthimiou, E., Bariatric surgery waiting times in Canada (2009) Can J Surg, 52, pp. 229-234; Pafford, B., The third wave-medical tourism in the 21st century (2009) South Med J, 102, pp. 810-813; Appleby, J.J.S., Sending patients packing. USA Today 2007, , http://www.usatoday.com/money/industries/health/2006-07-26-travel-surgery-usat_x.htm, Accessed: November 2009; Deloitte, N.A., Medical tourism: consumers in search of value 2008, , http://www.deloitte.com/dtt/cda/doc/content/us_chs_MedicalTourism, Accessed: November 2009; Wysong, P., Medical tourism-an expert interview with Michael Horowitz. Medscape, , http://www.medscape.com/viewarticle/710279, Accessed: October 14, 2009; ST-65: statement on medical and surgical tourism (2009) Bull Am Coll Surg, 94, pp. 26-27. , Committee on Perioperative Care, American College of Surgeons; Council on Medical Service Report 1, American Medical Association House of Delegates, Reference Committee G, Chair: H Christopher Alexander. Medical Care Outside the United States (resolutions 711 and 732, A-07). American Medical Association; 2008; Turner, L., Medical tourism: family medicine and international health-related travel (2007) Can Fam Physician, 53, pp. 1639-1641","Birch, D.W.; Center for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, 10240 Kingsway, Edmonton, Alta. T5H 3V9, Canada; email: dbirch@ualberta.ca",,,,,,,,00029610,,AJSUA,"20346442","English","Am. J. Surg.",Article,"Final",,Scopus,2-s2.0-77951939051 "Hanefeld J., Smith R., Horsfall D., Lunt N.","26430746700;55746369800;35848647100;6603761945;","What do we know about medical tourism? A review of the literature with discussion of its implications for the UK national health service as an example of a public health care system",2014,"Journal of Travel Medicine","21","6",,"410","417",,51,"10.1111/jtm.12147","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84934271465&doi=10.1111%2fjtm.12147&partnerID=40&md5=701ed9b81680bd4ca27d99ad8b2d8f26","Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; Social Policy and Social Work, University of York, Heslington, York, United Kingdom","Hanefeld, J., Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; Smith, R., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; Horsfall, D., Social Policy and Social Work, University of York, Heslington, York, United Kingdom; Lunt, N., Social Policy and Social Work, University of York, Heslington, York, United Kingdom","Background. Medical tourism is a growing phenomenon. This review of the literature maps current knowledge and discusses findings with reference to the UK National Health Service (NHS). Methods. Databases were systematically searched between September 2011 and March 2012 and 100 papers were selected for review. Results. The literature shows specific types of tourism depending on treatment, eg, dentistry, cosmetic, or fertility. Patient motivation is complex and while further research is needed, factors beyond cost, including availability and distance, are clearly important. The provision of medical tourism varies. Volume of patient travel, economic cost and benefit were established for 13 countries. It highlights contributions not only to recipient countries’ economies but also to a possible growth in health systems’ inequities. Evidence suggests that UK patients travel abroad to receive treatment, complications arise and are treated by the NHS, indicating costs from medical travel for originating health systems. Conclusion. It demonstrates the importance of quality standards and holds lessons as the UK and other EU countries implement the EUDirective on cross-border care. Lifting the private-patient-cap for NHS hospitals increases potential for growth in inbound medical tourism; yet no research exists on this. Research is required on volume, cost, patientmotivation, industry, and on long-term health outcomes in medical tourists. © 2014 International Society of Travel Medicine.",,"data base; economic aspect; fertility; hospital; human; medical tourism; motivation; national health service; public health service; recipient; travel; economics; female; financial management; health care cost; health care delivery; male; medical tourism; national health service; patient preference; patient satisfaction; statistics and numerical data; United Kingdom; Delivery of Health Care; Female; Great Britain; Health Care Costs; Humans; Male; Marketing of Health Services; Medical Tourism; Patient Preference; Patient Satisfaction; State Medicine",,,,,,,,"Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373, pp. 593-601; Legido-Quigley, H., Passarani, I., Knai, C., Cross-border healthcare in the European Union: Clarifying patients’ rights (2011) BMJ, 342, p. d296; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Culley, L., Hudson, N., Rapport, F., Crossing borders for fertility treatment: Motivations, destinations and outcomes of UK fertility travellers (2011) Hum Reprod, 26, pp. 2373-2381; Ferraretti, A.P., Pennings, G., Gianaroli, L., Crossborder reproductive care: A phenomenon expressing the controversial aspects of reproductive technologies (2010) Reprod Biomed Online, 20, pp. 261-266; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tour Manage, 27, pp. 1093-1100; Alsharif, M.J., Labonte, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Glob Soc Policy, 10, pp. 315-335; Siddiqi, S., Shennawy, A., Mirza, Z., Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective (2010) Int J Health Plann Manage, 25, pp. 231-250; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Soc Sci Med, 67, pp. 101-110; Lee, C.G., Hung, W., Tourism, health and income in Singapore (2010) Int J Tour Res, 12, pp. 355-359; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medgenmed, 9, p. 33; Piazolo, M., Zanca, N.A., Medical tourism—a case study for the USA and India, Germany and Hungary (2011) Acta Polytech Hungarica, 8, pp. 137-160; Hudson, N., Culley, L., Blyth, E., Cross-border reproductive care: A review of the literature (2011) Reprod Biomed Online, 22, pp. 673-685; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16, pp. 1145-1155; Connell, J., Mind and matter: Health tourism or cosmetic surgery? (2011) Medical Tourism, pp. 23-41. , Wallingford: CABI; Lee, J.Y., Kearns, R.A., Friesen, W., Seeking affective health care: Korean immigrants’ use of homeland medical services (2010) Health Place, 16, pp. 108-115; Horton, S., Cole, S., Medical returns: Seeking health care in Mexico (2011) Soc Sci Med, 72, pp. 1846-1852; Martinez Alvarez, M., Chanda, R., Smith, R.D., The potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the UK and India (2011) Global Health, 7, p. 11; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) Int J Fertilwomens Med, 51, pp. 251-255; Michelmann, H.W., Himmel, W., Considering the possible and choosing the justifiable—The problem of “tourism” in infertility treatment (2007) J Reprod Endokrinol, 4, pp. 118-123. , (in German); Bergmann, S., Fertility tourism: Circumventive routes that enable access to reproductive technologies and substances (2011) Signs, 36, pp. 280-289; McKelvey, A., David, A., Shenfield, F., Jauniaux, E.R., The impact of cross-border reproductive care or “fertility tourism” on NHS maternity services (2009) BJOG, 116, pp. 1520-1523; Connell, J., Tummy tucks and the Taj Mahal? Medical tourism and the globalization of health care (2008) Tourism Management: Analysis, Behaviour and Strategy, pp. 232-244. , In: Woodside A, Martin D, eds., Wallingford: CABI; Turner, L., Cross-border dental care: “dental tourism” and patient mobility (2008) Br Dent J, 204, pp. 553-554; Milosevic, A., Dental tourism—a global issue? Perspectives (2009) J Esthetic Restorative Dent, 21, pp. 289-291; Osterle, A., Balazs, P., Delgado, J., Travelling for teeth: Characteristics and perspectives of dental care tourism in Hungary (2009) Br Dent J, 206, pp. 425-428; Snyder, J., Crooks, V.A., Medical tourism and bariatric surgery: More moral challenges (2010) Am J Bioethics, 10, pp. 28-30; Whiteman, R.G., Medical tourism and bariatric surgery (2011) Surg Obes Relat Dis, 7, pp. 652-655; Jeevan, R., Birch, J., Armstrong, A.P., Travelling abroad for aesthetic surgery: Informing healthcare practitioners and providers while improving patient safety (2011) J Plast Reconstr Aesthet Surg, 64, pp. 143-147; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) J Plast Reconstr Aesthet Surg, 65, pp. 22-28; Nassab, R., Hamnett, N., Nelson, K., Cosmetic tourism: Public opinion and analysis of information and content available on the Internet (2010) Aesthet Surg J, 30, pp. 465-469; Harling, R., Turbitt, D., Millar, M., Passage from India: An outbreak of hepatitis B linked to a patient who acquired infection from health care overseas (2007) Public Health, 121, pp. 734-741; Chan, H.L., Poon, L.M., Chan, S.G., Teo, J.W., The perils of medical tourism: NDM-1-positive Escherichia coli causing febrile neutropenia in a medical tourist (2011) Singapore Med J, 52, pp. 299-302; Rogers, B.A., Aminzadeh, Z., Hayashi, Y., Country-tocountry transfer of patients and the risk of multi-resistant bacterial infection (2011) Clin Infect Dis, 53, pp. 49-56; Smith, R., Lunt, N., Hanefeld, J., The implications of PIP are more than just cosmetic (2012) Lancet, 379, pp. 1180-1181; Whittaker, A., Challenges of medical travel to global regulation: A case study of reproductive travel in Asia (2010) Glob Soc Policy, 10, pp. 396-415; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int J Qual Health Care, 23, pp. 1-7; Johnston, R., Crooks, V.A., Snyder, J., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Vijaya, R.M., Medical tourism: Revenue generation or international transfer of healthcare problems? (2010) J Econ Issues, 44, pp. 53-69; Naranong, A., Naranong, V., The effects of medical tourism: Thailand’s experience (2011) Bull WHO, 89, pp. 336-344; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthet Surg J, 31, pp. 694-697; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Aff, 25, pp. 358-368; Karuppan, C.M., Karuppan, M., Changing trends in health care tourism (2010) Health Care Manag, 29, pp. 349-358; Snyder, J., Crooks, V.A., Adams, K., The “patient’s physician one-step removed”: The evolving roles of medical tourism facilitators (2011) J Med Ethics, 37, pp. 530-534; Leng, C.H., Medical tourism and the state in Malaysia and Singapore (2010) Glob Soc Policy, 10, pp. 336-357; Whittaker, A., Speier, A., Cycling overseas: Care, commodification, and stratification in cross-border reproductive travel (2010) Med Anthropol, 29, pp. 363-383; Heung, V., Kucukusta, D., Song, H., Medical tourism development inHong Kong: An assessment of the barriers (2011) Tour Manage, 32, pp. 995-1005; Sarojini, N., Vrinda, M., Anjali, S., Globalisation of birth markets: A case study of assisted reproductive technologies in India (2011) Global Health, 7, p. 27; Shenfield, F., Demouzon, J., PenningsG, et al. 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(2010) J Public Health Policy, 31, pp. 185-198","Hanefeld, J.; Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, United Kingdom; email: Johanna.Hanefeld@lshtm.ac.uk",,,"Oxford University Press",,,,,11951982,,JTRMF,"25156070","English","J. Travel Med.",Review,"Final",Open Access,Scopus,2-s2.0-84934271465 "Lee H.K., Fernando Y.","56272913100;26664524300;","The antecedents and outcomes of the medical tourism supply chain",2015,"Tourism Management","46",,,"148","157",,50,"10.1016/j.tourman.2014.06.014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904356658&doi=10.1016%2fj.tourman.2014.06.014&partnerID=40&md5=5e90c416eba26f3215fc5e059a395493","Graduate School of Business, Universiti Sains Malaysia, 11800, Penang, Malaysia","Lee, H.K., Graduate School of Business, Universiti Sains Malaysia, 11800, Penang, Malaysia; Fernando, Y., Graduate School of Business, Universiti Sains Malaysia, 11800, Penang, Malaysia","A model for the medical tourism supply chain with the antecedents and outcomes was developed and empirically investigated in this paper. The theoretical model was tested using Structural Equation Modelling with Partial Least Squares. A self-administered questionnaire was designed and collected from 133 organizations representing various industries that are part of the medical tourism industry in Malaysia. The results show that mutual dependency has the strongest effect of the antecedent variables; and that medical tourism supply chain coordination and medical tourism supply chain information sharing have a direct effect on organizational performance. This paper provides practitioners with guidelines to improve their organizational performance, and ends with recommendations for future study. © 2014 Elsevier Ltd.","Coordination; Integration; Malaysia; Medical; Supply chain; Tourism","artificial intelligence; numerical model; tourism development; tourism economics; tourism market; guideline; least squares method; medicine; modeling; organizational framework; performance assessment; questionnaire survey; Malaysia",,,,,,,,"Agan, Y., Impact of operations, marketing, and information technology capabilities on supply chain integration (2011) Journal of Economic and Social Research, 13 (1), pp. 27-56; Agrell, P.J., Lindroth, R., Norrman, A., Risk, information and incentives in telecom supply chains (2004) International Journal of Production Economics, 90, pp. 1-16; AlSagheer, A., Mohammed, H.B., Ahli, M., Impact of supply chain integration on business performance and its challenges (2011) International Business & Economics Research Journal, 10 (12), pp. 79-92; 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Manage.",Article,"Final",,Scopus,2-s2.0-84904356658 "Lunt N.","6603761945;","Systematic review of web sites for prospective medical tourists",2011,"Tourism Review","66",,,"57","67",,50,"10.1108/16605371111127224","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858667589&doi=10.1108%2f16605371111127224&partnerID=40&md5=0c726867b75ad465b2aa61c7465b7539","York Management School, University of York, York, United Kingdom; Mannheim Institute of Public Health, University of Heidelberg, Mannheim, Germany","Lunt, N., York Management School, University of York, York, United Kingdom, Mannheim Institute of Public Health, University of Heidelberg, Mannheim, Germany","A key driver in the medical tourism phenomenon is the platform provided by the internet for gaining access to healthcare information and advertising. Given the pivotal role of web-based resources, there are important questions about their role and function including: the availability and types of information provided; information provenance and reliability; and privacy protection. This paper aims to address these questions. The paper provides the first systematic review of medical tourism sites, interrogating them for the range and quality of advice on seeking care. A typology of sites (industry, media, professional, and consumer sites) was identified and quantitative and qualitative assessment tools were used to explore the content of information and materials. In light of this review, the paper comments on the nature of medical tourism information available and the extent to which information asymmetry – rife in the market for healthcare – is alleviated allowing for the better functioning of the market for medical tourism. © 2011, Emerald Group Publishing Limited","Consumers; Health care; Medical treatment; Tourism; Web sites",,,,,,,,,"Akram, G., Thomson, A.H., Boyter, A.C., Morthon, M.J.S., Characterisation and evaluation of UK websites on attention deficit hyperactivity disorder (2008) Archives of Disease in Childhood, 93, pp. 695-700; Bernstam, E.V., Sagaram, S., Walji, M., Johnston, C.W., Meric-Bernstam, F., Usability of quality measures for online health information: can commonly used technical quality criteria be reliably assessed? (2005) International Journal of Medical Informatics, 74, pp. 675-683; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of ‘cosmetic tourism’ – an avoidable burden on the NHS (2007) Journal of Plastic, Reconstructive and Aesthetic Surgery, 60, pp. 1075-1077; Breckons, M., Jones, R., Morris, J., Richardson, J., What do evaluation instruments tell us about the quality of complementary medicine information on the internet (2008) Journal of Medical Internet Research, 10 (1), p. e3; Carrera, P., Choice of foreign care for the German patient (2009) European Association of Health Law Conference, Edinburgh, 15-16 October, , Royal College of Physicians, Edinburgh; Carrera, P., Bridges, J.F.P., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review in Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Medical tourism: need surgery, will travel (2006), www.cbc.ca/news/background/healthcare/medicaltourism.html, available at:, (July, 2006); Connell, J., Medical tourism: sea, sun, sand, and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Datta, A.K., Selman, T.J., Kwok, T., Tang, T., Khan, K.S., Quality of information accompanying on-line marketing of home diagnostic tests (2008) Journal of the Royal Society of Medicine, 101, pp. 34-38; Medical tourism: update and implications 2008 (2008), www.deloitte.com/us/medicaltourism; Quality criteria for health related websites (2002) Journal of Medical Internet Research, 4 (3), p. e15. , www.jmir.org/2002/3/e15/HTML; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical tourism (2008) The Mc Kinsey Quarterly, pp. 1-11. , May; Eysenbach, G., An ontology of quality initiatives and a model for decentralized, collaborative quality management on the (semantic) world wide web (2001) Journal of Medical Internet Research, 3 (4), p. e34; Eysenbach, G., Powell, J., Kuss, O., Sa, E.R., Empirical studies assessing the quality of health information for consumers on the world wide web: a systematic review (2002) Journal of the American Medical Association, 287 (20), pp. 2691-2700; Gollust, S.E., Wilfond, B.S., Hull, S.C., Direct-to-consumer sales of genetic services on the internet (2003) Journal of Medical Genetics, 5 (4), pp. 332-337; Gordon, J., Barot, L., Fahey, A.L., Matthews, M.S., The internet as a source of information on breast reconstruction (2001) Plastic and Reconstructive Surgery, 107 (1), pp. 171-176; Gray, H.H., Poland, C.S., Medical tourism: crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201; Griffiths, K.M., Christensen, H., The quality and accessibility of Australian depression sites of the world wide web (2002) Medical Journal of Australia, 176, pp. S97-S104. , Supplement; Griffiths, K.M., Christensen, H., Website quality indicators for consumers (2005) Journal of Medical Internet Research, 7 (5), p. e55. , www.jmir.org/2005/5/e55/HTML; Groene, O., Poletti, P., Vallejo, P., Cucic, C., Klazinga, N., Suñol, R., Quality requirements for cross-border care in Europe: a qualitative study of patients', professionals' and healthcare financiers' views (2009) Quality & Safety in Health Care, 18, pp. i15-i21. , Supplement; Illes, J., Kann, D., Karetsky, K., Letourneau, P., Raffin, T.A., Schraedley-Desmond, P., Koenig, B.A., Atlas, S.W., Advertising, patient decision making, and self-referral for computed tomographic and magnetic resonance imaging (2004) Archives of Internal Medicine, 194, pp. 2415-2419; Jejurikas, S., Rovak, J.M., Kuzon, W.M., Chung, K.C., Kotsis, S.V., Cederna, P.S., Evaluation of plastic surgery information on the internet (2002) Annals of Plastic Surgery, 49 (5), pp. 460-465; Khazaal, Y., Fernandez, S., Cochand, B.A., Reboh, I., Zullino, D., Quality of web-based information on social phobia: a cross-sectional study (2008) Depression and Anxiety, 25, pp. 461-465; Losken, A., Burke, R., Elliot, F., Carlson, G.W., Infonomics and breast reconstruction: are patients using the internet? (2005) Annals of Plastic Surgery, 54, pp. 247-250; Lunt, N., Carrera, P., Medical tourism: assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: medical tourism and the emergence of web-based health information (2010) Open Medical Informatics Journal, 4, pp. 1-11; Marshall, L.A., Williams, D., Health information: does quality count for the consumer? How consumers evaluate the quality of health information materials across a variety of media (2006) Journal of Librarianship and Information Sciences, 38, pp. 141-156; Milstein, A., Smith, M., America's new refugees – seeking affordable surgery offshore (2006) New England Medical Journal, 355 (16), pp. 1637-1640; Directive of 2011/24/EU of the European Parliament and Council of the European Union of 9 March 2011 on the application of patients' rights in cross-border healthcare (2011), 88, pp. 45-65. , 4 April; Okamura, K., Bernstein, J., Fidler, A.T., Assessing the quality of infertility resources on the world wide web: tools to guide clients through the maze of fact and fiction (2002) Journal of Midwifery and Womens Health, 47 (4), pp. 264-268; Peterson, G., Aslani, P., Williams, K.A., How do consumers search for and appraise information on medicines on the internet? A qualitative study using focus groups (2003) Journal of Medical Internet Research, 5 (4), p. e33; Provost, M., Koompalum, D., Dong, D., Martin, B.C., The initial development of the WebMedQual scale: domain assessment of the construct of quality of health web sites (2006) International Journal of Medical Informatics, 75, pp. 42-57; Salant, T., Santry, H.P., Internet marketing of bariatric surgery: contemporary trends in the medicalization of obesity (2006) Social Science & Medicine, 62, pp. 2445-2457; Shepperd, S., Charnock, D., Cook, A., A 5-star system for rating the quality of information based on DISCERN (2002) Health Information and Libraries Journal, 19, pp. 201-205; (2008), www.treatmentabroad.com/about/medical-tourism-survey/?locale=en, available at:, (January 17, 2009); Turner, L., Cross-border dental care: ‘dental tourism’ and patient mobility (2008) British Dental Journal, 204 (10), pp. 553-554; Youngman, I., Medical tourism statistics: why McKinsey has got it wrong (2009) International Medical Travel Journal, , www.imtjonline.com/articles/2009/mckinsey-wrong-medical-travel/","Lunt, N.; York Management School, University of York, York, United Kingdom",,,,,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-84858667589 "Desikan R., Tricot G., Munshi N.C., Anaissie E., Spoon D., Fassas A., Toor A., Zangari M., Badros A., Morris C., Vesole D.H., Siegel D., Jagannath S., Barlogie B.","35373250300;7101653607;7005171559;7102970626;57105162200;7005231024;7004178751;7004609633;6701681826;57213789763;16743076900;7202706205;35370080900;7102062681;","Preceding chemotherapy, tumour load and age influence engraftment in multiple myeloma patients mobilized with granulocyte colony-stimulating factor alone",2001,"British Journal of Haematology","112","1",,"242","247",,50,"10.1046/j.1365-2141.2001.02498.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035136933&doi=10.1046%2fj.1365-2141.2001.02498.x&partnerID=40&md5=7afeca396b55e37b5e0188d399541a18","Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; University of Arkansas for Medical Sciences, 4301 W. Markham, Little Rock, AR 72205, United States","Desikan, R., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States, University of Arkansas for Medical Sciences, 4301 W. Markham, Little Rock, AR 72205, United States; Tricot, G., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Munshi, N.C., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Anaissie, E., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Spoon, D., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Fassas, A., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Toor, A., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Zangari, M., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Badros, A., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Morris, C., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Vesole, D.H., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Siegel, D., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Jagannath, S., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States; Barlogie, B., Myeloma and Transplantation Research Center, University of Arkansas for Medical Sciences, Arkansas Cancer Research Center, Little Rock, AR, United States","Haematopoietic growth factors, especially granulocyte colony-stimulating factor (G-CSF), are frequently utilized alone for peripheral blood stem cell (PBSC) procurement to avoid the morbidity associated with high-dose chemotherapy (HDT). Moreover, the cytotoxic agents used may not be the most optimal therapy for the malignancy. It also makes scheduling of apheresis easier. Factors having an impact on PBSC procurement and engraftment after HDT were analysed in 117 multiple myeloma patients mobilized with G-CSF (10-16 μg/kg, median 12 μg/kg) alone using Cox regression analysis. A median of 6.2 × 106 CD34 cells/kg (range 0.6-34.1) were procured during leukapheresis and a median of 2·5 × 106 CD34 cells was infused after the first HDT (range 0.3-23.9). The only factor significantly affecting optimal PBSC procurement was duration of preceding conventional chemotherapy (P = 0.002). Granulocyte recovery was prompt in almost all patients, 75% of whom attained a granulocyte count of 0.5 × 109/l by day 13 (median 11, range 7-19). However, platelet recovery to both 20 × 109/l (median 12 d, range 8-50+) and 50 × 109/l (median 20 d, range 7-205+) varied widely. On univariate analysis, factors influencing platelet recovery were the number of CD34 cells/kg infused, age, β2-microglobulin levels, response to preceding therapy, bone marrow plasmacytosis and duration of prior therapy. Factors attaining significance on multivariate analysis included number of CD34 cells/kg infused (P = 0.007), β2-microglobulin levels (P = 0.0001), most probably representing disease load, and age (P = 0.002). Patients with high tumour burden, i.e. β2-microglobulin levels > 2·5 mg/l, probably benefit from chemotherapy for mobilization both in terms of cytoreduction and adequate stem cell mobilization resulting in accelerated engraftment.","Autotransplants; G-CSF mobilization; Multiple myeloma","antineoplastic agent; beta 2 microglobulin; CD34 antigen; recombinant granulocyte colony stimulating factor; adult; age; article; cancer chemotherapy; cancer size; human; leukapheresis; leukocyte count; major clinical study; multiple myeloma; peripheral blood stem cell; plasmacytosis; priority journal; regression analysis; thrombocyte count; Age Factors; Aged; Antigens, CD34; Antineoplastic Combined Chemotherapy Protocols; beta 2-Microglobulin; Combined Modality Therapy; Granulocyte Colony-Stimulating Factor; Granulocytes; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; Humans; Leukocyte Count; Middle Aged; Multiple Myeloma; Platelet Count; Regression Analysis; Stem Cells",,"Antigens, CD34; beta 2-Microglobulin; Granulocyte Colony-Stimulating Factor, 143011-72-7","neupogen, Amgen, United States","Amgen, United States",,,,"Alegre, A., Tomas, J.F., Martinez-Chamorro, C., Gil-Fernandez, J.J., Fernandez-Villalta, M.J., Arranz, R., Diaz, M.A., Fernandez-Ranada, J.M., Comparison of peripheral blood progenitor cell mobilization in patients with multiple myeloma: High-dose cyclophosphamide plus GM-CSF vs G-CSF alone (1997) Bone Marrow Transplantation, 20, pp. 211-217; Attal, M., Harousseau, J., Stoppa, A., Sotto, J., Fuzibet, J., Rossi, J., Casassua, P., Bataille, R., A prospective randomized trial of autologous bone marrow transplantation and chemotherapy in multiple myeloma (1996) New England Journal of Medicine, 335, pp. 91-97; Ballester, O.F., Tummala, R., Janssen, W.E., Fields, K.K., Hiemenz, J.W., Goldstein, S.C., Perkins, J.B., Elfenbein, G.J., High dose therapy and autologous peripheral blood stem cell transplantation in patients with multiple myeloma and renal insufficiency (1997) Bone Marrow Transplantation, 20, pp. 653-656; Barlogie, B., Jagannath, S., Vesole, D., Naucke, S., Cheson, B., Mattox, S., Bracy, D., Tricot, G., Superiority of tandem autologous transplantation over standard therapy for newly diagnosed multiple myeloma (1997) Blood, 89, pp. 789-793; Barlogie, B., Jagannath, S., Desikan, K.R., Vesole, D., Siegel, D., Tricot, G., Munshi, N.C., Crowley, J., Total therapy with tandem transplants for newly diagnosed multiple myeloma (1999) Blood, 93, pp. 55-65; Bensinger, W., Singer, J., Applebaum, F., Lilleby, K., Longin, K., Rowley, S., Clarke, E., Buckner, C.D., Autologous transplantation with peripheral blood mononuclear cells collected after administration of recombinant granulocyte stimulating factor (1993) Blood, 81, pp. 3158-3163; Bensinger, W.I., Longin, K., Applebaum, F., Rowley, S., Weaver, C., Lilleby, K., Gooley, T., Buckner, C.D., Peripheral blood stem cells (PBSCs) collected after recombinant granulocyte colony stimulating factor (rhG-CSF) an analysis of factors correlating with the tempo of engraftment after transplantation (1994) British Journal of Haematology, 87, pp. 825-831; Bensinger, W., Applebaum, F., Rowley, S., Storb, R., Sanders, J., Lilleby, K., Gooley, T., Buckner, C.D., Factors that influence collection and engraftment of autologous peripheral-blood stem cells (1995) Journal of Clinical Oncology, 13, pp. 2547-2555; Boiron, J.-M., Marit, G., Faberes, C., Cony-Makhoul, P., Foures, C., Ferrer, A.-M., Christol, G., Reiffers, J., Collection of peripheral blood stem cells in multiple myeloma following single high-dose cyclophosphamide with and without recombinant human granulocyte-macrophage colony stimulating factor (rhGM-CSF) (1993) Bone Marrow Transplantation, 12, pp. 49-55; Bolwell, B.J., Fishleder, A., Andresen, S.W., Lichtm, A.E., Koo, A., Yanssens, T., Burwell, R., Green, R., G-CSF primed peripheral blood progenitor cells in autologous bone marrow transplantation: Parameters affecting bone marrow engraftment (1993) Bone Marrow Transplantation, 12, pp. 609-614; Chao, N.J., Schriber, J.R., Grimes, K., Long, G.D., Negrin, R.S., Raimondi, C.M., Horning, S.J., Blume, K.G., Granulocyte colony-stimulating factor mobilized peripheral blood progenitor cells accelerate granulocyte and platelet recovery after high-dose chemotherapy (1993) Blood, 81, pp. 2031-2035; Craddock, C.F., Nakamato, B., Andrews, R.G., Priestley, G.V., Papayannopoulou, T., Antibodies to VLA4 integrin mobilize long-term repopulating cells and augment cytokine-induced mobilization in primates and mice (1997) Blood, 90, pp. 4779-4788; Cunningham, D., Paz-Ares, L., Milan, S., Powles, R., Nicholson, M., Hickish, T., Selby, P., Gore, M.E., High-dose melphalan and autologous bone marrow transplantation as consolidation in previously untreated myeloma (1994) Journal of Clinical Oncology, 12, pp. 759-763; Demirer, T., Buckner, C.D., Gooley, T., Appelbaum, F.R., Rowley, S., Chauncey, T., Lilleby, K., Bensinger, W.I., Factors influencing collection of peripheral blood stem cells in patients with myeloma (1996) Bone Marrow Transplantation, 17, pp. 937-941; Dercksen, M.W., Gerritsen, W.R., Rodenhuiss, S., Dirkson, M.K., Slaper-Cortenbach, I.C., Schaasberg, W.P., Van Pinedo, H.M., Van der School, C.E., Expression of adhesion molecules on CD34+ cells: CD34+ L-selectin+ cells predict a rapid platelet recovery after peripheral blood stem cell transplantation (1995) Blood, 85, pp. 3313-3319; Desikan, K.R., Barlogie, B., Jagannath, S., Vesole, D.H., Siegel, D., Fassas, A., Munshi, N., Tricot, G., Comparable engraftment kinetics following peripheral-blood stem-cell infusion mobilized with granulocyte colony-stimulating factor with or without cyclophosphamide in multiple myeloma (1998) Journal of Clinical Oncology, 16, pp. 1547-1553; D'Hondt, L., Emmons, R.V., Andre, M., Guillaume, T., Feyens, A.M., Canon, J.L., Humblet, Y., Symann, M., The administration of 10 microgram/kg granulocyte colony-stimulating factor (GCSF) alone results alone results in successful peripheral blood stem cell collection when previous mobilization with chemotherapy and hematopoietic growth factor failed (1999) Leukemia and Lymphoma, 34, pp. 105-109; Gianni, A.M., Siena, S., Bregni, M., Tarella, C., Stern, A.C., Pileri, A., Bonadonna, G., Granulocyte-macrophage colony-stimulating factor to harvest circulating haemopoietic cells for autotransplantation (1989) Lancet, 2, pp. 580-585; Goldschmidt, H., Hegenbart, U., Cremer, E., Kiel, K., Wallmeier, M., Hohaus, S., Hass, R., Moos, M., PBPC mobilization in multiple myeloma, high-dose chemotherapy plus G-CSF versus two different doses of G-CSF during steady-state (1996) Blood, 88, pp. 405a; Jagannath, S., Barlogie, B., Vesole, D., Bracy, D., Mattox, S., Tricot, G., Autotransplants can be performed safely in multiple myeloma patients with renal insufficiency (1995) Blood, 86, pp. 205a; Koc, O.N., Gerson, S.L., Cooper, B.W., Laughlin, M., Meyerson, H., Kutteh, L., Fox, R.M., Lazarus, H.M., Randomized cross-over trial of progenitor-cell mobilization: Cyclophosphamide plus granulocyte colony-stimulating factor versus granulocyte-macrophage colony-stimulating factor plus G-CSF (2000) Journal of Clinical Oncology, 18, pp. 1824-1830; Kotasek, D., Sheperd, K.M., Sage, R.E., Dale, B.M., Norman, J.E., Charles, P., Gregg, A., Bolton, A., Factors affecting blood stem cell collections following high-dose cyclo-phosphamide mobilization in lymphoma, myeloma and solid tumors (1992) Bone Marrow Transplantation, 9, pp. 11-17; Kroger, N., Zeller, W., Hassan, H.T., Kruger, W., Renges, H., Hummel, K., Gutensohn, K., Zander, A.R., Successful mobilization of peripheral blood stem cells in heavily pretreated myeloma patients with GCSF alone (1998) Annals of Hematology, 76, pp. 257-262; Lenhoff, S., Hjorth, M., Holmberg, E., Turesson, I., Westin, J., Nielsen, J.L., Wislöff, F., Rödjer, S., Impact on survival of high-dose therapy with autologous stem cell support in patients younger than 60 years with newly diagnosed multiple myeloma: A population-based study (2000) Blood, 95, pp. 7-11; Miller, J.S., Prosper, F., McCullar, V., Natural killer (NK) cells are functionally abnormal and NK cell progenitors are diminished in granulocyte colony-stimulating factor-mobilized peripheral blood progenitor cell collections (1997) Blood, 90, pp. 3098-3105; Palumbo, A., Triolo, S., Argentino, C., Bringhen, S., Dominietto, A., Rus, C., Omede, P., Boccadoro, M., Dose-intensive melphalan (MEL100) with stem cell support is superior to standard treatment in elderly myeloma patients (1999) Blood, 94, pp. 1248-1253; Pecora, A.L., Lazarus, H., Cooper, B., Copelan, E., Herzig, R., Meagher, R., Kennedy, J., Moss, T.J., The incidence of breast cancer cell contamination in peripheral stem cell collections in relation to the mobilization regimen (1996) Blood, 88, pp. 408a; Sheridan, W.P., Begley, C.G., Juttner, C.A., Szer, J., To, L.B., Maher, D., McGrath, K.M., Fox, R.M., Effect of peripheral-blood progenitor cells mobilised by filgastrim (G-CSF) on platelet recovery after high-dose chemotherapy (1992) Lancet, 339, pp. 640-644; Siegel, D.S., Desikan, K.R., Mehta, J., Singhal, S., Fassas, A., Munshi, N., Anaissie, E., Barlogie, B., Age is not a prognostic variable with autotransplants for multiple myeloma (1999) Blood, 93, pp. 51-54; Siena, S., Bregni, M., Brando, B., Ravagnani, F., Bonadonna, G., Gianni, M., Circulation of CD34+ hematopoietic stem cells in the peripheral blood of high-dose cyclophosphamide treated patients. Enhancement by intravenous recombinant human granulocyte-macrophage colony-stimulating factor (1989) Blood, 74, pp. 1905-1914; To, L.B., Shepperd, K.M., Haylock, D.N., Dyson, P.G., Charles, P., Thorp, D.L., Dale, B.M., Juttner, C.A., Single high dose of cyclophosphamide enable collection of high numbers of hemopoietic stem cells from the peripheral blood (1990) Experimental Hematology, 18, pp. 442-447; Tricot, G., Jagannath, S., Vesole, D., Nelson, J., Tindle, S., Miller, L., Cheson, B., Barlogie, B., Peripheral blood stem cell transplants for multiple myeloma, identification of favorable variables for rapid engraftment in 225 patients (1995) Blood, 85, pp. 588-596; Tricot, G., Alberts, D.S., Johnson, C., Roe, D.J., Dorr, R.T., Bracy, D., Vesole, D.H., Barlogie, B., Safety of autotransplants with high-dose melphalan in renal failure: A pharmacokinetic and toxicity study (1996) Clinical Cancer Research, 2, pp. 947-952","Desikan, K.R.; Univ. of Arkansas for Med. Science, 4301 W. Markham, Little Rock, AR 72205, United States; email: desikankambarajapur@uams.edu",,,,,,,,00071048,,BJHEA,"11167811","English","Br. J. Haematol.",Article,"Final",,Scopus,2-s2.0-0035136933 "Hazarika I.","12805948000;","Medical tourism: Its potential impact on the health workforce and health systems in India",2010,"Health Policy and Planning","25","3",,"248","251",,49,"10.1093/heapol/czp050","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77954710242&doi=10.1093%2fheapol%2fczp050&partnerID=40&md5=7ba82ad397c21e4d9d1de9bfe1d011b7","Public Health Foundation of India, PHD House, 4/2 Siri Fort Institutional Area, August Kranti Marg, New Delhi 110016, India","Hazarika, I., Public Health Foundation of India, PHD House, 4/2 Siri Fort Institutional Area, August Kranti Marg, New Delhi 110016, India",[No abstract available],"Globalization; health systems; human resources; India; private sector; regulation","article; government regulation; health care manpower; health care planning; human; India; international cooperation; medical tourism; public-private partnership; Government Regulation; Health Manpower; Health Planning; Humans; India; Internationality; Medical Tourism; Public-Private Sector Partnerships",,,,,,,,"Bhat, R., Characteristic of private medical practice in India. A provider perspective (1999) Health Policy and Planning, 14, pp. 26-37; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80, pp. 158-162; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85, pp. 164-165; (2002) Healthcare in India: The Road Ahead, , Confederation of Indian Industries and McKinsey & Co, New Delhi: CII & McKinsey & Company; Ernst & Young, Health Sciences India. New Delhi: Ernst & Young Pvt. Ltd (2006) Health Quotient: Making Ideas Meet Opportunities; (2008) Fostering Quality Healthcare for All, , Federation of Indian Chamber of Commerce (FICCI) and Ernst & Young, New Delhi: FICCI and Ernst & Young; (2005) Medical Tourism: Providing Value for Money, , http://www.ibef.org/artdisplay.aspx?cat_id=391&art_id=5531, Gurgaon, Haryana: India Brand Equity Foundation. Online at:; (2002) National Health Policy 2002, , Ministry of Health and Family Welfare, New Delhi: Ministry of Health and Family Welfare, Government of India; (2005) Report of the National Commission on Macroeconomics and Health, , Ministry of Health and Family Welfare, New Delhi: Ministry of Health and Family Welfare, Government of India; (2006) Morbidity, Health Care and the Condition of the Aged. NSS 60th Round (January-June 2004), , NSSO, Report No. 507. New Delhi: National Sample Survey Organization, Ministry of Statistics and Programme Implementation, Government of India; (2008) Eleventh Five-Year Plan 2007-2012 Volume II: Social Sector, , Planning Commission, Government of India, New Delhi: Oxford University Press; (2007) Healthcare in India: Emerging Market Report 2007, , PricewaterhouseCoopers, PricewaterhouseCoopers; Satpathy, S.K., Venkatesh, S., Human resources for health in India's National Rural Health Mission: Dimension and challenges (2006) Regional Health Forum, 10, pp. 29-37; Sengupta, A., Nundy, S., The private health sector in India (2005) British Medical Journal, 331, pp. 1157-1158; (2001) Statistics on Globalization, , http://www.wto.org/trade_resources/statistic/globalisationstat1.doc","Hazarika, I.; Public Health Foundation of India, PHD House, 4/2 Siri Fort Institutional Area, August Kranti Marg, New Delhi 110016, India; email: hazarika.indrajit@gmail.com",,,,,,,,02681080,,HPOPE,"19926658","English","Health Policy Plann.",Note,"Final",Open Access,Scopus,2-s2.0-77954710242 "Adler A., Shklyar M., Schwaber M.J., Navon-venezia S., Dhaher Y., Edgar R., Solter E., Benenson S., Masarwa S., Carmeli Y.","12792681800;54584369800;57216596751;6602564204;54583243500;7005093615;8667172300;7801623843;47561880400;7006749475;","Introduction of OXA-48-producing enterobacteriaceae to israeli hospitals by medical tourism",2011,"Journal of Antimicrobial Chemotherapy","66","12", dkr382,"2763","2766",,48,"10.1093/jac/dkr382","https://www.scopus.com/inward/record.uri?eid=2-s2.0-81855226419&doi=10.1093%2fjac%2fdkr382&partnerID=40&md5=99118b59deef9768f112686dc3661bcf","National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; Augusta-Victoria Hospital, POB 19178, Jerusalem, 91191, Israel; Department of Clinical Microbiology and Infectious Disease, Hadassah Medical Center, Hebrew University-Hadassah School of Medicine, POB 12000, Jerusalem, 91120, Israel","Adler, A., National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; Shklyar, M., National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; Schwaber, M.J., National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; Navon-venezia, S., National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; Dhaher, Y., Augusta-Victoria Hospital, POB 19178, Jerusalem, 91191, Israel; Edgar, R., National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; Solter, E., National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; Benenson, S., Department of Clinical Microbiology and Infectious Disease, Hadassah Medical Center, Hebrew University-Hadassah School of Medicine, POB 12000, Jerusalem, 91120, Israel; Masarwa, S., National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; Carmeli, Y., National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel","Objectives: The carbapenemase OXA-48 has been reported from different Mediterranean countries. It is mostly encoded on a single plasmid in various Enterobacteriaceae species. We characterized the epidemiological and molecular features of OXA-48-producing Enterobacteriaceae (OPE) in Israel. Methods: Epidemiological investigation was conducted by the National Center for Infection Control. Genotyping was performed using multilocus sequence typing. The blaOXA-48-carrying plasmids were investigated using S1 endonuclease and restriction fragment length polymorphism (RFLP). Conjugation efficiency of the blaOXA-48-carrying plasmids was studied in a filter mating experiment. Results: Since 2007, four OPE-infected patients were identified, all non-Israeli (two Palestinian, one Jordanian and one Georgian). Three had prior hospitalization; two in Jordan and one in Georgia. The blaOXA-48 gene was detected in three Escherichia coli strains belonging to different clonal complexes, one Klebsiella oxytoca and one Klebsiella pneumoniae sequence type 101, as previously reported from Tunisia and Spain. In all isolates, the blaOXA-48 gene was located inside Tn1999.2 and was carried on a 60 kb plasmid with an identical RFLP pattern. The plasmid was able to conjugate from Klebsiella spp. to E. coli, and had a conjugation efficiency up to ~10000 times higher than that of pKpQIL. Conclusions: OPE, introduced mainly by medical tourism, are an emerging threat to patients from affected Mediterranean countries. The blaOXA-48-carrying plasmid demonstrated remarkable conjugation efficiency, which is probably important in the success of its dissemination. © The Author 2011. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved.","Carbapenemases; Conjugation; Plasmids","bacterial enzyme; carbapenemase; cefazolin; ceftazidime; ceftriaxone; ciprofloxacin; colistin; cotrimoxazole; ertapenem; gentamicin; imipenem; meropenem; OXA 48 protein; sultamicillin; tigecycline; unclassified drug; adult; antibiotic sensitivity; antibiotic therapy; article; bacterial gene; bacterial strain; bacterial transmission; bacterium conjugation; bacterium detection; bacterium isolate; case report; Enterobacteriaceae; Enterobacteriaceae infection; Escherichia coli; Escherichia coli infection; female; genotype; Gram negative sepsis; human; Israel; Klebsiella infection; Klebsiella oxytoca; Klebsiella pneumoniae; male; medical tourism; multilocus sequence typing; OXA 48 producing Enterobacteriaceae; plasmid; restriction fragment length polymorphism; Adult; beta-Lactamases; Cluster Analysis; DNA Fingerprinting; Enterobacteriaceae; Enterobacteriaceae Infections; Female; Genotype; Hospitals; Humans; Israel; Male; Medical Tourism; Middle Aged; Molecular Epidemiology; Multilocus Sequence Typing; Polymorphism, Restriction Fragment Length",,"cefazolin, 25953-19-9, 27164-46-1; ceftazidime, 72558-82-8; ceftriaxone, 73384-59-5, 74578-69-1; ciprofloxacin, 85721-33-1; colistin, 1066-17-7, 1264-72-8; cotrimoxazole, 8064-90-2; ertapenem, 153773-82-1, 153832-38-3, 153832-46-3; gentamicin, 1392-48-9, 1403-66-3, 1405-41-0; imipenem, 64221-86-9; meropenem, 96036-03-2; sultamicillin, 76497-13-7; tigecycline, 220620-09-7; beta-Lactamases, 3.5.2.6",,,"241796","This work was supported in part by European Commission FP7: SATURN— Impact of Specific Antibiotic Therapies on the Prevalence of Human Host Resistant Bacteria research grant 241796.",,"Carrër, A., Poirel, L., Yilmaz, M., Spread of OXA-48-encoding plasmid in Turkey and beyond (2010) Antimicrob Agents Chemother, 54, pp. 1369-1373; Poirel, L., He, C., Tolu, V., Emergence of oxacillinase-mediated resistance to imipenem in Klebsiella pneumoniae (2004) Antimicrob Agents Chemother, 48, pp. 15-22; Carrër, A., Poirel, L., Eraksoy, H., Spread of OXA-48-positive carbapenem-resistant Klebsiella pneumoniae isolates in Istanbul, Turkey (2008) Antimicrob Agents Chemother, 52, pp. 2950-2954; Cuzon, G., Ouanich, J., Gondret, R., Outbreak of OXA-48-positive carbapenem-resistant Klebsiella pneumoniae isolates in France (2011) Antimicrob Agents Chemother, 55, pp. 2420-2423; Leavitt, A., Carmeli, Y., Chmelnitsky, I., Molecularepidemiology, sequence types, and plasmid analyses of KPC-producing Klebsiella pneumoniae strains in Israel (2010) Antimicrob Agents Chemother, 54, pp. 3002-3006; Goren, M.G., Chmelnitsky, I., Carmeli, Y., Plasmid-encoded OXA-48 carbapenemase in Escherichia coli from Israel (2011) J Antimicrob Chemother, 66, pp. 672-673; Adler, A., Navon-Venezia, S., Moran-Gilad, J., Laboratory and clinical evaluation of screening agar plates for detection of carbapenemresistant Enterobacteriaceae from surveillance rectal swabs (2011) J Clin Microbiol, 49, pp. 2239-2242; Giske, C.G., Gezelius, L., Samuelsen, Ø., A sensitive and specific phenotypic assay for detection of metallo-b-lactamases and KPC in Klebsiella pneumoniae with the use of meropenem disks supplemented with aminophenylboronic acid, dipicolinic acid and cloxacillin (2011) Clin Microbiol Infect, 17, pp. 552-556; Schechner, V., Straus-Robinson, K., Schwartz, D., Evaluation of PCR-based testing for surveillance of KPC-producing carbapenemresistant members of the Enterobacteriaceae family (2009) J Clin Microbiol, 47, pp. 3261-3265; Ellington, M.J., Kistler, J., Livermore, D.M., Multiplex PCR for rapid detection of genes encoding acquired metallo-b-lactamases (2007) J Antimicrob Chemother, 59, pp. 321-322; Woodford, N., Fagan, E.J., Ellington, M.J., Multiplex PCR for rapid detection of genes encoding CTX-M extended-spectrum b-lactamases (2006) J Antimicrob Chemother, 57, pp. 154-155; Dallenne, C., Da Costa, A., Decré, D., Development of a set of multiplex PCR assays for the detection of genes encoding important b-lactamases in Enterobacteriaceae (2010) J Antimicrob Chemother, 65, pp. 490-495; Wirth, T., Falush, D., Lan, R., Sex and virulence in Escherichia coli: an evolutionary perspective (2006) Mol Microbiol, 60, pp. 1136-1151; Diancourt, L., Passet, V., Verhoef, J., Multilocus sequence typing of Klebsiella pneumoniae nosocomial isolates (2005) J Clin Microbiol, 43, pp. 4178-4182; Goren, M.G., Carmeli, Y., Schwaber, M., Transfer of carbapenemresistant plasmid from Klebsiella pneumoniae ST258 to Escherichia coli in patient (2010) Emerg Infect Dis, 16, pp. 1014-1017; Carattoli, A., Bertini, A., Villa, L., Identification of plasmids by PCR-based replicon typing (2005) J Microbiol Methods, 63, pp. 219-228; Top, E., Vanrolleghem, P., Mergeay, M., Determination of the mechanism of retrotransfer by mechanistic mathematical modeling (1992) J Bacteriol, 174, pp. 5953-5960; Pitart, C., Solé, M., Roca, I., First outbreak of a plasmidmediated carbapenem-hydrolyzing OXA-48 β-lactamase in Klebsiella pneumoniae in Spain (2011) Antimicrob Agents Chemother, 55, pp. 4398-4401; Ktari, S., Mnif, B., Louati, F., Spread of Klebsiella pneumoniae isolates producing OXA-48 β-lactamase in a Tunisian university hospital (2011) J Antimicrob Chemother, 66, pp. 1644-1646","Adler, A.; National Center for Infection Control, Israel Ministry of Health, 6 Weizman St., Tel-Aviv, 64239, Israel; email: amosa@tasmc.health.gov.il",,,,,,,,03057453,,JACHD,"22191089","English","J. Antimicrob. Chemother.",Article,"Final",Open Access,Scopus,2-s2.0-81855226419 "Turner L.","7202689997;","Cross-border dental care: ‘Dental tourism’ and patient mobility",2008,"British Dental Journal","204","10",,"553","554",,48,"10.1038/sj.bdj.2008.403","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84984760470&doi=10.1038%2fsj.bdj.2008.403&partnerID=40&md5=2a099556ebbe26f5d0127cc6bb01aeae","Biomedical Ethics Unit, McGill University, 3647 Peel Street, Montreal, QC, H3X 1X1, Canada","Turner, L., Biomedical Ethics Unit, McGill University, 3647 Peel Street, Montreal, QC, H3X 1X1, Canada","Patient mobility is increasing. 'Dental tourism' is driven by numerous factors. These factors include the high cost of local care, delays in obtaining access to local dentists, competent care at many international clinics, inexpensive air travel, and the Internet's capacity to link 'customers' to 'sellers' of health-related services. Though dental tourism will benefi t some patients, increased patient mobility comes with numerous risks. Lack of access to affordable and timely local care plays a significant role in prompting patients to cross borders and receive dental care outside their local communities. © 2008, Nature Publishing Group Ltd. All rights reserved.",,,,,,,,,,"Roig-Franzia, M., (2007) Discount dentistry, south of the border, 18, p. A01. , Washington Post, June; Sweeney, C., More fun than root canals? It's the dental vacation TheNewYorkTimes, 2008. , February 7; Marklein, M., The incidental tourist (2005) USA Today, , May 28; Dental work too expensive? Go over- seas San Francisco Chronicle, 2006. , April 5; Lyall, S., In a dentist shortage, British (ouch) do it themselves (2006) The NewYorkTimes, , May 7; Craig, O., Lack of NHS dentists forces patients abroad (2007) The Telegraph, , October 22; Leidig, M., Tooth tourism transforms town as dental patients flock to Hungary (2002) The Telegraph, , October 6; Veselica, L., Rinse and spit in Croatia (2007) The Globe and Mail, , May 2; Lawrence, S., Dental tourism in Hungary (2008) The Telegraph, , February 21; Morris, J., Take a bite out of Budapest (2007) TheTelegraph, , April 26; Frommer, A., Dental tourism is booming in Juarez (2007) Houston Chronicle, , January 14; Sun, R.J., Sand … and root canal (2007) The Toronto Star, , December 8; Taffel, J., Fixed up in a foreign land (2004) Sydney Morning Herald, , December 9; Burke, F., The perils of dental tourism (2007) Dent Update, 34, pp. 605-606; O'Connell, B., O'Sullivan, M., Have teeth will travel: Dental tourism-informing the public (2007) JlrDent Assoc, 53, pp. 180-182; Asai, R., Jones, K., Ethical moment: Am I obligated to treat a patient whose need for emergency care stems from dental tourism? (2007) J Am Dent Assoc, 138, pp. 1018-1019","Turner, L.; Biomedical Ethics Unit, McGill University, 3647 Peel Street, Montreal, QC, H3X 1X1, Canada; email: leigh.turner@mcgill.ca",,,,,,,,00070610,,,"18500297","English","Brit. Dent. J.",Article,"Final",Open Access,Scopus,2-s2.0-84984760470 "Goodrich J.N.","7102131344;","Socialist cuba: A study of health tourism",1993,"Journal of Travel Research","32","1",,"36","41",,48,"10.1177/004728759303200106","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0027759119&doi=10.1177%2f004728759303200106&partnerID=40&md5=526c4991ebc3f7468e51ad3891b8ebc3","College of Business Administration, Florida International University, In Miami, Florida, United States","Goodrich, J.N., College of Business Administration, Florida International University, In Miami, Florida, United States","This study focuses on tourism in Cuba since the Revolution with special emphasis on the novel concept of health tourism. The article provides a brief historical background on tourism in socialist Cuba, defines health tourism, gives a short historical perspective on health tourism, and discusses the health/tourism interaction. It then discusses health tourism in socialist Cuba, adds new dimensions to the general concept of health tourism (e.g., travel health care services), and suggests areas for future research. © 1993, Sage Publications. All rights reserved.",,"developing country; health tourism; historical analysis; medical care; socialist system; tourism; tourism development; Cuba",,,,,,,,"Alleyne, G., The Health/Tounsm Interaction (1990) The Courier (Africa-Canbbean-Pacific-European Community), pp. 67-68. , July-August; Alster, K.B., (1989) The Holistic Health Movement, , Alabama: Umversity of Alabama Press; Babcock, J., (1983) The Spa Book: A Tour of Health Resorts and Beauty Spas, , New York: Crown Publishers; Barrett, L.E., (1976) The Sun and the Drum: African Roots in Jamaican Folk Tradition, , London: Heinemann Educational Books; Bricklin, M., (1983) The Practical Encyclopedia of Natural Healing, , Emmanus, PA: Rodale Press; Bussey, J., Cuba Tnes To Entice Foreign Investors To Its Shores (1992) Miami Herald, p. 1K. , May 17; Clymer, R.S., (1963) Nature's Healing Agents, , Philadelphia, PA: Dorrance & Co; Conway, D., (1973) The Magic of Herbs, , New York: E. P. Dutton; Coon, N., (1979) Using Plants for Healing, , Emmanus, PA: Rodale Press; SPAS, Cuban Style (1959) Cuba Magazine, pp. 95-96; Engle, J.F., Fiorillo, H.F., Cayley, M.A., (1972) Market Segmentation: Concepts and Applications, , New York: Holt, Rinehart and Wmston; Espmo, M.D., Denms, J.G., Jonathan, N.G., (1993) Tourism in Socialist Cuba, , Tourism Marketing and Management in The Caribbean Ch. 9 London: Routledge Publishers; Finkler, K., (1985) Spiritualist Healers in Mexico, , New York: Praeger; Frank, R.E., William, F.M., Yoram, W., (1972) Market Segmentation, , Englewood Cliffs, NJ: Prentice Hall; Fndgen, J.D., (1991) Dimensions of Tourism, , East Lansmg, MI: Educational Institute of The Amencan Hotel & Motel Association; Gayle, D.J., Goodrich, J.N., (1993) Tourism Marketing and Management in The Caribbean, , London: Routledge Publishers; Gluck, K., Cuba Receives Last Shipment of Russian Oil (1992) Miami Herald, p. 8A. , July 20; Goodrich, J.N., Goodnch, G.E., Health-Care Tourism: An Exploratory Study (1987) Tourism Management, pp. 217-222. , September; Goodrich, J.N., Goodnch, G.E., Medlik, S., (1987) Health-Care Tourism, pp. 108-114. , Managing Tourism Oxford,England Butterworth-Heinemann; Goodrich, J.N., Health Tourism: An Overview (1993) Journal of International Consumer Marketing, , special issue on global tourist behavior, forthcoming; Hembry, P.M., (1990) The English Spa, 1560-1815: A Social History, , London: Athlone Press; A Journey to Havana: Impressions (1991) Miami Herald, 16, p. 4C. , June; (1992) Miami Herald, 1A, p. 14A. , Cuba Does Without; Inertia Sets In May 25; Smith, W.R., Product Differentiation and Market Segmentation as Alternative Marketing Strategies (1956) Journal of Marketing, (July), pp. 3-8; Sobel, D.S., (1979) Ways of Health: Holistic Approaches to Ancient and Contemporary Medicine, , New York: Harcourt Brace Jovanovich; Webley, P., Travel Health Care Service Now Available in Barbados (1991) Caribbean Today, p. 6. , May; Whitefield, M., American Business Anxious to Grab a Foothold in Cuba. But Cuban Leaders Still Hold to a Mixed Economy (1992) Miami Herald, p. 1K. , June 21; (1984) The World Book Encyclopedia, 5, pp. 49-50. , Chicago; Yenckel, J.T., Travel Can Be the Best Medicine. The Story of a Cancer Patient Who Fought Death With Vacation (1991) Miami Herald, p. 6F. , June 9","Goodrich, J.N.; College of Business Administration, Florida International University, In Miami, Florida, United States",,,,,,,,00472875,,,,"English","J. Travel Res.",Article,"Final",,Scopus,2-s2.0-0027759119 "Shetty P.","22981448100;","Medical tourism booms in India, but at what cost?",2010,"The Lancet","376","9742",,"671","672",,47,"10.1016/S0140-6736(10)61320-7","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956256679&doi=10.1016%2fS0140-6736%2810%2961320-7&partnerID=40&md5=566815bc4e37889661bb617b01357413",,"Shetty, P.",[No abstract available],,"cost benefit analysis; economic aspect; follow up; health care cost; health care policy; health care system; health insurance; health service; India; malpractice; medical error; medical ethics; medical research; medical society; national health service; patient care; practice guideline; priority journal; short survey; tourism; university hospital; accreditation; economics; ethics; health care disparity; human; legal liability; legislation and jurisprudence; medical tourism; poverty; private hospital; Accreditation; Ethics, Clinical; Healthcare Disparities; Hospitals, Private; Humans; India; Liability, Legal; Medical Tourism; Poverty",,,,,,,,,"Shetty, P.",,,"Elsevier Limited",,,,,01406736,,LANCA,"20879077","English","Lancet",Short Survey,"Final",,Scopus,2-s2.0-77956256679 "Alsharif M.J., Labonté R., Lu Z.","57144160200;55334992200;8439062300;","Patients beyond borders: A study of medical tourists in four countries [Patients sans frontières: Etude sur le tourisme médical dans quatre pays]",2010,"Global Social Policy","10","3",,"315","335",,47,"10.1177/1468018110380003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650267508&doi=10.1177%2f1468018110380003&partnerID=40&md5=35453a3c8728ba4cd84d94751f038270","Department of Social Medicine and Health Management, School of Public Health, Huazhong University of Science and Technology, 99 rue Mutchmore, Gatineau, QC J8Y 3T4, China; Faculty of Medicine, University of Ottawa, Canada","Alsharif, M.J., Department of Social Medicine and Health Management, School of Public Health, Huazhong University of Science and Technology, 99 rue Mutchmore, Gatineau, QC J8Y 3T4, China; Labonté, R., Faculty of Medicine, University of Ottawa, Canada; Lu, Z., Department of Social Medicine and Health Management, School of Public Health, Huazhong University of Science and Technology, 99 rue Mutchmore, Gatineau, QC J8Y 3T4, China","This exploratory study assesses the experiences of medical travelers seeking out of country health care in four destination countries: India, China, Jordan and the United Arab Emirates. It aims to identify the source countries of medical travelers, to understand their reasons for seeking out-of-country care, the type of services they obtained, and their level of satisfaction with the experience. Cost, physician and facility reputation and hospital accreditation were ranked as the most important factors in choosing out-of-country care. Wait times at home or lack of access to care were important motivations for international medical travel. Patient assessment of treatment outcomes is as high as might be found in similar assessments in high-income country facilities. Certain forms of treatment sought by respondents (i.e. organ transplantation) raise specific ethical concerns. Also of concern is that the present health systems in all four countries fail to adequately meet the health needs of their population (notably poorer groups). Evidence and inference strongly suggest that access to health care for poorer groups will worsen in these countries as medical tourism increases, at least in the short term, raising generic ethical and policy challenges over the extent to which access to essential health care by poorer persons is compromised by the public subsidization or promotion of medical tourism. © The Author(s) 2010.","China; health travel global market; India; international patients; Jordan; medical tourism; the United Arab Emirates","disease treatment; ethics; health services; hospital sector; public access; tourism; China; India; Jordan; United Arab Emirates",,,,,,,,"Blumenthal, D., Hsiao, W., Privatization and its discontents: The evolving Chinese health care system (2005) The New England Journal of Medicine, 353, pp. 1165-1170; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80, pp. 158-162; Chaudhuri, S.K., Ethics of medical tourism (2008) Journal of the Indian Medical Association, 106, p. 188; Organ trafficking and transplant tourism and commercialism: The declaration of Istanbul. 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Lencucha, R., Labonté, R., Rouse, M., Beyond idealism and realism: Canadian NGO/ Government relations during the negotiation of the FCTC (2010) Journal of Public Health Policy, 31, pp. 74-87; Lewis, S., Barer, M.L., Sanmartin, C., Ending waiting-list mismanagement: Principles and practice (2000) Canadian Medical Association Journal, 162, pp. 1297-1300; Liu, Y., Chinaa's public health-care system: Facing the challenges (2004) Bulletin of the World Health Organization, 82, pp. 532-538; Liu, Y., Rao, K., Hsiao, W., Medical expenditure and rural impoverishment in China (2003) Journal of Health, Population and Nutrition, 21, pp. 216-222; Ma, J., Lu, M., Quan, H., From a national, centrally planned health system to a system based on the market: Lessons from China (2008) Health Affairs, 27, pp. 937-948; (2007) China Health Statistical Yearbook 2007, , Ministry of Health of Peoplea's Republic of China, Beijing: Peking Union Medical College Press; Muhajarine, N., Labonté, R., Sanger, T., Population Health Domain (2006) Technical Report for the Canadian Index of Wellbeing, , www.ciw.ca/Libraries/Documents/HealthyPopulation_DomainReport.sflb.ashx, Available at, Toronto: Atkinson Charitable Foundation; Mulay, S., Gibson, E., Marketing of assisted human reproduction and the Indian State (2006) Development, 49, pp. 84-93; Muraleedharan, V.R., Jan, S., Prasad, S.R., The trade in human organs in Tamil Nadu: The anatomy of regulatory failure (2006) Health, Economics, Policy and Law, 1, pp. 41-57; Newman, M.I., Camberos, A.E., Ascherman, J., Myobacteria Abscessus outbreak in US patients linked to offshore Surgicenter (2005) Annals of Plastic Surgery, 55, pp. 107-110; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28, pp. 337-341; Posner, J.R., Trends in medical malpractice insurance: 1970-1985 (1986) Law and Contemporary Problems, 49, pp. 37-56; Saniotis, A., Changing ethics in medical practice: A Thai perspective (2007) Indian Journal of Medical Ethics, 4, pp. 24-25; Sengupta, A., Nundy, S., The private health sector in India (2005) British Medical Journal, 331, pp. 1157-1158; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician, 53, pp. 1639-1641; Turner, L., 'First World Health Care at Third World Pricesa': Globalization, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325; Turner, L., 'Medical Tourisma' initiatives should exclude commercial organ transplantation (2008) Journal of the Royal Society of Medicine, 101, pp. 391-394; Turner, L., (2009) Presentation at Medical Tourism Colloquium, , www.globalhealthequity.ca/electroniclibrary/Turner(KidneySellingandVulnerablePopulations).pdf, Available at, University of Ottawa; (2010) Health System, , www.uae.gov.ae/Government/health.htm, United Arab Emirates Ministry of Health, Available at; Vequist, D., Medical tourism economic report: Jordan (2009) Medical Tourism Magazine, 12, pp. 32-34; Vequist, D., Bolatkale, E., Valdez, E., (2009) Health Tourism Economic Report, , www.healthtourismmagazine.com/article-detail.php?issue=issue-2&article=Health-Tourism-Economic-Report, Jordan; (2009) A Postcard from the Middle East, , http://www.thomaswhite.com/explore-the-world/postcard/2009/jordan-medical-tourism.aspx, Available at, Jordon: Medical tourism uplifts the economy, ThomasWhite-Global Investing; (2006) Country Cooperation Strategy for WHO and the United Arab Emirates 2005-2009, , World Health Organization - Eastern Mediterranean Regional Office, EM/ARD/015/E/R; (2007) Health Systems Profile - Jordan: Regional Health Systems Observatory, , www.emro.who.int/emrinfo/index.asp?Ctry=jor, World Health Organization - Eastern Mediterranean Regional Office, Available at; International Recruitment of Health Personnel: Draft Global Code of Practice (2009) Paragraph, p. 10. , http://apps.who.int/gb/ebwha/pdf_files/EB126/B126_8-en.pdf, Paragraph 5.1, World Health Organization (WHO) Executive Board., EB126/8, 3 December Available at; Yue, J.Z., The medicine and the exploitation of Southwest Frontier in the Ming Dynasty (2005) Zhonghua Yi Shi Za Zhi, 35, pp. 99-104. , www.ncbi.nlm.nih.gov/pubmed/16417807, (Chin)","Alsharif, M. J.; Department of Social Medicine and Health Management, School of Public Health, Huazhong University of Science and Technology, 99 rue Mutchmore, Gatineau, QC J8Y 3T4, China; email: sherif268@yahoo.com",,,"SAGE Publications Ltd",,,,,14680181,,,,"English; French; Spanish","Global Soc. Policy",Article,"Final",,Scopus,2-s2.0-78650267508 "Steiner C.J., Reisinger Y.","7102257745;6602375608;","Ringing the fourfold: A philosophical framework for thinking about wellness tourism",2006,"Tourism Recreation Research","31","1",,"5","14",,47,"10.1080/02508281.2006.11081242","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979937611&doi=10.1080%2f02508281.2006.11081242&partnerID=40&md5=2226af6d4685974bde27b4d547f23f59","Jitter Philosophical Services, 12 Nolan Street, Sarina, QLD 4737, Australia; School of Hospitality and Tourism Management, Florida International University, 3000 N.E. 151st Street HM 210, North Miami, FL 33181-3000, United States","Steiner, C.J., Jitter Philosophical Services, 12 Nolan Street, Sarina, QLD 4737, Australia; Reisinger, Y., School of Hospitality and Tourism Management, Florida International University, 3000 N.E. 151st Street HM 210, North Miami, FL 33181-3000, United States","Perhaps no other area of tourism more needs a philosophy than wellness tourism with its transcendental aims and spiritual dimension. This paper explores Heidegger's rich philosophical concept of the ringing of the fourfold-an intimate relationship between earth, sky, mortals and divinities that Heidegger says reveals wholeness and authenticity and brings us into intimate contact with the world in the amazing event that is human existence. This paper argues that the ringing of the fourfold may be a philosophical basis for wellness and suggests tourism may actually facilitate the ringing of the fourfold. It uses the fourfold to explore how wellness tourism might balance and integrate lives unsettled and fractured by runaway time, frantic busyness, disconnection from the natural world and other people, loss of spirituality, and longing for a sense of place in an alien, impersonal and out-of-control world. First, it explores the possible origin of our lack of wellness by explicating Heidegger's 'epoch of technicity', a time when the world is seen as something to be managed and exploited for human gain by people who are reduced to little more than the engineer-servants of this management and exploitation. This part of the paper uses tourism literature to confirm the accuracy of Heidegger's predictions of rampant consumerism, ecological devastation, corporate greed, personal hubris, artificial community created by technology, and stress created by too little time, isolation, loss of identity and exhaustion. Next, the paper proffers a philosophical description of existential wellness by exploring Heidegger's concept of the fourfold as an alternative way to understand and experience the world. By returning to the tourism literature again, we show how touring may facilitate appreciation of the fourfold (and a sense of wellness) by bringing tourists into an authentic encounter with not only earth and sky (grounding and freeing nature) but also divinities and mortals who together create a world unlike the world of technicity. Finally, the paper looks at the implications of wellness tourism as a site for the ringing of the fourfold. © 2006 Tourism Recreation Research.","Existential authenticity; Heidegger; Philosophy; Tourism; Wellness",,,,,,,,,"(2001) What is a Wellness Vacation?, , http://www.alohawellnesstravel.com/wellnessvacations.htm, Accessed on 1 April 2005; Ardell, D., (2000) What is Wellness?, , http://www.seekwellness.com/wellness/articles/what_is_wellness.htm, Accessed on 23 December 2004; Ardell, D., (2004) Wellness: An Introduction, , http://www.livingwell.buffalo.edu/well.shtml, Accessed on 23 December 2004; Brown, D., Genuine Fakes (1996) The Tourist Image: Myths and Myth Making in Tourism. Wiley. Chichester, pp. 33-47. , Selwyn, T; (2004) Spa Health and Wellness Tourism, , http://www.canadatourism.com/ctx/app/en/ca/genera!Layou, Accessed on 3 April 2004; Caselli, G., (Undated). 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Pergamon Press; Wesselman, H., Kuykendall, J., (2005) Greece: A Shaman's Journey to Oracles and Sacred Sites, , http://www.powerplaces.com/Greece:Shamans_journey.htm, Accessed on 21 March 2005; Witmer, J., Sweeney, T., A Holistic Model for Wellness and Prevention over the Life Span (1992) Journal of Counselling and Development, 71 (2), pp. 140-148; (1986) Ottawa Charter for Health Promotion, , http://www.euro.who.int/aboutwho/policy/200108272, Accessed on 3 April 2005; Zuckerman, M., (2004) Spa Health and Wellness Tourism, , http://www.canadatourism.com/ctx/app/en/ca/generalLayout.do?path=templatedata\ctx\ge, Accessed on 23 March 2005",,,,"Taylor and Francis Ltd.",,,,,02508281,,,,"English","Tour. Recreat. Res.",Article,"Final",,Scopus,2-s2.0-84979937611 "Bezruchka S.","6601935505;","Medical tourism as medical harm to the Third World: Why? For whom?",2000,"Wilderness and Environmental Medicine","11","2",,"77","78",,47,"10.1580/1080-6032(2000)011[0077:MTAMHT]2.3.CO;2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033945963&doi=10.1580%2f1080-6032%282000%29011%5b0077%3aMTAMHT%5d2.3.CO%3b2&partnerID=40&md5=a159f881d8f9e2bbec84f2be8bc3007e",,"Bezruchka, S.",[No abstract available],,"developing country; editorial; health care personnel; human rights; iatrogenic disease; international cooperation; medical student; physician; tourism; United States; volunteer",,,,,,,,,,,,"Allen Press Inc.",,,,,10806032,,WEMEF,"10921355","English","Wilderness Environ. Med.",Editorial,"Final",Open Access,Scopus,2-s2.0-0033945963 "Franklin W.A., Glaspy J., Pflaumer S.M., Jones R.B., Hami L., Martinez C., Murphy J.R., Shpall E.J.","7102874097;7005668340;6507257184;34770012100;6602498213;35606348000;55619306518;7006568272;","Incidence of tumor-cell contamination in leukapheresis products of breast cancer patients mobilized with stem cell factor and granulocyte colony-stimulating factor (G-CSF) or with G-CSF alone",1999,"Blood","94","1",,"340","347",,47,"10.1182/blood.v94.1.340.413k09_340_347","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033168264&doi=10.1182%2fblood.v94.1.340.413k09_340_347&partnerID=40&md5=1dae2cfe4d6b9f5140ab4637b8d3857d","Department of Pathology, Box B-216, Univ. of Colorado Hlth. Sci. Center, 4200 E 9th Ave., Denver, CO 80262, United States","Franklin, W.A., Department of Pathology, Box B-216, Univ. of Colorado Hlth. Sci. Center, 4200 E 9th Ave., Denver, CO 80262, United States; Glaspy, J.; Pflaumer, S.M.; Jones, R.B.; Hami, L.; Martinez, C.; Murphy, J.R.; Shpall, E.J.","We have assessed tumor contamination of peripheral blood progenitor cells (PBPC) in 203 high-risk breast cancer patients who were prospectively randomized to mobilization with stem cell factor (SCF) plus granulocyte colony-stimulating factor (G-CSF) versus G-CSF alone. The patients then received high-dose cyclophosphamide, cisplatin, and carmustine (BCNU) with PBPC support. One bone marrow aspirate obtained before treatment, one whole blood specimen obtained before cytokine infusion, and one to five leukapheresis products were tested for the presence of tumor cells by an alkaline phosphatase immunocytochemical technique with a targeted sensitivity of 1.7 tumor cells per 106 hematopoietic cells. Tumor cells were detected in the bone marrow, peripheral blood, and/or PBPC of 21 patients (10%). In 14 patients, bone marrow specimens were tumor-positive; in seven patients, premobilization whole blood specimens were tumor-positive, and in eight patients, leukapheresis products were tumor-positive. In five patients, repetitive or multiple specimens were tumor-positive, and in three cases, marrow, peripheral blood, and PBPC products were all tumor-positive. Nine of the patients in whom tumor cells were found in marrow or peripheral blood were clinical stage II to III and 12 were clinical stage IV. Nine of the tumor-positive patients were in the SCF + G-CSF arm and 12 were in the G-CSF arm. Tumor cells were detected in leukapheresis products of eight patients: three in the G-CSF + SCF arm and five in the G-CSF arm. We conclude that detectable tumor-cell contamination of bone marrow, peripheral blood, and/or PBPC occurred in approximately 10% of patients in this trial and was observed in stage II to III patients, as well as in stage IV patients. No significant difference could be found in the rate of PBPC tumor-cell contamination between patients who received SCF + G-CSF compared with those who received G- CSF alone. Neither mobilization regimen was found to increase the rate of tumor-cell contamination when control premobilization blood samples were compared with leukapheresis products.",,"carmustine; cisplatin; cyclophosphamide; granulocyte colony stimulating factor; recombinant granulocyte colony stimulating factor; article; breast cancer; cancer combination chemotherapy; cell selection; hematopoiesis; hematopoietic stem cell; human; immunoregulation; leukapheresis; major clinical study; priority journal; prognosis; target cell",,"carmustine, 154-93-8; cisplatin, 15663-27-1, 26035-31-4, 96081-74-2; cyclophosphamide, 50-18-0","filgrastim, Amgen, United States","Amgen, United States",,,,"Shapiro, C.L., Gelman, R.S., Hayes, D.F., Osteen, R., Obando, A., Canellos, G.P., Frei, E., Henderson, I.C., Comparison of adjuvant chemotherapy with methotrexate and fluorouracil with and without cyclophosphamide in breast cancer patients with one to three positive axillary lymph nodes (1993) J Natl Cancer Inst, 85, p. 812; Vahdat, L., Antman, K.H., Dose-intensive therapy in breast cancer (1995) High-dose Cancer Therapy, p. 802. , Armitage JO, Antman KH (eds): Baltimore, MD, Williams & Wilkins; Peters, W.P., Autologous bone marrow transplantation for breast cancer (1994) Bone Marrow Transplantation, p. 789. , Forman JS, Blume KG, Thomas ED (eds): Boston, MA, Blackwell Scientific; Bezwoda, W.R., Seymour, L., Dansey, R.D., High-dose chemotherapy with hematopoietic rescue as primary treatment for metastatic breast cancer: A randomized trial (1995) J Clin Oncol, 13, p. 2483; Gianni, A.M., Siena, S., Bregni, M., Tarella, C., Stern, A.C., Pileri, A., Bonadonna, G., Granulocyte-macrophage colony-stimulating factor to harvest circulating haemopoietic stem cells for autotransplantation (1989) Lancet, 2, p. 580; Sheridan, W.P., Begley, C.G., Juttner, C.A., Szer, J., To, L.B., Maher, D., McGrath, K.M., Fox, R.M., Effect of peripheral-blood progenitor cells mobilised by filgrastim (G-CSF) on platelet recovery after high-dose chemotherapy (1992) Lancet, 339, p. 640; To, L.B., Shepperd, K.M., Haylock, D.N., Dyson, P.G., Charles, P., Thorp, D.L., Dale, B.M., Sage, R.E., Single high doses of cyclophosphamide enable the collection of high numbers of hemopoietic stem cells from the peripheral blood (1990) Exp Hematol, 18, p. 442; Shpall, E.J., Jones, R.B., Bearman, S.I., Franklin, W.A., Archer, P.G., Curiel, T., Bitter, M., Purdy, M., Transplantation of enriched CD34-positive autologous marrow into breast cancer patients following high-dose chemotherapy: Influence of CD34-positive peripheral-blood progenitors and growth factors on engraftment (1994) J Clin Oncol, 12, p. 28; Barlogie, B., Jagannath, S., Vesole, D.H., Naucke, S., Cheson, B., Mattox, S., Bracy, D., Tricot, G., Superiority of tandem autologous transplantation over standard therapy for previously untreated multiple myeloma (1997) Blood, 89, p. 789; Weaver, A., Ryder, D., Crowther, D., Dexter, T.M., Testa, N.G., Increased numbers of long-term culture-initiating cells in the apheresis product of patients randomized to receive increasing doses of stem cell factor administered in combination with chemotherapy and a standard dose of granulocyte colony-stimulating factor (1996) Blood, 88, p. 3323; Moskowitz, C., Stiff, P., Gordon, M.S., Gabrilove, J.L., Bayer, R., Broun, R., Nichols, C.R., McNiece, I.K., The influence of extensive prior chemotherapy on the mobilization of peripheral blood progenitors cells (PBPC) using stem cell factor (r-metHuSCF) and filgrastim (r-metHuG-SCF) on hematologic recovery post cyclophosphamide, BCNU, and VP-16 (CBV) in patients (pts) with relapsed non-Hodgkin's lymphoma (NHL): An interim analysis (1994) Blood, 84 (SUPPL. 1), pp. 107a. , abstr; Begley, C.G., Basser, R., Mansfield, R., Maher, D., To, L.B., Juttner, C.A., Fox, R.M., Green, M.D., Randomized prospective study demonstrating a prolonged effect of SCF with G-SCF (filgrastim) on PBPC in untreated patients: Early results (1994) Blood, 84 (SUPPL. 1), pp. 25a. , abstr; Glaspy, J., LeMaistre, C.F., Lill, M., Jones, R., Moore, A., Briddell, R.A., Menchana, D.M., Shpall, E.J., Dose-response of 7 day administration of recombinant methionyl human stem cell factor (SCF) in combination with filgrastim G-CSF for progenitor cell mobilization in patients with stage II-IV breast cancer (1995) Blood, 86 (SUPPL. 1), pp. 463a. , abstr; Pekarske, S.L., Shin, S.S., Bone marrow changes induced by recombinant granulocyte colony-stimulating factor resembling metastatic carcinoma: Distinction with cytochemical and immunohistochemical studies (1996) Am J Hematol, 51, p. 332. , letter; Vogel, W., Behringer, D., Scheding, S., Kanz, L., Brugger, W., Ex vivo expansion of CD34+ peripheral blood progenitor cells: Implications for the expansion of contaminating epithelial tumor cells (1996) Blood, 88, p. 2707; Passos-Coelho, J.L., Ross, A.A., Moss, T.J., Davis, J.M., Huelskamp, A.M., Noga, S.J., Davidson, N.E., Kennedy, M.J., Absence of breast cancer cells in a single-day peripheral blood progenitor cell collection after priming with cyclophosphamide and granulocyte-macrophage colony-stimulating factor (1995) Blood, 85, p. 1138; Ross, A.A., Loudovaris, M., Hazelton, B., Weaver, C.H., Schwartzberg, L., Bender, J.G., Immunocytochemical analysis of tumor cells in pre-and post-culture peripheral blood progenitor cell collections from breast cancer patients (1995) Exp Hematol, 23, p. 1478; Sharp, J.G., Bishop, M., Chan, W.C., Greiner, T., Joshi, S.S., Kessinger, A., Reed, E., Traystman, M., Detection of minimal residual disease in hematopoietic tissues (1995) Ann NY Acad Sci, 770, p. 242; Brugger, W., Bross, K.J., Glatt, M., Weber, F., Mertelsmann, R., Kanz, L., Mobilization of tumor cells and hematopoietic progenitor cells into peripheral blood of patients with solid tumors (1994) Blood, 83, p. 636; Franklin, W.A., Shpall, F.J., Archer, P., Johnston, C.S., Garza-Williams, S., Hami, L., Bitter, M.A., Jones, R.B., Immunocytochemical detection of breast cancer cells in marrow and peripheral blood of patients undergoing high dose chemotherapy with autologous stem cell support (1996) Breast Cancer Res Treat, 41, p. 1; Ross, A.A., Cooper, B.W., Lazarus, H.M., Mackay, W., Moss, T.J., Ciobanu, N., Tallman, M.S., Warner, N.E., Detection and viability of tumor cells in peripheral blood stem cell collections from breast cancer patients using immunocytochemical and clonogenic assay techniques (1993) Blood, 82, p. 2605; Salloum, E., Reiss, M., Cooper, D., Detection and viability of tumor cells in peripheral blood stem cell and bone marrow collections from breast cancer patients (1994) Blood, 83, p. 2007. , letter; Cordell, J.L., Falini, B., Erber, W.N., Ghosh, A.K., Abdulaziz, Z., Macdonald, S., Pulford, K.A.F., Mason, D.Y., Immunoenzymatic labeling of monoclonal antibodies using immune complexes of alkaline phosphatase and monoclonal anti-alkaline phosphatase (APAAP complexes) (1984) J Histochem Cytochem, 32, p. 219; Pantel, K., Schlimok, G., Angstwurm, M., Weckermann, D., Schmaus, W., Gath, H., Passlick, B., Riethmuller, G., Methodological analysis of immunocytochemical screening for disseminated epithelial tumor cells in bone marrow (1994) J Hematother, 3, p. 165; Osborne, M.P., Wong, G.Y., Asina, S., Old, L.J., Cote, R.J., Rosen, P.P., Sensitivity of immunocytochemical detection of breast cancer cells in human bone marrow (1991) Cancer Res, 51, p. 2706; Shpall, E.J., Franklin, W., Bearman, S., Cagnoni, P., Ross, M., Jones, R.B., The selection of CD34-positive hematopoietic progenitor cells for clinical use (1997) Cancer Invest, 15 (SUPPL. 1), p. 62; Passos-Coelho, J.L., Ross, A.A., Kahn, D.J., Moss, T.J., Davis, J.M., Huelskamp, A.M., Noga, S.J., Kennedy, M.J., Similar breast cancer cell contamination of single-day peripheral-blood progenitor-cell collections obtained after priming with hematopoietic growth factor alone or after cyclophosphamide followed by growth factor (1996) J Clin Oncol, 14, p. 2569; Rill, D.R., Santana, V.M., Roberts, W.M., Nilson, T., Bowman, L.C., Krance, R.A., Heslop, H.E., Brenner, M.K., Direct demonstration that autologous bone marrow transplantation for solid tumors can return a multiplicity of tumorigenic cells (1994) Blood, 84, p. 380; Vredenburgn, J.J., Silva, O., Broadwater, G., Berry, D., DeSombre, K., Tyer, C., Petros, W.P., Bast, R.J., The significance of tumor contamination in the bone marrow from high-risk primary breast cancer patients treated with high-dose chemotherapy and hematopoietic support (1997) Biol Blood Marrow Transplant, 3, p. 91; Gribben, J.G., Freedman, A.S., Neuberg, D., Roy, D.C., Blake, K.W., Woo, S.D., Grossbard, M.L., Nadler, L.M., Immunologic purging of marrow assessed by PCR before autologous bone marrow transplantation for B-cell lymphoma (1991) N Engl J Med, 325, p. 1525","Franklin, W.A.; Department of Pathology, Box B-216, Univ. of Colorado Hlth. Sci. Center, 4200 E 9th Ave, Denver, CO 80262, United States; email: wilbur.franklin@uchsc.edu",,,"W.B. Saunders",,,,,00064971,,BLOOA,"10381531","English","Blood",Article,"Final",,Scopus,2-s2.0-0033168264 "Barclay E.","26024690200;","Stem-cell experts raise concerns about medical tourism.",2009,"Lancet","373","9667",,"883","884",,46,"10.1016/S0140-6736(09)60529-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-62849093185&doi=10.1016%2fS0140-6736%2809%2960529-8&partnerID=40&md5=809dbb79dfb220523322a72cc220d65a",,"Barclay, E.",[No abstract available],,"adult stem cell; developing country; human; note; standard; stem cell transplantation; transplantation; travel; Adult Stem Cells; Developing Countries; Humans; Stem Cell Transplantation; Travel",,,,,,,,,"Barclay, E.",,,,,,,,1474547X,,,"19291840","English","Lancet",Note,"Final",,Scopus,2-s2.0-62849093185 "Bianchi L., Volpato S.","57198426784;7005525664;","Muscle dysfunction in type 2 diabetes: a major threat to patient’s mobility and independence",2016,"Acta Diabetologica","53","6",,"879","889",,45,"10.1007/s00592-016-0880-y","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978129604&doi=10.1007%2fs00592-016-0880-y&partnerID=40&md5=e4f95f47e662c8193b2ea47e96f5f3aa","Department of Medical Science, University of Ferrara, Via Savonarola, 9, Ferrara, 44100, Italy","Bianchi, L., Department of Medical Science, University of Ferrara, Via Savonarola, 9, Ferrara, 44100, Italy; Volpato, S., Department of Medical Science, University of Ferrara, Via Savonarola, 9, Ferrara, 44100, Italy","Type 2 diabetes, a common metabolic disease in older people, is a major risk factor for functional limitation, impaired mobility, and loss of independence. In older people, the pathogenesis of functional limitation and disability is complex and multifactorial. A number of potential pathways are involved including cardiovascular disease, peripheral neuropathy, overweight, osteoarthritis, visual deficit, and cognitive impairment, conditions that are all more prevalent among patients with diabetes. Sarcopenia, a geriatric condition characterized by a progressive and generalized loss of skeletal muscle mass and strength, is also involved in the pathogenesis of functional limitations and disability. Recent research has shown that older patients with type 2 diabetes are often affected by skeletal muscle impairment, leading to reduced muscle strength and physical function. Insulin resistance, hyperglycemia, muscle fat infiltration, and peripheral neuropathies are hypothesized as the fundamental biological mechanisms leading to muscle impairment in people with diabetes. This review summarizes the current literature on the biological pathways responsible for skeletal muscle dysfunction in type 2 diabetes and analyzes the role of decline in muscle strength and quality on the association between diabetes and mobility disability. © 2016, Springer-Verlag Italia.","Aging; Diabetes; Disability; Muscle mass; Muscle strength","biology; body composition; chronic inflammation; diabetic neuropathy; diabetic peripheral neuropathy; disease association; human; hyperglycemia; independent living; insulin resistance; muscle; muscle disease; muscle quality; muscle weakness; non insulin dependent diabetes mellitus; obesity; oxidative stress; patient mobility; peripheral neuropathy; peripheral occlusive artery disease; physical inactivity; priority journal; Review; walking difficulty; aged; complication; daily life activity; Diabetes Mellitus, Type 2; disability; muscle strength; pathophysiology; risk factor; sarcopenia; skeletal muscle; walking difficulty; Activities of Daily Living; Aged; Diabetes Mellitus, Type 2; Disability Evaluation; Humans; Mobility Limitation; Muscle Strength; Muscle, Skeletal; Risk Factors; Sarcopenia",,,,,,,,"Danaei, G., Finucane, M.M., Lu, Y., National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2·7 million participants (2011) Lancet, 378, pp. 31-40. , COI: 1:CAS:528:DC%2BC3MXotlyltbo%3D; Guariguata, L., Whiting, D.R., Global estimates of diabetes prevalence for 2013 and projections for 2035 (2014) Diabetes Res Clin Pract, 103, pp. 137-149. , COI: 1:STN:280:DC%2BC2crjs1Ogsg%3D%3D; Expert, C.D.A.C.P.G., Goldenberg, R., Punthakee, Z., Definition, classification and diagnosis of diabetes, prediabetes and metabolic syndrome (2013) Can J Diabetes, 37, pp. S8-S11; Bianchi, L., Zuliani, G., Volpato, S., Physical disability in the elderly with diabetes: epidemiology and mechanisms (2013) Curr Diabetes Rep, 13, pp. 824-830; Kirkman, M.S., Briscoe, V.J., Clark, N., Diabetes in older adults (2012) Diabetes Care, 35, pp. 2650-2664; Volpato, S., Blaum, C., Resnick, H., Comorbidities and impairments explaining the association between diabetes and lower extremity disability: The Women’s Health and Aging study (2002) Diabetes Care, 25, pp. 678-683; Volpato, S., Bianchi, L., Lauretani, F., Role of muscle mass and muscle quality in the association between diabetes and gait speed (2012) Diabetes Care, 35, pp. 1672-1679; Goodpaster, B.H., Krishnaswami, S., Resnick, H., Association between regional adipose tissue distribution and both type 2 diabetes and impaired glucose tolerance in elderly men and women (2003) Diabetes Care, 26 (2), pp. 372-379; Gallagher, D., Kelley, D.E., Yim, J.E., Adipose tissue distribution is different in type 2 diabetes (2009) Am J Clin Nutr, 89, pp. 807-814. , COI: 1:CAS:528:DC%2BD1MXjtFGltb8%3D; Park, S.W., Goodpaster, B.H., Strotmeyer, E.S., Decreased muscle strength and quality in older adults with type 2 diabetes: the health, aging, and body composition study (2006) Diabetes, 55, pp. 1813-1818. , COI: 1:CAS:528:DC%2BD28XlsF2ru7Y%3D; Heshka, S., Ruggiero, A., Bray, G.A., Altered body composition in type 2 diabetes mellitus (2008) Int J Obes (Lond), 32, pp. 780-787. , COI: 1:STN:280:DC%2BD1czgsFWltw%3D%3D; Kim, T.N., Park, M.S., Yang, S.J., Prevalence and determinant factors of sarcopenia in patients with type 2 diabetes: the Korean sarcopenic obesity study (KSOS) (2010) Diabetes Care, 33, pp. 1497-1499; Kalyani, R.R., Metter, E.J., Ramachandran, R., Glucose and insulin measurements from the oral glucose tolerance test and relationship to muscle mass (2012) J Gerontol A Biol Sci Med Sci, 67, pp. 74-81; Lee, J.S.W., Auyeung, T.W., Leung, J., The effect of diabetes mellitus on age-associated lean mass loss in 3153 older adults (2010) Diabetes Med, 27, pp. 1366-1371. , COI: 1:STN:280:DC%2BC3cblslamuw%3D%3D; Park, S.W., Goodpaster, B.H., Lee, J.S., Excessive loss of skeletal muscle mass in older adults with type 2 diabetes (2011) Diabetes Care, 32, pp. 1993-1997; Lee, C.G., Boyko, E.J., Barrett-Connor, E., Osteoporotic Fractures in Men (MrOS) Study Research Group, Insulin sensitizers may attenuate lean mass loss in older men with diabetes (2011) Diabetes Care, 34, pp. 2381-2386. , COI: 1:CAS:528:DC%2BC3MXhsFCrsLrJ; Clark, B.C., Manini, T.M., Sarcopenia =/= dynapenia (2008) J Gerontol A Biol Sci Med Sci, 63, pp. 829-834; Park, S.W., Goodpaster, B.H., Strotmeyer, E.S., Health, Aging, and Body Composition Study, Accelerated loss of skeletal muscle strength in older adults with type diabetes: the health, aging, and body composition study (2007) Diabetes Care, 30, pp. 1507-1512; Barzilay, J.I., Cotsonis, G.A., Walston, J., Health ABC Study, Insulin resistance is associated with decreased quadriceps muscle strength in nondiabetic adults aged > or = 70 years (2009) Diabetes Care, 32, pp. 736-738. , COI: 1:CAS:528:DC%2BD1MXltFSksL4%3D; Kalyani, R.R., Tra, Y., Yeh, H.C., Egan, J.M., Ferrucci, L., Brancati, F.L., Quadriceps strength, quadriceps power, and gait speed in older US. adults with diabetes mellitus: results from the national health and nutrition examination survey, 1999–2002 (2013) J Am Geriatr Soc, 61, pp. 769-775; van der Kooi, A.L., Snijder, M.B., Peters, R.J., van Valkengoed, I.G., The association of handgrip strength and type 2 diabetes mellitus in six ethnic groups: an analysis of the HELIUS study (2015) PLoS One, 10 (9); 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The Women’s Health and Aging study (2000) Diabetes Care, 23, pp. 1642-1647. , COI: 1:STN:280:DC%2BD3MzgtlWgsg%3D%3D; Van Deursen, R.W., Simoneau, G.G., Foot and ankle sensory neuropathy, proprioception, and postural stability (1999) J Orthop Sports Phys Ther, 29, pp. 718-726; Volpato, S., Leveille, S.G., Blaum, C., Fried, L.P., Guralnik, J.M., Risk factors for falls in older disabled women with diabetes: The Women’s Health and Aging Study (2005) J Gerontol A Biol Sci Med Sci, 60 (12), pp. 1539-1545; Bild, D.E., Selby, J.V., Sinnock, P., Browner, W.S., Braveman, P., Showstack, J.A., Lower-extremity amputation in people with diabetes: epidemiology and prevention (1989) Diabetes Care, 12, pp. 24-31. , COI: 1:STN:280:DyaL1M3jtFeksA%3D%3D; Andreassen, C.S., Jakobsen, J., Ringgaard, S., Ejskjaer, N., Andersen, H., Accelerated atrophy of lower leg and foot muscles—a follow-up study of long-term diabetic polyneuropathy using magnetic resonance imaging (MRI) (2009) Diabetologia, 52, pp. 1182-1191. , COI: 1:STN:280:DC%2BD1MzhtF2jtw%3D%3D; 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Volpato, S., Ferrucci, L., Blaum, C., Progression of lower-extremity disability in older women with diabetes: The Women’s Health and Aging study (2003) Diabetes Care, 26, pp. 70-75; Al Snih, S., Fisher, M.N., Raji, M.A., Markides, K.S., Ostir, G.V., Goodwin, J.S., Diabetes mellitus and incidence of lower body disability among older mexican americans (2005) J Gerontol A Biol Sci Med Sci, 60A, pp. 1152-1156; Bossoni, S., Mazziotti, G., Gazzaruso, C., Relationship between instrumental activities of daily living and blood glucose control in elderly subjects with type 2 diabetes (2008) Age Ageing, 37, pp. 222-225. , COI: 1:STN:280:DC%2BD1c7ovV2gsw%3D%3D; van Sloten, T.T., Savelberg, H.H., Duimel-Peeters, I.G., Peripheral neuropathy, decreased muscle strength andobesity arestrongly associated with walking in persons with type 2 diabetes without manifest mobility limitations (2011) Diabetes Res Clin Pract, 91, pp. 32-39; Fritschi, C., Quinn, L., Fatigue in patients with diabetes: a review (2010) J Psychosom Res, 69, pp. 33-41; Shah, S., Sonawane, P., Nahar, P., Buge, K., Vaidya, S., Are we ignoring diabetic disability: a cross sectional study of diabetic myopathy (2011) Indian J Med Sci, 65, pp. 186-192; Sénéchal, M., Johannsen, N.M., Swift, D.L., Association between changes in muscle quality with exercise training and changes in cardiorespiratory fitness measures in individuals with type 2 diabetes mellitus: results from the HART-D study (2015) PLoS One, 10 (8); Pahor, M., Guralnik, J.M., Ambrosius, W.T., Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial (2014) JAMA, 311, pp. 2387-2396. , COI: 1:CAS:528:DC%2BC2cXhsFemt7%2FO","Volpato, S.; Department of Medical Science, University of Ferrara, Via Savonarola, 9, Italy; email: vlt@unife.it",,,"Springer-Verlag Italia s.r.l.",,,,,09405429,,ACDAE,"27393005","English","Acta Diabetol.",Review,"Final",,Scopus,2-s2.0-84978129604 "Voigt C., Howat G., Brown G.","36024612300;24801955500;8206198200;","Hedonic and eudaimonic experiences among wellness tourists: An exploratory enquiry",2010,"Annals of Leisure Research","13","3",,"541","562",,45,"10.1080/11745398.2010.9686862","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84869877434&doi=10.1080%2f11745398.2010.9686862&partnerID=40&md5=15b99f4bb6dc18b04df455cf58f4eda6","School of Management, University of South Australia, Adelaide, Australia","Voigt, C., School of Management, University of South Australia, Adelaide, Australia; Howat, G., School of Management, University of South Australia, Adelaide, Australia; Brown, G., School of Management, University of South Australia, Adelaide, Australia","This paper contends that recent developments in the field of positive psychology, particularly in the area of psychological well-being, in combination with Stebbins's framework of casual versus serious leisure, may provide a new perspective for the understanding of tourism experiences. Based on the experience accounts of three different groups of wellness tourists (i.e., visitors to beauty spas, lifestyle resorts, and spiritual retreats), the aim of this paper is to explore whether tourism experiences can be classified into hedonic or eudaimonic experiences. Aggregated experience accounts were collected through individual, semi-structured interviews with 27 wellness tourists. Thematic analysis deductively applied Stebbins's characteristics of casual/hedonic and serious/ eudaimonic experiences to the data. The results found that the three wellness tourism experiences can be placed along a continuum between hedonic and eudaimonic end-points. Accordingly, beauty spa visitation was perceived as a purely hedonic tourism activity and spiritual retreat experiences were considered as almost purely eudaimonic. Lifestyle resort experiences were also seen predominantly as eudaimonic, however they sit more towards the middle of the continuum because hedonic outcomes can sometimes be recognised as important 'by-products' of eudaimonic experiences.","Casual leisure; Eudaimonic well-being; Hedonic well-being; Positive psychology; Psychological well-being; Serious leisure; Wellness tourism",,,,,,,"This research is an outcome of a PhD project partially funded by the Sustainable Tourism Cooperative Research Centre, established by the Australian Commonwealth Government. The authors would like to acknowledge the anonymous reviewers for their insightful and constructive comments.",,"Bennett, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; Boyatzis, R.E., (1998) Transforming Qualitative Information: Thematic Analysis and Code Development, , Thousand Oaks, CA: Sage; Braun, V., Clarke, V., Using thematic analysis in psychology (2006) Qualitative Research In Psychology, 3 (2), pp. 77-101; Bushell, R., Sheldon, P.J., (2009) Wellness and Tourism: Mind, Body, Spirit, Place, , New York: Cognizant Communication Corporation; Caldwell, L., Leisure and health: Why is leisure therapeutic? 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L. M. Keyes & J. Haidt (Eds.), Washington, DC: American Psychological Association; Wilks, J., Pendergast, D., Leggat, P., (2006) Tourism In Turbulent Times: Towards Safe Experiences For Visitors, , Kidlington, UK: Elsevier; Wilson, M.E., Travel and the emergence of infectious diseases (1995) Emerging Infectious Diseases, 1 (2), pp. 39-46",,,,"Routledge",,,,,11745398,,,,"English","Ann. Leis Res.",Article,"Final",,Scopus,2-s2.0-84869877434 "Mason A., Wright K.B.","26039290400;36096255900;","Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites",2011,"Journal of Health Communication","16","2",,"163","177",,44,"10.1080/10810730.2010.535105","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79951541133&doi=10.1080%2f10810730.2010.535105&partnerID=40&md5=38bbd57549e81dfc5f189ddf887ab5c4","Department of Communication, Pittsburgh State University, Pittsburgh, PA, United States; Department of Communication, University of Oklahoma, 610 Elm Avenue, Norman, OK 73019, United States","Mason, A., Department of Communication, Pittsburgh State University, Pittsburgh, PA, United States; Wright, K.B., Department of Communication, University of Oklahoma, 610 Elm Avenue, Norman, OK 73019, United States","This exploratory study analyzed the content of medical tourism Web sites in an attempt to examine how they convey information about benefits and risks of medical procedures, how they frame credibility, and the degree to which these Web sites include interactive features for consumers. Drawing upon framing theory, the researchers content analyzed a sample of 66 medical tourism Web sites throughout the world. The results indicated that medical tourism Web sites largely promote the benefits of medical procedures while downplaying the risks, and relatively little information regarding the credibility of these services appears. In addition, the presentation of benefits/risks, credibility, and Web site interactivity were found to differ by region and type of facility. The authors discuss the implications of these findings concerning the framing of medical tourism Web site content, future directions for research, and limitations. Copyright © Taylor & Francis Group, LLC.",,"accreditation; advertizing; computer interface; consumer health information; convalescence; human; Internet; medical tourism; review; risk assessment; trust; Accreditation; Advertising as Topic; Consumer Health Information; Convalescence; Humans; Internet; Medical Tourism; Risk Assessment; Trust; User-Computer Interface",,,,,,,,"Al-Bawaba, A., (2008) Medical Tourism Worth $100 US Billion by 2012, , http://www.albawaba.com/en/countries/UAE/226561, Retrieved July 14, 2008, from; Bezjian-Avery, A., Calder, B., Iacobucci, D., New media interactive advertising vs. traditional advertising (1998) Journal of Advertising Research, 38 (4), pp. 23-32; Block, G., Keller, P., When to accentuate the negative: The effects of perceived efficacy and message framing on intentions to perform a health-related behavior (1995) Journal of Marketing Research, 32, pp. 192-203; Chang, C., Interactive effects of message framing, perceived risk and mood-The case of travel healthcare product advertising (2007) Journal of Advertising Research, 47, pp. 51-65; Chen, Q., Griffith, D.A., Shen, F., The effects of interactivity on cross-channel communication effectiveness (2005) Journal of Interactive Advertising, 5, pp. 30-44; Chew, G., Mit, N., The lure of medical tourism in Asia (2007) Medical Tourism, 1, p. 6; Coyle, J.E., Thorson, E., The effects of progressive levels of interactivity and vividness in Web marketing sites (2001) Journal of Advertising, 30, pp. 65-77; Entman, R.M., Framing: Towards clarification of a fractured paradigm (1991) Journal of Communication, 43, pp. 51-58; (2003), http://www.freemanhealth.com/body.cfm?id=994, ISO 9000:2001 registered. 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Barnett & F. J. Bosters (Eds.) New York: Ablex; Ribisl, K.M., Lee, R.E., Henriksen, L., Haladjian, H.H., A content analysis of web sites promoting smoking culture and lifestyle (2003) Health Education and Behavior, 30 (1), pp. 64-78. , DOI 10.1177/1090198102239259; Rothman, A.J., Salovey, P., Antone, C., Keough, K., Martin, C., The influence of message framing on intentions to perform health behaviors (1993) Journal of Experimental Social Psychology, 29, pp. 408-433; Rothman, A.J., Martino, S.C., Bedell, B.T., Detweiler, J., Salovey, P., The systematic influence of gain and loss-framed messages on interest in and use of different types of health behavior (1999) Personality and Social Psychology Bulletin, 25, pp. 1355-1369; Steffen, V., Sternberg, L., Teegarden, L., Shepard, K., Practice and persuasive frame: Effects on beliefs, intentions and performance of a cancer self-examination (1994) Journal of Applied Social Psychology, 24, pp. 897-925; Tan, D., Lim, J., Selecting a medical travel destination (2007) Medical Tourism, 1, p. 10; Van Knoop, C., Lovich, D., Silverstein, M., Turry, M., (2003) Vital Signs: E-health in the United States, , http://www.bcg.com/publications/files/Vital_Signs_Rpt_Jan03.pdf, Retrieved October 10, 2009, from; Wu, G., The mediating role of perceived interactivity in the effect of actual interactivity on attitude toward the website (2005) Journal of Interactive Advertising, 5. , http://www.jiad.org/article61, Retrieved March 19, 2009, from","Wright, K. B.; Department of Communication, University of Oklahoma, 610 Elm Avenue, Norman, OK 73019, United States; email: kbwright@ou.edu",,,,,,,,10810730,,,"21161812","English","J. Health Commun.",Article,"Final",,Scopus,2-s2.0-79951541133 "Crozier G.K.D., Baylis F.","24764934600;55408358300;","The ethical physician encounters international medical travel",2010,"Journal of Medical Ethics","36","5",,"297","301",,44,"10.1136/jme.2009.032789","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955904667&doi=10.1136%2fjme.2009.032789&partnerID=40&md5=d418dcbe301e45622b460031c6f71377","Department of Philosophy, Loyola University Chicago, Chicago, IL, United States; Novel Tech Ethics, Dalhousie University, Halifax, NS, Canada","Crozier, G.K.D., Department of Philosophy, Loyola University Chicago, Chicago, IL, United States; Baylis, F., Novel Tech Ethics, Dalhousie University, Halifax, NS, Canada","International medical travel occurs when patients cross national borders to purchase medical goods and services. On occasion, physicians in home countries will be the last point of domestic contact for patients seeking healthcare information before they travel abroad for care. When this is the case, physicians have a unique opportunity to inform patients about their options and help guide them towards ethical practices. This opportunity brings to the fore an important question: What role should physicians in more-developed home countries play in promoting or constraining international medical travel towards less-developed destination countries? In our view, critical attention to the decision spaces of patientsddefined by the personal circumstances, socio-cultural cues, and legal constraints that inform decision-makingdis a useful starting point for evaluating the proper response of physicians to various forms of international medical travel.",,"article; decision making; ethics; health promotion; human; medical tourism; patient education; physician attitude; Decision Making; Health Promotion; Humans; Medical Tourism; Patient Education as Topic; Physician's Role",,,,,,,,"Sweeting, T., Patterson, P., Lin and Win Htut: the conjoined twins from Burma (1984) Can Nurse, 80, pp. 18-20; Sick kids evaluates conjoined twins for separation surgery (2004) Hospital for Sick Children Press Release, , http://www.sickkids.ca/AboutSickKids/News-Room/Past-News/2004/SickKids-evaluates-conjoined-twinsfor-separation-surgery.html, Hospital for Sick Children. Hospital for Sick Children. 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(accessed 2 Feb 2010); McKelvey, A., David, A.L., Shenfield, F., The impact of cross-border reproductive care or ""fertility tourism"" on NHS maternity services (2009) BJOG, 116, pp. 1520-1523. , doi:10.1111/j.1471e0528.2009.02294.x","Crozier, G.K.D.; Department of Philosophy, Loyola University Chicago, 1032 West Sheridan Road, Chicago, IL 60660, United States; email: g.crozier@gmail.com",,,,,,,,03066800,,JMETD,"20439336","English","J. Med. Ethics",Article,"Final",,Scopus,2-s2.0-77955904667 "Pesonen J., Komppula R.","53164554800;23004669700;","Rural wellbeing tourism: Motivations and expectations",2010,"Journal of Hospitality and Tourism Management","17","1",,"150","157",,44,"10.1375/jhtm.17.1.150","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053962177&doi=10.1375%2fjhtm.17.1.150&partnerID=40&md5=24f86be1b5564f8d9051821dc9947c10","Centre for Tourism Studies, University of Eastern Finland, P.O. Box 86, FI-57101 Savonlinna, Finland","Pesonen, J., Centre for Tourism Studies, University of Eastern Finland, P.O. Box 86, FI-57101 Savonlinna, Finland; Komppula, R., Centre for Tourism Studies, University of Eastern Finland, P.O. Box 86, FI-57101 Savonlinna, Finland","The goals of this article are twofold: first, to investigate if rural tourism could be seen as a form of wellbeing tourism by comparing motivations; and second, to use motivation segmentation to find out how the wellbeing segment differs from other segments. A questionnaire was developed based on literature on wellness and rural tourism motivations. Data were collected on a Finnish rural tourism website during the summer of 2009. A total of 727 responses were analysed using k-mean cluster analysis to create segments. The results show that among Finnish rural tourists a segment of rural wellbeing can be distinguished. The segment members want to relax away from the ordinary, escape from a busy everyday life, have a hassle-free vacation, get refreshed, have a sense of comfort and have an opportunity for physical rest more than members of other segments. A typical rural wellbeing tourist is a 45- to 54-year-old female who has lived her childhood in the countryside. She travels with her spouse less than once a year to a rural destination. The wellbeing segment wants to feel relaxed. It values privacy, does not want schedules, likes a calm atmosphere and wants to spend time outside in nature more than other segments.","Rural tourism; Tourist motivation; Tourist segmentation; Wellbeing tourism; Wellness tourism",,,,,,,,,"Boksberger, P., Laesser, C., Segmentation of the senior travel market by the means of travel motivations (2009) Journal of Vacation Marketing, 15 (4), pp. 311-322; Bushell, R., Sheldon, P., Wellness tourism and the future (2009) Wellness and Tourism. Mind, Body, Spirit, Place, pp. 218-230. , R. Bushell, & P.J. Sheldon (Eds.), New York: Cognizant Communication; Cai, L., Li, M., Distance-segmented rural tourists (2009) Journal of Travel & Tourism Marketing, 26 (8), pp. 751-761; Chen, J.S., Prebensen, N., Wellness as tourist motivation. Case of Taiwan (2009) Wellness and Tourism. Mind, Body, Spirit, Place, pp. 231-238. , R. Bushell, & P.J. Sheldon (Eds.), New York. 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Thomas & M. Augustyn (Eds.), Tourism in the new Europe Perspectives on SME Policies and Practices. Amsterdam: Elsevier; Konu, H., Tuohino, A., Komppula, R., Lake-Wellness: A practical example of a new service development (NSV) concept in tourism industry Journal of Vacation Marketing, , in press; Laukkanen, T., Customer preferred channel attributes in multichannel electronic banking (2007) International Journal of Retail & Distribution Management, 35 (5), pp. 393-412; Leiper, N., Tourist attraction systems (1990) Annals of Tourism Research, 17 (3), pp. 367-387; Mak, A., Wong, K.K., Chang, R.C., Health or self-indulgence? The motivations and characteristics of spa-goers (2009) International Journal of Tourism Research, 11 (2), pp. 185-199; Molera, L., Albaladejo, I., Profiling segments of tourists in rural areas of South-Eastern Spain (2007) Tourism Management, 28 (3), pp. 757-767; Otto, J.E., Ritchie, J.R.B., The service experience in tourism (1996) Tourism Management, 17 (3), pp. 165-174. , DOI 10.1016/0261-5177(96)00003-9; Park, D.-B., Yoon, Y.-S., Segmentation by motivation in rural tourism: A Korean case study (2009) Tourism Management, 30 (1), pp. 99-108; Park, K.-S., Reisinger, Y., Cultural differences in shopping for luxury goods: Western, Asian, and Hispanic Tourists (2009) Journal of Travel & Tourism Marketing, 26 (8), pp. 762-777; Pesonen, J., Komppula, R., Laukkanen, T., Kesämatkailijoiden segmentointi: Savonlinnan seutu maaseutumatkailukohteena (2009) Maaseudun Uusi Aika, 3, pp. 5-19; Royo-Vela, M., Rural-cultural excursion conceptualization: A local tourism marketing management model based on tourist destination image measurement (2009) Tourism Management, 30 (3), pp. 419-428; Sanchez, J., Callarisa, L., Rodriguez, R.M., Moliner, M.A., Perceived value of the purchase of a tourism product (2006) Tourism Management, 27 (3), pp. 394-409. , DOI 10.1016/j.tourman.2004.11.007, PII S0261517705000063; Sheldon, P., Bushell, R., Introduction to wellness and tourism (2009) Wellness and Tourism. 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Paper presented at","Pesonen, J.; Centre for Tourism Studies, University of Eastern Finland, P.O. Box 86, FI-57101 Savonlinna, Finland; email: juho.pesonen@uef.fi",,,"Elsevier Ltd",,,,,14476770,,,,"English","J. Hosp. Tour. Manage.",Article,"Final",,Scopus,2-s2.0-80053962177 "Bishop R.A., Litch J.A.","7201523987;7003586108;","Medical tourism can do harm",2000,"BMJ","320","7240",,"1017","",,44,"10.1136/bmj.320.7240.1017","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85007746415&doi=10.1136%2fbmj.320.7240.1017&partnerID=40&md5=2d6fc3d9d136c81aa1e443cabee7b05a",,"Bishop, R.A.; Litch, J.A.",[No abstract available],,,,,,,,,,,,,,,,,,,09598138,,,,"English","BMJ",Article,"Final",,Scopus,2-s2.0-85007746415 "Carion A., Benboubker L., Hérault O., Roingeard F., Degenne M., Senecal D., Desbois I., Colombat P., Charbord P., Binet C., Domenech J.","6506592927;6603955133;6701451918;6603204113;6602338031;24460882700;6603755874;7006730106;7005359738;7003553937;7102412762;","Stromal-derived factor 1 and matrix metalloproteinase 9 levels in bone marrow and peripheral blood of patients mobilized by granulocyte colony-stimulating factor and chemotherapy. Relationship with mobilizing capacity of haematopoietic progenitor cells",2003,"British Journal of Haematology","122","6",,"918","926",,43,"10.1046/j.1365-2141.2003.04545.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0141428899&doi=10.1046%2fj.1365-2141.2003.04545.x&partnerID=40&md5=809fa42c292367459bed0dc2658580c0","Laboratory of Haematology, Faculty of Medicine, University Hospital of Tours, Tours, France; Department of Medical Oncology, Faculty of Medicine, University Hospital of Tours, Tours, France; Regional Blood Bank, Faculty of Medicine, University Hospital of Tours, Tours, France; Laboratoire d'Hématologie, CHRU Bretonneau, 2 Boulevard Tonnelé, 37044 Tours Cedex, France","Carion, A., Laboratory of Haematology, Faculty of Medicine, University Hospital of Tours, Tours, France; Benboubker, L., Department of Medical Oncology, Faculty of Medicine, University Hospital of Tours, Tours, France; Hérault, O., Laboratory of Haematology, Faculty of Medicine, University Hospital of Tours, Tours, France; Roingeard, F., Laboratory of Haematology, Faculty of Medicine, University Hospital of Tours, Tours, France; Degenne, M., Laboratory of Haematology, Faculty of Medicine, University Hospital of Tours, Tours, France; Senecal, D., Department of Medical Oncology, Faculty of Medicine, University Hospital of Tours, Tours, France; Desbois, I., Regional Blood Bank, Faculty of Medicine, University Hospital of Tours, Tours, France; Colombat, P., Department of Medical Oncology, Faculty of Medicine, University Hospital of Tours, Tours, France; Charbord, P., Laboratory of Haematology, Faculty of Medicine, University Hospital of Tours, Tours, France; Binet, C., Laboratory of Haematology, Faculty of Medicine, University Hospital of Tours, Tours, France; Domenech, J., Laboratory of Haematology, Faculty of Medicine, University Hospital of Tours, Tours, France, Laboratoire d'Hématologie, CHRU Bretonneau, 2 Boulevard Tonnelé, 37044 Tours Cedex, France","The roles of the chemokine stromal-derived factor 1 (SDF-1) and the matrix metalloproteinase 9 (MMP-9) in haematopoietic progenitor cell (HPC) mobilization are still unclear, particularly when patients are mobilized by granulocyte colony-stimulating factor (G-CSF) plus chemotherapy. We determined bone marrow (BM) and peripheral blood (PB) plasma levels of SDF-1, together with CXC-chemokine receptor 4 (CXCR-4) expression on CD34+ cells, and interleukin 8 (IL-8) and MMP-9 in 55 patients mobilized for autologous PB transplantation compared with 10 normal BM and PB samples. Plasma samples were tested at steady state (SS-) and after mobilization by cyclophosphamide and G-CSF administration (M-). SDF-1, CXCR-4, IL-8 and MMP-9 levels were significantly lower in SS- and M-PB than in SS-BM. Differences in SDF-1 levels between SS-PB and SS-BM were also observed after mobilization. We showed for the first time a clear relationship between the levels of circulating HPC, both at steady state and after mobilization, and those of secreted MMP-9 but not of SDF-1 or IL-8. However, a negative correlation was observed between mobilizing capacity and CXCR-4 expression on CD34+ cells. These findings suggest that G-CSF-induced mobilization of HPC from BM involves MMP-9, without reversing the positive gradient of SDF-1 between BM and PB.","Haematopoietic progenitor cells; Interleukin 8; Matrix metalloproteinase 9; Mobilization; Stromal-derived factor 1","antineoplastic agent; CD34 antigen; chemokine receptor CXCR4; cyclophosphamide; gelatinase B; interleukin 8; recombinant granulocyte colony stimulating factor; stromal cell derived factor 1; adult; aged; article; blood; blood sampling; bone marrow; controlled study; female; human; major clinical study; male; myeloma; nonhodgkin lymphoma; priority journal; protein blood level; statistical significance; steady state; stem cell mobilization; Adult; Aged; Antigens, CD34; Antineoplastic Agents; Bone Marrow; Chemokines, CXC; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cells; Humans; Interleukin-8; Matrix Metalloproteinase 9; Middle Aged; Receptors, CXCR4; Recombinant Proteins",,"chemokine receptor CXCR4, 188900-71-2; cyclophosphamide, 50-18-0; gelatinase B, 146480-36-6; interleukin 8, 114308-91-7; recombinant granulocyte colony stimulating factor, 121181-53-1; Antigens, CD34; Antineoplastic Agents; Chemokines, CXC; CXCL12 chemokine; Granulocyte Colony-Stimulating Factor, 143011-72-7; Interleukin-8; Matrix Metalloproteinase 9, EC 3.4.24.35; Receptors, CXCR4; Recombinant Proteins","neupogen, Amgen, United States","Amgen, United States",,,,"Aiuti, A., Webb, I.J., Bleul, C., Springer, T., Gutierrez-Ramos, J.C., The chemokine SDF-1 is a chemoattractant for human CD34+ hematopoietic progenitor cells and provides a new mechanism to explain the mobilization of CD34+ progenitors to peripheral blood (1997) Journal of Experimental Medicine, 185, pp. 111-120; Bazzoni, F., Cassatella, M.A., Rossi, F., Ceska, M., Dewald, B., Baggiolini, M., Phagocytosing neutrophils produce and release high amounts of the neutrophil-activating peptide 1/interleukin 8 (1991) Journal of Experimental Medicine, 173, pp. 771-774; Carstanjen, D., Ulbricht, N., Iacone, A., Regenfus, M., Salama, A., Matrix metalloproteinase-9 (gelatinase B) is elevated during mobilization of peripheral blood progemtor cells by G-CSF (2002) Transfusion, 42, pp. 588-596; 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Petit, I., Szyper-Kravitz, M., Nagler, A., Lahav, M., Peled, A., Habler, L., Ponomaryov, T., Lapidot, T., G-CSF induces stem cell mobilization by decreasing bone marrow SDF-1 and up-regulating CXCR4 (2002) Nature Immunology, 3, pp. 687-694; Ponomaryov, T., Peled, A., Petit, I., Taichman, R.S., Habler, L., Sandbank, J., Arenzana-Seisdedos, F., Lapidot, T., Induction of the chemokine stromal-derived factor-1 following DNA damage improves human stem cell function (2000) Journal of Clinical Investigation, 106, pp. 1331-1339; Pruijt, J.F., Fibbe, W.E., Laterveer, L., Pieters, R.A., Lindley, I.J., Paemen, L., Masure, S., Opdenakker, G., Prevention of interleukin-8-induced mobilization of hematopoietic progenitor cells in rhesus monkeys by inhibitory antibodies against the metalloproteinase gelatinase B (MMP-9) (1999) Proceedings of the National Academy of Sciences of the USA, 96, pp. 10863-10868; Pruijt, J.F., Verzaal, P., Van Os, R., De Kruijf, E.J., Van Schie, M.L., Mantovani, A., Vecchi, A., Fibbe, W.E., Neutrophils are indispensable for hematopoietic stem cell mobilization induced by interleukin-8 in mice (2002) Proceedings of the National Academy of Sciences of the USA, 99, pp. 6228-6233; 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Sweeney, E.A., Lortat-Jacob, H., Priestley, G.V., Nakamoto, B., Papayannopoulou, T., Sulfated polysaccharides increase plasma levels of SDF-1 in monkeys and mice; involvement in mobilization of stem/progenitor cells (2002) Blood, 99, pp. 44-51; Testa, N.G., Hendry, J.H., Molineux, G., Long-term bone marrow damage in experimental systems and in patients after radiation or chemotherapy (1985) Anticancer Research, 5, pp. 101-110; Valenzuela-Fernandez, A., Planchenault, T., Baleux, F., Staropoli, I., Le-Barillec, K., Leduc, D., Delaunay, T., Arenzana-Seisdedos, F., Leukocyte elastase negatively regulates Stromal cell-derived factor-1 (SDF-1)/CXCR4 binding and functions by amino-terminal processing of SDF-1 and CXCR4 (2002) Journal of Biological Chemistry, 277, pp. 15677-15689; Voermans, C., Von Gerritsen, W.R., Dem Borne, A.E., Van Der Schoot, C.E., Increased migration of cord blood-derived CD34+ cells, as compared to bone marrow and mobilized peripheral blood CD34+ cells across uncoated or fibronectin-coated filters (1999) Experimental Hematology, 27, pp. 1806-1814; Voermans, C., Kooi, M.L., Rodenhuis, S., Van Der Lelie, H., Van Der Schoot, C.E., Gerritsen, W.R., In vitro migratory capacity of CD34+ cells is related to hematopoietic recovery after autologous stem cell transplantation (2001) Blood, 97, pp. 799-804; Watanabe, T., Kawano, Y., Kanamaru, S., Onishi, T., Kaneko, S., Wakata, Y., Nakagawa, R., Talmadge, J.E., Endogenous interleukin-8 (IL-8) surge in granulocyte colony-stimulating factor-induced peripheral blood stem cell mobilization (1999) Blood, 93, pp. 1157-1163; Wright, D.E., Bowman, E.P., Wagers, A.J., Butcher, E.C., Weissman, I.L., Hematopoietic stem cells are uniquely selective in their migratory response to chemokines (2002) Journal of Experimental Medicine, 195, pp. 1145-1154; Zhang, Y., McCluskey, K., Fujii, K., Wahl, L.M., Differential regulation of monocyte matrix metalloproteinase and TIMP-1 production by TNF-alpha, granulocyte-macrophage CSF, and IL-1 beta through prostaglandin-dependent and -independent mechanisms (1998) Journal of Immunology, 161, pp. 3071-3076; Zou, Y.R., Kottmann, A.H., Kuroda, M., Taniuchi, I., Littman, D.R., Function of the chemokine receptor CXCR4 in haematopoiesis and in cerebellar development (1998) Nature, 393, pp. 595-599","Domenech, J.; Laboratoire d'Hématologie, CHRU Bretonneau, 2 Boulevard Tonnelé, 37044 Tours Cedex, France; email: domenech@med.univ-tours.fr",,,,,,,,00071048,,BJHEA,"12956762","English","Br. J. Haematol.",Article,"Final",,Scopus,2-s2.0-0141428899 "Davidson J.E., Harvey M.A., Bemis-Dougherty A., Smith J.M., Hopkins R.O.","15043914700;7202676119;19638525300;55579568200;7202014949;","Implementation of the pain, agitation, and delirium clinical practice guidelines and promoting patient mobility to prevent post-intensive care syndrome",2013,"Critical Care Medicine","41","9 SUPPL.1",,"S136","S145",,42,"10.1097/CCM.0b013e3182a24105","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84883590091&doi=10.1097%2fCCM.0b013e3182a24105&partnerID=40&md5=6e555c8c8ba21f38044c6492266531cb","Evidence-based Practice and Research Liaison, UCSD Medical Center, San Diego, CA, United States; Critical Care Educator and Consultant, Glenbrook, NV, United States; Clinical Practice, American Physical Therapy Association, Alexandria, VA, United States; Department of Physical Therapy, Utica College, Utica, NY, United States; Department of Medicine, Pulmonary and Critical Care Division, Intermountain Medical Center, Murray, UT, United States; Psychology Department and Neuroscience Center, Brigham Young University, Provo, UT, United States","Davidson, J.E., Evidence-based Practice and Research Liaison, UCSD Medical Center, San Diego, CA, United States; Harvey, M.A., Critical Care Educator and Consultant, Glenbrook, NV, United States; Bemis-Dougherty, A., Clinical Practice, American Physical Therapy Association, Alexandria, VA, United States; Smith, J.M., Department of Physical Therapy, Utica College, Utica, NY, United States; Hopkins, R.O., Department of Medicine, Pulmonary and Critical Care Division, Intermountain Medical Center, Murray, UT, United States, Psychology Department and Neuroscience Center, Brigham Young University, Provo, UT, United States","Surviving critical illness is associated with persistent and severe physical, cognitive, and psychological morbidities. The Society of Critical Care Medicine has developed pain, agitation, and delirium guidelines and promoted mobility to improve care of critically ill patients. A task force has developed tools to facilitate and rapidly implement the translation of guideline care recommendations into practice. The Society of Critical Care Medicine has also assembled a task force to assess the long-term consequences of critical illness. This article will explore relationships between the pain, agitation, and delirium guidelines, mobility recommendations, and post-intensive care syndrome initiative. Implementation of the pain, agitation, and delirium guidelines taking into account current data regarding post-intensive care syndrome outcomes and potential interventions are an important first step toward improving outcomes for patients and their families. Research is needed to reduce the impact of long-term negative consequences of critical illness and to fully understand the best within-and post-ICU interventions, along with the optimal timing and dose of such interventions to produce the best long-term outcomes. © 2013 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins.","cognitive impairments; critical care illness; delirium; ICU; immobility; pain; physical rehabilitation","benzodiazepine; adult respiratory distress syndrome; agitation; anxiety; article; attention; clinical decision making; cognitive defect; critical illness; critically ill patient; delirium; depression; disease severity; family centered care; hospital discharge; human; immobilization; intensive care; long term care; memory; mental health; mobilization; pain; patient care; patient mobility; physical disability; physical disease; physical disease by body function; physiotherapy; posttraumatic stress disorder; practice guideline; priority journal; quality of life; range of motion; risk factor; Cognition Disorders; Consciousness; Critical Illness; Delirium; Early Ambulation; Family; Humans; Intensive Care; Intensive Care Units; Interdisciplinary Communication; Organizational Culture; Pain Management; Physical Therapy Modalities; Practice Guidelines as Topic; Program Development; Psychomotor Agitation; Stress Disorders, Post-Traumatic; Treatment Outcome",,"benzodiazepine, 12794-10-4",,,,,,"Barr, J., Fraser, G.L., Puntillo, K., Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit (2013) Crit Care Med, 14, pp. 263-306; Iwashyna, T.J., Survivorship will be the defining challenge of critical care in the 21st century (2010) Ann Intern Med, 153, pp. 204-205; Needham, D.M., Feldman, D.R., Kho, M.E., The functional costs of ICU survivorship. Collaborating to improve post-ICU disability (2011) Am J Respir Crit Care Med, 183, pp. 962-964; Needham, D.M., Davidson, J., Cohen, H., Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders' conference (2012) Crit Care Med, 40, pp. 502-509; Desai, S.V., Law, T.J., Needham, D.M., Long-term complications of critical care (2011) Crit Care Med, 39, pp. 371-379; Davidson, J.E., Jones, C., Bienvenu, O.J., Family response to critical illness: Post-intensive care syndrome-family (2012) Crit Care Med, 40, pp. 618-624; Wolters, A.E., Slooter, A.J., Van Der Kooi, A.W., Cognitive impairment after intensive care unit admission: A systematic review (2013) Intensive Care Med, 39, pp. 376-386; Jackson, J.C., Girard, T.D., Gordon, S.M., Long-term cognitive and psychological outcomes in the awakening and breathing controlled trial (2010) Am J Respir Crit Care Med, 182, pp. 183-191; Larson, M.J., Weaver, L.K., Hopkins, R.O., Cognitive sequelae in acute respiratory distress syndrome patients with and without recall of the intensive care unit (2007) J Int Neuropsychol Soc, 13, pp. 595-605; Van Den Boogaard, M., Schoonhoven, L., Evers, A.W., Delirium in critically ill patients: Impact on long-term health-related quality of life and cognitive functioning (2012) Crit Care Med, 40, pp. 112-118; Girard, T.D., Jackson, J.C., Pandharipande, P.P., Delirium as a predictor of long-term cognitive impairment in survivors of critical illness (2010) Crit Care Med, 38, pp. 1513-1520; Witlox, J., Eurelings, L.S., De Jonghe, J.F., Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: A meta-analysis (2010) JAMA, 304, pp. 443-451; Jones, C., Griffiths, R.D., Humphris, G., Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care (2001) Crit Care Med, 29, pp. 573-580; Girard, T.D., Shintani, A.K., Jackson, J.C., Risk factors for post-traumatic stress disorder symptoms following critical illness requiring mechanical ventilation: A prospective cohort study (2007) Crit Care, 11, pp. R28; Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial (2009) Lancet, 373, pp. 1874-1882; Gosselink, R., Bott, J., Johnson, M., Physiotherapy for adult patients with critical illness: Recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients (2008) Intensive Care Med, 34, pp. 1188-1199; Berney, S., Haines, K., Skinner, E.H., Safety and feasibility of an exercise prescription approach to rehabilitation across the continuum of care for survivors of critical illness (2012) Phys Ther, 92, pp. 1524-1535; Chiang, L.L., Wang, L.Y., Wu, C.P., Effects of physical training on functional status in patients with prolonged mechanical ventilation (2006) Phys Ther, 86, pp. 1271-1281; Pohlman, M.C., Schweickert, W.D., Pohlman, A.S., Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation (2010) Crit Care Med, 38, pp. 2089-2094; Berney, S., Haines, K., Denehy, L., Physiotherapy in critical care in Australia (2012) Cardiopulm Phys Ther J, 23, pp. 19-25; Hanekom, S.D., Faure, M., Coetzee, A., Outcomes research in the ICU: An aid in defining the role of physiotherapy (2007) Physiother Theory Pract, 23, pp. 125-135; Amidei, C., Mobilisation in critical care: A concept analysis (2012) Intensive Crit Care Nurs, 28, pp. 73-81; Nordon-Craft, A., Moss, M., Quan, D., Intensive care unit-acquired weakness: Implications for physical therapist management (2012) Phys Ther, 92, pp. 1494-1506; Winkelman, C., Johnson, K.D., Hejal, R., Examining the positive effects of exercise in intubated adults in ICU: A prospective repeated measures clinical study (2012) Intensive Crit Care Nurs, 28, pp. 307-318; Hopkins, R.O., Suchyta, M.R., Farrer, T.J., Improving post-intensive care unit neuropsychiatric outcomes: Understanding cognitive effects of physical activity (2012) Am J Respir Crit Care Med, 186, pp. 1220-1228; Brown, C.J., Redden, D.T., Flood, K.L., The underrecognized epidemic of low mobility during hospitalization of older adults (2009) J Am Geriatr Soc, 57, pp. 1660-1665; Covinsky, K.E., Pierluissi, E., Johnston, C.B., Hospitalization-associated disability: She was probably able to ambulate, but I'm not sure (2011) JAMA, 306, pp. 1782-1793; Inouye, S.K., Bogardus Jr., S.T., Charpentier, P.A., A multicomponent intervention to prevent delirium in hospitalized older patients (1999) N Engl J Med, 340, pp. 669-676; Needham, D.M., Korupolu, R., Zanni, J.M., Early physical medicine and rehabilitation for patients with acute respiratory failure: A quality improvement project (2010) Arch Phys Med Rehabil, 91, pp. 536-542; Burtin, C., Clerckx, B., Robbeets, C., Early exercise in critically ill patients enhances short-term functional recovery (2009) Crit Care Med, 37, pp. 2499-2505; Morris, P.E., Goad, A., Thompson, C., Early intensive care unit mobility therapy in the treatment of acute respiratory failure (2008) Crit Care Med, 36, pp. 2238-2243; Bailey, P.P., Miller Iii., R.R., Clemmer, T.P., Culture of early mobility in mechanically ventilated patients (2009) Crit Care Med, 37, pp. S429-S435; Perme, C., Chandrashekar, R., Managing the patient on mechanical ventilation in ICU: Early mobility and walking program (2008) Acute Care Perspectives, 17, pp. 10-15; Thomsen, G.E., Snow, G.L., Rodriguez, L., Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority (2008) Crit Care Med, 36, pp. 1119-1124; Leditschke, I.A., Green, M., Irvine, J., What are the barriers to mobilizing intensive care patients? (2012) Cardiopulm Phys Ther J, 23, pp. 26-29; Hopkins, R.O., Miller Iii., R.R., Rodriguez, L., Physical therapy on the wards after early physical activity and mobility in the intensive care unit (2012) Phys Ther, 92, pp. 1518-1523; Vasilevskis, E.E., Ely, E.W., Speroff, T., Reducing iatrogenic risks: ICU-acquired delirium and weakness-crossing the quality chasm (2010) Chest, 138, pp. 1224-1233; Trees, D.W., Smith, J.M., Hockert, S., Innovative mobility strategies for the patient with intensive care unit-acquired weakness: A case report (2013) Phys Ther, 93, pp. 237-247; Herridge, M.S., The challenge of designing a post-critical illness rehabilitation intervention (2011) Crit Care, 15, p. 1002; Chen, S., Su, C.L., Wu, Y.T., Physical training is beneficial to functional status and survival in patients with prolonged mechanical ventilation (2011) J Formos Med Assoc, 110, pp. 572-579; Jackson, J.C., Ely, E.W., Morey, M.C., Cognitive and physical rehabilitation of intensive care unit survivors: Results of the RETURN randomized controlled pilot investigation (2012) Crit Care Med, 40, pp. 1088-1097; Davidson, J.E., Facilitated sensemaking: A strategy and new middlerange theory to support families of intensive care unit patients (2010) Crit Care Nurse, 30, pp. 28-39; Davidson, J.E., Daly, B.J., Agan, D., Facilitated sensemaking: A feasibility study for the provision of a family support program in the intensive care unit (2010) Crit Care Nurs Q, 33, pp. 177-189; Melnyk, B.M., Crean, H.F., Feinstein, N.F., Maternal anxiety and depression after a premature infant's discharge from the neonatal intensive care unit: Explanatory effects of the creating opportunities for parent empowerment program (2008) Nurs Res, 57, pp. 383-394; Melnyk, B.M., Feinstein, N.F., Reducing hospital expenditures with the COPE (Creating Opportunities for Parent Empowerment) program for parents and premature infants: An analysis of direct healthcare neonatal intensive care unit costs and savings (2009) Nurs Adm Q, 33, pp. 32-37; Melnyk, B.M., Feinstein, N.F., Alpert-Gillis, L., Reducing premature infants' length of stay and improving parents' mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: A randomized, controlled trial (2006) Pediatrics, 118, pp. e1414-e1427; Jones, C., Bäckman, C., Capuzzo, M., Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: A randomised, controlled trial (2010) Crit Care, 14, pp. R168. , RACHEL Group; Jones, C., Bäckman, C., Griffiths, R.D., Intensive care diaries and relatives' symptoms of posttraumatic stress disorder after critical illness: A pilot study (2012) Am J Crit Care, 21, pp. 172-176; Garrouste-Orgeas, M., Coquet, I., Périer, A., Impact of an intensive care unit diary on psychological distress in patients and relatives (2012) Crit Care Med, 40, pp. 2033-2040; Griffiths, R.D., Jones, C., The intensive care unit diary and posttraumatic stress disorder (2009) Crit Care Med, 37, p. 2145; Davidson, J.E., Powers, K., Hedayat, K.M., Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004-2005 (2007) Crit Care Med, 35, pp. 605-622. , American College of Critical Care Medicine Task Force 2004-2005 Society of Critical Care Medicine","Davidson, J.E.; Evidence-based Practice and Research Liaison, UCSD Medical Center, San Diego, CA, United States; email: judy.davidsondnp@gmail.com",,,,,,,,00903493,,CCMDC,"23989091","English","Crit. Care Med.",Article,"Final",,Scopus,2-s2.0-84883590091 "Moghimehfar F., Nasr-Esfahani M.H.","36936131200;6603801661;","Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments",2011,"Tourism Management","32","6",,"1431","1434",,42,"10.1016/j.tourman.2011.01.005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960324432&doi=10.1016%2fj.tourman.2011.01.005&partnerID=40&md5=c5153946b832cef433a4939fd626de85","Department of Tourism Management, Allameh Tabataba'i University, Nezami Ganjavi St., Tavanir St. Tehran, Iran; Isfahan Fertility and Infertility Center, Isfahan, Iran; Royan Institute of Animal Biotechnology, ACECR, Isfahan, Iran","Moghimehfar, F., Department of Tourism Management, Allameh Tabataba'i University, Nezami Ganjavi St., Tavanir St. Tehran, Iran; Nasr-Esfahani, M.H., Isfahan Fertility and Infertility Center, Isfahan, Iran, Royan Institute of Animal Biotechnology, ACECR, Isfahan, Iran","The birth of the first in vitro fertilized baby, followed by further advances in the field of assisted reproductive technology (ART) has made this technology one of the most attractive tourism innovations among the different categories of medical tourism. In addition, factors such as legal, moral, religious and ethical issues play important roles in choosing reproductive tourism destinations. The aim of this study was to examine the factors influencing destination choice in infertile couples who referred to the Isfahan Fertility and Infertility Center in Isfahan, Iran. Field evaluation was carried out based on a documentary survey and questionnaire completed by interviewers. Among a target group of 80 infertile couples, 67 were interviewed. The majority of participants in this study were Muslim couples who traveled for reproductive tourism to Iran. It can be concluded that religious affinity may have paramount importance in reproductive medical tourism for Muslim infertile couples. © 2011 Elsevier Ltd.","Decisive factors; Destination choice; Isfahan; Reproductive tourism","ethics; fertility; innovation; Islamism; legal system; morality; religion; tourist destination; Esfahan [Esfahan (PRV)]; Esfahan [Iran]; Iran",,,,,,,,"Blyth, E., Farrand, A., Reproductive tourism - a price worth paying for reproductive autonomy? (2005) Critical Social Policy, 25 (1), pp. 91-114; Burkett, L., Medical tourism concerns, benefits, and the American legal perspective (2007) The Journal of Legal Medicine, 28, pp. 223-245; Christine, L., Just what the doctor ordered (2007) Monash Business Review, 3 (3), pp. 10-13; Connell, J., Medical tourism: sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Derckx, V., Expulsion of illegal residents (aliens) with medical problems and article 3 of the European convention on human rights (2006) European Journal of Health Law, 13 (4), pp. 313-319; Heng, B.C., 'Reproductive tourism': should locally registered fertility doctors be held accountable for channeling patients to foreign medical establishments? (2006) Human Reproduction, 21 (3), pp. 840-842; Heng, B.C., Taiwan (Republic of China) legitimizes substantial financial remuneration of egg donors: implications for reproductive tourism in East Asia (2007) Expert Review of Obstetrics & Gynecology, 2 (5), pp. 545-547; Hooshangi, F., (2000), Isfahan, city of paradise: A study of Safavid urban pattern and a symbolic interpretation of the Chahar-Bagh gardens. (Master's thesis). Retrieved from ProQuest Dissertations and Theses Database. (AAT MQ52378); Howze, K.S., Medical tourism: symptom or cure? (2007) Georgia Law Review, 41 (3), pp. 1013-1052; Inhorn, M.C., Global infertility and the globalization of new reproductive technologies: illustrations from Egypt (2003) Social Science and Medicine, 56 (9), pp. 1837-1851; Inhorn, M.C., Fatwas and ARTs: IVF and gamete donation in Sunni v. Shi'a Islam. (Assisted reproductive technologies, in vitro fertilization) (2005) Journal of Gender, Race and Justice, 9, pp. 291-317; Inhorn, M.C., Making Muslim babies: IVF and gamete donation in Sunni versus Shi'a Islam (2006) Culture, Medicine and Psychiatry, 30 (4), pp. 427-450; Inhorn, M.C., Fakih, M.H., Arab Americans, African Americans, and infertility: barriers to reproduction and medical care (2006) Fertility and Sterility, 85 (4), pp. 844-852; Inhorn, M.C., Patrizio, P., Rethinking reproductive ""tourism"" as reproductive ""exile"" (2009) Fertility and Sterility, 92 (3), pp. 904-906; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: the downing of a new paradigm for health care (2006) International Journal of Fertility and Women's Medicine, 51 (6), pp. 251-255; Matorras, R., Reproductive exile versus reproductive tourism [Letter to the editor] (2005) Human Reproduction, 20 (12), pp. 3571-3573. , December; (2003) Comprehensive cultural statistics: Iran cultural sites, list of shrines and sacred places, , Ministry of Culture and Islamic Guidance, National Plan, Ministry of Culture And Islamic Guidance, Tehran; Nachtigall, R.D., International disparities in access to infertility services (2006) Fertility and Sterility, 85 (4), pp. 871-875; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28, pp. 337-341; Pennings, G., Legal harmonization and reproductive tourism in Europe (2004) Human Reproduction, 19 (12), pp. 2689-2694; Pennings, G., Autin, C., Decleer, W., Delbaere, A., Delbeke, L., Delvigne, A., Cross-border reproductive care in Belgium (2009) Human Reproduction, 24 (12), pp. 3108-3118; Ramírez de Arellano, A.B., Patients without borders: the emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Shenfield, F., de Mouzon, J., Pennings, G., Ferraretti, A.P., Nyboe Andersen, A., de Wert, G., Cross border reproductive care in six European countries (2010) Human Reproduction, 25 (6), pp. 1361-1368; Sills, E.S., Qublan, H.S., Blumenfeld, Z., Dizaj, A.V., Revel, A., Coskun, S., Regional clinical practice patterns in reproductive endocrinology: a collaborative transnational pilot survey of in vitro fertilization programs in the Middle East (2007) Journal of Experimental & Clinical Assisted Reproduction, 3 (4); Tosun, C., Jenkins, C.L., The evolution of tourism planning in third-world countries: a critique (1998) Progress in Tourism and Hospitality Research, 4 (2), pp. 101-114; Turner, L., 'First world health care at third world prices': globalization, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325; Zegers-Hochschild, F., Schwarze, J.-E., Alam, V., Infertility (2008) International encyclopedia of public health, 3, pp. 576-587. , Academic Press, San Diego, CA, H.K. Heggenhougen, S. Quah (Eds.); Zendeh Del, H., (2001) Iran travel guide, cities and provinces, , Karevane Jahangardan (Irangardan), Tehran","Moghimehfar, F.; Isfahan Fertility and Infertility Center, Isfahan, Iran; email: f.moghimehfar@gmail.com",,,,,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-79960324432 "Solomon H.","55776505200;","Affective journeys: The emotional structuring of medical tourism in India",2011,"Anthropology and Medicine","18","1",,"105","118",,42,"10.1080/13648470.2010.525878","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79956288039&doi=10.1080%2f13648470.2010.525878&partnerID=40&md5=a55e9e88e89902953c87cb9067798e4a","Department of Anthropology, Box 1921, Brown University, Providence, RI 02912, United States","Solomon, H., Department of Anthropology, Box 1921, Brown University, Providence, RI 02912, United States","This paper examines the grid of sentiment that structures medical travel to India. In contrast to studies that render emotion as ancillary, the paper argues that affect is fundamental to medical travel's ability to ease the linked somatic, emotional, financial, and political injuries of being ill 'back home'. The ethnographic approach follows the scenes of medical travel within the Indian corporate hospital room, based on observations and interviews among foreign patients, caregivers, and hospital staff in Mumbai, New Delhi, Chennai, and Bangalore. Foreign patients conveyed diverse sentiments about their journey to India ranging from betrayal to gratitude, and their expressions of risk, healthcare costs, and cultural difference help sustain India's popularity as a medical travel destination. However, although the affective dimensions of medical travel promise a remedy for foreign patients, they also reveal the fault lines of market medicine in India. © 2011 Taylor & Francis.","affect; caregiving; corporate hospitals; India; medical tourism; medical travel; neoliberalism","affect; article; cultural factor; health care cost; India; medical tourism; priority journal; private hospital; Anecdotes as Topic; Female; Hospitals; Humans; India; Internationality; Male; Medical Tourism",,,,,,,,"Adams, V., Murphy, M., Clarke, A., Anticipation: Technoscience life affect temporality (2009) Subjectivity, 28 (1), pp. 246-265; Ahmed, S., Affective economies (2004) Social Text, 22 (2), pp. 117-139; Ananthakrishnan, G., Boom time for medicare (2006) Magazine, , The Hindu April 30; Applbaum, K., Crossing borders: Globalization as myth and charter in American transnational consumer marketing (2000) American Ethnologist, 27 (2), pp. 257-282; Augé, M., Interpreting illness (1985) History and Anthropology, 2 (1), pp. 1-13; Baru, R., Private health sector in India: Raising inequities (2005) Review of Healthcare in India, , ed. L. Gangolli Ravi Duggal and Abhay Shukla Mumbai: Center for Enquiry into Health & Allied Themes CEHAT; Beck, G., (2009) Glenn Beck Program, , 9 December 2009; Becker, G., The uninsured and the politics of containment in U.S. health care (2007) Medical Anthropology, 26 (4), pp. 299-321; Berlant, L., (2000) Intimacy, , Chicago: University of Chicago Press; Bhardwaj, A., Biosociality and biocrossings: Encounters with assisted conception and embryonic stem cells in India (2008) Biosocialities Genetics and the Social Sciences: Making Biologies and Identities, , ed. Sahra Gibbon and Carlos Novas New York: Routledge; Biehl, J., (2005) Vita: Life in a Zone of Social Abandonment, , Berkeley: University of California Press; Biehl, J., Coutinho, D., Outeiro, A.L., Technology and affect: HIV/AIDS testing in Brazil (2001) Culture, Medicine and Psychiatry, 25 (1), pp. 87-129; (2007) Affective Turn: Theorizing the Social, , Clough P. and J. Halley eds Durham: Duke University Press; Cohen, L., The epistemological carnival: Meditations on disciplinary intentionality and Ayurveda (1995) Knowledge and the Scholarly Medical Traditions, , ed. D. Bates Cambridge: Cambridge University Press; Comaroff, J., Comaroff, J., Figuring crime: Quantifacts and the production of the un/real (2006) Public Culture, 18 (1), pp. 209-245; (2002) Healthcare in India: The Road Ahead, , Confederation of Indian Industry CII New Delhi: Confederation of Indian Industry; Cook, R., (2008) Foreign Body, , New York: Putnam; Das, V., Das, R.K., Pharmaceuticals in urban ecologies: The register of the local (2006) Global Pharmaceuticals: Ethics Markets Practices, , ed. Adriana Petryna Andrew Lakoff and Arthur Kleinman Durham: Duke University Press; Das, V., Technologies of self: Poverty and health in an urban setting (2003) Sarai Reader, pp. 95-102. , New Delhi: SARAI; Ducey, A., More than a job: Meaning affect and training health care workers (2007) Affective Turn: Theorizing the Social, , ed. Patricia T. Clough and Jean Halley Durham: Duke University Press; Duggal, R., (1996) Private Health Sector in India: Nature Trends and a Critique, , http://mohfw.nic.in/np2002.htm, Mumbai: Centre for Enquiry into Health and Allied Themes CEHAT Government of India National Health Policy 2002; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) National Reference Center for Bioethics Literature Scope Note, 47; Hamdy, S.F., When the state and your kidneys fail: Political etiologies in an Egyptian dialysis ward (2008) American Ethnologist, 35 (4), pp. 553-569; Haniffa, A., Indian-American organisations slam glenn beck (2009) Rediff News, , http://news.rediff.com/report/2009/dec/17/indian-american-organisations- slam-glenn-beckfor-comments.htm; Henry, J., Kaiser family foundation (2008) Health Insurance Coverage in America 2008; Henry, J., Kaiser Family Foundation, , http://facts.kff.org/chartbook.aspx?cb=57; Hochschild, A., (2003) Managed Heart: Commercialization of Human Feeling, , Berkeley: University of California Press; Iedema, R., Jorm, C., Lum, M., Affect is central to patient safety: The horror stories of young anaesthetists (2009) Social Science & Medicine, 69, pp. 1750-1756; Inhorn, M., Patrizio, P., Rethinking reproductive tourism as reproductive exile (2009) Fertility and Sterility, 92 (3), pp. 904-906; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology: Cross Cultural Studies in Health and Illness, 21 (1), pp. 35-78. , DOI 10.1080/01459740210620; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14 (3), pp. 293-305. , DOI 10.1080/13648470701612646, PII 787565978; Khan, S., Systems of medicine and nationalist discourse in India: Towards new horizons in medical anthropology and history (2006) Social Science & Medicine, 62, pp. 2786-2797; Latour, B., (2005) Reassembling the Social: An Introduction to Actor-Network Theory, , Oxford: Oxford University Press; Lefebvre, B., The Indian corporate hospitals: Touching middle class lives (2008) Patterns of Middle Class Consumption in India and China, , ed. Christophe Jaffrelot and Peter van der Veer. London: Sage; Lutz, C., Emotion thought and estrangement: Emotion as a cultural category (1986) Cultural Anthropology, 1 (3), pp. 287-309; Lutz, C., White, G., The anthropology of emotions (1986) Annual Review of Anthropology, 15 (1), pp. 405-436; Mazzarella, W., (2003) Shoveling Smoke: Advertising and Globalization in Contemporary India, , Durham: Duke University Press; Mazzarella, W., Affect: What is it good for (2009) Enchantments of Modernity: Empire Nation Globalization, , ed. Saurabh Dube New Delhi: Routledge; Navaro-Yashin, Y., Affective spaces melancholic objects: Ruination and the production of anthropological knowledge (2009) Journal of the Royal Anthropological, 15, pp. 1-18. , Institute NS; Patel, G., Imagining risk care and security: Insurance and fantasy (2007) Anthropological Theory, 7 (1), pp. 99-117; Pfeiffer, J., African independent churches in Mozambique: Healing the afflictions of inequality (2002) Medical Anthropology Quarterly, 16 (2), pp. 176-199; Roberts, E.F.S., Disease and Destination: Medical Travel Before the Contagious Age, , Forthcoming Body & Society; Rylko-Bauer, B., Farmer, P., Managed care or managed inequality a call for critiques of market-based medicine (2002) Medical Anthropology Quarterly, 16 (4), pp. 476-502; Scheper-Hughes, N., The last commodity: Post-human ethics and the global traffic in fresh organs (2005) Global Assemblages: Technology Politics and Ethics as Anthropological Problems, , ed. Aihwa Ong and Steven Collier Oxford: Blackwell; Sengupta, A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1); Sengupta, A., Samiran, N., The private health sector in India is burgeoning, but at the cost of public health care (2005) British Medical Journal, 331, pp. 1157-1158; Sobo, E.J., Medical travel: What it means why it matters (2009) Medical Anthropology, 28 (4), pp. 326-335; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Stewart, K., (2007) Ordinary Affects, , Durham: Duke University Press; Stoler, A.L., (2002) Carnal Knowledge and Imperial Power: Race and the Intimate in Colonial Rule, , Berkeley: University of California Press; Sunder Rajan, K., (2006) Biocapital: The Constitution of Postgenomic Life, , Durham: Duke University Press; Thrift, N., (2007) Non-Representational Theory: Space Politics Affect, , New York: Routledge; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Whittaker, A., Global technologies and transnational reproduction in Thailand (2009) Asian Studies Review, 33 (3), pp. 319-332","Solomon, H.; Department of Anthropology, Box 1921, Brown University, Providence, RI 02912, United States; email: harris.solomon@gmail.com",,,,,,,,13648470,,APMDF,"21563006","English","Anthropol. Med.",Article,"Final",,Scopus,2-s2.0-79956288039 "Cohen I.G.","25653634900;","Protecting patients with passports: Medical tourism and the patient-protective argument",2010,"Iowa Law Review","95","5",,"1467","1567",,42,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952043107&partnerID=40&md5=c3b067295ca965a5a813f221b22a3b4f","Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law School, United States","Cohen, I.G., Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law School, United States","In this Article I examine ""medical tourism ""-the travel of patients who are residents of one country to another country for medical treatment-which is fast becoming a multi-billion dollar industry. To date, the primary US. medical tourists appear to have been uninsured or underinsured Americans seeking substantial cost savings by traveling to less developed countries for care. More recently, state governments, self-insured finns, Fortune 500 companies, and domestic insurers have begun attempts to get their insured populations to use medical tourism as well by requiring it or giving incentives for its use (what I call ""insurer-prompted medical tourism ""). There is, however, a dark side to the growth of this industry. In this Article I set out a taxonomy of concerns posed by medical tourism. Here, I focus on one particular set of problems: concerns about protecting US. patients who go abroad to receive treatment. The fear is both that these facilities provide poorer quality care compared to their American counterparts and that elements of US. civil procedure-when combined with the substantive medical malpractice law of the countries where treatment is sought-will mean that medical tourists face a diminished likelihood and extent of recovery should medical injury result. After setting out these concerns, the main work of this Article is to examine how we should respond and what tools are available for intervention. While an analogy to the domestic prohibition on waiving medical-malpractice liability by contract might lead one to think U.S. governments ought to discourage medical tourism outright, I argue for a more permissive approach. Particularly for un- and underinsured medical tourists, whose counterfactual may be no access to certain nonemergency care at home, I argue that attempts to discourage medical tourism outright are normatively problematic and the practice can be distinguished from the ban on contractual waiver. While I argue for information-forcing interventions to assist this population in making decisions about medical tourism, Ijust the rejection of attempts to restrict choice either directly or through what I call ""channeling interventions."" Turning to the emerging phenomenon of insurer-prompted medical tourism, I describe the different shapes that these insurer initiatives can take. I then demonstrate how agency problems in both individual market and employer- sponsored health insurance in the United States make insurer-prompted medical tourism more of a concern. Nevertheless, I explain why outright prohibition through the use of state-level insurance mandates (as Texas has attempted) are an overreaction, and instead propose several layers of regulatory interventions, including more forms of ""channeling"" that can largely be accomplished by building on the existing architecture of state health-insurance regulation. I also briefly discuss regulating through the expansion of insurer vicarious liability or altering civil-procedural doctrines.",,,,,,,,,,"Kurlantzick, J., (2007) Sometimes, Sightseeing Is a Look at Your X-Rays, , http://www.nytimes.com/2007/05/20/travel/20HeadsUp.html, See, e.g., N.Y. TIMES, May 20; Lancaster, J., (2004) Surgeries, Side Trips for ""Medical Tourists,"", , http://www.washingtonpost.com/wp-dyn/articles/A49743-2004Oct20.html, WASH. POST, Oct. 21, at Al, available at; Sweeney, C., (2008) More Fun Than Root Canals? It's the Dental Vacation, , http://travel.nytimes.com/2008/02/07/fashion/07SKIN.html, N.Y. TIMES, Feb. 7, at Gl, available at; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) 355 Neweng. J. Med., 1637. , See, e.g; Wachter, R.M., The ""Dis-location"" of U.S. medicine-the implications of medical outsourcing (2006) 354 Neweng. J. Med., 661; (2006) The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs?: Hearing Before the Spec. Comm. on Aging, 109th Cong., , http://purl.access.gpo.gov/GPO/LPS78404, Kg., [hereinafter The Globalization of Health Care], available at; (2007), H.B. 2841, 78th Leg. (W. Va.); It is accurate in that a number of the existing companies that facilitate getting medical care abroad couple the service with a tourist experience, such as a trip to the Taj Mahal or a safari. It is pejorative to the extent it is meant to suggest that what is being sought is trivial, when in many cases what is being sought is potentially life-saving treatment. I use this term, rather than ""cross-border health care"" or some other variation, because it is the accepted one in the literature, but it is important not to let it subtly shade intuitions in an anti-regulatory direction; Howze, K.S., Note, medical tourism: Symptom or cure? (2007) 41 GA. L. REV., 1013-1016 (18). , 1016; Cearley, A., Crabtree, P., (2006) Alternative-Medicine Clinics in Baja Have History of Controversy, pp. A8. , SAN DlEGO UNION-TRIB., Feb. 1, available at 2006 WLNR 1918432. 6. Lancaster, supra note 1; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism In Developing Countries, 3; Milstein, Smith, , p. 1638. , supra note 2, at, The number has to be qualified in that some percentage of those 55,000 Americans were likely expatriates living in Thailand; Bookman, Bookman, , p. 3. , supra note 7; (2006) Medical Tourism: A Global Analysis, 18. , TOURISM RESEARCH AND MARKETING (TRAM); (2010) Great Indian Hospitality Can Be Biz Too, , see, ECONOMIC TIMES (INDIA), July 29, 2005, available at 2005 WLNR 11859886 (noting that according to one study that India could generate $2.2 billion in medical-tourism revenue by); Whitelaw, K., (2008) Dubai Recruits American Medical Leaders: Harvard and the Mayo Clinic An Among the Big-Name Institutions Locating in Healthcare City, , http://politics.usnews.com/news/world/articles/2008/06/05/ dubai-recruits-american-medical-leaders.html, See, U.S.NEWS.COM, June 5; Milstein, A., Smith, M., Will the surgical world become flat? (2007) 26 Health Aff., p. 137. , Jan.-Feb., 139-40; Herrick, D.M., (2007) Nat'l Ctr. For Policy Analysis, Medical Tourism: Global Competition In Health Care, 11. , http://www.ncpa.org/pdfs/st304.pdf, tbl.l, available at, (relying on data from Unmesh Kher, Outsourcing Your Heart, TIME.COM, May 21, 2006, at 44, available at http://www.time.com/time/ magazine/article/0,9171,1196429.00.html);; , p. 18. , see also The Globalization of Health Care, supra note 3, (statement of Dr. Arnold Milstein) (""The typical combined facility and physician chargers per surgery in these [foreign] hospitals is, based on my international shopping observations, 65 to 85 percent lower than insurer negotiated charges in the U.S.""); I use the term ""U.S. users"" rather than ""Americans"" deliberately because, especially as to medical tourism to Mexico, some of these medical tourists may be unauthorized immigrants; Cochrane, J., Medical Meccas, , http://www.msnbc.msn.com/id/15365149/site/newsweek/?rf=nwnewsletter, NEWSWEEK, Oct. 30, 2006, at 1, available at; (2006), http://www.legis.state.wv.us/Bill_Text_HTML/2006_SESSIONS/RS/Bills/ hb4359%20intr.htm, See H.B. 4359, 77th Leg., 2d Sess. (W. Va.), available at; Roth, M., (2006) Surgery Abroad an Option for Those xoith Minimal Health Coverage, , http://www.post-gazette.com/pg/06253/719928-37.stm, see also, POST-GAZETTE.COM, Sept. 10; Baker, D., Rho, H., (2009) Ctr. For Econ. Policy & Research, Free Trade In Health Care: The Gains From Globalized Medicare And Medicaid, , http://www.cepr.net/documents/publications/free-trade-hc-2009-09.pdf, See, e.g., available at, This particular proposal differs from standard medical-tourism models in that it anticipates offering Medicare (or less plausibly Medicaid) patients a voucher they could use if the individual relocates to buy into foreign health care systems with longer life expectancies. See id. at 3-4. The incentive payment to the individual would be taken out of the cost savings to Medicare or Medicaid. Id. at 9. With 10% of Medicare and Medicaid beneficiaries adopting this option in 2020, the authors forecast an $18 billion savings for these federal programs per year. Id. at 14. Because this proposal requires relocation, it seems somewhat far-fetched, but a more plausible version could use similar incentive payments to induce certain patients to get particular treatments abroad while retaining their primary residence in the United States; (2009) Tex Ins. Code Ann., , § 1215.004 (Vernon); The Globalization of Health Care, p. 3. , See, supra note; Herbert, B., (2007) Op-Ed., Worsening the Odds, pp. A21. , http://www.nytimes.com/2007/ll/03/opinion/03herbert.html, See, e.g., N.Y. TIMES, Nov. 3, available at; (2007) States Push for Hospital Price Lists, Initiatives Aim to Clarify Billing for Consumers, , These numbers are drawn from reporting in Guy Boulton, SENTINEL (Milwaukee, Wis.), Oct. 15; Klaus, M., (2006) Outsourcing Vital Operations: What if U.S. Health Care Costs Drive Patients Overseas for Surgeryt, 9, p. 219. , See also, Quinnipiac Health L.J., 224, (""A heart bypass surgery that costs $60,000 to $80,000 in the United States costs around $10,000 in Asia.""). 21.This account is drawn from a plan Blue Ridge Paper actually attempted to put into place; Milstein, Smith, , pp. 1638-1639. , supra note 2; Bethely, J.G., Exporting patients: Money versus possible safety issues (2006) Am. Med. News, , http://www.ama-assn.org/amednews/2006/09/18/bisa0918.htm, Sept. 18, available at; Rai, S., (2006) Union Disrupts Plan To Send Ailing Workers to India for Cheaper Medical Care, p. 12. , http://www.nytimes.com/2006/10/11/business/worldbusiness/llhealth.html, Kher, supra note, Union opposition ultimately stalled the company's proposal. See, N.Y. TIMES, Oct. 11, at C6, available at; note; Culliton, (2001) Beth Israel Deaconess Med. Ctr., , These hypotheticals are loosely based on real-world events. See, 756 N.E.2d 1133 (Mass.), (allowing a prebirth order designating genetic parents as legal parents of a child carried by a gestational surrogate);; Gentleman, A., (2008) India Nurtures Business of Surrogate Motherhood, pp. A9. , http://www.nytimes.com/2008/03/10/world/asia/lOsurrogate.html, R.R. v. M.H., 689 N.E.2d 790 (Mass. 1998) (holding surrogacy agreement unenforceable when surrogate was both the gestational and genetic mother); N.Y. TIMES, Mar. 10, available at; (2007) Complaint, pp. 7-8. , Cf., Abigail Alliance for Better Access to Developmental Drugs v. McClellan, No. 03-1601 (RMU), 2004 WL 3777340 (D.D.C. Aug. 30, 2004) (describing a patient denied access in a similar situation domestically), qjfd sub nom. Abigail Alliance for Better Access to Developmental Drugs v. von Eschenbach, 495 F.3d 695 (D.C. Cir.), (en bane); See R v. DPP [2009] UKHL 45 (U.K.) (dealing with a similar fact pattern in the U.K. context); For more on the ethical and legal issues raised by these two other categories; Cohen, I.G., Medical tourism: The view from ten thousand (2010) Hastings Center Rep., p. 11. , see, Mar.-Apr; Taxonomies are useful at organizing complex areas, but always risk hiding cases that are at the interstices, and thus this taxonomy should not be thought of as exhaustive or perfecdy capturing nuances of all cases; Hall, M.A., Schneider, C.E., Patients as consumers: Courts, contracts, and the new medical marketplace (2008) 106 Mich. L. Rev., 643-647. , note; The Globalization of Health Care, 3, p. 46. , See, supra note, (statement of Dr. Bruce Cunningham, former President of the American Society of Plastic Surgeons); Nathan Cortez, (2008) Patients Without Borders: The Emerging Global Market for Patients and the Evolution of Modem Health Care, 83, p. 71. , Ind. Lj., 74, 91; Turner, L., Medical tourism: Family medicine and international health-belaud travel (2007) 53 Can. Fam. Physician, 1639. , 1640; Howze, , p. 1031. , supra note 5, 32; Bookman, Bookman, , 7, p. 13. , supra note, These are not the exclusive sites, of course. The United States has itself been a hub for medical tourism; Bookman, Bookman, , 7, p. 13. , supra note; Bookman, Bookman, , p. 14. , supra note 7; Terry, N.P., Under-regulated health care phenomena in a flat world: Medical tourism and outsourcing (2007) 29 W. New Eng. L. Rev., 421-426; Bookman, Bookman, , 7, pp. 43-44. , supra note; Brady, C.J., Note, offshore gambling: Medical outsourcing versus ERISA's fiduciary duty requirement (2007) 64 Wash. & Lee L. Rev., 1073. , 1091-92, see, (noting that medical outsourcing ""tends to focus on finding low-lost alternatives to noncosmetic procedures""); Alsever, J., (2006) Basking on the Beach, or Maybe on the Operating Table, p. 5. , cf., N.Y. TIMES, Oct. 15, § 3, (discussing the various types of procedures); Bookman, Bookman, , p. 44. , supra note 7; Bookman, Bookman, , p. 44; Bookman, Bookman, , pp. 49-53. , See, e.g; Francis, T., Medical tourism is still small: Getting care abroad may be less usual than once thought (2008) Wall St. J., pp. D2. , For a dissenting view suggesting that cost shopping as a motivation has been exaggerated, see, May 6; , p. 11. , HERR1CK, supra note 12, tbl. 1. 41; Milstein, Smith, , pp. 139-140. , See, e.g., supra note 11; Schoen, C., Insured But Not Protected: How Many Adults Are Underinsuredt (2005) W5 HEALTH AFF., p. 289. , http://content.healthaffairs.org/cgi/content/abstract/hlthaff.w5.289, NOV., 289, 295-96; Schoen, C., Insured But Not Protected: How Many Adults Are Underinsuredt (2005) W5 Health Aff., 289, pp. 291-92. , http://content.healthaffairs.org/cgi/content/abstract/hlthaff.w5.289, The study defined the uninsured as those whose ""[m]edical expenses amounted to 10 percent of income or more; (2) among low-income adults (below 200 percent of the federal poverty level), medical expenses amounted to at least 5 percent of income; and (3) health plan deductibles equaled or exceeded 5 percent of income; Schoen, C., Insured But Not Protected: How Many Adults Are Underinsuredt (2005) W5 Health Aff., 289, p. 296. , Id; Bookman, Bookman, , pp. 43-44. , Id. Medical tourism is also popular for those who are underinsured in a different more mundane sense: a robust medical-tourism industry exists for dental care and cosmetic surgery because few have health insurance that covers those services See, supra note 7; Lester, G., A defense of paid family leave (2005) 28 Harvard J.L. & Gender, 1 (14); Thomas, Gen. Am. life Ins. Co., , see also, 568 N.E.2d 937, 940 (111. 1991) (holding that an insurance company's decision to refuse coverage of cosmetic surgery was not arbitrary and capricious); Milstein, Smith, , p. 138. , supra note 11, 47; Milstein, Smith, , p. 138; Milstein, Smith, , p. 140. , exhibit 3; Milstein, Smith, To be sure, one might have some methodological quibbles with the study (its relatively small sub-sample, whether the picture of medical tourism painted is too rosy), but it is a good (if imperfect) indicator of just how likely many Americans are to use medical tourism to achieve cost savings; Bookman, Bookman, , p. 52. , See, e.g., supra note 7; Cortez, , p. 81. , See, e.g., supra note 31; Anderson, G.F., It's the prices stupid: Why the united states is so different from other countries 22 Health Aff., p. 98. , Id. (citing), May-June 2003, at 89; Reinhardt, U.E., Cross-national comparisons of health systems using OECD data, 1999 (2002) 21 Health Aff., p. 169. , May-June, 169; Reinhardt, U.E., Cross-national comparisons of health systems using OECD data, 1999 (2002) 21 Health Aff., p. 169; Herrick, , pp. 9-10. , see, supra note 12; Terry, , p. 465. , supra note 35, It is also possible that patient-selection effects play a role if healthier patients travel abroad sticking U.S. facilities with the sickest patients. While theoretically possible, the current volume of medical tourism makes this explanation less plausible; Danzon, P.M., Liability for medical malpractice (2000) IB Handbook Of Health Economics, 1339-1343. , See, (Anthony J. Culyer & Joseph P. Newhouse eds.); Cortez, (2006) 41 Wake Forest L. Rev., 537-548, p. 81. , see also, supra note 31, (citing Timothy Stolufusjost, Our Broken Health Care System and How To Fix It: An Essay on Health Law and Policy, Of course, how much of U.S. healthcare spending is an indirect cost of the U.S. med-mal system, particularly so- called ""defensive medicine""-a ""deviation from sound medical practice that is induced primarily by a threat of liability""-has been quite difficult to ascertain and most estimates are deeply contested on either definitional or measurement grounds; Studdert, D.M., Defensive medicine among high-risk specialist physicians in a volatile malpractice environment (2005) 293 JAMA 2609, 2609; Bookman, Bookman, , pp. 57-59. , supra note 7; Bookman, Bookman, , p. 57; Bookman, Bookman, , p. 57; Bookman, Bookman, , p. 41. , 91; Alsever, , 36, pp. 3-5. , supra note, (describing an American patient who underwent spinal surgery in New Delhi and ""paid $9,000 for the three-week trip, which included a five-day hospital stay, airfare, hotel and sightseeing at spots like the Taj Mahal""); Alsever, , 36, p. 59; Bookman, Bookman, , 7, pp. 62-63. , supra note; Howze, , 5, pp. 1024-1025. , supra note; (2010), http://www.ehirc.com/international_patients/index.asp, Escorts Heart Institute and Research Center, Ltd., International Patients, (last visited July 18); Bookman, Bookman, , 7, p. 61. , see, supra note, (discussing advertising by Malaysian and Cuban and Arabmedicare.com); (2010), http://www.wockhardthospitals.com/intemational-patient-services/, Wockhardt Hospitals, International Patients, (last visited July 18); Bookman, Bookman, , 7, p. 63. , supra note; (2010), http://www.medretreat.com/index.php?t=medical_tourism/ medical_tourism_process, MedRetreat, Medical Tourism Process, (last visited July 18); (2010), p. 66. , Id; , 64. , MedRetreat, supra note; For a detailed account of the mechanics of other intermediaries; The Globalization of Health Can, 3, pp. 40-41. , see, supra note, (statement of Rajesh Rao) (IndUS health);; Klaus, Medical Holidays Service Providers, 20, p. 227. , supra note; See discussion infra Part II.B.5; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) 25 Health Aff., p. 358. , Mar.-Apr., 359; Milstein, Smith, (2010), 11, p. 139. , http://www.bumrungrad.com/Overseas-Medical-Care/Medical-Services/ Meet-Our-Doctors.aspx, Bumrungrad International, Meet Our Doctors, (last visited July 18), Other work in the field has suggests results similar to these unaudited numbers. Millstein and Smith found that Wockhardt had ""four cardiac surgeons trained in U.S. or Australian hospitals"" and Bumrungrad had three cardiac surgeons trained in the United States, United Kingdom, and Australia-two of which were confirmed as ""board certified."", supra note; The Globalization of Health Care, 3, p. 44. , see also, supra note, (statement of Rajesh Rao, CEO, IndUShealth, Inc.) (testifying that the physicians in the Indian facilities in which his company is affiliated ""are U.S.- and U.K.-trained for the most part.""); Burkett, L., Commentary, medical tourism: Concerns, benefits, and the American legal perspective (2007) 28 J. Legal Med., 223, p. 230. , (""[M]any of the surgeons in India's large Apollo Hospitals Group trained at the most prestigious surgery centers in the United States.""). 73.See Partners Harvard Medical International, Our Client Community, http://www. phmi.partners.org/Experience/Clients.aspx (last visited July 18, 2010); Herrick, , 12, p. 16. , supra note; Milstein, Smith, , 11, p. 139. , supra note; Hall, M.A., et Al., Health Care Law And Ethics 1196-97, p. 1639. , (7th ed. 2007). ""The Joint Commission is governed by the major trade associations, primarily the American Medical Association, the American Hospital Association, the American College of Surgeons and the American College of Physicians...."" Id. at 1196. Though theoretically voluntary, this accreditation is frequently a must-have because of hospitals' need for Medicare and Medicaid revenues. Id. at 1197. The International Organization for Standardization also has a less popular certification program that has been used to certify some hospitals in Mexico, India, Thailand, Lebanon, and Pakistan. Milstein & Smith, supra note 2; (2009) Accreditation Program, Program Accreditation Decision Rules 1, , http://www.jointcommissionintemational.org/common/pdfs/fpdfs/pubs/pdfs/ JCI%20ezine/JCIA%202009%20Hosp%20Accreditation%20Decision%20Rules.pdf, As of January 2009, for JCI to accredit an organization, it must score a ""5"" on each of JCI's many standards, ""an aggregate score of at least '8' for each chapter of standards,"" and an overall ""aggregate score of at least '9' on all standards."" Joint Comm'n Int'l Hosp; (2009) Accreditation Program, Program Accreditation Decision Rules 1, p. 2; (2009) Accreditation Program, Program Accreditation Decision Rules 1; (2010) Joint Commission International, Joint Commission International (JCI) Accredited Organizations, , http://www.jointcommissioninternational.org/JCI-Accredited-Organizations /, (last visited July 18); Milstein, Smith, , p. 1639. , supra note 2, 80.Supra note 21 and accompanying text; For further examples of emerging insurer- prompted medical tourism; see supra notes 14-17 and accompanying text; Marcelo, R., (2003) India Hopes To Foster Growing Business in ""Medical Tourism,"", p. 10. , FlN. TIMES (London), July 2; Cortez, , 31, p. 100. , supra note; Einhorn, B., (2008) Hannaford's Medical-Tourism Experiment, , hup://www.businessweek.com/globalbiz/content/nov2008/gb2008119_505319.ht m, Bus. WK., Nov. 9, As of November 2008, apparently no employee had used the service, likely in part because The Wall Street Journal reporting on Hannaford's program prompted a U.S. insurer to offer Hannaford coverage ""for comparably priced operations in the U.S.,"" thus enabling employees to travel to ""other parts of the U.S."" rather than Singapore, while the company realized the same cost savings. Id; (2008) Cal. Health & Safety Code, , § 1340-1399.818 (West); Cortez, , p. 100. , supra note 31; Tran, L., (2008) Note, Sick and Tired of the Knox-Keene Act: The Equal Protection Right of Non-Mexican Califomians to Enroll in Mexico-Based HMO Plans, , 14 Sw. J. L. & TRADE AM. 357,360-65, I discuss this infra at text accompanying notes 283-84; See supra note 15. 86. See supra text accompanying notes 82 and 85. 87. In systems that ration healthcare by a combination of need and queuing, such as Canada and the United Kingdom's National Health Service, the ability to skip wait times may also incentive usage of this kind of medical tourism. As confirmed by a recent decision by the European Court of Justice, member states of the European Union now face some obligations to reimburse their citizens for treatments received in other member states when the patient faces ""undue delay"" in receiving care in their home member state. See Case C-372/04, Watts v. Bedford Primary Care Trust, 2006 E.C.R. 1-04325;; Terry, , 35, p. 437. , supra note, This form of insurer-prompted medical tourism, where the insurer is the government, poses some distinct issues that I do not focus on here. 88.The Globalization of Health Cave, supra note 3; Hall, et Al., , 75, pp. 11-28. , See, e.g., The tables of contents of leading healthcare law textbooks give a good bird's eye view of this, supra note; Havighurst, C.C., (1998) Health Care Law and Policy, pp. 21-31. , (2d ed.); Epstein, R.A., Contractual principle versus legislative fixes: Coming to closure on the unending travails of medical malpractice (2005) 54 Depaul L. Rev., 503, p. 512. , note; Studdert, D.M., Claims, errors, and compensation payments in medical malpractice litigation (2006) 354 New Eng. J. Med., 2024; Weiler, P.C., Reforming medical malpractice in a radically moderate-and ethical-fashion (2005) 54 Depaul L. Rev., 205, p. 215. , There is also a robust literature as to whether alternative systems would be better, considering most notably enterprise liability, med-mal mediation and arbitration, health courts, and a no-fault compensation system; Peters Jr., P.G., Health courts? (2008) 88 B.U. L. Rev., 227. , See, e.g; Rolph, E., Arbitration agreements in health care: Myths and realities (1997) Law & Contemp. Probs., p. 153. , Winter; Sage, W.M., Enterprise liability and the emerging managed health care system (1997) Law & Contemp. Probs., p. 159. , Spring; Studdert, D.M., Can the United States Afford a ""No-Fault"" System of Compensation for Medical Injury? (1997) Law & Contemp. Probs., p. 1. , Spring, What to do about the American med-mal system is a much larger debate, and one I will not resolve here. Even if one thought the American med-mal system was hopelessly deficient, one would need to compare it to each foreign system under which the plaintiff's claim might be judged-lest the perfect become the enemy of the good. I do not purport to offer that kind of country-by-country analysis here. Instead, I will simply assume that having one's claim covered by the U.S. med-mal system is, all diings being equal, desirable for the U.S. patient seeking care. The question is whether to allow them to depart from its protection in return for the benefit of lower-cost healthcare abroad, noting that this is a contestable assumption. In so doing, I actually handicap my argument and make my conclusions (which point away from regulating medical tourism, especially for under/uninsured medical tourists) even stronger for diose who take the more skeptical approach to the U.S. med-mal system; Herrick, , 12, p. 12. , See, e.g., supra note; Burkett, , 72, p. 233. , supra note; Also relevant-though not strictly from the patient-protective perspective since it is more about externalities-is whether broadening the availability of nonemergency care to uninsured individuals through medical tourism will reduce the number of uninsured individuals who currently use publicly funded hospital emergency services, which are particularly expensive because of the intensity of resources required to staff and to equip hospital emergency rooms, and are passed on to all users; Gruber, J., Covering the uninsured in the United States (2008) 46 J. Econ. Literature, 571, p. 582. , See, e.g., (estimating a $30 billion cost for all U.S. hospitals for ""uncompensated care"" in 2005). This was a central tenet of Massachusetts's move to an individualized mandate for health insurance-increasing the availability of non-emergency services would reduce the number of patients who currently seek uncompensated care in the ER; (2006) Editorial, p. 2. , See, e.g., Mandatory Health Insurance, N.Y. TIMES, Apr. 15, at Al; Milstein, Smith, , 2, p. 1639. , supra note; Terry, , 35, p. 464. , see also, supra note, (complaining that ""[a]t this stage, there is simply no data with which to address this 'quality' question""); Mattoo, Rathindran, , 71, p. 359. , supra note, (emphasis added); Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) 2 Biosocieties, 303-318, p. 97; Terry, , 35, pp. 463-64. , supra note, (internal quotation marks omitted); Milstein, Smith, , 2, p. 1639. , supra note; Mattoo, Rathindran, , 71, p. 360. , supra note; Klaus, , 20, p. 225. , See, e.g., supra note, (""While paying greatly discounted prices for surgery, American patients traveling to Asia do not appear to sacrifice quality or incur greater risks of death or infection.""); McLean, T.R., The global market for health care: Economics and regulation (2008) 26 Wls. Int'l L J., 591-601. , (""Surgical care provided in a Joint Commission Accredited hospital in India by a member of the Royal College of Surgeons is unlikely to be inferior to the same care provided in an American hospital with Joint Commission Accreditation by a member of the American College of Surgeons.""); Cortez, , 31, p. 104. , supra note; Klaus, , 20, pp. 226-27. , supra, note; Bookman, Bookman, , 7, pp. 145-51. , See, e.g., supra note; Herrick, , 12, pp. 16-17. , supra note; Chandra, A., Skinner, J.S., Geography and racial health disparities (2004) Comm. On Population, The Nat'l Acads., Critical Perspectives on Racial and Ethnic Differences in Late Life, 604. , See, e.g., (Norman B. Anderson et al. eds.); Fuchs, V.R., Area differences in utilization of medical care and mortality among U.S. (2004) Elderly, in Nat'l Bureau of Econ. Research, Perspectives on the Economics of Aging, 367. , (David Wise ed.); (1998) For The Evaluative Clinical Scis., Dartmouth Med. Sch., The Dartmouth Atlas of Health Care, , http://www.dartmouthatlas.org/downloads/atlases/98Atlas.pdf, see ako CTR., available at, (providing detailed information by region of the United States); Madison, K., Regulating health care quality in an information age (2007) 40 U.C. Davis L. Rev., 1577, pp. 1583-84. , (footnote omitted); Cortez, , 31, p. 74. , See, supra note, 91; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) 53 Can. Fam. Physician, 1639-1640; The closest (though still far-off) unpublished case I have seen (with very scant facts set out in the complaint) involved a suit in Pennsylvania federal district court by a man who underwent an allegedly unwanted heart surgery while in policy custody in Canada. Romah v. Scully, No. 06-698, 2007 WL 3493943 (W.D. Pa. Nov. 13, 2007). The case was dismissed for lack of personal jurisdiction over the Canadian hospital. Id. at *8. Below, I discuss whether facets of true medical tourism not present in diis case, such as advertising to try and reach foreign medical tourists, would produce different results as to personal jurisdiction; Haw. Rev., Stat., (1993), pp. 634-35. , See, e.g; (2004) Idaho Code Ann., pp. 5-514; (1999) Del. Codeann., 10, p. 3104; Ga., Codeann., (2007), § 9-10-91; Friedenthal, J.H., et Al., (2005) Civil Procedure, , See, §3.13 (4th ed.), One tempting (fact-dependent) work-around might be to re-characterize the claim in contract garb so as to take advantage of more favorable long-arm treatment of contractual ties. The problem is that as a matter of substantive law the successful ""application of a contractual theory of liability in medical malpractice is rare"" and in the domestic context courts have tended to re-characterize as med-mal contract claims by patients that try, for example, to take advantage of a longer statute of limitations for contract actions; Hall, , 75, p. 368. , supra note; Sullivan, O'Connor, (1973) 296 N.E.2d, 183. , see, (Mass.), (permitting a patient to recover under a contract theory). Whether such a move would be more successful for long-arm jurisdiction purposes remains an open question. Federal Rule of Civil Procedure 4(k)(2) provides a broader long-arm statute for cases brought in federal court, but is limited to cases where the ""claim arises under federal law,"" which do not include state law med-mal actions. FED. R. Crv. P. 4(k); For diversity cases, the rules instruct the court to essentially piggy back on the state's long-arm and not exceed its reach. See Id; (2004) Cal. Crv. Proc. Code, , See, e.g., § 410.10 (West); (2006), p. 5322. , Pa. Cons. Stat. (b); McFarland, D.D., Dictum run wild: How long-arm statutes extended to the limits of due process (2004) 84 B.U. L. Rev., 491, pp. 525-31. , For a more thorough discussion of the current state of long-arm statutes in America, see; (1945), Int'l Shoe Co. v. Washington, 326 U.S. 310,316; Howze, , 5, pp. 1031-32. , See, supra note; (1984), See, e.g., Helicopteros Nacionales de Columbia, SA. v. Hall, 466 U.S. 408, 415; (1952), Perkins v. Benguet Consol. Mining Co., 342 U.S. 437,445-46; (1985) Burger King Corp. v. Rudzewicz, pp. 475-76. , note; See, e.g., Graduate Mgmt. Admission Council v. Raju, 241 F. Supp. 2d 589, 598-99 (E.D. Va. 2003) (finding personal jurisdiction where Indian defendant's website ""targeted"" die United States market, including by providing ""specific ordering information for United States customer""); Howze, , 5, pp. 1031-32. , supra note, (""If die plaintiff and Indian physician had Internet contact, however, die plaintiff may be able to establish specific jurisdiction based on email exchanges or perhaps an interactive website.""); (1997) Zippo Dot Com, Inc., 952, pp. 1123-1126. , See also Zippo Mfg. Co. v., F. Supp. 1119, (W.D. Pa.), (introducing ""sliding scale"" of internet personal jurisdiction occupied by ""active,"" ""interactive,"" and ""passive"" websites.); For a more in-depdi discussion of die relationship between personal jurisdiction and die Internet; The globalization of jurisdiction (2002) 151 U. Pa. L. Rev., 311. , see generally Paul Schiff Berman; Stein, A.R., Personal jurisdiction and the internet: Seeing due process through the lens of regulatory precision (2004) 98 Nw. U.L. Rev., 411; Wockhardt Hospitals, 62. , supra note; (1999), Mink v. AAA Dev. LLC, 190 F.3d 333, 337 (5di Cir.); , 100, p. 634. , cf. McLean, supra note, (""[I]t seems clear enough diat merely operating a website is not enough to create minimum contacts with die forum state.""); Even with minimum contacts diere is a further constraint: die exercise of jurisdiction must be ""reasonable"" such diat it ""does not offend 'traditional notions of fair play and substantial justice.'"" Int'l Shoe Co. v. Washington, 326 U.S. 310, 316 (1945). One of the factors in this analysis, the extent of the burden on the defendant to defend in the forum chosen by the plaintiff, militates against finding personal jurisdiction here. This factor, however, has to be balanced against other factors, such as the plaintiffs interest in obtaining convenient and effective relief (pushing towards jurisdiction) and the forum state's interest in litigating the dispute (whose significance is more uncertain, although if, as I suggest below, foreign law will likely apply to the dispute, its interest will be reduced); (1987) 480 U.S., 102-113. , See Asahi Metal Indus. Co. v. Superior Court; Cortez, N., Recalibrating the legal risks of cross-border health care (2010) 10 Yale J. Health Pol'Y L. & Ethics, 1, p. 10. , See, (discussing the mixed case law on whether referrals can give rise to personal jurisdiction); MedRetreat itself appears to actually be operating out of Illinois, thus giving rise to territorial jurisdiction in that state; Turner, , 96, p. 320. , See, supra note, (""Efforts of medical brokerages to disavow legal duties to clients harmed while receiving care from a brokerage-identified health care facility have not yet been tested in a court of law.""); Hall, , 75, p. 480. , Kg., supra note, (discussing types of HMOs); (1991) Mass. App. Ct., , Indeed, some courts have allowed HMOs to get out from under the thumb of vicarious liability stemming from apparent-authority theories merely by disclaiming agency in documents available to the patients. See, e.g., Chase v. Indep. Practice Ass'n, 583 N.E.2d 251, 254-55; (2001) App. Div., , Jones v. U.S. Healthcare, 723 N.Y.S.2d 478, 478; Petrovich, Share Health Plan of, 111, p. 719. , But see, N.E.2d 756, 767-68 (111. 1999) (disclaimer insufficient if patient did not read or understand it);; Hall, , 75, p. 454. , see also, supra note, (noting that in part because ""HMO lawyers have widely adopted these techniques, the working assumption among both plaintiffs and defense lawyers is that HMOs generally cannot be held vicariously liable simply by virtue of forming a network and requiring gatekeeping""); (1992) Health Maint. Org. of Penn., 604. , E.g., McClellan v., A.2d 1053, 1058 (Pa. Super. Ct.); Furrowetal, B.R., (2000) Health Law, pp. 404-405. , (2d ed.); Furrowetal, B.R., (2000) Health Law, p. 405; Furrowetal, B.R., (2000) Health Law, pp. 383-384. , (discussing the role of compliance with Joint Commission regulations in negligence suits against hospitals). A separate theory of liability relating to the duty to supervise or control staff; Furrowetal, B.R., (2000) Health Law, pp. 405-406. , is also unlikely to be applicable to these intermediaries, since they have very little direct control over the physicians in the destination- country facilities; Hall, , 75, p. 480. , See, supra note; Hall, , 75, pp. 492-493; Agrawal, G.B., Hall, M.A., (2003) What If You Could Sue Your HMO? Managed Care Liability Beyond the ERISA Shield, p. 131. , See, 47 ST. LOUIS U. LJ. 235, 236, For an in-depth discussion of both sides of that debate; Brady, , 36, pp. 1106-1112. , see, supra note, While the no-violation argument seems stronger, it has yet to be litigated; (1947), Gulf OU Corp. v. Gilbert, 330 U.S. 501, 508; (1981), see Piper Aircraft Co. v. Reyno, 454 U.S. 235, 257-61, (applying public-interest and private-interest factors); Howze, , 5, p. 1037. , See, e.g., supra note, (noting that India would have an interest in a dispute involving an Indian physician); Piper, Scottish Law, , Piper, 454 U.S. at 247., (which would have governed had the case been dismissed on forum non conveniens grounds and re-filed in Scotland) was less favorable to plaintiffs because it would have prevented their use of a strict-liability tort theory, permitted only relatives to sue for wrongful death, and limited damages to ""'loss of support and society.1"" Id. at 240; See, e.g., Gonzalez v. Chrysler Corp., 301 F.3d 377, 382 (5th Cir. 2002) (holding that a $2500 cap on damages for the death of one's child under Mexican law did not establish that ""the remedy available in the Mexican forum [was] clearly unsatisfactory""); Howze, , 5, p. 1035. , supra note; Piper, 454 U.S. at 254 n.22 (citing Phoenix Can. Oil Co. v. Texaco, Inc., 78 F.R.D. 445 (D. Del. 1978), as holding that the ""court refuses to dismiss, where alternative forum is Ecuador, it is unclear whether Ecuadorean tribunal will hear the case, and there is no generally codified Ecuadorean legal remedy for the unjust enrichment and tort claims asserted""); My discussion of comparative med-mal law in the next Subpart is far from exhaustive and focuses on a few countries leading the medical-tourist trade. There may exist a country that does formally bar med-mal actions. If so, then forum non conveniens would not be an obstacle to bringing suit in that case, but all the other difficulties discussed in this Part would still apply; Wright, C.A., (2007) Federal Practice and Procedure, p. 686. , 14D, § 3828.3; Wright, C.A., (2007) Federal Practice and Procedure, p. 689. , § 3828.3; see also Tuazon v. RJ. Reynolds Tobacco Co., 433 F.3d 1163, 1179- 80 (9th Cir. 2006) (noting the theoretical possibility that a particular foreign ""legal system is so fraught with corruption, delay and bias as to provide no 'remedy at all'"" but finding the showing in this case inadequate); (1995), Bhatnagar v. Surrendra Overseas Ltd., 52 F.3d 1220 (3d Cir.); Cortez, (1947), 119, p. 12. , see also, supra note, (discussing how features of the Indian medical-malpractice court systems may further limit the applicability of this reasoning to the medical-tourism sphere). 142.Gulf Oil Corp. v. Gilbert, 330 U.S. 501, 508; Cortez, (1947), 119, p. 509. , In analyzing the U.S.'s interest, the Piper court rejected the ""incremental deterrence that would be gained if [the] trial were held in an American court."" Piper, 454 U.S. at 260-61. That argument is even weaker here since the deterred physicians will see comparably fewer U.S. residents. On the other hand, in Piper there were two additional reasons to favor a forum non conveniens dismissal unlikely to be present in these cases: the fact that there was an ongoing civil case in the destination country against other defendants, id. at 267, and the fact that the plaintiffs were not U.S. citizens, and thus had not chosen ""the home forum"" such that their forum choice was entitled less deference; Cortez, (1947), 119, p. 267. , and the fact that the plaintiffs were not U.S. citizens, and thus had not chosen ""the home forum"" such that their forum choice was entitled less deference; Cortez, (1947), 119, pp. 255-56; Howze, , 5, p. 1030. , supra note; The Globalization of Health Care, 3, p. 43. , see also, supra note, (statement of Rajesh Rao) (""[T]he awards in any kind of litigation [in India] are proportionately lower [than in the United States].""); Cortez, , 31, p. 91. , cf., supra note, (""[India's] legal and regulatory systems are not comprehensive or mature like those of western countries.""); Howze, , 5, p. 1034. , supra note; Howze, , 5, p. 1035; Mudur, G., Indian doctors not accountable, says consumer report (2000) 321 Brit. Med. J., 588. , (noting difficulty of obtaining and securing doctors to testify against other doctors); Keeton, W.P., (1984) Prosser and Keeton on the Law of Torts, p. 188. , § 32, (5th ed.); Berlin, L., Expert testimony: A contrary perspective from the trenches (2005) 2 J. Am. Coll. Radiol., 131-132. , Truill v. Long, 621 So. 2d 1278, 1280 (Ala. 1993). But see ,(claiming ""defendants have greater difficulty finding expert witnesses.""). What matters is the comparative difficulty in getting experts and the comparable reliance on experts to prove cases in the United States and abroad, which can only be resolved on the kind of country-by-country analysis I don't pretend to offer here; Cortez, , 31, pp. 106-107. , supra note, (citing Mark Roth, A Cheaper Alternative for Those viith Minimal Health Insurance, Getting Surgery Abroad may be a Sound Option, PITTSBURGH POST- GAZETTE,Sept. 10, 2006, at Gl); Cortez, , 31, p. 106. , (citing Kumaralingam Amirthalingam./udgj'ng Doctors and Diagnosing the Law: Bolam Rules in Singapore and Malaysia, 2003 SING. J. LEGAL STUD. 125); Cortez, , 119, p. 71. , supra note; For a particularly thorough just-published examination, spending fifty or so pages on an in-depth examination of the med-mal systems of India, Thailand, Singapore, and Mexico and concluding that in each jurisdiction, ""U.S. medical tourists will struggle to obtain adequate compensation; Cortez, , 119, p. 5. , 18-77; 97 Mich. L. Rev., 2448-2466, p. 1999. , Kg, Kermit Roosevelt III, The Myth of Choice of Law: Rethinking Conflicts; (1971) Restatement (Second) of Conflict Of Laws, p. 146; (1971) Restatement (Second) of Conflict Of Laws, p. 145; (1971) Restatement (Second) of Conflict Of Laws, p. 6. , (multifactor test); Mirrer-Singer, P., Note, medical malpractice overseas: The legal uncertainty surrounding medical tourism (2007) Law & Contemp. Probs., p. 211. , See, Spring, 226 (""Most medical-malpractice actions follow the lex loci delicti approach, whereby the law governing the case is that of the state in which the operation occurred.""). The situation is somewhat more complex in cases where the negligent act occurs abroad but the injury is sustained at home. One author suggests that courts are more likely to apply whichever law favors the plaintiff. See Symeon C. Symeonides, Choice of Law in Cross Border Torts: Why Plaintiffs Win and Should, 61 HASTINGS L.J. 337 (2009). It seems unlikely that most medical tourism injuries will fall in this category. Cf. Cortez, supra note 119, at 14 (suggesting U.S. courts are unlikely to apply the plaintiffs home state law in the medical-tourism context to medical malpractice because doing so would force the foreign provider to comply with the diverging laws of the many different states from which patients come); See, e.g., Blakesley v. Wolford, 789 F.2d 236 (3d Cir. 1986) (Texas rather than Pennsylvania law applied to a med-mal action where a Pennsylvania dentist in Pennsylvania diagnosed and advised the plaintiff to undergo oral surgery in Texas, where she was allegedly injured, even though she only felt the negative effects upon returning to Pennsylvania); Pennsylvania Chadwick v. Arabian Am. Oil Co., 656 F. Supp. 857, 858, 860 (D. Del. 1987) (applying Saudi med-mal law to a suit by a Florida citizen who was allegedly treated negligently in Saudi Arabia by the doctor of a Delaware corporation and its subcontractor); Rensberger, J.L., Choice of law, medical malpractice, and telemedicine: The present diagnosis with a prescription for the future (2000) 55 U. Miami L. Rev., 31, pp. 69-74. , see also, (surveying case law in the somewhat analogous field of telemedicine); Martinez, J.S., Towards an international fudicial system (2003) 56 Stan. L. Rev., 429-511; Perez, A.F., The international recognition of fudgments: The debate between private and public law solutions (2001) 19 Berkeley J. Int'l L., 44-57 (66). , see also, (noting the frequent claim that ""foreign courts are inclined either not to enforce U.S. judgments or to otherwise discriminate against U.S. citizens,"" but also recognizing that most of the support for a claim is anecdotal rather than empirical); Cohen, I.G., The right not to be a genetic parent? (2008) 81 S. Cal. L. Rev., 1115, pp. 1161-1187. , See, e.g; Kronman, A.T., Paternalism and the law of contracts (1983) 92 Yale LJ., 763-766; Cohen, , 158, pp. 1161-1196. , In these respects I largely follow an approach I have taken to somewhat analogous questions in prior work. See, e.g., supra note; (1969) Slaughterhouse-Five, 2. , Vonnegut Jr. K; Sunstein, C.R., Thaler, R.H., Libertarian paternalism is not an oxymoron (2003) 70 U. Chi. L, Rev., 1159, pp. 1159-1160; Arlen, J., Contracting over liability: Medical malpractice and the cost of choice (2010) 158 U. Pa. L. Rev., 957-961 (9-10), p. 970. , Cf., (discussing debate over whether patients domestically face information problems dooming contracting for medical malpractice protection and the ""unobservable"" nature of the ""risk of being injured by medical error.); Epstein, R.A., Sykes, A.O., The assault on managed care: Vicarious liability, ERISA preemption, and class actions (2001) 30 J. Legal Stud., 625, pp. 644-648. , (discussing similar problems with domestic providers); (2010), http://travel.state.gov/travel/cis_pa_tw/tw/tw_1764.html, U.S. Department of State, Current Travel Warnings, (last visited July 18); See supra notes 145-50 and accompanying text; Madison, , 104, p. 1591. , The Pennsylvania scheme requires hospitals to report various data to the Pennsylvania Health Care Cost Containment Council, which then ""publishes annual report cards that present individual hospitals' and physicians' risk-adjusted mortality and readmission rates for cardiac bypass surgery as well as various quality measures for hip and knee replacement."", supra note, New York's system is similar; Madison, , 104, p. 1610; Chassin, M.R., Benefits and hazards of reporting medical outcomes publicly (1996) 334 New Enc.J. Med., 394, pp. 394-396; Madison, , 104 (39), p. 1590. , supra note, California, Maryland, and Minnesota, among other states, have attempted similar systems; Madison, , 104 (39), p. 1590; Madison, , 104 (39), p. 1590; Miller, F.H., Illuminating patient choice releasing physician-specific data to the public (1995) 8 Loy. Consumer L. Rep., 125, p. 128; (2005) 35 Pa. Stat. Ann., , §449.5; (2010), http://www.phc4.org/council/mission.htm, Pennsylvania Health Care Cost Containment Council, About the Council, (last visited July 18); Mattoo, Rathindran, , 71, p. 360. , See, e.g., supra note; (2010), http://www.apollohospitals.com/milestones-a-accolades/medical-milestones . html, Apollo Hospitals, Medical Milestones of the Apollo Hospitals Group, (last visited July 18); http://www.cdc.gov/art/ARTReports.htm, 42 U.S.C. § 263a-5(l)(A) (2006). The data is available at; Madison, K., The law and policy of health care quality reporting (2009) 31 Campbell L. Rev., 215, pp. 215-236. , For a good summary of the current state of play, see; Studdert, , 91, p. 2028. , supra note; Arlen, , 162, p. 97. , See, e.g., supra note; Mello, M.M., Studdert, D.M., Deconstructing negligence: The role of individual and system factors in causing medical injuries (2008) 96 Geo. Lj., 599, pp. 600-602; Halletal, , 75, p. 442. , supra note; Zeiler, K., Physicians' insurance limits and malpractice payments: Evidence from texas closed claims, 1990-2003 (2007) 36 J. Legal Stud., S9 (17). , S18, (discussing such gaming of the non-public National Practitioner Data Bank, which requires the reporting of any claim paid out against a doctor, including a settlement of any size); Cutler, D.M., The role of information in medical markets: An analysis of publicly reported outcomes in cardiac surgery (2004) 94 Am. Econ. Rev., 342-345. , See, e.g., (PAPERS & PROC.); Schneider, C.E., Hall, M.A., The patient life: Can consumers direct health care? (2009) 35 Am. J.L & Med., 7. , N; http://vnvw.ahrq.gov/downloads/pub/kffchartbkOO.pdf, The Kaiser Family Found. & Agency for Health Care Research & Quality, National Survey on Americans as Health Care Consumers: An Update on the Role of QUALITY INFORMATION (2000), available at; Chassin, , 165, pp. 394-96. , supra note; Frank, R.G., Behavioral Economics and Health Economics 20-21, , http://www.nber.org/papers/wlO881, (Nat'l Bureau of Econ. Research, Working Paper No. 10881, 2004), available at; Madison, , 104, p. 1637. , supra note, As to the med-mal deficiencies, the advent of patient med-mal insurance, which I will discuss below, does not fully mitigate these problems because these same deficits may also affect the decision whether to buy insurance ab initio and in what amounts; 18 U.S.C. §2423(c), (f) (2006). Other comparable models are the Foreign Corrupt Practices Act of 1977, Pub. L. No. 95-213, 91 Stat. 1494 (codified as amended in scattered sections of 15 U.S.C.), and the Economic Espionage Act of 1996,18 U.S.C. §§ 1831-39 (2006); Shapiro, Thompson, (1969) 394 U.S., 618, p. 643. , See, e.g., (Stewart, J., concurring), overruled in part by Edelman v. Jordan, 415 U.S. 651 (1974); Maynard, C.S., Note, nine-headed caesar: The supreme court's thumbs-up approach to the right to travel (2000) 51 Case W. Res. L. Rev., 297-317; Neiman, M., Motorcycle helmet laws: The facts, what can be done to jump-start helmet use, and ways to cap damages (2008) 11 J. Health Care L. & Pol""y, 215-237. , note; Van Cleave, R.A., ""Death Is different,"" is money different? Criminal punishments, forfeitures, and punitive damages-shifting constitutional paradigms for assessing proportionality (2003) 12 S. Cal. Interdisc. LJ., 217, pp. 223-245. , note; (2009), 42 C.F.R. § 482.102(b)(9); EMTALA requires such facilities to ""screen[]"" any patient that presents herself to determine ""whether or not an emergency medical condition [within the meaning of the statute] exists,"" and if it does then the hospital must either stabilize (give ""treatment as may be required to stabilize the medical condition"") or transfer the patient to another facility, which can be done only if the patient requests the transfer in writing after being informed or if a healdicare provider certifies diat ""the medical benefits reasonably expected from die provision of appropriate medical treatment at another medical facility outweigh the increased risks to die individual."" Emergency Medical Treatment and Labor Act (EMTALA), 42 U.S.C. §§ 1395dd(a)-(d) (2006);; see, e.g., Burditt v. U.S. Dep't. of Healdi & Human Servs., 934 F.2d 1362, 1368-73 (5th Cir. 1991). EMTALA actually applies to any patient regardless of indigence or insurance status; I.R.C. §213(a) (2006); Van Cleave, R.A., ""Death Is different,"" is money different? Criminal punishments, forfeitures, and punitive damages-shifting constitutional paradigms for assessing proportionality (2003) 12 S. Cal. Interdisc. LJ., 217; see also 26 C.F.R. § 1.213-l(e)(v)(c) (2010) (""It is immaterial for purposes of this subdivision whedier die medical care is furnished in a Federal or State institution or in a private institution.""); Pratt, K.T., Inconceivable? Deducting the costs of fertility treatment (2004) 89 Cornell L. Rev., 1121, pp. 1165-1172. , note; Indeed, because the deductibility threshold is a function of AGI, those with high incomes, even if uninsured, have a higher direshold and are unlikely to have medical expenses from medical tourism exceeding the threshold. Thus, the main targets of this policy will be the middle class; (2006), I.R.C. § 223; Jost, T.S., Hall, M.A., The role of state regulation in consumer-driven health care (2005) 31 Am.J.L. & Med., 395, pp. 395-397. , see also, (discussing HSAs); Mattoo, Rathindran, , 71, p. 361. , supra note; Mat 361 exhibit 1; Twerski, A.D., Cohen, N.B., The second revolution in informed consent: Comparing physicians to each other (1999) 94 Nw. U. L. Rev., 1-13 (30). , (collecting studies); See supra text accompanying notes 70-74; Conez, , 31, pp. 125-26. , supra note; Mattoo, Rathindran, , 71, p. 359. , Of course, it may be parochial to simply assume that U.S. training correlates with high quality, especially given how many U.S. physicians are foreign educated. See, supra note, (noting that, in 2004, roughly a quarter of the 853,187 U.S. physicians licensed in the United States were foreign trained, 21% of them Indian, and they made up a fifth of all faculty members at U.S. medical schools). At a bare minimum, for any sensible proposal, training in other Western nations ought to count; (1991), The U.S. Supreme Court has repeatedly upheld jurisdiction premised on such clauses. See Carnival Cruise lines, Inc. v. Shute, 499 U.S. 585; MS Bremen v. Zapata Off-Shore Co., 407 U.S. 1 (1972). Although both decisions suggest some theoretical limits on the enforceability of such clauses, Bremen, 407 U.S. at 10 (""[S]uch clauses are prima facie valid and should be enforced unless enforcement is shown by the resisting party to be 'unreasonable' under the circumstances""); Carnival Cruise Lines, 499 U.S. at 595 (stating such ""contracts are subject to judicial scrutiny for fundamental fairness""), the use of such clauses in this context are unlikely to run afoul of those limitations, particularly given that here the forum-selection clause does not work against the patient and foreign facilities are sophisticated bargainers; Cf. Hess v. Pawlowski, 274 U.S. 352, 354 (1927) (holding constitutional to confer personal jurisdiction a statute treating a nonresident's operating a vehicle on a public highway as ""deemed equivalent to an appointment by such non-resident of the registrar or his successor in office""); Friedenthal, J.H., (2009) Civil Procedure: Cases and Materials 187-88, , See, e.g., (10th ed.); Schuck, M., Comment, foreign corporations and the issue of consent to jurisdiction through registration to do business in Texas: Analysis and proposal (2004) 40 Hous. L. Rev., 1455, pp. 1455-1458. , (discussing TEX. Bus. CORP. ACT Ann. art. 8.01 (Vemon 2003)); Wenche Siemer v. Learjet Acquisition Corp., 966 F.2d 179, 180-83 (5th Cir. 1992) (expressing reluctance at finding Due Process requirement for personal jurisdiction satisfied by mere registration), But see, e.g; Ratliff v. Cooper Lab., Inc., 444 F.2d 745, 748 (4th Cir. 1971) (noting an application to do business ""is of no special weight"" for personal jurisdiction analysis); Dammann, J., Hansmann, H., Globalizing commercial litigation (2008) 94 Cornell L. Rev., 1, pp. 39-40; (1971), Restatement (Second) of Conflict of Laws §§ 186-88; The ""override"" is unlikely to apply here because the patient's home state would seem to have a ""substantial relationship"" to the parties. Id. Further, application of its law does not seem ""contrary to a fundamental policy of a state which [(i)] has a materially greater interest than the chosen state in the determination of the particular issue and which ... [(ii)] would be the state of the applicable law in the absence of an effective choice of law by the parties."" Id. § 187(2); DeVille, K.A., The jury is out: Pre-dispu U binding arbitration agreements for medical malpractice claim (2007) 28 J. Legal Med., 333. , For discussion of this question, see, for example; Roiph, , 91. , supra note; (1977), Such a requirement would also open up the possibility for a second form of personal jurisdiction-quasi in rem-using the bonded assets as the res. However, this form of jurisdiction too ""must be evaluated according to the standards set forth in International Shoe and its progeny."" Shaffer v. Heitner, 433 U.S. 186, 208-12; U.S. CONST, art. IV, § 1;; Dammann, Hansmann, , 200, pp. 40-41. , supra note; (2001), N.Y. C.P.L.R. 302(a)(2) (McKinney); (1996), Quackenbush v. Allstate Ins. Co., 517 U.S. 706, 721-22; Dow Chem. Co. v. Castro Alfaro, 786 S.W.2d 674,675-79 (Tex. 1990) (construing TEX. Civ. Prac. & REM. CODE Ann. § 71.031 (Vemon 1986)); Stein, A.R., Erie and court access (1991) 100 Yale L.J., 1935. , see, 1935, That Texas Supreme Court decision was overruled by a statute passed by the Texas state legislature reestablishing forum non conveniens, but only for actions filed on or after September 1, 1993. De Aguilar v. Boeing Co., 47 F.3d 1404, 1408 (5th Cir. 1995) (citing TEX. Crv. PRAC. & Rem. Code Ann. § 71.051). The passage of such a statute would raise interesting Erie questions as to its application in federal court in diversity cases. My own reading of the Erie doctrine is that federal courts would apply the statute, but intriguingly, the few cases on the Texas statute seem to implicitly assume the opposite (without any analysis). See id. (""[P]laintiffs obviously prefer Texas State court to federal court, where f.n.c. applies.""); (1971), SceRESTATEMENT(SECOND)OFCONFUCTOFLAWS§6(l); Cortez, , 119, pp. 17-18. , supra note, 85-86; (2006), For the sake of completeness, let me mention another possible, but in my estimation much less politically feasible, measure. The U.S. federal or state governments could create a fund to compensate victims of medical-tourism med-mal. The model here would be something like the National Vaccine Injury Compensation Program. 26 U.S.C. § 9510; (2006), U.S.C. § 300aa-10(a)-(c); Shemin, G., Comment, mercury rising: The omnibus autism proceeding and what families should know before rushing out of vaccine court (2008) 58 Am. U. L. Rev., 459, pp. 467-478. , see, (describing the workings of the National Childhood Vaccine Injury Compensation Act). Here, a better model would be to permit an election of this remedy rather than making it preclusive. Scholars have proposed comparable models for health courts or no-fault compensation systems as a reformation of med-mal litigation against domestic providers; Peters, , 91, pp. 230-236. , See, e.g., supra note, (discussing health-court proposals); Studdert, , 91, pp. 10-18. , supra note, (comparing the costs of the U.S. injury-compensation system to certain no-fault systems). Such a scheme could be funded by levying a fee on facilities that wished to be part of the ""approved"" list and using that revenue to pay for this system. Alternatively, funding could come from charging insurers using medical tourism (the focus of Part V) a per-patient fee and using diat revenue to cross-subsidize the no-fault compensation system for uninsured patients. One risk of this approach is that it creates inequity between victims of domestic- and foreign-provider med-mal-only the latter can elect the compensation scheme. One possible rejoinder is that while the medical-tourist patient may ""benefit"" in this regard, it is only because her chance of succeeding in a regular med-mal civil suit is so greatly diminished as compared to the patient getting care domestically, though this may be unsatisfying; Whether it would be rational for them to do so would depend in part on whether adopting a channeling system would result in a decrease or increase in medical tourism as against the status quo lack of regulation. That in turn depends on both the mechanism of channeling used and the provider or service characteristics upon which channeling operates. If the requirements to become ""approved"" are minimal, and the penalty for unapproved use is insignificant, they may conclude the regime is more of a threat. Especially regarding insurer-prompted medical tourism, there is also the possibility of countervailing lobbying by businesses and insurers. All that, however, is subject to the caveat that the dynamic effects in the foreseeable future may be too small to motivate significant lobbying of this sort; Arnold, P.J., Reeves, T.C., International trade and health policy: Implications of the GATS for US healthcare reform (2006) 63 J. Bus. ETHICS, 313-315. , Adopted in 1995 at the conclusion of the Uruguay round of multilateral negotiation that created the WTO, GATS produced a legal framework to liberalize trade in services (rather than goods), including healthcare, While GATS imposes general obligations that apply to all WTO members, it imposes obligations relating to ""market access"" (art. XVI) and ""national treatment"" (art. XVII) on nations that have explicitly elected to be bound by them; violations of these obligations are subject to trade sanctions. General Agreement on Trade in Services arts. I, XXVIII, Apr. 15, 1994, Marrakesh Agreement Establishing the World Trade Organization, Annex IB, 1869 U.N.T.S. 183, 33 I.L.M. 1167 (1994) [hereinafter GATS]; Arnold, Reeves, , p. 317. , supra, These obligations-called ""specific commitments""-are made as to particular service sectors and particular modes of service (cross-border supply, consumption abroad, etc.). GATS, supra, art. III. The United States has in fact made a ""Mode 2"" (consumption abroad) commitment to the ""Hospital Services"" sector that would cover a large swath of medical-tourism services-it includes inter alia surgical, medical, ob-gyn, nursing, laboratory, radiological, anesthesiological, and rehabilitation services-with only a single limitation: that ""[f]ederal or state government reimbursement of medical expenses may be limited to licensed, certified facilities in die United States or in a specific U.S. state.""; Arnold, Reeves, , pp. 316-18. , supra, Thus, Medicaid/Medicare may refuse to reimburse for medical tourism; Arnold, Reeves, , p. 316. , Because GATS specific commitments apply to ""[mjeasures,"" which are understood broadly to include regulations, rules, procedures, decisions, or administrative actions whether adopted by federal, state, or local bodies, GATS, supra, arts. I, XXVIII, federal or state laws (including ones regulating insurance) as to medical tourism that conflict with GATS specific commitments can be challenged through the WTO dispute-resolution system as illegal ""barriers to trade.""; Arnold, Reeves, , pp. 317-18. , supra, It is possible that some of these channeling interventions (especially by type of service) may violate the market-access obligation contained in article XVI(2) of the GATS in die same way that certificate-of-need regulations in die United States diat limit the type of services provided may do so. GATS, supra, art. XVI(2);; Arnold, Reeves, , p. 318. , supra, The more serious concern is posed by the national-treatment obligation, which requires die United States to ""accord to services and service suppliers of any odier Member, in respect of all measures affecting die supply of services, treatment no less favourable dian diat it accords to its own like services and service suppliers,"" specifying diat treatment is ""less favourable if it modifies the conditions of competition in favour of services or service suppliers of die Member compared to like services or service suppliers of any odier Member."" GATS, supra, art. XVII. In analysis of some parallel issues in teleradiology, Thomas Mclean and Edward Richards have suggested that the GATS Domestic Restrictions clause allowing the imposition of licensing or certification requirements, so long as they are not ""'more burdensome than necessary to ensure the quality of the service,'"" will not give the U.S. government sufficient room to maneuver; McLean, T.R., Richards, E.P., Teleradiology: A case study of the economic and legal considerations in international trade in telemedicine (2006) 25 Health AFT., 1378-1381. , (quoting GATS, supra, art.VI(4)). There are many open questions here: Would particular types of channeling provisions fare better than others in the analysis? Would the expansion of vicarious liability fare differently? To the extent the GATS does pose problems, what penalties would the United States face if it violated or tried to renegotiate these GATS obligations, and would those penalties be worth it? These are all interesting question, each of which I leave to further work by trade specialists; All that said, it is worth noting that these types of channeling interventions might be more successful if targeted at medical tourist intermediaries. While I do not focus on these intermediaries in-depth in this Article, this possibility raises three further questions. First, what share of the medical tourism by under and underinsured individuals is done through intermediaries? Second, to what extent can intermediaries successfully reorganize and relocate to avoid any such requirements imposed by U.S. law? Third, to what extent do the intermediaries have a sufficient incentive to adopt forms of channeling themselves to compete for market share? On this last point, others have noted that existing intermediaries have engaged in some shady practices in promoting their services; Cortez, , 31, p. 118. , See, e.g., supra note, (""Most foreign providers and brokers market their services on the Internet, and a sampling of these sites shows they can be aggressive and potentially misleading. Sites include patient testimonials, breezy descriptions of idyllic sightseeing tours, and even quality comparisons that disparage U.S. providers.... [One] broker assures patients who may be concerned about medical malpractice that they 'have the right to seek redress in the Indian court system similar to the procedure followed here in the U.S. [sic],' a claim that is woefully misleading."" (citation omitted)); DeNavas-Walt, C., (2007) U.S. Census bureau, Income, Poverty, and Health Insurance Coverage in the United States: 2006, p. 19. , http://www.census.gov/prod/2007pubs/p60-233.pdf, available at; 42 U.S.C. § 1395dd(e)(l) (2006) (defining ""emergency medical condition"" as ""acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in ... placing the health of the individual"" in ""serious jeopardy,"" ""serious impairment to bodily functions,"" or ""serious dysfunction of any bodily organ or part""); (2009), The Henry J. Kaiser family Found., The Uninsured: a Primer: Key Facts About Americans Without Health Insurance 4-5; Holahan, J., (2007), http://www.kff.org/uninsured/upload/7613.pdf, The Henry J. Kaiser Family Found., Characteristics of the Uninsured: Who Is Eligible for public Coverage and Who Needs Help Affording Coverage 1-16, available at; Hunter, N.D., Risk governance and deliberative democracy in health care (2008) 97 GEO. L.J., 1, p. 58. , http://www.cbpp.org/8-28-07health.pdf);, (citing CTR. ON BUDGET & POUCY PRIORITIES, MORE Americans, Including More Children, Now Lack Health Insurance 2 (2007), available at; Mayes, R., Universal coverage and the american health can system in crisis (Again) (2004) 7J. Health Care L. & POL'Y, 242-249; (2006) 31 J. Health Pol. Pol'y & L., 657, pp. 665-666. , For a critique of this tendency, see Sara Rosenbaum, A Dose of Reality: Assessing the Federal Trade Commission/Department of Justice Report in an Uninsured, Underserved, and Vulnerable Population Context; note; Patient Protection and Affordable Care Act; Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152; See Patient Protection and Affordable Care Act §§ 1501, 1513. Indeed, since the individual-mandate penalty phases in between 2014 and 2016; see id. § 1501, this may overstate when we will begin to see its true effects; Elmendorf, D.W., http://www.cbo.gov/doc.cfm?index=11379&type=l, Letter from, Dir., Cong. Budget Office, to Nancy Pelosi, Speaker, U.S. House of Representatives 9, available at, To be precise, the CBO estimates that about one-third of those 23 million nonelderly are ""unaudiorized immigrants.""; Elmendorf, D.W., ; It is also worth emphasizing diat medical tourism could never be a complete solution to a lack of insurance in this country because a substantial portion of all uninsured are unlikely to avail diemselves of it for a myriad of reasons (too sick to travel, unable to afford even the reduced costs of the procedure through medical tourism, have never left their home state before, etc.); Daniels, N., Just Health: Meeting health Needs Fairly 29-78 (2008), , See, Daniels, a Rawlsian, connects the special importance of health to its importance in ensuring equality of opportunity to ensure access to the ""normal opportunity range""-the ""array of life plans reasonable persons are likely to develop for themselves.""; Daniels, N., Just Health: Meeting health Needs Fairly 29-78 (2008), p. 43; Daniels, N., Just Health: Meeting health Needs Fairly 29-78 (2008), pp. 29-60. , (discussing health needs and how they relate to normal functioning and access to opportunities). Martha Nussbaum, writing from a more aretaic perspective (i.e., Aristotelian, focusing on character, virtue, and human flourishing), has also singled out health as having particular importance in her capabilities/functioning theory. MARTHA C. NUSSBAUM, FRONTIERS of Justice: Disability, Nationality, Species Membership 75-76 (2006); Thambisetty, S., Patents as credence goods (2007) 27 Oxford J. Legal Stud., 707-726. , See, e.g; see also supra notes 103-04, 177-79 and accompanying text (discussing information deficits and bounded-rationality problems); This represents one place where departing from the analogical aspect of my approach might lead in a different direction. It is open to the critic to suggest that the laissa-fain attitude towards bungee jumping or the consumption of other services is the wrong turn, and dius forms a poor touchstone for analysis. This might produce an interesting new project that inverts my own: the concerns raised by medical tourism allow us to see it as one instance of a more general problem posed by service quality and tort recovery for services consumed abroad. It would be particularly useful to identify other kinds of services that pose agency problems similar to the ones I discuss in Part V; Tunkl v. Regents of the Univ. of Cal., 383 P.2d 441, 442 (Cal. 1963); Thambisetty, S., Patents as credence goods (2007) 27 Oxford J. Legal Stud., 707-726, pp. 442-49; Thambisetty, S., Patents as credence goods (2007) 27 Oxford J. Legal Stud., 707-726, p. 446; Thambisetty, S., Patents as credence goods (2007) 27 Oxford J. Legal Stud., 707-726, pp. 446-447; Thambisetty, S., Patents as credence goods (2007) 27 Oxford J. Legal Stud., 707-726, p. 447; Belshaw, Feinstein, 65 Cal. Rptr., 788-798. , See, e.g., (Ct. App. 1968) (discussing neurosurgery); Emory Univ. v. Porubiansky, 282 S.E.2d 903, 903-05 (Ga. 1981) (discussing dental services); Cudnik v. William Beaumont Hosp., 525 N.W.2d 891, 892-93 (Mich. Ct. App. 1994) (discussing radiation therapy for cancer); Ash v. N.Y. Univ. Dental Ctr., 564 N.Y.S.2d 308, 309 (App. Div. 1990) (discussing dental services); Olson v. Molzen, 558 S.W.2d 429, 429-31 (Tenn. 1977) (discussing abortion); Eelbode v. Chec Med. Ctrs., Inc., 984 P.2d 436, 440-41 (Wash. Ct. App. 1999) (discussing physical therapy); Thaler, R.H., Sunstein, C.R., (2008) Nudge, pp. 207-214. , See, e.g; Epstein, R., Medical malpractice: The case for contract (1976) 1 Am. B. Found. Res. J., 87, p. 119; Robinson, G.O., Rethinking the allocation of medical malpractice risks between patients and providers (1986) Law & Contemp. Probs., p. 173. , Spring, 185; Peters Jr., P.G., The quiet demise of deference to custom: malpractice law at the millennium (2000) 57 Wash. & Lee L. Rev., 163-170; Peters Jr., P.G., The quiet demise of deference to custom: malpractice law at the millennium (2000) 57 Wash. & Lee L. Rev., 163-170; See, e.g., Hall v. Hilbun, 466 So. 2d 856 (Miss. 1985); BARRYR. FURROWET AL., LIABILITY and Quality Issues in Health Care 147-48 (5th ed. 2004); Avraham, R., An empirical study of the impact of tort reforms on medical malpractice settlement payments (2007) 36 J. Legal Stud., S183, pp. S191-S194; (2006), 28 U.S.C.§ 1332; See U.S. CONST, art. IV (requiring states to treat citizens of other states the same as citizens of their own state); U.S.C. § 1738 (granting full faith and credit to the laws of the several states); Havighurst, C.C., Private reform of tort-law dogma: market opportunities and legal obstacles (1986) Law & Contemp. Probs., p. 143. , Cf., Spring, 164, (arguing that Tunkl ""should not control the outcome of a case in which something substantially less than complete immunity is sought""); Madden v. Kaiser Found. Hosps. 552 P.2d 1178, 1180-85 (Cal. 1976). For more cases upholding these agreements; see infra note 247 and cases cited therein; Madden, , p. 1185. , 552 P.2d; Madden, , pp. 1185-86. , One point in favor of enforcement without an analog was that there were also ""benefits of the arbitral forum"" for the patients as a group by ""facilitating] the adjudication of minor malpractice claims which cannot economically be resolved in a judicial forum; Madden, , p. 1186; Hall, (1993), 75, p. 422. , In the arbitration context, courts have thus been more inclined to enforce agreements when they were made in advance rather than at the point of service. See, supra note, (citing Broemmer v. Abortion Servs. of Phoenix, 840 P.2d 1013 (Ariz.); Obstetrics & Gynecologists v. Pepper, 693 P.2d 1259 (Nev. 1985); Sosa v. Paulos, 924 P.2d 357 (Utah 1996)). The physician in the foreign destination is also certainly not holding himself open to any American patient who presents himself for care, a factor that the Tunkl court harped on; Ayres, I., Menus matter (2006) 73 U. Chi. L. Rev., 3, p. 6; Rau, A.S., (2006) Processes of Dispute Resolution, 612. , (4th ed.); Rau, A.S., (2006) Processes of Dispute Resolution, 612. , (quoting In re Arbitration Between Silverman & Benmor Coats, Inc., 461 N.E.2d 1261,1266 (N.Y. 1984); Leach v. Harris, 69 N.C. 532 (1873); (2006), 9 U.S.C. § 9; see, e.g., IDS Life Ins. Co. v. Royal Alliance Assocs., 266 F.3d 645, 653 (7th Cir. 2001); Friedenthal, , 199, pp. 1372-77. , supra note, (discussing powers). Another distinction is that the Federal Arbitration Act allows federal courts to review decisions by the arbitrator, albeit under extremely narrow standards aimed at fraud or egregious misconduct. 9 U.S.C. § 10; First Options of Chi., Inc. v. Kaplan, 514 U.S. 938, 942 (1995); See, e.g., Engalla v. Permanente Med. Group, 938 P.2d 903,908,912 (Cal. 1997); DeVille, , 203, pp. 378-87. , See, e.g., supra note, (discussing problems with arbitration); Arlen, , 162 (123), pp. 1007-08. , See, e.g., supra note; Further, to the extent the concern is about searches for emergency services, that is the type of service for which medical tourism is not typically sought; Arlen, , 162, p. 963. , supra noten 966,992-97; Arlen, , 162; Arlen, , 162, p. 963. , 966,997-1000; Arlen, , 162; note; Hotel, W.C., Parrish, (1937) 300 U.S., 379, p. 394. , See, e.g., (upholding minimum-wage laws from constitutional challenge); Roe, M.J., Delaware's politics (2005) 118 Harv. L. Rev., 2491, pp. 2498-2504. , In theory, there is the possibility that we might see a different kind of unraveling dynamic with a ""race to the bottom,"" wherein the need to compete against medical-tourist centers forces U.S. states to alter their substantive med-mal laws or at least or relax the prohibition on waiver. Cf., (discussing race-to-the-bottom and race-to-the-top accounts of how Delaware competes with other states through its corporate law). As I suggested above; see supra note 30, it seems very unlikely that in the foreseeable future we would see the kind of volume of medical tourism needed to marshal that kind of pressure. Further, as discussed above, it is also unclear how much changing states' med-mal liability rules standing alone would help in bridging the cost chasm between medical tourism and domestic provision of the services; How much current patients know about their med-mal recovery chances when they choose foreign providers is an open question, but as discussed above, information-forcing interventions will, to some extent, improve the conditions of choice; (2010), http://www.aosassurance.bb/PublicHunl/readmore.htm, The following description is drawn from AOS, Patient Medical Malpractice Insurance (PMMI), (last visited June 1); (2010), http://www.aosassurance.bb/PublicHtml/PMMI-FAQ.htm, AOS, Frequently Asked Questions, (last visited July 21); (2010), http://www.aosassurance.bb/PublicHtml/Documents/PMMI/ PMMI%20Product%20Sheet.pdf, AOS, Patient Medical Malpractice Insurance (PMMI) Product Sheet, (last visited July 21); (2010), This has a similar effect to an intervention channeling by provider that I discuss next; https://www.aosassurance.bb/Reaktor2K7/application/quickquote/quickquote . aspx, AOS, Quick Quote for Patient Medical Malpractice Insurance (PMMI), (last visited July 21, 2010). This quote was achieved by selecting ""Coronary bypass and grafting"" in the ""Procedure"" drop-down and ""$1,000,000"" from the ""Amount of insurance coverage in US$"" drop-down on Oct. 20,2008; See supra text accompanying notes 12 and 40; Croley, S.P., Hanson, J.D., The nonpecuniary costs of accidents: Pain-and suffering damages in tort law (1995) 108 Harv. L. Rev., 1785, p. 1791. , « Catherine M. Sharkey, Unintended Consequences of Medical Malpractice Damages Caps, 80 N.Y.U. L. REV. 391, 400 (2005) (discussing and collecting positions on the issue). Steven Croley and John Hanson have suggested that individuals do in fact want such insurance but that several impediments exist, preventing the emergence of such a market; Cortez, , 119, pp. 17-18. , supra note, 85-86; For some representative entries; see supra note 103; Furrow, , 125, pp. 59-71. , supra note; Halletal, , 75, pp. 1178-84. , supra note; Furrowetal, , 125, p. 61. , supranole; Halletal, , 75, p. 1179. , supra note; Bd. of Med. Quality Assurance v. Andrews, 260 Cal. Rptr. 113, 122 (Ct. App. 1989); Furrowetal, , 125, p. 63. , supra note; Furrow, , 125, p. 60. , supra note, E.g; Gelhorn, W., The abuse of occupational licensing (1976) 44 U. Chi. L. Rev., 6, pp. 13-18; Kessel, R., The A.M.A. and the supply of physicians (1970) 35 Law & Contemp. Probs., p. 267. , Spring; The penalty is set at $95 dollars for 2014, $350 for 2015, $695 for 2016, (or no more than 1%, 2%, 2.5% of taxable income in each year, respectively) and cost of living adjusted from that point forward. Patient Protection and Affordable Care Act, Pub. L. No. 111-148, § 1501 (2010) (to be codified at I.R.C. § 5000A(c)); Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, § 1002 (to be codified at I.R.C. § 5000A(c)). To be a little more precise, some individuals will be exempted from the mandate and others will receive assistance in purchasing health insurance, but I do not discuss the very complex details here. See Patient Protection and Affordable Care Act § 1501; Patient Protection and Affordable Care Act § 1513 (to be codified at I.R.C. § 4980); Healdi Care and Education Reconciliation Act § 1003(b) (to be codified at I.R.C. § 4980). The so-called 'Cadillac insurance tax', the excise tax on insurers of employer-sponsored health plans with aggregate values exceeding $10,200 for individual coverage and $27,500 for family coverage beginning in 2018 (and indexed to the consumer price index thereafter), Patient Protection and Affordable Care Act § 9001 (to be codified at I.R.C. § 49801); Gabel, Taxing cadillac health plans may produce chevy results (2010) 29 Health Aff., p. 174. , see on, Health Care and Education Reconciliation Act § 1401 (to be codified at I.R.C. § 49801), might also have some effect in stimulating interest in insurer-prompted medical tourism, although die effect is far less certain. For one thing, it is unclear how much overlap there is in the community of employers offering employees Cadillac plans and those with employees interested in medical tourism- much would depend on how fast healthcare insurance costs grow, and thus how quickly the threshold for the excise tax begins to apply pressure. Moreover, recent empirical work casts doubt on the common wisdom that high cost of these Cadillac plans are due to particularly rich benefits to plan subscribers, Jan., such that medical tourism's reduction in healthcare costs may not make them particularly attractive choices to avoid the excise tax; More robust regulation of insurer-prompted medical tourism may also indirecdy improve the situation of medical tourism by the under/uninsured discussed in Part IV; For example, foreign providers may make lumpy quality-of-care investments, which will benefit all patients, and patients may take heed of which foreign providers insurers use as a signal of quality; Furrow, , 125, p. 467. , supra note, 479; Furrow, , 125, pp. 479-80. , (citation omitted). States vary tremendously as to how many mandates they have, with some having as few as six and others as many as thirty-three; Furrow, , 125, pp. 479-81; Tex. Ins. Code Ann. § 1215.004 (Vemon 2009); Tran, , 84, pp. 364-65. , supra note; http://www.leginfo.ca.gov/pub/03-04/bill/sen/sb_l301-1350/ sb_l347_bill_20040913_chaptered.pdf, See S3. 1347 (Cal. 2004), available at; Cal. HEALTH & SAFETY Code §§ 1350, 1352.1 (West 2008); Cortez, , 119, pp. 69-70. , supra note; Tran, , 84, pp. 365-66. , supra note; see generally CAL. HEALTH & SAFETY CODE §§ 1340-99; Cortez, , 119, p. 69. , supra note, (citing Tran, supra note 84, at 358; Geis, S., Passport to health can at lower cost to patient: California HMOs send some enrollees to Mexico (2005) Wash. Post, pp. A3. , Nov. 6; 29 U.S.C. § 1144(b)(2)(B) (2006); Overbay, A., Hall, M., Insurance regulation of providers that bear risk (1996) 22 Am. J.L. & Med., 361, p. 380. , see, e.g., This is a slight simplification, in that the case law interpreting ERISA may require a self-insured firm to be self-insured in particular ways to take advantage of ERISA preemption of state insurance mandates; Furrow, B., Health Law: Cases, Materials and Problems 657-58, , See, (5th ed. 2004) (discussing ways in which employers can evade regulation requirements); Marquis, M.S., Long, S.H., Recent trends in self-insured employer health plans: A look at the interplay among market forces, regulation, and employers'decisions to self-insure (1999) 18 Health Aff., p. 161. , May-June, 163 exhibit 1; Kaiser Family found. & Health Res. and Educ. Trust, Employer Health Benefits: 2007 Annual Survey 148 exhibit 10.3 (2007); Cf. Patient Protection and Affordable Care Act, Pub. L. No. 111-148, § 1302 (2010) (to be codified at I.R.C. § 5000A) (empowering the Secretary of Health and Human Services through notice and comment rulemaking to partially define what constitutes an ""essential health benefits package"" under the new reform legislation); Jolls, C., A behavioral approach to law and economics (1998) 50 Stan. L. Rev., 1471, p. 1541; Daniels, , 224, pp. 51-78. , I say ""on many views"" because the point is not self-evident or uncontroversial. The point holds for authors like Norman Daniels who attach a special importance to health connected to equality of opportunity, supra note, and believe that individuals can make claims relating to and that governments can properly concern themselves with the health of citizens in a way that they cannot with a more global conception of well-being or welfare-i.e., that I may have a good rights claim against the government to provide me healthcare but not a Magritte painting, even if the Magritte in fact improves my welfare more and costs the same price; Daniels, , 224, pp. 33-34. , On the contrary view, a purer welfarist one, the provision of all goods are fungible into welfare for the purpose of making rights claims-those claims may succeed or not but their currency is always in welfare. For those like Daniels who attach a special importance to health, the fact that a particular intervention might actually jeopardize health outcomes would seem more significant than the fact that it may cause an individual to forego potential cost savings. For the pure welfarists, by contrast, to the extent money is thought of as a currency of well-being, that distinction is harder to maintain. Even for the pure welfarists, though, the other grounds of distinction I offer as to why intervention is more appropriate for insurer-prompted medical tourism hold; To put the point in its strongest terms, some may find it unjust that the lack of universal health insurance forces patients to bear the additional risks associated with medical tourism, but find the case for a ban unappealing because it exacerbates the injustice by making its victims pay for it with their lives. Banning or more thoroughly regulating insurer-prompted medical tourism does not share this same unappealing feature, at least as to this second part of the population; Wertheimer, A., (1987) Coercion, 204. , See, e.g., (highlighting differences in benefits between threats and offers); Lifshitz, S., Distress exploitation contracts in the shadow of no duty to rescue (2008) 86 N.C. L. Rev., 315, p. 327. , (discussing the difference between threats and offers); Wertheimer, , p. 294. , supra note; It is also worth noting that the distinction between plans TI, TM, and DE may be illusory if the insurer has enough latitude to set the premiums and the amount of incentive or penalty; Wertheimer, , 294, p. 209. , See, supra note; The classic and much fuller account can be found at; Wertheimer, , 294, pp. 204-21; Wertheimer, , 294, pp. 206-07; Lifshitz, , 295, pp. 327-28. , supra note; Wertheimer, , 294, pp. 207-10. , supra note; Lifshitz, , 295, pp. 327-28. , supra note; For the classic examples by Charles Fried of the cellist next door and by Robert Nozick of the beaten slave; Fried, C., (1981) Contract as Promise, pp. 10-11. , see; Coercion, R.N., (1969) Philosophy, Science and Method, 440, p. 450. , (Sidney Morgenbesser et al. eds.); Lifshitz, , 295, p. 328. , see also, supra note, (discussing these examples); The current health reform legislation put into place by the Obama Administration arguably does not change this baseline very much in that it does not purport to create an entitlement to healthcare or health insurance, instead it requires that most Americans purchase health insurance or face a penalty and offers some assistance for low-income individuals who are not covered by Medicaid or Medicare to do so. Moreover, even after its full implementation a substantial number of Americans will remain without coverage. For more details see supra notes 220-23, 276-77 and accompanying text; Many universal healthcare systems, like Britain, tolerate a two-tiered system where those willing and able to pay can buy better healthcare goods; even the Canadian system, among the most egalitarian, has recently begun to open the door for purchasing more private healthcare. Chaoulli v. Quebec [2005] 1 S.C.R. 791, 795 (Can.); Nelson III, L.J., A tale of three system: A comparative overview of health care reform in england, Canada, and the United States (2006) 37 Cumb. L. Rev., p. 513. , see, e.g., 522,527; See infra notes 343-44 and accompanying text (discussing whether to make SQ-type plans be the default option when offering patients a choice); Cohen, I.G., , 158, pp. 1161-1187. , See, e.g., supra note, (discussing the problem of precommitment in the context of contracts and bioethics); To be precise, TI plans are not entirely free of precommitment problems in that the individual who subscribes to such a plan as opposed to SQ has precommited themselves to being offered the medical-tourism option at the time of consumption of the service. The analogy is to someone who subscribes to a ""dessert of the week club,"" which offers a discounted high-calorie confection by mail every Thursday, which the individual can purchase or refuse but not avoid being offered. If one decided, months after subscription, to try and lose weight, perhaps the precommitment to be offered dessert every week would cause the individual distress in the form of temptation. That said, this kind of precommitment problem seems far enough afield from the ones that really concern us about TM and DE type plans that I put it to one side; The individual who fails to purchase health insurance at Time 1 may also at Time 2 no longer be able to have his or her illness covered due to pre-existing condition exclusions. The health-reform legislation fixes that problem by mandating guaranteed issue and renewal for adults, but only beginning in 2014 (for children, the changes go into effect September 23, 2010); See Patient Protection and Affordable Care Act, Pub. L. No. 111-148, § 1201 (2010) (to be codified at 42 U.S.C. 300gg); Grier, P., Health care reform bill 101: Rules for preexisting conditions (2010) Christian Sci. Monitor, , see also, Mar. 24; To be sure, the new health reform's individual mandate somewhat changes this baseline, but it still leaves open to die individual the possibility of remaining uncovered by paying the penalty for not having insurance, it excludes a portion of the population from the mandate requirement, and continues to leave open as discretion as to plan choice (constrained by the mandates minimum benefit requirements). For more details see supra notes 220-223, 276-277 and accompanying text; Havighurst, C.C., Richman, B.D., Distributive injusticefs in american health care (2006) Law & Contemp. Probs., p. 7. , See, Autumn 80, (""It would be seriously destructive of insurance markets, after all, if consumers knew too well what their future health needs would be.""); Korobkin, R., Determining health care rights from behind a veil of ignorance 1998 U. Ill. L. Rev., 801, p. 826. , (""If individuals operating behind the veil of ignorance would desire health insurance, they have no moral claim to change their mind once they learn diat good fortune has rendered them healthy.""); Herring, B., Suboptimal provision of preventive healthcare due to expected enrollee turnover among private insurers (2010) 19 Health Econ., 438, p. 442; Cebul, R., (2007) Employer-Based Insurance Markets and Investments in Health 18-24, , http://www.iza.org/conference_files/TAM2007/rebitzer_j439.pdf), see also, (unpublished manuscript, available at, (estimating, using different measures, that 21% of those who held health insurance in a given year had cancelled the policy within twelve months, with 87% of that population having acquired a new private policy as opposed to becoming uninsured). It is possible that those who have experienced medical injury switch insurers less than the general population, somewhat mitigating the situation here; I am unaware of empirical research on the issue; Cebul, , 311, p. 26. , supra note; Herring, , 311, p. 447. , supra note; Agrawal, Hall, , 130, pp. 245-49. , supra note; Schneider, Hall, , 176, pp. 36-59. , supra note; Schlesinger, M., Elbel, B., (2008) Bounded Rationality and the Conceptual Underpinnings of Health Policy 18-19, 34. , see also, (unpublished manuscript, on file with author) (discussing framing effects and their relationship to health-related decisions); Schneider, Hall, , 176, pp. 43-44. , supra note, (citing Deborah W. Gamick et al., How Well Do Americans Understand Their Health Coverage, 12 HEALTH AFF., Fall 1993, at 204, 206-09). Perhaps unsurprisingly, Manhattanites performed better. Id; General in personam jurisdiction still seems very unlikely, but there is a more plausible argument that these contacts ""arise out of or are connected with the activities within the state"" in such a way that will favorably support specific in personam personal jurisdiction. Int'l Shoe Co. v. Washington, 326 U.S. 310,319 (1945); Pendo, E.A., The health care choice act: The individual insurance market and the politics of ""Choice,"" (2007) 29 W. New Eng. L. Rev., 473, p. 474. , http://www.census.gov/hhes/www/hlthins/data/historical/orghihisttl.html, (citing U.S. CENSUS BUREAU, Historical Health Insurance Tables, Table HI-1: Health Insurance Coverage Status and Type of Coverage by Sex, Race and Hispanic Origin: 1987 to 2005, available at; Kaiser, H.J., Health Insurance Coverage in America 2007, , http://facts.kff.org/chartbook.aspx?cb=55, see also THE, Family found., available at, (discussing a more recent study of the entire non-elderly population finding that 61% had employer-sponsored health insurance compared to 6% in the individual market); I.R.C. §§106(a), 162(a)(l), 3101(a)-(b), 3111(a)-(b), 3121(a)(2) (2006); Kaplan, R.L., Who's afraid of personal responsibility ? Health savings accounts and the future of american health care (2005) 36 McGEORGE L. Rev., 535, pp. 541-44. , see, e.g; Kaplan, , 318, p. 542. , supra note; Herring, , 311, p. 443. , supra note, tbl.l; For example, if some of the population of employees is close to retirement or the negative impact of poor care manifests only after some time, or both, the employers' incentive to choose insurers with high quality providers will be diminished. Moreover, we would need to say something about the relative size of the cost savings for employers on their share of employee health insurance versus the costs of diminished productivity for the employer-if the former is large and the latter is small the incentive is diminished; Danzon, P.M., Tort liability: A minefield for managed care? (1997) 26 J. Legal Stud., 491, pp. 493-494; Here again, we might push on the question of whether government's proper role in regulating health insurance is protecting employee health or employee welfare (in a global sense). The fact that an individual is willing to accept a particular employer with a particular health plan over another gives us at most an indication that he has made the choice that maximizes his welfare, not that he has made die choice that best protects his healdi. On the healdi-is-special view discussed above, supra note 292, it is die latter diat should concern us; In states with ""pay or play"" legislation, employers who fail to provide coverage must pay a ""fine"" to the state government to offset die increased costs the state faces due to the employee's lack of coverage; Weeks, E.A., Loopholes: Opportunity, responsibility, or liability? (2007) 35 J.L. Med. & Ethics, 320, p. 323. , for example, in Massachusetts they would pay up to $295 per employee per year; The health-reform legislation diat has just passed changes this baseline somewhat (again only starting in 2014) by (to simplify for our purposes) making die employer who does not offer insurance ""pay"" $2000 (inflation adjusted going forward) per employee not counting die first diirty employees, but only as to employers with more dian fifty employees (where ""1 or more full-time employees of the applicable large employer has been certified to die employer under secdon 1411 of die Patient Protecdon and Affordable Care Act as having enrolled for such month in a qualified healdi plan with respect to which an applicable premium tax credit or cost-sharing reduction is allowed or paid with respect to die employee,"" among odier requirements). Patient Protecdon and Affordable Care Actt, Pub. L. No. 111-148, § 1513 (2010) (to be codified at I.R.C. § 4980H); Healdi Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, § 1003 (to be codified at I.R.C. § 4980H). It is because it only applies to some employers, and because employers retain die opdon to ""pay"" radier dian ""play,"" diat I suggest die reform only cuts into and does not eliminate employer discretion as to whedier to offer a plan and of what type; This is not true for self-insured firms who escape the regulation through ERISA preemption. This is likely the reason that much of the insurer-prompted medical tourism we have seen thus far has occurred in self-insured firms; Furrow, , 125, pp. 501-503. , supra note; 42 U.S.C. §§ 300e (b) (4), (c) (6) (2006); Furrow, , 125, p. 502. , supra note, (citing Model Health Maintenance Organization Act § 3A (Nat'l Ass'n Ins. Comm'rs 1990)); Furrow, , 125, p. 506; Furrow, , 125. , (citing MASS. GEN. LAWS ANN. ch. 1761, § 4); Furrow, , 125, p. 507; Furrow, , 125, p. 506; Rolph, E., The regulation of preferred provider arrangements (1987) Health AFF., Fall, p. 32. , 40; 42 U.S.C. §§ 300e (b) (4), (c) (6) (2006); Rolph, E., The regulation of preferred provider arrangements (1987) Health AFF., Fall; Rolph, , 333, p. 41. , supra note; That said, I remain skeptical that the volume of care delivered this way is likely to have much dynamic effect; Whether to mandate an exception for cases where the patient can travel but it is inconvenient for the patient to do so, for example, because of child or elder care, is a harder question. Administering a form of insurance regulation that also requires this kind of exception might be too hard or costly to administer as compared to medical exemptions given the difficulty of setting a standard and detecting those who are faking their need. But, perhaps insurance companies could administer such a rule more easily dian I anticipate; Cortez, , 31, pp. l22. , See, supra note; 45 C.F.R. §46.107(2009); California has implemented a requirement along these lines as to insurers located in Mexico that seek to cover the California market, requiring them to subject themselves to personal jurisdiction in California (2008) Cal. Health & Safety Code, p. 1350. , 1351.2 (West); Tran, , 84, pp. 365-66. , supra note, My proposal is instead aimed at getting the provider to subject itself to personal jurisdiction, and otherwise make itself amenable to suit in the United States; Cortez, , 31, p. 122. , We could instead require the healdi insurer to itself become an insurer against patient med-mal, see, supra note, but this might risk more conflicts of interest in die processing and paying of claims; Aldiough I do not diink it politically feasible, as discussed above, supra note 211, state or federal governments could instead set up a victim-compensation fund, which in the case of insurer-prompted medical tourism, could be funded by per-patient levies on insurers that use medical tourism; It is worth noting that the claim may also not be entirely true. A quite different concern with insurer-prompted medical tourism is that it may facilitate insurer cream-skimming if we believe that individuals who know they are of lower health risk will opt for plans with some amount of medical tourism incentivized or mandated. If so, premiums for SQ plans will increase as more of its left-over subscribers are high risk. How plausible a concern this represents, and how to normatively evaluate this result is complex, and would depend in part on how much of a solidarity function we think health insurance should play; See generally Hoffman, supra note 219. This may represent a separate justification for some attempt to limit insurer-prompted medical tourism, but one I do not fully develop here; Johnson, E., Framing, probability distortions, and insurance decisions (1993) 7 J. Risk & Uncertainty, 35, pp. 39-40; Recall that the question is what model the plan adopts for a particular service. Thus it could cover all care except heart-valve replacement domestically, and as to diat surgery it could either mandate treatment abroad, incentivize it, or penalize (but cover) die surgery domestically; http://www.legis.state.tx.us/tlodocs/76R/analysb/html/SB01391F.htm, The Texas statute prohibits a ""plan diat requires an enrollee to"" engage in medical tourism, TEX. Ins. Code Ann. § 121.004 (Vernon 2009), but does not define ""requires""; the most natural reading to me is that it prohibits only TM-type plans, not DE- or Tl-type plans, but that interpretation has yet to be tested. The legislative history suggests the prohibition was also meant to apply to plans that offer ""discount on the amount an enrollee is required to pay to receive a particular health care service under the plan"" if the enrollee opts for medical tourism. Texas Bill Analysis, S.B. 1391, (Apr. 11, 2007), 80th Leg., Reg. Sess., (Tex. 2007), available at; Jolls, C., Sunstein, C.R., Debiasing through law (2006) 35 J. Legal Stud., 199, pp. 205-206. , See, e.g; Kahneman, D., Tversky, A., Prospect theory: An analysis of decision under risk (1979) 47 Econometrica, 263; Johnson, , 345, pp. 43-44. , supra note; Agrawal, Hall, , 130, p. 268. , supra note; Arlen, J., MacLeod, W.B., Malpractice liability for physicians and managed care organizations (2003) 78 N.Y.U. L. Rev., 1929, pp. 1987-1997; Havighurst, C.C., Vicarious liability: Relocating responsibility for the quality of medical can (2000) 26 Am. J.L. & Med., 7-9, pp. 16-20. , (describing enterprise liability as a ""default"" option for patients); Sage, , 91, pp. 160-69. , supra note, 194. Sage's work was written in the context of proposed Clinton-era healthcare reform and its application in the post-managed-care backlash era domestically, let alone to medical tourism, is not obvious. Arlen and MacLeod's position differs from other commentators in that they argue against ""predicating MCO liability on control (as under traditional vicarious liability)"" because ""it may discourage MCOs from exercising welfare-enhancing controls to reduce medical error"" and instead suggest MCOs should face liability ""if the MCO had the capacity to affect its physicians' behavior by sanctioning negligent physicians, regardless of whether the MCO actually exercises direct control over physician behavior."" Arlen & MacLeod, supra, at 1988. While it seems plausible that insurers have more power to sanction than to control foreign providers in medical tourism, their ability to sanction here also seems markedly weaker than in the domestic realm; Agrawal, Hall, , 130, p. 268. , supra note; Danzon, , 322. , supra note; Epstein, R.A., Vicarious liability of health plans for medical injuries (2000) 34 Val. U. L. Rev., 581, pp. 590-594; Agrawal, Hall, , 130, p. 269. , supra note; Furrowetal, , 125, pp. 404-05. , supra note; See supra text accompanying notes 121-29 (discussing such restructuring attempts); Requiring them to cover healthcare expenditures from medical tourism simplicity might be desirable in theory, but my own sense is that this would require too much of a divergence from existing insurance practice where coverage is tied to the time services are needed, not the time when the disease first manifested, to be justified","Cohen, I. G.; Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law SchoolUnited States; email: igcohen@law.harvard.edu",,,,,,,,00210552,,,,"English","Iowa Law Rev.",Article,"Final",,Scopus,2-s2.0-77952043107 "Wu H.-C., Li T., Li M.-Y.","55847642000;56874848000;57054293300;","A Study of Behavioral Intentions, Patient Satisfaction, Perceived Value, Patient Trust and Experiential Quality for Medical Tourists",2016,"Journal of Quality Assurance in Hospitality and Tourism","17","2",,"114","150",,41,"10.1080/1528008X.2015.1042621","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954220323&doi=10.1080%2f1528008X.2015.1042621&partnerID=40&md5=a7d4b5ebdbd65d0f11a4778bc012bd56","Department of Economics and Business Management, Nanfang College of Sun Yat-sen University, Wen Quan Town, Conghua, Guangzhou City, Guangdong Province, China; Faculty of Hospitality and Tourism Management, Macau University of Science and Technology, Avenida Wai Long, Taipa, Macau","Wu, H.-C., Department of Economics and Business Management, Nanfang College of Sun Yat-sen University, Wen Quan Town, Conghua, Guangzhou City, Guangdong Province, China; Li, T., Faculty of Hospitality and Tourism Management, Macau University of Science and Technology, Avenida Wai Long, Taipa, Macau; Li, M.-Y., Faculty of Hospitality and Tourism Management, Macau University of Science and Technology, Avenida Wai Long, Taipa, Macau","This study examines the relationships among behavioral intentions, patient satisfaction, perceived value, patient trust, and experiential quality and its dimensions. The findings of this study are based on structural equation modeling analysis of a random sample of 452 medical tourists from Mainland China. The result of this study will assist medical tourism management to develop and implement market-orientated service strategies both to increase experiential quality and perceived value, and to enhance the trust and satisfaction among patients. 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Wu, H.C., Cheng, C.C., Hsu, F.S., An assessment of visitors’ behavioral intentions in the Taiwan tourist night market using a multilevel and hierarchical model (2014) Tourism Analysis, 19 (2), pp. 185-197; Wu, H.C., Hsu, F.S., A multi-dimensional and hierarchical model of service quality in the gaming industry (2012) International Journal of Tourism Sciences, 12 (3), pp. 90-118; Wu, H.C., Ko, Y.J., Assessment of service quality in the hotel industry (2013) Journal of Quality Assurance in Hospitality & Tourism, 14 (3), pp. 218-244; Wu, H.C., Li, M.Y., Li, T., A study of experiential quality, experiential value, experiential satisfaction, theme park image, and revisit intention (2014) Journal of Hospitality & Tourism Research; Wu, H.C., Li, T., A study of experiential quality, perceived value, heritage image, experiential satisfaction, and behavioral intentions for heritage tourists (2014) Journal of Hospitality & Tourism Research; Wu, H.C., Li, T., An empirical study of the effects of service quality, visitor satisfaction, and emotions on behavioral intentions of visitors to the museums of Macau (2015) Journal of Quality Assurance in Hospitality & Tourism, 16 (1), pp. 80-102; Wu, H.C., Wong, W.C.J., Cheng, C.C., An empirical study of behavioral intentions in the food festival: The case of Macau (2014) Asia Pacific Journal of Tourism Research, 19 (11), pp. 1278-1305; Wu, J.H.C., Lin, Y.C., Hsu, F.S., An empirical analysis of synthesizing the effects of service quality, perceived value, corporate image and customer satisfaction on behavioral intentions in the transport industry: A case of Taiwan high-speed rail (2011) Innovative Marketing, 7 (3), pp. 83-100; Yoon, Y.S., Lee, J.S., Lee, C.K., Measuring festival quality and value affecting visitors’ satisfaction and loyalty using a structural approach (2010) International Journal of Hospitality Management, 29 (2), pp. 335-342; Yu, C.H., Chang, H.C., Huang, G.L., A study of service quality, customer satisfaction and loyalty in Taiwanese leisure Industry (2006) The Journal of American Academy of Business, 9 (1), pp. 126-132; Zain, P.D., Setiawan, M., Rahayu, M., Patient satisfaction, trust and commitment: Mediator of service quality and its impact on loyalty (an empirical study in Southeast Sulawesi Public hospitals) (2013) IOSR Journal of Business and Management, 7 (6), pp. 1-14; Zboja, J.J., Voorhees, C.M., The impact of brand trust and satisfaction on retailer purchase intentions (2006) Journal of Services Marketing, 20 (5), pp. 381-390; Zeithaml, V.A., Consumer perceptions of price, quality, and value: A means-end model and synthesis of evidence (1988) Journal of Marketing, 52 (3), pp. 2-22; Zeithaml, V.A., Berry, L.L., Parasuraman, A., The behavioral consequences of service quality (1996) Journal of Marketing, 60 (2), pp. 31-46; Zikmund, W.G., (2003) Business research methods, , 7th ed., Mason, OH: Thomson/South-Western; Zineldine, M., The quality of health care and patient satisfaction: An exploratory investigation of 5Q model at some Egyptian and Jordanian medical clinics (2006) International Journal of Health Care Quality Assurance, 19 (1), pp. 60-92","Wu, H.-C.; Department of Economics and Business Management, Nanfang College of Sun Yat-sen UniversityChina; email: wuhungche66@gmail.com",,,"Routledge",,,,,1528008X,,,,"English","J. Qual. Assur. Hosp. Tour.",Article,"Final",,Scopus,2-s2.0-84954220323 "Crooks V.A., Turner L., Cohen I.G., Bristeir J., Snyder J., Casey V., Whitmore R.","35585107800;7202689997;25653634900;55622220300;24170239100;55486848400;7005041258;","Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of Canadian health and safety representatives' perspectives",2013,"BMJ Open","3","2", 002302,"","",,40,"10.1136/bmjopen-2012-002302","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874993262&doi=10.1136%2fbmjopen-2012-002302&partnerID=40&md5=9aec3438f36db518418e8f40bb994df5","Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Center for Bioethics, School of Public Health, University of Minnesota, Minneapolis, MN, United States; Petrie-Flom Center for Health Law Policy, Harvard Law School, Harvard University, Cambridge, MA, United States; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Turner, L., Center for Bioethics, School of Public Health, University of Minnesota, Minneapolis, MN, United States; Cohen, I.G., Petrie-Flom Center for Health Law Policy, Harvard Law School, Harvard University, Cambridge, MA, United States; Bristeir, J.; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Casey, V., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Whitmore, R., Department of Geography, Simon Fraser University, Burnaby, BC, Canada","Objectives: Medical tourism involves patients' intentional travel to privately obtain medical care in another country. Empirical evidence regarding health and safety risks facing medical tourists is limited. Consideration of this issue is dominated by speculation and lacks meaningful input from people with specific expertise in patient health and safety. We consulted with patient health and safety experts in the Canadian province of British Columbia to explore their views concerning risks that medical tourists may be exposed to. Herein, we report on the findings, linking them to existing ethical and legal issues associated with medical tourism. Design: We held a focus group in September 2011 in Vancouver, British Columbia with professionals representing different domains of patient health and safety expertise. The focus group was transcribed verbatim and analysed thematically. Participants: Seven professionals representing the domains of tissue banking, blood safety, health records, organ transplantation, dental care, clinical ethics and infection control participated. Results: Five dominant health and safety risks for outbound medical tourists were identified by participants: (1) complications; (2) specific concerns regarding organ transplantation; (3) transmission of antibiotic-resistant organisms; (4) (dis)continuity of medical documentation and (5) (un)informed decision-making. Conclusions: Concern was expressed that medical tourism might have unintended and undesired effects upon patients' home healthcare systems. The individual choices of medical tourists could have significant public consequences if healthcare facilities in their home countries must expend resources treating postoperative complications. Participants also expressed concern that medical tourists returning home with infections, particularly antibiotic-resistant infections, could place others at risk of exposure to infections that are refractory to standard treatment regimens and thereby pose significant public health risks.",,"antibiotic resistance; article; bacterial transmission; blood safety; Canada; dental procedure; health care system; human; infection control; informed consent; medical decision making; medical documentation; medical ethics; medical profession; medical record; medical tourism; organ transplantation; patient care; patient safety; qualitative research; risk assessment; thematic analysis; tissue banking",,,,,,,,"Hopkins, L., Labonté, R., Runnels, V., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31, pp. 185-198; Lunt, N., Smith, R., Exworthy, M., Medical tourism: Treatments, markets and health system implications: A scoping review (2011) OECD Directorate for Employment, Labour and Social Affairs., , http://www.oecd.org/els/healthpoliciesanddata/48723982.pdf, (accessed Sep 2012); Johnston, R., Crooks, V.A., Snyder, J., I didn't even know what i was looking for': A qualitative study of the decision-making processes of Canadian medical tourists (2012) Global Health, 8, p. 23; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245. , DOI 10.1080/01947640701357763, PII 779409809; Comarow, A., Under the knife in Bangalore (2008) US News World Rep, 144, p. 42; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; Gilmour, D., Cross-border healthcare: A patient's choice (2009) J Perioper Pract, 19, p. 156; Perotin, M.M., (2004) Sun, Sea and Surgery, , National Post 11 Sept, PT3; Shulman, M., It's an operation, not a vacation (2008) US News World Rep, 144, p. 48; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Glob Public Health, 3, pp. 271-290; Al-Hinai, S.S., Al-Busaidi, A.S., Al-Busaidi, I.H., 2011. 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Hoboken NJ: John Wiley & Sons; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism by Canadian patients: Comparing patient and academic perspectives (2012) Public Health Ethics, 5, pp. 38-46; Thorne, S., Data analysis in qualitative research (2000) Evid Based Nurs, 3, pp. 68-70; Caulfield, T., Zarzeczny, A., Toronto Stem Cell Working Group. Stem cell tourism and Canadian family physicians (2012) Can Fam Physician, 58, pp. 365-368; Einsiedel, E.F., Adamson, H., Stem cell tourism and future stem cell tourists: Policy and ethical implications (2012) Dev World Bioeth, 12, pp. 35-44; Johnston, R., Crooks, V.A., Snyder, J., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Wikler, D., Personal and social responsibility for health (2002) Ethics Int Affair, 16, pp. 47-55; Segal, S., (2010) Health Luck and Justice, , Princeton NJ: Princeton University Press; Snyder, J., Crooks, V.A., Johnston, R., What do we know about Canadian involvement in medical tourism? A scoping review (2011) Open Med, 5, pp. 139-148; Turner, L., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int J Qual Health Care, 23, pp. 1-7; Beauchamp, T.L., Childress, J.F., (2001) Principles of Biomedical Ethics, , 5th edn. New York: Oxford University Press; Penney, K., Snyder, J., Crooks, V.A., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, p. 17; Cohen, I.G., Protecting patients with passports: Medical tourism and the patient-protective argument Iowa Law Rev, 95, pp. 1467-1567; Schneider, C.E., After autonomy (2006) Wake Forest Law Rev, 41, pp. 411-444; Cohen, I.G., Medical tourism: The view from 10,000 feet (2010) Hastings Center Rep, 40, pp. 11-12; Kitzinger, J., Qualitative research: Introducing focus groups (1995) BMJ, 311, p. 299; Denzin, N.K., Lincoln, Y.S., (2005) Introduction: The Discipline and Practice of Qualitative Research, pp. 1-32. , Denzin NK, Lincoln YS, eds. The Sage handbook of qualitative research. 3rd edn. Thousand Oaks, CA: Sage","Crooks, V.A.; Department of Geography, Simon Fraser University, Burnaby, BC, Canada; email: crooks@sfu.ca",,,,,,,,20446055,,,,"English","BMJ Open",Article,"Final",Open Access,Scopus,2-s2.0-84874993262 "Chen Y.Y.B., Flood C.M.","56740121700;7004504998;","Medical Tourism's Impact on Health Care Equity and Access in Low- and Middle-Income Countries: Making the Case for Regulation",2013,"Journal of Law, Medicine and Ethics","41","1",,"286","300",,40,"10.1111/jlme.12019","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84876995375&doi=10.1111%2fjlme.12019&partnerID=40&md5=2b77a10e7e884594eccfd8ab7257b03a","University of Toronto, Faculty of Law, Canada","Chen, Y.Y.B., University of Toronto, Faculty of Law, Canada; Flood, C.M., University of Toronto, Faculty of Law, Canada","There is currently an evidentiary gap in the scholarship concerning medical tourism's impact on low- and middle-income destination countries (LMICs). This article reviews relevant evidence that exists and concludes that there are signs of correlation between medical tourism and the expansion of private, technology- intensive health care in LMICs, which has largely remained out of reach for the majority of the local patients. In light of this health care inequity between local residents and medical tourists in LMICs, we argue that the presumption should not be in favor of medical tourism and that governments have a legitimate interest in seeking to regulate this industry to ensure that the net effects for their citizens is positive. Moreover, sending countries, particularly those in the developed world, have the responsibility to adopt public policies to diminish demand on the part of their citizens for medical tourism and to work with LMICs to ensure that the growth of medical tourism does not occur at the expense of the poorest of the poor. © 2013 American Society of Law, Medicine & Ethics, Inc.",,"article; developing country; ethics; health care delivery; health care disparity; human; international cooperation; legal aspect; medical tourism; Developing Countries; Health Services Accessibility; Healthcare Disparities; Humans; International Cooperation; Medical Tourism",,,,,,,,"Connell, J., Medical Tourism (Wallingford (2011), pp. 38-39. , U.K.: CABI; Cortez, N., Patients without Borders: The Emerging Global Market for Patients and the Evolution of Modern Health Care (2008) Indiana Law Journal, 83 (1), pp. 71-132; Keckley, P., Underwood, H., Medical Tourism: Update and Implications (Washington, D.C.: Deloitte Center for Health Solutions (2009), p. 9; Kanchanachitra, C., Human Resources for Health in Southeast Asia: Shortages 769-781; Hazarika, I., Medical Tourism: Its Potential Impact on the Health Workforce and Health Systems in India (2010) Health Policy and Planning, 25 (3), pp. 248-251; Leng, C.H., Medical Tourism and the State in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, pp. 7-8. , New York: Palgrave MacMillan; Herricks, D., Medical Tourism: Global Competition in Health Care (2007), p. 23. , NCPA Policy Report No. 304 (Dallas: National Center for Policy Analysis; Ramírez de Arellano, A., Patients Without Borders: The Emergence of Medical Tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Hopkins, L., Medical Tourism Today: What Is the State of Existing Knowledge (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Leahy, A., Medical Tourism: The Impact of Travel to Foreign Countries for Healthcare (2008) The Surgeon - Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 6 (5), pp. 260-261; Johnston, R., What is Known About the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review (2010) International Journal for Equity in Health, 9 (24), pp. 1-13; Turner, L., First World Health Care at Third World Prices': Globalization, Bioethics and Medical Tourism (2007) BioSocieties, 2 (3), pp. 303-325; Sen Gupta, A., Medical Tourism in India: Winners and Losers (2008) Indian Journal of Medical Ethics, 5 (1), pp. 4-5; Lautier, M., Export of Health Services from Developing Countries: The Case of Tunisia (2008) Social Science & Medicine, 67 (1), pp. 101-110; Cohen, I.G., Medical Tourism, Access to Health Care and Global Justice (2011) Virginia Journal of International Law, 52 (1), pp. 1-56; Cohen, I.G., VJIL Symposium: Response to Commentary on Medical Tourism, Access to Health Care, and Global Justice (2012); http://www.who.int/whosis/whostat/2011/en/index.html, WHO Statistical Information System (WHOSIS), World Health Statistics 2011, available at; NaRanong, A., NaRanong, V., The Effects of Medical Tourism: Thailand's Experience (2011) Bulletin of the World Health Organization, 89 (5), pp. 336-344; Wibulpolprasert, S., International Service Trade and its Implications for Human Resources for Health: A Case Study of Thailand (2004) Human Resources for Health, 2, p. 10; Tattara, G., Medical Tourism and Domestic Population Health http://ssrn.com/abstract=1544224; Leng, C.H., Whittaker, A., Guest Editors' Introduction to the Special Issue: Why Is Medical Travel of Concern to Global Social Policy (2010) Global Social Policy, 10 (3), pp. 287-291; Kumar, P., Sleeboom-Faulkner, M., Bionetworking: Experimental Stem Cell Therapy and Patient Recruitment in India (2009) Anthropology & Medicine, 16 (2), pp. 147-163; Sengupta, A., Nundy, S., The Private Health Sector in India (2005) BMJ, 331, pp. 1157-1158; Kanchanachitra, C., http://en.thaihealth.or.th/resource-center/reports/health-report/2009, Thai Health 2009: Stop Violence for Well-Being of Mankind, Report by Institute for Population and Social Research (Mahidol University), Thai Health Promotion Foundation and the National Health Commission Office (2009), at 16-17, available at; (2010), ""Thailand: Study Cite Inequity in Thai Health Care System,"" Thai News Service, January 4; Varman, R., Manohar Vikas, R., Rising Markets and Failing Health: An Inquiry into Subaltern Health Care Consumption Under Neoliberalism (2007) Journal of Macromarketing, 27 (2), pp. 162-172; Rasiah, R., Noh, A., Tumin, M., Privatising Healthcare in Malaysia: Power, Policy and Profits (2009) Journal of Contemporary Asia, 39 (1), pp. 50-62; By pointing out the nexus between medical tourism and the private health care sector in most destination countries, we do not imply that medical tourism cannot occur within a public health care regime, nor do we wish to suggest that medical tourism does not pose a threat to health care human resources when led by the public sector. Arguably, it is possible for internal brain drain to take place in the public health care context when, for example, physicians reallocate treatment times originally designated for domestic patients to foreign patients; Saniotis, A., Medical Bioethics and Medical Tourism in Thailand (2008) Eubios Journal of Asian and International Bioethics, 18 (5), pp. 150-151; Connell, J., A New Inequality? Privatisation, Urban Bias, Migration and Medical Tourism (2011) Asia Pacific Viewpoint, 52 (3), pp. 260-271; Wibulpolprasert, S., Pachanee, C.A., Addressing the Internal Brain Drain of Medical Doctors in Thailand: The Story and Lesson Learned (2008) Global Social Policy, 8 (1), pp. 12-15; http://www.guardian.co.uk/globaldevelopment/poverty-matters/2011/apr/26/thailand-medicaltourism-divides-professionals, Other sources estimate the salary of doctors in private clinics to be about 8-10 times greater than that of doctors in state hospitals, as seen in A. Chambers, ""Thai Embrace of Medical Tourism Divides Professionals,"" The Guardian (London), April 26, 2011, available at; Wibulpolprasert, S., Pengpaibon, P., Integrated Strategies to Tackle the Inequitable Distribution of Doctors in Thailand: Four Decades of Experience (2003) Human Resources for Health, 1 (12), pp. 1-17; ""NHC Joins Opposition to Medical Hub Plan,"" Bangkok Post, November 4, 2010, available at Document No. BKPOST0020101104e6b40000d (last visited February 19, 2013); Whittaker, A., ross-Border Assisted Reproduction Care in Asia: Implications for Access, Equity and Regulations (2011) Reproductive Health Matters, 19 (37), pp. 107-116; Leng, C.H., Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare (2007) Asia Research Institute Working Paper Series, (83), pp. 3-32; Hamilton, J., Medical Tourism Creates Thai Doctor Shortage http://www.npr.org/templates/story/story.php?storyId=16735157, National Public Radio, November 29, 2007, available at; Even, D., Zinshtein, M., Haaretz Probe: Israel Gives Medical Tourists Perks Denied to Citizens http://www.haaretz.com/print-edition/news/haaretz-probe-israel-gives-medical-tourists-perks-denied-to-citizens-1.325275; Chanda, R., Trade in Health Services (2002) Bulletin of the World Health Organization, 80 (2), pp. 158-163; McLean, T., The Global Market for Health Care: Economics and Regulation (2008) Wisconsin International Law Journal, 26 (3), pp. 591-645; Selvaraj, S., Karan, A., Deepening Health Insecurity in India: Evidence from National Sample Surveys Since 1980s (2009) Economic & Political Weekly, 44, p. 40; http://www.unctad.org/en/Docs/c1em30d3_en.pdf, Report of the Expert Meeting on Universal Access to Services, TD/B/COM.1/EM.30/3 (Geneva: United Nations Conference on Trade and Development, 2006), at 13, available at; Spinaci, S., Tough Choices: Investing in Health for Development, Experiences from National Follow-Up to the Commission on Macroeconomics and Health (New Delhi: World Health Organization, 2006): Electronic Annex C, at 7; Duggal, R., Poverty & Health: Criticality of Public Financing (2007) Indian Journal of Medical Research, 126 (4), pp. 309-317; (2006), Government Health Expenditure in India: A Benchmark Study (New Delhi: Economic Research Foundation; Labonté, R., The Brain Drain of Health Professionals From Sub-Saharan Africa to Canada (2006), pp. 43-44. , African Migration and Development Series No. 2 (Cape Town: Idasa Publishing; Linder-Ganz, R., Even, D., Panel Recommends Using Money from Medical Tourism to Fund Israelis (2011), http://www.haaretz.com/print-edition/news/panel-recommends-using-money-frommedical-tourism-to-fund-israelis-healthcare-1.364638, Healthcare,"" Haaretz (Israel), May 29; Blouin, C., Trade in Health Services: Can it Improve Access to Health Care for Poor People? (2010) Global Social Policy, 10 (3), pp. 293-295; Stoddart, G., Barer, M., Will Increasing Medical School Enrolment Solve Canada's Physician Supply Problems (1999) Canadian Medical Association Journal, 161 (8), pp. 983-984; Frenk J.et, al., Patterns of Medical Employment: A Survey of Imbalances in Urban Mexico (1991) American Journal of Public Health, 81 (1), pp. 23-29; Kamalakanthan, A., Jackson, S., The Supply of Doctors in Australia: Is There a Shortage? (2006) University of Queensland, School of Economics, pp. 1-36. , Discussion Paper No. 341; Mullan, F., Doctors for the World: Indian Physician Emigration (2006) Health Affairs, 25 (2), pp. 380-393; Mills, E., The Financial Cost of Doctors Emigrating from Sub-Saharan Africa: Human Capital Analysis (2011) BMJ, 343, pp. 1-13; Tata, S., (2009), Medical Travel in Asia and the Pacific: Challenges and Opportunities (Bangkok: UN Economic and Social Commission for Asia and the Pacific; Madden, C., Medical Tourism Causes Complications Asia Times, , http://www.atimes.com/atimes/Asian_Economy/JK07Dk01.html; Saniotis, A., Changing Ethics in Medical Practice: A Thai Perspective (2007) Indian Journal of Medical Ethics, 4 (1), pp. 24-25; Chinai, R., Goswami, R., News Article, ""Medical Visas Mark Growth of Indian Medical Tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; http://www.indiankanoon.org/doc/1508125/, All India Lawyers Union (Delhi Unit) v. Government of N.C.T. of Delhi & Others, (2009) WP(C) No. 5410/1997 (Delhi H.C.), at para. 20, available at; Shetty, P., Medical Tourism Booms in India, but at What Cost (2010) The Lancet, 376, pp. 671-672; Alsharif, M., Labonté, R., Lu, Z., Patients Beyond Borders: A Study of Medical Tourists in Four Countries (2010) Global Social Policy, 10 (3), pp. 315-335; It is noteworthy that New Zealand did consider the possibility of imposing a medical tourism tax in 2009, as reported in G. Armstrong, ""'Medical Tourism' Levy Under Scrutiny in New Zealand,"" eTurboNews. com, October 25, 2009, available at (last visited January 30, 2013). However, even in this example, the tax revenues would be earmarked to cover the potential costs of treating foreign patients who suffer from medical injuries while seeking care in New Zealand rather than to expand health care access for domestic patients; Arndt, H., The 'Trickle-Down' Myth (1983) Economic Development and Cultural Change, 32 (1), pp. 1-10; Scheyvens, R., Exploring the Tourism-Poverty Nexus,"" Current Issues in Tourism 10 (2007), 2-3, pp. 231-254; Akama, J., The Efficacy of Tourism as a Tool for Economic Development in Kenya (2000) DPMN Bulletin, 7 (1); Meghani, Z., A Robust, Particularist Ethical Assessment of Medical Tourism (2011) Developing World Bioethics, 11 (1), pp. 16-29; Basu, S., Mallick, S., When Does Growth Trickle Down to the Poor? The Indian Case (2008) Cambridge Journal of Economics, 32 (3), pp. 461-477; Thornton, J., Agnello, R., Link, C., Poverty and Economic Growth: Trickle Down Peters Out (1978) Economic Inquiry, 16 (3), pp. 385-394; Formby, J., Hoover, G., Kim, H., Economic Growth and Poverty in the United States: Comparisons of Estimates Based upon Official Poverty Statistics and Sen's Index of Poverty (2000), http://ssrn.com/abstract=249068, University of Alabama Economics, Finance and Legal Studies Working Paper Series, No. 00-11-01; Schilcher, D., Growth Versus Equity: The Continuum of Pro-Poor Tourism and Neoliberal Governance (2007) Current Issues in Tourism, 10 (2-3), pp. 166-193","Chen, Y.Y.B.; University of Toronto, Faculty of LawCanada",,,,,,,,10731105,,,"23581671","English","J. Law Med. Ethics",Article,"Final",,Scopus,2-s2.0-84876995375 "Lunt N.T., Mannion R., Exworthy M.","6603761945;7007006015;6701453754;","A Framework for Exploring the Policy Implications of UK Medical Tourism and International Patient Flows",2013,"Social Policy and Administration","47","1",,"1","25",,40,"10.1111/j.1467-9515.2011.00833.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84872200402&doi=10.1111%2fj.1467-9515.2011.00833.x&partnerID=40&md5=319453b35d171c2a473690dae7091028","Department of Social Policy and Social Work, University of York, Heslington, York YO10 5DD, United Kingdom","Lunt, N.T., Department of Social Policy and Social Work, University of York, Heslington, York YO10 5DD, United Kingdom; Mannion, R., Department of Social Policy and Social Work, University of York, Heslington, York YO10 5DD, United Kingdom; Exworthy, M., Department of Social Policy and Social Work, University of York, Heslington, York YO10 5DD, United Kingdom","It is estimated that over 50,000 individuals from the UK each year elect to fund their own treatment abroad. Such treatments commonly include cosmetic and dental surgery; cardio, orthopaedic and bariatric surgery; IVF treatment; and organ and tissue transplantation. The UK has also experienced inward flows of patients who travel to receive treatment and pay out of pocket, being treated in both private and NHS facilities. The rise of 'medical tourism' presents new opportunities and challenges in terms of treatment options for consumers/patients and health policymakers. Such developments denote a commercialization, commodification and internationalization of health care in a way that UK policy has not experienced to date. This article addresses four key issues. We explain the rise of medical-related travel (applied to the UK), identify key policy considerations for the future, highlight important research gaps and explore conceptual frameworks which might help us understand better the observed patterns of medical tourism. Whilst the context for policy and practice is undoubtedly dynamic, we argue the need for greater clarity in understanding the emergent implications for health policy and health care delivery. © 2012 Blackwell Publishing Ltd.","Globalization; Health policy; International patients; Medical tourism; Medical travel","commercialization; conceptual framework; dental health; globalization; health care; health policy; international tourism; medical geography; policy making; United Kingdom",,,,,,,,"Abel-Smith, B., (1976) Value for money in health services: a comparative study, , London: Heinemann; Arya, R., Barnes, J.A., Hossain, U., Patel, R.K., Cohen, A.T., Long-haul flights and deep vein thrombosis: a significant risk only when additional factors are also present (2002) British Journal of Haematology, 116 (3), pp. 653-654; Bender, T., Balint, P.V., Balint, G.P., A brief history of spa therapy (2002) Annals of the Rheumatic Diseases, 61 (10), pp. 949-950; Bertinato, L., Busse, R., Fahy, N., Legido-Quigley, H., McKee, M., Palm, W., Passarani, I., Ronfini, F., (2005) Cross-Border Health Care in Europe, , Policy Brief, WHO on behalf of the European Observatory on Health Systems and Policies, Copenhagen; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism'- an avoidable burden on the NHS (2007) Journal of Plastic, Reconstructive and Aesthetic Surgery, 60 (9), pp. 1075-1077; Blank, R.H., Burau, V., (2010) Comparative Health Policy, , 3rd edn), Basingstoke: Palgrave Macmillan; Botten, G., Grepperud, S., Nerland, S.M., Trading patients: Lessons from Scandinavia (2004) Health Policy, 69 (3), pp. 317-327; Brozek, J., (2011) Determinants Which Attract British Residents to go to Poland for Dental Treatment, , Dissertation submitted in partial fulfilment of International Health Care Management Masters, Management Center, Innsbruck; Carrera, P., Medical tourism (2006) Health Affairs, 25 (5), p. 1453; Chang, S.H., Stoll, C.R., Colditz, G.A., Cost-effectiveness of bariatric surgery: should it be universally available? 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Winters (eds), Oxford: Blackwell; Sari, A.B.A., Sheldon, T.A., Cracknell, A., Turnbull, A., Dobson, Y., Grant, C., Gray, W., Richardson, A., Extent, nature and consequences of adverse events: results of a retrospective case note review in a large NHS hospital (2007) Quality and Safety in Health Care, 16, pp. 434-439; Simon, F.L., Tourism development in transition economies: The Cuba case (1995) The Columbia Journal of World Business, 30 (1), pp. 26-40; Smith, R.D., Martinez-Alvarez, M., Chanda, R., (2011), (forthcoming), How is Medical Tourism Perceived? A Qualitative Study of Perspectives from the UK and India, Globalization and Health; Smith, R.D., Martinez-Alvarez, M., Chanda, R., Medical tourism: a review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, , doi: 10.1016/j.healthpol.2011.06.009; (2008) Health and Wellness Tourism, , Smith, M. and Puczkó, L. (eds), Oxford: Butterworth-Heinemann/Elsevier; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism? A scoping review (2011) Open Medicine, 5 (3), pp. 139-148; Sobo, E.J., Medical Travel: What It Means, Why It Matters (2009) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 28 (4), pp. 326-335; (2009), http://www.sochealth.co.uk/confs/somali.htm, Socialist Health Association, Somali Health Seminar, 25 April 2009, (accessed 1 September 2011); (2011), http://www.spirehealthcare.com/bushey/news/elstree-cancer-centre-opens/, Spire Healthcare, UK's first stand alone dedicated centre opens in London,(accessed 1 September 2011); Terry, N.P., Under-Regulated Health Care Phenomena in a Flat World: Medical Tourism and Outsourcing (2007) Western New England Law Review, 29, p. 421; Thaler, R., Sunstein, C., (2008) Nudge Improving decisions about health, wealth, and happiness, , New Haven, CT: Yale University Press; Weiss, E.M., Spataro, P.F., Kodner, I.J., Keune, J.D., Banding in Bangkok, CABG in Calcutta: the United States physician and the growing field of medical tourism (2010) Surgery, 148 (3), pp. 597-601; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Whittaker, A., Challenges of medical travel to global regulations: a case study of reproductive travel in Asia (2010) Global Social Policy, 10 (3), pp. 396-415; Wibulpolprasert, S., Pachanee, C.-A., Addressing the Internal Brain Drain of Medical Doctors in Thailand: The Story and Lesson Learned (2008) Global Social Policy, 8 (1), pp. 12-15; Williams, A., Valverde, S., England & Wales (2009) The International Comparative Legal Guide to Pharmaceutical Advertising, pp. 98-107. , London: Global Legal Group; Williams, B., Whatmough, P., McGill, J., Rushton, L., Private funding of elective hospital treatment in England and Wales, 1997-8: national survey (2000) BMJ, 320 (7239), pp. 904-905; Zaidi, A.K.M., Huskins, W.C., Thaver, D., Bhutta, Z.A., Abbas, Z., Goldmann, D.A., Hospital-acquired neonatal infections in developing countries (2005) The Lancet, 365 (9465), pp. 1175-1188","Lunt, N.T.; Department of Social Policy and Social Work, University of York, Neil T. Lunt, Heslington, York YO10 5DD, United Kingdom; email: neil.lunt@york.ac.uk",,,,,,,,01445596,,,,"English","Soc. Policy Adm.",Article,"Final",,Scopus,2-s2.0-84872200402 "Jantunen E., Kuittinen T., Mahlamäki E., Pyörälä M., Mäntymaa P., Nousiainen T.","7005969996;55881074500;6603920014;6602424109;6602140769;7004999920;","Efficacy of pre-emptively used plerixafor in patients mobilizing poorly after chemomobilization: A single centre experience",2011,"European Journal of Haematology","86","4",,"299","304",,40,"10.1111/j.1600-0609.2010.01573.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952768349&doi=10.1111%2fj.1600-0609.2010.01573.x&partnerID=40&md5=fec0eea92dc7cf52821dfae8c40dfdb5","Department of Medicine, Kuopio University Hospital, Kuopio, Finland; University of Eastern Finland/Institute of Clinical Medicine, Kuopio, Finland; Eastern Finland Laboratory Centre, Kuopio, Finland","Jantunen, E., Department of Medicine, Kuopio University Hospital, Kuopio, Finland, University of Eastern Finland/Institute of Clinical Medicine, Kuopio, Finland; Kuittinen, T., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Mahlamäki, E., Eastern Finland Laboratory Centre, Kuopio, Finland; Pyörälä, M., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Mäntymaa, P., Eastern Finland Laboratory Centre, Kuopio, Finland; Nousiainen, T., Department of Medicine, Kuopio University Hospital, Kuopio, Finland","A significant proportion of patients with lymphoid malignancies are hard-to-mobilize with a combination of chemotherapy plus granulocyte colony-stimulating factor (G-CSF) (chemomobilization). Plerixafor is a novel drug used to improve mobilization of blood stem cells. However, it has been studied mainly in association with G-CSF mobilization. We evaluated the efficacy of 'pre-emptive' use of plerixafor after chemomobilization in patients who seem to mobilize poorly. During a 15month period, altogether 63 patients with lymphoid malignancies were admitted to our department for blood stem cell collection. Sixteen patients (25%) received plerixafor after the first mobilization due to the low blood (B) CD34+ cell counts (n=12) or poor yield of the first collection (n=4). The median number of plerixafor injections was 1 (1-3). The median B-CD34+ count after the first plerixafor dose was 39×106/L (<1-81) with the median increase of fivefold. Stem cell aphaereses were performed in 14/16 patients (88%) receiving plerixafor and a median of 2.9×106/kg (1.6-6.1) CD34+ cells were collected with a median of one aphaeresis (1-3). Altogether 13/16 patients mobilized with a combination of chemomobilization and plerixafor received high-dose therapy with stem cell support and all engrafted. Pre-emptive use of plerixafor after chemomobilization is efficient and safe and should be considered in poor mobilizers to avoid collection failure. In patients with low but rising B-CD34+ counts, the use of plerixafor might be delayed as late mobilization may occur. Further studies are needed to optimize patient selection and timing of plerixafor. © 2011 John Wiley & Sons A/S.","Lymphoma; Myeloma; Plerixafor; Poor mobilization; Pre-emptive use; Stem cells","bleomycin; bortezomib; carboplatin; CD34 antigen; cisplatin; cyclophosphamide; cytarabine; dacarbazine; dexamethasone; doxorubicin; etoposide; ifosfamide; lenalidomide; melphalan; methotrexate; mitoxantrone; plerixafor; prednisolone; recombinant granulocyte colony stimulating factor; rituximab; thalidomide; vinblastine; vincristine; adult; aged; apheresis; article; autologous stem cell transplantation; cancer patient; cancer radiotherapy; chemoembolization; clinical trial; drug efficacy; drug megadose; female; follicular lymphoma; Hodgkin disease; hospital admission; human; large cell lymphoma; low drug dose; major clinical study; male; mantle cell lymphoma; multiple cycle treatment; multiple myeloma; nonhodgkin lymphoma; patient safety; peripheral T cell lymphoma; priority journal; stem cell mobilization; treatment failure; tumor engraftment; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Female; Filgrastim; Graft Survival; Hematopoietic Stem Cell Mobilization; Heterocyclic Compounds; Hodgkin Disease; Humans; Lymphoma; Lymphoma, Non-Hodgkin; Male; Middle Aged; Multiple Myeloma; Receptors, CXCR4; Stem Cell Transplantation; Transplantation, Autologous; Treatment Outcome",,"bleomycin, 11056-06-7; bortezomib, 179324-69-7, 197730-97-5; carboplatin, 41575-94-4; cisplatin, 15663-27-1, 26035-31-4, 96081-74-2; cyclophosphamide, 50-18-0; cytarabine, 147-94-4, 69-74-9; dacarbazine, 4342-03-4; dexamethasone, 50-02-2; doxorubicin, 23214-92-8, 25316-40-9; etoposide, 33419-42-0; ifosfamide, 3778-73-2; lenalidomide, 191732-72-6; melphalan, 148-82-3; methotrexate, 15475-56-6, 59-05-2, 7413-34-5; mitoxantrone, 65271-80-9, 70476-82-3; plerixafor, 110078-46-1, 155148-31-5; prednisolone, 50-24-8; recombinant granulocyte colony stimulating factor, 121181-53-1; rituximab, 174722-31-7; thalidomide, 50-35-1; vinblastine, 865-21-4; vincristine, 57-22-7; Filgrastim, 121181-53-1; Heterocyclic Compounds; JM 3100, 155148-31-5; Receptors, CXCR4; pegfilgrastim","amd 3100",,,,,"Jantunen, E., Kvalheim, G., Mobilization strategies in hard-to-mobilize patients with lymphoid malignancies (2010) Eur J Haematol, 85, pp. 463-471; Pusic, I., Jiang, S.Y., Landua, S., Impact of mobilization and remobilization strategies on achieving sufficient stem cell yields for autologous transplantation (2008) Biol Blood Marrow Transplant, 14, pp. 1045-1056; Wuchter, P., Ran, D., Bruckner, T., Poor mobilization of hematopoietic stem cells - definitions, incidence, risk factors, and impact on outcome of autologous transplantation (2010) Biol Blood Marrow Transplant, 16, pp. 490-499; Bensinger, W., DiPersio, J.F., McCarty, J.M., Improving stem cell mobilization strategies: future directions (2009) Bone Marrow Transplant, 43, pp. 181-195; Steinberg, M., Silva, M., Plerixafor: a chemokine receptor-4 antagonist for mobilization of hematopoietic stem cells for transplantation after high-dose chemotherapy for non-Hodgkin's lymphoma or multiple myeloma (2010) Clin Ther, 32, pp. 821-843; Lemoli, R.M., d'Addio, A., Hematopoietic stem cell mobilization (2008) Haematologica, 83, pp. 321-324; Flomenberg, N., Devine, S.M., DiPersio, J.F., The use of AMD3100 plus G-CSF for autologous hematopoietic progenitor cell mobilization is superior to G-CSF alone (2005) Blood, 106, pp. 1867-1874; Calandra, G., McCarty, J., McGuirk, J., AMD3100 plus G-CSF can successfully mobilize CD34+ cells from non-Hodgkin's lymphoma, Hodgkin's disease and multiple myeloma patients previously failing mobilization with chemotherapy and/or cytokine treatment: compassionate use data (2008) Bone Marrow Transplant, 41, pp. 331-338; DiPersio, J.F., Stadtmayer, E.A., Nademanee, A., Plerixafor and G-CSF versus placebo and G-CSF to mobilize hematopoietic stem cells for autologous stem cell transplantation in patients with multiple myeloma (2009) Blood, 113, pp. 5720-5726; DiPersio, J.F., Micallef, I., Stiff, P.J., Phase III prospective randomized double-blind placebo-controlled trial of plerixafor plus granulocyte colony-stimulating factor compared with placebo plus granulocyte colony-stimulating factor for autologous stem-cell mobilization and transplantation for patients with non-Hodgkin's lymphoma (2009) J Clin Oncol, 27, pp. 4767-4773; Jantunen, E., Penttilä, K., Pyörälä, M., Mahlamäki, E., Kuittinen, T., Nousiainen, T., Addition of plerixafor to a chemotherapy and G-CSF mobilization in hard-to-mobilize patients (2010) Bone Marrow Transplant, , April 19 e-pub; d'Addio, A., Curti, A., Worel, N., The addition of plerixafor is safe and allow adequate PBSC collection in multiple myeloma and lymphoma patients poor mobilizers after chemotherapy and G-CSF (2010) Bone Marrow Transplant, , May 31 e-pub; Josefsen, D., Rechnitzer, C., Parto, K., Kvalheim, G., The use of plerixafor for blood stem cell mobilization reduces the frequency of mobilization failure in patients planned to undergo autologous transplantation (2010) Eur Hematol, 4, pp. 24-29; Segel, E., Sorensen, B., d'Amore, F., Hokland, P., Successful peripheral blood stem cell harvest in mobilization refractory lymphoma patients (2010) Bone Marrow Transplant, 45 (SUPPL. 2), pp. S258. , Abstract; Dugan, M.J., Maziarz, R.T., Bensinger, W.I., Safety and preliminary efficacy of plerixafor (Mozobil) in combination with chemotherapy and G-CSF: an open-label, multicenter, exploratory trial in patients with multiple myeloma and non-Hodgkin's lymphoma undergoing stem cell mobilization (2010) Bone Marrow Transplant, 45, pp. 39-47; Hubel, K., Fresen, M.M., Salwender, H., Plerixafor with and without chemotherapy in poor mobilizers: results from the German compassionate use program (2010) Bone Marrow Transplant, , Oct 25 e-pub; Jantunen, E., Kuittinen, T., Blood stem cell mobilization and collection is patients with lymphoproliferative diseases: practical issues (2008) Eur J Haematol, 80, pp. 287-295; Fruehauf, S., Tricot, G., Comparison of unmobilized and mobilized graft characteristics and the implications of cell subsets on autologous and allogeneic transplant outcomes (2010) Biol Blood Marrow Transplant, 16, pp. 1629-1648; Jantunen, E., Fruehauf, S., Importance of blood graft characteristics in autologous stem cell transplantation: implications for optimizing mobilization regimens (2011) Bone Marrow Transplant, , Jan 10 e-pub","Jantunen, E.; Department of Medicine, Kuopio University Hospital, PO Box 1777, 70211 Kuopio, Finland; email: esa.jantunen@kuh.fi",,,,,,,,09024441,,EJHAE,"21198864","English","Eur. J. Haematol.",Article,"Final",,Scopus,2-s2.0-79952768349 "Gray H.H., Poland S.C.","7201581950;6603671488;","Medical tourism: Crossing borders to access health care",2008,"Kennedy Institute of Ethics Journal","18","2",,"193","201",,39,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-48949119500&partnerID=40&md5=69223fd2ddfcdcb311d941df4443fa0c",,"Gray, H.H.; Poland, S.C.",[No abstract available],,"compensation; economics; health care cost; health care delivery; human; insurance; medical error; publishing; review; travel; Compensation and Redress; Delivery of Health Care; Health Care Costs; Health Services Accessibility; Humans; Insurance Coverage; Journalism, Medical; Medical Errors; Travel",,,,,,,,,,,,,,,,,10546863,,,"18610785","English","Kennedy Inst. Ethics J.",Review,"Final",,Scopus,2-s2.0-48949119500 "Musa G., Thirumoorthi T., Doshi D.","7004159636;35339870700;55318155500;","Travel behaviour among inbound medical tourists in Kuala Lumpur",2012,"Current Issues in Tourism","15","6",,"525","543",,38,"10.1080/13683500.2011.626847","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864079917&doi=10.1080%2f13683500.2011.626847&partnerID=40&md5=5b21c059b98b348b22d0f9f16a9e866c","Marketing and Information Systems, University of Malaya, Kuala Lumpur 59200, Malaysia","Musa, G., Marketing and Information Systems, University of Malaya, Kuala Lumpur 59200, Malaysia; Thirumoorthi, T., Marketing and Information Systems, University of Malaya, Kuala Lumpur 59200, Malaysia; Doshi, D., Marketing and Information Systems, University of Malaya, Kuala Lumpur 59200, Malaysia","Despite recording the highest growth among tourism sub-sectors [Dhesi, D. (2009, March 25). Medical tourism rises in Malaysia despite economic downturn. The Star Online. Retrieved from http://www.malaysiahealthcare.com/; Leonard, T. (2009, July 24). Medical tourists to bring in RM 540 million by 2010. Retrieved from http:// www.malaysiahealthcare.com/; Tourism Malaysia. (2008). Profile of tourist by selected markets 2008. Kuala Lumpur: Tourism Malaysia], little is known empirically with regard to travel behaviour among inbound medical tourists in Malaysia. This study examined the demographic profile, travel motivation, healthcare consumption, and expenditure behaviour among them in Kuala Lumpur. Using the combination of purposeful and convenience sampling, a total of 138 questionnaires were completed, returned, and analysed. The majority of the respondents were female, middle aged, travelling with two others and Indonesians. Their main travel motivation factors were 'value for money', 'excellent medical services', 'supporting services', 'cultural similarity', and 'religious factor' in descending order of importance. Medical treatment, cosmetic procedure, surgical procedure, and medical check-up were important healthcare services sought after by the respondents. On average, medical tourists spent MYR 26,844.19 per visit, with females and tourists of European descent contributing significantly more. Tourists from ASEAN had stronger motivation of 'cultural similarity' compared with other tourists. This paper is unique in providing the empirical evidence of the city's unique selling points (pull factors) in attracting inbound medical tourists. It also highlights the potential economic contribution and some managerial implications in terms of marketing and product development. © 2012 Taylor & Francis.","Healthcare consumption; Kuala Lumpur; Medical tourism; Motivation; Spending behaviour","demographic survey; expenditure; questionnaire survey; sampling; tourism development; tourism market; travel behavior; Kuala Lumpur [West Malaysia]; Malaysia; West Malaysia",,,,,"Ministry of Health","The National Committee for the Promotion of Medical and Health Tourism was formed by the Ministry of Health in January 1998 to establish Malaysia as a regional hub for healthcare services (Chee, 2007). This has recently been re-named as Malaysia Healthcare Travel Council. It has a role, among others, in the packaging and standardisation of the prices for healthcare services and to market them internationally. Market analysis indicated that the majority of the medical tourists in Malaysia are from Indonesia (72.0%), Singapore (10.0%), Japan (5.0%), and West Asia (2.0%) (UNESCAP, 2007). More recent statistics produced by Frost and Sullivan (2010) also showed that the majority of the medical tourists are from the neighbouring countries of Indonesia (69%), Singapore (12%), and Japan (4%). The significant flow of Indonesian medical tourists is the result of large socio-economic differences, political instability, and poor access to healthcare (Ormond, 2011).",,"(2006) Association of private hospitals of Malaysia, , http://www.hospitalsmalaysia.org/index.cfm?menuid=28, APHM, Retrieved from; (2008) The preferred health and medical destination, , http://www.hospitalsmalaysia.org/index.cfm?menuid=41andparentid=28, APHM, Retrieved from; Arellano, A.B.R.D., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 31, pp. 193-198. , http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=2andhid=105andsid=7c8514c4-9e73-4b29-9c8f-31241deb7ef4%40sessionmgr114, Retrieved from; Blaikie, N., (2003) Analyzing qualitative data, , London: Sage Publications; Burkett, L., Medical tourism concerns, benefits, and the American legal perspective (2007) The Journal of Legal Medicine, 28, pp. 223-245. , doi:10.1080/01947640701357763; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6, pp. 447-454. , doi:10.1586/14737167.6.4.447; Chaynee, W., (2003) Health tourism to drive earnings, , Kuala Lumpur: Malaysian Institute of Economic Research; Chee, H.L., (2007) Medical tourism in Malaysia: International movement of healthcare consumers and the commodification of healthcare, , (Working Paper Series No. 83). Singapore: Asia Research Institute; Chong, W.Y., Boey, T.S., Vathsala, N., Promoting health tourism in Malaysia (2005) The 3rd APacCHRIE, , May, Paper presented at, Kuala Lumpur; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100. , doi:10.1016/j.tourman.2005.11.005; Dann, G., Anomie, ego-enhancement and tourism (1977) Annals of Tourism Research, 4, pp. 184-194. , doi:10.1016/0160-7383(77)90037-8; Dawes, J.G., Five point vs. eleven point scales: Does it male a difference to data characteristics? 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Upper Saddle River, NJ: Pearson Education; McIas, W., Lewis, L.S., Shankar, V., Dr. Mom and Dr. Web: A qualitative analysis of women's use of health information on the web (2004) Journal of Interactive Advertising, 4, pp. 9-19. , http://jiad.org/article45, Retrieved from; (2010) Malaysia Healthcare, , http://www.myhealthcare.gov.my/en/index.asp, Ministry of Health Malaysia., Retrieved from; Minnaert, L., Maitland, R., Miller, G., What is social tourism? (2011) Current Issues in Tourism, 14 (5), pp. 403-415; Mitchell, V.W., How to identify psychographic segments: Part 1 (1994) Marketing Intelligence and Planning, 12, pp. 4-10. , http://www.emeraldinsight.com/journals.htm?articleid=854269andshow=abstract, Retrieved from; Muddle, G.R., Swamis to surgeries (2007) Medical Tourism Magazine, , http://www.medicaltourismmag.com/issue-detail.php?item=43andissue=2, October 17, Retrieved from; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7, pp. 5-17. , doi:10.1177/135676670100700101; Nahrstedt, W., Wellness: A new perspective for leisure centers, health tourism, and spas in Europe on the global health market (2004) The tourism and leisure industry: Shaping the future, pp. 181-198. , In K. Weimermaier & C. Mathies (Eds.), New York, NY: Haworth Hospitality Press; Ng, E., Frances, C., Les, B., Exploring the major factors influencing consumer selection of travel agencies in a regional setting (2006) Journal of Hospitality and Tourism Management, 13, pp. 75-84. , http://eprints.usq.edu.au/1359/2/Ng_Cassidy_Brown_2006_AV.pdf, Retrieved from; (2010) Medical tourism in Malaysia, , http://www.novasans.com/content,Medical-Tourism-in-malaysia.html, Novasans., Retrieved from; Nunnally, J.C., (1978) Psychometric theory, , (2nd ed.). New York, NY: McGraw-Hill; Odunga, P.O., (2005) Choice of attractions, expenditure and satisfaction of international tourists to Kenya, , (Unpublished doctoral dissertation). Wageningen University, Wageningen; Oon, K.P., (2006) Service quality and travel motivation among health tourists in Island Hospital, Penang, , (Unpublished master's thesis). 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Aykin (Ed.), Berlin: Springer-Verlag; (2006) Malaysia profile of tourist by selected market 2006, , Tourism Malaysia, Kuala Lumpur: Tourism Malaysia; (2007) Profile of tourist by selected markets 2007, , Tourism Malaysia, Kuala Lumpur: Tourism Malaysia; (2008) Profile of tourist by selected markets 2008, , Tourism Malaysia, Kuala Lumpur: Tourism Malaysia.:; Patients without borders: An overview of the medical travel industry in Asia, its challenges and opportunities (2007) UNESCAP EGM, , UNESCAP, October, Paper presented at the, Bangkok; Upchurch, R.S., Teivane, U., Resident perceptions of tourism development in Riga, Latvia (2000) Tourism Management, 21, pp. 499-507. , doi:10.1016/S0261-5177(99)00104-4; Usunier, J.C., (1998) International and cross-cultural management research, , Thousand Oaks, CA: Sage; Uysal, M., Hagan, L.A.R., Motivation of pleasure travel and tourism (1993) Encyclopaedia of hospitality and tourism, pp. 789-810. , In M. Khan, M. Olsen, & T. Var (Eds.), New York, NY: Van Nostrand Reinhold; Uysal, M., Jurowski, C., An empirical testing of the push and pull factors of tourist motivations (1993) Annals of Tourism Research, 21, pp. 844-846. , doi:10.1108/09596119610115989; (2008) Health/medical tourism solution, , http://www.wellnessvisit.com/medical-tourism-malaysia.htm, Retrieved from; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3, pp. 271-290. , doi:10.1080/17441690701463936; (2011) Currency converter widget, , http://www.xe.com/ucc/convert/?Amount=1&From=USD&To=MYR, XE-Universal Currency Convert, Retrieved April 7, 2011, from; Yanos, M., (2008) Top 5 medical tourism destinations, , http://www.nuwireinvestor.com/articles/top-5-medical-tourism-destinations-51502.aspx, March 31, Retrieved from; Yap, J., (2007) Singapore: Medical travel and consumer driven health care, , http://www.aarpinternational.org/resourcelibrary/resourcelibrary_show.htm?doc_id=545751, June 1, Retrieved from","Musa, G.; Marketing and Information Systems, University of Malaya, Kuala Lumpur 59200, Malaysia; email: ghaz8zz@gmail.com",,,,,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Final",,Scopus,2-s2.0-84864079917 "Connell J.","56227359000;","A new inequality? Privatisation, urban bias, migration and medical tourism",2011,"Asia Pacific Viewpoint","52","3",,"260","271",,38,"10.1111/j.1467-8373.2011.01454.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-83055180331&doi=10.1111%2fj.1467-8373.2011.01454.x&partnerID=40&md5=bca76156044b152baf94088b1b167f08","School of Geosciences, University of Sydney, Sydney, NSW 2006, Australia","Connell, J., School of Geosciences, University of Sydney, Sydney, NSW 2006, Australia","Access to health care in developing countries, the main destinations of medical tourists, is notoriously uneven, and often becoming more so. Medical tourism, urban bias and privatisation have combined to exacerbate this trend. This is exemplified in both Thailand and India, where regional areas have been disadvantaged by the migration of health-care workers to hospitals focusing on medical tourism, neo-liberal national financial provision for medical tourism (and related tourism campaigns) and evidence of trickle-down gains is lacking. Medical tourism challenges rather than complements local health care providers, distorts national health care systems, and raises critical national economic, ethical and social questions. © 2011 The Author. Asia Pacific Viewpoint © 2011 Victoria University of Wellington.","Asia; Equity; Ethics; Medical tourism; Social justice","accessibility; developing world; ethics; financial provision; health care; health services; health worker; medical geography; migration determinant; privatization; social justice; tourism development; tourist destination; trend analysis; article; Asia; cultural factor; developing country; economics; education; ethics; ethnology; health care delivery; history; India; legal aspect; medical tourism; migration; organization and management; psychological aspect; social justice; socioeconomics; Thailand; Asia; Cross-Cultural Comparison; Delivery of Health Care; Developing Countries; Emigrants and Immigrants; Ethics; Health Services Accessibility; History, 20th Century; History, 21st Century; India; Medical Tourism; Privatization; Social Justice; Socioeconomic Factors; Thailand; India; Thailand",,,,,,,,"(2005), ABC India - Medical Tourism, Foreign Correspondent, ABC Television, 8 November; Adams, W., (2010), See Latvia. Tummy tucks at a discount, Time, 14 May; Alsharif, M., Labonté, R., Zuxun, L., Patients beyond borders: A Study of medical tourists in four countries (2010) Global Social Policy, 10 (3), pp. 315-335; Bergmark, R., Barr, D., Graia, R., Mexican immigrants in the US living far from the border may return to Mexico for health services (2010) Journal of Immigrant and Minority Health, 12 (4), pp. 610-614. , Retrieved 7 Oct 2011, from Website:; Bookman, M., Bookman, K., (2007) Medical tourism in developing countries, , Basingstoke: Palgrave Macmillan; (2009), Bumrungrad International Hospital Hospital provides superior economical care with single software solution. Microsoft Customer Solution Case Study, BIH, Bangkok; Burgos, J., (2010), Malaysia's medical tourism eyes Singapore market, Inquirer Global Nation, 28 March. Retrieved 1 Jun 2010, from Website:; Burkett, L., Medical tourism. 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Viewp.",Article,"Final",,Scopus,2-s2.0-83055180331 "Reddy S., Qadeer I.","36107370400;6603026768;","Medical tourism in India: Progress or predicament?",2010,"Economic and Political Weekly","45","20",,"69","75",,38,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953348123&partnerID=40&md5=235831ce9b345083d5fe47f7bd603b67","Jawaharlal Nehru University, India; JNU, India","Reddy, S., Jawaharlal Nehru University, India; Qadeer, I., JNU, India",[No abstract available],,,,,,,,,,"NABH accreditation lauded (2009) Quality India, 2 (5), p. 49. , http://www.qcin.org/nbqp/qualityindia/Vol2No5/health-page-4-9.php, Anon, Accessed 3 December 2009; Arunanondchai, J., Fink, C., Globalisation for health: Trade in health services in the ASEAN region (2007) Health Promotion International, 21 (1 SUPPLEMENT), p. 5966; Bali, V., Budget 2010 must double GDP spend on healthcare (2010) Moneycontrol.com, , http://www.moneycontrol.com/news/business/ budget2010mustdoublegdpspendhealthcare-443510.html, 24 February. 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Also at; Experts call for quality standards to boost medical tourism (2003) Express Healthcare Management, p. 1630. , http://www.expresshealthcaremgmt.com/20030630/focus1.shtml, June, Also at; Whittaker, A., Pleasure and pain: Medical travel in asia (2008) Global Public Health, 3 (3), p. 27190; Macroeconomics and health: Investing in health for economic d evelopment (2001) Report of the Commission on Macro Economics and Health, , World Health Organisation, Geneva; Wynne, J.M., Hazards in the corpo ratisation of health care (2004) New Doctor, 80, p. 25. , Autumn","Reddy, S.; Jawaharlal Nehru UniversityIndia; email: sunitareddyjnu@gmail.com",,,,,,,,00129976,,,,"English","Econ. Polit. Wkly.",Article,"Final",,Scopus,2-s2.0-77953348123 "Vijaya R.M.","35790567300;","Medical tourism: Revenue generation or international transfer of healthcare problems?",2010,"Journal of Economic Issues","44","1",,"53","70",,38,"10.2753/JEI0021-3624440103","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77950644386&doi=10.2753%2fJEI0021-3624440103&partnerID=40&md5=3df6af8220f1f2ad0270f471073b0cf7","Richard Stockton College, New Jersey, United States","Vijaya, R.M., Richard Stockton College, New Jersey, United States","This paper focuses on the relatively new conduit for the transfer of services from the developed to the developing economies - the growing trend of ""medical tourism"" where patients travel to low-cost developing countries for health procedures. Previous analysis of this trend tends to focus on either the cost savings for the patients or the revenue potential for the host economies. However, viewing the health sector merely in the monetary terms of transnational trade presents contradictions, which call for re-evaluating yet again the limitations of measuring economic progress merely in monetary terms. This article examines these contradictions based on a case study of the medical tourism industry in India. While health tourism is a potential revenue source, it also competes with the domestic health sector and could transfer some of the health care problems of the developed world to the developing world. © 2010, Journal of Economic Issues/Association for Evolutionary Economics.","Developing economies; Healthcare; Medical tourism; Trade",,,,,,,,,"Diane, B., Finer, S., (2004) Liberating Economics, , Ann Arbor: University of Michigan Press; Ramesh, B., Jain, N., Financial performance of private hospitals in India: Some further evidence Indian Institute of Management Working Papers 2006-04-08; Sreekanth, C., Snigdha, V., Aiding and abetting: Nursing crisis at home and abroad (2005) The New England Journal of Medicine, 353 (17), pp. 1761-1763; Champlin, D.P., Knoedler, J.T., Universal health care and the economics of responsibility (2008) Journal of Economic Issues, 42 (4), pp. 913-938. , CII and Mckinsey & Company. Healthcare in India: The Road Ahead. New Delhi: CII & Mckinsey & Co. 2002; Dennis, D., Jutting, J., (2005) Private Health Insurance in Low and Middle Income Countries, , OECD Development Center; Barbara, E., Hochschild, A.R., (2004) Global Woman, , New York: Henry Holt; Ernst, D., (2006) Medical Tourism: Why Americans Take Medical Vacations Abroad, , San Francisco: Pacific Research Institute; Hodgson, G.M., An institutional and evolutionary perspectives on health economics (2008) Cambridge Journal of Economics, 32, pp. 235-256; Hochschild, A.R., The nanny chain (2000) The American Prospect, 11 (4), pp. 32-36; Rajani, K., Bose, P., Ramachandran, S., Sivaramakrishnan, V., (2007) South India NRI Docs Head Home, , Business Standard, March 30; Keaney, M., Unhealthy accumulation: The globalization of health care privatization (2002) Review of Social Economy, 60 (3), pp. 331-356; Khadria, B., International nurse recruitment in India (2007) Health Services Research, 42 (3), pp. 1429-1436. , DOI 10.1111/j.1475-6773.2007.00718.x; Kurlantzick, J., (2007) Medical Tourism: Sometimes Sightseeing Is Looking at Your X-Rays, , The New York Times, May 20; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368. , http://content.healthaffairs.org/cgi/reprint/25/2/358, DOI 10.1377/hlthaff.25.2.358; http://mciindia.org/apps/search/viewMBBS.asp, Accessed June 2008; Mehra, R., Gammage, S., Trends, countertrends, and gaps in women's employment (1999) World Development, 27 (3), pp. 533-550. , DOI 10.1016/S0305-750X(98)00148-X, PII S0305750X9800148X; Milstein, A., Smith, M., America's new refugees - Seeking affordable surgery offshore (2006) New England Journal of Medicine, 355 (16), pp. 1637-1640. , http://content.nejm.org/cgi/reprint/355/16/1637.pdf, DOI 10.1056/NEJMp068190; http://www.mohfw.nic.in/NRHM/Documents/National_Health_policy_2002.pdf, National Health Policy 2002. Government of India 2002., Accessed June 2008; (2005) Report of the Commission on Macroeconomics and Health, , http://www.who.int/macrohealth/action/ Report%20of%20the%20National%20Commission.pdf, Ministry of Health and Family Welfare, Government of India, Accessed May 2008; (2000) Thailand Health Report 2001-2004, , http://www.moph.go.th/ops/health_48, Government of Thailand, Accessed June 2008; (2007) National Health Profile, , http://cbhidghs.nic.in/, Ministry of Health and Family Welfare, India, Accessed July 10 2008; Mudur, G., Hospitals in India woo foreign patients (2004) British Medical Journal, 328 (7452), p. 1338; Mullan, F., Doctors for the world: Indian physician emigration (2006) Health Affairs, 25 (2), pp. 380-393. , http://content.healthaffairs.org/cgi/reprint/25/2/380, DOI 10.1377/hlthaff.25.2.380; (2009), http://www.oecd.org/document/16/03343,en_2649_34631_2085200_1_1_1_1,00. html, Paris. OECD Health Data, Accessed December 3, 2009; Pauly, M.V., Zweifel, P., Scheffler, R.M., Preker, A.S., Bassett, M., Private health insurance in developing countries (2006) Health Affairs, 25 (2), pp. 369-379. , http://content.healthaffairs.org/cgi/reprint/25/2/369, DOI 10.1377/hlthaff.25.2.369; Seguino, S., Gender inequality and economic growth: A cross-country analysis (2000) World Development, 28 (7), pp. 1211-1230. , DOI 10.1016/S0305-750X(00)00018-8, PII S0305750X00000188; Sen, A., (1999) Development As Freedom, , New York: Knopf; Sengupta, S., (2008) Royal Care for Some of India's Patients, Neglect for Others, 1. , The New York Times, June; Ivy, T., Chu, C., Supplementing growth with medical tourism (2005) Asia Pacific Biotech News, 9 (8), pp. 306-311. , U.S. Senate Special Committee on Aging. ""The Globalization of Healthcare: Can Medical Tourism Reduce Healthcare Costs?"" June 26; U.S. Census Bureau, Income, Poverty, and Health Insurance Coverage in the United States: 2008. Washington DC: U.S. Government Printing Office, 2009; Wockhardt's on A Mission to Reverse the Great Indian Medical Brain Drain, , http://www.wockhardthospitals.net/news_room/year07/ indian_medical_brain_drain.asp, Wockhardt Hospitals, Accessed March 16, 2007; http://www.wockhardthospitals.net/info/pat_exp.asp, Wockhardt Hospitals, Accessed July 20, 2008; The World Health Report 2000-Health Systems: Improving Performance, , http://www.who.int/whr/2000/en/whr00_en.pdf, Geneva, Switzerland: WHO, 2000. Available at, . Accessed November 17, 2009; Designing health financing systems to reduce catastrophic health expenditure (2005) WHO Technical Briefs for Policy-Makers Number 2, , http://www.who.int/health_financing/pb_2.pdf, Available at, Accessed November 17, 2009; http://www.who.int/whosis/en/index.html, World Health Organization Statistical Information System (WHOSIS), Accessed June 2008; Ke, X., Evans, D.B., Mylena Aguilar-Rivera, A., Musgrove, P., Evans, T., Protecting households from catastrophic health spending (2007) Health Affairs, 26 (4), pp. 972-983","Vijaya, R. M.; Richard Stockton College, New Jersey, United States",,,"M.E. Sharpe Inc.",,,,,00213624,,,,"English","J. Econ. Issues",Article,"Final",,Scopus,2-s2.0-77950644386 "Doherty-King B., Yoon J.Y., Pecanac K., Brown R., Mahoney J.","54406837200;55363051400;55878106600;36129340300;7202430258;","Frequency and duration of nursing care related to older patient mobility",2014,"Journal of Nursing Scholarship","46","1",,"20","27",,37,"10.1111/jnu.12047","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892874997&doi=10.1111%2fjnu.12047&partnerID=40&md5=0a69bc5ace4136a2226fa2fe04462e88","University of Wisconsin-Madison, School of Nursing, Madison, WI, United States; University of Wisconsin- Madison, School of Medicine and Public Health, Division of Geriatrics, Madison, WI, United States","Doherty-King, B., University of Wisconsin-Madison, School of Nursing, Madison, WI, United States; Yoon, J.Y., University of Wisconsin-Madison, School of Nursing, Madison, WI, United States; Pecanac, K., University of Wisconsin-Madison, School of Nursing, Madison, WI, United States; Brown, R., University of Wisconsin-Madison, School of Nursing, Madison, WI, United States; Mahoney, J., University of Wisconsin- Madison, School of Medicine and Public Health, Division of Geriatrics, Madison, WI, United States","Purpose: To evaluate the frequency and duration of nursing care activity related to mobilizing older patients in acute care settings and determining who initiates the mobility event (patient or nurse). Methods: This was an observation study using time and motion. Observers shadowed 15 registered nurses (RNs) each for two to three 8-hr periods using hand-held computer tablets to collect data on frequency and duration of six mobility events (standing, transferring, walking to and from the patient bathroom, walking in the patient room, and walking in the hallway) that occurred in the nurse's presence. Chart reviews were conducted on 47 adult patients (> 65 years of age) who were cared for by the nurses during the observation periods. Descriptive statistics (mean, median, standard deviation, frequency, and proportion) were used to describe the occurrence of mobility events among all 47 patients and among a subgroup of 16 patients identified as dependent (needing human assistance of another to ambulate) at the time of admission. Results: Thirty-two percent of older patients were not engaged by an RN in any mobility event during an 8-hr period. For all patients, standing and transferring were the most frequent mobility activity. Mean duration for ambulation was less than 2 min per observation period. Patients who were dependent had fewer mobility events with no events related to ambulation initiated by nurses. The majority of mobility events were initiated by patients. Conclusions: Nurses infrequently initiated mobility events for hospitalized older patients and most often engaged patients in low-level activity (standing and transferring). Clinical Relevance: Limited mobility (standing and transferring only) is an independent predictor of negative outcomes for hospitalized older patients. Nurses are in a key position to improve outcomes for hospitalized older patients by engaging them in mobility activity, particularly ambulation, but further research is needed to determine how best to engage nurses in these activities. © 2013 Sigma Theta Tau International.","Acute care setting; Mobility; Nursing care; Older adults","acute care setting; aged; article; female; geriatric nursing; human; intensive care nursing; male; mobility; nursing care; nursing evaluation research; nursing practice; older adults; retrospective study; statistics; time; very elderly; walking; acute care setting; Mobility; nursing care; older adults; Aged; Aged, 80 and over; Critical Care Nursing; Female; Geriatric Nursing; Humans; Male; Nurse's Practice Patterns; Nursing Evaluation Research; Retrospective Studies; Time Factors; Walking",,,,,,,,"Bakeman, R., Deckner, D.F., Analysis of behavioral streams (2005) Handbook of research methods in developmental psychology, , In D. M. Teti (Ed.), Oxford, UK: Blackwell Publishers; Bittner, N., Gravlin, G., Critical thinking, delegating and missed care in nursing practice (2009) Journal of Nursing Administration, 39 (3), pp. 142-146; Boyd, C.M., Xue, Q., Guralnik, J.M., Fried, L.P., Hospitalization and development of dependence in activities of daily living in a cohort of disabled older women: The Women's Health and Aging Study I (2005) Journal of Gerontology: Medical Sciences, 60 A (7), pp. M888-M893; Brown, C.J., Friedkin, R.J., Inouye, S.K., Prevalence and outcomes of low mobility in hospitalized older patients (2004) Journal of the American Geriatric Society, 52, pp. 1263-1270; Brown, C.J., Redden, D.T., Flood, K.L., Allman, R.M., The underrecognized epidemic of low mobility during hospitalization of older adults (2009) Journal of the American Geriatrics Society, 57, pp. 1660-1665; Brown, C.J., Roth, D.L., Allman, R.M., Sawyer, P., Ritchie, C.S., Roseman, J.M., Trajectories of life-space mobility after hospitalization (2009) Annals of Internal Medicine, 150 (6), pp. 372-378; Brown, C.J., William, B.R., Woodby, L.L., Davis, L.L., Allman, R.M., Barriers to mobility during hospitalization from the perspectives of older patients and their nurses and physicians (2007) Journal of Hospital Medicine, 2 (5), pp. 305-313; Burke, T.A., McKee, J.R., Wilson, H.C., Donahue, R.M., Batenhorst, A.S., Pathak, D.S., A comparison of time-and-motion and self-reporting methods of work measurement (2000) Journal of Nursing Administration, 30 (3), pp. 118-125; Callahan, D.M., Thomas, D.C., Goldhirsch, S.L., Leipzig, R.M., Geriatric hospital medicine (2002) Medical Clinics of North America, 86 (4), pp. 707-729; Callen, B.L., Mahoney, J.E., Grieves, C.B., Wells, T.J., Enloe, M., Frequency of hallway ambulation by hospitalized older adults on medical units of an academic hospital (2004) Geriatric Nursing, 25 (4), pp. 212-217; Callen, B.L., Mahoney, J.E., Wells, T.J., Enloe, M., Hughes, S., Admission and discharge mobility of frail hospitalized older adults (2004) MEDSURG Nursing, 13, pp. 156-163; Carpenito-Moyet, L., (2006) Nursing diagnosis: Application to clinical practice, , 11th Philadelphia, PA: Lippincott Williams & Wilkins; Creditor, M., Hazards of hospitalization of the elderly (1993) Annals of Internal Medicine, 118 (3), pp. 219-223; Fisher, S.R., Goodwin, J.S., Protas, E.J., Kuo, Y., Graham, J.E., Ottenbacher, K.J., Ostir, G.V., Ambulatory activity of older adults hospitalized with acute medical illness (2011) Journal of the American Geriatric Society, 59, pp. 91-95; Harper, C.M., Lyles, Y.M., Physiology and complications of bed rest (1988) Journal of the American Geriatrics Society, 36, pp. 1047-1054; Hirsch, C.H., Sommers, L., Mullen, L., Winograd, C.H., The natural history of functional morbidity in hospitalized older patients (1990) Journal of the American Geriatrics Society, 38, pp. 1296-1303; Hoenig, H.M., Rubenstein, L.Z., Hospital-associated deconditioning and dysfunction (1991) Journal of the American Geriatrics Society, 39, pp. 220-222; Inouye, S.K., Bogardus, S.T., Baker, D.I., Leo-Summers, L., Cooney, L.M., The hospital elder life program: A model of care to prevent cognitive and functional decline in older hospitalized patients (2000) Journal of the American Geriatrics Society, 48 (12), pp. 1697-1706; Kalisch, B.J., Tschannen, D., Lee, H., Friese, C.R., Hospital variation in missed nursing care (2011) American Journal of Medical Quality, 26 (4), pp. 291-299; King, B., (2010) How nurses decide to get older patients moving, , Dissertation. University of Wisconsin-Madison. UMI number: 3424071; King, B., Bowers, B., How nurses decide to ambulate hospitalized older adults: Development of a conceptual model (2011) Gerontologist, 51 (6), pp. 786-797; King, I.M., (1981) A theory of nursing, , New York: Wiley; Kortebein, P., Symons, T.B., Ferrando, A., Jones, D., Ronsen, O., Protas, E., Evans, W.J., Functional impact of 10 days of bed rest in healthy older adults (2008) Journal of Gerontology: Medical Sciences, 63 A (10), pp. 1076-1081; Mahoney, J., Sager, M., Dunham, N.C., Johnson, J., Risk of falls after hospital discharge (1994) Journal of the American Geriatrics Society, 42, pp. 269-274; Mahoney, J.E., Immobility and falls (1998) Clinics in Geriatric Medicine, 14 (4), pp. 699-726; Mahoney, J.E., Sager, M.A., Jalaluddin, M., New walking dependence associated with hospitalization for acute medical illness: Incidence and significance (1998) Journal of Gerontology: Medical Sciences, 53 A (4), pp. M307-M312; Neuman, M., (1986) The Neuman Systems Model, , New York: Appleton-Century-Crofts; Ostir, G.V., Berges, I.M., Kuo, Y.F., Goodwin, J.S., Fisher, S.R., Guralnik, J.M., Mobility activity and its value as a prognostic indicator of survival in hospitalized older adults (2013) Journal of the American Geriatrics Society, 61 (4), pp. 551-557; Roy, C., (1984) Introduction to nursing: An adaptation model, , Englewood Cliffs, NJ: Prentice-Hall; Tucker, D., Molsberger, S.C., Clark, A., Walking for wellness: A collaborative program to maintain mobility in hospitalized older adults (2004) Geriatric Nursing, 25 (4), pp. 242-245; Zisberg, A., Shadmi, E., Sinoff, G., Gur-Yaish, N., Srulovici, E., Admi, H., Low mobility during hospitalization and functional decline in older adults (2011) Journal of the American Geriatrics Society, 59 (2), pp. 266-273","Doherty-King, B.; University of Wisconsin-Madison, School of Nursing, 600 Highland Avenue, CSC H6/246, Madison, WI, United States; email: Bjking2@wisc.edu",,,,,,,,15276546,,,"24112775","English","J. Nurs. Scholarsh.",Article,"Final",,Scopus,2-s2.0-84892874997 "Ranjan Debata B., Sree K., Patnaik B., Sankar Mahapatra S.","57191044931;56499155600;37115884300;57195490479;","Evaluating medical tourism enablers with interpretive structural modeling",2013,"Benchmarking: An International Journal","20","6",,"716","743",,37,"10.1108/BIJ-10-2011-0079","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84885052324&doi=10.1108%2fBIJ-10-2011-0079&partnerID=40&md5=828f128e02c7a295c96a04fa0d7f2724","Rourkela Institute of Management Studies, Rourkela, India; Department of Mechanical Engineering, National Institute of Technology, Rourkela, India","Ranjan Debata, B., Rourkela Institute of Management Studies, Rourkela, India; Sree, K., Rourkela Institute of Management Studies, Rourkela, India; Patnaik, B., Department of Mechanical Engineering, National Institute of Technology, Rourkela, India; Sankar Mahapatra, S., Department of Mechanical Engineering, National Institute of Technology, Rourkela, India","The purpose of this paper is to develop a comprehensive framework to identify and classify key medical tourism enablers (MTEs) and to study the direct and indirect effects of each enabler on the growth of medical tourism in India. – In this paper, an integrated approach using interpretive structural modeling (ISM) and Fuzzy Matrice d'Impacts Croisés Multiplication Appliquée á un Classement (FMICMAC) analysis has been developed to identify and classify the key MTEs, typically identified by a comprehensive review of literature and expert opinion. The key enablers are also modeled to find their role and mutual influence. – The key finding of this modeling helps to identify and classify the enablers which may be useful for medical tourism decision makers to employ this model for formulating strategies in order to overcome challenges and to become a preferred medical tourism destination. Integrated model reveals enablers such as medicine insurance coverage, international healthcare collaboration, and efficient information system as dependent enablers. No enabler is found to be autonomous enablers. The important enablers like healthcare infrastructure facilities and global competition are found as the linkage enablers. Research in medicine and pharmaceutical science, medical tourism market, transplantation law, top management commitment, national healthcare policy, competent medical and para-medical staffs are found as the independent enablers. Integrated model also establishes the direct and indirect relationship among various enablers. – The research provides an integrated model using ISM and FMICMAC to identify and classify various key enablers of medical tourism in India. In conventional cross-impact matrix multiplication applied to classification analysis, binary relationship of various enablers is considered. FMICMAC analysis helps to establish possibility of relationship among various enablers so that low-key hidden factors can be identified. The low-key hidden factors may initially exhibit marginal influence but they may show significant influence later on during analysis. The uncertainty and fuzziness of relationship among various enablers can be conveniently handled by FMICMAC and expert opinions can easily be captured. This research will help medical tourism decision makers to select right enablers for the growth of medical tourism in India. © 2013, Emerald Group Publishing Limited","Enablers; FMICMAC; Fuzzy ISM; Interpretive structural modeling; Medical tourism",,,,,,,,,"Acharya, V.N., Status of renal transplant in India – May 1994 (1994) Journal of Postgraduate Medicine, 40 (3), pp. 158-161; Agarwal, A., Shankar, R., Tiwari, M.K., Modeling agility of supply chain (2007) Industrial Marketing Management, 36 (4), pp. 443-457; Ahuja, V., Yang, J., Shankar, R., Benefits of collaborative ICT adoption for building project management (2009) Construction Innovation, 9 (3), pp. 323-340; Allen, M., Bush touts plan for electronic medicine (2004) Washington Post, , May 28; Arduengo, M., Pharmaceutical research and development in India (2009) Cell Notes, (23); Arya, D.S., Abbasi, S.A., Identification and classification of key variables and their role in environmental impact assessment: methodology and software package Intra (2001) Environmental Monitoring and Assessment, 72 (3), pp. 277-296; 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Schult, J., (2006) Beauty from Afar – A Medical Tourist's Guide to Affordable and Quality Cosmetic Care Outside the US, , Stewart, New York, NY; Singh, M.D., Kant, R., Knowledge management barriers: an interpretive structural modeling approach (2008) International Journal of Management Science and Engineering Management, 3 (2), pp. 141-150; Talib, F., Rahman, Z., Qureshi, M.N., Analysis of interaction among the barriers to total quality management implementation using interpretive structural modeling approach (2011) Benchmarking: An International Journal, 18 (4), pp. 563-587; Taneja, U., E-healthcare in India: critical success factors for sustainable health systems (2007) Medinfo 2007: Proceedings of the 12th World Congress on Health (Medical) Informatics: Building Sustainable Health Systems, pp. 257-261. , in Kuhn, K.A., Warren, J.R. and Leong, T.-Y. (Eds) IOS Press, Amsterdam; Upadhye, N., Deshmukh, S.G., Garg, S., An interpretive structure modelling of implementation issues for lean manufacturing system (2011) International Journal of Modelling in Operations Management, 1 (4), pp. 311-343; Wang, G.H., Wang, Y.X., Zhao, T., Analysis of interactions among the barriers to energy saving in China (2008) Energy Policy, 36 (6), pp. 1879-1889; Warfield, J.W., Developing interconnected matrices in structural modeling (1974) IEEE Transcript on Systems Men and Cybernetics, 4 (1), pp. 51-81; Weiner, B.J., Shortell, S.M., Alexander, J., Promoting clinical involvement in hospital quality improvement efforts: the effects of top management, board, and physician leadership (1997) Health Service Research, 32 (4), pp. 491-510; (2006) World Health Report 2006 – Working Together for Health, , World Health Organisation, Geneva",,,,,,,,,14635771,,,,"English","Benchmarking",Article,"Final",,Scopus,2-s2.0-84885052324 "Gilmartin M., White A.","56243285700;55473134700;","Comparative perspectives symposium: Gender and medical tourism interrogating medical tourism: Ireland, abortion, and mobility rights",2011,"Signs","36","2",,"275","280",,37,"10.1086/655907","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650338855&doi=10.1086%2f655907&partnerID=40&md5=fef2c3b450cf83557565c89d24670623","Department of Geography, National University of Ireland, Maynooth, Ireland; Department of Geography, University College, Cork, Ireland","Gilmartin, M., Department of Geography, National University of Ireland, Maynooth, Ireland; White, A., Department of Geography, University College, Cork, Ireland",[No abstract available],,"article; economics; education; ethnology; health service; history; induced abortion; international cooperation; Ireland; jurisprudence; legal aspect; medical tourism; psychological aspect; social class; women's health; women's rights; Abortion, Induced; History, 20th Century; Internationality; Ireland; Jurisprudence; Medical Tourism; Social Mobility; Women's Health; Women's Health Services; Women's Rights",,,,,,,,"Coles, T., Citizenship and the state: Hidden features in the internationalisation of tourism (2008) International Business and Tourism: Global Issues, Contemporary Interactions, pp. 55-69. , ed. Tim Coles and C. Michael Hall, Oxon: Routledge; Connell, J., Medical tourism: Sea, Sun, Sand and... Surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cresswell, T., Towards a politics of mobility (2010) Environment and Planning D, 28 (1), pp. 17-31; A summary of research on economic factors affecting women's decision making in crisis pregnancy situations (2005) Report. Crisis Pregnancy Agency, , http://www.crisispregnancy.ie/research3.php, FGS Consulting and Gerry Boyle, Dublin; A state of isolation: Access to abortion for women in Ireland (2010) Report. Human Rights Watch, , http://www.hrw.org/node/87910, Human Rights Watch, New York; Getting on: From migration to integration: Chinese, Indian, Lithuanian, and Nigerian migrants' experiences in Ireland (2008) Report. Immigrant Council of Ireland, Dublin, , MCRI Migration and Citizenship Research Initiative; Oaks, L., Antiabortion positions and young women's life plans in contemporary Ireland (2003) Social Science and Medicine, 56 (9), pp. 1973-1986; Shandy, D.J., Power, D.V., The birth of the African-Irish diaspora: Pregnancy and post-natal experiences of African immigrant women in Ireland (2008) International Migration, 46 (5), pp. 119-142; White, A., Gilmartin, M., Critical geographies of citizenship and belonging in Ireland (2008) Women's Studies International Forum, 31 (5), pp. 390-399","Gilmartin, M.; Department of Geography, National University of Ireland, Maynooth, Ireland",,,,,,,,00979740,,,"21114071","English","Signs",Article,"Final",,Scopus,2-s2.0-78650338855 "Guiry M., Vequist D.G.","36808069300;55666196900;","Traveling abroad for medical care: U.S. medical tourists' expectations and perceptions of service quality",2011,"Health Marketing Quarterly","28","3",,"253","269",,36,"10.1080/07359683.2011.595644","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79961162750&doi=10.1080%2f07359683.2011.595644&partnerID=40&md5=a02472b58ad9039f39b4a30402e02259","H-E-B School of Business and Administration, University of the Incarnate Word, 4301 Broadway, CPO 109, San Antonio, TX 78209, United States; Center for Medical Tourism Research, University of the Incarnate Word, San Antonio, TX, United States","Guiry, M., H-E-B School of Business and Administration, University of the Incarnate Word, 4301 Broadway, CPO 109, San Antonio, TX 78209, United States; Vequist, D.G., Center for Medical Tourism Research, University of the Incarnate Word, San Antonio, TX, United States","The SERVQUAL scale has been widely used to measure service quality in the health care industry. This research is the first study that used SERVQUAL to assess U.S. medical tourists' expectations and perceptions of the service quality of health care facilities located outside the United States. Based on a sample of U.S. consumers, who had traveled abroad for medical care, the results indicated that there were significant differences between U.S. medical tourists' perceived level of service provided and their expectations of the service that should be provided for four of the five dimensions of service quality. Reliability had the largest service quality gap followed by assurance, tangibles, and empathy. Responsiveness was the only dimension without a significantly different gap score. The study establishes a foundation for future research on service quality in the rapidly growing medical tourism industry. © Taylor & Francis Group, LLC.","Health care; Health tourism; Medical tourism; Service quality; SERVQUAL","adult; article; female; health care quality; health care survey; health services research; human; male; medical tourism; methodology; middle aged; patient satisfaction; psychological aspect; United States; Adult; Female; Health Care Surveys; Health Services Research; Humans; Male; Medical Tourism; Middle Aged; Patient Satisfaction; Quality of Health Care; United States; Young Adult",,,,,,,,"Atilgan, E., Akinci, S., Aksoy, S., Mapping service quality in the tourism industry (2003) Managing Service Quality, 13, pp. 412-422; Babakus, E., Mangold, W.G., Adapting the SERVQUAL scale to hospital services: An empirical investigation (1992) Health Services Research, 26, pp. 768-786; Boulding, W., Kalra, A., Staelin, R., Zeithaml, V.A., A dynamic process model of service quality: From expectations to behavioral intentions (1993) Journal of Marketing Research, 30, pp. 7-27; Brown, S.W., Bond, E.U., The internal market=external market framework and service quality: Toward theory in services marketing (1995) Journal of Marketing Management, 11, pp. 25-39; Buttle, F., SERVQUAL: Review, critique, research agenda (1996) European Journal of Marketing, 30 (1), pp. 8-32; Cormany, D., Taking a pulse on potential medical tourism destinations: The hospitality & tourism industries (2008) Medical Tourism Magazine, pp. 34-37. , November; Cronin Jr., J.J., Taylor, S.A., Measuring service quality: A reexamination and extension (1992) Journal of Marketing, 56 (3), pp. 55-68; Goering, L., For big surgery, Delhi is dealing (2008) The Chicago Tribune, , http://archives.chicagotribune.com/2008/mar/28/health/chi-medical-tourism_goeringmar28, March 28; Headley, D.E., Miller, S.J., Measuring service quality and its relationship to future consumer behavior (1993) Journal of Health Care Marketing, 13 (4), pp. 32-41; The History of Medical Tourism, , http://www.health-tourism.com/medical-tourism/history/, Health-Tourism.com (n.d.); Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27, pp. 236-251; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33. , http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2234298; Jabnoun, N., Al-Tamimi, H.A.H., Measuring perceived service quality at UAE commercial banks (2003) International Journal of Quality & Reliability Management, 20, pp. 458-472; Jyothis, T., Janardhanan, V.K., Service quality in health tourism: An evaluation of the health tourism providers of Kerala (India) (2009) South Asian Journal of Tourism and Heritage, 2, pp. 77-82; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers In Search of Value, , Washington, DC: Deloitte Center for Health Solutions; Keckley, P.H., Underwood, H.R., (2009) Medical Tourism: Update and Implications, , Washington, DC: Deloitte Center for Health Solutions; Ladhari, R., A review of twenty years of SERVQUAL research (2009) International Journal of Quality and Service Sciences, 1, pp. 172-198; Lam, S.S.K., SERVQUAL: A tool for measuring patients' opinions of hospital service quality in Hong Kong (1997) Total Quality Management, 8 (4), pp. 145-152; Lee, C., Spisto, M., Medical tourism, the future of health services (2007) Proceedings of the 12th International Conference On ISO 9000 and TQM, , April 9-11. In S. K. M. Ho (Ed.), Taichung, Taiwan; Lim, P.C., Tang, N.K.H., A study of patients' expectations and satisfaction in Singapore hospitals (2000) International Journal of Health Care Quality Assurance, 13, pp. 290-299; Lin, D.-J., Sheu, I.-C., Pai, J.-Y., Bair, A., Hung, C.-Y., Yeh, Y.-H., Chou, M.-J., Measuring patient's expectation and the perception of quality in LASIK services (2009) Health and Quality of Life Outcomes, 7, p. 63. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2716305/; Lovelock, C., Wright, L., (2002) Principles of Service Marketing and Management, , 2nd ed.). Upper Saddle River, NJ: Prentice Hall; Mangold, W.G., Babakus, E., Service quality: The front-stage vs. the back-stage perspective (1991) Journal of Services Marketing, 5 (4), pp. 59-70; MTA releases first patient surveys on medical tourism (2009) Medical Tourism Magazine, pp. 34-36. , May=June. Medical Tourism Association; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7, pp. 5-17; Nunnally, J.C., Bernstein, I.H., (1994) Psychometric Theory, , 3rd ed.). 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New York, NY: McGraw-Hill Irwin","Guiry, M.; H-E-B School of Business and Administration, University of the Incarnate Word, 4301 Broadway, CPO 109, San Antonio, TX 78209, United States; email: guiry@uiwtx.edu",,,,,,,,07359683,,HMQUE,"21815742","English","Health Mark. Q.",Article,"Final",,Scopus,2-s2.0-79961162750 "Whittaker A.","7102570392;","Challenges of medical travel to global regulation: A case study of reproductive travel in Asia [Problématique du voyage médical au regard de la réglementation internationale: Etude de cas sur le tourisme reproductif en Asie]",2010,"Global Social Policy","10","3",,"396","415",,36,"10.1177/1468018110379981","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650270064&doi=10.1177%2f1468018110379981&partnerID=40&md5=c5613cc3466efe46589a6e00898de0b0","School of Population Health, University of Queensland, Herston Medical School, Public Health Building, Brisbane, QLD 4005, Australia","Whittaker, A., School of Population Health, University of Queensland, Herston Medical School, Public Health Building, Brisbane, QLD 4005, Australia","This article explores the challenges medical travel poses for the development and implementation of health regulation in Asia. Cross-border reproductive travel in Asia is used to exemplify some of the ethical, legal and regulatory complexities such travel poses. A number of countries in the region lack regulatory frameworks regarding controversial procedures such as preimplantation genetic diagnosis for sex selection, commercial donor and surrogacy procedures to ensure protections for donors and surrogates or children born of such procedures. The particular challenge of reproductive travel arises when people travel for services because they wish to undertake a treatment requiring the embodied services or biological materials of other people in ways that are not legal or considered unethical in their home country. The final part of the article examines prospects for a global response towards the regulation of such trade. Such a response will require cooperation across sectors, international government organizations, state, and non-state actors to deal with the transnational interdependence it involves and to protect the rights of vulnerable groups. The challenge is to determine the mechanisms for regulating the trade, as well as the basis upon which global regulation is undertaken. © The Author(s) 2010.","medical regulation; medical travel; reproductive health; reproductive travel","complexity; ethics; global trade; health care; health policy; regulatory approach; state role; tourism; Asia",,,,,,,,"Aungkasuvapala, N., (1983) Health Tourism - The Rising Star: Strategies for Success, , www.tatnews.org/emagazine/, (n.d.). Available at: asp, News Room: Tourism Authority of Thailand e-magazine; (2004) Declaration of the 7th Asean Health Ministers Meeting 'Health Without Frontiers', , www.aseansec.org/16089.htm, Asean, Malaysia, 22 April. 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Geneva; International trade and health (2005), World Health Organization, Report by the Secretariat. World Health Organization Executive board 116th Session, Provisional Agenda item 4.2 EB116/4 28 April 2005, Geneva: WHO; (2008) Trade and Health, , www.who.init/trade/resource/tradewp/en/index.html, World Health Organization, Available at, World Health Organization, Geneva; Summary Report (2009), World Health Organization, () Workshop on the Movement of Patients Across International Borders - Emerging Challenges and Opportunities for Health Care Systems, Kobe, Japan, 24-25 February. Geneva: World Health Organization Centre for Health Development","Whittaker, A.; School of Population Health, University of Queensland, Herston Medical School, Public Health Building, Brisbane, QLD 4005, Australia; email: a.whittaker2@uq.edu.au",,,,,,,,14680181,,,,"English; French; Spanish","Global Soc. Policy",Article,"Final",,Scopus,2-s2.0-78650270064 "Laugesen M.J., Vargas-Bustamante A.","26660902500;34873970500;","A patient mobility framework that travels: European and United States-Mexican comparisons",2010,"Health Policy","97","2-3",,"225","231",,36,"10.1016/j.healthpol.2010.05.006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956177386&doi=10.1016%2fj.healthpol.2010.05.006&partnerID=40&md5=16c14736a9d18c3bb3c165bebcbf4e37","Department of Health Policy and Management, Columbia University, Mailman School of Public Health, 722 W. 168th Street, New York, NY 10032, United States; University of California, Department of Health Services, Box 951772 31-299 CHS, Los Angeles, CA 90095-1772, United States","Laugesen, M.J., Department of Health Policy and Management, Columbia University, Mailman School of Public Health, 722 W. 168th Street, New York, NY 10032, United States; Vargas-Bustamante, A., University of California, Department of Health Services, Box 951772 31-299 CHS, Los Angeles, CA 90095-1772, United States","Objectives: To develop a framework that parsimoniously explains divergent patient mobility in the United States and Europe. Method: Review of studies of patient mobility; data from the 2007 Flash Eurobarometer and the 2001 California Health Interview Survey was analyzed; and we reviewed government policies and documents in the United States and Europe. Results: Four types of patient mobility are defined: primary, complementary, duplicative, and institutionalized. Primary exit occurs when people without comprehensive insurance travel because they cannot afford to pay for health insurance or directly finance care, as in the United States and Mexico. Second, people will exit to buy complementary services not covered, or partially covered by domestic health insurance, in both the United States and Europe. Third, in Europe, patient mobility for duplicative services provides faster or better quality treatment. Finally, governments and insurers can encourage institutionalized exit through expanded delivery options and financing. Institutionalized exit is developing in Europe, but uncoordinated and geographically limited in the United States. Conclusions: This parsimonious framework explains patient mobility by considering domestic health system characteristics relating to cost and quality. © 2010 Elsevier Ireland Ltd.","Cross-border healthcare; European Union; Mexico; Patient mobility; United States","article; conceptual framework; Europe; financial management; government; health care access; health care delivery; health care financing; health care policy; health care quality; health care system; health insurance; health service; health survey; home care; human; Mexico; parsimony analysis; patient mobility; primary health care; travel; United States; Europe; Health Care Costs; Health Policy; Health Services; Health Services Accessibility; Humans; Insurance Coverage; Insurance, Health; International Cooperation; Medical Tourism; Mexico; Motivation; Quality of Health Care; United States",,,,,,,,"Legido-Quigley, H., Glinos, I., Baeten, R., McKee, M., Patient mobility in the European Union (2007) British Medical Journal, 334, p. 188; Baeten, R., The proposal for a directive on patients' rights in cross-border healthcare (2009) Social developments in the European Union: tenth annual report, pp. 155-181. , European Trade Union Institute, Brussels, C. 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Lessons from the RAND health insurance experiment, , Havard University Press, Cambridge; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) The New England Journal of Medicine, 355, p. 1637; (2001) California Health Interview Survey (Data File), , y for Health Policy Research, University of California, Los Angeles, Los Angeles, UCLA Center for Health Policy Research; Brown, H., Pagan, J., Bastida, E., International competition and the demand for health insurance in the US: evidence from the TexasñMexico border region (2009) International Journal of Health Care Finance and Economics, 9, pp. 25-38; (2001) California Health Interview Survey data; Osterle, A., Health care across borders: Austria and its new EU neighbours (2007) Journal of European Social Policy, 17, p. 112; (2007) Flash EuroBarometer 210: Data File Leibniz Institute for the Social Sciences (GESIS), , European Commission; (2008) Proposal for a Directive on the application of patients' rights in cross-border healthcare, , Brussels, Council of the European Communities; (2000) NHS to fund operations in Europe, , The Guardian, London, The Guardian; (2008) Accompanying document to the proposal for a directive of the European Parliament and of the council on the application of patient's rights in cross-border healthcare, , Brussels European Commission, European Commission; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25, p. 358; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Affairs (Millwood), 26, pp. 137-141; Ivanova, E., Patients' mobility and access to information of medical services (2007) Transport and Telecommunication, 2, pp. 20-27; Sunol, R., Garel, P., Jacquerye, A., Cross-border care and healthcare quality improvement in Europe: the MARQuIS research project (2009) Quality and Safety in Health Care, 18, pp. i3; Lombarts, M., Rupp, I., Vallejo, P., Sunol, R., Klazinga, N., Application of quality improvement strategies in 389 European hospitals: results of the MARQuIS project (2009) Quality and Safety in Health Care, 18, pp. i28","Laugesen, M.J.; Department of Health Policy and Management, Columbia University, Mailman School of Public Health, 722 W. 168th Street, New York, NY 10032, United States; email: Ml3111@columbia.edu",,,,,,,,01688510,,HEPOE,"20570386","English","Health Policy",Article,"Final",,Scopus,2-s2.0-77956177386 "Carrera P., Lunt N.","55362546400;6603761945;","A European perspective on medical tourism: The need for a knowledge base",2010,"International Journal of Health Services","40","3",,"469","484",,36,"10.2190/HS.40.3.e","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953864658&doi=10.2190%2fHS.40.3.e&partnerID=40&md5=38d4fe0fa9394fe6b9adb61f30729f00",,"Carrera, P.; Lunt, N.","Since the early 1990s, medical tourism, whereby individuals choose to travel across national borders or overseas to receive treatments, has been increasingly recognized in the United States and Asia. This article highlights the emergence of medical tourism in the European context. It examines the drivers for such developments and situates medical tourism within the broader context of health globalization and forms of patient mobility in the European Union. In outlining the developments of medical tourism in Europe, the authors distinguish between two types of medical tourist: the citizen and the consumer. The discussion explores the need for greater empirical research on medical tourism in Europe and argues that such research will contribute toward knowledge of patient mobility and the broader theorization of medical tourism. The authors make suggestions about the content of this research agenda, including understanding the development of medical tourist markets, the nature of choice, equity implications, the role of brokers and intermediaries, and general issues for health management.",,"disease treatment; equity; globalization; medical geography; perception; research work; tourism; article; commercial phenomena; decision making; empirical research; European Union; human; medical tourism; organization and management; medical tourism; Choice Behavior; Commerce; Empirical Research; European Union; Humans; Medical Tourism; Asia; Europe; United States; Choice Behavior; Commerce; Empirical Research; European Union; Humans; Medical Tourism",,,,,,,,"Clarke, J., (2004) Changing Welfare Changing States: New Directions in Social Policy, , Sage, London; Smith, R.D., Foreign direct investment and trade in health services: A review of the literature (2004) Soc. Sci. 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Health Serv.",Article,"Final",,Scopus,2-s2.0-77953864658 "Borlongan C.V., Hess D.C.","7007115371;7202439939;","New hope for stroke patients: Mobilization of endogenous stem cells",2006,"CMAJ","174","7",,"954","955",,36,"10.1503/cmaj.060199","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33645567122&doi=10.1503%2fcmaj.060199&partnerID=40&md5=be045bdbf511a44f8ae162a85badb5c4","Department of Neurology, United States; Medical College of Georgia, Department of Neurology Cell Transplantation, Augusta, GA, United States; Medical College of Georgia, Department of Neurology, Augusta, GA, United States; Department of Neurology, Medical College of Georgia, 1120 15th St., Augusta, GA 30912-3200, United States","Borlongan, C.V., Department of Neurology, United States, Medical College of Georgia, Department of Neurology Cell Transplantation, Augusta, GA, United States, Department of Neurology, Medical College of Georgia, 1120 15th St., Augusta, GA 30912-3200, United States; Hess, D.C., Department of Neurology, United States, Medical College of Georgia, Department of Neurology, Augusta, GA, United States",[No abstract available],,"granulocyte colony stimulating factor; tissue plasminogen activator; blood brain barrier; blood sampling; cell regeneration; graft rejection; human; nervous system development; neuroprotection; note; stem cell mobilization; stem cell transplantation; stroke; stroke patient; Cell Differentiation; Cell Movement; Cerebrovascular Accident; Granulocyte Colony-Stimulating Factor; Humans; Neuronal Plasticity; Neurons; Stem Cell Transplantation",,"tissue plasminogen activator, 105913-11-9; Granulocyte Colony-Stimulating Factor, 143011-72-7",,,,,,"Reynolds, B.A., Weiss, S., Generation of neurons and astrocytes from isolated cells of the adult mammalian central nervous system (1992) Science, 255, pp. 1707-1710; Hess, D.C., Hill, W.D., Carroll, J.E., Do bone marrow cells generate neurons? (2004) Arch Neurol, 61, pp. 483-485; Haas, S., Weidner, N., Winkler, J., Adult stem cell therapy in stroke (2005) Curr Opin Neurol, 18, pp. 59-104; Nishino, H., Borlongan, C.V., Restoration of function by neural transplantation in the ischemic brain (2000) Prog Brain Res, 127, pp. 461-476; Nelson, P.T., Kondziolka, D., Wechsler, L., Clonal human (hNT) neuron grafts for stroke therapy: Neuropathology in a patient 27 months after implantation (2002) Am J Pathol, 160, pp. 1201-1206; Sun, Y., Jin, K., Xie, L., VEGF-induced neuroprotection, neurogenesis, and angiogenesis after focal cerebral ischemia (2003) J Clin Invest, 111, pp. 1843-1851; Van Praag, H., Kempermann, G., Gage, F.H., Running increases cell proliferation and neurogenesis in the adult mouse dentate gyrus (1999) Nat Neurosci, 2, pp. 266-270; Schabitz, W.R., Kollmar, R., Schwaninger, M., Neuroprotective effect of granulecyte colony-stimulating factor after focal cerebral ischemia (2003) Stroke, 34, pp. 745-751; Schneider, A., Kruger, C., Steigleder, T., The hematopoietic factor G-CSF is a neuronal ligand that counteracts programmed cell death and drives neurogenesis (2005) J Clin Invest, 115, pp. 2083-2098; Shyu, W.C., Lin, S.Z., Lee, C.C., Granulocyte colony-stimulating factor for acute ischemic stroke: A randomized controlled trial (2006) CMAJ, 174 (7), pp. 927-933; Borlongan, C.V., Skinner, S.J., Geaney, M., Intracerebral transplantation of i porcine choroid plexus provides structural and functional neuroprotection in a rodent model of stroke (2004) Stroke, 35, pp. 2206-2210; Chen, X., Li, Y., Wang, L., Ischemic rat brain extracts induce human marrow stromal cell growth factor production (2002) Neuropathology, 22, pp. 275-279","Borlongan, C.V.; Department of Neurology, Medical College of Georgia, 1120 15th St., Augusta, GA 30912-3200, United States; email: cbolongan@mail.mcg.edu",,,,,,,,08203946,,CMAJA,"16517763","English","CMAJ",Note,"Final",Open Access,Scopus,2-s2.0-33645567122 "Konu H.","35976130400;","Developing a forest-based wellbeing tourism product together with customers - An ethnographic approach",2015,"Tourism Management","49",,,"1","16",,35,"10.1016/j.tourman.2015.02.006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84923379524&doi=10.1016%2fj.tourman.2015.02.006&partnerID=40&md5=db1abe5630fdf6176817a0c7a6a7a288","University of Eastern Finland, Centre for Tourism Studies, P.O. Box 86, Savonlinna, FI-57101, Finland","Konu, H., University of Eastern Finland, Centre for Tourism Studies, P.O. Box 86, Savonlinna, FI-57101, Finland","This study aims to examine the usability and usefulness of ethnographic approaches in new service development (NSD) in tourism. This paper discusses and describes what kind of information is gained through the process. The paper includes a case study which uses an ethnographic approach in one phase of the NSD process. The data was collected during a tourism product test phase on-site by participant observation, conducting surveys and holding group interviews. The results show that an ethnographic approach brings highly versatile and detailed information that benefits different phases of NSD and the development of the service concept, service process and service system. Some challenges were identified during the data collection, mainly related to participant observation. This study contributes to tourism management literature by providing an empirical example of how consumers are involved in NSD in the tourism industry and how an ethnographic approach can be utilised in NSD. © 2015 Elsevier Ltd.","Consumer involvement; Ethnographic approach; Forest-based wellbeing tourism; New service development","forest management; leisure industry; tourism development; tourism management",,,,,,,,"Alam, I., An exploratory investigation of user involvement in new service development (2002) Journal of the Academy of Marketing Science, 30 (3), pp. 250-261; Alam, I., Removing the fuzziness from the fuzzy front-end of service innovations through customer interactions (2006) Industrial Marketing Management, 35 (4), pp. 468-480; Alam, I., Perry, C., Acustomer-oriented new service development process (2002) Journal of Services Marketing, 16 (6), pp. 515-534; Arnould, E.J., Toward a broadened theory of preference formation and the diffusion of innovations: cases from Zinder Province, Niger Republic (1989) Journal of Consumer Research, 16, pp. 239-267. , September; Arnould, E.J., Price, L.L., River magic: hedonic consumption and the extended service encounter (1993) Journal of Consumer Research, 20, pp. 24-45. , June; Arnould, E.J., Wallendorf, M., (1993) Market oriented ethnography, , Working paper, Department of Marketing, California State University, Long Beach, 90840; Arnould, E., Wallendorf, M., Market oriented ethnography: interpretation building and marketing strategy formulation (1994) Journal of Marketing Research, 31, pp. 484-504. , November; Atkinson, P., Coffey, A., Delamont, S., Lofland, J., Lofland, L., Editorial introduction (2007) Handbook of ethnography, , SAGE Publications, Los Angeles, P. 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Vargo (Eds.); Voigt, C., Brown, G., Howat, G., Wellness tourists: in search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; Voss, C., Zomerdijk, L., Innovation in experiential services - an empirical vie (2007) Innovation in services, pp. 97-134. , DTI, London, DTI (Ed.); Williams, A., Tourism and hospitality marketing: fantasy, feeling and fun (2006) International Journal of Contemporary Hospitality Management, 18 (6), pp. 482-495; Zomerdijk, L.G., Voss, C.A., NSD processes and practices in experiential services (2011) Journal of Product Innovation Management, 28 (1), pp. 63-80","Konu, H.; University of Eastern Finland, Centre for Tourism Studies, P.O. Box 86, Finland",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84923379524 "Wongkit M., McKercher B.","55628193800;6701737425;","Toward a typology of medical tourists: A case study of Thailand",2013,"Tourism Management","38",,,"4","12",,35,"10.1016/j.tourman.2013.02.003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875235213&doi=10.1016%2fj.tourman.2013.02.003&partnerID=40&md5=93833662ba1b676579e886cb4f088a18","Faculty of Commerce and Management, Prince of Songkla University, Trang Campus, Thailand; School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hong Kong","Wongkit, M., Faculty of Commerce and Management, Prince of Songkla University, Trang Campus, Thailand; McKercher, B., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hong Kong","This paper examines the motivations of medical tourists who sought treatment in Thailand. Previous research has tended to treat the medical tourist market as undifferentiated, with the decision to seek treatment made prior to departure. These assumptions may be incorrect, and a significant finding of this study was that medical tourists can be categorized into four different groups, each of which displays significant differences in the types of treatment sought, the motivations for visiting Thailand, the decision making process, and their travel characteristics. One contribution of this study is its indication that if destination managers understand the nature and characteristics of each type of medical tourist, they will be able develop and promote more appropriate and satisfactory medical tourism products and services for their visitors. © 2013 Elsevier Ltd.","Medical tourism; Medical tourist; Special interest tourism; Thailand; Typology","decision making; disease treatment; medicine; tourism development; tourism management; tourism market; tourist destination; typology; Thailand",,,,,,,,"Abu-Bader, S.H., (2010) Advanced and multivariate statistical methods for social science research with a complete SPSS guide, , Lyceum Books, INC, Chicago, IL; Acott, T.G., La Trobe, H.L., Howard, S.H., An evaluation of deep ecotourism and shallow ecotourism (1998) Journal of Sustainable Tourism, 6 (3), pp. 238-253; Awadzi, W., Panda, D., Medical tourism: globalization and the marketing of medical services (2006) The Consortium Journal of Hospitality and Tourism, 11 (1), pp. 75-81; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , Palgrave MacMillan, New York; Brotman, B.A., Medical tourism private hospitals: focus India (2010) Journal of Health Care Finance, 37 (1), pp. 45-50; (2012) Joint Commission International (JCI) accreditation, , http://www.bumrungrad.com/en/about-us/bumrungrad-hospital-accreditation-jci-others, Retrieved from, Bumrungrad International Hospital; Cabrera, J.A., Welcome home (2010) Medica Tourism, 5, pp. 15-18; Cohen, E., Medical tourism in Thailand (2008) AU-GSB e-Journal, 1 (1), pp. 24-37; Connell, J., Medical tourism: sea, sun, sand and. surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Department of Export Promotion (2009) Health care services: Thailand's medical quality, , http://medical.thaitrade.com/index.php%3fct_id%3d3%26type%3darticle%26menu%3d42, Retrieved from; ESCAP (2009) Medical travel in Asia and the Pacific: Challenges and opportunities, , United Nations Economic and Social Commission for Asia and the Pacific, Bangkok; Field, A., (2009) Discovering statistics using SPSS, , SAGE Publications Ltd, City Road, London; Hall, M., Sharples, L., The consumption of experiences or the experience of Consumption? 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Sheldon (Eds.); Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: an assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Horowitz, M.D., Rosensweig, J.A., Medical tourism: health care in the global economy (2007) The Physician Executive, 33 (6), pp. 24-31; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) MedGenMed, 9 (4), p. 33. , http://www.ncbi.nlm.nih.gov/sites/ppmc/articles/PMC2234298/, Retrieved from; ISMED (2010) Medical tourism services handbook for hotel businesses, , http://thai.thailandmedicaltourismcluster.org/Portals/0/PDF/Operatorguide_HotelFinal.pdf, Institute for Small and Medium Enterprises Development, Retrieved from; Jencharoenwong, S., Assenov, I., Medical tourism strategies for Thailand (2010) Proceedings of the eighth APacCHRIE conference2010: Integrating hospitality and tourism in Asia and Pacific, pp. 185-197. , Prince of Songkla University, Phuket Campus, Phuket, Thailand; Keckley, P.H., (2008) Medical tourism: Consumer in search of value, , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%2520Assets/Documents/us_chs_MedicalTourismStudy(3).pdf, Retrieved from; Khan, R.H., Deb, S.K., Medical tourism: Bangladeshi consumers' choice of destination country (2010) Proceedings of the New Zealand tourism and hospitality research conference 2010, pp. 103-114. , AUT University, Auckland, New Zealand; Knight, L., Guide the patient: are you a savvy patient? 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Manage.",Article,"Final",,Scopus,2-s2.0-84875235213 "Heung V.C.S., Kucukusta D.","6602945016;33867682100;","Wellness tourism in China: Resources, development and marketing",2013,"International Journal of Tourism Research","15","4",,"346","359",,35,"10.1002/jtr.1880","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879844306&doi=10.1002%2fjtr.1880&partnerID=40&md5=355fab5dbd8e23785ea81edda9de4b0b","The Hong Kong Polytechnic University, School of Hotel and Tourism Management, Hong Kong, China","Heung, V.C.S., The Hong Kong Polytechnic University, School of Hotel and Tourism Management, Hong Kong, China; Kucukusta, D., The Hong Kong Polytechnic University, School of Hotel and Tourism Management, Hong Kong, China","China's natural and cultural resources are the foremost offerings of the country's wellness tourism sector. Although wellness tourism in China is in its infancy, it can offer new opportunities in, and strengthen the overall competitiveness of, China's tourism industry. To achieve this, the assessment and development of wellness tourism resources in China are required. This study examines the potential for wellness tourism development in terms of resources and promotion from the point of view of wellness tourism experts. It surveys professionals working in tourism, health and education in China. The results reveal that environmental assets, including fresh air, clean water and natural features, are considered the most important attributes for the development of wellness tourism in China and that the promotion of wellness tourism can best be achieved through advertising in mass media, governmental support and organizing new regional events. The study implications and future research directions are discussed. © 2012 John Wiley & Sons, Ltd.","Asia; China; Health tourism; Wellness tourism","advertising; competitiveness; education; health care; marketing; mass media; tourism; tourism development; tourism market; China",,,,,,,,"(2000), http://news.bbc.co.uk/2/hi/asia-pacific/906114.stm, BBC News .1 September China's Ageing Population. 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Available at (accessed March 5, 2012); Wightman, D., Wall, G., The spa experience at Radium Hotsprings (1985) Annals of Tourism Research, 12 (3), pp. 393-416; Wong, C., (2003) Health Tourism to Drive Earnings, , Malaysian Institute of Economic Research: Kuala Lumpur, Malaysia; Yu, F., Takahashi, T., Moriya, J., Kawaura, K., Yamakawa, J., Kusaka, K., Itoh, T., Kanda, T., Traditional Chinese Medicine and Kampo: A Review From The Distant Past for The Future (2006) The Journal of International Medical Research, 34 (3), pp. 231-239","Heung, V.C.S.; The Hong Kong Polytechnic University, School of Hotel and Tourism Management, Hung Hom, Kowloon, Hong Kong, China; email: hmvheung@polyu.edu.hk",,,,,,,,10992340,,,,"English","Int. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-84879844306 "Glinos I.A., Baeten R., Maarse H.","15836850800;6507750396;6602716841;","Purchasing health services abroad: Practices of cross-border contracting and patient mobility in six European countries",2010,"Health Policy","95","2-3",,"103","112",,35,"10.1016/j.healthpol.2009.11.016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77950932712&doi=10.1016%2fj.healthpol.2009.11.016&partnerID=40&md5=4385212548ba5355abe66dd03e567b78","Department of Health Organisation, Policy and Economics, Faculty of Health, Medicine and Life Sciences, University of Maastricht, Netherlands; Observatoire Social Européen (a.s.b.l.), Belgium","Glinos, I.A., Department of Health Organisation, Policy and Economics, Faculty of Health, Medicine and Life Sciences, University of Maastricht, Netherlands; Baeten, R., Observatoire Social Européen (a.s.b.l.), Belgium; Maarse, H., Department of Health Organisation, Policy and Economics, Faculty of Health, Medicine and Life Sciences, University of Maastricht, Netherlands","Objectives: Contracting health services outside the public, statutory health system entails purchasing capacity from domestic non-public providers or from providers abroad. Over the last decade, these practices have made their way into European health systems, brought about by performance-oriented reforms and EU principles of free movement. The aim of the article is to explain the development, functioning, purposes and possible implications of cross-border contracting. Methods: Primary and secondary sources on purchasing from providers abroad have been collected in a systematic way and analysed in a structured frame. Results: We found practices in six European countries. The findings suggest that purchasers from benefit-in-kind systems contract capacity abroad when this responds to unmet demand; pressures domestic providers; and/or offers financial advantages, especially where statutory purchasers compete. Providers which receive patients tend to be located in countries where treatment costs are lower and/or where providers compete. The modalities of purchasing and delivering care abroad vary considerably depending on contracts being centralised or direct, the involvement of middlemen, funding and pricing mechanisms, cross-border pathways and volumes of patient flows. Conclusions: The arrangements and concepts which cross-border contracting relies on suggest that statutory health purchasers, under pressure to deliver value for money and striving for cost-efficiency, experiment with new ways of organising health services for their populations. © 2009 Elsevier Ireland Ltd.","Competition; Cross-border contracting; EU; Health services; Patient mobility; Performance; Waiting lists","article; cost effectiveness analysis; Europe; funding; health care access; health care cost; health care delivery; health care policy; health care practice; health care quality; health care system; health care utilization; health service; human; national health service; patient care; patient mobility; Attitude of Health Personnel; Attitude to Health; Belgium; Europe; European Union; Health Policy; Health Services Research; Humans; Motivation; National Health Programs; Outsourced Services; Patient Selection; Private Sector; Program Development; Qualitative Research; Questionnaires; Transportation of Patients; Travel",,,,,,,,"Palm, W., Glinos, I.A., Enabling patient mobility in the European Union: between free movement and coordination. 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Box 616, 6200 MD Maastricht, Netherlands; email: i.glinos@beoz.unimaas.nl",,,,,,,,01688510,,HEPOE,"20031249","English","Health Policy",Article,"Final",,Scopus,2-s2.0-77950932712 "Legido-Quigley H., McKee M., Glinos I., Baeten R.","15837269400;7202304775;15836850800;6507750396;","Patient mobility in the European Union",2007,"British Medical Journal","334","7586",,"188","190",,35,"10.1136/bmj.39086.497639.68","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33846697383&doi=10.1136%2fbmj.39086.497639.68&partnerID=40&md5=a00163ab6c64ea4796033f1596420dcd","Department of European Public Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, United Kingdom; Observatoire Sociale Européen, Brussels, Belgium","Legido-Quigley, H., Department of European Public Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, United Kingdom; McKee, M., Department of European Public Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, United Kingdom; Glinos, I., Observatoire Sociale Européen, Brussels, Belgium; Baeten, R., Observatoire Sociale Européen, Brussels, Belgium",[No abstract available],,"European Union; health care; health care cost; home care; medical practice; patient mobility; priority journal; review",,,,,,,,"(2006) Communication from the commission consultation regarding community action on health services, , European Commission, Brussels: European Commission; European Parliament and Councilofthe European Union. 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Services, , www.acespana.org; Harant, P., Hospital cooperation across French borders (2006) Patient mobility in the European Union-learning from experience, pp. 157-177. , eds, Copenhagen: European Observatory on Health Systems and Policies; Glinos, I.A., Boffin, N., Baeten, R., Cross-border care in Belgian hospitals: An analysis of Belgian, Dutch and English stakeholder perspectives (2005) Brussels: Observatoire Social Europeen; Post, B., Stal, P., (2000) Cross-border urgent medical assistance-Belgium, Germany, the Netherlands, , Nijmegen: University of Nijmegen Foundation; Jesse, M., Kruuda, R., Cross-bordercare in the north: Estonia, Finland and Latvia (2006) Patient mobility In the European Union-learning from experience, pp. 23-37. , eds, Copenhagen: European Observatory on Health Systems and Policies; McKee, M., Mossialos, E., Baeten, R., (2002) The impact of EU law on health care systems, , Brussels: Peter Lang; Azzopardi Muscat, N., Grech, K., Cachia, J., Xuereb, D., Sharing capacities - Malta and the United Kingdom (2006) Patient mobility in the European Union-learning from experience, pp. 119-136. , eds, Copenhagen: European Observatory on Health Systems and Policies; Lowson, K., West, P., Chaplin, S., O'Reilly, J., (2002) Evaluation of treating patients overseas - final report, , York: York Health Economics Consortium; Boffin, N., Baeten, R., Dutch patients evaluate contracted care in Belgian hospitals: Results of a patient survey (2005) Brussels: Observatoire Social Europeen; Albreht, T., Pribakovi, R., Brinovec, J.S., Cross-bordercare in the south: Slovenia, Austria and Italy (2006) Patient mobility in the European Union-learning from experience, pp. 9-21. , eds, Copenhagen: European Observatory on Health Systems and Policies; France, G., Cross-border flows of Italian patients within the European Union (1997) Eur J Public Health, 7 (SUPPL.), pp. 18-25; EU Business. Spain to investigate allegations of late-term abortions. www.eubusiness.com/Health/061030185843.mut9wt9c","Legido-Quigley, H.; Department of European Public Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, United Kingdom; email: Helena.legido-quigley@lshtm.ac.uk",,,"BMJ Publishing Group",,,,,09598146,,BMJOA,"17255612","English","Br. Med. J.",Review,"Final",,Scopus,2-s2.0-33846697383 "de la Hoz-Correa A., Muñoz-Leiva F., Bakucz M.","57196473217;9432630700;55904313400;","Past themes and future trends in medical tourism research: A co-word analysis",2018,"Tourism Management","65",,,"200","211",,34,"10.1016/j.tourman.2017.10.001","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85033476889&doi=10.1016%2fj.tourman.2017.10.001&partnerID=40&md5=249edf205237493466ccebf7a0c17493","University of Granada, Spain; University of Pécs, Hungary","de la Hoz-Correa, A., University of Granada, Spain; Muñoz-Leiva, F., University of Granada, Spain; Bakucz, M., University of Pécs, Hungary","The purpose of this paper is to analyze the evolution of medical tourism (MT) research from a longitudinal perspective (period 1931–2016). A co-word analysis was applied to themes found in published research listed in the Web of Science (WoS) and Scopus database services. The results reveal six clusters of themes: a) issues regarding ethical implications, trust and accreditation; b) health, wellness, spa tourism and service quality; c) health-related issues, medical treatments and tourism; d) “sensitive” practices in MT; e) medical tourism destinations and marketing; and f) globalization, policies and the effect on international patients. This study is one of the first attempts to use a bibliometric approach and co-word analysis so as to offer powerful insight into the conceptual structure of MT research from academic literature and to visualize all the underlying and interconnected subfields. It also provides a guide to researchers by improving the understanding of the current state of the art and predicting the direction of future research. © 2017 Elsevier Ltd","Bibliometric analysis; Co-word analysis; Health tourism; Medical tourism; Thematic evolution","future prospect; health services; medical tourism; service quality; statistical analysis; Scopus",,,,,"ECO2012-39576 SEJ-1980","This study was conducted with the financial support received from the Spanish Ministry of Economy and Competitiveness (Research Project ECO2012-39576 ) and the Andalusian Regional Government (Research Project SEJ-1980 ).",,"Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, , https://doi.org/10.1016/j.ijid.2010.02.1783, 14th International Congress on Infectious Diseases (ICID) Abstracts.e135; Barrowman, R.A., Grubor, D., Chandu, A., Dental implant tourism (2010) Australian Dental Journal, 55 (4), pp. 441-445; Borner, K., Chen, C.M., Boyack, K.W., Visualizing knowledge domains (2003) Annual Review of Information Science and Technology, 37, pp. 179-255. , https://doi.org/10.1002/aris.1440370106; Broadus, R.N., Toward a definition of “bibliometrics.” (1987) Scientometrics, 12 (5-6), pp. 373-379. , https://doi.org/10.1007/BF02016680; Callon, M., Courtial, J.P., Laville, F., Co-word analysis as a tool for describing the network of interactions between basic and technological research: The case of polymer chemsitry (1991) Scientometrics, 22 (1), pp. 155-205. , https://doi.org/10.1007/BF02019280; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454. , https://doi.org/10.1586/14737167.6.4.447; Chew, Y.T., Darmasaputra, A., Identifying research gaps in medical tourism (2015) Destination Marketing: An International Perspective, 119; Chuang, T.C., Liu, J.S., Lu, L.Y.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, 45, pp. 49-58. , https://doi.org/10.1016/j.tourman.2014.03.016; Connell, J., Medical tourism: Sea, sun, sand and.. surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , https://doi.org/10.1016/j.tourman.2005.11.005; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13. , https://doi.org/10.1016/j.tourman.2012.05.009; Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? 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(2010) Journal of Public Health Policy, 31 (2), pp. 185-198. , https://doi.org/10.1057/jphp.2010.10; Horowitz, M.D., Rosensweig, J.A., Medical tourism - health care in the global economy (2007) The Physician Executive, 33 (6), pp. 24-30. , http://www.ncbi.nlm.nih.gov/pubmed/18092615, Retrieved from; Indian Institute of Tourism and Travel Management, A study of problems and challenges faced by medical tourists visiting India (2011); Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 91 (24). , https://doi.org/10.1186/1475-9276-9-24; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , https://doi.org/10.1016/j.Maturitas.2010.01.017; Lunt, N., Carrera, P., Systematic review of web sites for prospective medical tourists (2011) Tourism Review, 66 (1-2), pp. 57-67. , https://doi.org/10.1108/16605371111127224; Lunt, N., Horsfall, D., Hanefeld, J., Medical tourism: A snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-40. , https://doi.org/10.1016/j.maturitas.2016.03.001; Lunt, N., Smith, R., Exworthy, M., Stephen, T., Horsfall, D., Mannion, R., Medical Tourism: Treatments, markets and health system implications: scoping review (2011), http://www.oecd.org/els/health-systems/48723982.pdf, OECD 2011 Retrieved from; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., Implications for the NHS of inward and outward medical tourism: A policy and economic analysis using literature review and mixed-methods approaches (2014) Health Services and Delivery Research, 2 (2), pp. 1-234. , https://doi.org/10.3310/hsdr02020; Manaf, N.H.A., Hussin, H., Kassim, P.N.J., Alavi, R., Dahari, Z., Medical tourism service quality: Finally, some empirical findings (2015) Total Quality Management and Business Excellence, 26 (9-10), pp. 1017-1028. , https://doi.org/10.1080/14783363.2015.1068597; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Developing World Bioethics, 11 (1), pp. 16-29. , https://doi.org/10.1111/j.1471-8847.2010.00282.x; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17. , https://doi.org/10.1177/135676670100700101; Muñoz-Leiva, F., Porcu, L., Del Barrio-García, S., Discovering prominent themes in integrated marketing communication research from 1991 to 2012: A co-word analytic approach (2015) International Journal of Advertising, 34 (4), pp. 678-701. , https://doi.org/10.1080/02650487.2015.1009348; Muñoz-Leiva, F., Sánchez-Fernández, J., Liébana-Cabanillas, F.J., López-Herrera, A.G., Applying an automatic approach for showing up the hidden themes in financial marketing research (1961-2010) (2012) Expert Systems with Applications, 39 (12), pp. 11055-11065; Muñoz-Leiva, F., Viedma-Del-Jesús, M.I., Sánchez-Fernández, J., López-Herrera, A.G., An application of co-word analysis and bibliometric maps for detecting the most highlighting themes in the consumer behaviour research from a longitudinal perspective (2012) Quality & Quantity, 46 (4), pp. 1077-1095; Murdoch, C.E., Scott, C.T., Stem cell tourism and the power of hope (2010) The American Journal of Bioethics, 10 (5), pp. 16-23. , https://doi.org/10.1080/15265161003728860; Ngamvichaikit, A., Beise-Zee, R., Communication needs of medical tourists: An exploratory study in Thailand (2014) International Journal of Pharmaceutical and Healthcare Marketing, 8, pp. 98-117. , https://doi.org/10.1108/IJPHM-10-2012-0010; Page, S.J., Current issue in tourism: The evolution of travel medicine research: A new research agenda for tourism? 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Paper presented at the proceedings of the sixteenth annual international conference of the global business and technology association, pp. 598-607. , N. Delener L. Fuxman F. Victor Lu S. Rodrigues Global Business and Technology Association Baku, Azerbaijan; Tribe, J., The indiscipline of tourism (1997) Annals of Tourism Research, 24 (3), pp. 638-657; Turner, L., “First World health care at third World Prices”: Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325. , https://doi.org/10.1017/S1745855207005765; Viedma-Del-Jesús, M.I., Perakakis, P., Muñoz, M.Á., López-Herrera, A.G., Vila, J., Sketching the first 45 years of the journal psychophysiology (1964-2008): A co-word-based analysis (2011) Psychophysiology, 48 (8), pp. 1029-1036. , https://doi.org/10.1111/j.1469-8986.2011.01171.x; Whittaker, A., Speier, A., “Cycling overseas”: Care, commodification, and stratification in cross-border reproductive travel (2010) Medical Anthropology, 29 (4), pp. 363-383. , https://doi.org/10.1080/01459740.2010.501313; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12. , https://doi.org/10.1016/j.tourman.2013.02.003; Woo, E., Schwartz, Z., Towards assessing the knowledge gap in medical tourism (2014) Journal of Quality Assurance in Hospitality & Tourism, 15 (2), pp. 213-226. , https://doi.org/10.1080/1528008X.2014.889516; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201. , https://doi.org/10.1016/j.tourman.2012.04.010; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127. , https://doi.org/10.1016/j.tourman.2010.09.018; York, D., Medical Tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in The Health Professions, 28 (2), pp. 99-102. , https://doi.org/10.1002/chp","de la Hoz-Correa, A.; University of GranadaSpain; email: andrehoz@gmail.com",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-85033476889 "Moghavvemi S., Ormond M., Musa G., Mohamed Isa C.R., Thirumoorthi T., Bin Mustapha M.Z., Kanapathy K.A.P., Chiremel Chandy J.J.","55812336800;7801551522;7004159636;57191834386;35339870700;57191827118;24352200400;57191832792;","Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand",2017,"Tourism Management","58",,,"154","163",,34,"10.1016/j.tourman.2016.10.010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84994010388&doi=10.1016%2fj.tourman.2016.10.010&partnerID=40&md5=45c818ba209adc2e80f01881af5463ac","University of Malaya, Malaysia; Wageningen University, Netherlands","Moghavvemi, S., University of Malaya, Malaysia; Ormond, M., Wageningen University, Netherlands; Musa, G., University of Malaya, Malaysia; Mohamed Isa, C.R., University of Malaya, Malaysia; Thirumoorthi, T., University of Malaya, Malaysia; Bin Mustapha, M.Z., University of Malaya, Malaysia; Kanapathy, K.A.P., University of Malaya, Malaysia; Chiremel Chandy, J.J., University of Malaya, Malaysia","Websites of private hospitals promoting medical tourism are important marketing channels for showcasing and promoting destinations’ medical facilities and their array of staff expertise, services, treatments and equipment to domestic and foreign patient-consumers alike. This study examines the websites of private hospitals promoting medical tourism in three competing Asian countries (India, Malaysia and Thailand) in order to look at how these hospitals present themselves online and seek to appeal to the perceived needs of (prospective) medical tourists. The content and format of 51 hospitals are analyzed across five dimensions: hospital information and facilities, admission and medical services, interactive online services, external activities, and technical items. Results show differences between Indian, Malaysian and Thai hospital websites, pointing to the need for hospital managers to improve their hospitals’ online presence and interactivity. © 2016 Elsevier Ltd","Content analysis; Hospital websites; Medical provider; Medical tourism; On-line search; Patient","hospital sector; Internet; tourism; World Wide Web; India; Malaysia; Thailand",,,,,,,,"Bedell, S., Agrawal, A., Petersen, L.E., A systematic critique of diabetes on the World Wide Web for patients and their physicians (2004) International Journal of Medical Informatics, 73 (9), pp. 687-694; Behrmann, J., Smith, E., Top 7 issues in medical tourism: Challenges, knowledge gaps, and future directions for research and policy development (2010) Global Journal of Health Science, 2 (2), p. 80; Bloomberg, How cheap oil and fewer nose jobs hurt Thai hospital stocks (2014), http://www.bloomberg.com/news/articles/2016-05-29/how-cheap-oil-and-fewer-nose-jobs-are-hurting-thai-health-stocks, November 18th:available at:; Bookman, M.Z., Bookman, K.R., Medical tourism in developing countries (2007), Macmillan; Boyer, C., When the quality of health information matters: Health on the net is the quality standard for information you can trust, health on the net foundation (2013), http://www.hon.ch/Global/pdf/TrustworthyOct2006.pdf; Chen, Q., Griffith, D.A., Shen, F., The effects of interactivity on cross channel communication effectiveness (2005) Journal of Interactive Research, 5 (2), pp. 30-44; Cohen, E., Medical tourism in Thailand (2008) Explorations in Thai tourism, pp. 225-255. , E. Cohen (Bingley: Emerald); Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , http://dx.doi.org/10.1016/j.tourman.2005.11.005; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13. , http://dx.doi.org/10.1016/j.tourman.2012.05.009; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716. , http://dx.doi.org/10.1016/j.tourman.2010.02.008, doi; Crooks, V.A., Bristeir, J., Turner, L., Snyder, J., Casey, V., Johnston, R., Understanding the health and safety risks for british Columbia's outbound medical tourists (2011), Department of Geography, Simon Fraser University; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732; Cyr, D., Bonanni, C., Bowes, J., Ilsever, J., Beyond trust: Website design preferences across cultures (2005) Journal of Global Information Management, 13, pp. 24-52; D'Ambra, J., Mistilis, N., Assessing the e-capability of visitor information centers (2010) Journal of Travel Research, 49 (2), pp. 206-215; Elo, S., Kyngäs, H., The qualitative content analysis process (2008) Journal of Advanced Nursing, 62 (1), pp. 107-115; Everard, A., Galletta, D.F., How presentation flaws affect perceived site quality, trust, and intention to purchase from an online store (2005) Journal of Management Information Systems, 22 (3), pp. 56-95; Eysenbach, G., Powell, J., Kuss, O., Sa, E.-R., Empirical studies assessing the quality of health information for consumers on the world wide web: A systematic review (2002) Journal of the American Medical Association, 287 (20), pp. 2691-2700; Fedorov, G., Tata, S., Raveslooy, B., Dhakal, G., Kanosue, Y., Roncarati, M., Medical travel in Asia and the pacific: Challenges and opportunities (2009), UN ESCAP Bangkok; Gallant, L., Irizarry, C., Kreps, G.L., User-centric hospital web sites: A case for trust and personalization (2006) E-Service Journal, 5 (2), pp. 5-26; Grigoroudis, E., Litos, C., Moustakis, V.A., Politis, Y., Tsironis, L., The assessment of user-perceived web quality: Application of a satisfaction benchmarking approach (2008) European Journal of Operational Research, 187 (3), pp. 1346-1357; Han, J.H., Mills, J.E., Zero acquaintance benchmarking at travel destination websites: What is the first impression that national tourism organizations try to make? (2006) International Journal of Tourism Research, 8 (6), pp. 405-430; Hasan, L., Abuelrub, E., Assessing the quality of web sites (2011) Applied Computing and Informatics, 9 (1), pp. 11-29. , http://dx.doi.org/10.1016/j.aci.2009.03.001; Hohm, C., Snyder, J., It was the best decision of my life: A thematic content analysis of former medical tourists’ patient testimonials (2015) BMC Medical Ethics, 16, p. 8; Huang, E., Chang, C.-C.A., Patient-oriented interactive e-health tools on US hospital web sites (2012) Health marketing quarterly, 29 (4), pp. 329-345; IMTJ, New online advertising rules have implications for medical tourism marketing (2010) International Medical Travel Journal, , http://www.imtj.com/articles/2010/implications-for-medical-tourism-marketing-30082/; IMTJ, New medical tourism campaign launched (2014) International Medical Travel Journal, , http://www.imtj.com/news/?entryid82=439371, 3 April, available at:; IMTJ, Know your market… Malaysia ‘boob job’ advertisement banned in UK (2015) International Medical Travel Journal, , http://www.imtj.com/blog/malaysia-boob-job-advertisement-banned-in-uk-40188/, February, available at:; IMTJ, 16-point agenda to position India as a preferred medical tourism destination (2015) International Medical Travel Journal, , https://www.imtj.com/news/16-point-agenda-position-india-preferred-medical-tourism-destination, 28 May, available at:; Indian Ministry of Tourism, Revised guidelines for the promotion of wellness and medical as niche tourism products (2014), http://tourism.gov.in/writereaddata/Uploaded/Guideline/090420140425104.pdf, 21 Aug., available at:; Keckley, P.H., Medical tourism: Update and implications; deloitte center for health solutions (2008), http://www.deloitte.com/assets/DcomUnitedStates/Local%20assets/documents/us_chs_medicaltourism_111209_web.pdf, available at:; Kim, H., Fesenmaier, D.R., The persuasive design of destination web sites: An analysis of first impression (2008) Journal of Travel Research, 47, pp. 3-13; Lee, C., Just what the doctor ordered: Medical tourism (2007) Monash Business Review, 3 (3), pp. 10-12; Lee, J.K., Morrison, A.M., A comparative study of web site performance (2010) Journal of Hospitality and Tourism Technology, 1 (1), pp. 50-67; Lindgaard, G., Fernandes, G., Dudek, C., Brown, J., Attention web designers: You have 50 milliseconds to make a good first impression (2006) Behaviour & Information Technology, 25 (2), pp. 115-126; Loda, M.D., Comparing web sites: An experiment in online tourism marketing (2011) International Journal of Business and Social Science, 2 (22), pp. 70-78; Lowry, P.B., Vance, A., Moody, G., Beckman, B., Read, A., Explaining and predicting the impact of branding alliances and web site quality on initial consumer trust of e-commerce web sites (2008) Journal of Management Information Systems, 24 (4), pp. 199-224; Luna-Nevarez, C., Hyman, M.R., Common practices in destination website design (2012) Journal of Destination Marketing & Management, 1 (1-2), pp. 94-106; Lunt, N., Medical tourism: Treatments, markets and health system implications: A scoping review. OECD, directorate for employment, labour and social affairs (2011); Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) The Open Medical Informatics Journal, 3, pp. 77-87; Maifredi, G., Orizio, G., Bressanelli, M., Domenighini, S., Gasparotti, C., Perini, E., Italian hospitals on the web: A cross-sectional analysis of official websites (2010) BMC medical informatics and decision making, 10 (1), p. 17; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) Journal of Health Communication, 16 (2), pp. 163-177; Medhekar, A., Government policy initiatives for developing sustainable medical tourism industry (2014) Journal on Business Review (GBR), 3 (3). , http://dl6.globalstf.org/index.php/gbr/article/download/267/283; Medical Tourism Association, Releases first patient surveys on medical tourism (2009) Medical Tourism Magazine, 10, pp. 34-36. , http://www.medicaltourismmag.com/mta-releases-first-patient-surveys-on-medical-tourism/, Available at:; Medical Travel Quality Alliance's, The world's best hospitals for medical tourists (2014), http://www.mtqua.org/top-10-worlds-best-hospitals-for-medical-tourists-new/, Available at:; MHTC., Healthcare Malaysia magazine (2013), http://www.medicaltourism.com.my/en/malaysia-healthcare-magazine/2013/Healthcare%20Malaysia%20Magazine%202013_English.pdf, available at:; MHTC., Statistics (2015), http://www.mhtc.org.my/en/statistics.aspx, available at:; Mira, J., Llinás, G., Tomás, O., Pérez-Jover, V., Quality of websites in Spanish public hospitals (2006) Informatics for Health and Social Care, 31 (1), pp. 23-44; Musa, G., Doshi, D.R., Wong, K.M., Thirumoorthy, T., How satisfied are inbound medical tourists in Malaysia? a study on private hospitals in Kuala Lumpur (2012) Journal of Travel & Tourism Marketing, 29, pp. 629-646; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bulletin of the World Health Organization, 89 (5), pp. 336-344; E.-T.urbo News, TAT launches e-marketing campaign for medical tourism in Thailand, E-Turbo News (2010), http://www.eturbonews.com/19166/tat-launches-e-marketing-campaign-medical-tourism-thailand, 21 Oct., available at:; Ormond, M., Neoliberal governance and international medical travel in Malaysia (2013), Routledge Abingdon; Ormond, M., Mainil, T., Government and governance strategies in medical tourism handbook on medical tourism and patient mobility (2015); Ormond, M., Sothern, M., (2012) You, too, can be an international medical traveler: Reading medical travel guidebooks Health and Place, 18 (5), pp. 935-941; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on south-south intra-regional medical travel (2014) Current Issues in Tourism, pp. 1-17; Ormond, M., Wong, K.M., Chan, C.K., Medical tourism in Malaysia: How can we better identify and manage its advantages and disadvantages? (2014) Glob Health Action, 7; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of canadian broker websites (2011) BMC medical ethics, 12 (1), p. 17; Peracchio, L.A., Luna, D., The role of thin-slice judgments in consumer psychology (2006) Journal of Consumer Psychology, 16 (1), pp. 25-32; Qadeer, I., Reddy, S., Medical tourism in India: Progress or predicament’ (2010) Economic and Political Weekly, 45 (20). , http://www.environmentportal.in/files/Medical%20Tourism%20in%20India.pdf, 15 May, available at: Accessed 05.02.14; Reisman, D.A., Health tourism: Social welfare through international trade (2010), Edward Elgar Publishing; Rerkrujipimol, J., Assenov, I., Marketing strategies for promoting medical tourism in Thailand (2011) Journal of Tourism, Hospitality & Culinary Arts, 3 (2), pp. 95-105; Robins, D., Holmes, J., Aesthetics and credibility in web site design (2008) Information Processing & Management, 44 (1), pp. 386-399. , http://dx.doi.org/10.1016/j.ipm.2007.02.003; Singh, K., Top interactive Web design features (2010), http://www.site-reference.com/articles/Website-Development/Top-InteractiveWeb-Design-Features.html, Retrieved from; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007); Solomon, H., Affective journeys: The emotional structuring of medical tourism in India (2011) Anthropology and Medicine, 18 (1), pp. 105-118; Suthin, K., Assenov, I., Tirasatayapitak, A., Medical Tourism: Can supply keep up with the demand (2007) Proceedings, APac-CHRIE & Asia Pacific Tourism Association Joint Conference 2007, , May 23-27 May, 2007, Beijing, China; Taylor, J., Gombeski, W.R., Jr., Dillon, B.W., Web wellness (2005) Marketing health services, 25 (2), pp. 32-37; (2014) Tourism Malaysia, , http://www.tourism.gov.my/en/intl, Available at:; Turner, L., First world health care at third world prices”: Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Quality in health care and globalization of health services accreditation and regulatory oversight of medical tourism companies (2011) International Journal for Quality in Health Care, 23 (1), pp. 1-7; Tourist Authority of Thailand, (2013), https://www.tourismthailand.org/About-Thailand/About-TAT, Available at:; Van der Heijden, H., Factors influencing the usage of websites: The case of a generic portal in The Netherlands (2003) Information & Management, 40 (6), pp. 541-549; Von Knoop, C., Lovich, D., Silverstein, M.B., Tutty, M., Vital signs: E-health in the United States (2003), Boston Consulting Group Boston 44; Wilson, A., Foreign bodies and national scales: Medical tourism in Thailand (2011) Body & Society, 17 (2-3), pp. 121-137; Wong, K.M., Musa, G., Medical tourism in Asia: Thailand, Singapore, Malaysia, and India (2012) Medical tourism: The ethics, regulation, and marketing of health mobility, pp. 167-186. , C.M. Hall Routledge London and New York; Woo, E., Schwartz, Z., Towards assessing the knowledge gap in medical tourism (2014) Journal of Quality Assurance in Hospitality & Tourism, 15 (2), pp. 213-226. , http://www.hospimedica-thailand.com; Ye, B., Yuen, P., Qiu, H., Zhang, V., Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists (2008), Paper presented at the Asia Pacific Tourism Association (APTA) Annual Conference Bangkok, Thailand; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88. , http://dx.doi.org/10.1016/j.tourman.2011.02.002","Moghavvemi, S.; University of MalayaMalaysia; email: sedigheh@um.edu.my",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84994010388 "Pesonen J., Laukkanen T., Komppula R.","53164554800;16744103400;23004669700;","Benefit segmentation of potential wellbeing tourists",2011,"Journal of Vacation Marketing","17","4",,"303","314",,34,"10.1177/1356766711423322","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053971409&doi=10.1177%2f1356766711423322&partnerID=40&md5=afaf4057e0dc484e38cda35d74452699","Centre for Tourism Studies, University of Eastern Finland, Kuninkaankartanonkatu 7, P.O. Box 86, 57101 Savonlinna, Finland","Pesonen, J., Centre for Tourism Studies, University of Eastern Finland, Kuninkaankartanonkatu 7, P.O. Box 86, 57101 Savonlinna, Finland; Laukkanen, T., Centre for Tourism Studies, University of Eastern Finland, Kuninkaankartanonkatu 7, P.O. Box 86, 57101 Savonlinna, Finland; Komppula, R., Centre for Tourism Studies, University of Eastern Finland, Kuninkaankartanonkatu 7, P.O. Box 86, 57101 Savonlinna, Finland","The purpose of this study is to segment tourists according to the benefits they seek from a tourism destination. These segments are examined in order to find attractive segments for local wellbeing products. Segmentation in the context of wellbeing and wellness provides companies information on what kind of tourists are most interested in buying wellbeing products and contributes to the existing segmentation theory by using data driven segmentation in a situation where traditionally common-sense segmentation is used. The literature surrounding benefit segmentation in tourism is reviewed in order to find the benefits tourists might think of as important. The results of K-means cluster analysis show that tourists in the Savonlinna region, Finland, can be divided into four segments. The segments differ from each other in the benefits they seek and in interest in wellbeing holidays, but are quite similar regarding to their socio-demographic factors. This study shows that data-driven segmentation can be used to find markets for a certain product instead of a priori segmentation. The results also show that benefits sought have a strong influence on customer behavior but little in common with socio-economic factors, which proves the usefulness of benefit segmentation in tourism. Based on the results, tourism companies can find the most suitable segments for their offerings. © The Author(s) 2011.","benefit segmentation; cluster analysis; tourism; wellbeing; wellness",,,,,,,,,"Beh, A., Bruyere, B., Segmentation by visitor motivation in three Kenyan national reserves (2007) Tourism Management, 28 (6), pp. 1464-1471; Bieger, T., Laesser, C., Market segmentation by motivation: the case of Switzerland (2002) Journal of Travel Research, 41 (1), pp. 68-76; Blamey, R., Braithwaite, V., A social values segmentation of the potential ecotourism market (1997) Journal of Sustainable Tourism, 5 (1), pp. 29-45; Bojanic, D., Warnick, R., Segmenting the market for winter vacations (1995) Journal of Travel and Tourism Marketing, 4 (4), pp. 85-95; Boksberger, P., Laesser, C., Segmentation of the senior travel market by the means of travel motivations (2009) Journal of Vacation Marketing, 15 (4), pp. 311-322; Buhalis, D., Marketing the competitive destination of the future (2000) Tourism Management, 21 (1), pp. 97-116; Craggs, R., Schofield, P., Expenditure-based segmentation and visitor profiling at The Quays in Salford, UK (2009) Tourism Economics, 15 (1), pp. 243-260; Díaz-Pérez, F., Bethencourt-Cejas, M., Álvarez-González, J., The segmentation of Canary Island tourism markets by expenditure: implications for tourism policy (2005) Tourism Management, 26 (6), pp. 961-964; Dibb, S., Market segmentation: strategies for success (1998) Marketing Intelligence and Planning, 16 (7), pp. 394-406; Dolnicar, S., Insights into sustainable tourists in Austria: a data-based a priori segmentation approach (2004) Journal of Sustainable Tourism, 12 (3), pp. 209-218; Dolnicar, S., Beyond 'commonsense segmentation': a systematics of segmentation approaches in tourism (2004) Journal of Travel Research, 42 (3), pp. 244-250; Dolnicar, S., Are we drawing the right conclusions? The dangers of answer format effects in empirical tourism research (2006) Tourism Analysis, 11 (3), pp. 199-209; Dolnicar, S., Grün, B., Challenging 'factor cluster segmentation (2008) Journal of Travel Research, 47 (1), pp. 63-71; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism. Spas and Hot Springs, , Bristol: Channel View Publications; Frochot, I., A benefit segmentation of tourists in rural areas: a Scottish perspective (2005) Tourism Management, 26 (3), pp. 335-346; Frochot, I., Morrison, A., Benefit segmentation: a review of its applications to travel and tourism research (2000) Journal of Travel and Tourism Marketing, 9 (4), pp. 21-45; Galloway, G., Psychographic segmentation of park visitor markets: evidence for the utility of sensation seeking (2002) Tourism Management, 23 (6), pp. 581-596; Gelbman, A., Using wellness elements for branding an exclusive image of tourism sites in the North of Israel (2009) Health and Wellness Tourism, pp. 335-340. , In: Smith M and Puczkó L (eds, Oxford: Butterworth-Heinemann; González, A., Bello, L., The construct 'lifestyle' in market segmentation. 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Mind, Body, Spirit, Place, pp. 3-18. , In: Bushell R and Sheldon PJ (eds, New York: Cognizant Communication; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, , Oxford: Butterworth-Heinemann; Snepenger, D., King, J., Marshall, E., Uysal, M., Modeling Iso-Ahola's motivation theory in the tourism context (2006) Journal of Travel Research, 45 (2), pp. 140-149; Weaver, D., Lawton, L., Overnight ecotourist market segmentation in the Gold Coast Hinterland of Australia (2002) Journal of Travel Research, 40 (3), pp. 270-280; Wu, S., Benefit segmentation: an empirical study for on-line marketing (2001) Asia Pacific Journal of Marketing and Logistics, 13 (4), pp. 3-13; Yannopoulos, P., Rotenberg, R., Benefit segmentation of the near-home tourism market: the case of Upper New York State (1999) Journal of Travel and Tourism Marketing, 8 (2), pp. 41-55; Yuksel, A., Market segmentation based on customers' post-purchase performance evaluation: a case of tourist diners (2003) Journal of Travel and Tourism Marketing, 15 (1), pp. 1-18","Pesonen, J.; Centre for Tourism Studies, University of Eastern Finland, Kuninkaankartanonkatu 7, P.O. Box 86, 57101 Savonlinna, Finland; email: juho.pesonen@uef.fi",,,,,,,,13567667,,,,"English","J. Vacat. Mark.",Article,"Final",,Scopus,2-s2.0-80053971409 "Viladrich A., Baron-Faust R.","15844511400;55844211200;","Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina",2014,"Annals of Tourism Research","45",,,"116","131",,33,"10.1016/j.annals.2013.12.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892894510&doi=10.1016%2fj.annals.2013.12.007&partnerID=40&md5=54c641641e6534fb93bfd138086d1bd5","The City University of New York (CUNY), United States","Viladrich, A., The City University of New York (CUNY), United States; Baron-Faust, R., The City University of New York (CUNY), United States","This article examines the online marketing literature that promotes Argentina as a rising destination for cosmetic surgeries. The surgical production of ""body capital"" is branded as an investment practice towards increasing one's value in the global market economy. Online advertisers portray Argentina as a familiar place where foreigners can feel ""at home"" due to an assumed ""cultural affinity"" (i.e., racial, ethnic and cultural similarities) with their Argentine hosts. Argentines are depicted as surgically enhanced role models to be imitated by their foreign visitors. The notion of sensual exoticism is advertised via tango products-from taking lessons to watching tango shows-as a unique component of the cosmetic surgery package that brands improved physical appearance with enhanced sex appeal. © 2013 Elsevier Ltd.","Argentina; Body capital; Cosmetic surgery; Medical tourism; Plastic surgery; Tango","advertising; international tourism; Internet; marketing; medicine; Argentina; Argentinidae",,,,,,,,"Ackerman, S., Plastic paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Medical Anthropology, 29, pp. 403-423; (2012) Medical tourism in Argentina-Buenos Aires, , http://www.aestheticup.com/buenos-aires-argentina-medical-tourism.php, Aesthetic Up.Com, Retrieved 22.04.12; Aizura, A.Z., Where health and beauty meet: Femininity and racialisation in Thai cosmetic surgery clinics (2009) Asian Studies Review, 33, pp. 303-317; Balch, O., Buenos Aires or Bust (2006) The Guardian, Business Section, , http://www.allmedicaltourism.com/articles/destinations/argentina/, 12.03.11; Ballve, M., Global Psyche. 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Retrieved 05.12; Connell, J., Medical tourism: Sea, sun sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images and the marketing of international travel patient (2011) Social Science & Medicine, 72, pp. 726-732; Dávila, A., (2012) Culture works: Space, value, and mobility across the neoliberal Americas, , New York University Press, New York; Edmonds, A., The poor have the right to be beautiful: Cosmetic surgery in neoliberal Brazil (2007) Journal of the Royal Anthropological Institute, 13, pp. 363-381; Edmonds, A., (2010) Pretty modern: Beauty, sex, and plastic surgery in Brazil, , Duke University Press, Durham, NC; (2012) Health and welfare (Argentina), , http://www.europaworld.com/pub/entry/ar.ss.15, Europa World Plus. 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Retrieved 20.08.10; Yang, J., Nennu and Shunu: Gender, body politics, and the beauty economy in China (2011) Signs, 36, pp. 333-357","Viladrich, A.; Departments of Sociology and Anthropology, Queens College of the City University of New York, Powdermaker Hall 233A, 65-30 Kissena Blvd, Queens, NY 11367-1597, United States; email: anahi.viladrich@qc.cuny.edu",,,,,,,,01607383,,,,"English","Ann. Tour. Res.",Article,"Final",,Scopus,2-s2.0-84892894510 "Ormond M.","7801551522;","Shifting subjects of health-care: Placing 'medical tourism' in the context of Malaysian domestic health-care reform",2011,"Asia Pacific Viewpoint","52","3",,"247","259",,33,"10.1111/j.1467-8373.2011.01457.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-83055169658&doi=10.1111%2fj.1467-8373.2011.01457.x&partnerID=40&md5=650aa8836d9a0668813083f71e1adbd2","Wageningen University, PO Box 47, 6700 AA Wageningen, Netherlands","Ormond, M., Wageningen University, PO Box 47, 6700 AA Wageningen, Netherlands","'Medical tourism' has frequently been held to unsettle naturalised relationships between the state and its citizenry. Yet in casting 'medical tourism' as either an outside 'innovation' or 'invasion', scholars have often ignored the role that the neoliberal retrenchment of social welfare structures has played in shaping the domestic health-care systems of the 'developing' countries recognised as international medical travel destinations. While there is little doubt that 'medical tourism' impacts destinations' health-care systems, it remains essential to contextualise them. This paper offers a reading of the emergence of 'medical tourism' from within the context of ongoing health-care privatisation reform in one of today's most prominent destinations: Malaysia. It argues that 'medical tourism' to Malaysia has been mobilised politically both to advance domestic health-care reform and to cast off the country's 'underdeveloped' image not only among foreign patient-consumers but also among its own nationals, who are themselves increasingly envisioned by the Malaysian state as prospective health-care consumers. © 2011 The Author. Asia Pacific Viewpoint © 2011 Victoria University of Wellington.","Citizenship; Consumerism; Development; Health-care privatisation; Malaysia; Medical tourism","developing world; health care; health services; neoliberalism; policy reform; privatization; tourism development; tourism market; tourist destination; welfare provision; article; consumer; economics; ethnology; government; health care cost; health care delivery; health care policy; history; legal aspect; Malaysia; medical tourism; organization and management; psychological aspect; Consumer Participation; Delivery of Health Care; Government; Health Care Reform; Health Care Sector; History, 20th Century; History, 21st Century; Malaysia; Medical Tourism; Privatization; Malaysia",,,,,,,,"(2010), Aliran Against the privatisation of public health care. Aliran, 7 June. 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The New Sunday Times, 6 January; Turner, L., 'First world health care at third world prices': Globalisation, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician, 53, pp. 1639-1641; Vijayan, M., (2007), Free Access Zone under IDR scrapped, The Star, 5 April; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Wolvaart, G., (1998), Opportunities and challenges for developing countries in the health sector. In International Trade in Health Services: A Development Perspective, UNCTAD-WHO Joint Publication, Geneva: WHO; Wood, R.E., Ethnic tourism, the state and cultural change in Southeast Asia (1984) Annals of Tourism Research, 11 (3), pp. 353-374","Ormond, M.; Wageningen University, PO Box 47, 6700 AA Wageningen, Netherlands; email: meghann.ormond@wur.nl",,,,,,,,13607456,,,"22216474","English","Asia Pac. Viewp.",Article,"Final",,Scopus,2-s2.0-83055169658 "Johnson T.J., Garman A.N.","8340561600;7004084762;","Impact of medical travel on imports and exports of medical services",2010,"Health Policy","98","2-3",,"171","177",,33,"10.1016/j.healthpol.2010.06.006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78249263800&doi=10.1016%2fj.healthpol.2010.06.006&partnerID=40&md5=72149cb31264cec855d4b0a33e3766d5","Department of Health Systems Management, Rush University, United States","Johnson, T.J., Department of Health Systems Management, Rush University, United States; Garman, A.N., Department of Health Systems Management, Rush University, United States","Objectives: Medical travel is travel outside of an individual's home region or country in pursuit of medical care that is more accessible, of higher quality and/or of lower cost. This paper estimates the inflows of foreign residents seeking medical care in the U.S. and outflows of U.S. residents seeking care abroad. Methods: Using data from the U.S. Bureau of Economic Analysis, U.S. International Trade Administration and a survey of domestic health care providers, we estimate the lower and upper bounds for the number of medical travelers into and out of the U.S. and the value of these services. Results: We estimate that between 43,000 and 103,000 foreigners came into the U.S. for medical care, and between 50,000 and 121,000 U.S. residents traveled abroad for care in 2007. Despite a net loss in the number of medical travelers flowing out of the U.S. for care, the trade surplus for medical travel could be as high as $1 billion. Conclusions: While a slight net outflow of patients leaving the U.S. for medical care may exist, the resulting impact on exports is still positive for the U.S., due to a higher average spending per patient coming to the U.S. New mechanisms are needed to track the balance of mobility and trade for medical care on a regular basis. © 2010 Elsevier Ireland Ltd.","Health care costs; International medical travel; Medical tourism; Quality of health care; Travel","article; health care cost; health care policy; health care quality; health service; health survey; human; international medical travel; medical care; medical service; tourism; travel; United States; Health Services; Health Services Accessibility; Humans; Medical Tourism; Quality of Health Care; United States",,,,,"Alfred P. Sloan Foundation","The authors thank the hospitals that participated in the telephone interviews. The authors thank Matthew Anderson, who was an administrative project assistant for the study, for assistance with data collection and management, J. Robert Clapp, FACHE, Senior Vice President of Hospital Affairs at Rush University Medical Center for helpful comments throughout the development of the project and Dr. Shital Shah, Assistant Professor in the Department of Health Systems Management at Rush University/Rush University Medical Center for assistance with forecasting. This project was funded by the Alfred P. Sloan Foundation's Standard of Living and Economic Performance research program.",,"(2008), http://www.cms.hhs.gov/NationalHealthExpendData/02_NationalHealthAccountsHistorical.asp, Centers for Medicare and Medicaid Services. National Health Expenditure Data; Davidson, A., Make money on medical tourism (2007) Forbes; Herrick, D.M., (2007) Medical tourism: global competition in health care, , National Center for Policy Analysis, Dallas, TX; (2007), http://www.pr.com/press-release/, Medical Tourism Association. Press release: medical tourism association holds world's first medical tourism membership meeting and forum, 60545; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) McKinsey Quarterly, , May; (2009), Deloite Center for Health Solutions. Medical tourism: update and implications - 2009 report. Washington, DC: Deloitte Development LLC; Horowitz, M.D., Rosensweig, J.A., Medical tourism vs. traditional international medical travel: a tale of two models (2008) International Medical Travel Journal, p. 3; Garman, A.G., Milstein, A., Anderson, M., Medical Travel (2009) Encyclopedia of health services research, , Sage, Thousand Oaks, CA, R. 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Survey of International Travelers (In-Flight Survey) Program; Fitzsimmons, J.A., Fitzsimmons, M.J., (2006) Service management: operations, strategy, information technology, , Irwin/McGraw-Hill, New York, NY; (2009), Satjapot S, Johnson TJ, Garman AG. Does patient origin influence care? An analysis of international medical travelers; Rush University Department of Health Systems Management; Comarow, A., (2007) America's best hospitals 2007: what it takes to be the best, , U.S. News and World Report; World Health Organization, A., (2007) Methodological approach to assessing trade in health services: a guide to conducting country studies, , Health Organization Regional Office for the Eastern Mediterranean, Cairo","Johnson, T.J.; Center for Health Management and Policy Research, Department of Health Systems Management, Rush University, 1700 West Van Buren Street, TOB Suite 126B, Chicago, IL, United States; email: tricia_j_johnson@rush.edu",,,,,,,,01688510,,HEPOE,"20619919","English","Health Policy",Article,"Final",,Scopus,2-s2.0-78249263800 "Borman E.","57214859947;","Health tourism",2004,"British Medical Journal","328","7431",,"60","61",,33,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-1642494583&partnerID=40&md5=b4581823ab4d026cef6416aa9697c1af","Univ. Hospitals Coventry W., Coventry CV2 2DX, United Kingdom","Borman, E., Univ. Hospitals Coventry W., Coventry CV2 2DX, United Kingdom",[No abstract available],,"confidentiality; consultation; cost effectiveness analysis; doctor patient relation; editorial; emergency treatment; first aid; government; health; health care; health care cost; health care need; health care personnel; health hazard; hospital care; human; Human immunodeficiency virus infection; manager; medical ethics; national health service; patient right; physician; priority journal; public health; responsibility; tourism; tuberculosis; United Kingdom; Emigration and Immigration; Fees and Charges; Great Britain; Health Policy; Health Services Misuse; Humans; State Medicine",,,,,,,,,"Borman, E.; Univ. Hospitals Coventry W., Coventry CV2 2DX, United Kingdom",,,,,,,,09598146,,BMJOA,"14715577","English","Br. Med. J.",Editorial,"Final",,Scopus,2-s2.0-1642494583 "Lunt N., Horsfall D., Hanefeld J.","6603761945;35848647100;26430746700;","Medical tourism: A snapshot of evidence on treatment abroad",2016,"Maturitas","88",,,"37","44",,32,"10.1016/j.maturitas.2016.03.001","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961782198&doi=10.1016%2fj.maturitas.2016.03.001&partnerID=40&md5=99f3cf4975df38fbb0a4bf2d7c957e04","University of York, United Kingdom; London School of Hygiene and Tropical Medicine, United Kingdom; Department of Social Policy and Social Work, University of York, Heslington, York, YO10 5DD, United Kingdom","Lunt, N., University of York, United Kingdom, Department of Social Policy and Social Work, University of York, Heslington, York, YO10 5DD, United Kingdom; Horsfall, D., University of York, United Kingdom; Hanefeld, J., London School of Hygiene and Tropical Medicine, United Kingdom","The scoping review focuses on medical tourism, whereby consumers elect to travel across borders or to overseas destinations to receive their treatment. Such treatments include: Cosmetic and dental surgery; cardio, orthopaedic and bariatric surgery; IVF; and organ and tissue transplantation. The review assesses the emerging focus of research evidence post-2010. The narrative review traverses discussion on medical tourism definitions and flows, consumer choice, clinical quality and outcomes, and health systems implications. Attention is drawn to gaps in the research evidence. © 2016 Elsevier Ireland Ltd. All rights reserved.","Medical mobility; Medical tourism; Medical travel; Scoping review","attention; bariatric surgery; consumer; dental surgery; human; human tissue; medical tourism; narrative; organ; tissue transplantation; travel; decision making; dentistry; Bariatric Surgery; Choice Behavior; Dentistry; Humans; Medical Tourism",,,,,,,,"Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16 (6), pp. 1145-1155; Mays, N., Roberts, E., Popay, J., Synthesising research evidence (2001) Studying the Organisation and Delivery of Health Services: Research Methods, pp. 188-220. , N. Fulop, P. Allen, A. Clarke, N. 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Transplant., 26 (3), pp. E232-E241; Idowu, E.O., Adewole, O.A., Spectrum of neurosurgical complications following medical tourism: Challenges of patients without borders (2015) Afr. Health Sci., 15 (1), pp. 240-245; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism a cost or benefit to the NHS? (2013) PLoS One, 8 (10), p. e70406; Lautier, M., International trade of health services: Global trends and local impact (2014) Health Policy, 118 (1), pp. 105-113; Siddiqi, S., Shennawy, A., Mirza, Z., Drager, N., Sabri, B., Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective (2010) Int. J. Health Plann. Manage., 25 (3), pp. 231-250; Loh, C.P., Health tourism on the rise? Evidence from the balance of payments statistics (2014) Eur. J. Health Econ., 15 (7), pp. 759-766; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bull. World Health Org., 89 (5), pp. 336-344; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) J. Plast. Reconstr. Aesthet. Surg., 65 (1), pp. 22-28; Jeevan, R., Birch, J., Armstrong, A.P., Travelling abroad for aesthetic surgery: Informing healthcare practitioners and providers while improving patient safety (2011) J. Plast. Reconstr. Aesthet. Surg., 64 (2), pp. 143-147; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthetic Surg. J., 31, pp. 694-697; Sheppard, C.E., Lester, E.L., Chuck, A.W., Kim, D.H., Karmali, S., De Gara, C.J., Birch, D.W., Medical tourism and bariatric surgery: Who pays? (2014) Surg. Endosc., 28 (12), pp. 3329-3336; Vick, L., The perils of cosmetic surgery/medical tourism (2013) Clin. Risk, 18 (3), pp. 106-109","Lunt, N.; Department of Social Policy and Social Work, University of YorkUnited Kingdom; email: neil.lunt@york.ac.uk",,,"Elsevier Ireland Ltd",,,,,03785122,,MATUD,"27105695","English","Maturitas",Review,"Final",,Scopus,2-s2.0-84961782198 "Wilson A.","24777773100;","Foreign bodies and national scales: Medical tourism in Thailand",2011,"Body and Society","17","2-3",,"121","137",,32,"10.1177/1357034X11400923","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79958702937&doi=10.1177%2f1357034X11400923&partnerID=40&md5=fccf38cdf201348c614eafaf12cc8c17","Duke University, Women's Studies and Cultural Anthropology, United States","Wilson, A., Duke University, Women's Studies and Cultural Anthropology, United States","Medical tourism describes a new pattern of movement of people for medical care, particularly from wealthier to poorer countries. Using the example of Thailand, where annually a million non-Thai patients seek medical treatment, this article provides a critical analysis of the political economic contexts for this medical migration. Drawing on urban geography and heterodox economics, the article considers medical tourism as an interaction of bodily, national, and global scales shaped by processes of globalization. This approach provides a thick context for the transnational care of bodies while proposing that the bodily scale also has a role in reformulating the scale of the nation. © The Author(s) 2011.","Asia; economy; geography; globalization; medicine; nation-state",,,,,,,,,"Aizura, A.Z., Beauty Meet: Femininity and Racialisation in Thai Cosmetic Surgery Clinics Asian Studies Review, 33 (3), pp. 303-317. , Where Health; Overview: Small-scale Hydropower, Foreign Direct Investment and Medical Tourism: Helping or Hurting the Poor? (2010) Bulletin, , Asian Trends Monitoring, 5, August; Bakker, I., Gill, S., (2003) Power, Production, and Social Reproduction: Human In/Security in the Global Political Economy, , New York: Palgrave Macmillan; Bergeron, S., (2005) Fragments of Development: Nation, Gender, and the Space of Modernity, , Ann Arbor, MI: University of Michigan Press; Bundhun, R., (2010) Thailand Right Medicine for Tourists, , (United Arab Emirates) 25 November, The National; Cohen, M., (2010) US Reforms May Boost Medical Tourism, , 30 March, Asia Times; DeAndrea, R., (2010) Integrative Medicine: The New Frontier for Thailand's Health Tourism, , http://www.tatnews.org/emagazine/5028.asp, (n.d.), URL (consulted December), Tourist Authority of Thailand e-magazine; (2008) Operating Profit, , 14 August, The Economist; Elmore, M., (1997) Thailand's Plastic Surgeons Cut a Niche for Themselves, , 17 February, Deutsche Press-Agentur, International News; Enloe, C., (2000) Bananas, Beaches, and Bases, , Berkeley, CA: University of California Press; Escobar, A., (1995) Encountering Development: The Making and Unmaking of the Third World, , Princeton, NJ: Princeton University Press; Gilman, S., (2000) Making the Body Beautiful: A Cultural History of Aesthetic Surgery, , Princeton, NJ: Princeton University Press; Harryono, M., Huang, Y.-F., Myazawa, K., Sethaput, V., (2006) Microeconomics of Competitiveness, , Thailand Medical Tourism Cluster, Harvard Business School; Horowitz, M.D., Rosenzweig, J.A., Jones, C.A., Medical Tourism: Globalization of the Healthcare Marketplace (2007) Medscape General Medicine, 9 (4), p. 33; (2003) Bumrungrad's Global Services Marketing Strategy, , ICFAI (Institute of Chartered Financial Analysts of India), Hyderabad, India: ICFAI Center for Management Research Case Collection; Jackson, P.A., Royal Spirits, Chinese Gods and Magic Monks: Thailand's Boom Time Religions of Prosperity (1999) Southeast Asia Research, 7 (3), pp. 245-320; Johnston, R., Geography of Health and Health Care (2000) The Dictionary of Human Geography, pp. 330-332. , in R.J. 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Watts (eds), Malden, MA: Wiley-Blackwell; Kearns, R.A., Ross Barnett, J., Consumerist Ideology and the Symbolic Landscapes of Private Medicine (1997) Health & Place, 3 (3), pp. 171-180; Kearns, R., Moon, G., From Medical to Health Geography: Novelty, Place and Theory after a Decade of Change (2002) Progress in Human Geography, 26 (5), pp. 605-625; Kittikanya, C., (2004) Health', Bangkok Post Economic Year End Review 2004, , Accessed 14 March, Bangkok Post Website, 2008; Kittikanya, C., (2005) Bumrungrad Opens Visa-Extension Centre, , 14 August, Bangkok Post; Kittikanya, C., Foreigners Still Flock to Thai Hospitals, Attracted by Highly Skilled Doctors and Lower Bills (2007) Bangkok Post Economic Year in Review, (SUPPL.). , URL (consulted March) 2007; Lunt, N., Hardey, M., Mannion, R., Nip, Tuck and Click: Medical Tourism and the Emergence of Web-based Health Information (2010) Open Medical Informatics Journal, 4, pp. 1-11; Marston, S.A., The Social Construction of Scale (2000) Progress in Human Geography, 24 (2), pp. 219-242; Mitchell, T., Fixing the Economy (1998) Cultural Studies, 12 (1), pp. 82-101; (2005) Global Assemblages: Technology, Politics, and Ethics as Anthropological Problems, , Ong, A. and S.J. Collier (eds), Oxford: Blackwell; Parr, H., Medical Geography: Diagnosing the Body in Medical and Health Geography (2002) Progress in Human Geography, 26 (2), pp. 240-251; Phongpaichit, P., (2004) Thailand under Thaksin: Another Malaysia?, , Working Paper No. 109, September, Asia Research Centre, Murdoch University; Povinelli, E.A., (2006) The Empire of Love: Toward a Theory of Intimacy, Genealogy, and Carnality, , Durham, NC: Duke University Press; Powell, C.L., (2001) Nonimmigrant Visas for Medical Treatment, , http://travel.state.gov/visa/laws/telegrams/telegrams_1533.html, URL (consulted November), US Department of State, Bureau of Consular Affairs, 2006; Pratruangkrai, P., (2006) Saudi Health Scheme Inked, , (Thailand) 20 May, The Nation; Pritchard, C., Want to Fix Thailand's Ailing Economy? More Sex Change Operations! (1998) Medical Post, 34, p. 59. , () (5, February), Canada; Radice, H., The National Economy: A Keynesian Myth? (1984) Capital & Class, 8 (1), pp. 111-140; Sassen, S., (1998) Globalization and Its Discontents: Essays on the New Mobility of People and Money, , New York: New Press; Scheper-Hughes, N., Lock, M., The Mindful Body: A Prolegomenon to Future Work in Medical Anthropology (1987) Medical Anthropology Quarterly, 1 (1), pp. 6-41; Smith, N., Scale Bending and the Fate of the National (2004) Scale and Geographic Inquiry: Nature, Society, and Method, pp. 192-212. , in E. Sheppard and B. McMaster (eds), Malden, MA: Wiley-Blackwell; Suwit, W., (2002) International Trade and Migration of Health Workforce: Experienced from Thailand, , Joint WTO-World Bank Symposium on Movement of Persons (Mode 4) under GATS. WTO, Geneva, 11-12 April; Thailand, T.V., (2010) News, , http://thailand.tv/news, 3 July, URL (consulted December), 2010; Opinion Divided Over Benefits of Medical Tourism (2006) Briefing on Tourism, Development and Environment Issues in the Mekong Subregion. New Frontiers, 12 (3), p. 1. , in May-June 2006, Tourism Investigation; Toyota, M., Ageing and Transnational Householding: Japanese Retirees in Southeast Asia (2006) International Development Planning Review, 28 (4), pp. 515-531; Tsing, A., (2005) Friction: An Ethnography of Global Connection, , Princeton, NJ: Princeton University Press; Turner, L., Family Medicine and International Health-related Travel (2007) Canadian Family Physician, 53, pp. 1639-1641. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2231416/, (10, October 2010): URL (consulted April); Viboonchart, N., (2010) Political Crisis Hits Medical Tourism Sector, , http://www.nationmultimedia.com/home/2010/05/17/business/Political-crisi s-hits-medical-tourism-sector-30129502.html, (Thailand) 17 May 2010. URL (consulted May), The Nation; Whittaker, A., Pleasure and Pain: Medical Travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Wilson, A., Bangkok: Bubble City (2003) Wounded Cities: Destruction and Reconstruction in a Globalized World, pp. 203-226. , in J. Schneider and I. Susser (eds), Oxford: Berg; Wilson, A., (2004) The Intimate Economies of Bangkok: Tomboys, Tycoons and Avon Ladies in the Global City, , Berkeley, CA: University of California Press; Wilson, A., Medical Tourism in Thailand (2010) Asian Biotech, , in A. Ong and N. Chen (eds), Durham, NC: Duke University Press","Wilson, A.; Duke University, Women's Studies and Cultural AnthropologyUnited States; email: ara.wilson@duke.edu",,,,,,,,1357034X,,,,"English","Body Soc.",Article,"Final",,Scopus,2-s2.0-79958702937 "Meghani Z.","15848865800;","A robust, particularist ethical assessment of medical tourism",2011,"Developing World Bioethics","11","1",,"16","29",,32,"10.1111/j.1471-8847.2010.00282.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952743546&doi=10.1111%2fj.1471-8847.2010.00282.x&partnerID=40&md5=0d964fcfdc213d72fcac20553020508d","University of Rhode Island, United States","Meghani, Z., University of Rhode Island, United States","Recently, in increasing numbers, citizens of wealthy nations are heading to poorer countries for medical care. They are traveling to the global South as medical tourists because in their home nations either they cannot get timely medical care or they cannot afford needed treatments. This essay offers a robust, particularist ethical assessment of the practice of citizens of richer nations traveling to poorer countries for healthcare. © 2010 Blackwell Publishing Ltd.","Ethics; Health care; India; Medical tourism; Neoliberalism; US","article; developed country; developing country; economics; ethics; government; health care cost; health care delivery; health insurance; human; India; insurance; legal aspect; medical tourism; migration; politics; poverty; United States; Developed Countries; Developing Countries; Federal Government; Health Care Costs; Health Care Sector; Health Services Accessibility; Humans; India; Insurance Coverage; Insurance, Health; Medical Tourism; Politics; Poverty; Residential Mobility; United States",,,,,,,,"The term 'global South' is meant to denote poorer nations. However, it is an imperfect heuristic device because there are considerable variations in development among those countries; Different kinds of medical tourism procedures, such as reproductive, transplant and cosmetic, raise different ethical issues. As space constraints bar appropriate engagement with the moral questions that attend those forms of healthcare travel, this paper limits its focus to a form of medical tourism, specifically, non-cosmetic, non-reproductive, non-transplant, surgical medical tourism for procedures such as hip replacements; (2007), It is not possible to determine the exact number of Americans traveling to India as medical tourists. Foreign patients prefer not to get a medical visa as it requires that they register within two weeks of their arrival with regional authorities (R. Chinai & R. Goswami. Medical Visas Mark Growth of Indian Medical Tourism. B World Health Organ 2007; 85). However, it will be argued that given the systemic problems with the US healthcare system and given that India is a prime medical tourism destination, the number of American patients seeking care there is likely to increase; Kaiser, H.J., (2010), Family Foundation. 2009. The Uninsured: A Primer. Melno Park, CA: Kaiser Family Foundation. Available at: [Accessed 25 Mar 2010]. While the passage of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 is significant, it is not good enough. It not only leaves 23 million uninsured, it does not adequately control the rising cost of medical care or ensure good health insurance coverage for those who have or will have insurance (Physicians for a National Health Program. 2010. A False Promise of Reform. Available at: [Accessed 25 Mar; Banja, J., (2000), 30, pp. 17-25. , The Improbable Future of Employment-Based Insurance. Hastings Cent Rep; They are covered under Medicare, which is a federally funded health insurance program; They have coverage through the federal and state funded Medicaid health insurance program; Bodenheimer, T.S., Grumbach, K., (2005), Understanding Health Policy: A Clinical Approach. New York, NY: Lange Medical Books/McGraw-Hill: 7; (2007), For instance, the annual cost of covering a family on an employment based plan in 2007 averaged US$12,000 (V. Fuhrmans. 2007. Health-Care Premiums Climbing Faster Than Inflation, Studies Say. Wall St J 12 September; Fleck, L.M., Last Chance Therapies (2002), 2 (2), pp. 255-298. , Can a Just and Caring Society do Healthcare Rationing When Life Itself is at Stake? Yale J Health Policy Law Ethics; Johnson, H., Broder, D., The System (1997), The American Way of Politics at the Breaking Point. Boston, MA: Little, Brown; Turner, L., (2007), 2, pp. 303-325. , First World Health Care at Third World Prices': Globalization, Bioethics and Medical Tourism. Biosocieties; (2010), Joint Commission (JC). 2008. Joint Commission Fact Sheets. Chicago, IL: JC. Available at: [Accessed 15 Mar; (2010), Joint Commission (JC). 2010. About Us. Chicago, IL: JC. Available at: [Accessed 15 Mar; (2008), Apollo Hospital Group (AHG). 25 Years Apollo Hospitals: Touching Lives: Chennai. Chennai: AHG. Available at: [Accessed 2 Mar; (2009), [Unknown]. 2004. Medical tourism: Need surgery, will travel. CBC News Online. 18 June. Available at: [Accessed 20 Nov 2009]. Also, see J. Solomon. 2004. Traveling Cure: India's New Coup In Outsourcing: Inpatient Care - Facing Expense, Long Waits At Home, Westerners Fly In; A Hospital Empire Grows - Mr. Salo Has [Real Doubts]. Wall St J 26 April. Available at [Accessed 20 Nov; (2010), Joint Commission International (JCI). Joint Commission International (JCI) Accredited Organizations. Available at: [Accessed 17 Jan; (2008), Apollo Hospital Group (AHG). 25 Years Apollo Hospitals: Touching Lives: Medical Milestones. Chennai: AHG. Available at: [Accessed 2 Mar; Joint Commission International (JCI), op. cit. note 17; The category of underinsured includes persons whose health insurance coverage does not cover the entire cost of treatment for catastrophic illnesses. Persons whose health insurance does not cover treatment for certain conditions could also be classified as underinsured. Also, those with health insurance plans that have a high deductible or co-payment might resort to medical tourism because they might not be able to pay the deductible or co-payments that run into thousands of dollars. They might find traveling to poorer countries for medical care more feasible than seeking care in the US; Appleby, J., Schmit, J., (2006), Sending patients packing. USA Today 27 July. Available at [15 Mar; Rai, S., (2006), Union Disrupts Plan to Send Ailing Workers to India for Cheaper Medical Care. NY Times 11 October; Because of protest from the United Steelworkers Union, Blue Ridge Paper shelved its plan to offer its employees the option of getting expensive medical procedures in India (Ibid). However, given the rising cost of medical care in the US and the waning power of unions, labour organizations may not be able to stop businesses from 'urging' workers to get the treatment at a lower cost in the global South rather than within the US; (2010), Oxford Analytica. 2006. 'Medical Tourism' Industry Grows Rapidly. Forbes 25 October. Available at: [Accessed 15 March; Anderson, J., (2007), Insurance for Overseas Surgery. Kiplinger.com September. Available at: [Accessed 19 Feb; (2008), West Virginia Legislature. 2006. H.B. 4359. Charleston, WV: West Virginia Legislature. Available at: [Accessed 2 Mar; (2008), West Virginia Legislature. 2006. H.B. 4711. Charleston, WV: West Virginia Legislature. Available at: [Accessed 2 Mar; (2006), United States Senate. 2006. The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs?: Hearing before The Special Committee on Aging. 109th Congress, Second Session. Washington D.C., June 27, Serial No. 109-26. US Government Printing Office; (2007), 26, pp. 137-141. , Ibid; Anderson, op. cit., note 25; Appleby, op. cit., note 21; Oxford Analytica, op. cit., note 24; West Virginia Legislature op. cit., notes 27 & 29; US Senate, op. cit., note 30; U. Kher. 2006. Outsourcing your heart. Time 29 May; 22: 44-47; A. Milstein & M. Smith. America's New Refugees -Seeking Affordable Surgery Offshore. NEJM 2006; 19: 1637; A. Milstein & M. Smith.Will the surgical world become flat? Health Aff; Bookman, M., Bookma, K., (2007), pp. 176-177. , Medical Tourism in Developing Countries. New York, NY: Palgrave Macmillan; , pp. 320-321. , Ibid 177-185. Turner, in contrast to Bookman & Bookman (op. cit. note 32), believes that medical tourism is not likely to be beneficial for the poor of India and Thailand unless profits from it are used to provide and improve care for the local population (Turner op. cit. note 12; Bookman & Bookman's image of poorer nations struggling to find a way out of poverty as fractious young children being taken on a long car trip by an adult (in this case, presumably, the global North) is paternalistic and obfuscates the reality of the past and current economic relationship between the global South and North; , p. 184. , Bookman & Bookman, op. cit. note 32; , p. 130. , Bookman & Bookman, op. cit. note 32; Harvey, D., (2005), A Brief History of Neoliberalism. New York, NY: Oxford UP; Labonte, R., (2003), Globalization, Trade, and Health: Unpacking the Links and Defining Public Policy Options. In Health and Social Justice: Politics, Ideology, and Inequity in the Distribution of Disease: A Public Health Reader. R. Hofrichter, ed. San Francisco, CA: Jossey-Bass: 469-500: 472; Coburn, D., (2003), pp. 335-355. , Income Inequality, Social Cohesion, and the Health Status of Populations: The Role of Neo-Liberalism. In Health and Social Justice: Politics, Ideology, and Inequity in the Distribution of Disease: A Public Health Reader. R. Hofrichter, ed. San Francisco, CA: Jossey-Bass; Kirk, G., Okazawa-Rey, M., (1998), pp. 179-201. , Living in a Global Economy. In Women's Lives: Multicultural Perspectives. G. Kirk & M. Okazawa-Rey, eds. Mountain View, CA: Mayfield: 182-192: 188. Also see Harvey (op. cit. note 37, pp. 92-93), J. Gershman, A. Irwin & A. Shakow (2003. Getting a Grip on the Global Economy: Health Outcomes and the Decoding of Development Discourse. In Health and Social Justice: Politics, Ideology, and Inequity in the Distribution of Disease: A Public Health Reader. R. Hofrichter, ed. San Francisco, CA: Jossey-Bass: 157-194: 168-170), and M. Weisbrot, D. Baker & D. Rosnick (2007. The Scorecard on Development: 25 Years of Diminished Progress. In Neoliberalism, Globalization and Inequalities: Consequences for Health and Quality of Life. V. Navarro, ed. Amityville, NY: Baywood Publishing; , 292, pp. 284-310. , In recent years, the World Bank and the International Monetary Fund (IMF) have made the claim that they are focused on poverty reduction, thus, they no longer use the term 'structural adjustment' to describe their programs. However, the change in terminology is not indicative of a deep ideological shift; the transnational financial institutions continue to require of poor debtor nations that they implement neoliberal reforms (T. Schrecker & R. Labonte. 2007. What's Politics Got to do With It? Health, the G8, and the Global Economy. In Globalization and Health. I. Kawachi & S. Wamala, eds. New York, NY: Oxford University Press:). Thus, this paper uses 'SAPs' to denote such policies and programs; IBRD offers financing at commercial rates primarily to middle-income nations; , 286. , Schrecker & Labonte, op. cit. note 45; , 2009. , World Bank. 2009. International Bank for Reconstruction and Development Voting Power of Executive Directors. Washington, DC: World Bank. Available at [Accessed 29 Oct; IDA gives grants and below-market rate loans to nations which cannot afford commercial market loan rates; , 286. , Schrecker & Labonte, op. cit. note 45; (2009), IMF. 2008. About the IMF: IMF Members' Quotas and Voting Power, and IMF Board of Governors. Washington, DC: IMF. Available at: [Accessed 29 Oct; , pp. 493-494. , United Nations (UN). 2005. Human Development Report 2005: International Cooperation at a Crossroads: Aid, trade, and security in an unequal world (p. 146-147). New York, NY: UN. Available at [Accessed 20 Nov 2009]. Also see Labonte, op. cit. note 39; Adlung, R., Carzaniga, A., (2001), 79 (4), pp. 352-364. , Health Services under the General Agreement on Trade in Services. B World Health Organ; Not all debtor nations adopted the SAPs. Cuba, for instance, resisted them; Kirk & Okazawa-Rey, op. cit. note 44; Gershman, J., , p. 171. , op. cit. note 44; Labonte, R., Schrecker, T., Foreign Policy Matters (2007) A Normative View of the G8 and Population Health, 85. , B World Health Organ; Katz, A., (2007), pp. 381-418. , The Sachs Report: Investing in Health for Economic Development - or Increasing the Size of the Crumbs from the Rich Man's Table? In Neoliberalism, Globalization and Inequalities: Consequences for Health and Quality of Life. V. Navarro, ed. Amityville, NY: Baywood Publishing; , p. 475. , Labonte, op. cit. note 39; , p. 406. , Schrecker & Labonte, op. cit. note 45, pp. 294-295. Also see Katz, op. cit. note 58; (1993), pp. 63-77. , World Bank. 1993. World Development Report 1993: Investing in Health. Washington, D.C.: World Bank. Also, see R. Brugha, & A. Zwi. 2002. Global Approaches to Private Sector Provision: Where Is The Evidence? In Health Policy in a Globalising World. K. Lee, K. Buse & S. Fustukian, eds. New York, NY: Cambridge UP; World Bank, op. cit. note 61; Within the neoliberal paradigm, patients are conceptualized as consumers of healthcare good and services. This is in keeping with neoliberalism's tendency to construe virtually all relations, roles and interactions in market terms; Lee, K., Goodman, H., (2003), pp. 97-119. , Global Policy Networks: The Propagation of Health Care Financing Reform Since the 1980s. In Health Policy in a Globalising World. K. Lee, K. Buse & S. Fustukian, eds. New York, NY: Cambridge UP; World Bank, op. cit., note 61; Navarro, V., (2007), pp. 203-212. , The World Health Situation. In Neoliberalism, Globalization and Inequalities: Consequences for Health and Quality of Life. V. Navarro, ed. Amityville, NY: Baywood Publishing; Bookman & Bookman, op. cit. note 32, p.128. However, citing the World Bank, Bookman et al. claim those problems are short term and they can be managed by policies aimed at realizing social goals. But that line of argument is not convincing because it does not take seriously the well-being of those compromised by such policies. It seems the following crucial ethical question is ignored by proponents of neoliberalism: Even if the poor and marginalized only suffer short-term hardships because of neoliberal reform of the healthcare sector, did they consent to enduring the harm or was that decision made on their behalf by others? The fact that the harm to the health and life prospects of the poor and marginalized may be irreversible is another issue that has been ignored by advocates of neoliberal reform; Varman, R., Vikas, R.M., Rising Markets and Failing Health (2007), 27, pp. 162-172. , An Inquiry into Subaltern Health Care Consumption under Neoliberalism. Journal of Macromarketing; Pedersen, J.D., Explaining Economic Liberalization in India (2000) State and Society Perspectives, 28, pp. 265-282; Palriwala, R., Pillai, N., The Political and Social Economy of Care (2008) India Research Report 1. Geneva, , United Nations Research Institute for Social Development; Sen, G., Iyer, A., George, A., Class, Gender and Health Equity (2002), pp. 281-311. , Lessons from Liberalisation in India. In Engendering International Health: The Challenge of Equity. G. Sen, A. George, & P. Ostlin, eds. Cambridge, MA: MIT Press; Palriwala & Pillai, op. cit. note 70, section III; (2006), 3, pp. 171-193. , Sen et al., op. cit. note 71. Nair et al. have argued that the neoliberal ideology has reduced the issue of women's access to healthcare to availability of birth control, even though 'a large proportion of maternal and infant deaths in India, for instance, is attributable not to a lack of contraception, or even to little or no access to quality health care services, but to under-nutrition, anemia and communicable diseases stemming from a lack of food, poverty and inequity' (S. Nair, S. Sexton & P. Kirbat. 2006. A Decade after Cairo: Health in a free market economy. Indian J Gend Stud; Sen et al. op. cit. note 71. Also see Varman & Vikas, op. cit. note 68; , p. 297. , Sen et al. op. cit., note 71, p. Also see Varman & Vikas, op. cit. note 68; , pp. 33-57. , Neoliberalism has two phases; roll-back neoliberalism and roll-out neoliberalism. During the former phase, neoliberalism calls for the elimination of Keynesian regulations and state actions (J. Peck & A. Tickell. 2002. Chapter 2: Neoliberalizing Space. In Spaces of Neoliberalism: Urban Restructuring in North America and Western Europe. N. Brenner & N. Theodore, eds. Malden, MA: Oxford's Blackwell Press:). In the roll-out phase, neoliberalism advocates government regulations and state intervention that serve its agenda of fostering free enterprise whilst cutting public programs and services. The Indian government's support for the private health sector falls under the latter category; Sen et al. op. cit. note 71; Palriwala & Pillai, op. cit. note 70, section III; , p. 165167. , Varman & Vikas, op. cit., note 68; Palriwala & Pillai, op. cit. note 70, section III; Misra, R., Chatterjee, R., Rao, S., (2003), India Health Report. New York, NY: Oxford University Press; , p. 165. , Varman & Vikas, op. cit. note 68; , p. 168. , Varman & Vikas, op. cit. note 68; The Indian government's support of the medical tourism industry falls under the category of roll-out neoliberalism; (2008), Ministry of Health and Family Welfare. National Health Policy, 2002. New Delhi: Government of India. Available at: [Accessed 8 Nov; Gupta, A.S., Medical tourism in India (2008) Winners and Losers, 1, pp. 4-5. , Indian J Med Ethics; Sengupta, A., Nundy, S., (2005), p. 331. , The Private Health Sector in India is Burgeoning, But at the Cost of Public Healthcare. Brit Med J; Chinai & Goswami, op. cit. note 3; (2006), United Nation. United Nation's Human Development Report 2006: Beyond Scarcity: Power, poverty, and the Global Water Crisis. New York, NY: United Nations; In 2006, according to the World Bank, the US's GDP was US$13,164 billion, while India's GDP was US$912 billion (Data 360. [No Title]. San Francisco, CA: Data 360. Available at: [Accessed 6 Apr 2009]). In 2006, the US's population was 299 million, while that of India's was 1,122 million (Population Reference Bureau. 2006. World Population Data Sheet. Washington, DC: Population Reference Bureau. Available at: [Accessed 6 Apr 2009]). Thus, the per capita GDP for the US in 2006 was US$44,026 approximately while that of India was an estimated US$812; (2010), Global Virtual University (GVU). India: Annual Population Growth Rate. Arendal, Norway: GVU. Available at: [Accessed 25 Mar; (2000), This figure is estimated using the 2000 population of India; United Nation, op. cit. note 92; Chinai & Goswami, op. cit. note 3; Gupta, I., Goldar, B., Mitra, A., (1998), The Case of India. In International Trade in Health Services: A Development Perspective. Geneva: UNCTAD-WHO Joint Publication; Chinai & Goswami, op. cit. note 3; Young, I.M., Responsibility and Global Justice (2006), 23, pp. 102-130. , A Social Connection Model. Soc Philos Policy; , p. 119. , Young, op. cit. note 104; Given this paper's limited scope, it does not engage with the question of the compensation that the US citizenry and that of other nations dominant in the transnational financial institutions owe to those in India and other debtor nations of the global South harmed by SAPs; While there is no necessary connection between SAPs and medical tourism, when the two phenomena co-exist as they do in India, the impact on availability of medical care for the poor and marginalized can be profound; Petchesky, R.P., Global Prescriptions (2003), p. 137. , Gendering Health and Human Rights. London, UK & New York, NY: Zed Books; Stiglitz, J., Charlton, A., (2004), A Development Round of Trade Negotiations. Proceedings from the Annual Bank Conference on Development Economics 2004. Washington, DC: World Bank. Available at [Accessed 10 Sept; (2009), Note; Gupta op. cit. note 87; (2007), 2, pp. 8-18. , While the state of Kerala does a better job of meeting the healthcare needs of its residents, there are sub-groups whose medical needs remain unattended (see C. Thresia. Interplay of Gender Inequities, Poverty and Caste: Implications for Health of Women in the Cashew Industry of Kerala. Social Medicine; (2007), 37, pp. 36-43. , The migration of healthcare professionals from poorer to richer countries is a serious related ethical problem. However, it is not addressed at any length here because the focus of this paper is medical tourism. Readers interested in the issue will find useful articles by C.R. Hooper (Adding Insult to Injury: The Healthcare Brain Drain. J Med Ethics 2008; 34: 684-687), J. Snyder (Is Health Worker Migration a Case of Poaching? AJOB 9: 3-7), and J. Dwyer (What's Wrong with the Global Migration of Health Care Professionals? Hastings Cent Rep; , pp. 177-178. , Bookman & Bookman, op. cit. note 32; But then so would new or existing healthcare facilities that expanded their capacities to meet the currently unmet needs of the local indigent population; , p. 357. , It is presumably under the auspices of the World Trade Organization's General Agreement on Trade in Services that India has allowed foreign investments in hospitals (Adlung & Carzaniga, op. cit., note 54; , p. 226. , Gupta et al., op. cit. note 102; Chanda, R., (2002), Trade in Health Services. B World Health Organ; Chanda, R., (2001), Trade in Health Services. In World Health Organization Commission on Macroeconomics and Health, Working Group No. 4, Working Paper No. 5. Geneva: WHO: 45; Prestowitz, C., (2005), Three Billion New Capitalists, New York, NY: Basic Books; The websites of the medical tourism facilities offer no such information; (2010), Apollo Hospital Group (AHG). [Untitled]. Chennai: AHG. Available at [Accessed 15 Mar; (2010), Apollo Hospital Group (AHG). Touching lives in many ways. Chennai: AHG. Available at [Accessed 15 Mar; (2010), Society to Aid the Hearing Impaired (SAHI). Let All Hear: SAHI Campus in 2009. Available at [Accessed 15 Mar; (2010), Cure Foundation (CF). Cure Foundation. Hyderabad: CF. Available at [Accessed 15","Meghani, Z.; University of Rhode Island - Philosophy, 170 Chafee Hall, Kingston, RI, 02881, United States; email: meghaniz@mail.uri.edu",,,,,,,,14718731,,DWBEA,"20491867","English","Dev. World Bioethics",Article,"Final",,Scopus,2-s2.0-79952743546 "Gunter K.C., Caplan A.L., Mason C., Salzman R., Janssen W.E., Nichols K., Bouzas L.F., Lanza F., Levine B.L., Rasko J.E.J., Shimosaka A., Horwitz E.","57196627623;35371306800;7202125538;41662233000;7102276637;41661947700;6602654490;7103132341;7402296073;7005679245;7004015328;35397490000;","Cell therapy medical tourism: Time for action",2010,"Cytotherapy","12","8",,"965","968",,32,"10.3109/14653249.2010.532663","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78649249144&doi=10.3109%2f14653249.2010.532663&partnerID=40&md5=8f6df2d485ffb50f9846e7217a6a607a","Department of Research and Development, Hospira Inc., Lake Forest, IL, United States; Department of Medical Ethics, University of Pennsylvania, Philadelphia, PA, United States; Advanced Centre for Biochemical Engineering, University College London, London, United Kingdom; Stop ALD Foundation, Houston, TX, United States; Interdisciplinary Oncology Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, United States; Department of Regulatory Affairs, Perkin Elmer Inc., Cambridge, MA, United States; Bone Marrow Transplantation Unit, National Cancer Institute, Rio de Janeiro, Brazil; Section of Hematology, Bone Marrow Transplantation Unit, University Hospital, Cremona, Italy; Department of Pathology, Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, United States; Department of Cell and Molecular Therapies, Royal Prince Alfred Hospital RPA Hospital, Centenary Institute, Newtown, NSW, Australia; Research Foundation for Community Medicine, Tokyo, Japan; Children's Hospital of Philadelphia, Philadelphia, PA, United States","Gunter, K.C., Department of Research and Development, Hospira Inc., Lake Forest, IL, United States; Caplan, A.L., Department of Medical Ethics, University of Pennsylvania, Philadelphia, PA, United States; Mason, C., Advanced Centre for Biochemical Engineering, University College London, London, United Kingdom; Salzman, R., Stop ALD Foundation, Houston, TX, United States; Janssen, W.E., Interdisciplinary Oncology Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, United States; Nichols, K., Department of Regulatory Affairs, Perkin Elmer Inc., Cambridge, MA, United States; Bouzas, L.F., Bone Marrow Transplantation Unit, National Cancer Institute, Rio de Janeiro, Brazil; Lanza, F., Section of Hematology, Bone Marrow Transplantation Unit, University Hospital, Cremona, Italy; Levine, B.L., Department of Pathology, Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, United States; Rasko, J.E.J., Department of Cell and Molecular Therapies, Royal Prince Alfred Hospital RPA Hospital, Centenary Institute, Newtown, NSW, Australia; Shimosaka, A., Research Foundation for Community Medicine, Tokyo, Japan; Horwitz, E., Children's Hospital of Philadelphia, Philadelphia, PA, United States",[No abstract available],"cell therapy; informed consent; medical ethics; medical tourism; regulatory affairs; stem cell","advertizing; ataxia telangiectasia; cell therapy; cost; health care; human; neural stem cell; priority journal; short survey; tourism",,,,,,,,"(2009) Medical Tourism: Update and Implications, , http://www.deloitte.com/us/medicaltourism, Deloitte Deloitte Accessed on 28 April 2010; Regenberg, A.C., Hutchinson, L.A., Schanker, B., Mathews, D.J.H., Medicine on the fringe: Stem cell-based interventions in advance of evidence (2009) Stem Cells, 27, pp. 2312-2319; Lau, D., Ogbogu, U., Taylor, B., Stafinski, T., Menon, D., Caulfield, T., Stem cell clinics online: The direct-to-consumer portrayal of stem cell medicine (2008) Cell Stem Cell, 3, pp. 591-594; Ryan, K.A., Sanders, A.N., Wang, D.D., Levine, A.D., Tracking the rise of stem cell tourism (2010) Regen Med, 5, pp. 27-33; Enserink, M., Selling the stem cell dream (2006) Science, 313, pp. 160-163; Calling all patients (2008) Nat Biotechnol, 26, p. 953; Caplan, A., Levine, B., Hope, hype and help: Ethically assessing the growing market in stem cell therapies (2010) Am J Bioeth., 10, pp. 24-25; Amariglio, N., Hirshberg, A., Scheithauer, B.W., Cohen, Y., Loewenthal, R., Trakhtenbrotet, L., Donor-derived brain tumor following neural stem cell transplantation in an ataxia telangiectasia patient (2009) PLoS Med, 6, pp. 221-231; Thirabanjasak, D., Tantiwongse, K., Thorner, P.S., Angiomyelo-proliferative lesions following autologous stem cell therapy (2010) J Am Soc Nephrol., 7, pp. 1218-1222; Mason, C., Manzotti, E., Stem cell nations working together for a stem cell world (2010) Regen Med., 5, pp. 1-4; (2008) Guidelines for the Clinical Translation of Stem Cells, , http://www.isscr.org/clinical_trans/pdfs/ISSCRGLClinicalTrans.pdf, International Society for Stem Cell Research 3 December Accessed on 15 June 2010; Lindvall, O., Hyun, I., Medical innovation versus stem cell tourism (2009) Science, 324, pp. 1664-1665; Protection of Human Subjects, , http://www.gpoaccess.gov/cfr/, Code of Federal Regulations, Title 21, Part 50 Accessed on 1 June 2010; (1996) Guideline for Good Clinical Practice E6, , http://www.ich.org/LOB/media/MEDIA482.pdf, R1. International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use 10 June Accessed on 10 June 2010; Kiatpongsan, S., Sipp, D., Monitoring and regulating offshore stem cell clinics (2009) Science, 323, pp. 1564-1565; Qiu, J., Trading on hope (2009) Nat Biotechnol, 27, pp. 790-792; Caplan, A.K., Tsou, A.Y., Touting stem cells: We have seen the enemy and he is us (2010) AJOB Prim Res., 1, pp. 1-3; Mason, C., Manzotti, E., Defeating stem cell tourism (2010) Regen Med., 5, pp. 681-686; (2008) Patient Handbook on Stem Cell Therapies, , http://www.stemcellcentre.edu.au/For_the_Public/Patient/Handbook.aspx, International Society for Stem Cell Research International Society for Stem Cell Research 3 December Accessed on 5 July 2010; (2009) Stem Cell Therapies: Now and in the Future, , http://www.stemcellcentre.edu.au/For_the_Public/Patient/Handbook.aspx, Australian Stem Cell Centre The Australian Stem Cell Centre Patient Handbook. Australian Stem Cell Centre December Accessed on 5 July 2010; Taylor, P.L., Barker, R.A., Blume, K.G., Cattaneo, E., Colman, A., Deng, H., Patients beware: Commercialized stem cell treatments on the web (2010) Cell Stem Cell., 7, pp. 1-7; International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use, , www.ich.org; Mason, C., Manzotti, E., Regenerative medicine cell therapies: Numbers of units manufactured and patients treated between 1988 and 2010 (2010) Regen Med, pp. 307-313","Gunter, K. C.; Department of Research and Development, Hospira Inc., Bldg H2-2, 275 N Field Dr, Lake Forest, IL 60045, United States; email: kurt.gunter@hospira.com",,,"Elsevier Inc.",,,,,14653249,,CYTRF,"21073261","English","Cytotherapy",Short Survey,"Final",,Scopus,2-s2.0-78649249144 "Ormond M., Sothern M.","7801551522;9841890400;","You, too, can be an international medical traveler: Reading medical travel guidebooks",2012,"Health and Place","18","5",,"935","941",,31,"10.1016/j.healthplace.2012.06.018","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864824033&doi=10.1016%2fj.healthplace.2012.06.018&partnerID=40&md5=d75d893c600896f534b7ff9723ee9158","Cultural Geography Chair Group, Wageningen University, PO Box 47, 6700 AA Wageningen, Netherlands; Department of Geography and Sustainable Development, University of St Andrews, Irvine Building, North Street, St Andrews KY16 9AL, United Kingdom","Ormond, M., Cultural Geography Chair Group, Wageningen University, PO Box 47, 6700 AA Wageningen, Netherlands; Sothern, M., Department of Geography and Sustainable Development, University of St Andrews, Irvine Building, North Street, St Andrews KY16 9AL, United Kingdom","Drawing on literature on self-help and travel guide writing, this paper interrogates five international medical travel guidebooks aimed at encouraging American and British audiences to travel abroad to purchase medical care. These guidebooks articulate a three-step self-help ""program"" to produce a ""savvy"" international medical traveler. First, readers are encouraged to view their home healthcare system as dysfunctional. Second, they are encouraged to re-read destinations' healthcare landscapes as hosting excellent and accessible care. Finally, these texts explicitly enjoin readers to see themselves as active, cosmopolitan consumers whose pursuits are central to rectifying the dysfunction of their home healthcare systems. © 2012 Elsevier Ltd.","Intermediaries; International medical travel; Medical tourism; Patient-consumer; Self-help; Travel guidebooks","accessibility; health care; medicine; tourism; article; cancer surgery; consumer attitude; coronary artery surgery; dental surgery; esthetic surgery; health care access; health care cost; health care quality; health care system; home care; human; infertility therapy; medical care; medical tourism; organ transplantation; orthopedic surgery; priority journal; reading; self help; sex reassignment; travel",,,,,,,,"Armstrong, D., The rise of surveillance medicine (1995) Sociology of Health and Illness, 17 (3), pp. 393-404; Barthes, R., (1972) The Blue Guide, Mythologies (A. Lavers, Trans.), , Farrar, Straus and Giroux, London (Original work published 1955); Bhattacharyya, D.P., Mediating India: an analysis of a guidebook (1997) Annals of Tourism Research, 24 (2), pp. 371-389; Brown, M., Knopp, L., Between anatamo- and bio-politics: geographies of sexual health in wartime Seattle (2010) Political Geography, 29 (7), pp. 392-403; Cohen, E., The tourism guide: the origins, structure and dynamics of a role (1985) Annals of Tourism Research, 12, pp. 5-29; Connell, J., Medical tourism: sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., (2011) Medical Tourism, , CABI, Wallingford; Crooks, V.A., Turner, T., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: messages, images, and the marketing of international patient travel (2011) Social Science and Medicine, 72 (5), pp. 726-732; (2008) Disruptive innovation in health services, , http://www.deloitte.com/dtt/article/0,1002,sid%253D80772%2526cid%253D219071,00.html, Deloitte Deloitte Center for Health Solutions, November. Available from: (accessed 16.02.09); Duncan, J., Gregory, D., Introduction (1999) Writes of Passage: Reading Travel Writing, pp. 1-13. , Routledge, London, J. Duncan, D. Gregory (Eds.); Foulke, R., The guidebook industry (1992) Temperamental Journeys: Essays on the Modern Literature of Travel, pp. 93-108. , University of Georgia Press, Athens, M. Kowalewski (Ed.); Fox, N., Ward, K.J., O'Rourke, A.J., The expert patient: empowerment or medical dominance? (2005) Social Science and Medicine, 60 (6), pp. 1299-1309; Gahlinger, P., (2008) The Medical Tourism Travel Guide, , Sunrise River Press, North Branch, MN; Gilbert, D., ""London in all its glory"" or how to enjoy London: guidebook representations of imperial London (1999) Journal of Historical Geography, 25 (3), pp. 279-297; Hancock, D., (2006) The Complete Medical Tourist: Your Guide to Inexpensive and Safe Cosmetic and Medical Surgery Overseas, , John Blake, London; Hartley, L.P., (1963) The Go-Between, , NYRB, New York, 2002; Hazeldine, R., Love yourself: the relationship of the self with itself in popular self-help texts (2003) Journal of Sociology, 39 (4), pp. 413-428; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., (2007) Medical tourism: Globalization of the healthcare marketplace, , http://www.medscape.com/viewarticle/564406, Medscape General Medicine 9(4). Available from: (accessed 04.04.12); Horton, S., Cole, S., Medical returns: seeking health care in Mexico (2011) Social Science and Medicine, 72, pp. 1846-1852; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21, pp. 35-78; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Kher, U., (2006), http://www.time.com/time/magazine/article/0,9171,1196429,00.html, Outsourcing Your Heart, Time, 21 May. Available from: (accessed 04.04.12); Lee, J.Y., Kearns, R.A., Friesen, W., Seeking affective health care: Korean immigrants' use of homeland medical services (2010) Health and Place, 16, pp. 108-115; Legg, S., (2007) Spaces of Colonialism: Delhi's Urban Governmentalities, , Blackwell, Oxford; Lisle, D., Humanitarian travels: ethical communication in Lonely Planet guidebooks (2008) Review of International Studies, 34, pp. 155-172; Lunt, N., Carrera, P., Systematic review of web sites for prospective medical tourists (2011) Tourism Review, 66 (1-2), pp. 57-67; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: medical tourism and the emergence of web-based health information (2010) The Open Medical Informatics Journal, 4, pp. 1-11; Marsek, P.W., Sharpe, F., (2009) The Complete Idiot's Guide to Medical Tourism, , Penguin, New York; Mattoo, A., Rathindran, R., (2006), Does health insurance impede trade in healthcare services? World Bank Policy Research Working Paper, WPS 3667; McGregor, A., Dynamic texts and tourist gaze: death, bones and buffalo (2000) Annals of Tourism Research, 27 (1), pp. 27-50; Mol, A., (2008) The Logic of Care: Health and the Problem of Patient Choice, , Routledge, New York; Ong, A., (1999) Flexible Citizenship: The Cultural Logics of Transnationality, , Duke University Press, London; Ormond, M., Medical tourism, medical exile: responding to the cross-border pursuit of health care in Malaysia (2011) Real Tourism: Practice, Care and Politics in Contemporary Travel, pp. 143-161. , Routledge, London, C. Minca, T. Oakes (Eds.); Ormond, M., Forthcoming. Neoliberal Governance and International Medical Travel in Malaysia. Routledge, London; Parr, H., New body-geographies: the embodied spaces of health and medical information on the Internet (2002) Environment and Planning D: Society and Space, 20, pp. 73-95; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12 (17), pp. 1-9; Pennings, G., Ethics without boundaries: Medical tourism (2007) Principles of Healthcare Ethics, pp. 505-510. , Wiley & Sons, Ltd, London, R.E. Ashcroft, A. Dawson, H. Draper, J.R. McMillan (Eds.); Petersen, A., Lupton, D., (1996) The New Public Health: Health and Self in the Age of Risk, , Sage, London; Philip, B., Analyzing the politics of self-help books on depression (2009) Journal of Sociology, 45 (2), pp. 151-168; Rimke, H.M., Governing citizens through self-help literature (2000) Cultural Studies, 14 (1), pp. 61-78; Schult, J., (2006) Beauty from Afar: A Medical Tourist's Guide to Affordable and Quality Cosmetic Care Outside the US, , Stewart, Tabori & Chang, New York; Snyder, J., Crooks, V.A., Kingsbury, P., Adams, K., Johnston, R., The ""patient's physician one step removed"": the evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Sothern, M., You could truly be yourself if you just weren't you: sexuality, disabled body space and the (neo)liberal politics of self-help (2007) Environment and Planning D: Society and Space, 25, pp. 144-159; Sothern, M., Dickinson, J., Repaying the gift of life: self-help, organ transfer and the debt of care (2011) Social and Cultural Geography, 12 (8), pp. 889-904; Sparke, M., Unpacking economism and remapping the terrain of global health (2009) Global Health Governance: Transformations, Challenges and Opportunities Amidst Globalization, pp. 131-159. , Palgrave, London, O. Williams, A. Kay (Eds.); Turner, L., ""First world health care at third world prices"": globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Canadian medical tourism companies that have exited the marketplace: content analysis of websites used to market transnational medical travel (2011) Globalization and Health, 7 (40), pp. 1-16; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Wilson, P.M., A policy analysis of the expert patient in the United Kingdom: self-care as an expression of pastoral power (2001) Health and Social Care, 9 (3), pp. 134-142; Woodman, J., (2008) Patients Beyond Borders, , Healthy Travel Media, Chapel Hill, NC","Ormond, M.; Cultural Geography Chair Group, Wageningen University, PO Box 47, 6700 AA Wageningen, Netherlands; email: meghann.ormond@wur.nl",,,"Elsevier Ltd",,,,,13538292,,HEPLF,"22809711","English","Health Place",Article,"Final",,Scopus,2-s2.0-84864824033 "Sengupta A.","7201378177;","Medical tourism: Reverse subsidy for the elite",2011,"Signs","36","2",,"312","319",,31,"10.1086/655910","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650329239&doi=10.1086%2f655910&partnerID=40&md5=55933c3295bbc354aadc629e18891d67","Peoples Health Movement, New Delhi, India","Sengupta, A., Peoples Health Movement, New Delhi, India",[No abstract available],,"article; cosmetic industry; economics; education; esthetic surgery; ethnology; financial management; health care cost; health care delivery; health service; history; India; legal aspect; medical tourism; physician; plastic surgery; private practice; psychological aspect; Beauty Culture; Cosmetic Techniques; Delivery of Health Care; Economics; Financing, Government; Health Care Costs; History, 20th Century; History, 21st Century; India; Medical Tourism; Physicians; Private Practice; Reproductive Health Services; Surgery, Plastic",,,,,,,,"Healthcare in India: The road ahead (2002) Report. McKinsey and Co., , Confederation of Indian Industries and McKinsey and Co, New Delhi; Medical tourism: Consumers in search of value (2008) Report. Deloitte Center for Health Solutions, , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/ Documents/us-chs-MedicalTourismStudy(3).pdf, Deloitte Center for Health Solutions, Washington, DC; Medical Tourism Costs, , http://www.discovermedicaltourism.com/costs, Discover Medical Tourism. n. d; National family health survey (NFHS-3), 2005-06: India (2007) Report. International Institute for Population Sciences, , IIPS and MI International Institute for Population Sciences and Macro International, Mumbai; National health policy (1983) Policy Brief, , http://mohfw.nic.in/kk/95/ii/95ii0101.htm, Ministry of Health and Family Welfare, Ministry of Health and Family Welfare, Government of India; National health policy 2002 (2002) Policy Brief. 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Oxfam International, Oxford; Selvaraj, S., Karan, A.K., Deepening health insecurity in India: Evidence from national sample surveys since 1980s (2009) Economic and Political Weekly, 44 (40), pp. 55-60; Sengupta, A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1), pp. 4-5; Sengupta, A., Nundy, S., The private health sector in India (2005) British Medical Journal, 331 (7526), pp. 1157-1158; Swain, D., Sahu, S., Opportunities and challenges of health tourism in India (2008) The Conference on Tourism in India: Challenges Ahead, , http://dspace.iimk.ac.in/bitstream/2259/590/1/475-484.pdf, Paper presented at, Indian Institute of Management, Kozhikode, May 15-17","Sengupta, A.; Peoples Health Movement, New Delhi, India",,,,,,,,00979740,,,"21114076","English","Signs",Article,"Final",,Scopus,2-s2.0-78650329239 "Chan H.L.E., Poon L.M., Chan S.G., Teo J.W.P.","57190948482;16402843000;53263384600;7004343597;","The perils of medical tourism: NDM-1-positive escherichia coli causing febrile neutropenia in a medical tourist",2011,"Singapore Medical Journal","52","4",,"299","302",,31,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-79958282350&partnerID=40&md5=ba114375fc4f6caf6afc5e234a129fc0","Department of Haematology- Oncology, National Univeristy Hospital, 1E Lower Kent Ridge Road, NUHS Tower Block Level 7, Singapore 119228, Singapore; Department of Laboratory Medicine, National University Hospital, 5, Lower Kent Ridge Road, Singapore, Singapore","Chan, H.L.E., Department of Haematology- Oncology, National Univeristy Hospital, 1E Lower Kent Ridge Road, NUHS Tower Block Level 7, Singapore 119228, Singapore; Poon, L.M., Department of Haematology- Oncology, National Univeristy Hospital, 1E Lower Kent Ridge Road, NUHS Tower Block Level 7, Singapore 119228, Singapore, Department of Laboratory Medicine, National University Hospital, 5, Lower Kent Ridge Road, Singapore, Singapore; Chan, S.G., Department of Haematology- Oncology, National Univeristy Hospital, 1E Lower Kent Ridge Road, NUHS Tower Block Level 7, Singapore 119228, Singapore; Teo, J.W.P., Department of Haematology- Oncology, National Univeristy Hospital, 1E Lower Kent Ridge Road, NUHS Tower Block Level 7, Singapore 119228, Singapore","NDM-1 is a new metallo-beta-lactamase that readily hydrolyses carbapenems, penicillins and cephalosporins. Its rising incidence has been reported in many countries around the world, with many cases linked to a possible origin from the Indian subcontinent. Due to the lack of effective antibiotic regimes to treat these infections, the increased prevalence of NDM-1 is alarming. We describe a case of NDM-1 infection in an immunocompromised foreign patient, and discuss its implications.","Medical tourism; NDM-1","amikacin; amoxicillin plus clavulanic acid; ampicillin; cefalexin; cefepime; ceftazidime; ceftriaxone; ciprofloxacin; cotrimoxazole; ertapenem; fosfomycin; gentamicin; imipenem; levofloxacin; meropenem; metallo beta lactamase; piperacillin plus tazobactam; polymyxin B; protein NDM 1; tigecycline; unclassified drug; vancomycin; acute lymphoblastic leukemia; adult; antibiotic resistance; antibiotic sensitivity; article; bacteremia; bacterium isolation; case report; drug megadose; Escherichia coli; febrile neutropenia; female; fever; human; medical tourism; minimum inhibitory concentration; mortality; myalgia; nonhuman; pancytopenia; Staphylococcus haemolyticus; Anti-Bacterial Agents; beta-Lactamases; Drug Resistance, Bacterial; Drug Resistance, Multiple; Escherichia coli; Female; Fever; Humans; Immunocompromised Host; Incidence; Medical Tourism; Middle Aged; Neutropenia; Treatment Outcome",,"amikacin, 37517-28-5, 39831-55-5; amoxicillin plus clavulanic acid, 74469-00-4, 79198-29-1; ampicillin, 69-52-3, 69-53-4, 7177-48-2, 74083-13-9, 94586-58-0; cefalexin, 15686-71-2, 23325-78-2; cefepime, 88040-23-7; ceftazidime, 72558-82-8; ceftriaxone, 73384-59-5, 74578-69-1; ciprofloxacin, 85721-33-1; cotrimoxazole, 8064-90-2; ertapenem, 153773-82-1, 153832-38-3, 153832-46-3; fosfomycin, 23155-02-4; gentamicin, 1392-48-9, 1403-66-3, 1405-41-0; imipenem, 64221-86-9; levofloxacin, 100986-85-4, 138199-71-0; meropenem, 96036-03-2; polymyxin B, 1404-26-8, 1405-20-5; tigecycline, 220620-09-7; vancomycin, 1404-90-6, 1404-93-9; Anti-Bacterial Agents; beta-Lactamases, 3.5.2.6; beta-lactamase NDM-1, 3.5.2.6",,,,,,"Nicaso, A.M., Kuti, J.L., Nicolau, D.P., The current state of multidrug-resistant gram-negative bacilli in North America (2008) Pharmacotherapy, 28, pp. 235-249; Bad Bugs, No Drugs as Antibiotic Discovery Stagnates. A Public Health Crisis Brews, July 2004 (2011) Infections Diseases Society of America (IDSA), , www.idsociety.org/10x20.htm, Infectious Diseases Society of America, [online]. Available at, Accessed April 15; Bush, K., Jacoby, G.A., Updated functional classification of betalactamases (2010) Antimicrob Agents Chemother, 54, pp. 969-976; Ambler, R.P., The structure of beta-lactamases (1980) Philos Trans R Soc Lond B Biol Sci, 289, pp. 321-331; Jaurin, B., Grundstrom, T., ampC cephalosporinase of Escherichia coli K-12 has a different evolutionary origin from that of betalactamases of the penicillinase type (1981) Proc Natl Acad Sci USA, 78, pp. 4897-4901; Ouellette, M., Bissonnette, L., Roy, P.H., Precise insertion of antibiotic resistance determinants into Tn21-like transposons: Nucleotide sequence of the OXA-1 beta-lactamase gene (1987) Proc Natl Acad Sci USA, 84, pp. 7378-7382; Bush, K., Metallo-enzymes: A class apart (1998) Clin Infect Dis, 27 (SUPPL. 1), pp. S48-S53; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: A molecular, biological, and epidemiological study (2010) Lancet Infect Dis, 10, pp. 597-602; Struelens, M., Monnet, D., Magiorakos, A., New Delhi metallobeta- lactamase 1-producing Enterobacteriaceae: Emergence and response in Europe (2010) Euro Surveill, 15, pp. ii+19716; Yong, D., Toleman, M.A., Giske, C.G., Characterization of a new metallo-β-lactamase gene, blaNDM-1, and a novel erythromycin esterase gene carried on a unique genetic structure in Klebsiella pneumoniae sequence type 14 from India (2009) Antimicrob Agents Chemother, 53, pp. 5046-5054; Detection of Enterobacteriaceae isolates carrying metallobeta-lactamase United States (2010) MMWR Morb Mortal Wkly Rep 2010, 59, p. 750. , Centers for Disease Control and Prevention (CDC); Koh, T.H., Khoo, C.T., Wijaya, L., Global spread of New Delhi metallo-ß-lactamase 1 (2010) Lancet Infect Dis, 10, p. 828; Lin, M.Y., Weinstein, R.A., Hota, B., Delay of active antimicrobial therapy and mortality among patients with bacteraemia: Impact of severe neutropenia (2008) Antimicrob Agents Chemother, 52, pp. 3188-3194; Bassetti, M., Nicolini, L., Repetto E, Tigecycline use in serious nosocomial infections: A drug use evaluation (2010) BMC Infect Dis, 10, p. 287; Paul, M., Bishara, J., Levcovich, A., Effectiveness and safety of colistin: Prospective comparative cohort study (2010) J Antimicrob Chemother, 65, pp. 1019-1027; Ben-David, D., Maor, Y., Keller, N., Potential role of active surveillance in the control of a hospital-wide outbreak of carbapenem-resistant Klebsiella pneumoniae infection (2010) Infect Control Hosp Epidemiol, 31, pp. 620-626; Gardam, M.A., Burrows, L.L., Kus, J.V., Is surveillance for multidrug-resistant enterobacteriaceae an effective infection control strategy in the absence of an outbreak? (2002) J Infect Dis, 186, pp. 1754-1760; Carmeli, Y., Akova, M., Cornaglia, G., Controlling the spread of carbapenemase-producing Gram-negatives: Therapeutic approach and infection control (2010) Clin Microbiol Infect, 16, pp. 102-111","Chan, H. L. E.; Department of Haematology-Oncology, National Univeristy Hospital, 1E Lower Kent Ridge Road, NUHS Tower Block Level 7, Singapore 119228, Singapore; email: esther.hl.chan@gmail.com",,,,,,,,00375675,,SIMJA,"21552793","English","Singapore Med. J.",Article,"Final",,Scopus,2-s2.0-79958282350 "Chang I.-C., Chou P.-C., Yeh R.K.-J., Tseng H.-T.","7201742474;56890434000;55232593100;56998153300;","Factors influencing Chinese tourists' intentions to use the Taiwan Medical Travel App",2016,"Telematics and Informatics","33","2",,"401","409",,30,"10.1016/j.tele.2015.09.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943259236&doi=10.1016%2fj.tele.2015.09.007&partnerID=40&md5=2b9735c8384a392b2cbaa278155f562b","Department of Information Management, National Chung Cheng University, Min-Hsiung Township, No. 168, University Rd., Chia-yi County, 621, Taiwan; Department of Information Management, National Chiao Tung University, Management Building 2, 1001 Ta Hsueh Road, Hsinchu City, 300, Taiwan","Chang, I.-C., Department of Information Management, National Chung Cheng University, Min-Hsiung Township, No. 168, University Rd., Chia-yi County, 621, Taiwan; Chou, P.-C., Department of Information Management, National Chung Cheng University, Min-Hsiung Township, No. 168, University Rd., Chia-yi County, 621, Taiwan; Yeh, R.K.-J., Department of Information Management, National Chung Cheng University, Min-Hsiung Township, No. 168, University Rd., Chia-yi County, 621, Taiwan; Tseng, H.-T., Department of Information Management, National Chiao Tung University, Management Building 2, 1001 Ta Hsueh Road, Hsinchu City, 300, Taiwan","Global economic progress has resulted in the rapid development of transportation, finance, and tourism. Consequently, medical tourism has emerged as a new and booming market. Hospitals in Taiwan have excellent medical quality and highly-ranked information technology. The geographical, cultural, and linguistic proximity between Taiwan and Mainland China further enhances the appeal of medical tourism in Taiwan as an option for patients from China. Thus, the Taiwanese government has actively modified and improved various aspects of its tourism infrastructure, such as visa regulations, marketing policies, and technologies, to attract medical tourists. One important technology marketing method in its arsenal is the Taiwan Medical Travel App (TMT App), which can be downloaded to mobile devices. The TMT App focuses on promoting Taiwan's medical tourism. Nevertheless, the effectiveness of the TMT App and the usage intention of Chinese patients have not been evaluated. This study proposes a research model based on a literature review to explore the factors that influence Chinese patients' intention to use the TMT App. The research model is then validated using questionnaires and statistical analyses. The results can be used as a reference to enhance customers' intention to use the TMT App and to improve this and other similar Apps. © 2015 Elsevier Ltd. All rights reserved.","Decomposed Theory of Planned Behavior; International healthcare; Medical tourism; Mobile App","Marketing; Mobile devices; Surveys; Chinese tourists; Decomposed theory of planned behavior; Global economics; Literature reviews; Medical tourism; Mobile app; Technology marketings; Tourism infrastructure; Commerce",,,,,,,,"Ajzen, I., (1985) From Intentions to Actions: A Theory of Planned Behavior, , Springer Heidelberg; Ajzen, I., The theory of planned behavior (1991) Organ. Behav. Hum. Decis. Process., 50 (2), pp. 179-211; (2015) Android Lollipop Update: Which Phones Will Get It and When?, , https://www.androidpit.com/android-5-0-lollipop-phone-update-news, ANDROIDPIT; Bagozzi, R.P., Attitudes, intentions, and behavior: A test of some key hypotheses (1981) J. Pers. Soc. Psychol., 41 (4), pp. 607-627; Bagozzi, R.P., A field investigation of causal relations among cognitions, affect, intentions, and behavior (1982) J. Mark. Res., 19 (4), pp. 562-583; Bandura, A., Health promotion from the perspective of social cognitive theory (1998) Psychol. Health, 13 (4), pp. 623-649; Bishop, R.A., Litch, J.A., Personal views: Medical tourism can do harm (2000) Br. Med. J., 320 (7240), pp. 1015-1017; Chee, H.L., (2007) Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare (January 1, 2007), , Asia Research Institute Working Paper No. 83; Chennamaneni, A., Teng, J.T.C., Raja, M.K., A unified model of knowledge sharing behaviours: Theoretical development and empirical test (2012) Behav. Inf. Technol., 31 (11), pp. 1097-1115; Cheung, M., Luo, C., Sia, C., Chen, H., Credibility of electronic word-of-mouth: Informational and normative determinants of on-line consumer recommendations (2009) Int. J. Electron. Commun., 13 (4), pp. 9-38; Chung, N., Koo, C., The use of social media in travel information search (2015) Telemat. Inf., 32 (2), pp. 215-229; Cohen, E., Medical tourism in Thailand (2008) AU-GSB E-journal, 1 (1); Compeau, D.R., Higgins, C.A., Computer self-efficacy: Development of a measure and initial test (1995) MIS Quart., 19 (2), pp. 189-211; Connell, J., (2010) Medical Tourism: CABI Publishing; Davis, F.D., Perceived usefulness, perceived ease of use, and user acceptance of technology (1989) MIS Quart., 13 (3), pp. 319-340; (2012) So Many Apps - So Little to Download, , http://www.mondaq.com/x/192692/IT+internet/So+Many+Apps+So+Little+To+Download, Deloitte; Dredge, S., (2011) Most Branded Apps Are A Flop Says Deloitte. but Why?, , http://www.guardian.co.uk/technology/appsblog/2011/jul/11/branded-apps-flopping; Ferguson, R.J., Paulin, M., Bergeron, J., Customer sociability and the total service experience: Antecedents of positive word-of-mouth (2010) J. Serv. Manage., 21 (1), pp. 25-44; Gupta, A.S., (2007) Medical Tourism Industry, , http://www.health-tourism-india.com/articles-on-medical-tourism-industry.html; Hair, J., Black, W.C., Babin, B.J., Anderson, R.E., (2010) Multivariate Data Analysis, , 7th ed. Pearson Education International Upper saddle River, New Jersey; Henning-Thurau, T., Gwinner, K.P., Walsh, G., Gremler, D., Electronic word-of-mouth via consumer-opinion platforms: What motivates consumers to articulate themselves on the internet? (2004) J. Interact. Mark., 18 (1), pp. 38-52; Hoehle, H., Venkatesh, V., Mobile application usability: Conceptualization and instrument development (2015) MIS Quart., 39 (2), pp. 435-472; Hu, P.J., Chau, P.Y.K., Sheng, O.R.L., Tam, K.Y., Examining the technology acceptance model using physician acceptance of telemedicine technology (1999) J. Manage. Inf. Syst., 16 (2), pp. 91-112; Hung, S.Y., Liang, T.P., Chang, C.M., A meta-analysis of empirical research using TAM (2005) J. Inf. Manage., 12 (4), pp. 211-234; Jen, W., Lu, T., Liu, P.T., An integrated analysis of technology acceptance behavior models: Comparison of three major models (2009) MIS Rev., 15 (1), pp. 89-121; Jose, R., Sachdeva, S., Keeping an eye on future: Medical tourism (2010) Indian J. Community Med., 35 (3), pp. 376-378; Lee, M.C., Explaining and predicting users' continuance intention toward e-learning: An extension of the expectation-confirmation model (2010) Comput. Educ., 54 (2), pp. 506-516; Leng, C.H., Medical Tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Mäntymäki, M., Merikivi, J., Verhagen, T., Feldberg, F., Rajala, R., Does a contextualized theory of planned behavior explain why teenagers stay in virtual worlds? (2014) Int. J. Inf. Manage., 34 (5), pp. 567-576; McGill, T., Klobas, J., User developed application success: Sources and effects of involvement (2008) Behav. Inf. Technol., 27 (5), pp. 407-422; Miniard, P.W., Cohen, J.B., Modeling personal and normative influences on behavior (1983) J. Consum. Res., 10 (2), pp. 169-180; Pare, G., Sicotte, C., Jacques, H., The effects of creating psychological ownership on physicians' acceptance of clinical information systems (2006) J. Am. Med. Inf. Assoc., 13 (2), pp. 197-205; (2012) Asia Medical Tourism Analysis and Forecast to 2015, , http://www.renub.com/report/asia-medical-tourism-analysis-and-forecast-to-2015-83, Renub Research; Rogers, E.M., (1962) Diffusion of Innovations, , The Free Press New York; Shimp, T.A., Kavas, A., The theory of reasoned action applied to coupon usage (1984) J. Consum. Res., 11 (3), pp. 795-809; The Statistics Portal, 2015. Number of Apps Available in Leading App Stores As of May 2015, , http://www.statista.com/statistics/276623/number-of-apps-available-in-leading-app-stores/2015; The Statistics Portal, 2015. Most Popular Apple App Store Categories in March 2015, by Share of Available Apps, , http://www.statista.com/statistics/270291/popular-categories-in-the-app-store/2015; Taylor, S., Todd, P.A., Understanding information technology usage: A test of competing models (1995) Inf. Syst. Res., 6 (2), pp. 144-176; Venkatesh, V., Morris, M.G., Davis, G.B., Davis, F.D., User acceptance of information technology: Toward a unified view (2003) MIS Quart., 27 (3), pp. 425-478; Walravens, N., Mobile city applications for brussels citizens: Smart city trends, challenges and a reality check (2015) Telemat. Inf., 32 (2), pp. 282-299; (2014) IAC 10th International E-Government Ranking 2014, , http://www.e-gov.waseda.ac.jp/pdf/2014_E-Gov_Press_Release.pdf, Waseda; Yap, J., Sim, S.C., Nones, N., (2008) Medical Tourism: The Asian Chapter, , Deloitte Consulting LLP; Zaichkowsky, J.L., Measuring the involvement construct (1985) J. Consum. Res., 12 (3), pp. 341-352","Yeh, R.K.-J.; Department of Information Management, National Chung Cheng University, Min-Hsiung Township, No. 168, University Rd., Taiwan",,,"Elsevier Ltd",,,,,07365853,,TEINE,,"English","Telematics Inf",Article,"Final",,Scopus,2-s2.0-84943259236 "Whittaker A., Chee H.L.","7102570392;7004224160;","Perceptions of an 'international hospital' in Thailand by medical travel patients: Cross-cultural tensions in a transnational space",2014,"Social Science and Medicine","124",,,"290","297",,30,"10.1016/j.socscimed.2014.10.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920276490&doi=10.1016%2fj.socscimed.2014.10.002&partnerID=40&md5=ebad963945b67e0f07994844334e2a9f","Monash University, Melbourne, Australia; Universiti Sains Malaysia, Penang, Malaysia","Whittaker, A., Monash University, Melbourne, Australia; Chee, H.L., Universiti Sains Malaysia, Penang, Malaysia","The growing trade in patients seeking health care in other countries, or medical travel, is changing the forms and experiences of health care seeking and producing changes to hospitals in terms of their design, organization and spaces. What is termed in marketing parlance in Thailand as an 'international hospital' oriented to attracting foreign patients, is a hotel-hospital hybrid that is locally produced through the inflexion of local practices to make a therapeutic space for international patients. The paper reports on work undertaken within a Thai hospital in 2012 which included observations and interviews with thirty foreign in-patients and nine informal interviews with hospital staff. Although theorized as a culturally neutral transnational 'space of connectivity', we show how cross-cultural tensions affect the experience of the hospital with implications for the organization of the hospital and notions of 'cultural competence' in care. There is no single universal experience of this space, instead, there are multiple experiences of the 'international hospital', depending on who patients are, where they are from, their expectations and relationships. Such hospitals straddle the expectations of both local patients and international clientele and present highly complex cross-cultural interactions between staff and patients but also between patients and other patients. Spatial organisation within such settings may either highlight cultural difference or help create culturally safe spaces. © 2014 Elsevier Ltd.","International hospital; Medical tourism; Medical travel; Thailand; Transnationalism","health care; health services; hospital sector; nationalism; perception; public health; tourism; Article; cultural competence; health care facility; health care quality; health care system; health personnel attitude; help seeking behavior; hospital information system; hospital planning; human; patient attitude; perception; public health; Thailand; transcultural care; travel; cultural anthropology; cultural factor; hospital management; hospital subdivisions and components; international cooperation; medical sociology; medical tourism; trends; Thailand; Cross-Cultural Comparison; Cultural Diversity; Hospital Administration; Humans; Internationality; Medical Tourism; Personnel Administration, Hospital; Sociology, Medical; Thailand",,,,,"Australian Research Council, ARC: DP 1094895","This work draws upon research supported by an Australian Research Council Discovery Project ‘Medical travel in Asia: Therapeutic quests for hearts and hips’ ( DP 1094895 ) funded by the Australian government . Ethical clearance for this study was obtained through the University of Queensland Behavioural Social Science Ethical Review committee and the Monash University Human Research Ethics Committee and permissions granted by various authorities at participating hospitals. We thank the hospital, staff and patients for their participation in this research. This paper was presented at the Transnational Health Care symposium in June 2013 co-sponsored by the Cultural Geography Chair Group at Wageningen University (NL), the Academy for Tourism at NHTV Breda University of Applied Sciences (NL), the Economic and Social Research Council – ESRC (UK) and the University of Leeds (UK) and we thank the organisers and participants for their feedback.",,"Andrews, G.J., Shaw, D., Clinical geography: nursing practice and the (re)making of institutional space (2008) J.Nurs. Manag., 16, pp. 463-473; Andrews, M.M., Boyle, J.S., (2012) Transcultural Concepts in Nursing Care, , Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia; Augé, M., (1995) Non-places: Introduction to an Anthropology of Supermodernity, , Verso, London; Aungkasuvapala, N., Health Tourism - the Rising Star: Strategies for Success (2006) News room: Tourism Authority of Thailand e-magazine, , Tourism Authority of Thailand, Bangkok; Bochaton, A., The rise of a transnational healthcare paradigm. Thai hospitals at the crossroad of new patient flows (2013) EJOTS Eur. J. Transnatl. Stud., 5, pp. 54-80; Bochaton, A., Lefebvre, B., The rebirth of the hospital: Heterotopia and medical tourism in Asia (2009) Asia on Tour: Exploring the Rise of Asian Tourism, pp. 97-108. , Routledge, Abingdon, T. Winter, P. Teo, T.C. Chang (Eds.); Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , Palgrave, New York; Chanda, R., Trade in health services (2002) Trade in Health Services: Global, Regional and Country Perspectives, pp. 35-44. , PAHO, Washington D.C, N. Drager, C. Vieira (Eds.); Chee, H.L., Medical Tourism and the state in Malaysia and Singapore (2010) Glob. Soc. Policy, 10, pp. 336-357; Choy, T.K., Articulated knowledges: environmental forms after Universality's Demise (2005) Am. Anthropol., 107, pp. 5-18; Connell, J., (2011) Medical Tourism, , Cabi, Wallingford, Oxfordshire; Foucault, M., Governmentality (1979) Ideol. Conscious., 5, pp. 5-21; Gesler, W., Therapeutic landscapes: medical issues in the light of the new cultural geography (1992) Soc. Sci. & Med., 34, pp. 735-746; Gesler, W., Kearns, R., (2002) Culture/Health/Place, , Routledge, London; Gilmour, J.A., Hybrid space: constituting the hospital as a home space for patients (2006) Nurs. Inq., 13, pp. 16-22; Han, H., The healthcare hotel: distinctive attributes for international medical travelers (2013) Tour. Manag., 36, pp. 257-268; Kanchanachitra, C., Lindelow, M., Johnston, T., Hanvorvongchai, P., Lorenzo, F., Nguyen, L., Wilopo, S., Frances Dela Rosa, J., Human resources for health in Southeast Asia: Shortages, distributional challenges, and international trade in health services (2011) Lancet, 377 (9767), pp. 769-781; Kearns, R.A., Barnett, J.R., ""Happy meals"" in the Starship Enterprise: interpreting a moral geography of health care consumption (2000) Health & Place, 6, pp. 81-93; (1998) Putting Health into Place: Landscape, Identity and Well-being, , Syracuse University Press, Syracuse N. Y, R.A. Kearns, W.M. Gesler (Eds.); Low, S.M., Towards an anthropological theory of space and place (2009) Semiotica, 175, pp. 21-37; Noree, T., Hanefeld, J., Smith, R., UK medical tourists in Thailand: they are not who you think they are (2014) Glob. Health, 10, pp. 29-35; Ormond, M., (2013) Neoliberal Governance and International Medical Travel in Malaysia, , Routledge, Abingdon; Polaschek, N.R., Cultural safety: a new concept in nursing people of different ethnicities (1998) J.Adv. Nurs., 27, pp. 452-457; Pordié, L., Spaces of connectivity, shifting temporality. Enquiries in transnational health (2013) EJOTS Eur. J. Transnatl. Stud., 5, pp. 6-26; Rose, G., Hybridity (2000) Human Geography, pp. 364-365. , Blackwell Publishing Ltd, Malden, MA, R.J. Johnson, D. Gregory, G. Pratt, M. Watts (Eds.); Smith, R., Chandra, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373, pp. 593-601; Smith, R., Martinez Ãlvarez, M., Chanda, R., Medical tourism: a review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Toyota, M., Chee, H.L., Xiang, B., Global track, national vehicle: Transnationalism in medical tourism in Asia (2013) EJOTS: Eur. J. Transnatl. Stud., 5, pp. 27-53; Tseng, W.-S., Streltzer, J., (2008) Cultural Competence in Health Care, , Springer, New York; Whittaker, A., Pleasure and pain: medical tourism in Asia (2008) Glob. Public Health: An Int. J. Res. Policy Pract., 3, pp. 271-290; Whittaker, A., Outsourced patients: Stories from forced medical travellers (2012) Travel Ideals: Engaging with Spaces of Mobility Conference, 18-20 July, , University of Melbourne; Wibulpolprasert, S., Pachanee, C.A., Addressing the internal brain drain of medical doctors in Tailand (2008) Glob. Soc. Policy, 8 (1), pp. 12-15; (1999) Therapeutic Landscapes: The Dynamic between Place and Wellness, , University Press of America, Lanham, A. Williams (Ed.); Wilson, A., Medical tourism in Thailand (2010) Asian Biotech: Ethics and Communities of Fate, , Duke University Press, Durham, North Carolina, A. Ong, N. Chen (Eds.); Wilson, A., Foreign Bodies and national Scales: medical tourism in Thailand (2011) Body Soc., 17, pp. 121-137","Whittaker, A.; School of Social Sciences, Faculty of Arts, Monash UniversityAustralia",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"25308233","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-84920276490 "Runnels V., Carrera P.M.","12774356700;55362546400;","Why do patients engage in medical tourism?",2012,"Maturitas","73","4",,"300","304",,30,"10.1016/j.maturitas.2012.08.011","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84869088449&doi=10.1016%2fj.maturitas.2012.08.011&partnerID=40&md5=709329a45c90d54fb4d6343217e65ffe","Globalization and Health Equity Research Unit, Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada; Health Technology and Services Research Department, School of Management and Governance, University of Twente, PO Box 217, 7500 AE Enschede, Netherlands","Runnels, V., Globalization and Health Equity Research Unit, Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada; Carrera, P.M., Health Technology and Services Research Department, School of Management and Governance, University of Twente, PO Box 217, 7500 AE Enschede, Netherlands","Medical tourism is commonly perceived and popularly depicted as an economic issue, both at the system and individual levels. The decision to engage in medical tourism, however, is more complex, driven by patients' unmet need, the nature of services sought and the manner by which treatment is accessed. In order to beneficially employ the opportunities medical tourism offers, and address and contain possible threats and harms, an informed decision is crucial. This paper aims to enhance the current knowledge on medical tourism by isolating the focal content of the decisions that patients make. Based on the existing literature, it proposes a sequential decision-making process in opting for or against medical care abroad, and engaging in medical tourism, including considerations of the required treatments, location of treatment, and quality and safety issues attendant to seeking care. Accordingly, it comments on the imperative of access to health information and the current regulatory environment which impact on this increasingly popular and complex form of accessing and providing medical care. © 2012 Elsevier Ireland Ltd.","Choice; Health information; Medical decision-making; Medical tourism; Unmet need","consumer health information; health care access; health care cost; health care quality; health care system; health service; human; medical tourism; patient care; patient decision making; patient safety; review; Decision Making; Health Services Accessibility; Humans; Medical Tourism",,,,,,,,"Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (23), pp. 276-282; Carrera, P., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Runnels, V., Turner, L., Bioethics and transnational medical travel: India, ""medical tourism"" and the globalisation of healthcare (2011) Indian Journal of Medical Ethics, 8 (1), pp. 42-44; (2009) Health at A Glance 2009: OECD Indicators, , http://www.oecd.org/health/healthpoliciesanddata/44117530.pdf, Organization For Economic Cooperation And Development; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthetic Surgery Journal, 31, pp. 694-697; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) Journal of Plastic, Reconstructive & Aesthetic Surgery, 65 (1), pp. 22-28; Kumarasamy, K., Toleman, M.A., Walsh, T.R., Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: A molecular, biological, and epidemiological study (2010) Lancet Infectious Diseases, 10 (9), pp. 597-602; (2006) Health Care 2015: Win-win or Lose-lose? 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Quah, Academic Press San Diego, USA; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) International Journal of Health Services, 40 (3), pp. 669-684; Runnels, V., Packer, C., Travelling for Healthcare from Canada: An Overview of Out-of-country Care Funded by Provincial/territorial Health Insurance Plans, , Unpublished paper; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83 (71), pp. 71-132; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2012) Tourism Management, , http://www.sciencedirect.com/science/article/pii/S0261517712000970, Available from: [accessed 01.07.12]; Hurley, J., The normative economics of health and health care (2000) Handbook of Health Economics, pp. 55-118. , Amsterdam North Holland; (2008) New AMA Guidelines on Medical Tourism, , http://www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf, American Medical Association, AMA Chicago, IL Available at: [accessed 25.05.12]; (2010) Cosmetic Surgery Tourism Briefing Paper, , http://www.plasticsurgery.org/News-and-Resources/Briefing-Papers/ Cosmetic-Surgery-Tourism.html, American Society Of Plastic Surgeons [accessed 25.05.12]; Fitzgerald, R., Medical regulation in the telemedicine era (2008) Lancet, 372 (9652), pp. 1795-1796; Legido-Quigley, H., McKee, M., Walshe, K., How can quality of health care be safeguarded across the European Union? (2008) British Medical Journal, 336, pp. 920-923; http://www.isqua.org/accreditations.htm, International Society for Quality in Health Care. [accessed 25.05.12]; http://www.jointcommissioninternational.org/JCI-Accredited-Organizations/, Joint Commission International. [accessed 25.05.12]","Carrera, P.M.; Health Technology and Services Research Department, School of Management and Governance, University of Twente, PO Box 217, 7500 AE Enschede, Netherlands; email: p.m.carrera@utwente.nl",,,,,,,,03785122,,MATUD,"23007007","English","Maturitas",Review,"Final",,Scopus,2-s2.0-84869088449 "Musa G., Doshi D.R., Wong K.M., Thirumoorthy T.","7004159636;55318155500;55431121300;55094542900;","How Satisfied are Inbound Medical Tourists in Malaysia? A Study on Private Hospitals in Kuala Lumpur",2012,"Journal of Travel and Tourism Marketing","29","7",,"629","646",,30,"10.1080/10548408.2012.720150","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867854905&doi=10.1080%2f10548408.2012.720150&partnerID=40&md5=5e9d0e4713b550fbd0fd12e8d70a7dd4","Faculty of Business and Accountancy, University of Malaya, 50603, Kuala Lumpur, Malaysia","Musa, G., Faculty of Business and Accountancy, University of Malaya, 50603, Kuala Lumpur, Malaysia; Doshi, D.R., Faculty of Business and Accountancy, University of Malaya, 50603, Kuala Lumpur, Malaysia; Wong, K.M., Faculty of Business and Accountancy, University of Malaya, 50603, Kuala Lumpur, Malaysia; Thirumoorthy, T., Faculty of Business and Accountancy, University of Malaya, 50603, Kuala Lumpur, Malaysia","The study explores inbound medical tourists' satisfaction from 137 respondents sampled using the combination of purposeful and convenience samplings in five private hospitals in Kuala Lumpur. In descending order of scores, medical tourists are most satisfied with doctors, nurses, hospital services, hospital atmosphere, and hospital facilities. Hospital facilities and doctors are the two most important dimensions in influencing the overall satisfaction. There are significant differences in the levels of satisfaction within demographic profiles. 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M.; Faculty of Business and Accountancy, University of Malaya, 50603, Kuala Lumpur, Malaysia; email: keemunw@gmail.com",,,,,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84867854905 "Enderwick P., Nagar S.","15730542800;57214478196;","The competitive challenge of emerging markets: The case of medical tourism",2011,"International Journal of Emerging Markets","6","4",,"329","350",,30,"10.1108/17468801111170347","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84986164013&doi=10.1108%2f17468801111170347&partnerID=40&md5=c5dd523987a59ade392b76b41a13fb96","University of Technology, Auckland, New Zealand","Enderwick, P., University of Technology, Auckland, New Zealand; Nagar, S., University of Technology, Auckland, New Zealand","Purpose – Increasing globalisation of the healthcare sector suggests that there may be new competitive opportunities for emerging economies in this price-sensitive sector. The purpose of this paper is to examine the extent to which emerging economies, and in particular the four major Asian competitors – Thailand, India, Malaysia and Singapore – can compete successfully in the medical tourism (MT) sector. Design/methodology/approach – The authors evaluate this sector in terms of Porter's Diamond of National Competitiveness, as well as considering the challenges that competitors must address. The primary challenges relate to attracting consumers, proving assurances of quality for a credence good, increasing scale while maintaining quality, addressing ethical issues and moving beyond simple price-based competition. Findings – The authors conclude that the major Asian competitors in MT benefit from strong government support, rely heavily on overseas linkages and accreditation, and are competing in very similar ways. In the future, further differentiation is both likely and desirable. Originality/value – The paper offers a theoretically based analysis of the future competitiveness of the rapidly evolving MT industry in four key Asian economies. This industry appears to relate well to the comparative advantage of emerging economies and offers future opportunities for upgrading and value adding. © 2011, Emerald Group Publishing Limited","Business development; Competitive strategy; Emerging economies; Globalization; Health care; India; Malaysia; Medical tourism; Singapore; Thailand",,,,,,,,,"Alford, B.L., Sherrell, D.L., The role of affect in consumer satisfaction judgment of credence-based services (1995) Journal of Business Research, 37, pp. 71-84; Bagadia, N., Investigating medical tourism beneath the surface (2009) Medical Tourism Magazine, , 1 April; Bell, M., Time and technological learning in industrialising countries: how long does it take? How fast is it moving (if at all)? 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DUV, Frankfurt; Bies, W., Zacharia, L., Medical tourism: outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York, NY; Buckley, P.J., Clegg, J., Cross, A.R., Liu, X., Voss, H., Zheng, P., The determinants of Chinese outward foreign direct investment (2007) Journal of International Business Studies, 38 (4), pp. 499-518; (2002) Healthcare in India: The Road Ahead, , CII-McKinsey, New Delhi, October; Cohen, E., Medical tourism in Thailand (2008), pp. 24-37. , Graduate School of Business, Assumption University of Thailand; (2010) Asian Medical Tourism Analysis 2008-2012, , Companiesandmarkets.com, London, January, available at: companiesandmarkets.com; (2008) Technological Change and the Growth of Health Care Spending, , Congressional Budget Office, Washington, DC, January; Connell, J., Medical tourism: sea, sun, sand and …surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cox, E.A., Sood, A.K., Medical tourism: strategy for containing health care cost increases and immigration pull (2009) Global Studies Review, 5 (1); Darby, M.R., Karmi, E., Free competition and the optimal amount of fraud (1973) Journal of Law and Economics, 16, pp. 67-88; Davies, P., (2004) What's this India Business? Offshoring, Outsourcing and the Global Services Revolution, , Nicholas Brealey, London; Dawar, N., Frost, T., Competing with giants: survival strategies of local companies in emerging markets (1999) Harvard Business Review, 77 (2), pp. 119-129; De Arellano, A.B.R., Patients without borders: the emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; (2008) Medical Tourism: Consumers in Search of Value, , Deloitte Centre for Health Solutions, Washington, DC; (2009) Medical Tourism: Update and Implications, , Deloitte Centre for Health Solutions, Washington, DC; Downes, L., Miu, C., (2000) Unleashing the Killer Apps: Digital Strategies for Market Dominance, , Harvard Business School Press, Boston, MA; Dulleck, U., Kerschbamer, R., On doctors, mechanics and computer specialists: the economics of credence goods (2006) Journal of Economic Literature, 44 (1), pp. 5-42; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical treatment (2008) McKinsey Quarterly, (May), pp. 1-11; Einhorn, B., Medical tourism: surviving the global recession (2008) BusinessWeek, , (a) 9 November; Einhorn, B., Outsourcing the patients (2008) BusinessWeek, , (b) 13 March; Enderwick, P., Some economics of service-sector multinationals (1989) Multinational Service Firms, , in Enderwick, P. (Ed.) Routledge, London; Enderwick, P., (2007) Understanding Emerging Markets: China and India, , Routledge, London; Gahlinger, P.M., (2008) The Medical Tourism Travel Guide: Your Complete Reference to Top-quality, Low-cost Dental, Cosmetic, Medical Care & Surgery Overseas, , Sunrise River Press, North Branch, MN; Gammeltoft, P., Emerging multinationals: outward FDI from the BRICs countries (2008) International Journal of Technology and Globalisation, 4 (1), pp. 5-22; Grein, A.F., Craig, C.S., Economic performance over time: does Porter's diamond hold at the national level? 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Shapiro, C., Varian, H.R., (1998) Information Rules: A Strategic Guide to the Network Economy, , Harvard Business School Press, Boston, MA; Shimazono, Y., The state of the international organ trade: a provisional picture based on integration of available information (2007) Bulletin of the World Health Organization, 85 (12), pp. 955-962; Sirkin, H., Hemerling, J., Bhattacharya, A., (2008) Globality: Competing with Everyone from Everywhere for Everything, , Business Plus, New York, NY; (2009) An Insight on Medical Tourism Sector Developments in Asian Countries, , Taiwan Institute of Economic Research, Taipei, April; Teh, I., Chu, C., Supplementing growth with medical tourism (2005) Asia Pacific Biotech News (APBN), 9 (8), pp. 306-311; Terry, N.P., Under-regulated health care phenomena in a flat world: medical tourism and outsourcing (2007) Western New England Law Review, 29 (2), pp. 420-472; (2009) Medical Tourism in Thailand, , www.thaiwebsites.com/medical-tourism-thailand-asp, available at: (accessed 18 December 2009); Tozzi, J., Small employers struggle to offer health insurance (2009) BusinessWeek, , 6 October; Twedt, S., Medical tourism represents a $2.1 billion business, study shows (2008) Pittsburgh Post-Gazette, , 23 September; van Agtmael, A., (2007) The Emerging Markets Century: How a New Breed of World-class Companies is Overtaking the World, , The Free Press, New York, NY; Velasco, N.A.O., Asia generates $3.4 billion revenue from medical tourism (2008) Asia News, , 24 October; (2008) Wockhardt Hospitals India Gets the Best Website Award for Medical Tourism Patient Information, , Wockhardt Hospital Mumbai, Mumbai, press release, 21 May; Wu, J., Pangarkar, N., Rising to the global challenge: strategies for firms in emerging markets (2006) Long Range Planning, 39 (3), pp. 295-313",,,,,,,,,17468809,,,,"English","Int. J. Emerg. Mark.",Article,"Final",,Scopus,2-s2.0-84986164013 "Kelly C.","10144553400;","Analysing wellness tourism provision: A retreat operators' study",2010,"Journal of Hospitality and Tourism Management","17","1",,"108","116",,30,"10.1375/jhtm.17.1.108","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890224361&doi=10.1375%2fjhtm.17.1.108&partnerID=40&md5=9b9768f36f7850b22a852ad45b4f1918","Department of Marketing, Events and Tourism, Business School, University of Greenwich, Park Row, London SE10 9LS, United Kingdom","Kelly, C., Department of Marketing, Events and Tourism, Business School, University of Greenwich, Park Row, London SE10 9LS, United Kingdom","The aim of this article is to focus on developing an understanding of wellness tourism provision. A brief contextualisation is offered, along with a discussion of definitions and classifications. Subsequently, in order to offer a more in-depth analysis, one market category - that of the holistic or wellness 'retreat' - is assessed in greater detail. This research attempts to unpick some of the generalisations made about the wellness tourism sector by providing detailed research on one under-represented part of this market provision. An operator database was created of retreat centres globally, based on the author's definitional classification criteria. Over 500 centres' data were collated and reviewed. From this a more in-depth survey took place, whereby 50 retreat providers were interviewed to research a range of motivational, experiential and management issues related to wellness tourism. The research shows that retreat operators are a relatively unique group of wellness tourism providers insofar as they are poorly organised collectively (compared, for example, to the spa sector); the vast majority can be classified as 'lifestyle entrepreneurs' in terms of their business motivations and aspirations; many own, manage and teach at their centres, and their views on and engagement with training, regulation and the tourism sector itself are very much place-specific. The product focus of many retreats is what sets them apart from other aspects of wellness tourism.","Holistic; Lifestyle; Motivations; Retreat; Wellness tourism",,,,,,,,,"Ateljevic, I., Doorne, S., Staying within the fence: Lifestyle enterpreneurship in tourism (2000) Journal of Sustainable Tourism, 8 (5), pp. 378-392; Bennett, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; Brunner-Sperdin, A., Peters, M., Importance and measurement of entrepreneurial quality and processes in tourism (2005) Journal of Quality Assurance in Hospitality and Tourism, 5 (1), pp. 73-86; Christian, R., Developing an online access strategy: Issues facing small to medium-sized tourism and hospitality enterprises (2001) Journal of Vacation Marketing, 7 (2), pp. 170-188; Cockerell, N., Trew, J., Health and spa tourism in the UK: The potential (2003) Tourism Insights, , http://www.insights.org.uk, Retrieved from; Cohen, E., A phenomenology of tourist experiences (1996) The Sociology of Tourism: Theoretical and Empirical Investigations, pp. 90-111. , Y. Apostopoulos, S. Leivadi & A. Yiannakis (Eds.), London: Routledge; Connell, J., Medical tourism: Sea, sun, sand and... Surgery (2006) Tourism Management, 27, pp. 1093-1100; Edgell, D.L., (2006) Managing Sustainable Tourism: A Legacy for the Future, , Philadelphia: Haworth Press; Ernst, E., Obstacles to research in complementary and alternative medicine (2003) Medical Journal of Australia, 179 (6), pp. 279-280; Florida, R., (2002) The Rise of the Creative Class, , New York: Perseus Book Group; Fyall, A., Garrod, B., Beyond the rhetoric of sustainable tourism (1998) Tourism Management, 19 (3), pp. 199-212; Gibson, C., Kong, L., Cultural economy: A critical review (2005) Progress in Human Geography, 29 (5), pp. 541-561. , DOI 10.1191/0309132505ph567oa; Hallab, Z., Yoon, Y., Muzaffer, U., Segmentation based on the healthy living attitude: A market's travel behaviour (2003) Journal of Hospitality and Leisure Marketing, 10 (3-4), pp. 185-198; Harmsworth, S., The latest trends and developments in the health and spa market (2004) Tourism Insights, , http://www.insights.org.uk, Retrieved from; (2000) Complementary and Alternative Medicine, , House of Lords. (Report of the Select Committee on Science and Technology). London: HMSO; Hwang, L.J., Lockwood, A., Understanding the challenges of implementing best practices in hospitality and tourism SMEs (2006) Benchmarking: An International Journal, 13 (3), pp. 337-352; (2001) International Spa Association's Membership Survey, , www.spas.about.com/library/weekly/aa012702c.htm, Retrieved from; Kapczynski, A., Szromek, A.R., Hypotheses concerning the development of Polish spas in the years 1949-2006 (2008) Tourism Management, 29 (5), pp. 1035-1051; Kelly, C., Smith, M., Holistic tourism: Integrating body mind and spirit (2009) Wellness Tourism: Mind, Body, Spirit, Place, pp. 69-83. , P. Sheldon, & R. Bushell (Eds.), New York: Cognizant; Kyriakidou, O., Gore, J., Learning by example: Benchmarking organizational culture in hospitality, tourism and leisure SMEs (2005) Benchmarking: An International Journal, 12 (3), pp. 192-203; Lardies, R., Migration and tourism entrepreneurship: North-European immigrants in Cataluna and Languedoc (1999) International Journal of Population Geography, 5, pp. 477-491; Lebe, S.S., European spa world: Chances for the project's sustainability through application of knowledge management (2006) Journal of Quality Assurance in Hospitality and Tourism, 7 (1), pp. 137-146; Lee, C.F., King, B.E., Using the Delphi method to assess the potential of Taiwan's hot springs tourism sector (2008) International Journal of Tourism Research, 10, pp. 341-352; McKercher, B., Chan, A., How special is special interest tourism? (2005) Journal of Travel Research, 44 (1), pp. 21-31. , DOI 10.1177/0047287505276588; Millar, J.S., Hull, C., Measuring human wellness (1997) Social Indicators Research, 40 (1-2), pp. 147-158; (2007) Tourism Sector Report on Holistic Tourism, , http://www.mintel.com, London: Mintel International Group Ltd. Retrieved from; Mueller, H., Kaufmann, E., Wellness tourism: Market Analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Myers, J., Sweeney, T., Witmer, J., The wheel of wellness-counselling for wellness: A holistic model for treatment planning (2000) Journal of Counselling and Development, 78, pp. 251-266; Ray, P.H., Anderson, S.R., (2000) The Cultural Creative, , New York: Three Rivers Press; (2007) Directory of Retreats Homepage, , http://www.retreatsonline.com, Retrieved from; Rojek, C., (1993) Ways of Escape: Modern Transformations in Leisure and Travel, , London: Macmillan Press; Sheldon, P., Bushell, R., (2009) Wellness Tourism: Mind, Body, Spirit, Place, , New York: Cognizant; Smith, M., Puckzo, L., (2008) Health and Wellness Tourism, , Oxford: Butterworth-Heinemann; Smith, M., Kelly, C., Holistic tourism: Journeys of the self? (2006) Tourism Recreation Research, 31 (1), pp. 15-25; Steiner, C.J., Reisinger, Y., Ringing the fourfold: A philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 5-15; Stuttard, P., Education and training of complementary therapists: The role of higher education (2002) Complementary Therapies in Clinical Practice, 8 (2), pp. 106-131; Trauer, B., Conceptualizing special interest tourism: Framework for analysis (2006) Tourism Management, 27, pp. 183-200; Vyncke, P., Lifestyle segmentation: From attitudes, interests and opinions, to values, aesthetic styles, life visions and media preferences (2002) European Journal of Communication, 17, pp. 445-463; Wanhill, S., Small and medium tourism enterprises (2000) Annals of Tourism Research, 27 (1), pp. 132-147","Kelly, C.; Department of Marketing, Events and Tourism, Business School, University of Greenwich, Park Row, London SE10 9LS, United Kingdom; email: c.kelly@gre.ac.uk",,,"Elsevier Ltd",,,,,14476770,,,,"English","J. Hosp. Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84890224361 "Leahy A.L.","7006117094;","Medical tourism: The impact of travel to foreign countries for healthcare",2008,"Surgeon","6","5",,"260","261",,30,"10.1016/S1479-666X(08)80047-9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-53949103726&doi=10.1016%2fS1479-666X%2808%2980047-9&partnerID=40&md5=83d0cebc4390b3d9b19882536a71fc24","Department of Surgery, Beaumont Hospital, Royal College of Surgeons in Ireland, Smurfit Building, Dublin 9, Ireland","Leahy, A.L., Department of Surgery, Beaumont Hospital, Royal College of Surgeons in Ireland, Smurfit Building, Dublin 9, Ireland",[No abstract available],"Healthcare; Medical tourism",,,,,,,,,"Horowitz MID, Rosensweig JA, Jones CA. Medical tourism: globalization of the healthcare marketplace. MedGenMed 2007, 13; 9(4): 33; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) Int J Fertil Womens Med, 51 (6), pp. 251-255; Evans, R.W., Ethnocentrism is an unacceptable rationale for health care policy: A critique of transplant tourism position statements (2008) Am J Transplant 2008, 8 (6), pp. 1089-1095. , Epub Apr 29; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) J Contin Educ Health Prof, 28 (2), pp. 99-102; Cheung IK, Wilson A. Arthroplsty tourism. Med J Aust 2007; 3-17; 187(11-12): 666-671; Ramirez de Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) Int J Health Serv, 37 (1), pp. 193-198; Saniotis, A., Changing ethics in medical practice: A Thai perspective (2007) Indian J Med Ethics, 4 (1), pp. 24-25","Leahy, A.L.; Department of Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Smurfit Building, Dublin 9, Ireland",,,"Edinburgh University Press",,,,,1479666X,,SURGB,"18939370","English","Surgeon",Editorial,"Final",,Scopus,2-s2.0-53949103726 "Mirrer-Singer P.","22433485000;","Medical malpractice overseas: The legal uncertainty surrounding medical tourism",2007,"Law and Contemporary Problems","70","2",,"211","232",,30,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-35048893757&partnerID=40&md5=927d3f5e4398d47a6162dc6a87493959","Duke University School of Law, United States","Mirrer-Singer, P., Duke University School of Law, United States",[No abstract available],,,,,,,,,,"One hundred fifty thousand foreigners visited India for medical procedures in 2003, and a health-care specialist with the Confederation of Indian Industry predicted that the business would grow at a rate of fifteen percent per year. John Lancaster, Surgeries, Side Trips for Medical Tourists: Affordable Care at India's Private Hospitals Draws Growing Number of Foreigners, WASH. POST, Oct. 21, 2004, at A01; The Apollo Hospital in Chennai, India and the Bumrungrad Hospital in Thailand are two such examples. See, e.g., 60 Minutes Story: Vacation, Adventure, and Surgery? (CBS Broadcast, Apr. 24, 2005), available at www.cbsnews.com/stories/2005/04/21/60minutes/ main689998.shtml; Patients at Bumrungrad Hospital in Thailand pay about one-eighth of what they would pay in the United States. 60 Minutes Story, supra note 2; See Randeep Ramesh, This UK Patient Avoided Waiting Lists and Flew to India for a Heart Bypass. Is Health Tourism the Future? THE GUARDIAN (London), Feb. 1, 2005, at Guardian Home Pages 3 (citing a joint report by McKinsey and the Confederation of Indian Industry); (2007) See, e.g, , http://www.medjourneys.com, Med Journeys, last visited May 27; (2007) PlanetHospital, , http://www.PlanetHospital.com, last visited Apr. 10; See Ramesh, supra note 4; India Profile, Medical Insurance and Legal Aspects, http://www.indiaprofile.com/medical-tourism/ medical-insurance-and-legal-aspects.html (last visited Apr. 10, 2007); See, e.g., Grove v. Maheswaran, 498 S.E.2d 485, 508 (W. Va. 1997) (holding that there were insufficient contacts between the nonresident third party defendants - physicians and a hospital to support West Virginia's exercise of personal jurisdiction over them);; Biggs v. Robert Thomas, O.D., Inc., 893 P.2d. 545, 548 (Or. Ct. App. 1995), rev. den., 901 P.2d 246 (Or. 1995) (holding that the defendant, a California optometrist who practiced only in California, did not purposefully direct his activities at the residents of Oregon and therefore the court lacked jurisdiction over the defendant); Wright v. Yackley, 459 F.2d 287, 290 (9th Cir. 1972) (finding that there is no systematic or continuing effort on the part of the doctor to provide services which are to be felt in the forum state when the physician practiced elsewhere); See, e.g., N.Y. C.P.L.R. 302 (a)(1) and (a)(3)(i) (2001 & Supp. 2007); E.g., Mosier v. Kinley, 702 A.2d 803,808 (N.H. 1997); 687 N.E.2d 1293, 1295-96 (N.Y. 1997); 655 F. Supp. 1418, 1419 (W.D. Pa. 1987); 223 A.D.2d 777, 778 (N.Y. App. Div. 1996); See also Ingraham, where the New York Court of Appeals declined to decide whether a contract like that in McLenithan - a referral/fee arrangement creating mutual obligations - would suffice as interstate business activity for purposes of long-arm jurisdiction; Wright v. Yackley, 459 F.2d 287, 289 (9th Cir. 1972); See, e.g., Torres v. State, 894 P.2d 386, 390 (N.M. 1995); See, e.g., Wright, 459 F.2d at 289-90 (holding that refilling a prescription for a resident of the forum state is insufficient to establish personal jurisdiction);; see also Kennedy v. Ziesmann, 526 F. Supp. 1328, 1330-31 (E.D. Ky. 1981) (holding that incidental phone calls to a patient in the forum state are insufficient to establish personal jurisdiction); 459 F.2d at 289-90; Id. at 290-91; Id. at 291; MedRetreat, http://www.MedRetreat.com (follow About MedRetreat[:] Getting to know us hyperlink to view slide presentation) (last visited Apr. 10, 2007); (2005) MedRetreat Press Release, , http://www.medretreat.com/templates/UserFiles/Documents/ Press%20Releases/MedRetreatPressRelease20051118.pdf, Nov. 18, available at; Id; See MedRetreat, Why MedRetreat, http://www.medretreat.com/ medical_tourism/why_medretreat.html (last visited May 27, 2007); U.S.C.A. § 1332(c)(1) (2006); See, e.g., Darling v. Charleston Cmty. Mem. Hosp., 211 N.E.2d253,258 (III. 1965); For examples of cases on both sides of the issue of whether MCOs can be held liable for corporate negligence, see Clark C. Havighurst, Making Health Plans Accountable For the Quality of Care, 31 GA. L. REV. 587, 609 n.58 (1997, Among other cases, Havighurst cites Elsesser v. Hospital of Philadelphia College of Osteopathic Medicine, 802 F. Supp. 1286, 1291 (E.D. Pa. 1992, recognizing corporate negligence as a theory of liability);; Harrell v. Total Health Care, Inc., 781 S.W.2d 58, 60 (Mo. 1989) (relying on a state statute to reject the theory of liability);; and McClellan v. HMO of Pennsylvania, 604 A.2d 1053, 1056 n.6 (Pa. Super. Ct. 1992) (finding it unnecessary to decide the case on the issue); See infra, , Part III; Edmonds v. Chamberlain Mem. Hosp., 629 S.W.2d 28,29-30 (Tenn. Ct. App. 1981); Id; Id. at 30; See Havighurst, supra note 27, at 604 ([A] hospital is accountable for such a physician's performance only if it was, or should have been, aware of a specific problem - much as, in many jurisdictions, a dog owner is entitled to one free bite.); Catherine Butler, Note and Comment, Preferred Provider Organization Liability for Physician Malpractice, 11 AM. J.L. & MED. 345, 361 (1985); Id; MedRetreat, for example, states that all MedRetreat partner facilities are private institutions that either meet or exceed the high standards of quality care, technological innovation and accreditation that American medicine is known for. MedRetreat, Hospitals, http://www.medretreat.com/procedures/hospitals.html (last visited Apr. 10, 2007); E.g., Foflygen v. Zemel, 615 A.2d 1345, 1353 (Pa. Super. Ct. 1992) ([U]nder normal circumstances, only the physician who performed the operation on the patient has the duty of obtaining the patient's informed consent.); Eg., Salis v. United States, 522 F. Supp. 989, 1005 (M.D. Pa. 1981) (recognizing a cause of action in lack of informed consent when the injured plaintiff was not warned of all the dangers of an angiogram);; Wagner v. Georgetown Univ. Med. Ctr., 768 A.2d 546, 560-61 (D.C. 2001) (finding error in granting the defendant's motion in limine in part, because a reasonable jury could conclude that the plaintiff's physician had overestimated the odds of surgical success and therefore the plaintiff did not give her informed consent); 800 A.2d 73,82,86 (N.J. 2002);; see also Johnson v. Kokemoor, 545 N.W.2d 495,504 (Wis. 1996) (We reject the defendant's proposed bright line rule that it is error as a matter of law to admit evidence in an informed consent case that the physician failed to inform the patient regarding the physician's experience with the surgery or treatment at issue.); Id. at 83, 86. Interestingly, the Howard court did not permit an action for fraud. For a critique on this point see Vincent R. Johnson and Shawn M. Lovorn, Misrepresentations by Lawyers About Credentials or Experience, 57 OKLA. L. REV. 529, 569-70 (2004); Howard, 800 A.2d at 84; Id; Id; Id. at 76; See MedRetreat, Physicians, http://www.medretreat.com/procedures/ physicians.html (last visited Mar. 1, 2007); Tellingly, MedRetreat has since changed the statement that its partner facility physicians are trained according to the same standards and practices that exist in the U.S. with the less contentious statement that its partner facility physicians are trained according to international standards and practices that are comparable to those existing in the U.S. See MedRetreat, Physicians, http://www.medretreat.com/procedures/physicians.html (last visited Apr. 10, 2007); See Havighurst, supra note 27, at 596; See, e.g., Sloan v. Metro. Health Council, Inc., 516 N.E.2d 1104, 1109 (Ind. Ct. App. 1987); Mejia v. Cmty. Hosp., 99 Cal. App. 4th Supp. 1448, 1456-57 (Cal. Ct. App. 2002); See, e.g., Gilbert v. Sycamore Mun. Hosp., 622 N.E.2d 788, 796 (Ill. 1993) (holding that a hospital holds itself out as a provider of care if it fails to inform the patient otherwise); See, e.g., James by James v. Ingalls Mem'l Hosp., 701 N.E.2d 207, 211 (Ill. 1998); McGill v. Newark Surgery Ctr., 756 N.E.2d 762, 773 (Ohio C.P. 2001); (quoting Clark v. Southview Hosp. & Family Health Ctr., 628 N.E.2d 46, 53 (Ohio 1994)); See, e.g., Paraperin v. Trinity Mem. Hosp., 423 N.W.2d 848, 849 (Wis. 1988); Id; See, e.g., Boyd v. Albert Einstein Med. Ctr., 547 A.2d 1229, 1229, 1232 (Pa. Super. Ct. 1988); Id. at 1235 (denying summary judgment to HMO by finding an issue of material fact as to whether the participating physicians were the ostensible agents of HMO.); See Havighurst, supra note 27, at 608; Id; Espalin v. Children's Med. Ctr., 27 S.W.3d 675, 684-85 (Tex. Ct. App. 2000); Id. (finding no error in granting summary judgment where the waiver stated that the physicians were not employees of the hospital); See MedRetreat, supra note 21; MedRetreat, Medical Tourism Agreement, http://www.medretreat.com/ templates[UserFiles/Documents/ Medical%20Tourism%20Agreement%20-%20Jane%20Doe(1).pdf (last visited Apr. 16, 2007); See Mediescapes India, http://www.mediescapes.com/ Legal_Issues_and_Risks.html (last visited Apr. 10, 2007); See Espalin, 27 S.W.3d at 684-85 (although the discussion concerning waivers in Espalin was confined to the hospital context, courts will likely find that medical-tourism firms can similarly waive risks, especially since firms have even less control over doctors); See infra text at note 89; Koster, (1947) Lumbermens Mutual Casualty Co, 330, p. 524. , U.S. 518; Stangvik v. Shiley Inc., 54 Cal.3d 744, 755-56 (Cal. 1991) ([T]he presumption of convenience to a defendant which follows from its residence in California remains in effect....). However, the convenience of a state of incorporation or principal place of business is not always dispositive; See Ussery v. Kaiser Found. Health Plan, 647 A.2d 778, 781-82 (D.C. 1994) (holding that a Maryland plaintiff could not sue her health plan in the District of Columbia for malpractice that occurred in Maryland even though the defendant was incorporated in the District); See, e.g., Gundlach v. Lind, 820 N.E.2d 1, 5, 6 (Ill. Ct. App. 2004) (holding that the circuit court abused its discretion in denying defendant's motion to transfer venue when neither the plaintiffs nor the defendants resided in the county where the plaintiff brought suit and the acts giving rise to the litigation were also located outside the forum county); See, e.g., Stangvik, 54 Cal.3d at 751; Id; 751 F. Supp. 122, 126, 128 (S.D. Tex. 1990); Id. at 126; Id; Id; Id; Gulf Oil Corp. v. Gilbert, 330 U.S. 501, 509 (1947); Gibbon v. Am. Univ., 1983 U.S. Dist. LEXIS 13401, *1 (S.D.N.Y. 1983); Id. at *7; Id. at *9; Id. at *9 n.6; Friendly in Conte, Flota Mercante Del Esatado, 277 F.2d, 664, p. 667. , 2d Cir. 1960, quoting Judge; Jeha v. Arabian Am. Oil Co., 751 F. Supp. 122, 128 (S.D. Tex. 1990); Gibbon, 1983 U.S. Dist. LEXIS at *10; Jeha, 751 F. Supp. at 125; Id; Piper Aircraft Co. v. Reyno, 454 U.S. 235, 254 (1981); See, e.g., Banco Mercantil, S.A. v. Arencibia, 927 F. Supp. 565, 567-68 (D.P.R. 1995); Id; ng Chesley, Union Carbide Corp., 927 F.2d, 60, p. 66. , 2d Cir. 1991, quoti; Bhatnagar, Surrendra Overseas Ltd., 52 F.3d 1220 (1995) 1227-28 (3d Cir; Id. at 1228; 454 U.S. at 249-55; Id. at 252 n.19; Id. at 254; 186 F. Supp. 2d 279, 298-99 (E.D.N.Y. 2002); Id. at 298; Id; 208 F. Supp. 2d 74, 91-92 (D. Mass. 2002); The court was also persuaded to find that Belgium was an inadequate forum because Belgium lacks a class-action mechanism, p. 92. , Id. at; Id. at 91; See supra text at note 65; See supra text at note 66; See Jeha v. Arabian Am. Oil Co., 751 F. Supp. 122, 126 (S.D. Tex. 1990); Id; See Gulf Oil Corp. v. Gilbert, 330 U.S. 501, 509 (1947); Id; E.g., Gibbon v. Am. Univ., 1983 U.S. Dist. LEXIS 13401, *10 (S.D.N.Y. 1983); E.g., In re Lernout and Hauspie Secs. Litig., 208 F. Supp. 2d. 74, 91-92 (D. Mass. 2002); Bhatnagar, Surrendra Overseas Ltd., 52 F.3d 1220 (1995) 1227-28 (3d Cir; Banco Mercantil, S.A. v. Arencibia, 927 F. Supp. 565, 567-68 (D.P.R. 1995); RESTATEMENT (SECOND) OF CONFLICTS OF LAWS § 145 (1971); Id; Wiegand, S.A., Fifty Conflict of Laws ""Restatements"": Merging Judicial Discretion and Legislative Endorsement, 65 (2004) LA. L. REV, 1, pp. 39-40. , See; Symeonides, S.C., Choice of Law in the American Courts in 2003: Seventeenth Annual Survey, 52 AM (2004) J. COMP, 50 (9), p. 33. , quoting; Chadwick v. Arabian Am. Oil Co., 656 F. Supp. 857, 858 (D. Del. 1987); Id. at 860; Id. at 860-61; 789 F.2d 236 (3d Cir. 1986); Id. at 239; Id; Id. at 241; Id. at 242; Id; Id. at 243; See id. at 241; See RESTATEMENT (SECOND) OF CONFLICTS OF LAWS, supra note 107; See Chadwick v. Arabian Am. Oil Co., 656 F. Supp. 857, 858 (D. Del. 1987); See 60 Minutes Story, supra note 2 explaining that many medical tourists receive treatments not covered under their insurance or not FDA approved; For the parallel argument in the MCO context see Havighurst, supra note 27, at 618 arguing MCOs are in a position to make quality a desideratum in selecting specialists; See, e.g, MedRetreat Press Release, supra note 22; See supra text at Part II.A; In India, for example, the delays in judicial proceedings are notorious. See supra text at note 87; Havighurst, C.C., Vicarious Liability: Relocating Responsibility for the Quality of Medical Care, 26 (2000) AM. J.L. & MED, 7, p. 23. , See; See Havighurst, supra note 27, at 591-95; Id. at 594-95; See, e.g, MedRetreat, Why MedRetreat, supra note 24; MedRetreat, for example, has only been in existence since 2003. MedRetreat, supra note 21; See discussion supra, Part II.B.1; See, e.g., Jeffrey O'Connell & James F. Neale, HMO's, Cost Containment, and Early Offers: New Malpractice Threats and a Proposed Reform, 14 J. CONTEMP. HEALTH L. & POL'Y 287, 296-98 (1998); Id. at 294; See supra Part II; O'Connell & Neale, supra note 134, at 294; See, e.g, Havighurst, supra note 128, at 18-19; Id. at 18; Id; M. Dinesh Varma, Insured in U.S., Treated in India, THE HINDU, Feb. 8, 2006, available at http://www.hindu.com/2006/02/08/stories/2006020817240300.htm","Mirrer-Singer, P.; Duke University School of LawUnited States",,,,,,,,00239186,,,,"English","Law Contemp. Probl.",Article,"Final",,Scopus,2-s2.0-35048893757 "Smith K.","56302273200;","The problematization of medical tourism: A critique of neoliberalism",2012,"Developing World Bioethics","12","1",,"1","8",,29,"10.1111/j.1471-8847.2012.00318.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863420710&doi=10.1111%2fj.1471-8847.2012.00318.x&partnerID=40&md5=17eac5298aa04e382d33b7232855efff","University of Melbourne, Centre for Health and Society, Level 4 207 Bouverie Street, Parkville, Melbourne, VIC 3010, Australia","Smith, K., University of Melbourne, Centre for Health and Society, Level 4 207 Bouverie Street, Parkville, Melbourne, VIC 3010, Australia","The past two decades have seen the extensive privatisation and marketisation of health care in an ever reaching number of developing countries. Within this milieu, medical tourism is being promoted as a rational economic development strategy for some developing nations, and a makeshift solution to the escalating waiting lists and exorbitant costs of health care in developed nations. This paper explores the need to problematize medical tourism in order to move beyond one dimensional neoliberal discourses that have, to date, dominated the arena. In this problematization, the paper discusses a range of understandings and uses of the term 'medical tourism' and situates it within the context of the neoliberal economic development of health care internationally. Drawing on theory from critical medical anthropology and health and human rights perspectives, the paper critically analyzes the assumed independence between the medical tourism industry and local populations facing critical health issues, where social, cultural and economic inequities are widening in terms of access, cost and quality of health care. Finally, medical tourism is examined in the local context of India, critiquing the increasingly indistinct roles played by government and private sectors, whilst linking these shifts to global market forces. © 2012 Blackwell Publishing Ltd.","Commercialization of health care; Developing world bioethics; Health systems; Human rights; India; Medical tourism; Medical travel","article; commercial phenomena; developing country; economics; ethics; health care cost; health care delivery; human; human rights; India; medical tourism; organization and management; politics; public health; Commerce; Delivery of Health Care; Developing Countries; Health Care Sector; Human Rights; Humans; India; Medical Tourism; Politics; Private Sector; Public Health; Public Sector",,,,,,,,"MacReady, N., Developing Countries Court Medical Tourists (2007) Lancet, 369, p. 1849; Shetty, P., Medical Tourism Booms in India, but at What Cost? (2010) Lancet, 376, pp. 671-672; de Arellano, A.B.R., Patients Without Borders (2007) The Emergence of Medical Tourism. 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Berkeley and Los Angeles (2005) University of California Press; Kim, J.Y., Millen, J.V., Irwin, A., Gershman, J., (2000), eds. Dying for Growth: Global Inequality and the Health of the Poor. Monroe, Maine: Common Courage Press; Rylko-Bauer, B., Farmer, P., Managed Care or Managed Inequality? A Call for Critiques of Market-Based Medicine (2002) Med Anthropol Q, 16, p. 476; Bookman, M.Z., Bookman, K.R., (2007), 10, p. 266. , Medical Tourism in Developing Countries. New York: Palgrave Macmillan; V. Crooks, P. Kingsbury, J. Snyder & R. Johnston. What is known about the Patient's Experience of Medical Tourism? A Scoping Review. BMC Health Serv Res; Eckstein, S., (2003), Back from the future: Cuba under Castro. New York: Routledge; Cohen, I.G., Medical Tourism: The View from Ten Thousand Feet (2010) Hastings Cent Rep; Sobo, E.J., Medical Travel: What It Means, Why It Matters (2009) Med Anthropol, 28, pp. 326-335; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31, pp. 185-198; Glinos, I., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, pp. 1145-1155; (2012), United States Senate Special Committee on Aging. 2006. The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs? Washington, DC, USS. Available at: [Accessed 24 Jan; Kangas, B., Hope from Abroad in the International Medical Travel of Yemeni Patients (2007) Anthropol Med, 14, pp. 293-305; Whittaker, A., Manderson, L., Cartwright, E., Patients without Borders: Understanding Medical Travel (2010) Med Anthropol, 29, pp. 336-343; Kangas, B., Traveling for Medical Care in a Global World (2010) Med Anthropol, 29, pp. 344-362; (2009), 28, pp. 326-335. , Sobo. Medical Travel: What It Means, Why It Matters, Med Anthropol; Agarwal, S., India's Emerging Economy: Performance and prospects in 1990's and Beyond. Finance India (1990), 20, pp. 649-652; Ebrahimi, F., (1996), Structural Adjustment in India. Geneva: Operations Evaluation Department (OED), World Bank. Available at: [Accessed 24 Jan; Baru, R., (2001), pp. 211-234. , Health Sector Reforms and Structural Adjustment: A State-Level Analysis. In Public Health and the Poverty of Reforms: The South Asian Predicament. I. Qadeer, K. Sen and K.R. Nayar, eds. New Delhi, Thousand Oaks & London: Sage Publications; Qadeer, I., (2001), pp. 117-136. , Impact of Structural Adjustment Programs of Concepts in Public Health. In Public Health and the Poverty of Reforms: The South Asian Predicament. I. Qadeer, K. Sen and K.R. Nayar, eds. New Delhi, Thousand Oaks, London: Sage Publications:; Fort, M., Mercer, M.A., Gish, O., (2004), eds. Sickness and Wealth: The Corporate Assault on Global Health. Cambridge, Massachusetts: South End Press; Bennett, J., Structural Adjustment and the Poor in Pakistan (2001), pp. 51-62. , In Public Health and the Poverty of Reforms: The South Asian Predicament. I. Qadeer, K. Sen and K.R. Nayar, eds. New Delhi, Thousand Oaks, London: Sage Publications; Ahasan, R., Partanen, T., Keyoung, L., Global Corporate Policy for Financing Health Services in the Third World (2001) The Structural Adjustment Crisis. Int Q Community Health Educ, 20, pp. 3-15; Farmer, P., Birn, A.-E., Dmitrienko, K., The World Bank: Global Health or Global arm? (2005) Am J Public Health, 95, p. 1091; Gloyd, S., Sapping the Poor: The Impact of Structural Adjustment Programs. In Sickness and Wealth (2004), pp. 43-54. , The Corporate Assault on Global Health M. Fort, M.A. Mercer & O. Gish eds. Cambridge: South End Press; Qadeer, B.I., Sen, K., Nayar, K.R., (2001), eds. Public Health and the Poverty of Reform: The South Asian Predicament. New Delhi, Thousand Oaks, London: Sage Publications; Kerr, E.A., McGlynn, E.A., Adams, J., Keesey, J., Asch, S.M., Profiling the Quality of Care in welve Communities (2004) Results from the CQI Study. Health Aff, 23, pp. 247-256; Wagstaff, A., (2002), Inequalities in health in developing countries: swimming against the tide? Washington, DC: World Bank Publications; McIntyre, D., Gilson, L., Wadee, H., Thiede, M., Okarafor, O., Commercialisation and Extreme Inequality in Health (2006) The Policy Challenges in South Africa. J Int Dev, 18, pp. 435-446; Mackintosh, M., Kovalev, S., Commercialisation, Inequality and Transition in Health Care: The Policy Challenges in Developing and Transitional Countries (2006) J Int Dev, 18, pp. 387-391; Mackintosh, M., Commercialisation, Inequality and the Limits to Transition in Health Care: A Polanyian Framework for Policy Analysis (2006) J Int Dev, 18, pp. 393-406; Gupta, M.D., Rani, M., (2004), India's Public Health System: How Well Does It Function at the National Level. In World Bank Policy Research Working Paper No. 3447. Washington, DC.: World Bank. Available at: [Accessed 24 Jan; Lall, S.V., Lundberg, M., (2006), What are Public Services Worth, and to Whom? Non-parametric Estimation of Capitalization in Pune. In World Bank Policy Research Working Paper 3924. Washington, D.C.: World Bank. Available at: [Accessed 24 Jan 2012]; Diaz-Bonilla, E., Babinard, J., Pinstrup-Anderson, P., Thomas, M., (2002), Globalizing Health Benefits for Developing Countries. Washington, D.C.: International Food Policy Research Institute; Henderson, J.C., Ealthcare Tourism in Southeast Asia (2004) Pac Tourism Rev, 7, pp. 111-121; Turner, L., First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism (2007) BioSocieties, 2, pp. 303-325; Chacko, P., Medical Tourism in India: Issues and Challenges (2006) MBA Review, 4, pp. 123-129; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Soc Sci Med, 67, pp. 101-110; Chanda, R., Trade in health services. Bull World Health Organ (2002), Available at: [Accessed 24 Jan; Whittaker, A., (2007), Medical tourism in Asia. Up Close. Australia: The University of Melbourne; (2000), United Nations Economic and Social Council (ECOSOC). The right to the highest attainable standard of health. Committee on Economic, Social and Cultural Rights. Geneva: ECOSOC; (1978), World Health Organization (WHO). Declaration of Alma-Ata. International Conference on Primary Health Care. Alma-Ata, USSR; Feachem, R.G.A., Poverty and inequity: a proper focus for the new century (2000) Bull World Health Organ, 78, pp. 1-2; Whitehead, M., The concepts and principles of equity and health (1991) Health Promot Int, 6, pp. 217-228; Lefebvre, B., Bringing World-class Health Care to India (2009), The rise of corporate hospitals. In Indian Health Landscapes under Globalization. A. Vaguet, ed. New Delhi, India: Manohar Publishers & Distributors; Denoon, D.B.H., Cycles in Indian economic liberalization 1966-1996 (1998) Comp Polit, 31, pp. 43-60; Alok, S., Political economy of India 1800-2001 (2001) Int J Comm Manag, 11, p. 1; Purohit, B.C., Private initiatives and policy options , 16, p. 87. , recent health system experience in India. Health Policy Plan; Chinai, R.G., (2005), Rahul. Are we ready for medical tourism? The Hindu 17 April; (2012), Ernst & Young. 2006. Healthcare Industry. New Delhi: India Brand Equity Foundation (IBEF). Available at: [Accessed 24 Jan; Nazir, Z., (2006), Just what the hospital ordered: Global accreditations. The Indian Express 18 September; Chanda, R., (2002), Trade in health services. Bull World Health Organ. Available at: [Accessed 24 Jan; (2012), Go Med Travel. 2010. Be Colombus Explore Health. Cuttack, India: info@gomedtravel.com. Available at: [Accessed 24 Jan; (2012), Healism.com. 2010. Cheap Healthcare in India: First World Quality at Third World Rates. Available at: [Accessed 24 Jan; (2005), Government of India Planning Commission (GIPC). 2004. Report of the PPP Sub-Group on Social Sector. R.R. Shah, ed. New Delhi: GIPC; Ministry of Health & Family Welfare (MHFW). Report of the National Commission on Macroeconomics and Health. New Delhi: Government of India; Yamey, G., World Bank funds private hospital in India (2001) BMJ, 322, p. 257; (2012), Federation of Indian Chambers of Commerce and Industry - Medical Tourism Council of Maharashta (FICCI-MTCM). 2003. About FICCI-MTCM. Mumbai: Available at: [Accessed 24 Jan; (2002), Directorate-General of Health Services (DGHS). National Health Policy 2002. India: Ministry of Health & Family Welfare; Duggal, R., Verma, A., (2003), Should public hospitals participate in medical tourism?: Debate. Healthcare Management Express 15 December","Smith, K.; University of Melbourne, Centre for Health and Society, Level 4 207 Bouverie Street, Parkville, Melbourne, VIC 3010, Australia; email: kristens@unimelb.edu.au",,,,,,,,14718731,,DWBEA,"22420447","English","Dev. World Bioethics",Article,"Final",,Scopus,2-s2.0-84863420710 "Snyder J., Crooks V.A., Johnston R.","24170239100;35585107800;36500711800;","Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives",2012,"Public Health Ethics","5","1",,"38","46",,29,"10.1093/phe/phr034","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859230773&doi=10.1093%2fphe%2fphr034&partnerID=40&md5=12e69ee69501cc0af0503a36137187a7","Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC 11300 V5A 1S6, Canada; Department of Geography, Simon Fraser University, Canada","Snyder, J., Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC 11300 V5A 1S6, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Canada; Johnston, R., Department of Geography, Simon Fraser University, Canada","Medical tourism is a practice, whereby individuals travel across national borders with the intention of receiving medical care. Medical tourists are motivated to travel abroad by a number of factors, including the affordability of care abroad, access to treatments not available at home, and wait times for care at home. In this article, we share the findings of interviews conducted with 32 Canadian medical tourists with the aim of developing a better understanding of medical tourism, the ethical issues it raises for public health within Canada and other source countries for medical tourists, and to identify research gaps and policy responses to this practice. While patient and academic perspectives overlap in several regards, we suggest areas in which academic consideration of the ethical issues raised by medical tourism can be informed by patient perspectives. © The Author 2011. Published by Oxford University Press.",,"academic advisement; adult; aged; business ethics; Canada; clinical article; comparative study; female; health care access; health care cost; health care policy; health care quality; hospital admission; human; male; medical ethics; medical tourism; patient attitude; priority journal; public health service; review",,,,,,,,"Alsharif, M.J., Labonté, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10, pp. 315-335; Aronson, J.A., Pragmatic view of thematic analysis (1994) Qualitative Report, 2, p. 1; Birch, D.W., Lan, V., Shahzeer, K., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) American Journal of Surgery, 199, pp. 604-608; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80 (2), pp. 158-163; Coggon, J., Does public health have a personality (and if so, does it matter if you don'- Like It (2010) Cambridge Quarterly of Healthcare Ethics, 19, pp. 235-248; Cohen, I.G., Medical tourism: The view from ten thousand feet (2010) Hastings Center Report, 40, pp. 11-12; Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What Is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10, pp. 266-277; Crooks, V., Snyder, J., Medical tourism (2011) Canadian Family Physician, 57, pp. 527-529; Denzin, N., Lincoln, Y., (2005) Sage Handbook of Qualitative Research, , 3rd edn. Thousand Oaks: Sage Publications Ltd; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9, pp. 24-36; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Bagaria, J., Butt, F., Balakrishnan, R., Chaudhary, U., Irfan, S., Emergence of a new antibiotic resistance mechanism in india, pakistan, and the UK: A molecular, biological, and epidemiological study (2010) Lancet Infectious Diseases, 10, pp. 597-602; Leng, C.H., Medical tourism and the state in malaysia and singapore (2010) Global Social Policy, 10, pp. 336-357; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Developing World Bioethics, 11, pp. 16-29; Pennings, G., Ethics without boundaries: Medical tourism (2007) Principles of Health Care Ethics, , In Ashcroft, R., Dawson, A., Draper, H. and McMillan, J. (eds). 2nd edn. Hoboken: John Wiley & Sons; Pocock, N., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand Singapore and Malaysia (2011) Globalization and Health, 7, p. 12; Snyder, J., Crooks, V., Medical tourism and bariatric surgery: More moral challenges (2010) American Journal of Bioethics, 10, pp. 28-30; Snyder, J., Crooks, V., Turner, L., Issues and challenges in research on the ethics of medical tourism: Reflections from a conference (2010) Journal of Bioethical Inquiry, 8, pp. 3-6; Snyder, J., Crooks, V., Johnston, R., Kingsbury, P., The patient's physician one-step removed: The evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about canadian involvement in medical tourism? A scoping review (2011) Open Medicine, 5, pp. e139; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., Beyond sun, sand, and stitches: Assigning responsibility for the harms of medical tourism Bioethics, , in press-A; Spece, R.G., Medical tourism: Protecting patients from conflicts of interest in broker's fees paid by foreign providers (2010) Journal of Health and Biomedical Law, 6, pp. 1-36; Turner, L., First world health care at third world prices: globalization, bioethics and medical tourism (2007) Bio. Societies, 2, pp. 303-325; Turner, L., Canadian medicare and the global health care bazaar (2007) Policy Options, 28, pp. 73-77; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) International Journal for Quality in Health Care, 23, pp. 1-7; Veerasoontorn, R., Beise-Zee, R., Sivayathorn, A., Service quality as a key driver of medical tourism: The case of bumrungrad international hospital in Thailand (2011) International Journal of Leisure and Tourism Marketing, 2, pp. 140-158","Snyder, J.; Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC 11300 V5A 1S6, Canada; email: jcs12@sfu.ca",,,,,,,,17549973,,,,"English","Public Health Ethics",Review,"Final",,Scopus,2-s2.0-84859230773 "Buzinde C.N., Yarnal C.","14019047400;55664691600;","Therapeutic landscapes and postcolonial theory: A theoretical approach to medical tourism",2012,"Social Science and Medicine","74","5",,"783","787",,29,"10.1016/j.socscimed.2011.11.016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84857065121&doi=10.1016%2fj.socscimed.2011.11.016&partnerID=40&md5=995787ceb47b0cea422f6c72b65be015","The Pennsylvania State University, Department of Recreation, Park and Tourism Management, College of Health and Human Development, 801 A Ford Building, State College, PA 16802, United States","Buzinde, C.N., The Pennsylvania State University, Department of Recreation, Park and Tourism Management, College of Health and Human Development, 801 A Ford Building, State College, PA 16802, United States; Yarnal, C., The Pennsylvania State University, Department of Recreation, Park and Tourism Management, College of Health and Human Development, 801 A Ford Building, State College, PA 16802, United States","This paper draws on two conceptual frameworks, therapeutic landscapes and postcolonial theory, to discuss aspects of medical tourism not addressed in extant literature. Building on the intersection between postcolonial and therapeutic landscapes scholarship, it highlights inequalities related to the production of national therapeutic landscapes located in postcolonial regions as well as their discursive (re)positioning as medical tourism destinations. As a framework, therapeutic landscapes can facilitate an understanding of medical tourism sites as curative spaces which combine modern and alternative forms of medicine with travel and leisure. Postcolonial theory critiques the economic, moral and cultural tensions emerging from the intersection between corporations that provide cheaper and more attractive medical services, and the nations on the periphery struggling to offer high medical standards that may not be accessible to their own local populations. In an effort to enhance scholarship on medical tourism, these conceptual frameworks are offered as points of departure, rather than sites of arrival, through which critical dialog on medical tourism can be sustained and broadened. © 2012 Elsevier Ltd.","Medical tourism; Postcolonial theory; Power; Therapeutic landscapes; Tourism","landscape; theoretical study; tourism; tourist destination; alternative medicine; article; conceptual framework; cultural factor; economic aspect; human; leisure; medical service; medical tourism; morality; postcolonial theory; standard; therapeutic landscape; travel; Economic Competition; Environment; Health Care Rationing; Health Services Accessibility; Healthcare Disparities; Humans; Medical Tourism; United States",,,,,,,,"Bakhtin, M., (1989) Comics ideology, power and critics, , Manchester University Press, Manchester; Bhabha, H.K., (2004) The location of culture, , Routledge, London; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , Palgrave MacMillan, New York; (2009) Fact sheet, , http://www.bumrungrad.com/thailand-hospital/htm/eng/about/fact.htm, Bumrungrad International Hospital, URL (accessed September 2009); Connell, J., Medical tourism: sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., (2010) Health and medical tourism, , CABI, Cambridge, MA; Crozier, G.K.D., Baylis, F., The ethical physician encounters international medical travel (2010) Journal of Medical Ethics, 36, pp. 297-301; Curtis, S.E., Gesler, W., Fabian, K., Francis, S., Priebe, S., Therapeutic landscapes in hospital design: a qualitative assessment by staff and service users of the design of a new mental hospital inpatient unit (2007) Environment & Planning C: Government & Policy, 25, pp. 591-610; Dunkley, C.M., A therapeutic taskscape: theorizing place-making, discipline and care at a camp for troubled youth (2009) Health & Place, 15, pp. 88-96; Dyck, I., Kearns, R.A., Transforming the relations of research: towards culturally safe geographies of health and healing (1995) Health & Place, 1 (3), pp. 137-147; Evans, J.D., Crooks, V.A., Kingsbury, P.T., Theoretical injections: on the therapeutic aesthetics of medical spaces (2009) Social Science & Medicine, 69, pp. 716-721; Gesler, W., Therapeutic landscapes: medical issues in light of the new cultural geography (1992) Social Science & Medicine, 34 (7), pp. 735-746; Gesler, W., Therapeutic landscapes: theory and a case study of Epidauros, Greece (1993) Society & Space, 11, pp. 171-189; Gesler, W., Lourdes: healing in a place of pilgrimage (1996) Health & Place, 2 (2), pp. 95-105; Horowitz, M.D., Rosenweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), pp. 33-50; Hoyez, A.C., The world of yoga: the production and reproduction of therapeutic landscapes (2007) Social Science & Medicine, 65, pp. 112-124; Jenner, E.A., Unsettled borders of care: medical tourism as a new dimension in America's health care crisis (2008) Research in the Sociology of Health Care, 26, pp. 235-249; Kearns, R.A., Barnett, J.R., Newman, D., Placing private health care: reading Ascot hospital in the landscape of contemporary Auckland (2003) Social Science & Medicine, 56, pp. 2303-2315; Kearns, R., Collins, D., New Zealand children's health camps: therapeutic landscapes meet the contract state (2000) Social Science & Medicine, 50 (7), pp. 1047-1059; (1998) Putting health into place, , Syracuse University Press, New York, R.A. Kearns, W. Gesler (Eds.); Kumar, R., (2009) Global trends in health and medical tourism, , SBS Publishers, New York; Lee, C.G., Health care and tourism: evidence from Singapore (2010) Tourism Management, 31 (4), pp. 486-488; Masuda, J.R., Crabtree, A., Environmental justice in the therapeutic inner city (2010) Health & Place, 16, pp. 656-665; (2009), http://www.reportlinker.com/p0132728/Medical-Tourism-Market-Report-2009-Edition.html, Medical Tourism Market Report. Retrieved on May 10th from; Nkrumah, K., (1966) Neocolonialism: The last stage of imperialism, , International Publishers, Co., Inc., New York; Osagie, I., Buzinde, C.N., Culture and postcolonial resistance: Antigua in Kincaid's A Small Place (2011) Annals of Tourism Research, 38 (1), pp. 210-230; Pafford, B., The third wave: medical tourism in the 21st century (2009) South Medical Journal, 102 (8), pp. 810-813; Palka, E.J., Accessible wilderness as a therapeutic landscape: experiencing the nature of Denali National Park, Alaska (1999) Therapeutic landscapes: The dynamic between place and wellness, pp. 29-51. , University Press of America, New York, A. Williams (Ed.); Ramírez de Arellano, A.B., Patients without borders: the emergence of medical tourism (2007) Journal of International Health Services, 37 (1), pp. 193-198; Reisman, D., (2010) Health tourism: Social welfare through international trade, , Edward Elgar Publishing, London; Said, E., (1994) Culture and imperialism, , Vintage Books, New York; Smith, L.T., (1999) Decolonizing methodologies and indigenous peoples, , Zed Books, New York; Smyth, F., Medical geography: therapeutic places, spaces and networks (2005) Progress in Human Geography, 29, pp. 488-495; Spivak, G.C., Subaltern studies: deconstructing historiography (1988) Selected subaltern studies, pp. 13-14. , Oxford University Press, New York, R. Guha, G. Spivak (Eds.); Turner, L., First world health care at third world prices: globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Warf, B., Do you know the way to San Jose? Medical tourism in Costa Rica (2010) Journal of Latin American Geography, 9 (1), pp. 1545-2476; Williams, A., Therapeutic landscapes and holistic medicine (1998) Social Science & Medicine, 46 (9), pp. 1193-1203; Williams, A., Spiritual therapeutic landscapes and healing: a case study of St. Anne de Beaupre, Quebec, Canada (2010) Social Science & Medicine, 70, pp. 1633-1640","Buzinde, C.N.; The Pennsylvania State University, Department of Recreation, Park and Tourism Management, College of Health and Human Development, 801 A Ford Building, State College, PA 16802, United States; email: cbuzinde@psu.edu",,,,,,,,02779536,,SSMDE,"22305946","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-84857065121 "Snyder J., Crooks V.A., Johnston R., Kingsbury P.","24170239100;35585107800;36500711800;8873935100;","What do we know about Canadian involvement in medical tourism? A scoping review",2011,"Open Medicine","5","3",,"139","148",,29,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-80055038244&partnerID=40&md5=adee5d06085069a2768a25f16b770b23","Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Faculty of Geography, Simon Fraser University, Burnaby, BC, Canada; Department of Geography, Simon Fraser University, Burnaby, BC, Canada","Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Crooks, V.A., Faculty of Geography, Simon Fraser University, Burnaby, BC, Canada; Johnston, R., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Kingsbury, P., Faculty of Geography, Simon Fraser University, Burnaby, BC, Canada","Background: Medical tourism, the intentional pursuit of elective medical treatments in foreign countries, is a rapidly growing global industry. Canadians are among those crossing international borders to seek out privately purchased medical care. Given Canada's universally accessible, single-payer domestic health care system, important implications emerge from Canadians' private engagement in medical tourism. Methods: A scoping review was conducted of the popular, academic, and business literature to synthesize what is currently known about Canadian involvement in medical tourism. Of the 348 sources that were reviewed either partly or in full, 113 were ultimately included in the review. Results: The review demonstrates that there is an extreme paucity of academic, empirical literature examining medical tourism in general or the Canadian context more specifically. Canadians are engaged with the medical tourism industry not just as patients but also as investors and business people. There have been a limited number of instances of Canadians having their medical tourism expenses reimbursed by the public medicare system. Wait times are by far the most heavily cited driver of Canadians' involvement in medical tourism. However, despite its treatment as fact, there is no empirical research to support or contradict this point. Discussion: Although medical tourism is ofted discussed in the Canadian context, a paucity of data on this practice complicates our understanding of its scope and impact.",,"attitude to health; awareness; Canada; factual database; health care delivery; health service; hospital admission; hospital management; human; information processing; international cooperation; medical tourism; review; statistics; Appointments and Schedules; Awareness; Canada; Data Collection; Databases, Factual; Delivery of Health Care; Health Knowledge, Attitudes, Practice; Health Services Accessibility; Health Services Needs and Demand; Humans; Internationality; Medical Tourism; Waiting Lists",,,,,,,,"Yelaja, P., India offers surgery in a hurry (2006) Toronto Star, , Jun 17:Sect. A:1; City resident opts for hip surgery overseas (2008) Burnaby Now, , May 17:Sect. 5; Laidlaw, S., Global health care on its way (2008) Toronto Star, , May 31:Sect. L:1; Cortez, N., Patient without borders: the emerging global market for patients and the evolution of modern health care (2008) Indiana Law J, 83, pp. 71-131; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) MedGenMed, 9 (4), pp. 33-42; Priest, L., Ontario MDs to launch medical tourism firm (2008) Globe and Mail, , Sept 30: Sect. A:3; Day, B., Health versus wealth: Patients get pulled both ways (2009) Globe and Mail, , Jul 31: Sect. S:3; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) McKinsey Quarterly, , www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, May; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ, 174 (9), p. 1247; Law, J., Sun, sand and stitches (2008) Profit, 27 (2), pp. 69-70; Ward, D., Long wait times drive Canadians overseas for medical treatment; B.C. dentist books a passage to India for his hip operation (2007) Edmonton Journal, , Oct 28:Sect. A:2; Jenkinson, M., Get ready for medical tourism (1996) Alberta Report, 23 (16), p. 9; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? (2010) J Public Health Policy, 31 (2), pp. 185-198; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) Int J Health Serv, 40 (3), pp. 469-484; Arksey, H., O'Malley, L., Scoping studies: towards a methodological framework (2003) Int J Soc Res Methodol, 8 (1), pp. 19-32; Conner-Spady, B.L., Johnston, G.H., Sanmartin, C., McGurran, J.J., Noseworthy, T., A bird can't fly on one wing: patient views on waiting for hip and knee replacement surgery (2007) Health Expect, 10 (2), pp. 108-116. , Saskatchewan Surgical Care Network/Western Canada Waiting List Project Research and Evaluation Working Group Committee; Loriggio, P., 43% of Ontarians would travel for fast care (2008) Toronto Star, , Aug 23:Sect. A7; Johnston, C., US ad uses lure of prompt treatment to entice Canadians needing joint replacement (1996) CMAJ, 154 (7), pp. 1071-1072; Korcok, M., Excess demand meets excess supply as referral companies link Canadian patients, US hospitals (1997) CMAJ, 157 (6), pp. 767-770; Brown, D., Around the world to a better back; Canadian doctors told Eric Slone he'd have to get used to pain; he found help in India (2008) Ottawa Citizen, , Jul 14:Sect. B:1; Skerritt, J., A chance to jump wait list: Medical tourism service to offer surgery for cash in India, Cuba (2007) Winnipeg Free Press, , Feb 26; Sect. A:1; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) N Engl J Med, 355 (16), pp. 1637-1640; New Zealand's Medtral offers affordable alternative to Western Canadians seeking out-of-country health care (2008) Canada NewsWire, , www.newswire.ca/en/releases/archive/September2008/03/c8908.html, Sep 3; Connell, J., Tummy tucks and the Taj Mahal? Medical tourism and the globalization of health care (2008) Tourism Management: analysis, behaviour and strategy, pp. 232-244. , Ed.Woodside A, Martin D. Wallingford: CAB International; Yelaja, P., Foreigners flocking to Singapore for state-of-the-art medical care (2007) Toronto Star, , Aug 11:Sect. A:1; Shimo, A., New hot spots for surgery (2007) Maclean's, 120 (22), p. 44. , Jun 11; Patriquin, M., A vacation that'll have you drooling (2007) Maclean's, 120 (12), p. 68. , Apr 2; Francis, D., See the Taj Mahal, have some surgery; Comment (2007) National Post, , May 5;Sect. F:2; McMurdy, D., Vanity takes a vacation (2007) National Post, , Jan 20:Sect. FW:2; Nesdoly, T., Got a few days off? Get a facelift (2008) Toronto Star, , Dec 20:Sect. L:1; Kusch, L., Surgery in Canada marketed to U.S. patients (2007) Winnipeg Free Press, , Dec 6; Sect.B:5; Starnes, R., Canadian ""medical tourists"" flock to Third World facilities: bargain operations (2004) National Post, , Aug 28;Sect. A:12; Constantineau, B., Burnaby medical tourism firm expands to Seattle (2008) Vancouver Sun, , Jul 4:Sect. F:4; Kirby, J., Getting a knee up: India is becoming a destination for quick, inexpensive medical treatment (2005) National Post, , Sect. A:1; Jenner, E.A., Unsettled borders of care: medical tourism as a new dimension in America's health care crisis (2008) Res Sociol Health Care, 26, pp. 235-249; Herrick, D., (2007) Medical Tourism: global competition in health care, , NCPA Policy Report No. 304. Dallas (TX): National Center for Policy Analyis; Mitchell, R., The medical tourism boom (2007) Pharmaceutical Executive, 27 (2), pp. S13; Demicco, F.J., Medical tourism growing worldwide (2005) UDaily, , www.udel.edu/PR/UDaily/2005/mar/tourism072505.html, (University of Delaware). Jul 25; Turner, L., Medical tourism: family medicine and international health-related travel (2007) Can Fam Phys, 10 (53), pp. 1639-1641; Turner, L., ""First world health care at third world prices"" : globalization, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Nachammai, R., Medical travel agency lifts off (2006) The Gazette, , [Montréal]. May 20; Sect.A:1; Cayo, D., Let foreign medical professionals get to work (2007) Vancouver Sun, , Feb 2:Sect. E:3; MacQueen, K., Ah, Cuba: sun, cigars and hip replacements (2007) Maclean's, p. 30. , Sept 3; Ford, A., ORs with no waiting: Head-of-the-line operations in Asia (2005) The Province, , [Vancouver]. Jun 15:Sect. A:31; Maude, J., Have ailmant, will travel (2006) Canadian Business, 79 (13), p. 68. , Jun 19; Thomson, B., (2007) Canada AM, , (Host), More Canadians travelling abroad for medical care. CTV Television Inc. Apr 16; Candidates weigh in on ""medical tourism"" (2005) Burnaby Now, , Dec 21:Sect. 3; French, J., Vancouver firm offers medical vacations: Patients pay for overseas surgeries (2006) Star Phoenix, , [Saskatoon]. Feb 16:Sect.A:9; Ruttan, S., Health travel brokers offer a quick(er) fix (2005) Edmonton Journal, , Aug 28:Sect. A2; Singapore hospitals lure Calgary patients with lower fees, sightseeing (2008) CBC News, , www.cbc.ca/canada/calgary/story/2008/09/29/singapore-medical-tourism.html, Sept 29; Kyle, A., Go to India, see the sights and get your hip replaced (2004) Leader Post, , [Regina] Nov 17:Sect. A:1; McGinn, D., Sun, sand and surgery (2008) Globe and Mail, , Jan 23:Sect.T:1; Klaus, M., Outsourcing vital operations: What if U.S. health care costs drive patients overseas for surgery? (2005) Quinnipiac Health Law J, 9, pp. 219-247; Murphy, T., Health insurers explore savings in overseas care (2009) Associated Press, , www.thestreet.com/story/10588321/1/health-insurers-explore-savings-in-overseas-care.html, Aug 23; Britnell, A., Private health care (2005) Profit, 24 (6), p. 29; Timmermans, K., Developing countries and trade in health services: which way is forward? (2004) Int J Health Serv, 34 (3), pp. 453-466; Prashad, S., The world is your hospital (2008) Canadian Business, 81, pp. 62-66. , Aug 18; Ramirez de Arellano, A.B., Patients without borders: the emergence of medical tourism (2007) Int J Health Serv, 37 (1), pp. 193-198; Starnes, R., Frustrated by waiting lists, Canadians help fuel medical tourism boom abroad (2004) CanWest News, , Aug 28; Sect. 1; Skye, K., Mater Mis development leaps hurdle (2006) Trail Daily Times, , (Trail, BC). Jul 26; Sect.1; Mudur, G., Hospitals in India woo foreign patients (2004) BMJ, 328 (7452), p. 1338; (2004) Medical tourism: Need surgery, will travel, , www.cbc.ca/news/background/healthcare/medicaltourism.html, CBC News, Jun 18; Ravensbergen, J., Medicare asked to pay for Cuban surgery; Non-profit group refers patients for care when they can't get operations here (2007) The Gazette, , [Montréal]. Jun 21:Sect.A:6; Fayerman, P., Provinces asked to pay for fast, cheap surgery in Asia (2005) CanWest News, , Jun 29; Sect. 1; Set our patients free (2006) National Post, , Sep 18:Sect. A:14; Sen Gupta, A., Medical tourism in India: winners and losers (2008) Indian J Med Ethics, 5, p. 4; Gibson, J., Sutures in the sunshine (2005) Calgary Herald, , Jul 2; Sect.H:1; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24","Snyder, J.Blusson Hall 11300, 8888 University Drive, Burnaby BC V5A 1S6, Canada",,,,,,,,19112092,,,"22046228","English","Open Med.",Review,"Final",,Scopus,2-s2.0-80055038244 "Sobo E.J., Herlihy E., Bicker M.","7004194791;57195026750;50161056000;","Selling medical travel to US patient-consumers: The cultural appeal of website marketing messages",2011,"Anthropology and Medicine","18","1",,"119","136",,29,"10.1080/13648470.2010.525877","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79956277057&doi=10.1080%2f13648470.2010.525877&partnerID=40&md5=2121097873d6f917931384a4e21d58d1","San Diego State University, San Diego, CA, United States","Sobo, E.J., San Diego State University, San Diego, CA, United States; Herlihy, E., San Diego State University, San Diego, CA, United States; Bicker, M., San Diego State University, San Diego, CA, United States","More US-based patients than ever are travelling abroad for medical or dental services. Beyond financial incentives, what cultural factors have supported this trend? Because of their interest in selling medical travel, medical travel agencies (MTAs) have vested interests in this question. To find out how they are answering it, an ethnographic content analysis of MTA websites was undertaken. Beyond themes promoting a 'worry-free experience' of 'legitimate services', themes linking healthcare consumerism to culturally specific identity ideals and self-creation/representation processes predominated. Themes relating to the demonstration of social position, savvy expression of good consumer judgment, and achievement of libertarian ideals figured highly. However, various inconsistencies (including an appeal to tourism in some but not other situations) suggested that medical travel involves, for the US-based consumer, a complex act of juggling context-specific self-identity desires and expectations in relation to healthcare. The potential impact of prevailing discourses on 'self-construction-in-practice' was explored. Findings enhance understanding of the care seeking process as experienced within the context of globalized, mass-mediated healthcare consumerism. They also point to the need for finer-grained distinctions than the global gloss 'medical travel' offers. © 2011 Taylor & Francis.","globalization; healthcare consumerism; identity; internet marketing; medical tourism; medical travel; qualitative research; self-construction; USA","article; consumer; cultural factor; ethnography; health care; Internet; marketing; medical tourism; priority journal; United States; Anthropology, Cultural; Humans; Internationality; Internet; Marketing of Health Services; Medical Tourism; United States",,,,,"Department of Anthropology, History and Social Medicine, University of California, San Francisco, Department of Anthropology, History and Social Medicine, University of California, San Francisco","A portion of this work was funded by a ‘faculty fellowship’ grant from the Ethics Center in Science and Technology. Ethics approval was unnecessary due to the public nature of the data. No conflicts of interest existed. Diane Boyd, President of the medical travel agency Affordable World Care, provided expert feedback over the course of the study. Erik Cohen and Beth Kangas kindly provided early guidance and reading suggestions, as did later anonymous reviewers, and Kent Sandstrom, to whom the authors owe great thanks. The article’s focus on self-contradictions was driven in part by self-contradicting (and self-revealing) responses to preliminary findings presented in the University of California Berkeley/University of California San Francisco Medical Anthropology and History of Health Sciences Colloquium series (22 April 2009). The authors alone remain responsible for the article’s content.",,"Ackerman, S.N.D., Plastic paradise: Transforming bodies and selves in costa ricas cosmetic surgery tourism industry pre-publication version dated 5 May this paper has since been published (2009) Medical Anthropology, 29 (4); Your guide to choosing quality health care AHRQ publication 99-0012 (2001) Rockville MD: Agency for Healthcare Research and Quality, , Agency for Healthcare Research and Quality; Altheide, D.L., Ethnographic content analysis (1987) Qualitative Sociology, 10 (1), pp. 65-77; Altheide, D.L., Identity and the definition of the situation in a mass-mediated context (2000) Symbolic Interaction, 23 (1), pp. 1-27; (2006) Medical Tourism Asias Growth Industry: Hotelmarketing.Com, , Anonymous; Baer, H.A., (2001) Biomedicine and Alternative Healing Systems in America: Issues of Class Race Ethnicity and Gender, , Madison: University of Wisconsin Press; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Bramstedt, K.A., Xu, J., Checklist: Passport, plane ticket, organ transplant (2007) American Journal of Transplantation, 7 (7), pp. 1698-1701. , DOI 10.1111/j.1600-6143.2007.01847.x; Burns, E., (2008) U.S. Search Engine Rankings, , December 2007: SearchEngineWatch.com; Carrol, J., Long-distance medicine: U.S. businesses are looking overseas for a way to keep employee health-care costs down (2007) American Way, pp. 56-57; Cohen, E., Medical tourism in Thailand (2008) Explorations in Thai Tourism: Collected Case Studies, pp. 225-255. , ed. 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(2005) Social Science and Medicine, 60 (10), pp. 2341-2350. , DOI 10.1016/j.socscimed.2004.10.006; Sobo, E.J., Medical travel: What it means and why it matters (2009) Medical Anthropology, 29 (1), pp. 326-335; Speier, A., IVF vacation: Providing modern fertility treatments at lower costs (2008) Annual Meeting of the American Anthropological Association, , San Francisco; Strauss, A., Corbin, J., (1998) Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, , Thousand Oaks CA: Sage; Van Esch, S.C.M., Cornel, M.C., Snoek, F.J., Type 2 diabetes and inheritance: What information do diabetes organizations provide on the Internet? (2006) Diabetic Medicine, 23 (11), pp. 1233-1238. , DOI 10.1111/j.1464-5491.2006.01963.x; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Williams, B., Patient satisfaction: A valid concept (1994) Social Science and Medicine, 38, pp. 509-516","Sobo, E. J.; San Diego State University, San Diego, CA, United States; email: esobo@mail.sdsu.edu",,,,,,,,13648470,,APMDF,"21563007","English","Anthropol. Med.",Article,"Final",,Scopus,2-s2.0-79956277057 "Reisman D.","24485458600;","Health tourism: Social Welfare through International Trade",2010,"Health Tourism: Social Welfare through International Trade",,,,"","",204,29,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84881701123&partnerID=40&md5=f9ba8db96f0b50f05b52f5db4c29107c",,"Reisman, D.","'Health Tourism is a fascinating read... This book provides a unique look at a rapidly emerging issue for social and public policy as well as developmental studies, and would lend itself to animated debates, particularly at the graduate level.' © David Reisman 2010.",,,,,,,,,,"Adams, J., Archbold, B.A., Mounib, E.L., New, D., (2007) Healthcare 2015 and US Health Plans: New Roles, New Competencies, , Somers, New York: IBM Institute for Business Values; Adlung, R., Carzaniga, A., 'Health services under the General Agreement on Trade in Services' (2001) Bulletin of the World Health Organization, 79, pp. 352-364; (2009) Annual Report, , www.facs.org/fellows_info, Statement on medical and surgical tourism, ST- 65,American College of Surgeons accessed on 30 June 2009. 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Kinnon eds, UNCTAD- WHO Joint Publication, Geneva: United Nations; 'Tooth tourism fills the gaps in ""flawed"" NHS dental care' (2008) Weekly Telegraph, 37, pp. 17-23. , September; Wolff, J., 'Passport to cheaper health care' (2007) Good Housekeeping, , www.goodhousekeeping.com, October, accessed 21 August 2009; Woodman, J., (2007) Patients Beyond Borders Singapore Edition: Everybody's Guide to Aff ordable, World- Class Medical Tourism, , Chapel Hill, NC: Healthy Travel Media; (1962) Constitution of the World Health Organization in WHO Basic Documents, pp. 1-18. , [1946]World Health Organization Geneva: WHO; (2009) World Health Statistics 2009, , World Health Organization Geneva: WHO; (1995) General Agreement on Trade in Services, pp. 283-317. , in WTO: Legal Texts World Trade Organization Geneva: WTO; (2001) Declaration on the TRIPS Agreement and Public Health, , http://www.wto.org, World Trade Organization accessed 9 April 2009; Yeoman, I., (2008) Tomorrow's Tourist: Scenarios and Trends, , Amsterdam: Elsevier; Yeoman, I., 'How many American medical tourists are there?' (2009) International Medical Travel Journal, , www.imtjonline.com/news, accessed on 16 June 2009; Yoopetch, C., 'Medical tourism: the case of private hospitals in Thailand' (2006) Strategic Innovation in the E- global Age, pp. 307-309. , in S.M. Lee, J. Lee and D. Chang eds, Lincoln: Pan Pacific Business Association; York, D., 'Medical tourism: the trend toward outsourcing medical procedures to foreign countries' (2008) Journal of Continuing Education in the Health Professions, 28, pp. 99-102",,,,"Edward Elgar Publishing Ltd.",,,,,,9781848448926,,,"English","Health Tour.: Social Welf. through Int. Trade",Book,"Final",,Scopus,2-s2.0-84881701123 "Zailani S., Ali S.M., Iranmanesh M., Moghavvemi S., Musa G.","55891414700;56857102200;55226710300;55812336800;7004159636;","Predicting Muslim medical tourists' satisfaction with Malaysian Islamic friendly hospitals",2016,"Tourism Management","57",,,"159","167",,28,"10.1016/j.tourman.2016.05.009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84973926825&doi=10.1016%2fj.tourman.2016.05.009&partnerID=40&md5=dc67999a7f0bd86678d38bdcbc34d7e9","Faculty of Business and Accountancy, University Malaya, Kuala Lumpur, 50603, Malaysia; School of Management, Universiti Sains Malaysia, Penang, 11800, Malaysia","Zailani, S., Faculty of Business and Accountancy, University Malaya, Kuala Lumpur, 50603, Malaysia; Ali, S.M., Faculty of Business and Accountancy, University Malaya, Kuala Lumpur, 50603, Malaysia; Iranmanesh, M., School of Management, Universiti Sains Malaysia, Penang, 11800, Malaysia; Moghavvemi, S., Faculty of Business and Accountancy, University Malaya, Kuala Lumpur, 50603, Malaysia; Musa, G., Faculty of Business and Accountancy, University Malaya, Kuala Lumpur, 50603, Malaysia","This paper examines the factors affecting the Muslim medical tourists' satisfaction, and the role of their attitudes in shaping their clinical experience based on the expectation-disconfirmation paradigm. Data from a survey of 243 Muslim medical tourists who had received treatment from Malaysian Islamic friendly hospitals were analysed using the partial least squares technique. The findings provide evidence that Muslim medical tourists' satisfaction is dependent on the doctors' and hospitals' roles; whilst, the nurse's halal practice is not associated with it. The study also demonstrates that Muslim medical tourists' attitudes only play a mediator role between the hospital's halal practice and Muslim medical tourists' satisfaction. The research result provides useful information in understanding the critical halal practices and, more particularly, aims at helping Islamic hospitals offer quality healthcare services that suit the Muslim medical tourists' needs and, consequently, attracts the Islamic medical tourists. © 2016 Elsevier Ltd.","Halal practice; Health services; Muslim medical tourists; Quality management","health services; hospital sector; Islamism; medical tourism; Malaysia",,,,,"RP002B-13SBS Universiti Malaya","We would like to acknowledge the financial support provided by University of Malaya under the Equitable Society Research Cluster (ESRC) research grant RP002B-13SBS .",,"Aagja, J.P., Garg, R., Measuring perceived service quality for public hospitals (PubHosQual) in the Indian context (2010) International Journal of Pharmaceutical and Healthcare Marketing, 4 (1), pp. 60-83; Abu-Ras, W., Gheith, A., Cournos, F., The Imam's role in mental health promotion: a study of 22 mosques in New York City's Muslim community (2008) Journal of Muslim Mental Health, 3 (2), pp. 155-176; Al-Omari, A., Al-Qudimat, M., Hmaidan, A.A., Zaru, L., Perception and attitude of Jordanian physicians towards complementary and alternative medicine (CAM) use in oncology (2013) Complementary therapies in clinical practice, 19 (2), pp. 70-76; Al-Qaradawi, Y., (2007) The lawful and the prohibited in Islam, , Islamic Book Trust, Kuala Lumpur; Al-Shahri, M.Z., Culturally sensitive caring for Saudi patients (2002) Journal of Transcultural Nursing, 13 (2), pp. 133-138; Amin, M., Nasharuddin, S.Z., Hospital service quality and its effects on patient satisfaction and behavioural intention (2013) Clinical Governance: An International Journal, 18 (3), pp. 238-254; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: a review and recommended two-step approach (1988) Psychological bulletin, 103 (3), pp. 411-423; Balcazar, H., Rosenthal, E.L., Brownstein, J.N., Rush, C.H., Matos, S., Hernandez, L., Community health workers can be a public health force for change in the United States: three actions for a new paradigm (2011) American journal of public health, 101 (12), pp. 2199-2203; Bloomer, M.J., Al-Mutair, A., Ensuring cultural sensitivity for Muslim patients in the Australian ICU: considerations for care (2013) Australian Critical Care, 26 (4), pp. 193-196; Bodenlos, J.S., Grothe, K.B., Whitehead, D., Konkle-Parker, D.J., Jones, G.N., Brantley, P.J., Attitudes toward health care providers and appointment attendance in HIV/AIDS patients (2007) Journal of the Association of Nurses in AIDS Care, 18 (3), pp. 65-73; Bowers, M.R., Swan, J.E., Koehler, W.F., What attributes determine quality and satisfaction with health care delivery? 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(2003) Health Care Management Review, 28 (3), pp. 254-264; (2014) State of the global Islamic economy 2014-2015 report, , http://halalfocus.net/wp-content/uploads/2015/01/SGIE-Report-2014.pdf; Tucker, J.L., Adams, S.R., Incorporating patients' assessments of satisfaction and quality: an integrative model of patients' evaluations of their care (2001) Managing Service Quality: An International Journal, 11 (4), pp. 272-287; Tucker, L.A., Clegg, A.G., Differences in health care costs and utilization among adults with selected lifestyle-related risk factors (2002) American Journal of Health Promotion, 16 (4), pp. 225-233; Ulrich, C., O'Donnell, P., Taylor, C., Farrar, A., Danis, M., Grady, C., Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States (2007) Social Science & Medicine, 65 (8), pp. 1708-1719; Wetzels, M., Odekerken-Schroder, G., van Oppen, C., Using PLS path modeling for assessing hierarchical construct models: guidelines and empirical illustration (2009) MIS Quarterly, 33 (1), pp. 177-195; Zineldin, M., The quality of health care and patient satisfaction: an exploratory investigation of the 5Qs model at some Egyptian and Jordanian medical clinics (2006) International Journal of Health Care Quality Assurance, 19 (1), pp. 60-92","Moghavvemi, S.; Faculty of Business and Accountancy, University MalayaMalaysia; email: sedigheh@um.edu.my",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84973926825 "Schnabel D., Esposito D.H., Gaines J., Ridpath A., Anita Barry M., Feldman K.A., Mullins J., Burns R., Ahmad N., Nyangoma E.N., Nguyen D.B., Perz J.F., Moulton-Meissner H.A., Jensen B.J., Lin Y., Posivak-Khouly L., Jani N., Morgan O.W., Brunette G.W., Pritchard P.S., Greenbaum A.H., Rhee S.M., Blythe D., Sotir M., Beaudoin A.L., Harrison C., Kornblum J.S., Poy J.A., Kozarsky P.E., Shams A.M., Toney N.C., Lijewski V., McElroy N.P., Parrinelli E.J., Razeq J.H., Wilson L.E., Reddy N.N., Shumate A.M., Yacisin K., RGM Outbreak Investigation Team","56103576400;35740220400;56103895600;24462397200;37036847500;7103377015;56104359700;56103494300;57192835224;56103989100;55360122300;7003822241;55987950000;7403218100;57199188130;56103714600;57147427500;8265576400;25222339400;55992640500;25652610700;56175274500;55961223700;6602896358;55843448000;56104253900;57201608446;54943627600;7004334776;23096253700;36081195500;55549537300;55986714000;57190252309;6602322733;55532305400;57190256168;7801335337;6506712632;","Multistate US outbreak of rapidly growing mycobacterial infections associated with medical tourism to the Dominican Republic, 2013-2014",2016,"Emerging Infectious Diseases","22","8",,"1340","1347",,28,"10.3201/eid2208.151938","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978745103&doi=10.3201%2feid2208.151938&partnerID=40&md5=7f557e11f5ce169a8c0f06d29a876a48","Centers for Disease Control and Prevention, Atlanta, GA, United States; Maryland Department of Health and Mental Hygiene, Baltimore, MD, United States; New York City Department of Health and Mental Hygiene, New York, NY, United States; Boston Public Health Commission, Boston, MA, United States; Connecticut Department of Public Health, Hartford, CT, United States; Massachusetts Department of Public Health, Boston, United States; New York State Department of Health, Albany, NY, United States; Montgomery County Health Department, Norristown, PA, United States; Newark Department of Child and Family Well-Being, Newark, NJ, United States; Florida Department of Health, Tallahassee, FL, United States; Johns Hopkins Hospital, Baltimore, United States; Johns Hopkins Bayview Medical Center, Baltimore, United States; US Centers for Disease Control and Prevention, Pennsylvania Department of Health, United States; New York State Metropolitan Area Regional Office, United States; New York City Department of Health and Mental Hygiene, United States; CDC, United States; Massachusetts Department of Public Health, United States; New York State Orange County Health Department, United States; Maryland Department of Health and Mental Hygiene, United States; New Jersey Department of Health, United States; CDC and New Jersey Department of Health, United States; CDC and New York City Department of Health and Mental Hygiene, United States","Schnabel, D., Centers for Disease Control and Prevention, Atlanta, GA, United States, Maryland Department of Health and Mental Hygiene, Baltimore, MD, United States; Esposito, D.H., Centers for Disease Control and Prevention, Atlanta, GA, United States; Gaines, J., Centers for Disease Control and Prevention, Atlanta, GA, United States; Ridpath, A., Centers for Disease Control and Prevention, Atlanta, GA, United States, New York City Department of Health and Mental Hygiene, New York, NY, United States; Anita Barry, M., Boston Public Health Commission, Boston, MA, United States; Feldman, K.A., Maryland Department of Health and Mental Hygiene, Baltimore, MD, United States; Mullins, J., Centers for Disease Control and Prevention, Atlanta, GA, United States, Connecticut Department of Public Health, Hartford, CT, United States; Burns, R., Massachusetts Department of Public Health, Boston, United States; Ahmad, N., Centers for Disease Control and Prevention, Atlanta, GA, United States, New York State Department of Health, Albany, NY, United States; Nyangoma, E.N., Centers for Disease Control and Prevention, Atlanta, GA, United States; Nguyen, D.B., Centers for Disease Control and Prevention, Atlanta, GA, United States; Perz, J.F., Centers for Disease Control and Prevention, Atlanta, GA, United States; Moulton-Meissner, H.A., Centers for Disease Control and Prevention, Atlanta, GA, United States; Jensen, B.J., Centers for Disease Control and Prevention, Atlanta, GA, United States; Lin, Y., New York City Department of Health and Mental Hygiene, New York, NY, United States; Posivak-Khouly, L., Montgomery County Health Department, Norristown, PA, United States; Jani, N., Newark Department of Child and Family Well-Being, Newark, NJ, United States; Morgan, O.W., Centers for Disease Control and Prevention, Atlanta, GA, United States; Brunette, G.W., Centers for Disease Control and Prevention, Atlanta, GA, United States; Pritchard, P.S., Florida Department of Health, Tallahassee, FL, United States; Greenbaum, A.H., Johns Hopkins Hospital, Baltimore, United States; Rhee, S.M., Johns Hopkins Bayview Medical Center, Baltimore, United States; Blythe, D., Maryland Department of Health and Mental Hygiene, Baltimore, MD, United States; Sotir, M., Centers for Disease Control and Prevention, Atlanta, GA, United States; Beaudoin, A.L., US Centers for Disease Control and Prevention, Pennsylvania Department of Health, United States; Harrison, C., New York State Metropolitan Area Regional Office, United States; Kornblum, J.S., New York City Department of Health and Mental Hygiene, United States; Poy, J.A., New York City Department of Health and Mental Hygiene, United States; Kozarsky, P.E., CDC, United States; Shams, A.M., CDC, United States; Toney, N.C., CDC, United States; Lijewski, V., Massachusetts Department of Public Health, United States; McElroy, N.P., Massachusetts Department of Public Health, United States; Parrinelli, E.J., New York State Orange County Health Department, United States; Razeq, J.H., Maryland Department of Health and Mental Hygiene, United States; Wilson, L.E., Maryland Department of Health and Mental Hygiene, United States; Reddy, N.N., New Jersey Department of Health, United States; Shumate, A.M., CDC and New Jersey Department of Health, United States; Yacisin, K., CDC and New York City Department of Health and Mental Hygiene, United States; RGM Outbreak Investigation Team","During 2013, the Maryland Department of Health and Mental Hygiene in Baltimore, MD, USA, received report of 2 Maryland residents whose surgical sites were infected with rapidly growing mycobacteria after cosmetic procedures at a clinic (clinic A) in the Dominican Republic. A multistate investigation was initiated; a probable case was defined as a surgical site infection unresponsive to therapy in a patient who had undergone cosmetic surgery in the Dominican Republic. We identified 21 case-patients in 6 states who had surgery in 1 of 5 Dominican Republic clinics; 13 (62%) had surgery at clinic A. Isolates from 12 (92%) of those patients were culture-positive for Mycobacterium abscessus complex. Of 9 clinic A case-patients with available data, all required therapeutic surgical intervention, 8 (92%) were hospitalized, and 7 (78%) required ≥3 months of antibacterial drug therapy. Healthcare providers should consider infection with rapidly growing mycobacteria in patients who have surgical site infections unresponsive to standard treatment. © 2016, Centers for Disease Control and Prevention (CDC). All rights reserved.",,"antiinfective agent; abdominoplasty; adult; Article; clinical article; Dominican Republic; economic aspect; female; follow up; gender; human; liposuction; male; medical record; middle aged; molecular typing; mycobacteriosis; Mycobacterium; Mycobacterium abscessus; phylogenetic tree; pulsed field gel electrophoresis; questionnaire; surgical infection; surgical technique; wound care; adolescent; atypical mycobacteriosis; economics; epidemic; medical tourism; microbiology; Mycobacterium abscessus; plastic surgery; United States; young adult; Adolescent; Adult; Disease Outbreaks; Dominican Republic; Female; Humans; Medical Tourism; Middle Aged; Mycobacterium abscessus; Mycobacterium Infections, Nontuberculous; Surgery, Plastic; Surgical Wound Infection; United States; Young Adult",,,,,,,,"Atkins, B.L., Gottlieb, T., Skin and soft tissue infections caused by nontuberculous mycobacteria (2014) Curr Opin Infect Dis, 27, pp. 137-145. , http://dx.doi.org/10.1097/QCO.0000000000000041; Regnier, S., Cambau, E., Meningaud, J.P., Guihot, A., Deforges, L., Carbonne, A., Clinical management of rapidly growing mycobacterial cutaneous infections in patients after mesotherapy (2009) Clin Infect Dis, 49, pp. 1358-1364. , http://dx.doi.org/10.1086/606050; Bastian, S., Veziris, N., Roux, A.L., Brossier, F., Gaillard, J.L., Jarlier, V., Assessment of clarithromycin susceptibility in strains belonging to the Mycobacterium abscessus group by erm(41) and rrl sequencing (2011) Antimicrob Agents Chemother, 55, pp. 775-781. , http://dx.doi.org/10.1128/AAC.00861-10; Griffith, D.E., Aksamit, T., Brown-Elliott, B.A., Catanzaro, A., Daley, C., Gordin, F., ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America. 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Infect. Dis.",Article,"Final",Open Access,Scopus,2-s2.0-84978745103 "Beladi H., Chao C.-C., Ee M.S., Hollas D.","7006277712;7403320275;22957299600;7801380840;","Medical tourism and health worker migration in developing countries",2015,"Economic Modelling","46",,,"391","396",,28,"10.1016/j.econmod.2014.12.045","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027931301&doi=10.1016%2fj.econmod.2014.12.045&partnerID=40&md5=1229e0a63596f90499d00ce0d66bb165","College of Business, University of Texas at San Antonio, San Antonio, TX 78249-0633, United States; Department of Economics, Deakin University, Melbourne, 3125, Australia; Department of Finance, Deakin University, Burwood, VIC 3125, Australia","Beladi, H., College of Business, University of Texas at San Antonio, San Antonio, TX 78249-0633, United States; Chao, C.-C., Department of Economics, Deakin University, Melbourne, 3125, Australia; Ee, M.S., Department of Finance, Deakin University, Burwood, VIC 3125, Australia; Hollas, D., College of Business, University of Texas at San Antonio, San Antonio, TX 78249-0633, United States","In developing countries of tourist destinations, an increase in medical tourism raises the wages in the medical tourism sector, thereby retaining skilled medical workers who otherwise leave the country. However, the expansion of medical tourism contracts the domestic healthcare services sector, causing lower labor productivity in the economy. Medical tourism can increase domestic welfare if the benefits from migration retention and tourism exports outweigh the losses in revenue and productivity declines. © 2015 Elsevier B.V.","Medical tourism; Wage inequality; Welfare",,,,,,,,,"Antwi, J., Phillips, D.C., Wages and health worker retention: evidence from public sector wage reforms in Ghana (2013) J. Dev. Econ., 102, pp. 101-115; Beladi, H., Chaudhuri, S., Yabuuchi, S., Can international factor mobility reduce wage inequality in a dual economy? (2008) Rev. Int. Econ., 16, pp. 893-903; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave MacMillan Ltd., New York, NY; Chee, H.L., Ownership, control and contention: challenges for the future of healthcare in Malaysia (2008) Soc. Sci. 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Res., 5, pp. 41-50; Hanson, K., Berman, P., Private health care provision in developing countries: a preliminary analysis of levels and composition (1998) Health Policy Plan., 13, pp. 195-211; Hazarika, I., Medical tourism: its potential impact on the health workforce and health systems in India (2010) Health Policy Plan., 25, pp. 248-251; Helble, M., The movement of patients across borders: challenges and opportunities for public health (2011) Bull. World Health Organ., 89, pp. 68-72; Herrick, D.M., Medical tourism: global competition in health care (2007) National Center for Policy Analysis Report No. 304; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? (2010) J. Public Health Policy, 31, pp. 185-198; Thailand, Malaysia, Singapore: threats and opportunities for Asian medical tourism (2010) Int. Med. 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Kimball (Eds.); Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , OECD, Paris; Oda, M., Ohta, H., Okawa, M., (2014) A Model of the Liberalization of Nurse and Trade, , (manuscript); (2012) Jordan: Managing Medical Tourism, , http://www.oxfordbusinessgroup.com/economic_updates/jordan-managing-medical-tourism, Oxford Business Group; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Glob. Health, 7, pp. 1-12; Medical Tourism on the Rise in Turkey, , http://www.voanews.com/content/medical-tourism-turkey/1634291.html, April 3, 2013, Reuters; Rutten, M., The economic impact of medical migration: a receiving country's perspective (2009) Rev. Int. Econ., 17, pp. 156-171; Medical tourism revenues to hit more than S$2bn in 4years (2012) Singap. Bus. Rev., , http://sbr.com.sg/hotels-tourism/news/medical-tourism-revenues-hit-more-s2bn-in-4-years; Vequist, D.G., Valdez, E., Morrison, B., Medical tourism economic report: Latin America vs. Asia (2009) Med. Tour. Mag., pp. 38-40. , (June); Vijaya, R.M., Medical tourism: revenue generation or international transfer of healthcare problem? (2010) J. Econ. Issues, 44, pp. 53-69; Vujicic, M., Zurn, P., Diallo, K., Adams, O., Dal Poz, M.R., The role of wages in the migration of health care professionals from developing countries (2004) Hum. Resour. Health, 2","Beladi, H.; College of Business, University of Texas at San AntonioUnited States; email: hamid.beladi@utsa.edu",,,"Elsevier B.V.",,,,,02649993,,,,"English","Econ. Model.",Article,"Final",,Scopus,2-s2.0-85027931301 "Awang Z., Afthanorhan A., Mohamad M., Asri M.A.M.","56501785200;57184337300;56539482800;57208390575;","An evaluation of measurement model for medical tourism research: The confirmatory factor analysis approach",2015,"International Journal of Tourism Policy","6","1",,"29","45",,28,"10.1504/IJTP.2015.075141","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961129223&doi=10.1504%2fIJTP.2015.075141&partnerID=40&md5=6185442cb1f0c1c8b50a5a71931c1b7a","Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin, Kampus Gong Badak, Kuala Terengganu, Terengganu, 21300, Malaysia; School of Informatics and Applied Mathematics, Universiti Malaysia Terengganu, Malaysia","Awang, Z., Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin, Kampus Gong Badak, Kuala Terengganu, Terengganu, 21300, Malaysia; Afthanorhan, A., Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin, Kampus Gong Badak, Kuala Terengganu, Terengganu, 21300, Malaysia; Mohamad, M., Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin, Kampus Gong Badak, Kuala Terengganu, Terengganu, 21300, Malaysia; Asri, M.A.M., School of Informatics and Applied Mathematics, Universiti Malaysia Terengganu, Malaysia","Medical tourism has become one of the most important sectors generating foreign exchange for Malaysia. The government has intensified its effort to promote the country as a popular destination among foreign travellers seeking medical care outside their country. Thus, rigorous research is expected in this particular field. In line with that, this study intends to validate the measurement model for medical tourism research. The mixed method study begins with qualitative approach and ends-up with the quantitative analysis. The medical tourism constructs involved are human capital, physical infrastructure, and patient satisfaction. In the qualitative phase, personal and focus group interviews were conducted to generate items for the respective constructs. The confirmatory factor analysis (CFA) has validated the measurement model of human capital, physical infrastructure, and patient satisfaction for unidimensionality, validity and reliability. Therefore, these measurement models can be assessed for the future research improvements. © Copyright 2015 Inderscience Enterprises Ltd.","CFA; Confirmatory factor analysis; Medical tourism; Reliability; Validity","economic analysis; factor analysis; human capital; international tourism; measurement method; medical geography; model; reliability analysis; tourism market; Malaysia",,,,,,,,"Afthanorhan, W.M.A.B.W., A comparison of partial least square structural equation modeling (PLS-SEM) and covariance based structural equation modeling (CB-SEM) for confirmatory factor analysis (2013) International Journal Engineering and Science Innovative Technologies (IJESIT), 2 (5), p. 8; Afthanorhan, W.M.A.B.W., Ahmad, S., Mamat, I., Pooled confirmatory factor analysis (PCFA) using structural equation modeling on volunteerism program: A step by step approach (2014) International Journal of Asian Social Science, 4 (5), pp. 642-653; Ailawadi, K.L., Pauwels, K., Steenkamp, J.B.E., Private-label use and store loyalty (2008) Journal of Marketing, 72 (6), pp. 19-30; Assael, H., (1987) Consumer Behavior and Marketing Action, 4th Ed., , Kent Publishing Co., Boston, MA; Awang, Z., (2014) A Handbook on SEM, , MPWS Publisher; Baumgartner, H., Homburg, C., Applications of structural equation modeling in marketing and consumer research: A review (1996) International Journal of Research in Marketing, 13 (2), pp. 139-161; Becker, G., (1964) Human Capital, , National Bureau of Economics Research, New York; Beckert, T.E., Cognitive autonomy and self-evaluation in adolescence: A conceptual investigation and instrument development (2007) North American Journal of Psychology, 9 (3), p. 579; Bentler, P.M., Kano, Y., On the equivalence of factors and components (1990) Multivariate Behavioral Research, 25 (1), pp. 67-74; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York; Bryman, A., (2004) Triangulation and Measurement, , http://www.referenceworld.com/sage/socialscience/triangulation.pdf, Department of Social Sciences, Loughborough University, Leicestershire (accessed 17 June 2011); Byrne, B.M., (2013) Structural Equation Modeling with AMOS: Basic Concepts, Applications, and Programming, , Routledge; Campbell, C.L., Demi, A.S., Adult children of fathers missing in action (MIA): An examination of emotional distress, grief, and family hardiness (2000) Family Relations, 49 (3), pp. 267-276; Carr, D., The psychological consequences of midlife men's social comparisons with their young adult sons (2005) Journal of Marriage and Family, 67 (1), pp. 240-250; Churchill, G.A., Jr., Surprenant, C., An investigation into the determinants of customer satisfaction (1982) Journal of Marketing Research, pp. 491-504; Clark, A.E., Frijters, P., Shields, M.A., Relative income, happiness, and utility: An explanation for the easterlin paradox and other puzzles (2008) Journal of Economic Literature, pp. 95-144; Corbin, J.M., Strauss, A., Grounded theory research: Procedures, canons, and evaluative criteria (1990) Qualitative Sociology, 13 (1), pp. 3-21; Creswell, J.W., (1998) Qualitative Inquiry and Research Design: Choosing Among Five Designs; Creswell, J.W., (2005) Educational Research: Planning, Conducting, and Evaluating Quantitative and Qualitative Research, 2nd Ed., , Pearson Education, Upper Saddle River, NJ; Day, G.S., A two dimensional concept of brand loyalty (1969) Journal of Advertising, 9 (3), pp. 29-35; Fader, P.S., Schmittlein, D.C., Excess behavioral loyalty for high-share brands: Deviations from the dirichlet model for repeat purchasing (1993) Journal of Marketing Research, pp. 478-493; Gibson-Davis, C.M., Edin, K., McLanahan, S., High hopes but even higher expectations: The retreat from marriage among low-income couples (2005) Journal of Marriage and Family, 67 (5), pp. 1301-1312; Glaser, B., Strauss, A., (1967) The Discovery of Grounded Theory, , Weidenfeld and Nicholson, London; Greenstein, T.N., (2006) Methods of Family Research, 2nd Ed., , Sage, Thousand Oaks, CA; Hair, J.F., (2010) Multivariate Data Analysis; Hair, J.F., Ringle, C.M., Sarstedt, M., PLS-SEM: Indeed a silver bullet (2011) Journal of Marketing Theory and Practice, 19 (2), pp. 139-152; Hair, J.F., Wolfinbarger, M.F., Ortinau, D.J., Bush, R.P., (2008) Essentials of Marketing Research, , McGraw-Hill/Higher Education; Hayes, A.F., Krippendorff, K., Answering the call for a standard reliability measure for coding data (2007) Communication Methods and Measures, 1 (1), pp. 77-89; Huang, M., Yu, S., Are consumers inherently or situationally brand loyal? 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Exit and voice in international medical travel - The case of Indonesia",2015,"Social Science and Medicine","124",,,"305","312",,28,"10.1016/j.socscimed.2014.06.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920288658&doi=10.1016%2fj.socscimed.2014.06.007&partnerID=40&md5=d4e5dd0a9138a63fe84aab8c8e07eec2","Cultural Geography Chair Group, Wageningen University, PO Box 476700 AA, Netherlands","Ormond, M., Cultural Geography Chair Group, Wageningen University, PO Box 476700 AA, Netherlands","Globally, more patients are intentionally travelling abroad as consumers for medical care. However, while scholars have begun to examine international medical travel's (IMT) impacts on the people and places that receive medical travellers, study of its impacts on medical travellers' home contexts has been negligible and largely speculative. While proponents praise IMT's potential to make home health systems more responsive to the needs of market-savvy healthcare consumers, critics identify it as a way to further de-politicise the satisfaction of healthcare needs. This article draws from work on political consumerism, health advocacy and social movements to argue for a reframing of IMT not as a 'one-off' statement about or an event external to struggles over access, rights and recognition within medical travellers' home health systems but rather as one of a range of critical forms of on-going engagement embedded within these struggles. To do this, the limited extant empirical work addressing domestic impacts of IMT is reviewed and a case study of Indonesian medical travel to Malaysia is presented. The case study material draws from 85 interviews undertaken in 2007-08 and 2012 with Indonesian and Malaysian respondents involved in IMT as care recipients, formal and informal care-providers, intermediaries, promoters and policy-makers. Evidence from the review and case study suggests that IMT may effect political and social change within medical travellers' home contexts at micro and macro levels by altering the perspectives, habits, expectations and accountability of, and complicity among, medical travellers, their families, communities, formal and informal intermediaries, and medical providers both within and beyond the container of the nation-state. Impacts are conditioned by the ideological foundations underpinning home political and social systems, the status of a medical traveller's ailment or therapy, and the existence of organised support for recognition and management of these in the home context. © 2014 Elsevier Ltd.","Citizenship; Health social movements; Healthcare advocacy; Indonesia; Malaysia; Medical tourism; Political consumerism; Resistance","citizenship; demand analysis; health care; health services; medical geography; service provision; social movement; travel behavior; Article; consumer; evidence based medicine; government; health care access; health care cost; health care need; health care policy; health care quality; health care system; health care utilization; health service; help seeking behavior; human; Indonesia; international medical travel; Malaysia; patient advocacy; patient attitude; patient satisfaction; politics; social change; society; travel; epidemiology; ethnology; health care delivery; international cooperation; medical sociology; medical tourism; patient preference; social change; trends; Indonesia; Malaysia; Health Services Accessibility; Humans; Indonesia; Internationality; Malaysia; Medical Tourism; Patient Preference; Politics; Social Change; Sociology, Medical",,,,,,,,"Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Promoting social responsibility amongst healthcare users: medical tourists' perspectives on an information sheet regarding ethical concerns in medical tourism (2013) Philos. 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Kay (Eds.); Streeck, W., Citizens as consumers: considerations on the new politics of consumption (2012) New. Left Rev., 76, pp. 27-47; Sulaiman, Y., Transparency is the cure for medical tourism in Indonesia (2012) Jakarta Globe, , http://www.thejakartaglobe.com/archive/transparency-is-the-cure-for-medical-tourism-in-indonesia/, 8 August. Retrieved on 20 January 2014 from; Whittaker, A., Challenges of medical travel to global regulation: a case study of reproductive travel in Asia (2010) Glob. Soc. Policy, 10 (3), pp. 396-415","Ormond, M.; Cultural Geography Chair Group, Wageningen University, PO Box 47, Netherlands",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"24947552","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-84920288658 "Guiry M., Scott J.J., Vequist iv D.G.","36808069300;55781223600;55666196900;","Experienced and potential medical tourists' service quality expectations",2013,"International Journal of Health Care Quality Assurance","26","5",,"433","446",,28,"10.1108/IJHCQA-05-2011-0034","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879703031&doi=10.1108%2fIJHCQA-05-2011-0034&partnerID=40&md5=7aa8c4aad3e48a6cc0854c3c89a485b5","H-E-B School of Business and Administration, University of the Incarnate Word, San Antonio, Texas, United States; Center for Medical Tourism Research, University of the Incarnate Word, San Antonio, Texas, United States","Guiry, M., H-E-B School of Business and Administration, University of the Incarnate Word, San Antonio, Texas, United States; Scott, J.J., H-E-B School of Business and Administration, University of the Incarnate Word, San Antonio, Texas, United States; Vequist iv, D.G., Center for Medical Tourism Research, University of the Incarnate Word, San Antonio, Texas, United States","Purpose – The paper's aim is to compare experienced and potential US medical tourists' foreign health service-quality expectations. Design/methodology/approach Design/methodology/approach – Data were collected via an online survey involving 1,588 US consumers engaging or expressing an interest in medical tourism. The sample included 219 experienced and 1,369 potential medical tourists. Respondents completed a SERVQUAL questionnaire. Mann-Whitney U Findings – For all five service-quality dimensions (tangibles, reliability, responsiveness, assurance and empathy) experienced medical tourists had significantly lower expectations than potential medical tourists. Experienced medical tourists also had significantly lower service-quality expectations than potential medical tourists for 11 individual SERVQUAL items. Practical implications – Results suggest using experience level to segment medical tourists. The study also has implications for managing medical tourist service-quality expectations at service delivery point and via external marketing communications. Originality/value – Managing medical tourists' service quality expectations is important since expectations can significantly influence choice processes, their experience and post-consumption behavior. This study is the first to compare experienced and potential US medical tourist service-quality expectations. The study establishes a foundation for future service-quality expectations research in the rapidly growing medical tourism industry. © 2013, Emerald Group Publishing Limited","Customer services quality; Expectations; Health services; Health tourism; Healthcare; Medical tourism; Service quality; SERVQUAL; United States of America",,,,,,,,,"Anderson, E.A., Measuring service quality at a university health clinic (1995) International Journal of Health Care Quality Assurance, 8 (2), pp. 32-37; Anderson, E.A., Zwelling, L.A., Measuring service quality at the University of Texas M.D., Anderson Cancer Center (1996) International Journal of Health Care Quality Assurance, 9 (7), pp. 9-22; Atilgan, E., Akinci, S., Aksoy, S., Mapping service quality in the tourism industry (2003) Managing Service Quality, 13 (5), pp. 412-422; Babakus, E., Mangold, W.G., Adapting the SERVQUAL scale to hospital services: an empirical investigation (1992) Health Services Research, 26 (6), pp. 768-786; Bakar, C., Akgun, H.S., Al Assaf, A.F., The role of expectations in patients hospital assessments: a Turkish university hospital example (2008) International Journal of Health Care Quality Assurance, 21 (5), pp. 503-516; Boulding, W., Kalra, A., Staelin, R., Zeithaml, V.A., A dynamic process model of service quality: from expectations to behavioral intentions (1993) Journal of Marketing Research, 30 (1), pp. 7-27; Brown, S.W., Bond, E.U., III, The internal market/external market framework and service quality: toward theory in services marketing (1995) Journal of Marketing Management, 11 (1-3), pp. 25-39; Butt, M.M., de Run, E.C., Private healthcare quality: applying a SERVQUAL model (2010) International Journal of Health Care Quality Assurance, 23 (7), pp. 658-673; Chand, M., Measuring the service quality of Indian tourism destinations: an application of SERVQUAL model (2010) International Journal of Services Technology and Management, 13 (3-4), pp. 218-233; Clow, K., Kurtz, D., Oxment, J., A longitudinal study of the stability of consumer expectations of services (1998) Journal of Business Research, 42 (1), pp. 63-73; Cormany, D., Taking a pulse on potential medical tourism destinations: the hospitality and tourism industries (2008) Medical Tourism Magazine, (8), pp. 34-37; Cronin, J.J., Jr., Taylor, S.A., Measuring service quality: a reexamination and extension (1992) Journal of Marketing, 56 (3), pp. 55-68; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? 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Zeithaml, V.A., Bitner, M.J., Gremler, D.D., (2009) Services Marketing: Integrating Customer Focus across the Firm, , 5th ed., McGraw-Hill Irwin, New York, NY",,,,,,,,,09526862,,,,"English","Int. J. Health Care Qual. Assur.",Article,"Final",,Scopus,2-s2.0-84879703031 "Eissler L.A., Casken J.","55308140000;6507915118;","Seeking health care through international medical tourism",2013,"Journal of Nursing Scholarship","45","2",,"177","184",,28,"10.1111/jnu.12014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84878772379&doi=10.1111%2fjnu.12014&partnerID=40&md5=a4da45e55b684ac60d394dac345b9757","School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI, United States; School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI, United States","Eissler, L.A., School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI, United States; Casken, J., School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI, United States","Purpose: The purpose of this study was the exploration of international travel experiences for the purpose of medical or dental care from the perspective of patients from Alaska and to develop insight and understanding of the essence of the phenomenon of medical tourism. Study Design and Methods: The study is conceptually oriented within a model of health-seeking behavior. Using a qualitative design, 15 Alaska medical tourists were individually interviewed. The data were analyzed using a hermeneutic process of inquiry to uncover the meaning of the experience. Findings: Six themes reflecting the experiences of Alaska medical tourists emerged: ""my motivation,"" ""I did the research,"" ""the medical care I need,"" ""follow-up care,"" ""the advice I give,"" and ""in the future."" Subthemes further categorized data for increased understanding of the phenomenon. The thematic analysis provides insight into the experience and reflects a modern approach to health-seeking behavior through international medical tourism. Conclusions: The results of this study provide increased understanding of the experience of obtaining health care internationally from the patient perspective. Improved understanding of medical tourism provides additional information about a contemporary approach to health-seeking behavior. Clinical Relevance: Results of this study will aid nursing professionals in counseling regarding medical tourism options and providing follow-up health care after medical tourism. Nurses will be able to actively participate in global health policy discussions regarding medical tourism trends. © 2013 Sigma Theta Tau International.","Health-seeking behavior; Medical tourism; Qualitative","article; ethnology; human; interview; medical tourism; travel; United States; Alaska; Humans; Interviews as Topic; Medical Tourism; Travel",,,,,,,,"Andersen, R.M., Revisiting the behavioral model and access to medical care: Does it matter (1995) Journal of Health and Social Behavior, 36 (1), pp. 1-10; Barron, N.C., Seeking beauty, cutting costs: Why so many Americans go under the knife abroad (2008) ProQuest Dissertations and Theses, , http://search.proquest.com/docview/193718096?accountid=27140, University of Southern California. 43. 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Philadelphia: Author; Parsons, T., Social structure and dynamic process: The case of modern medical practice (1951) The social system, pp. 428-479. , In T. Parsons (Ed.), New York: The Free Press; Rhea, S., Medical migration: A study projects Americans spending up to $68 billion abroad by 2010 for treatment, but some doubt the trend's momentum (2008) Modern Healthcare, 38 (18), pp. 6-16; Ryan, K.A., Sanders, A.N., Wang, D.D., Levine, A.D., Tracking the rise of stem cell tourism (2010) Regenerative Medicine, 5 (1), pp. 27-33; Saad, L., (2008), http://www.gallup.com/poll/112264/Nurses-Shine-While-Bankers-Slump-Ethics-Ratings.aspx#2, November 24. Nurses shine, bankers slump in ethics ratings: Annual honesty and ethics; Sandalowski, M., Whatever happened to qualitative description (2000) Research in Nursing and Health, 23, pp. 334-340; Spar, D., Reproductive tourism and the regulatory map (2005) New England Journal of Medicine, 362, pp. 531-533; Toral, R., Quality, liability, aftercare: Medical tourism must nail down these three areas of concern in order to thrive (2009) Modern Healthcare, 26 (39), p. 20; Unti, J.A., Medical and surgical tourism: The new world of healthcare globalization and what it means for the practicing surgeon (2009) Bulletin of the American College of Surgeons, 94 (4), pp. 18-25; York, D., Medical tourism: The trend towards outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102","Eissler, L.A.; School of Nursing and Dental Hygiene, University of Hawaii at Manoa, 2528 McCarthy Mall, Webster Hall HI, Honolulu, HI 96822, United States; email: eissler@hawaii.edu",,,,,,,,15276546,,,"23489601","English","J. Nurs. Scholarsh.",Article,"Final",,Scopus,2-s2.0-84878772379 "Mikołajewska E., Mikołajewski D.","36925548600;36996644200;","Neuroprostheses for increasing disabled patients' mobility and control",2012,"Advances in Clinical and Experimental Medicine","21","2",,"263","272",,28,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84862557749&partnerID=40&md5=c5037869cccb2c1b90132e6f15f031f9","Rehabilitation Clinic, Military Clinical Hospital No. 10 and Polyclinic, Powstańców Warszawy 5, 85-681 Bydgoszcz, Poland; Division of Applied Informatics, Department of Physics, Astronomy and Applied Informatics, Nicolaus Copernicus University in Toruń, Poland","Mikołajewska, E., Rehabilitation Clinic, Military Clinical Hospital No. 10 and Polyclinic, Powstańców Warszawy 5, 85-681 Bydgoszcz, Poland; Mikołajewski, D., Division of Applied Informatics, Department of Physics, Astronomy and Applied Informatics, Nicolaus Copernicus University in Toruń, Poland","Neuroprostheses are electronic devices using electrophysiological signals to stimulate muscles, electronic/mechanical devices such as substitutes for limbs or parts of limbs, or computers. The development of neuroprostheses was possible thanks to advances in understanding of the physiology of the human brain and in the capabilities of hardware and software. Recent progress in the area of neuroprosthetics may offer important breakthroughs in therapy and rehabilitation. New dedicated solutions for disabled people can lead to their increased participation in social, educational and professional areas. It is worth focussing particular attention on new solutions for people with paralysis, people with communication disorders and amputees. This article aims at investigating the extent to which the available opportunities are being exploited, including current and potential future applications of brain-computer interfaces. © Copyright by Wroclaw Medical University.","Brain-computer inteface; Disabled people; Neuroprosthesis; Rehabilitation","brain computer interface; communication aid; communication software; computer program; computer system; disability; disabled person; electroencephalogram; electronic sensor; history of medicine; human; information technology; learning; medical device; neuroprosthesis; patient education; patient mobility; review; signal detection; systematic review; Brain-Computer Interfaces; Computer-Aided Design; Disability Evaluation; Disabled Persons; Humans; Mobility Limitation; Motor Activity; Movement; Neural Prostheses; Prosthesis Design; Recovery of Function; Treatment Outcome",,,"Biosemi Active Two, Starlab, Spain; BrainGate2 Neural Interface System, Cyberkinetics Neurotechnology Systems Brown University, United States; BrainVision, Brain Products, Germany; Cyberhand, Cyberhand Project, Italy; Enobio system, Starlab, Spain; g.BCIsys, Guger Technologies g-tec Medical Engineering, Austria; g.USBamp, Guger Technologies g-tec Medical Engineering, Austria; Mindball Game, Interactive Productline; MindSet, NeuroSky; NESS H200 Hand Rehabilitaiton System, Bioness, United States; Rehabilitation Gaming System; Wadsworth BCI System, Laboratory of Neural Injury and Repair Wadsworth Center, United States; WALK! cooperative patient driven neuroprosthetic system, Center of Automation and Autonomous Systems Technical University of Munich, Germany","Bioness, United States; Brain Products, Germany; Center of Automation and Autonomous Systems Technical University of Munich, Germany; Cyberhand Project, Italy; Cyberkinetics Neurotechnology Systems Brown University, United States; Guger Technologies g-tec Medical Engineering, Austria; Interactive Productline; Laboratory of Neural Injury and Repair Wadsworth Center, United States; Neural Signals, United States; NeuroSky; Starlab, Spain",,,,"Wolpaw, J.R., Birbaumer, N., McFarland, D.J., Brain-computer interfaces for communication and control (2002) Clin Neurophysiol, 113 (6), pp. 767-791; Kübler, A., Neumann, N., Brain-computer interfaces - The key for the conscious brain locked into a paralyzed body (2005) Prog Brain Res, 150, pp. 513-525; Dudek, Z., Interfejs BCI - Próba przełamania bariery pomiȩdzy człowiekiem a komputerem (2003) Przegla̧d Telekomunikacyjny + Wiadomości Telekomunikacyjne, 7, pp. 377-382. , article in Polish; Mikołajewska, E., Mikołajewski, D., (2011) Neurorehabilitacja XXI Wieku. Techniki Teleinformatyczne (Book in Polish), , Impuls, Kraków; Mikołajewska, E., Mikołajewski, D., Interfejsy mózg-komputer - Zastosowania cywilne i wojskowe (2011) Bellona, 2, pp. 123-133. , article in Polish; Stieglitz, T., Rubehn, B., Henle, C., Brain-computer interfaces: An overview of the hardware to record neural signals from the cortex (2009) Prog Brain Res, 175, pp. 297-315; Kipiński, L., Maciejowski, A., Analysis of brain evoked potentials based on digital registered single-trial responses (2010) Adv Clin Exp Med, 19 (3), pp. 289-299; http://www.ncbi.nlm.noh.gov/pubmed-access05.05.2011, MEDLINE/PubMed; Wolpaw, J.R., Brain-computer interfaces as new brain output pathways (2007) J Physiol, 579 (3), pp. 613-619; Mikołajewska, E., Mikołajewski, D., Roboty rehabilitacyjne (2010) Rehab Prakt, 4, pp. 49-53. , article in Polish; Kim, H.K., Park, S., Srinivasan, M.A., Developments in brain-machine interfaces from the perspective of robotics (2009) Hum Mov Sci, 28 (2), pp. 191-203; Moritz, C.T., Perlmutter, S.I., Fetz, E.E., Direct control of paralysed muscles by cortical neurons (2008) Nature, 456 (7222), pp. 639-642; Birbaumer, N., Cohen, L.G., Brain-computer interfaces: Communication and restoration of movement in paralysis (2007) J Physiol, 579 (3), pp. 621-636; Birbaumer, N., Breaking the silence: Brain-computer interfaces (BCI) for communication and motor control (2006) Psychophysiology, 43 (6), pp. 517-532; Mellinger, J., Schalk, G., Braun, C., An MEG-based brain-computer interface (BCI) (2007) Neuroimage, 36 (3), pp. 581-593; McFarland, D.J., Sarnacki, W.A., Vaughan, T.M., Brain-computer interface (BCI) operation: Signal and noise during early training sessions (2005) Clin Neurophysiol, 116 (1), pp. 56-62; McFarland, D.J., Wolpaw, J.R., EEG-based communication and control: Speed-accuracy relationships (2003) Appl Psychophysiol Biofeedback, 28 (3), pp. 217-231; McFarland, D.J., Sarnacki, W.A., Wolpaw, J.R., Brain-computer interface (BCI) operation: Optimizing information transfer rates (2003) Biol Psychol, 63 (3), pp. 237-251; Mussa-Ivaldi, F.A., Miller, L.E., Brain-machine interfaces: Computational demands and clinical needs meet basic neuroscience (2003) Trends Neurosci, 26 (6), pp. 329-335; Tecchio, F., Porcaro, C., Barbati, G., Functional source separation and hand cortical representation for a brain-computer interface feature extraction (2007) J Physiol, 580 (3), pp. 703-721; Durka, P.J., (2007) Matching Pursuit and Unification in EEG Analysis, , Artech House; Simeral, J.D., Kim, S.P., Black, M.J., Donoghue, J.P., Hochberg, L.R., Neural control of cursor trajectory and click by a human with tetraplegia 1000 days after implant of an intracortical microelectrode array (2011) J Neural Eng, 8 (2), p. 025027; Fuhr, T., Quintern, J., Riener, R., Schmidt, G., Walking with WALK! A cooperative, patient-driven neuroprosthetic system (2008) IEEE Eng Med Biol Mag, 27 (1), pp. 38-48; Alon, G., Levitt, A.F., McCarthy, P.A., Functional electrical stimulation enhancement of upper extremity functional recovery during stroke rehabilitation: A pilot study (2007) Neurorehabil Neur Repair, 21 (3), pp. 207-215; Ruffini, G., Dunne, S., Farrés, E., ENOBIO - First Tests of a Dry Electrophysiology Electrode using Carbon Nanotubes Proceedings of 28th Annual International Conference of the IEEE. Aug. 2006, pp. 1826-1829; Müller, G.R., Neuper, C., Pfurtscheller, G., Implementation of a telemonitoring system for the control of an EEG-based brain-computer interface (2003) IEEE Trans Neural Syst Rehabil Eng, 11 (1), pp. 54-59; Warwick, K., (2004) I, Cyborg, , University of Illinois Press; ANSI/AAMI/ISO 14708-3:2008 Implants for Surgery - Active Implantable Medical Devices Part 3: Implantable Neurostimulators; Voge, Ch.M., Stegemann, J.P., Carbon nanotubes in neural interfacing applications (2011) J Neural Eng, 8 (2), p. 011001; Mikołajewska, E., Mikołajewski, D., Wheelchairs development from perspective of physical therapists and biomedical engineers (2010) Adv Clin Exp Med, 19 (6), pp. 771-776; Mikołajewska, E., Mikołajewski, D., Exoskeletons in Neurological Diseases - Current and Potential Future Applications (2011) Adv Clin Exp Med, 20 (2), pp. 227-233; Mikołajewska, E., Mikołajewski, D., E-learning in the education of people with disabilities (2011) Adv Clin Exp Med, 20 (1), pp. 103-109; Neuper, C., Müller, G.R., Kübler, A., Clinical application of an EEG-based brain-computer interface: A case study in a patient with severe motor impairment (2003) Clin Neurophysiol, 114 (3), pp. 399-409; Daly, J.J., Wolpaw, J.R., Brain-computer interfaces in neurological rehabilitation (2008) Lancet Neurol, 7 (11), pp. 1032-1043; Tavella, M., Leeb, R., Rupp, R., Towards natural non-invasive hand neuroprostheses for daily living (2010) Conf Proc IEEE Eng Med Biol Soc, 1, pp. 126-129; Hill-Hermann, V., Strasser, A., Albers, B., Task-specific, patient-driven neuroprosthesis training in chronic stroke: Results of a 3-week clinical study (2008) Am J Occup Ther, 62 (4), pp. 466-472; Laufer, Y., Ring, H., Sprecher, E., Gait in individuals with chronic hemiparesis: One-year follow-up of the effects of a neuroprosthesis that ameliorates foot drop (2009) J Neurol Phys Ther, 33 (2), pp. 104-110; Rossini, L., Rossini, P.M., Combining ENG and EEG integrated analysis for better sensitivity and specificity of neuroprosthesis operations (2010) Conf Proc IEEE Eng Med Biol Soc, 1, pp. 134-137; Błachowicz, A., Paszkiel, S., Mobilny system do pomiaru wyładowań niezupełnych sterowany falami elektroencefalograficznymi (2010) Pomiary Automatyka Robotyka, 2, pp. 12-16. , article in Polish; Wheeler, C.A., Peckham, P.H., Wireless wearable controller for upper-limb neuroprosthesis (2009) J Rehabil Res Dev, 46 (2), pp. 243-256; Brown-Triolo, D.L., Roach, M.J., Nelson, K., Consumer perspectives on mobility: Implications for neuroprosthesis design (2002) J Rehabil Res Dev, 39 (6), pp. 659-669; Szczepanek, D., Neurochirurgia - Postȩpy 2006 Med Prakt Chir 2007, 2, pp. 22-25. , article in Polish; Leuthardt, E.C., Schalk, G., Moran, D., The emerging world of motor neuroprosthetics: A neurosurgical perspective (2006) Neurosurgery, 59 (1), pp. 1-14; Allison, B.Z., Wolpaw, E.W., Wolpaw, J.R., Brain-computer interface systems: Progress and prospects (2007) Expert Rev Med Devices, 4 (4), pp. 463-474; Kübler, A., Kotchoubey, B., Brain-computer interfaces in the continuum of consciousness (2007) Curr Opin Neurol, 20 (6), pp. 643-649; Dornhege, G., Del R Millán, J., Hinterberger, T., (2007) Toward Brain-Computer Interfacing, , MIT Press; Krusienski, D.J., Grosse-Wentrup, M., Galán, F., Coyle, D., Miller, K.J., Forney, E., Critical issues in state-of-the-art brain-computer interface signal processing (2011) J Neural Eng, 8 (2), p. 025002; Zanter, T.O., Kothe, Ch., Towards passive brain-computer interfaces: Applying brain-computer interface technology to human-machine systems in general (2011) J Neural Eng, 8 (2), p. 025005","Mikołajewska, E.; Rehabilitation Clinic, Military Clinical Hospital No. 10 and Polyclinic, Powstańców Warszawy 5, 85-681 Bydgoszcz, Poland; email: e.mikolajewska@wp.pl",,,,,,,,18995276,,,"23214292","English","Adv. Clin. Exp. Med.",Review,"Final",,Scopus,2-s2.0-84862557749 "Palm W., Glinos I.A.","36975926200;15836850800;","Enabling patient mobility in the EU: Between free movement and coordination",2010,"Health Systems Governance in Europe: The Role of European Union Law and Policy",,,,"509","560",,28,"10.1017/CBO9780511750496.013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84927093701&doi=10.1017%2fCBO9780511750496.013&partnerID=40&md5=373d7c1b4a3cab8dd43d60a45ddb578b","European Observatory on Health Systems and Policies, United Kingdom; OSE, European Social Observatory, European Observatory on Health Systems and Policies, Maastricht University, Netherlands","Palm, W., European Observatory on Health Systems and Policies, United Kingdom; Glinos, I.A., OSE, European Social Observatory, European Observatory on Health Systems and Policies, Maastricht University, Netherlands","Introduction: Free movement of patients – or patient mobility, as it is commonly referred to – implies people accessing health care services outside their home state. Although health care normally is delivered close to where people live, in some instances the need for medical care arises while away from home or patients decide to seek care elsewhere. Patients’ readiness to travel for care, especially across borders, is determined by a mix of factors linked to the specific situation of the patient, to the specific medical needs and to availability of care at home and abroad. Motivations for travelling abroad for care vary from the search for more timely, better quality or more affordable health care to treatment responding better to the patient's wants or needs – including when care is inexistent or even prohibited at home. While citizens in the EU, in principle, are free to seek health care wherever they want and from whatever provider available, in practice this freedom is limited by their ability to pay for it or by the conditions set out by public and private funding systems for health care. Traditionally, countries have confined statutory cover for health care delivered to their population to providers established in their territory. Whereas initially, bilateral conventions derogated from this territoriality principle to ensure access to care for people living and working in different Member States, a more general derogation was established in the context of European integration under Article 42 EC, based on the fundamental principle of free movement of persons. © 2010, Cambridge University Press.",,,,,,,,,,,,,,"Cambridge University Press",,,,,,9780511750496; 9780521761383,,,"English","Health Systems Gov. in Europe: The Role of European Union Law and Policy",Book Chapter,"Final",,Scopus,2-s2.0-84927093701 "Jebsen R.H., Trieschmann R.B., Mikulic M.A., Hartley R.B., McMillan J.A., Snook M.E.","6701482808;6602873461;6602104137;7102573926;55415255600;57196546792;","Measurement of time in a standardized test of patient mobility.",1970,"Archives of Physical Medicine and Rehabilitation","51","3",,"170","175",,28,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0014752993&partnerID=40&md5=4a12df21ad5f11549d7eb5be76e6f80f",,"Jebsen, R.H.; Trieschmann, R.B.; Mikulic, M.A.; Hartley, R.B.; McMillan, J.A.; Snook, M.E.",[No abstract available],,"article; body posture; fitness; gait; human; locomotion; movement (physiology); patient; rehabilitation; wheelchair; Gait; Human; Locomotion; Movement; Patients; Physical Fitness; Posture; Rehabilitation; Wheelchairs",,,,,,,,,"Jebsen, R.H.",,,,,,,,00039993,,,"5440509","English","Arch Phys Med Rehabil",Article,"Final",,Scopus,2-s2.0-0014752993 "Junio M.M.V., Kim J.H., Lee T.J.","57190605971;57207439200;35196248300;","Competitiveness attributes of a medical tourism destination: The case of South Korea with importance-performance analysis",2017,"Journal of Travel and Tourism Marketing","34","4",,"444","460",,27,"10.1080/10548408.2016.1182454","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84981510241&doi=10.1080%2f10548408.2016.1182454&partnerID=40&md5=d69ec66115d8ae82bf69ecd9c50f24e3","SST II in Department of Science & Technology, Makati Science High School, Makati City, Philippines; Department of Tourism Management, Cheongju University, Cheongju, South Korea; Department of Tourism & Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, Japan","Junio, M.M.V., SST II in Department of Science & Technology, Makati Science High School, Makati City, Philippines; Kim, J.H., Department of Tourism Management, Cheongju University, Cheongju, South Korea; Lee, T.J., Department of Tourism & Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, Japan","This study aims to explore the importance and performance of medical tourism destination competitiveness (TDC). The aims were achieved by collecting empirical data on the perceptions of stakeholders in the medical tourism industry in South Korea. Results from the importance–performance analysis (IPA) revealed that medical TDC is primarily influenced by medical treatments and services, destination attributes, and tourism-specific factors. This study not only enhances tourism literature, but also contributes significantly to the existing literature on competitiveness. The study provides useful marketing insights for medical tourism suppliers in South Korea and countries in similar situations with the relevant industry. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","destination attributes; IPA; medical tourism; Medical treatments and services; South Korea",,,,,,,,,"Azzopardi, E., Nash, R., A critical evaluation of importance-performance analysis (2013) Tourism Management, 35, pp. 222-233; Blair, D., (2013) In the world of medical tourism, , http://medicaltouristkorea.com/in-the-world-of-medical-tourism, Retrieved, November, 2013, from; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) PubMed, 6 (4), pp. 447-454; Carter, J., Korean health care for US corporations (2010) Medical Tourism Magazine, pp. 35-37; Chambers, D., McIntosh, B., Using authenticity to achieve competitive advantage in medical tourism in the English-speaking Caribbean (2008) Third World Quarterly, 29 (5), pp. 919-937; Chu, R.K.S., Choi, T., An importance-performance analysis of hotel selection factors in the Hong Kong hotel industry: A comparison of business and leisure travellers (2000) Tourism Management, 21, pp. 363-377; Coghlan, A., Facilitating reef tourism management through an innovative importance-performance analysis method (2012) Tourism Management, 33, pp. 767-775; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cook, P.S., Constructions and experiences of authenticity in medical tourism: The performances of places, spaces, practices, objects and bodies (2010) Tourist Studies, 10 (2), pp. 135-153; Cracolici, M.F., Nijkamp, P., The attractiveness and competitiveness of tourist destinations: A study of Southern Italian regions (2008) Tourism Management, 30, pp. 336-344; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72, pp. 726-732; Crouch, G.I., (2007) Modelling destination competitiveness: A survey and analysis of the impact of the competitiveness attributes, , Gold Coast: Cooperative Research Centre for Sustainable Tourism; Crouch, G.I., Ritchie, J.R.B., Tourism, competitiveness, and societal prosperity (1999) Journal of Business Research, 44 (3), pp. 137-152; Deng, W., Using a revised importance-performance analysis approach: The case of Taiwanese hot springs tourism (2007) Tourism Management, 28, pp. 1274-1284; Dwyer, L., Kim, C., Destination competitiveness: Determinants and indicators (2003) Current Issues in Tourism, 6 (5), pp. 369-414; Dwyer, L., Mellor, R., Livaic, Z., Edwards, D., Kim, C., Attributes of destination competitiveness: A factor analysis (2004) Tourism Analysis, 9 (1), pp. 91-101; Enright, M.J., Newton, J., Tourism destination competitiveness: A quantitative approach (2004) Tourism Management, 25 (6), pp. 777-788; Enright, M.J., Newton, J., Determinants of tourism destination competitiveness in Asia Pacific: Comprehensiveness and universality (2005) Journal of Travel Research, 43 (4), pp. 339-350; Fallon, P., Schofield, P., The dynamics of destination attribute importance (2006) Journal of Business Research, 59, pp. 709-713; Goeldner, C., The 39th Congress AIEST: English workshop summary (1989) Revue de Tourisme, 44 (4), pp. 6-7; Gomezelj, D.O., Mihalic, T., Destination competitiveness- Applying different models, the case of Slovenia (2008) Tourism Management, 29, pp. 294-307; Hall, C.M., (2013) Medical tourism: The ethics, regulation, and marketing of health mobility, , London: Routledge; Hassan, S.S., Determinants of market competitiveness in an environmentally sustainable tourism industry (2000) Journal of Travel Research, 38 (3), pp. 239-245; Heath, E., Towards a model to enhance destination competitiveness: A southern African perspective (2003) Journal of Hospitality & Tourism Management, 10 (2), pp. 124-141; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Horowitz, M.D., Rosenweig, J.A., Medical tourism-health care in the global economy (2007) The Physician Executive, 33 (6), pp. 24-30; (2013) The state of foreign patients in 2012, , Cheongju: Author; Trend analysis of health industry employment (2015) Korea Health Industry Brief, 207, pp. 1-8; (2012) Korean medical tourism report, , Seoul: Author; (2013) Korea’s medical services reach out to every corner of the world, , http://www.korea.net/NewsFocus/Business/view?articleId=106178, Retrieved December 22, 2013, from; Lee, G., Lee, C.K., Cross-cultural comparison of the image of Guam perceived by Korean and Japanese leisure travelers: Importance-performance analysis (2009) Tourism Management, 30 (6), pp. 922-931; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Carrera, P., Advice for prospective medical tourists: Systematic review of consumer sites (2011) Tourism Review, 66, pp. 57-67; (2011) Compare cost, , http://www.medicaltourism.com/en/compare-costs.html, Retrieved December 11, 2013, from; (2012) Korean medical tourism report, , Sejong: Korean Ministry of Culture, Sports & Tourism; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Murdy, S., Pike, S., Perceptions of visitor relationship marketing opportunities by destination marketers: An importance performance analysis (2012) Tourism Management, 33, pp. 1281-1285; Oh, H., Revisiting importance-performance analysis (2001) Tourism Management, 22, pp. 617-627; (2012) Research and markets: South Korea medical tourism: Number of medical tourists and medical tourism market forecast to 2015, , http://www.reuters.com/article/2012/07/06/idUS96189+06-Jul-2012, Retrieved October 2, 2013, from; Ritchie, J.R.B., Crouch, G.I., (2003) The competitive destination: A sustainable tourism perspective, , Wallingford, UK: CABI Publishing; Ryan, C., Cessford, G., Developing a visitor satisfaction monitoring methodology: Quality gaps, crowding and some results (2003) Current Issues in Tourism, 6 (6), pp. 457-507; Sarantakos, S., (2005) Social research, , 3rd, New York: Palgrave Macmillan; Smith, M., Puczko, L., (2009) Health and wellness tourism, , Oxford: Jordan Hill; Taplin, R.H., Competitive importance-performance analysis of an Australian wildlife park (2012) Tourism Management, 33, pp. 29-37; (2012) A cut above: Who has the most plastic surgery?, , http://www.economist.com/blogs/graphicdetail/2012/04, Retrieved April 1, 2013, from; (2013) Incoming medical tourists will surpass 400,000 in 2018, , http://theseoultimes.com/ST/, Retrieved December 21, 2013, from; Tonge, J., Moore, S.A., Importance-satisfaction analysis for marine-park hinterlands: A Western Australian case study (2007) Tourism Management, 28, pp. 768-776; Upadhyaya, M., Swoni, S., The growth and development of Indian global healthcare destinations (2008) Journal of Marketing & Communication, 4 (2), pp. 81-88; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32, pp. 1125-1127; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88; Zhang, H.Q., Chow, I., Application of importance-performance model in tour guides’ performance: Evidence from mainland Chinese outbound visitors in Hong Kong (2004) Tourism Management, 25, pp. 81-91","Lee, T.J.; Department of Tourism & Hospitality, Ritsumeikan Asia Pacific University (APU)Japan; email: timlee7@apu.ac.jp",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84981510241 "Cohen I.G.","25653634900;","Medical tourism: The view from ten thousand feet",2010,"Hastings Center Report","40","2",,"11","12",,27,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952026419&partnerID=40&md5=68910544de868c18fa8243d4c0add9fa",,"Cohen, I.G.",[No abstract available],,"article; assisted suicide; ethics; health care delivery; health insurance; human; insurance; international cooperation; legal aspect; living donor; medical tourism; organ transplantation; socioeconomics; United States; Health Services Accessibility; Humans; Insurance Coverage; Insurance, Health; Internationality; Living Donors; Medical Tourism; Organ Transplantation; Socioeconomic Factors; Suicide, Assisted; United States",,,,,,,,"Milstein, A., Smith, M., America's new refugees - Seeking affordable surgery offshore (2006) New England Journal of Medicine, 355 (16), pp. 1637-1640. , http://content.nejm.org/cgi/reprint/355/16/1637.pdf, DOI 10.1056/NEJMp068190; Herrick, D.M., Medical tourism: Global competition in health care (2007) NCPA Policy Report No. 304, , http://www.ncpa.org/pdfs/st304.pdf, See November at 14, table 1, available at; The globalization of health care: Can medical tourism reduce health care costs? (2006) Hearing Before the Special Senate Committee on Aging, 109th Cong., , http://purl.access.gpo.gov/GPO/LPS78404, 1, 18 (statement of Dr. Arnold Milstein), available at; The globalization of health care: Can medical tourism reduce health care costs? (2006) Hearing Before the Special Senate Committee on Aging, 109th Cong., , http://purl.access.gpo.gov/GPO/LPS78404, Ibid; H.B. 2841, 78th Leg. (W. Va. 2007); Tex Ins. Code Ann. sec. 1215.004 (Vernon 2008); Protecting patients with passports: Medical tourism and the patient-protective argument (2010) Iowa Law Review, 95. , http://ssrn.com/ab-stract=1523701, I offer in-depth analysis of patient protection concerns about medical tourism in (forthcoming) draft available at; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83 (1), pp. 71-131. , Other excellent work in this emerging field includes; Maclean, T.R., The global market for health care: Economics and regulation (2008) Wisconsin International Law Journal, 26 (3), pp. 591-645; 18 U.S.C. sec. 2423(c), (f); 42 C.F.R. sec. 482.102(b)(9); Gentleman, A., India nurtures business of surrogate motherhood (2008) New York Times, , These hypotheticals are loosely based on real world events. See March 10; R.R. v. M.H., 689 N.E.2d 790 (Mass. 1998); Culliton v. Beth Israel Deaconess Medical Center, 756 N.E.2d 1133 (Mass. 2001); and Complaint, Abigail Alliance for Better Access to Developmental Drugs v. McClellan, No. 03-1601 (D.D.C. Jul. 28, 2003); and R (Purdy) v. DPP (2009) UKHL 45; Cohen, I.G., Note, the price of everything, the value of nothing: Reframing the commodification debate (2003) Harvard Law Review, 117, pp. 689-710. , See","Cohen, I. G.",,,,,,,,00930334,,,"20391844","English","Hast. Cent. Rep.",Article,"Final",,Scopus,2-s2.0-77952026419 "Pafford B.","32867990200;","The third wave - Medical tourism in the 21st century",2009,"Southern Medical Journal","102","8",,"810","813",,27,"10.1097/SMJ.0b013e3181aa8ce4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-68849122614&doi=10.1097%2fSMJ.0b013e3181aa8ce4&partnerID=40&md5=1db1f4b44cf80444cc38dc5701aeda1c","ETSU, Quillen College of Medicine, PO Box 70429, Johnson City, TN 37614, United States","Pafford, B., ETSU, Quillen College of Medicine, PO Box 70429, Johnson City, TN 37614, United States","The high number of uninsured or underinsured Americans and the spiraling cost of healthcare in the United States has spurred growth in patients traveling abroad for affordable healthcare, which has become known as medical tourism. It is projected to become a $21 billion a year industry by 2011. Overseas prices for most procedures, including airfare, are often half the cost of those performed in the United States; some procedures are 80% less. International facilities in India, Thailand, and elsewhere are obtaining Joint Commission International (JCI) accreditation and aggressively marketing to Western customers and insurance agencies and advertising high quality standards and personalized service. The acceptance of medial tourism is growing, with a recent poll showing more than 40% of US healthcare consumers willing to travel abroad for care. Insurance companies have begun to integrate foreign care into their coverage, offering discounts to patients agreeing to overseas travel. Physician groups have been slow to respond, even though estimates are that medical tourism may represent $162 billion in lost spending in America by 2012. Some experts think the continued US healthcare cost crisis will drive an increase in medical tourism and international competition, significantly impacting domestic physicians and hospitals. © 2009 Southern Medical Association.","AMA policy paper; Economic impact; International hospitals; Medical offshoring; Medical tourism","article; cost benefit analysis; health care cost; health care facility; health care policy; medical service; physician; tourism; economics; financial management; health care cost; human; patient attitude; surgery; travel; Health Care Costs; Health Expenditures; Humans; Marketing of Health Services; Patient Acceptance of Health Care; Surgical Procedures, Operative; Travel",,,,,,,,"(2008) Operating Profit, , http://www.economist.com/business/displaystory.cfm?story_id=11919622, August 14, Available at: Accessed October 12, 2008; (2008), http://www.medicaltourismassociation.com, website Available at: Accessed September 26, 2008; The World Medical Tourism and Global Health Congress September 2008, , http://www.medicaltourismcongress.com/attendee_profile.php, Available at: Accessed September 25, 2008; Medical Tourism: Consumers in Search of Value 2008, , http://www.deloitte.com/dtt/cda/doc/content/us_chs_MedicalTourismStudy(3) .pdf, Available at: Accessed September 24, 2008; (2008) New AMA Guidelines on Medical Tourism, , http://www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf, August Available at: Accessed September 12, 2008; Survey of Healthcare Consumers 2008, , http://www.deloitte.com/dtt/article/0%2C1002%2Ccid%25253D192707%2C00.html, Available at: Accessed October 16, 2008; Bumrungrad Hospitals September 2008, , http://www.bumrungrad.com/index-inter.aspx, Available at: Accessed September 24, 2008; Gerard, L.W., (2006) Letter to the U.S. Senate Committee on Finance, , http://legacy.usw.org/usw/program/adminlinks/docs/06-09- 11_USW_to_Senate_Comms_on_Medical_Tourism.pdf, September 11, Available at: Accessed October 1, 2008; Blue Cross/Blue Shield South Carolina, , http://www.southcarolinablues.com/bcbs/bcbs_redo.nsf/ASC/disc_GlblHlthcr, Available at: Accessed September 23, 2008; (2008), http://www.companionglobalhealthcare.com, website Available at: Accessed October 8, 2008; The Wall Street Journal, , http://blogs.wsj.com/health/2008/09/10/medical-tourism-starts-at-home, Available at: Accessed September 24, 2008; (2008), http://www.christushealth.org/facilitySearchMap.htm, website Available at: Accessed October 8, 2008; Reddy, P.C., (2008) Apollo Hospital Mission Statement, , http://www.apollohospitals.com/overview.asp?PgeuId=1066, Available at: Accessed October 6, 2008; (2008), http://www.raedi.org/economic_overview.html, Rochester Chamber of Commerce website Available at: Accessed September 27, 2008; To Err Is Human, , http://www.iom.edu/Object.File/Master/4/117/0.pdf, U.S. Institute of Medicine Report September 1999. Available at: Accessed October 18, 2008; Guide to Healthcare Quality, , http://www.ahrq.gov/consumer/guidetoq/guidetoq.pdf, Department of Health and Human Services. Available at: Accessed October 16, 2008; (2008), http://www.ameinfo.com/169913.html, Press release, September 28, Available at: Accessed October 12, 2008; The Declaration of Istanbul on organ trafficking and transplant tourism (2008) Transplantation, 86, pp. 1013-1018. , Participants in the International Summit on Transplant Tourism and Organ Trafficking Convened by the Transplantation Society and International Society of Nephrology in Istanbul, Turkey, April 30-May 2, 2008; Organ trafficking and transplant tourism and commercialism: The Declaration of Istanbul (2008) Lancet, 372, pp. 5-6. , http://www.esot.org/Files/Elpat/Content_Files/ ky6jrLancet%20Commentary%20on%20the%20Declaration%20of%20Istanbul.pdf, Steering Committee of the Istanbul Summit. Available at: Accessed January 27, 2008; (2008), http://www.who.int/ethics/topics/transplantation_guiding_principles/en/ index1.html, 'WHO website' Available at: Accessed January 27, 2008","Pafford, B.; ETSU, Quillen College of Medicine, PO Box 70429, Johnson City, TN 37614, United States; email: bennettpafford@yahoo.com",,,,,,,,00384348,,SMJOA,"19593301","English","South. Med. J.",Article,"Final",,Scopus,2-s2.0-68849122614 "Ford C.D., Chan K.J., Reilly W.F., Petersen F.B.","7202669587;57214086598;7006199711;7101845860;","An evaluation of predictive factors for CD34+ cell harvest yields from patients mobilized with chemotherapy and growth factors",2003,"Transfusion","43","5",,"622","625",,27,"10.1046/j.1537-2995.2003.00376.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0037406452&doi=10.1046%2fj.1537-2995.2003.00376.x&partnerID=40&md5=d7393fbdf17b837a1dcf481d2fd28233","Blood/Bone Marrow Transplant Program, LDS Hospital, Eighth Ave. and C Street, Salt Lake City, UT 84143, United States","Ford, C.D., Blood/Bone Marrow Transplant Program, LDS Hospital, Eighth Ave. and C Street, Salt Lake City, UT 84143, United States; Chan, K.J.; Reilly, W.F.; Petersen, F.B.","BACKGROUND: Accurately predicting the outcomes of peripheral blood stem cell harvests is important because unproductive collections are expensive and subject the donor to unnecessary toxicity. STUDY DESIGN AND METHODS: Predictive factors for stem cell mobilization and collection by a retrospective review of 104 consecutive donors were evaluated. RESULTS: Of several previously suggested measures, the peripheral CD34+ cell concentration on the day of harvest (pCD34DH) correlated best with total numbers of CD34+ collected (r = 0.88). This was followed by the pCD34 on the day before harvest (pCD34Day-1) (r = 0.74). The peripheral WBC count on the day of harvest (pWBC) was inferior (r = 0.39). When ratios of potential predictive factors divided by the previous day's value were examined, pWBC ratio was found to be a significant independent predictive factor for cells collected (r = 0.45). Furthermore, the predictive value of both the pCD34Day-1 and the pWBC can be improved by combining with the pWBC ratio. To examine whether the chosen collection starting days were optimal, serial pCD34 obtained daily during the harvest procedures was examined. Poorly mobilizing donors, who required several days of collection, did not reach maximal harvest yields until the fourth collection day. CONCLUSIONS: pCD34DH is the optimal predictive factor for harvest yields. If pCD34DH is not available, pCD34Day-1 or pWBC combined with the pWBC ratio may offer the best prediction of harvest outcomes. The best harvest yields on poorly mobilizing donors occur 3 to 4 days after the usual collection starting times.",,"carboplatin; cisplatin; cyclophosphamide; etoposide; granulocyte colony stimulating factor; paclitaxel; adult; aged; article; blood donor; cell count; controlled study; correlation analysis; female; flow cytometry; human; human cell; leukapheresis; leukocyte count; major clinical study; male; retrospective study; stem cell; stem cell mobilization; treatment outcome; Adult; Aged; Antigens, CD34; Blood Cell Count; Blood Donors; Drug Therapy; Female; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cells; Humans; Male; Middle Aged; Predictive Value of Tests; Recombinant Proteins; Retrospective Studies",,"carboplatin, 41575-94-4; cisplatin, 15663-27-1, 26035-31-4, 96081-74-2; cyclophosphamide, 50-18-0; etoposide, 33419-42-0; paclitaxel, 33069-62-4; Antigens, CD34; Granulocyte Colony-Stimulating Factor, 143011-72-7; Recombinant Proteins",,,,,,"Keung, Y.K., Cobos, E., Dunn, D., Determining factors for the outcome of peripheral blood progenitor cells harvests (1996) J Clin Apheresis, 11, pp. 23-26; Schwella, N., Beyer, J., Schwaner, I., Impact of preleukapheresis cell counts on collection results and correlation of progenitor-cell dose with engraftment after high-dose chemotherapy in patients with germ cell cancer (1996) J Clin Oncol, 14, pp. 1114-1121; Elliott, C., Samson, D., Armitage, S., When to harvest peripheral-blood stem cells after mobilization therapy: Prediction of CD34-positive cell yield by preceding day CD34-positive concentration in peripheral blood (1996) J Clin Oncol, 14, pp. 970-973; Hansson, M., Svensson, A., Engervall, P., Increase of monocytes predicts mobilization of peripheral stem and progenitor cells after chemotherapy followed by G-CSF administration (1995) Eur J Haematol, 54, pp. 321-328; Morton, J., Morton, A., Bird, R., Predictors for optimal mobilization and subsequent engraftment of peripheral blood progenitor cells following intermediate dose cyclophosphamide and G-CSF (1997) Leukemia Res, 21, pp. 21-27; Passos-Coelho, J., Braine, H., Davis, J., Predictive factors for peripheral-blood progenitor-cell collections using a single large-volume leukapheresis after cyclophosphamide and granulocyte-macrophage colony-stimulating factor mobilization (1995) J Clin Oncol, 13, pp. 705-714; Ford, C.D., Pace, N., Lehman, C., Factors affecting the efficiency of collection of CD34-positive peripheral blood cells by a blood cell separator (1998) Transfusion, 38, pp. 1046-1050; Sutherland, D.R., Anderson, L., Keeney, M., The ISHAGE guidelines for CD34+ cell determination by flow cytometry (1996) J Hematother, 5, pp. 213-226. , International Society of Hematotherapy and Graft Engineering; Benjamin, R.J., Linsley, L., Fountain, D., Preapheresis peripheral blood CD34+ mononuclear cell counts as predictors of progenitor cell yield (1997) Transfusion, 37, pp. 79-85; Ford, C.D., Lehman, C., Strupp, A., Kelley, L., Comparison of the CD34+ cell collection efficiency on the Cobe Spectra and Fenwal CS-3000 Plus (2002) J Clin Apheresis, 17, pp. 17-20; Pettengell, R., Morgenstern, G.R., Woll, P.J., Peripheral blood progenitor cell transplantation in lymphoma and leukemia using a single apheresis (1993) Blood, 82, pp. 3770-3777","Ford, C.D.; Blood/Bone Marrow Transplant Program, LDS Hospital, Eighth Ave. and C Street, Salt Lake City, UT 84143, United States; email: LDCFORD@IHC.COM",,,,,,,,00411132,,TRANA,"12702184","English","Transfusion",Article,"Final",,Scopus,2-s2.0-0037406452 "Manaf N.H.A., Hussin H., Kassim P.N.J., Alavi R., Dahari Z.","8610860900;57192085171;23473197800;24775226000;55343474700;","Medical tourism service quality: finally some empirical findings",2015,"Total Quality Management and Business Excellence","26","9-10",,"1017","1028",,26,"10.1080/14783363.2015.1068597","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959192116&doi=10.1080%2f14783363.2015.1068597&partnerID=40&md5=d03a72af79c7a4bc6f04246d6bbdd3eb","Faculty of Economics and Management Sciences, International Islamic University Malaysia, Selangor, Malaysia; Faculty of Information and Communication Technology, International Islamic University Malaysia, Selangor, Malaysia; Faculty of Law, International Islamic University Malaysia, Selangor, Malaysia","Manaf, N.H.A., Faculty of Economics and Management Sciences, International Islamic University Malaysia, Selangor, Malaysia; Hussin, H., Faculty of Information and Communication Technology, International Islamic University Malaysia, Selangor, Malaysia; Kassim, P.N.J., Faculty of Law, International Islamic University Malaysia, Selangor, Malaysia; Alavi, R., Faculty of Economics and Management Sciences, International Islamic University Malaysia, Selangor, Malaysia; Dahari, Z., Faculty of Economics and Management Sciences, International Islamic University Malaysia, Selangor, Malaysia","The purpose of this paper is to examine service quality, perceived value, overall satisfaction and future intention among medical tourists who seek treatment in Malaysian private hospitals. Self-administered questionnaire was the main method of data collection. Respondents comprised foreign patients who seek medical treatment, and/or related medical services such as tests and medical check-ups. Expatriates and foreign nationals residing in Malaysia were excluded. Altogether 173 responses were received and analysed by SPSS 17. Three dimensions of medical tourism service quality were identified, namely, medical staff quality, supporting services quality and administrative services quality. Medical staff quality was found to predict all three variables of patient satisfaction, perceived value and future intention for treatment. Very limited empirical research has been carried out with actual data from patients due to difficulty in getting access to international patients, and patients’ reluctance to participate. This study is among the first few which examines medical tourism service quality with actual patient data. The research identifies important constituents of medical tourism which may assist policy-makers and hospital managers in better understanding the industry. © 2015 Taylor & Francis.","health tourism; international medical travel; medical outsourcing; medical tourism; service quality",,,,,,"ERGS11-014-0014","This work was supported by the Ministry of Education Malaysia, through its Exploratory Research Grant Scheme [ERGS11-014-0014].",,"http://www.apollohospitals.com, Retrieved June 26, 2014, from; Arellano, R., Annette, P., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; http://www.bumrungrad.com, Retrieved June 26, 2014, from; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) The Journal of Legal Medicine, 28, pp. 223-245; Chen, P.T., Kung, R.H., Huang, M., Chen, F., Pei, L., Exploring the medical tourism development barriers and participation willingness in Taiwan: An example of mainland tourist (2012) World Academy of Science, Engineering and Technology, 68, pp. 1352-1356; Connell, J., Medical tourism: Sea, sun, sand … and surgery (2006) Tourism Management, 27, pp. 1093-1100; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services, 10, pp. 1-12; Cuddehe, M., (2009), September, Patients without Borders. The New Republic, 16–17; (2008), http://www.healthtourisminasia.com, Medical tourism: The Asia chapter. Retrieved June 27, 2008, from; Douglas, D.E., Is medical tourism the answer? (2007) Frontiers of Health Services Management, 24 (2), pp. 19-30; (2007), http://www.economist.com/node/8825097, March, Sun, sand and scalpels. Retrieved May 5, 2012, from; Ford, R.C., Bach, S.A., Fottler, M.D., Methods of measuring patient satisfaction in health care organisations (1997) Health Care Management Review, 22 (2), pp. 74-89; Fried, B.J., Harris, D.M., Managing healthcare services in the global marketplace (2007) Frontiers of Health Management, 24 (2), pp. 13-18; Goodrich, J.N., Goodrich, G.E., Health-care tourism-an exploratory study (1987) Tourism Management, 8, pp. 217-222; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access healthcare (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201; Gronroos, C., A service quality model and its implications (1984) European Journal of Marketing, 18 (4), pp. 36-44; Guiry, M., Scott, J.J., Vequist, D.G., Experienced and potential medical tourists’ service quality expectations (2013) International Journal of Healthcare Quality Assurance, 26 (5), pp. 433-446; Hair, J.F., Jr., Anderson, R.E., Tatham, R.L., Black, W.C., (1998) Multivariate data analysis, , Upper Saddle River, NJ: Prentice Hall; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31, pp. 185-198; Johnston, R., Crooks, V.A., Adams, K., Snyder, J., Kingsbury, P., An industry perspective on Canadian patients’ involvement in medical tourism: Implications for public health (2011) BMC Public Health, 11, p. 416. , http://www.biomedcentral.com/1471-2458/11/416, Retrieved from; Johnson, T.J., Garman, A.N., Impact of medical travel on imports and exports of medical services (2010) Health Policy, 98, pp. 171-177; Leahy, A.L., Medical tourism: The impact of travel to foreign countries for healthcare (2008) Surgeon, 6 (5), pp. 260-261; Manaf, N.H.A., Inpatient satisfaction: An analysis of Malaysian public hospitals (2012) International Journal of Public Sector Management, 25 (1), pp. 6-16; Manaf, N.H.A., Ghazali, R.J.M., Marikar, M., Positioning Malaysia in medical tourism (2011) Malaysian Management Review, 46 (2), pp. 29-45; Manaf, N.H.A., Hussin, H., Kassim, P.N.J., Alavi, R., Dahari, Z., (2013), August, Medical tourism in Malaysia: An empirical perspective. Paper presented at the Terengganu International Tourism Conference (TITC 2013), 23–24 August, Kuala Terengganu, Malaysia; Marlowe, J., Sullivan, P., Medical Tourism: The ultimate outsourcing (2007) Human Resource Planning, 30, pp. 8-10. , http://law-journals-books.vlex.com/vid/medical-tourism-ultimate-outsourcing-63856637; Martin, D.S., Ramamonjiarivelo, Z., Martin, W.S., MEDTOUR: A scale for measuring medical tourism intentions (2011) Tourism Review, 66 (1-2), pp. 45-56; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bulletin of World Health Organisation, 89, pp. 336-344; Nunnally, J.C., Bernstein, I.H., (1994) Psychometric theory, , New York, NY: McGraw-Hill; (2010), Economic transformation programme: A roadmap for Malaysia. Kuala Lumpur: Prime Minister's Department; Plochg, T., Klazinga, N.K., Starfield, B., Transforming medical professionalism to fit changing health needs (2009) BMC Medicine, 7 (64). , http://www.Biomedcentral.com/74-705/7/64; Rad, F.N., Som, A.P.M., Zainuddin, Y., Service quality and patients satisfaction in medical tourism (2010) World Applied Science Journal, 24 (30), pp. 24-30; Saiprasert, W., (2011), An examination of medical tourists motivational behavior and perception: A structural model (Unpublished PhD thesis). Oklahoma State University, Oklahoma; Salmon, J.W., Emerging trends in outsourcing healthcare: Medical tourism (2008) American Health and Drugs Benefits, 1 (7), pp. 27-28; Sarwar, A.A.M., Manaf, N.H.A., Omar, A., Medical tourists’ perception in selecting their destination: A global perspective (2012) Iranian Journal of Public Health, 41 (8), pp. 1-7; Schroth, L., Khawaja, R., Globalization of healthcare (2007) Frontiers of Health Services Management, 24 (2), pp. 19-30; Sivanandam, H., (2009), http://www.malaysiahealhcare.com/26052009.htm, Medical tourism getting more popular. The Sun; Tomes, A.E., Ng, S.C.P., Service quality in hospital Care: The development of an inpatient questionnaire (1995) International Journal of Health Care Quality Assurance, 8 (3), pp. 25-33; Turner, L., First world health care at third world prices: Globalisation, bioethics and medical tourism (2007) Bioethics, 2 (3), pp. 303-325; Wang, H.Y., Value as medical tourism driver (2012) Managing Service Quality, 22 (5), pp. 465-491; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (9), pp. 99-102","Manaf, N.H.A.; Faculty of Economics and Management Sciences, International Islamic University MalaysiaMalaysia; email: hazilah@iium.edu.my",,,"Routledge",,,,,14783363,,TQMAE,,"English","Total Qual. Manage. Bus. Excellence",Article,"Final",,Scopus,2-s2.0-84959192116 "Cook P.S.","55160332300;","Constructions and Experiences of Authenticity in Medical Tourism: The Performances of Places, Spaces, Practices, Objects and Bodies",2010,"Tourist Studies","10","2",,"135","153",,26,"10.1177/1468797611403048","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953747084&doi=10.1177%2f1468797611403048&partnerID=40&md5=ccfe9b313dcd6686faac5b766c5a3cd7","University of Tasmania, Australia","Cook, P.S., University of Tasmania, Australia","Using the concepts of constructivist authenticity and existential authenticity, I will analyse how claims to, and experiences and understandings of authenticity, are central to medical tourism. This is achieved by examining the interplay of places, spaces, objects, practices and bodies that create this cultural phenomenon. This includes a concern with how medical tourism is constructed around and performed through the perceptions of bodies, and the experiences of being a body. It is these complexities and their interdependencies that provide medical tourism its dynamism. This theorizing of medical tourism goes beyond existing studies that primarily seek to define it or restrict it to typologies, by analysing the practices and experiences that actually constitute this significant social phenomenon. © 2010, SAGE Publications. All rights reserved.","authenticity; constructivism; embodiment; existentialism; global healthcare; health tourism; healthcare tourism; medical tourism; performance; tourism",,,,,,,,,"Ateljevic, I., Pritchard, A., (2007) The Critical Turn in Tourism Studies, , N. Morgan (eds), Oxford: Elsevier; Bennett, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; Bezruchka, S., Medical tourism as medical harm to the Third World: Why? For whom? (2000) Wilderness and Environmental Medicine, 11 (2), pp. 77-78; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave MacMillian; Boorstin, D.J., (1963) The Image, or What Happened to the American Dream, , Harmondworth, Middlesex: Penguin Books; Bruner, E.M., Abraham Lincoln as authentic reproduction: A critique of postmodernism (1994) American Anthropologist, 96 (2), pp. 397-415; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; Carter, B., (2009) Cairns looking for a lift from cosmetic surgery tourism, , www.theaustralian.com.au/news/cairns-looking-for-a-lift-from-cosmetic-surgery-tourism/story-0-1225754951967, The Australian, 27 July. 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Barnett (eds) Social Change in the 21st Century 2005 Conference Proceedings Centre for Social Change Research, School of Humanities and Human Services, Queensland University of Technology, Brisbane Australia, December, 2005, Available at, (accessed 12 May 2010); Cook, P.S., Kendall, G., Michael and N. Brown (2011) ‘The textures of globalization: Biopolitics and the closure of xenotourism New Genetics and Society, 30 (1), pp. 101-114; Davies, H., (2007) Stem cell fare offer - rush after “miracle” report, p. 32. , Sunday Mail, 22 April:; Deloitte Center for Health Solutions, (2009) Medical Tourism: Update and Implications, , www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_chs_MedicalTourism_111209_web.pdf, Washington: Deloitte Center for Health Solutions. Available at, (accessed 6 May, 2010; Douglas, N., Travelling for health: Spa and health resorts (2001) Special Interest Tourism: Contexts and Cases, pp. 260-278. , N. Douglas, N. Douglas and R. 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Williams (eds), Farnham: Ashgate; Veijola, S., Jokinen, E., The body in tourism’, Theory (1994) Culture and Society, 11 (3), pp. 125-151; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health Tourism in Australia: Supply, Demand and Opportunities, , Gold Coast: CRC for Sustainable Tourism; Wang, N., Rethinking authenticity in tourism experience (1999) Annals of Tourism Research, 26 (2), pp. 349-370; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Woodman, J., (2007) Patients Beyond Borders: Everybody's Guide to Affordable, World-Class Medical Tourism, , Chapel Hill, NC: Healthy Travel Media; York, D., Medical tourism: the trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102","Cook, P.S.; University of TasmaniaAustralia",,,,,,,,14687976,,,,"English","Tour. Stud.",Article,"Final",,Scopus,2-s2.0-79953747084 "Carabello L.","23972575700;","A medical tourism primer for U.S. physicians",2008,"Journal of Medical Practice Management","23","5",,"291","294",,26,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-45549090518&partnerID=40&md5=f89607ab0584d4d152dd093b3ddb7a94","CPR Strategic Marketing Communications, 475 Market Street, Elmwood Park, NJ 07407, United States","Carabello, L., CPR Strategic Marketing Communications, 475 Market Street, Elmwood Park, NJ 07407, United States","As healthcare in the United States has been changing rapidly over the past few decades, so has the manner in which healthcare has been provided, billed, and paid for. There is an increasing need for Americans to reach beyond domestic borders to the international community for certain medical procedures, treatment, and care at more affordable costs. This impacts not only consumers and their physicians, but also employers, benefit plan payors, administrators, and other industry stakeholders-including America's hospitals. This article provides a framework for discussion points for physician-patient communications regarding medical tourism. Copyright © 2008 by Greenbranch Publishing LLC.","International travel; Lower medical costs; Medical quality; Medical tourism","doctor patient relation; health care cost; health care quality; health care system; health insurance; hospital; international cooperation; medical practice; medical tourism; physician; short survey; tourism; travel; United States; article; economics; human; international cooperation; organization and management; physician; utilization review; Health Care Costs; Humans; Medical Missions, Official; Physicians; Quality of Health Care; United States",,,,,,,,"Medical Tourism: Global Competition in Health Care, , www.ncpa.org/pub/st/st304, November 1, 2007;; Cold Springs, N.Y., (2007), Medical Tourism International; Wolff, J., Passport to cheaper health care? (2007) Good Housekeeping, p. 191. , October; Horowitz, M.D., Why is offshore medical care so inexpensive? (2007) Medical Travel Today, , www.medicaltraveltoday.com, October; Herzlinger, R., (2007) Who Killed Health, pp. 86-87. , Care? New York: McGraw-Hill;; Bookman, M., Medical tourism: A growing industry and a narrowing window of opportunity Medical Travel Today, , www.medicaltraveltoday.com, November 2007;; Watson, E., Medical travel: What happens when things go wrong? Medical Travel Today, , www.medicaltraveltoday.com, November 2007;","Carabello, L.; CPR Strategic Marketing Communications, 475 Market Street, Elmwood Park, NJ 07407, United States; email: lcarabello@cpronline.com",,,,,,,,87550229,,JMPME,"18472606","English","J. Med. Pract. Manage.",Short Survey,"Final",,Scopus,2-s2.0-45549090518 "Menéndez P., Prósper F., Bueno C., Arbona C., San Miguel J.F., García-Conde J., Solá C., Hornedo J., Cortés-Funes H., Orfao A.","7003797107;7003649174;23566711000;6701409503;57202475274;7006671649;35552011900;6603755309;16745995100;7102602445;","Sequential analysis of CD34+ and CD34- cell subsets in peripheral blood and leukapheresis products from breast cancer patients mobilized with SCF plus G-CSF and cyclophosphamide",2001,"Leukemia","15","3",,"430","439",,26,"10.1038/sj.leu.2402051","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035082869&doi=10.1038%2fsj.leu.2402051&partnerID=40&md5=a41decdf748a299bd84277fbc5d84380","Servicio General de Citometría, Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain; Centro de Investigaciones del Cáncer, Universidad de Salamanca, Salamanca, Spain; Servicio de Hematología y Oncología, Hospital Clínico, Universidad de Valencia, Valencia, Spain; Servicio de Oncología, Hospital Santa Creu I Sant Pau, Barcelona, Spain; Servicio de Oncología, Hospital 12 de Octubre, Madrid, Spain","Menéndez, P., Servicio General de Citometría, Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain, Centro de Investigaciones del Cáncer, Universidad de Salamanca, Salamanca, Spain; Prósper, F., Servicio de Hematología y Oncología, Hospital Clínico, Universidad de Valencia, Valencia, Spain; Bueno, C., Servicio General de Citometría, Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain, Centro de Investigaciones del Cáncer, Universidad de Salamanca, Salamanca, Spain; Arbona, C., Servicio de Hematología y Oncología, Hospital Clínico, Universidad de Valencia, Valencia, Spain; San Miguel, J.F., Servicio General de Citometría, Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain, Centro de Investigaciones del Cáncer, Universidad de Salamanca, Salamanca, Spain; García-Conde, J., Servicio de Hematología y Oncología, Hospital Clínico, Universidad de Valencia, Valencia, Spain; Solá, C., Servicio de Oncología, Hospital Santa Creu I Sant Pau, Barcelona, Spain; Hornedo, J., Servicio de Oncología, Hospital 12 de Octubre, Madrid, Spain; Cortés-Funes, H., Servicio de Oncología, Hospital 12 de Octubre, Madrid, Spain; Orfao, A., Servicio General de Citometría, Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain, Centro de Investigaciones del Cáncer, Universidad de Salamanca, Salamanca, Spain","Administration of stem cell factor (SCF) has been proven to enhance cytokine-induced mobilization of CD34+ hematopoietic progenitor cells (HPC) into the peripheral blood (PB). The aim of the present study was to explore in a homogeneous group of 22 uniformly treated breast cancer patients: (1) the kinetics of mobilization into PB of both CD34+ and CD34- cell subsets, including dendritic cells, in sequential samples obtained from day + 7 up to day + 12 after mobilization; and (2) the composition of the CD34+ and CD34- cell subsets present in the two leukapheresis products obtained for each patient. The following CD34+ and CD34- subsets were analyzed: early CD34+ HPC, erythroid-, myeloid- and B-lymphoid-committed CD34+ precursor cells, mature T, B and NK cells, monocytes, neutrophils, eosinophils, basophils, and dendritic cells (DC) including three subsets of lin-/HLADR+DC (CD16+, CD33high and CD123 high). Our results show that the absolute number of PB CD34+ HPC progressively increases from day + 7 onwards. As far as the CD34- PB leukocyte subsets are concerned, monocytes (CD14+) displayed the earliest recovery after mobilization predicting neutrophil recovery 1 day in advance. The number of CD34+ HPC collected in a single leukapheresis product was always ≥1.4 × 106 cells/kg body weight. No significant changes were observed between the two leukapheresis sessions either as regards their composition in CD34+ HPC subsets or their CD34- leukocyte populations except for a higher ratio of both CD34+ erythroid/CD34+ myeloid HPC (0.35 ± 0.13 vs 0.30 ± 0.13; P = 0.04) and neutrophils/monocytes (1.58 ± 2.1 vs 0.69 ± 0.27; P = 0.009) found for the first leukapheresis. Interestingly, the overall number of dendritic cells (DC) was higher in the second leukapheresis (1.06 ± 0.56 vs 1.9 ± 0.46; P = 0.02) due to a selective increase of the CD16+ antigen-presenting cells. In summary, our results show that the combination of cyclophosphamide, G-CSF and SCF is highly effective for stem cell mobilization, with differences observed in the mobilization kinetics of the different hematopoietic cell subsets analyzed.","CD34+ HPC; Flow cytometry; Hematopoeitic recovery; SCF","CD123 antigen; CD14 antigen; CD16 antigen; CD33 antigen; CD34 antigen; cyclophosphamide; cytokine; granulocyte colony stimulating factor; HLA DR antigen; lymphocyte antigen; stem cell factor; unclassified drug; adult; aged; antigen presenting cell; article; B lymphoblast; B lymphocyte; basophil; biological therapy; blood; bone marrow cell; breast cancer; cancer patient; cell count; cell kinetics; cell maturation; cell motility; cell subpopulation; clinical article; clinical trial; controlled clinical trial; controlled study; dendritic cell; eosinophil; erythroid cell; female; hematopoietic stem cell; human; human cell; human tissue; leukapheresis; leukocyte; monocyte; natural killer cell; neutrophil; prediction; priority journal; sequential analysis; stem cell; T lymphocyte",,"cyclophosphamide, 50-18-0",,"Amgen, United States","Dirección General de Universidades e Investigación 1FD97–0451 BEFI 98/9669 BMH4-CT97–2611 Consejería de Educación, Junta de Castilla y León","This work has been partially supported by: AMGEN Inc (Thousand Oaks, CA, USA), European Community BIOMED 2 program (Concerted Action BMH4-CT97–2611) and by FONDOS FEDER (1FD97–0451) from DGES, Madrid, Spain. P Menéndez is supported by a grant from Fondo de Investiga-ciones Sanitarias (FIS, BEFI 98/9669). C Bueno is supported by a grant from the Dirección General de Universidades e Investigación (Consejería de Educación y Cultura, Junta de Castilla y León; Valladolid, Spain). 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General de Citometría, Hospital Universitario de Salamanca, Paseo San Vicente 58-182, 37007 Salamanca, Spain",,,"Nature Publishing Group",,,,,08876924,,LEUKE,"11237067","English","Leukemia",Article,"Final",Open Access,Scopus,2-s2.0-0035082869 "Ormond M.","7801551522;","En route: Transport and Embodiment in International Medical Travel Journeys Between Indonesia and Malaysia",2015,"Mobilities","10","2",,"285","303",,25,"10.1080/17450101.2013.857812","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84922762906&doi=10.1080%2f17450101.2013.857812&partnerID=40&md5=43c11427cfff55e54af3fc32f63529b0","Cultural Geography Chair Group, Wageningen University, Wageningen, Netherlands","Ormond, M., Cultural Geography Chair Group, Wageningen University, Wageningen, Netherlands","Abstract: International medical travel is increasingly major business. Using Indonesian patient-consumers’ transport experiences in the pursuit of private medical care in Malaysia, this study explores how transport operators and infrastructure are responding and adjusting to the embodied specificities of the growing market’s access and travel needs. In offering faster and more frequent linkages, they have both expanded the physical and geo-political scope and increased the immediacy of care provision. This underscores the value of examining how the mobile spaces of transport common to international medical travel actively intersect with, blur and re-articulate diverse understandings of ill-health and impairment, care and subjectivity. © 2013, © 2013 Taylor & Francis.","air and land transport; international medical travel; medical tourism; private healthcare consumption; risk; therapeutic landscapes",,,,,,,,,"Adey, P., Bissell, D., McCormack, D., Merriman, P., Profiling the Passenger: Mobilities, Identities, Embodiments (2012) Cultural Geographies, 19 (2), pp. 169-193; http://www.thejakartapost.com/news/2010/05/12/hospital-cater-priceconscious-patients.html; Medical Tourism Statistics for 2002–2007 ; Bissell, D., Passenger Mobilities: Affective Atmospheres and the Sociality of Public Transport (2010) Environment and Planning D: Society and Space, 28, pp. 270-289; Budd, L.C.S., On Being Aeromobile: Airline Passengers and the Affective Experiences of Flight (2011) Journal of Transport Geography, 19, pp. 1010-1016; Büscher, M., Urry, J., Mobile Methods and the Empirical (2009) European Journal of Social Theory, 12 (1), pp. 99-116; Cattell, V., Dines, N., Gesler, W., Curtis, S., Mingling, Observing and Lingering: Everyday Public Spaces and their Implications for Well-being and Social Relations (2008) Health and Place, 14 (3), pp. 544-561; Chinai, R., Goswami, R., Medical Visas Mark Growth of Indian Medical Tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Connell, J., (2011) Medical Tourism, , Wallingford, CT: CABI; Connell, J., Contemporary Medical Tourism: Conceptualisation, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; Cresswell, T., Mobilities I: Catching Up (2010) Progress in Human Geography, 35 (4), pp. 550-558; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the Patient’s Experience of Medical Tourism? A Scoping Review (2010) BMC Health Services Research, 10 (266), pp. 1-12; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting Medical Tourism to India: Messages, Images and the Marketing of International Patient Travel (2011) Social Science and Medicine, 72, pp. 726-732; Eilenberg, M., Paradoxical Outcomes of National Schooling in the Borderland of West Kalimantan, Indonesia: The Case of the Iban (2005) Borneo Research Bulletin, 36, pp. 163-184; Exworthy, M., Peckham, S., Access, Choice and Travel: Implications for Health Policy (2006) Social Policy and Administration, 40 (3), pp. 267-287; Featherstone, M., Automobilities: An Introduction (2004) Theory, Culture and Society, 21 (4-5), pp. 1-24; Fitch, M.I., Gray, R.E., McGowan, T., Brunskill, I., Steggles, S., Sellick, S., Bezjak, A., McLeese, D., Travelling for Radiation Cancer Treatment: Patient Perspectives (2003) Psycho-Oncology, 12, pp. 664-674; Gatrell, A.C., (2011) Mobilities and Health, , Farnham: Ashgate; Gesler, W.M., Lourdes: Healing in a Place of Pilgrimage (1996) Health and Place, 2 (2), pp. 95-105; Gunawan, A., Residents Go Overseas for Check-up The Jakarta Post, , http://www.thejakartapost.com/news/2007/11/01/residents-go-overseas-checkup.html, Accessed June 6, 2012; Hall, C.M., James, M., Medical Tourism: Emerging Biosecurity and Nosocomial Issues (2011) Tourism Review, 66 (1-2), pp. 118-126; Hegney, D., Rogers-Clark, C., Buikstra, E., Close, but Still Too Far. The Experience of Australian People with Cancer Commuting from a Regional to a Capital City for Radiotherapy Treatment (2005) European Journal of Cancer Care, 14, pp. 75-82; Hulupi, M.E., Foreign Hospitals Still Gaining Ground The Jakarta Post, , http://www.thejakartapost.com/news/2006/04/16/foreign-hospitals-still-gaining-ground.html, Accessed June 6, 2012; Imrie, R., Disability and Discourses of Mobility and Movement (2000) Environment and Planning A, 32, pp. 1641-1656; http://www.irinnews.org/Report.aspx?ReportId=85600; Jain, J., The Classy Coach Trip (2011) Journal of Transport Geography, 19, pp. 1017-1022; Kangas, B., Hope from Abroad in the International Medical Travel of Yemeni Patients (2007) Anthropology and Medicine, 14 (3), pp. 293-305; Korcok, M., Cheap Prescription Drugs Creating New Brand of US Tourism in Canada, Mexico (2000) Canadian Medical Association Journal, 162 (13), pp. 1869-1870; Lautier, M., Export of Health Services from Developing Countries: The Case of Tunisia (2008) Social Science and Medicine, 67, pp. 101-110; Laurier, E., Lorimer, H., Brown, B., Jones, O., Juhlin, O., Noble, A., Perry, M., Driving and ‘Passengering’: Notes on the Ordinary Organisation of Car Travel (2008) Mobilities, 3 (1), pp. 1-23; Lee, Y.Y., Medical Tourism Taking Root The Borneo Post Online, , http://www.theborneopost.com/2012/05/12/medical-tourism-taking-root/, Accessed June 6, 2012; Lunt, N., Carrera, P., Systematic Review of Web Sites for Prospective Medical Tourists (2011) Tourism Review, 66 (1-2), pp. 57-67; MEDIF – Medical Information Form for Air Travel (2012), http://www.malaysiaairlines.com/content/dam/mas/master/en/pdf/travel-info/MEDIF_Forms.pdf, Accessed June 6, 2012; McGrath, P., Holewa, H., Reconceptualising Relocation for Specialist Treatment: Insights from New Zealand (2012) Support Cancer Care, 20, pp. 499-505; McKercher, B., Packer, T., Yau, M.K., Lam, P., Travel Agents as Facilitators or Inhibitors of Travel: Perceptions of People with Disabilities (2003) Tourism Management, 24 (4), pp. 465-474; (2009) Malaysia: Key Performance Indicators 2008, , Kuala Lumpur: Ministry of Tourism Malaysia; Musa, G., Thirumoorthi, T., Doshi, D., Travel Behaviour among Health Tourists in Kuala Lumpur (2012) Current Issues in Tourism, 15 (6), pp. 525-543; Ormond, M., Medical Tourism, Medical Exile: Responding to the Cross-border Pursuit of Healthcare in Malaysia (2011) Real Tourism: Practice, Care and Politics in Contemporary Travel, pp. 143-161. , Minca C., Oakes T., (eds), Abingdon: Routledge; Ormond, M., (2013) Neoliberal Governance and International Medical Travel in Malaysia, , Abingdon: Routledge; Ormond, M., Sothern, M., You, Too, can be an International Medical Traveler: Reading Medical Travel Guidebooks (2012) Health and Place, 18 (5), pp. 935-941; Roberts, N., Curran, S., Minogue, V., Shewan, J., Spencer, R., Wattis, J., A Pilot Study of the Impact of NHS Patient Transportation of Older People with Dementia (2010) International Journal of Alzheimer’s Disease, 2010, pp. 1-9; Sheller, M., Bodies, Cybercars and the Mundane Incorporation of Automated Mobilities (2007) Social and Cultural Geography, 8 (2), pp. 175-197; Smyth, F., Medical Geography: Therapeutic Places, Spaces and Networks (2005) Progress in Human Geography, 29 (4), pp. 488-495; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The ‘Patient’s Physician One-step Removed’: The Evolving Roles of Medical Tourism Facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the Ethics of Medical Tourism: Comparing Patient and Academic Perspectives (2012) Public Health Ethics, 5 (11), pp. 38-46; Snyder, J., Dharamsi, S., Crooks, V.A., Fly-by Medical Care: Conceptualizing the Global and Local Social Responsibilities of Medical Tourists and Physician Voluntourists (2011) Globalisation and Health, 7 (6), pp. 1-14; Solomon, H., Affective Journeys: The Emotional Structuring of Medical Tourism in India (2011) Anthropology and Medicine, 18 (1), pp. 105-118; Song, P., Biotech Pilgrims and the Transnational Quest for Stem Cell Cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Sarawak Wants MASwings to Fly Kuching-Pontianak-Yogyakarta Sector The Borneo Post Online, , http://www.theborneopost.com/2012/04/14/sarawak-wants-maswings-to-fly-kuching-pontianak-yogyakarta-sector/, Accessed June 6, 2012; MASwings’ BIMP-EAGA Flights won’t Affect Sabah, Sarawak Ops The New Straits Times, , http://www.nst.com.my/latest/maswings-bimp-eaga-flights-won-t-affect-sabah-sarawak-ops-1.40271, Accessed June 6, 2012; Then, S., Group Wants New Airline Formed to Cater to Domestic Flights The Borneo Post Online, , http://thestar.com.my/news/story.asp?file=/2011/10/3/sarawak/9619554&sec=sarawak, Accessed June 6, 2012; Tirtosudarmo, R., West Kalimantan as ‘Border Area’: A Political-Demography Perspective (2002) Antropologi Indonesia, , http://www.fisip.ui.ac.id/antropologi/httpdocs/jurnal/2002/sv/02rt_sv.pdf; van Eeuwijk, P., Old-age Vulnerability, Ill-health and Care Support in Urban Areas of Indonesia (2006) Ageing and Society, 28, pp. 61-80; Turner, L., News Media Reports of Patient Deaths Following ‘Medical Tourism’ for Cosmetic Surgery and Bariatric Surgery (2012) Developing World Bioethics, 12 (1), pp. 21-34; Vijaya, R.M., Medical Tourism: Revenue Generation or International Transfer of Healthcare Problems? (2010) Journal of Economic Issues, XLIV (1), pp. 53-69; Wilde, H., Roselieb, M., Hanvesakul, R., Phaosavasdi, S., Pruksapong, C., Expatriate Clinics and Medical Evacuation Companies are a Growth Industry Worldwide (2003) Journal of Travel Medicine, 10 (6), pp. 315-317; Woodman, J., (2008) Patients Beyond Borders, , 2nd ed, Chapel Hill, NC: Healthy Travel Media","Ormond, M.; Cultural Geography Chair Group, Wageningen University, PO Box 47, Netherlands",,,"Routledge",,,,,17450101,,,,"English","Mobilities",Article,"Final",,Scopus,2-s2.0-84922762906 "Kumar S., Breuing R., Chahal R.","55616292300;55091027000;55089242200;","Globalization of health care delivery in the United States through medical tourism",2012,"Journal of Health Communication","17","2",,"177","198",,25,"10.1080/10810730.2011.585699","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858262714&doi=10.1080%2f10810730.2011.585699&partnerID=40&md5=6faff72d21bb347614a09095e1fb2090","Opus College of Business, University of St. Thomas, Mail TMH 343, 1000 LaSalle Avenue, Minneapolis, MN 55403, United States","Kumar, S., Opus College of Business, University of St. Thomas, Mail TMH 343, 1000 LaSalle Avenue, Minneapolis, MN 55403, United States; Breuing, R., Opus College of Business, University of St. Thomas, Mail TMH 343, 1000 LaSalle Avenue, Minneapolis, MN 55403, United States; Chahal, R., Opus College of Business, University of St. Thomas, Mail TMH 343, 1000 LaSalle Avenue, Minneapolis, MN 55403, United States","This study highlights some of the inefficiencies in the U.S. health care system and determines what effect medical tourism has had on the U.S. and global health care supply chains. This study also calls attention to insufficient health communication efforts to inform uninsured or underinsured medical tourists about the benefits and risks and determines the managerial and cost implications of various surgical procedures on the global health care system into the future. This study evaluated 3 years (2005, 2007, and 2011) of actual and projected surgical cost data. The authors selected 3 countries for analysis: the United States, India, and Thailand. The surgeries chosen for evaluation were total knee replacement (knee arthroplasty), hip replacement (hip arthroplasty), and heart bypass (coronary artery bypass graft). Comparisons of costs were made using Monte Carlo simulation with variability encapsulated by triangular distributions. The results are staggering. In 2005, the amount of money lost to India and Thailand on just these 3 surgeries because of cost inefficiencies in the U.S. health care system was between 1.3 to 2 billion dollars. In 2011, because many more Americans are expected to travel overseas for health care, this amount is anticipated to rise to between 20 and 30.2 billion dollars. Therefore, more attention should be paid to health communication efforts that truly illustrate the benefits/risks of medical travel. The challenge of finding reliable data for surgeries performed and associated surgical cost estimates was mitigated by the use of a Monte Carlo simulation of triangular distributions. The implications from this study are clear: If the U.S. health care industry is unable to eliminate waste and inefficiency and thus curb rising costs, it will continue to lose surgical revenue to foreign health providers. © 2012 Copyright Taylor and Francis Group, LLC.",,"article; coronary artery bypass graft; economics; health care cost; health care delivery; hip arthroplasty; human; India; international cooperation; knee arthroplasty; medical tourism; Monte Carlo method; statistics; Thailand; United States; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Coronary Artery Bypass; Delivery of Health Care; Health Care Costs; Health Expenditures; Humans; India; Internationality; Medical Tourism; Monte Carlo Method; Thailand; United States",,,,,,,,"Understanding Rising Health Care Costs, , http://www.bcbsil.com/PDF/health_care_costs.pdf, BlueCross BlueShield of Illinois. (n.d.) Retrieved March 22, 2010; Carabello, L., A medical tourism primer for U.S. physicians (2008) Medical Practice Management, 23, pp. 291-292; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85, pp. 161-244; Christensen, C., Health care: The simple solution (2010) Business Week., , http://www.businessweek.com/magazine/content/10_11/b4170072396095.htm, (March 15). Retrieved April 12, 2010; (2008), http://www.costhelper.com/cost/health/knee-replacement.html, Costhelper.com. Knee replacement cost. Retrieved March 11, 2010; (2010), http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/ Documents/us_chs_MedicalTourismStudy(3).pdf, Deloitte Center for Health Solutions. Medical tourism: Consumers in search of value. Retrieved March 22, 2010; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) The McKinsey Quarterly, 4, pp. 80-81; Garg, N., India rising as the global hub of medical tourism (2008) Medical Tourism Magazine, , http://www.medicaltourismmag.com/issue-article/india-rising-as-the- global-hub-of-medical-tourism.html, Retrieved September 2, 2010; Grumney, R., Charting America's health care conundrum (2010) Minneapolis StarTribune, pp. OP1. , February 28; (2009), https://www.healthbase.com/hb/cm/Knee-Replacement-Surgery-Colorado- Patient-Dr-Sanjay-Pai-Wockhart-Hospitals-Banglore-India.html, Healthbase. Healthbase customer testimonials. Retrieved March 11, 2010; (2010), http://www.health-tourism.com, Health-Tourism.com. Medical tourism guide. Retrieved April 3, 2010; Henry, J., Kaiser, (2010) Family Foundation. U.S. Health Care Costs, , http://www.kaiseredu.org/topics_im.asp?imID=1&parentID=61&id=358, Retrieved April 12, 2010; Jagyasi, P., Developing quality healthcare practices for international patients (2010) Medical Tourism Magazine., , http://www.drprem.com/dr-prem-blog/2010/7/2/developing-quality- healthcare-practices-for-international-pa.html, Retrieved August 22, 2010; Livermore, A., (2010), http://www.miamiherald.com/2010/02/24/1498212/tackle-the-cost-of-medical- care.html#ixzz0m9lcEhct, Tackle the cost of medical care. Miami Herald. Retrieved April 12, 2010; Mason, A., Wright, K., Bogard, J., Framing medical tourism: An examination of appeal, risk, convalescence and accreditation in medical tourism websites (2009) The Annual Meeting of the National Communication Association 95th Annual Convention, , November Chicago Hilton & Towers, Chicago, IL; (2009), http://www.medicaltourismassociation.com/userfiles/files/ Hospital%20Survey%20Chart-FINAL(1).pdf, Medical Tourism Association. Hospital survey. Retrieved March 22, 2010; (2010), http://www.medicaltourismassociation.com/en/for-patients.html, Medical Tourism Association. Medical tourism sample surgery cost chart. Retrieved April 15, 2010; Meyers, A., Three reasons why doctors should care about medical tourism (2009) Medical Tourism Magazine., , http://www.medicaltourismmag.com/article/Doctors-Care-Medical-Tourism. html, Retrieved August 22, 2010; Mueller, M., (2010), http://www.insure.com/articles/healthinsurance/medical-tourism.html, That's the ticket: Insurance for medical tourism. Retrieved May 3, 2010; Health communication (2010) Healthy People 2010., , http://health.gov/communication/resources/Default.asp, Office of Disease Prevention and Health Promotion. Retrieved August 22, 2010; (2009), http://www.oecd.org/document/11/0,3343,en_2649_33929_16502667_1_1_1_1,00. html, Organization for Economic Co-operation and Development. Health at a glance, 2009. Retrieved March 7, 2010; Pafford, B., The third wave (2009) Southern Medical Journal, 102, pp. 810-813; Riczo, S., Riczo, S., Globalizing health care through medical tourism (2009) USA Today Magazine., , Retrieved February 26, 2010, from Academic Search Premier; Rosenthal, J., Medical tourism takes off (2009) National Geographic Traveler, 26 (4), pp. 10-16; (2009) National Health Expenditure Projections 2009-2019, 2008, , http://www.cms.hhs.gov/NationalHealthExpendData/downloads/proj2009.pdf, U.S. Department of Health and Human Services. Retrieved March 9, 2010; Vequist, D., Valdez, E., Morrison, B., Medical tourism economic report: Latin America versus Asia (2009) Medical Tourism Magazine, , http://www.viewsontourisum.info/2009/medical-tourism-economic-report- latin-america-versus-asia, Retrieved August 22, 2010; Wadhawan, V., Medical tourism in India: Seeking a differentiator (2010) Asian Hospital & Healthcare Management, , http://www.asianhhm.com/healthcare_management/medical_tourism_India.htm, Retrieved September 2, 2010","Kumar, S.; Opus College of Business, University of St. Thomas, Mail TMH 343, 1000 LaSalle Avenue, Minneapolis, MN 55403, United States; email: skumar@stthomas.edu",,,,,,,,10810730,,,"22150120","English","J. Health Commun.",Article,"Final",,Scopus,2-s2.0-84858262714 "Kelly C.","10144553400;","Wellness tourism: Retreat visitor motivations and experiences",2012,"Tourism Recreation Research","37","3",,"205","213",,25,"10.1080/02508281.2012.11081709","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979731425&doi=10.1080%2f02508281.2012.11081709&partnerID=40&md5=c7eeff2bf411a575ee38c7f6c580c253","Department of Marketing, Events and Tourism, The Business School, University of Greenwich, London, SE10 9LS, United Kingdom","Kelly, C., Department of Marketing, Events and Tourism, The Business School, University of Greenwich, London, SE10 9LS, United Kingdom","This paper presents an analysis of visitors who engage with retreat tourism, a specialty subsector of wellness tourism. Retreats are usually centres or venues with a pre-prescribed aim of providing a combination of activities, practices and treatments aimed to balance body, mind and spirit in calming, supportive contexts. Wider research has been conducted in recent years on health and wellness tourism, which usefully gives an overview of product and tourist typologies. More in-depth research is presented here, beyond the spa and medical sectors, which have gained the most attention to date. The aim of this work follows on from the author’s previous work on retreat operators, to give insight this time to the retreat visitor. Analyses of visitor profiles, characteristics, motivations and behaviours are presented. Methodologically, interviews, questionnaires, participant observation and secondary content analysis are all used to survey retreat participants in different countries. A combination of purpose-built, temporary venues and multi-location retreat companies were sampled to give a breadth of touristic experience. Visitor perspectives on preferred activities, operational issues, regulation and feedback about their experiences are presented within their own right and also within the context of wider wellness tourism, for comparative purposes. Research findings indicate important differences between retreat visitors and general tourists in terms of the often very personal experiences encountered, and therefore the concomitant responsibility of the sector to provide quality instructors and adequate care. The dearth of prior research on this specific special interest tourism niche allows for this work to fill an existing gap in the research literature. © 2012 Tourism Recreation Research.","Health; Holistic; Retreat; Spiritual; Visitor; Wellness tourism; Yoga",,,,,,,,,"Bennett, M., King, B., Milner, L., The Health Resort Sector in Australia: A Positioning Study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; Brown, M., (1998) The Spiritual Tourist, , London. Bloomsbury; Cockerell, N., Trew, J., (2003) Health and Spa Tourism in the Uk-The Potential. Tourism Insights, , http://www.insights.org.uk, Accessed on 12 May 2012; Cohen, E., Towards a Sociology of International Tourism (1972) Social Research, 39 (1), pp. 64-82; Cohen, E., A Phenomenology of Tourist Experiences (1979) Sociology, 13, pp. 179-201; Connell, J., Medical Tourism: Sea, Sun, Sand and…Surgery (2006) Tourism Management, 27, pp. 1093-1100; Corvo, P., The Pursuit of Happiness and the Globalized Tourist (2011) Social Indicators Research, 102, pp. 93-97; Ernst, E., Obstacles to Research in Complementary and Alternative Medicine (2003) Medical Journal of Australia, 179 (6), pp. 279-280; The Development of Health Tourism Services (2005) Annals of Tourism Research, 32 (1), pp. 262-266. , GARCIA-ATLES; Hallab, Z., Yoon, Y., Muzaffer, U., Segmentation Based on the Healthy Living Attitude: A Market’s Travel Behaviour (2003) Journal of Hospitality and Leisure Marketing, 10 (3-4), pp. 185-198; Harmsworth, S., The Latest Trends and Developments in the Health and Spa Market (2004) Tourism Insights, , http://www.insights.org.uk, Accessed on 10 November 2009; (2000) Select Committee Report on Complementary and Alternative Medicine, , http://www.publications.parliarnent.uk, Accessed on 20 June 2012; (2001) International Spa Association’s Membership Survey, , www.spas.about.com/library/weekly/aa012702c.htm, Accessed on 12 May 2012; Kelly, C., Analysing Wellness Tourism Provision: A Retreat Operators’ Study (2010) Journal of Hospitality and Tourism Management Volume, (17), pp. 108-116; Kelly, C., Smith, M., Holistic Tourism: Integrating Body Mind and Spirit (2008) Wellness Tourism: Mind, Body, Spirit, Place, , Sheldon, P. and Bushell, R, New York. Cognizant; McCabe, S., Who is a Tourist? A Critical Review (2005) Tourist Studies, 5 (1), pp. 85-106; Mehmetoglu, M., A Typology of Tourists from a Different Angle (2004) International Journal of Hospitality and Tourism Administration, 5 (3), pp. 69-90; Millar, J.S., Hull, C., Measuring Human Wellness (1997) Social Indicators Research, 40, pp. 147-158; (2007) Tourism Sector Report on Holistic Tourism, , http://www.mintel.com, London. Mintel International Group Ltd, Accessed on 25 June 2012; Novelli, M., (2005) Niche Tourism: Contemporary Issues, Trends and Cases, , London. Taylor and Francis; Pesonen, J., Laukkanen, T., Komppula, R., Benefit Segmentation of Potential Well-being Tourists (2011) Journal of Vacation Marketing, 17 (4), pp. 303-314; (2007) Directory of Retreats Homepage, , http://www.retreatsonline.com, Accessed on 25 June 2012; Smith, M., Kelly, C., Journeys of the Self: The Rise of the Wellness Tourism Sector (2006) Tourism Recreation Research, 31 (1), pp. 15-25; Smith, M., Puckzo, L., (2008) Health and Wellness Tourism, , Oxford. Butterworth-Heinemann; Wickens, E., The Sacred and the Profane: A Tourist Typology (2002) Annals of Tourism Research, 29 (3), pp. 834-851","Kelly, C.; Department of Marketing, Events and Tourism, The Business School, University of GreenwichUnited Kingdom; email: c.kelly@gre.ac.uk",,,"Taylor and Francis Ltd.",,,,,02508281,,,,"English","Tour. Recreat. Res.",Article,"Final",,Scopus,2-s2.0-84979731425 "Hall C.M., James M.","55017070000;57188738674;","Medical tourism: Emerging biosecurity and nosocomial issues",2011,"Tourism Review","66",,,"118","126",,25,"10.1108/16605371111127288","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84993099041&doi=10.1108%2f16605371111127288&partnerID=40&md5=8a43d50f81bac74eb211b5a45bb5ffd2","Department of Management, University of Canterbury, Christchurch, New Zealand; Shenton Park, Perth, Australia","Hall, C.M., Department of Management, University of Canterbury, Christchurch, New Zealand; James, M., Shenton Park, Perth, Australia","The major purpose of this research note is to explore some of the potential biosecurity and nosocomial risks associated with international medical tourism. The note reviews relevant medical tourism and cognate literature. The note finds that there are substantial risks associated with nosocomial infections and complications as a result of international tourism. Although these are clearly significant at an individual level they also represent significant biosecurity risks to the home country of medical tourists and particularly to medical facilities which they may visit if they have an infection. Medical tourists are therefore identified by the medical community as posing significant risks for the spread of pandemics, as well as further contributing to increased antibiotic resistance. Further systematic research is required to assess risk management strategies including the appropriateness of international and national regulations which currently shows considerable variability. The development of international medical tourism is demonstrated to have potentially significant negative implications for global public health. The relevance of the paper lies in its identification of considerable risks associated with international medical tourism which may have considerable economic and personal costs associated with them. Such risks are not usually incorporated into assessments of the economic benefits of medical tourism. © 2011, Emerald Group Publishing Limited","Communicable diseases; International travel; Medical treatment; Public health; Tourism",,,,,,,,,"Allegranzi, B., Nejad, S.B., Combescure, C., Graafmans, W., Attar, H., Donaldson, L., Didier, D., Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis (2011) The Lancet, 377 (9761), pp. 228-241; Balaban, V., Marano, C., Medical tourism research: a systematic review (2010) International Journal of Infectious Diseases, 14, p. e135. , (supplement 1), 14th International Congress on Infectious Diseases (ICID) Abstracts; Bell, C., Lewis, M., The economic implications of epidemics old and new (2005) Center for Global Development Working Paper, (54). , Center for Global Development, Washington, DC; Bhattacharya, S., Price, N., Boxall, E., Adu, D., Lipkin, G., Smith, S., Osman, H., Holiday haemodialysis and imported hepatitis C virus infection: a series of sixteen cases in two large haemodialysis units (2009) Journal of Clinical Virology, 4 (4), pp. 296-299; Cantn, R., Lumb, J., Emerging resistance in Gram-negative pathogens and implications for clinical practice (2011) Future Microbiology, 6, pp. 19-22; Rapidly growing mycobacterial infection following liposuction and liposculpture – Caracas, Venezuela, 1996-1998 (1998) Morbidity and Mortality Weekly Report, 47 (49), pp. 1065-1067; Brief report: nontuberculous mycobacterial infections after cosmetic surgery – Santo Domingo, Dominican Republic, 2003-2004 (2004) Morbidity and Mortality Weekly Report, 53 (23), p. 509; Cheung, I.K., Wilson, A., Arthroplsty tourism (2007) Medical Journal of Australia, 187 (11-12), pp. 666-667; Coker, R., Mounier-Jack, S., Pandemic influenza preparedness in the Asia-Pacific region (2006) The Lancet, 368 (9538), pp. 886-889; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10; Dettenkofer, M., Wilson, C., Ebner, W., Norgauer, J., Rüden, H., Daschner, F.D., Surveillance of nosocomial infections in dermatology patients in a German university hospital (2003) British Journal of Dermatology, 149 (3), pp. 620-623; (2009) Medical Travel in Asia and the Pacific: Challenges and Opportunities, , United Nations Economic and Social Commission for Asia and the Pacific, Bangkok; Fahey, B.J., Behavioral and cultural aspects of transmission and infection (2007) Emerging Infectious Diseases: Trends and Issues, pp. 443-482. , in Lashley, F.R. and Durham, J.D. (Eds) 2nd ed., Springer, New York, NY; Feng, J., Huang, J., Nicoll, A., Foresight China II: identification and detection of infectious diseases (2008) Proceedings of the International Workshop on Biosurveillance and Biosecurity, BioSecure 2008, pp. 32-41. , in Zheng, D., Chen, H., Rolka, H. and Lober B. (Eds) Springer, Berlin; Fernando, G.A.T.P., Collignon, P.J., Bell, J.M., A risk for returned travellers: the ‘post-antibiotic era (2010) Medical Journal of Australia, 193 (1), p. 59; Field, V., Parola, P., Travel and migration associated infectious diseases morbidity in Europe, 2008 (2010) BMC Infectious Diseases, 10; Greig, J.D., Lee, M.B., Enteric outbreaks in long-term care facilities and recommendations for prevention: a review (2009) Epidemiology and Infection, 137, pp. 145-155; Hall, C.M., Biosecurity and wine tourism (2005) Tourism Management, 26, pp. 931-938; Hall, C.M., (2005) Tourism: Rethinking the Social Science of Mobility, , Prentice-Hall, Harlow; Hall, C.M., Tourism, disease and global environmental change: the fourth transition (2006) Tourism and Global Environmental Change: Ecological, Economic, Social and Political Interrelationships, pp. 159-179. , in Gössling, S. and Hall, C.M. 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(2002) Current Opinion in Infectious Diseases, 15 (4), pp. 415-419; Waterer, G., Controlling epidemic viral infection (2011) Current Opinion in Infectious Diseases, , http://journals.lww.com/co-infectiousdiseases/Abstract/publishahead/Controlling_epidemic_viral_infection.99830.aspx, 19 January, Post Author Corrections, available at:, (accessed 1 February 2011); (2002) Prevention of Hospital-Acquired Infections: A Practical Guide, , 2nd ed., Department of Communicable Disease, Surveillance and Response, World Health Organization, Geneva, (WHO/CDS/CSR/EPH/2002.12); (2007) International Health Regulations, , (2005): Areas of Work for Implementation World Health Organization, Geneva, WHO/CDS/EPR/IHR/2007.1; (2008) International Health Regulations, , (2005) 2nd ed., World Health Organization, Geneva; Wilson, M.E., Travel and the emergence of infectious diseases (1995) Journal of Emerging Infectious Diseases, 1 (2), pp. 39-46; Wilson, M.E., Global travel and emerging infections (2010) Infectious Disease Movement in a Borderless World, Microbial Threats Forum, pp. 90-104. , Institute of Medicine, The National Academies Press, Washington, DC; Yong, D., Toleman, M.A., Giske, C.G., Cho, H.S., Sundman, K., Lee, K., Walsh, T.R., Characterization of a new metallo-betalactamase gene, blaNDM−1, and a novel erythromycin esterase gene carried on a unique genetic structure in Klebsiella pneumoniae sequence type 14 from India (2009) Antimicrobial Agents and Chemotherapy, 53 (12), pp. 5046-5054; Kiatpongsan, S., Sipp, D., Offshore stem cell treatments (2008) Nature Reports Stem Cells, , Published online: 3 December","James, M.Shenton Park, Perth, Australia",,,,,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-84993099041 "Widdows H.","16417897100;","Localized past, globalized future: Towards an effective bioethical framework using examples from population genetics and medical tourism",2011,"Bioethics","25","2",,"83","91",,25,"10.1111/j.1467-8519.2010.01868.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650373640&doi=10.1111%2fj.1467-8519.2010.01868.x&partnerID=40&md5=d70e6d208e05aba2f9146659d8321100","Department of Philosophy at the University of Birmingham, United Kingdom","Widdows, H., Department of Philosophy at the University of Birmingham, United Kingdom","This paper suggests that many of the pressing dilemmas of bioethics are global and structural in nature. Accordingly, global ethical frameworks are required which recognize the ethically significant factors of all global actors. To this end, ethical frameworks must recognize the rights and interests of both individuals and groups (and the interrelation of these). The paper suggests that the current dominant bioethical framework is inadequate to this task as it is over-individualist and therefore unable to give significant weight to the ethical demands of groups (and by extension communal and public goods). It will explore this theme by considering the inadequacy of informed consent (the 'global standard' of bioethics) to address two pressing global bioethical issues: medical tourism and population genetics. Using these examples it will show why consent is inadequate to address all the significant features of these ethical dilemmas. Four key failures will be explored, namely,• That the rights and interests of those related (and therefore affected) are neglected;• That consent fails to take account of the context and commitments of individuals which may constitute inducement and coercion;• That consent alone does not have the ethical weight to negate exploitation or make an unjust action just ('the fallacy of sufficiency');• That consent is a single one-off act which is inappropriate for the types of decision being made. It will conclude by suggesting that more appropriate models are emerging, particularly in population genetics, which can supplement consent. © 2010 Blackwell Publishing Ltd.","Future; Global; Groups; Informed consent; Medical tourism; Population genetics","article; bioethics; ethics; health care facility; human; informed consent; international cooperation; medical tourism; population genetics; theoretical model; transplantation; vulnerable population; Bioethics; Biological Specimen Banks; Genetics, Population; Humans; Informed Consent; Internationality; Medical Tourism; Models, Theoretical; Tissue and Organ Procurement; Vulnerable Populations",,,,,,,,,"Widdows, H.; Department of Philosophy, University of Birmingham, Arts Building, Edgbaston, Birmingham, B15 2TTh, United Kingdom; email: widdows@bham.ac.uk",,,,,,,,02699702,,BIETE,"21175711","English","Bioethics",Article,"Final",,Scopus,2-s2.0-78650373640 "Migge B., Gilmartin M.","56077195800;56243285700;","Migrants and healthcare: Investigating patient mobility among migrants in Ireland",2011,"Health and Place","17","5",,"1144","1149",,25,"10.1016/j.healthplace.2011.05.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80052537845&doi=10.1016%2fj.healthplace.2011.05.002&partnerID=40&md5=e390aa13244e68fcdf58fbc1d78ea5a1","School of Irish, Celtic Studies, Irish Folklore and Linguistics, UCD, Belfield, Dublin 4, Ireland; Department of Geography, NUI Maynooth, Maynooth, Co Kildare, Ireland","Migge, B., School of Irish, Celtic Studies, Irish Folklore and Linguistics, UCD, Belfield, Dublin 4, Ireland; Gilmartin, M., Department of Geography, NUI Maynooth, Maynooth, Co Kildare, Ireland","Drawing on detailed interviews with 60 recent migrants to Ireland, we discuss the extent and nature of patient mobility. The paper is framed by the typology of patient mobility outlined by Glinos et al. (2010), which highlights patient motivation and funding. We pay particular attention to four key areas: availability of health care for migrants living in Ireland; affordability of care as a push factor for patient mobility; how migrants' perceptions of care affect their decision about where to avail of care; and the impact of familiarity on patient mobility. We provide empirical support for this typology. However, our research also highlights the fact that two factors - availability and familiarity - require further elaboration. Our research demonstrates the need for greater levels of awareness of culture specificity on the part of both migrants and healthcare providers. It also highlights the need to investigate the social and spatial activities of migrants seeking health care, both within and beyond national boundaries. © 2011 Elsevier Ltd.","Healthcare; Ireland; Migrants; Patient mobility","health care; health services; international migration; mobility; article; funding; health care; health care access; health care availability; health care personnel; health service; human; Ireland; migration; motivation; patient mobility; priority journal; Ireland",,,,,"Irish Research Council for the Humanities and Social Sciences, IRCHSS","This research project (entitled ‘Towards a dynamic approach to research on migration and integration') was funded by the Irish Research Council for the Humanities and Social Sciences, and we gratefully acknowledge their support. Thanks also to Owen McCarney for his help in making sense of the interviews, to Ronan Foley for his thorough comments on an earlier draft of this paper, to the referees for their insightful comments, and to the interviewees who shared their experiences of living in Ireland with us.",,"Baumann, A., Fardy, H., Harris, P., Getting it right: why bother with patient centred care? (2003) Medical Journal of Australia, 179, pp. 253-256; Bartley, M., Plewis, I., Does health-selective mobility account for socioeconomic differences in health? Evidence from England and Wales 1971-1991? (1997) Journal of Health and Social Behavior, 38, pp. 376-386; Boyle, P., Norman, P., Migration and health (2009) A Companion to Health and Medical Geography, pp. 346-374. , Wiley-Blackwell, Oxford, T. Brown, S. McLafferty, G. 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Fanning (Ed.); Sheller, M., Urry, J., The new mobilities paradigm (2006) Environment and Planning A, 38, pp. 207-226; Steward, M., Towards a global definition of patient-centred care (2001) British Medical Journal, 322, pp. 444-445; White, A., Gilmartin, M., Critical geographies of citizenship and belonging in Ireland (2008) Women's Studies International Forum, 31 (5), pp. 390-399","Gilmartin, M.; Department of Geography, NUI Maynooth, Maynooth, Co Kildare, Ireland; email: mary.gilmartin@nuim.ie",,,"Elsevier Ltd",,,,,13538292,,HEPLF,,"English","Health Place",Article,"Final",,Scopus,2-s2.0-80052537845 "Turner L.","7202689997;","'Medical tourism' initiatives should exclude commercial organ transplantation",2008,"Journal of the Royal Society of Medicine","101","8",,"391","394",,25,"10.1258/jrsm.2008.080058","https://www.scopus.com/inward/record.uri?eid=2-s2.0-49649089783&doi=10.1258%2fjrsm.2008.080058&partnerID=40&md5=c959f0c4436a4a96ae105d5b3017916a","Biomedical Ethics Unit, McGill University, 3647 Peel Street, Montreal, QC H3A 1X1, Canada","Turner, L., Biomedical Ethics Unit, McGill University, 3647 Peel Street, Montreal, QC H3A 1X1, Canada",[No abstract available],,"advertizing; commercial phenomena; esthetic surgery; health care industry; health care policy; health economics; human; Internet; kidney donor; kidney failure; kidney transplantation; medical care; medical ethics; medical tourism; nephrectomy; organ transplantation; Philippines; review; social justice; tourism; Compensation and Redress; Health Services; Humans; Interprofessional Relations; Marketing of Health Services; Private Sector; Public Sector; Tissue and Organ Procurement; Travel",,,,,,,,"Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27, pp. 1093-1100; Turner, L., First World Healthcare at Third World Prices': Globalization, Bioethics and Medical Tourism (2007) BioSocieties, 2, pp. 303-325; Bramstedt, K., Xu, J., Checklist: Passport, Plane Ticket, Organ Transplant (2007) Am J Transplant, 7, pp. 1698-1701; Scheper-Hughes, N., Keeping an eye on the global traffic in human organs (2003) Lancet, 361, pp. 1645-1648; Scheper-Hughes, N., Parts unknown: Undercover ethnography of the organs-trafficking underworld (2004) Ethnography, 5, pp. 29-73; http://www.incredibleindia.org/newsite/cms_Page.asp; Walsh, D., Human organs swap meet: Destitute Pakistani villagers supply demands of burgeoning trade (1976) San Francisco Chronicle, pp. A2. , February 25;; Barker, K., Desperation spurs poor Pakistanis to sell kidneys (2007) Chicago Tribune, , August 26; http://www.philippinemedicaltourism.info; http://pia.gov.ph/?m=12&sec=reader&rp=3&fi=p070602.htm&no=21&date=06/02/2007; http://www.mofa.gov.sa/Detail.asp?InSectionID=3050&InNewsItemID=65860; http://www.dfa.gov.ph/news/pr/pr2007/may/pr402.pdf; http://www.asia-transplant.com/en/all-transplant-fee.html; http://www.rxpinoy.com/medicaltourismphilippines/v2/spec-stage.php?ac=none&yesbodypart=false&p_type=medical&procedure=transplant; http://www.uniquehospitals.com/pages/overseas; Goyal, M., Mehta, R., Schneiderman, L., Sehgal, A., Economic and Health Consequences of Selling a Kidney in India (2002) JAMA, 288, pp. 1589-1593; Naqvi, S., Ali, B., Mazhar, F., Zafar, M., Rizvi, S., A socioeconomic survey of kidney vendors in Pakistan (2007) Transplant Int, 20, pp. 934-939; Cohen, L., Where it hurts: Indian material for an ethics of organ transplantation (1999) Daedalus, 128, pp. 135-165; http://www.redcop.org/Transplant%20Centers.htm; Esguerra, C., Kidney ethics: Gratitudinal gift OK, not outright sale (2006) Inquirer, , November 5","Turner, L.; Biomedical Ethics Unit, McGill University, 3647 Peel Street, Montreal, QC H3A 1X1, Canada; email: leigh.turner@mcgill.ca",,,,,,,,01410768,,JRSMD,"18687861","English","J. R. Soc. Med.",Review,"Final",Open Access,Scopus,2-s2.0-49649089783 "Laing J., Weiler B.","7006035125;6604062840;","Mind, body and spirit: Health and wellness tourism in Asia",2007,"Asian Tourism: Growth and Change",,,,"379","389",,25,"10.4324/9780080556208","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906210471&doi=10.4324%2f9780080556208&partnerID=40&md5=661b4c848ed064e42c323cdc9f703910","Tourism Research Unit, Monash University, Australia","Laing, J., Tourism Research Unit, Monash University, Australia; Weiler, B., Tourism Research Unit, Monash University, Australia",[No abstract available],,,,,,,,,,"Ardell, D.B., (1986) High level wellness, , 2nd ed.Berkeley, CA, Ten Speed Press; Bacon, W., The rise of the German and the demise of the English spa industry: A critical analysis of business success and failure (1997) Leisure Studies, 16, pp. 173-187; Burt, B., Price, P., (2003) 100 best spas of the world, , 2nd ed.Guilford, CT, The Globe Pequot Press; (2007) Spa cuisine concept and philosophy, , http://www.chivasom.com/content/cuisine/cuisine_chivasom.htm, Chiva-Som. accessed 25 January 2007; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Medical tourism: The newest of niches (2006) Tourism Recreation Research, 31 (1), pp. 99-102; Spa pavilions (2007) The Weekend Australian Magazine, pp. 38-40. , Eggleton. 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The case of Singapore (2004) Tourism and Hospitality Research, 5 (2), pp. 170-180; (2005) Medical tourism, Asia's growth industry, , http://www.hotelmarketing.com/index.php/content/article/060410_medical_tourism_asias_growth_industry/, HotelMarketing.com. accessed 25 January 2007; (2007) Visiting a spa, , http://www.experienceispa.com/ISPA/Visit/default.htm, International Spa Association. accessed 24 April 2007; Kaspar, C., A new lease of life for spa and health tourism. Research note (1990) Annals of Tourism Research, 17 (2), pp. 298-299; Kaspar, C., Gesundheitstourismus im trend (1996) Jahrbuch der Schweizer Tourismuswirtschaft 1995/96, 7 (1), pp. 53-61. , [Cited in Mueller , H. , & Kaufmann , E. L. (2001). Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry. 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February 17; McNeil, K.R., Ragins, E.J., Staying in the spa marketing game: Trends, challenges, strategies and techniques (2005) Journal of Vacation Marketing, 11 (1), pp. 31-39; Monteson, P.A., Singer, J., Marketing a resort-based spa (2004) Journal of Vacation Marketing, 10 (3), pp. 282-287; Mudur, G., Hospitals in India woo foreign patients (2004) British Medical Journal, 328 (5 JUNE), p. 1338; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Nahrstedt, W., Wellness: A new perspective for leisure centers, health tourism and spas in Europe on the global health market (2004) The tourism and leisure industry: Shaping the future, pp. 181-198. , K. Weiermair & C. Mathies Eds., New York, The Haworth Hospitality Press; Pine II, J.B., Gilmore, J.H., Welcome to the experience economy (1998) Harvard Business Review, pp. 97-105. , July-August; Puczkó, L., Bachvarov, M., Spa, bath, thermae: What's behind the labels? (2006) Tourism Recreation Research, 31 (1), pp. 83-91; Raja, M., India's medical tourism injection (2004) Asia Times Online, , http://www.atimes.com/atimes/printN.html, accessed 25 January 2007; Ryall, J., Japanese spas feel the heat over 'tap water and bath salts' scandal (2007) Sunday Telegraph, , 4 March; Schobersberger, W., Greie, S., Humpeler, E., Alpine health tourism: Future prospects from a medical perspective (2004) The Tourism and leisure industry: Shaping the future, pp. 199-208. , K. Weiermair & C. Mathies Eds., New York, The Haworth Hospitality Press; Schofield, P., Health tourism in the Kyrgyz Republic: The Soviet salt mine experience (2004) New horizons in tourism: Strange experiences and stranger practices, pp. 135-146. , T. V. Singh Ed., Wallingford, CAB International; Smith, M., Kelly, C., Holistic tourism: Journeys of the self? (2006) Tourism Recreation Research, 31 (1), pp. 15-24; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; (2007) Spa sensation: Thailand's rise to spa capital of Asia, , http://www.tatnews.org/emagazine/2634.asp, TAT News. accessed 25 January 2007. Tourism Authority of Thailand; (2006) Medical tourism: a global analysis, , TRAM, Tourism Research and Marketing. London, TRAM; (2006) Mega-trends of tourism in Asia-Pacific, , UNWTO. Madrid, World Tourism Organisation; Wight, P., Ecotourism: Ethics or eco-sell? (1993) Journal of Travel Research, 31 (3), pp. 3-9; Wightman, D., Wall, G., The spa experience at radium hot springs (1985) Annals of Tourism Research, 12, pp. 393-416; Yara, S., (2006) Wed like a celeb, , http://www.forbes.com/2006/04/18/celebrity-weddings-luxury_cx_sy_0419feat_ls.html, Forbes.com 19 April, accessed 26 September 2006","Laing, J.; Tourism Research Unit, Monash UniversityAustralia",,,"Elsevier",,,,,,9780080556208,,,"English","Asian Tour.: Growth and Change",Book Chapter,"Final",,Scopus,2-s2.0-84906210471 "Noree T., Hanefeld J., Smith R.","56148513800;26430746700;55746369800;","Medical tourism in Thailand: A cross-sectional study [Le tourisme médical en Thaïlande: Étude transversale] [Turismo sanitario en Tailandia: Un estudio transversal]",2016,"Bulletin of the World Health Organization","94","1",,"30","36",,24,"10.2471/BLT.14.152165","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84953260718&doi=10.2471%2fBLT.14.152165&partnerID=40&md5=5a99c5476e7964db3fe75e2c07fd57b9","Ministry of Public Health, Tiwanon Road, Nonthaburi, 11000, Thailand; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; London School of Hygiene and Tropical Medicine, London, United Kingdom","Noree, T., Ministry of Public Health, Tiwanon Road, Nonthaburi, 11000, Thailand; Hanefeld, J., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; Smith, R., London School of Hygiene and Tropical Medicine, London, United Kingdom","Objective To investigate the magnitude and characteristics of medical tourism in Thailand and the impact of such tourism on the Thai health system and economy. Methods In 2010, we checked the records of all visits to five private hospitals that are estimated to cover 63% of all foreign patients. We reviewed hospital records of foreign patients and obtained data on their countries of origin, diagnoses and interventions. We surveyed 293 medical tourists to collect demographic characteristics and information on their expenditure and travelling companions. To help understand the impact of medical tourism on the Thai health system, we also interviewed 15 hospital executives and 28 service providers from the private hospitals. Findings We obtained 911 913 records of hospital visits, of which 324 906 came from 104 830 medical tourists. We estimated that there were 167 000 medical tourists in Thailand in 2010. Of the medical tourists who attended our study hospitals, 67 987 (64.8%) came from the eastern Mediterranean region or Asia and 109 509 (34%) of them were treated for simple and uncomplicated conditions – i.e. general check-ups and medical consultations. The mean self-reported non-medical expenditure was 2750 United States dollars. According to the hospital staff interviewed, medical tourism in 2010 brought benefits to – and apparently had no negative impacts on – the Thai health system and economy. Conclusion We estimate that the total number of medical tourists visiting Thailand is about 10% of previous national government estimates of 1.2 million. Such tourists appear to bring economic benefits to Thailand and to have negligible effects on the health system. © 2015, World Health Organization. All rights reserved.",,"demographic survey; economic analysis; estimation method; governance approach; hospital sector; theoretical study; tourism; clinical trial; consultation; controlled clinical trial; controlled study; cross-sectional study; diagnosis; doctor patient relation; economic aspect; government; hospital personnel; human; medical record; medical tourism; multicenter study; Southern Europe; Thailand; travel; cost; cross-sectional study; economics; health care delivery; interview; medical tourism; statistics and numerical data; Thailand; trends; Mediterranean Region; Thailand; Costs and Cost Analysis; Cross-Sectional Studies; Delivery of Health Care; Humans; Interviews as Topic; Medical Tourism; Thailand",,,,,,,,"Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13. , http://dx.doi.org/10.1016/j.tourman.2012.05.009; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Math Comput Model, 46 (7-8), pp. 1144-1159. , http://dx.doi.org/10.1016/j.mcm.2007.03.027; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31 (2), pp. 185-198. , http://dx.doi.org/10.1057/jphp.2010.10, Jul, PMID: 20535101; Horowitz, M.D., Rosensweig, J.A., Medical tourism-health care in the global economy (2007) Physician Exec, 33 (6), pp. 24-26. , Nov-Dec, PMID: 18092615; Heung, V., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Manage, 32 (5), pp. 995-1005. , http://dx.doi.org/10.1016/j.tourman.2010.08.012; Herrick, M.D., (2007) Medical tourism: Global competition in healthcare, , http://www.ncpa.org/pdfs/st304.pdf, Dallas: National Center for Policy Analysis; [cited 2015 Sep 13]; (2008) Medical tourism: Consumers in search of value, , http://www.academia.edu/9144718/Medical_Tourism_Consumers_in_Search_of_Value_Produced_by_the_Deloitte_Center_for_Health_Solutions, Washington: Deloitte Center for Health Solutions [cited 2015 Sep 10]; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Manage, 27 (6), pp. 1093-1100. , http://dx.doi.org/10.1016/j.tourman.2005.11.005; Johnson, T.J., Garman, A.N., Impact of medical travel on imports and exports of medical services (2010) Health Policy, 98 (2-3), pp. 171-177. , http://dx.doi.org/10.1016/j.healthpol.2010.06.006, Dec, PMID: 20619919; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the NHS? 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[cited 2014 Aug 5]; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system (2014) J Travel Med, 21 (6), pp. 410-417. , http://dx.doi.org/10.1111/jtm.12147, Nov-Dec, PMID: 25156070; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2-3), pp. 276-282. , http://dx.doi.org/10.1016/j.healthpol.2011.06.009, Dec, PMID: 21767892; (2010) International statistical classifications of diseases and related health problems, 10th revision, , http://apps.who.int/classifications/icd10/browse/2010/en, Geneva: World Health Organization [cited 2014 Jul 18]; (2010) Executive summary: A development of Thailand medical hub policy, , Nonthaburi: Ministry of Public Health; Noree, T., Hanefeld, J., Smith, R., UK medical tourists in Thailand: They are not who you think they are (2014) Global Health, 10 (1), p. 29. , http://dx.doi.org/10.1186/1744-8603-10-29, PMID: 24885204; Wibulpolprasert, S., Pengpaibon, P., Integrated strategies to tackle the inequitable distribution of doctors in Thailand: Four decades of experience (2003) Hum Resour Health, 1 (1), p. 12. , http://dx.doi.org/10.1186/1478-4491-1-12, Nov 25, PMID: 14641940; (2012) Thailand health profile 2008-2010, , Nonthaburi: The War Veterans Organization of Thailand; Suphanchaimat, R., Wisaijohn, T., Thammathacharee, N., Tangcharoensathien, V., Projecting Thailand physician supplies between 2012 and 2030: Application of cohort approaches (2013) Hum Resour Health, 11 (1), p. 3. , http://dx.doi.org/10.1186/1478-4491-11-3, PMID: 23374250; (2012) Report on international tourists in Thailand in 2012, , http://www.tourism.go.th/home/details/11/222/2137, Nonthaburi: Ministry of Tourism and Sports [cited 2015 Sep 13]","Noree, T.; Ministry of Public Health, Tiwanon Road, Thailand; email: thinakorn@ihpp.thaigov.net",,,"World Health Organization",,,,,00429686,,BWHOA,"26769994","English","Bull. WHO",Article,"Final",Open Access,Scopus,2-s2.0-84953260718 "Bassett R., Adams K.M., Danesh V., Groat P.M., Haugen A., Kiewel A., Small C., Van-Leuven M., Venus S., Ely E.W.","35749460000;7201820845;55972710400;56892781100;56892664500;56892791600;56892638000;56892734800;56162051700;7005852614;","Rethinking critical care: Decreasing sedation, increasing delirium monitoring, and increasing patient mobility",2015,"Joint Commission Journal on Quality and Patient Safety","41","2",,"62","74",,24,"10.1016/S1553-7250(15)41010-4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943351370&doi=10.1016%2fS1553-7250%2815%2941010-4&partnerID=40&md5=c2adeafb54b9b91349111d15bd0a4bd7","St. Luke's Hospital Boise/MeridianID, United States; Institute for Healthcare Improvement, Cambridge, MA, United States; Clinical Research, Pulmonary and Critical Care Medicine, Orlando HealthFL, United States; Critical Care, Samaritan Hospital, Troy, NY, United States; Respiratory Care, Rapid City Regional HospitalSD, United States; Adult ICU, Rapid City Regional HospitalSD, United States; Mission Hospital, Asheville, NC, United States; Samaritan Hospital, Troy, NY, United States; Inpatient Medical Group, Dr. P. Phillips Hospital, Orlando HealthFL, United States; Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Center for Health Services Research, Vanderbilt University, School of Medicine, Nashville, United States; Department of Veterans Affairs (VA), Tennessee Valley Geriatric Research, Education and Clinical Center (GRECC), United States","Bassett, R., St. Luke's Hospital Boise/MeridianID, United States; Adams, K.M., Institute for Healthcare Improvement, Cambridge, MA, United States; Danesh, V., Clinical Research, Pulmonary and Critical Care Medicine, Orlando HealthFL, United States; Groat, P.M., Critical Care, Samaritan Hospital, Troy, NY, United States; Haugen, A., Respiratory Care, Rapid City Regional HospitalSD, United States; Kiewel, A., Adult ICU, Rapid City Regional HospitalSD, United States; Small, C., Mission Hospital, Asheville, NC, United States; Van-Leuven, M., Samaritan Hospital, Troy, NY, United States; Venus, S., Inpatient Medical Group, Dr. P. Phillips Hospital, Orlando HealthFL, United States; Ely, E.W., Department of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Center for Health Services Research, Vanderbilt University, School of Medicine, Nashville, United States, Department of Veterans Affairs (VA), Tennessee Valley Geriatric Research, Education and Clinical Center (GRECC), United States","Background: Sedation management, delirium monitoring, and mobility programs have been addressed in evidence-based critical care guidelines and care bundles, yet implementation in the ICU remains variable. As critically ill patients occupy higher percentages of hospital beds in the United States and beyond, it is increasingly important to determine mechanisms to deliver better care. The Institute for Healthcare Improvement's Rethinking Critical Care (IHI-RCC) program was established to reduce harm of critically ill patients by decreasing sedation, increasing monitoring and management of delirium, and increasing patient mobility. Case studies of a convenience sample of five participating hospitals/health systems chosen in advance of the determination of their clinical outcomes are presented in terms of how they got started and process improvements in sedation management, delirium management, and mobility. Methods: The IHI-RCC program involved one live case study and five iterations of an in-person seminar in a 33-month period (March 2011-November 2013) that emphasized interdisciplinary teamwork and culture change. Results: Qualitative descriptions of the changes tested at each of the five case study sites demonstrate improvements in teamwork, processes, and reliability of daily work. Improvement in ICU length of stay and length of stay on the ventilator between the pre- and postimplementation periods varied from slight to substantial. Conclusion: Changing critical care practices requires an interdisciplinary approach addressing cultural, psychological, and practical issues. The key lessons of the IHI-RCC program are as follows: the importance of testing changes on a small scale, feeding back data regularly and providing sufficient education, and building will through seeing the work in action. Copyright 2015 The Joint Commission.",,"hypnotic sedative agent; analgesia; artificial ventilation; care bundle; delirium; health care quality; human; intensive care; intensive care unit; length of stay; organization and management; procedures; reproducibility; United States; walking; Critical Care; Delirium; Humans; Hypnotics and Sedatives; Intensive Care Units; Length of Stay; Pain Management; Patient Care Bundles; Quality of Health Care; Reproducibility of Results; Respiration, Artificial; United States; Walking",,"Hypnotics and Sedatives",,,"National Institutes of Health, NIH: AG035117, AG027472","Dr. Ely discloses having received honoraria for educational programs from Hospira, Abbott, and Orion. He is supported by the National Institutes of Health AG035117 and AG027472 and the Department of Veterans Affairs Geriatric Research, Education and Clinical Center (GRECC). For their help in preparing this manuscript, the authors thank Jane Roessner, PhD, Institute for Healthcare Improvement (IHI); Dawn M. Turner, MHS, RRT, RCP (formerly), Laurie Downs, BSN, RN, CCRN (retired), Vallire Hooper, PhD, RN, CPAN, FAAN, and Shaw Henderson, MD, all of Mission Health; IHI Critical Care faculty and investigators Terry Clemmer, MD, and Vicki Spuhler, RN (retired), of Intermountain Healthcare; and Heidi Engel, DPT, of University of California, San Francisco Medical Center.",,"Shehabi, Y., Intensive care sedation: The past, present and the future (2013) Crit Care, 17 (3), p. 322. , Jun 13; Pun, B.T., Ely, E.W., The importance of diagnosing and managing ICU delirium (2007) Chest, 132 (2), pp. 624-636; Vasilevskis, E.E., A screening, prevention, and restoration model for saving the injured brain in intensive care unit survivors (2010) Crit Care Med., 38 (10), pp. S683-S691; Bailey, P., Early activity is feasible and safe in respiratory failure patients (2007) Crit Care Med., 35 (1), pp. 139-145; Ely, E.W., Delirium in mechanically ventilated patients: Validity and reliability of the Confusion Assessment Method for the intensive care unit (CAM-ICU) (2001) JAMA, 286 (21), pp. 2703-2710. , Dec 5; Bergeron, N., Intensive Care Delirium Screening Checklist: Evaluation of a new screening tool (2001) Intensive Care Med., 27 (5), pp. 859-864; Devlin, J.W., Motor Activity Assessment Scale: A valid and reliable sedation scale for use with mechanically ventilated patients in an adult surgical intensive care unit (1999) Crit Care Med., 27 (7), pp. 1271-1275; Schweickert, W.D., Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial (2009) Lancet, 373 (9678), pp. 1874-1882. , May 30; Morris, P.E., Early intensive care mobility therapy in the treatment of acute respiratory failure (2008) Crit Care Med., 36 (8), pp. 2238-2243; Shehabi, Y., Early intensive care sedation predicts long-term mortality in ventilated critically ill patients (2012) Am J Respir Crit Care Med., 186 (8), pp. 724-731. , Oct 15; Ely, E.W., Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit (2004) JAMA, 291 (14), pp. 1753-1762. , Apr 14; Vasilevskis, E.E., Reducing iatrogenic risks: ICU-acquired delirium and weakness - Crossing the quality chasm (2010) Chest, 138 (5), pp. 1224-1233; Pandharipande, P., Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients (2006) Anesthesiology, 104 (1), pp. 21-26; Pandharipande, P.P., Long-term cognitive impairment after critical illness (2013) N Engl J Med., 369 (14), pp. 1306-1316. , Oct 3; Barr, J., Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit (2013) Crit Care Med., 41 (1), pp. 263-306; Greenleaf, J.E., Kozlowski, S., Physiological consequences of reduced activity during bed rest (1982) Exerc Sport Sci Rev., 10, pp. 84-119; De Jonghe, B., Respiratory weakness is associated with limb weakness and delayed weaning in critical illness (2007) Crit Care Med., 35 (9), pp. 2007-2015; Girard, T.D., Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): A randomised controlled trial (2008) Lancet, 371 (9607), pp. 126-134. , Jan 12; 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Leone, M., Variable compliance with clinical practice guidelines identified in a 1-day audit at 66 French adult intensive care units (2012) Crit Care Med., 40 (12), pp. 3189-3195; Bassett, R.D., Integrating a multidisciplinary mobility programme into intensive care practice (IMMPTP): A multicentre collaborative (2012) Intensive Crit Care Nurs, 28 (2), pp. 88-97; Sedation, Delirum, and Mobility, , http://www.ihi.org/topics/SedationDeliriumMobility/Pages/default.aspx, Accessed Dec 27, 2014; (2013) In-Person Training: Rethinking Critical Care: Reducing Patient Harm from Sedation, Immobility, and Delirium. Seminar, , http://www.ihi.org/education/InPersonTraining/RethinkingCriticalCare/Pages/default.aspx, Nov 5-5, Accessed Dec 27, 2014; Vanderbilt University Medical Center, http://icudelirium.org, Home page. Accessed Dec 27, 2014; Lord, R.K., ICU early physical rehabilitation programs: Financial modeling of cost savings (2013) Crit Care Med., 41 (3), pp. 717-724; Needham, D.M., Early physical medicine and rehabilitation for patients with acute respiratory failure: A quality improvement project (2010) Arch Phys Med Rehabil, 91 (4), pp. 536-542; Calvo-Ayala, E., Interventions to improve the physical function of ICU survivors: A systematic review (2013) Chest, 144 (5), pp. 1469-1480; Needham, D.M., Korupolu, R., Rehabilitation quality improvement in an intensive care unit setting: Implementation of a quality improvement model (2010) Top Stroke Rehabil, 17 (4), pp. 271-281; Fan, E., Physical complications in acute lung injury survivors: A two-year longitudinal prospective study (2014) Crit Care Med., 42 (4), pp. 849-859; Morandi, A., Brummel, N.E., Ely, E.W., Sedation, delirium and mechanical ventilation: The 'ABCDE' approach (2011) Curr Opin Crit Care, 17 (1), pp. 43-49; Sessler, C.N., Pedram, S., Protocolized and target-based sedation and analgesia in the ICU (2009) Crit Care Clin., 25 (3), pp. 489-513 and viii; Kress, J.P., Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation (2000) N Engl J Med., 342 (20), pp. 1471-1477. , May 18; Langley, G.L., (2009) The Improvement Guide: A Practical Approach to Enhancing Organizational Performance, , 2nd ed. San Francisco: Jossey-Bass; Ely, E.W., Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously (1996) N Engl J Med., 335 (25), pp. 1864-1869. , Dec 19; Devabhakthuni, S., Analgosedation: A paradigm shift in intensive care unit sedation practice (2012) Ann Pharmacother, 46 (4), pp. 530-540; Hopkins, R.O., Spuhler, V.J., Thomsen, G.E., Transforming ICU culture to facilitate early mobility (2007) Crit Care Clin., 23 (1), pp. 81-96; Ely, E.W., Evaluation of delirium in critically ill patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) (2001) Crit Care Med., 29 (7), pp. 1370-1379; Riker, R.R., Dexmedetomidine vs midazolam for sedation of critically ill patients: A randomized trial (2009) JAMA, 301 (5), pp. 489-499. , Feb 4; Carollo, D.S., Dexmedetomidine: A review of clinical applications (2008) Curr Opin Anaesthesiol, 21 (4), pp. 457-461; Pandharipande, P.P., Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: The MENDS randomized controlled trial (2007) JAMA, 298 (22), pp. 2644-2653. , Dec 12; Berwick, D.M., Nolan, T.W., Whittington, J., The Triple Aim: Care, health, and cost (2008) Health Aff (Millwood), 27 (3), pp. 759-769; Rittenhouse, D.R., Shortell, S.M., Fisher, E.S., Primary care and accountable care: Two essential elements of delivery-system reform (2009) N Engl J Med., 361 (24), pp. 2301-2303. , Dec 10; Ely, E.W., Monitoring sedation status over time in ICU patients: Reliability and validity of the Richmond Agitation-Sedation Scale (RASS) (2003) JAMA, 289 (22), pp. 2983-2991. , Jun 11; Sessler, C.N., The Richmond Agitation-Sedation Scale: Validity and reliability in adult intensive care patients (2002) Am J Respir Crit Care Med., 166 (10), pp. 1338-1344. , Nov 15; Riker, R.R., Fugate, J.E., Clinical monitoring scales in acute brain injury: Assessment of coma, pain, agitation, and delirium (2014) Neurocrit Care, , Epub Sep 11; Morris, P.E., Moving our critically ill patients: Mobility barriers and benefits (2007) Crit Care Clin., 23 (1), pp. 1-20; Stiller, K., Safety issues that should be considered when mobilizing critically ill patients (2007) Crit Care Clin., 23 (1), pp. 35-53","Adams, K.M.; Institute for Healthcare ImprovementUnited States; email: kmccutcheonadams@ihi.org",,,"Joint Commission Resources, Inc.",,,,,15537250,,,"25976892","English","Jt. Comm. J. Qual. Patient Saf.",Article,"Final",,Scopus,2-s2.0-84943351370 "Woodhead A.","55873628700;","Scoping medical tourism and international hospital accreditation growth",2013,"International Journal of Health Care Quality Assurance","26","8",,"688","702",,24,"10.1108/IJHCQA-10-2011-0060","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84885042810&doi=10.1108%2fIJHCQA-10-2011-0060&partnerID=40&md5=cd55d42a12f59fb5578eb1b13aa2ebe0","York, United Kingdom","Woodhead, A., York, United Kingdom","Purpose – Uwe Reinhardt stated that medical tourism can do to the US healthcare system what the Japanese automotive industry did to American carmakers after Japanese products developed a value for money and reliability reputation. Unlike cars, however, healthcare can seldom be test-driven. Quality is difficult to assess after an intervention (posteriori), therefore, it is frequently evaluated via accreditation before an intervention (a priori). This article aims to scope the growth in international accreditation and its relationship to medical tourism markets. Design/methodology/approach – Using self-reported data from Accreditation Canada, Joint Commission International (JCI) and Australian Council on Healthcare Standards (ACHS), this article examines how quickly international accreditation is increasing, where it is occurring and what providers have been accredited. Findings – Since January 2000, over 350 international hospitals have been accredited; the JCI's total nearly tripling between 2007-2011. Joint Commission International staff have conducted most international accreditation (over 90 per cent). Analysing which countries and regions where the most international accreditation has occurred indicates where the most active medical tourism markets are. However, providers will not solely be providing care for medical tourists. Practical implications – Accreditation will not mean that mistakes will never happen, but that accredited providers are more willing to learn from them, to varying degrees. If a provider has been accredited by a large international accreditor then patients should gain some reassurance that the care they receive is likely to be a good standard. Originality/value – The author questions whether commercializing international accreditation will improve quality, arguing that research is necessary to assess the accreditation of these growing markets. © 2013, Emerald Group Publishing Limited","Accreditation; Organizational development; Organizational performance; Patient perception; Private healthcare; User satisfaction","accreditation; article; economics; health care quality; hospital; human; international cooperation; medical tourism; standard; Accreditation; Hospitals; Humans; International Agencies; Internationality; Medical Tourism; Quality Assurance, Health Care",,,,,,,,"(2011) Accredited organisations, , www.internationalaccreditation.ca/accreditation/accreditedorganizations.aspx, available at: (accessed July 2011); (2006) EQuiP 4 Hospital Accreditation Manual, , The Australian Council on Healthcare Standards, Ultimo; (2011) Members list, , www.achs.org.au/memberorglist/#HONGKONG, available at: (accessed July 2011); (2010), www.apollohospdelhi.com/apollo-group/index.html, available at: (accessed June 2010); Arya, R., Barnes, J., Hossain, U., Patel, R., Cohen, A., Long-haul flights and deep vein thrombosis: a significant risk only when additional factors are also present (2002) British Journal of Haematology, 116 (3), pp. 653-654; Barker, K., Flynn, E., Pepper, G., Medication errors observed in 36 health care facilities (2002) Archives of Internal Medicine, 162, pp. 1897-1903; Bertinato, L., Busse, R., Fahy, N., (2005) Cross-border health care in Europe, , www.euro.who.int/document/e87922.pdf, Denmark: Policy Brief, WHO on behalf of the European Observatory on Health Systems and Policies, available at: (accessed January 2012); Bloom, G., Standing, H., Lloyd, R., Markets, information asymmetry and health care: towards new social contracts (2008) Social Science & Medicine, 66 (10), pp. 2076-2087; Bukonda, N., Tavrow, P., Abdallah, H., Implementing a national hospital accreditation program: the Zambian experience (2003) International Journal of Quality in Health Care, 14 (Supplement 1), pp. 7-16; Canales, M., Kasiske, B., Rosenberg, M., Transplant tourism: outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82, pp. 1658-1661; Carabello, L., A medical tourism primer for US physicians (2008) Medical Practice Management, 23 (5), pp. 291-294; Carrera, P., Bridges, J., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review Pharmacoeconomics Outcomes Results, 6 (4), pp. 447-454; Cattaneo, O., (2009) Trade in health services what's in it for developing countries?, , http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1503809, Policy Research Working Paper 5115, The World Bank Poverty Reduction and Economic Management Network International Trade Department, November, available at: (accessed January 2012); Chen, J., Rathore, S., Radford, M., JCAHO accreditation and quality of care for acute myocardial infarction (2003) Health Affairs, 22, pp. 243-254; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; (2012) Locations and directions, , http://my.clevelandclinic.org/locations_, available at: directions/international/locations/default.aspx (accessed January 2012); Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27, pp. 1093-1100; Conway, T., Willcocks, S., The role of expectations in the perception of health quality: developing a conceptual model (1997) International Journal of Healthcare Quality Assurance, 10 (3), pp. 131-140; Crone, R., Flat medicine? 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(Ed.), BMJ Publishing Group, London; York, D., Medical tourism: the trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Youngman, I., (2009) Medical tourism statistics: why McKinsey has got it wrong, , www.imtjonline.com/articles/2009/mckinsey-wrong-medical-travel, International Medical Travel Journal, available at: / (accessed June 2010); Williams, A., The pervasive role of ideology in the optimisation of the public-private mix in public health systems (2005) The Public Private Mix for Health, pp. 63-82. , in Maynard, A. (Ed.), Radcliffe, Oxford","Woodhead, A., York, United Kingdom",,,,,,,,09526862,,,"24422259","English","Int. J. Health Care Qual. Assur.",Article,"Final",,Scopus,2-s2.0-84885042810 "Connell J.","56227359000;","Medical tourism in the Caribbean islands: A cure for economies in crisis?",2013,"Island Studies Journal","8","1",,"115","130",,24,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84877138779&partnerID=40&md5=6763730fe18651442ade5682933223d6","University of Sydney, Australia","Connell, J., University of Sydney, Australia","Small island states have increasingly sought new means of economic diversification. Several Caribbean states have begun to develop medical tourism, partly building on existing tourist-oriented economies. Medical tourism has boomed in this century in several states in Asia and in Central America. The Bahamas, Barbados and the Cayman Islands exemplify different strategies for medical tourism, in order to generate foreign exchange and new employment, and reduce costs from overseas referrals. Most medical tourism projects have been developed by overseas corporations and are oriented to a US market. Business principles rather than health care dominate development strategies, notably of emerging transnational medical corporations, and raise ethical issues. Success will be difficult to achieve in a crowded and competitive market. © 2013 Institute of Island Studies, University of Prince Edward Island, Canada.","Caribbean; Competition; Development; Health care; Medical tourism",,,,,,,,,"Medical tourism development in the Caribbean (2011) International Medical Travel Journal, , Anon, 19 January; Caribbean islands see potential in medical tourism (2011) International Medical Travel Journal, , Anon, 13 October; Investment opportunity in new Barbados medical tourism hospital (2011) International Medical Travel Journal, , Anon, 22 July; Future of medical tourism project may be in hands of UK government (2011) International Medical Travel Journal, , Anon, 25 November; Seychelles and Cayman Islands seeking medical tourism investors (2011) International Medical Travel Journal, , Anon, 4 August; Innovative cosmetic procedures propel global medical tourism (2011) International Medical Travel Journal, , Anon, 11 March; Cayman Islands Healthcare City: Insights from the Health Authority and Project Innovator (2012) Medical Tourism Magazine, 24, pp. 54-55. , Anon; Can Belize become a medical tourism destination? (2012) International Medical Travel Journal, , Anon, 23 August; Jamaica sees potential in health tourism (2012) International Medical Travel Journal, , Anon, 4 May; Jamaica to promote health and wellness tourism (2012) International Medical Travel Journal, , Anon, 12 July; Moves to expand Caribbean medical tourism (2012) International Medical Travel Journal, , Anon, 14 June; Medical tourism developments in the Caribbean (2012) International Medical Travel Journal, , Anon, 7 September; Bahamas seeks to reverse flow of medical tourists (2012) International Medical Travel Journal, , Anon, 9 February; American medical centre for Barbados will target medical tourists (2012) International Medical Travel Journal, , Anon, 20 September; Medical tourism hospital in Caymans is test bed for a chain across Africa (2012) International Medical Travel Journal, , Anon, 27 January; Ascension Health Alliance invests in Cayman medical tourism project (2012) International Medical Travel Journal, , Anon, 23 April; Ascension Health Alliance to build Cayman's health city (2012) Medical Tourism Magazine Newsletter, , Anon, 17 April; Grenada moving forward with new hospital (2012) The Barnacle, , Anon, 29 October; Baldacchino, G., (2010) Island Enclaves: Offshoring Strategies, Creative Governance and Subnational Island Jurisdictions, , Montreal, QC: McGill-Queen's University Press; Britton, S., Tourism, capital and place: Towards a critical geography of tourism (1991) Society and Space, 9 (4), pp. 451-478; Chambers, D., McIntosh, B., Using authenticity to achieve competitive advantage in medical tourism in the English-speaking Caribbean (2008) Third World Quarterly, 29 (5), pp. 919-937; Connell, J., Local skills and global markets? 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Greenhough (eds.), Farnham: Ashgate (in press); Connell, J., Niaah-Stanley, S., Remembering the fire: Music tourism and the Bob Marley heritage in Jamaica (2008) Caribbean Geography, 15 (1), pp. 76-90; Corbin, S., Medical tourism in Barbados (2011) Medical Tourism Magazine, 20, pp. 22-25; de Arellano, A., Medical tourism in the Caribbean (2011) Signs, 36, pp. 289-297; Doyle, J., (2012) Ascension Health Plans $2 Billion Cayman 'health City' Project, , Medical Tourism Magazine Newsletter, 1 May; Duval, D., When hosts become guests: Return visits and diasporic identities in a Commonwealth Eastern Caribbean community (2003) Current Issues In Tourism, 6 (4), pp. 267-308; East, J., (2010) Jamaica As a Health Tourism Destination: Pipe Dream Or Opportunity? Mimeo; (2010) Narayana Hrudayalaya to build health city in Cayman Island, , http://healthcare.financialexpress.com/201005/market30.shtml, Express Healthcare, Retrieved from; Goodrich, J., Socialist Cuba: A study of health tourism (1993) Journal of Travel Research, 32 (1), pp. 36-42; Guytan, A., (2012) Medical Tourism As a Development Option For Tobago, Unpublished Paper, SALISES Conference, Kingston, , Jamaica: University of the West Indies; Huff-Rousselle, M., Shepherd, C., Cushman, R., Imrie, J., Lalta, S., (1995) Prospects For Health Tourism Exports For the English-speaking Caribbean, , Washington, DC: World Bank; Johnston, R., Crooks, V.A., Snyder, J., Fraser, H., Labonté, R., Adams, K., (2012) An Overview of Barbados' Medical Tourism Industry, , Vancouver, BC: SFU Medical Tourism Research Group (mimeo); Lewis, P., Training Nurses for Export: A Viable Development Strategy (2011) Social and Economic Studies, 60 (1), pp. 67-104; Madu, E., The challenges of implementing high quality healthcare in Jamaica (2011) Medical Tourism Magazine, 21, pp. 56-57; Martin, L., Reproductive tourism in the age of globalization (2009) Globalizations, 6 (2), pp. 249-263; Merritt, L., Transparency and certification in the Caribbean: How it enhances health and wellness marketing (2012) Medical Tourism Magazine, 24 (1), pp. 36-37; Moore, M., (2007) Sicko. Dog Eat Dog, , Weinstein Co./Lionsgate; Pearce, B., (2012) Grenada University Hospital Project Presentation For Grenada, , http://www.slideshare.net/brupearce/grenada-hospital-project, Retrieved from; Rambally, R., (2012) Cabinet Agrees to Specialized Medical Centres In Trinidad and Tobago, , Medical Tourism Magazine Newsletter, 13 March; Reynolds-Baker, A., Health tourism critical to country's development (2012) Jamaica Information Service, , 12 July; Snyder, J., Crooks, V., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: A prospective qualitative study of stakeholder perceptions (2013) International Journal For Equity In Health, 12 (2). , (in press) doi: 10.1186/1475-9276-12-2; Stephano, R., The Dominican Republic for health, wellness and luxury (2012) Medical Tourism Magazine, 26, pp. 53-55; Stephano, R., Curaçao: Using the island's natural beauty to heal (2012) Medical Tourism Magazine, 26, pp. 40-42; Stephenson, M., Travelling to the ancestral homelands: The aspirations and experiences of a UK Caribbean community (2002) Current Issues In Tourism, 5 (5), pp. 378-425","Connell, J.; University of SydneyAustralia; email: john.connell@sydney.edu.au",,,,,,,,17152593,,,,"English","Isl. Stud. J.",Article,"Final",,Scopus,2-s2.0-84877138779 "Hudson S., Li X.","7201374084;55870072800;","Domestic Medical Tourism: A Neglected Dimension of Medical Tourism Research",2012,"Journal of Hospitality Marketing and Management","21","3",,"227","246",,24,"10.1080/19368623.2011.615018","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859612439&doi=10.1080%2f19368623.2011.615018&partnerID=40&md5=6678259b4f8cc0daee0a8f1d67aea3b7","College of Hospitality, Retail and Sport Management, University of South Carolina, Columbia, SC 29208, United States; School of Hotel, Restaurant, and Tourism Management, University of South Carolina, Columbia, South Carolina, United States","Hudson, S., College of Hospitality, Retail and Sport Management, University of South Carolina, Columbia, SC 29208, United States; Li, X., School of Hotel, Restaurant, and Tourism Management, University of South Carolina, Columbia, South Carolina, United States","To date, the literature on medical tourism has focused almost exclusively on international medical tourism, or medical services outsourced to other countries. However, there are a growing number of patients who travel for medical care within their own country. Medical tourism experts have suggested that competition introduced from abroad, combined with health care reform, may stimulate improvement in health care offerings in the United States, and lead to an increase in such medical tourism. This article will therefore extend the literature by examining domestic medical tourism in the United States. There is a scarcity of research investigating consumer attitudes and beliefs towards the concept of medical tourism-particularly for domestic medical tourism. The authors present a new model, along with a research agenda for studying both attitudes towards such tourism, as well as the potential impact of domestic medical tourism on regional economies in the United States. © 2012 Copyright Taylor and Francis Group, LLC.","domestic tourism; health and wellness tourism; medical tourism",,,,,,,,,"(2009) Medical tourism is good therapy for the hotel industry, , http://ehotelier.com/, Agoda; Ahmad, A., (2009) Medical tourism in India, , http://indiafoodandtravelguide.com; Amodeo, J., Medical refugees and the future of health tourism (2010) World Medical & Health Policy, 2 (4), pp. 65-81; Appleby, J., (2010) Latest destination for medical tourism: The U.S, , http://www.kaiserhealthnews.org, (July 7); Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave Macmillan; Bose, A., Private health sector in India: Is private health care at the cost of public health care? 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(May 3); Henderson, J., Healthcare tourism in Southeast Asia (2003) Tourism Review International, 7 (3-4), pp. 111-121; Herrick, D.M., (2007) Medical tourism: Global competition in health care, , Dallas, TX: National Center for Policy Analysis; Heung, C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27, pp. 236-251; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Horowitz, M.D., Rosensweig, J.A., Medical tourism-health care in the global economy (2007) The Physician Executive, 33 (6), pp. 24-26. , -28-30; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (3). , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234298/; Hudson, S., Wooing zoomers: Marketing to the mature traveler (2010) Marketing Intelligence and Planning, 28, pp. 444-461; Hume, L.F., de Micco, F.J., Bringing hotels to healthcare (2007) Journal of Quality Assurance in Hospitality & Tourism, 8 (1), pp. 75-84; (2010) USA: Corporate medical tourism expanding within the USA but not overseas, , http://www.imtj.com/news/?EntryId82=186558, International Medical Travel Journal. (February 26); (2011) USA: Missouri, Oklahoma and New York see opportunities in domestic medical tourism, , http://www.imtj.com/news/?EntryId82=289717, International Medical Travel Journal. (May 10); Keckley, P.H., Underwood, H.R., (2008) Medical tourism: Consumers in search of value, , Washington, DC: Deloitte Development LLC; Li, X., Petrick, J., Examining the antecedents of brand loyalty from an investment model perspective (2008) Journal of Travel Research, 47 (1), pp. 25-34; Lovelock, C., Wortz, J., (2007) Services marketing, , 6th, Upper Saddle River, NJ: Prentice Hall; Lubell, J., New tourist attractions: More patients looking at home before going abroad (2009) Modern Healthcare, 39 (24), pp. 28-30; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) The Open Medical Informatics Journal, 4, pp. 1-11; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) Human Resource Planning, 39 (2), pp. 8-10; Ongdee, S., The future is in 'Hotel-Spitals (2003) The Nation, pp. 2B; (2009) Health sector report, , Ontario Ministry of International Trade & Investment. [Report for the Gulf Cooperation Council Region]. Toronto: Ontario Ministry of International Trade & Investment; Ramirez de Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Reddy, G.R., York, V.K., Brannon, L.A., Travel for treatment: Students' perspective on medical tourism (2010) International Journal of Tourism Research, 12, pp. 510-522; Reed, C.M., Medical tourism (2008) Medical Clinics North America, pp. 1433-1446; Rhea, S., Still packing their bags: Health reform won't drastically alter the economics of medical tourism, but patients and providers can expect new opportunities, at home and abroad (2009) Modern Healthcare, 39 (30), pp. 28-30; Robertson, C., (2008) Baby boomers are the model for healthy aging, , http://www.ezinearticles.com; Smith, A., Forgione, D., Global outsourcing of healthcare: A medical tourism model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Sobo, E.J., Medical travel: What it means, why it matters (2009) Medical Anthropology, 28, pp. 326-335; (2010) Behind the big blue H. Hospitals impact on Missouri's economy, , Southeast Missouri Hospitals. Jefferson City, MO: Missouri Hospital Association; International, S.R.I., (2010) Spas and the global wellness market: Synergies and opportunities, , Menlo Park, CA: Author; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) BioSocieties, pp. 303-325; Ye, B.H., Yuen, P.P., Qui, H.Z., Zhang, V.H., (2008) Motivation of medical tourists: An exploratory case study in Hong Kong medical tourists, , Bangkok, Thailand: Paper presented at the Asia Pacific Tourism Association Annual Conference; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102","Hudson, S.; College of Hospitality, Retail and Sport Management, University of South Carolina, Columbia, SC 29208, United States; email: shudson@hrsm.sc.edu",,,,,,,,19368623,,,,"English","J. Hosp. Mark. Manage.",Article,"Final",,Scopus,2-s2.0-84859612439 "Debata B.R., Patnaik B., Mahapatra S.S., Sreekumar","55331150500;37115884300;34881914000;23502228500;","An integrated approach for service quality improvement in medical tourism: An Indian perspective",2012,"International Journal of Services and Operations Management","13","1",,"119","145",,24,"10.1504/IJSOM.2012.048278","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864804073&doi=10.1504%2fIJSOM.2012.048278&partnerID=40&md5=ca495fc918ddf3003629d4fb6e5fa039","Rourkela Institute of Management Studies, Institutional Area, Gopabandhu Nagar, Chhend, Rourkela, 769015, Odisha, India; National Institute of Technology, Rourkela, 769008, Odisha, India","Debata, B.R., Rourkela Institute of Management Studies, Institutional Area, Gopabandhu Nagar, Chhend, Rourkela, 769015, Odisha, India; Patnaik, B., National Institute of Technology, Rourkela, 769008, Odisha, India; Mahapatra, S.S., Rourkela Institute of Management Studies, Institutional Area, Gopabandhu Nagar, Chhend, Rourkela, 769015, Odisha, India; Sreekumar, Rourkela Institute of Management Studies, Institutional Area, Gopabandhu Nagar, Chhend, Rourkela, 769015, Odisha, India, National Institute of Technology, Rourkela, 769008, Odisha, India","This paper attempts to develop a medical tourism service quality construct that will be used for evaluation of the medical tourism service providers in India. Cross-sectional survey of medical tourists at seven hospitals including Joint Commission International (JCI) accredited and non-accredited hospitals across India is carried out and 332 responses are collected from seven hospitals. The data were collected between March 2010 and June 2010. Analysis of data helps to propose a 36-item scale. Ten dimensions of perceived medical tourism service quality are identified viz., accessibility/convenience, treatment satisfaction, courtesy, physical environment features, technical quality of care competency, promptness, facility premises, alternative therapy, finance factors for medical services and pharmaceutical services. Reliability, validity, and factor structure of the construct are evaluated. The interrelationship between medical tourism design requirements is identified using interpretative structural modelling (ISM). These aforesaid dimensions are treated as voice of customers (VoC) and 11 design requirements (medical tourism design requirements) from extensive literature review are treated as design requirement for employing quality function deployment (QFD) in order to prioritise the design requirements. 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Res., 40 (6), pp. 2018-2036; Singh, J., A multificate typology of patient with hospital stay (1990) Journal of Health Care Marketing, 10 (4), pp. 8-21; Singh, M.D., Kant, R., Knowledge management barriers: An interpretive structural modeling approach (2008) International Journal of Management Science and Engineering Management, 3 (2), pp. 141-150; Singh, V., Grover, S., Kumar, A., Evaluation of quality in an educational institute: A quality function deployment approach (2008) Educational Research and Review, 3 (4), pp. 162-168; Stuart, F.I., Stephen, S.T., Planning for service quality: An integrative approach (1996) International Journal of Service Industry Management, 7 (4), pp. 58-77; Tan, K.C., Xie, M., Chia, E., Quality function deployment and its use in designing information technology systems (1998) International journal of quality and reliability management, 15 (6-7), pp. 634-645; Trappey, C.V., Trappey, A.J.C., Hwang, S.-J., A computerized quality function deployment approach for retail services (1996) Computers and Industrial Engineering, 30 (4), pp. 611-622. , DOI 10.1016/0360-8352(95)00179-4; Traverso, M.L., Salamano, M., Botta, C., Colautti, M., Palchik, V., Perez, B., Questionnaire to assess patient satisfaction with pharmaceutical care in Spanish language (2007) International Journal for Quality in Health Care, 19 (4), pp. 217-224. , DOI 10.1093/intqhc/mzm014; Tung, Y., Chang, G., Patient satisfaction with and recommendation of a primary care provider: Associations of perceived quality and patient education (2009) International Journal in Quality Health Care, 21 (3), pp. 206-213; Wang, H.F., Hong, W.K., An integrated service strategy by QFD approach: A case of a telecom company in Taiwan', International Journal of Management and Decision Making, Vol. 8 (2007) Nos, 8 (2-4), pp. 251-267; Wang, R.T., Improving service quality using quality function deployment: The air cargo sector of china airlines (2007) Journal of Air Transport Management, 13 (4), pp. 221-228; Ware, J.E., Snyder, M.K., Wright, R., Davies, A.R., Defining and measuring patient satisfaction with medical care (1983) Evaluation and Program Planning, 6 (3-4), pp. 247-263; Warfield, J.W., Developing interconnected matrices in structural modeling (1974) IEEE Transcript on Systems Men and Cybernetics, 4 (1), pp. 51-81; Weingart, S.N., Pagovich, O., Sands, D.Z., Li, J.M., Aronson, M.D., Davis, R.B., Bates, D.W., Patient-reported service quality on a medicine unit (2005) International Journal of Quality in Health Care, 18 (2), pp. 95-101; Westaway, M.S., Rheeder, P., Van Zyl, D.G., Seager, J.R., Interpersonal and organizational dimensions of patient satisfaction: The moderating effects of health status (2003) International Journal for Quality in Health Care, 15 (4), pp. 337-344. , DOI 10.1093/intqhc/mzg042; Wong, H.K., Juniper, J., (2002) Continuous Improvement in Public Services - The Quality Function Deployment Approach, School of International Business, , University of South Australia, Adelaide; Wu, H.L., Liu, C.Y., Hsu, W.H., An integrative model of customers' perception of health care services in Taiwan (2008) The Service Industries Journal, 28 (9), pp. 1307-1319; Yeh, T.M., Determining medical service improvement priority by integrating the refined KANO model, quality function deployment and fuzzy integrals (2010) African Journal of Business Management, 4 (12), pp. 2534-2545","Mahapatra, S.S.; Rourkela Institute of Management Studies, Institutional Area, Gopabandhu Nagar, Chhend, Rourkela, 769015, Odisha, India; email: mahapatrass2003@gmail.com",,,"Inderscience Publishers",,,,,17442370,,,,"English","Int. J. Serv. Oper. Manage.",Review,"Final",,Scopus,2-s2.0-84864804073 "Turner L.","7202689997;","Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel",2011,"Globalization and Health","7",, 40,"","",,24,"10.1186/1744-8603-7-40","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053960314&doi=10.1186%2f1744-8603-7-40&partnerID=40&md5=5e8bb8b5afbdd1e39a292d3bd1d3eb51","Center for Bioethics, University of Minnesota, Minneapolis, USA (55419), United States","Turner, L., Center for Bioethics, University of Minnesota, Minneapolis, USA (55419), United States","Background: Medical tourism companies play an important role in promoting transnational medical travel for elective, out-of-pocket medical procedures. Though researchers are paying increasing attention to the global phenomenon of medical tourism, to date websites of medical tourism companies have received limited scrutiny. This article analyzes websites of Canadian medical tourism companies that advertised international healthcare but ultimately exited the marketplace. Using content analysis of company websites as an investigative tool, the article provides a detailed account of medical tourism companies that were based in Canada but no longer send clients to international health care facilities.Methods: Internet searches, Google Alerts, searches on Google News Canada and ProQuest Newsstand, and searches of an Industry Canada database were used to locate medical tourism companies located in Canada. Once medical tourism companies were identified, the social science research method of content analysis was used to extract relevant information from company websites. Company websites were analyzed to determine: 1) where these businesses were based; 2) the destination countries and medical facilities that they promoted; 3) the health services they advertised; 4) core marketing messages; and 5) whether businesses marketed air travel, hotel accommodations, and holiday excursions in addition to medical procedures.Results: In total, 25 medical tourism companies that were based in Canada are now defunct. Given that an estimated 18 medical tourism companies and 7 regional, cross-border medical travel facilitators now operate in Canada, it appears that approximately half of all identifiable medical tourism companies in Canada are no longer in business. 13 of the previously operational companies were based in Ontario, 7 were located in British Columbia, 4 were situated in Quebec, and 1 was based in Alberta. 14 companies marketed medical procedures within a single country, 9 businesses marketed health care at 2 or more destination nations, and 2 companies did not specify particular health care destinations. 22 companies operated as ""generalist"" businesses marketing many different types of medical procedures. 3 medical tourism companies marketed ""specialist"" services restricted to dental procedures or organ transplants. In general, medical tourism companies marketed health services on the basis of access to affordable, timely, and high-quality care. 16 businesses offered to make travel arrangements, 20 companies offered to book hotel reservations, and 17 medical tourism companies advertised holiday excursions.Conclusions: This article provides a detailed empirical analysis of websites of medical tourism companies that were based in Canada but exited the marketplace and are now inoperative. The article identifies where these companies were located in Canada, what countries and health care facilities they selected as destination sites, the health services they advertised, how they marketed themselves in a competitive environment, and what travel-related services they promoted in addition to marketing health care. The paper reveals a fluid marketplace, with many medical tourism companies exiting this industry. In addition, by disclosing identities of companies, providing their websites, archiving these websites or print copies of websites for future studies, and analyzing content of medical tourism company websites, the article can serve as a useful resource for future studies. Citizens, health policy-makers, clinicians, and researchers can all benefit from increased insight into Canada's medical tourism industry. © 2011 Turner; licensee BioMed Central Ltd.","Canada; Cross-border healthcare; Globalization; Medical tourism; Websites","advertising; air transportation; database; empirical analysis; globalization; health care; health policy; health services; industrial location; industrial performance; medicine; policy making; price dynamics; tourism market; World Wide Web; advertizing; article; aviation; Canada; content analysis; data base; health care facility; human; Internet; marketing; medical tourism; priority journal; sociology; Canada",,,,,,,,"Connell, J., Medical tourism: Sea, sun, sand and...surgery (2006) Tourism Management, 27, pp. 1093-1100; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Goodrich, J.N., Goodrich, G.E., Health care tourism-an exploratory study (1987) Tourism Management, pp. 217-222; Healy, C., Surgical tourism and the globalization of healthcare (2009) Ir J Med Sci, 178, pp. 125-127. , 10.1007/s11845-009-0344-2, 19408039; Crooks, V., Snyder, J., Medical tourism: What Canadian family physicians need to know (2011) Canadian Family Physician, 57, pp. 527-529. , 3093576, 21571709; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850. , 10.1016/S0140-6736(07)60833-2, 17549816; Ramirez de Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) IJHS, 37 (1), pp. 193-198; Unti, J.A., Medical and surgical tourism: The new world of health care globalization and what it means for the practicing surgeon (2009) Bulletin of the American College of Surgeons, 94 (4), pp. 18-25; Behrmann, J., Smith, E., Top 7 issues in medical tourism: challenges, knowledge gaps, and future directions for research and policy development (2010) Global Journal of Health Science, 2 (2), pp. 80-90; Lunt, N., Carrera, P., Medical tourism: assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32. , 10.1016/j.maturitas.2010.01.017, 20185254; Priest, L., Sold! 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A scoping review (2010) International Journal for Equity in Health, 9, p. 24. , 10.1186/1475-9276-9-24, 2987953, 21047433; Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the United States (2011) J Gen Intern Med, 26 (5), pp. 492-497. , 10.1007/s11606-010-1582-8, 21161425; Shah, K.Y., Current status and emerging trends of international medical outsourcing in the United States--a qualitative study (2007), http://www.webcitation.org/5x9wiGYUu, University of South Carolina doctoral dissertation; Sobo, E.J., Herlihy, E., Bicker, M., Selling medical travel to US patient-consumers: the cultural appeal of website marketing messages (2011) Anthropology & Medicine, 18 (1), pp. 119-136. , 10.1080/13648470.2010.525877, 21563007; Johnston, R., Crooks, V.A., Adams, K., Snyder, J., Kingsbury, P., An industry perspective on Canadian patients' involvement in Medical Tourism: implications for public health (2011) BMC Public Health, 11, p. 416. , 10.1186/1471-2458-11-416, 3117713, 21627830; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) CFP, 53, pp. 1639-1641. , PMC2231416, 17934018; Snyder, J., Crooks, V., Adams, K., Kingsbury, P., Johnston, R., The patient's physician one-step removed': the evolving roles of medical tourism facilitators (2011) Journal of Medical ethics, 37, pp. 530-534. , 10.1136/jme.2011.042374, 21478420; Blackwell, T., Cuba draws Canadian patients: Orthopedic, visual operations bring foreigners (2007) National Post, pp. A9; McMurdy, D., Vanity takes a vacation (2007) National Post, , FW.2; Raman, N., Medical travel agency lifts off (2006) Montreal Gazette; McGinn, D., Sun, sand and surgery (2008) Globe and Mail; Ward, D., Long wait times drive Canadians overseas for medical treatment (2007) Edmonton Journal; Floyd, M., Izenberg, D., Kelly, B., Medical services directory (2006) Maclean's; Find Medical Travel Services http://www.findinghealthcare.ca/medical_tourism.html; Medical Tourism Facilitators (2009) Tourism Review.com, , http://www.tourism-review.com/fm956/m6.pdf; 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Puzic, S., Windsor police lay fraud charges against EcuMedical couple (2010) Windsor Star; Passmore, R., Converting international patient inquiries @10%-Part 2 (2009) Medical Tourism Magazine; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32, pp. 709-716; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) The Open Medical Informatics Journal, 4, pp. 1-11. , 10.2174/1874431101004010001, 2874214, 20517465; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) Journal of Health Communication, 16 (2), pp. 163-177; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102. , 10.1002/chp.165, 18521877","Turner, L.; Center for Bioethics, University of Minnesota, Minneapolis, USA (55419), United States; email: turne462@umn.edu",,,,,,,,17448603,,,,"English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-80053960314 "Johnston R., Crooks V.A., Adams K., Snyder J., Kingsbury P.","36500711800;35585107800;37074104200;24170239100;8873935100;","An industry perspective on Canadian patients' involvement in Medical Tourism: Implications for public health",2011,"BMC Public Health","11",, 416,"","",,24,"10.1186/1471-2458-11-416","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79957667702&doi=10.1186%2f1471-2458-11-416&partnerID=40&md5=846cf2587c195a76adb796c9ffe87ad9","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Adams, K., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Kingsbury, P., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Background: The medical tourism industry, which assists patients with accessing non-emergency medical care abroad, has grown rapidly in recent years. A lack of reliable data about medical tourism makes it difficult to create policy, health system, and public health responses to address the associated risks and shortcomings, such as spread of infectious diseases, associated with this industry. This article addresses this knowledge gap by analyzing interviews conducted with Canadian medical tourism facilitators in order to understand Canadian patients' involvement in medical tourism and the implications of this involvement for public health. Methods. Semi-structured phone interviews were conducted with 12 medical facilitators from 10 companies in 2010. An exhaustive recruitment strategy was used to identify interviewees. Questions focused on business dimensions, information exchange, medical tourists' decision-making, and facilitators' roles in medical tourism. Thematic analysis was undertaken following data collection. Results: Facilitators helped their Canadian clients travel to 11 different countries. Estimates of the number of clients sent abroad annually varied due to demand factors. Facilitators commonly worked with medical tourists aged between 40 and 60 from a variety of socio-economic backgrounds who faced a number of potential barriers including affordability, fear of the unfamiliar, and lack of confidence. Medical tourists who chose not to use facilitators' services were thought to be interested in saving money or have cultural/familial connections to the destination country. Canadian doctors were commonly identified as barriers to securing clients. Conclusions: No effective Canadian public health response to medical tourism can treat medical tourists as a unified group with similar motivations for engaging in medical tourism and choosing similar mechanisms for doing so. This situation may be echoed in other countries with patients seeking care abroad. Therefore, a call for a comprehensive public health response to medical tourism and its effects should be coupled with a clear understanding that medical tourism is a highly diverse practice. This response must also acknowledge facilitators as important stakeholders in medical tourism. © 2011 Johnston et al; licensee BioMed Central Ltd.",,"adult; article; Canada; female; human; industry; interview; male; medical tourism; middle aged; patient participation; public health; Adult; Canada; Female; Humans; Industry; Interviews as Topic; Male; Medical Tourism; Middle Aged; Patient Participation; Public Health",,,,,,,,"Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv, 10, p. 266. , 10.1186/1472-6963-10-266; Ehrbeck, T., Guevara, C., Mango, P.D., Cordina, R., Singhal, S., Health care and the consumer (2008) McKinsey Quar, 4 (2), pp. 80-91; De Arellano, R., Patients Without Borders: The Emergence of Medical Tourism (2007) Int J Health Serv, 37, pp. 193-98. , 10.2190/4857-468G-2325-47UU. 17436992; Laidlaw, S., Woman 'got my life back' after surgery in India (2008) Toronto Star, , May 31, Sect. L:1; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24. , 10.1186/1475-9276-9-24. 21047433; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266. , DOI 10.1016/j.annals.2004.05.007, PII S0160738304001173; Horowitz, M.D., Rosensweig, J., Jones, C., Medical Tourism: Globalization of the Healthcare Marketplace (2007) Medscape Gen Medicine, 9 (4), p. 33; Law, J., Sun, sand and stitches (2008) Profit, 27 (2), pp. 69-70; Eggerston, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ, 174 (9), p. 1247. , 16636318; Ward, D., Long wait times drive Canadians overseas for medical treatment; B.C. dentist books a passage to India for his hip operation (2007) Edmonton J, , Oct 28, Sect. A2; Turner, L., 'First world health care at third world prices': Globalization, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325. , 10.1017/S1745855207005765; Smith, R., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373 (9663), pp. 593-601. , 10.1016/S0140-6736(08)61778-X. 19167053; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med J Australia, 187 (11), pp. 666-667. , 18072912; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) Am J Surg, 199, pp. 604-60816. , 10.1016/j.amjsurg.2010.01.002. 20346442; (2010) NDM-1 Superbug Cases Jump to 8 in Canada, , http://www.cbc.ca/health/story/2010/11/10/superbug-ndm-1-canada.html, CBC News CBC News; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; PHAC 2010, , http://www.phac-aspc.gc.ca/about_apropos/index-eng.php, Public Health Agency of Canada-About the Agency; (2010) PHAC, , http://news.healthgenie.ca/?p=30927, Public Health Agency of Canada-Travel Health Notice-Medical Care Abroad Aug 26; Petersen, A., Risk, governance and the new public health Foucault, Health, and Medicine, pp. 189-213. , London: Routledge Petersen A, Bunton R; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Glob Public Health, 3 (3), pp. 271-290. , 10.1080/17441690701463936; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31, pp. 185-98. , 10.1057/jphp.2010.10. 20535101; Cormany, D., Baloglu, S., Medical travel facilitators websites: An exploratory study of web page contents and services offered to the perspective medical tourist (2010) Tourism Management, 32 (4), pp. 709-716; Denzin, N., Lincoln, Y., (2005) The Sage Handbook of Qualitative Research, , Thousand Oaks, CA: Sage Publications Ltd 3; Aronson, J.A., Pragmatic View of Thematic Analysis (1994) The Qualitative Report, 2, p. 1; Miles, M.B., Huberman, A.M., (1994) Qualitative Data Analysis, , Thousand Oaks, CA: Sage Publications Ltd 2; Whittemore, R., Chase, S.K., Mandle, C.L., Validity in qualitative research (2001) Qualitative Health Research, 11 (4), pp. 522-537. , DOI 10.1177/104973201129119299; (2010) PHAC, , http://www.phac-aspc.gc.ca/tmp-pmv/pub-eng.php, Public Health Agency of Canada-Medical Care Abroad-Travel Health; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Can Fam Physician, 53 (10), p. 1639. , 17934018; (2010) Lack of Followup Deplored after MS Death, , http://www.cbc.ca/canada/story/2010/11/19/multiple-sclerosis-mostic- death-ccsvi.html, CBC News CBC News; Shetty, P., Medical tourism booms in India but at what cost? (2010) Lancet, 376, pp. 671-672. , 10.1016/S0140-6736(10)61320-7. 20879077; Godwin, S.K., Medical tourism: Subsidising the rich (2004) Econ Politic Weekly, 39 (36), pp. 3981-3983","Johnston, R.; Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; email: rrj1@sfu.ca",,,,,,,,14712458,,,"21627830","English","BMC Public Health",Review,"Final",Open Access,Scopus,2-s2.0-79957667702 "Mainil T., Platenkamp V., Meulemans H.","15029762900;36129644200;6507922448;","The discourse of medical tourism in the media",2011,"Tourism Review","66",,,"31","44",,24,"10.1108/16605371111127215","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84993102435&doi=10.1108%2f16605371111127215&partnerID=40&md5=fa76cf5eb041697db67e72399624d870","NHTV Breda, University of Applied Sciences, Breda, Netherlands; Research Centre for Longitudinal and Life Course Studies (CELLO), University of Antwerp, Antwerp, Belgium; Department at the Academy of Tourism, NHTV Breda, University of Applied Sciences, Breda, Netherlands; Research Centre for Longitudinal, Life Course Studies (CELLO), University of Antwerp, Antwerp, Belgium","Mainil, T., NHTV Breda, University of Applied Sciences, Breda, Netherlands, Research Centre for Longitudinal and Life Course Studies (CELLO), University of Antwerp, Antwerp, Belgium; Platenkamp, V., Department at the Academy of Tourism, NHTV Breda, University of Applied Sciences, Breda, Netherlands; Meulemans, H., Research Centre for Longitudinal, Life Course Studies (CELLO), University of Antwerp, Antwerp, Belgium","Non-discursive practices such as the economy and political constellations have always caused shifts in history. However, in the network society of today, these shifts have become omnipresent. Globalization of health and medical tourism have created a shift or rupture in the history of healthcare provision and into the lives of different stakeholders. The purpose of this paper is to detect and assess the rupture caused by global health care or medical tourism within the field of the written media, in order to define the reality of medical tourism as a trans-historical field. The methodology of this study comprised an extensive discourse analysis of written and new media performed over a time frame of more than a decade. Market, medical, ethical and patient discourses were detected along scientific sources, international and local newspapers. Results indicate that a change in the market discourse has caused a shift in the attitude towards medical tourism, where ethical voices are seen as submissive to the market logic. In the current time perspective, medical tourism has become more mature with the development of non-ethical counterparts such as organ tourism and reproductive tourism as a consequence. The research framework shows that the general public receives a normative message from the medical tourism sector. © 2011, Emerald Group Publishing Limited","Ethics; Globalization; Medical treatment; Print media; Tourism",,,,,,,,,"Adam, Z.R., Highlight country's medical speciality in promotions (2009) New Straits Times, p. 10. , 8 August; Health resorts and social tourism (1953) Hospitalis, 23 (7), p. 212; Device maker sees 50% sales jump (2005) The Bangkok Post, , http://archives.mybangkokpost.com/, 10 May, available at:, (accessed 31 August 2009); Fixing foreigners can be win-win (2006) The Bangkok Post, , http://archives.mybangkokpost.com/, 27 August, available at:, (accessed 31 August 2009); Barclay, E., Stem-cell experts raise concerns about medical tourism (2009) The Lancet, 373 (9667), pp. 883-884; Basu, R., How to be medical hub? 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Rev.",Article,"Final",,Scopus,2-s2.0-84993102435 "Martínez Álvarez M., Chanda R., Smith R.D.","37111139100;7004477781;55746369800;","The potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the UK and India",2011,"Globalization and Health","7",, 11,"","",,24,"10.1186/1744-8603-7-11","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955500923&doi=10.1186%2f1744-8603-7-11&partnerID=40&md5=2db4d8177a1939649012273b76f4e74d","Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom; Indian Institute of Management Bangalore, Bannerghatta Road, Bangalore, India","Martínez Álvarez, M., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom; Chanda, R., Indian Institute of Management Bangalore, Bannerghatta Road, Bangalore, India; Smith, R.D., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom","Background: Globalisation has prompted countries to evaluate their position on trade in health services. However, this is often done from a multi-lateral, rather than a regional or bi-lateral perspective. In a previous review, we concluded that most of the issues raised could be better addressed from a bi-lateral relationship. We report here the results of a qualitative exercise to assess stakeholders' perceptions on the prospects for such a bi-lateral system, and its ability to address concerns associated with medical tourism.Methods: 30 semi-structured interviews were carried out with stakeholders, 20 in India and 10 in the UK, to assess their views on the potential offered by a bi-lateral relationship on medical tourism between both countries. Issues discussed include data availability, origin of medical tourists, quality and continuity of care, regulation and litigation, barriers to medical tourism, policy changes needed, and prospects for such a bi-lateral relationship.Results: The majority of stakeholders were concerned about the quality of health services patients would receive abroad, regulation and litigation procedures, lack of continuity of care, and the effect of such trade on the healthcare available to the local population in India. However, when considering trade from a bi-lateral point of view, there was disagreement on how these issues would apply. There was further disagreement on the importance of the Diaspora and the validity of the UK's 'rule' that patients should not fly more than three hours to obtain care. Although the opinion on the prospects for an India-UK bi-lateral relationship was varied, there was no consensus on what policy changes would be needed for such a relationship to take place.Conclusions: Whilst the literature review previously carried out suggested that a bi-lateral relationship would be best-placed to address the concerns regarding medical tourism, there was scepticism from the analysis provided in this paper based on the over-riding feeling that the political 'cost' involved was likely to be the major impediment. This makes the need for better evidence even more acute, as much of the current policy process could well be based on entrenched ideological positions, rather than secure evidence of impact. © 2011 Álvarez et al; licensee BioMed Central Ltd.",,"globalization; health services; literature review; medical geography; policy implementation; public health; qualitative analysis; tourism market; article; health care availability; health care policy; health care quality; health service; human; India; medical tourism; patient care; priority journal; qualitative research; semi structured interview; United Kingdom; India; United Kingdom",,,,,,,,"Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373 (9663), pp. 593-601. , 10.1016/S0140-6736(08)61778-X, 19167053; Blouin, C., Drager, N., Smith, R., International Trade in Health Services and the GATS: Current Issues and Debates (2005), Washington, D.C.: World Bank; Blouin, C., Drager, N., Smith, R., Building a national health strategy for trade: A guide for policy making, , Montreal: McGill University Press; Lunt, N., Carrera, P., Medical tourism: assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , 10.1016/j.maturitas.2010.01.017, 20185254; Smith, R.D., Lee, K., Drager, N., Trade and health: an agenda for action (2009) Lancet, 373 (9665), pp. 768-773. , 10.1016/S0140-6736(08)61780-8, 2726935, 19167056; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Aff (Millwood), 25 (2), pp. 358-368; Carrera, P., Bridges, J., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) Bmc Health Serv Res, 10, p. 266. , 10.1186/1472-6963-10-266, 2944273, 20825667; (2002) Healthcare in India: The road ahead, , New Delhi: CII & McKinsey & Company, Confederation of Indian Industries and McKinsey & Co; (2008) Medical Tourism: Consumers in search of value, , Washington, D.C.: Deloitte, Deloitte Center for Health Solutions; (2006) Medical tourism: a global analysis, , Arnhem: ATLAS, Tourism Research And Marketing; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82 (12), pp. 1658-1661. , 10.1097/01.tp.0000250763.52186.df, 17198255; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85 (3), pp. 164-165. , 10.2471/BLT.07.010307, 2636228, 17486202; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850. , 10.1016/S0140-6736(07)60833-2, 17549816; Connell, J., Tummy tucks and the Taj Mahal? 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(2010) Economic and Political Weekly, 45 (20), pp. 69-75; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376 (9742), pp. 671-672. , 10.1016/S0140-6736(10)61320-7, 20879077; Coast, J., The appropriate uses of qualitative methods in health economics (1999) Health Econ, 8 (4), pp. 345-353. , 10.1002/(SICI)1099-1050(199906)8:4<345::AID-HEC432>3.0.CO;2-Q, 10398527; Braun, V., Clarke, V., Using thematic analysis in psychology (2006) Qualitative Research in Psychology, 3, pp. 77-101; Hsieh, H.F., Shannon, S.E., Three approaches to qualitative content analysis (2005) Qual Health Res, 15 (9), pp. 1277-1288. , 10.1177/1049732305276687, 16204405; Turner, L., ""First world health care at third world prices"": globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med J Aust, 187, pp. 11-12; Garud, A.D., Medical tourism and its impact on our healthcare (2005) Natl Med J India, 18 (6), pp. 318-319","Martínez Álvarez, M.; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom; email: melisa.martinez-alvarez@lshtm.ac.uk",,,,,,,,17448603,,,,"English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-79955500923 "Pennings G.","7003820139;","Ethics without Boundaries: Medical Tourism",2007,"Principles of Health Care Ethics: Second Edition",,,,"505","510",,24,"10.1002/9780470510544.ch69","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952351996&doi=10.1002%2f9780470510544.ch69&partnerID=40&md5=69967b0887b024a8e825b46a0d227e82","Department of Philosophy and Moral Science, Ghent University, Blandijnberg 2, B-9000 Gent, Belgium","Pennings, G., Department of Philosophy and Moral Science, Ghent University, Blandijnberg 2, B-9000 Gent, Belgium",[No abstract available],"Globalisation; Health care; Justice; Reproductive tourism; Trade",,,,,,,,,"Baeten, R., The proposal for a directive on services in the internal market applied to health care (2004), http://www.ose.be, Paper prepared for the public hearing in the European Parliament, 11 November; Bauer, K., Distributive justice and rural healthcare: a case for ehealth (2003) Int J Appl Philos, 17, pp. 241-252; Castle, D.J., Honigman, R.J., Phillips, K.A., Does cosmetic surgery improve psychosocial well being? 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(1998) A Companion to Bioethics, pp. 41-48. , In: Kuhse H, Singer P, eds, Oxford: Blackwell; Fornasiero, C., Turismo procreativo: fotografia di una realtà (2005) Conferenza stampa, , http://www.cecos.it/conferenze/cf_250505.pdf, In:CECOS Italy ed, Turismo procreativo:fotografia di una realtà. Rome, May 25; Gonzales, A., Brenzel, L., Sancho, J., Health tourism and related services:Caribbean development and international trade (2001) Final report submitted to the Regional Negotiating Machinery (RNM), , http://www.crnm.org/documents/studies/RNM%20Health%20Study%20Final.pdf; Hermans, H.E.G.M., Cross-border health care in the European Union:recent legal implications of Decker and Kohll (2000) J Eval Clin Pract, 6, pp. 431-439; Jaarrapportage 2002 van de Wet Afbreking Zwangerschap (2003), Inspectie voor de Gezondheidszorg, Den Haag: Inspectie voor de Gezondheidszorg; Janjaroen, W.S., Supakankunti, S., International trade in health services in the millenium: the case of Thailand (2002) Trade in Health Services, pp. 87-106. , In: World Health Organization, ed; Labonte, R., Globalization, health, and the free trade regime: assessing the links (2004) Perspect Global Dev Technol, 3, pp. 47-72; Millns, S., Reproducing inequalities: assisted conception and the challenge of legal pluralism (2002) J Soc Welfare Family Law, 24, pp. 19-36; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) J Med Ethics, 28, pp. 337-341; National Human Development Report 2001 (2002), Planning Commission, Government of India; Rawls, J., A Theory of Justice (1971), Cambridge, Massachusetts: Belknap Press of Harvard University Press; Schrecker, T., Labonte, R., Taming the brain drain: a challenge for public health systems in Southern Africa (2004) Int J Occup Environ Health, 10, pp. 409-415; International trade in health services: difficulties and opportunities for developing countries (1998) International Trade in Health Services: A Developmental Perspective, pp. 3-28. , http://www.ictsd.org/issarea/services/resources/Docs/WHO-UNCTAD1.pdf, UNCTAD Secretariat, In: UNCTAD-WHO, eds, Geneva: UNCTAD; United Nations Conference on Trade and Development. Report of the Expert Meeting on Strengthening the Capacity and Extending Exports of Developing Countries in the Services Sector: Health Services (1997), United Nations, Geneva: Trade and Development Board, 17-21 November; Vellinga, J., International trade, health systems and services:a health policy perspective (2001) Trade Policy Research 2001, pp. 137-187. , http://www.dfait-maeci.gc.ca/eet/pdf/07-en.pdf, In: Department of Foreign Affairs and International Trade Canada, ed","Pennings, G.; Department of Philosophy and Moral Science, Ghent University, Blandijnberg 2, B-9000 Gent, Belgium; email: Guido.Pennings@Ugent.be",,,"John Wiley and Sons",,,,,,9780470027134,,,"English","Princ. of Health Care Ethics: Second Ed.",Book Chapter,"Final",,Scopus,2-s2.0-77952351996 "Liu B., Moore J.E., Almaawiy U., Chan W.-H., Khan S., Ewusie J., Hamid J.S., Straus S.E., Davidson S., Izukawa T., Rampersad S.-A., Marr S., Pizzacalla A., Lee A., Paquette C., Szymanski D., Jewitt R., Morkem R., Murphy J., Richmond T., Fitzpatrick T., Nicodemo A., Taabazuing M.-M., Escaravage E., Joanisse J., Marleau P., Welch C., Bhesania N., Ramsden R., Sinha S.K., Smith-Carrier T., Andrews K., Chan G., McCormack N., Monteiro M., Yeung K.T., Beauchemin F., Khoury L., Power B., Thomson V., DePaul V.G., Hatzoglou D., Prince M., Versi B., Garg R., Johnson C., Marquez C., Pyka K., Ringer L., Scott A., Tran J., Zorzitto M., Brown D., Deljoomanesh S., Denomme J., O'Leary B., ElSherif H., Hawley J., Robertshaw T., McCarthy M.K., Milroy A., Vandeursen A., On Behalf Of The Move On Collaboration","7408691603;35764072400;55785163900;55785556300;56148781200;56215276300;57195937775;55624556200;57200272457;7003326421;57200274265;16230491100;36103372400;57200274626;57200278472;57200278440;57200271593;56154239700;57213473602;57200280671;57200268195;57200272203;8631322500;51461242300;56867587900;57200284003;57203174452;35092248800;56421750100;37098996100;55220044500;57205515075;57200274028;57212885347;57200278984;57200280021;37020156100;57200284976;7006091211;57200281787;6507422779;57200270864;57200274642;35732796000;57200274858;57214079540;23989110900;56147974900;26641383700;56991966200;57150416400;57213949577;57213913851;57208029653;57204740300;57200278973;57200281063;57200275705;57200276320;57200278246;57200270556;57200269130;","Outcomes of Mobilisation of Vulnerable Elders in Ontario (MOVE ON): A multisite interrupted time series evaluation of an implementation intervention to increase patient mobilisation",2018,"Age and Ageing","47","1",,"112","119",,23,"10.1093/ageing/afx128","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040594068&doi=10.1093%2fageing%2fafx128&partnerID=40&md5=64e90daa891203347202dbae9e2332f2","Regional Geriatric Program of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada; McMaster UniversityON, Canada; Baycrest Health Sciences, Canada; Hamilton Health Sciences, Canada; Health Sciences North, Canada; Kingston General Hospital, Canada; London Health Sciences Centre, Canada; Montfort Hospital, Canada; Mount Sinai Hospital, United States; North York General Hospital, United States; The Ottawa Hospital, Canada; St. Joseph's Healthcare Hamilton, Canada; St. Michael's Hospital, Canada; Sunnybrook Health Sciences Centre, Canada; Thunder Bay Regional Health Sciences Centre, Canada; University Health Network, Canada","Liu, B., Regional Geriatric Program of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada, Sunnybrook Health Sciences Centre, Canada; Moore, J.E., Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada, St. Michael's Hospital, Canada; Almaawiy, U., Regional Geriatric Program of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, Sunnybrook Health Sciences Centre, Canada; Chan, W.-H., Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada, St. Michael's Hospital, Canada; Khan, S., Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada; Ewusie, J., McMaster UniversityON, Canada; Hamid, J.S., Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada, McMaster UniversityON, Canada; Straus, S.E., Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada, St. Michael's Hospital, Canada; Davidson, S., Baycrest Health Sciences, Canada; Izukawa, T., Baycrest Health Sciences, Canada; Rampersad, S.-A., Baycrest Health Sciences, Canada; Marr, S., Hamilton Health Sciences, Canada; Pizzacalla, A., Hamilton Health Sciences, Canada; Lee, A., Health Sciences North, Canada; Paquette, C., Health Sciences North, Canada; Szymanski, D., Health Sciences North, Canada; Jewitt, R., Kingston General Hospital, Canada; Morkem, R., Kingston General Hospital, Canada; Murphy, J., Kingston General Hospital, Canada; Richmond, T., Kingston General Hospital, Canada; Fitzpatrick, T., London Health Sciences Centre, Canada; Nicodemo, A., London Health Sciences Centre, Canada; Taabazuing, M.-M., London Health Sciences Centre, Canada; Escaravage, E., Montfort Hospital, Canada; Joanisse, J., Montfort Hospital, Canada; Marleau, P., Montfort Hospital, Canada; Welch, C., Montfort Hospital, Canada; Bhesania, N., Mount Sinai Hospital, United States; Ramsden, R., Mount Sinai Hospital, United States; Sinha, S.K., Mount Sinai Hospital, United States; Smith-Carrier, T., Mount Sinai Hospital, United States; Andrews, K., North York General Hospital, United States; Chan, G., North York General Hospital, United States; McCormack, N., North York General Hospital, United States; Monteiro, M., North York General Hospital, United States; Yeung, K.T., North York General Hospital, United States; Beauchemin, F., The Ottawa Hospital, Canada; Khoury, L., The Ottawa Hospital, Canada; Power, B., The Ottawa Hospital, Canada; Thomson, V., The Ottawa Hospital, Canada; DePaul, V.G., St. Joseph's Healthcare Hamilton, Canada; Hatzoglou, D., St. Joseph's Healthcare Hamilton, Canada; Prince, M., St. Joseph's Healthcare Hamilton, Canada; Versi, B., St. Joseph's Healthcare Hamilton, Canada; Garg, R., St. Michael's Hospital, Canada; Johnson, C., St. Michael's Hospital, Canada; Marquez, C., St. Michael's Hospital, Canada; Pyka, K., St. Michael's Hospital, Canada; Ringer, L., St. Michael's Hospital, Canada; Scott, A., St. Michael's Hospital, Canada; Tran, J., St. Michael's Hospital, Canada; Zorzitto, M., St. Michael's Hospital, Canada; Brown, D., Sunnybrook Health Sciences Centre, Canada; Deljoomanesh, S., Sunnybrook Health Sciences Centre, Canada; Denomme, J., Sunnybrook Health Sciences Centre, Canada; O'Leary, B., Sunnybrook Health Sciences Centre, Canada; ElSherif, H., Thunder Bay Regional Health Sciences Centre, Canada; Hawley, J., Thunder Bay Regional Health Sciences Centre, Canada; Robertshaw, T., Thunder Bay Regional Health Sciences Centre, Canada; McCarthy, M.K., University Health Network, Canada; Milroy, A., University Health Network, Canada; Vandeursen, A., University Health Network, Canada; On Behalf Of The Move On Collaboration","Background: older patients admitted to hospitals are at risk for hospital-acquired morbidity related to immobility. The aim of this study was to implement and evaluate an evidence-based intervention targeting staff to promote early mobilisation in older patients admitted to general medical inpatient units. Methods: the early mobilisation implementation intervention for staff was multi-component and tailored to local context at 14 academic hospitals in Ontario, Canada. The primary outcome was patient mobilisation. Secondary outcomes included length of stay (LOS), discharge destination, falls and functional status. The targeted patients were aged ≥ 65 years and admitted between January 2012 and December 2013. The intervention was evaluated over three time periods-pre-intervention, during and post-intervention using an interrupted time series design. Results: in total, 12,490 patients (mean age 80.0 years [standard deviation 8.36]) were included in the overall analysis. An increase in mobilisation was observed post-intervention, where significantly more patients were out of bed daily (intercept difference = 10.56%, 95% CI: [4.94, 16.18]; P < 0.001) post-intervention compared to pre-intervention. Hospital median LOS was significantly shorter during the intervention period (intercept difference = -3.45 days, 95% CI: [-6.67,-0.23], P = 0.0356) compared to pre-intervention. It continued to decrease post-intervention with significantly fewer days in hospital (intercept difference= -6.1, 95% CI: [-11,-1.2]; P = 0.015) in the post-intervention period compared to pre-intervention. Conclusions: this is a large-scale study evaluating an implementation strategy for early mobilisation in older, general medical inpatients. The positive outcome of this simple intervention on an important functional goal of getting more patients out of bed is a striking success for improving care for hospitalised older patients. © The Author 2017.","Acute care hospital; Frail; Implementation; Mobilisation; Older people","aged; Article; controlled study; elderly care; falling; female; functional status; hospital discharge; hospital patient; human; length of stay; major clinical study; male; mobilization; Ontario; priority journal; quasi experimental study; time series analysis; very elderly; vulnerable population; age; aging; clinical trial; epidemiology; exercise; geriatric assessment; hospital admission; mobilization; multicenter study; prevention and control; procedures; time factor; treatment outcome; university hospital; vulnerable population; Accidental Falls; Age Factors; Aged; Aged, 80 and over; Aging; Early Ambulation; Exercise; Female; Geriatric Assessment; Hospitals, University; Humans; Interrupted Time Series Analysis; Length of Stay; Male; Ontario; Patient Admission; Patient Discharge; Time Factors; Treatment Outcome; Vulnerable Populations",,,,,,,,"Gillick, M.R., Serrell, N.A., Gillick, L.S., Adverse consequences of hospitalization in the elderly (1982) Soc Sci Med, 16, pp. 1033-1038; Asher, R.A., The dangers of going to bed (1947) Br Med J, 2, p. 967; Creditor, M.C., Hazards of hospitalization of the elderly (1993) Ann Intern Med, 118, pp. 219-223; Cumming, T.B., Collier, J., Thrift, A., Bernhardt, J., The effect of very early mobilization after stroke on psychological wellbeing (2008) J Rehabil Med, 40, pp. 609-614; Oldmeadow, L.B., Edwards, E.R., Kimmel, L.A., Kipen, E., Robertson, V.J., Bailey, M.J., No rest for the wounded: early ambulation after hip surgery accelerates recovery (2006) ANZ J Surg, 76, pp. 607-611; Mundy, L.M., Leet, T.L., Darst, K., Schnitzler, M.A., Dunagan, W.C., Early mobilization of patients hospitalized with community-acquired pneumonia (2003) Chest, 124, pp. 883-889; Chippala, P., Sharma, R., Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail (2016) Clin Rehabil, 30, pp. 669-675; Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Early physical and occupational therapy in mechanically ventilated critically ill patients: a randomized controlled trial (2009) Lancet, 373, pp. 1874-1882; Fisher, S.R., Kuo, Y.F., Graham, J.E., Ottenbacher, K.J., Ostir, G.V., Early ambulation and length of stay in older adults hospitalized for acute illness (2010) Arch Intern Med, 170, pp. 1942-1943; Chandrasekaran, S., Ariaretnam, S.K., Tsung, J., Dickison, D., Early mobilization after total knee replacement reduces the incidence of deep venous thrombosis (2009) ANZ J Surg, 79, pp. 526-529; Greening, N.J., Williams, J.E., Hussain, S.F., An early rehabilitation intervention to enhance recovery during hospital admission for an exacerbation of chronic respiratory disease: randomised controlled trial (2014) BMJ, 349; Bernhardt, J., Langhorne, P., Lindley, R.I., Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial (2015) Lancet, 386, pp. 46-55; Schaller, S.J., Anstey, M., Blobner, M., Early, goal-directed mobilisation in the surgical intensive care unit: a randomised controlled trial (2016) Lancet, 388, pp. 1377-1388; Brown, C.J., Foley, K.T., Lowman, J.D., Jr., Comparison of posthospitalization function and community mobility in hospital mobility program and usual care patients: a randomized clinical trial (2016) JAMA Intern Med, 176, pp. 921-927; Brown, C.J., Redden, D.T., Flood, K.L., Allman, R.M., The underrecognized epidemic of low mobility during hospitalization of older adults (2009) J Am Geriatr Soc, 57, pp. 1660-1665; Callen, B.L., Mahoney, J.E., Grieves, C.B., Wells, T.J., Enloe, M., Frequency of hallway ambulation by hospitalized older adults on medical units of an academic hospital (2004) Geriatr Nurs, 25, pp. 212-217; Ettinger, W.H., Can hospitalization-associated disability be prevented? (2011) JAMA, 306, pp. 1800-1801; Ogrinc, G., Mooney, S.E., Estrada, C., The SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines for quality improvement reporting: explanation and elaboration (2008) Qual Saf Health Care, 17, pp. i13-i32; Hoffmann, T.C., Glasziou, P.P., Boutron, I., Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide (2014) Br Med J, 348; Graham, I.D., Logan, J., Harrison, M.B., Lost in knowledge translation: time for a map? (2006) J Contin Educ Health Prof, 26, pp. 13-24; Liu, B., Almaawiy, U., Moore, J.E., Chan, W.H., Straus, S.E., MOVE ON Team Evaluation of a multisite educational intervention to improve mobilization of older patients in hospital: protocol for mobilization of vulnerable elders in Ontario (MOVE ON) (2013) Implement Sci, 3, pp. 76-83; Bernhardt, J., Dewey, H., Thrift, A., Collier, J., Donnan, G., A very early rehabilitation trial for stroke (AVERT): phase II safety and feasibility (2008) Stroke, 39, pp. 390-396; Moore, J.E., Mascarenhas, A., Marquez, C., MOVE ON Team. Mapping barriers and intervention activities to behaviour change theory for Mobilization of Vulnerable Elders in Ontario (MOVE ON), a multi-site implementation intervention in acute care hospitals (2014) Implement Sci, 9, p. 160; Wagner, A.K., Soumerai, S.B., Zhang, F., Ross-Degnan, D., Segmented regression analysis of interrupted time series studies in medication use research (2002) J Clin Pharm Ther, 27, pp. 299-309; Durbin, J., Testing for serial correlation in least-squares regressions when some of the regressors are lagged dependent variables (1970) Econometrica, 38, pp. 410-421; Cochrane, D., Orcutt, G., Application of least squares regression to relationships containing auto correlated error terms (1949) J Am Stat Assoc, 44, pp. 32-61; (2013) R: A Language and Environment for Statistical Computing, , Vienna, Austria: R Foundation for Statistical Computing; Damschroder, L.J., Aron, D.C., Keith, R.E., Kirsh, S.R., Alexander, J.A., Lowery, J.C., Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science (2009) Implement Sci, 4, p. 50; Baker, R., Camosso-Stefinovic, J., Gillies, C., Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes (2015) Cochrane Database Syst Rev, (4); Reisinger, H.S., Yin, J., Radonovich, L., Comprehensive survey of hand hygiene measurement and improvement practices in the Veterans Health Administration (2013) Am J Infect Control, 41, pp. 989-993; Oliver, D., Prevention of falls in hospital inpatients: agendas for research and practice (2004) Age Ageing, 33, pp. 328-330","Liu, B.; Regional Geriatric Program of Toronto, Sunnybrook Health Sciences CentreCanada; email: Barbara.liu@sunnybrook.ca",,,"Oxford University Press",,,,,00020729,,AANGA,"28985310","English","Age Ageing",Article,"Final",Open Access,Scopus,2-s2.0-85040594068 "Abouhashem Abadi F., Ghasemian Sahebi I., Arab A., Alavi A., Karachi H.","57194176741;57194170550;57162814000;57194170326;57194171586;","Application of best-worst method in evaluation of medical tourism development strategy",2018,"Decision Science Letters","7","1",,"77","86",,23,"10.5267/j.dsl.2017.4.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019026511&doi=10.5267%2fj.dsl.2017.4.002&partnerID=40&md5=25101ef7edad7bec607b60da03fed9e2","Department of Management, University of Tehran, Tehran, Iran","Abouhashem Abadi, F., Department of Management, University of Tehran, Tehran, Iran; Ghasemian Sahebi, I., Department of Management, University of Tehran, Tehran, Iran; Arab, A., Department of Management, University of Tehran, Tehran, Iran; Alavi, A., Department of Management, University of Tehran, Tehran, Iran; Karachi, H., Department of Management, University of Tehran, Tehran, Iran","Medical tourism industry is an international phenomenon, which most of medical tourists for some reasons such as high costs of treatment, long waiting queues, lack of insurance and lack of access to health care in the origin country, travel long distances to benefit from health care services of destination country. Given the competitive nature of this industry, most countries are designing practical and legal services and planning for their development. For this purpose, this study has been conducted to develop a strategic planning framework for development of medical tourism industry in Yazd province of Iran; because in recent years Yazd has recognized as the health pole by patients in developing countries. In sum, emphasizing on servicing, enhancing and developing specialized treatment centers, has attracted patients from center, south and east of the country as well as Middle East and Central Asia countries. The dominant approach in this study is developmental – practical and also the research method is descriptive, analytical and survey. In order to analyzing the data, the SWOT model and best-worst techniques have been used. In the following, after identifying strategic position of Yazd province in terms of medical tourism industry, the related strategies were formulated and practical results were presented. © 2018 Growing Science Ltd. All rights reserved.","Best worst method; Medical tourism industry; Strategic planning; SWOT; Yazd Province",,,,,,,,,"Arslan, O., Er, I.D., SWOT analysis for safer carriage of bulk liquid chemicals in tankers (2008) Journal of Hazardous Materials, 154 (13), pp. 901-913. , http://doi.org/10.1016/j.jhazmat.2007.10.113; Beladi, H., Chao, C.-C., Ee, M.S., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Economic Modelling, 46, pp. 391-396; Chaghooshi, A., Arab, A., Dehshiri, S., A fuzzy hybrid approach for project manager selection (2016) Decision Science Letters, 5 (3), pp. 447-460; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5); Dalstrom, M., Medical travel facilitators: Connecting patients and providers in a globalized world (2013) Anthropology & Medicine, 20 (1), pp. 24-35; Dereli, C., The developing environment for strategy formation in the smaller local authority (2007) International Journal of Public Sector Management, 20 (5), pp. 366-379. , http://doi.org/10.1108/09513550710772495; Ganguli, S., Ebrahim, A.H., A qualitative analysis of Singapore’s medical tourism competitiveness (2017) Tourism Management Perspectives, 21, pp. 74-84; Garcia, A.G., Besinga, C.A., Challenges and opportunities in the Philippine medical tourism industry (2006) The SVG Review, pp. 41-55; Ghaffari, S., Arab, A., Nafari, J., Manteghi, M., Investigation and evaluation of key success factors in technological innovation development based on BWM (2017) Decision Science Letters, 6 (3), pp. 295-306; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Kazemi, Z., (2007) Study of Effective Factors for Attracting Medical Tourist in Iran. Research Paper Requirements for the MS Degree, , Lulea University of Technology, Netherlands; Khan, S., Alam, M.S., Kingdom of Saudi Arabia: A potential destination for medical tourism (2014) Journal of Taibah University Medical Sciences, 9 (4), pp. 257-262; Mohaghar, A., Sahebi, I., Arab, A., Appraisal of humanitarian supply chain risks using best-worst method (2017) International Journal of Social, Behavioral, Educational, Economic, Business and Industrial Engineering, 11 (2), pp. 309-314; Rezaei, J., Best-worst multi-criteria decision-making method (2015) Omega, 53, pp. 49-57; Rezaei, J., Best-worst multi-criteria decision-making method: Some properties and a linear model (2015) Omega, 64, pp. 126-130; Rezaei, J., Nispeling, T., Sarkis, J., Tavasszy, L., A supplier selection life cycle approach integrating traditional and environmental criteria using the best worst method (2016) Journal of Cleaner Production, 135; Rezaei, J., Wang, J., Tavasszy, L., Linking supplier development to supplier segmentation using Best Worst Method (2015) Expert Systems with Applications, 42 (23), pp. 9152-9164; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Stonehouse, G., Pemberton, J., Strategic planning in SMEs – some empirical findings (2002) Management Decision, 40 (9); Woodman, J., (2009) Patients beyond Borders: Everybody’s Guide to Affordable, World-Class Medical Travel, , Healthy Travel Media; Yüksel, İ., Dağdeviren, M., Using the analytic network process (ANP) in a SWOT analysis – A case study for a textile firm (2007) Information Sciences, 177 (16), pp. 3364-3382","Ghasemian Sahebi, I.; Department of Management, University of TehranIran; email: iman.ghasemian@ut.ac.ir",,,"Growing Science",,,,,19295804,,,,"English","Decis. Sci. Lett.",Article,"Final",Open Access,Scopus,2-s2.0-85019026511 "Debata B.R., Patnaik B., Mahapatra S.S., Sree K., Sr.","55331150500;37115884300;34881914000;56499155600;","Interrelations of service quality and service loyalty dimensions in medical tourism: A structural equation modeling approach",2015,"Benchmarking","22","1",,"18","55",,23,"10.1108/BIJ-04-2013-0036","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921287546&doi=10.1108%2fBIJ-04-2013-0036&partnerID=40&md5=5b553ad550c5f923eac611caebabc6e3","Department of Marketing, Rourkela Institute of Management Studies, Rourkela, India; Department of Humanities and Social Sciences, National Institute of Technology Rourkela, Rourkela, India; Department of Mechanical Engineering, National Institute of Technology, Rourkela, India; Department of Marketing, Rourkela Institute of Management Studies, Rourkela, India","Debata, B.R., Department of Marketing, Rourkela Institute of Management Studies, Rourkela, India; Patnaik, B., Department of Humanities and Social Sciences, National Institute of Technology Rourkela, Rourkela, India; Mahapatra, S.S., Department of Mechanical Engineering, National Institute of Technology, Rourkela, India; Sree, K., Sr., Department of Marketing, Rourkela Institute of Management Studies, Rourkela, India","Purpose – The purpose of this paper is to identify the dimensions of service quality as well as of service loyalty in the context of medical tourism. It seeks to demonstrate the conceptualization of medical tourism service loyalty (MTSL) construct. This research also attempts to examine the effect of service quality dimensions on service loyalty dimensions of medical tourism. Design/methodology/approach – The dimensions of service quality as well as of service loyalty are identified using an exploratory factor analysis. Next, the reliability and validity of the quality factors and loyalty factors are established through confirmatory factor analysis using AMOS 18.0 version. The related hypotheses are tested using structural equation modeling (SEM). Findings – The paper identifies eight-factor construct for medical tourism service quality and threefactor construct for MTSL. It is found that the treatment satisfaction dimension of service quality has positive and significant impact on MTSL. It is also observed that, overall, medical tourism service quality has positive impact on MTSL. Practical implications – These dimensions of service quality should be viewed as the levers of improving perceived service quality with respect to medical tourism. Examining the service quality dimensions’ impact on customer loyalty for medical tourism sector can offer the industry valuable insights regarding which aspects of the service to focus on in order to improve medical tourist’s satisfaction and loyalty toward the firms. Originality/value – This paper introduces the concept of service quality and service loyalty in medical tourism sector. In conceptualizing MTSL, the authors propose an integration of behavioral measures, attitudinal measures and cognitive measures. The interrelationship between the service quality construct and medical loyalty construct was established using SEM. This is useful for the healthcare manager to measure the medical tourist’s perceptions of service quality on these dimensions as related to medical tourism performance. ©Emerald Group Publishing Limited.","Customer services quality; Performance management",,,,,,,,,"Abramowitz, S., Cote, A.A., Berry, E., Analyzing patient satisfaction: A multianalytic approach (1987) Quality Review Bulletin, 13 (4), pp. 122-130; Aharony, L., Strasser, S., Patient satisfaction: What we know about and what we still need to explore (1993) Med Care Rev, 50 (1), pp. 49-79; Alen, M.E., Fraiz, J.A., Rufin, R., Analysis of health spa customer’s expectation and perception: The case of Spanish establishments (2006) Polytechinal Studies Review, 35 (6), pp. 245-262; Andaleeb, S., Caring for children: A model of healthcare service quality in Bangladesh (2008) International Journal for Quality in Healthcare, 20 (5), pp. 339-345; Andaleeb, S.S., Service quality perceptions and patient satisfaction: A study of hospitals in a developing country (2001) Social Science & Medicine, 52 (9), p. 1359; Andaleeb, S.S., Siddiqui, N., Khandakar, S., Patient satisfaction with health services in Bangladesh (2007) Health Policy Plann, 22 (4), pp. 263-273; Anderson, E.W., Customer satisfaction and price tolerance (1996) Marketing Letters, 7 (3), pp. 265-274; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: a review of the two-step approach (1988) Psychological Bulletin, 103 (3), pp. 411-423; Andreassen, T.W., Lindestad, B., Customer loyalty and complex services: The impact of corporate image on quality, customer satisfaction and loyalty for customers with varying degrees of service expertise (1998) International Journal of Service Industry Management, 9 (1), pp. 7-23; Antoniotti, S., Barrau, K.B., Simeoni, M.C., Sapin, C., Labarere, J., Gerbaud, L., Boyer, L., Auquire, P., Validation of a French hospitalized patients’ satisfaction questionnaire: The QSH-45 (2009) Int. 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(Ed.), Dienstleistungsmarketing: Konzeptionen and Anwendungen, Gabler Edition, Wissenschaft, Berlin; Teas, R.K., Expectations, performance evaluation and consumer’s perceptions of quality (1993) Journal of Marketing, 57 (4), pp. 18-34","Mahapatra, S.S.; Department of Marketing, Rourkela Institute of Management StudiesIndia",,,"Emerald Group Publishing Ltd.",,,,,14635771,,BQMTF,,"English","Benchmarking",Article,"Final",,Scopus,2-s2.0-84921287546 "Connell J.","56227359000;","From medical tourism to transnational health care? An epilogue for the future",2015,"Social Science and Medicine","124",,,"398","401",,23,"10.1016/j.socscimed.2014.11.015","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920276615&doi=10.1016%2fj.socscimed.2014.11.015&partnerID=40&md5=0fac4975aba2fe5343e4dfbc2af99375","School of Geosciences, University of SydneyNSW 2006, Australia","Connell, J., School of Geosciences, University of SydneyNSW 2006, Australia",[No abstract available],,"accreditation; biogeographic region; Editorial; government; health care access; health care cost; health care delivery; health care facility; health care industry; health care need; health care policy; health care quality; health care system; health promotion; human; investment; medical practice; medical tourism; personal experience; social marketing; social network; travel; economics; ethics; international cooperation; Internet; medical tourism; political system; trends; Capitalism; Health Services Accessibility; Humans; Internationality; Internet; Medical Tourism",,,,,,,,"Andrews, G., Chen, S., Myers, S., The 'taking place' of health and wellbeing: towards non-representational theory (2014) Soc. 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Ethics, 14, p. 37; Snyder, J., Crooks, V., Johnston, R., Kingsbury, P., Beyond sun, sand, and stitches: assigning responsibility for the harms of medical tourism (2013) Bioethics, 27, pp. 233-242; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Glob. Public Health, 3, pp. 271-290; Whittaker, A., Chee, H.L., Perceptions of an 'international hospital' in Thailand by medical travel patients: Cross-cultural tensions in a transnational space (2015) Soc. Sci. & Med., 124, pp. 290-297; Van Hoof, W., Pennings, G., De Sutter, P., Cross-border reproductive care for law evasion: A qualitative study into the experiences and moral perspectives of French women who go to Belgium for treatment with donor sperm (2015) Soc. Sci. & Med., 124, pp. 391-397; Volgger, M., Mainil, T., Pechlaner, H., Mitas, O., Health region development from the perspective of system theory - An empirical cross-regional case study (2015) Soc. Sci. & Med., 124, pp. 321-330","Connell, J.; School of Geosciences, University of SydneyAustralia",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"25467883","English","Soc. Sci. Med.",Editorial,"Final",,Scopus,2-s2.0-84920276615 "Noree T., Hanefeld J., Smith R.","56148513800;26430746700;55746369800;","UK medical tourists in Thailand: They are not who you think they are",2014,"Globalization and Health","10","1", 29,"","",,23,"10.1186/1744-8603-10-29","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84901673633&doi=10.1186%2f1744-8603-10-29&partnerID=40&md5=9231f42520121be7a88a331a5e1a4f39","Department of Global Health and Development, Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine, Tavistock Place 15-17, London WC1H 9SH, United Kingdom; International Health Policy Program, The Ministry of Public Health, Bangkok, Thailand; Health Systems Economics, Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; Health System Economics and Dean of Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom","Noree, T., Department of Global Health and Development, Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine, Tavistock Place 15-17, London WC1H 9SH, United Kingdom, International Health Policy Program, The Ministry of Public Health, Bangkok, Thailand; Hanefeld, J., Department of Global Health and Development, Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine, Tavistock Place 15-17, London WC1H 9SH, United Kingdom, Health Systems Economics, Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; Smith, R., Department of Global Health and Development, Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine, Tavistock Place 15-17, London WC1H 9SH, United Kingdom, Health System Economics and Dean of Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom","Background: Travel for medical treatment is an aspect of globalization and health that is comparatively less understood. Little is known about volume, characteristic and motivation of medical tourists, limiting understanding of effects on health systems and patients. Thailand is amongst a handful of countries that have positioned themselves as medical tourism destination. This paper examines in unprecedented detail volume and characteristics of medical tourists who travel from the UK to Thailand for treatment.Methods: As part of a wider medical tourism study, authors gained access to over 4000 patient records from the five largest private hospitals in Thailand. These included information on country of origin, gender, age, arrival month, hospitalization, diagnosis, procedures, length of stay, medical expenditure and type of payment. Patient records were analysed to understand who travels and findings were triangulated with data from the UK International Passenger Survey (IPS).Results: 104,830 medical tourists visited these hospitals in Thailand in 2010. While patients originate all over the world, UK medical tourists represent the largest group amongst Europeans. The majority UK medical tourists (60%) have comparatively small, elective procedures, costing less than USD 500. A significant minority of patients travel for more serious orthopedic and cardiothoracic procedures. Data of individual patient records from Thailand shows a higher number of UK patients traveled to Thailand than indicated by the IPS.Conclusions: Thailand is attracting a large number of medical tourists including larger numbers of UK patients than previously estimated. However, as many patients travel for comparatively minor procedures treatment may not be their primary motivation for travel. The small but significant proportion of older UK residents traveling for complex procedures may point to challenges within the NHS. © 2014 Noree et al.; licensee BioMed Central Ltd.",,"disease treatment; globalization; medical geography; tourism economics; tourism market; tourist destination; travel behavior; travel demand; adult; age distribution; aged; article; female; health care access; health care cost; hospitalization; human; length of stay; major clinical study; male; medical tourism; middle aged; priority journal; private hospital; sex difference; Thailand; United Kingdom; very elderly; cross-sectional study; medical tourism; national health service; sex ratio; socioeconomics; statistics and numerical data; Thailand; United Kingdom; Adult; Age Distribution; Aged; Cross-Sectional Studies; Female; Great Britain; Health Expenditures; Humans; Length of Stay; Male; Medical Tourism; Middle Aged; Sex Distribution; Socioeconomic Factors; State Medicine; Thailand",,,,,,,,"Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour Manage, 34 (0), pp. 1-13; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11. , PubMed PMID: 20517465. 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Online: Treatment Abroad, , Intuition Communication Ltd. : Berkhamsted, Hertfordshire, United Kingdom, Abroad T","Hanefeld, J.; Department of Global Health and Development, Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine, Tavistock Place 15-17, London WC1H 9SH, United Kingdom; email: Johanna.Hanefeld@lshtm.ac.uk",,,"BioMed Central Ltd.",,,,,17448603,,,"24885204","English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-84901673633 "Lunt N., Mannion R.","6603761945;7007006015;","Patient mobility in the global marketplace: A multidisciplinary perspective",2014,"International Journal of Health Policy and Management","2","4",,"155","157",,23,"10.15171/ijhpm.2014.47","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85002156962&doi=10.15171%2fijhpm.2014.47&partnerID=40&md5=73267fed861eec7739c5de3a11c78188","Department of Social Policy and Social Work, University of York, United Kingdom; Health Services Management Center, University of Birmingham, United Kingdom","Lunt, N., Department of Social Policy and Social Work, University of York, United Kingdom; Mannion, R., Health Services Management Center, University of Birmingham, United Kingdom","There is a growing global market in healthcare and patients. And while there is a small body of evidence emerging around this phenomenon commonly known as medical tourism there remain significant unanswered policy and research questions which need to be addressed. We outline some of the key issues set against the six key disciplinary preoccupations of the journal: epidemiology, health economics, health policy ethics, politics of health, health management, and health policy. © 2014 by Kerman University of Medical Sciences.","Cross-Border care; International patients; Medical tourism; Patient mobility; Private healthcare",,,,,,,,,"Kronfol, N.M., Delivery of health services in Arab countries: A review (2012) East Mediterr Health J, 18, pp. 1229-1238; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of crossborder patient mobility (2010) Health Place, 16, pp. 1145-1155; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) Int J Health Serv, 40, pp. 469-484; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , http://www.oecd.org/els/health-systems/48723982.pdf, Directorate for Employment, Labour and Social Affairs. OECD: Paris; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Ormond, M.E., (2013) Neoliberal Governance and International Medical Travel in Malaysia, , Abingdon: Routledge; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington: Deloitte Center for Health Solutions; Ehrbeck, T., Guevara, C., Mango, P.D., (2008) Mapping the Market for Medical Travel, , https://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, The McKinsey Quarterly [internet]; McClean, K., (2008) Medical Tourism: Or, for the Politically Correct Cross Border Health Care. Presentation Slides, , Saskatchewan: University of Saskatchewan; Macready, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850; Crone, R.K., Flat Medicine? Exploring Trends in the Globalization of Health Care (2008) Acad Med, 83, pp. 117-121; Crozier, G., Baylis, F., The ethical physician encounters international medical travel (2010) J Med Ethics, 36, pp. 297-301; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., Implications for the NHS of inward and outward medical tourism: A policy and economic analysis using literature review and mixed-methods approaches (2014) Health Serv Deliv Res, p. 2; Lunt, N., Hanefeld, J., Smith, R.D., Exworthy, M., Horsfall, D., Mannion, R., Market size, market share and market strategy: Three myths of medical tourism (2013) Policy Polit, , forthcoming; Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical Tourism Services Available to Residents of the United States (2011) J Gen Intern Med, 26, pp. 492-497; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law J, 83, pp. 71-131; Rouchi, A.H., Mahdavi-Mazdeh, M., Zamyadi, M., Compensated living kidney donation in Iran: Donor’s attitude and short-term follow-up (2009) Iran Kidney Dis, 3, pp. 34-39; Whittaker, A., Challenges of medical travel to global regulation: A case study of reproductive travel in Asia (2010) Glob Soc Policy, 10, pp. 396-415; Pellegrino, E.D., The commodification of medical and health care: The moral consequences of a paradigm shift from a professional to a market ethic (1999) J Med Philos, 24, pp. 243-266; Smith, R.D., Martinez-Alvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Cameron, K., Crooks, V., Chouinard, V., Snyder, J., Johnston, R., Casey, V., Motivation, justification, normalization: Talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries (2014) Soc Sci Med, 106, pp. 93-100","Lunt, N.; Department of Social Policy and Social Work, University of YorkUnited Kingdom; email: neil.lunt@york.ac.uk",,,"Kerman University of Medical Sciences",,,,,23225939,,,,"English","Int J Health Policy Manag",Editorial,"Final",Open Access,Scopus,2-s2.0-85002156962 "Snyder J., Crooks V., Johnston R., Kingsbury P.","24170239100;35585107800;36500711800;8873935100;","Beyond sun, sand, and stitches: Assigning responsibility for the harms of medical tourism",2013,"Bioethics","27","5",,"233","242",,23,"10.1111/j.1467-8519.2011.01942.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84878110215&doi=10.1111%2fj.1467-8519.2011.01942.x&partnerID=40&md5=90670162b3283fe254ddb64f39d4b8ac","Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Department of Geography, Simon Fraser University, Canada; Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Department of Geography, Simon Fraser University, Canada","Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Crooks, V., Department of Geography, Simon Fraser University, Canada; Johnston, R., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Kingsbury, P., Department of Geography, Simon Fraser University, Canada","Medical tourism (MT) can be conceptualized as the intentional pursuit of non-emergency surgical interventions by patients outside their nation of residence. Despite increasing popular interest in MT, the ethical issues associated with the practice have thus far been under-examined. MT has been associated with a range of both positive and negative effects for medical tourists' home and host countries, and for the medical tourists themselves. Absent from previous explorations of MT is a clear argument of how responsibility for the harms of this practice should be assigned. This paper addresses this gap by describing both backward looking liability and forward looking political responsibility for stakeholders in MT. We use a political responsibility model to develop a decision-making process for individual medical tourists and conclude that more information on the effects of MT must be developed to help patients engage in ethical MT. © 2013 John Wiley & Sons Ltd.","Health Services trade; Health Tourism; Liability; Medical Tourism; Responsibility","article; decision making; decision tree; ethics; human; medical tourism; politics; social behavior; social justice; Decision Making; Decision Trees; Ethical Analysis; Humans; Medical Tourism; Politics; Social Justice; Social Responsibility",,,,,,,,"Burkett, L., Medical Tourism: Concerns, Benefits and the American Legal Perspective (2007) J Legal Med, 28, pp. 223-245; Klaus, M., Outsourcing Vital Operations: What if US Health Care Costs Drive Patients Overseas for Surgery (2005) Quinnipiac Health Law, 9, pp. 219-247; Jenner, E.A., Unsettled Borders of Care: Medical Tourism as a Dimension in America's Health Care Crisis (2008) Research in the Sociology of Health, 26, pp. 235-249; Lautier, M., Export of Health Services From Developing Countries: The Case of Tunisia (2008) Soc Sci Med, (67), pp. 101-110; Whittaker, A., Pleasure and Pain: Medical Travel in Asia (2008) Glob Public Health, 3, pp. 271-290; Alsever, J., Basking on the Beach, or Maybe on the Operating Table (2006) The New York Times, , 15 October: 5; (2004), Economist. Get well away; Medical tourism to India. Economist 9 October: 60; Wolff, J., Passport to Cheaper Health Care (2007) Good Housekeeping, 1, p. 190. , October; Ehrbeck, T., Health Care and the Consumer (2008) McKinsey Quarterly, 4, pp. 80-91; Keckley, P.H., Underwood, H.R., Medical Tourism: Update and Implications. Washington, DC: Deloitte Centre for Health Solutions (2008), http://www.deloitte.com/view/en_US/us/Industries/Health-Plans-Healthcare-Health-Care/Center-for-Health-Solutions-Health-Plans/article/55d9f278c9184210VgnVCM200000bb42f00aRCRD.htm, Available at:; Sen Gupta, A., Medical Tourism in India: Winners and Losers (2008) Indian J Med Ethics, 5, pp. 4-5; Forgione, D.A., Smith, P.C., Medical Tourism and Its Impact on the US Health Care System (2007) J Health Care Finance, 34, pp. 27-35; Johnston, R., What Is Known About The Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review (2010) Int J Equity Health, 9, p. 24; Arunanondchai, J., Fink, C., Trade in Health Services in the ASEAN Region (2007) Health Promot Int, (21), pp. 59-66; Bookman, M.Z., Bookman, K.R., Medical Tourism in Developing Countries (2007), pp. 76-77. , New York, NY: Palgrave Macmillan; Herrick, D.M., Medical Tourism: Global Competition in Health Care (2007), Dallas, TX: National Center for Policy Analysis; Snyder, J., Crooks, V., Medical Tourism and Bariatric Surgery: More Moral Challenges (2010) Am J Bioeth, 10, p. 28; Morrow, A., Man Dies After Controversial MS Treatment, Doctor Says (2010), The Globe and Mail 18 November; Cortez, N., Patients Without Borders: The Emerging Global Market for Patients and the Evolution of Modern Health Care (2008) Ind L J, p. 83; Carabello, L., A Medical Tourism Primer for U.S. Physicians (2008) J Med Pract Manage, 23, p. 291; Law, J., Sun, Sand and Stitches (2008) Profit, 27, pp. 69-70; Turner, L., From Durham to Delhi: Medical Tourism and the Global Economy (2007) In Comparative Program on Health and Society Lupina Foundation Working Papers Series, , 2006-2007; Cohen-Kohler, J.C., Seaton, M.B., , pp. 109-131. , Toronto, ON: University of Toronto Press; Burkett, L., Medical Tourism: Concerns, Benefits and the American Legal Perspective (2007) J Legal Med, 28, pp. 223-245; Pennings, G., Ethics Without Boundaries: Medical Tourism (2007) In Principles of Health Care Ethics, pp. 505-510. , R. Ashcroft, A. Dawson, H. Draper & J. McMillan, eds. Hoboken, NJ: Wiley; Crooks, V.A., Snyder, J., Regulating Medical Tourism (2010) Lancet, 376, pp. 1456-1466; Birch, D.W., Medical Tourism in Bariatric Surgery (2010) Am J Surg, 199, pp. 604-608; Cheung, I.K., Wilson, A., Arthroplasty Tourism (2007) Med J Aust, 187, pp. 666-667; Forgione, D.A., Smith, P.C., Medical Tourism and Its Impact on the US Health Care System (2007) J Health Care Finance, 34, pp. 27-35; Mirrer-Singer, P., Medical Malpractice Overseas: The Legal Uncertainty Surrounding Medical Tourism (2007) Law Contemp Probl, 70, pp. 211-232; Chanda, R., Trade in Health Services. Bulletin of the World Health (2002) Organization, 80 (2), pp. 158-163; Woodward, D., Drager, N., Beaglehole, R., Lipson, D., Globalization, Public Goods and Health. In Trade in Health Services: Global, Regional and Country Perspectives (2002), N. Drager, ed. Washington DC: Pan-American Health Organization; Turner, L., First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism (2007) Biosocieties, 2, pp. 303-325; Even, D., Zinshtein, M., Haaretz Probe: Israel Gives Medical Tourists Perks Denied to Citizens (2010), http://www.haaretz.com/print-edition/news/haaretz-probeisrael-gives-medical-tourists-perks-denied-to-citizens-1.325275?localLinksEnabled=false, Haaretz.com 18 November; Wilkinson, R., Pickett, K., The Spirit Level: Why More Equal Societies Almost Always Do Better (2009), 2nd edn. London, UK: Allen Lane; Marmot, M., Social Determinants of Health Inequalities (2005) Lancet, 365, pp. 1099-1104; Leng, C.H., Medical Tourism and the State in Malaysia and Singapore (2010) Global Social Policy, 10, p. 336; Ramirez de Arellano, A., Patients Without Borders: The Emergence of Medical Tourism (2007) Int J Health Serv, 37, pp. 193-198; Gupta, A.S., Medical Tourism in India: Winners and Losers (2008) Indian J Med Ethics, 5, pp. 4-5; Similarly, we can ask whether individual actors may or even have an obligation to participate in MT if the benefits of this practice outweigh the costs in a specific context. Our focus in this paper is on responsibility for the harms of MT, however; Pogge, T., World Poverty and Human Rights (2008), 2nd edn. Malden, MA: Polity Press; Risse, M., Do We Owe the Global Poor Assistance or Rectification (2005) Ethics Int Aff, 19, pp. 9-18; Pogge, T., Severe Poverty as a Violation of Negative Duties (2005) Ethics Int Aff, 19, pp. 55-83; Young, I., Responsibility and Global Justice: A Social Connection Model (2006) Soc Philos Policy, 23, pp. 102-130; Astor, A., Physician Migration: Views From Professionals in Colombia, Nigeria, India, Pakistan and the Philippines (2005) Soc Sci Med, 61, pp. 2492-2500; (2004), United Kingdom Department of Health. . Code of Practice for International Recruitment of Healthcare Professionals. United Kingdom: United Kingdom Department of Health; Gostin, L.O., Meeting Basic Survival Needs of the World's Least Healthy People: Toward a Framework Convention on Global Health (2008) Georgetown Law J, 96, pp. 331-392; Séguin, B., Singer, P.A., Daar, A.S., Science Community: Scientific Diasporas (2006) Science, 312, pp. 1602-1603; Connell, J., Sub-Saharan Africa: Beyond the Health Worker Migration Crisis (2007) Soc Sci Med, 64, pp. 1876-1891; Calls for better regulation and accreditation of MT facilitators are increasing; Turner, L.G., Quality in Health Care and Globalization of Health Services: Accreditation and Regulatory Oversight of Medical Tourism Companies (2011) Int J Qual Health C, , 23:1-7; Eval, N., Global Health Impact Labels. In Global Justice in Bioethics. E. Emanuel & J. Millum, eds. New York, NY: Oxford University Press; Pasquale, F., Access to Medicine in an Era of Fractal Inequality (2010) Ann Health Law, 19, pp. 269-441; Simpson, S., Equity-focused Health Impact Assessment: A Tool to Assist Policy Makers in Addressing Health Inequalities (2005) Environ Impact Assess, 25, pp. 772-782; Lunt, N., Hardey, M., Mannion, R., Nip Tuck and Click: Medical Tourism and the Emergence of Web-Based Health Information (2010) Open Med Inform J, 4, pp. 1-11","Snyder, J.; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive Blusson Hall 11300, Burnaby, BC V5A 1S6, Canada; email: jcs12@sfu.ca",,,,,,,,02699702,,BIETE,"23814800","English","Bioethics",Article,"Final",,Scopus,2-s2.0-84878110215 "Nahrstedt W.","56445493600;","Wellness: A new perspective for leisure centers, health tourism, and spas in europe on the global health market",2012,"The Tourism and Leisure Industry: Shaping the Future",,,,"181","198",,23,"10.4324/9780203049853","https://www.scopus.com/inward/record.uri?eid=2-s2.0-67649449412&doi=10.4324%2f9780203049853&partnerID=40&md5=3f49c7d4287725b7eab1e1ddd5d59797","Professor Emeritus of the University of Bielefeld, Institute of Leisure Studies and Cultural Work, IFKA, Germany","Nahrstedt, W., Professor Emeritus of the University of Bielefeld, Institute of Leisure Studies and Cultural Work, IFKA, Germany",[No abstract available],,,,,,,,,,"Anderson, R.A., (1987) Wellness Medicine, , Lynnwood, WA: American Health Press; Ardell, D., (1986) High Level Wellness, , Berkeley: Ten Speed Press; Deutscher Bäderverband e.V. (DBV), (1995) Jahresbericht 1994, , Bonn: REHAVerlag; Deutscher Bäderverband e.V. (DBV), (1998) Jahresbericht 1997, , Bonn:REHA Verlag; Dohmen, G., (1997) Selbstgesteuertes lebenslanges Lernen?, , Bonn: Bundesministerium für Bildung, Wissenschaft, Forschung und Technologie; Dunn, H.L., (1961) High Level Wellness, , Arlington: RW Beaty; (1995) Spas and Health Resorts in Europe, , Bonn/Bruxelles: ESPA; (1999) RA 1999. Erste Ergebnisse. ITB 1999, , Berlin, Hamburg: Author; (2000) RA 2000. Erste Ergebnisse. ITB 2000, , Berlin, Hamburg: Author; Hertel, L., Wellness (2001) Deutscher Bäderkalender, pp. 164-172. , Deutscher Heilbäderverband e.V. (Ed.). Bonn/Gütersloh: Flöhmann-Verlag; Kammermann, S., Doyle, K., Valois, R.F., Cox, S.G., (1983) Wellness R.S.V.P., , Menlo Park, CA: The Benjamin/Cummings Publishing Co; Lanz Kaufmann, E., (1999) Wellness-Tourismus: Marktanalyse und Qualitätsanforderungen für die Hotellerie-Schnittstellen zur Gesundheitsförderung, , (Berner Studien zu Freizeit und Tourismus 38). Bern: Forschungsinstitut für Fzeizeit und Tourismus der Universität Bern; Müller, H., Lanz, E., Wellnesstourismus in der Schweiz: Definition, Abgrenzung und empirische Angebotsanalyse (1998) Tourismus Journal, 2 (4), pp. 477-494; Nahrstedt, W., (2001) Leisure and Wellness: Health Tourism in Europe, 21. , Eleventh ELRA Congress. Bielefeld: IFKA (IFKA-Dokumentation); Nahrstedt, W., Wellness im Brennpunkt: Wissenschaftliche Betrachtung eines jungen Marktes (2002) Wellness und Wirtschaft professionell und profitabel: Konzeption Finanzierung und Vermarktung von Spa-Projekten, pp. 10-22. , B. Richter and M. Pütz-Willems Augsburg: Willems; Nahrstedt, W., Brillen, H., Gesundheitstourismus—auf dem Weg ins Jahr 2005: Highlights der Kurexpertenbefragung ’99 (1999) Heilbad und Kurort, 51 (9-10), pp. 274-279; Nefiodow, L.A., (1996) Der sechste Kondratieff: Wege zur Produktivität und Vollbeschäftigung im Zeitalter der Information, , St. Augustin: Rein-Sieg-Verlag; Specht, K.G., (1979) Effektivität und Effizienz von stationären Heilverfahren in der Beurteilung von ärztlichen und nicht-ärztlichen Experten der Rehabilitation, , Nürnberg; Travis, J.W., Ryan, S.R., (1988) The Wellness Workbook, , Second Edition, Berkeley, CA: Ten Speed Press; Whaley, G., (1999) Wellness Centers: A Guide for the Design Professional, , New York: John Wiley and Sons","Nahrstedt, W.; Professor Emeritus of the University of Bielefeld, Institute of Leisure Studies and Cultural Work, IFKAGermany",,,"Taylor and Francis",,,,,,9780203049853,,,"English","The Tourism and Leisure Industry: Shap. the Future",Book Chapter,"Final",,Scopus,2-s2.0-67649449412 "De Arellano A.B.R.","35098617500;","Medical tourism in the caribbean",2011,"Signs","36","2",,"289","297",,23,"10.1086/655908","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650396147&doi=10.1086%2f655908&partnerID=40&md5=322b5246346d0b50a5997b8d2d9cedd0","Latinos for National Health Insurance, Washington, DC, United States","De Arellano, A.B.R., Latinos for National Health Insurance, Washington, DC, United States",[No abstract available],,"article; Barbados; Central America; Cuba; doctor patient relation; economics; education; ethnic and racial groups; ethnology; health care cost; health care delivery; health service; history; human; Jamaica; legal aspect; medical tourism; psychological aspect; public health; Puerto Rico; social change; Barbados; Caribbean Region; Cuba; Delivery of Health Care; Health Care Costs; Health Services; Health Services Accessibility; History, 20th Century; History, 21st Century; Humans; Jamaica; Medical Tourism; Physician-Patient Relations; Population Groups; Public Health; Puerto Rico; Social Change",,,,,,,,"Barbados leading the way in medical tourism (2009) Abeng News Magazine, , http://www.abengnews.com/2009/02/21/barbados-leading-the-way-for-medical- tourism, Abeng News, February 21; Ospina, C.H., Cuba exports health. (2006) Trans. Donald Houman, , http://mondediplo.com/2006/08/11cuba, Le Monde Diplomatique, The diplomatic world, August; Health and wellness tourism: Ten strategies for success within the caribbean single market and economy (CSME) (2008) Report, Caribbean Export Development Agency, St., , http://www.onecaribbean.org/content/files/ 10StrategySeriesHWFINALCbbnExport.pdf, Caribbean Export Development Agency, Michael, Barbados; Carrillo De Albornoz, S., On a mission: How cuba uses its doctors abroad (2006) British Medical Journal, 333 (7566), p. 464; Commins, J., Medical tourism options expand to puerto rico (2009) HealthLeaders Media, , http://www.healthleadersmedia.com/content/LED-243634/Medical-Tourism- Options-Expand-to-Puerto-Rico, December 16; Cooper, R.S., Kennelly, J.F., Pedro Orduñez-Garcia, Health in Cuba (2006) International Journal of Epidemiology, 35 (4), pp. 817-824; Davis, L., Erixon, F., The health of nations: Conceptualizing approaches to trade in health care (2008) ECIPE Policy Brief No. 04/2008, , http://www.ecipe.org/publications/ecipe-policy-briefs/ the-health-of-nations-conceptualizing-approaches-to-trade-in-health-care-by- lucy-davis-and/PDF, European Centre for International Political Economy, Brussels; Díaz-Briquets, S., (1983) The Health Revolution in Cuba, , Austin: University of Texas Press; East, J., Jamaica as a health tourism destination: Pipe dream or opportunity Powerpoint Presentation for the Medical Association of Jamaica, , http://www.medicalassnjamaica.com/presentations/ Jamaica%20as%20a%20Health%20Tourism%20Destination%20- %20Pipe%20Dream%20or%20Opportunity.ppt, n. d; Fromson, M., Cuba's rescue effort in Haiti (2010) Huffington Post, , http://www.huffingtonpost.com/murray-fromson/cubas-rescue-effortin-ha-b- 426631.html, January 17; Kher, U., Outsourcing your heart (2006) Time, 167 (22), pp. 26-29; De Arellano, R., Annette, B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; De Arellano, R., Annette, B., Seipp, C., (1983) Colonialism, Catholicism, and Contraception: A History of Birth Control in Puerto Rico, , Chapel Hill: University of North Carolina Press; Ryan, F., Medical tourism gets clean bill of health (2009) Caribbean Business, 37 (46), p. 37; Santana, M., Medical-tourism bill reaches public hearings (2009) Caribbean Business, 37 (41), p. 6; Silvera, J., Mobay: Potential health tourism centre (2009) Gleaner, , http://www.jamaica-gleaner.com/gleaner/20090914/news/news1.html, September 14; Simpson, T., Our baby dream came true in the caribbean (2009) Voice Online, , http://www.voice-online.co.uk/content.php?showp15084, February 4; Abroad, T., Jamaica hospital chief calls for medical tourism (2007) Treatment Abroad, , http://www.treatmentabroad.com/medicaltourism/news/january-2007/ jamaica-hospitals-137, September 1","De Arellano, A. B. R.; Latinos for National Health Insurance, Washington, DC, United States",,,,,,,,00979740,,,"21114073","English","Signs",Article,"Final",,Scopus,2-s2.0-78650396147 "Sayili M., Akca H., Duman T., Esengun K.","14047466500;14046633100;7004018158;12784177400;","Psoriasis treatment via doctor fishes as part of health tourism: A case study of Kangal Fish Spring, Turkey",2007,"Tourism Management","28","2",,"625","629",,23,"10.1016/j.tourman.2006.08.010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33845478103&doi=10.1016%2fj.tourman.2006.08.010&partnerID=40&md5=5014fdd146fe2713b69a5d75e63faff7","Department of Agricultural Economics, Faculty of Agriculture, Gaziosmanpasa University, 60240 Tokat, Turkey; School of Tourism and Hotel Management, Gaziosmanpasa University, Zile, 60400 Tokat, Turkey","Sayili, M., Department of Agricultural Economics, Faculty of Agriculture, Gaziosmanpasa University, 60240 Tokat, Turkey; Akca, H., Department of Agricultural Economics, Faculty of Agriculture, Gaziosmanpasa University, 60240 Tokat, Turkey; Duman, T., School of Tourism and Hotel Management, Gaziosmanpasa University, Zile, 60400 Tokat, Turkey; Esengun, K., Department of Agricultural Economics, Faculty of Agriculture, Gaziosmanpasa University, 60240 Tokat, Turkey","Spa (thermal) tourism is gaining increasing importance in health tourism. Turkey has numerous thermal sources that have been used to cure a number of common diseases. Among these thermal sources, Kangal Fish Spring has a unique nature with its doctor fish known to cure psoriasis. To date, a number of studies analyzed Kangal Fish Spring as a thermal source with its water and fish characteristics but no research to the authors' knowledge has been conducted to analyze the spring's demand and destination characteristics. In Turkey, research about thermal health centers and their visitors, is fairly limited from a tourism experience point of view. The current paper reports a case study of psoriasis treatment by doctor fish in Kangal Fish Spring as part of health tourism in Turkey. The paper describes Kangal Fish Spring as a health tourism destination and investigates socio-economic and visitor characteristics of the people visiting Kangal Fish Spring. As part of the study, 104 visitors to the destination were surveyed and visitor perceptions about the destination and visitor characteristics were reported. The paper concludes with a discussion about the future of the destination and health tourism in Turkey. © 2006 Elsevier Ltd. All rights reserved.","Kangal Fish Spring; Psoriasis treatment; Spa tourism in Turkey","disease treatment; recreational activity; recreational facility; spring water; tourism development; tourist destination; Eurasia; Turkey; Pisces",,,,,,,,"Akpinar, M.A., Aksoylar, M.Y., Effects of temparature, dictary fatty acids and starvation on the fatty acid composition of Garra Rufa Heckel, 1843 (1988) Doga TU Biyoloji Dergisi (Ankara), 12, pp. 1-8; Connell, J., Medical tourism: Sea, sun, sand and...surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Halver, J.E., (1972) Fish nutrition, , Academic Press, New York; Hunter-Jones, P., Cancer and tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Ozcelik, S., Polat, H.H., Akyol, M., Yalcin, A.N., Ozcelik, D., Marufihah, M., Kangal hot spring with fish and psoriasis treatment (2000) The Journal of Dermatology, 27, pp. 386-390; Ozer, Z., Akpinar, M., Akcay, M., Investigation of some chemical and biological properties of Kangal (Sivas) Fishy Hot Springs (1987) Fen Bilimleri Dergisi, 5, pp. 1-34; ","Sayili, M.; Department of Agricultural Economics, Faculty of Agriculture, Gaziosmanpasa University, 60240 Tokat, Turkey; email: muratsayili@yahoo.com",,,,,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-33845478103 "Sharma P., Nayak J.K.","57217001689;56566251600;","Testing the role of tourists’ emotional experiences in predicting destination image, satisfaction, and behavioral intentions: A case of wellness tourism",2018,"Tourism Management Perspectives","28",,,"41","52",,22,"10.1016/j.tmp.2018.07.004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050336198&doi=10.1016%2fj.tmp.2018.07.004&partnerID=40&md5=1a046db6d4744e8c347865f731cd5a1e","Department of Management Studies, Indian Institute of Technology Roorkee, Roorkee, Uttarakhand 247667, India","Sharma, P., Department of Management Studies, Indian Institute of Technology Roorkee, Roorkee, Uttarakhand 247667, India; Nayak, J.K., Department of Management Studies, Indian Institute of Technology Roorkee, Roorkee, Uttarakhand 247667, India","A coherent body of research recognizes the significance of emotions in tourism. However, while a number of studies of emotions exist in mass tourism, empirical investigations of emotions in wellness (yoga) tourism have received less attention. Accordingly, this study investigates the interplay of tourists’ emotional responses, overall destination image, satisfaction and behavioral intentions in wellness (yoga) tourism. The research was operationalized using empirical data collected from 345 domestic tourists visiting Rishikesh in India. The analysis was conducted using confirmatory factor analysis and structural equation modeling which showed that tourists’ emotions positively influenced overall image and satisfaction; overall image positively affects satisfaction; and both overall image and satisfaction positively influenced intention to revisit and recommend. This paper contributes by examining an emotion-behavior model of tourists in wellness (yoga) tourism. The academic and managerial implications of these findings are useful in designing strategies to better serve this emerging niche market. © 2018 Elsevier Ltd","Behavioral intentions; Destination image; Rishikesh; Satisfaction; Tourists’ emotions; Yoga tourism",,,,,,,"This study was funded by the University Grant Commission of India .",,"Aggarwal, A.K., Guglani, M., Goel, R.K., Spiritual & Yoga Tourism: A Case Study on Experience of Foreign Tourists Visiting Rishikesh, India (2008); Alegre, J., Garau, J., Tourist satisfaction and dissatisfaction (2010) Annals of Tourism Research, 37 (1), pp. 52-73; Ali-Knight, J., Ensor, J., Salute to the sun: An exploration of UK Yoga tourist profiles (2017) Tourism Recreation Research, 42 (4), pp. 484-497; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review and recommended two-step approach (1988) Psychological Bulletin, 103 (3), p. 411; Andriotis, K., Community groups’ perceptions of and preferences for tourism development: Evidence from Crete (2005) Journal of Hospitality and Tourism Research, 29 (1), pp. 67-90; Arnold, M.B., Emotion and personality (1960); Assaker, G., Hallak, R., Moderating effects of tourists’ novelty-seeking tendencies on destination image, visitor satisfaction, and short-and long-term revisit intentions (2013) Journal of Travel Research, 52 (5), pp. 600-613; Bagozzi, R.P., Baumgartner, H., Pieters, R., Zeelenberg, M., The role of emotions in goal-directed behavior (2000) The why of consumption: Contemporary perspectives on consumer motives, goals, and desires, pp. 36-58; Bagozzi, R.P., Gopinath, M., Nyer, P.U., The role of emotions in marketing (1999) Journal of the Academy of Marketing Science, 27 (2), pp. 184-206; Baloglu, S., McCleary, K.W., A model of destination image formation (1999) Annals of Tourism Research, 26 (4), pp. 868-897; Batra, R., Ahuvia, A., Bagozzi, R.P., Brand love (2012) Journal of Marketing, 76 (2), pp. 1-16; Bian, X., Research on the inter-relationship of tourism destination image, quality, satisfaction and behaviour intention (2005) East China Economic Management, 19 (1), pp. 84-88; Bigné, J.E., Andreu, L., Gnoth, J., The theme park experience: An analysis of pleasure, arousal and satisfaction (2005) Tourism Management, 26 (6), pp. 833-844; Bigné, J.E., Mattila, A.S., Andreu, L., The impact of experiential consumption cognitions and emotions on behavioral intentions (2008) Journal of Services Marketing, 22 (4), pp. 303-315; Blunch, N.H., Human capital, religion and contraceptive use in Ghana (2008) Annual meeting of the association for the study of religion, economics, and culture, , Lee University Lexington, Washington; Bollen, K.A., A new incremental fit index for general structural equation models (1989) Sociological Methods & Research, 17 (3), pp. 303-316; Bonn, M.A., Joseph, S.M., Dai, M., International versus domestic visitors: An examination of destination image perceptions (2005) Journal of Travel Research, 43 (3), pp. 294-301; Bowers, H., Cheer, J.M., Yoga tourism: Commodification and western embracement of eastern spiritual practice (2017) Tourism Management Perspectives, 24, pp. 208-216; Bramwell, B., User satisfaction and product development in urban tourism (1998) Tourism Management, 19 (1), pp. 35-47; Brislin, R.W., Comparative research methodology: Cross-cultural studies (1976) International Journal of Psychology, 11 (3), pp. 215-229; Burns Alvin, C., Bush Ronald, F., Marketing research (1995), Prentice Hall New Jersey; Bushell, R., Sheldon, P.J., Wellness and tourism: Mind, body, spirit, place (2009) Cognizant communication; Byrne, B.M., Structural equation modeling: Perspectives on the present and the future (2001) International Journal of Testing, 1 (3-4), pp. 327-334; Castro, C.B., Armario, E.M., Ruiz, D.M., The influence of market heterogeneity on the relationship between a destination's image and tourists’ future behaviour (2007) Tourism Management, 28 (1), pp. 175-187; Cheer, J.M., Belhassen, Y., Kujawa, J., The search for spirituality in tourism: Toward a conceptual framework for spiritual tourism (2017) Tourism Management Perspectives, 24, pp. 252-256; Chen, C.C., Lin, Y.H., Petrick, J.F., Social biases of destination perceptions (2013) Journal of Travel Research, 52 (2), pp. 240-252; Chen, C.F., Chen, F.S., Experience quality, perceived value, satisfaction and behavioral intentions for heritage tourists (2010) Tourism Management, 31 (1), pp. 29-35; Chen, C.F., Tsai, D., How destination image and evaluative factors affect behavioral intentions? 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The role of predicted, on-line, and remembered experience in future choice (2003) Psychological Science, 14 (5), pp. 520-524; Xie, K.L., Lee, J.S., Toward the perspective of cognitive destination image and destination personality: The case of Beijing (2013) Journal of travel & tourism marketing, 30 (6), pp. 538-556; Yang, J., Yuan, B., Hu, P., Tourism destination image and visit intention: Examining the role of familiarity (2009) Journal of China Tourism Research, 5 (2), pp. 174-187; Yuksel, A., Shopping experience evaluation: A case of domestic and international visitors (2004) Tourism Management, 25 (6), pp. 751-759; Yüksel, A., Yüksel, F., Shopping risk perceptions: Effects on tourists’ emotions, satisfaction and expressed loyalty intentions (2007) Tourism Management, 28 (3), pp. 703-713; Zhang, H., Fu, X., Cai, L.A., Lu, L., Destination image and tourist loyalty: A meta-analysis (2014) Tourism Management, 40, pp. 213-223; Zins, A.H., Consumption emotions, experience quality and satisfaction: A structural analysis for complainers versus non-complainers (2002) Journal of Travel & Tourism Marketing, 12 (2-3), pp. 3-18","Sharma, P.; CF-109, Ganga Bhawan, IIT Roorkee, Roorkee, India; email: pramodsharmaias1990@gmail.com",,,"Elsevier B.V.",,,,,22119736,,,,"English","Tour. Manage. Perspect.",Article,"Final",,Scopus,2-s2.0-85050336198 "Roy J., Chatterjee K., Bandyopadhyay A., Kar S.","57194870196;55931912700;55420281000;57214748469;","Evaluation and selection of medical tourism sites: A rough analytic hierarchy process based multi-attributive border approximation area comparison approach",2018,"Expert Systems","35","1", e12232,"","",,22,"10.1111/exsy.12232","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85031679253&doi=10.1111%2fexsy.12232&partnerID=40&md5=c9e08f0e0fe42e292fbc818fa834dc09","Department of Mathematics, National Institute of Technology, Durgapur, India","Roy, J., Department of Mathematics, National Institute of Technology, Durgapur, India; Chatterjee, K., Department of Mathematics, National Institute of Technology, Durgapur, India; Bandyopadhyay, A., Department of Mathematics, National Institute of Technology, Durgapur, India; Kar, S., Department of Mathematics, National Institute of Technology, Durgapur, India","This paper presents a novel Multiple Criteria Decision Making methodology for assessing and prioritizing medical tourism destinations under uncertainty. A systematic evaluation and assessment approach is proposed by incorporating analytic hierarchy process and multi-attributive border approximation area comparison methods in the rough environment. Rough number is used to aggregate individual judgements of decision makers and express their true perception to handle vagueness without any prior information. Rough analytic hierarchy process analyses the relative importance of criteria based on their preferences given by experts, whereas rough multi-attributive border approximation area comparison evaluates the alternative sites based on the criteria weights. A case study of prioritizing different sites (cities) in India for medical tourism services is shown to demonstrate the applicability of the proposed method. Among different criteria “quality of infrastructure of healthcare institutions” is observed to be the most important criteria in our analysis, followed by “supply of skilled human resources and new job creations” and “Chennai” is found to be the best medical tourism site in India. Finally, a comparative analysis and validity testing of the proposed method are elaborated, and the methodology provides a standard for select medical tourism sites on the basis of different criteria. Copyright © 2017 John Wiley & Sons, Ltd","medical tourism; multiple criteria decision-making; R-AHP; R-MABAC; rough number","Analytic hierarchy process; Decision making; Uncertainty analysis; Medical tourism; Multiple criteria decision making; R-AHP; R-MABAC; Rough numbers; Quality control",,,,,"Department of Science and Technology, Government of Kerala","We wish to express our deepest appreciation to the Editors and the anonymous reviewers. The first author extends his sincere thanks to the Department of Science and Technology, India, for their financial support under INSPIRE Fellowship programme with the research grant no. DST/INSPIRE Fellowship/2013/544.",,"Büyüközkan, G., Çifçi, G., A combined fuzzy AHP and fuzzy TOPSIS based strategic analysis of electronic service quality in healthcare industry (2012) Expert Systems with Applications, 39 (3), pp. 2341-2354; Cao, J., Song, W., Risk assessment of co-creating value with customers: A rough group analytic network process approach (2016) Expert Systems with Applications, 55, pp. 145-156; Chakraborty, J., Medical tourism: A growth engine for foreign exchange earnings (2006) Health care management, , http/www.healthcaremanagement.corn, Available from; Chen, C., Using DEMATEL for medical tourism development in Taiwan (2012) American Journal of Tourism Research, 1 (1), pp. 26-32; Chou, S., Yu, V., Dewabharata, A., Dat, L., (2012) A fuzzy TOPSIS approach for medical provider selection and evaluation, , #x0026;, 2012 International Conference on Fuzzy Theory and it's Applications (iFUZZY 2012); Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar, An integrated approach for service quality improvement in medical tourism: An Indian perspective (2012) International Journal of Services and Operations Management, 13 (1), pp. 119-145; Ebrahimzadeh, I., Sakhavar, N., Taghizadeh, Z., A comparative study of health tourism potentials in Iran and India, journal of subcontinent researches (2013) University of sistan and Baluchestan, 5 (15), pp. 51-78; Hamid, Z., (2012) The medical capital's place in history, , ”. 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Zhai, L.Y., Khoo, L.P., Zhong, Z.W., Design concept evaluation in product development using rough sets and grey relation analysis (2009) Expert Systems with Applications, 36 (3), pp. 7072-7079; Zheng, P., Xu, X., Xie, S.Q., A weighted interval rough number based method to determine relative importance ratings of customer requirements in QFD product planning (2016) Journal of Intelligent Manufacturing, pp. 1-14; Zhu, G.N., Hu, J., Qi, J., Gu, C.C., Peng, Y.H., An integrated AHP and VIKOR for design concept evaluation based on rough number (2015) Advanced Engineering Informatics, 29 (3), pp. 408-418","Kar, S.; Department of Mathematics, National Institute of TechnologyIndia; email: kar_s_k@yahoo.com",,,"Blackwell Publishing Ltd",,,,,02664720,,EXSYE,,"English","Expert Syst",Article,"Final",,Scopus,2-s2.0-85031679253 "Mohammed Abubakar A.","57193113146;","Does eWOM influence destination trust and travel intention: A medical tourism perspective",2016,"Economic Research-Ekonomska Istrazivanja ","29","1",,"598","611",,22,"10.1080/1331677X.2016.1189841","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85009982931&doi=10.1080%2f1331677X.2016.1189841&partnerID=40&md5=3ffe71bfa31e715351fecd3f59537000","Management Information System, Aksaray Universitesi, Aksaray, Turkey","Mohammed Abubakar, A., Management Information System, Aksaray Universitesi, Aksaray, Turkey","Virtual community membership has a strong influence on a tourist’s behaviours and the way information is transmitted. Drawing on trust transfer theory as a theoretical framework, this study tests an empirical model that investigates the influence of electronic word-of-mouth (eWOM) on destination trust and travel intention. The study also diagnoses gender differences in the proposed model. Data were obtained from a sample of 216 tourists in Cyprus. The findings from regression analyses suggest that eWOM is positively related to travel intention; eWOM is positively related to destination trust; and destination trust is positively related to travel intention. Additionally, the impact of eWOM on destination trust was significant for both genders but stronger for men, while the impact of destination trust on travel intention was stronger for women. The paper extends the existing literature regarding new response variables associated with eWOM. © 2016 The Author(s).","Destination trust; eWOM; Gender; Tourism; Travel intention","empirical analysis; gender role; information; literature review; numerical model; regression analysis; theoretical study; tourist destination; travel behavior; womens status; Cyprus",,,,,,,,"Abubakar, A.M., Ilkan, M., More adverts or more Ewom’s (2013) J Bus & Fin, Aff, 2, p. e129; Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management; Abubakar, A.M., Ilkan, M., Sahin, P., eWOM, eReferral and gender in the virtual community (2016) Marketing Intelligence and Planning; (2015) Turkey Sees Rise in Medical Tourism, , http://www.hurriyetdailynews.com/turkey-sees-rise-in-medical-tourism–aspx?pageID=238&nID=80466&NewsCatID=349, Retrieved August 20, 2015, from; Arndt, J., Role of product-related conversations in the diffusion of a new product (1967) Journal of Marketing Research., 4, pp. 291-295; Arsal, I., Backman, S., Baldwin, E., Influence of an online travel community on travel decisions (2008) Information and Communication Technologies in Tourism 2008, pp. 82-93. , P. 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Ekon. Istraz.",Article,"Final",Open Access,Scopus,2-s2.0-85009982931 "Lunt N., Horsfall D., Smith R., Exworthy M., Hanefeld J., Mannion R.","6603761945;35848647100;55746369800;6701453754;26430746700;7007006015;","Market size, market share and market strategy: Three myths of medical tourism",2014,"Policy and politics","42","4",,"597","614",,22,"10.1332/030557312X655918","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84910050252&doi=10.1332%2f030557312X655918&partnerID=40&md5=76b6827e7df747a54e3321d187762688","University of York, United Kingdom; London School of Hygiene and Tropical Medicine, United Kingdom; Royal Holloway, University of London, United Kingdom; University of Birmingham, United Kingdom","Lunt, N., University of York, United Kingdom; Horsfall, D., University of York, United Kingdom; Smith, R., London School of Hygiene and Tropical Medicine, United Kingdom; Exworthy, M., Royal Holloway, University of London, United Kingdom; Hanefeld, J., London School of Hygiene and Tropical Medicine, United Kingdom; Mannion, R., University of Birmingham, United Kingdom","The aim of this article is to contribute towards greater theoretical and empirical understanding about medical tourism developments globally. This evidence leads us to examine some widelyheld assumptions regarding the size and shape of global medical travel. Our paper examines three central issues: (1) Do published figures and projections 'add-up', are figures from multiple sources consistent, and what decisions and interests are involved for those compiling these statistics? (2) How should any emerging global industry be understood and explained? (3) Given this analysis and market understanding how, if at all, can national governments stimulate activity?. © Policy Press 2014.","Commodification; Economic sociology; Globalisation; health policy; Markets","empirical analysis; globalization; government relations; health policy; market system; theoretical study; tourism development",,,,,,,,"Al-Hinai, S.S., Al-Busaidi, A.S., Al-Busaidi, I.H., Medical tourism abroad: a new challenge to Oman's health system - Al Dakhilya region experience (2011) Sultan Qaboos University Medical Sciences Journal, 11 (4), pp. 477-484; Alleman, B., Luger, T., Reisinger, H., Martin, R., Horowitz, M., Cram, P., Medical tourism services available to residents of the United States (2011) Journal of General Internal Medicine, 26 (5), pp. 492-497; Alsharif, M.J., Labonté, R., Lu, Z., Patients beyond borders: a study of medical tourists in four countries (2010) Global Social Policy, 10, pp. 315-335; Bergmann, S., Fertility tourism: circumventive routes that enable access to reproductive technologies and substances (2011) Signs, 36, pp. 280-289; Bergmark, R., Barr, D., Garcia, R., Mexican immigrants in the US living far from the border may return to Mexico for health services (2008) Journal of Immigrant and Minority Health, 12, pp. 610-614; Carabello, L., A medical tourism primer for US physicians (2008) Medical Practice Management, 23, pp. 291-294; Chee, H.L., Medical tourism in Malaysia: International movement of healthcare consumers and the commodification of healthcare (2007) ARI Working Paper, 83. , www.ari.nus.edu.sg/docs/wps/wps07_083.pdf; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organisation, 85, pp. 164-165; Cohen, I.G., Protecting patients with passports: medical tourism and the patientprotective argument (2010) Iowa Law Review, 95, pp. 1467-1567; Connell, J., Medical tourism: Sea, sun, sand and.surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2012) Tourism Management, 34, pp. 1-13; Cormany, D., Hospitality and destination marketing's role in medical tourism: a call for research (2010) International Journal of Behavioural and Healthcare Research, 2, pp. 38-58; Cormany, D., Baloglu, S., Medical travel facilitator websites: an exploratory study of web page contents and services offered to the prospective medical tourist (2010) Tourism Management, 32, pp. 709-716; Crone, R.K., Flat Medicine? 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(2010) International Journal for Quality in Health Care, 22, pp. 445-451; Smith, K.P., Christakis, N.A., Social networks and health (2008) Annual Review of Sociology, 34, pp. 405-429; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: a review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 2-3+276; Sobo, E.J., Medical travel: what it means, why it matters (2009) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 28, pp. 326-335; Swedberg, R., New Economic Sociology: what has been accomplished, what is ahead? (1997) Acta Sociologica, 40, pp. 161-182; Tuohy, C.H., (1999) Accidental logics: the dynamics of change in the health care arena in the United States, Britain, and Canada, , Oxford: Oxford University Press; Turner, L., 'First world health care at third world prices': globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; (2007) Medical travel in Asia and the Pacific: challenges and opportunities. Thailand, United Nations Economic and Social Commission for Asia and the Pacific, , Bangkok: UNESCAP; Warf, B., Do you know the way to San Jose? Medical tourism in Costa Rica (2010) Journal of Latin American Geography, 9, pp. 51-66; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3, pp. 271-290; (2009) Summary report workshop on the movement of patients across international borders: emerging challenges and opportunities for health care systems, , Kobe: WHO; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Youngman, I., Medical tourism statistics: why McKinsey has got it wrong (2009) International Medical Travel Journal, , www.imtj.com/articles/2009/mckinsey-wrongmedical-travel/m/articles/2009/mckinsey-wrong-medical-travel/",,,,"Policy Press",,,,,03055736,,,,"English","Policy Polit.",Article,"Final",,Scopus,2-s2.0-84910050252 "Oh K.M., Jun J., Zhou Q., Kreps G.","30767728400;44161101900;54940498000;6701514201;","Korean American women's perceptions about physical examinations and cancer screening services offered in Korea: The influences of medical tourism on Korean Americans",2014,"Journal of Community Health","39","2",,"221","229",,22,"10.1007/s10900-013-9800-z","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84896397363&doi=10.1007%2fs10900-013-9800-z&partnerID=40&md5=3195d932f8f55ba6fe9b834241e3a80d","School of Nursing, George Mason University, Fairfax, VA 22030, United States; Department of Communication, Wayne State University, Detroit, MI 48201, United States; Department of Communication, Center for Health and Risk Communication, George Mason University, Fairfax, VA 22030, United States; School of Nursing, George Washington University, Ashburn, VA 20147, United States","Oh, K.M., School of Nursing, George Mason University, Fairfax, VA 22030, United States; Jun, J., Department of Communication, Wayne State University, Detroit, MI 48201, United States; Zhou, Q., School of Nursing, George Washington University, Ashburn, VA 20147, United States; Kreps, G., Department of Communication, Center for Health and Risk Communication, George Mason University, Fairfax, VA 22030, United States","Cancer is the leading cause of death for Korean-Americans (KAs), while cancer screening rates among KAs have been consistently low. Seven semi-structured focus group interviews with 34 KA women aged 40 or older in the Washington, DC metropolitan area were conducted to explore the perceptions of KA women about seeking physical examinations and cancer screening services in Korea. Data were analyzed using a framework approach. Informants positively perceived the use of health screening services in Korea in comparison to seeking such services in the US. Decision-making factors included cost benefits, high quality services, and more convenient screening procedures in Korea. These benefits outweighed the risks of delaying health care and travelling a vast distance with incurring additional travel costs. Motivations to seek these services in Korea included opportunities to visit their homeland and to enjoy comfortable communication with their native language. The increase of available information about Korean medical services due to the industry's aggressive marketing/PR was identified as a facilitator. Most informants did not recognize possible negative health outcomes of obtaining services in Korea such as inappropriate follow up care if having abnormal findings. Educational programs are needed to educate KAs about the benefits and risks of getting the services in Korea and proper follow up care in the US. Health care providers need to know the different cancer risks and screening needs for this population. © 2013 Springer Science+Business Media New York.","Cancer screening; Korean American; Medical tour; Perception; Physical examination","adult; article; Asian American; attitude to health; cost benefit analysis; cultural anthropology; early diagnosis; ethnology; female; financial management; health care quality; health education; human; information processing; medical tourism; middle aged; motivation; organization and management; perception; physical examination; psychological aspect; socioeconomics; South Korea; United States; Adult; Asian Americans; Cost-Benefit Analysis; Culture; Early Detection of Cancer; Female; Focus Groups; Health Education; Health Knowledge, Attitudes, Practice; Humans; Marketing of Health Services; Medical Tourism; Middle Aged; Motivation; Perception; Physical Examination; Quality of Health Care; Republic of Korea; Socioeconomic Factors; United States",,,,,,,,"(2010) Race Reporting for the Asian Population by Selected Categories: 2010, , http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview. xhtml?pid=DEC_10_SF1_QTP8&prodType=table, US Census Bureau; Heron, M., Deaths: Leading causes for 2008 (2012) National Vital Statistics Reports, 60 (6), pp. 1-95. , 22827019; Chen, Jr.M.S., Cancer health disparities among Asian Americans (2005) Cancer, 104 (S12), pp. 2895-2902. , 16270313 10.1002/cncr.21501; McCracken, M., Olsen, M., Chen, M.S., Jemal, A., Thun, M., Cokkinides, V., Ward, E., Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities (2007) CA: A Cancer Journal for Clinicians, 57 (4), pp. 190-205; Jemal, A., Tiwari, R.C., Murray, T., Ghafoor, A., Samuels, A., Ward, E., Thun, M.J., Cancer statistics, 2004 (2004) CA: A Cancer Journal for Clinicians, 54 (1), pp. 8-29; Miller, B.A., Chu, K.C., Hankey, B.F., Ries, L.A.G., Cancer incidence and mortality patterns among specific Asian and Pacific Islander populations in the US (2008) Cancer Causes and Control, 19 (3), pp. 227-256. , 2268721 18066673 10.1007/s10552-007-9088-3; Maxwell, A.E., Crespi, C.M., Antonio, C.M., Peiyun, L., Explaining disparities in colorectal cancer screening among five Asian ethnic groups: A population-based study in California (2010) BMC Cancer, 10, pp. 214-222. , 2888788 20482868 10.1186/1471-2407-10-214; (2011) Healthy People 2020 Topics and Objectives: Cancer, , http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist. aspx?topicId=5, US Department of Health and Human Services; Kagawa-Singer, M., Pourat, N., Breen, N., Coughlin, S., McLean, T.A., McNeel, T.S., Ponce, N.A., Breast and cervical cancer screening rates of subgroups of Asian American women in California (2007) Medical Care Research & Review, 64 (6), pp. 706-730. , 10.1177/1077558707304638; Oh, K.M., Kreps, G.L., Jun, J., Colorectal cancer screening knowledge, beliefs, and practices of Korean Americans (2013) American Journal of Health Behavior, 37 (3), pp. 381-394. , 23985185 10.5993/AJHB.37.3.11; Oh, K.M., Jacobsen, K.H., Colorectal cancer screening among Korean Americans: A systematic review (2013) Journal of Community Health, , doi: 10.1007/s10900-013-9758-x; Oh, K.M., Kreps, G., Jun, J., Ramsey, L., Cancer information seeking and awareness of cancer information sources among Korean Americans (2011) Journal of Cancer Education, 26 (2), pp. 355-364. , 21210270 10.1007/s13187-010-0191-x; (2011) Products - NHIS Early Release - Health Insurance 2010, , http://www.cdc.gov/nchs/nhis.htm, National Center for Health Statistics Retrieved May 10, 2012; (2011) Introduction of KIMA (Korean International Medical Association), , http://www.koreahealthtour.co.kr/en/page.jsp?mcode=1010101, Introduction of Korean International Medical Association (KIMA) Retrieved October 31, 2011; (2011) Understanding of the Foreign Patients Legislation Project, , http://www.medicalkorea.or.kr/webzine/html/04.stats/02.html, Korea Health Industry Development Institute (KHIDI) Retrieved October 30, 2011; (2013) The Prospect of Foreign Patients, , http://khiss.go.kr/board/bbs_read.jsp?tname=MINBOARD358&bbsid= B205&bbs_seq=11&jkey=&jword=&pg=1&htxt_code= 12536976882961856391090949807930&wj_vcs=, Korea Health Industry Development Institute (KHIDI); (2013) The Foreign Patients Status, , http://khiss.go.kr/board/bbs_read.jsp?tname=MINBOARD358&bbsid= B205&bbs_seq=10&jkey=&jword=&pg=1&htxt_code= 12536976882961856391090949807930&wj_vcs=, Korea Health Industry Development Institute (KHIDI); Park, S., Americans' use of Korean medical tourism services.29% increase in the past year (2012) Korean Times, , http://www.koreadaily.com/news/read.asp?art_id=1413177, May 21 Retrieved July 30, 2013; Jin, S., (2011) Explosive Increase of Korean Medical Tourism among Americans, , http://www.koreadaily.com/news/read.asp?art_id=1204058; Kim, K., (2011) Korean Big Hospitals' Fierce Competition in the US Market, , http://news.chosun.com/site/data/html_dir/2011/04/09/2011040900102.html, Chosun. Retrieved from; Medical tourism - Getting medical care in another country (2013) Traveler's Health, , http://wwwnc.cdc.gov/travel/page/medical-tourism, Centers for Disease Control and Prevention Retrieved November 8, 2013; (2013) Medical tourism, , http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-2-the-pre-travel- consultation/medical-tourism, Centers for Disease Control and Prevention Travelers' health Retrieved November 8, 2013; (2011) American Cancer Society Guidelines for the Early Detection of Cancer, , http://www.cancer.org/healthy/findcancerearly/cancerscreeningguidelines/ american-cancer-society-guidelines-for-the-early-detection-of-cancer, American Cancer Society; Lee, H.J., Kazinets, G., Moskowitz, J., (2002) Korean American Community Health Survey: Alameda and Santa Clara Counties, CA, , Center for Family and community Health, University of California Berkeley, CA; (2005) Women's Health USA 2005, , US Department of Health and Human Services US Department of Health and Human Services Rockville, MD; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10, p. 266. , 2944273 20825667 10.1186/1472-6963-10-266; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists (2008) Asia Pacific Tourism Association (APTA) Annual Conference, , Bangkok, Thailand; Owen, W., Interpretive themes in relational communication (1984) Quarterly Journal of Speech, 70, pp. 274-287. , 10.1080/00335638409383697; Conway, M., The Subjective precision of computers: A methodological comparison with human coding in content analysis (2006) Journalism & Mass Communication Quarterly, 83 (1), pp. 186-200. , 10.1177/107769900608300112; (2012) Health Screening Program, , http://www.globalkmi.com/program/program_info.htm?PageNum=2&SubNum=1, Korean Medical Institute Global Marketing Agency (KMIGMA) Korean Medical Institute Global Marketing Agency (KMIGMA). Retrieved February 16, 2012; Lee, J., Demissie, K., Lu, S.-E., Rhoads, G.G., Cancer incidence among Korean-American immigrants in the United States and native Koreans in South Korea (2007) Cancer Control, 14 (1), pp. 78-85. , 17242674; Sarna, L., Tae, Y.S., Kim, Y.H., Brecht, M.L., Maxwell, A.E., Cancer screening among Korean Americans (2001) Cancer Practice, 9 (3), pp. 134-140. , 1:STN:280:DC%2BD387msVyltw%3D%3D 11879298 10.1046/j.1523-5394.2001. 009003134.x","Oh, K.M.; School of Nursing, George Mason University, Fairfax, VA 22030, United States; email: koh5@gmu.edu",,,"Kluwer Academic Publishers",,,,,00945145,,JCMHB,"24322599","English","J. Community Health",Article,"Final",,Scopus,2-s2.0-84896397363 "Medhekar A., Wong H.Y., Hall J.","56939297300;56939197200;56727127000;","Innovation in medical tourism service marketing: A case of India",2013,"Innovations in Services Marketing and Management: Strategies for Emerging Economies",,,,"49","65",,22,"10.4018/978-1-4666-4671-1.ch003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84956761725&doi=10.4018%2f978-1-4666-4671-1.ch003&partnerID=40&md5=1812a76c4ee92ccc2e618293c9003755","CQ University, Australia; Deakin Graduate School of Business, Faculty of Business and Law, Deakin University, Australia","Medhekar, A., CQ University, Australia; Wong, H.Y., Deakin Graduate School of Business, Faculty of Business and Law, Deakin University, Australia; Hall, J., Deakin Graduate School of Business, Faculty of Business and Law, Deakin University, Australia","The aim of this chapter is to critically examine the latest development of medical tourism as an innovation in India. The existing theories and concepts in medical tourism are reviewed and synthesised in order to lay down a foundation for marketing managers to deploy marketing mix strategies to deliver values to the medical tourists. A secondary research method is adapted to gather relevant literature. This chapter not only provides a background introduction to the growing importance of the medical tourism industry to the Indian economy, but also makes major contributions: firstly, that global healthcare service marketing is quite different from marketing of other services and goods. Secondly, it proposes to examine the application of 8Ps of tourism marketing-mix along with another 6Ps, such as personalisation of healthcare, publication for patient, patient packaging, patient education, patient privacy, and patient medical and cultural sensitivities for effective marketing of the popular Indian wellness and medical tourism destinations, super-speciality hospitals, and complex diagnostic tests and surgeries to the world. © 2014, IGI Global. All rights reserved.",,,,,,,,,,"Ahluwalia, M.S., Economic reforms in India since 1991: Has gradualiam worked? 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Sydney, Australia: Pearson; Kotler, P., Ang, S.H., Leong, S.M., Tan, C.T., (1999) Marketing mangement: An Asian perspective, , 2nd ed.). Sydney, Australia: Prentice Hall; Kurien, C.T., Indian economic reforms in the context of emerging global economy (1993) Economic and Political Weekly, 28 (15), pp. 655-665; Lanquar, R., La filière du tourisme de santé (1989) Revue de Tourisme, 44 (4), pp. 25-30; Lovelock, C.H., (1996) Services marketing, , 3rd ed.). Upper Saddle River, NJ: Prentice Hall; Lunt, N., Carrera, P., Medical tourism:Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , PMID:20185254; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Medical Informatics Journal, 4, pp. 1-11. , PMID:20517465; McCarthy, E.J., (1975) Basic marketing: A managerial approach, , Homewood, IL: Richard, D. 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Kar (Eds.), New York:Nova Science Publishers, Inc.; Medhekar, A., Ferdous, T., Importance of culturally competent health literacy for medical tourism (2012) Proceedings of 1st International Conference on Tourism and Hospitality Research, pp. 55-60. , Singapore: Global Science and Technology; Medhekar, A., Haq, F., Marketing Indian medical tourism to Muslim patients in an Islamic way (2010) Proceedings of the 1st International Conference on Islamic Marketing and Branding: Exploring Issues and Challenges, pp. 1-17. , University of Malaysia; Medhekar, A., Haq, F., Development of spiritual tourism circuits: The case of India (2012) Journal of Global Business Review, 2 (2), pp. 212-218; Medhekar, A., Newby, L., Information search for medical treatment abroad (2012) Journal of Applied Global Research, 5 (3), pp. 53-72; Melewar, T.C., Saunders, J., Global corporate visual identity systems: Using an extended marketing mix (2000) European Journal of Marketing, 34 (56), pp. 538-550; (2012) Incredible India Theme brochures-government of India, , http://tourism.gov.in/Tourism, Retrieved September 29, 2012, from; (2010) Health literacy, , http://nnlm.gov/outreach/consumer/hlthlit, Retreived February 15, 2012, from; Petromilli, M., Michalczyk, D., Increasing the value of your hospital through its brand (1999) Marketing Health Services, 19, pp. 4-9. , PMID:10557756; Reppel, A., (2003) The marketing mix: 4Ps, 7Ps or what?, , www.reppel.co.uk/marketing-theory/the-marketingmix-4ps-7ps-or-what.html, Retrieved November 26, 2012, from; (2012) Indian medical tourism industry outlook to 2015, , http://www.researchandmarkets.com/reports/2013588/india_medical_tourism_industry_outlook_to_2015, Retrieved September 9, 2012, from; (2010) Tourism industry: Booming medical tourism in India, industry research solutions, , New Delhi: RNCOS E-Services Pvt Ltd.; Sengupta, A., Nundy, S., The private health care sector in India (2005) British Medical Journal, 331, pp. 1157-1158. , PMID:16293815; Singh, N., Exploring the factors influencing the travel motivations of US medical tourists (2012) Current Issues in Tourism, pp. 1-19; Smith, M., Puczkó, L., (2009) Health and wellness tourism, , Oxford, UK: Elsevier; Smith, P., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), p. 19; Stanley, M., Anywhere but here (2010) National Underwriter /Life & Health Financial Services, 114 (18), pp. 22-25; Subrahmanya, B.M., Small industry and globalisation: Implications, performance and prospects (2004) Economic and Political Weekly, 39 (18), pp. 1826-1834; Taleghani, M., Chirani, E., Shaabani, A., Health tourism, tourist satisfaction and motivation (2011) Interdisciplinary Journal of Contemporary Research in Business, 3 (4), pp. 546-555; 941 foreigners avail VoA facility (2012) The Hindu-Business Line, , http://www.thehindubusinessline.com/news/travel/article3764211.ece, The Hindu. Retrieved August 14, 2012, from; Turner, L., First world healthcare at third world prices: Globalisation, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality, 22 (5), pp. 465-491; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., (2008) Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists, , Paper presented at the Asia Pacific Tourism Association (APTA) Annual Conference. Bangkok, Thailand","Medhekar, A.; CQ UniversityAustralia",,,"IGI Global",,,,,,9781466646728; 1466646713; 9781466646711,,,"English","Innov. in Serv. Mark. and Manag.: Strateg. for Emerg. Econ.",Book Chapter,"Final",,Scopus,2-s2.0-84956761725 "Gan L.L., Frederick J.R.","16480026900;39761481600;","Medical Tourists: Who Goes and What Motivates Them?",2013,"Health Marketing Quarterly","30","2",,"177","194",,22,"10.1080/07359683.2013.787894","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84878436345&doi=10.1080%2f07359683.2013.787894&partnerID=40&md5=a55f3694b782962fc1c7c69d6f8326e1","Department of Economics, Finance, and Decision Sciences, School of Business, University of North Carolina at Pembroke, P.O. Box 1510, Pembroke, NC 28372-1510, United States","Gan, L.L., Department of Economics, Finance, and Decision Sciences, School of Business, University of North Carolina at Pembroke, P.O. Box 1510, Pembroke, NC 28372-1510, United States; Frederick, J.R., Department of Economics, Finance, and Decision Sciences, School of Business, University of North Carolina at Pembroke, P.O. Box 1510, Pembroke, NC 28372-1510, United States","This study relates consumers' attitudes toward medical tourism to a number of consumer characteristics, such as age, education, income, and insurance status. Principal components analysis of the attitudes of 289 consumers from various communities of North Carolina resulted in three attitude-related factors: economic, treatment-related, and travel-related. Major findings include: (a) the uninsured and low-income consumers are more sensitive to economic factors than the insured and the middle-income consumers; (b) the 51- to 64-year-olds are less motivated by economic factors than young adults; (c) surprisingly, the better one's health, the more one is motivated by treatment-related factors. © 2013 Copyright Taylor and Francis Group, LLC.","demographics; medical tourism; medical travel; motivations; uninsured","adolescent; adult; age; aged; article; attitude to health; female; human; income; male; medical tourism; medically uninsured; middle aged; motivation; principal component analysis; psychological aspect; socioeconomics; statistics; United States; young adult; Adolescent; Adult; Age Factors; Aged; Attitude to Health; Female; Humans; Income; Male; Medical Tourism; Medically Uninsured; Middle Aged; Motivation; North Carolina; Principal Component Analysis; Socioeconomic Factors; Young Adult",,,,,,,,"(2007) Medical travel outside the U.S. Report B, , http://www.medretreat.com/templates/UserFiles/Documents/AMA.pdf, American Medical Association, June Retrieved from Report June 2007; (2007) Consumer Reports, 72 (9), pp. 16-20. , http://www.pnhp.org/news/2007/august/consumer_reports_on_.php, Are you really covered?, September, Retrieved from; Baker, D.A., Crompton, J.L., Quality, satisfaction and behavioral intentions (2000) Annals of Tourism Research, 27 (3), pp. 785-804; Baker, D.W., Sudano, J.J., Albert, J.M., Borawski, E.A., Dor, A., Lack of health insurance and decline in overall health in late middle age (2001) New England Journal of Medicine, 345, pp. 1106-1112; Bookman, M., Bookman, K., (2007) Medical tourism in developing countries, , New York, NY, Palgrave MacMillan; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) The Journal of Legal Medicine, 28, pp. 223-245; Canterbury, R., Walters, R., Eldridge, J., (2006) House Bill 4359, , http://www.legis.state.wv.us/Bill_Text_HTML/2006_SESSIONS/RS/Bills/hb4359%20intr.htm, Charleston, WV: Committee on Banking and Insurance then Finance, West Virginia. Retrieved from; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; Chandler, J., Costello, C., A profile of visitors at heritage tourism destinations in east Tennessee according to Plog's lifestyle and activity level preferences model (2002) Journal of Travel Research, 41 (2), pp. 161-166; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; (2009) The New Straits Times, , http://www.malaysiahealthcare.com/22072009.htm, Council to promote medical tourism, July 22; Deloitte, L.L.P., (2009) Medical tourism: Updates and implications, , http://www.deloitte.com/assets/Dcom-Greece/Local%20Assets/Documents/Attachments/Health/Medical_tourism09.pdf; Demicco, F.J., Cetron, M., Club medic (2006) Asia Pacific Biotech News, 10 (10), pp. 527-531; DeNavas-Walt, C., Proctor, B.D., Smith, J.C., (2009) Income, poverty, and health insurance coverage in the United States: 2008 (Current Population Reports: Consumer Income Series Report No. P60-236 [RV]), , Washington, DC: U.S. Government Printing Office; Gan, L., Frederick, J.R., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 1-19; Gan, L., Frederick, J.R., Medical tourism in Singapore: A structure-conduct-performance analysis (2011) Journal of Asia-Pacific Business, 12 (2), pp. 141-170; Goodman, D.C., Fisher, F., Stukel, T.A., Chang, C., The distance to community medical care and the likelihood of hospitalization: Is closer always better? (1997) American Journal of Public Health, 87 (7), pp. 1144-1150; Grossman, M., Education and nonmarket outcomes (2006) Handbook of the economics of education, 1, pp. 577-633. , http://dx.doi.org/10.1016/S1574-0692(06)01010-5, In:, In: Hanushek E., editorsWelch F., editors Amsterdam, The Netherlands,: North-Holland, Retrieved from; Hagen, L.A.R., Uysal, M., An examination of motivations and activities of pre-retirement (50-64) and post-retirement (65-98) age groups for a touring trip (1991) Proceedings of the 22nd Annual Travel and Tourism Research Association Conference, Long Beach, CA; Herrick, D.M., (2007) Medical tourism: Global competition in health care, , http://www.ncpa.org/pub/st/st304, National Center for Policy Analysis, Dallas, TX (Report No. 304). Retrieved from; Hong, G.S., Kim, S.Y., Lee, J., Travel expenditure patterns of elderly households in the US (1999) Tourism Recreation Research, 24 (1), pp. 43-52; Horowitz, M.D., Rosensweig, J.A., Medical tourism vs. traditional international medical travel: A tale of two models (2008) International Medical Travel Journal, pp. 1-14; Hsieh, C.R., Lin, S.J., Health information and the demand for preventive care among the elderly in Taiwan (1997) Journal of Human Resources, 32, pp. 308-333; Javalgi, R.G., Thomas, E.G., Rao, S.R., Consumer behavior in the U.S. pleasure travel marketplace: An analysis of senior and nonsenior travelers (1992) Journal of Travel Research, 31 (2), pp. 14-19; Juaneda, C., Estimating the probability of return visits using a survey of tourist expenditure in the Balearic Islands (1996) Tourism Economics, 24, pp. 339-352; Kenkel, D., Consumer health information and the demand for medical care (1990) The Review of Economics and Statistics, 72, pp. 587-595; Kozak, M., Repeaters' behavior at two distinct destinations (2001) Annals of Tourism Research, 28 (3), pp. 784-807; Landeck, M., Garza, C., Utilization of physician health care services in Mexico by U.S. Hispanic border residents (2002) Health Marketing Quarterly, 20 (1), pp. 3-16; Lantz, P.M., Lynch, W., House, J.S., Socioeconomic disparities in health change in a longitudinal study of US adults: The role of health-risk behaviors (2001) Social Science and Medicine, 53 (1), pp. 29-40; Lee, O.F., Davis, T.R.V., International patients: A lucrative market for U.S. hospitals (2004) Health Marketing Quarterly, 22 (1), pp. 41-56; MacReady, N., Developing countries court medical tourists (2007) World Report, 370, pp. 1849-1850. , http://www.thelancet.com; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) Human Resource Planning, 30 (2), pp. 8-10; Martin, L.G., Freedman, V.A., Schoeni, R.F., Andreski, P.M., Trends in disability and related chronic conditions among people ages fifty to sixty-four (2010) Health Affairs, 29 (4), pp. 725-731; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (20), pp. 358-367; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) The New England Journal of Medicine, 355 (16), pp. 1637-1640; (2002) Malaysia's health 2002: Technical report of the Director-General of Health Malaysia 2002, , Kuala Lumpur, Malaysia, Author; Mirrer-Singer, P., Medical malpractice overseas: The legal uncertainty surrounding medical tourism (2007) Law and Contemporary Problems, 70 (2), pp. 211-232; (2000) Age matters in leisure travel activities, , http://demo.travelweeklyweb.com/article/age_matters_in_leisure_travel_activities.html, NFO Plog Research., October 4; Pathak, D., (2010) Medical tourism witnesses unprecedented growth, , http://www.ibtimes.com/articles/72998/20101018/medicaltourism-health-tourism-travel-abroad.htm, October 18; Rhoades, J., Chu, M., (2000) Health insurance status of the civilian noninstitutionalized population: 1999, , [Publication no. 01-0011]. Rockville, MD: Agency for Healthcare Research and Quality; (2012) The Star Online, , http://thestar.com.my/news/story.asp?file=/2012/11/7/nation/12282391&sec=nation, Rise in medical tourists, November 7 Retrieved from; Rogowski, J., Karoly, L., Health insurance and retirement behavior: Evidence from the health and retirement survey (2000) Journal of Health Economics, 19, pp. 529-539; Romsa, G., Blenman, M., Vacation patterns of the elderly German (1989) Annals of Tourism Research, 16 (2), pp. 178+188; Rosenthal, T.C., Chester, F., Access to health care for the rural elderly (2000) Journal of the American Medical Association, 284 (16), pp. 2034-2036; Swalm, S., Lundberg, K., (2007) House Bill 1143: A bill for an act concerning the option of a covered state employee under a self-insured group benefit plan to obtain medical care in an accredited foreign health care facility, , http://www.leg.state.co.us/clics/clics2007a/csl.nsf/fsbillcont3/DA1B1F6E36E70CD687257251007B7BAF?open&file=1143_01.pdf, Denver, CO: Colorado State Legislature. Retrieved from; Su, D., Richardson, C., Wen, M., Pagan, J.A., South-border utilization of health care: Evidence from a population-based study in South Texas (2010) Health Services Research; (2003) Access to care for the uninsured: An update, , http://www.kff.org/uninsured/4142.cfm, The Henry Kaiser Family Foundation, September 29; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; You, X., O'Leary, J.T., Destination behavior of older UK travelers (1999) Tourism Recreation Research, 24 (1), pp. 23-34","Gan, L. L.; Department of Economics, Finance, and Decision Sciences, School of Business, University of North Carolina at Pembroke, P.O. Box 1510, Pembroke, NC 28372-1510, United States; email: lydia.gan@uncp.edu",,,,,,,,07359683,,HMQUE,"23697856","English","Health Mark. Q.",Article,"Final",,Scopus,2-s2.0-84878436345 "Speier A.R.","37038655600;","Health tourism in a Czech health spa",2011,"Anthropology and Medicine","18","1",,"55","66",,22,"10.1080/13648470.2010.525879","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79956269319&doi=10.1080%2f13648470.2010.525879&partnerID=40&md5=7f89ee688bbfd47aafe7c69ea7cc7719","Department of Anthropology, Eckerd College, St. Petersburg, FL, United States","Speier, A.R., Department of Anthropology, Eckerd College, St. Petersburg, FL, United States","This paper is about the changing shape of health tourism in a Czech spa town. The research focuses on balneotherapy as a traditional Czech healing technique, which involves complex drinking and bathing therapies, as it is increasingly being incorporated into the development of a Czech health tourism industry. Today, the health tourism industry in Mariánské Lázně is attempting to 'harmoniously' combine three elements - balneology, travel and business activities. One detects subtle shifts and consequent incongruities as doctors struggle for control over the medical portion of spa hotels. At the same time, marketing groups are creating new packages for a general clientele, and the implementation of these new packages de-medicalizes balneotherapy. Related to the issue of the doctor's authority in the spa, the changes occurring with the privatization of tourism entails the entrance of 'tourists' to Mariánské Lázně who are not necessarily seeking spa treatment but who are still staying at spa hotels. There is a general consensus among spa doctors and employees that balneotherapy has become commodified. Thus, while balneotherapy remains a traditional form of therapy, the commercial context in which it exists has created a new form of health tourism. © 2011 Taylor & Francis.","balneotherapy; Czech health spa; medical tourism","article; balneotherapy; clinical research; Czech Republic; health care; human; medical tourism; organization and management; priority journal; spa treatment; traditional medicine; Balneology; Czechoslovakia; History, 20th Century; Humans; Medical Tourism; Medicine, Traditional",,,,,,,,"Aron Cindy, S., (1999) Working at Play: A History of Vacations in the United States, , New York: Oxford University Press; Berdahl, D., (1999) Where the World Ended: Re-Unification and Identity in the German Borderland, , Berkeley: University of California Press; Carter Frank, W., Czechoslovakia (1991) Tourism and Economic Development in Eastern Europe and the Soviet Union, , ed. D. Hall, London: Belhaven Press; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , DOI 10.1016/j.tourman.2005.11.005, PII S0261517705001871; Errington, F., Deborah, G., Tourism and anthropology in a postmodern world (2004) Tourists and Tourism: A Reader, , ed. Sharon Bohn Gmelch. Long Grove: Waveland Press; Gal, S., Gail, K., (2000) Politics of Gender after Socialism, , Princeton: Princeton University Press; Gmelch, S.B., Why tourism matters (2004) Tourists and Tourism: A Reader, , ed. Sharon Bohn Gmelch, Long Grove: Waveland Press; (2002) Postsocialism: Ideals Ideologies and Practices in Eurasia, , Hahn Chris ed. New York: Routledge; Inhorn Marcia, C., Daphna, B.-C., Assisted reproductive technologies and culture change (2008) Annual Review of Anthropology, 37, pp. 177-196; Jirásek, K., Ceskoslovenské lázne (1979) Praha: Olympia; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal of Fertility and Women's Medicine, 51 (6), pp. 251-255; Matorras, R., Reproductive exile versus reproductive tourism (2005) Human Reproduction, 20 (12), p. 3571; Nepustil, B., (1949) Czechoslovak Public Health Services Compiled from Data Supplied by the Ministry of Health.; Noack, C., Coping with the tourist: Planned and wild mass tourism on the soviet black sea coast (2006) Turizm: The Russian and East European Tourist under Capitalism and Socialism, , ed. A.E. Gorsuch and D.P. Koeneker Ithaca: Cornell University Press; Matorras, R., Pennings, G., Reproductive exile versus reproductive tourism (multiple letters) [1] (2005) Human Reproduction, 20 (12), pp. 3571-3572. , DOI 10.1093/humrep/dei223; Prerovský, K., Czechoslovak spas (1957) Pragne: Mír, 1; Urry, J., (2002) Tourist Gaze, , 2nd edn London: Sage Publications","Speier, A. R.; Department of Anthropology, Eckerd College, St. Petersburg, FL, United States; email: speiera@eckerd.edu",,,,,,,,13648470,,APMDF,"21563003","English","Anthropol. Med.",Article,"Final",,Scopus,2-s2.0-79956269319 "Chambers D., McIntosh B.","34972764200;55117811000;","Using authenticity to achieve competitive advantage in medical tourism in the English-speaking Caribbean",2008,"Third World Quarterly","29","5",,"919","937",,22,"10.1080/01436590802106056","https://www.scopus.com/inward/record.uri?eid=2-s2.0-46749118428&doi=10.1080%2f01436590802106056&partnerID=40&md5=9c2ee2502458b28cbf7060c9bc6b6d04","Department of Tourism, University of Surrey, Guildford, Surrey, United Kingdom; School of Management and Law, Napier University, Edinburgh, United Kingdom","Chambers, D., Department of Tourism, University of Surrey, Guildford, Surrey, United Kingdom; McIntosh, B., School of Management and Law, Napier University, Edinburgh, United Kingdom","Medical tourism is a relatively recent global economic and political phenomenon which has assumed increasing importance for developing countries, particularly in Asia. It has been slower to develop within the context of the tourism industry in English-speaking Caribbean countries but there is evidence that the tourism policy makers in the region perceive medical tourism as a potentially lucrative niche market. However, while the potential of medical tourism has seemingly been embraced by the region's political directorate, there has been limited discussion of the extent to which this market niche can realistically provide competitive advantage for the region. The argument of this conceptual paper is that the English-speaking Caribbean cannot hope to compete successfully in the global medical tourism market with many developing world destinations in Asia, or even with other Caribbean countries such as Cuba, on factors such as low cost, staff expertise, medical technological capability, investment in healthcare facilities or even in terms of the natural resources of sun, sea and sand. Rather, in order to achieve competitive advantage the countries of the region should, on the one hand, identify and develop their unique resources and competences as they relate to medical tourism, while, on the other hand, they should exploit the demand of the postmodern tourist for authentic experiences. Both these supply and demand side issues, it is argued, can be addressed through the development of a medical tourism product that utilises the region's indigenous herbal remedies.",,"competitiveness; developing world; health care; policy making; tourism development; tourism market; Asia; Atlantic islands; Atlantic Ocean; Caribbean Islands; Cuba; Eurasia; Greater Antilles",,,,,,,,"(2008) World Tourism Barometer, 16 (1). , UN World Tourism Organization UNWTO; (2007) Tourism satellite accounting research, , http://www.wttc.travel/eng/WTTC_Research/Tourism_Satellite_Accounting/TSA_Regional_Reports/Caribbean/index.php, World Travel and Tourism Council WTTC, Caribbean, at, accessed 22 February 2007; Facts and figures, , http://www.unwto.org/index.php, available online from, accessed 23 February 2008; Cf Auliana Poon's extensive discussion of the characteristics of the 'new tourist'. A Poon, Tourism, Technology and Competitive Strategies Wallingford: CAB International, 1993; Renewed call for health tourism (2007) Daily Gleaner, , Jamaica, 9 January; While the focus of this paper is on medical tourism in developing countries, it is recognised that medical tourism is also a significant phenomenon in Eastern European countries such as Hungary and the Czech Republic; Atlas, (2006) Medical Tourism: A Global Analysis, , London: Tourism Research and Marketing, February; Atlas, ; Newman, B.Y., Medical tourism (2006) Optometry: Journal of the American Optometric Association, 77 (12), p. 581; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46, p. 1144; Anderson, J., O'Dowd, L., Borders, border regions and territoriality: Contradictory meanings, changing signi.cance (1999) Regional Studies, 33 (7), p. 597; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27, p. 1094; Henderson, J.C., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7, pp. 111-122; Atlas, Medical Tourism, pp. 10-11; Atlas, Medical Tourism; Hirst, P., Thompson, G., (1995) Globalisation in Question, , Cambridge: Polity Press; Amin, A., Placing globalisation (1997) Theory, Culture and Society, 14 (2), pp. 123-137; Ohmae, K., (1995) The End of the Nation-state: The Rise of Regional Economies, , New York: Free Press; Wilson, T.M., Donnan, H., (1998) Border Identities: Nation and State at International Frontiers, , Cambridge: Cambridge University Press; Huff-Rouselle, M., Shephard, C., Cushman, R., Imrie, J., Lalta, S., (1995) Prospects for Health Tourism Exports for the English-speaking Caribbean, , Washington, DC: World Bank; Ohmae, (1992) The End of the Nation-state; and R Robertson, Globalisation: Social Theory and Global Culture, , London: Sage; O'Brien, R., (1992) Global Financial Integration: The End of Geography, , London: Royal Institute of International Affairs; Cox, L., Border lines: Globalisation, de-territorialisation and the reconfiguration of national boundaries (2004) Proceedings of Mobile Boundaries/Rigid Worlds Conference, , Macquarie University, Australia; Connell, Medical tourism; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Atlas, Medical Tourism; Connell, Medical tourism; Garcia-Altes, The development of health tourism services; Hutchinson, B., Medical tourism growing worldwide U-Daily, , www.ude/edu/pr/uDaily/2005/mar/tourism072505.html, 25 July 2005, at, accessed 7 January 2008; Hutchinson, 'Medical tourism growing worldwide'; Huff-Rouselle, Prospects for Health Tourism Exports; (2005) National Policy on Traditional Medicine and Regulation of Herbal Medicine, p. 1. , World Health Organisation WHO, Geneva: WHO, May; Williams, L., Ethnomedicine (2006) West Indian Medical Journal, 55 (4), p. 215; Wang, N., Rethinking authenticity in tourism experience (1999) Annals of Tourism Research, 26 (2), pp. 349-370; Wang, N., ; McCannell, D., Staged authenticity: Arrangements of social space in tourist settings (1973) American Journal of Sociology, 79, pp. 589-603; McCannell, (1976) The Tourist: A New Theory of the Leisure Class, , New York: Schocken Books; Taylor, J.P., Authenticity and sincerity in tourism (2001) Annals of Tourism Research, 28 (1), p. 10; E Go.man, The Presentation of Self in Everyday Life, London: Penguin, 1959; Wockhardt Hospitals, 'Wockhardt hospitals Mumbai gets JCI accreditation, world's gold standard in health care delivery', press release, 2005, at www.wockhardthospitals.net/general/jcinews5.asp, accessed 9 November 2007; Wang, Rethinking authenticity in tourism experience, p. 356; Waitt, G., Consuming heritage: Perceived historical authenticity (2000) Annals of Tourism Research, 27 (4), pp. 835-862; Silver, I., Marketing authenticity in Third World countries (1993) Annals of Tourism Research, 20, pp. 302-318; Wang, Rethinking authenticity in tourism experience; Berger, P., Sincerity and authenticity in modern society (1973) Public Interest, 31, pp. 81-90; Wang, Rethinking authenticity in tourism experience, p. 358; Kelner, S., Narrative construction of authenticity in pilgrimage touring (2001) 96th Annual Meeting of the American Sociological Association, , paper presented at the, Anaheim, CA, 19 August; DBoyle, (2003) Authenticity: Brands, Fakes and Spin and the Lust for Real Life, , London: Harper Perennial; Beckett, A., The quest for imperfection Guardian, , http://www.guardian.co.uk, 16 June 2004, at, accessed 18 August 2005; Boyle, Authenticity; Boyle, , p. 128; Abraham Maslow developed a theory of human motivation in 1943 which has since been used as the foundation of studies in this area in a number of disciplines. According to Maslow, human beings have a hierarchy of needs moving from lower-order to higher-order needs in a sort of pyramid. Lower-order needs, which occupy the wide base of the pyramid, include basic requirements for food, shelter, clothing and sex. The highest order need at the narrow apex of the pyramid is that for self-actualisation but this can only be achieved once the lower-order needs have been satis.ed; Lewis, D., Bridger, D., (2001) The Soul of the New Consumer, , London: Nicholas Brealey Publishing; Apostolakis, A., The convergence process in heritage tourism (2003) Annals of Tourism Research, 30 (4), pp. 795-812; National Policy on Traditional Medicine and Regulation of Herbal Medicine, , WHO; Alleyne, T., Roache, S., Thomas, C., Shirley, A., The control of hypertension by use of coconut water and mauby: Two tropical food drinks (2005) West Indian Medical Journal, 54 (1), pp. 3-8; Alleyne, The control of hypertension by use of coconut water and mauby; Elvin-Lewis, M., Should we be concerned about herbal remedies? (2001) Journal of Ethnopharmacology, 75, p. 141; Elvin-Lewis, 'Should we be concerned about herbal remedies?'; (2007) Organics - UK, , Mintel International, November, emphasis added; Elvin-Lewis, 'Should we be concerned about herbal remedies?'; Gossell-Williams, M., West, S.M.E., The past and present use of plants for medicines (2006) West Indian Medical Journal, 55 (4), p. 218; Positive Tourism News Network, 2007, at www.caribbeanhealthtourism.com, accessed 7 January 2008; Clement, Y., Morton-Gittens, J., Basdeo, L., Perceived e.cacy of herbal remedies by users accessing primary healthcare in Trinidad (2007) BMC Complementary and Alternative Medicine, p. 5. , www.biomedcentral.com/1472-6882/7/4, at, accessed 30 November 2007; Gardner, J.M., Grant, D., Hutchinson, S., Wilks, R., The use of herbal teas and remedies in Jamaica (2000) West Indian Medical Journal, 49 (4), pp. 331-335; The mauby tree (scienti.cally from the Rhamuaceae family) grows in abundance in many Caribbean islands. In the English-speaking Caribbean mauby is the name given to the bitter liquid extracted from the bark of the tree and this is usually diluted with water and sweetened with sugar to provide a popular drink. Alleyne et al, 'The control of hypertension by use of coconut water and mauby'; Gardner, J.M., Grant, D., Hutchinson, S., Wilks, R., , p. 8; Chariandy, C.M., Seaforth, C.E., Phelps, R.H., Pollard, G.V., Khambay, B.P.S., Screening of medicinal plants from Trinidad and Tobago for antimicrobial and insecticidal properties (1999) Journal of Ethnopharmacology, 64, p. 269; Mitchell, S.A., Ahmad, M.H., A review of medicinal plant research at the University of the West Indies, Jamaica, 1948-2001 (2006) West Indian Medical Journal, 55 (4), pp. 243-269; International Health Travel: Possibilities for the Caribbean, , http://caribbeancomment.wordpress.com, 6 July 2007, at, accessed 7 January 2008; Barnes, J., Quality, e.cacy and safety of complementary medicines: Fashions, facts and the future. Part II: Efficacy and safety (2003) British Journal of Clinical Pharmacology, 55, p. 331; Elvin-Lewis, 'Should we be concerned about herbal remedies?'; Huff-Rouselle, Prospects for Health Tourism Exports; Connell, Medical tourism, , For more on this, see","Chambers, D.; Department of Tourism, University of Surrey, Guildford, Surrey, United Kingdom",,,,,,,,01436597,,,,"English","Third World Q.",Article,"Final",,Scopus,2-s2.0-46749118428 "Gazitt Y., Shaughnessy P., Devore P.","57204493403;7006403230;56458401000;","Mobilization of dendritic cells and NK cells in non-Hodgkin's lymphoma patients mobilized with different growth factors",2001,"Journal of Hematotherapy and Stem Cell Research","10","1",,"177","186",,22,"10.1089/152581601750098471","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035086677&doi=10.1089%2f152581601750098471&partnerID=40&md5=3efcb3231c6281bf0c503e8c92819332","Universtiy of Texas, Health Science Center, San Antonio, TX 78286, United States; Wilford Hall Medical Center, San Antonio, TX 78286, United States","Gazitt, Y., Universtiy of Texas, Health Science Center, San Antonio, TX 78286, United States; Shaughnessy, P., Wilford Hall Medical Center, San Antonio, TX 78286, United States; Devore, P., Universtiy of Texas, Health Science Center, San Antonio, TX 78286, United States","Conflicting results have been reported regarding the effect of various growth factors on the mobilization of natural killer (NK) cells and dendritic cells in patients undergoing stem cell mobilization for autotransplantation. We compared the extent of mobilization of NK cells and dendritic cells in non-Hodgkin's (NHL) patients undergoing mobilization with granulocyte colony-stimulating factor (G-CSF), granulocyte-macrophage (GM)-CSF, or GM-CSF followed by G-CSF. Overall, 35 patients were studied. NK cells and dendritic were quantitated by flow cytometry. NK cells were defined as the sum of CD56+ cells and CD56/CD16+ cells. Dendritic cells were defined as the sum of CD80+ and CD80+/CD14+ cells. NK activity was determined by by microcytotoxicity assay. NK activity correlated well with the total amount of CD56+ cells mobilized to the peripheral blood. Patients in the three arms of the study mobilized similar amounts of NK cells and NK activity, and patients who lacked NK activity in the peripheral blood, before mobilization, lacked NK activity in their apheresis collections. In contrast to NK cell mobilization, mobilization of dendritic cells/kg was three- to five-fold higher in patients mobilized with GM-CSF-containing regimens compared to patients mobilized with G-CSF alone. We conclude that GM-CSF-containing mobilization regimens are superior for dendritic cell mobilization but similar in the mobilization of NK cells. Therefore, we recommend using GM-CSF-containing regimens for patients undergoing ex vivo or in vivo manipulation of dendritic cells.",,"B7 antigen; CD14 antigen; CD16 antigen; CD56 antigen; granulocyte colony stimulating factor; granulocyte macrophage colony stimulating factor; growth factor; adult; aged; apheresis; article; biological therapy; cancer patient; clinical article; controlled study; cytotoxicity; dendritic cell; female; flow cytometry; human; human cell; male; natural killer cell; nonhodgkin lymphoma; priority journal; Adult; Aged; Cell Division; Dendritic Cells; Female; Granulocyte Colony-Stimulating Factor; Granulocyte-Macrophage Colony-Stimulating Factor; Growth Substances; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; Humans; Killer Cells, Natural; Lymphoma, Non-Hodgkin; Male; Middle Aged; Transplantation, Autologous",,"Granulocyte Colony-Stimulating Factor, 143011-72-7; Granulocyte-Macrophage Colony-Stimulating Factor, 83869-56-1; Growth Substances",,,,,,"Bender, J.G., Williams, S.F., Myers, S., Nottleman, D., Lee, W.J., Unverzagt, K.L., Walker, D., Van Epps, D.E., Characterization of chemotherapy mobilized peripheral blood projenitor cells for use in autologous stem cell transplantation (1992) Bone Marrow Transplant, 10, pp. 281-285; 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Gazitt, Y., Fey, V., Shaughnessy, P., Devore, P., A randomized study of peripheral blood stem cell mobilization with cyclophosphamide in combination with G-CSF, GM-CSF and sequential GM-CSF followed by G-CSF in non-Hodgkin's lymphoma patients: Co-mobilization of dendritic cells and NK-cells (1999) Blood, 94, pp. 637a. , abst; Gazitt, Y., Ben-Bassat, H., Wallach, D., Schattner, A., Interferon induced cytotoxicity and (2′-5′) oligo A synthetase activity in T cells. 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Hematother. Stem Cell Res.",Article,"Final",,Scopus,2-s2.0-0035086677 "Franzblau L.E., Chung K.C.","54405528300;26642946300;","Impact of medical tourism on cosmetic surgery in the United States",2013,"Plastic and Reconstructive Surgery","1","7", e63,"","",,21,"10.1097/GOX.0000000000000003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886384738&doi=10.1097%2fGOX.0000000000000003&partnerID=40&md5=d0dc8965136d3777b5cb4d74fb3ced3a","Section of Plastic Surgery, University of Michigan Health System, Ann Arbor, MI, United States; Section of Plastic Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, United States","Franzblau, L.E., Section of Plastic Surgery, University of Michigan Health System, Ann Arbor, MI, United States; Chung, K.C., Section of Plastic Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, United States","Developing countries have been attracting more international patients by building state-of-the-art facilities and offering sought-after healthcare services at a fraction of the cost of the US healthcare system. These price differentials matter most for elective procedures, including cosmetic surgeries, which are paid for out of pocket. It is unclear how this rise in medical tourism will affect the practice of plastic surgery, which encompasses a uniquely large number of elective procedures. By examining trends in the globalization of the cosmetic surgery market, we can better understand the current situation and what plastic surgeons in the United States can expect. In this article, we explore both domestic and foreign factors that affect surgical tourism and the current state of this industry. We also discuss how it may affect the practice of cosmetic surgery within the United States. Copyright © 2013 The Authors.",,,,,,,"National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIAMS National Institutes of Health, NIH: K24 AR053120","Disclosure: The authors have no financial interest to declare in relation to the content of this article. This study was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under Award Number K24 AR053120. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The Article Processing Charge was waived at the discretion of the Editor-in-Chief.",,"Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington, DC: Deloitte Development; Johnston, R., Crooks, V.A., Snyder, J., What is known about the effects of medical tourism in destination and departure countries? a scoping review (2010) Int J Equity Health, 9, p. 24; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Manag, 27, pp. 1093-1100; Weisz, G., Historical reflections on medical travel (2011) Anthropol Med, 18, pp. 137-144; Jr, S.J.M., Gandy, R.E., Rodning, C.B., The core competencies of james marion sims, MD (2012) Ann Surg, 256, pp. 193-202; Lunt, N., Smith, R., Exworthy, M., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , Paris: OECD; Perry, L., Blue shield initiates quality focus in baja California with new cross-border HMO (2000) About Blue Shield: Newsroom, , https://www.blueshieldca.com/bsca/about-blue-shield/newsroom/ac-cess-baja-cross-border-hmo.sp, Accessed August 10, 2013; Pashley, H., Medical tourism presents opportunities and risks for patients (2012) AORN, 96, pp. C6-C7; Sengupta, A., Medical tourism: Reverse subsidy for the elite (2011) Signs (Chic), 36, pp. 312-319; Burkett, L., Medical tourism. Concerns, benefits, and the American legal perspective (2007) J Leg Med, 28, pp. 223-245; Hackworth, S., (2012) ISAPS International Survey on Aesthetic/ Cosmetic Procedures Performed in 2011, , International Society of Aesthetic Plastic Surgery. Hanover, NH; (2013) Surgery and Recuperation with Time to Heal Away from Public Scrutiny, , http://www.surgeon-and-safari.co.za/index.html, Accessed July 10, 2013; (2013), http://www.jointcommissioninternational.org/jci-accreditedorganizations/, Accessed August 12, 2013; (2013), http://www.hopkinsmedicine.org/international/international_affiliations/asia_pacific/singapore_international_medical_centre.html, Accessed August 12, 2013; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376, pp. 671-672; Chinai, R., Goswami, R., Medical visas mark growth of indian medical tourism (2007) Bull World Health Organ, 85, pp. 164-165; (2013) 2012 Cosmetic Plastic Surgery Statistics: Cosmetic Procedure Trends, , American Society of Plastic Surgeons; Arlington Heights, IL; (2013) 2012 Quick Facts: Cosmetic and Reconstructive Plastic Surgery Trends, , American Society of Plastic Surgeons; Arlington Heights, IL; Mello, M.M., Studdert, D.M., DesRoches, C.M., Effects of a malpractice crisis on specialist supply and patient access to care (2005) Ann Surg, 242, pp. 621-628; Horton, J.B., Jr, H.L.H., The current state of health care reform: The physicians’ burden (2012) Aesthet Surg J, 32, pp. 230-235; Hoppe, I.C., Pastor, C.J., Paik, A.M., An analysis of leading, lagging, and coincident economic indicators in the United States and its relationship to the volume of plastic surgery procedures performed (2012) Ann Plast Surg, 69, pp. 471-473; (2013), http://www.apollohospitals.com/international_patient_services/, Accessed August 10, 2013; (2012) Patient and Consumer Information: Patient Safety, , http://www.plasticsurgery.org/articles-and-galleries/patient-and-consumer-information/patient-safety/medical-tourism.html, Medical Tourism. Accessed August 12, 2013; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) J Plast Reconstr Aesthet Surg, 61, pp. 1423-1424",,,,"Lippincott Williams and Wilkins",,,,,00321052,,PRSUA,,"English","Plast. Reconstr. Surg.",Article,"Final",Open Access,Scopus,2-s2.0-84886384738 "Chen K.-H., Chang F.-H., Kenny C.W.","55782998400;7403649075;55862247500;","Investigating the wellness tourism factors in hot spring hotel customer service",2013,"International Journal of Contemporary Hospitality Management","25","7",,"1092","1114",,21,"10.1108/IJCHM-06-2012-0086","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84884508687&doi=10.1108%2fIJCHM-06-2012-0086&partnerID=40&md5=3eccea0c874e9d501db9aef4ad0c6369","Department of Tourism Management, National Kaohsiung University of Applied Sciences, Kaohsiung, Taiwan; Department of Leisure, Recreation and Tourism Management, Tzu Hui Institute of Technology, Pingtung, Taiwan","Chen, K.-H., Department of Tourism Management, National Kaohsiung University of Applied Sciences, Kaohsiung, Taiwan; Chang, F.-H., Department of Leisure, Recreation and Tourism Management, Tzu Hui Institute of Technology, Pingtung, Taiwan; Kenny, C.W., Department of Tourism Management, National Kaohsiung University of Applied Sciences, Kaohsiung, Taiwan","Purpose: This study aims to establish customer service factors for wellness tourism from both service providers and customer perspectives, and to determine whether gender and age factors affect older tourist opinions of customer service. Design/methodology/approach: The authors interviewed 13 experts in the hot spring hotel industry and more than 469 hot spring hotel visitors who are over 50 years of age. Content validity and homogeneity reliability as proposed by Aiken were used to confirm customer service factors. This study uses the verbal-linguistic evaluation to assess customer service factors and each service item associated with these factors. Findings: Eight crucial customer service factors, from high to low, are personnel services, environments, healthy diet, relaxation, health promotion treatments, experience of unique tourism resources, social activities, and mental learning. Research limitations/implications: This study implicated allocation and management of input resources as the service factors that are used for determining the preferences of older consumers in wellness tourism. Originality/value: Numerous countries are currently facing an aging population and market opportunities for wellness tourism are popular with the tourism industry. Studies show that enhanced customer service increases competitive advantage in the tourism industry. However, customer service differs from what customers prefer. For this study, the authors compiled the viewpoints of older consumers, hotel personnel, and expert opinions in the hotel industry to identify customer-service factors in wellness tourism. The analytical results of this study suggest that hot spring hotels in Taiwan can focus on critical customer-service items, resource management, and resource allocation. © Emerald Group Publishing Limited.","Consumers; Customer service; Customers; Older consumers; Service factor; Tourism; Verbal-linguistic evaluation; Wellness tourism",,,,,,,,,"Aiken, L.R., Content validity and reliability of single items or questionnaires (1980) Educational and Psychological Measurement, 40 (4), pp. 955-959; Aiken, L.R., Three coefficients for analyzing the reliability and validity of ratings (1985) Educational and Psychological Measurement, 45 (1), pp. 131-142; Anderson, B.B., Langmeyer, L., The under-50 and over-50 travelers: A profile of similarities and differences (1982) Journal of Travel Research, 20 (4), pp. 20-24; Backman, K., Backman, S., Silverberg, K., An investigation into the psychographics of senior nature-based travelers (1999) Tourism Recreation Research, 24 (1), pp. 13-22; Barrows, C., Powers, T., Reynolds, D., (2012) Introduction to Management in the Hospitality Industry, , Wiley, Hoboken, NJ; Bennett, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2003) Journal of Vacation Marketing, 10 (2), pp. 122-137; Callan, R.J., Bowman, L., Selecting a hotel and determining salient quality attributes: A preliminary study of mature British travelers (2000) International Journal of Tourism Research, 2 (2), pp. 97-118; Capella, L.M., Greco, A.J., Information sources of elderly for vacation decisions (1987) Annals of Tourism Research, 14 (1), pp. 148-151; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; Cleaver, M., Muller, T.E., Ruys, H.F.M., Wei, S., Tourism product development for the senior market, based on travel-motive research (1999) Tourism Recreation Research, 24 (1), pp. 5-11; Cohen, M., Spa introduction (2008) Understanding the Global Spa Industry: Spa Management, , Cohen, M., Bodeker, G. 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(2006) Tourism Recreation Research, 31 (1), pp. 15-24; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Butterworth-Heinemann, Oxford; (2012), www.thespasdirectory.com/discover_the_spa_research_fell.asp?i=10x, available at,Fellowship Spas Research; (2012) 2010 Analysis of Population Structure, , http://sowf.moi.gov.tw/stat/week/list.htm, available at, (accessed 14 January 2012),Taiwan Ministry of the Interior; (2011) 2011 Survey of Travel by ROC Citizens, , http://admin.taiwan.net.tw/upload/statistic_eng/20120801/1231e340-3c38-4118-b0f9-08a12d93e9e6.doc, available at, (accessed 28 December 2012),Bureau Taiwan Tourism; (2012) 2009 Domestic Travelers by Gender and Age, , http://admin.taiwan.net.tw/upload/statistic/20110406/81853106-67f5-42e2-b2c4-24a033a748a7.pdf, available at, (accessed 14 January 2012), Taiwan Tourism Bureau,Bureau Taiwan Tourism; Thompson, N.J., Thompson, K.E., Can marketing practice keep up with Europe's ageing population? (2009) European Journal of Marketing, 43 (11-12), pp. 1281-1288; Trachsel, A., Backhaus, N., Perception and needs of older visitors in the Swiss National Park - a qualitative study of hiking tourists over 55 (2011) Eco Mont-Journal on Protected Mountain Areas Research and Management, 3 (1), pp. 47-50; Turban, E., King, D., Lee, J.K., Warkentin, M., Chung, H.M., (2002) Electronic Commerce: A Managerial Perspective, , Prentice Hall, Upper Saddle River, NJ; Wong, I.K.A., Fong, H.I.V., Liu, M.T., Understanding perceived casino service difference among casino players (2012) International Journal of Contemporary Hospitality Management, 24 (5), pp. 753-773; Yoo, M., Lee, S., Bai, B., Hospitality marketing research from 2000 to 2009: Topics, methods, and trends (2010) International Journal of Contemporary Hospitality Management, 23 (4), pp. 517-532","Chang, F.-H.; Department of Leisure, Recreation and Tourism Management, Tzu Hui Institute of Technology, Pingtung, Taiwan; email: chang.taiwan@gmail.com",,,,,,,,09596119,,,,"English","Int. J. Contemp. Hosp. Manage.",Article,"Final",,Scopus,2-s2.0-84884508687 "Glinos I.","15836850800;","Worrying about the wrong thing: Patient mobility versus mobility of health care professionals",2012,"Journal of Health Services Research and Policy","17","4",,"254","256",,21,"10.1258/jhsrp.2012.012018","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84868138496&doi=10.1258%2fjhsrp.2012.012018&partnerID=40&md5=050ed2546b78dc9ef8af49abc1a6574a","Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands","Glinos, I., Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands","Patients and health care professionals in the European Union (EU) benefit from legislation on the freedom of movement between Member States. In relative terms, many more doctors and nurses move within the EU than patients. Despite this, patient mobility has attracted more attention from policy-makers and the public while workforce mobility remains largely ignored. This is paradoxical and imprudent. On the one hand, the scope of patient mobility is narrow and self-limited. On the other hand, current and forecasted health care workforce shortages across the EU, global competition for health care professionals, and current economic pressures are all good reasons to start worrying about the mobility of health care professionals and its implications for health systems. © The Royal Society of Medicine Press Ltd 2012.",,"dentist; economic aspect; European Union; health care; health care personnel; health care policy; health care professional mobility; health care system; health service; human; medical profession; migration; motivation; nurse; patient care; patient mobility; physical mobility; physician; priority journal; public figure; review; teamwork; work capacity; Emigration and Immigration; European Union; Health Personnel; Health Policy; Humans; Medical Tourism",,,,,,,,"Wismar, M., Maier, C.B., Glinos, I.A., Dussault, G., Figueras, J., Health professional mobility and health systems: Evidence from 17 European countries (2011) Observatory Studies Series 23, , eds). Copenhagen: European Observatory on Health Systems and Policies; (2011) Official Journal of the European Union, 54, pp. 45-65. , http://eurlex.europa.eu/JOHtml.do?uri=OJ:L:2011:088:SOM:EN:HTML, Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients' rights in cross-border healthcare. ;;; Dutch Health Insurance Board, , www.cvz.nl/zorgcijfers/zvw-lasten/zvw-lasten.html; (2010) The Impact of Health Care Reform on the Future Supply and Demand for Physicians Updated Projections Through 2025, , Association of American Medical Colleges. Washington: AAMC Centre for Workforce Studies; Aiken, L.H., Cheung, R., Nurse wf challenges in the United States: Implications for policy (2008) Paris: OECD Health Working Papers No. 35; Yun, H., Jie, S., Anli, J., Nursing shortage in China: State, causes, and strategy (2010) Nursing Outlook, 58, pp. 122-128; Ausmed.com, , http://www.youtube.com/watch?v=XsjNXWIW28w&feature=share; Sanco, D.G., Internal Estimates; Mladovsky, P., Srivastava, D., Cylus, J., Health policy responses to the financial crisis and other health system shocks in Europe (2011) Policy Summary 5, , draft). WHO, on behalf of the European Observatory on Health Systems and Policies; Kentikelenis, A., Karanikolos, M., Papanicolas, I., Basu, S., McKee, M., Stuckler, D., Health effects of financial crisis: Omens of a Greek tragedy (2011) The Lancet, 378, pp. 1457-1458","Glinos, I.; Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands; email: i.glinos@maastrichtuniversity.nl",,,,,,,,13558196,,JHRPF,"22914545","English","J. Health Serv. Res. Policy",Review,"Final",,Scopus,2-s2.0-84868138496 "Varmavuo V., Mäntymaa P., Kuittinen T., Nousiainen T., Jantunen E.","24167097300;6602140769;55881074500;7004999920;7005969996;","Blood graft lymphocyte subsets after plerixafor injection in non-Hodgkin's lymphoma patients mobilizing poorly with chemotherapy plus granulocyte-colony- stimulating factor",2012,"Transfusion","52","8",,"1785","1791",,21,"10.1111/j.1537-2995.2011.03525.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863836508&doi=10.1111%2fj.1537-2995.2011.03525.x&partnerID=40&md5=941dd78973fa25cdbf51594362358580","Department of Medicine, Kuopio University Hospital, PO Box 1777, 70211 Kuopio, Finland; Laboratory of Eastern Finland, Finland; University of Eastern Finland/Clinical Medicine, Kuopio, Finland","Varmavuo, V., Department of Medicine, Kuopio University Hospital, PO Box 1777, 70211 Kuopio, Finland, Laboratory of Eastern Finland, Finland, University of Eastern Finland/Clinical Medicine, Kuopio, Finland; Mäntymaa, P., Department of Medicine, Kuopio University Hospital, PO Box 1777, 70211 Kuopio, Finland, Laboratory of Eastern Finland, Finland, University of Eastern Finland/Clinical Medicine, Kuopio, Finland; Kuittinen, T., Department of Medicine, Kuopio University Hospital, PO Box 1777, 70211 Kuopio, Finland, Laboratory of Eastern Finland, Finland, University of Eastern Finland/Clinical Medicine, Kuopio, Finland; Nousiainen, T., Department of Medicine, Kuopio University Hospital, PO Box 1777, 70211 Kuopio, Finland, Laboratory of Eastern Finland, Finland, University of Eastern Finland/Clinical Medicine, Kuopio, Finland; Jantunen, E., Department of Medicine, Kuopio University Hospital, PO Box 1777, 70211 Kuopio, Finland, Laboratory of Eastern Finland, Finland, University of Eastern Finland/Clinical Medicine, Kuopio, Finland","Background: A combination of chemotherapy plus granulocyte-colony- stimulating factor (G-CSF) (chemomobilization) is commonly used to mobilize CD34+ cells to circulation. Plerixafor, a chemokine CXCR4 antagonist, increases the mobilization of CD34+ cells and may also have effect on graft composition. Study Design and Methods: We have analyzed lymphocyte subsets in grafts collected on the next morning after plerixafor injection in 13 chemomobilized patients with non-Hodgkin's lymphoma (NHL) mobilizing poorly. As controls we had the first leukapheresis products from 11 NHL patients mobilized with chemotherapy plus G-CSF. The analyses were performed from cryopreserved apheresis products. Results: The median counts of both total CD3+ T cells and natural killer (NK) cells (CD3-CD16/56+) in the graft were significantly higher in plerixafor-treated group compared to the control group. Both helper T-lymphocytes (CD3+CD4+) and suppressor T-lymphocytes (CD3+CD8+) were significantly increased in the plerixafor-treated group so that CD4+/CD8+ ratio in the graft did not differ between the groups. CD19+ cells were evident only at very small amounts in few patients in both groups, and the CD34+ cell content of the graft did not differ between the groups. Engraftment after high-dose therapy was comparable between the groups. Conclusion: Plerixafor added to chemomobilization in poor mobilizers seems to mobilize more T cells and NK cells than chemomobilization. Larger patient numbers and longer follow-up is needed in regard to evaluate posttransplant complications and risk of relapse in patients receiving plerixafor due to poor mobilization. © 2012 American Association of Blood Banks.",,"bendamustine; carboplatin; CD16 antigen; CD19 antigen; CD3 antigen; CD4 antigen; CD56 antigen; cisplatin; cyclophosphamide; cytarabine; dexamethasone; doxorubicin; etoposide; ifosfamide; mesna; mitoxantrone; plerixafor; prednisolone; recombinant granulocyte colony stimulating factor; rituximab; vinblastine; adult; aged; antigen expression; article; cancer combination chemotherapy; cancer patient; clinical article; controlled study; cryopreservation; engraftment; female; helper cell; human; leukapheresis; leukocyte count; lymphocyte count; lymphocyte subpopulation; male; natural killer cell; nonhodgkin lymphoma; stem cell mobilization; stem cell transplantation; suppressor cell; T lymphocyte subpopulation; Adult; Aged; Antibodies, Monoclonal, Murine-Derived; Antigens, CD34; Antineoplastic Combined Chemotherapy Protocols; Blood Component Removal; Combined Modality Therapy; Cyclophosphamide; Doxorubicin; Female; Follow-Up Studies; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cells; Heterocyclic Compounds; Humans; Leukocyte Count; Lymphocyte Subsets; Lymphoma, Non-Hodgkin; Male; Middle Aged; Prednisone; Receptors, CXCR4; Retrospective Studies; Stem Cell Transplantation; Transplantation, Autologous; Vincristine",,"bendamustine, 16506-27-7, 3543-75-7; carboplatin, 41575-94-4; cisplatin, 15663-27-1, 26035-31-4, 96081-74-2; cyclophosphamide, 50-18-0; cytarabine, 147-94-4, 69-74-9; dexamethasone, 50-02-2; doxorubicin, 23214-92-8, 25316-40-9; etoposide, 33419-42-0; ifosfamide, 3778-73-2; mesna, 19767-45-4, 3375-50-6; mitoxantrone, 65271-80-9, 70476-82-3; plerixafor, 110078-46-1, 155148-31-5; prednisolone, 50-24-8; recombinant granulocyte colony stimulating factor, 1117844-87-7, 1192706-53-8, 121181-53-1; rituximab, 174722-31-7; vinblastine, 865-21-4; Antibodies, Monoclonal, Murine-Derived; Antigens, CD34; CXCR4 protein, human; Cyclophosphamide, 50-18-0; Doxorubicin, 23214-92-8; Granulocyte Colony-Stimulating Factor, 143011-72-7; Heterocyclic Compounds; JM 3100, 155148-31-5; Prednisone, 53-03-2; R-CHOP protocol; Receptors, CXCR4; Vincristine, 57-22-7",,,,,,"De Clercq, E., The AMD3100 story: The path to the discovery of a stem cell mobilizer (Mozobil) (2009) Biochem Pharmacol, 77, pp. 1655-1664; Hendrix, C.W., Flexner, C., MacFarland, R.T., Giandomenico, C., Fuchs, E.J., Redpath, E., Bridger, G., Henson, G.W., Pharmacokinetics and safety of AMD-3100, a novel antagonist of the CXCR-4 chemokine receptor, in human volunteers (2000) Antimicrob Agents Chemother, 44, pp. 1667-1673; Liles, W.C., Broxmeyer, H.E., Rodger, E., Wood, B., Hübel, K., Cooper, S., Hangoc, G., Dale, D.C., Mobilization of hematopoietic progenitor cells in healthy volunteers by AMD3100, a CXCR4 antagonist (2003) Blood, 102, pp. 2728-2730; Hübel, K., Liles, W.C., Broxmeyer, H.E., Rodger, E., Wood, B., Cooper, S., Hangoc, G., Dale, D.C., Leukocytosis and mobilization of CD34+ hematopoietic progenitor cells by AMD3100, a CXCR4 antagonist (2004) Support Cancer Ther, 1, pp. 165-172; Devine, S.M., Flomenberg, N., Vesole, D.H., Liesveld, J., Weisdorf, D., Badel, K., Calandra, G., Dipersio, J.F., Rapid mobilization of CD34+ cells following administration of the CXCR4 antagonist AMD3100 to patients with multiple myeloma and non-Hodgkin's lymphoma (2004) J Clin Oncol, 22, pp. 1095-1102; Flomenberg, N., Devine, S.M., Dipersio, J.F., Liesveld, J.L., McCarty, J.M., Rowley, S.D., Vesole, D.H., Calandra, G., The use of AMD3100 plus G-CSF for autologous hematopoietic progenitor cell mobilization is superior to G-CSF alone (2005) Blood, 106, pp. 1867-1874; Dugan, M.J., Maziarz, R.T., Bensinger, W.I., Nademanee, A., Liesveld, J., Badel, K., Dehner, C., Calandra, G., Safety and preliminary efficacy of plerixafor (Mozobil) in combination with chemotherapy and G-CSF: An open-label, multicenter, exploratory trial in patients with multiple myeloma and non-Hodgkin's lymphoma undergoing stem cell mobilization (2010) Bone Marrow Transplant, 45, pp. 39-47; Jantunen, E., Fruehauf, S., Importance of blood graft characteristics in auto-SCT: Implications for optimizing mobilization regimens (2011) Bone Marrow Transplant, 46, pp. 627-635; Weaver, C.H., Hazelton, B., Birch, R., Palmer, P., Allen, C., Schwartzberg, L., West, W., An analysis of engraftment kinetics as a function of the CD34 content of peripheral blood progenitor cell collections in 692 patients after the administration of myeloablative chemotherapy (1995) Blood, 86, pp. 3961-3969; Allan, D.S., Keeney, M., Howson-Jan, K., Popma, J., Weir, K., Bhatia, M., Sutherland, D.R., Chin-Yee, I.H., Number of viable CD34(+) cells re-infused predict engraftment in autologous hematopoietic stem cell transplantation (2002) Bone Marrow Transplant, 29, pp. 967-972; Liles, W.C., Rodger, E., Broxmeyer, H.E., Dehner, C., Badel, K., Calandra, G., Christensen, J., Dale, D.C., Augmented mobilization and collection of CD34+ hematopoietic cells from normal volunteers stimulated with granulocyte-colony-stimulating factor by a single-dose of AMD3100, a CXCR4 antagonist (2005) Transfusion, 45, pp. 295-300; Gazitt, Y., Freytes, C.O., Akay, C., Badel, K., Calandra, G., Improved mobilization of peripheral blood CD34+ cells and dendritic cells by AMD3100 plus granulocyte-colony-stimulation factor in non-Hodgkin's lymphoma patiens (2007) Stem Cells Dev, 16, pp. 657-666; Gazitt, Y., Shaughnessy, P., Devore, P., Mobilization of dendritic cells and NK cell in non-Hodgkin's lymphoma patients mobilized with different growth factors (2001) J Hematother Stem Cell Res, 10, pp. 117-186; Porrata, L.F., Litzow, M.R., Inwards, D.J., Gastineau, D.A., Moore, S.B., Pineda, A.A., Bundy, K.L., Markovic, S.N., Infused peripheral blood autograft lymphocyte count correlated with day 15 absolute lymphocyte count and clinical outcome after autologous peripheral hematopoietic stem cell transplantation in non-Hodgkin's lymphoma (2004) Bone Marrow Transplant, 33, pp. 291-298; Holtan, S.G., Porrata, L.F., Micallef, I.N., Padley, D.J., Inwards, D.J., Ansell, S.A., Johnston, P.B., Markovic, S.N., AMD3100 affects autograft lymphocyte collection and progression-free survival in non-Hodgkin lymphoma (2007) Clin Lymphoma Myeloma, 7, pp. 315-318; Takahaski, Y., Chakrabarti, S., Sriniivasan, R., Lundqvist, A., Read, E.J., Khuu, H., Leitman, S., Childs, R., A detailed phenotypic analysis using six color flow cytometry of lymphocyte subsets mobilized with AMD3100 compared to G-CSF [abstract] (2004) Blood, 104, pp. 120a. , #408; Gaugler, B., Arbez, J., Frikeche, J., Le Gouill, S., Gastinne, T., Blin, N., Chevallier, P., Mohty, M., Characterization of peripheral blood stem cell grafts mobilized by G-CSF and plerixafor in comparison to G-CSF alone [abstract] (2011) Bone Marrow Transplant, 46 (SUPPL. 1), pp. S61. , #380; Jantunen, E., Kuittinen, T., Mahlamäki, E., Pyörälä, M., Mäntymaa, P., Nousiainen, T., Efficacy of pre-emptively used plerixafor in patients mobilizing poorly after chemomobilization: A single centre experience (2011) Eur J Haematol, 86, pp. 299-304; Jantunen, E., Lemoli, R.M., Preemptive use of plerixafor in difficult-to mobilize patients: An emerging concept (2012) Transfusion, 52, pp. 906-914; Porrata, L.F., Gastineau, D.A., Padley, D., Bundy, K., Markovic, S.N., Re-infused autologous graft natural killer cells correlates with absolute lymphocyte count recovery after autologous stem cell transplantation (2003) Leuk Lymphoma, 44, pp. 997-1000; Atta, E.H., De Azevedo, A.M., Maiolino, A., Coelho, C.J., Sarcinelli, S.M., De Alvarenga Máximo, C., Marra, V.L., High CD8+ lymphocyte dose in the autograft predicts early absolute lymphocyte count recovery after peripheral hematopoietic stem cell transplantation (2009) Am J Hematol, 84, pp. 21-28; Dipersio, J.F., Ho, A.D., Hanrahan, J., Hsu, F.J., Fruehauf, S., Relevance and clinical implications of tumor cell mobilization in the autologous transplant setting (2011) Biol Blood Marrow Transplant, 17, pp. 943-955; Fruehauf, S., Ehninger, G., Hübel, K., Topaly, J., Goldschmidt, H., Ho, A.D., Müller, S., Calandra, G., Mobilization of peripheral blood stem cells for autologous transplant in non-Hodgkin's lymphoma and multiple myeloma patients by plerixafor and G-CSF and detection of tumor cell mobilization by PCR in multiple myeloma patients (2010) Bone Marrow Transplant, 45, pp. 269-275; Morris, C., Sureda, A., Van Biezen, A., Mohty, M., Ljungman, P., Iacobelli, S., Boumendil, A., Dreger, P., The EMA-directed plerixafor safety survey: The EBMT CALM study [abstract] (2011) Bone Marrow Transplant, 46 (SUPPL. 1), pp. S32. , #244","Varmavuo, V.; Department of Medicine, Kuopio University Hospital, PO Box 1777, 70211 Kuopio, Finland; email: ville.varmavuo@kuh.fi",,,,,,,,00411132,,TRANA,"22304442","English","Transfusion",Article,"Final",,Scopus,2-s2.0-84863836508 "Turner L.","7202689997;","News media reports of patient deaths following 'medical tourism' for cosmetic surgery and bariatric surgery",2012,"Developing World Bioethics","12","1",,"21","34",,21,"10.1111/j.1471-8847.2012.00320.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858673463&doi=10.1111%2fj.1471-8847.2012.00320.x&partnerID=40&md5=8b3ec27f26a1865aec64d8b38cba6fd5","University of Minnesota, Center for Bioethics, N504 Boynton 410 Church St SE, Minneapolis, MN 55455, United States","Turner, L., University of Minnesota, Center for Bioethics, N504 Boynton 410 Church St SE, Minneapolis, MN 55455, United States","Contemporary scholarship examining clinical outcomes in medical travel for cosmetic surgery identifies cases in which patients traveled abroad for medical procedures and subsequently returned home with infections and other surgical complications. Though there are peer-reviewed articles identifying patient deaths in cases where patients traveled abroad for commercial kidney transplantation or stem cell injections, no scholarly publications document deaths of patients who traveled abroad for cosmetic surgery or bariatric surgery. Drawing upon news media reports extending from 1993 to 2011, this article identifies and describes twenty-six reported cases of deaths of individuals who traveled abroad for cosmetic surgery or bariatric surgery. Over half of the reported deaths occurred in two countries. Analysis of these news reports cannot be used to make causal claims about why the patients died. In addition, cases identified in news media accounts do not provide a basis for establishing the relative risk of traveling abroad for care instead of seeking elective cosmetic surgery at domestic health care facilities. Acknowledging these limitations, the case reports suggest the possibility that contemporary peer-reviewed scholarship is underreporting patient mortality in medical travel. The paper makes a strong case for promoting normative analyses and empirical studies of medical travel. In particular, the paper argues that empirically informed ethical analysis of 'medical tourism' will benefit from rigorous studies tracking global flows of medical travelers and the clinical outcomes they experience. The paper contains practical recommendations intended to promote debate concerning how to promote patient safety and quality of care in medical travel. © 2012 Blackwell Publishing Ltd.","Bioethics; Empirical ethics; Health care; Medical ethics; Mexico; Patient protection","adult; article; bariatric surgery; case report; death; developed country; developing country; elective surgery; fatality; female; human; international cooperation; male; mass medium; medical tourism; middle aged; mortality; observer variation; patient safety; plastic surgery; risk; standard; treatment outcome; United States; utilization review; Adult; Bariatric Surgery; Death; Developed Countries; Developing Countries; Fatal Outcome; Female; Humans; Internationality; Male; Mass Media; Medical Tourism; Middle Aged; Observer Variation; Patient Safety; Risk; Surgery, Plastic; Surgical Procedures, Elective; Treatment Outcome; United States",,,,,,,,"Corderi, V., Plastic surgery tourism? 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Pulmonary embolism after plastic surgery tourism. (2007) Clin Appl Thromb Hemost, 13, p. 340; Birch, D., Medical tourism in bariatric surgery. (2010) Am J Surg, 199, pp. 604-608; Snyder, J., Crooks, V.A., Medical tourism and bariatric surgery: more moral challenges. (2010) Am J Bioeth, 10, pp. 28-30; Furuya, E., Outbreak of Mycobacterium abscessus wound infections among 'lipotourists' from the United States who underwent abdominoplasty in the Dominican Republic. (2008) Clin Infect Dis, 46, pp. 1181-1188; Kennedy, S., Outcomes of overseas commercial kidney transplantation: an Australian perspective. (2005) Med J. Aust, 182, pp. 224-227; Canales, M., Kasiske, B., Rosenberg, M., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas. (2006) Transplantation, 82, pp. 1658-1661; Prasad, G., Outcomes of commercial renal transplantation: a Canadian experience. (2006) Transplantation, 82, pp. 1130-1135; Dobkin, B., Curt, A., Guest, J., Cellular transplants in China: observational study from the largest human experiment in chronic spinal cord injury. (2006) Neurorehabil Neural Repair, 20, pp. 5-13; Amariglio, N., Donor-derived brain tumor following neural stem cell transplantation in an ataxia telangiectasia patient (2009) PLoS Med, 6, pp. 221-231; Cohen, C., Cohen, P., International stem cell tourism and the need for effective regulation. Part I: stem cell tourism in Russia and India: clinical research, innovative treatment, or unproven hype? (2010) Kennedy Inst Ethics J, 20, pp. 27-49; Burton, J., Complications in MS Patients after CCSVI Procedures Abroad (Calgary, AB). (2011) Can J. Neurol Sci, 38, pp. 741-746; Alphonso, C., Death of MS patient fuels debate over new treatment (2010) The Globe and Mail, p. 19; Clark, C., Dibble, S., When cosmetic surgery in Baja goes bad; Deaths raise questions about risks at clinics (1996) The San Diego Union-Tribune, , 14 July: A1; Dibble, S., Death after operation stirs probe; Tijuana plastic surgeon's credentials questioned. (1996) The San Diego Union-Tribune, , 20 October: B1; Ross, K., Quest for Physical Perfection Becomes Sad, Cautionary Tale. (1998) The Washington Post, , 12 September: A03; (1998), Wire services. Plastic Surgery Deaths Raise Serious Questions. Orlando Sentinel 18 September: 4. Woman Dies During Liposuction Surgery. Guadalajara Reporter 16 March; Hitt, B., (2012) Surgery South of the Border, , CBS13. 3 November 2008. Available at: [Accessed 10 Jan; Sherman, M., Betances, Y., (2003), The price of perfection. The Eagle-Tribune. Available at: [Accessed 10 Jan; Corderi, V., (2012), Plastic surgery tourism? Dateline MSNBC 18 March 2005. Available at: [Accessed 10 Jan; (2005), Associated Press. Hungarian police probe death of Austrian patient who died after liposuction. 1 February; O'Driscoll, S., Cosmetic surgery was 'significant (2005) in NY death. Irish Times, , 26 May: 10; John, W.S.T., The Irish Patient and Dr. Lawsuit. (2005) The New York Times, 9, p. 1. , 24 April:; Eligon, J., Moynihan, C., Verdict After Fatal Surgery Surprises a Victim's Family (2010) The New York Times, , 1 May: A15; Davies, E., Keeley, G., Nigerian President's wife dies after plastic surgery operation in Spain (2005), The Independent. 25 October; Tremlett, G., Spanish look into death of Nigerian first lady after cosmetic surgery. (2005), 25 October: 18; Clayton, J., Owen, E., President's wife died in coma after surgery 'for slimming' , p. 38. , The Times. 25 October:; (2008), p. 9. , Bristol woman died after facelift. Bristol Evening Post. 14 November; Western Daily Press. (2008) Woman died after facelift in Cyprus, p. 21. , 14 November; Mooney, T., Cosmetic surgery overseas ends in death for R.I. woman. (2006) The Providence Journal, pp. A01. , 19 May; Wolff, J., Passport to Cheaper Health Care? Good Housekeeping 1 September. (2007); Wolff, J., Passport to Cheaper Health Care? (2007) Good Housekeeping, , 1 September; Ceron, A., Schwartz, J., Infection Killed Woman Who Got Gastric Bypass in Mexico (2007) Palm Beach Post, , 30 August; B1; Meade, K., Death raises warning on overseas surgery (2007), The Australian: 29 October: 2; (2007), Woman dies after trip for stomach op. Sunday Star Times. 27 October; Carroll, S., (2008) Coroner warns on dangers of cosmetic surgery, , The Irish Times 2 July: 6; (2008), Anonymous. Family granted leave to seek to quash inquest verdict on son's death. The Irish Times 28 August: 6; Healy, T., A Fresh Inquest has been ordered into the death of a Dublin man who died while undergoing cosmetic surgery in Colombia (2010) Irish Independent, , 21 May: 21; (2007), Associated Press. Mexican doctor charged with posing as plastic surgeon, botching dozens of operations. International Herald Tribune 28 December; Bernstein-Wax, J., Scam artists taint medical care in Mexico (2008), Los Angeles Times 6 January: A6; (2008), Death and Funeral Notices. The San Diego-Union Tribune. 20 July; (2012), Dies woman during plastic surgery in Tijuana. 2008. Que Pasa Baja 11 July. Available at: [Accessed 10 Jan; Morales, R., (2008), Investigan muerte de una dama. El-Mexicano 09 July; Fallecio en una cirugia estetica. 10 July; Vasquez, J., American 'Medical Tourist' Women Dies in David After Undergoing Liposuction (2009) The Boquete Times Newspaper, , 22 June; (2012), Hungary Around the Clock. 2009. Austrian dies after liposuction in Hungary. Hungarian Portal. 30 January. Available at: [Accessed 10 Jan; (2010), B. Za'za. Woman dies of organ failure after breast enlargement operation. Gulf News. 2 March; B. Za'za. 2010. Doctor, cosmetician held liable for woman's death from botched surgery in Dubai. Gulf News 29 March; Darce, K., Dibble, S., (2010), Officials in Baja close clinic where U.S. woman died. The San-Diego Union-Tribune 29 May: B1; Doctor Claims He Was Not At Fault in Woman's Liposuction Death. 2010 May. Available at: [Accessed 10 Jan 2012]; Doctor's Credentials Questioned After Woman's Liposuction Death. 2010; 25 May. Available at: [Accessed 10 Jan; Dibble, S., Family seeks answers after woman's Lap-Band death. (2011) The San Diego Union-Tribune, , 9 June. Available at: [Accessed 10 Jan; (2012), The World Bank Country and Lending Groups. Available at: [Accessed 10 Jan; (2012), The American Society for Aesthetic Plastic Surgery. 2009. Cosmetic Surgery National Data Bank Statistics. Available at: [Accessed 10 Jan; Ceron, A., Schwartz, J., 8 Days After Surgery in Mexico, Bride's Dreams Die With Her (2007) Palm Beach Post, , 15 July: 1A; Ceron, A., Schwartz, J., Infection Killed Woman Who Got Gastric Bypass in Mexico (2007) Palm Beach Post, , 30 August: B1; Quattrone, M., Is the physician office the wild, wild west of health care? (2000) J Ambul Care Manage, 23; Vila, H., Comparative outcomes analysis of procedures performed in physician offices and ambulatory surgery centers (2003) Arch. Surg, 138, pp. 991-995; Horton, J., Patient safety in the office-based setting (2006) Plast Reconstr Surg, 117, pp. 61e-80e; Furuya, E., Outbreak of Mycobacterium abscessus wound infections among 'lipotourists' from the United States who underwent abdominoplasty in the Dominican Republic. Clin Infect Dis, 46, pp. 1181-1188; Goodwin, A., Martin, I., Shotton, H., (2012), On the Face of It: A review of the organizational structures surrounding the practice of cosmetic surgery. National Confidential Enquiry into Patient Outcome and Death 2010. Available at: [Accessed 10 Jan; (2012), U.S. Department of State. Dominican Republic Country Specific Information. Available at: [Accessed 10 Jan; (2012), U.S. Department of State. Peru Country Specific Information. Available at: [Accessed 10 Jan; (2012), Centers for Disease Control and Prevention. CDC Health Information for International Travel 2010. Available at: [Accessed 10 Jan; Nassab, R., Cosmetic tourism: public opinion and analysis of information and content available on the Internet (2010) Aesthet Surg J, 30, pp. 465-469; Mason, A., Wright, K., (2010), p. 18. , Framing Medical Tourism: An Examination of Appeal, Risk, Convalescence, Accreditation, and Interactivity in Medical Tourism Web Sites. J Health Commun 2010 Dec 15: 1-15. E. Sobo, E. Herlihy & M. Bicker. Selling medical travel to US Patient-Consumers: The cultural appeal of website marketing messages. Anthropology & Medicine; Penney, K., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of canadian broker websites (2011) BMC Medical Ethics, 12, p. 17; Lunt, N., Carrera, P., Systematic review of websites for prospective medical tourists (2011) Tourism Review, 66, pp. 57-67; Gilmartin, J., Contemporary cosmetic surgery: the potential risks and relevance for practice. (2010) J Clin Nurs, 20, pp. 1801-1809; Coldiron, B., Healy, C., Bene, N., Office surgery incidents: what seven years of Florida data show us. (2008) Dermatol Surg, 34, pp. 285-291; Cohen, I.G., Protecting Patients with Passports: Medical Tourism and the Patient-Protective Argument (2010) Iowa Law Review, 95, pp. 1467-1567; Lunt, N., Carrera, P., Medical tourism: assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Herrick, D., (2012), Medical Tourism: Global Competition in Health Care. 2007; NCPA Report No. 304. Available at: [Accessed 10 Jan; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Aff, 25, pp. 358-368; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3, pp. 271-290; (2009), Deloitte Center for Health Solutions. Medical tourism: update and implications - 2009 report. Deloitte; Johnson, T., Garman, A., Impact of medical travel on imports and exports of medical services. (2010) Health Policy, 98, pp. 171-177; Alleman, B., Medical Tourism Services Available to Residents of the United States. (2010) J Gen Intern Med, 26, pp. 492-497; Lunt, N., Hardey, M., Mannion, R., tuck and click: medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11; (2012), ProQuest Newspapers. Available at: [Accessed 10 Jan; Fernandez, E., Williams, L., (1998), If liposuction were a drug, it would have been pulled from the market'. San Francisco Chronicle 13 September; Fernandez, E., (1998), When the desire to be thin is last wish on Earth. San Francisco Chronicle 14 September; Hewitt, S., (2007), Cosmetic surgery death probe. Herald Sun 28 January; Blatchford, C., (2010), Prosecution portrays stunning failures in lipo death. The Globe and Mail 22 July: A9; Cribb, R., (2010), Lipo death spurs look at hazy rules. Toronto Star 24 July: GT1; Omarnicki, J., (2011), Inquiry opens on plastic surgery death. Calgary Herald 19 January; Lett, D., The search for integrity in the cosmetic surgery market (2008) CMAJ, 178, pp. 274-275","Turner, L.; University of Minnesota, Center for Bioethics, N504 Boynton 410 Church St SE, Minneapolis, MN 55455, United States; email: turne462@umn.edu",,,,,,,,14718731,,DWBEA,"22420449","English","Dev. World Bioethics",Article,"Final",,Scopus,2-s2.0-84858673463 "Al-Hinai S.S., Al-Busaidi A.S., Al-Busaidi I.H.","55941788600;57207540580;57212380541;","Medical tourism abroad: A new challenge to Oman's health system - Al Dakhilya region experience",2011,"Sultan Qaboos University Medical Journal","11","4",,"477","484",,21,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-80055023399&partnerID=40&md5=ed9676a42e007c40107931169327391d","Dakhilya Region, Nizwa, Oman","Al-Hinai, S.S., Dakhilya Region, Nizwa, Oman; Al-Busaidi, A.S., Dakhilya Region, Nizwa, Oman; Al-Busaidi, I.H., Dakhilya Region, Nizwa, Oman","Objectives: This study aimed to understand why people seek medical advice abroad given the trouble and expense this entails. The types of medical problems for which treatment abroad was sought, preferred destinations and satisfaction with the treatment were explored. A secondary aim was to give feedback to stakeholders in the health care system on how to handle this issue and meet the needs of the community. Methods: 45 patients who had recently travelled abroad for treatment were asked to complete a questionnaire or were interviewed by telephone. Results: 40 questionnaires were received. 68% of the respondents were male. Orthopaedic diseases were the most common conditions leading patients to seek treatment abroad. Thailand was the most popular destination followed by India (50% and 30% respectively). 85% of respondents went abroad for treatment only, 10% for treatment and tourism and 2.5% were healthy, but travelled abroad for a checkup. Interestingly, 15% of the participants went abroad without first seeking medical care locally. Out of those initially treated in Oman, 38.2% had no specific diagnosis and 38.2% had received treatment, but it was not effective. 73% of respondents obtained information on treatment abroad from a friend. The Internet and medical tourism offices were the least used sources of information. 15% of the patients experienced complications after their treatment abroad. Conclusion: Various facts about medical treatment abroad need to be disseminated to the public. This will necessitate greater effort in public health promotion and education.","Health care system; Medical tourism; Oman",,,,,,,,,"Helble, M., Te movement of patients across borders: Challenges and opportunities for public health (2011) Bull World Health Organ, 89, pp. 68-72; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the efects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Martinez-Alvarez, M., Chanda, R., Smith, R.D., Te potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the UK and India (2011) Global Health, 7, p. 11; Snyder, J., Dharamsi, S., Crooks, V.A., Fly-By medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists (2011) Global Health, 7, p. 6; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Glob Public Health, 3, pp. 271-290; Trade In Health Service and GATS, , http://gis.emro.who.int/HealthSystemObservatory/PDF/Trade%20And%20Health%20Services/jordan.pdf, World Health Organization, Regional Ofce for Eastern Mediterranean, Accessed: Jul 2011; Deloitte Center For Health Solutions, , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_chs_MedicalTourismStudy(3).pdf, Medical Tourism Consumers in Search of Value, Accessed: Jun 2011; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) Te McKinsey Quarterly, , https://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, Accessed: Jul 2011; Suleiman, B.J., Trade In Health Services and GATS In the Sultanate of Oman, , http://www.searo.who.int/LinkFiles/Publications_Sultanate_Oman.pdf, Accessed: Jul 2011; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Med Gen Med, 9, p. 33; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ, 174, p. 1247; Bouvier, P.A., Medical tourism: A new kind of traveler (1196) Rev Med Suisse 2008, 4, pp. 1198-1201; Johnston, R., Crooks, V.A., Adams, K., Snyder, J., Kingsbury, P., An industry perspective on Canadian patients' involvement in medical tourism (2011) Implications For Public Health. BMC Public Health, 11, p. 416; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Can Fam Physician, 53, pp. 1639-1641; Snyder, J., Crooks, V., Turner, L., Issues and challenges in research on the ethics of medical tourism: Refections from a conference (2011) J Bioeth Inq, 8, pp. 3-6; Rotem, A., Toker, A., Mor-Yossef, S., Medical tourism: Changing a world trend into a national resource (2009) Harefuah, 148, pp. 30-33; York, D., Medical tourism: Te trend toward outsourcing medical procedures to foreign countries (2008) J Contin Educ Health Prof, 28, pp. 99-102; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies Int J Qual Health Care, 23, pp. 1-7; Unti, J.A., Medical and surgical tourism: Te new world of health care globalization and what it means for the practicing surgeon (2009) Bull Am Coll Surg, 94, pp. 18-25; Alghamdi, S.A., Nabi, Z.G., Alkhafaji, D.M., Askandrani, S.A., Abdelsalam, M.S., Shukri, M.M., Transplant tourism outcome: A single center experience (2010) J Transplant, 90, pp. 184-188; Inhorn, M.C., Shrivastav, P., Globalization and reproductive tourism in the United Arab Emirates (2010) Asia Pac J Public Health, 22, pp. 68-74; Al-Khaja, K.A., Sequeira, R.P., Damanhori, A.H., Polypharmacy associated with medical tourism: A critique on drug therapy (2011) Int J Clin Pharm, 33, pp. 61-65","Al-Hinai, S. S.; Dakhilya Region, Nizwa, Oman; email: ss.alhinai@gmail.com",,,,,,,,2075051X,,,,"English","Sultan Qaboos Univ. Med. J.",Article,"Final",,Scopus,2-s2.0-80055023399 "Konu H.","35976130400;","Identifying potential wellbeing tourism segments in Finland",2010,"Tourism Review","65","2",,"41","51",,21,"10.1108/16605371011061615","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053479640&doi=10.1108%2f16605371011061615&partnerID=40&md5=c0b7693048650557e48b300b7852e8e0","Centre for Tourism Studies, University of Joensuu, Savonlinna, Finland","Konu, H., Centre for Tourism Studies, University of Joensuu, Savonlinna, Finland","Purpose – The purpose of this paper is to identify potential Finnish wellbeing tourism segments based on factors connected to tourists' lifestyles, and find out if there are statistically significant differences between the segments concerning demographic factors, factors related to travelling behaviour, and interests in diverse activities. Design/methodology/approach – Potential tourists are segmented based on activities, interests and opinions (AIO-segmentation). The data of the tourist profiles for the research were collected during 2007 and 2008 by self-administered electronic questionnaire. In total 1,012 sufficient responses were obtained. Collected data were analyzed by using factor-cluster method in order to group respondents into different segments. Findings – Altogether six segments were identified: Sport and nature people interested in technology; Home appreciating travellers; Family and health oriented sport and nature people; Culture appreciative self-developers; Material wellbeing appreciatives; and Indifferent about travelling and social issues. Statistically significant differences were found between the segments considering geo-demographic factors, travelling habits and also interest in different activities. Originality/value – General research concerning the wellness and wellbeing of tourists has been rather rare. This research provides more comprehensive and general information about potential wellbeing of tourists in the Finnish context. © 2010, Emerald Group Publishing Limited","Finland; Lifestyles; Market segmentation; Quality of life; Tourism",,,,,,,,,"Andriotis, K., Agiomirgianakis, G., Mihiotis, A., Measuring tourist satisfaction: a factor-cluster segmentation approach (2008) Journal of Vacation Marketing, 14 (3), pp. 221-235; Bahn, K.D., Granzin, K.L., Wright, N.D., The health-oriented market: a lifestyle model, empirical test, and implications for market segmentation strategy (2001) Academy of Marketing Studies Journal, 5 (1), pp. 57-85; Beh, A., Brueyere, B.L., Segmentation by visitor motivation in three Kenyan national reserves (2007) Tourism Management, 28 (6), pp. 1464-1471; Dey, B., Sarma, M.K., Information source usage among motive-based segments of travelers to newly emerging tourist destinations (2009) Tourism Management, p. October; Dolnicar, S., Grün, B., Challenging factor cluster segmentation (2008) Journal of Travel Research, 47 (1), pp. 63-71; FSD1229 Elämäntyylitutkimus 1995 (1995), www.fsd.uta.fi/aineistot/luettelo/FSD1229/quF1229.pdf, Finnish Social Science Data Archive available at: (accessed 11 December 2006); Formica, S., Uysal, M., Segmentation of travelers based on environmental attitudes (2002) Journal of Hospitality & Leisure Marketing, 9 (3-4), pp. 35-49; García-Altés, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; González, A., Bello, L., The construct lifestyle in market segmentation: the behaviour of tourist consumers (2002) European Journal of Marketing, 36 (1-2), pp. 51-85; Granzin, K.L., Olsen, J.E., Painter, J.J., Marketing to consumer segments using health-promoting lifestyles (1998) Journal of Retailing Consumer Services, 5 (3), pp. 131-141; Hair, J.F., Jr., Black, W.C., Babin, B.J., Anderson, R.E., (2010) Multivariate Data Analysis. A Global Perspective, , Pearson Upper Saddle River, NJ; Hallab, Z.A.A., (1999) An Exploratory Study of the Relationship between Healthy-living and Travel Behavior, , Virginia Polytechnic Institute and State University Blacksburg, VA; Hallab, Z.A.A., Yoon, Y., Uysal, M., Segmentation based on the healthy-living attitude: a market's trave behaviour (2003) Journal of Hospitality and Leisure Marketing, 10 (3-4), pp. 185-198; Hawes, D.K., Pizam, A., Mansfeld, Y., Travel-related lifestyle profiles of older women (2000) Consumer Behavior in Travel and Tourism, pp. 481-511. , The Haworth Press New York, NY; Hede, A.-M., Jago, L., Deery, M., Thyne, M., Laws, E., Segmentation of special event attendees using personal values: relationship with satisfaction and behavioural intentions (2004) Hospitality, Tourism, and Lifestyle Concepts: Implications for Quality Management and Customer Satisfaction, pp. 33-55. , The Haworth Press New York, NY; ISPA's research pinpoints key spa industry trends (2007), www.experienceispa.com./articles/index.cfm?action=view&articleID=52§ionID=4, International Spa Association available at: (accessed 29 May 2009); Johns, N., Gyimóthy, S., Market segmentation and the prediction of tourist behavior: the case of Bornholm, Denmark (2002) Journal of Travel Research, 40 (3), pp. 316-327; Kangas, H., Tuohino, A., Lake Wellness - Uusi itäsuomalainen innovaatio? (2008) Matkailututkimus, 4 (1), pp. 23-41; Kucukemiroglu, O., Market segmentation by using consumer lifestyle dimensions and ethnocentrism – an empirical study (1999) European Journal of Marketing, 33 (5-6), pp. 470-487; Lawson, R., Todd, S., Consumer preferences for payment methods: a segmentation analysis (2003) International Journal of Bank Marketing, 21 (2), pp. 72-79; Lehto, X.Y., Brown, S., Chen, Y., Morrison, A.M., Yoga tourism as a niche within the wellness tourism market (2006) Tourism Recreation Research, 31 (1), pp. 5-14; Liberatore, M.J., Stylianou, A.C., Towards a framework for developing knowledge-based decision support systems for customer satisfaction assessment: an application in new product development (1995) Expert Systems with Applications, 8 (1), pp. 213-228; Mak, A.H.N., Wong, K.K.F., Chang, R.C.Y., Health or self-indulgence? The motivations and characteristics of spa-goers (2009) International Journal of Tourism Research, 11 (2), pp. 185-199; Matkailun edistämiskeskus (2005), Hyvinvointi- ja wellness-matkailun peruskartoitus, MEK A:144, Suunnittelukeskus Oy, Helsinki; Matzler, K., Pechlaner, H., Hattenberger, G., (2004) Lifestyle-typologies and Marketing Segmentation – The Case of Alpine Skiing Tourism, , EURAC Research, European Academy Bozen; Moscardo, G., Thyne, M., Laws, E., Escaping the jungle: an exploration of the relationships between lifestyle market segments and satisfaction with a nature based tourism experience (2004) Hospitality, Tourism, and Lifestyle Concepts: Implications for Quality Management and Customer Satisfaction, pp. 75-94. , The Haworth Press New York, NY; Müller, H., Lanz Kaufmann, E., Wellness tourism: market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Park, D.-B., Yoon, Y.-S., Segmentation by motivation in rural tourism: a Korean case study (2009) Tourism Management, 30 (1), pp. 99-108; Plummer, J.T., The concept of lifestyle segmentation (1974) Journal of Marketing, 38, pp. 33-37; Rahman, Z., Developing customer oriented service: a case study (2004) Managing Service Quality, 14 (5), pp. 426-435; Ross, K., Hospitality net – industry news – health tourism: an overview by Kim Ross (2001), www.hospitalitynet.org/news/4010521.search?query=%22health+tourism%22, HSMAI Marketing Review, available at: (accessed 27 December 2006); Simpson, K., Bretherton, P., de Vere, G., Thyne, M., Laws, E., Lifestyle market segmentation, small business entrepreneurs, and the New Zealand wine tourism industry (2004) Hospitality, Tourism, and Lifestyle Concepts: Implications for Quality Management and Customer Satisfaction, pp. 157-188. , The Haworth Press New York, NY; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Butterworth Heinemann Oxford; Suontausta, H., Tyni, M., (2005) Wellness-matkailu – hyvinvointi matkailun tuotekehityksessä, , Edita Prima Oy Helsinki; Swarbrooke, J., Horner, S., (1999) Consumer Behaviour in Tourism, , Butterworth Heinemann Oxford; Thyne, M., Thyne, M., Davies, S., Nash, R., Laws, E., A lifestyle segmentation analysis of the backpacker market in scotland: a case study of the Scottish Youth Hostel Association (2004) Hospitality, Tourism, and Lifestyle Concepts: Implications for Quality Management and Customer Satisfaction, pp. 95-119. , The Haworth Press New York, NY; Vyncke, P., Lifestyle Segmentation – from attitudes, interests and opinions to values, aesthetic styles, life visions and media preferences (2002) European Journal of Communication, 17 (4), pp. 445-463; Wells, W.D., Tigert, D.J., Activities, interests, opinions (1971) Journal of Advertising Research, 11 (4), pp. 27-35; Woo, K., Using quality perceptions to segment customers in services (1998) Marketing Intelligence & Planning, 16 (7), pp. 418-424; Zografos, C., Allcroft, D., The environmental values of potential ecotourists: a segmentation study (2007) Journal of Sustainable Tourism, 15 (1), pp. 44-66; Füller, J., Matzler, K., Customer delight and market segmentation: an application of the three-factor theory of customer satisfaction on life style groups (2007) Tourism Management, 29 (1), pp. 116-126","Konu, H.; Centre for Tourism Studies, University of Joensuu, Savonlinna, Finland",,,,,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-80053479640 "Schuchert M.J., Pettiford B.L., Landreneau J.P., Waxman J., Kilic A., Santos R.S., Kent M.S., El-Sherif A., Abbas G., Luketich J.D., Landreneau R.J.","6602465666;14042483100;57208647395;57197167092;22985431200;7201375222;27567789600;8923799100;57194461238;7005255441;35268935400;","Transcervical gastric tube drainage facilitates patient mobility and reduces the risk of pulmonary complications after esophagectomy",2008,"Journal of Gastrointestinal Surgery","12","9",,"1479","1484",,21,"10.1007/s11605-008-0541-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-49749084705&doi=10.1007%2fs11605-008-0541-8&partnerID=40&md5=09e617358fb733d2804e5f75b9ba1a21","Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Division of Thoracic and Foregut Surgery, Heart, Lung and Esophageal Surgery Institute, Presbyterian University Hospital, 200 Lothrop St., Pittsburgh, PA 13213, United States","Schuchert, M.J., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Pettiford, B.L., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Landreneau, J.P., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Waxman, J., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Kilic, A., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Santos, R.S., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Kent, M.S., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; El-Sherif, A., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Abbas, G., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; Luketich, J.D., Division of Thoracic and Foregut Surgery, Heart, Lung and Esophageal Surgery Institute, Presbyterian University Hospital, 200 Lothrop St., Pittsburgh, PA 13213, United States; Landreneau, R.J., Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States","Standard nasogastric decompression following esophagectomy is associated with reduced patient comfort and mobility and impaired hypopharyngeal function-predisposing the patient to sinusitis, pharyngitis, and the risk of aspiration. In this study, we evaluate the results of the transcervical gastric tube drainage in the setting of esophagectomy. Transcervical gastric tube decompression was performed on 145 consecutive patients undergoing open esophagectomy between 2003 and 2007. Postoperative outcome variables include morbidity, mortality, esophagostomy duration, and length of stay. There were 107 males and 38 females (median age∈=∈66; range∈=∈37-87). Perioperative mortality was 2.8%. Major complications included five anastomotic leaks (3.4%), ten pneumonias (6.9%), two myocardial infarctions (1.4%), and the need for reoperation in four patients (bleeding, dehiscence). Median duration of transcervical drainage was 8 days. No tubes were dislodged prematurely. There were no bleeding complications. Four patients developed cellulitis near the cervical gastric tube site and were treated successfully with antibiotics and/or tube removal. Transcervical gastric decompression can be performed safely with minimal complication risk. Inadvertent tube removal was not encountered in this series. The use of this technique may help to promote accelerated patient mobilization, greater patient comfort, and a durable means of gastric decompression. © 2008 The Society for Surgery of the Alimentary Tract.","Anastomotic leak; Cervical esophagostomy; Esophagectomy; Gastric decompression; Ischemia","adult; aged; anastomosis; article; cohort analysis; digestive tract intubation; esophagus resection; esophagus tumor; female; follow up; human; instrumentation; laparotomy; male; methodology; middle aged; mortality; pathology; pneumonia; postoperative complication; retrospective study; risk assessment; stomach; survival; thoracotomy; treatment outcome; wound drainage; Adult; Aged; Aged, 80 and over; Anastomosis, Surgical; Cohort Studies; Drainage; Esophageal Neoplasms; Esophagectomy; Female; Follow-Up Studies; Humans; Intubation, Gastrointestinal; Laparotomy; Male; Middle Aged; Pneumonia; Postoperative Complications; Retrospective Studies; Risk Assessment; Stomach; Survival Analysis; Thoracotomy; Treatment Outcome",,,,,,,,"Shackcloth, M.J., McCarron, E., Kendall, J., Russell, G.N., Pennefather, S.H., Tran, J., Page, R.D., Randomized clinical trial to determine the effect of nasogastric drainage on tracheal acid aspiration following oesophagectomy (2006) Br J Surg, 93, pp. 547-552. , 5; Lum Cheong, R.S., Cromwell III, E.E., Suppurative sinusitis in critically ill patients: A case report and review of the literature (1992) J Natl Med Assoc, 84, pp. 1057-1059. , 12; English, G., Morfit, H., Ratzer, E., Cervical esophagostomy in head and neck cancer (1970) Arch Otolaryngol, 92, p. 335; Royster, H., Noone, R., Graham, W., Theogaraj, D., Cervical pharyngostomy for feeding after maxillofacial surgery (1968) Am J Surg, 116, pp. 610-614; Graham, W., Royster, H., Simplified cervical esophagostomy for long-term enteral feeding (1967) Surg Gynecol Obstet, 125, pp. 127-128; Singh, D., Maley, R.H., Santucci, T., MacHerey, R.S., Bartley, S., Weyant, R.J., Landreneau, R.J., Experience and technique of stapled mechanical cervical esophagogastric anastomosis (2001) Ann Thorac Surg, 71, pp. 419-424; Mathisen, D.J., Grillo, H.C., Wilkins Jr., E.W., Moncure, A.C., Hilgenburg, A.D., Transthoracic esophagectomy: A safe approach to carcinoma of the esophagus (1988) Ann Thorac Surg, 45, pp. 137-143. , 2; McKeown, K.C., The surgical treatment of carcinoma of the oesophagus. a review of the results in 478 cases (1985) J R Coll Surg Edinb, 30, pp. 1-14. , 1; Meehan, S., Wood, R., Cushieri, A., Percutaneous cervical pharyngostomy: A comfortable and convenient alternative to protracted nasogastric intubation (1984) Am J Surg, 148, pp. 325-330; Katsoulis, I., Livingstone, J., Sagor, G., Tube pharyngostomy: A simple method for prolonged intubation of the foregut following oesophagogastric surgery (2006) Dig Surg, 23, pp. 292-295; Lyons, J., Cervical pharyngostomy: A safe alternative for gastrointestinal decompression (1974) Am J Surg, 127, pp. 387-391; Patil, P., Warad, N., Patil, R., Kotrashetti, S., Cervical pharyngostomy: An alternative approach to enteral feeding (2006) Oral Surg Oral Med Oral Pathol Oral Radiol Endo, 102, pp. 736-740; Edge, C., Langdon, J., Complications of pharyngostomy (1991) Br J Oral Maxillofac Surg, 29, pp. 237-240; Hoffmann, S., Koller, M., Plaul, U., Stinner, B., Gerdes, B., Lorenz, W., Rothmund, M., Nasogastric tube versus gastrostomy tube for gastric decompression in abdominal surgery: A prospective, randomized trial comparing patients' tube-related inconvenience (2001) Langenbeck's Arch Surg, 386, pp. 402-409. , 6; Higaki, F., Oishi, M., Higaki, T., Hayata, Y., Old-fashioned but modern tube cervical esophagostomy (2006) Am J Surg, 192, pp. 385-387. , 3; Santos, R.S., Raftopoulos, Y., Singh, D., Dehoyos, A., Fernando, H.C., Keenan, R.J., Luketich, J.D., Landreneau, R.J., Utility of total mechanical stapled cervical esophagogastric anastomosis after esophagectomy: A comparison to conventional anastomotic techniques (2004) Surgery, 136, pp. 917-925. , 4; Collard, J.M., Romagnoli, R., Goncette, L., Otte, J.B., Kestens, P.J., Terminalized semimechanical side-to-side suture technique for cervical esophagogastrostomy (1998) Ann Thorac Surg, 65, pp. 814-817. , 3; Orringer, M.B., Marshall, B., Iannettoni, M.D., Eliminating the cervical esophagogastric anastomotic leak with a side-to-side stapled anastomosis (2000) J Thorac Cardiovasc Surg, 119, pp. 277-288. , 2; Barros, J.L., Cervical gastrostomy in the surgical treatment of oesophageal cancer by reconstruction with the stomach (1981) Thorax, 36, pp. 863-865. , 11; Orringer, M.B., Marshal, B., Chang, A.C., Pickens, A., Lau, C.L., Two thousand transhiatal esophagectomies: Changing trends, lessons learned (2007) Ann Surg, 246, pp. 363-372. , 3; Bailey, S.H., Bull, D.A., Harpole, D.H., Rentz, J.J., Neumayer, L.A., Pappas, T.N., Daley, J., Khuri, S.F., Outcomes after esophagectomy: A ten year prospective cohort (2003) Ann Thorac Surg, 75, pp. 217-222; Rizk, N.P., Bach, P.B., Schrag, D., Bains, M.S., Turnbull, A.D., Karpeh, M., Brennan, M.F., Rusch, V.W., The impact of complications on outcomes after resection for esophageal and gastroesophageal junction carcinoma (2004) J Am Coll Surg, 198, pp. 42-50; Portale, G., Hagan, J.A., Peters, J.H., Chan, L.S., Demeester, S.R., Gandamihardja, T.A., Demeester, T.R., Modern 5-year survival of resectable esophageal adenocarcinoma: Single institution experience with 263 patients (2002) J Am Coll Surg, 202, pp. 588-596. , 4","Schuchert, M. J.; Division of Thoracic and Foregut Surgery, UPMC Health System, Heart, Lung and Esophageal Surgery Institute, 5200 Centre Avenue, Pittsburgh, PA 15232, United States; email: schuchertmj@upmc.edu",,,,,,,,1091255X,,,"18560944","English","J. Gastrointest. Surg.",Article,"Final",,Scopus,2-s2.0-49749084705 "Judkins G.","22134743200;","Persistence of the U. S. - Mexico border: Expansion of medical-tourism amid trade liberalization",2007,"Journal of Latin American Geography","6","2",,"11","32",,21,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-34848813783&partnerID=40&md5=145ba7abc7a22ed942b9b413c0958144","School of Geographical Sciences, Arizona State University, Tempe, AZ, United States","Judkins, G., School of Geographical Sciences, Arizona State University, Tempe, AZ, United States","Recent free-trade rhetoric asserts that political and economic trade liberalization agreements diminish the effect of international borders and result in widespread land-use and land-cover change. Some suggest that this trend portends the minimization of distance and geography as factors influencing change in human-environment relations, This research questions these assertions through an examination of the burgeoning border trade in medical-tourism. Trade based on medical-tourism is defined primarily by a persistence of the border as an economic and social barrier, allowing the juxtaposition of difference in geographic proximity. The rapid growth of medical-tourism along the U.S.-Mexico border indicates that in spite of decades of free-trade agreements including NAFTA, the border remains intact with regard to the medical services industry. The function, reach and urban land-use changes related to this trade are explored through a case study approach of Los Algodones, Mexico.","Borders; Globalization; Medical-tourism; Trade","border region; free trade; globalization; NAFTA; nature-society relations; tourism; trade agreement; trade liberalization; Mexico [North America]; North America; United States",,,,,,,,"Amin, A., Placing Globalization (1997) Theory, Culture & Society, 14 (2), pp. 123-137; (2004) Arizona Republic, , Yuma Winter Visitors Flock to Mexico for Care. Reprinted online in the Tucson Citizen, http://www.tusconcitizen.com, Accessed 14 November 2004; Arreola, D.D., Border-City Idee Fixe (1996) Geographical Review, 86 (3), pp. 356-369; Mexico Probes Fake Drugs in Border Town (2004) Associated Press, , http://www.msnbc.msn.com/id/5683489/print/1/displaymode/1098, Accessed 22 October 2004; Blumeberg, M.A., (1998) Information on Importation of Drugs Prepared by the Division of Imported Operations and Policy, , http://www.fda.gov/ ora/import/pipinfo.htm, FDA, Accessed 20 September; Calhoun, C., (1997) Nationalism, , Buckingham, UK: Open University Press; Carroll, S., Low-priced Drugs Lute Retirees; Caution Advised (2005) Arizona Republic, , 12 May; (2004) Channel 8. 2004. Prescriptions Need Not Cost A Fortune, , http://www.klas-tv.com/global/story.asp?s). 3 February, Online article appearing on Channel 8 Eyewitness News, Las Vegas, Nevada, Accessed 14 November 2004; Vorld, C.L.A., (2006) Factbook. 2006, , http://www.cia.gov/cia/ public-ations/factbook/geos/mx.html, Mexico Accessed 11 April; Cox, L., Border Lines: Globalization, De-territorialization and the Reconfiguration of National Boundaries (2004) Proceedings of Mobile Boundaries/Rigid Worlds Conference, , Macquarie University; Economist, (1997) The World Economy, 2006, pp. 1-48. , 20-26th September; Federal Drug Administration] 2005a. Medication/Drugs, , http://www.cbp.gov/xp/cgov/travel/alerts/medication-drugs.xml, FDA, Accessed 19 September 2005; Federal Drug Administration] (2005) Importation of Prescription Medicines/Drugs, , http://www.fda.goc.ora/import/traveler-alert.htm, FDA, Accessed 20 September 2005; FDA News. 2004. FDA Partners with States to Warn Consumers that Looks Can Be Deceiving. Press release P04-43 (http://www.fda.gov/bbs/topics/news/2004/NEW01053.html). Accessed 20 September 2005; FDA Talk Paper. 2004. FDA Warns Consumers About Counterfeit Drugs Purchased in Mexico (http://fda.gov/bbs/topics/ANSWERS/2004/ ANS01303.html). Accessed 20 September 2005; Flaherty, M. R and G. M. Gaul. 2003. Millions of Americans Look Outside U.S. for Drugs. Desire for Low Prices Often Outweighs Obeying Law. Wlashingion Post (http://opioids.com/offshorepharmacy/ overseas.htrnl). Accessed 22 September 2005; Fukayama, E., (1991) The End of Histog and the Last Man, , New York: Free Press; Giddens, A., (1991) Modernity and Seff-identify, , Oxford: Blackwell; Gritsch, M., The Nation State and Economic Globalization: Soft Geo-politics and Increased State Autonomy? (2005) Review of International Political Economy, 12 (1), pp. 1-25; Hirst, P. and G. Thompson. 199 5. Globalization in Question. Cambridge: Polity Press; Hopkins, J. 2004. US-VISIT: This Year's (2004) Goals. U.S. Visa News (http://www.usvisanews.com/articles/memo2237.shtml). Accessed 14 November 2004; (1977) Topographic Map of Mexicali Ill, 65. , Instituto Nacional de Estadística Geografía e Informática INEGI; XI Censo General de Población y Vivienda, 1990 (1991) Baja California, Resultados Definifivos, Datos por Locabdad, , Instituto Nacional de Estadística Geografía e Informática INEGI, Aguascalientes: INEGI; (1996) Topographic Map of Mexicali Ill, 65. , Instituto Nacional de Estadística Geografia e Informática INEGI; XII Censo General de Pobhción y Vivienda, 2000 (2001) Baja California, Resultados Devfinitivos, Datos por Localidad, , Instituto Nacional de Estadística Geografia e Informática INEGI, Aguascalientes: INEGI; Jacobo, N.L.R., (2004) Interview conducted at Algodones' office of tourism; Kerig, D.P., (2001) El Valle de Mexicali y la Colorado River Land Company, 1902-1946, , Mexicali, Mexico: Universidad Autónoma de Baja California; Krasner, S.D., (1999) Sovereignty: Organized Hypocrisy, , Princeton: Princeton University Press; Mann, M., Nation-States in Europe and Other Continents: Diversifying, Developing, not Dying (1993) Daedalus, 122 (3), pp. 115-140; Mann, M., Has Globalization Ended the Rise and Rise of the Nation-State? (1997) Review of International Political Economy, 4 (3), pp. 472-496; May, B. 2001. Globalization, Democracy and Trade Policy. In K.G. Deutsch and B. Speyer eds., pp. 72-82. The World Trade Organization Millennium Round: Freer Trade in the Next Century. New York: Routledge; O'Brien, R., (1992) Global Financial Integration: The End of Geography, , London: The Royal Institute of International Affairs; Oberle, A., Arreola, D., Mexican Medical Border Towns: A Case Study of Algodones, Baja California (2004) Journal of Borderland Studies, 19 (2), pp. 1-18; Ohmae, K., (1990) The Borderless World: Power and Strategy in the Interlinked Economy, , New York: Harper Business; Ohmae, K., (1995) The End of the Nation State: The Rise of Regional Economies, , New York: The Free Press; Padayachee, L., Intellectual Property-TRIPS and Public Health (2003) Trade Law Centre for Southern Africa, , http://tralac.org/scripts/ content.php?id=1425&print=l, Accessed 19 September; Think Silver (2005) PROCESS Worldwide Online, , http://www.processworldside.com/fahartikel/druck/ pw_fachartikel_druck_1807046.html, Process, Accessed 19 September; Robertson, R., (1992) Globalization: Social Theory and Global Culture, , London: Sage Publications; Shiner, J.S., (2004) Testimony before the Committee on Finance, Subcommittees on Health Care and International Trade, United States Senate, , http://finance.senate.gov/hearings/testimony/2004test/ 042704jstest.pdf, Accessed 20 September; Shinoda, H., (2000) Re-examining Sovereignty: From Classical Theory to the Global Age, , London: Palgrave; Taylor, J.M., (2004) Statement before the Committee on Health, Education, Labor and Pensions, United States Senate, , http://www.fda.gov/ola/2004/ importeddrugsO520.html, Accessed 20 September; USTR. 2004. Mexico. Foreign Trade Barriers (http://www.ustr.gov/ assets/document_library/Reports_Publications/2004/ 2004_National_Trade_Estimate/2004_NTE-Report/ asset-uploadfile31_4781.pdf). Accessed 18 September 2005; Waters, M., (1995) Globalization, , New York: Routledge; Wilson, T.M., Donnan, H., (1998) Border Identities: Nation and State at International Frontiers, , Cambridge: Cambridge University Press; Zahniser, S. 2002. NAFTA's Impacts on U.S. Agriculture: Trade and Beyond, Economic Research Services/USDA, Special Article. October: 32-37; Zysman, J., The Myth of a 'Global' Economy: Enduring National Foundations and Emerging Regional Identities (1996) New Polical Economy, 1 (2), pp. 157-184","Judkins, G.; School of Geographical Sciences, Arizona State University, Tempe, AZ, United States",,,,,,,,15452476,,,,"English","J. Lat. Am. Geogr.",Article,"Final",,Scopus,2-s2.0-34848813783 "Gazitt Y., Shaughnessy P., Liu Q.","57204493403;7006403230;55493276200;","Expression of adhesion molecules on CD34+ cells in peripheral blood of non-Hodgkin's lymphoma patients mobilized with different growth factors",2001,"Stem Cells","19","2",,"134","143",,21,"10.1634/stemcells.19-2-134","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035105610&doi=10.1634%2fstemcells.19-2-134&partnerID=40&md5=95447935adc75c5396a04691425d8d38","University of Texas Health Science Center, Wilford Hall Medical Center, San Antonio, TX, United States; Department of Medicine/Hematology, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, United States","Gazitt, Y., University of Texas Health Science Center, Wilford Hall Medical Center, San Antonio, TX, United States, Department of Medicine/Hematology, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, United States; Shaughnessy, P., University of Texas Health Science Center, Wilford Hall Medical Center, San Antonio, TX, United States; Liu, Q., University of Texas Health Science Center, Wilford Hall Medical Center, San Antonio, TX, United States","Adhesion molecules on CD34+ cells were implicated in the process of peripheral blood stem cell (PBSC) mobilization and homing. We studied the mobilization of CD34+Thy1+ cells, CD34+ very late-acting antigen (VLA)4+ cells, and CD34+L-selectin+ cells in non-Hodgkin's lymphoma patients mobilized with cyclophosphamide plus G-CSF, GM-CSF, or GM-CSF followed by G-CSF. The mean percentage of CD34+ cells in the bone marrow (BM) expressing Thy1 was 23.6% ± 11% and 17.8% ± 8% in the PB before mobilization, and was markedly decreased to 4.5% ± 3.3% in the apheresis collections. Similarly, the mean percentage of CD34+ cells expressing L-selectin was 35.8% ± 4.3% in the BM, 21.6% ± 4.1% in the PB before mobilization and was markedly decreased to 9.1% ± 2.5% in the apheresis collections. Patients in the three arms of the study had a similar pattern of CD34+Thy1+ and CD34+L-selectin+ cell mobilization. Also, a similar pattern of coexpression of CD34+Thy1+ and CD34+L-selectin+ cells was observed when the patients were regrouped as ""good mobilizers"" (≥2 × 106 CD34+CD45dim cells/kg, in four collections) and ""poor mobilizers"" (<0.4 × 106 CD34+CD45dim cells/kg, in two collections). The mean percentage of CD34+ cells expressing VLA-4 in the BM and PB was relatively high (73.4% ± 12% and 65.4% ± 6.6%, respectively) and dropped considerably in the PBSC collections to 43.5% ± 7.1% with a similar pattern observed for patients in arms A, B, and C. However, when the patients were regrouped as ""good mobilizers"" and ""poor mobilizers,"" a higher percentage of CD34+ cells expressing VLA-4 was observed in the PBSC of the pooled ""good mobilizers"" (50.5% ± 9% versus 36.3% ± 6.4%; p = 0.01). We conclude that release of CD34+ cells to the PB involves a general downregulation of Thy1, L-selectin and VLA-4 on CD34+ cells, irrespective of the growth factor used for mobilization. However, good mobilizers had a relatively higher percentage of CD34+ cells expressing the VLA-4 antigen.","CD34+; L-selectin; Mobilization; NHL; VLA-4","beta1 integrin; CD34 antigen; cell adhesion molecule; cyclophosphamide; granulocyte colony stimulating factor; granulocyte macrophage colony stimulating factor; selectin; Thy 1 antigen; adult; antigen expression; apheresis; article; bone marrow; cell count; clinical article; controlled study; down regulation; female; human; human cell; male; nonhodgkin lymphoma; peripheral blood stem cell",,"cyclophosphamide, 50-18-0",,,,,,"Bender, J.G., Williams, S.F., Myers, S., Characterization of chemotherapy mobilized peripheral blood progenitor cells for use in autologous stem cell transplantation (1992) Bone Marrow Transplant, 10, pp. 281-285; Kotasek, D., Shepherd, K.M., Sage, R.E., Factors affecting blood stem cell collection following high dose cyclophosphamide mobilization in lymphoma, myeloma and solid tumors (1992) Bone Marrow Transplant, 9, pp. 11-17; Molineux, G., Pojda, Z., Hampson, I.N., Transplantation potential of peripheral blood stem cells induced by G-CSF (1990) Blood, 76, pp. 2153-2158; Demirer, T., Buckner, C.D., Bensinger, W.I., Optimization of stem cell mobilization (1996) Stem Cells, 14, pp. 106-116; Pettengell, R., Tetsa, N., Swindell, R., Transplantation of hematopoietic cells released into the peripheral blood for non-Hodgkin's lymphoma (1992) Blood, 82, pp. 2239-2248; Vora, A.J., Toh, C.H., Peel, J., Use of granulocyte colony-stimulating factor (G-CSF) for mobilizing peripheral blood stem cells: Risk of mobilizing clonal myeloma cells in patients with bone marrow infiltration (1994) Br J Haematol, 86, pp. 180-182; Chao, N.J., Schriber, J.R., Grimes, K., Granulocyte colony stimulating factor mobilized peripheral blood progenitor cells accelerate granulocyte and platelet recovery after high dose chemotherapy (1993) Blood, 81, pp. 2031-2038; Peters, W.P., Rosner, G., Ross, M., Comparative effect of GM-CSF and G-CSF on priming of peripheral blood progenitor cells for use with autologous bone marrow after high dose chemotherapy (1993) Blood, 81, pp. 1709-1719; Gianni, A.M., Siena, S., Bregni, M., Granulocyte-macrophage colony-stimulating factor to harvest circulating haemopoietic stem cells for autotransplantation (1998) Lancet, 2, pp. 580-585; Gazitt, Y., Freytes, C.O., Callander, N., Successful PBSC mobilization with high dose G-CSF for patients failing a first round of mobilization (1999) J Hematother, 8, pp. 173-183; Gazitt, Y., Tian, E., Barlogie, B., Differential mobilization of myeloma cells and normal hematopoietic stem cells in multiple myeloma after treatment with cyclophosphamide and GM-CSF (1996) Blood, 87, pp. 805-811; Watts, M.J., Sullivan, A.M., Jamieson, E., Progenitor-cell mobilization after low-dose cyclophosphamide and granulocyte colony-stimulating factor: An analysis of progenitor-cell quantity and quality and factors predicting for these parameters in 101 pretreated patients with malignant lymphoma (1997) J Clin Oncol, 15, pp. 535-546; Cesana, C., Carlo-Stella, C., Regazzi, E., CD34+ cells mobilized by cyclophosphamide and granulocyte colony-stimulating factor (G-CSF) are functionally different from CD34+ cells mobilized by G-CSF (1998) Bone Marrow Transplant, 21, pp. 561-568; Lane, T.A., Law, P., Maruyama, M., Harvesting and enrichment of HPC mobilized into the peripheral blood of normal donors by GM-CSF or G-CSF: Potential role in allogeneic transplantation (1995) Blood, 85, pp. 275-282; Stroncek, D.F., Clay, M.E., Smith, J., Composition of peripheral blood progenitor cell components collected from healthy donors (1997) Transfusion, 37, pp. 411-417; Winter, J.N., Lazarus, H.M., Rademaker, A., Phase I/II study of combined G-CSF and GM-CSF administration for the mobilization of hematopoietic progenitor cells (1996) J Clin Oncol, 14, pp. 277-286; Spitzer, G., Adkins, D., Mathews, M., Randomized comparison of G-CSF + GM-CSF vs G-CSF alone for mobilization of peripheral blood stem cells: Effects on hematopoietic recovery after high-dose chemotherapy (1997) Bone Marrow Transplant, 20, pp. 921-930; Hohaus, S., Martin, H., Wassmann, B., Recombinant human granulocyte and granulocyte-macrophage colony-stimulating factor (G-CSF and GM-CSF) administered following cytotoxic chemotherapy have a similar ability to mobilize peripheral blood stem cells (1998) Bone Marrow Transplant, 22, pp. 625-630; Gazitt, Y., Callander, N., Freytes, C.O., Peripheral blood stem cell mobilization with cyclophosphamide in combination with G-CSF, GM-CSF, or sequential GM-CSF followed by G-CSF in non-Hodgkin's lymphoma patients: A randomized prospective study (2000) J Hematother Stem Cell Research, 9, pp. 737-748; Baum, C.M., Wessman, I.L., Tsukamoto, A.S., Isolation of a candidate human hematopoietic stem cell population (1992) Proc Natl Acad Sci USA, 89, pp. 2804-2808; Craig, W., Kay, R., Culter, R.L., Expression of Thy-1 on human hematopoietic progenitor cells (1993) J Exp Med, 177, pp. 1331-1336; Humeau, L., Bardin, F., Maroc, C., Phenotypic molecular and functional characterization of human peripheral blood CD34+/Thy1+ cells (1996) Blood, 87, pp. 949-955; Murry, L., Chen, B., Galy, A., Enrichment of human hematopoietic stem cell activity in the CD34+Thy1+Lin- subpopulation from mobilized peripheral blood (1995) Blood, 85, pp. 368-378; Szilvassy, S.J., Hoffmann, R., Enriched hematopoietic stem cells: Basic biology and clinical utility (1995) Biol Blood Marrow Transplant, 1, pp. 3-7; Krause, D.S., Fackler, M.J., Civin, C.I., CD34: Structure, biology and clinical application (1996) Blood, 87, pp. 1-13; Gilles, J.M., Divon, M.Y., Bentolila, E., Immunophenotypic characterization of human fetal liver hematopoietic stem cells during the midtrimester of gestation (1997) Am J Obstet Gynecol, 177, pp. 619-625; Kilpatrick, D.C., Atkinson, A.P., Palmer, J.B., Developmental variation in stem-cell markers from human fetal liver and umbilical cord blood leukocytes (1998) Transfus Med, 8, pp. 103-109; Huang, S., Law, P., Young, D., Candidate hematopoietic stem cells from fetal tissues, umbilical cord blood vs. adult bone marrow and mobilized peripheral blood (1998) Exp Hematol, 26, pp. 1162-1171; Haas, R., Mohle, R., Pforsich, M., Blood-derived autografts collected during G-CSF-enhanced recovery are enriched with early Thy1+ hematopoietic progenitor cells (1995) Blood, 85, pp. 1936-1943; Gazitt, Y., Reading, C.C., Hoffman, R., Purified CD34+Lin-Thy+ stem cells do not contain clonal myeloma cells (1995) Blood, 86, pp. 381-389; Tricot, G., Gazitt, Y., Leemhuis, T., Collection, engraftment kinetics and tumor contamination of highly purified hematopoietic progenitor cells to support high dose therapy in multiple myeloma (1998) Blood, 91, pp. 4489-4495; Bellucci, R., De Propris, M.S., Buccisano, F., Modulation of VLA-4 and L-selectin expression on normal CD34+ cells during mobilization with G-CSF (1999) Bone Marrow Transplant, 23, pp. 1-8; Watanabe, T., Dave, B., Heimann, D.G., Cell adhesion molecule expression on CD34+ cells in grafts and time to myeloid and platelet recovery after autologous stem cell transplantation (1998) Exp Hematol, 26, pp. 10-18; Watanabe, T., Dave, B., Heimann, D.G., GM-CSF-mobilized peripheral blood CD34+ cells differ from steady-state bone marrow CD34+ cells in adhesion molecule expression (1997) Bone Marrow Transplant, 19, pp. 1175-1181; Mohle, R., Murea, S., Kirsch, M., Differential expression of L-selectin, VLA-4, and LFA-1 on CD34+ progenitor cells from bone marrow and peripheral blood during G-CSF-enhanced recovery (1995) Exp Hematol, 23, pp. 1535-1542; Dercksen, M.W., Gerritsen, W.R., Rodenhuis, S., Expression of adhesion molecules on CD34+ cells: CD34+ L-selectin+ cells predict a rapid platelet recovery after peripheral blood stem cell transplantation (1995) Blood, 85, pp. 3313-3319; Kroger, N., Zeller, W., Hassan, H.T., Differences between the expression of adhesion molecules on CD34+ cells from bone marrow and G-CSF mobilized peripheral blood (1998) Stem Cells, 16, pp. 49-53; Vermulen, M., LePasteur, F., Gagnerault, M.-C., Role of adhesion molecules in the homing and mobilization of murine hematopoietic stem and progenitor cells (1998) Blood, 92, pp. 894-900; Ashihara, E., Sudo, Y., Hirai, H., Mobilization of hematopoietic primitive and committed progenitor cells into blood in mice by anti-vascular adhesion molecule-1 antibody alone or in combination with granulocyte colony stimulating factor (2000) Exp Hematol, 28, pp. 311-317; Bensinger, W.I., Appelbaum, F., Rowley, S., Factors that influence collection and engraftment of autologous peripheral blood stem cells (1995) J Clin Oncol, 13, pp. 2547-2555; Haas, R., Mohle, R., Fruhauf, S., Patient characteristic associated with successful mobilization and autografting of peripheral blood progenitor cells in malignant lymphoma (1994) Blood, 83, pp. 3787-3794; Weaver, C.H., Tauer, K., Zhen, B., Second attempt at mobilization of peripheral blood stem cells in patients with initial low CD34+ cell yields (1998) J Hematother, 7, pp. 241-249; Haas, R., Moos, M., Mohle, R., High-dose therapy with peripheral blood progenitor cell transplantation in non-Hodgkin's lymphoma (1996) Bone Marrow Transplant, 17, pp. 149-155; D'Arena, G., Musto, P., Di Mauro, L., Predictive parameters for mobilized peripheral blood CD34+ progenitor cell collection in patients with hematological malignancies (1998) Am J Hematol, 58, pp. 255-262; Tsuchiya, S., Kikuta, A., Shimizu, Y., Decrease in Thy-1 expression on peripheral CD34 positive cells induced by G-CSF mobilization (1997) Tohoku J Exp Med, 182, pp. 157-162. , The Tohoku Children Leukemia Study Group; Thong, J., Hoffman, R., Siena, S., Characterization and quantitation of primitive hematopoietic progenitor cells present in peripheral blood autografts (1994) Exp Hematol, 22, pp. 1016-1026; Craven, C.M., Ward, K., Transfusion of fetal cord blood cells: An improved method of hematopoietic stem cell transplantation? 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Implications for infection by T-cell tropic human immunodeficiency virus (1999) Blood, 94, pp. 62-73; Aiuti, A., Tavian, M., Cipponi, A., Expression of CXCR4, the receptor for stromal cell-derived factor-1 on fetal and adult human lympho-hematopoietic progenitors (1999) Eur J Immunol, 29, pp. 1823-1831; Lee, B., Ratajczak, J., Doms, R.W., Coreceptor/chemokine receptor expression on human hematopoietic cells: Biological implications for human immunodeficiency virus type 1 infection (1999) Blood, 93, pp. 1145-1156","Gazitt, Y.; Department of Medicine/Hematology, Univ. of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, Texas 78284, United States; email: gazitt@uthscsa.edu",,,"AlphaMed Press",,,,,10665099,,STCEE,"11239168","English","Stem Cells",Article,"Final",,Scopus,2-s2.0-0035105610 "Panfiluk E., Szymańska E.","57197818883;55347442000;","The measurement of the innovativeness of health tourism services using an adequacy matrix title of the article",2017,"Entrepreneurship and Sustainability Issues","4","4",,"400","420",,20,"10.9770/jesi.2017.4.4(1)","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040070039&doi=10.9770%2fjesi.2017.4.4%281%29&partnerID=40&md5=d57d80f0775ed3fbd8833902292a53d8","Bialystok University of Technology, 45A Wiejska Street, Bialystok, 15-351, Poland","Panfiluk, E., Bialystok University of Technology, 45A Wiejska Street, Bialystok, 15-351, Poland; Szymańska, E., Bialystok University of Technology, 45A Wiejska Street, Bialystok, 15-351, Poland","The main aim of the article is to identify the optimum measures of the innovativeness of providers of health tourism services. Two detailed objectives were set out: the identification of the measures of innovative activities and the identification of the measures of the effects of innovative activities implemented by respondents. The measurement covered two areas: the involvement in innovative activities and the effects of these activities. Two research hypotheses were verified: Hypothesis 1 – The optimum measure of the involvement of providers of health tourism services in innovative activities is a separate budget earmarked for the implementation of innovations; Hypothesis 2 - The optimum measure of the effects of innovations introduced is a higher number of commercial tourists using the services of a given enterprise. 438 providers of health tourism services in Poland took part in the research with using methods of a diagnostic survey and a telephone interview. An adequacy matrix was used to analyse the 15 innovation measures selected in an expert (Delphi) survey. 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From global images to border crossings in medical tourism",2016,"Global Networks","16","4",,"531","550",,20,"10.1111/glob.12136","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978395236&doi=10.1111%2fglob.12136&partnerID=40&md5=52309118fd5d3cd56b68d9a965238dc6","School of Geosciences, University of SydneyNSW 2006, Australia","Connell, J., School of Geosciences, University of SydneyNSW 2006, Australia","International medical travel has increased in the last 20 years, becoming more diverse and complex, although definitions and data on its growth and structure are inadequate. Many countries, especially in the Global South, have sought to develop medical tourism for both strategic and defensive reasons. Few have been successful. Standard descriptions and images of medical tourism suggest global markets, elite patient travellers and the dominance of cosmetic surgery, alongside the privatization and corporatization of hospital chains. Most international medical travel is, however, short-distance, diasporic, across adjacent and nearby borders, and of relatively poor patients seeking cheaper, more effective or available care in appropriate cultural contexts, for straightforward procedures. Social networks, rather than the internet, shape choices and decisions on destinations. Porous international borders are crucial to medical travel and have resulted in the emergence of formal trans-border health regions in the North and spontaneous informal regions in the South, alongside some regional hubs and hierarchies. 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Ong, N. Chen, (eds), Durham, Duke University Pres; Yeates, N., (2009) Globalising care economies and migrant workers: explorations in global care chains, , Basingstoke, Palgrav; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: word of mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Youngman, I., Recovery of South Korean medical tourism after MERS (2015) International Medical Tourism Journal, , www.imtj.com/news/recovery-south-korea-medical-tourism-after-mers/, 6 Augus; Yu, J., Ko, T., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Connell, J.; School of Geosciences, University of SydneyAustralia; email: john.connell@sydney.edu.au",,,"Blackwell Publishing Ltd",,,,,14702266,,,,"English","Global Netw.",Article,"Final",,Scopus,2-s2.0-84978395236 "Adams K., Snyder J., Crooks V.A., Johnston R.","37074104200;24170239100;35585107800;36500711800;","Promoting social responsibility amongst health care users: Medical tourists' perspectives on an information sheet regarding ethical concerns in medical tourism",2013,"Philosophy, Ethics, and Humanities in Medicine","8","1", 19,"","",,20,"10.1186/1747-5341-8-19","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890308482&doi=10.1186%2f1747-5341-8-19&partnerID=40&md5=ea3cd95fa42caf10fbb133a0ff6e1060","Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC, Canada; Department of Geography, Simon Fraser University, Robert C. Brown Building, 8888 University Drive, Burnaby, BC, Canada","Adams, K., Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Robert C. Brown Building, 8888 University Drive, Burnaby, BC, Canada; Johnston, R., Department of Geography, Simon Fraser University, Robert C. Brown Building, 8888 University Drive, Burnaby, BC, Canada","Background: Medical tourists, persons that travel across international borders with the intention to access non-emergency medical care, may not be adequately informed of safety and ethical concerns related to the practice of medical tourism. Researchers indicate that the sources of information frequently used by medical tourists during their decision-making process may be biased and/or lack comprehensive information regarding individual safety and treatment outcomes, as well as potential impacts of the medical tourism industry on third parties. This paper explores the feedback from former Canadian medical tourists regarding the use of an information sheet to address this knowledge gap and raise awareness of the safety and ethical concerns related to medical tourism.Results: According to feedback provided in interviews with former Canadian medical tourists, the majority of participants responded positively to the information sheet and indicated that this document prompted them to engage in further consideration of these issues. Participants indicated some frustration after reading the information sheet regarding a lack of know-how in terms of learning more about the concerns discussed in the document and changing their decision-making. This frustration was due to participants' desperation for medical care, a topic which participants frequently discussed regarding ethical concerns related to health care provision.Conclusions: The overall perceptions of former medical tourists indicate that an information sheet may promote further consideration of ethical concerns of medical tourism. However, given that these interviews were performed with former medical tourists, it remains unknown whether such a document might impact upon the decision-making of prospective medical tourists. Furthermore, participants indicated a need for an additional tool such as a website for continued discussion about these concerns. As such, along with dissemination of the information sheet, future research implications should include the development of a website for ongoing discussion that could contribute to a raised awareness of these concerns and potentially increase social responsibility in the medical tourism industry. © 2013 Adams et al.; licensee BioMed Central Ltd.",,"adult; aged; article; Canada; ethics; human; information dissemination; male; medical tourism; methodology; middle aged; patient education; qualitative research; social behavior; young adult; Adult; Aged; Canada; Humans; Information Dissemination; Male; Medical Tourism; Middle Aged; Patient Education as Topic; Qualitative Research; Social Responsibility; Young Adult",,,,,,,,"Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries?: A scoping review (2010) International Journal for Equity in Health, 9, p. 24. , 10.1186/1475-9276-9-24, 2987953, 21047433; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, p. 17. , 10.1186/1472-6939-12-17, 3189886, 21943392; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., Beyond sun, sand & stitches: assigning responsibility for the harms of medical tourism (2012) Bioethics, 27, pp. 233-242; Lunt, N., Carrera, P., Systematic review of web sites for prospective medical tourists (2011) Tourism Rev, 66, pp. 57-67. , 5. 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In Health for Some: the political economy of global health governance. Edited by Maclean SJ, Brown SA, Fourie P, , Palgrave Macmillan: Basinstoke; Clarke, N., Barnett, C., Cloke, P., Malpass, A., Globalising the consumer: doing politics in an ethical register (2007) Polit Geogr, 26, pp. 231-249","Adams, K.; Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC, Canada; email: kaa4@sfu.ca",,,,,,,,17475341,,,"24314027","English","Philos. Ethics Humanit. Med.",Article,"Final",Open Access,Scopus,2-s2.0-84890308482 "Medhekar A., Wong H.Y., Hall J.","56939297300;56939197200;56727127000;","Medical tourism: A conceptual framework for an innovation in global healthcare provision",2013,"Innovations in Services Marketing and Management: Strategies for Emerging Economies",,,,"148","169",,20,"10.4018/978-1-4666-4671-1.ch009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84956752211&doi=10.4018%2f978-1-4666-4671-1.ch009&partnerID=40&md5=5c7a5cc11c1519e51a8c3e4a53b99ea6","CQ University, Australia; Deakin Graduate School of Business, Faculty of Business and Law, Deakin University, Australia","Medhekar, A., CQ University, Australia; Wong, H.Y., Deakin Graduate School of Business, Faculty of Business and Law, Deakin University, Australia; Hall, J., Deakin Graduate School of Business, Faculty of Business and Law, Deakin University, Australia","The purpose of this chapter is to establish a conceptual model that can potentially fill research gaps in the literature about medical tourism as an innovative concept in global healthcare provision by developing emerging economies as they are providing low cost alternatives in medical treatment at internationally accredited medical facilities to treat patients from developed countries. Major databases such as Ebscohost and Emerald have been used to search relevant literature. The literature on medical tourism is reviewed so as to understand the key drivers of medical tourism as well as research gaps in the existing literature. Three major drivers of medical tourism have been identified, namely cost, waiting time, and perceived quality. Further empirical research is needed to test the conceptual model in order to better understand what drives a decision to engage in medical tourism. This chapter makes three major contributions; firstly, the identification of the medical tourism literature from the service marketing and management perspectives; secondly, to propose a conceptual model representing innovation in medical tourism for global healthcare by developing emerging economies; thirdly, the identification of research gaps in the medical tourism literature through which future research can further the knowledge of why people travel to developing countries for medical treatment. © 2014, IGI Global. 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Chichester, UK: Wiley Publishing; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., (2008) Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists, , Paper presented at the Asia Pacific Tourism Association (APTA) Annual Conference. Bangkok, Thailand","Medhekar, A.; CQ UniversityAustralia",,,"IGI Global",,,,,,9781466646728; 1466646713; 9781466646711,,,"English","Innov. in Serv. Mark. and Manag.: Strateg. for Emerg. Econ.",Book Chapter,"Final",,Scopus,2-s2.0-84956752211 "Singh N.","55458853100;","Exploring the factors influencing the travel motivations of US medical tourists",2013,"Current Issues in Tourism","16","5",,"436","454",,20,"10.1080/13683500.2012.695341","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879450320&doi=10.1080%2f13683500.2012.695341&partnerID=40&md5=7877cefb564d19dd551fb64128124575","The Collins College of Hospitality Management, California State Polytechnic University, Pomona, CA, United States","Singh, N., The Collins College of Hospitality Management, California State Polytechnic University, Pomona, CA, United States","Medical tourism (also called medical travel, health tourism, or global health care) is a term initially coined by travel agencies and the mass media to describe the rapidly growing practice of travelling across international borders to obtain health care. In the past decade, the attempt to achieve better health while on holiday through relaxation, exercise, or visits to spas has been taken to a new level with the emergence of developing countries as destinations for medical tourism. It has grown dramatically in recent years primarily because of the high costs of treatment in rich countries, long waiting lists, the relative affordability of international air travel, favourable economic exchange rates, and the availability of well-qualified doctors and medical staff. Keeping in mind the rapid growth of this industry, a study was conducted to shed light on the importance of different factors that influence the travel motivations of US medical tourists to international destinations. © 2013 Taylor & Francis.","Developing destinations; Medical tourism; Travel motivation","air transportation; developing world; health care; international tourism; leisure industry; travel demand; United States",,,,,,,,"Andrews, M., (2007) A State's Plan For Universal Healthcare, , http://health.usnews.com/articles/health/2007/08/24/a-states-plan-foruniversal-healthcare.html, U.S. News & World Report. Retrieved December 19, 2011, from; Beerli, A., Martin, J.D., Factors influencing destination image (2004) Annals of Tourism Research, 31 (3), pp. 657-681; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism In Developing Countries, , New York: Palgrave MacMillan; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cormany, D., Taking a pulse on potential medical tourism destinations: The hospitality and tourism industries (2008) Medical Tourism Magazine, 7, pp. 34-37. , November; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Crompton, J., An assessment of the image of Mexico as a vacation destination and the influence of geographical location upon that image (1979) Journal of Travel Research, 17 (4), pp. 18-23; Edelheit, J., The effects of the world economic recession on medical tourism (2009) Medical Tourism Magazine, 9, pp. 22-24; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical tourism (2008) McKinsey Quart, pp. 1-11. , May; Ellin, A., Health care goes global (2009) Delta Sky Magazine, pp. 112-119. , November; Gahlinger, P.M., (2008) The Medical Tourism Travel Guide: Your Complete Reference to Top-quality, Low-cost Dental, Cosmetic, Medical Care & Surgery Overseas, , North Branch, MN: Sunrise River Press; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Goodrich, J.N., Goodrich, G.E., Health-care tourism - an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; Henderson, J.C., Healthcare in Southeast Asia (2004) Tourism Review International, 7 (1), pp. 111-122; Johnson, L.A., (2008) Americans Look Abroad to Save On Health Care: Medical Tourism Could Jump Tenfold In Next Decade, , August 3, The San Francisco Chronicle; Keckley, P.H., (2008) Medical Tourism: Consumers In Search of Value, , Washington, DC: Deloitte Centre for Health Solutions; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Marsek, P., Sharpe, F., (2009) The Complete Idiot's Guide to Medical Tourism, , Indianapolis, IN: Alpha Books; Murray, K.B., A test of services marketing theory: Consumer information acquisition activities (1991) Journal of Marketing, 55 (1), pp. 10-25; Nahrstedt, W., Wellness: A new perspective for leisure centers, health tourism, and spas in Europe on the global health market (2004) The Tourism and Leisure Industry: Shaping the Future, pp. 181-198. , K. Weiermair & C. Mathies (Eds.), Binghamton, NY: Haworth Hospitality; Shaywitz, D.A., Ausiello, D.A., Global health: A chance for western physicians to give and receive (2002) The American Journal of Medicine, 113, pp. 354-357; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, , Oxford: Butterworth-Heinemann; Smythe, F., Medical geography: Therapeutic places, spaces and networks (2005) Progress In Human Geography, 29, pp. 488-495; (2007) Human Development Report, , http://hdr.undp.org/en/, United Nations, Retrieved December 11, 2009, from; Vogt, C.A., Fesenmaier, D., Expanding the functional information search model (1998) Annals of Tourism Research, 25 (3), pp. 551-578; Weiermair, K., Mathies, C., (2001) The Tourism and Leisure Industry: Shaping the Future, , New York: Haworth Hospitality Press; Woodman, J., (2008) Patients Beyond Borders: Everybody's Guide to Affordable, World-class Medical Travel, , (2nd ed.). Chapel Hill, NC: Healthy Travel Media; Yim, C.K., (2006) Healthcare Destinations In Asia, , http://www.acrc.org.hk/promotional/promotional_shownote.asp?caseref=863, Retrieved December 21, 2011, from","Singh, N.; The Collins College of Hospitality Management, California State Polytechnic University, Pomona, CA, United States; email: nsingh@csupomona.edu",,,,,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Final",,Scopus,2-s2.0-84879450320 "Turner L.","7202689997;","Transnational medical travel: Ethical dimensions of global healthcare",2013,"Cambridge Quarterly of Healthcare Ethics","22","2",,"170","180",,20,"10.1017/S0963180112000540","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84878788299&doi=10.1017%2fS0963180112000540&partnerID=40&md5=cb9da865657e34c98e9cd17993f5c36a","University of Minnesota's Center for Bioethics, School of Public Health, College of Pharmacy, United States","Turner, L., University of Minnesota's Center for Bioethics, School of Public Health, College of Pharmacy, United States",[No abstract available],,"article; communicable disease; doctor patient relation; ethics; health care planning; health care quality; human; informed consent; interpersonal communication; legal liability; malpractice; medical tourism; nomenclature; paternalism; postoperative care; public health; safety; standard; surgery; telemedicine; thrombosis; travel; utilization review; Communicable Diseases; Communication; Health Resources; Humans; Informed Consent; Liability, Legal; Malpractice; Medical Tourism; Paternalism; Physician-Patient Relations; Postoperative Care; Public Health; Quality of Health Care; Safety; Surgical Procedures, Operative; Telemedicine; Terminology as Topic; Thrombosis; Travel",,,,,,,,"Eades, J., Sun, surgery and cyberspace: The role of the Internet in the rise of medical tourism (2010) Biomedical Knowledge Management: Infrastructures and Processes for E-Health Systems, pp. 217-231. , In: Pease W, Cooper M, Gururajan R. 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(2010) Kennedy Institute of Ethics Journal, 20 (1), pp. 27-49; Burton, J., Alikhani, K., Goyal, M., White, C., Patry, D., Bell, R., Complications in MS patients after CCSVI procedures abroad (2011) Canadian Journal of Neurological Sciences, 38 (5), pp. 741-746. , (Calgary, AB); Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; Doty, M., Collins, S., Rustgi, S., Kriss, J., Seeing red: The growing burden of medical bills and debt faced by U.S. Families (2008) Issue Brief: Commonwealth Fund, 42, pp. 1-12; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21 (1), pp. 35-78; Kangas, B., Travelling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Snyder, J., Crooks, V., Adams, K., Kingsbury, P., Johnston, P., The ""patient's physician one-step removed"": The evolving role of medical tourism facilitators (2011) Journal of Medical Ethics, 37 (9), pp. 530-534; Spece, R., Medical tourism: Protecting patients from conflicts of interest in broker's fees paid by foreign providers (2010) Journal of Health & Biomedical Law, VI, pp. 1-36; Lunt, N., Carrera, P., Systematic review of web sites for prospective medical tourists (2011) Tourism Review, 66, pp. 57-67; Penney, K., Snyder, J., Crooks, V., Johnston, V., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12, p. 17; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) Journal of Plastic, Reconstructive & Aesthetic Surgery, 61, pp. 1423-1424; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of ""cosmetic tourism""-an avoidable burden on the NHS (2007) Journal of Plastic, Reconstructive & Aesthetic Surgery, 60, pp. 1075-1077; Newman, M., Camberos, A., Ascherman, J., Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter (2005) Annals of Plastic Surgery, 55, pp. 107-110; Mooney, T., Cosmetic surgery overseas ends in death for R.I. Woman (2006) The Providence Journal, , May 19; John, W., The Irish patient and Dr. Lawsuit (2005) New York Times, , Apr 24; Bhatia, V., Arora, P., Parida, A., Singh, G., Kaul, U., Air travel and pulmonary embolism: Economy class syndrome (2008) Indian Heart Journal, 60, pp. 608-611; Feltracco, P., Barbieri, S., Bertamini, F., Michieletto, E., Ori, C., Economy class syndrome: Still a recurrent complication of long journeys (2007) European Journal of Emergency Medicine, 14, pp. 100-103; Gajic, O., Warner, D., Decker, P., Rana, R., Bourke, D., Sprung, J., Long-haul air travel before major surgery: A prescription for thromboembolism? (2005) Mayo Clinic Proceedings, 80, pp. 728-731; Handschin, A., Banic, A., Constantinescu, M., Pulmonary embolism after plastic surgery tourism (2007) Clinical and Applied Thrombosis/Hemostasis, 13, p. 340; Gajic, O., Sprung, J., Hall, B., Lightner, D., Fatal acute pulmonary embolism in a patient with pelvic lipomatosis after surgery performed after transatlantic airplane travel (2004) Anesthesia & Analgesia, 99, pp. 1032-1034; Cortez, N., Recalibrating the legal risks of cross-border health care (2010) Yale Journal of Health Policy, Law, and Ethics, 10, pp. 1-89; Birch, D., Vu, L., Karmali, S., Stoklossa, C., Sharma, A., Medical tourism in bariatric surgery (2010) American Journal of Surgery, 199, pp. 604-608; Cheung, I., Wilson, A., Arthroplasty tourism (2007) Medical Journal of Australia, 187, pp. 666-667; Walker, H., Brooker, T., Gelman, W., Abdominal wall reconstruction following removal of a chronically infected mid-urethral tape (2009) International Urogynecology Journal, 20, pp. 1273-1275; Harling, R., Turbitt, D., Millar, M., Ushiro-Lumb, I., Lacey, S., Xavier, G., Passage from India: An outbreak of hepatitis B linked to a patient who acquired infection from health care overseas (2007) Public Health, 121, pp. 734-741; Rogers, B., Aminzadeh, Z., Hayashi, Y., Paterson, D., Country-to-country transfer of patients and the risk of multi-resistant bacterial infection (2011) Clinical Infectious Diseases, 53, pp. 49-56; Chan, H., Poon, L., Chan, S., Teo, J., The perils of medical tourism: NDM-1-positive Escherichia coli causing febrile neutropenia in a medical tourist (2011) Singapore Medical Journal, 52, pp. 299-302; Walsh, T., Toleman, M., The new medical challenge: Why NDM-1? Why Indian? (2011) Expert Review of Anti-Infective Therapy, 9, pp. 137-141; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2010) Health Policy Plan, 25, pp. 248-251; Naranong, A., Naranong, V., The effects of medical tourism: Thailand's experience (2011) Bulletin of the World Health Organization, 89, pp. 336-344; Pachanee, C., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand: Four decades of experience (2003) Human Resources for Health, 1, p. 12","Turner, L.; University of Minnesota's Center for Bioethics, School of Public Health, College of PharmacyUnited States",,,,,,,,09631801,,,"23507179","English","Camb. Q. Healthc. Ethics",Article,"Final",,Scopus,2-s2.0-84878788299 "Turner L.","7202689997;","Beyond ""medical tourism"": Canadian companies marketing medical travel",2012,"Globalization and Health","8",, 16,"","",,20,"10.1186/1744-8603-8-16","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84862168455&doi=10.1186%2f1744-8603-8-16&partnerID=40&md5=7f1db40b4df5d7522b7d93f8db9d9167","Center for Bioethics, School of Public Health, College of Pharmacy, University of Minnesota, Minneapolis, MN, United States","Turner, L., Center for Bioethics, School of Public Health, College of Pharmacy, University of Minnesota, Minneapolis, MN, United States","Background: Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, "" Liberation therapy"" for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel.Methods: Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1) where in Canada these businesses are located; 2) the destination countries and health care facilities that they market; 3) the medical procedures they promote; 4) core marketing messages; and 5) whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures.Results: Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism companies. Seven other businesses market regional, cross-border health services available in the United States and intranational travel to clinics in Canada. In contrast to medical tourism companies, they do not market holiday tours in addition to medical care. Two companies occupy a narrow market niche and promote testing for CCSVI and "" Liberation therapy"" for multiple sclerosis. Three additional companies offer bariatric surgery and cosmetic surgery at facilities in Mexico. Four businesses offer health insurance products intended to cover the cost of obtaining privately financed health care in the U.S. These businesses also help their clients arrange treatment beyond Canada's borders. Finally, one medical travel company based in Canada markets health services primarily to U.S. citizens.Conclusions: This article uses content analysis of websites of Canadian companies marketing medical travel to provide insight into Canada's medical travel industry. The article reveals a complex marketplace with different types of companies taking distinct approaches to marketing medical travel. © 2012 Turner; licensee BioMed Central Ltd.","Canada; Globalization; Medical tourism; Transnational healthcare; Websites","environmental economics; globalization; health care; health insurance; health services; market system; marketing; tourism development; article; bariatric surgery; Canada; esthetic surgery; health care cost; health care facility; health care industry; health care policy; Internet; marketing; medical care; medical tourism; Mexico; multiple sclerosis; priority journal; travel; United States; financial management; health care delivery; health care quality; human; information processing; Canada; Canada; Data Collection; Health Services Accessibility; Humans; Internet; Marketing of Health Services; Medical Tourism; Quality of Health Care",,,,,,,,"Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician, 53, pp. 1639-1641. , 2231416, 17934018; Turner, L., Canadian Medicare and the Global Health Care Bazaar (2007) Policy Options, pp. 73-77; Turner, L., "" First World Health Care at Third World Prices"" : Globalization, Bioethics and Medical Tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies (2011) Int J Qual Health Care, 23, pp. 1-7. , 10.1093/intqhc/mzq078, 21148210; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ, 174, p. 1247. , 10.1503/cmaj.060219, 1435972, 16636318; Korcok, M., Excess demand meets excess supply as referral companies link Canadian patients, US hospitals (1997) CMAJ, 157, pp. 767-770. , 1228126, 9307566; Katz, S., Verrilli, D., Barer, M., Canadians' Use of U.S. Medical Services (1998) Health Aff, 17, pp. 225-235; Katz, S., Cardiff, K., Pascali, M., Barer, M., Evans, R., Phantoms In the Snow: Canadians' Use of Health Care Services in the United States (2002) Health Aff, 21, pp. 19-31; Martin, M., MS clinic's practices stir alarm (2011) Winnipeg Free Press, , http://www.winnipegfreepress.com/local/ms-clinics-practices-stir-alarm-113126744.html, Available from:; Romaniuk, R., Manitobans can head to Mayo Clinic (2011) Winnipeg Sun, , http://www.winnipegsun.com/2011/07/13/mayo-clinic, Available from:; Brodbeck, T., Medicare can't fight market (2011) Winnipeg Sun, , http://www.winnipegsun.com/2011/07/13/medicare-cant-fight-market, Available from:; https://www.ic.gc.ca/app/scr/cc/CorporationsCanada/fdrlCrpSrch.html;jsessionid=0000v9O3VPcCrmqiXhaZKPaOE2o:15dmaulj8?locale=en_CA, Available at: , Industry Canada. Corporations Canada; Floyd, M., Izenberg, D., Kelly, B., Medical services directory (2006) Maclean's, , http://www.macleans.ca/science/health/article.jsp?content=20060501_126220_126220, Available from:; Find Medical Travel Services http://www.findinghealthcare.ca/medical_tourism.html, Available at:; Medical Tourism Facilitators (2009) Tourism Review.com, pp. 50-52. , http://www.tourism-review.com/fm956/m6.pdf, Available at:; (2009) India medical tourism destination 2009: healthcare without borders. 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What are its effects? Are home country patients or their governments failing in moral duties by engaging in or permitting medical tourism? By contrast, much less has been written on the regulatory dimension: What might be done about medical tourism if we were convinced that it posed ethical issues and were motivated to act? I shall argue that this kind of regulatory analysis is essential for bioethical analysis of medical tourism. This article focuses on these regulatory questions more directly, evaluating available methods, restrictions, costs, and benefits of home and destination country unilateral regulatory moves. This article also discusses more briefly multilateral treaty and private sector responses. © 2012 Blackwell Publishing Ltd.","Bioethics; Developing world bioethics; Distributive justice; India; International justice; Patient; Rights","article; bioethics; developed country; developing country; economics; ethics; health care cost; health care delivery; health insurance; human; insurance; international cooperation; law; legal aspect; medical tourism; organization and management; standard; United States; Bioethical Issues; Developed Countries; Developing Countries; Ethical Analysis; Health Care Sector; Health Services Accessibility; Humans; Insurance Carriers; Insurance, Health; International Cooperation; Legislation as Topic; Medical Tourism; Private Sector; Public Sector; United States",,,,,,,,"I use the term ""medical tourism"" in part because it is the common term used in public reporting on the subject, but I do not mean to be pejorative or make normative judgments with the usage. ""Cross-Border Care"" could just as easily be used in its place; Cohen, I.G., Protecting Patients with Passports (2010) Medical Tourism and the Patient-Protective Argument, 95, p. 1467. , Iowa Law Review; Einhorn, B., (2012), Hannaford's Medical-Tourism Experiment, Bus. Wk., Nov. 9, 2008. Available at) [Accessed 11 Jan; (2006), (citing Case C-372/04, Watts v. Bedford Primary Care Trust, E.C.R. I-04325); Baker, D., Rho, H.J., (2007), p. 421. , Center For Economic Policy & Research, Free Trade In Health Care: The Gains From Globalized Medicare And Medicaid (2009), available at [Accessed 11 Jan 2012]; N.P. Terry. Under-Regulated Health Care Phenomena in a Flat World: Medical Tourism and Outsourcing. 29 Western New England Law Review; Cohen, I.G., (2010), pp. 11-12. , Medical Tourism: The View from Ten Thousand Feet. 40 Hastings Center Report, Mar.-Apr; Cohen, I.G., , 1. , Medical Tourism, Global Justice, and Access to Health Care. 52 Virginia International Law Review; Carney, S., (2012) Mother Jones, , Mar-Apr. 2010. Available at [Accessed 11 Jan; Gentleman, A., (2008), India Nurtures Business Of Surrogate Motherhood, New York. Times, Mar. 10, at A9; Cohen, I.G., Circumvention Tourism (2012), 97 Cornell Law Review_ (Forthcoming; Cohen, I.G., Note, The Price of Everything, the Value of Nothing: Reframing the Commodification Debate (2003) Harvard Law Review, 117, p. 689; Altman, S., (1991), p. 293. , (Com)modifying Experience. 65 Southern California Law Review; (2009), For a real case of such tourism from Britain to Switzerland that made it to the Law Lords, see R(Purdy) v DPP [2009] EWCA Civ 92, 1 Cr App R 32; (2008), On these questions the major international document on organ sale, the Declaration of Istanbul, is largely silent. International Summit on Transplant Tourism and Organ Trafficking. The Declaration of Istanbul on Organ Trafficking and Transplant Tourism. 3 Clinical Journal of the American Society of Neprhology 1227, 1228; (2009), NOTE; (2009), Tex Ins. Code Ann. §1215.004 (Vernon; Cortez, N., (2010), Recalibrating the Legal Risks of Cross-Border Health Care. 10 Yale Journal of Health Policy Law & Ethics 1; (2008), Cal. Health & Safety Code §§1350, 1352.1 (West; (2003), That said, in the U.S., one very important limitation to an approach based on state insurance law is that state regulatory power over health insurance is incomplete. Due to a peculiar feature of the Employee Retirement Income Security Act (ERISA), which covers employee benefits, relating to its preemptive scope of state insurance law, any employer that self-insures can avoid these mandates and much of state insurance regulation. This is a nontrivial problem, since many firms, especially larger ones, self-insure. G.B. Agrawal & M.A. Hall. What If You Could Sue Your HMO? Managed Care Liability Beyond the ERISA Shield. 47 St. Louis University Law Journal 235, 236; Marquis, M.S., Long, S.H., (2010), Recent Trends in Self-Insured Employer Health Plans: A Look at the Interplay Among Market Forces, Regulation, and Employers' Decisions to Self-Insure. 18 Health Affairs, May-June 1999, at 161, 163 exhibit 1; Kaiser Family Found. & Health Res. and Educ. Trust. Employer Health Benefits: 2007 Annual Survey 148 exhibit 10.3 (2007). The brand new health reform legislation seems to provide an even easier way for the U.S. federal government to regulate insurer-prompted medical tourism, by specifying that certain kinds of insurer-prompted medical tourism plans do not qualify as satisfying the individual or large employer mandates. Patient Protection and Affordable Care Act, Pub. L. No. 111-148, §1302 (to be codified at I.R.C. §5000A); (2012), UNITAIDS, About, (last visited January 11; Indeed, lack of information on follow-up care might be thought of as a third level of information deficits; (2012), U.S. Department of State, Current Travel Warnings, (last visited 12 Jan; Mattoo, A., Rathindran, R., (2006), How Health Insurance Inhibits Trade in Health Care. 25 Health Affairs, Mar.-Apr. at 358; (2010), Apollo Hospitals, Medical Milestones of the Apollo Hospitals Group, (last visited July 18; Cutler, D., The Role of Information in Medical Markets: An Analysis of Publicly Reported Outcomes in Cardiac Surgery (2004) American Economic Revirew, 94, p. 345. , (Papers & Proc.); Schneider, C.E., Hall, M.A., (2009), p. 7. , The Patient Life: Can Consumers Direct Health Care? 35 American Journal of Law, Medicine & Ethics; Madison, K., Regulating Health Care Quality in an Information (2007), pp. 1583-84. , Age. 40 U.C. Davis Law Review 1577; (1999), (citing A.D. 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Res. 217A (III), Art. 25, U.N. Doc. A/810, at 71 (Dec. 12; (1976), International Covenant on Economic, Social & Cultural Rights, G.A. Res. 2200A (XXI), at 59, U.N. GAOR, 21st Sess., Supp. No. 16, U.N. Doc. A/6316 (Dec. 16, 1966), 999 U.N.T.S. 302, entered into force Mar. 23; , pp. 381-382. , WHO Const. art. 1; WHO Constitution Preamble; Gostin; The Declaration of Istanbul on Organ Trafficking and Transplant Tourism; (2012), American Medical Association. New AMA Guidelines on Medical Tourism, available at [Accessed 11 Jan; Eyal, N., Global Health Impact Labels, in Global Justice in Bioethics (Ezekiel Emanuel & Joseph Millum eds., forthcoming); Sunstein, C., Thaler, R., Libertarian Paternalism Is Not an Oxymoron (2003), p. 1159. , 70 University of Chicago Law Review","Cohen, I.G.; Harvard Law School, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Griswold Hall 503, 1525 Massachusetts Avenue, Cambridge, MA 02138, United States; email: igcohen@law.harvard.edu",,,,,,,,14718731,,DWBEA,"22420448","English","Dev. World Bioethics",Article,"Final",,Scopus,2-s2.0-84858679548 "Martin D.S., Ramamonjiarivelo Z., Martin W.S.","55476550600;28367882000;56683850900;","MEDTOUR: A scale for measuring medical tourism intentions",2011,"Tourism Review","66",,,"45","56",,20,"10.1108/16605371111127233","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84993027366&doi=10.1108%2f16605371111127233&partnerID=40&md5=2da7f9ddf35a777baf1ecb876212f2cf","Department of Nutrition, Dietetics and Hospitality Management, Auburn University, Auburn, Alabama, United States; Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, Alabama, United States; Mike Cottrell School of Business, North Georgia College and State University, Dahlonega, United States","Martin, D.S., Department of Nutrition, Dietetics and Hospitality Management, Auburn University, Auburn, Alabama, United States; Ramamonjiarivelo, Z., Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, Alabama, United States; Martin, W.S., Mike Cottrell School of Business, North Georgia College and State University, Dahlonega, United States","The purpose of this paper is to use a theoretical model to create a scale to predict medical tourism (MT) intentions. The theory of planned behavior (TPB) model was applied to MT by creating a 49-item questionnaire and collecting data from a convenience sample of 453 undergraduate students enrolled in a university located in the USA. Factor analysis was used to evaluate the results, and yielded a MEDTOUR scale containing 29 items. A regression of the three variables on an intentions scale of participation in MT had an R-value of 0.587. The model was able to explain around 35 percent of the variance in intentions. Given the general nature of the model and the first attempt at predicting MT, the results are positive. This research is limited due to the use of a convenience sample of undergraduate students. Further research utilizing additional samples is needed to verify the MEDTOUR scale. In addition, future research can focus on demographic or other areas of interest in relation to the intention to participate in MT. The creation of the MEDTOUR scale represents a new application of the TPB to the area of MT. This theory-based scale is offered as a new tool for future research. © 2011, Emerald Group Publishing Limited","Consumer behaviour; Medical treatment; Scale; Tourism; United States of America",,,,,,,,,"Ajzen, I., From intentions to actions: a theory of planned behavior (1985) Action-Control: From Cognition to Behavior, pp. 11-39. , in Kuhl, J. and Beckman, J. (Eds) Springer, Heidelberg; Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Ajzen, I., Constructing a TpB questionnaire: conceptual and methodological considerations (2006), www.people.umass.edu/aizen/pdf/tpb.measurement.pdf, available at:, (accessed 12 March 2009); Ajzen, I., Madden, T.J., Prediction of goal-directed behavior: attitudes, intentions and perceived behavioral control (1986) Journal of Experimental Social Psychology, 22 (5), pp. 453-474; Armitage, C.J., Conner, M., Efficacy of the theory of planned behavior: a meta-analytic review (2001) British Journal of Social Psychology, 40 (4), pp. 471-499; Bandura, A., Self-efficacy: toward a unifying theory of behavioral change (1977) Psychological Review, 84 (2), pp. 191-215; Bandura, A., Health promotion from the perspective of social cognitive theory (1998) Psychology & Health, 13, pp. 623-649; Blanchard, C.M., Courneya, K.S., Rodgers, W.M., Murhaghan, D.M., Determinants of exercise intention and behavior in survivors of breast and prostate cancer: an application of the theory of planned behavior (2002) Cancer Nursing, 25 (2), pp. 88-95; Blanchard, C.M., Fisher, J., Sparling, P.B., Shanks, T.H., Rhodes, R.E., Courneya, K.S., Baker, F., Understanding adherence to 5 servings of fruits and vegetables per day: a theory of planned behavior perspective (2009) Journal of Nutrition Education and Behavior, 41 (1), pp. 3-10; Bledsoe, L., Smoking cessation: an application of theory of planned behavior to understanding progress through stages of change (2006) Addictive Behaviors, 31 (7), pp. 1271-1276; Blue, C., Does the theory of planned behavior identify diabetes-related cognitions for intention to be physically active and eat a healthy diet? 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(1998) Journal of Applied Social Psychology, 28 (15), pp. 1317-1338; Tabak, N., Ozon, M., The influence of nurses' attitudes, subjective norms and perceived behavioral control on maintaining patient's privacy in hospital setting (2004) Nursing Ethics, 11 (4), pp. 366-377; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; York, D., Medical tourism: the trend towards outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in Health Professions, 28 (2), pp. 99-102; Ross, L., Kohler, C.L., Grimley, D.M., Anderson-Lewis, C., Toward a model of prostate cancer information seeking: identifying salient behavioral and normative beliefs among African American men (2007) Health Education & Behavior, 34 (3), pp. 422-440","Martin, W.S.; Mike Cottrell School of Business, North Georgia College and State University, Dahlonega, United States",,,,,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-84993027366 "Lertwannawit A., Gulid N.","53981658800;35733787000;","International tourists' service quality perception and behavioral loyalty toward medical tourism in Bangkok Metropolitan area",2011,"Journal of Applied Business Research","27","6",,"1","11",,20,"10.19030/jabr.v27i6.6460","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80055100999&doi=10.19030%2fjabr.v27i6.6460&partnerID=40&md5=f301172c34f3e476964c4604f991a28d","Suan Dusit Rajabhat University, Building 1, 295 Rachasima Road, Dusit, Bangkok 10300, Thailand; Srinakharinwirot University, 114 Soi Sukhumvit 23, Sukhumvit Road, Bangkok 10110, Thailand","Lertwannawit, A., Suan Dusit Rajabhat University, Building 1, 295 Rachasima Road, Dusit, Bangkok 10300, Thailand; Gulid, N., Srinakharinwirot University, 114 Soi Sukhumvit 23, Sukhumvit Road, Bangkok 10110, Thailand","This research assesses the relationship between service quality, value, satisfaction, and brand trust on the behavioral loyalty of international tourists acting as medical tourists toward private hospital medical services in the Bangkok Metropolitan area. A quantitative study was performed using 400 international tourists who use medical service from private hospitals in Thailand. Structural equation analysis is used to test the hypotheses. The results indicate that there are significant positive relationships between service quality and value (H1), satisfaction (H2), and brand trust (H3). Value (H4), satisfaction (H5), and brand trust (H6) have significant positive relationships with behavioral loyalty. Service quality has an indirect effect on behavioral loyalty by having value, satisfaction, and brand trust function as mediators. Finally, nationality has no moderating effect on the relationship between service quality and value (H7), satisfaction (H8), and brand trust (H9). © 2011 The Clute Institute.","Behavioral Loyalty; Medical Tourism; Satisfaction; Service Quality; Value; Brand Trust",,,,,,,,,"Akbar, M.M., Parvez, N., Impact of service quality, trust, and customer satisfaction on customers' loyalty (2009) ABAC Journal, 29 (1), pp. 24-38; Akbar, S., Revitalization of service quality to gain customer satisfaction and loyalty (2010) International Journal of Business and Management, 5 (6), pp. 113-122; Baker, D.A., Crompton, J.L., Quality, satisfaction and behavioral intentions (2000) Annals of Tourism Research, 27 (3), pp. 785-804; Bodet, G., Customer satisfaction and loyalty in service: Two concepts, four constructs, several relationships (2008) Journal of Retailing and Consumer Services, 15 (3), pp. 156-162; Bolton, R.N., Drew, J.H., A multistage model of customers' assessments of service quality and value (1991) Journal of Consumer Research, 17 (MARCH), pp. 375-384; Brodie, R.J., Whittome, J.R.M., Brush, G.J., Investigating the service brand: A customer value perspective (2009) Journal of Business Research, 62 (3), pp. 345-355; Chan, K.W., Yim, C.K.B., Lam, S.S.K., Is customer participation in value creation a double-edged sword? 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Appl. Bus. Res.",Article,"Final",,Scopus,2-s2.0-80055100999 "Reedy J.E., Swartz M.T., Lohmann D.P., Moroney D.A., Vaca K.J., McBride L.R., Pennington D.G.","7003266353;7201969301;7101634628;7004036154;7004194523;35374831400;7103204682;","The importance of patient mobility with ventricular assist device support",1992,"ASAIO Journal","38","3",,"M151","M153",,20,"10.1097/00002480-199207000-00007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026592820&doi=10.1097%2f00002480-199207000-00007&partnerID=40&md5=d3b3a7e202a59510b720d175bd381350","Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States","Reedy, J.E., Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States; Swartz, M.T., Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States; Lohmann, D.P., Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States; Moroney, D.A., Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States; Vaca, K.J., Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States; McBride, L.R., Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States; Pennington, D.G., Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States","Patients bridged to transplantation with ventricular assist devices (VADs) often require prolonged support. To reduce complications associated with bed rest, the authors developed a program to mobilize patients with VADs. Between August 1986 and May 1992, 25 men and 7 women aged 12-65 years (mean: 42.4 years) were bridged for possible transplantation. The 32 patients were supported with either a Novacor (n = 9) or a Thoratec (n = 23) VAD. Thirty-one patients were turned within 2-12 hr of VAD insertion and received range of motion therapy. Twenty-six patients sat in a chair 2-16 days (mean: 5 days) after VAD insertion. Twenty-one patients used a stationary bicycle, and 23 patients were ambulatory 3-57 days (mean: 11 days) after VAD insertion. Two patients were transplanted within 72 hr of device insertion. Twenty-one of the 23 ambulatory patients were successfully transplanted or weaned from the VAD and discharged from the hospital. Two ambulatory patients who were difficult to rehabilitate (ambulatory 22 and 57 days, respectively, after VAD insertion) died before transplantation. In conclusion, VAD patients should be mobilized early because the VAD can improve exercise capability and survival rate.",,"adolescent; adult; article; assisted circulation; clinical article; controlled study; female; human; male; mobilization; rehabilitation; survival",,,,,,,,,"Reedy, J.E.; Department of Surgery, St. Louis University Medical Center, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, United States",,,,,,,,10582916,,AJOUE,"1457836","English","ASAIO J.",Article,"Final",,Scopus,2-s2.0-0026592820 "Sandberg D.S.","57195671756;","Medical tourism: An emerging global healthcare industry",2017,"International Journal of Healthcare Management","10","4",,"281","288",,19,"10.1080/20479700.2017.1296213","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029489011&doi=10.1080%2f20479700.2017.1296213&partnerID=40&md5=38dc0223712628bd6290a6c42502103d","School of Advanced Studies, University of Phoenix, Tempe, AZ, United States; School of Health Services Administration, College of Health Professions, University of Phoenix, Tempe, AZ, United States; Florida Medical Retreat, Sarasota, FL, United States","Sandberg, D.S., School of Advanced Studies, University of Phoenix, Tempe, AZ, United States, School of Health Services Administration, College of Health Professions, University of Phoenix, Tempe, AZ, United States, Florida Medical Retreat, Sarasota, FL, United States","Medical tourism is a multi-billion dollar industry today and continues to grow. There is a current competition to see what countries will capitalize on this growing global industry. The phenomenon of the industry is the amount of resources countries around the world are putting into attracting the medical tourist by offering high quality, low cost, specialized care with concierge and hospitality benefits. Medical Tourism is an important part of a growing interest of health care providers in other countries around the world willing to attract and accommodate medical travelers. As a result there has been a growing concern for the creation of professional standards designed to protect the quality and safety of patient care and the types of business opportunities that are available in this new industry. © 2017 Informa UK Limited, trading as Taylor & Francis Group.","Medical tourism; Medical tourist; Medical traveler; Medical treatment abroad; MPV medical procedure vacation; Surgical trip; Travel for care","adult; competition; health care industry; health care personnel; human; medical tourism; patient care; professional standard; travel",,,,,,,,"http://www.medicaltourismassociation.com/en/certification-programs.html, Medical tourism university certification programs. Medical Tourism Association. 2015. [cited 2015 Nov 29]. Available from:; Graham, J.R., https://www.washingtonpost.com/opinions/how-medical-tourism-could-save-us-all-money/2015/02/06/e8e2be28-ad55-11e4-abe8-e1ef60ca26de_story.html, How domestic medical tourism could save us all money. Washington Post. 2015 Feb 6. [cited 2015 Nov 29]. Available from:; http://www.researchandmarkets.com/reports/3224113/medical-tourism-facts-and-figures-2015, Medical tourism facts and figures. 2015. Available from:; https://www.cdc.gov/features/medicaltourism/, Medical tourism. 2016 Dec 5. Available from:; Gaines, J., Nguyen, D.B., http://wwwnc.cdc.gov/travel/yellowbook/2016/the-pre-travel-consultation/medical-tourism, Medical tourism. CDC centers for disease control and prevention. 2015 Jul 10. [cited 2015 Nov 30]; http://www.medicaltourismassociation.com/en/medical-tourism-faq-s.html, Medical tourism FAQs. 2017. Available from:; Munro, J., http://www.mtqua.org/author/julie, What is medical tourism? Best practice in medical tourism. Medical Travel Quality Alliance. 2013. [cited 2015 Nov 5]. Available from:; https://www.health-tourism.com/medical-tourism/statistics/, Medical tourism statistics and facts. 2015. [cited 2015 Nov 27]. Available from:; Sheahan, M., Kroner, A., http://www.huffingtonpost.com/2013/03/07/medical-tourism-offers-tr_n_2826639.html, Medical tourism industry hold major growth potential. Reuters. 2013 Mar 7. [cited 2015 Nov 5]. Available from:; https://www.healthbase.com/hb/pages/Top-10-Reasons-Why-Medical-Tourism-is-Popular.jsp, Top 10 reasons why medical tourism is popular. Blog 2017. Available from:; http://www.ctvnews.ca/health/more-than-52-000-canadians-travelled-abroad-for-medical-care-in-2014-study-1.2283121, More than 52,000 Canadians travelled abroad for medical care in 2014: study. 2015 Mar 17. Available from:; http://www.thestreet.com/story/13016484/1/medical-tourism-might-be-just-the-ticket.html, Medical tourism might be just the ticket. 2015 Jan 20. Available from:; http://asia.nikkei.com/Business/Trends/Asia-leads-industry-worth-55B, Asia leads industry worth $55 B. 2015 Feb 26. [cited 2015 Nov 27]. 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Available from:; http://www.imtj.com/facility-details/barbados-fertility-centre-4136/#sthash.7LMPjmC5.dpuf, Barbados fertility centre; clinic in Christ Church, Barbados. Int Med Travel J. 2015. [cited 2015 Nov 28]. Available from:; http://www.imtj.com/news/medical-tourists-go-dubai-cosmetic-, Medical tourists go to Dubai for cosmetic surgery. Int Med Travel J. 2015. [cited 2015 Oct 15]. Available from:; http://www.huffingtonpost.com/2012/11/26/sun-sand-and-root-canal_n_2194170.html, Costa Rica's medical tourism boom. Reuters. 2013 Jan 26. Available from:; http://www.imtj.com/news/hamburg-woos-arab-medical-tourists/#sthash.HsSaT7uS.dpuf, Hamburg calling. Int Med Travel J. 2015. [cited 2015 Oct 15]. Available from:; http://www.imtj.com/news/malaysia-shows-how-deliver-quality-accessibility-and-affordability-healthcare/, Malaysia shows how to deliver quality, accessibility, and affordability in healthcare. Int Med Travel J. 2015. [cited 2015 Oct 15]. Available from:; http://www.imtj.com/news/healthcare-platform-launches-cross-border-information-portal/#sthash.FHvVIPj0.dpuf, Healthcare platform launches cross border information Portal, Chunyu, China. Int Med Travel J. 2015. [cited 2015 Oct 30]. Available from:; http://www.imtj.com/news/french-government-stimulate-inbound-medical-tourism/#sthash.VyRhYDAp.dpuf, French government to stimulate inbound medical tourism. Int Med Travel J. 2015. [cited 2015 Nov 28]. Available from:; http://www.imtj.com/sites/default/files/asset/asset/Medical%20Tourism%20Facts%20and%20Figures%202015_0.pdf, 2015. Available from:; http://www.mtqua.org/medical-tourism-certification/, Medical tourism certification from MTQUA. Medical travel quality alliance. 2015. [cited 2015 Nov 29]. Available from:; http://www.jointcommissioninternational.org/about/, Achieve accreditation. Joint commission international. 2015. [cited 2015 Nov 29]. Available from:; http://www.orlandosentinel.com/health/os-nsf-florida-medical-tourism-bill-20150826-story.html, Florida bill targets medical tourism, direct primary care. 2015 Aug 26. [cited 2015 Nov 30]. Available from:; DiNardo, A., http://www.healthcaredesignmagazine.com/article/medical-tourism-evolving-market-thats-ripe-growth-and-opportunity, Medical tourism: an evolving market that's ripe for growth and opportunity. Healthcare design. 2014 May 4. [cited 2015 Nov 29]. Available from:; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel. The Mckinsey quarterly. McKinsey and Company; 2008 May","Sandberg, D.S.; School of Advanced Studies, University of PhoenixUnited States; email: Sandberg36@gmail.com",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Review,"Final",,Scopus,2-s2.0-85029489011 "Dryglas D., Salamaga M.","56951251900;56820206900;","Applying destination attribute segmentation to health tourists: A case study of Polish spa resorts",2017,"Journal of Travel and Tourism Marketing","34","4",,"503","514",,19,"10.1080/10548408.2016.1193102","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84976536993&doi=10.1080%2f10548408.2016.1193102&partnerID=40&md5=c3d3e7372f56ba001d681f7dbba97e8b","Department of General Geology and Geotourism, AGH University of Science and Technology, al. Mickiewicza 30, Krakow, 30-059, Poland; Department of Statistics, Cracow University of Economics, Rakowicka 27, Krakow, 31-510, Poland","Dryglas, D., Department of General Geology and Geotourism, AGH University of Science and Technology, al. Mickiewicza 30, Krakow, 30-059, Poland; Salamaga, M., Department of Statistics, Cracow University of Economics, Rakowicka 27, Krakow, 31-510, Poland","The present research presents an effective segmentation of visitors to Polish spa resorts and thereby provides useful insights contributing to the understanding of the attributes determining the perceived spa resort’s image and nature of the delineated segments. The research is based on the findings from a self-administered questionnaire, an instrument consisting of 11 pull-motivational items, developed and used in a survey of 2050 Polish spa resort visitors. Based on destination attributes and relevant socio-demographic characteristics, a clustering method identified three distinct segments of visitors to Polish spa resorts. Abbreviations: ANOVA: analysis of variance; NFZ: National Health Fund, ZUS Polish Social Insurance Institution; PCA: principal component analysis; WHO: World Health Organization. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","health tourism; Image; Poland; pull motivation; segmentation; spa resort",,,,,,,,,"Abbey, J., Does life style profiling work? 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Mickiewicza 30, Poland; email: ddryglas@agh.edu.pl",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84976536993 "Seow A.N., Choong Y.O., Moorthy K., Chan L.M.","57200408208;57217139587;35248924100;57209588794;","Intention to visit Malaysia for medical tourism using the antecedents of Theory of Planned Behaviour: A predictive model",2017,"International Journal of Tourism Research","19","3",,"383","393",,19,"10.1002/jtr.2120","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017614914&doi=10.1002%2fjtr.2120&partnerID=40&md5=f14696a5fb96771b76cadc3ac155ceba","Faculty of Business and Finance, Universiti Tunku Abdul Rahman, Jln Universiti, Kampar, Perak, Malaysia","Seow, A.N., Faculty of Business and Finance, Universiti Tunku Abdul Rahman, Jln Universiti, Kampar, Perak, Malaysia; Choong, Y.O., Faculty of Business and Finance, Universiti Tunku Abdul Rahman, Jln Universiti, Kampar, Perak, Malaysia; Moorthy, K., Faculty of Business and Finance, Universiti Tunku Abdul Rahman, Jln Universiti, Kampar, Perak, Malaysia; Chan, L.M., Faculty of Business and Finance, Universiti Tunku Abdul Rahman, Jln Universiti, Kampar, Perak, Malaysia","The aim of this study is to examine the extended model of Theory of Planned Behaviour in predicting tourists' intention in seeking medical tourism in Malaysia. The additional variables in this model are perceived risks, perceived benefits and resource availability whereby it is predicted to have influences to the model of Theory of Planned Behaviour. Sample is drawn using a quota sampling technique. A total of 380 completed questionnaires are collected. The partial least square approach is employed so as to conduct a comprehensive and vigorous structural equation modelling analysis. The results show that perceived benefits and perceived costs are significantly related to attitude; resource availability is significantly related to perceived behavioural control; and attitude and subjective norm are significantly related to intention for medical tourism in Malaysia; however, the perceived behavioural control is found to be insignificant to intention. Attitude and subjective norm are also significantly related to intention for medical tourism in Malaysia. However, the perceived behavioural control is found to be not insignificant related to intention. The findings of this study can serve as the blueprint for future research in the similar area with reasonable modification on the model construction in order to enhance and improve the theoretical extension model of Theory of Planned Behaviour. Copyright © 2017 John Wiley & Sons, Ltd.","perceived benefits; perceived risks; resource availability; theory of planned behaviour","medical tourism; resource availability; risk assessment; Malaysia",,,,,,,,"Abdul Rahman, N., Sivasampu, S., Noh, K.M., Khoo, E.M., Health Profiles of Foreigners Attending Primary Care Clinics in Malaysia (2016) BMC Health Services Research, 16 (1), p. 197; Adler, A., Hyder, R., (2004) Communications System with Radio Device and Server; Ajzen, I., From Intentions to Actions: A Theory of Planned Behavior (1985) Action-Control: From Cognition to Behavior, pp. 11-39. , In, J. Kuhl, #x0026;, J. 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J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85017614914 "Ormond M., Mun W.K., Khoon C.C.","7801551522;56445786100;15070702600;","Medical tourism in Malaysia: How can we better identify and manage its advantages and disadvantages?",2015,"Global Health Action","8","1", 25201,"","",,19,"10.3402/gha.v7.25201","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84931263767&doi=10.3402%2fgha.v7.25201&partnerID=40&md5=d9eee05e6ba39d758936f092446821b5","Cultural Geography Chair Group, Wageningen University, Wageningen, Netherlands; Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia; Centre for Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia","Ormond, M., Cultural Geography Chair Group, Wageningen University, Wageningen, Netherlands; Mun, W.K., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia; Khoon, C.C., Centre for Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia","Following the identification of medical tourism as a growth sector by the Malaysian government in 1998, significant government sector and private-sector investments have been channeled into its development over the past 15 years. This is unfolding within the broader context of social services being devolved to for-profit enterprises and 'market-capable' segments of society becoming sites of intensive entrepreneurial investment by both the private sector and the state. Yet, the opacity and paucity of available medical tourism statistics severely limits the extent to which medical tourism's impacts can be reliably assessed, forcing us to consider the real effects that the resulting speculation itself has produced and to reevaluate how the real and potential impacts of medical tourism are - and should be - conceptualized, calculated, distributed, and compensated for. Contemporary debate over the current and potential benefits and adverse effects of medical tourism for destination societies is hamstrung by the scant empirical data currently publicly available. Steps are proposed for overcoming these challenges in order to allow for improved identification, planning, and development of resources appropriate to the needs, demands, and interests of not only medical tourists and big business but also local populations. © 2014 Meghann Ormond et al.","Destination countries; Entrepreneurial state; Healthcare commodification; Medical tourism industry; Public-private health care investment; Southeast Asia; Statistical data","economics; health care delivery; human; Malaysia; medical tourism; organization and management; social work; statistics and numerical data; Delivery of Health Care; Humans; Malaysia; Medical Tourism; Private Sector; Public Sector; Social Work",,,,,,,,"Musa, G., Doshi, D., Wong, K.M., Thirumoorthi, T., How satisfied are inbound medical tourists in Malaysia?. 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(2006) Glob Soc Policy, 6, pp. 265-270; IHH undertakes first ever concurrent IPO in Malaysia and Singapore (2012), http://ihh.anticsstudios.com/files/press-release/EnglishPressRelease_IHHIPOLaunch_3July.pdf, Available from, cited 2 August 2014; (2012) Petronas annual report 2012, , http://www.petronas.com.my/investor-relations/Pages/annualreport.aspx, Available from, cited 15 June 2014; Zehavi, A., Zer, N., A public road to globalization: public services and customer internationalization in Israel (2013) Admin Soc, 45, pp. 187-212; Lee, C.A., Health care at a crossroads: medical tourism and the dismantling of Costa Rican exceptionalism (2012), PhD dissertation, Health and Behavioral Sciences Department, University of Colorado, USA; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 12","Ormond, M.; Cultural Geography Chair Group, Wageningen University, PO Box 47, Netherlands",,,"Co-Action Publishing",,,,,16549880,,,"25215912","English","Global Health Action",Article,"Final",Open Access,Scopus,2-s2.0-84931263767 "Casey V., Crooks V.A., Snyder J., Turner L.","55486848400;35585107800;24170239100;7202689997;","Knowledge brokers, companions, and navigators: A qualitative examination of informal caregivers' roles in medical tourism",2013,"International Journal for Equity in Health","12","1", 94,"","",,19,"10.1186/1475-9276-12-94","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84888349209&doi=10.1186%2f1475-9276-12-94&partnerID=40&md5=7dcd231ab9ac345773f09e295451e2e6","Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Center for Bioethics, School of Public Health, University of Minnesota, Minneapolis, MN, United States","Casey, V., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Turner, L., Center for Bioethics, School of Public Health, University of Minnesota, Minneapolis, MN, United States","Introduction. Many studies examining the phenomena of medical tourism have identified health equity issues associated with this global health services practice. However, there is a notable lack of attention in this existing research to the informal care provided by the friends and family members who typically accompany medical tourists abroad. To date, researchers have not examined the care roles filled by informal caregivers travelling with medical tourists. In this article, we fill this gap by examining these informal caregivers and the roles they take on towards supporting medical tourists' health and wellbeing. Methods. We conducted 21 interviews with International Patient Coordinators (IPCs) working at medical tourism hospitals across ten countries. IPCs work closely with informal caregivers as providers of non-medical personal assistance, and can therefore offer broad insight on caregiver roles. The interviews were coded and analyzed thematically. Results: Three roles emerged: knowledge broker, companion, and navigator. As knowledge brokers, caregivers facilitate the transfer of information between the medical tourist and formal health care providers as well as other staff members at medical tourism facilities. The companion role involves providing medical tourists with physical and emotional care. Meanwhile, responsibilities associated with handling documents and coordinating often complex journeys are part of the navigation role. Conclusions: This is the first study to examine informal caregiving roles in medical tourism. Many of the roles identified are similar to those of conventional informal caregivers while others are specific to the transnational context. We conclude that these roles make informal caregivers an integral part of the larger phenomenon of medical tourism. We further contend that examining the roles taken on by a heretofore-unconsidered medical tourism stakeholder group sheds valuable insight into how this industry operates and that such knowledge is necessary in order to respond to the health equity debates that surround this particular global health services practice. © 2013 Casey et al.; licensee BioMed Central Ltd.","Family caregivers; Global health services; Healthcare providers; Informal caregiving; Medical tourism; Qualitative analysis","equity; global perspective; health services; hospital sector; qualitative analysis; questionnaire survey; stakeholder; tourism development; article; caregiver; health care personnel; human; informal caregiver; interview; knowledge; medical documentation; medical ethics; medical information; medical tourism; patient care; priority journal; qualitative analysis; wellbeing; Caregivers; Family; Friends; Humans; Interpersonal Relations; Medical Tourism; Patient Navigation; Qualitative Research; Questionnaires; Role; Social Support",,,,,,,,"Martin, R., (2009) Clark Howard Discusses His Cancer Diagnosis with Dr. Randy Martin, , http://www.wsbtv.com/news/news/clark-howard-discusses-his-cancer- diagnosis-with-d/nFBhr, Atlanta: WSB-TV; Smeltzer, S.C., Bare, B.G., Hinkle, J.L., Cheever, K.H., Health care delivery and nursing practice (2010) Brunner and Suddarth's Textbook of Medical-Surgical Nursing: In One Volume, pp. 9-10. , Philadelphia: Lippincott Williams & Wilkins 12; Schein, C., Gagnon, A.J., Chan, L., Morin, I., Grondines, J., The association between specific nurse case management interventions and elder health (2005) Journal of the American Geriatrics Society, 53 (4), pp. 597-602. , DOI 10.1111/j.1532-5415.2005.53206.x; Schoenborn, N.L., Arbaje, A.I., Eubank, K.J., Maynor, K., Carrese, J.A., Clinician roles and responsibilities during care transitions of older adults (2013) J Am Geriatr Soc, 61, pp. 231-236. , 10.1111/jgs.12084 23320747; Van Bruchem-Van De, G.S., Van Der Arend, A.J.G., Huijer Abu-Saad, H., Spreeuwenberg, C., Van Wijmen, F.C.B., Ter Meulen, R.H.J., The role of nurses in euthanasia and physician-assisted suicide in the Netherlands (2008) J Med Ethics, 34, pp. 254-258. , 10.1136/jme.2006.018507 18375675; Connor, S., Adams, J., Caregiving at the end of life (2003) Hastings Cent Rep, 32 (SUPPL. 2), pp. 198-S12; Karimli, L., Ssewamala, F.M., Ismayilova, L., Extended families and perceived caregiver support to AIDS orphans in Rakai district of Uganda (2012) Child Youth Serv Rev, 34, pp. 1351-1358. , 10.1016/j.childyouth.2012.03.015 23188930; Ussher, J.M., Wong, W.K.T., Perz, J., A qualitative analysis of changes in relationship dynamics and roles between people with cancer and their primary informal carer (2011) Health, 15, pp. 650-667. , 21177721; Halvorsen, K., Førde, R., Nortvedt, P., The principle of justice in patient priorities in the intensive care unit: The role of significant others (2009) J Med Ethics, 35, pp. 483-487. , 10.1136/jme.2008.028183 19644006; Lam, R.C., Contradictions between traditional Chinese values and the actual performance: A study of the caregiving roles of the modern sandwich generation in Hong Kong (2006) J Comp Fam Stud, 37, pp. 299-313; Sinding, C., Informal care-two-tiered care? the work of family members and friends in hospitals and cancer centres (2004) Journal Of Sociology And Social Welfare, 31 (3), pp. 69-86; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13; Ehrbeck, T., Guevara, C., Mango, P.D., Cordina, R., Singhal, S., Health care and the consumer (2008) McKinsey Quart, 4, pp. 80-91; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2012) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , http://www.oecd.org/els/health-systems/48723982.pdf, Geneva: OECD Directorate for Employment, Labour and Social Affairs; (2008) Medical Tourism Consumers in Search of Value, , http://www.deloitte.com/assets/Dcom-unitedStates/Local%20Assets/ Documents/us-chs-MedicalTourismStudy, Center For Health Solutions D. 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(2010) J Public Health Pol, 31, pp. 185-198. , 10.1057/jphp.2010.10; Casey, V., Crooks, V.A., Snyder, J., Turner, L., You're dealing with an emotionally charged individual.: An industry perspective on challenges posed by medical tourists' informal caregiver-companions (2013) Global Health, 9, p. 31. , 10.1186/1744-8603-9-31 23889860","Crooks, V.A.; Department of Geography, Simon Fraser University, Burnaby, BC, Canada; email: crooks@sfu.ca",,,,,,,,14759276,,,"24289231","English","Int. J. Equity Health",Article,"Final",Open Access,Scopus,2-s2.0-84888349209 "Dalstrom M.","55195715800;","Medical travel facilitators: Connecting patients and providers in a globalized world",2013,"Anthropology and Medicine","20","1",,"24","35",,19,"10.1080/13648470.2012.747592","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84876484698&doi=10.1080%2f13648470.2012.747592&partnerID=40&md5=1deac61fe95d806e87e4cc6c3189b42f","Anthropology and Sociology, Rockford College, United States","Dalstrom, M., Anthropology and Sociology, Rockford College, United States","International medical travel is a rapidly developing phenomenon that promises patients cheap and affordable medical care abroad. However, the logistics of making travel arrangements, selecting a medical provider, and evaluating quality can be a daunting task for even the most experienced traveler. At the nexus, connecting patients and providers are medical travel facilitators (MTFs), who are individuals and companies that market foreign medical care to patients. While the services that MTFs offer vary, they primarily focus on making foreign medical care more accessible to patients through commodifying the medical experience and providing logistical support. Although they are an important part of international medical travel they are often overlooked, especially along the US/Mexico border. This paper contributes to the discussion on medical travel by focusing on MTFs and the methods they employ through (1) discussing the characteristics and logistical challenges of medical travel; (2) identifying the different types of medical travel facilitators; and (3) addressing how MTFs remake patients into consumers. Findings suggest that while MTFs operate on a variety of different scales, and market their services differently, they all emphasize the consumer experience through advertising quality assurances and logistical support. © 2013 Taylor & Francis Group, LLC.","medical anthropology; medical travel; medical travel facilitators; Mexico","article; dental clinic; doctor patient relation; elective surgery; emporiatrics; health care personnel; health care quality; health insurance; health service; human; medical anthropology; medical care; medical service; medical tourism; medical travel facilitator; Mexico; patient referral; pharmacy; priority journal; professionalism; quality control; travel; Anthropology, Medical; Female; Health Personnel; Humans; Male; Medical Tourism; Mexico; Narration; Referral and Consultation; United States",,,,,"National Science Foundation, NSF: BCS-0848478","This project was funded by the National Science Foundation Doctorial Dissertation Improvement Grant, ‘Motivations for Medical Migration in the United States/Mexico Borderlands’ (BCS-0848478). It was ethically approved by the Institutional Review Board at the University of Wisconsin-Milwaukee. The author has no conflict of interest.",,"Ackerman, S., Plastic paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Medical Anthropology, 29 (4), pp. 403-423; Bergmark, R., Barr, D., Garcia, R., Mexican immigrants in the US living far from the border may return to Mexico for health services (2010) Journal of Immigrant Minority Health, 12, pp. 610-614; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave-Macmillan; Bowker, G., Leigh Star, S., Invisible mediators of action: Classification and the ubiquity of standards (2000) Mind, Culture, and Activity, 7 (1-2), pp. 147-163; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245. , DOI 10.1080/01947640701357763, PII 779409809; Crooks, V., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72, pp. 726-732; Dalstrom, M., (2010) Medical Migrants in the US/Mexico Borderlands, , PhD dissertation, Department of Anthropology, University of Wisconsin-Milwaukee; Ferguson, J., (2006) Global Shadows: Africa in the Neoliberal World Order, , Durham, NC: Duke University Press; Garud, A.D., Medical tourism and its impact on our healthcare (2005) National Medical Journal of India, 18 (6), pp. 318-319; Ghaddar, S., Simpson, P., (2008) Winter Texan Market Survey, , University of Texas-Pan American, Edinburg: The Valley Market and Tourism Research Center; Giddens, A., (1991) Modernity and Self-identity: Self and Society in the Late Modern Age, , Cambridge: Polity Press; Judkins, G., Persistence of the U. 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(2011) Body & Society, 17 (205), pp. 205-213; Turner, L., Medical tourism' and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable healthcare (2010) International Journal of Health Services, 40 (3), pp. 443-467; Van Knoop, C., Livich, D., Silverstein, M., Tutty, M., (2003) Vital Signs: E-health in the United States, , http://www.bcg.co.kr/documents/file14063.pdf, The Boston Consulting Group, Inc (accessed March 1 2011); Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: Understanding medical travel (2010) Medical Anthropology, 29 (4), pp. 336-343; Whittaker, A., Speier, A., Cycling overseas: Care, commodification, and stratification in cross-border reproductive travel (2010) Medical Anthropology, 29 (4), pp. 363-383; Wilson, A., Foreign bodies and national scales: Medical tourism in Thailand (2011) Body & Society, 17 (3), pp. 121-137; Woodman, J., (2008) Patients beyond Borders: Everybody's Guide to Affordable, World-class Medical Travel, , Chapel Hill: Healthy Travel Media","Dalstrom, M.; Anthropology and Sociology, Rockford CollegeUnited States; email: MDalstrom@Rockford.edu",,,,,,,,13648470,,APMDF,"23514601","English","Anthropol. Med.",Article,"Final",,Scopus,2-s2.0-84876484698 "Snyder J., Crooks V.A., Turner L., Johnston R.","24170239100;35585107800;7202689997;36500711800;","Understanding the impacts of medical tourism on health human resources in Barbados: A prospective, qualitative study of stakeholder perceptions",2013,"International Journal for Equity in Health","12","1", 2,"","",,19,"10.1186/1475-9276-12-2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871808489&doi=10.1186%2f1475-9276-12-2&partnerID=40&md5=981c3c990ea9839d90cd9b0df35a9fdc","Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; Department of Geography, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; Center for Bioethics, School of Public Health, University of Minnesota, N504 Boynton, 410 Church St. E, Minneapolis, MN, 55455, United States","Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; Turner, L., Center for Bioethics, School of Public Health, University of Minnesota, N504 Boynton, 410 Church St. E, Minneapolis, MN, 55455, United States; Johnston, R., Department of Geography, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada","Background: Medical tourism is a global health practice where patients travel internationally with the intention of receiving medical services. A range of low, middle, and high income countries are encouraging investment in the medical tourism sector, including countries in the Caribbean targeting patients in North America and Europe. While medical tourism has the potential to provide economic and employment opportunities in destination countries, there are concerns that it could encourage the movement of health workers from the public to private health sector. Methods. We present findings from 19 semi-structured interviews with stakeholders across the public health care, private health care, government, allied business, and civil society sectors. These interviews were conducted in-person in Barbados and via phone. The interview transcripts were coded and a thematic analysis developed. Results: Three themes were identified: 1) Stakeholder perceptions of the patterns and plans for health human resource usage by current and planned medical tourism facilities in Barbados. We found that while health human resource usage in the medical tourism sector has been limited, it is likely to grow in the future; 2) Anticipated positive impacts of medical tourism on health human resources and access to care in the public system. These benefits included improved quality control, training opportunities, and health worker retention; and 3) Anticipated negative impacts of medical tourism on health human resources and access to care in the public system. These impacts included longer wait times for care and a shift in planning priorities driven by the medical tourism sector. Conclusions: Stakeholders interviewed who were connected to medical tourism expansion or the tourism sector took a generally positive view of the likely impacts of medical tourism on health human resources in Barbados. However, stakeholders associated with the public health system and health equity expressed concern that medical tourism may spread inequities in this country. The mechanisms by which observed negative health equity impacts in other countries will be avoided in Barbados are unclear. Continued study in Barbados and comparison with the regulatory frameworks in other countries is needed to help enhance positive and mitigate negative impacts of medical tourism on health human resources in Barbados. These findings will likely have import for other Caribbean nations investing in medical tourism and beyond. © 2013 Snyder et al; licensee BioMed Central Ltd.",,"ecotourism; employment; health geography; health impact; health services; health worker; private sector; public health; public sector; qualitative analysis; regulatory framework; stakeholder; article; Barbados; health care access; health care planning; health care quality; health care utilization; medical tourism; personnel management; priority journal; private practice; prospective study; public health service; qualitative research; resource management; semi structured interview; staff training; telemonitoring; total quality management; Barbados; Delivery of Health Care; Health Resources; Humans; Medical Tourism; Prospective Studies; Qualitative Research; Questionnaires; Barbados; Europe; North America",,,,,,,,"Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454. , http://www.future-drugs.com/doi/full/10.1586/14737167.6.4.447, DOI 10.1586/14737167.6.4.447; Connell, J., (2011) Medical Tourism, , CABI Publishers, Oxfordshire, UK; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266. , DOI 10.1016/j.annals.2004.05.007, PII S0160738304001173; Ramirez De Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198. , http://baywood.metapress.com/media/2dyrcfdc1p4rxm8f5kdr/contributions/4/ 8/5/7/4857468g232547uu.pdf, DOI 10.2190/4857-468G-2325-47UU; Bertinato, L., Busse, R., Fahy, N., Legido-Quigley, H., McKee, M., Palm, W., Passarani, I., Ronfini, F., (2005) Policy Brief Cross-border Health Care in Europe, , http://www.euro.who.int/__data/assets/pdf_file/0006/108960/E87922.pdf, World Health Organization, Brussels; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? 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Smith, R., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373 (9663), pp. 593-601. , 10.1016/S0140-6736(08)61778-X 19167053; Arunanondchai, J., Fink, C., Trade in health services in the ASEAN region (2006) Health Promot Int, 21 (SUPPL. 1), pp. 159-166; Chinai, R., Goswami, R., Medical visas mark growth of Indian MT (2007) Bull World Health Organ, 85 (3), pp. 164-165. , 10.2471/BLT.07.010307 17486202; Connell, J., Tummy tucks and the Taj Mahal? MT and the globalization of health care (2008) Tourism Management: Analysis, Behaviour and Strategy, pp. 232-244. , CABI Publishers, Oxfordshire UK Woodside AG, Martin D; Ormond, M., Shifting subjects of health-care: Placing medical tourism in the context of Malaysian domestic health-care reform (2011) Asia Pac Viewp, 52 (3), pp. 247-259. , 10.1111/j.1467-8373.2011.01457.x 22216474; Wibulpolprasert, S., Pachanee, C., Addressing the internal brain drain of medical doctors in Thailand: The story and lesson learned (2008) Glob Soc Policy, 8 (1), pp. 12-15. , 10.1177/14680181080080010104; Sturges, J.E., Hanrahan, K.J., Comparing telephone and face-to-face qualitative interviewing: A research note (2004) Qual Res, 41 (7), pp. 107-118","Snyder, J.; Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; email: jeremycsnyder@sfu.ca",,,,,,,,14759276,,,"23289812","English","Int. J. Equity Health",Article,"Final",Open Access,Scopus,2-s2.0-84871808489 "Kingsbury P., Crooks V.A., Snyder J., Johnston R., Adams K.","8873935100;35585107800;24170239100;36500711800;37074104200;","Narratives of emotion and anxiety in medical tourism: On state of the heart and larry’s kidney",2012,"Social and Cultural Geography","13","4",,"361","378",,19,"10.1080/14649365.2012.683807","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866862549&doi=10.1080%2f14649365.2012.683807&partnerID=40&md5=da8a195baa902fe036a1cffbf645d3dd","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada; Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada","Kingsbury, P., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada; Snyder, J., Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada; Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada; Adams, K., Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada","This paper explores the emotional geographies of State of the Heart and Larry’s Kidney—two nonfiction narratives about medical tourism wherein American patients and their caregiver companions travel abroad for life-saving surgeries. The paper has two main goals: First, to illustrate the importance of emotional geographies in medical tourists’ lived experiences of travel and tourism, as well as the giving and receiving of transnational health care and second, to generate empirical, theoretical, and methodological discussions between geographical, travel, tourism, and health studies on the relevance of emotional geographies. Medical tourists’ experiences of travel and health care have been usually examined as spatially distinct rather than as entwined phenomena. We address the above goals by discussing how the narratives of traveling thousands of miles to a radically different socio-Cultural milieu in order to receive essential medical care produce two interrelated emotional geographies: first, they demonstrate the existence of ‘emotional amplification’ (increase in the intensity of emotions) and ‘emotional extensivity’ (increase in the range of emotions) and second, they show how anxiety is underpinned by proximity to Otherness, uncertain boundaries, and isolated decision making. We conclude by briefly addressing how our examination of these narratives can be usefully expanded. © 2012 Taylor & Francis Group.","Anxiety; China; Emotional geography; India; Medical tourism","decision making; empirical analysis; health care; health services; medical geography; tourism; China; India",,,,,"Canadian Institutes of Health Research, CIHR","A Catalyst Grant from the Canadian Institutes of Health Research funded the above research. We are grateful to the three anonymous referees, whose comments and critiques greatly improved the final version of the paper. We are also grateful to Phil Hubbard for his editorial guidance and Gavin Andrews for his comments on an early draft.",,"Ahmed, S., (2004) The Cultural Politics of Emotion, , New York: Routledge; Andrews, G., Evans, J., Understanding the reproduction of health care: Towards geographies in health care work (2008) Progress in Human Geography, 32, pp. 759-780; Anderson, B., Harrison, P., (2010) Taking-Place: Non-Representational Theories and Geography, , Burlington, VT: Ashgate; Bondi, L., Davidson, J., Smith, M., Introduction: Geography’s ‘emotional turn’ (2005) Emotional Geographies, pp. 1-16. , Davidson, J., Bondi, L. and Smith, M, Burlington, VT: Ashgate; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Brown, D., Around the world to a better back; Canadian doctors told Eric Slone he’d have to get used to pain; he found help in India (2008) The Ottawa Citizen, 14, p. 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New York: Taylor and Francis; Reeve, J., Lloyd-Williams, M., Payne, S., Dowrick, C., Revisiting biographical disruption: Exploring individual embodied illness experience in people with terminal cancer (2010) Health, 14, pp. 178-195; Reisinger, M., Mavondo, F., Travel anxiety and intentions to travel internationally: Implications of travel risk perception (2005) Journal of Travel Research, 43, pp. 212-225; Rose, D.A., (2009) Larry’s Kidney, , New York: Harper Collins; Smith, A., Juraskova, I., Butow, P., Miguel, C., Lopez, A., Chang, S., Brown, R., Bernhard, J., Sharing vs. Caring—the relative impact of sharing decisions versus managing emotions on patient outcomes (2011) Patient Education and Counseling, 82, pp. 233-239; Smyth, F., Medical geography: Therapeutic places, spaces and networks (2005) Progress in Human Geography, 29, pp. 488-495; Soloman, H., Affective journeys: The emotional structuring of medical tourism in India (2011) Anthropology & Medicine, 18, pp. 105-118; Snyder, J., Crooks, V., Johnston, R., Kingsbury, P., Sun, sand, and stitches: Assigning responsibility for the harms of medical tourism (2012) Bioethics, , doi: 10.1111/j.1467-8519.2011.01942.x; Thien, D., Intimate distances: Considering questions of ‘us’ (2005) Emotional Geographies, pp. 191-204. , Davidson, J., Smith, M. and Bondi, L, Aldershot: Ashgate; Thrift, N., Non-Representational Theory: Space, Politics (2007) Affect, , New York: Routledge; Tuan, Y.-F., (1977) Space and Place: The Perspective of Experience, , Minneapolis, MN: University of Minnesota Press; Wilton, R., The constitution of difference: Space and psyche in landscapes of exclusion (1998) Geoforum, 29, pp. 73-85",,,,,,,,,14649365,,,,"English","Soc. Cult. Geogr.",Article,"Final",,Scopus,2-s2.0-84866862549 "Kangas B.","6507921262;","Complicating common ideas about medical tourism: Gender, class, and globality in yemenis' international medical travel",2011,"Signs","36","2",,"327","332",,19,"10.1086/655912","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650274963&doi=10.1086%2f655912&partnerID=40&md5=a3c11337ea2d8aeeee2ebc12c12e62b3","Department of Sociology and Anthropology, Oakland University, United States","Kangas, B., Department of Sociology and Anthropology, Oakland University, United States",[No abstract available],,"article; cultural anthropology; economics; education; ethnology; gender identity; health care cost; history; legal aspect; medical tourism; plastic surgery; psychological aspect; social class; socioeconomics; Yemen; Arab World; Culture; Gender Identity; Health Care Costs; History, 20th Century; History, 21st Century; Medical Tourism; Social Class; Socioeconomic Factors; Surgery, Plastic; Yemen",,,,,,,,"Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21 (1), pp. 35-78; Lack of treatment capacity, lack of trust: Yemenis' medical treatment abroad (2007) Yemen Into the Twenty-first Century: Continuity and Change, pp. 293-326. , ed. Kamil A. Mahdi, Anna Würth, and Helen Lackner, Reading: Ithaca; Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Meneley, A., (1996) Tournaments of Value: Sociability and Hierarchy in a Yemeni Town, , Toronto: University of Toronto Press; Scheper-Hughes, N., The global traffic in human organs (2000) Current Anthropology, 41 (2), pp. 191-211; Keeping an eye on the global traffic in human organs (2003) Lancet, 361 (9369), pp. 1645-1648","Kangas, B.; Department of Sociology and Anthropology, Oakland UniversityUnited States",,,,,,,,00979740,,,"21114078","English","Signs",Article,"Final",,Scopus,2-s2.0-78650274963 "Yu J., Lee T.J., Noh H.","36998989200;35196248300;55151263700;","Characteristics of a Medical Tourism Industry: The Case of South Korea",2011,"Journal of Travel and Tourism Marketing","28","8",,"856","872",,19,"10.1080/10548408.2011.623052","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859068673&doi=10.1080%2f10548408.2011.623052&partnerID=40&md5=6783005507973501584214f820278880","Korea Culture and Tourism Institute, Seoul, South Korea; School of Tourism, University of Queensland, Brisbane, QLD 4072, Australia","Yu, J., Korea Culture and Tourism Institute, Seoul, South Korea; Lee, T.J., School of Tourism, University of Queensland, Brisbane, QLD 4072, Australia; Noh, H., Korea Culture and Tourism Institute, Seoul, South Korea","This study investigates the process involved in developing a medical tourism industry in South Korea as a case country, one of the fastest growing countries with strong potential in the medical tourism industry. It analyzed 252 articles on medical tourism posted on the websites of the Korean Tourism Organization and the Korean International Medical Association. Both sources are highly representative portal websites for medical tourism in the country. The article aims to enhance understanding of medical tourism as a new growth industry while identifying its key developmental characteristics and makes valuable suggestions for the industry that can be reflected to other countries. The study contributes theoretically and practically by examining the unique and updated characteristics and process of positioning of this recently emerging field in the global tourism industry. © 2011 Copyright Taylor and Francis Group, LLC.","characteristics; Medical tourism; South Korea; website media reports",,,,,,,,,"(2008) Setting the standards for medical tourism [Editorial], , http://www.ama-assn.org/amednews/2008/08/04/edsa0804.htm, American Medical Association, August 4; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consortium Journal of Hospitality and Tourism, 11 (1), pp. 75-81; Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14 (1), pp. e135; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave MacMillan; Burkett, L., Medical tourism: Concerns, benefits, and the American perspective (2007) Journal of Legal Medicine, 28, pp. 223-245; Caballero-Danell, S., Mugomba, C., (2007) Medical tourism and its entrepreneurial opportunities: A conceptual framework for entry into the industry, , http://hdl.handle.net/2077/4671, Master's thesis, Gothenburg University, Gothenburg, Sweden; Cha, B.G., (1995) Research methods for the students of social science, , Seoul, Korea: Seyoung; Cohen, J., (1977) Statistical power analysis for the behavioral sciences, , New York, NY: Routledge Academic; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; English, V., Mussell, R., Sheather, J., Sommerville, A., More on medical tourism (2005) Journal of Medical Ethics, 31 (12), p. 743; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; (2009) The rise of medical tourism, , http://grailresearch.com/pdf/ContenPodsPdf/Rise_of_Medical_Tourism_Summary.pdf, Grail Research; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32, pp. 995-1005; Hong, H.A., Lim, K.W., Kim, S.S., Potential growth of Korean medical tourism industry (2007) Tourism Research, 21 (2), pp. 53-70; Hume, L.F., de Micco, F.J., Bringing hotels to healthcare: A Rx for success (2007) Journal of Quality Assurance in Hospitality and Tourism, 8 (1), pp. 75-84; Hunter, W.C., Medical tourism: A new global niche (2007) International Journal of Tourism Sciences, 7 (1), pp. 129-140; Hwang, Y.I., (2006) Marketing strategies for expansion of Korean medical tourism market (Unpublished master's thesis), , Seoul, Korea: Kyunghee University; Jagayasi, P., Defining medical tourism: Another approach (2008) Medical Tourism, 6, pp. 9-11; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal Fertility Women's Medicine, 51, pp. 251-255; Kerlinger, F., (1986) Foundations of behavioral research, , New York, NY: Holt, Rinehart and Winston; (2008) Annual report of the medical tourism in Korea, , Korea Medical Tourism Association, Seoul, Korea: Author; Lee, W.K., Jeong, B.W., Case studies for activation of medical tourism (2007) Tourism Research, 21 (2), pp. 389-406; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; (2008) Medical tourism and overseas surgical treatment facts and figures, , http://www.medsolution.com/media_facts.asp, Med Solution; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Ramirez de Arellano, A., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92 (6), pp. 1433-1446; (2008) Asian medical tourism analysis (2008-2012), , RNCOS, Noida, India: RNCOS E-Services Pvt. Ltd; Smith, M., Puczko, L., (2009) Health and wellness tourism, , Oxford, United Kingdom: Elsevier; Snoj, B., Mumel, D., The measurement of perceived differences in service quality-The case of health spas in Slovenia (2002) Journal of Vacation Marketing, 8 (4), pp. 362-379; (2009) Major index of Korea, , Statistics Korea, Seoul, Korea: Author; Tan, K.B.H., Aesthetic medicine: A health regulator's perspective (2007) Clinical Governance: An International Journal, 12 (1), pp. 13-25; (2007) Munhwa, , http://www.munhwa.com/news/view.html?no=2007021201031224053002, The rise of medical tourism, March 5; (2008) Global medical tourism: Trends, industry, participants, product overviews and market drivers, , Vol. TMRGMT08-1201, Trimark Publications, New York, NY: Author; (2007) Nikkei, , What is medical tourism, October 18; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists Paper presented at the Asia Pacific Tourism Association annual conference. Bangkok, Thailand; Yu, J., Kang, J.J., (2008) Research on the primary attribute of medical tourism for the convergence between medical service and tourism industry, pp. 335-355. , Busan, Korea: Symposium of the tourism research Tourism Sciences Society of Korea, 64th Busan International Academic Symposium","Lee, T. J.; School of Tourism, University of Queensland, Brisbane, QLD 4072, Australia; email: timothy.lee@uq.edu.au",,,,,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84859068673 "Hjalager A.-M., Konu H.","6603622428;35976130400;","Co-branding and co-creation in wellness tourism: The role of cosmeceuticals",2011,"Journal of Hospitality Marketing and Management","20","8",,"879","901",,19,"10.1080/19368623.2011.611727","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053501784&doi=10.1080%2f19368623.2011.611727&partnerID=40&md5=e81e70c41ee36e1db23342500c5fb59f","Danish Centre for Rural Research, University of Southern Denmark, Esbjerg, Denmark; Centre for Tourism Studies, University of Eastern Finland, Puistokatu 5, FI-57101, Savonlinna, Finland","Hjalager, A.-M., Danish Centre for Rural Research, University of Southern Denmark, Esbjerg, Denmark; Konu, H., Centre for Tourism Studies, University of Eastern Finland, Puistokatu 5, FI-57101, Savonlinna, Finland","With examples from the Nordic countries, it is demonstrated that alliances in the value chain can lead to innovation and development in cosmeceutical (cosmetics and pharmaceuticals) enterprises, and that the collaboration can also assist the wellness industry in its attempts to achieve inimitability and competitiveness. On the basis of the innovation literature, the article discusses models for co-creation and co-branding in the value chain. Factors that facilitate or impede collaborative processes are discussed. The Nordic evidence suggests that the opportunities are not fully exploited for developments that enhance targeted place branding. © Taylor & Francis Group, LLC.","Co-branding; Co-creation; Cosmeceuticals; Innovation; Nordic countries; Spa and wellness tourism",,,,,,,,,"Aaker, D.A., (1996) Building Strong Brands, , New York, NY: Free Press; Aho, S., (2007) Spa Rehabilitation of War Veterans: A Finnish Speciality of War Compensation, , ATLAS Spa and Wellness Special Interest Group Meeting, Budapest; Barras, R., Towards a theory on innovation in services (1986) Research Policy, 15, pp. 161-173; Behrens, A., (2007) The Internationalisation Process of Wellness Tourism, , Norderstedt, Germany: GRIN Verlag; Binkhorst, E., Dekker, T.D., Agenda for co-creation tourism experience research (2009) Journal of Hospitality Marketing & Management, 18, pp. 311-327; Bushell, R., Sheldon, P., (2009) Wellness and Tourism. 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Jyväskylä University of Applied Sciences, Jyväskylä, Finland; Scott, N., Laws, E., Boksberger, P., The marketing of hospitality and leisure experiences (2009) Journal of Hospitality Marketing and Management, 18 (2), pp. 99-110; Smedstad, N.E., (1995) Waterproof, Breathable Fabrics For Military Clothing Systems: An Innovative Approach to Acquisition, , http://www.dtic.mil/cgibin/GetTRDoc?AD=ada420748&Location=U2&doc=GetTRDoc.pdf, Retrieved from; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Amsterdam, The Netherlands: Elsevier; Suontausta, H., Tyni, M., (2005) Wellness-matkailu-hyvinvointi Matkailun Tuotekehityksessä[Wellness Tourism: Wellbeing and Wellness In Tourism In Product Development], , Helsinki, Finland: Edita; Tether, B.S., Do services innovate (differently)? 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Manage.",Article,"Final",,Scopus,2-s2.0-80053501784 "Reisman D.","24485458600;","Health tourism: Social welfare through international trade",2010,"Health Tourism: Social Welfare through International Trade",,,,"1","198",,19,"10.4337/9781849805537","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85039545518&doi=10.4337%2f9781849805537&partnerID=40&md5=3ae61597c8d5e3f07f219e5b9a8c1906","Nanyang Technological University, Singapore; University of Surrey, United Kingdom","Reisman, D., Nanyang Technological University, Singapore, University of Surrey, United Kingdom","In this unique and pathbreaking book, David Reisman examines the relatively new phenomenon of health travel. He presents a multidisciplinary account of the way in which lower costs, shorter waiting times, different services, and the chance to combine recreational tourism with a check-up or an operation all come together to make medical travel a new industry with the potential to create jobs and wealth, while at the same time giving sick people high-quality care at an affordable price. © David Reisman 2010. 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Zarrilli and C. Kinnon (eds), UNCTAD- WHO Joint Publication, Geneva: United Nations; Tooth tourism fi lls the gaps in ""fl awed"" NHS dental care (2008), pp. 17-23. , September, 37; Wolff, J., Passport to cheaper health care? (2007) Good Housekeeping, , www.goodhousekeeping.com, October, accessed 21 August 2009; Woodman, J., (2007) Patients Beyond Borders (Singapore Edition): Everybody's Guide to Aff ordable, World- Class Medical Tourism, , Chapel Hill, NC: Healthy Travel Media; (1962) Constitution of the World Health Organization, in WHO, Basic Documents, pp. 1-18. , Geneva: WHO [1946]); (2009) World Health Statistics 2009, , Geneva: WHO; (1995) General Agreement on Trade in Services, in WTO: Legal Texts, pp. 283-317. , Geneva: WTO; (2001) Declaration on the TRIPS Agreement and Public Health, , http://www.wto.org, accessed 9 April 2009; Yeoman, I., (2008) Tomorrow's Tourist: Scenarios and Trends, , Amsterdam: Elsevier; Yeoman, I., How many American medical tourists are there? (2009) International Medical Travel Journal, , www.imtjonline.com/news, accessed on 16 June 2009; Yoopetch, C., Medical tourism: the case of private hospitals in Thailand (2006) Strategic Innovation in the E- global Age, pp. 307-309. , S.M. Lee, J. Lee and D. Chang (eds), Lincoln: Pan Pacifi c Business Association; York, D., Medical tourism: the trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28, pp. 99-102","Reisman, D.; Nanyang Technological UniversitySingapore",,,"Edward Elgar Publishing Ltd.",,,,,,9781849805537; 9781848448926,,,"English","Health Tour.: Soc. Welf. through Int. Trade",Book,"Final",,Scopus,2-s2.0-85039545518 "Anne Jenner E.","25222320500;","Unsettled borders of care: medical tourism as a new dimension in america's health care crisis",2008,"Research in the Sociology of Health Care","26",,,"235","249",,19,"10.1016/S0275-4959(08)26011-4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-53349108453&doi=10.1016%2fS0275-4959%2808%2926011-4&partnerID=40&md5=ff9c155fcf629b378a8bab50208c4373",,"Anne Jenner, E.","Health care has become one of the paramount issues of the 21st century as governments and individuals grapple the complex problems associated with contemporary medical care such as cost, affordability, and shifting demographic trends. One response has been the growth of medical tourism (sometimes called health tourism or global healthcare). Medical tourism is an example of how the forces of globalization are re-shaping what has previously been a relatively stable localized service, medical treatment, in the face of changes to health care. While traveling to distant locations in search of health restoring locations is not new as the affluent have long traveled to spas or exotic locales to derive health benefits. What has changed is who is doing it and why they are doing it as insurers and patients alike become eager participants in the outsourcing of medical care. The rising number of uninsured and underinsured Americans, particularly in the middle class, has been coupled with effective marketing by medical tourism companies to produce growing numbers of Americans traveling to foreign countries for healthcare. China, India, Korea, Malaysia, the Philippines, South Africa, and Thailand are only a few of the competitors for overseas patients as a source for economic development. Using analytic frameworks of Immanuel Wallerstein and Anthony Giddens to provide a social analysis of this phenomenon yields an exploration of this trend. © 2008 Emerald Group Publishing Limited.",,,,,,,,,,"Björkman, J., Altenstetter, C., Executive summary and emerging themes (1997) Health policy reform, national variations and globalization, , Björkman J., and Altenstetter C. (Eds), St. Martin Press Inc, New York, NY; Blue Shield of California. Access Baja Blue Shield. (2008). Accessed January 19, 2008. 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(Eds), Board on International Health, Institute of Medicine, Washington, DC; Fuchs, V.R., Ezekiel, J.E., Health care reform: Why? What? When? (2005) Health Affairs, 24 (6), pp. 1399-1414; Gabel, J., Claxton, G., Gil, I., Pickreign, J., Whitmore, H., Finder, B., Hawkins, S., Rowland, D., Health benefits in 2005: Premium increases slow down, coverage continues to erode (2005) Health Affairs, 24, pp. 1273-1280; Giddens, A., (1990) The consequences of modernity: Self and society in the late modern age, , Polity, Cambridge; Gómez-Dantés, O., Frenk, J., NAFTA and health services: Initial data (1995) Health systems in an era of globalization: Challenges and opportunities a conference summary, , Freeman P., Gómez-Dantés O., and Frenk J. (Eds), Board on International Health, Institute of Medicine, Washington, DC; Kher, U., Outsourcing your heart (2006) Time Magazine, (May 29), pp. 44-47; Maciel, M.L., Knowledge production as a Factor in World Polarization (2003) Emerging Issues in the 21st Century World-System (Contributions in Economics and Economic History, No. 230) Political Economy of the World-System Conference 2001, , Dunaway W.A. (Ed), Praeger Publishers, CT; MacIntosh, C. (2004). Medical tourism: need surgery will travel. CBSNews Online www.cbc.ca/news/background/healthcare/medicaltourism2.html. Accessed on February 12, 2008; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Affairs, 26 (1), pp. 137-141; Mutchnick, I., Stern, D. T., & Moyer, C. A. (2005). Trading health services across borders: GATS, markets, and caveats. Health Affairs (Web exclusive), 10.1377/hlthaff.w5.42. Posting date: January 25, 2005 by Project HOPE (http://content.healthaffairs.org/cgi/content/abstract/hlthaff.w5.42), accessed November 28, 2007; Robertson, R., (1992) Globalization: Social theory and global culture, , Sage, London; Rodrik, D., (1997) Has globalization gone too far?, , Institute for International Economics, Washington, DC; Rodwin, V.G., The rise of managed care in the United States: Lessons for French health policy (1997) Health policy reform, national variations and globalization, , Björkman J., and Altenstetter C. (Eds), St. Martin Press Inc, New York, NY; Sinha, A., An overview of telemedicine: The virtual gaze of health care in the next century (2000) Medical Anthropology Quarterly, 14 (3), pp. 291-309. , New Series; Skarbinski, J., Walker, H.K., Laurence, C.B., Kobaladze, A., Kirtava, Z., Raffin, T.A., The burden of out-of-pocket payments for health care in Tbilisi, Republic of Georgia (2002) JAMA, 287, pp. 1043-1049; Smith, R.D., Foreign direct investment and trade in health services: A review of the literature (2004) Social Science and Medicine, 59, pp. 2313-2323; Starr, P., (1984) The social transformation of American medicine: The rise of a sovereign profession and the making of a vast industry, , Basic Books, New York, NY; Turner, L., First world health care at third world prices: Globalization, bioethics, and medical tourism (2007) Biosocieties, 2, pp. 303-325. , New Series; United States, Department of Commerce, Commercial Service, accessed August 4, 2008. (http://www.buyusa.gov/asianow/pmedical.html); United States Senate Special Committee on Aging. (2006). ""The globalization of health care: Can medical tourism reduce health care costs?"" Senate Hearing, June 27, 2006. 109th Congress, Second Session. Washington: Government Printing Office; Wallerstein, I., (1976) The modern world-system: Capitalist agriculture and the origins of the European world-economy in the sixteenth century, , Academic Press, New York, NY",,"Kronenfeld J.J.",,,,,,,02754959,9781848551602,,,"English","Res. Sociol. Health Care",Review,"Final",,Scopus,2-s2.0-53349108453 "Mair H.","12239015900;","Tourism, health and the pharmacy: Towards a critical understanding of health and wellness tourism",2005,"Tourism","53","4",,"335","346",,19,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33644656535&partnerID=40&md5=022998583dda38926f48647eb73bd838","Department of Recreation and Leisure Studies, University of Waterloo, Waterloo, Canada","Mair, H., Department of Recreation and Leisure Studies, University of Waterloo, Waterloo, Canada","The mounting interest, both academic and commercial, in health-related tourism, including recent work on 'health care tourism' (Henderson 2004), 'health tourism' (Hall 1992; Laws 1996) and 'wellness tourism' (Finnicum and Zeiger 1996; Mueller and Kaufmann 2001), suggests that this trend has implications for tourist experiences and tourism development more broadly. The need remains, however, for more critical analyses of this 'niche' market. Building on Cloke and Perkins (1998), Crouch and Desforges (2003), as well as important developments within the sociology of health promotion, a critical appraisal of this trend is put forward. The paper aims to explore the emergence of health and wellness tourism by investigating it in light of three broad, yet inter-related social and political economic influences: (i) the withdrawal of government involvement in the provision of health services and the ethic of self-care; (ii) the commodification and corporatization of health care products and services; and (iii) the embodiment of tourism. By introducing brief cases of health and wellness tourism policy as well as a recent commercial undertaking in Canada as 'springboards' for this exploration, I argue that this trend exemplifies not only a rise in the commercial viability and significance of private, health-related travel experiences, but also the particular emphasis upon embodied experiences in that they are increasingly positioned as health promotion opportunities. Thus, this effort to augment the 'gaze' by promoting bodily experiences signifies (implicitly and explicitly) health and wellness through illness prevention strategies including stress reduction, enhanced family quality time, and physical fitness and must be considered part of the continued commodification process as is fostered by tourism development more broadly.","Commodification of leisure; Embodiment of tourism; Health and wellness tourism","tourism",,,,,,,,"Ateljević, I., Circuits of tourism: Stepping beyond the 'production/consumption' dichotomy (2000) Tourism Geographies, 2 (4), pp. 369-388; Bennett, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; Bervovitz, K.L., A critical analysis of Canada's 'Active Living': Science or politics? (2000) Critical Public Health, 10 (1), pp. 19-39; Britton, S.G., The political economy of tourism in the Third World (1982) Annals of Tourism Research, 9 (3), pp. 331-358; Britton, S., Tourism, capital and place: Towards a critical geography of tourism (1991) Environment and Planning D: Society and Space, 9, pp. 451-478; Burrows, R., Nettleton, S., Bunton, R., Sociology and health promotion: Health, risk and consumption under late modernism (1995) The Sociology of Health Promotion: Critical Analyses of Consumption, Lifestyle and Risk, pp. 1-12. , Bunton R., Nettleton S., and Burrows R. (eds). London and New York: Routledge; (2004) Spa Health and Wellness; Tourism: A New Product Portfolio at the Canadian Tourism Commission; Verschuren, F., http://www.canadatourism.com, [Accessed November 5, 2005]; (2005) For the Health of it... A Business Strategy for Spa, Health and Wellness Tourism in Canada, , http://www.canadatourism.com, [Accessed November 5, 2005]; (2005) Overnight Spa Tourists: A Special Analysis of the Travel Activities and Motivation Survey (TAMS), , http://www.canadatourism.com, Prepared by Research Resolutions and Consulting Ltd [Accessed November 5, 2005]; Cloke, P., Perkins, H.C., ""Cracking the canyon with the awesome foursome"": Representations of adventure tourism in New Zealand (1998) Environment and Planning D: Society and Space, 16, pp. 185-218; Crouch, D., Desforges, L., The sensuous in the tourist encounter (2003) Tourist Studies, 3 (1), pp. 5-22; De La Barre, K., De La Barre, S., Taggart, M., (2005) A Feasibility Study for a Yukon Health and Wellness Tourism Industry, , http://www.tirc.gov.yk.ca/, Prepared for the North to Knowledge, Learning Travel Product Club, and the Department of Tourism and Culture, Yukon Territorial Government, Whitehorse, Yukon [Accessed November 8, 2005]; Edensor, T., Performing tourism, staging tourism: (Re)producing tourist space and practice (2001) Tourist Studies, 1 (1), pp. 59-81; Featherstone, M., The body in consumer culture (1991) The Body: Social Process and Cultural Theory, , Featherstone M., Hepworth M. and Turner B. S. (eds). London: Sage; Finnicum, P., Zeiger, J.B., Tourism and wellness: A natural alliance in a natural state (1996) Parks & Recreation, 31 (9), pp. 79-86; Fullagar, S., Governing the healthy body: Discourses of leisure and lifestyle within Australian health policy (2002) Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 6 (1), pp. 69-84; Fullagar, S., Governing women's active leisure: The gendered effects of calculative rationalities within Australian health policy (2003) Critical Public Health, 13 (1), pp. 47-60; García-Altés, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 266-268; Goodrich, J.N., Goodrich, G.E., Health-care tourism - An exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; Hall, C.M., Adventure, sport and health tourism (1992) Special Interest Tourism, pp. 141-158. , Weiler B. and Hall C. M. (eds). London: Bellhaven Press; Henderson, J.C., Health care tourism in Southeast Asia (2004) Tourism Review International, 7, pp. 111-121; Hunter-Jones, P., Cancer and tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Laws, E., Health tourism: A business opportunity approach (1996) Health and the International Tourist, pp. 199-214. , Clift S. and Page S. J. (eds). London: Routledge; Leading Spas of Canada, , http://www.leadingspasofcanada.org, [Accessed November 8, 2005]; MacCannell, D., (1976) The Tourist: A New Theory of the Leisure Class, , New York: Schocken Books; MacCannell, D., (1989) The Tourist: A New Theory of the Leisure Class, , New York: Schocken Books; Maguire, J.S., Body lessons: Fitness publishing and the cultural production of the fitness consumer (2002) International Review for the Sociology of Sport, 37 (3-4), pp. 449-464; Mair, H., Global restructuring and local responses: Investigating rural tourism policy in two Canadian communities Current Issues in Tourism, , Forthcoming; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Nettleton, S., Bunton, R., Sociological critiques of health promotion (1995) The Sociology of Health Promotion: Critical Analyses of Consumption, Lifestyle and Risk, pp. 41-58. , Bunton R., Nettleton S., and Burrows R. (eds). London and New York: Routledge; Osborne, T., Of health and statecraft (1997) Foucault: Health and Medicine, pp. 173-188. , Petersen A. and Bunton R. (eds). London: Routedge; Parish, R., Health promotion: Rhetoric and reality (1995) The Sociology of Health Promotion: Critical Analyses of Consumption, Lifestyle and Risk, pp. 13-23. , Bunton R., Nettleton S., and Burrows R. (eds). London and New York: Routledge; Shoppers Drug Mart, , http://www.shoppersdrugmart.ca/lifeexperiences/, [Accessed November 12 2005]; Statistics Canada (2001) National Census Data, , http://www.statscan.ca, [Accessed November 12, 2005]; Urry, J., (2002) The Tourist Gaze. 2nd Ed., , London: Sage; Veijola, S., Jokinen, E., The body in tourism (1994) Theory, Culture and Society, 11, pp. 125-151; Watson, G.L., Kopachevsky, J.P., Interpretations of tourism as a commodity (1994) Annals of Tourism Research, 21 (3), pp. 643-660; Williams, A.M., Towards a political economy of tourism (2004) A Companion to Tourism, pp. 61-73. , Lew A. A., Hall C. M., and Williams A. M. (eds). Malden: Blackwell; Yalnizyan, A., Pascal, C., (2004) Our Manufactured Health-care Crisis: Governments cut Taxes to Deny Themselves Medicare Funding, , http://www.policyalternatives.ca, Canadian Centre for Policy Alternatives Monitor. (October) [Accessed: April 25, 2005]","Mair, H.; Department of Recreation and Leisure Studies, University of Waterloo, Waterloo, Ont., Canada",,,,,,,,13327461,,,,"English","Tourism",Review,"Final",,Scopus,2-s2.0-33644656535 "Garud A.D.","6508365160;","Medical tourism and its impact on our healthcare",2005,"National Medical Journal of India","18","6",,"318","319",,19,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-32544438759&partnerID=40&md5=6e548ddd0b49f079d8186c8f186b365e","Health Care Quality, P.D. Hinduja National Hospital, Mumbai, Maharashtra, India","Garud, A.D., Health Care Quality, P.D. Hinduja National Hospital, Mumbai, Maharashtra, India",[No abstract available],,"article; cost effectiveness analysis; esthetic surgery; fertilization in vitro; health care cost; health care delivery; health care quality; health care system; health insurance; human; infertility; legal aspect; malpractice; morality; socioeconomics; tourism; wrinkle; Developing Countries; Health Resorts; Health Services Accessibility; Humans; Travel",,,,,,,,,"Garud, A.D.; Health Care Quality, P.D. Hinduja National Hospital, Mumbai, Maharashtra, India",,,,,,,,0970258X,,NMJIE,"16483034","English","Natl. Med. J. India",Article,"Final",,Scopus,2-s2.0-32544438759 "Henderson J.C.","7402926449;","Paradigm Shifts: National Tourism Organisations and Education and Healthcare Tourism. The Case of Singapore",2004,"Tourism and Hospitality Research","5","2",,"170","180",,19,"10.1057/palgrave.thr.6040016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992885712&doi=10.1057%2fpalgrave.thr.6040016&partnerID=40&md5=833bb1ae2fd2bb930b031192475d2c91","Nanyang Business School, Nanyang Technological University, Nanyang Avenue, Singapore 639798, Singapore","Henderson, J.C., Nanyang Business School, Nanyang Technological University, Nanyang Avenue, Singapore 639798, Singapore","This paper examines the changing role of national tourism organisations (NTOs) with particular reference to the case of the Singapore Tourism Board (STB). Problems and opportunities confronting NTOs are examined and some trends in marketing and product development are identified. Education and healthcare are attracting increasing interest and acquiring heightened priority, a process which requires a reassessment of definitions of tourism and the responsibilities of tourism boards. While both spheres are of commercial significance, they also pose considerable challenges for NTOs unaccustomed to working in these areas. © 2004, SAGE Publications. All rights reserved.","education tourism; healthcare tourism; national tourism organisations; Singapore Tourism Board",,,,,,,,,"Baron, R., (1989) Travel and Tourism Data: A Comprehensive Research Handbook on World Travel, , Euromonitor, London; Bitner, M.J., Booms, B.H., Tetreault, M.S., The service encounter: Diagnosing favorable and unfavorable incidents (1990) Journal of Marketing, 54, pp. 71-84; Chang, T., Regionalism and tourism: Exploring integral links in Singapore (1998) Asia Pacific Viewpoint, 39 (1), pp. 73-94; Chang, T., Yeoh, B., New Asia-Singapore: Communicating local cultures through global tourism (1999) Geoforum, 30, pp. 101-115; Choy, D., Alternative roles of national tourism organisations (1993) Tourism Management, 14 (6), pp. 357-365; Dhaliwal, R., Promoting a class act (2003) The Straits Times, , 24th September; Dore, L., Crouch, G., Promoting destinations: An exploratory study of publicity programmes of national tourism Organisations (2003) Journal of Vacation Marketing, 9 (2), pp. 137-151; (2002) Report of tourism working group, , http://www.mti.gov.sg, a, Sub Committee on Service Industries, accessed 13th September, 2003; (2002) Developing Singapore's education industry, , http://www.mti.gov.sg, b, Sub Committee on Service Industries. Education Working Group, accessed 13th September, 2003; (2002) Developing Singapore as the healthcare hub of Asia, , http://www.mti.gov.sg, c, Sub Committee on Service Industries, Healthcare Services Working Group, accessed 13th September, 2003; The financing and organisation of national tourist offices (1992) Travel & Tourism Analyst, 4, pp. 1-18; (2001) Euromonitor International Marketing Forecasts, , Euromonitor, London; Goodrich, J., Health tourism: A new positioning strategy for tourist destinations (1994) Global Tourist Behaviour, , in Uysal M. (ed.), Haworth, New York; Hall, C.M., Oehlers, M., Tourism and politics in south and southeast Asia: Political instability and policy (2000) Tourism in South and Southeast Asia, , in Hall C. M. Page S. (eds), Butterworth-Heinemann, Oxford; Hinkin, T.R., (1995) Cases in Hospitality Management: A Critical Incident Approach, , Wiley, New York; Hui, T.K., Wan, D., Singapore's image as a tourist destination (2003) International Journal of Tourism Research, 5, pp. 305-313; (2000) Global Student Mobility 2025, , IDP Education Australia, Sydney; (2002) Countries Queuing for NHS Tourists, , 27th January; Lavery, P., Funding of national tourist organisations (1996) Travel & Tourism Analyst, 6, pp. 80-95; Laws, E., Health tourism: A business opportunity approach (1996) Health and the International Tourist, , in Clift S. Page S. (eds), Routledge, London; Leiper, N., Hunt, S., Why Australia's Tourism Commission should be promoting universities and why academics should be on the commissions’ Boards (1998) Pacific Tourism Review, 2 (3-4), pp. 191-197; Economic Review Committee, , http://www.mti.gov.sg, Introduction,, accessed 13th September, 2003; (1986) Tourist Product Development Plan, , Ministry of Trade and Industry, Singapore; (2003) Singapore Weighs In, , 24th August; (1997) Tourism Policy and International Tourism in OECD Countries, , Organisation of Economic Cooperation and Development, Paris; (1999) Market Orientation of National Tourism Organisations, , http://www.oecd.org, OECD website at, accessed 29th September; Ooi, C.S., Contrasting strategies: Tourism in Denmark and Singapore (2002) Annals of Tourism Research, 29 (3), pp. 689-706; Page, S., Brunt, P., Busby, G., Connell, C., (2001) Tourism: A Modern Synthesis, , Thomson Learning, London; Pearce, D., Tourist organizations in Sweden (1996) Tourism Management, 17 (6), pp. 413-424; Pearce, D., (1992) Tourist Organizations, , Longman, Harlow; Pearce, P., Morrison, A., Rutledge, J., (1998) Tourism: Bridges across Continents, , McGraw-Hill, Sydney; Peleggi, M., National heritage and global tourism in Thailand (1996) Annals of Tourism Research, 23 (2), pp. 432-447; Riege, A., Perry, C., National marketing strategies in international travel and tourism (2000) European Journal of Marketing, 34 (1112), pp. 1290-1305; (2003) Connecting international patients to Singapore's world-class healthcare, , http://www.singaporemedicine.-com, Singapore Medicine website, accessed 31st July, 2003; Smith, C., Jenner, P., Health tourism in Europe (2000) Travel & Tourism Analyst, 1, pp. 41-59; Son, A., International students in English language programmes: Their images of Australia and travel behaviour (2003) International Journal of Tourism Research, 5, pp. 225-234; (2003) Singapore Set to become the Global Schoolhouse, , a, Media release, Singapore Tourism Board, 16th August; (2003) Singapore Set to be Healthcare Services Hub of Asia, , b, Media release, Singapore Tourism Board, 20th October; Singapore Tourism Board, , http://www.stb.com.sg, website, accessed 8th September, 2003; (2002) Singapore Annual Report on Tourism Statistics, , Singapore Tourism Board, Singapore; (1997) Singapore 21: Vision of a Tourism Capital, , Singapore Tourist Promotion Board, Singapore; (1995) Singapore Global City for the Arts, , The Singapore Tourist Promotion Board and Ministry for Information and the Arts, Singapore; (2003) S'pore Set to have Foreign University, , 8th September; Tan, E., Yeoh, B., Teo, P., (2001) Tourism Management and Policy: Perspectives from Singapore, , World Scientific, Singapore; Teo, P., Chang, T.C., Singapore: Tourism development in a planned context (2000) Tourism in South and Southeast Asia, , in Page S. Hall C.M. (eds), Butterworth-Heinemann, Oxford; Toh, R., Khan, H., Lim, K., Singapore's tourism industry: How its strengths offset economic, social and environmental challenges (2001) Cornell Hotel and Restaurant Association Quarterly, , a, February; Toh, R.S., Khan, H., Koh, A.J., A travel balance approach for examining tourism area life cycles: The case of Singapore (2001) Journal of Travel Research, 39, pp. 426-432. , b, May; Weaver, D., Lawton, L., (2002) Tourism management, , John Wiley & Sons Australia, Sydney; (1979) Role and Structure of National Tourism Administrations, , World Tourism Organisation, Madrid; (2000) Budgets and Marketing Plans of National Tourism Administrations, , World Tourism Organisation, Madrid; (2003) Compendium of Tourism Statistics, , World Tourism Organisation, Madrid; Zarrilli, S., Kinnon, C., International Trade in Health Services: A Development Perspective, , UNCTAD, Geneva","Henderson, J.C.; Nanyang Business School, Nanyang Technological University, Nanyang Avenue, Singapore 639798, Singapore",,,,,,,,14673584,,,,"English","Tour. Hosp. Res.",Article,"Final",,Scopus,2-s2.0-84992885712 "Gazitt Y., Shaughnessy P., Liu Q.","57204493403;7006403230;55493276200;","Differential mobilization of CD34+ cells and lymphoma cells in non-hodgkin's lymphoma patients mobilized with different growth factors",2001,"Journal of Hematotherapy and Stem Cell Research","10","1",,"167","176",,19,"10.1089/152581601750098453","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035078051&doi=10.1089%2f152581601750098453&partnerID=40&md5=4052dfd39e0bde57826e81b470d4cfad","Universtiy of Texas, Health Science Center, San Antonio, TX 78284, United States; Wilford Hall Medical Center, San Antonio, TX 78284, United States","Gazitt, Y., Universtiy of Texas, Health Science Center, San Antonio, TX 78284, United States; Shaughnessy, P., Wilford Hall Medical Center, San Antonio, TX 78284, United States; Liu, Q., Universtiy of Texas, Health Science Center, San Antonio, TX 78284, United States","Co-mobilization of CD34+ cells and tumor has been documented in patients with different types of cancer undergoing peripheral blood stem cell transplantation (PBSCT). Conflicting reports were published regarding the role of various growth factors in tumor cells mobilization, hence we studied the extent of CD34+ cells and lymphoma cell mobilization in 35 non-Hodgkin's (NHL) patients primed by cyclophosphamide (Cy) in combination with granulocyte colony-stimulating factor (G-CSF) (A, 13 patients), granulocyte-macrophage (GM)-CSF (B, 10 patients), or GM-CSF followed by G-CSF (C, 12 patients). CD34+ cells were quantitated by flow cytometry and lymphoma cells by the TaqMan Real Time PCR for bcl-2 gene rearrangement. Successful collection in 4 days of ≥2 × 106 CD34+ cells/kg needed for prompt engraftment was obtained in 76%, 60%, and 58% of patients in arms A, B, and C, respectively. Lymphoma cell mobilization was detected in 35% patients tested, 78% of which had follicular lymphoma. Lymphoma cell mobilization was similar in the three arms of the study, however, presence of lymphoma cells was prevalent in patients who failed to mobilize the amount of 0.4 × 106 CD34+ cells/kg in 2 days (""poor mobilizers"") and reached 42%, compared to 17% in the ""successful mobilizers"" group of patients. Lymphoma cell contamination in PBSCs was detected proportionately in the peripheral blood and in the bone marrow. We conclude that bcl-2 gene rearrangement is prevalent in patients with follicular histology, and, in these patients, an inverse relationship was observed between mobilization of CD34+ cells and lymphoma cells. Our results explain the high relative risk (1.98) for mobilization in patients with follicular histology.",,"CD34 antigen; cyclophosphamide; gene product; granulocyte colony stimulating factor; granulocyte macrophage colony stimulating factor; growth factor; protein bcl 2; adult; aged; apheresis; article; biological therapy; clinical article; controlled study; female; flow cytometry; follicular lymphoma; gene rearrangement; histopathology; human; lymphoma cell; male; nonhodgkin lymphoma; peripheral blood stem cell; priority journal; stem cell transplantation; Adult; Age Factors; Aged; Antigens, CD34; Cyclophosphamide; Female; Granulocyte Colony-Stimulating Factor; Granulocyte-Macrophage Colony-Stimulating Factor; Growth Substances; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; Humans; Lymphoma, Non-Hodgkin; Male; Middle Aged; Neoplasm Circulating Cells; Prospective Studies; Stem Cells",,"cyclophosphamide, 50-18-0; protein bcl 2, 219306-68-0; Antigens, CD34; Cyclophosphamide, 50-18-0; Granulocyte Colony-Stimulating Factor, 143011-72-7; Granulocyte-Macrophage Colony-Stimulating Factor, 83869-56-1; Growth Substances",,,,,,"Bender, J.G., Williams, S.F., Myers, S., Nottleman, D., Lee, W.J., Unverzagt, K.L., Walker, D., Van Epps, D.E., Characterization of chemotherapy mobilized peripheral blood progenitor cells for use in autologous stem cell transplantation (1992) Bone Marrow Transplant, 10, pp. 281-285; Kotasek, D., Shepherd, K.M., Sage, R.E., Dale, B.M., Norman, J.E., Charles, P., Gregg, A., Bolton, A., Factors affecting blood stem cell collection following high dose cyclophosphamide mobilization in lymphoma, myeloma and solid tumors (1992) Bone Marrow Transplant, 9, pp. 11-17; Molineux, G., Pojda, Z., Hampson, I.N., Lord, B.I., Dexter, T.M., Transplantation potential of peripheral blood stem cells induced by G-CSF (1990) Blood, 76, pp. 2153-2158; Demirer, T., Buckner, C.D., Bensinger, W.I., Optimization of stem cell mobilization (1996) Stem Cells, 14, pp. 106-116; Pettengell, R., Tetsa, N., Swindell, R., Crowther, D., Dexter, T., Transplantation of hematopoietic cells released into the peripheral blood for non-Hodgkin's lymphoma (1992) Blood, 82, pp. 2239-2248; Vora, A.J., Toh, C.H., Peel, J., Greaves, M., Use of granulocyte colony-stimulating factor (G-CSF) for mobilizing peripheral blood stem cells: Risk of mobilizing clonal myeloma cells in patients with bone marrow infiltration (1994) Br J Haematol, 86, pp. 180-182; Brugger, W., Bross, K.J., Glatt, M., Weber, F., Mertlsman, L., Kanz, L., Mobilization of tumor cells and hematopoietic progenitor cells into peripheral blood of patients with solid tumors (1994) Blood, 83, pp. 636-640; Gazitt, Y., Tian, E., Barlogie, B., Reading, C.L., Vesole, D.H., Jagannath, S., Schnell, J., Tricot, G., Differential mobilization of myeloma cells and normal hematopoietic stem cells in multiple myeloma after treatment with cyclophosphamide and GM-CSF (1996) Blood, 87, pp. 805-811; Gazitt, Y., Reading, C.C., Hoffman, R., Lee, J.-H., Barlogie, B., Vesole, D., Jagannath, S., Tricot, G., Purified CD34+Lin-Thy+ stem cells do not contain clonal myeloma cells (1995) Blood, 86, pp. 381-389; Bensinger, W.I., Appelbaum, F., Rowley, S., Storb, R., Sanders, J., Lilleby, K., Gooley, T., Buckner, C.D., Factors that influence collection and engraftment of autologous peripheral blood stem cells (1995) J Clin Oncol, 13, pp. 2547-2555; Haas, R., Mohle, R., Fruhauf, S., Goldschmidt, H., Will, B., Flentje, M., Wannenmacher, M., Hanstein, W., Patient characteristic associated with successful mobilization and autografting of peripheral blood progenitor cells in malignant lymphoma (1994) Blood, 83, pp. 3787-3794; Weaver, C.H., Tauer, K., Zhen, B., Schwartzberger, L.S., Hazelton, B., Weaver, Z., Lewkow, L., Buckner, C.D., Second attempt at mobilization of peripheral blood stem cells in patients with initial low CD34+ cell yields (1998) J Hematother, 7, pp. 241-249; Gazitt, Y., Freytes, C.O., Callander, N., Tsai, T.-W., Alsina, M., Anderson, J., Holle, L., Montgomery, W., Succcessful PBSC Mobilization with high dose G-CSF for patients failing a first round of mobilization (1999) J Hematother, 8, pp. 173-183; Haas, R., Moos, M., Mohle, R., Dohner, H., Witt, B., Goldschmidt, H., Murea, S., Hunstein, W., High-dose therapy with peripheral blood progenitor cell transplantation in non-Hodgkin's lymphoma (1996) Bone Marrow Transplant, 17, pp. 149-155; D'Arena, G., Musto, P., Di Mauro, L., Cascavilla, N., Iacono, N.D., Scalzulli, P.R., Matera, R., Carotenuto, M., Predictive parameters for mobilized peripheral blood CD34+ progenitor cell collection in patients with hematological malignancies (1988) Am J Hematol, 58, pp. 255-262; Tricot, G., Jagannath, S., Vesole, D., Nelson, J., Tindel, S., Miller, L., Cheson, B., Barlogie, B., Peripheral blood stem cell transplant for multiple myeloma: Identification of favorable variables for rapid engraftment in 225 patients (1995) Blood, 85, pp. 588-596; Weaver, C.H., Hazelton, B., Birch, R., Palmer, P., Allen, P., Schwartzberg, L., West, W., An analysis of engraftment kinetics as a function of the CD34 content of peripheral blood progenitor cells collections in 692 patients after the administration of myeloablative therapy (1995) Blood, 86, pp. 3961-3971; Bensinger, W., Singer, J., Appelbaum, F., Lilleby, K., Longin, K., Rowley, S., Clarke, E., Buckner, C.D., Autologous transplantation with peripheral blood mononuclear cells after administration of G-CSF (1993) Blood, 81, pp. 3158-3163; Chao, N.J., Schriber, J.R., Grimes, K., Long, G.D., Negrin, R.S., Catolico, M., Brown, B.W., Blume, K.G., Granulocyte colony stimulating factor mobilized peripheral blood progenitor cells accelerate granulocyte and platelet recovery after high dose chemotherapy (1993) Blood, 81, pp. 2031-2038; Watts, M.J., Sullivan, A.M., Jamieson, E., Pearce, R., Fielding, A., Devereux, S., Goldstone, A.H., Linch, D.C., Progenitor-cell mobilization after low-dose cyclophosphamide and granulocyte colony-stimulating factor: An analysis of progenitor-cell quantity and quality and factors predicting for these parameters in 101 pretreated patients with malignant lymphoma (1997) J Clin Oncol, 15, pp. 535-546; Peters, W.P., Rosner, G., Ross, M., Vredenburgh, J., Meisenberg, B., Gilbert, C., Kurtzberg, J., Comparative effect of GM-CSF and G-CSF on priming of peripheral blood progenitor cells for use with autologous bone marrow after high dose chemotherapy (1993) Blood, 81, pp. 1709-1719; Gianni, A.M., Siena, S., Bregni, M., Tarella, C., Stern, A.C., Pileri, A., Bonadonna, G., Granulocyte-macrophage colony-stimulating factor to harvest circulating haemopoietic stem cells for autotransplantation (1989) Lancet, 2 (8663), pp. 580-585; Cesana, C., Carlo-Stella, C., Regazzi, E., Garau, D., Sammarelli, G., Caramatti, C., Tabilio, A., Rizzoli, V., CD34+ cells mobilized by cyclophosphamide and granulocyte colony-stimulating factor (G-CSF) are functionally different from CD34+ cells mobilized by G-CSF (1998) Bone Marrow Transplant, 21, pp. 561-568; Tricot, G., Gazitt, Y., Leemhuis, T., Jagannath, S., Desikan, K.R., Siegel, D., Fassas, A., Barlogie, B., Collection, engraftment kinetics and tumor contamination of highly purified hematopoietic progenitor cells to support high dose therapy in multiple myeloma (1998) Blood, 91, pp. 4489-4495; Lane, T.A., Law, P., Maruyama, M., Young, D., Burgess, J., Mullen, M., Mealiffe, M., Moubayed, M., Harvesting and enrichment of HPC mobilized into the peripheral blood of normal donors by GM-CSF or G-CSF: Potential role in allogeneic transplantation (1995) Blood, 85, pp. 275-282; Stroncek, D.F., Clay, M.E., Smith, J., Herr, G., Ilstrup, S., Kunkel, L.A., McCullough, J., Composition of peripheral blood progenitor cell components collected from healthy donors (1997) Transfusion, 37, pp. 411-417; Winter, J.N., Lazarus, H.M., Rademaker, A., Villa, M., Mangan, C., Tallman, M., Jahnke, L., O'Gorman, M., Phase I/II study of combined G-CSF and GM-CSF administration for the mobilization of hematopoietic progenitor cells (1996) J Clin Oncol, 14, pp. 277-286; Spitzer, G., Adkins, D., Mathews, M., Velasquez, W., Bowers, C., Dunphy, F., Kronmueller, K., Petruska, P., Randomized comparison of G-CSF + GM-CSF vs G-CSF alone for mobilization of peripheral blood stem cells: Effects on hematopoietic recovery after high-dose chemotherapy (1997) Bone Marrow Transplant, 20, pp. 921-930; Hohaus, S., Martin, H., Wassmann, B., Egerer, G., Haus, U., Farber, L., Burger, K.J., Hass, R., Recombinant human granulocyte and granulocyte-macrophage colony-stimulating factor (G-CSF and GM-CSF) administered following cytotoxic chemotherapy have a similar ability to mobilize peripheral blood stem cells (1998) Bone Marrow Transplant, 22, pp. 625-630; Gazitt, Y., Callander, N., Freytes, C.O., Shaughnessy, P., Tsai, T.W., Devore, P., Peripheral blood stem cell mobilization with cyclophosphamide in combination with G-CSF, GM-CSF, or sequential GM-CSF followed by G-CSF in non Hodgkin's lymphoma patients. A randomized prospective study (2000) J Hematother Stem Cell Res, 9, pp. 737-748; Hermine, O., Haioun, C., Lepage, E., D'Agay, M.-F., Briere, J., Lavignac, C., Fillet, G., Gaulard, P., Prognostic significance of bcl-2 protein expression in aggressive non-Hodgkin's lymphoma (1996) Blood, 87, pp. 265-272; Ketterer, N., Salles, G., Moullet, I., Dumonent, C., ElJaafari-Corbin, A., Tremissi, P., Thielblemont, C., Coiffier, B., Factors associated with successful mobilization of peripheral blood progenitor cells in 200 patients with lymphoid malignancies (1998) Br J Hematol, 103, pp. 235-242; Gribben, J.G., Freedman, A.S., Woo, S.D., Blake, K., Shu, R.S., Freeman, G., Longtine, J.A., Nadler, L.M., All advanced stage non-Hodgkin's lymphomas with polymerase chain reaction amplifiable breakpoint of bcl-2 have residual cells containing the bcl-2 rearrangement at evaluation and after treatment (1991) Blood, 78, pp. 3275-3280; Hill, M.E., McLennan, K.A., Cunningham, D.C., Hudson, B.V., Burke, M., Clarke, P., DiStefano, F., Linch, D.C., Prognostic significance of bcl-2 expression and bcl-2 major break point region rearrangement in diffuse large cell non-Hodgkin's lymphoma: A British National Lymphoma Investigation Study (1996) Blood, 88, pp. 1046-1051; Lee, M.-S., Chang, K.-S., Trujillo, J.M., Stass, S.A., Detection of minimal residual cells carrying the t(14;18) by DNA sequence amplification (1987) Science, 233, pp. 175-178; Cleary, M.L., Sklar, J., Nucleotide sequence of a t(14;18) chromosomal breakpoint in follicular lymphoma and demonstration of a breakpoint cluster region near a transcriptionally active locus on chromosome 18 (1985) Proc Natl Acad Sci USA, 82, pp. 7439-7444; Dolken, L., Schuler, F., Dolken, G., Quantitative detection of t(14;18)-positive cells by real time quantitative PCR using fluorogenic probes (1998) BioTechniques, 6, pp. 1058-1064; Lopez-Guillermo, A., Cabanillas, F., McDonnell, T.I., McLaghlin, P., Smith, T., Pugh, W., Hagemeister, F., Lee, M.S., Correlation between bcl-2 gene rearrangement with clinical characteristics and outcome in indolent lymphoma (1999) Blood, 93, pp. 3081-3087; Bierman, P.J., Vose, J.M., Anderson, J.R., Bishop, M.R., Kessinger, A., Armitage, J.O., High dose chemotherapy with autologous hematopoietic rescue for follicular low-grade non-Hodgkin's lymphoma (1997) J Clin Oncol, 15, pp. 445-450; Gascoyne, R.D., Adomat, S.A., Krajewski, S., Krajewska, M., Horsman, D.E., Tolcher, A.W., O'Rielly, S.E., Connors, J.M., Prognostic significance of bcl-2 expression and bcl-2 gene rearrangement in diffuse aggressive non-Hodgkin's lymphoma (1997) Blood, 90, pp. 244-251; Lopez-Guillermo, A., Cabanillas, F., McLaghlin, P., Smith, T., Hagemeister, F., Rodriguez, M.A., Romaguera, J.E., Lee, M.S., The clinical significance of molecular response in indolent follicular lymphoma (1998) Blood, 91, pp. 2955-2960","Gazitt, Y.; Department of Medicine/Hematology, Univ. of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, United States; email: gazitt@uthscsa.edu",,,,,,,,15258165,,JHERF,"11276370","English","J. Hematother. Stem Cell Res.",Article,"Final",,Scopus,2-s2.0-0035078051 "Afthanorhan A., Awang Z., Salleh F., Ghazali P.L., Rashid N.","57184337300;56501785200;55090552500;54396989700;57214991178;","The effect of product quality, medical price and staff skills on patient loyalty via cultural impact in medical tourism",2018,"Management Science Letters","8","12",,"1421","1428",,18,"10.5267/j.msl.2018.10.004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054520571&doi=10.5267%2fj.msl.2018.10.004&partnerID=40&md5=b7388d0a289fc5aee0f527b370f0af5c","Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin (UniSZA), Malaysia","Afthanorhan, A., Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin (UniSZA), Malaysia; Awang, Z., Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin (UniSZA), Malaysia; Salleh, F., Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin (UniSZA), Malaysia; Ghazali, P.L., Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin (UniSZA), Malaysia; Rashid, N., Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin (UniSZA), Malaysia","The aim of this research is to understand the effect of product quality, medical price and staff skill on patient’s loyalty through cultural impact in medical tourism. In this study, three exogenous constructs; namely product quality, medical price, and staff skill constructs were adopted to find their effects on patient’s loyalty. Meanwhile, the cultural impact is also adopted as a mediator construct. This study uses confirmatory approach as Covariance based Structural Equation Modeling (CBSEM) for testing the research hypotheses. The study explores inbound medical tourists loyalty from 324 respondents sampled comprised from different countries using stratified sampling. In terms of the direct effect, the method reveals that medical price and staff skill had positive significant effects on cultural impact and patient loyalty. In terms of indirect effect, the cultural impact mediates the relationships between product quality, medical price, and staff skills on patient’s loyalty. © 2018 by the authors; licensee Growing Science, Canada.","Cultural impact; Medical price; Medical tourism; Product quality; Staff skills; Structural equation modeling",,,,,,,,,"Abd Manaf, N.H., Hussin, H., Jahn Kassim, P.N., Alavi, R., Dahari, Z., Country perspective on medical tourism: The Malaysian experience (2015) Leadership in Health Services, 28 (1), pp. 43-56; Adams, K., Snyder, J., Crooks, V., Johnston, R., Tourism discourse and medical tourists’ motivations to travel (2015) Tourism Review, 70 (2), pp. 85-96; Afthanorhan, W.M.A.B.W., Ahmad, S., Mamat, I., Testing the mediation effect using covariance based structural equation modeling with AMOS (2014) American International Journal of Research in Humanities, Arts and Social Sciences, 6 (2), pp. 186-190; Afthanorhan, W.M.A.B.W., Ahmad, S., Mamat, I., Pooled confirmatory factor analysis (PCFA) using structural equation modeling on volunteerism program: A step by step approach (2014) International Journal of Asian Social Science, 4 (5), pp. 642-653; Afthanorhan, A., Awang, Z., Fazella, S., Perception of Tourism Impact and Support Tourism Development in Terengganu, Malaysia (2017) Social Sciences, 6 (3), p. 106; Afthanorhan, A., Awang, Z., Fazella, S., Developing the patients' loyalty model for medical tourism industry: The case of Malaysia (2017) International Journal of Society Systems Science, 9 (2), pp. 139-164; Aimran, A.N., Ahmad, S., Afthanorhan, A., Awang, Z., The development of comparative bias index (2017) AIP Conference Proceedings, 1870 (1). , AIP Publishing; Aimran, A.N., Ahmad, S., Afthanorhan, A., Awang, Z., The assessment of the performance of covariance-based structural equation modeling and partial least square path modeling (2017) AIP Conference Proceedings, 1842 (1). , AIP Publishing; Anothai, N.R., Communication needs of medical tourists: An exploratory study in Thailand (2014) International Journal of Pharmaceutical and Healthcare Marketing, 8 (1), pp. 98-117; Anvekar, S.R., Medical tourism in India: A strategic approach towards effective branding for health care services marketing (2012) American Journal of Management, 12 (2-3), pp. 108-116; Arokiasamy, A.R., A Qualitative Study on Causes and Effects of Employee Turnover in the Private Sector in Malaysia (2013) Middle-East Journal of Scientific Research, 16 (11), pp. 1532-1541; Awang, Z., Afthanorhan, A., Mohamad, M., Asri, M.A.M., An evaluation of measurement model for medical tourism research: The confirmatory factor analysis approach (2015) International Journal of Tourism Policy, 6 (1), pp. 29-45; Baron, R.M., Kenny, D.A., The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations (1986) Journal of Personality and Social Psychology, 51 (6), p. 1173; Bentler, P.M., Comparative fit indexes in structural models (1990) Psychological Bulletin, 107 (2), p. 238; Bollen, K.A., An alternative two stage least squares (2SLS) estimator for latent variable equations (1996) Psychometrika, 61 (1), pp. 109-121; Bollen, K.A., Pearl, J., Eight myths about causality and structural equation models (2013) Handbook of Causal Analysis for Social Research, pp. 301-328. , Springer Netherlands; Bristow, R.S., Yang, W.T., Lu, M.T., Sustainable medical tourism in Costa Rica (2011) Tourism Review, 66 (1-2), pp. 107-117; Campón, A.M., Alves, H., Hernández, J.M., Loyalty measurement in tourism: A theoretical reflection (2013) Quantitative Methods in Tourism Economics, pp. 13-40. , Physica, Heidelberg; Christian, W.P.T., Service convergence and service integration in medical tourism (2014) Industrial Management & Data Systems, 114 (7), pp. 1094-1106; Cohen, J., (1988) Statistical Power Analysis for the Behavioral Sciences, , (2nd Edition). Hillsdale, NJ: Lawrence Earlbaum Associates; Cook, P.S., (2008) What is Health and Medical Tourism?; Crooks, V., Snyder, J., Johnston, R., Kingsbury, P., (2011) Perspectives on Canadians' Involvement in Medical Tourism; Dawn, S.K., Pal, S., Medical tourism in India: Issues, opportunities and designing strategies for growth and development (2011) International Journal of Multidisciplinary Research, 1 (3), pp. 7-10; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sree, K., Interrelations of service quality and service loyalty dimensions in medical tourism: A structural equation modelling approach (2015) Benchmarking: An International Journal, 22 (1), pp. 18-55; Dijkstra, T.K., Henseler, J., Linear indices in nonlinear structural equation models: Best fitting proper indices and other composites (2011) Quality & Quantity, 45 (6), pp. 1505-1518; Dijkstra, T.K., Henseler, J., Consistent partial least squares path modeling (2015) Mis Quarterly; Enderwick, P., Nagar, S., The competitive challenge of emerging markets: The case of medical tourism (2011) International Journal of Emerging Markets, 6 (4), pp. 329-350; Guiry, M., Scott, J.J., Vequist, D.G., IV, Experienced and potential medical tourists' service quality expectations (2013) International Journal of Health Care Quality Assurance, 26 (5), pp. 433-446; Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., (2010) Multivariate Data Analysis; Honggen, X., Huyton, J.R., Tourism and leisure: An integrative case in China (1996) International Journal of Contemporary Hospitality Management, 8 (6), pp. 18-24; Hsiu-, Y.W., Value as a medical tourism driver (2012) Managing Service Quality: An International Journal, 22 (5), pp. 465-491; Johnston, R., Crooks, V.A., Snyder, J., “I didn’t even know what I was looking for”: A qualitative study of the decision-making processes of Canadian medical tourists (2012) Globalization and Health, 8 (1), p. 23; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (1), p. 24; Ladeiras, A., Mota, A., Costa, J., Strategic tourism planning in practice: The case of the Open Academy of Tourism (2010) Worldwide Hospitality and Tourism Themes, 2 (4), pp. 357-363; Law, R., Buhalis, D., Cobanoglu, C., Progress on information and communication technologies in hospitality and tourism (2014) International Journal of Contemporary Hospitality Management, 26 (5), pp. 727-750; Karla, R., Milica, Z., (2007) Medical Tourism in Developing Countries, , US: Praeger; Kumar, S., Designing promotional strategies for medical tourism in India: A case study of an ophthalmic hospital in NCR (2009) Health Population, 32 (2), pp. 86-95; Munro, J.W., (2012) What is Medical Tourism?; Pawitra, T.A., Tan, K.C., Tourist satisfaction in Singapore–a perspective from Indonesian tourists (2003) Managing Service Quality: An International Journal, 13 (5), pp. 399-411; Picazo, O.F., Medical tourism in the Philippines: Market profile, benchmarking exercise, and SWOT analysis(No. 2013-45) (2013) PIDS Discussion Paper Series; Podsakoff, P.M., Mackenzie, S.B., Lee, J.Y., Podsakoff, N.P., Common method biases in behavioral research: A critical review of the literature and recommended remedies (2003) Journal of Applied Psychology, 88 (5), p. 879; Rad, N.F., Som, A.P.M., Zainuddin, Y., Service quality and patients’ satisfaction in medical tourism (2010) World Applied Sciences Journal, 10 (1), pp. 24-30; Rerkrujipimol, J., Assenov, I., Marketing strategies for promoting medical tourism in Thailand (2011) Journal of Tourism Hospitality Culture Arts, 3 (2), pp. 95-105; Soper, D.S., (2015) A-Priori Sample Size Calculator for Structural Equation Models [Software], , http://www.danielsoper.com/statcalc, Available from; Tripathi, G., Choudhary, H., Agrawal, M., What do the tourists want? The case of The Golden Temple, Amritsar (2010) Worldwide Hospitality and Tourism Themes, 2 (5), pp. 494-506; Turner, L., ‘First world health care at third world prices’: Globalization, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702; Wong, K.M., Musa, G., (2012) Medical Tourism in Asia: Thailand, Singapore, Malaysia, and India. Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, , London and New York: Routledge; Yin-Fah, B.C., Foon, Y.S., Chee-Leong, L., Osman, S., An exploratory study on turnover intention among private sector employees (2010) International Journal of Business and Management, 5 (8), p. 57; (2015) A Handbook on SEM: For Academician and Practitioners, , MPWS Publisher","Afthanorhan, A.; Faculty of Economics and Management Sciences, Universiti Sultan Zainal Abidin (UniSZA)Malaysia; email: fauzilah@unisza.edu.my",,,"Growing Science",,,,,19239335,,,,"English","Manag. Sci. Letters",Article,"Final",Open Access,Scopus,2-s2.0-85054520571 "Loureiro S.M.C.","27467492100;","Medical tourists’ emotional and cognitive response to credibility and Servicescape",2017,"Current Issues in Tourism","20","15",,"1633","1652",,18,"10.1080/13683500.2015.1050363","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930407426&doi=10.1080%2f13683500.2015.1050363&partnerID=40&md5=fac53ce1b9406824b282ef0f57dddeb3","Department of Marketing, Operations and General Management, Business Research Unit (BRU/UNIDE), Instituto Universitário de Lisboa (ISCTE-IUL), Av. Forças Armadas, Lisbon, 1649-026, Portugal","Loureiro, S.M.C., Department of Marketing, Operations and General Management, Business Research Unit (BRU/UNIDE), Instituto Universitário de Lisboa (ISCTE-IUL), Av. Forças Armadas, Lisbon, 1649-026, Portugal","While medical tourism has been an issue of increasing interest among scholars and practitioners, most studies are dedicated to understanding the factors of attraction that lead medical tourists to select a certain destination and treatment providers. In this vein, more studies are needed to understand medical tourists’ perceptions about medical facilities and staff, and repurchase intention formation. In order to contribute to bridging this gap, the current study aims to explore the effect of Servicescape (intrinsic cues) and credibility (extrinsic cues) on medical tourists’ emotion, perceived quality and image. The proposed model was tested in the medical tourism context in Portugal. The questionnaire was distributed to individuals who had stayed in a hospital devoted to medical tourism. A convenience sample of 332 usable questionnaires was employed to test the model. Findings reveal that ambience and design are the most important factors in formatting Servicescape itself. Servicescape and credibility are effective antecedents of customer image and pleasure-feeling. Credibility is more effective in enhancing pleasure-feeling and Servicescape in creating a favourable image. On the other hand, perceptions of quality do not contribute significantly to pleasure-feeling. Finally, the article also provides managerial implications and suggests avenues for further research. © 2015 Informa UK Limited, trading as Taylor & Francis Group.","credibility; image; medical tourism; perceived quality; pleasure-feeling; Servicescape","cognition; credit provision; environmental quality; image; medical tourism; perception; psychology; questionnaire survey; tourist behavior; tourist destination; Portugal",,,,,,,,"Andaleeb, S.S., Siddiqui, N., Khandakar, S., Patient satisfaction with health services in Bangladesh (2007) Health Policy and Planning, 22 (4), pp. 263-273; Andreassen, T.W., Lindestad, B., Customer loyalty and complex services: The impact of corporate image on quality, customer satisfaction and loyalty for customers with varying degrees of service expertise (1998) International Journal of Service Industry Management, 9 (1), pp. 7-23; Baker, J., The role of the environment in marketing services (1987) The services challenges: Integrating for competitive advantage, pp. 79-84. , Czepeial J.A., Congram C.A., Shananhan J., (eds), Chicago, IL: American Marketing Association,. 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Retrieved from; Yuksel, A., Yuksel, F., Bilim, Y., Destination attachment: Effects on customer satisfaction and cognitive, affective and conative loyalty (2010) Tourism Management, 31 (2), pp. 274-284","Loureiro, S.M.C.; Department of Marketing, Operations and General Management, Business Research Unit (BRU/UNIDE), Instituto Universitário de Lisboa (ISCTE-IUL), Av. Forças Armadas, Portugal; email: sandra.loureiro@iscte.pt",,,"Routledge",,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Final",,Scopus,2-s2.0-84930407426 "Adabi K., Stern C.S., Weichman K.E., Garfein E.S., Pothula A., Draper L., Tepper O.M.","56503781300;56556044900;35148668000;6508239410;23994024600;36713362800;6603112461;","Population Health Implications of Medical Tourism",2017,"Plastic and Reconstructive Surgery","140","1",,"66","74",,18,"10.1097/PRS.0000000000003459","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021449057&doi=10.1097%2fPRS.0000000000003459&partnerID=40&md5=ffb184fe2d6006ec3d6f17b9dc89a7b1","Montefiore Medical Center, Albert Einstein College of Medicine, Montefiore Health System, 1250 Waters Place, Bronx, NY 10461, United States","Adabi, K., Montefiore Medical Center, Albert Einstein College of Medicine, Montefiore Health System, 1250 Waters Place, Bronx, NY 10461, United States; Stern, C.S., Montefiore Medical Center, Albert Einstein College of Medicine, Montefiore Health System, 1250 Waters Place, Bronx, NY 10461, United States; Weichman, K.E., Montefiore Medical Center, Albert Einstein College of Medicine, Montefiore Health System, 1250 Waters Place, Bronx, NY 10461, United States; Garfein, E.S., Montefiore Medical Center, Albert Einstein College of Medicine, Montefiore Health System, 1250 Waters Place, Bronx, NY 10461, United States; Pothula, A., Montefiore Medical Center, Albert Einstein College of Medicine, Montefiore Health System, 1250 Waters Place, Bronx, NY 10461, United States; Draper, L., Montefiore Medical Center, Albert Einstein College of Medicine, Montefiore Health System, 1250 Waters Place, Bronx, NY 10461, United States; Tepper, O.M., Montefiore Medical Center, Albert Einstein College of Medicine, Montefiore Health System, 1250 Waters Place, Bronx, NY 10461, United States","Background: Fifteen million U.S. patients each year seek medical care abroad; however, there are no data on outcomes and follow-up of these procedures. This study aims to identify, evaluate, and survey patients presenting with complications from aesthetic procedures abroad and estimate their cost to the U.S. health care system. Methods: A single-center retrospective review was conducted. A cohort of patients presenting with complications from aesthetic procedures performed abroad was generated. Demographic, complication, and cost data were compiled. Patients were surveyed to assess their overall experience. Results: Over a 36-month period, 42 patients met inclusion criteria (one man and 41 women), with an average age of 35 ± 11.4 years (range, 20 to 60 years). Comorbidities included four active smokers, two patients with hypertension, and one patient with diabetes. Average body mass index was 29 ± 4.4 kg/m2 (range, 22 to 38 kg/m2). Procedures performed abroad included abdominoplasty (n = 28), liposuction (n = 20), buttock augmentation (n = 10), and breast augmentation (n = 7), with several patients undergoing combined procedures. Eleven patients presented with abscesses and eight presented with wound dehiscence. Eight of the 18 patients who were surveyed were not pleased with their results and 11 would not go abroad again for subsequent procedures. Average cost of treating the complications was $18,211, with an estimated cost to the U.S. health care system of $1.33 billion. The main payer group was Medicaid. Conclusions: Complications from patients seeking aesthetic procedures abroad will continues to increase. Patients should be encouraged to undergo cosmetic surgery in the United States to improve patient outcomes and satisfaction and because it is economically advantageous. © 2017 by the American Society of Plastic Surgeons.",,"abdominoplasty; adult; adverse effects; breast reconstruction; buttock; case report; cost; economics; esthetic surgery; female; human; lipectomy; male; medical tourism; middle aged; Postoperative Complications; retrospective study; surgery; United States; young adult; Abdominoplasty; Adult; Buttocks; Cosmetic Techniques; Costs and Cost Analysis; Female; Humans; Lipectomy; Male; Mammaplasty; Medical Tourism; Middle Aged; Postoperative Complications; Retrospective Studies; United States; Young Adult",,,,,,,,"Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , New York: Deloitte Center for Health Solutions; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthet Surg J, 31, pp. 694-697; Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the United States (2013) Plast Reconstr Surg Glob Open, 1, p. e63; (2007) Medical Tourism: Sun, Sand and Scalpels, , The Economist; Burkett, L., Medical tourism: Concerns, benefits, the American legal perspective (2007) J Leg Med, 28, pp. 223-245; Yakupoglu, Y.K., Ozden, E., Dilek, M., Transplantation tourism: High risk for the recipients (2010) Clin Transplant, 24, pp. 835-838; Engdahl, R., Cohen, L., Pouch, S., Rohde, C., Management of Mycobacterium abscessus post abdominoplasty (2014) Aesthetic Plast Surg, 38, pp. 1138-1142; Ruëgg, E., Cheretakis, A., Modarressi, A., Harbarth, S., Pittet-Cuénod, B., Multisite infection with Mycobacterium abscessus after replacement of breast implants and gluteal lipofilling (2015) Case Rep Infect Dis, 2015, p. 361340; Connell, J., A new inequality Privatisation, urban bias, migration and medical tourism (2011) Asia Pac Viewp, 52, pp. 260-271; Bhatt, N., (2014) Medical Tourism and Plastic Surgery, , Bronx NY: Montefiore Health System; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge (2010) J Public Health Policy, 31, pp. 185-198; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850; (2015) Financing Population Health Improvement: Workshop Summary, , Roundtable on Population Health Washington DC: National Academy of Sciences, National Academies Press; Winocour, J., Gupta, V., Ramirez, J.R., Shack, R.B., Grotting, J.C., Higdon, K.K., Abdominoplasty: Risk factors, complication rates, safety of combined procedures (2015) Plast Reconstr Surg, 136, pp. 597e-606e; Somogyi, R.B., Brown, M.H., Outcomes in primary breast augmentation: A single surgeon's review of 1539 consecutive cases (2015) Plast Reconstr Surg, 135, pp. 87-97; Massenburg, B.B., Sanati-Mehrizy, P., Jablonka, E.M., Taub, P.J., Risk factors for readmission and adverse outcomes in abdominoplasty (2015) Plast Reconstr Surg, 136, pp. 968-977; Fischer, J.P., Nelson, J.A., Au, A., Tuggle, C.T., III, Serletti, J.M., Wu, L.C., Complications and morbidity following breast reconstruction: A review of 16, 063 cases from the 2005-2010 NSQIP datasets (2014) J Plast Surg Hand Surg, 48, pp. 104-114; Alderman, A.K., Collins, E.D., Streu, R., Benchmarking outcomes in plastic surgery: National complication rates for abdominoplasty and breast augmentation (2009) Plast Reconstr Surg, 124, pp. 2127-2133; 2014 Plastic Surgery Statistics Report: ASPS National Clearinghouse of Plastic Surgery Procedural Statistics, , https://d2wirczt3b6wjm.cloudfront.net/News/Statistics/2014/plastic-surgery-statistics-full-report-2014.pdf, American Society of Plastic Surgeons Available at Accessed April 4, 2016; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759; Makary, M., (2012) Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care, , New York: Bloomsbury Publishing; Iorio, M.L., Verma, K., Ashktorab, S., Davison, S.P., Medical tourism in plastic surgery: Ethical guidelines and practice standards for perioperative care (2014) Aesthetic Plast Surg, 38, pp. 602-607",,,,"Lippincott Williams and Wilkins",,,,,00321052,,PRSUA,"28654593","English","Plast. Reconstr. Surg.",Article,"Final",,Scopus,2-s2.0-85021449057 "Page S.J., Hartwell H., Johns N., Fyall A., Ladkin A., Hemingway A.","57193026967;6602434192;56343034800;6507171922;6603266888;22634211700;","Case study: Wellness, tourism and small business development in a UK coastal resort: Public engagement in practice",2017,"Tourism Management","60",,,"466","477",,18,"10.1016/j.tourman.2016.12.014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85010216492&doi=10.1016%2fj.tourman.2016.12.014&partnerID=40&md5=7aa4ca0f08dda5202f08dadda109a169","Hertfordshire Business School, University of Hertfordshire, United Kingdom; Faculty of Management, Bournemouth University, United Kingdom; University of Central Florida, United States; Faculty of Health and Social Science, Bournemouth University, United Kingdom","Page, S.J., Hertfordshire Business School, University of Hertfordshire, United Kingdom; Hartwell, H., Faculty of Management, Bournemouth University, United Kingdom; Johns, N., Faculty of Management, Bournemouth University, United Kingdom; Fyall, A., University of Central Florida, United States; Ladkin, A., Faculty of Management, Bournemouth University, United Kingdom; Hemingway, A., Faculty of Health and Social Science, Bournemouth University, United Kingdom","This article examines the scope of well-being as a focus for tourism and its potential as a tool for small business development, particularly the opportunities for tourism entrepreneurs in coastal resorts. The study reports an example of public engagement by a research team and the co-creation of research knowledge with businesses to assist in business development by adapting many existing features of tourist resorts and extending their offer to wider markets. The synergy between well-being and public health interests also brings potential benefits for the tourism workforce and the host community. The Case Study outlines how these ideas were tested in Bournemouth, a southern coastal resort in the UK, in a study ultimately intended to be adopted nationally and with more wide reaching implications for global development of the visitor economy. Local changes ascribed to the study are assessed and its wider potential is evaluated. © 2016 The Authors","Coastal tourism; Public engagement; Small business development; Well-being; Wellness tourism","business development; entrepreneur; local participation; public health; tourism; tourist destination; Bournemouth [Bournemouth (ADS)]; Bournemouth [England]; England; United Kingdom",,,,,"Economic and Social Research Council, ESRC: ES/L00884X/1","This work was supported by the Economic and Social Research Council [grant number ES/L00884X/1]. Outcomes related to the project can be accessed at https://microsites.bournemouth.ac.uk/destinationfeelgood/ and qualitative and mixed methods data is deposited on ReShare at http://reshare.ukdataservice.ac.uk/. The authors would also like to thank Mr Stephen Calver and the Market Research Group for undertaking the tracking research associated with this project.",,"Agarwal, S., Restructuring seaside tourism: The resort life-cycle (2002) Annals of Tourism Research, 9 (1), pp. 25-55. , 2; Alford, P., Page, S.J., Marketing technology for adoption by small business (2015) The Service Industries Journal, 35 (11-12), pp. 655-669; Anderson, R., Mikulic, B., Sandor, E., (2010), http://www.dgins-sofia2010.eu/pdocs/Eurofound%20Quality%20of%20life%20in%20the%20EU%20Trends%20in%20key%20dimensions.pdf, (). Quality of life in the EU: trends in key dimensions 2003-2009. Paper presented at the 96th Directors General of the National Statistical Institutes (DGINS) conference, Sophia (Bulgaria), 30 September 2010. At. 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Sirgy; Cummins, R.A., Eckersley, R., Pallant, J., Van Vugt, J., Misajon, R., Developing a national index of subjective well-being: The Australian unity well-being index (2003) Social Indicators Research, 64, pp. 159-190; Diener, E., Lucas, R., Schimmack, U., Helliwell, J., Well-being for public policy (2009), Oxford University Press NY; Diener, E., Lucas, R.E., Scollon, C.N., Beyond the hedonic treadmill - revising the adaptation theory of well-being (2006) American Psychologist, 61 (4), pp. 305-314; Dolnicar, S., Lazarevski, K., Yanamandram, V., Quality of life and tourism: A conceptual framework and novel segmentation base (2013) Journal of Business Research, 66 (6), pp. 724-729; Dolnicar, S., Yanamandram, V., Lazarevski, K., The contribution of vacations to quality of life (2012) Annals of Tourism Research, 39 (1), pp. 59-83; Dorset County Council, Dorset for you (2016), https://www.dorsetforyou.com/, At Accessed 16/02/2016; Durie, A., Scotland for the holidays: A history of tourism in Scotland, 1780–1939 (2003), Tuckwell Press Edinburgh; Easterlin, R.A., Explaining happiness (2003) Proceedings of the National Academy of Sciences (PNAS), 100 (19), pp. 11176-11183; EC. 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The history of the WHOQOL instruments (2004) Social Psychiatry and Psychiatric Epidemiology, 39, pp. 1-8; Stake, R., The case study method in social enquiry (2000) Case study method, , R. Gomm M. Hammersley P. Foster Sage London; UK Department for Business, Innovation and Skills, Science for all. UK (2009), Department for Business, Innovation and Skills London; Uysal, M., Sirgy, M.J., Woo, E., Kim, H.L., Quality of life (QOL) and well-being research in tourism (2016) Tourism Management, 53, pp. 244-261; Voigt, C., Pforr, C., Wellness tourism: A destination perspective (2014), Routledge NY; Walton, J.K., The English seaside resort - a social history 1750-1914 (1983), Leicester University press Leicester; Weaver, D., Alternative tourism as a contestable quality-of-life facilitator (2012) Handbook of tourism & quality-of-life research, pp. 389-402. , M. Uysal R. Perdue M.J. Sirgy; White, M., Smith, A., Humphryes, K., Pahl, S., Snelling, D., Depledge, M., Blue space: The importance of water for preference, affect, and restorativeness ratings of natural and built scenes (2010) Journal of Environmental Psychology, 30 (4), pp. 482-493; World Health Organization (WHO), Constitution of the world health organization (2006), http://www.who.int/governance/eb/who_constitution_en.pdf, At Accessed March 09 2016; Wu, C.-H., Chen, L., Tsai, Y.-M., Investigating importance weighting of satisfaction scores from a formative model with partial least squares analysis (2009) Social Indicators Research, 90 (3), pp. 351-363; Yin, R.K., Case study research - design and methods (2003), Sage London","Page, S.J.; Hertfordshire Business School, University of HertfordshireUnited Kingdom; email: s.page2@herts.ac.uk",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",Open Access,Scopus,2-s2.0-85010216492 "Ganguli S., Ebrahim A.H.","57192894106;57192887707;","A qualitative analysis of Singapore's medical tourism competitiveness",2017,"Tourism Management Perspectives","21",,,"74","84",,18,"10.1016/j.tmp.2016.12.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85008627135&doi=10.1016%2fj.tmp.2016.12.002&partnerID=40&md5=c6f244f0c45ac61272fcbabebbb4eae8","College of Business and Finance, Ahlia University, Bahrain; Rehabilitation Services Department, Periphery Hospitals Administration, Ministry of Health, Bahrain","Ganguli, S., College of Business and Finance, Ahlia University, Bahrain; Ebrahim, A.H., Rehabilitation Services Department, Periphery Hospitals Administration, Ministry of Health, Bahrain","Medical tourism, a rapidly growing market, has been recognized by many countries as a potential sector for economic diversification. Although Singapore stands out as one of the top destinations of medical tourism, investigation regarding its competitiveness has been limited and narrow in scope. This case study takes a qualitative approach to identify and analyze the factors that position Singapore as a competitive medical tourism destination. Based on a holistic approach, this study has shown that integrating diverse strategies for medical tourism development with sound government policies and proactive management practices have led to significant positive outcomes towards mutual success of tourism, healthcare and other economic sectors of Singapore. Additionally, the study provides strategic insights to drive lasting improvements in both public and private sectors of aspiring countries through efficient management and intelligent utilization of resources within and outside the medical tourism sector. © 2016 Elsevier Ltd","Globalization; Health care; Human capital development; Innovation; Kingdom of Bahrain; Medical tourism; Medical tourism stakeholders; Public-Private Partnership",,,,,,,,,"A*STAR, (2015) STEP 2015 science, technology & enterprise plan 2015, , http://www.a-star.edu.sg/portals/0/media/otherpubs/step2015_1jun.pdf, Singapore: A*STAR. 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Manage. Perspect.",Article,"Final",,Scopus,2-s2.0-85008627135 "Guiry M., Vequist D.G., IV","36808069300;55666196900;","South Korea's Medical Tourism Destination Brand Personality and the Influence of Personal Values",2015,"Asia Pacific Journal of Tourism Research","20","5",,"563","584",,18,"10.1080/10941665.2014.904804","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929049991&doi=10.1080%2f10941665.2014.904804&partnerID=40&md5=44a420aea80f8a2e539bcfb5404a68fd","H-E-B School of Business & Administration, University of the Incarnate Word, 4301 Broadway, CPO #109, San Antonio, TX 78209, United States; Center for Medical Tourism Research, University of the Incarnate Word, 4301 Broadway, CPO #460, San Antonio, TX 78209, United States","Guiry, M., H-E-B School of Business & Administration, University of the Incarnate Word, 4301 Broadway, CPO #109, San Antonio, TX 78209, United States; Vequist, D.G., IV, Center for Medical Tourism Research, University of the Incarnate Word, 4301 Broadway, CPO #460, San Antonio, TX 78209, United States","Adopting Aaker's brand personality scale, this study aimed to determine South Korea's medical tourism destination personality. Based on a survey of US consumers, the results indicate that South Korea's medical tourism destination personality comprised three dimensions: sincerity, competence, and ruggedness. Furthermore, sincerity and competence positively influenced consumers' willingness to travel to South Korea for medical care. This study also found that personal values, in particular excitement, self-respect, sense of belonging, and being well respected, were significant positive predictors of South Korea's medical tourism destination personality. Marketing implications of the findings are discussed, and suggestions for future research are offered. 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Retrieved August 27, 2012, from; Zaichkowsky, J.L., Measuring the involvement construct (1985) Journal of Consumer Research, 12 (3), pp. 341-352","Guiry, M.; H-E-B School of Business & Administration, University of the Incarnate Word, 4301 Broadway, CPO #109, United States",,,"Routledge",,,,,10941665,,,,"English","Asia Pac. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-84929049991 "Maurer F.P., Castelberg C., Braun Von A., Wolfensberger A., Bloemberg G.V., Böttger E.C., Somoskovi A.","55413715500;56226560100;56377948600;14012679800;56576104400;24435585500;6701430818;","Postsurgical wound infections due to rapidly growing mycobacteria in Swiss medical tourists following cosmetic surgery in Latin America between 2012 and 2014",2014,"Eurosurveillance","19","37",,"","",4,18,"10.2807/1560-7917.ES2014.19.37.20905","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907743359&doi=10.2807%2f1560-7917.ES2014.19.37.20905&partnerID=40&md5=afec14e4450ff3c2de7a67a1aa7f22e3","Institute for Medical Microbiology, University of Zurich, Zurich, Switzerland; National Reference Centre for Mycobacteria, University of Zurich, Zurich, Switzerland; Division for Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland","Maurer, F.P., Institute for Medical Microbiology, University of Zurich, Zurich, Switzerland, National Reference Centre for Mycobacteria, University of Zurich, Zurich, Switzerland; Castelberg, C., Institute for Medical Microbiology, University of Zurich, Zurich, Switzerland; Braun Von, A., Division for Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland; Wolfensberger, A., Division for Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland; Bloemberg, G.V., Institute for Medical Microbiology, University of Zurich, Zurich, Switzerland; Böttger, E.C., Institute for Medical Microbiology, University of Zurich, Zurich, Switzerland, National Reference Centre for Mycobacteria, University of Zurich, Zurich, Switzerland; Somoskovi, A., Institute for Medical Microbiology, University of Zurich, Zurich, Switzerland, National Reference Centre for Mycobacteria, University of Zurich, Zurich, Switzerland","Between October 2012 and August 2014, several Swiss patients developed severe soft tissue infections due to rapidly growing mycobacteria following cosmetic surgery in the Dominican Republic, Ecuador and Mexico. Infections were caused by Mycobacterium abscessus (n=5), Mycobacterium sp. JAN1 (n=1) and M. conceptionense (n=1). Similar cases may have remained unrecognised due to a lack of notification requirements. Microbiological work-up of medical tourists with infections following cosmetic surgery should include rapidly growing mycobacteria. © European Centre for Disease Prevention and Control (ECDC). All rights reserved.",,"amikacin; clarithromycin; linezolid; moxifloxacin; oxytetracycline; tigecycline; adult; Article; atypical mycobacteriosis; breast augmentation; breast reduction; clinical article; debridement; drug sensitivity; esthetic surgery; female; granulomatous inflammation; histopathology; human; human tissue; liposuction; medical tourism; minimum inhibitory concentration; molecular typing; multilocus sequence typing; Mycobacterium abscessus; Mycobacterium massiliense; polymerase chain reaction; random amplified polymorphic DNA; skin defect; South and Central America; surgical infection; Swiss",,"amikacin, 37517-28-5, 39831-55-5; clarithromycin, 81103-11-9; linezolid, 165800-03-3; moxifloxacin, 151096-09-2; oxytetracycline, 2058-46-0, 56761-42-3, 79-57-2; tigecycline, 220620-09-7",,,,,,"Adekambi, T., Stein, A., Carvajal, J., Raoult, D., Drancourt, M., Description of Mycobacterium conceptionense sp. nov., a Mycobacterium fortuitum group organism isolated from a posttraumatic osteitis inflammation (2006) J Clin Microbiol, 44 (4), pp. 1268-1273. , http://dx.doi.org/10.1128/JCM.44.4.1268-1273.2006; Whipps, C.M., Butler, W.R., Pourahmad, F., Watral, V.G., Kent, M.L., Molecular systematics support the revival of Mycobacterium salmoniphilum (ex Ross 1960) sp. nov., nom. rev., a species closely related to Mycobacterium chelonae (2007) Int J Syst Evol Microbiol, 57 (11), pp. 2525-2531. , http://dx.doi.org/10.1099/ijs.0.64841-0, Pt; (2011) Susceptibility testing of Mycobacteria, Nocardiae, and Other Aerobic Actinomycetes, , Clinical and Laboratory Standards Institute (CLSI), Approved Standard-Second Edition. 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Safranek, T.J., Jarvis, W.R., Carson, L.A., Cusick, L.B., Bland, L.A., Swenson, J.M., Mycobacterium chelonae wound infections after plastic surgery employing contaminated gentian violet skin-marking solution (1987) N Engl J Med, 317 (4), pp. 197-201. , http://dx.doi.org/10.1056/NEJM198707233170403; Villanueva, A., Calderon, R.V., Vargas, B.A., Ruiz, F., Aguero, S., Zhang, Y., Report on an outbreak of postinjection abscesses due to Mycobacterium abscessus, including management with surgery and clarithromycin therapy and comparison of strains by random amplified polymorphic DNA polymerase chain reaction (1997) Clin Infect Dis, 24 (6), pp. 1147-1153. , http://dx.doi.org/10.1086/513656; Thomson, R., Tolson, C., Sidjabat, H., Huygens, F., Hargreaves, M., Mycobacterium abscessus isolated from municipal water - a potential source of human infection (2013) BMC Infect Dis, 13, p. 241. , http://dx.doi.org/10.1186/1471-2334-13-241; Covert, T.C., Rodgers, M.R., Reyes, A.L., Stelma, G.N., Jr., Occurrence of nontuberculous mycobacteria in environmental samples (1999) Appl Environ Microbiol, 65 (6), pp. 2492-2496; Griffith, D.E., Aksamit, T., Brown-Elliott, B.A., Catanzaro, A., Daley, C., Gordin, F., An official ATS/IDSA statement: Diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases (2007) Am J Respir Crit Care Med, 175 (4), pp. 367-416. , http://dx.doi.org/10.1164/rccm.200604-571ST; Bechara, C., Macheras, E., Heym, B., Pages, A., Auffret, N., Mycobacterium abscessus skin infection after tattooing: First case report and review of the literature (2010) Dermatology, 221 (1), pp. 1-4. , http://dx.doi.org/10.1159/000313974; Wallace, R.J., Jr., Swenson, J.M., Silcox, V.A., Good, R.C., Tschen, J.A., Stone, M.S., Spectrum of disease due to rapidly growing mycobacteria (1983) Rev Infect Dis, 5 (4), pp. 657-679. , http://dx.doi.org/10.1093/clinids/5.4.657; Villanueva, A., Calderon, R.V., Vargas, B.A., Ruiz, F., Aguero, S., Zhang, Y., Report on an outbreak of postinjection abscesses due to Mycobacterium abscessus, including management with surgery and clarithromycin therapy and comparison of strains by random amplified polymorphic DNA polymerase chain reaction (1997) Clin Infect Dis, 24 (6), pp. 1147-1153. , http://dx.doi.org/10.1086/513656; Brown-Elliott, B.A., Wallace, R.J., Jr., Clinical and taxonomic status of pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria (2002) Clin Microbiol Rev, 15 (4), pp. 716-746. , http://dx.doi.org/10.1128/CMR.15.4.716-746.2002; Nessar, R., Cambau, E., Reyrat, J.M., Murray, A., Gicquel, B., Mycobacterium abscessus: A new antibiotic nightmare (2012) J Antimicrob Chemother, 67 (4), pp. 810-818. , http://dx.doi.org/10.1093/jac/dkr578; Brown-Elliott, B.A., Nash, K.A., Wallace, R.J., Jr., Antimicrobial susceptibility testing, drug resistance mechanisms, and therapy of infections with nontuberculous mycobacteria (2012) Clin Microbiol Rev, 25 (3), pp. 545-582. , http://dx.doi.org/10.1128/CMR.05030-11; Jarand, J., Levin, A., Zhang, L., Huitt, G., Mitchell, J.D., Daley, C.L., Clinical and microbiologic outcomes in patients receiving treatment for Mycobacterium abscessus pulmonary disease (2011) Clin Infect Dis, 52 (5), pp. 565-571. , http://dx.doi.org/10.1093/cid/ciq237; Jeon, K., Kwon, O.J., Lee, N.Y., Kim, B.J., Kook, Y.H., Lee, S.H., Antibiotic treatment of Mycobacterium abscessus lung disease: A retrospective analysis of 65 patients (2009) Am J Respir Crit Care Med, 180 (9), pp. 896-902. , http://dx.doi.org/10.1164/rccm.200905-0704OC; Maurer, F.P., Ruegger, V., Ritter, C., Bloemberg, G.V., Böttger, E.C., Acquisition of clarithromycin resistance mutations in the 23S rRNA gene of Mycobacterium abscessus in the presence of inducible erm(41) (2012) J Antimicrob Chemother, 67 (11), pp. 2606-2611. , http://dx.doi.org/10.1093/jac/dks279; Wallace, R.J., Jr., Meier, A., Brown, B.A., Zhang, Y., Sander, P., Onyi, G.O., Genetic basis for clarithromycin resistance among isolates of Mycobacterium chelonae and Mycobacterium abscessus (1996) Antimicrob Agents Chemother, 40 (7), pp. 1676-1681; Böttger, E.C., Transmission of M. Abscessus in patients with cystic fibrosis (2013) Lancet, 382 (9891), pp. 503-504. , http://dx.doi.org/10.1016/S0140-6736(13)61708-0; Thibeaut, S., Levy, P.Y., Pelletier, M.L., Drancourt, M., Mycobacterium conceptionense infection after breast implant surgery, France (2010) Emerg Infect Dis, 16 (7), pp. 1180-1181. , http://dx.doi.org/10.3201/eid1607.090771; Sampaio, J.L., Chimara, E., Ferrazoli, L., Da Silva Telles, M.A., Del Guercio, V.M., Jericó, Z.V., Application of four molecular typing methods for analysis of Mycobacterium fortuitum group strains causing post-mammaplasty infections (2006) Clin Microbiol Infect, 12 (2), pp. 142-149. , http://dx.doi.org/10.1111/j.1469-0691.2005.01312.x; Winthrop, K.L., Abrams, M., Yakrus, M., Schwartz, I., Ely, J., Gillies, D., An outbreak of mycobacterial furunculosis associated with footbaths at a nail salon (2002) N Engl J Med, 346 (18), pp. 1366-1371. , http://dx.doi.org/10.1056/NEJMoa01264328; Wallace, R.J., Jr., Swenson, J.M., Silcox, V.A., Bullen, M.G., Treatment of nonpulmonary infections due to Mycobacterium fortuitum and Mycobacterium chelonei on the basis of in vitro susceptibilities (1985) J Infect Dis, 152 (3), pp. 500-514. , http://dx.doi.org/10.1093/infdis/152.3.500; Furuya, E.Y., Paez, A., Srinivasan, A., Cooksey, R., Augenbraun, M., Baron, M., Outbreak of Mycobacterium abscessus wound infections among “lipotourists” from the United States who underwent abdominoplasty in the Dominican Republic (2008) Clin Infect Dis, 46 (8), pp. 1181-1188. , http://dx.doi.org/10.1086/529191; Dominican Republic, 2003-2004 (2004) MMWR Morb Mortal Wkly Rep, 53 (23), p. 509. , Centers for Disease Control and Prevention. Nontuberculous mycobacterial infections after cosmetic surgery—Santo Domingo; Newman, M.I., Camberos, A.E., Ascherman, J., Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter (2005) Ann Plast Surg, 55 (1), pp. 107-110. , http://dx.doi.org/10.1097/01.sap.0000168030.87804.93, discussion 10; Viana-Niero, C., Lima, K.V., Lopes, M.L., Rabello, M.C., Marsola, L.R., Brilhante, V.C., Molecular characterization of Mycobacterium massiliense and Mycobacterium bolletii in isolates collected from outbreaks of infections after laparoscopic surgeries and cosmetic procedures (2008) J Clin Microbiol, 46 (3), pp. 850-855. , http://dx.doi.org/10.1128/JCM.02052-07; Schnabel, D., Gaines, J., Nguyen, D.B., Esposito, D.H., Ridpath, A., Yacisin, K., Notes from the field: Rapidly growing nontuberculous Mycobacterium wound infections among medical tourists undergoing cosmetic surgeries in the Dominican Republic--multiple states, March 2013-February 2014 (2014) MMWR Morb Mortal Wkly Rep, 63 (9), pp. 201-202","Maurer, F.P.; Institute for Medical Microbiology, University of ZurichSwitzerland",,,"European Centre for Disease Prevention and Control (ECDC)",,,,,1025496X,,,"25259531","English","Eurosurveillance",Article,"Final",Open Access,Scopus,2-s2.0-84907743359 "Sultana S., Haque A., Momen A., Yasmin F.","56286280800;46461377600;56286398700;36683722200;","Factors affecting the attractiveness of medical tourism destination: An empirical study on india- review article",2014,"Iranian Journal of Public Health","43","7",,"867","876",,18,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904552386&partnerID=40&md5=d3b577e546c257facfb66da8670db03b","Dept. of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Masha University, Jalan University Campus (JUC), Kuala Lumpur, Malaysia","Sultana, S., Dept. of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Haque, A., Dept. of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Momen, A., Dept. of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Yasmin, F., Masha University, Jalan University Campus (JUC), Kuala Lumpur, Malaysia","Background: In this edge, medical tourism is not a new idea. Medical treatment is one of the essential demands of human beings and it requires high quality and intensive care. Beside western world, few developing countries are playing key roles as medical tourism destinations. India is one of the leading names among these countries. The purpose of the paper is to find the factors influencing the attractiveness of India as a health tourism destination. Methods: The study has found the major contributing factors and their relative importance in the attractiveness of the health tourism destination that is India from consumers perspectives by conducting survey with an application of structural equation modelling approach. Results: In Indian context, medical tourists consider service quality and cost mostly to select any medical destination. In addition they also give value to the destination competitiveness but tourist attitude is less important in comparison with other factors affecting their destination choice. Since the study has used structural equation modelling approach to test the hypothesis and figure out the relative importance of the factors, the fundamental indices such as Normed Chi square(less than 3), RMSEA (less than 0.08) and CFI (more than 0.90) values show the overall model fit of the proposed model. Conclusion: In order to transform a country such as India as an attractive and competitive medical tourist destination in this time of globalization, a step should be taken to control cost ensuring the quality of services.","Destination competitiveness; Factors; India; Medical tourism",,,,,,,,,"Kshetri, N., The healthcare off-shoring industry in developing economies-institutional and economic foundations: An Indian case (2011) Int J Health Care Qual Assur, 24 (6), pp. 453-470; Enderwick, P., Nagar, S., The competitive challenge of emerging markets: The case of medical tourism (2011) Int J Emerg Market, 6 (4), pp. 329-350; Ray, S., Mukherjee, A., Development of a framework towards successful implementation of e-governance initiatives in health sector in India (2007) Int J Health Care Qual Assur, 20 (6), pp. 464-483; Srinivasan, S., O'Fallon, L.R., Dearry, A., Creating healthy communities, healthy homes, healthy people: Initiating a research agenda on the built environment and public health (2003) American J Publ Health, 93 (9), pp. 1446-1450; Lal, S., National Oral Health Care Programme (NOHCP) implementation strategies (2004) Indian J Commun Med, 29 (1); Gupta, A.S., Medical tourism in India: Winners and losers (2008) Indian J Med Ethics, 5 (1), pp. 4-5; Mochi, P., Shetty, N., Vahoniya, D., Medical tourism destination (2013) Indian Commerce and Manage, 2 (3), pp. 29-39; Saligram, P., Bhattacharjee, A., Crooks, V., La-Bonté, R., Schram, A., Snyder, J., (2014) An Overview of the Medical Tourism Industry In Bangalore, , India-Version 1.0. Canadian Institute of Health Research, Canada; Madha, S., Crooks, V., Labonté, R., Schram, A., Kalaivani, R., Nithya, S., Snyder, J., (2014) An Overview of the Medical Tourism Industry In Chennai, , India-Version 1.0. Canadian Institute of Health Research, Canada; Mosbah, A., Saleh, A.A., A Review of Tourism Development in Malaysia (2014) Euro J Bus and Manage, 6 (5), pp. 1-9; Al-Amin, M., Makarem, S.C., Pradhan, R., Hospital ability to attract international patients: A conceptual framework (2011) Int J Pharma Health Market, 5 (3), pp. 205-221; Crouch, G.I., Ritchie, J.R., Application of the Analytic Hierarchy Process to Tourism Choice and Decision Making: A Review and Illustration Applied to Destination Competitiveness (2005) Tourism Anal, 10 (1), pp. 17-25; Ritchie, J.R., Crouch, G.I., The Competitive Destination: A Sustainability Perspective (2000) Tourism Manage, 21 (1), pp. 1-7; Parasuraman, A., Zeithaml, V.A., Berry, L.L., Reassessment of expectations as a comparison standard in measuring service quality: Implications for future research (1994) J Market, 58, pp. 111-124; Lewis, B.R., Quality in the service sector-A review (1989) Int J Bank Mark, 7 (5); Wilkinson, A., Witcher, B., Quality concerns for managers (1991) Int J Qual Reliab Manage, L9 (2), pp. 64-67; Hjalager, A.M., Innovation patterns in sustainable tourism: An analytical typology (1997) Tourism Manage, 18 (1), pp. 35-41; Buhalis, D., Law, R., Progress in information technology and tourism management: 20 years on and 10 years after the Internet-The state of e-Tourism research (2008) Tourism Manage, 29 (4), pp. 609-623; Thwaites, E., Williams, C., Service recovery: A naturalistic decision-making approach (2006) Manage Serv Qual, 16 (6), pp. 641-653; Baum, T., Human resources in tourism: Still waiting for change (2007) Tourism Manage, 28 (6), pp. 1383-1399; Berry, L.L., Bendapudi, N., Health care a fertile field for service research (2007) J Serv Res, 10 (2), pp. 111-122; Joy-Matthews, J., Megginson, D., Surtees, M., (2004) Human Resource Development, , 1st ed. Kogan Page, London; D'Annunzio, G., Maxwell, W.A., (2002) Human Resource Management: International Perspectives In Hopitality and Tourism, , 2nd ed. Thomson Learning, London; Baum, T., Hagen, L., Responses to seasonality: The experiences of peripheral destination (1999) Int J Tour Res, 1, pp. 299-312; Wiley, J.W., Customer satisfaction: A supportive work environment and its financial cost (1990) Human Res Plann, 14, pp. 117-127; Goodwin, C., Ross, I., Consumer evaluations of responses to complaints: What 's fair and why? (1990) J Cons Market, 7 (2), pp. 39-47; Kamdampully, J., (1997) Hospitality, Tourism and Leisure Management: Issues In Strategy and Culture, , 4th ed. Cassell, London; Schlesinger, L.A., Hesket, J.L., The service driven service company (1991) Harvard Bus Rev, 5, pp. 71-81; Kotler, P., Bowen, M., (2003) Marketing For Hospitality and Tourism, , 3rd ed. Pearson Education Inc, New Jersey; Fazio, R.H., Zanna, M.P., Direct experience and attitude-behavior consistency (1981) Advance Exp Soc Psycho, 14, pp. 161-202; Strethnal, C.R., (1982) Consumer Behavior: An Information Processing Perspective, , 2nd ed. Prentice-Hall, Canada; Hosseini, H., Strategies to contain the high and rising costs of health: Will they increase existing health care disparities and are they ethical? (2010) Humanomics, 26 (2), pp. 112-123; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72 (5), pp. 726-732; Meyer, D., (2000) Applied Research Design For Business and Management, pp. 52-56. , 2nd ed. McGraw-Hill, Sydney; Hair, J.F., Anderson, R.E., Tatham, R.L., Black, W.C., (1992) Multivariate Data Analysis, pp. 47-82. , 3rd ed. Macmillan, New York; Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., (2010) Multivariate Data Analysis, , 7th ed. Prentice Hall, Upper Saddle River, New Jersey; Hultsman, J., Just tourism: An ethical framework (1995) Annals Tourism Res, 22, pp. 553-567","Momen, A.; Dept. of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; email: momeniium@gmail.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Review,"Final",,Scopus,2-s2.0-84904552386 "Imison M., Schweinsberg S.","25635942100;12767027000;","Australian news media framing of medical tourism in low- and middle-income countries: A content review",2013,"BMC Public Health","13","1", 109,"","",,18,"10.1186/1471-2458-13-109","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84873253067&doi=10.1186%2f1471-2458-13-109&partnerID=40&md5=b796d5d5f3d03b889b33e3bc57a7f434","Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia; Events, Leisure, Sport, Tourism and Arts, Management Discipline Group, University of Technology Sydney, Sydney, NSW, Australia","Imison, M., Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia; Schweinsberg, S., Events, Leisure, Sport, Tourism and Arts, Management Discipline Group, University of Technology Sydney, Sydney, NSW, Australia","Background: Medical tourism - travel across international borders for health care - appears to be growing globally, with patients from high-income nations increasingly visiting low- and middle-income countries to access such services. This paper analyses Australian television and newspaper news and current affairs coverage to examine how medical tourism and these destinations for the practice are represented to media audiences. Methods: Electronic copies of Australian television (n = 66) and newspaper (n = 65) items from 2005-2011 about medical care overseas were coded for patterns of reporting (year, format and type) and story characteristics (geographic and medical foci in the coverage, news actors featured and appeals, credibility and risks of the practice mentioned). Results: Australian media coverage of medical tourism was largely focused on Asia, featuring cosmetic surgery procedures and therapies unavailable domestically. Experts were the most frequently-appearing news actors, followed by patients. Common among the types of appeals mentioned were access to services and low cost. Factors lending credibility included personal testimony, while uncertainty and ethical dilemmas featured strongly among potential risks mentioned from medical tourism. Conclusions: The Australian media coverage of medical tourism was characterised by a narrow range of medical, geographic and ethical concerns, a focus on individual Australian patients and on content presented as being personally relevant for domestic audiences. Medical tourism was portrayed as an exercise of economically-rational consumer choice, but with no attention given to its consequences for the commodification of health or broader political, medical and ethical implications. In this picture, LMICs were no longer passive recipients of aid but providers of a beneficial service to Australian patients. © 2013 Imison and Schweinsberg; licensee BioMed Central Ltd.","Australia; Content analysis; Low- and middle-income countries; Medical tourism; News media; Newspaper; Television","Australia; developing country; human; medical tourism; publication; review; statistics; television; Australia; Developing Countries; Humans; Medical Tourism; Newspapers; Television",,,,,,,,"Brodie, M., Hamel, E.C., De, A., Blendon, R.J., Benson, J.M., Health news and the American public 1996-2002 (2003) J Health Polit Polic, 28, pp. 927-950; Seale, C., Health and media: An overview (2003) Sociol Health Ill, 25, pp. 513-531; Bacon, W., Nash, C., How the Australian media cover humanitarian issues (2003) Australian J Rev, 25, pp. 5-30; Wu, H.D., Systemic determinants of international news coverage: A comparison of 38 countries (2000) J Commun, 50, pp. 110-130; Adams, W.C., Whose lives count? TV coverage of natural disasters (1986) J Commun, 36, pp. 113-122; Hanusch, F., Valuing those close to us: A comparison of German and Australian quality newspapers' reporting of death in foreign news (2008) J Stud, 9, pp. 341-356; Imison, M., Chapman, S., Disease, disaster and despair? the presentation of health in low-and middle-income countries on Australian television (2010) PLoS ONE, 5, p. e14106; Imison, M., Chapman, S., Australian journalists' reflections on local coverage of a health-related story from the developing world (2012) Australian J Rev, 34, pp. 93-107; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity in Health, 9, p. 24; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Rev, 66, pp. 4-15; Johnston, R., Crooks, V.A., Snyder, J., I didn't even know what i was looking for. . . A qualitative study of the decision-making processes of Canadian medical tourists (2012) Global Health, 8, p. 23; Turner, L., First world health care at third world prices Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism'-an avoidable burden on the NHS (2007) J Plast Reconstr Aesthet Surg, 60, pp. 1075-1077; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82, pp. 1658-1661; Horowitz, M.D., Rosenweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace. (2007) Medscape Gen Med, 9, p. 33; Connell, J., Medical tourism: Sea, sun, sand and. Surgery (2006) Tourism Manage, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) McKinsey Quart, pp. 1-11. , May; De Ramírez Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) Int J Health Serv, 37, pp. 193-198; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Glob Public Health, 3, pp. 271-290; Hall, C.M., James, M., Medical tourism: Emerging biosecurity and nosocomial issues (2011) Tourism Rev, 66, pp. 118-126; Connell, J., A new inequality? Privatisation, urban bias, migration and medical tourism (2011) Asia Pac Viewp, 52, pp. 260-271; Mainil, T., Platenkamp, V., Meulemans, H., The discourse of medical tourism in the media (2011) Tourism Rev, 66, pp. 31-44; Milstein, A., Smith, M.J., America's new refugees-seeking affordable surgery offshore (2006) N Engl J Med, 355, pp. 1637-1640; Chapman, S., Holding, S.J., Ellerm, J., Heenan, R.C., Fogarty, A.S., Imison, M., MacKenzie, R., McGeechan, K., The content and structure of Australian television reportage on health and medicine 2005-2009: Parameters to guide health workers (2009) Med J Australia, 191, pp. 620-624; Cohen, I.G., Medical tourism: The view from ten thousand feet (2010) Hastings Cent Rep, 40, pp. 11-12; The Declaration of Istanbul on organ trafficking and transplant tourism (2008) Transplantation, 86, pp. 1013-1018; Paterson, C.A., News agency dominance in international news on the internet (2005) Converging Media, Diverging Politics: A Political Economy of News Media in the United States and Canada, pp. 145-163. , Edited by Skinner D, Compton JR, Gasher M. Lanham Lexington Books; Lowe, P., Lee, E., Yardley, L., Under the influence? the construction of Foetal Alcohol Syndrome in UK newspapers (2010) Sociol Res Online, 15 (4); Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation and interactivity in medical tourism web sites (2011) J Health Commun, 16, pp. 163-177; Ormond, M., First world treatments at third world prices: The real cost of medical tourism (2008) Medical Tourism: A Growth Industry, pp. 69-77. , Edited by Anand R, Gupta S. Hyderabad: Icfai University Press; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives (2012) Public Health Ethics, 5, pp. 38-46; Johnston, R., Crooks, V.A., Adams, K., Snyder, J., Kingsbury, P., An industry perspective on Canadian patients' involvement in medical tourism: Implications for public health (2011) BMC Publ Health, 11, p. 416; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, p. 17; Boykoff, M.T., Boykoff, J.M., Balance as bias: Global warming and the US prestige press (2004) Global Environ Chang, 14, pp. 125-136; Allern, S., Journalistic and commercial news values: News organizations as patrons of an institution and market actors (2002) Nordicom Rev, 1-2, pp. 137-152; Helble, M., The movement of patients across borders: Challenges and opportunities for public health (2011) B World Health Organ, 89, pp. 68-72; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today What is the state of existing knowledge? (2010) J Public Health Pol, 31, pp. 185-198; Crooks, V.A., Snyder, J., Regulating medical tourism (2010) Lancet, 376, pp. 1465-1466; Shetty, P., Medical tourism booms in India but at what cost? (2010) Lancet, 376, pp. 671-672; ",,,,"BioMed Central Ltd.",,,,,14712458,,,"23384294","English","BMC Public Health",Article,"Final",Open Access,Scopus,2-s2.0-84873253067 "Didaskalou E.A., Nastos P.Th.","36950763300;6506393061;","The role of climatic and bioclimatic conditions in the development of health tourism product",2003,"Anatolia","14","2",,"107","126",,18,"10.1080/13032917.2003.9687020","https://www.scopus.com/inward/record.uri?eid=2-s2.0-2142700054&doi=10.1080%2f13032917.2003.9687020&partnerID=40&md5=0118c059c7530e7a592fb26bcd13fa90","30 TEE of Athens, 4 Drakontos Str., Athens 10442, Greece; Lab. of Climatol./Atmosph. Envrn., Department of Geography/Climatology, University of Athens, Athens, GR 157 84, Greece","Didaskalou, E.A., 30 TEE of Athens, 4 Drakontos Str., Athens 10442, Greece; Nastos, P.Th., Lab. of Climatol./Atmosph. Envrn., Department of Geography/Climatology, University of Athens, Athens, GR 157 84, Greece","The aim of this paper is to discuss the concept of health tourism product as a competitive tourism product with a focus on Ikaria Island, Greece. The diversification of the health tourism product is explored and the study identifies key components for a successful development of a spa resort. The paper also examines the prospects for the thermal/mineral springs of Ikaria Island, taking account of the climatic and bioclimatic regimes of the area. The study concludes that there are prospects for future development if the spa product is diversified. This, in combination with the good climatic conditions of the area, can be a starting point for providing services in order to satisfy potential clients. © 2003 anatolia Printed in Turkey. All rights reserved.","Climatic and bio-climatic conditions; Greece; Health tourism; Product diversification","bioclimatology; climate effect; health services; tourism development; tourist attraction; Eurasia; Europe; Greece; Ikaria; Northern Aegean; Southern Europe",,,,,,,,"Baloglu, S., McCleary, K., A model of destination image formation (1999) Annals of Tourism Research, 6 (4), pp. 597-868; Berry, F.A., Bollay, E., Beers, N.R., (1945) Handbook of Meteorology, , NY: McGraw-Hill; Bywater, M., Spas and health resorts in the EC (1990) Travel and Tourist Analyst, 6, pp. 52-67; Cockerell, N., Spas and health resorts in Europe (1996) Travel and Tourist Analyst, 1, pp. 53-77; Conrad, V., Pollak, L., (1950) Methods in Climatology, , Cambridge-Massachusetts Harvard University Press; Cooper, C.P., Fletcher, J., Westake, J.N., Changing tourism demand in Central Europe: The case of Romanian Tourist Spas (1995) The Journal of Tourism Studies, 6 (2), pp. 30-44; De Keyser, R., Vanhove, N., Tourism quality plan: An effective tourism policy tool (1997) Revue de Tourisme, 3, pp. 32-37; Gilbert, D.C., Van De Weerdt, M., The health care tourism product in Western Europe (1991) Revue de Tourism, 2, pp. 5-10; Giles, B.D., Balafoutis, C.H., Maheras, P., Too hot for comfort: The heatwaves in Greece in 1987 and 1988 (1990) International Journal of Biometeorology, 34, pp. 98-104; Goodrich, J., Goodrich, G., Health-Care tourism (1991) Managing Tourism, pp. 107-114. , S. Medlik (Ed), Oxford: Butterworth-Heinemann; Goodrich, J., Health tourism: A new positioning strategy for tourist destinations (1994) Global Tourist Behavior, pp. 227-238. , M. Uysal (Ed), NY: Haworth Press; Hall, C.M., Health and spa tourism (2003) International Sports and Adventure Tourism, pp. 273-292. , S. Hudson (Ed) NY: Haworth Press; Katsoulis, V.D., (1970) Wind Conditions in Aegean Sea, , PhD Thesis. University of Athens (In Greek); Low, E., Spas in Europe (1989) Leisure Management, 9 (2), pp. 46-48; Lund, J., Balneological use of thermal and mineral waters in the U.S.A (1996) Geothermics, 25 (1), pp. 103-147; Lund, J., Taking the waters: Introduction to balneology (2000) Geo-Heat Center-Quarterly Bulletin, 21 (3), pp. 2-5; Meler, M., Ruzic, D., Kovacevic, D., Health service: A part of the tourism product (1996) Tourism and Hospitality Management, 2 (2), pp. 265-278; Monteson, P., Singer, J., Turn your spa into a winner (1992) Cornell Hotel and Motel Restaurant Administration Quarterly, 33 (3), pp. 37-44; Ogorlec, A., Snoj, B., Guest's satisfaction with tourism services: A case of health resorts in Slovenia (1998) Revue de Tourisme, 2, pp. 38-45; Stein, T.J., Dev, C.S., Tabacchi, M.H., Spas: Redefining the market (1990) Cornell Hotel and Motel Restaurant Administration Quarterly, 30 (4), pp. 46-52; Thom, E., The discomfort index (1959) Weatherwise, 12, pp. 57-60; (1963) Bioclimatic Map of the Mediterranean Zone, , UNESCO-FAO Paris; Wigtman, D., The spa experience at radium hot springs (1985) Annals Af Tourism Research, 12 (3), pp. 54-56","Didaskalou, E.A.; 30 TEE of Athens, 4 Drakontos Str., Athens 10442, Greece; email: edidask@unipi.gr",,,"Anatolia",,,,,13032917,,,,"English","Anatolia",Article,"Final",,Scopus,2-s2.0-2142700054 "Dryglas D., Salamaga M.","56951251900;56820206900;","Segmentation by push motives in health tourism destinations: A case study of Polish spa resorts",2018,"Journal of Destination Marketing and Management","9",,,"234","246",,17,"10.1016/j.jdmm.2018.01.008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041944569&doi=10.1016%2fj.jdmm.2018.01.008&partnerID=40&md5=240987b08173fcecea5d40bae33efa74","AGH University of Science and Technology, Department of General Geology and Geotourism, al. Mickiewicza 30, Krakow, 30-059, Poland; Cracow University of Economics, Department of Statistics, Rakowicka 27, Krakow, 31-510, Poland","Dryglas, D., AGH University of Science and Technology, Department of General Geology and Geotourism, al. Mickiewicza 30, Krakow, 30-059, Poland; Salamaga, M., Cracow University of Economics, Department of Statistics, Rakowicka 27, Krakow, 31-510, Poland","The aim of the paper is to segment tourists visiting medical (traditional) spa resorts and examine the underlying factors that motivate them. Survey data were collected from 2050 tourists to spa resorts in Poland, using a self-administered questionnaire. A factor-clustering method used in the study identified three groups of push motives: treatment, prevention and tourism, as well as three distinct segments of tourists to Polish spa resorts: treatment seekers, wellness and treatment seekers, and tourism, treatment and wellness seekers. The results indicated that the segments differ from each other with respect to socio-demographic, behavioural and psychographic factors. The segments delineated have important implications for scholars, allowing them to understand the socio-demographic profile of tourists visiting spa resorts, their behaviours and the way they evaluate services, infrastructure and attractiveness of spa resorts, as well as for local governments and enterprises engaged in marketing and development in European medical spa resorts. © 2018 Elsevier Ltd","Health tourism destination; Poland; Push motive; Segmentation; Spa resort",,,,,,"11.11.140.005","This research was supported by the project: 'Partnership for the adaptability and modernization of spa resorts in Poland' run by the Institute of Tourism in Krakow, Poland within Human Capital Operational Program, priority VIII: Regional Human Resources of Economy, measure 8.1. Development of staff and enterprises in regions, sub-measure 8.1.2 Support for adaptation and modernization processes in the region, UDA-POKL.08.01.02-12-032/10-00. This work was also financially supported by AGH University of Science and Technology in Krakow grant No. 11.11.140.005 . We gratefully acknowledge the efforts of two anonymous reviewers for valuable comments on this paper. 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(2006) Tourism Recreation Research, 31 (1), pp. 5-14; Szromek, A.R., Romaniuk, P., The management of spa tourism centres in Poland structure of boards, and their perception of different types of visitors, with regard to the funding source of treatment (2014) American Journal of Tourism Management, 3 (1), pp. 9-16; Tuohino, A., The potential of lakes and lake landscape in the concept of Nordic wellbeing (2013) Polish Journal of Natural Sciences, 28 (2), pp. 267-281; Tuominen, T., Saari, S., Binder, D., Enhancing the competitiveness of a wellness tourism destination by coordinating the multiple actor collaboration (2017) The Routledge handbook of health tourism, pp. 285-297. , M. Smith L. Puczkó Routledge London; Voigt, C., Understanding wellness tourism: An analysis of benefits sought, health- promoting behaviors and positive psychological well-being (2010), University of South Australia; Voigt, C., Towards a conceptualisation of wellness tourism (2014) Wellness tourism. A destination perspective, pp. 19-44. , C. Voigt Ch. Pforr Routledge New York, NY; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Yang, Y., Li, T., Nielsen, M.E., Aging and cancer mortality: Dynamics of change and sex differences (2012) Experimental Gerontology, 47, pp. 695-705","Dryglas, D.; AGH University of Science and Technology, Department of General Geology and Geotourism, al. Mickiewicza 30, Poland; email: ddryglas@agh.edu.pl",,,"Elsevier Ltd",,,,,2212571X,,,,"English","J. Destin. Mark. Manage.",Article,"Final",,Scopus,2-s2.0-85041944569 "Hoyer E.H., Young D.L., Klein L.M., Kreif J., Shumock K., Hiser S., Friedman M., Lavezza A., Jette A., Chan K.S., Needham D.M.","55579132200;55199498900;57194193310;57194195714;57200529386;57194187326;57214449107;57189220156;35463959700;55549894100;7102365588;","Toward a common language for measuring patient mobility in the hospital: Reliability and construct validity of interprofessional mobility measures",2018,"Physical Therapy","98","2", pzx110,"133","142",,17,"10.1093/ptj/pzx110","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041506154&doi=10.1093%2fptj%2fpzx110&partnerID=40&md5=02408006dca9156ce46ec3843f963f62","Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States; Division of General Internal Medicine, Johns Hopkins University; Outcome After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Department of Physical Therapy, University of Nevada, 4505 S Maryland Pkwy, Box 453029, Las Vegas, NV, Las Vegas, MD 89154-3029, United States; Department of Neurosciences, Johns Hopkins Hospital, Baltimore, MD, United States; School of Public Health, Health and Disability Research Institute, Boston University, Boston, MA, United States; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health","Hoyer, E.H., Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States, Division of General Internal Medicine, Johns Hopkins University, Outcome After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Young, D.L., Department of Physical Therapy, University of Nevada, 4505 S Maryland Pkwy, Box 453029, Las Vegas, NV, Las Vegas, MD 89154-3029, United States, Department of Neurosciences, Johns Hopkins Hospital, Baltimore, MD, United States; Klein, L.M., School of Public Health, Health and Disability Research Institute, Boston University, Boston, MA, United States; Kreif, J., Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States; Shumock, K., Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States; Hiser, S., Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States; Friedman, M., Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States, Outcome After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Lavezza, A., Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States; Jette, A., School of Public Health, Health and Disability Research Institute, Boston University, Boston, MA, United States; Chan, K.S., Outcome After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health; Needham, D.M., Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States, Division of General Internal Medicine, Johns Hopkins University, Outcome After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States","Background. The lack of common language among interprofessional inpatient clinical teams is an important barrier to achieving inpatient mobilization. In The Johns Hopkins Hospital, the Activity Measure for Post-Acute Care (AM-PAC) Inpatient Mobility Short Form (IMSF), also called ""6-Clicks,"" and the Johns Hopkins Highest Level of Mobility (JH-HLM) are part of routine clinical practice. The measurement characteristics of these tools when used by both nurses and physical therapists for interprofessional communication or assessment are unknown. Objective. The purposes of this study were to evaluate the reliability and minimal detectable change of AM-PAC IMSF and JH-HLM when completed by nurses and physical therapists and to evaluate the construct validity of both measures when used by nurses. Design. A prospective evaluation of a convenience sample was used. Methods. The test-retest reliability and the interrater reliability of AM-PAC IMSF and JH-HLM for inpatients in the neuroscience department (n = 118) of an academic medical center were evaluated. Each participant was independently scored twice by a team of 2 nurses and 1 physical therapist; a total of 4 physical therapists and 8 nurses participated in reliability testing. In a separate inpatient study protocol (n = 69), construct validity was evaluated via an assessment of convergent validity with other measures of function (grip strength, Katz Activities of Daily Living Scale, 2-minute walk test, 5-times sit-to-stand test) used by 5 nurses. Results. The test-retest reliability values (intraclass correlation coefficients) for physical therapists and nurses were 0.91 and 0.97, respectively, for AM-PAC IMSF and 0.94 and 0.95, respectively, for JH-HLM. The interrater reliability values (intraclass correlation coefficients) between physical therapists and nurses were 0.96 for AM-PAC IMSF and 0.99 for JH-HLM. Construct validity (Spearman correlations) ranged from 0.25 between JH-HLM and right-hand grip strength to 0.80 between AM-PAC IMSF and the Katz Activities of Daily Living Scale. Limitations. The results were obtained from inpatients in the neuroscience department of a single hospital. Conclusions. The AM-PAC IMSF and JH-HLM had excellent interrater reliability and test-retest reliability for both physical therapists and nurses. The evaluation of convergent validity suggested that AM-PAC IMSF and JH-HLM measured constructs of patient mobility and physical functioning. © 2017 American Physical Therapy Association.",,"adult; article; construct validity; convenience sample; convergent validity; correlation coefficient; daily life activity; female; grip strength; hand; hospital patient; human; interrater reliability; language; major clinical study; male; neuroscience; nurse; patient mobility; physiotherapist; prospective study; subacute care; test retest reliability; university hospital; walk test; aged; disability; hand strength; hospital; interpersonal communication; middle aged; nomenclature; observer variation; patient care; reproducibility; validation study; walking difficulty; Activities of Daily Living; Adult; Aged; Communication; Disability Evaluation; Female; Hand Strength; Hospitals; Humans; Male; Middle Aged; Mobility Limitation; Nurses; Observer Variation; Patient Care Team; Physical Therapists; Reproducibility of Results; Subacute Care; Terminology as Topic; Walk Test",,,,,"Johns Hopkins University, JHU Johns Hopkins University, JHU","This research was supported by a Foundation for Physical Therapy Center of Excellence in Physical Therapy Health Services and Health Policy research and training grant. E.H. Hoyer was supported by an internal grant within Johns Hopkins University, Baltimore, Maryland. D.L. Young is a part-time faculty fellow with the Center on Health Services Training and Research (CoHSTAR), which provided financial support to the University of Nevada, Las Vegas, for this project. The funding sources played no role, beyond giving protected research time and travel support to Drs Hoyer and Young, in the conduct of the study.","This research was supported by a Foundation for Physical Therapy Center of Excellence in Physical Therapy Health Services and Health Policy research and training grant. E.H. Hoy-er was supported by an internal grant within Johns Hopkins University, Baltimore, Maryland. D.L. Young is a part-time faculty fellow with the Center on Health Services Training and Research (CoHSTAR), which provided financial support to the University of Nevada, Las Vegas, for this project.","Creditor, M.C., Hazards of hospitalization of the elderly (1993) Ann Intern Med., 118, pp. 219-223; Covinsky, K.E., Pierluissi, E., Johnston, C.B., Hospitalization-associated disability: ""She was probably able to ambulate, but I'm not sure (2011) JAMA, 306, pp. 1782-1793; Brown, C.J., Foley, K.T., Lowman, J.D., Comparison of posthospitalization function and community mobility in hospital mobility program and usual care patients: a randomized clinical trial (2016) JAMA Intern Med., 248, pp. 847-850; Greysen, S.R., Activating hospitalized older patients to confront the epidemic of low mobility (2016) JAMA Intern Med., 176, pp. 928-929; Carpenter, I., Bobby, J., Kulinskaya, E., Seymour, G., People admitted to hospital with physical disability have increased length of stay: implications for diagnosis related group re-imbursement in England (2007) Age Ageing., 36, pp. 73-78; Saulle, M.F., Schambra, H.M., Recovery and rehabilitation after intracerebral hemorrhage (2016) Semin Neurol., 36, pp. 306-312; Balas, M.C., Vasilevskis, E.E., Olsen, K.M., Effectiveness and safety of the awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle (2014) Crit Care Med., 42, pp. 1024-1036; Yosef-Brauner, O., Adi, N., Ben Shahar, T., Yehezkel, E., Carmeli, E., Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness (2015) Clin Respir J., 9, pp. 1-6; Parker, A.M., Lord, R.K., Needham, D.M., Increasing the dose of acute rehabilitation: is there a benefit? 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Ther.",Article,"Final",Open Access,Scopus,2-s2.0-85041506154 "Aggarwal A., Lewis D., Mason M., Sullivan R., Van Der Meulen J.","57109817600;7404751547;7201987236;7402485056;57203180833;","Patient Mobility for Elective Secondary Health Care Services in Response to Patient Choice Policies: A Systematic Review",2017,"Medical Care Research and Review","74","4",,"379","403",,17,"10.1177/1077558716654631","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021997878&doi=10.1177%2f1077558716654631&partnerID=40&md5=4fab15f452c0e28a48a53393fcf37399","London School of Hygiene and Tropical Medicine, London, United Kingdom; Cardiff University, Cardiff, United Kingdom; King's College London, London, United Kingdom; Health Equity Research Laboratory, Cambridge Health Alliance, 1035 Cambridge Street, Cambridge, MA 02141, United States","Aggarwal, A., London School of Hygiene and Tropical Medicine, London, United Kingdom, Cardiff University, Cardiff, United Kingdom, Health Equity Research Laboratory, Cambridge Health Alliance, 1035 Cambridge Street, Cambridge, MA 02141, United States; Lewis, D., London School of Hygiene and Tropical Medicine, London, United Kingdom; Mason, M., Cardiff University, Cardiff, United Kingdom; Sullivan, R., King's College London, London, United Kingdom; Van Der Meulen, J., London School of Hygiene and Tropical Medicine, London, United Kingdom, Cardiff University, Cardiff, United Kingdom","Our review establishes the empirical evidence for patient mobility for elective secondary care services in countries that allow patients to choose their health care provider. PubMed and Embase were searched for relevant articles between 1990 and 2015. Of 5,994 titles/abstracts reviewed, 26 studies were included. The studies used three main methodological models to establish mobility. Variation in the extent of patient mobility was observed across the studies. Mobility was positively associated with lower waiting times, indicators of better service quality, and access to advanced technology. It was negatively associated with advanced age or lower socioeconomic backgrounds. From a policy perspective we demonstrate that a significant proportion of patients are prepared to travel beyond their nearest provider for elective services. As a consequence, some providers are likely to be ""winners"" and others ""losers,"" which could result in overall decreased provider capacity or inefficient utilization of existing services. Equity also remains a key concern. © The Author(s) 2016.","hospital bypassing; patient choice; patient mobility; provider competition","competition; Embase; female; hospital; human; male; Medline; model; patient mobility; secondary health care; systematic review; travel; decision making; health care delivery; health care personnel; health care policy; health care quality; health service; hospital admission; standards; statistics and numerical data; supply and distribution; walking difficulty; Choice Behavior; Delivery of Health Care; Health Personnel; Health Policy; Health Services; Humans; Mobility Limitation; Quality of Health Care; Waiting Lists",,,,,"National Institute for Health Research, NIHR","The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Dr Ajay Aggarwal is funded by a Doctoral Research Fellowship from the National Institute for Health Research.",,"Balia, S., Brau, R., Marrocu, E., What drives patient mobility across Italian regions? 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Empirical evidence from the market for angioplasty in the Netherlands (2012) Journal of Health Economics, 31, pp. 371-378; Victoor, A., Delnoij, D.M., Friele, R.D., Rademakers, J.J., Determinants of patient choice of healthcare providers: A scoping review (2012) BMC Health Services Research, 12, p. 272; Vrangbæk, K., Østergren, K., Birk, H.O., Winblad, U., Patient reactions to hospital choice in Norway, Denmark, and Sweden (2007) Health Economics, Policy and Law, 2, pp. 125-152; Vrangbæk, K., Robertson, R., Winblad, U., Van De Bovenkamp, H., Dixon, A., Choice policies in Northern European health systems (2012) Health Economics, Policy and Law, 7, pp. 47-71","Aggarwal, A.; Health Equity Research Laboratory, Cambridge Health Alliance, 1035 Cambridge Street, United States; email: ajay.aggarwal@lshtm.ac.uk",,,"SAGE Publications Inc.",,,,,10775587,,MCRRF,"27357394","English","Med. Care Res. Rev.",Review,"Final",Open Access,Scopus,2-s2.0-85021997878 "Dimitrovski D., Todorović A.","55734921100;57214359164;","Clustering wellness tourists in spa environment",2015,"Tourism Management Perspectives","16",,,"259","265",,17,"10.1016/j.tmp.2015.09.004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84942123047&doi=10.1016%2fj.tmp.2015.09.004&partnerID=40&md5=4fce8b19874a73f40be0fdf712b130d7","University of Kragujevac, Faculty of Hotel Management and Tourism, Vrnjačka Banja, Vojvodjanska 5a, Vrnjacka Banja, 36210, Serbia; University in Belgrade, Faculty of Geography, Studentski trg 3/3, Belgrade, 11000, Serbia","Dimitrovski, D., University of Kragujevac, Faculty of Hotel Management and Tourism, Vrnjačka Banja, Vojvodjanska 5a, Vrnjacka Banja, 36210, Serbia; Todorović, A., University in Belgrade, Faculty of Geography, Studentski trg 3/3, Belgrade, 11000, Serbia","Spas meet the requirements of both medical and wellness tourists. The former are requiring treatments for specific medical reasons while the latter seek to preserve health. The differences between the two groups are therefore primarily one of the motives even while both may use a number of common resources. This study reports findings from a sample of 165 wellness tourists using the services at Vrnjacka Banja Spa, Serbia. Their motives are classified as 'rejuvenation', 'socialization', 'hedonism', 'obsession with health and beauty', 'relaxation' and 'escape from routine'. The study also examines the role of socio-demographic variables as determinants of being a 'wellness tourist'. © 2015 Elsevier Ltd.","Cluster analysis; Motivation; Serbia; Spa; Wellness tourists",,,,,,,,,"Chen, J.S., Prebensen, N., Wellness as tourist motivation: Case of Taiwan (2009) Wellness and tourism: Mind, body, spirit, place, pp. 231-238. , Cognizant Communication Corporation, New York, R. Bushell, P. Sheldon (Eds.); Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; Cockerell, N., Market segments: Spas and health resorts in Europe (1996) Travel and Tourism Analyst, 1, pp. 53-77; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34 (1), pp. 1-13; Crompton, J., McKay, S., Motives of visitors attending festival events (1997) Annals of Tourism Research, 24 (2), pp. 425-439; Deng, W., Using a revised importance-performance analysis approach: The case of Taiwanese hot springs tourism (2007) Tourism Management, 28, pp. 1274-1284; Douglas, N., Travelling for health: Spa and health resorts (2001) Special interest tourism: Context and cases, pp. 261-268. , John Wiley & Sons Australia, Milton, Queensland, Australia, N. Douglas, R. Derrett (Eds.); Dunn, H.L., High level wellness for man and society (1959) American Journal of Public Health, 49 (6), pp. 786-792; Dwyer, L., Edwards, D., Mistilis, N., Roman, C., Scott, N., Destination and enterprise management for a tourism future (2009) Tourism Management, 30, pp. 63-74; Formann, A.K., (1984) Die Latent-Class-Analyse: Einführung in die Theorie und Anwendung, , Beltz, Weinheim; Hair, J.F., Black, W.C., Babin, B., Anderson, R.E., Tatham, R.L., (2005) Multivariate data analysis, , Prentice Hall, New Jersey; Hall, C.M., Health and spa tourism (2003) International sports & adventure tourism, pp. 273-292. , Haworth Press, New York, S. Hudson (Ed.); Henderson, J.C., Healthcare tourism in Southeast Asia (2003) Tourism Review International, 7, pp. 111-121; Heung, V., Kucukusta, D., Wellness tourism in China: Resources, development and marketing (2013) International Journal of Tourism Research, 15 (4), pp. 346-359; King, J., Destination marketing organizations-Connecting the experience rather than promoting the place (2002) Journal of Vacation Marketing, 8 (2), pp. 105-108; Koh, S., Yoo, J.J.-Ye., Boger, C.A., Importance-performance analysis with benefit segmentation of spa goers (2010) International Journal of Contemporary Hospitality Management, 22 (5), pp. 718-735; Konu, H., Laukkanen, T., Predictors of tourists' wellbeing holiday intentions in Finland (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 144-149; Kosic, K., Pivac, T., Romelic, J., Lazic, L., Stojanovic, V., Characteristics of thermal-mineral waters in Backa region (Vojvodina) and their exploitation in spa tourism (2011) Renewable and Sustainable Energy Reviews, 15, pp. 801-807; Lee, C.-F., Ou, W.-M., Huang, H.-I., A study of destination attractiveness through domestic visitors' perspectives: The case of Taiwan's hot spring tourism sector (2009) Asia Pacific Journal of Tourism Research, 14 (1), pp. 17-38; Loureiro, S.M.C., Almeida, M., Rita, P., The effect of atmospheric cues and involvement on pleasure and relaxation: The spa hotel context (2013) International Journal of Hospitality Management, 35, pp. 35-43; Magdalini, V., Paris, T., The wellness tourism market in Greece - An interdisciplinary methodology approach (2009) Tourismos: An International Multidisciplinary Journal of Tourism, 4 (4), pp. 127-144; Mair, H., Tourism, health and the pharmacy: Towards a critical understanding of health and wellness tourism (2005) Tourism, 53 (4), pp. 335-346; Mak, A.H.N., Wong, K.K.F., Chang, R.C.Y., Health or self-indulgence? The motivations and characteristics of spa-goers (2009) International Journal of Tourism Research, 11, pp. 185-199; Mcneil, K.R., Ragins, E.J., Staying in the spa marketing game: Trends, challenges, strategies and techniques (2005) Journal of Vacation Marketing, 11 (1), pp. 31-39; Mueller, H., Kaufmann, E., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 7-15; Nahrstedt, W., Wellness: A new perspective for leisure centers, health tourism, and spas in Europe on the global health market (2004) The tourism and leisure industry shaping the future, pp. 181-195. , The Haworth Hospitality Press, New York, K. Weiermair, C. Mathies (Eds.); Pesonen, J., Laukkanen, T., Komppula, R., Benefit segmentation of potential wellbeing tourists (2011) Journal of Vacation Marketing, 17 (4), pp. 303-314; Pollock, A., Williams, P., Health tourism trends: Closing the gap between health care and tourism (2000) Trends in outdoor recreation, leisure and tourism, pp. 165-173. , CABI Pub., New York, D.W. Lime, W.C. Gartner (Eds.); Puczkó, L., Bacharov, M., Spa, bath, thermae: What's behind the labels (2006) Tourism Recreation Research, 31 (1), pp. 83-91; Qiu, W., Joe, H., (2009) ClusterGeneration: Random cluster generation (with specified degree of separation), R package version 1.2.7.; Ren, H., Xing, W.H., Fu, F., The concept of wellness from the perspective of Chinese culture (2007) Journal of Exercise Science and Fitness, 5 (2), pp. 95-101; Sheldon, P., Bushell, R., Introduction to wellness and tourism (2009) Wellness and tourism: Mind, body, spirit, place, , Cognizant Communication Books, New York, R. Bushell, P. Sheldon (Eds.); Simpson, P., Siguaw, J., Lifestyle and satisfaction of winter migrants (2013) Tourism Management Perspectives, 5, pp. 18-23; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Smith, M., Puczko, L., (2008) Health and wellness tourism, , Elsevier Science and Technology Books, Burlington, MA, USA; Smith, M., Puczko, L., (2009) Health and wellness tourism, , Butterworth - Heinemann, London; Snoj, B., Mumel, D., The measurement of perceived differences in service quality-The case of health spas in Slovenia (2002) Journal of Vacation Marketing, 8 (4), pp. 362-379; Steiner, C.J., Reisinger, Y., Ringing the fourfold: A philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 5-14; Suresh, S., Ravichandran, S., Ganesan, P., Understanding wellness center loyalty through lifestyle analysis (2011) Health Marketing Quarterly, 28, pp. 16-37","Dimitrovski, D.Voje Radica 4/11, Serbia",,,"Elsevier",,,,,22119736,,,,"English","Tour. Manage. Perspect.",Article,"Final",,Scopus,2-s2.0-84942123047 "Smith M., Puczkó L.","55495915200;6507221735;","More than a special interest: Defining and determining the demand for health tourism",2015,"Tourism Recreation Research","40","2",,"205","219",,17,"10.1080/02508281.2015.1045364","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84997848641&doi=10.1080%2f02508281.2015.1045364&partnerID=40&md5=15ff300fdabb48de3b56ad5d9a07df17","School of Tourism, Leisure and Hospitality, BKF University of Applied Sciences, 1-9 Nagy Lajos Kiraly Utja, Budapest, Hungary; Tourism and Catering Institute, BKF University of Applied Sciences, 1-9 Nagy Lajos Kiraly Utja, Budapest, Hungary","Smith, M., School of Tourism, Leisure and Hospitality, BKF University of Applied Sciences, 1-9 Nagy Lajos Kiraly Utja, Budapest, Hungary; Puczkó, L., Tourism and Catering Institute, BKF University of Applied Sciences, 1-9 Nagy Lajos Kiraly Utja, Budapest, Hungary","This paper focuses on health tourism and some of its sub-sectors, including wellness and spa tourism. The paper first provides an analysis of existing definitions with some proposals for refinement. The second part of the paper addresses the lacunae in data about health tourists. Although several isolated studies have been undertaken which have resulted in data about profiles and motivations of specific segments, there have been few studies that have provided an extensive overview of demand. One of the reasons for this gap is the difficulty inherent in procuring data from tourists themselves because of confidentiality and access issues. In order to overcome this challenge, the primary data collection was based on an online survey distributed to 420 health tourism suppliers in 50 countries who were asked about their local customers, as well as domestic and international tourists. Questions were posed about the main markets for health tourism, the most popular health tourism facilities, products and services, and the most common activities with which health tourism activities are packaged. The findings show that approximately 43% of all customers in health, wellness and spa facilities are tourists and that a surprising number of health tourists can be described as ‘core consumers’. © 2015 Taylor & Francis.","Definitions; Demand; Health tourism; Spas; Traditions; Trends; Wellness",,,,,,,,,"Ali-Knight, J., Yoga tourism (2009) Wellness and tourism: Mind, body, spirit, place, pp. 84-98. , R. Bushell & P. J. Sheldon (Eds.), New York: Cognizant Communication; Bushell, R., Sheldon, P.J., (2009) Wellness and tourism: Mind, body, spirit, place, , New York: Cognizant; Chaudhari, R., (2012) Global spa and wellness industry briefing papers 2012, pp. 5-6. , New York: Global Spa and Wellness Summit; Connell, J., (2011) Medical tourism, , Wallingford: CABI; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2012) Tourism Management, 34, pp. 1-13; Cummings, B., (2013) Time for the WHO to revisit their definition of health, , http://farmingtonmi.patch.com/groups/bob-cummingss-blog/p/bp-timefor-the-who-to-revisit-their-definition-of-h00171272cc, Retreived from; Donnolly, L., (2012) Facebook and twitter feed anxiety, study finds, , http://www.telegraph.co.uk/technology/9383609/Facebook-and-Twitter-feedanxiety-study-finds.html, Retreived from; Dunn, H.L., (1961) High-level wellness, , Arlington, VA: Beatty Press; Erfurt-Cooper, P., Cooper, M., (2009) Health and wellness tourism: Spas and hot springs, , Clevedon: Channel View; Gerritsma, R., The growing yoga community in the Netherlands: How yoga is becoming a lifestyle product including tourism activities (2008) Health and wellness tourism, pp. 361-365. , M. 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Not so, say experts, , http://pennyhaw.wordpress.com/2011/11/20/the-longer-youwork-the-more-productive-you-are-not-so-say-experts, Retreived from; (2006) Spa-goer study, , Bellevue, WA: The Hartman Group; (2013) Types of spas, , http://www.experienceispa.com/spa-goers/spa-101/types-of-spas, Retreived from; (1973) Health tourism, , Geneva: United Nations; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29, pp. 344-362; Kelly, C., Wellness tourism: Retreat visitor motivations and experiences (2012) Tourism Recreation Research, 37 (3), pp. 205-213; Khayat, M.H., (1998) Spirituality in the definition of health: The World Health Organization’s point of view, , http://www.medizinethik.ch/publik/spirituality_definition_health.htm, Retreived from; Konu, H., Tuohino, A., Björk, P., Well-being tourism in Finland (2013) Health, tourism and hospitality: Spas, wellness and medical travel, pp. 345-349. , M. K. Smith & L. 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Embracing new trends in European health tourism (2010) Tourism Recreation Research, 35 (2), pp. 161-172; Smith, M.K., Puczkó, L., (2013) Health, tourism and hospitality: Spas, wellness and medical travel, , London: Routledge; Sziva, I., Kulcsár, N., Smith, M.K., The propensity for yoga practitioners to become tourists: A case study of Budapest (2013) Health, tourism and hospitality: Spas, wellness and medical travel, pp. 435-442. , M. K. Smith & L. Puczkó (Eds.), London: Routledge; Tooman, H., Tomasberg, K., Smith, M.K., Crosscultural issues in health and wellness services in Estonia (2013) Service management in health & wellness services, pp. 347-361. , J. Kandampully (Ed.), Dubuque: Kendall Hunt Publishers; (2012) 4WR: Wellness for whom, where and what?Wellness tourism2020, , Budapest: XellumLtd; Van Den Eynde, A., Fisher, A., The social construction of travelling for wellbeing in Australia (2013) Health, tourism and hospitality: Spas, wellness and medical travel, pp. 391-395. , M. K. Smith & L. Puczkó (Eds.), London: Routledge; Voigt, C., Brown, G., Howat, G., Wellness tourists: In search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; Voigt, C., Pforr, C., (2013) Wellness tourism, , London: Routledge; (1984) Health promotion: A discussion document, , Copenhagen: WHO; (2012) Are you ready? What you need to know about ageing, , http://www.who.int/world-health-day/2012/toolkit/background/en/index.html, Retreived from","Smith, M.; School of Tourism, Leisure and Hospitality, BKF University of Applied Sciences, 1-9 Nagy Lajos Kiraly Utja, Hungary; email: msmith@bkf.hu",,,"Taylor and Francis Ltd.",,,,,02508281,,,,"English","Tour. Recreat. Res.",Article,"Final",,Scopus,2-s2.0-84997848641 "Shahijan M.K., Rezaei S., Preece C.N., Ismail W.K.W.","56453551200;55681699600;24436665000;26531260400;","International Medical Travelers’ Behavioral Intention: An Empirical Study in Iran",2015,"Journal of Travel and Tourism Marketing","32","5",,"475","502",,17,"10.1080/10548408.2014.916248","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939566230&doi=10.1080%2f10548408.2014.916248&partnerID=40&md5=7f085800fdd445010aa2d535f7cc6390","Razak School of Engineering and Advanced Technology, Universiti Teknologi Malaysia (UTM), Jalan Semarak, Level 7, Menara Razak, KualaLumpur, 51400, Malaysia; International Business School (UTM IBS), Universiti Teknologi Malaysia, Jalan Semarak, Level 10, Menara Razak, Kuala Lumpur, 51400, Malaysia; Mahna Institute, Level 10, Menara Razak, Mirdamad Boulevard, Tehran, Iran; College of Business Administration, Jazan University, Saudi Arabia","Shahijan, M.K., Razak School of Engineering and Advanced Technology, Universiti Teknologi Malaysia (UTM), Jalan Semarak, Level 7, Menara Razak, KualaLumpur, 51400, Malaysia; Rezaei, S., International Business School (UTM IBS), Universiti Teknologi Malaysia, Jalan Semarak, Level 10, Menara Razak, Kuala Lumpur, 51400, Malaysia, Mahna Institute, Level 10, Menara Razak, Mirdamad Boulevard, Tehran, Iran; Preece, C.N., Razak School of Engineering and Advanced Technology, Universiti Teknologi Malaysia (UTM), Jalan Semarak, Level 7, Menara Razak, KualaLumpur, 51400, Malaysia; Ismail, W.K.W., International Business School (UTM IBS), Universiti Teknologi Malaysia, Jalan Semarak, Level 10, Menara Razak, Kuala Lumpur, 51400, Malaysia, College of Business Administration, Jazan University, Saudi Arabia","A few studies have examined destination image (DI), hospital service quality (HSQ), hospital accreditation (HA), patient attitude (PA) on patient satisfaction (PS), revisit intention (RI) and word of mouth (WOM) in a tourism context. The purpose of this study is to examine the impact of medical travelers’ behavioral intention in Iran. A total of 250 questionnaires were distributed with a response rate of 68%. Quantitative techniques were used to test the hypotheses within the structural equation modelling (SEM) using SmartPLS software. Our statistical results support the positive relationship between DI and PS, HSQ and PA, HSQ and RI, HSQ and WOM, HA and PA, PA and PS, PS and RI, and PS and WOM. However, the relationship between DI and PA, DI and RI, HA and PS, and HA and WOM were not supported. The research contribution, implication, and limitation are discussed. © 2015 Taylor & Francis.","destination image; hospital accreditation; hospital service quality; Medical tourism; patient attitude; patient satisfaction; revisit intention; word of mouth, Iran",,,,,,,,,"Agheorghiesei, D.A., Copoeru, I., Evaluating patient satisfaction–a matter of ethics in the context of the accreditation process of the Romanian hospitals (2013) Procedia-Social and Behavioral Sciences, 82, pp. 404-410; Ajzen, I., Fishbein, M., Attitude-behavior relations: A theoretical analysis and review of empirical research (1977) Psychological Bulletin, 84 (5), pp. 888-918; Ajzen, I., Fishbein, M., (1980) Understanding attitudes and predicting social behavior, , Englewood Cliffs, NJ: Prentice-Hall; Akama, J.S., Kieti, D.M., Measuring tourist satisfaction with Kenya’s wildlife safari: A case study of Tsavo West National Park (2003) Tourism Management, 24 (1), pp. 73-81; Akis, S., Peristianis, N., Warner, J., Residents’ attitudes to tourism development: The case of Cyprus (1996) Tourism Management, 17 (7), pp. 481-494; 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Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84939566230 "Andritsos D.A., Tang C.S.","36932341700;7404394331;","Introducing competition in healthcare services: The role of private care and increased patient mobility",2014,"European Journal of Operational Research","234","3",,"898","909",,17,"10.1016/j.ejor.2013.11.022","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892792235&doi=10.1016%2fj.ejor.2013.11.022&partnerID=40&md5=8ec635849d302b0485c0f0702b935a9a","HEC Paris, 1 rue de la Liberation, Jouy-en-Josas 78351, France; UCLA Anderson School of Management, 110 Westwood Plaza, Los Angeles, CA 90095, United States","Andritsos, D.A., HEC Paris, 1 rue de la Liberation, Jouy-en-Josas 78351, France; Tang, C.S., UCLA Anderson School of Management, 110 Westwood Plaza, Los Angeles, CA 90095, United States","We study the operational implications from competition in the provision of healthcare services, in the context of national public healthcare systems in Europe. Specifically, we study the potential impact of two alternative ways through which policy makers have introduced such competition: (i) via the introduction of private hospitals to operate alongside public hospitals and (ii) via the introduction of increased patient choice to grant European patients the freedom to choose the country they receive treatment at. We use a game-theoretic framework with a queueing component to capture the interactions among the patients, the hospitals and the healthcare funders. Specifically, we analyze two different sequential games and obtain closed form expressions for the patients' waiting time and the funders' reimbursement cost in equilibrium. We show that the presence of a private provider can be beneficial to the public system: the patients' waiting time will decrease and the funders' cost can decrease under certain conditions. Also, we show that the cross-border healthcare policy, which increases patient mobility, can also be beneficial to the public systems: when welfare requirements across countries are sufficiently close, all funders can reduce their costs without increasing the patients' waiting time. Our analysis implies that in border regions, where the cost of crossing the border is low, ""outsourcing"" the high-cost country's elective care services to the low-cost country is a viable strategy from which both countries' systems can benefit. © 2013 Elsevier B.V. All rights reserved.","Game theory; Health policy; OR in government","Closed-form expression; Health policy; Healthcare services; Low cost countries; OR in government; Potential impacts; Private hospitals; Public healthcares; Costs; Game theory; Hospitals; Patient treatment; Cost benefit analysis",,,,,,,,"Allon, G., Federgruen, A., (2005) Outsourcing Service Processes to A Common Service Provider under Price and Time Competition, , Working paper; (2010) NHS Paying Private Hospitals A ̂ £35 M A Month, , BBC News; Brekke, K.R., Levaggi, R., Siciliani, L., Straume, O.R., Patient mobility, health care quality and welfare (2011) Norwegian School of Economics and Business Administration Discussion Paper; Brekke, K.R., Siciliani, L., Straume, O.R., Competition and waiting times in hospital markets (2008) Journal of Public Economics, 92 (7), pp. 1607-1628; Cachon, G., Harker, P., Competition and outsourcing with scale economies (2002) Management Science, 48 (10), pp. 1314-1333; Chang, H., Cheng, M.-A., Das, S., Hospital ownership and operating efficiency: Evidence from Taiwan (2004) European Journal of Operational Research, 159 (2), pp. 513-527; Clements, B., Coady, D., Gupta, S., (2012) The Economics of Public Health Care Reform in Advanced and Emerging Economies, , International Monetary Fund; (2008) Communication from the Commission: A Community Framework on the Application of Patients' Rights in Cross-border Healthcare, , Commision of the European Communities; (2008) Proposal for A Directive of the European Parliament and of the Council on the Application of Patients' Rights in Cross-border Healthcare, , Commision of the European Communities; Cooper, Z., Gibbons, S., Jones, S., McGuire, A., Does hospital competition save lives? Evidence from the english NHS patient choice reforms (2011) The Economic Journal, 121 (554), pp. 228-F260; Cullis, J.G., Jones, P.R., Propper, C., Chapter 23: Waiting lists and medical treatment: Analysis and policies (2000) Handbook of Health Economics, 1 (2), pp. 1201-1249; Dawson, D., Gravelle, H., Jacobs, R., Martin, S., Smith, P., The effects of expanding patient choice of provider on waiting times: Evidence from a policy experiment (2007) Health Economics, 16, pp. 113-128; (2011) Hospitals in Europe: Healthcare Data 2011, , European Hospital and Healthcare Federation; Glinos, I., Baeten, R., Maarse, H., Purchasing health services abroad: Practices of cross-border contracting and patient mobility in six European countries (2009) Health Policy, 95 (23), pp. 103-112; Hassin, R., Haviv, M., (2003) To Queue or Not to Queue: Equilibrium Behavior in Queueing Systems, , Kluwer Academic Publishers Boston, MA; Hermans, H.E.G.M., Den Exter, A., Cross-border alliances in health care: International co-operation between health insurers and providers in the Euregio Meuse-Rhine (1999) Croatian Medical Journal, 40 (2), pp. 266-272; Hoel, M., Sæther, E.M., Public health care with waiting time: The role of supplementary private health care (2003) Journal of Health Economics, 22 (4), pp. 599-616; Hurst, J., Siciliani, L., Tackling excessive waiting times for elective surgery: A comparison of policies in twelve OECD countries (2003) OECD Health Working Papers, p. 6; Maier-Rigaud, F.P., Competition in hospital services (2012) Organisation for Economic Co-operation and Development Working Party No. 2; (2012) Policies and Publications, , http://www.emscg.nhs.uk/_PoliciesandPublications-Policies- ApprovedPolicies.aspx, Midlands and East Specialised Commissioning Group Cited 22.03.12; Olivella, P., Shifting public-health-sector waiting lists to the private sector (2003) European Journal of Political Economy, 19 (1), pp. 103-132; Propper, C., Wilson, D., Burgess, S., Extending choice in english health care: The implications of the economic evidence (2006) Journal of Social Policy, 35 (4), pp. 537-557; Ringard, A., Rico, A., Hagen, T.P., Expanded patient choice in Norway and the UK: Will it succeed? (2005) NFF Conference; Sanchez-Schmid, M.-T., (2011) Trans-border Regions: Transforming 'Fractured' Borders into 'Seamless' Borders - More Funds for Trans-border Regions, , http://www.eppgroup.eu/press/showpr.asp?prcontroldoctypeid= 1&prcontrolid=10453&prcontentid=17643&prcontentlg=en, Cited 23.06.11; Siciliani, L., Does more choice reduce waiting times? (2005) Health Economics, 14 (1), pp. 17-23; Xavier, A., Hospital competition, GP fundholders and waiting times in the UK internal market: The case of elective surgery (2003) International Journal of Health Care Finance and Economics, 3 (1), pp. 25-51","Andritsos, D.A.; HEC Paris, 1 rue de la Liberation, Jouy-en-Josas 78351, France; email: andritsos@hec.fr",,,,,,,,03772217,,EJORD,,"English","Eur J Oper Res",Article,"Final",,Scopus,2-s2.0-84892792235 "Lee H., Wright K.B., O'Connor M., Wombacher K.","55503041500;36096255900;55897504400;55897910300;","Framing Medical Tourism: An Analysis of Persuasive Appeals, Risks and Benefits, and New Media Features of Medical Tourism Broker Websites",2014,"Health Communication","29","7",,"637","645",,17,"10.1080/10410236.2013.794412","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899559383&doi=10.1080%2f10410236.2013.794412&partnerID=40&md5=27fb3922ecf511ffcb8fd0cbf5def114","Department of Communication, Saint Louis University, United States; Department of Communication, George Mason University, United States; Department of Communication, University of Kentucky, United States","Lee, H., Department of Communication, Saint Louis University, United States; Wright, K.B., Department of Communication, George Mason University, United States; O'Connor, M., Department of Communication, Saint Louis University, United States; Wombacher, K., Department of Communication, University of Kentucky, United States","This study explores the benefits and risks featured in medical tourism broker websites, as well as the types of persuasive appeals that these websites use to attract potential customers, from a framing theory perspective. In addition, it examines relationships among types of appeals and specific types of health-related services offered by medical facilities abroad and the role of new media modalities within medical tourism broker sites. A content analysis of 91 medical tourism broker websites was conducted. The results indicate that the websites highly emphasized benefits while downplaying the risks. Specifically, despite offering consumers complicated and risky medical procedures, the websites failed to report any procedural, postoperative, or legal concerns associated with them. Moreover, the results indicated that the websites relied on heavy use of new media features to enhance the appeal of the medical services that were offered. The implications of these findings, future directions for research, and limitations of the study are discussed. Copyright © Taylor & Francis Group, LLC.",,"advertizing; audiovisual aid; human; Internet; medical tourism; procedures; risk assessment; standards; statistics and numerical data; utilization; Advertising as Topic; Audiovisual Aids; Humans; Internet; Medical Tourism; Risk Assessment",,,,,,,,"Dalstrom, M., Shadowing modernity: The art of providing Mexican healthcare for Americans (2013) Ethnos: Journal of Anthropology, 78, pp. 75-98; Detweiler, J.B., Bedell, B.T., Salovery, P., Pronin, E., Rothman, A.J., Message framing and sunscreen use: Gain-framed messages motivate beach-goers (1999) Health Psychology, 18, pp. 189-196; Entman, R.M., Framing: Toward clarification of a fractured paradigm (1993) Journal of Communication, 43 (4), pp. 51-58; Fiske, S.T., Taylor, S.E., (1991) Social cognition, , New York,: McGraw-Hill; Gamson, W.A., Modigliani, A., The Changing culture of Affirmative Action (1987) Research in Political Sociology, 3, pp. 137-177; Goffman, E., (1974) Frame analysis: An essay on the organization of experience, , New York,: Harper and Row; Helble, M., The movement of patients across boarders: Challenges and opportunities for public health (2011) Bulletin of the World Health Organization, 89, pp. 68-72; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31, pp. 185-198; Kahneman, D., Tversky, A., Prospect theory: An analysis of decision under risk (1979) Econometrica, 47, pp. 263-291; Kangas, B., Travelling for medical care in a global world (2010) Medical Anthropology, 29, pp. 344-362; Lunt, N.T., Mannion, R., Exworthy, M., A framework for exploring the policy implications of medical tourism and international patient flows (2012) Social Policy & Administration; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1859; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism websites (2011) Journal of Health Communication, 16, pp. 163-177; Mason, A., Wright, K.B., Bogard, J., Assessing cultural representations of physician and patient imagery in medical tourism websites (2011) Journal of Intercultural Communication, 25, pp. 163-177; Meyerowitz, B.E., Chaiken, S., The effects of message framing on breast self-examination attitudes, intentions and behavior (1987) Journal of Personality and Social Psychology, 52, pp. 500-510; McCombs, M., Shaw, D.L., The agenda-setting function of mass media (1972) Public Opinion Quarterly, 36, pp. 176-187; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; O'Keefe, D.J., Jensen, J.D., The relative persuasiveness of gain-framed and loss framed messages for encouraging disease prevention behaviors: A meta-analytic review (2009) Journal of Communication, 59, pp. 296-316; Peng, W., Tang, L., Health content in Chinese newspapers (2010) Journal of Health Communication, 15, pp. 695-711; Penny, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker (2011) BMC Medical Ethics, 12; Rothman, A.J., Bartels, R.D., Wlaschin, J., Salovey, P., The strategic use of gain-and loss-framed messages to promote healthy behavior: How theory can inform practice (2006) Journal of Communication, 56, pp. 202-220; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The 'patient's physician one step removed': The evolving role of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Sobo, E.J., Herlihy, E., Bicker, M., Selling medical travel to US patient-consumers: The cultural appeal of website marketing messages (2011) Anthropology & Medicine, 18, pp. 119-136; Turner, L., Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel (2011) Globalization and Health, 7; Zhou, Y., Moy, P., Parsing framing processes: the interplay between online public opinion and media coverage (2007) Journal of Communication, 57, pp. 79-98","Wright, K. B.; Department of Communication, Saint Louis University, 3733 West Pine Blvd., Xavier Hall, Saint Louis, MO 63108, United States; email: kwrigh28@slu.edu",,,"Routledge",,,,,10410236,,,"24138286","English","Health Commun.",Article,"Final",,Scopus,2-s2.0-84899559383 "Sarwar A.","55390247500;","Medical tourism in Malaysia: Prospect and challenges",2013,"Iranian Journal of Public Health","42","8",,"795","805",,17,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886925847&partnerID=40&md5=4a8e08fa007f9df3d7a538540974822b","Dept. of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia","Sarwar, A., Dept. of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia","Background: Tourism, combined with the phrase medical, seems to be a new form of tourism which has gained huge popularity in recent decades. Though, a number of literatures available with regard to the tourism industry and the competitiveness of the destination, however, the major aspects which determine the satisfaction of medical tourists are hardly focused specifically on Malaysia. There is a lack of empirical evidence in this area of study which needs to be bridged. Hence, this study aimed at investigating the various factors contributing towards the development of medical tourism in Malaysia. Methods: As the purpose of the research was to find out various factors contributing towards the development of medical tourism in Malaysia, so this study used Structural Equation modeling (SEM) for data analysis. The target population for this study consisted of the medical tourists coming to Malaysia with the primary intension of seeking medical procedures other than sightseeing. A total sample size of 266 was collected through non-probability judgment sampling during the period between December 2012 and February 2013. Results: The result confirms that destination competitiveness and service quality play an important role in the medical tourist's mind towards medical tourism aspect in Malaysia. Thus, Malaysia need to promote various medical success stories together with the services they offer to attract more foreign patients. Conclusion: This study contributes to the theoretical development in the tourism industry by offering the structured relationship among various aspects contributing towards the development of medical tourism in Malaysia.","Customer service; Destination competitiveness; Medical tourism; Service quality",,,,,,,,,"Caballero-Danell, S., Mugomba, C., (2006) Medical Tourism and Its Entrepreneurial Opportunities: A Conceptual Framework For Entry Into the Industry, , Unpublished Master Thesis No. 2006:91. 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New York: The Guilford Press; Bentler, P.M., Multivariate analysis with latent variables: Causal modeling (1995) Annual Review of Psychology, 31, pp. 419-456; Joreskog, K.G., Wold, H., (1982) Systems Under Indirect Observation: Causality, Structure, Prediction (Part I), , North-Holland: Amsterdam","Sarwar, A.; Dept. of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; email: sunabdullah@gmail.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Article,"Final",,Scopus,2-s2.0-84886925847 "Hsu P.-F., Lan K.-Y., Tsai C.-W.","7202048762;55799297500;55474128500;","Selecting the optimal vendor of customer relationship management system for medical tourism industry using delphi and AHP",2013,"International Journal of Enterprise Information Systems","9","1",,"62","75",,17,"10.4018/jeis.2013010104","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84880445914&doi=10.4018%2fjeis.2013010104&partnerID=40&md5=15ac49a67817f80d2d027721f97053f2","Department of Communications Management, Shih Hsin University, Taipei, Taiwan","Hsu, P.-F., Department of Communications Management, Shih Hsin University, Taipei, Taiwan; Lan, K.-Y., Department of Communications Management, Shih Hsin University, Taipei, Taiwan; Tsai, C.-W., Department of Communications Management, Shih Hsin University, Taipei, Taiwan","This study builds a model to evaluate and select vendors of customer relationship management (CRM) system for the medical tourism industry from the viewpoint of medical tourism industry. Literature in related fields was reviewed, and the modified Delphi method was applied to find proper evaluation and selection criteria for the model. Then the analytic hierarchy process (AHP) was applied to determine weights of criteria in order to rank vendors and pick the optimal choice of vendor of CRM system for the medical tourism industry. The case used in this study was a teaching medical institution. This evaluation and selection model was applied for an empirical study. The results show that the five main criteria were, in order: system integrators' ability to provide services, system integrators' ability to develop software, economic factors of system implementation, ability to implement data mining, ability to implement CRM. Operators in the medical tourism industry could use this model to select the best vedor of CRM system. Copyright © 2013, IGI Global.","Analytic hierarchy process; Customer relationship management; Evaluation model; Medical tourism; Modified delphi method","Analytic hierarchy process (ahp); Customer relationship management; Customer relationship management systems; Evaluation models; Medical institutions; Medical tourism; Modified Delphi method; System implementation; Analytic hierarchy process; Hierarchical systems; Industry",,,,,,,,"Akomode, O.J., Lees, B., Irgens, C., Constructing customized models and providing information to support it outsourcing (1998) Decisions. 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Retrieved April 20 2010, from; Gell, G., Madjaric, M., Leodolter, W., Kole, W., Leitner, H., His purchase projects in public hospitals of styria, austria (2000) International Journal of Medical Informatics, 57 (2-3), pp. 147-155. , doi:10.1016/S1386-5056(00) 00083-00086.PMID:10978917; George, W.O., Evaluation criteria for district health management information systems: Lessons from the ministry of health, kenya (2005) International Journal of Medical Informatics, 74 (1), pp. 31-38. , doi:10.1016/j.ijmedinf.2004.09.003 PMID:15626634; Hanmer, L., Criteria for the evaluation of district health information systems (1999) International Journal of Medical Informatics, 56 (3), pp. 161-168. , doi:10.1016/S1386-5056(99)00046-5 PMID:10659945; Hokey, M., Amitava, M., Sharon, O., Competitive benchmarking of health care quality using the analytic hierarchy process: An example from korean cancer clinics (1997) Socio-Economic Planning Sciences, 31 (2), pp. 147-159. , doi:10.1016/S0038-0121(96)00021-00023; Hsu, P.F., Dai, P.M., Evaluating the outsourcing of nursing care attendants in the healthcare sector via the analytic hierarchy process and sensitivity analysis (2007) Journal of Statistics & Management Systems, 10 (3), pp. 395-410; Hsu, P.F., Hsu, M.G., Optimal selection of medical information system outsourcing vendors of taiwanese clinics by using analytic hierarchy process and sensitivity analysis (2007) Journal of Information & Optimization Sciences, 28 (2), pp. 255-277; Hsu, P.F., Lin, Z.W., Outsourcing models based on ahp and sensitive analysis for advanced medical examination centers (2008) Journal of Statistics & Management Systems, 11 (1), pp. 183-200; Hsu, P.F., Wu, C.R., Li, Y.T., Selection of infectious medical waste disposal firms by using the analytic hierarchy process and sensitivity analysis (2008) Waste Management (New York, N.Y., 28 (8), pp. 1386-1394. , doi:10.1016/j.wasman.2007.05.016 PMID:17689065; Huang, Y.S., Chung, K.F., Li, K.C., A group decision process for evaluating outsourcing vendors of information systems (2003) Information Management Research, 3, pp. 1-15; Jenab, K., Khoury, S., Sarfaraz, A., Manufacturing complexity analysis with fuzzy ahp (2012) International Journal of Strategic Decision Sciences, 3 (2), pp. 31-46. , doi:10.4018/jsds.2012040103; Jones, C., Evaluating software outsourcing options (1994) Information Systems Management, 11 (4), pp. 28-33. , doi:10.1080/07399019408964667; Kobielus, J., (1996) Evaluation Time: Pick Outsourcers by using this Criteria, p. 48. , Network World; Lin, Y.B., (1999) Promoting CRM Using Information Technology, pp. 35-42. , eBusiness Executive Report; McDonald, M., (1996) Service Quality and Customer Lifetime Value in Professional Sport Franchises, , (Doctoral dissertation, University of Massachusetts). 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Taipei, Taiwan: Executive Yuan; Rossetti, M.D., Selandari, F., Multiobjective analysis of hospital delivery systems (2001) Computers & Industrial Engineering, 41 (3), pp. 309-333. , doi:10.1016/S0360-8352(01)00058-4; Saaty, T.L., (1980) The Analytic Hierarchy Process, , New York, NY: McGraw-Hill; Saaty, T.L., How to make a decision: The analytic hierarchy process (1990) European Journal of Operational Research, 48 (1), pp. 9-26. , doi:10.1016/0377-2217(9090057-I; Shea, T., White, D.S., Curran-Kelly, C., Griffin, M., Customer relationship management (crm) metrics -what's the holdup? (2006) International Journal of Enterprise Information Systems, 2 (3), pp. 1-9. , doi:10.4018/jeis.2006070101; Shi, Y.W., Tang, Z.Y., The critical criteria for evaluating and selecting information service companies (2001) Journal of Management & Systems, 8 (3), pp. 279-296; Sloane, E.B., Liberatore, M.J., Nydick, R.L., Luo, W., Chung, Q.B., Using the analytic hierarchy process as a clinical engineering tool to facilitate an iterative, multidisciplinary, microeconomic health technology assessment (2003) Computers & Operations Research, 30 (10), pp. 1447-1465. , doi:10.1016/S0305-0548(02)00187-00189; Yang, M.B., Wu, S.H., Decision model for the investment in expensive equipments and renewal in medical institutions (2002) Journal of Healthcare Management, 3 (3), pp. 81-100; Yu, M.L., Hsueh, Y.S., Huang, S.J., An empirical study of key factors affecting the performance evaluation of hospital information systems: Executives' perspective (2005) Taiwan Journal of Public Health, 24 (1), pp. 22-32","Department of Communications Management, Shih Hsin University, Taipei, Taiwan",,,,,,,,15481115,,,,"English","Int. J. Enterp. Inf. Syst.",Article,"Final",,Scopus,2-s2.0-84880445914 "Crooks V.A., Cameron K., Chouinard V., Johnston R., Snyder J., Casey V.","35585107800;55486918500;6602141081;36500711800;24170239100;55486848400;","Use of medical tourism for hip and knee surgery in osteoarthritis: A qualitative examination of distinctive attitudinal characteristics among Canadian patients",2012,"BMC Health Services Research","12","1", 417,"","",,17,"10.1186/1472-6963-12-417","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84869232605&doi=10.1186%2f1472-6963-12-417&partnerID=40&md5=bc7e48836bcc509191e7e7ec338c33bf","Department of Geography, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada; Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; Cameron, K., School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada; Chouinard, V., School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada; Johnston, R., Department of Geography, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; Casey, V., Department of Geography, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada","Background: Medical tourism is the term that describes patients international travel with the intention of seeking medical treatment. Some medical tourists go abroad for orthopaedic surgeries, including hip and knee resurfacing and replacement. In this article we examine the findings of interviews with Canadian medical tourists who went abroad for such surgeries to determine what is distinctive about their attitudes when compared to existing qualitative research findings about patients decision-making in and experiences of these same procedures in their home countries. Methods. Fourteen Canadian medical tourists participated in semi-structured phone interviews, all of whom had gone abroad for hip or knee surgery to treat osteoarthritis. Transcripts were coded and thematically analysed, which involved comparing emerging findings to those in the existing qualitative literature on hip and knee surgery. Results: Three distinctive attitudinal characteristics among participants were identified when interview themes were compared to findings in the existing qualitative research on hip and knee surgery in osteoarthritis. These attitudinal characteristics were that the medical tourists we spoke with were: (1) comfortable health-related decision-makers; (2) unwavering in their views about procedure necessity and urgency; and (3) firm in their desires to maintain active lives. Conclusions: Compared to other patients reported on in the existing qualitative hip and knee surgery literature, medical tourists are less likely to question their need for surgery and are particularly active in their pursuit of surgical intervention. They are also comfortable with taking control of health-related decisions. Future research is needed to identify motivators behind patients pursuit of care abroad, determine if the attitudinal characteristics identified here hold true for other patient groups, and ascertain the impact of these attitudinal characteristics on surgical outcomes. Arthritis care providers can use the attitudinal characteristics identified here to better advise osteoarthritis patients who are considering seeking care abroad. © 2012 Crooks et al.; licensee BioMed Central Ltd.",,"article; attitude to health; Canada; female; hip arthroplasty; hip osteoarthritis; human; interview; knee arthroplasty; knee osteoarthritis; male; medical tourism; middle aged; patient satisfaction; psychological aspect; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Attitude to Health; Canada; Female; Humans; Interviews as Topic; Male; Medical Tourism; Middle Aged; Osteoarthritis, Hip; Osteoarthritis, Knee; Patient Satisfaction",,,,,,,,"Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patients experience of medical tourism? 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Their side of the story (2006) Journal of Orthopaedic Nursing, 10 (1), pp. 5-14. , DOI 10.1016/j.joon.2005.09.014, PII S1361311105000956; Denzin, N., Lincoln, Y., (2005) The Sage Handbook of Qualitative Research, , CA: Sage Publications Ltd, Thousand Oaks 3; Sturges, J.E., Hanrahan, K.J., Comparing telephone and face-to-face qualitative interviewing: A research note (2004) Qual Res, 41, pp. 107-118; Boyatzis, R.E., (1998) Transforming Qualitative Information: Thematic Analysis and Code Development, , CA: Sage Publications Ltd, Thousand Oaks; Aronson, J.A., Pragmatic view of thematic analysis (1994) Qual Rep, 2, p. 1; Woolhead, G.M., Donovan, J.L., Dieppe, P.A., Outcomes of total knee replacement: A qualitative study (2005) Rheumatology, 44 (8), pp. 1032-1037. , DOI 10.1093/rheumatology/keh674; Gustaffson, B., Heikkila, K., Ekman, S.-L., Ponzer, S., In the hands of formal carers: Older patients experiences of care across the perioperative period for joint replacement surgery (2010) Int J Orthop Trauma Nurs, 14, pp. 96-108. , 10.1016/j.ijotn.2010.01.002; Marcinkowski, K., Wong, V., Dignam, D., Getting back to the future: A grounded theory study of the patient perspective of total knee joint arthroplasty (2005) Orthop Nurs, 24 (3), pp. 202-209. , 15928530; Parsons, G.E., Godfrey, H., Jester, R.F., Living with severe osteoarthritis while awaiting hip and knee joint replacement surgery (2009) Musculoskelet Care, 7 (2), pp. 221-235; Johnston, C., US ad uses lure of prompt treatment to entice Canadians needing joint replacement (1996) Canadian Medical Association Journal, 154 (7), pp. 1071-1072; Korcok, M., Excess demand meets excess supply as referral companies link Canadian patients, US hospitals (1997) Canadian Medical Association Journal, 157 (6), pp. 767-770","Crooks, V.A.; Department of Geography, Simon Fraser University, 8888 University Dr, Burnaby, BC, V5A 1S6, Canada; email: crooks@sfu.ca",,,,,,,,14726963,,,"23170924","English","BMC Health Serv. Res.",Article,"Final",Open Access,Scopus,2-s2.0-84869232605 "Mun W.K., Musa G.","56445786100;7004159636;","Medical tourism in Asia: Thailand, Singapore, Malaysia, and India",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"167","186",,17,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902575283&doi=10.4324%2f9780203109458&partnerID=40&md5=2a0b0eb3eb27db01fcf41355629fe1c6","Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Mun, W.K., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia; Musa, G., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia",[No abstract available],,,,,,,,,,"Agarwal, K., Bhagrath, H., (2010) Apollo Group to Set up 32 New Hospitals by 2012, , http://www.themedguru.com/20100320/newsfeature/apollogroup-set-32-new-hospitals-2012-86133073.html; Ai-Lien, C., Singapore steps up efforts to woo foreign patients (2005) Straits Times, 1, pp. H8. , September; India’s illegal organ transplant (2008) Aljazeera English, , http://www.youtube.com/watch?v=ms195gMv5ww, AlJazeera English, 1 February; Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the united states (2010) Journal of General Internal Medicine, 26 (5), pp. 492-497; Altes, A.G., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consortium Journal of Hospitality and Tourism, 11 (1), pp. 75-81; 8 countries where human organs are harvested Newspick, , http://news.upickreviews.com/8-countries-where-human-organs-are-harvested, Ben, 10 June; Bhatt, R., Jain, N., (2006) Financial Performance of Private Hospitals in India: Some Further Evidence, , Indian Institute of Management Working Papers, April; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Borman, E., Health tourism: Where health care ethics and the state collide (2004) British Medical Journal, 328, pp. 60-61; Bramstedt, K.A., Xu, J., Checklist: Passport, plane ticket, organ transplant (2007) American Journal of Transplantation, 7 (7), pp. 1698-1701; Brotman, B.A., Medical tourism private hospitals: Focus india (2010) Journal of Health Care Finance, 37 (1), pp. 45-50; Carrera, P., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Chacko, P., Medical tourism in india: Issues and challenges (2006) MBA Review, 4 (12), pp. 123-129. , ICFAI University Press; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80 (2), pp. 158-163; Chaynee, W., (2003) Health Tourism to Drive Earnings, , Kuala Lumpur: Malaysian Institute of Economic Research; Chee, H.L., (2007) Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare, , Working Paper Series, 83, Singapore: Asia Research Institute; Chong, W.Y., Boey, T.S., Vathsala, N., (2005) Promoting Health Tourism in Malaysia, , Unpublished paper presented at the APacCHRIE conference, Kuala Lumpur; (2002) Healthcare in India: The Road Ahead, , New Delhi: CII & Mckinsey & Co; Cohen, E., Medical tourism in thailand (2008) Gsbejournal, , http://gsbejournal.au.edu/1V/Journal/Medical%20Tourism%20Dr%20Cohen.pdf; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27, pp. 1093-1100; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? 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Oakes, London: Routledge; Ramirez De Arellano, A., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37, pp. 193-198; (2011) Strong Government Support to Drive Medical Tourism Industry in Malaysia, , http://www.rncos.com/Press_Releases/Strong-Government-Support-to-Drive-Medical-Tourism-Industry-in-Malaysia.htm, Press Release, 9 June; Saniotis, A., Changing ethics in medical practice: A thai perspective (2007) Indian Journal Medical Ethics, 3, pp. 24-25; (2007) Accolades and Accreditations, , http://www.singaporemedicine.com/healthcaredest/accolades_acred.asp; (2010) Discovering Your Singapore: Singapore Tourism Board Annual Report 2009/2010, , http://www1.yoursingapore.com/annualreport/PDF/STB_AR_2009_2010.pdf; Singh, P.K., (2008) Medical Tourism, , India: Kanishka; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Taffel, J., Fixed up in a foreign land (2004) Sydney Morning Herald, 9, pp. 4-5. , December; Teh, I., Chu, C., Supplementing growth with medical tourism (2005) Asia Pacific Biotech News, 9 (8), pp. 306-311; Ayurveda a popular alternative medicine in malaysia (2011) The Economic Times, , http://articles.economictimes.indiatimes.com/2011-01-04/news/28424512_1_alternative-medicine-traditional-medicinesiddha-medicine, 4 January; Airasia touches hearts in first flight to bangalore (2010) The Star, , http://thestar.com.my/news/story.asp?file=/2010/5/21/nation/6305060&sec=nation, 21 May; Turner, L., From durham to delhi: Medical tourism and the global economy (2007) Comparative Program on Health and Society Lupina Foundation Working Papers Series 2006–2007, , J.C. 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(2010) Journal of Economic Issues, 44 (1), pp. 53-69; Wachter, R.M., The ‘dis-location’ of u.S. Medicine—the implications of medical outsourcing (2006) The New England Journal of Medicine, , 16 February; Whittaker, A., Pleasure and pain: Medical travel in asia (2008) Global Public Health, 3 (3), pp. 271-290; Woodman, J., (2007) Patients beyond Borders, , Singapore Edition. North Carolina: Healthy Travel Media; (2011) World Health Statistics 2011, pp. 118-134. , http://www.who.int/whosis/whostat/EN_WHS2011_Full.pdf; Yanos, M., (2008) Top 5 Medical Tourism Destinations, , http://www.nuwireinvestor.com/articles/top-5-medical-tourism-destinations-51502.aspx, Nuwireinvestor, 31 March; Yap, J., (2007) Singapore: Medical Travel and Consumer Driven Health Care, , http://www.aarpinternational.org/resourcelibrary/resourcelibrary_show.htm?doc_id=545751; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., (2008) Motivation of Medical Tourists: An Exploratory Case Study of Hong Kong Medical Tourists, , Paper presented at APTA annual conference, Bangkok, Thailand","Mun, W.K.; Faculty of Business and Accountancy, University of MalayaMalaysia",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84902575283 "Crooks V.A., Snyder J.","35585107800;24170239100;","Medical tourism: What Canadian family physicians need to know [Tourisme médical: Ce que les médecins de famille Canadiens doivent savoir]",2011,"Canadian Family Physician","57","5",,"527","529+e151-e153",,17,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-79956224200&partnerID=40&md5=50cd09859892c0501db3824f70b83915","Département de Géographie, Simon Fraser University, Burnaby, BC, Canada; Faculté des Sciences de la Santé, Simon Fraser University, Canada","Crooks, V.A., Département de Géographie, Simon Fraser University, Burnaby, BC, Canada; Snyder, J., Faculté des Sciences de la Santé, Simon Fraser University, Canada",[No abstract available],,"Canada; family medicine; follow up; general practitioner; health care cost; health service; human; length of stay; medical record; medical tourism; multiple sclerosis; note; patient monitoring; patient safety; Canada; Family Practice; Humans; Medical Tourism; Physician's Role",,,,,,,,"Ramírez De Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) Int J Health Serv, 37 (1), pp. 193-198; Unti, J.A., Medical and surgical tourism: The new world of health care globalization and what it means for the practicing surgeon (2009) Bull Am Coll Surg, 94 (4), pp. 18-25; Turner, L., Medical tourism. Family medicine and international health-related travel (2007) Can Fam Physician, 53, pp. 1639-1641+1646-1648; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Bagaria, J., Butt, F., Balakrishnan, R., Emergence of a new antibiotic resistant mechanism in India, Pakistan, and the UK: A molecular, biological, and epidemiological study (2010) Lancet Infect Dis, 10 (9), pp. 597-602. , Cyberpub. 10 août 2010; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Lunt, N., Carerra, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , Cyberpub. 24 février 2010; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31 (2), pp. 185-198; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Update and Implications, , Washington, DC: Deloitte Center for Health Solutions; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med J Aust, 187 (11-12), pp. 666-667; Johnston, R., Crooks, V.A., Snyder, J., Three academics' perspective on medical tourism - Reflections on a trip to Southern India (2011) Med Tourism Mag, 17, pp. 94-97; Carabello, L., A medical tourism primer for U.S. physicians (2008) J Med Pract Manage, 23 (5), pp. 291-294; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245. , DOI 10.1080/01947640701357763, PII 779409809; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York, NY: Palgrave Macmillan; Eggerston, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ, 174 (9), p. 1247; (2010) Medical Care Abroad, , www.phac-aspc.gc.ca/tmppmv/thn-csv/medical-tourism-eng.php, Ottawa, ON: Agence de la santé publique du Canada; Accessible à Accédé le 13 novembre 2010; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376 (9742), pp. 671-672","Crooks, V. A.; RCB 6141, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; email: crooks@sfu.ca",,,,,,,,0008350X,,CFPHA,"21571709","French; English","Can. Fam. Phys.",Note,"Final",,Scopus,2-s2.0-79956224200 "Hallem Y., Barth I.","56258800100;36712983100;","Customer-perceived value of medical tourism: An exploratory study - The case of cosmetic surgery in Tunisia",2011,"Journal of Hospitality and Tourism Management","18","1",,"121","129",,17,"10.1375/jhtm.18.1.121","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84865990745&doi=10.1375%2fjhtm.18.1.121&partnerID=40&md5=fa92a327179f604f45dce9b17c03ee07","EM Strasbourg Business School, France","Hallem, Y., EM Strasbourg Business School, France; Barth, I., EM Strasbourg Business School, France","The present study investigates the dimensions of customer-perceived value in the context of medical tourism. Due to the important role played by the Internet in the growth of medical tourism, we will also explore the value dimensions of the use of the Internet in the context of medical tourism. Based on the consumption value theory developed by Sheth, Newman & Gross (1991), a netnographic study shows that the functional dimension greatly contributes to the value perception of the medical tourism experience. The use of the Internet is found to primarily have social, epistemic and functional values. From a managerial angle, the results are useful to managers to implement marketing actions targeting medical tourists. From a theoretical angle, the results are a starting point to develop an innovative theoretical model combining the value dimensions of medical tourism and of the Internet in the same context.","Internet; Medical tourism; Netnography; Perceived value",,,,,,,,,"Alba, J., Lynch, J., Weitz, B., Janiszewski, C., Lutz, R., Sawyer, A., Wood, S., Interactive home shopping: Consumer, retailer, and manufacturer incentives to participate in electronic marketplaces (1997) Journal of Marketing, 61, pp. 38-53; Bernard, Y., La netnographie: Une nouvelle méthode d'enquête qualitative basée sur les communautés virtuelles de consommation (2004) Décisions Marketing, 36, pp. 49-62; Bodkin, C., Mialous, G., E-health information quality and ethics issues: An exploratory study of consumer perceptions (2007) International Journal of Pharmaceutical and Healthcare Marketing, 1 (1), pp. 27-42; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York; Borod, J.C., Cicero, B.A., Obler, L.K., Welkowitz, J., Erhan, H.M., Santschi, C., Grunwald, I.S., Wahlen, J.R., Right hemisphere emotional perception: Evidence across multiple channels (1998) Neuropsychology, 12 (3), pp. 446-458; Brown, J., Williams, D., A web site a day keeps the doctor away: Will the Internet bring a new doctor-patient paradigm? 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Medical outsourcing: Reducing client's healthcare risks (2006) Journal of Financial Planning, 20 (10), pp. 60-69; Day, G., (1990) Market-driven Strategy: Processes for Creating Value, , New York: The Free Press; Dellaert, B., Tourist's valuation of other tourist's contribution to travel web sites (2000) Proceedings of the 7th Conference on Information and Communication Technologies, pp. 293-302. , D. Fesenmaier, S. Klein & D. Buhalis (Eds.), Vienna: Springer-Verlag; (2008) Medical Tourism: Consumers in Search for Value, , Deloitte Center of Health Solutions. Washington, DC: Author; Goetzinger, L., Park, J., Lee, J.P., Widdows, R., Value-driven consumer e-health information search behaviour (2007) International Journal of Pharmaceutical and Healthcare Marketing, 1 (2), pp. 128-142; Goldsmith, R.E., Horowitz, D., Measuring motivations for online opinion seeking (2006) Journal of Interactive Advertising, 6 (2), pp. 1-16; Guest, G., Bunce, A., Johnson, L., How many interviews are enough? An experiment with data saturation and variability (2006) Field Methods, 18 (1), pp. 59-82; Harbour, J., Chowdhury, G.G., Use and outcome of online health information services: A study among Scottish population (2007) Journal of Documentation, 63 (2), pp. 229-242; Han, J., Han, D., A framework for analyzing the customer value of Internet business (2001) The Journal of Information Technology Theory and Application, 3 (5), pp. 25-38; Heinonen, K., The role of digital service encounters on customers' perception of companies (2008) Journal of Electronic Commerce in Organizations, 6 (2), pp. 1-10; Herrick, D.M., (2007) Medical Tourism: Global Competition in Healthcare, pp. 1-35. , National Center for Policy Analysis; Houston, T.K., Sands, D.Z., Jenckes, M.W., Ford, D.E., Experiences of patients who were early adopters of electronic communication with their physician: Satisfaction, benefits, and concerns (2004) American Journal of Managed Care, 10 (9), pp. 601-608; Hunter-Jones, P., Cancer and tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Huntington, P., Nicholas, D., Homewood, J., Polydoratou, P., Gunter, B., Russell, C., Withey, R., The general public's use of (and attitudes towards) interactive, personal digital health information and advisory services (2004) Journal of Documentation, 60 (3), pp. 245-265. , DOI 10.1108/00220410410534167; Kozinets, R.V., The field behind the screen: Using netnography for marketing research in online communities (2002) Journal of Marketing Research, 39, pp. 61-72; Lautier, M., Les exportations des services de santé des pays en développement: Le cas tunisien (2005) Agence Française de Développement, 25, pp. 1-173; Langer, B., Beckman, S.C., Sensitive research topics, netnography revisited (2005) Qualitative Market Research, 8 (2), pp. 189-203; Mathwick, C., Malhotra, N., Rigdon, E., Experiential value: Conceptualization, measurement and application in the catalog and Internet shopping environment (2001) Journal of Retailing, 77 (1), pp. 39-56. , DOI 10.1016/S0022-4359(00)00045-2, PII S0022435900000452; Morgan, M., Making space for experiences (2006) Journal of Retail and Leisure Property, 5, pp. 305-313; Moyer, C.A., Stern, D.T., Katz, S.J., Fendrick, A.M., 'We got mail': Electronic communication between physicians and patients (1999) American Journal of Managed Care, 5 (12), pp. 1513-1522; Moyer, C.A., Stern, D.T., Dobias, K.S., Cox, D.T., Katz, S.J., Bridging the electronic divide: Patient and provider perspectives on e-mail communication in primary care (2002) American Journal of Managed Care, 8 (5), pp. 427-433; Monroe, K.B., (1990) Pricing: Making Profitable Decisions, , New York: McGraw-Hill; Nelson, R., Stewart, P., Use of electronic mail as a clinical tool (1994) Journal of Health Care and Information Management Society, 8, pp. 33-36; Novak, T.P., Hoffman, D.L., Yung, Y.F., Measuring the customer experience in online environments: A structural modelling approach (2000) Marketing Science, 19 (1), pp. 22-42; Petrick, J.F., Development of a multi-dimensional scale for measuring the perceived value of a service (2002) Journal of Leisure Research, 34 (2), pp. 119-134; Sanchez, J., Callarisa, L., Rodriguez, R.M., Moliner, M.A., Perceived value of the purchase of a tourism product (2006) Tourism Management, 27 (3), pp. 394-409. , DOI 10.1016/j.tourman.2004.11.007, PII S0261517705000063; Sheth, J.N., Newman, B.I., Gross, B., Why we buy what we buy: A theory of consumption values (1991) Journal of Business Research, 22, pp. 159-170; Schmallegger, D., Carson, D., Blogs in tourism: Changing approaches to information exchange (2008) Journal of Vacation Marketing, 14 (2), pp. 99-110; Sciamanna, C.N., Rogers, M.L., Shenassa, E.D., Houston, T.K., Patient access to U.S. physicians who conduct internet or e-mail consults (2007) Journal of General Internal Medicine, 22 (3), pp. 378-381. , DOI 10.1007/s11606-006-0076-1; Sinha, I., Desarbo, W.S., An integrated approach toward the spatial modelling of perceived customer value (1998) Journal of Marketing Research, 35 (2), pp. 236-251; Sittig, D.F., King, S., Hazlehurst, B.L., A survey of patient-provider e-mail communication: What do patients think? (2001) International Journal of Medical Informatics, 61 (1), pp. 71-80. , DOI 10.1016/S1386-5056(00)00134-9, PII S1386505600001349; Sweeney, J.C., Soutar, G.N., Consumer perceived value: The development of a multiple item scale (2001) Journal of Retailing, 77 (2), pp. 203-220. , DOI 10.1016/S0022-4359(01)00041-0, PII S0022435901000410; Triki, A., Hallem, Y., Using case study research for assimilating the medical tourism service delivery process, analyzing the tour operator marketing mix, and understanding customer behavior (2008) Proceedings of the Annual Academy of Marketing Conference, Aberdeen, Great Britain; (1998) International Trade in Health Services: A Development Perspective, , UNCTAD-WHO Joint Publication. (Eds). Geneva: Author; Walker, T., Consumers go abroad in pursuit of cost-effective healthcare (2006) Managed Healthcare Executive, 16 (7), p. 10; Wang, Y., Lo, H.P., Chi, R., Yang, Y., An integrated framework for customer value and customer-relationship- management performance: A customer based perspective from China (2004) Managing Service Quality, 14 (2-3), pp. 169-182; Williams, P., Soutar, G.N., Dimensions of customer value and the tourism experience: An exploratory study (2000) ANZMAC, 2000, pp. 1415-1421; Wickramasinghe, N., Goldberg, S., How M = Ec2 in healthcare (2004) International Journal of Mobile Communications, 2 (2), pp. 140-156; Wickramasinghe, N., Misra, S.K., A wireless trust model for healthcare (2004) International Journal for Electronic Healthcare, 1 (1), pp. 60-77; Williams, P., Huntington, P., Nicholas, D., Health information on the Internet: A qualitative study of NHS Direct online Users (2003) Aslib Proceedings, 55 (5-6), pp. 304-312; Wilkins, A.S., Expanding Internet access for health care consumers (1999) Health Care Management Review, 24 (3), pp. 30-41; Woodruff, R.B., Customer value: The next source for competitive advantage (1997) Journal of the Academy of Marketing Science, 25 (2), pp. 139-153; Zeithaml, V.A., Consumer perceptions of price, quality and value: A means-end model and synthesis of evidence (1988) Journal of Marketing, 52, pp. 2-22","Hallem, Y.43, rue professeur Rochaix, 69003, Lyon, France; email: Yousra_hallem@yahoo.fr",,,"Elsevier Ltd",,,,,14476770,,,,"English","J. Hosp. Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84865990745 "Brotman B.A.","7004257927;","Medical tourism private hospitals: Focus India",2010,"Journal of Health Care Finance","37","1",,"45","50",,17,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956929144&partnerID=40&md5=f3f374b37fb0a1a48f2d48e9f04048b8","Kennesaw State University, Coles College of Business, GA, United States","Brotman, B.A., Kennesaw State University, Coles College of Business, GA, United States","This article examines demand factors for sophisticated medical treatments offered by private hospitals operating in India. Three types of medical tourism exist: Outbound, Inbound, and Intrabound. Increased profitability and positive growth trends by private hospital chains can be attributed to rising domestic income levels within India. Not all of the chains examined were financially solvent. Some of the hospital groups in this sample that advertised directly to potential Inbound medical tourists appear to be experiencing negative cash flows. © 2010 Aspen Publishers.","High deductible insurance; Indian hospital chains; Indian private hospitals; Medical tourism","article; eye care; financial information system; financial management; health care access; health care cost; health care distribution; human; income; India; information retrieval; private health insurance; private hospital; regression analysis; tourism; university hospital; Economics, Hospital; Hospitals, Private; India; Medical Tourism",,,,,,,,"(2010) Medical Tourism Update and Implications, , www.deloitte.com/assets/Dcom.../us_chs_MedicalTourism_111209_web.pdf, viewed on Mar. 17, and can be found online at; Bhat, Ramesh, Financial Health of Private Sector Hospitals in India, , www.iimahd.ernet.in/publications/data/2006-01-01rbhat.pdf, Ahmedabad, India, Research and Publications, WP. No. 2006-01-01. This paper examines the financial health of hospitals in the private sector and financial performance of these hospital located in India. This paper tries to determine the long-term solvency of Indian hospitals. The paper was last viewed on Mar. 17, 2010 and can be found at; Lefebvre, Bertrand, IntelliBriefs: Hospital Chains in India: The Coming of Age? (2010) Asia Visions, , http://www.ifri.org/?page=contribution-detail&id=5824, 23, Jan. last viewed online Mar. 17, 2010 at intellibriefs.blogspot.com/ 2010/.../hospital-chains-in-india-coming-of-age.html; (2007) The Rise of Medical Tourism - HBS Working Knowledge, , Dec. 17, Q&A with Harvard Business School's Tarun Khanna, ""Apollo Hospitals - First-World Health Care at Emerging-Market Prices."" This paper was last viewed on Mar. 17, 2010 and provides additional information about Apollo Hospitals and is available at hbswk.hbs.edu/item/5814.html","Brotman, B. A.; Kennesaw State University, Coles College of Business, GA, United States",,,,,,,,10786767,,JHCFF,"20973373","English","J. Health Care Financ.",Article,"Final",,Scopus,2-s2.0-77956929144 "Gustavo N.S.","56259028600;","A 21st-century approach to health tourism spas: The case of Portugal",2010,"Journal of Hospitality and Tourism Management","17","1",,"127","135",,17,"10.1375/jhtm.17.1.127","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904013580&doi=10.1375%2fjhtm.17.1.127&partnerID=40&md5=7b71766d7391da14a4978456396169bc","Estoril Higher Institute for Tourism and Hospitality Studies (ESHTE), Avenida Condes de Barcelona, 2769-510 Estoril, Portugal","Gustavo, N.S., Estoril Higher Institute for Tourism and Hospitality Studies (ESHTE), Avenida Condes de Barcelona, 2769-510 Estoril, Portugal","Early 21st century postmodern western societies are witnessing the rebirth and reinvention of health tourism founded on new ideologies, concepts, spaces and services mostly dominated by the desire for wellbeing expressed by the spa ideal. This is the affirmation of a new reality which, considering its growing role in present-day society, requires research, especially regarding demand, motivation and profile. Based on doctoral research in tourism, leisure and culture entitled The New Spaces for Leisure, Tourism and Health in Portugal: The Spas, this article sets out to present, examine and discuss a review of the literature on current principles and issues associated with health and body management, especially as they pertain to periods of leisure and tourism through a global and transversal approach. Then, in empirical terms, the article portrays the client profile of the new spas (including the new wellness segment tourist), founded on a pioneering and wide-ranging national survey carried out in Portugal. The information was gathered by means of a questionnaire directed to clients of Portuguese spas. Spa-goers were questioned as to the regularity, services, motivation and context of their spa use, as well as their other healthcare habits. Based on the information gathered, a profile of spa-goers in Portugal was designed and, by means of a classification technique, clusters were subsequently identified in this consumer group.","Health and body management; Health tourism; Leisure; Spas",,,,,,,,,"Clarke, A., Shim, J., Mamo, L., Fosket, J., Fishman, J., Biomedicalization: Techno-scientific transformations of health, illness, and U.S. biomedicine (2003) American Sociological Review, 68 (2), pp. 161-194; Cohen, M., Spas, wellness and human evolution (2008) Understanding the Global Spa Industry, pp. 3-25. , M. Cohen & G. Bodeker (Eds.), London: Butterworth-Heinemann; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism, , Bristol, UK: Channel View Publications; (2004) Health and Social Services: Visions for the Future, , http://www.eurofound.europa.eu/emcc/content/source/tn03008a.htm?p1= sectorfutures&p2=null, Retrieved May 12, 2008, from; Fox, N., Ward, K., Health identities: From expert patient to resisting consumer (2006) Health, 10 (4), pp. 461-479. , DOI 10.1177/1363459306067314; (2010) Spas and Global Wellness Market: Synergies and Opportunities, , Global Spa Summit. New York: SRI International; Galvin, R., Disturbing notions of chronic illness and individual responsibility: Towards a genealogy of morals (2002) Health, 6 (2), pp. 107-137; Gustavo, N., São Pedro do Sul Thermal Centre: Between health and wellness tourism (2008) Health and Wellness Tourism, pp. 319-323. , M. Smith, & L. Puczkó (Eds.), (2008), London: Butterworth-Heinemann; Haden, L., (2007) Spa Tourism: Travel & Tourism Analyst, , London: Mintel; (2006) Spa-goer Study, , International Spa Association. Lexington: ISPA; Messerli, H., Oyama, Y., (2004) Health and Wellness Tourism: Global, , London: Mintel; Minkler, M., Health education, health promotion and the open society: An historical perspective (1989) Health Education & Behavior, 16 (1), pp. 17-30; Rose, N., The politics of life itself (2001) Theory, Culture & Society, 18 (6), pp. 1-30; Smith, M., Puczkó, L., (2008) Health and Wellness Tourism, , London: Butterworth-Heinemann; (2010) SpaFinder Announces Top 10 Spa Trends for the Past Decade (2000-2010), , http://www.spafinder.com/about/press_release.jsp?relId=187, Retrieved September 14, 2010, from; Tabbachi, M., American and European spas (2008) Understanding the Global Spa Industry, pp. 26-40. , M. Cohen & G. Bodeker, (Eds.), London: Butterworth-Heinemann; (1986) The Ottawa Charter for Health Promotion - First International Conference on Health Promotion, , http://www.who.int/hpr/NPH/docs/ottawa_charter_hp.pdf, Retrieved June 30, 2008 from; Yeoman, I., (2008) Tomorrow's Tourist, , London: Butterworth-Heinemann","Gustavo, N.S.; Estoril Higher Institute for Tourism and Hospitality Studies (ESHTE), Avenida Condes de Barcelona, 2769-510 Estoril, Portugal; email: nuno.gustavo@eshte.pt",,,"Elsevier Ltd",,,,,14476770,,,,"English","J. Hosp. Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84904013580 "Connell J.","56227359000;","Tummy tucks and the Taj Mahal? Medical tourism and the globalization of health care",2007,"Tourism Management: Analysis, Behaviour and Strategy",,,,"232","244",,17,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890235173&partnerID=40&md5=f93df715550d4cda4c7e4eb7e0728da6","School of Geosciences, University of Sydney, NSW 2006, Australia","Connell, J., School of Geosciences, University of Sydney, NSW 2006, Australia","Medical tourism, where patients travel overseas for operations, has grown rapidly in the past decade, especially for cosmetic surgery. High costs and long waiting lists at home, higher incomes, new technology and skills in destination countries alongside reduced transport costs and internet marketing have all played a role. Several Asian countries are dominant, but most countries have sought to enter the market. Conventional tourism has been a by-product of this growth, following from its tourist packaging, and overall benefits to the travel industry have been considerable. The rise of medical tourism emphasizes the privatization of health care, the rising dependence on technology, uneven access to health resources and the accelerated globalization of both health care and tourism. © CAB International 2008.",,,,,,,,,,"(2005), ABC, India - Medical Tourism, Foreign Correspondent, ABC Television, 8 November; Ai-Lien, C., (2005) Singapore steps up efforts to woo foreign patients, , Straits Times, 1 September, H8; Andrews, M., (2004) Vacation makeovers, , U.S. News and World Report, 19 January; Blouin, C., Gobrecht, J., Lethbridge, J., Singh, D., Smith, R., Warner, D., Trade in health services under the four modes of supply: review of current trends and policy issues (2006) World Bank, International Trade in Health Services and the GATS, pp. 203-233. , World Bank, Washington, DC; Borman, E., Health tourism: where health care ethics and the state collide (2004) British Medical Journal, 328, pp. 60-61; Carrera, P., Bridges, J., Globalization and healthcare: understanding health and medical tourism (2006) Review of Pharmacoeconomics and Outcomes Research, 6, pp. 447-454; Chaynee, W., (2003) Health Tourism to Drive Earnings, , Malaysian Institute of Economic Research, Kuala Lumpur; Chong, W.Y., Boey, T.S., Vathsala, N., (2005) Promoting Health Tourism in Malaysia, , Unpublished paper to APacCHRIE Conference, Kuala Lumpur; Garcia-Altes, M., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gesler, W., (2003) Healing Places, , Rowman and Littlefield, Lanham, Maryland; Gilbert, E., (1954) Brighton: Old Ocean's Bauble, , Methuen, London; Goodrich, J., Socialist Cuba: a study of health tourism (1993) Journal of Travel Research, 32, pp. 36-41; Goodrich, J., Goodrich, G., Health-care tourism - an exploratory study (1987) Tourism Management, 8, pp. 217-222; Graham, K., It was a big leap of faith (2006) The Guardian, pp. 8-9. , 21 June; Henderson, J., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7, pp. 111-121; Huff-Rousselle, M., Shepherd, C., Cushman, R., Imrie, J., Lalta, S., (1995) Prospects for Health Tourism Exports for the English-Speaking Caribbean, , World Bank, Washington, DC; Kevan, S., Quests for cures: a history of tourism for climate and health (1993) International Journal of Biometeorology, 37, pp. 113-124; Kinavanod, N., (2005) French doctor sets sight on medical tourism, , Manila Bulletin 15 April; Levett, C., A slice of the action (2005) Sydney Morning Herald 29 October, 2005, p. 27; Neelankantan, S., (2003) India's global ambitions, , Far Eastern Economic Review 6 November; Ramesh, R., This UK patient avoided the NHS list and flew to India for a heart bypasss. Is health tourism the future? (2005) The Guardian, , 1 February; Russell, R., Surgery in the sun lures patients to Thai's posh hospital (2007) Brunei Times, , 13 March 2007; Scheper-Hughes, N., The global traffic in human organs (2000) Current Anthropology, 41, pp. 191-216; Scheper-Hughes, N., Organs without borders (2005) Foreign Policy, 147, pp. 26-27. , January; Schofield, P., Health tourism in Kyrgyz Republic: the Soviet salt mine experience (2004) New Horizons in Tourism, Strange Experiences and Stranger Practices, pp. 135-145. , Singh, T.V. (ed.), CABI, Wallingford, UK; Smith, C., Jenner, P., Health tourism in Europe (2000) Travel and Tourism Analysis, 1, pp. 41-59; Smith, N., Healthy competition (2006) E!Sharp November, pp. 46-48; Smyth, F., Medical geography: therapeutic places, spaces and networks (2005) Progress in Human Geography, 29, pp. 488-495; Steiner, C., Reisinger, Y., Ringing the fourfold: a philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31, pp. 5-14; Taffel, J., Fixed up in a foreign land (2004) Sydney Morning Herald 9 December, pp. 4-5","Connell, J.; School of Geosciences, University of Sydney, NSW 2006, Australia; email: jconnell@mail.usyd.edu.au",,,"CABI Publishing",,,,,,9781845933234,,,"English","Tourism Manage.: Anal., Behaviour and Strategy",Book Chapter,"Final",,Scopus,2-s2.0-84890235173 "Esiyok B., Çakar M., Kurtulmuşoğlu F.B.","56979212100;16425486600;55764492700;","The effect of cultural distance on medical tourism",2017,"Journal of Destination Marketing and Management","6","1",,"66","75",,16,"10.1016/j.jdmm.2016.03.001","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962178031&doi=10.1016%2fj.jdmm.2016.03.001&partnerID=40&md5=80afb88c9745c3012a651227d03fbffa","Department of Economics, Başkent University, Turkey; Department of Management, Başkent University, Turkey","Esiyok, B., Department of Economics, Başkent University, Turkey; Çakar, M., Department of Management, Başkent University, Turkey; Kurtulmuşoğlu, F.B., Department of Management, Başkent University, Turkey","This study analyses the relationships between the origin countries of international patients and their cultural distance from the destination country in the context of medical tourism. A novel panel dataset is used, covering 109 origin countries whose citizens came to Turkey and received medical treatment during 2012–2014. After accounting for control variables such as religious similarity, Turkish diaspora in the origin country, physical distance, GDP per capita and number of inbound tourists, the study finds that cultural distance has an impact on the choice of destination for medical tourism. This impact persists at the medical specialty level. © 2016 Elsevier Ltd","Cultural distance; Diaspora; International patient; Medical specialty; Medical tourism; Religious similarity",,,,,,,,,"Adams, E.K., Wright, G.E., Hospital choice of Medicare beneficiaries in a rural market: Why not the closest? 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Sağlık Turizmi Daire Başkanlığı Ankara; Ng, S.I., Lee, J.A., Soutar, G.N., Tourists’ intention to visit a country: The impact of cultural distance (2007) Tourism Management, 28 (6), pp. 1497-1506; Ormond, M., First World treatments at Third World prices: The real cost of medical tourism (2008) Medical tourism: responding to the cross border pursuit of healthcare in Malaysia, pp. 69-77. , R. Anand S. Gupta Icfai University Press Hyderabad; Runnels, V., Turner, L., Bioethics and transnational medical travel: India, ‘medical tourism', and the globalisation of health care (2011) Indian Journal of Medical Ethics, 8 (1), pp. 42-44; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30. , http://business.utsa.edu/wps/acc/0033ACC-205-2008.pdf; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2-3), pp. 276-282; Turner, L., First World health care at Third World prices’: Globalization, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Wallace, S., Mendez-Luck, C., Castaneda, X., Heading south: Why Mexican immigrants in California seek health services in Mexico (2009) Medical Care, 47, pp. 662-669; Whittaker, A., Chee, H.L., Perceptions of an ‘international hospital’ in Thailand by medical travel patients: Cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297; Wooldridge, J.M., (2002) Econometric analysis of cross section and panel data, , The MIT Press London; (2015), http://www.imf.org/external/pubs/ft/weo/2015/update/01/info.htm, (). Retrieved from: 10.04.15; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Yu, J.J., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-40","Esiyok, B.; Department of Economics, Başkent UniversityTurkey; email: besiyok@baskent.edu.tr",,,"Elsevier Ltd",,,,,2212571X,,,,"English","J. Destin. Mark. Manage.",Article,"Final",,Scopus,2-s2.0-84962178031 "Singh M., Dugdale C.M., Solomon I.H., Huang A., Montgomery M.W., Pomahac B., Yawetz S., Maguire J.H., Talbot S.G.","55469469500;55839402900;56441119800;57191593082;57191918664;6602461627;8967832300;8682166900;7102399057;","Rapid-growing mycobacteria infections in medical tourists: Our experience and literature review",2016,"Aesthetic Surgery Journal","36","8",,"NP246","NP253",,16,"10.1093/asj/sjw047","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84994888502&doi=10.1093%2fasj%2fsjw047&partnerID=40&md5=03e8d845d397e1ee8111eebb636804f0","Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States","Singh, M., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States; Dugdale, C.M., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States; Solomon, I.H., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States; Huang, A., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States; Montgomery, M.W., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States; Pomahac, B., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States; Yawetz, S., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States; Maguire, J.H., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States; Talbot, S.G., Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, United States","Background ""Medical tourism"" has gained popularity over the past few decades. This is particularly common with patients seeking elective cosmetic surgery in the developing world. However, the risk of severe and unusual infectious complications appears to be higher than for patients undergoing similar procedures in the United States. Objectives The authors describe their experience with atypical mycobacterial infections in cosmetic surgical patients returning to the United States postoperatively. Methods A review of patient medical records presenting with infectious complications after cosmetic surgery between January 2010 and July 2015 was performed. Patients presenting with mycobacterial infections following cosmetic surgery were reviewed in detail. An extensive literature review was performed for rapid-growing mycobacteria (RGM) related to cosmetic procedures. Results Between January 2010 and July 2015, three patients presented to our institution with culture-proven Mycobacterium abscessus at the sites of recent cosmetic surgery. All had surgery performed in the developing world. The mean age of these patients was 36 years (range, 29-44 years). There was a delay of up to 16 weeks between the initial presentation and correct diagnosis. All patients were treated with surgical drainage and combination antibiotics with complete resolution. Conclusions We present series of patients with mycobacterial infections after cosmetic surgery in the developing world. This may be related to the endemic nature of these bacteria and/or inadequate sterilization or sterile technique. Due to low domestic incidence of these infections, diagnosis may be difficult and/or delayed. Consulting physicians should have a low threshold to consider atypical etiologies in such scenarios. © 2016 The American Society for Aesthetic Plastic Surgery, Inc.",,"antibiotic agent; antiinfective agent; antibiotic therapy; atypical mycobacteriosis; bacterial growth; clinical feature; esthetic surgery; human; infectious complication; medical tourism; Mycobacterium abscessus; nonhuman; personal experience; priority journal; Review; surgical drainage; surgical infection; surgical patient; treatment response; United States; adult; adverse effects; developing country; Drainage; elective surgery; female; Mycobacterium Infections, Nontuberculous; plastic surgery; Postoperative Complications; Adult; Anti-Bacterial Agents; Developing Countries; Drainage; Elective Surgical Procedures; Female; Humans; Medical Tourism; Mycobacterium Infections, Nontuberculous; Postoperative Complications; Surgery, Plastic",,"Anti-Bacterial Agents",,,,,,"Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? the role of networks in determining medical travel (2015) Soc Sci Med, 124, pp. 356-363; Connell, J., Medical tourism: Sea, sun, sand and... Surgery (2006) Tourism Management, 27, pp. 1093-1100; Office of Travel and Tourism Industries. 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Elsevier; Wenger, J.D., Spika, J.S., Smithwick, R.W., Outbreak of Mycobacterium chelonae infection associated with use of jet injectors (1990) JAMA, 264 (3), pp. 373-376; Bolan, G., Reingold, A.L., Carson, L.A., Infections with Mycobacterium chelonei in patients receiving dialysis and using processed hemodialyzers (1985) J Infect Dis, 152, pp. 1013-1019; Lowry, P.W., Jarvis, W.R., Oberle, A.D., Mycobacterium chelonae causing otitis media in an ear-nose-and-throat practice (1988) N Engl J Med, 319, pp. 978-982; Uslan, D.Z., Kowalski, T.J., Wengenack, N.L., Virk, A., Wilson, J.W., Skin and soft tissue infections due to rapidly growing mycobacteria comparison of clinical features treatment and susceptibility (2006) Arch Dermatol, 142 (10), pp. 1287-1292; Meyers, H., Brown-Elliott, B.A., Moore, D., Curry, J., Truong, C., Zhang, Y., An outbreak of Mycobacterium chelonae following liposuction (2002) Clin Infect Dis, 34, pp. 1500-1507; Rapidly growing mycobacterial infection following liposuction and liposculpture-Caracas, Venezuela, 1996-1998 (1998) MMWR Morb Mortal Wkly Rep., 47 (49), pp. 1065-1067; Murillo, J., Torres, J., Bofill, L., Skin and wound infection by rapidly growing mycobacteria: An unexpected complication of liposuction and liposculpture. the Venezuelan Collaborative Infectious and Tropical Diseases Study Group (2000) Arch Dermatol, 136 (11), pp. 1347-1352; Tiwari, T.S., Ray, B., Jost, K.C., Forty years of disinfectant failure: Outbreak of postinjection Mycobacterium absces-sus infection caused by contamination of benzalkonium chloride (2003) Clin Infect Dis, 36 (8), pp. 954-962; Rutala, W.A., Weber, D.J., Disinfectants used for environmental disinfection and new room decontamination technology (2013) Am J Infect Control, 41, pp. S36-S41; Donohue, M.J., Mistry, J.H., Donohue, J.M., Increased Frequency of Nontuberculous Mycobacteria Detection at Potable Water Taps within the United States (2015) Environ Sci Technol, 49 (10), pp. 6127-6133; McFarland, E.J., Kuritzkes, D.R., Clinical features and treatment of infection due to mycobacterium fortuitum/chelonae complex (1993) Curr Clin Top Infect Dis, 13, pp. 188-202; De Groote, M.A., Huitt, G., Infections due to rapidly growing mycobacteria (2006) Clin Infect Dis, 42 (12), pp. 1756-1763; Cowman, S., Burns, K., Benson, S., Wilson, R., Loebinger, M.R., The antimicrobial susceptibility of non-tuberculous mycobacteria (2016) J Infect, 72 (3), pp. 324-331; Wallace, R.J., Jr., Tanner, D., Brennan, P.J., Brown, B.A., Clinical trial of clarithromycin for cutaneous (disseminated) infection due to Mycobacterium chelonae (1993) Ann Intern Med, 119 (6), pp. 482-486; Nash, K.A., Zhang, Y., Brown-Elliott, B.A., Wallace, R.J., Jr., Molecular basis of intrinsic macrolide resistance in clinical isolates of Mycobacterium fortuitum (2005) J Antimicrob Chemother, 55 (2), pp. 170-177; Nash, K.A., Brown-Elliott, B.A., Wallace, R.J., Jr., A novel gene, erm(41), confers inducible macrolide resistance to clinical isolates of Mycobacterium abscessus but is absent from Mycobacterium chelonae (2009) Antimicrob Agents Chemother, 53 (4), pp. 1367-1376; Kasperbauer, S.H., De Groote, M.A., The treatment of rapidly growing mycobacterial infections (2015) Clin Chest Med, 36 (1), pp. 67-78; Rubio, M., March, F., Garrigó, M., Moreno, C., Español, M., Coll, P., Inducible and Acquired Clarithromycin Resistance in the Mycobacterium abscessus Complex (2015) PLoS One, 10 (10), p. e0140166","Talbot, S.G.; Division of Plastic Surgery, Departments of Medicine, Pathology, and Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, United States; email: sgtalbot@partners.org",,,"Oxford University Press",,,,,1090820X,,ASJEB,"27095310","English","Aesthet. Surg. J.",Review,"Final",Open Access,Scopus,2-s2.0-84994888502 "Das G., Mukherjee S.","55823603900;56316810800;","A measure of medical tourism destination brand equity",2016,"International Journal of Pharmaceutical and Healthcare Marketing","10","1",,"104","128",,16,"10.1108/IJPHM-04-2015-0015","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962003775&doi=10.1108%2fIJPHM-04-2015-0015&partnerID=40&md5=576d07370abbd573d567e476c048f3f7","Department of Marketing, Indian Institute of Management Rohtak, Rohtak, India; VGSoM, IIT Kharagpur, Kharagpur, India","Das, G., Department of Marketing, Indian Institute of Management Rohtak, Rohtak, India; Mukherjee, S., VGSoM, IIT Kharagpur, Kharagpur, India","Purpose – Given the increasing dominance of medical tourism on the service economy of some of the developing nations, as a pioneering attempt, this study aims to develop a consumer-based brand equity (CBBE) measurement scale for the medical tourist destinations (city/hospital). Design/methodology/approach – Following the traditional marketing construct development process (qualitative study, purification study and validation study), in the present study, two sets of large and independent samples were assessed to judge the dimensionality of the measure. Findings – A well-validated measurement scale was developed as an amalgamation of four dimensions, namely, awareness, perceived quality, brand loyalty and authenticity to assess CBBE of medical destinations. Practical implications – To reduce the financial and physical risk associated with the purchase of treatment, the customers may rely on “authenticity” of the service providers to select a treatment destination. The outcomes would help medical administrators/managers to focus more on developing “assurance” by increased reliability, responsiveness and tangibles to attract the medical tourists to a large extent. Originality/value – The study is a pioneering attempt to develop a scale for measuring CBBE for medical tourist destinations. The study aligns with earlier CBBE scales in terms of the first three elements, namely, brand awareness, loyalty and perceived quality. 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J. Pharm. Healthc. Mark.",Article,"Final",,Scopus,2-s2.0-84962003775 "Kim D.H., Sheppard C.E., De Gara C.J., Karmali S., Birch D.W.","56222633800;56067774000;7004623971;6505890576;7102264332;","Financial costs and patients' perceptions of medical tourism in bariatric surgery",2016,"Canadian Journal of Surgery","59","1",,"59","61",,16,"10.1503/cjs.004215","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958257337&doi=10.1503%2fcjs.004215&partnerID=40&md5=0c644da963df0c3befb1440735ecd56d","Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada; Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada; Bariatric Revision Clinic, University of Alberta, Edmonton, AB, Canada; Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, 10240 Kingsway Ave. NW, Edmonton, AB T5H 3V9, Canada","Kim, D.H., Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada; Sheppard, C.E., Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada; De Gara, C.J., Bariatric Revision Clinic, University of Alberta, Edmonton, AB, Canada; Karmali, S., Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, 10240 Kingsway Ave. NW, Edmonton, AB T5H 3V9, Canada; Birch, D.W., Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, 10240 Kingsway Ave. NW, Edmonton, AB T5H 3V9, Canada","Many Canadians pursue surgical treatment for severe obesity outside of their province or country - so-called ""medical tourism."" We have managed many complications related to this evolving phenomenon. The costs associated with this care seem substantial but have not been previously quantified. We surveyed Alberta general surgeons and postoperative medical tourists to estimate costs of treating complications related to medical tourism in bariatric surgery and to understand patients' motivations for pursuing medical tourism. Our analysis suggests more than $560 000 was spent treating 59 bariatric medical tourists by 25 surgeons between 2012 and 2013. Responses from medical tourists suggest that they believe their surgeries were successful despite some having postoperative complications and lacking support from medical or surgical teams. We believe that the financial cost of treating complications related to medical tourism in Alberta is substantial and impacts existing limited resources. © 2016 8872147 Canada Inc.",,"adult; Alberta; bariatric surgery; cost; economics; human; medical tourism; patient satisfaction; Postoperative Complications; statistics and numerical data; surgeon; Adult; Alberta; Bariatric Surgery; Costs and Cost Analysis; Humans; Medical Tourism; Patient Satisfaction; Postoperative Complications; Surgeons",,,,,,,,"Overweight and Obese Adults (Self-reported); 2013, , www.statcan.gc.ca/pub/82-625-x/2014001/article/14021-eng.htm, Statistics Canada (accessed 2015 Nov. 12); Martin, A.R., Klemensberg, J., Klein, L.V., Comparison of public and private bariatric surgery services in Canada (2011) Can J Surg, 54, pp. 154-169; Sheppard, C.E., Lester, E.L., Chuck, A.W., Medical tourism and bariatric surgery: Who pays (2014) Surg Endosc, 28, pp. 3329-3336; Kellerman, S.E., Herold, J., Physician response to surveys. A review of the literature (2001) Am J Prev Med, 20, pp. 61-67; Fares, B., Labonté, R., Runnels, V., Briefing 2 - Should Canada's hospitals open their doors to medical tourists? Health care in Canada: An economic growth engine (2015) The Conference Board of Canada, , www.conferenceboard.ca/e-library/abstract.aspx?did=7003, (accessed 2015 Nov. 12)","Birch, D.W.; Weight Wise Bariatric Clinic, Minimally Invasive Gastrointestinal and Bariatric Surgery, University of Alberta, 10240 Kingsway Ave. NW, Canada; email: dbirch@ualberta.ca",,,"Canadian Medical Association",,,,,0008428X,,CJSUA,"26574702","English","Can. J. Surg.",Article,"Final",Open Access,Scopus,2-s2.0-84958257337 "Abd Manaf N.H., Hussin H., Jahn Kassim P.N., Alavi R., Dahari Z.","8610860900;57192085171;8527019100;24775226000;55343474700;","Country perspective on medical tourism: The malaysian experience",2015,"Leadership in Health Services","28","1",,"43","56",,16,"10.1108/LHS-11-2013-0038","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921316346&doi=10.1108%2fLHS-11-2013-0038&partnerID=40&md5=72f971cbc146b9f79f72204d9c35bbd3","Department of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Department of Information System, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Department of Civil Law, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Department of Economics, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Department of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia","Abd Manaf, N.H., Department of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Hussin, H., Department of Information System, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Jahn Kassim, P.N., Department of Civil Law, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Alavi, R., Department of Economics, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Dahari, Z., Department of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia","Purpose – The study seeks to explore the perception of international patients on Malaysia as a medical tourism destination country, as well as overall patient satisfaction, perceived value and future intention for repeat treatment and services. Design/methodology/approach – Self-administered questionnaire was the main method of data collection. The survey covered major private hospitals in medical tourists’ states in the country, namely, Penang, Melaka, Selangor and Kuala Lumpur. Convenience sampling was used due to the condition of patients as respondents. Findings – Indonesian patients formed the largest majority of international patients in the country. Five dimensions of medical tourism in Malaysia was identified, namely, hospital and staff, country factor, combining tourism and health services, cost saving and insurance and unavailability of treatment. Of these, hospital and staff was found to be the most important factor for the patients. Perception of value, overall satisfaction and intention for future treatment was also found to be high. This indicates that Malaysia is on the right footing in this burgeoning industry. Practical implications – Findings from the study will enable policy-makers to better position Malaysia as a medical tourist destination country. Originality/value – Medical tourism is a recent phenomenon and very little empirical research has been carried out at the patient level. This study is one of the first few studies which seek to explore medical tourism from the perspective of the patients themselves. © Emerald Group Publishing Limited.","Health care; Health services; Public health","human; Malaysia; medical tourism; patient satisfaction; perception; psychology; Humans; Malaysia; Medical Tourism; Patient Satisfaction; Perception",,,,,,,,"Arellano, R., Annette, P., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) The Journal of Legal Medicine, 28 (2), pp. 223-245; Carrera, P.M., Bridges, J., Globalisation and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Chen, P.T., Kung, R.H., Huang, M., Chen, F., Pei, L., Exploring the medical tourism development barriers and participation willingness in Taiwan: An example of mainland tourist (2012) World Academy of Science, Engineering and Technology, 68, pp. 1352-1356; Connell, J., Medical tourism: Sea, sun, sand and…. surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patients experience of medical tourism? 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(2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Salmon, J.W., Emerging trends in outsourcing healthcare: Medical tourism (2008) American Health and Drug Benefits, 1 (7), pp. 27-28; Sivanandam, H., Medical tourism getting more popular (2009) The Sun, , www.malaysiahealhcare.com/26052009.htm, accessed 22 December 2009; Indonesias middle class: Missing BRIC in the wall (2011) The Economist, , www.economist.com/node, accessed 4 April 2014","Manaf, N.H.A.; Department of Business Administration, International Islamic University MalaysiaMalaysia",,,"Emerald Group Publishing Ltd.",,,,,17511879,,,"25751248","English","Leadersh. in Health Serv.",Article,"Final",,Scopus,2-s2.0-84921316346 "Schnabel D., Gaines J., Nguyen D.B., Esposito D.H., Ridpath A., Yacisin K., Poy J.A., Mullins J., Burns R., Lijewski V., McElroy N.P., Ahmad N., Harrison C., Parinelli E.J., Beaudoin A.L., Posivak-Khouly L., Scott Pritchard P., Jensen B.J., Toney N.C., Moulton-Meissner H.A., Nyangoma E.N., Anita Barry M., Feldman K.A., Blythe D., Perz J.F., Morgan O.W., Kozarsky P., Brunette G.W., Sotir M.","56103576400;56103895600;55360122300;35740220400;24462397200;6506712632;54943627600;56104359700;56103494300;55549537300;55986714000;57192835224;56104253900;56103563800;55843448000;56103714600;56103717600;7403218100;36081195500;55987950000;56103989100;37036847500;7103377015;55961223700;7003822241;8265576400;7004334776;25222339400;6602896358;","Rapidly growing nontuberculous mycobacterium wound infections among medical tourists undergoing cosmetic surgeries in the dominican republic - Multiple states, March 2013- February 2014",2014,"Morbidity and Mortality Weekly Report","63","9",,"201","202",,16,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84897816315&partnerID=40&md5=6d2b3f7289f0b8cdaa722f26425f2a07","Maryland Department of Health and Mental Hygiene, United States; Division for Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Division of Healthcare Quality and Promotion, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; New York City Department of Health and Mental Hygiene, New York, NY, United States; Connecticut Department of Public Health, United States; Massachusetts Department of Public Health, United States; New York State Department of Health, United States; New York State Metropolitan Area Regional Office, United States; New York State Orange County Health Department, United States; Pennsylvania Department of Health, United States; Montgomery County Health Department, Norristown, PA, United States; Florida Department of Health, United States; Boston Public Health Commission, Boston, MA, United States; Dominican Republic Country Office, Center for Global Health, CDC, United States","Schnabel, D., Maryland Department of Health and Mental Hygiene, United States; Gaines, J., Division for Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Nguyen, D.B., Division of Healthcare Quality and Promotion, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Esposito, D.H., Division for Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Ridpath, A., New York City Department of Health and Mental Hygiene, New York, NY, United States; Yacisin, K., New York City Department of Health and Mental Hygiene, New York, NY, United States; Poy, J.A., New York City Department of Health and Mental Hygiene, New York, NY, United States; Mullins, J., Connecticut Department of Public Health, United States; Burns, R., Massachusetts Department of Public Health, United States; Lijewski, V., Massachusetts Department of Public Health, United States; McElroy, N.P., Massachusetts Department of Public Health, United States; Ahmad, N., New York State Department of Health, United States; Harrison, C., New York State Metropolitan Area Regional Office, United States; Parinelli, E.J., New York State Orange County Health Department, United States; Beaudoin, A.L., Pennsylvania Department of Health, United States; Posivak-Khouly, L., Montgomery County Health Department, Norristown, PA, United States; Scott Pritchard, P., Florida Department of Health, United States; Jensen, B.J., Division of Healthcare Quality and Promotion, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Toney, N.C., Division of Healthcare Quality and Promotion, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Moulton-Meissner, H.A., Division of Healthcare Quality and Promotion, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Nyangoma, E.N., Division for Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Anita Barry, M., Boston Public Health Commission, Boston, MA, United States; Feldman, K.A., Maryland Department of Health and Mental Hygiene, United States; Blythe, D., Maryland Department of Health and Mental Hygiene, United States; Perz, J.F., Division of Healthcare Quality and Promotion, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Morgan, O.W., Dominican Republic Country Office, Center for Global Health, CDC, United States; Kozarsky, P., Division for Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Brunette, G.W., Division for Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Sotir, M., Division for Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States",[No abstract available],,"adolescent; adult; article; classification; Dominican Republic; epidemic; female; human; isolation and purification; medical tourism; middle aged; mycobacteriosis; Mycobacterium; plastic surgery; public health service; surgical infection; United States; young adult; Adolescent; Adult; Centers for Disease Control and Prevention (U.S.); Disease Outbreaks; Dominican Republic; Female; Humans; Medical Tourism; Middle Aged; Mycobacterium; Mycobacterium Infections; Reconstructive Surgical Procedures; Surgical Wound Infection; United States; Young Adult",,,,,,,,"Nessar, R., Cambau, E., Reyrat, J.M., Murray, A., Gicquel, B., Mycobacterium abscessus: A new antibiotic nightmare (2012) J Antimicrob Chemother, 67, pp. 810-818; Brief report: Nontuberculous mycobacterial infections after cosmetic surgery-Santo Domingo, Dominican Republic, 2003-2004 (2004) MMWR, 53, p. 509. , CDC; Furuya, E.Y., Paez, A., Srinivasan, A., Outbreak of Mycobacterium abscessus wound infections among ""lipotourists"" from the United States who underwent abdominoplasty in the Dominican Republic (2008) Clin Infect Dis, 46, pp. 1181-1188; Lee, C.V., Balaban, V., The pre-travel consultation, counseling, and advice for travelers [chapter]: Medical tourism (2014) CDC health information for international travel 2014, pp. 127-131. , http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-2-the-pre-travel-consultation/medical-tourism, In: Brunette GW, ed. New York, NY: Oxford University Press; Available at; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759","Schnabel, D.; Maryland Department of Health and Mental HygieneUnited States; email: dschnabel@cdc.gov",,,,,,,,01492195,,,"24598597","English","Morb. Mortal. Wkly. Rep.",Note,"Final",,Scopus,2-s2.0-84897816315 "Han H., Hyun S.S.","21233360400;26325461500;","Medical Hotel in the Growth of Global Medical Tourism",2014,"Journal of Travel and Tourism Marketing","31","3",,"366","380",,16,"10.1080/10548408.2013.876955","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84898620443&doi=10.1080%2f10548408.2013.876955&partnerID=40&md5=38ba4c7c029b33250107428543e57fda","College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul 143-747, South Korea; Department of Tourism and Convention, Pusan National University, Jangjeon-Dong, San 30, Kumjung-Gu, Busan 609-735, South Korea","Han, H., College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul 143-747, South Korea; Hyun, S.S., Department of Tourism and Convention, Pusan National University, Jangjeon-Dong, San 30, Kumjung-Gu, Busan 609-735, South Korea","This study was designed to identify international patient-travelers' perceived advantages of staying at a medical hotel; to examine associations among perceived advantages, price perceptions, and willingness to stay by considering price perception as mediator; to investigate relative importance among advantage components; and to identify differences in study variables between first-time international medical tourists and experienced/repeat travelers. Eleven advantages were identified in a qualitative study. Findings from a quantitative analysis indicated that dimensions of perceived advantages, price perception, and willingness to stay are, in general, significantly associated. In particular, among advantage components, a decisive role was found for physical convenience in willingness to stay and time/effort savings in perceived price. In addition, level of perceived advantages, price perception, and stay willingness were found to differ significantly between first-timers and repeaters. There has been limited research on the medical hotel. The findings provided valuable insights for both medical-tourism researchers and practitioners. Copyright © Taylor & Francis Group, LLC.","Medical hotel; medical tourism; price; willingness to stay",,,,,,,,,"Back, K., The effects of image congruence on customers' brand loyalty in the upper middle-class hotel industry (2005) Journal of Hospitality & Tourism Research, 29 (4), pp. 448-467; Baron, R.M., Kenny, D.A., The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations (1986) Journal of Personality and Social Psychology, 51 (6), pp. 1173-1182; Bass, S.L., (1986), http://www.nytimes.com/1986/02/09/nyregion/approval-sought-for-medical-hotels.html; Bolton, R.N., Lemon, K.N., A dynamic model of customers' usage of services: Usage as an antecedent and consequence of satisfaction (1999) Journal of Marketing Research, 36, pp. 171-186; Brunner, T.A., Stöcklin, M., Opwis, K., Satisfaction, image and loyalty: New versus experienced customers (2008) European Journal of Marketing, 42 (9-10), pp. 1095-1105; Chaharbaghi, K., Lynch, R., Sustainable competitive advantage: Towards a dynamic resource-based strategy (1999) Management Decision, 37 (1), pp. 45-50; Chen, I.J., Gupta, A., Rom, W., A study of price and quality in service operations (1994) International Journal of Service Industry Management, 5 (2), pp. 23-33; Crozier, G.K.D., Baylis, F., The ethical physician encounters international medical travel (2010) Journal of Medical Ethics, 36, pp. 297-301; (2012) Docrates, , http://www.docrates.com/en/docrates-hospital/health-care-hotel-helsinki; Fakeye, P., Crompton, J., Image differences between prospective, first-time, and repeat visitors to the Lower Rio Grande Valley (1991) Journal of Travel Research, 30 (2), pp. 10-16; Gan, L.L., Frederick, J.R., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; George, D., Mallery, P., (2001) SPSS for windows, , Needham Heights, MA,: A Pearson Education; (2012) GHN, , http://www.globalhealthcarenetwork.com; Gwinner, K.P., Gremler, D.D., Bitner, M.J., Relational benefits in services industries: The customer's perspective (1998) Journal of the Academy of Marketing Science, 26 (2), pp. 101-114; Han, H., Hyun, S., An extension of the four-stage loyalty model: The critical role of positive switching barriers (2012) Journal of Travel and Tourism Marketing, 29, pp. 40-56; Han, H., Ryu, K., The roles of the physical environment, price perception, and customer satisfaction in determining customer loyalty in the restaurant industry (2009) Journal of Hospitality and Tourism Research, 33 (4), pp. 487-510; Han, H., The healthcare hotel: Distinctive attributes for international medical travelers (2013) Tourism Management, 36, pp. 257-268; Han, H., Hsu, L., Lee, J., Sheu, C., Are lodging customers ready to go green? An examination of attitudes, demographics, and eco-friendly intentions (2011) International Journal of Hospitality Management, 30, pp. 345-355; Hennig-Thurau, T., Gwinner, K.P., Gremler, D.D., Understanding relationship marketing outcomes: An integration of relational benefits and relationship quality (2002) Journal of Service Research, 4 (3), pp. 230-247; Hume, L.F., DeMicco, F.J., Bringing hotels to healthcare: A Rx for success (2007) Journal of Quality Assurance in Hospitality and Tourism, 8 (1), pp. 75-84; Kennedy, D., (2012), http://www.ehow.com/facts_5009770definition-medical-clinic.html; Kim, S., Lee, J., Kim, M., How different are first-time attendees from repeat attendees in convention evaluation? (2012) International Journal of Hospitality Management, 31 (2), pp. 533-544; Kim, W., Han, H., Determinants of restaurant customers' loyalty intentions: A mediating effect of relationship quality (2008) Journal of Quality Assurance in Hospitality & Tourism, 9 (3), pp. 219-239; Largent, L., (2011), http://www.escapefromamerica.com/2011/09/medical-vacation-prices/#; Lee, K., (2012), http://www.yakup.com/news/index.html?mode=view&nid=154435; (2012) Medical Hotels, , http://www.medical-hotels.com/index.html; Mohr, K., Backman, K., Gahan, L., Backman, S., An investigation of festival motivations and event satisfaction by visitor type (1993) Festival Management and Event Tourism, 1 (3), pp. 89-97; (2012) National Institutes of Health, , http://www.nlm.nih.gov/medlineplus/nursinghomes.html; Oh, H., Service quality, customer satisfaction, and customer value: A holistic perspective (1999) International Journal of Hospitality Management, 18 (1), pp. 67-82; Oh, H., The effect of brand class, brand awareness, and price on customer value and behavioral intentions (2000) Journal of Hospitality and Tourism Research, 24 (2), pp. 136-162; Oliver, R.L., (1997) Satisfaction: A behavioral perspective on the consumer, , New York,: McGraw-Hill; Park, D., Park, B., Kong, K., Park, J., (2007) The hotel operations management, , Daegu, Korea,: Daemyoung Publishing; Petrick, J.F., First timers' and repeaters' perceived value (2004) Journal of Travel Research, 43 (1), pp. 29-38; Porter, M.E., (1980) Competitive strategy, , New York, NY,: Free Press; Ryu, K., Han, H., New or repeat customers: How does physical environment influence their restaurant experience? (2011) International Journal of Hospitality Management, 30, pp. 599-611; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The 'patient's physician one-step removed': The evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Sobo, E.J., Medical travel: What it means, why it matters (2009) Medical Anthropology, 28 (4), pp. 326-335; Varki, S., Colgate, M., The role of price perceptions in an integrated model of behavioral intentions (2001) Journal of Service Research, 3 (3), pp. 232-240; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Yoon, J., (2012), http://kmomnews.hankyung.com/life/apps/news.sub_view?popup=0&nid=03&c1=03&c2=&c3=&nkey=201208161752271; Zeithaml, V.A., Conceptualizing and measuring consumer response to price (1983) Advances in consumer research, pp. 612-616. , In: Bagozzi R.P., Tybout A. M., editors Ann Arbor, MI,: Association for Consumer Research; Zeithaml, V.A., Consumer perceptions of price, quality, and value: A means-end model and synthesis of evidence (1988) Journal of Marketing, 52, pp. 2-22; Zeithaml, V.A., Berry, L.L., Parasuraman, A., The behavioral consequences of service quality (1996) Journal of Marketing, 60, pp. 31-46; Zhou, Z., Nakamoto, K., Price perception: A cross-national study between American and Chinese young consumers (2001) Advances in Consumer Research, 28, pp. 161-168","Hyun, S. S.; Department of Tourism and Convention, Pusan National University, Jangjeon-Dong, San 30, Kumjung-Gu, Busan 609-735, South Korea; email: shyun@pusan.ac.kr",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84898620443 "Cameron K., Crooks V.A., Chouinard V., Snyder J., Johnston R., Casey V.","55486918500;35585107800;6602141081;24170239100;36500711800;55486848400;","Motivation, justification, normalization: Talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries",2014,"Social Science and Medicine","106",,,"93","100",,16,"10.1016/j.socscimed.2014.01.047","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84896845578&doi=10.1016%2fj.socscimed.2014.01.047&partnerID=40&md5=ab619530fc299f47b1f28a61ba46a5e4","School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada; Simon Fraser University, Canada","Cameron, K., School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada; Crooks, V.A., Simon Fraser University, Canada; Chouinard, V., School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada; Snyder, J., Simon Fraser University, Canada; Johnston, R., Simon Fraser University, Canada; Casey, V., Simon Fraser University, Canada","Contributing to health geography scholarship on the topic, the objective of this paper is to reveal Canadian medical tourists' perspectives regarding their choices to seek knee replacement or hip replacement or resurfacing (KRHRR) at medical tourism facilities abroad rather than domestically. We address this objective by examining the 'talk strategies' used by these patients in discussing their choices and the ways in which such talk is co-constructed by others. Fourteen interviews were conducted with Canadians aged 42-77 who had gone abroad for KRHRR. Three types of talk strategies emerged through thematic analysis of their narratives: motivation, justification, and normalization talk. Motivation talk referenced participants' desires to maintain or resume physical activity, employment, and participation in daily life. Justification talk emerged when participants described how limitations in the domestic system drove them abroad. Finally, being a medical tourist was talked about as being normal on several bases. Among other findings, the use of these three talk strategies in patients' narratives surrounding medical tourism for KRHRR offers new insight into the language-health-place interconnection. Specifically, they reveal the complex ways in which medical tourists use talk strategies to assert the soundness of their choice to shift the site of their own medical care on a global scale while also anticipating, if not even guarding against, criticism of what ultimately is their own patient mobility. These talk strategies provide valuable insight into why international patients are opting to engage in the spatially explicit practice of medical tourism and who and what are informing their choices. © 2014 Elsevier Ltd.","Canada; Hip replacement; Hip resurfacing; Knee replacement; Medical tourism","health geography; health worker; mobility; physical activity; strategic approach; adult; aged; article; Canada; clinical article; controlled study; daily life activity; employment; female; health behavior; health care facility; health promotion; hip arthroplasty; human; international relations; interpersonal communication; knee arthroplasty; language; male; medical care; medical practice; medical tourism; motivation; patient decision making; patient education; patient mobility; physical activity; semi structured interview; social participation; thematic analysis; verbal communication; young adult; Canada; Canada; Hip replacement; Hip resurfacing; Knee replacement; Medical tourism; Adult; Aged; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Canada; Choice Behavior; Female; Humans; Male; Medical Tourism; Middle Aged; Motivation; Narration; Qualitative Research",,,,,"Canadian Institutes of Health Research, CIHR: 114506 Michael Smith Foundation for Health Research, MSFHR","We are extremely thankful to the participants for sharing their time with us. The original study from which this secondary analysis is derived was funded with a Catalyst Grant from the Canadian Institutes of Health Research (CIHR) . This secondary analysis was funded with a Planning Grant awarded by the CIHR ( FRN# 114506 ). VAC is also funded by a Scholar Award from the Michael Smith Foundation for Health Research .",,"Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Promoting social responsibility amongst health care users: medical tourists' perspectives on an information sheet regarding ethical concerns in medical tourism (2013) Philosophy, Ethics, and Humanities in Medicine, 8, pp. 19-26; Begum, S., Medical and wellness tourism: opportunities and challenges-marketing 'Brand India' (2013) Research Journal of Management Sciences, 2 (1), pp. 1-6; Bell, D., Bikinis and bandages: an itinerary for cosmetic surgery tourism (2011) Tourist Studies, 11 (2), pp. 139-155; Black, B., (2013) With Clinics, Smaller Might be Better, , http://thechronicleherald.ca/business/755206-black-with-clinics-smaller-might-be-better, The Chronicle Herald, Retrieved March 23, 2013, from:; Campbell, C., (1996) The Myth of Social Action, , Cambridge University Press, New York; (2013), http://canlii.ca/t/51w33, Canada Health Act, RSC 1985, c C-6. 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A scoping review (2010) BMC Health Services Research, 10, p. 266; Crooks, V.A., Turner, L., Cohen, G., Bristeir, J., Snyder, J., Casey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: a qualitative study of Canadian health and safety representatives' perspectives (2013) BMJ Open, 3, pp. e002302; Cummins, S., Commentary: investigating neighbourhood effects on health-avoiding the ""local trap"" (2007) International Journal of Epidemiology, 36, pp. 355-357; de la Cour, L., 'She thinks this is the Queen's castle': women patients' perceptions of an Ontario psychiatric hospital (1997) Health & Place, 3 (2), pp. 131-141; Driedger, S.M., Crooks, V.A., Bennett, D., Engaging in the disablement process over space and time: narratives of persons with multiple sclerosis in Ottawa, Canada (2004) The Canadian Geographer, 48 (2), pp. 119-136; Eggly, S., Physician-patient co-construction of the illness narratives in the medical interview (2002) Health Communication, 14 (3), pp. 339-360; Forkner-Dunn, J., Internet-based patient self-care: the next generation of health care delivery (2003) Journal of Medical Internet Research, 5 (2), pp. e8. , http://www.jmir.org/2003/2/e8/, Retrieved March 23, 2013, from:; Gatrell, A., (2011) Mobilities and Health, , Ashgate Pulbishing Group, Surrey, England; Gesler, W.M., Words in wards: language, health and place (1999) Health & Place, 5 (1), pp. 13-25; Gesler, M.W., Meade, M.S., Locational and popluation factors in health care-seeking in Savannah, Georgia (1988) Health Services Research, 23 (3), pp. 443-462; Giesbrecht, M.D., Crooks, V.A., Stajduhar, K.L., Examining the language-place-healthcare intersection in the context of Canadian homecare nursing (2012) Nursing Inquiry; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? 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A review of UK print media (2012) Annals of The Royal College of Surgeons of England, 94 (6), pp. 432-437; Mason, A., Wright, K.B., Framing medical tourism: an examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism websites (2011) Journal of Health Communication, 16 (SUPPL.2), pp. 1-15; Metal-on-metal total hip resurfacing arthroplasty: an evidence-based analysis (2006) Ontario Health Technology Assessment Series, 6 (4), pp. 1-57. , http://www.hqontario.ca/english/providers/program/mas/tech/reviews/pdf/rev_mom_020106.pdf, Retrieved March 23, 2013, from:, Medical Advisory Secretariat; Nagy Hesse-Biber, S., Leavy, P., (2011) The Practice of Qualitative Research, , Sage Publications, Thousand Oaks, CA; Narayan, D., (1999) Bonds and Bridges: Social capital and poverty, , Poverty Group, World Bank; Ochs, E., Capps, L., Narrating the self (1996) Annual Review of Anthropology, 25, pp. 19-43; Ormond, M., (2013) Neoliberal Governance and International Medical Travel in Malaysia, , Routledge, New York, NY; Ormond, M., Sothern, M., You, too, can be an international medical traveler: Reading medical travel guidebooks (2012) Health & Place, 18 (5), pp. 935-941; Padfield, D., 'Representing' the pain of others (2011) Health: an Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 15 (3), pp. 241-257; Pasupathi, M., The social construction of the personal past and its implications for adult development (2001) Psychological Bulletin, 127 (5), pp. 651-672; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12, p. 17; Picard, A., Joint surgery saves health system money (2009) The Globe and Mail, , http://www.theglobeandmail.com/life/health-and-fitness/joint-surgery-saves-health-system-money/article4355974, Retrieved March 23, 2013, from:; Poland, B., Lehoux, P., Homles, D., Andrews, G., How place matters: unpacking technology and power in health and social care (2005) Health & Social Care in the Community, 13 (2), pp. 170-180; Rahman, M., Outbound US medical tourism to selected Asian countries (2010) International Journal of Behavioural and Healthcare Research, 2 (1), pp. 75-84; Rice, J., Further beyond the Durkheimian problematic: environmental sociology and the construction of the social and the natural (2013) Sociological Forum, 28 (2), pp. 236-260; Sakalys, J.A., The political role of illness narratives (2000) Advanced Journal of Nursing, 31 (6), pp. 1469-1475; Sarasohn-Kahn, J., Arole for patients: the argument for self-care (2013) American Journal of Preventive Medicine, 44 (1), pp. S16-S18; Sehatzadeh, S., Kaulback, K., Levin, L., Metal-on-metal hip resurfacing arthroplasty: an analysis of safety and revision rates (2012) Ontario Health Technology Assessment Series, 12 (19), pp. 1-63. , http://www.hqontario.ca/en/documents/eds/2012/safety-mom.pdf, Retrieved March 23, 2013, from:; Sharf, B.F., Vanderford, M.L., Illness narratives and the social construction of health (2003) Handbook of Health Communication, pp. 9-34. , Lawrence Erlbaum Associates, Inc, Mahwah, NJ, T.L. Thompson, A.M. Dorsey, K.I. Miller, R. Parrott (Eds.); Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism by Canadian patients: comparing patient and academic perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Spece, R.G., Medical tourism: protecting patients from conflicts of interest in broker's fees paid by foreign providers (2010) Journal of Health and Biomedical Law, 6 (1), pp. 1-36; Steinbrook, R., Private health care in Canada (2006) The New England Journal of Medicine, 354 (16), pp. 1661-1664; Swoboda, D., Listening to the body: women with chronic fatigue syndrome, fibromyalgia, and multiple chemical sensitivities talk about illness and the body (2008) Dissonant Disabilities: Women With Chronic Illnesses Explore Their Lives, pp. 17-28. , Canadian Scholars' Press, Inc, Toronto, ON, D. Driedger, M. Owen (Eds.); Turner, L., Canadian medical tourism companies that have exited the marketplace: content analysis of websites used to market transnational medical care (2011) Globalization and Health, 7, p. 40; Turner, L., Beyond medical tourism: Canadian companies marketing medical travel (2012) Globalization and Health, 8, p. 16; Turner, L., Transnational medical travel: ethical dimensions of global healthcare (2013) Cambridge Quarterly of Healthcare Ethics, 22 (2), pp. 170-180; Warf, B., Do you know the way to San José? Medical tourism in Costa Rica (2010) Journal of Latin American Geography, 9 (1), pp. 51-66; Wiklund-Gustin, L., Narrative hermeneutics: in search of narrative data (2010) Scandinavian Journal of Caring Sciences, 24 (SUPPL.1), pp. 32-37; Yu, J.Y., Ko, T.G., Across-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Cameron, K.; School of Geography and Earth Sciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada; email: camerkl@mcmaster.ca",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"24556288","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-84896845578 "Botterill D., Pennings G., Mainil T.","7003391381;7003820139;15029762900;","Medical tourism and transnational health care",2013,"Medical Tourism and Transnational Health Care",,,,"1","258",,16,"10.1057/9781137338495","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996879762&doi=10.1057%2f9781137338495&partnerID=40&md5=f4d4eaa96d7c9e2ace5d2fd909123bf8","Welsh Centre for Tourism Research, Cardiff Metropolitan University, United Kingdom; University of Westminster, United Kingdom; Ghent University, Belgium; Faculty of Politics, Psychology, Sociology and International Studies, Cambridge University, United Kingdom; Faculty of Medicine and Pharmaceutical Sciences, Free University Brussels, Belgium; NHTV Breda University, Netherlands","Botterill, D., Welsh Centre for Tourism Research, Cardiff Metropolitan University, United Kingdom, University of Westminster, United Kingdom; Pennings, G., Ghent University, Belgium, Faculty of Politics, Psychology, Sociology and International Studies, Cambridge University, United Kingdom, Faculty of Medicine and Pharmaceutical Sciences, Free University Brussels, Belgium; Mainil, T., NHTV Breda University, Netherlands","The phenomenon of transnational health care has grown rapidly over recent years and this book provides a comprehensive landscape of diverse research communities' attempts to capture its implications for existing bodies of knowledge in selected aspects of medicine, medical ethics, health policy and management, and tourism studies. © David Botterill, Guido Pennings and Tomas Mainil 2013. All rights reserved.",,,,,,,,,,,"Botterill, D.; Welsh Centre for Tourism Research, Cardiff Metropolitan UniversityUnited Kingdom",,,"Palgrave Macmillan",,,,,,9781137338495; 9780230362369,,,"English","Med. Tour. and Transnatl. Health Care",Book,"Final",,Scopus,2-s2.0-84996879762 "Lo W.-U., Cheung Y.-Y., Lai E., Lung D., Que T.-L., Ho P.-L.","35558916700;55600983400;56496330000;36902110000;7003786628;7402211363;","Complete sequence of an IncN plasmid, pIMP-HZ1, carrying blaIMP-4 in a klebsiella pneumoniae strain associated with medical travel to china",2013,"Antimicrobial Agents and Chemotherapy","57","3",,"1561","1562",,16,"10.1128/AAC.02298-12","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874024633&doi=10.1128%2fAAC.02298-12&partnerID=40&md5=9a820c28add78e9595b926ee15e6168a","Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; Department of Clinical Pathology, Tuen Mun Hospital, Hong Kong, Hong Kong","Lo, W.-U., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; Cheung, Y.-Y., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; Lai, E., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; Lung, D., Department of Clinical Pathology, Tuen Mun Hospital, Hong Kong, Hong Kong; Que, T.-L., Department of Clinical Pathology, Tuen Mun Hospital, Hong Kong, Hong Kong; Ho, P.-L., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong",[No abstract available],,"bla IMP 4 protein; carbapenemase; cotrimoxazole; ertapenem; imipenem; meropenem; nitrofurantoin; plasmid DNA; sodium azide; unclassified drug; adult; antibiotic resistance; bacterial gene; bacterial strain; brain hemorrhage; China; conjugation; Escherichia coli; filter; gene cluster; gene locus; gene sequence; hospitalization; human; Klebsiella pneumoniae; letter; male; multilocus sequence typing; nonhuman; nucleotide sequence; plasmid; priority journal; Anti-Bacterial Agents; Bacterial Proteins; beta-Lactam Resistance; beta-Lactamases; China; Humans; Klebsiella Infections; Klebsiella pneumoniae; Male; Medical Tourism; Middle Aged; Multilocus Sequence Typing; Plasmids; Sequence Analysis, DNA","GENBANK: JX457479","cotrimoxazole, 8064-90-2; ertapenem, 153773-82-1, 153832-38-3, 153832-46-3; imipenem, 64221-86-9; meropenem, 96036-03-2; nitrofurantoin, 54-87-5, 67-20-9; sodium azide, 26628-22-8; Anti-Bacterial Agents; Bacterial Proteins; beta-Lactamases, 3.5.2.6; carbapenemase, 3.5.2.6",,,,,,"Carattoli, A., Plasmids in gram negatives: Molecular typing of resistance plasmids (2011) Int. J. Med. Microbiol, 301, pp. 654-658; Zhao, W.H., Hu, Z.Q., IMP-type metallo-beta-lactamases in Gramnegative bacilli: Distribution, phylogeny, and association with integrons (2011) Crit. Rev. Microbiol, 37, pp. 214-226; Performance standards for antimicrobial susceptibility testing (2012) 21st Informational Supplement, , Clinical and Laboratory Standards Institute., CLSI M100-S22. Clinical and Laboratory Standards Institute, Wayne, PA; Giske, C.G., Gezelius, L., Samuelsen, O., Warner, M., Sundsfjord, A., Woodford, N., A sensitive and specific phenotypic assay for detection of metallo-beta-lactamases and KPC in Klebsiella pneumoniae with the use of meropenem disks supplemented with aminophenylboronic acid, dipicolinic acid and cloxacillin (2011) Clin. Microbiol. Infect, 17, pp. 552-556; Diancourt, L., Passet, V., Verhoef, J., Grimont, P.A., Brisse, S., Multilocus sequence typing of Klebsiella pneumoniae nosocomial isolates (2005) J. Clin. Microbiol, 43, pp. 4178-4182; Qi, Y., Wei, Z., Ji, S., Du, X., Shen, P., Yu, Y., ST11, the dominant clone of KPC-producing Klebsiella pneumoniae in China (2011) J. Antimicrob. Chemother, 66, pp. 307-312; Ho, P.L., Lo, W.U., Yeung, M.K., Lin, C.H., Chow, K.H., Ang, I., Tong, A.H., Lo, J.Y., Complete sequencing of pndm-hk encoding ndm-1 carbapenemase from a multidrug-resistant escherichia coli strain isolated in Hong Kong (2011) PLoS One, 6, pp. e17989. , doi:10.1371/journal.pone .0017989; Brown, A.M., Willetts, N.S., A physical and genetic map of the IncN plasmid R46 (1981) Plasmid, 5, pp. 188-201; Humphrey, B., Thomson, N.R., Thomas, C.M., Brooks, K., Sanders, M., Delsol, A.A., Roe, J.M., Enne, V.I., Fitness of escherichia coli strains carrying expressed and partially silent IncN and IncP1 plasmids (2012) BMC Microbiol, 12, p. 53; Liu, Y., Zhang, B., Cao, Q., Huang, W., Shen, L., Qin, X., Two clinical strains of Klebsiella pneumoniae carrying plasmid-borne blaIMP-4, blaSHV-12, and armA isolated at a pediatric center in shanghai, china (2009) Antimicrob. Agents Chemother, 53, pp. 1642-1644; Yu, F., Ying, Q., Chen, C., Li, T., Ding, B., Liu, Y., Lu, Y., Wang, L., Outbreak of pulmonary infection caused by Klebsiella pneumoniae isolates harbouring blaIMP-4 and blaDHA-1 in a neonatal intensive care unit in China (2012) J. Med. Microbiol, 61, pp. 984-989","Ho, P.-L.; Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; email: plho@hkucc.hku.hk",,,,,,,,00664804,,AMACC,"23274671","English","Antimicrob. Agents Chemother.",Letter,"Final",Open Access,Scopus,2-s2.0-84874024633 "Sarwar A.A.M., Manaf N.A., Omar A.","55390247500;8610860900;35424518300;","Medical tourist's perception in selecting their destination: A global perspective",2012,"Iranian Journal of Public Health","41","8",,"1","7",,16,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867565481&partnerID=40&md5=b4224f462e57fc35eb24a01ae746101f","Dept. of Business Administration, Faculty of Economics and Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia","Sarwar, A.A.M., Dept. of Business Administration, Faculty of Economics and Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Manaf, N.A., Dept. of Business Administration, Faculty of Economics and Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Omar, A., Dept. of Business Administration, Faculty of Economics and Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia","Background: The need for better healthcare has grown significantly in recent years. In addition, the rising healthcare costs in the U.S. and in many European countries have forced many patients to seek medical treatment abroad, which has created the demand for medical tourism. With little yet known as to the perception of a medical tourist's destination selection, this study aims to explore medical tourist's perception in selecting their destination while going for medical treatment. Methods: Realizing the current need to examine closely the perception of medical tourists, this study had conducted a secondary study to collect data for assessing and identification of the key factors on patient's perception and destination selection criteria. Results: The result confirms the existence of a very strong relationship between cost, service quality, treatment types and availability and marketing impact on the perception of the medical tourists' in selecting their medical tourism destination. Conclusion: This study offers support for the proposed conceptual model and an empirical basis for comparison in future research.","Cost; Marketing impact; Medical tourism; Motivation; Perception; Treatment types",,,,,,,,,"Paffhausen, A.L., Peguero, C., Roche-Villarreal, L., (2010) Medical Tourism: A Survey, , United Nations Economic Commission for Latin America and the Caribbean. 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(1994) Health Care Manage R, 19 (4), pp. 49-55; Ojo, O., The Relationship Between Service Quality and Customer Satisfaction in the Telecommunication Industry: Evidence from Nigeria (2010) Broad Res Account Negotiation Dist, 1, p. 1; Parasuraman, A., Berry, L.L., Zeithaml, V.A., SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality (1988) J Retailing, 64 (1), pp. 12-40; Sohail, S.M., Service Quality In Hospitals: More Favorable Than You Might Think (2003) Manage Serv Qual, 13 (3), pp. 197-206; Cronin, J.J., Taylor, S.A., Measuring Service Quality: A Reexamination and Extension (1992) J Market, 56 (3), pp. 55-68; O'Connor, S.J., Shewchuk, R.M., Carney, L.W., The great gap (1994) J Health Care Market, 14 (2), pp. 32-39; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care? (2006) Health Affairs (Millwood), 25 (2), pp. 358-368. , http:www.ncbi.nlm.nih.gov/pubmed/16522578, Available from; Lovern, E., Accreditation gains attention (2000) Mod Health Care, 30 (47), p. 46; Brenzel, L., (2004) Opportunities and Challenges For Expanding Trade In Health Services In the Englishspeaking Caribbean, , World Bank Working Paper, No. 36030, Washington, D.C; Tompkins, O.S., Medical Tourism (2009) Am Assn Occup Health Nurses J, 58 (1), pp. 40-41; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) Int J Fertil Women Med, 51, pp. 251-255; Mattoo, A., Rathindran, R., Does Health Insurance Impede Trade in Health Care Services? (2005) World Bank Policy Research Working Paper Number 3667, , www-wds.worldbank.org/servlet/.../WDSP/IB/.../wps3667.pdf, Available from; Spar, D., Reproductive Tourism and the Regulatory Map (2005) New Eng J Med, 352, pp. 531-533; Patsner, B., Medical Tourism: A Serious Business Undergoing Serious Change (2008) Health Law Pers, pp. 1-4; Andrews, L.B., (1999) The Clone Age: Adventures In the New World of Reproductive Technology, , New York, Henry Holt and Co; Yap, J.Y.C., (2007) Medical Tourism and Singapore, pp. 25-26. , International Hospital Federation Reference Book; Schroth, L., Khawaja, R., Globalization of Healthcare (2007) Front Health Serv Manage, 24 (2), pp. 19-30","Sarwar, A. A. M.; Dept. of Business Administration, Faculty of Economics and Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia; email: sunabdullah@gmail.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Review,"Final",,Scopus,2-s2.0-84867565481 "Snyder J., Crooks V.A.","24170239100;35585107800;","Medical tourism and bariatric surgery: More moral challenges",2010,"American Journal of Bioethics","10","12",,"28","30",,16,"10.1080/15265161.2010.528510","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650285893&doi=10.1080%2f15265161.2010.528510&partnerID=40&md5=4d706557bfb0586cab000c6dc260bcf1","Simon Fraser University, Health Sciences, Blusson Hall 11300, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Snyder, J., Simon Fraser University, Health Sciences, Blusson Hall 11300, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Crooks, V.A., Simon Fraser University, Health Sciences, Blusson Hall 11300, 8888 University Drive, Burnaby, BC V5A 1S6, Canada",[No abstract available],,"article; bariatric surgery; commodification; developed country; developing country; economics; ethics; human; informed consent; Internet; medical tourism; Mexico; obesity; social behavior; United States; Bariatric Surgery; Commodification; Developed Countries; Developing Countries; Humans; Informed Consent; Internet; Medical Tourism; Mexico; Obesity; Social Responsibility; United States",,,,,,,,"Birch, D., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) American Journal of Surgery, 199 (5), pp. 604-608; Carabello, L., A medical tourism primer for US physicians (2008) Journal of Medical Practice Management, 23 (5), pp. 291-294; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 266; Hofmann, B., Stuck in the middle: The many moral challenges with bariatric surgery (2010) American Journal of Bioethics, 10 (12), pp. 3-11; Horowitz, M., Rosenweig, J., Medical tourism-Healthcare in the global economy (2007) Physician Executive, 33 (6), pp. 24-30; Horowitz, M., Rosensweig, J., Jones, C., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Kraus, J., (2010) Common Operation Across Border Goes Horribly Wrong, , http://www.newschannel5.com/Global/story.asp?S=12487185, accessed September 8, 2010; Kraus, J., (2010) Medical Tourism Patient Fights For Life Again, , http://www.newschannel5.com/global/story.asp?s=12856281, accessed September 8, 2010; Snyder, J., Forthcoming. Medical tourism International Encyclopedia of Ethics, , ed. H. LaFollette. New York: Wiley Blackwell; Warf, B., Do you know the way to San Jose? Medical tourism in Costa Rica (2010) Journal of Latin American Geography, 9 (1), pp. 51-66","Snyder, J.; Simon Fraser University, Health Sciences, Blusson Hall 11300, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; email: jcs12@sfu.ca",,,,,,,,15265161,,,"21161839","English","Am. J. Bioethics",Article,"Final",,Scopus,2-s2.0-78650285893 "Karuppan C.M., Karuppan M.","6601931384;6506339552;","Changing trends in health care tourism",2010,"Health Care Manager","29","4",,"349","358",,16,"10.1097/HCM.0b013e3181fa05f9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78649274362&doi=10.1097%2fHCM.0b013e3181fa05f9&partnerID=40&md5=61ac18b45e689211980ab81bcab7435c","Department of Management, Missouri State University, 901 S. National Ave, Springfield, MO 65897, United States; College of Business Administration, Drury University, United States","Karuppan, C.M., Department of Management, Missouri State University, 901 S. National Ave, Springfield, MO 65897, United States; Karuppan, M., College of Business Administration, Drury University, United States","Despite much coverage in the popular press, only anecdotal evidence is available on medical tourists. At first sight, they seemed confined to small and narrowly defined consumer segments: individuals seeking bargains in cosmetic surgery or uninsured and financially distressed individuals in desperate need of medical care. The study reported in this article is the first empirical investigation of the medical tourism consumer market. It provides the demographic profile, motivations, and value perceptions of health care consumers who traveled abroad specifically to receive medical care. The findings suggest a much broader market of educated and savvy health care consumers than previously thought. In the backdrop of the health care reform, the article concludes with implications for health care providers. © 2010 Lippincott Williams & Wilkins.","demographic profile; empirical research; health care reform; outbound medical tourism","adult; age; aged; article; attitude to health; educational status; female; health care policy; human; legal aspect; male; marriage; medical tourism; middle aged; patient preference; sex difference; statistics; United States; Adult; Age Factors; Aged; Attitude to Health; Educational Status; Female; Health Care Reform; Humans; Male; Marital Status; Medical Tourism; Middle Aged; Patient Preference; Patient Protection and Affordable Care Act; Sex Factors; United States; Young Adult",,,,,,,,"Keckley, P.H., Underwood, H.R., (2009) Medical Tourism: Update and Implications, , Wasington, DC: Deloitte Center for Health Solutions; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/ Documents/us-chs-MedicalTourismStudy(3).pdf, Accessed September 14, 2008; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Aff., 26 (1), pp. 137-141; DeNavas-Walt, C., Proctor, B.D., Smith, J.C., (2009) Income, Poverty, and Health Insurance Coverage in the United States: 2008, pp. P60-236RV. , Washington, DC: US Department of Commerce; Schoen, C., Davis, K., Sabrina, K.H., How, M.P.A., Schoenbaum, S.C., (2006) U. S. Health System Performance: A National Scorecard. Health Aff (Web Exclusive), p. 56. , http://www.commonwealthfund.org/Content/Publications/In-the-Literature/ 2006/Sep/U-S-Health-System-Performance-A-National-Scorecard.aspx, Accessed January 17, 2010; (2008) Facts About Joint Commission International, , http://www.jointcommission.org/AboutUs/Fact-Sheets/jci-facts.htm, Accessed March 21, 2009; Galland, Z., Medical tourism: The insurance debate (2008) Business Week, , http://www.businessweek.com/globalbiz/content/nov2008/gb2008119-571910. htm, November 9, Accessed April 30, 2010; (2009) Service and Facilities, , http://www.bumrungrad.com/overseas-medical-care/about-us/ services-and-facilities.aspx, Accessed September 15, 2009; (2010) The Medical Tourism Association Along with KHIDI Announce VIP Buyers Incentive Program, , http://www.prlog.org/10576443-the-medical-tourismassociation-along-with- khidi-announce-vip-buyersincentive-program.html, March 15, Accessed May 6, 2010, 2010; Herrick, D.M., (2007) Medical Tourism: Global Competition in Health Care, , National Center for Policy Analysis;, NCPA Policy Report 304; Karuppan, C.M., Healthcare tourism: Accelerating diffusion through a more effective use of communication channels (2010) J. Commun. Healthc., 3 (1), pp. 61-73; (2009) Medical Tourism Sample Surgery Cost Chart, , http://www.medicaltourismassociation.com/en/for-patients.html, Medical Tourism Association, Accessed April 10, 2009; (2010) Patient Protection and Affordable Care Act. 111th Congress, , 1st Session ed; (2010) Prescription for Change 'Filled': Tax Provisions in the Patient Protection and Affordable Care Act, , Washington, DC: Deloitte Development LLC; Terry, K., (2010) Unintended Consequences: The Downside of Limiting Health-insurance Overhead, , http://industry.bnet.com/healthcare/10002493/unintendedconsequences-the- downside-of-limiting-health-insuranceoverhead, April 19, Accessed May 6, 2010; Pear, R., (2009) Shortage of Doctors an Obstacle to Obama Goals, , New York Times. April 26; Brandt, C., Cohen, M., (2010) Health Care Reform: Patient Protection and Affordable Care Act and Implications for Health Care Providers, , http://www.deloitte.com/view/en-US/us/industries/health-plans/ Centerfor-Health-Solutions-Health-Plans/health-care-reform/ 949a6e9af9687210VgnVCM100000ba42f00aRCRD.htm, Accessed May 7, 2010; Healy, B., Health reform's effect on you (2009) US News World Rep., pp. 24-28; Karuppan, C.M., Karuppan, M., Medical travelers: Who are they and what do they want?-A qualitative study (2011) Health Market Q, 28 (1); (2006) Commonwealth Fund Commission on A High Performance Health System. Why Not the best?, p. 34. , http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2006/ Sep/Why-Not-the-Best-Results-from-a-National-Scorecard-on-U-S-Health-System- Performance.aspx, Results from a national scorecard on U. S. health system performance, Accessed April 5, 2010; Schoen, C., Collins, S.R., Kriss, J.L., Doty, M.M., How many are underinsured? Trends among U. S. adults, 2003 and 2007 (2008) Health Aff. (Web Exclusive), 27 (4), pp. w298-w309. , June 10; Dodds, W.B., Monroe, K.B., Grewal, D., Effects of price, brand, and store information on buyers' product evaluations (1991) J. Market Res., 28 (3), pp. 307-319; (2010) Demographics of Internet Users, , Washington, DC: Pew Research Center; Lenhart, A., Purcell, K., Smith, A., Zickuhr, K., (2010) Social Media & Mobile Internet use Among Teens and Young Adults, , Washington, DC: Pew Research Center; Rogers, E.M., (1995) Diffusion of Innovations, , 4th ed. New York, NY: The Free Press; (2009), https://www.healthbase.com/hb/pages/hospitals.jsp, Boundaries HHB. Hospitals, Accessed July 2, 2009; Hospital, J.H., (2005) Johns Hopkins and Apollo Hospitals Group in India Sign Memorandum of Understanding to Initiate Medical and Business Collaborations, , http://www.johnshopkinsinternational.com/JHI/English/Media/Latest-News/ Media-LN-HopkinsApolloJuly05.asp, July 4, Accessed August 30, 2009 press release; McMenamin, J., Medical tourism and legal liability (2007) Medical Travel Today (CPR Communications), p. 1. , http://www.medicaltraveltoday.com/MTTE-01-01.html#BookReview-Beginning, Accessed November 28, 2009; Swensen, S.J., Meyer, G.S., Nelson, E.C., Hunt Jr., G.C., Pryor, D.B., Weissberg, J.I., Kaplan, G.S., Berwick, D.M., Cottage industry to postindustrial care-the revolution in health care delivery (2010) N. Engl. J. Med., , http://content.nejm.org.proxy.missouristate.edu/cgi/reprint/NEJMp0911199. pdf?ssource=hcrc, January 20, Accessed January 25, 2010; McQueen, M.P., Paying workers to go abroad for health care (2008) Wall St J., , September 30; Miller, J., Medical tourism-domestic healthcare competes with international options forUS business (2008) Ethics Illustrated, , http://www.bioethicsinternational.org/blog/2008/09/10/ traveling-for-care-in-the-us-employersset-deals-for-workers-without-having-to- go-abroad, Accessed January 10, 2010; Skinner, W., Production under pressure (1966) Harvard Bus Rev., 44 (6), pp. 139-146; Nakane, J., (1986) Manufacturing Futures Survey in Japan, A Comparative Survey 1983-1986, , Tokyo, Japan: Waseda University, System Science Institute","Karuppan, C. M.; Department of Management, Missouri State University, 901 S. National Ave, Springfield, MO 65897, United States; email: ckaruppan@missouristate.edu",,,,,,,,15255794,,,"21045588","English","Health Care Manager",Article,"Final",,Scopus,2-s2.0-78649274362 "Warf B.","55172120700;","Do you know the way to San José? Medical tourism in Costa Rica",2010,"Journal of Latin American Geography","9","1",,"51","66",,16,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952395830&partnerID=40&md5=391b4f70dbbb19b3477e3f7fa9be9e90","Department of Geography, University of Kansas, United States","Warf, B., Department of Geography, University of Kansas, United States","In the face of rapidly rising health care costs and a large uninsured or underinsured population, the number of U.S. medical tourists seeking assistance abroad has grown. A relative newcomer to this field, Costa Rica offers a number of unique advantages that have positioned it advantageously to cater to Americans. This paper explores the rise of the country's medical tourism sector, the cost differentials between services performed there and in the U.S., and factors that shape the supply of medical services, including medical accreditation and aftercare facilities. In doing so, it addresses the local implications of the globalization of health care, particularly as it concerns the troubled U.S. health care system. © Conference of Latin Americanist Geographers.","Costa Rica; Globalization of health care; Medical tourism","health care; health services; international tourism; medicine; tourism development; Costa Rica; United States",,,,,,,,"Adlung, R., Health services in a globalizing world (2002) EuroHealth, 8, pp. 18-21; (2006) The High Concentration of U.S, , http://www.ahrq.gov/research/ria19/expendria.pdf, Agency for Health Care Research and Quality Accessed 29 September; Arce, S., (2009), http://www.nacion.com/proa/2009/marzo/29/proa1914909.html, March 29 Accessed 20 July, 2009; Arnst, C., (2009) Study Links Medical Costs and Personal Bankruptcy, , http://www.businessweek.com/bwdaily/dnflash/content/jun2009/ db2009064_666715.htmAccessed, June 4 23 July, 2009; Barnes, T., Re-theorizing economic geography: From the quantitative revolution to the cultural turn (2001) Annals of the Association of American Geographers, 91, pp. 546-565; Benneworth, P., Henry, N., Where is the value added in the cluster approach? Hermeneutic theorising, economic geography and clusters as a multiperspectival approach (2004) Urban Studies, 41 (5-6), pp. 1011-1023. , DOI 10.1080/00420980410001675869; (2005) International Trade in Health Services and the GATS: Current Issues and Debates, , Blouin, C., ed Washington, DC: World Bank; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Cook, W., Costa rica: From ecotourism leader to world class healthcare provider (2007) Medical Tourism, , December: 20-22; (2008) Medical Tourism: Consumers in Search of Value. Deloitte Center for Health Solutions, , http://www.deloitte.com/dtt/cda/doc/content/us_chs_MedicalTourismStudy(1) .pdf, Deloitte Center for Health Solutions Washington, DC Accessed 22 July; Doheny, K., Medical tourism takes flight (2007) Washington Post, p. 1. , 6 July; Farmer, P., Gastineau, N., Rethinking health and human rights: Time for a paradigm shift (2002) Journal of Law, Medicine and Ethics, 30 (4), pp. 655-666; Gard, M., (2005) The obesity Epidemic: Science, Morality and Ideology, , London: Routledge; Harrington, C., Estes, C., Hollister, B., (2008) Health Policy: Crisis and Reform in the U.S. Health Care Delivery System, , Sudbury, MA: Jones and Bartlett Publishers; Herrick, D., Medical tourism: Global competition in health care (2007) National Center for Policy Analysis, , http://yaleglobal.yale.edu/display.article?id=2016, Dallas Accessed 22 July; Jenner, E., Unsettled borders of care: Medical tourism as a new dimension in America's health care crisis (2008) Research in the Sociology of Health Care, 26, pp. 235-249; Judkins, G., Persistence of the U. S. - Mexico border: Expansion of medical-tourism amid trade liberalization (2007) Journal of Latin American Geography, 6 (2), pp. 11-32; Khanna, T., (2007) The Rise of Medical Tourism, , http://hbswk.hbs.edu/item/5814.html, Dec. 17 Accessed 21 July; Lew, A., Hall, C., Timothy, D., (2008) World Geography of Travel and Tourism: A Regional Approach, , Oxford: Butterworth-Heinemann; Magee, D., (2008) Get Well Soon - Love, , ticotimes.net/topstoryarchive/2008_10/103108.htm, Oct. 31 Accessed 20 July; Milstein, A., Smith, M., America's new refugees - Seeking affordable surgery offshore (2006) New England Journal of Medicine, 355 (16), pp. 1637-1640. , http://content.nejm.org/cgi/reprint/355/16/1637.pdf, DOI 10.1056/NEJMp068190; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Affairs, 26 (1), pp. 137-141; Mirrer-Singer, P., Medical malpractice overseas: The legal uncertainty surrounding medical tourism (2007) Law and Contemporary Problems, 70, pp. 211-232; Pennings, G., Ethics without boundaries: Medical tourism (2007) Principles of Health Care Ethics, pp. 505-510. , R. Ashcroft, A. Dawson, H. Draper, and J. McMillan (eds.) New York: Wiley; Porter, M., (1998) Comparative Advantage: Creating and Sustaining Superior Performance, , New York: Free Press; Rabinow, P., Amidst anthropology's problems (2005) Global Assemblages: Technologies, Politics, and Ethics as Anthropological Problems, pp. 40-54. , A. Ong and S. Collier (eds.) Oxford: Blackwell; Reier, S., Medical tourism: Border hopping for cheaper and faster care gains converts (2004) International Herald Tribune, p. 1. , 24 April; Reinhardt, U., Health care for the aging baby boom: Lessons from abroad (2000) Journal of Economic Perspectives, 14, pp. 71-83; Seelye, K., Look abroad for health savings (2009) New York Times, p. 25. , 8 November; Smith, R., Measuring the globalization of health services: A possible index of openness of country health sectors to trade (2006) Health Economics, Policy and Law, 1, pp. 323-342; Smith, R., Trade in health services: Current challenges and future prospects of globalisation (2006) Elgar Companion to Health Economics, pp. 164-178. , A. Jones (ed.) London: Edward Elgar; Smith, R., Blouin, C., Drager, N., Fidler, D., Trade in health services and the GATS (2008) A Handbook of International Trade in Services, pp. 437-458. , A. Mattoo, A., R. Stern, and G. Zanini (eds.) Oxford: Oxford University Press; Stephano, R., The rise of global healthcare from Latin America (2008) Medical Tourism, , November: 54-60; Thrift, N., Olds, K., Reconfiguring the economic in economic geography (1996) Progress in Human Geography, 20, pp. 311-337; Vorley, T., The geographic cluster: A historical overview (2008) Geography Compass, 2-3, pp. 790-813; Wachter, R.M., The ""dis-location"" of U.S. medicine - The implications of medical outsourcing (2006) New England Journal of Medicine, 354 (7), pp. 661-662. , http://content.nejm.org/cgi/reprint/354/7/661.pdf, DOI 10.1056/NEJMp058258; Waitzkin, H., (2000) The Second Sickness: Contradictions of Capitalist Health Care, , Boulder, CO: Rowman and Littlefield; Williams, S., (2009) Tourism Geography: A New Synthesis, , London: Routledge; Woodman, R., Medical tourism: Everybody's guide to affordable world-class medical travel (2008) U.S. News and World Report, p. 1. , 1 October; Woodman, J., (2008) Patients Beyond Borders, , New York: Healthy Travel Media","Warf, B.; Department of Geography, University of KansasUnited States",,,,,,,,15452476,,,,"English","J. Lat. Am. Geogr.",Article,"Final",,Scopus,2-s2.0-77952395830 "Ford C.D., Greenwood J., Anderson J., Snow G., Petersen F.B.","7202669587;7202724811;57199277154;8524094600;7101845860;","CD34+ cell adhesion molecule profiles differ between patients mobilized with granulocyte-colony-stimulating factor alone and chemotherapy followed by granulocyte-colony-stimulating factor",2006,"Transfusion","46","2",,"193","198",,16,"10.1111/j.1537-2995.2006.00717.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33644867081&doi=10.1111%2fj.1537-2995.2006.00717.x&partnerID=40&md5=94c57355b7b6d20ce743c5ac54bea905","Utah Blood and Marrow Transplant Program, LDS Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143, United States","Ford, C.D., Utah Blood and Marrow Transplant Program, LDS Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143, United States; Greenwood, J.; Anderson, J.; Snow, G.; Petersen, F.B.","BACKGROUND: High-dose therapy with autologous peripheral blood progenitor cell support is widely utilized but requires successful CD34+ cell mobilization and collection. Chemotherapy plus growth factors appear to mobilize more CD34+ cells than growth factors alone. Because alterations in expression of adhesion molecules are important in the trafficking of hematopoietic progenitors, the possibility was explored that the mechanism of this superior mobilization may be greater down regulation of adhesion molecules. STUDY DESIGN AND METHODS: The expression of eight adhesion molecules (CD11a, b, and c; 15s; 49d and e; 54; and 62L) on the collected CD34+ cells from 15 patients undergoing mobilization with chemotherapy plus granulocyte-colony-stimulating factor (G-CSF) was compared with those of 14 concomitant patients receiving G-CSF alone. RESULTS: Patients receiving chemotherapy plus G-CSF mobilized more CD34+ cells and did not differ in prior chemotherapy or radiation. There were no significant differences in the percentage of CD34+ cells expressing any of the adhesion molecules examined between the two groups. The chemotherapy plus G-CSF-mobilized cells consistently showed higher expression intensity, and this showed significance or a strong trend for CD11a and c, CD15s, and CD54. Despite these higher expression levels, there were no differences in engraftment kinetics. CONCLUSIONS: CD34+ cells mobilized by chemotherapy plus growth factors appear to have higher intensities of expression of several adhesion molecules. The significance of this observation will require further study.",,"alpha4 integrin; alpha5 integrin; CD11b antigen; CD15s antigen; CD34 antigen; CD62 ligand; cell adhesion molecule; cisplatin; cyclophosphamide; cytarabine; etoposide; glycoprotein p 15095; granulocyte colony stimulating factor; ifosfamide; intercellular adhesion molecule 1; lymphocyte function associated antigen 1; methylprednisolone; paclitaxel; unclassified drug; antineoplastic agent; CD34 antigen; cell adhesion molecule; granulocyte colony stimulating factor; adult; aged; antigen expression; article; autologous peripheral blood stem cell transplantation; breast cancer; cancer chemotherapy; cancer radiotherapy; clinical article; comparative study; controlled study; drug megadose; female; Hodgkin disease; human; human cell; male; myeloma; nonhodgkin lymphoma; protein expression; sarcoma; stem cell mobilization; breast tumor; clinical trial; cytology; hematopoietic stem cell transplantation; Hodgkin disease; metabolism; methodology; middle aged; multiple myeloma; nonhodgkin lymphoma; sarcoma; stem cell; stem cell mobilization; Adult; Aged; Antigens, CD34; Antineoplastic Agents; Breast Neoplasms; Cell Adhesion Molecules; Female; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; Hodgkin Disease; Humans; Lymphoma, Non-Hodgkin; Male; Middle Aged; Multiple Myeloma; Sarcoma; Stem Cells",,"alpha4 integrin, 355485-74-4; cisplatin, 15663-27-1, 26035-31-4, 96081-74-2; cyclophosphamide, 50-18-0; cytarabine, 147-94-4, 69-74-9; etoposide, 33419-42-0; ifosfamide, 3778-73-2; intercellular adhesion molecule 1, 126547-89-5; methylprednisolone, 6923-42-8, 83-43-2; paclitaxel, 33069-62-4; Antigens, CD34; Antineoplastic Agents; Cell Adhesion Molecules; Granulocyte Colony-Stimulating Factor, 143011-72-7",,,,,,"Gazitt, Y., Homing and mobilization of hematopoietic stem cells and hematopoietic cancer cells are mirror image processes, utilizing similar signaling pathways and occurring concurrently: Circulating cancer cells constitute an ideal target for concurrent treatment with chemotherapy and antilineage-specific antibodies (2004) Leukemia, 18, pp. 1-10; Lapidot, T., Petit. Current understanding of stem cell mobilization: The roles of chemokines, proteolytic enzymes, adhesion molecules, cytokines, and stromal cells (2002) Exp Hematol, 30, pp. 973-81; Ford, C.D., Green, W., Warenski, S., Petersen, F.B., The effect of prior chemotherapy on hematopoietic stem cell mobilization (2004) Bone Marrow Transplant, 33, pp. 901-5; Narayanasami, U., Kanteti, R., Morelli, J., Randomized trial of filgrastim versus chemotherapy and filgrastim mobilization of hematopoietic progenitor cells for rescue in autologous transplantation (2001) Blood, 98, pp. 2059-64; Milone, G., Leotta, S., Indelicato, R., G-CSF alone vs cyclophosphamide plus G-CSF in PBPC mobilization of patients with lymphoma: Results depend on degree of previous pretreatment (2003) Bone Marrow Transplant, 31, pp. 747-54; De Boer, F., Drager, A.M., Van Haperen, M.J., The phenotypic profile of CD34-positive peripheral blood stem cells in different mobilization regimens (2000) Br J Haematol, 111, pp. 1138-44; Ford, C.D., Greenwood, J., Strupp, A., Change in CD34+ cell concentration during peripheral blood progenitor cell collection: Effects of collection efficiency and efficacy (2002) Transfusion, 42, pp. 904-11; Sutherland, D.R., Anderson, L., Keeney, M., The ISHAGE guidelines for CD34+ cell determination by flow cytometry (1996) J Hematother, 5, pp. 213-26; Sovalat, H., Racadot, E., Ojeda, M., CD34+ cells and CD34+CD38- subset from mobilized blood show different patterns of adhesion molecules compared to those from steady-state blood, bone marrow, and cord blood (2003) J Hematother Stem Cell Res, 12, pp. 473-89; Mohle, R., Murea, S., Kirsch, M., Differential expression of L-selection, VLA-4, and LFA-1 on CD34+ progenitor cells from bone marrow and peripheral blood during G-CSF-enhanced recovery (1995) Exp Hematol, 23, pp. 1535-42; Lee, S., Im, S.A., Yoo, E.S., Mobilization kinetics of CD34+ cells with modulation of CD44 and CD31 expression during continuous intravenous administration of G-CSF in normal donors (2000) Stem Cells, 18, pp. 281-6; Craddock, C.F., Nakamoto, B., Andrews, R.G., Antibodies to VLA4 integrin mobilize long-term repopulating cells and augment cytokine-induced mobilization in primates and mice (1997) Blood, 90, pp. 4779-88; Kikuta, T., Shimazaki, C., Ashihara, E., Mobilization of hematopoietic primitive and commited progenitor cells into blood in mice by anti-vascular adhesion molecule-1 antibody alone or in combination with granulocyte colony stimulating factor (2000) Exp Hematol, 28, pp. 311-7; Christ, O., Kronenwett, R., Haas, R., Combining G-CSF with a blockade of adhesion strongly improves the reconstitutive capacity of mobilized hematopoietic progenitor cells (2001) Exp Hematol, 29, pp. 380-90; Ponomaryov, T., Peled, A., Petit, I., Induction of the chemokine stromal-derived factor-1 following DNA damage improves human stem cell function (2000) J Clin Invest, 106, pp. 1331-9; Levesque, J.P., Hendy, J., Takamatsu, Y., Mobilization by either cyclophosphamide or granulocyte colony-stimulating factor transforms the bone marrow into a highly proteolytic environment (2002) Exp Hematol, 30, pp. 440-9; Levesque, J.P., Hendy, J., Takamatsu, Y., Disruption of the CXCR4/CXCL12 chemotactic interaction during hematopoietic stem cell mobilization induced by GCSF or cyclophosphamide (2003) J Clin Invest, 111, pp. 187-96; Levesque, J.P., Hendy, J., Winkler, I.G., Granulocyte colony-stimulating factor induces the release in the bone marrow of proteases that cleave c-KIT receptor (CD117) from the surface of hematopoietic progenitor cells (2003) Exp Hematol, 31, pp. 109-17; Carion, A., Benboubker, L., Herault, O., Stromal-derived factor 1 and matrix metalloproteinase 9 levels in bone marrow and peripheral blood of patients mobilized by granulocyte colony-stimulating factor and chemotherapy: Relationship with mobilizing capacity of haematopoietic progenitor cells (2003) Br J Haematol, 122, pp. 918-26; Guest, I., Uetrecht, J., Drugs toxic to the bone marrow that target the stroma cells (2000) Immunopharmacology, 46, pp. 103-12; Kalechman, Y., Sotnik-Barkai, I., Albeck, M., Protection of bone marrow stromal cells from the toxic effects of cyclophosphamide in vivo and of ASTA-A 7557 and etoposide in vitro by ammonium trichloro (dioxyethylene-O-O′) tellurate (AS101) (1993) Cancer Res, 53, pp. 1838-44; Voermans, C., Van Hennik, P.B., Van Der Schoot, C.E., Homing of human hematopoietic stem and progenitor cells: New insights, new challenges? (2001) J Hematother Stem Cell Res, 10, pp. 725-38; Dercksen, M.W., Gerritsen, W.R., Rodenhuis, S., Expression of adhesion molecules on CD34+ cells: CD34+ L-selectin+ cells predict a rapid platelet recovery after peripheral blood stem cell transplantation (1995) J Clin Oncol, 11, pp. 3313-9; Watanabe, T., Dave, B., Heimann, D.G., Cell adhesion molecule expression on CD34+ cells in grafts and time to myeloid and platelet recovery after autologous stem cell transplantation (1998) Exp Hematol, 26, pp. 10-8; Weaver, C.H., Hazelton, B., Birch, R., An analysis of engraftment kinetics as a function of the CD34 content of peripheral blood progenitor cell collections in 692 patients after the administration of myeloablative chemotherapy (1995) Blood, 86, pp. 3961-9","Ford, C.D.; Utah Blood and Marrow Transplant Program, LDS Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143, United States; email: clyde.ford@ihc.com",,,,,,,,00411132,,TRANA,"16441594","English","Transfusion",Article,"Final",,Scopus,2-s2.0-33644867081 "Nilashi M., Samad S., Manaf A.A., Ahmadi H., Rashid T.A., Munshi A., Almukadi W., Ibrahim O., Hassan Ahmed O.","53164463000;36083232600;35609249400;24342976400;57023479100;57208148897;57188759282;36166710700;57210323522;","Factors influencing medical tourism adoption in Malaysia: A DEMATEL-Fuzzy TOPSIS approach",2019,"Computers and Industrial Engineering","137",, 106005,"","",,15,"10.1016/j.cie.2019.106005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070276669&doi=10.1016%2fj.cie.2019.106005&partnerID=40&md5=f1f08e8c90e5e8c78e6b07897f525c0b","Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Viet Nam; Faculty of Information Technology, Ton Duc Thang University, Ho Chi Minh City, Viet Nam; Department of Business Administration, Collage of Business and Administration, Princess Nourah Bint Abdulrahman University, Saudi Arabia; Department of Cybersecurity, College of Computer Science and Engineering, University of Jeddah, Jeddah, Saudi Arabia; Department of Information Technology, University of Human Development, Sulaymaniyah, Iraq; Computer Science and Engineering Department, University of Kurdistan Hewler, Erbil, Kurdistan, Iraq; Azman Hashim International Business School, Universiti Teknologi Malaysia (UTM), Skudai, Johor 81310, Malaysia; Department of Software Engineering, College of Computer Science and Engineering, University of Jeddah, Jeddah, Saudi Arabia","Nilashi, M., Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Viet Nam, Faculty of Information Technology, Ton Duc Thang University, Ho Chi Minh City, Viet Nam; Samad, S., Department of Business Administration, Collage of Business and Administration, Princess Nourah Bint Abdulrahman University, Saudi Arabia; Manaf, A.A., Department of Cybersecurity, College of Computer Science and Engineering, University of Jeddah, Jeddah, Saudi Arabia; Ahmadi, H., Department of Information Technology, University of Human Development, Sulaymaniyah, Iraq; Rashid, T.A., Computer Science and Engineering Department, University of Kurdistan Hewler, Erbil, Kurdistan, Iraq; Munshi, A., Department of Cybersecurity, College of Computer Science and Engineering, University of Jeddah, Jeddah, Saudi Arabia; Almukadi, W., Department of Software Engineering, College of Computer Science and Engineering, University of Jeddah, Jeddah, Saudi Arabia; Ibrahim, O., Azman Hashim International Business School, Universiti Teknologi Malaysia (UTM), Skudai, Johor 81310, Malaysia; Hassan Ahmed, O., Department of Information Technology, University of Human Development, Sulaymaniyah, Iraq","Tourism is one of the biggest competitive industries in the world. Nowadays, medical tourism is quickly developing as a part of tourism for health and wellness care. There are many factors influencing the development of medical tourism in developing countries. This research aims to identify those factors for medical tourism development in Malaysia. We investigate the factors from the literature to develop a new decision-making model. We use two multi-criteria decision making techniques, Decision Making Trial and Evaluation Laboratory (DEMATEL) and Fuzzy Order of Preference by Similarity to Ideal Solution (Fuzzy TOPSIS), to reveal the interrelationships among the factors and to find the relative importance of these factors in the decision making model. The results showed that human and technological factors are the most important factors for medical tourism adoption in Malaysia. The results of this study will enable key players in the medical tourism industry to potentially assign investments for medical tourism in the developing countries. © 2019 Elsevier Ltd","Decision-making; DEMATEL; Fuzzy TOPSIS; Health tourism; Medical hotels; Medical tourism; Readiness","Developing countries; DEMATEL; FUZZY TOPSIS; Health tourisms; Medical tourism; Readiness; Decision making",,,,,,,,"Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management, 5 (3), pp. 192-201; Ahani, A., Nilashi, M., Ibrahim, O., Sanzogni, L., Weaven, S., Market segmentation and travel choice prediction in Spa hotels through TripAdvisor's online reviews (2019) International Journal of Hospitality Management, 80, pp. 52-77; Ahmadi, H., Ibrahim, O., Nilashi, M., Investigating a new framework for hospital information system adoption: A case on Malaysia (2015) Journal of Soft Computing and Decision Support Systems, 2 (2), pp. 26-33; Ahmadi, H., Nilashi, M., Ibrahim, O., Organizational decision to adopt hospital information system: An empirical investigation in the case of Malaysian public hospitals (2015) International Journal of Medical Informatics, 84 (3), pp. 166-188; Ahmadi, H., Nilashi, M., Shahmoradi, L., Ibrahim, O., Hospital information system adoption: Expert perspectives on an adoption framework for Malaysian public hospitals (2017) Computers in Human Behavior, 67, pp. 161-189; Asadi, S., Nilashi, M., Safaei, M., Abdullah, R., Saeed, F., Yadegaridehkordi, E., Samad, S., Investigating factors influencing decision-makers’ intention to adopt Green IT in Malaysian manufacturing industry (2019) Resources, Conservation and Recycling, 148, pp. 36-54; Aziz, A., Yusof, R.M., Ayob, M., Bakar, N.T.A., Awang, A.H., Measuring tourist behavioural intention through quality in Malaysian medical tourism industry (2015) Procedia Economics and Finance, 31, pp. 280-285; Beladi, H., Chao, C.C., Ee, M.S., Hollas, D., Does medical tourism promote economic growth? A cross-country analysis (2019) Journal of Travel Research, 58 (1), pp. 121-135; Beladi, H., Chao, C.-C., Ee, M.S., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Economic Modelling, 46, pp. 391-396; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7), pp. 1144-1159; Büyüközkan, G., Çifçi, G., A novel hybrid MCDM approach based on fuzzy DEMATEL, fuzzy ANP and fuzzy TOPSIS to evaluate green suppliers (2012) Expert Systems with Applications, 39 (3), pp. 3000-3011; Buzinde, C.N., Yarnal, C., Therapeutic landscapes and postcolonial theory: A theoretical approach to medical tourism (2012) Social Science & Medicine, 74 (5), pp. 783-787; Chang, I.-C., Chou, P.-C., Yeh, R.K.-J., Tseng, H.-T., Factors influencing Chinese tourists’ intentions to use the Taiwan Medical Travel App (2016) Telematics and Informatics, 33 (2), pp. 401-409; Chen, C.-T., Extensions of the TOPSIS for group decision-making under fuzzy environment (2000) Fuzzy Sets and Systems, 114 (1), pp. 1-9; Chou, S.Y., Kiser, A.I., Rodriguez, E.L., An expectation confirmation perspective of medical tourism (2012) Journal of Service Science Research, 4 (2), pp. 299-318; Chuang, T.C., Liu, J.S., Lu, L.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, 45, pp. 49-58; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320; de la Hoz-Correa, A., Muñoz-Leiva, F., Bakucz, M., Past themes and future trends in medical tourism research: A co-word analysis (2018) Tourism Management, 65, pp. 200-211; Esiyok, B., Çakar, M., Kurtulmuşoğlu, F.B., The effect of cultural distance on medical tourism (2017) Journal of Destination Marketing & Management, 6 (1), pp. 66-75; Fetscherin, M., Stephano, R.-M., The medical tourism index: Scale development and validation (2016) Tourism Management, 52, pp. 539-556; Frederick, J.R., Gan, L.L., East-West differences among medical tourism facilitators’ websites (2015) Journal of Destination Marketing & Management, 4 (2), pp. 98-109; Fu, Z., Liao, H., Unbalanced double hierarchy linguistic term set: The TOPSIS method for multi-expert qualitative decision making involving green mine selection (2019) Information Fusion, 51, pp. 271-286; Ganguli, S., Ebrahim, A.H., A qualitative analysis of Singapore's medical tourism competitiveness (2017) Tourism Management Perspectives, 21, pp. 74-84; Ghani, G.M., Tourist arrivals to Malaysia from Muslim countries (2016) Tourism Management Perspectives, 20, pp. 1-9; Hallem, Y., Barth, I., Customer-perceived value of medical tourism: An exploratory study—the case of cosmetic surgery in Tunisia (2011) Journal of Hospitality and Tourism Management, 18 (1), pp. 121-129; Han, H., The healthcare hotel: Distinctive attributes for international medical travelers (2013) Tourism Management, 36, pp. 257-268; Han, H., Hwang, J., Multi-dimensions of the perceived benefits in a medical hotel and their roles in international travelers’ decision-making process (2013) International Journal of Hospitality Management, 35, pp. 100-108; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tourism Management, 46, pp. 20-29; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? 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A critical content analysis on medical tourism (2017) Tourism Management Perspectives, 24, pp. 16-25; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73 (4), pp. 300-304; Sarantopoulos, I., Vicky, K., Geitona, M., A supply side investigation of medical tourism and ICT use in Greece (2014) Procedia-Social and Behavioral Sciences, 148, pp. 370-377; Sarwar, A., Medical tourism in malaysia: Prospect and challenges (2013) Iranian Journal of Public Health, 42 (8), p. 795; Shea, C.M., Jacobs, S.R., Esserman, D.A., Bruce, K., Weiner, B.J., Organizational readiness for implementing change: A psychometric assessment of a new measure (2014) Implementation Science, 9 (1), p. 7; Sheppard, C.E., Lester, E.L., Karmali, S., de Gara, C.J., Birch, D.W., The cost of bariatric medical tourism on the Canadian healthcare system (2014) The American Journal of Surgery, 207 (5), pp. 743-747; Smith, R., Álvarez, M.M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2), pp. 276-282; Tham, A., Sand, surgery and stakeholders: A multi-stakeholder involvement model of domestic medical tourism for Australia's Sunshine Coast (2018) Tourism Management Perspectives, 25, pp. 29-40; Turner, L., Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel (2011) Globalization and health, 7 (1), p. 40; Viladrich, A., Baron-Faust, R., Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina (2014) Annals of Tourism Research, 45, pp. 116-131; Wang, T.-C., Lee, H.-D., Developing a fuzzy TOPSIS approach based on subjective weights and objective weights (2009) Expert Systems with Applications, 36 (5), pp. 8980-8985; Wang, Y.-M., Elhag, T.M., Fuzzy TOPSIS method based on alpha level sets with an application to bridge risk assessment (2006) Expert Systems with Applications, 31 (2), pp. 309-319; Weiner, B.J., Lewis, M.A., Linnan, L.A., Using organization theory to understand the determinants of effective implementation of worksite health promotion programs (2008) Health Education Research, 24 (2), pp. 292-305; Whitmore, R., Crooks, V.A., Snyder, J., Ethics of care in medical tourism: Informal caregivers' narratives of responsibility, vulnerability and mutuality (2015) Health & Place, 35, pp. 113-118; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zhu, T., Luo, L., Liao, H., Zhang, X., Shen, W., A hybrid multi-criteria decision making model for elective admission control in a Chinese public hospital (2019) Knowledge-Based Systems, 173, pp. 37-51","Nilashi, M.; Department for Management of Science and Technology Development, Ton Duc Thang UniversityViet Nam; email: nilashi@tdtu.edu.vn",,,"Elsevier Ltd",,,,,03608352,,CINDD,,"English","Comput Ind Eng",Article,"Final",,Scopus,2-s2.0-85070276669 "Snyder J., Johnston R., Crooks V.A., Morgan J., Adams K.","24170239100;36500711800;35585107800;56733994900;37074104200;","How Medical Tourism Enables Preferential Access to Care: Four Patterns from the Canadian Context",2017,"Health Care Analysis","25","2",,"138","150",,15,"10.1007/s10728-015-0312-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84952684693&doi=10.1007%2fs10728-015-0312-0&partnerID=40&md5=de988dde68498c370a12280f9692a37b","Simon Fraser University, Burnaby, BC, Canada","Snyder, J., Simon Fraser University, Burnaby, BC, Canada; Johnston, R., Simon Fraser University, Burnaby, BC, Canada; Crooks, V.A., Simon Fraser University, Burnaby, BC, Canada; Morgan, J., Simon Fraser University, Burnaby, BC, Canada; Adams, K., Simon Fraser University, Burnaby, BC, Canada","Medical tourism is the practice of traveling across international borders with the intention of accessing medical care, paid for out-of-pocket. This practice has implications for preferential access to medical care for Canadians both through inbound and outbound medical tourism. In this paper, we identify four patterns of medical tourism with implications for preferential access to care by Canadians: (1) Inbound medical tourism to Canada’s public hospitals; (2) Inbound medical tourism to a First Nations reserve; (3) Canadian patients opting to go abroad for medical tourism; and (4) Canadian patients traveling abroad with a Canadian surgeon. These patterns of medical tourism affect preferential access to health care by Canadians by circumventing domestic regulation of care, creating jurisdictional tensions over the provision of health care, and undermining solidarity with the Canadian health system. © 2015, Springer Science+Business Media New York.","Canada; Equity; Medical tourism; Preferential access","Canadian; First Nation; hospital; human; medical tourism; surgeon; tension; travel; Canada; health care delivery; Canada; Delivery of Health Care; Health Services Accessibility; Humans; Medical Tourism",,,,,,,,"Bailey, S., Newfoundland’s Danny Williams quits politics. Toronto Star (2010) November, p. 25; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , Palgrave Macmillan, New York; Should Canada’s hospitals open their doors to medical tourists? 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Vancouver Sun (2012) April, p. 17; Flood, C.M., Canada’s approach to the public/private divide and the perils of reform via court challenge (2012) Public Policy Review, 8 (2), pp. 191-214; Fowlie, J., BC could become surgical-tourism mecca; ‘Why can’t [we] be the Mayo Clinic of the North?’ health minister asks. Times Colonist (2010) March, 10, p. A6; Geddes, J., Here’s hoping Danny Williams got Canadian-style heart surgery (2010) Macleans, February, p. 22; Geddes, J., Gulli, C., Henheffer, T., What the Danny Williams’ case says about Canadian health care (2010) Macleans, February, p. 9; Goar, C., Medicare is a public trust, not a business venture. Toronto Star (2014) November, p. 2; Grant, K., Toronto hospital courts wealth ‘medical tourists’. The Globe & Mail (2014) April, p. 1; Hall, C.M., Health and medical tourism: a kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198. , PID: 20535101; Hunter, J., Kevin Falcon’s clash: For surgical tourism, against: Locals jumping treatment queues. The Globe and Mail (2010) March, 26, p. A7; Canada, Turks and Caicos: Fly the doctor and the patient to an island (2014) International Medical Travel Journal, , http://www.imtj.com/news/?entryid82=438527, International Medical Tourism Journal; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (1), p. 24. , PID: 21047433; Komarnicki, J., Have scalpel, will travel. Calgary Herald (2014) January, p. 18; Lewis, S., Private hospital development planned by Westbank Nation (2012) Windspeaker, 29 (11); Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , PID: 20185254; MacLeod, A., Bring on medical tourism, says private provider. The Tyee (2010) March, p. 17; Seymour, R., Luxury private hospital plan still viable, Westbank First Nation chief says. Kelowna Daily Courier (2014) December, p. 17; Sheppard, C.E., The cost of bariatric medical tourism on the Canadian healthcare system (2014) The American Journal of Surgery, 207 (5), pp. 743-747. , PID: 24791638; Snyder, J., ‘I knew what was going to happen if I did nothing and so I was going to do something’: Faith, hope, and trust in the decisions of Canadians with multiple sclerosis to seek unproven interventions abroad (2014) BMC Health Services Research, 14 (1), pp. 1-10; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism? (2011) A scoping review. Open Medicine, 5 (3). , PID: 22046228; Strachan, B., April 13) (2012) B.C, , First Nation plans private hospital, CBC News; Trotter, M., (2015) & Fionda, F, , http://globalnews.ca/news/1865846/public-hospitals-profiting-from-foreign-patients, Public hospitals profiting from foreign patients, Global News; (2013) First hip repl acement performed at local medical centre. Turks and Caicos Weekly News, , https://tcweeklynews.com/first-hip-replacement-performed-at-local-medical-centre-p3538-1.htm, Turks and Caicos Weekly News; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2010) International Journal for Quality in Health Care, 23 (1), pp. 1-7. , PID: 21148210","Snyder, J.; Simon Fraser UniversityCanada; email: jcs12@sfu.ca",,,"Springer New York LLC",,,,,10653058,,HCAVE,"26724280","English","Health Care Anal.",Article,"Final",,Scopus,2-s2.0-84952684693 "Khan M.J., Chelliah S., Haron M.S.","57188853382;36674575500;56036721400;","Medical tourism destination image formation process: A conceptual model",2016,"International Journal of Healthcare Management","9","2",,"134","143",,15,"10.1080/20479700.2016.1142046","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85006226901&doi=10.1080%2f20479700.2016.1142046&partnerID=40&md5=e68996f8fcac8c1d0b43ef24aa9c92e4","School of Management, Universiti Sains MalaysiaPulau Pinang, Malaysia","Khan, M.J., School of Management, Universiti Sains MalaysiaPulau Pinang, Malaysia; Chelliah, S., School of Management, Universiti Sains MalaysiaPulau Pinang, Malaysia; Haron, M.S., School of Management, Universiti Sains MalaysiaPulau Pinang, Malaysia","Perceived risks, travel motivations, and destination cognitive and affective image have been extensively studied in tourism literature, yet literature related to these variables in medical tourism literature is sparse. The concept argued in this article is founded on the decision-making models used in tourism literature and drawing on work of prominent scholars in tourism. Findings of the literature review suggest that Medical Tourists’ perceived risks about destination and travel motivations will have impact on the image of medical tourism destinations. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","Destination cognitive and affective image; Medical tourists’ perceived risks; Travel motivations","consensus development; decision making; drawing; human; image display; medical tourism; model; motivation; travel",,,,,,,,"Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) McKinsey Q, p. 11; Carrera, P.M., Bridges, J.F., (2006) Globalization and healthcare: Understanding health and medical tourism; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affair, 25, pp. 358-368; Keckley, P.H., Underwood, H.R., (2008) Medical tourism: Consumers in search of value, , Washington: Deloitte Center for Health Solutions; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour Manage, 34, pp. 1-13; Ramirez, D.A.A.B., Patients without borders: The emergence of medical tourism (2007) Int J Health Serv, 37, pp. 193-198; Memon, N., Bajaj, A., Dadhich, S., Patel, S., (2014) Medical value travel in India, , FICCI Heal Conference; (2013) Asian patients drive Singapore’s medical tourism recovery; (2013) Medical Tourism-Malaysia, , Malaysia Healthcare Travel Council; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 12; Sharma, A., Medical tourism: Emerging challenges and future prospects (2013) Int J Bus Manag Invent, 2, pp. 21-29; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Math Comput Model, 46, pp. 1144-1159; Connell, J., Medical tourism: Sea, sun, sand and..surgery (2006) Tourism Manage, 27, pp. 1093-1100; Huang, Y.-L., Forecasting the demand for health tourism in Asian countries using a GM (1, 1)-Alpha model (2012) Tour Hosp Manage, 18, pp. 171-181; Turner, L., From Durham to Delhi:""medical tourism"" and the global economy (2007) Comparative Program on Health and Society Lupina Foundation Working Papers Series 2006-2007, pp. 109-131; Hall, C.M., (2011) Tour Rev, 66, pp. 4-15; Hall, C.M., James, M., Medical tourism: Emerging biosecurity and nosocomial issues (2011) Tour Rev, 66, pp. 118-126; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Med, 9, p. 33; Shetty, P., (2010) Lancet, 376, pp. 671-672; Bernal, R.L., The globalization of the health-care industry: Opportunities for the Caribbean (2007) Cepal Review; Deloitte, L., Medical tourism: Consumers in search of value (2008) Retrieved on., 2, p. 12; Gopal, R., (2008) The key issues and challenges in medical tourism sector in India, , (A Hospital perspective); Prakash, M., Tyagi, N., Devrath, R., (2011) A study of problems and challenges faced by medical tourists visiting India., , A study by IITTM Gwalior; Shanmugam, K., (2013) Medical tourism in India: Progress, opportunities and challenges; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tourism Manage, 46, pp. 20-29; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Med Anthropol, 21, pp. 35-78; Kangas, B., Traveling for medical care in a global world (2010) Medl Anthropol, 29, pp. 344-362; Milstein, A., Smith, M., (2007) Health Affair, 26, pp. 137-141; Crooks, V.A., Turner, L., Cohen, I.G., Bristeir, J., Snyder, J., Casey, V., Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of Canadian health and safety representatives’ perspectives (2013) BMJ Open, 3; Fuchs, G., Reichel, A., Health tourists visiting a highly volatile destination (2010) Anatolia, 21, pp. 205-225; Enderwick, P., Nagar, S., The competitive challenge of emerging markets: The case of medical tourism (2011) Int J Emerg Markets, 6, pp. 329-350; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) J Health Commun, 16, pp. 163-177; Carter, S., Tourists’ and travellers’ social construction of Africa and Asia as risky locations (1998) Tourism Manage, 19, pp. 349-358; Sönmez, S.F., Graefe, A.R., Influence of terrorism risk on foreign tourism decisions (1998) Ann Tourism Res, 25, pp. 112-144; Mansfeld, Y., The role of security information in tourism crisis management: The missing link (2006) Tourism, security & safety: From theory to practice, pp. 271-290. , Oxford: Butterworth-Heinemann; Roehl, W.S., Fesenmaier, D.R., Risk perceptions and pleasure travel: An exploratory analysis (1992) J Travel Res, 30, pp. 17-26; Floyd, M.F., Gibson, H., Pennington-Gray, L., Thapa, B., The effect of risk perceptions on intentions to travel in the aftermath of September 11, 2001 (2004) J Travel Tourism Market, 15, pp. 19-38; Sönmez, S.F., Tourism, terrorism, and political instability (1998) Ann Tourism Res, 25, pp. 416-456; 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Waiting lists and cross-border care in the Netherlands (2003) Health Pol, 63, pp. 289-298; Oliver, R.L., (2014) Satisfaction: A behavioral perspective on the consumer, , Routledge; Peter, J.P., Olson, J.C., Grunert, K.G., (1999) Consumer behavior and marketing strategy, , London: McGraw-Hill; San Martín, H., Del Bosque, I.A.R., Exploring the cognitive- affective nature of destination image and the role of psychological factors in its formation (2008) Tourism Manage, 29, pp. 263-277; Klenosky, D.B., The ""pull"" of tourism destinations: A means-end investigation (2002) J Travel Res, 40, pp. 396-403; Baloglu, S., Uysal, M., Market segments of push and pull motivations: A canonical correlation approach (1996) Int J Contemp Hosp Manage, 8, pp. 32-38; Cha, S., McCleary, K.W., Uysal, M., Travel motivations of Japanese overseas travelers: A factor-cluster segmentation approach (1995) J Travel Res, 34, pp. 33-39; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72, pp. 726-732; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) J Legal Med, 28, pp. 223-245; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85, pp. 164-165; Lee, M., Han, H., Lockyer, T., Medical tourism-attracting Japanese tourists for medical tourism experience (2012) J Travel Tourism Mark, 29, pp. 69-86; Klaus, M., Outsourcing vital operations: What if US health care costs drive patients overseas for surgery (2005) Quinnipiac Health LJ, 9, p. 219; Starnes, R., Frustrated by waiting lists, Canadians help fuel medical tourism boom abroad (2004) CanWest News, p. 1; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) Hum Resour Plann, 30, pp. 8-10; Veerasoontorn, R., Beise-Zee, R., International hospital outshopping: A staged model of push and pull factors (2010) Int Pharm Healthc Marke, 4, pp. 247-264; Engel, J.F., Blackwell, R.D., Miniard, P.W., (1995) Consumer behavior, , 8th. 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Effects of motives, background, interest, and constraints (2004) Tourism Manage, 25, pp. 695-707; Chew, E.Y.T., Jahari, S.A., Destination image as a mediator between perceived risks and revisit intention: A case of post-disaster Japan (2014) Tourism Manage, 40, pp. 382-393; Um, S., Crompton, J.L., The roles of perceived inhibitors and facilitators in pleasure travel destination decisions (1992) J Travel Res, 30, pp. 18-25; Phelps, A., Holiday destination image: The problem of assessment (1986) Tourism Manage, 7, pp. 168-180; Tasci, A.D., Gartner, W.C., Destination image and its functional relationships (2007) J Travel Res, 45, pp. 413-425; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: A structural model (2005) Tourism Manage, 26, pp. 45-56; Goossens, C., Tourism information and pleasure motivation (2000) Ann Tourism Res, 27, pp. 301-321; Moutinho, L., Consumer behaviour in tourism (1987) Eur J Marketing, 21, pp. 5-44; Baloglu, S., The relationship between destination images and sociodemographic and trip characteristics of international travellers (1997) JVM, 3, pp. 221-233; Gartner, W.C., Image formation process (1994) J Travel Tourism Market, 2, pp. 191-216; Li, M., Cai, L.A., Lehto, X.Y., Huang, J., A missing link in understanding revisit intention - The role of motivation and image (2010) J Travel Tourism Market, 27, pp. 335-348","Khan, M.J.; School of Management, Universiti Sains MalaysiaMalaysia; email: jamal.phd.usm@gmail.com",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-85006226901 "Valtola J., Varmavuo V., Ropponen A., Nihtinen A., Partanen A., Vasala K., Lehtonen P., Penttilä K., Pyörälä M., Kuittinen T., Silvennoinen R., Nousiainen T., Pelkonen J., Mäntymaa P., Jantunen E.","6507279116;24167097300;6602279976;19638817900;56667283700;6505533178;56570832200;6701733496;6602424109;55881074500;7005268459;7004999920;7004067647;6602140769;7005969996;","Blood graft cellular composition and posttransplant recovery in non-Hodgkin's lymphoma patients mobilized with or without plerixafor: A prospective comparison",2015,"Transfusion","55","10",,"2358","2368",,15,"10.1111/trf.13170","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943819698&doi=10.1111%2ftrf.13170&partnerID=40&md5=f7dc3aa105c705af805ce6bbe3075310","Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland; Department of Medicine, Central Hospital of Northern Carelia, Joensuu, Finland; Department of Medicine, Mikkeli Central Hospital, Mikkeli, Finland; Department of Oncology, Central Hospital of Central Finland, Jyväskylä, Finland; Department of Medicine, Central Hospital of South Carelia, Lappeenranta, Finland; Department of Medicine, Savonlinna Central Hospital, Savonlinna, Finland; Finnish Medicines Agency, Finland; Laboratory of Eastern Finland, Finland; University of Eastern Finland/Clinical Medicine, Kuopio, Finland","Valtola, J., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Varmavuo, V., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Ropponen, A., Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland; Nihtinen, A., Department of Medicine, Central Hospital of Northern Carelia, Joensuu, Finland; Partanen, A., Department of Medicine, Mikkeli Central Hospital, Mikkeli, Finland; Vasala, K., Department of Oncology, Central Hospital of Central Finland, Jyväskylä, Finland; Lehtonen, P., Department of Medicine, Central Hospital of South Carelia, Lappeenranta, Finland; Penttilä, K., Department of Medicine, Savonlinna Central Hospital, Savonlinna, Finland, Finnish Medicines Agency, Finland; Pyörälä, M., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Kuittinen, T., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Silvennoinen, R., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Nousiainen, T., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Pelkonen, J., Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland, Laboratory of Eastern Finland, Finland; Mäntymaa, P., Laboratory of Eastern Finland, Finland; Jantunen, E., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland, University of Eastern Finland/Clinical Medicine, Kuopio, Finland","BACKGROUND Autologous stem cell transplantation is commonly used to treat non-Hodgkin's lymphomas (NHLs). Cellular composition of the blood grafts apparently has a role in the posttransplant hematologic and immune recovery. Plerixafor increases the mobilization of CD34+ cells and higher amounts of various lymphocyte subsets have been reported in the grafts. Limited prospective data are available in regard to graft cellular composition, hematologic and immune recovery, and patient outcomes in NHL patients who receive plerixafor added to chemomobilization. STUDY DESIGN AND METHODS Forty-one patients with NHL participated in this prospective study. All patients received chemomobilization and 15 poor mobilizers also received plerixafor. CD34+ cell subsets and lymphocyte subsets of cell grafts, posttransplant hematologic and immune recovery, and outcome were evaluated. RESULTS Blood grafts in the plerixafor group contained a significantly higher proportion of CD34+133+CD38- cells and more lymphocytes of all major subsets except B lymphocytes. Neutrophil engraftment was comparable and platelet recovery slightly slower in the plerixafor group. Natural killer cell recovery was significantly faster in patients mobilized with plerixafor. Otherwise hematologic and immune recovery as well as short-time outcome were comparable even though there was a trend for progression-free survival and overall survival benefit in the plerixafor group. CONCLUSIONS In poorly mobilizing NHL patients, plerixafor added to chemomobilization is safe and effective. It also modifies the blood graft composition in many ways, some of which have been linked to better outcomes in previous studies. Larger sets of patients and longer follow-up are needed to see whether plerixafor-mobilized grafts are associated with superior outcome of the patients. © 2015 AABB.",,"carboplatin; carmustine; CD133 antigen; CD34 antigen; CD38 antigen; cisplatin; cyclophosphamide; cytarabine; dexamethasone; doxorubicin; etoposide; filgrastim; ifosfamide; melphalan; methotrexate; pegfilgrastim; plerixafor; prednisolone; teniposide; thiotepa; vincristine; vindesine; anti human immunodeficiency virus agent; heterocyclic compound; plerixafor; adult; aged; autologous stem cell transplantation; B lymphocyte; cancer combination chemotherapy; cancer survival; CD3+ T lymphocyte; CD8+ T lymphocyte; clinical article; controlled study; drug dose increase; female; herpes simplex keratitis; herpes zoster; human; lymphocyte subpopulation; male; maxilla sinusitis; natural killer cell; nonhodgkin lymphoma; outcome assessment; overall survival; pneumonia; progression free survival; prospective study; Review; toxoplasmosis; upper respiratory tract infection; autograft; blood; clinical trial; comparative study; disease free survival; graft survival; leukocyte; Lymphoma, Non-Hodgkin; metabolism; mortality; peripheral blood stem cell transplantation; procedures; stem cell mobilization; survival rate; Adult; Aged; Anti-HIV Agents; Autografts; Disease-Free Survival; Female; Graft Survival; Hematopoietic Stem Cell Mobilization; Heterocyclic Compounds; Humans; Leukocytes; Lymphoma, Non-Hodgkin; Male; Peripheral Blood Stem Cell Transplantation; Prospective Studies; Survival Rate",,"carboplatin, 41575-94-4; carmustine, 154-93-8; cisplatin, 15663-27-1, 26035-31-4, 96081-74-2; cyclophosphamide, 50-18-0; cytarabine, 147-94-4, 69-74-9; dexamethasone, 50-02-2; doxorubicin, 23214-92-8, 25316-40-9; etoposide, 33419-42-0; filgrastim, 121181-53-1; ifosfamide, 3778-73-2; melphalan, 148-82-3; methotrexate, 15475-56-6, 59-05-2, 7413-34-5; pegfilgrastim, 208265-92-3; plerixafor, 110078-46-1, 155148-31-5; prednisolone, 50-24-8; teniposide, 29767-20-2; thiotepa, 52-24-4; vincristine, 57-22-7; vindesine, 53643-48-4; Anti-HIV Agents; Heterocyclic Compounds; JM 3100",,,,,,"Jantunen, E., Sureda, A., The evolving role of stem cell transplants in lymphomas (2012) Biol Blood Marrow Transplant, 18, pp. 660-673; Passweg, J.R., Baldomero, H., Peters, C., Hematopoietic SCT in Europe: Data and trends in 2012 with special consideration of pediatric transplantation (2014) Bone Marrow Transplant, 49, pp. 744-750; Bensinger, W., DiPersio, J.F., McCarty, J.M., Improving stem cell mobilization strategies: Future directions (2009) Bone Marrow Transplant, 43, pp. 181-195; Gertz, M.A., Current status of stem cell mobilization (2010) Br J Haematol, 150, pp. 647-662; Pusic, I., Jiang, S.Y., Landua, S., Impact of mobilization and remobilization strategies on achieving sufficient stem cell yields for autologous transplantation (2008) Biol Blood Marrow Transplant, 14, pp. 1045-1056; Jantunen, E., Varmavuo, V., Juutilainen, A., Kinetics of blood CD34(+) cells after chemotherapy plus G-CSF in poor mobilizers: Implications for pre-emptive plerixafor use (2012) Ann Hematol, 91, pp. 1073-1079; Flomenberg, N., Devine, S.M., DiPersio, J.F., The use of AMD3100 plus G-CSF for autologous hematopoietic progenitor cell mobilization is superior to G-CSF alone (2005) Blood, 106, pp. 1867-1874; Calandra, G., McCarty, J., McGuirk, J., AMD3100 plus G-CSF can successfully mobilize CD34+ cells from non-Hodgkin's lymphoma, Hodgkin's disease and multiple myeloma patients previously failing mobilization with chemotherapy and/or cytokine treatment: Compassionate use data (2008) Bone Marrow Transplant, 41, pp. 331-338; DiPersio, J.F., Micallef, I.N., Stiff, P.J., Phase III prospective randomized double-blind placebo-controlled trial of plerixafor plus granulocyte-colony stimulating factor compared with placebo plus granulocyte colony-stimulating factor for autologous stem-cell mobilization and transplantation for patients with non-Hodgkin's lymphoma (2009) J Clin Oncol, 27, pp. 4767-4773; DiPersio, J.F., Stadtmauer, E.A., Nademanee, Plerixafor and G-CSF versus placebo and G-CSF to mobilize hematopoietic stem cells for autologous stem cell transplantation in patients with multiple myeloma (2009) Blood, 113, pp. 5720-5726; Dugan, M.J., Maziarz, R.T., Bensinger, W.I., Safety and preliminary efficacy of plerixafor (Mozobil) in combination with chemotherapy and G-CSF: An open-label, multicenter, exploratory trial in patients with multiple myeloma and non-Hodgkin's lymphoma undergoing stem cell mobilization (2010) Bone Marrow Transplant, 45, pp. 39-47; Jantunen, E., Lemoli, R.M., Pre-emptive use of plerixafor in difficult-to-mobilize patients: An emerging concept (2012) Transfusion, 52, pp. 906-914; Weaver, C.H., Hazelton, B., Birch, R., An analysis of engraftment kinetics as a function of the CD34 content of peripheral blood progenitor cell collections in 692 patients after the administration of myeloablative chemotherapy (1995) Blood, 86, pp. 3961-3969; Ketterer, N., Salles, G., Raba, M., High CD34(+) cell counts decrease hematologic toxicity of autologous peripheral blood progenitor cell transplantation (1998) Blood, 91, pp. 3148-3155; Allan, D.S., Keeney, M., Howson-Jan, K., Number of viable CD34(+) cells reinfused predicts engraftment in autologous hematopoietic stem cell transplantation (2002) Bone Marrow Transplant, 29, pp. 967-972; Nieboer, P., De Vries, E.G., Vellenga, E., Factors influencing haematological recovery following high-dose chemotherapy and peripheral stem-cell transplantation for haematological malignancies; 1-year analysis (2004) Eur J Cancer, 40, pp. 1199-1207; Jantunen, E., Fruehauf, S., Importance of blood graft characteristics in auto-SCT: Implications for optimizing mobilization regimens (2011) Bone Marrow Transplant, 46, pp. 627-635; Menéndez, P., Caballero, M.D., Prosper, F., The composition of leukapheresis products impacts on the hematopoietic recovery after autologous transplantation independently of the mobilization regimen (2002) Transfusion, 42, pp. 1159-1172; Holtan, S.G., Porrata, L.F., Micallef, I.N., AMD3100 affects autograft lymphocyte collection and progression-free survival after autologous stem cell transplantation in non-Hodgkin lymphoma (2007) Clin Lymphoma Myeloma, 7, pp. 315-318; Fruehauf, S., Veldwijk, M.R., Seeger, T., A combination of granulocyte-colony-stimulating factor (G-CSF) and plerixafor mobilizes more primitive peripheral blood progenitor cells than G-CSF alone: Results of a European phase II study (2009) Cytotherapy, 11, pp. 992-1001; Varmavuo, V., Mäntymaa, P., Nousiainen, T., Blood graft composition after plerixafor injection in NHL patients (2012) Eur J Haematol, 89, pp. 128-135; Varmavuo, V., Mäntymaa, P., Kuittinen, T., Blood graft lymphocyte subsets after plerixafor injection in non-Hodgkin's lymphoma patients mobilizing poorly with chemotherapy plus granulocyte-colony-stimulating factor (2012) Transfusion, 52, pp. 1785-1791; Atta, E.H., De Azevedo, A.M., Maiolino, A., High CD8+ lymphocyte dose in the autograft predicts early absolute lymphocyte count recovery after peripheral hematopoietic stem cell transplantation (2009) Am J Hematol, 84, pp. 21-28; Porrata, L.F., Gastineau, D.A., Padley, D., Re-infused autologous graft natural killer cells correlates with absolute lymphocyte count recovery after autologous stem cell transplantation (2003) Leuk Lymphoma, 44, pp. 997-1000; Porrata, L.F., Litzow, M.R., Inwards, D.J., Infused peripheral blood autograft absolute lymphocyte count correlates with day 15 absolute lymphocyte count and clinical outcome after autologous peripheral hematopoietic stem cell transplantation in non-Hodgkin's lymphoma (2004) Bone Marrow Transplant, 33, pp. 291-298; Porrata, L.F., Inwards, D.J., Ansell, S.M., Early lymphocyte recovery predicts superior survival after autologous stem cell transplantation in non-Hodgkin lymphoma: A prospective study (2008) Biol Blood Marrow Transplant, 14, pp. 807-816; Gratama, J.W., Kraan, J., Keeney, M., Validation of the single-platform ISHAGE method for CD34(+) hematopoietic stem and progenitor cell enumeration in an international multicenter study (2003) Cytotherapy, 5, pp. 55-65; Jantunen, E., Novel strategies for blood stem cell mobilization: Special focus on plerixafor (2011) Expert Opin Biol Ther, 11, pp. 1241-1248; Varmavuo, V., Rimpiläinen, J., Kuitunen, H., Engraftment and outcome after autologous stem cell transplantation in plerixafor-mobilized non-Hodgkin's lymphoma patients (2014) Transfusion, 54, pp. 1243-1250; Moreb, J.S., Salmasinia, D., Hsu, J., Long-term outcome after autologous stem cell transplantation with adequate peripheral blood stem cell mobilization using plerixafor and G-CSF in poor mobilizer lymphoma and myeloma patients (2011) Adv Hematol, 2011, pp. 517-561; Girbl, T., Lunzer, V., Greil, R., The CXCR4 and adhesion molecule expression of CD34+ hematopoietic cells mobilized by ""on-demand"" addition of plerixafor to granulocyte-colony-stimulating factor (2014) Transfusion, 54, pp. 2325-2335; Alexander, E.T., Towery, J.A., Miller, A.N., Beyond CD34+ cell dose: Impact of method of peripheral blood hematopoietic stem cell mobilization (granulocyte-colony-stimulating factor [G-CSF], G-CSF plus plerixafor, or cyclophosphamide G-CSF/granulocyte-macrophage [GM]-CSF) on number of colony-forming unit-GM, engraftment, and Day +100 hematopoietic graft function (2011) Transfusion, 51, pp. 1995-2000; Roug, A.S., Hokland, L.B., Segel, E., Unraveling stem cell and progenitor subsets in autologous grafts according to methods of mobilization: Implications for prediction of hematopoietic recovery (2014) Cytotherapy, 16, pp. 392-401; Hénon, P., Sovalat, H., Bourderont, D., Role of the CD34+ 38- cells in posttransplant hematopoietic recovery (1998) Stem Cells, 16, pp. 113-122; Katipamula, R., Porrata, L.F., Gastineau, D.A., Apheresis instrument settings influence infused absolute lymphocyte count affecting survival following autologous peripheral hematopoietic stem cell transplantation in non-Hodgkin's lymphoma: The need to optimize instrument setting and define a lymphocyte collection target (2006) Bone Marrow Transplant, 37, pp. 811-817; Porrata, L.F., Gertz, M.A., Inwards, D.J., Early lymphocyte recovery predicts superior survival after autologous hematopoietic stem cell transplantation in multiple myeloma or non-Hodgkin's lymphoma (2001) Blood, 98, pp. 579-585; Gordan, L.N., Sugrue, M.W., Lynch, J.W., Poor mobilization of peripheral blood stem cells is a risk factor for worse outcome in lymphoma patients undergoing autologous stem cell transplantation (2003) Leuk Lymphoma, 44, pp. 815-820; Porrata, L.F., Inwards, D.J., Micallef, I.N., Interleukin-15 affects patient survival through natural killer cell recovery after autologous hematopoietic stem cell transplantation for non-Hodgkin lymphomas (2010) Clin Dev Immunol 2010, pp. 914-945; Jantunen, E., Varmavuo, V., Plerixafor for mobilization of blood stem cells in autologous transplantation: An update (2014) Expert Opin Biol Ther, 14, pp. 851-861; Blystad, A.K., Delabie, J., Kvaløy, S., Infused CD34 cell dose, but not tumour cell content of peripheral blood progenitor cell grafts, predicts clinical outcome in patients with diffuse large B-cell lymphoma and follicular lymphoma grade 3 treated with high-dose therapy (2004) Br J Haematol, 125, pp. 605-612","Valtola, J.; Department of Medicine, Kuopio University Hospital, PO Box 100, Finland",,,"Blackwell Publishing Inc.",,,,,00411132,,TRANA,"26018461","English","Transfusion",Review,"Final",,Scopus,2-s2.0-84943819698 "Johnston R., Crooks V.A., Ormond M.","36500711800;35585107800;7801551522;","Policy implications of medical tourism development in destination countries: Revisiting and revising an existing framework by examining the case of Jamaica",2015,"Globalization and Health","11","1", 29,"","",,15,"10.1186/s12992-015-0113-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84936951569&doi=10.1186%2fs12992-015-0113-0&partnerID=40&md5=7ed7e547fb69a563dc9ba16e2cf6651f","Simon Fraser University, Department of Geography, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Wageningen University, Cultural Geography, Environmental Sciences, Wageningen, NL, Netherlands","Johnston, R., Simon Fraser University, Department of Geography, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Crooks, V.A., Simon Fraser University, Department of Geography, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Ormond, M., Wageningen University, Cultural Geography, Environmental Sciences, Wageningen, NL, Netherlands","Background: Medical tourism is now targeted by many hospitals and governments worldwide for further growth and investment. Southeast Asia provides what is perhaps the best documented example of medical tourism development and promotion on a regional scale, but interest in the practice is growing in locations where it is not yet established. Numerous governments and private hospitals in the Caribbean have recently identified medical tourism as a priority for economic development. We explore here the projects, activities, and outlooks surrounding medical tourism and their anticipated economic and health sector policy implications in the Caribbean country of Jamaica. Specifically, we apply Pocock and Phua's previously-published conceptual framework of policy implications raised by medical tourism to explore its relevance in this new context and to identify additional considerations raised by the Jamaican context. Methods: Employing case study methodology, we conducted six weeks of qualitative fieldwork in Jamaica between October 2012 and July 2013. Semi-structured interviews with health, tourism, and trade sector stakeholders, on-site visits to health and tourism infrastructure, and reflexive journaling were all used to collect a comprehensive dataset of how medical tourism in Jamaica is being developed. Our analytic strategy involved organizing our data within Pocock and Phua's framework to identify overlapping and divergent issues. Results: Many of the issues identified in Pocock and Phua's policy implications framework are echoed in the planning and development of medical tourism in Jamaica. However, a number of additional implications, such as the involvement of international development agencies in facilitating interest in the sector, cyclical mobility of international health human resources, and the significance of health insurance portability in driving the growth of international hospital accreditation, arise from this new context and further enrich the original framework. Conclusions: The framework developed by Pocock and Phua is a flexible common reference point with which to document issues raised by medical tourism in established and emerging destinations. However, the framework's design does not lend itself to explaining how the underlying health system factors it identifies work to facilitate medical tourism's development or how the specific impacts of the practice are likely to unfold. © 2015 Johnston et al.","Caribbean; Health policy; Health services; International medical travel; Jamaica; Medical tourism; Qualitative methods; Trade in health services","economic development; health insurance; health policy; health services; tourism development; tourism market; tourist destination; accreditation; Article; case study; conceptual framework; consumer; government regulation; health care delivery; health care financing; health care personnel management; health care policy; health care quality; human; Jamaica; medical tourism; priority journal; qualitative research; semi structured interview; interview; Jamaica; Health Policy; Humans; Interviews as Topic; Jamaica; Medical Tourism; Qualitative Research",,,,,,,,"Lautier, M., Export of health services from developing countries: the case of Tunisia (2008) Soc Sci Med, 67, pp. 101-110; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373, pp. 593-601; Connell, J., (2013) Tourism Manage, 34, pp. 1-13; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) Med Gen Med, 9 (4), p. 33; Ormond, M., The Wiley-Blackwell Companion to Tourism. 2nd edition. (2014) Medical tourism, pp. 425-434. , Edited by Lew AA, Hall CM, Williams A. 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(2014) Globalization Health, 10, p. 29","Johnston, R.; Simon Fraser University, Department of Geography, 8888 University Drive, Canada; email: Rrj1@sfu.ca",,,"BioMed Central Ltd.",,,,,17448603,,,"26141384","English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-84936951569 "Jun J., Oh K.M.","44161101900;30767728400;","Framing risks and benefits of medical tourism: A content analysis of medical tourism coverage in Korean American Community Newspapers",2015,"Journal of Health Communication","20","6",,"720","727",,15,"10.1080/10810730.2015.1018574","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930278463&doi=10.1080%2f10810730.2015.1018574&partnerID=40&md5=eac1512f62d94916573d7f7692d22d41","Department of Communication, Wayne State University, 906W.Warren Avenue, Detroit, MI 48201, United States; School of Nursing, George Mason University, Fairfax, VA, United States","Jun, J., Department of Communication, Wayne State University, 906W.Warren Avenue, Detroit, MI 48201, United States; Oh, K.M., School of Nursing, George Mason University, Fairfax, VA, United States","This study examines Korean American community newspapers representation of risks and benefits involved with medical tourism offered in Korea. Using framing theory, this research attempts to explain Korean Americans highly positive perceptions and high willingness to use health and medical services in Korea through medical tourism rather than using such services in the United States. The result of content analyses indicated that Korean American community newspapers are rarely engaged in risk communication and lack sufficient information about potential risks of medical tourism while emphasizing diverse benefits. Korean ethnic media, as the primary source of health communication for Korean Americans, should provide more reliable health and medical information for the population's appropriate health management. Copyright © Taylor & Francis Group, LLC 2015.",,"advertizing; Asian American; education; human; medical information; medical tourism; procedures; psychology; publication; risk assessment; South Korea; statistics and numerical data; Advertising as Topic; Asian Americans; Health Communication; Humans; Medical Tourism; Newspapers; Republic of Korea; Risk Assessment",,,,,,,,"(2006) Health Brief: Koreans in the United States, , http://www.apicat.org/wp-content/uploads/2010/09/Tobacco-Brief-APIAHF.pdf, Asian Pacific Islander American Health Forum. Retrieved from; Bennett, W., (2005) News: The Politics of Illusion, , (6th ed.). 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A scoping review (2010) BMC Health Services Research, (10), p. 266; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to india: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72, pp. 726-732; (2009) Medical Treatment Abroad, Affordable Healthcare Options, Travel Health Abroad, , http://www.globalbenefitoptions.com/facts-About-medical-tourism.html, Global Benefit Op tions. Retrieved from; Goffman, E., (1986) Frame Analysis: An Essay on the Organi Zation of Experience, , Northeastern University Press. 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Health Commun.",Article,"Final",,Scopus,2-s2.0-84930278463 "Markovic S., Loncaric D., Loncaric D.","55749591100;56574969600;56574011300;","Service quality and customer satisfaction in the health care industry - Towards health tourism market",2014,"Tourism and Hospitality Management","20","2",,"155","170",,15,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84925866373&partnerID=40&md5=e086c775e3065e7174d12eae9ac9c3ac","University of Rijeka, Faculty of Tourism and Hospitality Management, Opatija, Primorska 42, P.P. 97, Opatija, 51410, Croatia; Thalassotherapia Crikvenica, Gajevo šetalište 21, Crikvenica, 51260, Croatia","Markovic, S., University of Rijeka, Faculty of Tourism and Hospitality Management, Opatija, Primorska 42, P.P. 97, Opatija, 51410, Croatia; Loncaric, D., University of Rijeka, Faculty of Tourism and Hospitality Management, Opatija, Primorska 42, P.P. 97, Opatija, 51410, Croatia; Loncaric, D., Thalassotherapia Crikvenica, Gajevo šetalište 21, Crikvenica, 51260, Croatia","The purpose - Service quality and customer satisfaction have been extensively researched in the profit sector, but are also important in the non-profit sector. Specialty hospitals and health spas operate in the non-profit sector in Croatia, but some of them try to provide a part of their services to the health tourism market. Hospitals that work in the non-profit sector and especially those that see their future in the health tourism market need to pay attention to service quality and customer satisfaction. Although specialty hospitals are a vital segment of the Croatian health system, there has not been enough research regarding service quality and customer satisfaction measurement in that sector. Therefore, the purpose of this study is to assess the impact of service quality on customer satisfaction in the healthcare sector. Design/methodology - Empirical research is used to determine patients' perceptions and expectations of service quality in one specialty hospital for medical rehabilitation. SERVQUAL instrument was used to measure the service quality. The SERVQUAL questionnaire included an expectations and perceptions section, each consisting of 34 statements. In addition, the questionnaire contained an extra section relating to demographics and an overall question on the impression of quality of the service provided. One hundred and four (104) satisfactorily completed questionnaires were collected. Findings - The analysis revealed that patients perceived a rather satisfactory level of health care quality across all SERVQUAL dimensions. Patients who perceived a higher level of service quality show greater satisfaction with the services, as well as a higher level of loyalty to the hospital which provides medical services. Research results indicate the multidimensionality of the concept and the existence of a gap between patients' expectations and the perceptions of service quality. Finally, despite the criticism of the SERVQUAL instrument, this study confirms the usefulness of the SERVQUAL model in terms of its reliability and validity for measuring quality in the health care sector. Originality of the research - This paper sheds light on a poorly researched field in the Croatian context. The specific environment in which the research was done demanded the implementation of a modified SERVQUAL model which was broadened with the items referring to sports, recreation and amusement activities. Theoretical contribution of this paper is reflected in testing the dimensionality and reliability of the modified SERVQUAL instrument for measuring service quality in a specialty hospital. It was found that the modified model has four dimensions. The 'Output quality' dimension, which refers to the services outside the sphere of medical services, has the greatest impact on the patients' satisfaction. The practical contribution of the paper is manifested as an encouragement for managers in specialty hospitals to devote greater attention to service quality and customer satisfaction measurement, especially when their goal is to enter the health tourism market. It provides directions for hospital managers to develop strategies which will meet patients' expectations of service quality and increase their competitiveness in the health tourism market. © 2014 University of Rijeka.","Customer satisfaction; Health care industry; Health tourism; Service quality; SERVQUAL",,,,,,,,,"Akter, S., D'Ambra, J., Ray, P., Development and validation of an instrument to measure user perceived service quality of mHealth (2013) Information & Management, 50 (4), pp. 181-195; Antreas, D.A., Opoulos, A.I., Modelling customer satisfaction in telecommunication: Assessing the multiple transaction points on perceived overall performance of the provider (2003) Production and Operation Management, 12 (2), pp. 224-145; Babakus, E., Boller, G.W., An empirical assessment of the SERVQUAL scale (1992) Journal of Business Research, 24 (3), pp. 253-268; Babakus, E., Mangold, W.G., Adapting the SERVQUAL scale to hospital services: An empirical investigation (1992) Health Services Research, 26 (6), pp. 767-786; 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Li, L., Relationships between determinants of hospital quality management and service quality performance - A path analytic model (1997) Omega, 25 (5), pp. 535-545; Lovelock, C., Wirtz, J., (2007) Services Marketing: People, Technology, Strategy, , Sixth edition, Upper Saddle River, Prentice Hall, NJ; Ma, Z., Zhu, Y., A tentative study on the evaluation of community health service quality (2012) Physics Procedia, 24, pp. 1628-1634; Markovic, S., (2003) Service Quality Measurement in Hospitality Industry - Attributive Approach, , doctoral thesis, University of Rijeka, Opatija: Faculty for tourism and hospitality management, Opatija; Nunnally, J.C., (1978) Psychometric Theory, , New York: McGraw-Hill; Došen, O., Škare, V., Škare, T., Mjerenje kvalitete usluge primarne zdravstvene zaštite SERVQUAL instrumentom"" (2010) Revija za socijalnu politiku, 17 (1), pp. 27-44; Parasuraman, A., Zeithaml, V.A., Berry, L.L., A conceptual model of service quality and its implication for future research (1985) Journal of Marketing, 49, pp. 41-50; 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Snoj, B., Ogorelc, A., Guests' satisfaction with tourism services: A case of health resorts in Slovenia (1998) Tourism Review, 52 (2), pp. 38-47; Spreng, R.A., MacKoy, R.D., An empirical examination of a model of perceived service quality and satisfaction (1996) Journal of Retailing, 72 (2), pp. 201-214; Tabachnick, B.G., Fidell, L.S., (2007) Using Multivariate Statistics, , Fifth Edition, Pearson Education, Boston, MA; Thomas, R.K., (2011) Marketing Health Services, , Second Edition, AUPHA, Health Administration Press, Chicago, IL; Verner, J., SERVQUAL: A tool for measuring service quality (2005) Pravni vjesnik, 21 (1-2), pp. 247-258; Zaim, H., Bayyurt, N., Zaim, S., Service quality and determinants of customer satisfaction in hospitals: Turkish experience (2010) International Business & Economics Researeh Journal, 9 (5), pp. 51-58",,,,"University of Rijeka",,,,,13307533,,,,"English","Tour. Hosp. Manage.",Article,"Final",,Scopus,2-s2.0-84925866373 "Sheppard C.E., Lester E.L.W., Chuck A.W., Kim D.H., Karmali S., de Gara C.J., Birch D.W.","56067774000;56067878100;9276226400;56222633800;6505890576;7004623971;7102264332;","Medical tourism and bariatric surgery: who pays?",2014,"Surgical Endoscopy","28","12",,"3329","3336",,15,"10.1007/s00464-014-3613-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938947202&doi=10.1007%2fs00464-014-3613-8&partnerID=40&md5=45ac640125c60a6be2a7db3ec96eb90c","Faculty of Medicine & Dentistry, Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, University of Alberta, Edmonton, AB, Canada; Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada; Institute of Health Economics, University of Alberta, Edmonton, AB, Canada","Sheppard, C.E., Faculty of Medicine & Dentistry, Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, University of Alberta, Edmonton, AB, Canada; Lester, E.L.W., Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada; Chuck, A.W., Institute of Health Economics, University of Alberta, Edmonton, AB, Canada; Kim, D.H., Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada; Karmali, S., Faculty of Medicine & Dentistry, Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, University of Alberta, Edmonton, AB, Canada; de Gara, C.J., Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada; Birch, D.W., Faculty of Medicine & Dentistry, Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, University of Alberta, Edmonton, AB, Canada","Introduction: The objective of this study was to determine the short-term cost impact that medical tourism for bariatric surgery has on a public healthcare system. Due to long wait times for bariatric surgery services, Canadians are venturing to private clinics in other provinces/countries. Postoperative care in this population not only burdens the provincial health system with intervention costs required for complicated patients, but may also impact resources allotted to patients in the public clinic.Conclusions: Medical tourism has a substantial impact on healthcare costs in Alberta. When compared to bariatric medical tourists, the complication rate for locally conducted surgery is less, and the cost of managing the complications is also much less. Therefore, we conclude that it is a better use of resources to conduct bariatric surgery for Albertan residents in Alberta than to fund patients to seek surgery out of province/country.Methods: A chart review was performed from January 2009 to June 2013, which identified 62 medical tourists requiring costly interventions related to bariatric surgery. Secondarily, a survey was conducted to estimate the frequency of bariatric medical tourists presenting to general surgeons in Alberta, necessary interventions, and associated costs. A threshold analysis was used to compare costs of medical tourism to those from our institution.Results: A conservative cost estimate of $1.8 million CAD was calculated for all interventions in 62 medical tourists. The survey established that 25 Albertan general surgeons consulted 59 medical tourists per year: a cost of approximately $1 million CAD. Medical tourism was calculated to require a complication rate ≤28 % (average intervention cost of $37,000 per patient) to equate the cost of locally conducted surgery: a rate less than the current supported evidence. Conducting 250 primary bariatric surgeries in Alberta is approximately $1.9 million less than the modeled cost of treating 250 medical tourists returning to Alberta. © 2014, Springer Science+Business Media New York.","Bariatric surgery; Costs; Medical tourism; Morbid obesity","bariatric surgery; Canada; economics; evaluation study; follow up; health care cost; health care survey; human; medical tourism; postoperative care; Postoperative Complications; preoperative care; public health; retrospective study; statistical model; statistics and numerical data; Alberta; Bariatric Surgery; Follow-Up Studies; Health Care Costs; Health Care Surveys; Humans; Medical Tourism; Models, Economic; National Health Programs; Postoperative Care; Postoperative Complications; Preoperative Care; Retrospective Studies",,,,,,,,"Terranova, L., Busetto, L., Vestri, A., Zappa, M., Bariatric surgery: cost-effectiveness and budget impact (2012) Obes Surg, 22, pp. 646-653. , PID: 22290621; Wang, B., Wong, E., Alfonso-Cristancho, R., He, H., Flum, D., Arterburn, D., Garrison, L., Sullivan, S., Cost-effectiveness of bariatric surgical procedures for the treatment of severe obesity (2013) Eur J Health Econ, 14 (6), pp. 847-852. , COI: 1:CAS:528:DC%2BC3sXhsFOit7vI; Cremieux, P., Buchwald, H., Shikora, S., Ghosh, A., Yang, H., Buessing, M., A study on the economic impact of bariatric surgery (2008) Am J Manag Care, 14 (9), pp. 589-596. , PID: 18778174; Sampalis, J., Liberman, M., Auger, S., Christou, N., The impact of weight reduction surgery on health-care costs in morbidly obese patients (2004) Obes Surg, 14 (7), pp. 939-947. , PID: 15329183; Peterli, R., Steinert, R.W., Peters, T., Christoffel-Courtin, C., Gass, M., Kern, B., von Fluee, M., Beglinger, C., Metabolic and hormonal changes after laparoscopic roux-en-Y gastric bypass and sleeve gastrectomy: a randomized, prospective trial (2012) Obes Surg, 22, pp. 740-748. , PID: 22354457; Karmali, S., Birch, D., (2013) The fundamentals of bariatric surgery, , (eds), NOVA, New York:; Sheppard, C., Lester, E., Karmali, S., de Gara, C., Birch, D., The cost of bariatric medical tourism on the Canadian Healthcare System (2014) Am J Surg, 207 (5), pp. 743-747; Bank of Canada. 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Population with a regular medical doctor, by sex, provinces and territories [Internet]","de Gara, C.J.; Faculty of Medicine & Dentistry, University of AlbertaCanada",,,"Springer New York LLC",,,,,09302794,,,"24969849","English",,Article,"Final",,Scopus,2-s2.0-84938947202 "Nawa R.K., Lettvin C., Winkelman C., Evora P.R.B., Perme C.","55372623800;56058951400;6603021732;7005802684;26667136300;","Initial interrater reliability for a novel measure of patient mobility in a cardiovascular intensive care unit",2014,"Journal of Critical Care","29","3",,"475.e1","475.e5",,15,"10.1016/j.jcrc.2014.01.019","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899920395&doi=10.1016%2fj.jcrc.2014.01.019&partnerID=40&md5=8e8ada78aaeaf4bb4bdd3199588a36f2","Ribeirão Preto School of Medicine, University of São Paulo, Ribeirão Preto, SP, Brazil; Houston Methodist Hospital, Department of Rehabilitation Services, Houston, TX, United States; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, United States","Nawa, R.K., Ribeirão Preto School of Medicine, University of São Paulo, Ribeirão Preto, SP, Brazil; Lettvin, C., Houston Methodist Hospital, Department of Rehabilitation Services, Houston, TX, United States; Winkelman, C., Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, United States; Evora, P.R.B., Ribeirão Preto School of Medicine, University of São Paulo, Ribeirão Preto, SP, Brazil; Perme, C., Houston Methodist Hospital, Department of Rehabilitation Services, Houston, TX, United States","Purpose: The purpose of this study was to determine the interrater reliability of the Perme Intensive Care Unit Mobility Score. Materials and methods: This was a prospective observational study. Data were collected from 20 patients admitted in a cardiovascular intensive care unit. The interrater reliability was tested using the intraclass correlation coefficient with 95% confidence interval and the Cohen κ coefficient of 0.9, using a 2-tailed α of .05 to provide a 90% power. Results: The 15 items of the Perme ICU Mobility Score were individually analyzed. Interrater reliability (Cohen κ coefficient) for items 2, 3, 5, 6, 7, 8, 13, and 15 was 1.0000; for item 1, 0.8276; item 4, 0.8000; item 9, 0.6000; item 10, 0.7297; item 11, 0.7260; item 12, 0.7872; and item 14, 0.9048; the intraclass correlation coefficient (95% confidence interval) was 0.9880 (0.97743-0.99859). Conclusions: The Perme ICU Mobility Score is a reliable tool to assess mobility status of patients admitted to the cardiovascular intensive care unit in a specific moment in time, which can be an important tool for research and clinical practice. © 2014 Elsevier Inc.","Early ambulation; Early mobility; Intensive care unit; Mobility status; Physical therapy","adult; aged; article; artificial ventilation; clinical article; controlled study; female; human; intensive care unit; interrater reliability; length of stay; male; mobilization; observational study; outcome assessment; patient assessment; patient mobility; physiotherapy; prospective study; scoring system; treatment response; very elderly; young adult; confidence interval; coronary care unit; critical illness; hospitalization; middle aged; observer variation; reproducibility; statistics and numerical data; Adult; Aged; Aged, 80 and over; Confidence Intervals; Coronary Care Units; Critical Illness; Early Ambulation; Female; Hospitalization; Humans; Length of Stay; Male; Middle Aged; Observer Variation; Physical Therapy Modalities; Prospective Studies; Reproducibility of Results; Respiration, Artificial; Young Adult",,,,,"Fundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP","The Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) and Houston Methodist Hospital Multidisciplinary Research Grant Program supported this study. The authors thank Jiaqiong Xu, PhD, for statistical analysis contribution. We also thank Catherine Currier-Buckingham and Sharon Cormier for administrative support.",,"Hodgson, C.L., Berney, S., Harrold, M., Clinical review: early patient mobilization in the ICU (2013) Crit Care, 17, pp. 207-213; Barr, J., Fraser, G.L., Puntillo, K., Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit (2013) Crit Care Med, 41, pp. 263-306; Zanni, J.M., Korupolu, R., Fan, E., Rehabilitation therapy and outcomes in acute respiratory failure: an observational pilot project (2010) J Crit Care, 25, pp. 254-262; Hanekom, S.D., Faure, M., Coetzee, A., Outcomes research in the ICU: an aid in defining the role of physiotherapy (2007) Physiother Theory Pract, 23, pp. 125-135; Mahoney, F.I., Barthel, D.W., Functional evaluation: the Barthel index (1965) Md State Med J, 14, pp. 61-65; Keith, R.A., Granger, C.V., Hamilton, B.B., The functional independence measure: a new tool for rehabilitation (1987) Adv Clin Rehabil, 1, pp. 6-18; Skinner, E.H., Berney, S., Warrillow, S., Denehy, L., Development of a physical function outcome measure (PFIT) and a pilot exercise training protocol for use in intensive care (2009) Crit Care Resusc, 11, pp. 110-115; Sim, J., Arnell, P., Measurement validity in physical therapy research (1993) Phys Ther, 73, pp. 102-110; Perme, C., Nawa, R.K., Winkelman, C., The development of a new outcome tool to assess functional mobility in critically ill patients: The Perme Intensive Care Unit Mobility Score Methodist Debakey Cardiovasc J, , (Issue 10, Number 1. in press); Perme, C., Chandrashekar, R., Early mobility and walking program for patients in intensive care units: creating a standard of care (2009) Am J Crit Care, 18, pp. 212-221; Walter, S.D., Eliasziw, M., Donner, A., Sample size and optimal designs for reliability studies (1998) Stat Med, 17, pp. 101-110; Flack, V.F., Afifi, A.A., Lachenbruch, P.A., Sample size determinations for the two rater Kappa statistic (1988) Psychometrika, 53, pp. 321-325; Bland, J.M., Altman, D.G., Measurement error and correlation coefficients (1996) BMJ, 313, pp. 41-42; Harris, K.D., Heer, D.M., Roy, T.C., Reliability of a measurement of neck flexor muscle endurance (2005) Phys Ther, 85, pp. 1349-1355; Landis, J.R., Koch, G.G., The measurement of observer agreement for categorical data (1977) Biometrics, 33, pp. 159-174; Kottner, J., Gajewski, B.J., Streiner, D.L., Guidelines for reporting reliability and agreement studies (GRRAS) (2011) Int J Nurs Stud, 48, pp. 659-660; Ko, J., Kim, M., Reliability and responsiveness of the Gross Motor Function Measure-88 in children with cerebral palsy (2013) Phys Ther, 93, pp. 393-400; Fricke, J., Unsworth, C., Worrell, D., Reliability of the functional independence measure with occupational therapists (1993) Aust Occup Ther J, 40, pp. 7-15; Cohen, J., A coefficient of agreement for nominal scales (1960) Educ Psychol Meas, 20, pp. 37-46; Brosseau, L., Laferrère, L., Couroux, N., Intra- and inter-rater reliability and factorial validity studies of the Physiotherapy Functional Mobility Profile (PFMP) in acute care patients (1998) Physiother Theory Pract, 15, pp. 147-154; Thrush, A., Rozek, M., Dekerlegand, J.L., The clinical utility of the functional status score for the intensive care unit (FSS-ICU) at a long-term acute care hospital: a prospective cohort study (2012) Phys Ther, 92, pp. 1536-1545; Corner, E.J., Wood, H., Englebretsen, C., Thomas, A., Grant, R.L., Nikoletou, D., Soni, N., The Chelsea critical care physical assessment tool (CPAx): validation of an innovative new tool to measure physical morbidity in the general adult critical care population; an observational proof-of-concept pilot study (2013) Physiotherapy, 99, pp. 33-41","Perme, C.; Houston Methodist Hospital, Medical Center, Department of Rehabilitation Services, 6565 Fannin, M1-024, Houston, Texas 77030, United States; email: cperme@houstonmethodist.org",,,"W.B. Saunders",,,,,08839441,,JCCAE,"24630690","English","J. Crit. Care",Article,"Final",,Scopus,2-s2.0-84899920395 "Snyder J., Crooks V.A., Johnston R., Dharamsi S.","24170239100;35585107800;36500711800;15826323500;","""Do your homework.and then hope for the best"": The challenges that medical tourism poses to Canadian family physicians' support of patients' informed decision-making",2013,"BMC Medical Ethics","14","1", 37,"","",,15,"10.1186/1472-6939-14-37","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84884341263&doi=10.1186%2f1472-6939-14-37&partnerID=40&md5=fd027483c171cbf590610e34cd25a2ed","Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Department of Family Practice, University of British Columbia, David Strangway Building, 5950 University Boulevard, Vancouver, BC, Canada","Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; Dharamsi, S., Department of Family Practice, University of British Columbia, David Strangway Building, 5950 University Boulevard, Vancouver, BC, Canada","Background: Medical tourism - the practice where patients travel internationally to privately access medical care - may limit patients' regular physicians' abilities to contribute to the informed decision-making process. We address this issue by examining ways in which Canadian family doctors' typical involvement in patients' informed decision-making is challenged when their patients engage in medical tourism. Methods. Focus groups were held with family physicians practicing in British Columbia, Canada. After receiving ethics approval, letters of invitation were faxed to family physicians in six cities. 22 physicians agreed to participate and focus groups ranged from two to six participants. Questions explored participants' perceptions of and experiences with medical tourism. A coding scheme was created using inductive and deductive codes that captured issues central to analytic themes identified by the investigators. Extracts of the coded data that dealt with informed decision-making were shared among the investigators in order to identify themes. Four themes were identified, all of which dealt with the challenges that medical tourism poses to family physicians' abilities to support medical tourists' informed decision-making. Findings relevant to each theme were contrasted against the existing medical tourism literature so as to assist in understanding their significance. Results: Four key challenges were identified: 1) confusion and tensions related to the regular domestic physician's role in decision-making; 2) tendency to shift responsibility related to healthcare outcomes onto the patient because of the regular domestic physician's reduced role in shared decision-making; 3) strains on the patient-physician relationship and corresponding concern around the responsibility of the foreign physician; and 4) regular domestic physicians' concerns that treatments sought abroad may not be based on the best available medical evidence on treatment efficacy. Conclusions: Medical tourism is creating new challenges for Canadian family physicians who now find themselves needing to carefully negotiate their roles and responsibilities in the informed decision-making process of their patients who decide to seek private treatment abroad as medical tourists. These physicians can and should be educated to enable their patients to look critically at the information available about medical tourism providers and to ask critical questions of patients deciding to access care abroad. © 2013 Snyder et al.; licensee BioMed Central Ltd.",,"adult; article; Canada; decision making; doctor patient relation; ethics; female; general practitioner; human; information processing; informed consent; legal aspect; male; medical tourism; middle aged; physician attitude; social behavior; standard; Adult; British Columbia; Choice Behavior; Decision Making; Ethical Analysis; Female; Focus Groups; Humans; Informed Consent; Male; Medical Tourism; Middle Aged; Physician's Role; Physician-Patient Relations; Physicians, Family; Social Responsibility",,,,,,,,"Manson, N.C., O'Neil, O., Rethinking informed consent in bioethics (2007) JAMA, 298 (SUPPL. 93), pp. 2798-2800; Emanuel, E.J., Emanuel, L.L., Four models of the physician-patient relationship (1992) JAMA, 267 (SUPPL. 16), pp. 2221-2226. , 1556799; Lars, S., Munthe, C., Shared decision making, paternalism and patient choice (2010) Health Care Anal, 18 (SUPPL. 1), pp. 60-84. , 19184444; Moulton, B., King, J.S., Aligning ethics with medical decision-making: The quest for informed patient choice (2010) J Law Med Ethics, 38 (SUPPL. 1), p. 85. , 20446987; Legare, F., Witteman, H., Shared decision making: Examining key elements and barriers to adoption into routine clinical practice (2013) Health Aff, 32 (SUPPL. 2), p. 276; Turner, L., Transnational medical travel: Ethical dimensions of global healthcare (2013) Camb Q Healthc Ethics, 22 (SUPPL. 2), pp. 170-180. , 23507179; Spece, R.G., Medical tourism: Protecting patients from conflicts of interest in broker's fees paid by foreign providers (2010) J Health Biomed L, 1, pp. 1-36; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The 'patient's physician one-step removed: The evolving roles of medical tourism facilitators (2011) Global Med Ethics, 37, pp. 530-534. , 10.1136/jme.2011.042374; Johnston, R., Crooks, V.A., Snyder, J., I didn't even know what i was looking for: A qualitative study of the decision-making processes of Canadian medical tourists (2013) Global Health, 8, p. 23; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, p. 17. , 10.1186/1472-6939-12-17 21943392; Lunt, N., Hardey, M., Mannion, R., Nip, tuck, and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11. , 10.2174/1874431101004010001 20517465; Crooks, V.A., Cameron, K., Chouinard, V., Johnston, R., Snyder, J., Casey, V., Use of medical tourism for hip and knee surgery in osteoarthritis: A qualitative examination of distinctive attitudinal characteristics among Canadian patients (2012) BMC Health Serv Res, 12, p. 417. , 10.1186/1472-6963-12-417 23170924; Ormond, M., Southern, M., You, too, can be an international medical traveler: Reading medical travel guidebooks (2012) Health Place, 18, pp. 935-941. , 10.1016/j.healthplace.2012.06.018 22809711; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24. , 10.1186/1475-9276-9-24 21047433; Faden, R., Beauchamp, T.L., King, N., (1986) A History and Theory of Informed Consent, , New York: Oxford University Press; Turner, L., Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel (2011) Global Health, 7, p. 40. , 10.1186/1744-8603-7-40 21995598; Cormany, D., Baloglu, S., Medical traveler facilitator websites: An exploratory study of web page content and services offered to the prospective medical tourist (2011) Tourism Manage, 32 (SUPPL. 4), pp. 709-716; Cohen, G., Medical tourism: Bioethical and legal issues (2013) Routledge Companion to Bioethics, , New York: Routledge Arras JD, Kukla R, Fenton E; Casey, V., Crooks, V.A., Snyder, J., Turner, L., You're dealing with an emotionally charged individual.: An industry perspective on the challenges posed by medical tourists' informal caregiver-companions (2013) Global Health, 9, p. 31. , 10.1186/1744-8603-9-31 23889860; Tuohy, C.H., Flood, C.M., Stabile, M., How does private finance affect public health care systems? Marshaling the evidence from OECD nations (2004) Journal of Health Politics, Policy and Law, 29 (3), pp. 359-396. , DOI 10.1215/03616878-29-3-359; Turner, L., 'First world health care at third world prices': Globalization, bioethics and medical tourism (2007) BioSocieties, 3, pp. 303-325; Turner, L., Beyond medical tourism: Canadian companies marketing medical travel (2012) Global Health, 8, p. 16. , 10.1186/1744-8603-8-16 22703873; Crooks, V.A., Snyder, J., Medical tourism: What Canadian family physicians need to know (2011) Can Fam Physician, 57 (SUPPL. 5), pp. 527-529. , 21571709; Johnston, R., Crooks, V.A., Snyder, J., Dharamsi, S., Our true role is within the confines of our system': Canadian family Doctors' roles and responsibilities towards outbound medical tourists Can Fam Physician, , in press","Snyder, J.; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada; email: jcs12@sfu.ca",,,,,,,,14726939,,,"24053385","English","BMC Med. Ethics",Article,"Final",Open Access,Scopus,2-s2.0-84884341263 "Fuchs G., Reichel A.","7202872190;7006705643;","Health tourists visiting a highly volatile destination",2010,"Anatolia","21","2",,"205","225",,15,"10.1080/13032917.2010.9687100","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960804788&doi=10.1080%2f13032917.2010.9687100&partnerID=40&md5=bc7e537790a010101e74647d4939725e","Department of Hotel and Tourism Management, Guilford Glazer School of Business and Management, Beer-Sheva 84105, Israel","Fuchs, G., Department of Hotel and Tourism Management, Guilford Glazer School of Business and Management, Beer-Sheva 84105, Israel; Reichel, A., Department of Hotel and Tourism Management, Guilford Glazer School of Business and Management, Beer-Sheva 84105, Israel","The study of health tourism has gained considerable attention during the last decade. There were many attempts to explicitly define this particular segment, but to date, the unique characteristics of this emerging type of tourism and its distinct behavior patterns have not been awarded adequate research attention. The purpose of this study is threefold: first, to empirically define the international health tourist segment visiting Israel by comparing and contrasting it to two other segments: religion motivated and sightseeing tourists; second, to investigate health tourists' destination risk perception vis-a-vis the two other segments; and third, to decipher the paradox of health seekers in a highly volatile destination. The study consists of 76 health motivated tourists; 309 religion motivated tourists and 149 sightseeing tourists. Health motivated tourists, as opposed to their counterparts, were characterized by their perception of the destination mainly in terms of financial and natural disaster and car accidents risk factors. It appears that these risk factors may reflect their preference for staying at the Dead Sea area that has remained relatively peaceful and stable without geo-political acts of terror. Indeed, it seems that health motivated tourists made a wise, logical niche choice within a highly volatile destination. © 2010 anatolia Printed in Turkey. Ail rights reserved.","Destination risk perception; Health tourism; Religious tourism","international tourism; religion; risk factor; risk perception; tourism management; tourist destination; Dead Sea; Israel",,,,,,,,"Baloglu, S., Brinberg, D., Affective Images of Tourism Destinations (1997) Journal of Travel Research, 35 (4), pp. 11-15; Bennett, M., King, B., Milner, L., The Health Resort Sector in Australia: A Positioning Study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-132; Butler, R.W., The Concept of a Tourist Area Cycle of Evolution: Implications for Management of Resources (1980) Canadian Geographer, 1, pp. 5-12; Chen, J.S., Market Analysis of Health Tourism, presented at 4th International Scientific Conference: Planning for the Future Learning from the Past (2009) Rhodes, , Greece. 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Sheldon (Eds.), NY: Cognizant Communication Corporation; Sonmez, S.F., Graefe, A.R., Influence of Terrorism Risk on Foreign Tourism Decisions (1998) Annals of Tourism Research, 25 (1), pp. 112-144; Sonmez, S.F., Graefe, A.R., Determining Future Travel Behavior from Past Travel Experience and Perceptions of Risk and Safety (1998) Journal of Travel Research, 37 (2), pp. 171-177; Tsaur, S.H., Tzeng, G.H., Wang, K.C., Evaluating Tourist Risks from Fuzzy Perspectives (1997) Annals of Tourism Research, 24 (4), pp. 796-812; Witt, S.F., Moutinho, L., (1995) Tourism Marketing and Management Handbook, , Englewood Cliffs: Prentice-Hall; http://imvw.newciv.org/nl/newslog.phpl&_v491/show_articlel_a000491-00000l.htm; Zeithaml, V., Bitner, M., Gremler, D., (2006) Services Marketing: Integrating Customer Focus Across the Firm, , NY: McGraw-Hill","Fuchs, G.; Department of Hotel and Tourism Management, Guilford Glazer School of Business and Management, Beer-Sheva 84105, Israel; email: galiaf@netvision.net.il",,,,,,,,13032917,,,,"English","Anatolia",Article,"Final",,Scopus,2-s2.0-79960804788 "Cohen E.","7403589512;","Medical travel-a critical assessment",2010,"Tourism Recreation Research","35","3",,"225","237",,15,"10.1080/02508281.2010.11081639","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979742750&doi=10.1080%2f02508281.2010.11081639&partnerID=40&md5=08441ae550ef1928fbfad779cf53d5ec","Hebrew University of Jerusalem, Israel; 61/149 Prasert Manikutch Rd. 27, Bangkok, 10230, Thailand","Cohen, E., Hebrew University of Jerusalem, Israel, 61/149 Prasert Manikutch Rd. 27, Bangkok, 10230, Thailand","This article critically assesses some of the principal claims made regarding the scope, direction, composition, structure, significance and social consequences of medical tourism, epitomized in the prevailing ""master narrative, "" which perceives the emergence of new medical hubs in the non-Western world primarily from the perspective of its significance for the crisis-ridden Western medical systems. ""Medical travel"" is suggested as a more adequate term to conceptualize the phenomenon than ""medical tourism."" While recognizing that a reversal in the direction of medical travel has taken place, with growing numbers of Westerners travelling for treatment to non-Western medical hubs, the article stresses the often over-looked predominance of intra-regional medical travel within the non-Western world, as a leading factor in the formation of the new medical hubs. It claims that Western medical travellers to those hubs seek primarily cosmetic and other elective treatments, which have only a marginal impact upon the crisis in Western medical systems. The often problematic consequences of medical travel for the host countries are pointed out. The constraints on the integration of medical travel into Western medical systems, and on the emergence of global medical travel governance are discussed, and the prospects for the growth of medical travel are assessed. © 2010 Tourism Recreation Research.","Globalization; Healthcare; Hospitals; Hotel-spitals; Medical systems; Medical tourism; Medical travel",,,,,,,,,"Arunanondchai, J., Fink, C., Trade in Health Services in the ASEAN Region (2007) Health Promotion International, 21 (1), pp. 59-66; (2010), ASIAN MEDICAL TOURISM ANALYSIS, 2008-2012; http:/fwww.companiesandrnarkets.com/print-friendly-asian-medical-tourismanalysis-(2008-2010), on 28 August 2009; Bangkok, P., (2008) Bumrungrad Set to Invest in Philippines, p. 2. , (15 February); Bennett, P., The Third Wave-Medical Tourism in the 21'' Century (2009) Southern Medical Journal, 102 (8), pp. 810-813; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical Tourism in Bariatric Surgery (2010) American Journal of Surgery, 199 (5), pp. 604-608; Bochaton, A., Lefebvre, B., The Rebirth of the Hospital; Heterotopia and Medical Tourism in Asia (2009) Asia on Tour, pp. 97-108. , Winter, T., Teo, P. and Chang, T.C, London and New York. Routledge; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York. Palgrave; Borrell, B., (2009), Controversial Couple Dominates U.S. Medical Tourism; http:/jwww.reuters.com/articlejhealthNews/idUSTRE59R23V20091028, on 2 December 2009; Carrera, P.M., Bridges, J.F.P., Globalization and Healthcare: Understanding Health and Medical Tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Chinai, R., Goswami, R., Medical Visas Mark Growth of Indian Medical Tourism (2007) Bulletin of the World Health Organization, 85 (3); Cohen, C.B., Cohen, P.J., International StemCell Tourism and the Need for Effective Regulation: Stem Cell Tourism in Russia and India: Clinical Research, Innovative Treatment, or Unproven Hype?(Part I) (2010) Kennedy Institute of Ethics Journal, 20 (1), pp. 27-49; Cohen, E., Medical Tourism in Thailand (2008) Explorations in Thai Tourism, pp. 225-255. , Cohen, E. (Ed), Bingley, UK. Emerald; Cohen, E., Medical Tourism and the Quality of Life Tourism and the Quality of Life, , Uysal, M., Purdue, R.R. and Sirgy, J. (Eds), New York. Springer; Cohen, T., (2009) Medical Treatment Abroad: Is, , http:/jwww.telegraph.eo.uk/health-6030188, on 28 August 2009; Connell, J., Medical Tourism: The Newest of Niches (2006) Tourism Recreation Research, 31 (1), pp. 99-102; Connell, J., Medical Tourism: Sea, Sun, Sand and… Surgery (2006) Tourism Management, 27, pp. 1093-1100; Cook, P.S., (2008) What is Health and Medical Tourism?, , Paper presented at the Annual Conference of the Australian Sociological Association, 2-5 December, The University of Melbourne. Victoria; (2008) Medical Tourism: Consumers in Search of Value, , DELOITTE, USA. Deloitte Center for Health Solutions; (2009) Medical Tourism: Update and Implications, , DELOITTE, USA. 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(2009) Tourism Management, 30 (2), pp. 149-157; Patsner, B., Medical Tourism: A Serious Business Undergoing Serious Change (2008) Health Law Perspectives, , http://www.law.uh.edu/healthlaw/perspectives/homepage.asp, January, on 28 August 2009; Ramirez De Arellano, A., Patients without Borders: The Emergence of Medical Tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Sambandaraksa, D., Under the Robotic Knife (2007) Bangkok Post, , 28 February): Dl; Sarnsamak, P., Medical Tourism Worsens Doctor Crisis (2008) The Nation, p. 1A. , 5 February, 5A; Sarnsamak, P., Doctors Go for ""Better"" Jobs Abroad (2009) The Nation, p. 2B. , 5 February; Senapati, S., Advincula, A.P., Telemedicine and Robotics: Paving the Way to the Globalization of Surgery (2005) International Journal of Gynecology and Obstetrics, 91 (3), pp. 210-216; Shimazono, Y., The State of the International Organ Trade: A Provisional Picture Based on Integration of Available Information (2007) Bulletin of the World Health Organization, 85 (12); Sritama, S., Viboonchart, N., Thai Hospitals Expanding in Middle East (2008) The Nation, p. 2A. , 22 September; Operating Profit (2008) The Economist, , THE ECONOMIST, 14 August; Prasert Unveils Cambodian Hospital (2008) The Nation, p. 1. , THE NATION, 22 March; (2006) Medical Tourism: A Global Analysis, , London; (2008) Medical Tourism Survey, , TRAM. TREATMENT ABROAD, Berkhamsted, Hertfordshire. Intuition Communication Ltd; Turner, L., ""First World Health Care at Third World Prices"": Globalization, Bioethics and Medical Tourism (2007) Biosocieties, 2, pp. 303-325; Turner, L., Medical Tourism: Family Medicine and International Health-related Travel (2007) Canadian Family Physician, 53 (10), pp. 1639-1641; Viboonchart, N., Bumrungrad Unfazed by Singapore Push (2009) The Nation, p. 4. , (10 August); Vijaya, R.M., Medical Tourism: Revenue Generation or International Transfer of Healthcare Problems (2010) Journal of Economic Issues, 44 (1), pp. 53-69; Voigt, C., Laing, J.H., Journey into Parenthood: Commodification of Reproduction as a New Tourism Niche Market (2010) Journal of Travel and Tourism Marketing, 27 (3), pp. 252-268; Warf, B., Do You Know the Way to San Jose? Medical Tourism in Costa Rica (2010) Journal of Latin American Geography, 9 (1), pp. 51-66; Willms, J., Booming Medical Tourism: No Care for the Poor (2007) Tourism Futures, , http://www.tourism-futures.org/content/view/1784/45/, on 28 August 2009; York, D., Medical Tourism: The Trend toward Outsourcing Medical Procedures to Foreign Countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Youngman, I., (2009) Medical Tourism Statistics: Why Mckinsey has Got, , http://www.irntjonline.com/articles/2009/mckinsey-wrong-medical-travel, on 28 August 2009; http:/fwww.discovermedicaltourism.com/hospital-accreditation/, on 28 August 2009; http:/fwww.jointcomrnission.org, on 28 August 2009; http:/fwww.medicaltourismassociation.com, on 28 August 2009; http:/fwww.medicaltourismco.com, on 1 July 2009; http:/fwww.medicaltourismco.com/medical-tourism/hospital-clinica-biblica-san-jose-costa-rica, on 8 December 2009; http://medicaltourismguide.org/brazil/MedicalTourism, on 22 August 2009; http:/fwww.treatmentabroad.com/MedicalTourism:KeyFacts, on 28 August 2009","Cohen, E.; Hebrew University of JerusalemIsrael; email: mserik@mscc.huji.ac.il",,,"Taylor and Francis Ltd.",,,,,02508281,,,,"English","Tour. Recreat. Res.",Article,"Final",,Scopus,2-s2.0-84979742750 "Bochaton A., Lefebvre B.","16641923000;55330601500;","The rebirth of the hospital: Heterotopia and medical tourism in Asia",2008,"Asia on Tour: Exploring the Rise of Asian Tourism",,,,"97","108",,15,"10.4324/9780203891803","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84911122421&doi=10.4324%2f9780203891803&partnerID=40&md5=8bcd41534e577990e11f6cc6344d9ea1","University of Paris X Nanterre, France; Department of Geography, University of Rouen (UMR IDEES), France","Bochaton, A., University of Paris X Nanterre, France; Lefebvre, B., Department of Geography, University of Rouen (UMR IDEES), France",[No abstract available],,,,,,,,,,,"Bochaton, A.; University of Paris X NanterreFrance",,,"Routledge Taylor & Francis Group",,,,,,0203891805; 9780203891803,,,"English","Asia on Tour: Explor. the Rise of Asian Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84911122421 "Nicolaides A., Grobler A.","14619557700;55570111200;","Spirituality, Wellness tourism and quality of life",2017,"African Journal of Hospitality, Tourism and Leisure","6","1",,"","",37,14,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029182794&partnerID=40&md5=1893443658af0e68ce9f9fc6bbf4b737","Graduate School of Business Leadership, University of South Africa, South Africa","Nicolaides, A., Graduate School of Business Leadership, University of South Africa, South Africa; Grobler, A., Graduate School of Business Leadership, University of South Africa, South Africa","This article investigates the role of Spirituality, Tourism and Quality of Life in tourist decisions to visit specific places. It is apparent from current global trends that religious based spiritual tourism which enhances the quality of life of many travelers, has become prevalent and is now very popular especially as travelling is becoming far more accessible for many people. World Tourism Organization (2009) asserts that global tourism is one of the fastest growing industries and a core driver when it comes to global economic development. Tourism is regularly analyzed as an expression of human behaviour and thus where people go and why they travel there is worth investigating. Tourism marketing and promotion is reflected upon as an essential aspect for successful tourism development. Consequently, all tourism traffic, both local and international, for a wide range of purposes including religious and spiritual purposes, has increased significantly. Accordingly, the profiles of tourists and their perception about spirituality, wellness tourism and quality of life are important considerations when it comes to the effective marketing of tourism products and services. © 2017 AJHTL.","Devoutness; Quality; Travelers; Value; Wellness",,,,,,,,,"Al-Amin, H., Religious Tourism in Islamic Heritage (2002) Islamic Tourism, 2, pp. 32-36; Ambrož, M., Ovsenik, R., Tourist origin and spiritual motives (2011) Management, 16 (2), pp. 71-86; Andrews, H., GSWS 2014 releases Global Wellness Economy Monitor (2014) Spa Opportunities: Spa news and jobs in association with Spa Business Magazine, , http://www.spaopportunities.com/detail.cfm?pagetype=detail&subject=news&codeID=311547, September 19; Appelhanz, K., (2013) Religious tourism, , http://prezi.com/lwwh26jpcfm3/religious-tourism/, Prezi [Accessed 07 February 2014]; Argyle, M., Lu, L., Happiness and social skills (1990) Personality and Individual differences, 11, pp. 1255-1261; Armstrong, T., Crowther, M., Spirituality among older African Americans (2002) Journal of Adult Development, 9 (1), pp. 3-12; Aro, A., Vartti, A.M., Schreck, M., Turtiainen, P., Uutela, A., Willingness to take travelrelated health risks-A study among Finnish tourists in Asia during the Avian Influenza Outbreak (2009) International Journal of Behavioral Medicine, 16 (1), pp. 68-73. , http://dx.doi.org/10.1007/s12529-008-9003-7; Bertsch, G., Ostermann, G., The effect of wellness brand awareness on expected and perceived service quality (2011) Tourismos: An International Multidisciplinary Journal of Tourism, 6 (2), pp. 103-120; Biderman, A.D., Social indicators (1974) Whence and whither in social Indicators and marketing Chicago, pp. 27-44. , R. 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Leis.",Article,"Final",,Scopus,2-s2.0-85029182794 "Lim Y.-J., Kim H.-K., Lee T.J.","56609634300;56442883700;35196248300;","Visitor Motivational Factors and Level of Satisfaction in Wellness Tourism: Comparison Between First-Time Visitors and Repeat Visitors",2016,"Asia Pacific Journal of Tourism Research","21","2",,"137","156",,14,"10.1080/10941665.2015.1029952","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954385838&doi=10.1080%2f10941665.2015.1029952&partnerID=40&md5=cf8473cb875e8e793796a309644a4a28","Korea National Arboretum, Pocheon City, Gyeonggi Province, 487-821, South Korea; Department of Hotel Management, Jeju International University, Jeju Special Self-governing Province 690-714, Jeju City, South Korea; Department of Tourism & Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, 874-8577, Japan","Lim, Y.-J., Korea National Arboretum, Pocheon City, Gyeonggi Province, 487-821, South Korea; Kim, H.-K., Department of Hotel Management, Jeju International University, Jeju Special Self-governing Province 690-714, Jeju City, South Korea; Lee, T.J., Department of Tourism & Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, 874-8577, Japan","This study aims to examine the differences between visitor motivations and satisfaction between first-time visitors and return visitors to a recreation wellness tourist attraction site in South Korea. Data were collected using a questionnaire at a national arboretum and 573 samples were used for analysis. The study discovered that first-time visitor motivations were composed of four factors: “relaxation and rest”, “novelty”, “self-exploration”, and “accessibility”. The return visitor motivations were “sightseeing and experience”, “convenience for touring”, “self-exploration”, and “accessibility”. The desired outcomes motivating the visitation and level of satisfaction were different between first-time and return visitors. The results contribute practical information to managers and marketers not only of the arboretum, but also of wellness tourist attractions to improve strategic visitor management in Korea and beyond. The study strategically applies the arboretum as a competitive resource in a wellness tourism industry with strategic segmentation of visitors. © 2015 Asia Pacific Tourism Association.","arboretum; satisfaction; visitor motivation; wellness tourism","accessibility; competitiveness; recreational activity; strategic approach; tourism; tourism management; tourist attraction; tourist behavior; South Korea",,,,,,,,"Anwar, S.A., Sohail, M.S., Festival tourism in the United Arab Emirates: First-time versus repeat visitor perceptions (2004) Journal of Vacation Marketing, 10 (2), pp. 161-170; Baloglu, S., Uysal, M., Market segments of push and pull motivations: A canonical correlation approach (2006) International Journal of Contemporary Hospitality Management, 8 (3), pp. 32-38; Bertsch, G., Ostermann, G., The effect of wellness brand awareness on expected and perceived service quality (2011) Tourismos: An International Multidisciplinary Journal of Tourism, 6 (2), pp. 103-120; Bowen, D., Antecedents of consumer satisfaction and dis-satisfaction (CS/D) on long-haul inclusive tours: A reality check on theoretical considerations (2001) Tourism Management, 22 (1), pp. 49-61; Bultena, G.L., Klessig, L.L., Satisfaction in camping: A conceptualization and guide to social research (1969) Journal of Leisure Research, 1 (Autumn), pp. 348-354; Bultena, G.L., Taves, M.J., Changing wilderness images and forestry policy (1961) Journal of Forestry, 59 (March), pp. 167-171; Bushell, R., Sheldon, P., Wellness tourism and the future (2009) Wellness and tourism: Mind, body, spirit, place, pp. 218-230. , Bushell R., Sheldon P.J., (eds), New York, NY: Cognizant Communication; Chen, J., Prebensen, N., Huan, T., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; Chen, K.H., Chang, F.H., Tung, K.X., Measuring wellness-related lifestyles for local tourists in Taiwan (2014) Tourism Analysis, 19 (3), pp. 369-376; Crompton, J.L., Motivation for pleasure vacation (1979) Annals of Tourism Research, 6 (4), pp. 408-424; Crompton, J.L., McKay, S.L., Motives of visitors attending festival events (1997) Annals of Tourism Research, 24 (2), pp. 425-439; Dann, G.M.S., Tourist motivation: An appraisal (1981) Annals of Tourism Research, 8 (2), pp. 187-219; Devesa, M., Laguna, M., Palacios, A., The role of motivation in visitor satisfaction: Empirical evidence in rural tourism (2010) Tourism Management, 31 (4), pp. 547-552; Dolnicar, S., Grabler, K., Grun, B., Kulnig, A., Key drivers of airline loyalty (2011) Tourism Management, 32 (5), pp. 1020-1026; Douglas, N., Travelling for health: Spa and health resorts (2001) Special interest tourism: Context and cases, pp. 260-282. , Douglas N., Douglas N., Derrett R., (eds), Milton: Wiley; (2014), http://www.globalwellnessinstitute.com/researchproducpage/2014-the-global-spa-wellness-economy-monitor, Global spa & wellness summit. 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The impact of woodland on the mental well-being of young adults (2007) Health and Place, 13 (4), pp. 799-811; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-18; Pesonen, J., Laukkanen, T., Komppula, R., Benefit segmentation of potential wellbeing tourists (2011) Journal of Vacation Marketing, 17 (4), pp. 303-314; Pesonen, J.A., Segmentation of rural tourists: combining push and pull motivations (2012) Tourism and Hospitality Management, 18 (1), pp. 69-82; Rodrigues, A., Kastenholz, E., Rodrigues, A., Hiking as a relevant wellness activity – results of an exploratory study of hiking tourists in Portugal applied to a rural tourism project (2010) Journal of Vacation Marketing, 16 (4), pp. 331-343; Ryu, S., Um, S., The reexamination of the relationship between tourist satisfaction and revisit intention: The mediating effect of changed attitude (2009) Journal of Tourism & Leisure Research, 21 (2), pp. 89-104; Smith, M., Puczkó, L., (2009) Health and wellness tourism., , Amsterdam: Elsevier; (2013) New study reveals wellness tourism a $439 billion market, representing 1 in 7 tourism dollars, , New York, NY: SRI International Press; Stace, R., Brown, A.M., Purushothoman, M., Schar, A., Weichselbraun, A., National indicators of well-being: Lessons from Pacific Island countries’ tourism (2007) Asia Pacific Journal of Tourism Research, 12 (3), pp. 203-222; Tian-Cole, S., Cromption, J.L., A conceptualization of the relationships between service quality and visitor satisfaction, and their links to destination selection (2003) Leisure Studies, 22 (1), pp. 65-80; Um, S., Chon, K., Ro, Y.H., Antecedents of revisit intention (2006) Annals of Tourism Research, 33 (4), pp. 1141-1158; Voigt, C., Brown, G., Howat, G., Wellness tourists: In search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; Weiermair, K., Steinhauser, C., (2003), June–, New tourism clusters in the field of sports and health: The case of Alpine wellness. Paper presented at the 12th International Tourism and Leisure Symposium, Barcelona; Yeon, P.S., Shin, W.S., Motivations of visitors to national parks and natural recreational arboretums – with emphasis on Songnisan and Woraksan national parks and Jangyongsan and Joryungsan natural recreational arboretums (2001) Korean Society of Forest Recreation, 5 (3), pp. 59-66; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: A structural model (2005) Tourism Management, 26 (1), pp. 45-56; Zins, A., Centrality of recreation activities (2006) Time shift, leisure and tourism, impacts of time allocation on successful products and services, pp. 203-221. , Weiermair K., Pechlaner H., Bieger T., (eds), Berlin: ESV","Lee, T.J.; Department of Tourism & Hospitality, Ritsumeikan Asia Pacific University (APU)Japan; email: timlee7@apu.ac.jp",,,"Routledge",,,,,10941665,,,,"English","Asia Pac. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-84954385838 "Wongkit M., McKercher B.","55628193800;6701737425;","Desired Attributes of Medical Treatment and Medical Service Providers: A Case Study of Medical Tourism in Thailand",2016,"Journal of Travel and Tourism Marketing","33","1",,"14","27",,14,"10.1080/10548408.2015.1024911","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84955737046&doi=10.1080%2f10548408.2015.1024911&partnerID=40&md5=dfb32b217859c1c2a2096e3124bf2340","Prince of Songkla University, Trang Campus 102 Moo 6, Kuanpring, Muang, Trang, 92000, Thailand; School of Hotel and Tourism Management, The Hong Kong Polytechnic University, 17 Science Museum Road, TST East, Kowloon, Hong Kong","Wongkit, M., Prince of Songkla University, Trang Campus 102 Moo 6, Kuanpring, Muang, Trang, 92000, Thailand; McKercher, B., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, 17 Science Museum Road, TST East, Kowloon, Hong Kong","In this study the authors aim to discover the desired attributes of medical service providers offering different medical treatments, using medical tourists who sought treatment in Thailand. The findings of this study challenge previous studies by suggesting that quality considerations are pre-eminent regardless of the type of treatment sought. Certain types of medical procedures also influence the decision-making processes of medical tourists when they are looking for medical service providers. It is recommended that medical service providers improve their medical facilities and the qualifications of their medical staff to a high global standard in order to gain the attention of prospective medical tourists. © 2015 Taylor & Francis.","attribute; medical service provider; Medical tourism; medical treatment; Thailand",,,,,,,,,"Abu-Bader, S.H., (2010) Advanced and multivariate statistical methods for social science research with a complete SPSS guide, , Chicago, IL: Lyceum Books; Altin, M., Singal, M., Kara, D., (2011) Consumer decision components for medical tourism: A stakeholder approach, , Proceedings of the 16th annualgraduateeducation andgraduate studentresearchconference inhospitality andtourism, Houston, TX: Conrad N Hilton College; Arunanondchai, J., Fink, C., Trade in health services in the ASEAN region (2006) Health Promotion International, 21, pp. 59-66; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) The Consortium Journal of Hospitality and Tourism, 11 (1), pp. 75-81; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave MacMillan; (2014) Joint Commission International (JCI) Accreditation, , http://www.bumrungrad.com/en/about-us/bumrungrad-hospital-accreditation-jci-others; Cohen, E., Medical tourism in Thailand (2008) Au-Gsb E-Journal, 1 (1), pp. 24-37; Colman, A.M., Morris, C.E., Preston, C.C., Comparing rating scales of different lengths: Equivalence of scores from 5-point and 7-point scales (1997) Psychological Reports, 80, pp. 355-362; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; (2012) Thai healthcare and medical services, , http://www.thaitradeusa.com/home/?page_id=3768; Eden, C., The rise of medical tourism in Bangkok (2012) BBC.Com, , http://www.bbc.com/travel/feature/20120828-the-rise-of-medical-tourism-in-bangkok; (2009) Medical travel in Asia and the Pacific: Challenges and opportunities, , Bangkok: United Nations Economic and Social Commission for Asia and the Pacific; Gill, H., Singh, N., Exploring the factors that affect the choice of destination for medical tourism (2011) Journal of Service Science and Management, 4 (3), pp. 315-324; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2); Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., (2010) Multivariate data analysis: A global perspective, , 7th, Upper Saddle River, NJ: Pearson Prentice Hall; Hallem, Y., Barth, I., Customer-perceived value of medical tourism: An exploratory study – The case of cosmetic surgery in Tunisia (2011) Journal of Hospitality and Tourism Management, 18, pp. 121-129; (2014) Medical tourism statistics and facts, , http://www.patientsbeyondborders.com/medical-tourism-statistics-facts; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Horowitz, M.D., Rosensweig, J.A., Medical tourism: Health care in the global economy (2007) The Physician Executive, 33 (6), pp. 24-31; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) MedGenMed, 9 (4), p. 33. , http://www.ncbi.nlm.nih.gov/sites/ppmc/articles/PMC2234298/; Johnston, R., Crooks, V.A., Snyder, J., I didn’t even know what I was looking for”: A qualitative study of the decision-making processes of Canadian medical tourists (2012) Globalization and Health, 8 (1), pp. 23-34; Jotikasthira, N., Cox, C., (2010) Understanding the motivations, information search needs and destination choice criteria of the medical tourist, , Paper presented at The 8thAPacCHRIE Conference 2010: Integrating Hospitality & Tourism in Asia and Pacific, Phuket:; Knight, L., Guide the patient: Are you a savvy patient? (2010) Medica Tourism, 6, p. 79; Kotler, P., Armstrong, G., (2012) Principles ofmarketing, , 14th, Upper Saddle River, NJ: Pearson Education; Lee, M., Han, H., Lockyer, T., Medical tourism – Attracting Japanese tourists for medical tourism experience (2012) Journal of Travel & Tourism Marketing, 29 (1), pp. 69-86; Lempert, Z., Thailand: Health and medical tourism update (2010) International Medical Travel Journal, , http://www.imtj.com/news/?EntryId82=195271; Makrai, S., Almsafir, M.K., The challenges of medical tourism in Kuala Lumpur, Malaysia (2014) Journal of Advanced Social Research, 4 (1), pp. 8-25; Compare Cost (2013) Medical tourism.com, , http://www.medicaltourism.com/en/compare-costs.html; Miles, J., Banyard, P., (2007) Understanding and using statistics in psychology: A practical introduction, , London: Sage; Moghimehfar, F., Nasr-Esfahani, M.H., Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments (2011) Tourism Management, 32 (6), pp. 1431-1434; Thailand’s medical tourism statistics: A look at the international patient numbers (2013) Medical Tourism Destinations, , http://www.mymedholiday.com/blog/2013/10/793/thailands-medical-tourism-statistics-a-look-at-the-international-patient-numbers/; Pachisa, M., Report industry: Top 10 reasons why (2010) Medica Tourism, 5, pp. 19-20; Peters, C.R., Sauer, K.M., A survey of medical tourism service providers (2011) Journal of Marketing Development and Competitiveness, 5 (3), pp. 117-126; Pope, J.I., The globalization of medicine: The emerging market of medical tourists – Estimates, challenges, and prospects (2008) Medical tourism: Perspectives and specific country experiences, pp. 3-27. , Bose J., Sumati B., (eds), Hyderabad: ICFAI University Press; Ramirez de Arellano, A.B., Patients without Borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: Students’ perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92 (6), pp. 1433-1446; Smith, M., Puczko, L., (2009) Health and wellness tourism, , Oxford: Butterworth-Heinemann; Staffieri, T., Medical tourism survey results (2010) ISAPS News, , http://www.isaps.org/uploads/news_pdf/Med_Tourism_Survey_Results.pdf; (2013) Medical tourism climate survey 2013, , Berkhamsted: Intuition Communication Ltd; Medical destinations in Thailand (2010) ThailandMedTourism.com, , http://www.thailandmedtourism.com/DestinationCat/99/Destinations; Veerasoontorn, R., Beise-Zee, R., Sivayathorn, A., Service quality as a key driver of medical tourism: The case of Bumrungrad International Hospital in Thailand (2011) International Journal of Leisure and Tourism Marketing, 2 (2), pp. 140-158; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health tourism in Australia: Supply, demand, and opportunities, , Gold Coast: CRC for Sustainable Tourism; Wernz, C., Thakur Wernz, P., Phusavat, K., Service convergence and service integration in medical tourism (2014) Industrial Management & Data Systems, 114 (7), pp. 1094-1106; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Woodman, J., (2009) Patients beyond borders: Thailand Edition, , Chapel Hill, NC: Healthy Travel Media; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201","Wongkit, M.; Prince of Songkla University, Trang Campus, Thailand; email: methawee.w@psu.ac.th",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84955737046 "Cham T.H., Lim Y.M., Aik N.C., Tay A.G.M.","57035596700;37115718600;56549992500;57192267379;","Antecedents of hospital brand image and the relationships with medical tourist’ behavioral intention",2016,"International Journal of Pharmaceutical and Healthcare Marketing","10","4",,"412","431",,14,"10.1108/IJPHM-02-2016-0012","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85002721420&doi=10.1108%2fIJPHM-02-2016-0012&partnerID=40&md5=5ab6c593569544dfc6daa53b0498be2c","Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia","Cham, T.H., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia; Lim, Y.M., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia; Aik, N.C., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia; Tay, A.G.M., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia","Purpose: Medical tourism is growing rapidly in the recent years in various Asian countries. The success of the hospitals engaged in medical tourism largely depends on their abilities in maintaining the repeating customers and to attract new customers. Hence, the purpose of this study is to examine the impacts of word-of-mouth and social media on hospital brand image. It also attempts to examine the relationships between brand image, perceived service quality, patient satisfaction and behavioral intention. Design/methodology/approach: A questionnaire survey was used to collect data from 386 medical tourists to test the proposed model. All the measurement scales adopted in this study were adapted from the existing literature. The data collected in this study were analyzed using both SPSS and structural equation modeling approach via AMOS. Findings: The findings from the structural analysis indicated that both word-of-mouth and hospital-generated social media have a significant impact on brand image. Hospital brand image positively influences medical tourists’ perception of service quality, and their perceived service quality is significantly related to their satisfaction, which in turn, leads to their behavioral intention. Originality/value: This study is one of the few studies that considers the importance of hospital’s brand image in influencing medical tourists’ perceptions on the quality of healthcare services that they experienced during their medical trips. 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Yang, T.A., Kim, D.J., Dhalwani, V., Social networking as a new trend in e-marketing (2008) Research and Practical Issues of Enterprise Information Systems II, pp. 847-856. , Springer; Yanos, M., (2008) Top Five Medical Tourism Destinations, , www.medicaltourism.com.my/en/assets/press/pdf/06_Top5Medical.pdf, Nuwire Consulting; York, D., Medical tourism: the trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Zineldin, M., The quality of health care and patient satisfaction. An exploratory investigation of the 5Qs model at some Egyptian and Jordanian medical clinics (2006) International Journal of Health Care Quality Assurance, 19 (1), pp. 60-92; Connell, J., Medical tourism: sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Shahijan, M.K., Rezaei, S., Preece, C.N., Ismail, W.K.W., International medical travelers’ behavioral intention: an empirical study in Iran (2015) Journal of Travel & Tourism Marketing, 32 (5), pp. 475-502","Cham, T.H.; Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR)Malaysia; email: chamth@utar.edu.my",,,"Emerald Group Publishing Ltd.",,,,,17506123,,,,"English","Int. J. Pharm. Healthc. Mark.",Article,"Final",,Scopus,2-s2.0-85002721420 "Frederick J.R., Gan L.L.","39761481600;16480026900;","East-West differences among medical tourism facilitators' websites",2015,"Journal of Destination Marketing and Management","4","2",,"98","109",,14,"10.1016/j.jdmm.2015.03.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84947043049&doi=10.1016%2fj.jdmm.2015.03.002&partnerID=40&md5=d4d3455dd458502a92cef8bfbc6be9e5","School of Business, The University of North Carolina at Pembroke, Pembroke, NC 28372, United States","Frederick, J.R., School of Business, The University of North Carolina at Pembroke, Pembroke, NC 28372, United States; Gan, L.L., School of Business, The University of North Carolina at Pembroke, Pembroke, NC 28372, United States","As more and more patients from developed Western countries seek medical care outside their home countries, an industry of medical tourism facilitators has developed to help them find appropriate destination hospitals and clinics and to help manage their travel. This study looks at the ways in which these firms differentiate themselves from each other on their web sites. It finds that there are differences associated with whether the firm is based in a Western or an Eastern country. Such differences are due to cultural factors, such as the preference for high-context or low-context communication, and to differences in cost advantages in providing certain services. The study also finds that the types of medical treatments facilitated by these firms tend to be grouped into clusters. © 2015 Elsevier Ltd.","Cultural differences; East-West differences; Economies of scale; International hospitals; Medical tourism; Web sites trust",,,,,,,,,"Akerkar, S., Bichile, S., Health information on the Internet: Patient empowerment or patient deceit? 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Destin. Mark. Manage.",Article,"Final",,Scopus,2-s2.0-84947043049 "Burns L.R.","35570599800;","Medical tourism opportunities and challenges: Illustration from US–India trade",2015,"International Journal of Healthcare Management","8","1",,"15","26",,14,"10.1179/2047971914Y.0000000091","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84926239146&doi=10.1179%2f2047971914Y.0000000091&partnerID=40&md5=f3f4b18689331ce2c05f0dc8e1237c8b","Department of Health Care Management, The Wharton School, University of Pennsylvania, Philadelphia, PA, United States","Burns, L.R., Department of Health Care Management, The Wharton School, University of Pennsylvania, Philadelphia, PA, United States","Medical tourism constitutes one form of international trade in services. There has been continuing interest in the size of this segment of trade, the direction of this trade (e.g., west to east, south to north), the growth prospects for this trade, and the ability of tourism to disrupt healthcare delivery in the west. Unfortunately, research on this segment of trade has lagged behind the speculation and hype. This article examines the size and growth of this trade, and finds the volume nowhere near the original estimates. The article then examines the ability of US–India medical tourism to deliver on ‘value’ (quality divided by cost), solve the ‘iron triangle’ of healthcare (improving access and quality while controlling cost), and ‘bend the trend’ in rising healthcare costs. To deliver on this value, India’s healthcare system will need to develop significant capabilities in areas that document quality improvement along with lower cost. The article concludes with a discussion of two trends taking place in both countries that can potentially thwart the disruptive force of medical tourism. © W. S. Maney & Son Ltd 2015.","Disruption; Medical tourism; Trade in healthcare services",,,,,,,,,"Burns, L.R., (2014) India‘s Healthcare Industry: Innovation in Delivery, Financing, and Manufacturing, , editor, New Delhi: Cambridge University Press; Crone, R., Flat medicine? Exploring trends in the globalization of health care (2008) Acad Med, 83 (2), pp. 117-121; Pollard, K., Medical tourism: After the gold rush (2011) Int Med Travel J, , http://www.imtj.com/articles/2011/blogafter-the-gold-rush-40165/, accessed 2012 May 29]. Available from; Borrell, B., Controversial Couple Dominates US Medical Tourism, , http://www.reuters.com/article/2009/10/28/us-medical-tourism-idUSTRE59R23V20091028, Reuters 2009 [accessed 2012 Jul 15]. Available from; (2008), Deloitte. Medical tourism: consumers in search of value. Washington, DC: Deloitte Center for Health Solutions; Drager, N., Smith, R., (2009) The World Health Organization Put the Estimate at Nearly 4 Million Patients per Year. Trade in Health Services, , Washington, DC: World Bank Institute; (2009), Deloitte. Medical tourism: update and implications. Washington, DC: Deloitte Center for Health Solutions; Keckley, P., Coughlin, S., Eselius, L., (2011) Survey of Health Care Consumers in the United States: Key Findings, Strategic Implications, p. 2011. , Washington, DC: Deloitte Center for Health Solutions; Alleman, B., Luger, T., Reisinger, H., Martin, R., Horowitz, M., Cram, P., Medical tourism services available to residents of the United States (2010) J Gen Intern Med, 26 (5), pp. 492-497; Barbara, K., Personal Communication, , Wharton School; Farrell, D., Jensen, E., Kocher, B., (2008) Accounting for the Cost of US Health Care: A New Look at Why Americans Spend More, , http://www.mckinsey.com/Insights/MGI/Research/Americas/Accounting_for_the_cost_of_US_health_care, McKinsey Global Institute; December, accessed 2012 May 29]. Available from; Bumrungrad Hospital in Thailand (one of the top international medical tourism providers) boasts a post-operative complication rate for cardiac procedures of less than 2% (which includes wound infections) and a post-operative complication rate for joint replacements of 1.6%. This is on par with U.S. academic centers of excellence and superior to the average domestic provider. This information is based on an interview with executives at Bumrungrad; (2012), http://www.companionglobalhealthcare.com/news.aspx?article=27, Companion Global Healthcare. Doctors Care reach agreement for aftercare services. PRNewswire; May 9, 2007 [accessed, May 29]. Available from; Sack, C., Lütkes, P., Günther, W., Erbel, R., Jöckel, K.H., Holtmann, G., Challenging the holy grail of hospital accreditation: A cross sectional study of inpatient satisfaction in the field of cardiology (2010) BMC Health Serv Res, 10, p. 120; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368; Burns, L.R., Wholey, D., The impact of physician characteristics in conditional choice models for hospital care (1992) J Health Econ, 11, pp. 43-62; Part of the medical tourism market provides services that are not easily obtained in the patient’s home country (e.g., organ transplantation, gene therapy, stem cell therapies). This poses several risks for the patient and the host country. For the patient, there may be no assurance that the procedure is efficacious or performed by a qualified provider. For the host country, there is the danger that the service provided preys upon disadvantaged members of the local populace to obtain organs for transplantation; Cortez, N., Recalibrating the legal risks of cross-border health care (2010) Yale J Health Policy Lawethics, pp. 1-89; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Herrick, D., (2007) Medical Tourism: Global Competition in Healthcare, , http://www.ncpa.org/pub/st/st304, Dallas, TX: National Center for Policy Analysis, [accessed 2012 May 29]. Available from; Kassed, C., Lewandowski, D., Maccracken, L., Pickens, G., Ray, G., Ray, L., (2008) Delayed Arrival: The Domestic Healthcare Traveler, , White Paper. Ann Arbor, MI: Thomson Reuters; Lunt, N., Smith, R., Exworthy, M., Green, S., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , Geneva: OECD; Reddy, S., Qadeer, I., Medical tourism in India: Progress or predicament? (2010) Econ Politicalwkly, 45 (20), pp. 69-75; Rath, S.P., Das, B., Mishra, S., Puthan, P., New avenue of tourism and revenue generation in India – ‘medical tourism (2012) Int J Bus Manag Tomorrow, 2 (1); Milstein, A., Smith, M., America’s new refugees – seeking affordable surgery offshore (2006) N Engl J Med, 355 (16), pp. 1637-1640; Town, G., (2012) Devi Shetty Sets Sights on Cayman Islands, , http://www.financialexpress.com/printer/news/766931/, The Financial Express. March 25, 2011 [accessed, May 29]. Available at; Kumar, M., (2012) Devi Shetty Takes Affordable Health Care Closer to US, , http://www.bangaloremirror.com/index.aspx?page=article§id=1&contentid=2012011320120113091735437b5b54d2f, BangaloreMirror.com. January 13, accessed 2012 May 29]. Available at; Burns, L.R., Sammut, S., Doing more with less: Lessons from a doctor (2011) ISB Insight, 9 (2), pp. 16-19; Cortez, N., Embracing the new geography of health care: A novel way to cover those left out of health reform (2011) South Calif Law Rev, 84 (4), pp. 859-931","Burns, L.R.; Department of Health Care Management, The Wharton School, University of Pennsylvania, 3641 Locust Walk, United States",,,"Maney Publishing",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-84926239146 "Crooks V.A., Li N., Snyder J., Dharamsi S., Benjaminy S., Jacob K.J., Illes J.","35585107800;56537327400;24170239100;15826323500;55597792900;56537812300;7003845298;","""You don't want to lose that trust that you've built with this patient..."": (Dis)trust, medical tourism, and the Canadian family physician-patient relationship",2015,"BMC Family Practice","16","1", 25,"","",,14,"10.1186/s12875-015-0245-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924203250&doi=10.1186%2fs12875-015-0245-6&partnerID=40&md5=95ba6956bd12c96bd3ace4f5fb5c64e7","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 4X9, Canada; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 4X9, Canada; Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 4X9, Canada; Li, N., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 4X9, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 4X9, Canada; Dharamsi, S., Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada; Benjaminy, S., Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada; Jacob, K.J., Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada; Illes, J., Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada","Background: Recent trends document growth in medical tourism, the private pursuit of medical interventions abroad. Medical tourism introduces challenges to decision-making that impact and are impacted by the physician-patient trust relationship - a relationship on which the foundation of beneficent health care lies. The objective of the study is to examine the views of Canadian family physicians about the roles that trust plays in decision-making about medical tourism, and the impact of medical tourism on the therapeutic relationship. Methods: We conducted six focus groups with 22 family physicians in the Canadian province of British Columbia. Data were analyzed thematically using deductive and inductive codes that captured key concepts across the narratives of participants. Results: Family physicians indicated that they trust their patients to act as the lead decision-makers about medical tourism, but are conflicted when the information they are managing contradicts the best interests of the patients. They reported that patients distrust local health care systems when they experience insufficiencies in access to care and that this can prompt patients to consider going abroad for care. Trust fractures in the physician-patient relationship can arise from shame, fear and secrecy about medical tourism. Conclusions: Family physicians face diverse tensions about medical tourism as they must balance their roles in: (1) providing information about medical tourism within a context of information deficits; (2) supporting decision-making while distancing themselves from patients' decisions to engage in medical tourism; and (3) acting both as agents of the patient and of the domestic health care system. These tensions highlight the ongoing need for reliable third-party informational resources about medical tourism and the development of responsive policy. © 2015 Crooks et al.; licensee BioMed Central.","Canada; Medical tourism; Physician-patient relationship; Trust","British Columbia; decision making; doctor patient relation; general practitioner; health personnel attitude; human; information processing; medical tourism; trust; Attitude of Health Personnel; British Columbia; Decision Making; Focus Groups; Humans; Medical Tourism; Physician-Patient Relations; Physicians, Family; Trust",,,,,"Canadian Institutes of Health Research, CIHR: FRN 22829 Michael Smith Foundation for Health Research, MSFHR",,,"Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7 (1), p. 12; Sobo, E.J., Medical travel: What it means, why it matters (2009) Med Anthropol, 28 (4), pp. 326-335; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: Understanding medical travel (2010) Med Anthropol, 29 (4), pp. 336-343; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the NHS? 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Multi-stakeholder perspectives on phase I choroideremia gene transfer clinical trials (2014) Genet Med, 16 (5), pp. 379-385; Rhodes, R., Schiano, T., Transplant tourism in China: A tale of two transplants (2010) Am J Bioethics, 10 (2), pp. 3-11; Cohen, I.G., Medical tourism: The view from ten thousand feet (2010) Hastings Cent Rep, 40 (2), pp. 11-12","Crooks, V.A.; Department of Geography, Simon Fraser University, 8888 University Drive, Canada",,,"BioMed Central Ltd.",,,,,14712296,,,"25884181","English","BMC Fam. Pract.",Article,"Final",Open Access,Scopus,2-s2.0-84924203250 "Wernz C., Wernz P.T., Phusavat K.","24345820700;56449323400;13403740100;","Service convergence and service integration in medical tourism",2014,"Industrial Management and Data Systems","114","7",,"1094","1106",,14,"10.1108/IMDS-04-2014-0115","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84918526173&doi=10.1108%2fIMDS-04-2014-0115&partnerID=40&md5=2dd5c329aeda488a166293e584e1412d","Grado Department of Industrial and Systems Engineering, Virginia Polytechnic Institute and State University, Blacksburg, VA, United States; Department of Management, Virginia Polytechnic Institute and State University, Blacksburg, VA, United States; Department of Industrial Engineering, Kasetsart University, Bangkok, Thailand","Wernz, C., Grado Department of Industrial and Systems Engineering, Virginia Polytechnic Institute and State University, Blacksburg, VA, United States; Wernz, P.T., Department of Management, Virginia Polytechnic Institute and State University, Blacksburg, VA, United States; Phusavat, K., Department of Industrial Engineering, Kasetsart University, Bangkok, Thailand","Purpose - The purpose of this paper is to introduce and discuss the concepts of service convergence and service integration, illustrate them in the context of the medical tourism industry, and link them to factors that contributed to the success of a medical tourism firm.Design/methodology/approach - The basis for the conceptual development of service convergence and service integration is an in-depth case study of Bumrungrad International Hospital (BIH) in Thailand. Based on semi-structured interviews and archival data, BIH's business model is analyzed and factors are identified that led to its success in the industry.Findings - BIH's success can be attributed to nine key initiatives that enhanced customer focus, operational efficiency, and service quality. These initiatives supported BIH's twofold business model of product differentiation and globally competitive prices. The firm's activities led to the integration of medical and hospitality services resulting in a new, enhanced product. Competitors adopted BIH's service integration approach, which started the service convergence trend in the medical tourism industry.Research limitations/implications - The conceptual foundations for service convergence and service integration are laid in this paper and can serve as the basis for future research.Practical implications - Insights from BIH's business model can guide firms in medical tourism and related industries on how to innovate and how to successfully implement their service products.Originality/value - This paper introduces the term service convergence and discusses its mechanisms. Furthermore, it identifies success factors of a leading firm in the medical tourism industry and links them to service integration. © Emerald Group Publishing Limited.","Medical tourism industry; Service convergence; Service innovation; Service integration; Service quality","Service convergence; Service innovation; Service integration; Service Quality; Tourism industry; Quality of service",,,,,,,,"American Medical Association, Medical travel outside the US (2007) AMA-OMSS Governing Council Report B, , www.amaassn.org/ama1/pub/upload/mm/21/omss2007a.pdf, American Medical Association, June, Chicago, IL, (accessed December 1, 2010); Barras, R., Towards a theory of innovation in services (1986) Research Policy, 15 (4), pp. 161-173; BIH Annual Report, (2011) Experiences and Expertise, pp. 7-13. , http://bh.listedcompany.com/misc/ar/Annual_Report_2010_en.pdf, Financial Information pp. 14-53, (accessed April 7, 2011); De Sam Lazaro, F., (2005) Traveling for Treatment, PBS Newshour with Jim Lehrer, , www.pbs.org/newshour/bb/health/jan-june05/thailand_2-21.html, transcript, (accessed December 7, 2012); Eisenhardt, K.M., Building theories from case study research (1989) Academy of Management Review, 14 (4), pp. 532-550; Ettlie, J.E., Rosenthal, S.R., Service versus manufacturing innovation (2011) Journal of Product Innovation Management, 28 (2), pp. 285-299; Füller, J., Matzler, K., Customer delight and market segmentation: An application of the three-factor theory of customer satisfaction on life style groups (2008) Tourism Management, 29 (1), pp. 116-126; Gallouj, F., Weinstein, O., Innovation in services (1997) Research Policy, 26 (4), pp. 537-556; Gambardella, A., Torrisi, S., Does technological convergence imply convergence in markets? 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(Eds) ERIA Research Project Report 2011-1, ERIA, March, Jakarta; Tax, S.S., McCutcheon, D., Wilkinson, I.F., The service delivery network (SDN): A customer-centric perspective of the customer journey (2013) Journal of Service Research, 16 (4), pp. 454-470; Wernz, C., Zhang, H., Phusavat, K., International study of technology investment decisions at hospitals (2014) Industrial Management & Data Systems, 114 (4), pp. 568-582; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102","Phusavat, K.; Department of Industrial Engineering, Kasetsart UniversityThailand",,,"Emerald Group Publishing Ltd.",,,,,02635577,,IMDSD,,"English","Ind Manage Data Sys",Article,"Final",,Scopus,2-s2.0-84918526173 "Kim S., Lee J., Jung J.","57209619163;55689986900;56102313700;","Assessment of Medical Tourism Development in Korea for the Achievement of Competitive Advantages",2013,"Asia Pacific Journal of Tourism Research","18","5",,"421","445",,14,"10.1080/10941665.2012.658416","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879511567&doi=10.1080%2f10941665.2012.658416&partnerID=40&md5=a6927f26d286b3211620b413812dc6e8","College of Hospitality and Tourism, Sejong University, South Korea; School of Hotel and Tourism Management, Hong Kong Polytechnic University, Hong Kong","Kim, S., College of Hospitality and Tourism, Sejong University, South Korea; Lee, J., School of Hotel and Tourism Management, Hong Kong Polytechnic University, Hong Kong; Jung, J., School of Hotel and Tourism Management, Hong Kong Polytechnic University, Hong Kong","Medical tourism is a rapidly growing industry in which people travel to other countries to receive medical treatments. In 2010, Korea attracted 81,789 foreign medical tourists who spent approximately US$100 million. The aims of this study are to analyze general trends in the medical tourism market, identify problems, or obstacles that affect the development of medical tourism in Korea, provide solutions to overcome these obstacles, and propose better policies. This study employed qualitative research methods, including content analysis of written publications and in-depth interviews. According to the results of the analysis of Korean medical tourism, the weaknesses of the system include insufficient promotion, the lack of a centralized administrative support system, the absence of differentiation strategies with respect to competing nations, an insufficient number of medical tourism professionals, and an inadequate legal system. In addition, this study identified threats that include competition from other countries offering medical tourism, the emergence of new competitors in East Asia, unexpected global crises, and international antagonism against Korea. This article discusses solutions addressing these weaknesses and threats and presents strategies that Korea can adopt to become one of the premier destinations for medical tourism. © 2013 Copyright Asia Pacific Tourism Association.","competition; health; Korea; medical tourism; SWOT analysis","competition (economics); international tourism; medicine; tourism development; tourism market; tourist destination; Korea",,,,,"NRF- 2011-332-32A-B00277","This work was supported by the National Research Foundation of Korean Grant funded by the Korean Government (NRF- 2011-332-32A-B00277).",,"Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consortium Journal of Hospitality and Tourism, 11 (1), pp. 75-81; Babbie, E., (1990) Survey research methods, , 2, Belmont, CA, Belmont, CA,: Wadsworth, Inc; Bauer, J.C., Medical tourism: Wave of the future in a world of hurt? 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Medical tourism sample surgery cost chart. 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K., Lincoln Y. S., editors Thousand Oaks, CA, Thousand Oaks, CA,: Sage; Veal, A., (2006) Research methods for leisure and tourism: A practical guide, , 3, Essex, England, Essex,: Pearson Education Limited; West, D., Ford, J., Ibrahim, E., (2010) Strategic marketing: Creating competitive advantages, , 2, Oxford, England: Oxford Press; Ye, B., Yuen, P., Zhang, H., Yuen, P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32, pp. 1125-1127. , doi:10.1016/j.tourman.2010.09.018; Youngman, I., Medical tourism facts and figures 2010 (2010) An independent report; Yu, J.-Y., Ko, T., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-85. , doi:10.1016/j.tourman.2011.02.002","Kim, S.; College of Hospitality and Tourism, Sejong UniversitySouth Korea; email: sskim@sejong.ac.kr",,,,,,,,10941665,,,,"English","Asia Pac. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-84879511567 "Medina-Muñoz D.R., Medina-Muñoz R.D.","6603333545;6506869526;","Critical issues in health and wellness tourism: An exploratory study of visitors to wellness centres on Gran Canaria",2013,"Current Issues in Tourism","16","5",,"415","435",,14,"10.1080/13683500.2012.748719","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879426132&doi=10.1080%2f13683500.2012.748719&partnerID=40&md5=dc1457a879168684e0e495fd3f3c8e43","University of Las Palmas de Gran Canaria, Economía y dirección de empresas, Universidad de Las Palmas de G.C, Campus de Tafira-Edificio de Empresariales, Módulo C-3.04, Las Palmas de Gran Canaria, 35017, Spain","Medina-Muñoz, D.R., University of Las Palmas de Gran Canaria, Economía y dirección de empresas, Universidad de Las Palmas de G.C, Campus de Tafira-Edificio de Empresariales, Módulo C-3.04, Las Palmas de Gran Canaria, 35017, Spain; Medina-Muñoz, R.D., University of Las Palmas de Gran Canaria, Economía y dirección de empresas, Universidad de Las Palmas de G.C, Campus de Tafira-Edificio de Empresariales, Módulo C-3.04, Las Palmas de Gran Canaria, 35017, Spain","The growing commodification of health care and therapeutic landscape, as well as the recent growth in international demand for wellness services and treatments, has led to the proliferation of destinations and enterprises that have selected health and wellness tourism as part of their corporate strategy, including coastal tourism destinations such as the Spanish island of Gran Canaria. This study discusses the commodification of health care and landscape, the relationship between everyday life and going on holiday, as well as the motives for medical and wellness tourism. Wellness tourism development on Gran Canaria is also analysed as a case study that could prove useful for those working on diversification within coastal tourism. An exploratory study of European visitors to wellness centres on the island is also presented. Major findings and contributions relate to sociodemographic characteristics, motives for the visit to the island, the importance of the wellness offer, tourist and travel behaviour and wellness behaviour both at the destination and at the place of residence. Another contribution refers to differences in the use of wellness centres and treatments among visitors, based on their place of origin, gender, age, marital status and job situation. Management and marketing implications are also suggested. © 2013 Taylor & Francis.","Behavioural intentions; Coastal tourism; Destination marketing; Wellness tourism","corporate strategy; critical analysis; health care; marketing; medical geography; medical geology; tourism development; tourist destination; travel behavior; Canary Islands; Gran Canaria; Las Palmas; Spain",,,,,,,,"Bertsch, G., Ostermann, G., The effect of wellness brand awareness on expected and perceived service quality (2011) Tourismos: An International Multidisciplinary Journal of Tourism, 6 (2), pp. 103-120; (2009) Tourism Model of the Canary Islands, , Canarian Government Department of Tourism, Gran Canaria: Department of Tourism; (2012) Tourism Statistics In the Canary Islands, , Canarian Government Department of Tourism, Gran Canaria: Department of Tourism; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia: An International Journal of Tourism and Hospitality Research, 19 (1), pp. 103-115; Claver-Cortés, E., Molina-Azorín, J.F., Pereira-Moliner, J., Competitiveness in mass tourism (2007) Annals of Tourism Research, 34 (3), pp. 727-745; Cohen, E., Medical tourism in Thailand (2008) Explorations In Thai Tourism, pp. 225-255. , E. Cohen (Ed.), Bingley: Emerald; Collins, D., Kearns, R., Ambiguous landscapes: Sun, risk and recreation on New Zealand beaches (2007) Therapeutic Landscapes, pp. 15-35. , A. Williams (Ed.), Aldershot: Ashgate; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2012) Tourism Management, , doi:10.1016/j.tourman.2012.05.009; Deng, W., Using a revised importance-performance analysis approach: The case of Taiwanese hot springs tourism (2007) Tourism Management, 28, pp. 1274-1284; Dwyer, L., Edwards, D., Mistilis, N., Roman, C., Scott, N., Destination and enterprise management for a tourism future (2009) Tourism Management, 30, pp. 63-74; Dwyer, L., Kim, C., Destination competitiveness: Determinants and indicators (2003) Current Issues In Tourism, 6 (5), pp. 369-414; Enright, M.J., Newton, J., Tourism destination competitiveness: A quantitative approach (2004) Tourism Management, 25, pp. 777-788; Foley, R., Wheeler, A., Kearns, R., Selling the colonial spa town: The contested therapeutic landscapes of Lisdoonvarna and Te Aroha (2011) Irish Geography, 44 (2-3), pp. 151-172; Game, A., (1991) Undoing the Social. Towards a Deconstructive Sociology, , Buckingham: Open University Press; Gesler, W., Therapeutic landscapes: Medical issues in the light of the new cultural geography (1992) Social Science and Medicine, 34, pp. 735-746; Graburn, N., Barthel-Bouchier, D., Relocating the tourist (2001) International Sociology, 16 (2), pp. 147-158; Hall, C.M., Health and spa tourism (2003) International Sports & Adventure Tourism, pp. 273-292. , S. Hudson (Ed.), New York: Haworth Press; Hall, C.M., Health and medical tourism: Kill or cure for global public health? (2011) Tourist Review, 66, pp. 4-15; Heung, V.C.S., Kucukusta, D., Wellness tourism in China: Resources, development and marketing International Journal of Tourism Research, , in press, doi: 10.1002/jtr.2880; Hjalager, A.-M., Flagestad, A., Innovations in well-being tourism in the Nordic countries (2012) Current Issues In Tourism, 15 (8), pp. 725-740; Hong, W.-C., Global competitiveness measurement for the tourism sector (2009) Current Issues In Tourism, 12 (2), pp. 105-132; Kangas, B., Complicating common ideas about medical tourism: Gender, class, and globality in Yemenis' international medical travel (2011) Signs: Journal of Women In Culture and Society, 36 (2), pp. 327-332; Knowles, T., Curtis, S., The market viability of European mass tourist destinations: A poststagnation life-cycle analysis (1999) International Journal of Tourism Research, 1, pp. 87-96; Krippendorf, J., (1987) The Holiday Makers. Understanding the Impact of Leisure and Travel, , Oxford: Heineman Professional Publishing; Lee, C.-F., Ou, W.-M., Huang, H.-I., A study of destination attractiveness through domestic visitors' perspectives: The case of Taiwan's hot spring tourism sector (2009) Asia Pacific Journal of Tourism Research, 14 (1), pp. 17-38; Magdalini, V., Paris, T., The wellness tourism market in Greece - an interdisciplinary methdology approach (2009) Tourismos: An International Multidisciplinary Journal of Tourism, 4 (4), pp. 127-144; Mak, A.H.N., Wong, K.K.F., Chang, R.C.Y., Health or self-indulgence? The motivations and characteristics of spa-goers (2009) International Journal of Tourism Research, 11, pp. 185-199; Medina-Muñoz, D., (2008) La Competitividad Turística De Gran Canaria: Análisis Y Recomendaciones, , Gran Canaria: ULPGC; Moon, G., Kearns, R., Joseph, A., Selling the private asylum: Therapeutic landscapes and the (re)valorisation of confinement in the era of community care (2006) Transactions of the Institute of British Geographers, 31, pp. 131-149; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Musa, G., Thirumoorthi, T., Doshi, D., Travel behavior among inbound medical tourists in Kuala Lumpur (2012) Current Issues In Tourism, 15 (6), pp. 525-543; O'Dell, T., (2010) Spas: The Cultural Economy of Hospitality, Magic and The Senses, , Lund: Nordic Academic Press; Ormond, M., Shifting subjects of health-care: Placing 'medical tourism' in the context of Malaysian domestic health-care reform (2011) Asia Pacific Viewpoint, 52 (3), pp. 247-259; Pellegrino, E.D., The commodification of medical and health care: The moral consequences of a paradigm shift from a professional to a market ethic (1999) The Journal of Medicine and Philosophy, 24, pp. 243-266; Perkins, H.C., Thorns, D.C., Gazing or performing? Reflexions on Urry's tourist gaze in the context of contemporary experience in the antipodes (2001) International Sociology, 16 (2), pp. 185-204; Pesonen, J., Laukkanen, T., Komppula, R., Benefit segmentation of potential wellbeing tourists (2011) Journal of Vacation Marketing, 17 (4), pp. 303-314; Rodrigues, Á., Kastenholz, E., Rodrigues, A., Hiking as a wellness activity - an exploratory study of hiking tourists in Portugal (2010) Journal of Vacation Marketing, 16 (4), pp. 331-343; Sharpley, R., Rural tourism and the challenge of tourism diversification: The case of Cyprus (2002) Tourism Management, 23, pp. 233-244; Singh, N., Exploring the factors influencing the travel motivations of US medical tourists (2012) Current Issues In Tourism, , doi: 10.1080/13683500.2012.695341; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Burlington, MA: Elsevier Science and Technology Books; Suresh, S., Ravichandran, S., Ganesan, P., Understanding wellness center loyalty through lifestyle analysis (2011) Health Marketing Quarterly, 28, pp. 16-37; Timmermans, S., Almeling, R., Objectification, standardization, and commodification in health care: A conceptual readjustment (2009) Social Science & Medicine, 69, pp. 21-27; Urry, J., (1990) The Tourist Gaze. Leisure and Travel In Contemporary Societies, , London: Sage; Veijola, S., Jokinen, E., The body in tourism (1994) Theory, Culture & Society, 11, pp. 125-151; Vespestad, M.K., Lindberg, F., Understanding nature-based tourist experiences: An ontological analysis (2011) Current Issues In Tourism, 14 (6), pp. 563-580; (2001) Compendium of Tourism Statistics, , World Tourism Organization, Madrid: WTO","Medina-Muñoz, D. R.; University of Las Palmas de Gran Canaria, Economía y dirección de empresas, Universidad de Las Palmas de G.C, Campus de Tafira-Edificio de Empresariales, Módulo C-3.04, Las Palmas de Gran Canaria, 35017, Spain; email: dmedina@dede.ulpgc.es",,,,,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Final",,Scopus,2-s2.0-84879426132 "Izadi M., Ayoobian A., Nasiri T., Joneidi N., Fazel M., Hosseinpourfard M.J.","16230256600;55324850400;55324762200;17345873500;37049913600;55324907400;","Situation of health tourism in Iran; Opportunity or threat",2012,"Journal of Military Medicine","14","2",,"69","75",,14,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864469047&partnerID=40&md5=79c075b9ccc14b902f9d0444612bca78","International Travel Medicine Center of Iran, Tehran, Iran; Health Management Research Center, Baqiyatallah University of Medical Science, Tehran, Iran","Izadi, M., International Travel Medicine Center of Iran, Tehran, Iran; Ayoobian, A., Health Management Research Center, Baqiyatallah University of Medical Science, Tehran, Iran; Nasiri, T., International Travel Medicine Center of Iran, Tehran, Iran; Joneidi, N., International Travel Medicine Center of Iran, Tehran, Iran; Fazel, M., International Travel Medicine Center of Iran, Tehran, Iran; Hosseinpourfard, M.J., Health Management Research Center, Baqiyatallah University of Medical Science, Tehran, Iran","Aims: Health tourism covers any trip for health promotion and as one of the dimensions of tourism, results in development and leads to dynamic economics. It could also be a national strategy towards increasing the national income and is also considered as a national security aid. This study was carried out to investigate the current status of health tourism in Iran and the specific potentials of the country. Methods: This descriptive review article was done in two stages. First, the research data was extracted from the resource library and scientific websites and then the experts' viewpoints were added to it. Data were investigated and analyzed using the pattern of factors that create competitive advantage and their relationships. Results: Iran has many strength points, including expert physicians, up-to-date medical technology and natural healing regions to attract health tourists; however, weaknesses and challenges such as poor coordination among the organizations responsible for medical tourism and inappropriate planning. Conclusion: Iran could make use of its potentials in the field of health tourism and achieve the goals and visions of ""Iran in 1404"", through increasing emphasis on the strength points and introducing them as its unique capabilities, comprehensive planning and operational requirements of field units and provide leadership in this industry.","Capabilities; Competitive Advantage; Health Tourism; Iran; Opportunity; Threat",,,,,,,,,"Carrera, P., Bridges, J., (2008) Health and Medicaltourism: What They Mean and Imply for Health Care Systems?, , Merz F, editor. New York: Hanser Verlag; (2006) Medical Tourism: A Global Analysis, A Report by Tourism Research and Marketing, , AM (tourism research and marketing), Netherlands: Atlas Publication; Harahsheh, S., (2002) Curative Tourism in Jordan and Its Potential Development [Dissertation], , Bournemouth: Bournemouth University;; Caballero, S.D., Mugomba, C., (2006) Medical Tourism and Its Entrepreneurial Opportunities: A Conceptual Framework for Entry to the Industry [Dissertation], , Sewden: Goteborg University;; Vajira Kachorn, T., (2004) Implementation of An Effective Health Tourism Development Plan of Thailand [Dissertation], , Thailand: University of Wisconsin-Stout;; Nson, Y., Sim, S., Nelson, N., Dical Tourism: The Asian Chapter. 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Surgery [Dissertation], , Australia: University of Sydney;; Lagiewsky, M., Rick, R., (2008) Medical Tourism: Perspectives and Applications for Destination Development, , Croatia: American Collage of Management and Technology;; Moody, M., Medical tourism: Employers can save significant healthcare dollars by having employees seek overseas options (2007) Rough Notes, 150 (11), pp. 114-116; Ramirez De Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198. , http://baywood.metapress.com/media/2dyrcfdc1p4rxm8f5kdr/contributions/4/ 8/5/7/4857468g232547uu.pdf, DOI 10.2190/4857-468G-2325-47UU; Bovier, P.A., Medical tourism: A new kind of traveler? (2008) Rev Med Suisse, 4 (157), pp. 1196-1198; Horowitz, D., Rosensweig, J., Medical tourism: Health care in the global economy (2007) Physician Exec, 33 (6), pp. 24-26; Kalshrtti, P., Pillai, D., (2008) Tourism Products Development and Management Medical Tourism: A Shifting Paradigm, , India; Proceedings of the 1st Conference on Tourism in India; Kazemi, Z., (2007) Study of the Effective Factor for Attracting Medical Tourism in Iran [Dissertation], , Netherland: Lulea University of Technology;; (2008) Iran and the World Health Tourism, , Iran Trade Promotion Organization, Tehran: Office Market of Goods and Services; [Persian]; Monica, H., Yu- Feng, H., Thailand Medical Tourism Cluster. Boston: c2006 [Updated May 2006], , http://www.isc.hbs.edu/pdf/student-project/Thailand-medicaltourism/, Available from; Shalbafian, A., (2006) Effective Factors for Developing Health Tourism [Dissertation], , Tehran: Allame Tabatabaei University; [Persian]; Terms and Conditions of Service Centers in Health Tourism, , http://www.lawoffice.mohme.gov.ir, Tehran: c1999 [updated Apr 2011]. Available from, [Persian]; Fourth Development Economic, Social and Cultural Plan, , http://www.parliran.ir/index.aspx?siteid=1&pageid=2941, Tehran: c2000 [updated Sep 2007]. Available from, [Persian]; Khodadade Hosseini, S.H., (2008) Strategic Planning and Management, , Tehran: Saffar Publication, [Persian]; Salim Pour, H., Tajor, M., Arab, M., Medical records of exports of goods and services abroad (2003) J Health Homa, 2 (17), pp. 7-9. , [Persian]; Zadeh Sh, G., (2009) Factors in Attracting Foreign Tourists with the Scientific Definition of Health and Medical Tourism, , Uromia; Third International Conference of Regional Health Services in Iran, [Persian]; Jahangiri, M., Health and Tourism Industry in Iran, , http://www.iranhealthtourism.ir/fa/viewnew, Tehran: c2001 [updated Apr 2010]. Available from, [Persian]; Ghalami, S., (2010) Investigate Ways to Improve Iran's Position in the Market for Health Services and Medical Tourism Attraction [Dissertation], , Tehran: Tarbiyat Modarres University, [Persian]; Pakjou, A., Izadi, M., Masoodipour, A., Fazel, M., Pattern of travel medicine ethics in international cooperation program of military medicine (2011) Mil Med J, 13 (2), pp. 117-123. , [Persian]; Izadi, M., (2009) International Travel Medicine, , Tehran: Institute of Higher Education Science, [Persian]; Izadi, M., Joneidi, N., Ranjbar, R., Ayoobian, A., (2012) Health Tourism in Iran: Competitive Advantage Factor, , Tehran; Asia Pacific Travel Health Conference; Gonzales, A., Brenzel, L., Sancho, J., Health tourism and related services: Caribbean development and international trade (2001) Jamaica: Regional Negotiating Machinery; Porter, E.M., Vera, M.D., Huang, B., Khan, O., Qin, Z., Tan, A., (2007) Medical Tourism in the Philippines, , http://www.rxpinoy.com/medicaltourismphilippines/index.php, Philippine: [updated Jun 2011]. Available form; Singh, G., (2003) Medical Tourism in India: Strategy for Its Development, , Bangalore: Indian Institute of Management;; (1999) Jordan Competitiveness Report, Medical Tourism, , http://www.jnco.gov.jo/static/pdf/chapter6.pdf/, Jordan, [updated Mar 2007]. Available from; Erfan Nia, M., (2010) Comparative Study of Information Systems in Selected Countries and Provide A Solution for Medical Tourism in Iran [Dissertation], , Tehran: Tehran University of Medical Sciences, [Persian]","Ayoobian, A.; Health Management Research Center, Baqiyatallah University of Medical Science, Tehran, Iran; email: ayoob1361@yahoo.com",,,"Baqiyatallah University of Medical Sciences",,,,,17351537,,,,"Persian","J. Mil. Med.",Review,"Final",,Scopus,2-s2.0-84864469047 "Kangas B.","6507921262;","The burden of pursuing treatment abroad: Three stories of medical travelers from Yemen [Traitement à l'étranger, un fardeau lourd à porter: Trois expériences de touristes médicaux originaires du Yémen]",2010,"Global Social Policy","10","3",,"306","314",,14,"10.1177/1468018110379990","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650275763&doi=10.1177%2f1468018110379990&partnerID=40&md5=21313ae63f4a865c5105a1e5f56daba0","Anthropology Department, Grand Valley State University, 1138 AuSable Hall, Allendale, MI 49401, United States","Kangas, B., Anthropology Department, Grand Valley State University, 1138 AuSable Hall, Allendale, MI 49401, United States","This case study features stories of patients from Yemen, a low-income country in the Arabian Peninsula, who traveled abroad for medical care. Their stories, drawn from interviews with Yemeni medical travelers in India, highlight the economic and emotional burden of pursuing treatment abroad. These stories of chronic non-communicable diseases and serious injuries depart from the common portrayal of medical tourists as wealthy elective patients from the North traveling for cosmetic surgery. The stories center on the demand and benefit of technological medicine for patients from low-income countries and raise questions about what constitutes 'health' when non-communicable conditions often entail ongoing efforts at treatment. The case study demonstrates that relying on treatment abroad may result in suboptimal outcomes for local health systems. © The Author(s) 2010.","low-income countries; medical technology; medical tourism; non-communicable conditions; Yemen","disease treatment; health services; hospital sector; injury; low income population; tourism; Yemen",,,,,,,,"Adeyi, O., Smith, O., Robles, S., (2007) Public Policy and the Challenge of Chronic Noncommunicable Diseases, , http://siteresources.worldbank.org/INTPH/Resources/PublicPolicyandNCDsWorldBank2007FullReport.pdf, Available at, Washington, DC: World Bank; Al-Ariqi, A.M., (2009) 5000 Cancer Patients Seeking Treatment Abroad, , (12 August), Yemen Times; Al-Khail, A., (2010) Bad Medication Exhausts Yemenis' Funds Abroad, , (2 May), Saba Net; Chandra, V., Pandav, R., Laxminarayan, R., Neurological disorders (2006) Disease Control Priorities in Developing Countries, pp. 627-644. , In: Jamison DT, Breman JG, Measham AR,(eds), Second edition., New York: Oxford University; Dahesh, A., (2009) Overcrowding at Al-Thawra Hospital Cardiac Center, , (12 August), Yemen Times; (2008) Medical Tourism: Consumers in Search of Value, , www.deloitte.com/assets/Dcom-UnitedStates/LocalAssets/Documents/us_chs_MedicalTourismStudy(3).pdf, Deloitte Center for Health Solutions, Available at, Washington, DC; El-Nono, I., Al-Ba'adani, T.H., Ghilan, A.M., Adult-to-adult living related donor renal transplantation in Yemen: The first experience (2007) Saudi Journal of Kidney Diseases and Transplantation, 18, pp. 265-269; Herrick, D.M., Medical tourism: Global competition in health care (2007) NCPA Policy Report No, (304). , www.ncpa.org/pdfs/st304.pdf, Available at, Dallas, TX: National Center for Policy Analysis; Jamison, D.T., Jha, P., Bloom, D.E., Disease control (2009) Global Crises, Global Solutions, , In: Lomborg B (ed.), Cambridge: Cambridge University; Kangas, B., (2002) The Lure of Technology: Yemenis' International Medical Travel in a Global Era, , Unpublished dissertation, Department of Anthropology, University of Arizona, Tucson, Arizona; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21, pp. 35-78; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14, pp. 293-305; Kangas, B., Lack of treatment capacity, lack of trust: Yemenis' medical treatment abroad (2007) Yemen into the Twenty-First Century: Continuity and Change, pp. 293-326. , In: Mahdi KA, Würth A, and Lackner H (eds), Reading: Ithaca Press; Kangas, B., Travelling for medical care in a global world (2010) Medical Anthropology, 29; Kangas, B., Complicating common ideas about medical tourism: Gender, class, and globality in Yemenis' international medical travel (2011) Signs: Journal of Women in Culture and Society, 36 (2); Karim, F.M.A., Road traffic reports in Yemen (2008) International Journal of Injury Control and Safety Promotion, 15, pp. 165-166; Laxminarayan, R., Chow, J., Shahid-Salles, S.A., Intervention cost-effectiveness: overview of main messages (2006) Disease Control Priorities in Developing Countries, , In: Jamison DT, Breman JG, Measham AR,(eds), 2nd edition, New York: Oxford University; Norton, R., Hyder, A.A., Bishai, D., Unintentional injuries (2006) Disease Control Priorities in Developing Countries, pp. 737-754. , In: Jamison DT, Breman JG, Measham AR,(eds), 2nd edition., New York: Oxford University; Oudah, A.A., (2010) Yemeni Patients in Jordan: Distinctive Services, Few Complaints, , (16 February), Yemen Observer; Peden, M., Scurfield, R., Sleet, D., (2004) World Report on Road Traffic Injury Prevention, , http://whqlibdoc.who.int/publications/2004/9241562609.pdf, Available at, Geneva: World Health Organization; Senior, K., Yemen facing increasing pressure on cancer resources (2008) The Lancet Oncology, 9, p. 1030; Siddiqi, S., Shennawy, A., Mirza, Z., Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective (2009) International Journal of Health Planning and Management, , DOI: 10.1002/hpm.989; (2005) Preventing Chronic Diseases: A Vital Investment, , www.who.int/chp/chronic_disease_report/full_report.pdf, WHO.Available at; (2006) Neurological Disorders: Public Health Challenges, , www.who.int/mental_health/neurology/neurological_disorders_report_web.pdf, WHO, Available at; (2008) 2008-2013 Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases, , http://whqlibdoc.who.int/publications/2009/9789241597418_eng.pdf, WHO, Available at; (2010) Cluster Strategy: Noncommunicable Diseases and Mental Health 2008-2013, , http://whqlibdoc.who.int/hq/2010/WHO_NMH_2009.2_eng.pdf, WHO","Kangas, B.; Anthropology Department, Grand Valley State University, 1138 AuSable Hall, Allendale, MI 49401, United States; email: bethkangas@gmail.com",,,,,,,,14680181,,,,"English; French; Spanish","Global Soc. Policy",Article,"Final",,Scopus,2-s2.0-78650275763 "Walker S., Jen C., McCosker F., Cleary S.","56307231600;25644822800;25645304100;25644062400;","Comparison of complications in percutaneous coronary intervention patients mobilized at 3, 4, and 6 hours after femoral arterial sheath removal",2008,"Journal of Cardiovascular Nursing","23","5",,"407","413",,14,"10.1097/01.JCN.0000317452.72402.7c","https://www.scopus.com/inward/record.uri?eid=2-s2.0-56049102627&doi=10.1097%2f01.JCN.0000317452.72402.7c&partnerID=40&md5=bc148020f3b149c500ce48703a750539","Department of Nursing, Engineering and Health, Central Queensland University, Rockhampton, QLD, Australia; Coronary Care Unit, Princess Alexandra Hospital, Brisbane, QLD, Australia; Faculty of Science, Engineering and Health, Central Queensland University, Bundaberg, QLD, Australia; Faculty of Science, Engineering and Health, Central Queensland University, Rockhampton, QLD 4702, Australia","Walker, S., Department of Nursing, Engineering and Health, Central Queensland University, Rockhampton, QLD, Australia, Faculty of Science, Engineering and Health, Central Queensland University, Rockhampton, QLD 4702, Australia; Jen, C., Coronary Care Unit, Princess Alexandra Hospital, Brisbane, QLD, Australia; McCosker, F., Coronary Care Unit, Princess Alexandra Hospital, Brisbane, QLD, Australia; Cleary, S., Faculty of Science, Engineering and Health, Central Queensland University, Bundaberg, QLD, Australia","The purpose of this research study was to explore groin complication rates of patients mobilized at 3, 4, and 6 hours after femoral arterial sheath removal following a percutaneous coronary intervention procedure. Participants were recruited from those undergoing coronary angioplasty and coronary stent placement at a large public hospital in Brisbane, Queensland. Participants were randomly allocated to the 3, 4, or 6 hourly mobilization group. After removal of the femoral arterial sheath and again the next day, participants' groins were assessed for evidence of complications including hemorrhage, hematoma formation, and pseudoaneurysm. The results showed that the length of bed rest after arterial sheath removal had no significant effect on bleeding (F304 = 5.39, P = 0.21) or hematoma formation (F304 = 0.258, P = 0.612) at the groin puncture site for participants who mobilized at either 3, 4, or 6 hours after percutaneous coronary intervention arterial sheath removal. © 2008 Lippincott Williams & Wilkins.","Angioplasty; Complications; Coronary; Mobilization; Stent","anticoagulant agent; article; bed rest; bleeding; body weight; clinical trial; comparative study; controlled clinical trial; controlled study; coronary artery disease; device removal; female; femoral artery; hematoma; human; inguinal region; instrumentation; male; methodology; middle aged; mobilization; nursing; puncture; randomized controlled trial; risk factor; time; transluminal coronary angioplasty; Angioplasty, Transluminal, Percutaneous Coronary; Anticoagulants; Bed Rest; Body Weight; Coronary Artery Disease; Device Removal; Early Ambulation; Female; Femoral Artery; Groin; Hematoma; Hemorrhage; Humans; Male; Middle Aged; Punctures; Risk Factors; Time Factors",,"Anticoagulants",,,,,,"Maree, A., Baron, D., Roy, P., Coronary stenting (2001) Cardiology and Cardiac Catheterisation: The Essential Guide, , Boland J, Muller D, eds, Amsterdam, The Netherlands: Harwood Academic;; Shaffer, R., Care of patients undergoing fibrinolytic therapy and percutaneous coronary intervention (2008) Cardiac Nursing: A Companion to Braunwald's Heart Disease, , eds, St Louis, MO: Saunders Elsevier;; Eastwood, J., Nurse's role in the cardiac catherization laboratory (2008) Cardiac Nursing: A Companion to Braunwald's Heart Disease, , eds, St Louis, MO: Saunders Elsevier;; Kornowski, R., Kehoe, K., Hong, M.K., Percutaneous transluminal coronary angioplasty (2000) Principles and Practice of Interventional Cardiology, , Apple S, Lindsay J, eds, Baltimore, MD: Lippincott Williams and Wilkins;; Hadjipetrou, P., Vascular access site management and arterial closure (2001) Cardiology and Cardiac Catheterisation: The Essential Guide, , Boland J, Muller D, eds, Amsterdam, The Netherlands: Harwood Academic;; McCabe, P., McPherson, L., Lohse, C., Weaver, A.L., Evaluation of nursing care after diagnostic coronary angiography (2001) Am J Crit Care, 10 (5), pp. 330-340; Fowlow, B., Price, P., Fung, T., Ambulation after sheath removal: A comparison of 6 and 8 hours of bedrest after sheath removal in patients following a PTCA procedure (1995) Heart Lung J Acute Crit Care, 24 (1), pp. 28-37; Koch, K.T., Piek, J.J., de Winter, R.J., Early ambulation after coronary angioplasty and stenting with 6 French guiding catheter and low-dose heparin (1997) Am J Cardiol, 80 (8), pp. 1084-1086; Koch, K.T., Piek, J.J., de Winter, R.J., Two hour am-bulation after coronary angioplasty and stent placement with 6 F guiding catheters and low dose heparin (1999) Heart, 81 (1), pp. 53-56; Vlasic, W., Almond, D., Massel, D., Reducing bedrest following arterial puncture for coronary interventional procedures - impact on vascular complications. The BAC trial (2001) J Invasive Cardiol, 13, pp. 788-792; Tagney, J., Lackie, D., Bed-rest post femoral arterial sheath removal - what is safe practice? A clinical audit (2005) Nurs Crit Care, 10 (4), pp. 167-173; Reynolds, S., Waterhouse, K., Miller, K., Patient care after percutaneous transluminal coronary angioplasty (2001) Nurs Manag, 32 (9), p. 51; Chhatriwalla, A.K., Bhatt, D.L., You can't keep a good man (or woman) down (2006) J Invasive Cardiol, 18, pp. 109-110; Benson, L.M., Wunderly, D., Perry, B., Determining best practice: Comparison of three methods of femoral sheath removal after cardiac interventional procedures (2005) Heart Lung J Acute Crit Care, 34 (2), pp. 115-121; Walker, S.B., Cleary, S.R., Higgins, M., A comparison of the FemoStop device and nurse initiated digital pressure in reducing groin complications in patients post coronary angioplasty and coronary stent placement (2001) Int J Nurs Pract, 7 (6), pp. 366-375; Schlesselman, J., (1982) Case-Control Studies, , New York, NY: Oxford University Press;; Armitage, G., Berry, G., (1987) Statistical Method in Medical Research, , London, UK: Blackwell Science;; Norusis, M., (1990) SPSS/PC, , New York, NY: McGraw-Hill;; Schneider Z, Elliot D, LoBiondo-Wood G, Haber J. Nursing Research - Methods, Critical Appraisal and Utilisation. 2nd ed. Marrickville, NSW: Mosby; 2003; Lowe, H.C., Colombo, A., Antiplatelet and anticoagulant therapy in interventional cardiology (2001) Cardiology and Cardiac Catheterisation: The Essential Guide, , Boland J, Muller D, eds, Amsterdam, The Netherlands: Harwood Academic;; Muller, D., Shamir, K., Erllis, S., Peripheral vascular complications after conventional and complex percutaneous in-terventionalist procedures (1992) Am J Cardiol, 69, pp. 63-68; Popma, J., Lowell, F., Vascular complications after balloon and new device angioplasty (1993) Circulation, 88, pp. 156-158","Walker, S.; Faculty of Science, Engineering and Health, Central Queensland University, Rockhampton, QLD 4702, Australia; email: s.walker@cqu.edu.au",,,,,,,,08894655,,,"18728513","English","J. Cardiovasc. Nurs.",Article,"Final",,Scopus,2-s2.0-56049102627 "Dunn P.","57198218368;","Medical tourism takes flight",2007,"Hospitals and Health Networks","81","11",,"40","44",,14,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-36448996556&partnerID=40&md5=3b4d1010dfd47b4f0fe97726a67f1560",,"Dunn, P.",[No abstract available],,"economic aspect; economics; fee; health care delivery; human; international cooperation; review; Southeast Asia; statistics; surgery; travel; Asia, Southeastern; Delivery of Health Care; Economic Competition; Fees and Charges; Humans; Internationality; Surgical Procedures, Operative; Travel",,,,,,,,,"Dunn, P., Chicago, IL, United States",,,,,,,,10688838,,HHNEE,"18175593","English","Hosp. Health Netw.",Review,"Final",,Scopus,2-s2.0-36448996556 "Gazitt Y., Akay C., Thomas III C.","57204493403;10045364100;7404414000;","No polarization of type 1 or type 2 precursor dendritic cells in peripheral blood stem cell collections of non-Hodgkin's lymphoma patients mobilized with cyclophosphamide plus G-CSF, GM-CSF, or GM-CSF followed by G-CSF",2006,"Stem Cells and Development","15","2",,"269","277",,14,"10.1089/scd.2006.15.269","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33646542654&doi=10.1089%2fscd.2006.15.269&partnerID=40&md5=f3567cef9207dd364670d41926f2e94f","University of Texas Health Science Center, San Antonio, TX 78284, United States; Department of Medicine/Hematology, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, United States","Gazitt, Y., University of Texas Health Science Center, San Antonio, TX 78284, United States, Department of Medicine/Hematology, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, United States; Akay, C., University of Texas Health Science Center, San Antonio, TX 78284, United States; Thomas III, C., University of Texas Health Science Center, San Antonio, TX 78284, United States","Dendritic cells (DCs) are the most efficient antigen-presenting cells and play a role in immune reconstitution after autologous transplantation. Recent reports suggest that mobilization with granulocyte colony-stimulating factor (G-CSF) containing regimens polarizes DCs into pDC2, which could potentially result with increased Th2 response and decreased graft-versus-host disease (GVHD) in allogeneic transplantation and with decreased cytotoxic Th1 response and graft versus tumor effect, which in autologous transplantation could translate into increased relapse rate. Previously, we have shown that non-Hodgkin's lymphoma (NHL) patients receiving cyclophosphamide (CTX) plus granulocyte-macrophage (GM)-CSF, G-CSF or GM-CSF followed by G-CSF for stem cell collection, mobilize up to five-fold more mature CD80+ DCs compared to CTX plus G-CSF mobilized patients. Here, we analyzed samples from the same study for the number of pDC1 and pDC2 subsets in blood and apheresis products obtained from these patients. Samples from 29 patients were collected. Patients mobilized with CTX plus G-CSF collected a mean of 1.2 ± 0.4 × 106 pDC1/kg per day and 2.2 ± 1 × 106 pDC2/kg per day, whereas patients mobilized with CTX plus GM-CSF collected a mean of 1.1 ± 0.5 × 106 pDC1 and 1.5 ± 0.9 × 106 pDC2/kg per day. Patients mobilized with CTX plus GM-CSF followed by G-CSF collected 2.5 ± 1.1 × 106 pDC1 and 2 ± 0.5 × 106 pDC2/kg per day, with significantly higher levels of pDC1 ± pDC2 cells. No significant difference was observed in pDC1/pDC2 ratio between the three mobilization arms. Patients mobilized with the GM-CSF-containing regimen had a higher probability for survival compared to patients receiving G-CSF alone (median of 55 months vs. 15 months; p = 0.02). These results support the hypothesis that higher levels of DCs in the graft might be associated with prolonged survival of autotransplanted NHL patients. Further similar studies are merited in a larger population of NHL patients. © Mary Ann Liebert, Inc.",,"B7 antigen; cyclophosphamide; etoposide; granulocyte colony stimulating factor; granulocyte macrophage colony stimulating factor; adult; aged; antigen presenting cell; apheresis; article; autologous peripheral blood stem cell transplantation; autotransplantation; cancer relapse; cancer survival; clinical article; cryopreservation; dendritic cell; female; graft versus host reaction; graft versus leukemia effect; human; male; nonhodgkin lymphoma; priority journal; statistical analysis; stem cell mobilization; Th1 cell; Th2 cell; Adult; Aged; Antigens, CD11c; Antigens, CD34; Blood Component Removal; Bone Marrow; Cyclophosphamide; Dendritic Cells; Female; Granulocyte Colony-Stimulating Factor; Granulocyte-Macrophage Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; HLA-DR Antigens; Humans; Interleukin-3 Receptor alpha Subunit; Leukocytes; Lymphoma, Non-Hodgkin; Male; Middle Aged; Receptors, Interleukin-3; Survival Analysis; Transplantation, Autologous",,"cyclophosphamide, 50-18-0; etoposide, 33419-42-0; Antigens, CD11c; Antigens, CD34; Cyclophosphamide, 50-18-0; Granulocyte Colony-Stimulating Factor, 143011-72-7; Granulocyte-Macrophage Colony-Stimulating Factor, 83869-56-1; HLA-DR Antigens; IL3RA protein, human; Interleukin-3 Receptor alpha Subunit; Receptors, Interleukin-3",,,,,,"Kotasek, D., Shepherd, K.M., Sage, R.E., Factors affecting blood stem cell collection following high dose cyclophosphamide mobilization in lymphoma, myeloma and solid tumors (1992) Bone Marrow Transplantation, 9, pp. 11-17; Haas, R., Mohle, R., Fruhauf, S., Patient characteristic associated with successful mobilization and autografting of peripheral blood progenitor cells in malignant lymphoma (1994) Blood, 83, pp. 3787-3794; Bensinger, W.I., Appelbaum, F., Rowley, S., Factors that influence collection and engraftment of autologous peripheral blood stem cells (1995) J Clin Oncol, 13, pp. 2547-2555; Watts, M.J., Sullivan, A.M., Jamieson, E., Progenitor-cell mobilization after low-dose cyclophosphamide and granulocyte colony-stimulating factor: An analysis of progenitor-cell quantity and quality and factors predicting for these parameters in 101 pretreated patients with malignant lymphoma (1997) J Clin Oncol, 15, pp. 535-546; D'Arena, G., Musto, P., Di Mauro, L., Predictive parameters for mobilized peripheral blood CD34+ progenitor cell collection in patients with hematological malignancies (1998) Am J Hematol, 58, pp. 255-262; Weaver, C.H., Tauer, K., Zhen, B., Second attempt at mobilization of peripheral blood stem cells in patients with initial low CD34+ cell yields (1998) J Hematother, 7, pp. 241-249; Weaver, C.H., Tauer, K., Zhen, B., Second attempt at mobilization of peripheral blood stem cells in patients with initial low CD34+ cell yields (1998) J Hematother, 7, pp. 241-249; Gazitt, Y., Callander, N., Freytes, C.O., Peripheral blood stem cell mobilization with cyclophosphamide in combination with G-CSF, GM-CSF, or sequential GM-CSF followed by G-CSF in non Hodgkin's lymphoma patients: A randomized prospective study (2000) J Hematother Stem Cell Res, 9, pp. 737-748; Gazitt, Y., Freytes, C.O., Callander, N., Successful PBSC mobilization with high dose G-CSF for patients failing a first round of mobilization (1999) J Hematother, 8, pp. 173-183; Gazitt, Y., Immunological profiles of effector cells and CD34+ cells mobilized with different growth factors (2001) Stem Cells, 18, pp. 390-398; Gazitt, Y., Recent developments in the regulation of peripheral blood stem cell mobilization (2001) J Hematother Stem Cell Res, 10, pp. 229-236; Gazitt, Y., Comparison between G-CSF and GM-CSF in the mobilization of peripheral blood stem cells (2002) Curr Opin Hematol, 9, pp. 190-198; Bernhard, H., Disis, M.L., Heimfeld, S., Generation of immunostimulatory dendritic cells from human CD34+ hematopoietic progenitor cells of the bone marrow and peripheral blood (1995) Blood, 87, pp. 1292-1302; Gazitt, Y., Shaughnessy, P., Devore, P., Mobilization of dendritic cells and NK cells in non-Hodgkin's lymphoma patients mobilized with different growth factors (2001) J Hematother Stem Cell Res, 10, pp. 177-186; Lanzavecchia, A., Sallusto, F., The instuctive role of dendritic cells on T cell responses: Lineages, plasticity and kinetics (2001) Curr Opin Immunol, 2, pp. 725-731; Shortman, K., Liu, Y.-J., Mouse and human dendritic cell subtypes (2002) Nature Rev Immunol, 2, pp. 151-161; Takeda, K., Akira, S., TLR signaling pathways (2004) Semin Immunol, 16, pp. 3-9; Avigan, D., Wu, Z., Gong, J., Selective in vivo mobilization with grunulocyte macrophage colony-stimulating factor (GM-CSF)/granulocyte-CSF as compared to G-CSF alone of dendritic cell progenitors from peripheral blood progenitor cells in patients with advanced breast cancer undergoing autologous transplantation (1999) Clin Cancer Res, 5, pp. 2735-2741; Arpinati, M., Green, C.L., Heimfeld, S., Granulocyte-colony stimulating factor mobilizes T helper 2-inducing dendritic cells (2000) Blood, 95, pp. 2484-2490; Hock, B.D., Haring, L.F., Ebbett, A.M., Differential effects of G-CSF mobilisation on dendritic cell subsets in normal allogeneic donors and patients undergoing autologous transplantation (2002) Bone Marrow Transplant, 30, pp. 733-740; Klangsinsirikul, P., Russell, N.H., Peripheral blood stem cell harvests from G-CSF-stimulated donors contain a skewed Th2 CD4 phenotype and a predominance of type 2 dendritic cells (2002) Exp Hematol, 30, pp. 495-501; Shaughnessy, P., Bachier, C.L., Long, L., G-CSF mobilizes more dendritic cells and dendritic cell subsets compared to GM-CSF with no polarization of dendritic cell subsets in normal donors Stem Cells, , in press; Morse, M.A., Vredenburgh, J.J., Lyerly, H.K., A comparative study of the generation of dendritic cells from mobilized peripheral blood progenitor cells of patients undergoing high-dose chemotherapy (1999) J Hematother Stem Cell Res, 8, pp. 577-584; Lonial, S., Hicks, M., Rosenthal, H., A randomized trial comparing the combination of granulocyte-macrophage colony-stimulating factor plus granulocyte colony-stimulating factor versus granulocyte colony-stimulating factor for mobilization of dendritic cell subsets in hematopoietic progenitor cell products (2004) Biol Blood Marrow Transplant, 10, pp. 848-857; Ferrari, S., Rovati, B., Porta, C., Lack of dendritic cell mobilization into the peripheral blood of cancer patients following standard- or high-dose chemotherapy plus granulocyte-colony stimulating factor (2003) Cancer Immunol Immunother, 52, pp. 359-366; Shier, L.R., Schultz, K.R., Imren, S., Differential effects of granulocyte colony-stimulating factor on marrow- and blood-derived hematopoietic and immune cell populations in healthy human donors (2004) Biol Blood Marrow Transplant, 10, pp. 624-634; Tayebi, H., Kuttler, F., Saas, P., Effect of granulocyte colony-stimulating factor mobilization on pheno-typical and functional properties of immune cells (2001) Exp Hematol, 29, pp. 458-470; Sanchez, J., Herrera, C., Torres, A., Roman-Gomez, J., Alvarez, M.A., Chemotherapy plus G-CSF mobilized peripheral blood stem cell harvests from acute myeloid leukaemia patients contain large amounts of polyclonal myeloid lin neg CD11cpos dendritic precursor cells (2004) Br J Haematol, 124, pp. 636-644; Gazitt, Y., Freytes, C.O., Akay, C., Improved mobilization of CD34+ peripheral blood stem cells (PBSC) and dendritic cells (DCs) by AMD3100 in hard to mobilize non-Hodgkin's lymphoma (NHL) patients (patients) mobilized with standard dose of G-CSF (2004) Blood, 104, pp. 781 A; Gazitt, Y., Akay, C., Thomas, C., Mobilization of type 1 and type 2 dendritic cells in non-Hodgkin's lymphoma patients mobilized with G-CSG, GM-CSF and GM-CSF followed by G-CSF (2004) Cancer Res, 95. , abstract #4670","Gazitt, Y.; Department of Medicine/Hematology, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284, United States; email: gazitt@uthscsa.edu",,,,,,,,15473287,,SCDTA,"16646673","English","Stem Cells Dev.",Article,"Final",,Scopus,2-s2.0-33646542654 "Rodrigues H., Brochado A., Troilo M., Mohsin A.","57195957267;32367530800;36452308800;21233970200;","Mirror, mirror on the wall, who's the fairest of them all? A critical content analysis on medical tourism",2017,"Tourism Management Perspectives","24",,,"16","25",,13,"10.1016/j.tmp.2017.07.004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030452731&doi=10.1016%2fj.tmp.2017.07.004&partnerID=40&md5=929ed5a456fa0cb1146c4632c8272190","Instituto Universitário de Lisboa (ISCTE-IUL), Business Research Unit (BRU-IUL), Lisboa, Portugal; The University of Tulsa, United States; The University of Waikato, New Zealand","Rodrigues, H., Instituto Universitário de Lisboa (ISCTE-IUL), Business Research Unit (BRU-IUL), Lisboa, Portugal; Brochado, A., Instituto Universitário de Lisboa (ISCTE-IUL), Business Research Unit (BRU-IUL), Lisboa, Portugal; Troilo, M., The University of Tulsa, United States; Mohsin, A., The University of Waikato, New Zealand","Medical tourism continues to grow as the Internet helps individuals make appropriate choices and informed decisions. This study investigated two areas of medical tourism: cosmetic and dental procedures. The post-procedural experiences of 603 respondents who were medical tourists originating from different countries between 2008 and 2016 were analyzed using Leximancer software. The findings indicate commonalities in the identification of significant attributes of medical services received by respondents and their evaluations of cost, treatment effectiveness, and the time spent collecting healthcare information, as well as the recommendations they plan to make to friends and family. Further analyses showed that people who have undergone cosmetic surgery and dentistry use the same narratives to represent their medical experiences, although gender is an influential factor in how individuals evaluate different attributes of treatments. © 2017 Elsevier Ltd","Content analysis; Cosmetic procedure; Leximancer; Medical tourism; Post-experience",,,,,,,,,"Ackerman, S.L., Plastic paradise: Transforming bodies and selves in Costa Rica cosmetic surgery tourism industry (2016) Medical Anthropology, 29 (4), pp. 403-423; Adams, K., Snyder, J., Crooks, V., Johnston, R., Tourism discourse and medical tourists' motivations to travel (2015) Tourism Review, 70 (2), pp. 1-16; Cosmetic dentistry-state of the industry survey 2015 (2015), http://www.henrykimdds.com/crown_cosmetic_dentist__dr_kim_henry.htm, Retrieved from; American Society of Plastic Surgeons, (2016), https://www.plasticsurgery.org/news/plastic-surgery-statistics, Retrieved from; Arunanondchai, B.J., Fink, C., Trade in health services in the ASEAN region (2005) Health Promotion International, 21, pp. 59-66; Ayeh, J.K., Au, N., Law, R., “Do we believe in TripAdvisor?” Examining credibility perceptions and online travelers' attitude toward using user-generated content (2013) Journal of Travel Research, 52 (4), pp. 437-452; Banyai, M., Travel blogs: A reflection of positioning strategies? (2012) Journal of Hospitality Marketing & Management, 21 (4), pp. 421-439; Bonn, M.A., Furr, H.L., Susskind, A.M., Predicting a behavioral profile for pleasure travelers on the basis of Internet use segmentation (1999) Journal of Travel Research, 37 (4), pp. 333-340; Brady, M.K., Cronin, J.J., Some new thoughts on conceptualizing perceived service quality: A hierarchical approach (2001) Journal of Marketing, 65 (3), pp. 34-49; Bristow, R.S., Yang, W.T., Sea, sun, sand and …. selecting surgery: An exploration of health, medical and wellness tourist's mobility (2015) Human Geographies, 9 (2), pp. 117-129; Burkett, L., Medical tourism. Concerns, benefits, and the American legal perspective (2007) The Journal of Legal Medicine, 28 (2), pp. 223-245; Condrea, G.E., Constandache, M., Stanciu, A.C., Aspects regarding the development of the dental tourism in Romania (2014) SEA–Practical application of science, , http://www.sea.bxb.ro/Article/SEA_3_70.pdf, Retrieved from; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualization, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Cox, C., Burgess, S., Sellitto, C., Buultjens, J., The role of user-generated content in tourists' travel planning behavior (2009) Journal of Hospitality Marketing & Management, 18 (8), pp. 743-764; Crofts, K., Bisman, J., Interrogating accountability: An illustration of the use of Leximancer software for qualitative data analysis (2010) Qualitative Research in Accounting & Management, 7 (2), pp. 180-207; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) Health Services Research, 10, pp. 2-12; Delinsky, S.S., Cosmetic surgery: A common and accepted form of self-improvement? (2005) Journal of Applied Social Psychology, 35 (10), pp. 2012-2018; Deloitte, 2015 global health care outlook: Common goals, competing priorities (2015), https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/gx-lshc-2015-health-care-outlook-global.pdf, Retrieved from; Dunne, A., Citation Dunne, J., Dunne, Z., Hanrahan, J., Visitors' impact on destination image: Using visitor-generated content (VGC) through mobile technologies as a tool for sustainable collaborative communication (2015), http://hdl.handle.net/10759/583578, Retrieved from; Ehrbeck, T., Guevara, C., Mango, P., Mapping the market for medical travel (2008) The McKinsey Quarterly, May, pp. 1-11. , http://www.lindsayresnick.com/Resource_Links/MedicalTravel.pdf, Retrieved from; European Commission, Population ageing in Europe-Facts, implications and policies (2014), Directorare-General for Research and Innovation; Medical tourism (2015), European Hospital and Healthcare Federation Brussels; Freire, N.A., The emergent medical tourism: Advantages and disadvantages of the medical treatments abroad (2012) International Business Research, 5 (2), p. 41; Ganguli, S., Ebrahim, A.H., A qualitative analysis of Singapore's medical tourism competitiveness (2017) Tourism Management Perspectives, 21, pp. 74-84; Gerdtham, U.G., Johannesson, M., The relationship between happiness, health, and socio-economic factors: Results based on Swedish microdata (2001) The Journal of Socio-Economics, 30 (6), pp. 553-557; Gong, J.-H., Xie, L.-S., Peng, J.-M., Guan, X.-H., Customer responses to integrity issues for travel service in China: A content analysis based on online complaints (2015) International Journal of Contemporary Hospitality Management, 27 (2), pp. 199-213; Han, H., The healthcare hotel: Distinctive attributes for international medical travelers (2013) Tourism Management, 36, pp. 257-268; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tourism Management, 46, pp. 20-29; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the NHS? 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Manage. Perspect.",Article,"Final",,Scopus,2-s2.0-85030452731 "Cai S.S., Chopra K., Lifchez S.D.","56312804700;54398411300;8334071400;","Management of mycobacterium abscessus infection after medical tourism in cosmetic surgery and a review of literature",2016,"Annals of Plastic Surgery","77","6",,"678","682",,13,"10.1097/SAP.0000000000000745","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84956963337&doi=10.1097%2fSAP.0000000000000745&partnerID=40&md5=66c0e6cfa09d344230bcce48053eee9c","Division of Plastic Surgery, University of Maryland, School of Medicine, Baltimore, MD, United States; Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224, United States","Cai, S.S., Division of Plastic Surgery, University of Maryland, School of Medicine, Baltimore, MD, United States; Chopra, K., Division of Plastic Surgery, University of Maryland, School of Medicine, Baltimore, MD, United States, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224, United States; Lifchez, S.D., Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224, United States","Introduction: Despite news reports, Food and Drug Administration disclaimers, and warnings from US plastic surgeons against the perils of cosmetic tourism, patients continue to seek care abroad and often present with infectious complications. Recent reports of Mycobacterium abscessus surgical site infection (SSI) is of particularly concern and its management, particularly surgical intervention, has been poorly documented. Methods: A retrospective review of 2 sisters who presented with M. abscessus SSI after cosmetic surgery in the Dominican Republic was performed. A comprehensive review of the literature was conducted to unveil similar cases after cosmetic tourism. Results: Both patients presented four months after index operation after definitive diagnoses have been reached. They were counselled to undergo immediate, aggressive debridement and antibiotic therapy. Although 1 patient agreed, the other patient opted for local wound care and oral antibiotics in hopes to avoid reoperation. When unsuccessful, she agreed to the initial plan which led to rapid convalescence of her infection. However, aesthetic result was far inferior to the first patient. Review of literature revealed 14 women with an average age of 40 years (range, 19-60 years). Most frequent cosmetic operations that resulted in M. abscessus SSI were abdominoplasty (41%), liposuction (27%), breast augmentation (14%), breast reduction (9%), and rejuvenation surgery (9%). Surgical interventionswere performed in all cases except one. Antibiotic therapies focused on macrolides, particularly clarithromycin or azithromycin, with average time to complete recovery of 8 months (range, 2-22 months). Conclusions: The 2 cases highlighted the importance of multidisciplinary approach of early aggressive surgical intervention and long-term intravenous antibiotics in treating M. abscessus SSI that is highly prevalent among those returning from medical tourism in cosmetic surgery. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.","Abdominoplasty; Breast reduction; Infectious disease; Liposuction; Medical tourism; Mycobacterium abscessus; Plastic surgery","adult; case report; Dominican Republic; esthetic surgery; female; human; medical tourism; middle aged; Mycobacterium Infections; Surgical Wound Infection; Adult; Cosmetic Techniques; Dominican Republic; Female; Humans; Medical Tourism; Middle Aged; Mycobacterium Infections; Surgical Wound Infection",,,,,,,,"York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) J Contin Educ Health Prof., 28, pp. 99-102; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas., 73, pp. 300-304; Underwood, H.R., Makadon, H.J., Medical tourism: Game-changing innovation or passing fad? (2010) Healthc Financ Manage., 64, pp. 112-114. , 116, 118; Crooks, V.A., Kingsbury, P., Snyder, J., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res., 10, p. 266; Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the United States (2013) Plast Reconstr Surg Glob Open., 1, p. e63; Nassab, R., Hamnett, N., Nelson, K., Cosmetic tourism: Public opinion and analysis of information and content available on the Internet (2010) Aesthet Surg J., 30, pp. 465-469; Ackerman, S.L., Plastic paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Med Anthropol., 29, pp. 403-423; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism'- an avoidable burden on the NHS (2007) J Plast Reconstr Aesthet Surg., 60, pp. 1075-1077; Iorio, M.L., Verma, K., Ashktorab, S., Medical tourism in plastic surgery: Ethical guidelines and practice standards for perioperative care (2014) Aesthetic Plast Surg., 38, pp. 602-607; Tran, B.A., Kludt, N., Wong, M.S., The cost of medical tourism: Penny-wise and pound-foolish? (2014) Plast Reconstr Surg., 133, pp. 908e-909e; Schnabel, D., Gaines, J., Nguyen, D.B., Notes from the field: Rapidly growing nontuberculous Mycobacterium wound infections among medical tourists undergoing cosmetic surgeries in the Dominican Republic-multiple states, March 2013-February 2014 (2014) MMWR Morb Mortal Wkly Rep., 63, pp. 201-202; Nontuberculousmycobacterial infections after cosmetic surgery-Santo Domingo, Dominican Republic, 2003-2004 (2004) MMWR Morb Mortal Wkly Rep, 53, p. 509; From the Centers for Disease Control and Prevention, Rapidly growing mycobacterial infection following liposuction and liposculpture-Caracas, Venezuela, 1996-1998 (1999) JAMA., 281, pp. 504-505; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis., 57, pp. 1752-1759; Newman, M.I., Camberos, A.E., Ascherman, J., Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter (2005) Ann Plast Surg., 55, pp. 107-110; Furuya, E.Y., Paez, A., Srinivasan, A., Outbreak of Mycobacterium abscessus wound infections among ""lipotourists"" from the United States who underwent abdominoplasty in the Dominican Republic (2008) Clin Infect Dis., 46, pp. 1181-1188; Feldman, E.M., Ellsworth, W., Yuksel, E., Mycobacterium abscessus infection after breast augmentation: A case of contaminated implants? (2009) J Plast Reconstr Aesthet Surg., 62, pp. e330-e332; Zosso, C., Lienhard, R., Siegrist, H.H., Post liposuction infections by rapidly growing mycobacteria (2015) Infect Dis (Lond)., 47, pp. 69-72; Rüegg, E., Cheretakis, A., Modarressi, A., Multisite infection with Mycobacterium abscessus after replacement of breast implants and gluteal lipofilling (2015) Case Rep Infect Dis., 2015, p. 361340; Yau, B., Lang, C., Sawhney, R., Mycobacterium abscessus abscess post-thread facial rejuvenation procedure (2015) Eplasty., 15, p. ic19; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) J Plast Reconstr Aesthet Surg., 61, pp. 1423-1424; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthet Surg J., 31, pp. 694-697; Miyagi, K., Auberson, D., Patel, A.J., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) J Plast Reconstr Aesthet Surg., 65, pp. 22-28; Maurer, F., Castelberg, C., Von, B.A., Postsurgical wound infections due to rapidly growing mycobacteria in Swiss medical tourists following cosmetic surgery in Latin America between 2012 and 2014 (2014) Euro Surveill., 19; Safranek, T.J., Jarvis, W.R., Carson, L.A., Mycobacterium chelonae wound infections after plastic surgery employing contaminated gentian violet skin-marking solution (1987) N Engl JMed., 317, pp. 197-201; De Groote, M.A., Huitt, G., Infections due to rapidly growing mycobacteria (2006) Clin Infect Dis., 42, pp. 1756-1763; Chadha, R., Grover, M., Sharma, A., An outbreak of post-surgical wound infections due to Mycobacterium abscessus (1998) Pediatr Surg Int., 13, pp. 406-410; Kothavade, R.J., Dhurat, R.S., Mishra, S.N., Clinical and laboratory aspects of the diagnosis and management of cutaneous and subcutaneous infections caused by rapidly growingmycobacteria (2013) Eur J Clin Microbiol Infect Dis., 32, pp. 161-188; Pittet, B., Montandon, D., Pittet, D., Infection in breast implants (2005) Lancet Infect Dis., 5, pp. 94-106; Williams, K.J., Ling, C.L., Jenkins, C., A paradigm for the molecular identification of Mycobacterium species in a routine diagnostic laboratory (2007) J Med Microbiol., 56, pp. 598-602; Villanueva, A., Calderon, R.V., Vargas, B.A., Report on an outbreak of postinjection abscesses due to Mycobacterium abscessus, including management with surgery and clarithromycin therapy and comparison of strains by random amplified polymorphic DNA polymerase chain reaction (1997) Clin Infect Dis., 24, pp. 1147-1153; Nessar, R., Cambau, E., Reyrat, J.M., Mycobacteriumabscessus: A newantibiotic nightmare (2012) J Antimicrob Chemother., 67, pp. 810-818","Lifchez, S.D.; Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, United States; email: slifche1@jhmi.edu",,,"Lippincott Williams and Wilkins",,,,,01487043,,APCSD,"26835829","English","Ann. Plast. Surg.",Review,"Final",,Scopus,2-s2.0-84956963337 "Whittaker A., Leng C.H.","7102570392;56419534900;","‘Flexible bio-citizenship’ and international medical travel: Transnational mobilities for care in Asia",2016,"International Sociology","31","3",,"286","304",,13,"10.1177/0268580916629623","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963527459&doi=10.1177%2f0268580916629623&partnerID=40&md5=5a62d8fd201e51bc6cdb9cccee378656","Monash University, Australia; Universiti Sains Malaysia, Penang, Malaysia","Whittaker, A., Monash University, Australia; Leng, C.H., Universiti Sains Malaysia, Penang, Malaysia","International medical travel (IMT) challenges the notion of health care as a responsibility of a nation-state to its citizens, tied to the territory of a nation-state. As patients travel for medical care, they invoke not territorialised notions of citizenship, but make new claims. In this article, the authors propose the term ‘flexible bio-citizenship’ that extends the notion of ‘flexible citizenship’ to describe transnational mobilities for the accumulation of biovalue. They argue that people who travel for medical care come from a variety of backgrounds, identities and circumstances for whom the physical and economic ability to travel and cross borders is a form of flexible social capital enabling them to access levels of care otherwise inaccessible to them. The article explores the implications upon citizenship for a diverse range of people who travel for their health care: from highly mobile cosmopolitan professional expatriate workers, regional border crossers, migrant workers, those who cannot afford care at home, patients whose status makes treatments unavailable, and outsourced patients forced to travel for care. 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In:; Whittaker, A., (2000) Intimate Knowledge: Women and their Health in North-east Thailand, , Sydney: Allen and Unwin; Whittaker, A., Pleasure and pain: Medical tourism in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3 (3), pp. 271-290; Whittaker, A., Global technologies and transnational reproduction in Thailand (2009) Asian Studies Review, 33 (3), pp. 319-332; Whittaker, A., Reproductive opportunists in the new global sex trade: PGD and non-medical sex selection (2011) Reproductive BioMedicine Online, 23 (5), pp. 609-617; Whittaker, A., Cross-border assisted reproductive care: Global quests for a child (2012) Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services, pp. 167-186. , Santa Barbara, CA: Praeger, ,. In: (eds); Whittaker, A., The implications of medical travel upon equity in lower and middle income countries (2015) Handbook on Medical Tourism and Patient Mobility, , London: Edward Elgar,,. In: (eds); Whittaker, A., Outsourced patients and their companions: Stories from forced medical travellers (2015) Global Public Health: An International Journal for Research, Policy and Practice, 10 (4), pp. 485-500; Whittaker, A., Chee, H.L., Perceptions of an ‘international hospital’ in Thailand by medical travel patients: Cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297; Whittaker, A., Chee, H.L., Por, H.H., Regional circuits of international medical travel: Prescriptions of trust, cultural affinity and history (2015) International Medical Travel and the Politics of Transnational Mobility in Asia, , August, Asia Research Institute, National University of Singapore,,. In:,, workshop; Wilson, A., Medical tourism in Thailand (2010) Asian Biotech: Ethics and Communities of Fate, , Durham, NC: Duke University Press,,. In: (eds); Yuval-Davis, N., The ‘multi-layered citizen’ (1999) International Feminist Journal of Politics, 1 (1), pp. 119-136","Whittaker, A.; Anthropology, School of Social Sciences, Monash UniversityAustralia; email: andrea.whittaker@monash.edu",,,"SAGE Publications Ltd",,,,,02685809,,,,"English","Int. Sociol.",Article,"Final",,Scopus,2-s2.0-84963527459 "Loh C.P.A.","26032610200;","Trends and structural shifts in health tourism: Evidence from seasonal time-series data on health-related travel spending by Canada during 1970-2010",2015,"Social Science and Medicine","132",,,"173","180",,13,"10.1016/j.socscimed.2015.03.036","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84925450335&doi=10.1016%2fj.socscimed.2015.03.036&partnerID=40&md5=1f36e71b6b833ce9effb003739a898cb","Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, United States","Loh, C.P.A., Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, United States","There has been a growing interest in better understanding the trends and determinants of health tourism activities. While much of the expanding literature on health tourism offers theoretical or qualitative discussion, empirical evidences has been lacking. This study employs Canada's outbound health tourism activities as an example to examine the trends in health tourism and its association with changing domestic health care market characteristics. A time-series model that accounts for potential structural changes in the trend is employed to analyze the quarterly health-related travel spending series reported in the Balance of Payments Statistics (BOPS) during 1970-2010 (n=156). We identified a structural shift point which marks the start of an accelerated growth of health tourism and a flattened seasonality in such activities. We found that the health tourism activities of Canadian consumers increase when the private investment in medical facilities declines or when the private MPI increases during the years following the structural-change. We discussed the possible linkage of the structural shift to the General Agreement on Trade in Services (GATS), which went into effect in January, 1995. © 2015 Elsevier Ltd.","Canada; GATS; Health service trade; Health tourism; Structural break","General Agreement on Trade in Services; health care; health services; time series analysis; tourism market; travel behavior; Article; Canada; health care facility; health economics; health service; home care; human; investment; medical tourism; seasonal variation; statistical model; time series analysis; travel; trend study; health care cost; medical tourism; national health service; organization and management; season; statistics and numerical data; Canada; guanosine diphosphate; Canada; Guanosine Diphosphate; Health Expenditures; Humans; Investments; Medical Tourism; Private Sector; Public Sector; Seasons; State Medicine",,"guanosine diphosphate, 146-91-8; Guanosine Diphosphate",,,,,,"Achouri, H., Achour, N., Health services in Tunisia in the light of world trade organization agreements (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 207-220. , PAHO, Washington DC, C. 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Econ., 12 (3), pp. 511-534. , http://www.tandf.co.uk/journals/titles/09692290.asp; The General Agreement on Trade in Services (GATS): Objectives (2013) Coverage and Disciplines, , http://www.wto.org/english/tratop_e/serv_e/gatsqa_e.htm#9, Retrieved June 22, 2013, from; Yang, W., Liu, Z., (2012) Health Rourism Can Be a Dose of Good Medicine, , http://europe.chinadaily.com.cn/china, China Daily, Retrieved from","Loh, C.P.A.; Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, United States",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"25818378","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-84925450335 "Whittaker A.","7102570392;","‘Outsourced’ patients and their companions: Stories from forced medical travellers",2015,"Global Public Health","10","4",,"485","500",,13,"10.1080/17441692.2014.998696","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924760246&doi=10.1080%2f17441692.2014.998696&partnerID=40&md5=bbe370926e325935502a37ffc4811923","School of Social Sciences, Monash University, Clayton, VIC, Australia","Whittaker, A., School of Social Sciences, Monash University, Clayton, VIC, Australia","In this paper, I describe the experience of ‘outsourced’ patients who are sent by their governments or insurers through contractual arrangements to a hospital in another country for treatment. I present case studies of nine patients and their accompanying families from the Gulf Cooperation Council (GCC) who were interviewed in a Thai hospital as part of a broader study of medical travel from patients' perspectives. The health systems of the GCC suffer shortages in infrastructure, human resources and management skills, and as a consequence patients with particular needs, especially in neurology, orthopaedics and oncology may be sent overseas for treatment. Patients experience long stays overseas producing a considerable burden to their families supporting them. Such patients complicate notions of medical travel but their status also contrasts markedly from stereotypes held about Gulf patients within Thailand. Despite their appreciation of government sponsoring, for many patients the experience of care in Thailand underscored perceived inadequacies of their home health systems and governments. For some, outsourcing represented a betrayal of the obligations of their states to its citizens. © 2015, © 2015 Taylor & Francis.","Gulf Cooperation Council; medical companions; medical tourism; medical travel; Thailand","adult; aged; Article; Bahrain; cerebrovascular accident; clinical article; emporiatrics; female; health care; health insurance; human; male; medical care; medical tourism; middle aged; neoplasm; Oman; outpatient care; priority journal; public hospital; Qatar; Saudi Arabia; Thailand; United Arab Emirates; caregiver; case report; developing country; economics; ethnology; family; financial management; health care delivery; health care quality; interview; length of stay; medical tourism; Middle East; organization and management; patient satisfaction; psychology; standards; statistics and numerical data; Stroke; travel; trends; Adult; Caregivers; Delivery of Health Care; Developing Countries; Family; Female; Financing, Government; Health Services Accessibility; Humans; Insurance, Health; Interviews as Topic; Length of Stay; Male; Medical Tourism; Middle Aged; Middle East; Outsourced Services; Patient Satisfaction; Quality of Health Care; Stroke; Thailand; Travel",,,,,"Australian Research Council, ARC: FT110100054 Australian Research Council, ARC: DP 1094895","This work was supported by the Australian Government through an Australian Research Council under a Future Fellowship [grant number FT110100054] and an ARC Discovery Project [grant number DP 1094895].",,"Akala, F.A., El-Saharty, S., Public-health challenges in the Middle East and North Africa (2006) The Lancet, 367, pp. 961-964; Al-Hinai, S.S., Al-Busaidi, A.S., Al-Busaidi, I.H., Medical tourism abroad: A new challenge to Oman’s health system-Al Dakhilya region experience (2011) SQU Medical Journal, 11, pp. 477-484; Istithmar, Bumrungrad international sign JV for a new hospital in Dubai (2006), http://www.ameinfo.com/blog/agriculture-&-horticulture/dubai-world/istithmar/istithmar-bumrungrad-international-sign-jv-for-a-new-hospital-in-dubai/, Retrieved from; DUBAI: Dubai’s medical tourism hopes fade (2010) International Medical Travel Journal: News, , http://www.imtj.com/news/?EntryId82=183265, Retrieved from; UAE: Health authority paying for Emiratis to go abroad for treatment (2011) International Medical Travel Journal: News, , http://www.imtj.com/news/?EntryId82=306474, September 9, Retrieved from; ‘MoH not able to send more patients abroad’; plan to hire women in emergency units. 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(2010) Journal of Economic Issues, 44, pp. 53-70; Whittaker, A., Pleasure and pain: Medical tourism in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3, pp. 271-290; Whittaker, A., Global technologies and transnational reproduction in Thailand (2009) Asian Studies Review, 33, pp. 319-332; Whittaker, A., Chee, H.L., Perceptions of an ‘international hospital’ in Thailand by medical travel patients: Cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297; Wibulpolprasert, S., Pachanee, C., Addressing the internal brain drain of medical doctors in Thailand (2008) Global Social Policy, 8 (1), pp. 12-15; Wilson, A., Medical tourism in Thailand (2010) Asian biotech: Ethics and communities of fate, pp. 118-143. , Ong A, Chen N, (eds), Durham, NC: Duke University Press; York, D., Medical tourism: The trend towards outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education for Health Professionals, 28 (2), pp. 99-102","Whittaker, A.; School of Social Sciences, Monash UniversityAustralia",,,"Routledge",,,,,17441692,,,"25646738","English","Global Public Health",Article,"Final",,Scopus,2-s2.0-84924760246 "Main I.","37102117300;","Medical travels of Polish female migrants in Europe",2014,"Sociologicky Casopis","50","6",,"897","918",,13,"10.13060/00380288.2014.50.6.147","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84937927685&doi=10.13060%2f00380288.2014.50.6.147&partnerID=40&md5=fb710a2cbddb331b1b31f5a0c094e952","Institute of Ethnology and Cultural Anthropology, Adam Mickiewicz University, św. Marcin 78, Poznań, 61-809, Poland","Main, I., Institute of Ethnology and Cultural Anthropology, Adam Mickiewicz University, św. Marcin 78, Poznań, 61-809, Poland","The article discusses the medical travel (medical tourism) of Polish women migrants based on a study conducted between 2008 and 2011 on Polish women who migrated to London, Barcelona, and Berlin. The author argues that the principal reasons for medical travel to Poland are the lower costs of private treatment, the relatively easy access to specialised health care, and personal comfort derived from linguistic and cultural competency. The women in the study who travelled to Poland for medical treatment combined the economic resources acquired while living abroad with their knowledge of the cultural and medical system in Poland to choose the best options for them. The treatments they sought included gynaecological, dental, and other specialised treatments, for which they turned to the private health sector in Poland. Some of the women also sought treatment in other countries. The women in the study highlighted the advantages of medical travel and mobility while also reflected on the dilemmas they faced in choosing the best care. The author argues that medical travel poses a challenge to the national borders of health-care systems and the national availability of medical procedures, and found that while such mobility generates inequalities it also leads to greater agency and creativeness on the part of patients when they challenge the given regulations, authority, and expert knowledge in one country. © Sociologický ústav AV ČR, v.v.i., 2014.","Cross-border health care; Health-care systems; Medical travels; Migration; Poland",,,,,,,,,"Ackerman, S., Plastic Paradise: Transforming Bodies and Selves in Costa Rica's Cosmetic Surgery Tourism Industry (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 403-423. , http://dx.doi.org/10.1080/01459740.2010.501316; Aull Davies, C., (1999) Reflexive Ethnography: A Guide to Researching Selves and Others, , London: Routledge; Boulhol, H., Sowa, A., Golinowska, S., Sicari, P., Improving the Health-care System in Poland (2012) OECD Economics Department Working Papers 957, , http://dx.doi.org/10.1787/5k9b7bn5qzvd-en, Paris: OECD Publishing; Burawoy, M., Verdery, K., Introduction (1999) Uncertain Transition: Ethnographies of Change in the Postsocialist World, pp. 1-18. , edited by M. 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(Medical Tourism), , http://izp.cm-uj.krakow.pl/izp_files/20121004_wcisoa_turystykamedycznawpolsc_154708.pdf, Retrieved 20 December 2013; Whittaker, A., Manderson, L., Cartwright, E., Patients without Borders: Understanding Medical Travel (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 336-343. , http://dx.doi.org/10.1080/01459740.2010.501318; Whittaker, A., Speier, A., ""Cycling Overseas"": Care, Commodification and Stratification in Cross-border Reproductive Travel (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 363-383. , http://dx.doi.org/10.1080/01459740.2010.501313; Priests, Journalists, Doctors. Who Do Poles Trust? (2014) Wiadomosci, , http://m.wiadomosci.gazeta.pl/wiadomosci/1,117915,13807182,Ksieza_dziennikarze_policjanci_Komu_ufaja_Polacy_.html?order=najnowsze, Retrieved 2 January 2014","Main, I.; Institute of Ethnology and Cultural Anthropology, Adam Mickiewicz University, św. Marcin 78, Poland",,,"Sociologicky Ustav",,,,,00380288,,,,"English","Sociol. Cas.",Article,"Final",Open Access,Scopus,2-s2.0-84937927685 "Huang L., Xu H.","56202477100;14049304600;","A Cultural Perspective of Health and Wellness Tourism in China",2014,"Journal of China Tourism Research","10","4",,"493","510",,13,"10.1080/19388160.2014.951752","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908176473&doi=10.1080%2f19388160.2014.951752&partnerID=40&md5=9d94dbf28d415e164818f9ebcb490086","School of Tourism Management, Sun Yatsen University and a Lecturer, Nanfang College of Sun Yat-sen University, Guangdong, China; School of Tourism Management, Sun Yat-sen University, Guangdong, China","Huang, L., School of Tourism Management, Sun Yatsen University and a Lecturer, Nanfang College of Sun Yat-sen University, Guangdong, China; Xu, H., School of Tourism Management, Sun Yat-sen University, Guangdong, China","Health and wellness tourism has experienced fast growth during the last two decades. The aging population and severe pollution in China make the wellness industry even more attractive. However, there has been limited academic research in this area. This paper aims to explore the key features of Chinese wellness tourism through a case study in Bama, Guangxi Autonomous Region. The paper argues that the behaviours of Chinese wellness tourists are greatly influenced by the traditional Chinese wellness culture. Being in nature, doing moderate exercise in nature, and appropriate diet are the key activities for the wellness tourists in Bama. While these activities are also practised in daily life back home, the tourists believe that the best results from these practices can be achieved in Bama. The traditional beliefs in health and new scientific discovery about the Bama county as a longevity place have together contributed to the current behaviours of wellness tourists. Practical implications are also suggested. © , Copyright © Taylor & Francis Group, LLC.","Chinese culture; tourist activities; wellness tourism; Yangsheng",,,,,,,,,"Aspell, R., Yang Sheng Fa - The art of health preservation (2012) The Journal of the Association of Traditional Chinese Medicine and Acupuncture UK, 19 (1), pp. 3-7; Bauer, P.F., Personal reflections on participant observation as a methodology in the social sciences (1984) Pastoral Psychology, 32, pp. 140-145; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , Hampshire: Palgrave Macmillan; Buckley, R., Cater, C., Linsheng, Z., Chen, T., Shengtai Luyou: Cross-cultural comparison in ecotourism (2008) Annals of Tourism Research, 35, pp. 945-968; Chan, K., Progress in traditional Chinese medicine (1995) Trends in Pharmacological Sciences, 16 (6), pp. 182-187; Chen, J.S., (2007) Wellness tourism: Measuring consumers’ quality of life, , Paper presented at the The First Hospitality and Leisure: Business Advances and Applied Research Conference, Lausanne, Switzerland; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19, pp. 103-115; Cohen, E., (2008) Medical tourism in Thailand, , http://www.graduate.au.edu/Journal/Journal1/Medical%20Tourism%20Dr%20Cohen.pdf, AU-GSB e-journal, 24–37. 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Res.",Article,"Final",,Scopus,2-s2.0-84908176473 "Loh C.-P.A.","26032610200;","Health tourism on the rise? Evidence from the balance of payments statistics",2014,"European Journal of Health Economics","15","7",,"759","766",,13,"10.1007/s10198-013-0521-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906937813&doi=10.1007%2fs10198-013-0521-0&partnerID=40&md5=ca6ca24e7d8621e3ea04ca8f881bc7cb","Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, United States","Loh, C.-P.A., Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, United States","The study assesses the presence and magnitude of global trends in health tourism using health-related travel (HRT) spending reported in the International Monetary Fund's Balance of Payments Statistics database. Linear regression and quantile regression are applied to estimate secular trends of the import and export of HRT based on a sample of countries from 2003 to 2009. The results show that from 2003 to 2009 the import and export of health tourism rose among countries with a high volume of such activities (accounting for the upper 40 % of the countries), but not among those with a low volume. The uneven growth in health tourism has generated greater contrast between countries with high and low volumes of health tourism activities. However, the growth in the total import of health tourism did not outpace the population growth, implying that in general the population's tendency to engage in health tourism remained static. © 2013 Springer-Verlag.","Health tourism; Quantile regression; Trade in services","article; balance of payment statistics database; developed country; economic development; emporiatrics; health care personnel; health care policy; health care quality; health care system; health insurance; health related travel; health service; health tourism; home care; human; income; lowest income group; medical tourism; population growth; priority journal; statistics; economics; health; international cooperation; medical tourism; population dynamics; statistical model; statistics and numerical data; Global Health; Humans; International Cooperation; Linear Models; Medical Tourism; Models, Statistical; Population Dynamics",,,,,,,,"Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373 (9663), pp. 593-601. , doi:10.1016/S0140-6736(08)61778-X; Erfurt-Cooper, P., Cooper, M., Health and wellness tourism: Spas and hot springs (2009) Aspects of Tourism, 40, pp. 5-8. , Channel View Publications, Bristol; Widiatmoko, D., AGani, A., International relations within indonesia's hospital sector (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 107-117. , Vieira, C. (ed.) PAHO, Washington, DC; León, F., The case of the chilean health system, 1983-2000 (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 155-183. , Vieira, C. (ed.) PAHO, Washington, DC; Achouri, H., Achour, N., Health services in tunisia in the light of World Trade Organization agreements (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 207-220. , Vieira, C. (ed.) PAHO, Washington DC; Bookman, M.Z., Bookman, K.R., Introduction to medical tourism (2007) Medical Tourism in Developing Countries, pp. 1-19. , Palgrave Macmillan, New York; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850. , doi:10.1016/S0140-6736(07)60833-2; Bookman, M.Z., Bookman, K.R., Would you like a safari with your lasik surgery? The supply of medical tourism (2007) Medical Tourism in Developing Countries, pp. 65-94. , Palgrave Macmillan, New York; Kumar, R., Health and medical tourism in india: An overview (2009) Global Trends in Health and Medical Tourism, pp. 228-250. , SBS Publishers and Distributors, India; Reisman, D., Health tourism and public policy (2010) Health Tourism: Social Welfare Through International Trade, pp. 118-147. , Edward Elgar Publishing Limited, Cheltenham, UK; Chanda, R., Trade in health services (2002) Bull. World Health Organ., 80 (2), pp. 158-163; Adlung, R., Trade in Healthcare and Health Insurance Services: WTO/GATS as a Supporting Actor(?) (2010) Intereconomics/Rev. Eur. Econ. Policy, 45 (4), pp. 227-238. , http://www.springerlink.com/content/0020-5346; Woodward, D., The GATS and trade in health services: Implications for health care in developing countries (2005) Review of International Political Economy, 12 (3), pp. 511-534. , http://www.tandf.co.uk/journals/titles/09692290.asp; Hamlin, L., Patients without borders: The rise of surgical tourism (2012) AORN J., 95 (4), pp. 529-534. , doi:10.1016/j.aorn.2012.01.021; Ramachandra, S.S., Dental implant tourism (2011) Aust. Dent. J., 56 (3), p. 344. , author reply 344-345 doi:10.1111/j.1834-7819.2011.01352.x; Schiano, T.D., Rhodes, R., Transplant tourism (2010) Curr. Opin. Organ Transplant., 15 (2), pp. 245-248; Siva, N., Rise in assisted reproduction tourism in Asia threatens local medical services (2011) BMJ, 343, p. 5453. , doi:10.1136/bmj.d5453; Cebula, R.J., Determinants of the inflation rate of the health care CPI in the US (1998) Appl. Econ. Lett., 5 (1), pp. 47-49. , http://www.tandf.co.uk/journals/titles/13504851.asp; Riggs, J.E., Hobbs, J.C., Hobbs, G.R., Riggs, T.H., US National Healthcare Expenditures, 1960-2000: Public and Private Cubic Growth Dynamics (2012) Mod. Econ., 3 (2), pp. 200-204. , http://www.scirp.org/journal/me/; Barua, B., Rovere, M.C., Skinner, B.J., (2010) Waiting Your Turn: Wait Times for Health Care in Canada 2010 Report; Yang, W., Liu, Z., Health tourism can be a dose of good medicine (2012) China Daily; Surowiecki, J., Club Med (2012) The New Yorker; Kurlantzick, J., Sometimes, sightseeing is a look at your X-rays (2007) The New York Times; Quesada, T., Mayo Clinic increasing its international caseload (2006) Jacksonv. Bus. J., , http://www.bizjournals.com/jacksonville/stories/2006/05/08/story3.html? page=all; Karkaria, U., Coming to heal, staying to play (2007) The Florida Times Unions; Eden, C., The rise of medical tourism in Bangkok (2012) BBC; Health-care tourism booming (2012) Good News! from Finland; Healthcare tourism on the rise (2012) The Star; Konrad, W., Going abroad to find affordable health care (2009) The New York Times; Francis, T., Medical tourism is still small (2008) Wall Str. J.; Canadians warming up to idea of 'medical tourism' (2011) CTV News; Medical tourism: Need surgery, will travel (2004) CBC News; Turner, L., Canada's turbulent medical tourism industry (2012) Can. Fam. Physician, 58 (4), pp. 371-373; Larocco, S.A., Pinchera, B.J., The emerging trend of medical tourism (2011) Nurs. Manag., 42 (6), pp. 24-29. , quiz 30; Karuppan, C.M., Karuppan, M., Changing trends in health care tourism (2010) Health Care Manag. (Frederick), 29 (4), pp. 349-358; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; (2005) Balance of Payments Manual, 5th Ed., , International Monetary Fund: International Monetary Fund, Washington, DC; Services (2012) Balance of Payments and International Investment Position Compilation Guide, Sixth Edition, , International Monetary Fund: Chapter 12. Statistics Department (ed.) Draft. International Monetary Fund; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376 (9742), pp. 671-672. , doi:10.1016/S0140-6736(10)61320-7; Adlung, R., Carzaniga, A., Health services under the general agreement on trade in services (2001) Bull. World Health Organ., 79 (4), pp. 352-364; Turner, L.G., The coming backlash against ""medical tourism"" (2010) Plast. Reconstr. Surg., 126 (6), pp. 326e-327e; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) J. Plast. Reconstr. Aesthet. Surg., 65 (1), pp. 22-28; Benavides, D.D., Trade policies and export of health services: A development perspective (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 53-69. , Vieira, C. (ed.) PAHO, Washington DC; http://www.passport2health.co.uk/, Accessed 20 May 2013; Message From Dr. Mary Wong Lai Lin Healthcare Malaysia 2011, 2011; An Update from Dr. Mary Wong Lai Lin Healthcare Malaysia 2012, 2012","Loh, C.-P.A.; Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, United States; email: cloh@unf.edu",,,"Springer Verlag",,,,,16187598,,EJHEA,"23872786","English","Eur. J. Health Econ.",Article,"Final",,Scopus,2-s2.0-84906937813 "Fisher C., Sood K.","7402130974;56323334700;","What Is Driving the Growth in Medical Tourism?",2014,"Health Marketing Quarterly","31","3",,"246","262",,13,"10.1080/07359683.2014.936293","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84905992895&doi=10.1080%2f07359683.2014.936293&partnerID=40&md5=bbdf85f749224c23d6b8d863d605c36e","Department of Business, Missouri University of Science and Technology, Rolla, MO, United States","Fisher, C., Department of Business, Missouri University of Science and Technology, Rolla, MO, United States; Sood, K., Department of Business, Missouri University of Science and Technology, Rolla, MO, United States","The current study directly surveyed consumers on their experiences and consideration of medical tourism to test the variables thought to impact medical tourism. The sample was deployed to qSample's international traveler panel. The survey was completed by 68.5% of participants. Over a third of the respondents said they had considered medical tourism; 15% had actually traveled to another country for medical care. Dental treatment was named most often as the type of treatment pursued in another country. Cost was mentioned most frequently as the reason for medical tourism. Prior international travel emerged as an important factor. © 2014 Copyright Taylor & Francis Group, LLC.","health care availability; health care costs; international travel; medical delays; medical tourism","adolescent; adult; aged; cost control; dental procedure; economics; female; health survey; human; male; medical tourism; middle aged; questionnaire; very elderly; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Cost Savings; Dental Care; Female; Health Surveys; Humans; Male; Medical Tourism; Middle Aged; Questionnaires; Young Adult",,,,,,"This research was supported by Survey Analytics and qSample. Data for this research was collected via Survey Analytics Enterprise Research Platform and the population e-mailing list was provided by qSample at a highly reduced rate.",,"Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; Goldback, A.R., West Jr., D.J., Medical tourism: A new venue of healthcare (2010) Journal of Global Business Issues, 4 (2), pp. 43-53; Horowitz, M.D., Rosensweig, J.A., Medical tourism-Health care in the global economy (2007) The Physician Executive, pp. 24-30. , November/December; Johnston, R., Crooks, V.A., Adams, K., Snyder, J., Kingsbury, P., An industry perspective on Canadian patients' involvement in medical tourism: Implications for public health (2011) BMC Public Health, 11 (416), pp. 1-8; McCallum, B.J., Jacoby, P.F., Medical outsourcing: Reducing clients' health care risks (2007) Journal of Financial Planning, 20 (10), pp. 60-69; Mechinda, P., Serirat, S., Anuwichanont, J., Gulid, N., An examination of tourists' loyalty towards medical tourism in Pattaya, Thailand (2010) The International Business & Economics Research Journal, 9 (1), pp. 55-70; (2014) Patients beyond borders, , http://www.patientsbeyondborders.com/medical-tourism-statistics-facts, Medical tourism statistics & facts, July 10, Retrieved from; Peters, C.R., Sauer, K.M., A survey of medical tourism service providers (2011) Journal of Marketing Development and Competitiveness, 5 (3), pp. 117-126; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Teh, I., Health care tourism in Thailand: Pain ahead (2007) APBN, 11 (8), pp. 493-497; Veerasoontorn, R., Beise-Zee, R., International hospital outshopping: A staged model of push and pull factors (2010) International Journal of Pharmaceutical and Healthcare Marketing, 4 (3), pp. 247-264","Fisher, C.; Department of Communication, Loyola University Maryland, 4501 North Charles Street, Baltimore, MD 21212, United States; email: cfisher@mst.edu",,,"Routledge",,,,,07359683,,HMQUE,"25120045","English","Health Mark. Q.",Article,"Final",,Scopus,2-s2.0-84905992895 "Casey V., Crooks V.A., Snyder J., Turner L.","55486848400;35585107800;24170239100;7202689997;",""" You're dealing with an emotionally charged individual..."" : An industry perspective on the challenges posed by medical tourists' informal caregiver-companions",2013,"Globalization and Health","9","1", 31,"","",,13,"10.1186/1744-8603-9-31","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84880897169&doi=10.1186%2f1744-8603-9-31&partnerID=40&md5=4b566a6f28fe976bed7ead08746a3355","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, Canada; Department of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, Canada; Center for Bioethics, School of Public Health and College of Pharmacy, University of Minnesota, Minneapolis, United States","Casey, V., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, Canada; Snyder, J., Department of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, Canada; Turner, L., Center for Bioethics, School of Public Health and College of Pharmacy, University of Minnesota, Minneapolis, United States","Background: Patients engage in medical tourism when they privately obtain a medical care abroad. Previous research shows that many medical tourists travel abroad with friends and family members who provide support and assistance. Meanwhile, very little is known about this important stakeholder group, referred to here as caregiver-companions. In this article we examine the challenges that can be posed by caregiver-companions and the overall practice of informal caregiving in medical tourism from an industry perspective. Specifically, we report on the findings of interviews conducted with international patient coordinators (IPCs) who work at destination facilities. IPCs come into regular contact with caregiver-companions in their professional positions and thus are ideally suited to comment on trends they have observed among this stakeholder group as well as the challenges they can pose to medical tourists, health workers, and facilities.Methods: We conducted 20 semi-structured interviews with 21 IPCs from 16 different facilities across nine countries. Topics probed in the interviews included caregiver-companion roles, IPCs' and others' interaction with caregiver-companions, and potential health and safety risks posed to medical tourists and caregiver-companions. Thematic analysis of the verbatim transcripts was employed.Results: Although most participants encouraged medical tourists to travel with a caregiver-companion, many challenges associated with caregiver-companions were identified. Three themes best characterize the challenges that emerged: (1) caregiver-companions require time, attention and resources; (2) caregiver-companions can disrupt the provision of quality care; and (3) caregiver-companions can be exposed to risks. IPCs pointed out that caregiver-companions may, for example, have a negative impact on the patient through cost of accompaniment or inadequate care provision. Caregiver-companions may also create unanticipated or extra work for IPCs, as additional clients and by ignoring established organizational rules, routines, and expectations. Furthermore, caregiver-companions may be susceptible to stresses and health and safety risks, which would further deteriorate their own abilities to offer the patient quality care.Conclusions: Although caregiver-companions can pose challenges to medical tourists, health workers, and medical tourism facilities, they can also assist in enhancing best care and offering meaningful support to medical tourists. If caregiver-companions are open to collaboration with IPCs, and particularly in the form of information sharing, then their experience abroad can be safer and less stressful for themselves and, by extension, for the accompanied patients and facility staff. © 2013 Casey et al.; licensee BioMed Central Ltd.","Informal caregiving; International health care; International patient coordinators; Medical tourism; Patient","health care; health risk; health worker; medical geography; public health; stakeholder; tourism; travel behavior; article; caregiver companion; experience; health care industry; health care personnel; health care quality; health hazard; human; information; international patient coordinator; medical tourism; miscellaneous named groups; priority journal; safety; semi structured interview; stress; thematic analysis; travel; caregiver; friend; health care cost; health care personnel; health personnel attitude; human relation; international cooperation; psychological aspect; qualitative research; risk assessment; Attitude of Health Personnel; Caregivers; Friends; Health Care Sector; Health Personnel; Humans; Internationality; Medical Tourism; Professional-Family Relations; Qualitative Research; Quality of Health Care; Risk Assessment",,,,,,,,"Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., Medical tourism: Treatments, markets and health system implications: A scoping review (2011) OECD, , http://www.oecd.org/els/health-systems/48723982.pdf; Ehrbeck, T., Guevara, C., Mango, P.D., Cordina, R., Singhal, S., Health care and the consumer (2008) McKinsey Quart, 4, pp. 80-91; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Aff (Millwood), 25, pp. 358-368; Carrera, P., Bridges, J., Globalization and healthcare: understanding health and medical tourism (2006) Expert Rev Pharmacoecon Outcomes Res, 6, pp. 447-454. , 10.1586/14737167.6.4.447, 20528514; 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(2006) Journal of Tourism Recreation Research, 31 (1), pp. 15-24; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Butterworth Heinemann, Oxford; Smith, M., MacLeod, N., Robertson, M., (2010) Key Concepts in Tourism Studies, , Sage, London; Steiner, C.J., Reisinger, Y., Understanding existential authenticity (2006) Annals of Tourism Research, 33 (2), pp. 299-318; Steiner, C., Reisinger, Y., Ringing the fourfold: a philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 5-14; Sutcliffe, W., (1998) Are You Experienced?, , Penguin, London; Todd, C., Nature, beauty and tourism (2009) Philosophical Issues in Tourism, pp. 154-170. , Tribe, J. (ed.), Channel View, Bristol, UK; Tolle, E., (1999) The Power of Now: a Guide to Spiritual Enlightenment, , New World Library, Novato, California; Turner, V., (1974) Dramas, Fields, and Metaphors: Symbolic Action in Human Society, , Cornell University Press, Ithaca, New York; Turner, V., (1978) Images and Pilgrimages, , Columbia University Press, New York; Wang, N., Rethinking authenticity in tourism experience (1999) Annals of Tourism Research, 26 (2), pp. 349-370","Smith, M.; Department of Tourism, School of Commerce, Catering and Tourism, Budapest Business School, Alkotmany Utca 9-11, H-1054, Budapest, Hungary; email: Melanie.Smith@kvifk.bgf.hu",,,"CABI Publishing",,,,,,9781780642093,,,"English","Transformational Tourism: Tourist Perspect.",Book Chapter,"Final",,Scopus,2-s2.0-84890228236 "Schalber C., Peters M.","55501973700;57190076350;","Determinants of health tourism competitiveness: An Alpine case study",2012,"Tourism","60","3",,"307","323",,13,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84870026531&partnerID=40&md5=95930c52041b7aeda8a8d9f3c2895255","Management Center Innsbruck, Departement of Tourism Business Studies, Innsbruck, Austria","Schalber, C., Management Center Innsbruck, Departement of Tourism Business Studies, Innsbruck, Austria; Peters, M., Management Center Innsbruck, Departement of Tourism Business Studies, Innsbruck, Austria","Health tourism is of growing interest for tourism destinations and serves as a key theme to add value and to differentiate destinations' tourism product and service bundles. In tourism research recent studies underline the importance of various forms of health tourism in the Alps. However, due to the fact that health tourism definitions vary greatly amongst academics one can hardly assess the determinants of competitiveness of health tourism products or destinations. This paper aims to investigate, both, destination management organizations' CEO's and health tourism experts' perceptions of health tourism competitiveness in alpine tourism. Smeral's (1998) adaptation of Porter's model of national competitiveness (Porter, 1990) for serves as a framework for the analysis. The authors conducted a case study of health tourism in alpine countries gathering quantitative and qualitative data. The study was conducted in the German-speaking alpine regions, in Austria, Northern Italy, Germany and Switzerland. The results revealed that factor and demand conditions are the most relevant determinants of health tourism competitiveness and that health tourism is moving towards more specialized but narrow markets such as medical wellness. Furthermore, the results indicated that the main strength of health tourism for the Alps is the wide area of (medical) prevention. Therefore, destinations must focus on the sustainable management of their natural key resources which are needed to create competitive tourism products in the future.","Alpine destination; Alps; Competitiveness of destinations; Health tourism; Medical wellness",,,,,,,,,"(2010) Kriterien Orte und Regionen, , www.alpinewellness.com/mmdb/1/2/34.pdf, Alpine Wellness International Retrieved January 04,2010, from; (2012) Ausbildungskompass, , http://www.ausbildungskompass.at/ausbildungsliste, Arbeitsmarktservice [AMS] Retrieved June 20, 2012, from; Beritelli, P., Cooperation among prominent actors in a tourist destination (2011) Annals of Tourism Research, 38 (2), pp. 607-629; (2010) Partnerbetriebe, , www.besthealthaustria.com/bha/unterkuenfte/?navid=1, Best Health Austria Retrieved January 05, 2010, from; (2010) Mitgliedsbetriebe, , www.wellnesshotel.com, Best Wellness Hotels Austria Retrieved January 04,2010, from; Bieger, T., (2005) Management Von Destinationen, , Oldenburg Verlag, München; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York: Palgrave; Bornhorst, T., Brent Ritchie, J.R., Sheehan, L., Determinants of tourism success for DMOs & destinations: An empirical examination of stakeholders perspectives (2010) Tourism Management, 31 (5), pp. 572-589; Bristow, R.S., Yang, W.-T., Lu, M.-T., Sustainable medical tourism in Costa Rica. 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Sirgy (Hrsg.), Amsterdam et al.: Springer; (2010) Unsere Hotels, , www.w-h-d.de/de/wellnesshotels_deutschland_landkarte, Wellness Hotels Deutschland Retrieved January 05,2010, from; (2010) Welltain - Kriterien, , www.welltain.at/_ihs/dwnlds/Welltain_Broschuere.pdf, Welltain Retrieved January 05, 2010, from; (2010) Wellvital Orte, , www.bayern.by/de/wellnessurlaub-in-bayernwellvital.html, Wellvital Retrieved January 05, 2010, from; Werner, C., (2010) Relax Guide 2010 Deutschland, , www.relax-guide.com/uebersicht.php?country=de, Retrieved January 05, 2010, from; Werner, C., (2012) Relax Guide 2012 Deutschland, , http://www.relax-guide.com/arztim-haus#1, Retrieved May 30, 2012, from; HPR Glossary New Terms, , www.who.int/healthpromotion/about/HPR%20Glossary_New%20Terms.pdf, WHO (oJ.) Retrieved January 05, 2012, from; (2012) Wohlbefinden Schweiz. Rehabilitation, Kuren, Heilbad, , http://www.wohlbefinden.com/de/rehabilitation, Wohlbefinden Schweiz Retrieved 30 May, 2012, from; Yin, R.K., (2009) Case Study Research-Design and Methods, 5. , 4 th Ed..Thousand Oaks- California: Sage Publication; York, D., Medical tourism:The trend toward outsourcing medical procedures to foreign countries (2008) The Journal of Continuing Education in Health Services, 28 (2), pp. 99-102","Schalber, C.; Management Center Innsbruck, Departement of Tourism Business Studies, Innsbruck, Austria; email: christof.schalber@mci.edu",,,,,,,,13327461,,,,"English","Tourism",Review,"Final",,Scopus,2-s2.0-84870026531 "Piazolo M., Zanca N.A.","7801552787;57210760866;","Medical tourism - A case study for the USA and India, Germany and Hungary",2011,"Acta Polytechnica Hungarica","8","1",,"137","160",,13,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955404231&partnerID=40&md5=76f57af7f63b10360de10362da042853","University of Applied Sciences Kaiserslautern, Graduate School of Management, Zweibrücken, Germany; University of the Incarnate Word, H-E-B School of Business, San Antonio, TX, United States","Piazolo, M., University of Applied Sciences Kaiserslautern, Graduate School of Management, Zweibrücken, Germany; Zanca, N.A., University of the Incarnate Word, H-E-B School of Business, San Antonio, TX, United States","The objective of this paper is to demonstrate a simple Ricardian model of international trade for health care industries of different countries. Our motivation is to illustrate that specialization and free trade result in gains from international trade. We will shed some light on the economics of outbound as well as inbound medical tourism. By adopting the model of comparative advantage to the costs of medical surgeries, we will show that trade between our two model countries - India and the USA - is beneficial to both of them. We focused on these two countries due to their prominence in worldwide medical tourism flows, as well as due to their significant difference in per capita income. By specializing on the type of surgery they are most efficient in producing, it will enhance the well being of both nations. Numerical examples and graphical presentations help to support our arguments. Beside the global aspect of medical tourism, we also want to shed some light into regional patient flows with a focus on Germany and Hungary. In addition, we will lift some of the more restrictive assumptions. By including transportation costs as well as a larger variety of surgical services, the central message of the beneficial effect of specialization still remains, even though the general picture becomes slightly blurred. There is evidence for support of a more multi-polar international system of trade in medical services the moment one extends the economic analysis with additional countries.","Comparative advantage; Economic gains from international trade; Regional and global scope of medical tourism; Ricardian trade model",,,,,,,,,"(2007) Report B, , AMA Medical Travel Outside the U.S., American Medical Association, (June); (2009), www.apollogleneagles.in/package, Apollo Gleneagles at Kolkata, (October 16); Bey, T., Risiken und Nebenwirkungen des Medizintourismus (2007) Deutsches Ärzteblatt, 104 (4), pp. 176-178. , (26. Januar); Buchholz, T.G., (1989) New ideas From Dead Economists, , Penguin Group; (2009) Bumrungrad International Bangkok, Thailand, , www.bumrungrad.com/realcost/, (December 16); Caballero-Danell, S., Mugomba, C., Medical Tourism and its Entrepreneurial Opportunities-A Conceptual Framework for Entry into the Industry, , Goteborg University Master Thesis No. 2006:91; (2010) CBO Cost estimate for the amendment in the nature of a substitute for H.R. 4875, incorporating a proposed manager's amendment made public on March 20, 2010, , www.cbo.gov, Washington D.C. (March 20); (2010) CIA World Factbook, Central Intelligence Agency, , www.cia.gov, (September 7); Deardorff, A.V., (2005) How Robust is Comparative Advantage?, , RSIE Discussion Paper # 537, University of Michigan (May 16); (2008) Deloitte Medical Tourism: The Asian Chapter, , Deloitte; (2008) Deloitte 2008 Survey of Health Care Consumers, Executive Summary, Deloitte Center for Health Solutions; DeNavas, C., Proctor, B.D., Smith, J.C., (2009) U.S. Census Bureau Income Poverty and Health Insurance Coverage in the United States: 2008, pp. 60-236. , Current Population Reports, P60-236, Washington D. C; (2008) Economist Heading for the emergency room, Reforming American health care, , www.economist.com/world/unitedstates/, (June 25) (September 7, 2010); (2008) Economist Operation shopping, Medical tourism, , www.economist.com, (December 22) (September 7, 2010); (2009) Economist After the gold rush, Briefing National Health Service, pp. 27-29. , (December 12); Edelheit, J., The Effects of the World Economic Recession on Medical Tourism (2009) Medical Tourism Magazine, , (April 1); Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the Market for Medical Travel, Health Care (2008) The McKinsey Quarterly, , (May); Gerl, R., Boscher, L., Mainil, T., Kunhardt, H., European Competence Centres for Health & Medical Tourism (2009) Medical Tourism Magazine, , (October 1); Herrick, D.M., (2007) Medical Tourism: Global Competition in Health Care, NCPA Policy Report No. 304, , (November) National Center for Policy Analysis; (2010) Hungary in Figures 2009, , www.ksh.hu, Hungarian Central Statistical Office (September 14, 2010); (2010) 4.5.4. Distribution of number and spending of foreign visitors in Hungary by motivation (2004-), , www.ksh.hu, Hungarian Central Statistical Office, (September 14, 2010); (2010) 4.5.4. The main indicators of foreign visitors in Hungary by main motivation of travel, , www.ksh.hu, Hungarian Central Statistical Office, (September 14, 2010); (2010) 4.5.8. The main indicators of Hungarians travelling abroad, by main motivation of travel, , www.ksh.hu, Hungarian Central Statistical Office, (September 14, 2010); Hussain, M., Gori, S., EU residents spent €94.2bn outside the EU for travel purposes in 2007, eurostat Statistics in focus 23/2009; www.indushealth.com, IndUShealth, (September 14, 2010); www.jointcommissioninternational.org/JCI-Accredited-Organizations/, JCI Joint Commission International, (September 15, 2010); Juszczak, J., (2007) Internationale Patienten in deutschen Kliniken: Ansätze zur Vermarktung von Gesundheitsdienstleistungen im Ausland, Schriftenreihe des Fachbereichs Wirtschaftswissenschaften Sankt Augustin, 8. , Fachhochschule Bonn-Rhein-Sieg (Februar); Krugman, P., Wells, R., (2009) Economics, , 2nd edition Worth Publishers; (2010) KSH International tourism demand, quarter 1, 2010, statistical reflections, 4 (12). , www.ksh.hu, (12. July) Hungarian Central Statistical Office; Mankiw, N.G., (2009) Principles of Macroeconomics, , 5th edition South-Western Cengage Learning; Medearis, A., (2010) Coverage vs. cost, The US health care reform in perspective, Current Issues, Deutsche Bank Research, , Frankfurt (May 20); (2008) McKinsey Accounting for the cost of US health care: A new look at why Americans spend more, , McKinsey Global Institute (November); (2010), www.medretreat.com/procedures/pricing.html, MedRetreat, (September 14); Piazolo, M., Zanca, N.A., The Economics of Medical Tourism, A Case Study for the USA and India (2010) Proceedings of MEB 2010, 8th International Conference on Management, Enterprise and Benchmarking, pp. 123-141. , Budapest (June 4-5); (2009), www.planethospital.com, Planet Hospital, (October 18); Quesada, J., Medical Tourism-An Economic Boost to the United States (2009) Medical Tourism Magazine, , (online August 4); Ricardo, D., (1817) On the Principles of Political Economy and Taxation, , London: John Murray; Senate The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs? (2006) Hearing before the Special Committee on Aging United States Senate, Serial No. 109-26, , (June 27); (2009) Statistisches Bundesamt Kostenstruktur bei Arzt-und Zahnarztpraxen 2007, , Unternehmen und Arbeitsstätten, Fachserie 4, Reihe 1.6.1., Wiesbaden; Turner, L., Cross-border dental care: 'dental tourism' and patient mobility (2008) British Dental Journal, 204 (10), pp. 553-554. , (May 24); (2010) UNWTO World Tourism Barometer, , World Tourism Organization (August); Unti, J.A., Medical and surgical tourism: The new world of health care globalization and what it means for the practicing surgeon (2009) Bulletin of the American College of Surgeons, 94 (4), pp. 18-25. , (April); Vequist, D., Valdez, E., Economic Report: Inbound Medical Tourism in the United States (2009) Medical Tourism Magazine, , (online August 4)","Piazolo, M.; University of Applied Sciences Kaiserslautern, Graduate School of Management, Zweibrücken, Germany; email: marc.piazolo@fh-kl.de",,,,,,,,17858860,,,,"English","Acta Polytech. Hung.",Article,"Final",,Scopus,2-s2.0-79955404231 "Gan L.L., Frederick J.R.","16480026900;39761481600;","Medical tourism in Singapore: A structure-conduct-performance analysis",2011,"Journal of Asia-Pacific Business","12","2",,"141","170",,13,"10.1080/10599231.2011.558440","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79957528219&doi=10.1080%2f10599231.2011.558440&partnerID=40&md5=d0b2fadfc7eeff473c78642d1fd32d3e","University of North Carolina, Pembroke, NC, United States","Gan, L.L., University of North Carolina, Pembroke, NC, United States; Frederick, J.R., University of North Carolina, Pembroke, NC, United States","This study presents a structure-conduct-performance analysis of the 17 Singaporean hospitals that are engaged in the medical tourism industry. Using data from hospital Websites, Singapore's Ministry of Health and the Singapore Department of Statistics, it argues that barriers to entry give it the structure of an oligopolistic industry. However, because the industry is dominated by two publicly controlled hospital groups, the conduct and performance of the industry differ from those of the classical oligopoly model. The presence of two types of consumers, Western and Southeast Asian, also distinguishes this industry from the classical model. In the end, Singapore's medical tourism hospitals appear to perform well in serving their international and domestic clients. © Taylor & Francis Group, LLC.","Hospital; Medical tourism; Singapore; Structure-conductperformance","globalization; health services; hospital sector; industrial performance; industrial structure; medicine; oligopoly; tourism; Singapore [Southeast Asia]",,,,,,,,"(2008) Services, , http://www.alexhosp.com.sg/indexphp/services, Alexandra Hospital, Retrieved from; (2008) Medical care outside the United States, , http://www.ama-assn.org/ama1/pub/upload/mm/372/a-08cms1pdf, American Medical Association, Retrieved from; (2008) Annual report 2007, , http://www.assisihospice.org.sg/indexcfm?GPID=61, Assisi Hospice, Retrieved from; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159; Brady, C., Offshore gambling: Medical outsourcing versus ERISA'S fiduciary duty requirement (2007) Washington Lee Law Review, 64 (3), pp. 1073-1114; Bramstedt, K.A., Supporting organ transplantation in non-resident aliens within limits (2007) American Journal of Transplantation, 7 (7), pp. 1698-1701; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) The Journal of Legal Medicine, 28 (2), pp. 223-245; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27, pp. 1093-1100; (2009) Medical tourism: Updates and implications, , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_chs_MedicalTourism_111209_webpdf, Deloitte, Retrieved from; Demicco, F.J., Cetron, M., Club medic (2006) Asia Pacific Biotech News, 10 (10), pp. 527-531; (2008) Yearbook of statistics, , http://www.singstat.gov.sg/pubn/reference/yos/yos2008pdf, Department of Statistics, Singapore, Retrieved from; (2009) Economic survey series 2009: Health services, , http://www.singstat.gov.sg/pubn/business/esshealth2009pdf, Department of Statistics, Singapore, Retrieved from; (2009) Monthly digest of statistics, March 2009, , http://mms.elibraryhub.com/SHC/Govt/MTI/SingStat/MDS-2009-03pdf, Department of Statistics, Singapore, Retrieved from; (2010) Yearbook of statistics, , http://www.singstat.gov.sg/stats/themes/economy/scs.html, Department of Statistics, Singapore, [Table 7.3]. 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Chapel Hill, NC: Healthy Travel Media; Yap, J.C.H., Medical tourism and Singapore. International hospital perspectives: Singapore (2005) International Hospital Federation Reference Book 2006/2007, p. 25. , http://www.scribd.com/doc/6015372/Medical-Tourismand-Singapore, Retrieved from; Yip, A.S., (2009) Singapore medical travel, , http://singaporesights.com/sight/singapore-medical-travel, Retrieved from; Yong, L.H., (2007) Heart surgeries at Singapore public hospitals, 2001-2005, , http://www.moh.gov.sg/mohcorp/uploadedFiles/Publications/Information_Papers/2007/MOH%20Info%20Paper_Cardiac%20Surgeries.pdf, (Ministry of Health Occasional Paper: 2007 number 24). Retrieved from, (accessed 1 June 2009); Young, E., Have treatment will travel (2007) The Straits Times, , August 8","Gan, L. L.; Department of Economics, Finance, Decision Sciences, School of Business, University of North Carolina, P.O. Box 1510, Pembroke, NC, United States; email: lydia.gan@uncp.edu",,,,,,,,10599231,,,,"English","J. Asia-Pacific Bus.",Article,"Final",,Scopus,2-s2.0-79957528219 "Smith M., PuczkÓ L.","55495915200;6507221735;","Taking your life into your own hands? New trends in european health tourism",2010,"Tourism Recreation Research","35","2",,"161","172",,13,"10.1080/02508281.2010.11081631","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979903123&doi=10.1080%2f02508281.2010.11081631&partnerID=40&md5=2acac096c4edc6e4476bc03b6df1da0c","Corvinus University of Budapest, Faculty of Public Administration, Department for Public Management and Urban Studies Tourism Competence Centre, Fõvám Tér 8, Budapest, 1093, Hungary; CMC, Xellum Ltd., Október 6. U. 14, Budapest, 1051, Hungary","Smith, M., Corvinus University of Budapest, Faculty of Public Administration, Department for Public Management and Urban Studies Tourism Competence Centre, Fõvám Tér 8, Budapest, 1093, Hungary; PuczkÓ, L., CMC, Xellum Ltd., Október 6. U. 14, Budapest, 1051, Hungary","This paper will focus on European trends in health tourism, in particular the shift away from medically-orientated, curative treatments for the physical body, towards a greater degree of self-responsibility through lifestyle-based, preventative wellness activities. Many spas and wellness hotels have been quick to embrace these new trends, and consumers appear to have been receptive. However, there are clearly national and regional variations. The research will start with a discussion of geographical and cultural differences between Northern, Western, Southern, and Central and Eastern European (CEE) regions and countries. Case studies of two European countries in Western Europe and CEE-the UK and Hungary-will be used to exemplify different attitudes to health tourism. The UK is mainly focused on holistic body-mind-spirit products and services in addition to beauty-based luxury spas, whereas Hungary has traditionally focused on medical baths which cure and rehabilitate physical illnesses. This will be followed by an overview of one of the key markets for health tourism in Southern Europe, the traditional thermal or medical spa market. Data collected from a pilot survey of around 500 health tourists in Portugal and Italy will be used to identify profiles, motivations and activities of visitors. Although the primary data in this paper is based on a limited number of countries in Western, and Southern Europe and CEE, secondary data derived from extensive desk-top research is used to profile others. © 2010 Tourism Recreation Research.","Europe; Health tourism; Holistic; Spas; Wellness",,,,,,,,,"Ali-Knight, J., Yoga Tourism (2009) Wellness and Tourism: Mind, Body, Spirit, Place, , Bushell, R. and Sheldon, P. J. (Eds), New York. Cognizant; Bacon, W., Economic Systems and their Impact on Tourist Resort Development: The Case of the Spa in Europe (1998) Tourism Economics, 4 (1), pp. 21-32; Bodeker, G., Burford, G., Traditional Knowledge and Spas (2008) Understanding the Global SPA Industry: Spa Management, pp. 414-431. , Cohen, M. and Bodeker, G, Oxford. Butterworth Heinemann; Bushell, R., Sheldon, P.J., (2009) Wellness and Tourism: Mind, Body, Spirit, Place, , New York. Cognizant; Cohen, M., Bodeker, G., (2008) Understanding the Global Spa Industry: Spa Management, , Oxford. Butterworth Heinemann; Demos, H., (2007) Hungary’s Strategic Audit 2007, , Budapest. Demos Hungary; (2000) Complementary Medicine: Information Pack for Primary Care Groups, , http:/jwww.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4006869, on 10 December 2009; Devereux, C., Carnegie, E., Pilgrimage: Journeying Beyond Self (2006) Tourism Recreation Research, 31 (1), pp. 47-56; Ellis, S., Trends in the Global Spa Industry (2008) Understanding the Global Spa Industry: Spa Management, pp. 66-84. , Cohen, M. and Bodeker, G. (Eds), Oxford. Butterworth Heinemann; Élõ, D., (2007) Wellness Awareness in Hungary: Is There a Role for Domestic Tourism?, , Unpublished thesis. Budapest Business School. Budapest. Hungary; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Bristol. Channel View; (2007), http:/jespa-ehv.com, European Spa Association, on 30 March 2008; (2009) Health and Wellness: A European Consumer Obsession?, , http:/jwww.marketresearchworld.net/index.php?option=com_contentandtask=viewandid=2201andItemid=77, EUROMONITOR, on 8 August 2009; Ferrari, S., The Luigine Thermal Baths: A Tool for the Deseasonalization of the Tourist Demand in Calabria (Italy) (2009) Health and Wellness Tourism, pp. 307-312. , Smith, M. K. and Puczkó, L. (Eds), Oxford. Butterworth Heinemann; Fox, P., (2009), http:/jwww.corestrengthyoga.co.uk/PDF%20files/Microsoft%20Word%20, Yoga is Big Business, on 10 August 2009; Gerritsma, R., The Growing Yoga community in the Netherlands: How Yoga is Becoming a Lifestyle Product Including Tourism Activities (2009) Health and Wellness Tourism, pp. 361-366. , Smith, M.K. and Puczkó, L. (Eds), Oxford. Butterworth Heinemann; Gustavo, N., Sao Pedro do Sul Thermal Centre: Between Health and Wellness Tourism (2009) Health and Wellness Tourism, pp. 319-324. , Smith, M.K. and Puczk, ó, L. (Eds), Oxford. Butterworth Heinemann; Halassy, E., The Attitude of the Hungarian Population of Water-, Wellness and Medical Tourism (2007) Turizmus Bulletin, 11 (4), pp. 2-12; (2007) Healthly Lifestyles: Knowledge, Attitudes and Behaviour, , http:/jwww.ic.nhs.uk/pubs/hse07healthylifestyles, HEALTH SURVEY FOR ENGLAND, on 10 August 2009; Heller, D., (2005) Selfness Statt Wellness, , http://www.spa-concept.de/Cover-3.3597.0.htrnl, on 15 February 2008; Hermann, I., Daniel, A., Zsubori, E., Magyarorszag Szamokban (2007) Figyelõ, pp. 24-47. , (15-21 February); (2002) The Marketing Concept of Health Tourism, , Budapest. HNTO; (2009) Health Tourism Resources in Hungary, , http:/jwww.hungary.com, on 5 December 2009; Hvg, M., (2007) A Többség Fittyet Hany a Wellness-Oriiletre, , http://hvg.hu/egeszseg.taplalkozas/20070110_bio_elelmiszer.aspx, 1 February., on 11 April 2007; Joukes, V., Vidago and Pedras Salgadas Spas: The Revival of a Tourism Attraction or a Marketing Technique for Beverages? (2009) Health and Wellness Tourism, pp. 301-305. , Smith, M.K. and Puczk, ó, L. (Eds), Oxford. Butterworth Heinemann; Kelly, C., Smith, M.K., Holistic Tourism: Integrating Body, Mind, Spirit (2009) Wellness and Tourism: Mind, Body, Spirit, Place, , Bushell, R. and Sheldon, P. J. (Eds), New York. Cognizant; (2006), http:/facademic.mintel.com/sinatra/oxygen/display/id=173716, MINTEL, Attitudes Towards Healthy Eating, -UK-May 2006, on 15 August 2009; Myers, J.E., Sweeney, T.J., Witmer, M., (2000) A Holistic Model of Wellness, , http://www.mindgarden.com/products/wells.htm, on 20 September 2005; (2009), http:/jwww.nhscareers.nhs.uk/details/Default.aspx?Id=910, Complementary and Alternative Medicine (CAM), on 6 August 2009; (2007) Northern Ireland Leads Way in UK on Complementary and Alternative Therapies, , http:/jwww.nio.gov.uk/media-detail.htm?newsiD=14067, on 9 August 2009; Pechlaner, H., Fischer, E., Alpine Wellness-A Resource-based View (2006) Tourism Recreation Research, 31 (1), pp. 15-24; Pernecky, T., Johnston, C., Voyage through Numinous Space: Applying the Specialization Concept to New Age Tourism (2006) Tourism Recreation Research, 31 (1), pp. 37-46; Pollard, K., (2007) Medical Tourism: The UK Market for Health Tourism, , Paper Presented at the World Health Tourism Congress, Cyprus, March 2007; Puczkó, L., Bachvarov, M., Spa, Bath, Thermae: What’s Behind the Labels? (2006) Tourism Recreation Research, 31 (1), pp. 83-91; Remedios, P., Built Environment-spa Design (2008) Understanding the Global Spa Industry: Spa Management, pp. 281-296. , Cohen, M. and Bodeker, G, Oxford. Butterworth Heinemann; Richards, G., (2006) TRAM Global Medical Tourism Report, , Tilburg. ATLAS; Smith, M.K., Kelly, C., Journeys of the Self: The Rise of Holistic Tourism (2006) Tourism Recreation Research, 31 (1), pp. 15-24; Smith, M.K., Puczkó, L., (2009) Health and Wellness Tourism, , Oxford. Butterworth Heinemann; Steiner, C.J., Reisinger, Y., Ringing the Fourfold: A Philosophical Framework for Thinking about Wellness Tourism (2006) Tourism Recreation Research, 31 (1), pp. 5-14; Tabacchi, M., American and European Spas (2008) Understanding the Global Spa Industry: Spa Management, pp. 26-40. , Cohen, M. and Bodeker, G. (Eds), Oxford. Butterworth Heinemann; Tuohino, A., (2008) Nordic Well-Being-A Health Tourism Approach to Enhance Competitiveness of Nordic Tourism Enterprises and Destinations, , http:/fmot.joensuu.fi/sivut/in-english/research/nordic-well-being.php, on 15 July 2009; Tuohino, A., Kangas, H., Hotel Herttua-Spa and Rehabilitation Centre in Eastern Finland (2009) Health and Wellness Tourism, pp. 312-318. , Smith, M.K. and Puczk, ó, L. (Eds), Oxford. Butterworth Heinemann",,,,"Taylor and Francis Ltd.",,,,,02508281,,,,"English","Tour. Recreat. Res.",Article,"Final",,Scopus,2-s2.0-84979903123 "Didascalou E., Lagos D., Nastos P.","36801154600;25925922000;6506393061;","Wellness tourism: Evaluating destination attributes for tourism planning in a competitive segment market",2009,"Tourismos","4","4",,"113","125",,13,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-78651477436&partnerID=40&md5=7f6bf31f6208a3c0608fde7812879aa3","University of Piraeus, Department of Business Administration, Piraeus, Greece; University of the Aegean, Department of Business Administration, Chios, Greece; University of Athens, Laboratory of Climatology and Atmospheric Environment, Athens, Greece","Didascalou, E., University of Piraeus, Department of Business Administration, Piraeus, Greece; Lagos, D., University of the Aegean, Department of Business Administration, Chios, Greece; Nastos, P., University of Athens, Laboratory of Climatology and Atmospheric Environment, Athens, Greece","The purpose of the present study is to identify the various factors that decision makers must take into account when ranking destinations for placing a spa resort/hotel in the thriving health and wellness industry. The study will suggest a decision support system (DSS) based on key factors as climate, tourism development and attractions. The DSS, using a computer based information system, will evaluate the aforementioned factors and will propose a hierarchical structure for rating destinations, useful for private or public planners in the wellness market. The research categorized the prefectures of Ahaia, Arkadia, Ilia, Korinthia, Messinia in the region of Peloponnese. © University of the Aegean.","Analytical hierarchy process; Climate; Spa/health/wellness tourism",,,,,,,,,"Amelung, B., Nicholls, S., Viner, D., Implications of Global Climate Change for Tourism Flows and Seasonality (2007) Journal of Travel Research, 45 (3), pp. 285-296; Cheng-Fei, L., Brian, E.K., Using the Delphi Method to assess the potential of Taiwan's hot springs tourism Sector (2008) International Journal of Tourism Research, 10 (4), pp. 341-352; Didaskalou, E.A., Nastos, P.T., Matzarakis, A., Spa destination development using a decision support system-the role of climate and bioclimate (2007) Developments in Tourism Climatology, , A. Matzarakis, C.R. de Freitas and D. Scott (Eds.), Freiburg: Commision on Climate, Tourism and Recreation, International Society of Biometeorology; Didaskalou, E.A., Nastos, P., The role of climatic and bioclimatic conditions in the development of health tourism product (2003) Anatolia, 14 (2), pp. 107-126; Holloway, J.C., (2006) The Business of Tourism, , England, Pearson Education Limited; García-Altés, A., The Development of Health Tourism Services (2005) Annals of Tourism Research, 32 (1), pp. 266-268; Goodrich, N., Goodrich, E., Health-care Tourism- an explanatory study (1987) Tourism Management, 8 (3), pp. 217-222; Kaspar, C., A new lease of life for spa and health tourism (1990) Annals of Tourism Research, 17 (2), pp. 298-299; Lund, J.W., ""Taking the waters"": Introduction to balneology (2000) Geo-Heat Center, Quarterly Bulletin, 21 (3), pp. 2-5; McNeil, K.R., Ragins, E.J., Staying in the spa marketing game: Trends, challenges, strategies and techniques (2005) Journal of Vacation Marketing, 11 (1), pp. 31-39; Monteson, P.A., Singer, J., Turn your spa into a winner (1992) Cornell Hotel and Restaurant Administration Quarterly, 33 (3), pp. 37-44; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Turban, E., Aronson, J.E., Liang, T.P., (2005) Decision Support Systems and Intelligent Systems, , New Jersey, Pearson Education; Piccoli, G., Wagner, E.L., The Value of Academic Research (2003) Cornell Hotel and Restaurant Administration Quarterly, 44 (2), pp. 29-38; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Wöber, K., Gretzel, U., Tourism Managers' Adoption of Marketing Decision Support Systems (2000) Journal of Travel Research, 39 (2), pp. 172-181","Lagos, D.; University of the Aegean, Department of Business Administration, Chios, Greece; email: d.lagos@aegean.gr",,,,,,,,17908418,,,,"English","Tourismos",Article,"Final",,Scopus,2-s2.0-78651477436 "Thompson C.","15128157600;","Medical tourism, stem cells, genomics: EASTS, transnational STS, and the contemporary life sciences",2008,"East Asian Science, Technology and Society","2","3",,"433","438",,13,"10.1007/s12280-008-9056-3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-71449117713&doi=10.1007%2fs12280-008-9056-3&partnerID=40&md5=3f7d3205987eeff59b01d594b1f25c79","UC Berkeley, Berkeley, CA, United States","Thompson, C., UC Berkeley, Berkeley, CA, United States",[No abstract available],,,,,,,,,,,"Thompson, C.; UC Berkeley, Berkeley, CA, United States; email: charis@berkeley.edu",,,"Springer Netherlands",,,,,18752160,,,,"English","East Asian Sci. Technol. Soc.",Article,"Final",Open Access,Scopus,2-s2.0-71449117713 "Hermesse J., Lewalle H., Palm W.","6507228048;7801448508;36975926200;","Patient mobility within the European Union: An introduction",1997,"European Journal of Public Health","7","3 SUPPL.",,"4","10",,13,"10.1093/eurpub/7.suppl_3.4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030870096&doi=10.1093%2feurpub%2f7.suppl_3.4&partnerID=40&md5=4cbe76afdaa8616c345b7dd830f9fed8","Alliance Natl. Mutualites C., Bruxelles, Belgium; Alliance Natl. Mutualites C., Rue de la Loi 121, 1040 Bruxelles, Belgium","Hermesse, J., Alliance Natl. Mutualites C., Bruxelles, Belgium; Lewalle, H., Alliance Natl. Mutualites C., Bruxelles, Belgium; Palm, W., Alliance Natl. Mutualites C., Bruxelles, Belgium, Alliance Natl. Mutualites C., Rue de la Loi 121, 1040 Bruxelles, Belgium","The European integration process and the application of the principle of free movement to new areas of social economic life are raising new questions. One of these questions is the potential mobility of patients within the European Union (EU). Under a commission from the Directorate General V of the European Commission, the authors conducted a study of this topic in 1991. The normative framework used in this study is again used here to analyse in depth the types of cross-border care available under social protection. In this paper the main results of this study are summarized and, where possible, updated. In the first part of the paper the historical development of the European cross-border care regulatory system is charted. A second part deals with the macro-analysis of patient flows. In the final part of the paper, some conclusions are drawn as to the desirable development of the EU policy with respect to cross-border care (de)regulation.","Cross-border care; Free movement of patients within the EU","article; Europe; health care cost; history; international cooperation; migration; patient transport; priority journal; social security; socioeconomics",,,,,,,,"(1996) OECD Health Data 96, a Software for the Comparative Analysis of 27 Health Systems, , Paris: OECD/CREDES; (1997) Official J Eur Communities, , Council Regulation (EC) No 118/97 of 2 December 1996 modifying Council Regulation (EEC) No 1408/71 of 14 June 1971 on the application of social security schemes to employed persons, to self-employed persons and to members of their family moving within the Community, and Council Regulation (EEC) No 574/72 of 21 March 1972 laying down the procedure for implementing Regulation (EEC) 1408/71. No L.28, 30 Jan; (1991) Cross-border Health Care Within the European Community, , Brussels: Commission of the European Communities, Directorate General V; Watson, Ph., Free movement of workers and social security: Minimum income benefits: social security and social assistance? (1985) Eur Law Rev, p. 335; Wyatt, D., Dashwood, A., (1987) The Substantive Law of the EEC, p. 549. , London: Sweet & Maxwell; Official J Eur Communities, L149-71. , EEC Regulation No 1408/71; Official J Eur Communities, L74-72. , EEC Regulation No 574/72; Official J Eur Communities, L143-81. , EEC Regulation No 1390/81; Cornelissen, R., The principle of territoriality and the Community Regulations on Social Security (regulations 1408/71 and 574/72) (1996) Common Market Law Rev, 3, p. 464; Calnan, M., Palm, W., Sohy, F., Quaghebeur, D., Cross-border use of health care: A survey of frontier workers' knowledge, attitudes and use (1997) Eur J Public Hlth, 7 (3 SUPPL.), pp. 26-32; Creutz, H., European agreement concerning the granting of concessions to medical care to individuals on temporary stays (1985) Revue Int Sécurité Sociale, 1, pp. 42-49; European Commission Directorate General V. European social policy. White Book, COM (94) 333 of 27 July 1994, IV, B, 11. Brussels: European Commission, 1994; Leidl, R., Impact of EC integration (1994) Probleme der Transformation Im Gesundheitswesen (Issues in the Transformation of Health Care Systems), pp. 209-236. , Oberender P, editor. Baden-Baden: Nomos; Starmans, B., Leidl, R., Rhodes, G., A comparative study on cross-border care in the Euregio Meuse-Rhine (1997) Eur J Public Hlth, 7 (3 SUPPL.), pp. 33-41; France, G., Cross-border flows of Italian patients within the European Union: An international trade approach (1997) Eur J Public Hlth, 7 (3 SUPPL.), pp. 18-25; European Commission Directorate General V. European social policy. White Book, COM (94) 333 of 27 July 1994, IV, B, 12; Rhodes, G., Wiley, M., Thomas, R., Casas, M., Leidl, R., Comparing EU hospital efficiency using diagnosis-related groups (1997) Eur J Public Hlth, 7 (3 SUPPL.), pp. 42-50; Request of the Conseil Arbitral des Assurances Sociales of 5 April 1995 for a prejudicial decision in the case N Decker vs. Caisse de Maladie des Employés Privés (1995) Official J Eur Communities, C137 (14). , 3 June","Palm, W.; ANMC, Rue de la Loi 121, 1040 Bruxelles, Belgium",,,"Oxford University Press",,,,,11011262,,EJPHF,,"English","EUR. J. PUBLIC HEALTH",Article,"Final",Open Access,Scopus,2-s2.0-0030870096 "Kaspar C.","24369563900;","A new lease on life for spa and health tourism",1990,"Annals of Tourism Research","17","2",,"298","299",,13,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-44049085510&partnerID=40&md5=090ef0ee8c496a23ef5020858356eeec","University of St. Gallen, Switzerland","Kaspar, C., University of St. Gallen, Switzerland",[No abstract available],,,,,,,,,,,"Kaspar, C.; University of St. GallenSwitzerland",,,,,,,,01607383,,,,"English","Ann. Tour. Res.",Conference Paper,"Final",,Scopus,2-s2.0-44049085510 "Suess C., Baloglu S., Busser J.A.","57188630671;55902392600;6603362335;","Perceived impacts of medical tourism development on community wellbeing",2018,"Tourism Management","69",,,"232","245",,12,"10.1016/j.tourman.2018.06.006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048877540&doi=10.1016%2fj.tourman.2018.06.006&partnerID=40&md5=0eea99678d0af8aff63f00629e4ce077","Department of Recreation, Parks, and Tourism Sciences, Texas A&M University, 600 John Kimbourough Blvd, College Station, TX 77801, United States; William F. Harrah College of Hotel Administration, University of Nevada, Las Vegas 4505 S. Maryland Pkwy, Las Vegas, NV 89154, United States","Suess, C., Department of Recreation, Parks, and Tourism Sciences, Texas A&M University, 600 John Kimbourough Blvd, College Station, TX 77801, United States; Baloglu, S., William F. Harrah College of Hotel Administration, University of Nevada, Las Vegas 4505 S. Maryland Pkwy, Las Vegas, NV 89154, United States; Busser, J.A., William F. Harrah College of Hotel Administration, University of Nevada, Las Vegas 4505 S. Maryland Pkwy, Las Vegas, NV 89154, United States","Community leaders and tourism authorities in Las Vegas have suggested the promotion and development of medical tourism to improve the economy and quality of life for residents. The present study uses social exchange theory with spillover theory as the conceptual framework to examine factors of economic performance of medical tourism, overall community satisfaction, health care satisfaction and attitudes toward medical tourism; these factors influence on residents’ perceptions of medical tourism's impact on community wellbeing, which in turn affects willingness to pay higher taxes and support for medical tourism development. The findings revealed that the greater the economic performance of medical tourism, the more positive the impact of medical tourism to community wellbeing was perceived. Similarly, attitudes toward medical tourism and overall community satisfaction positively influenced the perceived impact of medical tourism on community wellbeing. Finally, community wellbeing positively influenced residents’ willingness to pay higher taxes and support medical tourism development. © 2018","Community wellbeing; Las Vegas; Medical tourism; Quality of life; Resident perceptions","conceptual framework; economic development; medical tourism; perception; quality of life; tax system; tourism development; willingness to pay; Las Vegas; Nevada; United States",,,,,,,,"Acock, A.C., Discovering structural equation modeling using Stata (2013), Stata Press College Station, TX; Allen, L.R., Beattie, R.J., The role of leisure as an indicator of overall satisfaction with community life (1984) Journal of Leisure Research, 16, pp. 99-109; Allen, L.R., Hafer, H.R., Long, P.T., Perdue, R.R., Rural residents’ attitudes toward recreation and tourism development (1993) Journal of Travel Research, 31 (4), pp. 27-33; Allen, L.R., Long, P.T., Perdue, R.R., Kieselbach, S., The impact of tourism development on residents’ perceptions of community life (1988) Journal of Travel Research, 27 (1), pp. 16-21; Andereck, K.L., Nyaupane, G.P., Exploring the nature of tourism and QOL perceptions among residents (2011) Journal of Travel Research, 50 (3), pp. 248-260; Andereck, K.L., Vogt, C.A., The relationship between residents’ attitudes toward tourism and tourism development options (2000) Journal of Travel Research, 39 (1), pp. 27-36; Archer, B., Domestic tourism as a development factor (1978) Annals of Tourism Research, 5 (1), pp. 126-141; Bentler, P.M., Chou, C.H., Practical issues in structural modeling (1987) Sociological Methods & Research, 16, pp. 78-117; Blake, J., Overcoming the ‘value-action gap’ in environmental policy: Tensions between national policy and local experience (1999) Local Environment, 4 (3), pp. 257-278; Bramwell, B., Lane, B., Sustainable tourism: An evolving global approach (1993) Journal of Sustainable Tourism, 1 (1), pp. 1-5; Browne, M.W., Cudeck, R., Alternative ways of assessing model fit (1993) Testing structural equation models, , K.A. Bollen J.S. Long Sage Newbury Park, CA; Bush, D., Reviving Las Vegas with less sin (2013), http://www.npr.org/2013/11/24/247054774/reviving-las-vegas-with-less-sin-more-city, NPR More City Retrieved from; Carrera, P.M., Bridges, J.F., Globalization and health care: Understanding health and medical tourism (2006) Pharmaeconomics Outcomes Research, (4), pp. 447-454; Choi, H.C., Murray, I., Resident attitudes toward sustainable community tourism (2010) Journal of Sustainable Tourism, 18 (4), pp. 575-594; Choi, H.C., Sirakaya, E., Sustainability indicators for managing community tourism (2006) Tourism Management, 27 (6), pp. 1274-1289; http://quickfacts.census.gov/qfd/states/32/32003.html, Clark County, Nevada. (2015). 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(2011) Annals of Tourism Research, 38 (2), pp. 460-480; Vincent, V.C., Thompson, W., Assessing community support and sustainability for ecotourism development (2002) Journal of Travel Research, 41 (2), pp. 153-160; Waddoups, J., Clark county profile (2013), http://cber.unlv.edu/publications/Demographics.pdf, Retrieved from; Weaver, D.B., Sustainable tourism: Theory and practice (2006), Butterworth-Heinemann Oxford, UK; Weaver, D.B., Lawton, L.J., Resident perceptions in the urban–rural fringe (2001) Annals of Tourism Research, 28 (2), pp. 439-458; Weaver, D.B., Lawton, L.J., Resident perceptions of a contentious tourism event (2013) Tourism Management, 37, pp. 165-175; Woo, E., Kim, H., Uysal, M., Life satisfaction and support for tourism development (2015) Annals of Tourism Research, 50, pp. 84-97; Yoo, J.J.E., Zhou, Y., Lu, T., Kim, T., The moderating effects of resident characteristics on perceived gaming impacts and gaming industry support: The case of Macao (2014) Journal of Travel & Tourism Marketing, 31 (2), pp. 229-250; Yu, C.-P., Investigating resident attitudes toward tourism development: A community QOL perspective (2011), http://search.proquest.com/docview/919995061?accountid=9676, (3493568 PhD) Indiana University Ann Arbor Retrieved from; Zhang, J., Inbakaran, R.J., Jackson, M.S., Understanding community attitudes towards tourism and host—guest interaction in the urban–rural border region (2006) Tourism Geographies, 8 (2), pp. 182-204","Suess, C.; Department of Recreation, Parks, and Tourism Sciences, Texas A&M University, 600 John Kimbourough Blvd, United States; email: csuess@tamu.edu",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-85048877540 "Cusumano L.R., Tran V., Tlamsa A., Chung P., Grossberg R., Weston G., Sarwar U.N.","57195367847;57195369966;57195370155;55328424200;6602491276;55928748900;55675850300;","Rapidly growing Mycobacterium infections after cosmetic surgery in medical tourists: the Bronx experience and a review of the literature",2017,"International Journal of Infectious Diseases","63",,,"1","6",,12,"10.1016/j.ijid.2017.07.022","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027500666&doi=10.1016%2fj.ijid.2017.07.022&partnerID=40&md5=9d319a492803f5dc2248595f6c3cee41","Albert Einstein College of Medicine, Montefiore Medical Center, BronxNew York, United States; Division of Infectious Diseases, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, BronxNew York, United States; Department of Pharmacy, Nebraska Medicine, Omaha, Nebraska, United States","Cusumano, L.R., Albert Einstein College of Medicine, Montefiore Medical Center, BronxNew York, United States; Tran, V., Albert Einstein College of Medicine, Montefiore Medical Center, BronxNew York, United States; Tlamsa, A., Division of Infectious Diseases, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, BronxNew York, United States; Chung, P., Department of Pharmacy, Nebraska Medicine, Omaha, Nebraska, United States; Grossberg, R., Division of Infectious Diseases, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, BronxNew York, United States; Weston, G., Division of Infectious Diseases, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, BronxNew York, United States; Sarwar, U.N., Division of Infectious Diseases, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, BronxNew York, United States","Background Medical tourism is increasingly popular for elective cosmetic surgical procedures. However, medical tourism has been accompanied by reports of post-surgical infections due to rapidly growing mycobacteria (RGM). The authors’ experience working with patients with RGM infections who have returned to the USA after traveling abroad for cosmetic surgical procedures is described here. Methods Patients who developed RGM infections after undergoing cosmetic surgeries abroad and who presented at the Montefiore Medical Center (Bronx, New York, USA) between August 2015 and June 2016 were identified. A review of patient medical records was performed. Results Four patients who presented with culture-proven RGM infections at the sites of recent cosmetic procedures were identified. All patients were treated with a combination of antibiotics and aggressive surgical treatment. Conclusions This case series of RGM infections following recent cosmetic surgeries abroad highlights the risks of medical tourism. Close monitoring of affected patients by surgical and infectious disease specialties is necessary, as aggressive surgical debridement combined with appropriate antibiotic regimens is needed to achieve cure. Given the increasing reports of post-surgical RGM infections, consultants should have a low threshold for suspecting RGM, as rapid diagnosis may accelerate the initiation of targeted treatment and minimize morbidity. © 2017 The Authors","Cosmetic surgery; Medical tourism; Mycobacteria chelonae; Mycobacterium abscessus complex; Rapidly growing mycobacteria; Surgical site infections","amikacin; ampicillin; azithromycin; cefalexin; cefoxitin; cilastatin; clarithromycin; clofazimine; imipenem; kanamycin; linezolid; meropenem; piperacillin; RNA polymerase beta subunit; sulbactam; sulfamethoxazole; tazobactam; tigecycline; tobramycin; trimethoprim; vancomycin; antiinfective agent; abdominal abscess; abdominal injury; abdominal pain; abdominoplasty; abscess drainage; adult; antibiotic sensitivity; antibiotic therapy; Article; bacterial growth; bilateral revision mastopexy; breast implant; breast reconstruction; broth dilution; burning sensation; case report; chill; clinical evaluation; computer assisted tomography; debridement; Dominican Republic; drug dose increase; drug tolerability; drug withdrawal; esthetic surgery; excision; female; fever; gastrointestinal disease; gene sequence; Gram positive infection; high performance liquid chromatography; human; hyperpigmentation; incision; leukocyte count; leukopenia; liposuction; mastalgia; medical tourism; methicillin resistant Staphylococcus aureus infection; methicillin susceptible Staphylococcus aureus; middle aged; minimum inhibitory concentration; mycobacteriosis; Mycobacterium abscessus; Mycobacterium chelonae; neutrophil count; New York; nylon suture; ototoxicity; percutaneous drainage; phlegmon; postoperative infection; rectus abdominis muscle; recurrent disease; wound dehiscence; atypical Mycobacterium; elective surgery; isolation and purification; multidrug resistance; mycobacteriosis; reconstructive surgery; risk factor; Adult; Anti-Bacterial Agents; Debridement; Drug Resistance, Multiple, Bacterial; Elective Surgical Procedures; Female; Humans; Medical Tourism; Middle Aged; Mycobacterium Infections; Nontuberculous Mycobacteria; Reconstructive Surgical Procedures; Risk Factors",,"amikacin, 37517-28-5, 39831-55-5; ampicillin, 69-52-3, 69-53-4, 7177-48-2, 74083-13-9, 94586-58-0; azithromycin, 83905-01-5, 117772-70-0, 121470-24-4; cefalexin, 15686-71-2, 23325-78-2; cefoxitin, 33564-30-6, 35607-66-0; cilastatin, 81129-83-1, 82009-34-5; clarithromycin, 81103-11-9; clofazimine, 2030-63-9; imipenem, 64221-86-9; kanamycin, 11025-66-4, 61230-38-4, 8063-07-8; linezolid, 165800-03-3; meropenem, 96036-03-2; piperacillin, 59703-84-3, 61477-96-1; sulbactam, 68373-14-8; sulfamethoxazole, 723-46-6; tazobactam, 93528-38-2; tigecycline, 220620-09-7; tobramycin, 32986-56-4; trimethoprim, 738-70-5; vancomycin, 1404-90-6, 1404-93-9; Anti-Bacterial Agents",,,,,,"Adékambi, T.T., rpoB-based identification of nonpigmented and late-pigmenting rapidly growing mycobacteria (2003) J Clin Microbiol, 41 (12), pp. 5699-5708; Brown, B.A.B., Activities of four macrolides, including clarithromycin, against Mycobacterium fortuitum, Mycobacterium chelonae, and M. chelonae-like organisms (1992) Antimicrob Agents Chemother, 36 (1), pp. 180-184; Butler, W.R.W., Identification of mycobacteria by high-performance liquid chromatography (1991) J Clin Microbiol, 29 (11), pp. 2468-2472; Cai, S.S.S.S., Management of Mycobacterium abscessus Infection After Medical Tourism in Cosmetic Surgery and a Review of Literature (2016) Ann Plast Surg, 77 (6), pp. 678-682; Chadha, R.R., An outbreak of post-surgical wound infections due to Mycobacterium abscessus (1998) Pediatr Surg Int, 13 (5-6), pp. 406-410; De Groote, M.A.M.A., Infections due to rapidly growing mycobacteria (2006) Clin Infect Dis, 42 (12), pp. 1756-1763; Esteban, J.J., Biofilm development by potentially pathogenic non-pigmented rapidly growing mycobacteria (2008) BMC Microbiol, 8 (1), p. 184; Franzblau, L.E.L.E., Impact of medical tourism on cosmetic surgery in the United States (2013) Plast Reconstruct Surg Glob Open, 1 (7), p. e63; Furuya, E.Y.E.Y., Outbreak of Mycobacterium abscessus wound infections among “lipotourists” from the United States who underwent abdominoplasty in the Dominican Republic (2008) Clin Infect Dis, 46 (8), pp. 1181-1188; Griffith, D.E.D.E., An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases (2007) Am J Respir Crit Care Med, 175 (4), pp. 367-416; Hanefeld, J.J., Why do medical tourists travel to where they do? 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J. Infect. Dis.",Article,"Final",Open Access,Scopus,2-s2.0-85027500666 "Snyder J., Crooks V.A., Johnston R., Adams K., Whitmore R.","24170239100;35585107800;36500711800;37074104200;7005041258;","Medical tourism's impacts on health worker migration in the Caribbean: Five examples and their implications for global justice",2015,"Global Health Action","8","1", 27348,"","",,12,"10.3402/gha.v8.27348","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930672749&doi=10.3402%2fgha.v8.27348&partnerID=40&md5=043af97ca55c73890428f6ed81970486","Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Department of Geography, Simon Fraser University, Burnaby, BC, Canada","Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Johnston, R., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Adams, K., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Whitmore, R., Department of Geography, Simon Fraser University, Burnaby, BC, Canada","Medical tourism is a practice where individuals cross international borders in order to access medical care. This practice can impact the global distribution of health workers by potentially reducing the emigration of health workers from destination countries for medical tourists and affecting the internal distribution of these workers. Little has been said, however, about the impacts of medical tourism on the immigration of health workers to medical tourism destinations. We discuss five patterns of medical tourism-driven health worker migration to medical tourism destinations: 1) long-term international migration; 2) long-term diasporic migration; 3) long-term migration and 'black sheep'; 4) short-term migration via time share; and 5) shortterm migration via patient-provider dyad. These patterns of health worker migration have repercussions for global justice that include potential negative impacts on the following: 1) health worker training; 2) health worker distributions; 3) local provision of care; and 4) local economies. In order to address these potential negative impacts, policy makers in destination countries should work to ensure that changes in health worker training and licensure aimed at promoting the medical tourism sector are also supportive of the health needs of the domestic population. Policy makers in both source and destination countries should be aware of the effects of medical tourism on health worker flows both into and out of medical tourism destinations and work to ensure that the potential harms of these worker flows to both groups are mitigated. © 2015 Jeremy Snyder et al.","Global justice; Health human resources; Medical tourism","Caribbean; foreign worker; health care delivery; health care personnel; health personnel attitude; human; manpower; medical tourism; migrant; organization and management; statistics and numerical data; Attitude of Health Personnel; Caribbean Region; Delivery of Health Care; Emigrants and Immigrants; Foreign Professional Personnel; Health Personnel; Humans; Medical Tourism",,,,,,,,"Cohen, I.G., (2014) Patients with passports: medical tourism, law, and ethics, , Oxford, UK: Oxford University Press; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism?. A scoping review (2010) BMC Health Serv Res, 10, p. 266; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries?. A scoping review (2010) Int J Equity Health, 9, p. 24; Ramirez de Arellano, A.B., Patients without borders: the emergence of medical tourism (2007) Int J Health Serv, 37, pp. 193-198; Lautier, M., Export of health services from developing countries: the case of Tunisia (2008) Soc Sci Med, 67, pp. 101-110; Snyder, J., Crooks, V.A., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: a prospective, qualitative study of stakeholder perceptions (2013) Int J Equity Health, 12, p. 2; Connell, J., Medical tourism: sea, sun, sand and.. surgery (2006) Tourism Manage, 27, pp. 1093-1100; Álvarez, M.M., Smith, R.D., Chanda, R., The impact of medical tourism in low-and middle-income countries (2013) Medical tourism and transnational health care, p. 208. , Botterill D, Pennings G, Mainil T, eds. Basingstoke, UK: Palgrave Macmillan; Smith, R., Chanda, R., Tangcharoensathien, V., Trade in healthrelated services (2009) Lancet, 373, pp. 593-601; Wibulpolprasert, S., Pachanee, C., Addressing the internal brain drain of medical doctors in Thailand: the story and lesson learned (2008) Glob Soc Policy, 8, pp. 12-15; Arunanondchai, J., Fink, C., Trade in health services in the ASEAN region (2006) Health Promot Int, 21, pp. 159-166; Pocock, N.S., Phua, K., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Glob Health Action, 7, p. 12; Chinai, R., Goswami, R., Medical visas mark growth of Indian MT (2007) Bull World Health Organ, 85, pp. 164-165; Connell, J., Tummy tucks and the Taj Mahal? MT and the globalization of health care (2008) Tourism management: analysis, behaviour and strategy, pp. 232-244. , Woodside AG, Martin D, eds. Oxfordshire: CABI; Gupta, A.S., Medical tourism in India: winners and losers (2008) Indian J Med Ethics, 5, pp. 4-5; Hazarika, I., Medical tourism: its potential impact on the health workforce and health systems in India (2010) Health Policy Plan, 25, pp. 248-251; Cohen, E., Medical tourism in Thailand (2008) AU-GSB e-journal, 1, pp. 24-37. , http://www.graduate.au.edu/gsbejournal/1V/Journal/MedicalTourismDrCohen.pdf, [cited 2 April 2015]; Chambers, A., Thai embrace of MT divides professionals, , http://www.guardian.co.uk/globaldevelopment/poverty-matters/2011/apr/26/thailand-medicaltourism-divides-professionals, The Guardian. [cited 26 April 2011]; Pachanee, C., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy Plan, 21, pp. 310-318; Youngman, I., Why what is happening in the Cayman Islands matters for medical tourism, , http://www.imtj.com/articles/2011/cayman-islands-and-medical-tourism-30097/, [cited 2 April 2015]; Snyder, J., Crooks, V.A., Medical treatment not approved yet? No problem! Welcome to circumvention tourism The Conversation, , https://theconversation.com/medical-treatmentnot-approved-yet-no-problem-welcome-to-circumvention-tourism-35070, [cited 13 January 2015]; Snyder, J., Crooks, V.A., Turner, L., Johnston, R., Fraser, H., Kadowaki, L., Caring for non-residents in Barbados: examining the implications of inbound transnational medical care for public and private health care (2013) Medical tourism and transnational health care, p. 48. , Botterill D, Pennings G, Mainil T, eds. Antwerp: Palgrave MacMillan; Johnston, R., Crooks, V.A., Snyder, J., Fraser, H., Labonte, R., Adams, K., (2013) An overview of Barbados' medical tourism industry version 2.0, , British Columbia, Burnaby, Canada: Simon Fraser University; Johnston, R., Adams, K., Bishop, L., Crooks, V.A., Snyder, J., Best care on home ground' versus 'elitist healthcare': concerns and competing expectations for medical tourism development in Barbados (2015) Int J Equity Health, 14, p. 15; Johnston, R., Crooks, V.A., Snyder, J., Whitmore, R., 'The major forces that need to back medical tourism were.. in alignment': driving development of the medical tourism sector in Barbados (2015) Int J Health Serv, 45, pp. 334-352; Johnston, R., Crooks, V.A., Medical tourism in the Caribbean region: a call to consider environmental health equity (2013) West Indian Med J, 62, pp. 250-253; Hoffman, L., Crooks, V.A., Snyder, J., Adams, K., Health equity impacts of medical tourism: a call for moving from scholarly debate to providing actionable guidance regarding balancing local and foreign interests (2015) West Indian Med J Open, , In press; Adams, K., Snyder, J., Crooks, V.A., Hoffman, L., Medical tourism in the Caribbean: a call for cooperation (2014) West Indian Med J Open, 1; Adams, K., Whitmore, R., Snyder, J., Medical tourism in Trinidad and Tobago (2014) Caribb Med J, 76, pp. 26-27; Connell, J., A new inequality?. Privatisation, urban bias, migration and medical tourism (2011) Asia Pac View, 52, pp. 260-271; Chen, Y.Y., Flood, C.M., Medical tourism's impact on health care equity and access in low-and middle-income countries: making the case for regulation (2013) J Law Med Ethics, 41, pp. 286-300; Shah, B.R., Narayan, M., Seth, A., Schulman, K.A., Health City Cayman Islands and the globalization of health services delivery (2014) Am Heart J, 167, pp. 770-774; Das, S., Devi Shetty opens low-cost healthcare venture in Cayman Islands outside US regulatory reach Economic Times, , http://articles.economictimes.indiatimes.com/2014-02-24/news/47635802_1_devi-shetty-narayana-health-indiandoctors, [cited 24 February 2014]; Pearl, R., Offshoring American healthcare: higher quality at lower costs? Forbes, , http://www.forbes.com/sites/robertpearl/2014/03/27/offshoring-american-health-care-higherquality-at-lower-costs/, [cited 27 March 2014]; Collinder, A., US$170m medical tourism facility for St James Jamaica Gleaner, , http://jamaica-gleaner.com/latest/article.php?id=42876, [cited 14 February 2013]; About us, , http://americanglobalhospitals.com/about-us.html, [cited 17 January 2015]; Peter Nygard boasts possible immortality in Bahamas CBC News, , http://www.cbc.ca/news/canada/manitoba/peter-nygard-boasts-possible-immortality-in-bahamas-1.2555831, [cited 28 February 2014]; White, P., Canadian fashion mogul Nygard puts his faith in stem-cell science Globe & Mail, , http://www.theglobeandmail.com/news/national/canadian-fashion-mogulnygard-puts-his-faith-in-stem-cell-science/article17185359/, [cited 28 February 2014]; Dames, C., Aworrying affair: billionaire's relationship with government creates unwelcomed perceptions The Nassau Guardian, , http://www.thenassauguardian.com/index.php?option-com_content&view=article&id=40638&Itemid=37, [cited 22 July 2014]; Price, S., Cardiology college denies Sparman's membership claim The Nation, , http://www.nationnews.com/nationnews/news/29061/cardiology-college-denies-sparmanmembership-claim, [cited 23 June 2013]; http://www.americanworldclinics.com/, [cited 17 January 2015]; Cumberbatch, S., New hospital waiting for government approval Barbados Today, , http://www.barbadostoday.bb/2013/04/22/new-hospital-waiting-for-govt-approval/, [cited 22 April 2013]; Johnston, R., Crooks, V.A., Snyder, J., Fraser, H., Labonte, R., Adams, K., (2013) An overview of Barbados' medical tourism industry version 1.0, , British Columbia, Burnaby, Canada: Simon Fraser University; Sealover, E., Doctors head to Barbados-and not just for the beach Denver Business Journal, , http://www.bizjournals.com/denver/print-edition/2011/09/02/doctors-headto-barbados-and-not.html, [cited 2 September 2011]; Bradshaw, M., Bumped. The Nation, , http://www.nationnews.com/nationnews/news/19616/bumped, [cited 22 September 2013]; Komarnicki, J., Have scalpel, will travel Calgary Herald, , http://www.calgaryherald.com/health/Have+scalpel+will+travel+Alberta+surgeons+operate+abroad+bypass+wait+times/9405898/story.html, [cited 18 January 2013]; Health City Cayman Islands Rises, , http://ascension.org/Newsroom/TabId/99/PostId/19/health-citycayman-islands-rises.aspx, [cited 13 December 2013]; Azocar, S., Medical tourism is a sickness, not a cure Calgary Herald, , http://www2.canada.com/calgaryherald/news/story.html?id=10c8eda9-4f6d-4338-89d2-41ecb4a141ee&p=2, [cited 24 January 2014]; Snyder, J., Dharamsi, S., Crooks, V.A., Fly-by medical care: conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists (2011) Glob Health Action, 7, p. 6; Population, total, , http://data.worldbank.org/indicator/SP.POP.TOTL, [cited 2 February 2015]; Lofters, A.K., The ''brain drain'' of health care workers: causes, solutions and the example of Jamaica (2012) C J Public Health, 103, pp. e376-e378; Fraser, H., Villa Nova-the romance and the disgrace The Nation, , http://www.caribbean360.com/opinion/henry-fraser-villa-nova-the-romance-and-the-disgrace, [cited 25 May 2014]; Connell, J., Medical tourism in the Caribbean Islands: a cure for economies in crisis? (2013) Isl Stud J, 8, pp. 115-130; Mackey, T.K., Liang, B.A., Restructuring brain drain: strengthening governance and financing for health worker migration (2013) Glob Health Action, 6, pp. 1-7; Snyder, J., Migration of health personnel and brain drain (2014) Handbook of Global Bioethics, pp. 755-769. , ten Have HAMJ, Gordijn B, eds. Dordrecht, The Netherlands: Springer; Kollar, E., Buyx, A., Ethics and policy of medical brain drain: a review (2013) Swiss Med Wkly, 143; Managing health workforce migration-the Global Code of Practice, , http://www.who.int/hrh/migration/code/practice/en/, [cited 27 February 2015]","Snyder, J.; Simon Fraser University, Blusson Hall 11300, 8888 University Drive, Canada",,,"Co-Action Publishing",,,,,16549880,,,"25865122","English","Global Health Action",Review,"Final",Open Access,Scopus,2-s2.0-84930672749 "Johnston R., Crooks V.A., Snyder J., Whitmore R.","36500711800;35585107800;24170239100;7005041258;","""the major forces that need to back medical tourism were...in alignment"": Championing development of Barbados's medical tourism sector",2015,"International Journal of Health Services","45","2",,"334","352",,12,"10.1177/0020731414568512","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930629085&doi=10.1177%2f0020731414568512&partnerID=40&md5=9d9be6e92ef2621ad004e45297dbe97e","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC V5A 1S6, Canada","Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; Whitmore, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Governments around the world have expressed interest in developing local medical tourism sectors, framing the industry as an opportunity for economic growth and health system improvement. This article addresses questions about how the desire to develop a medical tourism sector in a country emerges and which stakeholders are involved in both creating momentum and informing its progress. Presenting a thematic analysis of 19 key informant interviews conducted with domestic and international stakeholders in Barbados's medical tourism sector in 2011, we examine the roles that ""actors"" and ""champions"" at home and abroad have played in the sector's development. Physicians and the Barbadian government, along with international investors, the Medical Tourism Association, and development agencies, have promoted the industry, while actors such as medical tourists and international hospital accreditation companies are passively framing the terms of how medical tourism is unfolding in Barbados. Within this context, we seek to better understand the roles and relationships of various actors and champions implicated in the development of medical tourism in order to provide a more nuanced understanding of how the sector is emerging in Barbados and elsewhere and how its development might impact equitable health system development. © The Author(s) 2015.","Barbados; Caribbean; Economic development; Health equity; Health service export; Medical tourism; Policy transfer","economic development; economic growth; equity; government; health policy; health services; health status; hospital sector; medical tourism; questionnaire survey; tourism development; accreditation; Barbados; Caribbean; economic development; government; health equity; hospital; human; human experiment; interview; medical tourism; physician; thematic analysis; Barbados; capacity building; health service; organization and management; Barbados; Barbados; Capacity Building; Economic Development; Health Services Needs and Demand; Humans; Medical Tourism",,,,,,,,"Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Glob. Health, 7 (1), p. 12; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Manage, 32 (5), pp. 995-1005; Leng, C.H., Medical tourism and the state in Malaysian and Singapore (2010) Glob. Soc. Policy, 10 (3), pp. 336-357; Ormond, M., Shifting subjects of health-care: Placing medical tourism in the context of Malaysian domestic health-care reform (2011) Asia Pac. Viewpoint, 52 (3), pp. 247-259; Ramirez De Arellano, A.B., Medical tourism in the caribbean (2011) Signs, 36 (2), pp. 289-297; Connell, J., A new inequality. Privatisation, urban bias, migration and medical tourism (2011) Asia Pac. Viewpoint, 52 (3), pp. 260-271; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bull. World Health Organ, 89 (5), pp. 336-344; Turner, L., First world health care at third world prices"": Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; (2014) Barbados, , http://data.worldbank.org/country/barbados, World Bank. Data. (accessed January 3, 2014); (2011) Barbados Economic and Social Report, , Ministry of Finance and Economic Affairs Ministry of Finance and Economic Affairs, Bridgetown, 2012; (2009) Medical Tourism Push, , Barbados Advocate, Barbados Advocate, September 30; (2012) Barbados Seeking to Become Health Care Capital of the Caribbean, , Barbados Advocate, Barbados Advocate, May 15; (2008) Health Systems Profile Barbados: Monitoring and Analyzing Health Systems Change/Reform, , PAHO, Washington, D. C; Walters, J., Fraser, H.S., Alleyne, G.A.O., Use by visitors of the services of the Queen Elizabeth Hospital, Barbados, W. i (1993) West Indies Med. J, 42, pp. 13-17; Snyder, J., Understanding the impacts of medical tourism on health human resources in Barbados: A prospective, qualitative study of stakeholder perceptions (2013) Int. J. Equity Health, 12 (2); Johnston, R., (2013) An Overview of Barbados' Medical Tourism Industry-Version 2. 0, , Department of Geography, Simon Fraser University, Canada; Atwell, C., (2009) Medical Tourism Growing, , Daily Nation, August 26; Geralyn, G., (2008) Ministers Sealy, Estwick, to Address Sessions, , Daily Nation, March 31; (2008) Making Health and Wellness Tourism A Reality in the Caribbean: Summary and Conclusions, , CEDA, Caribbean Export Development Agency; (2013) Frequently Asked Questions about AWC-Barbados, , http://www.americanworldclinics.com/about-us/faq, American World Clinics, (accessed December 5, 2013); Meyer, C.B., A case in case study methodology (2001) Field Methods, 13 (4), pp. 329-352; Fereday, J., Muir-Cochrane, E., Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development (2006) Int. J. Qual. Methods, 5 (1), pp. 80-92; Mamun, M.Z., Saad Andaleeb, S., Prospects and problems of medical tourism in Bangladesh (2013) Int. J. Health Serv, 43 (1), pp. 123-141; Turner, L., Medical tourism and the global marketplace in health services: U. S patients, international hospitals, and the search for affordable health care (2010) Int. J. Health Serv, 40 (3), pp. 443-467; Kangas, B., Complicating common ideas about medical tourism: Gender, class, and globality in Yemenis' international medical travel (2011) Signs, 36 (2), pp. 327-332; Goodrich, J.N., Socialist Cuba: A study of health tourism (1993) J. Travel Res, 32, pp. 36-41; Ormond, M., (2013) Neoliberal Governance and International Medical Travel in Malaysia, , Routledge, New York; Turner, L., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int. J. Qual. Health Care, 23 (1), pp. 1-7; Edmonds, A., Almost invisible scars"": Medical tourism to Brazil (2011) Signs, 36 (2), pp. 297-302; Angelchik, P., Medical tourism: Barbados' next export services opportunity (2014) Business Barbados, , http://businessbarbados.com/industries/tourism/medical-tourism-barbados-export-opportunity, January 14, (accessed May 14, 2014)","Johnston, R.; Department of Geography, Simon Fraser University, 8888 University Drive, Canada; email: Rrj1@sfu.ca",,,"SAGE Publications Inc.",,,,,00207314,,IJHSC,"25813504","English","Int. J. Health Serv.",Article,"Final",,Scopus,2-s2.0-84930629085 "Adams K., Snyder J., Crooks V., Johnston R.","37074104200;24170239100;35585107800;36500711800;","Tourism discourse and medical tourists’ motivations to travel",2015,"Tourism Review","70","2",,"85","96",,12,"10.1108/TR-04-2014-0015","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930587667&doi=10.1108%2fTR-04-2014-0015&partnerID=40&md5=79f84f86d88f5c4ae82c394f604871f1","Simon Fraser University, Burnaby, Canada; Department of Geography, Simon Fraser University, Burnaby, Canada","Adams, K., Simon Fraser University, Burnaby, Canada; Snyder, J., Simon Fraser University, Burnaby, Canada; Crooks, V., Department of Geography, Simon Fraser University, Burnaby, Canada; Johnston, R., Department of Geography, Simon Fraser University, Burnaby, Canada","Purpose – This paper aims to respond to a knowledge gap regarding the motivations of medical tourists, the term used to describe persons that travel across borders with the intention of accessing medical care. Commonly cited motivations for engaging in medical tourism are typically based on speculation and provide generalizations for what is a contextualized practice. This research paper aims to complicate the commonly discussed motivations of medical tourists to provide a richer understanding of these motivations and the various contexts in which medical tourists may choose to travel for medical care. Design/methodology/approach – Drawing on semi-structured interviews with 32 former Canadian medical tourists, this study uses the Iso-Ahola’s motivation theory to analyze tourists’ motivations. Quotations from participants were used to highlight core themes relevant to critical theories of tourism. Findings – Participants’ discussions illuminated motivations to travel related to personal and interpersonal seeking as well as personal and interpersonal escaping. These motivations demonstrate the appropriateness of applying critical theories of tourism to the medical tourism industry. Research limitations/implications – This research is limited in its ability to link various motivations with particular contexts such as medical procedure and personal demographics. However, this study demonstrates that the three commonly cited motivations of medical tourists might oversimplify this phenomenon. Originality/value – By providing new insight into medical tourists’ motivations, this paper expands the conversation about medical tourists’ decision-making and how this is informed by tourism discourse. This insight may contribute to improved guidance for medical tourism stakeholders for more ethical and safe practices. © Emerald Group Publishing Limited.","Consumer behaviour; International medical travel; Medical tourism; Motivation theory; Patient motivation; Tourists",,,,,,,,,"Buzinde, C.N., Yarnal, C., Therapeutic landscape and postcolonial theory: A theoretical approach to medical tourism (2012) Social Science and Medicine, 74 (5), pp. 783-787; Cameron, K., Crooks, V.A., Chouinard, V., Snyder, J., Johnston, R., Casey, V., Motivation, justification, normalization: Talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries (2014) Social Science & Medicine, 106 (4), pp. 93-100; Caton, K., Taking the moral turn in tourism studies (2012) Annals of Tourism Research, 39 (4), pp. 1906-1928; Cheong, S., Miller, M.L., Power and tourism: A foucauldian observation (2000) Annals of Tourism Research, 27 (2), pp. 371-390; Cohen, E., Medical travel – a critical assessment (2010) Tourism Recreation Research, 35 (3), pp. 225-237; Connell, J., (2011) Medical Tourism, CAB International, , Cambridge, MA; Connell, J., Contemporary medical tourism: Conceptualisation, culture, and commodification (2013) Tourism Management, 34 (1), pp. 1-13; Cook, P.S., Constructions and experiences of authenticity in medical tourism: The performances of places, spaces, practices, objects and bodies (2010) Tourist Studies, 10 (2), pp. 135-153; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 266; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science and Medicine, 72 (5), pp. 726-732; Dann, G., Tourist motivation an appraisal (1981) Annals of Tourism Research, 8 (2), pp. 187-219; Fereday, J., Muir-Cochrane, E., Demonstrating rigour using thematic analysis: A hybrid approach of inductive and deductive coding and theme development (2006) International Journal of Qualitative Methods, 5 (1), pp. 80-92; Gan, L.L., Frederick, J.R., Medical tourists: Who goes and what motivates them? (2013) Health Marketing Quarterly, 30 (2), pp. 177-194; Gnoth, J., Tourism motivation and expectation formation (1997) Annals of Tourism Research, 24 (2), pp. 283-304; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1), pp. 4-15; Higgins-Desbiolles, F., More than an ‘industry’: The forgotten power of tourism as a social force (2006) Tourism Management, 27 (6), pp. 1192-1208; Hsu, C., Expectation, motivation, attitude: A tourism behaviour model (2008) Journal of Travel Research, 49 (3), pp. 282-296; Hunter-Jones, P., Cancer and tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Iso-Ahola, S.E., Toward a social psychological theory of tourism motivation: A rejoinder (1990) Annals of Tourism Research, 8 (2), pp. 256-262; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? 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(Ed.), Universiteit Antwerpen, Antwerpen; Mainil, T., Platenkamp, V., Meulemans, H., The discourse of medical tourism in the media (2011) Tourism Review, 66 (1), pp. 31-44; Maxwell, J.A., (2005) Qualitative Research Design: An Interactive Approach, , 2nd ed., Sage Publications, Thousand Oaks, CA; Ormond, M., Neoliberal Governance and International Medical Travel in Malaysia (2013) Routledge, , New York, NY; Ormond, M., Sothern, M., You, too, can be an international medical traveler: Reading medical travel guidebooks (2012) Health and Place, 18 (5), pp. 935-941; Patton, M.Q., (2002) Qualitative Research and Evaluation Methods, , 3rd ed., Sage Publications, Thousand Oaks, CA; Petersen, A., Seear, K., Munsie, M., Therapeutic journeys: The hopeful travails of stem cell tourists (2014) Sociology of Health and Illness, 36 (5), pp. 670-685; De Arellano, R., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73 (4), pp. 300-304; Saltman, R.B., Patient choice and patient empowerment in northern European health systems: A conceptual framework (1994) International Journal of Health Services, 24 (2), pp. 201-229; Smith, C.P., (1992) Motivation and Personality: Handbook of Thematic Content Analysis, , Cambridge University Press, Cambridge, MA; Snepenger, D., Modeling Iso-Ahola’s motivation theory in the tourism context (2006) Journal of Travel Research, 45 (2), pp. 140-149; Snyder, J., Adams, K., Crooks, V.A., Whitehurst, D., Vallee, J., I knew what was going to happen if I did nothing and so I was going to do something: Faith, hope, and trust in the decisions of Canadians with multiple sclerosis to seek unproven interventions abroad (2014) BMC Health Services Research, 14 (1), p. 445; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., Beyond sun, sand, and stitches: Assigning responsibility for the harms of medical tourism (2012) Bioethics, 27 (5), pp. 233-242; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism by Canadian patients: Comparing patient and academic perceptions (2012) Public Health Ethics, 5 (1), pp. 38-46; Thurlow, C., Jaworski, A., (2010) Tourism Discourse: Language and Global Mobility, , Palgrave MacMillan, New York, NY; Yolal, M., Woo, E., Çetinel, F., Uysal, M., Comparative research of motivations across different festival products (2012) International Journal of Event and Festival Management, 3 (1), pp. 66-80; Bianchi, R.V., The ‘critical turn’ in tourism studies: A radical critique (2009) Tourism Geographies, 11 (4), pp. 484-504; Leng, C.H., (2007) Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare, p. 83. , Asia Research Institute Working Paper Series, No; Mooney, G., Neoliberalism is bad for our health (2012) International Journal of Health Services, 42 (3), pp. 383-401; Nelson, V., The landscape reputation: Tourism and identity in the Caribbean (2010) Journal of Economic and Social Geography, 182 (2), pp. 176-187; Widdows, H., Localized past, globalized future: Towards an effective bioethical framework using examples from population genetics and medical tourism (2010) Bioethics, 25 (2), pp. 83-91","Adams, K.; Simon Fraser UniversityCanada",,,"Emerald Group Publishing Ltd.",,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-84930587667 "Ozan-Rafferty M.E., Johnson J.A., Shah G.H., Kursun S.A.","56100306400;57214428431;57203082315;56100670400;","In the words of the medical tourist: An analysis of internet narratives by health travelers to Turkey",2014,"Journal of Medical Internet Research","16","2", e43,"","",,12,"10.2196/jmir.2694","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84897619890&doi=10.2196%2fjmir.2694&partnerID=40&md5=6befbc652f45fc1aa049a004294a56e9","Dignity Health, Nevada Market, St. Rose Dominican Hospitals, 832 Harbor Beach Court, Henderson, NV, 89002, United States; Central Michigan Univeristy, Herbert H and Grace A. Dow College of Health Professions, Mount Pleasant, MI, United States; Georgia Southern University, Jiann-Ping Hsu College of Public Health, Statesboro, GA, United States; JADA Healthcare Services, LLC, King of Prussia, PA, United States","Ozan-Rafferty, M.E., Dignity Health, Nevada Market, St. Rose Dominican Hospitals, 832 Harbor Beach Court, Henderson, NV, 89002, United States; Johnson, J.A., Central Michigan Univeristy, Herbert H and Grace A. Dow College of Health Professions, Mount Pleasant, MI, United States; Shah, G.H., Georgia Southern University, Jiann-Ping Hsu College of Public Health, Statesboro, GA, United States; Kursun, S.A., JADA Healthcare Services, LLC, King of Prussia, PA, United States","Background: Patients regularly travel to the West for advanced medical care, but now the trend is also shifting in the opposite direction. Many people from Western countries now seek care outside of their country. This phenomenon has been labeled medical tourism or health travel. Information regarding health travelers' actual outcomes, experiences, and perceptions is lacking or insufficient. However, advanced Internet technology and apps provide information on medical tourism and are a vehicle for patients to share their experiences. Turkey has a large number of internationally accredited hospitals, is a top tourism destination, and is positioning itself to attract international patients. Objective: The objective of this research was to identify the important individual characteristics of health travelers, outline the push and pull factors for seeking health care in Turkey, identify satisfaction with the outcomes and the results of these individuals' treatments, and note positive and negative factors influencing their perceptions and overall experiences about patients' health travel. Methods: This research uses qualitative data from Internet narratives of medical tourists to Turkey. Ethical considerations of using Internet narratives were reviewed. Narratives for analysis were obtained by using the Google search engine and using multiple search terms to obtain publicly posted blogs and discussion board postings of health travelers via purposeful sampling. Narratives were included if they were written in English, described travel to Turkey for health care, and were publicly accessible. Exclusion criteria included narratives that were on medical tourism facilitator or provider promotional websites, not in English, and did not describe an experience of a medical tourist. Medical tourists' written words were analyzed in an iterative analytic process using narrative analysis theory principles. Three stages of coding (open, axial, and selective) were conducted to identify characteristics and themes using qualitative analysis software. Results: The narrative posts of 36 individuals undergoing 47 procedures who traveled to Turkey for medical care between 2007 and 2012 were analyzed. The narratives came from 13 countries, not including the narratives for which patient origin could not be determined. Travelers were predominantly from Europe (16/36, 44%) and North America (10/36, 28%). Factors driving travelers away from their home country (push factors) were cost and lack of treatment options or insufficient insurance coverage in their home country. Leading factors attracting patients to destination (pull factors) were lower costs, physician's expertise and responsiveness, and familiarity or interest in Turkey. Health travelers to Turkey were generally satisfied with the outcomes of their procedures and care provided by their physicians, many noting intent to return. Communication challenges, food, transportation, and gaps in customer service emerged as key areas for improvement. Conclusions: This analysis provides an understanding of the insights of medical tourists through the words of actual health travelers. This nonintrusive methodology provides candid insights of common themes of health travelers and may be applied to study other patient experiences. The findings of this research expands the body of knowledge in medical tourism and serves as a platform for further qualitative and quantitative research on health travelers' experiences.","Delivery of health care; Globalization; Medical tourism; Patient satisfaction; Personal narratives; Qualitative research; Social media internationality; Travel blogging; Turkey","article; female; globalization; health care delivery; human; human relation; Internet; interpersonal communication; male; medical tourism; patient attitude; patient satisfaction; personal narratives; qualitative research; social media internationality; travel blogging; turkey; Turkey (republic); verbal communication; delivery of health care; globalization; medical tourism; patient satisfaction; personal narratives; qualitative research; social media internationality; travel blogging; Turkey; Communication; Female; Humans; Internet; Male; Medical Tourism; Narration; Patient Acceptance of Health Care; Professional-Patient Relations; Turkey",,,,,,,,"Ramírez De Arellano, A.B., Medical tourism in the Caribbean (2011) Signs (Chic), 36 (2), pp. 289-296. , [Medline: 21114073]; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Rev Pharmacoecon Outcomes Res, 6 (4), pp. 447-454. , Aug [doi:10.1586/14737167.6.4.447] [Medline: 20528514]; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) J Health Care Finance, 34 (1), pp. 27-35. , [Medline: 18972983]; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? 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Toronto: The Change Foundation [WebCite Cache ID 6Jww3BxJC]; (2012) Data Release: Key Statistical Highlights, , http://www.itu.int/en/ITU-D/Statistics/Pages/stat/default.aspx, International Telecommunication Union. [accessed 2013-12-01] [WebCite Cache ID queryurlhttp3A2F2Fwwwituint38date20130424]; Marcus, M.A., Westra, H.A., Eastwood, J.D., Barnes, K.L., What are young adults saying about mental health? An analysis of Internet blogs (2012) J Med Internet Res, 14 (1), pp. e17. , Jan [FREE Full text] [doi:10.2196/jmir.1868] [Medline: 22569642]","Ozan-Rafferty, M.E.; Dignity Health, Nevada Market, St. Rose Dominican Hospitals, 832 Harbor Beach Court, Henderson, NV, 89002, United States; email: meorafferty@gmail.com",,,,,,,,14388871,,,"24513565","English","J. Med. Internet Res.",Article,"Final",Open Access,Scopus,2-s2.0-84897619890 "Talmadge J., Smith K., Dykes T., Mittleider D.","55818329700;55889353400;6507442488;8577339800;","Clinical impact of sacroplasty on patient mobility",2014,"Journal of Vascular and Interventional Radiology","25","6",,"911","915",,12,"10.1016/j.jvir.2014.02.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84901607997&doi=10.1016%2fj.jvir.2014.02.007&partnerID=40&md5=21de29fa234fe3bcec07c46c5b2c201e","Department of Radiology and Section of Vascular, Maine Medical Center, 22 Bramhall St., Portland, ME 04102, United States; Interventional Radiology, Maine Medical Center, 22 Bramhall St., Portland, ME 04102, United States; Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, United States","Talmadge, J., Department of Radiology and Section of Vascular, Maine Medical Center, 22 Bramhall St., Portland, ME 04102, United States; Smith, K., Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, United States; Dykes, T., Department of Radiology and Section of Vascular, Maine Medical Center, 22 Bramhall St., Portland, ME 04102, United States, Interventional Radiology, Maine Medical Center, 22 Bramhall St., Portland, ME 04102, United States; Mittleider, D., Department of Radiology and Section of Vascular, Maine Medical Center, 22 Bramhall St., Portland, ME 04102, United States, Interventional Radiology, Maine Medical Center, 22 Bramhall St., Portland, ME 04102, United States","Purpose To evaluate the effect of sacroplasty on patient mobility and pain when performed as a treatment for sacral insufficiency fractures. Materials and Methods Imaging with computed tomography (CT), magnetic resonance imaging, or bone scan confirmed the diagnosis of sacral insufficiency fractures. Baseline clinical mobility scale (CMS) score and visual analog scale (VAS) pain score were recorded. Sacroplasty was performed under CT guidance. Follow-up CMS and VAS scores were assessed at 4, 24, and 48 weeks. Results Eighteen elderly patients (age 80 y ± 8.5; 17 women) were treated. Repeated-measures analysis of variance was conducted to assess changes in CMS and VAS scores over time. Pairwise comparisons revealed a significant increase in average CMS score between baseline and all three follow-up points - 4 weeks (P <.001), 24 weeks (P <.001), and 48 weeks (P <.001) - indicating improvement in mobility over time. Pairwise comparisons revealed significant differences in mean VAS scores between baseline and all three follow-up time points - 4 weeks (P <.001), 24 weeks (P <.001), and 48 weeks (P <.001) - indicating improvement in overall pain level over time. Conclusions Treatment with CT-guided sacroplasty for sacral insufficiency fractures in this elderly population resulted in significant improvement in patient mobility. © 2014 SIR.",,"bone cement; poly(methyl methacrylate); aged; analgesia; arteriovenous malformation; article; bone scintiscanning; clinical article; computer assisted tomography; female; follow up; fracture treatment; human; interventional radiology; low back pain; male; pain assessment; patient mobility; pelvis fracture; priority journal; quality of life; sacral insufficiency fracture; sacroplasty; septic shock; visual analog scale; analysis of variance; Back Pain; biomechanics; convalescence; disability; Fractures, Stress; nuclear magnetic resonance imaging; pain measurement; Pain, Postoperative; pathophysiology; percutaneous vertebroplasty; predictive value; retrospective study; sacrum; Spinal Fractures; treatment outcome; very elderly; walking difficulty; Aged; Aged, 80 and over; Analysis of Variance; Back Pain; Biomechanical Phenomena; Disability Evaluation; Female; Fractures, Stress; Humans; Magnetic Resonance Imaging; Male; Mobility Limitation; Pain Measurement; Pain, Postoperative; Predictive Value of Tests; Recovery of Function; Retrospective Studies; Sacrum; Spinal Fractures; Tomography, X-Ray Computed; Treatment Outcome; Vertebroplasty",,"poly(methyl methacrylate), 39320-98-4, 9008-29-1","Kyphon HV-R, Medtronic, United States","Medtronic, United States",,,,"Choi, K.M., Song, J.H., Ahn, S.K., Choi, H.C., Therapeutic considerations of percutaneous sacroplasty for the sacral insufficiency fracture (2010) J Korean Neurosurg Soc, 47, pp. 58-63; Lyders, E.M., Whitlow, C.T., Baker, M.D., Morris, P.P., Imaging and treatment of sacral insufficiency fractures (2010) AJNR Am J Neuroradiol, 31, pp. 201-210; Blake, S.P., Connors, A.M., Sacral insufficiency fracture (2004) British Journal of Radiology, 77 (922), pp. 891-896. , DOI 10.1259/bjr/81974373; Garant, M., Sacroplasty: A new treatment for sacral insufficiency fracture (2002) Journal of Vascular and Interventional Radiology, 13 (12), pp. 1265-1267; 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Vasc. Intervent. Radiol.",Article,"Final",,Scopus,2-s2.0-84901607997 "Turner L., Turner M.","7202689997;57199065407;","Canada's turbulent medical tourism industry [L'industrie turbulente du tourisme médical au Canada]",2012,"Canadian Family Physician","58","4",,"371","373+e186-e189",,12,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860297873&partnerID=40&md5=537a07eff4cbdf6436c5279e7f42dfca",,"Turner, L.; Turner, M.",[No abstract available],,"bariatric surgery; Canada; dental procedure; esthetic surgery; follow up; general practitioner; health care facility; health care system; hip arthroplasty; hospital care; human; knee arthroplasty; medical practice; medical research; medical tourism; multiple sclerosis; note; Canada; Humans; Medical Tourism",,,,,,,,"Purdy, L., Fam, M., (2010) Evolving Medical Tourism in Canada. Exploring a New Frontier, , www.deloitte.com/assets/Dcom-Canada/Local%20Assets/Documents/ Public%20Sector/ca_en_ps_evolving_medical_tourism_052511.pdf, Toronto, ON Accessible à: Accédé le 18 juin 2011; Keckley, P., Underwood, H.R., (2008) Medical Tourism. Consumers in Search of Value, , www.deloitte.com/assets/Dcom-Croatia/Local%20Assets/Documents/ hr_Medical_tourism(3).pdf, Washington, DC: Accessible à: Accédé le 18 juin 2011; Nachammai, R., Medical travel agency lifts off (2006) Montreal Gazette, , www.canada.com/montrealgazette/story.html?id=fdd35dc3-d0cf-420b-86ae- 6eca2bc694de&k=66213, du 20 mai Accessible à: Accédé le 18 juin 2011; Lang, M., Calgarians turn to health brokers to cut the pain of surgery wait lists (2005) Calgary Herald, , http://ns-medicare.tripod.com/health_broker.html, du 25 juillet Accessible à: Accédé le 18 juin 2011; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ, 174 (9), p. 1247; Turner, L., Canadian medicare and the global health care bazaar (2007) Policy Options, 9, pp. 73-77; Turner, L., Medical tourism. Family medicine and international health-related travel (2007) Can Fam Physician, 53, pp. 1639-1641. , (ang), 1646-8 (fr); Priest, L., Ontario MDs to launch medical tourism firm (2008) The Globe and Mail, , www.theglobeandmail.com/life/article713718.ece, du 30 septembre Accessible à: Accédé le 18 juin 2011; Crozier, G.K., Baylis, F., The ethical physician encounters international medical travel (2010) J Med Ethics, 36 (5), pp. 297-301. , Cyberpub. du 3 mai 2010; Crooks, A., Snyder, J., Medical tourism. 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(2011) The Globe and Mail, , www.theglobeandmail.com/news/national/ms-treatment-in-costa-rica-medical- miracle-or-just-common-sense/article1833801/, du 10 décembre Accessible à: Accédé le 18 juin 2011; Gill, J., Diec, O., Landsberg, D.N., Rose, C., Johnston, O., Keown, P.A., Opportunities to deter transplant tourism exist before referral for transplantation and during the workup and management of transplant candidates (2011) Kidney Int, 79 (9), pp. 1026-1031. , Cyberpub. du 12 janvier 2011; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? 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Phys.",Note,"Final",,Scopus,2-s2.0-84860297873 "Hall C.M.","55017070000;","Medical and health tourism: The development and implications of medical mobility",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility","9780203109458",,,"3","27",,12,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917483591&doi=10.4324%2f9780203109458&partnerID=40&md5=5f479bd5c902d8725a5b207b076367d9","Department of Management, University of Canterbury, New Zealand; Department of Geography, University of Oulu, Oulu, Finland; Sheffield Hallam University, United Kingdom; Linneaus University, Sweden","Hall, C.M., Department of Management, University of Canterbury, New Zealand, Department of Geography, University of Oulu, Oulu, Finland, Sheffield Hallam University, United Kingdom, Linneaus University, Sweden",[No abstract available],,,,,,,,,,"Ali-Knight, J., Yoga tourism (2009) Wellness and Tourism: Mind, Body, Spirit, Place, , R. Bushell and P.J. 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Drager and C. Vieira, Washington, DC: Pan American Health Organization; Youngman, I., Medical tourism statistics: Why mckinsey has got it wrong (2009) International Medical Travel Journal, , www.imtjonline.com/articles/2009/mckinsey-wrong-medical-travel; Zarzeczny, A., Caulfield, T., Stem cell tourism and doctors duties to minors – a view from canada’ (2010) American Journal of Bioethics, 10 (5), pp. 3-15","Hall, C.M.; Department of Management, University of CanterburyNew Zealand",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917483591 "Edmonds A.","16645548300;","""Almost invisible scars"": Medical tourism to Brazil",2011,"Signs","36","2",,"297","302",,12,"10.1086/655909","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650394027&doi=10.1086%2f655909&partnerID=40&md5=8715996f30199f6ed81758e78e0d5811","Department of Anthropology, University of Amsterdam, Netherlands","Edmonds, A., Department of Anthropology, University of Amsterdam, Netherlands",[No abstract available],,"article; Brazil; cosmetic industry; developing country; economics; education; esthetic surgery; ethnology; health care cost; health service; history; legal aspect; marketing; medical tourism; plastic surgery; psychological aspect; Beauty Culture; Brazil; Cosmetic Techniques; Developing Countries; Health Care Costs; Health Services; History, 20th Century; History, 21st Century; Marketing; Medical Tourism; Surgery, Plastic",,,,,,,,"Biehl, J., (2005) Vita: Life in a Zone of Social Abandonment, , Berkeley: University of California Press; Carranza, M., Reproductive health of the Brazilian woman (1994) The Brazilian Woman is Like this, pp. 95-150. , Mulher Brasileira É Assim, ed. Heleieth I. B. Saffioti and Monica Muñoz-Vargas, Rio de Janeiro: Rosa dos Tempos; Connell, J., Medical tourism: Sea, Sun, Sand and... Surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Costas, R., Tourism of the scalpel (2006) Veja, , http://veja.abril.com.br/250106/p-088.html, January 25; Edmonds, A., 'The poor have the right to be beautiful': Cosmetic surgery in Neoliberal Brazil (2007) Journal of the Royal Anthropological Society, 13 (2), pp. 363-381; Beauty, health and risk in brazilian plastic surgery (2009) Medische Antropologie, 21 (1), pp. 21-38. , Medical anthropology; 'Engineering the erotic': Aesthetic medicine and modernization in Brazil (2009) Cosmetic Surgery: A Feminist Primer, pp. 153-169. , ed. Cressida J. 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Ivo, Philosophical and psychological aspects of plastic surgery (1976) Boletim de Cirurgia plástica, 66 (3-4), pp. 115-125. , Bulletin of plastic surgery; De Arellano, R., Annette, B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Schwarcz, L.M., (1999) The Spectacle of the Races: Scientists, Institutions, and the Race Question in Brazil, pp. 1870-1930. , Trans. Leland Guyer. New York: Hill & Wang; Stepan, N.L., (1991) The Hour of Eugenics: Race, Gender, and Nation in Latin America, , Ithaca, NY: Cornell University Press","Edmonds, A.; Department of Anthropology, University of AmsterdamNetherlands",,,,,,,,00979740,,,"21114074","English","Signs",Article,"Final",,Scopus,2-s2.0-78650394027 "Weisz G.","34874130300;","Historical reflections on medical travel",2011,"Anthropology and Medicine","18","1",,"137","144",,12,"10.1080/13648470.2010.525880","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79956259549&doi=10.1080%2f13648470.2010.525880&partnerID=40&md5=0f1d4b17c4a94d107b61431380aec388","Department of Social Studies of Medicine, McGill University, Montréal, QC, Canada","Weisz, G., Department of Social Studies of Medicine, McGill University, Montréal, QC, Canada",[No abstract available],"health tourism; mineral waters; spas; thermalism","Canada; health care access; health care cost; medical tourism; patient decision making; priority journal; review; spa treatment; travel; United States; Balneology; History, 20th Century; History, Ancient; Humans; Medical Tourism; Mineral Waters",,,,,,,,"Bacon, W., The rise of the German and the demise of the English spa industry: A critical analysis of business success and failure (1997) Leisure Studies, 16, pp. 173-187; Bastos, C., From sulphur to perfume: Spa and SPA at monchique algarve (2011) Anthropology and Medicine, 18 (1), pp. 37-53; Blackbourn, D., Fashionable spa towns in nineteenth-century Europe (2002) Water Leisure and Culture: European Historical Perspectives, pp. 9-21. , ed. Susan C. Anderson and Bruce H. Tabb Oxford New York: Berg; Brockliss, L.W.B., The development of the spa in seventeenth-century France in the medical history of waters and spas (1990) Medical History Supplement, 10, pp. 23-47; Chambers Thomas, A., (2002) Drinking the Waters: Creating An American Leisure Class at Nineteenth-Century Mineral Springs, , Washington and London: Smithsonian Institution Press; Chiray, M., Leçon douverture: Chaire dhydrologie thérapeutique et de climatologie (1938) La Presse Médicale, 46, p. 253; Dubois, O., Salamon, R., Poirier, M., Olié, J., Le thermalisme psychiatrique dans les troubles anxieux crenotherapy in anxiety disorder (2008) Annales Médico-Psychologiques, 166, pp. 109-114; Galliou, P., Water water everywhere water ailing bodies and the gods in roman gaul and Britain (2006) Spas in Britain and in France in the Eighteenth and Nineteenth Centuries, pp. 9-21. , ed. Annick Cossic and Patrick Galliou Cambridge: Cambridge Scholars Press; Jennings Eric, T., (2006) Curing the Colonizers: Hydrotherapy Climatology and French Colonial Spas, , Durham and London: Duke University Press; Kuhnert Reinhold, P., Urbanitat auf dem lande (1984) Badereisen Nach Pyrmont im, 18. , Jahrhundert Veroffentlichungen des Max-PlanckInstituts für Geschichte 77 Gottingen Vandenhoeck & Ruprecht; Lafauci Lauren, E., Taking the southern waters: Science slavery and nationalism at the antebellum virginia springs (2011) Anthropology and Medicine, 18 (1), pp. 7-22; Lempa, H., The spa: Emotional economy and social classes in nineteenth-century pyrmont (2008) Central European History, 35 (1), pp. 37-73; MacKaman Douglas, P., (1998) Leisure Settings: Bourgeois Culture Medicine and the Spa in Modern France, , Chicago and London: University of Chicago Press; Marland, H., Jane, A., Hydropathy at home: The water cure and domestic healing in mid-nineteenth-century Britain (2009) Bulletin of the History of Medicine, 83, pp. 499-529; Naraindas, H., The German heilpraktiker and his ayurvedic spa (2011) Anthropology and Medicine, 18 (1), pp. 67-86. , Of relics body parts and laser beams; Quintela Maria, M., Seeking energy vs pain relief in spas in Brazil caldas da imperatriz and Portugal termas da sulfúrea (2011) Anthropology and Medicine, 18 (1), pp. 23-35; Speier, A., Health tourism in a czech spa (2011) Anthropology and Medicine, 18 (1), pp. 55-66; Steward, J., The spa towns of the austro-hungarian empire and the growth of tourist culture 1860-1914 (2000) New Directions in Urban History: Aspects of European Art Health Tourism and Leisure since the Enlightenment, pp. 87-125. , ed. Peter Borsay Gü nther Hirschfelder and Ruth-E. Mohrmann Munster: Waxmann Verlag; Steward, J., The culture of water cure in nineteenth-century Austria 1800-1914 (2002) Water Leisure and Culture: European Historical Perspectives, pp. 23-35. , ed. S.C. Anderson and B.H. Tabb Oxford New York: Berg; Szabo, J., Seeing is believing? The form and substance of French medical debates over Lourdes (2002) Bulletin of the History of Medicine, 76 (2), pp. 199-230; Weisz, G., Spas mineral waters and hydrological science in twentieth-century France (2001) Isis, 92, pp. 451-483","Weisz, G.; Department of Social Studies of Medicine, McGill University, Montréal, QC, Canada; email: george.weisz@mcgill.ca",,,,,,,,13648470,,APMDF,"21563008","English","Anthropol. Med.",Review,"Final",,Scopus,2-s2.0-79956259549 "Snyder J., Crooks V., Turner L.","24170239100;35585107800;7202689997;","Issues and Challenges in Research on the Ethics of Medical Tourism: Reflections from a Conference",2011,"Journal of Bioethical Inquiry","8","1",,"3","6",,12,"10.1007/s11673-010-9272-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952073552&doi=10.1007%2fs11673-010-9272-0&partnerID=40&md5=278614973370eb19ac1e40d5912386b5","Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Department of Geography, Simon Fraser University, Burnaby, Canada; Center for Bioethics, School of Public Health, and College of Pharmacy, University of Minnesota, Minneapolis, MN, United States","Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Crooks, V., Department of Geography, Simon Fraser University, Burnaby, Canada; Turner, L., Center for Bioethics, School of Public Health, and College of Pharmacy, University of Minnesota, Minneapolis, MN, United States","The authors co-organized (Snyder and Crooks) and gave a keynote presentation at (Turner) a conference on ethical issues in medical tourism. Medical tourism involves travel across international borders with the intention of receiving medical care. This care is typically paid for out-of-pocket and is motivated by an interest in cost savings and/or avoiding wait times for care in the patient's home country. This practice raises numerous ethical concerns, including potentially exacerbating health inequities in destination and source countries and disrupting continuity of care for patients. In this report, we synthesize conference presentations and present three lessons from the conference: 1) Medical tourism research has the potential for cross- or inter-disciplinarity but must bridge the gap between researchers trained in ethical theory and scholars unfamiliar with normative frameworks; 2) Medical tourism research must engage with empirical research from a variety of disciplines; and 3) Ethical analyses of medical tourism must incorporate both individual and population-level perspectives. While these lessons are presented in the context of research on medical tourism, we argue that they are applicable in other areas of research where global practices, such as human subject research and health worker migration, are occurring in the face of limited regulatory oversight. © 2010 Springer Science+Business Media B.V.","Medical tourism; Medical travel",,,,,,,,,"(2007) Public Health Ethics-Theory, Policy, and Practice, , R. Bayer, L. O. Gostin, B. Jennings, and B. Steinbock (Eds.), Oxford: Oxford University Press; (1999) New Ethics for the Public's Health, , D. E. Beauchamp and B. Steinbock (Eds.), New York: Oxford University Press; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of ""cosmetic tourism""-an avoidable burden on the NHS (2007) Journal of Plastic, Reconstructive & Aesthetic Surgery, 60, pp. 1075-1077; Cheung, I., Wilson, A., Arthroplasty tourism (2007) Medical Journal of Australia, 187, pp. 666-667; Coggon, J., Does public health have a personality (and if so, does it matter if you don't like it)? (2010) Cambridge Quarterly of Healthcare Ethics, 19, pp. 235-248; de Arellano, R., Patients without borders: the emergence of medical tourism (2007) International Journal of Health Services, 37, pp. 193-198; Green, R., Donovan, A., Jauss, S.A., (2009) Global Bioethics: Issues of Conscience for the Twenty-First Century, , Oxford: Oxford University Press; Kass, N., An ethics framework for public health (2001) American Journal of Public Health, 91, pp. 1776-1782; Meghani, Z., A robust, particularist ethical assessment of medical tourism Developing World Bioethics, , forthcoming; Mudur, G., Hospitals in India woo foreign patients (2004) Bmj, 328, p. 1338; Nair, M., Dolovich, L., Brazil, K., Raina, P., It's all about relationships: a qualitative study of health researchers' perspectives of conducting interdisciplinary health research (2008) BMC Health Services Research, 8, p. 110; Newman, M., Camberos, A., Ascherman, J., Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter (2005) Annals of Plastic Surgery, 55, pp. 107-110; O'Neill, O., Public health or clinical ethics: thinking beyond borders (2002) Ethics & International Affairs, 16, pp. 35-45; Pennings, G., Ethics without boundaries: Medical tourism (2007) Principles of Health Care Ethics, , 2nd edn., R. Ashcroft, A. Dawson, H. Draper, and J. McMillan (Eds.), Hoboken: Wiley; Petryna, A., (2009) When Experiments Travel: Clinical Trials and the Global Search for Human Subjects, , Princeton: Princeton University Press; Selgelid, M., Battin, M., Smith, C., (2006) Ethics and Infectious Disease, , Oxford: Blackwell; Sen Gupta, A., Nundy, S., The private health sector in India (2005) Bmj, 331, pp. 1157-1158; Trevor-Deutsch, B., Message from the Director (2006) Ethics Live!@CIHR, 5, pp. 1-3. , http://www.cihr-irsc.gc.ca/e/32673.html; Turner, L., ""First world health care at third world prices"": Globalization, bioethics, and medical tourism (2007) Biosocieties, 2, pp. 303-325; Upshur, R., Principles for the justification of public health intervention (2002) Canadian Journal of Public Health, 93, pp. 101-103","Snyder, J.; Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; email: jcs12@sfu.ca",,,,,,,,11767529,,,,"English","J. Bioethical Inq.",Article,"Final",,Scopus,2-s2.0-79952073552 "Martin D.","55476557200;","Medical travel and the sale of human biological materials: Suggestions for ethical policy development [Voyage médical et vente de matériel biologique humain: Propositions pour l'élaboration d'une politique éthique]",2010,"Global Social Policy","10","3",,"377","395",,12,"10.1177/1468018110379979","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650272411&doi=10.1177%2f1468018110379979&partnerID=40&md5=f4e4385944f439e13c5390d1a68570fb","Centre for Applied Philosophy and Public Ethics, The University of Melbourne, 93 Princes Street, Carlton, 3053 VIC, Australia","Martin, D., Centre for Applied Philosophy and Public Ethics, The University of Melbourne, 93 Princes Street, Carlton, 3053 VIC, Australia","The international medical travel industry includes patients seeking to access human biological materials (HBM) including gametes, organs and stem cells. Of the various niche markets, 'transplant tourism' has earned global condemnation and efforts to eradicate cross-border trade in organs, while other markets continue to expand. This article reviews the ethical issues raised by medical travel for HBM, in particular those concerning trade in HBM. It argues that a more consistent approach to the regulation of cross-border trade is imperative to ensure that the perils of 'transplant tourism' are not replicated in other markets. In addition, it discusses the role of the self-sufficiency model in assisting the development of ethical and practical policies regarding the procurement and use of human biological materials at a national level, thereby minimizing demand for medical travel. © The Author(s) 2010.","ethics; gamete donation; medical travel; organ transplantation; tourism","aid policy; commercialization; ethics; health care; policy development; tourism; trade",,,,,,,,"Alghamdi, S., Nabi, Z., Alzhafi, D., Askandri, S., Transplant tourism outcome: A single center experience (2010) Transplantation, 90, pp. 184-188; Bailin, P., Recent developments in health law - Ferguson V. McKiernan: The problematic concept of technological paternity (2008) Journal of Law, Medicine and Ethics, 36, pp. 425-434; Bakdash, T., Scheper-Hughes, N., Is it ethical for patients with renal disease to purchase kidneys from the world's poor? (2006) PLoS Medicine, 3, pp. 1699-1702; Blyth, E., Fertility patients' experiences of cross-border reproductive care (2010) Fertility and Sterility, 94, pp. e11-e15; Mission Statement, , www.bmdw.org/index.php?id=mission, Bone Marrow Donor Worldwide (BMDW), Available at; Boggio, A., Italy Enacts New Law on Medically Assisted Reproduction (2005) Human Reproduction, 20, pp. 1153-1157; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Carbone, J., Gottheim, P., Markets, subsidies, regulation and trust. Building ethical understandings into the market for fertility services (2005) Journal of Gender, Race and Justice, 9, pp. 509-547; Chapman, J., Should we pay donors to increase the supply of organs for transplantation? 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(2010) Health Policy, 94, pp. 255-265; Merlet, F., Sénémaud, B., Prise en charge du don d'ovocytes: Réglementation du don, la face cachée du tourisme procreative (2010) Gynécologie Obstétrique & Fertilité, 38, pp. 36-44; Moazam, F., Zaman RM and Jafarey AM (2009) Conversations with kidney vendors in Pakistan: An ethnographic study Hastings Center Report, 39, pp. 29-44; Murdoch, C.E., Scott, C.T., Stem cell tourism and the power of hope (2010) American Journal of Bioethics, 10, pp. 16-23; Nahman, M., Nodes of desire: Romanian egg sellers, dignity and feminist alliances in transnational ova exchanges (2008) European Journal of Women's Studies, 15, pp. 65-82; Naqvi, S.A.A., Rizvi, S.A.H., Zafar, M.N., Health status and renal function evaluation of kidney vendors: A report from Pakistan (2008) American Journal of Transplantation, 8, pp. 1444-1450; Noel, L., Martin, D., Progress towards national self-sufficiency in organ transplants (2009) Bulletin of the World Health Organization, 87, p. 647; Nygren, K., Adamson, D., Zegers-Hochschild, F., Cross-border fertility care-international committee monitoring assisted reproductive technologies global survey: 2006 Data and estimates (2010) Fertility and Sterility, 94, pp. e4-e10; Ombelet, W., Reproductive healthcare systems should include accessible infertility diagnosis and treatment: An important challenge for resource poor countries (2009) International Journal of Gynecology and Obstetrics, 106, pp. 168-171; Oniscu, G.C., Forsythe, J.L., An overview of transplantation in culturally diverse regions (2009) Annals of the Academy of Medicine, 38, pp. 365-369; Padilla, B.S., Regulated compensation for kidney donors in the Philippines (2009) Current Opinion in Organ Transplantation, 14, pp. 120-123; The Declaration of Istanbul on Organ Trafficking and Transplant Tourism (2008) Kidney International, 74, pp. 845-859. , Participants in the International Summit on Transplant Tourism and Organ Trafficking convened by The Transplantation Society and International Society of Nephrology in Istanbul, Turkey, 30 April to 2 May 2008; Patel, S., Cassuto, J., Orloff, M., Minimizing morbidity of organ donation: Analysis of factors for perioperative complications after living-donor nephrectomy in the United States (2008) Transplantation, 85, pp. 561-565; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) British Medical Journal, 28, pp. 337-341; Pennings, G., Legal harmonization and reproductive tourism in Europe (2004) Human Reproduction, 19, pp. 2689-2694; Peterson, M.M., Assisted reproductive technologies and equity of access issues (2005) Journal of Medical Ethics, 31, pp. 280-285; Pollock, A., Complicating power in high-tech reproduction: Narratives of anonymous paid egg donors (2003) Journal of Medical Humanities, 24, pp. 241-263; Pretagostini, R., Peritore, D., Di Ciaccio, P., Exchange of organs and patients with foreign nations during the first 15 months of activity of the Italian Gate to Europe (2007) Transplantation, 39, pp. 1739-1742; Radin, M.J., (1996) Contested Commodities, , Cambridge, MA: Harvard University Press; Rizvi, A.H.S., Naqvi, A.S.A., Zafar, N.M., Regulated compensated donation in Pakistan and Iran (2009) Current Opinion in Organ Transplantation, 14, pp. 124-128; Robertson, J.A., Protecting embryos and burdening women: Assisted reproduction in Italy (2004) Human Reproduction, 19, pp. 1693-1696; Ruger, J.P., Ethics and governance of global health inequalities (2006) Journal of Medical Ethics, 60, pp. 998-1002; Ryan, K.A., Sanders, A.N., Wang, D.D., Tracking the rise of stem cell tourism (2010) Regenerative Medicine, 5, pp. 27-33; Satel, S., When altruism isn't enough (2009) The Case for Compensating Kidney Donors, , Washington, DC: AEI Press; Scheper-Hughes, N., Parts unknown: Undercover ethnography of the organs-trafficking underworld (2004) Ethnography, 5, pp. 29-73; Schweda, M., Schicktanz, S., The 'spare parts person'?: Conceptions of the human body and their implications for public attitudes towards organ donation and organ sale (2010) Philosophy, Ethics, and Humanities in Medicine, 4, p. 4; Shalev, C., Stem cell tourism: A challenge for trans-national governance (2010) American Journal of Bioethics, 10, pp. 40-42; Shenfield, F., de Mouzon, J., Pennings, G., Cross border reproductive care in six (2010) European Countries. 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Available at; Zargooshi, J., Iranian kidney donors: Motivations and relations with recipients (2001) The Journal of Urology, 165, pp. 386-392","Martin, D.; Centre for Applied Philosophy and Public Ethics, The University of Melbourne, 93 Princes Street, Carlton, 3053 VIC, Australia; email: domini.martin@gmail.com",,,,,,,,14680181,,,,"English; French; Spanish","Global Soc. Policy",Article,"Final",,Scopus,2-s2.0-78650272411 "Magdalini V., Paris T.","36802133300;36802541100;","The wellness tourism market in Greece - An interdisciplinary methodology approach",2009,"Tourismos","4","4",,"127","144",,12,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-78651496194&partnerID=40&md5=d5efbf5e3d4a40b68c395b7ab8ab0fc8","University of Aegean, Department of Business Administration, Chios, Greece","Magdalini, V., University of Aegean, Department of Business Administration, Chios, Greece; Paris, T., University of Aegean, Department of Business Administration, Chios, Greece","Wellness tourism market world wide is experiencing rapid development in terms of size but also in terms of quality of the wellness tourism product. It is a form of tourism which can enhance the competitive advantage of a destination. This paper (which was originally presented at the 4th International Conference of the University of Aegean- ""Planning for the Future - Learning from the Past: Contemporary Developments in Tourism, Travel & Hospitality""-2009) presents an interdisciplinary methodological approach in studying the Greek wellness tourism market, as well as a part of the research's findings in an attempt to define the special characteristics of the demand and supply side of this relatively new market, but also the typologies of the wellness tourists. © University of the Aegean.","Greece; Qualitative research; Triangulation; Wellness tourism",,,,,,,,,"Ardell, D.B., (1986) High Level Wellness, , Berkeley, Ten Speed Press; Brown, H., (1993) Perception, theory and Commitment, , Crete, University publications; Cohen, M., Bodecker, G., (2008) Understanding the global spa industry, , London, Butterworth - Heinemann; Decrop, A., Triangulation in Qualitative tourism research (1999) Tourism Management, 20, pp. 157-161; Denzin, N.K., (1978) The research act: A theoretical introduction to sociological methods, , New York, McGraw-Hill; Douglas, N., Douglas, N., Derrett, R., (2001) Special interest tourism, , Milton, John Wiley & Sons Australia, Ltd; Dunn, H.L., High-level Wellness for Man and Society (1959) American Journal of Public Health, 49 (6), pp. 786-792; Christou, E., (1999) Research of the tourism market, , Athens, Interbooks; Remaco, S.A., (2005) Study for the development of the special products of Wellbeing and Pampering in Cyprus, , CTO-Cyprus Tourism Organisation, CyproNetwork; González, L., Comesaña, J., Brea, M., Assessing tourist behavioral intentions through perceived service quality and customer satisfaction (2007) Journal of Business Research, 60; Hartmann, R., Combining Field Methods in tourism research (1988) Annals of tourism research, 15; Kallas, J., (2008) Information technology in social research, , Athens, Greek National Center of Social Researches-Nefeli publications; Kallas, J., Kondili, D., Karagiannis, J., (2008) Methodological Issues and research infrastructures of social sciences, , Athens, University of Athens-University of Aegean-Potamos Publications; Kaspar, C., A new lease on life for spa and health tourism (1990) Annals of Tourism Research, 17 (2), pp. 298-299; Kokkosis, H., Tsartas, P., (2001) Sustainable tourism development and the environment, , Athens, Kritiki publications; Kotler, P., (1988) Marketing Management, , London, Prentice-Hall; Spa tourism International, , Http://www.mintel.com, Mintel reports, (2007, June); Mueller, H., Kaufmann, E., Wellness Tourism: Market Analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 6-7; Ritchie, J., Goeldner, C., (1994) Travel, Tourism and Hospitality Research, , London, Wiley; Riley, R., Love, L., The state of qualitative tourism research (2000) Annals of tourism research, 8; Smith, M., Puczko, L., (2008) Health and wellness tourism, , London, Butterworth Heinemann; (1997) Qualitative Inquiry- A dictionary of terms, , Schwandt. London, Sage publications; Opaschowski, H.W., (2001) Turismus im 21 jahrjundert, das gekaufte paradies, , Hamburg, B.A.T. Frezeit- Forschungsinstitut GmbH; Trauer, B., Conceptualising special interest tourism- frameworks for analysis (2006) Tourism management, 27, pp. 183-200; Travis, J.W., The Relationship of Wellness Education and Holistic Health (1984) Mind, Body and Health, pp. 188-198. , J. S. Gordon et al. (Eds.), New York: Sciences Press; Tsartas, P., (1996) Tourists, Journeys, Place, Social approaches to tourism, , Athens, Exantas; Veal, A.J., (2006) Research Methods for leisure and tourism, , London, Pearson Professional ltd; Weiler, B., Hall, C.M., (1992) Special interest tourism, , London, Belhaven Press; (1985) The role of recreation management in the development of active holidays and special interest tourism and consequent enrichment of the holiday experience, , World Tourism Organisation. Madrid, United Nations Development programme/WTO","Magdalini, V.; University of Aegean, Department of Business Administration, Chios, Greece; email: m.vasileiou@chios.aegean.gr",,,,,,,,17908418,,,,"English","Tourismos",Article,"Final",,Scopus,2-s2.0-78651496194 "Flanders S.A., Harrington L., Fowler R.J.","13605745500;7101723014;35078363200;","Falls and patient mobility in critical care: Keeping patients and staff safe",2009,"AACN Advanced Critical Care","20","3",,"267","276",,12,"10.1097/NCI.0b013e3181ac2628","https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349277538&doi=10.1097%2fNCI.0b013e3181ac2628&partnerID=40&md5=8a3e3ce301d38122194e1496876e9a95","Baylor Health Care System, Office of Patient Safety, 8080 N Central Expressway, Dallas, TX 75206, United States; Baylor Health Care System, Office of the CNO, Dallas, TX, United States; Critical Care, Baylor University Medical Center, Baylor Health Care System, Dallas, TX, United States","Flanders, S.A., Baylor Health Care System, Office of Patient Safety, 8080 N Central Expressway, Dallas, TX 75206, United States; Harrington, L., Baylor Health Care System, Office of the CNO, Dallas, TX, United States; Fowler, R.J., Critical Care, Baylor University Medical Center, Baylor Health Care System, Dallas, TX, United States","Creating safe passage for patients is a priority in hospitals across the United States, a priority in which critical care and advanced practice nurses play a crucial role. Three unique but related areas within this safety framework are fall prevention, the emerging practice of early mobility in intensive care, and safe patient handling. This article explores these 3 topics in tandem to determine whether sufficient evidence exists to guide fall prevention strategies, to explore patient safety associated with early mobility in intensive care units, and, because mobilizing patients is physically demanding for health care workers, to describe safe patient-handling techniques aimed at injury prevention for critical care nurses and others. A review of what is currently known about falls, effects of mobility, and safe patient handling provides a foundation for practice considerations and reveals research opportunities. © 2009, AACN.","Mobility; Patient falls; Patient safety; Safe patient handling","article; exercise; falling; human; intensive care; movement (physiology); risk assessment; safety; workplace; Accidental Falls; Critical Care; Exercise; Humans; Movement; Risk Assessment; Safety; Workplace",,,,,,,,"Rutledge, D.N., Donaldson, N.E., Pravikoff, D.S., Fall risk assessment and prevention in healthcare facilities (1998) Online J Clin Innovations, 1, pp. 1-33; Hausdorff, J.M., Rios, D.A., Edelber, H.K., Gait variability and fall risk in community-living older adults: A 1-year prospective study (2001) Arch Phys Med Rehabil, 82, pp. 1050-1056; Hornbrook, M.C., Stevens, V.J., Wingfield, D.J., Hollis, J.F., Greenlick, M.R., Ory, M.G., Preventing falls among community-dwelling older persons: Results from a randomized trial (1994) Gerontologist, 34, pp. 16-23; Thill, L., The big picture: Experts agree that patient safety is a broad concept, but one that must be addressed (2008) J Healthcare Contracting [Serial Online], , http://www.jhconline.com/article-marapr2008-thebigpicture.asp, Published March/April. 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(1991) Appl Nurs Res, 6, pp. 135-136; Morse, J.M., Tylko, S.J., Dixon, H.A., Characteristics of the fall-prone patient (1987) Gerontologist, 27, pp. 516-522; Morgan, V.R., Mathison, J.H., Rice, J.C., Clemmer, D.I., Hospital falls: A persistent problem (1985) Am J Public Health, 75, pp. 775-777; Alexander, B.H., Rivara, F.P., Wolf, M.E., The cost and frequency of hospitalization for fall-related injuries in older adults (1992) Am J Public Health, 82, pp. 1020-1023; Uden, G., Inpatient accidents in hospitals (1985) J Am Geriatr Soc, 33, pp. 833-841; Tzeng, H.M., Yin, C.Y., Nurses' solutions to prevent inpatient falls in hospital patient rooms (2008) Nurs Econ, 26, pp. 179-187; Hendrich, A.L., (1992) Falls, Immobility and Restraints: A Resource Manual, , St Louis, MO: Mosby; Hart, J., Chen, J., Rashidee, A.H., Kumar, S., Epidemiology and impact of patient falls in healthcare facilities (2009) Patient Saf Qual Healthcare [Serial Online], 6, pp. 12-14. , http://viewer.zmags.com/publication/5f9ff0a8#/5f9ff0a8/1, Published March/April. 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A.; Baylor Health Care System, Office of Patient Safety, 8080 N Central Expressway, Dallas, TX 75206, United States; email: sonya.flanders@baylorhealth.edu",,,,,,,,15597768,,,"19638748","English","AACN Adv. Crit. Care",Article,"Final",,Scopus,2-s2.0-70349277538 "Sauer M.V.","7202098093;","Reproductive prohibition: Restricting donor payment will lead to medical tourism",1997,"Human Reproduction","12","9",,"1844","1845",,12,"10.1093/oxfordjournals.humrep.a019605","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030814825&doi=10.1093%2foxfordjournals.humrep.a019605&partnerID=40&md5=410e4ec482c740f273b04fa2bd101a98","Department of Obstetrics, College of Physicians and Surgeons, Columbia University, New York, NY, United States","Sauer, M.V., Department of Obstetrics, College of Physicians and Surgeons, Columbia University, New York, NY, United States",[No abstract available],,"altruism; fee; oocyte donation; short survey",,,,,,,,"Guidelines for oocyte donation (1993) Fertile, Steril., 59 (SUPPL.), pp. 5S-9S; Ethical considerations of assisted reproductive technologies (1994) Fertil Steril, 62 (SUPPL.), pp. 47S-49S; Buster, J.E., Bustillo, M., Thorneycroft, I., Nonsurgical transfer of in vivo fertilized donated ova to five infertile women: Report of two pregnancies (1983) Lancet, 2, p. 223; Johnson, M., Payments to gamete donors: Position of the Human Fertilisation and Embryology Authority (1997) Hum. Reprod., 12, pp. 1839-1842; Sauer, M.V., Oocyte donation: Reflections on past work and future directions (1996) Hum. Reprod., 11, pp. 820-823; Sauer, M.V., Exploitation or a woman's right? (1997) Br, Med. J., 314, p. 1403","Sauer, M.V.; Department of Obstetrics Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, United States",,,"Oxford University Press",,,,,02681161,,HUREE,"9363693","English","HUM. REPROD.",Short Survey,"Final",Open Access,Scopus,2-s2.0-0030814825 "Momeni K., Janati A., Imani A., Khodayari-Zarnaq R.","55570684900;56617983400;56082604600;56700399000;","Barriers to the development of medical tourism in East Azerbaijan province, Iran: A qualitative study",2018,"Tourism Management","69",,,"307","316",,11,"10.1016/j.tourman.2018.05.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048999897&doi=10.1016%2fj.tourman.2018.05.007&partnerID=40&md5=ebb00130bc8254579c24fa2357248b0b","Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran; Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran; Tabriz Health Service Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran","Momeni, K., Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran; Janati, A., Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran; Imani, A., Tabriz Health Service Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran; Khodayari-Zarnaq, R., Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran","The purpose of the present study was to determine factors impeding the development of medical tourism in East Azerbaijan province, Iran. The data were derived from interviews with 16 key informants. Data analysis of the study was conducted through employing the software MAXQDA-12. The results show that marketing, international issues, culture, transfer, brokerage, management, and policy problems are the main barriers to the development of medical tourism. It seems that East Azerbaijan province should provide necessary context for the participation and investment of private sector in the field of medical tourism. Further, it should design and implement long and short-term strategies in proportion to the problems raised. © 2018 Elsevier Ltd","East Azerbaijan province; Medical tourism; Tourism development","culture; marketing; medical tourism; policy approach; qualitative analysis; software; tourism development; tourism management; East Azerbaijan; Iran",,,,,"Tabriz University of Medical Sciences, TUOMS: 5/4/56308","This study is a part of a PhD dissertation and was supported Research Vice - Chancellor Tabriz University of Medical Sciences under research grant number 5/4/56308 .",,"Alsharif, M.J., Labonté, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10 (3), pp. 315-335. , https://journals.sagepub.com/doi/pdf/10.1177/1468018110380003, Available at:; Álvarez, M.M., Chanda, R., Smith, R.D., The potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the UK and India (2011) Globalization and Health, 7 (1), p. 11. , https://globalizationandhealth.biomedcentral.com/articles/10.1186/1744-8603-7-11, Available at:; Azadi, F., Maleki, M., Tabibi, S.J., Azmal, M., A medical tourist perception of Iranian hospital quality: Limited employee foreign language skills negatively impact communication (2012) International Journal of Hospital Research, 1 (2), pp. 85-90. , https://ijhr.iums.ac.ir/article_3864_b82b0822dc24e1911e43f423e853970b.pdf, Available at:; Beladi, H., Chao, C.-C., Ee, M.S., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Economic Modelling, 46, pp. 391-396. , https://doi.org/10.1016/j.econmod.2014.12.045, Available at:; Buzinde, C.N., Yarnal, C., Therapeutic landscapes and postcolonial theory: A theoretical approach to medical tourism (2012) Social Science & Medicine, 74 (5), pp. 783-787. , https://doi.org/10.1016/j.socscimed.2011.11.016, Available at:; Carrera, P., PHP194 why do patients engage in medical tourism? 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Manage.",Article,"Final",,Scopus,2-s2.0-85048999897 "Kim E., Chiang L., Tang L.","55801553900;55925238200;55981911800;","Investigating wellness tourists’ motivation, engagement, and loyalty: in search of the missing link",2017,"Journal of Travel and Tourism Marketing","34","7",,"867","879",,11,"10.1080/10548408.2016.1261756","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85006856661&doi=10.1080%2f10548408.2016.1261756&partnerID=40&md5=a5160123aec0ccbc71e8e6058a473997","Department of Hospitality & Tourism Management, Pamplin College of Business, Virginia Tech, Blacksburg, VA, United States; College of Management, Yuan Ze University, ChungLi, Taiwan; Department of Apparel, Events, & Hospitality Management, College of Human Science, Iowa State University, Ames, IA, United States","Kim, E., Department of Hospitality & Tourism Management, Pamplin College of Business, Virginia Tech, Blacksburg, VA, United States; Chiang, L., College of Management, Yuan Ze University, ChungLi, Taiwan; Tang, L., Department of Apparel, Events, & Hospitality Management, College of Human Science, Iowa State University, Ames, IA, United States","Wellness tourism is a rapidly growing sector of the current thriving tourism industry. The purpose of this study was to investigate tourists’ motivation and its relationship with engagement and loyalty at wellness tourism destinations. Specifically, tourists’ motivation was evaluated via four components: prestige and luxury; novelty and knowledge; self-development; and relaxation and escape. Tourists’ engagement was assessed from two perspectives: experiential and reflective. The study confirmed the impact of tourists’ motivation on engagement, which consequently leads to loyalty. The present research provides industry practitioners with strategies to understand and predict tourists’ behavior in wellness tourism destinations. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","experiential engagement; Motivation; reflective engagement; wellness tourism",,,,,,,,,"Aaker, D.A., (1991) Managing brand equity: Capitalising on the value of brand name, , New York, NY: The Free Press, ​​; Achterberg, W., Pot, A.M., Kerkstra, A., Ooms, M., Muller, M., Ribbe, M., The effect of depression on social engagement in newly admitted Dutch nursing home residents (2003) The Gerontologist, 43 (2), pp. 213-218; Ali-Knight, J., Yoga tourism (2009) Wellness and tourism: Mind, body, spirit, place, pp. 84-95. , Bushell R., Sheldon P.J., (eds), New York, NY: Cognizant Communication Corporation; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review and recommended two-step approach (1988) Psychological Bulletin, 103 (3), pp. 411-423; Backman, S.J., Crompton, J.L., The usefulness of selected variables for predicting activity loyalty (1991) Leisure Sciences, 13 (3), pp. 205-220; Bagozzi, R.P., The self-regulation of attitudes, intentions, and behavior (1992) Social Psychology Quarterly, 55, pp. 178-204; Ballantyne, R., Packer, J., Falk, J., Visitors’ learning for environmental sustainability: Testing short-and long-term impacts of wildlife tourism experiences using structural equation modelling (2011) Tourism Management, 32 (6), pp. 1243-1252; Baloglu, S., Uysal, M., Market segments of push and pull motivations: A canonical correlation approach (1996) International Journal of Contemporary Hospitality Management, 8 (3), pp. 32-38; Bass, M.M., Duchowny, C.A., Llabre, M.M., The effect of therapeutic horseback riding on social functioning in children with autism (2009) Journal of Autism and Developmental Disorders, 39 (9), pp. 1261-1267. , ​; Bentler, P.M., Comparative fit indexes in structural models (1990) Psychological Bulletin, 107 (2), pp. 238-251; Brodie, R.J., Hollebeek, L.D., Juric, B., Ilic, A., Customer engagement: Conceptual domain, fundamental propositions, and implications for research (2011) Journal of Service Research; Brodie, R.J., Ilic, A., Juric, B., Hollebeek, L., Consumer engagement in a virtual brand community: An exploratory analysis (2013) Journal of Business Research, 66 (1), pp. 105-114; Bryce, D., Curran, R., O’Gorman, K., Taheri, B., Visitors’ engagement and authenticity: Japanese heritage consumption (2015) Tourism Management, 46, pp. 571-581; Campón-Cerro, A.M., Hernández-Mogollón, J.M., Alves, H., Sustainable improvement of competitiveness in rural tourism destinations: The quest for tourist loyalty in Spain (2016) Journal of Destination Marketing & Management; Castaño Blanco, J.M., Moreno Sáez, A., García Dauder, S., Crego Díaz, A., Psychosocial study of tourist motivation: Factors involved in the choice of Madrid as a destination (2003) Estudios Turísticos, (1), pp. 5-41. , ​​; Castano, E., Dechesne, M., On defeating death: Group reification and social identification as immortality strategies (2005) European Review of Social Psychology, 16 (1), pp. 221-255. , ​; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; Connell, J.P., Wellborn, J.G., Competence, autonomy, and relatedness: A motivational analysis of self-system processes (1991) Self processes in development: Minnesota symposium on child psychology, 23, pp. 167-216. , Gunnar M.R., Sroufe L.A., (eds), Chicago, IL: University of Chicago Press; Crang, M., Picturing practices: Research through the tourist gaze (1997) Progress in Human Geography, 21 (3), pp. 359-373; Crompton, J.L., Motivations for pleasure vacation (1979) Annals of Tourism Research, 6 (4), pp. 408-424; Dann, G.M., Anomie (1977) ego-enhancement And Tourism. 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Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-85006856661 "Kaspar H., Reddy S.","56462375600;36107370400;","Spaces of connectivity: The formation of medical travel destinations in Delhi National Capital Region (India)",2017,"Asia Pacific Viewpoint","58","2",,"228","241",,11,"10.1111/apv.12159","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020729826&doi=10.1111%2fapv.12159&partnerID=40&md5=aa05be5a29923aec9d8821e7c70ff166","Health Department, Kalaidos University of Applied Sciences/Careum Research, Pestalozzistrasse 3, Zurich, 8032, Switzerland; Center of Social Medicine and Community Health, Jawaharlal Nehru University, New Mehrauli Road, New Delhi, 110067, India","Kaspar, H., Health Department, Kalaidos University of Applied Sciences/Careum Research, Pestalozzistrasse 3, Zurich, 8032, Switzerland; Reddy, S., Center of Social Medicine and Community Health, Jawaharlal Nehru University, New Mehrauli Road, New Delhi, 110067, India","Existing research on the formation of Asian medical travel destinations has highlighted a variety of activities that attract and accommodate patients from abroad. This paper contributes to the literature by drawing insights from an Indian case study, a major transnational health-care hub in Asia that has gained little scholarly attention thus far. Using connectivity as an analytical lens, we understand medical travel destinations as a contingent product of relating, connecting and assembling. We study how connectivity is embodied and how it unfolds in care encounters at corporate hospitals in the capital of New Delhi and surrounding urban areas. The following entities are the most effectual in the networks that constitute medical travel destinations in the National Capital Region: (i) circulating narrations of personal experiences; (ii) language interpreters; and (iii) commission fees. We further elaborate on how these connectors work to link foreign patients with Indian hospitals and how they affect itineraries as well as patients and other involved actors. Finally, we suggest that the approach deployed provides a suitable framework for future research aimed at gaining a better understanding of the wider impacts of medical travel by following these connections and examining their workings at places both close and distant. © 2017 Victoria University of Wellington and John Wiley & Sons Australia, Ltd","assemblages; care encounters; connectivity; India; medical travel destination; transnational healthcare","future prospect; health care; hospital sector; medical tourism; service provision; tourist attraction; tourist destination; Delhi; India; New Delhi",,,,,,"We are grateful to Dr Carolin Schurr for her careful and critical reading. Her supportive comments and suggestions helped tremendously to sharpen our argument. We are thankful to all patients, informal caregivers and health professionals for taking the time and sharing their view and expertise. We are particularly indebted to Dr Rashmi Shirali who went out of her way to support this research project. 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Ong, N.N. Chen, (eds.),, Durham, North Carolina, Duke University Press; Woodman, J., (2008) Patients beyond borders. Everybody's guide to affordable, world-class medical travel, , Second., Chapel Hill, Healthy Travel Media; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201. , https://doi.org/10.1016/j.tourman.2012.04.010",,,,"Blackwell Publishing Ltd",,,,,13607456,,,,"English","Asia Pac. Viewp.",Article,"Final",,Scopus,2-s2.0-85020729826 "Ma A.J., Rawat N., Reiter A., Shrock C., Zhan A., Stone A., Rabiee A., Griffin S., Needham D.M., Saria S.","54958223900;55034863400;24072196400;55617423600;35147384000;57193738385;57185302500;57193733351;7102365588;56014917500;","Measuring Patient Mobility in the ICU Using a Novel Noninvasive Sensor",2017,"Critical Care Medicine","45","4",,"630","636",,11,"10.1097/CCM.0000000000002265","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016221325&doi=10.1097%2fCCM.0000000000002265&partnerID=40&md5=3d2639a20c9dcc07b45eb0c1bafe6f16","Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States; Department of Anesthesia and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Johns Hopkins University School of Medicine, Baltimore, MD, United States; Outcomes after Critical Illness and Surgery Group, John Hopkins University School of Medicine, Baltimore, MD, United States; Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; John Hopkins Hospital, Baltimore, MD, United States; Department of Physical Medicine and Rehabilitation, John Hopkins University School of Medicine, Baltimore, MD, United States; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States","Ma, A.J., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States; Rawat, N., Department of Anesthesia and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Reiter, A., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States; Shrock, C., Johns Hopkins University School of Medicine, Baltimore, MD, United States; Zhan, A., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States; Stone, A., Johns Hopkins University School of Medicine, Baltimore, MD, United States; Rabiee, A., Outcomes after Critical Illness and Surgery Group, John Hopkins University School of Medicine, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Griffin, S., John Hopkins Hospital, Baltimore, MD, United States; Needham, D.M., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Outcomes after Critical Illness and Surgery Group, John Hopkins University School of Medicine, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Department of Physical Medicine and Rehabilitation, John Hopkins University School of Medicine, Baltimore, MD, United States; Saria, S., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States","Objectives: To develop and validate a noninvasive mobility sensor to automatically and continuously detect and measure patient mobility in the ICU. Design: Prospective, observational study. Setting: Surgical ICU at an academic hospital. Patients: Three hundred sixty-two hours of sensor color and depth image data were recorded and curated into 109 segments, each containing 1,000 images, from eight patients. Interventions: None. Measurements and Main Results: Three Microsoft Kinect sensors (Microsoft, Beijing, China) were deployed in one ICU room to collect continuous patient mobility data. We developed software that automatically analyzes the sensor data to measure mobility and assign the highest level within a time period. To characterize the highest mobility level, a validated 11-point mobility scale was collapsed into four categories: nothing in bed, in-bed activity, out-of-bed activity, and walking. Of the 109 sensor segments, the noninvasive mobility sensor was developed using 26 of these from three ICU patients and validated on 83 remaining segments from five different patients. Three physicians annotated each segment for the highest mobility level. The weighted Kappa (κ) statistic for agreement between automated noninvasive mobility sensor output versus manual physician annotation was 0.86 (95% CI, 0.72-1.00). Disagreement primarily occurred in the ""nothing in bed"" versus ""in-bed activity"" categories because ""the sensor assessed movement continuously,"" which was significantly more sensitive to motion than physician annotations using a discrete manual scale. Conclusions: Noninvasive mobility sensor is a novel and feasible method for automating evaluation of ICU patient mobility. Copyright © 2017 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.","artificial intelligence; early ambulation; intensive care unit; machine learning; rehabilitation","adult; aged; Article; clinical article; female; human; intensive care unit; male; noninvasive mobility sensor; observational study; patient mobility; priority journal; prospective study; sensor; validation study; walking; algorithm; devices; middle aged; movement (physiology); physiologic monitoring; procedures; videorecording; Aged; Algorithms; Female; Humans; Intensive Care Units; Male; Middle Aged; Monitoring, Physiologic; Movement; Prospective Studies; Video Recording; Walking",,,,,,,,"Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial (2009) Lancet, 373, pp. 1874-1882; Lord, R.K., Mayhew, C.R., Korupolu, R., ICU early physical rehabilitation programs: Financial modeling of cost savings (2013) Crit Care Med, 41, pp. 717-724; Kayambu, G., Boots, R., Paratz, J., Physical therapy for the critically ill in the ICU: A systematic review and meta-Analysis (2013) Crit Care Med, 41, pp. 1543-1554; Hashem, M.D., Nelliot, A., Needham, D.M., Early mobilization and rehabilitation in the intensive care unit: Moving back to the future (2016) Respir Care, 61, pp. 971-979; Morris, P.E., Goad, A., Thompson, C., Early intensive care unit mobility therapy in the treatment of acute respiratory failure (2008) Crit Care Med, 36, pp. 2238-2243; Ota, H., Kawai, H., Sato, M., Effect of early mobilization on discharge disposition of mechanically ventilated patients (2015) J Phys Ther Sci, 27, pp. 859-864; Brower, R.G., Consequences of bed rest (2009) Crit Care Med, 37, pp. S422-S428; Kress, J.P., Hall, J.B., ICU-Acquired weakness and recovery from critical illness (2014) N Engl J Med, 370, pp. 1626-1635; Berney, S.C., Rose, J.W., Bernhardt, J., Prospective observation of physical activity in critically ill patients who were intubated for more than 48 hours (2015) J Crit Care, 30, pp. 658-663; Hodgson, C., Needham, D., Haines, K., Feasibility and inter-rater reliability of the ICU Mobility Scale (2014) Heart Lung, 43, pp. 19-24; Nydahl, P., Ruhl, A.P., Bartoszek, G., Early mobilization of mechanically ventilated patients: A 1-day point-prevalence study in Germany (2014) Crit Care Med, 42, pp. 1178-1186; Verceles, A.C., Hager, E.R., Use of accelerometry to monitor physical activity in critically ill subjects: A systematic review (2015) Respir Care, 60, pp. 1330-1336; Sallis, R., Roddy-Sturm, Y., Chijioke, E., Stepping toward discharge: Level of ambulation in hospitalized patients (2015) J Hosp Med, 10, pp. 384-389; Chakraborty, I., Elgammal, A., Burd, R.S., Video based activity recognition in trauma resuscitation (2013) IEEE International Conference and Workshops On Automatic Face and Gesture Recognition, , Shanghai, China, April 22-26; Twinanda, A.P., Alkan, E.O., Gangi, A., Data-driven spatio-Temporal RGBD feature encoding for action recognition in operating rooms (2015) Int J Comput Assist Radiol Surg, 10, pp. 737-747; Lea, C., Facker, J., Hager, G., 3D sensing algorithms towards building an intelligent intensive care unit (2013) AMIA Jt Summits Transl Sci Proc, 2013, pp. 136-140; 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Stehman, S.V., Selecting and interpreting measures of thematic classification accuracy (1997) Remote Sens Environ, 62, pp. 77-89; Reiter, A., Ma, A.J., Rawat, N., Process monitoring in the intensive care unit: Assessing patient mobility through activity analysis with a non-invasive mobility sensor (2016) 19th International Conference, Medical Image Computing and Computer-Assisted Intervention-MICCAI 2016, Proceedings, Part I, Athens, Greece, , October 17-21; Karpathy, A., Toderici, G., Shetty, S., Large-scale video classification with convolutional neural networks (2014) Proceedings of IEEE Conference On Computer Vision and Pattern Recognition, , Columbus, OH, June 23-28; Farabet, C., Couprie, C., Najman, L., Learning hierarchical features for scene labeling (2013) IEEE Trans Pattern Anal Mach Intell, 35, pp. 1915-1929","Saria, S.; Department of Computer Science, Johns Hopkins UniversityUnited States; email: suchi.saria@gmail.com",,,"Lippincott Williams and Wilkins",,,,,00903493,,CCMDC,"28291092","English","Crit. Care Med.",Article,"Final",,Scopus,2-s2.0-85016221325 "Skountridaki L.","56672946600;","Barriers to business relations between medical tourism facilitators and medical professionals",2017,"Tourism Management","59",,,"254","266",,11,"10.1016/j.tourman.2016.07.008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84982274282&doi=10.1016%2fj.tourman.2016.07.008&partnerID=40&md5=4c6ab47de4122bb41f97dbfb32b75e9e","University of Stirling, Stirling Management School, Stirling, FK9 4LA, United Kingdom","Skountridaki, L., University of Stirling, Stirling Management School, Stirling, FK9 4LA, United Kingdom","This paper examines facets of the developing business relations between two important actors in the supply-chain of transnational healthcare: medical tourism facilitators and medical doctors (MDs) practicing privately and internationalising their services. The empirical focus is Greece, an emerging destination for medical care. Drawing on the sociology of the professions as an analytical framework, rich qualitative data reveals a conflictual aspect in the relation between the two actors, and informs the literature on transnational healthcare of barriers to market development. Particularly, MDs practicing privately often resist what is perceived to be medical tourism facilitators' pressures to control the 'rules of the game' in the submarket which inhibits their collaboration. The paper contributes, thus, to the sociology of the professions by bringing to light a new challenge for MDs engaged in the transnational business arena, represented here by the facilitators; and encourages tourism practitioners to consider MDs' self-understanding, attitudes, and expectations. © 2016 Elsevier Ltd","Medical dominance; Medical professionals; Medical tourism facilitators; Medical travel/tourism; Transnational healthcare","business; health care; health services; health worker; market development; medical tourism; tourism management; travel behavior; Greece",,,,,,"This research was funded by a PhD scholarship.",,"Abbott, A., The system of professions: An essay on the division of labor (1988), University of Chicago Press Chicago; Abel, R.L., The legal profession in england and wales (1988), Blackwell New York; Ackerman, S.L., Plastic Paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 403-423; Andri, M., Kyriakidou, O., Professional autonomy under pressure: Towards a dialectical approach (2014) Journal of Health Organization and Management, 28 (5), pp. 635-652; Arnold, P., Disciplining domestic regulation: the World Trade Organization and the market for professional services (2005) Accounting, Organizations and Society, 30, pp. 299-330; Barrowman, A., Grubor, D., Chandu, A., Dental implant tourism (2010) Australian Dental Journal, 55 (4), pp. 441-445; Bell, D., Holliday, R., Ormond, M., Mainil, T., Transnational healthcare, cross-border perspectives (2015) Social Science & Medicine, 124, pp. 284-289; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) The American Journal of Surgery, 199 (5), pp. 604-608; Bolton, S., Skountridaki, L., The medical tourist and a political economy of care (2017) Antipode, 49 (2); Cabiedes, L., Guillén, A., Adopting and adapting managed competition: Health care reform in southern Europe (2001) Social Science & Medicine, 52 (8), pp. 1205-1217; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) International Journal of Health Services, 40 (3), pp. 469-484; Carvalho, A., Nunes, J.A., Technology, methodology and Intervention: Performing nanoethics in Portugal (2013) NanoEthics, 7 (2), pp. 149-160; Caulfield, T., Zarzeczny, A., Stem cell tourism and Canadian family physicians (2012) Canadian Family Physician, 58 (4), pp. 365-368; Cavaya, M., Case study research: A multi-faceted research approach for IS (1996) Information Systems Journal, 6 (3), pp. 227-242; Chantarakarn, C., Foley, S., James, W., Pandey, R., Medical tourism in Arizona (2013), Thunderbird School of Global Management Arizona; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10, pp. 336-357; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) MJA, 187, pp. 666-667; Chuang, T.C., Liu, J.S., Lu, L.Y.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, 45, pp. 49-58; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2010) Tourism Management, 32, pp. 709-716; Crooks, V., Snyder, J., Examining the practice of informal caregiving in medical tourism (2015), Simon Fraser University Burnaby, Canada; Crooks, V., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72, pp. 726-732; Crush, J., Chikanda, A., Maswikwa, B., Patients without Borders: Medical tourism and medical migration in southern Africa (2012), Southern African Migration Programme (SAMP) Cape Town; Dalstrom, M., Medical travel facilitators: Connecting patients and providers in a globalized world (2013) Anthropology and Medicine, 20 (1), pp. 24-35; Dent, M., Medicine, nursing and changing jurisdictions in the UK (2007) Redirections in the study of expert labour, pp. 101-117. , D. 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Allyn and Bacon Boston; Woodhead, A., Scoping Medical Tourism and International Hospital Accreditation Growth (2014) International Journal of Healthcare Quality Assurance, 27, p. 1",,,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84982274282 "Hohm C., Snyder J.","56539846500;24170239100;","""It Was the Best Decision of My Life"": A thematic content analysis of former medical tourists' patient testimonials",2015,"BMC Medical Ethics","16","1", 8,"","",,11,"10.1186/1472-6939-16-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924232456&doi=10.1186%2f1472-6939-16-8&partnerID=40&md5=e4f1870e897d2cb74c39f63338172d0e","Faculty of Health Sciences, Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Hohm, C., Faculty of Health Sciences, Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Background: Medical tourism is international travel with the intention of receiving medical care. Medical tourists travel for many reasons, including cost savings, limited domestic access to specific treatments, and interest in accessing unproven interventions. Medical tourism poses new health and safety risks to patients, including dangers associated with travel following surgery, difficulty assessing the quality of care abroad, and complications in continuity of care. Online resources are important to the decision-making of potential medical tourists and the websites of medical tourism facilitation companies (companies that may or may not be affiliated with a clinic abroad and help patients plan their travel) are an important source of online information for these individuals. These websites fail to address the risks associated with medical tourism, which can undermine the informed decision-making of potential medical tourists. Less is known about patient testimonials on these websites, which can be a particularly powerful influence on decision-making. Methods: A thematic content analysis was conducted of patient testimonials hosted on the YouTube channels of four medical tourism facilitation companies. Five videos per company were viewed. The content of these videos was analyzed and themes identified and counted for each video. Results: Ten main themes were identified. These themes were then grouped into three main categories: facilitator characteristics (e.g., mentions of the facilitator by name, reference to the price of the treatment or to cost savings); service characteristics (e.g., the quality and availability of the surgeon, the quality and friendliness of the support staff); and referrals (e.g., referrals to other potential medical tourists). These testimonials were found either not to mention risks associated with medical tourism or to claim that these risks can be effectively managed through the use of the facilitation company. The failure fully to address the risks of medical tourism can undermine the informed decision-making of potential medical tourists, particularly given the considerable influence on decision-making by patient testimonials. Conclusions: Regulation of these global companies is difficult, making the development of testimonials highlighting the risks of medical tourism essential. Additional research is needed on the impact of patient testimonial videos on the decision-making of potential medical tourists. © 2015 Hohm and Snyder; licensee BioMed Central.","Informed decision-making; Medical tourism; Patient testimonials","decision making; health care facility; human; Internet; medical tourism; patient; patient satisfaction; risk; videorecording; Decision Making; Health Facilities; Humans; Internet; Medical Tourism; Patient Satisfaction; Patients; Risk; Videotape Recording",,,,,,,,"Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives (2012) Public Health Ethics., 5 (1), pp. 38-46; Lunt, N., Machin, L., Green, S., Mannion, R., Are there implications for quality of care for patients who participate in international medical tourism? (2011) Expert Rev Pharmacoecon Outcomes Res., 11 (2), pp. 133-136; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res., 10 (266), pp. 1-12; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Can Fam Physician., 53 (10), pp. 1639-1641; Johnston, R., Crooks, V.A., Snyder, J., Dharamsi, S., Canadian family doctors' roles and responsibilities toward outbound medical tourists ""Our true role is... Within the confines of our system"" (2013) Can Fam Physician., 59 (12), pp. 1314-1319; Turner, L., ""Medical tourism"" and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) Int J Health Serv., 40 (3), pp. 443-467; Johnston, R., Crooks, V.A., Snyder, J., ""I didn't even know what I was looking for"": A qualitative study of the decision-making process of Canadian Medical Tourists (2012) Global Health., 8 (23), pp. 1-12; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The 'patient's physician one-step removed': The evolving roles of medical tourism facilitators (2011) J Med Ethics., 37 (9), pp. 530-534; Spece, R.G., Jr., Medical tourism: Protecting patients from conflicts of interest in broker's fees paid by foreign providers (2010) J Health Biomedical L., 6 (1), pp. 1-36; Smith, E., Behrmann, J., Martin, C., Williams-Jones, B., Reproductive tourism in Argentina: Clinic accreditation and its implications for consumers, health professionals and policy makers (2010) Dev World Bioeth., 10 (2), pp. 59-69; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J., 4, pp. 1-11; Lunt, N., Carrera, P., Systematic review of web sites for prospective medical tourists (2011) Tourism Rev., 66 (1-2), pp. 57-67; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) J Health Commun., 16 (2), pp. 163-177; Nassab, R., Hamnett, N., Nelson, K., Kaur, S., Greensill, B., Dhital, S., Cosmetic tourism: Public opinion and analysis of information and content available on the internet (2010) Aesthet Surg J., 30 (3), pp. 465-469; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics., 12 (17), pp. 1-9; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Manag., 32, pp. 709-716; Winterbottom, A., Bekker, H.L., Conner, M., Mooney, A., Does narrative information bias individuals' decision-making? 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Ethics",Article,"Final",Open Access,Scopus,2-s2.0-84924232456 "Leggat P.","7007064517;","Medical tourism",2015,"Australian Family Physician","44","1",,"16","21",,11,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921965518&partnerID=40&md5=e566556e1eb798750c2b7fe70d0d31a6","College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia; School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa","Leggat, P., College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa","Background: Medical tourism is a burgeoning industry in our region. It involves patients travelling outside of their home country for medical treatment. Objective: This article provides an outline of the current research around medical tourism, especially its impact on Australians. Discussion: Patients are increasingly seeking a variety of medical treatments abroad, particularly those involving cosmetic surgery and dental treatment, often in countries in South-East Asia. Adverse events may occur during medical treatment abroad, which raises medico-legal and insurance issues, as well as concerns regarding follow-up of patients. General practitioners need to be prepared to offer advice, including travel health advice, to patients seeking medical treatment abroad.","Cosmetic surgery; Dentistry; Medical tourism; Preventive medicine; Travel","Australia; economics; ethics; health care delivery; human; medical tourism; standards; trends; Australia; Delivery of Health Care; Health Services Accessibility; Humans; Medical Tourism",,,,,,,,"http://mkt.unwto.org/publication/unwto-tourism-highlights-2014-edition, UNWTO Tourism Highlights 2014 Edition. Available at, [Accessed 4 November 2014]; Lee, C.V., Balaban, V., Chapter 2 The pre-travel consultation. wwwnc.cdc.gov/travel/yellowbook/2014/chapter-2-the-pre-travel-consultation/medical-tourism, Medical tourism. In: CDC Health Information for International Travel 2014. Oxford: Oxford University Press, 2013. 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Available at [Accessed 4 November 2014]; www.qha-trent.co.uk/, Homepage. Available at [Accessed 4 November 2014]","Leggat, P.; College of Public Health, Medical and Veterinary Sciences, James Cook UniversityAustralia",,,"Royal Australian College of General Practitioners",,,,,03008495,,AFPHC,"25688954","English","Aust. Fam. Phys.",Article,"Final",,Scopus,2-s2.0-84921965518 "An D.","56249389300;","Understanding Medical Tourists in Korea: Cross-Cultural Perceptions of Medical Tourism among Patients from the USA, Russia, Japan, and China",2014,"Asia Pacific Journal of Tourism Research","19","10",,"1141","1169",,11,"10.1080/10941665.2013.840659","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84912047888&doi=10.1080%2f10941665.2013.840659&partnerID=40&md5=4fdc51bd26e78f94e3ae1cccba54a3c8","College of Business Administration, Inha University, 253 Yonghyun-dong, Incheon, South Korea","An, D., College of Business Administration, Inha University, 253 Yonghyun-dong, Incheon, South Korea","A cross-cultural approach is adopted to examine factors related to perceptions of and attitudes toward medical tourism by American, Russian, Chinese, and Japanese tourists to Korea. Results from a survey with a sample of 883 tourists show that respondents' overall attitudes significantly differ across the four nations. Russian patients hold most positive attitudes, followed by Chinese and Japanese. Major perceptual factors are found to have different effects on overall attitudes among respondents. While travel-related risks are the most influential factor among Russian, Japanese, and Chinese patients, Americans are influenced mostly by health-related risks. American and Japanese attitudes are also affected by cost factor but not by convenience factor. On the other hand, convenience factor significantly affects Russian and Chinese attitudes. Additionally, post-operative risk, access to information, and availability of procedures have different effects across the four nations. Possible explanations and practical implications are discussed in conjunction with the cultural contexts of the four nations. © 2013, Asia Pacific Tourism Association.","cross-cultural; Korea; medical tourism; perceptions; risks","cultural landscape; health care; health services; perception; tourism market; tourist destination; Korea",,,,,"Inha University, Inha","This work was supported by Inha University Research Grant.",,"Abdulkkah, H.S., Chik, R., The influence of value orientations on service quality perceptions in a mono-cultural context: An empirical study of Malay University students (2002) Pertanika Journal of Social Science & Humanities, 10 (2), pp. 97-107; Altin, M., Singal, M., Kara, D., (2011), Consumer decision components for medical tourism: A stakeholder approach. 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Korea Times. Retrieved November 22, 2012, from; Zhang, J., Beatty, S.E., Walsh, G., Review and future directions of cross-cultural consumer services research (2008) Journal of Business Research, 61 (3), pp. 211-224","An, D.; College of Business Administration, Inha University, 253 Yonghyun-dong, South Korea",,,"Routledge",,,,,10941665,,,,"English","Asia Pac. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-84912047888 "Alberti F.G., Giusti J.D., Papa F., Pizzurno E.","15072813500;55515189200;56389344200;22980638500;","Competitiveness policies for medical tourism clusters: Government initiatives in Thailand",2014,"International Journal of Economic Policy in Emerging Economies","7","3",,"281","309",,11,"10.1504/IJEPEE.2014.065252","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908082557&doi=10.1504%2fIJEPEE.2014.065252&partnerID=40&md5=11f9cb2dcb794800802b39f5cad205a6","CERMEC - Center for Creative and Cultural Industries Research, School of Business and Management, LIUC Universita' Cattaneo, corso Matteotti 22, Castellanza, 21053, Italy; School of Industrial Engineering, LIUC Universita' Cattaneo, corso Matteotti 22, Castellanza, 21053, Italy","Alberti, F.G., CERMEC - Center for Creative and Cultural Industries Research, School of Business and Management, LIUC Universita' Cattaneo, corso Matteotti 22, Castellanza, 21053, Italy; Giusti, J.D., CERMEC - Center for Creative and Cultural Industries Research, School of Business and Management, LIUC Universita' Cattaneo, corso Matteotti 22, Castellanza, 21053, Italy; Papa, F., CERMEC - Center for Creative and Cultural Industries Research, School of Business and Management, LIUC Universita' Cattaneo, corso Matteotti 22, Castellanza, 21053, Italy; Pizzurno, E., School of Industrial Engineering, LIUC Universita' Cattaneo, corso Matteotti 22, Castellanza, 21053, Italy","Despite the increasing debate in literature on both tourism clusters and medical tourism, the role played by the government in medical tourism clusters remains vastly unexplored. The aim of the present paper is to explore government initiatives in clusters where the medical and tourism industries engage in a virtuous circuit for regional competitiveness. The paper builds on the longitudinal case study of the Thailand medical tourism cluster, analysing its formation and development in time and the competitiveness policies set up by the government. In Thailand, idiosyncratic factor conditions allowed the creation of a new form of cluster, where the health and the hospitality systems are beneficially tied together in a self reinforcing mechanism of competitiveness nurtured by tourism flows. Our findings will help regional policy-makers understand the role of government in the formation and development of clusters where tourism is synergic with the medical industry for regional competitiveness. Copyright © 2014 Inderscience Enterprises Ltd.","Cluster; Competitiveness policy; Developing countries; Government; Health tourism; Medical industry; Medical tourism; Regional competitiveness; Thailand; Tourism",,,,,,,,,"Alberti, F.G., Giusti, J.D., Cultural heritage, tourism and regional competitiveness: The Motor Valley cluster (2012) City, Culture and Society, 3 (4), pp. 261-273; Apimonton, P., Medical cluster to upgrade (2011) TTR Weekly, , http://www.ttrweekly.com/site/2011/10/medical-cluster-to-upgrade, accessed 17 January 2013; Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14, p. e135; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Borman, E., Health tourism: Where health care ethics and the state collide (2004) British Medical Journal, (328), pp. 60-61; Bramstedt, K.A., Xu, J., Checklist: Passport, plane ticket, organ transplant (2007) American Journal of Transplantation, 7 (7), pp. 1698-1701; Caballero, S., Mugomba, C., (2007) Medical Tourism and its Entrepreneurial Opportunitie: A Conceptual Framework for Entry Into the Industry, , Master thesis, School of Business, Economics and Law, Goteborg University, Goteborg, Sweden; Capone, F., Boix, R., Sources of growth and competitiveness of local tourist production systems: An application to Italy (1991-2001) (2007) The Annals of Regional Science, 42 (1), pp. 209-224; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Castillo, P., Conchada, M.I., Towards innovative, liveable, and prosperous asian megacities: Medical tourism (2010) AKI Working, , Angelo King Institute, De La Salle University, Manila, Philippines; Central Intelligence Agency (CIA), http://www.cia.gov/library/publications/the-world-factbook/geos/th.html, accessed 10 February 2013; Chandler, J., Stem cell tourism: Doctors' duties to minors and other incompetent patients (2010) American Journal of Bioethics, 10 (5), pp. 27-28; Chin-Tsai, L., Lee, I.-F., Ya-Ling, H., Forecasting Thailand's medical tourism demand and revenue from foreign patients (2009) The Journal of Grey System, 21 (4), pp. 369-376; Cohen, E., Medical tourism in Thailand (2006) Explorations in Thai Tourism: Collected Case Studies, pp. 225-255. , Cohen, E. 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Eds.:, Duke University Press, Durham; Wilson, A., Foreign bodies and national scales: Medical tourism in Thailand (2011) Body & Society, 17 (2-3), pp. 121-137; World Economic Forum (WEF), http://www.weforum.org/docs/WEF_GCR_CountryProfilHighlights, accessed 2 February 2013; World Tourism Organization (UNWTO), www.unwto.org, accessed 10 February 2013; Yap, J., Chen, S., Nones, N., Medical Tourism: The Asian Chapter, , n. d., Deloitte; Yin, R.K., (2003) Case Study Research: Design and Methods, , 3rd ed., Sage Publications Inc., Thousand Oaks, CA; Zarzeczny, A., Caulfield, T., Stem cell tourism and doctors' duties to minors - A view from Canada (2010) American Journal of Bioethics, 10 (5), pp. 3-15","Alberti, F.G.; CERMEC - Center for Creative and Cultural Industries Research, School of Business and Management, LIUC Universita' Cattaneo, corso Matteotti 22, Italy",,,"Inderscience Publishers",,,,,17520452,,,,"English",,Article,"Final",,Scopus,2-s2.0-84908082557 "Woo E., Schwartz Z.","55598380500;35889300200;","Towards Assessing the Knowledge Gap in Medical Tourism",2014,"Journal of Quality Assurance in Hospitality and Tourism","15","2",,"213","226",,11,"10.1080/1528008X.2014.889516","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899019941&doi=10.1080%2f1528008X.2014.889516&partnerID=40&md5=cd346bb2cdaf3160e47c7060b4cbf421","Department of Hospitality and Tourism Management, Virginia Tech University, Blacksburg, VA, United States","Woo, E., Department of Hospitality and Tourism Management, Virginia Tech University, Blacksburg, VA, United States; Schwartz, Z., Department of Hospitality and Tourism Management, Virginia Tech University, Blacksburg, VA, United States","The medical tourism industry is a fast growing global niche market that generated $20 billion in income for destinations around the world. This study suggests and tests a mechanism to assess the medical tourism providers' perceptions about the tourists' perceived important product attributes when selecting a medical tourism destination. The results indicate that the various medical tourism providers groups do not vary in their perceptions regarding 24 important attributes of the medical tourism product and that they all agree that tourists perceive the medical variables to be more important than the tourism related variables. Using the Korean market for data collection, the study's additional contribution is providing insights for Korean government agencies, operators of medical tourism hospitals, policymakers, and marketers. © Taylor & Francis Group, LLC.","destination selection attributes; gap theory; knowledge gap; Korea; medical tourism",,,,,,,,,"Arellano, A.B.R., Patients without borders: the emergence of medical tourism (2007) International Journal of Health Service, 37 (1), pp. 193-198; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modeling, 46, pp. 1144-1159; Brown, S.T., Swartz, T.A., A gap analysis of professional service quality (1989) The Journal of Marketing, 53 (2), pp. 92-98; Burkett, L., Medical tourism concerns, benefits and the American legal perspective (2007) The Journal of Legal Medicine, 28 (2), pp. 1-20; Caballero-Danell, S., Mugomba, C., (2007) Medical tourism and its entrepreneurial opportunities-A conceptual framework for entry into the industry (Master's thesis), , : Gothenburg University, Sweden; Carrera, P.W., Bridges, J.F.P., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes, 6, pp. 447-454; Castonguay, G., Brown, A., Plastic surgery tourism providing a boon for Costa Rica's Surgeons (1993) Canadian Medical Association Journal, 148 (1), pp. 74-76; Chang, D.Y., Service quality assessment of a chain steakhouse in Taiwan (2009) Journal of Quality Assurance in Hospitality & Tourism, 10 (4), pp. 255-278; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27, pp. 1093-1100; Cronin Jr., J., Taylor, S., Measuring service quality: a reexamination and extension (1992) The Journal of Marketing, 56 (3), pp. 55-68; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? 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(2011) Tourism Review, 66 (1-2), pp. 4-15; Henderson, J.C., Healthcare tourism in Southeast Asia (2004) Tourism review International, 7 (3-4), pp. 111-121; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Huh, J., Uysal, M., Satisfaction with cultural/heritage sites: Virginia historic Triangle (2003) Journal of Quality of Assurance in Hospitality & Tourism, 4 (3-4), pp. 1-77. , 194; Hunter, W.C., Medical tourism: a new global niche (2007) International Journal of Tourism Sciences, 7 (1), pp. 129-140; Hunter-Jones, P., Cancer and tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Johnson, L.A., (2008) Americans look abroad to save on health care medical tourism could jump tenfold in next decade, , http://www.sfgate.com/cgibin/article.cgi?f=/c/a/2008/08/03/BUGA121GPF.DTL&type=health, Retrieved on October, 15, 2011 from; Jones, G.A., Keith, L.G., Medical tourism and reproductive outsourcing; the dawning of a new paradigm for healthcare (2006) International Journal of Fertility, 51 (6), pp. 251-255; (2009), http://www.kams.or.kr/, Korean Institute of Hospitals Management, Retrieved January 10 from; Kozak, M., Rimmington, M., Tourist satisfaction with Mallorca, Spain, as an off-season holiday destination (2000) Journal of travel research, 38, pp. 260-269; Lamb, C.W., Hair, J.F., McDaniel, C., (2010) MKTG 4. Mason, OH, , South-Western College Publishing; Lee, Y.T., (2003) Medical tourism phenomenon in Korea [PowerPoint slides], , http://www.khidi.or.kr/, Retrieved from; Lunt, N., Carrera, R., Medical tourism: assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Martin, D.S., Ramamonjiarivelo, Z., Martin, W.S., Medtour: A scales for measuring medical tourism intentions (2011) Tourism Review, 66 (1-2), pp. 45-56; Moghimehfar, F., Nasr-Esfahani, M.H., Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and Fertility treatment (2011) Tourism Management, 32, pp. 1431-1434; Parasuraman, A., Zeithaml, V., Berry, L., A conceptual model of service quality and its implications for future research (1985) Journal of Marketing, 49 (3), pp. 41-50; Park, J., (2010) Discovering medical tourism, , http://observer.yu.ac.kr/news/quickViewArticleView.html?idxno=529, Retrieved on October 17, 2011 from; Reddy, G.R., York, V.K., Brannon, L.A., Travel for treatment: Students' perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Asian medical tourism analysis (2008-2012). India: RNCOS. Silvestro, R. (2005). Applying gap analysis in the health service to inform the service improvement agenda (2008) International Journal of Quality & Reliability Management, 22 (3), pp. 215-233. , RNCOS; Sayili, M., Akca, H., Duman, T., Esengun, K., Psoriasis treatment via doctor fishes as part of health tourism: A case study of Kangal Fish Spring, Turkey (2007) Tourism Management, 28, pp. 625-629; Smith, R., Álvares, M.M., Chanda, R., Medical tourism: A review of the literature and analysis of role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Teh, I., Healthcare tourism in Thailand: Pain ahead? (2007) Asia Pacific Biotech News, 11 (8), pp. 493-497; Tsang, N., Qu, H., Service quality in China's hotel industry: a perspective from tourists and hotel managers (2000) International Journal of Contemporary Hospitality Management, 12 (5), pp. 316-326; (2008) Medical tourism statistic, , http://www.understanding-medicaltourism.com/medical-tourism-statistics.php, Understanding Medical Tourism,Retrieved on January 20, 2009 from; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: a structural model (2005) Tourism Management, 26 (1), pp. 45-56; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zikmund, W.G., (2002) Business research methods, , Independence, OH,: Thomson","Woo, E.; Department of Hospitality and Tourism Management, Pamplin College of Business, Virginia Tech University, 342 Wallace Hall, Blacksburg, VA 24061, United States; email: eunjuw3@vt.edu",,,"Routledge",,,,,1528008X,,,,"English","J. Qual. Assur. Hosp. Tour.",Article,"Final",,Scopus,2-s2.0-84899019941 "Pan T.-J., Chen W.-C.","55056312000;56084958300;","Chinese medical tourists - their perceptions of Taiwan",2014,"Tourism Management","44",,,"108","112",,11,"10.1016/j.tourman.2014.02.008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84896976494&doi=10.1016%2fj.tourman.2014.02.008&partnerID=40&md5=12ae827d904f65c2d1f0904bf9829cb4","Department of Hospitality Management, National Penghu University of Science and Technology, No.300, Liu-Ho Rd., Makung City, Penghu Hsien 880, Taiwan; Department of Diagnostic Radiology Chang Gung Memorial Hospital at Chiayi, No. 6. West Sec. Jiapu Rd., Puzi City, Chiay County 613, Taiwan","Pan, T.-J., Department of Hospitality Management, National Penghu University of Science and Technology, No.300, Liu-Ho Rd., Makung City, Penghu Hsien 880, Taiwan; Chen, W.-C., Department of Diagnostic Radiology Chang Gung Memorial Hospital at Chiayi, No. 6. West Sec. Jiapu Rd., Puzi City, Chiay County 613, Taiwan","This study explores the motivations and perceptions of Chinese medical tourists visiting Taiwan regarding the quality of tourism packages and the medical services consumed. Knowing the factors that motivate medical tourists and their quality demands for tourism operators and medical institutions is important for medical tourism planners to develop and organize services that serve their customers. Particularly, findings can help tourism operators plan customized itineraries and healthcare services, including software and hardware facilities, for Chinese tourists. © 2014 Elsevier Ltd.","Chinese tourists; Healthcare tourism; Medical travel; Motivations; Taiwan","health care; health services; perception; tourism; tourist destination; Taiwan",,,,,,,,"Brislin, R.W., Translation and content analysis of oral and written materials (1980) Handbook of cross-cultural psychology, pp. 398-444. , Allyn & Bacon, Boston, H.C. Triandis, J.W. Berry (Eds.); Coffey, A., Atkinson, P., (1996) Making sense of qualitative data: Complementary research strategies, , Thousand Oaks, California; Cohen, E., Medical travel - a critical assessment (2010) Tourism Recreation Research, 35 (3), pp. 225-237; Connell, J., Medical tourism: sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; Graneheim, U.H., Lundman, B., Qualitative content analysis in nursing research concepts, procedures and measures to achieve trustworthiness (2004) Nurse Education Today, 24, pp. 105-112; Hampton, A., Qualitative data analysis and interpretation (1999) The handbook of contemporary hospitality management research, pp. 287-303. , Wiley, New York, B. Brotherton (Ed.); Mason, J., (2001) Qualitative researching, , Sage, London; Neuendorf, K.A., (2002) The content analysis guidebook, , Sage, Beverley Hills, CA; (2008) Asian medical tourism analysis (2008-2012), , RNCOS, RNCOS, India; Tata, S., (2007) Medical travel in Asia and the Pacific: Challenges and opportunities, , http://www.unescap.org/ESID/hds/lastestadd/MedicalTourismReport09.pdf, United National Economic and Social Commission for Asia and the Pacific, Retrieved 02.06.09, from; York, D., Medical tourism: the trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 8, pp. 99-102; Yu, J., Ko, T., Across-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88","Pan, T.-J.; Department of Hospitality Management, National Penghu University of Science and Technology, No.300, Liu-Ho Rd., Makung City, Penghu Hsien 880, Taiwan; email: tjpan@npu.edu.tw",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-84896976494 "Hofer S., Honegger F., Hubeli J.","7004934563;55100845700;55100222900;","Health tourism: Definition focused on the Swiss market and conceptualisation of health(i)ness",2012,"Journal of Health, Organisation and Management","26","1",,"60","80",,11,"10.1108/14777261211211098","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858401361&doi=10.1108%2f14777261211211098&partnerID=40&md5=c30330de0656b9dc95515b6eadc57fa5","Institute of Facility Management, Zurich University of Applied Science, Zurich, Switzerland","Hofer, S., Institute of Facility Management, Zurich University of Applied Science, Zurich, Switzerland; Honegger, F., Institute of Facility Management, Zurich University of Applied Science, Zurich, Switzerland; Hubeli, J., Institute of Facility Management, Zurich University of Applied Science, Zurich, Switzerland","Purpose: This paper's purpose is to give an overview of current research regarding the concept of ""health tourism"" with a focus on Switzerland, and to determine whether a consensus on this concept and its embedding in existing/future markets can be found. Design/methodology/approach: The paper is an explorative study combining literature review, questionnaires and qualitative interviews. Grounded theory was employed. Findings: A service from the field of health care must have been provided prior to health tourism, allowing it to be classified under the health care system. Thus, health tourism is classified under the market for the sick and not under tourism which targets the healthy. Furthermore a new market for the healthy is emerging, which needs to be defined. As an example health(i)ness could help to clarify the terminology, to be seen as a gatekeeper of health and as a cultural paradigm change from cure to prevention. Research limitations/implications: Further research is needed, regarding the positioning and development of health tourism and its synergies, as the cost pressures in health care increase and will continue to have a sustainable impact on health tourism. Practical implications: The paper provides better knowledge of the term health tourism, its general classification, and particular reference to Switzerland, and information about upcoming changes in health care. Originality/value: The findings add to the knowledge of how health tourism is embedded into health care and tourism, and show potential within the market for the healthy. It provides information to members of the tourism and health care market. © Emerald Group Publishing Limited.","Health and medicine; Health care; Health tourism; Healthiness; Medical wellness; Rehabilitation; Switzerland; Tourism","consensus; health care cost; human; interview; medical tourism; questionnaire; review; Switzerland; Consensus; Health Care Sector; Humans; Interviews as Topic; Medical Tourism; Questionnaires; Switzerland",,,,,,,,"Ackermann-Liebrich, U., Ludwig, C., Darioli, R., Thommen, A., Meier, C., Zemp, S.E., Versicherungsmedizin (2007) Sozial- Und Präventivmedizin, Public Health, pp. 153-193. , Gutzwiller, F., Paccaud, F. 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(Eds.), Verlag für Sozialwissenschaften, Wiesbaden, 2nd ed; Müller, M.L., DPH, Deutsche PatientenHotel GmbH, Alles neu mit DRGs? Neue Personalanforderungen und - strukturen in stationären Gesundheitseinrichtungen? Innovation im Gesundheitswesen. Neue Versorgungsform für Patienten/Gäste in deutschen Kliniken (2006) Berliner Krankenhaus-Seminar, , www.bks.tuberlin.de/WS0506/Vortrag_Mueller.pdf, Berlin, 11 January, available at (accessed 31 October 2008); Müller, H., Lanz, K.E., Wellness-Ferien - ganzheitlicher Wunschtraum oder einseitige Realität (2001) Therapeutische Umschau, 58 (4), pp. 181-188; Oggier, W., Kosten und Finanzierung (2007) Gesundheitswesen Schweiz 2007-2009, pp. 129-138. , Kocher, G., Oggier, W. (Eds.), Hans Huber Verlag, Bern, 3rd ed; (2008) Handbuch Der Schweizer Krankenversicherung, , santésuisse, Paul Büetiger AG, Frgerist; Schmidt, G., (2003) Methode Und Techniken Der Organisation, , Verlag Dr Götz Schmidt, Giessen, 13th ed; Tourismus, S., (2008) Wellness. Wohlfühlaufenthalte in Der Schweiz 2007/2008, , Benteli Hallwag Druck AG, Zürich; Tourismus-Verband, S., FSO/Bundesamt für Statistik, GastroSuisse, hotelleriesuisse, Schweizer Reisebüro-Verband, Schweizer Tourismus (2008) Schweizer Tourismus in Zahlen 2008, , Seilbahnen Schweiz, Verband öffentlicher Verkehr (Ed.), Länggass Druck, Bern; Schweiz, W., (2004) Verzeichnis Kur-und Erholungshäuser für Krankenversicherer, , www.wohlbefinden.com/index.php?option=com_content&task=view&id=15&Itemid=30, available at (accessed 28 July 2008); Schweiz, W., (2008) Kurhäuser nach Therapien, , www.wohlbefinden.com/index.php?option=com_content&task=view&id=149&Itemid=277, available at (accessed 29 July 2008); Zingg, L., (2009) St Galler Trendmonitor für Risiko- Und Finanzmärkte, 2 (31). , University of St Gallen, St Gallen","Hofer, S.; Institute of Facility Management, Zurich University of Applied Science, Zurich, Switzerland; email: susanne.hofer@zhaw.ch",,,,,,,,14777266,,,"22524099","English","J. Health Organ. Manage.",Review,"Final",,Scopus,2-s2.0-84858401361 "Kucukusta D., Heung V.C.S.","33867682100;6602945016;","The Problems of Developing Wellness Tourism in China: From Supply Perspective",2012,"Journal of China Tourism Research","8","2",,"146","158",,11,"10.1080/19388160.2012.677363","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84922685834&doi=10.1080%2f19388160.2012.677363&partnerID=40&md5=6dac64325afe6f1345fe4c1868f125b3","School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China","Kucukusta, D., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China; Heung, V.C.S., School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China","China offers many advantages for the wellness tourism sector. The country's natural resources and local culture are significant drivers of development in the sector, which is gaining increasing attention from investors and visitors. However, the development process needs to be configured well to overcome the structural and operational challenges it faces. Hence, the study reported here examined the possible challenges faced by the wellness tourism sector in China and gathered potential solutions from wellness tourism experts, including professionals working in the tourism, health, and education industries. The results indicate that a lack of trained personnel, insufficient cooperation between key players, and a lack of facilities and attractions are the major obstacles to sectorial development. The experts surveyed proposed that these obstacles could be overcome by government support, promotional activities, and personnel training. The implications of these findings and directions for future research are discussed. © 2012 Copyright Taylor and Francis Group, LLC.","China; problems; solutions; Wellness tourism",,,,,,,,,"(2000) China's ageing population, , http://news.bbc.co.uk/2/hi/asia-pacific/906114.stm, BBC News (September 1); Bennet, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; (2005) China Economic Review, , http://www.chinaeconomicreview.com/cer/2005_09/The_business_of_pampering.html, The business of pampering; Caballero-Danell, S., Mugomba, C., (2007) Medical tourism and its entrepreneurial opportunities: A conceptual framework for entry into the industry (Unpublished master's thesis), , Sweden: School of Business, Economics and Law, Goteborg University; Chapman, J., (2007) Growing interest in traditional Chinese medicine spa therapy, , http://www.asiaone.com/Health/Alternative%2BMedicine/Story/A1Story20070625-15533.html; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; (2010) Research report on Chinese inbound tourism industry 2010-2011, , http://www.33report.com/upImgFile/20103214203210022303.pdf, China Research and Intelligence; (2004) China Today, , http://www.chinatoday.com.cn/English/e2004/e200407/p27.htm, China's wellness revolution; (2010) China Daily, , http://www.chinadaily.com.cn/china/2010-09/26/content_11346831.htm, Chinese white collar suffering job burnout; (2008) Asia Pacific roars! The latest spa research data and predictions for Australia, China, India, Indonesia, Japan, Malaysia, Philippines and Thailand, , http://www.globalspasummit.org/2008/postsummit/files/pdf/asia.pacific.roars.FINAL.pdf, Global Spa Summit; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel and Tourism Marketing, 27 (3), pp. 236-251; Lee, C.F., King, B., Using the Delphi method to assess the potential of Taiwan's hot springs tourism sector (2008) International Journal of Tourism Research, 10 (4), pp. 341-352; Leung, J.P., Emotions and mental health in Chinese people (1998) Journal of Child and Family Studies, 7 (2), pp. 115-128; McGorry, S.Y., Measurement in a cross-cultural environment: Survey translation issues (2000) Qualitative Market Research: An International Journal, 3 (2), pp. 74-81; Mueller, H., Kaufmann, E., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 7-15; Myers, J.E., Sweeney, T.J., Witmer, M., (2005) A holistic model of wellness, , http://www.mindgarden.com/products/wells.htm; (2008) Landmark report launched on maximizing China's tourism potential, , http://www.forimmediaterelease.net/pm/1426.html, Pacific Asia Travel Association; Ren, H., Xing, W.H., Fu, F., The concept of wellness from the perspective of Chinese culture (2007) Journal of Exercise Science and Fitness, 5 (2), pp. 95-101; Sheldon, P., Bushell, R., Introduction to wellness and tourism (2009) Wellness and tourism: Mind, body, spirit, place, pp. 3-18. , In: Bushell R., Sheldon P., editors New York, NY: Cognizant Communication Books; Smith, P.C., Forgione, D., Global outsourcing of healthcare: A medical tourism model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Steiner, C.J., Reisinger, Y., Ringing the fourfold: A philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 5-14; Suresh, S., Ganesan, P., Ravichandran, S., Behavioral segmentation of wellness clients (2008) Journal of Travel and Tourism Research, 8 (1), pp. 131-150; Tsui, A., Asian wellness in decline: A cost of rising prosperity (2008) International Journal of Workplace Health Management, 1 (2), pp. 123-135; (2008) Medical travel in Asia and the Pacific: Challenges and opportunities, , http://www.unescap.org/esid/hds/lastestadd/EGM.asp, United Nations Economic and Social Commission for Asia and the Pacific; (2001) Legal status of traditional medicine and complementary/alternative medicine: A world wide overview (Working Paper), , Geneva, Switzerland: Author, World Health Organization; (2012) Cancer fact sheet no. 297, , http://www.who.int/mediacentre/factsheets/fs297/en/, World Health Organization; (2008) Chinese travelers: Trends for adventure companies and destinations, , http://www.xolaconsulting.com/chinese_tourism_trends.pdf, Xola Consulting Inc; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., (2008) Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists, , Paper Presented at the Asia Pacific Tourism Association (APTA) Annual Conference; Yu, L., Huat, G.S., Perceptions of management difficulty factors by expatriate hotel professionals in China (1995) International Journal of Hospitality Management, 14 (3-4), pp. 375-388; Zhang, H.Q., Chong, K., Ap, J., An analysis of tourism policy development in modern China (1999) Tourism Management, 20 (4), pp. 471-485","Kucukusta, D.; School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China; email: hmdeniz@polyu.edu.hk",,,"Routledge",,,,,19388160,,,,"English; Chinese","J. China Tour. Res.",Article,"Final",,Scopus,2-s2.0-84922685834 "Ormond M.","7801551522;","Claiming ‘cultural competence’: The promotion of multi-ethnic Malaysia as a medical tourism destination",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"187","200",,11,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917401914&doi=10.4324%2f9780203109458&partnerID=40&md5=f95c6b1e270d0e1ccb41887e398caf40","Socio-Spatial Analysis Group, Wageningen University, Gaia, Building number 101, Droevedaalsesteeg 3, 6708 PB, Wageningen, Netherlands","Ormond, M., Socio-Spatial Analysis Group, Wageningen University, Gaia, Building number 101, Droevedaalsesteeg 3, 6708 PB, Wageningen, Netherlands",[No abstract available],,,,,,,,,,"Amran, H., Policy and planning of the tourism industry in malaysia (2004) Policy and Planning of Tourism Product Development in Asian Countries, pp. 7-8. , Conference proceedings, The Sixth Asian Development Research Forum (ADRF) General Meeting, June, Bangkok; (2008) Medical Tourism Statistics for 2002–2007, , e-mail correspondence, 9 April; Saudi arabia: A good option for malaysian business (2009) Bernama, , http://www.bernama.com.my/bernama/v3/news_lite.php?id=396766, Bernama, 17 March; Betancourt, J.R., Green, A.R., Carrillo, J.E., (2002) Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches’, , http://www.azdhs.gov/bhs/cchc.pdf, Field report, The Commonwealth Fund; Bhabha, H.K., (1994) The Location of Culture, , London: Routledge; Bunnell, T., Repositioning malaysia: High-tech networks and the multicultural rescripting of national identity (2002) Political Geography, 21, pp. 105-124; Chee, H.L., (2007) Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare’, , Asia Research Institute Working Paper Series, 83, January; Chee, H.L., Ownership, control and contention: Challenges for the future of healthcare in malaysia (2008) Social Science and Medicine, 66, pp. 2145-2156; Chua, J.M., (2002) Speech by YB Dato’ Chua Jui Meng, , http://www.cornerstone-msc.net/aphm_portal/index.cfm?menuid=26, inistry of Health Malaysia. In Fourth Meeting of the National Committee for the Promotion of Health Tourism in Malaysia, Ministry of Health, Kuala Lumpur, 11 April; (2000) Eighth Malaysia Plan (2001–2005), , http://www.epu.gov.my/rm9/html/english.htm, Putrajaya: Prime Minister’s Department; Ehrbeck, Guevara, T.C., Mango, P.D., Mapping the market for medical travel (2008) The Mckinsey Quarterly, , http://www.medretreat.com/templates/UserFiles/Documents/McKinsey%20Report%20Medical%20Travel.pdf; Elliot, S.J., Gillie, J., Moving experiences: A qualitative analysis of health and migration (1998) Health and Place, 4 (4), pp. 327-339; Gregg, J., Saha, S., Losing culture on the way to competence: The use and misuse of culture in medical education (2006) Academic Medicine, 81 (6), pp. 542-547; Henderson, J.C., Tourism policy and cultural heritage in multi-ethnic societies: A view of malaysia (2009) International Journal of Tourism Policy, 2 (1-2), pp. 138-144; Hilley, J., (2001) Malaysia: Mahathirism, Hegemony and the New Opposition, , London: Zed Books; Jagyasi, P., Understanding culture in medical tourism (2010) Dr Prem.Com/Blog, , https://drprem.wordpress.com/2010/07/02/understanding-culture-inmedical-tourism-by-dr-prem-jagyasi-medical-tourism-magazine/, 2 July; Jeffrey, C., McFarlane, C., Performing cosmopolitanism (2008) Environment and Planning D: Society and Space, 26, pp. 420-427; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21, pp. 35-78; Kaplan, C., (2007) Questions of Travel: Postmodern Discourses of Displacement, , Durham, NC: Duke University Press; Kok, C., Finding the right strategies (2009) The Star, , http://biz.thestar.com.my/news/story.asp?file=/2009/2/21/business/3275918&sec=business, 21 February; Lee, J.Y.N., Kearns, R., Friesen, W., Seeking affective health care: Korean immigrants’ use of homeland medical services (2010) Health and Place, 16 (1), pp. 108-115; (2008) Proceedings. In Medical Travel World Congress, , Kuala Lumpur, 25–28 February; (2010) Malaysia, Medretreat, , http://www.medretreat.com/destinations/malaysia.html; Mitchell, K., In whose interest? Transnational capital and the production of multiculturalism in canada (1996) Global/Local: Cultural Production in Transnational Imagery, , R. Wilson and W. Dissanayake, Durham: Duke University Press; Mitchell, K., Educating the national citizen in neoliberal times: From the multicultural self to the strategic cosmopolitan (2003) Transactions of the Institute of British Geographers, 28, pp. 387-403; (2002) Malaysia’S Health 2002: Technical Report of the Director-General of Health, , Kuala Lumpur: Ministry of Health Malaysia; (2009) Reasons to Choose Malaysia as a Health Tourism Destination, Malaysia Healthcare, , http://www.myhealthcare.gov.my/index.asp?page=why_malaysia&subpage=reason_to_choose; Mitchell, K., Geographies of identity: The intimate cosmopolitan (2007) Progress in Human Geography, 31 (5), pp. 706-720; Najib, R., (2009) Overview of 1Malaysia, , http://www.1malaysia.com.my/index.php?option=com_content&view=article&id=358&Itemid=93&lang=en, 1Malaysia; Ong, A., (1999) Flexible Citizenship: The Cultural Logics of Transnationality, , Durham/ London: Duke University Press; Ooi, C.S., Poetics and politics of destination branding: Denmark (2004) Scandinavian Journal of Hospitality and Tourism, 4 (2), pp. 107-128; Ormond, M., Medical tourism, medical exile: Responding to the cross-border pursuit of healthcare in malaysia (2011) Real Tourism: Practice, Care and Politics in Contemporary Travel, , C. Minca and T. Oakes, London: Routledge; Palany, H.M., A strategic approach to health tourism (2004) Asian Hospital and Healthcare Management, , http://www.asianhhm.com/healthcare_management/health_tourism_malaysia.htm, 1 July; Prakash, S., (2007) Tourism Malaysia: Creating “Brand Malaysia”’, , ICFAI Centre for Management Research, ICMR Case Collection, MKTG178; Salimbene, S., Cultural and linguistic competency – a forgotten issue (2010) Medical Tourism Magazine, , http://www.healthtourismmagazine.com/article-detail.php?issue=issue-5&;article=cultural, 2 March; Shaw, S.J., The politics of recognition in culturally appropriate care (2005) Medical Anthropology Quarterly, 19 (3), pp. 290-309; Shaw, S.J., The logic of identity and resemblance in culturally appropriate health care (2010) Health, 14 (5), pp. 523-544; Taylor, J.S., The story catches you and you fall down: Tragedy, ethnography and “cultural competence (2003) Medical Anthropology Quarterly, 17 (2), pp. 159-181; Tervalon, M., Murray-García, J., Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education (1998) Journal of Health Care for the Poor and Underserved, 9 (2), pp. 117-125; (2007) Health Tourism in Malaysia, , http://www.tourismmalaysia.gov.my/corporate/mediacentre.asp?news_id=127&page=news_desk&subpage=archive, Press release, November; (2009) Spa, , http://www.tourism.gov.my/en/activities/default.asp?activity_id=2; Traweek, S., (1988) Beamtimes and Lifetimes: The World of High Energy Physicists, , Cambridge, MA: Harvard University Press; Striking medical jackpot (2004) TTG Asia, , http://www.ttgasia.com/index.php?option=com_contentandtask=viewandid=2265, 9–15 January; Whittaker, A., Global technologies and transnational reproduction in thailand (2009) Asian Studies Review, 33 (3), pp. 319-332; Wong, C., Health tourism can boost coffers (2003) The New Straits Times, , http://www.highbeam.com/doc/1P1-82787688.html, 19 April; Woodman, J., (2008) Patients beyond Borders, , 2nd edition, Chapel Hill, NC: Healthy Travel Media; Yúdice, G., (2003) The Expediency of Culture: Uses of Culture in the Global Era, , Durham, NC: Duke University Press","Ormond, M.; Socio-Spatial Analysis Group, Wageningen University, Gaia, Building number 101, Droevedaalsesteeg 3, 6708 PB, Netherlands",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917401914 "Helmy E.M.","6603545204;","Benchmarking the Egyptian medical tourism sector against international best practices: An exploratory study",2011,"Tourismos","6","2",,"293","311",,11,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-83355161616&partnerID=40&md5=3d5ba12224c4f886dca12e08bd365d28","Faculty of Tourism and Hotel Management, Department of Tourism Studies, Helwan University, Orman Post Office, Cairo, 12612, Egypt","Helmy, E.M., Faculty of Tourism and Hotel Management, Department of Tourism Studies, Helwan University, Orman Post Office, Cairo, 12612, Egypt","This paper argues that any compatible strategy for the development of medical tourism at a developing nation should be based primarily on a comprehensive benchmarking study. It has employed the benchmarking phase of a national project for the development of an Egyptian medical tourism strategy to showcase significance of such benchmarking implications. The benchmarking phase of the Egyptian project has used two main data sets to reach reliable findings: a series of best practice destinations claimed to be key players leading the future of the medical tourism sector worldwide and an extensive survey of the Egyptian medical tourism sector. Arguably, the benchmarking process was crucial for the development of the strategy to measure performance of Egypt's medical tourism sector against international best practices, to identify gaps in the Egyptian medical tourism sector and to address main areas required to develop 'service value chain' for the Egyptian medical tourism sector. © University of the Aegean.","Benchmarks; Best practices; Egypt; Healthcare providers; Medical tourism",,,,,,,,,"Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , England, Palgrave Macmilian Publications; Chakrabortry, J., (2008) Medical Tourism: a growth engine for earnings, , Http://www.expresshealthcaremgmt.com/20050228/medicaltourism03.shtml, Accessed the 13 th of June 2008, at 13:15; Constantinides, C., (2003) Consultation on how to ensure legal certainty regarding cross-border health services under Community law, , A ""healthCare cybernetics"" EMVIO™ document; Cornell, J., Medical Tourism: the Newest of Niches (2006) Journal of Tourism Recreation Research, 31 (1), pp. 99-102; Das, B., Gupta, J., (2007) Medical tourism: myth or reality, , Http://www.expresshealthcaremgmt.com/20050228/it01.shtmlMedicoFrontiers- IT, Accessed the 13 th of June 2008, at 14:20; Didascalou, E., Lagos, D., Nastos, P., Wellness tourism: Evaluating destination attributes for tourism planning in a competitive segment market (2009) Tourismos, 4 (4), pp. 113-125; (2008) Egyptian Medical Tourism Strategy, , Egyptian Industrial Modernization Centre (IMC). A project conducted by AIT Consulting and sponsored by IMC; Harahshesh, S., Curative tourism in Jordan and its potential development (2002) Unpublished Thesis for the fulfilment of MA in European Tourism Management (ETM), , United Kingdom: Bournemouth University; Helmy, E., Planning and marketing principles of therapeutic tourism in Egypt (1993) Unpublished M.SC thesis in Tourism Studies, , Egypt: Helwan University; Helmy, E., Introducing Spas as a New Tourism Product: the Case of Egypt (2005) Egyptian Journal of Tourism Studies, 4 (1-2), pp. 22-43; Herrick, D., (2007) Medical Tourism: Global Competition in Health Care, , Dallas, Texas, National Centre for Policy Analysis; Hervey, T., McHale, J., (2004) Health Law and the European Union, , UK, Cambridge University Press; (2008), Http://www.imtjonline.com/, Imtj online. International Medical Tourism Journals Newsletter 27 November 2008. Accessed the 28th of November 2008 at 12:30; Kozak, M., (2004), Destination Benchmarking: Concepts, Practices and Operations. CABI Publishing; Kulkarni, S., Medical Tourism: Where Are We Headed? (2009) Medical Travel Today, 3 (1). , (the Authoritative Newsletter for Medical Tourism); Magdalini, V., Paris, T., The wellness tourism market in Greece - An interdisciplinary methodology approach (2009) Tourismos, 4 (4), pp. 127-144; (2008), Http://www.MedicalTourismExpos.com, Medical Tourism Expos. Step By Step Guide to Medical Tourism. Accessed the 4th of June 2008, at 15:40; Mohamed, G.A., Egypt's image as a tourist destination - a perspective of foreign tourists (2008) Tourismos, 3 (1), pp. 36-65; (2007), MOT. Egyptian Tourism in Figures for 2006. An Annual statistical Book Published by the Egyptian Ministry of Tourism; Smith, M., Puczko, L., (2009) Health and Wellness tourism, , UK, Butterworth-Heinemann; (2008), Http://www.starhospitals.net, Star Hospitals. Redefining Health Tourism - Star Hospital eBrochure pdf. Accessed the 17 th of June 2008, at 13:45; Thelen, S., Travers, R., (2007) Identification and Formulation of a sector Strategy for Medical and Therapeutic Tourism in Egypt, , Cairo, EUROPEAID for the Egyptian Tourism Authority; (2008), Http://www.treatmentabroad.net/TA_Guide_web.pdf, Treatment Abroad. Guide to Medical Tourism. Accessed the 15 th of June 2008, at 12:40; (2008), Http://www.worldtourism.org/UNWTO_Highlights08_en_Hr.pdf, UNWTO. Tourism Highlights for 2007. Accessed the 13 th of November 2008, at 14:15; Yanos, M., (2008) Top five medical tourism destinations, , Nuwire Consulting","Helmy, E.M.; Faculty of Tourism and Hotel Management, Department of Tourism Studies, Helwan University, Orman Post Office, Cairo, 12612, Egypt; email: eman_helmy@hotmail.com",,,,,,,,17908418,,,,"English","Tourismos",Article,"Final",,Scopus,2-s2.0-83355161616 "Bristow R.S., Yang W.-T., Lu M.-T.","7006947050;56991610200;57191767341;","Sustainable medical tourism in Costa Rica",2011,"Tourism Review","66",,,"107","117",,11,"10.1108/16605371111127279","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992992165&doi=10.1108%2f16605371111127279&partnerID=40&md5=a09192d0a87bf4226d0c519e5d633570","Department of Geography and Regional Planning, Westfield State College, Westfield, Massachusetts, United States; Department of Land Management, Feng-Chia University, Taichung, Taiwan","Bristow, R.S., Department of Geography and Regional Planning, Westfield State College, Westfield, Massachusetts, United States; Yang, W.-T., Department of Geography and Regional Planning, Westfield State College, Westfield, Massachusetts, United States; Lu, M.-T., Department of Land Management, Feng-Chia University, Taichung, Taiwan","The purpose of this paper is to ascertain the relative importance of sustainable tourism practices to medical tourists. Sustainable management practices have become the accepted and appropriate model for tourism. Medical tourists, those who visit a foreign country for a medical procedure unavailable at home due to high costs, timeliness or local laws and customs, are asked how important a set of sustainable management practices are in their experiences. Selected for this study are the Global Sustainable Tourism Criteria (GSTC). These criteria have been designed to be the minimum practices to ensure sustainability for the business as well as protect the natural and cultural resources. An online survey was employed to gather the travel patterns, motivations and socio-demographics of medical tourists and to test their ranking of the GSTC on a five-point Likert scale. Medical tourists who travelled to Costa Rica, a recognized ecotourism destination, are more likely to support some of the sustainable criteria designed to maximize social and economic benefits to the local community and minimize negative impacts, than those who travelled elsewhere. While the sample size is modest, this is an exploratory assessment by medical tourists of sustainable management practices. Research into sustainable medical tourism practices is timely given that hospitals are not traditionally in the tourism business, but are now rapidly seeking to provide this service to their foreign patients. The paper presents what is believed to be the first investigation into medical tourists' preferences in sustainable tourism practices. © 2011, Emerald Group Publishing Limited","Consumer behaviour; Costa Rica; Medical treatment; Sustainable development; Tourism",,,,,,,,,"Baldoria, F., Osana, J., Medical tourism: a booming industry (2007) Philippine Daily Inquirer, , http://business.inquirer.net/money/features/view/20070615-71419/Medical_tourism%3A_A_booming_industry, available at:, (accessed 1 September 2008); Blyth, E., Farrand, A., Reproductive tourism – a price worth paying for reproductive autonomy (2005) Critical Social Policy, 25, pp. 91-114; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , Palgrave, New York, NY; Bricker, K., Tourism certification in the USA: program management and structure (2010) Tourism Sustainability Council North American Certification Program Workshop: Accreditation and Market Access, 30-31 March, , The George Washington University School of Business, Washington DC, sponsored by the Tourism Sustainability Council, UN Foundation, and The International Ecotourism Society; Budiani-Saberi, D., Delmonico, F., Organ trafficking and transplant tourism: a commentary on the global realities (2008) American Journal of Transplantation, 8, pp. 925-929; Butler, R., Tourism and the environment: a geographic perspective (2000) Tourism Geographies, 2 (3), pp. 337-359; Castonguay, G., Brown, A., Plastic surgery tourism proving a boon for Costa Rica's surgeons (1993) Canadian Medical Association Journal, 148 (1), pp. 74-76; Connell, J., Medical tourism: sea, sun, sand and … surgery (2006) Tourism Management, 7 (6), pp. 1093-1100; Cook, W., Costa Rica: from ecotourism leader to world class healthcare provider (2007) Medical Tourism at a Glance, (1), pp. 20-22; Medical tourism: consumers in search of value (2008), www.deloitte.com/dtt/cda/doc/content/us_chs_MedicalTourismStudy%283%29.pdf, available at:, (accessed 6 November 2008); Medical tourism: update and implications (2009), www.deloitte.com/view/en_US/us/Industries/Health-Plans-Healthcare-Health-Care/Center-for-Health-Solutions-Health-Plans/article/55d9f278c9184210VgnVCM200000bb42f00aRCRD.htm, available at:, (accessed 25 October 2009); Ehrbeck, T., Guevara, C., Mango, P., Mapping the market for medical travel (2008) The McKinsey Quarterly, , May; English, V., Gardner, J., Romano-Critchley, G., Sommerville, A., Ethics briefings (2001) Journal of Medical Ethics, 27, pp. 284-285; Fallas, H., 100.000 turistas vienen al año a recibir tratamiento medico (2009) La Nación, , available at: wvw.nacion.com/ln_ee/2009/marzo/13/economia1903413.html# (accessed 24 April 2010); George, B., Medical tourism in India: a case study of Apollo hospitals (2009) Medical and Wellness Tourism, pp. 367-372. , in Smith, M. and Puczkó, L. (Eds) Elsevier Science and Technology Books, Burlington, MA; Gonzalez, J., Costa Rica: the great opportunity (2007) Medical Tourism at a Glance, (1), p. 24; Goodrich, J., Health-care tourism in the Caribbean (1993) Tourism Marketing and Management in the Caribbean, pp. 122-128. , in Gayle, D. and Goodrich, J. (Eds) Routledge, New York, NY; Goodrich, J., Goodrich, G., Health-care tourism – an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; (2008) Global Sustainable Tourism Criteria, , www.sustainabletourismcriteria.org, available at:, (accessed 1 December 2008); Hall, C., Adventure, sport and health tourism (1992) Special Interest Tourism, pp. 141-158. , in Weiler, B. and Hall, C. (Eds) Belhaven Press, London; Hall, C., Spa and health tourism (2003) Sport and Adventure Tourism, pp. 273-292. , in Hudson, S. (Ed.) Haworth Press, New York, NY; Hall, C., Page, S., (2006) The Geography of Tourism and Recreation: Environment, Place and Space, , Routledge, London; Hancock, D., (2006) The Complete Medical Tourist: Your Guide to Inexpensive Dental Cosmetic and Medical Surgery Abroad, , John Blake, London; Virtual hitchhiker's guide to the medical universe (2008) Harvard Medical Letter, 33 (12); Inman, C., (2002) Tourism in Costa Rica: The Challenge of Competitiveness, , www.incae.ac.cr/ES/clacds/investigacion/pdf/cen653.pdf, Latin American Center for Competitiveness and Sustainable Development, New York, NY, available at:, (accessed 20 October 2009); Certification for sustainable tourism (2008), www.turismo-sostenible.co.cr/, available at:, (accessed 15 February 2008); Anuarios Estadistico (Yearbook) (2010), www.visitcostarica.com/ict/backoffice/treeDoc/files/6E63_Anuario_de_Turismo_2010.pdf, available at:, (accessed 27 April 2011); Judkins, G., Persistence of the US-Mexico border: expansion of medical-tourism amid trade liberalization (2007) Journal of Latin American Geography, 6 (2), pp. 11-32; McCool, S., Moisey, R., Nickerson, N., What should tourism sustain? The disconnect with industry perceptions of useful indicators (2001) Journal of Travel Research, 40, pp. 124-131; Mathieson, A., Wall, G., (1982) Tourism: Economic, Physical and Social Impacts, , Longman, New York, NY; Medical Tourism Facilitator Certification (2009), www.medicaltourismassociation.com/certification.html, available at:, (accessed 1 May 2009); Mieczkowski, Z., (1995) Environmental Issues of Tourism and Recreation, , University Press of America, Lanham, MD; Medical tourism industry grows rapidly (2006), http://Forbes.com, available at:, (accessed 30 July 2008); Final Report of the 49th Directing Council (2009) CD49/14, , http://new.paho.org, World Health Organization, Washington, DC, 28 September-2 October, available at:, (accessed 24 April 2010); Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28, pp. 337-341; Rahim, S., Q&A: preparing for a surgery abroad (2007), www.npr.org/templates/story/story.php?storyId=16296677, available at:, (accessed 8 March 2008); Rising, K., Medical tourism: the American invasion (2007) MDNG Primary Care, 9 (5), pp. 24-25; Smith, G., The globalization of medical care: can medical tourism reduce medical care costs June 27 (2006), http://aging.senate.gov/hearing_detail.cfm?id=270728&, available at:, (accessed 15 February 2008); Smith, P., Forgione, D., Global outsourcing of medical care: a medical tourism decision model (2008) UTSA College of Business Working Paper Series, , http://business.utsa.edu/wps/acc/0033ACC-205-2008.pdf, available at:, (accessed 22 March 2009); Smith, M., Puczkó, L., (2009) Medical and Wellness Tourism, , Elsevier Science and Technology Books, Burlington, MA; Stark, M., Caja hospital experience not bad (2009) The Tico Times, p. W3. , 15 May; Towner, J., (1996) A Historical Geography of Recreation and Tourism in the Western World 1540-1940, , Wiley, New York, NY; Turner, L., Medical tourism. Family medicine and international medical-related travel (2007) Canadian Family Physician, 53 (10), pp. 1639-1641; (2009) Medical Travel in Asia and the Pacific: Challenges and Opportunities, , United Nations Economic and Social Commission for Asia and the Pacific, Bangkok; (2010) Statistics, , http://unstats.un.org/unsd/default.htm, available at:, (accessed 17 April 2010); Medical tourists receive HIFU treatment abroad (2008) Urology Times, 36 (9), p. 12; Profile of US resident travelers visiting overseas destination: 2008 outbound (2008), www.tinet.ita.doc.gov/outreachpages/outbound.general_information.outbound_overview.html, available at:, (accessed 15 September 2009); Van Wilkinson, S., Cuba's tourism ‘Boom: a curse or a blessing (2008) Third Word Quarterly, 29 (5), pp. 979-993","Bristow, R.S.; Department of Geography and Regional Planning, Westfield State College, Westfield, Massachusetts, United States",,,,,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-84992992165 "Perfetto R., Dholakia N.","26967923500;6602701037;","Exploring the cultural contradictions of medical tourism",2010,"Consumption Markets and Culture","13","4",,"399","417",,11,"10.1080/10253866.2010.502417","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960137786&doi=10.1080%2f10253866.2010.502417&partnerID=40&md5=fa1d8c4c3ed4dbb77356a797575b1dce","College of Business Administration, University of Rhode Island, Kingston, RI, United States","Perfetto, R., College of Business Administration, University of Rhode Island, Kingston, RI, United States; Dholakia, N., College of Business Administration, University of Rhode Island, Kingston, RI, United States","The globalization of medical services provides a useful tapestry to explore what Appadurai called the ""complexity of the current global economy."" This study, employing a netnographic-inspired exploration of internet-based discussion forums along with other evidence, probes the cultural contradictions of medical tourism. Medical tourism offers the promise of affordable medical services in world-class vacation destinations; yet this marriage of exotic world travel and affordable medical care is somewhat paradoxical. Images of jetsetters, traveling the globe on medical vacations, clash with the reality that low-cost global medicine is often most attractive to those with little cultural and economic capital in society. Further contradictions emerge. Whereas some consumers perceive these so-called medical tourists as abandoning the local market in pursuit of self-serving interests, often medical tourists perceive themselves as abandoned as well - by the American healthcare system, and by society. Consumers not only demonstrate a desire to escape from local market constraints, but also want their taken-for-granted local rules, regulations and governance to follow them into the global marketplace. This study contributes to the growing body of research that seeks to explore consumer agency and market emancipation in the context of the social, cultural, political and financial complexities of the global cultural economy. Compelled to escape the constraints of the American market, medical tourism consumers seek out accommodating foreign markets but end up influencing the global markets to evolve into partial mirror images of the American medical system. © 2010 Taylor & Francis.","Consumer agency; Cultural economy; Emancipation from market; Global disjunctures; Globalization; Medical tourism",,,,,,,,,"Appadurai, A., (1996) Modernity At Large: Cultural Dimensions of Globalization, , Minneapolis: University of Minnesota Press; Appadurai, A., Grassroots globalization and the research imagination (2000) Public Culture, 12 (1), pp. 1-19; Arnould, E., Should consumer citizens escape the market? (2007) Annals of the American Academy of Political and Social Science, 611, pp. 96-111; Arnould, E., Wallendorf, M., Market-oriented ethnography: Interpretation building and marketing strategy formulation (1994) Journal of Market Research, 31, pp. 484-504; Baicker, K., Chandra, A., The effect of malpractice liability on the delivery of health care (2004) Bulletin On Aging and Health National Bureau of Economic Research, 9, pp. 1-4; Bauman, Z., (1989) Freedom, , Minneapolis: University of Minnesota Press; Belk, R., Wallendorf, M., Sherry, J., The sacred and the profane in consumer behavior: Theodicy on the Odyssey (1989) Journal of Consumer Research, 16 (1), pp. 1-38; Bhagwati, J., Panagariya, A., Srinivasan, T.N., The muddles over outsourcing (2004) Journal of Economic Perspectives, 18 (4), pp. 94-114; Borgerson, J., Materiality, agency and the constitution of consuming subjects: Insights for consumer research (2005) Advances In Consumer Research, 32, pp. 439-443; Brown, S., Kozinets, R., Sherry, J., Teaching old brands new tricks: Retro branding and the revival of brand meanings (2003) Journal of Marketing, 67, pp. 19-33; Chakrabarty, D., (2007) Provincializing Europe: Postcolonial Thought and Historical Difference, , 2nd ed. Princeton, NJ: Princeton University Press; Cova, B., Pace, S., Brand community of convenience products: New forms of customer empowerment - the case of ""my Nutella the community (2006) European Journal of Marketing 40, Nos, 40 (9-10), pp. 1087-1105; Dossani, R., Kenney, M., Went for cost, stayed for quality (2003) Moving the Back Office to India, , http://repositories.cdlib.org/brie/BRIEWP156, Berkeley Roundtable on the International Economy: Paper BRIEWP156; Einhorn, B., Checking into Bumrungrad Hospital (2008) Business Week, , http://www.businessweek.com/globalbiz/content/mar2008/gb20080312_918800.htm, March 17; Elliott, R., Jankel-Elliot, N., Using ethnography in strategic consumer research (2003) Qualitative Marketing Research, 6 (4), pp. 215-223; Esmeel, M., Walker, M., (2005) Hospital Waiting Lists In Canada, , 15th ed. Vancouver, British Columbia: Frazer Institute; Ewin, S., (2001) Captains of Consciousness: Advertising and the Social Roots of The Consumer Culture, , New York: Basic Books; Frankfort, H., (1988) The Importance of What We Care About, , Cambridge: Cambridge University Press; Giesler, M., The social form of Napster: Cultivating the paradox of consumer emancipation (2003) Advances In Consumer Research, 30, pp. 94-100; Glaser, B.G., Strauss, A.L., (1967) The Discovery of Grounded Theory, , Chicago: Aldine; Halton, E., Brain suck (2000) New Forms of Consumption, pp. 93-109. , ed. M. Gottdiener, Lanham, MD: Rowan & Littlefield; Hewer, P., Brownlie, D., Cultures of consumption of car aficionados (2007) International Journal of Sociology and Social Policy, 27 (3-4), pp. 106-119; Jameson, F., Miyoshi, M., (1998) The Cultures of Globalization, , Durham, NC: Duke University Press; Kher, U., Outsourcing your heart (2006) Time Magazine, , http://www.time.com/time/magazine/article/0,9171,1196429,00.html; Klein, N., (2000) No Logo: Taking Aim At the Brand Bullies, , Toronto: Knopf; Kozinets, R., On netnography: Initial reflections on consumer research investigations of cyberculture (1998) Advances In Consumer Research, 25, pp. 366-371; Kozinets, R., The field behind the screen: Using netnography for marketing research in online communities (2002) Journal of Marketing Research, 39 (1), pp. 61-72; Kozinets, R., (2007), http://kozinets.net/archives/90, Considering consumer freedom: From Paris Hilton to consumption literacy; Kozinets, R., Handelman, J., Ensouling consumption: A netnographic exploration of the meaning of boycotting behavior (1998) Advances In Consumer Research, 25, pp. 475-480; Loyal, S., Brown, S., Agency"" as a red herring in social theory (2001) Philosophy of the Social Sciences, 31 (4), pp. 507-524; Maclaren, P., Catterall, M., Researching the social web: Marketing information from virtual communities (2002) Marketing, Intelligence & Planning, 20 (6), pp. 319-326; Meyer, R., Jesperson, R., The ""actors"" of modern society: The cultural construction of social agency (2000) Sociological Theory, 18 (1), pp. 100-120; Miller, D., (1987) Material Culture and Mass Consumption, , Oxford: Basil Blackwell; Miller, D., (2005) Materiality: An Introduction, , Durham, NC: Duke University Press; Ozanne, J., Murray, J., Uniting critical theory and public policy to create the reflex-ively defiant consumer (1995) American Behavioral Scientist, 38, pp. 516-526. , (February); Pieterse, B., Globalization as hybridization (1996) Global Modernities, pp. 45-68. , ed. M. Featherstone, S. Lash and R. Robertson, London: Sage; Prasad, A., Prasad, P., Global Transactions: The Emerging New World Order and its Implications for Business and Management (2006) Business Renaissance Quarterly, 1 (3), pp. 91-114; Ritzer, G., (1993) The McDonaldization of Society, , Thousand Oaks, CA: Pine Forge Press; Schor, J., (1998) The Overspent American: Upscaling, Downshifting, and The New Consumer, , New York: Basic Books; Scott, W.R., Ruef, M., Mendel, P., Caronna, C., (2000) Institutional Change and Healthcare Organizations, , Chicago: University of Chicago Press; Woodman, J., (2007) Patients Beyond Borders, , Chapel Hill, NC: Healthy Travel Media; Zikmund, W., Babin, B., (2006) Exploring Marketing Research, , 9th ed. Cincinnati: SouthWestern","Perfetto, R.; College of Business Administration, University of Rhode Island, Kingston, RI, United States; email: rperfetto@mail.uri.edu",,,,,,,,10253866,,,,"English","Consum. Mark. Cult.",Article,"Final",,Scopus,2-s2.0-79960137786 "Crooks V.A., Snyder J.","35585107800;24170239100;","Regulating medical tourism",2010,"The Lancet","376","9751",,"1465","1466",,11,"10.1016/S0140-6736(10)61993-9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78049525733&doi=10.1016%2fS0140-6736%2810%2961993-9&partnerID=40&md5=63188203f3a85db0d62a8a302bffd7d9","Department of Geography, Simon Fraser University, Burnaby, BC V5A 1S6, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, BC V5A 1S6, Canada; Snyder, J., Department of Geography, Simon Fraser University, Burnaby, BC V5A 1S6, Canada",[No abstract available],,"consensus development; health; health care personnel; health care system; human; letter; medical tourism; patient safety; practice guideline; priority journal; tourism; Humans; India; Liability, Legal; Medical Tourism; Safety",,,,,,,,"Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376, pp. 671-672; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) Am J Surg, 199, pp. 604-608; Cheung, I.A., Wilson, A., Arthroplasty tourism (2007) Med J Aust, 187, pp. 666-667; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325","Crooks, V. A.; Department of Geography, Simon Fraser University, Burnaby, BC V5A 1S6, Canada; email: crooks@sfu.ca",,,,,,,,01406736,,LANCA,"21036273","English","Lancet",Letter,"Final",,Scopus,2-s2.0-78049525733 "Callera F., Cavenaghi L., de Melo C.M.T.P.","56469474800;34871633000;12809091900;","Peripheral blood progenitor cell collection without close monitoring of peripheral blood CD34+ cells: A feasible strategy for multiple myeloma or pre-treated Non-Hodgkin's Lymphoma patients mobilized with low-dose cyclophosphamide plus G-CSF",2009,"Transfusion and Apheresis Science","40","2",,"91","95",,11,"10.1016/j.transci.2009.01.015","https://www.scopus.com/inward/record.uri?eid=2-s2.0-62949170602&doi=10.1016%2fj.transci.2009.01.015&partnerID=40&md5=7f70c8a625e0428e749724a0a2fd289e","Serviço de Hematologia e Hemoterapia de São José dos Campos, Rua Antonio Sais 425, Sao Jose Dos Campos, Sao Paulo 12210-040, Brazil","Callera, F., Serviço de Hematologia e Hemoterapia de São José dos Campos, Rua Antonio Sais 425, Sao Jose Dos Campos, Sao Paulo 12210-040, Brazil; Cavenaghi, L., Serviço de Hematologia e Hemoterapia de São José dos Campos, Rua Antonio Sais 425, Sao Jose Dos Campos, Sao Paulo 12210-040, Brazil; de Melo, C.M.T.P., Serviço de Hematologia e Hemoterapia de São José dos Campos, Rua Antonio Sais 425, Sao Jose Dos Campos, Sao Paulo 12210-040, Brazil","Background: Daily monitoring of peripheral blood CD34+ cells may not be necessary for all patients with hematologic malignancies for adequate peripheral blood progenitor cells (PBPC) mobilization and harvesting. We therefore designed a regimen for PBPC mobilization in patients with multiple myeloma or pre-treated Non-Hodgkin's lymphoma based on a combination of low-dose cyclophosphamide (Cy) plus granulocyte colony-stimulating factor (G-CSF) without daily monitoring of peripheral blood CD34+ cells. Study design and methods: A prospective study was performed on patients with multiple myeloma (n = 22) or pre-treated Non-Hodgkin's lymphoma (n = 17) whose PBPC were harvested according to the following regimen: 1.5 g/m2 Cy at day 1, 12 μg/kg/day G-CSF from day +7 to +11 avoiding daily monitoring of peripheral blood CD34+ cells and two consecutive leukapheresis at days +12 and +13. The optimum threshold of 2 × 106 CD34+ cells per kg was established. Results: The proportion of patients with higher CD34+ cell yield after two leukapheresis was similar: multiple myeloma (16/22-72.7%) and Non-Hodgkin's lymphoma (12/17-70.6%). Exposure to radiotherapy and greater than two prior chemotherapy regimens were significantly associated with lower yield in multiple myeloma (p = 0.002) and Non-Hodgkin's lymphoma patients (p = 0.002), respectively. Conclusion: Our data suggested that adequate yields of CD34+ cells may be achieved in multiple myeloma or pre-treated Non-Hodgkin's lymphoma mobilized with low-dose Cy plus G-CSF regardless of the daily monitoring of peripheral blood CD34+ cells. © 2009 Elsevier Ltd. All rights reserved.",,"carmustine; cyclophosphamide; etoposide; granulocyte colony stimulating factor; melphalan; adolescent; adult; aged; article; cancer chemotherapy; cancer radiotherapy; CD34 selection; clinical article; clinical protocol; drug megadose; female; human; leukapheresis; low drug dose; male; multiple myeloma; nonhodgkin lymphoma; peripheral blood stem cell; peripheral blood stem cell transplantation; stem cell mobilization; treatment outcome; Adolescent; Adult; Adult Stem Cells; Aged; CD4 Lymphocyte Count; Cyclophosphamide; Female; Granulocyte Colony-Stimulating Factor; Humans; Leukapheresis; Lymphoma, Non-Hodgkin; Male; Middle Aged; Multiple Myeloma; Peripheral Blood Stem Cell Transplantation; Prospective Studies; Transplantation, Autologous; Young Adult",,"carmustine, 154-93-8; cyclophosphamide, 50-18-0; etoposide, 33419-42-0; melphalan, 148-82-3; Cyclophosphamide, 50-18-0; Granulocyte Colony-Stimulating Factor, 143011-72-7","vp 16",,,,,"Milone, G., Leotta, S., Indelicato, F., Mercurio, S., Moschetti, D., Di Raimondo, F., G-CSF alone vs. cyclophosphamide plus G-CSF in peripheral blood PBPC mobilization of patients with lymphoma: results depend on degree of previous treatment (2003) Bone Marrow Transplant, 31, pp. 747-754; Pavone, V., Gaudio, F., Guarini, A., Perrone, T., Zonno, A., Curci, P., Mobilization of PBPCs with high-dose cyclophosphamide or the DHAP regimen plus G-CSF in NHL (2002) Bone Marrow Transplant, 29, pp. 285-290; Pardee, T.S., Hagag, N., Singh, B., Effective CD34+ stem cell mobilization with low-dose pegfilgrastim (2006) J Appl Res, 6 (3), pp. 196-200; Ahn, J.S., Park, S., Im, S.A., Yoon, S.S., Lee, J.S., Kim, B.K., High-dose versus low-dose cyclophosphamide in combination with G-CSF for peripheral blood progenitor cell mobilization (2005) Kor J Internal Med, 20 (3), pp. 224-231; Ketterer, N., Salles, G., Moullet, I., Dumontet, C., ElJaafari-Corbin, A., Tremisi, P., Factors associated with successful mobilization of peripheral blood progenitor cells in 200 patients with lymphoid malignances (1998) Brit J Haematol, 10, pp. 235-242; Canales, M.A., Fernandez-Jimenez, M.C., Martin, A., Arrieta, R., Caballero, M.D., Diez, J., Identification of factors associated with poor peripheral blood progenitor cell mobilization in Hodgkin's disease (2001) Haematologica, 86, pp. 4949-4958; Meisenberg, B., Brelim, T., Schmeckel, A., Miller, W., McMillan, R., A combination of low-dose cyclophosphamide and colony-stimulating factors is more cost-effective than granulocyte-colony-stimulating factors alone in mobilizing peripheral blood stem and progenitor cells (1998) Transfusion, 38 (2), pp. 209-215; Alegre, A., Tomás, J.F., Martínez-Chamorro, C., Gil-Fernández, J.J., Fernández-Villalta, M.J., Arranz, R., Comparison of peripheral blood progenitor cell mobilization in patients with multiple myeloma: high dose cyclophosphamide plus GM-CSF vs. G-CSF alone (1997) Bone Marrow Transplant, 20, pp. 211-217; Desikan, K.R., Barlogie, B., Jagannath, S., Vesole, D.H., Siegel, D., Fassas, A., Comparable engraftment kinetics following peripheral-blood stem-cell infusion mobilized with granulocyte colony-stimulating factor with or without cyclophosphamide in multiple myeloma (1998) J Clin Oncol, 6, pp. 1547-1553; Bellido, M., Sureda, A., Martino, R., Madoz, P., Garcia, J., Brunet, S., Collection of peripheral blood progenitor cells for autografting with low-dose cyclophosphamide plus granulocyte colony-stimulating factor (1998) Haematologica, 83 (5), pp. 428-431; Jantunen, E., Putkonen, M., Nousiainen, T., Pelliniemi, T.T., Mahlamaki, E., Remes, K., Low-dose or intermediate-dose cyclophosphamide plus granulocyte colony-stimulating factor for progenitor cell mobilization in patients with multiple myeloma (2003) Bone Marrow Transplant, 31 (5), pp. 347-351; Watts, M.J., Sullivan, A.M., Jamieson, E., Pearce, R., Fielding, A., Devereux, S., Progenitor-cell mobilization after low-dose cyclophosphamide and granulocyte colony-stimulating factor: an analysis of progenitor-cell quantity and quality and factors predicting for these parameters in 101 pre-treated patients with malignant lymphoma (1997) J Clin Oncol, 15 (2), pp. 535-546; Deliliers, G.L., Annaloro, C., Marconi, M., Soligo, D., Morandi, P., Luchesini, C., Harvesting of autologous blood stem cells after a mobilizing regimen with low-dose cyclophosphamide (2002) Leukemia Lymphoma, 43 (10), pp. 1957-1960; Sutherland, H., Eaves, C., Lansdorp, P.M., Phillips, G.L., Hogge, D.E., Kinetics of committed and primitive blood progenitor mobilization after chemotherapy and growth factor treatment and their use in autotransplants (1994) Blood, 83 (12), pp. 3808-3811; Stadmauer, E.A., Schneider, C.J., Silberstein, L.E., Peripheral blood progenitor cell generation and harvesting (1995) Sem Oncol, 22, pp. 291-300; Fielding, A.K., Watts, M.J., Goldstine, A.H., Peripheral blood progenitor cells versus bone marrow (1994) J Hematother, 3, pp. 203-211; Siena, S., Bregni, M., Gianni, M.A., Estimation of peripheral blood CD34+ cells for autologous transplantation in cancer patients (1993) Exp Hematol, 21, pp. 203-205; Smith, A.M., Peripheral blood progenitor cell transplantation: clinical, practical and economics considerations (1994) J Haematol, 3, pp. 331-348; Mavroudis, D., Read, E., Cottler-Fox, M., Couriel, D., Molldrem, J., Carter, C., CD34+ cell dose predicts survival, post transplant mortality and rate of hematologic recovery after allogenic marrow transplants for hematologic malignances (1996) Blood, 88, pp. 3223-3229; Taylor, P.R.A., Jackson, G.H., Lennard, A.L., Lucraft, H., Proctor, S.J., Autologous transplantation in poor risk Hodgkin's disease using high dose melphalan/etoposide conditioning with non-cryopreserved marrow rescue (1993) Newcastle Northern Region Lymphoma Group Brit J Cancer, 67, pp. 383-387; Gratama, J.W., Sutherland, D.R., Keeney, M., Flow cytometric enumeration and immunophenotyping of hematopoietic stem and progenitor cells (2001) Sem Hematol, 38, pp. 139-147; Ayello, J., Semidei-Pomales, M., Preti, R., Hesdorffer, C., Reiss, R.F., Effects of long-term storage at -90 °C of bone marrow and PBPC on cell recovery, viability, and clonogenic potential (1998) J Hematother, 7 (4), pp. 385-390; Moskowitz, C.H., Glassman, J.R., Wuest, D., Maslak, P., Reich, L., Gucciardo, A., Factors affecting mobilization of peripheral blood progenitor cells in patients with lymphoma (1998) Clin Cancer Res, 4 (2), pp. 311-316; Assouline, S., Sylvestre, M.P., Carriere, P., Shustik, C., Laneuville, P., Comparison of peripheral blood progenitor cell yield from standard chemotherapy used in the treatment of lymphoid malignances and high-dose cyclophosphamide: a retrospective review of 141 patients (2006) Transfusion, 46, pp. 174-179","Callera, F.; Serviço de Hematologia e Hemoterapia de São José dos Campos, Rua Antonio Sais 425, Sao Jose Dos Campos, Sao Paulo 12210-040, Brazil; email: fcallera@vivax.com.br",,,,,,,,14730502,,TASRC,"19233728","English","Transfus. Apheresis Sci.",Article,"Final",,Scopus,2-s2.0-62949170602 "Anderson F.W.J., Wansom T.","8873355200;37020329100;","Beyond medical tourism: Authentic engagement in global health",2009,"Virtual Mentor","11","7",,"506","510",,11,"10.1001/virtualmentor.2009.11.7.medu1-0907","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80051549307&doi=10.1001%2fvirtualmentor.2009.11.7.medu1-0907&partnerID=40&md5=aaa111628c91c6f18952a17696c7d58e","Department of Obstetrics and Gynecology, University of Michigan, Medical School, Ann Arbor, United States; University of Michigan, Medical School, Gerald R. Ford School of Public Policy, Johns Hopkins Bayview Medical Center, United States","Anderson, F.W.J., Department of Obstetrics and Gynecology, University of Michigan, Medical School, Ann Arbor, United States; Wansom, T., University of Michigan, Medical School, Gerald R. Ford School of Public Policy, Johns Hopkins Bayview Medical Center, United States",[No abstract available],,,,,,,,,,"Bishop, R., Litch, J.A., Medical tourism can do harm (2000) BMJ, 320 (7240), p. 1017; Crump, J.A., Sugarman, J., Ethical considerations for short-term experiences by trainees in global health (2008) JAMA, 300 (12), pp. 1456-1458; Bhat, S.B., Ethical coherency when medical students work abroad (2008) Lancet, 372 (9644), pp. 1133-1134; Klufio, C.A., Kwawukume, E.Y., Danso, K.A., Sciarra, J.J., Johnson, T., Ghana postgraduate obstetrics/gynecology collaborative residency training program: Success story and model for Africa (2003) Am J Obstet Gynecol, 189 (3), pp. 692-696; Anderson, F.W., Mutchnick, I., Kwawukume, E.Y., Who will be there when women deliver? Assuring retention of obstetric providers (2007) Obstet Gynecol, 110 (5), pp. 1012-1016",,,,"American Medical Association",,,,,19377010,,,,"English","Virtual Mentor",Review,"Final",,Scopus,2-s2.0-80051549307 "Sieveking K.","18134409400;","ECJ rulings on health care services and their effects on the freedom of cross-border patient mobility in the EU",2007,"European Journal of Migration and Law","9","1",,"25","51",,11,"10.1163/138836407X179292","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34547605348&doi=10.1163%2f138836407X179292&partnerID=40&md5=4ecdaf28e4ca51a2dc4d75679a833e0d","Bremen University, Germany","Sieveking, K., Bremen University, Germany","Patient mobility and cross-border medical care are significant issues of the actual discussion about the future development of the health care systems of the Member States of the European Union. New rights for patients were defined by the European Court of Justice in its sequence of judgements (e. g. Kohll, Müller-Fauré, Watts) referring to Regulation (EEC) 1408/71 on the social security of migrant workers. The Court's rulings also provoked considerable effects in national governments, insurance institutions, care providers and medical professionals. In its communication of April 2005 the European Commission proposed a new health and consumer protection strategy, of which the scope of facilitating utilisation of cross-border health care is a striking aspect. Discussions are based on the existence of two categories of health care systems within the EU: social insurance systems and national health systems both varying in organisation, financing and benefits. As regards individual rights before going abroad the patients in certain cases have to be aware of the need of prior authorisation by the competent authority. In terms of the Court's reasoning the question will be how the freedom to choose one's doctor and hospital can be realised without endangering the system's financial balance and what restrictions are necessary to provide a balanced medical and hospital service accessible to all, which is indispensable for the maintenance of an essential treatment facility or medical service on national territory. The Court's most important rulings on these issues are introduced. In the light of these rulings and the increasing mobility of patients, especially retired persons, the paper reflects financial and institutional effects on the national health care systems within the EU. © 2007 Martinus Nijhoff Publishers.","(Cross-border) patient mobility; European court of justice; Freedom to provide services; Health care services; Health care system; Principal of territoriality; Principle of solidarity; Social rights; Social security systems",,,,,,,,,"Altenstetter, C., Busse, R., Healthcare reform in Germany: Patchwork change within established governance structures (2005) Journal of Health Politics Policy Law, 30 (1), pp. 121-142; Bertinato, L., Busse, R., Fahy, N., Legido-Quigley, H., McKee, M., Palm, W., Ronfini, F., Policy Brief ""Cross-border health care in Europe (2005) Copenhagen/Brussels: WHO/European Observatory on Health Systems, , and Policies; Bieback, K.-J., Neue Rechtsprechung des EuGH zur grenzüberschreitenden Beanspruchung von Gesundheitsleistungen - zugleich eine Anmerkung zum Urteil des EuGH in der RS C-372/04 (2006) ZESAR(Zeitschrift für Europäisches Sozial- und Arbeitsrecht), pp. 241-246; Busse, R., van Ginneken, E., Schreyögg, J., Wisbaum, W., The health care system and reform in the Netherlands (2005) EuroObserver, 7 (1), pp. 6-8; Danner, G., Zukunftsvision oder Markt der Illusionen? - Praxis grenzüberschreitender Inanspruchnahme von Krankenhausleistungen in verschiedenen EU-Mitgliedstaaten (2004) ZESAR, pp. 408-412; Dawes, A. (2005) Article 35 of the Charter of the Fundamental Rights and the Emergence of a Right to Healthcare - A Conceptual Analysis of the Case Law of Patients' Rights in the Light of European Citizenship. Thesis presented for the degree of Master of European Studies at the College of Europe (Bruges, June 2005) - EFPIA-Publications; Eichenhofer, E., Das europäische koordinierende Krankenversicherungsrecht nach den EuGH-Urteilen Kohll und Decker (1999) VSSR(Vierteljahresschrift für Sozialrecht), 2, pp. 101-122; European Commission (ed.) (2004) MISSOC; Social Protection in the Member States of the European Union, Brussels - Luxembourg; Falke, J., Gesundheit und Gemeinwohl in der europäischen Verbraucherschutzpolitik (2006) Europäisches Gemeinwohl: Historische Dimensionen und aktuelle Bedeutung, pp. 205-270. , Ambrosius, G, Schmidt-Egner, P, Hrsg, Baden-Baden; Fuchs, M., Free Movement of Services and Social Security - Quo Vadis? (2002) ELJ(European Law Journal), 8 (4), pp. 536-555; GVG (Gesellschaft für Versicherungswissenschaft und -gestaltung e.V.) (eds.) (2004) Offene Methode der Koordinierung im Gesundheitswesen, Schriftenreihe der GVG Band 44, Akademische Verlagsgesellschaft Aka GmbH, Berlin; Fuchs, M., Social Protection in the Candidate Countries. Country Studies (2003) Schriftenreihe der GVG Bände, 40-43. , Köln, Akademische Verlagsgesellschaft Aka GmbH, Berlin; Hatzopoulos, V., Health Law and Policy: The Impact of the EU (2005) EU Law and the Welfare State. In Search of Solidarity, pp. 111-168. , De Búrka, G, ed, Oxford University Press; _ (2002) Killing National Health and Insurance Systems but Healing Patients? The European Market for Health Care Services after the Judgments of the ECJ in Vanbraekeland Peerbooms, 39 CMLR(Common Market Law Review) 683-729; Hatzopoulos, V., Uyen Do, T., The Case Law of the ECJ concerning the free provision of Services: 2000-2005 (2006) CMLR, 43, pp. 923-991; Hervey, T., The ""Right to Health"" in European Union Law (2003) Economic and Social Rights under the EU Charter of Fundamental Rights, pp. 193-222. , Hervey, T. Sc Kenner, J, eds; Hervey, T., The Legal Basis of EC Public Health Policy (2002) The Impact of EU Law on Health Care Systems, pp. 23-56. , M. McKee et al, eds; Hervey, T., McHale, J.V., (2005) Health Law and the European Union, , Cambridge University Press; (1999) Europäische Union und gesetzliche Krankenversicherung. Status und Entwicklungen der Gesundheitspolitik in der EU, , Igl, G, Hrsg, Wiesbaden; Igl, G., (1995) The situation of dependence in relation to the protection afforded by social security, , Council of Europe, Strasbourg; Jorens, Y., (2002) Open Method of Coordination, , Baden-Baden; Jorens, Y., The Right to Healthcare Across Borders (2002) The Impact of EU Law on Health Care Systems, pp. 83-87. , M. McKee et al, eds; (2003) Grenzüberschreitende Inanspruchnahme von Gesundheitsleistungen im Gemeinsamen Markt, , Jorens, Y, Schulte, B, Hrsg, Belgisch-deutsch-niederländische Tagung in Antwerpen, Baden-Baden; Jorens, Y., Schulte, B., The Implementation of Regulation1408/71in the Member States of the European Union (2001) EJSS(European Journal of Social Security), 3 (3), pp. 237-255; Kücking, M.U.A., Aktuelle europäische Entwicklungen in der Gesundheitspolitik (2005) ZESAR, pp. 62-148; Lafrenz, N., Die Pflegeversicherung als Teil der Krankenversicherung im Sozial-recht der Europäischen Union (2002) Die Entscheidungen des Europäischen Gerichtshofs, ZERP-Diskussionspapier, 2; (2002) The Impact of EU Law on Health Care Systems, , McKee, M, Mossialos, E. and Baeten, R, eds, Brussels; Mei, A.P. van der (2004, Cross-Border Access to Medical Care: Non-Hospital Care and Waiting Lists, European Court of Justice, 13 May 2003, Case C-385/99, Müller-Fauréand Van Riet, 31 LIEI(Legal Issues of Economic Integration, 1) 57-67; Cross-Border Access to Health Care within the European Union: Some Reflections on Geraets-Smits and Peerbooms and Vanbraekel (2002) MJ(Maastricht Journal of European and Comparative Law), 9, pp. 189-213; _ (1998): Cross-Border Access to Health Care within the European Union: Some Reflections on the Judgments Deckerand Kohll, 5 MJ(3) 277-297; Minderhoud, P. (1999) Case Report, Part III, Cases C-120/95 and 158/96, N. Deckerand R. Kohll, 28 April 1998, 1 EJML(European Journal of Migration and Law) 155; Moore, M. (2002) Freedom of Movement and Migrant Workers Social Security: An Overview of the Case Law of the Court of Justice, 1977-2001, 39 CMLR, 807-839; Mossialos, E., McKee, M., (2002) EU Law and the Social Character of Health Care, , Brussels; Nickless, J., The Internal Market and the Social Nature of Health Care (2002) The Impact of EU Law on Health Care Systems, pp. 57-82. , M. McKee et al, eds; Palm, W., Voluntary Health Insurance and EU Insurance Directives: Between Solidarity and the Market (2002) The Impact of EU Law on Health Care Systems, pp. 195-233. , M. McKee et al, eds; Palm, W., Nickless, J., Lewalle, H. and Coheur, A. (2000) Implications of Recent Jurisprudence on the Coordination of Health Care Protection Systems. Brussels, Association Internationale de la Mutualité: Report produced for DG Employment and Social Affairs; Schreiber, A., Grenzüberschreitende Inanspruchnahme von Krankenhausleistungen aus der Sicht des BMGS (2004) ZESAR, pp. 413-416; Schulte, B., (2005) Reform des europäischen koordinierenden Sozialrechts: Persönlicher und sachlicher Anwendungsbereich der neuen VO (EG) 883/2004, 13 EuroAS(Informationsdienst Europäisches Arbeits- und Sozialrecht), pp. 173-175; Sieveking, K., The Significance of the Transborder Utilisation of Health Care Benefits for Migrants (2000) EJML(European Journal of Migration and Law), 2, pp. 143-155; (1998) Sozialer Schutz bei Pflegebedürftigkeit in der Europäischen Union, , _ ed, Social Security and long-term care in the European Union, Baden-Baden; Swedish National Social Insurance Board, European Commission (eds.) (1997) 25 Years of Regulation (EEC) No. 1408/71 on Social Security for Migrant Workers - Past Experiences, Present Problems and Future Perspectives. Report from the European Conference on Social Security, Sweden, June 1996, Stockholm; Tiemann, S., Gesundheitssysteme in Europa - Experimentierfeld zwischen Staat und Markt - Frankreich, Niederlande, Schweiz, Schweden und Großbritannien - Analyse und Vergleich (2006) Schriftenreihe der GVG, 53. , Band, Akademische Verlagsgesellschaft Aka GmbH, Berlin","Sieveking, K.; Bremen UniversityGermany",,,,,,,,1388364X,,,,"English","Eur. J. Migr. Law",Article,"Final",,Scopus,2-s2.0-34547605348 "Carrera P.M.","55362546400;","Medical Tourism [5]",2006,"Health Affairs","25","5",,"1453","",,11,"10.1377/hlthaff.25.5.1453-a","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33749329849&doi=10.1377%2fhlthaff.25.5.1453-a&partnerID=40&md5=d0f09950af267d586a45969ed149bd10","University of Heidelberg Medical School, Heidelberg, Germany","Carrera, P.M., University of Heidelberg Medical School, Heidelberg, Germany",[No abstract available],,"developing country; economics; ethnology; health care delivery; health insurance; health service; human; international cooperation; note; travel; United States; Developing Countries; Health Services; Health Services Accessibility; Humans; Insurance, Health; Internationality; Travel; United States",,,,,,,,,"Carrera, P.M.; University of Heidelberg Medical School, Heidelberg, Germany",,,"Project HOPE",,,,,02782715,,HEAFD,"16966750","English","Health Aff.",Letter,"Final",,Scopus,2-s2.0-33749329849 "Beladi H., Chao C.-C., Ee M.S., Hollas D.","7006277712;7403320275;22957299600;7801380840;","Does Medical Tourism Promote Economic Growth? A Cross-Country Analysis",2019,"Journal of Travel Research","58","1",,"121","135",,10,"10.1177/0047287517735909","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042917001&doi=10.1177%2f0047287517735909&partnerID=40&md5=ec451a0b234ac129a62235da5f8507e4","College of Business, University of Texas at San Antonio, San Antonio, TX, United States; Department of Economics, Deakin Business School, Deakin University, Geelong, Australia; Department of Finance, Deakin Business School, Deakin University, Geelong, Australia","Beladi, H., College of Business, University of Texas at San Antonio, San Antonio, TX, United States; Chao, C.-C., Department of Economics, Deakin Business School, Deakin University, Geelong, Australia; Ee, M.S., Department of Finance, Deakin Business School, Deakin University, Geelong, Australia; Hollas, D., College of Business, University of Texas at San Antonio, San Antonio, TX, United States","In recent years, many countries have been actively promoting medical tourism to stimulate economic growth. However, the expansion of medical tourism has potentially detrimental effects for the welfare of host countries. In particular, a decline in workers’ productivity could arise as a result of a reduction in public health care provision due to the expansion of the medical tourism sector. By addressing the crowding-out effect on labor productivity, this paper sheds light on the economic impacts of medical tourism on host countries. Our empirical analysis confirms that medical tourism, on average, has a positive effect on host economies’ output growth, particularly in non-OECD countries. Nonetheless, the output contribution of medical tourism is overestimated by an average of 26.8% if the unfavorable indirect productivity effect is not taken into account. © The Author(s) 2017.","economic development; health care provision; labor productivity; medical tourism","economic development; economic growth; economic impact; health care; labor productivity; medical tourism; public health; welfare impact",,,,,,,,"Aghion, P., Hemous, D., Kharroubi, E., Cyclical Fiscal Policy, Credit Constraints, and Industry Growth (2014) Journal of Monetary Economics, 62, pp. 41-58; Barro, R.J., Sala-i-Martin, X., Economic Growth and Convergence across the United States (1990) National Bureau of Economic Research, , August, 1990,,., Working Paper No. 3419; Baumol, W.J., Productivity Growth, Convergence, and Welfare: What the Long-Run Data Show (1986) American Economic Review, 76, pp. 1072-1085; Beladi, H., Chao, C.-C., Ee, M.S., Hollas, D., Medical Tourism and Health Worker Migration in Developing Countries (2015) Economic Modelling, 46, pp. 391-396; Bhagwati, J., Madan, S., Comprehensive Healthcare in US Can Be Realized (2008) FT.com, , http://www.ft.com/cms/s/0/fc8a870a-d091-11dd-ae00-000077b07658.html?ft_site=falcon&desktop=true#axzz4OiONmW4w; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York, Palgrave Macmillan; Cattaneo, O., (2009) Trade in Health Services: What’s in It for Developing Countries?, , Washington, DC, World Bank; Chanda, R., Trade in Health Services (2002) Bulletin of the World Health Organization, 80 (2), pp. 156-163; Chang, I.-C., Chou, P.-C., Yeh, R.K.J., Tseng, H.-T., Factors Influencing Chinese Tourists’ Intentions to Use the Taiwan Medical Travel App (2016) Telematics and Informatics, 33, pp. 401-409; Chee, H.L., Medical Tourism and the State in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Chen, Y.Y.B., Flood, C.M., Medical Tourism’s Impact on Health Care Equity and Access in Low- and Middle-Income Countries: Making the Case for Regulation (2013) Journal of Law, Medicine & Ethics, 41 (1), pp. 286-300; Cheung, I.K., Wilson, A., Arthroplasty Tourism (2007) Medical Journal of Australia, 187, pp. 666-667; Cohen, I.G., Medical Tourism, Access to Health Care, and Global Justice (2015) Canadian Journal of Comparative and Contemporary Law, 1 (1), pp. 161-239; Connell, J., Contemporary Medical Tourism: Conceptualisation, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; (2008) Medical Tourism: Consumer in Search of Value, , New York, Deloitte; (2015) Health and Wellness Tourism Report, , London, Euromonitor International; (2016) Cross-Border Care, , http://ec.europa.eu/health/cross_border_care/policy/index_en.htm, (accessed November 12, 2016; Gan, L.L., Frederick, J.R., Medical Tourism Facilitators: Patterns of Service Differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A Typology of Cross-Border Patient Mobility (2010) Health & Place, 16, pp. 1145-1155; Goodrich, J.N., Socialist Cuba: A Study of Health Tourism (1993) Journal of Travel Research, 32 (1), pp. 36-41; Hanefeld, J., Smith, R., Globalization and Trade in Health Services (2015) Handbook on Medical Tourism and Patient Mobility, pp. 37-44. , Lunt N., Horsfall D., Hanefeld J., (eds), Cheltenham, UK, Edward Elgar,,. edited by; Helble, M., The Movement of Patients across Borders: Challenges and Opportunities for Public Health (2011) Bulletin of the World Health Organization, 89, pp. 68-72; Heung, V.C.S., Kucukusta, D., Song, H., A Conceptual Model of Medical Tourism: Implications for Future Research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Holzner, M., Tourism and Economic Development: The Beach Disease? (2011) Tourism Management, 32, pp. 922-933; Hopkins, L., Labonte, R., Runnels, V., Parker, C., Medical Tourism Today: What Is the State of Existing Knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What Is Known about the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review (2010) International Journal for Equity in Health, 9, pp. 1-13; Kannan, P., Dubai Reveals Master Plan for 500,000 Medical Tourists a Year (2014) The National, , http://www.thenational.ae/uae/tourism/dubai-reveals-master-plan-for-500-000-medical-tourists-a-year; Klijs, J., Ormond, M., Mainil, T., Peerlings, J., Heijman, W., A State-Level Analysis of the Economic Impacts of Medical Tourism in Malaysia (2016) Asian-Pacific Economic Literature, 30 (1), pp. 3-29; Lautier, M., Export of Health Services from Developing Countries: The Case of Tunisia (2008) Social Science & Medicine, 67, pp. 101-110; Lautier, M., International Trade of Health Services: Global Trends and Local Impact (2014) Health Policy, 118, pp. 105-113; Lawrence, R.Z., Labor’s Declining Share in Manufacturing (2015) Peterson Institute for International Economics, , https://piie.com/blogs/realtime-economic-issues-watch/labors-declining-share-manufacturing, (accessed May 27, 2017; Levine, R., Norman, L., Thorsten, B., Financial Intermediation and Growth: Causality and Causes (2000) Journal of Monetary Economics, 46, pp. 31-77; Lunt, N., Carrera, P., Medical Tourism: Assessing the Evidence on Treatment Abroad (2010) Maturitas, 66, pp. 27-32; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review (2011) OECD, , https://www.oecd.org/els/health-systems/48723982.pdf, (accessed November 12, 2016; Maguire, A., Bussmann, S., Kocker, C.M., Verra, S.E., Giurgi, L.A., Ruggeri, K., Raising Concern about the Information Provided on Medical Travel Agency Websites: A Place for Policy (2016) Health Policy and Technology, 5 (4), pp. 414-422; Mattoo, A., Rathindran, R., How Health Insurance Inhibits Trade in Health Care (2006) Health Affairs, 25 (2), pp. 358-368; (2016) What an NHL Player Taught the Medical Tourism Community about the Right to Try, , http://www.medicaltourismmag.com/the-right-to-try-laws/, (accessed November 12, 2016; Mo, P.H., Income Inequality and Economic Growth (2000) Kyklos, 53, pp. 293-316; Corruption and Economic Growth (2001) Journal of Comparative Economics, 29, pp. 66-79; Moghavvemi, S., Ormond, M., Musa, G., Mohamed Isa, C.R., Thirumoorthi, T., Mustapha, M.Z., Kanapathy, K., Chandy, J.J.C., Connecting with Prospective Medical Tourists Online: A Cross-Sectional Analysis of Private Hospital Websites Promoting Medical Tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163; Musa, G., Thirumoorthi, T., Doshi, D., Travel Behavior among Inbound Medical Tourists in Kuala Lumpur (2012) Current Issues in Tourism, 15 (6), pp. 525-543; NaRanong, A., NaRanong, V., The Effects of Medical Tourism: Thailand’s Experience (2011) Bulletin of the World Health Organization, 89, pp. 336-344; Pachanee, C.-A., Wibulpolprasert, S., Incoherent Policies on Universal Coverage of Health Insurance and Promotion of International Trade in Health Services in Thailand (2006) Health Policy and Planning, 21, pp. 310-318; Papyrakis, E., Gerlagh, R., The Resource Curse Hypothesis and Its Transmission Channels (2004) Journal of Comparative Economics, 32, pp. 181-193; Papyrakis, E., Gerlagh, R., Resource Abundance and Economic Growth in the United States (2007) European Economic Review, 51, pp. 1011-1039; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk Communication and Informed Consent in the Medical Tourism Industry: A Thematic Content Analysis of Canadian Broker Websites (2011) BMC Medical Ethics, 12 (17), pp. 1-9; Pocock, N.S., Phua, K.H., Medical Tourism and Policy Implications for Health Systems: A Conceptual Framework from a Comparative Study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (12), pp. 1-12; Reisman, D., The Economics of Health and Medical Tourism (2015) Handbook on Medical Tourism and Patient Mobility, pp. 82-91. , Lunt N., Horsfall D., Hanefeld J., (eds), Cheltenham, UK, Edward Elgar,,. edited by; Sequeira, T.N., Nunes, P.M., Does Tourism Influence Economic Growth? A Dynamic Panel Data Approach (2008) Applied Economics, 40, pp. 2431-2441; Smith, P.C., Forgione, D.A., Global Outsourcing of Healthcare: A Medical Tourism Decision Model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Smith, R., Alvarez, M.M., Chanda, R., Medical Tourism: A Review of the Literature and Analysis for a Role for Bi-lateral Trade (2011) Health Policy, 103, pp. 276-282; Snyder, J., Crooks, V.A., Johnston, R., Adams, K., Whitmore, R., Medical Tourism’s Impacts on Health Worker Migration in the Caribbean: Five Examples and Their Implications for Global Justice (2015) Global Health Action, 8, pp. 1-9; Snyder, J., Johnston, R., Crooks, V.A., Morgan, J., Adams, K., How Medical Tourism Enables Preferential Access to Care: Four Patterns from the Canadian Context (2016) Health Care Analysis, 25, pp. 138-150; Solow, R.M., A Contribution to the Theory of Economic Growth (1956) Quarterly Journal of Economics, 70 (1), pp. 65-94; (2012) Thailand Medical Hub of Asia, , http://www.thinkasiainvestthailand.com/download/Medical.pdf, (accessed May 12, 2017; Whittaker, A., Pleasure and Pain: Medical Travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290","Ee, M.S.; Department of Finance, Deakin Business School, Deakin UniversityAustralia; email: mong.e@deakin.edu.au",,,"SAGE Publications Ltd",,,,,00472875,,,,"English","J. Travel Res.",Article,"Final",,Scopus,2-s2.0-85042917001 "Aggarwal A., Lewis D., Charman S.C., Mason M., Clarke N., Sullivan R., van der Meulen J.","57109817600;7404751547;7004357370;7201987236;7201772622;7402485056;7102799145;","Determinants of Patient Mobility for Prostate Cancer Surgery: A Population-based Study of Choice and Competition",2018,"European Urology","73","6",,"822","825",,10,"10.1016/j.eururo.2017.07.013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026324037&doi=10.1016%2fj.eururo.2017.07.013&partnerID=40&md5=fe09b492f4483f1d3166fc8ae2844d29","Department of Health Services Research & Policy, London School of Hygiene and Tropical Medicine, London, England, United Kingdom; Department of Social and Environment Health Research, London School of Hygiene and Tropical Medicine, London, England, United Kingdom; Clinical Effectiveness Unit, Royal College of Surgeons of England, London, England, United Kingdom; School of Medicine, Cardiff University, Cardiff, Wales, United Kingdom; The Christie and Salford Royal NHS Foundation Trust, Manchester, England, United Kingdom; Institute of Cancer Policy, King's College London, London, England, United Kingdom","Aggarwal, A., Department of Health Services Research & Policy, London School of Hygiene and Tropical Medicine, London, England, United Kingdom; Lewis, D., Department of Social and Environment Health Research, London School of Hygiene and Tropical Medicine, London, England, United Kingdom; Charman, S.C., Clinical Effectiveness Unit, Royal College of Surgeons of England, London, England, United Kingdom; Mason, M., School of Medicine, Cardiff University, Cardiff, Wales, United Kingdom; Clarke, N., The Christie and Salford Royal NHS Foundation Trust, Manchester, England, United Kingdom; Sullivan, R., Institute of Cancer Policy, King's College London, London, England, United Kingdom; van der Meulen, J., Department of Health Services Research & Policy, London School of Hygiene and Tropical Medicine, London, England, United Kingdom, Clinical Effectiveness Unit, Royal College of Surgeons of England, London, England, United Kingdom","Many countries have introduced policies that enable patients to select a health care provider of their choice with the aim of improving the quality of care. However, there is little information about the drivers or the impact of patient mobility. Using administrative hospital data (n = 19 256) we analysed the mobility of prostate cancer patients who had radical surgery in England between 2010 and 2014. Our analysis, using geographic information systems and multivariable choice modelling, found that 33·5% (n = 6465) of men bypassed their nearest prostate cancer surgical centre. Travel time had a strong impact on where patients moved to but was less of a factor for men who were younger, fitter, and more affluent (p always < 0.001). Men were more likely to move to hospitals that provided robotic prostate cancer surgery (odds ratio: 1.42, p < 0.001) and to hospitals that employed surgeons with a strong media reputation (odds ratio: 2.18, p < 0.001). Patient mobility occurred in the absence of validated measures of the quality of care, instead influenced by the adoption of robotic surgery and the reputation of individual clinicians. National policy based on patient choice and provider competition may have had a negative impact on equality of access, service capacity, and health system efficiency. Patient summary: In this study, we assessed the reasons why men would choose to have prostate cancer surgery at a centre other than their nearest. We found that in England men were attracted to centres that carried out robotic surgery and employed surgeons with a national reputation. One in three men bypassed their nearest prostate cancer surgical centre for treatment, especially those who were younger, fitter, and more affluent. In the absence of indicators reflecting treatment quality, centres that offered robotic techniques or employed clinicians with a national reputation were attractive to patients. © 2017 European Association of Urology","Cancer; Equity; Patient choice; Patient mobility; Provider competition; Reputation; Robotic surgery","adult; Article; cancer surgery; geographic information system; health care access; health care system; human; major clinical study; male; patient mobility; priority journal; prostate cancer; robot assisted surgery; rural area; surgeon; travel; age; aged; decision making; economic aspect; England; health care delivery; health status; middle aged; patient preference; prostate tumor; robotic surgical procedure; socioeconomics; statistics and numerical data; time factor; Age Factors; Aged; Choice Behavior; Economic Competition; England; Geographic Information Systems; Health Services Accessibility; Health Status; Humans; Male; Middle Aged; Patient Preference; Prostatic Neoplasms; Robotic Surgical Procedures; Socioeconomic Factors; Time Factors; Travel",,,,,,,,"Siciliani, L., Chalkley, M., Gravelle, H., Policies towards hospital and GP competition in five European countries (2017) Health Policy, 121, pp. 103-110; (2002), http://navigator.health.org.uk/content/reforming-nhs-financial-flows-%E2%80%93-introducing-payment-results-2002, Department of Health. Reforming NHS financial flows: Introducing payment by results; Aggarwal, A., Lewis, D., Mason, M., Sullivan, R., van der Meulen, J., Patient mobility for elective secondary health care services in response to patient choice policies: a systematic review (2017) Med Care Res Rev, 74, pp. 379-403; Brooks, A., Who's the best surgeon for your prostate cancer op? (2010) Daily Mail., , http://www.philperkins.com/ProstateCancer/Daily%20Mail%20Who%27s%20the%20best%20surgeon%20for%20your%20prostate.pdf; McFadden, D., (1973), Conditional logit analysis of qualitative choice behavior. In: Zarembka P, editor. New York, NY: Wiley;; (2010), https://data.gov.uk/dataset/index-of-multiple-deprivation-score-2010, Data.gov.uk. Index of Multiple Deprivation Score; (2013), Statistics OfN. The 2011 Rural-Urban Classification For Small Area Geographies: A User Guide and Frequently Asked Questions (v1.0); Le Grand, J., The other invisible hand: delivering public services through choice and competition (2009), Princeton University Press Princeton, NJ; Kaye, D.R., Mullins, J.K., Carter, H.B., Bivalacqua, T.J., Robotic surgery in urological oncology: patient care or market share? (2015) Nat Rev Urol, 12, pp. 55-60; Aggarwal, A., Lewis, D., Charman, S., Mason, M., Sullivan, R., Van der Meulen, J., Patient mobility for radical prostatectomy in the English NHS: its impact on service configuration and technology integration (2016) Eur J Cancer, 72, p. S187; Schwartz, L.M., Woloshin, S., Birkmeyer, J.D., How do elderly patients decide where to go for major surgery? Telephone interview survey (2005) BMJ, 331, p. 821; Raven, M.C., Gillespie, C.C., DiBennardo, R., Van Busum, K., Elbel, B., Vulnerable patients’ perceptions of health care quality and quality data (2012) Med Decis Making, 32, pp. 311-326","Aggarwal, A.; Department of Health Services Research & Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, United Kingdom; email: ajay.aggarwal@lshtm.ac.uk",,,"Elsevier B.V.",,,,,03022838,,EUURA,"28760646","English","Eur. Urol.",Article,"Final",,Scopus,2-s2.0-85026324037 "Han H., Hwang J.","21233360400;36052898700;","Growing competition in the healthcare tourism market and customer retention in medical clinics: New and experienced travellers",2018,"Current Issues in Tourism","21","6",,"680","702",,10,"10.1080/13683500.2015.1104292","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84946423018&doi=10.1080%2f13683500.2015.1104292&partnerID=40&md5=8bd50353fc8c4458126f510d683dd1ce","College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul, 143-747, South Korea; Division of Tourism, Dongseo University, 47 Jurye-ro, Sasang-gu, Busan, 617-716, South Korea","Han, H., College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-Gu, Seoul, 143-747, South Korea; Hwang, J., Division of Tourism, Dongseo University, 47 Jurye-ro, Sasang-gu, Busan, 617-716, South Korea","This research sought to investigate international medical travellers’ post-purchase decision-making process by utilizing key concepts in medical tourism (i.e. medical product quality, effective communication, satisfaction, switching costs, and past experience [first-time vs. repeat experiences]). A visitor survey was conducted at medical clinics. Results of the structural model generally supported the proposed relationships among study variables. The role of study variables in generating revisit intention was found to differ significantly between new and repeat customers, and the strength of the proposed relationships was generally greater in the repeater group than in the first-timer group. This study also identified the mediating impact of satisfaction and switching costs. Additionally, the prominent role of satisfaction in the proposed theoretical framework was identified. The results of a structural-model comparison also revealed that a quality–satisfaction linkage was stronger than its alternative ordering in the proposed framework. Overall, this study provides great insight into medical travellers’ post-purchase behaviours. © 2015 Informa UK Limited, trading as Taylor & Francis Group.","effective communication; medical product quality; new and repeat customers; retention; switching costs","communication; competition (economics); cost analysis; decision making; health care; medical tourism; quality control; questionnaire survey; tourism market",,,,,,,,"Andaleeb, S., Determinant of customer satisfaction with hospitals: A managerial model (1998) International Journal of Health Care Quality Assurance, 11 (6), pp. 181-187; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review and recommended two-step approach (1988) Psychological Bulletin, 103 (3), pp. 411-423; Aydin, S., Özer, G., The analysis of antecedents of customer loyalty in the Turkish mobile telecommunication market (2005) European Journal of Marketing, 39 (7-8), pp. 910-925; Aydin, S., Özer, G., Arasil, O., Customer loyalty and the effect of switching costs as a moderator variable: A case in the Turkish mobile phone market (2005) Marketing Intelligence & Planning, 23 (1), pp. 89-103; Back, K., The effects of image congruence on customers’ brand loyalty in the upper middle-class hotel industry (2005) Journal of Hospitality & Tourism Research, 29 (4), pp. 448-467; Bernstein, N., (2012) The New York Times, , http://www.nytimes.com/2012/01/22/nyregion/chefs-butlers-and-marble-baths-not-your-average-hospital-room.html?pagewanted=all&_r=0, Chefs, butlers, marble baths: Hospitals vie for the affluent. 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Issues Tour.",Article,"Final",,Scopus,2-s2.0-84946423018 "Khan M.J., Chelliah S., Haron M.S., Ahmed S.","57188853382;36674575500;56036721400;57193866490;","Push factors, risks, and types of visit intentions of international medical travelers–A conceptual model",2017,"International Journal of Healthcare Management","10","2",,"115","121",,10,"10.1080/20479700.2017.1304345","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017283890&doi=10.1080%2f20479700.2017.1304345&partnerID=40&md5=c13fbad84bf52549ad30d01a6792b655","School of Management, Universiti Sains Malaysia, USM, Penang, 11800, Malaysia","Khan, M.J., School of Management, Universiti Sains Malaysia, USM, Penang, 11800, Malaysia; Chelliah, S., School of Management, Universiti Sains Malaysia, USM, Penang, 11800, Malaysia; Haron, M.S., School of Management, Universiti Sains Malaysia, USM, Penang, 11800, Malaysia; Ahmed, S., School of Management, Universiti Sains Malaysia, USM, Penang, 11800, Malaysia","Literature available have already discussed in detail about motivations and perceived risks of international medical travelers in terms to their decision making, however, literature largely failed to discuss differences in motivations and the perceived risks of international medical travelers’ based on their countries of origin. Literature in leisure travel has already explained the influence of country of origin on motivation and perceived risk of travelers and their influence on visit intentions. The aim of the research study was to extensively review the literature and find out the differences in motivations and perceived risks among international medical travelers belong to developed regions and less developed regions of the world. The study also aimed to find out that in the context of categorization of intentions in psychology literature what type of intentions international patients may acquire based on the socio-economic conditions of their countries. Findings of rigorous literature review revealed that medical travelers from different regions show differences in their motivations and perceived risks. It is also revealed that due to not restricted to any condition patients from developed regions acquire ‘pure unconditional intentions', whereas influenced by the restrictive condition which they cannot control, patients from less developed regions of the world acquire ‘restrictive conditional intentions’. © 2017 Informa UK Limited, trading as Taylor & Francis Group.","International medical travel; Perceived risks; Pure unconditional intentions; Push factors; Restrictive conditional intentions","classification; clinical study; controlled study; human; model; motivation; normal human; travel",,,,,"University of Southern Maine, USM Institute of Postgraduate Studies, Universiti Sains Malaysia, IPS","Authors acknowledge support provided by Institute of Postgraduate Studies, Universiti Sains Malaysia under the scheme USM Fellowship.",,"Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? 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Waiting lists and cross-border care in the Netherlands (2003) Health Policy, 63 (3), pp. 289-298; Keckley, P.H., Underwood, H.R., (2008) Medical tourism: consumers in search of value, , Washington: Deloitte Center for Health Solutions; Lautier, M., Export of health services from developing countries: the case of Tunisia (2008) Soc Sci Med, 67 (1), pp. 101-110; Baloglu, S., The relationship between destination images and sociodemographic and trip characteristics of international travellers (1997) J Vacat Mark, 3 (3), pp. 221-233; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: a structural model (2005) Tourism Manag, 26 (1), pp. 45-56; Lo, A.S., Lee, C.Y., Motivations and perceived value of volunteer tourists from Hong Kong (2011) Tourism Manag, 32 (2), pp. 326-334; Park, D.-B., Yoon, Y.-S., Segmentation by motivation in rural tourism: a Korean case study (2009) Tourism Manag, 30 (1), pp. 99-108; Wong, J.-Y., Yeh, C., Tourist hesitation in destination decision making (2009) Ann Tourism Res, 36 (1), pp. 6-23; Chew, E.Y.T., Jahari, S.A., Destination image as a mediator between perceived risks and revisit intention: a case of post-disaster Japan (2014) Tourism Manag, 40, pp. 382-393; Simpson, P., Cruz-Milán, O., Gressel, J., Perceived crime and violence: effects on winter migrants (2014) J Travel Res, 53 (5), pp. 597-599","Khan, M.J.; School of Management, Universiti Sains Malaysia, USMMalaysia; email: jamal.phd.usm@gmail.com",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Review,"Final",,Scopus,2-s2.0-85017283890 "Butenko H., Goncharova N., Saienko V., Tolchieva H.","57193354945;57199498969;57191667063;57193355000;","Use of health tourism as a basis for improving physical condition of primary school age children",2017,"Journal of Physical Education and Sport","17",, 6,"34","39",,10,"10.7752/jpes.2017.s1006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013272372&doi=10.7752%2fjpes.2017.s1006&partnerID=40&md5=4fde9d82eada7037ade4929e9df83f71","Department of Theory and Methodology of Physical Education, Oleksandr Dovzhenko Hlukhiv national pedagogical university, Ukraine; Department of Biomechanics and sports metrology, National university of physical education and sport of Ukraine, Ukraine; Department of Olympic and professional sports, Kharkov State Academy of Physical Culture, Ukraine","Butenko, H., Department of Theory and Methodology of Physical Education, Oleksandr Dovzhenko Hlukhiv national pedagogical university, Ukraine; Goncharova, N., Department of Biomechanics and sports metrology, National university of physical education and sport of Ukraine, Ukraine; Saienko, V., Department of Olympic and professional sports, Kharkov State Academy of Physical Culture, Ukraine; Tolchieva, H., Department of Olympic and professional sports, Kharkov State Academy of Physical Culture, Ukraine","The article is devoted to explanation and elaboration of recreation and health-improving technology embracing health tourism means for the cohort of primary school age children after the school hours aimed at improvement of physical well-being of the primary school pupils. Essential features of this technology is unit principle of classes planning and usage of the health tourism means divided into units “Tourists”, “Athletes”, “Orienteers”, “Local historians” through entertainments, active games, walks, excursions, hikes, contests and competitions. It was found out that the pupils, practicing the described technology based on the health tourism means have higher functional state of organism indices (related to heart-vascular system, physical health level and organism adaptive-reserve capacities), better results in general physical and mental state, activity and temper. The suggested technology benefits to the physical health of primary school age children and has potential for implementation of innovative sports and health methods in the process of physical education. © JPES.","Health tourism; Physical education; Primary school age children; Recreation and health classes; Technology",,,,,,,,,"Aghyppo, A., Tkachov, S., Orlenko, O., Role of physical education on the formation of a healthy lifestyle outside of school hours (2016) Journal of Physical Education and Sport, 16 (2), pp. 335-339; Aksonova, S.Y.U., Vakulenko, O.V., Vasylyev, O.A., (2015) Shchorichna Derzhavna Dopovid Pro Stanovyshche Ditey V Ukrayini Za Pidsumkami 2014 Roku: «Dotrymannya Prav Ditey V Uslovyyakh Zbroynykh konfliktu» [Annual State Report on the Situation of Children in Ukraine in 2014 “Respect for the Rights of Children in Armed situation”], p. 160. , Kiev, in Ukr; Andreieva, O., Prerequisites for the development of the conception of recreational and health promoting activities of different population groups (2015) Theory and Methods of Physical Education and Sports, 1, pp. 11-15. , http://tsushko.tutdomen.com/tmfvs/article.php?file=archive%2Fxml%2F19927908_2015_2015_1_unicode.xml&pages=11-15&lang=ukr, Ukr; Butenko, H., Use drugs health tourism and orientation in physical education school age children (2016) Fizychna Kul Tura, Sport Y zdorov’ya Natsiyi: Zbirnyk Naukovykh Prats [Physical Education, Sports and the nation’s Health: Scientific Research Journal], pp. 41-47. , http://www.vspu.edu.ua/science/art/a163.pdf, Vinnitsa, in Ukr; Camliguney, A.F., Mengutay, S., Pehlivan, A., Differences in physical activity levels in 8-10 year-old girls who attend physical education classes only and those who also regularly perform extracurricular sports activities (2012) Procedia - Social and Behavioral Sciences, 46, pp. 4708-4712; Chakhnina, M.S., (2008) Soderzhaniye I napravlennost’ regional’nogo Komponenta Programmy Po Fizicheskoy kul’ture V Mladshikh Klassakh Na Osnove Sredstv Turizma: Avtoref. Dis. Kand. Ped. Nauk [Content and Focus of the Regional Component of the Physical Education Program in the Lower Grades on the Basis of Resources of Tourism: Doct. of Sci. Thesis], p. 21. , Belgorod, in Russ; Chekhovska, L., Turka, R., Mass sport events in the activity of children and youth clubs in lviv to involve children into physical activity (2015) Journal of Physical Education and Sport, 15 (3), pp. 538-542; Chernyavskyy, M.V., Optimization of physical education of junior school-boys by facilities of recreation (2009) Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports, 11, pp. 132-134. , http://www.nbuv.gov.ua/old_jrn/soc_gum/ppmb/texts/2009_11/09cmvsfr.pdf, Ukr; Connick, I.A., Use of elements of tourism as means of physical development and recovery of children of pre-school age (2015) Issledovatel’skiy Potentsial Molodykh Uchenykh: Vzglyad V Budushcheye: Sbornik Materialov XI Regional’noy Nauchno - Prakticheskoy Konferentsii [Materials XI Region Scientific-Practical Conference, Research Potential of Young Scientists: Look into the Future], pp. 169-172. , http://elibrary.ru/item.asp?id=24721285&, Tula, in Russ; Davydova, T.M., Formation of schoolchildren’s healthy life style culture as one of key problems of modern comprehensive educational establishment (2015) Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports, 10, pp. 18-23. , http://dx.doi.org/10.15561/18189172.2015.1003; Gryniova, T., Dynamics of morpho-functional indices of 10-13 years old boys under the infl uence of different types of outdoor recreational activities (2014) Theory and Methods of Physical Education and Sports, 1, pp. 24-27. , http://tsushko.tutdomen.com/tmfvs/article.php?file=archive%2Fxml%2F19927908_2013_2014_1_unicode.xml&pages=24-27&lang=ukr, Ukr; Kashuba, V.O., Goncharova, N.N., Butenko, H.O., Effectiveness of health tourism application as the basis of health related recreational technology in primary school pupils’ physical education (2016) Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports, 2, pp. 19-25; Lopatin, A.E., (2001) Dinamika Fizicheskogo Sostoyaniya Mladshikh shkol’nikov Pri Razlichnoy Organizatsii dvigatel’noy Sredy: Dis. Kand. Biol. Nauk [The Dynamics of Physical Condition of Children of Primary School- Age under Different Organization of Motional Environment: Phd Diss.], p. 155. , Arkhangelsk, (in Russ.); Malina, R.M., Bouchard, C., Bar-Or, O., (2004) Growth, Maturation, and Physical Activity, p. 728. , Human Kinetics; Mathisen, G.E., Motor competence and implications in primary school (2016) Journal of Physical Education and Sport, 16 (1), pp. 206-209; Mykhno, L.S., Loza, T.О., Effectiveness of yoga-aerobic means’ application in physical education of primary school pupils (2016) Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports, 1, pp. 35-40. , http://dx.doi.org/10.15561/18189172.2016.0105; Nyan’Kovskiy, S.L., Yatsula, M.S., Chikaylo, M.I., Pasechnyuk, I.V., Health status of students in Ukraine (2012) Zdorov’ye Rebenka, 5 (40). , http://www.mif-ua.com/archive/article/32962, Russ; Protsenko, U., Pantiuk, T., Romanchuk, O., Danylevych, M., Improvement features of the Ukrainian physical education system (2016) Journal of Physical Education and Sport, 16 (1), pp. 113-117; (2015) Physical Activity Strategy for the WHO Europen Region 2016-2025, p. 27. , Copenhagen: WHO Regional Office for Europe; Saienko, V., (2015) Recreational Tourism in the Form of Martial Arts Sessions Aktual’nyye Problemy Ekologii I zdorov’ya Cheloveka: Mater. III Mezhdunar. Nauch. - Prakt. Konf. [Materials III International Scientific- Practical Conference, Actual Problems of Ecology and Human Health], pp. 220-224. , Cherepovets, (in Russ.); Sainchuk, O., (2014) Programming Fitness Classes Nordic Walking in Physical Education of Primary Schoolchildren. Molodizhnyy Naukovyy Visnyk Skhidnoyevropeys Koho Natsional Noho Universytetu Imeni Lesi Ukrayinky. Fizychne Vykhovannya Y Sport [Youth Scientific Herald of Lesya Ukrainka East European National University. Physical Education and Sport], 15, pp. 65-69. , Ukr; Seabra, A., Mendonca, D., Maia, J., Gender, weight status and socioeconomic differences in psychosocial correlates of physical activity in schoolchildren (2013) Journal of Science and Medicine in Sport, 16 (4), pp. 320-326; Shuba, L.V., Modern approach to implementation of health related technology for primary school children (2016) Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports, 2, pp. 66-71; Tolcheva, A., Impact of healing practice of hatha yoga on the organism of practicing (2013) Aktual’nyye Problemy Ekologii I zdorov’ya Cheloveka: Mater. Mezhdunar. Nauch. - Prakt. Konf. [Materials International Scientific-Practical Conference, Actual Problems of Ecology and Human Health], pp. 30-33. , Cherepovets, (in Russ.); Lin, Y.-W., Lin, Y.-Y., Multilevel model of organizational health culture and the effectiveness of health promotion (2014) American Journal of Health Promotion, 1 (29), pp. 53-63. , http://healthpromotionjournal.com/shop/index.php?product_id=121&route=product/product; Zhestkov, S.G., Impact of tourism on the health condition of children of primary school-age (2015) Sovremennyye zdorov’yesberegayushchiye Tekhnologii: Mater. Mezhdunar. Nauch. - Prakt. Konf, pp. 158-164. , http://elibrary.ru/item.asp?id=25392883, [Materials International Scientific-Practical Conference, Modern saving Health Technology] Orekhovo-Zuyevo, March 23-24, in Russ","Butenko, H.; Department of Theory and Methodology of Physical Education, Oleksandr Dovzhenko Hlukhiv national pedagogical universityUkraine; email: shvm-bg@yandex.ru",,,"Editura Universitatii din Pitesti",,,,,22478051,,,,"English","J. Phys. Educ. Sport",Article,"Final",Open Access,Scopus,2-s2.0-85013272372 "Rahman M.K., Zailani S., Musa G.","57216983234;55891414700;7004159636;","Tapping into the emerging Muslim-friendly medical tourism market: evidence from Malaysia",2017,"Journal of Islamic Marketing","8","4",,"514","532",,10,"10.1108/JIMA-02-2016-0014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85033493182&doi=10.1108%2fJIMA-02-2016-0014&partnerID=40&md5=6259155c57f1d16fd04fdb6f340b9c8e","Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Rahman, M.K., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia; Zailani, S., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia; Musa, G., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Purpose: Emerging interest in medical tourism products offers a lucrative market and opens doors for Malaysia in positioning itself as a Muslim-preferred halal medical care center point. In spite of the tremendous capability of this industry, the Muslim-friendly medical tourism practice is rationally new idea, with endeavors to clarify such tourism product is inadequate. This paper aims to investigate the promoting Muslim-friendly medical tourism market mechanism and its prospects and challenges. Design/methodology/approach: As the purpose of this study is to investigate the perceptions of the Muslim patient’s inspiration towards Muslim-friendly medical tourism market mechanism in Malaysia. This study uses structural equation modeling (SEM) technique for data analysis. The target population for this research comprised Muslim medical tourists coming to Malaysia seeking Muslim-friendly medical tourism. A total sample size of 231 is gathered through non-probability sampling method during the period between July and December 2015. Findings: The outcome confirms that Muslim tourist’s perceptions play a critical part in travel intention to Malaysia for Muslim-friendly medication. Along these lines, Malaysia needs to promote the success of such medical tourism endeavors with proper practice and services they offer to pull in more outside patients. Practical implications: Malaysia is a country that has long been a stronghold for Muslim leisure visitors. Differences in general and spiritual values raise challenges to Muslim-friendly medical care services. A comprehensive research is required on the best way to advance and set up emerging Muslim-friendly medical tourism market mechanism. Originality/value: Muslim-friendly medical tourism is a rising advertising discipline. It is confident that the findings could expand information on Muslim-friendly medical tourism service sector and improve providers’ capacity to take advantage of the developing business sector, offering quality medical care services and opportunities that suit the Muslim patients’ needs. In addition, it is essential to understand the most ideal approach to outline Muslim-friendly medical tourism market to make it more useful to various spiritual and religious accept. © 2017, © Emerald Publishing Limited.","Challenges; Market mechanism; Medical tourism; Muslim; Prospects",,,,,,,,,"Adib, S.M., From the biomedical model to the Islamic alternative: a brief overview of medical practices in the contemporary Arab world (2004) Social Science & Medicine, 58 (4), pp. 697-702; Al Husseini, D.I., The implications of religious beliefs on medical and patient care (2011) Master of Science in Organizational Dynamics Theses, , Degree of Master of Science in Organizational Dynamics at the University of Pennsylvania; Alserhan, B.A., Alserhan, Z.A., Researching Muslim consumers: do they represent the fourth-billion consumer segment? 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(2013) Journal of Islamic Marketing, 4 (1), pp. 7-21; Wilson, J.A., Belk, R.W., Bamossy, G.J., Sandikci, O., Kartajaya, H., Sobh, R., Liu, J., Scott, L., Crescent marketing, Muslim geographies and brand Islam: reflections from the JIMA senior advisory board (2013) Journal of Islamic Marketing, 4 (1), pp. 22-50; Wilson, J.A., Hollensen, S., Assessing the implications on performance when aligning customer lifetime value calculations with religious faith groups and after life time values–a socratic elenchus approach (2013) International Journal of Business Performance Management, 14 (1), pp. 67-94; Wilson, D.J., Revisiting the philosophical arguments underpinning Islamic finance and halal (2014) Zawya, Thomson Reuters, pp. 1-5. , www.zawya.com/story/Islamic_Finance_Gateway_Revisiting_the_philosophical_arguments_underpinning_Islamic_finance_and_Halal__By_Dr_Jonathan_Wilson-pdf_060314122451; Wilson, J.A.J., Islamic economics 2.0-creating a Halal wealth and knowledge economy (2014) Zawya, Thomson Reueters, pp. 1-7. , www.zawya.com/story/Islamic_Finance_Gateway_Islamic_Economics_20__Creating_a_Halal_Wealth_and_Knowledge_Economy__By_Dr_Jonathan_AJ_Wilson_070514-pdf_080514073608; Zamani-Farahani, H., Henderson, J.C., Islamic tourism and managing tourism development in Islamic societies: the case of Iran and Saudi Arabia (2010) International Journal of Tourism Research, 12 (1), pp. 79-89; Alserhan, B.A., Islamic branding: a conceptualization of related terms (2010) The Journal of Brand Management, 18 (1), pp. 34-49","Rahman, M.K.; Faculty of Business and Accountancy, University of MalayaMalaysia; email: abd_khalil2@yahoo.com",,,"Emerald Group Publishing Ltd.",,,,,17590833,,,,"English","J. Islam. Mark.",Article,"Final",,Scopus,2-s2.0-85033493182 "Rahman M.K., Zailani S.","57216983234;55891414700;","The effectiveness and outcomes of the Muslim-friendly medical tourism supply chain",2017,"Journal of Islamic Marketing","8","4",,"732","752",,10,"10.1108/JIMA-11-2015-0082","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85033441560&doi=10.1108%2fJIMA-11-2015-0082&partnerID=40&md5=5bb4203f36454a5f02b81b18f6ce4d34","Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Rahman, M.K., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia; Zailani, S., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Purpose: This paper is specifically developed on the basis of a pragmatic model for the Muslim-friendly medical tourism supply chain industry. The purpose of this study is to investigate the effectiveness and viability of the Muslim-friendly medical tourism supply chain practices in Malaysia. Design/methodology/approach: A framework for the service supply chain management of the Muslim-friendly medical tourism with the effective outcomes was theoretically developed and explored in this study, using a structural equation modelling with the partial least squares technique. A structured questionnaire was developed, distributed and collected from 38 Islamic-friendly hospitals, 9 Muslim-friendly medical agencies and 44 Muslim-friendly hotels that will form the potential relevant associations of the medical tourism supply chain practices in Malaysia. Findings: The findings provide reliable evidence that the effectiveness of the Muslim-friendly medical tourism supply-chain practice has a positive impact on the Muslim-friendly medical tourism supply chain. In addition, the Muslim-friendly medical tourism supply chain practice has also a significant and positive impact on the organizational performance as a whole. The result also demonstrates that collaboration is dependent on the demand management, whilst the productivity is not associated with it. Originality/value: Practicing and implementing a Muslim-friendly medical tourism service supply chain is important, in the sense that the Muslim patients’ demand on the choice of halal practice of medical treatment and halal food consumption criteria. This investigation is the first to embark on the research on the Muslim medical tourism supply chain production network in Malaysia. This study provides practitioners with the important related data to improve their policies and their performances in the organization. The statistical results provide indispensable valuable information in comprehending the critical medical tourism supply chain practices and most specially to assist the Muslim-friendly medical tourism sector to offer quality medical tourism service that suits and attracts the Muslim medical tourists’ broad needs regionally and abroad. © 2017, © Emerald Publishing Limited.","Malaysia; Medical tourism; Muslim friendly; supply chain",,,,,,,,,"Akter, S., D’Ambra, J., Ray, P., (2011) An evaluation of PLS based complex models: the roles of power analysis, predictive relevance and GoF index, pp. 1-7. , Proceedings of the 17th Americas Conference on Information Systems (AMCIS2011), Association for Information Systems, Detroit; Ali, M.A., Rahman, M.K., Rahman, M., Albaity, M., Jalil, M.A., A review of the critical factors affecting Islamic market mechanisms in Malaysia (2015) Journal of Islamic Marketing, 6 (2), pp. 250-267; Alrubaiee, L., Alkaa’ida, F., The mediating effect of patient satisfaction in the patients’ perceptions of healthcare quality-patient trust relationship (2011) International Journal of Marketing Studies, 3 (1), pp. 103-127; 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Islam. Mark.",Article,"Final",,Scopus,2-s2.0-85033441560 "Baczynska A.M., Lim S.E.R., Sayer A.A., Roberts H.C.","57188700395;57194396491;57203238221;35280529300;","The use of volunteers to help older medical patients mobilise in hospital: a systematic review",2016,"Journal of Clinical Nursing","25","21-22",,"3102","3112",,10,"10.1111/jocn.13317","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992110670&doi=10.1111%2fjocn.13317&partnerID=40&md5=98920ac62ff94785f6075e5bf4320c50","Academic Geriatric Medicine, University of Southampton, Southampton, United Kingdom; NIHR Southampton Biomedical Research Centre, University of Southampton, Southampton, United Kingdom; University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom; NIHR CLAHRC Wessex, University of Southampton, Southampton, United Kingdom; Newcastle University Institute of Ageing and Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom","Baczynska, A.M., Academic Geriatric Medicine, University of Southampton, Southampton, United Kingdom, NIHR Southampton Biomedical Research Centre, University of Southampton, Southampton, United Kingdom, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom, NIHR CLAHRC Wessex, University of Southampton, Southampton, United Kingdom; Lim, S.E.R., Academic Geriatric Medicine, University of Southampton, Southampton, United Kingdom, NIHR CLAHRC Wessex, University of Southampton, Southampton, United Kingdom; Sayer, A.A., Academic Geriatric Medicine, University of Southampton, Southampton, United Kingdom, NIHR Southampton Biomedical Research Centre, University of Southampton, Southampton, United Kingdom, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom, NIHR CLAHRC Wessex, University of Southampton, Southampton, United Kingdom, Newcastle University Institute of Ageing and Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom; Roberts, H.C., Academic Geriatric Medicine, University of Southampton, Southampton, United Kingdom, NIHR Southampton Biomedical Research Centre, University of Southampton, Southampton, United Kingdom, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom, NIHR CLAHRC Wessex, University of Southampton, Southampton, United Kingdom","Aims and objectives: To review current evidence for the use of volunteers to mobilise older acute medical in-patients. Background: Immobility in hospital is associated with poor healthcare outcomes in older people, but maintaining mobility is frequently compromised due to time pressures experienced by clinical staff. Volunteers are established in many hospitals, usually involved in indirect patient care. Recent evidence suggests that trained mealtime volunteers had a positive impact on patients and hospital staff. It is unclear whether volunteers can help older inpatients to mobilise. Design: Systematic review. Methods: We searched Cochrane, Medline, Embase, CINAHL, AMED and Google databases using MeSH headings and keywords within six key themes: inpatients, older, mobility/exercise, delirium, falls and volunteers. Full texts of relevant articles were retrieved and reference lists reviewed. Results: Of the 2428 articles that were identified, two scientific studies and three reports on quality improvement initiatives were included in the final review. One study included volunteer assisted mobilisation as part of a delirium prevention intervention (HELP). The second study has not reported yet (MOVE ON). The contribution of volunteers in both is unclear. Three quality improvement initiatives trained volunteers to help mobilise patients. They were not formally evaluated but report positive effects of the volunteers on patient and staff satisfaction. Conclusions: This review has identified a lack of scientific evidence for the use of volunteers in mobilising older medical inpatients, but quality improvement initiatives suggest that volunteers can be employed in this role with reports of staff and patient satisfaction: this is an area for further development and evaluation. Relevance to clinical practice: This review outlines the evidence for the involvement of volunteers in maintaining patients’ mobility, identifies mobilisation protocols that have been used, the need to train volunteers and for formal evaluation of volunteers in this role. Prospero registration number: CRD42014010388. © 2016 John Wiley & Sons Ltd","ambulation; hospital; inpatients; mobilisation; mobility; older; systematic review; volunteer; walking","aged; hospital volunteer; hospitalization; human; meal; motor activity; Aged; Hospital Volunteers; Hospitalization; Humans; Meals; Motor Activity",,,,,"University of Southampton Manchester Biomedical Research Centre, BRC Manchester Biomedical Research Centre, BRC","This work was supported by the National Institute of Health Research (NIHR) Southampton Biomedical Research Centre (BRC) Nutrition and the University of Southampton. This report is independent research by the NIHR BRC Funding Scheme. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. AMB and SERL were supported by the University of Southampton NIHR Academic Clinical Fellowship Scheme. All authors are supported by the NIHR CLAHRC: Wessex. The funding bodies had no role in any of the design, collection, analysis, interpretation of data, writing of the manuscript or decision to submit for publication. We would like to thank Dr Richard Dodds for advising on the search strategies.",,"Boyd, D., Lipowich, D., (2011) Footprints Walking Program, , http://nicheconference2012.s3.amazonaws.com/uploads/File/2012, Conf Poster - Northwest Community.pdf. 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Series A, Biological Sciences and Medical Sciences, 63, pp. 1076-1081; Kosse, N.M., Dutmer, A.L., Dasenbrock, L., Bauer, J.B., Lamoth, C.J.C., Effectiveness and feasibility of early physical rehabilitation programs for geriatric hospitalized patients: a systematic review (2013) BioMed Central Geriatrics, 13, p. 107; Liu, B., Almaawiy, U., Moore, J.E., Chan, W.-H., Straus, S.E., Evaluation of a multisite educational intervention to improve mobilization of older patients in hospital: protocol for mobilization of vulnerable elders in Ontario (MOVE ON) (2013) Implementation Science, 8, p. 76; Moore, J.E., Mascarenhas, A., Marquez, C., Almaawiy, U., Chan, W.-H., Souza, J.D., Liu, B., Team, O.N., Mapping barriers and intervention activities to behaviour change theory for mobilization of vulnerable elders in Ontario (MOVE ON), a multi-site implementation intervention in acute care hospitals (2014) Implementation Science, 9, pp. 1-9; Naylor, C., Mundle, C., Weaks, L., Buck, D., (2013) Volunteering in Health and Care Securing a Sustainable Future, , http://www.kingsfund.org.uk/publications/volunteering-health-and-care, The King's Fund, (accessed 15 April 2016); Roberts, H.C., De Wet, S., Porter, K., Rood, G., Diaper, N., Robison, J., Pilgrim, A.L., Robinson, S., The feasibility and acceptability of training volunteer mealtime assistants to help older acute hospital in-patients : the Southampton mealtime assistance study (2014) Journal of Clinical Nursing, 23, pp. 3240-3249; (2012) Safe Staffing for Older People‘s Wards, , http://www.rcn.org.uk/__data/assets/pdf_file/0009/476379/004280.pdf, (accessed 28 August 2015); Rubin, F.H., Neal, K., Fenion, K., Hassan, S., Inouye, S.K., Sustainability and scalability of the hospital elder life program (HELP) at a community hospital (2011) Journal of American Geriatric Society, 59, pp. 359-365; Sandhaus, S., Harrell, F., Valenti, D., Here's HELP to prevent Delirium in the Hospital (2006) Nursing, 36, pp. 60-62; Sayer, A.A., Sarcopenia the new geriatric giant: time to translate research findings into clinical practice (2014) Age and Ageing, 43, pp. 736-737; So, C., Pierluissi, E., Attitudes and expectations regarding exercise in the hospital of hospitalized older adults: a qualitative study (2012) Journal of the American Geriatrics Society, 60, pp. 713-718; Straus, S., Liu, B., (2012) Mobilization of Vulnerable Elders in Ontario (MOVE ON) ARTIC Project Participant Information Package, , http://caho-hospitals.com/wp-content/uploads/2013/09/MOVE-ON-Participant-Information-Package-January-2012.pdf, (accessed 28 August 2015); Strijbos, M.J., Steunenberg, B., an der Mast, R.C., Inouye, S.K., Schuurmans, M.J., Design and methods of the Hospital Elder Life Program (HELP), a multicomponent targeted intervention to prevent delirium in hospitalized older patients: efficacy and cost-effectiveness in Dutch health care (2013) BioMed Central Geriatrics, 13, p. 78; Tawbe, R., (2011) Aged Care Therapeutic Interventions by Volunteers (ACTIVe Program) An Innovative Model Program Enhances the Needs of Elderly Patients on an Aged Care Ward, , http://www.archi.net.au/documents/resources/hsd/older/active-program.pdf, (accessed 27 August 2015); (2013) Physical Activity Guidelines for Older Adults, , http://www.nhs.uk/Livewell/fitness/Pages/physical-activity-guidelines-for-older-adults.aspx, (accessed 27 August 2015); (2013) Physical Activity Guidelines Active Older People, , http://www.health.gov/paguidelines/guidelines/chapter5.aspx, (accessed 27 August 2015); Wilson, R.S., Hebert, L.E., Scherr, P.A., Dong, X., Leurgens, S.E., Evans, D.A., Cognitive decline after hospitalization in a community population of older persons (2012) Neurology, 78, pp. 950-956; Young, J., (2009) An Investigation of the Hospital Elder Life Programme (HELP) System of Care to Prevent Delirium, , http://www.bradfordresearch.nhs.uk/research/an-investigation-of-the-hospital-elder-life-program-help-system-of-care-to-prevent-delirium/86, (accessed 27 August 2015); Zaubler, T.S., Murphy, K., Rizzuto, L., Santos, R., Skotzko, C., Giordano, J., Bustami, R., Inouye, S.K., Quality improvement and cost savings with multicomponent delirium interventions: replication of the hospital elder life program in a community hospital (2013) Psychosomatics, 54, pp. 219-226","Baczynska, A.M.; Academic Geriatric Medicine, University of SouthamptonUnited Kingdom; email: a.baczynska@soton.ac.uk",,,"Blackwell Publishing Ltd",,,,,09621067,,JCCNE,"27477624","English","J. Clin. Nurs.",Review,"Final",,Scopus,2-s2.0-84992110670 "Snyder J., Crooks V.A., Johnston R., Cerón A., Labonte R.","24170239100;35585107800;36500711800;37012054200;55334992200;","""That's enough patients for everyone!"": Local stakeholders' views on attracting patients into Barbados and Guatemala's emerging medical tourism sectors",2016,"Globalization and Health","12","1", 60,"","",,10,"10.1186/s12992-016-0203-7","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84990817913&doi=10.1186%2fs12992-016-0203-7&partnerID=40&md5=c5736bf61a0ffbd35e0572b83dd05c8a","Simon Fraser University, Faculty of Health Sciences, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; Simon Fraser University, Department of Geography, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; University of Denver, Department of Anthropology, 2199 S. University Blvd, Denver, CO 80208, United States; University of Ottawa, Faculty of Medicine, 75 Laurier Ave E, Ottawa, ON K1N 6N5, Canada","Snyder, J., Simon Fraser University, Faculty of Health Sciences, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; Crooks, V.A., Simon Fraser University, Department of Geography, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; Johnston, R., Simon Fraser University, Department of Geography, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; Cerón, A., University of Denver, Department of Anthropology, 2199 S. University Blvd, Denver, CO 80208, United States; Labonte, R., University of Ottawa, Faculty of Medicine, 75 Laurier Ave E, Ottawa, ON K1N 6N5, Canada","Background: Medical tourism has attracted considerable interest within the Latin American and Caribbean (LAC) region. Governments in the region tout the economic potential of treating foreign patients while several new private hospitals primarily target international patients. This analysis explores the perspectives of a range of medical tourism sector stakeholders in two LAC countries, Guatemala and Barbados, which are beginning to develop their medical tourism sectors. These perspectives provide insights into how beliefs about international patients are shaping the expanding regional interest in medical tourism. Methods: Structured around the comparative case study methodology, semi-structured interviews were conducted with 50 medical tourism stakeholders in each of Guatemala and Barbados (n = 100). To capture a comprehensive range of perspectives, stakeholders were recruited to represent civil society (n = 5/country), health human resources (n = 15/country), public health care and tourism sectors (n = 15/country), and private health care and tourism sectors (n = 15/country). Interviews were transcribed verbatim, coded using a collaborative process of scheme development, and analyzed thematically following an iterative process of data review. Results: Many Guatemalan stakeholders identified the Guatemalan-American diaspora as a significant source of existing international patients. Similarly, Barbadian participants identified their large recreational tourism sector as creating a ready source of foreign patients with existing ties to the country. While both Barbadian and Guatemalan medical tourism proponents share a common understanding that intra-regional patients are an existing supply of international patients that should be further developed, the dominant perception driving interest in medical tourism is the proximity of the American health care market. In the short term, this supplies a vision of a large number of Americans lacking adequate health insurance willing to travel for care, while in the long term, the Affordable Care Act is seen to be an enormous potential driver of future medical tourism as it is believed that private insurers will seek to control costs by outsourcing care to providers abroad. Conclusions: Each country has some comparative advantage in medical tourism. Assumptions about a large North American patient base, however, are not supported by reliable evidence. Pursuing this market could incur costs borne by patients in their public health systems. © 2016 The Author(s).","Barbados; Comparative case study; Guatemala; International patients; Latin American and Caribbean (LAC) region; Medical tourism","civil society; comparative study; diaspora; health care; public health; stakeholder; tourism; American; Article; attitude; Barbados; cost control; Guatemala; health care planning; health care policy; health insurance; human; marketing; medical tourism; priority journal; public health service; stakeholder attitude; travel; Barbados; economics; Guatemala; health care delivery; health equity; medical tourism; qualitative research; standards; trends; utilization; Barbados; Guatemala [Central America]; Latin America; Barbados; Delivery of Health Care; Guatemala; Health Equity; Humans; Medical Tourism; Qualitative Research",,,,,"Michael Smith Foundation for Health Research, MSFHR Canadian Institutes of Health Research, CIHR: 257739","This research was funded by an Operating Grant awarded by the Canadian Institutes of Health Research (CIHR) (application #257739). VAC is supported by a Scholar Award from the Michael Smith Foundation for Health Research and holds the Canada Research Chair in Health Service Geographies. RJ is funded by a PhD fellowship from the CIHR. RL holds the Canada Research Chair in Globalization and Health Equity.",,"Ramírez, A.A.B., Medical tourism in the Caribbean (2014) Signs., 40 (1), pp. 289-297; Health in the Americas (2012), http://www.paho.org/saludenlasamericas/index.php?option=com_content&view=article&id=9&Itemid=14&lang=en, Pan American Health Organization. Accessed 11 May 2015; Connell, J., Medical tourism in the Caribbean islands: a cure for economies in crisis? (2013) Isl Stud J, 8 (1), pp. 115-130; Snyder, J., Crooks, V.A., Medical treatment not approved yet? No problem! 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A scoping review (2010) Int J Equity Health, 9, p. 24; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7 (1), p. 12; Turner, L., First world health care at third world prices: globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Aronson, J., A pragmatic view of thematic analysis (1994) Qual Rep, 2, p. 1; Medical tourism: Consumers in search of value (2008) Deloitte., , http://www2.deloitte.com/content/dam/Deloitte/mx/Documents/life-sciences-health-care/mx(esmx)Medical%20tourism%20Turismo%20medico_2009.pdf, Accessed 11 May 2015; Hispanic or Latino by type: 2010 (2010), http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC_10_SF1_QTP10&prodType=table, Accessed 11 May 2015; American Community Survey (2014), https://www.census.gov/programs-surveys/acs/, Accessed 11 May 2015; 2006 Census Topic-based tabulations (2006), http://www12.statcan.gc.ca/census-recensement/2006/dp-pd/tbt/Rp-eng.cfm?LANG=E&APATH=3&DETAIL=0&DIM=0&FL=A&FREE=0&GC=0&GID=0&GK=0&GRP=1&PID=89424&PRID=0&PTYPE=88971,97154&S=0&SHOWALL=0&SUB=0&Temporal=006&THEME=72&VID=0&VNAMEE=&VNAMEF=, Accessed 11 May 2015; Medical tourism: Update and implications (2009) Deloitte, , http://www.medretreat.com/templates/UserFiles/Documents/Deloitte%20Report%2020091023.pdf, Accessed 11 May 2015; Benchmarks for treatment and wait time in British Columbia - knee replacement (2014) CIHI, , http://waittimes.cihi.ca/BC/knee, Accessed 11 May 2015; What happened to those 2008 medical tourism forecasts? 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Clínica Universitaria Colombia, Av calle 127 No. 20-78, Oficina 508, Colsanitas S.A., Bogotá, Colombia","Rodríguez, J.Y., Centro de Investigaciones Microbiológicas del Cesar (CIMCE), Clínica Médicos S.A., Valledupar, Colombia; Rodríguez, G.J., Centro de Investigaciones Microbiológicas del Cesar (CIMCE), Clínica Médicos S.A., Valledupar, Colombia; Morales-López, S.E., Departamento de Microbiología, Universidad Popular del Cesar, Valledupar, Colombia; Cantillo, C.E., Centro de Investigaciones Microbiológicas del Cesar (CIMCE), Clínica Médicos S.A., Valledupar, Colombia; Le Pape, P., Département de Parasitologie-Mycologie, Université de Nantes, Nantes Atlantique Universités, EA1155-IICiMed, Faculté de Pharmacie, Nantes, France, Laboratoires de Parasitologie-Mycologie, Institut de Biologie, CHU de Nantes, France; Álvarez-Moreno, C.A., Unidad de Enfermedades Infecciosas, Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia. Clínica Universitaria Colombia, Av calle 127 No. 20-78, Oficina 508, Colsanitas S.A., Bogotá, Colombia","Background: Mucormycosis caused by Saksenaea erythrospora is rarely reported in humans. Three previous cases have been reported in the literature, two associated with trauma (a sailing accident in Argentina and a combat trauma in Iraq) and one as a cause of invasive rhinosinusitis (India), all in immunocompetent patients The first case of mucormycosis following esthetic surgery, associated with medical tourism, is reported herein. Case report: A case study of an S. erythrospora infection in an immunocompetent woman after the completion of esthetic surgery (dermolipectomy and breast augmentation) is reported. The infection presented as a rapidly progressive necrotizing infection of the skin and soft tissue, which required a bilateral mastectomy and extensive surgical debridement associated with prolonged antifungal therapy. The organism was identified phenotypically and confirmed biologically after rDNA amplification and sequencing. Two months later, the patient remains hospitalized awaiting the start of reconstructive surgeries. The present case is, to the best of the authors' knowledge, the first report from Colombia. Conclusions: Mucormycosis should be considered in the differential diagnosis of necrotizing infections of the skin and soft tissue that evolve rapidly after cosmetic surgery performed in tropical or subtropical countries. © 2016 The Authors.","Esthetic surgery; Medical tourism; Mucormycosis; Saksenaea","amphotericin B; caspofungin; ribosome DNA; adult; Article; breast augmentation; case report; Colombia; debridement; differential diagnosis; female; fungal strain; gene amplification; gene sequence; human; human tissue; mastectomy; medical tourism; mucormycosis; nonhuman; plastic surgery; Saksenaea erythrospora; skin infection; soft tissue infection; symptomatology; adverse effects; breast reconstruction; esthetics; isolation and purification; Mucorales; mucormycosis; Adult; Esthetics; Female; Humans; Mammaplasty; Medical Tourism; Mucorales; Mucormycosis",,"amphotericin B, 1397-89-3, 30652-87-0; caspofungin, 189768-38-5",,,,,,"Kwon-Chung, K.J., Taxonomy of fungi causing mucormycosis and entomophthoramycosis (zygomycosis) and nomenclature of the disease: molecular mycologic perspectives (2012) Clin Infect Dis, 54, pp. S8-S15; Pozo Laderas, J.C., Pontes Moreno, A., Pozo Salido, C., Robles Arista, J.C., Linares Sicilia, M.J., Disseminated mucormycosis in immunocompetent patients: a disease that also exists (2015) Rev Iberoam Micol, 32, pp. 63-70; Severo, C.B., Guazzelli, L.S., Severo, L.C., Chapter 7: zygomycosis (2010) J Bras Pneumol, 36, pp. 134-141; Kennedy, K.J., Daveson, K., Slavin, M.A., van Hal, S.J., Sorrell, T.C., Lee, A., Mucormycosis in Australia: contemporary epidemiology and outcomes (2016) Clin Microbiol Infect; Alvarez, E., Garcia-Hermoso, D., Sutton, D.A., Cano, J.F., Stchigel, A.M., Hoinard, D., Molecular phylogeny and proposal of two new species of the emerging pathogenic fungus Saksenaea (2010) J Clin Microbiol, 48, pp. 4410-4416; Gomes, M.Z., Lewis, R.E., Kontoyiannis, D.P., Mucormycosis caused by unusual mucormycetes, non-Rhizopus, -Mucor, and -Lichtheimia species (2011) Clin Microbiol Rev, 24, pp. 411-445; Chakrabarti, A., Kumar, P., Padhye, A.A., Chatha, L., Singh, S.K., Das, A., Primary cutaneous zygomycosis due to Saksenaea vasiformis and Apophysomyces elegans (1997) Clin Infect Dis, 24, pp. 580-583; Relloso, S., Romano, V., Landaburu, M.F., Herrera, F., Smayevsky, J., Vecino, C., Saksenaea erythrospora infection following a serious sailing accident (2014) J Med Microbiol, 63 (Pt 2), pp. 317-321; Hospenthal DR, Chung KK, Lairet K, Thompson EH, Guarro J, Renz EM, et al., Saksenaea erythrospora infection following combat trauma (2011) J Clin Microbiol, 49, pp. 3707-3709; Tendolkar, U., van Diepeningen, A., Joshi, A., Koomen, J., Bradoo, R., Baveja, S., Rhinosinusitis caused by Saksenaea erythrospora in an immunocompetent patient in India: a first report (2015) JMM Case Rep, 2, pp. 1-4; Danion, F., Aguilar, C., Catherinot, E., Alanio, A., DeWolf, S., Lortholary, O., Mucormycosis: new developments into a persistently devastating infection (2015) Semin Respir Crit Care Med, 36, pp. 692-705; Peman, J., Quindos, G., [State of the art in invasive diseases by filamentous fungi] (2014) Rev Iberoam Micol, 31, pp. 213-218; Nelson, R., Infectious risks of medical tourism (2014) Lancet Infect Dis, 14, pp. 680-681; Cai, S.S., Chopra, K., Lifchez, S.D., Management of Mycobacterium abscessus infection after medical tourism in cosmetic surgery and a review of literature (2016) Ann Plast Surg","Álvarez-Moreno, C.A.; Unidad de Enfermedades Infecciosas, Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia. Clínica Universitaria Colombia, Av calle 127 No. 20-78, Oficina 508, Colombia; email: caalvarezmo@unal.edu.co",,,"Elsevier B.V.",,,,,12019712,,IJIDF,"27267577","English","Int. J. Infect. Dis.",Article,"Final",Open Access,Scopus,2-s2.0-84976412101 "Tomasović Mrčela N., Borovac J.A., Vrdoljak D., Grazio S., Tikvica Luetić A., Tomek-Roksandić S.","36442926200;55928754900;14829537700;6603973882;55469787200;12791655100;","When elders choose: Which factors could influence the decision-making among elderly in the selection of health tourism services?",2015,"Medical Hypotheses","85","6",,"898","904",,10,"10.1016/j.mehy.2015.09.013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84947490006&doi=10.1016%2fj.mehy.2015.09.013&partnerID=40&md5=1c90a61875b2e0ad77caa32173eb5435","Dr. Andrija Stampar Teaching Institute of Public Health, Reference Center of the Ministry of Health of the Republic of Croatia for Health Care of the Elderly, Mirogojska cesta 16, Zagreb, 10 000, Croatia; University of Split, School of Medicine (MEFST), Šoltanska 2, Split, 21 000, Croatia; University of Split, School of Medicine (MEFST), Department of Family Medicine, Šoltanska 2, Split, 21 000, Croatia; Clinic for Rheumatology, Physical Medicine and Rehabilitation, Clinical Hospital Center Sisters of Mercy, Vinogradska cesta 29, Zagreb, 10 000, Croatia; School of Health Science, DIU Libertas International University, Svetog Dominika 4, Dubrovnik, 20 000, Croatia","Tomasović Mrčela, N., Dr. Andrija Stampar Teaching Institute of Public Health, Reference Center of the Ministry of Health of the Republic of Croatia for Health Care of the Elderly, Mirogojska cesta 16, Zagreb, 10 000, Croatia; Borovac, J.A., University of Split, School of Medicine (MEFST), Šoltanska 2, Split, 21 000, Croatia; Vrdoljak, D., University of Split, School of Medicine (MEFST), Department of Family Medicine, Šoltanska 2, Split, 21 000, Croatia; Grazio, S., Clinic for Rheumatology, Physical Medicine and Rehabilitation, Clinical Hospital Center Sisters of Mercy, Vinogradska cesta 29, Zagreb, 10 000, Croatia; Tikvica Luetić, A., School of Health Science, DIU Libertas International University, Svetog Dominika 4, Dubrovnik, 20 000, Croatia; Tomek-Roksandić, S., Dr. Andrija Stampar Teaching Institute of Public Health, Reference Center of the Ministry of Health of the Republic of Croatia for Health Care of the Elderly, Mirogojska cesta 16, Zagreb, 10 000, Croatia","Background: Elderly beneficiaries (age 65+) exhibit specific characteristics that influence the distribution of health tourism market. High incidence of multiple morbidities and functional disability are hallmarks in this age group. For these reasons, elderly population requires different elements and diverse spectrum of services within health tourism, in comparison to younger beneficiaries. Thus, differences would occur within heterogeneous elderly population itself. A preliminary study that we conducted showed that the level of functional independence was one of the significant factors that guided decision-making among elderly beneficiaries when it came to their health tourism-related choices. Results suggested that beneficiaries recognized and appreciated the effect of the natural remedies and attractions available at the given destination. Hypothesis: Maritime and continental health tourism are two different entities commonly selected by elderly beneficiaries for therapeutic purposes. We propose that the climate conditions, geographical location and availability of regional natural remedies are the key factors to why different services were elected by different groups of elderly. The model of Croatia, an established country in the field of health tourism was utilized for this purpose. Differences in the diagnostic categories of beneficiaries are expected due to effects of marine (sea, Mediterranean climate) and continental (thermal water, healing mud) health tourism. In addition, multitudes of mutually intertwined factors affect decision-making process among elderly regarding their health tourism choices. Such factors include the scale of preferences (with special emphasis on well-being and health), leisure opportunities, marketing influences, cost (price) and the availability/diversity of health tourism services within the particular region. Moreover, individual psychosocial and physical characteristics, disabilities and other debilitating conditions, examined in our preliminary study, significantly contributed to the decision-making scheme. We shouldn't disregard sociodemographic and cultural preferences among elderly as potential factors. Conclusions: Confirmation of our hypothesis could change the usual approach towards the group of elderly beneficiaries (65+) in the health tourism domain. This approach is often largely based on chronological age criteria exclusively. The contents of this manuscript could serve as a blueprint for the development of comprehensive and sustainable health tourism strategies worldwide. © 2015 Elsevier Ltd.",,"aged; Article; attitude to health; controlled study; cultural factor; decision making; elderly care; functional status; geographic distribution; health care utilization; health service; human; medical tourism; quality of life; wellbeing; comorbidity; female; geriatrics; male; procedures; very elderly; biological product; Aged; Aged, 80 and over; Biological Products; Choice Behavior; Comorbidity; Decision Making; Female; Geriatrics; Humans; Male; Medical Tourism",,"Biological Products",,,,,,"Hall, C.M., Health and medical tourism: a kill or cure for global public health? (2011) Tourism Rev, 66 (1-2), pp. 4-15; Goodrich, J.N., Health tourism: a new positioning strategy for tourist destinations (1994) J Int Consumer Mark, 6, pp. 227-238; Mårdh, P.-A., What is travel medicine? 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(2007) Croat Med J, 48, pp. 1-3; Radnic, R.A., Gracan, D., Fister, M., Repositioning of thermal spa tourism of North-West Croatia in accordance with the European thermal spa tourism trends (2009) Tourism Hosp Manage, 15 (1), pp. 73-84; Kušen, E., Positioning medical tourism in the broader framework of health tourism (2011) Tourism, 59 (1), pp. 95-99; Charlier, R.H., Chaineux, M.-C.P., The healing sea: a sustainable coastal ocean resource: thalassotherapy (2009) J Coastal Res, 25 (4), pp. 838-856; Kušen, E., A system of tourism attractions (2010) Tourism Rev, 58 (4), pp. 409-424; Staalesen Strumse, Y.A., Nordvag, B.Y., Stanghelle, J.K., Rosland, M., Winther, A., Pajunen, P.A., The efficacy of rehabilitation for patients with rheumatoid arthritis: comparison between a 4-week rehabilitation programme in a warm and cold climate (2009) Scand J Rheumatol, 38, pp. 28-37; Nordby, P.A., StaalesenStrumse, Y.A., Froslie, K.F., Stanghelle, J.K., Patients with neuromuscular diseases benefit from treatment in a warm climate (2007) J Rehabil Med, 39, pp. 554-559; (2010) Croatian health service yearbook 2009, , Croatian National Institute of Public Health, Zagreb, [in Croatian], Ž. 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(2003) J Cardpulm Rehabil, 23, pp. 115-121; Dontas, A.S., Zerefos, N.S., Panagiotakos, D.B., Valis, D.A., Mediterranean diet and prevention of coronary heart disease in the elderly (2007) Clin Interv Aging, 2 (1), pp. 109-115; Féart, C., Samieri, C., Rondeau, V., Amieva, H., Portet, F., Dartigues, J., Adherence to a mediterranean diet, cognitive decline and risk of dementia (2009) JAMA, 302 (6), pp. 638-648; Mitrou, P.N., Kipnis, V., Thiébaut, A.C.M., Reedy, J., Subar, A.F., Wirfält, E., Mediterranean dietary pattern and prediction of all-cause mortality in a us population (2007) Arch Intern Med, 167 (22), pp. 2461-2468; Roman, B., Carta, L., Martínez-Gonzáles, M.A., Serra-Majem, L., Effectiveness of the mediterranean diet in the elderly (2008) Clin Interv Aging, 3 (1), pp. 97-109; (2002) Active ageing: a policy framework, , http://whqlibdoc.who.int/hq/2002/who_nmh_nph_02.8.pdf, [accessed 17.03.2015]; Tomasović Mrčela, N., (2011) Influence of the diagnosis, functional independence and age of stationary medical rehabilitation users on their preference in selecting health tourism services, , [dissertation], University of Split School of Medicine, Split, [in Croatian]; Shah, S., Vanclay, F., Cooper, B., Improving the sensitivity of the Bartel Index for stroke rehabilitation (1989) J Clin Epidemiol, 42 (8), pp. 703-709; Cohen, M.E., Marino, R.J., The tools of disability outcomes research functional status measures (2000) Arch Phys Med Rehabil, 81, pp. S21-S28; Stucki, G., Sigl, T., Assessment of the impact of disease on the individual (2003) Best Practice Res Clin Rheumatol, 17 (3), pp. 451-473; Seccombe, K., Ishii-Kunz, M., Perceptions of problems associated with aging: comparisons among four older age cohorts (1991) Gerontologist, 31 (4), pp. 527-533; The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines (1992), http://www.who.int/classifications/icd/en/bluebook.pdf, [accessed 08.03.2013]; Zaletel-Kragelj, L., Božikov, J., Method and tools in public health. A handbook for teachers, researchers and health professionals (2010), Zagreb: Medicinska naklada d.d; Creswell, J.W., (2003) Research design qualitative, quantitative and mixed methods approaches, , http://Isites.harvard.edu/fs/docs/icb.topic1334586.files/2003_Creswell_A%20Framework%20for%20Design.pdf, Sage Publications, Inc., Thousand Oaks, California [accessed 28.08.2015]; Nimrod, G., Rotem, A., Between relaxation and excitement: activities and benefits gained in retirees' tourism (2010) Int J Tourism Res, 12, pp. 65-78; Skinner, A., Turner-Stokes, L., The use of standardized outcome measures in rehabilitation centres in the UK (2006) Clin Rehabil, 20, pp. 609-615; Schneider, G., Driesch, G., Kruse, A., Wachter, M., Nehen, H.-G., Heuft, G., What influences self-perception of health in the elderly? The role of objective health condition subjective well - being and sense of coherence (2004) Arch Gerontol Geriatr, 39, pp. 227-237; Zijlstra, T.R., van de Laar, M.A.F.J., Bernelot Moens, H.J., Taal, E., Zakraoui, L., Rasker, J.J., Spa treatment for primary fibromyalgia syndrome: a combination of thalassotherapy, exercise and patient education improves symptoms and quality of life (2005) Rheumatology, 44, pp. 539-546; Neumann, L., Sukenik, S., Bolotin, A., Abu-Shakra, M., Amir, M., Flusser, D., The effect of balneotherapy at the Dead Sea on the on the quality of life of patients with fibromyalgia syndrome (2001) Clin Rheumatol, 20, pp. 15-19; Tomek-Roksandić, S., Tomasović Mrčela, N., Smolej Narančić, N., Šostar, Z., Lukić, M., Duraković, Z., Program of primary, secondary and tertiary prevention for the elderly (2013) Periodicum Biologorum, 115 (4), pp. 475-481; Tomek-Roksandić, S., Tomasović Mrčela, N., Smolej Narančić, N., Šostar, Z., Lukić, M., Ljubičić, Z., Gerontology public health management in Croatia (2013) Periodicum Biologorum, 115 (4), pp. 469-474","Borovac, J.A.; University of Split, School of Medicine (MEFST), Šoltanska 2, Croatia; email: jborovac@mefst.hr",,,"Churchill Livingstone",,,,,03069877,,MEHYD,"26386485","English","Med. Hypotheses",Article,"Final",,Scopus,2-s2.0-84947490006 "Ruggeri K., Záliš L., Meurice C.R., Hilton I., Ly T.-L., Zupan Z., Hinrichs S.","54682337000;56398447700;56943416400;56943275100;56943138000;57195246859;35069497200;","Evidence on global medical travel [Données scientifiques sur le tourisme médical dans le monde] [Datos sobre el turismo sanitario a nivel mundial]",2015,"Bulletin of the World Health Organization","93","11",,"785","789",,10,"10.2471/BLT.14.146027","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84946234132&doi=10.2471%2fBLT.14.146027&partnerID=40&md5=8cf68d7aa6a586a96725f6bd8e65b2b8","Department of Psychology, University of Cambridge, Downing Street, Cambridge, CB2 3EB, United Kingdom; Department of Psychology, Masaryk University, Brno, Czech Republic; North Central College, Naperville, IL, United States; University of Köln, Köln, Germany; Department of Psychology, University of Warwick, Coventry, United Kingdom; The Policy Institute, King’s College London, London, United Kingdom","Ruggeri, K., Department of Psychology, University of Cambridge, Downing Street, Cambridge, CB2 3EB, United Kingdom; Záliš, L., Department of Psychology, Masaryk University, Brno, Czech Republic; Meurice, C.R., Department of Psychology, University of Cambridge, Downing Street, Cambridge, CB2 3EB, United Kingdom; Hilton, I., North Central College, Naperville, IL, United States; Ly, T.-L., University of Köln, Köln, Germany; Zupan, Z., Department of Psychology, University of Warwick, Coventry, United Kingdom; Hinrichs, S., The Policy Institute, King’s College London, London, United Kingdom","The potential benefits of travelling across national borders to obtain medical treatment include improved care, decreased costs and reduced waiting times. However, medical travel involves additional risks, compared to obtaining treatment domestically. We review the publicly-available evidence on medical travel. We suggest that medical travel needs to be understood in terms of its potential risks and benefits so that it can be evaluated against alternatives by patients who are seeking care. We propose three domains -quality standards, informed decision-making, economic and legal protection - in which better evidence could support the development of medical travel policies. © WHO 2015.",,"economic analysis; global perspective; health expenditure; health policy; medical geography; public health; Article; cost effectiveness analysis; economic aspect; health care policy; human; information processing; insurance; legal aspect; medical tourism; patient decision making; quality control; attitude to health; decision making; health; health care quality; psychology; risk assessment; Decision Making; Global Health; Health Knowledge, Attitudes, Practice; Health Policy; Humans; Medical Tourism; Quality of Health Care; Risk Assessment",,,,,,,,"Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , http://medicaltourisminturkey.org/panel/Panel1/3Deloitte.pdf, Washington: Deloitte Center for Health Solutions, cited 2015 Feb 12; Issues monitor: Medical tourism gaining momentum (2011) KPMG International Issues Monitor, , https://www.kpmg.com/CH/en/Library/Articles-Publications/Documents/Sectors/pub-20120207-issues-monitor-healthcare-medical-tourism-en.pdf, KPMG, London: KPMG, cited 2015 Feb 12; Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the United States (2011) J Gen Intern Med, 26 (5), pp. 492-497. , PMID: 21161425; Alsharif, M.J., Labonté, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Glob Soc Policy, 10 (3), pp. 315-335; Cattaneo, O., (2009) Trade in Health Services: What’s in It for Developing Countries?, , https://openknowledge.worldbank.org/bitstream/handle/10986/4305/WPS5115.pdf?sequence=1, World Bank policy research working paper 5115Washington: The World Bank, cited 2015 Sep 3; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , http://bit.ly/1Fuf1NH, Paris: Organisation for Economic Co-operation and Development, cited 2015 Feb 12; Lunt, N.T., Mannion, R., Exworthy, M., A framework for exploring the policy implications of UK medical tourism and international patient flows (2013) Soc Pol Admin, 47 (1), pp. 1-25; Bisht, R., Pitchforth, E., Murray, S.F., Understanding India, globalisation and health care systems: A mapping of research in the social sciences (2012) Global Health, 8 (1), 32p. , PMID: 22963264; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , PMID: 20185254; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? 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Canberra: Deloitte Access Economics; Johnston, K., Puczkó, L., Smith, M., Ellis, S., (2011) Wellness Tourism and Medical Tourism: Where Do Spas Fit?, , http://bit.ly/1JzS6oq, New York: Global Spa Summit, cited 2015 Feb 12; Giacalone, J.A., Modeling the market for medical travel (2011) American Society of Business and Behavioral Sciences Proceedings, 18, pp. 668-676; Crozier, G., Baylis, F., The ethical physician encounters international medical travel (2010) J Med Ethics, 36 (5), pp. 297-301. , PMID: 20439336; Warf, B., Do you know the way to San José? Medical tourism in Costa Rica (2010) J Lat am Geogr, 9 (1), pp. 51-66; Siddiqi, S., Shennawy, A., Mirza, Z., Drager, N., Sabri, B., Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective (2010) Int J Health Plann Manage, 25 (3), pp. 231-250. , Jul-Sep, PMID: 19676048; Helmy, E.M., Benchmarking the Egyptian medical tourism sector against international best practices: An exploratory study (2011) Tourismos, 6 (2), pp. 293-311; Horowitz, M.D., Rosensweig, J.A., Medical tourism-health care in the global economy (2007) Physician Exec, 33 (6), pp. 24-6+28-30. , Nov-Dec, PMID: 18092615; Sen Gupta, A., Medical tourism in India: Winners and losers (2008) Indian J Med Ethics, 5 (1), pp. 4-5. , Jan-Mar, PMID: 18630244; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Soc Sci Med, 67 (1), pp. 101-110. , PMID: 18468756; Chanda, R., Institute of Population Health, Medical value travel in India: Prospects and challenges (2013) Travelling Well: Essays in Medical Tourism, pp. 48-62. , Labonté R, Runnels V, Packer C, Deonandan R, editors, Ottawa, University of Ottawa; Newman, B.Y., Medical tourism (2006) J am Optom Assoc, 77 (12), p. 581; Manuel, C.R., (2011) Medical Tourism: A Growth Strategy: A Multi-Dimensional View on Medical Tourism, , http://zuellig.aim.edu/files/download/215, Makati City: Asian Institute of Management, Dr. Stephen Zuellig Center for Asian Business Transformation, cited 2015 Sep 11; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7 (12), pp. 1-12. , PMID: 21539751; Picazo, O.F., (2013) Medical Tourism in the Philippines: Market Profile, Benchmarking Exercise and SWOT Analysis, , http://bit.ly/1R3gLnm, Makati City: Philippine Institute for Development Studies, cited 2015 Feb 12; Crush, J., Chikanda, A., Maswikwa, B., Institute of Population Health, South-South and North-South medical tourism: The case of South Africa (2013) Travelling Well: Essays in Medical Tourism, pp. 43-61. , Labonté R, Runnels V, Packer C, Deonandan R, editors, Ottawa, University of Ottawa; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Glob Public Health, 3 (3), pp. 271-290; Rerkrujipimol, J., Assenov, I., Marketing strategies for promoting medical tourism in Thailand (2011) J Tour Hosp Cul Arts, 3 (2), pp. 95-105; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., Implications for the NHS of inward and outward medical tourism: A policy and economic analysis using literature review and mixed-methods approaches (2014) Health Serv Deliv Res, 2 (2), pp. 1-234; Chuang, T.C., Liu, J.S., Lu, L.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tour Manage, 45, pp. 49-58; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int J Qual Health Care, 23 (1), pp. 1-7. , PMID: 21148210; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Soc Sci Med, 124, pp. 356-363. , PMID: 24976006; Exworthy, M., Peckham, S., Access, choice and travel: Implications for health policy (2006) Soc Pol & Admin, 40 (3), pp. 267-287; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: Understanding medical travel (2010) Med Anthropol, 29 (4), pp. 336-343. , PMID: 21082481; Carrera, M.P., Bridge, J.F.P., (2006) Health and Medical Tourism: What they Mean and Imply for Health Care Systems, , http://bit.ly/1dka0iT, Geneva: The Geneva Association, Risk & Insurance Economics, cited 2015 May 16; Deaton, A., Income, health, and well-being around the world: Evidence from the Gallup World Poll (2008) J Econ Perspect, 22 (2), pp. 53-72. , Spring, PMID: 19436768; Kim, M.K., Blendon, R.J., Benson, J.M., What is driving people’s dissatisfaction with their own health care in 17 Latin American countries? (2013) Health Expect, 16 (2), pp. 155-163. , PMID: 22512774","Ruggeri, K.; Department of Psychology, University of Cambridge, Downing Street, United Kingdom; email: dar56@cam.ac.uk",,,"World Health Organization",,,,,00429686,,BWHOA,"26549906","English","Bull. WHO",Article,"Final",Open Access,Scopus,2-s2.0-84946234132 "Snyder J., Byambaa T., Johnston R., Crooks V.A., Janes C., Ewan M.","24170239100;45661015100;36500711800;35585107800;26643137800;56624364100;","Outbound medical tourism from Mongolia: A qualitative examination of proposed domestic health system and policy responses to this trend",2015,"BMC Health Services Research","15","1", 187,"","",,10,"10.1186/s12913-015-0849-5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84928966831&doi=10.1186%2fs12913-015-0849-5&partnerID=40&md5=c9a810c9a96a882be32444ca73d555eb","Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Snyder, J., Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Byambaa, T., Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Johnston, R., Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Crooks, V.A., Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Janes, C., Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Ewan, M., Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Background: Medical tourism is the practice of traveling across international boundaries in order to access medical care. Residents of low-to-middle income countries with strained or inadequate health systems have long traveled to other countries in order to access procedures not available in their home countries and to take advantage of higher quality care elsewhere. In Mongolia, for example, residents are traveling to China, Japan, Thailand, South Korea, and other countries for care. As a result of this practice, there are concerns that travel abroad from Mongolia and other countries risks impoverishing patients and their families. Methods: In this paper, we present findings from 15 interviews with Mongolian medical tourism stakeholders about the impacts of, causes of, and responses to outbound medical tourism. These findings were developed using a case study methodology that also relied on tours of health care facilities and informal discussions with citizens and other stakeholders during April, 2012. Results: Based on these findings, health policy changes are needed to address the outflow of Mongolian medical tourists. Key areas for reform include increasing funding for the Mongolian health system and enhancing the efficient use of these funds, improving training opportunities and incentives for health workers, altering the local culture of care to be more supportive of patients, and addressing concerns of corruption and favouritism in the health system. Conclusions: While these findings are specific to the Mongolian health system, other low-to-middle income countries experiencing outbound medical tourism will benefit from consideration of how these findings apply to their own contexts. As medical tourism is increasing in visibility globally, continued research on its impacts and context-specific policy responses are needed. © 2015 Snyder et al.; licensee BioMed Central.","Health planning; Medical Tourism; Mongolia","female; government; health care delivery; health care personnel; health care planning; health care policy; human; interview; medical care; medical tourism; Mongolia; qualitative research; Delivery of Health Care; Female; Government Programs; Health Personnel; Health Planning; Health Policy; Humans; Interviews as Topic; Medical Assistance; Medical Tourism; Mongolia; Qualitative Research",,,,,,,,"Lunt, N., Horsfall, D., Smith, R., Exworthy, M., Hanefeld, J., Mannion, R., Market size, market share and market strategy: Three myths of medical tourism (2013) Policy Politics, 42 (4), pp. 597-614. , fast-track article; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manag, 34, pp. 1-13; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266. , 2944273 20825667; Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , http://www1.oecd.org/els/health-systems/48723982.pdf; Horton, S., Cole, S., Medical returns: Seeking health care in Mexico (2011) Soc Sci Med, 72 (11), pp. 1846-1852. , 21531062; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is know about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity in Health, 9, p. 24; Kangas, B., The burden of pursuing treatment abroad: Three stories of medical travelers from Yemen (2010) Global Soc Pol, 10, pp. 306-314; Kangas, B., Complicating common ideas about medical tourism: Gender, class, and globality in Yemenis' International Medical Travel (2011) Signs J Women Culture Soc, 36 (2), pp. 327-332; Byambaa, T., (2011) Personal Correspondence, , Ulaanbaatar, Mongolia; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism? A scoping review (2011) Open Med, 5 (3), pp. e139-e148. , 3205829 22046228; World Bank, (2007) The Mongolian Health System at A Crossroad: An Incomplete Transition to A Post-Semashko Model, , Working Paper Series No. 2007-1, Human Development Sector Unit, East Asian and the Pacific Region. Washington, DC: The World Bank; Tumendemberel, N., Mongolia: Promoting sustainable financing and universal coverage through social health insurance (2008) Promoting Sustainable Strategies to Improve Access to Health Care in the Asian and Pacific Region, , United States: United Nations Economic and Social Commission for Asia and the Pacific; Mongolia Quarterly Economic Update - August 2011, , http://www.worldbank.org/en/news/feature/2011/08/24/mongolia-quarterly-economic-update-august-2011; http://www.worldbank.org/en/country/mongolia, Mongolia; http://data.worldbank.org/country/mongolia, Mongolia; Bolormaa, T., Natsagdorj, T., Tumurbat, B., Bujin, T., Bulganchimeg, B., Soyoltuya, B., Mongolia: Health system review (2007) Health Systems in Transition, 9 (4), pp. 1-151; Janes, C.R., An ethnographic evaluation of post-Alma Ata health system reforms in Mongolia: Lessons for addressing health inequities in poor communities (2009) Anthropology and Public Health: Bridging Differences in Culture and Society. 2 ndth Ed., , Hahn RA, Inhorn MC, editors New York: Oxford Univ. 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Washington, DC: The World Bank; UNDP [United Nations Development Programme], (2000) Human Development Report, Mongolia, , Ulaanbaatar, Mongolia: UNDP; International Fund for Agricultural Development (IFAD), Rural Poverty Portal: Rural Poverty in Mongolia, , http://www.ruralpovertyportal.org/country/home/tags/mongolia; Asian Development Bank, (2008) Mongolia: Health and Social Protection, Rapid Sector Assessment, , Manilla, Philippines: Asian Development Bank, Operations Evaluation Department; Bumrungrad Hospital, Bumrungrad Hospital Investor Presentation, , https://www.bumrungrad.com/About-Us/What-People-Say-About-Us/What-s-New/Bumrungrad-International-Invests-in-One-of-the-Top; Kumar, S., Designing promotional strategies for medical tourism in India: A case study of an ophthalmic hospital in NCR (2009) Health Popul, 32 (2), pp. 86-95; Cerralbo, Y., (2011) Platinum Year for Korea, Mongolia, , http://www.koreaherald.com/view.php?ud=20110403000318, Korean Herald; Yin, R.K., (2009) Case Study Research: Design and Methods (Fourth Edition), , Thousand Oaks, California: Sage Publications; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization Health, 7, p. 12. , 3114730 21539751; Chen, Y.Y.B., Flood, C.M., Medical tourism's impact on health care equity and access in low- and middle-income countries: Making the case for regulation (2013) J Law Med Ethics, 41 (1), pp. 286-300. , 23581671; Turner, L., Transnational medical travel. Ethical dimensions of global healthcare (2013) Camb Q Healthc Ethics, 22 (2), pp. 170-180. , 23507179","Snyder, J.; Simon Fraser University, Blusson Hall 10516, 8888 University Drive, Canada; email: Jcs12@sfu.ca",,,"BioMed Central Ltd.",,,,,14726963,,,"25935557","English","BMC Health Serv. Res.",Article,"Final",Open Access,Scopus,2-s2.0-84928966831 "Smith M.","55495915200;","Baltic Health Tourism: Uniqueness and Commonalities",2015,"Scandinavian Journal of Hospitality and Tourism","15","4",,"357","379",,10,"10.1080/15022250.2015.1024819","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945490793&doi=10.1080%2f15022250.2015.1024819&partnerID=40&md5=b3bba901d02a338ed2a79dbda8141ec5","School of Tourism, Leisure and Hospitality, BKF University of Applied Sciences, Budapest, Hungary","Smith, M., School of Tourism, Leisure and Hospitality, BKF University of Applied Sciences, Budapest, Hungary","This paper examines health tourism in the Baltic States identifying resources and products common to the region as a whole and unique to each country. The Baltic States have successfully collaborated in tourism (especially promotion) for several years in an attempt to overcome the lack of a distinct image in the past and to place the Baltics on the tourist map. Collaborations and clusters are useful approaches for sharing good practice and improving quality and branding, and are essential to improving the competitiveness of health and wellness tourism destinations. A Baltic Health Tourism Cluster was established in 2013. Following the initial cluster launch, a Delphi Study involving several respondents from each Baltic country who are experts in the health, wellness, spas, medical and/or tourism fields was conducted. The focus was to help the Baltic countries identify the specifics in their health tourism resources, attractions and products while encouraging collaboration and a common regional brand for health tourism. Although too early to measure the success or effectiveness of the health tourism cluster, data help provide recommendations for product and destination development. © 2015 Taylor & Francis.","cluster; destination development; Health tourism; medical tourism; spas; wellness","cluster analysis; competitiveness; health care; health services; medicine; tourism development; tourist destination; Baltic States",,,,,,,,"Baum, T., Lockstone-Binney, L., Fit for purpose: Delivering wellness tourism through people (2014) Wellness tourism, pp. 130-143. , Voigt C., Pforr C., (eds), London: Routledge; Bentsalo, I., Sleep therapy: A case study from Tervis Medical Spa, Estonia (2013) Health, tourism and hospitality: Spas, wellness and medical travel, pp. 291-294. , Smith M.K., Puczkó L., (eds), London: Routledge; Bertsch, G., Schobersberger, W., Blank, C., Ostermann, H., Importance of wellness quality criteria and positioning of wellness cooperation brands (2011) International Journal of Leisure and Tourism Marketing, 2 (3), pp. 194-208; Bircher, J., Towards a dynamic definition of health and disease (2005) Medicine, Health Care and Philosophy, 8, pp. 335-341; Breda, Z., Costa, R., Costa, C., Do clustering and networks make small places beautiful? The case of Caramulo (Portugal) (2004) Tourism local systems and networking, pp. 67-82. , Lazzeretti L., Petrillo C., (eds), Oxford: Elsevier; Bushell, R., Sheldon, P.J., (2009) Wellness and tourism: Mind, body, spirit, place, , New York: Cognizant; (2009), http://www.businesspundit.com/10-best-countries-for-healthcare-tourism, 10 best countries for medical tourism. 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Retrieved from; Flowers, J., Easterling, K., Growing South Carolina's tourism cluster (2006) Business and Economic Review, 52 (3), pp. 15-20; Garrod, B., Fyall, A., Revisiting Delphi: The Delphi technique as a method of tourism research (2005) Tourism research methods: Integrating theory with practice, pp. 85-98. , Ritchie B.W., Burns P., Palmer C., (eds), Wallingford: CABI; (2011) Wellness tourism and medical tourism: Where do spas fit?, , New York: Global Spa Summit; Gordon, T.J., (1994), http://www.gerenciamento.ufba.br/Downloads/delphi%20(1).pdf, The Delphi method. Futures Research Methodology. Retrieved from; Green, H., Hunter, C., Moore, B., The application of the Delphi technique in tourism (1990) Annals of Tourism Research, 17, pp. 270-279; Hall, C.M., (2013) Medical tourism: The ethics, regulation, and marketing of health mobility, , London: Routledge; Hjalager, A., Konu, H., Huijbens, E.H., Björk, P., Flagestad, A., Nordin, S., Tuohino, A., (2011), http://www.nordicinnovation.org/Global/_Publications/Reports/2011/2011_NordicWellbeingTourism_report.pdf, Innovating and re-branding Nordic wellbeing tourism. Retrieved from; Honoré, C., (2005) In praise of slow: How a worldwide movement is challenging the cult of speed, , London: Orion Books; Hood, A., Lithuanian largesse (2013) Spa Business, 1, pp. 68-72; Hopeniene, R., Bagdoniene, L., (2010), http://reser.net/materiali/priloge/slo/bagdoniene_l_hopeniene_r.pdf, Lithuanian wellness cluster: Pros and cons. 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Presentation at the Launch Event of the Baltic Health Tourism Cluster, Vilnius; Mueller, H., Lanz Kaufmann, E., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17. , January 2001; Novelli, M., Schmitz, B., Spencer, T., Networks, clusters and innovation in tourism: A UK experience (2006) Tourism Management, 27, pp. 1141-1152; Okoli, C., Pawlowski, S.D., The Delphi method as a research tool: An example, design considerations and applications (2004) Information & Management, 42 (1), pp. 15-29; Olte, U., (2013), http://www.airbaltic.com/public/51567.html, The hottest ways to get through a cold winter. Baltic Outlook, pp.46–54. 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Presentation at the Launch Event of the Baltic Health Tourism Cluster, Vilnius; Pforr, C., Locher, C., Health tourism in the context of demographiy and psychographic change: A German perspective’ (2014) Wellness tourism, pp. 255-268. , Voigt C., Pforr C., (eds), London: Routledge; Pforr, C., Pechlaner, H., Locher, C., Jochmann, J., Health regions: Building tourism destinations through networked regional core competencies (2014) Wellness tourism, pp. 99-111. , Voigt C., Pforr C., (eds), London: Routledge; Porter, M.E., (1990) The competitive advantage of nations, , New York: Free Press; Porter, M.E., The economic performance of regions (2003) Regional Studies, 37 (6-7), pp. 549-578; Saracci, R., The world health organization needs to reconsider its definition of health (1997) BMJ, 314, pp. 1409-1410; Smith, M.K., Puczkó, L., (2009) Health and wellness tourism, , Oxford: Butterworth Heinemann; Smith, M.K., Puczkó, L., (2013) Health, tourism and hospitality: Spas, wellness and medical travel, , London: Routledge; Steinhauser, C., Jochum, B., Markenpolitik im Gesundheitstourismus am Beispiel von “Alpine Wellness” [Brand policy in health tourism using the example “Alpine Wellness”] (2006) Wellness und produktentwicklung, erfolgreiche gesundheitsangebote im tourismus [wellness and product development, successful health products in tourism], pp. 131-144. , Krczal A., Weiermair K., (eds), Berlin: Erich Schmidt Verlag; Toffer, A., (2013), Health tourism developments in Estonia. Presentation at the Launch Event of the Baltic Health Tourism Cluster, Vilnius; Tooman, H., Tomasberg, K., Smith, M.K., Cross-cultural issues in health and wellness services in Estonia (2013) Service management in health and wellness services, , Kandampully J., (ed), Chapter 19, Dubuque: Kendall Hunt Publishers; Turoff, M., The design of a policy Delphi (1970) Technological Forecasting and Social Change, 2 (2), pp. 149-171; Voigt, C., Towards a conceptualisation of wellness tourism (2014) Wellness tourism, pp. 19-44. , Voigt C., Pforr C., (eds), London: Routledge; Voigt, C., Laing, J., An examination of the extent of collaboration between major wellness tourism stakeholders in Australia (2014) Wellness tourism, pp. 63-77. , Voigt C., Pforr C., (eds), London: Routledge; Voigt, C., Pforr, C., (2014) Wellness tourism, , London: Routledge","Smith, M.; School of Tourism, Leisure and Hospitality, BKF University of Applied Sciences, 1–9 Nagy Lajos Kiraly Utja, Hungary",,,"Routledge",,,,,15022250,,,,"English","Scand. J. Hosp. Tour.",Article,"Final",,Scopus,2-s2.0-84945490793 "Medhekar A., Haq F.","56939297300;55636506900;","Halal branding for medical tourism: Case of Indian hospitals",2014,"Emerging Research on Islamic Marketing and Tourism in the Global Economy",,,,"160","189",,10,"10.4018/978-1-4666-6272-8.ch008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949570933&doi=10.4018%2f978-1-4666-6272-8.ch008&partnerID=40&md5=4bbdc2dfcdf6d7030d6f3fa297634dbd","CQUniversity, School of Business and Law, Rockhampton, Australia; Canadian University of Dubai, United Arab Emirates","Medhekar, A., CQUniversity, School of Business and Law, Rockhampton, Australia; Haq, F., Canadian University of Dubai, United Arab Emirates","This chapter explores the emergence and development of Halal branded hospitals and medical facilities as a product of Medical Tourism for Muslim patients around the world and in India. Halal tourism is a sub-category of spiritual tourism, where one has to abide by the Sharia law to satisfy Muslim customers. The main objective of the chapter is to focus on a niche category of halal medical tourism, where Sharia rules are followed to attract the medical tourist mainly from Islamic countries. This chapter also proposes a typology of Muslim medical tourist's cultural sensitivities and recommends branding and certifying Halal Medical Tourism hospitals, healthcare facilities, pharmaceuticals, products, and services to attract Muslim patients, and provides challenges and opportunities with future research directions. The case studied in this chapter is of the Global Health City, the first Halal Certified Medical Hospital facility in Chennai, India. It presents a model for halal branding of Indian Medical Tourism based on the halal decision-making paradigm for Muslim customers designed by Wilson and Liu (2010). The model presented here indicates attitudes of being rational or emotional and elements reflecting affective and cognitive feelings for Muslim patients seeking halal treatment in halal hospitals. © 2015 by IGI Global. All rights reserved.",,,,,,,,,,"Ala-Al Hamarneh, A., Steiner, C., Islamic Tourism: Rethinking the strategies of tourism development in the Arab world after September 11-2001 (2004) Comparative Studies of South Asia, Africa and the Middle East, 24 (1), pp. 1-10; Alserhan, B.A., On Islamic branding: brands as good deeds (2010) Journal of Islamic Marketing, 1 (2), pp. 101-106; (2010) Comparability of the Cost Estimates of Health Care Systems, , http://www.ama-assn.org/i-09-handbook.pdf, Report of the council on medical service. 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Bangkok, Thailand; Brotman, B.A., Medical Tourism Private Hospitals: Focus India (2010) Journal of Health Care Finance, 37 (1), pp. 45-50; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Crozier, G.D., Martin, D., How to address the ethics of reproductive travel to developing countries: A comparison of national self-sufficiency and regulated market approaches (2012) Developing World Bioethics, 12 (1), pp. 45-54; Healy, C., Surgical tourism and the globalisation of healthcare (2009) Irish Journal of Medical Science, 178 (2), pp. 125-127; Khan, M.M., Hadith: Bukhari Shareef Online (2008), http://bukharishareef.blogspot.com/, Translated by, Retrieved October, 2, 2010, from; Kickbusch, I.S., Health Literacy: addressing the health and education divide (2001) Oxford Journal of Health Promotion International, 16 (3), pp. 289-297; Michell, P., Al-Mossawi, M., 'Religious commitment related to message contentiousness (1999) International Journal of Advertising, 18 (1), pp. 427-443; Snyder, J., Crooks, A.A., New Ethical Perspectives on Medical Tourism in the Developing World (2012) Developing World Bioethics, 12 (1), pp. 3-6; Tilson, D.J., Iverson, T., Tourism and Islam: Consideration of culture and duty (2006) Tourism, religion and spirituality journeys, , D. J. Timothy (Ed.), London:Routledge; Waller, D.S., Fam, K.S., Cultural values and advertising in Malaysia:views from the industry (2000) Asia Pacific Journal of Marketing and Logistics, 12 (1), pp. 3-16","Medhekar, A.; CQUniversity, School of Business and LawAustralia",,,"IGI Global",,,,,,9781466662742; 9781466662735,,,"English","Emerg. Res. on Islam. Mark. and Tour. in the Glob. Econ.",Book Chapter,"Final",,Scopus,2-s2.0-84949570933 "Khan S., Alam M.S.","55966962000;56457258200;","SAU: A potential destination for medical tourism",2014,"Journal of Taibah University Medical Sciences","9","4",,"257","262",,10,"10.1016/j.jtumed.2014.01.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84919631255&doi=10.1016%2fj.jtumed.2014.01.007&partnerID=40&md5=58d68429a2888364e351c7c8069326b4","Wuhan University School of Medicine, Department of Pathophysiology, Wuhan, China; School of Business and Economics, United International University, Dhaka, Bangladesh","Khan, S., Wuhan University School of Medicine, Department of Pathophysiology, Wuhan, China; Alam, M.S., School of Business and Economics, United International University, Dhaka, Bangladesh","To perform a comparative study of Medical tourism in the Arab world with special reference to Saudi Arabia and find ways to upgrade medical tourism in Saudi Arabia. A comprehensive literature review and analysis of statistical data from Saudi Ministry of Health is performed. With more than 37 million health-related trips and the generation of more than £ 33 billion each year, medical tourism has become an important element in the global economy. Travelling abroad to seek medical care is increasing steadily in both developing and developed countries: people in developing countries seek new technology and skills in developed countries, while people in rich developed countries seek medical care elsewhere because of high costs and long waiting lists in their home countries. India, Malaysia, Singapore and Thailand dominate the Asian market, and the United Arab Emirates, with the construction of the Dubai Health Care City, attracts clients from western, Gulf Cooperation Council, Middle Eastern and North African countries. SAU is not one of the most popular countries, even though it has all the basic attributes for a successful medical tourism industry, including modern, well-equipped hospitals, a well-established private health care sector, foreign-trained doctors and specialists and a stable, peaceful environment. It is also home to the main holy places of Islam and an important religious center. SAU could take the lead in this market by combining medical tourism with religious tourism, not only for the 1.6 billion (23% of the world's population) Muslims but also for the rest of the world. Recent accreditation of many Saudi hospitals by the Joint Commission International in the United States shows their commitment to promoting medical tourism. If properly managed, medical tourism could open the door for an income generation revolution in SAU. © 2014 Taibah University.","Economy; Medical tourism; Middle East; Religious tourism; SAU","accreditation; Arab; comparative study; consultation; decision making; developed country; developing country; Dubai; economic aspect; economic evaluation; health care; health care cost; health care facility; hospital; hospital admission; hospital information system; hospital service; human; income; India; Islam; law; Malaysia; marketing; medical care; medical specialist; medical tourism; morbidity; mortality; occupational therapy; organization and management; physician; physiotherapy; rehabilitation; religion; Review; Saudi Arabia; Singapore; telehealth; Thailand; travel",,,,,,,,"Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Rev Pharmacoecon Outcomes Res, 6, pp. 447-454; Burkett, L., Medical tourism (2007) J Leg Med, 28, pp. 223-245; Dunn, P., Medical tourism takes fight (2007) Hosp Health Netw, 81, pp. 40-42; Milstein, A., Smith, M., America's new refugees - Seeking affordable surgery offshore (2006) N Engl J Med, 355, pp. 1637-1640; Ramirez De Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) Int J Health Serv, 37, pp. 193-198; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Can Fam Physician, 53, pp. 1639-1641; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism? A scoping review (2011) Open Med, 5, pp. 139-e148; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape Gen Med, 9, p. 33; Sukenik, S., Abu-Shakra, M., Kudish, S., Flusser, D., Dead Sea and Tiberias as health resort areas for patients suffering from different types of arthritis (2006) Harefuah, 145, pp. 117-122; Ingber, A., Medicine is flourishing at the Dead Sea (2006) Isr Med Assoc J, 8, pp. 499-500; Moses, S.W., David, M., Goldhammer, E., Tal, A., Sukenik, S., The Dead Sea, a unique natural health resort (2006) Isr Med Assoc J, 8, pp. 483-488; O'Hagan, H.C., (2012) Medical Tourists Opting for Sea, Sand, Sun and Surgery, , National Abu Dhabi Media Co Abu Dhabi; Oh, K.M., Jun, J., Zhou, Q., Kreps, G., Korean American women's perceptions about physical examinations and cancer screening services offered in Korea: The influences of medical tourism on Korean Americans (2013) J Community Health, , [Epub 2013/12/11]; (2013) JCI Accredited Organizations, , http://www.jointcommissioninternational.org/jci-accredited-organizations/, Joint Commission International Oak Brook, Illinois [accessed 05.09.13]; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Manage, 27, pp. 1093-1100; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373, pp. 593-601; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) McKinsey Q; (2007) Medical Tourism Survey, , http://www.treatmentabroad.com/about/medical-tourism-survey/?locale=en, Intuition Communication Ltd Churchgates, Herts [accessed 09.03.13]; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85, pp. 164-165; Ismail, M., Dubai Healthcare City to compete for foreign patients (2012) The National, , http://www.thenational.ae/news/uae-news/tourism/dubai-healthcare-city-to-compete-for-foreign-patients, [accessed December 2013]; (2007) Jordan's Competitiveness Report, Chapter 6: Medical Tourism, , Ministry of Planning and International Cooperation Amman; (2013) NHA Indicators, , http://apps.who.int/nha/database/DataExplorer.aspx?ws=0%26d=1, World Health Organization Geneva [accessed 01.09.13]; Al-Yousuf, M., Akerele, T.M., Al-Mazrou, Y.Y., Organization of the Saudi health system (2002) East Mediterr Health J, 8, pp. 645-653; Boelens, P.A., Reeves, R.R., Replogle, W.H., Koenig, H.G., The effect of prayer on depression and anxiety: Maintenance of positive influence one year after prayer intervention (2012) Int J Psychol Med, 43, pp. 85-98; Allen, R.S., Harris, G.M., Crowther, M.R., Oliver, J.S., Cavanaugh, R., Phillips, L.L., Does religiousness and spirituality moderate the relations between physical and mental health among aging prisoners? (2013) Int J Geriatr Psychiatry, 28, pp. 710-717; Hayden, D., Spirituality in end-of-life care: Attending the person on their journey (2011) Br J Community Nurs, 16, p. 546; Allam, N., Al Saghier, M., El Sheikh, Y., Al Sofayan, M., Khalaf, H., Al Sebayel, M., Clinical outcomes for Saudi and Egyptian patients receiving deceased donor liver transplantation in China (2010) Am J Transplant, 10, pp. 1834-1841; Usman, N.A.A., (2009) Health Statistical Year Book, , Ministry of Health Riyadh [Report No. 15/0588]; (2009) Services of Rehabilitation Center for Disabled Children by Age, , Saudi Society of Caring Handicapped Children Riyadh; (2013) National Guard Health Affairs, , http://en.wikipedia.org/wiki/National_Guard_Health_Affairs#cite_note-2, Wikimedia Foundation, Inc [accessed 24.04.13]; Davis, M., (2009) The Global Emergence of Saudi Arabia in Medical Tourism, , http://www.arabmedicare.com/Medical_Tourism/news_Ziyad_Bin_Mahfouz_Interview.htm, ArabMedicare.com Raleigh, North Carolina [accessed 01.03.13]; Almalki, M., Fitzgerald, G., Clark, M., Health care system in Saudi Arabia: An overview (2011) East Mediterr Health J, 17, pp. 784-793; (2013) Medical Tourism in India, , http://en.wikipedia.org/wiki/Medical_tourism_in_India, Wikimedia Foundation, Inc [accessed 01.03.13]; Altuwaijri, M.M., Electronic-health in Saudi Arabia. Just around the corner? (2008) Saudi Med J, 29, pp. 171-178; Mufti, M.H., (2000) Healthcare Development Strategies in the SAU, , Springer Berlin; (2012) Saudi Association for Health Informatics Conference 2009, , http://www.saudiehealth.org/, Riyadh [accessed 01.09.13]; (2013) Telecare for Managing Diabetes TeMaD, , http://eapps.ngha.med.sa/newapps/temad/user/index.aspx, Ministry of Health Riyadh [accessed 04.09.13]; Alkadi, K., Roudsari, A., TeMaD system: Telecare for managing diabetes in Saudi Arabia (2013) Stud Health Technol Inform, 183, pp. 57-62","Khan, S.; Wuhan University School of Medicine, Department of PathophysiologyChina",,,"Elsevier",,,,,16583612,,,,"English","J. Taibah. Univ. Med. Sci.",Review,"Final",Open Access,Scopus,2-s2.0-84919631255 "Iorio M.L., Verma K., Ashktorab S., Davison S.P.","24478739000;35222788800;25645971900;7101979949;","Medical tourism in plastic surgery: Ethical guidelines and practice standards for perioperative care",2014,"Aesthetic Plastic Surgery","38","3",,"602","607",,10,"10.1007/s00266-014-0322-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904401014&doi=10.1007%2fs00266-014-0322-6&partnerID=40&md5=10a588283284dc4f490fa85c1a68d9bc","Department of Plastic Surgery, Georgetown University Hospital, Washington, DC, United States; DAVinci Plastic Surgery, 3101 New Mexico Avenue, NW, Washington, DC 20016, United States","Iorio, M.L., Department of Plastic Surgery, Georgetown University Hospital, Washington, DC, United States; Verma, K., Department of Plastic Surgery, Georgetown University Hospital, Washington, DC, United States; Ashktorab, S., DAVinci Plastic Surgery, 3101 New Mexico Avenue, NW, Washington, DC 20016, United States; Davison, S.P., DAVinci Plastic Surgery, 3101 New Mexico Avenue, NW, Washington, DC 20016, United States","Background: The goal of this review was to identify the safety and medical care issues that surround the management of patients who had previously undergone medical care through tourism medicine. Medical tourism in plastic surgery occurs via three main referral patterns: macrotourism, in which a patient receives treatments abroad; microtourism, in which a patient undergoes a procedure by a distant plastic surgeon but requires postoperative and/or long-term management by a local plastic surgeon; and specialty tourism, in which a patient receives plastic surgery from a non-plastic surgeon. Methods: The ethical practice guidelines of the American Medical Association, International Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and American Board of Plastic Surgeons were reviewed with respect to patient care and the practice of medical tourism. Conclusions: Safe and responsible care should start prior to surgery, with communication and postoperative planning between the treating physician and the accepting physician. Complications can arise at any time; however, it is the duty and ethical responsibility of plastic surgeons to prevent unnecessary complications following tourism medicine by adequately counseling patients, defining perioperative treatment protocols, and reporting complications to regional and specialty-specific governing bodies. Level of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. © 2014 Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery.","Medical ethics; Medical tourism; Postoperative care","breast reconstruction; ethics; health care quality; human; lipectomy; medical ethics; medical tourism; perioperative period; plastic surgery; practice guideline; standards; Ethics, Medical; Humans; Lipectomy; Mammaplasty; Medical Tourism; Perioperative Care; Practice Guidelines as Topic; Reconstructive Surgical Procedures; Standard of Care",,,,,,,,"http://www.deloitte.com/assets/Dcom-Croatia/Local%20Assets/Documents/ hr_Medical_tourism.pdf, Deloitte Center for Health Solutions. Medical tourism: consumers in search of value Accessed 21 Apr 2013; Pollard, K., Medical tourism: Trends for 2012 and beyond (2013) Int Med Travel, , http://www.imtj.com/articles/2011/medical-tourism-trends/, Accessed 21 Apr 2013; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthet Surg J, 31 (6), pp. 694-697. , 21813883 10.1177/1090820X11415977; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) J Contin Educ Health Prof, 28 (2), pp. 99-102. , 18521877 10.1002/chp.165; http://www.isaps.org/medical-procedures-abroad-the-key-guidelines-for- plastic-surgery-travelers.html, International Society of Aesthetic Plastic Surgery. ISAPS key guidelines for plastic surgery travelers Accessed 21 Apr 2013; https://www.abplsurg.org/documents/ABPS_Code_of_Ethics.pdf, American Board of Plastic Surgery. Code of ethics of the American Board of Plastic Surgery (ABPS), last revised November 2011 Accessed 21 Apr 2013; http://www.plasticsurgery.org/Documents/ByLaws/Code-of-Ethics-March12.pdf, American Society of Plastic Surgeons. Code of ethics of the American Society of Plastic Surgeons (ASPS), last updated March 2012 Accessed 21 Apr 2013; http://www.implantinfo.com/media/news/ASPS-plastic-surgery-news-report- 547.aspx, American Society of Plastic Surgeons. CDC urges plastic surgeons to be alert for rapidly growing Mycobacterium infections from cases performed in the Dominican Republic. Plastic Surgery News: Special Bulletin Accessed 27 Jan 2014; http://www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf, American Medical Association. AMA guidelines on medical tourism Accessed 21 Apr 2013; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism' - an avoidable burden on the NHS (2007) Journal of Plastic, Reconstructive and Aesthetic Surgery, 60 (9), pp. 1075-1077. , DOI 10.1016/j.bjps.2007.03.030, PII S1748681507002136; http://www.isaps.org/files/htmlcontents/Downloads/ISAPS%20Results%20- %20Procedures%20in%202011.pdf, International Survey on Aesthetic/Cosmetic Procedures Performed in 2011 (ISAPS) Accessed 15 May 2013; http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/ clm104c12.pdf, Medicare Claims Processing Manual Accessed 21 Apr 2013; Jones, J.W., McCullough, L.B., Richman, B.W., Turf wars: The ethics of professional territorialism (2005) Journal of Vascular Surgery, 42 (3), pp. 587-589. , DOI 10.1016/j.jvs.2005.06.025, PII S0741521405010682; Jones, J.W., McCullough, L.B., What to do when a patient's international medical care goes south (2007) Journal of Vascular Surgery, 46 (5), pp. 1077-1079. , DOI 10.1016/j.jvs.2007.09.003, PII S0741521407014607","Davison, S.P.; DAVinci Plastic Surgery, 3101 New Mexico Avenue, NW, Washington, DC 20016, United States; email: davisonplastic@yahoo.com",,,"Springer New York LLC",,,,,0364216X,,APSUD,"24797678","English","Aesthet. Plast. Surg.",Article,"Final",,Scopus,2-s2.0-84904401014 "Balia S., Brau R., Marrocu E.","13007463800;23466561700;6507084912;","What drives patient mobility across Italian regions? Evidence from hospital discharge data.",2014,"Developments in health economics and public policy","12",,,"133","154",,10,"10.1007/978-88-470-5480-6_6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902673500&doi=10.1007%2f978-88-470-5480-6_6&partnerID=40&md5=c0efeea6742ba920584bafa9bc9cf11f",,"Balia, S.; Brau, R.; Marrocu, E.","This chapter examines patient mobility across Italian regions using data on hospital discharges that occurred in 2008. The econometric analysis is based on Origin-Destination (OD) flow data. Since patient mobility is a crucial phenomenon in contexts of hospital competition based on quality and driven by patient choice, as is the case in Italy, it is crucial to understand its determinants. What makes the Italian case more interesting is the decentralization of the National Health Service that yields large regional variation in patient flows in favor of Centre-Northern regions, which typically are 'net exporters' of hospital treatments. We present results from gravity models estimated using count data estimators, for total and specific types of flows (ordinary admissions, surgical DRGs and medical DRGs). We model cross-section dependence by specifically including features other than geographical distance for OD pairs, such as past migration flows and the share of surgical DRGs. Most of the explanatory variables exhibit the expected effect, with distance and GDP per capita at origin showing a negative impact on patient outflows. Past migrations and indicators of performance at destination are effective determinants of patient mobility. Moreover, we find evidence of regional externalities due to spatial proximity effects at both origin and destination.",,"article; cross-sectional study; decision support system; geography; hospital discharge; human; Italy; medical tourism; patient preference; statistics; Cross-Sectional Studies; Decision Support Techniques; Geography; Humans; Italy; Medical Tourism; Patient Discharge; Patient Preference",,,,,,,,,"Balia, S.",,,,,,,,09274987,,,"24864385","English","Dev Health Econ Public Policy",Article,"Final",,Scopus,2-s2.0-84902673500 "Brekke K.R., Levaggi R., Siciliani L., Straume O.R.","10140502800;6602186868;8314492400;6603686658;","Patient mobility, health care quality and welfare",2014,"Journal of Economic Behavior and Organization","105",,,"140","157",,10,"10.1016/j.jebo.2014.04.025","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902006324&doi=10.1016%2fj.jebo.2014.04.025&partnerID=40&md5=825a8f5ea2acb3752da3a5b10a08631c","Department of Economics, Norwegian School of Economics, Helleveien 30, N-5045 Bergen, Norway; Department of Economics, University of Brescia, Via San Faustino 74b, 25100 Brescia, Italy; Department of Economics and Related Studies and Centre for Health Economics, University of York, Heslington, York YO10 5DD, United Kingdom; C.E.P.R., 90-98 Goswell Street, London EC1V 7DB, United Kingdom; Department of Economics/NIPE, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal; Department of Economics, University of Bergen, Norway","Brekke, K.R., Department of Economics, Norwegian School of Economics, Helleveien 30, N-5045 Bergen, Norway; Levaggi, R., Department of Economics, University of Brescia, Via San Faustino 74b, 25100 Brescia, Italy; Siciliani, L., Department of Economics and Related Studies and Centre for Health Economics, University of York, Heslington, York YO10 5DD, United Kingdom, C.E.P.R., 90-98 Goswell Street, London EC1V 7DB, United Kingdom; Straume, O.R., Department of Economics/NIPE, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal, Department of Economics, University of Bergen, Norway","Patient mobility is a key issue in the EU which recently passed a new law on a patient's right to EU-wide provider choice. In this paper we use a Hotelling model with two regions that differ in technology to study the impact of patient mobility on health care quality, health care financing and welfare. We show that without patient mobility quality is too low (high) and too few (many) patients are treated in the high-skill (low-skill) region. The effects of patient mobility depend on the transfer payment. If the payment is below marginal cost, mobility leads to a 'race-to-the-bottom' in quality and lower welfare in both regions. If the payment is equal to marginal cost, quality and welfare remain unchanged in the high-skill region, but the low-skill region benefits. For a socially optimal payment, which is higher than marginal cost, quality levels in the two regions are closer to (but not at) the first best, but welfare is lower in the low-skill region. Thus, patient mobility can have adverse effects on quality provision and welfare unless an appropriate transfer payment scheme is implemented. © 2014 Elsevier B.V.","Health care quality; Patient mobility; Regional and global welfare",,,,,,,,,"Aiura, H., Sanjo, Y., Privatization of local public hospitals: effect on budget medical service quality, and social welfare (2010) Int. J. Health Care Finan. Econ., 10, pp. 275-299; Barros, P.P., Martinez-Giralt, X., Public and private provision of health care (2002) J. Econ. Manage. Strat., 11, pp. 109-133; Brekke, K.R., Nuscheler, R., Straume, O.R., Quality and location choices under price regulation (2006) J. Econ. Manage. Strat., 15, pp. 207-227; Brekke, K.R., Siciliani, L., Straume, O.R., Hospital competition and quality with regulated prices (2011) Scand. J. Econ., 113, pp. 444-469; Docteur, E., Berenson, R.A., How does the quality of U.S. health care compare internationally? (2009) Timely Analysis of Immediate Health Policy Issues; (2006) Communication From the Commission. Consultation Regarding Community Action on Health Services, , Commission of the European Communities; Gaynor, M., What do we know about competition and quality in health care markets? (2006) Found. Trends Microecon., 2 (6); Gravelle, H., Capitation contracts: access and quality (1999) J. Health Econ., 18 (3), pp. 315-340; Gravelle, H., Sivey, P., Imperfect information in a quality-competitive hospital market (2010) J. Health Econ., 29, pp. 524-535; Halonen-Akatwijuka, M., Propper, C., Competition and decentralisation in government bureaucracies (2008) J. Econ. Behav. Organ., 67, pp. 903-916; Hoel, M., Interregional interactions and population mobility (2004) J. Econ. Behav. Organ., 55, pp. 419-433; Jelovac, I., Macho-Stadler, I., Comparing organizational structures in health services (2002) J. Econ. Behav. Organ., 49, pp. 501-522; Kanbur, R., Keen, M., Jeux sans frontières: tax competition and tax coordination when countries differ in size (1993) Am. Econ. Rev., 83, pp. 877-892; Laffont, J.J., Tirole, J., (1993) A Theory of Incentives in Procurement and Regulation, , MIT Press, Cambridge; Legido-Quigley, H., Glinos, I.A., Baeten, R., McKee, M., Busse, R., Analysing arrangements for cross-border mobility of patients in the European Union: a proposal for a framework (2012) Health Pol., 108, pp. 27-36; Lyon, T.P., Quality competition insurance, and consumer choice in health care markets (1999) J. Econ. Manage. Strat., 8, pp. 545-580; Nielsen, S.B., A simple model of commodity taxation and cross-border shopping (2001) Scand. J. Econ., 103, pp. 599-624; Oates, W.E., An essay on fiscal federalism (1999) J. Econ. Lit., 37, pp. 1120-1149; Oates, W.E., Fiscal competition and European Union: contrasting perspectives (2001) Reg. Sci. Urban Econ., 31, pp. 133-145; Petretto, A., On the cost-benefit of the regionalisation of the National Health Service (2000) Econ. Govern., 1, pp. 213-232; Trandel, G.A., Interstate commodity tax differentials and the distribution of residents (1994) J. Publ. Econ., 53, pp. 435-457; Wang, Y.-Q., Commodity taxes under fiscal competition: Stackelberg equilibrium and optimality (1999) Am. Econ. Rev., 89, pp. 974-981","Brekke, K.R.; Department of Economics, Norwegian School of Economics, Helleveien 30, N-5045 Bergen, Norway; email: kurt.brekke@nhh.no",,,"Elsevier",,,,,01672681,,JEBOD,,"English","J. Econ. Behav. Organ.",Article,"Final",,Scopus,2-s2.0-84902006324 "Qadeer I., Reddy S.","6603026768;36107370400;","Medical tourism in india: Perceptions of physicians in tertiary care hospitals",2013,"Philosophy, Ethics, and Humanities in Medicine","8","1", 20,"","",,10,"10.1186/1747-5341-8-20","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84893008089&doi=10.1186%2f1747-5341-8-20&partnerID=40&md5=05c818d8a4f85768947c3f90b6f84095","Center of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi 110067, India","Qadeer, I., Center of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi 110067, India; Reddy, S., Center of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi 110067, India","Senior physicians of modern medicine in India play a key role in shaping policies and public opinion and institutional management. This paper explores their perceptions of medical tourism (MT) within India which is a complex process involving international demands and policy shifts from service to commercialisation of health care for trade, gross domestic profit, and foreign exchange. Through interviews of 91 physicians in tertiary care hospitals in three cities of India, this paper explores four areas of concern: their understanding of MT, their views of the hospitals they work in, perceptions of the value and place of MT in their hospital and their views on the implications of MT for medical care in the country. An overwhelming majority (90%) of physicians in the private tertiary sector and 74.3 percent in the public tertiary sector see huge scope for MT in the private tertiary sector in India. The private tertiary sector physicians were concerned about their patients alone and felt that health of the poor was the responsibility of the state. The public tertiary sector physicians' however, were sensitive to the problems of the common man and felt responsible. Even though the glamour of hi-tech associated with MT dazzled them, only 35.8 percent wanted MT in their hospitals and a total of 56 percent of them said MT cannot be a public sector priority. 10 percent in the private sector expressed reservations towards MT while the rest demanded state subsidies for MT. The disconnect between their concern for the common man and professionals views on MT was due to the lack of appreciation of the continuum between commercialisation, the denial of resources to public hospitals and shift of subsidies to the private sector. The paper highlights the differences and similarities in the perceptions and context of the two sets of physicians, presents evidence, that questions the support for MT and finally analyzes some key implications of MT on Indian health services, ethical issues emerging out of that and the need for understanding the linkages between public and private sectors for a more effective intervention for an equitable medical care policy. © 2013 Qadeer and Reddy; licensee BioMed Central Ltd.",,"article; attitude to health; human; India; male; medical staff; medical tourism; psychological aspect; tertiary care center; Health Knowledge, Attitudes, Practice; Humans; India; Male; Medical Staff, Hospital; Medical Tourism; Tertiary Care Centers",,,,,,,,"(2002) Health Care in India: The Road Ahead. CII, , New Delhi: McKinsey and Company and Indian Healthcare Federation, CII-McKinsey; (2002) Tenth Five Year Plan, 2002-2007, , New Delhi: Chapter on Health, Government of India, Volume 2, Planning Commission; (2008) Eleventh Five Year Plan, 2007-2012, , New Delhi: Chapter on Health, Government of India, Volume 2, Planning Commission; Ministry of health and family welfare, draft national health bill (2009), Government of India; (2013) Twelfth Five Year Plan, 2012-2017, , New Delhi: Chapter on Health, Government of India, Volume 3, Planning Commission; Qadeer, I., Reddy, S., Medical care in the shadow of public private partnership (2006) Social Scientist, 34 (9-10), pp. 4-20; Baru, R.V., Privatisation of health services: a south asian perspective (2003) Econ Pol Wkly, 38 (42), pp. 4433-4437; Chanda, R., Trade in Health Services (2010), http://www.who.int/trade/en/THpart1chap3.pdf, webcite; Budget 2003- 2004: speech of Jaswant Singh, minister of finance and company affairs, Feb. 28 2003 (2013), http://indiabudget.nic.in/bspeech/bs200304.pdf, Webcite; Great Advantage in India Medical Tourism: CII August 2004 (2013), http://www.medicaltourindia.com/medical-tourism-news.asp, Webcite. Accessed on 5th May 2013, CII; Banerji, D., Landmarks in the development of health services in India (2001) Public Health and the Poverty of Reforms, , New Delhi: Sage Publication, Qadeer I, Sen K, Nayar KR; Reddy, S., Qadeer, I., Medical tourism in India: progress or predicament? (2010) Econ Pol Wkly, 45 (20), pp. 69-75; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Chanda, R., Trade in health services (2002) Bull World Health Organisation, 80 (2), pp. 158-163; Sengupta, A., Nundy, S., The private health sector in India (2005) BMJ, 331, pp. 1157-1158. , 10.1136/bmj.331.7526.1157, 1285083, 16293815; Baum, N.M., Sarah, E.G., Susan, D.G., Peter, D.J., Ethical issues facing public health practitioners (2007) American Society for Bioethics and the Humanities Annual Meeting: Connecting and Collaborating 10 (19), p. 7. , Washington, DC; Calman, K.C., Downie, R.S., Ethical principles and ethical issues in public health (2011) Oxford Text Book of Public Health, , London: Oxford University Press, Roger D, Robert B, Mary AL, Martin G; Medical tourism policy (2010), http://www.indiacore.com/tourism.html, webcite; Gujarat medical tourism policy: draft (2010), http://www.discoveredindia.com/gujarat/tourism-sectors-in-gujarat/medical-tourism-in-gujarat.htm, webcite; Sengupta, A., Medical tourism in India: winners and losers (2008) Indian J Med Ethics, 5 (1), pp. 4-5; Kumar, P., Simi, T.B., Barriers to movement of healthcare professionals a case study of India (2010), http://www.cuts-citee.org/pdf/RREPORT07-03.pdf, Webcite; Venkata, K., Prasad, C.B., Medical Tourism Industry - Advantage India (2010), http://dspace.iimk.ac.in/bitstream/2259/483/1/255-260.pdf, Webcite; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2010) J Health Plann Policy, 25 (3), pp. 248-251; Hopper, C.R., Adding insult to injury: the healthcare brain drain (2008) J Med Ethics, 34 (9), pp. 684-687. , 10.1136/jme.2007.023143, 18757641; Gupta, S.A., Medical Tourism in India: winners and loosers (2008) Indian Journal of Medical Ethics, 14 (1), pp. 4-5; Bertinato, L., Busse, R., Fahy, N., Quigley, H.L., McKee, M., Palm, W., Passarani, I., Ronfini, F., Policy brief cross border health care in Europe (2010), http://www.euro.who.int/__data/assets/pdf_file/0006/108960/E87922.pdf, Webcite; Health care reforms to impact medical tourism (2010), http://www.imtjonline.com/news/?EntryId82=129713, Webcite; Chotani, S., Sultana, S., (2007) Common Wealth Games in Delhi: How much does national prestige cost? A report; 2007, , New Delhi: Monograph of The Hazards Centre","Reddy, S.; Center of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi 110067, India; email: sunitareddyjnu@gmail.com",,,,,,,,17475341,,,"24345280","English","Philos. Ethics Humanit. Med.",Article,"Final",Open Access,Scopus,2-s2.0-84893008089 "Johnston R., Crooks V.A., Snyder J., Dharamsi S.","36500711800;35585107800;24170239100;15826323500;","Canadian family doctors' roles and responsibilities toward outbound medical tourists: ""Our true role is... within the confines of our system""",2013,"Canadian Family Physician","59","12",,"1314","1319",,10,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890390398&partnerID=40&md5=fe6a2202f87d4a791a8a5836f45c7023","Simon Fraser University, Geography, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; Faculty of Health Sciences, Simon Fraser University, Canada; Department of Family Practice, University of British Columbia, Vancouver, BC, Canada","Johnston, R., Simon Fraser University, Geography, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; Crooks, V.A., Simon Fraser University, Geography, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Canada; Dharamsi, S., Department of Family Practice, University of British Columbia, Vancouver, BC, Canada","Objective: To explore how Canadian family doctors understand their roles and responsibilities toward patients who seek health care abroad. Design: Six focus groups were held with family doctors across British Columbia to explore their experiences with and perspectives on outbound medical tourism. Focus groups were digitally recorded, transcribed, and subsequently thematically coded to discover common issues and themes across the entire data set. Setting: Focus groups were held with family doctors in 6 cities in British Columbia that provided representation from all provincial health authorities and a range of urban contexts. Participants: A total of 22 currently practising family doctors participated across the 6 focus groups, with groups ranging in size from 2 to 6 participants (average 4 participants). Methods: Thematic analysis of the transcripts identified cross-cutting themes that emerged across the 6 focus groups. Main findings: Participants reported that medical tourism threatened patients' continuity of care. Informational continuity is disrupted before patients go abroad because patients regularly omit family doctors from preoperative planning and upon return home when patients lack complete or translated medical reports. Participants believed that their responsibilities to patients resumed once the patients had returned home from care abroad, but were worried about not being able to provide adequate follow-up care. Participants were also concerned about bearing legal liability toward patients should they be asked to clinically support treatments started abroad. Conclusion: Medical tourism poses challenges to Canadian family doctors when trying to reconcile their traditional roles and responsibilities with the novel demands of private out-of-country care pursued by their patients. Guidance from professional bodies regarding physicians' responsibilities to Canadian medical tourists is currently lacking. Developing these supports would help address challenges faced in clinical practice.",,"article; Canada; family medicine; general practitioner; health care; human; legal liability; medical care; medical documentation; medical specialist; medical tourism; patient care; postoperative care; prophylaxis; responsibility; thematic analysis; Aftercare; Attitude of Health Personnel; British Columbia; Continuity of Patient Care; Family Practice; Focus Groups; Humans; Medical Tourism; Patient Care Planning; Physician's Role",,,,,,,,"Connell, J., Contemporary medical tourism: Conceptualisation, culture, and commodification (2013) Tour Manage, 34, pp. 1-13; Ormond, M., Shifting subjects of health-care (2011) Asia Pac Viewp, 52 (3), pp. 247-259; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11; Leng, C.H., Medical tourism and the state in Malaysia and Singapore (2010) Glob Soc Policy, 10 (3), pp. 336-357; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism? (2011) Open Med, 5 (3), pp. e139-e148; Turner, L., Medical tourism. Family medicine and international health-related travel (2007) Can Fam Physician, 53, pp. 1639-1641. , (Eng), 1646-8 (Fr); Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Sim, J., Collecting and analysing qualitative data: Issues raised by the focus group (1998) J Adv Nurs, 28 (2), pp. 345-352; Levine, A.D., Wolf, L.E., The roles and responsibilities of physicians in patients' decisions about unproven stem cell therapies (2012) J Law Med Ethics, 40 (1), pp. 122-134; Crozier, G.K., Baylis, F., The ethical physician encounters international medical travel (2010) J Med Ethics, 36 (5), pp. 297-301; Cortez, N.G., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law J, 83 (24), pp. 71-132; (2012) The Impact of Medical Tourism on Canadian Physicians, , www.cmpa-acpm.ca/cmpapd04/docs/resource_files/web_sheets/2012/ com_w12_003-e.cfm, [website]. Ottawa, ON: Canadian Medical Protective Association; Available from: Accessed 2013 Oct 25","Johnston, R.; Simon Fraser University, Geography, 8888 University Dr, Burnaby, BC V5A 1S6, Canada; email: rrj1@sfu.ca",,,,,,,,0008350X,,CFPHA,"24336547","English","Can. Fam. Phys.",Article,"Final",,Scopus,2-s2.0-84890390398 "Horsfall D., Lunt N., King H., Hanefeld J., Smith R.D.","35848647100;6603761945;57192089705;26430746700;55746369800;","The impact of the internet on medical tourism",2013,"Medical Tourism and Transnational Health Care",,,,"223","239",,10,"10.1057/9781137338495","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996773836&doi=10.1057%2f9781137338495&partnerID=40&md5=b819b6ea6aef4e8135844360c4bb6cf8","Department of Social Policy and Social Work, University of York, York, United Kingdom; School of Social and Political Science, University of Edinburgh, Edinburgh, United Kingdom; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom","Horsfall, D., Department of Social Policy and Social Work, University of York, York, United Kingdom; Lunt, N., Department of Social Policy and Social Work, University of York, York, United Kingdom; King, H., Department of Social Policy and Social Work, University of York, York, United Kingdom; Hanefeld, J., School of Social and Political Science, University of Edinburgh, Edinburgh, United Kingdom; Smith, R.D., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom",[No abstract available],,,,,,,,,,"Addy, L.D., Uberoi, J., Dubal, R.K., McAndrew, R., Does Your Practice Website Need Updating? (2005) British Dental Journal, 198, pp. 259-260; Bernard, A., Langille, M., Hughes, S., Rose, C., Leddin, D., Veldhuyzen van Zanten, S., A Systematic Review of Patient Inflammatory Bowel Disease Information Resources on the World Wide Web (2007) The American Journal of Gastroenterology, 102, pp. 2070-2077; Bernstam, E.V., Shelton, D.M., Walji, M., Meric-Bernstam, F., Instruments to Assess the Quality of Health Information on the World Wide Web:What Can Our Patients Actually Use? (2005) International Journal of Medical Informatics, 74, pp. 13-19; Birch, J., Caulfield, R., Ramakrishnan, V., The Complications of 'Cosmetic Tourism': An Avoidable Burden on the NHS (2007) Journal of Plastic, Reconstructive and Aesthetic Surgery, 60, pp. 1075-1077; Carruth, P.J., Carruth, A.K., The Financial and Cost Accounting Implications of Medical Tourism (2010) International Business and Economics Research Journal, 8, pp. 135-140; Deshpande, A., Jadad, A., Trying to Measure the Quality of Health Information on the Internet: Is it Time to Move On? (2009) Journal of Rheumatology, 36, pp. 1-3; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the Market for Medical Travel (2008) The McKinsey Quarterly, , https://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, [Online], date accessed 3 April 2012; Eysenbach, G., What is E-health? (2001) Journal of Medical Internet Research, 3, p. e20; (2012) Principles of Ethical Advertising, , (London: GDC); Gollust, S.E., Wilfond, B.S., Hull, S.C., Direct-to-consumer Sales of Genetic Services on the Internet (2003) Genetics in Medicine, 5, pp. 332-337; Harris, C.E., Chestnutt, I.G., The Use of the Internet to Access Oral Healthrelated Information by Patients Attending Dental Hygiene Clinics (2005) International Journal of Dental Hygiene, 3, pp. 70-73; Heung, V.C.S., Kucukusta, D., Song, H., A Conceptual Model of Medical Tourism: Implications for Future Research (2010) Journal of Travel and Tourism Marketing, 27, pp. 236-251; Honekamp, W., Ostermann, H., Anamneses-Based Internet Information Supply: Can a Combination of an Expert System and Meta-Search Engine Help Consumers find the Health Information they Require? (2010) Open Medical Informatics Journal, 4, pp. 12-20; Honekamp, W., Ostermann, H., Evaluation of a prototype health information system using the FITT framework (2011) Informatics in Primary Care, 19, pp. 47-49; Illes, J., Kann, D., Karetsky, K., Letourneau, P., Raffin, T.A., Schraedley-Desmond P.Koenig, B.A., Atlas, S.W., Advertising, Patient Decision Making, and Self-Referral for Computed Tomographic and Magnetic Resonance Imaging (2004) Archives of Internal Medicine, 164, pp. 2415-2419; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What Is Known About the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review (2010) International Journal for Equity in Health, 9, p. 24; Khazaal, Y., Fernandez, S., Cochand, S., Reboh, I., Zullino, D., Quality of Web-Based Information on Social Phobia: A Cross-Sectional Study (2008) Depression and Anxiety, 25, pp. 461-465; Langille, M., Bernard, A., Rodgers, C., Hughes, S., Leddin, D., van Zanten, S.V., Systematic Review of the Quality of Patient Information on the Internet Regarding Inflammatory Bowel Disease Treatments (2010) Clinical Gastroenterology and Hepatology, 8, pp. 322-328; Laurent, M.R., Vickers, T.J., Seeking Health Information Online: Does Wikipedia Matter? (2009) Journal of the American Medical Informatics Association, 16, pp. 471-479; Lawrentschuck, N., Sasges, D., Tasevski, R., Abouassaly, R., Scott, A., Davis, I., Oncology Health Information Quality on the Internet: a Multilingual Evaluation (2012) Annals of Surgical Oncology, 19, pp. 706-713; Legido-Quigley, H., Passarani, I., Knai, C., Busse, R., Palm, W., Wismar, M., McKee, M., Cross-border healthcare in the European Union: clarifying patients' rights (2011) British Medical Journal, 342, pp. 364-367; Lichtenfeld, L.J., Can the Beast Be Tamed? The Woeful Tale of Accurate Health Information on the Internet (2012) Annals of Surgical Oncology, 19, pp. 701-702; Lunt, N., Carrera, P., Medical Tourism: Assessing the Evidence on Treatment Abroad (2010) Maturitas, 66, pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, Tuck and Click: Medical Tourism and the Emergence of Web-Based Health Information (2010) The Open Medical Informatics Journal, 4, pp. 1-11; Mainil, T., Platenkamp, V., Meulemans, H., Diving into the Contexts of In-Between Worlds: Worldmaking in Medical Tourism (2010) Tourism Analysis, 15, pp. 743-754; Mason, A., Wright, K.B., Framing Medical Tourism: An Examination of Appeal, Risk, Convalescence, Accreditation, and Interactivity in Medical Tourism Web Sites (2011) Journal of Health Communication, 16, pp. 163-177; McHale, J.V., The New EU Healthcare Rights Directive: Greater Uniformity? (2011) British Journal of Nursing, 20, pp. 442-444; Meric, F., Bernstam, E.V., Mirza, N.Q., Hunt, K.K., Ames, F.C., Ross, M.I., Kuerer, H.M., Singletary, S.E., Breast Cancer on the World Wide Web: Cross Sectional Survey of Quality of Information and Popularity of Websites (2002) British Medical Journal, 324, pp. 577-581; Patient Choice Beyond Borders: Implications of the EU Directive on Cross-Border Healthcare for NHS Commissioners and Providers (2011) Briefing, , (Brussels:NHS European Office); Ni Riordain, R., McCreary, C., Dental Patients' Use of the Internet (2009) British Dental Journal, 207, pp. 583-586; Nichols, L.C., Hassall, D., Quality and Content of Dental PracticeWebsites (2011) British Dental Journal, 210, pp. E11-E11; Peterson, G., Aslani, P., Williams, K.A., How do Consumers Search for and Appraise Information on Medicines on the Internet? A Qualitative Study Using Focus Groups (2003) Journal of Medical Internet Research, 5, p. e33; Scullard, P., Peacock, C., Davies, P., Googling children's health: reliability of medical advice on the internet (2010) Archives of Disease in Childhood, 95, pp. 580-582; Smith, R.D., Rupa, C., Viroj, T., Trade In Health-Related Services (2009) The Lancet, 373, pp. 593-601; Smith-Morris, C., Manderson, L., The Baggage of Health Travelers (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29, pp. 331-335; Thompson, A.E., Graydon, S.L., Patient-Oriented Methotrexate Information Sites on the Internet: A Review of Completeness, Accuracy, Format, Reliability, Credibility, and Readability (2009) The Journal of Rheumatology, 36, pp. 41-49; Youngman, I., Medical Tourism Statistics: Why Mckinsey Has Got It Wrong (2009) International Medical Travel Journal, , http://www.imtj.com/articles/2009/mckinseywrong-medical-travel/, date accessed 3 April 2012","Horsfall, D.; Department of Social Policy and Social Work, University of YorkUnited Kingdom",,,"Palgrave Macmillan",,,,,,9781137338495; 9780230362369,,,"English","Med. Tour. and Transnatl. Health Care",Book Chapter,"Final",,Scopus,2-s2.0-84996773836 "Snyder J., Crooks V.A.","24170239100;35585107800;","New ethical perspectives on medical tourism in the developing world",2012,"Developing World Bioethics","12","1",,"iii","vi",,10,"10.1111/j.1471-8847.2012.00321.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858692122&doi=10.1111%2fj.1471-8847.2012.00321.x&partnerID=40&md5=a768e4a9e31338f4a7eefab2d25428d9",,"Snyder, J.; Crooks, V.A.",[No abstract available],,"article; bariatric surgery; developing country; economics; ethics; health care cost; health care facility; health care planning; hospital; human; income; infertility therapy; international cooperation; legal aspect; medical tourism; patient safety; plastic surgery; public health; standard; stem cell transplantation; utilization review; Bariatric Surgery; Developing Countries; Health Care Sector; Health Facilities; Health Resources; Hospitals; Humans; Income; International Cooperation; Medical Tourism; Patient Safety; Public Health; Reproductive Techniques, Assisted; Stem Cell Transplantation; Surgery, Plastic",,,,,,,,"Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What is Known about the Patient's Experience of Medical Tourism? A Scoping Review (2010) BMC Health Services Research, 10 (1), p. 266; Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What is Known about the Patient's Experience of Medical Tourism? A Scoping Review. (2010) BMC Health Services Research,, 10 (1), p. 266; Bookman, M.Z., Bookman, K.R., Medical Tourism in Developing Countries. New York, NY (2007) Palgrave Macmillan; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is Known about the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review. (2010) International Journal for Equity in Health, 9 (1), p. 24; Kangas, B., Traveling for Medical Care in a Global World. (2010) Medical Anthropology, 29 (4), pp. 344-362; Turner, L., First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism. (2007) BioSocieties, 2 (3), pp. 303-325; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is Known about the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review. (2010) International Journal for Equity in Health, 9 (1), p. 24; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries. New York, NY; Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What is Known about the Patient's Experience of Medical Tourism? A Scoping Review. (2010) BMC Health Services Research, 10 (1), p. 266","Snyder, J.",,,,,,,,14718731,,DWBEA,"22420452","English","Dev. World Bioethics",Article,"Final",,Scopus,2-s2.0-84858692122 "Menvielle L., Menvielle W., Tournois N.","39361975700;39362064100;39362663500;","Medical tourism: A decision model in a service context",2011,"Tourism","59","1",,"47","61",,10,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-79958160462&partnerID=40&md5=ddaf943b39f0f50f763f1a963bfe1a9b","Groupe EDHEC, Nice, France; Université du Québec ÀTrois-Rivières, Département des Sciences de la Gestion, Canada; Institut d'Administration des Entreprises, Nice, France","Menvielle, L., Groupe EDHEC, Nice, France; Menvielle, W., Université du Québec ÀTrois-Rivières, Département des Sciences de la Gestion, Canada; Tournois, N., Institut d'Administration des Entreprises, Nice, France","Even if its roots date back to Antiquity, medical tourism is a very recent concept and refers to patients taking advantage of medical services abroad and their rehabilitation in an environment different from that of their everyday lives. Several factors have led to this recent phenomenon: modern communication tools (Internet), high quality healthcare services in medical tourism destinations (highly-qualified physicians and modern facilities), low prices in order to attract tourist-patients (services must be substantially cheaper) and ease of travel (flights are ubiquitous, discounted and patients are taken in charge at their arrival). Consequently, the numbers speak for themselves. A report by Deloitte and Touche portrays North Americans looking abroad for medical treatment by specifying that ""6 million Americans will receive treatment in a foreign country in 2010 and 10 million in 2012"". It is in this context that we have decided to explore this field of research. The purpose of this article is, first, to present this concept which is still underestimated and, second, to analyze the factors which stimulate it, as well as a model which highlights the factors influencing a patient's decision to seek healthcare abroad. Even though this may be a risky endeavor for consumers, ""medical tourism is in good health "".","Decisional process; Health; Medical; Risk; Tourism",,,,,,,,,"Bauer, R.A., Consumer behaviour as risk taking (1960) Dynamic Marketing for A Changing World, Proceedings of the 43rd Conference of the American Marketing Association, pp. 389-398. , R.S. 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(2009) Médecins., , http://bulletin.conseil-national.medecin.fr/article.php3?id_article=273, Retrieved April 2,2010 from; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Durand, H., Jouvet, F., Le temps du Tourisme triomphant (2004) Le Tourisme Au XXIe Siècle, p. 463. , J. Spindler, Paris: l'Harmattan - Collection Tourismes et Sociétés; Edvardsson, B., (1996) Kvalitet Och Tjänsteutveckling., , Lund: Studentlitteratur; Edvardsson, B., Gustafsson, A., Johnson, M.D., Sandén, B., (2000) New Service Development and Innovation in the New Economy., , Lund: Studentlitteratur; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) The McKinsey Quarterly, p. 11; Flipo, J.-P., (1984) Le Management des Entreprises de Services., , Paris: Les Éditions d'Organisation; Flipo, J.-P., On the intangibility of services (1988) The Service Industries Journal, 8 (3), pp. 286-298; Floyed, M.F., Gibson, H., Pennington-Gray, L., Thapa, B., The effect of risk perceptions on intentions to travel in the aftermath of September 11,2001 (2004) Journal of Travel and Tourism Marketing, 15 (2-3), pp. 19-38; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gartner, W.C., Lime, D.W., (2000) Trends in Outdoor Recreation, Leisure and Tourism., , Cambridge: CABI Publishing; Grönroos, C., (2000) Service Management and Marketing: A Customer Relationship Management Approach, , 2nd ed.. Chichester: John Wiley & Sons; Gurviez, P., La confiance comme variable explicative du comportement du consommateur: Proposition et validation empirique d'un modèle de la relation à la marque intégrant la confiance (1999) Actes du 15ème Congrès International de L'Association Française de Marketing, pp. 301-327. , Strasbourg; Güseman, D.S., Risk perception and risk reduction strategies in consumer services (1981) Marketing of Services, pp. 200-204. , J.A. Donnelly & W.R. George (Eds.) Chicago: American Marketing Association; Hutchinson, B., (2005) Medical Tourism Growing Worldwide., 13 (4). , http://www.udel.edu/PR/UDaily/2005/mar/tourism072505.html, Messenger- University of Delaware Review, Retrieved July 24,2007, from; Kušen, E., Health tourism (2002) Tourism, 50 (2), pp. 177-190; Jacoby, J., Kaplan, L., The components of perceived risk (1972) Proceedings Ofthe Third AnnualConference Ofthe Association for Consumer Research, pp. 287-291. , M. Venkatesan (coord.); Labelle, M.J., Colombel, L., Perrien, J., Le processus décisionnel du consommateur en matière de produits et services financiers (2003) Actes des 8ème Journées de Recherche en Marketing de Bourgogne, pp. 139-157. , Dijon; Laroche, M., Bergeron, J., Goutal, C., A three-dimensional scale of the intangibility (2001) Journal of Service Research, 4 (1), pp. 26-38; Laroche, M., Bergeron, J., Goutaland, C., How intangibility affects perceived risk: The moderating role of knowledge and involvement (2003) Journal of Services Marketing, 77 (2), pp. 122-140; Leblanc, S., (2010) Les Risques du Tourisme Médical., , http://www.cyberpresse.ca/opinions/201008/16/01-4307056-les-risques- dutourisme-medical.php, La Presse, 10 August. Retrieved August 12, 2010, from; Levasseur, M., Tourisme médical: Opportunités et controverses (2008) Réseau de Veille en Tourisme, , http://veilletourisme.ca/2008/09/12/tourisme-medical-opportunites-et- controverses/?tagged, 12 September. Retrieved October 2,2008, from; Lovelock, C., Wirtz, J., Lapert, D., Munos, A., (2008) Marketing des Services, , (6th ed.). Paris: Pearson Éducation; Lovelock, C., Gummesson, E., Où va le marketing des services? À la recherche d'un nouveau paradigme et de nouvelles perspectives (2007) Marketing: Analyses et Perspectives., , F. Salerno & H. Colas (coord.). Vuibert; Mallet, S., (2002) Vers Une Clarification des Déterminants du Risque Perçu et de Ses Conséquences sur le Processus de Décision D'achat., , Paris: Academic thesis from Université de Paris - Panthéon Sorbonne; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) Human Resource Planning, 30 (2), pp. 8-10; Menvielle, L., Menvielle, W., Tournois, N., Panorama du tourisme médical, Une logique de flux migratoires (2010) Revue Espace, 106. , septembre; Menvielle, L., Menvielle, W., Tournois, N., Tourisme médical et risque perçu: Une étude exploratoire en contexte multicultural (2010) Actes de L'IFSAM World Conference, , 8-10 July 2010. Paris; Menvielle, L., Medical tourism: Paradoxes of globalisation and ethical issues (2010) The Paradoxes of Globalisation, pp. 145-166. , N. Tournois & E. Milliot (Eds), Hampshire: Palgrave Macmillan; Menvielle, L., Menvielle, W., Le tourisme médical, une nouvelle façon de voyager (2010) Revue Téoros, 29 (1); Mueller, H., Lanz Kaufmann, E., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Murray, K.B., Chlater, J.L., The impact of services versus good on consumers' assessment of perceived risk and variability (1990) Academy of Marketing Science, 18 (1), pp. 51-66; Normann, R., (1984) Service Management: Strategy and Leadership in Service Businesses., , New York, NY: Wiley; Pizam, A., Mansfeld, Y., (1996) Tourism, Crime and International Security Issues., , Chichester: John Wiley & Sons; Pforr, C., (2006) Tourism in Post-Crisis Is Tourism in Pre-Crisis: A Review of the Literature on Crisis Management in Tourism., , Curtin University of Technology -School of Management. Working Paper Series, n. 1; Proulx, L., Tourisme, santé et bien être (2005) Revue Téoros, 24 (3), pp. 5-11; Rawls, J., (1971) Theory of Justice., , Cambridge, Massachusetts: Belknap Press Of Harvard University Press; Saget, E., (2005) Des Pays Très Hospitaliers. L'Express, , www.lexpress.fr/reussir/dossier/sante2/dossier.asp?ida=434541, October. Retrieved October 10, 2008, from; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal OfInformation Technology Care and Application Research, 9 (3), pp. 19-30; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Shostack, G.L., Planning the service encounter (1985) The Service Encounter, pp. 243-254. , J.A. Czepiel, M.R. Solomon & C.F. Surprenand Lexington, MA: Lexington books; Toolis, K., Rise of the terrorist professors (2004) New Statesman, 14 (JUNE), pp. 26-27; Walker, T., Consumers go abroad in pursuit of cost-effective healthcare (2006) Managed Healthcare Executive, 16 (7), p. 10","Menvielle, L.; Groupe EDHEC, Nice, France; email: loick.menvielle@edhec.edu",,,,,,,,13327461,,,,"English","Tourism",Article,"Final",,Scopus,2-s2.0-79958160462 "Connell J.","56227359000;","Medical tourism: The newest of niches",2006,"Tourism Recreation Research","31","1",,"99","102",,10,"10.1080/02508281.2006.11081252","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953753705&doi=10.1080%2f02508281.2006.11081252&partnerID=40&md5=fbf6e55f7b75ba6bb283b74beb52d36e","School of Geosciences, University of SydneyNSW 2006, Australia","Connell, J., School of Geosciences, University of SydneyNSW 2006, Australia",[No abstract available],,,,,,,,,,"Andrews, M., (2004) Vacation Makeovers, , U.S. News and World Report. 19 January; Chaynee, W., (2003) Health Tourism to Drive Earnings, , Kuala Lumpur. Malaysian Institute of Economic Research; Deutsche, W., (2005) Radio Broadcast on Medical Tourism, , March 22; Garcia-Altes, M., The Development of Health Tourism Services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Huff-Rousselle, M., Shepherd, C., Cushman, R., Imrie, J., Lalta, S., (1995) Prospects for Health Tourism Exports for the English-Speaking Caribbean, , www.expresstravelandtourism.com, Washington D.C. World Bank. INDIAN EXPRESS, Accessed on 25 March 2005; Kinavanod, N., French Doctor Sets Sight on Medical Tourism (2005) Manila Bulletin, , 15 April; Marcelo, R., (2003). India Fosters Growing 'Medical Tourism' Sector (2003) Financial Times, 2, p. 7. , July; Neelankantan, S., India's Global Ambitions (2003) Far Eastern Economic Review, , 6 November; (2005), 1 September, 2005: H8","Connell, J.; School of Geosciences, University of SydneyAustralia; email: jconnell@mail.usyd.edu.au",,,"Taylor and Francis Ltd.",,,,,02508281,,,,"English","Tour. Recreat. Res.",Article,"Final",,Scopus,2-s2.0-79953753705 "Carlson P., Seppänen M.","7103028418;24454872400;","Melioidosis presenting as urinary tract infection in a previously healthy tourist",2000,"Scandinavian Journal of Infectious Diseases","32","1",,"92","93",,10,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0343986293&partnerID=40&md5=dacdb72219495874d02636f2a9533067","Division of Bacteriology, HUCH Diagnostics, Helsinki University Central Hospital, Helsinki, Finland; Division of Infectious Diseases, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland","Carlson, P., Division of Bacteriology, HUCH Diagnostics, Helsinki University Central Hospital, Helsinki, Finland; Seppänen, M., Division of Infectious Diseases, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland","Melioidasis is a tropical disease caused by Burkholderia pseudomallei, which is common in southeast Asia and Australia, but which is rarely diagnosed in Scandinavia. An increasing number of cases are being reported among tourists to infected areas. We report the first Finnish case of melioidosis, which presented as urinary tract infection in a previously healthy male tourist.",,"amoxicillin plus clavulanic acid; antibiotic agent; ceftazidime; cotrimoxazole; adult; article; blood culture; Burkholderia pseudomallei; case report; clinical feature; human; male; melioidosis; tourism; travel; urinary tract infection; Anti-Infective Agents, Urinary; Antibody Specificity; Burkholderia pseudomallei; Ceftazidime; Cephalosporins; Drug Therapy, Combination; Enzyme-Linked Immunosorbent Assay; Humans; Immunoglobulin G; Male; Melioidosis; Microbial Sensitivity Tests; Middle Aged; Scandinavia; Travel; Treatment Outcome; Trimethoprim-Sulfamethoxazole Combination; Urinary Tract Infections",,"Anti-Infective Agents, Urinary; Ceftazidime, 78439-06-2; Cephalosporins; Immunoglobulin G; Trimethoprim-Sulfamethoxazole Combination, 8064-90-2",,,,,,"Dance, D.A.B., Smith, M.D., Aucken, H.M., Pitt, T.L., Imported melioidosis in England and Wales (1999) Lancet, 353, p. 208; Ip, M., Osterberg, L.G., Chau, P.Y., Raffin, T.A., Pulmonary melioidosis (1995) Chest, 108, pp. 1420-1424; Webling, D.D'A., Genito-urinary infections with pseudomonas pseudomallei in Australian aboriginals (1980) Trans R Soc Trop Med Hyg, 74, pp. 138-139; Leelarasamee, A., Bovornkitti, S., Meloidosis: Review and update (1989) Rev Infect Dis, 11, pp. 413-425; Withmore, A., Krishnaswami, C.S., An account of the discovery of a hitherto undescribed infective disease occurring among the population of Rangoon (1912) Ind Med Gaz, 47, pp. 262-267; Schlech, W.F., Turchik, J.B., Westlake, R.E., Klein, G.C., Band, J.D., Weaver, R.E., Laboratory-acquired infection with Pseudomonas pseudomallei (melioidosis) (1981) N Engl J Med, 305, pp. 1133-1135; Kunakorn, M., Jayanetra, P., Tanphaichitra, D., Man to man transmission of melioidosis (1991) Lancet, 337, pp. 1290-1291; Inglis, T.J.J., Garrow, S.C., Adams, C., Henderson, M., Mayo, M., Dry-season outbreak of melioidosis in Western Australia (1998) Lancet, 352, p. 1600; Bremmelgaard, A., Bygbjerg, I.B., Høiby, N., Microbiological and immunological studies in a case of human melioidosis diagnosed in Denmark (1982) Scand J Infect Dis, 14, pp. 271-275; Silbermann, M.H., Gyssens, I.C., Endtz, H.P., Kuijper, E.J., Van Der Meer, J.T.M., Two patients with recurrent melioidosis after prolonged antibiotic therapy (1997) Scand J Infect Dis, 29, pp. 199-201; Chaowagul, W., Suputtamongkol, Y., Dance, D.A.B., Rajchanuvong, A., Pattara-Arechachai, J., White, N.J., Relapse in melioidosis: Incidence and risk factors (1993) J Infect Dis, 168, pp. 1181-1185; Suputtamongkol, Y., Rajchanuvong, A., Chaowagul, W., Dance, D.A.B., Smith, M.D., Wuthiekanun, V., Ceftazidime vs. Amoxicillin/clavulanale in the treatment of severe melioidosis (1994) Clin Infect Dis, 19, pp. 846-853; Chaowagul, W., Melioidosis; a treatment challenge (1996) Scand J Infect Dis, (SUPPL. 101), pp. 14-16; Liu, L.X., Weller, P.F., Approach to the febrile traveler returning from Southeast Asia and Oceania (1992) Curr Clin Top Infect Dis, 12, pp. 138-164","Carlson, P.; Division of Bacteriology, HUCH Diagnostics, Helsinki University Central Hospital, PO Box 402, FIN-00029 HYKS, Finland",,,,,,,,00365548,,SJIDB,"10716086","English","Scand. J. Infect. Dis.",Article,"Final",,Scopus,2-s2.0-0343986293 "Dunets A.N., Yankovskaya V.V., Plisova A.B., Mikhailova M.V., Vakhrushev I.B., Aleshko R.A.","57204573412;57209512642;57212654939;57192082349;57205260247;56588041100;","Health tourism in low mountains: A case study",2020,"Entrepreneurship and Sustainability Issues","7","3",,"2213","2227",,9,"10.9770/jesi.2020.7.3(50)","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082428480&doi=10.9770%2fjesi.2020.7.3%2850%29&partnerID=40&md5=e17f92bbcdc4ea65aecd5cd4b63c0958","Altai State University, Lenin Ave., 61, Barnaul, 656049, Russian Federation; Plekhanov Russian University of Economics, Stremyanny lane, 36, Moscow, 117997, Russian Federation; Financial University under the Government of the Russian Federation, Leningradsky Prospekt, 49, Moscow, 125993, Russian Federation; Sechenov First Moscow State Medical University, Trubetskaya st., 8-2, Moscow, 119991, Russian Federation; V.I. Vernadsky Crimean Federal University, Prospekt Vernadskogo 4, Simferopol, 295007, Russian Federation; Northern (Arctic) Federal University, Severnaya Dvina Emb. 17, Arkhangelsk, 163002, Russian Federation","Dunets, A.N., Altai State University, Lenin Ave., 61, Barnaul, 656049, Russian Federation; Yankovskaya, V.V., Plekhanov Russian University of Economics, Stremyanny lane, 36, Moscow, 117997, Russian Federation; Plisova, A.B., Financial University under the Government of the Russian Federation, Leningradsky Prospekt, 49, Moscow, 125993, Russian Federation; Mikhailova, M.V., Sechenov First Moscow State Medical University, Trubetskaya st., 8-2, Moscow, 119991, Russian Federation; Vakhrushev, I.B., V.I. Vernadsky Crimean Federal University, Prospekt Vernadskogo 4, Simferopol, 295007, Russian Federation; Aleshko, R.A., Northern (Arctic) Federal University, Severnaya Dvina Emb. 17, Arkhangelsk, 163002, Russian Federation","Health tourism is a specific type of tourism with great prospects. Most people do not have time for long trips, but there is a great need for a change of scenery and restoration of strength. There are many examples when in the regions in order to improve health and relaxation, nearby areas are being developed. It is most promising to create programs for such tourism near existing resorts that have the necessary infrastructure and medical facilities, while individual client requests must be taken into account. It is proposed to research health tourism as a territorial tourist complex, which includes not only specialized infrastructure but also territories adjacent to resorts. It is noted that low-mountain areas have the most suitable spaces for tourism development. By the example of the Belokurikha resort, the goals of visiting and tourist satisfaction are identified, as well as the possibilities of developing health tourism. A model for designing individual programs for health tourism is proposed. © 2020 by author(s) and VsI Entrepreneurship and Sustainability Center.","Health tourism; Low-mountain areas; Medical tourism",,,,,,,,,"Almeida, M., Silva, E.M.D., Gomes, N.Â., Nunes, L.A.O., Curi, W.F., Environmental quality of campina grande landfill based on technical and operational aspects (2019) Periodico Tche Quimica, 16 (32), pp. 77-86; Bernardi, A., The capability approach and organizational climate as tools to study occupational health and safety (2019) Insights into Regional Development, 1 (2), pp. 155-169. , https://doi.org/10.9770/ird.2019.1.2(6); Bredikhin, A.V., Relief as a recreational condition and a resource of tourism (2004) Vestnik of Moscow University. Ser. 5. 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Sustain. Issues",Article,"Final",Open Access,Scopus,2-s2.0-85082428480 "Iranmanesh M., Moghavvemi S., Zailani S., Hyun S.S.","55226710300;55812336800;55891414700;26325461500;","The role of trust and religious commitment in Islamic medical tourism",2018,"Asia Pacific Journal of Tourism Research","23","3",,"245","259",,9,"10.1080/10941665.2017.1421240","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041130798&doi=10.1080%2f10941665.2017.1421240&partnerID=40&md5=36e2727f17d30699a4491bc691a7b2d4","Graduate School of Business, University Sains Malaysia (USM), Gelugor, Penang, Malaysia; Faculty of Business and Accountancy, University of Malaya (UM), Kuala-Lumpur, Malaysia; School of Tourism, Hanyang University, Seongdonggu, Seoul, South Korea","Iranmanesh, M., Graduate School of Business, University Sains Malaysia (USM), Gelugor, Penang, Malaysia; Moghavvemi, S., Faculty of Business and Accountancy, University of Malaya (UM), Kuala-Lumpur, Malaysia; Zailani, S., Faculty of Business and Accountancy, University of Malaya (UM), Kuala-Lumpur, Malaysia; Hyun, S.S., School of Tourism, Hanyang University, Seongdonggu, Seoul, South Korea","This study has examined the effect of trust and religiosity on Islamic medical tourists’ attitudes, and consequently, satisfaction by considering age, gender, and education as moderators. A survey was undertaken of 227 Muslim medical tourists who had been treated in Islamic hospitals in Iran, and the data were analysed using partial least squares techniques. The results showed that although trust has a significant effect on Muslim medical tourists’ attitudes, religiosity has no significant effect. The relationship between attitude and satisfaction towards the Islamic medical treatment practised by the healthcare providers is also supported. Gender and education moderate the relationship between religiosity and attitude. In addition, education moderates the relationship between trust and attitude. The results of this research can provide useful insight into the needs of Muslim medical tourists, which would be useful for Islamic hospitals to provide higher quality healthcare services. © 2018 Asia Pacific Tourism Association.","Healthcare; Islamic medical tourism; religious commitment; satisfaction; trust","health care; health services; hospital sector; Islamism; medical tourism; religion; survey; tourist behavior; Iran",,,,,"RP002B-13SBS Universiti Malaya","We would like to acknowledge the financial support provided by University of Malaya under the Equitable Society Research Cluster (ESRC) research grant RP002B-13SBS.",,"Adams, O., Kinnon, C., (1998) International trade in health services: A development perspective, , http://www.unctad.org/en/docs/po2he98.pdf, UNCTAD-WHO Joint Publication. 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Zailani, S., Ali, S.M., Iranmanesh, M., Moghavvemi, S., Musa, G., Predicting Muslim medical tourists’ satisfaction with Malaysian Islamic friendly hospitals (2016) Tourism Management, 57, pp. 159-167; Zailani, S., Iranmanesh, M., Aziz, A.A., Kanapathy, K., Halal logistics opportunities and challenges (2017) Journal of Islamic Marketing, 8 (1), pp. 127-139; Zailani, S., Kanapathy, K., Iranmanesh, M., Tieman, M., Drivers of halal orientation strategy among halal food firms (2015) British Food Journal, 117 (8), pp. 2143-2160; Zainuddin, Z.B., Zailani, S., Govindan, K., Iranmanesh, M., Amran, A., Determinants and outcome of a clean development mechanism in Malaysia (2017) Journal of Cleaner Production, 142, pp. 1979-1986","Hyun, S.S.; School of Tourism, Hanyang University, 17 Haengdang-dong, Seongdonggu, South Korea; email: sshyun@hanyang.ac.kr",,,"Routledge",,,,,10941665,,,,"English","Asia Pac. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85041130798 "Huang L., Xu H.","56202477100;14049304600;","Therapeutic landscapes and longevity: Wellness tourism in Bama",2018,"Social Science and Medicine","197",,,"24","32",,9,"10.1016/j.socscimed.2017.11.052","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85036631849&doi=10.1016%2fj.socscimed.2017.11.052&partnerID=40&md5=edb27d7a4a016e86337b52acd18f8577","Department of Business Administration, Nanfang College of Sun Yat-sen University, Guangzhou, 510970, China; School of Tourism Management, Sun Yat-sen University, Guangzhou, 510275, China","Huang, L., Department of Business Administration, Nanfang College of Sun Yat-sen University, Guangzhou, 510970, China, School of Tourism Management, Sun Yat-sen University, Guangzhou, 510275, China; Xu, H., School of Tourism Management, Sun Yat-sen University, Guangzhou, 510275, China","Due to the rising demand for healthcare products and concern over environmental pollution, wellness tourism has been booming in China in recent years. The therapeutic landscape theory provides a multi-scale interpretation of wellness tourism to explore how wellness tourists achieve health in healing places. By presenting the results of 83 interviews conducted in Bama, China, this study reveals that the “longevity village” Bama, endorsed by centenarians, provides a retreat that combines natural beauty and a harmonious neighbourhood for wellness tourists. This article argues that although three themes—natural environment, social interaction and symbolic landscape—work together in the healing process of tourists, the symbolic landscape, which is significantly shaped by the longevity culture, plays a dominant role. Longevity in Chinese culture symbolizes the alignment of a strong body, graceful mind, and pleasant habitat. Furthermore, tourism reinforces the importance of symbols and imagination (of a place), the perception of longevity demonstrates the symbolic landscape and thus increases tourists' attachment to the place, and the unusual environment leads to a different therapeutic landscape from that of daily life. Finally, since to date there has been very few works on therapeutic landscapes in China, it is expected that this study will fill the knowledge gap and broaden the scope of application as well as conceptualization of the therapeutic landscape. © 2017 Elsevier Ltd","China; Culture; Longevity; Nature; Symbolic landscape; Wellness tourism","conceptual framework; ecotourism; health impact; landscape structure; longevity; neighborhood; perception; sense of place; China; esthetics; habitat; human; human experiment; imagination; interview; landscape; longevity; neighborhood; perception; social interaction; tourism; very elderly; aged; China; cultural factor; environment; female; male; middle aged; motivation; psychology; travel; China; Aged; Aged, 80 and over; China; Cultural Characteristics; Environment; Female; Humans; Longevity; Male; Middle Aged; Motivation; Travel",,,,,"National Natural Science Foundation of China, NSFC","This publication is supported by the Natural Science Foundation of China (Ref. 41771145 ) and the 2016 Major Research Program from Department of Education of Guangdong Province, China (Ref. 2016WTSCX136 ). 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Med., 11 (8), pp. 639-641; Yan, J., The discussion of environmental wellness tourism in China (2011) J. Anhui Agric. Sci., 39 (1), pp. 377-379; Zhao, J.Y., TCM wellness: mediating the dilemma of separation of body and mind (2013) Chin. Soc. Sci. Today; Zhou, P., Grady, S.C., Three modes of power operation: understanding doctor-patient conflicts in China's hospital therapeutic landscapes (2016) Health & Place, 42, pp. 137-147","Xu, H.; Sun Yat-sen University, 329 North-east district, 135 Xin'gangxi Road, China; email: xuhongg@mail.sysu.edu.cn",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"29220705","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-85036631849 "Muth S.","56015854900;","Russian as a commodity: medical tourism and the healthcare industry in post-Soviet Lithuania",2017,"International Journal of Bilingual Education and Bilingualism","20","4",,"404","416",,9,"10.1080/13670050.2015.1115002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949229802&doi=10.1080%2f13670050.2015.1115002&partnerID=40&md5=bd2bb3e501329386ecca3af65668a02b","Institute of Multilingualism, University of Fribourg, Fribourg, Switzerland","Muth, S., Institute of Multilingualism, University of Fribourg, Fribourg, Switzerland","The focus of this paper is on Lithuania, where government policies continue to limit the use of Russian in education, the public space and the media, while the local economy has recognized proficiency in Russian as a commodity. This is particularly salient in the healthcare industry that grew significantly in the past years with patients from post-Soviet countries seeking treatment at local hospitals and private clinics. Marketed for their ‘European’ standards and competitive prices, promotional discourses refer to proficiency in Russian and familiarity with Russian culture and customs among medical staff. This commodification of Russian challenges perceptions on the value of language in the formation of political and cultural identities, pointing towards a paradigmatic shift and renegotiation of language attitudes in countries of the former USSR. © 2015 Taylor & Francis.","Language commodification; language ideologies; Lithuania; Russian; tourism",,,,,,,,,"Appadurai, A., (1996) Modernity at Large: Cultural Dimensions of Globalization, , Minneapolis: University of Minnesota Press; Butow, P., Bell, M., Goldstein, D., Sze, M., Aldridge, L., Abdo, S., Mikhail, M., Grappling with Cultural Differences: Communication Between Oncologists and Immigrant Cancer Patients with and without Interpreters (2011) Patient Education and Counseling, 84, pp. 398-405; Cameron, D., Styling the Worker: Gender and the Commodification of Language in the Globalized Service Economy (2000) Journal of Sociolinguistics, 4, pp. 323-347; Connell, J., A New Inequality? Privatisation, Urban Bias, Migration and Medical Tourism (2011) Asia Pacific Viewpoint, 52 (3), pp. 260-271; Connell, J., Contemporary Medical Tourism: Conceptualisation, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; Crooks, V.A., Turner, L., Snyder, J., Johnson, R., Kingsbury, P., Promoting Medical Tourism to India: Messages, Images, and the Marketing of International Patient Travel (2011) Social Science and Medicine, 72, pp. 726-732; Crozier, G.K.D., Baylis, F., The Ethical Physician Encounters International Medical Travel (2010) Journal of Medical Ethics, 36 (5), pp. 297-301; Dolshenko, G.P., (1988) Istoriaturisma v dorevoluzionno i Rossii i SSSR, , [History of Tourism in Pre-revolutionary Russia and the USSR], Rostov: Izdatelstvo Rostovskovo Universiteta; Duchêne, A., Heller, M., (2012) Language in Late Capitalism: Pride and Profit, , New York: Routledge; Giddens, A., (1991) Modernity and Self-identity: Self and Society in the Late Modern Age, , Stanford: Stanford University Press; Grumadienė, L., (2005), “Language Policy and the Sociolinguistic Situation in Lithuania.” Mercator Working Papers 19; Harvey, D., (1989) The Condition of Postmodernity: An Enquiry into the Origins of Cultural Change, , Oxford: Wiley-Blackwell; Heller, M., Globalization, the New Economy, and the Commodification of Language and Identity (2003) Journal of Sociolinguistics, 7 (4), pp. 473-492; Heller, M., The Commodification of Language (2010) Annual Review of Anthropology, 39, pp. 101-114; Heller, M., (2011) Paths to Post-nationalism, , Oxford: Oxford University Press; Hogan-Brun, G., The Baltic Republics and Language Ideological Debates Surrounding European Union Accession (2005) Journal of Multilingual and Multicultural Development, 26 (5), pp. 367-377; Hogan-Brun, G., Ramonienė, M., Emerging Language and Education Policies in Lithuania (2003) Language Policy, 2, pp. 27-45; Jones, C.A., Keith, L.G., Medical Tourism and Reproductive Outsourcing: The Dawning of a New Paradigm for Health-care (2006) International Journal of Fertility and Women's Medicine, 51, pp. 251-255; Kallaste, E., Woolfson, C., Negotiated Responses to the Crisis in the Baltic Countries (2013) Transfer: European Review of Labour and Research, 19 (2), pp. 253-266; Kelly-Holmes, H., Multilingualism and Commercial Language Practices on the Internet (2006) Journal of Sociolinguistics, 10 (4), pp. 507-519; Langviniene, N., Sekliuckiene, J., Factors of Influence on Successful Development of Lithuanian Resort Wellness Spa Services (2009) Socialniai Mokslai, 4, pp. 72-81; MacReady, N., Developing Countries Court Medical Tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; Marcus, G., Ethnography in/of the World System: The Emergence of Multi-sited Ethnography (1995) Annual Review of Anthropology, 24, pp. 95-117; Milstein, A., Smith, M., America‘s New Refugees–Seeking Affordable Surgery Offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; Murauskiene, L., Janoniene, R., Veniute, M., van Ginneken, E., Karanikolos, M., Lithuania: Health System Review (2013) Health Systems in Transition, 15 (2), pp. 1-150; O'Neill, F., From Language Classroom to Clinical Context: The Role of Language and Culture in Communication for Curses using English as a Second Language. A Thematic Analysis (2011) International Journal of Nursing Studies, 48, pp. 1120-1128; Pavlenko, A., Multilingualism in Post-Soviet Countries: Language Revival, Language Removal, and Sociolinguistic Theory (2008) The International Journal of Bilingual Education and Bilingualism, 11 (3-4), pp. 275-314; Pavlenko, A., Language Rights Versus Speakers’ Rights: On the Applicability of Western Language Rights Approaches in Eastern European Contexts (2011) Language Policy, 10 (1), pp. 37-58; Pavlenko, A., Commodification of Russian in Post-1991 Europe (2012) Globalisierung, Migration, Fremdsprachenunterricht, pp. 27-43. , Bär M., Bonnet A., Decke-Cornill H., Grünewald A., Hu A., (eds), Baltmannsweiler: Schneider Hohengehren; Piller, I., Identity Constructions in Multilingual Advertising (2001) Language in Society, 30, pp. 153-186; Piller, I., Takahashi, K., Language Work Aboard the Low-cost Airline (2013) Language, Migration And Social (In)Equality. A Critical Sociolinguistic Perspective on Institutions and Work, pp. 95-117. , Duchêne A., Moyer M., Roberts C., (eds), Clevedon: Multilingual Matters; Sekliuckiene, J., Langviniene, N., Service Perspectives in Healthiness and Sport Tourism in Lithuania: Case of Spa (2009) Ekonomika ir vadyba, 14, pp. 505-512; Smith, M., Puczkó, L., (2014) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , London: Routledge; (2015), http://www.tourism.lt/en/accommodation-statistics, Accommodation statistics. “Number of guests and overnights in Lithuanian accommodation establishments. ’000. All markets. 2014-2015 I half of year data; Viladrich, A., Baron-Faust, R., Medical Tourism in Tango Paradise: The Internet Branding of Cosmetic Surgery in Argentina (2014) Annals of Tourism Research, 45 (3), pp. 116-131","Muth, S.; Institute of Multilingualism, University of FribourgSwitzerland; email: sebastian.muth@unifr.ch",,,"Routledge",,,,,13670050,,,,"English","Int. J. Biling. Educ. Bilingualism",Article,"Final",,Scopus,2-s2.0-84949229802 "Bolton S., Skountridaki L.","7102315329;56672946600;","The Medical Tourist and a Political Economy of Care",2017,"Antipode","49","2",,"499","516",,9,"10.1111/anti.12273","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011850245&doi=10.1111%2fanti.12273&partnerID=40&md5=6cf87880c7b66423e6a796d1ced74825","Stirling Management School, University of Stirling, Stirling, United Kingdom","Bolton, S., Stirling Management School, University of Stirling, Stirling, United Kingdom; Skountridaki, L., Stirling Management School, University of Stirling, Stirling, United Kingdom","Medical tourism has gained prominence in academic, policy and business arenas in describing the growth in the number of people travelling outside of their home country to receive planned medical treatment, with the emphasis on the combination of addressing pressing health concerns with a leisure trip. This conceptual essay offers insights into how patients are being reconceptualised in a neoliberal setting as medical tourists. In so doing it offers two key contributions. First it offers a deeper theorisation of trends in international healthcare through a political economy of care framework. This framework is not only focused on human interaction and experience but also on the political, economic and social space in which human life is played out. Second, it offers new insights into the exploration of human relationships within a market economy so that the medical tourist is seen with new eyes as a relational being. © 2016 The Author. Antipode © 2016 Antipode Foundation Ltd.","embeddedness; market dynamics; medical tourism; medical travel; political economy of care; relationality","conceptual framework; health care; medical tourism; political economy; theoretical study; tourism market; tourist destination; travel behavior",,,,,,,,"Ackerman, L.S., Plastic paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Medical Anthropology, 29 (4), pp. 403-423; Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Promoting social responsibility amongst health care users: Medical tourists' perspectives on an information sheet regarding ethical concerns in medical tourism (2013) Philosophy, Ethics, and Humanities in Medicine, 8 (1), pp. 12-19; Arellano, R., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Arnold, J.P., Disciplining domestic regulation: The World Trade Organization and the market for professional services (2005) Accounting, Organizations and Society, 30 (4), pp. 299-330; Barrowman, A., Grubor, D., Chandu, A., Dental implant tourism (2010) Australian Dental Journal, 55 (4), pp. 441-445; Beckert, J., The social order of markets (2009) Theory and Society, 38 (3), pp. 245-269; Bell, D., Holliday, R., Jones, M., Probyn, E., Sanchez Taylor, J., Bikinis and bandages: An itinerary for cosmetic surgery tourism (2011) Tourism Studies, 11 (2), pp. 139-155; Bell, D., Holliday, R., Ormond, M., Mainil, T., Transnational healthcare, cross-border perspectives (2015) Social Science and Medicine, 124, pp. 284-289; Bergmann, S., Fertility tourism: Circumventing routes that enable access to reproductive technologies (2011) Signs, 36 (2), pp. 280-289; Block, F.L., (1990) Postindustrial Possibilities: A Critique of Economic Discourse, , Berkeley, University of California Press; Bochaton, A., Cross-border mobility and social networks: Laotians seeking medical treatment along the Thai border (2015) Social Science and Medicine, 124, pp. 364-373; Bolton, S.C., The lady vanishes: Women's work and affective labour (2009) International Journal of Work, Organisation and Emotion, 3 (1), pp. 72-80; Brown, S.H., Do Mexican immigrants substitute healthcare in Mexico for health insurance in the United States? 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Wallerstein, I., The rise and future demise of the world capitalist system: Concepts for comparative analysis (1974) Comparative Studies in Society and History, 16 (4), pp. 387-415; Wallerstein, I., New revolts against the system (2002) New Left Review, 18, pp. 29-39; Wilson, A., Foreign bodies and national scales: Medical tourism in Thailand (2011) Body and Society, 17 (2-3), pp. 121-137; Yeates, N., Global care chains: A state-of-the-art review and future directions in care transnationalization research (2012) Global Networks, 12 (2), pp. 135-154","Skountridaki, L.; Stirling Management School, University of StirlingUnited Kingdom; email: lila@skountridaki.com",,,"Blackwell Publishing Inc.",,,,,00664812,,,,"English","Antipode",Article,"Final",,Scopus,2-s2.0-85011850245 "Vetitnev A., Kopyirin A., Kiseleva A.","6507543592;57212441854;56814589700;","System dynamics modelling and forecasting health tourism demand: the case of Russian resorts",2016,"Current Issues in Tourism","19","7",,"618","623",,9,"10.1080/13683500.2015.1076382","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940702922&doi=10.1080%2f13683500.2015.1076382&partnerID=40&md5=3e233705c369fe1dbb05c450755b3f43","Department of Tourism, service and sport, Sochi State University, 26a, Sovetskaya str., Sochi, 354000, Russian Federation; Department of Economics, Sochi State University, 26a, Sovetskaya str., Sochi, 354000, Russian Federation","Vetitnev, A., Department of Tourism, service and sport, Sochi State University, 26a, Sovetskaya str., Sochi, 354000, Russian Federation; Kopyirin, A., Department of Economics, Sochi State University, 26a, Sovetskaya str., Sochi, 354000, Russian Federation; Kiseleva, A., Department of Tourism, service and sport, Sochi State University, 26a, Sovetskaya str., Sochi, 354000, Russian Federation","This article presents the results of the system dynamics modelling of the regional market of health tourism in the Krasnodar region of Russia. The research was based on various indicators characterizing the supply and demand for this type of tourism for years 2006–2012. The medium-term forecast made by constructed model shows a possible decrease in number of health tourists and income of sanatorium organizations. Price competition of inexpensive foreign resorts was a key factor influencing the market of tourist services; therefore ruble devaluation to US dollar may improve the prognostic indicators. © 2015 Taylor & Francis.","health tourism demand; Russian resorts; system dynamics modelling",,,,,,,,,"Akın, M., A novel approach to model selection in tourism demand modelling (2015) Tourism Management, 48, pp. 64-72; Box, G.E.P., Jenkins, G.M., Reinsel, G.C., (2013) Time series analysis: Forecasting and control, , New York: John Wiley & Sons; Cang, S., A comparative analysis of three types of tourism demand forecasting models: Individual, linear combination and non-linear combination (2013) International Journal of Tourism Research, 16 (6), pp. 596-607; Dwyer, L., Forsyth, P., Dwyer, W., (2010) Tourism economics and policy, , Bristol: Channel View; Forrester, J.W., System dynamics—a personal view of the first fifty years (2007) System Dynamics Review, 23, pp. 345-358; Goh, C., Law, R., The methodological progress of tourism demand forecasting: A review of related literature (2011) Journal of Travel and Tourism Marketing, 28 (3), pp. 296-317; Ran, R., (2012), http://www.systemdynamics.org/conferences/2012/proceed/papers/P1402, A System Dynamics Approach to Exploring Sustainable Tourism Development. Proceedings of the 30th International Conference of the System Dynamics Society. Retrieved April 2015, from; Song, H., Li, G., Witt, S.F., Tourism demand modelling and forecasting: How should demand be measured? (2010) Tourism Economics, 16 (1), pp. 63-81; Xu, H., Dai, S.H., A system dynamics approach to explore sustainable policies for Xidi, the world heritage village (2012) Current Issues in Tourism, 15 (5), pp. 441-459","Vetitnev, A.; Department of Tourism, service and sport, Sochi State University, 26a, Sovetskaya str, Russian Federation; email: polina@sochi.com",,,"Routledge",,,,,13683500,,,,"English","Curr. Issues Tour.",Letter,"Final",,Scopus,2-s2.0-84940702922 "Klijs J., Ormond M., Mainil T., Peerlings J., Heijman W.","55538961100;7801551522;15029762900;8317958000;6602479659;","A state-level analysis of the economic impacts of medical tourism in Malaysia",2016,"Asian-Pacific Economic Literature","30","1",,"3","29",,9,"10.1111/apel.12132","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032070132&doi=10.1111%2fapel.12132&partnerID=40&md5=96806903711ef2b1c6882ad07c9d4ba4","Academy for Tourism, NHTV Breda University of Applied Sciences, Breda, Netherlands; Agricultural Economics and Rural Policy Group, Wageningen University, Netherlands; Cultural Geography Group, Wageningen University, Netherlands; University of Antwerp, Centre for Longitudinal and Life Course Studies (CELLO), Antwerp, Belgium","Klijs, J., Academy for Tourism, NHTV Breda University of Applied Sciences, Breda, Netherlands, Agricultural Economics and Rural Policy Group, Wageningen University, Netherlands; Ormond, M., Cultural Geography Group, Wageningen University, Netherlands; Mainil, T., Academy for Tourism, NHTV Breda University of Applied Sciences, Breda, Netherlands, University of Antwerp, Centre for Longitudinal and Life Course Studies (CELLO), Antwerp, Belgium; Peerlings, J., Agricultural Economics and Rural Policy Group, Wageningen University, Netherlands; Heijman, W., Agricultural Economics and Rural Policy Group, Wageningen University, Netherlands","In Malaysia, a country that ranks among the world's most recognised medical tourism destinations, medical tourism is identified as a potential economic growth engine for both medical and non-medical sectors. A state-level analysis of economic impacts is important, given differences between states in economic profiles and numbers, origins, and expenditure of medical tourists. We applied input-output (I-O) analysis, based on state-specific I-O data and disaggregated foreign patient data. The analysis includes nine of Malaysia's states. In 2007, these states were visited by 341,288 foreign patients, who generated MYR1,313.4m ($372.3m) output, MYR468.6m ($132.8m) in value added, and over 19,000 jobs. Impacts related to non-medical expenditure are more substantial than impacts related to medical expenditure, and indirect impacts are a substantial part of total impacts. We discuss management and policy responses and formulate recommendations for data collection. © 2016 Crawford School of Public Policy,The Australian National University and John Wiley & Sons Australia, Ltd.",,,,,,,,,,"Arunanondchai, J., Fink, C., (2007), Trade in health services in the ASEAN region; (2012), Supply and use tables for selected economies in Asia and the pacific, Metro Manila; (2008), Association of Private Hospitals of Malaysia (APHM), Medical Tourism Statistics for 2002-07, Personal Communication with M. Ormond, 9 April; Bonfiglio, A., Chelli, F., Assessing the behaviour of non-survey methods for constructing regional input-output tables through a Monte Carlo simulation (2008) Economic Systems Research, 20 (3), pp. 243-258; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , Palgrave MacMillan, New York; Briassoulis, H., Methodological issues: tourism input-output analysis (1991) Annals of Tourism Research, 18 (3), pp. 485-495; Casey, V., Crooks, V., Snyder, J., Turner, L., Knowledge brokers, companions, and navigators: a qualitative examination of informal caregivers' roles in medical tourism (2013) International Journal for Equity in Health, 12 (94), pp. 1-20; Castillo, P., Conchada, M., (2010), http://www.dlsu.edu.ph/research/centers/aki/participant/trainings/workingPapers/Castillo_Final.pdf, Towards innovative, liveable, and prosperous Asian megacities: medical tourism, Available at <>, accessed 1 November 2013; Çela, A., Lankford, S., Knowles-Lankford, J., Visitor spending and economic impacts of heritage tourism: a case study of the silos and smokestacks national heritage area (2009) Journal of Heritage Tourism, 4 (3), pp. 245-256; Chee, H.L., (2007), Medical tourism in Malaysia: international movement of healthcare consumers and the commodification of healthcare, Working Paper Series, No. 38, Asia Research Institute, National University of Singapore; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Connell, J., Medical tourism: sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., (2011) Medical Tourism, , CABI Publishing, Wallingford; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Connell, J., Medical tourism in the Caribbean islands: a cure for economies in crisis? (2013) Island Studies Journal, 8 (1), pp. 115-130; (2011), Department of Statistics Malaysia, Number of employed persons by industry, Malaysia/state, 1982-2011; Dwyer, L., Forsyth, P., Spurr, R., Evaluating tourism's economic effects: new and old approaches (2004) Tourism Management, 25 (3), pp. 307-317; Flegg, A., Tohmo, T., Regional input-output tables and the FLQ formula: a case study of Finland (2011) Regional Studies, 47 (5), pp. 703-721; Flegg, A., Webber, C., On the appropriate use of location quotients in generating regional input-output tables: reply (1997) Regional Studies, 31 (8), pp. 795-805; Flegg, A., Webber, C., Regional size, regional specialization and the FLQ formula (2000) Regional Studies, 34 (6), pp. 563-569; Hanly, P., Measuring the economic contribution of the international association conference market: an Irish case study (2012) Tourism Management, 33 (6), pp. 1574-1582; Hassan, M., Jenggie, S., (2012), https://www.google.nl/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CCoQFjAA&url=http://www.ums.edu.my/conferences/img/BEC2012/Paper%20023.pdf&ei=jUo2VarvHsK7swHN9YAQ&usg=AFQjCNGx4PC-xPIHFyI_34lumQnr35T69Q, The economic impacts of tourism sector on Malaysian economy, Available at <>, accessed 1 November 2013; Horton, S., Cole, S., Medical returns: seeking health care in Mexico (2011) Social Science & Medicine, 72 (11), pp. 1846-1852; Kanchanachitra, C., Pachanee, C.-A., Dyrit, M., Tangcharoensathien, V., (2012) Medical Tourism in Southeast Asia: Opportunities and Challenges. 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Botterill and T. Mainil (eds), Palgrave MacMillan, Basingstoke; Mainil, T., Dinnie, K., Botterill, D., van Loon, F., Meulemans, H., Transnational health care: the quest for a global terminology (2012) Health Policy, 108 (1), pp. 37-44; (2008), Malaysia Tourism Promotion Board, Malaysia profile 07 of tourist by selected markets, Putrajaya; Mitra, S., (2007), http://www.frost.com/sublib/display-market-insight.do?id=108452141, Medical tourism. 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Williman (eds), John Wiley & Sons, Malden, MA; Ormond, M., En route: transport and embodiment in international medical travel journeys between Indonesia and Malaysia (2015) Mobilities, 10 (2), pp. 285-303; Ormond, M., Sulianti, D., More than medical tourism: lessons from Indonesia and Malaysia on south-south intra-regional medical travel (2014) Current Issues in Tourism, , ahead-of-print. doi: 10.1080/13683500.2014.937324; Ormond, M., Wong, K.M., Chan, C.K., Medical tourism in Malaysia: how can we better identify and manage its advantages and disadvantages? (2014) Global Health Action, 7, p. 25201; (2012), http://etp.pemandu.gov.my/Healthcare-@-Healthcare_-_EPP_4-;_Reinvigorating_health_travel_through_better_customer_experience,_proactive_alliances_and_niche_marketing.aspx, Pemandu, Health care - EPP 4: reinvigorating health travel through better customer experience, proactive alliances and niche marketing economic transformation programme, Available at 30- were uniformly applied (n = 241), but 94 patients (39%) never progressed; 94 (39%) progressed to head of bed of 945- or dangling legs, 29 (12%) progressed to standing or pivoting to chair, and 24 (10%) progressed to walking. Female gender (p = .019), mechanical ventilation (p < .001), higher APACHE score (p = .004), and 30-day mortality (p = .001) were associated with less mobility. In multivariable modeling, greater mobility was associated with longer unit stay (p < .001) and discharge to home (p < .001). Psychological profile characteristics were not associated with mobility level. Conclusion: Nearly 40% of patients never progressed beyond bed movement, and only 10% walked. Although limited mobility progression was not associated with many patient factors, it was associated with poorer clinical outcomes. Implementation and evaluation of a progressive mobility protocol are needed in NICU patients. Video Abstract: For more insights from the authors, see Supplemental Digital Content 1, at http://links.lww.com/ JNN/A10. © 2014 American Association of Neuroscience Nurses.","APACHE III score; Early mobility; Neurological intensive care; Primary neurological injury; Ventilator","aged; anxiety; APACHE; daily life activity; depression; female; health survey; hospital discharge; hostility; human; intensive care nursing; intensive care unit; male; middle aged; motor activity; Nervous System Diseases; neuroscience nursing; nursing; procedures; prospective study; psychology; treatment outcome; very elderly; Activities of Daily Living; Aged; Aged, 80 and over; Anxiety; APACHE; Critical Care Nursing; Depression; Female; Health Surveys; Hostility; Humans; Intensive Care Units; Male; Middle Aged; Motor Activity; Nervous System Diseases; Neuroscience Nursing; Patient Discharge; Prospective Studies; Treatment Outcome",,,,,,,,"Bailey, P., Thomsen, G., Spuhler, V., Blair, R., Jewkes, J., Bezdijian, L., Hopkins, R., Early activity is feasible and safe in respiratory failure patients (2007) Critical Care Medicine, 35, pp. 139-145; Burtin, C., Clerckx, B., Robbeets, C., Ferdinande, P., Langer, D., Troosters, T., Gosselink, R., Early exercise in critically ill patients enhances short-term functional recovery (2009) Critical Care Medicine, 37 (9), pp. 2499-2505; Caravello, K.A., Nemeth, L.S., Dumas, B.P., Using the beach chair position in icu patients (2010) Critical Care Nurse, 30, pp. S9-S11; Charlson, M.E., Pompei, P., Ales, K.L., MacKenzie, C.R., A new method of classifying prognostic co morbidity in longitudinal studies: Development and validation (1987) Journal of Chronic Diseases, 40, pp. 373-383; Derogatis, L.R., Bsi brief symptom inventory administration, scoring and procedures manual (1993) San Antonio TX: NCS Pearson; Hildreth, A., Enniss, T., Martin, R., Miller, P., Mitten-Long, D., Gasaway, J., Hoth, J., Surgical intensive care unit mobility is increased after institution of a computerized mobility order set and intensive care unit mobility protocol: A prospective cohort analysis (2010) American Surgeon, 76, pp. 818-822; Knaus, W., Wagner, D., Draper, E., Zimmerman, J., Bergner, M., Bastos, P., Herrell, F., The apache iii prognostic system: Risk prediction of hospitalmortality for critically ill hospitalized adults (1991) Chest, 100, pp. 1619-1636; Korupolu, R., Gifford, J., Needham, D., Early mobilization of critically ill patients: Reducing neuromuscular complications after intensive care (2009) Contemporary Critical Care, 6, pp. 1-12; Martin, U., Hincapie, L., Nimchuk, M., Gaughan, J., Criner, G., Impact of whole-body rehabilitation in patients receiving mechanical ventilation (2005) Critical Care Medicine, 33, pp. 2259-2260; Meachen, S., Hanks, R., Millis, S., Rapport, L., The reliability and validity of the brief symptom inventory-18 in persons with traumatic brain injury (2008) Archives of Physical Medicine and Rehabilitation, 89, pp. 958-965; Morris, P.E., Herridge, M.S., Early intensive care unit mobility: Future directions (2007) Critical Care Clinics, 23, pp. 97-110; Morris, P.E., Goad, A., Thompson, C., Taylor, K., Harry, B., Passmore, L., Haponik, E., Early intensive care unit mobility in the treatment of acute respiratory failure (2008) Critical Care Medicine, 36, pp. 2238-2243; Morris, P.E., Griffin, L., Berry, M., Thompson, C., Hite, R.D., Winkelman, C., Haponik, E., Receiving early mobility during an intensive care unit admission is a predictor of improved outcomes in acute respiratory failure (2011) American Journal of the Medical Sciences, 341, pp. 373-377; Needham, D.M., Mobilizing patients in the intensive care unit (2008) Journal of the American Medical Association, 300, pp. 1685-1690; Needham, D.M., Korupolu, R., Zanni, J.M., Pradhan, P., Colantuoni, E., Palmer, J.B., Fan, E., Early physical medicine and rehabilitation for patients with acute respiratory failure: A quality improvement project (2010) Archives of Physical Medicine and Rehabilitation, 91, pp. 536-542; Perme, C., Chandrashekar, R., Managing the patient on mechanical ventilation in icu: Early mobility and walking program (2008) Acute Care Perspectives, 17, pp. 10-15; Perme, C., Chandrashekar, R., Early mobility and walking program for patients in intensive care units: Creating a standard of care (2009) American Journal of Critical Care Nurses, 18, pp. 212-221; Perpina-Galvan, J., Richart-Martinez, M., Scales for evaluating self-perceived anxiety levels in patients admitted to the intensive care units: A review (2009) American Journal of Critical Care, 18, pp. 571-580; Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Nigos, C., Pawlik, A.J., Esbrook, C.L., Kress, J.P., Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomized controlled trial (2009) Lancet, 373, pp. 1874-1882; Stiller, K., Safety issues that should be considered when mobilizing critically ill patients (2007) Critical Care Clinics, 23, pp. 35-53; Sundararajan, V., Henderson, T., Perry, C., Muggivan, A., Quan, H., Ghali, W.A., New icd-10 version of the charlson comorbidity index predicted in-hospital mortality (2004) Journal of Clinical Epidemiology, 2004, pp. 1288-1294; Titsworth, W., Hester, J., Correla, T., Reed, R., Guin, P., Archibald, L., Mocco, J., The effect of increased mobility on morbidity in the neurointensive care unit (2012) Journal of Neurosurgery, 116, pp. 1379-1388; Winkelman, C., Pereboom, K., Staff perceived barriers and facilitators (2010) Critical Care Nurse, 30, pp. 513-516; Zanni, J., Needham, D., Promoting early mobility and rehabilitation in the intensive care unit (2010) PT in Motion, 2, pp. 32-38",,,,"American Association of Neuroscience Nurses",,,,,08880395,,,"24796472","English","J. Neurosci. Nurs.",Article,"Final",,Scopus,2-s2.0-84900409171 "Johnston R., Crooks V.A.","36500711800;35585107800;","Medical tourism in the Caribbean region: A call to consider environmental health equity",2013,"West Indian Medical Journal","62","3",,"250","253",,9,"10.7727/wimj.2012.327","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84898679545&doi=10.7727%2fwimj.2012.327&partnerID=40&md5=3b6f3c8c8e194a36fa28cb4a1d4202ad","Department of Geography, Simon Fraser UniversityBC, Canada","Johnston, R., Department of Geography, Simon Fraser UniversityBC, Canada; Crooks, V.A., Department of Geography, Simon Fraser UniversityBC, Canada","Medical tourism, which is the intentional travel by private-paying patients across international borders for medical treatment, is a sector that has been targeted for growth in many Caribbean countries. The international development of this industry has raised a core set of proposed health equity benefits and drawbacks for host countries. These benefits centre on the potential investment in health infrastructure and opportunities for health labour force development while drawbacks focus on the potential for reduced access to healthcare for locals and inefficient use of limited public resources to support the growth of the medical tourism industry. The development of the medical tourism sector in Caribbean countries raises additional health equity questions that have received little attention in existing international debates, specifically in regard to environmental health equity. In this viewpoint, we introduce questions of environmental health equity that clearly emerge in relation to the developing Caribbean medical tourism sector. These questions acknowledge that the growth of this sector will have impacts on the social and physical environments, resources, and waste management infrastructure in countries. We contend that in addition to addressing the wider health equity concerns that have been consistently raised in existing debates surrounding the growth of medical tourism, planning for growth in this sector in the Caribbean must take environmental health equity into account in order to ensure that local populations, environments, and ecosystems are not harmed by facilities catering to international patients.","Caribbean; Environmental health; Health tourism; Medical tourism","adult; attention; Caribbean; catering service; ecosystem; environmental health; health equity; human; investment; medical tourism; travel; waste management; article; Central America; economics; ethics; health care delivery; health care disparity; health care facility; health care manpower; Caribbean Region; Health Facilities; Health Manpower; Health Services Accessibility; Healthcare Disparities; Humans; Medical Tourism",,,,,,,,"Connell, J., Medical tourism: sea, sun, sand and. surgery (2006) Tourism Management, 27, pp. 1093-1100; Horowitz, M., Rosensweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) Med Gen Med, 9, p. 33; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Glob Public Health, 3, pp. 271-290; Charatan, F., Foreigners flock to Cuba for medical care (2001) BMJ, 322, p. 1198; Ramirez Arellano, A.B., Medical tourism in the Caribbean (2011) Signs (Chic), 36, pp. 289-296; (2011) The Royal Gazette, , http://www.islandanalysis.com/news/detail/?id=239, Aug 15: News. [cited 2012 Nov 20]; Brown, I., (2011) Jamaica going for a piece of medical tourism market [Internet], , http://www.jamaicaobserver.com/news/Jamaicagoing-for-piece-of-medical-tourism-market_8821139, Jamaica Observer, May 19: News. [cited 2012 Nov 20]; Coward, S., (2009) Barbados to capitalise on billion dollar medical tourism industry [Internet], , http://www.caribbeanpressreleases.com/articles/5366/1/Barbados-To-Capitalise-On-Billion-Dollar-Medical-Tourism-Industry/Page1.html, Caribbean Press Releases. Health/Medical, Jul 31 [cited 2012 Nov 20]; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical tourism: treatments, markets and health system implications: a scoping review [Internet], , http://www.oecd.org/health/healthpoliciesanddata/48723982.pdf, OECD Directorate for Employment, Labour, and Social Affairs., [cited 2012 Nov 20]; Turner, L., 'First world healthcare at third world prices': globalization, bioethics, and medical tourism (2007) Biosocieties, 2, pp. 271-290; Connolly, N., (2012) Shetty hospital breaks ground [Internet], , http://www.compasscayman.com/caycompass/2012/08/28/Shettyhospital-breaks-ground/, Cayman Compass, Aug 28: [cited 2012 Nov 20]; Cayman Islands healthcare city-insights from the health authority and project innovator (2012) Medical Tourism Magazine, , http://www.medicaltourismmag.com/article/cayman-islands-healthcare-city-insights-from-thehealth-authority-and-project-innovator.html, Apr 11: [cited 2012 Nov 20]; (2012) American world clinics to open world class hospital in Barbados, , http://businessbarbados.com/investor-testimonial/american-world-clinics, Jan 18 [cited 2012 Jan 18]; (2012) Frequently Asked Questions about AWC-Barbados, , http://www.americanworldclinics.com/aboutus/faq, [Internet]. American World Clinics, [cited 2012 Nov 20]; (2012) The Nation, , http://www.nationnews.com/articles/view/stjoseph-hospital-earmarked-for-centre/, Mar 14; Frequently Asked Questions, , http://www.negrilhospital.org/f-a-q/, N.d. [cited 2012 Nov 20]; Prüss, A., Giroult, E., Rushbrook, P., (1999) Safe management of wastes from healthcare activities [Internet], , http://www.healthcarewaste.org/fileadmin/user_upload/resources/Safe-HCWM-WHO-1999.pdf, Geneva: WHO, [cited 2012 Nov 20]; Gerner, F., Hansen, M., (2011) Caribbean regional electricity supply options: toward greater security, renewables and resilience [Internet], , https://openknowledge.worldbank.org/handle/10986/2738, Washington, DC: World Bank, [cited 2012 Nov 20]; (2002) Water and climate change in the Caribbean, , Castries, St Lucia: Caribbean Environmental Health Institute; (2009) Healthcare without Harm. Healthy hospitals, healthy planet, healthy people: addressing climate change in healthcare settings, , http://www.who.int/globalchange/publications/healthcare_settings/en/index.html, Discussion draft. [cited 2012 Nov 20]; Masand, P., (2011) Mumbai's hospitals are draining Mumbai's water supply: BMC [Internet], , http://articles.timesofindia.indiatimes.com/2011-05-22/mumbai/29571238_1_water-supply-civic-hospitals-water-cuts, The Times of India, May 22 [cited 2012 Nov 20]; (2012) Cayman News Service, , http://caymannewsservice.com/science-and-nature/2012/10/02/no-eia-shetty-hospital, Oct 12 [cited 2012 Nov 20]; Britton, D., Special report: can the NHS ever be green? (2011) Ecologist, 40, pp. 16-17; Davenport, J., Davenport, J.L., The impact of tourism and personal leisure transport on coastal environments: a review (2006) Estuarine Coast Shelf Sci, 67, pp. 280-292; Gössling, S., Global environmental consequences of tourism (2002) Glob Env Change, 12, pp. 283-302; Holder, J.S., Pattern and impact of tourism on the environment of the Caribbean (1988) Tour Manage, 9, pp. 119-127; Jolibois, B., Guerbet, M., Hospital wastewater genotoxicity (2006) Ann Occup Hyg, 50, pp. 189-196; Weisz, U., Haas, W., Pelikan, J.M., Schmied, H., Sustainable hospitals: a socio-ecological approach (2011) GAIA: Eco Perspect Sci Soc, 20, pp. 191-198","Johnston, R.; Department of Geography, Simon Fraser UniversityCanada; email: roryjohnston1@gmail.com",,,"University of the West Indies",,,,,00433144,,WIMJA,"24564048","English","West Indian Med. J.",Article,"Final",,Scopus,2-s2.0-84898679545 "Mamun M.Z., Andaleeb S.S.","55586484100;6701752387;","Prospects and problems of medical tourism in Bangladesh",2013,"International Journal of Health Services","43","1",,"123","141",,9,"10.2190/HS.43.1.i","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84873581787&doi=10.2190%2fHS.43.1.i&partnerID=40&md5=5b64534fc30c1cb0e5434ed3777bb4bf",,"Mamun, M.Z.; Andaleeb, S.S.","The growing trend of Bangladeshi patients travelling abroad for medical services has led to some soul-searching in policy circles. While other countries of the Southeast Asia region are profiting from medical tourism, Bangladesh not only lags behind, it also loses patients to these countries in a continuous stream. This exodus for medical treatment is seemingly driven by the higher perceived quality of treatment abroad, despite the fact that similar treatment is available more cost-effectively within the country. Certainly the Bangladesh health care system is not without its problems, which have diminished the perception of quality in the sector. Thus, this study focuses on key factors for Bangladeshi health service providers to address. By doing so, they will be better able to develop the local health care sector and retain Bangladeshi patients within the country. Subsequently, by identifying strategic niches, Bangladesh could focus on delivering higher quality health care services to develop medical tourism and attract patients from abroad in specific categories of health care. © 2013, Baywood Publishing Co., Inc.",,"disease treatment; health care; health policy; health services; medicine; tourism development; tourism market; adult; article; Bangladesh; cultural factor; developing country; economics; female; financial management; health care delivery; health care facility; health care quality; health care survey; human; India; interview; male; medical tourism; middle aged; questionnaire; Singapore; standard; Thailand; Adult; Bangladesh; Cross-Cultural Comparison; Delivery of Health Care; Developing Countries; Female; Health Care Surveys; Health Facilities; Humans; India; Interviews as Topic; Male; Marketing of Health Services; Medical Tourism; Middle Aged; Quality of Health Care; Questionnaires; Singapore; Thailand; Young Adult; Bangladesh; Southeast Asia",,,,,,,,"(2005) McKinsey & Company and the Confederation of Indian Industry, , Press Trust of India. 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Health Forum, 10 (1), pp. 49-59; Islam, A.M., Health and Health Sciences (2004) Banglapedia: National Encyclopedia of Bangladesh, , Asiatic Society of Bangladesh, Dhaka; Ahmed, Z.U., Private hospitals and clinics (2006) Banglapedia: National Encyclopedia of Bangladesh, , Asiatic Society of Bangladesh, Dhaka; http://en.wikipedia.org/wiki/BRAC(NGO), Wikipedia. BRAC accessed July 3, 2011; Improving Health Care Delivery in Bangladesh, , http://www.rti.org/brochures/rti_Bangladesh_health_brochure.pdf, RTI International accessed July 3, 2011; Ricardo, B., (2004) Comparative Advantages of Public and Private Providers in Health Care Service in Terms of Cost, Pricing, Quality, and Accessibility, , Government of Bangladesh, Health Economics Unit, Ministry of Health and Family Welfare, Dhaka; Andaleeb, S.S., Siddiky, N., Khandakar, S., Patient satisfaction with health services in Bangladesh (2007) Health Policy Plann, 22 (4), pp. 263-273; Zarilli, S., Kinnon, C., (1998) International Trade in Health Services: A Development Perspective, , UNCTAD/World Health Organization, Geneva; Dacanay, J., Rodolfo, M., (2005) Challenges in Health Services Trade: Philippine Case, , Discussion Paper Series No. 2005-30. Philippine Institute for Development Studies; Chanda, R., (2007) Trade in Health Services, , CMH Working Paper Series: 5. Commissions on Macroeconomics and Health; Ernst, D., Medical tourism: Why Americans take medical vacations abroad (2006) Health Policy Prescriptions, 4 (9); Chanda, R., India and services outsourcing in Asia (2008) Singapore Econ. Rev., 53 (3), pp. 419-447; Leon, F., (2000) Modernization and Foreign Trade in Health Services: Case of the Chilean Health System, 1983-2000, , Santiago; Vajirakachorn, T., (2004) Implementation of An Effective Health Tourism Development Plan for Thailand, , University Of Wisconsin Stout Menomonie","Mamun, M.Z.",,,,,,,,00207314,,IJHSC,"23527458","English","Int. J. Health Serv.",Article,"Final",,Scopus,2-s2.0-84873581787 "Gupta V., Das P.","57199940779;55258659700;","Medical Tourism in India",2012,"Clinics in Laboratory Medicine","32","2",,"321","325",,9,"10.1016/j.cll.2012.04.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84862672302&doi=10.1016%2fj.cll.2012.04.007&partnerID=40&md5=9188796f1761cd1809ae8de2f49d7bc4","P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400016, Maharashtra, India; Laboratory and Transfusion Services, Max Healthcare, 2, Press Enclave Road, Saket, New Delhi 11017, India","Gupta, V., P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400016, Maharashtra, India; Das, P., Laboratory and Transfusion Services, Max Healthcare, 2, Press Enclave Road, Saket, New Delhi 11017, India",[No abstract available],"Health care; India; Medical tourism; Nonresident patients","accreditation; health care availability; health care cost; health insurance; India; leisure; Malaysia; market; medical tourism; priority journal; review; Singapore; Thailand; traditional medicine; travel; Humans; India; Internationality; Medical Tourism",,,,,,,,"(2012) Medical Tourism: Consumers in Search of Value (Deloitte), , http://www.deloitte.com/view/en_HR/hr/industries/lifescienceshealthcare/964710a8b410e110VgnVCM100000ba42f00aRCRD.htm, Accessed April 20; (2008) Medical tourism: consumers in search of value, pp. 1-30. , http://www.deloitte.com/view/en_HR/hr/industries/lifescienceshealthcare/964710a8b410e110VgnVCM100000ba42f00aRCRD.htm, Deloitte Center for Health Solutions, 2 Joint Commission International Web site, Accessed April 20, 2012; (2012) Preview document, , http://www.grailresearch.com/Solutions/ViewSolution.aspx?id=62, Grail Research (A division of Integreon), Accessed April 20; (2008) Top 5 medical tourism destinations, , Nuwire Investor; (2008) Numbers of note, , Business Today; Imrana, Q., John, M.E., The business and ethics of surrogacy (2009) Economic and Political Weekly, 44 (2), pp. 10-12; Dawn, S.K., Pal, S., Medical tourism in India: issues, opportunities and designing strategies for growth and development (2011) International Journal of Multidisciplinary Research, 1 (3), p. 7. , 10; Peacock, L., Medical tourism in India (2011) Zenith International Journal of Multi Disciplinary Research, p. 2. , http://www.zenithresearch.org.in, Smart Travel Asia, Accessed April 20, 2012","Gupta, V.; P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400016, Maharashtra, India; email: vijay.gupta@hindujahospital.com",,,,,,,,02722712,,CLMED,"22727009","English","Clin. Lab. Med.",Review,"Final",,Scopus,2-s2.0-84862672302 "Hall C.M.","55017070000;","Medical tourism: The ethics, regulation, and marketing of health mobility",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"1","224",,9,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917443291&doi=10.4324%2f9780203109458&partnerID=40&md5=9888387ccf018e4756f8865c1c81b60d","Department of Management, University of Canterbury, New Zealand; Department of Geography, University of Oulu, Oulu, Finland; Sheffield Hallam University, United Kingdom; Linneaus University, Sweden","Hall, C.M., Department of Management, University of Canterbury, New Zealand, Department of Geography, University of Oulu, Oulu, Finland, Sheffield Hallam University, United Kingdom, Linneaus University, Sweden","Medical and health tourism is a significant area of growth in the export of medical, health and tourism services. Although spas and improved well-being have long been part of the tourist experience, health tourism now includes travel for medical purposes ranging from cosmetic and dental surgery through to transplants and infertility treatment. Many countries including China, Cuba, Hungary, India, Thailand, Malaysia and Singapore actively promote and compete for the medical tourist dollar, while many developed countries also provide niche private services. However, the field of medical tourism is increasingly being subject to scrutiny and debate, particularly as a result of concerns over regulatory, ethical and wider health issues.Drawing on a range of theoretical and methodological perspectives, this book is one of the first to critically address the substantial political, philosophical and ethical issues that arise out of the transnational practices of medical tourism. Through a series of chapters the book engages with key issues such as the role of regulatory and policy structures in influencing medical and health tourism related mobilities. These issues are investigated by considering range of developing and developed countries, medical systems and health economic perspectives.The book adopts a multi-layered perspective to not only investigate the business and marketing practices of medical and health tourism but places these within a broader framework of contemporary globalisation, policy and practice. By doing so it opens up debate of the ethical space in which medical and health tourism operates as well as reinforce the wide ranging perspectives that exist on the subject in both the public and academic imagination.This significant contribution will be of interest to students, academics in tourism and medical policy, trade and economic development fields. © 2013 C. Michael Hall.",,,,,,,,,,,"Hall, C.M.; Department of Management, University of CanterburyNew Zealand",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book,"Final",,Scopus,2-s2.0-84917443291 "Lam C.-C.C., Du Cros H., Vong T.N.L.","57208681784;6506622848;56291063700;","Macao's potential for developing regional Chinese medical tourism",2011,"Tourism Review","66",,,"68","82",,9,"10.1108/16605371111127242","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917477525&doi=10.1108%2f16605371111127242&partnerID=40&md5=950b3bcc9cb265021651b6e3a34d4836","Institute For Tourism Studies, Macau; Hong Kong Institute of Education, Hong Kong","Lam, C.-C.C., Institute For Tourism Studies, Macau; Du Cros, H., Hong Kong Institute of Education, Hong Kong; Vong, T.N.L., Institute For Tourism Studies, Macau","This article aims to examine how Macao could become a destination to attract health and medical tourists from the People's Republic of China (China), as since its return from Portuguese control in 1999 it has been capitalising on its position as a cultural link between Portugal and China A study was conducted recently on the possible demand for Western and traditional Chinese medicine practices by mainland Chinese tourists visiting Macao. A survey was undertaken of their views on consuming health and medical tourism products. It was found that there is a definite opportunity for medical tourism in Macao among Chinese tourists. The bodycheck is the medical service most highly sort and word-of-mouth together with the internet are the most preferred channels for information. Majority also prefer to package their medical trip with tourism activities. Macao is the perfect place to study outbound Chinese tourists and their potential desire for special interest tourism activities, because they are entitled to enter on independent visas. Eventually, this will be the case in many more destinations and the results could be seen as predictive. A mismatch between the requirements of the demand side and supply has been discovered and needs to be remedied with more public sector encouragement of this emerging niche. The first study of its kind is carried out amongst Chinese outbound tourists, who can obtain independent leisure travel visas to tour outside China. © 2011, Emerald Group Publishing Limited","China; Health care; International marketing; Medical treatment; Tourism",,,,,,,,,"Caballero-Dannel, S., Mugomba, C., Medical tourism and its entrepreneurial opportunities – a conceptual framework for entry into industry (2007) Tourism and Hospitality Management, Master thesis no. 2006:91, , School of Business, Economics and Law, Göteborg University, Gothenburg, January; Fighting medical wolves in sheep's clothing (2007), p. 16. , Hong Kong ed., 27 April; WHO lauds nation's healthcare program (2009), pp. 3-10. , Hong Kong ed., 7 April; Connell, J., Sea, sun, sand and … surgery (2006) Tourism Management, 27, pp. 1093-1100; du Cros, H., Emerging issues for cultural tourism in Macao (2009) Journal of Current Chinese Affairs (China Aktuell), 1 (1), pp. 73-99. , in Chung, T. and Tieben, H. (Eds), Macao Ten Years after the Handover (Special Issue); du Cros, H., Lee, Y.S.F., (2007) Cultural Heritage Management in China: Preserving the Pearl River Delta Cities, , Routledge, London; Henderson, J., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7, pp. 111-121; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology & Medicine, 14 (3), pp. 293-305; Kaspar, C., Gesundheitstourismus im Trend (1996) Jahrbuch der Schweizer Tourismuswirtschaft 1995/96, pp. 53-61. , Institut fuèr Tourismus und Verkehrswirtschaft, St Gallen; Kim, Y., Boo, C., Kim, M., A framework for health tourism: a case study of Jeju Province in the Republic of Korea (South Korea) (2009) International CHRIE Conference-Refereed Track, , http://scholarworks.umass.edu/refereed/Sessions/Friday/2, available at:, (accessed 1 April 2010); Lam, C.C., Vong, T.N., Macao: the gambling paradise. Profiling the roles and motives of customers (2009) Journal of China Tourism Research, 5 (4), pp. 338-400; Lee, G.G., Health care and tourism: evidence from Singapore (2010) Tourism Management, 31, pp. 486-488; Li, X., Harrill, R., Uysal, M., Burnett, T., Zhan, X., Estimating the size of the Chinese outbound travel market: a demand-side approach (2010) Tourism Management, 31 (2), pp. 250-259; Mintier, T., Snapshots: interview with Curtis Schroeder (2009) Bangkok 101, p. 10. , July; Mueller, H., Kaufmann, E.L., Wellness tourism: market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vocation Marketing, 7 (1), pp. 5-17; Personal communication (2007), 15 March; Ross, K., Health tourism: an overview (2001), www.hospitalitynet.org/news/4010521.search?query=%22health+tourism%22a, available at:, (accessed 13 July 2009); Smith, K., Medical tourism: for richer or poorer (2008) Ownership & Appropriation, a Joint Conference of the ASA, the ASAANZ and the AAS, , University of Auckland, New Zealand, December 8-12; Health-check tour packages offered to mainland visitors (2007), p. A3. , 17 October; Kidney patient's battle against negligence (2007), p. A8. , 12 September; Operation where everyone gets a cut (2007), p. A6. , 11 September; Shock treatment (2008), p. A12. , 4 January; Traditional medicine to take bigger role in mainland health-care reform (2008), p. B2. , 11 February; Service, cost-cutting key to health reform (2009), p. A4. , 7 April; Statistics (2009), www.dsec.gov.mo/e_index.html, available at:, (accessed 20 June 2009); (2006) Medical Tourism: A global Analysis, , ATLAS, Fayetteville, NC; (2000) The World Health Report 2000. Health Systems: Improving Performance, , World Health Organization, Geneva; Chanda, R., (2001) Trade in Health Services, , Indian Council for Research on International Economic Relations, New Delhi; du Cros, H., Ong, C., Self-drive tourism in China (2011) Drive Tourism: Trends and Emerging Markets, pp. 103-118. , in Prideaux, B. and Carson, D. (Eds) Routledge, Abingdon; Goodrich, J., Socialist Cuba: a study of health tourism (1993) Journal of Travel Research, 32 (1), pp. 36-41; Horowitz, M.D., Rosensweig, J.A., Medical tourism – health care in the global economy (2007) The Physician Executive, pp. 24-30. , November; (2009), www.venetianmacao.com/en/show/maloclinicspa, available at:, (accessed 5 August 2009)","Lam, C.-C.C.; Institute For Tourism StudiesMacau",,,,,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-84917477525 "Hunter D., Oultram S.","57202703686;25923579100;","The ethical and policy implications of rogue medical tourism",2010,"Global Social Policy","10","3",,"297","299",,9,"10.1177/14680181100100030204","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650293090&doi=10.1177%2f14680181100100030204&partnerID=40&md5=8eeb15e2625d80e7076229c7e94dae19","Centre for Professional Ethics, Keele University, 44 Orme Road, Newcastle-under-Lyme, StaffordshireST5 2ND, United Kingdom; Centre for Ethics in Medicine, University of Bristol, Hampton House, Cotham Hill, Bristol BS6 6AU, United Kingdom","Hunter, D., Centre for Professional Ethics, Keele University, 44 Orme Road, Newcastle-under-Lyme, StaffordshireST5 2ND, United Kingdom; Oultram, S., Centre for Ethics in Medicine, University of Bristol, Hampton House, Cotham Hill, Bristol BS6 6AU, United Kingdom",[No abstract available],,"ethics; health care; policy approach; tourism",,,,,,,,"Hunter, D., Oultram, S., The challenge of sperm ships: The need for global regulation of medical technology' (2008) Journal of Medical Ethics, 34, pp. 552-556; English, V., Mussell, R., Sheather, J., Ethics briefings (2005) Journal of Medical Ethics, 31, pp. 743-744; (2005) Spermships for Fertility Seekers, , http://news.bbc.co.uk/1/hi/health/4251634.stm, 16 Sept. Available at: (accessed 5 June 2010), BBC News; Dawson, A., Hunter, D., Is there a need for global health ethics? Pros and cons (2010) Global Health Ethics, , In: Brock G and Benatar S (eds), (Forthcoming), Cambridge University Press","Hunter, D.; Centre for Professional Ethics, Keele University, 44 Orme Road, Newcastle-under-Lyme, StaffordshireST5 2ND, United Kingdom; email: d.hunter@peak.keele.ac.uk",,,,,,,,14680181,,,,"English","Global Soc. Policy",Article,"Final",,Scopus,2-s2.0-78650293090 "George B.P., Henthorne T.L.","10040491200;6602775879;","The incorporation of telemedicine with medical tourism: A study of consequences",2009,"Journal of Hospitality and Leisure Marketing","18","5",,"512","522",,9,"10.1080/19368620902950097","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85010505605&doi=10.1080%2f19368620902950097&partnerID=40&md5=17397e6fb8cb471321c852e5ef7c17cd","Department of Tourism Management, University of Southern Mississippi, Hattiesburg, MS, United States","George, B.P., Department of Tourism Management, University of Southern Mississippi, Hattiesburg, MS, United States; Henthorne, T.L., Department of Tourism Management, University of Southern Mississippi, Hattiesburg, MS, United States","This article examines the impact of the complementary use of telemedicine before and after a medical tour upon medical tourist satisfaction. It concludes that the integration of telemedicine technologies into the medial tourism system offer a unique opportunity for medical service providers to increase patient satisfaction and loyalty. The research establishes that remote consultations before the medical tour facilitate in generating more realistic expectations in the minds of the patients, thus minimizing the perception- expectation gap. However, this does not necessarily lead to higher levels of patient satisfaction. Likewise, remote consultations held following the medical tour assist in minimizing cognitive dissonance, redressing patient complaints, and boosting service loyalty. © Taylor & Francis Group, LLC.","Cognitive dissonance; Complaint behavior; India; Medical tourism; Patient loyalty; Patient satisfaction; Telemedicine",,,,,,,,,"Ackerman, M., Craft, R., Telemedicine technology (2002) Telemedicine Journal and E-Health, 8, pp. 71-78; Andreasen, A.R., Manning, J., The dissatisfaction and complaining behavior of vulnerable customers (1990) Journal of Consumer Satisfaction, Dissatisfaction and Complaining Behavior, 3, pp. 12-20; Bezruchka, S., Medical tourism as medical harm to the third world: Why? For whom? (2000) Wilderness Environmental Medicine, 11, pp. 77-78; Bitner, M.J., Evaluating service encounters: The effects of physical surroundings employee responses (1990) Journal of Marketing, 54, pp. 71-84; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Macmillan; Brebner, J.A., Brebner, E.M., Ruddick-Bracken, H., Wootton, R., The development of a pilot telemedicine network in Scotland: Lessons learned (2001) Journal of Telemedicine and Telecare, 7, pp. 82-84; Cetron, M.J., Demicco, F.J., Davies, O., (2006) Hospitality 2010: The Future of Hospitality and Travel, , New York: Prentice-Hall; Collins, K., Nicolson, P., Bowns, I., Patient satisfaction in telemedicine (2000) Health Informatics Journal, 6, pp. 81-85; Cronin, J.J., Jr., Taylor, S.A., Measuring service quality: A re-examination and Extension (1992) Journal of Marketing, 56, pp. 55-68; Davis, J.E., Telemedicine begins to make its case (1995) Fortune, pp. 44-45; Debnath, D., Activity analysis of telemedicine in the UK (2004) Post Graduate Medical Journal, 80, pp. 335-338; Dick, A.S., Basu, K., Customer loyalty: Toward an integrated conceptual framework (1994) Journal of the Academy of Marketing Science, 22, pp. 99-113; Engel, J.F., Kollat, D.T., Blackwell, R.D., (1982) Consumer Behavior, , Hisdale, IL: Dryden; Erevelles, S., Leavitt, C., A comparison of current models of consumer satisfaction/dissatisfaction (1992) Journal of Consumer Satisfaction, Dissatisfaction and Complaining Behavior, 5, pp. 4-114; Festinger, L., (1957) A Theory of Cognitive Dissonance, , Stanford, CA: Stanford University Press; Gangolly, L.V., Duggal, R., Shukla, A., (2002) Review of Healthcare in India, , Mumbai, India: Centre for Enquiry into Health and Allied Themes; George, B.P., Hegde, P.G., Salgaonkar, P., SERICSAT: A scale to measure service recovery satisfaction and an application (2007) International Journal of Hospitality and Tourism Administration, 8 (1), pp. 21-42; Gilly, M.C., Gelb, B.D., Post-purchase consumer processes and the complaining consumer (1982) The Journal of Consumer Research, 9, pp. 323-328; Henderson, J.C., Healthcare tourism in South East Asia (2003) Tourism Review International, 7, pp. 111-121; Howard, J.A., Sheth, J., (1969) The Theory of Buyer Behavior, , New York: Wiley; Jacoby, J., Jaccard, J.J., The sources, meaning and validity of consumer complaint behavior: A psychological analysis (1981) Journal of Retailing, 57 (3), pp. 4-24; Kasouf, C.J., Celuch, K.G., Strieter, J.C., Consumer complaints as market intelligence: Orienting context and conceptual framework. Journal of Consumer Satisfaction (1995) Dissatisfaction and Complaining Behavior, 8, pp. 59-68; Kolesar, M.B., Galbraith, R.W., A services-marketing perspective on e- retailing: Implications for e-retailers and directions for further research (2000) Internet Research, 10, pp. 424-438; Lapidus, R.S., Schibrowsky, J.A., Aggregate complaint analyses: A procedure for developing customer service satisfaction (1994) Journal of Service Marketing, 8 (4), pp. 50-60; Lim, P.C., Tang, N.K.H., A study of patients’ expectations and satisfaction in Singapore hospitals (2000) International Journal of Health Care Quality Assurance, 13, pp. 290-299; McCollough, M.A., Bharadwaj, S.G., The recovery paradox: An examination of customer satisfaction in relation to disconfirmation, service quality, and attribution based theories (1992) Marketing Theory and Applications, pp. 102-107. , C. T. Allen (Ed.), Chicago: American Marketing Association; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7, pp. 5-17; (2004) Places of a Lifetime; Oliver, R.L., A cognitive model of the antecedents and consequences of satisfaction decisions (1980) Journal of Marketing Research, 17, pp. 460-469; Parasuraman, A., Zeithaml, V.A., Berry, L.L., A conceptual model of service quality and its implications for future research (1985) Journal of Marketing, 49, pp. 41-50; Parsons, D.F., The impact of information technology on health care: A practitioner’s perspective (1994) Telematics and Informatics, 11, pp. 127-135; Perednia, D.A., Allen, A., Telemedicine technology and clinical applications (1995) Journal of the American Medical Association, 273, pp. 483-488; Richards, T., The great medicines scandal (2006) British Medical Journal, 332, pp. 1345-1346; Shamdasani, P.N., Balakrishnan, A.A., Determinants of relationship quality and loyalty (2000) Asia Pacific Journal of Management, 17, pp. 399-422; Stanberry, B., Telemedicine: Barriers and opportunities in the 21st century (2000) Journal of Internal Medicine, 247, pp. 615-628; Stauss, B., The dimensions of complaint satisfaction: Process and outcome complaint satisfaction versus cold fact and warm act complaint satisfaction (2002) Managing Service Quality, 12, pp. 173-183; Williams, T.L., May, C.R., Aneez, E., Limitations of patient satisfaction studies in tele-healthcare: A systematic review of the literature (2001) Telemedicine Journal and E-Health, 7, pp. 293-316; Wilson, D., Paradoxes of tourism in Goa (1997) Annals of Tourism Research, 24, pp. 52-75","George, B.P.; Department of Tourism Management, University of Southern Mississippi, 118 College Dr., Box 517, Hattiesburg, MS, 39406, United States",,,,,,,,19368623,,,,"English","J. Hosp. Leis. Mark.",Article,"Final",,Scopus,2-s2.0-85010505605 "Helmy E.M., Travers R.","6603545204;57209035636;","Towards the development of Egyptian medical tourism sector",2009,"Anatolia","20","2",,"419","439",,9,"10.1080/13032917.2009.10518918","https://www.scopus.com/inward/record.uri?eid=2-s2.0-72749096361&doi=10.1080%2f13032917.2009.10518918&partnerID=40&md5=47b6dc2d46b2dc49d9aa954216c61ef4","Faculty of Tourism and Hotel Management, Helwan University, Orman Post Office, 12612, Cairo, Egypt; International Centre for Responsible Tourism, Leeds Metropolitan University, United Kingdom","Helmy, E.M., Faculty of Tourism and Hotel Management, Helwan University, Orman Post Office, 12612, Cairo, Egypt; Travers, R., International Centre for Responsible Tourism, Leeds Metropolitan University, United Kingdom","Medical tourism has shown an exceptional growth worldwide during the last few years. Such growth has involved an increase in the number of the international medical tourists, and the emergence of competitive medical tourism destinations. Arguably, the success of each destination in entering the medical tourism business will greatly depend on its ability to develop a comprehensive and competitive accredited medical tourism business. This paper outlines the strategy development stage of a national project for the development of Egyptian medical tourism. Based on a preceding phase, benchmarking the Egyptian medical tourism sector against international key players, the strategic approach involved a number of tasks: identifying Egypt's competitive advantages, debating different scenarios for the sector development, setting short and long term Egyptian medical tourism goals and drawing main pillars for the medical tourism development. Pillars identified by research findings are: an enabling environment, product development, human resource development and marketing.","Competitive advantage; Development scenarios; Medical tourism; Service value chain-Egypt; Strategic development pillars","competitiveness; development project; development strategy; economic growth; human resource; marketing; medicine; product development; research; tourism development; tourist destination; Egypt",,,,,,,,"(2009) Web Portal Directory: Medical Tourism, , ArabMedicare, Retrieved April 23, 2009 from the World Wide Web: ArabMedicare.com; Ashley, C., Mitchell, J., (2008) Doing the Right Thing Approximately Not the Wrong Thing Precisely: Challenges of Monitoring Impacts of Pro-poor Interventions in Tourism Value Chains, , London: ODI; Ashley, C., (2006) Participation By the Poor in the Luang Prabang Tourist Economy, , ODI and SNV. Vientiane: ODI; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , England: Palgrave Macmillan Publications; Connell, J., Medical Tourism: Sea, Sun, Sand and Surgery (2006) Journal of Tourism Management, 27 (6), pp. 1093-1100; Constantinides, C., (2008) Our Take on the Health Care Sector, , www.healthcarecybernetics.gr, Retrieved March 22, 2008 from the World Wide Web; DeMicco, F., Cetron, F., (2005) Medical Tourism Growing Worldwide, , http://www.udel.edu/PR/UDaily/2005/mar/tourism072505.html, Retrieved May 14, 2008 from the World Wide Web; (2009) Investment Opportunities in Egypt, , http://www.gafinet.org/lists/Agricultural-Inv-op/EngDispForm.aspx?id=71, GAFI, Retrieved April 22, 2009 from the World Wide Web; (2006), GDS, Value Chain Analysis of Cultural Heritage Tourism in Ethiopia, Government of Ethiopia and the World Bank; Gliddon, J., (2007) Ladies Spas. Ethiad Inflight, , Published by Etihad Airlines in UAE; Helmy, E., Introducing Spas as a New Tourism Product: The Case Study of Egypt, Egyptian (2005) Journal of Tourism Studies, 4 (1), pp. 15-37; Herrick, D., (2007) Medical Tourism: Global Competition in Health Care. Dallas, , Texas: National Centre for Policy Analysis; (2009) International Medical Tourism Journal, , http://www.imtjonline.com, IMTJ, Retrieved April 24, 2009 from the World Wide Web; Kulkarni, S., Medical Tourism: ""Where Are We Headed?"" (2009) Medical Travel Today, 3 (1). , Authoritative Newsletter for Medical Tourism; Lotter, K., (2007) Medical Tourism to South Africa, , Retrieved June 15, 2008 from the World Wide Web:http://south-africa- travel.suitel01.com/article.cfm/medical-tourism-to-south-africa; Marsek, P., Sharpe, F., (2009) The Complete Idiot's Guide to Medical Tourism: Get the Most Affordable Medical Care in the World Without Sacrificing Quality, , Penguin Group Publishing; (2008) Step By Step Guide to Medical Tourism, , www.MedicalTourismExpos.com, Medical Tourism Expos, Retrieved June 4, 2008 from the World Wide Web; (2009) Industry News: The Authoritative Newsletter for Medical Tourism, , http://www.medicaltraveltoday.com/MTTE08/MTTEv3-8.htmMndustryNews, Medical Travel Today, Retrieved April 15, 2009 From the World Wide Web; (2007) Egyptian Tourism in Figures for 2006. An Annual Statistical Book, , MoT, Cairo: Ministry of Tourism Publications; (2009), Recover Discover, Retrieved April 22, 2009 from the World Wide Web: www.recoverdiscaver.com; Ritchie, B., Crouch, G., (2005) The Competitive Destination: A Sustainable Tourism Perspective, , Oxon: CABI; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, , Oxford: Butterworth-Heinemann; Thelen, S., Travers, R., (2007) Identification of A Sector Strategy for Wellness Tourism in Egypt, , Cairo: Egyptian Tourist Authority/European Commission; (2006) Medical Tourism: A Global Analysis, , Tourism Research & Marketing, London; Travers, R., (2008) Tourism on Road 9 in Lao PDR and Vietnam: A Value Chain Appraisal, , SNV with Savannakhet Management Institute and Hue College of Economics; (2009) A World of Medical Opportunity: Special Report on Health Tourism, , http://www.treatmentabroad.com/medicaltourism/a-world-of-medical- opportunity, Treatment abroad, Retrieved April 22, 2009 from the World Wide Web; Wright, P., (2006) Community-based Tourism Opportunity Study, Bodhgaya, India, , Export-led Poverty Reduction Programme of the International Trade Centre, Geneva; Yanos, M., (2008) Top Five Medical Tourism Destinations, , Nuwire Consulting; (2008) Tourism Highlights: Facts and Figures Section, , www.unwto.org, UNWTO, Retrieved December 22, 2008 from the World Wide Web","Helmy, E. M.; Faculty of Tourism and Hotel Management, Helwan University, Orman Post Office, 12612, Cairo, Egypt; email: eman-helmy@hotmail.com",,,"Anatolia",,,,,13032917,,,,"English","Anatolia",Article,"Final",,Scopus,2-s2.0-72749096361 "Higgins L.A.","16480249000;","Medical tourism takes off, but not without debate",2007,"Managed Care","16","4",,"","",,9,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-44349179690&partnerID=40&md5=7ee01bc9f89879474d20010cfd80be6a",,"Higgins, L.A.",[No abstract available],,,,,,,,,,,,,,"MediMedia USA Inc.",,,,,10623388,,,"17491289","English","Managed Care",Article,"Final",,Scopus,2-s2.0-44349179690 "Kušen E.","7801400435;","Health tourism",2002,"Tourism","50","2",,"175","188",,9,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036405197&partnerID=40&md5=390b828dc256a4fad7b3a105eb8698a2","Institute for Tourism, Zagreb, Croatia","Kušen, E., Institute for Tourism, Zagreb, Croatia","Current tourism product still only partially and inadequately satisfies complex set of current tourism demand when it comes to the product development of holistically understood health (physical, psychological and spiritual) whether it is maintenance of health or health improvement. Thus, the purpose of this paper is to define health tourism and its current position as a part of tourism economy based on the analysis of health tourism in Croatia, Slovenia, Austria, Germany and Italy. For the purpose of the analysis a theoretical model is developed that gives special attention to the type of the health tourism. Dimensions of the model are: Contact with service providers (ie. wellness tourism, health tourism, medical tourism, hospital tourism), classification according to the characteristics of health tourism accommodations, functional systems relating to the direct and indirect regulations of the natural remedies for the needs of the health and medical tourism and organisations involved in provision of the health tourism such as spas, spa resorts and health tourism destinations.","Health tourism; Medical tourism; Natural remedies; Spa tourism","tourist attraction; tourist behavior; Europe",,,,,,,,"Dürrigl, T., Uvodna riječ (2000) Prirodni ljekoviti činitelji u Hrvatskoj, pp. 7-8. , Ivanišević, ed. Zagreb, Akademija medicinskih znanosti Hrvatske; Hall, C.M., (1992) Adventure, Sport and Health Tourism. Special Interest Tourism, pp. 141-158. , London: Belhaven Press; Hitrec, T., Zdravlje kao trajna odrednica i razvojna šansa hrvatskog turizma (1998) Zdravlje i turizam. Split: Hrvatsko kardiološko društvo, Turistička zajednica Splitsko-dalmatinske županije, pp. 17-27. , Mirić D, Vlahović D, ed; Ivanišević, G., (2000) Prirodni ljekoviti činitelji u Hrvatskoj, Zagreb, pp. 1-133. , ed. Akademija medicinskih znanosti Hrvatske; Ivanišević, G., (2000) Morski ljekoviti činitelji u Hrvatskoj, Zagreb, pp. 1-156. , ed. Akademija medicinskih znanosti Hrvatske; Ivanišević, G., (2001) Toplički ljekoviti činitelji u Hrvatskoj, Zagreb, pp. 1-164. , ed. Akademija medicinskih znanosti Hrvatske; Ivanišević, G., (2001) Zdravstveni turizam u Hrvatskoj, Zagreb, pp. 1-372. , ed. Akademija medicinskih znanosti Hrvatske; Ivanišević, G., (2001) Pojmovnik balneoklitmatologije i prirodnih ljekovitih činitelja u Hrvatskoj, Zagreb, pp. 1-54. , Akademija medicinskih znanosti Hrvatske; Kušen, E., Metodologija prostorne valorizacije turističkih privlačnosti, doktorska disertacija (1999) Arhitektonski fakultet Sveučilišta u Zagrebu, Zagreb, pp. 1-253; Kušen, E., (2002) Nacrt Znanstveno-stručne podloge za izradu propisa o zdravstvenom turizmu, pp. 1-65. , Ministarstvo turizma RH, Zagreb; Kušen, E., Klarić, Z., Resursna osnova zdravstvenog turizma (1997) I. medunarodni simpozij Opatija promotor zdravstvenog turizma, pp. 233-244. , Rožonić I. ed. Zbornik radova. Opatija: Hotelijerski fakultet; Padovan, I., (1992) Medicinski leksikon, Zagreb, Leksikografski zavod ""Miroslav Krleža"", 977. , ed; Pleško, N., Bioklimatski prikaz zdravstvenog turizma. Ivanišević, G. ur. (2001b) (2001) Zdravstveni turizam u Hrvatskoj, Zagreb, pp. 21-32. , Ivanišević, G. ed. Akademija medicinskih znanosti Hrvatske; Skupnjak, B., Izglednost razvitka i konceptualno- organizacijski okvir zdravstvenog turizma u nas (1997) I. medunarodni simpozij Opatija promotor zdravstvenog turizma, Zbornik radova, pp. 321-334. , Rožanić I. ed. Opatija: Hotelijerski fakultet; (2000) Le guide de L'Exresso, pp. 1-258. , Terme d'Italia 2001 Grupo Editoriale L'Expresso, Roma","Kušen, E.; Institute for Tourism, Zagreb, Croatia",,,,,,,,13327461,,,,"English","Tourism",Article,"Final",,Scopus,2-s2.0-0036405197 "Yang Y., Hu J., Sun R., Chen X.","55571667000;55499373700;57197828621;56888182800;","Medical tourism destinations prioritization using group decision making method with neutrosophic fuzzy preference relations",2018,"Scientia Iranica","25","6E",,"3744","3764",,8,"10.24200/sci.2017.4514","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059184326&doi=10.24200%2fsci.2017.4514&partnerID=40&md5=9e9caf972ec30c1d83ccedce63b5fdef","School of Business, Central South University, Changsha, China; School of Accounting, Hunan University of Commerce, Changsha, China","Yang, Y., School of Business, Central South University, Changsha, China; Hu, J., School of Business, Central South University, Changsha, China; Sun, R., School of Business, Central South University, Changsha, China; Chen, X., School of Business, Central South University, Changsha, China, School of Accounting, Hunan University of Commerce, Changsha, China","Medical tourism has developed rapidly worldwide, especially in Asia, and one of the most important problems facing the patient-tourists is the selection of the optimum destination. In this paper, we present a novel Multiple Criteria Group Decision Making (MCGDM) methodology to evaluate and rank the medical tourism destinations based on vague information. A systematic assessment and selection model was constructed by investigating MCGDM problems with Neutrosophic Fuzzy Preference Relations (NFPRs). We began by defining NFPRs, which allowed the patient-tourists lacking information, time, or patience to express their uncertainty and hesitancy about the given preference values. The additive consistency and acceptable consistency for NFPRs were then proposed. Furthermore, the approach to improve consistency of NFPRs was validated and a series of aggregation operators were developed. In addition, we presented a systematic MCGDM method using NFPRs (MCGDM-NFPRs) to rank the medical tourism destinations. Then, our proposed approach was applied to two cases considering different kinds of original data to prioritize medical tourism places. Finally, the applicability and feasibility of the proposed approach were verified by comparison with other previous methods, along with some analyses and a comprehensive discussion. © 2018 Sharif University of Technology. All rights reserved.","Aggregation operators; Consistency; Medical tourism.; Multiple criteria group decision making; Neutrosophic fuzzy preference relations","Mathematical operators; Medical problems; Aggregation operator; Consistency; Fuzzy preference relations; Group Decision Making; Medical tourism; Decision making",,,,,"National Natural Science Foundation of China, NSFC: 71771219, 71871229","This work was partially supported by the National Natural Science Foundation of China (Grant Nos. 71871229, 71771219). The constructive suggestions from the anonymous referees are gratefully acknowledged.",,"Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tour. Mgt., 27 (6), pp. 1093-1100; Rosensweig, J.A., Medical tourism-health care in the global economy (2007) Physician Executive, 33 (6), pp. 28-30; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in Southern Africa (2015) Soc. Sci. Med., 124, pp. 313-320; Thinakorn, N., Johanna, H., Richard, S., Medical tourism in Thailand: A cross-sectional study (2016) Bull. World Health Organ., 94 (1), pp. 30-36; Wongkit, M., Mckercher, B., Desired attributes of medical treatment and medical service providers: A case study of medical tourism in Thailand (2015) J. Travel Tour. 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Quantif., 7 (3), pp. 207-228; Tian, Z.P., Wang, J., Wang, J.Q., Zhang, H.Y., Simplified neutrosophic linguistic multi-criteria group decision-making approach to green product development (2017) Group Decis. Negot., 26 (3), pp. 597-627; Wang, J.Q., Han, Z.Q., Zhang, H.Y., Multicriteria group decision-making method based on intuitionistic interval fuzzy information (2014) Group Decis. Negot., pp. 1-19; Sun, R.X., Hu, J.H., Zhou, J.D., Chen, X.H., A hesitant fuzzy linguistic projection-based MABAC method for patients' prioritization (2017) International Journal of Fuzzy Systems; Yang, Y., Hu, J.H., An, Q.X., Chen, X.H., Group decision making with multiplicative triangular hesitant fuzzy preference relations and cooperative games method (2017) Int. J. Uncertain. Quantif., 7 (3), pp. 271-284","Yang, Y.; School of Business, Central South UniversityChina; email: gabbylovie@csu.edu.cn",,,"Sharif University of Technology",,,,,10263098,,,,"English","Sci. Iran.",Article,"Final",Open Access,Scopus,2-s2.0-85059184326 "Béland D., Zarzeczny A.","6701922346;57202981544;","Medical tourism and national health care systems: An institutionalist research agenda",2018,"Globalization and Health","14","1", 68,"","",,8,"10.1186/s12992-018-0387-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050084061&doi=10.1186%2fs12992-018-0387-0&partnerID=40&md5=457e3ef15f082ff68f5e125b3a9e8542","Johnson Shoyama Graduate School of Public Policy, 101 Diefenbaker Place, Saskatoon, SK S7N 5B8, Canada","Béland, D., Johnson Shoyama Graduate School of Public Policy, 101 Diefenbaker Place, Saskatoon, SK S7N 5B8, Canada; Zarzeczny, A., Johnson Shoyama Graduate School of Public Policy, 101 Diefenbaker Place, Saskatoon, SK S7N 5B8, Canada","Although a growing body of literature has emerged to study medical tourism and address the policy challenges it creates for national health care systems, the comparative scholarship on the topic remains too limited in scope. In this article, we draw on the existing literature to discuss a comparative research agenda on medical tourism that stresses the multifaceted relationship between medical tourism and the institutional characteristics of national health care systems. On the one hand, we claim that such characteristics shape the demand for medical tourism in each country. On the other hand, the institutional characteristics of each national health care system can shape the very nature of the impact of medical tourism on that particular country. Using the examples of Canada and the United States, this article formulates a systematic institutionalist research agenda to explore these two related sides of the medical tourism-health care system nexus with a view to informing future policy work in this field. © 2018 The Author(s).","Canada; Health care; Institutionalism; Institutions; Medical tourism; United States","comparative study; health care; institutional framework; medical tourism; policy approach; research; Article; Canada; health care delivery; health care policy; health care system; health insurance; medical tourism; priority journal; public health service; United States; human; public health; research; Canada; United States; Canada; Health Policy; Humans; Medical Tourism; National Health Programs; Research; United States",,,,,"Canada Research Chairs","The authors thank Rachel Hatcher for the copy-editing support and anonymous reviewers for their helpful suggestions. DB acknowledges support from the Canada Research Chairs Program, and AZ funding from the Canadian National Transplant Research Program.",,"Hall, C., Health and medical tourism: a kill or cure for global public health? (2011) Tourism Rev, 66 (1-2), pp. 4-15; Maniam, G., Medical tourism as the result of rising American healthcare costs in the context of healthcare globalization. J bus (2015) Behav Sci, 27 (2), pp. 112-122; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system (2014) J Travel Med, 21 (6), pp. 410-417; Smith, R., Martinez Alvarez, M., Chanda, R., Medical tourism: a review of the literature and analysis of a role for bi-lateral trade (2011) Health Pol, 103, pp. 276-282; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? 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An epilogue for the future (2015) Soc Sci & Med, 124, pp. 398-401; Behrmann, J., Smith, E., Top 7 issues in medical tourism: challenges, knowledge gaps, and future directions for research and policy development (2010) Glob J Health Science, 2 (2), pp. 80-90; Turner, L., ""Medical tourism"" and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care (2010) Int J Health Serv, 40 (3), pp. 443-467; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? (2010) J Public Health Policy, 31 (2), pp. 185-198; Lunt, N., Mannion, R., Exworthy, M., A framework for exploring the policy implications of UK medical tourism and international patient flows (2013) Soc Policy Admin, 47 (1), pp. 1-25; Cohen, I.G., Medical tourism: the view from ten thousand feet (2010) Hast Cent Rep, 40 (2), pp. 11-12; Chanda, R., Trade in health services (2002) B World Health Organ, 80 (2), pp. 158-163; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? 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J comp (2005) Foreign Policy Anal, 7 (4), pp. 331-348; Stone, D., Transfer and translation of policy (2012) Policy Stud, 33 (6), pp. 483-499; Benson, D., Jordan, A., What have we learned from policy transfer research? Dolowitz and marsh revisited (2011) Polit Stud Rev, 9, pp. 366-378; Bustamante, A., Globalization and medical tourism: the north American experience (2014) Int J Health Policy Manag, 3 (1), pp. 47-49; Howlett, M., What is a policy instrument? Tools, mixes, and implementation styles (2015) Designing government: from instruments to governance, pp. 31-50. , Eliadas P, Hill MM, Howlett M, editors. Montréal and Kingston: McGill-Queen's press; Laugesen, M., Vargas-Bustamante, A., A patient mobility framework that travels: European and United States-Mexico comparisons (2010) Health Policy, 97, pp. 225-231; Snyder, J., Crooks, V., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: a prospective, qualitative study of stakeholder perceptions (2013) Int J Equity Health, , https://doi.org/10.1186/1475-9276-12-2; Snyder, J., Crooks, V., Johnston, R., Dharamsi, S., Do your homework. and then hope for the best: the challenges that medical tourism poses to Canadian family physicians' support of patients' informed decision-making (2013) BMC Med Ethics, , https://doi.org/10.1186/1472-6939-14-37; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Aff, 26 (1), pp. 137-141; Prasad, G.V., Shukla, A., Huang, M., D'A Honey, R.J., Zaltzman, J., Outcomes of commercial renal transplantation: a Canadian experience (2006) Transplantation, 82 (9), pp. 1130-1135; Snyder, J., Crooks, V.A., Medical tourism and bariatric surgery: more moral challenges (2010) Am J Bioeth, 10 (12), pp. 28-30; Turner, L., Cross-border dental care: 'dental tourism' and patient mobility (2008) Brit Dent J, 204, pp. 553-554; Deonandan, R., Recent trends in reproductive tourism and international surrogacy: ethical considerations and challenges for policy (2015) Risk Manag Healthc Policy, 8, pp. 111-119; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: a cost or benefit to the NHS? (2013) PLOSOne, , https://doi.org/10.1371/journal.pone.0070406; Gill, J., Diec, O., Landsberg, D.N., Rose, C., Johnston, O., Keown, P.A., Gill, J.S., Opportunities to deter transplant tourism exist before referral for transplantation and during the workup and management of transplant candidates (2011) Kidney Int, 79 (1), pp. 1026-1031; Kumar, S., Breuing, R., Chahal, R., Globalization of health care delivery in the United States through medical tourism (2012) J Health Comm, 17 (2), pp. 177-198; Runnels, V., Labonte, R., Packer, C., Chaudhry, S., Adams, O., Blackmer, J., Canadian physicians' responses to cross border health care (2014) Glob Health, , https://doi.org/10.1186/1744-8603-10-20; Hacker, J.S., The historical logic of national health insurance: structure and sequence in the development of British, Canadian, and U.S. medical policy development. Stud am Polit (1998) Dev, 12 (1), pp. 57-130; Tuohy, C.H., (1999) Accidental logics: the dynamics of change in the health care arena in the United States, Britain, and Canada, , Oxford: Oxford University Press; Maioni, A., (1998) Parting at the crossroads: the emergence of health insurance in the United States and Canada, , Princeton: Princeton University press; Marchildon, G.P., (2013) Health systems in transition: Canada, , Toronto: University of Toronto Press; McQuigge, M., (2015) Canadian health care wait times still unacceptably high, two reports say, , https://nationalpost.com/health/canadian-health-care-wait-times-still-unacceptably-high-two-reports-say, National Post. Accessed 3 Nov 2016; Boothe, K., (2015) Ideas and the pace of change: national pharmaceutical insurance in Canada, Australia, and the United Kingdom, , Toronto: University of Toronto Press; Locker, D., Maggirias, J., Quinonez, C., Income, dental insurance coverage, and financial barriers to dental care among Canadian adults (2011) J Pub Health Den., 71 (4), pp. 327-334; Berger, I., Ahmad, A., Bansal, A., Kapoor, T., Sipp, D., Rasko, J., Global distribution of businesses marketing stem cell-based interventions (2016) Cell Stem Cell, 19, pp. 158-162; Cohen, R.A., Martinez, M.E., Zammitti, E.P., Health insurance coverage: early release of estimates from the National Health Interview Survey (2015), https://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201605.pdf, Washington, DC: Centers for Disease Control and Prevention (National Center for Health Statistics); 2016 : 1. Accessed 3 Nov 2016; Judkins, G., Persistence of the U.S. - Mexico border: expansion of medical tourism amid trade liberalization (2007) J Lat Am Geog, 6 (2), pp. 11-32; Béland, D., Rocco, P., Waddan, A., (2016) Obamacare wars: federalism, state politics, and the Affordable Care Act, , Lawrence, KS: University Press of Kansas; Mangan, D., (2016) Big drop in Texans without health insurance, but poor lag. CNBC I June, , http://www.cnbc.com/2016/06/01/big-drop-in-texans-without-health-insurance-but-poor-lag.html, Accessed 3 November 2016; Most medical tourism to Mexico is dental or cosmetic. Int Med Travel Journal (Intuition Communication), , http://www.imtj.com/news/most-medical-tourism-mexico-dental-or-cosmetic/, 26 August 2015. Accessed 3 November 2016; Campbell, J.L., (2004) Institutional change and globalization, , Princeton: Princeton University Press; Snyder, J., Johnston, R., Crooks, V.A., Morgan, J., Adams, K., How medical tourism enables preferential access to care: four patterns from the Canadian context (2017) Health Care Anal, 25, pp. 138-150; Kirchner, E., Carroll, J., Nious, K., US insurance companies expanding medical tourism coverage (2013) NBC (Bay Area). 4 December. Accessed 3 November 2016, , http://www.nbcbayarea.com/news/local/Medical-Tourism-The-Future-of-Healthcare-233414371.html; Hood, C., (1986) The tools of government, , Chatham: Chatham house: Publishers; Healy, M., Perry, C., Comprehensive criteria to judge validity and reliability of qualitative research within the realism paradigm (2000) Qual Market Research, 3 (3), pp. 118-126","Béland, D.; Johnson Shoyama Graduate School of Public Policy, 101 Diefenbaker Place, Canada; email: daniel.beland@usask.ca",,,"BioMed Central Ltd.",,,,,17448603,,,"30012218","English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-85050084061 "Ross K.M., Moscoso A.V., Bayer L.R., Rosselli-Risal L., Orgill D.P.","54581462600;57147917000;8550152300;57193531648;57197984172;","Plastic surgery complications from medical tourism treated in a U.S. academic medical center",2018,"Plastic and Reconstructive Surgery","141","4",,"517e","523e",,8,"10.1097/PRS.0000000000004214","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85052834394&doi=10.1097%2fPRS.0000000000004214&partnerID=40&md5=97fd739571e5a1b1f3a8270176bad9ca","Division of Plastic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States; Boston University School of Public Health, Boston, MA, United States","Ross, K.M., Division of Plastic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, Boston University School of Public Health, Boston, MA, United States; Moscoso, A.V., Division of Plastic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, Boston University School of Public Health, Boston, MA, United States; Bayer, L.R., Division of Plastic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, Boston University School of Public Health, Boston, MA, United States; Rosselli-Risal, L., Division of Plastic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, Boston University School of Public Health, Boston, MA, United States; Orgill, D.P., Division of Plastic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, Boston University School of Public Health, Boston, MA, United States","Background: Medical tourism is a growing, multi–billion dollar industry fueled by improvements in the global transportation infrastructure. The authors studied patients living in the United States who travel to other countries for plastic surgical procedures and returned to have their complications treated in the authors’ center. Methods: A retrospective patient evaluation was performed. Patients who had presented to an urban tertiary academic hospital plastic surgery service with complications or complaints associated with plastic surgery performed in a developing country were studied. The authors collected demographic information, types of surgery performed, destinations, insurance coverage, and complications. Results: Seventy-eight patients were identified over 7 years. Most commonly, complications were seen following abdominoplasty (n = 35), breast augmentation (n = 25), and foreign body injections (n = 15). Eighteen patients underwent multiple procedures in one operative setting. The most common destination country was the Dominican Republic (n = 59). Complications included surgical-site infections (n = 14), pain (n = 14), and wound healing complications (n = 12). Eighty-six percent of patients (n = 67) relied on their medical insurance to pay for their follow-up care or manage their complications, with the most common type of health insurance coverage being Massachusetts Medicaid (n = 48). Conclusions: Cosmetic surgery performed in developing countries can carry substantial risks of complications that can be challenging to patients, primary care providers, insurers, and plastic surgical teams not associated with the original surgery. These complications pose significant burdens on our public health systems. Copyright © 2018 by the American Society of Plastic Surgeons.",,"adult; aftercare; case report; economics; esthetic surgery; female; human; male; Massachusetts; medical tourism; middle aged; postoperative complication; reconstructive surgery; retrospective study; United States; university hospital; Academic Medical Centers; Adult; Aftercare; Cosmetic Techniques; Female; Humans; Male; Massachusetts; Medical Tourism; Middle Aged; Postoperative Complications; Reconstructive Surgical Procedures; Retrospective Studies; United States",,,,,,,,"The pre-travel consultation (2016) Traveler’s Health, , http://wwwnc.cdc.gov/travel/yellowbook/2016/the-pre-travel-consultation/medical-tourism, New York: Oxford University Press; Accessed March 9, 2016; Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the united states (2013) Plast Reconstr Surg Glob Open, 1, p. e63; Snyder, J., Crooks, V.A., New ethical perspectives on medical tourism in the developing world (2012) Dev World Bioeth, 12, pp. iii-iv; Karuppan, C.M., Karuppan, M., Changing trends in health care tourism (2010) Health Care Manag (Frederick), 29, pp. 349-358; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of ‘cosmetic tourism’: An avoidable burden on the NHS (2007) J Plast Reconstr Aesthet Surg, 60, pp. 1075-1077; Lunt, N., Horsfall, D., Hanefeld, J., Medical tourism: A snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-44; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? a review of the literature with discussion of its implications for the UK national health service as an example of a public health care system (2014) J Travel Med, 21, pp. 410-417; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthet Surg J, 31, pp. 694-697; Newman, M.I., Camberos, A.E., Ascherman, J., Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter (2005) Ann Plast Surg, 55, pp. 107-110. , discussion 110; Schnabel, D., Gaines, J., Nguyen, D.B., Notes from the field: Rapidly growing nontuberculous mycobacterium wound infections among medical tourists undergoing cosmetic surgeries in the dominican Republic—Multiple states, march 2013–february 2014 (2014) MMWR Morbid Mortal Wkly Rep, 63, pp. 201-202. , Centers for Disease Control and Prevention; Travel.State.Gov, , https://travel.state.gov/content/passports/en/country/dominican-republic.html, Accessed March 9, 2016XXX; Cai, S.S., Chopra, K., Lifchez, S.D., Management of mycobacterium abscessus infection after medical tourism in cosmetic surgery and a review of literature (2016) Ann Plast Surg, 77, pp. 678-682; Clark, R.F., Cantrell, F.L., Pacal, A., Chen, W., Betten, D.P., Subcutaneous silicone injection leading to multi-system organ failure (2008) Clin Toxicol (Phila.), 46, pp. 834-837; Singh, M., Dugdale, C.M., Solomon, I.H., Rapid-growing mycobacteria infections in medical tourists: Our experience and literature review (2016) Aesthet Surg J, 36, pp. NP246-NP253; Altmeyer, M.D., Anderson, L.L., Wang, A.R., Silicone migration and granuloma formation (2009) J Cosmet Dermatol, 8, pp. 92-97; Singh, M., Solomon, I.H., Calderwood, M.S., Talbot, S.G., Silicone-induced granuloma after buttock augmentation (2016) Plast Reconstr Surg Glob Open, 4, p. e624; Lee, J.H., Choi, H.J., Rare complication of silicone fluid injection presenting as multiple calcification and skin defect in both legs: A case report (2015) Int J Low Extrem Wounds, 14, pp. 95-97; Chasan, P.E., The history of injectable silicone fluids for soft-tissue augmentation (2007) Plast Reconstr Surg, 120, pp. 2034-42050. , discussion 2041–2043; Turner, L., News media reports of patient deaths following ‘medical tourism’ for cosmetic surgery and bariatric surgery (2012) Dev World Bioeth, 12, pp. 21-34; Greenwald, J., Tragedy in the Tropics: Proceed with Caution When Having Plastic Surgery Abroad, , https://www.plasticsurgery.org/news/blog/tragedy-in-the-tropics-proceed-with-caution-when-having-plastic-surgery-abroad, Accessed March 10, 2016; Griffiths, D., Mullock, A., Cosmetic surgery: Regulatory challenges in a global beauty market (2017) Health Care Anal, , https://doi.org/10.1007/s10728-017-0339-5; Nassab, R., Hamnett, N., Nelson, K., Cosmetic tourism: Public opinion and analysis of information and content available on the internet (2010) Aesthet Surg J, 30, pp. 465-469; Kassim, P.N., Medicine beyond borders: The legal and ethical challenges (2009) Med Law, 28, pp. 439-450; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? the role of networks in determining medical travel (2015) Soc Sci Med, 124, pp. 356-363; Livingston, R., Berlund, P., Eccles-Smith, J., Sawhney, R., The real cost of “cosmetic tourism” cost analysis study of “cosmetic tourism” complications presenting to a public hospital (2015) Eplasty, 15, p. e34; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) J Plast Reconstr Aesthet Surg, 65, pp. 22-28; Imagine All the People: Dominicans in Boston, , http://www.bostonredevelopmentauthority.org/getattachment/713958bf-d8fa-454a-a64f-a94778010907, Accessed March 10, 2016; Member Booklet for Health and Dental Coverage and Help Paying Costs, , http://www.mass.gov/eohhs/docs/masshealth/membappforms/aca-1-english-mb.pdf, Commonwealth of Massachusetts, Executive Office of Health and Human Services. Accessed March, 28, 2016; Sun, Sea, Sand and Silicone: Mapping Cosmetic Surgery Tourism, , http://1n1xkd2j1u702vcxsr1pe3h6.wpengine.netdna-cdn.com/files/2012/11/Sun-Sea-Final-Report.pdf, University of Leeds. Accessed March 28, 2016; Holliday, R., Bell, D., Cheung, O., Jones, M., Probyn, E., Brief encounters: Assembling cosmetic surgery tourism (2015) Soc Sci Med, 124, pp. 298-304; Iorio, M.L., Verma, K., Ashktorab, S., Davison, S.P., Medical tourism in plastic surgery: Ethical guidelines and practice standards for perioperative care (2014) Aesthetic Plast Surg, 38, pp. 602-607; Kumar, S., Breuing, R., Chahal, R., Globalization of health care delivery in the united states through medical tourism (2012) J Health Commun, 17, pp. 177-198; Zosso, C., Lienhard, R., Siegrist, H.H., Malinverni, R., Clerc, O., Post liposuction infections by rapidly growing mycobacteria (2015) Infect Dis (Lond.), 47, pp. 69-72; Engdahl, R., Cohen, L., Pouch, S., Rohde, C., Management of mycobacterium abscessus post abdominoplasty (2014) Aesthetic Plast Surg, 38, pp. 1138-1142; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int J Qual Health Care, 23, pp. 1-7; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) Int J Health Care Qual Assur, 26, pp. 688-702; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) J Contin Educ Health Prof, 28, pp. 99-102; Adabi, K., Stern, C.S., Weichman, K.E., Population health implications of medical tourism (2017) Plast Reconstr Surg, 140, pp. 66-74; Klein, H.J., Simic, D., Fuchs, N., Complications after cosmetic surgery tourism (2017) Aesthet Surg J, 37, pp. 474-482","Orgill, D.P.; Division of Plastic Surgery, Brigham and Women’s Hospital, 75 Francis Street, United States; email: dorgill@partners.org",,,"Lippincott Williams and Wilkins",,,,,00321052,,PRSUA,"29595725","English","Plast. Reconstr. Surg.",Article,"Final",,Scopus,2-s2.0-85052834394 "Azzopardi-Muscat N., Baeten R., Clemens T., Habicht T., Keskimäki I., Kowalska-Bobko I., Sagan A., van Ginneken E.","56185341300;6507750396;55320378500;40261586000;7004064442;57184231700;55353708900;37001130300;","The role of the 2011 patients' rights in cross-border health care directive in shaping seven national health systems: Looking beyond patient mobility",2018,"Health Policy","122","3",,"279","283",,8,"10.1016/j.healthpol.2017.12.010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040016427&doi=10.1016%2fj.healthpol.2017.12.010&partnerID=40&md5=e336e07ce0fc6b6b4c95b10c14df3c03","Department of Health Services Management, Faculty of Health Science University of Malta, Department of International Health, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, Netherlands; European Social Observatory (OSE), Belgium; Department of International Health, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, Netherlands; Ministry of Social Affairs, Tallinn, Estonia; National Institute for Health and Welfare (THL), Department of Health and Social Care Systems, Helsinki, Finland; University of Tampere, Faculty of Social Sciences, Finland; Jagiellonian University, Medical College, Faculty of Health Science, Kraków, Poland; European Observatory on Health Systems and Policies, London School of Economics and Political Science (LSE), United Kingdom; European Observatory on Health Systems and Policies, Berlin University of Technology, Germany","Azzopardi-Muscat, N., Department of Health Services Management, Faculty of Health Science University of Malta, Department of International Health, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, Netherlands; Baeten, R., European Social Observatory (OSE), Belgium; Clemens, T., Department of International Health, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, Netherlands; Habicht, T., Ministry of Social Affairs, Tallinn, Estonia; Keskimäki, I., National Institute for Health and Welfare (THL), Department of Health and Social Care Systems, Helsinki, Finland, University of Tampere, Faculty of Social Sciences, Finland; Kowalska-Bobko, I., Jagiellonian University, Medical College, Faculty of Health Science, Kraków, Poland; Sagan, A., European Observatory on Health Systems and Policies, London School of Economics and Political Science (LSE), United Kingdom; van Ginneken, E., European Observatory on Health Systems and Policies, Berlin University of Technology, Germany","Reports on the implementation of the Directive on the application of Patients' Rights in Cross-border Healthcare indicate that it had little impact on the numbers of patients seeking care abroad. We set out to explore the effects of this directive on health systems in seven EU Member States. Key informants in Belgium, Estonia, Finland, Germany, Malta, Poland and The Netherlands filled out a structured questionnaire. Findings indicate that the impact of the directive varied between countries and was smaller in countries where a large degree of adaptation had already taken place in response to the European Court of Justice Rulings. The main reforms reported include a heightened emphasis on patient rights and the adoption of explicit benefits packages and tariffs. Countries may be facing increased pressure to treat patients within a medically justifiable time limit. The implementation of professional liability insurance, in countries where this did not previously exist, may also bring benefits for patients. Lowering of reimbursement tariffs to dissuade patients from seeking treatment abroad has been reported in Poland. The issue of discrimination against non-contracted domestic private providers in Estonia, Finland, Malta and The Netherlands remains largely unresolved. We conclude that evidence showing that patients using domestic health systems have actually benefitted from the directive remains scarce and further monitoring over a longer period of time is recommended. © 2018 The Author(s)","Cross-border health care; European union; Health policy; Health system; Patients' rights","adoption; adult; Belgium; clinical article; court; Estonia; European Union; female; Finland; Germany; health care policy; human; justice; legal liability; male; Malta; monitoring; Netherlands; patient mobility; patient right; Poland; public health; reimbursement; structured questionnaire; economics; European Union; government; health care delivery; international cooperation; medical tourism; migration; patient right; questionnaire; trends; Emigration and Immigration; European Union; Government Programs; Health Services Accessibility; Humans; International Cooperation; Medical Tourism; Patient Rights; Surveys and Questionnaires",,,,,,,,"European Union, Directive 2011/24/EU of the European Parliament and of the council of 9 march 2011 on the application of patients’ rights in cross-border healthcare (2011) Official J Eur Union, (April 4). , L 88:45; Baeten, R., (2005) The potential impact of the services directive on healthcare services, pp. 239-262. , P. Nihoul A.C. Simon L'Europe et les soins de santé Brussels De Boeck, Larcier; Wismar, M., Palm, W., Figueras, J., Ernst, K., Van Ginneken, E., Cross-border Health Care in the European Union: Mapping and Analysing Practices and Policies. Cross-border Health Care in the European Union: Mapping and Analysing Practices and Policies (2011); Frischhut, M., Fahy, N., (2016), Patient Mobility in Times of Austerity: A Legal and Policy Analysis of the Petru Case; Azzopardi Muscat, N., Clemens, T., Stoner, D., Helmut, B., EU country specific recommendations for health systems in the european semester process: trends, discourse and predictors (2015) Health Policy; Kattelus, M., Implementation of the directive on the application on patient's rights in cross-border healthcare (2011/24/EU) in Finland (2014) Eur J Health Law, 21 (March 1), pp. 23-32; Olsena, S., Implementation of the patients' rights in cross-border healthcare directive in Latvia (2014) Eur J Health Law, 21 (March 1), pp. 46-55; Requejo, M.T., Cross-border healthcare in Spain and the implementation of the directive 2011/24/eu on the application of patient's rights in cross-border healthcare (2014) Eur J Health Law, 21 (March 1), pp. 79-96; Schwebag, M., Implementation of the cross-border care directive in EU Member States: luxembourg (2014) Eur J Health Law, 21 (1), pp. 56-64; Vidalis, T., Kyriakaki, I., Cross-border healthcare: directive 2011/24 and the greek law (2014) Eur J Health Law, 21 (1), pp. 33-45; (2015), European Commission Commission report on the operation of Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare COM 2015 (421); Opinion, T.N.S., (2015), p. 425. , Social Special Eurobarometer 425: Patients’ rights in cross-border healthcare in the European Union May, 2015; Rosenmöller, M., McKee, M., Baeten, R., Patient mobility in the European Union, Learning from experience 2006; Baeten, R., Cross-border patient mobility in the European Union: in search of benefits from the new legal framework (2014) J Health Serv Res Policy, 19 (4), pp. 195-197; Van Ginneken, E., Busse, R., Zur behandlung ins ausland? Möglichkeiten grenzüberschreitender gesundheitsversorgung in der europäischen union (Going abroad for treatment? opportunities for cross-border care in the european union) (2008) MDK Forum, 12 (3), pp. 5-9; Exadaktylos, T., Radaelli, C.M., Europeanisation (2015) Research Methods in European Studies, pp. 206-218. , K. Lynggaard I. Manners K. Lofgren Palgrave Macmillan; Council of the European Union. Council Conclusions on Common values and principles in European Union Health Systems (2006); Azzopardi-Muscat, N., Sorensen, K., Aluttis, C., Pace, R., Brand, H., Europeanisation of health systems: a qualitative study of domestic actors in a small state (2016) BMC Public Health, 16 (1), p. 1; Börzel, T., Risse, T., When Europe hits home: europeanization and domestic change (2000) Eur Integr Online Papers (EIoP), 4 (15); Cowles, M.G., Caporaso, J.A., Risse-Kappen, T., Transforming Europe: Europeanization and Domestic Change (2001), Cornell University Press; Baeten, R., Vanhecke, B., Coucheir, M., The Europeanisation of National Health Care Systems: Creative Adaptation in the Shadow of Patient Mobility Case Law. Ose Paper Series (2010); Azzopardi-Muscat, N., Aluttis, C., Sorensen, K., Pace, R., Brand, H., The impact of the EU Directive on patients’ rights and cross border health care in Malta (2015) Health Policy, 119 (10), pp. 1285-1292; Ritter, Cyril, Purely Internal Situations, Reverse Discrimination, Guimont, Dzodzi and Article 234 (2006), https://ssrn.com/abstract=954242, https://doi.org/10.2139/ssrn.954242, (June 16, 2006) Available at SSRN: or; European Court of Justice Judgment of the Court (Grand Chamber) of 16 May 2006. The Queen, Yvonne Watts v Bedford Primary Care Trust and Secretary of State for Health (2006), Case C-372/04. 2006 16. 5; (2017), https://health.gov.mt/en/hcs/Pages/patient-charter.aspx, Ministry for Health M. Charter of Patient's Rights and Responsibilities 2016 (Accessed: 19 January); Vollaard, H., Patient mobility, changing territoriality and scale in the EU's internal market (2016) Comp Eur Politics, 15 (3), pp. 435-458; Kowalska-Bobko, I., Mokrzycka, A., Sagan, A., Włodarczyk, W.C., Zabdyr-Jamróz, M., Implementation of the cross-border healthcare directive in Poland: how not to encourage patients to seek care abroad? (2016) Health Policy, 120 (11), pp. 1233-1239","Azzopardi-Muscat, N.; Department of Health Services Management, Faculty of Health Science University of Malta, Department of International Health, CAPHRI School for Public Health and Primary Care, Maastricht UniversityNetherlands; email: Natasha.azzopardi-muscat@um.edu.mt",,,"Elsevier Ireland Ltd",,,,,01688510,,HEPOE,"29317109","English","Health Policy",Article,"Final",Open Access,Scopus,2-s2.0-85040016427 "Whittaker A., Chee H.L., Por H.H.","7102570392;7004224160;57194193140;","Regional circuits of international medical travel: Prescriptions of trust, cultural affinity and history",2017,"Asia Pacific Viewpoint","58","2",,"136","147",,8,"10.1111/apv.12158","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019092571&doi=10.1111%2fapv.12158&partnerID=40&md5=84a1a27c12a354f8d00a28c1d63384d4","School of Social Sciences, Faculty of Arts, Monash University, Melbourne, VIC 3800, Australia; KANITA, Universiti Sains Malaysia, Penang, Malaysia; Center of Poverty and Development Studies, University of Malaya, Kuala Lumpur, Malaysia","Whittaker, A., School of Social Sciences, Faculty of Arts, Monash University, Melbourne, VIC 3800, Australia; Chee, H.L., KANITA, Universiti Sains Malaysia, Penang, Malaysia; Por, H.H., Center of Poverty and Development Studies, University of Malaya, Kuala Lumpur, Malaysia","Intra-regional medical travel by patients from Indonesia to Penang in Malaysia is embedded in and facilitated by regional circuits. Although such movement is fuelled by dissatisfaction with the health-care services offered in Indonesia, we argue that these contemporary movements for health care are also a continuation of existing exchanges for trade, education and cultural ties that have long existed. In the first part of the paper, we consider the historical interconnections between the locations of Medan and Aceh in Indonesia and Penang in Malaysia. Based upon fieldwork and interviews with 70 intra-regional patients travelling to Penang for treatment, we describe how these interconnections are now manifested in travel for medical care. We argue that the temporary exit from the Indonesian health system to pursue care in hospitals in Penang by some Chinese Indonesians and Acehnese follows patterns and logics based on social histories of discrimination and conflict as well as geographical convenience. This highlights the need to contextualise such travel not just as geographic movements across space but also through the depth of time and local histories. © 2017 Victoria University of Wellington and John Wiley & Sons Australia, Ltd","Aceh; ethnic Chinese Indonesians; Indonesian patients; Malaysia; medical travel; regional networks","cultural history; ethnicity; health care; health services; international tourism; medical tourism; travel behavior; Aceh; Indonesia; Malaysia; Medan; North Sumatra; Penang; West Malaysia",,,,,"Monash University, MU Australian Research Council, ARC: DP 1094895 National University of Singapore, NUS CF12/1546-2012000517","This study was funded by the Australian government through the Australian Research Council (ARC) Discovery Project (grant number DP 1094895). This paper was originally presented at the ?International medical travel and the politics of transnational mobility in Asia? workshop, 26?27 August 2015, Asia Research Institute, supported by the National University of Singapore and the School of Social Sciences, Monash University. We wish to thank all hospital staff members and patients who contributed to the study from which this work is derived. The names of all patients used in this paper are pseudonyms. Ethical clearance was obtained through the Human Ethics Research Committee of the University of Queensland and Monash University (CF12/1546-2012000517).",,"Lubis, A.-R., The Indonesians in Penang, 1786-2000, , IIAS Newsletter Online, Number 24; Ananta, A., Arifin, E.N., Bakhtiar, Chinese Indonesians in Indonesia and the Province of Riau Archipelago: A demographic analysis (2008) Ethnic Chinese in contemporary Indonesia, pp. 17-47. , in, L. Suryadinata, (ed.),, Institute of Southeast Asian Studies, Singapore; Belton, S., Whittaker, A., Kathy Pan, sticks and pummelling: Techniques used to induce abortion by Burmese women on the Thai border (2007) Social Science & Medicine, 65 (7), pp. 1512-1523; Bochaton, A., Cross-border mobility and social networks: Laotians seeking medical treatment along the Thai border (2015) Social Science & Medicine, 124, pp. 364-373; Crush, J., Chikanda, A., South–South medical tourism and the quest for health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320; Crush, J., Chikanda, A., Sanders, D., Maswikwa, B., The rise of medical tourism to South Africa (2015) Handbook on Medical Tourism and Patient Mobility, pp. 323-331. , in, N. Lunt, D. Horsfall, J. Hanefeld, (eds.), Edward Elgar, Cheltenham; Chee, H.L., Ownership, control and contention: Challenges for the future of healthcare in Malaysia (2008) Social Science & Medicine, 66, pp. 2145-2156; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Connell, J., (2011) Medical tourism, , Wallingford, Oxfordshire, Cabi; Connell, J., Contemporary medical tourism: Conceptualization, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Dawis, A., (2009) The Chinese of Indonesia and their search for identity: The relationship between collective memory and the media, , Amherst, New York, Cambria Press; Desforges, L., Jones, R., Woods, M., New geographies of citizenship (2005) Citizenship studies, 9 (5), pp. 439-451; Fatoni, R., (2012), http://health.kompas.com/read/2012/08/01/15330915/Presiden.Kritik.WNI.yang.Berobat.ke.Luar.Negeri, Presiden Kritik WNI yang Berobat ke Luar Negeri, (The president criticises Indonesian medical travellers)., Kompas, Wednesday, 1, August 2012. 23 Retrieved 2013, from Website; Gesler, W.M., Therapeutic landscapes: medical issues in light of the new cultural geography (1992) Social Science & Medicine, 34 (7), pp. 735-746; Gin, O., Disparate identities: Penang from a historical perspective, 1780–1941 (2015) Kajian Malaysia, 33, pp. 27-52; Hoon, C.Y., Assimilation, multiculturalism, hybridity: The dilemmas of the ethnic Chinese in post-Suharto Indonesia (2015) Asian Ethnicity, 7 (2), pp. 149-166; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Hussin, N., Charting the early history of Penang trading networks and its connections with the new ASEAN growth triangle (Malaysia–Indonesia–Thailand) (2007) Malaysian Journal of Society and Space, 3, pp. 75-83; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology Quarterly, 21 (1), pp. 35-78; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Social Science & Medicine, 67 (1), pp. 101-110; (2014), https://mhtc.org.my, Retrieved 13 February, from Website; Nazem, G., Badaruddin, M., Understanding medical tourists' perception of private hospital service quality in Penang Island (2016) Asian Culture and History, 8 (1), pp. 100-111; Ormond, M., (2013) Neoliberal governance and international medical travel in Malaysia, , Abingdon, Routledge; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on South–South intra-regional medical travel (2014) Current Issues in Tourism, 11, pp. 1-17; Ormond, M., En route: Transport and embodiment in international medical travel journeys between Indonesia and Malaysia (2015) Mobilities, 10 (2), pp. 285-303; Ormond, M., Solidarity by demand? Exit and voice in international medical travel – The case of Indonesia (2015) Social Science & Medicine, 124, pp. 305-312; Panggabean, S.R., Smith, B., Explaining anti-Chinese riots in late 20th century Indonesia (2011) World Development, 39 (2), pp. 231-242; Reid, A., War, peace and the burden of history in Aceh (2004) Asian Ethnicity, 5 (3), pp. 301-314. , https://doi.org/10.1080/1463136042000259761; Siddiqi, S., Shennawy, A., Mirza, Z., Drager, N., Sabri, B., Assessing trade in health services in coutnires of the Eastern Mediterranean from a public health perspective (2010) International Journal of Health Planning and Management, 25, pp. 231-250. , https://doi.org/10.1002/hpm.989; (2016) Myanmar group to tour Penang hospitals, , http://www.thestar.com.my/metro/community/2016/03/24/myanmar-group-to-tour-penang-hospitals/, The Star, Thursday, 24 March, Retrieved 10 April 2016 from Website; Subritzky, J., Britain, Konfrontasi, and the end of empire in Southeast Asia, 1961–65 (2000) The Journal of Imperial and Commonwealth History, 28 (3), pp. 209-227; Smith, C., (2011) War, medicine and morality in Aceh: An ethnography of ‘trauma’ as an idiom of distress, , Unpublished PhD thesis, Australian National University; Smith, C., Doctors that harm, doctors that heal: Reimagining medicine in post-conflict Aceh, Indonesia (2015) Ethnos, 80 (2), pp. 272-291; Toyota, M., Chee, H.L., Xiang, B., Global track, national vehicle: Transnationalism in medical tourism in Asia (2013) EJOTS: European journal of transnational studies, 5 (1), pp. 27-53; Turner, L., ‘First world health care at third world prices’: globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Turner, S., Allen, P., Chinese Indonesians in a rapidly changing nation: Pressures of ethnicity and identity (2007) Asia Pacific Viewpoint, 48 (1), pp. 112-127; Whittaker, A., ‘Outsourced’ patients and their companions: Stories from forced medical travellers (2015) Global Public Health, 10 (4), pp. 485-500; Whittaker, A., Chee, H.L., Perceptions of an ‘international hospital’ in Thailand by medical travel patients: Cross-cultural tensions in a transnational space (2015) Social Science & Medicine, 124, pp. 290-297; Wong, Y., The big five Hokkien families in Penang, 1830s–1890s (2007) Chinese Southern Diaspora Studies, 1. , http://chl-old.anu.edu.au/publications/csds/csds2007/Wong.pdf, Retrieved 9 March 2017 from Website",,,,"Blackwell Publishing Ltd",,,,,13607456,,,,"English","Asia Pac. Viewp.",Article,"Final",Open Access,Scopus,2-s2.0-85019092571 "Johnston R., Crooks V.A., Cerón A., Labonté R., Snyder J., Núñez E.O., Flores W.G.","36500711800;35585107800;37012054200;55334992200;24170239100;55841783800;6701624547;","Providers’ perspectives on inbound medical tourism in Central America and the Caribbean: factors driving and inhibiting sector development and their health equity implications",2016,"Global Health Action","9","1", 32760,"","",,8,"10.3402/gha.v9.32760","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049222548&doi=10.3402%2fgha.v9.32760&partnerID=40&md5=f985080be747a0e51f9534c9cfc1c118","Department of Geography, Simon Fraser University, Burnaby, Canada; Department of Anthropology, University of Denver, Denver, CO, United States; Faculty of Medicine, University of Ottawa, Ottawa, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Instituto Nacional de Salud Pública, Cuernavaca, Mexico; Centro de Estudios para la Equidad y Gobernanza en los Sistemas de Salud, Guatemala, Guatemala","Johnston, R., Department of Geography, Simon Fraser University, Burnaby, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, Canada; Cerón, A., Department of Anthropology, University of Denver, Denver, CO, United States; Labonté, R., Faculty of Medicine, University of Ottawa, Ottawa, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Núñez, E.O., Instituto Nacional de Salud Pública, Cuernavaca, Mexico; Flores, W.G., Centro de Estudios para la Equidad y Gobernanza en los Sistemas de Salud, Guatemala, Guatemala","Background: Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector. Objective: To identify common social, economic, and health system factors shaping the development of medical tourism in three Central American and Caribbean countries and their health equity implications. Design: In-depth, semi-structured interviews were conducted in Mexico, Guatemala, and Barbados with 150 health system stakeholders. Participants were recruited from private and public sectors working in various fields: trade and economic development, health services delivery, training and administration, and civil society. Transcribed interviews were coded using qualitative data management software, and thematic analysis was used to identify cross-cutting issues regarding the drivers and inhibitors of medical tourism development. Results: Four common drivers of medical tourism development were identified: 1) unused capacity in existing private hospitals, 2) international portability of health insurance, vis-a-vis international hospital accreditation, 3) internationally trained physicians as both marketable assets and industry entrepreneurs, and 4) promotion of medical tourism by public export development corporations. Three common inhibitors for the development of the sector were also identified: 1) the high expense of market entry, 2) poor sector-wide planning, and 3) structural socio-economic issues such as insecurity or relatively high business costs and financial risks. Conclusion: There are shared factors shaping the development of medical tourism in Central America and the Caribbean that help explain why it is being pursued by many hospitals and governments in the region. Development of the sector is primarily being driven by public investment promotion agencies and the private health sector seeking economic benefits with limited consideration and planning for the health equity concerns medical tourism raises. © 2016, © 2016 Rory Johnston et al.","Caribbean; Central America; health services research; medical tourism; qualitative methods","accreditation; adult; article; Barbados; Caribbean; economic development; genetic transcription; government; Guatemala; health equity; health insurance; health services research; human; investment; medical tourism; Mexico; public sector; qualitative analysis; semi structured interview; software; thematic analysis",,,,,"Michael Smith Foundation for Health Research, MSFHR Canadian Institutes of Health Research, CIHR Canadian Institutes of Health Research, CIHR","This study was funded by an operating grant from the Canadian Institutes of Health Research (CIHR). RJ is funded by a doctoral fellowship from CIHR. VAC is funded by a Scholar Award from the Michael Smith Foundation for Health Research and holds the Canada Research Chair in Health Service Geographies. RL holds the Canada Research Chair in Globalization and Health Equity.",,"Kannan, P., Dubai reveals master plan for 500,000 medical tourists a year, , http://www.thenational.ae/uae/tourism/dubai-reveals-master-plan-for-500-000-medical-tourists-a-year, The National, 24 March 2014. Available from: [cited 10 September 2015]; Leng, C.H., Medical tourism and the state in Malaysia and Singapore (2010) Glob Soc Policy, 10, pp. 336-357; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376, pp. 671-672; Ormond, M., (2013) Neoliberal governance and international medical travel in Malaysia, , Abingdon: Routledge; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 12; Turner, L., ‘First world health care at third world prices’: globalization, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bull World Health Organ, 89, pp. 336-344; Lautier, M., International trade of health services: global trends and local impact (2014) Health Policy, 118, pp. 105-113; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13; Figueroa, A., Mexico steps up efforts to attract medical tourists, , http://www.travelmarketreport.com/articles/Mexico-Steps-Up-Efforts-to-Attract-Medical-Tourists, Travel Market Report, 10 April 2014. Available from: [cited 10 September 2015]; Turismo de salud creceen Guatemala, , http://www.nacion.com/economia/Turismo-salud-creceen-Guatemala_0_1231276952.html, La Nación, 10 November 2011. Available from: [cited 10 September 2015]; Barbados seeking to become health care capital of the Caribbean, , http://www.barbadosadvocate.com/newsitem.asp?more=3Dlocal&NewsID=24703, Barbados Advocate, 15 May 2012. Available from: [cited 15 May 2015]; Núñez, E.O., Arias, R.M.B., Martínez, M.E.A., Larios, J.A.R., Crooks, V.A., Labonté, R., (2014) An overview of Mexico's medical tourism industry–Version 1.0, , Burnaby: Department of Geography, Simon Fraser University; Cerón, A., Flores, W., Crooks, V.A., Labonté, R., Snyder, J., (2014) An overview of Guatemala's medical tourism industry–Version 2.0, , Burnaby: Department of Geography, Simon Fraser University; Johnston, R., Crooks, V.A., Snyder, J., Fraser, H., Labonté, R., Adams, K., (2013) An overview of Barbados, , medical tourism industryVersion 2.0’ Burnaby: Department of Geography, Simon Fraser University; NVivo Version 10 [Software, , http://www.qsrinternational.com/, Available from; Ackerman, S.L., Plastic paradise: transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Med Anthropol, 29, pp. 403-423; Lautier, M., Export of health services from developing countries: the case of Tunisia (2008) Soc Sci Med, 67, pp. 101-110; Turner, L., ‘Medical tourism’ and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) Int J Health Serv, 40, pp. 443-467; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72, pp. 726-732; Johnston, R., Crooks, V.A., Ormond, M., Policy implications of medical tourism development in destination countries: revisiting and revising an existing framework by examining the case of Jamaica (2015) Global Health, 11, p. 29; Connell, J., Medical tourism in the Caribbean Islands: a cure for economies in crisis? (2013) Island Stud J, 8, pp. 115-130; Chen, Y.Y.B., Flood, C.M., Medical tourism's impact on health care equity and access in low- and middle-income countries: making the case for regulation (2013) J Law Med Ethics, 41, pp. 286-300; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Glob Pub Health, 3, pp. 271-290; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73, pp. 300-304; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: understanding medical travel (2010) Med Anthropol, 29, pp. 336-343; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24","Johnston, R.; Department of Geography, Simon Fraser University, BurnabyCanada; email: Rrj1@sfu.ca",,,"Taylor and Francis Ltd.",,,,,16549880,,,,"English","Global Health Action",Article,"Final",Open Access,Scopus,2-s2.0-85049222548 "Goodarzi M., Haghtalab N., Shamshiry E.","57189378592;56530750000;53881799800;","Wellness tourism in Sareyn, Iran: resources, planning and development",2016,"Current Issues in Tourism","19","11",,"1071","1076",,8,"10.1080/13683500.2015.1012192","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84923666831&doi=10.1080%2f13683500.2015.1012192&partnerID=40&md5=9f6d1a6cd58066e8067cc2ee21f3084c","Department of Landscape Engineering, Faculty of Agriculture, Malayer University, Malayer, Iran; Research Management Center (RMC), Universiti Terengganu Malaysia, Kualalumpur, Malaysia","Goodarzi, M., Department of Landscape Engineering, Faculty of Agriculture, Malayer University, Malayer, Iran; Haghtalab, N., Department of Landscape Engineering, Faculty of Agriculture, Malayer University, Malayer, Iran; Shamshiry, E., Research Management Center (RMC), Universiti Terengganu Malaysia, Kualalumpur, Malaysia","Health tourism is a broad concept that incorporates both medical and wellness tourism. Sareyn, city of Ardabil province, is one of the largest and the most diverse cities for health tourism. Although health tourism in Iran is in its infancy, it can offer new opportunities, and strengthen the overall competitiveness of Iran's tourism industry. In this paper, by using strengths, weaknesses, opportunities and threats (SWOT) analysis, the strengths and opportunities for sustainable health tourism are determined. Also, weaknesses and threats are recognized; finally, guidelines for efficiently using the strengths and transforming the weaknesses into opportunities and strengths are presented. © 2015 Taylor & Francis.","health tourism; Sareyn; sustainable tourism; SWOT analysis","assessment method; competitiveness; ecotourism; health care; planning process; resource management; tourism development; tourism management; tourism market; Ardabil; Iran",,,,,,,,"Gilanian, S.H., Shadi Dizchi, B., Ghanbarinejad Esfaghinsari, M., (2011), The effects of electronic business on wellness tourism of Tabriz. The first international conference on wellness tourism, Tehran; Mueller, H., Kaufmann, E., Wellness tourism market analysis of a special health tourist segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 7-15; Myers, J.E., Sweeney, T.J., Witmer, M., (2005), http://www.mindgarden.com/products/wells.htm, A holistic model of wellness. Retrieved March 17, 2010, from; Sheldon, P.J., Park, S.Y., (2008), Sustainable wellness tourism: Governance and entrepreneurship issues. Acta turis-tica, 20(2), 151–172; (2009), Iranian Cultural Heritage Organization, the annual report; Steiner, C.J., Reisinger, Y., Ringing the fourfold: A philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 5-14; (2008), Medical travel in Asia and the Pacific: Challenges and opportunities. Bangkok: Author; (1996), What tourism managers need to know: A practical guide to the development and use of indicators of sustainable tourism. Madrid: Author","Haghtalab, N.; Department of Landscape Engineering, Faculty of Agriculture, Malayer UniversityIran; email: haghtalabn@gmail.com",,,"Routledge",,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Final",,Scopus,2-s2.0-84923666831 "Hee O.C., Kamaludin N., Ping L.","57192663744;57191746634;57191275498;","Motivation and job performance among nurses in the health tourism hospital in Malaysia",2016,"International Review of Management and Marketing","6","4",,"668","672",,8,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992608932&partnerID=40&md5=446d057bc3979dffb54dee06628a684e","International Business School, Universiti Teknologi Malaysia, Johor Bahru, Malaysia; Faculty of Management, Universiti Teknologi Malaysia, Johor Bahru, Malaysia","Hee, O.C., International Business School, Universiti Teknologi Malaysia, Johor Bahru, Malaysia; Kamaludin, N., International Business School, Universiti Teknologi Malaysia, Johor Bahru, Malaysia; Ping, L., Faculty of Management, Universiti Teknologi Malaysia, Johor Bahru, Malaysia","In light of the increasing expectations of health travelers towards the quality of healthcare, this study intends to examine nurses’ motivation and job performance in the health tourism hospital in Malaysia. Nurses were intended in this study because they represented majority of the workforce. The role of nurses is critical in patient’s evaluation of their experience in the hospital. Administered on-site method was used to collect data from 180 respondents in a health tourism hospital. The finding of this study indicates that intrinsic motivation is positively and significantly related to nurses’ job performance. The finding has prompted the hospital management to turn to intrinsic rewards instead of extrinsic rewards to motivate their nurses. Realistically, intrinsic rewards are less costly and more effective in enhancing nurses’ performance. Career development, job enrichment and providing greater autonomy were among the ways to increase nurses’ job performance. In addition, it is suggested that implementing interventions in terms of training, guidance and counseling would be able to produce motivated and high performance nurses in the hospital. This in return will fulfill the existing demands and expectations of the health travelers in Malaysia. © 2016, Econjournals. All rights reserved.","Extrinsic motivation; Intrinsic motivation; Job performance; Nurses",,,,,,,,,"Altindis, S., Job motivation and organizational commitment among the health professionals: A questionnaire survey (2011) African Journal of Business Management, 5 (21), pp. 8601-8609; Babakus, E., Mangold, G., Adapting the SERVQUAL scale to hospital services: An empirical investigation (1992) Health Services Research, 26 (6), pp. 767-780; Balunywa, T., (2005) An Examination of Leadership and Employee Creativity: The Relevance of Traits and Relationships, , Kampala: Makerere University; Berry, D., A multi-phase motivational paradigm for adult education (1971) Adult Education Quarterly, 22 (1), pp. 48-56; Bruce, T.A., Bowman, J.M., Brown, S.T., Factors that influence patient satisfaction in the emergency department (1998) Journal of Nursing Care Quality, 13 (2), pp. 31-37; Daniel, K., Darby, D.N., A dual perspective of customer motivation: A modification, extension and application of the SOCO scale (1997) International Journal of Service Industry Management, 8 (2), pp. 131-147; Darby, D.N., Daniel, K., Factors that influence nurses’ customer orientation (1999) Journal of Nursing Management, 7, pp. 271-280; Devellis, R.F., (2003) Scale Development: Theory and Applications, , 2nd ed. California: Sage; Dieleman, M., Toonen, J., Toure, H., Martineau, T., The match between motivation and performance management of health sector workers in Mali (2006) Human Resources for Health, 4, p. 2; (2011) Economic Transformation Programme, , Annual Report, Malaysia: Jabatan Perdana Menteri; Fritzen, S., Strategic management of the health workforce in developing countries: What have we learned? (2007) Human Resources for Health, 5, p. 4; Hasenfeld, Y., (1983) Human Service Organizations, , Englewood Cliffs, New Jersey: Prentice Hall; Jun, M., Peterson, R., Zsidisin, G.A., The identification and measurement of quality dimensions in health care: Focus group interview results (1998) Health Care Management Review, 23 (4), pp. 81-96; Gagne, M., Deci, E.L., Self-determination theory and work motivation (2005) Journal of Organizational Behavior, 26, pp. 331-362; Hutcheson, G., Sofroniou, N., (1999) The Multivariate Social Scientist, , London: Sage; Johari, H., Hee, O.C., Personality traits and customer-oriented behavior in the health tourism hospitals in Malaysia (2013) International Journal of Trade, Economics and Finance, 4 (4), pp. 213-216; Kerfoot, K., Customerizing in the new millennium (2000) Nursing Economics, 18 (2), pp. 95-97; Kolawole, J.O., Ali, O., Motivational factor of hospital employee: Evidence from North Cyprus (2013) Interdisciplinary Journal of Ciontemporary Researh in Business, 4 (12), pp. 106-123; Lindner, J.R., Understanding employee motivation (1998) Journal of Extension, 36 (3), pp. 28-43; Mankoe, J., Educational Administration and Management in Ghana (2006) Revised Edition, , Kumasi: Payless Publication Ltd; Comparison of Healthcare Travelers between 2011-2014, , http://www.mhtc.org.my/en/statistics.aspx, [Last retrieved on 2015 Aug]; Muogbo, U.S., The influence of motivation on employees’ performance: A study of some selected firms in Anambra State (2013) An International Journal of Arts and Humanities Bahir Dar, Ethiopia, 2 (3), pp. 134-151; Pascoe, C., Patient satisfaction in primary health care: A literature review and analysis (1983) Evaluation and Program Planning, 6 (3-4), pp. 185-197; Ryan, R.M., Deci, E.L., Intrinsic and extrinsic motivations: Classic definitions and new directions (2000) Contemporary Educational Psychology, 25, pp. 54-67. , Tenth Malaysia Plan. Private Sector to Take the Lead. Equity Beat, Midf Research, 11 June; Sansone, S., Smith, J.L., Interest and self-regulation: The relation between having to and wanting to (2000) Intrinsic and Extrinsic Motivation: The Search for Optimal Motivation and Performance, pp. p341-p372. , Sansone, C., Harackiewicz, J.M., editors, San Diego, CA: Academic Press; Saunders, M., Lewis, P., Thornhill, A., (2007) Research Methods for Business Students, , Essex: Prentice Hall; Tabachnick, B.G., Fidell, L.S., (2007) Using Multivariate Statistics, , 5th ed. Boston: Pearson Education, Inc; Yoon, S.J., Choi, D.C., Park, J.W., Service orientation: Its impact on business performance in the medical service industry (2007) The Service Industries Journal, 27 (4), pp. 371-388",,,,"Econjournals",,,,,21464405,,,,"English","Int. Rev. Manag. Mark.",Article,"Final",,Scopus,2-s2.0-84992608932 "Suzana M., Mills A., Tangcharoensathien V., Chongsuvivatwong V.","56868559400;7202863031;6603881445;7003394792;","The economic burden of overseas medical treatment: A cross sectional study of Maldivian medical travelers",2015,"BMC Health Services Research","15","1", 418,"","",,8,"10.1186/s12913-015-1054-2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84942279715&doi=10.1186%2fs12913-015-1054-2&partnerID=40&md5=6421c6e233749d3fd7e02da18ca0bd2f","Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkla, 90110, Thailand; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E7HT, United Kingdom; International Health Policy Program, Ministry of Public Health, Tiwanon Road, Nonthaburi, 11000, Thailand","Suzana, M., Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkla, 90110, Thailand; Mills, A., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E7HT, United Kingdom; Tangcharoensathien, V., International Health Policy Program, Ministry of Public Health, Tiwanon Road, Nonthaburi, 11000, Thailand; Chongsuvivatwong, V., Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkla, 90110, Thailand","Background: Access to tertiary care is a problem common to many small states, especially island ones. Although medical treatment overseas (MTO) may result in cost savings to high income countries, it can be a relatively high cost for low and middle income source countries. The purpose of this study was to estimate the costs of overseas medical treatment incurred by the households of medical travelers from Maldives and assess the burden of medical treatment overseas on the government and on households. Methods: A survey was conducted of inbound Maldivian medical travelers who traveled during the period June - December 2013. Participants were stratified by the source of funds used for treatment abroad. Three hundred and forty four government-subsidized and 471 privately funded Maldivians were interviewed. Self-reported data on the utilization and expenses incurred during the last visit abroad, including both expenses covered by the government and borne by the household, were collected using a researcher administered structured questionnaire. Results: The median per capita total cost of a medical travel episode amounted to $1,470. Forty eight percent of the cost was spent on travel. Twenty six percent was spent on direct medical costs, which were markedly higher among patients subsidized by the government than self-funded patients (p = <0.001). The two highest areas of spending for public funds were neoplasms and diseases of the circulatory system in contrast to diseases of the musculoskeletal system and nervous system for privately funded patients. Medical treatment overseas imposed a considerable burden on households as 43 % of the households of medical travelers suffered from catastrophic health spending. Annually, an estimated $68.9 million was spent to obtain treatment for Maldivians in overseas health facilities ($204 per capita), representing 4.8 % of the country's GDP. Conclusions: Overseas medical treatment represents a substantial economic burden to the Maldives in terms of lost consumer spending in the local economy and catastrophic health spending by households. Geographical inequality in access to public funds for MTO and the disproportionate travel cost borne by travelers from rural areas need to be addressed in the existing Universal Health Care programme to minimize the burden of MTO. Increased investment to create more capacity in the domestic health infrastructure either through government, private or by foreign direct investment can help divert the outflow on MTO. © 2015 Suzana et al.","Health finance; Maldives; Medical tourism; Medical treatment overseas","adolescent; cross-sectional study; economics; epidemiology; female; financial management; health care cost; health care delivery; health care policy; health insurance; human; Indian Ocean; male; medical tourism; middle aged; public health; socioeconomics; standards; statistics and numerical data; trends; Adolescent; Cross-Sectional Studies; Delivery of Health Care; Female; Financing, Personal; Health Care Reform; Health Expenditures; Humans; Indian Ocean Islands; Insurance, Health; Male; Medical Tourism; Middle Aged; Public Health; Socioeconomic Factors",,,,,,,,"(2013) International Medical Travel Journal March, 92. , http://rickshawtravels.com/about/articledetails/The-Medical-Tourism-Climate-Survey-2013-/63; Research, R., (2012) Asia Medical Tourism Analysis and Forecast to 2015, , http://www.slideshare.net/renubresearch/asia-medical-tourismanalysis-and-forecast-to-2015-21994208; (2013) The General Agreement on Trade in Services, , http://www.wto.org/english/docs_e/legal_e/26-gats.pdf, April 2013; Zimny, Z., (2011) Foreign Direct Investment in Health Services, , Available at SSRN 2433906; (2006) National Health Accounts 2006-2007, , http://www.wpro.who.int/southpacific/programmes/health_sector/health_financing/SamoaNHA20062007.pdf, S.D.a.P. Division, Editor : Samoa; (2009) Sychelles First National Health Accounts 2009, , http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/08/14/000425962_20120814172155/Rendered/PDF/707820ESW0P1150lles0nha0report02009.pdf; (2014) Small States Overview, , http://www.worldbank.org/en/country/smallstates/overview; (2013) Statistical Yearbook of Maldives 2012, , http://planning.gov.mv/yearbook2012/yearbook/Population/3.12.htm, D.o.N. Planning, Editor, Ministry of Finance and Treasury: Republic of Maldives; (2010) Maldives Demographic Health Survey 2009, , http://www.measuredhs.com/pubs/pdf/FR237/FR237.pdf, May 2013; (2013) India Medical Tourism Industry Outlook to 2015, , http://www.reportlinker.com/p0760972-summary/India-Medical-Tourism-Industry-Outlook-to.html, 10 May 2013; (2014) World Development Indicators: Health Systems, , http://wdi.worldbank.org/table/2.15, [cited 2014 29 July]; (2013) Maldives National Health Accounts 2009-2011, , Maldives: National Social Protection Agency (NSPA); Authority, M.M., (2014) Maldivians Travelling Abroad 2013, , Maldives: Maldives Central Bank; (2010) Organization WH, ICD-10 Version: 2010, 29, p. 2012. , http://apps.who.int/classifications/icd10/browse/2015/en#/XXI, Retrieved July; WHO, (2014) (ICD-10) Version for 2010, , http://apps.who.int/classifications/icd10/browse/2010/en#/XXI, 30 July 2014; O'Donnell, O.A., Wagstaff, A., Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation 2008, , World Bank Publications Washington DC; (2014) R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria, 2012; (2014) Summary of Gross Domestic Product (GDP) Estimates for 2005-2015, , Republic of Maldives: Department of National Planning M; Su, D., Richardson, C., Wen, M., Pagán, J.A., Cross-border utilization of health care: Evidence from a population-based study in south Texas (2011) Health Services Research, 46 (3), pp. 859-876; Runnels, V., Labonté, R., Packer, C., Chaudhry, S., Adams, O., Blackmer, J., Canadian physicians' responses to cross border health care (2014) Global Health, 3 (10), p. 20; Noree, T., Hanefeld, J., Smith, R., UK medical tourists in Thailand: They are not who you think they are (2014) Global Health, 10 (1), p. 29; Maheshwari, S., Animasahun, B.A., Njokanma, O.F., International patients with congenital heart disease: What brings them to India? (2012) Indian Heart J., 64 (1), pp. 50-53; Johnston, R., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9 (1), p. 24; Limwattananon, S., Vongmongkol, V., Prakongsai, P., Patcharanarumol, W., Hanson, K., Tangcharoensathien, V., Mills, A., (2011) The Equity Impact of Universal Coverage: Health Care Finance, Catastrophic Health Expenditure, Utilization and Government Subsidies in Thailand, p. 6. , http://r4d.dfid.gov.uk/Output/188980, Consortium for Research on Equitable Health Systems, Ministry of Public Health; Atun, R., Aydin, S., Chakraborty, S., Sümer, S., Aran, M., Gürol, I., Universal health coverage in Turkey: Enhancement of equity (2013) The Lancet, 382 (9886), pp. 65-99; Knaul, F.M., González-Pier, E., Gómez-Dantés, O., García-Junco, D., Arreola-Ornelas, H., Barraza-Lloréns, M., The quest for universal health coverage: Achieving social protection for all in Mexico (2012) The Lancet, 380 (9849), pp. 1259-1279; Gold, S., (2011) How European Nations Run National Health Services Belgium, France, Germany and Sweden Run Publicly Funded Health Services Similar in Scope to the UK's NHS - But in Very Different Ways, , http://www.theguardian.com/healthcare-network/2011/may/11/european-healthcare-services-belgium-france-germanysweden, The guardian Wednesday, 11 May; (2007) Cross Border Health Services in the EU Analytical Report, p. 42. , http://ec.europa.eu/public_opinion/flash/fl_210_en.pdf; Kelly, J., Dwyer, J., Willis, E., Pekarsky, B., Travelling to the city for hospital care: Access factors in country aboriginal patient journeys (2014) Australian Journal of Rural Health, 22 (3), pp. 109-113; Abiiro, G.A., Mbera, G.B., De Allegri, M., Gaps in universal health coverage in Malawi: A qualitative study in rural communities (2014) BMC Health Serv Res., 14 (1), p. 234; Liambila, W.N., Kuria, S.N., Birth attendance and magnitude of obstetric complications in western Kenya: A retrospective case-control study (2014) BMC Pregnancy Childbirth, 14 (1), p. 311; Chen, P.T., Kung, R.H., Huang, M.Y., Chen, F.D., Pei, L., Exploring the medical tourism development barriers and participation willingness in Taiwan: An example of mainland tourist (2012) Proceedings of World Academy of Science, Engineering and Technology, World Academy of Science, Engineering and Technology, p. 68; Hodges, J.R., Turner, L., Kimball, A.M., (2012) Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services, p. 3. , ABC-CLIO; Kutzin, J., Anything goes on the path to universal health coverage? No (2012) Bull World Health Organ., 90 (11), pp. 867-868; Fink, A.J.C., (2007) Trade in Health Services in the ASEAN Region; Nakajima, I., Ohyama, F., Juzoji, H., Sadiq, M.A., Penjor, K., Telemedicine in the land of thunder dragon-east Bhutan tele-ECG project (2003) Enterprise Networking and Computing in Healthcare Industry, 2003, , Healthcom 2003. Proceedings. 5th International Workshop on. IEEE; Haung, C.-Y., Wang, S.-P., Chiang, C.-W., Cost feasibility of a pre-checking medical tourism system for US patients undertaking joint replacement surgery in Taiwan (2010) Chang Gung Med J., 33 (6), p. 684; Ilesanmi, O.S., Adebiyi, A.O., Fatiregun, A.A., National health insurance scheme: How protected are households in oyo state, Nigeria from catastrophic health expenditure? (2014) Int J Health Policy Manag., 2 (4), p. 175; Grogger, J., Arnold, T., León, A.S., Ome, A., Heterogeneity in the effect of public health insurance on catastrophic out-of-pocket health expenditures: The case of Mexico (2015) Health Policy and Planning, 30 (5), pp. 593-599; Norheim, O.F., (2014) Making Fair Choices on the Path to Universal Health Coverage; Srinivasan TN, Trade, Finance, and Investment in South Asia 2002, , Berghahn Books: New Delhi; Connell, J., Medical tourism: Sea, sun, sand and⋯ surgery (2006) Tourism Manag., 27 (6), pp. 1093-1100","Chongsuvivatwong, V.; Epidemiology Unit, Faculty of Medicine, Prince of Songkla UniversityThailand; email: cvirasak@gmail.com",,,"BioMed Central Ltd.",,,,,14726963,,,"26409472","English","BMC Health Serv. Res.",Article,"Final",Open Access,Scopus,2-s2.0-84942279715 "Guy B.S., Nevins Henson J.L., Dotson M.J.","7005335892;57192404449;7003482711;","Characteristics of consumers likely and unlikely to participate in medical tourism",2015,"International Journal of Healthcare Management","8","2",,"68","76",,8,"10.1179/2047971914Y.0000000076","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961769843&doi=10.1179%2f2047971914Y.0000000076&partnerID=40&md5=c7b410ee49a83a39abf2620a85f5f18f","Appalachian State University, Raley Hall, Boone, NC, United States","Guy, B.S., Appalachian State University, Raley Hall, Boone, NC, United States; Nevins Henson, J.L., Appalachian State University, Raley Hall, Boone, NC, United States; Dotson, M.J., Appalachian State University, Raley Hall, Boone, NC, United States","This exploratory study identified characteristics and factors distinguishing U.S. citizens willing to participate in medical tourism from those who are not. A national sampling was used to survey respondents. Variables examined include (a) the nature of the medical condition for which treatment is sought (life threatening, serious but not life threatening, medically optional, or life enhancing); (b) respondents’ reasons to consider or rule out medical tourism; (c) demographics (age, gender, marital status, education, income, and health insurance coverage); (d) risk aversion; and (e) countries most and least likely to be considered for healthcare services. Results contribute to limited empirical research on the consumer dynamics and underpinnings of an industry experiencing rapid growth in an environment of significant change and uncertainty. Findings may also assist medical tourism marketers to better serve those already inclined to travel abroad for healthcare services, and to create more favorable predispositions among those not currently inclined to do so. © W. S. Maney & Son Ltd 2015.","International healthcare services; Medical marketing; Medical tourism; Medical travel",,,,,,,,,"Kangas, B., The burden of pursuing treatment abroad: Three stories of medical travelers from Yemen (2010) Global Social Policy, 10 (3), pp. 306-314; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Jacek, K., Global medical tourism management: A needed research agenda? (2012) Adv Manage, 5 (1), pp. 5-7; Gan, L.L., Frederick, J.R., Medical tourists: Who goes and what motivates them (2011) Health Market Q, 30 (2), pp. 177-194; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; (2006) Centers for Medicare and Medicaid Services, , http://www.cms.hhs.gov/NationalHealthExpendData/downloads/proj2006.pdf, National health expenditures projections 2006–2016, Retrieved, 2014; Nakra, P., Could medical tourism aid healthcare delivery? (2011) The Futurist, , March/April: 23–4; Smith, P., Forgione, D., Global outsourcing of healthcare: A medical tourism decision model (2007) J Information Technol Case Appl Res, 9 (3), pp. 19-30; (2008) Deloitte LLP, , http://www.deloitte.com/dtt/cda/doc/content/, Medical Tourism: Consumers in Search of Value, Retrieved, 2014; Alsharif, M.J., Labonte, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10 (3), pp. 315-335; (2009) Deloitte LLP, , https://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_chs_2009SurveyHealthConsumers_March2009.pdf, Survey of U.S. Health Care Consumers, Retrieved, 2014; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: Students’ perspective on medical tourism (2010) Intl J Tourism Res, 12, pp. 510-522; Lantz, P.M., Lynch, W., House, J.S., Socioeconomic disparities in health change in a longitudinal study of U.S. Adults: The role of health-risk behaviors (2001) Soc Sci Med, 53 (1), pp. 29-40; Ichoku, E., Leibbrandt, M., The demand for healthcare services in Nigeria: A multivariate nested logit model (2003) African Development Bank, 15 (2-3), pp. 396-424; Peters, C.R., Sauer, K.M., A survey of medical tourism service providers (2011) J Market Dev Competitiveness, 5 (3), pp. 117-126; Himmlestein, D., Thorne, D., Warren, E., Woodhandler, S., Medical bankruptcy in the United States, 2007: Results of a National Study Am J Med, 122 (8), pp. 741-746; Jonas, A.M., Yoel, P.S., Potasman, I., Determinants of health risk perception among low risk taking tourists traveling to developing countries (2011) J Travel Res, 50 (1), pp. 87-99; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism?: A scoping review (2010) BMC Health Serv Res, 10, pp. 266-277; Fuchs, V.R., Reflections of the socio-economic correlates of health (2004) J Health Econom, 23 (4), pp. 653-661; Spasojevic, J., Effects of education on adult health in Sweden: Results from a natural experiment (2010) Current Issues in Health Economics (Contributions to Economic Analysis, Volume 290), pp. 179-199. , In: Daniel Slottje, Rusty Tchernis, (eds.), Emerald Group Publishing Limited; Upadhyaya, M., Soni, S., The growth and development of Indian global healthcare destinations (2008) J Market Commun, 4 (2), pp. 81-88; Kumar, S., Breuing, R., Chanal, R., Globalization of health care delivery in the United States through medical tourism (2012) J Health Commun, 17, pp. 177-198; Altin, M., Minish, S., Derya, K., Consumer decision components for medical tourism: A stakeholder approach. 16th Graduate Students Research Conference in Hospitality and Tourism (2011) University of Massachusetts, pp. 1-11; Guiry, M., Vequist, D.G., Traveling abroad for medical care: U.S. Medical tourists’ expectations and perceptions of service quality (2011) Health Market Q, 28, pp. 253-269; Heung, V., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Manage, 32 (5), pp. 995-1005; Horowitz, M.D., Rosenweig, J.A., Medical tourism – health care in the global economy (2007) The Physician Executive, , November/December: 24–30; Singh, P.K., (2008) Medical Tourism, , NewDelhi: Kanishka","Guy, B.S.; Appalachian State University, Raley Hall, United States",,,"Maney Publishing",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-84961769843 "Johnson T.J., Youngquist J.S., Garman A.N., Hohmann S., Cieslak P.R.","8340561600;56062062400;7004084762;26534424300;57209153160;","Factors influencing medical travel into the United States",2015,"International Journal of Pharmaceutical and Healthcare Marketing","9","2",,"118","135",,8,"10.1108/IJPHM-02-2013-0004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930252291&doi=10.1108%2fIJPHM-02-2013-0004&partnerID=40&md5=707164ba52d9c9d00d06c3e2684fad21","Department of Health Systems Management and Rush Center for the Advancement of Healthcare Value, Rush University, Chicago, IL, United States; Department of Health Systems Management, Rush University, Chicago, IL, United States; Department of Health Systems Management, Rush University, National Center for Healthcare Leadership, Chicago, IL, United States; Comparative Data and Informatics Research, UHC, Department of Health Systems Management, Rush University, Chicago, IL, United States; Strategic Outreach, International Health Services and Patient Special Services, Rush University Medical Center, Department of Health Systems Management, Rush University, Chicago, IL, United States","Johnson, T.J., Department of Health Systems Management and Rush Center for the Advancement of Healthcare Value, Rush University, Chicago, IL, United States; Youngquist, J.S., Department of Health Systems Management, Rush University, Chicago, IL, United States; Garman, A.N., Department of Health Systems Management, Rush University, National Center for Healthcare Leadership, Chicago, IL, United States; Hohmann, S., Comparative Data and Informatics Research, UHC, Department of Health Systems Management, Rush University, Chicago, IL, United States; Cieslak, P.R., Strategic Outreach, International Health Services and Patient Special Services, Rush University Medical Center, Department of Health Systems Management, Rush University, Chicago, IL, United States","Purpose – This paper aims to evaluate the potential of 24 country-level measures for predicting the number of outbound international medical travelers into the USA, including health and healthcare system, economic, social and diplomatic and travel pattern factors. Medical travel is recognized as a growing global market and is an important subject of inquiry for US academic medical centers, hospitals and policy makers. Few data-driven studies exist to shed light on efficient and effective strategies for attracting international medical travelers. Design/methodology/approach – This was a retrospective, cross-sectional study of the 194 member and/or observer countries of the United Nations. Data for medical traveler volume into the USA between 2008 and 2010 were obtained from the USA Department of Commerce, Office of Travel and Tourism Industries, Survey of International Air Travelers. Data on country-level factors were collected from publicly available databases, including the United Nations, World Bank and World Health Organization. Linear regression models with a negative binomial distribution and log link function were fit to test the association between each independent variable and the number of inbound medical travelers to the USA. Findings – Seven of the 24 country-level factors were significantly associated with the number of outbound medical travelers to the USA These factors included imports as a per cent of gross domestic product, trade in services as a per cent of gross domestic product, per cent of population living in urbanareas, life expectancy, childhood mortality, incidence of tuberculosis and prevalence of human immunodeficiency virus. Practical implications – Results of this model provide evidence for a data-driven approach to strategic outreach and business development for hospitals and policy makers for attracting international patients to the USA for medical care. Originality/value – The model developed in this paper can assist US hospitals in promoting their services to international patients as well as national efforts in identifying “high potential” medical travel markets. Other countries could also adapt this methodology for targeting the international patient market. © Emerald Group Publishing Limited.","Exports & imports; International trade; Marketing; Medical tourism; Medical travel; USA",,,,,,,,,"Al-Amin, M., Makarem, S.C., Pradhan, R., Hospital ability to attract international patients: A conceptual framework (2011) International Journal of Pharmaceutical and Healthcare Marketing, 5 (3), pp. 205-221; Assaker, G., Vinzi, V.E., O’connor, P., Extending a tourism causality network model: A cross-country, multigroup empirical analysis (2011) Tourism and Hospitality Research, 11 (4), pp. 258-277; Blinder, A.S., Offshoring: The next industrial revolution? (2006) Foreign Affairs, 85 (2), p. 113; Concepts and Methods of the US National Income and Product Accounts, , www.bea.gov/national/pdf/methodology/ALLchapters.pdf, Bureau of Economic Analysis (2012), US Department of Commerce; Chathoth, P., Causal modeling methodology in tourism: An empirical analysis (2001) Journal of Services Research, 1 (2), pp. 49-73; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patients experience of medical tourism? A scoping review” (2010) BMC Health Services Research, 10, p. 266; Crouch, G.I., The study of international tourism demand: A survey of practice (1994) Journal of Travel Research, 32 (4), pp. 41-55; Cutler, D.M., Lleras-Muney, A., (2006) Education and health: Evaluating theories and evidence, , NBER Working Paper No. 12352, National Bureau of Economic Research; (2008) Medical Tourism: 2008 Survey of Health Care Consumers, , www.deloitte.com/dtt/article/0,1002,cid%3D192707,00.html, Deloitte Center for Health Solutions; Garman, A.G., Milstein, A., Anderson, M., Medical travel (2009) Encyclopedia of Health Services Research, , in Mullner, R. (Ed.), Sage, Thousand Oaks, CA; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health and Place, 16 (6), pp. 1145-1155; Helpman, E., (2011) Understanding Global Trade, , Harvard University Press, Cambridge, MA; Horowitz, M.D., Rosensweig, J.A., Medical tourism – health care in the global economy (2007) Physician Executive, 33 (6), pp. 28-30; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4); Johnson, T., Garman, A., Impact of medical travel on imports and exports of medical services (2010) Health Policy, 98 (2-3), pp. 171-177; Jones, A.M., (2007) Applied Econometrics for Health Economists: A Practical Guide, , 2nd ed., Radcliffe Publishing, London; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14 (3), pp. 293-305; Keckley, P., Couglin, S., 2011 survey of health care consumers global report: Key findings, strategic implications (2011) Deloitte Center for Health Solutions, , Washington, DC; Marais, B.J., Lönnroth, K., Lawn, S.D., Migliori, G.B., Mwaba, P., Glaziou, P., Bates, M., Zumla, A., Tuberculosis comorbidity with communicable and non-communicable diseases: Integrating health services and control efforts (2013) The Lancet Infectious Diseases, 13 (5), pp. 436-448; Masoud, F., Alireza, J., Mahmoud, K., Zahra, A., A systematic review of publications studies on medical tourism (2013) Journal of Education and Health Promotion, 2 (51); Oesterle, A., Johnson, T.J., Delgado, J., A unifying framework of the demand for transnational medical travel (2013) International Journal of Health Services, 43 (3), pp. 415-436; Pafford, B., The third wave – medical tourism in the 21st century (2009) Southern Medical Journal, 102 (8), pp. 810-813; Porter, M., Teisberg, E., The Cleveland clinic: Growth strategy 2012 (2009) Harvard Business School Case, pp. 473-709; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: Students perspective on medical tourism” (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Sarwar, A., Manaf, N.A., Omar, A., Medical tourists perception in selecting their destination: A global perspective” (2012) Iranian Journal of Public Health, 41 (8), pp. 1-7; Singh, N., Exploring the factors influencing the travel motivations of US medical tourists (2013) Current Issues in Tourism, 16 (5), pp. 436-454; Song, H., Dwyer, L., Li, G., Cao, Z., Tourism economics research: A review and assessment (2012) Annals of Tourism Research, 39 (3), pp. 1653-1682; Song, H., Li, G., Witt, S.F., Fei, B., Tourism demand modelling and forecasting: How should demand be measured? (2010) Tourism Economics, 16 (1), pp. 63-81; (2012) Principles Governing International Statistical Activities, UN Data: A World of Information, , http://unstats.un.org/unsd/methods/statorg/Principles_stat_activities/principles_stat_activities.htm, United Nations Statistical Division; (2015) Visa Waiver Program, , http://travel.state.gov/visa/temp/without/without_1990.html, US Department of State, (accessed 14 November 2013); Veerasoontorn, R., Beise-Zee, R., International hospital outshopping: A staged model of push and pull factors (2010) International Journal of Pharmaceutical and Healthcare Marketing, 4 (3), pp. 247-264; (2010) Measuring Trade in Services: A Training Module Produced by WTO/OMC, Update Includes Changes in the Manual on Statistics of International Trade in Services, , World Trade Organization, World Health Organization","Youngquist, J.S.; Department of Health Systems Management, Rush UniversityUnited States",,,"Emerald Group Publishing Ltd.",,,,,17506123,,,,"English","Int. J. Pharm. Healthc. Mark.",Article,"Final",,Scopus,2-s2.0-84930252291 "Nelson R.","57190413715;","Infectious risks of medical tourism",2014,"The Lancet Infectious Diseases","14","8",,"680","681",,8,"10.1016/S1473-3099(14)70861-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904614837&doi=10.1016%2fS1473-3099%2814%2970861-8&partnerID=40&md5=f625f3066b954d75ba86ce22845e28fa",,"Nelson, R.",[No abstract available],,"adult; article; case report; health care cost; human; infection risk; medical tourism; priority journal; Adult; Communicable Diseases; Developed Countries; Developing Countries; Female; Humans; Medical Tourism; Travel",,,,,,,,,"Nelson, R.",,,"Lancet Publishing Group",,,,,14733099,,LIDAB,"25202763","English","Lancet Infect. Dis.",Article,"Final",,Scopus,2-s2.0-84904614837 "Badulescu D., Badulescu A.","54985664100;37022921200;","Medical tourism: Between entrepreneurship opportunities and bioethics boundaries: Narrative review article",2014,"Iranian Journal of Public Health","43","4",,"406","415",,8,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899995718&partnerID=40&md5=38e9adaced5b351ca9cd4861fa2b9749","Dept. of Economics, University of Oradea, Oradea, Romania","Badulescu, D., Dept. of Economics, University of Oradea, Oradea, Romania; Badulescu, A., Dept. of Economics, University of Oradea, Oradea, Romania","Nowadays, medical tourism reports impressive growth in terms of number of persons, income and number of countries involved in cross-border flows. So this study was undertaken to clarify entrepreneurship opportunities and bio-ethics boundaries in medical tourism. For tourism entrepreneurs, these outgoing flows related to medical procedures and tourism become an opportunity that cannot be ignored, so a wide range of tourist services related to health care are provided on a private, entrepreneurial basis. However, social and economic boundaries are omnipresent (impaired health services in receiving (incoming) countries, the crisis of the health care systems in emitting (outgoing) countries, over-consumption of medical and tourism services), and, not least, ethical considerations. Transforming medical care in a market tool, reducing human attributes to the status of commodity that can be bought, sold or negotiated, seriously challenges contemporary bioethics principles. It is a significant entering in the area (which is essentially un-ethic) of market transactions, where libertarianism and consumer-oriented attitudes dominates the spectrum of rational choice. So tourism comes to provide an organized and comfortable framework for all these choices, but many issues still remain controversial and may worsen if national health systems and national and international regulations would not identify their problems and would continue to leave medical tourism to market mechanisms. Market will efficiently allocate the resources, but not always in an ethical manner.","Entrepreneurship; Ethics; Market; Medical tourism",,,,,,,,,"Khare, A., (2010) Medical Tourism: Historical Background, , http://www.medicaltourismmodel.com/; (2002) WTO Agreements and Public Health, , World Trade Organization/World Health Organization, WTO Secretariat; Lee, C., Medical Tourism, an Innovative Opportunity for Entrepreneurs (2006) Journal of Asia Entrepreneurship and Sustainability, 3 (1), pp. 3-5; Henderson, J.C., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7, pp. 111-121; Brady, C.J., Offshore Gambling: Medical Outsourcing (2007) Washington and Lee Law Review, 64 (3), pp. 1073-1114; Gray, H.H., Poland, S.C., (2008) Medical Tourism: Crossing Borders to Access Health Care, , Washington, DC: National Reference Center for Bioethics Literature, Georgetown University; (2008) Medical Tourism: A Global Analysis, , Tourism Research and Marketing (TRAM), A report by TRAM, ATLAS; Phual, K.L., (2010) Cross-Border Medical Tourism: A Typology and Implications For the Public and Private Medical Care Sectors In the South-East Asian Region, , www.pitt.edu/super4/3301134001/33501.ppt; Rokni, L., Pourahmad, A., Moteiey Langroudi, M.H., Rezaeiy Mahmoudi, M., Heidarzadeh, N., Appraisal the Potential of Central Iran, in the Context of Health Tourism (2013) Iran J Publ Health, 42 (3), p. 272279; Turner, L., First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism (2007) BioSocieties, 2, pp. 303-325; Konrad, W., Employers make a push for medical tourism (2007) Fortune Small Business, , http://money.cnn.com/magazines/fsb/fsb_archive/2007/05/01/100003808/index.htm; (2011) OECD Indicators, , OECD (2011). Health at a Glance, OECD Publishing; George, B.P., Anjaneya Swamy, G., Medical Tourism: An Analysis with Special Reference to India (2007) Journal of Hospitality Application and Research (JOHAR), 2 (1); De Ramirez, A.A.B., Patients Without Borders: The Emergence of Medical Tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Herrick, D.M., Medical Tourism: Global Competition in Health Care. Report No. 304 (2007) Studies. Health. International, , http://www.ncpa.org/pub/st304, November 2007, National Center for Policy Analysis; Milstein, A., Smith, M., America's New Refugees - Seeking Affordable Surgery Offshore (2006) N Eng J Med, 355 (16), pp. 1637-1640; Higginbotham, G., Assisted-Suicide Tourism: Is It Tourism? (2011) Tourismos: An International Multidisciplinary Journal of Tourism, 6 (2), pp. 177-185; Chee, H.L., (2007) Medical Tourism In Malaysia: International Movement of Healthcare Consumers and The Commodification of Healthcare, 83, pp. 1-32. , Asia Research Institute Working Paper; Kaveny, M.C., Commodifying the polyvalent good of health care (1999) Journal of Medicine and Philosophy, 24 (3), pp. 207-223; Scheper-Hughes, N., The Ends of the Body: Commodity Fetishism and the Global Traffic in Organs (2002) SAIS Review, 22 (1), pp. 61-80. , Winter-Spring; Pellegrino, E.E., The Commodification of Medical and Health Care: The Moral Consequences of a Paradigm Shift from a Professional to a Market Ethic (1999) Journal of Medicine and Philosophy, 24 (3), pp. 243-266; Moghimehfar, F., Nasr-Esfahani, M.H., De-cisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments (2011) Tourism Management, 32, pp. 1431-1434","Badulescu, D.; Dept. of Economics, University of Oradea, Oradea, Romania; email: dbadulescu@uoradea.ro",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Review,"Final",,Scopus,2-s2.0-84899995718 "Sheppard C.E., Lester E.L.W., Karmali S., De Gara C.J., Birch D.W.","56067774000;56067878100;6505890576;7004623971;7102264332;","The cost of bariatric medical tourism on the Canadian healthcare system",2014,"American Journal of Surgery","207","5",,"743","747",,8,"10.1016/j.amjsurg.2014.01.004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899743646&doi=10.1016%2fj.amjsurg.2014.01.004&partnerID=40&md5=881d65462f0eae1627cbf7b651581954","Centre for the Advancement of Minimally Invasive Surgery, CSC, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, AB T5H 3V9, Canada; University of Alberta, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB T6G 1C9, Canada","Sheppard, C.E., Centre for the Advancement of Minimally Invasive Surgery, CSC, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, AB T5H 3V9, Canada, University of Alberta, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB T6G 1C9, Canada; Lester, E.L.W., University of Alberta, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB T6G 1C9, Canada; Karmali, S., Centre for the Advancement of Minimally Invasive Surgery, CSC, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, AB T5H 3V9, Canada, University of Alberta, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB T6G 1C9, Canada; De Gara, C.J., University of Alberta, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB T6G 1C9, Canada; Birch, D.W., Centre for the Advancement of Minimally Invasive Surgery, CSC, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, AB T5H 3V9, Canada, University of Alberta, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB T6G 1C9, Canada","Background: Medical tourists are defined as individuals who intentionally travel from their home province/country to receive medical care. Minimal literature exists on the cost of postoperative care and complications for medical tourists. The costs associated with these patients were reviewed. Methods: Between February 2009 and June 2013, 62 patients were determined to be medical tourists. Patients were included if their initial surgery was performed between January 2003 and June 2013. A chart review was performed to identify intervention costs sustained upon their return. Results: Conservatively, the costs of length of stay (n = 657, $1,433,673.00), operative procedures (n = 110, $148,924.30), investigations (n = 700, $214,499.06), blood work (n = 357, $19,656.90), and health professionals' time (n = 76, $17,414.87) were summated to the total cost of $1.8 million CAD. Conclusions: The absolute denominator of patients who go abroad for bariatric surgery is unknown. Despite this, a substantial cost is incurred because of medical tourism. Future investigations will analyze the cost effectiveness of bariatric surgery conducted abroad compared with local treatment. © 2014 Elsevier Inc. All rights reserved.","Complications; Cost; Interventions; Medical tourism; Morbid obesity","adult; article; bariatric surgery; Canada; female; health care cost; health care system; health practitioner; human; length of stay; major clinical study; male; medical record review; medical tourism; postoperative complication; priority journal; Complications; Cost; Interventions; Medical tourism; Morbid obesity; Adult; Bariatric Surgery; Canada; Female; Health Care Costs; Humans; Male; Medical Tourism; Middle Aged; Postoperative Care; Postoperative Complications",,,,,,,,"Johnston, R., Crooks, V., Adams, K., An industry perspective on Canadian patients' involvement in Medical Tourism: Implications for public health (2011) BMC Public Health, 11, p. 416; Crooks, V., Turner, L., Snyder, J., Promoting medical tourism in India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72, pp. 726-732; Martin, A., Klemensberg, J., Klein, L., Comparison of public and private bariatric surgery services in Canada (2011) Can J Surg, 54, pp. 152-153; Runnels, V., Turner, L., Bioethics and transnational medical travel: India, ""medical tourism"", and the globalisation of healthcare (2011) Indian J Med Ethics, 8, pp. 42-44; Penney, K., Snyder, J., Crooks, V., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, pp. 1-9; Hinds, B., Premier not alone in venturing south of the 49th parallel for medical treatment (2010) CMAJ, 182, pp. E255-E256; Callum, J.L., Pinkerton, P.H., (2011) Bloody Easy 3: Blood Transfusions, Blood Alternatives and Transfusion Reactions, , 3rd ed. Ontario Regional Blood Coordinating Network Toronto, Canada; (2012) Weight Loss Surgery Costs - Average Prices of Bariatric Surgery, , http://www.alighterme.com, Accessed July 13, 2013; (2013) What's the Average Price of Gastric Bypass Surgery, , http://obesitycoverage.com/insurance-and-costs/how-much/ average-laparoscopic-gastric-bypass-prices, Accessed July 13, 2013; (2012) Affordable Bariatric Surgery in Mexico: Costs & Pricing, , http://www.mexicobariatriccenter.com/weight-loss-surgery-costs/, Accessed July 13, 2013; Birch, D., Vu, L., Karmali, S., Medical tourism in bariatric surgery (2010) Am J Surg, 199, pp. 604-608; Sussenbach, S., Padoin, A., Silva, E., Economic benefits of bariatric surgery (2012) Obes Surg, 22, pp. 266-270","De Gara, C.J.; University of Alberta, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB T6G 1C9, Canada; email: cdegara@ualberta.ca",,,"Elsevier Inc.",,,,,00029610,,AJSUA,"24791638","English","Am. J. Surg.",Article,"Final",,Scopus,2-s2.0-84899743646 "Samir N., Karim S.","38962018400;55097135500;","An insight: Medical tourism, local and international perspective",2011,"Oman Medical Journal","26","4",,"215","218",,8,"10.5001/omj.2011.54","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858312935&doi=10.5001%2fomj.2011.54&partnerID=40&md5=9875257af126a98fb7c05e598232cd12","Department of FAMCO, Sultan Qaboos University, Muscat, Oman; Gulf Health Research, Oman","Samir, N., Department of FAMCO, Sultan Qaboos University, Muscat, Oman; Karim, S., Gulf Health Research, Oman",[No abstract available],,,,,,,,,,"(2006) Situation Analysis of Children and Women In Oman, , United Nations International Children's Fund (UNICEF) and Ministry of National Economy, Muscat: UNICEF; (1993) Progress of Nations 1993, , United Nations International Children's Emergency Fund (UNICEF), Muscat: UNICEF; (1997) Progress of Nations 1997, , United Nations International Children's Emergency Fund (UNICEF), Muscat: UNICEF; (2006) The Seventh Five-Year Plan For Health Development (2006-2010), , Ministry of Health, Muscat: Ministry of Health, Oman; (2000) World Health Report 2000, , World Health Organization, Health systems: improving performance Geneva: WHO; Hill, G.H., Muyeed, A.Z., Al-Lawati, J.A., (2000) The Mortality and Health Transition In Oman, , Patterns and Processes: A study commissioned by the Government of Oman, UNICEF Oman Office, and the WHO Regional Office for the Easter Mediterranean; (2009) Oman Morbidity and Mortality, pp. 9-92. , Ministry of Health, Muscat: Ministry of Health, Annual Health Report, Ch 9; (2009), http://www.omanexpo.com/medhealth, ""MedHealth and Wellness, in Oman to highlight medical tourism"" Medical Tourism News, 14th October 2009, Accessed Dec 2010; Shaywitz, D.A., Ausiello, D.A., Global health: A chance for Western physicians to give-and receive (2002) Am J Med, 113 (4), pp. 354-357; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Burkett, L., Medical tourism. Concerns, benefits, and the American legal perspective (2007) J Leg Med, 28 (2), pp. 223-245; Gahlinger, P.M., (2008) The Medical Tourism Travel Guide: Your Complete Reference to Top-Quality, , Low-Cost Dental, Cosmetic, Medical Care & Surgery Overseas. Sunrise River Press; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) Int J Fertil Womens Med, 51 (6), pp. 251-255. , Nov-Dec; Jones, C., Ethical and legal conundrums of postmodern procreation (2008) Int J Gynaecol Obstet, 100 (3), pp. 208-210; Nazir, Z., (2006) Just What the Hospital Ordered: Global Accreditations, , http://www.indianexpress.com, Indian Express, Sept 18, Retrieved September 29, 2006, Accessed Dec 2010; Johnson Linda, A., Americans look abroad to save on health care: Medical tourism could jump tenfold in next decade (2008) The San Francisco Chronicle, , http://www.sfgate.com, August 3, Accessed Dec 2010; Appleby, J., Schmit, J., (2006) Sending Patients Packing, , http://www.usatoday.com, USA Today, Aug 9, Accessed Dec 2010; Anderson, J., Hospitals oppose 'medical tourism' bill (2007) Charleston Daily Mail, , Feb 16; Lindsay, G., Medical Leave (2008) Fast Company, , http://www.fastcompany.com, Retrieved October 15, 2008, Accessed Dec 2010; Laurie, M., Health Matters: The next wave of medical tourists might include you (2008) Wall Street Journal, , http://online.wsj.com, February 16, Accessed Dec 2010; Perry, L., New Releases (2009) Blue Shield of California, , 7 June 2000. Web. 15, Nov; Einhorn, B., Outsourcing the Patients (2008) Business Week, , http://www.businessweek.com, March 13, Accessed Dec 2010; Flash Eurobarometer (2007) Cross-border Health Services In the EU: Analytical Report, , European Commission, The Gallup Organization; Turner, L., Commercial organ transplantation in the Philippines (2009) Camb Q Healthc Ethics, 18 (2), pp. 192-196; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82 (12), pp. 1658-1661. , Dec; Prasad, G.V., Shukla, A., Huang, M., D'a honey, R.J., Zaltzman, J.S., Outcomes of commercial renal transplantation: A Canadian experience (2006) Transplantation, 82 (9), pp. 1130-1135; INDIA: Accreditation a must International Medical Travel Journal, , http://www.imtjonline.com/news/india-accreditation-a-must, Accessed Dec 2010; (2010) QHA Trent, , http://www.qha-international.co.uk/, Accessed Dec; (2010), http://www.ukaf.org.uk/TAS.htm, United Kingdom Accreditation Forum, Accessed Dec; (2010) Medical Tourism Industry Certifications and Information, , http://www.health-tourism.com/medical-tourism/industry-certifications/, Accessed Dec; Medical Tourism Magazine (2008) Medical Tourism Association, (2). , February; Facts about Joint Commission International (2008) Joint Commission, , http://www.jointcommission.org/AboutUs/Fact_Sheets/jci_facts.htm, 12-11, Accessed Dec; (2010), http://www.deloitte.com, Deloitte Report, Accessed Dec; The Declaration of Istanbul on organ trafficking and transplant tourism (2008) Kidney Int, 74 (7), pp. 854-859. , International Summit on Transplant Tourism and Organ Trafficking, Oct; Chopra, A., Organtransplant black market thrives in India (2008) The San Francisco Chronicle, , http://www.sfgate.com, February 9, Accessed Dec 2010; (2010) NPR, , http://www.npr.org, Medical Tourism Creates Thai Doctor Shortage, Accessed Dec; (2008), CSDH: Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health Geneva: WHO; Lindvall, O., Hyun, I., Medical innovation versus stem cell tourism (2009) Science, 324 (5935), pp. 1664-1665. , Jun; Crozier, G.K., Baylis, F., The ethical physician encounters international medical travel (2010) J Med Ethics, 36 (5), pp. 297-301. , May","Samir, N.; Department of FAMCO, Sultan Qaboos University, Muscat, Oman; email: nafisa77@squ.edu.om",,,,,,,,1999768X,,,,"English","Oman Med. J.",Editorial,"Final",Open Access,Scopus,2-s2.0-84858312935 "Boga T.C., Weiermair K.","56445763600;56000486200;","Branding new services in health tourism",2011,"Tourism Review","66",,,"90","106",,8,"10.1108/16605371111127260","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992944091&doi=10.1108%2f16605371111127260&partnerID=40&md5=6327f3b741c7293c77ccb94e5e740658","Institute of Strategic Management, Marketing and Tourism, Innsbruck University School of Management, Innsbruck, Austria","Boga, T.C., Institute of Strategic Management, Marketing and Tourism, Innsbruck University School of Management, Innsbruck, Austria; Weiermair, K., Institute of Strategic Management, Marketing and Tourism, Innsbruck University School of Management, Innsbruck, Austria","The purpose of this paper is to serve as an introduction to the usefulness of means-end chain (MEC) theory and analysis for branding in health tourism. An online survey was conducted within the transnational EU-project Alpshealthcomp and with two of the largest public health insurances in Germany. Research design is based on hard laddering according to Walker and Olson. MEC items were derived from Rokeach and from Hiesel and from results of a consumer survey (n=1.607) for Alpine health and wellness tourism. Several research questions are proposed regarding consumer association structures for health tourism using principal component analysis, cluster analysis and t-test contrast of hypothesis. Personal values have proven to be most valuable for establishing brand associations. Here an identifiable and describable common structure exists for Alpine health tourism. With increasing product experience, consumers concentrate on viewer values closely linked to their personality. If product experience is low, consumers depend on a multitude of values. The proportion of female participants in the sample is very high. A more balanced sample and analysis for gender differences could be valuable. Also it should be tried to replicate findings for other types of intangible services. The identified value structure can be addressed in brand communication and could complement the concept of brand personality. When shifting emphasis in staging and communicating values according to product experience, tourism managers can establish a stable and strong brand. Behavioral branding can be a useful tool in this context. Branding started to expand into the tourism industry only recently. Specific research work on branding in health tourism is scarce. To the best of the authors' knowledge, there exists no article in which MEC analysis was applied in order to analyze possible carrier of brand associations in health tourism. This work aims to bridge the gap. © 2011, Emerald Group Publishing Limited","Brands; Consumer behaviour; Mountains; Personal health; Tourism",,,,,,,,,"Aaker, D.A., (1991) Managing Brand Equity, , The Free Press, San Francisco, CA; Aaker, J.L., Dimensions of brand personality (1997) Journal of Marketing Research, 34 (3), pp. 347-356; Azoulay, A., Kapferer, J.-N., Do brand personality scales really measure brand personality? (2003) Journal of Brand Management, 11 (2), pp. 143-155; Backhaus, K., Erichson, B., Plinke, W., Weiber, R., (2006) Multivariate Analysemethoden, , Springer, Berlin; Batra, R., Lehmann, D.R., Dipinder, S., The brand personality component of brand goodwill: some antecedents and consequence (1993) Brand Equity and Advertising, pp. 83-96. , in Aaker, D.A. and Biel, A. (Eds) Lawrence-Erlbaum Associates, Hillsdale, NJ; Bausch, T., Boga, T., Sind Wellnessprodukte markenfähig? (2011) Qualitätsmanagement in Wellnesseinrichtungen, , in Weiermair, K. and Krczal, A. (Eds) Erich Schmidt Verlag, Berlin; Bausch, T., Hanslbauer, T., Nungesser, S., (2007) HM ALPSHEALTHCOMP Report 1: Perception of the Alpine Region as Health and Wellness Destination, , Fakultät für Tourismus, Hochschule München, München; Bielen, F., Sempels, C., The dimensionality of the concept of intangibility: a critical analysis (2003), www.uclouvain.be/cps/ucl/doc/iag/documents/WP_106_Sempels.pdf, available at:, (accessed 24 November 2010); Bühner, M., (2006) Einführung in die Test- und Fragebogenkonstruktion, , Pearson Studium, München; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Chaudhuri, A., Holbrook, M.B., The chain of effect from brand trust and brand affect to brand performance: the role of brand loyalty (2001) Journal of Marketing, 65, pp. 81-93. , April; Choo, H., Park, S.-Y., The influence of the resident's identification with a tourist destination brand on their behavior (2009), http://scholarworks.umass.edu/refereed/Sessions/Wednesday/5, available at:, (accessed 24 November 2010); Clarke, J., Tourism brands: an exploratory study of the brands box model (2000) Journal of Vacation Marketing, 6 (4), pp. 329-345; Cox, D.F., Rich, S.V., Perceived risk and consumer decision making – the case of telephone shopping (1964) Risk Taking and Information Handling in Consumer Behavior, , in Cox, D.F. (Ed.) 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(2006) Journal of Vacation Marketing, 12 (4), pp. 299-317; Ter Hofstede, F., Audenaert, A., Steenkamp, J.-B.E.M., Wedel, M., An investigation into the association pattern technique as a quantitative approach to measuring means-end chains (1998) International Journal of Research in Marketing, 15, pp. 37-50; Torres, A., Bijmolt, T.H.A., Assessing brand image through communalities and asymmetries in brand-to-attribute and attribute-to-brand associations (2009) European Journal of Operational Research, 195, pp. 628-640; Trommsdorff, V., (2009) Konsumentenverhalten, , 7th ed., Kohlhammer, Stuttgart; Wagner, O., Peters, M., Can association methods reveal the effects of internal branding on tourism stakeholder? (2009) Journal of Place Management and Development, 2 (1), pp. 52-69; Walker, B.A., Olson, J.C., Means-end-chains: connecting products with self (1991) Journal of Business Research, 22 (2), pp. 111-118; Winkler, K., Grimm, B., (2006) Reiseanalyse RA 2006 Modulbericht: Gesundheit, , Wellness & Kur im Urlaub, F.U.R., Kiel; Zaltman, G., Coulter, R.H., Seeing the voice of the customer: metaphor-based advertising research (1995) Journal of Advertising Research, 35 (4), pp. 35-51; Aaker, D.A., Biel, A., (1993) Brand Equity and Advertising, , Lawrence-Erlbaum Associates, Hillsdale, NJ; Cox, D.F., (1964) Risk Taking and Information Handling in Consumer Behavior, , Harvard University Press, Boston, MA; Krczal, A., Krczal, E., Weiermair, K., (2011) Qualitätsmanagement in Wellnesseinrichtungen, , Erich Schmidt Verlag, Berlin; Weiermair, K., Pikkemaat, B., (2004) Qualitätszeichen im Tourismus, , Erich Schmidt Verlag, Berlin","Boga, T.C.; Institute of Strategic Management, Marketing and Tourism, Innsbruck University School of Management, Innsbruck, Austria",,,,,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-84992944091 "Lunt N., MacHin L., Green S., Mannion R.","6603761945;36572262100;7403568394;7007006015;","Are there implications for quality of care for patients who participate in international medical tourism?",2011,"Expert Review of Pharmacoeconomics and Outcomes Research","11","2",,"133","136",,8,"10.1586/erp.11.4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953841322&doi=10.1586%2ferp.11.4&partnerID=40&md5=e18a177b409e2db5ee6a357de1f11866","York Management School, University of York, Freboys Lane, Heslington, YO10 5DG, United Kingdom; Sheffield Teaching Hospitals Foundation NHS Trust, South Yorkshire Regional Department, Royal Hallamshire Hospital, Sheffield, S10 2J, United Kingdom; Health Services Management Centre, University of Birmingham, Park House, 40 Edgbaston Park Road, Birmingham, B15 2RT, United Kingdom","Lunt, N., York Management School, University of York, Freboys Lane, Heslington, YO10 5DG, United Kingdom; MacHin, L., York Management School, University of York, Freboys Lane, Heslington, YO10 5DG, United Kingdom; Green, S., Sheffield Teaching Hospitals Foundation NHS Trust, South Yorkshire Regional Department, Royal Hallamshire Hospital, Sheffield, S10 2J, United Kingdom; Mannion, R., Health Services Management Centre, University of Birmingham, Park House, 40 Edgbaston Park Road, Birmingham, B15 2RT, United Kingdom",[No abstract available],"medical tourism; medical travel; quality; risk; safety","cell transplantation; editorial; health care access; health care personnel; health care quality; health service; medical tourism; organ transplantation; patient care; patient mobility; professional competence; safety; trust; United Kingdom; Clinical Competence; Culture; Drug Resistance, Microbial; Humans; Medical Tourism; Quality of Health Care",,,,,"09/2001/21","This project is funded by the National Institute for Health Research Health Services Research Program (project number HSR: 09/2001/21). Steve Green is the Director and Company Secretary of Quality Healthcare Advice Trent. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.",,"Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med. Inform. J., 4, pp. 1-11; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical tourism (2008) McKinsey Quarterly (May 2008), pp. 1-11; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Deloitte Development LLC, Washington, DC, USA; Culley, L., Hudson, N., Fertility tourists or global consumers? A sociological agenda for exploring cross-border reproductive travel (2010) Int. J. Interdis. Soc. Sci., 4 (10), pp. 139-150; Culley, L., Hudson, N., Why do people travel abroad for fertility treatment? What we don't know (2010) J. Fertil. Counsel., 17 (1), pp. 64-67; McKelvey, A., David, A., Shenfeld, F., Jauniaux, E., The impact of cross-border reproductive care or 'fertility tourism' on NHS maternity services (2009) BJOG, 116 (11), pp. 1520-1523; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) J. Plast. Reconstr. Aesthet. Surg., 61 (12), pp. 1423-1424; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism' - an avoidable burden on the NHS (2007) Journal of Plastic, Reconstructive and Aesthetic Surgery, 60 (9), pp. 1075-1077. , DOI 10.1016/j.bjps.2007.03.030, PII S1748681507002136; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med. J. Austral., 187 (11-12), pp. 666-667; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16 (6), pp. 1145-1155; Lowson, K., West, P., Chaplin, S., O'Reilly, J., (2002) Department of Health: Evaluation of Treating Patients Overseas-Final Report, , University of York, UK; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv. Res., 10 (1), pp. 266-278; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Glob. Public Health, 3 (3), pp. 271-290; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) Int. J. Health Serv., 40 (3), pp. 469-484; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454. , http://www.future-drugs.com/doi/full/10.1586/14737167.6.4.447, DOI 10.1586/14737167.6.4.447; Rosenmöller, M., McKee, M., Baeten, R., (2006) Patient Mobility in the European Union: Learning from Experience, , European Observatory on Health Systems and Policies, Denmark; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82 (12), pp. 1658-1661. , DOI 10.1097/01.tp.0000250763.52186.df, PII 0000789020061227000026; Legido-Quigley, H., McKee, M., Nolte, E., Glinos, I., Evaluation: Patient experiences from purchasing health care abroad. Norwegian Knowledge Centre for Health Services, Oslo (2003) (2008) Assuring the Quality of Health Care in the European Union: A Case for Action, , HELTEF (Eds) European Observatory on Health Systems and Policies Report No. 12. European Observatory on Health Systems and Policies, Denmark; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism websites (2011) J. Health Commun., 16 (2), pp. 163-177; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourist Management, 32 (4), pp. 709-716; Lunt, N., Carrera, P., Advice for prospective medical tourists: Systematic review of consumer sites (2010) Tourism Review, , In Press; Barclay, E., Stem cell experts raise concerns about medical tourism (2009) Lancet, 373, pp. 883-884; Pennings, G., Legal harmonization and reproductive tourism in Europe (2004) Human Reproduction, 19 (12), pp. 2689-2694. , DOI 10.1093/humrep/deh486; Zahir, K., (2001) Clinical Governance in the UK NHS, , DFID Health Systems Resource Centre London UK; Newman, M.I., Camberos, A.E., Ascherman, J., Zienowicz, R.J., Vaccaro, J.J., Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter (2005) Annals of Plastic Surgery, 55 (1), pp. 107-110. , DOI 10.1097/01.sap.0000168030.87804.93; Green, S.T., Medical tourism - A potential growth factor in infection medicine and public health (2008) J. Infect., 57, p. 429; Suleiman, M.N.H., Muscat-Baron, J.M., Harries, J.R., Congo/Crimean hemorrhagic fever in Dubai. An outbreak at the Rashid Hospital (1980) Lancet, 2 (8201), pp. 939-941; Toral, R., Quality, liability, aftercare: Medical tourism must nail down these three areas of concern in order to thrive (2009) Mod. Healthc., 39 (21), p. 20","Lunt, N.; York Management School, University of York, Freboys Lane, Heslington, YO10 5DG, United Kingdom; email: neil.lunt@york.ac.uk",,,,,,,,14737167,,ERPOB,"21476813","English","Expert Rev. Pharmacoecon. Outcomes Res.",Editorial,"Final",Open Access,Scopus,2-s2.0-79953841322 "Runnels V., Turner L.","12774356700;7202689997;","Bioethics and transnational medical travel: India,""medical tourism,"" and the globalisation of healthcare.",2011,"Indian journal of medical ethics","8","1",,"42","44",,8,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84855170920&partnerID=40&md5=7146d1e499cef1a4c0535fab3754feaf","Globalisation and Health Equity Research Unit, Institute of Population Health, University of Ottawa, 216-1 Stewart Street, Ontario K1N 6N5, Ottawa, Canada","Runnels, V., Globalisation and Health Equity Research Unit, Institute of Population Health, University of Ottawa, 216-1 Stewart Street, Ontario K1N 6N5, Ottawa, Canada; Turner, L.","Health-related travel, also referred to as ""medical tourism"" is historically well-known. Its emerging contemporary form suggests the development of a form of globalised for-profit healthcare. Medical tourism to India, the focus of a recent conference in Canada, provides an example of the globalisation of healthcare. By positioning itself as a low-cost, high-tech, fast-access and high-quality healthcare destination country, India offers healthcare to medical travellers who are frustrated with waiting lists and the limited availability of some procedures in Canada. Although patients have the right to travel and seek care at international medical facilities, there are a number of dimensions of medical tourism that are disturbing. The diversion of public investments in healthcare to the private sector, in order to serve medical travellers, perversely transfers public resources to international patients at a time when the Indian public healthcare system fails to provide primary healthcare to its own citizens. Further, little is known about patient safety and quality care in transnational medical travel. Countries that are departure points as well as destination countries need to carefully explore the ethical, social, cultural, and economic consequences of the growing phenomenon of for-profit international medical travel.",,"article; Canada; ethics; health care disparity; health care organization; human; India; international cooperation; medical tourism; Canada; Health Care Rationing; Healthcare Disparities; Humans; India; Internationality; Medical Tourism",,,,,,,,,"Runnels, V.email: vrunnels@uottawa.ca",,,,,,,,09748466,,,"22106599","English","Indian J Med Ethics",Article,"Final",,Scopus,2-s2.0-84855170920 "Ahwireng-Obeng F., Van Loggerenberg C.","6508202689;6506952204;","Africa's middle class women bring entrepreneurial opportunities in breast care medical tourism to South Africa",2011,"International Journal of Health Planning and Management","26","1",,"39","55",,8,"10.1002/hpm.1034","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952025080&doi=10.1002%2fhpm.1034&partnerID=40&md5=99a2231839f4a873acb1deb7d20ba896","University of the Witwatersrand (Wits) Business School, St David's Place, Parktown, Johannesburg, South Africa","Ahwireng-Obeng, F., University of the Witwatersrand (Wits) Business School, St David's Place, Parktown, Johannesburg, South Africa; Van Loggerenberg, C., University of the Witwatersrand (Wits) Business School, St David's Place, Parktown, Johannesburg, South Africa","Africa's distribution of specialized private health services is severely disproportionate. Mismatch between South Africa's excess supply and a huge demand potential in an under-serviced continent represents an entrepreneurial opportunity to attract patients to South Africa for treatment and recuperative holidays. However, effective demand for intra-African medical tourism could be constrained by sub-Saharan poverty. Results from interviewing 320 patients and five staff at the Johannesburg Breast care Centre of Excellence, however, reject this proposition, Africa's middle class women being the target market estimated to grow annually by one million while breast cancer incidence increases with middle-class lifestyles. Uncovering this potential involves an extensive marketing strategy. © 2010 John Wiley & Sons, Ltd.","Africa/South Africa; Breast cancer; Entrepreneurial opportunity; Medical tourism; Middle class women","cancer; disease incidence; disease treatment; entrepreneur; health services; income distribution; lifestyle; poverty; tourism market; womens health; adult; Africa south of the Sahara; aged; article; breast tumor; commercial phenomena; decision making; economics; female; human; insurance; interview; medical tourism; middle aged; social class; South Africa; statistics; Adult; Africa South of the Sahara; Aged; Breast Neoplasms; Decision Making; Entrepreneurship; Female; Humans; Insurance Coverage; Interviews as Topic; Medical Tourism; Middle Aged; Social Class; South Africa; South Africa",,,,,,,,"Acs, Z., Audretsch, D.B., Braunerclelom, P., Carlson, B., (2005), The knowledge spillover theory of entrepreneurship. CEPR Discussion Paper 5326 CEPR, London; Adam, M., (2005), Rising popularity of medical tourism reveals deterioration of U.S. health care systems. [accessed 1 July 2005]; Ajayi, I.O., Adewole, I.F., Breast and cervical cancer screening activities among family physicians in Nigeria (2002) African Journal of Medicine and Medical Sciences, 31 (4), pp. 305-309; Audretsch, D.B., Feldman, M.P., R and D Spillovers and the geography of innovation and production (1996) American Economic Review, 86 (3), pp. 630-640; Audretsch, D.B., The Emergence of Entrepreneurship Policy (2003) Entrepreneurship policy and the strategic management of places, , Hart DM (ed.). Cambridge University Press: Cambridge Mass; Banatar, S., What makes a just healthcare system? (1996) British Medical Journal, 313, pp. 1567-1568. , Dec; Bennett, M., King, B., Milner, L., The Health resort sector in Australia: a positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; Berliner, H., O'Toole, J., Are international patients the answer to American hospitals' problems? (1988) Health Care Management Review, 12 (1), pp. 39-46; Bickell, N.A., Aufses Jr, A.J., Chassin, M.R., The quality of early-stage breast cancer care (2000) Annals of Surgery, 232 (2), pp. 220-224; Bland, K., Copeland, E., The Breast: Comprehensive Management of Benign and Malignant Diseases (1998), 2nd edn W.B. Saunders: Philadelphia; Bland, K.K., Menck, H.R., Scott-Conner, Morrow, M., Winshcster, D.J., Winchester, D.P., The National Cancer Data Base 10-year survey of breast carcinoma treatment at hospitals in the United States (1998) Cancer, 83 (6), pp. 1262-1273; Choo, V., Southeast Asian countries vie with each other to woo foreign patients (2002) Lancet, 360 (9338), p. 1004; Deane, N., (2003), Despondent health care workers flee. Health Systems Trust; Droste, T., Centre of excellence name tag carries clout (1989) Hospitals, 63 (2), p. 54; Erikson, N., MacFarlane, M., South African Survey (2004) Health and welfare, pp. 281-327. , Kane-Berman I (ed.). South African Institute for Race Relations: Johannesburg; (2003), European Commission. Green Paper: Entrepreneurship in Europe. European Commission: Luxemburg; Fregene, A.R., Newman, L.A., Breast Cancer in sub-Saharan Africa: how does it relate to breast cancer in African-American women? (2005) Cancer, , DOI: 10.1002/chcr.20978; Gilson, L., Doherty, J., Lake, S., McIntyre, D., Mwikisa, C., Thomas, S., The SAZA study: implementing health financing reform in South Africa and Zambia (2003) Health Policy Plan, 18 (1), pp. 31-46; Kruger, W.M., Apffelstaedt, J.P., Young breast cancer patients in the developing world: incidence, choice of surgical treatment and genetic factors (2007) SA Family Practice, 49 (9), pp. 18-22; Lambo, E., Sambo, L.G., Health sector reform in sub-Saharan Africa: a synthesis of country experiences (2003) East African Medical Journal, 80 (SUPPL. 6), pp. 1-20; Lee, C., Medical Tourism: An innovative Opportunity for Entrepreneurs (2007) Journal of Asia Entrepreneurship and Sustainability; Milliken, N., Freund, K., Pregler, J., Academic models of clinical care for women: the national centres of excellence in women's health (2001) Journal of Women's Health & Gender-based Medicine, 10 (7), pp. 627-636; Monekosse, G.L., Meeting the challenges of the African health crisis in the decade of the nineties (1993) African Journal of Medicine and Medical Science, 22 (4), pp. 7-12; Moore, D., Medical mecca: foreign patients flock to Miami (1997) Modern Health care, 27 (22), pp. 30-35; Narasimhan, V., Brown, H., Palos-Mendz, A., Responding to the global human resources crisis (2004) Lancet, 363 (9419), pp. 1469-72. , May,, [accessed 7 Sept 2003]; Rainsbury, D., (2003), The need for EU guidelines for multidisciplinary breast-care centres, Statement from the Royal College of Surgeons of England, European parliament transcripts 17 February. [accessed 1 Sept, 2003]; Saravathy, S.D., Dew, N., Velamari, S.R., Venkataraman, S., Handbook of Entrepreneurship Research (2003) Three views of entrepreneurial opportunity, , Acs Z, Audretsch DB (eds). Springer: USA; Shane, S., Prior knowledge and the discovery of entrepreneurial opportunities (2000) Organisation Science, 11 (4), pp. 448-469; Shane, S., A general theory of entrepreneurship, the individual- opportunity nexus (2003), Aldershort, UK: Edward Edgar; Shane, S., Venkataraman, S., The promise of entrepreneurship as a field of research (2000) Academy of Management Review, 25, pp. 217-236; Shinkman, R., Survey shows small but growing emphasis on attracting overseas patients (2001) Modern Health Care, 31 (13), p. 456; Wagner, M., More hospitals vie for foreign patients (1993) Modern Health Care, pp. 30-31; Global Economic Prospects (2007), World Bank.. Washington DC, The World Bank: Washington DC; Zeida, R., Kon, M.P.H., Lackan, N., Ethnic disparities in access to care in post-apartheid South Africa (2008) American Journal of Public Health, 98 (12), pp. 2272-2277","Ahwireng-Obeng, F.; University of the Witwatersrand (Wits) Business School, St David's Place, Parktown, Johannesburg, 2193, South Africa; email: Frederick.Ahwireng-Obeng@wits.ac.za",,,,,,,,07496753,,IJHME,"22392794","English","Int. J. Health Plann. Manage.",Article,"Final",,Scopus,2-s2.0-79952025080 "Underwood H.R., Makadon H.J.","57196971417;6603959064;","Medical tourism: game-changing innovation or passing fad?",2010,"Healthcare financial management : journal of the Healthcare Financial Management Association","64","9",,"112","114, 116, 118",,8,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-78049435088&partnerID=40&md5=a6ca9de460d7dad377e42ea9ac4dcdc4","Deloitte Consulting, LLP, Washington, DC, USA.","Underwood, H.R., Deloitte Consulting, LLP, Washington, DC, USA.; Makadon, H.J.","Outbound medical tourism presents several concerns for U.S. providers: Potential lost revenue could reach almost $600 billion by 2017. Continuity of care can become an issue if complete medical records are not available to the patient's home physician and communications are not maintained between the domestic physician and the physician who rendered medical care abroad. Potential malpractice liability could place the U.S.-based provider at risk.",,"article; financial management; health care cost; health care quality; human; patient attitude; travel; United States; Health Care Costs; Health Expenditures; Humans; Marketing of Health Services; Patient Acceptance of Health Care; Quality of Health Care; Travel; United States",,,,,,,,,"Underwood, H.R.email: hunderwood@deloitte.com",,,,,,,,07350732,,,"20831004","English","Healthc Financ Manage",Article,"Final",,Scopus,2-s2.0-78049435088 "George B.P.","10040491200;","Medical tourism in India: A case study of Apollo Hospitals",2008,"Health and Wellness Tourism",,,,"367","372",,8,"10.4324/9780080942032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906613328&doi=10.4324%2f9780080942032&partnerID=40&md5=130a40a886f10d92cd6713dd4483b9b5","School of Management, Pondicherry University, Pondicherry, India","George, B.P., School of Management, Pondicherry University, Pondicherry, India",[No abstract available],,,,,,,,,,,"George, B.P.; School of Management, Pondicherry University, Pondicherry, India",,,"Butterworth-Heinemann",,,,,,9780080942032,,,"English","Health and Wellness Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84906613328 "Wapner J.","56857428700;","American Medical Association provides guidance on medical tourism.",2008,"BMJ (Clinical research ed.)","337",,,"","",,8,"10.1136/bmj.a575","https://www.scopus.com/inward/record.uri?eid=2-s2.0-47649114063&doi=10.1136%2fbmj.a575&partnerID=40&md5=25230a167ebb18ca0ebe544112bceb88",,"Wapner, J.",[No abstract available],,"health care delivery; health care quality; human; note; patient attitude; practice guideline; statistics; travel; United States; Health Services Accessibility; Humans; Patient Acceptance of Health Care; Practice Guidelines as Topic; Quality of Health Care; Travel; United States",,,,,,,,,"Wapner, J.",,,,,,,,14685833,,,"18595942","English","BMJ",Note,"Final",,Scopus,2-s2.0-47649114063 "Merrell R.C., Boucher D., Carabello L., Herrick D.M., Lazzaro V., Ludwick L., Toral R., Woodman J., Doarn C.R.","7006138572;23972453800;23972575700;16549524000;24168646200;23972808700;23974101700;23973879300;7003293563;","Roundtable discussion: Medical tourism",2008,"Telemedicine and e-Health","14","1",,"14","20",,8,"10.1089/tmj.2008.9995","https://www.scopus.com/inward/record.uri?eid=2-s2.0-40549138752&doi=10.1089%2ftmj.2008.9995&partnerID=40&md5=493bf3e523e861976e67b9ec528be29a","Virginia Commonwealth University, Richmond, VA, United States; BlueCross Blue Shield of South Carolina, Columbia, SC, United States; CPR Strategic Marketing Communications, Elmwood Park, NJ, United States; National Center for Policy Analysis, Dallas, TX, United States; Tivis Capital and BridgeHealth International, Greenwood Village, CO, United States; Health Care Compliance Association, Tucson, AZ, United States; MedNet Asia, Bangkok, Thailand; World-Class Medical Tourism, Chapel Hill, NC, United States; Advanced Center for Telemedicine and Surgical Innovation, University of Cincinnati, Cincinnati, OH, United States; Department of Surgery, VCU Health Systems Telemedicine Program, Virginia Commonwealth University, 1101 East Marshall Street, Richmond, VA 23298, United States","Merrell, R.C., Virginia Commonwealth University, Richmond, VA, United States, Department of Surgery, VCU Health Systems Telemedicine Program, Virginia Commonwealth University, 1101 East Marshall Street, Richmond, VA 23298, United States; Boucher, D., BlueCross Blue Shield of South Carolina, Columbia, SC, United States; Carabello, L., CPR Strategic Marketing Communications, Elmwood Park, NJ, United States; Herrick, D.M., National Center for Policy Analysis, Dallas, TX, United States; Lazzaro, V., Tivis Capital and BridgeHealth International, Greenwood Village, CO, United States; Ludwick, L., Health Care Compliance Association, Tucson, AZ, United States; Toral, R., MedNet Asia, Bangkok, Thailand; Woodman, J., World-Class Medical Tourism, Chapel Hill, NC, United States; Doarn, C.R., Advanced Center for Telemedicine and Surgical Innovation, University of Cincinnati, Cincinnati, OH, United States",[No abstract available],,"conference paper; health care cost; health care facility; medical practice; priority journal; telemedicine; tourism; United States; article; economics; health care delivery; human; international cooperation; organization and management; standard; travel; utilization review; Delivery of Health Care; Humans; International Cooperation; Travel",,,,,,,,,"Merrell, R. C.; Department of Surgery, VCU Health Systems Telemedicine Program, Virginia Commonwealth University, 1101 East Marshall Street, Richmond, VA 23298, United States; email: rmerrell@mcvh-vcu.edu",,,,,,,,15305627,,TJEOA,"18328021","English","Telemedicine. e-Health",Conference Paper,"Final",,Scopus,2-s2.0-40549138752 "Thomson W.M., Stewart J.F., Carter K.D., Spencer A.J.","7201689009;8881423300;7202500368;7202315020;","Patient mobility in Australian dentistry",1996,"Community Dental Health","13","2",,"99","104",,8,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030160350&partnerID=40&md5=55638c23cd855b551c973e2b66095569","AIHW Dent. Stat. and Research. Unit, University of Adelaide, Australia; Department of Dentistry, University of Adelaide, Australia; Dept. of Community Dental Health, University of Otago, PO Box 647, Dunedin, New Zealand","Thomson, W.M., AIHW Dent. Stat. and Research. Unit, University of Adelaide, Australia, Dept. of Community Dental Health, University of Otago, PO Box 647, Dunedin, New Zealand; Stewart, J.F., AIHW Dent. Stat. and Research. Unit, University of Adelaide, Australia; Carter, K.D., AIHW Dent. Stat. and Research. Unit, University of Adelaide, Australia; Spencer, A.J., Department of Dentistry, University of Adelaide, Australia","Data on the mobility of dental patients are scarce. The aim of this study was to investigate movement among dentists of a representative sample of the Australian public. A postal questionnaire was completed by a random subsample of 1.010 participants in the 1995 National Dental Telephone Interview Survey. The response rate was 85.2 per cent. Approximately one-third of the 885 dentate respondents reported attending a different dentist to that attended two years previously; this was substantially higher (over half) among those whose last visit was not in the private sector. Most (81.8 per cent) of those who had changed dentist had done so for reasons which were beyond the immediate control of the dental profession, but 15.2 per cent had changed because they were unhappy with the care provided by the previous dentist, and 3.0 per cent had changed because the previous dentist was too expensive. Perceived freedom to change dentist was greater among individuals who used the private sector, spoke English in the home, and who were not holders of health cards. The findings of this study indicate that the Australian public manifests a moderate degree of movement among dental providers, and that such movement is greater among users of public-sector dental services.","Dental care; Dental patients; Mobility","adolescent; adult; aged; article; Australia; dental care; doctor patient relation; fee; female; freedom; health insurance; human; interview; language; male; middle aged; organization and management; patient satisfaction; private practice; public health service; questionnaire; Adolescent; Adult; Aged; Australia; Dental Care; Dentist-Patient Relations; Fees, Dental; Female; Freedom; Humans; Insurance, Health; Interviews; Language; Male; Middle Aged; Patient Satisfaction; Private Practice; Private Sector; Public Health Dentistry; Questionnaires",,,,,,,,"Anderson, R.J., Morgan, J.D., Marketing dentistry: A pilot study in Dudley (1992) Community Dental Health, 9 (1 SUPPL.), p. 20; Arnbjerg, D., Soderfeldt, B., Palmqvist, S., Factors determining satisfaction with dental care (1992) Community Dental Health, 9, pp. 295-300; Carter, K.D., Spencer, A.J., (1996) National Dental Telephone Interview Survey 1995, , Adelaide: The University of Adelaide (in press); Collett, H.A., Influence of dentist-patient relationship on attitudes and adjustment to dental treatment (1969) Journal of the American Dental Association, 79, pp. 879-884; Davies, J.A., The relationship between change of dentist and treatment received in the General Dental Service (1984) British Dental Journal, 157, pp. 322-324; Dillman, D.A., (1978) Mail and Telephone Surveys: The Total Design Method, , New York: Wiley; Groves, R.M., Biemer, P.P., Lyberg, L.E., Massey, J.T., Nicholls, W.L., Waksberg, J., (1988) Telephone Survey Methodology, , New York: Wiley; Murtomaa, H., Masalin, K., Public image of dentists and dental visits in Finland (1982) Community Dentistry and Oral Epidemiology, 10, pp. 133-136; O'Shea, R.M., Corah, N.L., Ayer, W.A., Why patients change dentists: Practitioners' views (1986) Journal of the American Dental Association, 112, pp. 851-854; Scarrott, D.M., Attitudes to dentists (1969) British Dental Journal, 127, pp. 583-590; Shugars, D.A., DiMatteo, R., Hays, R.D., Cretin, S., Johnson, J.D., Professional satisfaction among California general dentists (1990) Journal of Dental Education, 54, pp. 661-669; Wright, L.C., Why people change dentists (1984) Bulletin of the Eighth District Dental Society, 18, pp. 16-17","Thomson, W.M.; Dept. of Community Dental Health, University of Otago, PO Box 647, Dunedin, New Zealand",,,,,,,,0265539X,,,"8763141","English","Community Dent. Health",Article,"Final",,Scopus,2-s2.0-0030160350 "Tessier G., Contandriopoulos A.P., Dionne G.","7004110685;7003432683;7005055687;","Patient mobility for elective surgical interventions",1985,"Social Science and Medicine","20","12",,"1307","1312",,8,"10.1016/0277-9536(85)90385-5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0022392216&doi=10.1016%2f0277-9536%2885%2990385-5&partnerID=40&md5=67500a2b30a02c1736a10fb495aa1a88","Université de Montréal, C.P. 6128 Succ. A, Montréal, H3C 3J7, Canada","Tessier, G., Université de Montréal, C.P. 6128 Succ. A, Montréal, H3C 3J7, Canada; Contandriopoulos, A.P., Université de Montréal, C.P. 6128 Succ. A, Montréal, H3C 3J7, Canada; Dionne, G., Université de Montréal, C.P. 6128 Succ. A, Montréal, H3C 3J7, Canada","In this study, we address the question of patient mobility by defining three types of mobility and testing them with a Probit model. First, we have forced mobility (shortage of resources), second, physician-induced mobility (hospital affiliations) and finally, the mobility chosen by patients. We isolate explanatory variables for observed patient mobility for the year 1977-1978 in Quebec, Canada, and present the results for two specific surgical interventions. We found that forced and induced mobility are statistically significant in explaining the movements of patients in search of specific medical services. However, the mobility chosen by patients requires further investigation. © 1985.",,"diagnosis; elective surgery; geographic distribution; health care delivery; human; mobility; organization and management; short survey; surgery; therapy; Adolescent; Adult; Child; Female; Health Resources; Health Services Accessibility; Health Services Needs and Demand; Hospital Bed Capacity; Human; Male; Oculomotor Muscles; Quebec; Support, Non-U.S. Gov't; Surgical Procedures, Operative; Tympanoplasty",,,,,,"*The authors would like to thank Louise Valois for trans-lation and editorial assistance and the F.C.A.C. (Gov-ernment of Quebec) for financial support to this study. j-Correspondence and proofs should be addressed to Geor-ges Dionne, Economics Department, Universite de Montreal, C.P. 6128, Succ. A., Montreal H3C 357, Canada.",,"Contandriopoulos, Dionne, Tessier, Mobilité des patients et modéles de crèation de demande: le cas du Québec (1983) Actual. Econ., 59, p. 729; Fuchs, The supply of surgeons and the demand for operations (1978) J. Hum. Resour., 13, p. 35. , Suppl; Lewis, Variation in the incidence of surgery (1969) New England Journal of Medicine, p. 880; Mayer, The distance behavior of hospital patients: a disaggregated analysis (1983) Soc. Sci. Med., 17, p. 819; Arrow, Uncertainty and the welfare economics of medical care (1963) Am. Econ. Rev., 8, p. 942; Culyer, The nature of commodity “health care” and its efficient allocation (1971) Oxf. Econ. Pap., 23, p. 189; Feldstein, Econometric studies of health economics (1974) Frontiers of Quantitative Economics, , M.D. Intrilogator, D.A. Kendrick, North Holland, Amsterdam; Newhouse, (1978) The Economics of Medical Care, , Addison-Wesley, Reading, MA; Pauly, (1980) Doctors and Their Workshops: Economic Models of Physician Behavior, , National Bureau of Economic Research, University of Chicago Press, Chicago; Dionne G. and Contandriopoulos A.P. Doctors and their workshops: a review article. J. Hlth Econ. In press; Tessier, (1982) La mobilité des consommateurs et les interventions chirurgicales électives au Québec, , Départment de science économique, Université de Montréal, Unpublished Study; Darbon, (1984) La demande pure de soins médicaux: Aspects théoriques et empiriques, , Centre national de la recherche scientifique, Laboratoire d'Economie et de Sociologie du Travail, Document LEST 84-8; Contandriopoulos, Fournier, Bertrand, (1983) Les effectifs médicaux au Québec, situation de 1972 à 1982 et projection pour 1986, , Corporation professionnelle des médecins du Québec, Montréal; Theil, (1971) Principles of Econometrics, , Wiley, New York; Maddala, (1977) Econometrics, , McGraw-Hill, New York; Long, The role of consumer location in the demand for in-patient care (1981) Inquiry, 18, p. 266","Dionne, G.; Université de Montréal, C.P. 6128 Succ. A, Montréal, H3C 3J7, Canada",,,,,,,,02779536,,SSMDE,"4023765","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-0022392216 "Zarei A., Maleki F.","37103320700;57193526097;","Asian medical marketing, a review of factors affecting Asian medical tourism development",2019,"Journal of Quality Assurance in Hospitality and Tourism","20","1",,"1","15",,7,"10.1080/1528008X.2018.1438959","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042941488&doi=10.1080%2f1528008X.2018.1438959&partnerID=40&md5=148f44e8fd5c6d70177a6b4ebdb06f47","Department of Business Administration, Faculty of Economic, Management & Administrative sciences, Semnan University, Semnan, Iran","Zarei, A., Department of Business Administration, Faculty of Economic, Management & Administrative sciences, Semnan University, Semnan, Iran; Maleki, F., Department of Business Administration, Faculty of Economic, Management & Administrative sciences, Semnan University, Semnan, Iran","Recently, medical tourism has been considered as a profitable economic sector in developing countries. In this study, we have reviewed articles from 2000 to 2017 on medical tourism marketing in Asian countries. We have found that perceived service quality and satisfaction are the most important factors to attract medical tourists. Moreover, a lack of factors like coordination among medical market stakeholders, medical services quality, insurance coverage, and effective laws are the major barriers to medical travel cited in studies. The results suggest that more specific models should be presented for Asian medical marketing, especially in niche markets of this industry. © 2018, © 2018 Taylor & Francis Group, LLC.","Asian countries; developing countries; developing economies; medical marketing; medical tourism; review",,,,,,,,,"Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management, 5 (3), pp. 192-201; Ahmed, Z., Yeasmeen, F., First world healthcare by third world provider: Position of Bangladesh (2016) Journal of Health Science Research, 1 (2), pp. 29-33; Aydin, G., Karamehmet, B., Factors affecting health tourism and international health-care facility choice (2017) International Journal of Pharmaceutical and Healthcare Marketing, 11 (1), pp. 16-36; Bigné, E., Gnoth, J., Andreu, L., Advanced topics in tourism market segmentation (2008) Tourism Management: Analysis, Behaviour and Strategy, pp. 151-173; Bochaton, A., Cross-border mobility and social networks: Laotians seeking medical treatment along the Thai border (2015) Social Science & Medicine, 124, pp. 364-373; Bolton, S., Skountridaki, L., The medical tourist and a political economy of care (2017) Antipode, 49 (2), pp. 499-516; Cheng, K.M., Medical tourism: Chinese maternity tourism to Hong Kong (2016) Current Issues in Tourism, 19 (14), pp. 1479-1486; Chomvilailuk, R., Srisomyong, N., Three dimensional perceptions of medical/health travelers and destination brand choices: Cases of Thailand (2015) Procedia-Social and Behavioral Sciences, 175, pp. 376-383; Chu, Y., Tang, L., Luo, Y., Two decades of research on luxury hotels: A review and research Agenda (2016) Journal of Quality Assurance in Hospitality & Tourism, 17 (2), pp. 151-162; Cohen, A.B., Hill, P.C., Religion as culture: Religious individualism and collectivism among American Catholics, Jews, and Protestants (2007) Journal of Personality, 75 (4), pp. 709-742; Das, G., Mukherjee, S., A measure of medical tourism destination brand equity (2016) International Journal of Pharmaceutical and Healthcare Marketing, 10 (1), pp. 104-128; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sree, K., Interrelations of service quality and service loyalty dimensions in medical tourism: A structural equation modelling approach (2015) Benchmarking: An International Journal, 22 (1), pp. 18-55; Ebrahim, A.H., Ganguli, S., Strategic priorities for exploiting Bahrain’s medical tourism potential (2017) Journal of Place Management and Development, 10 (1), pp. 45-60; Esiyok, B., Çakar, M., Kurtulmuşoğlu, F.B., The effect of cultural distance on medical tourism (2017) Journal of Destination Marketing & Management, 6 (1), pp. 66-75; Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tourism Management, 52, pp. 539-556; Ganguli, S., Ebrahim, A.H., A qualitative analysis of Singapore’s medical tourism competitiveness (2017) Tourism Management Perspectives, 21, pp. 74-84; Guiry, M., Vequist IV, D.G., South Korea’s medical tourism destination brand personality and the influence of personal values (2015) Asia Pacific Journal of Tourism Research, 20 (5), pp. 563-584; Han, H., Hwang, J., Growing competition in the healthcare tourism market and customer retention in medical clinics: New and experienced travellers (2018) Current Issues in Tourism, 21 (6), pp. 680-702. , &; Han, H., Hyun, S.S., Medical hotel in the growth of global medical tourism (2014) Journal of Travel & Tourism Marketing, 31 (3), pp. 366-380; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tourism Management, 46, pp. 20-29; Han, H., Kim, Y., Kim, C., Ham, S., Medical hotels in the growing healthcare business industry: Impact of international travelers’ perceived outcomes (2015) Journal of Business Research, 68 (9), pp. 1869-1877; Heung, V.C., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Ikemoto, L.C., Reproductive tourism: Equality concerns in the global market for fertility services (2009) Law Inequality, 27 (2), pp. 277-309; Jaapar, M., Musa, G., Moghavvemi, S., Saub, R., Dental tourism: Examining tourist profiles, motivation and satisfaction (2017) Tourism Management, 61, pp. 538-552; Jafari, A., Süerdem, A., An analysis of material consumption culture in the Muslim world (2012) Marketing Theory, 12 (1), pp. 61-79; Junio, M.M.V., Kim, J.H., Lee, T.J., Competitiveness attributes of a medical tourism destination: The case of South Korea with importance-performance analysis (2017) Journal of Travel & Tourism Marketing, 34 (4), pp. 444-460; Khan, M.J., Chelliah, S., Haron, M.S., Medical tourism destination image formation process: A conceptual model (2016) International Journal of Healthcare Management, 9 (2), pp. 134-143; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Social Science & Medicine, 67 (1), pp. 101-110; Lautier, M., International trade of health services: Global trends and local impact (2014) Health Policy, 118 (1), pp. 105-113; Lee, M., Han, H., Lockyer, T., Medical tourism—Attracting Japanese tourists for medical tourism experience (2012) Journal of Travel & Tourism Marketing, 29 (1), pp. 69-86; Lertwannawit, A., Gulid, N., International tourists service quality perception and behavioral loyalty toward medical tourism in bangkok metropolitan area (2011) Journal of Applied Business Research (JABR), 27 (6), pp. 1-12; Lin, H.C., Assessment of the partnership quality between travel agencies and health care organizations on the international medical tourism market in Taiwan (2014) Journal of Quality Assurance in Hospitality & Tourism, 15 (4), pp. 356-381; Moghavvemi, S., Ormond, M., Musa, G., Isa, C.R.M., Thirumoorthi, T., Mustapha, M.Z.B., Chandy, J.J.C., Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163; Musa, G., Doshi, D.R., Wong, K.M., Thirumoorthy, T., How satisfied are inbound medical tourists in Malaysia? A study on private hospitals in Kuala Lumpur (2012) Journal of Travel & Tourism Marketing, 29 (7), pp. 629-646; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on South–South intra-regional medical travel (2017) Current Issues in Tourism, 20 (1), pp. 94-110; Rad, N.F., Som, A.P.M., Zainuddin, Y., Service quality and patients’ satisfaction in medical tourism (2010) World Applied Sciences Journal, 10 (1), pp. 24-30; Rahman, M.K., Zailani, S., Musa, G., Tapping into the emerging Muslim-friendly medical tourism market: Evidence from Malaysia (2017) Journal of Islamic Marketing, 8 (4), pp. 514-532; Salehzadeh, R., Khazaei Pool, J., Soleimani, S., Brand personality, brand equity, and revisit intention: An empirical study of a tourist destination in Iran (2016) Tourism Review, 71 (3), pp. 205-218; Samadbeik, M., Asadi, H., Mohseni, M., Takbiri, A., Moosavi, A., Garavand, A., Designing a medical tourism website: A qualitative study (2017) Iranian Journal of Public Health, 46 (2), pp. 249-257; Sandberg, D.S., Medical tourism: An emerging global healthcare industry (2017) International Journal of Healthcare Management, 10 (4), pp. 281-288; Serirat, S., An examination of tourists’ loyalty towards medical tourism in Pattaya, Thailand (2010) The International Business & Economics Research Journal, 9 (1), pp. 55-71; Shahijan, M.K., Rezaei, S., Preece, C.N., Ismail, W.K.W., International medical travelers’ behavioral intention: An empirical study in Iran (2015) Journal of Travel & Tourism Marketing, 32 (5), pp. 475-502; Skountridaki, L., Barriers to business relations between medical tourism facilitators and medical professionals (2017) Tourism Management, 59, pp. 254-266; Ulaş, D., Anadol, Y., A case study for medical tourism: Investigating a private hospital venture in Turkey (2016) Anatolia, 27 (3), pp. 327-338; Vijaya, R.M., Medical tourism: Revenue generation or international transfer of healthcare problems? (2010) Journal of Economic Issues, 44 (1), pp. 53-70; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality: An International Journal, 22 (5), pp. 465-491; Wang, Y.H., Expectation, service quality, satisfaction, and behavioral intention-evidence from Taiwan’s medical tourism industry (2017) Advances in Management and Applied Economics, 7 (1), p. 1; Wongkit, M., McKercher, B., Desired attributes of medical treatment and medical service providers: A case study of medical tourism in Thailand (2016) Journal of Travel & Tourism Marketing, 33 (1), pp. 14-27; Wu, H.C., Li, T., Li, M.Y., A study of behavioral intentions, patient satisfaction, perceived value, patient trust and experiential quality for medical tourists (2016) Journal of Quality Assurance in Hospitality & Tourism, 17 (2), pp. 114-150; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Zarei, A.; Department of Business Administration, Faculty of Economic, Management & Administrative sciences, Semnan UniversityIran; email: a_zarei@semnan.ac.ir",,,"Routledge",,,,,1528008X,,,,"English","J. Qual. Assur. Hosp. Tour.",Note,"Final",,Scopus,2-s2.0-85042941488 "Zolfagharian M., Rajamma R.K., Naderi I., Torkzadeh S.","25926790200;18038011600;55225694600;57195105766;","Determinants of medical tourism destination selection process",2018,"Journal of Hospitality Marketing and Management","27","7",,"775","794",,7,"10.1080/19368623.2018.1444527","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042928448&doi=10.1080%2f19368623.2018.1444527&partnerID=40&md5=ecdd9fb5dcba3d0e8f162dfb387930e4","Department of Marketing, Robert C. Vackar College of Business and Entrepreneurship, University of Texas Rio Grande Valley, Edinburg, TX, United States; Department of Marketing, Charles F. Dolan School of Business, Fairfield University, Fairfield, CT, United States; Judd Leighton School of Business and Economics, Indiana University South Bend, United States","Zolfagharian, M., Department of Marketing, Robert C. Vackar College of Business and Entrepreneurship, University of Texas Rio Grande Valley, Edinburg, TX, United States; Rajamma, R.K., Department of Marketing, Charles F. Dolan School of Business, Fairfield University, Fairfield, CT, United States; Naderi, I., Department of Marketing, Charles F. Dolan School of Business, Fairfield University, Fairfield, CT, United States; Torkzadeh, S., Judd Leighton School of Business and Economics, Indiana University South Bend, United States","Even though American health care providers have incessantly raised their prices, medical insurers have managed to achieve (greater) profitability covering fewer services for a smaller number of clientele every year. Against this backdrop, there has been a sharp increase in the number of people seeking health care in foreign countries. Using prospect theory, this study finds medical tourism consideration to be driven by domestic medical costs, patient privacy concerns, medical restrictions, and foreign destination desirability. The latter is in turn influenced by tourist attractions and service quality assurance in addition to domestic medical costs. The findings and their implications and limitations are also discussed. © 2018, © 2018 Taylor & Francis.","attractions; costs; destination desirability; Medical tourism; privacy; quality; restrictions",,,,,,,,,"Abd Mutalib, N.S., Soh, Y.C., Wong, T.W., Yee, S.M., Yang, Q., Murugiah, M.K., Ming, L.C., Online narratives about medical tourism in Malaysia and Thailand: A qualitative content analysis (2017) Journal of Travel & Tourism Marketing, 34 (6), pp. 821-832; Accredited Organizations, J.C.I., (2011) Joint Commission International, , http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations/, Retrieved from, (Retrieved from 2016, 06 15; (2017) Facts: Did you know?, , https://www.americantransplantfoundation.org/about-transplant/facts-and-myths/, Retrieved from, (Retrieved from 2017, 09 18; Annas, G., Regulating the introduction of heart and liver transplantation (1985) American Journal of Public Health, 75 (1), pp. 93-95; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consortium Journal of Hospitality & Tourism, 11 (1), pp. 75-81; Bagozzi, R., Heatherton, T., A general approach to representing multifaceted personality constructs: Application to state self-esteem (1994) Structural Equation Modeling: A Multidisciplinary Journal, 1 (1), pp. 35-67; Benjamin, G., Patient privacy: A policy shift. 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Hosp. Mark. Manage.",Article,"Final",,Scopus,2-s2.0-85042928448 "Luo Y., Lanlung (Luke) C., Kim E., Tang L.R., Song S.M.","57188770223;57195235160;55801553900;55981911800;57195233587;","Towards quality of life: the effects of the wellness tourism experience",2018,"Journal of Travel and Tourism Marketing","35","4",,"410","424",,7,"10.1080/10548408.2017.1358236","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026388728&doi=10.1080%2f10548408.2017.1358236&partnerID=40&md5=bdd8fbf91ffb74f50d78a226be125011","Department of Apparel, Events, & Hospitality Management, College of Human Science, Iowa State University, 31 Mackay Hall, Ames, IA 50011, United States; College of Management, Yuan Ze University, ChungLi, Taiwan; Hospitality & Tourism Management, Pamplin College of Business, Virginia Tech, Blacksburg, VA, United States; Department of Hospitality & Culinary Art, Hyundai Art Institute of Vocational Education, Incheon, South Korea","Luo, Y., Department of Apparel, Events, & Hospitality Management, College of Human Science, Iowa State University, 31 Mackay Hall, Ames, IA 50011, United States; Lanlung (Luke), C., College of Management, Yuan Ze University, ChungLi, Taiwan; Kim, E., Hospitality & Tourism Management, Pamplin College of Business, Virginia Tech, Blacksburg, VA, United States; Tang, L.R., Department of Apparel, Events, & Hospitality Management, College of Human Science, Iowa State University, 31 Mackay Hall, Ames, IA 50011, United States; Song, S.M., Department of Hospitality & Culinary Art, Hyundai Art Institute of Vocational Education, Incheon, South Korea","The wellness tourism sector has experienced a significant worldwide increase. This study aimed to identify the relationships between customer experience, leisure and non-leisure satisfaction, and quality of life in wellness tourism. Specifically, customer experience was evaluated with four dimensions of the experience economy: entertainment, educational, esthetic, and escapist. The findings of this study indicate that customer experience influences leisure satisfaction, which consequently leads to non-leisure satisfaction. It was also found that both leisure and non-leisure satisfaction contribute to customer quality of life. 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In, (Ed; Stamboulis, Y., Skayannis, P., Innovation strategies and technology for experience-based tourism (2003) Tourism Management, 24 (1), pp. 35-43; Stebbins, R.A., The costs and benefits of hedonism: Some consequences of taking casual leisure seriously (2001) Leisure Studies, 20 (4), pp. 305-309; Steiner, C.J., Reisinger, Y., Ringing the fourfold: A philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 5-14; Tay, L., Diener, E., Needs and subjective well-being around the world (2011) Journal of Personality and Social Psychology, 101 (2), p. 354; Toh, R.S., Khan, H., Lim, L.L., Two-stage shift-share analyses of tourism arrivals and arrivals by purpose of visit: The Singapore experience (2004) Journal of Travel Research, 43 (1), pp. 57-66; Trenberth, L., Dewe, P., The importance of leisure as a means of coping with work related stress: An exploratory study (2002) Counselling Psychology Quarterly, 15 (1), pp. 59-72; Tung, V.W.S., Ritchie, J.B., Exploring the essence of memorable tourism experiences (2011) Annals of Tourism Research, 38 (4), pp. 1367-1386; Uriely, N., The tourist experience: Conceptual developments (2005) Annals of Tourism Research, 32 (1), pp. 199-216; Veijola, S., Jokinen, E., The body in tourism (1994) Theory, Culture & Society, 11 (3), pp. 125-151; Voigt, C., Brown, G., Howat, G., Wellness tourists: In search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; Wang, N., Rethinking authenticity in tourism experience (1999) Annals of Tourism Research, 26 (2), pp. 349-370; Williams, A., Tourism and hospitality marketing: Fantasy, feeling and fun (2006) International Journal of Contemporary Hospitality Management, 18 (6), pp. 482-495; Wilson, E., Harris, C., Meaningful travel: Women, independent travel and the search for self and meaning (2006) Tourism, 54 (2), pp. 161-172; Woodside, A.G., Crouch, G.I., Ritchie, J.B., (2001) Consumer psychology of tourism, hospitality, and leisure, , Oxon: Wallingford","Lanlung (Luke), C.; College of Management, Yuan Ze University, No. 135, Yuan-dung Rd, Taiwan; email: lukech@saturn.yzu.edu.tw",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-85026388728 "Muth S.","56015854900;","“The ideal Russian speaker is no Russian”: language commodification and its limits in medical tourism to Switzerland",2018,"Language Policy","17","2",,"217","237",,7,"10.1007/s10993-017-9434-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017456000&doi=10.1007%2fs10993-017-9434-6&partnerID=40&md5=76e7e24205f8775edbe3ad6391a4506e","Institute of Multilingualism, University of Fribourg, Rue de Morat 24, Fribourg, 1700, Switzerland","Muth, S., Institute of Multilingualism, University of Fribourg, Rue de Morat 24, Fribourg, 1700, Switzerland","It is the aim of this paper to examine the management of multilingualism in the Swiss healthcare industry and the negotiation of the oftentimes fluctuating and unstable value of linguistic resources in the care for medical tourists; on the other hand highlighting how international healthcare and medical tourism emerge as sites emblematic of the global new economy and the exploitation of those linguistic resources. Insights will be drawn from two research sites that are currently engaged in the care of international patients, a private medical clinic and spa I call Mountain Medical Resort as well as a public general hospital I call Lakeside Hospital. While both institutions offer to provide assistance and translation in a number of languages, this research primarily focuses on Russian as the language spoken by the largest share of medical tourists at both sites and in Switzerland as a whole. In particular, it is my aim to highlight how Russian as a linguistic resource is managed at Mountain Medical Resort and Lakeside Hospital to attend to visiting international patients. This will illustrate, which specific linguistic proficiencies are deemed valuable and how changes in market conditions and patient numbers have an impact on the commodity value of languages and that of Russian in particular. Here, it is the aim of this research to examine how, in which instances and under which conditions languages gain and may again lose a marketable value and how institutional policies react to that. Based on the two research sites that are exemplary for the current rise in numbers of medical tourists seeking treatment in Switzerland as much as they represent the transformation towards health as a consumable product, this also implies to examine how the neoliberal transformation of healthcare is connected to the re-imagination of language as a commodified skill under current political-economic conditions (Park in J Multiling Multicult Dev 37(5):453–466, 2016). Exemplified by medical tourism as a key site of the global new economy and Russian as a potentially commodifiable linguistic resource, this will also leave us with broader implications on the changing regimes of value of languages and on the role of language in the neoliberal economy. © 2017, Springer Science+Business Media Dordrecht.","Language and health; Language commodification; Language policy at work; Medical tourism; Russian",,,,,,,,,"Appadurai, A., Introduction: Commodities and the politics of value (1986) The social life of things, pp. 3-63. , Appadurai A, (ed), Oxford University Press, Oxford; Bourdieu, P., The economics of linguistic exchanges (1977) Social Science Information, 16 (6), pp. 645-668; Boutet, J., (2008) La vie verbale au travail: Des manufactures aux centres d’appels, , Octares, Paris; Cameron, D., Styling the worker: Gender and the commodification of language in the globalized service economy (2000) Journal of Sociolinguistics, 4, pp. 323-347; Chuang, T.C., Liu, J.S., Lu, L.Y.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, 45, pp. 49-58; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Connell, J., Transnational health care: Global markets and local marginalisation in medical tourism (2015) Bodies across borders: The global circulation of body parts, medical tourists and professionals, pp. 75-94. , Bronwyn P, Greenhough B, Brown T, Dyck I, (eds), Ashgate, Farnham; Coupland, N., Garret, P., Linguistic landscapes, discursive frames and metacultural performance: The case of Welsh Patagonia (2010) International Journal of the Sociology of Language, 205, pp. 7-36; Crozier, G.K.D., Baylis, F., The ethical physician encounters international medical travel (2010) Journal of Medical Ethics, 36, pp. 297-301; Del Percio, A., Branding the nation: Swiss multilingualism and the promotional capitalization on national history under late capitalism (2016) Pragmatics and Society, 7 (1), pp. 82-103; Dewachi, O., Skelton, M., Nguyen, V.-K., Fouad, F., Abu Sitta, G., Maasri, Z., Giacaman, R., Changing therapeutic geographies of the Iraqi and Syrian wars (2014) The Lancet, 383 (9915), pp. 449-457; Duchêne, A., Marketing, management, and performance: Multilingualism as commodity in a tourism call centre (2009) Language Policy, 8, pp. 27-50; Duchêne, A., Néolibéralisme, inégalités sociales et plurilinguismes: l’exploitation des ressources langagières et des locuteurs (2011) Langage et Société, 136, pp. 81-106; Duchêne, A., Heller, M., Language policy and the workplace (2012) The Cambridge handbook of language policy, pp. 323-335. , Spolsky B, (ed), Cambridge University Press, Cambridge; Gal, S., Language and political economy (1989) Annual Review of Anthropology, 18, pp. 345-367; Heller, M., Globalization, the new economy, and the commodification of language and identity (2003) Journal of Sociolinguistics, 7 (4), pp. 473-492; Heller, M., The commodification of language (2010) Annual Review of Anthropology, 39, pp. 101-114; Heller, M., Duchêne, A., Treating language as an economic resource: Discourse, data, debates (2016) Sociolinguistics: Theoretical debates, pp. 139-156. , Coupland N, (ed), Cambridge University Press, Cambridge; Holborow, M., (2015) Language and neoliberalism, , Routledge, London; Irvine, J., When talk isn’t cheap: Language and political economy (1989) American Ethnologist, 16 (2), pp. 248-267; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal of Fertility and Women’s Medicine, 51, pp. 251-255; Kelly-Holmes, H., Multilingualism and commercial language practices on the internet (2006) Journal of Sociolinguistics, 10, pp. 507-519; Marcus, G., Ethnography in/of the world system: The emergence of multi-sited ethnography (1995) Annual Review of Anthropology, 24, pp. 95-117; McGill, K., Political economy and language: A review of some recent literature (2013) Journal of Linguistic Anthropology, 23 (2), pp. E84-E101; Muth, S., Russian as a commodity: Medical tourism and the healthcare industry in post-Soviet Lithuania (2015) International Journal of Bilingual Education and Bilingualism, pp. 1-13; O’Neill, F., From language classroom to clinical context: The role of language and culture in communication for nurses using English as a second language—A thematic analysis (2011) International Journal of Nursing Studies, 48, pp. 1120-1128; Ormond, M., Claiming ‘cultural competence’. The promotion of multi-ethnic Malaysia as a medical tourism destination (2013) Medical tourism. The ethics, regulation, and marketing of health mobility, pp. 187-200. , Hall MC, (ed), Routledge, London; Park, J., Language as pure potential (2016) Journal of Multilingual and Multicultural Development, 37 (5), pp. 453-466; Piller, I., Cho, J., Neoliberalism as language policy (2013) Language in Society, 42 (1), pp. 23-44; Piller, I., Takahashi, K., Language work aboard the low-cost airline (2013) Language, migration and social inequalities: A critical sociolinguistic perspective on institutions and work, pp. 95-117. , Duchêne A, Moyer M, Roberts C, (eds), Multilingual Matters, Clevedon; Smith, M., Puczkó, L., (2014) Health, tourism and hospitality: Spas, wellness and medical travel, , (eds), Routledge, London; (2008) Präsentation Medienkonferenz Gesundheitsdestination Schweiz, , http://www.s-ge.com/sites/default/files/Praesentation_Medienkonferenz_Swiss%20Health_v3_1.pdf; Tan, P.K.W., Rubdy, R., (2008) Language as commodity: Global structures: Local marketplaces, , (eds), Continuum, London; Tissot, L., (2000) Naissance d’une industrie touristique. Les Anglais et la Suisse au XIXe siècle, , ditions Payot, Lausanne; Turner, L., ‘First World Health Care at Third World Prices’: Globalization (2007) Bioethics and Medical Tourism. Biosocieties, 2 (3), pp. 303-325; Urciuoli, B., LaDousa, C., Language management/labor (2013) Annual Review of Anthropology, 42, pp. 175-190; Viladrich, A., Baron-Faust, R., Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina (2014) Annals of Tourism Research, 45 (3), pp. 116-131; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3, pp. 271-290; Whittaker, A., Chee, H.L., Perceptions of an ‘international Hospital’ in Thailand by medical travel patients: Cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297","Muth, S.; Institute of Multilingualism, University of Fribourg, Rue de Morat 24, Switzerland; email: sebastian.muth@unifr.ch",,,"Springer Netherlands",,,,,15684555,,,,"English","Lang. Policy",Article,"Final",,Scopus,2-s2.0-85017456000 "Qolipour M., Torabipour A., Faraji Khiavi F., Saki Malehi A.","57200165921;56363012400;56604287000;57192804351;","Assessing medical tourism services quality using SERVQUAL model: A patient’s perspective",2018,"Iranian Journal of Public Health","47","1",,"103","110",,7,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040002778&partnerID=40&md5=4df8d0b8287b4611bbf15b4e18608b29","Dept. of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Dept. of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran","Qolipour, M., Dept. of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Torabipour, A., Dept. of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Faraji Khiavi, F., Dept. of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Saki Malehi, A., Dept. of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran","Background: Continuous quality improvement of the hospital services is a basic requirement of medical tourism industry. The different dimensions of hospital services quality are assessed constantly to improve the service of medical tourism. The aim of this study was to determine the services quality of medical tourism in private and public hospitals. Methods: In this cross-sectional study, the quality of hospital services were assessed in view of 250 Iraqi tourists referred to Ahvaz private and public hospitals in 2015. Data were collected using a valid medical tourism SERV-QUAL questionnaire (MTSQ). This questionnaire includes 8 main dimensions with 31 items. Finally, Mann-Whitney, Kruskal-Wallis and Wilcoxon tests were used to analyze the data. Results: The mean of age of patients was 39±2.2 yr. The mean of hospital length of stay was 3.87±1.36 days. The most patients were admitted to Orthopedics, Otorhinolaryngology, Obstetrics, and Gynecology departments, respectively. There was a negative gap in all of the dimensions of service quality in the studied hospitals (P>0.001). The highest and lowest quality gap was seen in the “exchange and travel facilities” (-2.63) and the “tangibles” (-0.68) dimension, respectively. Conclusion: There was a negative gap in all of the dimensions of service quality in the studied hospitals. There-fore, the hospital services quality is improved to attract the foreign patients. © 2018, Iranian Journal of Public Health. All rights reserved.","Gap analysis; Hospital; Medical tourism; Service quality","adult; cross-sectional study; female; gynecology; hospital service; human; length of stay; male; medical tourism; obstetrics; orthopedics; otorhinolaryngology; questionnaire; rank sum test; travel",,,,,"Ahvaz Jundishapur University of Medical Sciences","This study is part of M.Sc thesis prepared by Mohammad Qolipour. This work was financially supported by grant: U-94078 from Vice- Chancellor for Research Affairs of Ahvaz Jun-dishapur University of Medical Sciences. The authors appreciate all people who helped them in this study, especially Dr. Mehran Haghparast (head of medical tourism office in Ahvaz Jun-dishapur University of Medical Sciences).",,"Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31 (2), pp. 185-198; Dang, H.S., Huang, Y.F., Wang, C.N., Nguyen, T.M., An application of the short-term forecasting with limited data in the healthcare traveling industry (2016) Sustainability, 8, p. 1037; Karuppan, C.M., Karuppan, M., Changing trends in health care tourism (2010) Health Care Manag (Frederick), 29 (4), pp. 349-358; Noree, T., Hanefeld, J., Smith, R., Medical tourism in Thailand: A cross-sectional study (2016) Bull World Health Organ, 94 (1), pp. 30-36; Johnson, T.J., Garman, A.N., Impact of medical travel on imports and exports of medical services (2010) Health Policy, 98 (2-3), pp. 171-177; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medgenmed, 9 (4), p. 33; I.R. of Iran 4Th 5-Years Economic, Social and Cultural Development Plan Act, , http://rc.majlis.ir/fa/law/show/790196; Abolhasani, N., (2012) Analyzing the Performance of Medical Tourism in Iran [Phd Thesis]. School of Public Health, , Tehran University of Medical Sciences, Iran; Beer, M., Why total quality management programs do not persist: The role of management quality and implications for leading a TQM transformation (2003) Dec Sci, 34 (4), pp. 623-642; Guiry, M., Vequist, D.G., Traveling abroad for medical care: U.S. medical tourists' expectations and perceptions of service quality (2011) Health Mark Q, 28 (3), pp. 253-269; Zarei, A., Arab, M., Froushani, A., Rashidian, A., Tabatabaei, S., Service quality of private hospitals: The Iranian patients' perspective (2012) BMC Health Serv Res, 12 (1), p. 31; Abuosi, A.A., Atinga, R.A., Service quality in healthcare institutions: Establishing the gaps for policy action (2013) Int J Health Care Qual Assur, 26 (5), pp. 481-492; (2014), www.mp-kz.ir; Parasuraman, A., Berry, L.L., Zeithaml, V.A., Refinement and reassessment of the SERVQUAL scale (1991) J Retail, 67 (4), pp. 420-450; Dean, A.M., The applicability of SERVQUAL in different health care environments (1999) Health Mark Q, 16 (3), pp. 1-21; Naqavi, M.R., Refaiee, R., Baneshi, M.R., Nakhaee, N., Analysis of gap in service quality in drug addiction treatment centers of Kerman, Iran, using SERVQUAL model (2014) Addict Health, 6 (3-4), pp. 85-92; Hébert, P.C., Hoffmaster, B., Glass, K.C., Singer, P.A., Bioethics for clinicians: 7. Truth telling (1997) CMAJ, 156 (2), pp. 225-228; Arunasalam, M., Paulson, A., Wallace, W., Service quality assessment of workers' compensation health care delivery programs in New York State using SERVQUAL (2004) Health Mark Q, 21 (1-2), pp. 29-64; Hildman, T.B., Fergsuson, G.H., Prompt service: a factor in patient satisfaction (1990) Nurs Manage, 21 (12), pp. 26-29; Kaldenberg, D.O., Patient satisfaction and health status (2001) Health Mark Q, 18 (3-4), pp. 81-101; Manulik, S., Rosińczuk, J., Karniej, P., Evaluation of health care service quality in Poland with the use of SERVQUAL method at the specialist ambulatory health care center (2016) Patient Prefer Adherence, 10, pp. 1435-1442; Naidu, A., Factors affecting patient satisfaction and healthcare quality (2009) Int J Health Care Qual Assur, 22 (4), pp. 366-381; Rezaei, S., Matin, B.K., Moradi, K., Bijan, B., Fallahi, M., Shokati, B., Saeidi, H., Measurement of Quality of Educational Hospital Services by the SERVQUAL Model: The Iranian Patients’ Perspective (2016) Electron Physician, 8 (3), pp. 2101-2106; Butt, M.M., De Run, E.C., Private healthcare quality: Applying a SERVQUAL model (2010) Int J Health Care Qual Assur, 23 (7), pp. 658-673; Gharibi, F., Tabrizi, J., Oskouei, M.E., Asgharijafarabadi, M., Effective interventions on service quality improvement in a physiotherapy clinic (2014) Health Promot Pers, 4 (1), pp. 61-67; Rashidian, A., Kavosi, Z., Majdzadeh, R., Assessing health system responsiveness: A household survey in 17th district of Tehran (2011) Iran Red Crescent Med J, 13 (5), pp. 302-308; Brahmbhatt, M., Baser, N., Joshi, N., Adaping the SERVQUAL scale to hospital services: An empirical investigation of patients ‘perceptions of service quality (2011) Int J Multidiscip Res, 1 (8), pp. 27-42; Sen Gupta, A., Medical tourism in India: Winners and losers (2008) Indian J Med Ethics, 5 (1), pp. 4-5; Noori, F., Kargari, M., Iran’s medical tourism development model in cardiac surgery (2016) Int J Travel Med Glob Health, 4 (2), pp. 57-64; Khodayar Zarnagh, R., Tourani, S., Ghaderi, A., Salehi, M., Jafari, H., Readiness of teaching hospitals in attracting medical tourists based on joint commission international standards (2013) J Qazvin University Med Sci, 9 (3-4), pp. 51-56; Nash, D.B., Goldfarb, N.I., (2006) The Quality Solution: The Stakeholder's Guide to Improving Health Care. 1St Ed, pp. 3-93. , Jones & Bartlett Learning, London, UK","Torabipour, A.; Dept. of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical SciencesIran; email: Torabi-a@ajums.ac.ir",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Article,"Final",,Scopus,2-s2.0-85040002778 "Reinheimer C., Kempf V.A.J., Jozsa K., Wichelhaus T.A., Hogardt M., O'Rourke F., Brandt C.","36114606500;6701489076;34971180200;7004197726;6602371420;37038229000;57109887900;","Prevalence of multidrug-resistant organisms in refugee patients, medical tourists and domestic patients admitted to a German university hospital",2017,"BMC Infectious Diseases","17","1", 17,"","",,7,"10.1186/s12879-016-2105-y","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85008339543&doi=10.1186%2fs12879-016-2105-y&partnerID=40&md5=0bdf44d7b0ddf118857a587719372954","University Hospital Frankfurt, Institute for Medical Microbiology and Infection Control, Paul Ehrlich-Straße 40, Frankfurt am Main, 60596, Germany","Reinheimer, C., University Hospital Frankfurt, Institute for Medical Microbiology and Infection Control, Paul Ehrlich-Straße 40, Frankfurt am Main, 60596, Germany; Kempf, V.A.J., University Hospital Frankfurt, Institute for Medical Microbiology and Infection Control, Paul Ehrlich-Straße 40, Frankfurt am Main, 60596, Germany; Jozsa, K., University Hospital Frankfurt, Institute for Medical Microbiology and Infection Control, Paul Ehrlich-Straße 40, Frankfurt am Main, 60596, Germany; Wichelhaus, T.A., University Hospital Frankfurt, Institute for Medical Microbiology and Infection Control, Paul Ehrlich-Straße 40, Frankfurt am Main, 60596, Germany; Hogardt, M., University Hospital Frankfurt, Institute for Medical Microbiology and Infection Control, Paul Ehrlich-Straße 40, Frankfurt am Main, 60596, Germany; O'Rourke, F., University Hospital Frankfurt, Institute for Medical Microbiology and Infection Control, Paul Ehrlich-Straße 40, Frankfurt am Main, 60596, Germany; Brandt, C., University Hospital Frankfurt, Institute for Medical Microbiology and Infection Control, Paul Ehrlich-Straße 40, Frankfurt am Main, 60596, Germany","Background: Patients with contact to healthcare-system in high-prevalence countries (HPC) and refugee patients in hospital settings (REF) have previously been identified to be at risk of carrying multidrug-resistant organisms (MDRO). Comparative studies addressing the epidemiology of MDRO in patients transferred from hospitals abroad (ABROAD) and REF are lacking but are necessary to introduce refined infection control measures. Methods: From December 2015 to June 2016, 117 REF, 84 ABROAD and 495 patients admitted to intensive care unit, with no refugee history or pre-treatment abroad (ICU), at University Hospital Frankfurt, Germany (UHF) were screened for MDRO on day of admittance. Data within these groups were compared and set in an epidemiological context. Results: 52.1% (95% confidence interval = 42.7-61.5) of REF and 41.6% (31.0-52.9) of ABROAD, were positive for at least one MDRGN, respectively. In contrast, 7.9% (5.6-10.6) of ICU were positive for MDRGN. Thereof, 0.9% (0.0-4.7) of REF, 15.5% (8.5-25.0) of ABROAD and 0% (0.0-0.7) of ICU were positive for at least one MDRGN with carbapenem resistance (CR). In total, 19 MDRGN with CR were detected in ABROAD, with the most frequent species with CR being A. baumannii with 42.1% (20.3-66.5). Regarding MRSA, 10.3% (5.4-17.2) of REF, 5.9% (1.9-13.3) of ABROAD and a significantly lower proportion 1.4% (0.6-2.9) of ICU, respectively, were tested positive. Conclusions: Both REF and ABROAD pose a relevant hospital hygiene risk. High prevalence of MDRGN with CR in ABROAD was observed. Concise screening and infection control guidelines are needed in patient cohorts with increased risk for MDRO carriage. © 2017 The Author(s).","Hospital hygiene; Infection control; Medical tourists; Multidrug-resistant organisms; Refugees","carbapenem; cephalosporin; piperacillin; quinolone derivative; carbapenem derivative; Acinetobacter baumannii; adult; aged; antibiotic resistance; Article; cohort analysis; comparative study; control strategy; Enterobacteriaceae; female; Germany; hospital admission; hospital hygiene; human; infection control; major clinical study; male; medical tourism; methicillin resistant Staphylococcus aureus; nonhuman; patient isolation; prevalence; Pseudomonas aeruginosa; refugee; retrospective study; screening test; adolescent; animal; child; cross infection; hygiene; intensive care unit; medical tourism; microbiology; middle aged; multidrug resistance; preschool child; refugee; statistics and numerical data; university hospital; very elderly; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Animals; Carbapenems; Child; Child, Preschool; Cross Infection; Drug Resistance, Multiple, Bacterial; Female; Germany; Hospitals, University; Humans; Hygiene; Infection Control; Intensive Care Units; Male; Medical Tourism; Middle Aged; Patient Admission; Prevalence; Refugees; Retrospective Studies; Young Adult",,"carbapenem, 83200-96-8; cephalosporin, 11111-12-9; piperacillin, 59703-84-3, 61477-96-1; Carbapenems",,,,,,"Angelin, M., Forsell, J., Granlund, M., Evengård, B., Palmgren, H., Johansson, A., Risk factors for colonization with extended-spectrum beta-lactamase producing enterobacteriaceae in healthcare students on clinical assignment abroad: a prospective study (2015) Travel med infect dis, 13 (3), pp. 223-229; Lübbert, C., Straube, L., Stein, C., Makarewicz, O., Schubert, S., Mössner, J., Colonization with extended-spectrum beta-lactamase-producing and carbapenemase-producing enterobacteriaceae in international travelers returning to Germany (2015) Int j med microbiol, 305 (1), pp. 148-156; Tängdén, T., Cars, O., Melhus, A., Löwdin, E., Foreign travel is a major risk factor for colonization with Escherichia coli producing CTX-M-type extended-spectrum beta-lactamases: a prospective study with Swedish volunteers (2010) Antimicrob agents chemother, 54 (9), pp. 3564-3568; Kuenzli, E., Jaeger, V.K., Frei, R., Neumayr, A., Decrom, S., Haller, S., High colonization rates of extended-spectrum β-lactamase (ESBL)-producing Escherichia coli in Swiss travellers to south Asia- a prospective observational multicentre cohort study looking at epidemiology, microbiology and risk factors (2014) BMC infect dis, 14, p. 528; Kaspar, T., Schweiger, A., Droz, S., Marschall, J., Colonization with resistant microorganisms in patients transferred from abroad: who needs to be screened? 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Dis.",Article,"Final",Open Access,Scopus,2-s2.0-85008339543 "Ajmera P.","57195928425;","Ranking the strategies for Indian medical tourism sector through the integration of SWOT analysis and TOPSIS method",2017,"International Journal of Health Care Quality Assurance","30","8",,"668","679",,7,"10.1108/IJHCQA-05-2016-0073","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030164220&doi=10.1108%2fIJHCQA-05-2016-0073&partnerID=40&md5=e61cea0f0ac4b900d98cfde67ffcbad0","Amity University, Gurugram, India","Ajmera, P., Amity University, Gurugram, India","Purpose: Organizations have to evaluate their internal and external environments in this highly competitive world. Strengths, weaknesses, opportunities and threats (SWOT) analysis is a very useful technique which analyzes the strengths, weaknesses, opportunities and threats of an organization for taking strategic decisions and it also provides a foundation for the formulation of strategies. But the drawback of SWOT analysis is that it does not quantify the importance of individual factors affecting the organization and the individual factors are described in brief without weighing them. Because of this reason, SWOT analysis can be integrated with any multiple attribute decision-making (MADM) technique like the technique for order preference by similarity to ideal solution (TOPSIS), analytical hierarchy process, etc., to evaluate the best alternative among the available strategic alternatives. The paper aims to discuss these issues. Design/methodology/approach: In this study, SWOT analysis is integrated with a multicriteria decision-making technique called TOPSIS to rank different strategies for Indian medical tourism in order of priority. Findings: SO strategy (providing best facilitation and care to the medical tourists at par to developed countries) is the best strategy which matches with the four elements of S, W, O and T of SWOT matrix and 35 strategic indicators. Practical implications: This paper proposes a solution based on a combined SWOT analysis and TOPSIS approach to help the organizations to evaluate and select strategies. Originality/value: Creating a new technology or administering a new strategy always has some degree of resistance by employees. To minimize resistance, the author has used TOPSIS as it involves group thinking, requiring every manager of the organization to analyze and evaluate different alternatives and average measure of each parameter in final decision matrix. © 2017, © Emerald Publishing Limited.","Indian medical tourism; MADM technique; Strategic decisions; SWOT analysis; TOPSIS","developed country; employee; facilitation; human; human experiment; manager; medical tourism; organization; decision making; decision support system; economics; health care delivery; India; organization and management; standards; Decision Making; Decision Support Techniques; Delivery of Health Care; Humans; India; Medical Tourism",,,,,,,,"Ajmera, P., Singh, M., Satia, H., Prioritization of strengths, weaknesses, opportunities and threats of Indian medical tourism sector using integrated SWOT AHP analysis (2015) International Journal of Innovative Research in Science, Engineering and Technology, 4 (5), pp. 3665-3673; Aydogan, E.K., Performance measurement model for Turkish aviation firms using the rough AHP and TOPSIS method under fuzzy environment (2011) Expert Systems with Applications, 38 (4), pp. 3992-3998; Azimi, R., Yazdani, C.A., Fouladgar, M.M., Zavadskas, Basiri, M.H., Ranking the strategies of mining sector through ANP and TOPSIS in a SWOT framework (2011) Journal of Business Economics and Management, 12 (4), pp. 670-689; Bierly, P., Chakrabarti, A., Generic knowledge strategies in the US pharmaceutical industry (1996) Strategic Management Journal, 17 (4), pp. 123-135; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80, pp. 158-163; Chen, C.T., Lin, C.T., Huang, S.F., A fuzzy approach for supplier evaluation and selection in supply chain management (2006) International Journal of Production Economics, 102 (2006), pp. 289-301; Desouza, K.C., Strategic contributions of game rooms to knowledge management: some preliminary insights (2003) Information and Management, 41 (1), pp. 63-74; Ghazionoory, S., Zadeh, A.E., Memariani, A., Fuzzy SWOT analysis (2007) Journal of Intelligent & Fuzzy Systems, 32, pp. 99-108; Helms, M.M., Judy, N., Exploring SWOT analysis – where are we now? A review of academic research from the last decade (2010) Journal of Strategy and Management, 3 (3), pp. 215-251; Hess, P., Siciliano, J., (1996) Management: Responsibility for Performance, , McGraw-Hill, New York, NY; Higginbottom, M.J., Hurst, K., Quality assuring a therapy service (2001) International Journal of Health Care Quality Assurance, 14 (4), pp. 149-156; Hill, T., Westbrook, R., SWOT analysis: it’s time for a product recall (1997) Long Range Planning, 30 (1), pp. 46-52; Hwang, C.L., Yoon, K., (1981) Multiple Attributes Decision Making: Methods and Applications, , Springer Publications, New York, NY; Kangas, J., Kurttila, M., Kajanus, M., Kangas, A., Evaluating the management strategies of a forestland estate-the S-O-S approach (2003) Journal of Environmental Management, 69 (4), pp. 349-358; Karacapilidis, N., Adamides, E., Evangelou, C., A computerized knowledge management system for the manufacturing strategy process (2006) Computers in Industry, 57 (2), pp. 178-188; Kurttila, M., Pesonen, M., Kangas, J., Kajanus, M., Utilizing the analytic hierarchy process (AHP) in SWOT analysis – a hybrid method and its application to a forest certification case (2000) Forest Policy and Economics, 1 (1), pp. 41-52; Lin, M.C., Wang, C.C., Chen, M.S., Using AHP and TOPSIS approaches in customer-driven customer design process (2008) Computers in Industry, 59 (1), pp. 17-31; Masozera, M.K., Alavalapati, J.R.R., Jacobson, S.K., Shresta, R.K., Assessing the suitability of community-based management for the Nyungwe Forest Reserve, Rwanda (2006) Forest Policy and Economics, 8 (2), pp. 206-216; Nesrin, A., Integration of SWOT analysis and TOPSIS method in strategic decision making process (2013) The Macrotheme Review, 2 (7), pp. 1-8; Plessis, M., Drivers of knowledge management in the corporate environment (2005) International Journal of Information Management, 25 (3), pp. 193-202; Saremi, M., Mousavi, S.F., Sanayei, A., TQM consultant selection in SMEs with TOPSIS under fuzzy environment (2009) Expert Systems with Applications, 36 (2), pp. 2742-2749; Shih, H.S., Incremental analysis for MCDM with an application to group TOPSIS (2008) European Journal of Operational Research, 186 (2), pp. 720-734; Shih, H.S., Shyur, H.J., Lee, E.S., An extension of TOPSIS for group decision making (2007) Mathematical and Computer Modelling, 45 (7-8), pp. 801-813; Shrestha, R.K., Alavalapati, J.R.R., Kalmbacher, R.S., Exploring the potential for silvopasture adoption in South-Central Florida: an application of SWOT-AHP method (2004) Agricultural Systems, 81 (3), pp. 185-199; Siddiqi, S., Shennawy, A., Mirza, Z., Drager, N., Sabri, B., Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective (2009) International Journal of Health Planning Management, 25 (3), pp. 231-250; Sivapirakasam, S.P., Mathew, J., Surianarayanan, M., Multi-attribute decision making for green electrical discharge machining (2011) Expert Systems with Applications, 38 (7), pp. 8370-8374; Stewart, R., Mohamed, S., Daet, R., Strategic implementation of IT/IS projects in construction: a case study (2002) Automation in Construction, 11 (6), pp. 681-694; Ygksel, I., Dağdeviren, M., Using the analytic network process (ANP) in a SWOT analysis-a case study for a textile firm (2007) Information Sciences, 177 (16), pp. 3364-3382; Ying, Y., (2010) SWOT-TOPSIS integration method for strategic decision, , paper presented at International Conference on E-Business and E-Government, IEEE, Guangzhou, 7-9 May; Zaerpour, N., Rabbani, M., Gharehgozli, A.H., Tavakkolil, M.R., Make-to order or make-to-stock decision by a novel hybrid approach (2008) Advanced Engineering Informatics, 22 (2), pp. 186-201; Kaharaman, C., Cevik, S., Ates, N.Y., Gulbay, M., Fuzzy multicriteria evaluation of industrial robotic systems (2007) Computers & Industrial Engineering, 52, pp. 414-433","Ajmera, P.; Amity UniversityIndia; email: puneeta_22@yahoo.com",,,"Emerald Group Publishing Ltd.",,,,,09526862,,,"28958199","English","Int. J. Health Care Qual. Assur.",Article,"Final",,Scopus,2-s2.0-85030164220 "Aydin G., Karamehmet B.","57193863207;57193873160;","Factors affecting health tourism and international health-care facility choice",2017,"International Journal of Pharmaceutical and Healthcare Marketing","11","1",,"16","36",,7,"10.1108/IJPHM-05-2015-0018","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017215104&doi=10.1108%2fIJPHM-05-2015-0018&partnerID=40&md5=aee060426cd984ab86479c632af9d053","Department of Business Administration, Istanbul Arel University, Istanbul, Turkey; Department of Communication, Istanbul Medipol University, Istanbul, Turkey","Aydin, G., Department of Business Administration, Istanbul Arel University, Istanbul, Turkey; Karamehmet, B., Department of Communication, Istanbul Medipol University, Istanbul, Turkey","Purpose: Health-care tourism has become a major industry in the past decade. Following the increasing activity in health-care tourism, the decision-making process of consumers in choosing an international health-care facility has become increasingly important to the related parties. The present study aims to offer a holistic model of international health-care facility choice that incorporates the important dimensions by assessing the growth drivers and the alternative factors proposed in the literature and by validating them via a survey study. Design/methodology/approach: The factors deemed important in the existing literature were used as the basis of a study in Turkey. In total, 65 structured interviews were conducted with health-care professionals and international health tourists to understand the perspective of the two important parties that affect policymaking. Findings: The findings of the study support the significance of the majority of the variables proposed as important factors affecting international health-care facility choice. Research limitations/implications: The study was carried out in four large hospital chains in Turkey; however, this creates a limitation in scope and may have limited representativeness of the overall market. The model has yet to be tested on a larger scale. Practical implications: There are significant differences in the opinions of professionals and international health-care tourists in terms of choice criteria. This indicates problems with health professionals’ understanding of the consumer decision process. Originality/value: The study provides a model that can be used to gain insights on the consumer decision process and also provides the policymakers and stakeholders of the international health-care industry with a sound theoretical foundation to build further studies upon. 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J. Pharm. Healthc. Mark.",Article,"Final",,Scopus,2-s2.0-85017215104 "Hanefeld J., Mandeville K., Smith R.","26430746700;23566831100;55746369800;","Making ""health tourists"" pay for care",2017,"BMJ (Online)","356",, j771,"","",,7,"10.1136/bmj.j771","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85012970233&doi=10.1136%2fbmj.j771&partnerID=40&md5=33357e6bd8a1b9e78c08a2e03d7ad98c","London School of Hygiene and Tropical Medicine, London, United Kingdom; Ealing Council, London, United Kingdom","Hanefeld, J., London School of Hygiene and Tropical Medicine, London, United Kingdom; Mandeville, K., Ealing Council, London, United Kingdom; Smith, R., London School of Hygiene and Tropical Medicine, London, United Kingdom",[No abstract available],,"doctor patient relation; Editorial; emergency care; health care access; health care cost; health care policy; health care system; health service; human; national health service; outpatient; patient advocacy; public health; South Africa; Thailand; United Kingdom; economics; medical tourism; statistics and numerical data; Humans; Medical Tourism; State Medicine; United Kingdom",,,,,,,,"Walls, H.L., Vearey, J., Modisenyane, M., Understanding healthcare and population mobility in southern Africa: The case of South Africa (2015) S Afr Med J, 356, pp. 14-15. , pmid 26792300; Noree, T., Hanefeld, J., Smith, R., Medical tourism in Thailand: A cross-sectional study (2016) Bull World Health Organ, 356, pp. 30-36. , pmid:26769994; (2017) Patients Not Eligible for Free NHS Care to Be Charged Up-front for Non-urgent Treatment, , https://healthmedia.blog.gov.uk/2017/02/06/patientsnot-eligible-for-free-nhs-care-to-be-charged-up-front-for-non-urgent-treatment/, Department of Health 6 Feb; (2013) Quantitative Assessment of Visitor and Migrant Use of the NHS in England: Exploring the Data, , https://www.gov.uk/government/uploads/system/uploads/attachmentdata/file/251909/QuantitativeAssessmentofVisitorandMigrantUseoftheNHSinEngland-ExploringtheData-FULLREPORT.pdf, Prederi; (2017) NHS Treatment for Overseas Patients. 37th Report of Session 2016-17, , https://www.publications.parliament.uk/pa/cm201617/cmselect/cmpubacc/771/771.pdf, House of Commons Public Accounts Committee; Dorr Goold, S., Lipkin, M., Jr., The doctor-patient relationship: Challenges, opportunities, strategies (1999) J Gen Intern Med, 356, pp. S26-33. , pmid:9933492; Britz, J.B., McKee, M., Charging migrants for health care could compromise public health and increase costs for the NHS (2016) J Public Health (Oxf), 356, pp. 384-390. , pmid 25904814; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the NHS? (2013) PLoS One, 356, p. e70406. , pmid:24204556","Hanefeld, J.; London School of Hygiene and Tropical MedicineUnited Kingdom; email: johanna.hanefeld@lshtm.ac.uk",,,"BMJ Publishing Group",,,,,09598146,,BMJOA,"28202447","English","BMJ (Online)",Editorial,"Final",,Scopus,2-s2.0-85012970233 "Samadbeik M., Asadi H., Mohseni M., Takbiri A., Moosavi A., Garavand A.","55920882300;57193229301;57203196853;55936111500;56625737600;57188925388;","Designing a medical tourism website: A qualitative study",2017,"Iranian Journal of Public Health","46","2",,"249","257",,7,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011851704&partnerID=40&md5=122ee10fe869f96077286aeb6125500e","Department of Health Information Technology, School of Allied Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran; Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran; Department of Health and Community Medicine, Dezful University of Medical Sciences, Dezful, Iran; Department of Health Information Management, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran","Samadbeik, M., Department of Health Information Technology, School of Allied Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran; Asadi, H., Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Mohseni, M., Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran; Takbiri, A., Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Moosavi, A., Department of Health and Community Medicine, Dezful University of Medical Sciences, Dezful, Iran; Garavand, A., Department of Health Information Management, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran","Background: Informing plays a prominent role in attracting medical tourists. The enjoyment of proper medical information systems is one of the most important tools for the attraction of medical tourists. Iran's ability in designing and implementing information networks has remained largely unknown. The current study aimed to explore information needs for designing a medical tourism website. Methods: This qualitative study was conducted in 2015 for designing Hospital Medical-Tourism Website (HMTW). A purposive sampling method was used and data were gathered using a semi-structured questionnaire. Totally, 12 faculty members and experts in the field of medical tourism were interviewed. Data were analyzed using the MAXQDA10 software. Results: Totally 41 sub-themes and 10 themes were identified. The themes included the introduction of hospital, general guide for patients, tourism information, information related to physicians in hospital, costs, treatment follow-up, online hospital appointment scheduling in website, statistics and news of hospital medical tourism, photo gallery and contacts. Among the themes, the participants highly emphasized four themes including costs (100%), tourism information (91.6%), information related to physicians in hospital, (83.3%) and treatment follow-up (83.3%). Conclusion: This profitable industry can be developed through considering information requirements for hospital medical tourism website. © 2017, Iranian Journal of Public Health. All rights reserved.","Hospitals; Information needs; Medical tourism; Website","doctor patient relation; follow up; hospital cost; human; human experiment; medical tourism; qualitative research; sampling; software; statistics; structured questionnaire; university",,,,,,,,"Hajinejad, A., Eslamfard, F., Formulating strategies for the development of treatment tourism in shiraz (Iran) using a strategic planning approach (SWOT) (2013) J Rafsanjan Univ Med Sci, 12 (8), pp. 641-654; Chee, H.L., (2007) Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare, 83. , https://ssrn.com/abstract=1317163, Asia Research Institute; Seddighi, H., Nuttall, M., Theocharous, A., Does cultural background of tourists influence the destination choice? 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(2010) J Public Health Policy, 31 (2), pp. 185-198; Fried, B.J., Harris, D.M., Managing healthcare services in the global marketplace (2007) Front Health Serv Manage, 24 (2), pp. 3-18; Tu, H.T., May, J.H., Self-pay markets in health care: Consumer nirvana or caveat emptor? (2007) Health Aff (Millwood), 26 (2), pp. 217-226; Legido-Quigley, H., McKee, M., Walshe, K., Suñol, R., Nolte, E., Klazinga, N., How can quality of health care be safeguarded across the European Union? (2008) BMJ, 336 (7650), pp. 920-923; Turner, L., Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel (2011) Global Health, 14 (7), p. 40; Moghimehfar, F., Nasr-Esfahani, M.H., Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments (2011) Tourism Management, 32 (6), pp. 1431-1434; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, p. 17; Ghalami, S., (2010) Investigate Ways to Improve Iran's Position in the Market for Health Services and Medical Tourism Attraction [Phd Thesis], , Tarbiat Modares University, Iran; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) JITCAR, 9 (3), pp. 19-30; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10 (266), pp. 1-12; Nazia, S., Ekta, S., Online Appointment Scheduling System for Hospitals–An Analytical Study (2014) Int J Innov Res Sci Eng Technol, 4 (1), pp. 21-27; Leahy, A., Medical tourism: The impact of travel to foreign countries for healthcare (2008) Surgeon, 6 (5), pp. 260-261; Passmore, R., (2009) Converting International Patient Inquiries at 10%, , http://www.medicaltourismmag.com/converting-international-patient-inquiries-10-part-2/, Medical Tourism Magazine; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72 (5), pp. 726-732; Didegah, F., Erfanmanesh, M.A., A study of the Performance of Iranian Medical Universities’ Websites using correspondence analysis (2010) Libr Inform Sci, 1 (13), pp. 151-173","Garavand, A.; Department of Health Information Management, School of Management and Medical Informatics, Shiraz University of Medical SciencesIran; email: virya67@yahoo.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English",,Article,"Final",,Scopus,2-s2.0-85011851704 "Sato R., Gui P., Ito K., Kohzuki M., Ebihara S.","57192042706;35621814300;55478969000;7006824956;7101733089;","Effect of short-term exposure to high particulate levels on cough reflex sensitivity in healthy tourists: A pilot study",2016,"Open Respiratory Medicine Journal","10",,,"96","104",,7,"10.2174/1874306401610010096","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011695314&doi=10.2174%2f1874306401610010096&partnerID=40&md5=39c074bc42ea68c25ca4832bd14178fb","Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Seiryomachi 1-1, Aoba-ku, Sendai, 980-8574, Japan; Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Omori-nishi 6-11-1, Ota-ku, Tokyo, 143-8541, Japan; Department of Critical Care Nursing, School of Human Health Science, Kyoto University Graduate School of Medicine, Shogoin Kawahara-cho 53, Sakyo-ku, Kyoto, 606-8507, Japan","Sato, R., Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Seiryomachi 1-1, Aoba-ku, Sendai, 980-8574, Japan, Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Omori-nishi 6-11-1, Ota-ku, Tokyo, 143-8541, Japan, Department of Critical Care Nursing, School of Human Health Science, Kyoto University Graduate School of Medicine, Shogoin Kawahara-cho 53, Sakyo-ku, Kyoto, 606-8507, Japan; Gui, P., Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Seiryomachi 1-1, Aoba-ku, Sendai, 980-8574, Japan; Ito, K., Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Seiryomachi 1-1, Aoba-ku, Sendai, 980-8574, Japan; Kohzuki, M., Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Seiryomachi 1-1, Aoba-ku, Sendai, 980-8574, Japan; Ebihara, S., Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Seiryomachi 1-1, Aoba-ku, Sendai, 980-8574, Japan, Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Omori-nishi 6-11-1, Ota-ku, Tokyo, 143-8541, Japan","Background: Previous studies have reported a relationship between particulate air pollution and respiratory symptoms or decline in lung function, but information about acute effects of short-term exposure to airborne particulate matter (PM) on cough and pulmonary function is scarce. Objective: To investigate the effect of short-term exposure to high concentrations of PM on the cough reflex threshold, urge-to-cough, pulmonary function, and cough-related quality of life in a group of healthy non-resident volunteers visiting Beijing, China. Methods: Seventeen healthy residents of Sendai, Japan, who planned to attend a meeting in Beijing, were recruited. We checked local air quality and measured cough reflex thresholds, urge-to-cough, pulmonary function, and Leicester Cough Questionnaire-acute (LCQacute) scores in the volunteers before, during, and after their trip to Beijing. Results: The PM2.5 and PM10 concentrations in Beijing were significantly higher than those in Japan on the measurement days. Cough reflex thresholds, expressed as nebulized citric acid concentrations required to induce ≥ 2 and ≥ 5 coughs, were significantly lower during the stay in Beijing than before or after the visit. Vital capacity, forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC were significantly lower during the stay in Beijing than before the trip. Similarly, the urge-to-cough threshold was significantly lower during the stay in Beijing than after the trip, as was the total LCQ-acute score. Conclusion: We tentatively concluded that short-term exposure to high PM concentrations may have adverse effects on cough reflex and urge-tocough thresholds, pulmonary function, and cough-related quality of life. © Sato et al.","Cough reflex; Leicester cough questionnaire-acute; Particulate matter; Pulmonary function; Short-term exposure; Urgeto-cough","nitric oxide; adult; air quality; Article; clinical article; clinical trial; concentration (parameters); coughing; environmental exposure; female; forced expiratory volume; forced vital capacity; human; leicester cough questionnaire; lung function; male; particulate matter; peak expiratory flow; priority journal; quality of life; respiratory tract disease assessment; scoring system; short term exposure; spirometry; tourism",,"nitric oxide, 10102-43-9",,,"Ministry of Education, Culture, Sports, Science and Technology, MEXT: 24659397, 26460899, 24300187, 15K12588, 23659375 H22-Junkanki-shi-Ippan-001, 24-2 National Center for Geriatrics and Gerontology, NCGG State Key Laboratory of Respiratory Disease, SKLRD","We thank Prof. Kefang Lai (State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Disease, First Affiliated Hospital of Guangzhou Medical College) for valuable comments on the manuscript. This study was supported by Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology, Japan (Grant numbers 25?7166, 23659375, 24300187, 24659397, 26460899, 15K12588); Research Grants for Longevity Sciences from the Ministry of Health, Labor and Welfare (H22-Junkanki-shi-Ippan-001) and Research Funding for Longevity Sciences (24-2) from National Center for Geriatrics and Gerontology (NCGG).",,"Dockery, D.W., Pope III, C.A., Xu, X., An association between air pollution and mortality in six U.S. cities (1993) N Engl J Med, 329 (24), pp. 1753-1759. , http://dx.doi.org/10.1056/NEJM199312093292401, PMID: 8179653; Atkinson, R.W., Anderson, H.R., Sunyer, J., Acute effects of particulate air pollution on respiratory admissions: Results from APHEA 2 project. 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(2007) Thorax, 62 (4), pp. 329-334. , http://dx.doi.org/10.1136/thx.2006.067413, PMID: 17101736; Joad, J.P., Sekizawa, S., Chen, C.Y., Bonham, A.C., Air pollutants and cough (2007) Pulm Pharmacol Ther, 20 (4), pp. 347-354. , http://dx.doi.org/10.1016/j.pupt.2006.10.013, PMID: 17174132; Pecova, R., Vrlik, M., Tatar, M., Cough sensitivity in allergic rhinitis (2005) J Physiol Pharmacol, 56, pp. 171-178. , PMID: 16204790; Kamei, J., Takahashi, Y., Itabashi, T., Hayashi, S., Kawai, K., Atopic cough-like cough hypersensitivity caused by active sensitization with protein fraction of Aspergillus restrictus strain A-17 (2008) Pulm Pharmacol Ther, 21 (2), pp. 356-359. , http://dx.doi.org/10.1016/j.pupt.2007.09.002, PMID: 17951087; Demoulin-Alexikova, S., Plevkova, J., Mazurova, L., Impact of air pollution on age and gender related increase in cough reflex sensitivity of healthy children in slovakia (2016) Front Physiol, 7, p. 54. , http://dx.doi.org/10.3389/fphys.2016.00054, PMID: 26941651; Matsumoto, H., Tabuena, R.P., Niimi, A., Cough triggers and their pathophysiology in patients with prolonged or chronic cough (2012) Allergol Int, 61 (1), pp. 123-132. , http://dx.doi.org/10.2332/allergolint.10-OA-0295, PMID: 22377525; Avery, C.L., Mills, K.T., Williams, R., Estimating error in using ambient PM2.5 concentrations as proxies for personal exposures: A review (2010) Epidemiology, 21 (2), pp. 215-223. , http://dx.doi.org/10.1097/EDE.0b013e3181cb41f7, PMID: 20087191","Ebihara, S.; Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Omori-nishi 6-11-1, Ota-ku, Japan; email: satoru.ebihara@med.toho-u.ac.jp",,,"Bentham Science Publishers B.V.",,,,,18743064,,,,"English","Open Respir. Med. J.",Article,"Final",Open Access,Scopus,2-s2.0-85011695314 "Brekke K.R., Levaggi R., Siciliani L., Straume O.R.","10140502800;6602186868;8314492400;6603686658;","Patient mobility and health care quality when regions and patients differ in income",2016,"Journal of Health Economics","50",,,"372","387",,7,"10.1016/j.jhealeco.2016.05.003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84999836277&doi=10.1016%2fj.jhealeco.2016.05.003&partnerID=40&md5=a304014d50fe37b76f33678447bafa91","Department of Economics, Norwegian School of Economics, Helleveien 30, Bergen, N-5045, Norway; Department of Economics and Management, University of Brescia, Via San Faustino 74b, Brescia, 25100, Italy; Department of Economics and Related Studies, University of York, Heslington, York, YO10 5DD, United Kingdom; Department of Economics/NIPE, University of Minho, Campus de Gualtar, Braga, 4710-057, Portugal; Department of Economics, University of Bergen, Norway","Brekke, K.R., Department of Economics, Norwegian School of Economics, Helleveien 30, Bergen, N-5045, Norway; Levaggi, R., Department of Economics and Management, University of Brescia, Via San Faustino 74b, Brescia, 25100, Italy; Siciliani, L., Department of Economics and Related Studies, University of York, Heslington, York, YO10 5DD, United Kingdom; Straume, O.R., Department of Economics/NIPE, University of Minho, Campus de Gualtar, Braga, 4710-057, Portugal, Department of Economics, University of Bergen, Norway","We study the effects of cross-border patient mobility on health care quality and welfare when income varies across and within regions. We use a Salop model with a high-, middle-, and low-income region. In each region, a policy maker chooses health care quality to maximise the utility of its residents when health care costs are financed by general income taxation. In equilibrium, regions with higher income offer better quality, which creates an incentive for patient mobility from lower- to higher-income regions. Assuming a prospective payment scheme based on DRG-pricing, we find that lower non-monetary (administrative) mobility costs have (i) no effect on quality or welfare in the high-income region; (ii) a negative effect on quality but a positive effect on welfare for the middle-income region; and (iii) ambiguous effects on quality and welfare for the low-income region. Lower monetary mobility costs (copayments) might reduce welfare in both the middle- and low-income region. Thus, health policies that stimulate cross-border patient mobility can be counterproductive when regions differ in income. © 2016 Elsevier B.V.","Health care quality; Income inequalities; Patient mobility; Regional welfare; Salop model","equity; health care; health expenditure; health policy; income; mobility; tax system; welfare economics; health care cost; health care policy; health care quality; highest income group; human; lowest income group; middle income group; model; patient mobility; prospective payment; resident; welfare; drug dependence; European Union; health care cost; income; social welfare; travel; European Union; Health Care Costs; Health Expenditures; Humans; Income; Quality of Health Care; Social Welfare; Substance-Related Disorders; Travel",,,,,,,,"Aiura, H., Sanjo, Y., Privatization of local public hospitals: effect on budget, medical service quality, and social welfare (2010) International Journal of Health Care Finance & Economics, 10, pp. 275-299; Andritsos, D.A., Tang, C.S., The impact of cross-border patient movement on the delivery of healthcare services (2013) International Journal of Production Economics, 145, pp. 702-712; Andritsos, D.A., Tang, C.S., Introducing competition in healthcare services: the role of private care and increased patient mobility (2014) European Journal of Operational Research, 234, pp. 898-909; Barros, P.P., Siciliani, L., Public–private interface (2011) Elsevier Handbook in Health Economics, vol. 2, pp. 927-1002. , M. Pauly T. McGuire P.P. Barros chapter 15; Beckert, W., Christensen, M., Collyer, K., Choice of NHS-funded hospital services in England (2012) Economic Journal, 122, pp. 400-417; Brekke, K.R., Nuscheler, R., Straume, O.R., Quality and location choices under price regulation (2006) Journal of Economics & Management Str, 15, pp. 207-227; Brekke, K.R., Siciliani, L., Straume, O.R., Hospital competition and quality with regulated prices (2011) Scandinavian Journal of Econ, 113, pp. 444-469; Brekke, K.R., Gravelle, H., Siciliani, L., Straume, O.R., Patients’ choice, mobility and competition among health care providers Health Care Provision and Patient Mobility – Health Integration in the European Union (2014) Developments in Health Economics and Public Policy, vol. 12, pp. 1-26. , R. Levaggi M. Montefiori Springer; Brekke, K.R., Levaggi, R., Siciliani, L., Straume, O.R., Patient mobility, health care quality and welfare (2014) Journal of Economic Behavior and Organization, 105, pp. 140-157; Busse, R., Geissler, A., Quentin, W., Wiley, M., Diagnosis-Related Groups in Europe: Moving Towards Transparency, Efficiency and Quality in Hospitals. European Observatory on Health Systems and Policies Series (2011), McGraw-Hill Open University Press New York; Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare; Gaynor, M., What do we know about competition and quality in health care markets? (2006) Foundations and Trends in Microeconomics, 2 (6); Gravelle, H., Capitation contracts: access and quality (1999) Journal of Health Economics, 18, pp. 315-340; Gravelle, H., Sivey, P., Imperfect information in a quality-competitive hospital market (2010) Journal of Health Economics, 29, pp. 524-535; Kanbur, R., Keen, M., Jeux sans frontières: tax competition and tax coordination when countries differ in size (1993) American Economic Review, 83, pp. 877-892; Levaggi, R., Moretto, M., Pertile, P., Static and dynamic efficiency of irreversible health care investments under alternative payment rules (2012) Journal of Health Economics, 31, pp. 169-179; Levaggi, R., Moretto, M., Pertile, P., Two-part payments for the reimbursement of investments in health technologies (2014) Health Policy, 115, pp. 230-236; Nielsen, S.B., A simple model of commodity taxation and cross-border shopping (2001) Scandinavian Journal of Economics, 103, pp. 599-624; Petretto, A., On the cost-benefit of the regionalisation of the National Health Service (2000) Economics of Governance, 1, pp. 213-232; Salop, S.C., Monopolistic competition with outside goods (1979) Bell Journal of Economics, 10, pp. 141-156; Tay, A., Assessing competition in hospital care markets: the importance of accounting for quality differentiation (2003) RAND Journal of Economics, 34, pp. 786-814; Trandel, G.A., Interstate commodity tax differentials and the distribution of residents (1994) Journal of Public Economics, 53, pp. 435-457; Wang, Y.-Q., Commodity taxes under fiscal competition: Stackelberg equilibrium and optimality (1999) American Economic Review, 89, pp. 974-981","Siciliani, L.; Department of Economics and Related Studies, University of YorkUnited Kingdom; email: luigi.siciliani@york.ac.uk",,,"Elsevier B.V.",,,,,01676296,,JHECD,"27344297","English","J. Health Econ.",Article,"Final",,Scopus,2-s2.0-84999836277 "John S.P., Larke R.","55711569800;7003859584;","An analysis of push and pull motivators investigated in medical tourism research published from 2000 to 2016",2016,"Tourism Review International","20","2-3",,"73","90",,7,"10.3727/154427216X14713104855810","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030784991&doi=10.3727%2f154427216X14713104855810&partnerID=40&md5=e8a3726b3d058451d842a8cad05104e1","Department of Marketing, Waikato Management School, The University of Waikato, Hamilton, New Zealand","John, S.P., Department of Marketing, Waikato Management School, The University of Waikato, Hamilton, New Zealand; Larke, R., Department of Marketing, Waikato Management School, The University of Waikato, Hamilton, New Zealand","Medical tourism is growing in many parts of the world. As such, it should not be surprising that there is a growing body of literature focusing on the nature of scope of this tourism sector. One subset of this literature involves the motivations that tourists have to travel outside their home country for medical care. To develop a better understanding of these motivations, this study investigates the motivators most commonly used in medical tourism research and classifies them with regard to whether they are push or pull motivators. The results reveal that some of the most commonly used pull motivators include lower medical costs, service quality, international accreditation of the medical facilities, and shorter waiting times, while the least commonly used include reputation of the medical practitioners and tourists' social and cultural familiarities with the destinations. With regard to push motivators, the most commonly used are recommendations from friends, doctors, and family, inadequate insurance coverage, and desire for privacy and confidentiality of treatments. The least commonly used are lack of treatment options and distrust in home-country healthcare systems. The study concludes with a discussion of the managerial implications of these results and provides recommendations for further research in the areas of medical tourism. © 2016 Cognizant, LLC.","Literature review; Medical tourism; Push and pull motivation",,,,,,,,,"Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management; Alcaraz Ariza, M.á., Navarro, F., Medicine: Use of English (2006) Encyclopedia of language & linguistics (2nd ed.), pp. 752-759. , K. 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A review (2014) Tourism Management Perspectives, 10, pp. 27-36","John, S.P.; Department of Marketing, Waikato Management School, The University of WaikatoNew Zealand; email: sjohn@waikato.ac.nz",,,"Cognizant Communication Corporation",,,,,15442721,,,,"English","Tour. Rev. Int.",Article,"Final",,Scopus,2-s2.0-85030784991 "Voigt C.","36024612300;","Employing hedonia and eudaimonia to explore differences between three groups of wellness tourists on the experiential, the motivational and the global level",2016,"Positive Tourism",,,,"105","121",,7,"10.4324/9781315707129","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85024829220&doi=10.4324%2f9781315707129&partnerID=40&md5=488c012e658e5c2db3763abed1927bbe","Curtin Business School, Curtin University, Perth, Australia","Voigt, C., Curtin Business School, Curtin University, Perth, Australia",[No abstract available],,,,,,,,,,"Boorstin, D.J., (1992) The image: A guide to pseudo-events in America., , New York: Vintage Books; Boyatzis, R.E., (1998) Transforming qualitative information: Thematic analysis and code development., , Thousand Oaks, CA: Sage Publications; Cohen, E., (2004) Contemporary tourism: Diversity and change., , Amsterdam: Elsevier; Dann, G.M.S., Nordstrand, K.B., Promoting well- being via multisensory tourism (2009) Wellness and tourism: Mind, body, spirit, place, pp. 125-137. , R. 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Iso-Ahola (Eds.), New York: Routledge; Stebbins, R.A., The costs and benefits of hedonism: Some consequences of taking casual leisure seriously (2001) Leisure Studies, 20, pp. 305-309; Stebbins, R.A., (2008) Serious leisure: A perspective for our time., , New Brunswick: Transaction Publishers; Steiner, C.J., Reisinger, Y., Ringing the fourfold: A philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31, pp. 5-14; Tabachnick, B.G., Fidell, L.S., (2007) Using multivariate statistics, , 5th ed.). Boston:Pearson/Allyn & Bacon; Voigt, C., (2010) Understanding wellness tourism: An analysis of benefits sought, healthpromoting behaviours and positive psychological well- being., , Unpublished doctoral dissertation, Adelaide: University of South Australia; Voigt, C., Towards a conceptualisation of wellness tourism (2014) Wellness tourism: A destination perspective, pp. 19-44. , C. Voigt & C. Pforr (Eds.), London: Routledge; Voigt, C., Brown, G., Howat, G., Wellness tourists: In search for transformation (2011) Tourism Review, 66, pp. 16-30; Voigt, C., Howat, G., Brown, G., Hedonic and eudaimonic experiences among wellness tourists: An exploratory inquiry (2010) Annals of Leisure Research, 13, pp. 541-562; Waterman, A.S., Two conceptions of happiness: Contrasts of personal expressiveness (eudaimonia) and hedonic enjoyment (1993) Journal of Personality and Social Psychology, 64, pp. 678-691; Waterman, A.S., Reconsidering happiness: A eudaimonist’s perspective (2008) Journal of Positive Psychology, 3, pp. 234-352; Waterman, A.S., Schwartz, S.J., Conti, R., The implications of two conceptions of happiness (hedonic enjoyment and eudaimonia) for the understanding of intrinsic motivation (2008) Journal of Happiness Studies, 9, pp. 41-79; Waterman, A.S., Schwartz, S.J., Goldbacher, E., Green, H., Miller, C., Philip, S., Predicting the subjective experience of intrinsic motivation: The roles of selfdetermination, the balance of challenges and skills, and self-realization value (2003) Personality and Social Psychology Bulletin, 29, pp. 1447-1458","Voigt, C.; Curtin Business School, Curtin UniversityAustralia; email: Cornelia.Voigt@curtin.edu.au",,,"Taylor and Francis",,,,,,9781317478911; 9781138900653,,,"English","Posit. Tourism",Book Chapter,"Final",,Scopus,2-s2.0-85024829220 "Moslehifar M.A., Ibrahim N.A., Sandaran S.C.","57190253649;56286245900;56550279600;","Assessing the quality of trust features on website content of top hospitals for medical tourism consumers [Menilai kualiti ciri kepercayaan kandungan dalam laman jaringan hospital terbaik untuk konsumer pelancongan]",2016,"Jurnal Komunikasi: Malaysian Journal of Communication","32","1",,"469","489",,7,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978731142&partnerID=40&md5=a791df6ee3699c17ba7e8766e0577b56","Universiti Teknologi Malaysia (UTM), Johor Bahru, Malaysia","Moslehifar, M.A., Universiti Teknologi Malaysia (UTM), Johor Bahru, Malaysia; Ibrahim, N.A., Universiti Teknologi Malaysia (UTM), Johor Bahru, Malaysia; Sandaran, S.C., Universiti Teknologi Malaysia (UTM), Johor Bahru, Malaysia","Searching for health information online is one of the most common activities on the internet; therefore, continuous evaluation of the quality of information provided in these health websites is indeed important. In the context of medical tourism, trust is a particularly important feature of quality information. This becomes even more significant online as customers have to trust the information on the website, since tourism products are characterized by high intangibility before consumption. Although trust plays an essential role among health care providers and individuals who are seeking health care information; there is a question about what happens to trust once health information goes online. One possible reason is that people who seek information from web sites figure a sense of trust in the web sites they visited. As such, this research will assess the quality of trust features of the top 10 medical tourism website. Findings of the research showed variation in the level of quality of trust features on the web site with Gleneagles Hospital fulfilling the highest score of trust features, while the Asklepios Klinik Barmbek website scored the least. The findings of this study have significant implications for web site developers and medical tourism consumers. © 2016, Universiti Kebangsaan Malaysia Press. All rights reserved.","Health websites; Medical tourism; Medical tourism consumers; Quality of websites; Trust features",,,,,,,,,"Bagheri, N., Jamieson, G.A., (2004) Considering Subjective Trust and Monitoring Behavior in Assessing Automation-Induced “complacency.” Human Performance, Situation Awareness, and Automation: Current Research and Trends, pp. 54-59; Baker, R., Mainous Iii, A.G., Gray, D.P., Love, M.M., Exploration of the relationship between continuity, trust in regular doctors and patient satisfaction with consultations with family doctors (2003) Scandinavian Journal of Primary Health Care, 21 (1), pp. 27-32; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cseriova, B., Konieczna, Z., (2012) Travel, Treatment & Trust in Medical Tourism. Unpublished Master Dissertation, pp. 1-94. , University of Aalborg, Denmark; Delenardo, C., Web-based tools steer patient-focused care (2004) Nursing Management, 35 (12), pp. 60-64; Fox, S., Fallows, D., (2003) Internet Health Resources, , TPRC; Franzosi, R., Content analysis: Objective, systematic, and quantitative description of content (2008) Content Analysis, p. 1; Cyberchondriacs on the rise? (2010) The Harris Poll, 95, pp. 1-5. , Harris Interactive; Hsieh, H.F., Shannon, S.E., Three approaches to qualitative content analysis (2005) Qualitative Health Research, 15 (9), pp. 1277-1288; Ibrahim, N.A., Seifi, S., Assessing the Accessibility of Health Websites During the H1N1 Pandemic (2014) Journal of Consumer Health on the Internet, 18 (3), pp. 211-225; Ireland, R.S., Summary of: Quality and content of dental practice websites (2011) British Dental Journal, 210 (7), pp. 314-315; Joffe, S., Manocchia, M., Weeks, J.C., Cleary, P.D., What do patients value in their hospital care? An empirical perspective on autonomy centred bioethics (2003) Journal of Medical Ethics, 29 (2), pp. 103-108; Lankton, N., McKnight, D.H., Thatcher, J.B., Incorporating trust-in- technology into Expectation Disconfirmation Theory (2014) The Journal of Strategic Information Systems, 23 (2), pp. 128-145; Lee, J.D., See, K.A., Trust in automation: Designing for appropriate reliance (2004) Human Factors: The Journal of The Human Factors and Ergonomics Society, 46 (1), pp. 50-80; Lončarić, D., Bašan, L., Jurković, M., Websites as Tool for Promotion of Medical tourism Offering in Croatian Specialty Hospitals and Health Resorts. In 1st International Conference on Management, Marketing, Tourism, Retail (2013) Finance and Computer Applications (MATREFC'13), pp. 265-270; Lucassen, T., Schraagen, J.M., Factual accuracy and trust in information: The role of expertise (2011) Journal of the American Society for Information Science and Technology, 62 (7), pp. 1232-1242; (2015), http://www.mtqua.org/, 6th October 2015; Monica, R., (2007) Hospital and Medical Tourism in Singapore, , http://ezinearticles.com, Ezine Articles Retrieved from; Mukherjee, A., Nath, P., Role of electronic trust in online retailing: A examination of the commitment-trust theory (2007) European Journal of Marketing, 41 (9-10), pp. 1173-1202; Oorni, A., Consumer objectives and the amount of search in electronic travel and tourism markets (2005) Journal of Travel & Tourism Marketing, 17 (2-3), pp. 3-14; Petch, T., Content Analysis of Selected Health Information Websites-Final Report (2004) Applied Communication Technology Information Organization Networks for Health, pp. 1-79; Sharon, W., Pauline, L., Carmen, N., Ngerng, M.H., Trust and credibility of urban youth on online news media (2011) Jurnal Komunikasi; Malaysian Journal of Communication, 27 (2), pp. 97-120; Sillence, E., Briggs, P., Harris, P., Fishwick, L., A framework for understanding trust factors in web-based health advice (2004) International Journal of Human-Computer Studies, 64 (8), pp. 697-713; So, M.W., Sculli, D., The role of trust, quality, value and risk in conducting e- business (2002) Industrial Management & Data Systems, 102 (9), pp. 503-512; Song, J., Zahedi, F., Trust in health infomediaries (2007) Decision Support Systems, 43 (2), pp. 390-407; Stockdale, R., Borovicka, M.C., Using Quality Dimensions in the Evaluation of Websites (2006) In ENTER, p. 344; Stvilia, B., Mon, L., Yi, Y.J., A model for online consumer health information quality (2009) Journal of the American Society for Information Science and Technology, 60 (9), pp. 1781-1791; Thiede, M., Information and access to health care: Is there a role for trust? (2005) Social Science & Medicine, 61 (7), pp. 1452-1462; Velmurugan, M.S., Security and trust in e-Business: Problems and prospects (2009) International Journal of Electronic Business Management, 7 (3), pp. 151-158; Wok, S., Hashim, J., Communication networks, organizational contacts and communication power in grooming professionals for career success (2014) Jurnal Komunikasi: Malaysian Journal of Communication, 30, pp. 219-242; Xu, J., Le, K., Deitermann, A., Montague, E., How different types of users develop trust in technology: A qualitative analysis of the antecedents of active and passive user trust in a shared technology (2014) Applied Ergonomics, 45, pp. 1495-1503",,,,"Universiti Kebangsaan Malaysia Press",,,,,2289151X,,,,"English","Jurnal Komunikasi Malays. J. Commun.",Article,"Final",,Scopus,2-s2.0-84978731142 "Frischhut M., Levaggi R.","56731127000;6602186868;","Patient mobility in the context of austerity and an enlarged EU: The European Court of Justice's ruling in the Petru Case",2015,"Health Policy","119","10",,"1293","1297",,7,"10.1016/j.healthpol.2015.07.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943820958&doi=10.1016%2fj.healthpol.2015.07.002&partnerID=40&md5=632a8047f11c65e2ad723594f4224f5c","MCI Management Center Innsbruck, Department of International Business and Law, Universitätsstrasse 15, Innsbruck, 6020, Austria; Università degli Studi di Brescia, Dipartimento di Economia e Management, Via S. Faustino 74b, Brescia, 25122, Italy","Frischhut, M., MCI Management Center Innsbruck, Department of International Business and Law, Universitätsstrasse 15, Innsbruck, 6020, Austria; Levaggi, R., Università degli Studi di Brescia, Dipartimento di Economia e Management, Via S. Faustino 74b, Brescia, 25122, Italy","Since 1998, the European Court of Justice (EUCJ) has established a set of principles concerning patient mobility across Member States. At present, these principles are challenged against a new background, i.e., an enlarged EU and austerity-driven measures in the field of healthcare. This is even more relevant in view of the significant differences between countries and between services on healthcare access. In the Petru case, a Romanian woman sought healthcare in Germany due to an alleged lack of basic infrastructure in her local Romanian hospital. A crucial question arises in this context of whether the patient's interests (i.e., right to cross-border healthcare) or the Member State's interests (i.e., financial stability of the healthcare system) prevail. We analyse this case and its implications for future patient mobility. From the point of view of patients, the EUCJ's decision implies that also a lack of medication and basic medical supplies can be claimed as ""undue delay"", however for Member States it is sufficient to provide quality treatments in at least one hospital. Although the Court has provided a solution for the Petru case, we argue that major challenges remain, such as the definition of the international state-of-the-art or other limitations to reductions of the health basket. © 2015 The Authors.","Austerity measures; EU Enlargement; European Court of Justice; European Union; Patient mobility","Article; case report; court; European Union; female; Germany; health care cost; health care quality; health care system; human; patient mobility; economics; health care delivery; health service; legislation and jurisprudence; medical tourism; patient right; European Union; Health Services Accessibility; Health Services Needs and Demand; Humans; Medical Tourism; Patient Rights",,,,,,,,"Alleman, B., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the United States (2011) Journal of General Internal Medicine, 26, pp. 492-497; Special Eurobarometer 425: Patients' rights in cross-border healthcare in the European Union: Report (2015), p. 8; Health at a Glance: Europe 2014 (2014); Glinos, I.A., Baeten, R., Maarse, H., Purchasing health services abroad: practices of cross-border contracting and patient mobility in six European countries (2010) Health Policy, 95 (2-3), pp. 103-112; Mainil, T., Van Loon, F., Dinnie, K., Botterill, D., Platenkamp, V., Meulemans, H., Transnational healthcare: from a global terminology towards transnational health region development (2012) Health Policy, 108 (1), pp. 37-44; Legido-Quigley, H., Glinos, I., Baeten, R., McKee, M., Patient mobility in the European Union (2007) British Medical Journal, 334 (7586), pp. 188-190; Wagner, C., Linder, R., The demand for EU cross-border care: an empirical analysis (2010) Journal of Management and Marketing in Healthcare, 3 (2), pp. 176-187. , http://dx.doi.org/10.1179/175330310X12736577732809; C-158/96, EU:C:1998:171; from Luxembourg to Germany; C-368/98, EU:C:2001:400; from Belgium to France; C-157/99, EU:C:2001:404; from the Netherlands to Germany and Austria; C-385/99, EU:C:2003:270; from the Netherlands to Germany and Belgium; C-56/01, EU:C:2003:578; from France to Germany; C-8/02, EU:C:2004:161; health cure of a German in Italy; C-372/04, EU:C:2006:325; from the UK to France; (2007), 231. , C-444/05, EU:C, from Greece to the UK. N.B.: This overview only covers preliminary proceeding cases, and not those decided in infringement proceedings; C-173/09, EU:C:2010:581; from Bulgaria to Germany; C-430/12, EU:C:2013:467; from Romania to Austria; C-268/13, EU:C:2014:2271; from Romania to Germany; Palm, W., Wismar, M., van Ginneken, E., Busse, R., Ernst, K., Figueras, J., Towards a renewed community framework for safe, high-quality and efficient cross-border health care within the European Union (2011) Cross-border health care in the European Union, p. 23. , European Observatory on Health Systems and Policies, Copenhagen, [26-29], M. Wismar, W. Palm, J. Figueras, K. Ernst, E. van Ginneken (Eds.); Frischhut, M., Stein, H., Patientenmobilität: Aktuelle Richtlinie und EuGH-Rechtsprechung (2011) Wien: Facultas.wuv, 2011, pp. 25-27; Brooks, E., Crossing borders: a critical review of the role of the European Court of Justice in EU health policy (2012) Health Policy, 105 (1), pp. 33-37; , 353, p. 8. , Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients' rights in cross-border healthcare, O.J. 2011 L 88, p. 45, as amended by O.J. 2013 L; http://europa.eu/rapid/press-release_MEMO-14-470_en.htm, July infringements package: main decisions, MEMO/14/470 2014 [accessed 15.05.15]; http://europa.eu/rapid/press-release_MEMO-14-537_en.htm, September infringements package: main decisions, MEMO/14/537., 2014 [accessed 15.05.15]; http://europa.eu/rapid/press-release_MEMO-14-2130_en.htm, November infringements package: main decisions, MEMO/14/2130, 2014 [accessed 15.05.15]; Azzopardi-Muscat, N., Clemens, T., Stoner, D., Brand, H., EU Country specific recommendations for health systems in the European Semester process: trends, discourse and predictors (2015) Health Policy, 119 (3), pp. 375-383; European Semester: Country-specific recommendations Building Growth (2014), COM (2014) 400 final 2.6.2014; (2014) Access to healthcare in times of crisis, , Eurofound, Publications Office of the European Union, Luxembourg; Karanikolos, M., Mladovsky, P., Cylus, J., Thomson, S., Basu, S., Stuckler, D., Financial crisis, austerity, and health in Europe (2013) The Lancet, 381 (9874), pp. 1323-1331. , http://dx.doi.org/10.1016/S0140-6736(13)60102-6; http://www.euro.who.int/__data/assets/pdf_file/0008/257579/12-Summary-Economic-crisis,-health-systems-and-health-in-Europe.pdf?ua=1, Economic crisis, health systems and health in Europe: impact and implications for policy: Policy Summary 12., 2014 [accessed 15.05.15]; Maresso, A., Mladovsky, P., Thomson, S., Sagan, A., Karanikolos, M., Richardson, E., (2015) Economic crisis, health systems and health in Europe: country experiences, , European Observatory on Health Systems and Policies, Copenhagen; C-268/13, EU:C:2014:2023, mentions that according to Ms Petru, there was a substantial shortage of material resources, as the hospital did not have basic medical supplies such as painkillers, antiseptic/disinfectant, absorbent cotton wool or sterile dressings; in addition she pointed out a high volume of patients, with, on average, three times as many patients as beds; , 326, p. 47. , Article 168 para. 7 Treaty on the Functioning of the European Union (TFEU); consolidated version: O.J. 2012 C; C-364/13, EU:C:2014:2451; Bieback, K.-J., Öffnung des Krankenhausmarkts in Europa für Qualitätswettbewerb? (2015) Zeitschrift für europäisches Sozial- und Arbeitsrecht, 2, pp. 55-59. , http://www.ZESARdigital.de/ZESAR.02.2015.055; , p. 27. , Regulation (EEC) No 1408/71 of the Council of 14 June 1971 on the application of social security schemes to employed persons and their families moving within the Community, O.J. 1971 L 149, p. 2; repealed by Regulation (EC) No 883/2004 of the European Parliament and of the Council of 29 April 2004 on the coordination of social security systems, O.J. 2004 L 166, p. 1; as amended by O.J. 2013 L 346; Greer, S.L., Fahy, N., Elliott, H.A., Wismar, M., Jarman, H., Palm, W., (2014) Everything you always wanted to know about European Union health policies but were afraid to ask, , European Observatory on Health Systems and Policies, United Kingdom; Legido-Quigley, H., Glinos, I.A., Walshe, K., van Beek, B., Cucic, C., McKee, M., Quality and safety (2011) Cross-border health care in the European Union, 121, p. 123. , European Observatory on Health Systems and Policies, Copenhagen; Mossialos, E., McKee, M., Is a European healthcare policy emerging? (2001) British Medical Journal, 323 (7307), p. 248. , http://dx.doi.org/10.1136/bmj.323.7307.248; , p. 13. , O.J. 2006 C 146; Levaggi, L., Levaggi, R., Welfare properties of restrictions to healthcare based on cost effectiveness (2011) Health Economics, 20 (1), pp. 101-110; Charter of Fundamental Rights of the European Union; consolidated version: O.J. (2012), C326, p. 391","Frischhut, M.; MCI Management Center Innsbruck, Department of International Business and Law, Universitätsstrasse 15, Austria; email: markus.frischhut@mci.edu",,,"Elsevier Ireland Ltd",,,,,01688510,,HEPOE,"26208965","English","Health Policy",Article,"Final",Open Access,Scopus,2-s2.0-84943820958 "Dangor F., Hoogendoorn G., Moolla R.","56764609300;36454627200;54393808200;","Medical tourism by Indian-South Africans to India: An exploratory investigation",2015,"Bulletin of Geography","29","29",,"19","30",,7,"10.1515/bog-2015-0022","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938593476&doi=10.1515%2fbog-2015-0022&partnerID=40&md5=e0e98eeef066d13cea048f4e8e637c44","University of the Witwatersrand, School of Geography, Archaeology and Environmental Studies, Private Bag X3, Wits, Johannesburg, 2050, South Africa; University of Johannesburg, Department of Geography, Environmental Management and Energy Studies, University Road, Auckland Park, Johannesburg, 2006, South Africa","Dangor, F., University of the Witwatersrand, School of Geography, Archaeology and Environmental Studies, Private Bag X3, Wits, Johannesburg, 2050, South Africa; Hoogendoorn, G., University of Johannesburg, Department of Geography, Environmental Management and Energy Studies, University Road, Auckland Park, Johannesburg, 2006, South Africa; Moolla, R., University of the Witwatersrand, School of Geography, Archaeology and Environmental Studies, Private Bag X3, Wits, Johannesburg, 2050, South Africa","Medical tourism is a well-established sector in developing countries, and attracts a significant number of tourists from developed countries. Medical tourism is a strong driver of economic growth, but some argue that this kind of tourism promotes inequality in terms of access to healthcare facilities in both developing and developed countries. Whilst research has been conducted on medical tourists travelling to South Africa, no research has focused on the geography of South Africans travelling abroad for medical tourist activities. This study therefore sought to obtain first-hand information from Indian-South African citizens who have partaken in medical tourism in India. Data was gathered through personal, semi-structured interviews conducted with 54 individuals. It was ascertained that the majority of the individuals interviewed in this study travelled to India primarily for medical treatment, while tourist activities were a secondary objective. A smaller proportion of interviewees travelled to India for vacation, with medical care being a secondary motivation, or an impulse due to the low cost of treatment and convenience. Medical tourism by Indian-South Africans travelling to India highlights various shortfalls in South African medical care, including a lack of treatment availability, a poorer quality of service, medical expertise abroad, and the higher cost incurred locally. © 2015 Bulletin of Geography. Socio-economic Series.","India; Indian-South Africans; medical tourism; South Africa",,,,,,,,,"Ben-Natan, M., Ben-Sefer, E., Ehrenfeld, M., Medical tourism: A new role for nursing (2009) The Online Journal of Issues in Nursing, 14, pp. 8-18; Byrne, J.P., Ayurvedic medicine (2012) India Today: An Encyclopedia of Life in the Republic, pp. 71-72. , Kaminsky, A.P. and Long, R.D. editors Santa Barbara: ABC-CLIO; Chaudhry, P.K., Kelkar, V.L., Yadav, V., The evolution of 'homegrown conditionality' in India: IMF relations (2004) The Journal of Development Studies, 40, pp. 59-81; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10, pp. 336-357; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organisation, 85 (3), pp. 164-165; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Coovadia, H., Jewkes, R., Barron, P., Sanders, D., McIntyre, D., The health and health system of South Africa: Historical roots of current public health challenges (2009) The Lancet, 374, pp. 817-834; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science and Medicine, 72, pp. 726-732; Crush, J., Chikanda, A., Maswikwa, B., (2012) Patients Without Borders: Medical Tourism and Medical Migration in Southern Africa, pp. 1-51. , Cape Town: Megadigital; Edmeston, M., Beyond Band-AIDS: Reflections on public and private health care in South Africa (2012) The Journal of the Helen Suzman Foundation, 67, pp. 41-46; Francis, K., Private health care and the right to health (2012) The Journal of the Helen Suzman Foundation, 67, pp. 47-51; Gupta, A.S., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 1, pp. 4-5; Hall, C.M., Health and medical tourism: A kill or cure for global public health (2011) Tourism Review, 66 (1-2), pp. 4-15. , http://dx.doi.org/10.1108/16605371111127198; Hall, C.M., (2013) Medical Tourism: The Ethics, Regulation and Marketing of Health Mobility, , New York: Routledge; Harris, B., Goudge, J., Ataguba, J.E., McIntyre, D., Nxumalo, N., Jikwana, S., Chersich, M., Inequalities in access to health care in South Africa (2011) Journal of Public Health Policy, 32, pp. 102-123; Hoowiecka, B., Grzelak-Kostulska, E., Globalisation as a major factor modifying the patterns of tourism activity (2013) Bulletin of Geography. Socio-economic Series, No. 21, pp. 49-60. , http://dx.doi.org/10.2478/bog-2013-0020, Szymaska, D. and Chodkowska-Miszczuk, J. editors Toru: Nicolaus Copernicus University Press; Jain, R.K., (2010) Nation, Diaspora, Trans-nation: Reflections from India, , New Dehli: Routledge; Johnston, R., Crooks, V., Snyder, J., I didn't even know what i was looking for"": A qualitive study of the decision-making processes of Canadian medical tourists (2012) Globalisation and Health, 8, pp. 1-12; Kirk, J., (2011) India and the World Bank: The Politics of Aid and Influence, , London: Anthem press; Kleinert, S., Horton, R., South Africa's Health: Departing for a better future (2009) The Lancet, 374, pp. 759-760; Landy, F., Maharaj, B., Mainet-Valleix, H., Are people of Indian origin (PIO) Indian A case study South Africa (2004) Geoforum, 35, pp. 203-215; Mayosi, B.M., Lawn, J.E., Van Niekerk, A., Bradshaw, D., Abdool Karim, S.S., Coovadia, H.M., Health in South Africa: Changes and challenges since 2009 (2012) The Lancet, 380, pp. 2029-2043; Mazzaschi, A., Surgeon and safari: Producing valuable bodies in Johannesburg (2011) Signs, 36, pp. 303-312; McIntyre, D.I., Gilson, L., Wadee, H., Thiede, M., Okarafor, O., Commercialisation and extreme inequality in health: The policy challenges in South Africa (2006) Journal of International Development, 18, pp. 435-446; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Developing World Bioethics, 11, pp. 16-29; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on South-South intra-regional medical travel (2014) Current Issues in Tourism; Perfetto, R., Dholakia, N., Exploring cultural contradictions of medical tourism (2010) Consumption Markets & Culture, 13 (4), pp. 399-417; Pinchuck, T., McCrea, B., Reid, D., (2002) The Rough Guide to South Africa, , Lesotho and Swaziland, Third Edition, London: Rough Guides Limited; Reddy, S., Qadeer, I., Medical tourism in India: Progress or predicament (2010) Economic and Political Weekly, 45, pp. 69-75; Shishana, O., Rehle, T., Louw, J., Zungu-Dirwayi, N., Dana, P., Rispel, L., Public perceptions on national health insurance: Moving towards universal health coverage in South Africa (2006) South African Medical Journal, 96, pp. 814-818; Smith, K., The problematization of medical tourism: A critique of neoliberism (2012) Developing World Bioethics, 12, pp. 1-8; Söderlund, N., Schierhout, G., Van Den Heever, A., (1998) Private Health Care in South Africa: Technical Report to Chapter 13 of the SA Health Review, , Durban: Health System Trust; Strolley, K., Watson, S., (2012) Medical Tourism: A Reference Handbook, , Santa Barbara: ABC-CLIO; Suchday, S., Ramanayake, N.P., Benkhoukha, A., Santoro, A.F., Marquez, C., Nakao, G., Yoga, meditation, and other alternative methods for wellness: Prevalence and use in the United States (2014) Multicultural Approaches to Health and Wellness in America, pp. 125-150. , Gurung, R.A.R. editor Santa Barbara: Praeger; Visagie, J., Income groups: Things are tight around the middle (2013) Mail & Guardian, , http://mg.co.za/article/2013-08-02-00-things-are-tight-around-the-middle, Accessed on August 15 2014 from; Ye, B.H., Qui, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32, pp. 1125-1127; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88","Hoogendoorn, G.; University of Johannesburg, Department of Geography, Environmental Management and Energy Studies, University Road, South Africa",,,"Nicolaus Copenicus University Press",,,,,17324254,,,,"English","Bull. Geogr.",Article,"Final",Open Access,Scopus,2-s2.0-84938593476 "Jónás-Berki M., Csapó J., Pálfi A., Aubert A.","55801490400;36542164800;57203636998;36597936900;","A Market and Spatial Perspective of Health Tourism Destinations: The Hungarian Experience",2015,"International Journal of Tourism Research","17","6",,"602","612",,7,"10.1002/jtr.2027","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944067099&doi=10.1002%2fjtr.2027&partnerID=40&md5=df8e97bf0944f9d1795b6c933f4d0c4f","Faculty of Sciences, Institute of Geography, Department of Tourism, University of Pécs, Pécs, Hungary","Jónás-Berki, M., Faculty of Sciences, Institute of Geography, Department of Tourism, University of Pécs, Pécs, Hungary; Csapó, J., Faculty of Sciences, Institute of Geography, Department of Tourism, University of Pécs, Pécs, Hungary; Pálfi, A., Faculty of Sciences, Institute of Geography, Department of Tourism, University of Pécs, Pécs, Hungary; Aubert, A., Faculty of Sciences, Institute of Geography, Department of Tourism, University of Pécs, Pécs, Hungary","Since health tourism is one of the most popular and most dynamically developing products of modern tourism, this paper aims at studying the characteristic features of health tourism destinations from a regional and spatial perspective. Accordingly, the authors would like to introduce a new approach of spatial and product analysis of tourism where the market and spatial relations and relevance of health tourism were analysed through the example of Hungary. Although the classic medical tourism centres were established on natural medical water basis, by today, due to product diversification, continuous innovation and the involvement of medical services into health tourism, the geographical embeddedness seems to disappear, thus basically restructuring the market. The methodological novelty of the research is that exceeding the classic supply-demand algorithm, we compiled a complex viewpoint system adequate to the specialities of the given product characteristics. In our study, the authors intend to survey the special characteristics of health tourism focusing on medical destinations through Hungarian examples since the country's leading position in the global market is well recognized, including medical services. © 2015 John Wiley & Sons, Ltd.","Destination; Health tourism; Hungary; Product development; Product structure; Supply development","health care; medicine; product development; tourism market; tourist destination; Hungary",,,,,,,,"Aubert, A., Csapó, J., Pirkhoffer, E., Puczkó, L., Szabó, G., A method for complex spatial delimitation of tourism destinations in South Transdanubia (2010) Hungarian Geographical Bulletin, 59 (3), pp. 271-287; Aubert, A., Jónás-Berki, M., Marton, G., Spatial organisation and management characteristics of health tourism in Hungary (2012) Central European Regional Policy and Human Geography, 2 (2), pp. 27-36; Aubert, A., Jónás-Berki, M., Marton, G., Tourism index as an indicator of the intensity of tourism (2013) Acta Geographica Slovenica, 53 (2), pp. 342-363; Becker, C., Destinationmanagement (2004) Geographie der Freizeit und des Tourismus: Bilanz und Ausblick, pp. 464-474. , In, Becker Ch, Hopfinger H, Steinecke A (eds). 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J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-84944067099 "Chen K.-H., Chang F.-H., Liu F.-Y.","55782998400;7403649075;56809683600;","Wellness tourism among seniors in Taiwan: Previous experience, service encounter expectations, organizational characteristics, employee characteristics, and customer satisfaction",2015,"Sustainability (Switzerland)","7","8",,"10576","10601",,7,"10.3390/su70810576","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940489857&doi=10.3390%2fsu70810576&partnerID=40&md5=1d7c2e3ff70dbd5f8696293e08839c27","Department of Tourism Management, National Kaohsiung University of Applied Sciences, Kaohsiung 807, Taiwan; Department of Leisure, Recreation and Tourism Management, Tzu Hui Institute of Technology, Pingtung 926, Taiwan","Chen, K.-H., Department of Tourism Management, National Kaohsiung University of Applied Sciences, Kaohsiung 807, Taiwan; Chang, F.-H., Department of Leisure, Recreation and Tourism Management, Tzu Hui Institute of Technology, Pingtung 926, Taiwan; Liu, F.-Y., Department of Tourism Management, National Kaohsiung University of Applied Sciences, Kaohsiung 807, Taiwan","This study aimed to investigate the influence of the service encounter expectations of senior customers during wellness tours on customer satisfaction. The organizational attributes of hotels, organizational characteristics and employee characteristics, were adopted as mediating variables. A total of 346 valid questionnaires were retrieved from 50 year-old and above seniors in Taiwan. The results showed that the service encounter expectations of seniors had an indirect influence on customer satisfaction and the organizational attributes mediated the service encounter expectations of seniors and customer satisfaction. The moment of truth in the interactions between service staffmembers and seniors represents the pivotal management implication of this study. © 2015 by the authors; licensee MDPI, Basel, Switzerland.","Customer satisfaction; Employee characteristics; Organizational characteristics; Seniors; Service encounter expectations; Wellness tourism","elderly population; labor participation; labor relations; organizational framework; questionnaire survey; sustainability; tourism management; tourist behavior; Taiwan",,,,,,,,"Population projection of the republic of china from 2012 to 2060 (2015), http://www.ndc.gov.tw/m1.aspx?sNo=0059740&key=&ex=2&ic=0000153, assessed on 7 June; Hawes, D.K., Travel-related lifestyle profiles of older women (1988) J. Travel Res., 27, pp. 22-32; Janke, M., Davey, A., Kleiber, D., Modeling change in older adults' leisure activities (2006) Leis. 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Manag., 12, pp. 531-544; Hair, J.F.J., Anderson, R.E., Tatham, R.L., Black, W.C., (1998) Multivariate Data Analysis with Readings, , 5th ed.; Prentice Hall: Englewood Cliffs, NJ, USA","Chang, F.-H.; Department of Leisure, Recreation and Tourism Management, Tzu Hui Institute of Technology, Pingtung 926, Taiwan",,,"MDPI AG",,,,,20711050,,,,"English","Sustainability",Article,"Final",Open Access,Scopus,2-s2.0-84940489857 "Gan L.L., Frederick J.R.","16480026900;39761481600;","Medical Tourism: Consumers’ Concerns Over Risk and Social Challenges",2015,"Journal of Travel and Tourism Marketing","32","5",,"503","517",,7,"10.1080/10548408.2014.918923","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939496364&doi=10.1080%2f10548408.2014.918923&partnerID=40&md5=4c8c71d54497d7d8767ae0b3b6358ec9","School of Business, University of North Carolina at Pembroke, Box 1510, Pembroke, NC 28372, United States","Gan, L.L., School of Business, University of North Carolina at Pembroke, Box 1510, Pembroke, NC 28372, United States; Frederick, J.R., School of Business, University of North Carolina at Pembroke, Box 1510, Pembroke, NC 28372, United States","This paper studies factors that motivate an American’s decision to seek medical care outside the United States. Principal components analysis yielded three factors – risk, social-related, and vacation. We found that the middle-income earners and recipients of Medicare, the federal health insurance program for the elderly, are more motivated by risk-related factors to travel for care, but the middle-aged and older, and the married are more motivated by social-related factors to travel for care. Medical tourism has the potential to ease the strain on the healthcare systems of developed countries. How well it does this will depend on how policy makers address these factors. © 2015 Taylor & Francis.","demographics; Medical tourism; motivations; risk; social challenges",,,,,,,,,"Ansari, M., Cheung, M., Huang, J., Eklof, B., Karlberg, J., Traveler’s thrombosis: A systematic review (2006) Journal of Travel Medicine, 12, pp. 142-154; (2007), http://www.pnhp.org/news/2007/august/consumer_reports_on_.php; Bergmark, R., Barr, D., Garcia, R., Mexican immigrants in the US living far from the border may return to Mexico for health services (2010) Journal of Immigrant & Minority Health, 12 (4), pp. 610-614; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159; Blazey, M.A., The differences between participants and non-participants in a senior travel program (1987) Journal of Travel Research, 26 (1), pp. 7-12; Blazey, M.A., Travel and retirement status (1992) Annals of Tourism Research, 19 (4), pp. 771-783; Blendon, R.J., Scheck, A.C., Donelan, K., Hill, C.A., Smith, M., Beatrice, D., Altman, D., How white and African Americans view their health and social problems (1995) Journal of the American Medical Association, 273 (4), pp. 341-346; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave MacMillan; Brouwer, W., van Exel, J., Hermans, B., Stoop, A., Should I stay or should I go? 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It depends on your perspective (2009) Journal of the Center for Health Innovation, Winter, pp. 10-13; Webster, N.J., Medicare and racial disparities in health: Fee-for-service versus managed care (2010) Research in the Sociology of Health Care, 28, pp. 47-70; Webster, N.J., Medicare knowledge and health service utilization among older adults (2011) Research in the Sociology of Health Care, 29, pp. 273-297; Woodside, A.G., Pitts, R.E., Effects of consumer life styles, demographics, and travel activities on foreign and domestic travel behavior (1976) Journal of Travel Research, 14 (3), pp. 13-15; You, X., O’Leary, J.T., Destination behavior of older UK travelers (1999) Tourism Recreation Research, 24 (1), pp. 23-34","Gan, L.L.; School of Business, University of North Carolina at Pembroke, Box 1510, United States",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84939496364 "Ramamonjiarivelo Z., Martin D.S., Martin W.S.","28367882000;55476550600;56683850900;","The Determinants of Medical Tourism Intentions: Applying the Theory of Planned Behavior",2015,"Health Marketing Quarterly","32","2",,"165","179",,7,"10.1080/07359683.2015.1033934","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84931022824&doi=10.1080%2f07359683.2015.1033934&partnerID=40&md5=c1c327deb708c14c8ac4814dff745519","Health Administration, Governors State University, University Park, IL, United States; Hotel and Restaurant Management Program, Department of Nutrition and Food Services, Auburn University, Auburn, AL, United States; College of Business, University of North Georgia, Dahlonega, Georgia","Ramamonjiarivelo, Z., Health Administration, Governors State University, University Park, IL, United States; Martin, D.S., Hotel and Restaurant Management Program, Department of Nutrition and Food Services, Auburn University, Auburn, AL, United States; Martin, W.S., College of Business, University of North Georgia, Dahlonega, Georgia","This study introduces the theory of planned behavior to health care marketers by extending and replicating a prior study that predicted student's intention to engage in medical tourism. Based on a sample of 164 usable survey responses, our findings suggested that the MEDTOUR scale (developed and introduced a prior study) is robust and works reasonably well with a national sample. Based on these findings, MEDTOUR appears to be worthy of further consideration by health marketing scholars. © 2015, Copyright © Taylor & Francis Group, LLC.","medical tourism; scale development; theory of planned behavior","attitude to health; behavior; economics; female; health behavior; health insurance; human; medical tourism; psychological theory; psychology; questionnaire; Attitude to Health; Female; Health Behavior; Humans; Insurance, Health; Intention; Medical Tourism; Psychological Theory; Surveys and Questionnaires",,,,,,,,"Aghamolaei, T., Sadat, T.S., Madani, A., Fish consumption in a sample of people in Bandar Abbas, Iran: Application of the theory of planned behavior (2012) Archives of Iranian Medicine, 15 (9), p. 545; Ajzen, I., From intentions to actions: A theory of planned behavior (1985) Action-control: From cognition to behavior, pp. 11-39. , Kuhl J., Beckman J., (eds), Heidelberg, Germany: Springer; Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Ajzen, I., (2006), www.people.umass.edu/aizen/pdf/tpb.measurement.pdf, Constructing the TPB questionnaire: Conceptual and methodological considerations. 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Martin, D.S., Ramamonjiarivelo, Z., Martin, W.S., MEDTOUR: A scale for measuring medical tourism intentions (2011) Tourism Review, 66 (1-2), pp. 45-56; Masser, B.M., Bednall, T.C., White, K.M., Terry, D., Predicting the retention of first-time donors using an extended theory of planned behavior (2012) Transfusion, 52 (6), pp. 1303-1310; Mechinda, P., Serirat, S., Anuwichanont, J., Gulid, N., An examination of tourists’ loyalty towards medical tourism in Pattaya, Thailand (2010) International Business & Economics Research Journal (IBER), 9 (1), pp. 55-70; Moghimehfar, F., Nasr-Esfahani, M.H., Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments (2011) Tourism Management, 36 (6), pp. 1431-1434; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bulletin of the World Health Organization, 89 (5), pp. 336-344; Netemeyer, R.G., Andrews, J.C., Durvasula, S., A comparison of three behavioral intention models: The case of Valentine's Day gift-giving (1993) Advances in Consumer Research, 20 (1), pp. 135-141; Özer, G., Yilmaz, E., Comparison of the theory of reasoned action and the theory of planned behavior: An application on accountants’ information technology usage (2011) African Journal of Business Management, 5 (1), pp. 50-58; Pafford, B., The third wave-medical tourism in the 21st century (2009) Southern Medical Journal, 102 (8), pp. 810-813; Parker, D., Manstead, A.S.R., Stradling, S.G., Reason, J.T., Baxter, J.S., Intention to commit driving violations: An application of the theory of planned behavior (1992) Journal of Applied Psychology, 77 (1), pp. 94-101; Pawlak, R., Malinauskas, B., Rivera, D., Predicting intentions to eat a healthful diet by college baseball players: Applying the theory of planned behavior (2009) Journal of Nutrition Education and Behavior, 41 (5), pp. 334-339; Pennings, G., Autin, C., Decleer, W., Delbaere, A., Delbeke, L., Delvigne, A., D'Hooghe, T., Cross-border reproductive care in Belgium (2009) Human Reproduction, 24 (12), pp. 3108-3118; Rashidian, A., Russell, I., General practitioners’ intentions and prescribing for asthma: Using the theory of planned behavior to explain guideline implementation (2012) International Journal of Preventive Medicine, 3 (1), pp. 17-28; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: Students’ perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Satjapot, S.P., Johnson, T.J., Garman, A.N., International medical travelers, length of stay, and the continuum of care: Inquiry and comparison (2011) Quality Management in Healthcare, 20 (1), pp. 76-83; Schiano, T.D., Rhodes, R., The dilemma and reality of transplant tourism: An ethical perspective for liver transplant programs (2010) Liver Transplantation, 16 (2), pp. 113-117; Shenfield, F., De Mouzon, J., Pennings, G., Ferraretti, A., Andersen, A.N., De Wert, G., Goossens, V., Cross border reproductive care in six European countries (2010) Human Reproduction, 25 (6), pp. 1361-1368; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Tsai, M.K., Yang, C.Y., Lee, C.Y., Yeh, C.C., Hu, R.H., Lee, P.H., De novo malignancy is associated with renal transplant tourism (2011) Kidney International, 79 (8), pp. 908-913; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2011) Tourism Management, 33 (1), pp. 80-88. , http://www.sciencedirect.com/science/article/pii/S026151771100046X, Retrieved from","Ramamonjiarivelo, Z.; Health Administration, Governors State UniversityUnited States",,,"Routledge",,,,,07359683,,HMQUE,"26075544","English","Health Mark. Q.",Article,"Final",,Scopus,2-s2.0-84931022824 "Kneafsey R., Clifford C., Greenfield S.","56119731400;7101614202;7203067543;","Perceptions of hospital manual handling policy and impact on nursing team involvement in promoting patients' mobility",2015,"Journal of Clinical Nursing","24","1-2",,"289","299",,7,"10.1111/jocn.12659","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84926179052&doi=10.1111%2fjocn.12659&partnerID=40&md5=4d4961d053cb7a4b8a348151b653426a","Coventry University, Coventry, United Kingdom; School of Health and Population Science, College of Medical and Dental Science, University of Birmingham, Birmingham, United Kingdom","Kneafsey, R., Coventry University, Coventry, United Kingdom; Clifford, C., School of Health and Population Science, College of Medical and Dental Science, University of Birmingham, Birmingham, United Kingdom; Greenfield, S., School of Health and Population Science, College of Medical and Dental Science, University of Birmingham, Birmingham, United Kingdom","Aims and objectives: To report the findings gained from interviews with hospital nurses and care assistants, regarding the impact of hospital manual handling policies on their role in maintaining and promoting patients' mobility. Background: Older hospitalised adults often experience deteriorations in mobility, which are often partially caused by protective or custodial care practice and environments that promote patient dependency. Hospital-induced mobility loss may be conceptualised as a problematic source of iatrogenic patient harm, worthy of attention from a patient safety standpoint. Preventative rehabilitation nursing interventions have the potential to prevent mobility loss. Design: Grounded theory study. Methods: Data were collected in three clinical settings: general rehabilitation, spinal injuries and stroke rehabilitation. Semi-structured interviews with 39 rehabilitation staff were completed. Results: Perceptions of hospital manual handling policy were described via four subcategories: policy as stimulus to improved practice; policy as divorced from reality; policy as threat; and policy as hindrance to rehabilitation. Conclusions: Hospital manual handling policy was perceived negatively by some nursing team members both as a threat and as a barrier to patients' rehabilitation. Risk aversion, divided teamwork practices and overuse of patient handling equipment were matters of concern. Relevance to clinical practice: Perceptions of hospital manual handling policy should be openly discussed by nursing managers and direct care providers. It is important to recognise that beliefs about and perceptions of policy will often impact later on staff practices and behaviours. Unintended consequences arising from dominant interpretations of manual handling policy must be acknowledged and risks identified. It is important that practitioners balance risk assessment and prevention of falls with patients' needs for mobilisation. © 2014 John Wiley & Sons Ltd.","Care assistants; Hospital; Mobility; Nursing; Policy; Rehabilitation; Teamwork","adult; aged; female; grounded theory; health personnel attitude; hospital; human; male; middle aged; nursing; patient lifting; policy; rehabilitation nursing; Adult; Aged; Attitude of Health Personnel; Female; Grounded Theory; Hospitals; Humans; Male; Middle Aged; Moving and Lifting Patients; Nursing, Team; Organizational Policy; Rehabilitation Nursing",,,,,,,,"Balaguras, J., Holly, V., Get moving: clinical nurse specialist led implementation of nursing driven progressive mobility protocol (2009) Clinical Nurse Specialist, 23, p. 101; Birks, M., Mills, J., (2011) Grounded Theory: A Practical Guide, , Sage Publications, London; Boltz, M., Capezuti, E., Shabbat, N., Hall, K., Going home better not worse: older adults' views on physical function during hospitalisation (2010) International Journal of Nursing Practice, 16, pp. 381-388; Boltz, M., Capezuti, E., Shabbat, N., Nursing staff perceptions of physical function in hospitalised older adults (2011) Applied Nursing Research, 24, pp. 215-222; Brooker, C., (2005) Mini-Encyclopedia of Nursing, , Churchill Livingstone, Elsevier, Edinburgh; Brown, C., Williams, B., Woodby, L., Davis, L., Allman, R., Barriers to mobility during hospitalisation from the perspective of older patients and their nurses and physicians (2007) Journal of Hospital Medicine, 2, pp. 305-313; Brown, C., Redden, D., Flood, K., Allman, R., The under-recognised epidemic of low mobility during hospitalisation of older adults (2009) Journal of the American Geriatrics Society, 57, pp. 1660-1665; Charmaz, K., Grounded theory: objectivist and constructivist methods, chapter 19 (2000) Handbook of Qualitative Research, pp. 1-3. , In, 2nd edn (Denzin N, Lincoln Y eds). 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(2012), (ISSUE 34). , Policy +, March 2012; Nelson, A., Harewood, K., Tracey, C., Dunn, K., Myths and facts about safe patient handling in rehabilitation (2008) Rehabilitation Nursing, 33, pp. 10-17; Oliver, D., Older people who fall: why they matter and what you can do (2007) British Journal of Community Nursing, 12, pp. 500-507; Padula, C., Hughes, C., Baumhover, L., Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults (2009) Journal of Nursing Care Quality, 24, pp. 325-331; Padula, C., DiSano, C., Ruggiero, C., Carpentier, M., Reppucci, M., Forloney, B., Hughes, C., Impact of lower extremity strengthening exercises and mobility on fall rates in hospitalised adults (2011) Journal of Nursing Care Quality, 26, pp. 279-285; Pashikanti, L., Von Ah, D., Impact of early mobilization protocol on the medical-surgical in-patient population (2012) Clinical Nurse Specialist, 26 (2), pp. 87-94; The 'How to' Guide for Reducing Harm from Falls (2009), www.patientsafetyfirst.nhs.uk, Available at:(accessed 11 July 2014); Resnick, B., Galik, E., Enders, H., Sobol, K., Hammersla, M., Dustin, I., Boltz, M., Trotman, S., Pilot testing of function-focused care for acute care intervention (2011) Journal of Nursing Care Quality, 26, pp. 169-177; (2012), Mandatory Nurse Staffing Levels, Royal College of Nursing, Policy Briefing March 2012; (2002) Framework for Rehabilitation Handling, Draft Document, , The Royal College of Nursing Rehabilitation and Intermediate Care Nurses Forum, London; Smith, J., (2005) The Guide to the Handling of People, , 5th edn. Backcare in collaboration with the RCN and National Back Exchange; Strauss, A., Corbin, J., (1998) Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, , Sage Publications, London; Trinkoff, A.M., Le, R., Geiger-Brown, J., Lipscomb, J., Lang, G., Longitudinal relationship of work hours, mandatory overtime and on-call to musculo-skeletal problems in nurses (2006) American Journal of Industrial Medicine, 49, pp. 964-971; Wade, D., Adverse effects of rehabilitation: an opportunity to increase quality and effectiveness of rehabilitation (2009) Clinical Rehabilitation, 23, pp. 387-393; WHO Global Report on Falls Prevention in Older Age (2007), www.who.int/ageing/publications/falls_prevention, World Health Organisation. Available at:(accessed 11 July 2014); (2013), http://www.who.int/patientsafety/about/en/, Patient Safety,(accessed 11 July 2014); Youngson, R., (2008), www.debatepapers.org.uk, Compassion in Health Care: The Missing Dimension of Health Care Reform? NHS Confederation Futures Debate, paper 2, NHS Confederation, London. Available at:(accessed 27 June 2013); Zegelin, A., 'Tied down' - The Process of Becoming Bedridden Through Gradual Local Confinement (2008) Journal of Clinical Nursing, 17, pp. 2294-2301","Kneafsey, R.; Faculty of Health and Life Science, Nursing and Midwifery, Coventry University, Richard Crossman Building, United Kingdom",,,"Blackwell Publishing Ltd",,,,,09621067,,JCCNE,"25092267","English","J. Clin. Nurs.",Article,"Final",,Scopus,2-s2.0-84926179052 "Idowu E.O., Adewole O.A.","35609030300;55894063400;","Spectrum of neurosurgical complications following medical tourism: Challenges of patients without borders",2015,"African Health Sciences","15","1",,"240","245",,7,"10.4314/ahs.v15i1.31","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924865341&doi=10.4314%2fahs.v15i1.31&partnerID=40&md5=041075aed281f4120d38e35405edbca7","Lagos State University College of Medicine and Lagos State University Teaching Hospital, Surgery (Neurosurgery Unit), Ikeja, Lagos, Nigeria; Lagos State University College of Medicine, Surgery (Orthopaedics), Ikeja, Nigeria","Idowu, E.O., Lagos State University College of Medicine and Lagos State University Teaching Hospital, Surgery (Neurosurgery Unit), Ikeja, Lagos, Nigeria; Adewole, O.A., Lagos State University College of Medicine, Surgery (Orthopaedics), Ikeja, Nigeria","Background and objectives: The cost of medical care and availability of resources (human and facilities) which differs from nation to nation are amongst others, factors driving medical tourism (MT) despite its potential drawbacks. The aim of the study was to analyse all patients that presented with neurosurgical complications following MT. Methods: A single institution prospective study was carried out. Data which included patients’ demographics, diagnosis, Glasgow coma scale score at admission, type of complication, and outcome were collected over a 3 year period and analysed. Results: A total of 23 neurosurgical cases were seen during the study period with a median age of 42 years (17-70 years). India is the most common country visited by Nigerian patients. Nine patients died from various complications on arrival in Nigeria. There was no significant statistical difference between the outcome and patients clinical status prior to travel (p=0.107), country where the surgery was done (p=0.776), admission GCS in Nigeria (p=0.169), and redo surgery in Nigeria (0.181). Conclusion: Government in different nations should have legislations to ensure that medical tourists' receive appropriate care abroad, proper follow-up care upon their return, and also promulgate laws to regulate quasi and organised MT agencies that are operating in a regulatory vacuum. © 2015, Makerere University, Medical School. All rights reserved.","Medical tourism; Morbidity; Mortality","adolescent; adult; aged; Article; clinical article; demography; epileptic state; female; follow up; Glasgow coma scale; government; hospital admission; human; India; law; liquorrhea; lung embolism; male; medical tourism; neurosurgery; Nigeria; Nigerian; outcome assessment; patient care; postoperative complication; postoperative infection; prospective study; reoperation; seizure; sepsis; septicemia; surgical infection; adverse effects; Brain Injuries; cervical vertebra; Glasgow outcome scale; injuries; middle aged; neurosurgery; postoperative complication; treatment outcome; young adult; Adolescent; Adult; Aged; Brain Injuries; Cervical Vertebrae; Female; Glasgow Coma Scale; Glasgow Outcome Scale; Humans; India; Male; Medical Tourism; Middle Aged; Neurosurgical Procedures; Nigeria; Postoperative Complications; Prospective Studies; Treatment Outcome; Young Adult",,,,,,,,"Macready, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850; Hutson Gray, H., Cartier Poland, S., Medical tourism: Crossing borders to access health care (2008) Kennedy Inst Ethics J, 18, pp. 193-201; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual frame-work from a comparative study of thailand, singapore and malaysia (2011) Global Health, 7, p. 12; Chen, Y.Y., Flood, C.M., Medical tourism's impact on health care equity and access in low- and middle-income countries: Making the case for regulation (2013) J Law Med Ethics, 41, pp. 286-300; Whittaker, A., Pleasure and pain: Medical travel in asia (2008) Glob Public Health, 3, p. 271; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Lautier, M., Export of health services from developing countries: The case of tunisia (2008) Soc Sci Med, 67, pp. 101-110; Oberholzer-Gee, F., Khanna, T., Knoop, C., Apollo hospitals - first-world health care at emerging market prices boston (2007) Mass: Harvard Business School Cases; Ehrbeck, T., Guevara, C., Mango, P.D., Cordina, J., Singhal, S., Health care and the consumer (2008) Mckinsey Quarterly, 4, pp. 80-81; Connell, J., Medical tourism: Sea, sun, sand and . . .surgery (2006) Tourism Manage, 27, pp. 1093-1100; Smythe, G., Medical geography: Therapeutic places, spaces and networks (2005) Progress Human Geog, 29, pp. 488-495; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) J Cont Educ Health Professions, 28, pp. 99-102; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the nhs? (2013) Plos One, 8","Idowu, E.O.; Neurosurgery Division, Department of Surgery, Lagos State University College of Medicine and Lagos State University Teaching HospitalNigeria",,,"Makerere University, Medical School",,,,,16806905,,,"25834554","English","Afr. Health Sci.",Article,"Final",Open Access,Scopus,2-s2.0-84924865341 "Lin H.-C.","55498145000;","Assessment of the Partnership Quality between Travel Agencies and Health Care Organizations on the International Medical Tourism Market in Taiwan",2014,"Journal of Quality Assurance in Hospitality and Tourism","15","4",,"356","381",,7,"10.1080/1528008X.2014.921777","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84905562509&doi=10.1080%2f1528008X.2014.921777&partnerID=40&md5=d3d08bf0d55a5ded8735d388e0ca6725","Department of Health-Business Administration, Fooyin University, Kaohsiung City, Taiwan; Department of Planning, Fooyin University Hospital, Pingtung County, Taiwan","Lin, H.-C., Department of Health-Business Administration, Fooyin University, Kaohsiung City, Taiwan, Department of Planning, Fooyin University Hospital, Pingtung County, Taiwan","The medical tourism literature lacks insight into related issues of these types of partnerships. Those that integrate multiple perspectives into one research framework are especially rare. This study evaluated and compared the influence of external environment uncertainty, trust, and resource dependence perspectives on the quality of interorganizational partnerships in the international medical tourism market and quantified these elements using external environment uncertainty assessment on the international medical tourism development. The research sample was based on a survey from 161 travel agency managers in Taiwan. This study found that external environment uncertainty has direct negative impact on trust and resource dependence has a positive influence on interorganizational partnership. Moreover, trust has a significant impact on partnership quality while resource dependence does not. Therefore, medical travel agents should extend their network of trustworthy health care organization partners in order to improve performance, decrease their self-risk, collect information, and avoid missed opportunities. Copyright © Taylor & Francis Group, LLC.","external environment; medical tourism; partnership quality; resource dependence; trust; uncertainty",,,,,,,,,"Anslinger, P., Jenk, J., Creating successful alliances (2004) The Journal of Business Strategy., 25 (2), pp. 18-22; Scott Armstrong, J., Overton, T.S., Estimating nonresponse bias in mail surveys (1977) Journal of Marketing Research, 14 (August), pp. 396-402; Benton, W.C., Maloni, M., The influence of power driven buyer/seller relationships on supply chain satisfaction (2005) Journal of Operations Management, 23 (1), pp. 1-22; Bouncken, R.B., The effect of trust on quality in the culturally diverse tourism industry (2000) Journal of Quality Assurance in Hospitality and Tourism, 3 (1), pp. 85-104; Boyd, B., Corporate linkages and organizational environment: A test of the resource dependence model (1990) Strategic Management Journal, 11 (6), pp. 419-430; Brulhart, F., Experience of partnerships, experience with a partner, interpersonal complicity: what impact on success in a logistic partnership? 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(1992) Fortune, 126 (6), pp. 77-78; Skarmeas, D., Katsikeas, C.S., Spyropoulou, S., Salehi-Sangari, E., Market and supplier characteristics driving distributor relationship quality in international marketing channels of industrial products (2008) Industrial Marketing Management, 37 (1), pp. 23-36; Srivastava, R., Indian society for aphaeresis and aphaeresis tourism in India: is there a future (2006) Transfus Apher Sci, 34 (2), pp. 139-144; Tellefsen, T., Thomas, G.P., The antecedents and consequences of organizational and personal commitment in business service relationships (2005) Industrial Marketing Management, 34 (1), pp. 23-37; Varma, A., Pichler, S., Toh, S.M., A performance theory perspective on expatriate success: the role of self-efficacy and motivation (2011) International Journal of Human Resource Development and Management, 11 (1), pp. 38-50; Wang, Y., Fesenmaier, D.R., Collaborative destination marketing: a case study of Elkhart county, Indiana (2007) Tourism Management, 28 (3), pp. 863-875; Weiner, B., A theory of motivation for some classroom experiences (1979) Journal of Educational Psychology, 71 (1), pp. 3-25; Wittmann, C.M., Hunt, S.D., Arnett, D.B., Explanting alliance success: competences, resources, relational factors, and resource-advantage theory (2009) Industrial Marketing Management, 38 (3), pp. 743-756; Woolthuis, R.K., Hillebrand, B., Nooteboom, B., Trust, contract and relationship development (2005) Organization Studies, 26 (6), pp. 318-340; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127; Yilmaz, C., Sezen, B., Ozdemir, O., Joint and interactive effects of trust and interdependence on the emergence of relational behaviors in long-term channel dyads (2005) Industrial Marketing Management, 34 (3), pp. 235-248; Yu, J.Y., Ko, T.J., A cross-culture study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Yuting, Y., Combination of medical and tourism (2004) Journal of Business Monthly, 3, pp. 4-8; Zaefarian, G., Henneberg, S.C., Naudé, P., Resource acquisition strategic in business relationships (2011) Industrial Marketing Management, 40 (6), pp. 862-874","Lin, H.-C.; Department of Health-Business Administration, Fooyin University, No.189-14, Sec. 3, Jianguo Rd., Fengshan District, Kaohsiung City 83044, Taiwan; email: ricolin1970@yahoo.com.tw",,,"Routledge",,,,,1528008X,,,,"English","J. Qual. Assur. Hosp. Tour.",Article,"Final",,Scopus,2-s2.0-84905562509 "Freyer W., Kim B.-S.","56616465400;57205869876;","Medical tourism and travel - An interdisciplinary approach [Medizintourismus und Medizinreisen - eine inter-disziplinäre Betrachtung]",2014,"Gesundheitswesen","76","1",,"65","68",,7,"10.1055/s-0033-1343439","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892782637&doi=10.1055%2fs-0033-1343439&partnerID=40&md5=bb295484d38e32051f6ff2496e1de934","Lehrstuhl für Tourismuswirtschaft, TU Dresden, International Scholar Kyung Hee University, Seoul, South Korea; College of Hotel and Tourism Management, Kyung Hee University, Seoul, South Korea","Freyer, W., Lehrstuhl für Tourismuswirtschaft, TU Dresden, International Scholar Kyung Hee University, Seoul, South Korea; Kim, B.-S., College of Hotel and Tourism Management, Kyung Hee University, Seoul, South Korea","Background: Medical tourism (or medical travel, international patient service, cross-border or global health care) is a new current phenomenon with increasing relevance for the two disciplines of medicine and tourism. Both sides hope to improve their reputation and image, as well as to increase their revenues and rate of employment; furthermore, they want to provide better care and service for patients and tourists: Medical tourism can close the gap of the health care system at home, providing better quality, quicker access and cheaper procedures abroad, also with treatments, not - legally - available in the sending country. For the tourism sector it broadens the variety of tourism products and supply of the host country and combines medical treatments and recovery with an attractive stay in a tourism destination for patients and their companions. But in spite of all popularity of this new type of tourism and treatment, there is quite a lack of theory and academic analysis. Methods: This article outlines the status quo of scientific research both from a medical and tourism point of view. This interdisciplinary method of approach is based mainly on a state-of-the art review of the current literature. Conclusions: There is a great need for more scientific research in the field of medical tourism, based on the common knowledge of both disciplines tourism and medicine. First there is neither an internationally agreed definition nor a common methodology for data collection. So the real impact of touristic and medical services both for the source and for the receiving countries is unÂknown and imprecise. Second the internal processes of the health system have to be adapted to the needs of international patients, e. g., medical fee schedule, billing, language, inter-cultural qualifications of the staff. Moreover the whole service chain has to be taken into account, especially the pre- and post-processes, which mostly start or end abroad. Here quality standards as well as accreditations are current issues. Furthermore, several sociocultural impacts need to be analysed, such as making health care less affordable for local patients and/or moral and ethical concerns about certain treatment methods. Another area concerns the legal questions of risk, liability and malpractice. © Georg Thieme Verlag KG Stuttgart. New York.","cross border healthcare; Inter-disciplinary approach; international patient service; medical tourism; medical travel","Germany; health care delivery; international cooperation; legislation and jurisprudence; medical tourism; needs assessment; organization and management; patient care; public relations; statistics and numerical data; trends; Germany; Health Services Accessibility; Interinstitutional Relations; Internationality; Medical Tourism; Needs Assessment; Patient Care Team",,,,,,,,"Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York Palgrave; Woodman, J., (2012) Patients beyond Borders - Everybody's Guide to Affordable, World-Class Healthcare, , Chapel Hill, North Carolina Healthy Travel Media; Connell, J., (2011) Medical Tourism, , Wallingford Cabi; Medizinreisen: Fühlen Sie Sich Gut Umsorgt in Deutschland, , http://viewer.zmags.com/publication/02ffe96d#/02ffe96d/1Zugriff:04.01. 2013, DZT-Deutsche Zentrale für Tourismus Hrsg Frankfurt a. M. 2011 online; Juszczak, J., (2007) Internationale Patienten in Deutschen Kliniken: Ansätze Zur Vermarktung von Gesundheitsdienstleistungen im Ausland, , Schriftenreihe des Fachbereiches Wirtschaftswissenschaften; 8 Sankt Augustin; Hunter, W.C., Medical Tourism: A global niche (2007) International Journal of Tourism Sciences, 7, pp. 129-140; UNWTO-Welttourismusorganisation der UN Empfehlungen zur Tourismusstatistik. Madrid; 1993; Ehrbeck, T., Guevara, C., Mango, P., (2008) McKinsey Quarterly Report, , McKinsey. Mapping the Market for Medical Tourism (May); (2008) Medical Tourism - Consumers in Search of Value. Deloitte Center for Health Solutions, , Deloitte Washington DC; Freyer, W., (2011) Tourismus. Einführung in Die Fremdenverkehrsökonomie, , 10. überarbeitete und ergänzte Aufl München Oldenbourg; (2011) Smart Care & Choice: Medical Tourism in Korea, , Korea Tourism Organization (KTO) Seoul KTO","Freyer, W.; Lehrstuhl für Tourismuswirtschaft, Technische Universität, Dresden, 01062 Dresden, Germany; email: tourism@mailbox.tu-dresden.de",,,,,,,,09413790,,GHWNF,"23740175","German","Gesundheitswesen",Article,"Final",,Scopus,2-s2.0-84892782637 "Rokni L., Pourahmad A., Moteiey Langroudi M.H., Rezaeiy Mahmoudi M., Heidarzadeh N.","35488882800;9042320100;55769273900;57201723056;55769626200;","Appraisal the potential of central Iran, in the context of health tourism",2013,"Iranian Journal of Public Health","42","3",,"272","279",,7,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879188440&partnerID=40&md5=3ca0e103256bfe1b16609f108007f6c6","Dept. of Geography and Tourism Planning, School of Human Geography, University of Tehran, Iran; Dept. of Human Geography, School of Geography, University of Tehran, Iran; Dept. of GIS and RS, School of Environment and Energy, Science and Research Branch of Islamic Azad University, Tehran, Iran; Dept. of Geography, School of Literature, University of Kharazmi, Iran","Rokni, L., Dept. of Geography and Tourism Planning, School of Human Geography, University of Tehran, Iran; Pourahmad, A., Dept. of Human Geography, School of Geography, University of Tehran, Iran; Moteiey Langroudi, M.H., Dept. of Human Geography, School of Geography, University of Tehran, Iran; Rezaeiy Mahmoudi, M., Dept. of GIS and RS, School of Environment and Energy, Science and Research Branch of Islamic Azad University, Tehran, Iran; Heidarzadeh, N., Dept. of Geography, School of Literature, University of Kharazmi, Iran","Background: The aim of the present study was to appraisal the prose and cone of Shiraz City in terms of its potential in the context of health tourism. Methods: The statistical sample included medical and health tourism sector in the city of Shiraz in the northwest of Fars Province, south of Iran. The efficient authorities on the topic were identified through the hospitals engaging in medical tourism. The research was based on theoretical sampling through which the experienced people of extensive knowledge on medical tourism were interviewed. Results: Active hospitals on attraction foreign patients averagely admit 15 and 50 foreign patients monthly and annually, respectively. Arab countries in the Persian Gulf were detected as the main marketing for Shiraz medical tourism. Oman encompassed the highest rate with 20% of admitted patients. Eye treatments with 30% and orthopedic with 6% were demonstrated as the highest and lowest rates in terms of foreign patients' needs, respectively. Closeness of cultural and religious beliefs and familial relationships on one hand and trusting to Iranian physicians on the other hand were amongst the most reasons for selecting Iran as a destination for medical tourism by patients. Conclusion: Implementing 4 strategies on monitoring medical tourism would result into significant improvement of attracting more foreigner patients not only into Shiraz but all around Iran. These items have been discussed in the text.","Economy; Health; Iran; Medical tourism",,,,,,,,,"Vajirakachoren, A., (2004) Implement of An Effective Health Tourism Development Plan For Thailand, pp. 10-70. , University of Wisconsin carreara, Bridges; Gahlinger, P.M., (2008) The Medical Tourism Travel Guide: Your Complete Reference to Top-Quality, Low-Cost Dental, Cosmetic, Medical Care & Surgery Overseas, pp. 80-95. , Sunrise River Press, USA; Goodrich, N., Janathan, B., Health tourism: A new positioning Strategy for tourist destination (1994) Global Tourist Behavior, pp. 227-238. , International Business Press. Muzaffer Uysal. USA; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism In Developing Countri, , 3rd ed. Palgrave acmillan, New York; Hancock, D., (2006) The Complete Medical Tourist, , http://www.davidhancock.eu, Available from; Woodman, J., (2008) Patients Beyond Borders: Everybody's Guide to Affordable World-Class Medical Tourism, , www.patientsbeyondborders.com/about-author, Available from; Ormond, M.E., (2011) International Medical Travel and The Politics of Therapeutic Place-making In Malaysia, , [PhD thesis]. School of Geography and Geosciences, University of St Andrews, UK; Smith, M., Laszlo, P., (2009) Health and Wellness Tourism, , Elsevier, Hangry; Gun, C.A., (2002) Tourism Planning, , 1st ed. Routledge, New York; Jabbari, A., The pattern of organization of medical tourism in Iran (2008) First National Congress of Health Tourism, , Iran; Goodrich, G., (1987) Health Care Tourism, An Exploratory Study, , 3rd ed. Butterworth and LTD, USA; Ross, M., (2001) Health Tourism: An Overview, , www.Hospitalitynet.org, Available from; Harahashe, S., (2002) Curative Tourism In Jordan and Its Potential Development, , 1st ed. Bournemouth University, Birmingham; Smith, M., (2010) Key Concepts In Tourist Studies, , SAGE publication, Los Angles; Rokni, L., Rezaei Mahmoudi, M., Codes as Barriers of Marketing Health Tourism (2011) International Congress of Advances In Hospitality and Tourism Marketing and Management, pp. 630-634. , Turkey; Kazemi, Z., (2008) Study of the Effective Factors For Attracting Medical Tourism In Iran, , [Master Thesis]. School of Marketing and E-commerce, Lulea university of technology, Iran; Jabbari, A.R., (2008) The Design of Iran Medical Tourism's Pattern, , [PhD Thesis]. School of management and medical informatics, Iran University of medical sciences, Iran; Shalbafian, A.A., (2006) The Ways of Health Tourism Development, , [Master Thesis]. School of management, University of Alameh Tabatabaee; Rafeie, M.R., (2007) An Appropriate Model For Medical Tourism In Iran, , [Master Thesis]. School of management, University of Alameh Tabatabaee; Hoseini, M., (2008) A Survey In Iran's Potential For Health Tourism and Effective Factors, , [Master Thesis]. School of management, University of Tehran; Bakhtiari, M.A., (2005) Strategic Model For Khatam Al Anbia Hospital, , [Master Thesis]. School of management, University of Tehran; Muller, H., El, K., Wellness Tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Heidari, A., (2009) Understanding the Nations Mental, , 1st ed. Mahkame, Iran, In Persian; Rachel, I., Culture Shock: Negotiating feeling in the field (2007) Anthropology Matters Journal, 9 (1), pp. 1-11; Herrick, M.D., Medical Tourism: Global Competition in health care, National center for Policy Analysis (2007) NCPA Policy Report, 1 (304), pp. 556-604; Connell, J., (2006) Sun, Sea, Sand & Surgery, , [PhD thesis]. School of Geosciences, University of Sydney, Australia; Karen, H., International Accreditation and Medical Tourism: The Value Equation (2006) International Congreess of Medical Tourism, , Turkey; Ranjbarian, B., Zahedi, M., (2008) Tourism Marketing, , 1st ed. Charbagh, Iran, In Persian; Ayoobiyan, A., (2012) Relation Between Mechanism of Informing and Attracting Medical Tourists In Private Hospitals of Isfahan, , [Master's thesis]. University of research sciences, Iran; Aqarahimi, Z., (2009) Study of the Medical Tourism Industry In Selected Countries and Provide Suggestions For Iran, , [Bachelor thesis]. School of medicine, Tehran university of medical sciences, Iran; Ghalami, S., (2009) Review of Strategies to Upgrade the Position of Iran In the For the Issuance of Health Services and Attracting Traputic Tourism Market, , [PhD thesis]. School of management, Tarbiat modares University, Iran","Rokni, L.; Dept. of Geography and Tourism Planning, School of Human Geography, University of TehranIran; email: Rokni.ladan@gmail.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Article,"Final",,Scopus,2-s2.0-84879188440 "Lee S.-R., Kim S.-T., Yoon M.G., Moon M.-S., Heo J.-H.","7601396341;49361254500;36437859500;7202278697;55638716300;","The stability score of the intramedullary nailed intertrochanteric fractures:Stability of nailed fracture and postoperative patient mobilization",2013,"Clinics in Orthopedic Surgery","5","1",,"10","18",,7,"10.4055/cios.2013.5.1.10","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875714032&doi=10.4055%2fcios.2013.5.1.10&partnerID=40&md5=d39a08526e73d1e609911f82e2410b8e","Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, South Korea","Lee, S.-R., Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, South Korea; Kim, S.-T., Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, South Korea; Yoon, M.G., Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, South Korea; Moon, M.-S., Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, South Korea; Heo, J.-H., Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, South Korea","Background: Intertrochanteric fractures of the femur are the most common type of fracture, and are an increasing occurrence due to the aging of the population. The objectives of our study are to predict the fate of intertrochanteric fractures treated with intramedullary hip nails by assessing the postoperative fracture stability utilizing the newly developed scoring system, and to help rehabilitate these patients. Methods: Eighty-two patients with intertrochanteric fractures that were treated with intramedullary hip nails between December, 2004 and January, 2011 were subjected to this study. The patients who could be followed for a minimum of one year postoperatively were enrolled. The immediate postoperative conditions were determined by radiograms: reduction status (3 parameters/4 points: contact accuracy of posteromedial cortex, severity of angulation, and distraction), fixation status (3 parameters/3 points: tip-apex distance, location of tip of the lag screw, entry point of the intramedullary nail), and fracture type (1 parameter/1 point: stable or unstable type by the Kyle's classification). Postoperative reduction loss and fixation failure were checked by radiograms taken at a minimum 3 months postoperative. Results: Reduction loss and fixation failure were observed in 14 consecutive patients (17%). The fixation failure rate was 100% (2 patients) in score 1, 60% (3 out of the 5 patients) in score 2, 39% (3 out of the 8 patients) in score 3, and 50% (4 out of the 8 patients) in score 4 groups. There were fixation failures only in 1 out of 13 patients with score 5, and in 1 out of 18 patients with score 6. There was no fixation failure in 17 patients with score 7 and 11 patients with score 8. Conclusions: Maintenance of the fracture reduction by the stable fixation in the patient scores over 5 could be predicted by the postoperative radiograms. © 2013 by The Korean Orthopaedic Association.","Fixation stability score; Fracture; Intertrochanteric; Intramedullary hip nail","adult; aged; article; clinical assessment; clinical effectiveness; controlled study; female; femur intertrochanteric fracture; fixation failure; fixation stability scoring system; human; intramedullary hip nail; intramedullary nail; major clinical study; male; postoperative period; prediction; scoring system; treatment response; validity; Fixation stability score; Fracture; Intertrochanteric; Intramedullary hip nail; Adult; Aged; Aged, 80 and over; Bone Nails; Early Ambulation; Female; Femur; Fracture Fixation, Intramedullary; Health Status Indicators; Hip Fractures; Humans; Male; Middle Aged; Range of Motion, Articular; Recovery of Function; Retrospective Studies; Treatment Outcome",,,,,,,,"Kim, D.H., Lee, S.H., Ha, S.H., You, J.W., Changes in patient pattern and operation methods for intertrochanteric fractures (2011) J Korean Orthop Assoc, 46 (1), pp. 49-53; Richmond, J., Aharonoff, G.B., Zuckerman, J.D., Koval, K.J., Mortality risk after hip fracture (2003) J Orthop Trauma, 17 (1), pp. 53-56; Albareda, J., Laderiga, A., Palanca, D., Paniagua, L., Seral, F., Complications and technical problems with the gamma nail (1996) Int Orthop, 20 (1), pp. 47-50; Friedl, W., Colombo-Benkmann, M., Dockter, S., Machens, H.G., Mieck, U., Gamma nail osteosynthesis of per- and subtrochanteric femoral fractures: 4 years experiences and their consequences for further implant development (1994) Chirurg, 65 (11), pp. 953-963; Utrilla, A.L., Reig, J.S., Munoz, F.M., Tufanisco, C.B., Trochanteric gamma nail and compression hip screw for trochanteric fractures: A randomized, prospective, comparative study in 210 elderly patients with a new design of the gamma nail (2005) J Orthop Trauma, 19 (4), pp. 229-233; Curtis, M.J., Jinnah, R.H., Wilson, V., Cunningham, B.W., Proximal femoral fractures: A biomechanical study to compare intramedullary and extramedullary fixation (1994) Injury, 25 (2), pp. 99-104; Hardy, D.C., Descamps, P.Y., Krallis, P., Use of an intramedullary hip-screw compared with a compression hipscrew with a plate for intertrochanteric femoral fractures: A prospective, randomized study of one hundred patients (1998) J Bone Joint Surg Am, 80 (5), pp. 618-630; Bojan, A.J., Beimel, C., Speitling, A., Taglang, G., Ekholm, C., Jonsson, A., 3066 consecutive gamma nails: 12 years experience at a single centre (2010) BMC Musculoskelet Disord, 11, p. 133; Anglen, J.O., Weinstein, J.N., American Board of Orthopaedic Surgery Research Committee.Nail or plate fixation of intertrochanteric hip fractures: Changing pattern of practice.A review of the American Board of Orthopaedic Surgery Database (2008) J Bone Joint Surg Am, 90 (4), pp. 700-707; Haidukewych, G.J., Intertrochanteric fractures: Ten tips to improve results (2010) Instr Course Lect, 59, pp. 503-509; Cleveland, M., Bosworth, D.M., Thompson, F.R., Wilson Jr., H.J., Ishizuka, T., A ten-year analysis of intertrochanteric fractures of the femur (1959) J Bone Joint Surg Am, 41 (8), pp. 1399-1408; Lorich, D.G., Geller, D.S., Nielson, J.H., Osteoporotic pertrochanteric hip fractures: Management and current controversies (2004) Instr Course Lect, 53, pp. 441-454; Jung, H.J., Choi, J.Y., Shin, H.K., Comparison between results of internal fixation and hemiarthroplasty in unstable intertrochanter fracture of osteoporotic bone (2007) J Korean Fract Soc, 20 (4), pp. 291-296; Green, S., Moore, T., Proano, F., Bipolar prosthetic replacement for the management of unstable intertrochanteric hip fractures in the elderly (1987) Clin Orthop Relat Res, 224, pp. 169-177; Haentjens, P., Casteleyn, P.P., Opdecam, P., Primary bipolar arthroplasty or total hip arthroplasty for the treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients (1994) Acta Orthop Belg, 60 (SUPPL.1), pp. 124-128; Jones, H.W., Johnston, P., Parker, M., Are short femoral nails superior to the sliding hip screw?A meta-analysis of 24 studies involving 3,279 fractures (2006) Int Orthop, 30 (2), pp. 69-78; Kyle, R.F., Gustilo, R.B., Premer, R.F., Analysis of six hundred and twenty-two intertrochanteric hip fractures (1979) J Bone Joint Surg Am, 61 (2), pp. 216-221; Park, S.Y., Yang, K.H., Yoo, J.H., Yoon, H.K., Park, H.W., The treatment of reverse obliquity intertrochanteric fractures with the intramedullary hip nail (2008) J Trauma, 65 (4), pp. 852-857; Harrington, I.J., Biomechanics of joint injuries (1982) Biomechanics of Musculoskeletal Injury, pp. 39-51. , Baltimore, MD, Williams & Wilkins; Lindskog, D.M., Baumgaertner, M.R., Unstable intertrochanteric hip fractures in the elderly (2004) J Am Acad Orthop Surg, 12 (3), pp. 179-190; Shukla, S., Johnston, P., Ahmad, M.A., Wynn-Jones, H., Patel, A.D., Walton, N.P., Outcome of traumatic subtrochanteric femoral fractures fixed using cephalo-medullary nails (2007) Injury, 38 (11), pp. 1286-1293; Schipper, I.B., Steyerberg, E.W., Castelein, R.M., Treatment of unstable trochanteric fractures: Randomised comparison of the gamma nail and the proximal femoral nail (2004) J Bone Joint Surg Br, 86 (1), pp. 86-94; Baumgaertner, M.R., Curtin, S.L., Lindskog, D.M., Keggi, J.M., The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip (1995) J Bone Joint Surg Am, 77 (7), pp. 1058-1064; Baumgaertner, M.R., Solberg, B.D., Awareness of tip-apex distance reduces failure of fixation of trochanteric fractures of the hip (1997) J Bone Joint Surg Br, 79 (6), pp. 969-971; Ostrum, R.F., Marcantonio, A., Marburger, R., A critical analysis of the eccentric starting point for trochanteric intramedullary femoral nailing (2005) J Orthop Trauma, 19 (10), pp. 681-686; Jeong, H.J., Choi, J.Y., Lee, J., Choi, K., Jeon, B., The relationship between hip fracture and bone mineral density in elderly patients (2010) J Korean Orthop Assoc, 45 (3), pp. 228-233","Kim, S.-T.; Department of Orthopaedic Surgery and Traumatology, Cheju Halla General Hospital, 65 Doryeong-ro, Jeju 690-766, South Korea; email: schstk27@hanmail.net",,,,,,,,2005291X,,,"23467110","English","Clin. Orthop. Surg.",Article,"Final",Open Access,Scopus,2-s2.0-84875714032 "Gabriele M., Silvia F., Francesca C., Cecilia Q., Nicola N.","24778773900;55588733000;55588660200;55588613100;55588792400;","Patient mobility for cardiac problems: A risk-adjusted analysis in Italy",2013,"BMC Health Services Research","13","1", 56,"","",,7,"10.1186/1472-6963-13-56","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84873700201&doi=10.1186%2f1472-6963-13-56&partnerID=40&md5=10214089f6561ad15486aad78f7f046b","Department of Public Health, Health Services Research Laboratory, University of Siena, Via Aldo Moro, 2, Siena, 53100, Italy; Tuscan Regional Health Agency, Via Pietro Dazzi, 1, Florence, 50141, Italy","Gabriele, M., Department of Public Health, Health Services Research Laboratory, University of Siena, Via Aldo Moro, 2, Siena, 53100, Italy; Silvia, F., Tuscan Regional Health Agency, Via Pietro Dazzi, 1, Florence, 50141, Italy; Francesca, C., Tuscan Regional Health Agency, Via Pietro Dazzi, 1, Florence, 50141, Italy; Cecilia, Q., Department of Public Health, Health Services Research Laboratory, University of Siena, Via Aldo Moro, 2, Siena, 53100, Italy; Nicola, N., Department of Public Health, Health Services Research Laboratory, University of Siena, Via Aldo Moro, 2, Siena, 53100, Italy","Background: The Italian National Health System was revised in the last 20 years, introducing new elements such as efficacy, efficiency and competitiveness. Devolution to regional authorities has created a quasi-market system where patients can choose the hospital in which to be treated. Patient mobility therefore becomes an indicator of perceived hospital quality and of financial flows between the regions of Italy. Previous studies analyzed patient mobility in general or by specific disease/diagnosis-related groups but there is a lack of research on the influence of severity of patient condition. The aim of the study was to describe patient mobility, crude and stratified by disease severity, in cardiac surgery units of three health areas (HAs) in Tuscany (Italy). Methods. In this retrospective observational study, data was gathered from hospital discharge records obtained from the Tuscan Regional Health Agency, Italy. The three HAs (HA1, HA2, HA3) recorded 25,017 planned hospitalizations in cardiac surgery units in the period 2001-2007. Patients were stratified in four All Patient Refined Diagnosis Related Group (APR-DRG) severity levels. Gandy's nomogram was used to describe how HAs met health care demand and their capacity to attract patients. Cuzick's test was used to identify significant differences in time trends. Results: Raw data showed that the HAs met their own local health care demand. Stratifying by APR-DRG severity, it emerged that capacity to meet local demand remained unchanged for zero-to-minor severity levels, but one HA was less able to meet demand for moderate severity levels or to attract patients from other HAs and Regions of Italy. In fact, HA3 showed a decrease in admissions of local residents. Conclusions: The study highlights important differences between the three HAs that were only revealed by severity stratification: unlike HA3, HA1 and HA2 seemed able to deal with local demand, even after severity stratification. Planners and researchers can benefit from risk stratification data, which provides more elements for correct comparisons and interventions. In the context of patient mobility, the present study is a step in that direction. © 2013 Gabriele et al; licensee BioMed Central Ltd.","Cross-border health care; Patient mobility; Quasi market; Risk adjustment","article; health care delivery; heart disease; human; International Classification of Diseases; Italy; nomogram; qualitative research; retrospective study; risk assessment; travel; Delivery of Health Care; Health Services Accessibility; Heart Diseases; Humans; International Classification of Diseases; Italy; Nomograms; Qualitative Research; Retrospective Studies; Risk Adjustment; Travel",,,,,,,,"Donabedian, A., Evaluating the quality of medical care (1966) Milbank Q, 44 (3), pp. 166-206; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16 (6), pp. 1145-1155. , 10.1016/j.healthplace.2010.08.001 20729128; Lako, C.J., Rosenau, P., Demand-driven care and hospital choice. Dutch health policy toward demand-driven care: Results from a survey into hospital choice (2009) Health Care Anal, 17 (1), pp. 20-35. , 10.1007/s10728-008-0093-9 18642083; Victoor, A., Delnoij, D.M., Friele, R.D., Rademakers, J.J., Determinants of patient choice of healthcare providers: A scoping review (2012) BMC Health Serv Res, 12, p. 272. , 10.1186/1472-6963-12-272 22913549; Messina, G., Vigiani, N., Lispi, L., Nante, N., Patient migration among the Italian regions 2003 (2008) Italian Journal of Public Health, 5 (1), pp. 45-52; Hermans, H.E., Cross-border health care in the European Union: Recent legal implications of 'Decker and Kohll' (2000) J Eval Clin Pract, 6 (4), pp. 431-439. , 10.1046/j.1365-2753.2000.00250.x 11133126; Kanavos, P., McKee, M., Richards, T., Cross border health care in Europe (1999) British Medical Journal, 318 (7192), pp. 1157-1158; Sunol, R., Garel, P., Jacquerye, A., Cross-border care and healthcare quality improvement in Europe: The MARQuIS research project (2009) Qual Saf Health Care, 18, pp. i93-i7. , 10.1136/qshc.2008.029678 19188459; Sofaer, S., Crofton, C., Goldstein, E., Hoy, E., Crabb, J., What do consumers want to know about the quality of care in hospitals? (2005) Health Services Research, 40 (6), pp. 2018-2036. , DOI 10.1111/j.1475-6773.2005.00473.x; Burns, L.R., Wholey, D.R., The impact of physician characteristics in conditional choice models for hospital care (1992) J Health Econ, 11 (1), pp. 43-62. , 10.1016/0167-6296(92)90024-U 10119756; Schauffler, H.H., Mordavsky, J.K., Consumer reports in health care: Do they make a difference? (2001) Annual Review of Public Health, 22, pp. 69-89. , DOI 10.1146/annurev.publhealth.22.1.69; Luft, H.S., Garnick, D.W., Mark, D.H., Peltzman, D.J., Phibbs, C.S., Lichtenberg, E., McPhee, S.J., Does quality influence choice of hospital? (1990) JAMA, 263 (21), pp. 2899-2906. , 10.1001/jama.1990.03440210049031 2110985; Magdalene, R., Martin, M.K., Rita, B., (2006) Patient Mobility in the European Union. 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Stato di Salute e Qualità dell'Assistenza Sanitaria Nelle Regioni Italiane, pp. 374-377. , Milano: Prex S.p.a; Tessier, G., Contandriopoulos, A.P., Dionne, G., Patient mobility for elective surgical interventions (1985) Social Science and Medicine, 20 (12), pp. 1307-1312. , DOI 10.1016/0277-9536(85)90385-5; Messina, G., Lispi, L., Vigiani, N., Nante, N., Valutazione della mobilità sanitaria per peso DRG (2007) Rapporto Osservasalute 2007. Stato di Salte e Qualità dell'Assistenza Sanitaria Nelle Regioni Italiane, pp. 506-509. , Milano: Prex S.p.a; Messina, G., Vigiani, N., Lispi, L., Granella, P., Nante, N., Impatto economico della mobilità sanitaria (2008) Rapporto Osservasalute 2008. Stato di Salute e Qualità dell'Assistenza Nelle Regioni Italiane, pp. 460-463. , Milano: Prex S.p.a; Hannan, E.L., Kilburn Jr., H., O'Donnell, J.F., Lukacik, G., Shields, E.P., Adult open heart surgery in New York State. An analysis of risk factors and hospital mortality rates (1990) JAMA, 264 (21), pp. 2768-2774. , 10.1001/jama.1990.03450210068035 2232064; Collini, F., Forni, S., Rodella, S., Indicatori di attività e qualità dell'assistenza in Cardiochirurgia - Rapporto 1997-2005 (2007) Indicatori di Qualità dell'Assistenza, p. 129. , Firenze: Agenzia Sanità Regione Toscana 35; Donatini, A., Rico, A., Giusepppinad'Ambrosio, M., Loscalzo, A., Orzella, L., Cicchetti, A., Profili, S., (2001) Italy. Health Systems in Transition, , Copenhagen: European Observatory on Health Care Systems; Le Grand, J., Bartlett, W., (1993) Quasi-markets and Social Policy, , Basingstoke: Macmillan; Manzoli, L., Villari, P., Boccia, A., (2008) Epidemiologia e Management in Sanità-elementi di Metodologia, , Milano: Edi. Ermes; (2003) All Patient Refined Diagnosis Related Groups. Definition Manual Version 20.0, , 3M Health Information Systems Wallingford CT; Ross, M., Mullner, E.A., (2009) Encyclopedia of Health Services Research in Encyclopedia of Health Services Research, p. 1456. , Thousand Oaks, California: Sage Publications, Inc Mullner RM 2; Gandy, R.J., A graphical representation of the inter-relationship between districts (1979) Hospital Health Services Review, 75 (2), pp. 50-51; Gandy, R.J., The calculation of catchment populations within the national health service (1981) The Statistician, 28 (1), pp. 29-37; Gandy, R.J., The calculation of catchment populations within the national health service-reprise (Forum) (1981) The Statistician, 30 (4), pp. 297-302; Gandy, R.J., Franci, A., Gurrieri, C., McClelland, B., Demonstrating access to public services diagrammatically (2011) Int J Publ Admin, (34), pp. 516-527; Marchi, M., Gli indicatori per l'analisi della attività ospedaliera (1987) Salute e Territorio, 54, pp. 60-64; Cuzick, J., A Wilcoxon-type test for trend (1985) Statistics in Medicine, 4 (1), pp. 87-90; Nante, N., Ricciardi, G., Farraj, O.A., Morgagni, S., Siliquini, R., Moirano, F., Messina, G., Sassi, F., Hospital patient migration: Analysis using an utility index (2003) Public Health in Europe 10 Years EUPHA, pp. 293-316. , Berlin: Springer Berlin Heidelberg KG S-VGC; Edgman-Levitan, S., Cleary, P.D., What information do consumers want and need? (1996) Health Affairs, 15 (4), pp. 42-56; Charlson, M.E., Pompei, P., Ales, K.A., MacKenzie, C.R., A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation (1987) Journal of Chronic Diseases, 40 (5), pp. 373-383. , DOI 10.1016/0021-9681(87)90171-8; Deyo, R.A., Cherkin, D.C., Ciol, M.A., Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases (1992) J Clin Epidemiol, 45 (6), pp. 613-619. , 10.1016/0895-4356(92)90133-8 1607900; Elixhauser, A., Steiner, C., Harris, D.R., Coffey, R.M., Comorbidity measures for use with administrative data (1998) Medical Care, 36 (1), pp. 8-27; Southern, D.A., Quan, H., Ghali, W.A., Comparison of the Elixhauser and Charlson/Deyo methods of comorbidity measurement in administrative data (2004) Med Care, 42 (4), pp. 355-360. , 10.1097/01.mlr.0000118861.56848.ee 15076812; Li, B., Evans, D., Faris, P., Dean, S., Quan, H., Risk adjustment performance of Charlson and Elixhauser comorbidities in ICD-9 and ICD-10 administrative databases (2008) BMC Health Services Research, 8, p. 12. , DOI 10.1186/1472-6963-8-12; Mahon, A., Whitehouse, C., Wilkin, D., Nocon, A., Factors that influence general practitioners' choice of hospital when referring patients for elective surgery (1993) British Journal of General Practice, 43 (372), pp. 272-276; Crotti, N., I viaggi della speranza (1992) Salute e Territorio, 80, pp. 31-33; Balzi, D., Geddes, M., Lispi, L., (2002) La ""migrazione Sanitaria"" per Tumore della Mammella Fra le Regioni Italiane, , salute Md: Ministero della salute 23513250; Cislaghi, C., Atlante toscano di geografia sanitaria (2005) L'Ospedalizzazione Generale, , Firenze: Toscana ARdS Firenze 23513250","Gabriele, M.; Department of Public Health, Health Services Research Laboratory, University of Siena, Via Aldo Moro, 2, Siena, 53100, Italy; email: gabriele.messina@unisi.it",,,,,,,,14726963,,,"23399540","English","BMC Health Serv. Res.",Article,"Final",Open Access,Scopus,2-s2.0-84873700201 "Wagle S.","56075818700;","Web-based medical facilitators in medical tourism: the third party in decision-making.",2013,"Indian journal of medical ethics","10","1",,"28","33",,7,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84896551435&partnerID=40&md5=e7c5d419c5354694e35565e96192b40e","Research Scholar, IIT-Bombay, Powai, 400 076, India","Wagle, S., Research Scholar, IIT-Bombay, Powai, 400 076, India","The emergence of web-based medical tourism facilitators (MTFs) has added a new dimension to the phenomenon of cross-border travel. These facilitators are crucial connectors between foreign patients and host countries. They help patients navigate countries, doctors and specialties. However, little attention has been paid to the authenticity of information displayed on the facilitators' web portals, and whether they follow ethical guidelines and standards. This paper analyses the available information on MTF portals from an ethics perspective. It compares 208 facilitators across 47 countries for the services offered. Data were collected from the databases of the Medical Tourism Association and World Medical Resources. India was the most common destination country linked to 81 facilitators. The five countries with the maximum number of facilitators were the USA, the UK, India, Canada and Poland. This paper identifies concerns regarding the information displayed about patients' safety, and the maintenance of confidentiality. There is a need to develop ethical standards for this field.",,"computer interface; confidentiality; decision making; ethics; human; India; information processing; information service; Internet; medical tourism; patient care; patient safety; Confidentiality; Data Display; Decision Making; Humans; India; Information Services; Internet; Medical Tourism; Patient Navigation; Patient Safety; User-Computer Interface",,,,,,,,,"Wagle, S.email: suchitra680@gmail.com",,,,,,,,09748466,,,"23439194","English","Indian J Med Ethics",Article,"Final",,Scopus,2-s2.0-84896551435 "Österle A., Johnson T., Delgado J.","6505796458;8340561600;55801059500;","A unifying framework of the demand for transnational medical travel",2013,"International Journal of Health Services","43","3",,"415","436",,7,"10.2190/HS.43.3.c","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84880559359&doi=10.2190%2fHS.43.3.c&partnerID=40&md5=0d47afac8c804d85914e2aca78b5c676",,"Österle, A.; Johnson, T.; Delgado, J.","Transnational medical travel has gained attention recently as a strategy for patients to obtain care that is higher quality, costs less, or offers improved access relative to care provided within their home countries. This article examines institutional environments in the European Union and United States that influence transnational medical travel, describes the conceptual model of demand for medical travel, and illustrates individual dimensions in the conceptual model of medical travel using a series of case studies. The conceptual model of medical travel is predicated on Andersen's behavioral model of health services. Transnational medical travel is a heterogeneous phenomenon that is influenced by a number of patient-related factors and by the institutional environment in which the patient resides. While cost, access, and quality are commonly cited factors that influence a patient's decision regarding where to seek care, multiple factors may simultaneously influence the decision about the destination for care, including culture, social factors, and the institutional environment. The conceptual framework addresses the patient-related factors that influence where a patient seeks care. This framework can help researchers and regulatory bodies to evaluate the opportunities and the risks of transnational medical travel and help providers and governments to develop international patient programs. © 2013, Baywood Publishing Co., Inc.",,"conceptual framework; decision making; European Union; health care; health expenditure; health policy; health services; institutional framework; international tourism; medicine; policy making; travel demand; article; cultural anthropology; dental procedure; economics; European Union; health care cost; health care delivery; health care quality; human; infertility therapy; international cooperation; medical tourism; organization and management; psychological aspect; socioeconomics; statistics; stem cell transplantation; United States; Culture; Dental Care; European Union; Health Expenditures; Health Services Accessibility; Humans; Internationality; Medical Tourism; Quality of Health Care; Reproductive Techniques, Assisted; Socioeconomic Factors; Stem Cell Transplantation; United States; Europe; United States",,,,,,,,"Carballo, M., Mboup, M., (2005) International Migration and Health: A Paper Prepared for the Policy Analysis and Research Programme of the Global Commission on International Migration; Garman, A., Milstein, A., Anderson, M., Medical travel (2009) Encyclopedia of Health Services Research, , ed. R. Mullner. Sage Thousand Oaks, CA; Smith, E., Reproductive tourism in Argentina: Clinic accreditation and its implications for consumers, health professionals and policy makers (2010) Dev. World Bioeth, 10 (2), pp. 59-69; Lunt, N., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , Organisation for Economic Co-operation and Development, Paris; Forgione, D., Smith, P., Medical tourism and its impact on the U.S. health care system (2007) J. Health Care Finance, 34 (1), pp. 27-35; Ramirez De Arellano, A., Patients without borders: The emergence of medical tourism (2007) Int. J. Health Serv, 37 (1), pp. 193-198; Oesterle, A., Health care across borders (2007) J. Eur. Soc. Pol, 17 (2), pp. 112-124; Palm, W., Glinos, I., Enabling patient mobility in the EU: Between free movement and coordination (2010) Health Systems Governance in Europe: The Role of European Law and Policy, , ed. E. Mossialos et al. Cambridge University Press, Cambridge; Jorens, Y., The right to health care across borders (2003) Impact of EU Law on Health Care Systems, , ed.M. McKee, E. Mossialos, and R. Baeten. P.I.E. Peter Lang, Brussels; (2011) Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the Application of Patients' Rights in Cross-Border Healthcare L, 88 (54). , European Parliament And Council Of The European Union; Rosenmöller, M., McKee, M., Baeten, R., (2006) Patient Mobility in the European, , Union: Learning From Experience. European Union of Health Systems and Policies, Copenhagen; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) Int. J. Health Serv, 40 (3), pp. 469-484; Österle, A., Balázs, P., Delgado, J., Traveling for teeth: Characteristics and perspectives of dental care tourism in Hungary (2009) Br. Dent. J., 206 (8), pp. 425-428; France, G., (1997) Cross-border flows of italian patients within the european, 7 (SUPPL. 13), pp. 18-25. , Union. Eur. J. Public Health; Access Baja HMO And Dependent Plan, , https://www.blueshieldca.com/producer/largegroups/products/medical/baja/ home.sp, Blue Shield Of California; (2012) Health Savings Accounts and Other Tax-Favored Health Plans; For Use in Preparing 2011 Tax Returns, , Internal Revenue Service Publication 969 (2011). Cat. No 24216s Department of the Treasury Washington DC; Heung, V., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) J. Travel and Tourism Marketing, 27 (3), pp. 236-251; Pocock, N., Phua, K., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of thailand singapore and Malaysia (2011) Global. 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Econ, 36 (16), pp. 1751-1757; McKee, M., MacLehose, L., Albrecht, T., Free movement of patients (2004) Health Policy and European Union Enlargement, , ed. M. McKee L. MacLehose, and E. Nolte. Open University Press, Buckingham; Starmans, B., Leidl, R., Rhodes, G., A comparative study on cross-border hospital care in the Euregio Meuse-Rhine (1997) Eur. J. Public Health, 7 (3 SUPPL.), pp. 33-41; Alsharif, M., Labonté, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Glob. Soc. Pol, 10 (3), pp. 315-335; Calnan, M., Cross-border use of health care: A survey of frontier workers' knowledge attitudes and use (1997) Eur. J. Public Health, 7 (3 SUPPL.), pp. 26-32; Glinos, I., Baeten, R., (2006) A Literature Review Of Cross-Border Patient Mobility In The European, , Union. European Commission Europe for Patients; Inhorn, M., Patrizio, P., Rethinking Reproductive 'tourism' as reproductive 'exile (2009) Fertil Steril, 92 (3), pp. 904-906; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropol. Med, 14 (3), pp. 293-305; Jung, K., Feldman, R., Scanlon, D., Where would you go for your next hospitalization? (2011) J. Health Econ, 30 (4), pp. 832-841; Donahue, K., Vanostenberg, P., Joint Commission International accreditation: Relationship to four models of evaluation (2000) Int. J. Qual. Health Care, 12 (3), pp. 243-246; Johnston, R., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int. J. Equity Health, 9 (24); Thomas, J., Griffith, J., Durance, P., Defining hospital clusters and associated service communities in metropolitan areas (1981) Socioecon. Plann. Sci, 15 (2), pp. 45-51; Pfannstiel, M., Development and strengthening of health clusters in European health regions (2011) Healthc. Q., 14 (2), pp. 49-53; Deri, C., Social networks and health service utilization (2005) J. Health Econ, 24 (6), pp. 1076-1107; Reisman, D., (2010) Health Tourism, , Edward Elgar Cheltenham; Österle, A., Delgado, J., (2010) Cross-Border Mobility In Health Care: The Case Of Dental Care Tourism In Central Europe, , Working Paper; Turner, L., Cross-border dental care: 'Dental tourism' and patient mobility (2008) Br. Dent. J., 204 (10), pp. 553-554; Joss, A., Qualität zahnärztlich-prothetischer Versorgung im Vergleich (1999) Acta Medicinae Dentium Helvetica, 4, pp. 77-85; Baulig, C., Evaluation von Ergebnisqualität und Kosteneffektivität zahnärztlichprothetischer Versorgungen im (nicht-EU) Ausland (2004) Deutsche Zahnärztliche Zeitschrift, 59 (4), pp. 230-235; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Aff, 26 (1), pp. 137-141; Ehrbeck, T., Guevara, C., Mango, P., Mapping the market for medical travel (2008) McKinsey Q., , May; Shenfield, F., Cross-border reproductive care in six European countries (2010) Hum. Reprod, 25 (6), pp. 1361-1368; Mladovsky, P., Sorenson, C., Public financing of IVF: A review of policy rationales (2010) Health Care Anal, 18 (2), pp. 113-128; Pennings, G., ESHRE Task Force on Ethics and Law 15: Cross-border reproductive care (2008) Hum. Reprod, 23 (10), pp. 2182-2184; Pennings, G., Cross-border reproductive care in Belgium (2009) Hum. Reprod, 24 (12), pp. 3108-3118; Debrock, S., New Belgian legislation regarding the limitation of transferable embryos in in vitro fertilization cycles does not significantly influence the pregnancy rate but reduces the multiple pregnancy rate in a threefold way in the Leuven University Fertility Center (2005) Fertil. Steril, 83 (5), pp. 1572-1574; McKelvey, A., The Impact Of Cross-border Reproductive Care Or 'fertility tourism' on NHS maternity services (2009) BJOG, 116 (11), pp. 1520-1523; Hughes, E., DeJean, D., Cross-border fertility services in North America: A survey of Canadian and American providers (2010) Fertil. Steril, 94 (1), pp. E16-E19; Lau, D., Stem cell clinics online: The direct-to-consumer portrayal of stem cell medicine (2008) Cell Stem Cell, 3 (6), pp. 591-594; Carman, K., Evidence that consumers are skeptical about evidence-based health care (2010) Health Aff, 29 (7), pp. 1400-1406; Kiatpongsan, S., Sipp, D., Medicine, monitoring and regulating offshore stem cell clinics (2009) Science, 323 (5921), pp. 1564-1565; Barclay, E., Stem-cell experts raise concerns about medical tourism (2009) Lancet, 373 (9667), pp. 883-884; Hopkins, L., Medical tourism today: What is the state of existing knowledge? (2010) J. Public Health Pol, 31 (2), pp. 185-198; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) Biosocieties, 2 (2), pp. 303-325","Johnson, T.; Department of Health Systems Management, Rush University, 1700 West Van Buren Street TOB Suite 126B, Chicago, IL 60612, United States; email: Tricia_J_Johnson@rush.edu",,,,,,,,00207314,,IJHSC,"24066413","English","Int. J. Health Serv.",Article,"Final",,Scopus,2-s2.0-84880559359 "Vick L.","55317354700;","The perils of cosmetic surgery/medical tourism",2012,"Clinical Risk","18","3",,"106","109",,7,"10.1258/cr.2012.012017","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864041253&doi=10.1258%2fcr.2012.012017&partnerID=40&md5=6cdf71185096f51f734bc58ae940c5c7","Woodwater House Pynes Hill Exeter EX2 5WR, United Kingdom","Vick, L., Woodwater House Pynes Hill Exeter EX2 5WR, United Kingdom","The article discusses a case involving negligent aesthetic surgery. The surgery took place in a Belgian clinic and was performed by an Italian surgeon.",,,,,,,,,,,"Vick, L.Woodwater House Pynes Hill Exeter EX2 5WR, United Kingdom; email: laurence.vick@michelmores.com",,,,,,,,13562622,,CLRIF,,"English","Clin. Risk",Article,"Final",,Scopus,2-s2.0-84864041253 "Athanasakis K., Souliotis K., Kyriopoulos E.-J., Loukidou E., Kritikou P., Kyriopoulos J.","25122589800;6507615056;36806222400;36806465600;56814871100;6701420655;","Inequalities in access to cancer treatment: An analysis of cross-regional patient mobility in Greece",2012,"Supportive Care in Cancer","20","3",,"455","460",,7,"10.1007/s00520-011-1093-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84857655756&doi=10.1007%2fs00520-011-1093-0&partnerID=40&md5=6cf167fdfb9781ad208e5467ea7daeac","Department of Health Economics, National School of Public Health, 196 Alexandras Av, Athens 11521, Greece; Faculty of Social Sciences, University of Peloponnese, Corinth, Greece","Athanasakis, K., Department of Health Economics, National School of Public Health, 196 Alexandras Av, Athens 11521, Greece; Souliotis, K., Faculty of Social Sciences, University of Peloponnese, Corinth, Greece; Kyriopoulos, E.-J., Department of Health Economics, National School of Public Health, 196 Alexandras Av, Athens 11521, Greece; Loukidou, E., Department of Health Economics, National School of Public Health, 196 Alexandras Av, Athens 11521, Greece; Kritikou, P., Department of Health Economics, National School of Public Health, 196 Alexandras Av, Athens 11521, Greece; Kyriopoulos, J., Department of Health Economics, National School of Public Health, 196 Alexandras Av, Athens 11521, Greece","Purpose: The quest of specialized oncology services represents an inelastic need for cancer patients that often leads to traveling in order to receive adequate care. The present survey assesses patient geographic mobility to access services for the prevention and treatment of neoplasmatic diseases in Greece, a country where the National Health System is characterized by severe misdistribution of oncology-specific resources. Methods: Based on data from the National Statistical Service for 1999-2005 (last available), we estimated geographic mobility as the difference between oncology patients residing in a specific region and those receiving care in National Health System (NHS) facilities located in the region, for the ten administrative districts of Greece. Especially for Attica, we performed a sub-analysis according to cancer diagnosis. Results: The most significant mobility is towards Attica, where patients receiving care within the region outnumber the patients actually residing by 48.9% annually, on average. Positive flows are also observed towards Macedonia (8.4%) and Epirus (7.8%). Negative flows are recorded in all remaining regions, the highest noticed in Sterea (-76.2%), Ionian Islands (-63.3%), Aegean Islands (-45.2%), and Thessaly (-37.3%). The largest flow towards Attica is for cases of malignant neoplasms of the skin, uterus, male genital organs, and for Hodgkin's lymphomas. Conclusions: Misallocation of oncology-specific resources creates ""two-tier"" cancer patients based on ability to pay for traveling/accommodation. The severity and the consequences of the disease necessitate a bold approach to resource allocation and the establishment of integrated patient support networks that ensure all cancer patients are offered equal opportunities to effective treatment. © 2011 Springer-Verlag.","Access; Cancer; Equity; Geographic mobility; Resource allocation","article; cancer center; cancer patient; cancer therapy; controlled study; demography; disease severity; geographic distribution; Greece; health care access; health care disparity; health survey; Hodgkin disease; human; major clinical study; male genital tract cancer; patient attitude; patient mobility; priority journal; resource allocation; skin cancer; social status; urban rural difference; uterus cancer; Demography; Greece; Health Services Accessibility; Health Services Needs and Demand; Humans; Medical Oncology; Neoplasms; Population Surveillance; Residential Mobility; Resource Allocation; Socioeconomic Factors; Travel",,,,,,"The present study was financially supported by",,"(2001) The World Health Report 2001, , World Health Organization. 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CO;2-L; Blumenthal, S.J., Kagen, J., The effects of socioeconomic status on health in rural and urban America (2002) Journal of the American Medical Association, 287 (1), p. 109","Athanasakis, K.; Department of Health Economics, National School of Public Health, 196 Alexandras Av, Athens 11521, Greece; email: kathanasakis@esdy.edu.gr",,,,,,,,09414355,,SCCAE,"21258947","English","Supportive Care Cancer",Article,"Final",,Scopus,2-s2.0-84857655756 "Cassens M., Hörmann G., Tarnai C., Stosiek N., Meyer W.","54381417800;57197407358;54382523900;54382372900;55574229281;","Health tourism: Increasing importance of touristic settings for public health and medical prevention [Trend Gesundheitstourismus: Steigende Bedeutung des touristischen Settings für Gesundheitsförderung und medizinische Prävention]",2012,"Pravention und Gesundheitsforderung","7","1",,"24","29",,7,"10.1007/s11553-011-0313-2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856683314&doi=10.1007%2fs11553-011-0313-2&partnerID=40&md5=edb87c058b3be360fbf7e94648bac721","Institut für Gesundheitswissenschaften, Gießenbach 327, A-6108 Scharnitz, Austria","Cassens, M., Institut für Gesundheitswissenschaften, Gießenbach 327, A-6108 Scharnitz, Austria; Hörmann, G., Institut für Gesundheitswissenschaften, Gießenbach 327, A-6108 Scharnitz, Austria; Tarnai, C., Institut für Gesundheitswissenschaften, Gießenbach 327, A-6108 Scharnitz, Austria; Stosiek, N., Institut für Gesundheitswissenschaften, Gießenbach 327, A-6108 Scharnitz, Austria; Meyer, W., Institut für Gesundheitswissenschaften, Gießenbach 327, A-6108 Scharnitz, Austria","Background: The primary health care system is currently undergoing a historic change in its structure. The promotion of healthy lifestyle choices and preventive medicine is playing a significant role in this paradigm shift. In this context, health tourism is becoming increasingly important. Methods: In light of this consideration, we discuss three aspects of health tourism in relation to their relevance for the health system as a whole. We consider patient or medical tourism, spa tourism and medical wellness. These three aspects of health tourism are based on Antonovsky's model of salutogenesis and the illness/wellness continuum. Conclusion: The increasing commercialisation of health tourism offers opportunities and risks. Advantageously, patients have early access to the health care system. Furthermore, health care professionals are provided with additional career alternatives. One significant issue remains reduced accessibility of the system for individuals of lower socioeconomic standing. © 2011 Springer Medizin Verlag.","Health tourism; Medical wellness; Patient tourism; Setting; Spa tourism",,,,,,,,,"Antonovsky, A., (1997) Salutogenese - Zur Entmystifizierung der Gesundheit, pp. 21-31. , Deutsche Herausgabe von Alexa Franke. dgvt, Tübingen, S; Antonovsky, A., (1979) Health, stress, and coping, , Jossey-Bass, San Francisco; Becker, P., Modelle der Gesundheit - Ansätze der Gesundheitsförderung (2001) Gesundheitsoffensive Prävention - Gesundheitsförderung und Prävention als unverzichtbare Bausteine effizienter Gesundheitspolitik, pp. 41-42. , In: Höfling S, Gieseke O (Hrsg) (2001) Hanns Seidel-Stiftung, München, S; Bennewitt, N., Wellness - Neue Perspektiven für den Kurort, Bielefeld (2002) Gesundheitstourismus und Wellnesstourismus, p. 15. , In: Berg W (2008) Oldenbourg, München, S; Berg, W., (2008) Gesundheitstourismus und Wellnesstourismus, p. 8. , Oldenbourg, München, S; Berg, W., (2008) Gesundheitstourismus und Wellnesstourismus, p. 171. , Oldenbourg, München, S; Böhm, K., Servicequalität im Gesundheitstourismus - Erfolgsfaktor für die deutschen Heilbäder und Kurorte (2007) Erfolgsstrategien im Gesundheitstourismus - Analyse zur Erwartung und Zufriedenheit von Gästen, pp. 5-7. , In: Rulle M, Hoffmann W, Kraft K (2010) Verlag Erich Schmidt, Berlin, S; (2006) Leitbegriffe der Gesundheitsförderung - Glossar zu Konzepten, Strategien und Methoden der Gesundheitsförderung, 4, pp. 205-206. , Bundeszentrale für gesundheitliche Aufklärung (Hrsg) erweiterte und überarbeitete Aufl. 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Huber, Hogrefe AG, Bern, S; Illing, K.T., (2009) Gesundheitstourismus und Spa-Management, p. 21. , Oldenbourg, München, S; Jaggi, F., (2008) Burnout - praxisnah, pp. 15-17. , Thieme, Stuttgart New York, S; Naidoo, J., Wills, J., (2010) Lehrbuch der Gesundheitsförderung - Überarbeitete, pp. 309-400. , aktualisierte und durch Beiträge zum Entwicklungsstand in Deutschland erweiterte Neuauflage BZgA, Köln, S; Opaschowski, H.W., Pries, M., Reinhard, U., (2006) Freizeitwirtschaft - Die Leitökonomie der Zukunft, pp. 31-57. , LIT, Hamburg, S; Rulle, M., (2008) Der Gesundheitstourismus in Europa - Entwicklungstendenzen und Diversifikationsstrategien, 2, p. 21. , Aufl. Profil, München Wien, S; Rulle, M., Hoffmann, W., Kraft, K., (2010) Erfolgsstrategien im Gesundheitstourismus - Analyse zur Erwartung und Zufriedenheit von Gästen, p. 64. , Schmidt, Berlin, S; Rulle, M., Hoffmann, W., Kraft, K., (2010) Erfolgsstrategien im Gesundheitstourismus - Analyse zur Erwartung und Zufriedenheit von Gästen, pp. 64-65. , Schmidt, Berlin, S; Schwaiger, J., (2007) Megatrend Gesundheitstourismus - Abgrenzung und Entwicklung, p. 23. , VDM Verlag Dr. Müller, Saarbrücken, S; Segal, V., Williams, J.M., Teasdale, J.D., (2008) Die Achtsamkeitsbasierte Kognitive Therapie der Depression - Ein neuer Ansatz zur Rückfallprävention, pp. 25-26. , dgtv, Tübingen, S; Travis, J.W., (1972) Illness-Wellness Continuum, , http://www.scribd.com/doc/8749394/Illness-Wellness-Continuum, (zuletzt abgerufen am: 18. 12. 2010)","Cassens, M.; Institut für Gesundheitswissenschaften, Gießenbach 327, A-6108 Scharnitz, Austria; email: manfred.cassens@unibw.de",,,,,,,,18616755,,,,"English; German","Pravent. Gesundheitsforderung",Article,"Final",,Scopus,2-s2.0-84856683314 "Schobersberger W., Greie S., Humpeler E.","55443222500;8888948600;6603757388;","Alpine health tourism: Future prospects from a medical perspective",2012,"The Tourism and Leisure Industry: Shaping the Future",,,,"199","208",,7,"10.4324/9780203049853","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917272966&doi=10.4324%2f9780203049853&partnerID=40&md5=6ab6215f599d04b25db5db1baa1abe66","University Hospital Innsbruck, Austria; Institut Humpeler Schobersberger (IHS), Research Institute of Leisure and Travel Medicine, Austria; Professor of internal medicine, Bregenz, Austria","Schobersberger, W., University Hospital Innsbruck, Austria; Greie, S., Institut Humpeler Schobersberger (IHS), Research Institute of Leisure and Travel Medicine, Austria; Humpeler, E., Professor of internal medicine, Bregenz, Austria",[No abstract available],,,,,,,,,,"Berghold, F., Was heisst eigentlich “Alpinmedizin”? Editorial (2000) Alpinmedizinischer Rundbrief, 23, pp. 2-3. , August; Greie, S., Humpeler, E., Mittermayr, M., Fries, D., Shobersberger, W., Oxygen transport and erythropoiesis in tourists with the metabolic syndrome at altitude (1.700 m): Project AMAS-2000 (2003) Hypoxia Medical Journal, 3 (10); Hillebrand, O., Weintögl, G., (2001) Handbuch für den Kurarzt, , Wien: ÖÄK-Verlag; Humpeler, E., Schobersberger, W., (2000) Das urlaubsmedizinische Forschungsprojekt AMAS 2000, pp. 23-32. , Schobersberger, W, Humpeler, E, Gunga, HC, Burtscher, M, and Flora, G (eds.), Jahrbuch der Österreichischen Gesellschaft für Alpin und Höhenmedizin. Innsbruck: Raggl Digital Graphic and Print; Inama, K., Halhuber, M.J., (1975) Der Herzkreislaufkranke im Hochgebirgsklima, 25. , Frankfurt am Main: Schriftenreihe der deutschen Zentrale für Volksgesundheitspflege e.V; Kagelmann, H.J., (1993) Tourismuswissenschaft, , München: Quintessenz; Kaspar, C., (1996) Gesundheitstourismus im Trend: Jahrbuch der Schweizer Tourismuswirtschaft 1995/96, pp. 53-61. , St. Gallen: Institut für Tourismus und Verkehrswirtschaft; Keul, A.G., Gesunde Reise-erholsamer Urlaub (2000) Gesund durch Erleben? Beiträge zur Erforschung der Tourismusgesellschaft, pp. 48-53. , Keul, AG, Bachleitner, R, and Kagelmann, HJ(eds.), München, Wien: Profil Verlag GmbH; Mühlhausen, C., (2001) Future Health, , Studie des VNR Verlags für die Deutsche Wirtschaft AG. Düsseldorf: Das Zukunftsinstitut; Nefiodow, L.A., (1997) Der sechste Kondratieff, , Rhein-Sieg: Verlag; Schobersberger, W., Humpeler, E., Gunga, H.C., Burtscher, M., Flora, G., (2000) Jahrbuch der Österreichischen Gesellschaft für Alpin- und Höhenmedizin, , Innsbruck: Raggl Digital Graphic and Print; Steinbach, J., Das Marktpotential für den Gesundheits- und Wellnesstourismus (2000) Gesund durch Erleben? Beiträge zur Erforschung der Tourismusgesellschaft, pp. 73-83. , Keul AG, Bachleitner R, and Kagelmann HJ (eds.), München, Wien: Profil Verlag Gmbh","Schobersberger, W.; University Hospital InnsbruckAustria",,,"Taylor and Francis",,,,,,9780203049853,,,"English","The Tourism and Leisure Industry: Shap. the Future",Book Chapter,"Final",,Scopus,2-s2.0-84917272966 "Cohen E.","7403589512;","Medical travel and the quality-of-life",2012,"Handbook of Tourism and Quality-of-Life Research: Enhancing the Lives of Tourists and Residents of Host Communities",,,,"169","191",,7,"10.1007/978-94-007-2288-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84901629389&doi=10.1007%2f978-94-007-2288-0&partnerID=40&md5=1731333e9e03f301bf762aeb15e57c14","Department of Sociology, The Hebrew University of Jerusalem, Jerusalem, Israel","Cohen, E., Department of Sociology, The Hebrew University of Jerusalem, Jerusalem, Israel","This chapter presents a general outline of the emergence, expansion, scope, and structure of medical travel and then discusses some of the principal issues in the relationship of medical travel and QOL: the advantages of medical travel for the patients’ QOL, the kinds of treatments sought, the manner of their provision in medical establishments abroad, and the problem of restitution in cases of malpractice. Case studies of the dangers involved in some risky treatments, not available in the home countries of severely ill patients but offered abroad, are presented. The drawbacks and advantages of medical travel both for the patients’ countries of origin and for their host countries are discussed. The chapter focuses primarily on the “new medical travel” of Western patients to the emergent medical hubs in non-Western countries, but deals only briefly with the numerically predominant medical travel from one to another non-Western country because of lack of adequate information. In conclusion, topics for future research on the interface of medical tourism and QOL are proposed. © Springer Science+Business Media B.V. 2012.",,,,,,,,,,"Abouna, G., Ethical issues in organ transplantation (2003) Medical Principles and Practices, 12, pp. 54-69; Aldhous, P., (2008) New task force to tackle “Stem-cell Tourism."", , http://www.newscientist.com/article/dn14137-new-task-force-to-tackle-stemcell-tourism.html, Retrieved from; Arunanondchai, J., Fink, C., Trade in health services in the ASEAN region (2007) Health Promotion International, 21, pp. 59-66; Baker, M., (2009) Stem-cell tourism, what’s a scientist to do?, , http://boogs.nature.com/reports/theniche/2009/03/stemcell_tourism_whats_a_scien.html, Retrieved from; Biggins, S.W., Transplant tourism to China: The impact on domestic patient-care decisions (2009) Clinical Transplantation, 23 (6), pp. 831-838; Bochaton, A., Lefebvre, B., The rebirth of the hospital; heterotopia and medical tourism in Asia (2009) Asia on tour, pp. 97-108. , T. 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Chang (Eds.), London/New York: Routledge; Budiani-Saberi, D.A., Delmonico, F.L., Organ trafficking and transplant tourism: A commentary on the global realities (2008) American Journal of Transplantation, 8, pp. 925-929; Budiani-Saberi, D.A., Karim, K.A., The social determinants of organ trafficking: A reflection on social inequity (2009) Social Medicine, 4 (1), pp. 48-51; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; (2006) Asia News Network, p. 4. , December 4; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3); Coghlan, A., (2009) China cracks down on stem cell tourism., , http://www.newscientist.com/article/dn17725-china-cracks-down-on-stem-cell-tourism.html, Retrieved from; Cohen, E., Medical tourism in Thailand (2008) Explorations in Thai tourism, pp. 225-255. , http://en.wikipedia.org/wiki/Commercial_surrogacy_in_India, E. Cohen, Bingley:Emerald. Commercial surrogacy in India; Connell, J., Medical tourism: Sea, sun sand and…surgery (2006) Tourism Management, 27, pp. 1093-1100; Cook, P.S., Kendall, G., Michael, M., Brown, N., Xenotourism and xenotravel: Some notes on global regulation (2005) Social change in the 21st century conference proceedings, , C. Bailey & K. Barnett (Eds.), Brisbane: Centre for Social Change Research, School of Humanities and Human Services, Queensland University of Technology; Luca, D.P., (2006) Xenotourism: Will your next trip overseas be for a new kidney?, , http://findarticles.com/p/articles/mi_qa5490/is_200607/ai_n21405853/, Retrieved from; Delmonico, F.L., The development of the declaration of Istanbul on organ trafficking and transplant tourism (2008) Nephrology Dialysis Transplantation, 23 (11), pp. 3381-3382; (2008) Medical tourism: Consumers in search of value., , Washington, DC: Deloitte Center for Health Solutions; (2009) Medical tourism: Update and implications., , Washington, DC: Deloitte Center for Health Solutions; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) McKinsey Quarterly., , http://www.mckinseyquarterly.com, May, Retrieved from; Epstein, M., Sociological and ethical issues in transplant commercialism (2009) Current Opinion in Organ Transplantation, 14 (2), pp. 134-139; Erlick, N., (2005) Xenotransplantation fact sheet., , http://www.nelsonerlick.com/html/xeno_fact_sheet.html, Retrieved from; Esnard, L., Le boom de la chirugie à prix réduit (2005) Téoros, 24 (3), pp. 25-29; Even, D., (2010) Israel pioneering fertility treatments, but not legally. 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http://www.medicaltourismco.com/medical-tourism/hospital-clinicabiblica-san-jose-costa-rica; Inhorn, M.C., Patricio, P., Rethinking reproductive “tourism” as reproductive “exile” (2009) Fertility and Sterility, 92 (3), pp. 904-906; Jha, V., Paid transplants in India (2004) Nephrology Dialysis Transplantation, 19 (3), pp. 541-543; Kazim, S.F., Organ donation law in Pakistan: An overview of the current situation (2008) Journal of Pakistan Medical Association, 58 (2), pp. 99-100; Khamash, H.A., Gaston, R.S., Transplant tourism: A modern iteration of an ancient problem (2008) Current Opinion in Organ Transplantation, 13 (4), pp. 395-399; Koh, H.C., Gan, L.L., (2009) A data mining analysis of healthcare tourism in Singapore., , September 11-15), Paper, Second ICTDM Conference, Kos Island; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Social Science and Medicine., 67, pp. 101-110; Lindvall, O., Stem cell tourism (2009) EuroStemCell., , http://www.eurostemcell.org/commentanalysis/stem-cell-tourism-risks-unproven-therapies, Retrieved from; 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Sarnsamak, P., Medical tourism worsens doctor crisis (2008) The Nation, pp. 1A and 4. , February 5, [Bangkok]; Sarnsamak, P., Stem-cell therapies “unproven, bad” (2008) The Nation, p. 2. , http://www.imtj.com/news/?EntryId82=149444, December 23, Saudi Arabia: Greater need to promote medical tourism to Saudi Arabia; Scheper-Hughes, N., The End of the body: Commodity fetishism and the global traffic in organs (2002) SAIS Review, 22 (1), pp. 61-80; Senapati, S., Advincula, A.P., Telemedicine and robotics: Paving the way to the globalization of surgery (2005) International Journal of Gynecology and Obstetrics, 91 (3), pp. 210-216; Shimazono, Y., The state of the international organ trade: A provisional picture based on integration of available information (2007) Bulletin of the World Health Organization, 85 (12); Sirisunthon, S., Sarnsamak, P., New stem-cell regulation draws flak (2010) The Nation, p. 15. , February 5, [Bangkok]; Smith, C.S., On death row, China’s source of transplants (2001) New York Times, pp. A1 and A10. , October 18; Smith, M., Puczkó, L., (2008) Health and wellness tourism, , Oxford: Butterworth Heinemann; Stem cell treatment., , http://www.bumrungrad.com/overseas-medical-care/medical-services/info/stemcell.aspx; Surman, O.S., Saidi, R., Burke, T.F., Regulating the sale of human organs: A discussion in context with the global market (2008) Current Opinion in Organ Transplantation, 13 (2), pp. 196-201; Surman, O.S., Saidi, R., Purtilo, R.S., Ko, D., Burke, T.F., The market of human organs: A window into a poorly understood global business (2008) Transplantation Proceedings, 40 (2), pp. 491-493; The Economist., , (2008, August 14). Operating Profit; Treatment Abroad, (2008) Medical tourism: Key facts., , www.treatmentabroad.com, Retrieved from; Treerutkuarkul, A., Medical Council Finalizes Stem Cell Regulation (2009) Bangkok Post, , May 25; Turner, L., “First world health care at third world prices”: Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Urry, J., Mobile society (2000) British Journal of Sociology, 51 (1), pp. 185-203; Viboonchart, N., Bumrungrad unfazed by Singapore push (2009) The Nation, p. 4. , August 10; Watts, J., China introduces new rules to deter human organ trade (2007) The Lancet, 369 (9577), pp. 1917-1918; Welcome to stem cell advice centre., , http://www.stemcelladvicecentre.com; Wikipedia., , http://en.wikipedia.org/wili/Medical_tourism, Medical tourism. Retrieved from; Willms, J., Booming medical tourism: No care for the poor (2007) Tourism Futures., , http://www.tourism-futures.org/content/view/1784/45/, Retrieved from; Youngman, I., (2009) Medical tourism statistics: Why McKinsey has got it wrong., , http://www.imtjonline.com/articles/2009/mckinsey-wrong-medical-travel, Retrieved from","Cohen, E.; Department of Sociology, The Hebrew University of JerusalemIsrael; email: mserik@mscc.huji.ac.il",,,"Springer Netherlands",,,,,,9789400722880; 9789400722873,,,"English","Handb. of Tourism and Quality-of-Life Research: Enhancing the Lives of Tourists and Residents of Host Communities",Book Chapter,"Final",,Scopus,2-s2.0-84901629389 "Kušen E.","7801400435;","Positioning medical tourism in the broader framework of health tourism",2011,"Tourism","59","1",,"95","99",,7,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-79958177942&partnerID=40&md5=5c30cb5e1c243df8a1bb2891742c636d","Institute for Tourism, Zagreb, Croatia","Kušen, E., Institute for Tourism, Zagreb, Croatia",[No abstract available],,,,,,,,,,"Kušen, E., (2002) Turistička Atrakcijska Osnova, , Zagreb: Institut za turizam; Kušen, E., Health tourism (2002) Tourism, 50 (2), pp. 175-188; Kušen, E., (2002) Znanstveno-stručna Podloga Za Izradu Propisa O Zdravstvenom Turizmu, , Zagreb: Ministarstvo turizma RH; Kušen, E., Zdravstveni turizam (2006) Hrvatski Turizam, pp. 167-190. , S. Čorak & V. Mikačič (eds), Zagreb: Institut za turizam; Kušen, E., (2010) Oswf Na Znanstveno-stručnu Podlogu Za Izradu Propisa O Zdravstvenom Turizmu Iz 2003. Godine, , Ppt presentation held December 10,2010, at Croatian Chamber of Economy, Zagreb; Kušen, E., Klarić, Z., Resursna osnova zdravstvenog turizma (1997) Medunarodni Simpozij Opatija Promotor Zdravstvenog Turizma, Zbornik Radova, pp. 233-244. , I. Rožanić (ed), I. Opatija: Hotelijerski fakultet; Kušen-Adam, A., Wellness u zdravstvenom turizmu (2002) Zdravstveni Turizam i Vrednovanjeprirodnih Ijekovitih Činitelja, pp. 182-185. , G. Ivanisevic (ed), Zagreb: Akademija medicinskih znanosti Hrvatske; Kušen, E., Mezak, V., Hrvatski wellness hoteli (2005) Turizam, 53 (4), pp. 397-405","Kušen, E.; Institute for Tourism, Zagreb, Croatia; email: eduard.kusen@iztzg.hr",,,,,,,,13327461,,,,"English","Tourism",Article,"Final",,Scopus,2-s2.0-79958177942 "Karuppan C.M., Karuppan M.","6601931384;6506339552;","Who are the medical travelers and what do they want?: A qualitative study",2011,"Health Marketing Quarterly","28","2",,"116","132",,7,"10.1080/07359683.2011.545339","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78649306662&doi=10.1080%2f07359683.2011.545339&partnerID=40&md5=a2400f71bebd4eeb83d5db9becd21e85","Department of Management, Missouri State University, 901 South National Avenue, Springfield, MO 65897, United States; Breech School of Business, Drury University, Springfield, MO, United States","Karuppan, C.M., Department of Management, Missouri State University, 901 South National Avenue, Springfield, MO 65897, United States; Karuppan, M., Breech School of Business, Drury University, Springfield, MO, United States","The ongoing debate on U.S. healthcare reform fueled by increasing cost and poor access to quality healthcare is spurring interest in medical travel. The topic of medical travel-going abroad to seek medical care-has been widely reported in various news outlets. This issue even resulted in a Senate Hearing before the Special Committee on Aging. Despite this popularity, very little empirical research has been conducted to describe and understand medical travelers. To fill this gap, the present study involves in-depth interviews of medical travel facilitators with extensive exposure to and communication with medical travelers. This article has multiple objectives. It aims to develop a demographic and psychographic profile of medical travelers and identify their underlying motives to seek medical care overseas. Based on these insights, it presents a list of propositions to be tested in further research. Finally, it offers practical implications for the healthcare industry. © Taylor & Francis Group, LLC.","Healthcare innovation; Medical travel; Qualitative research","age; article; cost; decision making; health insurance; human; insurance; medical tourism; motivation; psychological aspect; qualitative research; socioeconomics; United States; Age Factors; Costs and Cost Analysis; Decision Making; Humans; Insurance Coverage; Insurance, Health; Medical Tourism; Motivation; Qualitative Research; Socioeconomic Factors; United States",,,,,"Missouri State University, MSU","This research was funded by the Provost’s Research Incentive Program at Missouri State University.",,"(2010) Milestones, , http://www.apollohospitals.com/about_medical.php, Apollo Hospitals., Retrieved from; Babakus, E., Mangold, W.G., AdaptingtheSERVQUALscaletohospitalservices: An empirical investigation (1992) Journal of Health Services Research, 26, pp. 767-786; Clemans-Cope, L., Garrett, B., (2006) Changes In Employer-sponsored Health Insurance Sponsorship, Eligibility, and Participation: 2001-2005 (Report No. 7599), , http://www.kff.org/uninsured/upload/7599.pdf, Washington, DC: The Henry J. Kaiser Family Foundation. Retrieved from; (2006) The GlobaliZation of Health Care: Can Medical Tourism Reduce Health Care Costs?, , Congressional Hearing before the Special Committee on Aging, U.S. Senate, 109th Congress, 2nd session. 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Washington, DC: National Academies Press; McMenamin, J., Medical tourism and legal liability (2007) Medical Travel Today, CPR Communications, 1, , http://www.medicaltraveltoday.com/MTTE-01-01.html, Retrieved from; McQueen, M.P., Paying workers to go abroad for health care (2008) The Wall Street Journal, , http://online.wsj.com/article/SB122273570173688551.html#articleTabs%3Darticle, September 30, Retrieved from; (2009) Medical Tourism Sample Surgery Cost Chart, , http://www.medicaltourismassociation.com/en/for-insurance-companies.html, Medical Tourism Association, Retrieved from; Miller, J., Medical tourism-Domestic healthcare competes with international options for US business (2008) Ethics Illustrated, , http://www.bioethicsinternational.org/blog/2008/09/10/traveling-for-care-in-the-us-employers-set-deals-for-workers-without-having-to-go-abroad/, September 10, Retrieved from; Milstein, A., Smith, M., Will the surgical world become flat (2007) Health Affairs, 26 (1), pp. 114-137; Murphy, T., Insurers aim to save from overseas medical tourism (2009) USA Today, , http://www.usatoday.com/news/health/2009-08-22-medical-tourism_N.htm, August 22, Retrieved from; Nakane, J., (1986) Manufacturing Futures Survey in Japan, a Comparative Survey 1983-1986, , Tokyo, Japan: Waseda University, System Science Institute; Noble, M.A., Manufacturing strategy: Testing the cumulative model in a multiple country context (1995) Decision Sciences, 26, pp. 693-721; Parasuraman, A., Zeithaml, V.A., Berry, L.L., SERVQUAL: A multiple-item scale for measuring customer perceptions of service quality (1988) Journal of Retailing, 64 (1), pp. 12-40; Peter, J.P., Tarpey, L.X., A comparative analysis of three consumer decision strategies (1975) Journal of Consumer Research, 2, pp. 29-37; Porter, M.E., Teisberg, E.O., (2006) Redefining Health Care, , Boston, MA: Harvard Business School Press; Skinner, W., Production under pressure (1966) Harvard Business Review, 44 (6), pp. 139-146; Swensen, S.J., Meyer, G.S., Nelson, E.C., Hunt Jr., G.C., Pryor, D.B., Weissberg, J.I., Berwick, D.M., Cottage industry to postindustrial care-The revolution in health care delivery (2010) New England Journal of Medicine, , http://healthpolicyandreform.nejm.org/?p=2836, January 20,. Retrieved from; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countrie (2008) Journal of Continuing Education in the Health Professions, 28, pp. 99-102","Karuppan, C. M.; Department of Management, Missouri State University, 901 South National Avenue, Springfield, MO 65897, United States; email: ckaruppan@missouristate.edu",,,,,,,,07359683,,HMQUE,"21590560","English","Health Mark. Q.",Article,"Final",,Scopus,2-s2.0-78649306662 "Satjapot S.P., Johnson T.J., Garman A.N.","26030657100;8340561600;7004084762;","International medical travelers, length of stay, and the continuum of care: Inquiry and comparison",2011,"Quality Management in Health Care","20","1",,"76","83",,7,"10.1097/QMH.0b013e318203a0ab","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78651415610&doi=10.1097%2fQMH.0b013e318203a0ab&partnerID=40&md5=6532103f77aa1df9d1f7035caef64390","Operations Integration, Johns Hopkins Health System, 600 N Wolfe St, Baltimore, MD 21287, United States; Health Systems Management, Rush University, Rush University Medical Center, Chicago, IL, United States","Satjapot, S.P., Operations Integration, Johns Hopkins Health System, 600 N Wolfe St, Baltimore, MD 21287, United States; Johnson, T.J., Health Systems Management, Rush University, Rush University Medical Center, Chicago, IL, United States; Garman, A.N., Health Systems Management, Rush University, Rush University Medical Center, Chicago, IL, United States","Purpose: In this study, we assess whether length of stay (LOS) is associated with patient geographic origin and whether payment source for international patients explains differences in LOS. Methods: We used a retrospective case-control study to compare inbound international patients coming to the United States and domestic patients, who were admitted to academic medical centers (AMCs) between October 2005 and September 2008. International patients were matched to domestic patients on the basis of age, gender, AMC, admission status, severity of illness (SOI), and Medicare Severity Diagnosis-Related Group. Results: International patients stayed significantly longer than domestic patients, with an average LOS of 6.9 days (SD = 14.0) compared with 6.0 days (SD = 5.3) for domestic patients (P < .001). There was no difference in LOS between patients with international commercial and international self-pay payment sources (P = .108). Results of the multivariate analysis showed that international patients with extreme SOI stayed 21% longer than otherwise similar domestic patients with extreme SOI (P = .012). Conclusions: The most complex international patients coming to US AMCs have substantially longer LOS than the most complex domestic patients, even after controlling for demographic characteristics, and type of condition. More research is needed to understand the underlying drivers of these differences. © 2010 Wolters Kluwer Health|Lippincott Williams & Wilkins.","cultural influences; length of stay; medical travel; patient outcomes","adult; aged; article; female; health care quality; hospitalization; human; length of stay; male; middle aged; patient care; retrospective study; socioeconomics; statistics; travel; United States; university hospital; Academic Medical Centers; Adult; Aged; Continuity of Patient Care; Female; Humans; Length of Stay; Male; Middle Aged; Quality of Health Care; Retrospective Studies; Severity of Illness Index; Socioeconomic Factors; Travel; United States; Young Adult",,,,,,,,"Garman, A.N., Milstein, A., Anderson, M., Medical travel (2009) Encyclopedia of Health Services Research, pp. 744-745. , Mullner R, ed Thousand Oaks, CA: Sage; Evcil, A.N., Wheelchair accessibility to public buildings in Istanbul (2009) Disabil Rehabil Assist Technol, 4 (2), pp. 76-85; (2008), http://www.health-tourism.com/rehabilitation/middle-east-8/, United Arab of Emirates: Find Global Care Ltd, Accessed August, 2010; (2010) Global Health Observatory, , http://www.who.int/gho/database/en/, Published. Accessed August, 2010; Hohmann, S., Garman, A.N., Johnson, T., Anderson, M., Medical tourism: Characteristics of international patients & the care they receive at US academic medical centers (2008) Academy Health Annual Meeting, , June; Washington, DC; Lee, O., Davis, T., International patients: A lucrative market for US hospitals (2005) Health Mark Q, 22 (1), pp. 41-56; Elizabeth, A., Jacobs, D., Shepard, S., Stone, E., Overcoming language barriers in health care: Costs and benefits of interpreter services (2004) Am J Public Health, 94 (5), pp. 866-869; Travel by air: Health considerations (2005) Wkly Epidemiol Record, 80 (21), pp. 181-191. , World Health Organization; Gajic, O., Warner, D.O., Decker, P.A., Rana, R., Bourke, D.L., Sprung, J., Long-haul air travel before major surgery: A prescription for thromboembolism (2005) Mayo Clin Proc, 80 (6), pp. 728-731; Thomas, J.W., Guire, K.E., Horvat, G.G., Is patient length of stay related to quality of care? [abstract] (1997) Hosp Health Serv Adm, 42 (4), pp. 489-507. , http://www.ncbi.nlm.nih.gov/pubmed/10174462, Accessed June 20, 2009; (2009) Clinical Database, , https://www.uhc.edu/dataProductRedirection.asp?ProductGroupName= PRO-CDP-RM, Published, Updated April 2009. Accessed June 2009; Avrill, R.F., Goldfield, N., Hughes, J.S., (2003) All Patient Refined Diagnosis Related Groups (APR-DRGs) Version 20.0: Methodology Overview, , Wallingford, CT: 3M Health Information Systems; Elixhauser, A., Steiner, C., Harris, R., Coffey, R., Comorbidity measures for use with administrative data (1998) Med Care, 36 (1), pp. 8-27; Using SAS ® to Match Cases for Case Control Studies, , http://www2.sas.com/proceedings/sugi29/173-29.pdf, Accessed June 20, 2009; Model Fitting in PROC GENMOD, , http://www2.sas.com/proceedings/sugi26/p264-26.pdf, Accessed June 20, 2009; Burkett, L., Medical travel: Concerns, benefits, and the American legal perspective (2007) Int J Legal Med, 28 (2), pp. 223-245; Hume, L., Demicco, F., Bringing hotels to healthcare a Rx for success (2007) J Qual Assur Hospitality Tourism, 8 (1), pp. 75-84; Weissman, J.S., Betancourt, J., Campbell, E.G., Resident physicians' preparedness to provide cross-cultural care (2005) JAMA, 294 (9), pp. 1058-1067; John-Baptiste, A., Naglie, G., Tomlinson, G., The effect of English language proficiency on length of stay and in-hospital mortality (2004) J Gen Intern Med, 19 (3), pp. 221-228; Johnson, T.J., Garman, A.N., Impact of medical travel on imports and exports of medical services (2010) Health Policy, 98 (2-3), pp. 171-177; Squires, A.P., Home health care in Mexico: An overview (1998) Home Health Care Manag Pract, 11 (1), pp. 38-45; Martin, D.R., Challenges and opportunities in the care of international patients: Clinical and health services issues for academic medical centers (2006) Acad Med, 81 (2), pp. 189-192","Satjapot, S. P.; Operations Integration, Johns Hopkins Health System, 600 N Wolfe St, Baltimore, MD 21287, United States; email: ssatjapot@gmail.com",,,,,,,,10638628,,,"21192209","English","Qual. Manage. Health Care",Article,"Final",,Scopus,2-s2.0-78651415610 "Bagheri A.","57192935001;","Global health regulations should distinguish between medical tourism and transplant tourism",2010,"Global Social Policy","10","3",,"295","297",,7,"10.1177/14680181100100030203","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650292307&doi=10.1177%2f14680181100100030203&partnerID=40&md5=9b7f852a00a06aca4e6a8af4cfc8d5fe","Center for Medical Ethics, Tehran University of Medical Sciences, No 23, Azar 16, Keshawarz Blvd, Tehran, Iran","Bagheri, A., Center for Medical Ethics, Tehran University of Medical Sciences, No 23, Azar 16, Keshawarz Blvd, Tehran, Iran",[No abstract available],,"health care; health policy; regulatory approach; tourism",,,,,,,,"Bagheri, A., Asia in the spotlight of international organ trade: Time to take action (2007) Asian Journal of WTO and International Health Law and Policy, 2, pp. 11-24; Organ trafficking and transplant tourism and commercialism: The Declaration of Istanbul (2008) The Lancet, 372. , Steering Committee of the Istanbul Summit, (5 July)","Bagheri, A.; Center for Medical Ethics, Tehran University of Medical Sciences, No 23, Azar 16, Keshawarz Blvd, Tehran, Iran; email: Bagheria@tums.ac.ir",,,,,,,,14680181,,,,"English","Global Soc. Policy",Article,"Final",,Scopus,2-s2.0-78650292307 "Mainil T., Platenkamp V., Meulemans H.","15029762900;36129644200;6507922448;","Diving into the contexts of in-between worlds: Worldmaking in medical tourism",2010,"Tourism Analysis","15","6",,"743","754",,7,"10.3727/108354210X12904412397860","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867334462&doi=10.3727%2f108354210X12904412397860&partnerID=40&md5=1c49b63b12440909272433e3eaa17569","Centre for Cross-Cultural Understanding (CCU), NHTV Breda University of Applied Sciences, Breda, Netherlands; Research Centre for Longitudinal and Life Course Studies (CELLO), University of Antwerp, Antwerp, Belgium","Mainil, T., Centre for Cross-Cultural Understanding (CCU), NHTV Breda University of Applied Sciences, Breda, Netherlands, Research Centre for Longitudinal and Life Course Studies (CELLO), University of Antwerp, Antwerp, Belgium; Platenkamp, V., Centre for Cross-Cultural Understanding (CCU), NHTV Breda University of Applied Sciences, Breda, Netherlands; Meulemans, H., Research Centre for Longitudinal and Life Course Studies (CELLO), University of Antwerp, Antwerp, Belgium","In this review article, the authors contextualize the contemporary practice of medical tourism in terms of the concept of worldmaking, which was introduced (in this journal) with two articles a year or two ago by Hollinshead. Here, the authors first contextualize medical tourism in terms of ""worldmaking"" per medium of the observations of the corporeal realms identified by Alexis de Tocqueville almost 200 years ago. In 1835, de Tocqueville wrote with enthusiasm tinged with nostalgic regret about the new world of American democracy that he then saw as the world of the future. A serious rupture in history took place of which he became a most relevant critic. But there have been (according to Mainil, Platenkamp, and Meulemans) many ruptures since then: that is, there have been short periods of ""in-between worlds"" that became ever more anchored in the timeline of Western history. Today, they argue that tourism as a field of expertise, practice, and knowledge is intertwined with several other networks of expertise. It is responsible (itself) for many small ""ruptures"" in these modern times. Mass tourism can be seen as such a shift. Sustainable tourism and the attention paid to climate change would be another such shift. And the authors of this review argue that an interesting and deep-seated case in this regard is medical tourism. They argue here that medical tourism has a great deal of worldmaking capacity, especially by means of the Internet and international marketing tools. It arises in the interstices of the interacting networks of a global world. It crosses borders in line with emerging power structures in a global network, but it also meets local resistance or regional obstacles that are related to other networks. In between these worlds of human experience, various interactions of perspectives on the concept of health itself come to the surface. Within the field of medical tourism different stakeholders play a role in a worldmaking process. Our reviewers from the Low Countries thereby argue that medical tourism itself is responsible for a Tocquevillean rupture within and across our global network society. In their view, medical tourism also constitutes a new hybrid-that is, as a hybrid medical paradigm that seems to be appearing within the performative and productive world of tourism. © 2010 Cognizant Comm. Corp.","Enunciation; Hybridity; In-between worlds; Medical tourism; Network society; Rupture; Worldmaking",,,,,,,,,"Bhabha, H.J., (1994) The location of culture, , London/New York: Routledge; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Journal of Mathematical and Computer Modelling, 46, pp. 1144-1159; Boissevain, J., (1996) Coping with tourists: European reactions to mass tourism, , Providence, RI: Berghahn Books; Bourdieu, P., (2004) Science of science and reflexivity, , Cambridge: Polity Press; Castells, M., (2000) The information age: Economy, society and culture, 1-2. , III Oxford, MA: Blackwell Publishers; Chambers, P., Curts, L., (1996) The post-colonial question: Common skies, divided horizons, , London/New York: Routledge; Clifford, J., (1986) Writing culture, , Berkeley: University of California Press; Cohen, E., A phenomenology of tourist experiences (1979) The Journal of the British Sociological Association, 13 (2), pp. 179-201; Cohen, E., (2008) Medical tourism in Thailand. AU-GSB ejournal, pp. 24-37; Connell, J., Medical tourism: Sea, sun, sand and . surgery (2005) Tourism Management, 27, pp. 1093-1100; de Tocqueville, A., (1968) De la democratie en Amerique, , 1835, 1840 Paris: Gallimard; Featherstone, M., (1990) Global culture, , (Ed.). Nationalism, globalization and modernity (A Theory, Culture & Society special issue). London: Sage; Foucault, M., (1961) Folie et deraison, Histoire de lafolie a I'age classique, , Paris: Gallimard; Foucault, M., (1963) Naissance de la Clinique, , Paris: Galien; Foucault, M., (1969) L'archeologie du savoir, , Paris: Gallimard; Foucault, M., (1975) Surveiller et punir Naissance de la prison, , Paris: Gallimard; Foucault, M., (1976) Histoire de la sexualite (Vol I), , Paris: Gallimard; Foucault, M., (1984) Histoire de la sexualite, 2. , Paris: Gallimard; Foucault, M., (1984) Histoire de la sexualite, 3. , Paris: Gallimard; Geertz, C., (1983) Local knowledge: Further essays in interpretive anthropology, , New York: Basic Books; Geertz, C., (1993) The interpretation of culture, , London: Fontana Press; Giddens, A., (1991) Modernity and self-identity Self and society in the late modern age, , Cambridge: Polity Press; Garud, A.D., Medical tourism and its impact on our health care (2005) National Medical Journal of India, 18 (6), pp. 318-319; Hall, S., du Gay, P., (1996) Questions of cultural identity, , London: Sage; Hannerz, U., (1993) Cultural complexity Studies in the social organisation of meaning, , New York: Columbia University Press; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2010) Health Policy and Planning, 25, pp. 248-251; Hollinshead, K., Tourism, hybridity, and ambiguity: The relevance of Bhabha's 'third space' cultures (1998) Journal of Leisure Research, 30 (1), pp. 121-156; Hollinshead, K., 'Worldmaking' and the transformation of place and culture: The enlargement of Meethan's analysis of tourism and global change (2007) The critical turn in tourism studies: Innovative research methodologies, , In I. Ateljevic, A. Pritchard, & N. Morgan (Eds.). Amsterdam: Elsevier; Hollinshead, K., Tourism and the social production of culture and place: Critical conceptualizations on the projection of location (2009) Tourism Analysis, 13, pp. 639-660; Hollinshead, K., The ""worldmaking"" prodigy of tourism: The reach and power of tourism in the dynamics of change and transformation (2009) Tourism Analysis, 14, pp. 139-152; Kuhn, T.S., (1962) The structure of scientific revolutions, , Chicago: The University of Chicago Press; Lakatos, I., Falsification and the methodology of scientific research programmes (1965) Criticism and the growth of knowledge, pp. 91-197. , In I Lakatos & A. Musgrave (Eds.), Cambridge, UK: Cambridge University Press; Latour, B., (1987) Wetenschap in actie, , Amsterdam: Ooievaar Pockethouse; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) The Open Medical Informatics Journal, 4, pp. 1-11; Newman, B.Y., Medical tourism (2006) Optometry, 77 (12), p. 581; Picard, M., (1996) Bali: Cultural tourism and touristic culture, , Singapore: Archipalago Press; Ramirez de Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-1981; Spivak, G., (1999) A critique of post-colonial reason, , Cambridge, MA/London: Harvard University Press; Turner, L., Medical tourism: Family medicine and international health related travel (2007) Canadian Family Physician, 53, pp. 1639-1641; (2010) UNDP in action 2009/2010; delivering commitments, , New York: Office of Communication/Partnerships Bureau United Nations Development Programme","Mainil, T.; Centre for Cross-Cultural Understanding (CCU), NHTV Breda University of Applied SciencesNetherlands",,,"Cognizant Communication Corporation",,,,,10835423,,,,"English","Tour. Anal.",Review,"Final",,Scopus,2-s2.0-84867334462 "Bauer J.C.","7402815047;","Medical tourism: wave of the future in a world of hurt?",2009,"Healthcare financial management : journal of the Healthcare Financial Management Association","63","8",,"36","38, 40, 42",,7,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349572619&partnerID=40&md5=c95f09d703943c777475b74f930e60d0","ACS Healthcare Solutions, Chicago, IL, USA.","Bauer, J.C., ACS Healthcare Solutions, Chicago, IL, USA.","People look to medical tourism to save money and to get treatments that are not approved or that are not available at home due to political prohibitions. Medical tourism will be affected by the global economic downturn, concern about lower quality of care, and political instability. The international marketplace could be rewarding to American providers, payers, vendors, and other healthcare stakeholders that can efficiently and effectively respond to the current crisis.",,"article; economic aspect; economics; human; international cooperation; patient attitude; travel; United States; Economic Competition; Humans; Internationality; Patient Acceptance of Health Care; Travel; United States",,,,,,,,,"Bauer, J.C.email: jeff.bauer@acs-inc.com",,,,,,,,07350732,,,"19658323","English","Healthc Financ Manage",Article,"Final",,Scopus,2-s2.0-70349572619 "Douglas D.E.","23569083800;","Is medical tourism the answer?",2007,"Frontiers of health services management","24","2",,"35","40",,7,"10.1097/01974520-200710000-00005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-39549110211&doi=10.1097%2f01974520-200710000-00005&partnerID=40&md5=985c20d31c5318aac28dcc2f07558731","HC21 Business Coalition on Health, Knoxville, Tennessee, United States","Douglas, D.E., HC21 Business Coalition on Health, Knoxville, Tennessee, United States",[No abstract available],,"health; health care delivery; human; international cooperation; note; organization and management; travel; Delivery of Health Care; Humans; Internationality; Travel; World Health",,,,,,,,,"Douglas, D.E.",,,,,,,,07488157,,,"18220177","English","Front Health Serv Manage",Note,"Final",,Scopus,2-s2.0-39549110211 "Laerum F., Amdal T., Kirkevold M., Engedal K., Castberg Hellund J., Oswold S., Borthne K., Sager E.M., Randers J.","7003587313;13406519800;6603938887;34975080000;13406461500;13407035400;6603059633;7003817907;23009900800;","Moving equipment, not patients: Mobile, net-based digital radiography to nursing home patients",2005,"International Congress Series","1281",,,"922","925",,7,"10.1016/j.ics.2005.03.328","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33646440046&doi=10.1016%2fj.ics.2005.03.328&partnerID=40&md5=bff7749b3e760b944916d5fddf5486df","Exp. Radiology, University of Oslo, Norway; Paulus Nursing Home, Norway; Univ. Oslo Institute for Nursing Science, Norway; National Centre for Geriatric Psychiatry, Norway; Division of Radiology, Ullevaal University Hospital, Norway; BI Norwegian School of Management, Norway","Laerum, F., Exp. Radiology, University of Oslo, Norway; Amdal, T., Paulus Nursing Home, Norway; Kirkevold, M., Univ. Oslo Institute for Nursing Science, Norway; Engedal, K., National Centre for Geriatric Psychiatry, Norway; Castberg Hellund, J., Division of Radiology, Ullevaal University Hospital, Norway; Oswold, S., Division of Radiology, Ullevaal University Hospital, Norway; Borthne, K., Division of Radiology, Ullevaal University Hospital, Norway; Sager, E.M., Division of Radiology, Ullevaal University Hospital, Norway; Randers, J., BI Norwegian School of Management, Norway","In a nursing home with a population of 714 patients, 453 ""health events"" occurred during 8 weeks, leading to 114 specialists referrals with 59 conventional radiological examinations as well as 40 deaths. Substantial, time-dependent stress to the patients was encountered if they were sent to out-patient examinations. A combination of light-weight X-ray equipment with a digital X-ray detector was employed for mobile radiography services for patients in their rooms. This service saved most patients from being sent out of the nursing homes and facilitated further therapy or safer nursing conditions at the location. Mobile, digital radiography services proved better for the nursing home patients at a compatible examination and image quality, and, due to our analyses, at a substantially reduced cost for the society. © 2005 CARS and Elsevier B.V.","Digital radiography; Geriatric radiology; Mobile services; Nursing home patients",,,,,,,,,,"Laerum, F.; Exp. Radiology, University of OsloNorway; email: frode.laru@medisin.uio.no","Lemke H.U.Inamura K.Doi K.Vannier M.W.Farman A.G.",,,,,,,05315131,,,,"English","Int. Congr. Ser.",Article,"Final",,Scopus,2-s2.0-33646440046 "Habibi A., Ariffin A.A.M.","56195779400;25926315700;","Value as a medical tourism driver interacted by experience quality",2019,"Anatolia","30","1",,"35","46",,6,"10.1080/13032917.2018.1496122","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85052113344&doi=10.1080%2f13032917.2018.1496122&partnerID=40&md5=19d9519662311652994a4cceb392e4a9","Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Malaysia","Habibi, A., Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Malaysia; Ariffin, A.A.M., Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Malaysia","This study contends that inherent negative effects of medical tourism’ perceived sacrifices such as perceived risk and perceived fee could be lessen by the interaction role of experience quality. The findings indicate that the moderating role of experience quality on the relationship of perceived risk and perceived value was significant. Similarly, the experience quality also had a significant role in weakening the influence of perceived fee on perceived value. In this view, hospitals as well as other medical tourism service providers must make an effort to offer memorable experience and services to patients in order to minimize the negative effects of perceived risk and perceived fee. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","experience quality; Medical tourism; perceived fee; perceived risk; perceived value","hospital sector; medical tourism; risk factor",,,,,"FRGS/1/2013/SS05/UKM/02/7","This work was supported by the Malaysian Ministry of Higher Education - FRGS Grant [FRGS/1/2013/SS05/UKM/02/7].",,"Akbaba, A., Measuring service quality in the hotel industry: A study in a business hotel in Turkey (2006) International Journal of Hospitality Management, 25 (2), pp. 170-192; Baker, D.A., Crompton, J.L., Quality, satisfaction and behavioral intentions (2000) Annals of Tourism Research, 27 (3), pp. 785-804; Bernstein, I.H., Nunnally, J., (1994) Psychometric theory, , New York: McGraw-Hill; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Bisht, R., Pitchforth, E., Murray, S.F., Understanding India, globalisation and health care systems: A mapping of research in the social sciences (2012) Globalization and Health, 8, p. 32; Chandrasekaran, A., Senot, C., Boyer, K.K., Process management impact on clinical and experiential quality: Managing tensions between safe and patient-centered healthcare (2012) Manufacturing & Service Operations Management, 14 (4), pp. 548-566; Chang, T.-Y., Horng, S.-C., Conceptualizing and measuring experience quality: The customer’s perspective (2010) The Service Industries Journal, 30 (14), pp. 2401-2419; Chang, T.-Z., Wildt, A.R., Price, product information, and purchase intention: An empirical study (1994) Journal of the Academy of Marketing Science, 22 (1), pp. 16-27; Chen, C.F., Chen, F.S., Experience quality, perceived value, satisfaction and behavioral intentions for heritage tourists (2010) Tourism Management, 31 (1), pp. 29-35; Chen, S.-H., Lee, K.-P., The role of personality traits and perceived values in persuasion: An elaboration likelihood model perspective on online shopping (2008) Social Behavior and Personality: an International Journal, 36 (10), pp. 1379-1399; Chen, Y.-S., Chang, C.-H., Enhance green purchase intentions: The roles of green perceived value, green perceived risk, and green trust (2012) Management Decision, 50 (3), pp. 502-520; Chin, W.W., (1998) Commentary: Issues and opinion on structural equation modeling, 22 (1), pp. vii-xvi. , MIS Quarterly; Chu, C.-W., Lu, H.-P., Factors influencing online music purchase intention in Taiwan: An empirical study based on the value-intention framework (2007) Internet Research, 17 (2), pp. 139-155; Churchill, G.A., (1991) Marketing research: Methodological foundations, , Orlando, FL: Dryden Press; Cohen, J., A power primer (1992) Psychological Bulletin, 112 (1), pp. 155-159; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Crowther, P., Strategic application of events (2010) International Journal of Hospitality Management, 29 (2), pp. 227-235; Diamantopoulos, A., Schlegelmilch, B.B., (2000) Taking the fear out of data analysis: A step-by-step approach, , London: Business Press; Dodds, W.B., Monroe, K.B., Grewal, D., Effects of price, brand, and store information on buyers’ product evaluations (1991) Journal of Marketing Research, pp. 307-319. , 28 (August; Fetscherin, M., Stephano, R.-M., The medical tourism index: Scale development and validation (2016) Tourism Management, 52, pp. 539-556; Forsythe, S.M., Shi, B., Consumer patronage and risk perceptions in internet shopping (2003) Journal of Business Research, 56 (11), pp. 867-875; Frías-Jamilena, D.M., Del Barrio-García, S., López-Moreno, L., Determinants of satisfaction with holidays and hospitality in rural tourism in Spain the moderating effect of tourists’ previous experience (2013) Cornell Hospitality Quarterly, 54 (3), pp. 294-307; Gao, T.T., Leichter, G., Wei, Y.S., Countervailing effects of value and risk perceptions in manufacturers’ adoption of expensive, discontinuous innovations (2012) Industrial Marketing Management, 41 (4), pp. 659-668; Gröngroos, C., Service quality: The six criteria of good perceived service (1988) Review of Business, 9, pp. 10-30; Guiry, M., Brand positioning in the medical tourism industry: A brand personality perspective (2010) International Journal of Behavioural and Healthcare Research, 2 (1), pp. 20-37; Hair, J., Black, W., Babin, B., Anderson, R., (2010) Multivariate data analysis, , 7th, Prentice Hall, &, ed.). 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International Conference on Management Science and Engineering, 2007; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-40","Ariffin, A.A.M.; Graduate School of Business, Universiti Kebangsaan MalaysiaMalaysia; email: aama@ukm.edu.my",,,"Routledge",,,,,13032917,,,,"English","Anatolia",Article,"Final",,Scopus,2-s2.0-85052113344 "Ormond M., Lunt N.","7801551522;6603761945;","Transnational medical travel: patient mobility, shifting health system entitlements and attachments",2019,"Journal of Ethnic and Migration Studies",,,,"","",,6,"10.1080/1369183X.2019.1597465","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065723726&doi=10.1080%2f1369183X.2019.1597465&partnerID=40&md5=5d625ba721498e2c1393f9933b23db16","Cultural Geography, Wageningen University and Research, Wageningen, Netherlands; Department of Social Policy and Social Work, University of York, York, United Kingdom","Ormond, M., Cultural Geography, Wageningen University and Research, Wageningen, Netherlands; Lunt, N., Department of Social Policy and Social Work, University of York, York, United Kingdom","Transnational medical travel–the temporary movement by patients across national borders in order to address medical concerns abroad that are (considered to be) unable to be sufficiently met within their countries of residence–is an important therapeutic coping strategy used by growing proportions of peoples with a diverse range of mobility profiles and intensities of global moorings. Studying this phenomenon provides useful insight into a rapidly globalising era of health governance, where an ever-wider array of state and non-state actors are transcending the increasingly restrictive national containerisations of health care and engaging in cross-border action to effectively address contemporary health challenges at both individual and collective levels. In our introduction to this special issue on transnational medical travel, we draw on both ‘medical tourism’ and migrant health scholarship to acknowledge the diversity of motivations among migrant and non-migrant patients alike and the complex nature of mobile patients’ attachments to the multiple places in which they seek care. We then bring attention to how dynamic structural issues in mobile patients’ countries of residence and destination shape their attachments to places and health systems over time, examining the linkages between vitality of the political and social systems in these places to which they are differently attached and their dis/satisfaction and dis/enfranchisement with them. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","disenfranchisement; Health care; medical tourism; migrant health; place attachment; transnationalism",,,,,,,,,"Ackers, L., Dwyer, P., (2002) Senior Citizenship? 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Ethn. Migr. Stud.",Editorial,"Article in Press",Open Access,Scopus,2-s2.0-85065723726 "Dalen J.E., Alpert J.S.","7006130571;8921956300;","Medical Tourists: Incoming and Outgoing",2019,"American Journal of Medicine","132","1",,"9","10",,6,"10.1016/j.amjmed.2018.06.022","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051410592&doi=10.1016%2fj.amjmed.2018.06.022&partnerID=40&md5=548174089b93b7df0da8d9b2bec8fbaf","University of Arizona College of Medicine, Oro Valley, United States; University of Arizona College of Medicine, Tucson, United States","Dalen, J.E., University of Arizona College of Medicine, Oro Valley, United States; Alpert, J.S., University of Arizona College of Medicine, Tucson, United States",[No abstract available],,"Dubai; Editorial; health care access; health care cost; health care quality; health care system; hospital admission; hospitalization; human; income; Malaysia; medical tourism; priority journal; Singapore; economics; medical tourism; Medical Tourism",,,,,,,,"Boyd, J.B., McGrath, M.H., Maa, J., Emerging trends in the outsourcing of medical and surgical care (2011) Arch Surg, 146, pp. 107-112; (2018), https://patientsbeyondborders.com/medical-tourism-statistics-facts, Medical tourism statistics and facts. Available at: Accessed May 31; Braverman, B., (2018), http://www.thefiscaltimes.com/2016/08/17/14-Million-Americans-Will-Go-Abroad-Medical-Care-Year-Should-You, 1.4 million Americans will go abroad for medical care this year. Should you? Available at: Accessed May 29; Chambers, A., (2018), https://www.usitc.gov/publications/332/executive_briefings/chambers_health-related_travel_final.pdf, Trends in U.S. travel services trade. Available at: Accessed May 29; (2018), http://hotedliermiddleeast.com30848-medical-tourism-revenue-in-dubai-rises-to-390m/, Hotelier Middle East.com. Medical tourism in Dubai rises to $390m. Available at: Accessed May 31; Sarwar, A., Medical tourism in Malaysia: prospect and challenges (2013) Iran J Public Health., 42, pp. 795-805; Alleman, B.W., Luger, T., Reisinger, H.S., Medical tourism services available to residents of the United States (2011) J Gen Intern Med., 26, pp. 492-497; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 12; Crooks, V.A., Snyder, J., Medical tourism what Canadian family physicians need to know (2011) Can Fam Physician., 57, pp. 527-529; Freiden, J., (2018), https://www.medpagetoday.com/practicemanagement/reimbursement/72661, A big medical tourism boom? Actually, not so much. Available at: Accessed May 3; Stephano, R.M., (2018), http://www.medicaltourismmag.com/top-10-medical-tourism-destinations-world/, Top 10 medical tourism destinations in the world. Available at: Accessed June 2; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) Int J Health Care Qual Assur, 26, pp. 688-702","Dalen, J.E.; University of Arizona College of Medicine, 13500 North Rancho Vistoso BlvdBoulevard, #45, United States",,,"Elsevier Inc.",,,,,00029343,,AJMEA,"30016635","English","Am. J. Med.",Editorial,"Final",Open Access,Scopus,2-s2.0-85051410592 "Jain V., Ajmera P.","57198886405;57195928425;","Modelling the factors affecting Indian medical tourism sector using interpretive structural modeling",2018,"Benchmarking","25","5",,"1461","1479",,6,"10.1108/BIJ-03-2017-0045","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048875792&doi=10.1108%2fBIJ-03-2017-0045&partnerID=40&md5=09fca211b71387698c9ec5751ccc4d4e","Amity University Haryana, Gurgaon, India","Jain, V., Amity University Haryana, Gurgaon, India; Ajmera, P., Amity University Haryana, Gurgaon, India","Purpose: Medical tourism encourages the traveling of patients, expert healthcare professionals and promotes cross-border trade in healthcare services. The Indian medical tourism sector is facing new challenges as well as certain ethical and legal issues because of continuous market changes and patient’s requirements while at the same time advancements in current health services have also been observed. It is therefore very important to understand and address the issues of the medical tourists. The purpose of this paper is to evaluate the important factors which can make India an affordable medical tourism destination. Design/methodology/approach: In this paper, the factors influencing Indian medical tourism sector have been explored by conducting literature review, they are ranked according to the results of a questionnaire-based survey and further analyzed by using the interpretive structural modeling (ISM) approach. The mutual relationships between these factors were identified to develop an ISM model so as to find out the important factors which can make India an affordable place for medical tourism. Findings: The results of the survey and the model show that cost of medical procedures, facilitation, and care, the infrastructure of Indian hospitals, clinical excellence and the competence of doctors and staff are the top level factors. Practical implications: It is very important to address the concerns of the patients coming to a developing country like India for availing medical services. This research has evaluated the important factors which can make India an affordable medical tourism destination. Originality/value: This research assesses the effects of globalization on delivery of healthcare services in India by conducting critical analysis of the medical tourism industry by collecting original data from the international patients coming to India for different types of medical procedures so that a comprehensive model can be prepared which will help the hospitals and policymakers to improve the processes related to medical tourism. © 2018, Emerald Publishing Limited.","Clinical excellence; Healthcare services; Interpretive structural modelling; ISM; Medical tourism; MICMAC analysis",,,,,,,,,"Acharya, V.N., Status of renal transplant in India (1994) Journal of Postgraduate Medicine, 40 (3), p. 158; Agarwal, A., Shankar, R., Tiwari, M.K., Modeling agility of supply chain (2007) Industrial Marketing Management, 36 (4), pp. 443-457; Ajmera, P., Singh, M., Satia, H.K., Prioritization of strengths, weaknesses, opportunities and threats of Indian medical tourism sector using integrated SWOT AHP analysis (2015) International Journal of Innovative Research in Science, Engineering and Technology, 4 (5), pp. 3665-3673; 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(2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Horowitz, M., Rosensweig, J., Medical tourism – health care in the global economy (2007) The Physician Executive, 33 (6), pp. 24-30; Jain, V., Raj, T., Modelling and analysis of FMS productivity variables by ISM, SEM and GTMA approach (2014) Frontiers of Mechanical Engineering, 9 (3), pp. 218-232; Jain, V., Raj, T., Modeling and analysis of FMS flexibility factors by TISM and fuzzy MICMAC (2015) International Journal of System Assurance Engineering and Management, 6 (3), pp. 350-371; Jain, V., Raj, T., A hybrid approach using ISM and modified TOPSIS for the evaluation of flexibility in FMS (2015) International Journal of Industrial and Systems Engineering, 19 (3), pp. 389-406; Jain, V., Raj, T., Modeling and analysis of FMS performance variables by ISM, SEM and GTMA approach (2016) International journal of production economics, 171 (1), pp. 84-96; Jharkharia, S., Shankar, R., IT-enablement of supply chains: understanding the barriers (2005) Journal of Enterprise Information Management, 18 (1), pp. 11-27; 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Puri, S., Singh, Y.A., Medical tourism – a new arena (2010) Iranian Journal of Public Health, 39 (3), p. 16; Raj, T., Attri, R., Jain, V., Modelling the factors affecting flexibility in FMS (2012) International Journal of Industrial and Systems Engineering, 11 (4), pp. 350-374; Raj, T., Shankar, R., Suhaib, M., An ISM approach for modelling the enablers of flexible manufacturing system: the case for India (2008) International Journal of Production Research, 46 (24), pp. 6883-6912; Ravi, V., Shankar, R., Analysis of interactions among the barriers of reverse logistics (2005) Technological Forecasting and Social Change, 72 (8), pp. 1011-1029; Sage, A.P., (1977) Interpretive Structural Modeling: Methodology for Large-Scale Systems, pp. 91-164. , McGraw-Hill, New York, NY; Samantra, C., Datta, S., Mahapatra, S.S., Debata, B.R., Interpretive structural modelling of critical risk factors in software engineering project (2016) Benchmarking: An International Journal, 23 (1), pp. 2-24; Sharma, H.D., Gupta, A.D., The objectives of waste management in India: a futures inquiry (1995) Technological Forecasting and Social Change, 48 (3), pp. 285-309; Siddiqi, S., Shennawy, A., Mirza, Z., Drager, N., Sabri, B., Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective (2010) The International Journal of Health Planning and Management, 25 (3), pp. 231-250; Singh, R.K., Garg, S.K., Deshmukh, S., Kumar, M., Modelling of critical success factors for implementation of AMTs (2007) Journal of Modelling in Management, 2 (3), pp. 232-250; Weiner, B.J., Shortell, S.M., Alexander, J., Promoting clinical involvement in hospital quality improvement efforts: the effects of top management, board, and physician leadership (1997) Health Services Research, 32 (4), p. 491; Williams, C., Treloar, J., Lundy, J., Levitt, L., Wang, J., (2002) Trends and Indicators in the Changing Health Care Marketplace, , Kaiser Family Foundation, Chartbook, Washington DC","Jain, V.; Amity University HaryanaIndia; email: vjdj2004@gmail.com",,,"Emerald Group Publishing Ltd.",,,,,14635771,,BQMTF,,"English","Benchmarking",Article,"Final",,Scopus,2-s2.0-85048875792 "Han J.-S., Lee T.J., Ryu K.","57189990300;35196248300;22942151600;","The promotion of health tourism products for domestic tourists",2018,"International Journal of Tourism Research","20","2",,"137","146",,6,"10.1002/jtr.2161","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85036582173&doi=10.1002%2fjtr.2161&partnerID=40&md5=c77b826b161c519d424a72e4d7ca2f29","Navi Wellness Tourism Research & Development, Seoul, South Korea; Division of Tourism & Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, Japan; College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea","Han, J.-S., Navi Wellness Tourism Research & Development, Seoul, South Korea; Lee, T.J., Division of Tourism & Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, Japan; Ryu, K., College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea","This study investigates the demand for travel for well-being and enhancing health by Korean domestic tourists. The current level of health travel preferences and participation rates were examined and compared to the preference for other travel types. A questionnaire survey was conducted with 270 participants, and additional raw data from the Korean National Tourism Survey (a sample of 6,309) were incorporated. This research found that preference for health travel is comparatively high, but participation levels are low compared to other travel themes. From these results, implications for health tourism industry practitioners are suggested, and recommendations for marketing products proposed. Copyright © 2017 John Wiley & Sons, Ltd.","health tourism; tourism product promotion; tourist participation; tourist preferences","leisure industry; marketing; medical tourism; preference behavior; tourism market; tourist behavior; travel demand; Korea",,,,,,,,"Chen, K.H., Chang, F.H., Tung, K.X., Measuring wellness-related lifestyles for local tourists in Taiwan (2014) Tourism Analysis, 19 (3), pp. 369-376; Cohen, M., Wellness and the thermodynamics of a healthy lifestyle (2010) Asia-Pacific Journal of Health, Sport and Physical Education, 1 (2), pp. 5-12; Erfurt, P., Cooper, M., (2009) Health & Wellness Spa Tourism. 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Theming wellness destinations the Nordic Way (2011) Scandinavian Journal of Hospitality and Tourism, 11 (1), pp. 20-41; Kim, H., Kim, K., Kim, E., Gwak, E., Comparison of health tourism merchandising possibilities and important attributes: Focused on professionals related to the field (2006) Journal of the Korean Data Analysis Society, 8 (5), pp. 1853-1865; (2011) The preferences of forest-based oriental medicine tourism products, , Chuncheon, Korea, Gangwon Institute for Regional Program Evaluation; (2007) The report of the JTB for health tourism phenomenon and the outlook, , Seoul, Korea, KTO Press; (2015) Medical and health tourism overview of Korea in 2014, , Seoul, Korea, KTO Press; Kucukusta, D., Heung, V.C.S., The problems of developing wellness tourism in China: From supply perspective (2012) Journal of China Tourism Research, 8 (2), pp. 146-158; Lee, C.F., Ou, W.M., Huang, H.I., A study of destination attractiveness through domestic visitors' perspectives: The case of Taiwan's hot springs tourism sector (2009) Asia Pacific Journal of Tourism Research, 14 (1), pp. 17-38; Lee, H., (2005) Study on health-specialized travel products development, , Unpublished Master's Degree thesis. 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A study on private hospitals in Kuala Lumpur (2012) Journal of Travel & Tourism Marketing, 29 (7), pp. 629-646; Musa, G., Thirumoorthi, T., Doshi, D., Travel behaviour among inbound medical tourists in Kuala Lumpur (2012) Current Issues in Tourism, 15 (6), pp. 525-543; Nunnally, J.C., Bernstein, I.H., (1994) Psychometric theory, , 3rd, ed.)., New York, McGraw-Hill; Ormond, M., Medical tourism, medical exile: Responding to the cross-border pursuit of healthcare in Malaysia (2011) Real tourism: Representation, practice and the ‘material’ in contemporary travel, pp. 143-161. , In, C. Minca, #x0026;, T. Oakes, (Eds.),, London, Routledge; Sheldon, P., Bushell, R., Introduction to wellness and tourism (2009) Wellness and tourism: Mind, body, spirit, place, pp. 3-18. , In, R. Bushell, #x0026;, P. Sheldon, (Eds.),, New York, NY, Cognizant Communication Books; Shin, J., (2010) Analysis of strategy industry of medical tourism in Southeast Asia, , Seoul, Korea, Korea Institute for International Economic Policy; Smith, M., Puckzkó, L., (2009) Health and wellness tourism, , Oxford, Elsevier; Stace, R., Brown, A.M., Purushothoman, M., Scharl, A., Weichselbraun, A., National indicators of well-being: Lessons from Pacific Island countries' tourism (2007) Asia Pacific Journal of Tourism Research, 12 (3), pp. 203-222; (2011) Population projections for Korea: 2010–2060 (based on the 2010 census), , http://kosis.kr, Retrieved 20 June 2013 at; Voigt, C., Brown, G., Howat, G., Wellness tourists: In search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; (2011) 4WR: Wellness for whom, where and what? Wellness Tourism 2020 full report, , Hungary, Xellum; (1998) Executive board: 101st session Geneva, , World Health Organization Executive board. 19-27 January; Yoo, I.Y., Lee, T.J., Lee, C.K., Effect of health and wellness values on festival visit motivation (2015) Asia Pacific Journal of Tourism Research, 20 (2), pp. 152-170; Yu, J., (2011) Study on medical tourism statistics production, , Seoul, Korea, Korea Culture and Tourism Institute; Yu, J., Lee, T.J., Noh, H., Characteristics of a medical tourism industry: The case of South Korea (2011) Journal of Travel & Tourism Marketing, 28 (8), pp. 856-872; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-40","Ryu, K.; College of Hospitality and Tourism Management, Sejong UniversitySouth Korea; email: kryu11@sejong.ac.kr",,,"John Wiley and Sons Ltd",,,,,10992340,,,,"English","Int. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85036582173 "Tham A.","55615313200;","Sand, surgery and stakeholders: A multi-stakeholder involvement model of domestic medical tourism for Australia's Sunshine Coast",2018,"Tourism Management Perspectives","25",,,"29","40",,6,"10.1016/j.tmp.2017.11.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85033589769&doi=10.1016%2fj.tmp.2017.11.002&partnerID=40&md5=05ce519fd69e6b5a786ceeebc2098cec","Lecturer in Tourism, Leisure and Events Management, University of the Sunshine Coast, School of Business, 90 Sippy Downs Drive, Sippy Downs, Queensland 4556, Australia","Tham, A., Lecturer in Tourism, Leisure and Events Management, University of the Sunshine Coast, School of Business, 90 Sippy Downs Drive, Sippy Downs, Queensland 4556, Australia","This paper explores the developments of domestic medical tourism for Australia's Sunshine Coast. Most studies have characterised medical tourism to be an outbound phenomenon, where affluent tourists select mostly developing destinations for elective surgeries due to cost, quality or faster access to treatments. However, studies concerned with domestic medical tourism remain highly implicit. Employing a case study perspective of the Sunshine Coast, Australia, this research explored the potential for domestic medical tourism to be conceived. This research found that while most stakeholders considered the region to be well-suited for medical tourism, three issues presented some barriers to its development. The three issues were residents' access to hospital facilities, lack of cooperation and hostile attitudes between practitioners. This research shows the contested battlegrounds of domestic medical tourism initiatives, and how the development of a multi-stakeholder involvement model of medical tourism can bring desired outcomes to fruition. © 2017 Elsevier Ltd","Medical tourism; Multi-stakeholder involvement model; Sunshine Coast",,,,,,,,,"Abd Manaf, N.H., Hussin, H., Kassim, P.N.J., Alavi, R., Dahari, Z., Medical tourism service quality: Finally some empirical findings (2015) Total Quality Management & Business Excellence, 26 (9-10), pp. 1017-1028; Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management, 5 (3), pp. 192-201; Alsharif, M.J., Labonte, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10 (3), pp. 315-335; An, D., Understanding medical tourists in Korea: Cross-cultural perceptions of medical tourism among patients from the USA, Russia, Japan, and China (2014) Asia Pacific Journal of Tourism Research, 19 (10), pp. 1141-1169; Arghode, V., Qualitative and quantitative research: Paradigmatic differences (2012) Global Education Journal, 2012 (4), pp. 155-163; Backer, E., VFR travel: It is underestimated (2012) Tourism Management, 33 (1), pp. 74-79; Baxter, P., Jack, S., Qualitative case study methodology: Study design and implementation for novice researchers (2008) The Qualitative Report, 13 (4), pp. 544-559; Bergin, R., Emery, J., Bollard, R., White, V., How rural and urban patients in Australia with colorectal or breast cancer experience choice of treatment provider: A qualitative study (2017) European Journal of Cancer Care; Burns, L.R., Medical tourism opportunities and challenges: Illustration from US-India trade (2015) International Journal of Healthcare Management, 8 (1), pp. 15-26; Carabello, L., U.S. domestic medical tourism delivers sustainable tourism for America's cities and states (2013) Journal of Tourism and Hospitality, 2 (2), pp. 114-116; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Chamberlin, C., (2015), http://www.ausbt.com.au/best-western-plus-oceanside-kawana-hotel-opens-for-business, Best Western Plus Oceanside Kawana hotel opens for business. 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Manage. Perspect.",Article,"Final",,Scopus,2-s2.0-85033589769 "Park J., Ahn J., Yoo W.S.","35103247700;57191622886;24512406600;","The Effects of Price and Health Consciousness and Satisfaction on the Medical Tourism Experience",2017,"Journal of Healthcare Management","62","6",,"405","417",,6,"10.1097/JHM-D-16-00016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034585032&doi=10.1097%2fJHM-D-16-00016&partnerID=40&md5=115536954c7973aa6784c5378f57c5e9","Hanyang University, Seoul, South Korea; Conrad N. Hilton College of Hotel and Restaurant Management, University of Houston, Houston, TX, United States; Korea University, Seoul, South Korea","Park, J., Hanyang University, Seoul, South Korea; Ahn, J., Conrad N. Hilton College of Hotel and Restaurant Management, University of Houston, Houston, TX, United States; Yoo, W.S., Korea University, Seoul, South Korea","The objective of this study was to analyze the effects of price and health consciousness on medical tourism. Accordingly, we explore the utility of the theory of planned behavior for assessing the relationships between several variables and explain consumers' intentions to be repeat medical tourists. A 26-item questionnaire was developed, and data were collected from 407 patients who visited South Korea for medical purposes. Structural equation modeling was used to analyze the data. The results indicate that medical tourists' price consciousness was significant with respect to their satisfaction with medical and travel services. However, health consciousness also influenced their decision-making process. The study results reveal that health consciousness did not have a significant effect on tourists' satisfaction with medical travel services. Although this study was conducted in South Korea, the findings may be relevant elsewhere. When developing products and services for the medical tourism industry, policymakers and service providers should focus on the importance of cost-effectiveness. © 2017 Lippincott Williams & Wilkins.",,"consciousness; consumer; cost effectiveness analysis; decision making; female; human; major clinical study; male; medical tourism; questionnaire; South Korea; structural equation modeling; Theory of Planned Behavior; travel; attitude to health; behavior; commercial phenomena; consumer attitude; economics; medical tourism; patient satisfaction; psychological theory; statistics and numerical data; Commerce; Consumer Behavior; Health Knowledge, Attitudes, Practice; Humans; Intention; Medical Tourism; Patient Satisfaction; Psychological Theory; Republic of Korea; Surveys and Questionnaires",,,,,,,,"Ajzen, I., (1985) From Intentions to Actions: A Theory of Planned Behavior, , Berlin/Heidelberg, Germany: Springer-Verlag; Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Alford, B.L., Biswas, A., The effects of discount level, price consciousness and sale proneness on consumers' price perception and behavioral intention (2002) Journal of Business Research, 55 (9), pp. 775-783; Anderson, E.W., Customer satisfaction andwordofmouth (1998) Journal of Service Research, 1 (1), pp. 5-17; Atilgan, E., Akinci, S., Aksoy, S., Mapping service quality in the tourism industry (2003) Managing Service Quality: An International Journal, 13 (5), pp. 412-422; Bagozzi, R.P., Yi, Y., On the evaluation of structural equation models (1988) Journal of the Academy of Marketing Science, 16 (1), pp. 74-94; Baker, D.A., Crompton, J.L., Quality, satisfaction and behavioral intentions (2000) Annals of Tourism Research, 27 (3), pp. 785-804; Bamberg, S., Ajzen, I., Schmidt, P., Choice of travel mode in the theory of planned behavior: The roles of past behavior, habit, and reasoned action (2003) Basic and Applied Social Psychology, 25 (3), pp. 175-187; Bloemer, J., De Ruyter, K.O., Wetzels, M., Linking perceived service quality and service loyalty: A multi-dimensional perspective (1999) European Journal of Marketing, 33 (11-12), pp. 1082-1106; Bonera, M., The vacation decisionmaking process: Tourism in the garda lake (2008) Proceedings of the 8th Global Conference On Business and Economics, , http://www.gcbe.us/8thGCBE/data/confcd.htm, Florence, Italy. 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Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-85034585032 "Tang C.F., Lau E.","23010763400;57206468276;","Modelling the demand for inbound medical tourism: The case of Malaysia",2017,"International Journal of Tourism Research","19","5",,"584","593",,6,"10.1002/jtr.2131","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021711459&doi=10.1002%2fjtr.2131&partnerID=40&md5=3f142085890b61842df3b049f67c79f1","Centre for Policy Research and International Studies, Universiti Sains Malaysia, Penang, Malaysia; Centre for Business, Economics and Finance Forecasting (BEFfore), Faculty of Economics and Business, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia","Tang, C.F., Centre for Policy Research and International Studies, Universiti Sains Malaysia, Penang, Malaysia; Lau, E., Centre for Business, Economics and Finance Forecasting (BEFfore), Faculty of Economics and Business, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia","This paper empirically examines the macroeconomic determinants for medical tourism demand using time series econometrics methodology. We find that income, price, exchange rate, SARS outbreak, safety, medical quality, manpower, and medical facilities are significantly affecting the long-run demand behaviour of medical tourism in Malaysia. In order to attract medical tourists, policymakers in Malaysia should (a) reduce the medical prices, (b) reduce the crime rate and improve safety, and (c) continue the improvement of research, medical quality, manpower, and facilities to support the revolution of inbound medical tourism demand in Malaysia. This is to ensure the Malaysia's sustainable economic development. Copyright © 2017 John Wiley & Sons, Ltd.","cointegration; forecasts; Malaysia; medical tourism demand","cointegration analysis; demand elasticity; economic development; empirical analysis; forecasting method; macroeconomics; medical tourism; modeling; sustainability; Malaysia",,,,,,,,"Abeysinghe, T., Tan, K.B., Small sample estimation of a cointegrating vector: An empirical evaluation of six estimation techniques (1999) Applied Economics, 6 (10), pp. 645-648; Baharumshah, A.Z., Lau, E., Khalid, A.M., Testing twin deficit hypothesis using VARs and variance decomposition (2006) Journal of the Asia Pacific Economy, 11 (3), pp. 331-354; Bardsen, G., Estimation of long run coefficients in error correction models (1989) Oxford Bulletin of Economics and Statistics, 51 (3), pp. 345-350; Box, G., Jenkins, G., (1970) Time series analysis: Forecasting and control, , San Francisco, Holden-Day; Brida, J.G., Cortes-Jimenez, I., Pulina, M., Has the tourism-led growth hypothesis been validated? 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M. Hall, (Ed.),, Oxford, Routledge; Zhou, S., The power of cointegration test versus data frequency and time spans (2001) Southern Economic Journal, 67 (4), pp. 906-921; Zivot, E., Andrews, D.W.K., Further evidence on the great crash, the oil-price shock, and the unit-root hypothesis (1992) Journal of Business and Economic Statistics, 10 (3), pp. 251-270","Tang, C.F.; Centre for Policy Research and International Studies, Universiti Sains MalaysiaMalaysia; email: tcfoon@usm.my",,,"John Wiley and Sons Ltd",,,,,10992340,,,,"English","Int. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85021711459 "Chee H.L., Whittaker A., Yeoh B.S.A.","7004224160;7102570392;7005248393;","International medical travel and the politics of transnational mobility in Asia",2017,"Asia Pacific Viewpoint","58","2",,"129","135",,6,"10.1111/apv.12164","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026668690&doi=10.1111%2fapv.12164&partnerID=40&md5=c5cac19e054a978361a9fcfc7f74ad5a","Centre for Research on Women and Gender (KANITA), Universiti Sains Malaysia, 11800 Gelugor, Penang, Malaysia; Anthropology, School of Social Sciences, Faculty of Arts, Monash University, Melbourne, Vic 3800, Australia; Department of Geography, Faculty of Arts and Social Sciences, and the Asia Research Institute, National University of Singapore, Kent Ridge, Singapore; Asia Research Institute, National University of Singapore, Kent Ridge, Singapore","Chee, H.L., Centre for Research on Women and Gender (KANITA), Universiti Sains Malaysia, 11800 Gelugor, Penang, Malaysia, Asia Research Institute, National University of Singapore, Kent Ridge, Singapore; Whittaker, A., Anthropology, School of Social Sciences, Faculty of Arts, Monash University, Melbourne, Vic 3800, Australia; Yeoh, B.S.A., Department of Geography, Faculty of Arts and Social Sciences, and the Asia Research Institute, National University of Singapore, Kent Ridge, Singapore",[No abstract available],,,,,,,,,,"Bell, D., Holliday, R., Ormond, M., Mainil, T., Transnational healthcare, cross-border perspectives (2015) Social Science & Medicine, 124, pp. 284-289; Bookman, M., Bookman, K., (2007) Medical tourism in developing countries, , New York, Palgrave; Chanda, R., Trade in health services (2002) Trade in health services: Global, regional and country perspectives, pp. 35-44. , in, N. Drager, C. Vieira, (eds.),, PAHO, Washington D.C; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Chen, Y.B., Flood, C.M., Medical tourism's impact on health care equity and access in low and middle-income countries: Making the case for regulation (2013) Journal of Law, Medicine & Ethics, Spring, pp. 286-300; Connell, J., (2011) Medical tourism, , Wallingford, Oxfordshire, Cabi; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Crush, J., Chikanda, A., South–south medical tourism and the quest for health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320; Goodrich, J.N., Socialist Cuba: A study of health tourism (1993) Journal of Travel Research, 32 (1), pp. 36-41; Horton, S., Cole, S., Medical returns: Seeking health care in Mexico (2011) Social Science and Medicine, 72, pp. 1846-1852; Inhorn, M.C., Patrizio, P., Rethinking reproductive ‘tourism’ as reproductive ‘exile’ (2009) Fertility and Sterility, 92 (3), pp. 904-906; Janjaroen, W.S., Supakankunti, S., International trade in health services in the millennium: The case of Thailand (2002) Trade in health services: Global, regional and country perspectives, pp. 87-106. , in, N. Drager, C. Vieira, (eds.),, PAHO, Washington D.C; Kangas, B., Complicating common ideas about medical tourism: Gender, class, and globality in Yemenis' international medical travel (2011) Signs, 36 (2), pp. 327-332; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical tourism: Treatments, markets and health system implications: A scoping review, , Paris, OECD Directorate for Employment, Labour and Social Affairs; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bulletin of the World Health Organization, 89 (5), pp. 336-344; Ormond, M., (2013) Neoliberal governance and international medical travel in Malaysia, , Abingdon, Routledge; Ormond, M., What's where? Why there? And why care? A geography of responsibility in medical tourism (2014) Handbook on medical tourism and patient mobility, , in, N. Lunt, J. Hanefeld, D. Horsfall, (eds.),, London, Edward Elgar; Ormond, M., Solidarity by demand? Exit and voice in international medical travel –The case of Indonesia (2015) Social Science & Medicine, 124, pp. 305-312; Ormond, M., Mainil, T., Government and governance strategies in medical tourism (2015) Handbook on medical tourism and patient mobility, , in, N. Lunt, J. Hanefeld, D. Horsfall, (eds.),, London, Edward Elgar; Ramírez de Arellano, A.B., Medical tourism in the Caribbean (2011) Signs: Journal of Women in Culture and Society, 36 (2), pp. 289-297; Snyder, J., Dharamsi, S., Crooks, V.A., Fly-by medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists (2011) Globalization and Health, 7 (1), p. 6; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Stan, S., Transnational healthcare practices of Romanian migrants in Ireland: Inequalities of access and the privatisation of healthcare services in Europe (2015) Social Science & Medicine, 124, pp. 346-355; Thompson, C., Medical tourism, stem cells, genomics: EASTS, transnational STS, and the contemporary life sciences (2008) East Asian Science, Technology and Society, 2 (3), pp. 433-438; Toyota, M., Chee, H.L., Xiang, B., Global track, national vehicle: Transnationalism in medical tourism in Asia (2013) European Journal of Transnational Studies, 5 (1), pp. 27-53; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Whittaker, A., ‘Outsourced’ patients and their companions: Stories from forced medical travellers (2015) Global Public Health, 10 (4), pp. 485-500; Whittaker, A., The implications of medical travel upon equity in lower and middle income countries (2015) Handbook on medical tourism and patient mobility, pp. 112-122. , in, J. Hanefeld, N. Lunt, D. Horsfall, (eds.),, London, Elgar Publishing; Whittaker, A., (2016) From ‘Mung Ming’ to ‘Baby Gammy’: A local history of assisted reproduction in Thailand, , https://doi.org/10.1016/j.rbms.2016.05.005, Reproductive Biomedicine & Society Online; Whittaker, A., Chee, H.L., ‘Flexible bio-citizenship’ and international medical travel: Transnational mobilities for care in Asia (2016) International Sociology, 31 (3), pp. 286-304; Wilson, A., Medical tourism in Thailand (2010) Asian Biotech: Ethics and communities of fate, , in, A. Ong, N. Chen, (eds.),, Durham, North Carolina, Duke University Press",,,,"Blackwell Publishing Ltd",,,,,13607456,,,,"English","Asia Pac. Viewp.",Editorial,"Final",,Scopus,2-s2.0-85026668690 "Drinkert A., Singh N.","57191917316;55458853100;","An Investigation of American Medical Tourists’ Posttravel Experience",2017,"Journal of Hospitality Marketing and Management","26","3",,"335","346",,6,"10.1080/19368623.2017.1241199","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84994881645&doi=10.1080%2f19368623.2017.1241199&partnerID=40&md5=0f84c3bb7b4e47ae864b907ef80d80c9","Department of Hospitality Management, California State Polytechnic University, Pomona, CA, United States","Drinkert, A., Department of Hospitality Management, California State Polytechnic University, Pomona, CA, United States; Singh, N., Department of Hospitality Management, California State Polytechnic University, Pomona, CA, United States","Medical tourism has gained intense momentum within the past two decades, and more Americans than ever before are seeking medical care from international alternatives. Although there has been extensive study regarding the pretravel motivations for medical tourism, there is a distinct gap of empirical research when it comes to travelers’ overall perception of their posttravel medical tourism experience. This study focuses on measuring the relationship between medical tourists’ push and pull factors on the overall perceived quality of their medical tourism experience. This study surveyed U.S. medical tourists who have sought medical care outside of the United States. The research investigated respondents’ perception of the destination location, medical tourism experience, and overall perceived quality. © 2016 Taylor & Francis Group, LLC.","Medical tourism; perceived quality; pull factors; push factors",,,,,,,,,"Baker, D.A., Crompton, J.L., Quality, satisfaction and behavioural intentions (2000) Annals of Tourism Research, 27 (3); Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave Macmillan; Carroll, J., Kirchner, E., Nious, K., (2013) US insurance companies expanding medical tourism coverage, , http://www.nbcbayarea.com/news/local/Medical-Tourism-The-Future-of-Healthcare-233414371.html, Retrieved from; Choi, K.S., Cho, W.H., Lee, S., Lee, H., Kim, C., The relationships among quality, value, satisfaction and behavioral intention in health care provider choice: A South Korean study (2004) Journal of Business Research, 57 (8), pp. 913-921; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Constantinides, C., (2013) The changing motivations and incentives for medical travel, , http://www.imtj.com/articles/2013/incentives-medical-travel-30156/, Retrieved, from; Crompton, J., Motivations for pleasure vacation (1979) Annals of Tourism Research, 6 (4), pp. 408-424; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 26; Dann, G., Anomie, ego-enhancement and tourism (1977) Annals of Tourism Research, 4 (4), pp. 184-194; Dann, G., Tourist motivation: An appraisal (1981) Annals of Tourism Research, 8 (2), pp. 187-219; Das, R., (2014) Medical tourism gets a facelift… and perhaps a pacemaker, , http://www.forbes.com/sites/reenitadas/2014/08/19/medical-tourism-gets-a-facelift-and-perhaps-a-pacemaker/#3976acc9a185, Retrieved from; Devesa, M., Laguna, M., Palacios, A., The role of motivation in visitor satisfaction: Empirical evidence in rural tourism (2010) Tourism Management, 31 (4), pp. 547-552; Erskine, C., (2013) Travel is the best medicine, study finds, , http://articles.latimes.com/2013/dec/17/news/la-trb-travel-best-medicine-study-20131217, December, Retrieved, from; (2014) Malaysia healthcare outlook, , http://www.marketresearch.com/product/sample-8341493.pdf, Retrieved, from; Gnoth, J., Tourism motivation and expectation formation (1997) Annals of Tourism Research, 24 (2), pp. 283-304; Goldbach, A.R., West, D.R., Medical tourism: A new venture of healthcare (2010) Journal of Global Business Issues, 4 (2), pp. 43-44; Herrick, D.M., Medical tourism: Global competition in health care (2007) National Center for Policy Analysis (NCPA), Policy Report 304 (2007), , http://www.ncpa.org/pub/st/st304, Retrieved, from; Heung, V.C., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge & quest (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Howard, B., (2014) Should you have surgery abroad?, , http://www.aarp.org/health/conditions-treatments/info-2014/medical-tourism-surgery-abroad.html, Retrieved, from; Hsu, C.H.C., Lam, T., Mainland Chinese travellers motivations and barriers of visiting Hong Kong (2003) Journal of Academy of Business and Economics, 2 (1), pp. 60-67; Hudson, S., Li, X., Domestic medical tourism: A neglected dimension of medical tourism research (2012) Journal of Hospitality Marketing & Management, 21 (3), pp. 227-246; Jang, S.C., Cai, L.A., Travel motivations and destination choice: A study of British outbound market (2002) Journal of Travel & Tourism Marketing, 13 (3), pp. 111-133; Kim, J.O., Mueller, C.W., (1978) Introduction to factor analysis: What it is and how to do it, , Beverly Hills, CA: Sage; Kim, Y.K., Cho, C.H., Ahn, S.K., Goh, I.H., Kim, H.J., A study on medical services quality and its influence upon value of care and patient satisfaction—focusing upon outpatients in a large-sized hospital (2008) Total Quality Management, 19 (11), pp. 1155-1171; Klenosky, D.B., The “pull” of tourism destinations: A means-end investigation (2002) Journal of travel research, 40 (4), pp. 396-403; Lam, T., Zhang, H., Service quality of travel agents: The case of travel agents in Hong Kong (1999) Tourism Management, 20 (3), pp. 341-349; Li, X.R., Lai, C., Harrill, R., Kline, S., Wang, L., When east meets west: An exploratory study on Chinese outbound tourists’ travel expectations (2011) Tourism Management, 32 (4), pp. 741-749; Mair, H., Tourism, health and the pharmacy: Towards a critical understanding of health and wellness tourism (2005) Tourism (Zagreb), 53 (4), pp. 335-346; (2014) Research, Surveys and Statistics, , http://www.medicaltourismassociation.com/en/research-and-surveys.html, Retrieved, March, 2015, from; Parasuraman, A., Zeithaml, V.A., Berry, L.L., Problems and strategies in services marketing (1985) The Journal of Marketing, 4 (15), pp. 33-46; (2014) Medical tourism facts and statistics, , http://www.patientsbeyondborders.com/medical-tourism-statistics-facts, Retrieved, from; Pitts, B., Battiste, N., (2013) As more Americans have surgeries Overseas, US companies consider’ medical tourism as a healthcare option, , http://abcnews.go.com/Health/americans-surgeries-overseas-us-companies-medical-tourism-health/story?id=20423011, Retrieved, from; Prayag, G., Ryan, C., The relationship between the ‘push’ and ‘pull’ factors of a tourist destination: The role of nationality—an analytical qualitative research approach (2011) Current Issues In Tourism, 14 (2), pp. 121-143; Puczko, L., Smith, M., (2009) Health and wellness tourism, , Oxford, UK: Elsevier Ltd; Saha, S., Komaromy, M., Koepsell, T.D., Bindman, A.B., Patient-physician racial concordance and the perceived quality and use of health care (1999) Archives of internal medicine, 159 (9), pp. 997-1004; Saiprasert, W., (2011) An examination of the medical tourists motivational behavior and perception: A structural model, , Doctoral dissertation, Oklahoma State University; Schapiro, R., (2011) More Americans going abroad to save money, , http://www.nydailynews.com/life-style/health/americans-medical-treatment-save-money-article-1.961764, Retrieved from; Singh, N., Exploring the factors influencing the travel motivations of US medical tourists (2013) Current Issues in Tourism, 16 (5), pp. 436-454; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Uysal, M., Jurowski, C., Testing the push and pull factors (1994) Annals of Tourism Research, 21 (4), pp. 844-846; Vandamme, R., Leunis, J., Development of a multiple-item scale for measuring hospital service quality (1993) International Journal of Service Industry Management, 4 (3), pp. 30-49; Veerasoontorn, R., Rian, B.Z., International hospital outshopping: A staged model of push and pull factors (2010) International Journal of Pharmaceutical and Healthcare Marketing, 4 (3), pp. 247-264; Woodside, A.G., Lysonski, S., A general model of traveler destination choice (1989) Journal of Travel Research, 27 (4), pp. 8-14; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: A structural model (2005) Journal of Tourism Management, 26 (1), pp. 45-56; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Zabkar, V., Makovec, M., Dmitrović, T., Modelling perceived quality, visitor satisfaction and behavioural intentions at the destination level (2010) Journal of Tourism Management, 31 (4), pp. 537-546","Singh, N.; California State Polytechnic University, Hospitality Management, 3801 West Temple Ave., United States; email: nsingh@cpp.edu",,,"Routledge",,,,,19368623,,,,"English","J. Hosp. Mark. Manage.",Note,"Final",,Scopus,2-s2.0-84994881645 "Cohen M.M., Elliott F., Oates L., Schembri A., Mantri N.","57195296281;57193260549;36089443600;56669659800;21741096000;","Do wellness tourists get well? an observational study of multiple dimensions of health and well-being after a week-long retreat",2017,"Journal of Alternative and Complementary Medicine","23","2",,"140","148",,6,"10.1089/acm.2016.0268","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85012108464&doi=10.1089%2facm.2016.0268&partnerID=40&md5=dcea0d9eb73f33b3c2758d5b2c54d895","School of Health and Biomedical Sciences, RMIT University, Plenty Road, Bundoora, VIC 3083, Australia; Cogstate Limited, Melbourne, VIC, Australia; School of Science, RMIT University, Bundoora, VIC, Australia","Cohen, M.M., School of Health and Biomedical Sciences, RMIT University, Plenty Road, Bundoora, VIC 3083, Australia; Elliott, F., School of Health and Biomedical Sciences, RMIT University, Plenty Road, Bundoora, VIC 3083, Australia; Oates, L., School of Health and Biomedical Sciences, RMIT University, Plenty Road, Bundoora, VIC 3083, Australia; Schembri, A., School of Health and Biomedical Sciences, RMIT University, Plenty Road, Bundoora, VIC 3083, Australia, Cogstate Limited, Melbourne, VIC, Australia; Mantri, N., School of Science, RMIT University, Bundoora, VIC, Australia","Background: Wellness retreats use many complementary and alternative therapies within a holistic residential setting, yet few studies have evaluated the effect of retreat experiences on multiple dimensions of health and well-being, and no published studies have reported health outcomes in wellness tourists. Objectives: To assess the effect of a week-long wellness-retreat experience in wellness tourists. Design: A longitudinal observational study with outcomes assessed upon arrival and departure and 6 weeks after the retreat. Setting: A rural health retreat in Queensland, Australia. Interventions: A holistic, 1-week, residential, retreat experience that included many educational, therapeutic, and leisure activities and an organic, mostly plant-based diet. Outcome measures: Multiple outcome measures were performed upon arrival and departure and 6 weeks after the retreat. These included anthropometric measures, urinary pesticide metabolites, a food and health symptom questionnaire, the Five Factor Wellness Inventory, the General Self Efficacy questionnaire, the Pittsburgh Insomnia Rating Scale, the Depression Anxiety Stress Scale, the Profile of Mood States, and the Cogstate cognitive function test battery. Results: Statistically significant improvements (p < 0.05) were seen in almost all measures (n = 37) after 1 week and were sustained at 6 weeks (n = 17). There were statistically significant improvements (p < 0.001) in all anthropometric measures after 1 week, with reductions in abdominal girth (2.7 cm), weight (1.6 kg), and average systolic and diastolic pressure (-16.1 mmHg and -9.3 mmHg, respectively). Statistically significant improvements (p < 0.05) were also seen in psychological and health symptom measures. Urinary pesticide metabolites were detected in pooled urine samples before the retreat and were undetectable after the retreat. Conclusion: Retreat experiences can lead to substantial improvements in multiple dimensions of health and well-being that are maintained for 6 weeks. Further research that includes objective biomarkers and economic measures in different populations is required to determine the mechanisms of these effects and assess the value and relevance of retreat experiences to clinicians and health insurers. © Marc M. Cohen et al., 2017; Published by Mary Ann Liebert, Inc. 2017.","anxiety; cognitive function; depression; lifestyle; organic food; sleep; stress; wellness tourism","creatinine; diethyldithiophosphate; diethylphosphate; diethylthiophosphate; dimethyldithiophosphate; dimethylphosphate; dimethylthiophosphate; organophosphate pesticide; pesticide residue; unclassified drug; abdominal circumference; adult; anthropometry; Article; assessment of humans; body weight; cognition; cognitive function test; Cogstate cognitive function test battery; creatinine urine level; Depression Anxiety Stress Scale; diastolic blood pressure; education; female; Five Factor Wellness Inventory; follow up; Generalized Self Efficacy Scale; Health Symptom Questionnaire; human; leisure; lifestyle; longitudinal study; male; medical tourism; metabolite; middle aged; mild cognitive impairment; observational study; organic food; outcome assessment; personal experience; physical well-being; Pittsburgh Insomnia Rating Scale; priority journal; Profile of Mood States; psychological well-being; Queensland; residential area; self-concept assessment; sleep disorder assessment; symptom assessment; systolic blood pressure; urine sampling; wellbeing; Australia; blood pressure; cognitive defect; health promotion; psychologic test; questionnaire; travel; Adult; Australia; Blood Pressure; Cognitive Dysfunction; Female; Health Promotion; Humans; Longitudinal Studies; Male; Middle Aged; Psychological Tests; Surveys and Questionnaires; Travel",,"creatinine, 19230-81-0, 60-27-5",,,,,,"(2015), www.wttc.org/research/economic-research/economic-impact-analysis/, World Travel & Tourism Council Travel & Tourism Economic Impact 2015 WORLD, accessed April 1, 2016; Yeung, O., Johnston, K., (2014) The Global Wellness Tourism Economy 2013 & 2014, p. 5xiv. , www.globalwellnesssummit.com/images/stories/pdf/wellness_tourism_economy_exec_sum_final_10022013.pdf, Miami, FL: Global Wellness Institute (accessed May 1, 2016); (2005) Preventing Chronic Diseases. 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Sydney, Australia: Psychology Foundation; McNair, D.M., Lorr, M., Droppleman, L.F., (1971) Manual for the Profile of Mood States, , San Diego, CA: Educational and Industrial Testing Services; Pressman, S.D., Matthews, K.A., Cohen, S., Association of enjoyable leisure activities with psychological and physical well-being (2009) Psychosom Med, 71, pp. 725-772; Klick, J., Stratmann, T., Do spa visits improve health: Evidence from German micro data (2008) East Econ J, 34, pp. 364-374; Morozova, O., Hirst, M., Marra, M.A., Applications of new sequencing technologies for transcriptome analysis (2009) Annu Rev Genom Human Genet, 10, pp. 135-151; Wagschal, A., Najafi-Shoushtari, S.H., Wang, L., Genomewide identification of microRNAs regulating cholesterol and triglyceride homeostasis (2015) Nature Med, 21, pp. 1290-1297; Kornfield, J.W., Brüning, J.C., Regulation of metabolism by long, non-coding RNAs (2014) Front Genet, p. 5; Bhasin, M.K., Dusek, J.A., Chang, B.H., Relaxation response induces temporal transcriptome changes in energy metabolism, insulin secretion and inflammatory pathways (2013) PLoS One, 8, p. e62817; Daubenmier, J., Lin, J., Blackburn, E., Changes in stress, eating, and metabolic factors are related to changes in telomerase activity in a randomized mindfulness intervention pilot study (2012) Psychoneuroendocrinology, 37, pp. 917-928; Saatcioglu, F., Regulation of gene expression by yoga, meditation and related practices: A review of recent studies (2013) Asian J Psychiatry, 6, pp. 74-77; Buyukgoze, O., Osmanoglu, N., Arslan, S., Sen, A., Association of the CYP1A1∗2A, GSTT1 null, GSTM1 null, mEPHX∗3, and XRCC1-399 genetic polymorphisms with ulcerative colitis (2013) Int J Colorect Dis, 28, pp. 593-595; Long, X.D., Zhao, D., Wang, C., Genetic polymorphisms in DNA repair genes XRCC4 and XRCC5 and aflatoxin b1-related hepatocellular carcinoma (2013) Epidemiology, 24, pp. 671-681; Marsit, C.J., Influence of environmental exposure on human epigenetic regulation (2015) J Exp Biol, 218, pp. 71-79; Romani, M., Pistillo, M.P., Banelli, B., Environmental epigenetics: Crossroad between public health, lifestyle, and cancer prevention (2015) BioMed Res Int, p. 587983","Cohen, M.M.; School of Health and Biomedical Sciences, RMIT University, Plenty Road, Australia; email: marc.cohen@rmit.edu.au",,,"Mary Ann Liebert Inc.",,,,,10755535,,JACPF,"28068147","English","J. Altern. Complement. Med.",Article,"Final",Open Access,Scopus,2-s2.0-85012108464 "Chantrapornchai C., Choksuchat C.","6603855808;36738807400;","Ontology construction and application in practice case study of health tourism in Thailand",2016,"SpringerPlus","5","1", 2106,"","",,6,"10.1186/s40064-016-3747-3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85006783305&doi=10.1186%2fs40064-016-3747-3&partnerID=40&md5=4b3c17df81f00d594510bb43e7aef063","Department of Computer Engineering, Faculty of Engineering, Kasetsart University, Bangkok, 10900, Thailand; Department of Computing, Faculty of Science, Silpakorn University, Nakhon Pathom, 73000, Thailand","Chantrapornchai, C., Department of Computer Engineering, Faculty of Engineering, Kasetsart University, Bangkok, 10900, Thailand; Choksuchat, C., Department of Computing, Faculty of Science, Silpakorn University, Nakhon Pathom, 73000, Thailand","Ontology is one of the key components in semantic webs. It contains the core knowledge for an effective search. However, building ontology requires the carefully-collected knowledge which is very domain-sensitive. In this work, we present the practice of ontology construction for a case study of health tourism in Thailand. The whole process follows the METHONTOLOGY approach, which consists of phases: information gathering, corpus study, ontology engineering, evaluation, publishing, and the application construction. Different sources of data such as structure web documents like HTML and other documents are acquired in the information gathering process. The tourism corpora from various tourism texts and standards are explored. The ontology is evaluated in two aspects: automatic reasoning using Pellet, and RacerPro, and the questionnaires, used to evaluate by experts of the domains: tourism domain experts and ontology experts. The ontology usability is demonstrated via the semantic web application and via example axioms. The developed ontology is actually the first health tourism ontology in Thailand with the published application. © 2016, The Author(s).","Health tourism; Hua-Hin tourism; Knowledge management; Ontology engineering",,,,,,,,,"Alani, H., Sanghee, K., Automatic ontology-based knowledge extraction from web documents (2003) IEEE Intell Syst, 18 (1), pp. 14-21; Almeida, M.B., A proposal to evaluate ontology content (2009) Appl Ontol, 4 (3-4), pp. 245-265; Auer, S., Bizer, C., DBpedia: a nucleus for a web of open data (2007) Semant Web, 4825, pp. 722-735; Balduini, M., Celino, I., BOTTARI: an augmented reality mobile application to deliver personalized and location-based recommendations by continuous analysis of social media streams (2012) Web Semant Sci Serv Agents World Wide Web, 16, pp. 33-41; Bechhofer, S., van Harmelen, F., OWL web ontology language reference. 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Accessed 18 July 2016","Chantrapornchai, C.; Department of Computer Engineering, Faculty of Engineering, Kasetsart UniversityThailand; email: fengcnc@ku.ac.th",,,"SpringerOpen",,,,,21931801,,,,"English","SpringerPlus",Article,"Final",Open Access,Scopus,2-s2.0-85006783305 "Maguire Á., Bussmann S., Meier zu Köcker C., Verra S.E., Giurgi L.A., Ruggeri K.","57188990295;57191855389;57191867808;57189006332;57191863176;54682337000;","Raising concern about the information provided on medical travel agency websites: A place for policy",2016,"Health Policy and Technology","5","4",,"414","422",,6,"10.1016/j.hlpt.2016.07.001","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84994322745&doi=10.1016%2fj.hlpt.2016.07.001&partnerID=40&md5=9a8b230ce64ea322308e029913bdd455","Department of Engineering, University of Cambridge, Trumpington Street, Cambridge, CB2 1PZ, United Kingdom; University of Maastricht, Minderbroedersberg 4-6, Maastricht, 6211, Netherlands; Department of Psychology, University of Cambridge, Downing Street, Cambridge, CB2 3EB, United Kingdom","Maguire, Á., Department of Engineering, University of Cambridge, Trumpington Street, Cambridge, CB2 1PZ, United Kingdom; Bussmann, S., Department of Psychology, University of Cambridge, Downing Street, Cambridge, CB2 3EB, United Kingdom; Meier zu Köcker, C., University of Maastricht, Minderbroedersberg 4-6, Maastricht, 6211, Netherlands; Verra, S.E., University of Maastricht, Minderbroedersberg 4-6, Maastricht, 6211, Netherlands; Giurgi, L.A., University of Maastricht, Minderbroedersberg 4-6, Maastricht, 6211, Netherlands; Ruggeri, K., Department of Psychology, University of Cambridge, Downing Street, Cambridge, CB2 3EB, United Kingdom","Patients are increasingly choosing to travel abroad for essential but non-urgent medical treatments, such as hip and heart valve replacements. Websites are frequently the first contact point with potential international service providers, such as medical travel agencies (MTAs). Yet only a few studies have previously assessed the standard of information provided on the websites of MTAs. This study examined the information provided by European MTA websites using a modified version of the Health on the Net (HON) code. A content analysis of the information collected assessed how the MTA websites promoted their services and communicated the risks, benefits and other issues related to medical travel. Twenty-seven websites based in thirteen different European countries were identified and coded using a modified version of the HON tool. Considerable inconsistencies across websites were noted on all domains assessed and no single item of the tool was addressed by all websites. The most frequently included item on websites was a contact form (74%), but no website provided information on risk rates, or used scientific references to support their claims. The promotion of benefits of medical travel coupled with the absence of risk communication was concerning. It is evident that there is a need for a policy which considers the regulation of MTAs and the information and services that they provide. © 2016 Fellowship of Postgraduate Medicine","Direct to consumer health marketing; Health on the Net; Medical tourism; Medical travel; Public health policy; Risk communication","advertising; Article; client server application; coding; content analysis; European; health service; heart valve replacement; hip replacement; human; medical information; medical literature; medical travel; priority journal; risk benefit analysis; software; travel",,,,,,"The authors would like to thank Elisa Haller, Sara Plakolm and Daphnee Chabal for their help during the research and submission process. We also acknowledge the financial support received from Erasmus and Erasmus+ in 2014.",,"(2011), American Medical Association. Statement of the American Medical Association to the Institute of Medicine׳s Committee on determination of essential health benefits;; Horowitz, M.D., Rosenweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) Med Gen Med, 13 (4), p. 33; Gill, H., Singh, N., Exploring the factors that affect the choice of destination for medical tourism (2011) J Serv Sci Manag, 4 (3), pp. 315-324; Dalstrom, M., Medical travel facilitators: connecting patients and providers in a globalized world (2013) Anthropol Med, 20 (1), pp. 24-35; (2011), European Parliament and Council. Directive 2011/24/EU on the application of patients׳ rights in cross-border healthcare. Brussels: European Union;; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tour Manag, 34, pp. 1-13; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? 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Frontiers in Public Health, Public Health Policy [in press]; Zhukovsky, P., Ruggeri, K., Garcia-Garzon, E., Haller, E., Plakolm, S., Petrova, D., Medical travel and access to care: using social media to develop evidence-based global health policy., , Frontiers in Public Health, Public Health Policy [submitted for publication]; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72 (5), pp. 726-732; Delamothe, T., Quality of websites: kitemarking the west wind (2000) BMJ, 321 (7265), pp. 843-844; Karuppan, C.M., Karuppan, M., Changing trends in health care tourism (2010) Health Care Manag, 29 (4), pp. 349-358; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12 (1), p. 17; (2013), https://www.healthonnet.org/HONcode/Conduct.html, Health on the Net Foundation. The HON code of conduct for medical and health web sites, [accessed 3.03.14]; Erdoğan, S., Yilmaz, E., İşletmecilği, T., (2012) Medical tourism: an assessment on Turkey., , http://www.medeniyet.edu.tr/content/userfiles/Medical_Tourism_An_Assessment_on_Turkey.pdf, In: Proceedings of Joint Conference of the 11th International Conference of the Asia Chapter & 2nd Conference of the MENA Chapter of the AHRD & 10th International Conference on Knowledge, Economy and Management. November 08–10, 2012. Istanbul (Turkey);. Retrieved from 〈〉; Verra, S.E., Kroeze, R., Ruggeri, K., Facilitating safe and successful cross-border healthcare in the European Union (2016) Health Policy, 120 (6). , 718–27; Jacobs, E.A., Lauderdale, D.A., Meltzer, D., Shorey, J.M., Levinson, W., Thisted, R.A., Impact of interpreter services on delivery of health care to limited-English-proficient patients (2001) J Gen Intern Med, 16 (7), pp. 468-474; Stvilia, B., Mon, L., Yi, Y., A model for online consumer health information quality (2009) J Assoc Inf Sci Technol, 60 (9), pp. 1781-1791; Lee, H., Wright, K.B., O'Conner, M., Wombacher, K., Framing medical tourism: an analysis of persuasive appeals, risks and benefits, and new media features of medical tourism broker websites (2014) Health Commun, 29 (7), pp. 637-645; Mason, A., Wright, K.B., Framing medical tourism: an examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) J Health Commun., 16, pp. 63-77; Botterill, D., Pennings, G., Mainil, T., (2013) Medical tourism and transnational health care, , Palgrave Macmillan United Kingdom; (2005), European Parliament and Council. Directive 2005/36/EC on the recognition of professional qualifications. Brussels: European Union;; Walsh, K., (2013) Telemed e-Health, 19 (11), pp. 892-893; Kácha, O., Kovács, B.E., McCarthy, C., Schuurmans, A.A.T., Dobyns, C., Haller, E., An approach to establishing international quality standards for medical travel., , Frontiers in Public Health, Public Health Policy [submitted for publication]","Maguire, Á.; Department of Engineering, University of Cambridge, Trumpington Street, United Kingdom; email: am2349@cam.ac.uk",,,"Elsevier B.V.",,,,,22118837,,,,"English","Health Policy Technol.",Article,"Final",,Scopus,2-s2.0-84994322745 "Dang H.-S., Huang Y.-F., Wang C.-N., Nguyen T.-M.-T.","56810518600;7501580300;7501640993;57191922095;","Estimation of the market size of medical tourism industry using grey models-case study in South Korea",2016,"Proceedings - 2016 International Conference on Computational Intelligence and Applications, ICCIA 2016",,, 7600313,"46","50",,6,"10.1109/ICCIA.2016.14","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84994887794&doi=10.1109%2fICCIA.2016.14&partnerID=40&md5=4908172a9207eacb3c8a58bf07723cb9","Department of Industrial Engineering and Management, National Kaohsiung University of Applied Science, Kaohsiung, Taiwan","Dang, H.-S., Department of Industrial Engineering and Management, National Kaohsiung University of Applied Science, Kaohsiung, Taiwan; Huang, Y.-F., Department of Industrial Engineering and Management, National Kaohsiung University of Applied Science, Kaohsiung, Taiwan; Wang, C.-N., Department of Industrial Engineering and Management, National Kaohsiung University of Applied Science, Kaohsiung, Taiwan; Nguyen, T.-M.-T., Department of Industrial Engineering and Management, National Kaohsiung University of Applied Science, Kaohsiung, Taiwan","South Korea (Korea) is a highlight of medical tourism in Asia in the recent years. It has become an attractive destination with the large number of foreign patients around the world. Although, the businesses of medical tourism in this country are quickly expanding, its market size is still unclear due to the shortage of statistical number. Therefore, this study aims to employ forecast tool to estimate the number of foreign patients in Korea in the future. To conduct, the grey forecast has been utilized to construct several forecast models based on the data of foreign patients in Korea from 2009 to 2014. Empirical results indicated that, the GM(1,1) model was presented best forecasted performance with high precision (from 92.1% to 96.7%), compared with the Verhulst model (from 45.5% to 81.3%) and the DGM(2,1) model (from 71.3% to 94.9%). According to the forecasted results of GM(1,1) model, the foreign medical tourists visit to Korea will increase significantly year-on-year. Korea's medical tourism market will attract to 1,378,954 foreign patients in 2020, up to approximately four times from 352,976 in 2015. Among that, to 2020, the number of medical tourists in department of cosmetic and plastic surgeries will achieve 483,615 patients. In addition, for the origin of medical tourist, the number of Chinese and American medical tourist will be estimated to reach 1,163,965 and 82,227 patients respectively in 2020. © 2016 IEEE.","DGM(2,1) model; GM(1,1) model; Grey forecasting; Medical tourism; South Korea; Verhults model","Artificial intelligence; Commerce; Forecasting; Functional polymers; FORECAST model; GM (1 , 1) model; Grey forecasting; Medical tourism; Plastic surgery; South Korea; Statistical numbers; Tourism industry; System theory",,,,,,,,"(2016) Medical Tourism Market-Global Industry Analysis, Size, Share, Growth, Trends, and Forecast 2013-2019, , http://www.transparencymarketresearch.com/medical-Tourism.html, accessed on 21 May; (2013) Diagnosis for Medical Tourism: Promissing, , http://www.investkorea.org/publish/data/bbs/bulletin/img/12/1312IKb_market.pdf, accessed on 21 May, 2016; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , May; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7 (1), p. 12; Yu, J., Lee, T.J., Noh, H., Characteristics of a medical tourism industry: The case of South Korea (2011) Journal of Travel & Tourism Marketing, 28 (8), pp. 856-872. , Nov; Deng, J.L., Introduction to grey system theory (1989) J. 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Sci, 6 (3), p. 73",,"Kim D.H.Song W.W.","Chongqing University;Dalarna University;Hanbat National University","Institute of Electrical and Electronics Engineers Inc.","2016 International Conference on Computational Intelligence and Applications, ICCIA 2016","27 August 2016 through 29 August 2016",,124405,,9781509041732,,,"English","Proc. - Int. Conf. Comput. Intell.. Appl., ICCIA",Conference Paper,"Final",,Scopus,2-s2.0-84994887794 "Kim S.-M., Um K.-H.","37861558300;56921729800;","The Effects of Ambivalence on Behavioral Intention in Medical Tourism",2016,"Asia Pacific Journal of Tourism Research","21","9",,"1020","1045",,6,"10.1080/10941665.2015.1093515","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945218175&doi=10.1080%2f10941665.2015.1093515&partnerID=40&md5=5ed42c3360a9632d043c8235076a519c","School of Management, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul, South Korea","Kim, S.-M., School of Management, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul, South Korea; Um, K.-H., School of Management, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul, South Korea","This article attempts to understand the consequences of ambivalence on perceived values, perceived risks, and the relationship between perceived values and perceived risks-behavioral intention. The fundamental theme of this study is ambivalent attitude, a term used to describe conflicting states in which individuals have both positive and negative ratings toward the same object. Using the Amos statistical program, we analyze these relationships by asking 230 Chinese potential medical tourists about their attitudes toward medical tour service. The results of this study show that in ambivalent states, medical service is mainly dependent on cognitive judgment, while tour service is mainly dependent on affective judgment. It is also shown that in the relationship between perceived values and risks-behavioral intention, the perceived functional value is the only variable related to behavioral intention. These findings suggest that the role of ambivalence in decision-making is taken into consideration in the field of consumer behavior. © 2015 Asia Pacific Tourism Association.","ambivalence; behavioral intention; medical tourism; perceived risk; perceived value","consumption behavior; decision making; health services; public attitude; risk; tourism; tourist behavior",,,,,"Kyung Hee University: 20121686","This work was supported by Kyung Hee University [grant number 20121686].",,"Abelson, R.P., Kinder, D.R., Peters, M.D., Fiske, S.T., Affective and semantic components in political person perception (1982) Journal of Personality and Social Psychology, 42 (4), pp. 619-630; Baker, J.A., Levy, M., Grewal, D., An experimental approach to making retail store environmental decisions (1992) Journal of Retailing, 68 (Winter), pp. 445-460; Bauer, R.A., Consumer behavior as risk taking (1960) Dynamic marketing for a changing world, pp. 389-398. , Hancock R.S., (ed), Chicago, IL: American Marketing Association; Bennett, P., Harrell, G., The role of confidence in understanding and predicting buyers’ attitudes and purchase intentions (1975) Journal of Consumer Research, 2, pp. 110-117; Bettman, J.R., Perceived risk and its components: A model and empirical test (1973) Journal of Marketing Research, 10 (May), pp. 184-190; Bolton, R.N., Drew, J.H., A multistage model of customers’ assessments of service quality and value (1991) Journal of Consumer Research, 17 (March), pp. 375-384; Bonfield, E., Attitude, social influence, personal norm, and intention interactions as predictors of brand purchase behavior (1974) Journal of Marketing Research, 11 (November), pp. 379-389; Breckler, S.J., A comparison of numerical indexes for measuring attitude ambivalence (1994) Educational and Psychological Measurement, 54 (2), pp. 350-365; Cacioppo, J.T., Gardner, W.L., Berntson, G.G., Beyond bipolar conceptualizations and measures: The case of attitudes and evaluative space (1997) Personality and Social Psychology Review, 1 (1), pp. 3-25; Campbell, M.C., Goodstein, R.C., The moderating effect of perceived risk on consumers’ evaluations of product incongruity: Preference for the norm (2001) Journal of Consumer Research, 28 (3), pp. 439-449; Carlson, J., Rosenberger, P.J., III, Rahman, M.M., Cultivating group-oriented travel behaviour to major events: Assessing the importance of customer-perceived value, enduring event involvement and attitude towards the host destination (2015) Journal of Marketing Management, 31 (9-10), pp. 1065-1089; Chandler, J., How safe are our airports (1991) Travel and Leisure, 21 (5), pp. 94-100; Chaudhuri, A., Consumption emotion and perceived risk: A macro-analytic approach (1997) Journal of Business Research, 39 (2), pp. 81-92; Chew, E.Y.T., Jahari, S.A., Destination image as a mediator between perceived risks and revisit intention: A case of post-disaster Japan (2014) Tourism Management, 40 (February), pp. 382-393; Cho, M., Bonn, M.A., Kang, S., Wine attributes, perceived risk and online wine repurchase intention: The cross-level interaction effects of website quality (2014) International Journal of Hospitality Management, 43 (October), pp. 108-120; Chon, K.-S., The role of destination image in tourism: A review and discussion (1990) Tourism Review, 45 (2), pp. 2-9; Conner, M., Sparks, P., Ambivalence and attitudes (2002) European Review of Social Psychology, 12 (1), pp. 37-70; Cortina, J.M., What is coefficient alpha? 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J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-84945218175 "Prajitmutita L.M., Perényi Á., Prentice C.","57188851198;55827584700;36740097900;","Quality, Value? - Insights into Medical Tourists' Attitudes and Behaviors",2016,"Journal of Retailing and Consumer Services","31",,,"207","216",,6,"10.1016/j.jretconser.2016.04.005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963819511&doi=10.1016%2fj.jretconser.2016.04.005&partnerID=40&md5=8360a114d47f34a019fe842006f9bd44","Faculty of Business and Law, Swinburne University of Technology, Hawthorn, VIC 3122, Australia; School of Business and Law, Edith Cowan University, Perth, 6027, Australia","Prajitmutita, L.M., Faculty of Business and Law, Swinburne University of Technology, Hawthorn, VIC 3122, Australia, School of Business and Law, Edith Cowan University, Perth, 6027, Australia; Perényi, Á., Faculty of Business and Law, Swinburne University of Technology, Hawthorn, VIC 3122, Australia; Prentice, C., School of Business and Law, Edith Cowan University, Perth, 6027, Australia","The research investigates the factors influencing medical tourists' attitudes and behaviors. The factors examined include hospital service and customer perceived value. The study was undertaken in a major hospital located in a South-East Asian country. The sample includes foreign patients who have received various medical treatments in the hospital. The findings indicate that medical tourists are value oriented customers as their value perception has the strongest direct effect on their behaviors, followed by their attitudes towards the hospital. Hospital service appears to have a substantial direct effect on perceived value and medical tourist satisfaction, and also exerts an indirect effect on medical tourist behaviors. 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Manag., 31 (4), pp. 537-546; Zeithaml, V.A., Berry, L.L., Parasuraman, A., The behavioral consequences of service quality (1996) J. Mark., 60 (2), pp. 31-46; Zhao, Y.L., Di Benedetto, C.A., Designing service quality to survive: Empirical evidence from Chinese new ventures (2013) J. Bus. Res., 66 (8), pp. 1098-1107","Prentice, C.; School of Business and Law, Edith Cowan UniversityAustralia; email: cathyjournalarticles@gmail.com",,,"Elsevier Ltd",,,,,09696989,,,,"English","J. Retail. Consum. Serv.",Article,"Final",,Scopus,2-s2.0-84963819511 "Valtola J., Silvennoinen R., Ropponen A., Siitonen T., Säily M., Sankelo M., Terävä V., Putkonen M., Kuittinen T., Pelkonen J., Mäntymaa P., Remes K., Varmavuo V., Jantunen E.","6507279116;7005268459;6602279976;6603599905;6701607505;7801555785;6503926563;8654757000;55881074500;7004067647;6602140769;7006823901;24167097300;7005969996;","Blood graft cellular composition and posttransplant outcomes in myeloma patients mobilized with or without low-dose cyclophosphamide: A randomized comparison",2016,"Transfusion","56","6",,"1394","1401",,6,"10.1111/trf.13574","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963853532&doi=10.1111%2ftrf.13574&partnerID=40&md5=04351ea6c9f86dd0904e5ba09afd3e40","Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland; Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland; Department of Medicine, Oulu University Hospital, Oulu, Finland; Department of Internal Medicine, Tampere University Hospital, Tampere, Finland; Department of Medicine, Turku University Hospital, Turku, Finland; Finnish Medicines Agency, Kuopio, Finland; Laboratory Center of Eastern Finland, Kuopio, Finland; University of Turku, Turku, Finland","Valtola, J., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Silvennoinen, R., Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland; Ropponen, A., Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland; Siitonen, T., Department of Medicine, Oulu University Hospital, Oulu, Finland; Säily, M., Department of Medicine, Oulu University Hospital, Oulu, Finland; Sankelo, M., Department of Internal Medicine, Tampere University Hospital, Tampere, Finland; Terävä, V., Department of Internal Medicine, Tampere University Hospital, Tampere, Finland; Putkonen, M., Department of Medicine, Turku University Hospital, Turku, Finland; Kuittinen, T., Finnish Medicines Agency, Kuopio, Finland; Pelkonen, J., Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland, Laboratory Center of Eastern Finland, Kuopio, Finland; Mäntymaa, P., Laboratory Center of Eastern Finland, Kuopio, Finland; Remes, K., Department of Medicine, Turku University Hospital, Turku, Finland, University of Turku, Turku, Finland; Varmavuo, V., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland; Jantunen, E., Department of Medicine, Kuopio University Hospital, PO Box 100, Kuopio, 70029 KYS, Finland","BACKGROUND Autologous stem cell transplantation is a standard treatment in multiple myeloma (MM). Blood grafts are usually collected after mobilization with granulocyte-colony-stimulating factor (G-CSF) alone or in a combination with cyclophosphamide (CY). There is limited knowledge of the possible effects of different mobilization regimens on blood graft characteristics and posttransplant outcomes. STUDY DESIGN AND METHODS Thirty-eight patients with MM were included in this study. The patients were randomly assigned at registration to mobilization with either low-dose CY plus G-CSF (Arm A) or G-CSF alone (Arm B) and received three cycles of lenalidomide, bortetzomib, and dexamethasone induction. Flow cytometry analysis of lymphocyte subsets in the blood grafts after cryopreservation was performed. Hematologic and immune recovery were evaluated up to 12 months posttransplant. RESULTS The blood grafts in Arm A contained significantly more CD34+ cells but in Arm B there was a greater proportion of CD34+CD38- cells and higher numbers of T and B lymphocytes as well as natural killer (NK) cells. The engraftment was comparable but lymphocyte count at 15 days posttransplant was higher in Arm B (0.8 × 109/L vs. 0.5 × 109/L, p = 0.033). At 3 and 6 months posttransplant the total number of NK cells was also higher in G-CSF-mobilized patients. There was no difference in progression-free survival between the study arms. CONCLUSION CY plus G-GSF yields more CD34+ cells but seems to diminish lymphocyte and NK cell counts in the grafts and hampers immune recovery after transplantation. Thus G-CSF alone might be a preferred mobilization method due to more rapid immune recovery posttransplant. © 2016 AABB.",,"bortezomib; CD34 antigen; CD38 antigen; cyclophosphamide; dexamethasone; filgrastim; granulocyte colony stimulating factor; lenalidomide; CD34 antigen; cyclophosphamide; granulocyte colony stimulating factor; adult; aged; Article; autologous stem cell transplantation; cancer patient; cancer survival; clinical article; comparative study; controlled study; cryopreservation; drug megadose; engraftment; female; flow cytometry; human; low drug dose; lymphocyte count; lymphocyte subpopulation; male; middle aged; multiple cycle treatment; multiple myeloma; natural killer T cell; outcome assessment; progression free survival; randomized controlled trial; treatment duration; autograft; autotransplantation; cytology; graft survival; hematopoietic stem cell transplantation; multiple myeloma; natural killer cell; procedures; stem cell mobilization; Aged; Antigens, CD34; Autografts; Cyclophosphamide; Female; Graft Survival; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; Humans; Killer Cells, Natural; Lymphocyte Count; Lymphocyte Subsets; Male; Middle Aged; Multiple Myeloma; Transplantation, Autologous",,"bortezomib, 179324-69-7, 197730-97-5; cyclophosphamide, 50-18-0; dexamethasone, 50-02-2; filgrastim, 121181-53-1; lenalidomide, 191732-72-6; Antigens, CD34; Cyclophosphamide; Granulocyte Colony-Stimulating Factor",,,,,,"Attal, M., Harousseau, J.L., Stoppa, A.M., A prospective, randomized trial of autologous bone marrow transplantation and chemotherapy in multiple myeloma. 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Rueff, J., Medinger, M., Heim, D., Lymphocyte subset recovery and outcome after autologous hematopoietic stem cell transplantation for plasma cell myeloma (2014) Biol Blood Marrow Transplant, 20, pp. 896-899; Attal, M., Lauwers-Cances, V., Marit, G., Lenalidomide maintenance after stem-cell transplantation for multiple myeloma (2012) N Engl J Med, 366, pp. 1782-1791; McCarthy, P.L., Owzar, K., Hofmeister, C.C., Lenalidomide after stem-cell transplantation for multiple myeloma (2012) N Engl J Med, 366, pp. 1770-1781","Valtola, J.; Department of Medicine, Kuopio University Hospital, PO Box 100, Finland; email: jaakko.valtola@kuh.fi",,,"Blackwell Publishing Inc.",,,,,00411132,,TRANA,"27041692","English","Transfusion",Article,"Final",,Scopus,2-s2.0-84963853532 "Metz L.M., Greenfield J., Marrie R.A., Jette N., Blevins G., Svenson L.W., Alikhani K., Wall W., Dhaliwal R., Suchowersky O.","55106841500;55229677200;56962754600;15725565100;6701838950;7004157244;37008291400;56305412400;57190376619;55392615800;","Medical tourism for CCSVI procedures in people with multiple sclerosis: An observational study",2016,"Canadian Journal of Neurological Sciences","43","3",,"360","367",,6,"10.1017/cjn.2015.350","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979642654&doi=10.1017%2fcjn.2015.350&partnerID=40&md5=375dd46220a73e8f71eb27522bf866c0","Department of Clinical Neurosciences, University of Calgary, Foothills Hospital, 1403 29 Street NW, Calgary, AB T2N 2T9, Canada; Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada; Departments of Internal Medicine and Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada; O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada; Department of Medicine, University of Alberta, Edmonton, AB, Canada; Surveillance and Assessment, Alberta Ministry of Health, Edmonton, AB, Canada; School of Public Health, University of Alberta, Edmonton, AB, Canada; Departments of Medicine, Medical Genetics, and Pediatrics, University of Alberta, Edmonton, AB, Canada","Metz, L.M., Department of Clinical Neurosciences, University of Calgary, Foothills Hospital, 1403 29 Street NW, Calgary, AB T2N 2T9, Canada, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada; Greenfield, J., Department of Clinical Neurosciences, University of Calgary, Foothills Hospital, 1403 29 Street NW, Calgary, AB T2N 2T9, Canada, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada; Marrie, R.A., Departments of Internal Medicine and Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Jette, N., Department of Clinical Neurosciences, University of Calgary, Foothills Hospital, 1403 29 Street NW, Calgary, AB T2N 2T9, Canada, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada, O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada; Blevins, G., Department of Medicine, University of Alberta, Edmonton, AB, Canada; Svenson, L.W., Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada, Surveillance and Assessment, Alberta Ministry of Health, Edmonton, AB, Canada, School of Public Health, University of Alberta, Edmonton, AB, Canada; Alikhani, K., Department of Clinical Neurosciences, University of Calgary, Foothills Hospital, 1403 29 Street NW, Calgary, AB T2N 2T9, Canada, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada; Wall, W., Department of Clinical Neurosciences, University of Calgary, Foothills Hospital, 1403 29 Street NW, Calgary, AB T2N 2T9, Canada, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada; Dhaliwal, R., Department of Clinical Neurosciences, University of Calgary, Foothills Hospital, 1403 29 Street NW, Calgary, AB T2N 2T9, Canada, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada; Suchowersky, O., Departments of Medicine, Medical Genetics, and Pediatrics, University of Alberta, Edmonton, AB, Canada","Background: Many Canadians with multiple sclerosis (MS) have recently travelled internationally to have procedures for a putative condition called chronic cerebrospinal venous insufficiency (CCSVI). Here, we describe where and when they went and describe the baseline characteristics of persons with MS who participated in this non-evidence-based medical tourism for CCSVI procedures. Methods: We conducted a longitudinal observational study that used online questionnaires to collect patient-reported information about the safety, experiences, and outcomes following procedures for CCSVI. A convenience sample of all Albertans with MS was recruited between July 2011 and March 2013. Results: In total, 868 individuals enrolled; 704 were included in this cross-sectional, baseline analysis. Of these, 128 (18.2%) participants retrospectively reported having procedures for CCSVI between April 2010 and September 2012. The proportion of participants reporting CCSVI procedures declined from 80 (62.5%) in 2010, to 40 (31.1%) in 2011, and 8 (6.3%) in 2012. In multivariable logistic regression analysis, CCSVI procedures were independently associated with longer disease duration, secondary progressive clinical course, and greater disability status. Conclusions: Although all types of people with MS pursued procedures for CCSVI, a major driver of participation was greater disability. This highlights that those with the greatest disability are the most vulnerable to unproven experimental procedures. Participation in CCSVI procedures waned over time possibly reflecting unmet expectations of treated patients, decreased media attention, or that individuals who wanted procedures had them soon after the CCSVI hypothesis was widely publicized. © The Canadian Journal of Neurological Sciences Inc. 2016.","CCSVI; medical tourism; multiple sclerosis","adult; Alberta; Article; chronic cerebrospinal venous insufficiency; cross-sectional study; disability; disease course; disease duration; female; human; longitudinal study; major clinical study; male; medical tourism; middle aged; multiple sclerosis; observational study; patient safety; priority journal; retrospective study; treatment outcome; brain circulation; chronic disease; cohort analysis; complication; medical tourism; multiple sclerosis; online system; physiology; questionnaire; severity of illness index; statistical model; statistics and numerical data; Venous Insufficiency; Adult; Cerebrovascular Circulation; Chronic Disease; Cohort Studies; Cross-Sectional Studies; Female; Humans; Logistic Models; Male; Medical Tourism; Middle Aged; Multiple Sclerosis; Online Systems; Severity of Illness Index; Surveys and Questionnaires; Venous Insufficiency",,,,,"Alberta Innovates - Health Solutions, AIHS Alberta Health","This study was funded by a research grant from Alberta Health. NJ is the holder of a Canada Research Chair in Neurological Health Services Research and an Alberta Innovates Health Solutions Population Health Investigator Award.",,"Johnston, R., Crooks, V.A., Snyder, J., I didn't even know what i was looking for: A qualitative study of the decision-making processes of Canadian medical tourists (2012) Global Health, 8, p. 23; Crooks, V.A., Turner, L., Cohen, G., Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of canadian health and safety representatives' perspectives (2013) BMJ Open, 3, p. e002302; Cameron, K., Crooks, V.A., Chouinard, V., Snyder, J., Johnston, R., Casey, V., Motivation, justification, normalization: Talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries (2014) Soc Sci Med, 106, pp. 93-100; Baracchini, C., Valdueza, J.M., Del Sette, M., CCSVI and MS: A statement from the European Society of neurosonology and cerebral hemodynamics (2012) J Neurol, 259, pp. 2585-2589; Chafe, R., Born, K.B., Slutsky, A.S., Laupacis, A., The rise of people power (2011) Nature, 472, pp. 410-411; Holm, C., Snyder, J., It was the best decision of my life: A thematic content analysis of former medical tourists' patient testimonials (2015) BMC Med Ethics, 16, p. 8; Burton, J.M., Alikhani, K., Goyal, M., Complications in MS patients after CCSVI procedures abroad (Calgary, AB) (2011) Can J Neurol Sci, 38, pp. 741-746; Zamboni, P., Galeotti, R., Menegatti, E., Chronic cerebrospinal venous insufficiency in patients with multiple sclerosis (2009) J Neurol Neurosurg Psychiatry, 80, pp. 392-399; Zamboni, P., Galeotti, R., Menegatti, E., A prospective open-label study of endovascular treatment of chronic cerebrospinal venous insufficiency (2009) J Vasc Surg, 50, pp. 1348-1358; Benarroch, E.E., Brain iron homeostasis and neurodegenerative disease (2009) Neurology, 72, pp. 1436-1440; Zecca, L., Youdim, M.B., Riederer, P., Connor, J.R., Crichton, R.R., Iron, brain ageing and neurodegenerative disorders (2004) Nat Rev Neurosci, 5, pp. 863-873; Masuhr, F., Einhäupl, K., Treatment of cerebral venous and sinus thrombosis (2000) Handbook on Cerebral Venous Thrombosis Front Neurol Neurosci, 23, pp. 132-143. , In: Caso V, Agnelli G, Paciaroni M eds Basel, Switzerland: Karger; Friedman, D.I., Jacobson, D.M., Idiopathic intracranial hypertension (2004) J Neuroophthalmol, 24, pp. 138-145; Doepp, F., Bähr, D., John, M., Hoernig, S., Valdueza, J.M., Schreiber, S.J., Internal jugular vein valve incompetence in COPD and primary pulmonary hypertension (2008) J Clin Ultrasound, 36, pp. 480-484; Reekers, J.A., Lee, M.J., Belli, A.M., Barkhof, F., Cardiovascular and Interventional Radiological Society of Europe commentary on the treatment of chronic cerebrospinal venous insufficiency (2011) Cardiovasc Intervent Radiol, 34, pp. 1-2; Crile, G., Excision of cancer of the head and neck with special reference to the plan of dissection based on one hundred and thirty-Two operations (1906) JAMA, 47, pp. 1780-1786; Doepp, F., Paul, F., Valdueza, J.M., Schmierer, K., Schreiber, S.J., No cerebrocervical venous congestion in patients with multiple sclerosis (2010) Ann Neurol, 68, pp. 173-183; Sundström, P., Wåhlin, A., Ambarki, K., Birgander, R., Eklund, A., Malm, J., Venous and cerebrospinal fluid flow in multiple sclerosis: A case-control study (2010) Ann Neurol, 68, pp. 255-259; Auriel, E., Karni, A., Bornstein, N.M., Nissel, T., Gadoth, A., Hallevi, H., Extra-cranial venous flow in patients with multiple sclerosis (2011) J Neurol Sci, 309, pp. 102-104; Khan, O., Filippi, M., Freedman, M.S., Chronic cerebrospinal venous insufficiency and multiple sclerosis (2010) Ann Neurol, 67, pp. 286-290; Wattjes, M.P., Van Oosten, B.W., De Graaf, W.L., No association of abnormal cranial venous drainage with multiple sclerosis: A magnetic resonance venography and flow-quantification study (2011) J Neurol Neurosurg Psychiatry, 82, pp. 429-435; Baracchini, C., Perini, P., Causin, F., Calabrese, M., Rinaldi, F., Gallo, P., Progressive multiple sclerosis is not associated with chronic cerebrospinal venous insufficiency (2011) Neurology, 77, pp. 844-850; Tsivgoulis, G., Sergentanis, T.N., Chan, A., Chronic cerebrospinal venous insufficiency and multiple sclerosis: A comprehensive meta-Analysis of case-control studies (2014) Ther Adv Neurol Disord, 7, pp. 114-136; Laupacis, A., Lillie, E., Dueck, A., Association between chronic cerebrospinal venous insufficiency and multiple sclerosis: A metaanalysis (2011) CMAJ, 183, pp. E1203-E1212; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31, pp. 185-198; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism?: A scoping review (2011) Open Med, 5, pp. 139-148; Turner, L., News media reports of patient deaths following 'medical tourism' for cosmetic surgery and bariatric surgery (2012) Deve World Bioeth, 12, pp. 21-34; Alberta Launches Multiple Sclerosis Observational Study, , http://www.albertahealthservices.ca/5356.asp, Government of Alberta [Internet]. [updated 2011 Jul 27 cited 2014 Jun 4]. 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J. Neurol. Sci.",Article,"Final",Open Access,Scopus,2-s2.0-84979642654 "Crooks V.A., Johnston R., Labonté R., Snyder J.","35585107800;36500711800;55334992200;24170239100;","Critically reflecting on Loh's ""Trends and structural shifts in health tourism""",2016,"Social Science and Medicine","152",,,"186","189",,6,"10.1016/j.socscimed.2015.11.019","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958153462&doi=10.1016%2fj.socscimed.2015.11.019&partnerID=40&md5=dc9e99c49b4d90f35a5ad75054851dd0","Department of Geography, Simon Fraser University, University Drive, RCB 6141 8888, Burnaby, BC V5A 1S6, Canada; Faculty of Medicine, The University of Ottawa, Ottawa, ON, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, University Drive, RCB 6141 8888, Burnaby, BC V5A 1S6, Canada; Johnston, R., Department of Geography, Simon Fraser University, University Drive, RCB 6141 8888, Burnaby, BC V5A 1S6, Canada; Labonté, R., Faculty of Medicine, The University of Ottawa, Ottawa, ON, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada",[No abstract available],"Canada; Health tourism; Medical tourism","Canada; health care access; health care delivery; health care organization; health care system; health care utilization; health economics; health tourism; human; medical tourism; Note; statistical analysis; travel; trend study; season; statistics and numerical data; Humans; Medical Tourism; Seasons",,,,,"Michael Smith Foundation for Health Research, MSFHR Canadian Institutes of Health Research, CIHR","VAC is funded by a Scholar Award from the Michael Smith Foundation for Health Research and holds the Canada Research Chair in Health Service Geographies. RJ holds a PhD fellowship from the Canadian Institutes of Health Research . RL holds the Canada Research Chair in Globalization & Health Equity.",,"Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Promoting social responsibility amongst health care users: medical tourists' perspectives on an information sheet regarding ethical concerns in medical tourism. Philosophy (2013) Ethics Humanit. Med., 8, p. 19; Barua, B., Fathers, F., (2014) Waiting Your Turn: Wait Times for Health Care in Canada, 2014 Report, , https://www.fraserinstitute.org/uploadedFiles/fraser-ca/Content/research-news/research/publications/waiting-your-turn-2014.pdf, Fraser Institute, Last accessed July 22, 2015 at:; Blouin, C., The impact of trade treaties on health tourism (2013) Travelling Well: Essays in Medical Tourism, 4 (1), pp. 178-189. , Transdisiplinary Studies in Population Health Series, Ottawa, Canada, R. Labonte, R. Deonandan, C. Packer, V. Runnels (Eds.); Cameron, K., Crooks, V.A., Chouinard, V., Snyder, J., Johnston, R., Casey, V., Motivation, justification, normalization: talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries (2014) Soc. Sci. Med., 106, pp. 93-100; Customs Declaration Form http://www.cbsa.gc.ca/publications/forms-formulaires/e311-eng.pdf, [Form] Last accessed July 22, 2015; Connell, J., Medical tourism - concepts and definitions (2015) Handbook on Medical Tourism and Patient Mobility, pp. 16-24. , Edward Elgar Publishing, Northampton, MA, N. Lunt, D. Horsfall, J. Hanefeld (Eds.); Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv. Res., 10, p. 266; Crooks, V.A., Li, N., Snyder, J., Dharamsi, S., Illes, J., 'You don't want to lose that trust that you've built with this patient..': (Dis)trust, medical tourism, and the Canadian family physician-patient relationship (2015) BMC Fam. Pract., 16, p. 25; Crooks, V.A., Snyder, J., Turner, L., Adams, K., Johnston, R., Casey, V., Canadian print news coverage of medical tourism: examining key themes and ethical gaps (2013) The Globalization of Health Care, , Oxford University Press, London, (Chapter 3), G. Cohen (Ed.); Crooks, V.A., Turner, L., Cohen, G., Bristier, J., Snyder, J., Casey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: a qualitative study of Canadian health and safety representatives' perspectives (2013) BMJ Open, 3 (2), p. e002302; Daw, J.R., Morgan, S.G., Stitching the gaps in the Canadian public drug coverage patchwork? A review of provincial pharmacare policy changes from 2000 to 2010 (2012) Health Policy, 104 (1), pp. 19-26; Hoekman, B., The general agreement on trade in services: doomed to fail? Does it matter? (2008) J. Ind. Compet. Trade, 8 (3), pp. 295-318; Hoffman, L., Crooks, V.A., Snyder, J., Adams, K., Health equity impacts of medical tourism: a call for moving from scholarly debate to providing actionable guidance regarding balancing local and foreign interests (2015) West Indian Med. J. (WIMJ) Open, 2 (2); Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? (2010) J. Public Health Policy, 31 (2), pp. 185-198; Johnston, R., Crooks, V.A., Adams, K., Snyder, J., Kingsbury, P., An industry perspective on Canadian patients' involvement in medical tourism: implications for public health (2011) BMC Public Health, 11, p. 416; Johnston, R., Crooks, V.A., Ormond, M., Policy implications of medical tourism development in destination countries: revisiting and revising an existing framework by examining the case of Jamaica (2015) Glob. Health, 11, p. 29; Johnston, R., Crooks, V.A., Snyder, J., ""I didn't even know what I was looking for"": a qualitative study of the decision-making processes of Canadian medical tourists (2012) Glob. Health, 8 (1), p. 23; Johnston, R., Crooks, V.A., Snyder, J., Dharamsi, S., 'Our true role..is within the confines of our system': Canadian family doctors' roles and responsibilities towards outbound medical tourists (2013) Can. Fam. Physician, 59 (12), pp. 1314-1319; Johnston, R., Crooks, V.A., Snyder, J., Whitmore, R., 'The major forces that need to back medical tourism were..in alignment': championing development of Barbados's medical tourism sector (2015) Int. J. Health Serv., 45 (2), pp. 334-352; Labonté, R., Medical tourism isn't always a fair deal for developing countries (2015) Conversat., , http://theconversation.com/medical-tourism-isnt-always-a-fair-deal-for-developing-countries-37691, Last accessed July 22, 2015 at; Loh, C.P.A., Trends and structural shifts in health tourism: evidence from seasonal time-series data on health-related travel spending by Canada during 1970-2010 (2015) Soc. Sci. Med., 132, pp. 173-180; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical tourism: treatments, markets and health system implications: a scoping review, , OECD, London; McLevey, J., Think tanks, funding, and the politics of policy knowledge in Canada (2014) Can. Rev. Sociol.Rev. Can. de Sociol., 51 (1), pp. 54-75; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Med. Ethics, 12, p. 17; Purdy, L., Fam, M., (2011) Evolving Medical Tourism in Canada: Exploring a New Frontier, , Deloitte, Quebec, Canada; Romanow, R.J., (2002) Building on Values: The Future of Health Care in Canada, , http://publications.gc.ca/collections/Collection/CP32-85-2002E.pdf, Commission on the Future of Health Care in Canada, Ottawa, Last accessed July 22, 2015 at; Runnels, V., Labonté, R., Packer, C., Chaudhry, S., Adams, O., Blackmer, J., Canadian physicians' responses to cross border health care (2014) Glob. Health, 10, p. 20; Snyder, J., Adams, K., Crooks, V.A., Whitehurst, D., Vallee, J., 'I knew what was going to happen if I did nothing. And so I was going to do something': Faith, hope, and trust in Canadian multiple sclerosis patients' decisions to seek experimental treatment abroad (2014) BMC Health Serv. Res., 14, p. 445; Snyder, J., Byambaa, T., Johnston, R., Crooks, V.A., Janes, C., Ewan, M., Outbound medical tourism from Mongolia: a qualitative examination of domestic health system and policy responses to this trend (2015) BMC Health Serv. Res., 15, p. 187; Snyder, J., Crooks, V.A., Adams, K., Johnston, R., Whitmore, R., Medical tourism's impacts on health worker migration in the Caribbean: five examples and their implications for global justice (2015) Glob. 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Last accessed July 22, 2015 at:; (2015) Questionnaire(s) and Reporting Guide(s) - Canada's Balance of International Payments, , http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvInstrument&SurvId=116668&InstaId=221153, [Website]. Last accessed September 1, 2015 at:; Sutcliffe, S.B., A review of Canadian health care and cancer care systems (2011) Cancer, 117, pp. 2241-2244","Crooks, V.A.; Department of Geography, Simon Fraser University, University Drive, RCB 6141 8888, Canada; email: crooks@sfu.ca",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"26638803","English","Soc. Sci. Med.",Note,"Final",,Scopus,2-s2.0-84958153462 "Lee J., Kim H.-B.","57207695751;7410126271;","Success factors of health tourism: cases of Asian tourism cities",2015,"International Journal of Tourism Cities","1","3",,"216","233",,6,"10.1108/IJTC-08-2014-0014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062703142&doi=10.1108%2fIJTC-08-2014-0014&partnerID=40&md5=18c6f1a8c47bac91b878f6419d17ce74","Graduate School of Hospitality and Tourism Management, Sejong University, Seoul, South Korea; College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea","Lee, J., Graduate School of Hospitality and Tourism Management, Sejong University, Seoul, South Korea; Kim, H.-B., College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea","Purpose – The purpose of this paper is to delineate a clear definition of health tourism, and to explain it in two sub-categories, namely, medical tourism, and wellness tourism. Design/methodology/approach – Grounded theory approach through an in-depth literature review and practical data from three different cities were researched to support the study. Findings – Determinants of travelers’ decision making for the destination of health tourism, such as distance, cost, language, economy, competency of medical technology, and culture, in each classification of health tourism, were identified. Originality/value – This study suggests an inductive research model to synthesize and structure a logical relationship of determinants that affect health tourists’ decision to visit specific health tourism destinations. The results of this study are quite revealing to governments, industrial practitioners, and potential customers of health tourism in terms of the context of health tourism and the behavior of health tourists. © 2015,.","Asian cities; City; Decisive determinants; Health tourism; Medical tourism; Wellness tourism",,,,,,,,,"Ackerman, S., Plastic paradise: transforming bodies and selves in Costa Rica’s cosmetic surgery tourism industry (2010) Medical Anthropology, 29 (4), pp. 403-423; Adams, E.K., Wright, G.E., Hospital choice of medicare beneficiaries in a rural market: why not the closest? (1991) Journal of Rural Health, 7 (1), pp. 134-152; Al-Hinai, S., Al-Busaidi, A., Al-Busaidi, I., Medical tourism abroad. 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Another approach (2008) Medical Tourism Magazine, 6, pp. 9-11; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Keckley, P.H., (2008) Medical Tourism: Consumers in Search of Value, , Deloitte Center for Health Solutions, Washington, DC; Lee, C.G., Health-care and tourism: evidence from Singapore (2010) Tourism Management, 31 (4), pp. 486-488; Mair, H., Tourism, health and the pharmacy: towards a critical understanding of health and wellness tourism (2005) Tourism, 53 (4), pp. 335-346; Yu, F., Takahashi, T., Moriya, J., Kawaura, K., Yamakawa, J., Kusaka, K., Itoh, T., Kanda, T., Traditional Chinese medicine and Kampo: a review from the distant past for the future (2006) The Journal of International Medical Research, 34 (3), pp. 231-239; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-40","Lee, J.; Graduate School of Hospitality and Tourism Management, Sejong UniversitySouth Korea",,,"Emerald Group Publishing Ltd.",,,,,20565607,,,,"English","Int. J. Tour. Cities",Article,"Final",,Scopus,2-s2.0-85062703142 "Whittaker A.","7102570392;","The implications of medical travel upon equity in lower-and middle-income countries",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"112","122",,6,"10.4337/9781783471195.00020","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961847173&doi=10.4337%2f9781783471195.00020&partnerID=40&md5=0f693b0c680eb0f8086c5cb02bd2852a","School of Social Sciences, Faculty of Arts, Monash University, Australia","Whittaker, A., School of Social Sciences, Faculty of Arts, Monash University, Australia",[No abstract available],,,,,,,,,,"Bayoumi, A.M., Equity and health services (2009) Journal of Public Health Policy, 30 (2), pp. 176-182; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York: Palgrave; Borisch, B., Global health equity: Opportunities and threats (2012) Journal of Public Health Policy, 33 (4), pp. 488-491; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; Chanda, R., Trade in health services (2002) Trade in Health Services: Global, Regional and Country Perspectives, pp. 35-44. , N. Drager, C. 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Privatisation, urban bias, migration and medical tourism (2011) Asia Pacific Viewpoint, 52 (3), pp. 260-271; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83, pp. 71-132; Culyer, A., Equity-some theory and its policy implications (2001) Journal of Medical Ethics, 27 (4), pp. 275-283; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2010) Health Policy and Planning, 25 (3), pp. 248-251; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 2185-2198; Horowitz, M.M., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Inhorn, M.C., (2014) Cosmopolitan Conceptions: IVF Sojourns in Global Dubai, , Durham, NC: Duke University Press; Janjaroen, W.S., Supakankunti, S., International trade in health services in the millennium: The case of Thailand (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 87-106. , N. Drager, C. Vieira (eds), Washington, DC: PAHO; Kanchanachitra, C., Lindelow, M., Johnston, T., Hanvoravongchai, P., Lorenzo, F.M., Huong, N.L., Wilopo, S.A., dela Rosa, J.F., Human resources for health in Southeast Asia: Shortages, distributional challenges, and international trade in health services (2011) The Lancet, 377 (9767), pp. 769-781; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology Quarterly, 21 (1), pp. 35-78; Keckley, P., Underwood, H., (2009) Medical Tourism: Update and Implications, , Washington, DC: Deloitte Center for Health Solutions; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Social Science & Medicine, 67 (1), pp. 101-110; Mair, H., Tourism, health and the pharmacy: Towards a critical understanding of health and wellness tourism (2005) Tourism, 53 (4), pp. 335-346; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368; Mooney, G.H., Equity in health care: Confronting the confusion (1983) Effective Health Care, 1 (4), pp. 179-185; Mooney, G.H., Vertical equity in health care resource allocation (2000) Health Care Analysis, 8 (3), pp. 203-215; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2011) Bulletin of the World Health Organization, 89, pp. 336-344; Ormond, M., Shifting subjects of health-care: Placing “medical tourism” in the context of Malaysian domestic health-care reform (2011) Asia Pacific Viewpoint, 52 (3), pp. 247-259; Pachanee, C., Implications on public health from Mode 2 trade in health services: Theoretical and empirical evidence [a case of Thailand] (2009) WHO Workshop on the Movement of Patients Across International Borders: Emerging Challenges and Opportunities for Health Care Systems, , Unpublished paper presented at, Kobe, Japan; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (12), pp. 1-12; Rasiah, R., Noh, A., Tumin, M., Privatising healthcare in Malaysia: Power, policy and profits (2008) Journal of Contemporary Asia, 39 (1), pp. 50-62; Smith, R.D., Foreign direct investment and trade in health services: A review of the literature (2004) Social Science & Medicine, 59, pp. 2313-2323; Smith, R.D., Martinez-Ãlvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2-3), pp. 276-282; Snyder, J., Crooks, V., Turner, L., Johnston, R., Understanding the impacts of medical tourism on human health resources in Barbados: A prospective qualitative study of stakeholder perceptions (2013) International Journal for Equity in Health, 12 (2), pp. 1-11; Toyota, M., Chee, H.L., Xiang, B., Global track, national vehicle: Transnationalism in medical tourism in Asia (2013) European Journal of Transnational Studies; Turner, L., “First world health care at third world prices”: Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Whittaker, A., Outsourced patients: Stories from forced medical travellers (2015) Global Public Health An international journal for research, policy and practice, 10 (4), pp. 485-500; Wibulpolprasert, S., Pachanee, C., Addressing the internal brain drain of medical doctors in Thailand (2008) Global Social Policy, 8 (1), pp. 12-15; Wibulpolprasert, S., Pachanee, C., Pitayarangsarit, S., Hempisut, P., International service trade and its implications for human resources for health: A case study of Thailand (2004) Human Resources for Health, 2 (10), pp. 1-12; Woodward, D., Drager, N., Beaglehole, R., Lipson, D., Globalization, global public goods and health (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 4-11. , N. Drager, C. Vieira (eds), Washington, DC: PAHO; (2011) Rio political declaration on social determinants of health, , Paper presented at ‘World Conference on Social Determinants of Health’, Rio De Janeiro, Brazil, WHO, 21 October 2011; (2013) Social Determinants of Health, , Geneva: WHO; (2014) Millennium Development Goals (MDGs), , Geneva: WHO","Whittaker, A.; School of Social Sciences, Faculty of Arts, Monash UniversityAustralia",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84961847173 "Costa C., Quintela J., Mendes J.","57200196514;56909785500;57201560633;","Health and wellness tourism: A strategic plan for tourism and thermalism valorization of São Pedro do Sul",2015,"Health and Wellness Tourism: Emergence of a New Market Segment",,,,"21","31",,6,"10.1007/978-3-319-11490-3_2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944522944&doi=10.1007%2f978-3-319-11490-3_2&partnerID=40&md5=9782e2843b61d6b085dc2d20b508efcf","DEGEI, University of Aveiro (UA), Aveiro, Portugal; Idtour – Unique Solutions, Aveiro, Portugal","Costa, C., DEGEI, University of Aveiro (UA), Aveiro, Portugal; Quintela, J., DEGEI, University of Aveiro (UA), Aveiro, Portugal; Mendes, J., Idtour – Unique Solutions, Aveiro, Portugal","Wellness tourism has become an emerging market segment directed not only for those who pursue solely thermal treatments but also for those seeking illness prevention, physical improvement and spiritual balance or even for those eager of cultural and relaxation programs. In this sense, wellness tourism has become more complex and creative, demanding high quality equipments and infrastructures, providing a wide range of products and services related not only with the diversity of spa treatments but also with complementary recreational activities regarding the connection to nature and to cultural patrimony as well as to other regional resources, creating effective links to the territory and becoming a significant force that will shape the regional development, by creating a positive pressure on local economic bases with spillover effects on the territory. This research presents a case-study based on the creation of a strategic plan for tourism and thermalism valorization of São Pedro do Sul, the largest thermal health complex in Portugal. It relies on three main aspects – products, space promotion and governance – and it will unveil how classic spa tourism may evolve towards modern structures by capturing emerging and modern tourism demands. © Springer International Publishing Switzerland 2015.",,,,,,,,,,"Antunes, J.G., (2012) O (re)posicionamento do termalismo como estratégia de desenvolvimento turístico, (17-18), pp. 1469-1480. , O caso da região Dão-Lafões (NUTS III). Revista de Turismo e Desenvolvimento; Antunes, V., Alves, H., Rodrigues, R., O Estado Actual da Orientação Empreendedora e do Marketing no Sector Termal-o Caso Português (2010) Revista de Turismo e Desenvolvimento, (13-14), pp. 175-184; Buhalis, D., Costa, C., (2006) Concl usion: Tourism Futures, pp. 241-246. , Tourism Management Dynamics-Consumers, products and industry, Oxford: Elsevier Butterworth-Heinemann; Connel, J., (2011) Medical Tourism, , Oxfordshire: CABI; Cooper, M., Health and Wellness Spa Tourism Environment, 156-180 (2009) Health and Wellness Tourism-Spas and Hot Springs, , Canada: Channel View Publications Erfurt-Cooper, P.; Cooper, M. (Eds.) (2009); Costa, C., (2006) Tourism planning, development and the territory, pp. 236-243. , Tourism Management Dynamics-Trends, management and tools, Dimitrios, B., Costa, C. (Eds.), Oxford: Elsevier Butterworth-Heinemann; Del Río Rama, M.C., Álvarez García, J., Carlos Rueda-Armengot, C., Coca Pérez, J., An application of SERVQUAL model in Termas of Chaves (2014) Action-Based Quality Management: Strategy and Tools for Continuous Improvement, pp. 27-41. , M. Peris-Ortiz, J. Álvarez-García, eds., London: Springer; Erfurt-Cooper, P., (2009) Use of Natural Hot and Mineral Springs Throughout History, pp. 49-109; Erfurt-Cooper, P., Cooper, M., Health and Wellness Tourism-Spas and Hot Springs, , Canada: Channel View Publications; Gustavo, N., (2009) São Pedro do Sul termal centre: Between health and wellness tourism, , Smith, M. & Puczkó, L., Health and Wellness Tourism. Oxford: Elsevier Butterworth-Heinemann, 319-323; Hall, M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; (1973) International Union of Tourism Organization (IUTO), , Health Tourism, United Nations, Geneva; Konu, H., Identifying potential wellbeing tourism segments in Finland (2010) Tourism Review, 65 (2), pp. 41-51; Laesser, C., Health travel motivation and activities: Insights from a mature market-Switzerland (2011) Tourism Review, 66 (1-2), pp. 83-89; (2006) PENT-Plano Estratégico Nacional do Turismo-Para o Desenvolvimento do Turismo em Portugal, , Lisboa: Ministério da Economia e Inovação; Quintela, J.A., Correia, A.G., Antunes, J.G., Service quality in health and wellness tourism-trends in Portugal (2011) International Journal of Business, Management and Social Sciences, 2 (3), pp. 1-8; Ramos, A., Lazer, Turismo e Termalismo. Inovação e Complementaridade no Turismo de Saúde (2008) Revista de Turismo e Desenvolvimento, (9), pp. 7-18; Ramos, A., Santos, R., O Novo Paradigma Termal-O caso das Estâncias Termais Portuguesas (2008) Turydes-Revista de Investigación en Turismo y Desarrollo Local, 1 (2). , Março; Ramos, A., Costa, C., Destinos Termais Portugueses-Territórios de Lazer(es) Múltiplos e Oportunidade(s) ao Desenvolvimento Local (2010) Revista de Turismo e Desenvolvimento, (13-14), pp. 707-718; Sarmento, M., Portela, A., (2010) Turismo de Saúde e Bem-estar-Um modelo de Empreendedorismo e Inovação, , Lisboa: Universidade Lusíada Editora; Smith, M., Kelly, C., Wellness Tourisn (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Oxford: Elsevier","Quintela, J.; DEGEI, University of Aveiro (UA)Portugal",,,"Springer International Publishing",,,,,,9783319114903; 9783319114897,,,"English","Health and Wellness Tourism: Emergence of a New Market Segm.",Book Chapter,"Final",,Scopus,2-s2.0-84944522944 "Vitthal P.C., Rupesh Subhash A., Sharma B.R., Ramachandran M.","56642735100;56642834400;56642282300;56962721100;","Emerging trends and future prospects of medical tourism in India",2015,"Journal of Pharmaceutical Sciences and Research","7","5",,"248","251",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929232626&partnerID=40&md5=5eac13e6ed8d679393e78a0a330b8c42","RC Patel Institute of Pharmaceutical Education and Research, Dhule, India; MPSTME, SVKM’s NMIMS, Shirpur campus, Dhule, Maharashtra, India","Vitthal, P.C., RC Patel Institute of Pharmaceutical Education and Research, Dhule, India; Rupesh Subhash, A., RC Patel Institute of Pharmaceutical Education and Research, Dhule, India; Sharma, B.R., RC Patel Institute of Pharmaceutical Education and Research, Dhule, India; Ramachandran, M., MPSTME, SVKM’s NMIMS, Shirpur campus, Dhule, Maharashtra, India","Medical tourism is a rapidly-growing practice of travelling across international borders to obtain health care. It encompasses primarily and predominantly biomedical procedures, combined with travel and tourism. The term medical tourism has been coined by travel agencies and the mass media to describe the rapidly growing practice of travelling across international borders to obtain hi-tech medical care. The key competitive advantages of India in medical tourism stem from the following: low cost advantage, strong reputation in the advanced healthcare segment and the diversity of tourist destinations available in the country. Medical tourism or health care tourism is fast growing multibillion-dollar industry around the world. It is an economic activity that entails trade in services and represents the mixing of two of the largest world industries: medicine and tourism. The paper identifies the strengths of India’s medical tourism service providers and points at a number of problems that may reduce the growth opportunity of this industry. This paper focuses on the key issues and opportunities possessed by Indian medical tourism sector that enable it to overcome domestic and international barriers on upgrading its medical services. Finally, this paper analyses and concludes the main reasons why the developing country like India attracts foreign tourists for the medical treatment. It is a basket of services to patient-tourists who want their medical treatments done in foreign countries. Medical tourism can be defined as provision of ‘cost effective’ personal health care/private medical care in association with the tourism industry for patients needing surgical healthcare and other forms of dedicated & specialized treatment. © 2015, Pharmainfo Publications. All Rights Reserved.",,"Article; cost effectiveness analysis; economic aspect; health care cost; health care facility; human; India; infertility therapy; leisure; medical care; medical service; medical tourism; mental health care; organ transplantation; patient satisfaction; quality of nursing care; reimbursement; renal replacement therapy; tourism; travel",,,,,,,,"Satyanarayana, K., Sharma, A., Ganguly, N.K., Indian registry for clinical trials (2006) Indian J Med Res, 123, pp. 587-590; Ndia, National Institute of Medical Statistics, , http://www.ctri.in/Clinicaltrials/trials_jsp/index.jsp, Clinical Trials Registry, Availableat; International Clinical Trials Registry Platform (ICTRP, , http://www.who.int/ictrp/en/, Available at; De Angelis, C.D., Drazen, J.M., Frizelle, F.A., Haug, C., Hoey, J., Horten, R., Clinical trial registration (2004) A Statement from the International Committee of Medical Journal Editors. JAMA, 292, pp. 1363-1364; De Angelis, C.D., Drazen, J.M., Frizelle, F.A., Haug, C., Hoey, J., Horten, R., International Committee of Medical Journal Editors (ICMJE), is this clinical trial fully registered? A Statement from the International Committee of Medical Journal Editors, , http://www.icmje.org/clin_trialup.htm, Available at; Misra, R., Chatterjee, R., Rao, S., (2003) India Health Report, , New Delhi Oxford University Press; Dandona, L., Tandon, N., Sahni, P., Academic medicine and health improvements in India (2005) Natl Med J India, 18, pp. 53-58; (2002) Health Care in India: The Road Aheadǁ, CII, , CII-McKinsey, McKinsey and Company and Indian Healthcare Federation, New Delhi; Harrick, D.M., (2007) Medical Tourism: Global Competition in Health Care, NCPA, p. 40. , Policy report No. 304, National Centre for Policy Analysis, Dallas Texas; Peacock, L., (2009) Medical Tourism in India, , http://www.smarttravelasia.com/medicalTourism.htm, Smart Travel Asia Accessed from; Suthin, K., Assenov, I., Tirasatayapitak, A., (2007) Medical Tourism: Can Supply Keep up with the Demand. Proceedings, Apac-Chrie &Amp; Asia Pacific Tourism Association Joint Conference 2007, May 23-27 May, p. 2007. , Beijing, China; (2005) Medical Tourism India: Medical Packages to India. Retrieved 08 27, 2010, , Medical Tourism, from Indian Medical Tourism:; Chen, H.C., Kuo, H.C., Chung, K.P., Chang, S., Su, S., Yang, M.C., Classification and comparison of niche services for developing strategy of medical tourism in Asian countries (2010) International Surgery, 95 (2), pp. 108-116; Ho, C.F., Wu, W.H., Antecedents of Customer Satisfaction on the Internet: An Empirical Study of Online Shopping (1999) Proceedings of the 32Nd Hawaii International Conference on System Sciences, , Hawaii, USA","Vitthal, P.C.; RC Patel Institute of Pharmaceutical Education and ResearchIndia",,,"Pharmainfo Publications",,,,,09751459,,,,"English","J. Pharm. Sci. Res.",Article,"Final",,Scopus,2-s2.0-84929232626 "Jackson L.A., Barber D.S.","14830356100;56594356500;","Ethical and sustainable healthcare tourism development: A primer",2015,"Tourism and Hospitality Research","15","1",,"19","26",,6,"10.1177/1467358414553868","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84927759992&doi=10.1177%2f1467358414553868&partnerID=40&md5=7cd638dade73ecad523d4c22e2ce83a0","Cecil B. Day School of Hospitality Administration, J. Mack Robinson College of Business, Georgia State University, Atlanta, United States","Jackson, L.A., Cecil B. Day School of Hospitality Administration, J. Mack Robinson College of Business, Georgia State University, Atlanta, United States; Barber, D.S., Cecil B. Day School of Hospitality Administration, J. Mack Robinson College of Business, Georgia State University, Atlanta, United States","In recent years, healthcare tourism has emerged as a viable economic sector for several regions. Although the sector offers economic benefits, it has been suggested that pursuit of such benefits is often associated with unethical and unsustainable practices. To assuage these concerns, this article argues that destinations should adopt a collaborative stakeholder-driven approach. It also offers suggestions which can aid regions in developing this sector in a sustainable and ethical manner. The proposed framework and suggestions are not intended as panaceas for healthcare tourism development. Instead, they are offered as discussion starting points to provoke thought, discussion, and debate about how regions can leverage healthcare tourism resources in a profitable, ethical, and sustainable manner. Additionally, the framework and suggestions can be adopted by tourism policy planners and practitioners to assist in the ethical and sustainable development and management of the healthcare tourism sector. © 2014, SAGE Publications. All rights reserved.","ethical and sustainable tourism development and management; Healthcare tourism",,,,,,,,,"Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York, NY: Palgrave Macmillan; Borman, E., Health tourism: Where health care ethics and the state collide (2004) British Medical Journal, 328, pp. 60-61; Boultbee, E., Medical tourism: Overview and cost comparisons (2012) British Journal of Healthcare Management, 18, pp. 294-297; Chambers, D., McIntosh, B., Using authenticity to achieve competitive advantage in medical tourism in the English-speaking Caribbean (2008) Third World Quarterly, 29, pp. 919-937; Chanda, R., Trade in health services (2004), www.who.int/bulletin/archives/80 (2)158.pdf, Available at: (accessed 17 January 2013); Cohen, I.G., Protecting patients with passports: medical tourism and the patient-protective argument (2010) Iowa Law Review, 95, pp. 1467-1567; Cohen, I.G., Medical tourism: The view from ten thousand feet (2011) Hastings Center Report, 40, pp. 11-12; Cohen, I.G., Medical tourism, global justice, and access to health care (2011) Virginia International Law Review, 52, pp. 1-57; Cohen, I.G., How to regulate medical tourism (and why it matters for bioethics) (2012) Developing World Bioethics, 12, pp. 9-20; Connell, J., Medical tourism: Sun, sea, and…surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualization, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Medical tourism: Consumers in search of value (2008), http://www.deloitte.com/assets/Dcom-Croatia/Local%20Assets/Documents/hr_Medical_tourism.pdf, Available at: (accessed 3 May 2014); Deonandan, R., Green, S., Van Beinum, A., Ethical concerns for maternal surrogacy and reproductive tourism (2012) Journal of Medical Ethics, 38, pp. 742-745; DesJardins, J.R., McCall, J., (2004) Contemporary Issues in Business Ethics, , 5th ed. Belmont, CA: Wadsworth; Ehrbeck, T., Guevara, C., Mango, P., Mapping the market for medical travel. The McKinsey Quarterly May: 1–11 (2008), http://cureandcareindia.com/writereaddata/McKinsey-9547270771.pdf, Available at: (accessed May 2014); Gan, L., Frederick, J.R., Medical tourism facilitators: patterns of service differentiation (2011) Journal of Vacation Marketing, 17, pp. 165-183; Garcia-Altes, M., The development of health tourism services (2005) Annals of Tourism Research, 32, pp. 262-266; Goodrich, J., Goodrich, G., Healthcare tourism (1991) Managing Tourism, pp. 107-114. , In: Medlik S (ed.) Oxford, UK: Butterworth-Heinemann; Henderson, J., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7, pp. 111-121; Hudson, S., Li, X., Domestic medical tourism: A neglected dimension of medical tourism research (2012) Journal of Hospitality Marketing and Management, 21, pp. 227-246; Jackson, L., Ameliorating the negative impacts of tourism: A Caribbean perspective (2006) International Journal of Contemporary Hospitality Management, 18, pp. 574-582; Kokubo, A., The interaction of the international society concerning kidney transplants—A consideration of diseased kidney transplants in Japan and transplant tourism over the world (2009) Legal Medicine, 11, pp. 393-395; Lee, M., Han, H., Lockyer, T., Medical tourism—Attracting Japanese tourists for medical tourism experience (2012) Journal of Travel and Tourism Marketing, 29, pp. 69-86; Levine, A., Wolf, L., The roles and responsibilities of physicians in patients’ decisions about unproven stem cell therapies (2012) Journal of Law, Medicine and Ethics, 40, pp. 122-134; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) Journal of Health Communication, 16, pp. 163-177; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2011) Bulletin of the World Health Organization, 89, pp. 336-344; Ramya, V., Medical tourism: Revenue generation or international transfer of healthcare problems? (2010) Journal of Economic Issues, 44, pp. 53-70; Smyth, F., Medical geography: Therapeutic places, spaces, and networks (2005) Progress in Human Geography, 29, pp. 488-495; Vijaya, R.M., Medical tourism: Revenue generation or international transfer of healthcare problems? (2010) Journal of Economic Issues, 44, pp. 53-69; Wang, H., Value as a medical tourism driver (2012) Managing Service Quality, 22, pp. 465-491; (1998) World Bank Revisits Role of Tourism in Development, 17. , Oxford: World Bank Group; Global code of ethics for tourism (2001), http://ethics.unwto.org/en/content/global-code-ethics-tourism, Available at: (accessed 19 January 2013); Yim, C.K., (2005) Healthcare Destinations in Asia, , Hong Kong, Hong Kong: The Asia Case Research Center, University of Hong Kong; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28, pp. 99-102",,,,,,,,,14673584,,,,"English","Tour. Hosp. Res.",Article,"Final",,Scopus,2-s2.0-84927759992 "Li Z.","56374814400;","Attractive forces and risks of international medical tourism: A study based on India",2014,"Journal of Chemical and Pharmaceutical Research","6","8",,"125","129",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907556038&partnerID=40&md5=a680dcce35e8bf9c50ce42c59cf9c966","Tourism Management Department, Economics and Management College, China Three Gorges University, Yichang City, Hubei, China","Li, Z., Tourism Management Department, Economics and Management College, China Three Gorges University, Yichang City, Hubei, China","This article analyzes the background and development trends of the global medical tourism. It summarizes Indian government’s efforts on medical tourism industry development and Medical tourist product development in India. On the base of that, it analyzes the main attractive forces of Indian medical tourism industry, which are high-quality medical and tourist services, lower price and shorter waiting time. It also points out that there are some risks in international medical tourism, medical tourist’s risk in right protection, medical tourist source country’s risk in medical costs rising, destination country’s risk in national interests damaged and ethical risk in medical science. © 2014, Journal of Chemical and Pharmaceutical Research. All rights reserved.","Attractive forces; India; Medical tourism; Risks","Attractive force; India; Medical tourism; Risks; Article; cost of illness; economic aspect; government; health care cost; health insurance; health service; human rights; India; international cooperation; medical tourism; medicine; policy; risk factor; safety net hospital",,,,,,,,"Connell, J., (2006) Tourism Management, 27 (6), pp. 1093-1100; John, Z., (2009) British Medical Journal, 339 (34), p. 535; Peng, W., (2014) Liberation Daily, , 3-16(02); Liu, B., (2008) Modern Business Trade Industry, 20 (6), pp. 103-104; Li, Z., Zheng, X., (2007) Journal of Tourism College of Zhengjiang, 3 (4), pp. 9-12; Zhang, C., (2011) Soft Science of Health, 25 (11), pp. 766-768; Reese, M., (2008) Healthcare Financial Management, 62 (9), p. 12; Zacharia, L., Bies, W., (2007) Mathematical and Computer Modeling, 46 (7), pp. 1144-1159; Green, S.T., (2008) Journal of Infection, 67 (1), pp. 101-110; Gao, J., Liu, C., (2010) Tourism Tribune, 25 (7), pp. 88-94","Li, Z.; Tourism Management Department, Economics and Management College, China Three Gorges UniversityChina",,,"Journal of Chemical and Pharmaceutical Research",,,,,09757384,,,,"English","J. Chem. Pharm. Res.",Article,"Final",,Scopus,2-s2.0-84907556038 "Ngamvichaikit A., Beise-Zee R.","56112205900;6602271753;","Communication needs of medical tourists: An exploratory study in Thailand",2014,"International Journal of Pharmaceutical and Healthcare Marketing","8","1",,"98","117",,6,"10.1108/IJPHM-10-2012-0010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84898402751&doi=10.1108%2fIJPHM-10-2012-0010&partnerID=40&md5=b708427cff2227e661c39e792b4fbeeb","Sukhothai Thammathirat Open University, Nonthaburi, Thailand; Ritsumeikan Asia Pacific University 1-1 Jumonjibaru, Beppu, Oita, Japan","Ngamvichaikit, A., Sukhothai Thammathirat Open University, Nonthaburi, Thailand; Beise-Zee, R., Ritsumeikan Asia Pacific University 1-1 Jumonjibaru, Beppu, Oita, Japan","Purpose: The aim of this paper is to contribute a conceptualization of the information and communication needs of medical tourists from Western countries in an Asian health care context. Design/methodology/approach: Multi-phase, semi-structured, in-depth interviews and observations were conducted with 27 multi-source informants who have communication experience in the international healthcare setting. Findings: Multi-level information provision should be used to address communicative incongruence in Asian healthcare provider - Western patient encounters as was self-reported by the participants and observed by authors. The use of an informative communication model is proposed in order to facilitate interaction and the effective transfer of information with Western patients to overcome negative, underlying emotions and enable autonomous decision making by the patients. Research limitations/implications: This exploratory study is focused on Western patients and Asian practitioners in Thailand. Future research in other countries and with patients from other geographical areas could expand to generalize findings. Practical implications: Fostering information sharing with Western patients by using an integrative communication model can improve patient satisfaction and health outcomes. The need for developing and implementing these improved practices for communicating with Western patients is reflected by the healthcare industry's current developmental trends helping to lead to a future of health service internationalization. Originality/value: This is the first empirical study to provide insights concerning the communication needs and coping strategies of Western patients with Asian doctors in developing countries. © Emerald Group Publishing Limited.","Asian doctors; Communication strategies; International healthcare; Medical tourism; Physician-patient communication; Thailand; Western patients",,,,,,,,,"Baalbaki, I., Ahmed, Z.U., Pashtenko, V.H., Makarem, S., Patient satisfaction with healthcare delivery systems (2008) International Journal of Pharmaceutical and Healthcare Marketing, 2 (1), pp. 47-62; Beck, R.S., Daughtridge, R., Sloane, P.D., Physician-patient communication in the primary care office: A systematic review (2002) Journal of the American Board of Family Practice, 15 (1), pp. 25-38; Berger, J.T., Culture and ethnicity in clinical care (1998) Archives of Internal Medicine, 158 (19), pp. 2085-2090; Brock, D.W., Wartman, S.A., When competent patients make irrational choices (1990) New England Journal of Medicine, 322 (22), pp. 1595-1599; Charavel, M., Bremond, A., Moumjid-Ferdjaoui, N., Mignotte, H., Carrere, M.O., Shared decision-making in question (2001) Psycho-Oncology, 10 (2), pp. 93-102; Charles, C., Gafni, A., Whelan, T., Shared decision-making in the medical encounter: What does it mean? (Or it takes at least two to tango) (1997) Social Science & Medicine, 44 (5), pp. 681-692; Charles, C., Gafni, A., Whelan, T., Decision-making in the physician-patient encounter: Revisiting the shared treatment decision-making model (1999) Social Science & Medicine, 49 (5), pp. 651-661; Chon, K.S., Olsen, M.D., Functional and symbolic congruity approaches to consumer satisfaction/dissatisfaction in consumerism (1991) Journal of the International Academy of Hospitality Research, (3), pp. 2-22; Claramita, M., Utarini, A., Soebono, H., van Dalen, J., van Der Vleuten, C., Doctor-patient communication in a Southeast Asian setting: The conflict between ideal and reality (2011) Advances in Health Sciences Education, 16 (1), pp. 69-80; Colaizzi, P.F., (1978) Psychological Research as the Phenomenologist Views It, , Oxford University Press, New York, NY; Collingridge, D.S., Gantt, E.E., The quality of qualitative research (2008) American Journal of Medical Quality, 23 (5), pp. 389-395; Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? 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J. Pharm. Healthc. Mark.",Article,"Final",,Scopus,2-s2.0-84898402751 "Jarman H., Truby K.","23090529900;55531517100;","Traveling for Treatment: A Comparative Analysis of Patient Mobility Debates in the European Union and United States",2013,"Journal of Comparative Policy Analysis: Research and Practice","15","1",,"37","53",,6,"10.1080/13876988.2012.742983","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874781838&doi=10.1080%2f13876988.2012.742983&partnerID=40&md5=ea3e89354b19e570aa424ead41f7d076","Center for Law, Ethics, and Health, The Department of Health Management and Policy, University of Michigan School of Public Health, 1420 Washington Heights, M3523, Ann Arbor, MI 48109-2029, United States; Department of Political Science, Rockefeller College of Public Affairs and Policy, State University of New York, Albany, NY, United States","Jarman, H., Center for Law, Ethics, and Health, The Department of Health Management and Policy, University of Michigan School of Public Health, 1420 Washington Heights, M3523, Ann Arbor, MI 48109-2029, United States; Truby, K., Department of Political Science, Rockefeller College of Public Affairs and Policy, State University of New York, Albany, NY, United States","International medical travel, or medical tourism, is receiving attention globally. Most discussions focus on the potential savings from outsourcing medical care. This article adopts a comparative approach, identifying lessons from European Union discussions that illuminate areas left obscure in the broader international debate. First, it points out that the highly visible US debate, focused on cost, is ignoring two other crucial components of health care policy: access and quality. Second, it examines debates about medical travel in the European Union in order to understand the kinds of issues that arise when considering access and quality in medical travel, the political discussions that emerge, and the solutions that the EU has been able to adopt. 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(2003) Public Administration, 81 (3), pp. 533-553; Zeitlin, J., Pochet, P., (2005) The Open Method of Co-ordination in Action: The European Employment and Social Inclusion Strategies, , Brussels, Brussels,: PIE/Peter Lang","Jarman, H.; Center for Law, Ethics, and Health, The Department of Health Management and Policy, University of Michigan School of Public Health, 1420 Washington Heights, M3523, Ann Arbor, MI 48109-2029, United States; email: hjarman@umich.edu",,,,,,,,13876988,,,,"English","J. Comp. Policy Anal. Res. Pract.",Article,"Final",,Scopus,2-s2.0-84874781838 "McHale J.V.","7006240472;","Organ transplantation, the criminal law, and the health tourist",2013,"Cambridge Quarterly of Healthcare Ethics","22","1",,"64","76",,6,"10.1017/S0963180112000394","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84873826965&doi=10.1017%2fS0963180112000394&partnerID=40&md5=a18f60d0426e2fd86942f3fb45c70583","Department of Health Care Law, Centre for Health Law, Science and Policy, University of Birmingham, United Kingdom","McHale, J.V., Department of Health Care Law, Centre for Health Law, Science and Policy, University of Birmingham, United Kingdom",[No abstract available],,"article; commercial phenomena; crime; criminal law; ethics; European Union; human; legal aspect; medical tourism; organ transplantation; United Kingdom; Commerce; Crime; Criminal Law; European Union; Great Britain; Humans; Medical Tourism; Organ Transplantation",,,,,,,,"R (on the application of Watts) v. 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Ethics",Article,"Final",,Scopus,2-s2.0-84873826965 "Lunt N., Green S.T., Mannion R., Horsfall D.","6603761945;7403568394;7007006015;35848647100;","Quality, safety and risk in medical tourism",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"31","46",,6,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917441836&doi=10.4324%2f9780203109458&partnerID=40&md5=767465f284a5aff2ce352b5dc48b88dc","University of York, Heslington, York, United Kingdom; Sheffield Teaching Hospitals Foundation NHS Trust, Sheffield, United Kingdom; School of Social Policy, University of Birmingham, Edgbaston, United Kingdom","Lunt, N., University of York, Heslington, York, United Kingdom; Green, S.T., Sheffield Teaching Hospitals Foundation NHS Trust, Sheffield, United Kingdom; Mannion, R., School of Social Policy, University of Birmingham, Edgbaston, United Kingdom; Horsfall, D., University of York, Heslington, York, United Kingdom",[No abstract available],,,,,,,,,,"Barclay, E., Stem-cell experts raise concerns about medical tourism (2009) The Lancet, 373, pp. 883-884; Barron, N.C., (2008) Seeking Beauty, Cutting Costs: Why So Many Americans Go under the Knife Abroad, , Print Journalism (M.A), University of Southern California; Barrowman, R.A., Grubor, D., Chandu, A., Dental implant tourism (2010) Australian Dental Journal, 55, pp. 441-445; Bertinato, L., Busse, R., Fahy, N., Legido-Quigley, H., McKee, M., Palm, W., Passarani, I., Ronfini, F., (2005) Cross-Border Health Care in Europe, , Copenhagen: WHO; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) The American Journal of Surgery, 199, pp. 604-608; Boschert, S., (2007) Treating ‘transplant tourists’ after the Fact, , http://www.entrepreneur.com/tradejournals/article/print/178448629.html, Internal Medicine News; (2005) Annual Abstract of Statistics, , Brasília: EMBRATUR; Burge, P., Devlin, N., Appleby, J., Rohr, C., Grant, J., Do patients always prefer quicker treatment?: A discrete choice analysis of patients stated preferences in the london patient choice project’ (2004) Applied Health Economics and Health Policy, 3, pp. 183-194; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of united states residents who undergo kidney transplantation overseas (2006) Transplantation, 82, pp. 1658-1661; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6, pp. 447-454; Carrera, P., Lunt, N., A european perspective on medical tourism: The need for a knowledge base (2010) International Journal of Health Services, 40, pp. 469-484; Chee, H.L., (2007) Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare, , http://www.ari.nus.edu.sg/docs/wps/wps07_083.pdf, ARI Working Paper, 83. 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Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917441836 "Michalkó G., Rátz T., Hinek M.","24166977600;15840819800;15839400600;","Spatial differences in Hungarian medical tourism supply based on service providers' online presence",2012,"Hungarian Geographical Bulletin","61","1",,"31","47",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858595947&partnerID=40&md5=e3f497a7218baa7b299d9cb4a26aa57c","Geographical Institute, Research Centre for Astronomy and Earth Sciences, Hungarian Academy of Sciences, Budaörsi út 45, H-1112 Budapest, Hungary; Kodolányi János University of Applied Sciences, Fürdo u. 1, H-8000 Székesfehérvár, Hungary","Michalkó, G., Geographical Institute, Research Centre for Astronomy and Earth Sciences, Hungarian Academy of Sciences, Budaörsi út 45, H-1112 Budapest, Hungary; Rátz, T., Kodolányi János University of Applied Sciences, Fürdo u. 1, H-8000 Székesfehérvár, Hungary; Hinek, M., Kodolányi János University of Applied Sciences, Fürdo u. 1, H-8000 Székesfehérvár, Hungary","Medical tourism is a relatively new field in Hungarian health tourism development, with significant growth potential. The paper presents the findings of an Internet-based research project that aims to explore the fundamental characteristics of medical tourism in Hungary. The key issues discussed in the framework of the analysis are the interrelation- ship of healthcare and tourism on the one hand, and the spatial distribution of medical services and treatments on the other hand. The research identified four main segments of the Hungarian medical tourism product: (1) the international tourism- and expatriate- oriented healthcare of Budapest, (2) the socio-geographically determined medical practices located near the Austrian border, (3) the combination of traditional spa culture and latest medical technology in the classical spa towns, and (4) the fast developing regional centres of the periphery.","Health tourism; Hungary; Medical services; Medical tourism; Online communication","health care; Internet; medical geography; research work; service provision; spatial analysis; tourism development; tourism management; tourist destination; border region; communication; health services; tourism; Hungary; Austria; Budapest",,,,,,,,"Ackerman, S., Plastic Paradise: Transforming Bodies and Selves in Costa Rica's Cosmetic Surgery Tourism Industry (2010) Medical Anthropology, 29 (4), pp. 403-423; Aizura, A., Where Health and Beauty Meet: Femininity and Racialization in Thai Cosmetic Surgery Clinics (2009) Asian Studies Review, 33 (3), pp. 303-317; Bauer, I., The Health Impact of Tourism on Local and Indigenous Populations in Resource-poor Countries (2008) Travel Medicine and Infectious Disease, 6 (5), pp. 276-291; Bertalan, L., Jankó, F., Nagy, M., Presits, A., A kiskereskedelem területhasználatának változása Gyo{double acute}rben és Sopronban: A bevásárlóközpontok hatása a belvárosi kereskedelemre. 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Surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cormany, D., Baloglu, S., Medical Travel Facilitator Websites: An Exploratory Study of Web Page Contents and Services Offered to the Prospective Medical Tourist (2011) Tourism Management, 32 (4), pp. 709-716; Crooks, V., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting Medical Tourism to India: Messages, Images, and the Marketing of International Patient Travel (2011) Social Science and Medicine, 72 (5), pp. 726-732; Földvári, Z., Osztrák fogturizmus: Hídpénzszedo{double acute}k (Austrian dental tourism: Costs of crossing a bridge) (2000) Heti Világgazdaság, 22 (19), pp. 47-51; Granzin, K., Olsen, J., Painter, J., Marketing to Consumer Segments Using Health- promoting Lifestyles (1998) Journal of Retailing and Consumer Services, 5 (3), pp. 131-141; Gyori, R., Jankó, F., Nyugat-Dunántúl és Burgenland regionális fejlettségi különbségeinek alakulása 1910 és 2001 között (Changes in regional development differences of West Transdanubia and Burgenland from 1910 to 2011) (2009) Soproni Szemle, 63 (2), pp. 218-238; Helmy, E., Travers, R., Towards the Development of Egyptian Medical Tourism Sector (2009) Anatolia: An International Journal of Tourism and Hospitality Research, 20 (2), pp. 419-439; Heung, V., Kucukusta, D., Song, H., Medical Tourism Development in Hong Kong: An Assessment of the Barriers (2010) Tourism Management, 32 (5), pp. 995-1005; Horton, S., Cole, S., Medical Returns: Seeking Health Care in Mexico (2011) Social Science and Medicine, 72 (11), pp. 1846l-1852; Jankó, F., (2009) Geographisches Jahrbuch Burgenland 2009, p. 436. , Hrsg, Band 33. Neutal, Vereinigung Burgenländischer Geographen; Jeevan, R., Birch, J., Armstrong, A., Travelling Abroad for Aesthetic Surgery: Informing Healthcare Practitioners and Providers while Improving Patient Safety (2011) Journal of Plastic, Reconstructive and Aesthetic Surgery, 64 (2), pp. 143-147; Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What is Known About the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review (2010) International Journal For Equity In Health, 9 (24), pp. 1-13; Kangas, B., Traveling for Medical Care in a Global World (2010) Medical Anthropology, 29 (4), pp. 344-362; Kincses, G., A határon átnyúló egészségügyi ellátás perspektívái (Prospects of trans- border health care) (2010) Turizmus Bulletin, 14 (4), pp. 69-72; Nagy, L., (1991) Magyarország Története 1919-1945, p. 186. , (History of Hungary 1919-1945) Történelmi Figyelo{double acute} Könyvek 1. Debrecen, Kossuth Lajos Tudományegyetem; Lautier, M., Export of Health Services from Developing Countries: The Case of Tunisia (2008) Social Science and Medicine, 67 (1), pp. 101-110; Lee, C., Health Care and Tourism: Evidence from Singapore (2010) Tourism Management, 31 (4), pp. 486-488; Leggat, P., Kedjarune, U., Dental Health,'Dental Tourism' and Travellers (2009) Travel Medicine and Infectious Disease, 7 (3), pp. 123-124; Lunt, N., Hardey, M., Mannion, R., Nip, Tuck and Click: Medical Tourism and the Emergence of Web-Based Health Information (2010) The Open Medical Informatics Journal, 4, pp. 1-11; Michalkó, G., (2004) Bevásárlóturizmus (Shopping Tourism), p. 108. , Székesfehérvár, Kodolányi János Fo{double acute}iskola; Michalkó, G., Kiss, K., Kovács, B., Sulyok, J., The impact of tourism on subjec- tive quality of life among Hungarian population (2009) Hungarian Geographical Bulletin, 58 (2), pp. 121-136; Moghimehfar, F., Nasr-Esfahani, M., Decisive Factors in Medical Tourism Destination Choice: A Case Study of Isfahan, Iran and Fertility Treatments (2011) Tourism Management, 32 (6), pp. 1431-1434; Nagy, E., A kereskedelmi ingatlan-fejlesztések néhány sajátossága és térszerkezet- formáló szerepe a kelet-közép-európai városokban (Some Specialities and Configuration Forming Functions of Commercial Property-Developments in Eastern- Central-European Cities) (1999) Alföldi Tanulmányok, 17, pp. 13-28; Ormond, M., Shifting Subjects of Healthcare: Placing 'Medical Tourism' in the Context of Malaysian Domestic Healthcare Reform (2011) Asia Pacific Viewpoint, 52 (3), pp. 247-259; Rhodes, R., Schiano, T., Transplant Tourism in China: A Tale of Two Transplants (2010) The American Journal of Bioethics, 10 (2), pp. 3-11; Sheaff, R., Healthcare Access and Mobility between the UK and Other European Union States: An 'Implementation Surplus' (1997) Health Policy, 42 (3), pp. 239-253; Sobo, E., Medical Travel: What it Means, Why it Matters (2009) Medical Anthropology, 28 (4), pp. 326-335; Stremersch, S., Health and Marketing: The Emergence of a New Field of Research (2008) International Journal of Research In Marketing, 25 (4), pp. 229-233; Svantesson, D., From the Airport to the Surgery to the Courtroom - Private International Law and Medical Tourism (2008) Commonwealth Law Bulletin, 34 (2), pp. 265-276; Szuts, L., Fogturizmus, az új hungarikum (Dental tourism: A new hungaricum is showing up) (2010) No{double Acute}vér, 23 (5), pp. 32-39; Vértessy, P., Fontért koronát - Brit fogturizmus Magyarországon (Pounds for caps - British dental tourism in Hungary) (2006) Figyelo{double acute}, 50 (32), pp. 44-47; Warf, B., Do You Know the Way to San José? Medical Tourism in Costa Rica (2010) Journal of Latin American Geography, 9 (1), pp. 51-66; Whittaker, A., Manderson, L., Cartwright, E., Patients without Borders: Understanding Medical Travel (2010) Medical Anthropology, 29 (4), pp. 336-343; Whittaker, A., Speier, A., Cycling Overseas: Care, Commodification, and Stratification in Cross-Border Reproductive Travel (2010) Medical Anthropology, 29 (4), pp. 363-383; Whittaker, A., Pleasure and Pain: Medical Travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Ye, B., Qiu, H., Yuen, P., Motivations and Experiences of Mainland Chinese Medical Tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127; Yu, J.Y., Ko, T.G., A Cross-cultural Study of Perceptions of Medical Tourism Among Chinese, Japanese and Korean Tourists in Korea (2011) Tourism Management, , doi:10.1016/J.tourman.2011.02.002","Michalkó, G.; Geographical Institute, Research Centre for Astronomy and Earth Sciences, Hungarian Academy of Sciences, Budaörsi út 45, H-1112 Budapest, Hungary; email: michalko@iif.hu",,,"Reasearch Centre for Astronomy and Earth Sciences Hungarian Academy",,,,,00155403,,,,"English","Foldr. Ert.",Article,"Final",,Scopus,2-s2.0-84858595947 "Al-Lamki L.","57190209442;","Medical tourism beneficence or maleficence?",2011,"Sultan Qaboos University Medical Journal","11","4",,"444","447",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-80055002891&partnerID=40&md5=2d82feef3bf45d49381f7bad869d30f7","SQU Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman","Al-Lamki, L., SQU Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman",[No abstract available],,,,,,,,,,"Al-Hinai, S.S., Al-Busaidi, A.S., Al-Busaidi, I.H., Medical Tourism Abroad: A new challenge to Oman's health system - the Al Dakhilya region experience (2011) Sultan Qaboos University Med J, 11, pp. 477-486; http://en.wikipedia.org/wiki/Medical_tourism, Accessed: Oct 2011; International Trade In Health Sciences. OECD - Directorate of Employment, Labour and Social Afairs, , http://www.oecd.org/document/48/0,3746,en_2649_33929_48724272_1_1_1_1,00.html, Accessed: Oct 2011; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfal, D., Mannion, R., Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review. OECD, Directorate For Employment, Labour and Social Afairs, , http://www.oecd.org/dataoecd/51/11/48723982.pdf, Accessed: Oct 2011; Jagyasi, P., Defning Medical Tourism - Another Approach. Medical Tourism Magazine, , http://www.medicaltourismmag.com/issue-detail.php?item=136&issue=6, Accessed: Oct 2011; Horowitz, M.D., Jones, C.A., Medical Tourism: Globalization of the healthcare marketplace (2007) Med Gen Med, 9, p. 33. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234298/, Epub 13 Nov 2007, Accessed: Oct 2011; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health, 85, pp. 164-165. , http://www.who.int/bulletin/volumes/85/3/07-010307/en/index.html, Accessed: Oct 2011; Gray, H.H., Poland, S.C., Medical tourism crossing borders to access health care (2008) Kennedy Inst Ethics J, 18, pp. 193-201. , http://muse.jhu.edu/journals/kennedy_institute_of_ethics_journal/v018/18.2.gray.html, Accessed: Oct 2011; Herrick, D.M., Medical Tourism: Global Competition in Health Care National Center For Policy Analysis, , www.ncpa.org/pub/st/st304, Accessed: Oct 2011; Madden, C.L., Medical Tourism Causes Complications, , http://www.atimes.com/atimes/Asian_Economy/JK07Dk01.html, Asia Times, 7 Nov 2008, Accessed: Oct 2011; www.unep.org/bpsp/Tourism/WTO%20Code%20of%20Conduct.pdf, World Tourism Organization's Global Code of Ethics for Tourism, Accessed: Oct 2011; www.declarationofstanbul.org, Declaration of Istanbul on Organ Trafcking and Transplantation Tourism, Accessed: Oct 2011; Medical Tourism Can Mean Attractive Opportunities For Foreign Patients and Investors, , http://www.nuwireinvestor.com/articles/top-5-medical-tourism-destinations-51502.aspx, Top 5 Medical Tourism Destinations, Accessed: Oct 2011; Tutton, M., Medical Tourism: Have Illness, Will Travel By CNN Health, , http://articles.cnn.com/2009-03-26/health/medical.tourism_1_medical-tourism-jci-accredited-foreign-patients?_s=PM:HEALTH, Accessed: Oct 2011; Burney, I., Te trend to seek a second opinion abroad amongst cancer patients in Oman (2009) Sultan Qaboos University Med J, 9, pp. 260-263","Al-Lamki, L.; SQU Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman; email: mjournal@squ.edu.om",,,,,,,,2075051X,,,,"English","Sultan Qaboos Univ. Med. J.",Editorial,"Final",,Scopus,2-s2.0-80055002891 "Asadi R., Daryaei M.","50461130200;50461210600;","Strategies for development of Iran health tourism",2011,"European Journal of Social Sciences","23","3",,"329","344",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-80052844257&partnerID=40&md5=7032e6434101cce049a497c4ba4fd724","Azerbaijan National Academy of Sciences, Institute of Geography, Baku, Postal Code: 51837-31734, Azerbaijan; Tabriz University of Medical Sciences, Iran","Asadi, R., Azerbaijan National Academy of Sciences, Institute of Geography, Baku, Postal Code: 51837-31734, Azerbaijan; Daryaei, M., Tabriz University of Medical Sciences, Iran","Tourism industry of any country consists of different forms of tourism for which matching and adaptation of strategies with the nature of destination is necessary, because provided policies and strategies for development of each form of tourism in any country are different and sometimes even opposite. Health tourism as one the most important forms of tourism is not an exception and preparing strategies for its development will not be possible without considering its specific and extraordinary environment. The object of preparing and writing this article is to formulate suitable strategies for Iran health tourism in a three phase framework consisting of input, matching and decision levels. Provided instruments and techniques in this framework are suitable for different levels of strategic planning (e.g. local, urban, regional, and so on). Also this research is applied in target and the subjects are technical managers of tourism agencies in the country and data is gathered by designing and distribution of questionnaire. Provided instruments and techniques in this framework are suitable for different levels of strategic planning (e.g. local, urban, regional, and so on). Also this research is applied in target and the subjects are all technical managers of tourism agencies in the country and data is gathered by designing and distribution of questionnaire. Surveys show that health tourism is one of the important forms of tourism in Iran and can attract a large number of domestic and foreign tourists. Results indicate that aggressive strategies are in the first priority; in addition, considering lots of strengths of the industry penetration in market, and development of products is also suggested among other aggressive strategies. Determining and prioritization of Iran health tourism strategies are some practical results of this article.","Aggressive strategies; Forms of tourism; Health tourism; Iran health tourism; Strategic planning; TOPSIS",,,,,,,,,"Hall, C.M., Tourism Development (1998) Dimensions and Issues, , South Melbourne: Addison Wesley Longman; Cook, P.S., What is Health and Medical Tourism? Humanities Research Program, , Queensland University of Technology; Bennett, M., King, B., Milner, L., The health resort sector in Australia: Positioning study' (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; (2005) Wellness, , http://www.accd.edu/sac/wellness/wellpage.htm, SAC (SAN ANTONIO COLLEGE), Accessed on 21 September 2005; Smith, M., Kelly, C., Wellness Tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; (2000) Complementary and Alternative Medicine, , http://www.parliament.the-stationery-office.co.uk/pa/ld199900/, House of Lords Report; Mullholland, C., (2005) Depression and Suicide In Men, , http://www.netdoctor.co.uk, Accessed on 20 September 2005; Kaspar, C., Gesundheitstourismus im Trend (1996) Jahrbuch Der Schweizer Tourismuswirtschaft, pp. 53-61. , in: Institut für Tourismus und Verkehrswirtschaft, 1995/96, St. Gallen 1996; Monica, R., (2007) Hospital and Medical Tourism In Singapore. Ezine Articles, , http://ezinearticles.com, Retrieved December, 22, 2007, From; Caballero, S.D., Mugomba, C., (2006) Medical Tourism and Its Entrepreneurial Opportunities-A Conceptual Framework For Entry Into the Industry, , Dissertation of Master Degree (Goteborg University); Simpson, K., Strategic Planning and Community Involvement as Contributors to Sustainable Tourism Development (2001) Current Issues In Tourism, 4 (1), pp. 3-41; (1995) Prospects For Health Tourism Exports For the English-Speaking Caribbean, , World Bank, World Bank, Washington, D.C. Social Sectors Development Strategies, Inc. September 1995; Mueller, H., Kaufmann, E.L., (2001) Wellness Tourism: Market Analysis of a Special Health Tourism Segment and Implications For the Hotel Industry, , Research Institute for Leisure and Tourism, University of Berne, Engehaldenstrasse 4, CH-3012 Bern, Switzerland; Gonzales, A., Brenzel, L., Sancho, J., (2001) Health Tourism and Related Services: Caribbean Development and International Trade, , Submitted to the Regional Negotiating Machinery (RNM). Final Report: 31/08/01; Kezemi, Z., (2008) Study of the Effective Factors For Attracting Medical Tourism In Iran, , Lolea University of Technology. Department of Business Administration and Social Sciences; (2007), www.iranhealthtourism.com, IHT, 2007, accessed:12/05/2007; Tourani, S., Jamaledin, T.S., Tofighi, S., Zadeh, N.S., Medical Tourism in Iran: Analysis of Opportunities and Challenges with MADM Approach (2010) Department of Health Services Administration. Research Journal of Biological Sciences, 5 (3), pp. 251-257; (2009) Country Market Insight, pp. 36-41. , Euromonitor International, London: Euromonitor International; Bland, J.M., Altman, D.G., Statistics notes: Cronbach's alpha (1997) BMJ, 314, p. 572. , 1997; Pill, J., The Delphi method: Substance, context, a critique and an annotated bibliography (1971) Socio-Economic Planning Science, 5, pp. 57-71; Saaty, T.L., How to make a decision: The Analytic Hierarchy Process (1990) European Journal of Operational Research, (48); Triantaphyllou, E., (2000) Multi-Criteria Decision Making Methods: A Comparative Study, pp. 5-201. , Kluwer Academic Publishers, Netherlands; Ho, W., Xu, X., Dey, P.K., Multi-criteria decision making approaches for supplier evaluation and selection: A literature review (2010) Eu J of O R, 202, pp. 16-24; Shih, H.S., Shyur, H.J., Lee, E.S., An extension of TOPSIS for group decision making (2007) Math and Com Mod, 45, pp. 801-813; Iranzadeh, S., Chakherlouy, F., Recognition and grade effective factors in empowerment with the technique for order-preference by similarity to ideal solution (2010) J. Applied Sci, 10, pp. 1762-1768; Manikrao, A.V., Chakraborty, S., A TOPSIS Method-based Approach to Machine Tool Selection (2010) Proceedings of the 2010 International Conference of Industrial Engineering and Operations Management Dhaka, , Bangladesh, January 9-10, 2010, India; David, F.R., (2007) Strategic Management Concepts and Cases, , New York: Prentice-Hall; David, F., The Strategic Planning Matrix- A Quantitative Approach (2009) Long Range Planning, 19 (5); David, F.R., (2006) Strategic Management Concepts and Cases, , USA: Prentice-Hall Publishing Company; Bradford, R.W., Duncan, P.J., Tarcy, B., (2006) Simplified Strategic Planning: A No-Nonsense Guide For Busy People Who Want Results Fast!; Weihrich, H., The TOWS Matrix: Tool for Situational Analysis (1982) Long Range Planning, 15 (2); Jobber, D., (2004) Principles and Practice of Marketing, , UK: McGraw-Hill International","Asadi, R.; Azerbaijan National Academy of Sciences, Institute of Geography, Baku, Postal Code: 51837-31734, Azerbaijan; email: Ra_asadi@yahoo.com",,,,,,,,14502267,,,,"English","Eur. J. Soc. Sci.",Article,"Final",,Scopus,2-s2.0-80052844257 "Narasimhalu D.","56129104000;","Redefining medical tourism",2010,"Cases on Technology Innovation: Entrepreneurial Successes and Pitfalls",,,,"267","285",,6,"10.4018/978-1-61520-609-4.ch014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899246577&doi=10.4018%2f978-1-61520-609-4.ch014&partnerID=40&md5=ed09c652c394c505cb5e190d6e63630f","Information Systems Practice, The School of Information Systems, Singapore Management University, Singapore","Narasimhalu, D., Information Systems Practice, The School of Information Systems, Singapore Management University, Singapore","Dr. Wei Siang Yu, a medical doctor who is a compulsive serial entrepreneur and the founder of the FlyFreeForHealth, has created a comprehensive medical tourism service using a multimedia platform as the core engine. FlyFreeForHealth has started gaining traction in several countries across Asia including the Philippines and Australia. Dr. Wei has been very resourceful in exploiting business opportunities by leveraging emerging technologies for his company's products. The rapid growth of the company requires Dr. Wei to focus on developing an enterprise related information and technology architecture for FlyFreeForHealth. © 2010, IGI Global.",,,,,,,,,,"Altman, S., Shactman, D., Eliat, E., Could U.S. Hospitals go the way of U.S. Airlines? (2006) Health Affairs, 25 (1), pp. 11-21. , doi:10.1377/hlthaff.25.1.11; (2008) New AMA Guidelines on Medical Tourism, , American Medical Association; Bakic, O., Hrabovski-Tomic, E., Informal education for aanagement in health tourism (2008) Tourism and Hospitability Management, 14 (1), pp. 1-12; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159. , doi:10.1016/j.mcm.2007.03.027; Blouin, C., Trade policy and health: From conflicting interests to policy coherence (2007) Bulletin of the World Health Organization, 85, pp. 169-173. , doi:10.2471/BLT.06.037413; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York, Palgrave; Borman, E., Health tourism: Where healthcare, ethics, and the state collide (2004) British Medical Journal, 328, pp. 60-61. , doi:10.1136/bmj.328.7431.60; Brown, S., Medical tourism: Nations vie for health dollars (2008) Hospitals & Health Networks, 82 (12), p. 49; Bryant, R., Despite turbulent times, dead sea draws medical tourism (2002) Dermatology Times, 23 (2), p. 8; Carrera, P., Medical tourism (2006) Health Affairs, 25 (5), p. 1453. , doi:10.1377/hlthaff.25.5.1453; Castonguay, G., Brown, A., Plastic surgery tourism proving a boon for costa rica's surgeons (1993) Canadian Medical Association Journal, 148 (1), pp. 74-76; Cheung, I., Wilson, A., Arthroplasty tourism (2007) The Medical Journal of Australia, 187 (11-12), pp. 666-667; Connell, J., Medical tourism: Sea sun sand and... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , doi:10.1016/j.tourman.2005.11.005; Dunn, P., An american in bangkok (2007) Hospitals & Health Networks, 81 (11), p. 43; Forgoione, D., Smith, P., Medical tourism and its impact on the us health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; Goodrich, J., Health-care tourism in the caribbean (1993) Tourism Marketing and Management in the Caribbean, pp. 122-128. , In D. Gayle & J. Goodrich (eds.), New York: Routledge; Gray, H., Poland, S., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201; Hanson, F., A revolution in healthcare: Medicine meets the marketplace (2008) Public Affairs Report, 59, p. 4; Hay, B., New tourism market: Health and well being holidays (2001) Countryside Tourism, 9 (2), pp. 14-16; Henderson, J., Healthcare tourism in southeast asia (2004) Tourism Review International, 7 (3-4), pp. 111-121; Herrick, D., (2007) Medical Tourism: Global Competition in Health Care, , National Center for Policy Analysis; Horowitz, M.D., Rosensweig, J.A., Medical tourism - Health care in the global economy (2007) Physician Executive, 33 (6), p. 24; Judkins, G., Persistence of the us - Mexico border: Expansion of medical-tourism amid trade liberalization (2007) Journal of Latin American Geography, 6 (2), pp. 11-32. , doi:10.1353/lag.2007.0042; Kangas, B., Hope from abroad in the international medical travel of yemeni patients (2007) Anthropology & Medicine, 14 (3), pp. 293-305. , doi:10.1080/13648470701612646; McCallum, B.T., Jacoby, P.F., Medical outsourcing: Reducing clients' health care risks (2007) Journal of Financial Planning, 20 (10), p. 60; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) The New England Journal of Medicine, 355 (16), pp. 1637-1640. , doi:10.1056/NEJMp068190; Mirrer-Singer, P., Medical malpractice overseas: The legal uncertainty surrounding medical tourism (2007) Law and Contemporary Problems, 70 (2), pp. 211-233; Mitman, G., Hay fever holiday: Health, leisure, and place in gilded-age america (2003) Bulletin of the History of Medicine, 77, pp. 600-635. , doi:10.1353/bhm.2003.0127; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28, pp. 337-341. , doi:10.1136/jme.28.6.337; Rhea, S., Medical migration (2008) Modern Healthcare, 38 (18), p. 6; Ringer, G., Healthy spaces, healing places - Sharing experiences of wellness tourism in oregon, usa (2007) Selective Tourism: The Journal for Tourist Theory and Practice, 1 (1), pp. 29-39; Rotenberk, L., Medical tourism. As the world flattens, US hospitals expand their global reach (2008) Hospitals & Health Networks, 82 (6), p. 14; Smerd, J., Large companies hopping aboard medical tourism (2008) Workforce Management, 87 (11), p. 8; Stephens, S., Healing the world: Reverse medical tourism (2008) Magazine of Physical Therapy, 16 (9), pp. 26-29; Storrow, R., The handmaid's tale of fertility tourism: Passports and third parties in the religious regulation of assisted conception (2005) Texas Wesleyan Law Review, 12, p. 189; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician Medecin De Famille Canadien, 53, pp. 1639-1641; Medical tourists receive hifu treatment abroad (2008) Urology Times, 36 (9), p. 12. , Urology Times; Volz, D., Reverse medical tourism (2008) Hospitals & Health Networks, 82 (6), pp. 12-14","Narasimhalu, D.; Information Systems Practice, The School of Information Systems, Singapore Management UniversitySingapore",,,"IGI Global",,,,,,9781615206094,,,"English","Cases on Technol. Innov.: Entrepreneurial Successes and Pitfalls",Book Chapter,"Final",,Scopus,2-s2.0-84899246577 "Jose R., Sachdeva S.","17338706000;16310558100;","Keeping an eye on future: Medical tourism",2010,"Indian Journal of Community Medicine","35","3",,"376","378",,6,"10.4103/0970-0218.69247","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956965995&doi=10.4103%2f0970-0218.69247&partnerID=40&md5=b8ca65cd901c9ee302009f834df5c9c6","Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India, Nirman Bhawan, New Delhi - 110 108, India","Jose, R., Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India, Nirman Bhawan, New Delhi - 110 108, India; Sachdeva, S., Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India, Nirman Bhawan, New Delhi - 110 108, India",[No abstract available],,,,,,,,,,"(2009) Market Research Division, , Incredible India: Tourism statistics at a glance, Ministry of Tourism, Government of India. New Delhi: Vibha Press Pvt. Ltd 2008; Report of the Steering Committee on Tourism for the Eleventh Five Year Plan [2007-12], Planning Commission, Government of India, New Delhi; Annual Report, Ministry of Tourism, Government of India, New Delhi 2008-2009; (2006) International Passenger Survey: 2003, , Ministry of Tourism, Government of India, New Delhi, Final Report; Medical Tourism, , http://india.gov.in/overseas/visit_india/medical_india.php, Available from:, [last accessed on 2009 July 10]; CBS News in Depth: Healthcare, , http://www.cbc.ca/news/background/healthcare/medicaltourism.html, Medical tourism: Need surgery, will travel, Available from:, [last accessed on 2009 Jun 18]; Cost Comparison of Selected Intervention Across Few Nations, , http://www.saharamedicaltourism.com, Available from:, [last accessed on 2009 Aug 16]; (2008) Document. Social Sector: Volume II; Planning Commission, , Eleventh Five Year Plan [2007-12], Government of India. New Delhi: Oxford University Press; Improving quality and Patient Safety around the Globe, United States of America, , http://www.jointcommissioninternational.org, Annual Report 2008. Available from:, [last accessed on 2009 Jun 7]; http://www.qcin.org, Available from:, [last accessed on 2009 July 10]","Sachdeva, S.; Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India, Nirman Bhawan, New Delhi - 110 108, India; email: drsandeepsachdeva@gmail.com",,,,,,,,09700218,,,,"English","Indian J. Community Med.",Review,"Final",Open Access,Scopus,2-s2.0-77956965995 "Lin C.-T., Lee I.-F., Huang Y.-L.","8960911400;25923924000;35766129000;","Forecasting thailand's medical tourism demand and revenue from foreign patients",2009,"Journal of Grey System","21","4",,"369","376",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952716901&partnerID=40&md5=f21c9456b9602534142764d0bd082a51","Graduate School of Management, Ming Chuan University, 250 Zhong Shan North Road, Taipei 11103, Taiwan; President Office, Yuanpei University, Taiwan","Lin, C.-T., Graduate School of Management, Ming Chuan University, 250 Zhong Shan North Road, Taipei 11103, Taiwan, President Office, Yuanpei University, Taiwan; Lee, I.-F., Graduate School of Management, Ming Chuan University, 250 Zhong Shan North Road, Taipei 11103, Taiwan; Huang, Y.-L., Graduate School of Management, Ming Chuan University, 250 Zhong Shan North Road, Taipei 11103, Taiwan","Medical tourism makes a significant contribution to the economy in certain of countries and medical tourism market is also most rapidly growing in the world. Accurate forecasting of international medical tourism demand is important in medical tourism planning by both the nation policy development and business sectors owing to the limited resources of employment and investment This study is to apply grey forecasting model GM(1,1) to predict Thailand medial tourism demand and output value, and furthermore compares the accuracy rate of GM(1, 1) and time series model to estimate growth trend. In the case of medical tourism demand and output value forecasting for Thailand, an implementation predict error by GM(1, 1) is obviously better than the times series analysis model.","GM( 1, 1); Grey forecasting; Health tourism; Time series analysis",,,,,,,,,"Bennett, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-137; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2007) Forthcoming Indiana Law Journal, 83, pp. 71-132; Julong, D., Control problems of grey system (1982) Systems and Control Letters, 5, pp. 288-294; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; Hua, Z.S., Zhang, B., Yang, J., Tan, D.S., A new approach of forecasting intermittent demand for spare parts inventories in the process industries (2007) Journal of the Operational Research Society, 58, pp. 52-61; Huang, M., He, Y., Cen, H., Predictive analysis on electric-power supply and demand in China (2007) Renewable Energy, 32 (7), pp. 1165-1174. , DOI 10.1016/j.renene.2006.04.005, PII S096014810600098X; Lee, W.Y., Goodwin, P., Fildes, R., Nikolopoulos, K., Lawrence, M., Providing support for the use of analogies in demand forecasting tasks (2007) International Journal of Forecasting., 23, pp. 377-390; Lin, C.T., Wang, Y.H., Lin, W.R., Information effect of top executive turnover: Testing hybrid Grey-market model (2008) The Journal of Grey System, 20 (1), pp. 53-64; Lin, C.T., Hsu, P.F., Chen, B.Y., Comparing accuracy of GM(1, 1 ) and grey Verhulst model in Taiwan dental clinics forecasting (2007) The Journal of Grey System, 19 (1), pp. 31-38; Lin, C.T., Yang, S.Y., Forecast the output value of Taiwan's optoelectronics industry using the grey forecasting model (2003) Technological Forecasting and Social Change, 70, pp. 177-186; Pedregal, D.J., Young, P.C., Development of improved adaptive approaches to electricity demand forecasting (2008) Journal of the Operational Research Society, 58 (8), pp. 1066-1076; Wang, C.H., Hsu, L.C., Using genetic algorithms grey theory to forecast high technology industrial output (2008) Applied Mathematics and Computation, 195, pp. 256-263; Julong, D., Introduction to grey system theory (1989) The Journal of Grey System, 1, pp. 31-38","Lin, C.-T.; Graduate School of Management, Ming Chuan University, 250 Zhong Shan North Road, Taipei 11103, Taiwan; email: ctlin@mail.ypu.edu.tw",,,,,,,,09573720,,,,"English","J. Grey Syst.",Article,"Final",,Scopus,2-s2.0-77952716901 "Ben-Natan M., Ben-Sefer E., Ehrenfeld M.","34067503200;10539216800;57214519831;","Medical tourism: A new role for nursing?",2009,"Online Journal of Issues in Nursing","14","3",,"","",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-69549111356&partnerID=40&md5=39e4846d4a5c16353d6e1221f203ff7f","Department of Nursing, Tel Aviv University, Israel; University of Western Sydney, Macquarie University, Sydney, Australia","Ben-Natan, M., Department of Nursing, Tel Aviv University, Israel; Ben-Sefer, E., University of Western Sydney, Macquarie University, Sydney, Australia; Ehrenfeld, M., Department of Nursing, Tel Aviv University, Israel","Medical tourism is on the rise; however this healthcare trend raises significant issues related to the safety and appropriateness of care. The purpose of this article is to provide healthcare professionals with a better understanding of the phenomenon of medical tourism. The authors will begin by reviewing the history of medical tourism, noting specific medical tourism destinations, and presenting reasons for this increase in medical tourism. Next they will discuss quality and safety issues associated with medical tourism, provide criteria to assess quality of care in other countries, and address ethical and legal consideration inherent in medical tourism. They will conclude with a consideration of the nursing role in medical tourism. © 2009 OJIN: The Online Journal of Issues in Nursing.","Accreditation; Criteria for selecting medical tourism sites; International healthcare costs; Medical tourism; Nursing role in medical tourism; Quality of care in medical tourism",,,,,,,,,"Aiken, L.H., Clarke, S.P., Cheung, R.B., Sloane, D.M., Silber, J.H., Educational levels of hospital nurses and surgical patient mortality (2003) JAMA: Journal of the American Medical Association, 290 (12), pp. 1617-1623; Appleby, J., Schmidt, J., (2006) Sending patients packing. USA Today, , www.usatoday.com/money/industries/health/2006-07-26-travel-surgery-usat_x.htm, Retrieved July from 2008; Beauchamp, T.L., Childress, J.F., (2000) Principles of biomedical ethics, , 5th ed. New York: Oxford University Press; Bishop, R., Litch, J.A., Medical tourism can do harm (2000) BMJ, 320 (7240), p. 1017; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York: Palgrave MacMillian; Cartwright, R., Reducing the health risks associated with travel (2000) Tourism Economics, 6 (2), pp. 159-167; Cohen, D.J., (2009) Transplant tourism: a growing phenomenon, , www.nature.com/clinica/rpractice/neph, Retrieved February 24, 2009, from; Comarow, A., Under the knife in Bangalore (2008) US News World Report, 144 (13), pp. 47-50; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism, Management, 27 (6), pp. 1093-1100; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83, pp. 1-24; Donnelly, L., Sawer, P., (2007) Record numbers go abroad for health, , www.telegraph.co.uk, The Telegraph. Retrieved October 29, 2008; Edelheit, J., Overseas options (2008) Managed Healthcare Executive, 18 (2), pp. 28-30; Fried, B., Harris, D., Managing healthcare services in the global marketplace (2007) Frontiers of Health Services Management, 24 (2), pp. 3-18; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; Garcia-Altes, M., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gradstein, L., (2008) Patients flock to Israel for cheaper health care, 32 (1), pp. 262-266. , www.npr.org/templates/story/story.php?storyId=89621384, Retrieved January13, 2009, from: The development of health tourism services, Annals of Tourism Research; Hancock, D., (2006) The complete medical tourist - Your guide to inexpensive cosmetic, medical and dental surgery abroad, , London, UK: John Blake Publishing; Herrick, D.M., (2007) Medical tourism: Global competition in health care, , Dallas, TX: National Center for Policy Analysis; Horowitz, M.D., Rosensweig, J.A., Medical tourism-Health care in the global economy (2007) The Physician Executive, 12, pp. 24-30; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), pp. 33-41; (2009) Economy, , www.investopedia.com/terms/e/economy.asp, Investopedia. Retrieved July 10, 2009 from; (2009) Gross domestic product - GDP, , www.investopedia.com/terms/g/gdp.asp, Investopedia. Retrieved July 10, 2009 from; (2009) Indicator, , www.investopedia.com/terms/i/indicator.asp, Investopedia. Investopedia, Retrieved July from, 2009; Jutabha, R., (2007), www.medicaltourismmag.com/issue-detail.php?item=12&issue=1, [as reported by Tam, D., & Lim, J] Selecting a medical travel destination. Retrieved May 7, 2009, from; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: the dawning of a new paradigm for healthcare (2006) International Journal Fertility Women's Medicine, 51, pp. 251-255; Lancaster, J., Surgeries, side trips for medical tourists (2004) Washington Post, pp. A1. , October 21, 2004; Leyden, J., (2009) Save a child's heart, , www.saveachildsheart.org/sip_storage/FILES/9/939.pdf, Israel Resource New Agency. Retrieved October 29, 2008; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850; (2008) Medical tourism association, , www.medicaltourismassociation.com/, Retrieved December 11, 2008 from; (2004) Medical tourism Singapore, , http://medicaltourism.ca/medical-tourism-singapore.html, Medical Tourism Canada. Retrieved January, 13 2009, from; Morgan, D., (2001) Issues in medical law and ethics, , London: Cavendish Publishing; (2007) National coalition on health care, , www.nchc.org/, Retrieved October 29, 2008, from; Patients without borders: The emergence of medical tourism, , www.citizen.org/hrg/healthcare/articles.cfm?ID=16777, Public Citizens Health Research Group (n.d.). Retrieved December 18, 2008, from; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92, pp. 1433-1446; Richter, L.K., Richter, W.L., Ethics challenges: Health, safety and accessibility in international travel and tourism (1999) Public Personnel Management, 28 (4), pp. 595-15; Roberts, V., Calhoun, J., Jones, R., Sun, F., Fottler, M., Globalization of U Health Care Services: Assessment and Implementation (2000) Health Care Management Review, 25 (3), pp. 24-35; Schult, J., (2006) Beauty from Afar â€"" A medical tourist's guide to affordable and quality cosmetic care outside the U.S., , New York, NY: Stewart, Tabori, & Chang; Smith, M., Puczko, L., (2008) Health and wellness tourism, , USA: Elsevier Science & Technology Books; Terry, N.P., Under-regulated health care phenomena in a flat world: Medical tourism and outsourcing (2006) Western New England Law, 26, pp. 421-426; (2006) Preventing DVT When You Travel, , www.patient.co.uk/showdoc/23069201/, Patient United Kingdom Retrieved May 10, from 2008; Woodman, J., (2007) Patients beyond borders Everybody's guide to affordable, world-class medical tourism, , Chapel Hill, NC: Healthy Travel Media; (2008) Universal access to safe blood, , World Health Organization Department of Essential Health Technologies, Blood Transfusion Safety Unit Geneva: WHO","Ben-Natan, M.; Department of Nursing, Tel Aviv UniversityIsrael; email: Meraav@hy.health.gov.il",,,,,,,,10913734,,,,"English","Online J. Issues Nurs.",Article,"Final",,Scopus,2-s2.0-69549111356 "Toral R.","23974101700;","Quality, liability, aftercare. Medical tourism must nail down these three areas of concern in order to thrive.",2009,"Modern healthcare","39","21",,"20","",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-67649399081&partnerID=40&md5=fb323ae9a8af79d23bf37ba843cf7a66","International Medical Travel Association.","Toral, R., International Medical Travel Association.",[No abstract available],,"aftercare; article; economic aspect; health care delivery; health care quality; human; legal aspect; legal liability; standard; travel; Aftercare; Delivery of Health Care; Economic Competition; Humans; Liability, Legal; Quality of Health Care; Travel",,,,,,,,,"Toral, R.",,,,,,,,01607480,,,"19530290","English","Mod Healthc",Article,"Final",,Scopus,2-s2.0-67649399081 "Lo C.-C., Cheng D.-Y., Chen C.-H., Yan J.-S.","7401771564;36883572600;35799698800;55467789100;","Design and implementation of situation-aware medical tourism service search system",2008,"2008 International Conference on Wireless Communications, Networking and Mobile Computing, WiCOM 2008",,, 4680712,"","",,6,"10.1109/WiCom.2008.2523","https://www.scopus.com/inward/record.uri?eid=2-s2.0-58049084746&doi=10.1109%2fWiCom.2008.2523&partnerID=40&md5=2b5a01a1c0860354a7738d934013f3e7","Institute of Information Management, National Chiao-Tung University, Hsinchu, 300, Taiwan; Institute of Communication Engineering, National Taipei University, Taipei, 104, Taiwan","Lo, C.-C., Institute of Information Management, National Chiao-Tung University, Hsinchu, 300, Taiwan; Cheng, D.-Y., Institute of Information Management, National Chiao-Tung University, Hsinchu, 300, Taiwan; Chen, C.-H., Institute of Information Management, National Chiao-Tung University, Hsinchu, 300, Taiwan; Yan, J.-S., Institute of Communication Engineering, National Taipei University, Taipei, 104, Taiwan","Recently medical tourism is becoming more popular, as more people realize its benefits. The main benefits of health tourism include getting the opportunity to travel to an exotic destination and reaping potentially big monetary savings [8]. Therefore, Taiwan Medical Tourism Development Association (TMTDA) was established to research and hold relevant medical tourism activities in August 2007. In this paper, we propose a new Medical Tourism Service (MTS) recommend system, the designed Situation-Aware Medical Tourism Service Search System (SAMTS3), which provides the cooperation web-based platform for all related Mobile Users (MUs) and Medical Tourism Service Providers (MTSPs), could strengthen the ability of MTS suggestion. SAMTS is a five-tier system composed of the MUs, UDDI Registries (UDDIRs), MTSPs, Medical Tourism Services Server (MTSS), and Database Server (DS). Using SOA, OWL-S to build semantic web environment to inference user's medical requirements and search adaptive MTS and web services which are published in UDDI through the communication networks include internet and 3G/GPRS/GSM mobile networks. In this paper, we propose the specific Medical Tourism Stemming Mechanism (MTSM), Medical Ontology (MO), and Adaptive Medical Tourism Inference Module (AMTIM) combined Term Frequency - Inversed Document Frequency (TF - IDF), Latent Semantic Analysis (LSA), and k-Nearest Neighbor (kNN) to reference the adaptable MTS to MUs. © 2008 IEEE.","k-Nearest Neighbor (kNN); Latent Semantic Analysis (LSA); Medical ontology; Medical tourism service; Term Frequency - Inversed Document Frequency (Tf - IDF)","Global system for mobile communications; Information theory; Mobile computing; Ontology; Safety devices; Semantic Web; Semantics; Telecommunication networks; Text processing; Wireless telecommunication systems; World Wide Web; k-Nearest Neighbor (kNN); Latent Semantic Analysis (LSA); Medical ontology; Medical tourism service; Term Frequency - Inversed Document Frequency (Tf - IDF); Wireless networks",,,,,,,,"(2006) Industrial Manpower Package for Three-year Head-start Project of Taiwan's Economic Development Visions for 2015, , http://www.ey.gov.tw/np.asp?ctNode=445&mp=1, Executive Yuan in Republic of China Taiwan, Available; Salton, G., McGill, M., Introduction to modern information retrieval, , New York: McGraw-Hill; Han, J., Kamber, M., Data mining: Concepts and techniques, , San Diego, CA: Academic Press; Fan, J.W., Friedman, C., Semantic Classification of Biomedical Concepts Us-ing Distributional Similarity (2007) Journal of the American Medical Informatics Association, 14 (4), p. 467477; Yeh, J.Y., Ke, H.R., Yang, W.P., Meng, I.H., Text summarization using a trainable summarizer and latent semantic analysis (2005) Information Processing and Management, 41 (1), pp. 75-95; Blake, M.B., Sliva, A.L., Muehlen, M.Z., Nickerson, J.V., Binding Now or Binding Later: The Performance of UDDI Registries (2007) The 40th Annual Hawii In-ternational Conference on System Sciences (HICSS'07), pp. 171-177. , Hawii, USA; Tian, M., Gramm, A., Ritter, H., Schiller, J.J., Efficient Selection and Monitor-ing of QoS-aware Web Services with the WS-QOS Framework (2004) The IEEE/WIC/ACM International Conference on Web Intelligence (WI'04), pp. 152-158. , Beijing, China; Medical Tourism Guide, Medical Tourism, 2007. Available: http://medicaltourismguide.org/benefits/; Ishii, N., Murai, T., Yamada, T., Bao, Y., Text Classification by Combining Grouping, LSA and kNN, Computer and Information Science, 2006 and 2006 1st IEEE/ACIS International Workshop on Component-Based (2006) Software Engineering, pp. 148-154; Lassila, O., Hendler, J., Embracing Web 3.0 (2007) IEEE Internet Computing, 11 (3), pp. 90-93; SOHO's, Medical Directory, , http://www.sogou.com/c008/c008002.html, Available; Berners-Lee, T., Information Management: A Proposal (1989) CERN, , March; Kraaij, W., Pohlmann, R., Porter's stemming algorithm for Dutch (1994) Informatiewetenschap, Wetenschap-pelijke bijdragen aan de derde STINFON Conferentie, pp. 167-180. , Noord-man, L.G.M. and de Vroomen W.A.M, Eds, Tilburg; Ma, W.Y., Chen, K.J., Introduction to CKIP Chinese word segmentation sys-tem for the first international Chinese Word Segmentation Bakeoff (2003) Annual Meet-ing of the ACL, Proceedings of the second SIGHAN workshop on Chinese lan-guage processing, 17, pp. 168-171; Geng, X., Gopal, R.D., Ramesh, R., Whinston, A.B., Scaling Web Services with Capacity Provision Networks (2003) Computer, 32 (11), pp. 64-72; Ko, Y., Park, S., Seo, J., Choi, S., Using classification techniques for informal requirements in the requirements analysis-supporting system (2007) Information and Software Technology, 49, pp. 1128-1140","Lo, C.-C.; Institute of Information Management, National Chiao-Tung University, Hsinchu, 300, Taiwan; email: cclo@faculty.nctu.edu.tw",,"Wuhan University, China;Dalian University of Technology, China;IEEE Antennas and Propagation Society;Scientific Research Publishing, USA;IEEE Communications Society",,"2008 International Conference on Wireless Communications, Networking and Mobile Computing, WiCOM 2008","12 October 2008 through 14 October 2008","Dalian",74850,,9781424421084,,,"English","Int. Conf. Wirel. Commun., Netw. Mob. Comput., WiCOM",Conference Paper,"Final",,Scopus,2-s2.0-58049084746 "Svantesson D.J.B.","8691244800;","From the airport to the surgery to the courtroom - Private international law and medical tourism",2008,"Commonwealth Law Bulletin","34","2",,"265","276",,6,"10.1080/03050710802038320","https://www.scopus.com/inward/record.uri?eid=2-s2.0-46249103804&doi=10.1080%2f03050710802038320&partnerID=40&md5=c57e12f063836d4f9193d561bf523de7","Bond University, Gold Coast, QLD, Australia","Svantesson, D.J.B., Bond University, Gold Coast, QLD, Australia","When people wish to take legal action in relation to damage suffered due to medical procedures carried out overseas, they are faced with complex issues. First, in which country can they sue? Second, which country's laws will govern the dispute? And third, where can a potential favourable judgment be enforced? This article examines these private international law issues in the context of medical tourism. In doing so, particular emphasis is placed on investigating the private international law issues that would arise if an Australian citizen wanted to take action against a foreign provider of medical services, in relation to services rendered overseas.",,,,,,,,,,"McLean, T.R., (2008) The Global Market for Health Care: Economics and Regulation, p. 3. , forthcoming, at in draft version on file with the author; Singapore Welcomes the Arab World, 6 December 2006. Available at: http://www.medicaltourismonline.com/content/view/123/1. Accessed 23 April 2008; Medical tourism in India may be worth US$2.3 billion by 2012, India Daily, 2 February 2005. Available at: http://www.indiadaily.com/editorial/02-02a-05.asp. Accessed 22 January 2008; Mike Gloss, Tunisia's Mediterranean medicine, Medical Tourism Online 15 December 2006. Available at: http://www.medicaltourismonline.com/content/view/130/1/ Accessed 22 January 2008; and Mike Gloss, Singapore welcomes the Arab world, Medicine, Medical Tourism Online, 6 December 2006. Available at: http://www.medicaltourismonline.com/content/view/123/1/. Accessed 22 January 2008; The cost savings have caught the attention of some insurers, at least in the USA, and it can be expected that medical tourism will increase even further when insurance companies start relying on oversees health service providers. See further: op cit, fn 1, at 3-13; Chew, G., Norzilawati, M.T., The lure of the medical tourism in Asia Medical Tourism Magazine, 1, p. 6. , http://www.medicaltravelauthority.com/Medical-Tourism-Magazine-Issue-1.pdf, Available at:, Accessed 22 January 2008; Todd, R., Worry over cosmetic surgery tourism surge, , http://stuff.co.nz/4359325a19716.html, 17 January 2008. Available at:, Accessed 22 January 2008; Entin, Frederic, J., Esquire, The United States Court System and liability for treatment of American patients overseas: Challenging jurisdiction Medical Tourism Magazine, 1, p. 16. , http://www.medicaltravelauthority.com/Medical-Tourism-Magazine-Issue-1.pdf, Available at:, Accessed 22 January 2008; Bismark, M., McLean, T., New frontiers in healthcare mediation (2006) ADR bulletin, 9 (3), p. 41; Op cit, fin 9; See further: McWilson, Ross L. and Van Der Weyden, Martin B, The safety of Australian healthcare: 10 years after QAHCS. Available at: http://www.mja.com.au/public/issues/182_06_210305/wil10087_fm.html. Accessed 22 January 2008; Without commenting upon the comparative percentages of patients suffering harm, this is no different to domestic healthcare; Boland, M.J., Woman dies after trip for stomach op Sunday Star Times, , http://www.stuff.co.nz/sundaystartimes/4252969a6442.html, 28 October 2007. Available at:, Accessed 22 January 2008; Gorgeous Getaways website, , http://www.gorgeousgetaways.com/home.htm, available at:, Accessed 22 January 2008; All About Beauty website, , www.allaboutbeauty.com.au, available at, Accessed 22 January 2008; David, B., (2002) Torts Law in Principle, pp. 15-13. , Sydney; Lawbook Co, at; David, B., , pp. 15-3-15-16. , at; Svantesson, D., (2007) Private International Law and the Internet, pp. 92-98. , Alphen aan den Rijn: Kluwer Law International, pp; Australian medical travel business being sued in relation to medical services carried out overseas may argue that the dispute relates to events taking place overseas with the consequence that an Australian court ought to stay the proceedings. However, first, if the Australian medical travel business has been negligent in selecting/recommending the overseas health service provider, it is arguable that the negligence occurred in Australia. Second, the stringent Australian approach to declining jurisdiction the court must be a 'clearly inappropriate forum, is likely to mean that few such lawsuits would be stayed; Including disputes relating to 'the enforcement, rescission, dissolution, rectification or annulment of a contract, or otherwise affecting a contract, or are for damages or other relief in respect of a breach of a contract'. Nygh, P. and Davies, M. (2002) Conflict of Laws in Australia, 7th edn (Sydney: Butterworths), p. 57; Ibid, pp. 58-60.Valid in all states and territories except the Australian Capital Territory; Ibid, pp. 60-61.Valid in all states and territories except the Australian Capital Territory; Ibid, p. 68.Valid in New South Wales, Queensland, Victoria, South Australia and the Northern Territory; Ibid, pp. 61-63.Valid in all states and territories; Ibid, p. 60.Valid in all states and territories except the Australian Capital Territory; In the absence of an express choice of law in the contract, a court goes on to examine whether an applicable law can be inferred or otherwise identified through a study of factors connecting the contract with a particular country's law. See further: op cit, fn 20, pp. 357-370; When considering any overseas treatment it is important to understand that any legal disputes (either medical care or commercial) concerning your care will be decided in the country of treatment, not your country of origin or citizenship, , http://www.bumrungrad.com/Overseas-Medical-Care/FAQs.aspx#Q10, See, for example, the FAQ's of Bumrungrad International Hospital in Thailand making clear that:, Available at:, Accessed 22 January 2008; See, for example, the FAQ's of Bumrungrad International Hospital in Thailand making clear that: 'All patients in Thailand are protected by Thai law, codes of medical conduct, and a Patient Bill of Rights enforced by the Kingdom's Medical Council (you may ask the hospital for a copy). Patients may complain directly to the Thai Medical Council, or the Ministry of Public Health. These organizations have the power to enforce remedies because they grant licenses to hospitals and their doctors. You may also complain to the Thai Consumer Protection Agency or the police, or take legal action in a Thai court'. Available at: http://www.bumrungrad.com/Overseas-Medical-Care/FAQ-s.aspx#Q10. Accessed 22 January 2008; About, A., Beauty's disclaimer: 'To the extent permitted by law AMT excludes all liability for any loss or damage whatsoever and howsoever arising to you that may occur in any way relating to the offer or supply of goods or services by or through AMT or any third party service provider or relating to the supply of such goods or, , http://www.allaboutbeauty.com.au/disclaimer/index.php, See, for example, services, Available at:, Accessed 22 January 2008; Op cit, pp. 63-64. , fn 20, pp; For England, see: Civil Procedure Rules 1998 r. 6.20(8)(a-b); op cit, pp. 63-66. , For Australia, see:, fn 20, pp; For Hong Kong, see The Rules of the High Court (Cap 4A) - Order 11(1)(f); HCA 10; Regie National des Usines Renault SA v Zhang [2002] HCA 10, at para 9. It may be noted that other jurisdictions do not view this approach favourably; Mirrer-Singer, P., Medical malpractice overseas: The legal uncertainty surrounding medical tourism, 70 Law & Contemporary Problems, 211, p. 3. , For a discussion of the US position, see; (2002), HCA 10. , Regie National des Usines Renault SA v Zhang; Willmott, L., (2005) Contract Law, pp. 333-335. , 2nd edn Melbourne: Oxford University Press, pp; Trade Practices Act 1974 (Cth), s 4(1); See further, Dan Svantesson (2007) Svantesson on the Law of Obligations (French Forest: Pearson Education SprintPrint), at 23; Trade Practices Act 1974 (Cth), s 4(1); Willmott, L., ; Trade Practices Act 1974 (Cth), s 4B; Federal Court Rules, Order 8 Rule 2(12); Re E v Australian Red Cross Society; Australian Red Cross Society New South Wales Division and Central Sydney Area Health Service [1991] FCA 20, at para 164; For a discussion of this approach see: Choice of Law (1992) 58 Australian Law Reform Commission Report, 94; Marasinghe, L., (1998) Principles of International Trade Law, p. 25. , Singapore: Butterworth Asia, p; (1954) The 'Assunzione, , 1 A11 ER 278; Ibid, , 1 A11 ER 278, 292; Ma, Winnie Jo-Mei, What's my choice - Deciphering the provisions on conflict of laws in the Trade Practices Act (2003) 11 TPLJ 149, p. 158; See, for example, Fair Trading Act 1987 (NSW), s 40S; This can be done by reference to various public policy objectives. However, at the same time, such countries must remember that a decision not to recognize and enforce reasonable judgments from overseas courts may negatively affect their medical tourism industries; See further: op cit, fn 9, pp. 41-43; The World Health Organization Framework Convention on Tobacco Control and the International Health Regulations are both important precedents for the type of international framework required","Svantesson, D.J.B.; Bond University, Gold Coast, QLD, Australia",,,,,,,,03050718,,,,"English","Commonw. Law Bull.",Article,"Final",,Scopus,2-s2.0-46249103804 "Moffitt P.M., Vollman A.R.","7003920116;6506244516;","At what cost to health? Tlicho women's medical travel for childbirth.",2006,"Contemporary nurse : a journal for the Australian nursing profession","22","2",,"228","239",,6,"10.5172/conu.2006.22.2.228","https://www.scopus.com/inward/record.uri?eid=2-s2.0-39049183237&doi=10.5172%2fconu.2006.22.2.228&partnerID=40&md5=59102ee546f9bb27845e807223cf73f7","Faculty of Nursing, Kinesiology and Medicine, University of Calgary, Alberta, Canada","Moffitt, P.M., Faculty of Nursing, Kinesiology and Medicine, University of Calgary, Alberta, Canada; Vollman, A.R., Faculty of Nursing, Kinesiology and Medicine, University of Calgary, Alberta, Canada","Medical travel policies are instituted in all rural and remote areas of Canada as a means of providing universal health care services to residents. These policies are framed, developed and implemented from a colonial perspective and require re-examination through a more inclusive and collaborative postcolonial lens. The purpose of this paper is to discuss the medical travel policy for childbirth in Canada's Northwest Territories from a postcolonial perspective and in consideration of the cultural safety of pregnant Tlicho women. The context within which Tlicho birthing and this policy thrives is reviewed along with the exploration of future possibilities. Personal, socioeconomic, political and legal factors surrounding birthing are highlighted. It is anticipated, that by illuminating the oppressive and paternalistic nature of this childbirth policy, there will be heightened awareness that fosters transitions within the system to transform current risk discourse creating new possibilities for Tlicho women in the birth of their babies.",,"article; birth; Canada; female; health care policy; health service; human; pregnancy; risk management; travel; Female; Health Policy; Humans; Maternal Health Services; Northwest Territories; Parturition; Pregnancy; Risk Management; Travel",,,,,,,,,"Moffitt, P.M.",,,,,,,,10376178,,,"17026430","English","Contemp Nurse",Article,"Final",,Scopus,2-s2.0-39049183237 "Lange W.R., Kreider S.D.","7201591028;6603327748;","The little black bag. Medical travel kits for patient and physician.",1983,"Postgraduate Medicine","73","3",,"259","264",,6,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0020731333&partnerID=40&md5=bd9800e4548687f23afd5f0cfdb5a0b5",,"Lange, W.R.; Kreider, S.D.","The medical supplies appropriate for travel will quite naturally depend on the individual and on the nature, scope, and duration of the trip being planned. A basic kit containing nonmedicinal supplies, nonprescription drugs, and prescription medications can be a starting point in planning for both lay and physician travelers, however. Although medical responsibility for assisting in emergency situations during travels as well as liability differ from location to location, in general the physician should not hesitate to give aid in perceived situations of need.",,"analgesic agent; antidiarrheal agent; apparatus, equipment and supplies; article; emergency; emergency medicine; first aid; human; physician attitude; self care; travel; Analgesics; Antidiarrheals; Emergencies; Emergency Medicine; Equipment and Supplies; First Aid; Human; Physician's Role; Self Care; Travel",,"Analgesics; Antidiarrheals",,,,,,,"Lange, W.R.",,,,,,,,00325481,,,"6828397","English","Postgrad Med",Article,"Final",,Scopus,2-s2.0-0020731333 "de la Hoz-Correa A., Muñoz-Leiva F.","57196473217;9432630700;","The role of information sources and image on the intention to visit a medical tourism destination: a cross-cultural analysis",2019,"Journal of Travel and Tourism Marketing","36","2",,"204","219",,5,"10.1080/10548408.2018.1507865","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85052311404&doi=10.1080%2f10548408.2018.1507865&partnerID=40&md5=0265564aa670df627ecb03334f6fcc52","Department of Marketing and Market Research, Faculty of Business and Economics, University of Granada, Granada, Spain","de la Hoz-Correa, A., Department of Marketing and Market Research, Faculty of Business and Economics, University of Granada, Granada, Spain; Muñoz-Leiva, F., Department of Marketing and Market Research, Faculty of Business and Economics, University of Granada, Granada, Spain","This paper intends to analyze: 1) how information sources, eWOM, and image influence the intention to visit a medical tourism destination;2) the moderating role of culture and 3) cross-cultural differences based on Hofstede’s individualism and uncertainty avoidance. A total of 534 responses were collected using a panel of internet users from six different countries and data were analyzed using structural equation modeling and a series of t-tests. The results show that information sources influence cognitive impressions and in conjunction with overall image and medical cognitive image influence the intention to visit a medical tourism destination. Furthermore, individualism and uncertainty avoidance have a moderating effect among these variables and cross-cultural differences exist in the degree of importance given to information sources, eWOM, image perceptions, and intention. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","cross-cultural; destination image; eWOM; health care; Hofstede’s dimensions; individualism; information sources; intention to visit; Medical tourism; uncertainty avoidance",,,,,,"ECO2012-39576 SEJ-1980 ECO2017-88458-R","This study was conducted with the financial support received from the Spanish National Research Programme (R+D+i Research Project ECO2017-88458-R), Spanish Ministry of Economy and Competitiveness (Research Project ECO2012-39576) and the Andalusian Regional Government (Research Project SEJ-1980).",,"Abubakar, A.M., Does eWOM influence destination trust and travel intention: A medical tourism perspective (2016) Economic Research-Ekonomska Istraživanja, 29 (1), pp. 598-611; Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2015) Journal of Destination Marketing and Management, 5 (3), pp. 1-10; Alcántara-Pilar, J.M., Del Barrio-García, S., El papel moderador del diseño web y la cultura del país en la respuesta del consumidor online. 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Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-85052311404 "Sharma P., Nayak J.K.","57217001689;57216982877;","The role of destination image as a mediator between tourists’ emotional experiences and behavioral intentions: A study of wellness tourism",2019,"Journal of Destination Marketing and Management",,,,"","",,5,"10.1016/j.jdmm.2019.02.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062043489&doi=10.1016%2fj.jdmm.2019.02.002&partnerID=40&md5=2c6d1b4047d926c45a85b7b4881ebe16","Department of Management Studies, Indian Institute of Technology Roorkee, Roorkee, Uttarakhand 247667, India","Sharma, P., Department of Management Studies, Indian Institute of Technology Roorkee, Roorkee, Uttarakhand 247667, India; Nayak, J.K., Department of Management Studies, Indian Institute of Technology Roorkee, Roorkee, Uttarakhand 247667, India","The influence of tourists' emotional experiences, especially in relation to behavioral intentions, is considered an emerging area of study in tourism research. This paper proposes that the emotional experiences of tourists affect destination image and behavioral intentions, wherein destination image mediates the relationship between tourist emotional experiences and behavioral intentions. A conceptual model is investigated using the data collected from 298 tourists visiting Rishikesh, a wellness tourism destination in India. Using the partial least squares technique, findings confirm that tourists' emotional experiences influence destination image, which in turn affects their behavioral intentions. However, the results do not confirm the mediating role of destination image between tourists’ emotional experiences and behavioral intentions. Findings depict several theoretical and practical implications in connection with the branding and marketing of destination experiences, especially in wellness tourism. © 2019 Elsevier Ltd","Behavioral intention; Destination image; Partial least squares; Tourist emotional experience; Wellness tourism",,,,,,,"This work was supported by the University Grant Commission of India .",,"Aggarwal, A.K., Guglani, M., Goel, R.K., Spiritual and yoga tourism: A case study on experience of foreign tourists visiting Rishikesh, India (2008) IIMK Part XI – Health, Spiritual and Heritage Tourism IIML Conference on Tourism in India – Challenges Ahead, 15-17 May 2008, IIMK; Aho, S.K., Towards a general theory of touristic experiences: Modelling experience process in tourism (2001) Tourism Review, 56 (3-4), pp. 33-37; Ali-Knight, J., Ensor, J., Salute to the sun: An exploration of UK yoga tourist profiles (2017) Tourism Recreation Research, 42 (4), pp. 484-497; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review and recommended two-step approach (1988) Psychological Bulletin, 103 (3), p. 411; Assaker, G., Hallak, R., Moderating effects of tourists' novelty-seeking tendencies on destination image, visitor satisfaction, and short-and long-term revisit intentions (2013) Journal of Travel Research, 52 (5), pp. 600-613; Bagozzi, R.P., Baumgartner, H., Pieters, R., Zeelenberg, M., The role of emotions in goal-directed behavior (2000) The why of consumption: Contemporary perspectives on consumer motives, Goals, and Desires, pp. 36-58. , S. 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Destin. Mark. Manage.",Article,"Article in Press",Open Access,Scopus,2-s2.0-85062043489 "John S., Larke R., Kilgour M.","55711569800;7003859584;55407264500;","Applications of social media for medical tourism marketing: an empirical analysis",2018,"Anatolia","29","4",,"553","565",,5,"10.1080/13032917.2018.1473261","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047367601&doi=10.1080%2f13032917.2018.1473261&partnerID=40&md5=9aa321b33d372a32099a756c33b8ad85","School of Marketing and Management, The University of Waikato, Hamilton, New Zealand","John, S., School of Marketing and Management, The University of Waikato, Hamilton, New Zealand; Larke, R., School of Marketing and Management, The University of Waikato, Hamilton, New Zealand; Kilgour, M., School of Marketing and Management, The University of Waikato, Hamilton, New Zealand","Medical tourism has grown extensively over the past decade. Although social media is perceived to be an effective communication channel for both tourists and tourism providers, empirical analyses of how social media are used for medical tourism marketing are rare. Based on the “6Is” Social Media Monitoring Framework, this study examines how medical tourism providers distribute information, engage with online users, and influence the travel decisions of potential medical tourists. Findings indicate that medical tourism providers performed well in maintaining customer intimacy, although could do more to stimulate customer involvement, interaction, and gather customer insights. The study discusses ways to improve social media marketing. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","content analysis; digital marketing; Medical tourism; social media; tourism marketing","empirical analysis; medical tourism; social media; tourism economics; tourism market",,,,,,,,"Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management, 5 (3), pp. 1-10; Aluri, A., Slevitch, L., Larzelere, R., The effectiveness of embedded social media on hotel websites and the importance of social interactions and return on engagement (2015) International Journal of Contemporary Hospitality Management, 27 (4), pp. 670-689; Amaro, S., Duarte, P., Henriques, C., Travelers ’ use of social media : A clustering approach (2016) Annals of Tourism Research, 59, pp. 1-15; Baloglu, S., Pekcan, Y.A., The website design and Internet site marketing practices of upscale and luxury hotels in Turkey (2006) Tourism Management, 27 (1), pp. 171-176; Bolan, P., Williams, L., The role of image in service promotion: Focusing on the influence of film on consumer choice within tourism (2008) International Journal of Consumer Studies, 32, pp. 382-390; Buhalis, D., Marketing the competitive destination of the future (2000) Tourism Management, 21 (1), pp. 97-116; Chan, N.L., Denizci Guillet, B., Investigation of social media marketing : How does the hotel industry in Hong Kong perform in marketing on social media websites? 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A review (2014) Tourism Management Perspectives, 10, pp. 27-36","John, S.; School of Marketing and Management, The University of WaikatoNew Zealand; email: surejpjohn@gmail.com",,,"Routledge",,,,,13032917,,,,"English","Anatolia",Article,"Final",,Scopus,2-s2.0-85047367601 "Tang C.F., Nathan Abdullah A.S.","23010763400;57203986948;","Can inbound medical tourism boost Malaysia’s economic growth?",2018,"Tourism and Hospitality Research","18","4",,"505","513",,5,"10.1177/1467358416682069","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030985988&doi=10.1177%2f1467358416682069&partnerID=40&md5=6dc951d62a3bce986932bce3d760e998","Universiti Sains Malaysia, Malaysia","Tang, C.F., Universiti Sains Malaysia, Malaysia; Nathan Abdullah, A.S., Universiti Sains Malaysia, Malaysia","Medical tourism is an extensively researched sub-sector of the tourism industry because of its acknowledged role as an important catalyst for economic growth. Nevertheless, the impact of medical tourism on economic growth remains contentious due to associated negative externalities. This paper assesses medical tourism’s role in Malaysia’s long-term economic growth using a neoclassical growth model as its framework and a set of time series econometric approaches, namely cointegration, Granger causality and variance decomposition analysis as core instruments. The results indicate that medical tourism has significant positive impact on Malaysia’s economic growth in the long run. © The Author(s) 2016.","economic growth; Granger causality; Malaysia; medical tourism; variance decomposition",,,,,,"Universiti Sains Malaysia: 304/CDASAR/6313179","The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The first author would like to acknowledge Universiti Sains Malaysia Short-Term Research Grant No. 304/CDASAR/6313179.",,"Aigbogun, O., Yassin, S.N., Shoukat, Z., A model for accelerating the growth of health care tourism in Malaysia (2013) Journal of Business and Economics, 4 (2), pp. 169-179; Anvekar, S.R., Medical tourism in India: A strategic approach towards effective branding in health care services marketing (2012) American Journal of Management, 12 (2-3), pp. 108-116; Ashley, C., De Brine, P., Lehr, A., (2007) The Role of Tourism Sector in Expanding Economic Opportunity. 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Hosp. Res.",Article,"Final",,Scopus,2-s2.0-85030985988 "Majeed S., Lu C., Javed T.","57196116002;57199465620;57213204039;","The journey from an allopathic to natural treatment approach: A scoping review of medical tourism and health systems",2017,"European Journal of Integrative Medicine","16",,,"22","32",,5,"10.1016/j.eujim.2017.10.001","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85031907981&doi=10.1016%2fj.eujim.2017.10.001&partnerID=40&md5=e0480e13663237cd979f24eaa1b2777d","School of Economics and Management, Fuzhou University350002, China; Oral and Maxillofacial Surgery Unit, University Medical and Dental College, Madina Teaching Hospital, Faisalabad, 38000, Pakistan","Majeed, S., School of Economics and Management, Fuzhou University350002, China; Lu, C., School of Economics and Management, Fuzhou University350002, China; Javed, T., Oral and Maxillofacial Surgery Unit, University Medical and Dental College, Madina Teaching Hospital, Faisalabad, 38000, Pakistan","Introduction Despite technological advancement in the modern medical system, our world is experiencing an unexpected rise in different chronic diseases, health disorders, allopathic treatment side effects and lifestyle problems. The tourism industry has encapsulated medical and health tourism segments into its scope when countries across the globe now witness an aging population. Little is yet known about changing preferences, motivation to travel, and demands of modern medical tourists recently. The present study aims to explore shifts in medical tourism and the demands for Traditional and Complementary Medicine (T&CM) methods of treatment. Methods A scoping review of academic articles, published reports, and media literature was undertaken to define the emerging demands of medical tourists and available medicine and health systems in the medical tourism industry. Out of 264 identified sources that were reviewed, 112 met the inclusion criteria for the review. Results This review demonstrates that natural treatments are being considered by medical tourists as well as allopathic treatments (a conventional western approach based on surgeries and drugs) and tourism attractions. However, the existence of an allopathic system of treatment still contributes to emerging medical system where no T&CM treatment alternatives are available. Conclusion A robust medical tourism system, if established by integrating natural treatments, T&CM, allopathic treatments, and tourism can achieve the best of all available health treatment systems and contribute to public health. These results provide a useful contribution to the understanding of the trends in medical tourism. © 2017 Elsevier GmbH","Allopathic treatment; Health system; Medical tourism; Medical tourism demands; Natural treatment; Traditional and complementary medicine",,,,,,"National Natural Science Foundation of China: # 71572039","This research work was supported by National Natural Science Foundation of China under project grant # 71572039 . 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Rev., 66 (1), pp. 16-30; Majeed, S., Lu, C., Changing preferences, moving places and third party administrators: a scoping review of medical tourism trends (1990–2016) (2017) Almatourism, 15 (8), pp. 56-83; Dahlui, M., Aziz, N.A., Developing health service hub in ASEAN and asia region: country report on healthcare service industry in Malaysia (2011) Developing ASEAN Economic Community (AEC) into a Global Service Hub, pp. 65-110. , T.S. Tullao L.H. Hin ERIA; Talib, N., Alternative, complementary and traditional medicine in Malaysia (2006) Med. Law, 25, pp. 445-462; Wong, K.M., Velasamy, P., Nuraina, T., Arshad, T., Medical tourism destination SWOT analysis: a case study of Malaysia, Thailand, Singapore and India (2014) SHS Web of Conference, 12, p. 01037","Majeed, S.; School of Economics and Management, Fuzhou UniversityChina; email: salmanphd@hotmail.com",,,"Elsevier GmbH",,,,,18763820,,,,"English","Eur. J. Integr. Med.",Review,"Final",,Scopus,2-s2.0-85031907981 "Rokni L., Avci T., Park S.H.","35488882800;15069260300;57194621304;","Barriers of developing medical tourism in a destination: A case of South Korea",2017,"Iranian Journal of Public Health","46","7",,"930","937",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021273296&partnerID=40&md5=5e20819509348abea0ff14203ba985ca","Dept. of Tourism Management, Eastern Mediterranean University, Famagusta, Cyprus; Asia Content Institute, Konkuk University, Seoul, South Korea","Rokni, L., Dept. of Tourism Management, Eastern Mediterranean University, Famagusta, Cyprus; Avci, T., Dept. of Tourism Management, Eastern Mediterranean University, Famagusta, Cyprus; Park, S.H., Asia Content Institute, Konkuk University, Seoul, South Korea","Background: This study aimed to determine the efficient factors that potentially lead to the barriers of developing medical tourism in South Korea. Methods: To explore the current medical tourism trend, a qualitative procedure was adopted. Besides analyzing the current situation of medical tourism in Korea through a systematic searching on the available information and publications, in-depth-interviews were conducted to collect data from relevant authorities and representatives of medical tourism associations in this country. Results: The result revealed, although government have supported this industry, that lack of specialty and expertise among the health care practitioners in the scope of cross cultural communication, seems to be the core barrier to development of medical tourism in Korea. Demands for convenient promotional activities, policy making and action regulation are the other effective factors. Discussion: Several strategies are required in order to address and combat these barriers, such as governmental support for cultural training, cooperative efforts to encourage health practitioners involved to enhance their cultural and linguistic competence in international scale. © 2017, Iranian Journal of Public Health. All rights reserved.","Cultural competence; International healthcare; Korea; Linguistic proficiency; Medical tourism","cultural competence; government; health care personnel; human; human experiment; interview; management; medical tourism; South Korea",,,,,,,,"Ormond, M., Medical tourism (2014) The Wiley-Blackwell Companion to Tourism, , Ed(s), Alan A. Lew CMHaAW: John Wiley & Sons; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; (2017) Medical Travel Quality Alliance, , https://www.mtqua.org/, Avaiable at; Ormond, M., Claiming „cultural competence‟: The promotion of multi-ethnic Malaysia as a medical tourism destination (2012) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, , London: Routledge; Singh, P.K., (2008) Medical Tourism: Global Outlook and Indian Scenario, , Kanishka publishers; Bookman, M., (2007) Medical Tourism in Developing Countries, , Springer; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consort J Hosp Tour, 11 (1), pp. 75-81; Kim, S., Lee, J., Jung, J., Assessment of medical tourism development in Korea for the achievement of competitive advantages (2013) Asia Pac J Tour Res, 18, pp. 421-445; Yu, J., Lee, T.J., Noh, H., Characteristics of a medical tourism industry: The case of South Korea (2011) J Travel Tour Mark, 28, pp. 856-872; Ormond, M., Medical tourism, medical exile (2011) Real Tourism: Practice, Care, and Politics in Contemporary Travel Culture, 26, p. 143; Sobo, E.J., Herlihy, E., Bicker, M., Selling medical travel to US patient-consumers: The cultural appeal of website marketing messages (2011) Anthropol Med, 18, pp. 119-136; Cohen, E.C.E., Medical tourism in Thailand (2008) AU-GSB E-Journal, 1; Hamzah, A., Policy and planning of the tourism industry in Malaysia (2004) Policy and Planning of Tourism Product Development in Asian Countries, Conference Proceedings, , The Sixth Asian Development Research Forum (ADRF) General Meeting, Bangkok; Jin, K., Analysis of Korean Competitiveness in the Global Healthcare Market (2016) Conference Proceedings, , Medical Korea and K-Hospitals Seoul, Korea; Jun, J., Framing Service, Benefit, and Credibility Through Images and Texts: A Content Analysis of Online Promotional Messages of Korean Medical Tourism Industry (2016) Health Commun, 31, pp. 845-852; Jun, J., Km, O., Framing risks and benefits of medical tourism: A content analysis of medical tourism coverage in Korean American community newspapers (2015) J Health Commun, 20, pp. 720-727; Junio, M.M.V., Kim, J.H., Lee, T.J., Competitiveness attributes of a medical tourism destination: The case of South Korea with importance-performance analysis (2017) J Travel Tour Mark, 34, pp. 444-460; Fetscherin, M., Stephano, R.-M., The medical tourism index: Scale development and validation (2016) Tourism Manage, 52, pp. 539-556; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266; Kim, H.J., Yang, N.Y., The Correlation between Medical Tourism Coordinators' Job Characteristics, Job Burnout and Job Satisfaction (2015) Adv Sci Technol Lett, 116, pp. 88-92; Ye, B., Yuen, P., Qiu, H., Zhang, V., (2008) Motivation of Medical Tourists: An Exploratory Case Study of Hong Kong Medical Tourists, , Asia Pacific Tourism Association (APTA) Annual Conference, Bangkok, Thailand; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) J Inform Technol Case Appl Res, 9, pp. 19-30; Caballero-Danell, S.M., (2007) Medical Tourism and Its Entrepreneurial Opportunities: A Conceptual Framework for Entry into the Industry, , Master thesis, Goteborg University, Sweden; Heung, V.C., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) J Travel Tour Mark, 27, pp. 236-251; Heung, V.C., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Manage, 32, pp. 995-1005; Juliet, C., (1990) Basics of Qualitative Research: Grounded Theory Procedures and Techniques, , Sage Publications, London; Denzin, N.K., Lincoln, Y.S., (2011) The Sage Handbook of Qualitative Research; Strauss, A., Corbin, J., (1990) Basics of Qualitative Research, , ed. Newbury Park, CA: Sage; Mehmetoglu, M., Altinay, L., Examination of grounded theory analysis with an application to hospitality research (2006) Int J Hosp Manag, 25, pp. 12-33; Alizadeh, S., Chavan, M., Cultural competence dimensions and outcomes: A systematic review of the literature (2015) Health Soc Care Community, 24 (6), pp. e117-e130; Campinha-Bacote, J., The process of cultural competence in the delivery of healthcare services: A model of care (2002) J Transcult Nurs, 13, pp. 181-184; Geva, I., (2016) Is Medical Tourism a Business? Conference Proceedings, , Medical Korea and K-Hospitals, Seoul, Korea","Park, S.H.; Asia Content Institute, Konkuk UniversitySouth Korea; email: syamony@konkuk.ac.kr",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English",,Article,"Final",,Scopus,2-s2.0-85021273296 "Abd Mutalib N.S., Soh Y.C., Wong T.W., Yee S.M., Yang Q., Murugiah M.K., Ming L.C.","57192590224;56396269300;7403531742;57191261084;55308718400;56539962300;55745857500;","Online narratives about medical tourism in Malaysia and Thailand: a qualitative content analysis",2017,"Journal of Travel and Tourism Marketing","34","6",,"821","832",,5,"10.1080/10548408.2016.1250697","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85006842042&doi=10.1080%2f10548408.2016.1250697&partnerID=40&md5=da8c5b1ce892c8e5852cf56146c2e4d0","Faculty of Pharmacy, Universiti Teknologi MARA, Bandar, Puncak Alam, Malaysia; School of Pharmacy, Taylor’s University (Lakeside Campus), No 1, Jalan Taylors, Subang Jaya, Malaysia; Non-Destructive Biomedical and Pharmaceutical Research Centre, iPROMISE, Universiti Teknologi MARA, Puncak Alam, Malaysia; School of Pharmacy, Segi University, 9 Jalan Teknologi, Taman Sains Selangor, Kota Damansara, Petaling Jaya, Malaysia; Department of Pharmacy and Pharmacology, University of Bath, Claverton Down, Bath, United Kingdom; Pharmaceutical Services Division, Penang State Health Department, Komtar, Jalan Penang, George Town, Malaysia; Unit for Medication Outcomes Research and Education (UMORE), Level 11, FF1, Pharmacy, School of Medicine, University of Tasmania, Churchill Ave, Hobart, Australia","Abd Mutalib, N.S., Faculty of Pharmacy, Universiti Teknologi MARA, Bandar, Puncak Alam, Malaysia; Soh, Y.C., Faculty of Pharmacy, Universiti Teknologi MARA, Bandar, Puncak Alam, Malaysia, School of Pharmacy, Taylor’s University (Lakeside Campus), No 1, Jalan Taylors, Subang Jaya, Malaysia; Wong, T.W., Non-Destructive Biomedical and Pharmaceutical Research Centre, iPROMISE, Universiti Teknologi MARA, Puncak Alam, Malaysia; Yee, S.M., School of Pharmacy, Segi University, 9 Jalan Teknologi, Taman Sains Selangor, Kota Damansara, Petaling Jaya, Malaysia; Yang, Q., Department of Pharmacy and Pharmacology, University of Bath, Claverton Down, Bath, United Kingdom; Murugiah, M.K., Pharmaceutical Services Division, Penang State Health Department, Komtar, Jalan Penang, George Town, Malaysia; Ming, L.C., Faculty of Pharmacy, Universiti Teknologi MARA, Bandar, Puncak Alam, Malaysia, Unit for Medication Outcomes Research and Education (UMORE), Level 11, FF1, Pharmacy, School of Medicine, University of Tasmania, Churchill Ave, Hobart, Australia","This study explored the written online narratives about medical tourism in Malaysia and Thailand using qualitative content analysis. The Google search engine was used for narrative search. Multiple search terms including medical, health, wellness tourism; treatment abroad; medical or health travel; treatment, surgery, or plastic surgery; dental treatment or braces were used to obtain related blog posts, discussions, and forums via a purposeful sampling method. A total of 43 online narratives were included in this study. Themes were then created after an iterative analysis of the selected online comments or posts. The push factors that act as motivators were: cost (100%), attractions (81%), availability of facilitators (62%), physician’s background and expertise (58%), bandwagon effect (42%). The majority of the subjects (88%) stated that they were satisfied with the outcomes of their medical treatments received in Malaysia and Thailand. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","cost reduction; Health services management; health tourism; patient preference; plastic surgery",,,,,,"Universiti Teknologi MARA, UiTM Ministry of Higher Education, MOHE","This work was supported by the Academic and Research Assimilation [600-RMI/DANA 5/3/ARAS (0037/2016)]; Ministry of Higher Education; Universiti Teknologi MARA.",,"Ahmad, N., An international view of surgically assisted conception and surrogacy tourism (2011) Medico-Legal Journal, 79 (4), pp. 135-145; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7), pp. 1144-1159; Budiani‐Saberi, D.A., Delmonico, F.L., Organ trafficking and transplant tourism: A commentary on the global realities (2008) American Journal of Transplantation, 8 (5), pp. 925-929; Carabello, L., A medical tourism primer for US physicians (2008) Journal of Medical Practice Management, 23 (5), pp. 291-294; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) International Journal of Health Services, 40 (3), pp. 469-484; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Connell, J., Medical tourism: The newest of niches (2006) Tourism Recreation Research, 31 (1), pp. 99-102; Creswell, J.W., (1994) Qualitative and quantitative approaches; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? 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(2012) Milbank Quarterly, 90 (2), pp. 219-249","Soh, Y.C.; Faculty of Pharmacy, Universiti Teknologi MARA, Level 11, FF1, Malaysia; email: syc.chris@gmail.com",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-85006842042 "Mohezar S., Moghavvemi S., Zailani S.","15848954200;55812336800;55891414700;","Malaysian Islamic medical tourism market: a SWOT analysis",2017,"Journal of Islamic Marketing","8","3",,"444","460",,5,"10.1108/JIMA-04-2015-0027","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030328410&doi=10.1108%2fJIMA-04-2015-0027&partnerID=40&md5=036f43ce81b94bab1ae3fa70b0d2f3f1","University of Malaya, Kuala Lumpur, Malaysia; Operation and Management Information System, Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia; Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Mohezar, S., University of Malaya, Kuala Lumpur, Malaysia; Moghavvemi, S., Operation and Management Information System, Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia; Zailani, S., Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Purpose: This paper aims to examine challenges and prospects of the Malaysian Islamic medical tourism sector and suggests strategies to leverage the strengths and opportunities as well as overcome the weaknesses and threats. Design/methodology/approach: A series of semi-structured interviews were conducted with the Islamic hospital managers. Information collected was transcribed and content analysis was used to group the variables into the four SWOT categories. Findings: The SWOT analysis identified several strengths (e.g. great hospitality, country’s characteristics and development of Islamic compliant hospital), weaknesses (e.g. low international certifications), opportunities (e.g. growing Muslim populations, Sept 11 incidence) and threats (e.g. competition from major medical tourism market and non-uniformity of Islamic medical tourism standards). Research limitations/implications: This paper could provide understanding of the sector and fundamental on the Islamic medical tourism market. Yet the SWOT analysis does not indicate how to achieve competitive advantage and result may become obsolete, with the dynamic environments. Practical implications: This paper could serve as a guideline for the industry stakeholders to have better understanding in their business environment. Originality/value: This paper is the first of its kind to integrate SWOT analysis and Islamic medical tourism industry. Hence, the findings could broaden knowledge on Islamic medical tourism industry and facilitate firms in tapping the growing market. © 2017, © Emerald Publishing Limited.","Advertisements and promotions to Muslims; Halal healthcare; Halal market; Islamic hospitals and medical tourism; Islamic market segmentation; Islamic marketing",,,,,,"Saudi Biological Society, SBS Universiti Malaya, UM","This paper is based on a research which is financially supported by the University of Malaya-(UMRG) SBS (Equitable Society).",,"Abd. Manaf, N.H., Ghazali, R.J., Marikar, K., Positioning Malaysia in medical tourism (2010) Medical Tourism International Conference on Marketing, , International Islamic University Malaysia; Abu-Ras, W., Gheith, A., Cournos, F., The Imam’s role in mental health promotion: a study of 22 mosques in New York City’s Muslim community (2008) Journal of Muslim Mental Health, 3 (2), pp. 155-176; Alserhan, B.A., On Islamic branding: brands as good deeds (2010) Journal of Islamic Marketing, 1 (2), pp. 101-106; (2010) Malaysia healthcare travel and tourism, , www.hospitals-malaysia.org; Bullington, K.E., Supply environment analysis from a six sigma perspective (2005) Inside Supply Management, 16, pp. 10-14; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Deng, S., Jivan, S., Hassan, M.L., Advertising in Malaysia–a cultural perspective (1994) International Journal of Advertising, 13 (2), pp. 153-166; Din, K.H., Islam and tourism: patterns, issues, and options (1989) Annals of Tourism Research, 16 (4), pp. 542-563; El Mouelhy, M., (1997) Food in the Quran, , Halalfood.htm, (accessed, 23 July 2001; Fons, M.V.S., Fierro, J.A.M., y Patiño, M.G., Rural tourism: a sustainable alternative (2011) Applied Energy, 88 (2), pp. 551-557; Halim, M.A.A., Salleh, M.M.M., Ariff, M.I., Kashim, M., Ahmad, A.A., Nordin, N., Halal pharmaceuticals: legal, Shari’ah issues and fatwa of drug, gelatine and alcohol (2014) International Journal of Asian Social Science, 4 (12), pp. 1176-1190; Haq, F., Yin Wong, H., Is spiritual tourism a new strategy for marketing Islam? 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(, Routledge, London; Henderson, J.C., Managing tourism and Islam in peninsular Malaysia (2003) Tourism Management, 24 (4), pp. 447-456; Henderson, J.C., Sharia-compliant hotels (2010) Tourism and Hospitality Research, 10 (3), pp. 246-254; Horowitz, M.D., Rosenweig, J.A., Medical tourism–healthcare in the global economy (2007) The Physician Executive, 9 (4), pp. 24-30; (2015) KPJ Healthcare Berhad, , www.kpjhealth.com.my/, (accessed, 23 January 2015; Lalitha, N., Indian pharmaceutical industry in WTO regime: a SWOT analysis (2002) Economic and Political Weekly, 37 (34), pp. 3542-3555; Lin, H.Y., Hsu, P.Y., Competitive analysis of Taiwan’s information industry (2006) Journal of American Academy of Business, 8 (1), pp. 248-252; MTA releases first patient surveys on medical tourism (2009) Medical Tourism Magazine, pp. 34-36. , May/June 2009; Morakabati, Y., Deterrents to tourism development in Iran (2011) International Journal of Tourism Research, 13 (2), pp. 103-123; Nikolaou, I.E., Evangelinos, K.I., A SWOT analysis of environmental management practices in Greek mining and mineral industry (2010) Resources Policy, 35 (3), pp. 226-234; Potrafke, N., Islam and democracy (2012) Public Choice, 151 (1), pp. 185-192; (2009) Health Tourism in Malaysia, , www.tourism.gov.my; Turner, L., First world healthcare at third world prices: globalisation, bioethics and medical tourism (2007) Springer Link, 2 (3), pp. 303-325; Turner, L., Medical tourism family medicine and international health-related travel (2007) Canadian Family Physician, 53 (10), pp. 1639-1641; Vijayaraghavan, T.A.S., Strategic options for state road transport undertakings in India (1995) International Journal of Public Sector Management, 8 (1), pp. 48-67; Volz, D., Marketing. Reverse medical tourism (2008) Hospitals & Health Networks/AHA, 82 (6), pp. 12-14; Wong, K.M., Musa, G., (2012) Medical tourism in Asia: Thailand, Singapore, Malaysia, and India. Medical tourism: the ethics, regulation, and marketing of health mobility, , Routledge, London and New York; Yusuf, A., Critical success factors for small business: perceptions of South Pacific entrepreneurs (1995) Journal of Small Business Management, 33 (2), pp. 68-73; Zamani-Farahani, H., Henderson, J.C., Islamic tourism and managing tourism development in Islamic societies: the cases of Iran and Saudi Arabia (2009) International Journal of Tourism Research, 12, pp. 79-89","Mohezar, S.; University of MalayaMalaysia; email: suhanamohezar@um.edu.my",,,"Emerald Group Publishing Ltd.",,,,,17590833,,,,"English","J. Islam. Mark.",Article,"Final",,Scopus,2-s2.0-85030328410 "Sziva I., Balázs O., Michalkó G., Kiss K., Puczkó L., Smith M., Apró É.","56445804800;57194436191;24166977600;36102565500;6507221735;55495915200;57194423273;","Branding strategy of the countries in the Balkan region - focusing on health tourism",2017,"Geojournal of Tourism and Geosites","19","1",,"61","69",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020076231&partnerID=40&md5=ea76439579e078d2ee86b90942336361","Budapest Metropolitan University, 1148, Nagy Lajos király útja 1-9, Hungary; MTA Research Center for Astronomy and Earth Sciences, Budaörsi út 45, Budapest, 1112, Hungary","Sziva, I., Budapest Metropolitan University, 1148, Nagy Lajos király útja 1-9, Hungary; Balázs, O., Budapest Metropolitan University, 1148, Nagy Lajos király útja 1-9, Hungary; Michalkó, G., MTA Research Center for Astronomy and Earth Sciences, Budaörsi út 45, Budapest, 1112, Hungary; Kiss, K., Budapest Metropolitan University, 1148, Nagy Lajos király útja 1-9, Hungary; Puczkó, L., Budapest Metropolitan University, 1148, Nagy Lajos király útja 1-9, Hungary; Smith, M., Budapest Metropolitan University, 1148, Nagy Lajos király útja 1-9, Hungary; Apró, É., Budapest Metropolitan University, 1148, Nagy Lajos király útja 1-9, Hungary","Countries of the Balkan region possess great endowed resources in health tourism, mainly in the area of natural resources, and Mediterranean diet in some countries. The question is whether these countries have already realized their uniqueness in this area? Conscious brand building starting at the so called brand positioning is crucial in the fierce competition of tourism, particularly on online platforms assuring the possibility of easy comparison. The main objective of the paper is to analyze by structured content analysis the issue how consciously Balkan countries build their brands in health tourism through their online communication.","Balkan; Branding; Destination branding; Health tourism; Well-being","Internet; natural resource; resource use; tourism; Balkan; Mediterranean Region; Turkmenistan",,,,,,,,"Bidwlux, R., Taylor, R., (1996) European Integration and Disintegration, pp. 24-29. , East and West.1996; Cvijic, J., (2008) A Balkán-félsziget és a délszláv országok, , Az emberföldrajz alapjai, Vajdasági Mővelődési Intézet, Újvidék, 13-15. 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A Perspective on Brand Meaning, European Journal of Business and Management, 4 (3), pp. 1-4; Kotler, P., (1998) Marketing management, p. 875. , Mőszaki Könykiadó, Budapest; Law, R., Buhalis, D., Cobanoglu, C., Progress on information and communication technologies in hospitality and tourism (2014) International Journal of Contemporary Hospitality Management, 26 (5), pp. 727-750; Michalkó, G., Dorottya, T.-H., Judit, S., Kornélia, K., Jancsik, A., (2014) A balkán(i)ság turisztikai reprezentációjának jólléti dimenziói, pp. 42-50. , (The wellbeing dimensions of touristic representation of Balkanness) Turizmus Bulletin 2014/2; Michalkó, G., (2010) Boldogító utazás (Travle, that makes one happy), pp. 12-12. , Budapest, MTA Földrajztudományi Kutatóintézet, 2010; Papp, V.Á.F., (2009) Országmárkázástól a versenyképes identitásig, , A country banding megjelenése, céljai és természete, (From country branding to the comptetive identity) Marketing & Management, 43. évf.,2. Szám, 16.p; Puczkó, L., Smith, M., (2013) Spas, Wellness and Medical Travel, , Routledge, London.2013.26. p; Puczkó, L., Smith, M., (2008) Health and Wellness Tourism, pp. 40-40. , Butterworth-Heinemann, Oxford; Shah, H., Marks, N., A well-being manifesto for a flourishing society (2004) Journal of Public Mental Health, 3 (4), pp. 9-15; Sziva, I., (2009) Egészségturizmus háttéranyag, pp. 1-5. , (Health tourism market research riport) Magyar Turizmus Zrt, Budapest; Sziva, I., (2010) Gulliver in the land of giants? The opportunities of the Hungarian initiations in the surgical medical touristic market, , in Puczkó, L. (ed) (2010) Health, Wellness and Tourism: healthy tourists, APRÓ É., BALÁZS O., KISS K., MICHALKÓ G., PUCZKÓ L., SMITH, M., SZIVA I. 152 healthy business?, Proceedings of the Travel and Tourism Research Association Europe 2010 Annual Conference. 15.p; Sziva, I., (2010) Öntsünk tiszta vizet.Az egészségturizmus fogalmi lehatárolása és trendjeinek válogatott bibliográfiája, pp. 73-77. , (Let's pour clear water, The theoretical approach of health tourism) Turizmus Bulletin, 2010/4. December; Todorova, M., (1997) Imagining the Balkans, , http://www.gla.ac.uk/0t4/crcees/files/summerschool11/ss11_readinglist/Pavlovic.pdf, Oxford University Press. Elérhető, Letöltésideje:2014.04.08; Anholt, (2009) Handbook on Tourism Destination Branding, p. 165. , UNWTO; (2013) An investigation of digital space and benchmarking the best practice techniques of NTOs, , http://thinkdigital.travel/reports/dttt_index_full_report.pdf; Neumeier, (2005) The Brand Gap, , in Papp-Váry Árpád Ferenc, Országmárkázástól a versenyképes identitásig. A country branding megjelenése, céljai és természete. Marketing & Management, 43. évf.,2. szám,5. oldal; (2014) Handbook on E-marketing for Tourism Destinations, pp. 43-46. , UNWTO, Madrid","Michalkó, G.; MTA Research Center for Astronomy and Earth Sciences, Budaörsi út 45, Hungary; email: michalko.gabor@csfk.mta.hu",,,"Editura Universitatii din Oradea",,,,,20650817,,,,"English","Geojournal Tour. Geosites",Article,"Final",,Scopus,2-s2.0-85020076231 "Cheng K.M.","54782414800;","Medical tourism: Chinese maternity tourism to Hong Kong",2016,"Current Issues in Tourism","19","14",,"1479","1486",,5,"10.1080/13683500.2015.1042359","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929431116&doi=10.1080%2f13683500.2015.1042359&partnerID=40&md5=a95c428b7e2acb607a4ee44bce7add68","Department of Economics and Finance, Hang Seng Management College, Siu Lek Yuen, Shatin, Hong Kong","Cheng, K.M., Department of Economics and Finance, Hang Seng Management College, Siu Lek Yuen, Shatin, Hong Kong","This paper provides a quantitative approach to investigate the determinants of Chinese maternity tourism (birth tourism) to Hong Kong with an Autoregressive Distribution Lag (ARDL) cointegration methodology with bounds testing of Pesaran, Shin, and Smith (2001) over the period from 1991 to 2011. Specifically, this paper examines the joint effects of the right of abode of Chinese babies born in Hong Kong and the launch of Individual Visit Scheme for Mainland Chinese tourists on maternity tourism to Hong Kong. Empirical results show that persistent growth in income and appreciation of the Chinese yuan lead to a higher demand for maternity tourism. © 2015 Informa UK Limited, trading as Taylor & Francis Group.","autoregressive distribution lag model bounds test; immigration policy; individual visit scheme; maternity tourism; medical tourism",,,,,,,,,"Baek, J., Does the exchange rate matter to bilateral trade between Korea and Japan? Evidence from commodity trade data (2013) Economic Modelling, 30, pp. 856-862; Belloumi, M., The relationship between tourism receipts, real effective exchange rate and economic growth in Tunisia (2010) International Journal of Tourism Research, 12 (5), pp. 550-560; Cheng, K.M., Tourism demand in Hong Kong: Income, prices, and visa restrictions (2012) Current Issues in Tourism, 15 (3), pp. 167-181; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; (2007), The Joint Declaration; Crouch, G.I., The study of international tourism demand: A survey of practice (1994) Journal of Travel Research, 32 (4), pp. 41-55; Dickey, D.A., Fuller, W.A., Distribution of the estimators for autoregressive time series with a unit root (1979) Journal of the American Statistical Association, 74 (366a), pp. 427-431; Dritsakis, N., Cointegration analysis of German and British tourism demand for Greece (2004) Tourism Management, 25 (1), pp. 111-119; Hesketh, T., Lu, L., Xing, Z.W., The effect of China's one-child family policy after 25 years (2005) New England Journal of Medicine, 353 (11), pp. 1171-1176; Heung, V., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Kwiatkowski, D., Phillips, P.C., Schmidt, P., Shin, Y., Testing the null hypothesis of stationarity against the alternative of a unit root: How sure are we that economic time series have a unit root? (1992) Journal of Econometrics, 54 (1), pp. 159-178; Lee, C.G., Health care and tourism: Evidence from Singapore (2010) Tourism Management, 31 (4), pp. 486-488; MacKinnon, J.G., (1995), Numerical distribution functions for unit root and cointegration tests, Kingston, ON: Institute for Economic Research, Queen's University; Narayan, P.K., The saving and investment nexus for China: Evidence from cointegration tests (2005) Applied Economics, 37 (17), pp. 1979-1990; Naudé, W.A., Saayman, A., Determinants of tourist arrivals in Africa: A panel data regression analysis (2005) Tourism Economics, 11 (3), pp. 365-391; Pesaran, M.H., Shin, Y., An autoregressive distributed-lag modelling approach to cointegration analysis (1998) Econometric Society Monographs, 31, pp. 371-413; Pesaran, M.H., Shin, Y., Smith, R.J., Bounds testing approaches to the analysis of level relationships (2001) Journal of Applied Econometrics, 16 (3), pp. 289-326; Sephton, P.S., Response surface estimates of the KPSS stationarity test (1995) Economics Letters, 47 (3), pp. 255-261; Song, H., Li, G., Witt, S.F., Athanasopoulos, G., Forecasting tourist arrivals using time-varying parameter structural time series models (2011) International Journal of Forecasting, 27 (3), pp. 855-869; (2001), Basic Law Bulletin (2); Witt, S.F., Witt, C.A., Forecasting tourism demand: A review of empirical research (1995) International Journal of Forecasting, 11 (3), pp. 447-475; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127","Cheng, K.M.; Department of Economics and Finance, Hang Seng Management CollegeHong Kong; email: kmcheng@hsmc.edu.hk",,,"Routledge",,,,,13683500,,,,"English","Curr. Issues Tour.",Letter,"Final",,Scopus,2-s2.0-84929431116 "Ko L.K., Taylor V.M., Yoon J., Copeland W.K., Hwang J.H., Lee E.J., Inadomi J.","7006793401;57203216582;57190162047;55634221300;13806400800;56076296800;7004004459;","The impact of medical tourism on colorectal screening among Korean Americans: A community-based cross-sectional study",2016,"BMC Cancer","16","1", 931,"","",,5,"10.1186/s12885-016-2965-y","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85000742139&doi=10.1186%2fs12885-016-2965-y&partnerID=40&md5=b6b323d1f5f09f089191778777bb14b3","University of Washington School of Public Health, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Department of Health Services, 1100 Fairview Ave. N, M3-B232, Seattle, WA 98109-1024, United States; Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, United States; University of Washington School of Medicine, Division of Gastroenterology, Seattle, WA, United States; National Asian Pacific Center on Aging, Seattle, WA, United States","Ko, L.K., University of Washington School of Public Health, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Department of Health Services, 1100 Fairview Ave. N, M3-B232, Seattle, WA 98109-1024, United States; Taylor, V.M., University of Washington School of Public Health, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Department of Health Services, 1100 Fairview Ave. N, M3-B232, Seattle, WA 98109-1024, United States; Yoon, J., Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, United States; Copeland, W.K., Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, United States; Hwang, J.H., University of Washington School of Medicine, Division of Gastroenterology, Seattle, WA, United States; Lee, E.J., National Asian Pacific Center on Aging, Seattle, WA, United States; Inadomi, J., University of Washington School of Medicine, Division of Gastroenterology, Seattle, WA, United States","Background: Colorectal cancer (CRC) remains the most commonly diagnosed cancer among Korean Americans (KAs) in part due to low screening rates. Recent studies suggest that some KA patients engage in medical tourism and receive medical care in their home country. The impact of medical tourism on CRC screening is unknown. The purpose of this paper was to 1) investigate the frequency of medical tourism, 2) examine the association between medical tourism and CRC screening, and 3) characterize KA patients who engage in medical tourism. Methods: This is a community-based, cross-sectional study involving self-administered questionnaires conducted from August 2013 to October 2013. Data was collected on 193 KA patients, ages 50-75, residing in the Seattle metropolitan area. The outcome variable is up-to-date with CRC screening, defined as having had a stool test (Fecal Occult Blood Test or Fecal Immunochemical Test) within the past year or a colonoscopy within 10 years. Predictor variables are socio-demographics, health factors, acculturation, knowledge, financial concerns for medical care costs, and medical tourism. Results: In multi-variate modeling, medical tourism was significantly related to being up-to-date with CRC screening. Participants who engaged in medical tourism had 8.91 (95% CI: 3.89-23.89) greater odds of being up-to-date with CRC screening compared to those who did not travel for healthcare. Factors associated with engaging in medical tourism were lack of insurance coverage (P = 0.008), higher levels of education (P = 0.003), not having a usual place of care (P = 0.002), older age at immigration (P = 0.009), shorter years-of-stay in the US (P = 0.003), and being less likely to speak English well (P = 0.03). Conclusions: This study identifies the impact of medical tourism on CRC screening and characteristics of KA patients who report engaging in medical tourism. Healthcare providers in the US should be aware of the customary nature of medical tourism among KAs and consider assessing medical tests done abroad when providing cancer care. Trial registration: Not applicable. © 2016 The Author(s).","Colorectal cancer screening; Korean Americans; Medical tourism","adult; aged; American; Article; cancer screening; colonoscopy; colorectal cancer; controlled study; cross-sectional study; cultural factor; female; health care cost; human; immunochemistry; Korean (people); major clinical study; male; medical tourism; observational study; occult blood test; practice guideline; questionnaire; Asian American; attitude to health; Colorectal Neoplasms; early cancer diagnosis; health survey; mass screening; odds ratio; socioeconomics; Washington; Asian Americans; Colorectal Neoplasms; Cross-Sectional Studies; Early Detection of Cancer; Female; Health Care Costs; Health Knowledge, Attitudes, Practice; Humans; Male; Mass Screening; Medical Tourism; Odds Ratio; Population Surveillance; Socioeconomic Factors; Surveys and Questionnaires; Washington",,,,,,,,"Screening for Colorectal Cancer (2008), http://www.uspreventiveservicestaskforce.org/uspstf/uspscolo.htm, Rockville. Accessed 10 Feb 2016; Cancer Facts & Figures 2015 (2015), http://www.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2015/, Atlanta. Accessed 10 Feb 2016; Tests to Detect Colorectal Cancer and Polyps http://www.cancer.gov/cancertopics/factsheet/detection/colorectal-screening, Bethesda. Accessed 10 Feb 2016; McCracken, M., Olsen, M., Chen, M.S., Jemal, A., Thun, M., Cokkinides, V., Deapen, D., Ward, E., Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities (2007) CA Cancer J Clin, 57 (4), pp. 190-205; Maxwell, A.E., Crespi, C.M., Trends in colorectal cancer screening utilization among ethnic groups in California: are we closing the gap? (2009) Cancer Epidemiol Biomarkers Prev, 18 (3), pp. 752-759; Jo, A.M., Maxwell, A.E., Wong, W.K., Bastani, R., Colorectal cancer screening among underserved Korean Americans in Los Angeles County (2008) J Immigr Minor Health, 10 (2), pp. 119-126; Ma, G.X., Shive, S., Tan, Y., Gao, W., Rhee, J., Park, M., Kim, J., Toubbeh, J.I., Community-based colorectal cancer intervention in underserved Korean Americans (2009) Cancer Epidemiol, 33 (5), pp. 381-386; Oh, K.M., Jacobsen, K.H., Colorectal cancer screening among Korean Americans: a systematic review (2014) J Community Health, 39 (2), pp. 193-200; Jo, A., Maxwell, A., Rick, A., Cha, J., Bastani, R., Why are Korean American physicians reluctant to recommend colorectal cancer screening to Korean American patients? Exploratory interview findings (2009) J Immigr Minor Health, 11 (4), pp. 302-309; Maxwell, A.E., Crespi, C.M., Antonio, C.M., Lu, P., Explaining disparities in colorectal cancer screening among five Asian ethnic groups: a population-based study in California (2010) BMC Cancer, 10, p. 214; Oh, K., Jun, J., Zhou, Q., Kreps, G., Korean American women's perceptions about physical examinations and cancer screening services offered in Korea: the influences of medical tourism on Korean Americans (2014) J Community Health, 39 (2), pp. 221-229; Medical Tourism (2015), http://www.cdc.gov/features/medicaltourism/, Atlanta. Accessed 10 Feb 2016; Handley, K., SAIS U.S.-Korea yearbook 2010: sustaining medical tourism in South Korea (2011), Washington, DC: Johns Hopkins University; Purpose of the Institute http://www.khidi.or.kr/board?menuId=MENU00772&siteId=null, Accessed 10 Feb 2016; Sohn, D.K., Kim, M.J., Park, Y., Suh, M., Shin, A., Lee, H.Y., Im, J.P., Kim, B.-H., The Korean guideline for colorectal cancer screening (2015) J Korean Med Assoc, 58 (5), pp. 420-432; (2014), http://www.pressian.com/news/article.html?no=120502, Pressian. 50, Colonoscopy cost in the US 5.7 million won vs. South Korea 200,000 won. Accessed 10 Feb 2016; http://quickfacts.census.gov/qfd/states/00000.html, USA Quick facts. Accessed 10 Feb 2016; National Health Interview Survey http://www.cdc.gov/nchs/nhis.htm, Accessed 10 Feb 2016; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9 (1), p. 24; Blendon, R.J., Brodie, M., Benson, J.M., Altman, D.E., Buhr, T., Americans' views of health care costs, access, and quality (2006) Milbank Q, 84 (4), pp. 623-657; Park, S., Americans' use of Korean medical tourism services...29% increase in the past year (2012), http://www.koreadaily.com/news/read.asp?art_id=1413177, Accessed 13 Jan 2016; Jin, S., Explosive increase of Korean medical tourism among Americans (2011), http://www.koreadaily.com/news/read.asp?art_id=1204058, Accessed 13 Jan 2016; Research/Surveys/Statistics 2014 http://www.medicaltourismassociation.com/en/research-and-surveys.html, Accessed 10 Feb 2016; (2010), https://www.snuh.org/english/snuh/snuh04/sub06/, S.N.U.H. Branches: L.A. Office Seoul. Accessed 10 Feb 2016; Kim, K., Korean big hospital's fierce competition in the US market (2011), http://news.chosun.com/site/data/html_dir/2011/04/09/2011040900102.html, Accessed 10 Feb 2016; http://english.visitmedicalkorea.com/english/pt/index.do;jsessionid=FEej29cslCa9Xd0UZ7rAZWkde99X1jqhmGSmCQ4FsGy8P6DaO2ruXm4sP9jKGI0F.corent-0428_servlet_engine1, Visit Medical Korea. Accessed 10 Feb 2016; Visitor Arrivals, Korean Departures http://kto.visitkorea.or.kr/eng/tourismStatics/keyFacts/visitorArrivals.kto, Int'l Tourism Receipts & Expenditures. Accessed 10 Feb 2016; Ryu, S.Y., Crespi, C.M., Maxwell, A.E., Colorectal cancer among Koreans living in South Korea versus California: incidence, mortality, and screening rates (2014) Ethn Health, 19 (4), pp. 406-423; Ma, G.X., Wang, M.Q., Toubbeh, J., Tan, Y., Shive, S., Wu, D., Factors associated with colorectal cancer screening among Cambodians, Vietnamese, Koreans and Chinese living in the United States (2012) N Am J Med Sci, 5 (1), pp. 1-8; Oh, K.M., Kreps, G.L., Jun, J., Colorectal cancer screening knowledge, beliefs, and practices of Korean Americans (2013) Am J Health Behav, 37 (3), pp. 381-394","Ko, L.K.; University of Washington School of Public Health, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Department of Health Services, 1100 Fairview Ave. N, M3-B232, United States; email: lko@fredhutch.org",,,"BioMed Central Ltd.",,,,,14712407,,BCMAC,"27905896","English","BMC Cancer",Article,"Final",Open Access,Scopus,2-s2.0-85000742139 "Smith M.K., Puczkó L.","55495915200;6507221735;","The Routledge Handbook of Health Tourism",2016,"The Routledge Handbook of Health Tourism",,,,"1","458",,5,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020274328&doi=10.4324%2f9781315693774&partnerID=40&md5=1021d3aa435b4bd6e42b7b7eb6e50b35","Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary","Smith, M.K., Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary; Puczkó, L., Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary","The Routledge Handbook of Health Tourism provides a comprehensive and cutting-edge overview of the philosophical, conceptual and managerial issues in the field of health tourism with contributions from more than 30 expert academics and practitioners from around the world. Terms that are used frequently when defining health tourism, such as wellbeing, wellness, holistic, medical and spiritual, are analysed and explored, as is the role that health and health tourism play in quality-of-life enhancement, wellbeing, life satisfaction and happiness. An overview is provided of health tourism facilities such as thermal waters, spas, retreats and wellness hotels and the various challenges inherent in managing these profitably and sustainably. Typologies are given not only of subsectors of health tourism and related activities but also of destinations, such as natural landscapes, historic townscapes or individual resources or attractions around which whole infrastructures have been developed. Attention is paid to some of the lifestyle changes that are taking place in societies which influence consumer behaviour, motivations and demand for health tourism, including government policies, regulations and ethical considerations. This significant volume offers the reader a comprehensive synthesis of this field, conveying the latest thinking and research. The text is international in focus, encouraging dialogue across disciplinary boundaries and areas of study and will be an invaluable resource for all those with an interest in health tourism. © 2017 selection and editorial matter, Melanie Kay Smith and László Puczkó;. All rights reserved.",,,,,,,,,,,"Smith, M.K.; Budapest Metropolitan University, School of Tourism, Leisure and HospitalityHungary",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book,"Final",,Scopus,2-s2.0-85020274328 "Kim H.J., Lee T.J., Ko T.G.","56981551000;35196248300;7201681512;","Satisfaction and Subjective Well-Being of Health Tourists: The Case of Japanese and Korean Tourists",2016,"Journal of Travel and Tourism Marketing","33","5",,"742","756",,5,"10.1080/10548408.2016.1167392","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84976254202&doi=10.1080%2f10548408.2016.1167392&partnerID=40&md5=a6ea2e1c161b8d274883f9631fcd3f82","Department of International Tourism Management, Dong-Eui University, Busan, 47340, South Korea; Department of Tourism and Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, 874-8577, Japan; Department of Convention and Tourism Management, College of Business, Hallym University, Chuncheon, 24252, South Korea","Kim, H.J., Department of International Tourism Management, Dong-Eui University, Busan, 47340, South Korea; Lee, T.J., Department of Tourism and Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, 874-8577, Japan; Ko, T.G., Department of Convention and Tourism Management, College of Business, Hallym University, Chuncheon, 24252, South Korea","ABSTRACT: The purpose of this research is to examine the differences of perception between health tour seekers and non-seekers of subjective well-being (SWE). Relative data were collected from 158 Korean package tourists who traveled to Sapporo, Japan, and from 111 Japanese package tourists who traveled to Busan, Korea. The results indicated that health tourism seekers perceived the level of contribution of the health tour to SWE to be more positive than non-seekers. It also revealed that the satisfaction levels of the tourism activities had a partially significant impact on the SWE of participants and non-participants. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","Health tourism; life satisfaction; medical tourism; subjective well-being; SWE",,,,,,,,,"Andrews, F.M., Withey, S.B., (1976) Social indicators of well-being: America’s perception of life quality, , New York, NY: Plenum; Campbell, A., Subjective measures of well-being (1976) American Psychologist, 31, pp. 117-124; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; David, G., Junaida, A., Holidaytaking and the sense of well-being (2004) Annals of Tourism Research, 31 (1), pp. 103-121; Diener, E., Subjective Well-being (1984) Psychological Bulletin, 95, pp. 542-575; Diener, E., Assessing subjective well-being: Progress and opportunities (1994) Social Indicators Research, 31, pp. 103-157; Diener, E., Traits can be powerful, but are not enough: Lessons from subjective well-being (1996) Journal of Research in Personality, 30, pp. 389-399; Diener, E., Emmons, R.A., The independence of positive and negative affect (1984) Journal of Personality and Social Psychology, 47, pp. 1105-1117; Diener, E., Scollon, N., Lucas, R.E., The evolving concepts of subjective well-being: The multifaceted nature of happiness (2003) Advances in Cell Aging and Gerontology, 15, pp. 187-219; Diener, E., Suh, E., Smith, H., Shao, L., National differences in reported subjective well-being: Why do they occur? (1995) Social Indicators Research, 34, pp. 7-32; Emmons, R.A., Diener, E., Personality correlates of subjective well-being (1985) Journal of Personality and Social Psychology, 11, pp. 89-97; García-Altés, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gilbert, D., Abdullah, J., Holiday-taking and the sense of well-being (2004) Annals of Tourism Research, 31 (1), pp. 103-121; Goodrich, J.N., Socialist Cuba: A study of health tourism (1993) Journal of Travel Research, 32, pp. 36-41; Goodrich, J.N., Goodrich, G.E., Health-care tourism - An exploratory study (1987) Tourism Management, 8, pp. 217-222; Hall, C.M., Adventure, sport and health tourism (1992) Special-interest tourism, , Weiler B., Hall C.M., (eds), London: Bellhaveb Press; Lee, J.S., Jeon, W.B., Relationships of tourism activities, leisure satisfaction, psychological well-being, subjective well-being (2005) Journal of Tourism Sciences, 28 (4), pp. 149-172; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Mueller, H., Kaufman, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Neal, J., Sirgy, M., Uysal, M., The role of satisfaction with leisure travel/tourism services and experience in satisfaction with leisure life and overall life (1999) Journal of Business Research, 44, pp. 153-163; (2008) Asian medical tourism analysis 2008 – 2012, , India: Research and Consultancy Outsourcing Services; Shin, D.C., Johnson, D.M., Avowed happiness as an overall assessment of the quality of life (1978) Social Indicators Research, 5, pp. 475-492; Smith, M., Puczko, L., (2009) Health and wellness tourism, , Oxford: Elsevier; Towner, J., Wall, G., History and tourism (1991) Annals of Tourism Research, 18, pp. 71-84; Yu, J., Lee, T.J., Noh, H., Characteristics of a medical tourism industry: The case of South Korea (2011) Journal of Travel & Tourism Marketing, 28 (8), pp. 856-872; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean Tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Kim, H.J.; Department of Convention and Tourism Management, College of Business, Hallym UniversitySouth Korea; email: tgko@hallym.ac.kr",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-84976254202 "Hong Y.A.","55544209100;","Medical tourism and telemedicine: A new frontier of an old business",2016,"Journal of Medical Internet Research","18","5", e115,"","",,5,"10.2196/jmir.5432","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84973462478&doi=10.2196%2fjmir.5432&partnerID=40&md5=74416937dc364d6ce0ed06cafcb4b3a6","School of Public Health, Xiamen University, Xiamen, China; School of Public Health, Texas A and M University, 1266 TAMU, College Station, TX 77840, United States","Hong, Y.A., School of Public Health, Xiamen University, Xiamen, China, School of Public Health, Texas A and M University, 1266 TAMU, College Station, TX 77840, United States","In October 2015, the ""Chinese American Physicians E-Hospital"" celebrated its ""grand opening"" online. All physicians affiliated with this E-Hospital are bilingual Chinese American physicians, who provide services ranging from initial teleconsulting to international transfer and treatment in the United States. Such telemedicine platform for medical tourism not only saves the patients from the hassles of identifying and connecting with an appropriate health service provider but also minimizes the language and cultural barriers. As a growing number of patients from middle- and low-income countries travel to the United States (US) for medical care, we face promising opportunities as well as mounting challenges. The Centers for Disease Control (CDC) in the US has guidance for Americans seeking care overseas, but is not available for international patients seeking care in US. This article opens a dialogue on the challenges associated with flourishing medical tourism and telemedicine, including quality assessment, risk communication, ethical guidelines, and legal concerns.","E-hospital; Ethics; Medical tourism; Telemedicine","ethics; human; medical tourism; telemedicine; utilization; Humans; Medical Tourism; Telemedicine",,,,,,,,"Research/Survey/Statistics, , http://www.medicaltourismassociation.com/en/research-and-surveys.html, Tourism American Medical Association [accessed 2015 12-10] [WebCite Cache ID 6dgGGyNJ5]; Hall, C.M., (2012) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 1-223. , Routledge. New York: Routledge; Street the Wall Journal Desperate Chinese Seek Medical Care Abroad, , http://www.wsj.com/articles/desperate-chinese-seek-medical-care-abroad-1409959941, [accessed201601-08] [WebCite Cache ID 6eN7mOr3a]; (2014) Country Cancer Profile, , http://www.who.int/cancer/country-profiles/chn_en.pdf?ua=1, World Health Organization China [accessed 2016-01-08] [WebCite Cache ID 6eN8Db4rT]; Zeng, H., Zheng, R., Guo, Y., Zhang, S., Zou, X., Wang, N., Cancer survival in China, 2003-2005: A population-based study (2015) Int J Cancer, 136 (8), pp. 1921-1930. , Apr 15 [FREE Full text] [Medline: 25242378]; Chang, J., (2015) Chinese Spur Medical-Tourism Growth in the US, , http://usa.chinadaily.com.cn/epaper/2015-08/07/content_21527300.htm, August 7 China Daily [accessed 2016-01-07] [WebCite Cache ID 6eN7vW8M3]; Shaw, C.D., How can healthcare standards be standardised? (2015) BMJ Quality & Safety, 24 (10), pp. 615-619. , Oct 24; Gaines, J., Nyugen, D., Book Yellow Information on Medical Tourism (2014) Medical Tourism, , http://wwwnc.cdc.gov/travel/yellowbook/2016/the-pre-travel-consultation/medical-tourism, CDC [WebCite Cache ID 6dgGA5Ny3]; Oh KM, J.J., Framing risks and benefits of medical tourism: A content analysis of medical tourism coverage in Korean American community newspapers (2015) J Health Commun, 20 (6), pp. 720-727. , [Medline: 25942506]; George Henthorne, T., Incorporation The of Telemedicine With Medical Tourism: A Study of Consequences (2009) Journal of Hospitality Marketing & Management, 18 (5), pp. 512-522. , Jun09; Crisp, N., (2010) Turning the World Upside Down: The Search for Global Health in the 21st Century, , New York: CRC Press; Jan 15","Hong, Y.A.; School of Public Health, Xiamen UniversityChina; email: yhong@sph.tamhsc.edu",,,"Journal of Medical Internet Research",,,,,14388871,,,"27215230","English","J. Med. Internet Res.",Review,"Final",Open Access,Scopus,2-s2.0-84973462478 "Vrkljan S., Hendija Z.","57190313281;6505752675;","Business performance of health tourism service providers in the Republic of Croatia",2016,"Acta Clinica Croatica","55","1",,"79","86",,5,"10.20471/acc.2016.55.01.12","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979096155&doi=10.20471%2facc.2016.55.01.12&partnerID=40&md5=46ccb0e4a2e528106a05885b882f526f","Tourism Sector, Croatian Chamber of Economy, Zagreb, Croatia; Department for Tourism, Faculty of Economics and Business, Zagreb, Croatia","Vrkljan, S., Tourism Sector, Croatian Chamber of Economy, Zagreb, Croatia; Hendija, Z., Department for Tourism, Faculty of Economics and Business, Zagreb, Croatia","Health tourism can be generally divided into medical, health spa and wellness tourism. Health spa tourism services are provided in special hospitals for medical rehabilitation and health resorts, and include under medical supervision controlled use of natural healing factors and physical therapy in order to improve and preserve health. There are 13 special hospitals for medical rehabilitation and health resorts in Croatia. Most of them are financed through the state budget and lesser by sale on the market. More than half of their accommodation capacity is offered for sale on the market while the rest is under contract with the Croatian Health Insurance Fund. Domestic overnights are several times higher than foreign overnights. The aim of this study was to analyze business performance of special hospitals for medical rehabilitation and health resorts in Croatia in relation to the sources of financing and the structure of service users. The assumption was that those who are more market-oriented achieve better business performance. In proving these assumptions, an empirical research was conducted and the assumptions were tested. A positive correlation was proven in tested indicators of business performance of the analyzed service providers of health-spa tourism with a higher amount of overnight stays realized through sales on the market in relation to total overnight stays, with a greater share of foreign overnights in total of overnights and with a higher share of realized revenue on the market out of total revenue. The results of the research show that special hospitals for medical rehabilitation and health resorts that are more market-oriented are more successful in their business performance. These findings are important for planning the health and tourism policies in countries like Croatia.","Croatia; economics; Health resorts; Health tourism; Hospitals; Rehabilitation; Special","budget; Croatia; economics; empirical research; financial management; health insurance; human; market; public health service; rehabilitation; rest; tourism; Croatia; health service; income; medical tourism; public health service; rehabilitation center; Croatia; Health Resorts; Health Services; Humans; Income; Medical Tourism; Rehabilitation Centers",,,,,,,,"Bartoluci, M., Hendija, Z., Investment management in Croatian Health Tourism. Journal of Accounting and Management (2012) Croatian Accountant, 2 (1), pp. 70-88; Vukonic, B., Cavlek, N., (2001) Rjecnik turizma, , Zagreb: Masmedia (in Croatian)s; Kušen, E., Klaric, Z., Resursna osnova zdravstvenog turizma (1997) I. medunarodni simpozij Opatija promotor zdravstvenog turizma. Zbornik radova, pp. 233-244. , Rožanic I, editor. Opatija: Fakultet za menadžment u turizmu i ugostiteljstvu. (in Croatian)s; Kušen, E., Pozicioniranje medicinskog turizma u širi okvir zdravstvenog turizma (2011) Turizam, 59 (1), pp. 93-97. , (in Croatian); Vitthal, P.C., Rupesh, A., Sharma, B.R., Ramachandran, M., Emerging trends and future prospects of medical tourism in India (2015) J Pharm Sci Res, 7 (5), pp. 246-251; (2013) European Commission, , Demographic Challenge; Tomasovic Mrcela, N., Borovac, J., Vrdoljak, D., Grazio, S., Tikvica Luetic, A., Tomek-Roksandic, S., When elders choose: which factors could influence the decision-making among elderly in the selection of health tourism services? (2015) Med Hypotheses, 85 (6), pp. 898-904. , Dec, Epub 2015 Sep 12; (2014) Health and Wellness Tourism in Europe, , http://store.mintel.com/; Menvielle, L., Menvielle, W., Tournois, N., Medical tourism: the model of making decisions in choosing the services (2011) Turizam, 59 (1), pp. 45-59; Garcia Altes, A., The development of health tourism services (2005) Ann Tourism Res, 32 (1), pp. 262-266; Tournois, N., Milliot, E., The Paradoxes of Globalization (2010) Hampshire: Palgrave Macmillan, pp. 145-166; Müller, H., Lanz Kaufmann, E., Wellness tourism: market analysis of a special health tourism segment and implications for the hotel industry (2001) J Vacation Marketing, 7 (1), pp. 5-17; (2013) Strategija razvoja turizma u Hrvatskoj do 2020. godine, , http://narodne-novine.nn.hr/clanci/sluzbeni/2013_05_55_1119.html, Official Gazette 55/13 (10.01.2016). (in Croatian); Ministarstvo zdravlja, R.H., (2012) Nacionalna strategija razvoja zdravstva Hrvatske 2012.-2020, , http://www.propisi.hr/files/file/IVANA%20-%20PROPISI%20I/956_708%20Nacionalna.pdf, Official Gazette 116/12 (10.01.2016). (in Croatian)s; Brun, N., Deau, X., Roffé, J.L., Tourisme médical: la médicine low cost? (2009) Médecins, , http://bulletin.conseilnational.medicin.fr/article.php3?id_article=273, (in French); Bartoluci, M., Hendija, Z., Stanje i perspektive razvoja zdravstvenog turizma u Republici Hrvatskoj. Medunarodna konferencija Stanje i mogucnosti zdravstvenog i sportskorekracijskog turizma (2012) Cakovec: Medimursko veleucilište, pp. 10-22. , (in Croatian); Telišman Košuta, N., Ivandic, N., Kunst, I., Markovic, I., Akcijski plan razvoja zdravstvenog turizma (2015) Zagreb: Institut za turizam, , http://www.mint.hr/UserDocsImages/150608_AP_%20Zdravstveni%20turizam.pdf, (15.01.2016). (in Croatian); Telišman, N., (2005) Konkurentska pozicija zdravstvenog turizma, p. 34. , Zagreb: Institut za turizam i Hrvatska gospodarska komora. (in Croatian); Wellness Tourism and Medical Tourism: Where do Spas fit? (2011) Research Report, , http://www.glogalspaandwellnesssummit.org/images/stories/pdf/spas_wellness_medical_tourism_report_final.pdf, (20.01.2016); (2013) Global Tourism Industry-Statistics and Facts, , http://www.globalwellnessinstitute.org/press-room/statistics-and-facts/, (20.01.2016); Smith, M., Puczko, L., (2009) Health and Wellness Tourism, p. 52. , Oxford: Butterworth-Heinemann, Elsevier; Kušen, E., Pozicioniranje medicinskog turizma u širi okvir zdravstvenog turizma (2011) Turizam, 59 (1), pp. 93-97. , (in Croatian); Telišman Košuta, N., Ivandic, N., Kunst, I., Markovic, I., Akcijski plan razvoja zdravstvenog turizma (2015) Zagreb: Institut za turizam, pp. 19-25. , http://www.mint.hr/UserDocsImages/150608_AP_%20Zdravstveni%20turizam.pdf, (15.01.2016); Ivaniševic, G., Prirodne mogucnosti razvitka wellness ponude u Hrvatskoj (2008) Presented at the Meeting of Wellness Tourism Section at CCE, , http://hgk.biznet.hr/hgk/tekst.php?a=b&page=tekst&id=1931, (10.4.2011.). (in Croatian); Telišman Košuta, N., Ivandic, N., Kunst, I., Markovic, I., Akcijski plan razvoja zdravstvenog turizma (2015) Zagreb: Institut za turizam, p. 45. , http://www.mint.hr/UserDocsImages/150608_AP_%20Zdravstveni%20turizam.pdf, (15.01.2016). (in Croatian); Vesenjak, P., (2014) Development of the spa tourism in Slovenia-experiences from the transition period and after joining the EU, , 4th Balkan Spa Summit. Tuhelj","Vrkljan, S.; Tourism Sector, Croatian Chamber of Economy, Rooseveltov trg 2, Croatia; email: sanela.vrkljan@gmail.com",,,"Klinicka Bolnica Sestre Milosrdnice",,,,,03539466,,ACLCE,"27333722","English","Acta Clin. Croat.",Article,"Final",Open Access,Scopus,2-s2.0-84979096155 "Soroka A., Mazurek-Kusiak A., Wojciechowska-Solis J., Hawlena J.","56226232500;57189385840;57189388727;55531603500;","Importance of forest resources in health tourism - Wigierski National Park case study [Znaczenie zasobów leśnych w turystyce zdrowotnej na przykładzie Wigierskiego Parku Narodowego]",2016,"Sylwan","160","1",,"64","70",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84970027495&partnerID=40&md5=b566781d9e0d3fa72a2bfa13b604911f","Zakład Turystyki i Rekreacji, Uniwersytet Przyrodniczo-Humanistyczny w Sicdlcach, ul. Konarskiego 2, Siedlce, 08-110, Poland; Katedra Turystyki i Rekreacji, Uniwersytet Przyrodniczy w Lublinie, ul. Akademicka 13, Lublin, 20-950, Poland","Soroka, A., Zakład Turystyki i Rekreacji, Uniwersytet Przyrodniczo-Humanistyczny w Sicdlcach, ul. Konarskiego 2, Siedlce, 08-110, Poland; Mazurek-Kusiak, A., Katedra Turystyki i Rekreacji, Uniwersytet Przyrodniczy w Lublinie, ul. Akademicka 13, Lublin, 20-950, Poland; Wojciechowska-Solis, J., Katedra Turystyki i Rekreacji, Uniwersytet Przyrodniczy w Lublinie, ul. Akademicka 13, Lublin, 20-950, Poland; Hawlena, J., Katedra Turystyki i Rekreacji, Uniwersytet Przyrodniczy w Lublinie, ul. Akademicka 13, Lublin, 20-950, Poland","The aim of this study was to identify the motives of visits in the Wigierski National Park (north-eastern Poland), which were focused on health and regeneration of vitality by inhabitants of Suwalki. Knowledge about the influence of forest environment on health was also investigated. The quota sampling was used to determine the sample size and number of respondents was determined proportionally to the level of education and age of people surveyed. We used discriminant analysis to determine which variables stood out in four analysed age groups. Recreational and tourism as well as therapeutic opportunities, to a great extent, are not just noticed by respondents, but also applied by them in their daily life. Respondents appreciated the healing effect of the forest environment on people, on their physical and mental needs. Such attitude was achieved thanks to widely conducted education, which enhanced such aspects as medical properties of forests and their role in health prevention. Respondents declared the need for visiting actively forest areas for leisure and health reasons. Respondents particularly emphasized a possibility of health improvement, even more than a desire to enjoy anthropogenic attractions of the Wigierski National Park. Taking into account tourists' needs that are aimed at leisure and health, as well as appreciating non-productive importance of forests, it is recommended that the State Forests, through supervision and adequate infrastructure, should strive for the most convenient way to make forest environment available for people. It was also applied for protecting forest resources in order to maintain their sustainability for present and future generations. It was stated that the promotion of active leisure in connection with natural forest environment is a new way of life, especially applied by residents of large urban agglomerations. Such promotion is also a key task of public authorities and various organizations related to ecology and health. A special role is attributed to tourism and recreation organizers, but most of all to the State Forests, which are the main administrator of this forest area.","Forest environment; Health; Recreation; Society; Tourism",,,,,,,,,"Bell, P.A., Greene, Th.C., Fisher, J.D., Baum, A., (2004) Psychologia Środowiskowa, , Gdańskie Wydawnictwo Psychologiczne, Gdańsk; Bell, S., (1997) Design of Outdoor Recreation, , Spon Press, London; Chołnik, B., (2004) Wartości i Kompeteneje w Edukacji Leśnej, , CILP, Warszawa; Cole, D.N., Impacts of hiking and camping on soils and vegetation (2004) Environmental Impacts of Ecotourism, pp. 41-60. , Buckley R. [red.] CABI Publishing, New York; Destan, S., Bekiroǧlu, S., Evaluation of the territorial system of forest recreation by natural indicators: Belgrade forest example (2011) African Journal of Agricultural Research, 6 (1), pp. 212-223; Dȩbiec, T., Turyści ścisłego zarachowania (2011) Las Polski, 3, pp. 11-17; Falencka-Jabłońska, M., Walory przyrodnicze polskich lasów i ich uzdrowiskowo-turystyczne wykorzystanie (2012) Inżynieria Ekologiczna, 30, pp. 61-69; Gaworecki, W., (2003) Turystyka, , PVVE, Warszawa; Herzog, T.R., Chen, H.C., Primeau, J.S., Perception of the restorative potential of natural and other settings (2002) Journal of Environmental Psychology, 22, pp. 295-306; Janeczko, E., Woźnicka, M., Zagospodarowanie rekreacyjne lasów Warszawy w kontekście potrzeb i oczekiwań mieszkańców stolicy (2009) Studia i Materialy Centrum Edukacji Przyrodniczo-Leśnej, 23, pp. 131-139; Muszyński, Z., Muszyński, J., Zbiór owoców i grzybów a ochrona środowiska leśnego (2004) Problemy Zrównoważonego Rozwoju Turystyki, Rekreacji i Sportu w Lasach, , Pieńkos K. [red.] AWE, Warszawa; Ozga, W., Zagospodarowanie turystyczne otoczenia Wigierskiego Parku Narodowego i jego znaczenie w promocji turystyki leśnej (2007) Problemy Rozwoju Turystyki Edukacyjno-kulturowej w Polsce i na Świecle. Roczniki Wydzialu Nauk Humanistycznych SGGW, 9, pp. 179-184. , Przychodzeń Z. J. [red.]; Paschalis-Jakubowicz, P., Leśnictwo a leśna turystyka i rekreacja (2009) Studia i Materiały Centrum Edukacji Przyrodniczo-Leśnej, 23, pp. 29-35; (2014) Raport o Stanie Lasów w Polsce w 2013, , PGL LP, Warszawa; Tabachnik, B.G., Fidell, L., (1996) Using Multivariate Statistics, , Happer and Row, Now York; Tkocz, S., (2006) Walory Uzdrowiskowe, , Sanatoria w Polsce. Kraków; Watson, J., Ward, S., (2010) Forest Visitor Surveys 2009, , Forestry Commission, Edinburgh; (2013) W Sprawie Wprowadzenia Programu Państwowego Gospodarstwa Leśnego Lasy Państwowe Pt., , Aktywne Udostȩpnianie Lasu na Lata 2013-2014"" Oraz Zasad Jego Realizacji Jako Wspólnego Przedsiȩwziȩcia Jednostek Organizacyjnych Lasów Państwowych w Zakresie Wytwarzania Infrastruktury Technicznej Niezbȩdnej do Prowadzenia Gospodarki Leśnej. Zarządzenie nr 64 Dyrektora Generalnego Lasów Państwowych z dnia 13 sierpnia 2013. ZO-735-2/30/13; Zydroń, A., Szoszkiewicz, K., Wartość: Środowiska a gotowość spoleczeństwa do zapłacenia za to dobro (2013) Annual Set the Environment Protection, 15, p. 2875",,,,"Polish Forest Society",,,,,00397660,,,,"Polish","Sylwan",Article,"Final",,Scopus,2-s2.0-84970027495 "Chew Y.T., Koeshendro A.D.","57162604300;57163626800;","Identifying research gaps in medical tourism",2016,"Destination Marketing: An International Perspective",,,,"119","125",,5,"10.4324/9781315720050","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84960468641&doi=10.4324%2f9781315720050&partnerID=40&md5=0b6841e7d205f967f55b8db44ea3f172","School of Business, Monash University, Malaysia","Chew, Y.T., School of Business, Monash University, Malaysia; Koeshendro, A.D.",[No abstract available],,,,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Goodrich, J.N., Goodrich, G.E., Health-care tourism-An exploratory study (1987) Tourism Management, 8, pp. 217-222; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hall, C.M., (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 61-74. , London: Routledge; Healy, C., Surgical tourism and the globalization of healthcare (2009) Irish Journal of Medical Sciences, 178, pp. 125-127; Heung, V.C., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32, pp. 995-1005; Hunter, W.C., Medical tourism: A new global niche (2007) International Journal of Tourism Sciences, 7 (1), pp. 129-140; Kim, Y.H., Boo, C., Kim, M., An investigation of Korean health tourists’ behaviour: Benefit sought, brand equity, and intention to visit (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 61-74. , C. M. Hall (Ed.), London: Routledge; Kozak, M., Crotts, J.C., Law, R., The impact of the perception of risk on international travellers (2007) International Journal of Tourism Research, 9 (4), pp. 233-242; Lee, C.G., Health care and tourism: Evidence from Singapore (2010) Tourism Management, 31, pp. 486-488; Lee, M., Han, H., Lockyer, T., Medical tourism: Attracting Japanese tourists for medical tourism experience (2012) Journal of Travel and Tourism Marketing, 29 (1), pp. 69-86; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Musa, G., Doshi, D.R., Wong, K.M., Thirumoorthi, T., How satisfied are inbound medical tourists in Malaysia? A study on private hospitals in Kuala Lumpur (2012) Journal of Travel and Tourism Marketing, 29 (7), pp. 629-646; Musa, G., Thirumoorthi, T., Doshi, D., Travel behaviour among inbound medical tourists in Kuala Lumpur (2012) Current Issues in Tourism, 15 (6), pp. 525-543; Ormond, M., Shifting subjects of health-care: Placing “medical tourism” in the context of Malaysian domestic health-care reform (2011) Asia Pacific Viewpoint, 52 (3), pp. 247-259; Park, K.S., Reisinger, Y., Kang, H.J., Visitors’ motivation for attending the South Beach wine and food festival, Miami Beach, Florida (2008) Journal of Travel and Tourism Marketing, 25 (2), pp. 161-181; Runnels, V., Carrera, P., Why do patients engage in medical tourism? (2012) Maturitas, 73 (4), pp. 300-304; Tasci, A.D., Gartner, W.C., Destination image and its functional relationships (2007) Journal of Travel Research, 45 (4), pp. 413-425; Uysal, M., Hagan, L.R., Motivation of pleasure to travel and tourism (1993) VNR’S Encyclopedia of Hospitality and Tourism, pp. 798-810. , M. A. Khan, M. D. Olsen, & T. Var (Eds.), New York: Van Nostrand Reinhold; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3, pp. 271-290; Wingkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38 (1), pp. 4-12; Wong, K.M., Musa, G., Medical Tourism in Asia: Thailand, Singapore, Malaysia and India (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 61-74. , C. M. Hall (Ed.), London: Routledge; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: A structural model (2005) Tourism Management, 26 (1), pp. 45-56; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35 (1), pp. 32-40",,,,"Taylor and Francis",,,,,,9781317517801; 9781138941328,,,"English","Destination Marketing: An International Perspective",Book Chapter,"Final",,Scopus,2-s2.0-84960468641 "Wang Y., Lo W.-U., Lai E.L., Chow K.-H., Ho P.-L.","56497223700;35558916700;56496330000;7202180736;7402211363;","Complete sequence of the multidrug-resistant IncL/M plasmid pIMPHB623 cocarrying blaIMP-34 and fosC2 in an Enterobacter cloacae strain associated with medical travel to China",2015,"Antimicrobial Agents and Chemotherapy","59","9",,"5854","5856",,5,"10.1128/AAC.00375-15","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940951899&doi=10.1128%2fAAC.00375-15&partnerID=40&md5=027c06a58d97b58e1de066f0a5b4c86b","Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong","Wang, Y., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; Lo, W.-U., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; Lai, E.L., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; Chow, K.-H., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong; Ho, P.-L., Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary Hospital, Hong Kong, Hong Kong",[No abstract available],,"plasmid DNA; antiinfective agent; inosine phosphate; aacC2 gene; aged; Article; bacterial gene; bacterial strain; brain hemorrhage; case report; China; Enterobacter cloacae; fosC2 gene; gene insertion sequence; human; integron; inverted repeat; male; multidrug resistance; nonhuman; nucleotide sequence; nucleotide sequence; open reading frame; operon; polymerase chain reaction; priority journal; sequence analysis; travel; China; drug effects; Enterobacter cloacae; genetics; medical tourism; plasmid; Anti-Bacterial Agents; China; Drug Resistance, Multiple, Bacterial; Enterobacter cloacae; Inosine Monophosphate; Medical Tourism; Open Reading Frames; Plasmids","GENBANK: KM877517","inosine phosphate, 131-99-7; Anti-Bacterial Agents; Inosine Monophosphate",,,,,,"Partridge, S.R., Ginn, A.N., Paulsen, I.T., Iredell, J.R., PEl1573 carrying blaIMP-4, from Sydney, Australia, is closely related to other IncL/M plasmids (2012) Antimicrob Agents Chemother, 56, pp. 6029-6032; Ho, P.L., Lo, W.U., Yeung, M.K., Lin, C.H., Chow, K.H., Ang, I., Tong, A.H., Lo, J.Y., Complete sequencing of pNDM-HK encoding NDM-1 carbapenemase from a multidrug-resistant Escherichia coli strain isolated in Hong Kong (2011) PLoS One, 6, p. e17989; Carattoli, A., Resistance plasmid families in Enterobacteriaceae (2009) Antimicrob Agents Chemother, 53, pp. 2227-2238; Ho, P.L., Lo, W.U., Chan, J., Cheung, Y.Y., Chow, K.H., Yam, W.C., Lin, C.H., Que, T.L., PIMP-PH114 carrying blaIMP-4 in a Klebsiella pneumoniae strain is closely related to other multidrug-resistant IncA/C2 plasmids (2014) Curr Microbiol, 68, pp. 227-232; Ho, P.L., Chan, J., Lo, W.U., Lai, E.L., Cheung, Y.Y., Lau, T.C., Chow, K.H., Prevalence and molecular epidemiology of plasmid-mediated fosfomycin resistance genes among blood and urinary Escherichia coli isolates (2013) J Med Microbiol, 62, pp. 1707-1713; Ho, P.L., Wong, R.C., Lo, S.W., Chow, K.H., Wong, S.S., Que, T.L., Genetic identity of aminoglycoside-resistance genes in Escherichia coli isolates from human and animal sources (2010) J Med Microbiol, 59, pp. 702-707; Partridge, S.R., Hall, R.M., The IS1111 family members IS4321 and IS5075 have subterminal inverted repeats and target the terminal inverted repeats of Tn21 family transposons (2003) J Bacteriol, 185, pp. 6371-6384","Ho, P.-L.; Department of Microbiology and Carol Yu Centre for Infection, University of Hong Kong, Queen Mary HospitalHong Kong",,,"American Society for Microbiology",,,,,00664804,,AMACC,"26100693","English","Antimicrob. Agents Chemother.",Article,"Final",Open Access,Scopus,2-s2.0-84940951899 "Crooks V.A., Cohen I.G., Adams K., Whitmore R., Morgan J.","35585107800;25653634900;37074104200;7005041258;56733994900;","Inbound medical tourism to Barbados: A qualitative examination of local lawyers' prospective legal and regulatory concerns",2015,"BMC Health Services Research","15","1", 291,"","",,5,"10.1186/s12913-015-0948-3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938416235&doi=10.1186%2fs12913-015-0948-3&partnerID=40&md5=74594f4baa236c37fe237d59b154ab13","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Harvard Law School, Harvard University, 1563 Massachusetts Avenue, Cambridge, MA, United States; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Cohen, I.G., Harvard Law School, Harvard University, 1563 Massachusetts Avenue, Cambridge, MA, United States; Adams, K., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, Canada; Whitmore, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Morgan, J., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Background: Enabled by globalizing processes such as trade liberalization, medical tourism is a practice that involves patients' intentional travel to privately obtain medical care in another country. Empirical legal research on this issue is limited and seldom based on the perspectives of destination countries receiving medical tourists. We consulted with diverse lawyers from across Barbados to explore their views on the prospective legal and regulatory implications of the developing medical tourism industry in the country. Methods: We held a focus group in February 2014 in Barbados with lawyers from across the country. Nine lawyers with diverse legal backgrounds participated. Focus group moderators summarized the study objective and engaged participants in identifying the local implications of medical tourism and the anticipated legal and regulatory concerns. The focus group was transcribed verbatim and analyzed thematically. Results: Five dominant legal and regulatory themes were identified through analysis: (1) liability; (2) immigration law; (3) physician licensing; (4) corporate ownership; and (5) reputational protection. Conclusions: Two predominant legal and ethical concerns associated with medical tourism in Barbados were raised by participants and are reflected in the literature: the ability of medical tourists to recover medical malpractice for adverse events; and the effects of medical tourism on access to health care in the destination country. However, the participants also identified several topics that have received much less attention in the legal and ethical literature. Overall this analysis reveals that lawyers, at least in Barbados, have an important role to play in the medical tourism sector beyond litigation - particularly in transactional and gatekeeper capacities. It remains to be seen whether these findings are specific to the ecology of Barbados or can be extrapolated to the legal climate of other medical tourism destination countries. © 2015 Crooks et al.","Barbados; Legal; Medical tourism; Qualitative; Regulation","Barbados; female; government regulation; health care delivery; human; information processing; international cooperation; lawyer; legislation and jurisprudence; male; malpractice; medical tourism; prospective study; psychology; qualitative research; Barbados; Delivery of Health Care; Female; Focus Groups; Government Regulation; Humans; Internationality; Lawyers; Male; Malpractice; Medical Tourism; Prospective Studies; Qualitative Research",,,,,"Canadian Institutes of Health Research, CIHR: FRN 119355 Michael Smith Foundation for Health Research, MSFHR",,,"Johnston, R., Crooks, V.A., Snyder, J., Paul, K., What is known about the effects of medical tourism in destination and departure countries? (2010) Int J Equity Health, 9, p. 24. , 2987953 21047433; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2013) J Public Health Policy, 31, pp. 185-198; Turner, L., ""Medical tourism"" and the global marketplace in health services: U.S. Patients, international hospitals, and the search for affordable health care (2010) Int J Health Serv, 40, pp. 443-467. , 20799670; Lunt, N., Smith, R., Exworthy, M., Green, S., Horsfall, D., Mannion, R., Medical tourism: Treatments, markets and health system implications: A scoping review OECD 2011, , http://www.oecd.org/els/health-systems/48723982.pdf; Holiday, R., Bell, D., Cheung, O., Jones, M., Probyn, E., Brief encounters: Assembling cosmetic surgery tourism Soc Sci Med, , in press; Turner, L., Let's wave goodbye to ""transplant tourism"" (2008) BMJ, 336, p. 1377. , 2427092; Caulfield, T., Zarzeczny, A., Stem cell tourism and Canadian family physicians (2012) Can Fam Physician, 58, pp. 365-368. , Toronto Stem Cell Working Group 22611603; Noree, T., Hanefeld, J., Smith, R., UK medical tourists in Thailand: They are not who you think they are (2014) Global Health, 10, p. 29. , 4038702 24885204; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266. , 2944273 20825667; Chen, Y.Y., Flood, C.M., Medical tourism's impact on health care equity and access in low- and middle-income countries: Making the cause for regulation (2013) J Law Med Ethics, 41, pp. 286-300. , 23581671; Johnston, R., Crooks, V.A., Snyder, J., Fraser, H., Labonté, R., Adams, K., An Overview of Barbados' Medical Tourism Industry, , http://www.sfu.ca/medicaltourism/An%20Overview%20of%20Barbados'%20Medical%20Tourism%20Industry%20-%20Version%202.0.pdf; Fraser, H., Health tourism: Golden opportunities for Barbados (2008) Business Barbados, , http://businessbarbados.com/industries/tourism/health-tourism-golden-opprotunities-for-barbados/; Fusion of medicine, tourism important for the development of this country The Barbados Advocate 2013, , http://www.barbadosadvocate.com/newsitem.asp?more=lette&NewsID=33929; Cohen, I.G., Protecting patients with passports: Medical tourism and the patient-protective argument (2010) Iowa Law Rev, 9, p. 1467; Cortez, N., Recalibrating the legal risks of cross-border health care (2010) Yale J Health Policy Law Ethics, 10, p. 1. , 20229844; McLean, T.R., Jurisdiction 101 for medical tourism purchases made in Europe (2013) The Globalization of Health Care: Legal and Ethical Challenges, pp. 33-51. , I.G. Cohen (eds) Oxford University Press New York; Cohen, I.G., Medical tourism, access to health care, and global justice (2011) VA J Int Law, 52, p. 1; Benavides, D.D., Trade policies and export of health services: A development perspective (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 53-69. , N. Drager C. Vieira (eds) Pan American Health Organization Washington DC; Johnston, R., Crooks, V.A., Medical tourism in the Caribbean region: A call to consider environmental health equity (2013) West Indian Med J, 62, p. 3; Chambers, D., McIntosh, B., Using authenticity to achieve competitive advantage in medical tourism in the English-speaking world (2008) Third World Q, 29, pp. 919-937; Connell, J., Medical tourism in the Caribbean islands: A cure for economies in crisis? (2013) Island Stud J, 8, pp. 115-130; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tour Manage, 27, pp. 1093-1100; Malterud, K., Qualitative research: Standards, challenges, and guidelines (2001) Lancet, 358, pp. 483-488. , 1:STN:280:DC%2BD3MvmvVWiug%3D%3D 11513933; Snyder, J., Crooks, V.A., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: A prospective, qualitative study of stakeholder perceptions (2013) Int J Equity Health, 12, p. 2. , 3600002 23289812; Campbell, T., Foreign direct investment (FDI) inflows and their impact on Barbados' current account: Implications for substitutes/complements between FDI and exports Research Department Central Bank of Barbados 2001, , http://www.centralbank.org.bb/webcbb.nsf/WorkingPapers/DDC1B274DF0DD78A0425780E006663B3/$FILE/wp2001-1.PDF; Snyder, J., Crooks, V.A., New ethical perspectives on medical tourism in the developing world (2012) Dev World Bioethics, 12, pp. iii-vi; Kitzinger, J., Qualitative research: Introducing focus groups (1995) BMJ, 311, p. 299. , 1:STN:280:DyaK2MzlvFOrug%3D%3D 2550365 7633241","Crooks, V.A.; Department of Geography, Simon Fraser University, 8888 University Drive, Canada; email: crooks@sfu.ca",,,"BioMed Central Ltd.",,,,,14726963,,,"26215979","English","BMC Health Serv. Res.",Article,"Final",Open Access,Scopus,2-s2.0-84938416235 "Lunt N., Horsfall D., Hanefeld J.","6603761945;35848647100;26430746700;","Introduction: The emergence and significance of medical tourism and patient mobility",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"xiv","xv",,5,"10.4337/9781783471195.00007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038966379&doi=10.4337%2f9781783471195.00007&partnerID=40&md5=fb7f9bb7c8df63e1a79c63d3bde16bfe","Department of Social Policy and Social Work, University of York, United Kingdom; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, United Kingdom","Lunt, N., Department of Social Policy and Social Work, University of York, United Kingdom; Horsfall, D., Department of Social Policy and Social Work, University of York, United Kingdom; Hanefeld, J., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, United Kingdom",[No abstract available],,,,,,,,,,,,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Editorial,"Final",Open Access,Scopus,2-s2.0-85038966379 "Cohen I.G.","25653634900;","Medical tourism for services illegal in patients’ home country",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"350","359",,5,"10.4337/9781783471195.00047","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027683046&doi=10.4337%2f9781783471195.00047&partnerID=40&md5=3cb069639947a76a4521376c1d4d3a9c","Harvard Law School, Center for Health Law Policy, Biotechnology, and Bioethics, United States","Cohen, I.G., Harvard Law School, Center for Health Law Policy, Biotechnology, and Bioethics, United States",[No abstract available],,,,,,,,,,"Attorney General v. X, , [1992] 1 I.R. 16, 53-54 (Supreme Court) (Ireland); Carney, S., (2010) Inside India’s Rent-a-womb Business, , San Francisco: Mother Jones; Chen, B.Y.Y., Flood, C.M., Medical tourism’s impact on health care equity and access in low-and middle-income countries: Making the case for regulation (2013) Journal of Law, Medicine, and Ethics, 41 (1), pp. 286-300; Clifford, A.M., Abortion in international waters off the coast of Ireland: Avoiding a collision between Irish moral sovereignty and the European Community (2002) Pace International Law Review, 14 (2), pp. 385-433; Cohen, I.G., Protecting patients with passports: Medical tourism and the patient-protective argument (2010) Iowa Law Review, 95 (5), pp. 1467-1567; Cohen, I.G., Medical tourism, access to health care, and global justice (2011) Virginia Journal of International Law, 52 (1), pp. 1-56; Cohen, I.G., Regulating reproduction: The problem with best interests (2011) Minnesota Law Review, 96, pp. 423-519; Cohen, I.G., Circumvention tourism (2012) Cornell Law Review, 97, pp. 1309-1398; Cohen, I.G., S.H. and Others v. Austria and circumvention tourism (2012) Reproductive BioMedicine Online, 25 (7), pp. 660-662; Cohen, I.G., Transplant tourism: The ethics and regulation of international markets for organs (2013) Journal of Law, Medicine and Ethics, 41 (1), pp. 269-285; Cohen, I.G., (2014) Patient with Passports: Medical Tourism, Law, and Ethics, , Oxford: Oxford University Press; (1937), Article 40.3.3; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83 (1), pp. 71-132; Crabbs, K.Y., The German abortion debate: Stumbling block to unity (1991) Florida Journal of International Law, 6 (2), pp. 213-232; Crooks, V.A., Turner, L., Cohen, G.I., Bristeir, J., Snyder, J., Casey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of Canadian health and safety representatives’ perspectives (2013) British Medical Journal Open, 3 (2), p. e002302; (2010) How DIGNITAS Works, on What Philosophical Principles are the Activities of this Organization Based?, , Forch: DIGNITAS; Hunter-Henin, M., Surrogacy: Is there room for a new liberty between the French prohibitive position and the English ambivalence? (2008) Law and Bioethics: Current Legal Issues, 11. , M. Freeman (ed.); Huxtable, R., The suicide tourist trap: Compromise across boundaries (2009) Bioethical Inquiry, 6, pp. 327-336; Lowe, V., Jurisdiction (2006) International Law, pp. 335-360. , M.D. Evans (ed.), Oxford: Oxford University Press; Mullock, A., Commentary: Prosecutors making (bad) law? (2009) Medical Law Review, 17 (3), pp. 290-299; (2010), New South Wales Surrogacy Act 2010 (No. 102); Ost, S., The de-medicalisation of assisted dying: Is a less medicalised model the way forward? (2010) Medical Law Review, 18 (4), pp. 497-540; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28 (6), pp. 337-341; PROTECT Act, 18 U.S.C. § 2252(B)(b); www.legislation.qld.gov.au/LEGISLTN/ACTS/2010/10AC002.pdf, Queensland Surrogacy Act 2010 (No. 2), Queensland: State of Queensland Parliament; Restatement (Third) of the Foreign Relations Law of the United States § 402(1)(a) (1987); Schmidt, W.C., Medicalization of aging: The upside and the downside (2011) Marquette Elder’s Advisor, 13 (1), pp. 55-88; Shenfield, F., de Mouzon, J., Pennings, G., Ferraretti, A.P., Andersen, A.N., de Wert, G., Goossens, V., Cross border reproductive care in six European countries (2010) Human Reproduction, 25 (6), pp. 1361-1368; Smerdon, U.R., Crossing bodies, crossing borders: International surrogacy between the United States and India (2008) Cumberland Law Review, 39 (1), pp. 15-86; Smith, G.P., Refractory pain, existential suffering, and palliative care: Releasing an unbearable lightness of being (2011) Cornell Journal of Law and Public Policy, 20 (3), pp. 469-532; Sunstein, C.R., On the expressive function of law (1996) University of Pennsylvania Law Review, 144 (5), pp. 2021-2053","Cohen, I.G.; Harvard Law School, Center for Health Law Policy, Biotechnology, and BioethicsUnited States",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85027683046 "Ormond M., Mainil T.","7801551522;15029762900;","Government and governance strategies in medical tourism",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"154","163",,5,"10.4337/9781783471195.00025","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963512088&doi=10.4337%2f9781783471195.00025&partnerID=40&md5=cd7e19de7e3b199ff8cf6c0c31836b91","Wageningen University, Netherlands; Centre for Health Region Development, HZ University of Applied Sciences, Zeeland, Netherlands","Ormond, M., Wageningen University, Netherlands; Mainil, T., Centre for Health Region Development, HZ University of Applied Sciences, Zeeland, Netherlands",[No abstract available],,,,,,,,,,"Arunanondchai, J., Fink, C., Trade in health services in the ASEAN region (2007) Health Promotion International, 21 (81), pp. 59-66; (2009) Roadmap for an ASEAN Community, 2009-2015, , Jakarta: ASEAN; (2009) Appendix I-Roadmap for Integration of Healthcare Sector, , Jakarta: ASEAN; Augustin, U., Panteli, D., Busse, R., Radiotherapy across the border: Treating Danish patients in Flensburg Malteser hospital (Germany-Denmark) (2013) Hospitals and Borders: Seven Case Studies on Cross-Border Collaboration and Health System Interactions, pp. 75-92. , I. Glinos, M. Wismar (eds), Copenhagen: World Health Organization; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Connell, J., Medical tourism in the Caribbean islands: A cure for economies in crisis? (2013) Island Studies Journal, 8 (1), pp. 115-130; Crooks, V.A., Turner, L., Cohen, I.G., Bristeir, J., Snyder, J., Casey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of Canadian health and safety representatives’ perspectives (2013) British Medical Journal, 3 (2), pp. 1-9; Crush, J., Chikanda, A., Maswikwa, B., Patients without borders: Medical tourism and medical migration in Southern Africa (2012) Migration Policy Series, 57. , Kingston, ON: Queen’s University; (2011) Evaluating Care Across Borders, , London: European Union Cross Border Care Collaboration (London School of Economics); Feinsilver, J.M., Fifty years of Cuba’s medical diplomacy: From idealism to pragmatism (2010) Cuban Studies, 41, pp. 85-104; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health and Place, 16 (6), pp. 1145-1155; Glinos, I.A., Baeten, R., Maarse, H., Purchasing health services abroad: Practices of cross border contracting and patient mobility in six European countries (2012) Health Policy, 95 (2), pp. 103-112; Glinos, I.A., Doering, N., Maarse, H., Local roots, European dreams: Evolution of the Maastricht Aachen university hospital collaboration (the Netherlands-Germany) (2013) Hospitals and Borders: Seven Case Studies on Cross-Border Collaborations and Health System Interactions, pp. 109-136. , I. Glinos, M. Wismar (eds), Copenhagen: World Health Organization; Hanefeld, J., Lunt, N., Horsfall, D., Smith, R., Discussion on banning advertising of cosmetic surgery needs to consider medical tourists (2012) British Medical Journal, 345, p. e7997; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the NHS? (2013) PLoS ONE, 8 (10), p. e70406; Hashim, J., Chongsuvivatwong, V., Phua, K.H., Pocock, N., Teng, Y.M., Chhem, R.K., Wilopo, S.A., Lopez, A., (2012) Health and Healthcare Systems in Southeast Asia, , Tokyo: United Nations University; Helble, M., The movement of patients across borders: Challenges and opportunities for public health (2011) Bulletin of the World Health Organization, 89, pp. 68-72; Herrick, D.M., (2007) Medical tourism: Global competition in health care, , NCPA Policy Report, No. 304, Dallas: National Center for Policy Analysis; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (24), pp. 1-13; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Kiasuwa, R., Baeten, R., Strategic positioning and creative solutions: French patient flows to hospitals and polyclinics in the Belgian Ardennes (Belgium-France) (2013) Hospitals and Borders: Seven Case Studies on Cross-Border Collaboration and Health System Interactions, pp. 51-74. , I. Glinos, M. 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Smith, L. Puczkó (eds), London: Routledge; (2013) EUREGIO II, , Maastricht: Maastricht University; Mainil, T., Dinnie, K., Botterill, D., Platenkamp, V., van Loon, F., Meulemans, H., Towards a model of sustainable health destination management based on health regions (2013) Medical Tourism and Transnational Health Care, pp. 240-255. , D. Botterill, G. Pennings, T. Mainil (eds), London: Palgrave Macmillan; Mainil, T., Commers, M., Michielsen, K., The European cross-border patient as both citizen and consumer: Public health and health system implications (2013) Medical Tourism and Transnational Health Care, pp. 131-150. , D. Botterill, G. Pennings, T. Mainil (eds), London: Palgrave Macmillan; Martinez-Àlvarez, M., Chanda, R., Smith, R.D., The potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the UK and India (2011) Globalization and Health, 7 (11), pp. 1-9; Ormond, M., Shifting subjects of healthcare: Placing “medical tourism” in the context of Malaysian domestic healthcare reform (2011) Asia Pacific Viewpoint, 52 (3), pp. 247-259; Ormond, M., (2013) Neoliberal Governance and International Medical Travel in Malaysia, , London: Routledge; Ormond, M., En route: Transport and embodiment in international medical travel between Indonesia and Malaysia (2015) Mobilities, 10 (2), pp. 285-303; Ormond, M., Sothern, M., You, too, can be an international medical traveller: Reading medical travel guidebooks (2012) Health and Place, 18 (5), pp. 935-941; Pemandu, Health care (2012) Economic Transformation Programme, , Malaysia: ETP; Qadeer, I., Reddy, S., Medical tourism in India: Progress or predicament (2010) Economic and Political Weekly, , XLV (20); Smith, R., Online marketing of medical procedures needs better regulation (2012) British Medical Journal, 29, p. 344; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Solomon, H., Affective journeys: The emotional structuring of medical tourism in India (2011) Anthropology and Medicine, 18 (1), pp. 105-118; Turner, L., “First world health care at third world prices”: Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Van Hoof, W., Pennings, G., Extraterritoriality for cross-border reproductive care: Should states act against citizens travelling abroad for illegal infertility treatment? (2011) Reproductive BioMedicine Online, 23, pp. 546-554; Waldby, C., Singapore Biopolis: Bare life in the city-state (2009) East Asian Science, Technology and Society, 3 (2-3), pp. 367-383; Yap, J.C.H., Medical tourism and Singapore (2006) International Hospital Federation Reference Book 2006/2007, pp. 25-88. , Geneva: International Hospital Federation; Yu, J., Lee, T.J., Noh, H., Characteristics of a medical tourism industry: The case of South Korea (2011) Journal of Travel and Tourism Marketing, 28 (8), pp. 856-872; Yun, S.Y., Medical town due in Jeju (2012) Korea Times, , 19 April 2012; Zacapa, E., Taiwan flexes its mainland Chinese medical tourism muscle (2011) Taiwan Today, , 26 November 2011; Zehavi, A., Zer, N., A public road to globalization: Public services and customer internationalization in Israel (2013) Administration and Society, 45 (2), pp. 187-212",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84963512088 "Connell J.","56227359000;","Medical tourism - Concepts and definitions",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"16","24",,5,"10.4337/9781783471195.00010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958181856&doi=10.4337%2f9781783471195.00010&partnerID=40&md5=c0e1443e8faf02f33847310214757211","School of Geosciences, University of Sydney, Australia","Connell, J., School of Geosciences, University of Sydney, Australia",[No abstract available],,,,,,,,,,"Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan: Basingstoke; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Cohen, E., Medical tourism in Thailand (2008) Explorations in Thai Tourism, pp. 225-255. , E. Cohen (ed.), Emerald: Bingley; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., (2011) Medical Tourism, , CABI: Wallingford; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34 (1), pp. 1-13; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Edelheit, J., Defining medical tourism or not? (2008) Medical Tourism Magazine, 5, pp. 9-10; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health & Place, 16 (6), pp. 1145-1155; Helble, M., The movement of patients across borders: Challenges and opportunities for public health (2011) Bulletin of the World Health Organisation, 89, pp. 68-72; Heung, V.C.S., Heung, D., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Hunter, D., Oultram, S., The ethical and policy implications of rogue medical tourism (2010) Global Social Policy, 10 (3), pp. 297-299; Inhorn, M., Patrizio, P., Rethinking “reproductive tourism” as “reproductive exile” (2009) Fertility and Sterility, 92 (3), pp. 904-906; Jagyasi, P., Defining medical tourism. Another approach (2008) Medical Tourism Magazine, 6, pp. 9-11; Jenner, E., Unsettled borders of care: Medical tourism as a new dimension in America’s health care crisis (2008) Research in the Sociology of Health Care, 26, pp. 235-249; Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (24), pp. 1-13; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Laugesen, M., Vargas-Bustamante, A., A patient mobility framework that travels: European and United States-Mexican comparisons (2010) Health Policy, 97 (2-3), pp. 225-231; Legido-Quigley, H., Glinos, I., Baeten, R., McKee, M., Busse, R., Analysing arrangements for cross-border mobility of patients in the European Union: A proposal for a framework (2012) Health Policy, 108 (1), pp. 27-36; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Mainil, T., Van Loon, F., Dinnie, K., Botterill, D., Platenkamp, V., Meulemans, H., Transnational health care: From a global terminology towards transnational health region development (2012) Health Policy, 108 (1), pp. 37-544; Matorras, R., Reproductive exile versus reproductive tourism (2005) Human Reproduction, 20 (12), p. 3751; Milstein, A., Smith, M., America’s new refugees-seeking affordable surgery offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; Nahai, F., It’s procedure, not tourism (2009) Medical Tourism, 1, p. 106; Ormond, M., “First world treatments at third world prices”: The real cost of medical tourism (2008) Medical Tourism: A Growth Industry, pp. 69-77. , Anand, R., S. Gupta (eds), Icfai University Press: Hyderabad; Pollard, K., (2010) Medical Tourism Statistics: Comparing Apples with Apples, , London: Intuition Communications; Reisman, D., (2010) Health Tourism. Social Welfare through International Trade, , Cheltenham, UK and Northampton, MA, USA: Edward Elgar; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Thompson, C., Medical tourism, stem cells, genomics: EASTS, transnational STS, and the contemporary life sciences (2008) East Asian Science, Technology and Society, 2 (3), pp. 433-438; Turner, L., Cross-border dental care: “dental tourism” and patient mobility (2008) British Dental Journal, 204, pp. 553-554; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Whittaker, A., Global technologies and transnational reproduction in Thailand (2009) Asian Studies Review, 33 (3), pp. 319-332; (2012) Medical Tourism, , http://en.wikipedia.org/wiki/Medical_tourism, accessed 12 January 2012 at; (2014) Medical Tourism, , http://en.wikipedia.org/wiki/Medical_tourism, accessed 10 June 2014 at; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Youngman, I., Medical tourism statistics: Why McKinsey has got it wrong (2009) International Medical Travel Journal, , London: Intuition Communications; Youngman, I., How trends in global travel will change medical tourism (2010) International Medical Travel Journal, , London: Intuition Communications","Connell, J.; School of Geosciences, University of SydneyAustralia",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84958181856 "Makinde O.A., Brown B., Olaleye O.","54385732700;55545397700;56769359400;","Medical tourism and the code of medical ethics on advertisement in Nigeria",2014,"Pan African Medical Journal","19",, 103,"","",,5,"10.11604/pamj.2014.19.103.5217","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84936938441&doi=10.11604%2fpamj.2014.19.103.5217&partnerID=40&md5=339ec448bb9b55f905507a95d63bff3f","Measure Evaluation/JSI, 90 Nelson Mandela Street, Asokoro, Abuja, Nigeria; Department of Population Health and Disease Prevention, University of California, Irvine, United States; Department of Obstetrics and Gynaecology, Lagoon Hospital Ikeja, Lagos, Nigeria","Makinde, O.A., Measure Evaluation/JSI, 90 Nelson Mandela Street, Asokoro, Abuja, Nigeria; Brown, B., Department of Population Health and Disease Prevention, University of California, Irvine, United States; Olaleye, O., Department of Obstetrics and Gynaecology, Lagoon Hospital Ikeja, Lagos, Nigeria","Advances in management of clinical conditions are being made in several resource poor countries including Nigeria. Yet, the code of medical ethics which bars physician and health practices from advertising the kind of services they render deters these practices. This is worsened by the incursion of medical tourism facilitators (MTF) who continue to market healthcare services across countries over the internet and social media thereby raising ethical questions. A significant review of the advertisement ban in the code of ethics is long overdue. Limited knowledge about advances in medical practice among physicians and the populace, the growing medical tourism industry and its attendant effects, and the possibility of driving brain gain provide evidence to repeal the code. Ethical issues, resistance to change and elitist ideas are mitigating factors working in the opposite direction. The repeal of the code of medical ethics against advertising will undoubtedly favor health facilities in the country that currently cannot advertise the kind of services they render. A repeal or review of this code of medical ethics is necessary with properly laid down guidelines on how advertisements can be and cannot be done. © Olusesan Ayodeji Makinde et al.","Advertising; Consumer health information; Facility regulation; Health facilities; Health policy; Healthcare provider; Medical ethics; Medical tourism; Nigeria; Physicians","advertizing; Article; attitude to health; commercial phenomena; health care facility; health care management; health care planning; health care practice; health care quality; health service; human; Internet; medical ethics; medical practice; medical tourism; physician attitude; practice guideline; social media; advertizing; ethics; financial management; medical tourism; Nigeria; trends; Advertising as Topic; Ethics, Medical; Humans; Internet; Marketing of Health Services; Medical Tourism; Nigeria; Social Media",,,,,,,,"(2004) Code of Medical Ethics in Nigeria: Rules of Professional Conduct for Medical & Dental Practitioners., , http://www.mdcn.gov.ng/images/CPD_Resources/Code%20of%20Medical%20Ethics%20in%20Nigeria.pdf, Medical and Dental Council of Nigeria. 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Med. J.",Article,"Final",Open Access,Scopus,2-s2.0-84936938441 "Sadlier C., Bergin C., Merry C.","55615509200;7005108202;7006702604;","Healthcare globalization and medical tourism",2014,"Clinical Infectious Diseases","58","11",,"1642","1643",,5,"10.1093/cid/ciu143","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900433645&doi=10.1093%2fcid%2fciu143&partnerID=40&md5=18cd70b355f624ad9251fc8f0f60d77a","Department of Genito Urinary Medicine and Infectious Diseases, St James's Hospital, Dublin-8-Leinster, Ireland; Department of Global Health, Trinity College Dublin, Ireland; Feinberg School of Medicine, Northwestern University, Chicago, IL, United States; Infectious Diseases Institute, Makerere University, Kampala, Uganda","Sadlier, C., Department of Genito Urinary Medicine and Infectious Diseases, St James's Hospital, Dublin-8-Leinster, Ireland; Bergin, C., Department of Genito Urinary Medicine and Infectious Diseases, St James's Hospital, Dublin-8-Leinster, Ireland; Merry, C., Department of Genito Urinary Medicine and Infectious Diseases, St James's Hospital, Dublin-8-Leinster, Ireland, Department of Global Health, Trinity College Dublin, Ireland, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, Infectious Diseases Institute, Makerere University, Kampala, Uganda",[No abstract available],,"cotrimoxazole; vaccine; antibiotic prophylaxis; antibiotic resistance; chickenpox; developing country; economic development; gastrointestinal infection; graft recipient; health care; hepatitis B; hepatitis C; hospital infection; Human immunodeficiency virus infection; immunocompromised patient; infection risk; letter; malaria; measles; medical care; medical tourism; organ donor; physician; practice guideline; priority journal; respiratory tract infection; risk factor; risk reduction; rubella; schistosomiasis; screening; strongyloidiasis; tourism; travel; tuberculosis; vaccination; human; infectious disease medicine; international cooperation; procedures; Humans; Infectious Disease Medicine; Internationality; Medical Tourism",,"cotrimoxazole, 8064-90-2",,,,,,"Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Med Gen Med, 9, p. 33; Chinai, R., Goswami, R., A systematic review of publications studies on medical tourism (2013) J Educ Health Promot, 2, p. 51; Martin-Davila, P., Fortun, J., Lopez-Velez, R., Transmission of tropical and geographically restricted infections during solid-organ transplantation (2008) Clin Microbiol Rev, 21, pp. 60-96; (2006) Guidelines on Co-trimoxazole Prophylaxis for HIV-related Infections among Children Adolescents and Adults: Recommendations for A Public Health Approach, , http://www.who.int/hiv/pub/guidelines/ctxguidelines.pdf, Accessed January 2014; CDC Looks Back at 2013 Health Challenges, Ahead to 2014 Health Worries, , http://www.cdc.gov/media/releases/2013/p1216-eoy2013.html, 16 December 2013. Available at. Accessed January 2014","Sadlier, C.; Department of Genito Urinary Medicine and Infectious Diseases, St James's Hospital, Dublin-8-Leinster, Ireland; email: corinna_sadlier@hotmail.com",,,"Oxford University Press",,,,,10584838,,CIDIE,"24619037","English","Clin. Infect. Dis.",Letter,"Final",Open Access,Scopus,2-s2.0-84900433645 "Greenfield D., Pawsey M.","14825055700;22836474700;","Medical tourism raises questions that highlight the need for care and caution",2014,"Medical Journal of Australia","201","10",,"1","2",,5,"10.5694/mja14.00471","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938054156&doi=10.5694%2fmja14.00471&partnerID=40&md5=7a46bdcb407810a9fb4d3cc717d27f8b","Australian Institute of Health Innovation, Centre for Clinical Governance Research, University of New South Wales, Sydney, NSW, Australia","Greenfield, D., Australian Institute of Health Innovation, Centre for Clinical Governance Research, University of New South Wales, Sydney, NSW, Australia; Pawsey, M., Australian Institute of Health Innovation, Centre for Clinical Governance Research, University of New South Wales, Sydney, NSW, Australia",[No abstract available],,"Article; Australia; community care; decision making; health care; health care cost; health care personnel; health care quality; health care system; health literacy; healthcare associated infection; hospital infection; human; intensive care unit; medical tourism; outcome assessment; bioethics; developing country; economics; ethics; legislation and jurisprudence; patient care; social behavior; trends; Australia; Bioethical Issues; Continuity of Patient Care; Decision Making; Developing Countries; Humans; Medical Tourism; Quality of Health Care; Social Responsibility",,,,,,,,"Lunt, N., Smith, N., Exworthy, M., Medical tourism: Treatments, markets and health system implications: A scoping review (2011) Paris: Organisation for Economic Cooperation and Development, , http://www.oecd.org/els/healthsystems/48723982.pdf, UK Directorate for Employment, Labour and Social Affairs, accessed Aug 2014; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73, pp. 300-304; Snyder, J., Crooks, V., Turner, L., Issues and challenges in research on the ethics of medical tourism: Refl ections from a conference (2011) J Bioethic Inq, 8, pp. 3-6; Penney, K., Snyder, J., Crooks, V., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, 17p; Greenfield, D., Nugus, P., Fairbrother, G., Applying and developing health service theory: An empirical study into clinical governance (2011) Clinical Governance, 16, pp. 8-19; Synder, J., Crooks, V., Johnston, R., Dharamsi, S., “Do your homework…and then hope for the best”: The challenges that medical tourism poses to Canadian family physicians’ support of patients’ informed decision-making (2013) BMC Med Ethics, 14, 37p; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759; Allegranzi, B., Bagheri Nejad, S., Combescure, C., Burden of endemic health-care-associated infection in developing countries: Systematic review and meta-analysis (2011) Lancet, 377, pp. 228-241; Fernando, G.A., Collignon, P.J., Bell, J.M., A risk for returned travellers: The “postantibiotic era” (2010) Med J Aust, 193, 59p; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282","Greenfield, D.; Australian Institute of Health Innovation, Centre for Clinical Governance Research, University of New South WalesAustralia",,,"Australasian Medical Publishing Co. Ltd",,,,,0025729X,,MJAUA,"25390251","English","Med. J. Aust.",Article,"Final",Open Access,Scopus,2-s2.0-84938054156 "Durham J., Blondell S.J.","16237928900;56173081200;","Research protocol: A realist synthesis of cross-border patient mobility from low-income and middle-income countries",2014,"BMJ Open","4","11", 006514,"","",,5,"10.1136/bmjopen-2014-006514","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84911929256&doi=10.1136%2fbmjopen-2014-006514&partnerID=40&md5=46110f01b065c01d9867d6e75bffa6bf","Faculty of Medicine and Biomedical Sciences, School of Population Health, University of Queensland, Herston, QLD, Australia","Durham, J., Faculty of Medicine and Biomedical Sciences, School of Population Health, University of Queensland, Herston, QLD, Australia; Blondell, S.J., Faculty of Medicine and Biomedical Sciences, School of Population Health, University of Queensland, Herston, QLD, Australia","Introduction: People are increasingly mobile for numerous reasons, including healthcare. Patient mobility has vast implications for individuals, communities and whole populations and yet, to date, research on patient mobility has been quite limited. Only a small body of evidence exists on patient mobility between low-income and middle-income countries, instead having focused primarily on cross-border movement between high-income and low-income countries. In this paper, we present a protocol for examining this under-studied phenomenon.Methods and analysis: We propose to examine patient mobility between low-income and middleincome countries using a realist synthesis approach. Specifically, we aim to document why patients from low-income and middle-income countries cross international borders for healthcare, by identifying the mechanisms through which patients decide to cross-borders, and the contextual characteristics of domestic health markets that influence this choice. An underlying theory was established, based on the lead author's experience and a brief literature review, which will provide the basis to analyse search results in a subsequent paper. Search results will be obtained from databases (Ovid Medline, EMBASE, Scopus, EconLit, Web of Science) and the grey literature. An expert committee will be enlisted, prior to screening results, to review search results to ensure comprehensiveness. Based on this preliminary theory, we propose that, in some low-income and middle-income country markets, the interaction between demand-side and supply-side determinants results in market imperfections that, in turn, lead to patient movement across borders.Ethics and dissemination: The study does not involve primary research and, therefore, does not require formal ethical approval; we do, however, follow the relevant standards of utility, usefulness, feasibility, propriety, accuracy and accountability. The standards of realist and meta-narrative evidence synthesis (RAMESES) will be adhered to in reporting the findings of the review. Once completed, the findings of the resulting manuscript will be published in a peer-reviewed journal.",,"Article; Embase; health care; human; lowest income group; Medline; middle income; patient mobility; peer review; personal experience; Scopus; social status; Web of Science; developed country; developing country; health care delivery; migration; poverty; Delivery of Health Care; Developed Countries; Developing Countries; Emigration and Immigration; Humans; Poverty",,,,,,,,"Whittaker, A., Cross-border assisted reproduction care in Asia: Implications for access, equity and regulations (2011) Reprod Health Matters, 19, pp. 107-116; Glinos, I.A., Baeten, R., Helble, M., A typology of cross-border patient mobility (2010) Health Place, 16, pp. 1145-1155; Zanini, G., Raffaetà, R., Krause, K., (2013) Transnational Medical Spaces: Opportunities and Restrictions, , MMG Working Paper 13-16. Göttingen, Germany: MMG; (2007) Everybody's Business: Strengthening Health Systems to Improve Health Outcomes: WHO's Framework for Action, , http://www.who.int/healthsystems/strategy/everybodys, Geneva: World Health Organization (cited 20 October 2012); Kangas, B., The burden of pursuing treatment abroad: Three stories of medical travellers from Yemen (2010) Global Soc Policy, 10, pp. 306-314; Kangas, B., Travelling for medical care in a global world (2010) Med Anthropol, 29, pp. 344-362; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3, pp. 271-290; Lunt, N., Mannion, R., Patient mobility in the global marketplace: A multidisciplinary perspective (2014) Int J Health Policy Manag, 2, pp. 155-157; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in Southern Africa (2014) Soc Sci Med, , In press; Ghosh, B.N., Rich doctors and poor patients: Market failure and health care systems in developing countries (2008) J Contemp Asia, 38, pp. 259-276; Tschumi, P., Hagan, H., (2008) A Synthesis of the Making Markets Work for the Poor (M4P) Approach, , UK Department for International Development (DFID) and Swiss Agency for Development and Cooperation (SDC); Bloom, G., Standing, H., Lucas, H., Making health markets work better for poor people: The case of informal providers (2011) Health Policy Plan, 26, pp. i45-52; Westhorp, G., Walker, B., Rogers, P., (2012) Under What Circumstances Does Enhancing Community Accountability and Empowerment Improve Education Outcomes, Particularly for the Poor? A Realist Synthesis Protocol, , London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London; Pawson, R., (2006) Evidence-based Policy: A Realist Perspective, , London: Sage; Wong, G., Westhorp, G., Pawson, R., (2013) Realist Synthesis: Rameses Training Materials, , http://www.ramesesproject.org/media/Realist_reviews_training_materials.pdf; Best, A., Greenhalgh, T., Lewis, S., Large-system transformation in health care: A realist review (2012) Milbank Q, 90, pp. 421-456; Geoff, W., Internet-based medical education: A realist review of what works, for whom and in what circumstances (2010) BMC Med Educ, 10, p. 12; Jagosh, J., Pluye, P., Macaulay, A., Assessing the outcomes of participatory research: Protocol for identifying, selecting, appraising and synthesizing the literature for realist review (2011) Implement Sci, 6, p. 24; Pawson, R., Evidence-based policy: The promise of ""realist synthesis"" (2002) Evaluation, 8, pp. 340-358; Pawson, R., Greenhalgh, T., Harvey, G., (2004) Realist synthesis: An introduction. Manchester: ESRC Research Methods Programme, , University of Manchester; Pawson, R., Greenhalgh, T., Harvey, G., Realist review-A new method of systematic review designed for complex policy interventions (2005) J Health Serv Res Policy, 10, pp. 21-34; Robert, E., Ridde, V., Marchal, B., Protocol: A realist review of user fee exemption policies for health services in Africa (2012) BMJ Open, 2, p. e000706; Bloom, G., Standing, H., Lucas, H., Making health markets work better for poor people: The case of informal providers (2011) Health Policy Plan, 26, pp. i45-52; Bloom, G., Henson, S., Peters, D.H., Innovation in regulation of rapidly changing health markets (2014) Global Health, 10, p. 53; Basu, S., Andrews, J., Kishore, S., Comparative performance of private and public healthcare systems in low-and middle-income countries: A systematic review (2012) PLoS Med, 9, p. e1001244; Saul, J., Willis, C., Bitz, J., A time-responsive tool for informing policy making: Rapid realist review (2013) Implement Sci, 8, p. 103; Bennett, S., Bloom, G., Knezovich, J., The future of health markets (2014) Global Health, 10, p. 51; Davidson, B., Contestability in human services markets (2011) J Aust Polit Econ, 68, pp. 213-239; Mwachofi, A., Al-Assaf, A.F., Health care market deviations from the ideal market (2011) Sultan Qaboos Univ Med J, 11, pp. 328-337; Lutschini, M., Engaging with holism in Australian Aboriginal health policy-A review (2005) Aust New Zealand Health Policy, 2, p. 15; Jack, E.P., Powers, T.L., A review and synthesis of demand management, capacity management and performance in health-care services (2009) Int J Manag Rev, 11, pp. 149-174; Ensor, T., Cooper, S., Overcoming barriers to health service access: Influencing the demand side (2004) Health Policy Plan, 19, pp. 69-79; Aday, L.A., Andersen, R., A framework for the study of access to medical care (1974) Health Serv Res, 9, pp. 208-220; Andersen, R., McCutcheon, A., Aday, L.A., Exploring dimensions of access to medical care (1983) Health Serv Res, 18, pp. 49-74; Ensor, T., Cooper, S., (2004) Overcoming Barriers to Health Service Access and Influencing the Demand Side Through Purchasing, , Heslington York: World Bank; Obrist, B., Iteba, N., Lengeler, C., Access to health care in contexts of livelihood insecurity: A framework for analysis and action (2007) PLoS Med, 4, p. e308; Greenhalgh, T., Peacock, R., Effectiveness and efficiency of search methods in systematic reviews of complex evidence: Audit of primary sources (2005) BMJ, 331, pp. 1064-1065; Wong, G., Greenhalgh, T., Westhorp, G., RAMESES publication standards: Realist syntheses (2013) BMC Med., 11, p. 21; Pluye, P., Robert, E., Cargo, M., Proposal: A Mixed Methods Appraisal Tool for Systematic Mixed Studies Reviews 2011, , http://mixedmethodsappraisaltoolpublic.pbworks.com, [cited 24 August 2014]; Mertens, D.M., (2010) Transformative Research and Evaluation, , New York: The Guilford, Press; Marchal, B., Dedzo, M., Kegels, G., A realist evaluation of the management of a well-performing regional hospital in Ghana (2010) BMC Health Serv Res, 10, p. 24","Durham, J.; Faculty of Medicine and Biomedical Sciences, School of Population Health, University of QueenslandAustralia",,,"BMJ Publishing Group",,,,,20446055,,,"25406157","English","BMJ Open",Article,"Final",Open Access,Scopus,2-s2.0-84911929256 "Fottler M.D., Malvey D., Asi Y., Kirchner S., Warren N.A.","7004564990;6505823103;55914232400;56051458400;56051830300;","Can inbound and domestic medical tourism improve your bottom line? Identifying the potential of a U.S. Tourism market",2014,"Journal of Healthcare Management","59","1",,"49","63",,5,"10.1097/00115514-201401000-00009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894818171&doi=10.1097%2f00115514-201401000-00009&partnerID=40&md5=691f0ae404b71a62fccc1984652d9fde","College of Health and Public Affairs, University of Central Florida, Orlando, United States; Department of Healthcare Management and Informatics, College of Health and Public Affairs, University of Central Florida, United States; University of Central Florida, United States; Nemours Children's Hospital, Orlando, United States; Natalia Warren and Associates, Orlando, United States","Fottler, M.D., College of Health and Public Affairs, University of Central Florida, Orlando, United States; Malvey, D., Department of Healthcare Management and Informatics, College of Health and Public Affairs, University of Central Florida, United States; Asi, Y., University of Central Florida, United States; Kirchner, S., Nemours Children's Hospital, Orlando, United States; Warren, N.A., Natalia Warren and Associates, Orlando, United States","In large part due to current economic conditions and the political uncertainties of healthcare reform legislation, hospitals need to identify new sources of revenue. Two potentially untapped sources are inbound (international) and domestic (within the United States) medical tourists. This case study uses data from a large, urban healthcare system in the southeastern United States to quantify its potential market opportunities for medical tourism. The data were mined from electronic health records, and descriptive frequency analysis was used to provide a preliminary market assessment. This approach permits healthcare systems to move beyond anecdotal information and assess the relative market potential of their particular geographic area and the diagnostic services they offer for attracting inbound and domestic medical tourists. Implications for healthcare executives and guidance on how they can focus marketing efforts are discussed.",,"article; diagnostic procedure; economic aspect; geographic distribution; health care planning; health care policy; health care system; human; law; marketing; medical tourism; United States; urban area; Adolescent; Adult; Aged; Child; Child, Preschool; Data Mining; Electronic Health Records; Female; Health Care Reform; Hospitals, Urban; Humans; Infant; Infant, Newborn; Internationality; Male; Marketing of Health Services; Medical Tourism; Middle Aged; Organizational Case Studies; Southeastern United States; United States; Young Adult",,,,,,,,"Al-Amin, M., Makarem, S., Pradhan, R., Hospital ability to attract international patients: A conceptual framework (2011) International Journal of Pharmaceutical and Healthcare Marketing, 5 (3), pp. 205-221; Cheung-Larivee, K., (2012) Cleveland Clinic, Wal-Mart partner in direct-employer services., , http://www.fiercehealthcare.com/story/cleveland-clinic-wal-mart-partner-direct-employer-services/2012-10-12, October 12 Retrieved from; Crooks, V., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732; (2008) 2008 survey of health care consumers: Executive summary., , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_chs_ConsumerSurveyExecutiveSummary_2008_121712.pdf, Deloitte Center for Health Solutions. Retrieved from; (2009) Medical tourism: Update and implications., , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20assets/documents/us_chs_medicaltourism_111209_web.pdf, Deloitte Center for Health Solutions. Retrieved from; Fried, B.J., Harris, D.M., Managing healthcare services in the global marketplace (2007) Frontiers of Health Services Management, 24 (2), pp. 3-18; Glattner, R., (2012) Domestic medical tourism-A prescription for savings?, , http://www.forbes.com/sites/robertglatter/2012/02/12/domestic-medical-tourism-a-prescription-for-savings/, February 12 Retrieved from; Guiry, M., Vequist, D., Traveling abroad for medical care: U.S. medical tourists' expectations and perceptions of service quality (2011) Health Marketing Quarterly, 28, pp. 253-269; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31, pp. 185-198; Hudson, S., Li, X., Domestic medical tourism: A neglected dimension of medical tourism research (2012) Journal of Hospitality Marketing & Management, 21, pp. 227-246; Hume, L.F., DeMicco, F.J., Bringing hotels to healthcare: A Rx for success (2007) Journal of Quality Assurance in Hospitality & Tourism, 8 (1), pp. 75-84; Keckley, P., Underwood, H., (2008) Medical tourism: Consumers in search of value., , http://www.deloitte.com/assets/Dcom-Croatia/Local%20Assets/Documents/hr_Medical_tourism(3).pdf, Retrieved from; Konrad, W., (2009) Going abroad to find affordable health care., , http://www.nytimes.com/2009/03/21/health/21patient.html, March 20 Retrieved from; Lubell, J., New tourist attractions: More patients looking at home before going abroad (2009) Modern Healthcare, 39 (24), pp. 28-30; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bulletin of the World Health Organization, 89 (5), pp. 336-344; (2011) Waiting times. In Health at a glance 2011: OECD indicators., , Organisation for Economic Co-operation and Development (OECD). Paris, France: OECD Publishing. doi:10.1787/health_glance-2011-59-en; Rhea, S., Still packing their bags: Health reform won't drastically alter the economics of medical tourism, but patients and providers can expect new opportunities at home and abroad (2009) Modern Healthcare, 39 (30), pp. 28-30; Terhune, C., (2012) Companies go surgery shopping., , http://articles.latimes.com/2012/nov/17/business/la-fi-bargain-surgery-20121117, November 17 Retrieved from; Economist, T., (2008) Operating profit., , http://www.economist.com/opinion/displaystory.cfm?story_id=11919622, August 14 Retrieved from; Thomas, R.K., (2010) Marketing health services, , (2nd ed.). Chicago, IL: Health Administration Press; Van Dusen, A., (2008) America's top hospitals go global., , http://www.forbes.com/2008/08/25/american-hospitals-expand-forbeslife-cx_avd_0825health.html, August 25 Retrieved from; Veerasoontorn, R., Beise-Zee, R., International hospital outshopping: A staged model of push and pull factors (2010) International Journal of Pharmaceutical and Healthcare Marketing, 4 (3), pp. 247-264; (2010) Data and statistics., , http://www.who.int/research/en/, World Health Organization. Retrieved from; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102",,,,"Foundation of the American College of Healthcare Executives",,,,,10969012,,JHMAF,"24611426","English","J. Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-84894818171 "Novikova N.G., Sakharchuk E.S., Ilkevich S.V.","56027713200;56028530100;56028209600;","The factors of Russia's low competitiveness as a medical tourism destination",2013,"World Applied Sciences Journal","27","13 A",,"251","255",,5,"10.5829/idosi.wasj.2013.27.elelc.52","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84893569368&doi=10.5829%2fidosi.wasj.2013.27.elelc.52&partnerID=40&md5=78f3b43ccbb9dc38db9ab29fe2285028","Russian State University of Tourism and Service, Cherkizovo, Pushkinski district, Moscow region, Russian Federation","Novikova, N.G., Russian State University of Tourism and Service, Cherkizovo, Pushkinski district, Moscow region, Russian Federation; Sakharchuk, E.S., Russian State University of Tourism and Service, Cherkizovo, Pushkinski district, Moscow region, Russian Federation; Ilkevich, S.V., Russian State University of Tourism and Service, Cherkizovo, Pushkinski district, Moscow region, Russian Federation","This article is an attempt to analyze and summarize the main factors of Russia's low competitiveness as an international medical tourism destination with a focus on some recent developments. Among the most critical factors emphasized the following: the deficiency in international reputation, insufficient promotion and information about medical and health facilities, infrastructural problems, the lack of government support and strategy, poor international credentials of Russian doctors and the absence of international accreditation of medical institutions, growing competition in the sector with new emerging reputable players and weakening interest in the Russian medical system on the part of neighboring countries. © IDOSI Publications, 2013.","Competitiveness in tourism; Health tourism; Healthcare providers; Medical tourism; Medical travel",,,,,,,,,"Platonova, N.A., Vapnyarskaya, O.I., Bushueva, I.V., The concept of the science of service (2011) Service plus, 1, pp. 4-11; Gan, L.L., Song, H., (2012) A SWOT Analysis of Medical Tourism: India and South Korea, , Date Views 07.12.2013, Available at SSRN: ssrn. com/ abstract= 2194856 or dx. doi.org/10.2139/ssrn.2194856; Gill, H., Singh, N., Exploring the Factors that Affect the Choice of Destination for Medical Tourism (2011) Journal of Service Science and Management, 4 (1), pp. 315-324; Connel, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34 (1), pp. 1-13; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism in India: Messages, images and the marketing of international patient travel (2011) Social Science and Travel, 72 (5), pp. 726-732; Demeshkevich, O., The competitive advantages of the Republic of Belarus in the segment of the medical tourism market (2012) Proceedings of the 10th Medical and Social Ecology of Personality Conference, pp. 272-275. , In the; Porter, M.E., Competitive advantage, agglomerative economies and regional policy (1996) International Regional Science Review, 19 (1), pp. 85-94; Porter, M.E., (1998) Clusters and competition: New agendas for companies, governments and institutions, , In On Competition, Ed. Michael E. Porter. Cambridge Mass: Harvard Business School Press; Bramwell, C.M., Governance, the state and sustainable tourism: A political economy approach (2011) Journal of Sustainable Tourism, 19 (4-5), pp. 459-477; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73 (4), pp. 300-304; Helmy, E.M., Benchmarking the Egyptian medical tourism sector against international best practices: An exploratory study (2011) Journal of tourism, 6 (2), pp. 293-311; An, D., Understanding Medical Tourists in Korea: Cross-Cultural Perceptions of Medical Tourism among Patients from the USA, Russia, Japan and China (2013) Asia Pacific Journal of Tourism Research., , Date views 06.12.2013. Available at DOI 10.1080/ 10941665.2013.840659; Yoon, H.S., Cho, S.W., Sugumaran, V., A Service System Design to Support Medical Tourism in South Korea (2011) CONF-IRM 2011 Proceedings, , Paper 11. Date Views 04.12.2013 aisel. aisnet. org/ confirm2011/ 11; Kim, S., Lee, J., Jung, J., Assessment of Medical Tourism Development in Korea for the Achievement of Competitive Advantages (2013) Asia Pacific Journal of Tourism Research, 18 (5), pp. 421-445","Novikova, N. G.; Russian State University of Tourism and Service, Glavnaya Street, 99, Cherkizovo, Pushkinski district, Moscow region, 141221, Russian Federation",,,,,,,,18184952,,,,"English","World Appl. Sci. J.",Article,"Final",,Scopus,2-s2.0-84893569368 "Sheppard M.K.","55986082000;","Treatments of low-priority and the patient mobility directive 2011, an end to legal uncertainty for the english NHS?",2013,"European Journal of Health Law","20","3",,"295","314",,5,"10.1163/15718093-12341281","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84891648185&doi=10.1163%2f15718093-12341281&partnerID=40&md5=e1c6df0ce353dca4888adbe43f0374d8","School of Law, Queen Mary University of London, London, United Kingdom","Sheppard, M.K., School of Law, Queen Mary University of London, London, United Kingdom","The patient mobility case law of the Court of Justice of the European Union created legal uncertainty for the healthcare systems of EU Member States. The Patient Mobility Directive setting out patients' crossborder rights was adopted to end this uncertainty. With the Directive to be transposed into national law by October 2013 this article discusses whether the Directive achieves this objective for the English NHS. It contrasts the legal position of the NHS patient under case law and under the Directive regarding the need for prior authorisation of cross-border treatment, the level of reimbursement and the ambit of the healthcare benefits basket. It is argued that the risk of legal challenge may persist under the Directive, specifically regarding treatments which are classified by health authorities as low priority, namely treatments which are either not 'generally' available or only available subject to certain clinical criteria or access thresholds. © Koninklijke Brill NV, Leiden, 2013.","cross-border healthcare; English NHS; healthcare benefit basket; legal uncertainty; low-priority treatment; Patient Mobility Directive","article; European Union; health care delivery; human; international cooperation; legal aspect; medical tourism; national health service; patient right; health care delivery; international cooperation; legislation and jurisprudence; medical tourism; patient right; European Union; Health Services Accessibility; Humans; International Cooperation; Medical Tourism; Patient Rights; State Medicine; European Union; Health Services Accessibility; Humans; International Cooperation; Medical Tourism; Patient Rights; State Medicine",,,,,,,,"Case C-158/96 Raymond Kohll v. Union de caisses de maladie [1998] ECR I-1931; Case C-372/04 The Queen, on the application of Yvonne Watts v. Bedford Primary Care Trust, Secretary of State for Health [2006] ECR I-4325; Case C-385/99 V.G. Müller-Fauré v. Onderlinge Waarborgmaatschappij OZ Zorgverzekeringen UA and E.E.M van Riet v. Onderlinge Waarborgmaatschappij ZAO Zorgverzekeringen [2003] ECR I-4509, para; Greer, S.L., Rauscher, S., Destabilization rights and restabilization politics: Policy and political reactions to European union healthcare services law (2011) Journal of European Public Policy, 18 (2), pp. 220-240; (2011) Patient Choice beyond Borders: Implications of the EU Directive on Cross-Border Healthcare for NHS Commissioners and Providers, , www.nhsconfed.org/Documents/CrossBorderHealthcare_final_20110511_EZ.pdf, NHS European Office NHS Confederation. May 2011. Retrieved 24 February 2012; Directive 2011/24/EU on the Application of Patients' Rights in Cross-Border Healthcare, hereinafter 'the Patient Mobility Directive' or 'the Directive'; (2010) Cross-Border Healthcare and Patient Mobility: Revised Advice on Handling Requests from Patients for Treatment in Countries of the European Economic Area, , www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH_115256, Department of Health Guidance for the NHS. 6 April. Retrieved 20 August 2012; Gekiere, W., Free movement of services in the eu and health care (2010) Health Systems Governance in Europe: The Role of European Union Law and Policy, p. 501. , E. Mossialos et al. (eds.) Cambridge: CUP; Palm, W., Glinos, I.A., Enabling Patient Mobility in the EU; between Free Movement and Coordination, , Mossialos et al. (eds.); (2013) Cross-Border Healthcare and Patient Mobility: Consultation on UK Implementation of Directive 2011/24 EU, , www.gov.uk/government/uploads/system/uploads/attachment_data/file/181168/ Cross_Border_Healthcare_and__Patient_Mobility.pdf, Department of Health 27 March Retrieved 10 April 2013; see also supra note 6; Supra note 7, Preamble 5; Preamble 21 and Article 8(1); Article 1(1) and Preamble 28; Regulation 883/2004/EC; Supra note 11; Since 1 April 2013 CCGs have replaced the primary care trusts (PCTs) and now have the unenviable task of deciding which treatments are available and which are restricted; Under the Health and Social Care Act 2012, CCGs have the statutory duty to commission medical services as they consider necessary to meet the healthcare needs of the local population and within allocated resources; In doing so they must, however, not exceed their annual financial allocations; See e.g. Ac v. Berkshire West Primary Care Trust [2011] EWCA Civ 247 concerning the case of a transsexual who was seeking funding for breast augmentation surgery; R (Condliff) v. North Staffordshire Primary Care Trust (2011) EWHC 872 (Admin) concerning the case of a morbidly obese patient claiming funding for bariatric surgery; Newdick, C., Judicial Review: Low-priority treatment and exceptional case review (2007) Medical Law Review, 15 (2), pp. 236-244; Ford, A., The concept of exceptionality: A legal farce? (2012) Medical Law Review, 20 (3), pp. 304-306; This would also include the replacement of faulty PIP implants which are estimated to have been implanted in up to 40000 women in the UK from 2002 to 2009; Boseley, S., PIP breast implant scandal may involve 7,000 more British women (2012) The Guardian, , www.guardian.co.uk/world/2012/mar/15/pip-breast-implant-scandal-7000-more, 19 March 2012. Retrieved 6 October; (2013) Bedfordshire and Hertfordshire Priorities Forum: Interim and Final Guidance, , www.hertfordshire.nhs.uk/resource-centre/bedfordshire-a-hertfordshire- priorities-forum/final-and-interim-guidance.html, See e.g., NHS Hertfordshire January 2013. Retrieved 28 April 2013; Supra note 1, para. 35; Sauter, W., The proposed patient mobility directive and the reform of cross-border healthcare in the EU (2011) TILEC Discussion Paper No. 2008-034, , http://ssrn.com/abstract=1277110, Supra note 3 September 2008. Retrieved 5 October; Supra note 3, para. 74; Case C-157/99 B.S.M. Geraets-Smits v. Stichting Ziekenfonds VGZ and H.T.M. Peerbomms v. Stichting CZ Zorgverzekeringen [2001] ECR I-5473, para.81; Bernard, N., Between a rock and a soft place: Internal market versus open co-ordination in EU Social welfare law (2005) Social Welfare and EU Law, p. 273. , M. Dougan and E. Spaventa (eds.) Oxford: Hart; Pointing out that the Court had already concluded in the earlier case of Geraets-Smits, paras. 76-80; That hospital services required more planning by the national authorities regarding the number of hospitals, their geographic distribution and the facilities and services which they provided; Supra note 3, para. 74;; Vander Mei, A.P., Cross-border access to medical care: Non-hospital care and waiting lists (2004) Legal Issues of Economic Integration, 31 (1), pp. 57-67; Flear, M., Case C-385/99 V.G. Mueller-Faure v. Onderlinge Waarborgmaatschappij O.Z. Zorgverzekeringen U.A. and E.E.M. van Riet v. Onderlinge Waarborgmaatschappij Z.A.O. Zorgverzekeringen, Judgment of the Court of 13 May 2003 (2004) Common Market Law Review, 41 (1), pp. 209-233; Supra note 3, para. 74; Van der Mei, supra note 27; Supra note 3, para. 74; Supra note 3, para. 95; Koutrakos, P., Healthcare As An Economic Service under EC Law, pp. 105-131. , Dougan and Spaventa (eds.), supra note 26; (2010) Cross Border Healthcare and Patient Mobility: Data and Evidence Gathering, York Health Economics Consortium, , www.networks.nhs.uk/nhs-networks/cross-border-healthcare-network/ documents/York, Department of Health August 2010. Retrieved, 5 October 2012; Supra note 5; Supra note 3, para. 75; Van der Mei, supra note 27; See also Flear, supra note 27, arguing that the concept of hospital care could be reduced to a minimum if all treatment that is capable of being provided on an non-hospital basis anywhere in the EU is classified as such; Supra note 27; Zanon, E., Health care across borders: Implications of the eu directive on cross-border health care for the english NHS (2011) Eurohealth, 17 (2-3), pp. 34-36; Supra note 7, Article 8(2)(a); Article 8(2)(a)(ii); Supra note 3, para. 75; see also supra note 27; Supra note 9; Concerned with patients' rather than healthcare providers' interests; Supra note 7, Article 8(2)(b); Article 8(2)(c); Article 7(8); Supra note 11, para. 6.123; paras. 6.113-6.118; Case C-120/95 Nicolas Decker v. Caisse de maladie des employés privés [1998] ECR I-1831; Supra note 1; Regulation 883/2004/EC (formerly Regulation 1408/71/EEC); Article 20(1); Article 20(2) provides that authorisation must be accorded ""where the treatment in question is among the benefits provided for by the legislation of the Member State where the person concerned resides; where he cannot be given such treatment within a time-limit which is medically justifiable, taking into account his current state of health and the probable course of his illness.""; Hatzopoulos, V., Health law and policy: The impact of the EU (2005) EU Law and the Welfare State, p. 125. , G. de Burca (ed.) Oxford: OUP; TFEU, Article 56; The freedom to provide services includes the freedom to receive services, see Joined Cases 286/82 and 26/83 Luisi and Carbone v. Ministero de Tesoro [1984] ECR 377, para. 16; Medical treatment constitutes services according to TFEU, Article 57;; see Case C-159/90 The Society for the Protection of Unborn Children Ireland Ltd v. Stephen Grogan [1991] E.C.R. I-4685, para. 16; supra note 1, para.17; Mei Der Van, A.P., (2003) Free Movement of Persons Within the European Community: Cross-Border Access to Public Benefits, , Oxford: Hart Publishing; supra note 55, p. 127; E.g., Case No. C-372/04 The Queen, ex parte Yvonne Watts v. Bedford Primary Care Trust and Secretary of State for Health [2006] ECR I-4325 concerning an English patient; McHale, J.V., Commentary rights to medical treatment in EU Law. R (Watts) v Bedford Primary Care Trust and Another (2007) 15 Med Law Rev, 99, p. 100; Supra note 53; Case C-56/01 Patrizia Inizan v. Caisse primarie d'assurance maladie des Hauts-de-Seine [2001] ECR I-12403, paras. 17 and 21; Case C-368/98 Abdon Vanbraekel et al. v. Alliance nationale des mutualités chrétiennes [2001] ECR I-5363, para. 32; see also supra note 59, paras. 112 and 115; Supra note 3, paras. 103 and 106; see also comments in supra note 56, pp. 143-144; Supra note 53, Article 35; Kaczorowska, A., A Review of the creation by the european court of justice of the right to effective and speedy medical treatment and its outcomes (2006) European Law Journal, 12 (3), pp. 345-370; Cousins, M., Patient mobility and national health systems (2007) Legal Issues of Economic Integration, 34 (2), pp. 183-193; Vanbraekel, supra note 63; Supra note 66, p. 362 describing a net gain for the patient in the case of over 25% of the treatment costs amounting to FRF 11,326.45; Vanbraekel, supra note 63, para. 52; Supra note 3, para. 95; Stating that the patient would only receive E221.03 instead of E3,806.35, the actual cost of treatment; see also supra note 66, p. 363; Koutrakos, supra note 31; Dougan and Spaventa , supra note 26, p. 127; Hatzopoulos, V., Killing national health and insurance systems but healing patients? (2002) Common Market Law Review, 39 (4), pp. 683-729; Sauter, supra note 24; See comments in supra note 56, p. 146; Supra note 61, para. 43; Where the CJ added that such reimbursement would not have to cover more than the costs actually charged to the patient in the state of treatment (host state); Davies, G., The effect of mrs watts trip to france on the national health service (2007) King's Law Journal, 18 (1), pp. 158-167; where the author also points out that once each treatment has been attributed a price, NHS healthcare may start to resemble the insurance based benefit-in-kind systems prevalent in some of the EU states or even resemble private healthcare systems; Supra note 5, p. 4; Supra note 67, p. 193; Supra note 3, para. 106; Cabral, P., The internal market and the right to cross-border medical care (2004) European Law Review, 29 (5), pp. 673-686; see supra note 65, p. 193; Supra note 7, Article 3(b) defines 'insured person' as a person who has a right to social security benefits in the competent Member State under Regulation 883/2004/EC, Article 1(c); Supra note 7, Preamble (31); Article 7(4); see also supra note 39; Vanbraekel, supra note 63 and also Inizan, supra note 63, where the patients were able to claim the difference between the actual costs incurred and the higher tariff set in their Member State of affiliation (home state); Supra note 7, Article 7(4); Supra note 41; Supra note 7, Article 7(6); Supra note 41 where the author states that around 60% of NHS healthcare is not covered at present; Hospital procedures are more likely to covered by tariff, see supra note 11, para. 6.79; see also supra note 59, para. 143; Where the court held that in a benefit-in-kind system such as that of the NHS reimbursement under Article 49 has to be on objectively quantified costs of equivalent treatment in the NHS up to the actual costs incurred in the Member State of treatment (host state); Sauter, supra note 24; Supra note 39; Supra, note 53, Article 20; E.g., supra note 1; see also Geraets-Smits, supra note 26; see also Müller-Fauré, supra note 3; Article 56 TFEU replacing Article 49 EC; see supra note 60, p. 302; Newdick, C., The European court of justice, trans-national healthcare, and social citizenship-accidental death of a concept (2009) Wisconsin International Law Journal, 26 (3), pp. 844-867; Supra note 3, para. 97; Geraets-Smits, supra note 26, para. 87; Opinion of Mr Advocate General Ruiz-Jarabo Colomer); Where the expert neurologist appointed by the national court also concluded that there was no clinical or scientific evidence that the specific approach used in Germany was more appropriate; see also Verstrekkingenbesluit Ziekenfondsverzedering 1966 (Holland), Article 3; Geraets-Smits; Ziekenfondsverzedering, supra note 108; see also Regulation 1408/71/EEC, Article 22 providing that authorisation for a treatment may not be refused where the treatment is a benefit provided for under the Member State's legislation; Geraets-Smits; Supra note 60, p. 302; Geraets-Smits, supra note 26, paras. 85 and 87; although the CJ also accepted that there could be overriding reasons to justify barriers to the freedom to provide services at paras.72-74; Supra note 66, p. 355; Geraets-Smits, supra note 26, para. 93 referring to the argument advanced by the Dutch government; Supra note 66, p. 356; Geraets-Smits, supra note 26, para. 96; see also supra note 66, p. 356; Geraets-Smits; see supra note 66, p. 356; Geraets-Smits; see also Cabral, supra note 83, p. 684; Pointing out that the CJ did not provide any indication as to the weight to be attached to each of these criteria; Supra note 60, p. 303; Hervey, T.K., McHale, J.V., (2004) Health Law and the European Union, p. 137. , Cambridge: CUP; Arguing that especially regarding new treatment there is likely to be a difference of professional opinion; Supra note 60, p. 303; Geraets-Smits, supra note 26, paras. 115-116; Supra note 60, p. 302; As in Geraets-Smits, supra note 26; Newdick, C., Citizenship, free movement and health care: Cementing individual rights by corroding social solidarity (2006) Common Market Law Review, 43, pp. 1645-1668; Health and Social Care Act 2012, Section 1(1); see also supra note 127, p. 1661; R v. North West Lancashire Health Authority, ex p A, D and G [1999] Lloyd's Rep Med 399, 415 per Auld LJ: 'The precise allocation and weighting of priorities is clearly a matter of judgment for each Authority; It makes sense to have a policy for the purpose-indeed, it might well be irrational not to have one-. ; It is proper for an authority to adopt a general policy for the exercise of such an administrative discretion, to allow for exceptions from it in ""exceptional circumstances; see also generally Ford, supra note 17; Bowden, H., EU cross-border health care proposals: Implications for the NHS (2009) Eurohealth, 15 (1), pp. 18-20; Newdick, supra note 102, p. 862; Klein, R., Rationing in the NHS: The dance of the seven veils-in reverse (1995) British Medical Bulletin, 51 (4), pp. 769-780; Supra note 127, p. 1661; Case C-173/09 Georgi Ivanov Elchinov v. Natsionalna zdravnoosiguritelna kasa [2011] 1 C.M.L.R. 29, para. 67; Supra note 7, Article 7(3); see also supra note 39; Inizan, supra note 63; see also Geraets-Smits, supra note 26; Supra note 7, Preamble (34); Inizan, supra note 63; Supra note 131, p.19; Opinion of Advocate General Ruiz-Jarabo Colomer in Inizan, supra note 63; Inizan, supra note 63, para. 42; Supra note 6, p. 5; Supra note 11, paras. 6.58-6.61; Rumbold, B., (2012) Is It Time to Set Out More Clearly What Is Funded by the NHS?: Rationing Health Care, , London, Nuffield Trust; Supra note 6, p. 5; see also supra note 11, paras. 6.49-6.51 concerning the publication of information on rights, and paras. 6.52-6.53 concerning information on establishing entitlements; Supra note 7, Article 1(4); TFEU, Article 49; see also general discussion in supra note 9, pp. 470-493; Subject to the provisions of the Directive 2005/36/EC on the Recognition of Professional Qualifications;; see also Case C-61/89, Bouchacha [1990] ECR I-3551 and Case C-294/00, Graebner [2002] ECR I-6515 concerning the ability of Member States to regulate medical activities within their territory as they see fit","Sheppard, M.K.; School of Law, Queen Mary University of London, London, United Kingdom",,,,,,,,09290273,,EJHLE,"23984495","English","Eur. J. Health Law",Review,"Final",,Scopus,2-s2.0-84891648185 "Hanefeld J., Lunt N., Smith R.","26430746700;6603761945;55746369800;","Health tourism and the NHS: Facts or fiction?",2013,"The Lancet","382","9890",,"","",,5,"10.1016/S0140-6736(13)61675-X","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84881138416&doi=10.1016%2fS0140-6736%2813%2961675-X&partnerID=40&md5=5671d27f01934d84961b58ae4fb95ce7","Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom; Department of Social Work and Social Policy, University of York, York, United Kingdom","Hanefeld, J., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom; Lunt, N., Department of Social Work and Social Policy, University of York, York, United Kingdom; Smith, R., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom",[No abstract available],,"clinical practice; consultation; cost control; Europe; government; health care access; health care policy; health statistics; hospital admission; human; immigrant; letter; medical care; medical tourism; migration; national health service; patient mobility; priority journal; private hospital; social justice; travel; United Kingdom; Fees, Medical; Great Britain; Humans; Medical Tourism; State Medicine",,,,,,,,"Health tourism: How much does it cost the NHS? (2013) The Guardian, , http://www.guardian.co.uk/politics/reality-check/2013/jul/03/ health-tourism-cost-nhs-jeremy-hunt, (accessed July 4, 2013); Sustaining Services, Ensuring Fairness. A Consultation on Migrant Access and Their Financial Contribution to NHS Provision in England, , https://www.gov.uk/government/uploads/system/uploads/attachment_data/ file/210438/Sustaining_services__ensuring_fairness_consultation_document.pdf, Departent of Health (accessed July 25, 2013); Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the NHS? PLoS One, , in press; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) J Plast Reconstr Aesthet Surg, 65, pp. 22-28","Hanefeld, J.; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom; email: Johanna.hanefeld@lshtm.ac.uk",,,,,,,,01406736,,LANCA,"23911381","English","Lancet",Letter,"Final",,Scopus,2-s2.0-84881138416 "Lee Y.-C.","15755749200;","The influence of personality traits, health knowledge, and product attributes on intent to purchase Taiwan's healthcare tourism products",2013,"Social Behavior and Personality","41","3",,"395","409",,5,"10.2224/sbp.2013.41.3.395","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84878062597&doi=10.2224%2fsbp.2013.41.3.395&partnerID=40&md5=15cb462396d9d4550623282ce7b32160","Department of International Business, Chien Hsin University of Science and Technology, Taiwan","Lee, Y.-C., Department of International Business, Chien Hsin University of Science and Technology, Taiwan","In recent years, Asian countries have become committed to the development of healthcare tourism. In this study I explored the influence of the level of consumers' health knowledge involvement and product attributes on their intent to purchase healthcare tourism products available in Taiwan. The results showed that consumers' purchase intent varied according to their level of health knowledge involvement and also according to individual consumers' personality traits. The findings in this study offer references for the tourism, transportation, and medical services industries to make best use of sightseeing resources and advanced medical technology while actively marketing more attractive leisure activities to boost the economy of Taiwan. © Society for Personality Research.","Health knowledge; Healthcare products; Healthcare tourism; Personality traits; Product attributes; Taiwan",,,,,,,,,"Ariffin, A.A.M., Ahmad, A.H., Ishak, N.K., Corporate meeting destination choice: The influences of consumption value, organizational structure and personality (2008) International Journal of Hospitality & Tourism Administration, 9, pp. 313-326. , http://doi.org/dzcfx8; Babin, B., Darden, W., Griffin, M., Work and/or fun: Measuring hedonic and utilitarian shopping value (1994) Journal of Consumer Research, 20, pp. 644-656. , http://doi.org/cjt; Barnett, L.A., Accounting for leisure preferences from within: The relative contributions of gender, race or ethnicity, personality, affective style, and motivational orientation (2006) Journal of Leisure Research, 38, pp. 445-474; Carver, C.S., Scheier, M.F., Optimism (2002) The Oxford handbook of positive psychology, pp. 231-243. , In C. 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Retrieved from; Voss, K.E., Spangenberg, E.R., Grohmann, B., Measuring the hedonic and utilitarian dimensions of consumer attitude (2003) Journal of Marketing Research, 40, pp. 310-320. , http://doi.org/b22c75; Walters, A., Long, M., The effect of food label cues on perceptions of quality and purchase intentions among high-involvement consumers with varying levels of nutrition knowledge (2012) Journal of Nutrition Education and Behavior, 44, pp. 350-354. , http://doi.org/jpn; Wang, T.M., Chiang, W.H., Outbound package tour decisions among senior citizens with different lifestyles in Taiwan [In Chinese] (2011) The Journal of Tourism and Travel Research, 6, pp. 55-72; Wei, J., Zhang, C.-H., Research on product development of health preservation ecotourism [In Chinese] (2008) Resource Development & Market, 24, pp. 853-854; Wirtz, J., Lee, M.C., An examination of the quality and context-specific applicability of commonly used customer satisfaction measures (2003) Journal of Service Research, 5, pp. 345-355. , http://doi.org/cn9q7q; Wu, C., Chen, T., A study on the relationship between tourist characteristics, flow experience and satisfaction in adventure recreation: The example of river tracing [In Chinese] (2012) Journal of Outdoor Recreation Study, 24, pp. 89-116; Wu, T.-C., Tourist involvement on international tour choices [In Chinese] (2002) Journal of Tourism Studies, 7, pp. 125-139; Yen, C.-H., Fen, C.-M., (2012) A study of long term future trends in Taiwan, , http://www.cepd.gov.tw/att/files/P062-081-%E7%B6%93%E5%BB%BA%E5%B0%88%E8%B%96.pdf, Retrieved from; Yu, P., Liou, J.-J., An exploration of the perceived importance of hotel facilities and activity participating interests of elderly wellness travelers from Kaohsiung City [In Chinese] (2011) Journal of Outdoor Recreation Study, 24, pp. 49-78; Zaichkowsky, J.L., Measuring the involvement construct (1985) Journal of Consumer Research, 12, pp. 341-352. , http://doi.org/ct3; Zaichkowsky, J.L., Conceptualizing involvement (1986) Journal of Advertising, 15, pp. 4-14","Lee, Y.-C.; Department of International Business, Chien Hsin University of Science and Technology, No. 229 Jianxing Road, Zhongli City, Taoyuan County 320, Taiwan; email: lyc6115@ms61.hinet.net",,,,,,,,03012212,,,,"English","Soc. Behav. Pers.",Article,"Final",,Scopus,2-s2.0-84878062597 "Veitch K.","36176548800;","Juridification, medicalisation, and the impact of EU law: Patient mobility and the allocation of scarce NHS resources",2012,"Medical Law Review","20","3", fws008,"362","398",,5,"10.1093/medlaw/fws008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84865548658&doi=10.1093%2fmedlaw%2ffws008&partnerID=40&md5=94fdfd209b2b7356469f3a162ed44c36","Sussex Law School, University of Sussex, Brighton, United Kingdom","Veitch, K., Sussex Law School, University of Sussex, Brighton, United Kingdom","This article explores the relationship between EU Law and the allocation of scarce NHS resources in the context of the EU's objective of facilitating access to health care for patients within the EU. Focusing on the Watts case and the recently adopted EU Patients' Rights Directive, the article addresses the political and economic aspects of the implications of EU Law for, inter alia, domestic law, medicine, and the NHS. It does so through developing an analytical framework comprising the notions of juridification and medicalisation. Those notions, which are drawn here from the work of Jürgen Habermas, Ivan Illich, and Sheila McLean, are not only helpful as means of thinking through the nature of the specific EU laws considered in the article; by virtue of their broader focus on, and critique of, the welfare state, they offer an opportunity to reflect more generally on the implications of these laws for the role of the welfare state and medical and legal professionals in the development of the EU's internal market in health care services. Having undertaken this analysis, the article argues that, in order to capture the developments and implications of EU Law on patient mobility, it is necessary to update and partially reformulate the notions of medicalisation and juridification. © The Author [2012]. Published by Oxford University Press; all rights reserved.","Allocation of NHS Resources; EU Law; Juridification; Medicalisation; The Welfare State","article; Europe; health care delivery; health care organization; legal aspect; medicalization; national health service; patient right; public hospital; United Kingdom; Europe; Great Britain; Health Care Rationing; Health Services Accessibility; Hospitals, Public; Medicalization; Patient Rights; State Medicine",,,,,,,,"(2004), For an indication of the extent of the EU's legal jurisdiction in health care matters, and the nature of its impact on domestic law, see T Hervey and JV McHale, 'Law, Health and the European Union' (2005) 25 LS 228, and T Hervey and JV McHale, Health Law and the European Union (CUP, Cambridge); Newdick, C., Citizenship, Free Movement and Health Care: Cementing Individual Rights by Corroding Social Solidarity (2006) CMLR, 43, p. 1645; Newdick, C., The European Court of Justice, Trans-national Health Care, and Social Citizenship - Accidental Death of a Concept? (2008) Wis Int'l LJ, 26, p. 844; Jost, The Role of Competition in Health Care: AWestern European Perspective (2006) J Health Pol Pol'y, 31, p. 687; Cygan, A., Public Healthcare in the European Union: Still a Service of General Interest? (2008) ICLQ, 57, p. 529; van de Gronden, J.W., (2011), And others (eds), Health Care Law and EU Law (TMC Asser Press, The Hague; Szyszczak, E., Legal Tools in the Liberalisation of Welfare Markets (2009), p. 279. , In U Neergaard et al. (eds), Integrating Welfare Functions into EU Law: From Rome to Lisbon (DJØF Publishing, Copenhagen; Newdick, Citizenship, Free Movement and Health Care, , n 2, 1645; (2005), T289/03 British United Provident Association Ltd (BUPA) v Commission of the European Communities ECR II-741 (CFI); Ross, M., A Healthy Approach to Services of General Economic Interest? The BUPA Judgment of the Court of First Instance (2009) EL Rev, 34, p. 127; Hervey, T.K., Mapping the Contours of European Union Health Law and Policy (2002) EPL, 8, pp. 69-72; (2006), R. (on the application of Watts) v. Bedford Primary Care Trust and Another All ER (D) 220 (May); Hunt, J., Citizens' Rights to Receive Medical Treatment in Another EU Member State (2006) Journal of Social Welfare and Family Law, 28, p. 217; McHale, J.V., Rights to Medical Treatment in EU Law (2007) Med L Rev, 15, p. 99; Newdick, Citizenship, Free Movement and Health Care , p. 2; (2011), Directive 2011/24/EU of the European Parliament and of the Council on the application of patients' rights in cross-border healthcare (9 March). This Directive will hereafter be referred to as 'the Directive; Ross, M., (2009), The Value of Solidarity in European Public Services Law' inMKrajewski et al. (eds), The Changing Legal Framework for Services of General Interest in Europe: Between Competition and Solidarity (TMC Asser Press, The Hague) 81, 84. In the footnote to this quotation, Ross cites Case C-205/03 P FENIN [2006] ECR I-6295 to illustrate this point; Habermas, J., The Theory of Communicative Action , 2; (1987), p. 357. , Polity, Cambridge Lifeworld and System; (2007), p. 217. , Reference omitted. Emphasis in original. 14 S Veitch and others, Jurisprudence: Themes and Concepts (Routledge-Cavendish, Abingdon; , pp. 358-61. , His discussion of the other three juridification thrusts-the bourgeois state, the bourgeois constitutional state, and the democratic constitutional state-can be found at Habermas, n 13; (2006), p. 25. , Terrell helpfully summarises Habermas's concept of the lifeworld as follows: 'The lifeworld is the environment of everyday social experience in which customs, cultures, moral ideas and popular understandings are formed and reproduced.' See R Cotterrell, Law, Culture and Society: Legal Ideas in the Mirror of Social Theory (Ashgate, Aldershot; Habermas, N 13, 363; Veitch, and others, n 14, 221; Mathiesen, T., (2004), p. 17. , Silently Silenced: Essays on the Creation of Acquiescence in Modern Society (Waterside Press, Winchester; Illich, I., Limits to Medicine - Medical Nemesis: The Expropriation of Health (1990) Penguin, Harmondsworth; McLean, S., (1997), Old Law, New Medicine: Medical Ethics and Human Rights (Pandora, London 1999). Further examples of the importance of medicalisation s a focus for critical analysis within medical law can be found in the work of Ian Kennedy (Treat Me Right: Essays in Medical Law and Ethics (Clarendon Press, Oxford 1988)) and Sally Sheldon (Beyond Control: Medical Power and Abortion Law (Pluto, London; (2010), p. 3. , For the latest reassertion of this principle, see the current Coalition Government's White Paper, Department of Health, Equity and Excellence: Liberating the NHS Cm 7881 (The Stationery Office, London; (2005), pp. 116-9. , The following narrative detailing these differences relies on the description of European health care systems in V Hatzopoulos, 'Health Law and Policy: The Impact of the EU', in G de Burca (ed), EU Law and the Welfare State (OUP, Oxford; , pp. 282-7. , It should be noted that some authors have discussed the potential ramifications for the notion of citizenship of the EU's increased involvement in matters of health care. For one such discussion, see E Szyszczak, 'Legal Tools in the Liberalisation of Welfare Markets', n 3; While interesting, this article will not engage with the question of citizenship; Although a greater role for private and voluntary providers of health care within the NHS has been created by successive UK governments. For the latest proposals to widen the range of providers in England, see Department of Health, n 31; Hatzopoulos, , pp. 32-117; (1942), Sir William Beveridge, Social Insurance and Allied Services Cm 6404 (London; Harrington, J., Visions of Utopia: Markets, Medicine and the National Health Service (2009) LS, 29, pp. 383-5; (2007), The operation of waiting lists is not the only means of rationing scarce health care resources. For a discussion of other mechanisms, including rationing by denial and selection, see K Syrett, Law, Legitimacy and the Rationing of Health Care: A Contextual and Comparative Perspective (CUP, Cambridge; Newdick, Citizenship, Free Movement and Health Care , p. 1652; It should be noted that the UK's Coalition Government plans to scrap primary care trusts, their purchasing, and allocative powers being transferred to GP consortia. See Department of Health, n 31; (2006), All ER (D) 220 (May); (2003), The UK, along with the Irish, Government had made these arguments, or representations, in an earlier case called Case C-385/99 Muller-Faure and Van Riet v Onderluige Waarborginaatschappij ECR I-4503; (2011), For a fuller analysis of the Directive, seeWSauter, 'Harmonisation in Healthcare: the EU Patients' Rights Directive' TILEC Discussion Paper No 2011-030; (2011), Directive 2011/24/EU of the European Parliament and of the Council on the application of patients' rights in cross-border healthcare (9 March; Preamble of the Directive, recital 2; Sauter, n 49; See A4(3); Preamble of the Directive, recital 11; The criteria for refusing to grant prior authorisation are set out in A8(6); Preamble of the Directive, recital 43; (2006), As one judge said in an early case: 'It is not for this court, or indeed any court, to substitute its own judgment for the judgment of those who are responsible for the allocation of resources.' R v Central Birmingham Health Authority, ex parte Walker (1987) 3 BMLR 32, at 32, per Sir John Donaldson MR. While this restrained approach continues to be adopted in the case of substantive judicial review, where procedural review is concerned, the English courts have become less reluctant to intervene in recent years, as cases like R v North West Lancashire HA, ex parte A, D, and G [2000] 1 WLR 977 and R (Ann Marie Rogers) v Swindon Primary Care Trust and the Secretary of State EWCA Civ 166 demonstrate; Poole, T., Questioning Common Law Constitutionalism (2005) LS, 25, pp. 142-161; Emphasis in original. Reference omitted; Syrett, n 41; Mathiesen, n 23, 17; It is worth noting that one of the key health care policies of recent UK governments has been an emphasis on devolving health care to individuals and their families, thereby seeking to alter the perception that the NHS is the only legitimate provider of health care. For the latest affirmation of this policy, see Department of Health, n 31; Newdick, Citizenship, Free Movement and Health Care: Cementing Individual Rights by Corroding Social Solidarity ; (2007) King's College Law Journal, 18, pp. 158-166. , For a brief discussion of how the ECJ's judgments on the free movement of patients may facilitate a greater role for private providers of publicly funded health care within the UK, see G Davies, 'The Effect of Mrs Watts' Trip to France on the National Health Service; Szyszczak, Legal Tools in the Liberalisation of Welfare Markets' , 3, p. 285; Baeten, R., (2010), And others, The Europeanisation of National Health Care Systems: Creative Adaptation in the Shadow of Patient Mobility Case Law (OSE Paper Series, Brussels). The authors refer to Belgium and the UK in this respect; Davies, , 68, p. 166; (2005), For the importance of structures generally to the creation and operation of markets, see, for example, D Harvey, A Brief History of Neoliberalism (OUP, Oxford; Panitch, L., Konings, M., Myths of Neoliberal Deregulation (2009) New Left Review, 57, pp. 67-83; Bourdieu, P., The Social Structures of the Economy (2005), Polity, Cambridge; Christodoulidis, E., The Politics of Liquid Modernity: Polanyi and Bauman on Commodification and Fluidity (2007), p. 101. , in J Priban (ed), Liquid Society and Its Law (Ashgate, Aldershot; (2004), p. 89. , For an argument that Habermas's analysis of juridification needs to beextended so as to incorporate the importance today of the economic ends of financial institutions and their shareholders, see S Veitch, 'Legal Right and Political Amnesia' in K Nuotio (ed), Europe in Search of 'Meaning and Purpose' (University of Helsinki, Helsinki","Veitch, K.; Sussex Law School, University of Sussex, Brighton, United Kingdom; email: k.j.veitch@sussex.ac.uk",,,,,,,,09670742,,,"22535326","English","Med. Law Rev.",Article,"Final",,Scopus,2-s2.0-84865548658 "Levary R.R.","7004817183;","Multiple-criteria approach to ranking medical tourism destinations",2011,"Thunderbird International Business Review","53","4",,"529","537",,5,"10.1002/tie.20430","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79959538625&doi=10.1002%2ftie.20430&partnerID=40&md5=02434559bff176744ca3028c92cc68c6","American Association for the Advancement of Science (AAAS), Member of the Institute for Operations Research and the Management Sciences (INFORMS), Institute of Electrical and Electronics Engineers (IEEE), United States","Levary, R.R., American Association for the Advancement of Science (AAAS), Member of the Institute for Operations Research and the Management Sciences (INFORMS), Institute of Electrical and Electronics Engineers (IEEE), United States","The characteristics of the medical tourism industry are described. Multiple criteria are used to evaluate several popular medical tourism destinations. The analytic hierarchy process (AHP) is shown to be the appropriate methodology for evaluating and ranking medical tourism destinations because it can incorporate input from multiple decision makers as well as handle both tangible and intangible criteria. The ranking of medical tourism destinations will enable administrators at companies that specialize in arranging the logistics of obtaining medical care at foreign facilities to better advise patients regarding their choice of medical tourism destinations. This will result in patients who are more satisfied with their choice of a foreign medical facility. © 2011 Wiley Periodicals, Inc.",,,,,,,,,,"Bryson, N., Group decision-making and analytic hierarchy process: Exploring the consensus-relevant information content (1995) Computers and Operations Research, 23 (1), pp. 27-35; Condon, E.C., Golden, B., Wasil, E., Visualizing group decisions in the analytic hierarchy process (2003) Computers and Operations Research, 30, pp. 1435-1445; (2009), Going abroad to find affordable health care New York Times. Retrieved from; Golden, R.L., Wasil, E.A., Harber, P.T., (1989) The analytic hierarchy process: Applications and studies, , New York: Springer Verlag; Leung, L.C., Lam, K.C., Cao, D., Implementing the balanced scorecard using the analytic hierarchy process & the analytic network process (2006) Journal of the Operational Research Society, 57, pp. 682-691; Levary, R.R., Wan, K., A simulation approach for handling uncertainty in the analytic hierarchy process (1996) European Journal of Operational Research, 106, pp. 116-122; Levary, R.R., Wan, K., Analytic hierarchy process based simulation model for entry mode decision regarding foreign direct investment (1999) Omega, 27, pp. 661-677; Marek, C.A., All inclusive surgery (2009) Smart Money, pp. 64-67; (2008), Medical Tourism Association Retrieved from; (2009), Medical tourism: Have illness, will travel Retrieved from; Paulson, D., Zahir, S., Consequences for uncertainty in the analytic hierarchy process: A simulation approach (1995) European Journal of Operational Research, 87, pp. 45-56; Ramanathan, R., Ganesh, L.S., Group preference aggregation method employed in AHP: An evaluation and an intrinsic process for deriving members' weight (1994) European Journal of Operational Research, 79, pp. 249-265; Reisman, D., (2010) Health tourism: Social welfare through international trade, , Cheltenham, UK: Edward Elgar; Saaty, T.L., (1980) The analytic hierarchy process, , New York: McGraw-Hill; Saaty, T.L., How to make a decision: The analytic hierarchy process (1990) European Journal of Operational Research, 48, pp. 9-26; Saaty, T.L., Highlights and critical points in the theory and application of the analytic hierarchy process (1994) European Journal of Operational Research, 74, pp. 426-427; Saaty, T.L., Vargas, L.G., Uncertainty and rank order in the analytic hierarchy process (1987) European Journal of Operational Research, 32, pp. 107-117; Woodman, J., (2008), Medical tourism: Everybody's guide to affordable world-class medical travel. Retrieved from; Woodman, J., (2008) Patients beyond borders, , 2nd ed.). Chapel Hill, NC: Healthy Travel; Zahedi, F., The analytical hierarchy process: A survey of the method and its applications (1986) Interfaces, 16, pp. 96-108; Zahir, M.S., Incorporating the uncertainty of decision judgments in the analytic hierarchy process (1991) European Journal of Operational Research, 53, pp. 206-216","Levary, R.R.; Department of Decision sciences and It management, John cook school of Business, Saint Louis University, 3674 Lindell Blvd., St. Louis, MO 63108, United States; email: levarypr@slu.edu",,,,,,,,10964762,,,,"English","Thunderbird Int. Bus. Rev.",Article,"Final",,Scopus,2-s2.0-79959538625 "Eades J.S.","55824409800;","Sun, surgery and cyberspace: The role of the internet in the rise of medical tourism",2010,"Biomedical Knowledge Management: Infrastructures and Processes for E-Health Systems",,,,"217","231",,5,"10.4018/978-1-60566-266-4.ch015","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84888364861&doi=10.4018%2f978-1-60566-266-4.ch015&partnerID=40&md5=e7200892d15b705bcdc49269dec16271","College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan","Eades, J.S., College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan","In the last few years, increasing attention has been paid by the media and the tourist industry to what has become known as 'medical tourism' sometimes also called 'health' or 'wellness' tourism. Before around 2000, these were hardly mentioned by the media at all. However, in one sense, medical tourism has a long history, as some of the information sites on the Internet are eager to point out. People have been travelling in search of medical treatment for millennia, whether in order to visit hot springs as in Poland, Hungary or Japan. Why this sudden interest? In this Chapter I argue that it is due to a combination of factors: the changing distribution of medical services and technologies, the growth of interest among both local medical practitioners in different parts of the world and travel agents, the clever packaging of tourism and medical services as a single product, and the availability of the Internet both to assemble and to disseminate information on these new products. The chapter covers the implications of these cases for the future of medical tourism, and its relations both with the medical and tourism industries. © 2010, IGI Global.",,,,,,,,,,"Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159. , doi:10.1016/j. mcm.2007.03.027; Bralo, Z., Asylum and health: Insult and injury (2008) Open Democracy News Analysis, , http://www.opendemocracy.net/article/asylum-and-health-insult-and-injury, Retrieved June 18, 2008 from; Brooks, L., 5 tough questions about asylum (2003) The Guardian, , May 1; Carter, L., Failed asylum seekers and primary care (2006) Student BMJ, pp. 309-352; Castells, M., (1996) The Network Society, , Oxford, Blackwell; Chapman, J., Our NHS, not the world health Service! 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Get some five-star treatment: Hospitals in asia spare no expense and effort to pamper patients from all over the globe (2005) The Straits Times, , March 19, Singapore, Saturday Special Report; Geoghegan, I., Hot springs kindle Hungary's Tourism; nation spends millions to update image (2003) The Washington Post, pp. A25. , November 30; Gesler, W., Lourdes: Healing in a place of pilgrimage (1996) Health & Place, 2 (2), pp. 95-105. , doi:10.1016/1353-8292(96)00004-4; Goodrich, J.N., Goodrich, G.E., Healthcare tourism - an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222. , doi:10.1016/0261-5177(87)90053-7; Haley, A., Snaith, T., Miller, G., The social impacts of tourism. A case study of bath, UK (2005) Annals of Tourism Research, 32 (3), pp. 647-668. , doi:10.1016/j.annals.2004.10.009; Hawkes, N., Health tourism 'may save costs' (2005) Times Online, , March 21; Idris, M., Look beyond the rosy picture (2008) New Straits Times, p. 25. , August 20, (Malaysia); Kapczynski, A., Szromek, A.R., Hypotheses concerning the development of polish spas in the years 1949-2006 (2008) Tourism Management, 29 (5), pp. 1035-1037. , doi:10.1016/j.tourman.2007.10.001; Laurance, J., NHS will be put to the test by EU plan to open healthcare borders (2007) The Independent (London), , December 20; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Social Science & Medicine, 67 (1), pp. 101-110. , doi:10.1016/j.socscimed.2008.01.057; Macready, N., World report: Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850. , 2 - 8 June; (2004) Charging Failed Asylum Seekers for Health Care in the UK, , http://www.medact.org/article_refugee.php?articleID=360, Medact Refugee Network, Retrieved September 8, 2008 from; (2007) Malta Popular with UK Medical Tourists, , http://en.wikipedia.org/wiki/Medical_tourism, Medical tourism, Wikipedia, Retrieved September 8, 2008 from; Mendinck, R., Bath leads spa town revival as britons take to the waters (2002) Independent on Sunday, p. 15. , February 24; Morris, L., Travelers' choice: A nip, a tuck and a pad thai please (2001) Sydney Morning Herald, p. 15. , October 11, News and Features; (2003) Medics Balk at NHS Tourism Plan, , http://news.bbc.co.uk/2/hi/health/3351889.stm, News, B. B. C., Monday, 29 December. Retrieved September 8, 2008 from; (2003) Health Tourism' Rules Unveiled, , http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/3355751.stm, News, B. B. C., 30 December. Retrieved September 8, 2008 from; (2004) Are Health Tourists Draining the NHS?, , News, B. B. C., May 14; (2008) Asylum Seeker NHS Ban 'unlawful', , http://news.bbc.co.uk/2/hi/health/7343305.stm, BBC World News, Retrieved September 8, 2008 from; Page, S., (2008) Current Issue in Tourism: The Evolution of Travel Medicine Research: A New Research Agenda for Tourism?, , Tourism Management; Patterson, R., Screening immigrants for infectious diseases (2003) The Lancet Infectious Diseases, 3 (11), p. 681. , doi:10.1016/S1473-3099(03)00819-3; Probst, M., Mchape '95, or the sudden fame of billy goodson chisupe: Healing, social memory and the enigma of the public sphere in post-banda malawi (1999) Africa, p. 69; Ramesh, R., This UK patient avoided waiting lists and flew to India for a heart bypass. Is health tourism the future? (2005) The Guardian, , February 1, Guardian Home Pages, 3; Sanati, M., Bathing Beauty; ditch the 24/7 grind and regenerate mind, body and soul in the pretty english town of bath. The draw: A hot new spa (2003) The Globe and Mail, , September 5, (Canada), Travel, 97; Scientist, N., Governments urged to crack down on transplant tourism (2008) New Scientist, 199 (2664). , July 6; Siegel, J., Hadassah uses internet to attract foreign surgical patients (2007) The Jerusalem Post, , December 17; Siegel-Itzkovich, J., Israeli doctors are the nation's newest tourist attraction (2008) The Jerusalem Post, , February 24; Srivastava, R., Indian society for apheresis and apheresis tourism in India - Is there a future? (2006) Transfusion and Apheresis Science, 34 (2), pp. 139-144. , doi:10.1016/j.transci.2005.12.005; Stiller, C., High tech medicine and the control of health care costs (1989) Canadian Medical Association Journal, 140 (8), pp. 905-908; Talbot, M., Nip, tuck and frequent-flier miles (2001) New York Times, Section, 6, p. 86. , May 6; (2003) Health Tourism: In Place of Fear, p. 19. , December 31, The Guardian, Final Edition; Williamson, D., Free NHS services for failed asylum seekers 'won't drain resources' (2008) Western Mail, , http://www.encyclopedia.com/doc/1G1-179234671.html, May 21, Retrieved September 8, 2008 from Wales Online; Wilson, E., Sick of waiting for your NHS OP? Then why not go abroad? (2001) The Guardian, p. 14. , May 31, Guardian Features Pages","Eades, J. S.; College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan",,,"IGI Global",,,,,,9781605662664,,,"English","Biomed. Knowledge Mgmt.: Infrastructures and Processes for E-Health Syst.",Book Chapter,"Final",,Scopus,2-s2.0-84888364861 "Leng C.H., Whittaker A.","7004224160;7102570392;","Guest editors' introduction to the special issue: Why is medical travel of concern to global social policy?",2010,"Global Social Policy","10","3",,"287","291",,5,"10.1177/1468018110379627","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650284139&doi=10.1177%2f1468018110379627&partnerID=40&md5=69ff07f1d8e833f69fd7af7eb3c453af","Asia Research Institute, National University of Singapore, 469A Tower Block, Bukit Timah Road, #10-01, Singapore 259770, Singapore; University of Queensland, Australia","Leng, C.H., Asia Research Institute, National University of Singapore, 469A Tower Block, Bukit Timah Road, #10-01, Singapore 259770, Singapore; Whittaker, A., University of Queensland, Australia",[No abstract available],,,,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Chanda, R., Trade in health services (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 35-44. , In: Drager N and Vieira C (eds), Washington, DC: PAHO; Diaz, D., Hurtado, M., (1994) International trade in health services: Main issues and opportunities for the countries of Latin America and the Caribbean, , Pan American Health Organization (PAHO)/ WHO, Health Policies Program, Technical Reports Series No.33, Washington, DC: PAHO/ WHO; (1995) General Agreement on Trade in Services, , www.wto.org/english/docs_e/legal_e/legal_e.htm-services, GATS, Available at, Geneva: World Trade Organization; Horowitz, M., (2009) The movement of patients across international borders - Emerging challenges and opportunities for health care systems: Can trade be supportive of public health?, , Paper presented at the WHO Workshop on the Movement of Patients Across International Borders - Emerging Challenges and Opportunities for Health Care Systems, Kobe, Japan, 24-25 February; Janjaroen, W.S., Supakankunti, S., International trade in health services in the millennium: The case of Thailand (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 87-106. , In: Drager N and Vieira C (eds), Washington, DC: PAHO; Kuttner, R., The role of governments in the global economy (2000) On The Edge: Living with Global Capitalism, pp. 147-163. , In: Hutton W and Giddens A (eds), London: Jonathan Cape; Lee, K., Sridhar, D., Patel, M., Bridging the divide: Global governance of trade and health (2009) The Lancet, 373, pp. 416-422; Mashayekhi, M., Tuerk, E., Implications of international trade and trade agreements for Primary Health Care (PHC): The case of services (2008), Paper presented at the Prince Mahidol Award Conference 2008 'Three decades of primary health care: Reviewing the past and defining the future', 31 January -1 February, Bangkok; Smith, R., Blouin, C., Drager, N., Trade in Health Services and the GATS: Introduction and Summary (2006) International Trade in Health Services and the GATS: Current Issues and Debates, pp. 1-15. , Washington, DC: The World Bank; (2006) Report of the Expert Meeting on Universal Access to Services, Held at the Palais Des Nations, , www.unctad.org/en/docs/c1em30d3_en.pdf, UNCTAD, 14-16 November. TD/B/COM.1/EM.30/3-, 26 December. Available at, Geneva; Wibulpolprasert, S., Pachanee, C., Pitayarangsarit, S., International Service Trade and Its Implications for Human Resources for Health: A Case Study of Thailand (2004) Human Resources for Health, 2 (10). , www.human-resources-health.com/content/2/1/10, Available at; Zarrilli, S., Kinnon, C., (1998) International Trade in Health Services: A Development Perspective, , Geneva: UNCTAD and WHO","Leng, C. H.; Asia Research Institute, National University of Singapore, 469A Tower Block, Bukit Timah Road, #10-01, Singapore 259770, Singapore; email: arichl@nus.edu.sg",,,,,,,,14680181,,,,"English","Global Soc. Policy",Editorial,"Final",,Scopus,2-s2.0-78650284139 "Woo B.S.","36919470300;","Medical tourism and the future of medical practice in Korea",2009,"Journal of the Korean Medical Association","52","9",,"844","846",,5,"10.5124/jkma.2009.52.9.844","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79551559943&doi=10.5124%2fjkma.2009.52.9.844&partnerID=40&md5=417fb7dd58f514bdc3523b5881e56c53","Research Institute for Healthcare Policy, KMA, United States","Woo, B.S., Research Institute for Healthcare Policy, KMA, United States","Medical tourism has emerged as a an increasingly relevant issue worldwide and its spread is gaining greater momentum. In 2008, 750,000 Americans went overseas for medical procedures and the number is expected to reach 6,000,000 by the year 2010. The Health Industry Development Institute of Korea announced that the number of medical tourists to Asia has seen an annual increase of 30%, to 1,590,000 from 950,000, between 2003 and 2005. Among Asian countries, Thailand, India and Malaysia have already established themselves as particularly attractive destinations for medical services thanks to low medical fees and/or tourism related prices. The number of foreign patients visiting these countries for medical services has increased rapidly as they had been from the very early days of medical tourism. Following the revision of its laws and regulations in medical practice, Korea will join the competition against existing leaders of medical tourism to gain a larger share of global medical shoppers. Some strength that Korea offers as a medical service destination are its plentiful supply of high quality physicians and medical facilities, relatively low medical fees compared to quality of service, excellent medical accessibility, and the geographical closeness to medically less developed countries. A vibrant medical tourism industry will not only create new jobs and generate a new source of income for medical professionals but also enhance the national image of Korea abroad. Another benefit of developing Korea as a destination for medical services is the maintenance of a better balance between medical supply and demand. The recent and rapid increase in the number of hospital beds and medical professionals in Korea has triggered a concern for a possible oversupply in medical services. Medical tourism is precisely the type of business that could help prevent the development of these situations. The patient's trust in medical professionals and their medical skills is a critical factor in medical decision-making. Therefore, to further develop Korea's medical tourism, policy support by the government along with meticulous preparation by health service providers would be required to build up a firm foundation. At the same time, active marketing promotions to heighten the awareness of Korea as a medical destination would be necessary to maximize the economic benefit of the nation from medical tourism.","Destinations for medical service; Medical service; Medical tourism; New growth engine",,,,,,,,,,"Woo, B. S.; Research Institute for Healthcare Policy, KMAUnited States; email: wbongsky@hanmail.net",,,,,,,,19758456,,,,"Korean","J. Kor. Med. Assoc.",Review,"Final",Open Access,Scopus,2-s2.0-79551559943 "Kumar S.","56912719400;","Designing promotional strategies for medical tourism in India: A case study of an ophthalmic hospital in Ncr",2009,"Health and Population: Perspectives and Issues","32","2",,"86","95",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952380592&partnerID=40&md5=d2debf01b4660d9c24988c86a2298b25","Indian Institute of Health Management Research (IIHMR), Jaipur, Rajasthan, India","Kumar, S., Indian Institute of Health Management Research (IIHMR), Jaipur, Rajasthan, India","Medical tourism, also called medical travel or health tourism is a term initially coined by travel agencies and the mass media to describe the rapidly-growing practice of travelling to another country to obtain healthcare. People travel to avail of such a facility because of much cheaper rates or those treatments such as ayurveda oryoga therapies which are not available in one's own country. Such services typically include elective procedures as well as complex specialised surgeries such as joint replacement (knee/hip), cardiac, dental or cosmetic surgeries. Leisure aspects typically associated with travel and tourism are also included in such medical travel trips. A bypass surgery is the cheapest in India ($9,300) while the same costs $1,00,000 in the USA followed by $16,500 in Singapore and $11,000 in Thailand. Similarly, a procedure for an angioplasty is also cheaper in Asian countries than USA. Similarly, foreigners also prefer India for eye-treatment. A retinal detachment procedure costs approximately $900 to $1,400 per eye in India and the same costs between $2,500 and $5,000 in the US and between $4,000 and $6,000 in Britain. The study showed that most of the medical travellers used internet followed by newspapers for information with regard to the availability and facilities available in the Indian hospitals.","Foreigners; Low-cost; Medical tourism; Medical travel",,,,,,,,,"(2002) Healthcare in India - The Road Ahead, , MCKINSEY-CII STUDY Mckinsey and Company; Herrick, D.M., Medical tourism: Globalcompetition in health care (2007) NCPA Policy Report, (304). , November; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism and implications for hotel industry (2000) Journal of Vacation Marketing, 7 (1), pp. 6-17. , July; Services Marketing -Indian Perspective by Ravi Shankar, , Excel Publishers; (2008), www.bumrungrad.com, seen in February; (2008), www.expresshealthcaremgmt.com, seen in February; (2008), www.healthbase.com, seen February; (2008), www.imanational.com, seen in February; (2008), www.lifesmileindia.com, seen in February; (2008), www.maxindia.com, seen in February; (2008), www.medicaltreatments.in, seen in February; (2008), www.saharamedicaltourism.com, seen in February; (2008), www.site.securities.com, seen in February; Business World Articles; IBEF-Indian Brand Equity Foundation","Kumar, S.; Indian Institute of Health Management Research (IIHMR), Jaipur, Rajasthan, India",,,,,,,,02536803,,HPPID,,"English","Health Popul. Perspect. Issues",Article,"Final",,Scopus,2-s2.0-77952380592 "Moore A.","57199362629;","Health tourism. Don't forget your toothbrush....",2009,"The Health service journal","119","6139",,"18","20",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-63249093897&partnerID=40&md5=60f8d25d0b789f648d6dc4ae4fad6f2a",,"Moore, A.","A major reason for seeking treatment abroad is lower costs for work not funded by the NHS. In 2007, more than 200 patients were seen in NHS hospitals after surgery overseas, three quarters of whom had complications. An EU directive will make it easier for patients to have overseas treatment funded by the NHS.",,"article; economics; fee; health service; national health service; patient attitude; public hospital; travel; United Kingdom; Fees and Charges; Great Britain; Health Services Needs and Demand; Hospitals, Public; Patient Acceptance of Health Care; State Medicine; Travel",,,,,,,,,"Moore, A.",,,,,,,,09522271,,,"19256050","English","Health Serv J",Article,"Final",,Scopus,2-s2.0-63249093897 "Speier A.","37038655600;","Czech balneotherapy: Border medicine and health tourism",2008,"Anthropological Journal of European Cultures","17","2",,"145","159",,5,"10.3167/ajec.2008.170210","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858641887&doi=10.3167%2fajec.2008.170210&partnerID=40&md5=420e9155ab5e84bc010694552aa2a6a2","University of California, Berkeley, United States","Speier, A., University of California, Berkeley, United States","This essay exemplifies a particular approach to the field of health tourism, whereby the anthropology of tourism and medical anthropology can be used in conjunction. The serious business of healing is not usually associated with the pleasures of relaxation; however, Czech spas have historically been sites of both healing and leisure for visitors. Building on the suggestion of Veijola and Jokinen (1994), the body of the tourist is made the centre of this study. The bodies of patient-tourists at Czech health spas undergo various healing regimens, and their bodies signify a negotiation of national and cultural identities. Just as Bunzl (2000) considers bodies as constituting European cultural landscapes, this essay considers the ways in which German patient bodies at Czech health spas constitute a changing national, political and cultural relationship at a 'border' of Europe. © Berghahn Journals.","Balneotherapy; Border; Cultural landscapes; Health tourism; National identity",,,,,,,,,"Anagnost, A., A Surfeit of Bodies: Population and the Rationality of the State in Post-Mao China (1995) Conceiving the New World Order: The Global Politics of Reproduction, pp. 22-41. , F. Ginsburg and R. Rapp (eds), (Berkeley: University of California Press); Berdahl, D., Introduction: An Anthropology of Post-Socialism (2000) Altering States: Ethnographies of Transition in Eastern Europe and the Former Soviet Union, pp. 1-13. , D. Berdahl, M. Bunzl and M. Lampland (eds), (Ann Arbor: University of Michigan Press); Boissevain, J., (1996) Coping with Tourists: European Reactions to Mass Tourism, , (ed.), (Providence: Berghahn); Boorsma, P., van Hemel, A., van der Wielen, N., (1998) Privatization and Culture: Experiences in the Arts, Heritage and Cultural Industries in Europe, , (eds), (Boston: Kluwer Academic); Borneman, J., Fowler, N., Europeanization (1997) Annual Review of Anthropology, 26, pp. 487-514; Braidotti, R., (1989) The Patterns of Dissonance: A Study of Women in Contemporary Philosophy, , (Great Britain: Polity Press); Bunzl, M., The Prague Experience: Gay Male Sex Tourism and the Neocolonial Invention of an Embodied Border (2000) Altering States: Ethnographies of Transition in Eastern Europe and the Former Soviet Union, pp. 70-95. , D. Berdahl, M. Bunzl and M. Lampland (eds), (Ann Arbor: University of Michigan Press); Butler, J., Gender Trouble, Feminist Theory, and Psychoanalytic Discourse (1990) Feminism/Postmodernism, pp. 324-340. , L. Nicholson (ed.), (New York: Routledge); Carter, F., Czechoslovakia (1991) Tourism and Economic Development in Eastern Europe and the Soviet Union, pp. 156-183. , D. Hall (ed.), (London: Belhaven); Castenada, Q., (1991) An 'Archaeology' of Chichén Itza: Discourse Power and Resistance in a Maya Tourist Site, , doctoral dissertation, State University of New York at Albany; Clift, S., Gravowski, P., Tourism and Health: Risks (1997) Research and Responses, , (eds), (London: Pinter); Cohen, E., Rethinking the Sociology of Tourism (1979) Annals of Tourism Research, 6, pp. 18-35; Crick, M., Representations of International Tourism in the Social Sciences: Sun, Sex, Sights, Savings and Servility (1989) Annual Review of Anthropology, 18, pp. 307-344; Dogan, H., Forms of Adjustment: Sociocultural Impacts of Tourism (1989) Annals of Tourism Research, 16, pp. 216-236; (1994) Eurotourism: Culture and Countryside, 48 Projects Co-financed by the European Commission in 1992, , European Commission; Commission Opinion on the Czech Republic's Application for Membership of the European Union (1997) Bulletin of the European Union 7/8-1997, Enlargement (11/12), Supplement (14/97), , European Commission; (2001) Agriculture and Rural Development Plan of the Czech Republic 2000-2006: SAPARD Plan, , http://europa.eu.nt/comm/agriculture/external/enlarge/countries/czech/plan/plan1_en.pdf, European Commission, (accessed 25 September 2001); Foucault, M., (1978) The History of Sexuality: An Introduction, , (New York: Vintage); Game, A., (1991) Undoing the Social: Towards a Deconstructive Sociology, , (Buckingham: Open University Press); Greenwood, D., Culture by the Pound: An Anthropological Perspective on Tourism and Cultural Commoditization (1989) Hosts and Guests: The Anthropology of Tourism, pp. 171-186. , V. Smith (ed.), (Philadelphia: University of Pennsylvania Press); Hall, D., (1991) Tourism and Economic Development in Eastern Europe and the Soviet Union, , (ed.), (London: Belhaven); Hermans, D., The Encounter of Agriculture and Tourism (1981) Annals of Tourism Research, 3, pp. 462-479; Holý, L., (1996) The Little Czech and the Great Czech Nation: National Identity and the Post-Communist Social Transformation, , (New York: Cambridge University Press); Jirásek, K., (1979) Ceskoslovenské Lázne, , (Praha: Olympia); MacCannell, D., (1976) The Tourist: A New Theory of the Leisure Class, , (New York: Schocken); McKean, P., Towards a Theoretical Analysis of Tourism: Economic Dualism and Cultural Involution in Bali (1989) Hosts and Guests: The Anthropology of Tourism, pp. 119-138. , V. Smith (ed.), (Philadelphia: University of Pennsylvania Press); Nepustil, B., Czechoslovak Public Health Services (1949) Compiled from Data Supplied by the Ministry of Health, , transl. Iris Levitová (Prague: Ministry of Information and Public Culture); Pi Sunyer, O., Changing Perceptions of Tourism and Tourists in a Catalan Resort Town (1989) Hosts and Guests: The Anthropology of Tourism, pp. 187-202. , V. Smith (ed.), (Philadelphia: University of Pennsylvania Press); Pollard, J., Rodriguez, R., Tourism and Torremolinos: Recession or Reaction to Environment (1993) Tourism Management, 14, pp. 247-258; Prerovský, K., (1957) Czechoslovak Spas, , (Prague: Mír 1); Smith, V., Eskimo Tourism: Micro-Models and Marginal Men (1989) Hosts and Guests: The Anthropology of Tourism, pp. 55-82. , V. Smith (ed.), (Philadelphia: University of Pennsylvania Press); Smith, V., Introduction (1989) Hosts and Guests: The Anthropology of Tourism, pp. 1-20. , V. Smith (ed.), (Philadelphia: University of Pennsylvania Press); Smith, V., (1989) Hosts and Guests: The Anthropology of Tourism, , (ed.), (Philadelphia: University of Pennsylvania Press); Swain, M., Gender Roles in Indigenous Tourism: Kuna Mola, Kuna Yala, and Cultural Survival (1989) Hosts and Guests: The Anthropology of Tourism, pp. 83-104. , V. Smith (ed.), (Philadelphia: University of Pennsylvania Press); Testa, R., (1992) After the Fire: The Destruction of Lancaster County Amish, , (Hanover: University Press of New England); Urry, J., (2002) The Tourist Gaze, , (London: Sage); Veijola, S., Jokinen, E., The Body in Tourism (1994) Theory, Culture and Society, 11, pp. 125-151","Speier, A.; University of California, Berkeley, United States",,,,,,,,17552923,,,,"English","Anthropol. J. Eur. Cult.",Article,"Final",,Scopus,2-s2.0-84858641887 "Bovier P.A.","7004314603;","Medical tourism: A new kind of traveler? [Explosion du tourisme médical: Des voyageurs d'un nouveau type?]",2008,"Revue Medicale Suisse","4","157",,"1196","1201",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-47149105836&partnerID=40&md5=957a34c5f2dedc492906cb97cb632fca","2, Grand-Rue, 1095 Lutry, United States","Bovier, P.A., 2, Grand-Rue, 1095 Lutry, United States","In an era of globalisation, an increasing number of patients are seeking medical care abroad, for a fraction of the price in their home country. The reasons are numerous. Some countries face an increasing demand, either because of inappropriate health insurance coverage (e.g. United States) or long waiting lists (e.g. United-Kingdom, Canada). In parallel, medical care facilities and infrastructures of many countries of Asia and latin America offer now high quality care, if not better, than their European or North American counterparts. In theses conditions, more and more patients decide now to travel abroad for cardiovascular and orthopedic surgery that they cannot readily have in their home country. In Switzerland, this phenomenon is still marginal but changes could occur in a near future.",,"Asia; cardiovascular surgery; European American; health care facility; health care quality; health insurance; human; medical care; North America; review; South and Central America; tourism; Health Services Accessibility; Humans; Patient Acceptance of Health Care; Travel",,,,,,,,"Health tourism & Medical tourism. What is medical tourism? www.healthmedicaltourism.org/Medical_Tourism/Overview/What_is_Medical_Tourism?/, dernier accès: 8 février 2008; * Wikipedia. Medical tourism. http//en.wikipedia.org/wiki/ Medical_tourism, dernier accès: 8 février 2008; CBC News Online. Medical tourism:Need surgery, will travel. www.cbc.ca/news/background/healthcare/medicaltourism.html, dernier accès:8 février 2007; ** MacReady, N. Developing countries court medical tourists. Lancet 2007;369:1849-50; International medical tourism conference. www.medicaltourismconference. com, dernier accès: 8 février 2008; ** Milstein A, Smith M. America's new refugees-seeking affordable surgery offshore. N Engl J Med 2006;355:1637-40; Rowan, D., The times: The boom in medical tourism. www.davidrowan.com/2006/ 06/times-boom-in-medical-tourism.html, dernier accès:8 (2007), février; Runckel CJ. Where to go for medical tourism ? www.business-in-asia.com/ asia/medical_tourism2.html, dernier accès:8 février 2008; International organization for standardization. www.iso.org/iso/fr/, dernier accès:8 février 2008; Joint commission international. www.jointcommission.org, dernier accès:8 février 2008; Trent internation accreditation scheme. www.tren-taccreditationscheme. org, dernier accès:8 février 2008; Runckel, C.J., Which Thai hospital is best for me: Bumrungrad vs. Bangkok hospital? (2008), www.business-in-asia.com/asia/thailand_medical_tour.html, dernier accès:8 février; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85, pp. 164-165; Marsaud, O. Scalpel safaris. www.jeuneafrique.com/jeune_afrique/ article_jeune_afrique.asp?art_cle=LIN11074scalpsirafa0, dernier accès:8 février 2008; Health tourism & Medical tourism. Disadvantages of medical tourism. www.healthmedicaltourism.org/Disadvantages_of_Medical_Tourism/, dernier accès:8 février 2008; Runckel CJ. Five reasons to go overseas for medical treatment and three reasons not to travel. www.business-in-asia.com/asia/medical_tourism.html, dernier accès:8 février 2008; Chanda R. Trade in health services. Bull World Health Organ 2002;80:158-63; (2000) Lancet, 356, p. 1941. , Trading public health for private wealth; * Smith RD. Foreign direct investment and trade in health services: A review of the literature. Soc Sci Med 2004;59:2313-23; * Mattoo A Rathindran R. How health insurance inhibits trade in health care. Health Aff (Millwood) 2006;25:358-68","Bovier, P. A.2, Grand-Rue, 1095 Lutry, United States; email: patrick.bovier@post.harvard.edu",,,,,,,,16609379,,,"18561824","French","Rev. Med. Suisse",Review,"Final",,Scopus,2-s2.0-47149105836 "Litvin S.W.","7003428714;","Research note: The economic attractiveness of runners: Are they 'healthy' tourists?",2007,"Tourism Economics","13","3",,"481","486",,5,"10.5367/000000007781497737","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34548042560&doi=10.5367%2f000000007781497737&partnerID=40&md5=1473987cace2d8b8486fc44e941c159c","Department of Hospitality and Tourism Management, School of Business and Economics, College of Charleston, 66 George Street, Charleston, SC 29424, United States","Litvin, S.W., Department of Hospitality and Tourism Management, School of Business and Economics, College of Charleston, 66 George Street, Charleston, SC 29424, United States","This research note takes a brief empirical look at the expenditure patterns and tourist behaviours of road-race tourists to Charleston, South Carolina during the city's annual Cooper River Bridge Run, which last year attracted more than 45,000 participants. The findings suggest that runners/walkers are less than ideal tourists for the community. The note concludes with suggestions to tourism officials in other communities that may be considering the addition of a road race to their annual events calendar.","Displacement; Economic impact; Road race; Special events","economic impact; tourism economics; tourist attraction; tourist behavior; Charleston; Cooper River; North America; South Carolina; United States; Elagatis",,,,,,,,"Crompton, J.L., Economic impact studies: Instruments for political shenanigans (2006) Journal of Travel Research, 45 (1), pp. 67-82; Daniels, M.J., Norman, W.C., Henry, M.S., Estimating income effects of a sports tourism event (2004) Annals of Tourism Research, 31 (1), pp. 180-199; Fox, W.F., Murray, M.N., Do economics justify the use of fiscal incentives? (2004) Southern Economic Journal, 71 (1), pp. 78-92; Hartsell, J., Cooper River Bridge Run 2006, phantom finish (2006) Charleston, SC] Post and Courier, , http:// newsfiles.charleston.net, 2 April; Lau, A.L.S., McKercher, B., Exploration versus acquisition: A comparison of first-time and repeat visitors (2004) Journal of Travel Research, 42 (3), pp. 279-285; Litvin, S.W., (2006) Charleston Area Paid Attraction Visitorship, Summer 2005 Study, , report prepared for the Charleston Area Convention and Visitors Bureau and available in the College of Charleston Addlestone Library, Charleston, SC; Litvin, S.W., Fetter, E., Cana festival be too successful? A review of Spoleto, USA (2006) International Journal of Contemporary Hospitality Management, 18 (1), pp. 41-49; OTA (2006), (Office of Tourism Analysis, College of Charleston, Department of Hospitality and Tourism Management, Charleston, SC), data obtained from the organization; Running, U.S.A., (2006) World's largest, , http://www.runningusa.org, races; Stewart, S.I., Vogt, C.A., A case-based approach to understanding vacation planning (1999) Leisure Sciences, 21 (2), pp. 79-95","Litvin, S.W.; Department of Hospitality and Tourism Management, School of Business and Economics, College of Charleston, 66 George Street, Charleston, SC 29424, United States; email: litvins@cofc.edu",,,"IP Publishing Ltd",,,,,13548166,,,,"English","Tour. Econ.",Article,"Final",,Scopus,2-s2.0-34548042560 "Von Renteln-Kruse W., Krause T., Dieckmann P., Vogel J.","55914695300;7101722509;14008279100;57197073513;","Geriatric patients' mobility status as reflected by the relevant items of the Barthel Index and in-hospital falls [8]",2006,"Journal of the American Geriatrics Society","54","6",,"1012","1013",,5,"10.1111/j.1532-5415.2006.00755.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-33744927913&doi=10.1111%2fj.1532-5415.2006.00755.x&partnerID=40&md5=7020940ffe9d3c931f681532ed16fc99","Medizinisch-Geriatrische Klinik, Zentrum für Geriatrie und Gerontologie, University of Hamburg, Hamburg, Germany","Von Renteln-Kruse, W., Medizinisch-Geriatrische Klinik, Zentrum für Geriatrie und Gerontologie, University of Hamburg, Hamburg, Germany; Krause, T., Medizinisch-Geriatrische Klinik, Zentrum für Geriatrie und Gerontologie, University of Hamburg, Hamburg, Germany; Dieckmann, P., Medizinisch-Geriatrische Klinik, Zentrum für Geriatrie und Gerontologie, University of Hamburg, Hamburg, Germany; Vogel, J., Medizinisch-Geriatrische Klinik, Zentrum für Geriatrie und Gerontologie, University of Hamburg, Hamburg, Germany",[No abstract available],,"Barthel index; daily life activity; falling; geriatric patient; hospital; hospital admission; hospital discharge; hospital patient; hospitalization; human; letter; mobilization; Parkinson disease; patient mobility; risk assessment; risk factor; walking; Accidental Falls; Activities of Daily Living; Aged; Female; Geriatric Assessment; Humans; Inpatients; Male; Mental Status Schedule; Neuropsychological Tests; Outcome and Process Assessment (Health Care); Retrospective Studies",,,,,,,,"Morgan, V.R., Matthison, J.H., Rice, J.C., Hospital falls: A persistent problem (1985) Am J Public Health, 75, pp. 775-777; Leape, L.L., Brennan, T.A., Laird, N., The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II (1991) N Engl J Med, 324, pp. 377-384; Oliver, D., Hopper, A., Seed, P., Do hospital fall prevention programs work? a systematic review (2000) J Am Geriatr Soc, 48, pp. 1679-1689; Guidelines for the prevention of falls in older persons (2001) J Am Geriatr Soc, 49, pp. 664-672. , American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention; Oliver, D., Daly, F., Martin, F.C., Risk factors and risk assessment tools for falls in hospital in-patients: A systematic review (2004) Age Ageing, 33, pp. 122-130; Von, R.W., Krause, T., [Fall events in geriatric hospital in-patients. Results of prospective recording over a 3 year period] (2004) Z Gerontol Geriatr, 37, pp. 9-14. , German; Lübke, N., Meinck, M., Von Renteln-Kruse, W., [The Barthel Index in geriatrics. a context analysis for the Hamburg Classification Manual.] (2004) Z Gerontol Geriatr, 37, pp. 316-326. , German","Von Renteln-Kruse, W.; Medizinisch-Geriatrische Klinik, Zentrum für Geriatrie und Gerontologie, University of Hamburg, Hamburg, Germany",,,,,,,,00028614,,JAGSA,"16776807","English","J. Am. Geriatr. Soc.",Letter,"Final",,Scopus,2-s2.0-33744927913 "Powers L.F.","12788690500;","Leveraging medical tourism",2006,"Scientist","20","3",,"79","",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33645099544&partnerID=40&md5=2bf14530bb5d02b96f3efd8c2d1b1015","Toucan Capital, Bethesda, MD, United States","Powers, L.F., Toucan Capital, Bethesda, MD, United States",[No abstract available],,,,,,,,,,,"Powers, L.F.; Toucan Capital, Bethesda, MD, United States; email: lpowers@the-scientist.com",,,,,,,,08903670,,,,"English","Scientist",Short Survey,"Final",,Scopus,2-s2.0-33645099544 "Messina G.G., Addari P., Macchi C., Nante N.","24778773900;6507856229;57196533606;6602433305;","Effect of hospital policies on patient mobility: Siennese experience [Programmazione ospedaliera e flussi di pazienti: esperienza senese.]",2005,"Annali di igiene : medicina preventiva e di comunità","17","4",,"323","333",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33646913546&partnerID=40&md5=0376a355a826a8ab3c9419553673d979","Laboratorio di Programmazione ed Organizzazione dei Servizi Sanitari, Università di Siena., Italy","Messina, G.G., Laboratorio di Programmazione ed Organizzazione dei Servizi Sanitari, Università di Siena., Italy; Addari, P., Laboratorio di Programmazione ed Organizzazione dei Servizi Sanitari, Università di Siena., Italy; Macchi, C., Laboratorio di Programmazione ed Organizzazione dei Servizi Sanitari, Università di Siena., Italy; Nante, N., Laboratorio di Programmazione ed Organizzazione dei Servizi Sanitari, Università di Siena., Italy","The Italian National Health Service (S.S.N.), adopted in 1978 (Law n 833) and based on Beveridge's model, emphasises the citizens freedom to choose and the equal opportunity in accessing health care structures. Local Health Authorities--L.H.A. (U.S.L.--Unità Sanitarie Locali) become owners of almost all the structures in their territories and directly responsible for the satisfaction of all residents health needs. The former hospitals' network, based on independent first, second and third level public hospitals, in potential competition, was dismantled. Hospitals' financing, the main economic role of the S.S.N., was based on the documented running expenses: therefore the hospital interest to attract patients diminished and expenses increased in a uncontrolled way. In 1992, the Italian Government, (re)introduced (Law n 502) the quasi-market administered competition between Italian hospitals, making the major ones independent (Aziende Ospedaliere--A.O.) from the L.H.A. Hospital income from then is based on DRGs; the L.H.A. (and hospitals) leadership is now entrusted to managers and not politicians. We describe now how these changes were experienced by our hospital (A.O. Senese), placed in Southern Tuscany, Italy. We elaborated hospitalisation data regarding residents in the province of Siena (252,000 inhabitants) and activity data regarding its main hospital (A.O. Senese, 1200 beds, 47,000 admissions/year). Using the Gandy's Nomogram, we show the variation of patients mobility from 1988 to 1999. Our survey demonstrates that the Italian hospital system answers well enough to the legislative regulations: following the Law 833/1978 our hospital diminished its ability to attract patients from other areas; at the same time migrations of hospitals patients from Siena increased. Following the Law 502/1992, the power of attraction of our hospital is increased. Nevertheless the flow of escape continued to increase. It appears that to discourage the attraction power means to promote the loss of perceived quality and that it is difficult to correct such effects.",,"article; health care delivery; health care policy; health economics; human; information processing; Italy; jurisprudence; law; legal aspect; migration; patient right; Data Collection; Economics, Hospital; Health Policy; Health Services Accessibility; Humans; Italy; Jurisprudence; Legislation, Hospital; Patient Rights; Residential Mobility",,,,,,,,,"Messina, G.G.",,,,,,,,11209135,,,"16156392","Italian","Ann Ig",Article,"Final",,Scopus,2-s2.0-33646913546 "Fontanari M., Kern A.","57191766251;57191771274;","The “Comparative Analysis of Spas” — An instrument for the re-positioning of spas in the context of competition in spa and health tourism",2003,"Tourism Review","58","3",,"20","28",,5,"10.1108/eb058413","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84993073672&doi=10.1108%2feb058413&partnerID=40&md5=ed194b004d973596c999aa667fca91b3",,"Fontanari, M.; Kern, A.","No tourist segment is at present marked by such a massive expansion of offers like the ones of spa tourism. Today, only in Germany more than 350 medicinal baths and spas try to position themselves on the market highly demanded “self-payers” (see Deutscher Heilbäderverband 2002, p. 257–573.). Even outside the spas, the offer of health-tourism develops dynamically. The demand-side oft he market for health-tourism services is very promising and has initiated a world-wide mobilization health-conscious tourists. To be actually perceived in this very growing market, suppliers — particularly medicinal baths and spas — which have a rather “traditional” image — must distinguish themselves with a clear profile. Moreover, capital projects or business promotions require clear decisive factors towards specialization and how to position oneself in the long-term. Last but not least it remains to be answered how medicinal baths and spas should be presented on the market at the level of tourism destinations or countries in order to differ from other spa destinations. Of course, these questions are not only a challenge for medicinal baths and spas in the German-speaking countries. Particularly in Eastern Europe where today huge amounts of money are invested into the infrastructure of health-tourism, a basis for long-term support factors as well as for decision taking factors are required to align the specific offer with the needs of selected target groups. For this complex setting of tasks the European Tourism Institute (ETI) has developed a well-aligned instrument for data-collection, data-evaluation and data-analysis which makes possible consistent decisions on product development and product positioning for the individual spas well as for marketing on the regional or state level. Therefore, the comparative analysis of spas takes into consideration the needs of the market as well as the specific design of offers and the attractiveness of locations. © 2003, MCB UP Limited","Data-based rankings; Health tourism; Marketing strategies; Product development; Strategic positioning; Trends",,,,,,,,,"Thomas, B., (2000) Nano-U-Boote und Atemtherapie - Wie der Gesundheitsmarkt zur Boombranche des 21, , Jahrhunderts wird.- In: Deutsches Allgemeines Sonntagsblatt, 21. Juli 2000, Nr. 29/2000 (www.sonntagsblatt.de/artikel/ 2000/29/29-sl.hmt, download am 26.01.02); (2001), DEUTSCHER HEILBÄDERVERBAND : Deutscher Bäderkalender.- Gütersloh; (1998), EUROPÄISCHES TOURISMUS INSTITUT GMBH : Vergleichende Kurortanalyse Rheinland-Pfalz.- unpublished study for a client; Kurund Gesundheitstourismus (2001), EUROPÄISCHES TOURISMUS INSTITUT GMBH / FORSCHUNGSKREIS TOURISMUS MANAGEMENT E.V. : Trendstudie - Bundesweite Befragung von Heilbädern und Kurorten.- unpublished study, Trier; (2002), EUROPÄISCHES TOURISMUS INSTITUT : Deutschlandweite Repräsentativbefragung zum Kur- und Gesundheitstourismus (N - 1500).- unpublished study for a client; (2002), EUROPÄISCHES TOURISMUS INSTITUT GMBH: Vergleichende Kurortanalyse Niedersachsen.- unpublished study for a client; (2002), EUROPÄISCHES TOURISMUS INSTITUT : Befragung in den niedersächsischen Quellgebieten für Kur- und Gesundheitstourismus (N - 2500).- unpublished study for a client; (1999), pp. 50-60. , FISCHER, Ines : Neu Ansätze zur Positionierung im deutschen Kur- und Bäderwesen.- In: Zeitschrift für Fremdenverkehr, 4/1999; (2002), FORSCHUNGSGEMEINSCHAFT URLAUB UND REISEN :Reiseanalyse. Executive summary.- Kiel; (1999), ILLING, Kai-T. :Der neue Gesundheitstourismus; Wellness als Alternative zur traditionellen Kur?, , - Berlin; NEFIODOW, L.A., (2001), Der sechste Kondratieff -Wege zur Produktivität und Vollbeschäftigung im Zeitalter der Information.- Bonn; Heinz Werner, P., Osteuropa, pp. 65-66. , Reisen für die Gesundheit.- In: FVW International 6/03; RICHTER, B., (1996), Wellness, Fitness, Beauty: Trendangebote im Tourismus.-In: Erlebnis-Marketing; , pp. 239-250. , Trendangebote im Tourismus: ein Lesebuch für Praktiker, Hg. Deutsches Seminar für Fremdenverkehr (DSF); Karl, S., (2001) Bericht 2000 über die demographische Lage in Deutschland, pp. 3-54. , - In: Zeitschrift für Bevölkerungswissenschaft, 26 (2001), Nr. 1; THE OFFICE FOR STATISTICS OF THE STATE OF LOWER SAXONY (various years), , various information based on state statistics",,,,,,,,,16605373,,,,"English","Tour. Rev.",Review,"Final",,Scopus,2-s2.0-84993073672 "Łȩcka I.","6506139577;","New (?) trends in health tourism [Nowe (?) trendy w turystyce zdrowotnej]",2003,"Prace i Studia Geograficzne","32",,,"173","190",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-5444274098&partnerID=40&md5=329a229e2febca224af2fdcf862f622e",,"Łȩcka, I.","The 1963 UN conference on ""Journeys and Tourism"" defined the notion of tourism, and ""health"" was regarded as one of its crucial motives. It has to be admitted that the majority of people who embark on travels for tourist purposes, do so on the assumption of both mental and physical relaxation, although it may not be an active relaxation in all cases. Therefore, we can assume that health factors are present in nearly all types of tourist travel. It is difficult to imagine a tourist who assumes he or she will not rest or relax. At the same time, there are many possible ways of relaxation and restoring strength, the choice of which depends on the individual needs of tourists. It can be assumed therefore that the health motive will be present in the case of recreational tourism, but also in special interest, religious, pilgrimage, ecological or cultural tourism. Visiting spas certainly belongs to traditional forms of health tourism. It is developing in areas with outstanding landscape assets, where natural curative factors occur in conjunction with favourable bioclimatic conditions. New forms of health tourism can be divided into two categories: (1) journeys focusing on the body and relaxation (pampering), and (2) journeys focusing on the soul and a sense of wellness (well-being). Travels to clinics and hospitals represent a special form of health tourism. The reasons for such therapeutic travels can extremely vary. Another form of health-related tourism, consistent with the broad definition of health tourism, is the so-called sex tourism. The sexual revolution of the second half of the 20th century brought about a greater openness in the attitude to sex. Along with increasing popularity of psychoanalysis as a way to dead with stress, more and more afflicting the residents of highly developed countries, sex therapy has appeared. Many therapists recommend erotic holidays to their clients as an antidote for the exhausting monotony of their work routines. Unfortunately, health travels may pose risks to health, both in relation to tourists and to hosts. In the holiday atmosphere, tourists may easily forget about health protection habits; they abuse alcohol and drugs or change their sexual behaviour. In this way, they become susceptible to many more or less serious diseases. Diseases of the digestive system and sexually transmitted diseases (particularly AIDS) are genuine risks that such holidaymakers take, especially in the case of travels to exotic destinations. Also, contagious and parasitic diseases that for many have not been observed in the tourists' home countries and that can still occur in the countries visited by tourists, pose a serious threat.",,"development strategy; health impact; tourism development; tourist attraction",,,,,,,,"Alejziak, W., (1999) Turystyka W Obliczu Wyzmań XXI Wieku, , Wydawnictwo Albis, Kraów; Finn, E., (2002) Health Tourism for Dominica, , www.thedominican.net; Gaworecki, W.W., (1998) Turystyka, , PWE, Warszawa; Hay, B., Nem tourism markets: Health and well being holidays (2001) Countryside Recreation, 9 (2), pp. 6-8; Japonia, (2003) Discovery Travel, , wersja polska, program z dnia 1.02.2003, godz.2005; Kaczmarek, J., Stasiak, A., Wlodarczyk, B., (2002) Produkt Turystyczny Albo Jak Organizować Poznawanie świata, , Wydwnictwo Uniwersytetu Łódzkiego, Łódz; Kasturisinghe, Ch., Apollo hospitals to boost health tourism in Lanka (2002) Daily News - Business, , http://origin.dailynews.lk/2002/12/03; Kowalczyk, A., (2000) Geografia Turyzmu, , Wydawnictwo Naukowe PWN, Warszawa; Krasiński, Z., Kondycja turystyki uzdrowiskowej w Polsce a reformy społleczne 1999 roku (1999) Rozwój Uslug Turystycznych U XXI Wieku, pp. 93-120. , Golembski G. (red.), Wydawnictwo Akademii Ekonomicznej, Pozna∠; Kruczek, Z., (2002) Polska - Geografia Atrakcji Turystycznych, , PROKSENIA, Kraków; Łçka, I., Cboroby strefy klimatów gora̧cych (1999) Geografia W Szkole, 4 (264), pp. 199-205; Łçka, I., Zalewski, P., Medical aspects of globalisation - malaria in Central and Eastern Europe in the years 1960-2000 (2003) Geographical Space on the Turn of the Century, Theoretical and Methodological Challenges, , Kowalczyk A. (red.) Warsaw University, Faculty of Geography and Regional Studies, Warsaw, w druku; Melaka, (2002), www.melaka.gov.my/eng/healthtourism.asp; Metro, K.L., (2001), http://metro.thestar.com.my/news/2001/3; Ptaszycka-Jackowska, D., Lecznictwo uzdrowiskowe a turystyka (1999) Turyzm, 9 (1), pp. 201-207; Reme, A., KL bids for healthy $1b slice of health tourism pie (2001) The Straits Times, , http://straitstimes.asia1.com.sg; Ross, K., (2001) Health Tourism: an Overview, , www.hospitalitynet.org; Rybak, A., Sanatoria pod klepsydra̧ (2002) Newsweek, , nr 46; Sustaining tourism by managing health and sanitation conditions (1997) Inter-American Travel Congress, , San Jose; Thomas, D., Niezle ziółka (2002) Newsweek, , nr 30; (1963) UN Conference on International Travel and Torsrism, , Rome, Italy; Wczasy w PRL-u (2000) Wprost, , nr 30; Wojtasiński, Z., Embriony w poczcie. Turystyka reprodukcyjne pokonuje granice państw i prawa (2002) Wprost, , nr 20",,,,"Wydawnictwa Uniwersytetu Warzawskiego",,,,,02084589,,,,"Polish","Pr. Stud. Geogr.",Article,"Final",,Scopus,2-s2.0-5444274098 "Kant P., Koh S.H.-Y., Neumann V., Elliot C., Cotter D.","23018508000;7202062518;7006784983;57197940703;7101938564;","Treatment of longitudinal deficiency affecting the femur: Comparing patient mobility and satisfaction outcomes of syme amputation against extension prosthesis",2003,"Journal of Pediatric Orthopaedics","23","2",,"236","242",,5,"10.1097/01241398-200303000-00019","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0037369752&doi=10.1097%2f01241398-200303000-00019&partnerID=40&md5=96b8248d2f134c37ed609b2b2bf7cab2","6 Breckland Drive, Bolton BL1 5BQ, United Kingdom; Accident and Emergency, Calderdale Royal Hospital, Halifax, United Kingdom; Tan Tock Seng Hospital, Tan Tock Seng, Singapore; Rehabilitation Medicine, University of Leeds, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom","Kant, P., 6 Breckland Drive, Bolton BL1 5BQ, United Kingdom, Accident and Emergency, Calderdale Royal Hospital, Halifax, United Kingdom; Koh, S.H.-Y., Tan Tock Seng Hospital, Tan Tock Seng, Singapore; Neumann, V., Rehabilitation Medicine, University of Leeds, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom; Elliot, C.; Cotter, D.","Patients with proximal focal femoral deficiency or longitudinal deficiency affecting the femur were selected from a large regional center. Twenty-eight such patients were identified and were divided into two groups depending on how their condition was managed. Group 1 had opted for the surgical approach of ankle disarticulation (Syme amputation) and the fitting of an above-the-knee prosthesis. The patients in group 2 had been managed in a nonsurgical fashion using an extension prosthesis. They were asked about their level of mobility using the recognized Locomotor Index and their overall satisfaction using self-designed questions. The two groups' scores were similar for mobility whether using their prosthesis or not, but group I had lower satisfaction scores than group 2. Current opinion advocates the use of surgery in the management of proximal focal femoral deficiency because it is believed to have better cosmetic and functional results, but in the authors' comparison similar scores for mobility were shown. The nonsurgical extension prosthesis was associated with fewer musculoskeletal and residual limb problems, fewer problems with public transport, and greater satisfaction than Syme amputation. Overall, this small study suggests that the nonsurgical approach is preferable.","Amputation; Longitudinal deficiency of the femur; Mobility; Proximal focal femoral deficiency; Surgical management","above knee prosthesis; adolescent; adult; amputation; arthrodesis; article; child; clinical article; controlled study; female; femur malformation; human; leg length inequality; leg lengthening; male; patient attitude; patient mobility; patient satisfaction; priority journal; surgical approach; syme amputation; treatment planning; United Kingdom",,,,,,,,"Aitken, G.T., Amputation as a treatment of certain lower extremity congenital abnormalities (1959) J Bone Joint Surg [Am], 41, pp. 1267-1285; Alma, B.A., Krajbich, J.I., Hubbard, S., Proximal focal femoral deficiency; results of rotationoplasty and Syme amputation (1995) J Bone Joint Surg [Br], 55, pp. 427-432; Amustuz, H.C., Wilson P.D., Jr., Dysgenesis of the proximal femur (coxa vara) and its surgical management (1962) J Bone Joint Surg [Am], 44, pp. 1-24; Anderson, L., Westin, G.W., Oppenheim, W.L., Syme amputation in children: Indications, results and long-term follow-up (1984) J Pediatr Orthop, 4, pp. 550-554; Bryant, I.I.I., Epps, C.H., Proximal focal femoral deficiency; evaluation and management (1991) Orthopedics, 14, pp. 775-784; Cummings, D.R., Kapp, S.L., Lower limb pediatric prostheses: General considerations and philosophy (1998) The Child with a Limb Deficiency, pp. 307-317. , Herring JA, Birch JB, eds. Rosemont, IL: American Academy of Orthopaedic Surgeons; Goddard, N.J., Hashemi-Nejad, A., Fixsen, J.A., Natural history and treatment of instability of the hip in proximal focal femoral deficiency (1995) J Pediatr Orthop, 4, pp. 427-432; Grise, M.C., Gauthier-Gagnon, C., Martineau, G.G., Prosthetic profile of people with lower extremity amputation: Conception and design of a follow-up questionnaire (1993) Arch Phys Med Rehab, 74, pp. 862-870; Sanpera, I., Fixsen, J.A., Sparks, L.T., The knee in congenital short femur (1995) J Pediatr Orthop, 4, pp. 159-163; Torode, I.P., Gillespie, R., Rotationplasty of the lower limb for congenital defects of the femur (1983) J Bone Joint Surg [Br], 65, pp. 569-573","Kant, P.6 Breckland Drive, Bolton BL1 5BQ, United Kingdom; email: prashantkant@hotmail.com",,,"Lippincott Williams and Wilkins",,,,,02716798,,JPORD,"12604957","English","J. Pediatr. Orthop.",Article,"Final",,Scopus,2-s2.0-0037369752 "Lluberas G.","6508186413;","Medical tourism.",2001,"Wilderness & environmental medicine","12","1",,"63; author reply 64","65",,5,"10.1580/1080-6032(2001)012[0066:MT]2.0.CO;2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044699377&doi=10.1580%2f1080-6032%282001%29012%5b0066%3aMT%5d2.0.CO%3b2&partnerID=40&md5=9e76a90b35aa9838c15d85af70bd147f",,"Lluberas, G.",[No abstract available],,"developing country; Haiti; human; international cooperation; note; social justice; Developing Countries; Haiti; Humans; Medical Missions, Official; Social Justice",,,,,,,,,"Lluberas, G.",,,,,,,,10806032,,,"11294558","English","Wilderness Environ Med",Letter,"Final",Open Access,Scopus,2-s2.0-85044699377 "Ben-Rafael Z., Orvieto R., Ashkenazi J.","7102174770;55916977300;7004858611;","The role of patient mobilization after embryo transfer in in vitro fertilization programs [14]",1995,"American Journal of Obstetrics and Gynecology","172","6",,"1955","",,5,"10.1016/0002-9378(95)91459-5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029061628&doi=10.1016%2f0002-9378%2895%2991459-5&partnerID=40&md5=96b5efccb53df5eedefcbef4a1c5c360","Sherman Fertility Institute, Department of Obstetrics/Gynecology, 'Golda' Medical Center, Petah Tiqva 49372, Israel","Ben-Rafael, Z., Sherman Fertility Institute, Department of Obstetrics/Gynecology, 'Golda' Medical Center, Petah Tiqva 49372, Israel; Orvieto, R., Sherman Fertility Institute, Department of Obstetrics/Gynecology, 'Golda' Medical Center, Petah Tiqva 49372, Israel; Ashkenazi, J., Sherman Fertility Institute, Department of Obstetrics/Gynecology, 'Golda' Medical Center, Petah Tiqva 49372, Israel",[No abstract available],,"fibrin; bed rest; clinical trial; controlled clinical trial; controlled study; embryo transfer; female; fertilization in vitro; human; letter; major clinical study; mobilization; pregnancy rate; priority journal; randomized controlled trial",,"fibrin, 9001-31-4",,,,,,,"Ben-Rafael, Z.; Sherman Fertility Institute, Department of Obstetrics/Gynecology, 'Golda' Medical Center, Petah Tiqva 49372, Israel",,,"Mosby Inc.",,,,,00029378,,AJOGA,"7778667","English","AM. J. OBSTET. GYNECOL.",Letter,"Final",,Scopus,2-s2.0-0029061628 "West R.R., Henderson A.H.","7402395807;7403097909;","Long term survival of patients mobilised early after acute myocardial infarction",1985,"British Heart Journal","53","3",,"243","247",,5,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0021874404&partnerID=40&md5=d3b025eb69597e4a78c476627e2ca596","Department of Community Medicine, Welsh National School of Medicine, Cardiff, United Kingdom","West, R.R., Department of Community Medicine, Welsh National School of Medicine, Cardiff, United Kingdom; Henderson, A.H., Department of Community Medicine, Welsh National School of Medicine, Cardiff, United Kingdom","A Welsh multicentre trial of early (fifth day) compared with late (tenth day) mobilisation in 742 patients after uncomplicated myocardial infarction, reported previously, found that there were no significant differences in survival during the first year, but a partial follow-up beyond the first year survival showed a significantly reduced survival during the second and third years among patients mobilised early. A full 10 year follow up of all patients admitted to the trial was therefore carried out. A small difference in survival was confirmed, which reached about 5% at four years; but the difference was not statistically significant. Further analysis suggested the possibility of real differences in survival in certain subgroups, but the present evidence was not sufficient to provide contraindication to mobilisation five days after uncomplicated myocardial infarction.",,"adult; follow up; heart; heart infarction; heart rehabilitation; human; major clinical study; mobility; priority journal; survival; therapy; Adult; Age Factors; Aged; Arrhythmia; Bradycardia; Clinical Trials; Early Ambulation; Female; Follow-Up Studies; Human; Hypertension; Male; Middle Age; Myocardial Infarction; Support, Non-U.S. Gov't; Time Factors",,,,,,,,,,,,,,,,,00070769,,BHJUA,"3882106","English","BR. HEART J.",Article,"Final",,Scopus,2-s2.0-0021874404 "Kim S., Arcodia C., Kim I.","57211273452;23468393500;55147616600;","Critical success factors of medical tourism: The case of south korea",2019,"International Journal of Environmental Research and Public Health","16","24", 4964,"","",,4,"10.3390/ijerph16244964","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076291773&doi=10.3390%2fijerph16244964&partnerID=40&md5=5c7b0b226e39fb1d1af127f1e4198b5f","Department of Tourism and Convention, Pusan National University, Pusan, 46241, South Korea; Department of Tourism, Sport and Hotel Management, Griffith University, 170 Kessels Rd, Nathan, QLD 4111, Australia","Kim, S., Department of Tourism and Convention, Pusan National University, Pusan, 46241, South Korea; Arcodia, C., Department of Tourism, Sport and Hotel Management, Griffith University, 170 Kessels Rd, Nathan, QLD 4111, Australia; Kim, I., Department of Tourism and Convention, Pusan National University, Pusan, 46241, South Korea","The purpose of this study was to identify the key success factors of medical tourism using the case of South Korea. Medical tourism refers to the phenomenon of travelling across national borders intentionally to access a variety of medical treatments, especially modern medical treatment. Through conducting semi-structure face-to-face in-depth interviews with the service suppliers of Korean medical tourism, it was discovered that Korean medical tourism has been facilitated by the effect of Hallyu and advanced Korean brand power. More importantly, tourism activities for companions and extra support for patients’ convenience are identified as important success factors of Korean medical tourism, suggesting that the medical tourism industry not only includes medical services but also involves tourism perspectives, supporting the patient and their companions to stay in a comfortable and pleasurable environment. This study generated results which are valuable for both academic and industry perspectives, as this is a field which has not been extensively researched. Medical tourism representatives in other countries can consult these findings to develop the industry. © 2019, by the authors. Licensee MDPI, Basel, Switzerland.","Medical tourism; South Korea; Success factors; Supplier perspectives","health care delivery; human; human relation; medical tourism; patient care; patient participation; South Korea; travel; Health Services Accessibility; Humans; Medical Tourism; Patient Care Team; Patient Participation; Professional-Family Relations; Republic of Korea; Travel",,,,,,,,"Han, H., Hwang, J., Growing competition in the healthcare tourism market and customer retention in medical clinics: New and experienced travellers (2018) Curr. Issues Tour., 21, pp. 680-702; Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tour. Manag., 52, pp. 539-556; Heung, V.C., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) J. Travel Tour. 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Pai Management Institute, Badagabettu Road, Manipal, Karnataka, India; Department of Operations, AMRITA School of Business, Amrita Vishwa Vidyapeetham, Amritanagar, Ettimadai, Coimbatore, Tamil Nadu, India","Ghosh, T., Department of Marketing, T. A. Pai Management Institute, Badagabettu Road, Manipal, Karnataka, India; Mandal, S., Department of Operations, AMRITA School of Business, Amrita Vishwa Vidyapeetham, Amritanagar, Ettimadai, Coimbatore, Tamil Nadu, India","While travel for physical well-being has long been a practice, medical tourism is an emerging phenomenon characterized by medical care combined with holiday-making activities. The medical tourism industry has rapidly grown due to exponential growth in the number of medical tourists worldwide. Despite this upsurge in practice, less research attention has been devoted to exploring the experience and perceptions of medical tourists toward the wide range of services available to them at medical destinations. This article conceptualizes a construct called “medical tourism experience” and develops a scale that measures it. A rigorous scale development procedure is employed, and four studies are conducted. Seven dimensions of this construct are explored, namely, treatment quality, medical service quality, medical tourism expense, medical tourism infrastructure, destination appeal, destination culture, and ease of access. 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Su, L., Hsu, M.K., Service Fairness, Consumption Emotions, Satisfaction, and Behavioral Intentions: The Experience of Chinese Heritage Tourists (2013) Journal of Travel and Tourism Marketing, 30 (8), pp. 786-805; Tham, A., Sand, Surgery and Stakeholders: A Multi-Stakeholder Involvement Model of Domestic Medical Tourism for Australia’s Sunshine Coast (2018) Tourism Management Perspectives, 25 (1), pp. 29-40; Tore, O., (2016) Mexico Named Top Medical Tourism Destination, Asia-Pacific Is the Fastest Growing Region, , http://ftnnews.com/healthaspa/29953-mexico-named-top-medical-tourism-destination-asia-pacific-is-thefastest-growing-region.html, (last modified June 18; Toyama, M., Yamada, Y., The Relationships among Tourist Novelty, Familiarity, Satisfaction, and Destination Loyalty: Beyond the Novelty-Familiarity Continuum (2012) International Journal of Marketing Studies, 4 (6), pp. 10-18; Wang, H.Y., Value as a Medical Tourism Driver (2012) Managing Service Quality: An International Journal, 22 (5), p. 465. , (,):, –91; Wu, H.C., Li, T., Li, M.Y., A Study of Behavioural Intentions, Patient Satisfaction, Perceived Value, Patient Trust, and Experiential Quality for Medical Tourists (2016) Journal of Quality Assurance in Hospitality and Tourism, 17 (2), p. 114. , (,):, –50; Yu, J.Y., Ko, T.G., A Cross-cultural Study of Perceptions of Medical Tourism among Chinese, Japanese and Korean Tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Ghosh, T.; Department of Marketing, T. A. Pai Management Institute, Badagabettu Road, India; email: tathagata.ibs@gmail.com",,,"SAGE Publications Ltd",,,,,00472875,,,,"English","J. Travel Res.",Article,"Final",,Scopus,2-s2.0-85060128261 "Perkumiene D., Vienažindiene M., Švagždiene B.","56355264500;23490690700;55641077800;","Cooperation perspectives in sustainable medical tourism: The case of Lithuania",2019,"Sustainability (Switzerland)","11","13", 3584,"","",,4,"10.3390/su11133584","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068801535&doi=10.3390%2fsu11133584&partnerID=40&md5=f4768d61a8e0c728ff9cef0d8d2d958d","Business and Rural Development Research Institute, Faculty of Bioeconomy, Agriculture Academy, Vytautas Magnus University, Kaunas, 53361, Lithuania; Department of Sport management, Economics and Sociology, Faculty of Sport Education, Lithuanian Sport University, Kaunas, 44221, Lithuania","Perkumiene, D., Business and Rural Development Research Institute, Faculty of Bioeconomy, Agriculture Academy, Vytautas Magnus University, Kaunas, 53361, Lithuania; Vienažindiene, M., Business and Rural Development Research Institute, Faculty of Bioeconomy, Agriculture Academy, Vytautas Magnus University, Kaunas, 53361, Lithuania; Švagždiene, B., Department of Sport management, Economics and Sociology, Faculty of Sport Education, Lithuanian Sport University, Kaunas, 44221, Lithuania","Sustainable medical tourism is an emergent and growing business worldwide, combining different and very specific purposes from pleasurable travel to sometimes-stressful services of health care. Lithuania can boast of medical technologies and the professionalism of doctors, but this is not enough to compete in the field of sustainable medical tourism. In this situation, cooperation is very significant in sustainable medical tourism. This research investigates a conceptual framework for cooperation possibilities in sustainable medical tourism. Based on a systematic and comparative analysis of scientific literature, the authors of this paper present the conceptual model illustrating the dissemination of sustainable medical tourism through cooperation. The overall results imply that facilitators' cooperation perspectives in sustainable medical tourism should be highly beneficial for participants and medical tourists. The basis for the improvement of cooperation is communication, contact development, the form of work organization, coordination of work, sharing of knowledge and experience. Cooperation in this particular field determines the role of tourism development, but it is concluded that cooperation in this area is not developed well. © 2019 by the authors.","Cooperation; Facilitator; Health tourism; Medical tourism; Sustainable tourism","conceptual framework; cooperative behavior; health services; knowledge; medical tourism; sustainability; technological development",,,,,,,,"Lunt, N., Carrera, P., Systematic Review ofWeb Sites for Prospective Medical Tourists (2011) Tour. 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Ethics, 37, pp. 530-534","Vienažindiene, M.; Business and Rural Development Research Institute, Faculty of Bioeconomy, Agriculture Academy, Vytautas Magnus UniversityLithuania; email: milita.vienazindiene@vdu.lt",,,"MDPI AG",,,,,20711050,,,,"English","Sustainability",Article,"Final",Open Access,Scopus,2-s2.0-85068801535 "Rahman M.K.","57216983234;","Medical tourism: tourists’ perceived services and satisfaction lessons from Malaysian hospitals",2019,"Tourism Review","74","3",,"739","758",,4,"10.1108/TR-01-2018-0006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85066980392&doi=10.1108%2fTR-01-2018-0006&partnerID=40&md5=094fdaca7178183bcfa7f2c99e78e3f5","Department of Operation and Management Information Systems, Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Rahman, M.K., Department of Operation and Management Information Systems, Faculty of Business and Accountancy, University of Malaya, Kuala Lumpur, Malaysia","Purpose: The medical tourism industry has become one of the most profitable industries around the world wherein most of the countries exploit every effort to attract medical tourists to take advantage of its medical care benefits. The purpose of this study is to explore the determinants of medical tourists’ perceived services and their satisfaction for medical care in hospitals. Design/methodology/approach: The quantitative method was conducted to examine the three groups of foreign travellers such as medical tourists, expats and normative medial tourists’ perceived medical services quality and satisfaction. Data from a survey of 266 respondents were analyzed using the structural equation modelling technique. Findings: The findings of this study provide evidence that hospital accessibility and interpersonal behaviour are the most critical constructs that influence medical tourists’ attributes. Additionally, medical costs and health-care technicality have a significant relationship with the perceived services of medical tourists. The study also demonstrated that medical tourists’ satisfaction highly attributed to their perceived services towards the quality of medical care they received and experienced in the hospitals. Practical implications: The results have important implications for managerial considerations at hospitals. Hospital accessibility is a crucial dimension to be measured at hospitals when measuring service quality. Service providers need to be mindful that all aspects of medical services are essential and need to be delivered satisfactorily to ensure customer satisfaction. Patients’ perceived services and their satisfaction is a crucial bridge in determining the likelihood of future return among patients to the hospitals. Originality/value: This study has managed to convincingly secure findings to provide useful information and understanding of the hospital accessibility and interpersonal manner of health-care professionals at hospitals in Malaysia. Particularly, when any hospital offers quality services, they must consider the reasonable medical expenses that can be affordable by the average people and update their medical equipment that are necessary for technical and diagnostic purposes. 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Rev.",Article,"Final",,Scopus,2-s2.0-85066980392 "Mahendradhata Y.","6602000972;","Proceed with caution: Potential challenges and risks of developing healthcare tourism in Indonesia",2019,"Global Public Health","14","3",,"340","350",,4,"10.1080/17441692.2018.1504224","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050955872&doi=10.1080%2f17441692.2018.1504224&partnerID=40&md5=bf91a51dce22d960c9e6f584c7e89c1c","Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia","Mahendradhata, Y., Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia","The Indonesian government is set to take part in the region’s growing healthcare tourism industry. However, Indonesia would need to do much more than just develop world-class hospitals at major tourist destinations to provide a thriving healthcare tourism industry that could attract patients from abroad. Moreover, the amount of resources needed to ensure the success of a healthcare tourism industry attracting foreign patients also raises the question of potential resource allocation diversion, as the country still has a long list of public health issues to address. There is also the potential of intensifying the migration of healthcare professionals from the public to the private sector or from rural to urban areas. Policymakers in Indonesia, and other resource-constrained countries, contemplating the development of healthcare tourism have an ethical obligation to weigh the evidence on potential positive and negative impacts before moving forward. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","Asia; delivery of healthcare; Indonesia; Medical tourism; travel","adult; article; government; human; Indonesia; medical tourism; private sector; public health; resource allocation; travel; urban area",,,,,,,,"Ali, P.B., Inequity in access to high quality outpatient healthcare in Indonesia (2013) Perencanaan Pembangunan, 19 (2), pp. 57-66; Anderson, I., Meliala, A., Marzoeki, P., Pambudi, E., (2014) The production, distribution and performance of physicians, nurses and midwives in Indonesia: An update, , Washington, DC: The World Bank; Aspinall, E., Health care and democratization in Indonesia (2014) Democratization, 21 (5), pp. 803-823; (2016) EIBN sector reports: Medical devices, , http://indonesien.ahk.de/fileadmin/ahk_indonesien/Publications/EIBN/EIBNSecRep2016_Medical_Devices_FULL-16932.pdf, Retrieved from; Erviani, N.K., (2016), http://www.thejakartapost.com/news/2016/05/17/bali-aims-become-medical-tourism-destination.html, Bali aims to become medical tourism destination. 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(Ed","Mahendradhata, Y.; Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah MadaIndonesia; email: yodi_mahendradhata@yahoo.co.uk",,,"Routledge",,,,,17441692,,,"30047302","English","Global Public Health",Article,"Final",,Scopus,2-s2.0-85050955872 "Gabor M.R., Oltean F.D.","57191668367;57192805960;","Babymoon tourism between emotional well-being service for medical tourism and niche tourism. Development and awareness on Romanian educated women",2019,"Tourism Management","70",,,"170","175",,4,"10.1016/j.tourman.2018.08.006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85052154061&doi=10.1016%2fj.tourman.2018.08.006&partnerID=40&md5=2304e64def19dc9545cb774584d836ae","“Petru Maior” University of Tirgu Mures, Management – Economy Department, Nicolae Iorga street, no.1, Mures County, 540088, Romania","Gabor, M.R., “Petru Maior” University of Tirgu Mures, Management – Economy Department, Nicolae Iorga street, no.1, Mures County, 540088, Romania; Oltean, F.D., “Petru Maior” University of Tirgu Mures, Management – Economy Department, Nicolae Iorga street, no.1, Mures County, 540088, Romania","Health tourism and wellness tourism have become “temptations” with many world markets looking to take advantage of their growing popularity. Babymoon tourism is one of the hottest trends in travel today. The aim of this study is to fill a gap in the research on babymoon tourism by measuring the awareness of, and interest in, this trend in Romania through convenient sampling. The results show that 28% of respondents know “babymoon” but they agree on its positive impact. Our research results emphasize the necessity of promoting babymoons due to the actual trend and because the holiday market has been focused on well-being and promoting the concept of hedonic well-being. Additionally, to promote Romania as a babymoon destination, we must consider that today's consumers are prosumers seeking experiences and emotional wellbeing. Promoting babymoons for emotional well-being can result in two managerial outcomes for Romania: brand identification and intention to revisit. © 2018 Elsevier Ltd","Babymoon tourism; Emotional well-being; Health service; Medical tourism; Niche tourism; Romanian consumers","health services; identification method; medical tourism; tourism development; tourism management; tourist destination; trend analysis; womens health; womens status; Romania",,,,,,,,"ACORN, Developing a niche tourism market database for the Caribbean – 20 niche market profile (2008), http://www.onecaribbean.org/wp-content/uploads/NicheMarketsDatabase.pdf, Retrieved from: (Accessed 28 May 2017); Adams, M., The reflexive self and culture: A critique (2003) British Journal of Sociology, 54 (2), pp. 221-238; Ali-Knight, J.M., The role of niche tourism product in destination development (2011), https://www.napier.ac.uk/research-and-innovation/research-search/outputs/the-role-of-niche-tourism-products-in-destination-development, PhD thesis Edinburg Napier University Scotland Retrieved from: (Accessed 1 June 2016); Ali-Knight, J., Ensor, J., Salute to the sun: Wellness tourism, consumer behavior of UK yoga tourists (2017) Tourism Recreation Research, 42 (4). , https://doi.org/10.1080/02508281.2017.1327186; Amazing Thailand, Market analysis report 2014 for Belgium & Luxembourg (2015), Accessed at 16 January 2016; Antena, T.V., Babymoon, turism pentru femeile insarcinate (Babymoon, tourism for pregnant women) (2010), http://a1.ro/lifestyle/travel/babymoon-turism-pentru-femeile-insarcinate-id80655.html#, Retrieved from: (Accessed 5 May 2014); Babymoon Guide, Before baby arrives, treat yourself to a babymoon vacation (2016), www.babymoonguide.com, Retrieved from: (Accessed 26 May 2016); Badulescu, D., Badulescu, A., Medical tourism: Between entrepreneurship opportunities and bioethics boundaries: Narrative review article (2014) Iranian Journal of Public Health, 43 (4), pp. 406-415. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4433721/pdf/IJPH-43-406.pdf, Retrieved from: (Accessed 22 January 2017); Correira Loureiro, S.M., The role of rural tourism experience economy in place attachment a behavioral intentions (2014) International Journal of Hospitality Managemnnt, 40, pp. 1-9. , https://doi.org/10.1016/j.ijhm.2014.02.010; Dalgic, T., Leeuw, M., Niche marketing revisited: Concept, applications and some european cases (1994) European Journal of Marketing, 28 (4), pp. 39-55; Deloitte, Global tourism opportunities – research study (2009), http://www.mtc.gov.on.ca/en/publications/Global_Tourism_Opportunities.pdf, Retrieved from: accessed at 16 January 206; Erfurt-Cooper, P., Cooper, M., Health and wellness tourism, spas and hot springs (aspects of tourism) (2009), Chanel View Publication Bristol, UK; Euromonitor International, Health and wellness tourism (2014), http://www.euromonitor.com/health-and-wellness-tourism-in-romania/report, Retrieved from: accessed at May 2014; European Travel Commission, Europe tourism 2016 – trends & prospects. 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Oxford, UK; Romina, O., Silvia, T., Costa, N., Niche-market tour operator and mass-market on-line travel agencies: The case-study of US organized tourism to Italy (2013) American Journal of Tourism Research, 2 (1), pp. 101-123; Ryan, M.R., Deci, E.L., On happiness and human potentials: A review of research on hedonic and eudaimonic well-being (2001) Annual Review of Psychology, 52, pp. 141-166; Santos, V., Ramos, P., Almeida, N., Consumer behavior in tourism: A content analysis of relationship between involvement and emotions (2014) Journal of Tourism Research, 9, pp. 28-64; Stanton, W.E.J., Etzel, M.J., Walker, B.J., Fundamentals of marketing (1991), McGraw-Hill New York, USA; (2014), http://stedmansonline.com, Stedman's Medical Dictionary, Retrieved from, accessed at April; Stăncioiu, A.F., Băltescu, C.A., Botoş, A., Pârgaru, I., Conceptual aspects regarding marketing of spa tourism in Romania (2013) Theory and Applied Economics, 20 (2), pp. 124-137; Trip Advisor, Babymooning: A new travel trend (2016), www.tripadvisor.in/TripAdvisorInsights/n1998/babymooning-new-travel-trend, Retrieved from: (Accessed 26 May 2016); Verrastro, N., Spa travel stays strong, even in down times -travel market report (2012), http://www.travelmarketreport.com/articles/Spa-Travel-Stays-Strong-Even-in-Down-Times, Retrieved from: (Accessed 28 May 2017); Voigt, C., Wellness tourism: A critical overview (2013), http://www.tobewell.eu/media/universityofexeter/businessschool/documents/research/tobewell/Wellness_Tourism_-_Cornelia_Voigt.pdf, Retrieved from: accessed at April 2014; Voigt, C., Laing, J.H., Journey into parenthood: Commodification of reproduction as a new tourism niche market (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 252-268; Voigt, C., Pforr, C., Wellness tourism: A destination perspective (2014), Routledge Advances in Tourism Hardcover; World Trade Organization &World Health Organization, WTO agreements and public health (2002), WTO Secretariat; (2016), www.oxforddictionaries.com/definition/english/babymoon, accessed at 26 May; http://www.baby-moon.eu/europe","Gabor, M.R.; “Petru Maior” University of Tirgu Mures, Management – Economy Department, Nicolae Iorga street, no.1, Romania; email: rozalia_gabor@yahoo.com",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-85052154061 "Al-Talabani H., Kilic H., Ozturen A., Qasim S.O.","57205319092;8428247400;29567588800;57205318113;","Advancing medical tourism in the United Arab Emirates: Toward a sustainable health care system",2019,"Sustainability (Switzerland)","11","1", 230,"","",,4,"10.3390/su11010230","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059516984&doi=10.3390%2fsu11010230&partnerID=40&md5=3387ec56c4ff29ae1a5d2320aed21452","Faculty of Tourism, Eastern Mediterranean University, PO Box 99628, via Mersin 10, Gazimagusa, North Cyprus, Turkey","Al-Talabani, H., Faculty of Tourism, Eastern Mediterranean University, PO Box 99628, via Mersin 10, Gazimagusa, North Cyprus, Turkey; Kilic, H., Faculty of Tourism, Eastern Mediterranean University, PO Box 99628, via Mersin 10, Gazimagusa, North Cyprus, Turkey; Ozturen, A., Faculty of Tourism, Eastern Mediterranean University, PO Box 99628, via Mersin 10, Gazimagusa, North Cyprus, Turkey; Qasim, S.O., Faculty of Tourism, Eastern Mediterranean University, PO Box 99628, via Mersin 10, Gazimagusa, North Cyprus, Turkey","Medical tourism provides an essential advantage for destinations. On the other hand, the knowledge of developing competitive medical tourism destinations is still limited. This study models a conceptual framework on novel ways of sustaining the United Arab Emirate (UAE) Vision 2020 with reference to the existing models on behavior. In the current study, the Theory of Planned Behavior (TPB), which is health-related, along with the Finance, System and connection (FSC) model, is employed. Using an empirically based methodology, the data for the investigation is collected with the aid of a questionnaire. As such, the study employs finance, system, and connections variables which are commonly adopted in testing medical tourism development. The designed model incorporates these three important factors that have remained the focal points in the world of medical tourism. Hence, the result reveals empirical evidence suggesting that the finance, system, and the connection factors significantly foster the growth of tourist arrivals in Dubai. Moreover, it predicates that the significant improvement in the economy of Dubai administrative government is likely to be connected with the development of its medical infrastructure. Additionally, by employing the use of SMART PLS (partial least square) software package, the structural analysis tests, like model fit, further affirms the robustness of the results. In addition, the study presents policy implication for the stakeholders in the health sector, tourism sector, and the government. © 2018 by the author.","Connections; Diversification; Economic growth; Finance; Medical tourism; System; UAE","conceptual framework; economic growth; empirical analysis; financial system; health care; medical tourism; questionnaire survey; sustainability; tourism development; tourist destination; Dubai [United Arab Emirates]; United Arab Emirates; United Arab Emirates",,,,,,,,"Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour. 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Manag, 58, pp. 154-163","Ozturen, A.; Faculty of Tourism, Eastern Mediterranean University, PO Box 99628, via Mersin 10, Turkey; email: ali.ozturen@emu.edu.tr",,,"MDPI AG",,,,,20711050,,,,"English","Sustainability",Article,"Final",Open Access,Scopus,2-s2.0-85059516984 "Chee H.L., Whittaker A.","7004224160;7102570392;","Moralities in international medical travel: moral logics in the narratives of Indonesian patients and locally-based facilitators in Malaysia",2019,"Journal of Ethnic and Migration Studies",,,,"","",,4,"10.1080/1369183X.2019.1597476","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065733451&doi=10.1080%2f1369183X.2019.1597476&partnerID=40&md5=b1369e29dba6f1cb67327dfaf3004af6","Centre for Research on Women and Gender (KANITA), Universiti Sains Malaysia, Penang, Malaysia; Anthropology, School of Social Sciences, Faculty of Arts, Monash University, Melbourne, VIC, Australia","Chee, H.L., Centre for Research on Women and Gender (KANITA), Universiti Sains Malaysia, Penang, Malaysia; Whittaker, A., Anthropology, School of Social Sciences, Faculty of Arts, Monash University, Melbourne, VIC, Australia","This paper views international medical travel through the lens of medical migrations and contextualises it within regional historical linkages. Drawing from fieldwork with staff, facilitators, and Indonesian patients in two Malaysian private hospitals, it frames international medical travel as a moral endeavour, and aims to uncover the premises that make this endeavour meaningful and desirable. Understanding moralities as a field of embodied predispositions created in the dynamics of social interaction, we argue that a strand of moral logic underlies the practice of medical travel. We call this the morality of need, which dictates that people do whatever they can for themselves and their families’ medical needs, including travelling abroad, as well as ‘help others’ by giving information and accompanying them overseas for their medical needs. This moral logic co-exists in tension with a morality of business that accepts the legitimacy of generating earnings from people’s medical needs. Within this moral framework, international medical travel is seen as a necessary practice for sustaining health and well-being, and extends beyond the family as social and moral support for others facing similar predicaments. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","Indonesian patients; International medical travel; Malaysia; medical tourism; moralities",,,,,,,,,"Alpes, M.J., (2011), Migration Brokerage, Deception and the Limits of the Law: Credibility within the Moral Economy of Departure Anglophone Cameroon. 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Ethn. Migr. Stud.",Article,"Article in Press",,Scopus,2-s2.0-85065733451 "Zarei A., Feiz D., Maleki Minbashrazgah M., Maleki F.","37103320700;55749134400;57202359177;57193526097;","Factors influencing selection of medical tourism destinations: A special niche market",2018,"International Journal of Healthcare Management",,,,"1","7",,4,"10.1080/20479700.2018.1492764","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049805434&doi=10.1080%2f20479700.2018.1492764&partnerID=40&md5=90b4e331b5adf2568f02f85140384976","Faculty of Economic, Management & Administrative Sciences, Semnan University, Semnan, Iran","Zarei, A., Faculty of Economic, Management & Administrative Sciences, Semnan University, Semnan, Iran; Feiz, D., Faculty of Economic, Management & Administrative Sciences, Semnan University, Semnan, Iran; Maleki Minbashrazgah, M., Faculty of Economic, Management & Administrative Sciences, Semnan University, Semnan, Iran; Maleki, F., Faculty of Economic, Management & Administrative Sciences, Semnan University, Semnan, Iran","Some studies have focused on identifying the factors affecting the selection of medical tourism destinations with regard to different types of treatment. But less attention has been paid to factors affecting individuals’ travels to Iran for sex reassignment surgeries (SRS). There is a research gap with regard to this niche medical tourism market in Iran. Iran is one of the SRS pioneer countries, where the concept of this medical tourism market can be developed further. This study addresses this knowledge gap through in-depth interviews with key professionals in SRS and medical tourism. We use a content analysis of interviews to identify the factors affecting the selection of Iran as a medical destination for SRS by individuals. The results indicate that factors influencing individuals’ decisions on medical tourism destinations come under seven headings. We conclude by recommending research directions for future research by health, medical, and managing scientists. © 2018 Informa UK Limited, trading as Taylor & Francis Group","Developing countries; medical tourism; medical tourism marketing; medical travel; sex reassignment surgery; transgender","adult; article; content analysis; developing country; human; interview; Iran; marketing; medical tourism; scientist; sex reassignment; surgery; transgender; travel",,,,,,,,,"Zarei, A.email: a_zarei@semnan.ac.ir",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article in Press,"Article in Press",,Scopus,2-s2.0-85049805434 "Pan X., Moreira J.P.","57202837072;57202835671;","Outbound medical tourists from China: An update on motivations, deterrents, and needs",2018,"International Journal of Healthcare Management","11","3",,"217","224",,4,"10.1080/20479700.2018.1425277","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049511056&doi=10.1080%2f20479700.2018.1425277&partnerID=40&md5=d7263db101667ab21a18166c8b8672f3","School of Foreign Languages, Hangzhou Normal University, Hangzhou, Zhejiang, China; CAPP (Centro Administracao Politicas Publicas), Universidade de Lisboa, Portugal; Atlantica, Oeiras, Portugal","Pan, X., School of Foreign Languages, Hangzhou Normal University, Hangzhou, Zhejiang, China; Moreira, J.P., CAPP (Centro Administracao Politicas Publicas), Universidade de Lisboa, Portugal, Atlantica, Oeiras, Portugal","This is an exploratory study to identify Chinese perspectives on motivations, deterrents, and needs of outbound medical tourists using qualitative methods. Data were collected from participants through in-depth interviews. Research findings show there is varying urgency at the preliminary motivation stage according to different types of medical tourism. The specific motivations are advanced technology, unavailable or better quality Western medicine, well-regulated and supervised market, and the quality of care. The deterrents include high cost, risk to individual health, lack of information, absence of companion, and lack of time. The corresponding needs are health insurance, clear information, and intermediary agency. The implication of the findings for international healthcare management, travel patients, and future research is also discussed. However, existing previous research mainly focus on Westerners (the USA and Europe) and few studies have been undertaken in Asian or even China. This is, therefore, a key contribution of this article as it generates knowledge about China, which is a major market that has not yet been thoroughly studied. The research findings serve as references for the planning and management of international healthcare organizations focused on outbound patients from China. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","China; health tourism; international patient deterrents; Medical tourism; patient needs; patient travel motivations","adult; article; China; Europe; exploratory research; health care management; health care organization; health insurance; human; interview; market; medical tourism; motivation; qualitative analysis; travel; western medicine",,,,,,,,"http://www.myzaker.com/article/58649e0d1bc8e04d58000038/, 2016 Online Medical Tourism Report; [cited 2017 Nov 23] Available from; Moreira, P., Medical tourism reaches the international healthcare management debate (2013) Int J Healthc Manag, 6 (2), p. 65; (2016) Online Medical Tourism Report, , http://www.myzaker.com/article/58649e0d1bc8e04d58000038/, [cited 2017 Nov 23]. Available from; Tseng, H., Medical health care tourism: Why patients go overseas and what nurse practitioners need to know (2013) Int J Healthc Manag, 6 (2), pp. 132-135; Lee, M., Han, H., Lockyer, T., Medical tourism—attracting Japanese tourists for medical tourism experience (2012) J Travel Tour Market, 12 (1), pp. 69-86; Henson, J.N., Guy, B.S., Dotson, M.J., Should I stay or should I go? Motivators, decision factors, and information sources influencing those predisposed to medical tourism (2015) Int J Healthc Manag, 8 (1), pp. 4-14; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10-266, What is known about the patient’s experience of medical tourism? A scoping review. BMC Health Services Research. 2010. Available from; Drinkert, A., Singh, N., An investigation of American medical tourists’ post travel experience (2017) J Hosp Market Manage, 26 (3), pp. 335-346; Guy, B.S., Nevins Henson, J.L., Dotson, M.J., Characteristics of consumers likely and unlikely to participate in medical tourism (2015) Int J Healthc Manag, 2 (8), pp. 68-76; Guiry, M., Vequist, D.G., Traveling abroad for medical care: U.S. medical tourists’ expectations and perceptions of service quality (2011) J Health Market Qual, 28 (3), pp. 253-269; Burns, L.R., Medical tourism opportunities and challenges: illustration from US–India trade (2015) Int J Healthc Manag, 8 (1), pp. 15-26; Khan, M.J., Chelliah, S., Haron, M.S., Push factors, risks, and types of visit intentions of international medical travelers–a conceptual model (2017) Int J Healthc Manag, 10 (2), pp. 115-121; An, D., Understanding medical tourists in Korea: cross-cultural perceptions of medical tourism among patients from the USA, Russia, Japan, and China (2014) Asia Pac J Tour Res, 19, pp. 1141-1169; Ellliot, A.J., Covington, M., Approach and avoidance motivation (2001) Educ Psychol Rev, 13 (2), pp. 73-92; https://www.merriam-webster.com/dictionary/deterrent, cited 23Nov/2017, Available from; Patton, M.Q., (2001) Qualitative research and evaluation methods, p. 238. , 2nd ed, Thousand Oaks (CA: Sage Publication, MQ. (2001d Edition). Thousand oaks, CA: Sage Publications, P. ; Gan, L.L., Frederick, J.R., Medical tourists: who goes and what motivates them (2011) Health Mark Q, 30 (2), pp. 177-194","Pan, X.; Hangzhou Norma luniversity, School of Foreign languages, No. 2318, Yu-Hang-Tang Road, Cang Qian Street, Yu Hang District, China; email: pxqbnu@126.com",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-85049511056 "Young D.L., Seltzer J., Glover M., Outten C., Lavezza A., Mantheiy E., Parker A.M., Needham D.M.","55199498900;57201882548;57201882946;57201882077;57189220156;55548646600;55652121500;7102365588;","Identifying barriers to nurse-facilitated patient mobility in the intensive care unit",2018,"American Journal of Critical Care","27","3",,"186","193",,4,"10.4037/ajcc2018368","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046370829&doi=10.4037%2fajcc2018368&partnerID=40&md5=f1dea3adc7e6af13545a88ab68b09cda","Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV, United States; Department of Physical Medicine and Rehabilitation, Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins Hospital, Baltimore, MD, United States; Medical Intensive Care Unit, Johns Hopkins Hospital, United States; Department of Medicine, Johns Hopkins Hospital, United States; Division of Pulmonary and Critical Care Medicine, OACIS Group, Johns Hopkins University, United States","Young, D.L., Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV, United States, Department of Physical Medicine and Rehabilitation, Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins Hospital, Baltimore, MD, United States; Seltzer, J., Department of Physical Medicine and Rehabilitation, Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins Hospital, Baltimore, MD, United States; Glover, M., Medical Intensive Care Unit, Johns Hopkins Hospital, United States; Outten, C., Department of Medicine, Johns Hopkins Hospital, United States; Lavezza, A., Department of Physical Medicine and Rehabilitation, Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins Hospital, Baltimore, MD, United States; Mantheiy, E., Division of Pulmonary and Critical Care Medicine, OACIS Group, Johns Hopkins University, United States; Parker, A.M., Division of Pulmonary and Critical Care Medicine, OACIS Group, Johns Hopkins University, United States; Needham, D.M., Department of Physical Medicine and Rehabilitation, Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins Hospital, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, OACIS Group, Johns Hopkins University, United States","Background Nurse-facilitated mobility of patients in the intensive care unit can improve outcomes. However, a gap exists between research findings and their implementation as part of routine clinical practice. Such a gap is often attributed, in part, to the barrier of lack of time. The Translating Evidence Into Practice model provides a framework for research implementation, including recommendations for identifying barriers to implementation via direct observation of clinical care. Objectives To report on design, implementation, and outcomes of an approach to identify and understand lack of time as a barrier to nurse-facilitated mobility in the intensive care unit. Methods An interprofessional team designed the observational process and evaluated the resulting data by using qualitative content analysis. Results During three 4-hour observations of 2 nurses and 1 nursing technician, 194 distinct tasks were performed (ie, events). A total of 4 categories of nurses' work were identified: patient care (47% of observation time), provider communication (25%), documentation (18%), and down time (10%). In addition, 3 types of potential mobility events were identified: in bed, edge of bed, and out of bed. The 194 observed events included 34 instances (18%) of potential mobility events that could be implemented: in bed (53%), edge of bed (6%), and out of bed (41%). Conclusions Nurses have limited time for additional clinical activities but may miss potentially important opportunities for facilitating patient mobility during existing patient care. The proposed method is feasible and helpful in empirically investigating barriers to nurse-facilitated patient mobility in the intensive care unit. (American Journal of Critical Care. 2018; 27:186-193). © 2018 American Association of Critical-Care Nurses.",,"adult; article; content analysis; documentation; human; intensive care unit; language; nurse; patient care; patient mobility; intensive care; intensive care unit; nurse patient relationship; nursing practice; organization and management; total quality management; walking difficulty; Critical Care; Humans; Intensive Care Units; Mobility Limitation; Nurse-Patient Relations; Patient Care Team; Practice Patterns, Nurses'; Quality Improvement",,,,,"Foundation for Physical Therapy, FPT: 1K23HL138206-01 National Institutes of Health, NIH","FINANCIAL DISCLOSURES Dr Young was supported by the Foundation for Physical Therapy’s Center of Excellence in Physical Therapy Health Services and Health Policy Research and Training Grant. Dr Parker was supported by award 1K23HL138206-01 from the National Institutes of Health and received an honorarium for a presentation for Vizient.",,"Herridge, M.S., Cheung, A.M., Tansey, C.M., One-year outcomes in survivors of the acute respiratory distress syndrome (2003) N Engl J Med., 348 (8), pp. 683-693; Herridge, M.S., Tansey, C.M., Matté, A., Functional disability 5 years after acute respiratory distress syndrome (2011) N Engl J Med., 364 (14), pp. 1293-1304; Mueller, N., Murthy, S., Tainter, C.R., Can sarcopenia quantified by ultrasound of the rectus femoris muscle predict adverse outcome of surgical intensive care unit patients as well as frailty? 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(2008) Perm J., 12 (3), pp. 25-34. , http://www.ncbi.nlm.nih.gov/pubmed/21331207, Accessed February 6, 2018; Freeman, R., Maley, K., Mobilization of intensive care cardiac surgery patients on mechanical circulatory support (2013) Crit Care Nurs Q., 36 (1), pp. 73-88; Cheevakasemsook, A., Chapman, Y., Francis, K., Davies, C., The study of nursing documentation complexities (2006) Int J Nurs Pract., 12 (6), pp. 366-374; Parker, A.M., Sricharoenchai, T., Needham, D.M., Early rehabilitation in the intensive care unit: preventing impairment of physical and mental health (2013) Curr Phys Med Rehabil Rep., 1 (4), pp. 307-314; Drolet, A., DeJuilio, P., Harkless, S., Move to improve: the feasibility of using an early mobility protocol to increase ambulation in the intensive and intermediate care settings (2013) Phys Ther., 93 (2), pp. 197-207; Engel, H.J., Needham, D.M., Morris, P.E., Gropper, M.A., ICU early mobilization: from recommendation to implementation at three medical centers (2013) Crit Care Med., 41 (9), pp. S69-S80; Hopkins, R.O., Spuhler, V.J., Thomsen, G.E., Transforming ICU culture to facilitate early mobility (2007) Crit Care Clin., 23 (1), pp. 81-96; Cameron, S., Ball, I., Cepinskas, G., Early mobilization in the critical care unit: a review of adult and pediatric literature (2015) J Crit Care., 30 (4), pp. 664-672; Hester, J.M., Guin, P.R., Danek, G.D., The economic and clinical impact of sustained use of a progressive mobility program in a neuro-ICU (2017) Crit Care Med., 45 (6), pp. 1037-1044; Messer, A., Comer, L., Forst, S., Implementation of a progressive mobilization program in a medical-surgical intensive care unit (2015) Crit Care Nurse., 35 (5), pp. 28-42; Colquhoun, H.L., Squires, J.E., Kolehmainen, N., Fraser, C., Grimshaw, J.M., Methods for designing interventions to change healthcare professionals' behaviour: a systematic review (2017) Implement Sci., 12 (1), p. 30; Hodgson, C.L., Bailey, M., Bellomo, R., A binational multicenter pilot feasibility randomized controlled trial of early goal-directed mobilization in the ICU (2016) Crit Care Med., 44 (6), pp. 1145-1152; Tipping, C.J., Bailey, M.J., Bellomo, R., The ICU Mobility Scale has construct and predictive validity and is responsive: a multicenter observational study (2016) Ann Am Thorac Soc., 13 (6), pp. 887-893; Portela, M.C., Pronovost, P.J., Woodcock, T., Carter, P., Dixon-Woods, M., How to study improvement interventions: a brief overview of possible study types (2015) BMJ Qual Saf., 24 (5), pp. 325-336","Needham, D.M.5th Floor, 1830 E Monument St, United States; email: dale.needham@jhmi.edu",,,"American Association of Critical Care Nurses",,,,,10623264,,,"29716904","English","Am. J. Crit. Care",Article,"Final",,Scopus,2-s2.0-85046370829 "Klein L.M., Young D., Feng D., Lavezza A., Hiser S., Daley K.N., Hoyer E.H.","57194193310;55199498900;56924290100;57189220156;57194187326;57201793078;55579132200;","Increasing patient mobility through an individualized goal-centered hospital mobility program: A quasi-experimental quality improvement project",2018,"Nursing Outlook","66","3",,"254","262",,4,"10.1016/j.outlook.2018.02.006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046119665&doi=10.1016%2fj.outlook.2018.02.006&partnerID=40&md5=eb534211752edff8c374d7501c57b233","Department of Neurosciences, Johns Hopkins Hospital, Baltimore, MD, United States; Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV, United States; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States; School of Nursing, University of Nevada, Las Vegas, NV, United States; Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, United States; Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD, United States","Klein, L.M., Department of Neurosciences, Johns Hopkins Hospital, Baltimore, MD, United States; Young, D., Department of Physical Therapy, University of Nevada Las Vegas, Las Vegas, NV, United States, Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States; Feng, D., School of Nursing, University of Nevada, Las Vegas, NV, United States; Lavezza, A., Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, United States; Hiser, S., Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, United States; Daley, K.N., Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD, United States; Hoyer, E.H., Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States","Background: Hospital-acquired functional decline due to decreased mobility has negative impacts on patient outcomes. Current nurse-directed mobility programs lack a standardized approach to set achievable mobility goals. Purpose: We aimed to describe implementation and outcomes from a nurse-directed patient mobility program. Method: The quality improvement mobility program on the project unit was compared to a similar control unit providing usual care. The Johns Hopkins Mobility Goal Calculator was created to guide a daily patient mobility goal based on the level of mobility impairment. Findings: On the project unit, patient mobility increased from 5.2 to 5.8 on the Johns Hopkins Highest Level of Mobility score, mobility goal attainment went from 54.2% to 64.2%, and patients exceeding the goal went from 23.3% to 33.5%. All results were significantly higher than the control unit. Discussion: An individualized, nurse-directed, patient mobility program using daily mobility goals is a successful strategy to improve daily patient mobility in the hospital. © 2018 Elsevier Inc.","Ambulate; Goals; Hospital; Mobility; Mobility limitation; Patients","classification; health status; human; Maryland; patient care planning; patient lifting; procedures; standards; statistics and numerical data; total quality management; Baltimore; Health Status; Humans; Moving and Lifting Patients; Patient Care Planning; Quality Improvement",,,,,,,,"Azuh, O., Gammon, H., Burmeister, C., Frega, D., Nerenz, D., DiGiovine, B., Siddiqui, A., Benefits of early active mobility in the medical intensive care unit: A pilot study (2016) The American Journal of Medicine, 129, pp. 866-871. , e1; Bierman, A.S., Functional status: The sixth vital sign (2001) Journal of General Internal Medicine, 16, pp. 785-786; Boynton, T., Kelly, L., Perez, A., Implementing a mobility assessment tool for nurses: A nurse-driven assessment tool reveals the patient's mobility level and guides SPHM technology choices (2014) American Nurse Today, 9, p. 1; Brown, C.J., Williams, B.R., Woodby, L.L., Davis, L.L., Allman, R.M., Barriers to mobility during hospitalization from the perspectives of older patients and their nurses and physicians (2007) Journal of Hospital Medicine, 2, pp. 305-313; Callen, B.L., Mahoney, J.E., Grieves, C.B., Wells, T.J., Enloe, M., Frequency of hallway ambulation by hospitalized older adults on medical units of an academic hospital (2004) Geriatric Nursing, 25, pp. 212-217; Chandrasekaran, S., Ariaretnam, S.K., Tsung, J., Dickison, D., Early mobilization after total knee replacement reduces the incidence of deep venous thrombosis (2009) ANZ Journal of Surgery, 79, pp. 526-529; Cheng, E.M., Tonn, S., Swain-Eng, R., Factor, S.A., Weiner, W.J., Bever, C.T., Quality improvement in neurology: AAN Parkinson disease quality measures Report of the Quality Measurement and Reporting Subcommittee of the American Academy of Neurology (2010) Neurology, 75, pp. 2021-2027; Covinsky, K.E., Pierluissi, E., Johnston, C.B., Hospitalization-associated disability: “She was probably able to ambulate, but I'm not sure.” (2011) JAMA: The Journal of the American Medical Association, 306, pp. 1782-1793; de Morton, N.A., Keating, J.L., Jeffs, K., Exercise for acutely hospitalised older medical patients (2007) Cochrane Database of Systematic Review, (1). , CD005955; Dimick, J.B., Ryan, A.M., Methods for evaluating changes in health care policy: The difference-in-differencesapproach (2014) JAMA: The Journal of the American Medical Association, 312, pp. 2401-2402; Drolet, A., DeJuilio, P., Harkless, S., Henricks, S., Kamin, E., Leddy, E.A., Williams, S., Move to improve: The feasibility of using an early mobility protocol to increase ambulation in the intensive and intermediate care settings (2013) Physical Therapy, 93, pp. 197-207; Edsberg, L.E., Black, J.M., Goldberg, M., McNichol, L., Moore, L., Sieggreen, M., Revised National Pressure Ulcer Advisory Panel pressure injury staging system (2016) Journal of Wound, Ostomy and Continence Nursing, 43, pp. 585-597; Elixhauser, A., Steiner, C., Harris, D.R., Coffey, R.M., Comorbidity measures for use with administrative data (1998) Medical Care, 36, pp. 8-27; 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Jette, D.U., Stilphen, M., Ranganathan, V.K., Passek, S., Frost, F.S., Jette, A.M., Interrater reliability of AM-PAC “6-Clicks” basic mobility and daily activity short forms (2015) Physical Therapy, 95, pp. 758-766; Kalisch, B.J., Lee, S., Dabney, B.W., Outcomes of inpatient mobilization: A literature review (2014) Journal of Clinical Nursing, 23, pp. 1486-1501; Kamel, H.K., Iqbal, M.A., Mogallapu, R., Maas, D., Hoffmann, R.G., Time to ambulation after hip fracture surgery: Relation to hospitalization outcomes (2003) The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 58, pp. M1042-M1045; King, L., Developing a progressive mobility activity protocol (2012) Orthopaedic Nursing, 31, pp. 253-262; Kneafsey, R., Clifford, C., Greenfield, S., Perceptions of hospital manual handling policy and impact on nursing team involvement in promoting patients’ mobility (2015) Journal of Clinical Nursing, 24, pp. 289-299; Kuys, S.S., Dolecka, U.E., Guard, A., Activity level of hospital medical inpatients: An observational study (2012) Archives of Gerontology and Geriatrics, 55, pp. 417-421; Lee, T.-G., Kang, S.-B., Kim, D.-W., Hong, S., Heo, S.C., Park, K.J., Comparison of early mobilization and diet rehabilitation program with conventional care after laparoscopic colon surgery: A prospective randomized controlled trial (2011) Diseases of the Colon and Rectum, 54, pp. 21-28; Liu, B., Almaawiy, U., Moore, J.E., Chan, W.-H., Straus, S.E., Evaluation of a multisite educational intervention to improve mobilization of older patients in hospital: Protocol for mobilization of vulnerable elders in Ontario (MOVE ON) (2013) Implementation Science, 8, p. 76; Mudge, A.M., Giebel, A.J., Cutler, A.J., Exercising body and mind: An integrated approach to functional independence in hospitalized older people (2008) Journal of the American Geriatrics Society, 56, pp. 630-635; Mudge, A.M., McRae, P., McHugh, K., Griffin, L., Hitchen, A., Walker, J., Kuys, S., Poor mobility in hospitalized adults of all ages (2016) Journal of Hospital Medicine, 11 (4), pp. 289-291; Mueller, M., Lohmann, S., Strobl, R., Boldt, C., Grill, E., Patients’ functioning as predictor of nursing workload in acute hospital units providing rehabilitation care: A multi-centre cohort study (2010) BMC Health Service Research, 10, p. 295; Mundy, L.M., Leet, T.L., Darst, K., Schnitzler, M.A., Dunagan, W.C., Early mobilization of patients hospitalized with community-acquired pneumonia (2003) Chest, 124, pp. 883-889; Odenheimer, G., Borson, S., Sanders, A.E., Swain-Eng, R.J., Kyomen, H.H., Tierney, S., Shega, J., Quality improvement in neurology: Dementia management quality measures (2013) Neurology, 81, pp. 1545-1549; Padula, C.A., Hughes, C., Baumhover, L., Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults (2009) Journal of Nursing Care Quality, 24, pp. 325-331; Pandullo, S.M., Spilman, S.K., Smith, J.A., Kingery, L.K., Pille, S.M., Rondinelli, R.D., Sahr, S.M., Time for critically ill patients to regain mobility after early mobilization in the intensive care unit and transition to a general inpatient floor (2015) Journal of Critical Care, 30, pp. 1238-1242; Pashikanti, L., Von Ah, D., Impact of early mobilization protocol on the medical-surgical inpatient population: An integrated review of literature (2012) Clinical Nurse Specialist CNS, 26, pp. 87-94; Poisson, S.N., Josephson, S.A., Quality measures in stroke (2011) Neurohospitalist, 1, pp. 71-77; Rath, S., Schreuders, T.A.R., Stam, H.J., Hovius, S.E.R., Selles, R.W., Early active motion versus immobilization after tendon transfer for foot drop deformity: A randomized clinical trial (2010) Clinical Orthopaedics and Related Research, 468, pp. 2477-2484; Raue, W., Haase, O., Junghans, T., Scharfenberg, M., Müller, J.M., Schwenk, W., Fast-track” multimodal rehabilitation program improves outcome after laparoscopic sigmoidectomy: A controlled prospective evaluation (2004) Surgical Endoscopy, 18, pp. 1463-1468; Schaller, S.J., Anstey, M., Blobner, M., Edrich, T., Grabitz, S.D., Gradwohl-Matis, I., Eikermann, M., Early, goal-directed mobilisation in the surgical intensive care unit: A randomised controlled trial (2016) Lancet (London, England), 388, pp. 1377-1388; Stolbrink, M., McGowan, L., Saman, H., Nguyen, T., Knightly, R., Sharpe, J., Turner, A.M., The early mobility bundle: A simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay (2014) Journal of Hospital Infection, 88, pp. 34-39; Taylor, M.J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D., Reed, J.E., Systematic review of the application of the plan-do-study-act method to improve quality in healthcare (2014) BMJ Quality and Safety, 23, pp. 290-298; Thissen, D., Steinberg, L., Kuang, D., Quick and easy implementation of the Benjamini-Hochberg procedure for controlling the false positive rate in multiple comparisons (2002) Journal of Educational and Behavioral Statistics: A Quarterly Publication Sponsored by the American Educational Research Association and the American Statistical Association, 27, pp. 77-83","Klein, L.M.; Department of Neurosciences, Johns Hopkins Hospital, 1800 Orleans St, Zayed 12 West, United States; email: lklein14@jhmi.edu",,,"Mosby Inc.",,,,,00296554,,NUOUA,"29705382","English","Nurs. Outlook",Article,"Final",,Scopus,2-s2.0-85046119665 "Majeed S., Lu C., Majeed M., Shahid M.N.","57196116002;57199465620;57201486237;57201477556;","Health resorts and multi-textured perceptions of international health tourists",2018,"Sustainability (Switzerland)","10","4", 1063,"","",,4,"10.3390/su10041063","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85045067332&doi=10.3390%2fsu10041063&partnerID=40&md5=ce496f7671ffc44bd9f6ea63f712351b","School of Economics and Management, Fuzhou University, Fuzhou, 350002, China; Department of Applied Psychology, GC University, Faisalabad, Punjab, 38000, Pakistan; School of Management Studies, The University of Faisalabad, Faisalabad, Punjab, 38000, Pakistan","Majeed, S., School of Economics and Management, Fuzhou University, Fuzhou, 350002, China; Lu, C., School of Economics and Management, Fuzhou University, Fuzhou, 350002, China; Majeed, M., Department of Applied Psychology, GC University, Faisalabad, Punjab, 38000, Pakistan; Shahid, M.N., School of Management Studies, The University of Faisalabad, Faisalabad, Punjab, 38000, Pakistan","Health and medical tourism is considered one of the fastest growing segments of the tourism industry. Recently, research on health resorts has been gaining academic attention in tandem with the positive contribution of the health and medical segments to the tourism industry. The purpose of this study is to better conceptualize how the behavioral intentions of health tourists are shaped in the emerging context of the health resort. This study illuminates the likely perceptions of prospective tourists about the attractions of health resorts, and endeavors to examine the response of health tourists using data from 359 international health tourists/travelers, comprising of Thai, Indian, and Chinese nationalities. The study also uses the partial least square structural equation modeling (PLS-SEM) technique in order to analyze the responses of international tourists gathered at two international airports in China. The present study shows that tourists' expectations and their behavioral intentions are generally associated indicators of perceived health resort attractions. Expectations play a significant mediating role, while culture impacts the overall phenomenon of proposed associations in a moderating way. Moreover, sustainable tourism attractions also play a significant role in shaping Thai travelers' behavioral responses, while medical facilities and risk levels are considered significant in determining Indian and Chinese travelers' behaviors. By developing theoretical and empirical grounds, this study offers implications for further research and development in health resorts and other niches of health tourism. © 2018 by the authors.","Culture; Health resort; Health tourism; Medical tourism; Sustainable tourism; Tourist behavior","academic research; conceptual framework; economic growth; ecotourism; international tourism; medical tourism; perception; research and development; risk perception; tourist attraction; China",,,,,"University of Science and Technology Beijing, USTB Fuzhou University, FZU: 17TD06 Xiamen University, XMU National Natural Science Foundation of China, NSFC: 71572039","We acknowledge the cooperation of graduate students of University of Science and Technology Beijing and the graduate students of Xiamen University in helping the authors to conduct field surveys. This research work is supported by National Natural Science Foundation of China under project grant# 71572039.This research is also supported by Innovation Team Project of Philosophy and Social Science of Fuzhou University under project grant# 17TD06. The sponsors have no role in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.",,"Majeed, S., Lu, C., Changing preferences, moving places and third party administrators: A scoping review of medical tourism trends (1990-2016) (2017) Almatourism, 15, pp. 56-83; Majeed, S., Lu, C., Tariq, J., The journey from an allopathic to natural treatment approach: A scoping review of medical tourism and health systems (2017) Eur. J. Integr. Med, 16, pp. 22-32; Kovacs, E., Szocska, G., Knai, C., International Patients on operation vacation-Perspectives of patients travelling to Hungary for Orthopaedic treatments (2014) Int. J. 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Mark, 19, pp. 357-368","Majeed, S.; Department of Applied Psychology, GC UniversityPakistan; email: m150719001@fzu.edu.cn",,,"MDPI AG",,,,,20711050,,,,"English","Sustainability",Article,"Final",Open Access,Scopus,2-s2.0-85045067332 "Gaines J., Poy J., Musser K.A., Benowitz I., Leung V., Carothers B., Kauerauf J., Mollon N., Duwell M., Henschel K., De Jesus A., Head S.K., Lee K., Arboleda N., Esposito D.H.","56103895600;54943627600;6603104663;36662007800;57202778975;55793215000;56744724200;56061680900;57201644464;57186534700;57201645932;57201650276;57201650090;15070376100;35740220400;","Nontuberculous mycobacteria infections in U.S. medical tourists associated with plastic surgery — Dominican Republic, 2017",2018,"Morbidity and Mortality Weekly Report","67","12",,"369","370",,4,"10.15585/mmwr.mm6712a5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85045527835&doi=10.15585%2fmmwr.mm6712a5&partnerID=40&md5=00fb281ee34586d10f0283fd8e16e28a","Travelers’ Health Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; New York City Department of Health and Mental Hygiene, Bureau of Communicable Disease, United States; Wadsworth Center, New York State Department of Health, United States; Prevention and Response Branch, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Epidemiology Workforce Branch, Division of Scientific Education and Professional Development, Center for Surveillance, Epidemiology and Laboratory Services, CDC, United States; Connecticut Department of Public Health, United States; New Jersey Department of Health, Communicable Disease Service, United States; Illinois Department of Public Health, Communicable Disease Control Section, United States; Michigan Department of Health and Human Services, United States; Maryland Department of Health, Infectious Disease Epidemiology and Outbreak Response Bureau, United States; Missouri Department of Health and Senior Services, Bureau of Communicable Disease Control and Prevention, United States; Division of Epidemiology and Immunization, Massachusetts Department of Public Health, Bureau of Infectious Disease and Laboratory Sciences, United States; Division of Epidemiology-Disease Surveillance and Investigation, District of Columbia Department of Health, United States; Country Office, Dominican Republic, Division of Global HIV and TB, Center for Global Health, CDC, United States","Gaines, J., Travelers’ Health Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Poy, J., New York City Department of Health and Mental Hygiene, Bureau of Communicable Disease, United States; Musser, K.A., Wadsworth Center, New York State Department of Health, United States; Benowitz, I., Prevention and Response Branch, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Leung, V., Epidemiology Workforce Branch, Division of Scientific Education and Professional Development, Center for Surveillance, Epidemiology and Laboratory Services, CDC, United States, Connecticut Department of Public Health, United States; Carothers, B., New Jersey Department of Health, Communicable Disease Service, United States; Kauerauf, J., Illinois Department of Public Health, Communicable Disease Control Section, United States; Mollon, N., Michigan Department of Health and Human Services, United States; Duwell, M., Epidemiology Workforce Branch, Division of Scientific Education and Professional Development, Center for Surveillance, Epidemiology and Laboratory Services, CDC, United States, Maryland Department of Health, Infectious Disease Epidemiology and Outbreak Response Bureau, United States; Henschel, K., Missouri Department of Health and Senior Services, Bureau of Communicable Disease Control and Prevention, United States; De Jesus, A., Division of Epidemiology and Immunization, Massachusetts Department of Public Health, Bureau of Infectious Disease and Laboratory Sciences, United States; Head, S.K., Division of Epidemiology-Disease Surveillance and Investigation, District of Columbia Department of Health, United States; Lee, K., Travelers’ Health Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States; Arboleda, N., Country Office, Dominican Republic, Division of Global HIV and TB, Center for Global Health, CDC, United States; Esposito, D.H., Travelers’ Health Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDC, United States",[No abstract available],,"atypical mycobacteriosis; Dominican Republic; epidemic; female; human; medical tourism; plastic surgery; United States; Disease Outbreaks; Dominican Republic; Female; Humans; Medical Tourism; Mycobacterium Infections, Nontuberculous; Surgery, Plastic; United States",,,,,,,,"Schnabel, D., Esposito, D.H., Gaines, J., Multistate US outbreak of rapidly growing mycobacterial infections associated with medical tourism to the Dominican Republic, 2013-2014 (2016) Emerg Infect Dis, 22, pp. 1340-1347. , https://doi.org/10.3201/eid2208.151938; (2017) Nontuberculous Mycobacteria in Medical Tourists to the Dominican Republic, , https://wwwnc.cdc.gov/travel/notices/alert/medical-tourism-dominican-republic, Atlanta, GA: US Department of Health and Human Services, CDC; (2017) Standardized Case Definition for Extrapulmonary Nontuberculous Mycobacteria Infections, , http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/2017PS/2017PSFinal/17-ID-07.pdf, Position statement 17-ID-07. Atlanta, GA: Council of State and Territorial Epidemiologists; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759. , https://doi.org/10.1093/cid/cit540","Gaines, J.; Travelers’ Health Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, CDCUnited States; email: iym2@cdc.gov",,,"Department of Health and Human Services",,,,,01492195,,,"29600972","English","Morb. Mortal. Wkly. Rep.",Note,"Final",Open Access,Scopus,2-s2.0-85045527835 "Balia S., Brau R., Marrocu E.","13007463800;23466561700;6507084912;","Interregional patient mobility in a decentralized healthcare system",2018,"Regional Studies","52","3",,"388","402",,4,"10.1080/00343404.2017.1307954","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018438487&doi=10.1080%2f00343404.2017.1307954&partnerID=40&md5=d9da86d44c97f509e7f95dd67a0d5dd9","Department of Economics and Business, Centro Ricerche Economiche Nord Sud (CRENoS)–Università di Cagliari, Cagliari, Italy","Balia, S., Department of Economics and Business, Centro Ricerche Economiche Nord Sud (CRENoS)–Università di Cagliari, Cagliari, Italy; Brau, R., Department of Economics and Business, Centro Ricerche Economiche Nord Sud (CRENoS)–Università di Cagliari, Cagliari, Italy; Marrocu, E., Department of Economics and Business, Centro Ricerche Economiche Nord Sud (CRENoS)–Università di Cagliari, Cagliari, Italy","Interregional patient mobility in a decentralized healthcare system. Regional Studies. Interregional patient mobility, measured as origin–destination patient flows between any two regions, is analysed within a dynamic spatial panel data framework using 2001–10 data on Italian hospital discharges. The aim is to assess the effects of the main determinants of patient flows, distinguishing between the impacts of regional health policies and those exerted by exogenous factors (geography, size, neighbouring regions, national policies). Empirical results indicate that the main drivers of mobility are regional income, hospital capacity, organizational structure, performance and technology. Moreover, neighbouring regions’ supply factors, specialization and performance largely affect mobility by generating significant local externalities. © 2017 Regional Studies Association.","decentralized health systems; hospital admissions; interregional patient mobility; Italy; non-linear panel-data methods; spatial spillovers","decentralization; health care; mobility; panel data; spillover effect; Italy",,,,,"Regione Autonoma della Sardegna: CRP25930 Università di Cagliari: PRID2015","Financial support from the Regione Autonoma della Sardegna, Italy [grant number CRP25930] and the Università di Cagliari [grant number PRID2015] is gratefully acknowledged.",,"Adolph, C., Greer, S.L., da Fonseca, E.M., Allocation of authority in European health policy (2012) Social Science and Medicine, 75 (9), pp. 1595-1603; Allison, P.D., Waterman, R.P., Fixed-effects negative binomial regression models (2002) Sociological Methodology, 32 (1), pp. 247-265; Baldi, S., Vannoni, D., The impact of centralization on pharmaceutical procurement prices: The role of institutional quality and corruption (2017) Regional Studies, 51 (3), pp. 426-438; Beckert, W., Christensen, M., Collyer, K., Choice of NHS-funded hospital services in England (2012) Economic Journal, 122 (560), pp. 400-417; Besley, T., Case, A., Incumbent behavior: Vote seeking, tax setting and yardstick competition (1995) American Economic Review, 85 (1), pp. 25-45; Bloom, N., Propper, C., Seiler, S., Van Reenen, J., The impact of competition on management quality: Evidence from public hospitals (2015) Review of Economic Studies, 82 (2), pp. 457-489; Brekke, K.R., Cellini, R., Siciliani, L., Straume, O.R., Competition in regulated markets with sluggish beliefs about quality (2012) Journal of Economics and Management Strategy, 21 (1), pp. 131-178; Brekke, K.R., Gravelle, H., Siciliani, L., Straume, O.R., Patient choice, mobility and competition among health care providers (2014) Health care provision and patient mobility, pp. 1-26. , Milan: Springer Milan, &,. 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Stud.",Article,"Final",,Scopus,2-s2.0-85018438487 "Lu H.-Y., Wu W.-Y.","55088909700;7407078721;","Factors associated with medical travel behaviours: the input–process–output perspective",2018,"Current Issues in Tourism","21","3",,"243","258",,4,"10.1080/13683500.2015.1072503","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938632504&doi=10.1080%2f13683500.2015.1072503&partnerID=40&md5=14f6ccf78f45d0c5f49ca40e279e10b1","Department of Travel Industry Management, Far East University, No. 49, Zhonghua Road, Xinshi District, Tainan City, 74448, Taiwan; Department of Business Administration, Nan-Hua University, No. 55, Section 1, Nanhua Road, Dalin Township, Chiayi County, Taiwan; Department of International Business Management, Chien Hsin University of Science and Technology, No. 229, Jianxing Road, Zhongli District, Taoyuan City, 32097, Taiwan","Lu, H.-Y., Department of Travel Industry Management, Far East University, No. 49, Zhonghua Road, Xinshi District, Tainan City, 74448, Taiwan, Department of International Business Management, Chien Hsin University of Science and Technology, No. 229, Jianxing Road, Zhongli District, Taoyuan City, 32097, Taiwan; Wu, W.-Y., Department of Business Administration, Nan-Hua University, No. 55, Section 1, Nanhua Road, Dalin Township, Chiayi County, Taiwan","This study adopts the input–process–output perspective to develop a research framework, and aims to investigate the factors associated with medical travel behaviours. A total of 343 international medical tourists who took low invasive treatments in Taiwan were surveyed using questionnaires. The data were analysed using structural equation modelling, and the results of this work are as follows. Medical tourists felt that higher service quality led to better corporate image. The service quality and corporate image of medical institutions had positive influences on the perceived value of medical travel. Perceived value plays a significant mediating role for the relationships between various medical institution factors and behavioural intention. Furthermore, destination image can be regarded as an important moderator that facilitates the influences of medical institution factors on perceived value. © 2015 Taylor & Francis.","behavioural intention; corporate image; destination image; medical tourism; perceived value; service quality","behavioral response; corporate strategy; input-output analysis; parameterization; questionnaire survey; service quality; tourist behavior; tourist destination; travel behavior; Taiwan",,,,,,,,"Al-Refaie, A., Fouad, R.H., Eteiwi, D., Examining factors affect passenger's satisfaction and loyalty: A comparative analysis from Jordan airport (2013) International Journal on Advances in Information Sciences and Service Sciences, 5 (3), pp. 641-650; Anderson, E.W., Sullivan, M.W., The antecedents and consequences of customer satisfaction for firms (1993) Marketing Science, 12 (2), pp. 125-143; Arendt, S., Brettel, M., Understanding the influence of corporate social responsibility on corporate identity, image, and firm performance (2010) Management Decision-Manage Decision, 48 (10), pp. 1469-1492; (2006) Medical tourism: A global analysis, , http://www.atlas-webshop.org/Medical-tourism-a-global-analysis, February,. 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Issues Tour.",Article,"Final",,Scopus,2-s2.0-84938632504 "Jain V., Ajmera P.","57198886405;57195928425;","Quantifying the variables affecting Indian medical tourism sector by graph theory and matrix approach",2018,"Management Science Letters","8","4",,"225","240",,4,"10.5267/j.msl.2018.2.003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85045049181&doi=10.5267%2fj.msl.2018.2.003&partnerID=40&md5=3d5c493bf36f313070ff7fffe965e521","Department of Mechanical Engineering, Amity University Gurgaon, India; Department of Hospital Administration, Amity Medical School, Amity University Haryana, India","Jain, V., Department of Mechanical Engineering, Amity University Gurgaon, India; Ajmera, P., Department of Hospital Administration, Amity Medical School, Amity University Haryana, India","India has turned out to be one of the most favorite destinations for the patients who want to undertake cost effective medical care for various medical problems and who have infuriated from the long waiting lists for medical and diagnostic procedures in their home countries. This research aims to analyze different factors along with their intensity affecting medical tourism industry in a developing country like India so that managers and policymakers can take better decisions which will help in growth & promotion of Indian health tourism market. The study has been done by performing a cross-sectional survey within major hospitals in India and exploratory factor analysis and graph theory and matrix approach have been used to evaluate the intensity of variables affecting Indian medical tourism sector. Nineteen variables have been identified through review of literature, and four factors have been extracted including cost, quality of treatment and care, availability of experts, competitive advantage and political, legal and visa related factors. With the understanding of the intensity of different variables suitable precautions can be taken by the healthcare managers so that these variables can be handled very carefully. © 2018 by the authors; licensee Growing Science, Canada.","EFA; Exploratory factor analysis; Globalization; Graph theory and matrix approach; GTMA; Liberalization; Medical tourism",,,,,,,,,"Acharya, V.N., Status of renal transplant in India--May 1994 (1994) Journal of Postgraduate Medicine, 40 (3), p. 158; Ajmera, P., Ranking the strategies for Indian medical tourism sector through the integration of SWOT analysis and TOPSIS method (2017) International Journal of Health Care Quality Assurance, 30 (8), pp. 668-679; Ajmera, P., Singh, M., Satia, H., Prioritization of Strengths, Weaknsses, Opportunities and Threats of Indian Medical Tourism Sector Using Integrated SWOT AHP Analysis (2015) International Journal of Innovative Research in Science, Engineering and Technology, 4, pp. 3665-3673; Berg, M., Patient care information systems and health care work: A sociotechnical approach (1999) International Journal of Medical Informatics, 55 (2), pp. 87-101; 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New York: Tata McGraw-Hill Education; Raj, T., Attri, R., Quantifying barriers to implementing total quality management (TQM) (2010) European Journal of Industrial Engineering, 4 (3), pp. 308-335; Raj, T., Shankar, R., Suhaib, M., Khan, R., A graph-theoretic approach to evaluate the intensity of barriers in the implementation of FMSs (2010) International Journal of Services and Operations Management, 7 (1), pp. 24-52; Rao, R.V., A material selection model using graph theory and matrix approach (2006) Materials Science and Engineering: A, 431 (1), pp. 248-255; Rao, R.V., (2007) Decision Making in the Manufacturing Environment: Using Graph Theory and Fuzzy Multiple Attribute Decision Making Methods, , London: Springer; Rao, R.V., Padmanabhan, K., Rapid prototyping process selection using graph theory and matrix approach (2007) Journal of Materials Processing Technology, 194 (1), pp. 81-88; Saha, R., Grover, S., Critical factors of website performance: a graph theoretic approach (2011) International Journal of Web Science, 1 (1), pp. 54-98; Sharma, A., Medical tourism: Emerging challenges and future prospects (2013) International Journal of Business and Management Invention, 2 (1), pp. 21-29; Sharma, M., Rao, M., Jacob, S., Jacob, C., A dietary survey in Indian hemodialysis patients (1999) Journal of Renal Nutrition, 9 (1), pp. 21-25; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) The Lancet, 373 (9663), pp. 593-601; Thompson, B., Exploratory and confirmatory factor analysis: Understanding concepts and applications (2007) Applied Psychological Measurement, 31 (3), pp. 245-248","Jain, V.; Department of Mechanical Engineering, Amity University GurgaonIndia; email: vjdj2004@gmail.com",,,"Growing Science",,,,,19239335,,,,"English","Manag. Sci. Letters",Article,"Final",Open Access,Scopus,2-s2.0-85045049181 "Zuzda J.G., Półjanowicz W., Latosiewicz R., Borkowski P., Bierkus M., Moska O.","57200036524;55315334200;6701558527;57197372412;57200014368;57200032862;","Innovative E-portal for prevention and therapeutic programme for treatment of the obesity and overweight in health-tourism",2017,"AIP Conference Proceedings","1906",, 180005,"","",,4,"10.1063/1.5012458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038833845&doi=10.1063%2f1.5012458&partnerID=40&md5=80051fc6cf25ae673984306da253af7c","Bialystok University of Technology, Faculty of Management, Department of Tourist Economy, Ojca Tarasiuka 2, Kleosin, 16-001, Poland; University of Bialystok, Faculty of Mathematics and Informatics, Institute of Informatics, Ciolkowskiego 1M, Bialystok, 15-245, Poland; Medical University of Lublin, Faculty of Health Sciences, Department of Rehabilitation and Physiotherapy, Magnoliowa 2, Lublin, 20-143, Poland; Bialystok University of Technology, Faculty of Mechanical Engineering, Department Biocybernetics and Biomedical Engineering, Wiejska 45 c, Bialystok, 15-351, Poland; Gdansk University of Physical Education and Sport, Poland","Zuzda, J.G., Bialystok University of Technology, Faculty of Management, Department of Tourist Economy, Ojca Tarasiuka 2, Kleosin, 16-001, Poland; Półjanowicz, W., University of Bialystok, Faculty of Mathematics and Informatics, Institute of Informatics, Ciolkowskiego 1M, Bialystok, 15-245, Poland; Latosiewicz, R., Medical University of Lublin, Faculty of Health Sciences, Department of Rehabilitation and Physiotherapy, Magnoliowa 2, Lublin, 20-143, Poland; Borkowski, P., Bialystok University of Technology, Faculty of Mechanical Engineering, Department Biocybernetics and Biomedical Engineering, Wiejska 45 c, Bialystok, 15-351, Poland; Bierkus, M., Gdansk University of Physical Education and Sport, Poland; Moska, O., Gdansk University of Physical Education and Sport, Poland","Modern technologies enable overweight and obesity people to enjoy physical activity. We have developed electronic portal containing rotational exercises useful in fight against those disorders. Easy access is provided with QR codes placed on web-site and simply accessed with electronic personal equipment (smartphones). QR codes can also be printed and hanged in different places of health tourism facilities. © 2017 Author(s).",,,,,,,"Ministerstwo Nauki i Szkolnictwa Wyższego, MNiSW","The study has been implemented from the resources of the S/WZ/5/2015 statutory work financed by the Ministry of Science and Higher Education of Poland.",,"Pilewska, W., Skowrońska, M., Augustyńska, B., (2016) Medical and Biological Sciences, 30, pp. 81-86; Pilewska, W., Pilewski, R., Barczewska, A., (2015) Baltic Journal of Health and Physical Activity, 7, pp. 49-59. , file:///C:/Users/JOLA-EN/Downloads/pilewska%20(1).pdf; Le Goffi, C., (2012) Enquête Épidémiologique Nationale sur le Surpoids et l'Obésité. Une Enquête INSERM/KANTAR HEALTH/ROCHE, , http://www.roche.fr/content/dam/roche_france/fr_FR/doc/obepi_2012.pdf; Kuepper-Nybelen, J., Lamerz, A., Bruning, N., (2005) Arch Dis Child, 90, pp. 359-363; Pomerleau, J., Knai, C., Branca, F., Robertson, A., Review of the literature of obesity (and inequalities in obesity) in Europe and of its main determinants: Nutrition and physical activity. (2008) EURO-PREVOB Consortium, , http://prevob.lshtm.ac.uk/D3.1.pdf; Blas, E., Kurup, A.S., (2010) WHO, , http://whqlibdoc.who.int/publications/2010/9789241563970_eng.pdf, Equity, social determinants and public health programmes, ISBN 9789241563970; Rito, A.I., Carvalho, M.A., Ramos, C., Breda, J., (2013) Public Health Nutr, 16, pp. 1043-1051; http://www.qrcode.com/en/; Mikowska, M., Raport POLSKA.JEST.MOBI., , https://www.slideshare.net/mmikowska/mobile-2016-podowl-roku-w-polsce; http://www.qr-online.pl/; http://en.qr-code-generator.com/; http://www.bodybuilding.com/; http://www.mybodyflex.ru/publ/uprazhnenija_dlja_ochen_polnykh/10-1-0-290; Stas, T., (2013) Studia Ekonomiczne, 157, pp. 108-122. , http://bazekon.icm.edu.pl/bazekon/element/bwmeta1.element.ekon-element-000171258415","Zuzda, J.G.; Bialystok University of Technology, Faculty of Management, Department of Tourist Economy, Ojca Tarasiuka 2, Poland; email: fitness2004@wp.pl","Simos T.E.Simos T.E.Simos T.E.Monovasilis T.Kalogiratou Z.","","American Institute of Physics Inc.","International Conference of Computational Methods in Sciences and Engineering 2017, ICCMSE 2017","21 April 2017 through 25 April 2017",,132371,0094243X,9780735415966,,,"English","AIP Conf. Proc.",Conference Paper,"Final",,Scopus,2-s2.0-85038833845 "Yuan S., Palmer J.M., Tsai N.-C., Dagis A., Nademanee A., Wang S.","23011087500;57203338088;15056964500;6701556358;35399762700;7410342710;","Engraftment and outcomes following autologous stem cell transplantation in Hodgkin lymphoma patients mobilized with plerixafor",2017,"Hematological Oncology","35","3",,"281","287",,4,"10.1002/hon.2286","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959312424&doi=10.1002%2fhon.2286&partnerID=40&md5=e84edc73c0219f120cd4ed5bb9c9c555","Division of Transfusion Medicine, Department of Pathology and Laboratory Medicine, City of Hope National Medical Center, Duarte, CA, United States; Division of Biostatistics, Department of Information Sciences, City of Hope National Medical Center, Duarte, CA, United States; Department of Hematology, City of Hope National Medical Center, Duarte, CA, United States","Yuan, S., Division of Transfusion Medicine, Department of Pathology and Laboratory Medicine, City of Hope National Medical Center, Duarte, CA, United States; Palmer, J.M., Division of Biostatistics, Department of Information Sciences, City of Hope National Medical Center, Duarte, CA, United States; Tsai, N.-C., Division of Biostatistics, Department of Information Sciences, City of Hope National Medical Center, Duarte, CA, United States; Dagis, A., Division of Biostatistics, Department of Information Sciences, City of Hope National Medical Center, Duarte, CA, United States; Nademanee, A., Department of Hematology, City of Hope National Medical Center, Duarte, CA, United States; Wang, S., Division of Transfusion Medicine, Department of Pathology and Laboratory Medicine, City of Hope National Medical Center, Duarte, CA, United States","Plerixafor has been used to improve peripheral blood stem cell (PBSC) mobilization in multiple myeloma, non-Hodgkin lymphoma, and very recently in Hodgkin lymphoma (HL) patients. Because prior studies have suggested that mobilization with plerixafor affects the composition of mobilized cells, there are concerns that this may in turn adversely impact the immune reconstitution and longer term outcomes of transplanted patients. However, data on the engraftment characteristics and long-term post-transplant outcomes in patients transplanted with plerixafor-mobilized PBSCs are lacking. This retrospective study examined the post-transplant outcomes of 105 consecutive adult HL patients, and compared the post-transplant outcomes of 21 patients who received plerixafor in addition to G-CSF ± chemotherapy because of poor mobilization with those of 84 patients who mobilized well without plerixafor. Despite collecting significantly lower CD34+ cell doses (median of 3.41 vs. 6.05 × 106/kg, p < 0.0001) than control patients and requiring more collection days, plerixafor-mobilized patients showed comparable early engraftment characteristics, except for slightly delayed neutrophil engraftment (median: 11 vs.10 days, p = 0.002) and lower median neutrophil counts (2.1 vs. 2.6 × 109/L, p = 0.04) at one month after transplant. No significant differences were observed in longer term post-transplant outcomes, including cell counts at 3, 6, and 12 months, RBC and platelet transfusion support during the first 120 days, relapse incidence, overall and progression-free survival rates up to two years post transplant. The use of plerixafor not only enabled poorly mobilizing HL patients to collect enough PBSCs to proceed to ASCT, but also to have similar post-transplant outcomes compared to patients who mobilized well with conventional regimens. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.","autologous stem cell transplant; Hodgkin lymphoma; peripheral blood stem cell mobilization and collection; plerixafor","carmustine; cyclophosphamide; cytarabine; etoposide; granulocyte colony stimulating factor; hemoglobin; melphalan; plerixafor; granulocyte colony stimulating factor; heterocyclic compound; plerixafor; adult; Article; autologous peripheral blood stem cell transplantation; cancer chemotherapy; cancer mortality; cancer patient; cancer recurrence; CD34 selection; controlled study; erythrocyte transfusion; evening dosage; female; hemoglobin blood level; Hodgkin disease; human; leukocyte count; lymphocyte count; major clinical study; male; mortality; neutrophil count; overall survival; patient history of chemotherapy; peripheral blood stem cell; priority journal; progression free survival; retrospective study; stem cell mobilization; survival rate; thrombocyte count; thrombocyte transfusion; transplantation conditioning; treatment outcome; aged; autotransplantation; blood transfusion; disease course; hematopoietic stem cell transplantation; Hodgkin disease; middle aged; multimodality cancer therapy; peripheral blood stem cell transplantation; recurrent disease; remission; young adult; Adult; Aged; Blood Transfusion; Combined Modality Therapy; Disease Progression; Female; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; Heterocyclic Compounds; Hodgkin Disease; Humans; Male; Middle Aged; Peripheral Blood Stem Cell Transplantation; Recurrence; Remission Induction; Transplantation Conditioning; Transplantation, Autologous; Treatment Outcome; Young Adult",,"carmustine, 154-93-8; cyclophosphamide, 50-18-0; cytarabine, 147-94-4, 69-74-9; etoposide, 33419-42-0, 433304-61-1; hemoglobin, 9008-02-0; melphalan, 148-82-3; plerixafor, 110078-46-1, 155148-31-5; Granulocyte Colony-Stimulating Factor; Heterocyclic Compounds; JM 3100",,,,,,"Aisenberg, A.C., Problems in Hodgkin's disease management (1999) Blood, 93, pp. 761-779; Passweg, J.R., Baldomero, H., Bregni, M., Hematopoietic SCT in Europe: data and trends in 2011 (2013) Bone Marrow Transplant, 48, pp. 1161-1167; Allan, D.S., Keeney, M., Howson-Jan, K., Number of viable CD34+ cells reinfused predict engraftment in autologous hematopoietic stem cell transplantation (2002) Bone Marrow Transplant, 29, pp. 967-972; Bender, J.G., To, L.B., Williams, S., Schwartzberg, L.S., Defining a therapeutic dose of peripheral blood stem cells (1992) J Hematother, 1, pp. 329-341; Jantunen, E., Lemoli, R.M., Preemptive use of plerixafor in difficult-to-mobilize patients: an emerging concept (2012) Transfusion, 52, pp. 906-914; To, L.B., Levesque, J.P., Herbert, K.E., How I treat patients who mobilize hematopoietic stem cells poorly (2011) Blood, 118, pp. 4530-4540; Canales, M.A., Fernández-Jiménez, M.C., Martín, A., Identification of factors associated with poor peripheral blood progenitor cell mobilization in Hodgkin's disease (2001) Haematologica, 86, pp. 494-498; Cashen, A., Lopez, S., Gao, F., A phase II study of plerixafor (AMD3100) plus G-CSF for autologus hematopoietic progenitor cell mobilization in patients with Hodgkin lymphoma (2008) Biol Blood Marrow Transplant, 14, pp. 1253-1261; DiPersio, J.F., Stadtmauer, E.A., Nademanee, A., Calandra G, for 3102 Investigators: Plerixafor and G-CSF versus placebo and G-CSF to mobilize hematopoietic stem cells for autologous stem cell transplantation in patients with multiple myeloma (2009) Blood, 113, pp. 5720-5726; DiPersio, J.F., Micallef, I.N., Stiff, P.J., Calandra G, for 3101 investigators: Phase III prospective randomized double-blind placebo-controlled trial of plerixafor plus granulocyte colony-stimulating factor compared with placebo plus granulocyte colony-stimulating factor for autologous stem-cell mobilization and transplantation for patients with non-Hodgkin's lymphoma (2009) J Clin Oncol, 27, pp. 4767-4773; Dugan, M.J., Maziarz, R.T., Bensinger, W.I., Safety and preliminary efficacy of plerixafor (Mozobil) in combination with chemotherapy and G-CSF: an open-label, multicenter, exploratory trial in patients with multiple myeloma and non-Hodgkin's lymphoma undergoing stem cell mobilization (2010) Bone Marrow Transplant, 45, pp. 39-47; Shaughnessy, P., Uberti, J., Devine, S., Plerixafor and G-CSF for autologous stem cell mobilization in patients with NHL, Hodgkin's lymphoma and multiple myeloma: results from the expanded access program (2013) Bone Marrow Transplant, 48, pp. 777-781; Hübel, K., Fresen, M.M., Apperley, J.F., European data on stem cell mobilization with plerixafor in non-Hodgkin's lymphoma, Hodgkin's lymphoma and multiple myeloma patients. A subgroup analysis of the European Consortium of stem cell mobilization (2012) Bone Marrow Transplant, 47, pp. 1046-1050; Yuan, S., Nademanee, A., Kaniewski, M., Palmer, J., Shayani, S., Wang, S., Efficacy of just-in-time plerixafor rescue for Hodgkin's lymphoma patients with poor peripheral blood stem cell mobilization (2014) Transfusion, 54, pp. 2015-2021; Varmavuo, V., Mäntymaa, P., Kuittinen, T., Nousiainen, T., Jantunen, E., Blood graft lymphocyte subsets after plerixafor injection in non-Hodgkin's lymphoma patients mobilizing poorly with chemotherapy plus granulocyte-colony-stimulating factor (2012) Transfusion, 52, pp. 1785-1791; Varmavuo, V., Mäntymaa, P., Nousiainen, T., Valonen, P., Kuittinen, T., Jantunen, E., Blood graft composition after plerixafor injection in patients with NHL (2012) Eur J Haematol, 89, pp. 128-135; Siena, S., Schiavo, R., Pedrazzoli, P., Carlo-Stella, C., Therapeutic relevance of CD34 cell dose in blood cell transplantation for cancer therapy (2000) J Clin Oncol, 18, pp. 1360-1377; Shpall, E.J., Champlin, R., Glaspy, J.A., Effect of CD34+ peripheral blood progenitor cell dose on hematopoietic recovery (1998) Biol Blood Marrow Transplant, 4, pp. 84-92; DiPersio, J.F., Ho, A.D., Hanrahan, J., Hsu, F.J., Freuhauf, S., Relevance and clinical implications of tumor cell mobilization in the autologous transplant setting (2011) Biol Blood Marrow Transplant, 17, pp. 943-955; Moreb, J.S., Salmasinia, D., Hsu, J., Hou, W., Cline, C., Rosenau, E., Long-term outcome after autologous stem cell transplantation with adequate peripheral blood stem cell mobilization using plerixafor and G-CSF in poor mobilizer lymphoma and myeloma patients (2011) Adv Hematol, 2011, p. 517561. , Epub 2011 Nov 29; Holtan, S.G., Porrata, L.F., Micallef, I.N., AMD3100 affects autograft lymphocyte collection and progression-free survival after autologous stem cell transplantation in non-Hodgkin lymphoma (2007) Clin Lymphoma Myeloma, 7, pp. 315-318; Varmavuo, V., Rimpiläinen, J., Kuitunen, H., Engraftment and outcome after autologous stem cell transplantation in plerixafor-mobilized non-Hodgkin's lymphoma patients (2014) Transfusion, 54, pp. 1243-1250; Alexander, E.T., Towery, J.A., Miller, A.N., Beyond CD34+ cell dose: impact of method of peripheral blood hematopoietic stem cell mobilization (granulocyte-colony-stimulating factor [G-CSF], G-CSF plus plerixafor, or cyclophosphamide G-CSF/granulocyte-macrophage [GM]-CSF) on number of colony-forming unit-GM, engraftment, and Day +100 hematopoietic graft function (2011) Transfusion, 51, pp. 1995-2000; Girbl, T., Lunzer, V., Greil, R., Namberger, K., Hartmann, T.N., The CXCR4 and adhesion molecule expression of CD34+ hematopoietic cells mobilized by “on-demand” addition of plerixafor to granulocyte-colony-stimulating factor (2014) Transfusion, 54, pp. 2325-2335; Fruehauf, S., Veldwijk, M.R., Seeger, T., A combination of granulocyte-colony-stimulating factor (G-CSF) and plerixafor mobilizes more primitive peripheral blood progenitor cells than G-CSF alone: results of a European phase II study (2009) Cytotherapy, 11, pp. 992-1001; Kobold, S., Isernhagen, J., Hübel, K., Plerixafor is effective and safe for stem cell mobilization in heavily pretreated germ cell tumor patients (2011) Bone Marrow Transplant, 46, pp. 1053-1056; Worel, N., Apperley, J.F., Basak, G.W., Mohty M for the European consortium of stem cell mobilization: European data on stem cell mobilization with plerixafor in patients with nonhematologic diseases: an analysis of the European consortium of stem cell mobilization (2012) Transfusion, 52, pp. 2395-2400; Horwitz, M.E., Long, G., Holman, P., Libby, E., Calandra, G.C., Schriber, J.R., Efficacy and safety of hematopoietic stem cell remobilization with plerixafor + G-CSF in adult patients with germ cell tumors (2012) Bone Marrow Transplant, 47, pp. 1283-1286; Broxmeyer, H.E., Orschell, C.M., Clapp, D.W., Rapid mobilization of murine and human hematopoietic stem and progenitor cells with AMD3100, a CXCR4 antagonist (2005) J Exp Med, 201, pp. 1307-1318; Nervi, B., Link, D.C., Dipersio, J.F., Cytokines and hematopoietic stem cell mobilization (2006) J Cell Biochem, 99, pp. 690-705; Donahue, R.E., Jin, P., Bonifacino, A.C., Plerixafor (AMD3100) and granulocyte colony-stimulating factor (G-CSF) mobilize different CD34+ cell populations based on global gene and microRNA expression signatures (2009) Blood, 114, pp. 2530-2541; Burroughs, L., Mielcarek, M., Little, M.T., Durable engraftment of AMD3100-mobilized autologous and allogeneic peripheral-blood mononuclear cells in a canine transplantation model (2005) Blood, 106, pp. 4002-4008; Larochelle, A., Krouse, A., Metzger, M., AMD3100 mobilizes hematopoietic stem cells with long-term repopulating capacity in nonhuman primates (2006) Blood, 107, pp. 3772-3778; Gaugler, B., Arbez, J., Legouill, S., Characterization of peripheral blood stem cell grafts mobilized by granulocyte colony-stimulating factor and plerixafor compared with granulocyte colony-stimulating factor alone (2013) Cytotherapy, 15, pp. 861-868; Taubert, I., Saffrich, R., Zepeda-Moreno, A., Characterization of hematopoietic stem cell subsets from patients with multiple myeloma after mobilization with plerixafor (2011) Cytotherapy, 13, pp. 459-466","Yuan, S.; Division of Transfusion Medicine, Department of Pathology and Laboratory Medicine, City of Hope National Medical CenterUnited States; email: shyuan@coh.org",,,"John Wiley and Sons Ltd",,,,,02780232,,HAOND,"26928577","English","Hematol. Oncol.",Article,"Final",,Scopus,2-s2.0-84959312424 "Chee H.L., Whittaker A., Por H.H.","7004224160;7102570392;57194193140;","Medical travel facilitators, private hospitals and international medical travel in assemblage",2017,"Asia Pacific Viewpoint","58","2",,"242","254",,4,"10.1111/apv.12161","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026656420&doi=10.1111%2fapv.12161&partnerID=40&md5=bc76a89c721c63318d5990a93ae86619","Centre for Research on Women and Gender (KANITA), Universiti Sains Malaysia, Gelugor, Penang 11800, Malaysia; School of Social Sciences, Monash University, Clayton, MelbourneVIC 3800, Australia; Malaysian Chinese Research Center, University of MalayaKuala Lumpur 50603, Malaysia","Chee, H.L., Centre for Research on Women and Gender (KANITA), Universiti Sains Malaysia, Gelugor, Penang 11800, Malaysia; Whittaker, A., School of Social Sciences, Monash University, Clayton, MelbourneVIC 3800, Australia; Por, H.H., Malaysian Chinese Research Center, University of MalayaKuala Lumpur 50603, Malaysia","International medical travel may be viewed as an ‘assemblage’ of various components such as infrastructure, hospitals, finance, transport, technologies, staff, facilitators and patients. In this paper, we focus on the articulations of medical travel facilitators (MTFs) and private hospitals in producing international medical travel in the context of the neoliberalising processes that had led to the rise of corporate hospital care in Malaysia in the 1990s. We draw from three hospital case studies for a comparative perspective. We highlight the shifting, unstable and contingent relations and interactions of the MTFs, as one component of the assemblage of international medical travel, with hospitals and medical travellers. We identify the practices of MTFs in providing patients with information and advice about hospitals and doctors as efforts to shape patients' choices in the selection of health-care providers and in decision-making. The assemblage approach allows us to see how the MTFs emerge and stabilise as a collective identity for individuals and companies performing particular functions through their multifarious articulations with other components in various sites of assemblage. © 2017 Victoria University of Wellington and John Wiley & Sons Australia, Ltd","assemblage; international medical travel; medical tourism; medical travel facilitators; neoliberalism","health care; hospital sector; international tourism; medical tourism; neoliberalism; private sector; travel behavior; Malaysia",,,,,"Australian Research Council, ARC: FT110100054 Appalachian Regional Commission, ARC: DP1094895","We are grateful to the late Puan Sri Chui Kah Peng, Mrs Khoo Poh Heng and Prof. Pascale Allotey for helping us gain access to the hospitals, and to the CEOs, directors and staff of the three hospitals for their kind cooperation. We thank also our study participants. This work was supported by the Australian government through an Australian Research Council Future Fellowship (FT110100054) and an ARC Discovery Project (DP1094895).",,"Anderson, B., Kearnes, M., McFarlane, C., Swanton, D., On assemblages and geography (2012) Dialogues in Human Geography, 2 (2), pp. 171-189; Chee, H.L., Ownership, control, and contention: Challenges for the future of healthcare in Malaysia (2008) Social Science & Medicine, 66, pp. 2145-2156; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Collier, S.J., Ong, A., Global assemblages, anthropological problems (2005) Global assemblages: Technology, politics and ethics as anthropological problems, , in, A. Ong, S.J. Collier, (eds.),, Malden, MA, Blackwell Publishing; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Dalstrom, M., Medical travel facilitators: Connecting patients and providers in a globalized world (2013) Anthropology & Medicine, 20 (1), pp. 24-35; DeLanda, M., (2006) A new philosophy of society: Assemblage theory and social complexity, , London, Continuum; Deleuze, G., Guattari, F., (1987) A thousand plateaus: Capitalism and schizophrenia, , Minneapolis, University of Minnesota Press, translated by B. Massumi; Dittmer, J., Geopolitical assemblages and complexity (2014) Progress in Human Geography, 38 (3), pp. 385-401; Gabe, J., Harley, K., Calnan, M., Healthcare choice: Discourses, perceptions, experiences and practices (2015) Current Sociology Monograph, 63 (5), pp. 623-635; Gan, L.L., Frederick, J.R., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Inhorn, M.C., Gürtin, Z.B., Cross-border reproductive care: A future research agenda (2011) Reproductive Biomedicine Online, 23, pp. 665-676; (2016), https://www.imtj.com/, ‘Record year for Malaysia medical tourism, 27 May’. Retrieved 13 February 2017, from website; Lunt, N., Smith, R., Exworthy, M., Hanefeld, J., Mannion, R., Market size, market share and market strategy: Three myths of medical tourism (2014) Policy & Politics, 42 (4), pp. 597-614; Marcus, G.E., Saka, E., Assemblage (2006) Theory, Culture and Society, 23 (2-3), pp. 101-109; McLeod, K., Orientating to assembling: Qualitative inquiry for more-than-human worlds (2015) International Journal of Qualitative Methods, 13, pp. 377-394; (2016) ‘Attractive healthcare travel packages from Malaysia to Bangladesh’ 14 February, , https://mhtc.org.my/attractive-healthcare-travel-packages-from-malaysia-to-bangladesh/, Retrieved 30 March 2016, from website; (2017) Statistics, , https://www.mhtc.org.my/, Retrieved 13 February 2017, from website; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on south-south intra-regional medical travel (2014) Current Issues in Tourism, , https://doi.org/10.1080/13683500.2014.937324, Published online; Ormond, M., (2013) Neoliberal governance and international medical travel in Malaysia, , London, Routledge; Ormond, M., (2014) Navigating international medical travel: A three-country study of medical travel facilitators sending patients to Malaysia, , Paper presented at the ISA Annual Conference, Yokohama, Japan, 17 July; Ormond, M., Solidarity by demand? Exit and voice in international medical travel – The case of Indonesia (2015) Social Science and Medicine, 124, pp. 305-312; (2013) Statistics – February 2013, , http://penangmonthly.com/, Retrieved 26 February 2013, from website; Price-Robertson, R., Duff, C., Realism, materialism, and the assemblage: Thinking psychologically with Manuel DeLanda (2016) Theory & Psychology, 26 (1), pp. 58-76; Smith, K., The problematization of medical tourism: A critique of neoliberalism (2012) Developing World Bioethics, 12 (1), pp. 1-8; Snyder, J., Crooks, V.A., Adams, K., The ‘patient's physician one-step removed’: the evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Sobo, E.J., Herlihy, E., Bicker, M., Selling medical travel to US patient-consumers: The cultural appeal of website marketing messages (2011) Anthropology & Medicine, 18 (1), pp. 119-136; Sparke, M., Health and the embodiment of neoliberalism: Pathologies of political economy from climate change and austerity to personal responsibility (2016) The handbook of neoliberalism, , in, S. Springer, K. Birch, J. MacLeavy, (eds.),, London, Routledge; Springer, S., Birch, K., MacLeavy, J., An introduction to neoliberalism (2016) The handbook of neoliberalism, , in, S. Springer, K. Birch, J. MacLeavy, (eds.),, London, Routledge; (2011), 21 February, Most Somali students are driven to get an education; Turner, L., Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel (2011) Globalization and Health, 7, pp. 1-16. , 40; (2016), http://www.unhcr.org.my/about_us-@-figures_at_a_glance.aspx, Figures at a glance. Retrieved 10 June 2016, from website; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290","Chee, H.L.; Centre for Research on Women and Gender (KANITA), Universiti Sains MalaysiaMalaysia; email: cheehengleng@gmail.com",,,"Blackwell Publishing Ltd",,,,,13607456,,,,"English","Asia Pac. Viewp.",Article,"Final",Open Access,Scopus,2-s2.0-85026656420 "Crooks V.A., Ormond M., Jin K.N.","35585107800;7801551522;7102766682;","Reflections on 'medical tourism' from the 2016 Global Healthcare Policy and Management Forum",2017,"BMC Proceedings","11",, 6,"","",,4,"10.1186/s12919-017-0075-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85024366223&doi=10.1186%2fs12919-017-0075-8&partnerID=40&md5=35836e34fd32bb47d9ffcfd791e69ec0","Department of Geography RCB 7227, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Cultural Geography Wageningen University and Research, PO Box 47, Wageningen, 6700 AA, Netherlands; Department of Health Administration, Yonsei University, Wonju, South Korea","Crooks, V.A., Department of Geography RCB 7227, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Ormond, M., Cultural Geography Wageningen University and Research, PO Box 47, Wageningen, 6700 AA, Netherlands; Jin, K.N., Department of Health Administration, Yonsei University, Wonju, South Korea","In October 2016, the Global Healthcare Policy and Management Forum was held at Yonsei University, Seoul, South Korea. The goal of the forum was to discuss the role of the state in regulating and supporting the development of medical tourism. Forum attendees came from 10 countries. In this short report article, we identify key lessons from the forum that can inform the direction of future scholarly engagement with medical tourism. In so doing, we reference on-going scholarly debates about this global health services practice that have appeared in multiple venues, including this very journal. Key questions for future research emerging from the forum include: who should be meaningfully involved in identifying and defining categories of those travelling across borders for health services and what risks exist if certain voices are underrepresented in such a process; who does and does not 'count' as a medical tourist and what are the implications of such quantitative assessments; why have researchers not been able to address pressing knowledge gaps regarding the health equity impacts of medical tourism; and how do national-level polices and initiatives shape the ways in which medical tourism is unfolding in specific local centres and clinics? This short report as an important time capsule that summarises the current state of medical tourism research knowledge as articulated by the thought leaders in attendance at the forum while also pushing for research growth. © 2017 The Author(s).","Medical tourism; Medical travel; Research","Conference Paper; global health; government; health care management; health care policy; health equity; health service; human; international cooperation; medical research; medical tourism; priority journal; risk assessment; South Korea; travel",,,,,,,,"Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tour Man, 27 (6), pp. 1093-1100; Bell, D., Holliday, R., Ormond, M., Mainil, T., Transnational healthcare, cross-border perspectives (2015) Soc Sci Med, 124, pp. 284-289. , 25467880; Snyder, J., Crooks, V.A., Turner, L., Issues and challenges in research on the ethics of medical tourism: Reflections from a conference (2011) J Bioeth Inq, 8 (1), pp. 3-6; Labonté, R., Runnels, V., Crooks, V.A., Johnston, R., Snyder, J., What does the development of medical tourism in Barbados hold for health equity? An exploratory qualitative case study (2017) Glob Heal Res Pol.; Inhorn, M.C., Patrizio, P., Rethinking reproductive ""tourism"" as reproductive ""exile (2009) Fert Ster, 92 (3), pp. 904-906; Ormond, M., Medical tourism (2014) The Wiley Blackwell Companion to Tourism, pp. 425-434. , C.M. Hall A. Williams A. Lew (eds) John Wiley & Sons London; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan New York; Crooks, V.A., Johnston, R., Labonté, R., Snyder, J., Critically reflecting on Loh's 'trends and structural shifts in health tourism' (2016) Soc Sci Med, 152, pp. 186-189. , 26638803; Musa, G., Doshi, D.R., Wong, K.M., Thirumoorthy, T., How satisfied are inbound medical tourists in Malaysia? A study on private hospitals in Kuala Lumpur (2012) J Trav Tour Market, 29 (7), pp. 629-646; Ormond, M., Wong, K.M., Chan, C.C., Medical tourism in Malaysia: How can we better identify and manage its advantages and disadvantages? (2014) Glob Heal Act, 7; Klijs, J., Ormond, M., Mainil, T., Peerlings, J., Heijman, W., A state-level analysis of the economic impacts of medical tourism in Malaysia (2016) Asian-Pac Econ Lit, 30 (1), pp. 3-29; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Heal., , DOI: 10.1186/1475-9276-9-24; Turner, L., 'First world health care at third world prices': Globalization, bioethics and medical tourism (2007) BioSoc, 2 (3), pp. 303-325; Jin, K.N., Social and ethical issues of medical tourism in Korea (2016) Global Healthcare Policy and Management Forum (GHPMF), , Yonsei University, Seoul. 19 Oct; Ormond, M., Neoliberal Governance and International Medical Travel in Malaysia, , Abingdon: Routledge; (2016), http://english.visitmedicalkorea.com/eng/seoul/seoulMedicalTourism/seoulMedicalTourism01/seoulMedicalTourism01_01.jsp, Seoul Metropolitan Government. Center of Medical Excellence Accessed 3 Apr 2017; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Pub Heal Pol, 31 (2), pp. 185-198; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in southern Africa (2015) Soc Sci Med, 124, pp. 313-320. , 24973022; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on South-South intra-regional medical travel (2017) Cur Iss Tour, 20 (1), pp. 94-110","Crooks, V.A.; Department of Geography RCB 7227, Simon Fraser University, 8888 University Drive, Canada; email: crooks@sfu.ca",,,"BioMed Central Ltd.",,,,,17536561,,,,"English","BMC Proc.",Conference Paper,"Final",Open Access,Scopus,2-s2.0-85024366223 "Vindrola-Padros C., Brage E.","37075880600;55547838000;","Child medical travel in Argentina: Narratives of family separation and moving away from home",2017,"Children's Health and Wellbeing in Urban Environments",,,,"128","144",,4,"10.4324/9781315571560","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020258485&doi=10.4324%2f9781315571560&partnerID=40&md5=d663187b6ed131640559ca0d16c750b4","Department of Applied Health Research, University College London, United Kingdom; University of Buenos Aires, Argentina","Vindrola-Padros, C., Department of Applied Health Research, University College London, United Kingdom; Brage, E., University of Buenos Aires, Argentina",[No abstract available],,,,,,,,,,"Asiedu Owusu, S., Amoako-Sakyi, R.O., Mobility and economic constraints as key barriers to children's health seeking in Ghana (2011) Social Biology and Human Affairs, 76, pp. 91-105; (2006) ATLAS.ti (Version 5.2) [Computer software], , Berlin: Author; Borges Guimarães, R., Brazilian health regions and scales: A geographical perspective (2007) New Zealand Geographer, 63, pp. 97-105; Brage, E., Dussel, V., Bevilacqua, M.S., Requena, M.L., Bravo, A., Jerez, C., Uzal, L., Urtasun, M., Problemas asociados a tratar ninos con cáncer en el final de la vida en casos de residencia alejada de las instituciones tratantes (2013) VIII Congreso Nacional de Medicina y Cuidados Paliativos, , 14-16 November, Mar del Plata, Argentina; Carroll, P., Witten, K., Kearns, R., Donovan, P., Kids in the city: Children's use and experiences of urban neighbourhoods in Auckland, New Zealand (2015) Journal of Urban Design, 20 (4), pp. 417-436; Cham, M., Sundby, J., Vangen, S., Maternal mortality in the rural Gambia: A qualitative study on access to emergency obstetric care (2005) Reproductive Health, 2 (3), pp. 1-8; Connell, J., Medical tourism: Sea, sun, sand, and... surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Crom, D., The experience of South American mothers who have a child being treated for malignancy in the United States (1995) Journal of Pediatric Oncology Nursing, 12, pp. 104-112; Culley, L., Hudson, N., Baldwin, K., Lakhanpaul, M., Children travelling for treatment: What we don't know (2013) Archives of Disease in Childhood, 98, pp. 442-444; Dussel, V., Bevilacqua, M.S., Brage, E., Requena, M.L., Bravo, A., Jerez, C., Uzal, L., Largomarsino, E., (2014) Prácticas y recursos utilizados en la provision de cuidados paliativos a ninos con cáncer en la Argentina, , Mapeo nacional Cuidados Paliativos Pediátricos, Informe Ejecutivo. Buenos Aires, Argentina: Instituto Nacional del Cáncer, Ministerio de Salud de la Nación; Ehrbeck, T., Guevara, C., Mango, P.D., (2008) Mapping the market for medical travel, , http://ww.medretreat.com/templates/UserFiles/Documents/McKinsey%20Report%20Medical%20Travel.pdf, (accessed 22 February); Ellis, M., Muschkin, C., Migration of persons with AIDS - a search for support from elderly parents (1996) Social Science and Medicine, 43, pp. 1109-1118; Elmore, K., The migratory experiences of people with HIV/AIDS (PWHA) in Wilmington, North Carolina (2006) Health and Place, 12, pp. 570-579; Ensor, T., Cooper, S., Overcoming barriers to health service access: Influencing the demand side (2004) Health Policy and Planning, 19, pp. 69-79; Ergler, C.R., Sakdapolrak, P., Bohle, H., Kearns, R.A., Entitlements to health care: Why is there a preference for private facilities among poorer residents of Chennai, India (2011) Social Science and Medicine, 72, pp. 327-337; Gutierrez, A., Geografia, transporte y movilidad (2008) Espacios, 37, pp. 100-107; Hampshire, K.R., Porter, G., Asiedu Owusu, S., Tanle, A., Abane, A., Out of the reach of children? Young people's health-seeking practices and agency in Africa's newly- emerging therapeutic landscapes (2011) Social Science and Medicine, 73, pp. 702-710; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; (2015) Cancer infantil, , www.msal.gov.ar/inc/index.php/acerca-del-cancer/cancer-infantil, (accessed 27 February 2015); Johnson, G.A., Vindrola-Padros, C., 'It's for the best': Child movement in search of health in Njabini, Kenya (2014) Children's Geographies, 12 (2), pp. 219-231; Johnson, G.A., Pfister, A.E., Vindrola-Padros, C., Drawings, photos, and performances: Using visual methods with children (2012) Visual Anthropology Review, 28, pp. 164-178; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14, pp. 293-305; Lee, J.Y., Kearns, R.A., Friesen, W., Seeking affective health care: Korean immigrants' use of homeland medical services (2010) Health and Place, 16, pp. 108-115; London, A.S., Wilmoth, J., Fleishman, J., Moving for care: Findings from the US HIV cost and services utilization study (2004) AIDS Care, 16, pp. 858-875; Margolis, R., Ludi, E., Wiener, L., International adaptation: Psychosocial and parenting experiences of caregivers who travel to the United States to obtain acute medical care for their seriously ill child (2013) Social Work in Health Care, 52, pp. 669-683; Massimo, L.M., Wiley, T.J., Caprino, D., Health emigration: A challenge in paediatric oncology (2008) Journal of ChildHealth Care, 12, pp. 106-115; Molesworth, K., (2005) Mobility and health: The impact of transportprovision on direct and indirect determinants of access to health services, , Basel: Swiss Tropical Institute; Moreno, F., Abriata, M.G., Cáncer en la población de menores de 15 anos en Argentina (2010) Revista Argentina de Salud Pública, 1 (3), pp. 42-45; Moreno, F., Dussel, V., Abriata, G., Loria, D., Orellana, L., (2013) Registro Oncopediátrico Hospitalario Argentino (ROHA), , Buenos Aires: Ministerio de Salud; Moreno, F., Schvartzman, E., Scopinaro, M., Diez, B., Garcia Lombardi, M., Loria, D., de Davila, M.T., Goldman, J., (2009) Registro Oncopediátrico Hospi- talario Argentino (ROHA) Resultados 2000-2008, , Buenos Aires: Ministerio de Salud; Neuwelt, P.M., Kearns, R.A., Browne, A.J., The place of receptionists in access to primary care: Challenges in the space between community and consultation (2015) Social Science and Medicine, 133, pp. 287-295; Penchansky, R., Thomas, W., The concept of access: Definition and relationship to consumer satisfaction (1981) Medical Care, 14 (2), pp. 127-140; Porter, G., (2007) Transport, (im)mobility and spatialpoverty traps: Issuesfor rural women and girl children in sub-Saharan Africa, , A paper prepared for the international workshop 'Understanding and addressing spatial poverty traps', 29 March, Spier Estate, Stellenbosch, South Africa; Porter, G., Hampshire, K., A moving issue: Children and young people's transport and mobility constraints in Africa (2010) International Forum for Rural Transport and Development Forum News, 15, pp. 1-3; Ricketts, T.C., Accessing health care (2009) A companion to health and medical geography, pp. 521-539. , T. Brown, S. McLafferty and G. Moon, eds. Oxford: Wiley-Blackwell; Senior, K., Health migration and childhood cancer (2006) Lancet, 7, p. 889; Smith, R., Martinez Alvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Sobo, E., Medical travel: What it means, why it matters (2009) Medical Anthropology, 28, pp. 326-335; Solomon, H., Affectivejourneys: The emotional structuring of medical tourism in India (2011) AnthropologyandMedicine, 18, pp. 105-118; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29, pp. 384-402; Vindrola-Padros, C., (2011) Life and deathjourneys: Medical travel, cancer and children in Argentina, , PhD thesis, Department of Anthropology, University of South Florida; Vindrola-Padros, C., The everyday lives of children with cancer in Argentina: Going beyond the disease and treatment (2012) Children and Society, 26, pp. 430-442; Vindrola-Padros, C., Whiteford, L., The search for medical technologies abroad: The case of medical travel and pediatric oncology treatment in Argentina (2012) Technology and Innovation, 14, pp. 25-38; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3, pp. 271-290; Whittaker, A., Speier, A., 'Cycling overseas': Care, commodification, and stratification in cross-border reproductive travel (2010) MedicalAnthropology, 29, pp. 363-383; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: Understanding medical travel (2010) Medical Anthropology, 29, pp. 336-343; Wood, E., Yip, B., Gataric, N., Montaner, J., O'Shaughnessy, M., Schechter, M., Hogg, R., Determinants of geographic mobility among participants in a population-based HIV/AIDS drug treatment program (2000) Health and Place, 6, pp. 33-40","Vindrola-Padros, C.; Department of Applied Health Research, University College LondonUnited Kingdom",,,"Taylor and Francis",,,,,,9781317167655; 9781472446015,,,"English","Child. Health and Wellbeing in Urban Environ.",Book Chapter,"Final",,Scopus,2-s2.0-85020258485 "Jang S.H.","56324651700;","Factors associated with Korean immigrants' medical tourism to the homeland",2017,"American Journal of Health Behavior","41","4",,"461","470",,4,"10.5993/AJHB.41.4.11","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020381619&doi=10.5993%2fAJHB.41.4.11&partnerID=40&md5=de052613df93da037f252d43dc68ab58","Department of Sociology, Graduate Center of City University of New York (CUNY), New York, NY, United States","Jang, S.H., Department of Sociology, Graduate Center of City University of New York (CUNY), New York, NY, United States","Objectives: This study examined factors associated with first-generation Korean immigrants' medical tours to the homeland, which has emerged as a field of study in immigrant medical transnationalism and immigrant healthcare behaviors. Methods: This paper reports survey data from 507 Korean immigrants and indepth interviews with 120 Korean immigrants in the New York-New Jersey area. Results: About one-fourth of survey respondents have visited their home country for medical care since their migration to the US. Of those with relatives in Korea, 29% have experienced at least one medical tour, compared to only 9.2% of those without relatives in Korea. Having frequent contacts with relatives in the home country was positively associated with the number of medical tour visits. Conclusion: Except for social transnational ties, other types of transnational ties with the home country were marginally related to Korean immigrants' medical tourism. Surprisingly, their health insurance status itself, which is assumed to be important, was not statistically associated with medical tourism. Although this study has the limitation of analyzing a convenience sample, it contributes to the literature on immigrant transnationalism and immigrant healthcare behaviors by using a mixed-methods approach to focus on one ethnic group's medical transnationalism. Copyright © PNG Publications. All rights reserved.","Health insurance; Korean immigrants; Medical tourism; Mixed-method approach; New York-New Jersey area; Transnational ties","behavior; convenience sample; ethnic group; female; field study; health insurance; human; human experiment; immigrant; interview; Korea; male; medical care; medical tourism; New Jersey; New York; relative; adolescent; adult; aged; ethnology; health insurance; medical tourism; middle aged; migrant; New Jersey; New York; South Korea; statistics and numerical data; young adult; Adolescent; Adult; Aged; Emigrants and Immigrants; Female; Humans; Insurance, Health; Male; Medical Tourism; Middle Aged; New Jersey; New York; Republic of Korea; Young Adult",,,,,,,,"Akresh, I.R., Occupational trajectories of legal US immigrants: Downgrading and recovery (2008) Popul Dev Rev., 34 (3), pp. 435-456; Min, P.G., From white-collar occupations to small business: Korean immigrants' occupational adjustment (1984) Social Q, 25 (3), pp. 333-352; Sicherman, N., Overeducation in the labor market (1991) J Labor Econ., 9 (2), pp. 101-122; De Jong, G.F., Madamba, A.B., A double disadvantage? Minority group, immigrant status, and underemployment in the United States (2001) Soc Sci Q, 82 (1), pp. 117-130; Lichter, D.T., Racial differences in underemployment in American cities (1988) AJS, 93 (4), pp. 771-792; Chiswick, B.R., Is the new immigration less skilled than the old? (1986) J Labor Econ, 4 (2), pp. 168-192; Lubotsky, D., Chutes or ladders? A longitudinal analysis of immigrant earnings (2007) J Polit Econ., 115 (5), pp. 820-867; Carrasquillo, O., Carrasquillo, A.I., Shea, S., Health insurance coverage of immigrants living in the United States: Differences by citizenship status and country of origin (2000) Am J Public Health, 90 (6), pp. 917-923; Derose, K.P., Bahney, B.W., Lurie, N., Escarce, J.J., Immigrants and health care access, quality, and cost (2009) Med Care Res Rev., 66 (4), pp. 355-408; Ell, K., Castaneda, I., Health care seeking behavior (1998) Handbook of Immigrant Health, pp. 125-144. , Loue S, ed. New York, NY: Plenum Press; Reed, C.M., Medical tourism (2008) Med Clin N Am, 92 (6), pp. 1433-1446; Wallace, S.P., Mendez-Luck, C., Castañeda, X., Heading south: Why Mexican immigrants in California seek health services in Mexico (2009) Med Care, 47 (6), pp. 662-669; Bastida, E., Brown, H.S., Pagán, J.A., Persistent disparities in the use of health care along the US-Mexico border: An ecological perspective (2008) Am J Public Health, 98 (11), pp. 1987-1995; Bergmark, R., Barr, D., Garcia, R., Mexican immigrants in the US living far from the border may return to Mexico for health services (2010) J Immigr Minor Health, 12 (4), pp. 610-614; Brown, H.S., Do Mexican immigrants substitute health care in Mexico for health insurance in the United States? The role of distance (2008) Soc Sci Med., 67 (12), pp. 2036-2042; Horton, S., Cole, S., Medical returns: Seeking health care in Mexico (2011) Soc Sci Med., 72 (11), pp. 1846-1852; Landeck, M., Garza, C., Utilization of physician health care services in Mexico by US Hispanic border residents (2003) Health Mark Q, 20 (1), pp. 3-16; Macias, E.P., Morales, L.S., Crossing the border for health care (2001) J Health Care Poor Underserved, 12 (1), pp. 77-87; Jun, J., Oh, K.M., Framing risks and benefits of medical tourism: A content analysis of medical tourism coverage in Korean American community newspapers (2015) J Health Commun., 20 (6), pp. 720-727; Lee, J.Y., Kearns, R.A., Friesen, W., Seeking affective health care: Korean immigrants' use of homeland medical services (2010) Health Place, 16 (1), pp. 108-115; Oh, K.M., Jun, J., Zhou, Q., Kreps, G., Korean American women's perceptions about physical examinations and cancer screening services offered in Korea: The influences of medical tourism on Korean Americans (2014) J Community Health, 39 (2), pp. 221-229; Wang, L., Kwak, M.J., Immigration, barriers to healthcare and transnational ties: A case study of South Korean immigrants in Toronto, Canada (2015) Soc Sci Med., 133, pp. 340-348; Basch, L., Schiller, N.G., Blanc, C.S., Nations unbound: Transnational projects (1994) Postcolonial Predicaments, and Deterritorialized Nation-states, , New York, NY: Routledge; 1994; Schiller, N.G., Basch, L., Blanc-Szanton, C., Transnationalism: A new analytic framework for understanding migration (1992) Ann N Y Acad Sci., 645 (1), pp. 1-24; Itzigsohn, J., Immigration and the boundaries of citizenship: The institutions of immigrants' political transnationalism (2000) Int Migr Rev., 34 (4), pp. 1126-1154; Kivisto, P., Social spaces, transnational immigrant communities, and the politics of incorporation (2003) Ethnicities, 3 (1), pp. 5-28; Portes, A., Introduction: The debates and significance of immigrant transnationalism (2001) Glob Netw, 1 (3), pp. 181-194. , Oxf; Levitt, P., Transnational migration: Taking stock and future directions (2001) Glob Netw, 1 (3), pp. 195-216. , Oxf; McAlister, E., The madonna of 115th street revisited: Vodou and haitian catholicism in the age of transnationalism (1998) Gatherings in Diaspora: Religious Communities and the New Immigration, pp. 123-160. , Warner RS, Wittner JG, eds. Philadelphia, PA: Temple University Press; Min, P.G., (2010) Preserving Ethnicity through Religion in America: Korean Protestants and Indian Hindus across Generations, , New York, NY: NYU Press; Jang, S.H., First-generation Korean immigrants' barriers to healthcare and their coping strategies in the US (2015) Soc Sci Med., 168, pp. 93-100; Portes, A., Fernández-Kelly, P., Light, D., Life on the edge: Immigrants confront the American health system (2012) Ethn Racial Stud., 35 (1), pp. 3-22; Min, P.G., Problems of Korean immigrant entrepreneurs (1990) Int Migr Rev., 24 (3), pp. 436-455; Min, P.G., Bozorgmehr, M., United States: The entrepreneurial cutting edge (2003) Immigrant Entrepreneurs: Venturing Abroad in the Age of Globalization, pp. 17-37. , Kloosterman R, Rath J, eds. New York, NY: Berg/University of New York Press; Min, P.G., (2008) Ethnic Solidarity for Economic Survival: Korean Greengrocers in New York City, , New York, NY: Russell Sage Foundation; Yoon, I.J., The changing significance of ethnic and class resources in immigrant businesses: The case of Korean immigrant businesses in Chicago (1991) Int Migr Rev., 25 (2), pp. 303-332; Ryu, H., Young, W.B., Park, C., Korean American health insurance and health services utilization (2001) Res Nurs Health, 24 (6), pp. 494-505","Jang, S.H.; Department of Sociology, Graduate Center of City University of New York (CUNY)United States; email: sjang1@gradcenter.cuny.edu",,,"PNG Publications",,,,,10873244,,,"28601106","English","Am. J. Health Behav.",Article,"Final",,Scopus,2-s2.0-85020381619 "Crooks V.A., Whitmore R., Snyder J., Turner L.","35585107800;7005041258;24170239100;7202689997;","""Ensure that you are well aware of the risks you are taking…"": actions and activities medical tourists’ informal caregivers can undertake to protect their health and safety",2017,"BMC Public Health","17","1", 487,"","",,4,"10.1186/s12889-017-4442-1","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019586735&doi=10.1186%2fs12889-017-4442-1&partnerID=40&md5=ac56759ea8f6c7fba7f0c87c05fe658f","Department of Geography, Simon Fraser University, Burnaby, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Center for Bioethics, School of Public Health, University of Minnesota, Minneapolis, United States","Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, Canada; Whitmore, R., Department of Geography, Simon Fraser University, Burnaby, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Turner, L., Center for Bioethics, School of Public Health, University of Minnesota, Minneapolis, United States","Background: When seeking care at international hospitals and clinics, medical tourists are often accompanied by family members, friends, or other caregivers. Such caregiver-companions assume a variety of roles and responsibilities and typically offer physical assistance, provide emotional support, and aid in decision-making and record keeping as medical tourists navigate unfamiliar environments. While traveling abroad, medical tourists’ caregiver-companions can find themselves confronted with challenging communication barriers, financial pressures, emotional strain, and unsafe environments. Methods: To better understand what actions and activities medical tourists’ informal caregivers can undertake to protect their health and safety, 20 interviews were conducted with Canadians who had experienced accompanying a medical tourist to an international health care facility for surgery. Interview transcripts were subsequently used to identify inductive and deductive themes central to the advice research participants offered to prospective caregiver-companions. Results: Advice offered to future caregiver-companions spanned the following actions and activities to protect health and safety: become an informed health care consumer; assess and avoid exposure to identifiable risks; anticipate the care needs of medical tourists and thereby attempt to guard against caregiver burden; become familiar with important logistics related to travel and anticipated recovery timelines; and take practical measures to protect one’s own health. Conclusion: Given that a key feature of public health is to use research findings to develop interventions and policies intended to promote health and reduce risks to individuals and populations, the paper draws upon major points of advice offered by study participants to take the first steps toward the development of an informational intervention designed specifically for the health and safety needs of medical tourists’ caregiver companions. While additional research is required to finalize the content and form of such an intervention, this study provides insight into what practical advice former caregiver-companions state should be shared with individuals considering assuming these roles and responsibilities in the future. In addition, this research draws attention to the importance of ensuring that such an intervention is web-based and readily accessible by prospective caregiver-companions. © 2017 The Author(s).","Canada; Caregiver burden; Informal caregiving; Informational intervention; Medical tourism; Qualitative; Transnational care","attention; Canada; Canadian; caregiver burden; consumer; DNA transcription; exposure; female; human; human experiment; interview; male; medical tourism; public health; responsibility; safety; surgery; travel; adult; aged; Canada; caregiver; family; middle aged; prospective study; psychology; risk factor; very elderly; Adult; Aged; Aged, 80 and over; Canada; Caregivers; Family; Humans; Male; Medical Tourism; Middle Aged; Prospective Studies; Risk Factors; Safety Management",,,,,"Canadian Institutes of Health Research, CIHR Michael Smith Foundation for Health Research, MSFHR","This research was funded by an Operating Grant awarded by the Canadian Institutes of Health Research. VAC holds the Canada Research Chair in Health Services Geographies and a Scholar Award from the Michael Smith Foundation for Health Research. RW was funded through a Master?s Fellowship awarded by the Canadian Institutes of Health Research at times throughout the course of this study.",,"(2015) Caregiver burden takes a toll on mental health. CPHA health digest [internet], , http://www.cpha.ca/en/about/digest/39-4/11.aspx, Canadian Public Health Association [cited 2016 Jul 19]; XXXIX; Turcotte, M., (2013) Family caregiving: What are the consequences?, , http://www.statcan.gc.ca/pub/75-006-x/2013001/article/11858-eng.htm, [Internet]. 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(2013) Can Fam Physician, 59, pp. 1314-1319. , 24336547 3860932","Crooks, V.A.; Department of Geography, Simon Fraser UniversityCanada; email: crooks@sfu.ca",,,"BioMed Central Ltd.",,,,,14712458,,,"28532482","English","BMC Public Health",Article,"Final",Open Access,Scopus,2-s2.0-85019586735 "Vollaard H.","6505742791;","Patient mobility, changing territoriality and scale in the EU's internal market",2017,"Comparative European Politics","15","3",,"435","458",,4,"10.1057/cep.2016.8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018986670&doi=10.1057%2fcep.2016.8&partnerID=40&md5=dbe7ba2fc281a0662f59b8e3d63bdf87","Institute of Political Science, Leiden University the Netherlands, Wassenaarseweg 52, Leiden, AK 2333, Netherlands","Vollaard, H., Institute of Political Science, Leiden University the Netherlands, Wassenaarseweg 52, Leiden, AK 2333, Netherlands","Case law on cross-border patient mobility of the Court of Justice of the European Union (CJEU) is part of a larger process of liberalization of cross-border healthcare in the EU's internal market. It led to discussions about the end of territoriality in healthcare. If narrowly understood as territorial sovereignty, the internal market resulted in the end of territoriality in healthcare. However, the CJEU case law and its codification in the Patients' Rights Directive (PRD) have also resulted in the creation of a new EU territory in which EU citizens have the right to cross-border healthcare under certain conditions. Furthermore, Member States have up-scaled territorial control of the access of cross-border healthcare and its reimbursement to the European level through the restricted codification of case law in the PRD. In addition, Member States have maintained territorial control of their healthcare systems by the way they have implemented the case law and the PRD, as demonstrated here by the Dutch and Belgian cases, founding members with considerable experience with cross-border healthcare. Thus, territoriality as a strategy of control is still alive in publicly insured healthcare, foremost at the national scale, as is also reflected by the limited centrifugal tendencies among potentially mobile patients and border regions. © 2016 Macmillan Publishers Ltd.","Belgium; CJEU case law; Patients' Rights Directive; scale; territoriality; the Netherlands",,,,,,,,,"(2013) Wet Houdende Diverse Bepalingen Inzake Gezondheid, , http://www.ejustice.just.fgov.be/cgi-loi/change-lg.pl?language=nl&la=N&table-name=wet&cn=2013031903, Belgisch Staatsblad (19 March accessed 17 November 2015; (2013) Protocolakkoord Tussen de Federale Regering en de in Artikel 128,130, 135 en 138 Van de Grondwet Bedoelde Overheden Inzake de Organisatie en Financiering Van Een Nationaal Contactpunt Grensoverschrijdende Zorg (24 June, , http://reflex.raadvst-consetat.be/reflex/pdf/Mbbs/2013/07/24/124719.pdf, Belgisch Staatsblad accessed 17 November 2015; (2014) Koninklijk Besluit Tot Wijziging Van Het Koninklijk Besluit Nr. 78 Van 10 November 1967 Betreffende de Uitoefening Van de Gezondheidszorgberoepen, , http://www.ejustice.just.fgov.be/cgi-loi/loi-A.pl?N=&=&sql=(text+contains+(''))&rech=1&language=nl&tri=dd+AS+RANK&numero=1&table-name=wet&cn=1967111008&caller=image-A1&fromtab=wet&la=N&pdf-page=54&pdf-file=http://www.ejustice.just.fgov.be/mopdf/2014/03/13-1.pdf, Belgisch Staatsblad (11 February, accessed 17 November 2015; (2015) Aanhangsel Tot Wijziging Protocolakkoord Tussen de Federale Regering en de in Artikel 128,130, 135 en 138 Van de Grondwet Bedoelde Overheden Inzake de Organisatie en Financiering Van Een Nationaal Contactpunt Grensoverschrijdende Zorg, Gesloten Te Brussel Op 24 Juni 2013, , http://reflex.raadvst-consetat.be/reflex/pdf/Mbbs/2015/05/29/130699.pdf, Belgisch Staatsblad (30 March, accessed 17 November 2015; Brenner, N., Beyond state-centrism? 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New York Marcel Dekker; Vollaard, H., The logic of political territoriality (2009) Geopolitics, 14 (4), pp. 687-706; Vollaard, H., Martinsen, D.S., Bounded rationality in transposition processes: The case of the European patients' rights directive (2014) West European Politics, 37 (4), pp. 711-731; Vollaard, H., Martinsen, D.S., The rise of a European healthcare union (2016) Comparative European Politics; Vollaard, H., Van De Bovenkamp, H., Martinsen, D.S., The making of a European healthcare union: A federalist perspective (2016) Journal of European Public Policy, 23 (2), pp. 157-176; Watson, P.H., (1980) Social Security Law of the European Communities, , London: Mansell Publishing","Vollaard, H.; Institute of Political Science, Leiden University the Netherlands, Wassenaarseweg 52, Netherlands; email: vollaard@fsw.leidenuniv.nl",,,"Palgrave Macmillan Ltd.",,,,,14724790,,,,"English","Comp. Euro. Polit.",Article,"Final",,Scopus,2-s2.0-85018986670 "Yeo H.J., Cho W.H., Park J.M., Kim D.","52664703300;56812479400;56467492500;57203012544;","Interhospital transport system for critically ill patients: Mobile extracorporeal membrane oxygenation without a ventilator",2017,"Korean Journal of Thoracic and Cardiovascular Surgery","50","1",,"8","13",,4,"10.5090/kjtcs.2017.50.1.8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85012023510&doi=10.5090%2fkjtcs.2017.50.1.8&partnerID=40&md5=7d086c47fe68afccc1faa4f6ddf49d82","Department of Pulmonology and Critical Care Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, South Korea; Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, South Korea","Yeo, H.J., Department of Pulmonology and Critical Care Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, South Korea; Cho, W.H., Department of Pulmonology and Critical Care Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, South Korea; Park, J.M., Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, South Korea; Kim, D., Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, South Korea","Background: Extracorporeal membrane oxygenation (ECMO) has been successfully used as a method for the interhospital transportation of critically ill patients. In South Korea, a well-established ECMO interhospital transport system is lacking due to limited resources. We developed a simplified ECMO transport system without mechanical ventilation for use by public emergency medical services. Methods: Eighteen patients utilized our ECMO transport system from December 2011 to September 2015. We retrospectively analyzed the indications for ECMO, the patient status during transport, and the patient outcomes. Results: All transport was conducted on the ground by ambulance. The distances covered ranged from 26 to 408 km (mean, 65.9±88.1 km) and the average transport time was 56.1±57.3 minutes (range, 30 to 280 minutes). All patients were transported without adverse events. After transport, 4 patients (22.2%) underwent lung transplantation because of interstitial lung disease. Eight patients who had severe acute respiratory distress syndrome showed recovery of heart and lung function after ECMO therapy. A total of 13 patients (70.6%) were successfully taken off ECMO, and 11 patients (61.1%) survived. Conclusion: Our ECMO transport system without mechanical ventilation can be considered a safe and useful method for interhospital transport and could be a good alternative option for ECMO transport in Korean hospitals with limited resources. © The Korean Society for Thoracic and Cardiovascular Surgery. 2017. All right reserved.","Acute respiratory distress syndrome (ARDS); Emergency medical system; Extracorporeal membrane oxygenation; Patient transfer",,,,,,,,,"Peek, G.J., Mugford, M., Tiruvoipati, R., Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial (2009) Lancet, 374, pp. 1351-1363; Ciapetti, M., Cianchi, G., Zagli, G., Feasibility of inter-hospital transportation using extra-corporeal membrane oxygenation (ECMO) support of patients affected by severe swine-flu(H1N1)-related ARDS (2011) Scand J Trauma Resusc Emerg Med, 19, p. 32; Lee, S.G., Son, B.S., Kang, P.J., The feasibility of extracorporeal membrane oxygenation support for inter-hospital transport and as a bridge to lung transplantation (2014) Ann Thorac Cardiovasc Surg, 20, pp. 26-31; Raghavendran, K., Napolitano, L.M., ALI and ARDS: challenges and advances (2011) Crit Care Clin, 27, pp. xiii-xiv; Broman, L.M., Holzgraefe, B., Palmer, K., Frenckner, B., The Stockholm experience: interhospital transports on extracorporeal membrane oxygenation (2015) Crit Care, 19, p. 278; Bryner, B., Cooley, E., Copenhaver, W., Two decades' experience with interfacility transport on extracorporeal membrane oxygenation (2014) Ann Thorac Surg, 98, pp. 1363-1370; Kluge, S., Braune, S.A., Engel, M., Avoiding invasive mechanical ventilation by extracorporeal carbon dioxide removal in patients failing noninvasive ventilation (2012) Intensive Care Med, 38, pp. 1632-1639; Fuehner, T., Kuehn, C., Hadem, J., Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation (2012) Am J Respir Crit Care Med, 185, pp. 763-768; Wiesner, O., Hadem, J., Sommer, W., Kuhn, C., Welte, T., Hoeper, M.M., Extracorporeal membrane oxygenation in a nonintubated patient with acute respiratory distress syndrome (2012) Eur Respir J, 40, pp. 1296-1298","Kim, D.; Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, 20 Geumo-ro, South Korea; email: yumccs@nate.com",,,"Korean Society for Thoracic and Cardiovascular Surgery",,,,,2233601X,,,,"English","Korean J. Thorac. Cardiovasc. Surg.",Article,"Final",Open Access,Scopus,2-s2.0-85012023510 "Ormond M.","7801551522;","Knowledge transfer in the 'medical tourism' industry: The role of transnational migrant patients and health workers",2016,"Handbook of Migration and Health",,,,"498","514",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075841556&partnerID=40&md5=249ee1f5d4719801a0e13439b3c10aa7","Wageningen University, Netherlands","Ormond, M., Wageningen University, Netherlands",[No abstract available],,,,,,,,,,"Blackler, F., Knowledge, knowledge work and organizations (2002) The Strategic Management of Intellectual Capital and Organizational Knowledge, pp. 47-62. , in C. W. Choo and N. Bontis (eds.), New York: Oxford University Press; Bochaton, A., Cross-border mobility and social networks: Laotians seeking medical treatment along the Thai border (2015) Social Science & Medicine, 124, pp. 364-373; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Casey, V., Crooks, V.A., Snyder, J., Turner, L., 'You're dealing with an emotionally charged individual...': An industry perspective on the challenges posed by medical tourists' informal caregiver-companions (2013) Global Health, 9 (31); Connell, J., (2011) Medical Tourism, , London: CABI; Connell, J., Medical tourism in the Caribbean Islands: A cure for economies in crisis (2013) Island Studies Journal, 8 (1), pp. 115-130; Connell, J., Walton-Roberts, M., What about the workers? The missing geographies of health care (2015) Progress in Human Geography, 40, pp. 158-176; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320; de Freitas, C., Health has no borders: Cape Verdean immigrants in the Netherlands and the transnational quest for health care across Europe (2005) International Journal of Migration, Health, and Social Care, 1 (1), pp. 19-36; Faist, T., Migrants as transnational development agents: An inquiry into the newest round of the migration-development nexus (2008) Population, Space and Place, 14 (1), pp. 21-42; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Hellyer, M., (2012) Draft National Strategy for Medical Tourism, , http://c-nsc.org/download/trade_in_services/Trinidad%20and%20Tobago%20-%20Medical%20Tourism.pdf, Trinidad and Tobago Coalition of Services Industries, available online at; Jamaica argues it is ready for medical tourism (2013) International Medical Travel Journal, , www.imtj.com/news/?entryid82=428628, 4 October, available online at; Mackintosh, M., Mensah, K., Henry, L., Rowson, M., Aid, restitution and international fiscal redistribution in health care: Implications of health professionals' migration (2006) Journal of International Development, 18 (6), pp. 757-770; Matsuno, A., Nurse migration: The Asian perspective (2009) ILO/EU Asian Programme on the Governance of Labour Migration Technical Note, , http://www.ilo.org/wcmsp5/groups/public/---asia/---ro-bangkok/documents/publication/wcms_160629, available online at pdf; Mitchell, K., In whose interest? Transnational capital and the production of multiculturalism in Canada (1996) Global/Local: Culture and the Production of the Transnational Imaginary, pp. 219-254. , in R. Wilson and W. Dissanayake (eds.), Durham: Duke University Press; Nielsen, S.S., Yazici, S., Petersen, S.G., Blaakilde, A.L., Krasnik, A., Use of cross-border healthcare services among ethnic Danes, Turkish immigrants and Turkish descendants in Denmark: A combined survey and registry study (2012) BMC Health Services Research, 12 (1); Opiniano, J.M., Castro, T.A., Promoting knowledge transfer activities through diaspora networks: A pilot study on the Philippines (2006) Converting Migration Drains into Gains: Harnessing the Resources of Overseas Professionals, pp. 73-97. , in C. Wescott and J. M. Brinkerhoff (eds.), Manila: Asian Development Bank; Ormond, M., Claiming 'cultural competence': The promotion of multi-ethnic Malaysia as a medical tourism destination (2012) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 187-200. , in C. M. Hall (ed.), London: Routledge; Ormond, M., Harnessing 'diasporic' medical mobilities (2013) Migration, Health and Inequality, pp. 150-162. , in F. Thomas and J. Gideon (eds.), London: Zed Books; Ormond, M., Medical tourism (2014) The Wiley-Blackwell Companion to Tourism, pp. 425-434. , in A. A. Lew, C. M. Hall and A. Williams (eds.), Malden, MA: John Wiley & Sons; Ormond, M., 'Solidarity by demand? Exit and voice in international medical travel-the case of Indonesia (2015) Social Science & Medicine, 124, pp. 305-312; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on South-South intra-regional medical travel (2014) Current Issues in Tourism, , published online; Pandey, A., Aggarwal, A., Devane, R., Kuznetsov, Y., (2004) India's Transformation To Knowledge-Based Economy: Evolving Role of the Indian Diaspora, , http://info.worldbank.org/etools/docs/library/152386/abhishek.pdf, Washington, DC: World Bank, available online at; Raghuram, P., Thinking UK's medical labour market transnationally (2008) The International Migration of Health Workers, pp. 182-198. , in J. Connell (ed.), London: Routledge; Şekercan, A., Lamkaddem, M., Snijder, M.B., Peters, R.J., Essink-Bot, M.L., Healthcare consumption by ethnic minority people in their country of origin (2014) The European Journal of Public Health, 25; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Snyder, J., Crooks, V.A., Johnston, R., Adams, K., Whitmore, R., Medical tourism's impacts on health worker migration in the Caribbean: Five examples and their implications for global justice (2015) Global Health Action, p. 8; Stan, S., Transnational healthcare practices of Romanian migrants in Ireland: Inequalities of access and the privatisation of healthcare services in Europe (2015) Social Science & Medicine, 124, pp. 346-355; Sun, K.C.Y., Transnational healthcare seeking: How ageing Taiwanese return migrants view homeland public benefits (2014) Global Networks, 14 (4), pp. 533-550; Temenos, C., McCann, E., Geographies of policy mobilities (2013) Geography Compass, 7 (5), pp. 344-357; (2012) Evaluation Report on Medical Tourism in Turkey, 2012, , www.saglikturizmi.gov.tr/admin/content_img/general/big_images/VY8HA0NDoT.pdf, Ankara: Department of Health Tourism, Republic of Turkey Ministry of Health, available online at; Walton-Roberts, M., International migration of health professionals and the marketization and privatization of health education in India: From push-pull to global political economy (2015) Social Science & Medicine, 124, pp. 374-382; Wang, D., Activating cross-border brokerage: Interorganizational knowledge transfer through skilled return migration (2014) Administrative Science Quarterly, 60 (1), pp. 133-176; Warnes, A.M., Williams, A., Older migrants in Europe: A new focus for migration studies (2006) Journal of Ethnic and Migration Studies, 32 (8), pp. 1257-1281; Wendland, C.L., Moral maps and medical imaginaries: Clinical tourism at Malawi's college of medicine (2012) American Anthropologist, 114 (1), pp. 108-122; Whittaker, A., 'Outsourced' patients and their companions: Stories from forced medical travellers (2015) Global Public Health, 10 (4), pp. 485-500; Williams, A.M., International labour migration and tacit knowledge transactions: A multi-level perspective (2007) Global Networks, 7 (1), pp. 29-50; Williams, A.M., Listen to me, learn with me: International migration and knowledge transfer (2007) British Journal of Industrial Relations, 45 (2), pp. 361-382; Williams, A.M., Hall, C.M., Tourism and migration: New relationships between production and consumption (2000) Tourism Geographies, 2 (1), pp. 5-27; Williams, A.M., Baláž, V., International return mobility, learning and knowledge transfer: A case study of Slovak doctors (2008) Social Science & Medicine, 67 (11), pp. 1924-1933","Ormond, M.; Wageningen UniversityNetherlands",,,"Taylor and Francis",,,,,,9781784714789; 9781784714772,,,"English","Handb. of Migr. and Health",Book Chapter,"Final",,Scopus,2-s2.0-85075841556 "Uçak H.","36661455300;","The relationship between the growth in the health sector and inbound health tourism: the case of Turkey",2016,"SpringerPlus","5","1", 1685,"","",,4,"10.1186/s40064-016-3341-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84989360970&doi=10.1186%2fs40064-016-3341-8&partnerID=40&md5=d1aec28ac830f9785604856b13b7dc5e","Department of Economics and Finance, Faculty of Business, Alanya Alaaddin Keykubat University, Alanya, Antalya, Turkey","Uçak, H., Department of Economics and Finance, Faculty of Business, Alanya Alaaddin Keykubat University, Alanya, Antalya, Turkey","One of the consequences of globalisation for Turkey, as well as in other emerging countries, has been an increasing trend in health tourism. Households have been considered choice the best option in terms of price and alternative possibilities while they have been solved their health problems. Previous studies have argued that the main drivers of the growth of inbound health tourism to developing countries are lower costs, shorter waiting periods, and better quality of care. This study aimed to test the effect of health and social service sector growth on the flow of inbound health tourism between 2004:Q1 and 2015:Q4 by employing Granger causality and Johansen cointegration approaches. Our findings suggested that there is a long-run Granger causality from domestic health and social work expenditures to health tourism income whereas this is non-existence in the opposite direction. © 2016, The Author(s).","Granger causality; Health and social work expenditures; Health tourism; Johansen cointegration",,,,,,,,,"Chen, Y.Y.B., Flood, C.M., Medical tourism’s impact on health care equity and access in low- and middle-income countries: making the case for regulation (2013) J Law Med Ethics, 41, pp. 286-300. , PID: 23581671; Connell, J., Medical tourism: sea, sun, sand and surgery (2006) Tour Manag, 27 (6), pp. 1093-1100; Connell, J., A new inequality? Privatisation, urban bias, migration and medical tourism (2011) Asia Pac Viewp, 52, pp. 260-271. , PID: 22216475; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tour Manag, 34, pp. 1-13; Dickey, D.A., Fuller, W.A., Distribution of the estimators for autoregressive time series with a unit root (1981) Econometrica, 49 (4), pp. 1057-1072; Engle, R.F., Granger, C.W.J., Cointegration and error correction: representation, estimation and testing (1987) Econometrica, 55, pp. 251-276; Goodrich, J.N., Goodrich, G.E., Health-caretourism—an exploratory study (1987) Tour Manag, 8 (3), pp. 217-222; Granger, C.W.J., Investigating causal relations by econometric models and cross-spectral methods (1969) Econometrica, 37, pp. 424-438; Granger, C.W.J., Some recent development in a concept of causality (1988) J Econom, 39 (1-2), pp. 199-211; Gujarati, D.N., Porter, D.C., (2009) Basic econometrics, , McGraw-Hill, New York; Henderson, J.C., Healthcare tourism in southeast Asia (2004) Tourism Rev Int, 7 (3-4), pp. 111-121; Horowitz, M.D., Rosensweig, J.A., Medical tourism vs. traditional international medical travel: a tale of two models (2008) Int Med Travel J, 3, pp. 30-33; Horowitz, M.D., Rosensweig, J.A., Jones, A.J., Medical tourism: globalization of the healthcare marketplace (2007) MedGenMed, 9 (4), p. 33. , PID: 18311383; Huarng, K.H., Moutinho, L., Yu, T.H.K., An advanced approach to forecasting tourism demand in Taiwan (2006) J Travel Tour Mark, 21 (4), pp. 15-24; Johansen, S., Statistical analysis of cointegration vectors (1988) J Econ Dyn Control, 12, pp. 231-234; Johansen, S., Estimation and hypothesis testing of cointegration vectors in Gaussian vector autoregressive models (1991) Econometrica, 55, pp. 1551-1580; Johansen, S., Juselius, K., Maximum likelihood estimation and inference on cointegration: with applications to the demand for money (1990) Oxford Bull Econ Stat, 52 (2), pp. 169-210; Jónás-Berki, M., Csapó, J., Pálfi, A., Antal Aubert, A., Market and spatial perspective of health tourism destinations: the Hungarian experience (2015) Int J Tour Res, 17, pp. 602-612; Laing, J.H., Weiler, B., Mind, body and spirit: health and wellness tourism in Asia (2008) Asian tourism: growth and change, pp. 379-389. , Cochrane J, (ed), Elsevier Publishing, Oxford; Lee, C.G., Hung, W.T., Tourism, health and income in Singapore (2010) Int J Tourism Res, 12, pp. 355-359; Leng, C.H., Medical tourism and the state in Malaysia and Singapore (2010) Glob Soc Policy, 10 (3), pp. 336-357; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfal, D., Mannion, R., (2011) Medical tourism: treatments, markets and health system implications: a scoping review, , OECD, Directorate for Employment, Labour and Social Affairs, Paris; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2011) Bull World Health Organ, 89, pp. 336-344. , PID: 21556301; OECD, (2014) Tourism trends and policies 2014, , OECD Publishing, Paris; OECD, (2014) OECD reviews of health care quality: Turkey 2014: raising standards, , OECD Publishing, Paris; Ormond, M., Shifting subjects of health-care: placing ‘medical tourism’ in the context of Malaysian domestic health-care reform (2011) Asia Pac Viewp, 52, pp. 247-259. , PID: 22216474; Park, S., Lee, J., Song, W., Short-term forecasting of japanese tourist inflow to South Korea using google trends data (2016) J Travel Tour Mark; Phillips, P., Perron, P., Testing for a unitroot in time series regression (1988) Biometrica, 75 (2), pp. 335-346; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Glob Health, 7, p. 12; Porter, M., (1990) The competitive advantage of nations, , The Free Press, New York; Qi, W., An empirical study on the relationship between medical tourism and the GATS commitments (2011) 2nd year in Economic Policy; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: students’ perspective on medical tourism (2010) Int J Tour Res, 1285, pp. 510-522; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73 (4), pp. 300-304. , PID: 23007007; Schalber, C., Peters, M., Determinants of health tourism competitiveness: an Alpine case study (2012) Tour Int Interdiscip J, 60 (3), pp. 307-323; Smeral, E., The impact of globalization on small and medium enterprises: new challenges for tourism policies in European countries (1998) Tour Manag, 19 (4), pp. 371-380; Sultana, S., Haque, A., Momen, A., Yasmın, F., Factors affectingtheattractiveness of medical tourism destination: an empirical study on India (2014) Iran J Public Health, 43 (7), pp. 867-876. , PID: 25909055; Torraleja, F.A.G., Vázquez, A.M., Franco, M.J.B., Flows into tourist areas: an econometric approach (2009) Int J Tour Res, 11 (1), pp. 1-15; T.R. Ministry of Development, (2014) The tenth development plan 2014–2018, , T.R. Ministry of Development, Ankara; Department of Economic and Social Affairs Population Division, ST/ESA/SER.A/348 (2013) United Nations Publication; UNWTO, (2016) UNWTO tourism highlights, , United Nations World Tourism Organization, Madrid; WHO Regional Office for Europe, (2012) Successful health system reforms, the case of Turkey, , WHO Regional Office for Europe, Denmark","Uçak, H.; Department of Economics and Finance, Faculty of Business, Alanya Alaaddin Keykubat UniversityTurkey; email: harun.ucak@alanya.edu.tr",,,"SpringerOpen",,,,,21931801,,,,"English","SpringerPlus",Article,"Final",Open Access,Scopus,2-s2.0-84989360970 "Frikha M., Mhiri M., Zarai M., Gargouri F.","57213692410;36746984800;57191293196;6602113319;","Using TMT ontology in trust based medical tourism recommender system",2016,"Proceedings of IEEE/ACS International Conference on Computer Systems and Applications, AICCSA","0",, 7945768,"","",,4,"10.1109/AICCSA.2016.7945768","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021907034&doi=10.1109%2fAICCSA.2016.7945768&partnerID=40&md5=7c8d1d8b7527ac806643f1f23d3a5278","University of Sfax, MIRACL Laboratory, Sfax, Tunisia","Frikha, M., University of Sfax, MIRACL Laboratory, Sfax, Tunisia; Mhiri, M., University of Sfax, MIRACL Laboratory, Sfax, Tunisia; Zarai, M., University of Sfax, MIRACL Laboratory, Sfax, Tunisia; Gargouri, F., University of Sfax, MIRACL Laboratory, Sfax, Tunisia","Medical tourism is a domain rich of data that are stored in many hundreds of data sources. Many of these sources should be used during the development of tourism information systems. That is why, it is very important to create a referential model that represents the medical tourism in Tunisia. The e-tourism ontology provides a way to achieve integration and interoperability through the use of shared vocabulary and meanings for terms with respect to other terms. In this paper, we will create an ontology as a very expressive hierarchy of categories, populating with information from Tunisian medical tourism providers' services that represent all concepts and relations of the medical tourism in Tunisia. This ontology will be integrated in a trust based recommender system to deal with the lack of semantic information in personalized recommendation in tourism domain. © 2016 IEEE.","Ontology; Recommender systems; Semantic web mining; Social Network; Tourism; Trust","Ontology; Social networking (online); Data-sources; eTourism; Personalized recommendation; Semantic information; Semantic Web mining; Tourism; Tourism information system; Trust; Recommender systems",,,,,,,,"Rathod, A., Indiramma, M., (2015) A Survey of Personalized Recommendation System with User Interest in Social Network; Qian, X., Personalized recommendation combining user interest and social circle (2014) Knowledge and Data Engineering, IEEE Transactions on, 26 (7), pp. 1763-1777; Yang, X., Steck, H., Liu, Y., (2012) Circle-based Recommendation in Online Social Networks, pp. 1267-1275; He, J., Chu, W.W., A social network-based recommender system (snrs) (2010) Data Mining for Social Network Data, pp. 47-74; Dell'Erba, M., Harmonise: A solution for data interoperability (2003) Towards the Knowledge Society, pp. 433-445. , Springer; Noy, N.F., McGuinness, D.L., (2001) Ontology Development 101: A Guide to Creating Your First Ontology, , Stanford knowledge systems laboratory technical report KSL-01-05 and Stanford medical informatics technical report SMI-2001-0880, Stanford, CA; Prantner, K., (2007) Tourism Ontology and Semantic Management System: State-of-the-arts Analysis; Campos, P.G., Díez, F., Cantador, I., Time-aware recommender systems: A comprehensive survey and analysis of existing evaluation protocols (2014) User Modeling and User-Adapted Interaction, 24 (1-2), pp. 67-119; Haydar, C., Boyer, A., Roussanaly, A., Time-aware trust model for recommender systems (2015) International Symposium on Web AlGorithms, , Jun 2015, Deauville, France; Staab, S., Intelligent systems for tourism (2002) IEEE Intelligent Systems, 17 (6), pp. 53-64; Borras, J., Moreno, A., Valls, A., Intelligent tourism recommender systems: A survey (2014) Expert Systems with Applications, 41 (16), pp. 7370-7389; Sebastia, L., E-Tourism: A tourist recommendation and planning application (2009) International Journal on Artificial Intelligence Tools, 18 (5), pp. 717-738; Mínguez, I., Berrueta, D., Polo, L., Cruzar: An application of semantic (2009) Cases on Semantic Interoperability for Information Systems Integration: Practices and Applications: Practices and Applications, p. 255; Sebastia, L., Yuste, D.G., Inma, G., Eva, A.O., A highly interactive tourism recommender system for multi-day trips workshop on tourism recommender systems (2015) Conjunction with the 9th ACM Conference on Recommender Systems (RecSys), , Vienna, Austria; Moreno, A., Sigtur/e-destination: Ontology-based personalized recommendation of tourism and leisure activities (2013) Engineering Applications of Artificial Intelligence, 26 (1), pp. 633-651; White, L., Facebook, friends and photos: A snapshot into social networking (2009) Tourism Informatics: Visual Travel Recommender Systems, Social Communities, and User Interface Design, pp. 115-129; Höpken, W.C., Ciaran tourism harmonisation trans-european network, final ontology report (2006) Project WEB Site Address, , www.harmo-ten.org; Ou, S., Development and Alignment of a Domain-Specific Ontology for Question Answering (2008) Proceedings of the 6th Edition of the Language Resources and Evaluation Conference (LREC); Hepp, M., Siorpaes, K., Bachlechner, D., Towards the semantic web in e-tourism: Can annotation do the trick (2006) Proceedings of the Fourteenth European Conference on Information Systems, , Sweden; Ruiz-Martnez, J.M., Ontology population: An application for the e-tourism domain (2011) International Journal of Innovative Computing, Information and Control (IJICIC), 7 (11), pp. 6115-6134; Barta, R., Covering the semantic space of tourism: An approach based on modularized ontologies (2009) Proceedings of the 1st Workshop on Context, Information and Ontologies, p. 1; Papagelis, M., Plexousakis, D., Kutsuras, T., Alleviating the sparsity problem of collaborative filtering using trust inferences (2005) Trust Management, pp. 224-239. , Springer; Guo, G., Zhang, J., Thalmann, D., A simple but effective method to incorporate trusted neighbors in recommender systems (2012) User Modeling, Adaptation, and Personalization, pp. 114-125. , Springer; Golbeck, J., Hendler, J., Filmtrust: Movie recommendations using trust in web-based social networks (2006) IEEE Computer Society Press, Los Alamitos, pp. 282-286; Guo, G., From ratings to trust: An empirical study of implicit trust in recommender systems (2014) Proceedings of the 29th Annual ACM Symposium on Applied Computing, pp. 248-253; Deng, S., Huang, L., Xu, G., Social network-based service recommendation with trust enhancement (2014) Expert Systems with Applications, 41 (18), pp. 8075-8084; Wu, Q., A computational model for trust-based collaborative filtering (2013) Web Information Systems Engineering-WISE 2013 Workshops Springer, pp. 266-279; Gupta, S., Nagpal, S., Trust aware recommender systems: A survey on implicit trust generation techniques (2015) International Journal of Computer Science and Information Technologies, 6 (4); Frikha, M., Mhiri, M., Gargouri, F., A semantic social recommender system using ontologies based approach for tunisian tourism (2015) Advances in Distributed Computing and Artificial Intelligence Journal(ADCAIJ), 4 (1), pp. 90-106; Podobnik, V., How to calculate trust between social network users (2012) Software, Telecommunications and Computer Networks (SoftCOM), 2012 20th International Conference on IEEE, pp. 1-6; Haydar, C., Les systèmes de recommandation a base de confiance (2014) Doctoral Thesis, University of Lorraine, France; Frikha, M., Time-sensitive trust calculation between social network friends for personalized recommendation (2016) Proceedings of the 18th Annual International Conference on Electronic Commerce: E-Commerce in Smart Connected World (ICEC '16), p. 36. , Suwon, Republic of Korea, August 17-19, 2016. ACM; Subramani, M.R., Rajagopalan, B., Knowledge-sharing and influence in online social networks via viral marketing (2003) Communications of the ACM, 46 (12), pp. 300-307; Yang, S., Allenby, G.M., Modeling interdependent consumer preferences (2003) Journal of Marketing Research, 40 (3), pp. 282-294; Frikha, M., Mhiri, M., Gargouri, F., Toward a user interest ontology to improve social network-based recommender system (2014) Advanced Approaches to Intelligent Information and Database Systems, pp. 255-264. , Springer; Abbasi, M.A., Tang, J., Liu, H., Trust-aware recommender systems (2014) Machine Learning Book on Computational Trust, , Chapman & Hall/CRC Press; Abderrahim, N., Benslimane, S.M., Towards improving recommender system: A social trust-aware approach (2015) International Journal of Modern Education and Computer Science (IJMECS), 7 (2), p. 8; Frikha, M., Mhiri, M., Gargouri, F., Designing a user interest ontology-driven social recommender system: Application for tunisian tourism (2015) Trends in Practical Applications of Agents, Multi-Agent Systems and Sustainability, pp. 159-166. , Springer; Cardoso, J., Developing an owl ontology for e-tourism (2006) Semantic Web Services, Processes and Applications, pp. 247-282. , Springer",,,,"IEEE Computer Society","13th IEEE/ACS International Conference of Computer Systems and Applications, AICCSA 2016","29 November 2016 through 2 December 2016",,128291,21615322,9781509043200,,,"English","Proc. IEEE/ACS Int. Conf. Comput. Syst. Appl., AICCSA",Conference Paper,"Final",,Scopus,2-s2.0-85021907034 "Jun J.","44161101900;","Framing Service, Benefit, and Credibility Through Images and Texts: A Content Analysis of Online Promotional Messages of Korean Medical Tourism Industry",2016,"Health Communication","31","7",,"845","852",,4,"10.1080/10410236.2015.1007553","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949208429&doi=10.1080%2f10410236.2015.1007553&partnerID=40&md5=264c74fa0fd49705cbe9692335615515","Department of Communication, Wayne State University, United States","Jun, J., Department of Communication, Wayne State University, United States","This study examines how the Korean medical tourism industry frames its service, benefit, and credibility issues through texts and images of online brochures. The results of content analysis suggest that the Korean medical tourism industry attempts to frame their medical/health services as “excellence in surgeries and cancer care” and “advanced health technology and facilities.” However, the use of cost-saving appeals was limited, which can be seen as a strategy to avoid consumers’ association of lower cost with lower quality services, and to stress safety and credibility. © 2015 Taylor & Francis.",,"economics; financial management; health care cost; health care quality; health promotion; human; Internet; medical tourism; North Korea; procedures; Democratic People's Republic of Korea; Health Expenditures; Health Promotion; Humans; Internet; Marketing of Health Services; Medical Tourism; Quality of Health Care",,,,,,,,"An, D., Understanding medical tourists in Korea: Cross-cultural perceptions of medical tourism among patients from the USA, Russia, Japan, and China (2014) Asia Pacific Journal of Tourism Research, 19, pp. 1141-1169; Bennett, W., (2005) News: The politics of illusion, , 6th ed., New York, NY: Pearson Longman; Block, L.G., Keller, P.A., When to accentuate the negative: The effects of perceived efficacy and message framing on intentions to perform a health-related behavior (1995) Journal of Marketing Research, 32, p. 192; Bramstedt, K.A., Xu, J., Checklist: Passport, plane ticket, organ transplant (2007) American Journal of Transplantation, 7, pp. 1698-1701; Carrol, J., Long-distance medicine: U.S. businesses are looking overseas for a way to keep employee health-care costs down (2007) American Way, pp. 56-57; (2012) National health expenditure projections 2012–2022, , http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/Proj2012.pdf, Retrieved from; Chang, C.-T., Interactive effects of message framing, product perceived risk, and mood— The case of travel healthcare product advertising (2007) Journal of Advertising Research, 47, p. 51; Chinai, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85, pp. 164-165; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10, p. 266; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72, pp. 726-732; Druckman, J., The implications of framing effects for citizen competence (2001) Political Behavior, 23, pp. 225-256; Gerend, M.A., Maner, J.K., Fear, anger, fruits, and veggies: Interactive effects of emotion and message framing on health behavior (2011) Health Psychology, 30, pp. 420-423; (2009) Medical treatment abroad, affordable healthcare options, travel health abroad, , http://www.globalbenefitoptions.com/facts_about_medical_tourism.html, Retrieved, from; Goffman, E., (1986) Frame analysis: An essay on the organization of experience, , Boston, MA: Northeastern University Press; Guiry, M., Vequist, D.G., The role of professional values in determining U.S. medical tourists’ expectations and perceptions of healthcare facility service quality: An exploratory investigation (2010) Journal of Tourism Challenges & Trends, 3, pp. 115-140; (2012) National Cancer Institute, , http://hints.cancer.gov/question-details.aspx?dataset=2005&qid=757&qdid=1482, Retrieved from; Hong, S., Top-level hospitals’ profit has increased at 34% in the past 4 years (2013) Financial News, , http://www.fnnews.com/view?ra=Sent0901m_View&corp=fnnews&arcid=201310160100169850008850&cDateYear=2013&cDateMonth=10&cDateDay=16, Retrieved from; Jenner, E.A., Unsettled borders of care: Medical tourism as a new dimension in America’s health care crisis (2008) Research in the sociology of health care, 26, pp. 235-249. , http://www.emeraldinsight.com/10.1016/S0275-4959(08)26011-4, Bingley, UK: Emerald (MCB UP), Retrieved from; Jin, J., The Korean Ministry of Culture, Sports, and Tourism allocated 5.5 million for medical tourism (2014) Meditimes, , http://www.meditimes.net/news/articleView.html?idxno=1907, Retrieved from; Jun, J., Oh, K.M., (2015) Framing risks and benefits of medical tourism: A content analysis of medical tourism coverage in Korean American community newspapers, pp. 720-727. , Journal of Health Communication; Karuppan, C.M., Healthcare tourism: Accelerating diffusion through a more effective use of communication channels (2010) Journal of Communication in Healthcare, 3, pp. 24-36; (2011) Understanding of the foreign patients registration project, , http://www.medicalkorea.or.kr/webzine/html/04.stats/02.html, Retrieved from; (2013) Statistics on international patients in Korea, 2011, , http://medicalkorea.khidi.or.kr/BOARD_FILE/B1/428_2011, Retrieved from; (2013) The foreign patients status, , http://khiss.go.kr/board/bbs_read.jsp?tname=MINBOARD358&bbsid=B205&bbs_seq=10&jkey=&jword=&pg=1&htxt_code=12536976882961856391090949807930&wj_vcs=, Retrieved, from; (2013) The prospect of foreign patients, , http://khiss.go.kr/board/bbs_read.jsp?tname=MINBOARD358&bbsid=B205&bbs_seq=11&jkey=&jword=&pg=1&htxt_code=12536976882961856391090949807930&wj_vcs=, Retrieved, from; Kumar, S., Breuing, R., Chahal, R., Globalization of health care delivery in the United States through medical tourism (2012) Journal of Health Communication, 17, pp. 177-198; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) Journal of Health Communication, 16, pp. 163-177; (2012) Council for Korea medicine overseas promotion, , http://www.medicaltourskorea.com/industry/mtk-news/46-council-for-korea-medicine-overseas-promotion, Retrieved from; (2011) Health at a glance 2011 OECD indicators, , http://encompass.library.cornell.edu/cgi-bin/checkIP.cgi?access=gateway_standard%26url=http://dx.doi.org/10.1787/health_glance-2011-en, Organization for Economic Cooperation & Development Brookings Institution Press, Retrieved from; Oh, K.M., Jun, J., Zhou, Q., Kreps, G., Korean American women’s perceptions about physical examinations and cancer screening services offered in Korea: The influences of medical tourism on Korean Americans (2014) Journal of Community Health, 39, pp. 221-229; Pachisa, M., Top 10 reasons why medical tourism is popular (2007) Korean Times, , http://www.associatedcontent.com/article/506179/top_10_reasons_why_medicaltou, Retrieved from; Peng, W., Tang, L., Health content in Chinese newspapers (2010) Journal of Health Communication, 15, pp. 695-711; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12, p. 17; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization & Health, 7, pp. 12-23; Sengupta, A., Medical tourism: Reverse subsidy for the elite (2011) Signs, 36, pp. 312-319; Shim, J., Medical tourists increasing rapidly (2013) Korea Times, , http://koreatimes.co.kr/www/news/nation/2013/04/113_133635.html, Retrieved from; (2013) Introduction of Seoul National University Hospital, , http://www.snuh.org/english/snuh/snuh04/sub01/, Retrieved, from; Sobo, E.J., Herlihy, E., Bicker, M., Selling medical travel to US patient-consumers: The cultural appeal of website marketing messages (2011) Anthropology & Medicine, 18, pp. 119-136; Tewksbury, D., Scheufele, D.A., News framing theory and research (2009) Media effect: Advances in theory and research effect, , Bryant J., Oliver M., (eds), New York, NY: Routledge; (2010) Highlights: 2010–U.S Census Bureau, , http://www.census.gov/hhes/www/hlthins/data/incpovhlth/2010/highlights.html, Retrieved from; Weber, R.P., (1990) Basic content analysis, , 2nd ed., Newbury Park, CA: Sage Publications","Jun, J.; Department of Communication, Wayne State UniversityUnited States; email: junjungmi@gmail.com",,,"Routledge",,,,,10410236,,,"26644259","English","Health Commun.",Article,"Final",,Scopus,2-s2.0-84949208429 "Frischhut M., Fahy N.","56731127000;16024709400;","Patient mobility in times of austerity: A legal and policy analysis of the petru case",2016,"European Journal of Health Law","23","1",,"36","60",,4,"10.1163/15718093-12341378","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84960458414&doi=10.1163%2f15718093-12341378&partnerID=40&md5=87c7c881cd02408bb2bbc65fda42d4bf","Department of Management and Law, MCI Management Center Innsbruck, Innsbruck, Austria; University of Oxford, United Kingdom","Frischhut, M., Department of Management and Law, MCI Management Center Innsbruck, Innsbruck, Austria; Fahy, N., University of Oxford, United Kingdom","The case-law of the Court of Justice (ECJ) on patient mobility was recently challenged by a ruling that a patient could go to Germany for treatment when facilities in Romanian hospitals were inadequate. Given the reported impact of austerity measures in the field of health care this raises the question; what is the impact of the ECJ's ruling on how Member States can manage expenditure and limit outflows of patients and how should such measures be legally evaluated? The objective of this article is to analyse potential impact on health systems in the context of increasing pressure on public financing for health. While the ECJ mainly referred to the requirement of treatment in due time, we also analyse possible austerity reductions of the basket of care against the background of EU law (i.e., ECJ case-law, patient mobility directive, Charter of Fundamental rights and social security regulation). © koninklijke brill nv, leiden, 2015.","Austerity; Cross-border healthcare; Directive 2011/24/EU; ECJ case-law; EU Charter; Patient mobility; Patient's rights; Regulation 883/2004","financial management; human; patient mobility; social security; economics; European Union; health care cost; health care delivery; health care organization; health service; legal aspect; legislation and jurisprudence; medical tourism; European Union; Health Care Rationing; Health Expenditures; Health Services Accessibility; Health Services Needs and Demand; Humans; Medical Tourism",,,,,,,,"European Commission, (2015) Special Eurobarometer 425: Patients' Rights in Cross-border Healthcare in the European Union, p. 14; European Commission, (2007) Flash Eurobarometer 210: Cross-border Health Services in the EU, p. 11; European Commission, (2014) Impact of Information on Patients' Choice Within the Context of the Directive 2011/24/EU of the European Parliament and of the Council on the Application of Patients' Rights in Cross-border Healthcare: Final Report, p. xi; Eurofound, (2014) Access to Healthcare in Times of Crisis, p. 12; Karanikolos, M., Mladovsky, Ph., Cylus, J., Thomson, S., Basu, S., Stuckler, D., Mackenbach, J., McKee, M., Financial crisis, austerity, and health in Europe (2013) The Lancet, 381 (9874), pp. 1323-1331; Maresso, A., (2015) Economic Crisis, Health Systems and Health in Europe: Country Experiences, , Copenhagen: European Observatory on Health Systems and Policies; Fischer-Lescano, A., (2014) Human Rights in Times of Austerity Policy: The EU Institutions and the Conclusion of Memoranda of Understanding, pp. 51-52. , Baden-Baden: Nomos; Hervey, T., McHale, J., Article 35 - The right to health care (2014) The EU Charter of Fundamental Rights. A Commentary, pp. 951-968. , S. Peers, T. Hervey, J. Kenner and A. Ward (eds.), Oxford: Hart Publishing; Salomon, M.E., Of austerity, human rights and international institutions (2015) European Law Journal, 21 (4), pp. 521-545; European Commission, (2014) On Effective, Accessible and Resilient Health Systems, p. 8. , COM (2014) 215 final 4 April 2014; Azzopardi-Muscat, N., Clemens, T., Stoner, D., Brand, H., EU Country Specific Recommendations for health systems in the European Semester process: Trends, discourse and predictors (2015) Health Policy, 119 (3), pp. 375-383; Greer, S., The three faces of European Union health policy: Policy, markets, and austerity (2014) Policy and Society, 33 (1), pp. 13-24; Bieback, K.-J., Öffnung des Krankenhausmarkts in Europa fürt Qualitätswettbewerb?' (2015) Zeitschrift für Europäisches Sozial- Und Arbeitsrecht, 2, pp. 55-59; Busatta, L., Carenze sanitarie e mobilitättransfrontaliera: si allarga il diritto ""europeo"" alla salute, Commentary to the EUCJ's decision nr. C-268/13, Petru (9 October 2014) (2015) DPCE Online, 1, pp. 1-14; Frischhut, M., Levaggi, R., Patient mobility in the context of austerity and an enlarged EU Health Policy, 119 (2015), pp. 1293-1297; Frischhut, M., Stein, H., (2011) Patientenmobilität: Aktuelle Richtlinie und EuGHRechtsprechung, pp. 124-125. , Vienna: Facultas.wuv; McHale, J., Fundamental rights and health care (2010) Health Systems Governance in Europe. The Role of European Union Law and Policy, pp. 282-314. , E. Mossialos, G. Permanand, R. Baeten and T. Hervey (eds.), New York: Cambridge University Press; (1932) Donoghue V. Stevenson, , UKHL 100; Mossialos, E., McKee, M., Is a European healthcare policy emerging? (2001) BMJ, 323 (7307), p. 248; http://www.vbe.lu.se/en; Greenhalgh, T., Howick, J., Maskrey, N., Evidence based medicine: A movement in crisis? (2014) BMJ, 348, p. g3725; Legido-Quigley, H., Glinos, I.A., Walshe, K., Van Beek, B., Cucic, C., McKee, M., Quality and safety (2011) Observatory Studies. Cross-border Health Care in the European Union. Mapping and Analysing Practices and Policies, pp. 121-158. , M. Wismar, W. Palm, J. Figueras, K. Ernst and E. van Ginneken (eds.), Copenhagen: WHO Regional Office for Europe; Fahy, N., Commentary on international health systems performance information (2013) Health System Performance Comparison: An Agenda for Policy, Information and Research, pp. 313-334. , I. Papanicolas and P. Smith (eds.), Maidenhead: Open University Press; Guomundsdóttir, D., A renewed emphasis on the Charter's distinction between rights and principles: Is a doctrine of judicial restraint more appropriate? (2015) Common Market Law Review, 52 (3), pp. 685-719; Hervey, T., We don't see a connection: The 'right to health' in the EU charter and european social charter (2005) Social Rights in Europe, pp. 305-335. , G. de Búrca and B. d. Witte (eds.), Oxford: Oxford University Press; Rudolf, B., Artikel 35 (2014) Charta der Grundrechte der Europäischen Union, pp. 541-553. , J. Meyer (ed.), 4th edition (Baden-Baden: Nomos); Ribarov, G., Art 35 gesundheitsschutz (2014) Grundrechtecharta der Europäischen Union, pp. 467-474. , G. Lienbacher and M. Holoubek (eds.), Vienna: Manz; Dougan, M., Judicial review of Member State action under the general principles and the Charter: Defining the ""scope of Union law"" (2015) Common Market Law Review, 52 (5), pp. 1201-1245",,,,"Martinus Nijhoff Publishers",,,,,09290273,,EJHLE,"27044171","English","Eur. J. Health Law",Review,"Final",,Scopus,2-s2.0-84960458414 "Kasemsap K.","56926697100;","The role of medical tourism in emerging markets",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"89","109",,4,"10.4018/978-1-4666-8574-1.ch007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957699440&doi=10.4018%2f978-1-4666-8574-1.ch007&partnerID=40&md5=f4664c95d5f4f2b2a11a81ca909034da","Faculty of Management Sciences, Suan Sunandha Rajabhat University, Bangkok, Thailand","Kasemsap, K., Faculty of Management Sciences, Suan Sunandha Rajabhat University, Bangkok, Thailand","This chapter reveals the role of medical tourism (MT) in emerging markets, give an overview of tourism, medical tourism, and emerging markets; discusses the advancement of medical tourism in emerging markets; the significance of medical tourism in emerging markets; and the characteristics of medical tourism in emerging markets. The execution of medical tourism is essential for modern organizations that seek to serve suppliers and customers, enhance business performance, reinforce competitiveness, and gain ordinary success in emerging markets. Thus, it is essential for modern organizations to consider their medical tourism applications, create a strategic plan to consistently investigate their dynamic promotion, and instantly respond to the needs of medical tourists in emerging markets. Understanding medical tourism will significantly improve organizational performance and achieve sustainable competitive advantage in emerging markets. © 2015, IGI Global. 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Jamal & M. Robinson (Eds.), London: SAGE; Foggia, G.D., Lazzarotti, V., Assessing the link between revenue management and performance: Insights from the Italian tourism industry (2014) Measuring Business Excellence, 18 (1), pp. 55-65; Funck, C., Cooper, M., (2013) Japanese Tourism, , Oxford: Berghahn Books; George, B., Medical tourism in India: A case study of Apollo hospitals (2009) Medical and Wellness Tourism, pp. 367-372. , M. Smith & L. Puczko (Eds.), Burlington, MA: Elsevier; Gill, H., Singh, N., Exploring the factors that affect the choice of destination for medical tourism (2011) Journal of Service Science and Management, 4 (3), pp. 315-324; Gilmartin, M., White, A., Comparative perspectives symposium: Gender and medical tourism interrogating medical tourism: Ireland, abortion, and mobility rights (2011) Signs (Chicago, Ill.), 36 (2), pp. 275-280; Gimlin, D., Cosmetic surgery: Beauty as commodity (2000) Qualitative Sociology, 23 (1), pp. 77-98; Gretzel, U., Fesenmaier, D.R., Information technology: Shaping the past, present, and future of tourism (2009) The SAGE Handbook of Tourism Studies, pp. 558-580. , T. Jamal & M. Robinson (Eds.), London: SAGE; Guiry, M., Scott, J.J., Vequist, D.G., IV, Experienced and potential medical tourists' service quality expectations (2013) International Journal of Health Care Quality Assurance, 26 (5), pp. 433-446. , PMID:23905303; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Harrill, R., Destination management: New challenges, new needs (2009) The SAGE Handbook Of Tourism Studies, pp. 449-463. , T. Jamal & M. Robinson (Eds.), London: SAGE; Hemais, C.A., Barros, H.M., Rosa, E.O.R., Technology competitiveness in emerging markets: The case of the Brazilian polymer industry (2005) The Journal of Technology Transfer, 30 (3), pp. 303-314; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Hibbard, J.H., What can we say about the impact of public reporting? Inconsistent execution yields variable results (2008) Annals of Internal Medicine, 148 (2), pp. 160-161. , PMID:18195340; Hoskisson, R.E., Eden, L., Lau, C.M., Wright, M., Strategy in emerging economies (2000) Academy of Management Journal, 43 (3), pp. 249-267; Hunter, M.K., Buying racial capital: Skin-bleaching and cosmetic surgery in a globalized world (2011) The Journal of Pan African Studies, 4 (4), pp. 142-164; Johnson, J., Tellis, G.J., Drivers of success for market entry into China and India (2008) Journal of Marketing, 72 (3), pp. 1-13; Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (24), pp. 1-13. , PMID:21047433; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology: Cross Cultural Studies in Health and Illness, 29 (4), pp. 344-362. , PMID:21082482; Karuppan, C.M., Karuppan, M., Changing trends in health care tourism (2010) The Health Care Manager, 29 (4), pp. 349-358. , PMID:21045588; Kasemsap, K., Strategic business management: A practical framework and causal model of empowering leadership, team cohesion, knowledge-sharing behavior, and team performance (2013) Journal of Social and Development Sciences, 4 (3), pp. 100-106; Kasemsap, K., Unified framework: Constructing a causal model of Six Sigma, organizational learning, organizational innovation, and organizational performance (2013) The Journal of Interdisciplinary Networks, 2 (1), pp. 268-273; Kasemsap, K., Innovative framework: Formation of causal model of organizational culture, organizational climate, knowledge management, and job performance (2013) Journal of International Business Management and Research, 4 (12), pp. 21-32; Kasemsap, K., Practical framework: Creation of causal model of job involvement, career commitment, learning motivation, and learning transfer (2013) International Journal of the Computer, the Internet and Management, 21 (1), pp. 29-35; Kasemsap, K., Synthesized framework: Establishing a causal model of organizational learning, knowledge management, knowledge-sharing behavior, and organizational performance (2013) International Journal of the Computer, the Internet and Management, 21 (2), pp. 29-34; Kasemsap, K., The role of performance management practices on organizational performance: A functional framework (2014) Handbook of Research on Strategic Business Infrastructure Development and Contemporary Issues in Finance, pp. 62-85. , N. Ray & K. Chakraborty (Eds.), Hershey, PA: IGI Global; Kasemsap, K., The role of social media in the knowledge-based organizations (2014) Integrating social media into business practice, applications, management, and models, pp. 254-275. , I. Lee (Ed.), Hershey, PA: IGI Global; Kasemsap, K., Strategic innovation management: An integrative framework and causal model of knowledge management, strategic orientation, organizational innovation, and organizational performance (2014) Strategic approaches for human capital management and development in a turbulent economy, pp. 102-116. , P. Ordóñez de Pablos & R. Tennyson (Eds.), Hershey, PA: IGI Global; Kasemsap, K., The role of knowledge sharing on organizational innovation: An integrated framework (2014) Quality Innovation: Knowledge, theory, and practices, pp. 247-271. , L. Al-Hakim & C. Jin (Eds.), Hershey, PA: IGI Global; Kasemsap, K., The role of social networking in global business environments (2014) Impact of emerging digital technologies on leadership in global business, pp. 183-201. , P. Smith & T. Cockburn (Eds.), Hershey, PA: IGI Global; Kasemsap, K., The role of social capital in higher education institutions (2014) Handbook of research on higher education in the MENA region: Policy and practice, pp. 119-147. , N. Baporikar (Ed.), Hershey, PA: IGI Global; Kasemsap, K., The role of knowledge management on job satisfaction: A systematic framework (2014) Advances in secure computing, Internet services, and applications, pp. 104-127. , B. Tripathy & D. Acharjya (Eds.), Hershey, PA: IGI Global; Kasemsap, K., Unifying a framework of organizational culture, organizational climate, knowledge management, and job performance (2014) Uncovering essential software artifacts through business process archeology, pp. 336-362. , R. Perez-Castillo & M. Piattini (Eds.), Hershey, PA: IGI Global; Kasemsap, K., The role of data mining for business intelligence in knowledge management (2015) Integration of data mining in business intelligence systems, pp. 12-33. , A. Azevedo & M. Santos (Eds.), Hershey, PA: IGI Global; Kasemsap, K., The role of information system within enterprise architecture and their impact on business performance (2015) Technology, innovation, and enterprise transformation, pp. 262-284. , M. Wadhwa & A. Harper (Eds.), Hershey, PA: IGI Global; Katsoni, V., Kavoura, A., The use of content analysis on hotels' Websites as communication tools (2013) Paper presented at the Third International Conference: Quantitative and Qualitative Methodologies in the Economic and Administrative Sciences, , (QMEAS), Athens, Greece; Kaynak, E., Kara, A., Assessing tourism market potential in a dynamic emerging economy (2012) Asia Pacific Journal of Marketing and Logistics, 24 (2), pp. 199-221; Keckley, P.H., Underwood, H.R., (2008) Medical tourism: Consumers in search of value, , Washington, DC: Deloitte Center for Health Solutions; Keller, K., Brand synthesis: The multidimensionality of brand knowledge (2003) The Journal of Consumer Research, 29 (4), pp. 595-600; Kim, D., Perdue, R.R., The influence of image on destination attractiveness (2011) Journal of Travel & Tourism Marketing, 28 (3), pp. 225-239; Lee, J.Y., Kearns, R.A., Friesen, W., Seeking affective health care: Korean immigrants' use of homeland medical services (2010) Health & Place, 16 (1), pp. 108-115. , PMID:19840903; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of Web-based health information (2010) The Open Medical Informatics Journal, 4 (1), pp. 1-11. , PMID:20517465; Lunt, N.T., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , PMID:20185254; Lunt, N.T., Mannion, R., Exworthy, M., A framework for exploring the policy implications of UK medical tourism and international patient flows (2013) Social Policy and Administration, 47 (1), pp. 1-25; Luo, Y., Capability exploitation and building in a foreign market: Implications for multinational enterprises (2002) Organization Science, 13 (1), pp. 48-63; Luo, Y., Xue, Q., Han, B., How emerging market governments promote outward FDI: Experience from China (2010) Journal of World Business, 45 (1), pp. 68-79; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850. , PMID:17549816; Magableh, I.K., Kharabsheh, R., Antecedents of local demand for domestic tourism in Jordan (2011) International Journal of Culture. Tourism and Hospitality Research, 7 (1), pp. 78-92; Martin, W., Inchovichina, E., Dimaranan, B., Economic development in emerging Asian markets: Implications for Europe (2008) European Review of Agriculture Economics, 35 (3), pp. 303-330; Masi de Casanova, E., Sutton, B., Transnational body projects: Media representations of cosmetic surgery tourism in Argentina and the United States (2013) Journal of World-systems Research, 19 (1), pp. 57-81; Master, Z., Resnik, D.B., Stem-cell tourism and scientific responsibility (2011) EMBO Reports, 12 (10), pp. 992-995. , PMID:21799519; Mazanec, J.A., Wöber, K.W., (2010) Analyzing International City Tourism, , Eds., New York, NY: Springer-Verlag; McDonald, E.A., Transnationalism: Bodies-in-motion: Experiences of momentum (2011) A companion to the anthropology of the body and embodiment, pp. 481-503. , F. E. Mascia-Lees (Ed.), Hoboken, NJ: John Wiley and Sons; (2008) Deloitte Center for Health Solutions, , Washington, DC:; Meissner-Roloff, M., Pepper, M.S., Curbing stem cell tourism in South Africa (2013) Applied and Translational Genomics, 2, pp. 22-27; Milstein, A., Smith, M., America's new refugees: Seeking affordable surgery offshore (2006) The New England Journal of Medicine, 355 (16), pp. 1637-1640. , PMID:17050886; Mulec, I., Wise, N., Indicating the competitiveness of Serbia's Vojvodina Region as an emerging tourism destination (2013) Tourism Management Perspectives, 8, pp. 68-79; Nakata, C., Sivakumar, K., Emerging market conditions and their impact on first mover advantages: An integrative review (1997) International Marketing Review, 14 (6), pp. 461-485; Ni, N., Wan, F., A configurational perspective of branding capabilities development in emerging economies: The case of the Chinese cellular phone industry (2008) Brand Management, 15 (6), pp. 433-451; Osterle, A., Balazs, P., Delgado, J., Travelling for teeth: Characteristics and perspectives of dental care tourism in Hungary (2009) British Dental Journal, 206 (8), pp. 425-428. , PMID:19396208; Ottenbacher, M., Gnoth, J., How to develop successful hospitality innovation (2005) The Cornell Hotel and Restaurant Administration Quarterly, 46 (2), pp. 205-222; Pan, S., The role of TV commercial visuals in forming memorable and impressive destination images (2011) Journal of Travel Research, 50 (2), pp. 171-185; Pan, T.J., Chen, W.C., Chinese medical tourists: Their perceptions of Taiwan (2014) Tourism Management, 44, pp. 108-112; Pauwels, K., Erguncu, S., Yildirim, G., Winning hearts, minds and sales: How marketing communication enters the purchase process in emerging and mature markets (2013) International Journal of Research in Marketing, 30 (1), pp. 57-68; Peng, M.W., Institutional transitions and strategic choices (2003) Academy of Management Review, 28 (2), pp. 275-296; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28 (6), pp. 337-341. , PMID:12468650; Porter, M.E., (1998) The competitive advantage of nations, , New York, NY: Free Press; Prahalad, C.K., (2004) The fortune at the bottom of the pyramid, , Upper Saddle River, NJ: Wharton Publishing School; Pyo, S., Knowledge map for tourist destinations: Needs and implications (2005) Tourism Management, 26 (4), pp. 583-594; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: Students' perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Reed, C.M., Medical tourism (2008) The Medical Clinics of North America, 92 (6), pp. 1433-1446. , PMID:19061760; Reisman, D., (2010) Health tourism: Social welfare through international trade, , Cheltenham, UK: Edward Elgar; Ritchie, J.R.B., Crouch, G.I., (2003) The competitive destination: A sustainable tourism perspective, , Eds., Cambridge, MA: CABI; Rugman, A.M., Collinson, S.C., (2009) International business, , Harlow, UK: Prentice-Hall; Sarantopoulos, I., Vicky, K., Geitona, M., A supply side investigation of medical tourism and ICT use in Greece (2014) Procedia: Social and Behavioral Sciences, 148, pp. 370-377; Scheper-Hughes, N., Keeping an eye on the global traffic in human organs (2003) Lancet, 361 (9369), pp. 1645-1648. , PMID:12747896; Sheldon, P.J., Abenoja, T., Resident attitudes in a mature destination: The case of Waikiki (2001) Tourism Management, 22 (5), pp. 435-443; Sirkin, H., Hemerling, J., Bhattacharya, A., (2008) Globality: Competing with everyone from everywhere for everything, , New York, NY: Business Plus; Smith, E., Behrmann, J., Martin, C., Williams-Jones, B., Reproductive tourism in Argentina: Clinic accreditation and its implications for consumers, health professionals and policy makers (2010) Developing World Bioethics, 10 (2), pp. 59-69. , PMID:19508291; Smith, K., The problematization of medical tourism: A critique of neoliberalism (2012) Developing World Bioethics, 12 (1), pp. 1-8. , PMID:22420447; Smith, M., Puczko, L., (2009) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , Burlington, MA: Elsevier; Smith-Morris, C., Manderson, L., The baggage of health travelers (2010) Medical Anthropology, 29 (4), pp. 331-335. , PMID:21082480; Strauss, S., Stem cell clinic patrol (2010) Nature Biotechnology, 89 (9), p. 885. , PMID:20829816; Teh, I., Chu, C., Supplementing growth with medical tourism (2005) Asia Pacific Biotech News, 9 (8), pp. 306-311; Li, X.R., Petrick, J.F., Zhou, Y.N., Towards a conceptual framework of tourists' destination knowledge and loyalty (2008) Journal of Quality Assurance in Hospitality & Tourism, 8 (3), pp. 79-96; Turner, L., Canada's turbulent medical tourism industry (2012) Canadian Family Physician Medecin de Famille Canadien, 58 (4), pp. 371-373. , PMID:22499811; (2009) Medical travel in Asia and the Pacific: Challenges and opportunities, , Bangkok, Thailand: United Nations Economic and Social Commission for Asia and the Pacific; Medical tourists receive HIFU treatment abroad (2008) Urology Times, 36 (9), p. 12; Van Agtmael, A., (2007) The emerging markets century: How a new breed of world-class companies is overtaking the world, , New York, NY: Free Press; Viladrich, A., Baron-Faust, R., Medical tourism and health care outsourcing in a global world (2012) Advances in Medicine and Biology, pp. 159-170. , L. V. Benhardt (Ed.), Hauppauge, NY: Nova Science Publishers; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3 (3), pp. 271-290; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702. , PMID:24422259; Wright, M., Filatotchev, I., Hoskisson, R.E., Peng, M.W., Strategy research in emerging economies: Challenging the collective wisdom (2005) Journal of Management Studies, 42 (1), pp. 1-33; Wu, J., Marketing capabilities, institutional development, and the performance of emerging market firms: A multinational study (2013) International Journal of Research in Marketing, 30 (1), pp. 36-45; Wu, J., Pangarkar, N., Rising to the global challenge: Strategies for firms in emerging markets (2006) Long Range Planning, 39 (3), pp. 295-313; Yang, J., Nennu and Shunu: Gender, body politics, and the beauty economy in China (2011) Signs (Chic), 36 (2), pp. 333-357. , PMID:21114079; Yasin, M., Alavi, J., Koubida, S., Small, M.H., An assessment of the competitiveness of the Moroccan tourism industry (2011) Benchmarking: An International Journal, 18 (1), pp. 6-22; Ye, B., Qiu, H., Yuen, P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) The Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102. , PMID:18521877; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Kasemsap, K.; Faculty of Management Sciences, Suan Sunandha Rajabhat UniversityThailand",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957699440 "Cooper M., Vafadari K., Hieda M.","14032718400;55905665300;57104879500;","Current issues and emerging trends in medical tourism",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"1","430",,4,"10.4018/978-1-4666-8574-1","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957634765&doi=10.4018%2f978-1-4666-8574-1&partnerID=40&md5=f92dce0f6c68ce97e521ba6792c7e84c","Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Japan; College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan; St Luke Clinic, Oita, Japan","Cooper, M., Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Japan; Vafadari, K., College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan; Hieda, M., St Luke Clinic, Oita, Japan","The era of globalization allows for more connectivity between nations and cultures. This increase in international association gives citizens more availability to take advantage of opportunities in other nations, such as medical assistance and accompanying services. Current Issues and Emerging Trends in Medical Tourism focuses on the emerging phenomena of international travel by patients in search of improved healthcare services and treatment, wellness programs, and complementary recreational activities. Including extensive coverage and case studies focusing on patient mobility and new opportunities for health services across borders, this authoritative reference source is essential to the needs of healthcare providers, nonprofit organizations, students, and medical professionals seeking relevant research on the relationship between global travel and access to healthcare. This publication features innovative, research-based chapters spanning the spectrum of medical travel issues including, but not limited to, customer perceptions, ethical considerations, reproductive medicine, social media use, family caregivers, organ transplants, human trafficking, and surrogacy concerns. © 2015 by IGI Global. All rights reserved.",,,,,,,,,,,"Cooper, M.; Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific UniversityJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book,"Final",,Scopus,2-s2.0-84957634765 "Crush J., Chikanda A., Sanders D., Maswikwa B.","7003748511;8548742400;57201039959;56748080200;","The rise of medical tourism to South Africa",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"323","331",,4,"10.4337/9781783471195.00043","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029149555&doi=10.4337%2f9781783471195.00043&partnerID=40&md5=22c9d185f8691eee2c85ab4f76ce09f1","Queens University, Canada; Balsillie School of International Affairs, Canada; University of the Western Cape, South Africa; Human Sciences Research Council, South Africa","Crush, J., Queens University, Canada; Chikanda, A., Balsillie School of International Affairs, Canada; Sanders, D., University of the Western Cape, South Africa; Maswikwa, B., Human Sciences Research Council, South Africa",[No abstract available],,,,,,,,,,"Ahwireng-Obeng, F., van Loggerenberg, C., Africa’s Middle-Class Women Bring Entrepreneurial Opportunities in Breast Care Medical Tourism to South Africa (2010) International Journal of Health Planning and Management, 26 (1), pp. 39-55; Allain, J., Trafficking of Persons for the Removal of Organs and the Admission of Guilt of a South African Hospital (2011) Medical Law Review, 19 (1), pp. 117-122; Bass, D., Kidneys for Cash and Egg Safaris: Can We Allow “Transplant Tourism” to Flourish in South Africa? (2005) South African Medical Journal, 95 (1), pp. 42-44; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., (2011) Medical Tourism, , Cambridge, MA: CAB International; Coovadia, H., Jewkes, R., Barron, P., Sanders, D., McIntyre, D., The Health and Health System of South Africa: Historical Roots of Current Public Health Challenges (2009) The Lancet, 374, pp. 817-834; Crooks, V., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting Medical Tourism to India: Messages, Images, and the Marketing of International Patient Travel (2011) Social Science & Medicine, 72 (5), pp. 726-732; Crush, J., Tawodzera, G., Medical Xenophobia and Zimbabwean Migrant Access to Public Health Services in South Africa (2014) Journal of Ethnic and Migration Studies, 40 (4), pp. 655-670; Currie, J., The Growth of Egg Donation Services and Infertility Treatment in South Africa (2013) International Medical Travel Journal, , Hertfordshire: Intuition Communications; Ezeuduji, I., Nigerian Tourists to South Africa: Challenges, Expectations and Demands (2013) Acta Commercii, 13 (1), pp. 1-9; George, R., Medical Tourism: Surgeon & Safari (2004) South African Travel and Tourism Cases, , A. Bennett, R. George (eds), Cape Town: Van Schalk Publishers; Johnson, J., South Africa: Making Great Strides in Healthcare (2009) Medical Tourism Magazine, 12, pp. 44-46; Koenig, R., International Groups Battle Cholera in Zimbabwe (2009) Science, 323, pp. 860-861; Maaka, T., The Role of Medical Tourism in 21st Century Africa Health System (2006) African Renaissance, 3 (4), pp. 99-110; Mason, P., Zimbabwe Experiences the Worst Epidemic of Cholera in Africa (2009) Journal of Infection in Developing Countries, 3 (2), pp. 148-151; Mazzaschi, A., Surgeon and safari: Producing valuable bodies in Johannesburg (2011) Signs, 36 (2), pp. 303-312; Meissner-Roloff, M., Pepper, M., Curbing Stem Cell Tourism in South Africa (2013) Applied & Transnational Genomics, 2, pp. 22-37; Mohamed, S., Slabbert, M., Stem Cell Tourism in South Africa: The Legal Position (2012) South African Journal of Bioethics and Law, 5 (2), pp. 69-73; Mortensen, J., (2008) Emerging Multinationals: The South Africa Hospital Industry Overseas, , Working Paper No 2008/12, Danish Institute for International Studies, Copenhagen; Nicolaides, A., Lessons for South Africa from Asia on Medical Tourism’s Practice and Potential (2011) Medical Technology SA, 25 (2), pp. 1-16; Nwafor, O., Niche Tourism and the Challenges of Developing Medical Tourism in the Western Cape Province of South Africa (2012) Journal of Emerging Trends in Educational Research and Policy Studies, 3 (4), pp. 600-604; Otley, T., South African Industry Challenges Adversity (2008) International Medical Travel Journal, , Hertfordshire: Intuition Communications; Roberts, E., Scheper-Hughes, N., Medical Migrations (2011) Body & Society, 17 (2-3), pp. 1-30; Rogerson, C., Regional Tourism in South Africa: A Case of “Mass Tourism of the South” (2004) GeoJournal, 60 (3), pp. 229-237; Saayman, M., Saayman, A., Shopping Tourism or Tourists Shopping? A Case Study of South Africa’s African Tourism Market (2012) Tourism Economics, 18, pp. 1313-1329; (2007) 2006 Annual Tourism Report: Revised, , Johannesburg: South African Tourism; (2008) 2007 Annual Tourism Report: Revised, , Johannesburg: South African Tourism; (2009) 2008 Annual Tourism Report, , Johannesburg: South African Tourism; (2010) 2009 Annual Tourism Report, , Johannesburg: South African Tourism; (2010) Marketing South Africa in Africa: Africa Air Countries, , Third Edition, Johannesburg: South African Tourism; (2010) Marketing South Africa in Africa: Africa Land Countries, , Third Edition, Johannesburg: South African Tourism; (2010) Marketing South Africa in Australia, , Third Edition, Johannesburg: South African Tourism; (2010) Marketing South Africa in Brazil, , First Edition, Johannesburg: South African Tourism; (2011) 2010 Annual Tourism Report, , Johannesburg: South African Tourism; (2012) 2011 Annual Tourism Report, , Johannesburg: South African Tourism; (2013) 2012 Annual Tourism Report, , Johannesburg: South African Tourism; Scheper-Hughes, N., Mr Tati’s Holiday and João’s Safari: Seeing the World through Transplant Tourism (2011) Body & Society, 17 (2-3), pp. 55-92; Sinclair, S., (2005) The GATS and South Africa’s National Health Act: A Cautionary Tale, , Ottawa: Canadian Centre for Policy Alternatives; Stolk, M., (2009) Sun, Sea, Sand, Safari and Surgery: A Research Study To Investigate the Medical Tourism Industry in South Africa, , MA Thesis, NHTV Breda, University of Applied Sciences; Van Zyl, G., Medical Tourism: South Africa’s Undiscovered Little Gem (2013) The Bulletin (Health Professionals Council of South Africa), pp. 28-29",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85029149555 "Lee K.-H., Lee T.J.","56124743600;35196248300;","Opportunities and issues in the health tourism industry: Deep sea water development in Taiwan",2015,"Tourism Analysis","20","4",,"419","424",,4,"10.3727/108354215X14400815080569","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945302102&doi=10.3727%2f108354215X14400815080569&partnerID=40&md5=a0b70c39d3534d28e29470e0c3b5876a","Singapore Institute of Technology, Singapore; Department of Tourism and Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, Japan","Lee, K.-H., Singapore Institute of Technology, Singapore; Lee, T.J., Department of Tourism and Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, Japan","The deep sea water (DSW) industry has a great commercial potential for the global health tourism market. This study aims to investigate the successful relationships between stakeholders with a focus on the role of the government. Two surveys were conducted on the east coast of Taiwan to discover if the local governments were willing to give any assistance of the development of the DSW industry. The results of the study revealed that the first priority was the installation of a thalasso spa in Hualien, eastern Taiwan. Taiwan Government must consider that the opening of three similar facilities close together will need careful planning and study of the market size. The study suggests establishing a government-owned DSW Research&Development Park and thalasso spa near the three private sectors to balance the fierce competition among the three private companies. © 2015 Cognizant Comm. Corp.","Deep Sea Water (DSW); Health tourism; Local government; Taiwan",,,,,,,,,"Andrea, N., Global spa economy hits $255B (2008) WWD Friday, 195 (111), p. 10; Charlier, R.H., Chaineux, M.C.P., The healing sea: A sustainable coastal ocean resource: Thalassotherapy (2009) Journal of Coastal Research, 25 (4), pp. 838-856; Chen, S.H., Liao, T.S., (2006) Policy on utilisation of Taiwan deep ocean water resources and industry-drive strategy, , From Water Industry Development and Promotion Association; Davidson, J., Craven, J., Sustainable coastal development and deep ocean water (1997), Paper presented at the Pacific Congress on Marine Science and Technology (PACON); Kimata, H., Tai, H., Nakagawa, K., Yokoyama, Y., Nakajima, H., Ikegami, Y., Improvement of skin symptoms and mineral imbalance by drinking deep sea water in patients with atopic eczema/dermatitis syndrome (2002) Acta Medica (Hradec Kralove), 45, pp. 83-84; Liu, T.K., Hwung, H.H., Yu, J.L., Kao, R.C., Managing deep ocean water development in Taiwan: Experiences and future challenges (2008) Ocean&Coastal Management, 51 (2), pp. 126-140; Nakasone, T., Akeda, S., The application of deep sea water in japan (1999) UJNR Aquaculture Panel Proceedings, No., 28, pp. 69-75; Wang, C.C., (2009) An empirical study of consumer behavior in bottled water and deep sea water. 2009, , Intercontinental Innovative and Sustainability Management Academic Conference; Zijlstra, T.R., van de Laar, M.A.F.J., Moens, H.J.B., Taal, E., Zakraoui, L., Rasker, J., Spa treatment for primary fibromyalgia syndrome: A combination of thalassotherapy, exercise and patient education improves symptoms and quality of life (2005) Rheumatology, 44, pp. 539-546","Lee, T.J.; Department of Tourism and Hospitality, Ritsumeikan Asia Pacific University (APU)Japan",,,"Cognizant Communication Corporation",,,,,10835423,,,,"English","Tour. Anal.",Article,"Final",,Scopus,2-s2.0-84945302102 "Kelly K., McCarthy A., McLean L.","57198874410;35315938900;7102398410;","Distributed learning or medical tourism? A Canadian residency program's experience in global health",2015,"Journal of Surgical Education","72","4",,"e33","e45",,4,"10.1016/j.jsurg.2015.01.004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84931575556&doi=10.1016%2fj.jsurg.2015.01.004&partnerID=40&md5=c569804e9e103535bbadfe7ea90b7573","Department of Otolaryngology - Head and Neck Surgery, University of Ottawa, Ottawa, ON, Canada; Department of Medicine, University of Ottawa, Ottawa, ON, Canada","Kelly, K., Department of Otolaryngology - Head and Neck Surgery, University of Ottawa, Ottawa, ON, Canada; McCarthy, A., Department of Medicine, University of Ottawa, Ottawa, ON, Canada; McLean, L., Department of Otolaryngology - Head and Neck Surgery, University of Ottawa, Ottawa, ON, Canada","Background Global health experiences (GHEs) are becoming increasingly prevalent in surgical residency education. Although it may seem intuitive that participation in GHEs develops CanMEDS competencies, this has not been studied in depth in surgery. The purpose of this study is (1) to explore if and how otolaryngology - head and neck surgery (OHNS) resident participation in GHEs facilitates the development of CanMEDS competencies and (2) to develop an OHNS GHE tool to facilitate the integration of CanMEDS into GHE participation and evaluation. Methods An online survey explored the GHEs of current and past OHNS residents in Canada. Based on the data collected and a literature review, a foundational tool was then created to (1) enable OHNS residents to structure their GHEs into CanMEDS-related learning objectives and (2) enable OHNS program directors to more effectively evaluate residents' GHEs with respect to CanMEDS competencies. Results Participants' GHEs varied widely. These experiences often contributed informally to the development of several CanMEDS competencies. However, few residents had concrete objectives, rarely were CanMEDS roles clearly incorporated, and most residents were not formally evaluated during their experience. Residents felt they achieved greater learning when predeparture objectives and postexperience reflections were integrated into their GHEs. Conclusions Although GHEs vary widely, they can serve as valuable forums for developing CanMEDS competencies among participating residents. Without clear objectives that adhere to the CanMEDS framework or formal assessment methods however, residents in GHEs risk becoming medical tourists. The use of an objective and evaluation tool may facilitate the creation of predeparture learning objectives, encourage self-reflection on their GHE, and better enable program directors to evaluate residents participating in GHEs. © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.","assessment; CanMEDS; global health; medical education; objectives; otolaryngology; residency","Article; Canada; head and neck surgery; health; health care facility; health survey; human; learning; medical education; medical tourism; normal human; otorhinolaryngology; priority journal; professional competence; residency education; risk assessment; role playing; tourism; work experience; education; evaluation study; health; medical education; medical tourism; Canada; Educational Measurement; Evaluation Studies as Topic; Global Health; Internship and Residency; Medical Tourism; Otolaryngology; Professional Competence",,,,,,,,"http://en.wikipedia.org/wiki/Baffin_Island, Baffin Island. Accessed 20.11.2014; http://en.wikipedia.org/wiki/Uganda, Uganda. Accessed 20.11.2014; https://www.cma.ca/Assets/assets-library/document/en/advocacy/Otolaryngology-e.pdf, Canadian Otolaryngology Profile. Provided online by the Canadian Medical Association. Accessed 27.11.2014; Hugar, L.A., McCullough, C.M., Quinn, M.E., Kapadia, S.M., Pettitt, B.J., Scaling up short-term humanitarian surgery: A global surgery elective for senior medical students (2014) J Surg Educ, 71 (6), pp. 871-877; Mitchell, K.B., Giiti, G., Kotecha, V., Surgical education at Weill Bugando Medical Centre: Supplementing surgical training and investing in local health care providers (2013) Can J Surg, 56 (3), pp. 199-203; Valani, R., Sriharan, A., Scolnik, D., Integrating CanMEDS competencies into global health electives: An innovative elective program (2011) CJEM, 13 (1), pp. 34-39; Nelson, B.D., Lee, A.C., Newby, P.K., Chamberlin, M.R., Huang, C.C., Global health training in pediatric residency programs (2008) Pediatrics, 122 (1), pp. 28-33; Lyons, J.L., Coleman, M.E., Engstrom, J.W., Mateen, F.J., International electives in neurology training: A survey of US and Canadian program directors (2014) Neurology, 82 (2), pp. 119-125; Hung, K.J., Tsai, A.C., Johnson, T.R., Walensky, R.P., Bangsberg, D.R., Kerry, V.B., Scope of global health training in U.S. Obstetrics and gynecology residency programs (2013) Obstet Gynecol, 122 (5), pp. 1101-1109; Elobu, A.E., Kintu, A., Galukande, M., Evaluating international global health collaborations: Perspectives from surgery and anesthesia trainees in Uganda (2014) Surgery, 155 (4), pp. 585-592; Javidnia, H., McLean, L., Global health initiatives and electives: A survey of interest among Canadian otolaryngology residents (2011) J Otolaryngol Head Neck Surg, 40 (1), pp. 81-85; Shaywitz, D., Ausiello, D.A., Global health: A chance for western physicians to give and receive (2002) Am J Med, 113 (4), pp. 354-357; http://www.royalcollege.ca/portal/page/portal/rc/canmeds/framework, CanMEDS 2005 Framework. Royal College Of Physicians And Surgeons of Canada. 2005 Accessed 01.04.2014; Ramsey, K.M., International surgical electives: Reflections in ethics (2007) Arch Surg, 143 (1), pp. 10-11; Jayaraman, S.P., Ayzengart, A.L., Goetz, L.H., Ozgediz, D., Farmer, D.L., Global health in general surgery residency: A national survey (2009) J Am Coll Surg, 208 (3), pp. 426-432; Goecke, M.E., Kanashiro, J., Kyamanywa, P., Hollaar, G.L., Using CanMEDS to guide international health electives: An enriching experience in Uganda defined for a Canadian surgery resident (2008) Can J Surg, 51 (4), pp. 289-295; http://www.ohsni.com, Ottawa Health Services Network Incorporated. Available at:. Accessed 20.11.2014; Kern, D.E., Thomas, P.A., Hughes, M.T., (2009) Curriculum Development for Medical Education: A Six-Step Approach, , 2nd ed Johns Hopkins University Press Baltimore, MD; Jackson, N., Jamieson, A., Khan, A., (2007) Assessment in Medical Education and Training: A Practical Guide, , Radcliffe Publishing Ltd Oxon, UK; Bandiera, G., Sherbino, J., Frank, J.R., The CanMEDS assessment tools handbook (2006) An Introductory Guide to Assessment Methods for the CanMEDS Competencies, , The Royal College of Physicians and Surgeons of Canada Ottawa","Kelly, K.; C/o Sara McMartin, Box 216 501 Smyth Road, Canada",,,"Elsevier Inc.",,,,,19317204,,,"25882664","English","J. Surg. Educ.",Article,"Final",,Scopus,2-s2.0-84931575556 "Choi K., Lee T.J., Kim H.-K.","56562181400;35196248300;56442883700;","Strategic marketing development of hospitals participating in medical tourism: A case of South Korea",2015,"Tourism Analysis","20","1",,"129","136",,4,"10.3727/108354215X14205687167860","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84925269178&doi=10.3727%2f108354215X14205687167860&partnerID=40&md5=952f60c12f9825c0958e8234104a5674","Division of Culture and Tourism, Sookmyung Women's University, Seoul, South Korea; Department of Tourism and Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, 874-8577, Japan; Department of Hotel Management, Jeju International University, Jeju City, South Korea","Choi, K., Division of Culture and Tourism, Sookmyung Women's University, Seoul, South Korea; Lee, T.J., Department of Tourism and Hospitality, Ritsumeikan Asia Pacific University (APU), Beppu, 874-8577, Japan; Kim, H.-K., Department of Hotel Management, Jeju International University, Jeju City, South Korea","This article highlights the strong potential and growing popularity of the Asian medical tourism industry focusing on South Korea and presents an overview of the background of the industry, the current situation, issues of concern, and directions to pursue for the systematic development of the medical tourism industry in that country. It examines the difficulties encountered given that the current medical tourism market in Korea is under constant attention but still at the beginning stages. The study a) examines the recognition and attitudes of hospitals towards medical tourism, b) investigates networking involvement of the medical tourism-related institutions, and c) suggests recommendations for strategic implementation of medical tourism in Korea. The study provides useful strategic analysis for the sustainable development of the medical tourism industry in a country where medical tourism is receiving rapidly growing attention. © 2015 Cognizant Comm. Corp.","Medical tourism; Network development; Promotion activities",,,,,,,,,"Chang, Y.I., Chung, Y.S., Kim, K.H., A study on the relationship among quality of medical information and usage according to examination, attitudes, and satisfaction (2010) Research of Information System, 19 (1), pp. 36-61; Cohen, E., Medical tourism and quality of life (2012) Handbook of tourism and quality-of-life research: Enhancing the lives of tourists and residents of host communities, pp. 169-191. , M. Uysal, R. Perdue, & M. J. Sirgy (Eds.), Dordrecht, the Netherlands: Springer; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34 (1), pp. 1-13; Fayed, H., Fletcher, J., Report: Globalization of economic activity: Issues for tourism (2002) Tourism Economics, 8 (2), pp. 207-230; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Genc, R., Physical, psychological, and social aspects of QOL medical tourism (2012) Handbook of tourism and quality-oflife research: Enhancing the lives of tourists and residents of host communities, pp. 193-207. , M. Uysal, R. Perdue, & M. J. Sirgy (Eds.), Dordrecht, the Netherlands: Springer; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Hong, H.A., Lim, K.W., Kim, S.S., Potential growth of Korean medical tourism industry (2007) Tourism Research, 21 (2), pp. 53-70; Hunter-Jones, P., Cancer and tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Kim, M.C., Moon, S.J., Bu, C.S., A study on the analysis of priority in medical tourism in Jeju Island via AHP method (2008) Research of Tourism, 22 (4), pp. 281-300; (2010) Annual report of the medical tourism in Korea, , Seoul, Korea; LaPenna, A.M., ""Alternative"" healthcare: Access as a revenue source in a consumer-driven market (2010) Journal of Healthcare Management, 55 (1), pp. 7-11; Lim, B.J., Yoon, B.K., Kwon, S.K., A study on the development method for medical tourism products in Korea (2009) Research of Hotel Management, 18 (3), pp. 317-337; (2008) Medical tourism and overseas surgical treatment facts and figures, , http://www.medsolution.com/media_facts.asp, Retrieved November 20, 2011, from; (2013) The tourism development strategy, , Seoul, Korea; Schroth, L., Khawaja, R., Globalization of healthcare (2007) Frontiers of Health Services Management, 24 (2), pp. 19-30; (2012) Major index of Korea, , Seoul, Korea: Statistics Korea Press; Viladrich, A., Baron-Faust, R., Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina (2014) Annals of Tourism Research, 45, pp. 116-131; What is medical tourism? (2007) Nikkei, , October 18, Newspaper, Tokyo, Japan; Yoon, H.H., Lee, U.Y., A study on the plan of market expansion of general practitioner through medical tourism (2008) Association of Korean Enterprise Management, 15 (1), pp. 173-188; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Yu, J., Lee, T.J., Noh, H., Characteristics of a medical tourism industry: The case of South Korea (2011) Journal of Travel & Tourism Marketing, 28 (8), pp. 856-872","Lee, T.J.; Department of Tourism and Hospitality, Ritsumeikan Asia Pacific University (APU)Japan",,,"Cognizant Communication Corporation",,,,,10835423,,,,"English","Tour. Anal.",Article,"Final",,Scopus,2-s2.0-84925269178 "Ho K.-T.","56059647200;","Medical tourism: New strategies for the health care industry in Taiwan",2015,"Journal of the Formosan Medical Association","114","2",,"99","101",,4,"10.1016/j.jfma.2014.09.005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84922730898&doi=10.1016%2fj.jfma.2014.09.005&partnerID=40&md5=c425318f76e34a042545adac42f6bdeb","Division of Gerontology Research, Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan","Ho, K.-T., Division of Gerontology Research, Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan",[No abstract available],,"economics; health care cost; human; medical tourism; public health; standards; Taiwan; trends; Health Care Sector; Humans; Medical Tourism; National Health Programs; Taiwan",,,,,,,,"Ipsos surveyed results. Medical tourism: 1 in 3 open to traveling for treatments, poll finds http://www.huffingtonpost.com/2012/11/13/medical-tourism-travel-treatment-health_n_2121732.html, [accessed 14.02.14]; ITB World Travel Trends Report 2012/2013 http://www.itb-berlin.de/media/itbk/itbk_media/itbk_pdf/WTTR_Report_2013_web.pdf, Messe Berlin, Munich, Germany. [accessed 18.02.14]; ITB World Travel Trends Report 2013/2014 http://www.itb-berlin.de/media/itb/itb_media/itb_pdf/WTTR_Report_2014_Web.pdf, Messe Berlin, Munich, Germany. [accessed 18.02.14]; Huang, S.K., Tsai, S.L., Hsu, M.T., Ensuring the sustainability of the Taiwan National Health Insurance (2014) J Formos Med Assoc, 113, pp. 1-2; Consolidating the strength of Taiwan's National Health Insurance system http://www.roc-taiwan.org/ct.asp?xItem=315388%26ctNode=2240%26mp=1, [accessed 21.03.14]; International Healthcare services http://fepz8.chiliman.com.tw/en_d-2_2.aspx, [accessed 20.10.14]","Ho, K.-T.; Ministry of Health and Welfare, Number 488, Section 6, Zhongxiao East Road, Taiwan",,,"Elsevier",,,,,09296646,,JFASE,"25457294","English","J. Formos. Med. Assoc.",Short Survey,"Final",Open Access,Scopus,2-s2.0-84922730898 "Finch S.","55656649500;","Thailand top destination for medical tourists.",2014,"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","186","1",,"E1","2",,4,"10.1503/cmaj.109-4655","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894759338&doi=10.1503%2fcmaj.109-4655&partnerID=40&md5=95b9b5ec1e795aa987254157217c2374",,"Finch, S.",[No abstract available],,"human; medical tourism; note; Thailand; Humans; Medical Tourism; Thailand",,,,,,,,,"Finch, S.",,,,,,,,14882329,,,"24246587","English","CMAJ",Note,"Final",Open Access,Scopus,2-s2.0-84894759338 "Goodrich J.N.","7102131344;","Health-care tourism in the Caribbean",2014,"Tourism Marketing and Management in the Caribbean",,,,"122","128",,4,"10.4324/9781315767338","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84956783491&doi=10.4324%2f9781315767338&partnerID=40&md5=1814cd8bc7c1ccb433f7af0bd75385a0","College of Business Administration, Florida International University, United States","Goodrich, J.N., College of Business Administration, Florida International University, United States",[No abstract available],,,,,,,,,,"Goodrich, J.N., Goodrich, G.E., Health-Care Tourism: An Exploratory Study (1987) Tourism Management, pp. 217-222. , September; Medlik, S., (1991) Managing Tourism, pp. 107-114. , Oxford: Butterworth-Heinemann","Goodrich, J.N.; College of Business Administration, Florida International UniversityUnited States",,,"Taylor and Francis",,,,,,9781315767338; 9781138786332,,,"English","Tourism Marketing and Management in the Caribb.",Book Chapter,"Final",,Scopus,2-s2.0-84956783491 "Ho Y.C., Hsieh M.J., Yu A.P.","9246295100;41661685700;56176777900;","Effects of customer-value perception and anticipation on relationship quality and customer loyalty in medical tourism services industry",2014,"Information Technology Journal","13","4",,"652","660",,4,"10.3923/itj.2014.652.660","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945181066&doi=10.3923%2fitj.2014.652.660&partnerID=40&md5=5dde048ee6b9d4065b852315658052a1","Department of Business Administration, National Chung Cheng University, 168, University Rd., Min-Hsiung, Chia-Yi, Taiwan","Ho, Y.C., Department of Business Administration, National Chung Cheng University, 168, University Rd., Min-Hsiung, Chia-Yi, Taiwan; Hsieh, M.J., Department of Business Administration, National Chung Cheng University, 168, University Rd., Min-Hsiung, Chia-Yi, Taiwan; Yu, A.P., Department of Business Administration, National Chung Cheng University, 168, University Rd., Min-Hsiung, Chia-Yi, Taiwan","The dynamic customer value perceived and predicted by service providers may be the key factors to design an appropriate health and medical tourism service offering for consumers. However, the interaction between service provider and customer is the primary core of service businesses of different natures. Thus, the main purpose of this research is to investigate the influence of the customer value anticipation on customer loyalty and perceived quality of the customer-supplier relationship. There are three important findings in this research: First, this study showed that predicting customer value is a key to maintaining a relationship between companies and customers. Second, the study showed that customer value is dynamic and depends on the customers' degree of satisfaction, trust and commitment. Companies must improve their customer value anticipation capacity in order to strengthen the long-term relationship with their customers. Third, the study also found that customer loyalty varies depending on the quality of the relationship with the service-provider and that this relationship has various dimensions. Finally, the study showed that contrary to satisfaction and trust, commitment has a special effect on action loyalty, such that the customers exhibit their intentions directly through action when customer and company have a committed relationship. © 2014 Asian Network for Scientific Information.","Customer value anticipation; Loyalty; Medical tourism; Relationship quality",,,,,,,,,"Anselmsson, J., Sources of customer satisfaction with shopping malls: A comparative study of different customer segments (2006) Int. Rev. Retail Distrib. Consumer Res., 16, pp. 115-138; Athanassopoulos, A.D., Customer satisfaction cues to support market segmentation and explain switching behavior (2000) J. Bus. Res., 47, pp. 191-207; Ballantyne, D., Varey, R.J., The service-dominant logic and the future of marketing (2008) J. Acad. Market. Sci., 36, pp. 11-14; Bansal, H.S., Irving, P.G., Taylor, S.F., A three-component model of customer to service providers (2004) J. Acad. Market. Sci., 32, pp. 234-250; Becker-Olsen, K.L., Cudmore, B.A., Hill, R.P., The impact of perceived corporate social responsibility on consumer behavior (2006) J. Bus. Res., 59, pp. 46-53; Blut, M., Evanschitzky, H., Vogel, V., Ahlert, D., Switching barriers in the four-stage loyalty model (2007) Adv. Consumer Res., 34, pp. 726-734; Bolton, R.N., Lemon, K.N., Verhoef, P.C., The theoretical underpinnings of customer asset management: A framework and propositions for future research (2004) Acad. Market. Sci., 32, pp. 271-292; Briggs, S., Sutherland, J., Drummond, S., Are hotels serving quality? An exploratory study of service quality in the Scottish hotel sector (2007) Tourism Manage., 28, pp. 1006-1019; Caceres, R.C., Paparoidamis, N.G., Service quality, relationship satisfaction, trust, commitment and business-to-business loyalty (2007) Eur. J. Market, 41, pp. 836-867; Chandrashekaran, M., Rotte, K., Tax, S.S., Grewal, R., Satisfaction strength and customer loyalty (2007) Am. Market. 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Market, 16, pp. 593-614; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Madhavaram, S., Hunt, S.D., The service-dominant logic and a hierarchy of operant resources: Developing masterful operant resources and implications for marketing strategy (2008) J. Acad. Market. Sci., 36, pp. 67-82; Morgan, R.M., Hunt, S.D., The commitment-trust theory of relationship marketing (1994) J. Market, 58, pp. 20-38; Moulton, B., Croucher, G., Varis, A., Chen, J., Method for increasing the energy efficiency of wirelessly networked ambulatory health monitoring devices (2010) J. Convergence Inform. Technol., 5, pp. 7-14; Munyau, P.K., Mwirigi, F.M., The influence of customer loyalty on celebrity endorser choice decision making: An exploratory survey of customers of selected celebrity endorsed products in Kenya (2013) Eur. J. Bus. 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Applied, 11, pp. 98-110; Smith, C., Jenner, P., Health tourism in Europe (2000) Travel Tourism Anal., 1, pp. 41-59; Stanley, F.S., Narver, J.C., Market orientation, customer value and superior performance (1994) Bus. Horizons, 37, pp. 22-28; Turner, L.G., Quality inhealth care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int. J. Qual. Health Care, 23, pp. 1-7; Vargo, S.L., Lusch, R.F., Evolving to a new dominant logic for marketing (2004) J. Market., 58, pp. 1-17; Verhoef, P.C., Franses, P.H., Hoekstra, J.C., The effect of relational constructs on customer referrals and number of services purchased from a multiservice provider: Does age of relationship matter? (2002) J. Acad. Market. Sci., 30, pp. 202-216; Wong, A., The role of emotional satisfaction in service encounters (2004) Manage. Serv. Qual., 14, pp. 365-376; Woodruff, R.B., Customer value: The next source for competitive advantage (1997) J. Acad. Market. Sci., 25, pp. 139-153","Hsieh, M.J.; Department of Business Administration, National Chung Cheng University, 168, University Rd., Taiwan",,,"Asian Network for Scientific Information",,,,,18125638,,,,"English","Inf. Technol. J.",Article,"Final",Open Access,Scopus,2-s2.0-84945181066 "Mitrečić D., Bilić E., Gajović S.","8696488400;6602137793;6701829922;","How Croatian patients suffering from amyotrophic lateral sclerosis have been turned into medical tourists - A comment on a medical and social phenomenon",2014,"Croatian Medical Journal","55","5",,"443","445",,4,"10.3325/cmj.2014.55.443","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920154836&doi=10.3325%2fcmj.2014.55.443&partnerID=40&md5=e5030de99ac15ef7552f8013fa7023b4","Laboratory for Stem Cells, Section of Neurogenetics, Cytogenetics, and Developmental Genetics, Croatian Institute for Brain Research, University of Zagreb School of Medicine, Zagreb, Croatia; Referral Center for Neuromuscular Diseases and Clinical Electromyoneurography, Department of Neurology, University Hospital Center Zagreb, University of Zagreb School of Medicine, Croatia; Croatian Medical Journal, Zagreb, Croatia","Mitrečić, D., Laboratory for Stem Cells, Section of Neurogenetics, Cytogenetics, and Developmental Genetics, Croatian Institute for Brain Research, University of Zagreb School of Medicine, Zagreb, Croatia; Bilić, E., Referral Center for Neuromuscular Diseases and Clinical Electromyoneurography, Department of Neurology, University Hospital Center Zagreb, University of Zagreb School of Medicine, Croatia; Gajović, S., Laboratory for Stem Cells, Section of Neurogenetics, Cytogenetics, and Developmental Genetics, Croatian Institute for Brain Research, University of Zagreb School of Medicine, Zagreb, Croatia, Croatian Medical Journal, Zagreb, Croatia",[No abstract available],,"amyotrophic lateral sclerosis; bone marrow cell; cell differentiation; cell therapy; Croatia; Croatian (citizen); degenerative disease; Editorial; human; medical care; medical expert; medical practice; medical tourism; motoneuron; neurologic disease; stem cell transplantation; amyotrophic lateral sclerosis; complication; ethics; medical ethics; medical tourism; perception; stem cell transplantation; Amyotrophic Lateral Sclerosis; Croatia; Ethics, Medical; Humans; Medical Tourism; Social Perception; Stem Cell Transplantation",,,,,,,,"Ice Bucket Challenge (2014), http://en.wikipedia.org/wiki/Ice:Bucket_Challenge, Accessed: October 3; Mitrecic, D., Nicaise, C., Gajovic, S., Pochet, R., Distribution, differentiation and survival of intravenously administered neural stem cells in a rat model of amyotrophic lateral sclerosis (2010) Cell Transplant., 19, pp. 537-548. , Medline:20350352; (2014), http://www.clinicaltrials.gov, Accessed: October 3; Mason, C., Brindley, D.A., Culme-Seymour, E.J., Davie, N.L., Cell therapy industry: billion dollar global business with unlimited potential (2011) Regen Med., 6, pp. 265-272. , Medline:21548728; Patient Handbook on Stem Cell Therapies ISSCR (2014), http://www.isscr.org/home/publications/patient-handbook, Accessed: October 3; (2014), http://www.hvim.hr, Accessed: October 3; Maeseele, P., Allgaier, J., Martinelli, L., Bio-objects and the media: the role of communication in bio-objectification processes (2013) Croat Med J., 54, pp. 301-305. , Medline:23771763; Svalastog, A.L., Allgaier, J., Martinelli, L., Gajovic, S., Distortion, confusion, and impasses: could a public dialogue within Knowledge Landscapes contribute to better communication and understanding of innovative knowledge? (2014) Croat Med J., 55, pp. 54-60. , Medline:24577828",,,,"Medicinska Naklada Zagreb",,,,,03539504,,CMEJE,"25358876","English","Croat. Med. J.",Editorial,"Final",Open Access,Scopus,2-s2.0-84920154836 "Rajagopal S., Guo L., Edvardsson B.","57191044858;57191045150;6701457475;","Role of resource integration in adoption of medical tourism service",2013,"International Journal of Quality and Service Sciences","5","3",,"321","336",,4,"10.1108/IJQSS-07-2012-0005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84986066992&doi=10.1108%2fIJQSS-07-2012-0005&partnerID=40&md5=96ffb60a15dc45bd37ec06654737aad4","Institute of Systems Science, National University of Singapore, Singapore; Faculty of Economy, Communication and IT, CTF-Service Research Center, Karlstad University, Karlstad, Sweden","Rajagopal, S., Institute of Systems Science, National University of Singapore, Singapore; Guo, L., Institute of Systems Science, National University of Singapore, Singapore; Edvardsson, B., Faculty of Economy, Communication and IT, CTF-Service Research Center, Karlstad University, Karlstad, Sweden","Purpose – The purpose of this article is to identify enabling and inhibiting factors that influence patients during their consideration of medical tourism for their healthcare requirement. The research provides marketing and practice implications that help in promoting medical tourism service. Furthermore, the paper provides evidence from medical tourism service to establish the relationship between resource integration and adoption of the service. Design/methodology/approach – The article takes a two-pronged exploratory study approach, with study one focusing on analysing prospective medical tourists' emotional impediments in their consideration of the service, while study two analyses the factors that helped medical tourists who have already availed the service, overcome the impediments. Findings – In this article, it is identified that resource integration, particularly social resources, has a major impact on individual's decision to adopt a service. The exploratory study indicates that perceived knowledge disadvantage, lack of perceived control, and lack of social support in the destination country lead causes emotional discomfort to medical tourists. The study also indicates that the ability to integrate social resources available to them helped prospective medical tourists in their assessment of medical tourism service prior to adopting it. The article establishes that integration of social resources enables the patients to overcome the emotional discomfort and thus pursues to adopt medical tourism service. Originality/value – While previous medical tourism service research has primarily focused on cognitive factors in patients' decision making such as quality and cost of healthcare services in destination countries, this article throws light on the enabling and inhibiting factors that influence adoption of medical tourism service. © 2013, Emerald Group Publishing Limited","Emotional discomfort; Health care; Medical tourism; Medical treatment; Medicine; Service system; Social resource integration; Tourism",,,,,,,,,"Antonovsky, A., (1979) Health, Stress and Coping, , Jossey-Bass, Sanfrancisco, CA; Arnould, E.J., Price, L.L., Malshe, A., Toward a cultural resource-based theory of the customer (2006) The Service-dominant Logic of Marketing: Dialog, Debate and Directions, pp. 320-333. , in Lusch, R.F. and Vargo, S.L. (Eds) M.E. Sharpe, Armonke, NY; Atlas, S.J., Grant, R.W., Ferris, T.G., Chang, Y., Barry, M.J., Patient-physician connectedness and quality of primary care (2009) Annals of Internal Medicine, 150 (5), pp. 325-335; Averill, J.R., Personal control over aversive stimuli and its relationship to stress (1973) Psychological Bulletin, 80 (4), pp. 286-303; Berry, L., Bendapudi, N., A fertile field for service research (2007) Journal of Service Research, 10 (2), pp. 111-122; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; D'Eredita, A.M., Barreto, C., How does tacit knowledge proliferate? An episode-based perspective (2006) Organization Studies, 27 (12), pp. 1821-1841; DeVoe, J.E., Saultz, J.W., Krois, L., Tillotson, C.J., A medical home versus temporary housing: the importance of a stable usual source of care (2009) Pediatrics, 124, pp. 1363-1371; Dickinson, W.P., Miller, F.B., Comprehensive and continuity of care and the inseparability of mental and behavioral health from the patient-centered medical home (2010) Families, Systems, and Health, 28 (4), pp. 348-355; Eaton, W.W., Life events, social supports and psychiatric symptoms: a reanalysis of the New Haven data (1978) Journal of Health and Social Behavior, 19, pp. 230-234; Edvardsson, B., Tronvoll, B., Gruber, T., Expanding understanding of service exchange and value co creation (2011) Journal of the Academy of Marketing Science, 39 (2), pp. 327-339. , a; Edvardsson, B., Ng, G., Choo, Z.M., Firth, R., Ding, Y., Does service-dominant design result in a better service system? (2011) Journal of Service Management, 22 (4), pp. 540-556. , b; Etgar, M., Fuchs, G., Does ethnic/cultural dissimilarity affect perceptions of service quality? (2011) Services Marketing Quarterly, 32 (2), pp. 113-128; Gioia, D.A., Symbols, scripts, and sensemaking: creating meaning in the organizational experience (1986) The Thinking Organization, pp. 49-74. , in Sims, J.H.P. and Gioia, D.A. (Eds) Jossey-Bass, San Francisco, CA; Goodrich, J., Goodrich, G., Healthcare tourism – an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; Gronroos, C., Ravald, A., Service as business logic: implications for value creation and marketing (2010) Journal of Service Management, 22 (1), pp. 5-22; Guthrie, B., Saultz, J.W., Freeman, G.K., Haggerty, J.L., Continuity of care matters (2008) British Medical Journal, 337 (August); Han, S., Lerner, J.S., Keltner, D., Feelings and consumer decision making: the appraisal-tendency framework (2007) Journal of Consumer Psychology, 17 (3), pp. 158-168; Helble, M., The movement of patients across borders: challenges and opportunities for public health (2011) Bulletin of World Health Organization, 89 (1), pp. 68-72; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Hui, K.M., Bateson, E.G.J., Perceived control and the effects of crowding and consumer choice on the service experience (1991) Journal of Consumer Research, 18, pp. 174-184; Isen, A.M., Positive affect and decision making (1993) Handbook of Emotion, pp. 261-277. , in Lewis, M. and Haviland, J. (Eds) Guilford, New York, NY; Isen, A.M., An influence of positive affect on decision making in complex situations: theoretical issues with practical implications (2001) Journal of Consumer Psychology, 11 (2), pp. 75-85; Johnson, R.R., Race and police reliance on suspicious non-verbal cues (2007) Policing: An International Journal of Police Strategies & Management, 30 (2), pp. 277-287; Miller, J., Neelon, V., Dalton, J., NG'andu, N.D., Layman, E., Hosfield, A., The assessment of discomfort in elderly confused patients: a preliminary study (1996) Journal of Neuroscience Nursing, 28 (3), pp. 175-182; Nonaka, I., A dynamic theory of organizational knowledge creation (1994) Organization Science, 5 (1), pp. 14-37; Nonaka, I., Takeuchi, H., (1995) The Knowledge-creating Company: How Japanese Companies Create the Dynamics of Innovation, , Oxford University Press, New York, NY; Pafford, B., The third wave-medical tourism in the 21st century (2009) Southern Medical Journal, 102 (8), pp. 810-813; Pandhi, N., Saultz, J.W., Patients' perceptions of interpersonal continuity of care (2006) Journal of the American Board of Family Medicine, 19 (4), pp. 390-397; Payne, F.A., Storbacka, K., Frow, P., Managing the co-creation of value (2008) Journal of the Academy of Marketing Science, 36 (1), pp. 83-96; Polanyi, M., (1966) The Tacit Dimension, , Routledge & Kegan Paul, London; Sinha, D.K., The contribution of formal planning to decisions (1990) Strategic Management Journal, 11 (6), pp. 479-492; Smith, P.C., Forgione, D., Global outsourcing of healthcare: a medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Spohrer, J., Maglio, P.P., Bailey, J., Gruhl, D., Steps toward a science of service systems (2007) Computer, 40 (1), pp. 71-77; Sternberg, R.J., Wagner, R.K., Williams, W.M., Horvath, J.A., Testing common-sense (1995) American Psychologist, 50 (11), pp. 912-927; Theorell, T., Selected illness and somatic factors in relation to two psycho-social stress indices: a prospective study of middle-aged construction building workers (1976) Journal of Psychosomatic Research, 20 (1), pp. 7-20; Vargo, S.L., Lusch, R.F., Why service? (2008) Journal of the Academy of Marketing Science, 36 (1), pp. 25-38; Wade, J., The pitfalls of cross-cultural business (2004) Risk Management, 51 (3), pp. 38-43; White, R.W., Motivation reconsidered: the concept of competence (1959) Psychological Review, 66 (5), pp. 297-333; Zack, M.H., The role of decision support systems in an indeterminate world (2007) Decision Support Systems, (4), pp. 1664-1674; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9; Schiffman, L.G., Kanuk, L.L., (2000) Consumer Behavior, , Prentice-Hall, London; Vargo, S.L., Lusch, R.F., Evolving to a new dominant logic for marketing (2004) Journal of Marketing, 68 (1), pp. 1-17",,,,,,,,,1756669X,,,,"English","Int. J. Qual. Serv. Sci.",Article,"Final",,Scopus,2-s2.0-84986066992 "Turner L.","7202689997;","Canadian medical travel companies and the globalisation of health care",2013,"Medical Tourism and Transnational Health Care",,,,"151","178",,4,"10.1057/9781137338495","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996799525&doi=10.1057%2f9781137338495&partnerID=40&md5=55155ec7c2e78a8a871be575d6f47b3b","Center for Bioethics, School of Public Health and College of Pharmacy, University of MinnesotaMN, United States","Turner, L., Center for Bioethics, School of Public Health and College of Pharmacy, University of MinnesotaMN, United States",[No abstract available],,,,,,,,,,"Christou, N., Efthimiou, E., Bariatric surgery waiting times in Canada (2009) Canadian Journal of Surgery, 52, pp. 229-234; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27, pp. 1093-1100; Dhalla, I., Private health insurance: An international overview and considerations for Canada (2007) Healthcare Quarterly, 10, pp. 89-96; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) Canadian Medical Association Journal, 174, p. 1247; Flood, C., Archibald, T., The illegality of private health care in Canada (2001) Canadian Medical Association Journal, 164, pp. 825-830; Floyd, M., Izenberg, D., Kelly, B., Shimo, A., Treble, P., Medical services directory (2006) Maclean's, , 25 April; Johnston, R., Crooks, V., Adams, K., Snyder, J., Kingsbury, P., An industry perspective on canadian patients' involvement in medical tourism: Implications for public health (2011) BMC Public Health, 11, p. 416; Katz, S., Verrilli, D., Barer, M., Canadians' use of US medical services (1998) Health Affairs, 17, pp. 225-235; Katz, S., Cardiff, K., Pascali, M., Barer, M., Evans, R., Phantoms in the snow:Canadians' use of health care services in the United States (2002) Health Affairs, 21, pp. 19-31; Korcok, M., Excess demand meets excess supply as referral companies link Canadian patients, US hospitals (1997) Canadian Medical Association Journal, 157, pp. 767-770; Legare, J., Li, D., Buth, K., How established wait time benchmarks significantly underestimate total wait times for cardiac surgery (2010) Canadian Journal of Cardiology, 26, pp. E17-21; Lindberg, M., Risk, J., External review of the Ontario health insurance plan's out-of-country program (2007), 1-18 July; Mainil, T., Platenkamp, V., Meulemans, H., Diving into contexts of inbetween worlds: World making in medical tourism (2011) Tourism Analysis, 15, pp. 743-754; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) Journal of Health Communication, 16, pp. 163-177; McClure, M., Woman with MS dies after treatment (2011) Winnipeg Free Press, , 9 July 2011; Morrow, A., Man dies after controversial MS treatment, doctor says (2010) The Globe and Mail, , 18 November 2010; Penney, K., Snyder, J., Crooks, V., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12, p. 17; Pope, C., Ziebland, S., Mays, N., Qualitative research in health care:Analysing qualitative data (2000) British Medical Journal, 320, pp. 114-116; Silversides, A., Canada Health Act breaches are being ignored, pro-medicare groups charge (2008) Canadian Medical Association Journal, 179, pp. 1112-1113; Snyder, J., Crooks, V., Adams, K., Kingsbury, P., Johnston, R., The patient's physician one-step removed: The evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Steinbrook, R., Private health care in Canada (2006) New England Journal of Medicine, 354, pp. 1661-1664; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician, 53, pp. 1639-1641; Turner, L., Canadian medical tourism companies that have exited the marketplace:Content analysis of websites used to market transnational medical travel (2011) Globalization and Health, 7 (1), p. 40; Turner, L., Canada's turbulent medical tourism industry (2012) Canadian Family Physician, 58, pp. 371-373","Turner, L.; Center for Bioethics, School of Public Health and College of Pharmacy, University of MinnesotaUnited States",,,"Palgrave Macmillan",,,,,,9781137338495; 9780230362369,,,"English","Med. Tour. and Transnatl. Health Care",Book Chapter,"Final",,Scopus,2-s2.0-84996799525 "Álvarez M.M., Smith R.D., Chanda R.","57093029500;55746369800;7004477781;","The impact of medical tourism in low- and middle-income countries",2013,"Medical Tourism and Transnational Health Care",,,,"208","222",,4,"10.1057/9781137338495","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996644248&doi=10.1057%2f9781137338495&partnerID=40&md5=3e0727cd9b4f62080c47a00a6e67ea06","Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; Indian Institute of Management Bangalore (IIMB), India","Álvarez, M.M., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; Smith, R.D., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom; Chanda, R., Indian Institute of Management Bangalore (IIMB), India",[No abstract available],,,,,,,,,,"Arunanondchai, J., Fink, C., Trade in health services in the ASEAN region (2006) Health Promotion International, 21 (1), pp. 59-66; Beecham, L., British patients willing to travel abroad for treatment (2002) British Medical Journal, 325, p. 10; Bhadoria, B.M.S., Mudaliar, A., SWOT Analysis On: Medical Tourism in India (2009) BSSS Journal of Management, 1, pp. 70-83; Blouin, C., Drager, N., Smith, R., (2006) International Trade in Health Services and the GATS: Current Issues and Debates, , (The World Bank); Burkett, L., Medical tourism. Concerns, benefits, and the American legal perspective (2007) Journal of Legal Medicine, 28, pp. 223-245; Anales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82, pp. 1658-1661; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80, pp. 158-163; Chatterjee, A., The art, science and commerce of medical tourism (2007) Journal of the Indian Medical Association, 105, pp. 619-620; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85, pp. 164-165; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Tummy tucks and the Taj Mahal? Medical tourism and the globalization of health care (2008) Tourism Management, , A. G. Woodside and D. Martin (eds), (Oxon: CAB International); Dunn, P., Medical tourism takes fight (2007) Hospital and Health Networks, 81, pp. 40-42 and 44; Freund, T., Schwantes, U., Lekutat, C., OOH care and locum doctors (2007) British Journal of General Practice, 57, pp. 668-669; Garud, A.D., Medical tourism and its impact on our healthcare (2005) National Medical Journal of India, 18, pp. 318-319; Horowitz, M.D., Rosensweig, J.A., Medical tourism - health care in the global economy (2007) Physician Executive, 33 (24-26), pp. 28-30; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) MedGenMed, 9, p. 33; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Social Science and Medicine, 67, pp. 101-110; Leahy, A.L., Medical tourism: The impact of travel to foreign countries for healthcare (2008) Surgeon, 6, pp. 260-261; Lee, C., Just what the doctor ordered: Medical tourism (2007) Monash Business Review, 3, pp. 10-12; Martinez Alvarez, M., Chanda, R., Smith, R.D., The potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the UK and India (2011) Global Health, 7, p. 11; (2002) Healthcare in India: The Road Ahead, , Confederation of Indian Industry (Ed.), no place of publication; Milstein, A., Smith, M., America's new refugees - seeking affordable surgery offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; Muzaffar, F., Hussain, I., Medical tourism: are we ready to take the challenge? (2007) Journal of Pakistan Association of Dermatologists, 17, pp. 215-218; Pachanee, C.A., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy Plan, 21, pp. 310-318; Ramirez De Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37, pp. 193-198; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92, pp. 1433-1446. , xi; Sen Gupta, A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5, pp. 4-5; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373, pp. 593-601; Smith, R., Martinez Alvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The ""patient's physician one-step removed"": The evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Timmermans, K., Developing countries and trade in health services: Which way is forward? (2004) International Journal of Health Services, 34, pp. 453-466; Turner, L., ""First world health care at third world prices"": Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician, 53 (1639-1641), pp. 1646-1648; Turner, L., ""Medical tourism"" initiatives should exclude commercial organ transplantation (2008) Journal of the Royal Society of Medicine, 101, pp. 391-394; Wibulpolprasert, S., Pachanee, C.A., Pitayarangsarit, S., Hempisut, P., International service trade and its implications for human resources for health: A case study of Thailand (2004) Human Resources for Health, 2, p. 10","Álvarez, M.M.; Department of Global Health and Development, London School of Hygiene and Tropical MedicineUnited Kingdom",,,"Palgrave Macmillan",,,,,,9781137338495; 9780230362369,,,"English","Med. Tour. and Transnatl. Health Care",Book Chapter,"Final",,Scopus,2-s2.0-84996644248 "Langley J.D., Johnson T.J., Hohmann S.F., Meurer S.J., Garman A.N.","55920211900;8340561600;26534424300;6603387158;7004084762;","Empirical analysis of domestic medical travel for elective cardiovascular procedures",2013,"American Journal of Managed Care","19","10",,"825","832",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84887220655&partnerID=40&md5=7babfaf55a8dfe234f709819c3723ef2","UHC, 155 North Wacker Dr, Chicago, IL 60606, United States; Center for Health Management and Policy Research, United States; Department of Health Systems Management, Rush University, Chicago, IL, United States; National Center for Healthcare Leadership, Chicago, IL, United States","Langley, J.D., UHC, 155 North Wacker Dr, Chicago, IL 60606, United States; Johnson, T.J., Center for Health Management and Policy Research, United States; Hohmann, S.F., UHC, 155 North Wacker Dr, Chicago, IL 60606, United States, Department of Health Systems Management, Rush University, Chicago, IL, United States; Meurer, S.J., UHC, 155 North Wacker Dr, Chicago, IL 60606, United States, Department of Health Systems Management, Rush University, Chicago, IL, United States; Garman, A.N., Department of Health Systems Management, Rush University, Chicago, IL, United States, National Center for Healthcare Leadership, Chicago, IL, United States","Objectives: To investigate whether domestic medical travel (DMT; traveling outside of one's home region but within the United States for medical care) and surgeon volume affect clinical outcomes and costs for patients undergoing elective cardiovascular procedures. Study Design: Retrospective, cross-sectional analysis of patient discharge data from US academic medical centers. Methods: Patients were classified as medical travelers if they received elective, nonemergent care more than 250 miles from home. High-volume surgeons (HVSs) were those above the 75th percentile compared with other study surgeons in the annual number of cardiovascular surgeries performed. Multivariable regression models were fit to test the relationships among complications, mortality, length of stay (LOS), cost, DMT status, and surgeon volume, controlling for sociodemographic and clinical factors. Results: Patients who traveled to HVSs were more likely to be male, white, have lower severity of illness, and have health insurance through an indemnity plan or preferred provider organization with coverage outside of the patient's home region. Patients who traveled to HVSs had shorter LOS and fewer complications than those who received care from local, low-volume surgeons. There was no significant difference in mortality between travelers and nontravelers. Conclusions: Patients who travelled to HVSs for elective cardiovascular procedures had outcomes similar to or better than those of patients who received care locally from lowvolume surgeons. We found no increase in complications or LOS, despite potentially complex logistical arrangements required by travelers. More work is needed to evaluate the potential of DMT to improve the value of care provided for selected procedures.",,"article; cardiovascular procedure; cross-sectional study; disease severity; domestic medical travel; empirical research; emporiatrics; female; health care cost; health insurance; hospital discharge; human; length of stay; major clinical study; male; medical care; medical procedures; mortality; outcome assessment; patient coding; priority journal; surgeon; United States; university hospital; Cardiovascular Diseases; economics; elective surgery; empirical research; medical tourism; middle aged; retrospective study; statistics and numerical data; Cardiovascular Diseases; Cross-Sectional Studies; Elective Surgical Procedures; Empirical Research; Female; Humans; Male; Medical Tourism; Middle Aged; Outcome Assessment (Health Care); Retrospective Studies; United States",,,,,,,,"Wennberg, J.E., Understanding geographic variations in health care delivery (1999) New Engl J Med., 340 (1), pp. 52-53; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) J Health Care Finance., 34 (1), pp. 27-35; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Med Gen Med., 9 (4), p. 33; Merritt Jr., M.G., Railey, C.J., Levin, S.A., Crone, R.K., Involvement abroad of US academic health centers and major teaching hospitals: The developing landscape (2008) Acad Med., 83 (6), pp. 541-549; Birkmeyer, J.D., Stukel, T.A., Siewers, A.E., Goodney, P.P., Wennberg, D.E., Lucas, F.L., Surgeon volume and operative mortality in the united states (2003) New Engl J Med., 349 (22), pp. 2117-2127; Dimick, J.B., Pronovost, P.J., Cowan Jr., J.A., Lipsett, P.A., Stanley, J.C., Upchurch Jr., G.R., Variation in postoperative complication rates after high-risk surgery in the united states (2003) Surgery., 134 (4), pp. 534-540; Flood, A.B., Scott, W.R., Ewy, W., Does practice make perfect? Part I: The relation between hospital volume and outcomes for selected diagnostic categories (1984) Med Care., 22 (2), pp. 98-114; Halm, E.A., Lee, C., Chassin, M.R., Is volume related to outcome in health care? A systematic review and methodologic critique of the literature (2002) Ann Intern Med., 137 (6), pp. 511-520; (2010) Lowe's Expands Heart Healthcare Benefits with Cleveland Clinic, , my.clevelandclinic.org/news/2010/lowes_expands_heart_healthcare_benefits. aspx, The Cleveland Clinic. [press release]. Published February 16. Accessed October 21, 2011; Feldstein, P.J., The emergence of market competition in the US health care system: Its causes, likely structure, and implications (1986) Health Policy., 6 (1), pp. 1-20; Birkmeyer, J.D., Siewers, A.E., Finlayson, E.V., Hospital volume and surgical mortality in the united states (2002) New Engl J Med., 346 (15), pp. 1128-1137; Birkmeyer, J.D., Skinner, J.S., Wennberg, D.E., Will volume-based referral strategies reduce costs or just save lives? (2002) Health Aff (Millwood)., 21 (5), pp. 234-241; Birkmeyer, J.D., Sun, Y., Wong, S.L., Stukel, T.A., Hospital volume and late survival after cancer surgery (2007) Ann Surg., 245 (5), pp. 777-783; Dudley, R.A., Johansen, K.L., Brand, R., Rennie, D.J., Milstein, A., Selective referral to high-volume hospitals: Estimating potentially avoidable deaths (2000) JAMA, 283 (9), pp. 1159-1166; Fong, Y., Gonan, M., Rubin, D., Radzymer, M., Brennan, M.F., Long-term survival is superior after resection for cancer in high-volume centers (2005) Ann Surg., 242 (4), pp. 540-544; Gordon, T.A., Burleyson, G.P., Tielsch, J.M., Cameron, J.L., The effects of regionalization on cost and outcome for one general high-risk surgical procedure (1995) Ann Surg., 221 (1), pp. 43-49; Luft, H.S., Bunker, J.P., Enthoven, A.C., Should operations be regionalized? The empirical relation between surgical volume and mortality (1979) New Engl J Med., 301 (25), pp. 1364-1369; Elixhauser, A., Steiner, C., Harris, D.R., Coffey, R.M., Comorbidity measures for use with administrative data (1998) Med Care., 36 (1), pp. 8-27; (2011) U.S. News and World Report, , http://health.usnews.com/best-hospitals, Best hospitals. Published July 18, 2011. Accessed October 21, 2011; Osborne, N.H., Ghaferi, A.A., Nicholas, L.H., Dimick, J.B., Mph, M., Evaluating popular media and internet-based hospital quality ratings for cancer surgery (2011) Arch Surg., 146 (5), pp. 600-604; Osborne, N.H., Nicholas, L.H., Ghaferi, A.A., Upchurch Jr., G.R., Dimick, J.B., Do popular media and internet-based hospital quality ratings identify hospitals with better cardiovascular surgery outcomes? (2010) J Am Coll Surg., 210 (1), pp. 87-92; Wang, O.J., Wang, Y., Lichtman, J.H., Bradley, E.H., Normand, S.T., Krumholz, H.M., America's best hospitals in the treatment of acute myocardial infarction (2007) Arch Intern Med., 167 (13), pp. 1345-1351; Chen, J., Radford, M.J., Wang, Y., Marciniak, T.A., Krumholz, H.M., Do ""America's best hospitals"" perform better for acute myocardial infarction? (1999) New Engl J Med., 340 (4), pp. 286-292; Manning, W.G., Mullahy, J., Estimating log models: To transform or not to transform? (2001) J Health Econ., 20 (4), pp. 461-494; (2010) Medicaid and Managed Care: Key Data, Trends and Issues, , http://www.lindsayresnick.com/Resource_Link/KFF_Medicaid.pdf, Kaiser Commission on Medicaid and the Uninsured. Publication #8046. February. Accessed August 7, 2013","Langley, J.D.; UHC, 155 North Wacker Dr, Chicago, IL 60606, United States; email: langley@uhc.edu",,,"Ascend Media",,,,,10880224,,AJMCF,"24304161","English","Am. J. Managed Care",Article,"Final",,Scopus,2-s2.0-84887220655 "Niechajev I., Frame J.","7003861622;16419740300;","A plea to control medical tourism",2012,"Aesthetic Plastic Surgery","36","1",,"202","206",,4,"10.1007/s00266-011-9766-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84857918716&doi=10.1007%2fs00266-011-9766-0&partnerID=40&md5=87c8e8fa58fd6f9f2ab4a33d16a0d708","Lidingö-clinic, Torsvägen 30, 181 32 Lidingö, Sweden","Niechajev, I., Lidingö-clinic, Torsvägen 30, 181 32 Lidingö, Sweden; Frame, J., Lidingö-clinic, Torsvägen 30, 181 32 Lidingö, Sweden","The growing phenomenon of patients seeking medical procedures abroad (MPA), formerly known as a medical tourism, is discussed. The dark side of the trend is exemplified by the tragic case of a 31-year-old Swedish woman who upon seeing a web advertisement went to Gdansk, Poland, to have breast augmentation. The operation was performed in an old hospital quite different from the modern hospital depicted in the ad. As a result of the grave mistakes in anesthetic care and lack of a postoperative recovery routine, the patient sustained severe brain injury because of prolonged hypoxia. Now, 6 months after the fateful operation, the patient is decorticated and has only vegetative functioning of the left side of the brain. Firm managers, who do not have any medical training, entice patients to believe that the doctors and the facilities abroad have the same technical and safety standards as at home. We question the gap in the law that allows a lay person to screen the candidates for surgery and decide who will operate and in what kind of environment. The trade in human organs is internationally banned but brokering operations on organs goes uncontrolled. Twenty other patients were operated on abroad at different facilities, but all told the same story: lack of adequate postoperative care, unfriendly nursing staff, and the feeling of abandonment upon the return home. The four facets of the ISAPS Patient Safety Diamond-the patient, the procedure, the facility, and the surgeon-are described. ISAPS decided to support the MPA policy with prescreening of the prospective patient, travel and medical insurance for the patient, and surgery abroad, but only if the surgeon is an ISAPS member in a fully accredited facility. This policy will be available first for UK residents who travel abroad for surgery, and later for patients and ISAPS surgeons worldwide. Many plastic surgeons have seen or heard of various tragedies or disasters following medical treatments in foreign countries. We propose to raise the plea for the introduction of legislation forbidding lay persons to trade in or act as an intermediary or broker of medical treatments abroad. © 2011 Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery.","Anaesthesia complication; Breast augmentation; Medical procedures abroad; Medical tourism; Patient safety","breast reconstruction; economics; female; human; legal aspect; medical tourism; patient care; review; safety; standard; Female; Humans; Mammaplasty; Medical Tourism; Patient Care; Safety",,,,,,,,"Mattisson, K., (2010) Christina, 31 Years, Never Woke Up after Surgery in Poland, Swedish Television (SVT) Uppdrag Granskning, , http://svt.se/2.146665/1.2235810/ christina_31_ar_vaknade_aldrig_efter_operationen_i_polen/, Accessed17Nov2010; Jariyasethpong, T., Tribuddharat, C., Dejsirilert, S., Kerdsin, A., Tishyadhigama, P., Rahule, S., Sawanpanyalert, P., Aswapokee, N., MRSA carriage in a tertiary governmental hospital in Thailand: Emphasis on prevalence and molecular epidemiology (2010) Eur J Clin Microbiol Infect Dis, 29 (8), pp. 977-985. , 20509037 10.1007/s10096-010-0954-7 1:STN:280:DC%2BC3cjgslGhsw%3D%3D; Berglund, J., (2010) Christina, 31 i Koma Efter Bröstoperation, pp. 12-13. , Aftonbladet 17 October 2010; Tse, V., (2010) Swedish Woman in Coma after Botched Breast Operation, the Local, Sweden's News in English, , http://www.thelocal.se/30272/20101117/, Accessed17Nov2010; Abramowicz, D., (2011) Gdańsk: Urza̧d Marszałkowski Odcina Siȩ Od Komercyjnych Operacji W Szpitalu (Wideo). Dziennik Baltycki (Baltic Daily, P 1, in Polish), , http://www.dziennikbaltycki.pl/stronaglowna/336913,gda-sk-urz-d-marsza- kowski-odcina-si-od-komercyjnych,id,t.html?cookie=1; Nahai, F., ISAPS global summit on patient safety in cosmetic medicine and surgery (2010) ISAPS News, 4 (3), p. 11; Van Heijningen, I., Europe works on standards to enhance patient safety (2010) ISAPS News, 4 (3), p. 6; Nahai, F., Frame, J., (2010) Don't Bargain on Safety. Media Planet: Plastic Surgery, p. 1. , 1st edn. Addendum to the Wall Street Journal, December 2010; Nahai, F., Minimizing risk in aesthetic surgery (2009) Clin Risk, 15, pp. 232-236. , 10.1258/cr.2009.090048","Niechajev, I.; Lidingö-clinic, Torsvägen 30, 181 32 Lidingö, Sweden; email: info@lidingokliniken.se",,,,,,,,0364216X,,APSUD,"21717262","English","Aesthet. Plast. Surg.",Review,"Final",,Scopus,2-s2.0-84857918716 "James P.T.","36456657600;","The impact of medical tourism on Thai private hospital management: informing hospital policy.",2012,"Global journal of health science","4","1",,"127","139",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867859496&partnerID=40&md5=bba44bd1868d131e85902b164647e109","Bangkok University, Bangkok, Thailand","James, P.T., Bangkok University, Bangkok, Thailand","The purpose of this paper is to help consolidate and understand management perceptions and experiences of a targeted group (n=7) of Vice-Presidents of international Private Thai hospitals in Bangkok regarding medical tourism impacts. The method adopted uses a small-scale qualitative inquiry. Examines the on-going development and service management factors which contribute to the establishment and strengthening of relationships between international patients and hospital medical services provision. Develops a qualitative model that attempts to conceptualize the findings from a diverse range of management views into a framework of main (8) - Hospital Management; Hospital Processes; Hospital Technology; Quality Related; Communications; Personnel; Financial; and Patients; and consequent sub-themes (22). Outcomes from small-scale qualitative inquiries cannot by design be taken outside of its topical arena. This inevitably indicates that more research of this kind needs to be carried out to understand this field more effectively. The evidence suggests that Private Thai hospital management have established views about what constitutes the impact of medical tourism on hospital policies and practices when hospital staff interact with international patients. As the private health service sector in Thailand continues to grow, future research is needed to help hospitals provide appropriate service patterns and appropriate medical products/services that meet international patient needs and aspirations. Highlights the increasing importance of the international consumer in Thailand's health industry. This study provides insights of private health service providers in Bangkok by helping to understand more effectively health service quality environments, subsequent service provision, and the integrated development and impacts of new medical technology.",,"article; economics; health services research; hospital management; human; interview; medical tourism; policy; private hospital; qualitative research; Thailand; Health Services Research; Hospital Administration; Hospitals, Private; Humans; Interviews as Topic; Medical Tourism; Organizational Policy; Qualitative Research; Thailand",,,,,,,,,"James, P.T.email: paul.j@bu.ac.th",,,,,,,,19169736,,,"22980119","English","Glob J Health Sci",Article,"Final",,Scopus,2-s2.0-84867859496 "Kaul T.K., Chhina D.K.","7007101931;6506670211;","Medical tourism and new Delhi metallo (β-Lactamase 1 a concern and threat",2010,"Journal of Anaesthesiology Clinical Pharmacology","26","4",,"437","438",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859343398&partnerID=40&md5=f7f59c0ff17008118cd416316ff9692a",,"Kaul, T.K.; Chhina, D.K.",[No abstract available],,,,,,,,,,"Kumarasamy, K., Toleman, M.A., Walsh, T.R., Emergence of a new antibiotic resistance mechanism in india pakistan and the uk: A molecular biological and epidemiological study (2010) The Lancet Infect Dis, 10 (9), pp. 597-602; Yong, D., Toleman, M.A., Giske, C.G., Characterization of a new metallo fi-lactamase gene blandm-1, and a novel erythromycin esterase gene carried on a unique genetic structure in klebsiella pneumoniae sequence type 14 from india (2009) Antimicrl Agents Chemother, 53 (12), pp. 5046-5054; Paterson, D.L., Resistance in gram-negative bacteria: Enterobacteriaceae (2006) Am J Infect Control, 34, pp. S20-S28; Queenan, A.M., Bush, K., Carbapenemases: The versatile p-lactamases (2007) Clin Microbiol Rev, 20 (3), pp. 440-458; Hussain, M., Carlino, A., Madonna, J., Cloning and sequencing of the metallothioprotein, 3-lactamase ii gene of bacillus cereus 569/h in escherichia coli (1985) J Bacteriol, 164 (1), pp. 223-9; Wayne, P.A., Clinical, Laboratory Standards Institute, 2010. , Performance Standards For Antimicrobial Susceptibility Testing; Twentieth Informational Supplement. Clinical And Laboratory Standards Institute; Deshpande, P., Rodrigues, C., Shetty, A., Kapadia, F., Hedge, A., Soman, R., New delhi metallo a-lactamase (ndm-1) in enterobacteriaceae: Treatment options with carbapenems compromised J Acad Physicians India, 2010 (58), pp. 147-149; Detection of enterobacteriaceae isolates carrying metallo- p-lactamase united states 2010 (2010) MMWR, 59, p. 750. , CDC; Guidance for control of infections with carbapenem-resistant or carbapenemase-producing enterobacteriaceae in acute care facilities (2009) MMWR, 58, pp. 256-60. , CDC","Kaul, T.K.email: kaultejk@yahoo.com",,,,,,,,09709185,,JAPHF,,"English","J. Anaesthesiol. Clin. Pharmacol.",Editorial,"Final",,Scopus,2-s2.0-84859343398 "Haung C.-Y., Wang S.-P., Chiang C.-W.","57192200693;8728213000;55462224900;","Cost feasibility of A pre-checking medical tourism system for U.S. patients undertaking joint replacement surgery in Taiwan",2010,"Chang Gung Medical Journal","33","6",,"684","692",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-78651260440&partnerID=40&md5=6bff48193c7c3f717cd3b29a03019793","Department of Industrial and Business Management, Chang Gung University, Taoyuan, Taiwan; Department of Orthopedics, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan","Haung, C.-Y., Department of Industrial and Business Management, Chang Gung University, Taoyuan, Taiwan; Wang, S.-P., Department of Industrial and Business Management, Chang Gung University, Taoyuan, Taiwan; Chiang, C.-W., Department of Orthopedics, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan","Background: Medical tourism is a relatively recent global economic and political phenomenon that has assumed increasing importance for developing countries, particularly in Asia. In fact, Taiwan possesses a niche for developing medical tourism because many hospitals provide state-of-the-art medicine in all disciplines and many doctors are trained in the United States (US). Among the most common medical procedures outsourced, joint replacements such as total knee replacement (TKR) and total hip replacement (THR) are two surgeries offered to US patients at a lower cost and shorter waiting time than in the US. Methods: This paper proposed a pre-checking medical tourism system (PCMTS) and evaluated the cost feasibility of recruiting American clients traveling to Taiwan for joint replacement surgery. Cost analysis was used to estimate the prime costs for each stage in the proposed PCMTS. Sensitivity analysis was implemented to examine how different pricings for medical checking and a surgical operation (MC&SO) and recovery, can influence the surplus per patient considering the PCMTS. Finally, the break-even method was adopted to test the tradeoff between the sunk costs of investment in the PCMTS and the annual surplus for participating hospitals. Results: A novel business plan was built showing that pre-checking stations in medical tourism can provide post-operative care and recovery follow-up. Adjustable pricing for hospital administrators engaged in the PCMTS consisted of two main costs: US$3,700 for MC&SO and US$120 for the hospital stay. Guidelines for pricing were provided to maximize the annual surplus from this plan with different number of patients participating in PCMTS. The maximal profit margin from each American patient undertaking joint surgery is about US$24,315. Conclusions: Using cost analysis, this article might be the first to evaluate the feasibility of PCMTS for joint replacement surgeries. The research framework in this article is applicable when hospital administrators evaluate the feasibility of outsourced medical procedures other than TKR and THR.","Cost analysis; Joint replacement surgery; Medical tourism; Pricing","article; controlled study; convalescence; cost benefit analysis; feasibility study; follow up; health care access; health care cost; health insurance; hospital cost; human; investment; length of stay; medical examination; medical tourism; postoperative care; sensitivity analysis; Taiwan; total hip prosthesis; total knee replacement; United States; Arthroplasty, Replacement; Costs and Cost Analysis; Feasibility Studies; Humans; Medical Tourism; Taiwan; United States",,,,,,,,"http://www.nhi.gov.tw/, Bureau of National Health Insurance, Department of Health, ROC. Available from, Accessed May 26, 2010; Jafar, T.H., Organ trafficking: Global solutions for a global problem (2009) Am J Kidney Dis, 54, pp. 1145-1157; Dedmon, R.E., Stem cell tourism: The new ""snake oil"" of the 21st century (2009) Asian Biomed, 3, pp. 339-342; The History of Medical Tourism, , http://www.health-tourism.com/medicaltourism/history/, Available from, Accessed May 26, 2010; Woodman, J., (2008) Patients beyond Borders: Everybody's Guide to Affordable, World-Class Medical Travel, , 2nd ed. Chapel Hill, NC: Healthy Travel Media; Leahy, A.L., Medical tourism: The impact of travel to foreign countries for healthcare (2008) Surgeon, 6, pp. 260-261; Leggat, P., Kedjarune, U., Dental health, dental tourism and travelers (2009) Travel Med Infect Dis, 7, pp. 123-124; Cohen, D.J., Transplant tourism: A growing phenomenon (2009) Nat Clin Pract Nephrol, 5, pp. 128-129; Jeevan, R., Birch, J., Armstrong, A.P., Travelling abroad for aesthetic surgery: Informing healthcare practitioners and providers while improving patient safety (2010) J Plast Reconstr Aesthet Surg, , article in press; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) J Contin Educ Health Prof, 28, pp. 99-102; Chaudhuri, S.K., Ethics of medical tourism (2008) J Indian Med Assoc, 106, p. 188; Kassim, P.N., Medicine beyond borders: The legal and ethical challenges (2009) Med Law, 28, pp. 439-450; Newman, B.Y., Medical tourism (2006) J Am Optom Assoc, 77, p. 581; Taiwan Task Force for Medical Travel, , http://www.medicaltravel.org.tw/index.aspx, Available from, Accessed May 26, 2010; Lee, M.S., The future of medical tourism and outstanding medical service-Joint Reconstruction (2007) Chang Gung Med Infor, 28, pp. 15-16. , (In Chinese); Vijaya, R.M., Medical tourism: Revenue generation or international transfer of healthcare problems? (2010) J Econ Issues, 44, pp. 53-69; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Math Comput Model, 46, pp. 1144-1159; Hueng, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) J Travel Tourism Mark, 27, pp. 236-251; Allied Physicians, Nurses and Pharmacists Promoting Healthcare Excellence and Education, , http://www.allied-physicians.com/salary_surveys/physician-salaries.htm, Available from, Accessed May 26, 2010; http://www.cgmh.org.tw/isc/charges.htm, International Service Center at Chang Gung Memorial Hospital. Available from, Accessed May 26, 2010","Wang, S.-P.; Department of Industrial and Business Management, Chang Gung University, 259, Wunhua 1st Rd, Gueishan Township, Taoyuan County 333, Taiwan; email: wangsp@mail.cgu.edu.tw",,,,,,,,20720939,,CIHCE,"21199614","English","Chang Gung Med. J.",Article,"Final",,Scopus,2-s2.0-78651260440 "Morgan D.","37012774200;","The growth of medical tourism",2010,"OECD Observer",,"281",,"12","13",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-78649811286&partnerID=40&md5=ffd8466c85446d74759699f2e5525e27","Health Division, United States; Employment Labour and Social Affairs, United States","Morgan, D., Health Division, United States, Employment Labour and Social Affairs, United States","The number of people traveling abroad to seek medical treatment appears to have been growing in recent years due to a growing global trend. The Thai Investment Board reports that Thailand treated over one million foreign patients in 2006, who were part of an expanding global trade in medical tourism which the board valued at $40 billion worldwide and with global growth potential of some 20% per year. The health sector has not been slow to respond to this phenomenon. An increasing number of countries or individual hospitals and clinics have actively marketed themselves as medical travel destinations, hoping to attract patients from neighboring countries and further afield, through the promise of high quality technologically advanced and competitively priced health services. Some countries already allow patients to travel to other European countries for treatment that is covered by their own national health services.",,"economic growth; health services; hospital sector; investment; medical geography; tourism; trade; Europe; Thailand",,,,,,,,"(2008) Medical Tourism Consumers in Search of Value, , www.deloitte.com/centerforthsolutions, Debitte Debitte Center for Health Solutions; (2009) Medical Tourism: Update and Implications, , www.deloitte.com/centerfothealthsolutions, Debitte Debitte Center for Health Solutions, 2009; (2008) A Medical Trade Valued at US$40 Billion with A 20% Annual Growth, , www.boi.go.th/english/why/Medical.pdf, That Board of Investment; Wangberg, S., Andreassen, H., Kummervold, P., Wynn, R., Saensen, T., Use of the internet for health purposes: Trends in Norway 2000-2010 (2009) Scandinavian Journal of Caring Sciences, 23, pp. 691-696","Morgan, D.; Employment Labour and Social AffairsUnited States",,,,,,,,00297054,,,,"English","OECD Obs.",Article,"Final",,Scopus,2-s2.0-78649811286 "Weiss E.M., Spataro P.F., Kodner I.J., Keune J.D.","56602275900;36515625400;7006197737;8866730300;","Banding in Bangkok, CABG in Calcutta: The United States physician and the growing field of medical tourism",2010,"Surgery","148","3",,"597","601",,4,"10.1016/j.surg.2010.06.012","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955876053&doi=10.1016%2fj.surg.2010.06.012&partnerID=40&md5=391e23684eb9c98910f3ddbb1de4d17d","Department of Surgery, Washington University, School of Medicine, 26 Portland Drive, St. Louis, MO 63131, United States","Weiss, E.M., Department of Surgery, Washington University, School of Medicine, 26 Portland Drive, St. Louis, MO 63131, United States; Spataro, P.F., Department of Surgery, Washington University, School of Medicine, 26 Portland Drive, St. Louis, MO 63131, United States; Kodner, I.J., Department of Surgery, Washington University, School of Medicine, 26 Portland Drive, St. Louis, MO 63131, United States; Keune, J.D., Department of Surgery, Washington University, School of Medicine, 26 Portland Drive, St. Louis, MO 63131, United States",[No abstract available],,"adult; article; case report; gastric banding; health care cost; health care organization; health care quality; health care system; health service; human; male; medical ethics; medical personnel; morbid obesity; outcome assessment; patient autonomy; patient care; patient education; physician; priority journal; Thailand; United States; Coronary Artery Bypass; Humans; Medical Tourism; Physicians; Thailand; United States",,,,,,,,"http://www.bumrungrad.com/index-inter.aspx, Available from; http://medicaltourism.com, Available from:; http://www.jointcommissioninternational.org/common/pdfs/jcia/ QuestionsandAnswersHospital.pdf, Common questions and answers regarding JCI accreditation, hospital accreditation, and these standards. Available from; Statement on medical and surgical tourism (2009) Bull Am Coll Surg, 94, pp. 26-27; Shiloach, M., Frencher Jr., S.K., Steeger, J.E., Rowell, K.S., Bartzokis, K., Tomeh, M.G., Toward robust information: Data quality and inter-rater reliability in the American College of Surgeons National Surgical Quality Improvement Program (2010) J Am Coll Surg, 210, pp. 6-16; Ramírez De Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) Int J Health Serv, 37, pp. 193-198; http://www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf, New AMA Guidelines on Medical Tourism, August 2008. Available from; Rhodes, R., Schiano, T., Transplant tourism in China: A tale of two transplants (2010) Am J Bioeth, 10, pp. 3-11; Unti, J.A., Medical and surgical tourism: The new world of health care globalization and what it means for the practicing surgeon (2009) Bull Am Coll Surg, 94, pp. 18-25; Kern, B.S., Medical tourism liability may fall on domestic doctors (2009) Med Econ, 86, p. 42; note; Ho, D., When good organs go to bad people (2008) Bioethics, 22, pp. 77-83; Hippen, B., Professional obligation and supererogation with reference to the transplant tourist (2010) Am J Bioeth, 10, pp. 14-16; Martin, D., Professional and public ethics united in condemnation of transplant tourism (2010) Am J Bioeth, 10, pp. 18-20; Beauchamp, T.L., Childress, J.F., (2001) Principles of Biomedical Ethics, , 5th ed. Oxford University Press New York","Kodner, I. J.; Department of Surgery, Washington University, School of Medicine, 26 Portland Drive, St. Louis, MO 63131, United States; email: IJKodner@aol.com",,,,,,,,00396060,,SURGA,"20803843","English","Surgery (USA)",Article,"Final",,Scopus,2-s2.0-77955876053 "Rhea S.","26025312400;","Still packing their bags. Health reform won't drastically alter the economics of medical tourism, but patients and providers can expect new opportunities, at home and abroad.",2009,"Modern healthcare","39","30",,"28","30",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-69449091347&partnerID=40&md5=924603460f5e30a2fd5412abf90c4f12",,"Rhea, S.",[No abstract available],,"article; economic aspect; economics; health care delivery; health care policy; human; travel; United States; Economic Competition; Health Care Reform; Health Services Accessibility; Humans; Travel; United States",,,,,,,,,"Rhea, S.",,,,,,,,01607480,,,"19655536","English","Mod Healthc",Article,"Final",,Scopus,2-s2.0-69449091347 "Brown S.B.","22952641800;","Datapage. Medical tourism: nations vie for health dollars.",2008,"Hospitals & health networks / AHA","82","12",,"49","",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-60849092927&partnerID=40&md5=be5bb3a515e1b4557f0941e8eea2cbe5",,"Brown, S.B.",[No abstract available],,"accreditation; article; comparative study; economics; health care cost; human; international cooperation; patient participation; statistics; travel; United States; Accreditation; Health Care Costs; Humans; Internationality; Patient Participation; Travel; United States",,,,,,,,,"Brown, S.B.",,,,,,,,10688838,,,"19209504","English","Hosp Health Netw",Article,"Final",,Scopus,2-s2.0-60849092927 "Lorenzon D., Mazzucato M., Abbruzzese L., Cilli M., De Angeli S., Degan M., Mambrini G., Piccardi F., Rupolo M., Michieli M., De Marco L., Gattei V., Astori G.","8771756800;35248377500;6602998160;6701377273;6701512950;7003710857;12760626400;14319237400;6602152680;7004023909;7006502420;7004457772;55937079500;","Preclinical ex vivo expansion of peripheral blood CD34+ selected cells from cancer patients mobilized with combination chemotherapy and granulocyte colony-stimulating factor",2008,"Vox Sanguinis","94","4",,"342","350",,4,"10.1111/j.1423-0410.2008.01038.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-42149126716&doi=10.1111%2fj.1423-0410.2008.01038.x&partnerID=40&md5=e185c5292b015270aa3aad3e3e10f00d","Cell Therapy Unit, Cardiocentro Ticino, Via Tesserete 48, CH 6900 Lugano, Switzerland; Clinical and Experimental Haematology Research Unit, IRCCS, Aviano, PN, Italy; Blood Bank, Department of Clinical Pathology and Immunohaematology, IRCCS, Aviano, PN, Italy; Animal Facility, Istituto Nazionale Per la Ricerca Sul Cancro, Genova, Italy; Cell Culture Laboratory, Blood Bank, Treviso Regional Hospital, Treviso, Italy; Sorin Group Italia Srl, Mirandola, MO, Italy; Medical Oncology, Centro di Riferimento Oncologico, IRCCS, Aviano, PN, Italy; Cell Therapy Unit, Cardiocentro Ticino, Lugano, Switzerland","Lorenzon, D., Clinical and Experimental Haematology Research Unit, IRCCS, Aviano, PN, Italy; Mazzucato, M., Blood Bank, Department of Clinical Pathology and Immunohaematology, IRCCS, Aviano, PN, Italy; Abbruzzese, L., Blood Bank, Department of Clinical Pathology and Immunohaematology, IRCCS, Aviano, PN, Italy; Cilli, M., Animal Facility, Istituto Nazionale Per la Ricerca Sul Cancro, Genova, Italy; De Angeli, S., Cell Culture Laboratory, Blood Bank, Treviso Regional Hospital, Treviso, Italy; Degan, M., Clinical and Experimental Haematology Research Unit, IRCCS, Aviano, PN, Italy; Mambrini, G., Sorin Group Italia Srl, Mirandola, MO, Italy; Piccardi, F., Animal Facility, Istituto Nazionale Per la Ricerca Sul Cancro, Genova, Italy; Rupolo, M., Medical Oncology, Centro di Riferimento Oncologico, IRCCS, Aviano, PN, Italy; Michieli, M., Medical Oncology, Centro di Riferimento Oncologico, IRCCS, Aviano, PN, Italy; De Marco, L., Blood Bank, Department of Clinical Pathology and Immunohaematology, IRCCS, Aviano, PN, Italy; Gattei, V., Clinical and Experimental Haematology Research Unit, IRCCS, Aviano, PN, Italy; Astori, G., Cell Therapy Unit, Cardiocentro Ticino, Via Tesserete 48, CH 6900 Lugano, Switzerland, Sorin Group Italia Srl, Mirandola, MO, Italy, Cell Therapy Unit, Cardiocentro Ticino, Lugano, Switzerland","Background and Objectives: Ex vivo peripheral blood progenitor cell (PBPC) expansion has been proposed as a strategy to increase the number of haematopoietic progenitors available for cell transplantation. We have expanded CD34+ cells from PBPCs obtained from four patients with haematological malignancies and one patient with an Ewing's sarcoma. Materials and Methods: Cells were expanded in the Dideco 'Pluricell system'. After 12 days in culture, we evaluated cell phenotype, total nucleated cells, CD34+ fold increase, cell apoptosis and colony assay of expanded cells. Cell engraftment has been evaluated by transplanting two groups of irradiated non-obese diabetic/severe combined immunodeficient (NOD-SCID) mice with expanded and non-expanded cell populations. Results: Total nucleated cells and CD34+ cells increased 59.5 and 4.0 times, respectively. The expanded cells were mainly constituted of myeloid and megakaryocytic cells. A significant increase in the number of colony-forming unit-granulocyte macrophage (CFU-GM) was observed in the CFU assay. Ten mice transplanted with expanded cells showed a best overall survival (80%) compared to 10 mice transplanted with non-expanded cells (20%). Human CD45+ cells were detected by flow cytometry and polymerase chain reaction in bone marrow and spleen of transplanted animals. The relative low engraftment level obtained with the expanded cells suggests a loss of SCID repopulating cells maybe due to cell differentiation during expansion. Conclusions: We have demonstrated the feasibility of the ex vivo expansion of mobilized PBPCs from cancer patients, evidencing a clonal expansion of CFUs and the ability of the expanded cells to engraft the bone marrow and spleen of immunosuppressed mice. The differentiation of the CD34+ stem cell compartment could be further minimized by ameliorating the expansion conditions. © 2008 The Author(s).","Ex vivo expansion bioreactors; Haematopoietic stem cell transplantation; Peripheral blood","antiinfective agent; granulocyte colony stimulating factor; apoptosis; article; blood; cancer chemotherapy; cancer patient; CD34 selection; cell expansion; cell population; cell transplantation; controlled study; engraftment; Ewing sarcoma; ex vivo study; flow cytometry; human; human cell; mouse; nonhuman; priority journal; Adult; Animals; Antigens, CD34; Cell Culture Techniques; Cells, Cultured; Feasibility Studies; Female; Graft Survival; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cells; Humans; Intercellular Signaling Peptides and Proteins; Leukapheresis; Male; Mice; Peripheral Blood Stem Cell Transplantation",,"Antigens, CD34; Granulocyte Colony-Stimulating Factor, 143011-72-7; Intercellular Signaling Peptides and Proteins",,,,,,"Shipp, M.A., Abeloff, M.D., Antman, K.H., Carroll, G., Hagenbeek, A., Loeffler, M., Montserrat, E., Coiffier, B., International consensus conference on high-dose therapy with hematopoietic stem cell transplantation in aggressive non-Hodgkin's lymphomas: Report of the jury (1999) J Clin Oncol, 17, pp. 423-429; Schrezenmeier, H., Passweg, J.R., Marsh, J.C., Bacigalupo, A., Bredeson, C.N., Bullorsky, E., Camitta, B.M., Eapen, M., Worse outcome and more chronic GVHD with peripheral blood progenitor cells than bone marrow in HLA-matched sibling donor transplants for young patients with severe acquired aplastic anemia (2007) Blood, 110, pp. 1397-1400; De Bruyn, C., Delforge, A., Martiat, P., Bron, D., Ex vivo expansion of neutrophil precursor cells from mobilized peripheral blood cells: Similar results in cancer patients and normal donors (2005) Cytotherapy, 7, pp. 470-477; McNiece, I., Jones, R., Bearman, S.I., Cagnoni, P., Nieto, Y., Franklin, W., Ryder, J., Shpall, E.J., Ex vivo expanded peripheral blood progenitor cells provide rapid neutrophil recovery after high-dose chemotherapy in patients with breast cancer (2000) Blood, 96, pp. 3001-3007; Glaspy, J.A., Shpall, E.J., Lemaistre, C.F., Briddell, R.A., Menchaca, D.M., Turner, S.A., Lill, M., McNiece, I.K., Peripheral blood progenitor cell mobilization using stem cell factor in combination with filgrastim in breast cancer patients (1997) Blood, 90, pp. 2939-2951; Scheding, S., Franke, H., Diehl, V., Wichmann, H.E., Brugger, W., Kanz, L., Schmitz, S., How many myeloid post-progenitor cells have to be transplanted to completely abrogate neutropenia after peripheral blood progenitor cell transplantation? Results of a computer simulation (1999) Exp Hematol, 27, pp. 956-965; Scheding, S., Meister, B., Buhring, H.J., Baum, C.M., Mc Kearn, J.P., Bock, T., Kanz, L., Brugger, W., Effective ex vivo generation of granulopoietic postprogenitor cells from mobilized peripheral blood CD34(+) cells (2000) Exp Hematol, 28, pp. 460-470; Hino, M., Suzuki, K., Yamane, T., Sakai, N., Kubota, H., Koh, K.-R., Ohta, K., Tatsumi, N., Ex vivo expansion of mature human neutrophils with normal functions from purified peripheral blood CD34+ haematopoietic progenitor cells (2000) Br J Haematol, 109, pp. 314-321; Li, K., Li, C.K., Chuen, C.K., Tsang, K.S., Fok, T.F., James, A.E., Lee, S.M., Yuen, P.M.P., Preclinical ex vivo expansion of G-CSF-mobilized peripheral blood stem cells: Effects of serum-free media, cytokine combinations and chemotherapy (2005) Eur J Haematol, 74, pp. 128-135; Szilvassy, S.J., Weller, K.P., Chen, B., Juttner, C.A., Tsukamoto, A., Hoffman, R., Partially differentiated ex vivo expanded cells accelerate hematologic recovery in myeloablated mice transplanted with highly enriched long-term repopulating stem cells (1996) Blood, 88, pp. 3642-3653; Astori, G., Larghero, J., Bonfini, T., Giancola, R., Riti, M., Rodriguez, L., Rodriguez, M., Querol, S., Ex vivo expansion of umbilical cord blood CD34+ cells in a closed system: A multicentric study (2006) Vox Sang, 90, pp. 183-190; Astori, G., Adami, V., Mambrini, G., Bigi, L., Cilli, M., Facchini, A., Falasca, E., Degrassi, A., Evaluation of ex vivo expansion and engraftment in NOD-SCID mice of umbilical cord blood CD34+ cells using the DIDECO 'Pluricell System' (2005) Bone Marrow Transplant, 35, pp. 1101-1106; Hogan, C.J., Shpall, E.J., McNulty, O., McNiece, I., Dick, J.E., Shultz, L.D., Keller, G., Engraftment and development of human CD34(+)-enriched cells from umbilical cord blood in NOD/LtSz-scid/scid mice (1997) Blood, 90, pp. 85-96; Dick, J.E., Normal and leukemic human stem cells assayed in SCID mice (1996) Semin Immunol, 8, pp. 197-206; Conneally, E., Cashman, J., Petzer, A., Eaves, C., Expansion in vitro of transplantable human cord blood stem cells demonstrated using a quantitative assay of their lympho-myeloid repopulating activity in nonobese diabetic-scid/scid mice (1997) Proc Natl Acad Sci USA, 94, pp. 9836-9841; Qiu, L., Meagher, R., Welhausen, S., Heye, M., Brown, R., Herzig, R.H., Ex vivo expansion of CD34+ umbilical cord blood cells in a defined serum-free medium (QBSF-60) with early effect cytokines (1999) J Hematother Stem Cell Res, 8, pp. 609-618; Briddell, R.A., Kern, B.P., Zilm, K.L., Stoney, G.B., McNiece, I.K., Purification of CD34+ cells is essential for optimal ex vivo expansion of umbilical cord blood cells (1997) J Hematother, 6, pp. 145-150; Douay, L., Experimental culture conditions are critical for ex vivo expansion of hematopoietic cells (2001) J Hematother Stem Cell Res, 10, pp. 341-346; Haylock, D.N., Horsfall, M.J., Dowse, T.L., Ramshaw, H.S., Niutta, S., Protopsaltis, S., Peng, L., Simmons, P.J., Increased recruitment of haemopoietic progenitor cells underlies the ex vivo expansion potential of FLT3 ligand (1997) Blood, 90, pp. 2260-2272; Hunnestad, J.A., Steen, R., Tjonnfjord, G.E., Egeland, T., Thrombopoietin combined with early-acting growth factors effectively expands human hematopoietic progenitor cells in vitro (1999) Stem Cells, 17, pp. 31-38; Rossmanith, T., Schroder, B., Bug, G., Müller, P., Klenner, T., Knaus, R., Hoelzer, D., Ottmann, O.G., Interleukin 3 improves the ex vivo expansion of primitive human cord blood progenitor cells and maintains the engraftment potential of scid repopulating cells (2001) Stem Cells, 19, pp. 313-320; Sutherland, D.R., Anderson, L., Keeney, M., Nayar, R., Chin-Yee, I., The ISHAGE guidelines for CD34+ cell determination by flow cytometry. International society of hematotherapy and graft engineering (1996) J Hematother, 5, pp. 213-226; Nissen-Druey, C., Tichelli, A., Meyer-Monard, S., Human hematopoietic colonies in health and disease (2005) Acta Haematol, 113, pp. 5-96; Haylock, D.N., To, L.B., Dowse, T.L., Juttner, C.A., Simmons, P.J., Ex vivo expansion and maturation of peripheral blood CD34+ cells into the myeloid lineage (1992) Blood, 80, pp. 1405-1412; Smith, S.L., Bender, J.G., Maples, P.B., Unverzagt, K., Schilling, M., Lum, L., Williams, S., Van Epps, D.E., Expansion of neutrophil precursors and progenitors in suspension cultures of CD34+ cells enriched from human bone marrow (1993) Exp Hematol, 21, pp. 870-877; Lill, M.C., Lynch, M., Fraser, J.K., Chung, G.Y., Schiller, G., Glaspy, J.A., Souza, L., Gasson, J.C., Production of functional myeloid cells from CD34-selected hematopoietic progenitor cells using a clinically relevant ex vivo expansion system (1994) Stem Cells, 12, pp. 626-637; Ivanovic, Z., Duchez, P., Dazey, B., Hermitte, F., Lamrissi-Garcia, I., Mazurier, F., Praloran, V., Boiron, J.M., A clinical-scale expansion of mobilized CD34+ hematopoietic stem and progenitor cells by use of a new serum-free medium (2006) Transfusion, 46, pp. 126-131; http://www.emea.europa.eu/pdfs/human/cpwp/41086906en.pdf, EMEA: Guideline on Human Cell-Based Medicinal Products. (draft); available at; Molineux, G., Hartley, C., McElroy, P., McCrea, C., McNiece, I.K., Megakaryocyte growth and development factor accelerates platelet recovery in peripheral blood progenitor cell transplant recipients (1996) Blood, 88, pp. 366-376; Jansen, E.M., Hanks, S.G., Terry, C., Akard, L.P., Thompson, J.M., Dugan, M.J., Jansen, J., Prediction of engraftment after autologous peripheral blood progenitor cell transplantation: CD34, colony-forming unit-granulocyte-macrophage, or both? (2007) Transfusion, 47, pp. 817-823; Zanjani, E.D., Almeida-Porada, G., Flake, A.W., The human/sheep xenograft model: A large animal model of human hematopoiesis (1996) Int J Hematol, 63, pp. 179-192; Peters, S.O., Kittler, E.L., Ramshaw, H.S., Quesenberry, P.J., Ex vivo expansion of murine marrow cells with interleukin-3 (IL-3), IL-6, IL-11, and stem cell factor leads to impaired engraftment in irradiated hosts (1996) Blood, 87, pp. 30-37; Szilvassy, S.J., Meyerrose, T.E., Ragland, P.L., Grimes, B., Homing and engraftment defects in ex vivo expanded murine hematopoietic cells are associated with downregulation of β1 integrin (2001) Exp Hematol, 29, pp. 1494-1502; Danet, G.H., Lee, H.W., Luongo, J.L., Simon, M.C., Bonnet, D.A., Dissociation between stem cell phenotype and NOD/SCID repopulating activity in human peripheral blood CD34(+) cells after ex vivo expansion (2001) Exp Hematol, 29, pp. 1465-1473; Prince, H.M., Simmons, P.J., Whitty, G., Wall, D.P., Barber, L., Toner, G.C., Seymour, J.F., Haylock, D.N., Improved haematopoietic recovery following transplantation with ex vivo-expanded mobilized blood cells (2004) Br J Haematol, 126, pp. 536-545; Boiron, J.M., Dazey, B., Cailliot, C., Launay, B., Attal, M., Mazurier, F., McNiece, I.K., Reiffers, J., Large-scale expansion and transplantation of CD34(+) hematopoietic cells: In vitro and in vivo confirmation of neutropenia abrogation related to the expansion process without impairment of the long-term engraftment capacity (2006) Transfusion, 46, pp. 1934-1942","Astori, G.; Cell Therapy Unit, Cardiocentro Ticino, Via Tesserete 48, CH 6900 Lugano, Switzerland; email: giuseppe.astori@cardiocentro.org",,,,,,,,00429007,,VOSAA,"18282263","English","Vox Sang.",Article,"Final",,Scopus,2-s2.0-42149126716 "Martinez D., Ferriol P., Tous X., Cabrer M., Prats M.","55424653400;25027246600;25028954100;25027093300;25028804100;","Virtual health platform for medical tourism purposes",2008,"Studies in Health Technology and Informatics","137",,,"269","274",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-52649116612&partnerID=40&md5=1ec83c188ade9982eb5490fe82b734cc","E-Government, E-Business and E-Health, Fundació IBIT, Spain; Innovation, Research and Communication Consulting, S.L., Spain","Martinez, D., E-Government, E-Business and E-Health, Fundació IBIT, Spain; Ferriol, P., E-Government, E-Business and E-Health, Fundació IBIT, Spain; Tous, X., E-Government, E-Business and E-Health, Fundació IBIT, Spain; Cabrer, M., Innovation, Research and Communication Consulting, S.L., Spain; Prats, M., E-Government, E-Business and E-Health, Fundació IBIT, Spain","This paper introduces an overview of the Virtual Health Platform (VHP), an alternative approach to create a functional PHR system in a medical tourism environment. The proposed platform has been designed in order to be integrated with EHR infrastructures and in this way it expects to be useful and more advantageous to the patient or tourist. Use cases of the VHP and its potential benefits summarize the analysis. © 2008 The authors and IOS Press. All rights reserved.","Business models; Health tourism; Interoperability; Personal health record","Interoperability; Business models; Health tourisms; Personal health record; Potential benefits; Tourism environments; Health; article; computer interface; human; international cooperation; linguistics; medical record; organization and management; Spain; standard; telemedicine; travel; Humans; International Cooperation; Medical Record Linkage; Medical Records Systems, Computerized; Reference Standards; Spain; Telemedicine; Travel; User-Computer Interface; Vocabulary, Controlled",,,,,,,,"Traveler's Electronic Health Summary Template webpage. http://www.medinfo.org.tw/TET (Visited on February 2008); Health Level Seven (HL7) PHR functional model standard. http://www.hl7.org/Library/Committees/ehr/ EHR%5FPHRSFM%5FR1%5FD1%5F2007NOV%20files%2Ezip (Visited on February 2008); MedKey webpage. http://www.medkey.com (Visited on February 2008); CapMed webpage. http://www.capmed.com (Visited on February 2008); HealthVault webpage. http://www.healthvault.com (Visited on February 2008); miVitals webpage. http://www.mivitals.com (Visited on February 2008); PatientsLikeMe webpage. http://www.patientslikeme.com (Visited on February 2008); Patient Opinion webpage. http://www.patientopinion.org.uk (Visited on February 2008)","Martinez, D.; E-Government, E-Business and E-Health, Fundació IBITSpain",,"PAERS","IOS Press","5th Annual ICMCC event on Medical Care and Compunetics: Patient Empowerment - The Power of Information, ICMCC 2008","9 June 2008 through 11 June 2008","London",,09269630,9781586038687,,"18560088","English","Stud. Health Technol. Informatics",Conference Paper,"Final",,Scopus,2-s2.0-52649116612 "Den Exter A.","6602611750;","Patient mobility in European Union: Health spas in Ischia, Italy",2005,"Croatian Medical Journal","46","2",,"197","200",,4,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-18844364662&partnerID=40&md5=a6bff7f86f4bb32a63345d966df24604","Erasmus University Rotterdam, Rotterdam, Netherlands; Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, Netherlands","Den Exter, A., Erasmus University Rotterdam, Rotterdam, Netherlands, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, Netherlands","In a new case on patients seeking medical services abroad, the Leichtle case, the European Court of Justice (ECJ) confirmed its previous rulings on patient mobility. According to the Court, patients in the European Union have a (conditional) right to receive health care abroad, whereas the sickness fund should reimburse the costs of treatment and travel expenditures. As such, the Court has strengthened patient mobility in the European Union, based on the free movement principles. Now, it is up to the European Commission to develop a communal strategy aimed at further strengthening patients' rights in the Union.",,"cost utility analysis; European Union; health insurance; Italy; medical care; medical service; patient mobility; patient right; reimbursement; review; spa treatment; travel; Europe; European Union; Health Resorts; Health Services Accessibility; Humans; International Cooperation; Italy; Jurisprudence; National Health Programs; Patient Rights; Social Justice; Travel",,,,,,,,"Leichtle, V., (2004) Federal Labour Office, Case C-8/02, , http.//www.lawreports.co.uk/ecjmare0.2.htm, March 18; (1971) Official Journal L, 149, pp. 0002-0050. , http://europa.eu.int/smsrtapi/cgi/sga_doc? smartapilcelexapi!prod!CELEXnumdoc&lg=EN&numdoc=31971R1408&model= guichett, Regulation (EEC) No 1408/71 of the Council of 14 June 1971 on the application of social security schemes to employed persons and their families moving within the Community, 05/07/; Hermans, H.E., Den Exter, A., Cross-border alliances in health care: International co-operation between health insurers and providers in the Euregio Meuse-Rhine (1999) Croat Med J, 40, pp. 266-272; (2001) Smits and Peerbooms, Case C-157/99. European Court Reports, pp. 1-05473. , http://europa.eu.int/eur-lex/lex/LexUriServ/LexUriServ.do?uri=CELEX: 6199910157:EN:HTML, para 73-74; (2003) MüllerFauré and Van Riet, Case C-385/99 European Court Reports, pp. 1-04509. , http://europa.eu.int/eur-lex/lex/LexUriServ/LexUriServ.do?uri-CELEX: 6199910385:EN:HTML, para 95; Den Exter, A.P., Patient mobility in the European Union (2005) Frontiers of Fairness, , Flood CM, editor. Toronto: Toronto Law Review; In press; Nys, H., The harmonisation of patient rights in Europe and its consequences for the accession countries (2004) EU Accession and Its Consequences for Candidate Countries' Health Care Systems, pp. 37-47. , den Exter AP, editor. Rotterdam: Erasmus University Press; Decker, V., (1998) The Sickness Fund, Case C-120/95. European Court Reports, pp. 1-01831. , http://europa.eu.int/eur-lex/lex/LexUriServ/LexUriServ.do?uri=CELEX: 61995J0120:EN:HTML; Kohll, V., (1998) Union of Sickness Funds, Case C-158/96. European Court Reports, pp. 1-01931. , http://europa.eu.int/eur-lex/lex/LexUriServ/LexUriServ.do?uri-CELEX: 61996J0158:EN:HTML; (2004) Conclusion A-G Ruiz-Jarabo Colomer, Case C-8/02. European Court Reports, , http://europa.eu.int/eur-lex/lex/LexUriServ/LexUriServ.do?uri=CELEX: 62002J0008:EN:HTML, para 34; (2004) Follow-up to the High Level Reflection on Patient Mobility and Healthcare Developments in the European Union, , http://europe.eu.int/eur-lex/en/search/search_lif.html, COM(2004) 301 final 20 April; (2004) Modernising Social Protection for the Development of High-quality, Accessible and Sustainable Health Care and Long-term Care: Support for the National Strategies Using the ""Open Method of Coordination"", , http://europe.eu.int/eur-lex/en/search/search_lif.html, COM(2004) 304, 20 April; (2004) E-Health Making Healthcare Better for European Citizens: An Action Plan for a European e-health Area, , (SEC(2004) 539, 20 April). tap://europe.eu.int/eur-lex/en/searcrh/ search_lif.html","Den Exter, A.; Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, Netherlands; email: Denexter@bmg.eur.nl",,,,,,,,03539504,,CMEJE,"15849839","English","Croat. Med. J.",Review,"Final",,Scopus,2-s2.0-18844364662 "Butler R.W., Szromek A.R.","55438741800;24492661400;","Incorporating the value proposition for society with business models of health tourism enterprises",2019,"Sustainability (Switzerland)","11","23", 6711,"","",,3,"10.3390/su11236711","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076692742&doi=10.3390%2fsu11236711&partnerID=40&md5=22082604ff32efd63d638203609fd579","Department of Hospitality and Tourism Management, University of Strathclyde, 16 Richmond Street, Glasgow, Scotland, G1 1XQ, United Kingdom; Department of Organization and Management, Institute of Economy and Informatics, Silesian University of Technology, Akademicka 2A, Gliwice, 44-100, Poland","Butler, R.W., Department of Hospitality and Tourism Management, University of Strathclyde, 16 Richmond Street, Glasgow, Scotland, G1 1XQ, United Kingdom; Szromek, A.R., Department of Organization and Management, Institute of Economy and Informatics, Silesian University of Technology, Akademicka 2A, Gliwice, 44-100, Poland","This article discusses the need to expand the concept of the value proposition, in order that this business model component includes the value for a customer, the value captured by the enterprise, and the value for the community, as well as benefits for the natural environment. The objective of the article is to identify sustainable development components that have been proposed for tourist enterprises in the research literature. The article proposes actions to complement existing tourist enterprises business models in order to give them the characteristics of a sustainable business model and to implement practices of value creation for the community. The research notes that the value captured by an enterprise determines the level of implementation of its economic objectives resulting from the value creation for the customer and implementation of social objectives (including pro-ecologic ones). The revenues of an enterprise depend, first of all, on meeting the expectations of the customer, meaning that they depend on the value proposition for the customer, and their volume will allow researchers to determine the possibility of creating value for the community. The expected tendency to create value for the community is argued to be proportional to the effectiveness of customer value influence, less the value captured by the enterprise. After an initial review of relevant literature, attention is focused on health tourism enterprises and how these principals can be applied in that context. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.","Business model; Health resorts; Spa tourism; Sustainability","business development; health policy; hospital sector; medical tourism; sustainable development; valuation",,,,,"13/990/BK_19/0138","Funding: This research received funding by the National Science Center in Poland.","Acknowledgments: This paper was published as part of the research project ‘A business model for health resort enterprises’ No. 2017/25/B/HS4/00301, supervised and financed by the National Science Center in Poland and as part of statutory research No. 13/990/BK_19/0138 at the Silesian University of Technology, Faculty of Organization and Management.","Goodrich, J., Goodrich, G., Health-care Tourism: An Exploratory Study (1987) Tour. Manag., 8, pp. 217-222; Bushell, R., Sheldon, P.J., (2009) Wellness and Tourism: Mind, Body, Spirit, Place, p. 8. , Cognizant Communication Corporation: New York, NY, USA; Health Resorts, Health Resort Protection Areas and Health Resort Communes (2005) J. Laws, 167, p. 1399; Szromek, A.R., Changes in the management model of health care institutions in health resorts in the context of social and economic changes in the years 1989-2018 (2018) Health Prim. Care, 2, pp. 1-2; Szromek, A.R., Romaniuk, P., Hadzik, A., The privatization of spa companies in Poland-An evaluation of policy assumptions and implementation (2016) Health Policy & Services category. Health Policy, 120, pp. 362-368; Kapczýnski, A., Szromek, A.R., Hypotheses Concerning the Development of Polish Spas in the Years 1949-2006 (2008) Tour. Manag., 29, pp. 1035-1037; Van Tubergen, A., Van Der Linden, S., A brief history of spa therapy (2002) Ann. Rheum. 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Responsible Tourism Partnership andWestern Cape Tourism. Cape Town, , https://responsibletourismpartnership.org/cape-town-declaration-on-responsible-tourism/, (accessed on 1 August 2019)","Szromek, A.R.; Department of Organization and Management, Institute of Economy and Informatics, Silesian University of Technology, Akademicka 2A, Poland; email: innowator@o2.pl",,,"MDPI AG",,,,,20711050,,,,"English","Sustainability",Article,"Final",Open Access,Scopus,2-s2.0-85076692742 "Mathijsen A.","57205349752;","Home, sweet home? Understanding diasporic medical tourism behaviour. Exploratory research of Polish immigrants in Belgium",2019,"Tourism Management","72",,,"373","385",,3,"10.1016/j.tourman.2018.12.009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059673439&doi=10.1016%2fj.tourman.2018.12.009&partnerID=40&md5=468e8fa95ed529c8f7aba08b8783dc7f","Warsaw School of Economics (SGH), The Collegium of World Economy, Department of Tourism, Al. Niepodległości 162, Warsaw, 02-554, Poland","Mathijsen, A., Warsaw School of Economics (SGH), The Collegium of World Economy, Department of Tourism, Al. Niepodległości 162, Warsaw, 02-554, Poland","This paper explores motivations for diasporic medical tourism. Using a qualitative method it seeks to understand diasporic medical tourism behaviour. Specifically, it examines the case of the Polish diaspora in Belgium making return trips to their country of origin to obtain healthcare services. Narratives suggest that the Polish diaspora in Belgium travels primarily for VFR (visiting friends and relatives), yet medical tourism constitutes a secondary reason while it is well planned and organized up-front. Four motivational factors have an influence on this behaviour: time availability (by-the-by), relative cost, shopping for the best quality and cultural affinity. Furthermore, managerial and theoretical implications of diasporic medical tourism are discussed as well as recommendations for future research. © 2018 Elsevier Ltd","Diasporic tourism; Medical travel/tourism; Tourism motivation; Transnational healthcare; VFR tourism","diaspora; future prospect; health care; immigrant population; medical tourism; research work; tourism management; tourist behavior; travel behavior; Belgium",,,,,,,,"Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management, 5 (3), pp. 192-201; Adams, K., Snyder, J., Crooks, V., Johnston, R., Tourism discourse and medical tourists’ motivations to travel (2015) Tourism Review, 70 (2), pp. 85-96; Issue brief: A little knowledge is a risky thing: Wide gap in what people think they know about health insurance and what they actually know (2014), http://aircpce.org/sites/default/files/11801-451-05_Issue_Brief_102014.pdf, Retrieved from; Asiaone, January 28). 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Manage.",Article,"Final",,Scopus,2-s2.0-85059673439 "Ridderstaat J., Singh D., DeMicco F.","55910158200;57209912199;6506110255;","The impact of major tourist markets on health tourism spending in the United States",2019,"Journal of Destination Marketing and Management","11",,,"270","280",,3,"10.1016/j.jdmm.2018.05.003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046871951&doi=10.1016%2fj.jdmm.2018.05.003&partnerID=40&md5=4fca0157a76727bda69b914bc77794b6","University of Central Florida, Rosen College of Hospitality Management, 9907 Universal Boulevard, Orlando, FL 32819, United States","Ridderstaat, J., University of Central Florida, Rosen College of Hospitality Management, 9907 Universal Boulevard, Orlando, FL 32819, United States; Singh, D., University of Central Florida, Rosen College of Hospitality Management, 9907 Universal Boulevard, Orlando, FL 32819, United States; DeMicco, F., University of Central Florida, Rosen College of Hospitality Management, 9907 Universal Boulevard, Orlando, FL 32819, United States","This study investigates the impact of key inbound visitor markets on health tourism spending in the United States (US), for the period 1986–2016. Although there is a wealth of studies on health tourism, the emphasis on inferential research has inadvertently been neglected. The research uses secondary data and considers both short- and long-term perspectives, and volume and price effects. It enriches the literature by providing an inferential research approach, using a dynamic microeconomic elasticity scheme, and by providing new propositions that can contribute to the theory-building process. The methodology involves data decomposition and standardization, unit root testing, and instrumental variable regression. The results show that overall health spending in the US is primarily being affected by the long-term variations in several inbound visitor markets. 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Sheldon Cognizant Communication Corporation New York, NY; Wooldridge, J., Introductory econometrics: A modern approach (2013), South-Western Cengage Learning Ohio; Yin, R., Case study research: Design and methods (2009), Sage Publications California","Ridderstaat, J.; University of Central Florida, Rosen College of Hospitality Management, 9907 Universal BoulevardUnited States; email: Jorge.Ridderstaat@ucf.edu",,,"Elsevier Ltd",,,,,2212571X,,,,"English","J. Destin. Mark. Manage.",Article,"Final",,Scopus,2-s2.0-85046871951 "Fongtanakit R., Somjai S., Prasitdumrong A., Jermsittiparsert K.","57210818886;57209607663;57214129063;57214268798;","The determinants of the medical tourism supply chain of Thailand",2019,"International Journal of Supply Chain Management","8","6",,"291","300",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078232925&partnerID=40&md5=ab8d42a92af7503cf64d93e08ce8dd4f","Graduate School, Suan Sunandha Rajabhat University, Thailand; The Senizens, Thailand; Social Research Institute, Chulalongkorn University, Thailand","Fongtanakit, R., Graduate School, Suan Sunandha Rajabhat University, Thailand; Somjai, S., Graduate School, Suan Sunandha Rajabhat University, Thailand; Prasitdumrong, A., The Senizens, Thailand; Jermsittiparsert, K., Social Research Institute, Chulalongkorn University, Thailand","The present study emphasized the integration of medical tourism supply chain practices among organizations, its antecedents as well as consequences in the medical tourism industry. The study has used the surveybased methodology and employed SEM-PLS as a statistical tool to answer the research questions raised in the study. The findings of this study confirmed the significance of mutual dependency in medical tourism supply chain, and also reported that there is lack of commitment as well as trust within the medical tourism supply chain members', which has not identified completely in earlier researches. In the meantime, medical tourism supply chain information sharing, and coordination also found to be the significant contributory factors in improving the performance of organization. However, certain level of integration and collaboration is still missing in medical tourism supply chain, due to certain deficiencies. Thus, medical tourism is an important sector and business for the tourism industry in Thailand, which needs to enhance SC operations to outperform its competitors and for achieving competitive advantage. The study provides guideline to researchers, policymakers and researchers and argues that the drivers of medical tourism supply chain i.e. mutual dependency, commitment and trust must be focused as those organizational areas which require more efforts to enhance medical tourism supply chain relationships. © ExcelingTech Pub, UK.","Medical tourism; Supply chain; Thailand",,,,,,,,,"Rahman, M.K., Zailani, S., The effectiveness and outcomes of the Muslim-friendly medical tourism supply chain (2017) Journal of Islamic Marketing, 8 (4), pp. 732-752; Lee, H.K., Fernando, Y., The antecedents and outcomes of the medical tourism supply chain (2015) Tourism Management, 46, pp. 148-157; Tarafdar, M., Qrunfleh, S., Agile supply chain strategy and supply chain performance: Complementary roles of supply chain practices and information systems capability for agility (2017) International Journal of Production Research, 55 (4), pp. 925-938; Wang, Y., Service supply chain management: A review of operational models (2015) European Journal of Operational Research, 247 (3), pp. 685-698; Kavala, H.B., Devi, P.G., Mandal, S., Does organizational culture matter for shaping up hotel's agility? 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J. Supply Chain Manag.",Article,"Final",,Scopus,2-s2.0-85078232925 "Horsfall D.","35848647100;","Medical tourism from the UK to Poland: how the market masks migration",2019,"Journal of Ethnic and Migration Studies",,,,"","",,3,"10.1080/1369183X.2019.1597470","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065741785&doi=10.1080%2f1369183X.2019.1597470&partnerID=40&md5=dae7e7bc598272200605a5519fa18716","Department of Social Policy and Social Work, University of York, York, United Kingdom","Horsfall, D., Department of Social Policy and Social Work, University of York, York, United Kingdom","Much medical travel happens, but it is misleading to label it as ‘medical tourism’. Rather, patterns of travel reflect a range of drivers: from longstanding cultural, economic and political ties to the country providing treatment, to word-of-mouth networks. Poland provides a particularly interesting case, as it has been touted as the leading medical tourism destination for UK medical travellers in Europe; marketing by Polish providers is advanced and there is strong government support for the industry. In this paper examining data from the UK's International Passenger Survey for the past 15 years, we demonstrate that, while travel to Poland has indeed increased dramatically, much of this actually reflects a wider pattern of Polish migrants living in the UK and returning to Poland for medical care rather than increased ‘medical tourism’ consumer activity by Britons in Poland. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","Medical tourism; migration; Poland",,,,,,,,,"Burrell, K., Small-Scale Transnationalism: Homeland Connections and the Polish ‘Community’ in Leicester (2003) International Journal of Population Geography, 9, pp. 323-335. , https://doi.org/10.1002/ijpg.290; Burrell, K., (2009) Polish Migration to the UK in the ‘New’ European Union: After 2004, , Farnham: Ashgate; Burrell, K., Staying, Returning, Working and Living: Key Themes in Current Academic Research Undertaken in the UK on Migration Movements from Eastern Europe (2010) Social Identities, 16 (3), pp. 297-308. , https://doi.org/10.1080/13504630.2010.482401; Burrell, K., Going Steerage on Ryanair: Cultures of Migrant Air Travel between Poland and the UK (2011) Journal of Transport Geography, 19, pp. 1023-1030. , https://doi.org/10.1016/j.jtrangeo.2010.09.004; Chee, H.L., Whittaker, A., Moralities in International Medical Travel: Moral Logics in the Narratives of Indonesian Patients and Locally-Based Facilitators in Malaysia (2019) Journal of Ethnic and Migration Studies, , https://doi.org/10.1080/1369183X.2019.1597476; Cohen, R., (2008) Global Diasporas: An Introduction, , 2nd ed, London: Routledge; Cohen, I.G., Medical Outlaws or Medical Refugees? 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Ethn. Migr. Stud.",Article,"Article in Press",,Scopus,2-s2.0-85065741785 "Rouland B., Jarraya M.","47562256900;54985152100;","From medical tourism to regionalism from the bottom up: emerging transnational spaces of care between Libya and Tunisia",2019,"Journal of Ethnic and Migration Studies",,,,"","",,3,"10.1080/1369183X.2019.1597475","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065709209&doi=10.1080%2f1369183X.2019.1597475&partnerID=40&md5=616d8f5bceb4c2dcfa6d963ee04f9672","Institut de recherche sur le Maghreb contemporain de Tunis (IRMC), Tunis, Tunisia; Department of Geography, University of Sfax, Sfax, Tunisia","Rouland, B., Institut de recherche sur le Maghreb contemporain de Tunis (IRMC), Tunis, Tunisia; Jarraya, M., Department of Geography, University of Sfax, Sfax, Tunisia","This paper analyses the emergence of transnational care through the case study of Libyan patients seeking care in the Tunisian city of Sfax as a result of changes triggered by the 2011 Arab uprisings. Deconstructing categories of ‘medical tourist’ and ‘medical traveller’, we examine how the evolving geopolitical context produced specific migratory profiles (diasporic, traveller, cross-border, war-wounded and transnational patients) and spaces (cross-border, (intra)regional and transnational spaces of care) between Libya and Tunisia. Given a lack of data on the topic in North Africa, we developed a study on health mobilities and circulations from a South-South perspective. Based on a survey amongst Libyan patients (n = 205) in four private clinics and nine semi-structured interviews with health professionals in Sfax, we identified, how four key geopolitical periods shaped medical travel to this city: (1) initial diasporic exchanges facilitated by bilateral agreements; (2) an emerging medical tourism industry within private health services arising from the UN embargo on Libya; (3) the 2011 political crisis and arrival of war-wounded; and (4) therapeutic circulations and emerging transnational spaces of care resulting from the context of war. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","Hybrid mobilities; Libya; medical tourism; therapeutic circulation; transnational space of care; Tunisia",,,,,,,,,"Bensaâd, A., (2015), Les trajectoires chaotiques d’une reconstruction étatique. Moyen-Orient, Jan-Mars 18–23; Bochaton, A., Cross-border Mobility and Social Networks: Laotians Seeking Medical Treatment Along the Thai Border (2015) Social Science & Medicine, 124, pp. 364-373. , https://doi.org/10.1016/j.socscimed.2014.10.022; Boubakri, H., Échanges transfrontaliers et commerce parallèle aux frontières tuniso-libyennes (2000) Monde arabe: Maghreb Machrek, 170, pp. 39-51; Boubakri, H., Migration et asile en Tunisie depuis 2011: vers de nouvelles figures migratoires? (2015) Revue européenne des migrations internationales, 31 (3-4), pp. 17-39. , http://journals.openedition.org/remi/7371; Boumedienne, L., (2012) Institut arabe des chefs d’entreprise, , https://docplayer.fr/4592718-Le-tourisme-medical-un-enjeu-strategique-pour-la-tunisie-lotfi-boumediene.html, Le tourisme médical : un enjeu stratégique pour la Tunisie. Déc. Accessed 9 January, 2019; Chandoul, M., Boubakri, H., Simon, G., Costa-Lascoux, J., Migrations clandestines et contrebande à la frontière tuniso-libyenne (1991) Revue européenne des migrations internationales, 7 (2), pp. 155-162. , https://www.persee.fr/docAsPDF/remi_0765-0752_1991_num_7_2_1299.pdf; Chasles, V., Se déplacer pour se faire soigner : une mobilité en expansion, généralement appelée tourisme médical (2011) Géoconfluences, 4 Avril, pp. 1-9. , http://geoconfluences.ens-lyon.fr/doc/typespace/tourisme/TourScient2.htm, Accessed 9 January, 2019; Chee, H.L., Whittaker, A., Moralities in International Medical Travel: Moral Logics in the Narratives of Indonesian Patients and Locally-Based Facilitators in Malaysia (2019) Journal of Ethnic and Migration Studies, , https://doi.org/10.1080/1369183X.2019.1597476; Collyer, M., King, R., Producing Transnational Space: International Migration and the Extra-Territorial Reach of State Power (2015) Progress in Human Geography, 39 (2), pp. 185-204. , https://doi.org/10.1177/0309132514521479; Connell, J., Reducing the Scale? From Global Images to Border Crossings in Medical Tourism (2016) Global Networks, 16 (4), pp. 531-550. , https://doi.org/10.1111/glob.12136; Crush, J., Chikanda, A., South–South Medical Tourism and the Quest for Health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320. , https://doi.org/10.1016/j.socscimed.2014.06.025; Daoud, A., La Révolution Tunisienne de Janvier 2011 : une Lecture par les Déséquilibres du Territoire (2011) EchoGéo, pp. 1-15; Dewachi, O., Rizk, A., Singh, N.V., (Dis)Connectivities in Wartime: The Therapeutic Geographies of Iraqi Healthcare–Seeking in Lebanon (2018) Global Public Health, 13 (3), pp. 288-297. , https://doi.org/10.1080/17441692.2017.1395469; Gana, A., Richard, Y., (2014) La régionalisation du monde : construction territoriale et articulation global/local, , Paris: IRMC-Karthala, and, eds; Ghorbal, S., (2016) Jeune Afrique, , https://www.jeuneafrique.com/mag/311376/societe/tunisie-baby-boom-in-vitro/, Tunisie: le boom de la fécondation vitro. 31 mars. Accessed 9 January, 2019; Hottois, G., Missa, J.-N., (2001) Nouvelle encyclopédie de bioéthique, , Brussels: De Boeck Université; (2016), http://www.ins.tn/en/themes/sant%C3%A9#sub-396, Public Health Infrastructure 2016. Accessed 9 January 2019; Jarraya, M., Beltrando, G., Daoud, A., Congestion des structures hospitalo-universitaires à Sfax: aspects spatiaux et alternatives d’intervention (2007) Paper presented at the IXème Colloque de la Géographie Maghrébine, , Sfax, Tunisia, 19–22 April; Kangas, B., Therapeutic Itineraries in a Global World: Yemenis and Their Search for Biomedical Treatment Abroad (2002) Medical Anthropology, 21 (1), pp. 35-78. , https://doi.org/10.1080/01459740210620; Kangas, B., Hope From Abroad in the International Medical Travel of Yemeni Patients (2007) Anthropology & Medicine, 14 (3), pp. 293-305. , https://doi.org/10.1080/13648470701612646; Kaspar, H., Reddy, S., Spaces of Connectivity: The Formation of Medical Travel Destinations in Delhi National Capital Region (India) (2017) Asia Pacific Viewpoint, 58 (2), pp. 228-241. , https://doi.org/10.1111/apv.12159; Lautier, M., (2005) Agence française de développement, , https://www.afd.fr/sites/afd/files/imported-files/25-notes-documents.pdf, Les exportations de services de santé des pays en développement : le cas tunisien. Notes et documents 25. Accessed 9 January, 2019; Lautier, M., Export of Health Services From Developing Countries: The Case of Tunisia (2008) Social Science & Medicine, 67 (1), pp. 101-110. , https://doi.org/10.1016/j.socscimed.2008.01.057; Lautier, M., (2013), http://www.afdb.org/fr/news-and-events/article/international-development-of-health-services-north-africas-export-prospects-11649/, Le développement des échanges internationaux de service de santé : perspectives des exportations en Afrique du Nord. Banque Africaine de Développement. Accessed 9 January 2019; Mouley, S., (2016) Organisation Internationale pour les Migrations, , https://publications.iom.int/books/etude-qualitative-devaluation-de-limpact-socioeconomique-et-des-besoins-des-libyens-en-tunisie, Étude qualitative d’évaluation de l’impact socio-économique et des besoins des libyens en Tunisie. mars. 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Accessed 9 January, 2019; Rouland, B., Bachmann, V., Tunisia in 2030: Perspectives and Geopolitical Challenges of a Country in Transition (2015) The Arab World Geographer, 18 (1-2), pp. 31-38. , http://arabworldgeographer.org/doi/pdf/10.5555/1480-6800.18.1.31; Rouland, B., Jarraya, M., Fleuret, S., (2016) Revue francophone sur la santé et les territoires, , https://f-origin.hypotheses.org/wp-content/blogs.dir/1946/files/2016/10/Rouland_Jarraya_Fleuret_rfst_2016_TMS.pdf, Du tourisme médical à la mise en place d’un réseau de soins transnational. L’exemple des patients libyens dans la ville de Sfax (Tunisie). octobre. Accessed 9 January, 2019; Sebei, H., L’accès des Libyens aux soins dans la ville de Sfax: Les ambulanciers libyens comme groupe témoin (2017) Mémoire de Master de recherche en Géographie, Faculté des Lettres et des Sciences Humaines, , Université de Sfax; (2012) UNHCR Global Appeal 2012–2013, , https://www.unhcr.org/en-my/4ec2310016.pdf, Geneva: United Nations High Commissioner for Refugees, Accessed 9 January, 2019; Urry, J., (2007) Mobilities, , London: Polity Press; (2012), http://www.who.int/features/2012/libya_health_system/en/, Rebuilding the Libyan Health System, Post-revolution. February; (2019), https://databank.worldbank.org/data/indicator/NY.GDP.PCAP.CD/1ff4a498/Popular-Indicators, World Development Indicators. Accessed 9 January, 2019; Zouari, S., (2010), Diagtic de la filière: Tourisme de santé et de bien-être. Stratégie de développement du Grand Sfax 2016, Phase II (SDGS2), Etude sur la stratégie de développement économique du Grand Sfax","Rouland, B.; Institut de recherche sur le Maghreb contemporain de Tunis (IRMC)Tunisia; email: bettyrouland@posteo.net",,,"Routledge",,,,,1369183X,,,,"English","J. Ethn. Migr. Stud.",Article,"Article in Press",,Scopus,2-s2.0-85065709209 "Iyamu T.","35146149500;","Health information systems: Developing solutions to support patients’ mobility",2019,"International Journal of Healthcare Management",,,,"","",,3,"10.1080/20479700.2019.1604935","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064476729&doi=10.1080%2f20479700.2019.1604935&partnerID=40&md5=5fff2aa0cfe186c9f2c8571359b107bc","Department of Information Technology, Cape Peninsula University of Technology, Cape Town, South Africa","Iyamu, T., Department of Information Technology, Cape Peninsula University of Technology, Cape Town, South Africa","The spread and movements of individuals and groups, particularly the old, poor, and nomadic people necessitates mobility of service for healthcare purposes. Also, in Namibia, health records are not centralized, which makes it difficult or impossible to access patients’ medical records from any location of the country. This influences healthcare service delivery, which have impact on patients’ health conditions as well as the socioeconomic activities of the country. Thus, the objective of this study was to develop a framework, which could be used to guide mobility of service, to improve healthcare in Namibia. The interpretivist approach was employed. Qualitative data were gathered from primary healthcare service providers, by using the semi-structured interview technique. Actor network theory was used as lens to guide the data analysis. From the analysis, the research suggests that six factors are of critical influence to mobility of service in improving healthcare in the community of Namibia. The factors are ICT artefacts; categorization of patients; response time; an understanding of the actors; actors’ participatory to service delivery; and actors’ alliance. Based on the findings, a framework was developed, which can be used to guide mobility of service in the provision of healthcare at a micro level. Based on the framework, three models were developed, purposely to aid the improvement of healthcare through mobility of services at a more macro level, towards economic growth. This study is intended to benefit academics, health practitioners particularly in developing countries, and patients in rural areas. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","actor network theory; Health information systems; mobility of healthcare service; Namibia healthcare; qualitative methods","adult; article; artifact; controlled study; data analysis; developing country; economic development; health practitioner; human; medical information system; Namibia; primary health care; qualitative analysis; reaction time; rural area; semi structured interview",,,,,,,,"Chaulagai, C.N., Moyo, C.M., Koot, J., Design and implementation of a health management Malawi: issues innovation and results. Published by Oxford University Press association with The London School of Hygiene and Tropical Medicine. 2005:2–10; Rygh, E.M., Hjortdahl, P.H., Continuous and integrated health care services in rural areas: A literature study (2007) The Int Electron J Rural Remote Health Res Educ Pract Policy, 7 (766), pp. 1-10; Hartman, M., Martin, A.B., Lassman, D., National health spending in 2013: growth slows, remains in step with the overall economy (2015) Health Aff, 34 (1), pp. 150-160; Sander Granlien, M., Hertzum, M., Confirmatory factor analysis of service quality dimensions within mobile telephony industry in Ghana (2012) The Electron J Inf Syst Eval, 15 (2), pp. 197-227; Levesque, J.F., Harris, M.F., Russell, G., Patient-centred access to health care: conceptualising access at the interface of health systems and populations (2013) Int J Equity Health, 12 (1), pp. 18-27; Karon, R., Shaanika, I., Mokhatu, M., (2015) Centralisation of healthcare systems in Namibia using information technology, , Madeira: e-society; Shaanika, I., Human interaction in the use of health information systems: A case of a developing country (2016) Maximizing healthcare delivery and management through technology integration, pp. 257-269. , Iyamu T., Tatnall A., (eds), Hershey, PA: IGI Global,. 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Actor network theory and technology innovation: advancements and new concepts journal, Information Science Reference, Hershey, NY; 2011; Armbrust, M., Fox, A., Griffith, R., A view of cloud computing (2010) Commun ACM, 53 (4), pp. 50-58; Haeberlen, A., Flannery, E., Ladd, A.M., Practical robust localization over large-scale 802.11 wireless networks. Proceedings of the 10th annual international conference on Mobile computing and networking. ACM; 2004. p. 70–84; Dwyer, C., Hiltz, S., Passerini, K., Trust and privacy concern within social networking sites: A comparison of Facebook and MySpace, the Proceedings of the Thirteenth Americas Conference on Information Systems, Keystone, Colorado August 09–12; 2007; Mayosi, B.M., Benatar, S.R., Health and health care in South Africa—20 years after Mandela (2014) N Engl J Med, 371 (14), pp. 1344-1353; Troshani, I., Wickramasinghe, N., Tackling complexity e-health with actor-network theory. 47th Hawaii International Conference on System Sciences (HICSS), IEEE; 2014. p. 2994–3003","Iyamu, T.; Department of Information Technology, Cape Peninsula University of TechnologySouth Africa; email: iyamut@cput.ac.za",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Article in Press",,Scopus,2-s2.0-85064476729 "Kim J.H., Kim S.Y., Yun S.-J., Chung J.I., Choi H., Yu H.S., Ha Y.-S., Cho I.-C., Kim H.J., Chung H.C., Koh J.S., Kim W.-J., Park J.-H., Lee J.Y.","7601373772;57196226833;56517107900;57213670565;57188551032;56323963900;35487226400;37025628100;57202103629;56678204100;8540565700;57199881492;57202928517;56509792900;","Medical travel among non-Seoul residents to seek prostate cancer treatment in medical facilities of Seoul",2019,"Cancer Research and Treatment","51","1",,"53","64",,3,"10.4143/crt.2017.468","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059891203&doi=10.4143%2fcrt.2017.468&partnerID=40&md5=629bf5925fd5426f8dfa363cb02e82c7","Department of Urology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, South Korea; Depart-ment of Public Health and Preventive Medicine, Chungbuk National University Hospital, Cheongju, South Korea; Department of Urology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, South Korea; Department of Urology, Inje University Busan Paik Hospital, Busan, South Korea; Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, South Korea; Department of Urology, Chonnam National University, Medical School, Gwangju, South Korea; Department of Urology, School of Medicine, Kyungpook National University, Daegu, South Korea; Department of Urology, National Police Hospital, Seoul, South Korea; Department of Urology, Konyang University College of Medicine, Daejeon, South Korea; Department of Urology, Yonsei University Wonju College of Medicine, Yonsei University, Wonju, South Korea; Department of Urology, Seoul St. Mary's Hospital, College of Medicine, Catholic University of Korea, 222 Banpo-daero, Seoul, 06591, South Korea; Department of Preventive Medicine, Graduate School of Health Science Business Convergence, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju, 28644, South Korea","Kim, J.H., Department of Urology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, South Korea; Kim, S.Y., Depart-ment of Public Health and Preventive Medicine, Chungbuk National University Hospital, Cheongju, South Korea; Yun, S.-J., Department of Urology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, South Korea; Chung, J.I., Department of Urology, Inje University Busan Paik Hospital, Busan, South Korea; Choi, H., Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, South Korea; Yu, H.S., Department of Urology, Chonnam National University, Medical School, Gwangju, South Korea; Ha, Y.-S., Department of Urology, School of Medicine, Kyungpook National University, Daegu, South Korea; Cho, I.-C., Department of Urology, National Police Hospital, Seoul, South Korea; Kim, H.J., Department of Urology, Konyang University College of Medicine, Daejeon, South Korea; Chung, H.C., Department of Urology, Yonsei University Wonju College of Medicine, Yonsei University, Wonju, South Korea; Koh, J.S., Department of Urology, Seoul St. Mary's Hospital, College of Medicine, Catholic University of Korea, 222 Banpo-daero, Seoul, 06591, South Korea; Kim, W.-J., Department of Urology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, South Korea; Park, J.-H., Department of Preventive Medicine, Graduate School of Health Science Business Convergence, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju, 28644, South Korea; Lee, J.Y., Department of Urology, Seoul St. Mary's Hospital, College of Medicine, Catholic University of Korea, 222 Banpo-daero, Seoul, 06591, South Korea","Purpose This study aims to investigate the trend in medical travel by non-Seoul residents to Seoul for treatment of prostate cancer and also to investigate the possible factors affecting the trend. Materials and Methods This study represents a retrospective cohort study using data from the Korean National Health Insurance System from 2002 to 2015. Annual trends were produced for proportions of patients who traveled according to the age group, economic status and types of treatment. Multiple logistic analysis was used to determine factors affecting surgeries at medical facilities in Seoul among the non-Seoul residents. Results A total of 68,543 patients were defined as newly diagnosed prostate cancer cohorts from 2005 to 2014. The proportion of patients who traveled to Seoul for treatment, estimated from cases with prostate cancer-related claims, decreased slightly over 9 years (28.0 at 2005 and 27.0 at 2014, p=0.02). The average proportion of medical travelers seeking radical prostatectomy increased slightly but the increase was not statistically significant (43.1 at 2005 and 45.4 at 2014, p=0.26). Income level and performance of robot-assisted radical prostatectomy were significant positive factors for medical travel to medical facilities in Seoul. Combined comorbidity diseases and year undergoing surgery were significant negative factors for medical travel to medical facilities in Seoul. Conclusion The general trend of patients travelling from outside Seoul for prostate cancer treatment decreased from 2005 to 2014. However, a large proportion of traveling remained irrespective of direct distance from Seoul. © 2018 Springer New York LLC.All Rights Reserved.","Geography; Health services accessibility; Neoplasms; Prostate; Prostatectomy","adult; aged; Article; cancer surgery; cancer therapy; Charlson Comorbidity Index; cohort analysis; decentralization; economic status; health care utilization; help seeking behavior; human; major clinical study; male; prostate cancer; prostatectomy; retrospective study; risk factor; robot-assisted prostatectomy; South Korea; travel; age; medical tourism; middle aged; procedures; prostate tumor; public health; radiotherapy; robotic surgical procedure; socioeconomics; South Korea; statistical model; treatment outcome; trends; antiandrogen; Age Factors; Aged; Androgen Antagonists; Humans; Logistic Models; Male; Medical Tourism; Middle Aged; National Health Programs; Prostatectomy; Prostatic Neoplasms; Radiotherapy; Retrospective Studies; Robotic Surgical Procedures; Seoul; Socioeconomic Factors; Treatment Outcome",,"Androgen Antagonists",,,"Ministry of Science, ICT and Future Planning, MSIP: 2016R1A2B4011045, 2015R1A2A2A-03004100 2015R1D1A1A01057786 National Research Foundation of Korea, NRF","The Korean Prostate Society and National Health Insurance Service (NHIS) of Korea collaborated on this study. National Health Information Database was provided by the KNHIS (NHIS-2017-4-029). The authors would like to thank the KNHIS for cooperation. This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (No. 2015R1D1A1A01057786) and by the Ministry of Science, ICT & Future Planning (No. 2015R1A2A2A-03004100 & No.2016R1A2B4011045).",,"Siegel, R.L., Miller, K.D., Jemal, A., Cancer statistics, 2016 (2016) CA Cancer J Clin, 66, pp. 7-30; Birkmeyer, J.D., Siewers, A.E., Finlayson, E.V., Stukel, T.A., Lucas, F.L., Batista, I., Hospital volume and surgical mortality in the United States (2002) N Engl J Med, 346, pp. 1128-1137; Lin, H.C., Xirasagar, S., Lee, H.C., Chai, C.Y., Hospital volume and inpatient mortality after cancer-related gastrointestinal resections: The experience of an Asian country (2006) Ann Surg Oncol, 13, pp. 1182-1188; Gershman, B., Meier, S.K., Jeffery, M.M., Moreira, D.M., Tollefson, M.K., Kim, S.P., Redefining and contextualizing the hospital volume-outcome relationship for robot-assisted radical prostatectomy: Implications for centralization of care (2017) J Urol, 198, pp. 92-99; Groeben, C., Koch, R., Baunacke, M., Wirth, M.P., Huber, J., Robots drive the German radical prostatectomy market: A total population analysis from 2006 to 2013 (2016) Prostate Cancer Prostatic Dis, 19, pp. 412-416; Groeben, C., Koch, R., Baunacke, M., Wirth, M.P., Huber, J., High volume is the key for improving in-hospital outcomes after radical prostatectomy: A total population analysis in Germany from 2006 to 2013 (2017) World J Urol, 35, pp. 1045-1053; Begg, C.B., Riedel, E.R., Bach, P.B., Kattan, M.W., Schrag, D., Warren, J.L., Variations in morbidity after radical prostatectomy (2002) N Engl J Med, 346, pp. 1138-1144; Schmitges, J., Sun, M., Abdollah, F., Trinh, Q.D., Jeldres, C., Budaus, L., Blood transfusions in radical prostatectomy: A contemporary population-based analysis (2012) Urology, 79, pp. 332-338; Jee, S.H., Sull, J.W., Park, J., Lee, S.Y., Ohrr, H., Guallar, E., Body-mass index and mortality in Korean men and women (2006) N Engl J Med, 355, pp. 779-787; Kim, Y.I., Kim, S.Y., Cho, S.J., Park, J.H., Choi, I.J., Lee, Y.J., Long-term metformin use reduces gastric cancer risk in type 2 diabetics without insulin treatment: A nationwide cohort study (2014) Aliment Pharmacol Ther, 39, pp. 854-863; Park, J., Suh, B., Shin, D.W., Hong, J.H., Ahn, H., Changing patterns of primary treatment in Korean men with prostate vancer over 10 years: A nationwide population based study (2016) Cancer Res Treat, 48, pp. 899-906; Yoon, T.H., Lee, S.Y., Kim, C.W., Kim, S.Y., Jeong, B.G., Park, H.K., Inequalities in medical care utilization by South Korean cancer patients according to income: A retrospective cohort study (2011) Int J Health Serv, 41, pp. 51-66; Birim, O., Kappetein, A.P., Bogers, A.J., Charlson comorbidity index as a predictor of long-term outcome after surgery for nonsmall cell lung cancer (2005) Eur J Cardiothorac Surg, 28, pp. 759-762; Kim, J.H., Sun, H.Y., Kim, H.J., Ko, Y.M., Chun, D.I., Park, J.Y., Does uneven geographic distribution of urologists effect bladder and prostate cancers mortality? National health insurance data in Korea from 2007-2011 (2017) Oncotarget, 8, pp. 65292-65301; Leow, J.J., Reese, S.W., Jiang, W., Lipsitz, S.R., Bellmunt, J., Trinh, Q.D., Propensity-matched comparison of morbidity and costs of open and robot-assisted radical cystectomies: A contemporary population-based analysis in the United States (2014) Eur Urol, 66, pp. 569-576; Vetterlein, M.W., Loppenberg, B., Karabon, P., Dalela, D., Jindal, T., Sood, A., Impact of travel distance to the treatment facility on overall mortality in US patients with prostate cancer (2017) Cancer, 123, pp. 3241-3252; Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: A systematic analysis for the Global Burden of Disease Study 2015 (2016) Lancet, 388, pp. 1459-1544; Muhsen, K., Green, M.S., Soskolne, V., Neumark, Y., Inequalities in non-communicable diseases between the major population groups in Israel: Achievements and challenges (2017) Lancet, 389, pp. 2531-2541; Showalter, T.N., Mishra, M.V., Bridges, J.F., Factors that influence patient preferences for prostate cancer management options: A systematic review (2015) Patient Prefer Adherence, 9, pp. 899-911; Esnaola, N.F., Ford, M.E., Racial differences and disparities in cancer care and outcomes: Where's the rub? (2012) Surg Oncol Clin N Am, 21, pp. 417-437; Horwitz, R.I., Equity in cancer care and outcomes of treatment: A different type of cancer moonshot (2016) JAMA, 315, pp. 1231-1232; Virnig, B.A., Baxter, N.N., Habermann, E.B., Feldman, R.D., Bradley, C.J., A matter of race: Early-versus late-stage cancer diagnosis (2009) Health Aff (Millwood), 28, pp. 160-168; Muralidhar, V., Rose, B.S., Chen, Y.W., Nezolosky, M.D., Nguyen, P.L., Association between travel distance and choice of treatment for prostate cancer: Does geography reduce patient choice? (2016) Int J Radiat Oncol Biol Phys, 96, pp. 313-317; Hofer, M.D., Meeks, J.J., Cashy, J., Kundu, S., Zhao, L.C., Impact of increasing prevalence of minimally invasive prostatectomy on open prostatectomy observed in the national inpatient sample and national surgical quality improvement program (2013) J Endourol, 27, pp. 102-107; Lamont, E.B., Hayreh, D., Pickett, K.E., Dignam, J.J., List, M.A., Sten-Son, K.M., Is patient travel distance associated with survival on phase II clinical trials in oncology? (2003) J Natl Cancer Inst, 95, pp. 1370-1375; Holmes, J.A., Carpenter, W.R., Wu, Y., Hendrix, L.H., Peacock, S., Massing, M., Impact of distance to a urologist on early diagnosis of prostate cancer among black and white patients (2012) J Urol, 187, pp. 883-888; Lin, C.C., Bruinooge, S.S., Kirkwood, M.K., Hershman, D.L., Jemal, A., Guadagnolo, B.A., Association between geographic access to cancer care and receipt of radiation therapy for rectal cancer (2016) Int J Radiat Oncol Biol Phys, 94, pp. 719-728; Lin, C.C., Bruinooge, S.S., Kirkwood, M.K., Olsen, C., Jemal, A., Bajorin, D., Association between geographic access to cancer care, insurance, and receipt of chemotherapy: Geographic distribution of oncologists and travel distance (2015) J Clin Oncol, 33, pp. 3177-3185; Massarweh, N.N., Chiang, Y.J., Xing, Y., Chang, G.J., Haynes, A.B., You, Y.N., Association between travel distance and metastatic disease at diagnosis among patients with colon cancer (2014) J Clin Oncol, 32, pp. 942-948; Trinh, Q.D., Bjartell, A., Freedland, S.J., Hollenbeck, B.K., Hu, J.C., Shariat, S.F., A systematic review of the volume-outcome relationship for radical prostatectomy (2013) Eur Urol, 64, pp. 786-798","Park, J.-H.; Department of Preventive Medicine, Graduate School of Health Science Business Convergence, Chungbuk National University, 1 Chungdae-ro, South Korea; email: uroljy@catholic.ac.kr",,,"Korean Cancer Association",,,,,15982998,,,"29458236","English","Cancer Res. Treat.",Article,"Final",Open Access,Scopus,2-s2.0-85059891203 "Lovelock B., Lovelock K.","6602856037;18935765500;","“We had a ball … as long as you kept taking your painkillers” just how much tourism is there in medical tourism? Experiences of the patient tourist",2018,"Tourism Management","69",,,"145","154",,3,"10.1016/j.tourman.2018.05.015","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048280788&doi=10.1016%2fj.tourman.2018.05.015&partnerID=40&md5=55d9460815c88f1e468f852aa63f7695","Department of Tourism, University of Otago, PO Box 56, Dunedin, 9054, New Zealand; Department of Public Health, University of Otago, PO Box 7343, Wellington South, 6242, New Zealand","Lovelock, B., Department of Tourism, University of Otago, PO Box 56, Dunedin, 9054, New Zealand; Lovelock, K., Department of Public Health, University of Otago, PO Box 7343, Wellington South, 6242, New Zealand","The debate over ‘medical tourism’ versus ‘travel for medical treatment’ largely centres on the role of the voluntary leisure or touristic component. This study provides empirical evidence regarding the nature of leisure tourism occurring during medical travel, drawing on interviews with individuals who have returned from travel overseas for medical treatment. We identify four influences: the medical procedure; personal factors (e.g. travel experience, resilience, accompanying companions); destination factors; and financial matters. The most significant of these is the nature of the medical procedure, its level of invasiveness and requirements for post treatment recovery, and whether or not the patient-traveller suffered any complications. The ‘hotel-isation’ of hospitals (‘hospitels’) contributes to participants’ perceptions of this type of travel being touristic in nature, even if no other conventional touristic activities are engaged in. We also observe similarities between medical tourism and business travel, both being hybrid forms of tourism, with variable leisure components. © 2018 Elsevier Ltd",,"empirical analysis; leisure industry; medical tourism; tourism management; tourist behavior; travel behavior",,,,,"University of Otago","We are extremely grateful for the involvement of our returned medical tourist participants who kindly shared their personal experiences with us. The University of Otago funded this project through a University of Otago Research Grant.",,"Auge, M., Non-places (1995), Verso London; Braun, V., Clarke, V., Using thematic analysis in psychology (2006) Qualitative Research in Psychology, 3 (2), pp. 77-101; Chew, Y.T., Darmasaputra, A., 12 Identifying research gaps in medical tourism (2015) Destination Marketing: International Perspectives, 36, p. 119; Chow, C.L.J., Pires, G.D., Rosenberger, P.J., III, Towards a rigorous conceptual framework for examining international medical travel (2015) International Journal of Behavioural and Healthcare Research, 5 (1-2), pp. 88-103; Cohen, E.C.E., Medical tourism in Thailand (2008) AU-GSB e-journal, 1 (1); Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Medical tourism (2011), CABI Wallingford, UK; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Creswell, J.W., Research design: Qualitative, quantitative, and mixed methods approaches (2014), Sage Thousand Oaks, CA; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 266; Davidson, R., Business Travel (1994), Pearson Education Harlow, U.K; Davidson, R., Cope, B., Business Travel: Conferences, incentive travel, exhibitions, corporate hospitality and corporate travel (2003), Pearson Education Harlow; Decrop, A., Trustworthiness in qualitative tourism research (2004) Qualitative research in tourism: Ontologies, epistemologies and methodologies, pp. 156-169. , J. Phillimore L. Goodson Routledge London; Drinkert, A., Medical tourism: A post-travel study measuring the impact of push & pull factors on the perceived quality of the medical tourism experience (2015), Doctoral dissertation, California State Polytechnic University, Pomona; Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tourism Management, 52, pp. 539-556; Fusch, P.I., Ness, L.R., Are we there yet? Data saturation in qualitative research (2015) Qualitative Report, 20 (9), p. 1408; Hall, C.M., Tourism: Rethinking the social science of mobility (2005), Pearson Harlow; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Jago, L., Deery, M., Relationships and factors influencing convention decision-making (2005) Journal of Convention & Event Tourism, 7 (1), pp. 23-41; Jennings, G.R., Methodologies and methods (2009) The SAGE handbook of tourism studies, pp. 672-692. , T. Jamal M. Robinson Sage London; Johnston, R., Crooks, V.A., Snyder, J., “I didn't even know what I was looking for”: A qualitative study of the decision-making processes of canadian medical tourists (2012) Globalization and Health, 8 (1), p. 23; Kellerman, A., Business travel and leisure Tourism: Comparative trends in a globalizing world (2010) International business travel in the global economy, pp. 165-176. , J. Beaverstock B. Derudder J. Faulconbridge F. Witlox Ashgate Burlington; Lefebvre, B., The Indian corporate hospitals: Touching middle class lives (2008) Patterns of middle class consumption in India and China, pp. 88-109. , C. Jaffelot P. van de Veer Sage New Delhi; Lincoln, Y.S., Guba, E.G., Naturalistic inquiry (1985), Sage Newbury Park, CA; Lovelock, K., Lovelock, B., Medical tourism: Consumptive practice, ethics and healthcare – the importance of subjective proximity (2014) Managing ethical consumption in tourism, pp. 207-224. , C. Weeden K. Boluk Routledge London; Medical Tourism Association, Medical tourism FAQ's (2017), http://www.medicaltourismassociation.com/en/medical-tourism-faq-s.html, Available at (Accessed 11 February 2017); Musa, G., Thirumoorthi, T., Doshi, D., Travel behaviour among inbound medical tourists in Kuala Lumpur (2012) Current Issues in Tourism, 15 (6), pp. 525-543; Nahai, F., It's procedure, not tourism (2009) Medical Tourism, 1, p. 106; Ricafort, K.M.F., A study of influencing factors that lead medical tourists to choose Thailand hospitals as medical tourism destination (2011), Doctoral dissertation Webster University; Serdiuk, A., Not only for professional utility? Leisure motivations in conference tourism (2016), Master Thesis in Tourism, Department of Geography and Economic History Faculty of Social Science, Umeå University Sweden; Smith, M., Puczko, L., Health and wellness tourism (2009), Elsevier Oxford; Uchida, Medical tourism or “medical examination and treatment abroad’: An economic study of the phenomenon (2015) Current issues and emerging trends in medical tourism (p18-30), , M. Cooper K. Vafadari M. Hieda Medical Information Science Reference Hershey, PA; Weaver, C., Under the Knife on a cut-price holiday (2008) The Sunday Telegraph, 13-14. , 25 May; Urry, J., Mobility and proximity (2002) Sociology, 36, pp. 255-274; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Lovelock, B.; Department of Tourism, University of Otago, PO Box 56, New Zealand; email: brent.lovelock@otago.ac.nz",,,"Elsevier Ltd",,,,,02615177,,,,"English","Tour. Manage.",Article,"Final",,Scopus,2-s2.0-85048280788 "Rosenbusch J., Ismail I.R., Ringle C.M.","57202857170;57191412892;23480356200;","The agony of choice for medical tourists: a patient satisfaction index model",2018,"Journal of Hospitality and Tourism Technology","9","3",,"267","279",,3,"10.1108/JHTT-10-2017-0107","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049596504&doi=10.1108%2fJHTT-10-2017-0107&partnerID=40&md5=0e2ee9d32f6c7e7cd6492b5ffff073ae","Institute of Human Resource Management and Organizations, Hamburg University of Technology, Hamburg, Germany; Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Malaysia","Rosenbusch, J., Institute of Human Resource Management and Organizations, Hamburg University of Technology, Hamburg, Germany; Ismail, I.R., Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Malaysia; Ringle, C.M., Institute of Human Resource Management and Organizations, Hamburg University of Technology, Hamburg, Germany","Purpose: Grounded on substantial theories and service concept models, this paper aims at proposing a novel patient satisfaction index (PSI) model. This model allows for identifying the key sources of patient satisfaction and for comparing performance results across hospitals competing on the national and international health-care market. The PSI is also an important benchmark instrument for medical tourism. Design/methodology/approach: The PSI model was initially tested in hospitals in a developed country (the German hospital market). A total of 1,281 complete patient responses were analyzed by means of partial least squares structural equation modeling (PLS-SEM). Findings: This model’s sources of competitive advantage – doctors’ and nurses’ interaction quality, environmental quality and outcome quality – mostly explain patient satisfaction, which is the key target construct. The results also reveal that the doctors’ and nurses’ interaction quality is the most salient driver of patient satisfaction. Practical implications: The proposed PSI model can be generally applied to facilitate the comparison of hospitals on a regional, national and even an international level. In addition, the PSI model helps health-care management facilities prioritize their service components’ improvement (e.g. to attract more medical tourists). Originality/value: Medical tourists are confronted with a variety of health destinations and may find it difficult to choose an appropriate region and health-care provider. This study contributes to medical tourism research by developing a general patient satisfaction index model for medical tourists. © 2018, Emerald Publishing Limited.","Importance-performance map; Interaction quality; Medical tourism; Patient satisfaction index; Service quality",,,,,,,,,"Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: a medical tourism perspective (2016) Journal of Destination Marketing & Management, 5 (3), pp. 192-201; Anderson, E.W., Fornell, C., Foundations of the American customer satisfaction index (2000) Total Quality Management, 11 (7), pp. 869-882; Badri, M.A., Attia, S., Ustadi, A.M., Healthcare quality and moderators of patient satisfaction: testing for causality (2009) International Journal of Health Care Quality Assurance, 22 (4), pp. 382-410; Batbaatar, E., Dorjdagva, J., Luvsannyam, A., Savino, M.M., Amenta, P., Determinants of patient satisfaction: a systematic review (2016) Perspectives in Public Health, 137 (2), pp. 89-101; Betts, D., Balan-Cohen, A., Suhukla, M., Kumar, N., (2016) The Value of Patient Experience, , Deloitte Development LLC, Washington, DC; Bitner, M.J., Servicescapes: the impact of physical surroundings on customers and employees (1992) Journal of Marketing, 56 (2), pp. 57-71; Blakemore, S., Report shows how patient experience and satisfaction can be measured (2010) Nursing Management, 16 (9), p. 7; Boshoff, C., Gray, B., The relationships between service quality, customer satisfaction and buying intentions in the private hospital industry (2004) South African Journal of Business Management, 35 (4), pp. 27-37; Brady, M.K., Cronin, J.J., Some new thoughts on conceptualizing perceived service quality: a hierarchical approach (2001) Journal of Marketing, 65 (3), pp. 34-49; Brochado, A., Rita, P., Margarido, A., High tech meets high touch in upscale hotels (2016) Journal of Hospitality and Tourism Technology, 7 (4), pp. 347-365; Chahal, H., Mehta, S., Developing patient satisfaction construct for public and private health care sectors (2014) Journal of Services Research, 13 (2), pp. 7-30; Chin, W.W., How to write up and report PLS Analyses (2010) Handbook of Partial Least Squares: Concepts, Methods and Applications, pp. 655-690. , Esposito Vinzi, V., Chin, W. 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Hosp. Tour. Technol.",Article,"Final",,Scopus,2-s2.0-85049596504 "Labonté R., Crooks V.A., Valdés A.C., Runnels V., Snyder J.","55334992200;35585107800;57204284344;12774356700;24170239100;","Government roles in regulating medical tourism: Evidence from Guatemala",2018,"International Journal for Equity in Health","17","1", 150,"","",,3,"10.1186/s12939-018-0866-1","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055096726&doi=10.1186%2fs12939-018-0866-1&partnerID=40&md5=16dcf3bb72d1ca7bbc4b6772a3089cfc","Globalization and Health Equity Research Unit, Faculty of Medicine, University of Ottawa, Ottawa, Canada; Department of Geography, Simon Fraser University, Burnaby, Canada; Department of Anthropology, University of Denver; Denver, Denver, CO, United States; Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; School of Epidemiology and Public Health, University of Ottawa, Alta Vista Campus, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3, Canada","Labonté, R., Globalization and Health Equity Research Unit, Faculty of Medicine, University of Ottawa, Ottawa, Canada, School of Epidemiology and Public Health, University of Ottawa, Alta Vista Campus, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, Canada; Valdés, A.C., Department of Anthropology, University of Denver; Denver, Denver, CO, United States; Runnels, V., Globalization and Health Equity Research Unit, Faculty of Medicine, University of Ottawa, Ottawa, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada","Background: Regulation of the medical tourism and public health sectors overlap in many instances, raising questions of how patient safety, economic growth, and health equity can be protected. The case of Guatemala is used to explore how the regulatory challenges posed by medical tourism should be dealt with in countries seeking to grow this sector. Methods: We conducted a qualitative case study of the medical tourism sector in Guatemala, through reviews and analyses of policy documents and media reports, key informant interviews (n = 50), and facility site-visits. Results: Key informants were critical of the absence of effective public regulation of the emerging medical tourism sector, noting several regulatory gaps and the importance of filling them. These informants specifically expressed that: 1) The government should regulate medical tourism in Guatemala, thought there was disagreement as to which government sector should do so and how; 2) The government has not at this time regulated the medical tourism sector nor shown great interest in doing so; and 3) International accreditation could be used to augment domestic regulation. Conclusions: The intersection of domestic and international regulation of medical tourism has been largely unexplored. This case study advances new research in this area. It highlights the need for and dearth of regulatory protections in Guatemala and lessons for other, similarly situated countries. National regulatory models from Israel and Barbados could be adapted to the Guatemalan context. Global governance could help to protect national governments from any competitive disadvantages created by regulation. Underlying the concerns over growth in medical tourism, however, is how it contributes to the ongoing privatization of health care facilities worldwide. This trend risks undermining efforts to reach targets for Universal Health Coverage and exacerbating existing inequities in the global distribution of health and wealth. © 2018 The Author(s).","Guatemala; Health equity; Medical tourism; Regulation","equity; health care; health services; medical tourism; policy analysis; privatization; public health; qualitative analysis; regulatory approach; state role; tourism management; accreditation; article; Barbados; clinical article; government; Guatemala; health care facility; health equity; health insurance; human; interview; Israel; medical tourism; government; Guatemala; legal liability; legislation and jurisprudence; medical tourism; public sector; qualitative research; safety; Guatemala [Central America]; Government; Guatemala; Health Facilities; Humans; Liability, Legal; Medical Tourism; Public Sector; Qualitative Research; Safety",,,,,"Michael Smith Foundation for Health Research, MSFHR Canadian Institutes of Health Research, CIHR: 257739","This research was supported in part by the Canadian Institutes of Health Research Operating Grant funding (application #257739). RL holds a Canada Research Chair (Tier 1) in Globalization and Health Equity. VAC was funded by a Scholar Award from the Michael Smith Foundation for Health Research and holds the Canada Research Chair in Health Service Geographies. The funding bodies have no involvement in the design of the study, the collection, analysis, and interpretation of data, nor in the writing of the manuscript.",,"Klijs, J., Ormond, M., Mainil, T., Peerlings, J., Heijman, W., A state-level analysis of the economic impacts of medical tourism in Malaysia (2016) Asian-Pac Econ Lit, 30 (1), pp. 3-29; Wto | 2016 News Items - Tourism Sector Highlighted As Important Contributor to Trade and Development [Internet], , https://www.wto.org/english/news_e/news16_e/bus_13jul16_e.htm, World Trade Organization World Trade Organization. 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World Inequality Lab, , http://wir2018.wid.world/files/download/wir2018-full-report-english.pdf, [cited 2018 Jun 5]; Labonté, R., Packer, C., Sanders, D., Schaay, N., Is the Alma Ata vision of comprehensive primary health care viable? Findings from an international project (2014) Glob Health Action, 7 (2499), pp. 1-17; (2008) Health Equity Through Action on the Social Determinants of Health [Internet], , http://apps.who.int/iris/bitstream/handle/10665/43943/9789241563703_eng.pdf;jsessionid=6C4A237950CFFA71568B994EAC451599?sequence=1, Commission on the Social Determinants of Health Geneva: World Health Organization [cited 2018 Jun 24]","Labonté, R.; Globalization and Health Equity Research Unit, Faculty of Medicine, University of OttawaCanada; email: rlabonte@uottawa.ca",,,"BioMed Central Ltd.",,,,,14759276,,,"30236120","English","Int. J. Equity Health",Article,"Final",Open Access,Scopus,2-s2.0-85055096726 "Koylu C., Delil S., Guo D., Celik R.N.","55770873500;57194696779;8509395300;7801603840;","Analysis of big patient mobility data for identifying medical regions, spatio-temporal characteristics and care demands of patients on the move",2018,"International Journal of Health Geographics","17","1", 32,"","",,3,"10.1186/s12942-018-0152-x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051027089&doi=10.1186%2fs12942-018-0152-x&partnerID=40&md5=ca512a91aa11d0597669c7afa6a00ce6","University of Iowa, Department of Geographical and Sustainability Sciences, Iowa City, United States; Istanbul Technical University, Informatics Institute, Istanbul, Turkey; University of South Carolina, Department of Geography, Columbia, United States","Koylu, C., University of Iowa, Department of Geographical and Sustainability Sciences, Iowa City, United States; Delil, S., Istanbul Technical University, Informatics Institute, Istanbul, Turkey; Guo, D., University of South Carolina, Department of Geography, Columbia, United States; Celik, R.N., Istanbul Technical University, Informatics Institute, Istanbul, Turkey","Background: Patient mobility can be defined as a patient's movement or utilization of a health care service located in a place or region other than the patient's place of residence. Mobility provides freedom to patients to obtain health care from providers across regions and even countries. It is essential to monitor patient choices in order to maintain the quality standards and responsiveness of the health system, otherwise, the health system may suffer from geographic disparities in the accessibility to quality and responsive health care. In this article, we study patient mobility in a national health care system to identify medical regions, spatio-temporal and service characteristics of health care utilization, and demands for patient mobility. Methods: We conducted a systematic analysis of province-to-province patient mobility in Turkey from December 2009 to December 2013, which was derived from 1.2 billion health service records. We first used a flow-based regionalization method to discover functional medical regions from the patient mobility network. We compare the results of data-driven regions to designated regions of the government in order to identify the areas of mismatch between planned regional service delivery and the observed utilization in the form of patient flows. Second, we used feature selection, and multivariate flow clustering to identify spatio-temporal characteristics and health care needs of patients on the move. Results: Medical regions we derived by analyzing the patient mobility data showed strong overlap with the designated regions of the Ministry of Health. We also identified a number of regions that the regional service utilization did not match the planned service delivery. Overall, our spatio-temporal and multivariate analysis of regional and long-distance patient flows revealed strong relationship with socio-demographic and cultural structure of the society and migration patterns. Also, patient flows exhibited seasonal patterns, and yearly trends which correlate with implemented policies throughout the period. We found that policies resulted in different outcomes across the country. We also identified characteristics of long-distance flows which could help inform policy-making by assessing the needs of patients in terms of medical specialization, service level and type. Conclusions: Our approach helped identify (1) the mismatch between regional policy and practice in health care utilization (2) spatial, temporal, health service level characteristics and medical specialties that patients seek out by traveling longer distances. Our findings can help identify the imbalance between supply and demand, changes in mobility behaviors, and inform policy-making with insights. © 2018 The Author(s).","Flow mapping; Health care; Patient mobility; Regionalization; Spatial data mining","accessibility; data mining; government; health care; health policy; health services; mapping; mobility; policy implementation; policy making; regionalization; service provision; spatiotemporal analysis; adult; article; controlled study; data mining; government; health care delivery; health care need; health care utilization; human; patient mobility; public health service; regionalization; specialization; travel; Turkey (republic); epidemiology; health care disparity; health center; health service; population dynamics; public health; spatial analysis; statistics and numerical data; time factor; turkey (bird); Turkey; Big Data; Community Health Centers; Health Services; Healthcare Disparities; Humans; National Health Programs; Population Dynamics; Spatial Analysis; Time Factors; Turkey",,,,,,,,"Andritsos, D.A., Tang, C.S., Introducing competition in healthcare services: the role of private care and increased patient mobility (2014) Eur J Oper Res, 234, pp. 898-909; Mafrolla, E., D'amico, E., Patients' mobility as an indicator for (in) efficiency: a panel data analysis on Italian health care authorities (2013) Health Econ Rev, 3, p. 3; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16, pp. 1145-1155; Tang, C.F., Lau, E., Modelling the demand for inbound medical tourism: the case of Malaysia (2017) Int J Tour Res, 19, pp. 584-593; Rosenmöller, M., McKee, M., Baeten, R., Patient mobility in the European Union: learning from experience, The European observatory on health systems and policies (2006); Mainil, T., Loon, F., Dinnie, K., Botterill, D., Platenkamp, V., Meulemans, H., Transnational health care: from a global terminology towards transnational health region development (2012) Health Policy, 108, pp. 37-44; 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(2012) Transl Med at Unisa, 4, p. 57","Koylu, C.; University of Iowa, Department of Geographical and Sustainability SciencesUnited States; email: caglar-koylu@uiowa.edu",,,"BioMed Central Ltd.",,,,,1476072X,,,"30071864","English","Int. J. Health Geogr.",Article,"Final",Open Access,Scopus,2-s2.0-85051027089 "Romão J., Machino K., Nijkamp P.","55365378500;57202585102;7102958684;","Integrative diversification of wellness tourism services in rural areas–an operational framework model applied to east Hokkaido (Japan)",2018,"Asia Pacific Journal of Tourism Research","23","7",,"734","746",,3,"10.1080/10941665.2018.1488752","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048754471&doi=10.1080%2f10941665.2018.1488752&partnerID=40&md5=3796dd0b766862347a420431f3e29175","Hokkaido University, Sapporo, Japan; Tinbergen Institute, Amsterdam, Netherlands","Romão, J., Hokkaido University, Sapporo, Japan; Machino, K., Hokkaido University, Sapporo, Japan; Nijkamp, P., Tinbergen Institute, Amsterdam, Netherlands","A framework model for wellness tourism development in rural areas is developed in this paper, combining the concepts of integrative diversification, tourism product development, and an endogenous approach to innovation dynamics. Three spatial levels of wellness services are considered (establishment, destination, and the region where they are located) in order to identify the required resources, services to develop, stakeholders to involve, and a process to match the supply and demand in wellness tourism. The paper concludes with an exploratory application to the case of east Hokkaido (Japan), identifying crucial challenges for a diversification of wellness services based on the traditional onsen practices. © 2018, © 2018 Asia Pacific Tourism Association.","culture; endogenous resources; entrepreneurship; innovation; integrative diversification; nature; product development; regional development; sustainability; Wellness tourism","entrepreneur; innovation; product development; regional development; rural area; sustainability; tourism development; Hokkaido; Japan",,,,,"Japan Society for the Promotion of Science, JSPS: 17K02102","This work was supported by Japan Society for the Promotion of Science [grant number 17K02102].",,"Acs, Z.J., Braunerhjelm, P., Audretsch, D.B., Carlsson, B., The knowledge spillover theory of entrepreneurship (2009) Small Business Economics, 32, pp. 15-30; Benur, A.M., Bramwell, B., Tourism product development and product diversification in destinations (2015) Tourism Management, 50, pp. 213-224; Butler, R.W., Sustainable tourism: A state-of-the-art review (1999) Tourism Geographies, 1 (1), pp. 7-25; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; Cohen, M., Spas, wellness and human evolution (2008) Understanding the global spa industry: Spa management, pp. 3-25. , Cohen M., Bodeker G., (eds), London: Elsevier,. 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Spas and hot springs, , Bristol: Channel View Publications; (2013) Japan revitalization strategy, , Tokyo: Government of Japan; (2014) Japan revitalization strategy, , Tokyo: Government of Japan; (2015) Japan revitalization strategy, , Tokyo: Government of Japan; (2016) Japan revitalization strategy, , Tokyo: Government of Japan; (2016) Tourism vision supporting the future of Japan, , Tokyo: Cabinet of the Prime Minister; (2017) Recommendations for revitalizing spa areas making use of regional resources such as nature, , Tokyo: Ministry of Environment of Japan; (2017) Accommodation type for new healthcare guidance trial project, , Tokyo: Ministry of Health, Labour and Welfare; Graburn, N., The past in the present in Japan: Nostalgia and neo-traditionalism in contemporary Japanese domestic tourism (1995) Change in tourism people, places processes, pp. 47-70. , Butler R.W., Pearce D.G., (eds), London: Routledge,. (Eds; (2016) Tourist dynamics & satisfaction survey report, , Sapporo: Hokkaido Prefectural Government; Huijbens, E.H., Developing wellness in Iceland–theming wellness destinations the Nordic Way (2011) Scandinavian Journal of Hospitality and Tourism, 11 (1), pp. 20-41; (2014) Consumption trend survey for foreigners visiting Japan, , Tokyo: Japan Tourism Agency; Johnston, K., Puczkó, L., Smith, M., Elis, S., (2011) Wellness tourism and medical tourism: Where do spas fit?, , Miami: Global Spa & Wellness Summit; Jovicic, D.Z., Key issues in the implementation of sustainable tourism (2014) Current Issues in Tourism, 17 (4), pp. 297-302; Komppula, R., The role of individual entrepreneurs in the development of competitiveness for a rural tourism destination: A case study (2014) Tourism Management, 40, pp. 361-371; Page, S., Hartwell, H., Johns, N., Fyall, A., Ladkin, A., Hemingway, A., Case study: Wellness, tourism and small business development in a UK coastal resort: Public engagement in practice (2017) Tourism Management, 60, pp. 466-477; Porter, M., (1985) Competitive advantage–creating and sustaining superior performance, , New York: The Free Press; Porter, M., The economic performance of regions (2003) Regional Studies, 37 (6-7), pp. 549-578; Romão, J., Machino, K., Nijkamp, P., Assessment of wellness tourism development in Hokkaido: A multicriteria and strategic choice analysis (2017) Asia-Pacific Journal of Regional Science, 1 (1), pp. 265-290; Romer, P.M., Endogenous technological change (1990) Journal of Political Economy, 98, pp. 71-102; Schumpeter, J., (1934) The theory of economic development, , New York: Oxford University Press; Smith, M.K., Diekmann, A., Tourism and wellbeing (2017) Annals of Tourism Research, 66, pp. 1-13; Smith, M., Puczkó, L., (2013) Health, tourism and hospitality, , London: Routledge; Steward, J.R., Moral economies and commercial imperatives: Food, diets and spas in central Europe: 1800–1914 (2012) Journal of Tourism History, 4 (2), pp. 181-203; Teece, D.J., Explicating dynamic capabilities: The nature and microfoundations of (sustainable) enterprise performance (2007) Strategic Management Journal, 28, pp. 1319-1350; Teece, D.J., Pisano, G., Shuen, A., Dynamic capabilities and strategic management (1997) Strategic Management Journal, 18 (7), pp. 509-533; (2000) Sustainable tourism and the environment, , Paris: UNESCO; (2013) Sustainable tourism for development guidebook, , Madrid: World Tourism Organization; (2011) Handbook on tourism product development, , Madrid: World Tourism Organization (UNWTO) and European Travel Commission (ETC; Walton, J.K., Health, sociability, politics and culture–spas in history, spas and history: An overview (2013) Mineral springs resorts in global perspective, pp. 1-14. , Walton J.K., (ed), London: Routledge,. (Ed; Yeung, O., Johnston, K., (2015) The global wellness tourism economy report 2013 and 2014, , Miami, FL: Global Wellness Institute","Romão, J.; Hokkaido UniversityJapan; email: joao_romao@me.com",,,"Routledge",,,,,10941665,,,,"English","Asia Pac. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85048754471 "Cesario S.K.","6701914441;","Implications of Medical Tourism",2018,"Nursing for Women's Health","22","3",,"269","273",,3,"10.1016/j.nwh.2018.03.008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047840737&doi=10.1016%2fj.nwh.2018.03.008&partnerID=40&md5=7833c2e114b6a4da689c24dc051eb005",,"Cesario, S.K.","Medical tourism is an emerging industry that facilitates travel to another country for people who seek medical, surgical, or dental care that is unavailable or more affordable than in their home countries. Rapid advances in electronic communication and the ease of international travel have fueled the growth of this industry. More than half of medical travelers are women, especially for services related to cosmetic or reproductive conditions. Medical tourism creates both opportunities and challenges for nurses and other health care providers. Consumers’ increased access to the global health care market necessitates the development of a structure that shapes the medical tourism industry and addresses evolving ethical, political, and human rights concerns related to this industry. © 2018 AWHONN","health care globalization; medical tourism; medical travel; reproductive care; women's health","adult; article; consumer; dental procedure; female; global health; human; human rights; market; medical tourism; nurse; surgery; travel; women's health; ethics; health care delivery; legislation and jurisprudence; management; nurse attitude; nurse patient relationship; patient education; Female; Health Services Accessibility; Humans; Medical Tourism; Nurse's Role; Nurse-Patient Relations; Patient Education as Topic; Policy Making",,,,,,,,"Briefing paper: Cosmetic surgery tourism (2018), https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism, Retrieved from; Medical tourism (2018), https://www.cdc.gov/features/medicaltourism/index.html, Retrieved from; Cohen, G., Circumvention tourism (2012) Cornell Law Review, 97 (6), pp. 1309-1398; Dalstrom, M., Medical travel facilitators: Connecting patients and providers in a globalized world (2013) Anthropology and Medicine, 20, pp. 24-35; Dehdashti Shahrokh, Z., Nakhaei, H., An entropy (Shannon) based approach for determining importance weights of influencing factors in selecting medical tourism destinations (2016) International Journal of Travel Medicine and Global Health, 4, pp. 115-121; Eissler, L., Casken, J., Seeking health care through international medical tourism (2013) Journal of Nursing Scholarship, 45 (2), pp. 177-184; Gerdts, C., DeZordo, S., Mishtal, J., Barr-Walker, J., Lohr, P., Experiences of women who travel to England for abortions: An exploratory pilot study (2016) The European Journal of Contraception & Reproductive Health Care, 21 (5), pp. 401-407; Hohm, C., Snyder, J., “It was the best decision of my life”: A thematic content analysis of former medical tourists’ patient testimonials (2015) BMC Medical Ethics, 16, p. 8; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31, pp. 185-198; Medical tourism index (2016), http://www.healthcareresearchcenter.org/medical-tourism-index/, Retrieved from; Jang, S.H., Factors associated with Korean immigrants’ medical tourism to the homeland (2017) American Journal of Health Behavior, 41, pp. 461-470; Ji, Y., Bates, B., “Better than bank robbery”: Yuezi centers and neoliberal appeals to market birth tourism to pregnant Chinese women (2018) Health Communications, 33 (4), pp. 443-452; Johannesson, L., Jarvholm, S., Uterus transplantation: Current progress and future prospects (2016) International Journal of Women's Health, 8, pp. 43-51; Johnston, R., Crooks, V.A., Snyder, J., “I didn't even know what I was looking for”: A qualitative study of the decision-making processes of Canadian medical tourists (2012) Globalization and Health, 8, p. 23; Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (1), p. 24; Jones, C., Keith, L., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal of Fertility Women's Medicine, 51 (6), pp. 251-255; Nguyen, D., Gaines, J., Chapter 2. Pre-travel consultation: Medical tourism (2018) In Centers for Disease Control and Prevention Yellow Book, , https://wwwnc.cdc.gov/travel/yellowbook/2018/the-pre-travel-consultation/medical-tourism, Centers for Disease Control and Prevention Atlanta, GA Retrieved from; Nations granting birthright citizenship (2009), https://www.numbersusa.com/content/learn/issues/birthright-citizenship/nations-granting-birthright-citizenship.html, Retrieved from; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28 (6), pp. 337-341; Runnels, V., Labonte, R., Packer, C., Chaudhry, S., Adams, O., Blackmer, J., Canadian physicians’ responses to cross border health care (2014) Globalization and Health, 10, p. 20; Tsai, D., Huang, S., Holm, S., Lin, Y., Chang, Y., Hsu, C., The outcomes and controversies of transplant tourism—Lessons of an 11-year retrospective cohort study from Taiwan (2017) PLOS ONE, 12 (6); Whittaker, A., ‘Outsourced’ patients and their companions: Stories from forced medical travelers (2015) Global Public Health, 10 (4), pp. 485-500; Whittaker, A., Speier, A., “Cycling overseas”: Care, commodification, and stratification in cross-border reproductive travel (2010) Medical Anthropology, 29 (4), pp. 363-383",,,,"Elsevier B.V.",,,,,17514851,,,"29885716","English","Nurs. Women Health",Article,"Final",,Scopus,2-s2.0-85047840737 "Um K.-H., Kim S.-M.","56921729800;37861558300;","Application of Fairness Theory to Medical Tourists' Dissatisfaction and Complaint Behaviors: The Moderating Role of Patient Participation in Medical Tourism",2018,"Journal of Social Service Research",,,,"1","18",,3,"10.1080/01488376.2018.1436633","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043310110&doi=10.1080%2f01488376.2018.1436633&partnerID=40&md5=3e91f5189fb74209ec324a9d3ecbe458","Survey & Health Policy Research Center, Dongguk University, Seoul, South Korea; School of Management, Kyung Hee University, Seoul, South Korea, South Korea","Um, K.-H., Survey & Health Policy Research Center, Dongguk University, Seoul, South Korea; Kim, S.-M., School of Management, Kyung Hee University, Seoul, South Korea, South Korea","Medical tourism is a worldwide phenomenon in which patients travel abroad to seek medical treatment. Although excellent health service quality of a foreign country has shown to attract more medical tourists, little is known about how an unfairly distributed service can increase dissatisfaction and trigger complaint behaviors. Fairness theory and consumer complaint behaviors provided the theoretical support for this study; and, 354 medical tourists who received cosmetic treatments in Korea agreed to provide feedback via online surveys. The findings indicated that outcome fairness is the strongest variable affecting dissatisfaction, followed by interpersonal, procedural, and informational fairness, and dissatisfaction triggers specific behaviors (e.g., switching, negative word of mouth, and complaining), and differs by levels of participation. The results suggest that a medical hosting country and its hospitals should provide a fair service to reduce dissatisfaction and conceive a way of managing complaint behaviors. Future research should focus on service recovery strategies that can correct service failures from the perspective of the medical tourist. © 2018 Taylor & Francis Group, LLC","complaint behaviors; dissatisfaction; medical tourism; patient participation; Service fairness",,,,,,,,,,"Kim, S.-M.South Korea; email: smkim@khu.ac.kr",,,"Routledge",,,,,01488376,,,,"English","J. Soc. Serv. Res.",Article in Press,"Article in Press",,Scopus,2-s2.0-85043310110 "Parchem K., Peck A., Tales K.","57202349553;57202353346;57202357172;","A Multidisciplinary Approach to Equipment Use in Pediatric Patient Mobilization",2018,"Critical Care Nursing Quarterly","41","3",,"330","339",,3,"10.1097/CNQ.0000000000000211","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048006210&doi=10.1097%2fCNQ.0000000000000211&partnerID=40&md5=66fb96db355146c3a47cabaacf24a3a6","Department of Physical Medicine and Rehabilitation, C.S. Mott Children's and von Voigtlander Women's Hospital, Michigan Medicine, 1540 E. Medical Center Dr, Ann Arbor, MI 48109, United States","Parchem, K., Department of Physical Medicine and Rehabilitation, C.S. Mott Children's and von Voigtlander Women's Hospital, Michigan Medicine, 1540 E. Medical Center Dr, Ann Arbor, MI 48109, United States; Peck, A., Department of Physical Medicine and Rehabilitation, C.S. Mott Children's and von Voigtlander Women's Hospital, Michigan Medicine, 1540 E. Medical Center Dr, Ann Arbor, MI 48109, United States; Tales, K., Department of Physical Medicine and Rehabilitation, C.S. Mott Children's and von Voigtlander Women's Hospital, Michigan Medicine, 1540 E. Medical Center Dr, Ann Arbor, MI 48109, United States","Research has shown that patients who are mechanically ventilated or immobile for greater than 7 days are at increased risk for deconditioning and muscle atrophy. Immobility impacts length of stay as well as patients' ability to return to their prior level of function. As part of the safe patient-handling initiative created at Michigan Medicine, a special team of nurses and therapists was assembled to adapt an adult mobility framework for the pediatric population. The pediatric mobility model determines each patient's specific mobility ""phase"" based on detailed criteria. Clinical staff can then implement strategies aimed at preventing deconditioning and hospital-acquired weakness. At C.S. Mott Children's Hospital, a multidisciplinary team is available to support this pediatric mobility model. Specific equipment utilized during the different phases of mobility has been reviewed and discussed in this article. © 2018 Wolters Kluwer Health, Inc. All rights reserved.","ICU; mobility; multidisciplinary team; pediatric equipment","dysphagia team; human; medical specialist; mobilization; motor performance; music therapist; occupational therapy; patient mobility; patient positioning; physiotherapy; rehabilitation engineer; Review; speech and language; child; equipment design; hospital; intensive care unit; length of stay; Michigan; mobilization; nursing; patient care; Child; Early Ambulation; Equipment Design; Hospitals, Pediatric; Humans; Intensive Care Units; Length of Stay; Michigan; Patient Care Team",,,,,,,,"Koukourikos, K., Tsaloglidou, A., Kourkouta, L., Muscle atrophy in intensive care unit patients (2014) Acta Inform Med., 22 (6), pp. 406-410; Occupational therapy practice framework: Domain and process (3rd edition) (2017) Am J Occup Ther, 68, pp. S1-S51; (2018) Code of Ethics of the Physical Therapist, , http://www.apta.org/uploadedFiles/APTAorg/AboutUs/Policies/Ethics/CodeofEthics, APTA Web site. Updated October 22, 2013. Accessed March 13; Effgen, S., Kaminker, M., The educational environment (2017) Campbell's Physical Therapy for Children, pp. 723-750. , Palisano R, Orlin M, Schreiber J, eds. St Louis, MO. Elsevier; Kim, K., Kim, Y.M., Kim, E.K., Correlation between the activities of daily living of stroke patients in a community setting and their quality of life (2014) J Phys Ther Sci., 26 (3), pp. 417-419; Trombly, C.A., Radomski, M.V., Trexel, C., Burnet-Smith, S.E., Occupational therapy and achievement of selfidentified goals by adults with acquired brain injury: Phase II (2002) Am J Occup Ther., 56 (5), pp. 489-498; Mlinac, M.E., Feng, M.C., Assessment of activities of daily living, self-care, and independence (2016) Arch Clin Neuropsychol., 31 (6), pp. 506-516; Burtin, C., Clerckx, B., Robbeets, C., Early exercise in critically ill patients enhances short-term functional recovery (2009) Crit Care Med., 37 (9), pp. 2499-2505; McNaughton, D., Bryen, D., AAC technologies to enhance participation and access to meaningful societal roles for adolescents and adults with developmental disabilities who require AAC (2007) Augment Altern Commun., 23 (3), pp. 217-229; (2018) American Speech-Language-Hearing Association Web Site, , Scope of practice in speech-language pathology Updated 2016. Accessed March 13; Howe, T.H., Wang, T.N., Systematic review of interventions used in or relevant to occupational therapy for children with feeding difficulties ages birth-5 years (2013) Am J Occup Ther., 67 (4), pp. 405-412; (2018) National Institute of Biomedical Imaging and Bioengineering Web Site, , https://www.nibib.nih.gov/science-education/science-topics/rehabilitation-engineering, Rehabilitation Engineering. Updated November 2016. Accessed March 13; (2018) Association of Child Life Professionals Web Site, , http://www.childlife.org/docs/default-source/certification/code-of-professional-practiceapril-2017, Child Life Certifying Committee Code of Professional Practice. Updated April 2017. Accessed March 13; Whitehead-Pleaux, A.M., Zebrowski, N., Baryza, M.J., Sheridan, R.L., Exploring the effects of music therapy on pediatric pain: Phase 1 (2007) J Music Ther., 44 (3), pp. 217-241; Pin, T., Eldridge, B., Galea, M., A review of the effects of sleep position, play position, and equipment use on motor development in infants (2007) Dev Med Child Neurol., 49 (11), pp. 858-867; Mendez-Tellez, P., Needham, D., Early physical rehabilitation in the ICU and ventilator liberation (2012) Respir Care., 57 (10), pp. 1663-1669; Caraviello, K., Nemeth, L., Dumas, B., Using the beach chair position in ICU patients (2010) Crit Care Nurse., 30 (2), pp. 9-11; Rosen, L., The need to stand (2010) Rehab Manag., 23 (1), pp. 14-17; Paleg, G.S., Smith, B.A., Glickman, L.B., Systematic review and evidence-based clinical recommendations for dosing of pediatric supported standing programs (2013) Pediatr Phys Ther., 25 (3), pp. 232-247; Ding, D., Leister, E., Cooper, R.A., Usage of tilt-inspace, recline, and elevation seating functions in natural environment of wheelchair users (2008) J Rehabil Res Dev., 45 (7), pp. 973-983; Fife, S., Roxborough, L.A., Armstrong, R.W., Development of a clinical measure of postural control for assessment of adaptive seating in children with neuromotor disabilities (1991) Phys Ther., 71 (12), pp. 981-993; Mendez-Tellez, P., Nusr, R., Feldman, D., Needham, D., Early physical rehabilitation in the ICU: A review for the neurohospitalist (2012) Neurohospitalist., 2 (3), pp. 96-105; Devitt, M., AAP expands recommendations on SIDS and other sleep-related deaths (2012) Am Fam Physician., 85 (9), pp. 918-923; Avruskin, A., Physical therapist's guide to container baby syndrome (2018) Move Forward PT Website by APTA, , https://www.moveforwardpt.com/SymptomsConditionsDetail.aspx?cid=53d90264-1846-4b86-891f-0facc63db3e8#.VNOSUJ3F-So, Accessed March 7; (2018) Uses for the Boppy Pillow, , http://www.boppy.com/uses-for-the-boppy-pillow/, The Boppy Company, LLC The Boppy Company Web site. February 24, 2016. Accessed March 7; Callahan, C., Sisler, C., Use of seating devices in infants too young to sit (1997) Arch Pediatr Adolesc Med., 151, pp. 233-235; Abbott, A.L., Bartlett, D., Infant motor development and equipment use in the home (2001) Child Care Health Dev., 27, pp. 295-306; Choong, K., Hutchison, J.S., Menon, K., Acute rehabilitation practice in critically ill children: A multicenter study (2014) Pediatr Crit Care Med., 15, pp. e270-e279","Parchem, K.; Department of Physical Medicine and Rehabilitation, C.S. Mott Children's and von Voigtlander Women's Hospital, Michigan Medicine, 1540 E. Medical Center Dr, United States; email: kparchem@med.umich.edu",,,"Lippincott Williams and Wilkins",,,,,08879303,,CCNQE,"29851684","English","Crit. Care Nurs. Q.",Review,"Final",,Scopus,2-s2.0-85048006210 "Partanen A., Valtola J., Ropponen A., Vasala K., Penttilä K., Ågren L., Pyörälä M., Nousiainen T., Selander T., Mäntymaa P., Pelkonen J., Varmavuo V., Jantunen E.","56667283700;6507279116;6602279976;6505533178;6701733496;57195567225;6602424109;7004999920;55504425000;6602140769;7004067647;24167097300;7005969996;","Preemptive plerixafor injection added to pegfilgrastim after chemotherapy in non-Hodgkin lymphoma patients mobilizing poorly",2017,"Annals of Hematology","96","11",,"1897","1906",,3,"10.1007/s00277-017-3123-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028802524&doi=10.1007%2fs00277-017-3123-6&partnerID=40&md5=06047ebfed0c1e5a1539e79b17eb61e9","Department of Medicine, Kuopio University Hospital, P.O.B. 100, 70029 KYS, Kuopio, Finland; Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland; Department of Oncology, Central Hospital of Central Finland, Jyväskylä, Finland; Department of Medicine, Central Hospital of Savonlinna, Savonlinna, Finland; The Finnish Medicines Agency, Kuopio, Finland; Department of Medicine, North Karelia Central Hospital, Joensuu, Finland; Science Service Center, Kuopio University Hospital, Kuopio, Finland; Laboratory Center of Eastern Finland, Kuopio, Finland; Department of Medicine, Kymenlaakso Central Hospital, Kotka, Finland","Partanen, A., Department of Medicine, Kuopio University Hospital, P.O.B. 100, 70029 KYS, Kuopio, Finland; Valtola, J., Department of Medicine, Kuopio University Hospital, P.O.B. 100, 70029 KYS, Kuopio, Finland; Ropponen, A., Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland; Vasala, K., Department of Oncology, Central Hospital of Central Finland, Jyväskylä, Finland; Penttilä, K., Department of Medicine, Central Hospital of Savonlinna, Savonlinna, Finland, The Finnish Medicines Agency, Kuopio, Finland; Ågren, L., Department of Medicine, North Karelia Central Hospital, Joensuu, Finland; Pyörälä, M., Department of Medicine, Kuopio University Hospital, P.O.B. 100, 70029 KYS, Kuopio, Finland; Nousiainen, T., Department of Medicine, Kuopio University Hospital, P.O.B. 100, 70029 KYS, Kuopio, Finland; Selander, T., Science Service Center, Kuopio University Hospital, Kuopio, Finland; Mäntymaa, P., Laboratory Center of Eastern Finland, Kuopio, Finland; Pelkonen, J., Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland, Laboratory Center of Eastern Finland, Kuopio, Finland; Varmavuo, V., Department of Medicine, Kymenlaakso Central Hospital, Kotka, Finland; Jantunen, E., Department of Medicine, Kuopio University Hospital, P.O.B. 100, 70029 KYS, Kuopio, Finland","Filgrastim is usually combined with chemotherapy to mobilize hematopoietic progenitor cells in non-Hodgkin lymphoma (NHL) patients. Limited information is available on the efficacy of a preemptive plerixafor (PLER) injection in poor mobilizers after chemotherapy and pegfilgrastim. In this prospective study, 72 patients with NHL received chemotherapy plus pegfilgrastim, and 25 hard-to-mobilize patients received also PLER. The usefulness and efficacy of our previously developed algorithm for PLER use in pegfilgrastim-containing mobilization regimen were evaluated as well as the graft cellular composition, hematological recovery, and outcome after autologous stem cell transplantation (auto-SCT) according to the PLER use. A median 3.4-fold increase in blood CD34+ cell counts was achieved after the first PLER dose. The minimum collection target was achieved in the first mobilization attempt in 66/72 patients (92%) and 68 patients (94%) proceeded to auto-SCT. An algorithm for PLER use was fulfilled in 76% of the poor mobilizers. Absolute numbers of T-lymphocytes and NK cells were significantly higher in the PLER group, whereas the number of CD34+ cells collected was significantly lower. Early neutrophil engraftment was slower in the PLER group, otherwise hematological recovery was comparable within 12 months from auto-SCT. No difference was observed in survival according to the PLER use. Chemotherapy plus pegfilgrastim combined with preemptive PLER injection is an effective and convenient approach to minimize collection failures in NHL patients intended for auto-SCT. A significant effect of PLER on the graft cellular composition was observed, but no difference in outcome after auto-SCT was detected. © 2017, Springer-Verlag GmbH Germany.","CD34+ cell mobilization; Graft composition; Non-Hodgkin lymphoma; Outcome; Pegfilgrastim; Post-transplant recovery; Preemptive plerixafor","carboplatin; carmustine; CD34 antigen; cisplatin; cytarabine; dexamethasone; etoposide; filgrastim; ifosfamide; melphalan; pegfilgrastim; plerixafor; thiotepa; antineoplastic agent; carmustine; cytarabine; granulocyte colony stimulating factor; heterocyclic compound; melphalan; pegfilgrastim; plerixafor; podophyllotoxin; recombinant protein; adult; aged; algorithm; apheresis; Article; autologous stem cell transplantation; cancer combination chemotherapy; cancer recurrence; cancer survival; cell composition; cell count; controlled clinical trial; controlled study; dose response; drug activity; drug efficacy; drug megadose; engraftment; Enterococcus faecium; evening dosage; feasibility study; female; health status; hematology; hospitalization; human; human cell; Human respiratory syncytial virus; human tissue; leukocyte count; lymphoma; major clinical study; male; multiple cycle treatment; natural killer cell; neutrophil; neutrophil count; nonhodgkin lymphoma; pneumonia; postoperative care; primary central nervous system lymphoma; priority journal; respiratory failure; septicemia; T lymphocyte; thrombocyte transfusion; treatment outcome; blood; combination drug therapy; Lymphoma, Non-Hodgkin; middle aged; procedures; prospective study; stem cell mobilization; subcutaneous drug administration; trends; young adult; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Carmustine; Cytarabine; Drug Therapy, Combination; Female; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Heterocyclic Compounds; Humans; Injections, Subcutaneous; Lymphoma, Non-Hodgkin; Male; Melphalan; Middle Aged; Podophyllotoxin; Prospective Studies; Recombinant Proteins; Young Adult",,"carboplatin, 41575-94-4; carmustine, 154-93-8; cisplatin, 15663-27-1, 26035-31-4, 96081-74-2; cytarabine, 147-94-4, 69-74-9; dexamethasone, 50-02-2; etoposide, 33419-42-0, 433304-61-1; filgrastim, 121181-53-1; ifosfamide, 3778-73-2; melphalan, 148-82-3; pegfilgrastim, 208265-92-3; plerixafor, 110078-46-1, 155148-31-5; thiotepa, 52-24-4; podophyllotoxin, 518-28-5; Carmustine; Cytarabine; Granulocyte Colony-Stimulating Factor; Heterocyclic Compounds; JM 3100; Melphalan; pegfilgrastim; Podophyllotoxin; Recombinant Proteins",,,"Northern Savo Hospital District","Sources of support The GOA study is supported by VTR grant from the North Savo Hospital District.",,"Jantunen, E., Sureda, A., The evolving role of stem cell transplants in lymphomas (2012) Biol Blood Marrow Transplant, 18, pp. 660-673. , PID: 21963876; Passweg, J.R., Baldomero, H., Bader, P., Use of haploidentical stem cell transplantation continues to increase: the 2015 European Society of Blood and Marrow Transplant activity survey report (2017) Bone Marrow Transplant, 52 (6), pp. 811-817; Isidori, A., Tani, M., Bonifazi, F., Phase II study of a single pegfilgrastim injection as an adjunct to chemotherapy to mobilize stem cells into the peripheral blood of pretreated lymphoma patients (2005) Haematologica, 90, pp. 225-231. , COI: 1:CAS:528:DC%2BD2MXisVOlu7c%3D, PID: 15710576; Kroschinsky, F., Hölig, K., Platzbecker, U., Efficacy of single-dose pegfilgrastim after chemotherapy for the mobilization of autologous peripheral blood stem cells in patients with malignant lymphoma or multiple myeloma (2006) Transfusion, 46, pp. 1417-1423. , COI: 1:CAS:528:DC%2BD28XpsFejtLc%3D, PID: 16934080; Nosari, A., Cairoli, R., Ciapanna, D., Efficacy of single dose pegfilgrastim in enhancing the mobilization of CD34+ peripheral blood stem cells in aggressive lymphoma patients treated with cisplatin-aracytin-containing regimens (2006) Bone Marrow Transplant, 387, pp. 413-416; Kroschinsky, F., Hölig, K., Ehninger, G., The role of pegfilgrastim in mobilization of hematopoietic stem cells (2008) Transfus Apher Sci, 38, pp. 237-244. , PID: 18490197; Kobbe, G., Bruns, I., Fenk, R., Pegfilgrastim for PBSC mobilization and autologous haematopoietic SCT (2009) Bone Marrow Transplant, 43, pp. 669-677. , COI: 1:STN:280:DC%2BD1MzktFyqug%3D%3D, PID: 19308043; Simona, B., Cristina, R., Luca, N., A single dose of pegfilgrastim versus daily filgrastim to evaluate the mobilization and the engraftment of autologous peripheral hematopoietic progenitors in malignant lymphoma patients candidate for high-dose chemotherapy (2010) Transfus Apher Sci, 43, pp. 321-326. , PID: 21036667; Russell, N., Mesters, R., Schubert, J., A phase 2 pilot study of pegfilgrastim and filgrastim for mobilizing peripheral blood progenitor cells in patients with non-Hodgkin’s lymphoma receiving chemotherapy (2008) Haematologica, 93, pp. 405-412. , COI: 1:CAS:528:DC%2BD1cXhtl2gtbbI, PID: 18268285; Putkonen, M., Rauhala, A., Pelliniemi, T.T., Single dose pegfilgrastim is comparable to daily filgrastim in mobilizing peripheral blood stem cells: a case matched study in patients with lymphoproliferative malignancies (2009) Ann Hematol, 88, pp. 673-680. , PID: 19139894; Kim, M.G., Han, N., Lee, E.-K., Pegfilgrastim vs filgrastim in PBSC mobilization for autologous hematopoietic SCT: a systematic review and meta-analysis (2015) Bone Marrow Transplant, 50, pp. 523-530. , COI: 1:CAS:528:DC%2BC2MXls1artbs%3D, PID: 25581410; Kuan, J.W., At, S., Leong, C.F., Pegylated granulocyte-colony stimulating factor versus non-pegylated granulocyte-colony stimulating factor for peripheral blood stem cell mobilization: a systematic review and meta-analysis (2017) J Clin Apher, , https://doi.org/10.1002/jca.21550; Kuittinen, T., Nousiainen, T., Halonen, P., Prediction of mobilization failure in patients with non-Hodgkin’s lymphoma (2004) Bone Marrow Transplant, 33, pp. 907-912. , COI: 1:STN:280:DC%2BD2c3gtFyqsQ%3D%3D, PID: 15034543; Pusic, I., Jiang, S.Y., Landua, S., Impact of mobilization and remobilization strategies on achieving sufficient stem cell yields for autologous transplantation (2008) Biol Blood Marrow Transplant, 14, pp. 1045-1056. , COI: 1:CAS:528:DC%2BD1cXhtFemurjI, PID: 18721768; Wuchter, P., Ran, D., Bruckner, T., Poor mobilization of hematopoietic stem cells—definitions, incidence, risk factors, and impact on outcome of autologous transplantation (2010) Biol Blood Marrow Transplant, 16, pp. 490-499. , COI: 1:CAS:528:DC%2BC3cXksl2gurs%3D, PID: 19925876; Jantunen, E., Varmavuo, V., Juutilainen, A., Kinetics of blood CD34+ cells after chemotherapy plus G-CSF in poor mobilizers: implications for pre-emptive plerixafor use (2012) Ann Hematol, 91, pp. 1073-1079. , COI: 1:CAS:528:DC%2BC38Xot1ygurc%3D, PID: 22302373; Jantunen, E., Kuittinen, T., Mahlamäki, E., Efficacy of pre-emptively used plerixafor in patients mobilizing poorly after chemomobilization: a single centre experience (2011) Eur J Haematol, 86, pp. 299-304. , COI: 1:CAS:528:DC%2BC3MXls1Crt7w%3D, PID: 21198864; d’Addio, A., Curti, A., Worel, N., The addition of plerixafor is safe and allows adequate PBSC collection in multiple myeloma and lymphoma patients poor mobilizers after chemotherapy and G-CSF (2011) Bone Marrow Transplant, 46, pp. 356-363. , PID: 20577218; Jantunen, E., Lemoli, R.M., Preemptive use of plerixafor in difficult-to-mobilize patients: an emerging concept (2012) Transfusion, 52, pp. 906-914. , COI: 1:CAS:528:DC%2BC38Xot1yms7c%3D, PID: 21981351; Chabannon, C., Bijou, F., Miclea, J.-M., A nationwide survey of the use of plerixafor in patients with lymphoid malignancies who mobilize poorly demonstrates the predominant use of the ‘on-demand’ scheme of administration at French autologous hematopoietic stem cell transplant programs (2015) Transfusion, 55, pp. 2149-2157. , COI: 1:CAS:528:DC%2BC2MXhsFGit7fP, PID: 25968564; Worel, N., Fritsch, G., Agis, H., (2016) Plerixafor as preemptive strategy results in high success rates in autologous stem cell mobilization failure, , https://doi.org/10.1002/jca.21496, J Clin Apher; Milone, G., Martinoi, M., Spadaro, A., Plerixafor on-demand combined with chemotherapy and granulocyte colony-stimulating factor: significant improvement in peripheral blood stem cell mobilization and harvest with no increase in costs (2014) Br J Haematol, 164, pp. 113-123. , COI: 1:CAS:528:DC%2BC3sXhvVyjtrrP, PID: 24138497; Costa, L.J., Kramer, C., Hogan, K.R., Pegfilgrastim- versus filgrastim-based autologous hematopoietic stem cell mobilization in the setting of preemptive use of plerixafor: efficacy and cost analysis (2012) Transfusion, 52, pp. 2375-2381. , COI: 1:CAS:528:DC%2BC3sXhsFWkug%3D%3D, PID: 22404694; Herbert, K.E., Demosthenous, L., Wiesner, G., Plerixafor plus pegfilgrastim is a safe, effective mobilization regimen for poor or adequate mobilizers of hematopoietic stem and progenitor cells: a phase I clinical trial (2014) Bone Marrow Transplant, 49, pp. 1056-1062. , COI: 1:CAS:528:DC%2BC2cXptFyltbY%3D, PID: 24887382; Jantunen, E., Varmavuo, V., Valtola, J., Plerixafor injection: a hematopoietic stem cell mobilizer in non-Hodgkin lymphoma and multiple myeloma (2016) Expert Rev Hematol, 9, pp. 723-732. , COI: 1:CAS:528:DC%2BC28XhtFynt73P, PID: 27355397; Valtola, J., Varmavuo, V., Ropponen, A., Blood graft cellular composition and posttransplant recovery in non-Hodgkin’s lymphoma patients mobilized with or without plerixafor: a prospective comparison (2015) Transfusion, 55, pp. 2358-2368. , COI: 1:CAS:528:DC%2BC2MXhs12lsLzI, PID: 26018461; Gratama, J.W., Kraan, J., Keeney, M., Validation of the single-platform ISHAGE method for CD34(+) hematopoietic stem and progenitor cell enumeration in an international multicenter study (2003) Cytotherapy, 5, pp. 55-65. , COI: 1:STN:280:DC%2BD3s3itlyktA%3D%3D, PID: 12745591; Jantunen, E., Partanen, A., Valtola, J., Pre-emptive plerixafor injection in lymphoma patients mobilized with chemotherapy plus pegfilgrastim followed by apheresis on the same day (2017) J Clin Apher, , https://doi.org/10.1002/jca.21522; Li, J., Hamilton, E., Vaughn, L., Effectiveness and cost analysis of `just-in-time` salvage plerixafor administration in autologous transplant patients with poor stem cell mobilization kinetics (2011) Transfusion, 51, pp. 2175-2182. , PID: 21492180; Curran, M.P., Goa, K.L., Pegfilgrastim (2002) Drugs, 62, pp. 1207-1213. , COI: 1:CAS:528:DC%2BD38XkvFSgtL4%3D, PID: 12010086; Bruns, I., Steidl, U., Kronenwett, R., A single dose of 6 or 12 mg of pegfilgrastim for peripheral blood progenitor cell mobilization results in similar yields of CD34+ progenitors in patients with multiple myeloma (2006) Transfusion, 46, pp. 180-185. , COI: 1:CAS:528:DC%2BD28XhvVSqt78%3D, PID: 16441592; Herbert, K.E., Gambell, P., Link, E.K., Pegfilgrastim compared with filgrastim for cytokine-alone mobilization of autologous haaematopoietic stem cell progenitor cells (2013) Bone Marrow Transplant, 48, pp. 351-356. , COI: 1:CAS:528:DC%2BC3sXjslWnsrg%3D, PID: 22858510; Kuan, J.W., At, S., Wong, S.P., A randomized double blind control trial comparing filgrastim and pegfilgrastim in cyclophosphamide peripheral blood hematopoietic stem cell mobilization (2015) Transfus Apher Sci, 53, pp. 196-204. , PID: 25910537; De Clercq, E., The AMD3100 story: the path to the discovery of a stem cell mobilizer (Mozobil) (2009) Biochem Pharmacol, 77, pp. 1655-1664. , PID: 19161986; Fricker, S.P., Anastassov, V., Cox, J., Characterization of the molecular pharmacology of AMD3100: a specific antagonist of the G-protein coupled chemokine receptor, CXCR4 (2006) Biochem Pharmacol, 72, pp. 588-596. , COI: 1:CAS:528:DC%2BD28Xot1ahsLs%3D, PID: 16815309; Attolico, I., Pavone, V., Ostuni, A., Plerixafor added to chemotherapy plus G-CSF is safe and allows adequate PBSC collection in predicted poor mobilizer patients with multiple myeloma or lymphoma (2012) Biol Blood Marrow Transplant, 18, pp. 241-249. , COI: 1:CAS:528:DC%2BC38XnvF2lsw%3D%3D, PID: 21791194; Duarte, R.F., Shaw, B.E., Marin, P., Plerixafor plus granulocyte CSF can mobilize hematopoietic stem cells from multiple myeloma and lymphoma patients failing previous mobilization attempts: EU compassionate use data (2011) Bone Marrow Transplant, 46, pp. 52-58. , COI: 1:STN:280:DC%2BC3M7gsVantw%3D%3D, PID: 20305700; Keating, G.M., Plerixafor: a review of its use in stem-cell mobilization in patients with lymphoma or multiple myeloma (2011) Drugs, 71, pp. 1623-1647. , COI: 1:CAS:528:DC%2BC3MXhsVKhu73J, PID: 21861545; Lanza, F., Lemoli, R.M., Olivieri, A., Factors affecting successful mobilization with plerixafor: an Italian prospective survey in 215 patients with multiple myeloma and lymphoma (2014) Transfusion, 54, pp. 331-339. , COI: 1:CAS:528:DC%2BC2cXisFKlsbs%3D, PID: 23781769; Hubel, K., Fresen, M.M., Apperley, J.F., European data on stem cell mobilization with plerixafor in non-Hodgkin’s lymphoma, Hodgkin’s lymphoma and multiple myeloma patients. A subgroup analysis of the European Consortium of stem cell mobilization (2012) Bone Marrow Transplant, 47, pp. 1046-1050. , COI: 1:STN:280:DC%2BC38znsVGqsQ%3D%3D, PID: 22080971; Russell, N., Douglas, K., Ho, A.D., Plerixafor and granulocyte colony-stimulating factor for first-line steady-state autologous peripheral blood stem cell mobilization in lymphoma and multiple myeloma: results of the prospective PREDICT trial (2013) Haematologica, 98, pp. 172-178. , COI: 1:CAS:528:DC%2BC3sXhsFalurvJ, PID: 22983579; Varmavuo, V., Rimpiläinen, J., Kuitunen, H., Engraftment and outcome after autologous stem cell transplantation in plerixafor-mobilized non-Hodgkin’s lymphoma patients (2014) Transfusion, 54, pp. 1243-1250. , COI: 1:CAS:528:DC%2BC2cXotVKgtLw%3D, PID: 24118008; Jantunen, E., Fruehauf, S., Importance of blood graft characteristics in auto-SCT: implications for optimizing mobilization regimens (2011) Bone Marrow Transplant, 46, pp. 627-635. , COI: 1:CAS:528:DC%2BC3MXlvFGnur0%3D, PID: 21217789; Saraceni, F., Shem-Tov, N., Olivieri, A., Mobilized peripheral blood grafts include more than hematopoietic stem cells: the immunological perspective (2015) Bone Marrow Transplant, 50, pp. 886-891. , COI: 1:CAS:528:DC%2BC2MXhsVSjsrjF, PID: 25665044; Worel, N., Frank, N., Frech, C., Influence of plerixafor on the mobilization of CD34+ cell subpopulations and lymphocyte subtypes (2017) Transfusion, , https://doi.org/10.1111/trf.14182; Varmavuo, V., Mäntymaa, P., Nousiainen, T., Blood graft composition after plerixafor injection in patients with NHL (2012) Eur J Haematol, 89, pp. 128-135. , COI: 1:CAS:528:DC%2BC38Xhtl2ltLjO, PID: 22536949; Porrata, L.F., Gastineau, D.A., Padley, D., Re-infused autologous graft natural killer cells correlates with absolute lymphocyte count recovery after autologous stem cell transplantation (2003) Leukemia & Lymphoma, 44, pp. 997-1000. , COI: 1:CAS:528:DC%2BD3sXit1yqtr0%3D; Porrata, L.F., (2016) Autologous graft-versus-tumor effect: reality or fiction?, , https://doi.org/10.1155/2016/5385972, Adv, Hematol; Porrata, L.F., Gertz, M.A., Inwards, D.J., Early lymphocyte recovery predicts superior survival after autologous hematopoietic stem cell transplantation in multiple myeloma or non-Hodgkin lymphoma (2001) Blood, 98, pp. 579-585. , COI: 1:CAS:528:DC%2BD3MXlsFKrtLs%3D, PID: 11468153; Kim, Y., Kim, S.J., Cheong, J.W., Clinical impact of early recovery of peripheral blood absolute lymphocyte count after frontline autologous stem cell transplantation for diffuse large B-cell lymphoma (2016) Hematol Oncol, , https://doi.org/10.1002/hon.2332; Valtola, J., Varmavuo, V., Ropponen, A., Early immune recovery after autologous transplantation in non-Hodgkin lymphoma patients: predictive factors and clinical significance (2016) Leuk Lymphoma, 57, pp. 2025-2032. , COI: 1:CAS:528:DC%2BC28XhtlShsrg%3D, PID: 26763346; Alexander, E.T., Towery, J.A., Miller, A.N., Beyond CD34+ cell dose: impact of method of peripheral blood hematopoietic stem cell mobilization (granulocyte-colony-stimulating factor (G-CSF), G-CSF plus plerixafor, or cyclophosphamide G-CSF/granulocyte-macrophage (GM)-CSF) on number of colony-forming unit-GM, engraftment, and day+100 hematopoietic graft function (2011) Transfusion, 51, pp. 1995-2000; Fruehauf, S., Ehninger, G., Hubel, K., Mobilization of peripheral blood stem cells for autologous transplant in non-Hodgkin’s lymphoma and multiple myeloma patients by plerixafor and G-CSF and detection of tumor cell mobilization by PCR in multiple myeloma patients (2010) Bone Marrow Transplant, 45, pp. 269-275. , COI: 1:CAS:528:DC%2BC3cXhsleksr8%3D, PID: 19597422; DiPersio, J.F., Ho, A.D., Hanrahan, J., Relevance and clinical implications of tumor cell mobilization in the autologous transplant setting (2011) Biol Blood Marrow Transplant, 17, pp. 943-955. , PID: 20971201","Partanen, A.; Department of Medicine, Kuopio University Hospital, P.O.B. 100, 70029 KYS, Finland; email: anu.partanen@kuh.fi",,,"Springer Verlag",,,,,09395555,,ANHEE,"28879595","English","Ann. Hematol.",Article,"Final",,Scopus,2-s2.0-85028802524 "Knoll E.-M.","55051038900;","Archipelagic genes: Medical travel as a creative response to limitations and remoteness in the Maldives",2017,"Asia Pacific Viewpoint","58","2",,"148","161",,3,"10.1111/apv.12157","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021406710&doi=10.1111%2fapv.12157&partnerID=40&md5=64389bc22a01484250d4bb5ab0cfef79","Austrian Academy of Sciences, Institute for Social AnthropologyVienna, Austria, China","Knoll, E.-M., Austrian Academy of Sciences, Institute for Social AnthropologyVienna, Austria, China","Medical travel has become a self-evident and intrinsic part of the medical landscape in the Republic of Maldives. This article raises the question of how exactly this has emerged as part of today's reality. The analysis describes the unfolding of a pronounced Maldivian medical travel culture by focusing on a particularly pressing health issue. The population of the Maldives has to face the world's highest prevalence of beta-thalassaemia, a genetic disorder affecting the body's ability to create red blood cells. The country's 300:1 sea to land ratio, however, with its small population of 340 000 scattered over 200 islands is a challenging context for the curative and preventive measures in thalassaemia governance. The article follows the trail of thalassaemia-related intra-archipelagic and extra-archipelagic medical travel of patients and clients requesting a blood transfusion, iron monitoring, bone marrow transplantation and prenatal diagnostic services. It discusses medical travel organised as a biosocial group activity, financed by insurance and religious bodies while interacting with the migration of health professionals. © 2017 Victoria University of Wellington and John Wiley & Sons Australia, Ltd","archipelago; biosociality; Maldives; medical travel culture; remoteness; thalassaemia","archipelago; cultural relations; health services; medical tourism; travel behavior; Maldives",,,,,,,,"Aboobakuru, M., Transport services in the Maldives – an unmet need for health service delivery (2014) Transport and Communications Bulletin for Asia and the Pacific, 84, pp. 15-27; Angastiniotis, M., (2014) The Maldives WHO Mission August 2014. Report, , Nicosia, Thalassaemia International Federation; Bell, H.C.P., (1882) The Máldive Islands: An Account of the Physical Features, Climate, History, Inhabitants, Productions, and Trade, , Colombo, Frank Luker; Bila, J., (2014) Transfusion: a patient survival guide, , Self-published; Brekke, A.O., Sirnes, T., Biosociality, biocitizenship and the new regime of hope and despair: interpreting “Portraits of Hope” and the “Mehmet Case (2011) Gender and Society, 30 (4), pp. 347-374; Chanda, R., Medical tourism and outward FDI in health services: India in South Asia (2015) Handbook on Medical Tourism and Patient Mobility, , in, N. Lunt, D. Horsfall, J. Hanefeld, (eds.),, Cheltenham and Northampton, MA, Edward Elgar Publishing; Chatjouli, A., Thalassaemic lives as stories of becoming: mediated biologies and genetic (un)certainties (2013) Biosocial Becomings: Integrating Social and Biological Anthropology, , in, T. Ingold, G. Palsson, (eds.),, Cambridge, Cambridge University Press; Connell, J., Niue: embracing a culture of migration (2008) Journal of Ethnic and Migration Studies, 34 (6), pp. 1021-1040; Eleftheriou, A., (2007) About Thalassaemia, , Nicosia, Thalassaemia International Federation; Eleftheriou, A., (2005) Compliance to Iron Chelation Therapy with Desferrioxamine, , [2000], Nicosia, Thalassaemia International Federation; Firdous, N., Prevention of thalassaemia and haemoglobinopathies in remote and isolated communities – the Maldives experience (2005) Annals of Human Biology, 32 (2), pp. 131-137; Firdous, N., Gibbons, S., Modell, B., Falling prevalence of beta-thalassaemia and eradication of Malaria in the Maldives (2011) Journal of Community Genetics, 2, pp. 173-189; Fullwiley, D., (2011) The Enculturated Gene. Sickle Cell Health Politics and Biological Difference in West Africa, , Princeton and Oxford, Princeton University Press; Furuumi, H., Molecular basis of β-thalassemia in the Maldives (1998) Hemoglobin, 22 (2), pp. 141-151; Gibbon, S., Novas, C., (2008) Biosocialities, Genetics and the Social Sciences, , (eds.) (, London, Routledge; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Knoll, E.M., Holiday Doc as a variant of the medical-tourist gaze: health-related mobilities on a Maldivian resort island [in German] HolidayDoc als Variante des medizin-touristischen Blicks: Gesundheitsbezogene Mobilitäten auf einer maledivischen Resortinsel (2014) Voyage – Mobilitäten!, , in, J. Rolshoven, (eds.),, Berlin, Metropol; Knoll, E.M., Considering the island capital Male' as a hub for health-related mobilities Connectivity in Motion: Island Hubs in the Indian Ocean World, , (forthcoming), in, B. Schnepel, E.A. Alpers, (eds.),, New York, Palgrave Macmillan; Knoll, E.M., Blood and other precious resources: vulnerability and social cohesion in the Maldives Small Countries: Structures and Sensibilities, , (in press), in, U. Hannerz, A. Gingrich, (eds.),, Pennsylvania, University of Pennsylvania Press; (2014) Medical value travel in India, , https://www.kpmg.com/IN/en/IssuesAndInsights/ArticlesPublications/Documents/KPMG-FICCI-Heal-Sep2014.pdf, Retrieved 4 August 2015, from website; Lunt, N., Horsfall, D., Hanefeld, J., (2015) Handbook on Medical Tourism and Patient Mobility, , (eds.) (, Cheltenham and Northampton, MA, Edward Elgar Publishing; Maloney, C., (1980) People of the Maldive Islands, , New Delhi, Orient Longman; Maniku, A.I., The tiger's operation (2011) Dhivehi Greedu 1. 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Mohamed, (ed.),, Male', National Centre for Linguistic and Historical Research; (2014) Maldives Health Profile, , http://www.health.gov.mv/publications/13_1395305886_Maldives_Health_Profile_2014_final_final.pdf, Retrieved 10 April 2015, from website; (2008) Official Atlas of the Maldives, , Male', Republic of Maldives; (2015) Statistical Yearbook of Maldives 2014, , http://planning.gov.mv/yearbook2014/yearbook/Population/3.1.pdf, Preliminary data. Ministry of Finance and Treasury. Retrieved 28 October 2015, from website; (2015) Maldives – population and housing census 2014, , http://statisticsmaldives.gov.mv/nbs/wp-content/uploads/2015/12/Statistical-Release-II-Migration-new2.pdf, Statistical Release II Migration. Ministry of Finance and Treasury. Retrieved 28 October 2015, from website; (2015), http://planning.gov.mv/nbs/wp-content/uploads/2015/10/Statistical-Pocketbook-of-Maldives2015.pdf, Statistical Pocketbook of Maldives 2015. Ministry of Finance and Treasury. Retrieved 9 February 2016, from website; Novas, C., Rose, N., Genetic risk and the birth of the somatic individual (2000) Economy and Society, 29 (4), pp. 485-513; (2003) Management Protocol of Thalassaemia, , Male'; Pálsson, G., (2007) Anthropology and the New Genetics, , Cambridge, Cambridge University Press; Pijpe, J., Indian Ocean crossroads: human genetic origin and population structure in the Maldives (2013) American Journal of Physical Anthropology, 151, pp. 58-67; Porter, J., Viprakasit, V., Iron overload and chelation (2014) Guidelines for the Management of Transfusion Dependent Thalassaemia (TDT), , in, M.D. Cappellini, (eds.),, 3rd, edn., Nicosia, TIF Publication 20; Rabinow, P., Artificiality and enlightenment: from sociobiology to biosociality (1996) Essays on the Anthropology of Reason, , in, P. Rabinow, (ed.),, Princeton, NJ, Princeton University Press; Romero-Frias, X., (2012) Folk Tales of the Maldives, , Copenhagen, NIAS – Nordic Institute of Asian Studies Press; Scheyvens, R., The challenge of sustainable tourism development in the Maldives: understanding the social and political dimensions of sustainability (2011) Asia Pacific Viewpoint, 52 (2), pp. 148-164; Shakeela, M., Progress on MDGs in Maldives. Commonwealth Health Online, , http://www.commonwealthhealth.org/asia/maldives/, Maldives. Retrieved 10 February 2015, from website; Sobo, E.J., Culture and medical travel (2015) Handbook on Medical Tourism and Patient Mobility, , in, N. Lunt, D. Horsfall, J. Hanefeld, (eds.),, Cheltenham and Northampton, MA, Edward Elgar Publishing; Suzana, M., Mills, A., Tangcharoensathien, V., Chongsuvivatwong, V., The economic burden of overseas medical treatment: a cross sectional study of Maldivian medical travellers (2015) BMC Health Services Research, 15 (418), pp. 1-12; Weatherall, D., Clegg, J.B., Inherited haemoglobin disorders: an increasing global health problem (2001) Bulletin of the World Health Organization, 79 (8), pp. 704-712; Whittaker, A., The implications of medical travel upon equity in lower- and middle-income countries (2015) Handbook on Medical Tourism and Patient Mobility, , in, N. Lunt, D. Horsfall, J. Hanefeld, (eds.),, Cheltenham and Northampton, MA, Edward Elgar Publishing; Wood, J.C., Impact of iron assessment by MRI (2011) American Society of Hematology: Education Program, 1, pp. 443-450","Knoll, E.-M.; Austrian Academy of Sciences, Institute for Social AnthropologyChina; email: eva-maria.knoll@oeaw.ac.at",,,"Blackwell Publishing Ltd",,,,,13607456,,,,"English","Asia Pac. Viewp.",Article,"Final",,Scopus,2-s2.0-85021406710 "Khan M.J., Chelliah S., Haron M.S., Ahmed S.","57188853382;36674575500;56036721400;57193866490;","Role of travel motivations, perceived risks and travel constraints on destination image and visit intention in medical tourism: Theoretical model",2017,"Sultan Qaboos University Medical Journal","17","1",,"e11","e17",,3,"10.18295/squmj.2016.17.01.003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026451676&doi=10.18295%2fsqumj.2016.17.01.003&partnerID=40&md5=0e523c2002d0f20dcf8984cd5c71b173","International Business Section, School of Management, Universiti Sains MalaysiaPenang, Malaysia; Departments of Marketing, School of Management, Universiti Sains MalaysiaPenang, Malaysia; Organizational Behaviour, School of Management, Universiti Sains MalaysiaPenang, Malaysia","Khan, M.J., International Business Section, School of Management, Universiti Sains MalaysiaPenang, Malaysia; Chelliah, S., International Business Section, School of Management, Universiti Sains MalaysiaPenang, Malaysia; Haron, M.S., Departments of Marketing, School of Management, Universiti Sains MalaysiaPenang, Malaysia; Ahmed, S., Organizational Behaviour, School of Management, Universiti Sains MalaysiaPenang, Malaysia","Travel motivations, perceived risks and travel constraints, along with the attributes and characteristics of medical tourism destinations, are important issues in medical tourism. Although the importance of these factors is already known, a comprehensive theoretical model of the decision-making process of medical tourists has yet to be established, analysing the intricate relationships between the different variables involved. This article examines a large body of literature on both medical and conventional tourism in order to propose a comprehensive theoretical framework of medical tourism decision-making. Many facets of this complex phenomenon require further empirical investigation. © 2017, Sultan Qaboos University. All rights reserved.","Intentions; Medical Tourism; Motivation; Risks; Theoretical Model; Travel; Trends","behavior; decision making; economics; human; medical tourism; motivation; psychology; risk; role playing; surgery; theoretical model; travel; Decision Making; Humans; Intention; Medical Tourism; Models, Theoretical; Motivation; Risk; Role; Surgical Procedures, Operative; Travel",,,,,,,,"Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar, K., Efficiency measurement amongst medical tourism service providers in India (2013) Int J Responsible Tour, 1, pp. 24-31; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour Manag, 34, pp. 1-13; Wongkit, M., McKercher, B., Desired attributes of medical treatment and medical service providers: A case study of medical tourism in Thailand (2016) J Travel Tour Mark, 33, pp. 14-27; Medical Tourism Statistics and Facts, , www.patientsbeyondborders.com/medical-tourism-statistics-facts; Medical Tourism: A Global Analysis, , www.atlas-webshop.org/Medical-tourism-a-global-analysis; Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tour Manag, 52, pp. 539-556; Flanigan, B.E., Medical Tourism: Consumers in Search of Value, , http://medicaltourisminturkey.org/panel/Panel1/3Deloitte.pdf; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in Southern Africa (2015) Soc Sci Med, 124, pp. 313-320; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on South-South intraregional medical travel (2017) Curr Issues Tour, 20, pp. 94-110; Noree, T., Hanefeld, J., Smith, R., Medical tourism in Thailand: A cross-sectional study (2016) Bull World Health Organ, 94, pp. 30-36; Mwijuke, G., Rising Medical Bills Sending East African Patients Abroad, , www.theeastafrican.co.ke/news/Rising-medicalbills-sending-East-African-patients-abroad/-/2558/2723450/-/139ke5gz/-/index.html; Gross, D.L., Medical Tourism: India, Thailand, and Singapore, , www.calhospital.org/sites/main/files/file-attachments/walter-sullivan-award-dan-gross-7-12.pdf; Oh, K.M., Jun, J., Zhou, Q., Kreps, G., Korean American women’s perceptions about physical examinations and cancer screening services offered in Korea: The influences of medical tourism on Korean Americans (2014) J Community Health, 39, pp. 221-229; Viladrich, A., Baron-Faust R. 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Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72, pp. 726-732; Khan, M.J., Chelliah, S., Haron, M.S., Medical tourism destination image formation process: A conceptual model (2016) Int J Healthc Manag, 9, pp. 134-143; www2.deloitte.com/content/dam/Deloitte/ca/Documents/life-sciences-health-care/ca-en-health-care-lifesciences-evolving-medical-tourism-exploring-a-new-frontier.pdf, Evolving medical tourism in Canada: Exploring a new frontier; Rerkrujipimol, J., Assenov, I., Marketing strategies for promoting medical tourism in Thailand (2011) J Tour Hosp Culinary Arts, 3, pp. 95-105; Al-Hinai, S.S., Al-Busaidi, A.S., Al-Busaidi, I.H., Medical tourism abroad: A new challenge to Oman’s health system-Al Dakhilya region experience (2011) Sultan Qaboos Univ Med J, 11, pp. 477-484; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tour Manag, 33, pp. 80-88; Nadeau, J., Heslop, L., O’Reilly, N., Luk, P., Destination in a country image context (2008) Ann Tour Res, 35, pp. 84-106; Wish, M., Individual differences in perceptions and preferences among nations (1971) Attitude Research Reaches New Heights, pp. 312-328. , King CW, Tigert D, Eds, Chicago, Illinois, USA: American Marketing Association; Lefkoff-Hagius, R., Mason, C.H., Characteristic, beneficial, and image attributes in consumer judgments of similarity and preference (1993) J Consum Res, 20, pp. 100-110; Sheth, J.N., Newman, B.I., Gross, B.L., Why we buy what we buy: A theory of consumption values (1991) J Bus Res, 22, pp. 159-170; Tapachai, N., Waryszak, R., An examination of the role of beneficial image in tourist destination selection (2000) J Travel Res, 39, pp. 37-44; Park, S.H., Hsieh, C.M., Lee, C.K., Examining Chinese college students’ intention to travel to Japan using the extended theory of planned behavior: Testing destination image and the mediating role of travel constraints (2017) J Travel Tour Mark, 34, pp. 113-131; Wu, K., Raab, C., Chang, W., Krishen, A., Understanding Chinese tourists’ food consumption in the United States (2016) J Bus Res, 69, pp. 4706-4713; Baloglu, S., The relationship between destination images and sociodemographic and trip characteristics of international travellers (1997) J Vacation Mark, 3, pp. 221-233; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: A structural model (2005) Tour Manag, 26, pp. 45-56; Park, D.B., Yoon, Y.S., Segmentation by motivation in rural tourism: A Korean case study (2009) Tour Manag, 30, pp. 99-108; Lo, A.S., Lee, C.Y., Motivations and perceived value of volunteer tourists from Hong Kong (2011) Tour Manag, 32, pp. 326-334; Floyd, M.F., Gibson, H., Pennington-Gray, L., Thapa, B., The effect of risk perceptions on intentions to travel in the aftermath of September 11 (2001) J Travel Tour Mark 2004, 15, pp. 19-38; Wong, J.Y., Yeh, C., Tourist hesitation in destination decision making (2009) Ann Tourism Res, 36, pp. 6-23; Simpson, P., Cruz-Milán, O., Gressel, J., Perceived crime and violence: Effects on winter migrants (2013) J Travel Res, 53, pp. 597-609; Huang, S., Hsu, C.H., Effects of travel motivation, past experience, perceived constraint, and attitude on revisit intention (2009) J Travel Res, 48, pp. 29-44; Lee, M., Han, H., Lockyer, T., Medical tourism: Attracting Japanese tourists for medical tourism experience (2012) J Travel Tour Mark, 29, pp. 69-86; Li, M., Cai, L.A., Lehto, X.Y., Huang, J.A., Missing link in understanding revisit intention: The role of motivation and image (2010) J Travel Tour Mark, 27, pp. 335-348; Hudson, S., Consumer behavior related to tourism (1999) Consumer Behavior in Travel and Tourism, pp. 7-32. , Pizam A, Mansfeld Y, Eds., 1st ed. Oxford, UK: Routledge; Chen, C.F., Tsai, D.C., How destination image and evaluative factors affect behavioral intentions? (2007) Tour Manag, 28, pp. 1115-1122; Chi, C.G., Qu, H., Examining the structural relationships of destination image, tourist satisfaction and destination loyalty: An integrated approach (2008) Tour Manag, 29, pp. 624-636; Assaker, G., Vinzi, V.E., O’Connor, P., Examining the effect of novelty seeking, satisfaction, and destination image on tourists’ return pattern: A two factor, non-linear latent growth model (2011) Tour Manag, 32, pp. 890-901","Khan, M.J.; International Business Section, School of Management, Universiti Sains MalaysiaMalaysia; email: jamal.phd.usm@gmail.com",,,"Sultan Qaboos University",,,,,2075051X,,,"28417022","English","Sultan Qaboos Univ. Med. J.",Review,"Final",Open Access,Scopus,2-s2.0-85026451676 "DeMicco F.J.","6506110255;","Preface: An introduction to hospitality bridging healthcare (H2H) and medical tourism and wellness",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"xxv","xxxix",,3,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058610490&doi=10.1201%2f9781315365671&partnerID=40&md5=c2a0ac71d534d670e86771b57c1ea887","Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","Medical tourism is one of the hottest niche markets in the hospitality and travel industries today. The preplanning of the medical journey leading up to the arrival at the medical/health/wellness destination begins a cascade of multiple H2H services to create an entire satisfying experience for the patient/guest which can lead to loyalty if performance in the entirety of the process is at the highest level. Hospitality and Healthcare services working in harmony and cadence will play a critical role for success. © 2017 by Apple Academic Press, Inc.",,,,,,,,,,,"DeMicco, F.J.; Department of Hospitality Business Management, Lerner College of Business and Economics, University of DelawareUnited States; email: FDeMicco@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Editorial,"Final",,Scopus,2-s2.0-85058610490 "Kim M., Koo D.-W., Shin D.-J., Lee S.-M.","56153457000;57196375398;57206884045;57192984038;","From servicescape to loyalty in the medical tourism industry: A medical clinic’s service perspective",2017,"Inquiry (United States)","54",,,"","",,3,"10.1177/0046958017746546","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038255046&doi=10.1177%2f0046958017746546&partnerID=40&md5=6bef2c4c2fc5324c327254334e4b925a","University of Florida, Gainesville, United States; Kangwon Tourism College, Taebaek, South Korea; Sejong University, Seoul, South Korea","Kim, M., University of Florida, Gainesville, United States; Koo, D.-W., Kangwon Tourism College, Taebaek, South Korea; Shin, D.-J., Sejong University, Seoul, South Korea; Lee, S.-M., Sejong University, Seoul, South Korea","Medical tourism organizations have increasingly recognized that loyalty makes a medical clinic a marketing success. To increase understanding of the importance of medical clinics, this study examined the roles of servicescapes, emotions, and satisfaction in the development of customer loyalty toward medical clinics and destination. Data were collected among international medical tourists visiting Korea. Results identified that dimensions of medical clinics’ servicescape (ie, medical clinic environment, medical treatment, staff, and doctor) influenced emotions and satisfaction among international medical tourists. Also, positive emotions and the 2 dimensions of satisfaction with a medical clinic and doctor mediate the influence of medical clinics’ servicescapes on 2 types of loyalty (the medical clinic and Korea for medical care). Overall, these findings indicate that the interrelationship of servicescapes, positive emotion, and satisfaction is essential in influencing international medical tourists’ loyalty to a medical clinic. © The Author(s) 2017.","Emotion; International medical tourist; Loyalty; Marketing; Medical clinic; Medical tourism; Republic of Korea; Servicescapes; Structural equation modeling","adult; demography; emotion; factor analysis; female; health care quality; human; male; medical tourism; middle aged; patient satisfaction; professional-patient relationship; South Korea; Adult; Demography; Emotions; Factor Analysis, Statistical; Female; Humans; Male; Medical Tourism; Middle Aged; Patient Satisfaction; Professional-Patient Relations; Quality of Health Care; Republic of Korea",,,,,,,,"Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tourism Manage, 46, pp. 20-29; (2013) Thailand Healthcare; Your Medical Options in the ""Land of Smiles, , http://www.travelersdigest.com/5237-thailand-healthcare-your-medical-options-in-the-land-of-smiles/, Published August 3, Accessed September 21, 2016; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13; (2016) 2015 MTA Survey Report, , https://medicaltourismassociation.com/en/prod33_2015-Medical-Tourism-Survey.html, Date unknown, Accessed September 20; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) The Mckinsey Quart, pp. 1-11. , May; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Manage, 33, pp. 80-88; Suess, C., Mody, M., Hospitality healthscapes: A conjoint analysis approach to understanding patient responses to hotel-like hospital rooms (2017) Int J Hosp Manag, 61, pp. 59-72; Robert, D., John, R., Store atmosphere: An environmental psychology approach (1982) J Retailing, 58 (1), pp. 34-57; Booms, B.H., Bitner, M.J., Marketing strategies and organization structures for service firms (1981) Marketing of Services. 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New York, NY: McGraw-Hill; Anderson, J.C., Gerbing, D.W., Assumptions and comparative strengths of the two-step approach: Comment on Fornell and Yi (1992) Sociol Method Res, 20 (3), pp. 321-333; Lee, Y.K., Kim, S., Kim, S.Y., The impact of internal branding on employee engagement and outcome variables in the hotel industry (2014) Asia Pac J Tour Res, 19 (12), pp. 1359-1380; Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., Tatham, R.L., (2006) Multivariate Data Analysis, , Englewood Cliffs, NJ: Prentice Hall; Fornell, C., Larcker, D.F., Structural equation models with unob-servable variables and measurement error: Algebra and statistics (1981) J Marketing Res, 18 (3), pp. 382-388; Suri, R., Monroe, K.B., The effects of time constraints on con-sumers’ judgments of prices and products (2003) J Consum Res, 30, pp. 92-104; Bagozzi, R.P., Heatherton, T.F., A general approach to representing multifaceted personality constructs: Application to state self-esteem (1994) Struct Equ Modeling, 1 (1), pp. 35-67; Preacher, K.J., Hayes, A.F., Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models (2008) Behav Res Methods, 40 (3), pp. 879-891; Tofighi, D., Mackinnon, D.P., Monte Carlo confidence intervals for complex functions of indirect effects (2016) Struct Equ Modeling, 23 (2), pp. 194-205; Moghimehfar, F., Nasr-Esfahani, M.H., Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments (2011) Tourism Manage, 32 (6), pp. 1431-1434; Kim, S.M., Um, K.H., The effects of ambivalence on behavioral intention in medical tourism (2016) Asia Pac J Tour Res, 21 (9), pp. 1020-1045","Kim, M.; Department of Tourism, Recreation & Sport Management, College of Health and Human Performance, University of FloridaUnited States; email: minseong@ufl.edu",,,"SAGE Publications Inc.",,,,,00469580,,INQYA,"29233057","English","Inquiry",Article,"Final",Open Access,Scopus,2-s2.0-85038255046 "Hudson S., Thal K., Cárdenas D., Meng F.","7201374084;55613825600;16244266700;44661559900;","Wellness tourism: stress alleviation or indulging healthful habits?",2017,"International Journal of Culture, Tourism, and Hospitality Research","11","1",,"35","52",,3,"10.1108/IJCTHR-09-2015-0111","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017296436&doi=10.1108%2fIJCTHR-09-2015-0111&partnerID=40&md5=ba31f4356e1cf9a88c4fd5279767df42","College of Hospitality, Retail and Sport Management, University of South Carolina, Columbia, SC, United States; Department of Management and Marketing, Fort Hays State University, Hays, KS, United States; David Cárdenas and Fang Meng are both based at the College of Hospitality, Retail and Sport Management, University of South Carolina, Columbia, SC, United States","Hudson, S., College of Hospitality, Retail and Sport Management, University of South Carolina, Columbia, SC, United States; Thal, K., Department of Management and Marketing, Fort Hays State University, Hays, KS, United States; Cárdenas, D., David Cárdenas and Fang Meng are both based at the College of Hospitality, Retail and Sport Management, University of South Carolina, Columbia, SC, United States; Meng, F., David Cárdenas and Fang Meng are both based at the College of Hospitality, Retail and Sport Management, University of South Carolina, Columbia, SC, United States","Purpose: This study aims to examine the direct relationships between behavioral intention and factors driving the growth of the wellness tourism industry in the USA. Relationships were hypothesized based on alternative explanations for the rise in popularity of wellness tourism in research streams. Design/methodology/approach: Two models were estimated and tested using the theory of planned behavior (TPB), each incorporating two constructs – Life stress and involvement in health – in addition to theoretically stipulated precursors to Behavioral Intention. Findings: Both constructs were found to be significant predictors of behavioral intention. However, involvement proved a much stronger predictor than life stress. Implications for the management and marketing of this subsector are discussed in the paper. Originality/value: This study extends the understanding of travelers’ behavioral intentions in the context of wellness tourism by using an extended TPB, with life stress and involvement in health and wellness considered. The study compares general travelers with current/potential wellness travelers (excluding those whose sole purpose was wellness) and the factors that influence their travel behavior. © 2017, © Emerald Publishing Limited.","Theory of planned behavior; Wellness tourism","growth rate; marketing; numerical model; perception; public health; research work; tourism; travel behavior; United States",,,,,,,,"Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Alexandris, K., Kouthouris, C., Funk, D., Chatzigianni, E., Examining the relationships between leisure constraints, involvement and attitudinal loyalty among Greek recreational skiers (2008) European Sport Management Quarterly, 8 (3), pp. 247-264; Bertsch, G., Ostermann, G., The effect of wellness brand awareness on expected and perceived service quality (2011) Tourismos: An International Multidisciplinary Journal of Tourism, 6 (2), pp. 103-120; Blanks, R.H., Schuster, T.L., Dobson, M., A retrospective assessment of network care using a survey of self-rated health, wellness, and quality of life (1997) Journal of Vertebral Subluxation Research, 1 (4), p. 1; Bollen, K.A., (1989) Structural Equations With Latent Variables, , John Wiley & Sons, New York, NY; Bushell, R., Sheldon, P.J.E., (2009) Wellness and Tourism: Mind, Body, Spirit, Place, Cognizant Communication, , New York, NY; Byrne, B.M., (2013) Structural Equation Modeling with AMOS: Basic Concepts, Applications, and Programming, , Routledge, New York, NY; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: understanding health and medical tourism (2006) Expert Review Pharmacoeconomics Outcomes Research, 4, pp. 447-454; Chen, C.C., Petrick, J.F., Health and wellness benefits of travel experiences: a literature review (2013) Journal of Travel Research, 52 (6), pp. 709-719; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; Chen, K.H., Liu, H.H., Chang, F.H., Essential customer service factors and the segmentation of older visitors within wellness tourism based on hot springs hotels (2013) International Journal of Hospitality Management, 35, pp. 122-132; DeCarlo, L.T., On the meaning and use of kurtosis (1997) Psychological Methods, 2 (3), pp. 292-307; Dimanche, D.F., Havitz, D.M.E., Howard, D.D.R., Consumer involvement profiles as a tourism segmentation tool (1993) Journal of Travel and Tourism Marketing, 1 (4), pp. 33-52; Dimanche, F., Havitz, M.E., Howard, D.R., Testing the Involvement Profile (IP) scale in the context of selected recreational and touristic activities (1991) Journal of Leisure Research, 23 (1), pp. 51-66; Dustin, D.L., Bricker, K.S., Schwab, K.A., People and nature: toward an ecological model of health promotion (2009) Leisure Sciences, 32 (1), pp. 3-14; (2014) Health and wellness tourism in the US, , www.euromonitor.com/health-and-wellness-tourism-in-the-us/report, (accessed, 12 June 2015; Fen, Y.S., Sabaruddin, N.A., An extended model of theory of planned behaviour in predicting exercise Intention (2009) International Business Research, 1 (4), p. 108; Fishbein, M., Ajzen, I., (2010) Predicting and Changing Behavior: The Reasoned Action Approach, , Taylor & Francis, New York, NY; Georgiev, G., Vasileva, M.T., Conceptualization and classification of balneo, spa and wellness establishments in Bulgaria (2010) UTMS Journal of Economics, 1 (2); (2013) The global wellness tourism economy, , www.globalwellnessinstitute.org/industry-research/, (accessed, 12 June 2015; (2015) The global wellness tourism economy 2013 & 2014, , www.globalwellnessinstitute.com, (accessed, 12 June 2015; Gustavo, N.S., A 21st-Century approach to health tourism spas: the case of Portugal (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 127-135; Han, H., Kim, Y., An investigation of green hotel customers’ decision formation: developing an extended model of the theory of planned behavior (2010) International Journal of Hospitality Management, 29 (4), pp. 659-668; Han, H., Hsu, L.T.J., Lee, J.S., Sheu, C., Are lodging customers ready to go green? An examination of attitudes, demographics, and eco-friendly intentions (2011) International Journal of Hospitality Management, 30 (2), pp. 345-355; Havitz, M.E., Dimanche, F., Propositions for testing the involvement construct in recreational and tourism contexts (1990) Leisure Sciences, 12 (2), pp. 179-195; Heintzman, P., Nature-based recreation and spirituality: a complex relationship (2010) Leisure Sciences, 32, pp. 72-89; Hu, L.T., Bentler, P.M., Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives (1999) Structural Equation Modeling: A Multidisciplinary Journal, 6 (1), pp. 1-55; Hudson, S., Hotels add health to the menu (2014) Hotel Business Review, , https://hotelexecutive.com/business_review/4024/hotels-add-health-to-the-menu, July, (accessed, 12 September 2015; Hudson, S., Li, X., Domestic medical tourism: the neglected dimension of medical tourism research (2012) Journal of Hospitality Marketing and Management, 21 (3), pp. 227-246; Joppe, M., One country’s transformation to spa destination: the case of Canada (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 117-126; Kahn, M.E., Morris, E.A., Walking the walk: the association between community environmentalism and green travel behavior (2009) Journal of the American Planning Association, 75 (4), pp. 389-405; Kelly, C., Analysing wellness tourism provision: a retreat operators’ study (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 108-116; Kelly, C., Wellness tourism: retreat visitor motivations and experiences (2012) Tourism Recreation Research, 37 (3), pp. 205-213; Kim, S.H., Kim, S., Huh, C., Knutson, B., (2010) A predictive model of behavioral intention to spa visiting: an extended theory of planned behavior, , http://scholarworks.umass.edu/cgi, (accessed, 12 June 2015; Kim, Y., Han, H., Intention to pay conventional-hotel prices at a green hotel – a modification of the theory of planned behavior (2010) Journal of Sustainable Tourism, 18 (8), pp. 997-1014; Kline, R.B., Principles and practice of structural equation modeling (2011) A Multidisciplinary Journal, 19 (3), pp. 509-512; Koh, S., Yoo, J.J.E., Boger, C.A., Jr., Importance-performance analysis with benefit segmentation of spa goers (2010) International Journal of Contemporary Hospitality Management, 22 (5), pp. 718-735; Kucukusta, D., Guillet, B.D., Measuring spa-goers’ preferences: a conjoint analysis approach (2014) International Journal of Hospitality Management, 41, pp. 115-124; Kyle, G., Absher, J., Norman, W., Hammitt, W., Jodice, L., A modified involvement scale (2007) Leisure Studies, 26 (4), pp. 399-427; Lebe, S.S., European spa world: chances for the project’s sustainability through application of knowledge management (2006) Journal of Quality Assurance in Hospitality & Tourism, 7 (1-2), pp. 137-146; Lehto, X.Y., Brown, S., Chen, Y., Morrison, A.M., Yoga tourism as a niche within the wellness tourism market (2006) Tourism Recreation Research, 31 (1), pp. 25-35; Little, J., Pampering, well-being and women’s bodies in the therapeutic spaces of the spa (2013) Social & Cultural Geography, 14 (1), pp. 41-58; Little, T.D., Cunningham, W.A., Shahar, G., Widaman, K.F., To parcel or not to parcel: exploring the question, weighing the merits (2002) Structural Equation Modeling, 9 (2), pp. 151-173; Little, T.D., Rhemtulla, M., Gibson, K., Schoemann, A.M., Why the items versus parcels controversy needn’t be one (2013) Psychological Methods, 18 (3), p. 285; Mak, A.H., Wong, K.K., Chang, R.C., Health or self-indulgence? The motivations and characteristics of spa-goers (2009) International Journal of Tourism Research, 11 (2), pp. 185-199; McCabe, S., Johnson, S., The happiness factor in tourism: subjective well-being and social tourism (2013) Annals of Tourism Research, 41, pp. 42-65; Moscardo, G., Searching for well-being: exploring change in tourist motivation (2011) Tourism Recreation Research, 36 (1), pp. 15-26; Mueller, H., Kaufmann, E.L., Wellness tourism: market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Myers, J.E., Sweeney, T.J., The indivisible self: an evidence-based model of wellness (2004) Journal of Individual Psychology, 60, pp. 234-244; Nyaupane, G.P., Andereck, K.L., Understanding travel constraints: application and extension of a leisure constraints model (2008) Journal of Travel Research, 4 (4), pp. 433-440; Pesonen, J., Laukkanen, T., Komppula, R., Benefit segmentation of potential wellbeing tourists (2011) Journal of Vacation Marketing, 17 (4), pp. 303-314; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: students’ perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Ringer, G.D., Healthy spaces, healing places-sharing experiences of wellness tourism in Oregon, USA (2007) The Journal for Tourist Theory and Practice, 1 (1), pp. 29-39; Ryan, R.M., Edwards, R.R., Schuster, T.L., Dobson, M., Jauregui, M., Blanks, R.H., Wellness lifestyles: a theoretical framework linking wellness, health lifestyles, and complementary and alternative medicine (2004) The Journal of Alternative & Complementary Medicine, 10 (2), pp. 349-356; Schalber, C., Peters, M., Determinants of health tourism competitiveness: an Alpine case study (2012) Turizam: Znanstveno-stručni časopis, 60 (3), pp. 307-323; Schermelleh-Engel, K., Moosbrugger, H., Müller, H., Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures (2003) Methods of Psychological Research Online, 8 (2), pp. 23-74; Schreiber, J.B., Nora, A., Stage, F.K., Barlow, E.A., King, J., Reporting structural equation modeling and confirmatory factor analysis results: a review (2006) The Journal of Educational Research, 99 (6), pp. 323-338; Schuster, T.L., Dobson, M., Jauregui, M., Blanks, R.H., Wellness lifestyles: a theoretical framework linking wellness, health lifestyles, and complementary and alternative medicine (2004) The Journal of Alternative & Complementary Medicine, 10 (2), pp. 349-356; Smith, M., Kelly, C., Holistic tourism: journeys of the self? (2006) Tourism Recreation Research, 31 (1), pp. 15-24; Smith, M.K., Puczkó, L., (2009) Health and Wellness Tourism, , Routledge, Burlington, MA; Smith, M., Deery, M., Puczkó, L., Taking your life into your own hands? New trends in European health tourism (2010) Tourism Recreation Research, 35 (2), pp. 161-172; Strauss-Blasche, G., Ekmekcioglu, C., Vacariu, G., Melchart, H., Fialka-Moser, V., Marktl, W., Contribution of individual spa therapies in the treatment of chronic pain (2002) The Clinical Journal of Pain, 18 (5), pp. 302-309; Suresh, S., Ravichandran, S., Gansan, P., Understanding wellness center loyalty through lifestyle analysis (2011) Health Marketing Quarterly, 28 (1), pp. 16-37; Tabachnick, B.G., Fidell, L.S., Osterlind, S.J., (2007) Using Multivariate Statistics, , 6th ed., Pearson/Allyn & Bacon, Boston, MA; Tavakol, M., Dennick, R., Making sense of Cronbach’s alpha (2011) International Journal of Medical Education, 2, pp. 53-55; Voigt, C., Brown, G., Howat, G., Wellness tourists: in search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; Weston, R., Gore, P.A., A brief guide to structural equation modeling (2006) The Counseling Psychologist, 34 (5), pp. 719-751; Wray, M., Laing, J., Voigt, C., Byron Bay: an alternate health and wellness destination (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 158-166; Wright, K.B., Researching Internet-based populations: advantages and disadvantages of online survey research, online questionnaire authoring software packages, and web survey services (2005) Journal of Computer-Mediated Communication, 10 (3); Hooper, D., Coughlan, J., Mullen, M., Structural equation modelling: guidelines for determining model fit (2008) Business Research Methods, 6 (1), pp. 53-60","Hudson, S.; College of Hospitality, Retail and Sport Management, University of South CarolinaUnited States; email: shudson@hrsm.sc.edu",,,"Emerald Group Publishing Ltd.",,,,,17506182,,,,"English","Int. J. Cult. Tour. Hosp. Res.",Article,"Final",,Scopus,2-s2.0-85017296436 "Huh J.-H., Kim H.-B., Kim J.","56438784800;57193721761;54787942200;","A method of modeling of basic big data analysis for Korean medical tourism: A machine learning approach using apriori algorithm",2017,"Lecture Notes in Electrical Engineering","424",,,"784","790",,3,"10.1007/978-981-10-4154-9_91","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016099056&doi=10.1007%2f978-981-10-4154-9_91&partnerID=40&md5=fefbbfa5bf36d1e9ab6be4d532b872fb","Department of Software, Catholic University of Pusan, Busan, South Korea; Department of Computer Engineering, Pukyong National University, Busan, South Korea","Huh, J.-H., Department of Software, Catholic University of Pusan, Busan, South Korea; Kim, H.-B., Department of Computer Engineering, Pukyong National University, Busan, South Korea; Kim, J., Department of Software, Catholic University of Pusan, Busan, South Korea","The Republic of Korea (ROK) has emerged as a country of superior medical tourism in the last decade among the people of China, Japan, Southeast Asia, Russia and the Middle East for the plastic surgery or others requiring precision skills. Although the ROK’s medical tourism industry grew quantitatively in its revenue and the number of visitors, the report from the 2015 World Economic Forum concerning the competitiveness of ROK’s tourism including the medical tourism showed that its rank had dropped to 29th position, a drop of 4 places from 25th in 2013. Thus, it is about time to improve the situation by investigating the actual conditions of tours taken by the foreign tourists to establish new strategy, which is the main contribution of this research. As a research method, a big data analysis has been performed on the basis of machine learning and using R-studio. During the analysis process, there were some relevant regularities which were difficult to be found in the big data and based on these findings, we have attempted to find the solutions for the bad images that foreign visitors had shared in common. The result of the big data analysis showed that the their purpose of visit was different from each other depending on the age groups and the details of their experience of inconvenience varied as well. © Springer Nature Singapore Pte Ltd. 2017.","Apriori algorithm; Big data; Machine learning; Medical tourism; R","Artificial intelligence; Competition; Data handling; Economics; Functional polymers; Information analysis; Learning algorithms; Learning systems; Actual conditions; Apriori algorithms; Machine learning approaches; Medical tourism; Method of modeling; Republic of Korea; research methods; Tourism industry; Big data",,,,,,,,"Huh, J.-H., Kim, H.-B., Seo, K., A preliminary analysis model of big data for prevention of bioaccumulation of heavy metal-based pollutants: Focusing on the atmospheric data analyses (2016) Adv. Sci. Technol. Lett. SERSC, 129, pp. 159-164; Huh, J.-H., Je, S.-M., Seo, K., Design and configuration of avoidance technique for worst situation in zigbee communications using OPNET (2016) Information Science and Applications (ICISA) 2016. LNEE, 376, pp. 331-336. , Kim, K.J., Joukov, N. (eds.), Springer, Heidelberg; Kim, D., Kim, J., Procedural modeling and visualization of multiple leaves (2016) Multimed. Syst, pp. 1-15. , Springer, Berlin, Heidelberg; Birkenmeier, G.F., Park, J.K., Tariq, R.S., Ring hulls of semiprime homomorphic images (2008) Modules and Comodules. TM, pp. 101-111. , Brzeziński, T., Gómez Pardo, J.L., Shestakov, I., Smith, P.F. (eds.), Springer, Birkhäuser Verlag Basel, Heidelberg, Basel; Huh, J.-H., Otgonchimeg, S., Seo, K., Advanced metering infrastructure design and test bed experiment using intelligent agents: Focusing on the PLC network base technology for Smart Grid system (2016) J. Supercomput, 72 (5), pp. 1862-1877. , Springer, USA; Huh, J.-H., Je, S.-M., Seo, K., Communications-Based Technology for Smart Grid Test Bed Using OPNET Simulations (2016) Information Science and Applications (ICISA) 2016. LNEE, 376, pp. 227-233. , Kim, K.J., Joukov, N. (eds.), Springer, Heidelberg; (2015) The Code Book of Survey on the Foreign Tourists, , (In Korean); Li, Z., Pan, H., Liu, W., Xu, F., Cao, Z., Xiong, G., A network attack forensic platform against HTTP evasive behavior (2016) J. Supercomput, pp. 1-12. , Springer, USA; Sung, Y., Jeong, Y.-S., Park, J.-H., Beacon-based active media control interface in indoor ubiquitous computing environment (2016) Cluster Comput, 19 (1), pp. 547-556. , USA; Birkenmeier, G.F., Park, J.K., Rizvi, S.T., Principally quasi-baer ring hulls (2010) Advances in Ring Theory. TM, pp. 47-61. , Van Huynh, D., López-Permouth, S.R. (eds.), Springer, Birkhäuser Basel, Heidelberg, Basel","Kim, J.; Department of Software, Catholic University of PusanSouth Korea; email: jmkim11@cup.ac.kr","Kim K.Joukov N.","Dassault Systemes;HAAS;Ingersoll Cutting tools;Ingersoll Machine Tools","Springer Verlag","8th International Conference on Information Science and Applications, ICISA 2017","20 March 2017 through 23 March 2017",,190019,18761100,9789811041532,,,"English","Lect. Notes Electr. Eng.",Conference Paper,"Final",,Scopus,2-s2.0-85016099056 "Ebrahim A.H., Ganguli S.","57192887707;57192894106;","Strategic priorities for exploiting Bahrain’s medical tourism potential",2017,"Journal of Place Management and Development","10","1",,"45","60",,3,"10.1108/JPMD-03-2016-0011","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013236924&doi=10.1108%2fJPMD-03-2016-0011&partnerID=40&md5=4abc91ba8e34442d4b422e9f49edd485","College of Business and Finance, Ahlia University, Manama, Bahrain; Department of Accounting and Economics, Ahlia University, Manama, Bahrain","Ebrahim, A.H., College of Business and Finance, Ahlia University, Manama, Bahrain; Ganguli, S., Department of Accounting and Economics, Ahlia University, Manama, Bahrain","Purpose: Medical tourism offers many opportunities to diversify Bahrain’s economy and foster economic development and prosperity. This study aims to holistically investigate the potential of developing Bahrain as a medical tourism destination and create a strategic roadmap to help government decision makers and other key private sector players to realize that potential. Design/methodology/approach: This study is primarily based on quantitative research methods. Data were collected from medical service providers in the Kingdom of Bahrain using a questionnaire and subsequently analyzed using quantitative analysis techniques. Findings: Overall findings indicate that Bahrain has the potential to attain competitiveness in the medical tourism sector. This can be achieved through a combination of industry-specific management strategies which facilitate effective public–private partnerships, reinvent healthcare legislation and encourage investment in medical tourism infrastructure. Practical implications: This study will help determine best practice, prioritize improvement opportunities and enhance performance relative to stakeholders’ expectations and responsible tourism development. Originality/value: Studies assessing medical tourism competitiveness of various countries are difficult to obtain. This study fills an existing gap by providing a distinct and comprehensive evaluation method of such competitiveness through a structured analysis of relevant market data in Bahrain. This study can be further extended to include a wider range of stakeholders, namely, private enterprise and the government sector. © 2017, © Emerald Publishing Limited.","Bahrain; Economic diversification; GCC; Medical services providers; Medical tourism; Medical tourism potentiators",,,,,,,,,"(2015) ACHSI – Activities by Region, , www.achs.org.au/achs-international/activities-by-region/, (accessed, 10 November 2015; (2014) GCC Healthcare Sector, , www.alpencapital.com/downloads/GCC_Healthcare_Sector_22_April_2014_Final.pdf, (accessed, 10 November 2015, Alpen Capital, Dubai; Ashley, C., De Brine, P., Lehr, A., Wilde, H., (2007) The Role of the Tourism Sector in Expanding Economic Opportunity, , John F. KenSchool of Government, Cambridge, MA; (2008) From Regional Pioneer to Global Contender: The Economic Vision 2030 for Bahrain, , www.evisa.gov.bh/Vision2030Englishlowresolution.pdf, (accessed, 2 October 2015; Beladi, H., Chao, C., Ee, M., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Economic Modelling, 46, pp. 391-396; Bernal, R.L., The globalization of the health-care industry: opportunities for the Caribbean (2007) CEPAL Review, 92, pp. 83-99; Black, K., (2012) Business Statistics For Contemporary Decision Making, , 7th ed., John Wiley & Sons; Boyatzis, R., (1998) Transforming Qualitative Information: Thematic Analysis and Code Development, , Sage, Thousand Oaks, CA; Braun, V., Clarke, V., Using thematic analysis in psychology (2006) Qualitative Research in Psychology, 3 (2), pp. 77-101; Brinkerhoff, D., Accountability and health systems: toward conceptual clarity and policy relevance (2004) Health Policy and Planning, 19 (6), pp. 371-379; Brubakk, K., Vist, G., Bukholm, G., Barach, P., Tjomsland, O., A systematic review of hospital accreditation: the challenges of measuring complex intervention effects (2015) BMC Health Services Research, 15 (1), pp. 1-10; Buckley, P., Ghauri, P., (2006) The Internationalization of the Firm, , Thomson, London; Bulu, M., (2012) City Competitiveness and Improving Urban Subsystems, , Information Science Reference, Hershey, PA; Chadi, N., Medical leadership: doctors at the Helm of change (2009) McGill Journal of Medicine, 12 (1), pp. 52-57; Clancy, C., (2009) What is Health Care Quality and Who Decides?, , US Department of Health and Human Services, Washington, DC; Connell, J., Medical tourism: sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., (2011) Medical Tourism, , CABI, Wallingford, Oxfordshire; Donabedian, A., Evaluating the quality of medical care (2005) Milbank Quarterly, 83 (4), pp. 691-729; Eichler, R., Levine, R., (2009) Performance Incentives for Global Health, , Center for Global Development, Washington, DC; Grepperud, S., Is the hospital decision to seek accreditation an effective one? 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(2010) Journal of Economic Issues, 44 (1), pp. 53-70; Waldman, J., Kelly, F., Aurora, S., Smith, H., The shocking cost of turnover in health care (2004) Health Care Management Review, 29 (1), pp. 2-7; (2006) Country Cooperation Strategy for WHO and Bahrain 2005-2010, , www.who.int/countryfocus/cooperation_strategy/ccs_bhr_en.pdf, (accessed, 10 November 2015, WHO, Cairo; (2013) World Health Statistics 2013, , http://apps.who.int/iris/bitstream/10665/82058/1/WHO_HIS_HSI_13.1_eng.pdf?ua=1&ua=1, (accessed, 10 November 2015, WHO, Geneva; Woodman, J., (2007) Patients Beyond Borders Singapore Edition, , Healthy Travel Media, Chapel Hill, NC; Yung-Sheng, Y., Key success factors in medical tourism marketing (2013) International Journal of Academic Research in Business and Social Sciences, 3 (3), pp. 152-158; Zikmund, W., (2011) Business Research Methods, , Thomson/South-Western, Mason, OH","Ganguli, S.; Department of Accounting and Economics, Ahlia UniversityBahrain; email: sganguli@ahlia.edu.bh",,,"Emerald Group Publishing Ltd.",,,,,17538335,,,,"English","J. Place Manage. Dev.",Article,"Final",,Scopus,2-s2.0-85013236924 "Whitmore R., Crooks V.A., Snyder J.","7005041258;35585107800;24170239100;","A qualitative exploration of how Canadian informal caregivers in medical tourism use experiential resources to cope with providing transnational care",2017,"Health and Social Care in the Community","25","1",,"266","274",,3,"10.1111/hsc.12302","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949669685&doi=10.1111%2fhsc.12302&partnerID=40&md5=daf8b1694724407ea5c73292404092e9","Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada","Whitmore, R., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada","Canadians travelling abroad for privately arranged surgeries paid for out-of-pocket are engaging in what has come to be known as medical tourism. They are often accompanied by friends or family members, who we call caregiver-companions. Caregiver-companions provide care in and across a variety of formal and informal settings, such as in hotels, airplanes and at home. This qualitative study examines the experiences of informal caregivers in medical tourism to learn more about the lived experiences or ‘experiential resources’ they draw upon to cope with providing care and avoiding caregiver burden. The care-giving literature has demonstrated that such burden can negatively impact caregivers’ well-being. The unique, transnational context of care-giving in medical tourism and recent growth in popularity of this practice means that there are few supports or resources currently in place to assist informal caregivers. In this article, we report on an analysis that sought to detail how caregiver-companions draw upon their previous lived experiences to cope with providing transnational care and to minimise or avoid the onset of caregiver burden. We conducted semi-structured telephone interviews with 20 Canadians who had accompanied their friends or family members abroad for surgery between September 2013 and January 2014. Thematic analysis revealed the ways that participants had developed practical strategies to deal with the challenges they faced in medical tourism. The interviews revealed three important experiential resources drawn upon by participants: (i) previous experiences of international travel; (ii) previous experiences of informal care-giving; and (iii) dimensions of the existing relationship with the care recipient. Differences in access to and use of these experiential resources related to participants’ perspectives on medical tourism and the outcomes of the trip. By identifying the experiential resources drawn upon by informal caregivers in medical tourism, we can more effectively identify supportive interventions. © 2015 John Wiley & Sons Ltd","Canada; family caregiver; informal care-giving; international healthcare; medical tourism","Canadian; caregiver; caregiver burden; case report; controlled study; friend; human; medical tourism; personal experience; qualitative research; recipient; structured interview; surgery; thematic analysis; travel; wellbeing; Canada; caregiver; coping behavior; psychology; Adaptation, Psychological; Canada; Caregivers; Humans; Medical Tourism; Qualitative Research",,,,,"Michael Smith Foundation for Health Research, MSFHR Canadian Institutes of Health Research, CIHR: FRN 115692","This research was funded through an Operating Grant awarded by the Canadian Institutes of Health Research (CIHR) (FRN 115692). RW holds a Master's fellowship from the CIHR. VAC is funded by a Scholar Award from the Michael Smith Foundation for Health Research and holds the Canada Research Chair in Health Service Geographies.",,"Adelman, R.D., Tmanova, L.L., Delgado, D., Dion, S., Lachs, M.S., Caregiver burden: a clinical review (2014) Journal of the American Medical Association, 311 (10), pp. 1052-1060; Bastawrous, M., Gignac, M.A., Kapral, M.K., Factors that contribute to adult children caregivers’ well-being: a scoping review (2014) Health & Social Care in the Community, 23, pp. 449-466; Borthwick, R., Newbronner, L., Stuttard, L., ‘Out of Hospital’: a scoping study of services for carers of people being discharged from hospital (2009) Health & Social Care in the Community, 17 (4), pp. 335-349; Brock, J., Mitchell, J., Irby, K., Stevens, B., Archibald, T., Goroski, A., Lynn, J., Association between quality improvement for care transitions in communities and rehospitalizations among Medicare beneficiaries (2013) Journal of the American Medical Association, 309 (4), pp. 381-391; Bruhn, J.G., Rebach, H.M., The health of caregivers (2014) The Sociology of Caregiving, pp. 153-167. , &, Springer, Dordrecht, the Netherlands; Buhalis, D., Michopoulou, E., Information-enabled tourism destination marketing: addressing the accessibility market (2010) Current Issues in Tourism, 14 (2), pp. 145-168; Cadogan, M.P., Phillips, L.R., Ziminski, C.E., A perfect storm: care transitions for vulnerable older adults discharged home from the emergency department without a hospital admission (2014) The Gerontologist; Casey, V., Crooks, V.A., Snyder, J., Turner, L., Knowledge brokers, companions and navigators: a qualitative examination of informal caregivers’ roles in medical tourism (2013) International Journal for Equity in Health, 12 (94). , http://www.equityhealthj.com/content/12/1/94, &, (accessed on 19/05/2015); Casey, V., Crooks, V.A., Snyder, J., Turner, L., You're dealing with an emotionally charged individual…”: an industry perspective on the challenges posed by medical tourists’ informal caregiver-companions (2013) Globalization and Health, 9 (31). , http://www.globalizationandhealth.com/content/9/1/31, &, (accessed on 19/05/2015); Chappell, N.L., Dujela, C., Smith, A., Spouse and adult child differences in caregiving burden (2014) Canadian Journal on Aging/La Revue canadienne du vieillissement, 33 (4), pp. 462-472; Cohen, I.G., Circumvention tourism (2012) The Cornell Law Review, 97 (6), pp. 1309-1398; Curtis, S., Gesler, W., Priebe, S., Francis, S., New spaces of inpatient care for people with mental illness: a complex ‘rebirth’ of the clinic? 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Given, (Ed.), Sage Publications Inc., Thousand Oaks, CA; Skinner, M.W., Power, A., Voluntarism, health and place: bringing an emerging field into focus (2011) Health & Place, 17 (1), pp. 1-6; Sturges, J.E., Hanrahan, K.J., Comparing telephone and face-to-face qualitative interviewing: a research note (2004) Qualitative Research, 4 (1), pp. 107-118; Turner, L., Beyond “medical tourism”: Canadian companies marketing medical travel (2012) Global Health, 8 (16), pp. 16-26; Turner, L., Transnational medical travel: ethical dimensions of global healthcare (2013) Cambridge Quarterly of Healthcare Ethics, 22 (2), pp. 170-180; Whittaker, A., ‘Outsourced’ patients and their companions: stories from forced medical travellers (2015) Global Public Health, 10 (4), pp. 485-500; Whittemore, R., Chase, S.K., Mandle, C.L., Validity in qualitative research (2001) Qualitative Health Research, 11 (4), pp. 522-537; Williams, A., Wang, L., Kitchen, P., Differential impacts of care-giving across three caregiver groups in Canada: end-of-life care, long-term care and short-term care (2014) Health & Social Care in the Community, 22 (2), pp. 187-196; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88","Whitmore, R.; Department of Geography, Simon Fraser UniversityCanada; email: rwa13@sfu.ca",,,"Blackwell Publishing Ltd",,,,,09660410,,,"26503715","English","Health Soc. Care Community",Article,"Final",,Scopus,2-s2.0-84949669685 "Pathumporn J., Suphan K.","56968056000;56968111200;","Behaviol's of medical tourists, who use medical tourism agencies in Thailand",2016,"International Business Management","10","4",,"512","516",,3,"10.3923/ibm.2016.512.516","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84947594179&doi=10.3923%2fibm.2016.512.516&partnerID=40&md5=b23b3e752c53683123c1ad69d5ae3029","Department of Tourism, Faculty of Management Science, KhonKaen University, KhonKaen, Thailand","Pathumporn, J., Department of Tourism, Faculty of Management Science, KhonKaen University, KhonKaen, Thailand; Suphan, K., Department of Tourism, Faculty of Management Science, KhonKaen University, KhonKaen, Thailand","This research is about a study of behaviors of medical tourists who use medical service and travel in Thailand. A group of samples in the research is mainly the medical tourists who use the medical tourism agencies in top private hospitals in Bangkok, Thailand. The results about the behaviors of the medical tourists will be analyzed for planning a marketing strategy in order to be a guideline in running business of the medical tourism agencies for conforming to the behaviors of the travelers. In the future, it will be profitable to the medical tourism in Thailand. © Medwell Journals, 2016.","Bangkok; Behaviors; Medical tourism; Medical tourism agencies; Medical tourists",,,,,,,,,"Canera, P., Medical tourism (2006) Health Affairs, 25, p. 1453; Connell, J., Medical tourism: Sea, sun, sand and surgery: School of Geosciences, University of Sydney (2006) Australia. Tourism Manage., 27, pp. 1093-1100; Bureau promotes medical services (2012) Project Dev. Thailand Med. 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(2012) International Conference on Tourism (ICOT), , Rhodes Island, Greece, IATOUR; Popma, B., (2016) Interview Barry Popma, , 28 January 2016; Quinton, R., (1912) L'eau de mer, milieu organique: constance du milieu marin originel, comme milieu vital, , Paris, Masson; Radcliffe, E., (2015) Sleep, Mood and Coastal Walking, , Rotherham, UK: National Trust; Roos, A., (2013) Zeeland als gezondheidsregio, , Economische Impuls Zeeland and Santé Zeeland; Rose, N., The politics of life itself (2001) Theory, Culture and Society, 18, pp. 1-30; Rysst, M., ""Healthism"" and looking good: Body ideals and body practices in Norway (2010) Scandinavian Journal of Public Health, 38 (5), pp. 71-80; (2014) Staat van Zeeland. Zeeland in tijden van crisis, , Middelburg, The Netherlands: Scoop; Smith, M., Puczkó, L., (2014) Health, Tourism and Hospitality, Wellness, Spas and Medical Travel, , 2nd edition, Abingdon, UK: Routledge; (2010) Healthy Regions. 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Urban blue enhancing human health and wellbeing in Cologne and Düsseldorf, Germany (2013) Social Science and Medicine, 91, pp. 141-152; Walton, J.K., (1983) The English Seaside Resort: A Social History 1750-1914, , Leicester, UK: Leicester University Press; Warners, J., (1984) Domburg, 150 jaar badplaats, , Middelburg, The Netherlands: Den Boer; Wesley, A., Pforr, C., Historical dimensions of coastal tourism (2009) Coastal Tourism Development, , Dowling, R. and Pforr, C. (eds), New York: Cognizant Communication Corporation; Wheeler, B.W., White, M., Stahl-Timmins, W., Depledge, M.H., Does living by the coast improve health and wellbeing? (2012) Health and Place, 18, pp. 1198-2001; White, M.P., Alcock, I., Wheeler, B.W., Depledge, M.H., Bird, W.J., Coastal proximity, health and wellbeing: Results from a longitudinal panel survey (2013) Health and Place, 23, pp. 97-103; Williams, A., Therapeutic landscapes in holistic medicine (1998) Social Science and Medicine, 46, pp. 1193-1203; Wyles, K.J., Pahl, S., Thompson, R., ""Oh I do like to be beside the seaside"": A field study on the psychological benefits of going to the coast (2011) 9th Biennial Conference on Environmental Psychology, , Eindhoven; Wyles, K.J., Pahl, S., Thompson, R., Perceived risks and benefits of recreational visits to the marine environment: Integrating impacts on the environment and impacts on the visitor (2014) Ocean and Coastal Management, 88, pp. 53-63; Zeeland, P., (2012) Economische Agenda 2013-2015, , Middelburg, The Netherlands: Provincie Zeeland; Zijlstra, T.R., (2007) No Pain, No Gain: Measuring Treatment Effects in Fibromyalgia, , Twente, The Netherlands: University of Twente; Zijlstra, T., Van de Laar, M., Moens, H.B., Taal, E., Zakraoui, L., Rasker, J., Spa treatment for primary fibromyalgia syndrome: A combination of thalassotherapy, exercise and patient education improves symptoms and quality of life (2005) Rheumatology, 44, pp. 539-546; Zlatkov, N., Bozhkov, B., Genov, D., Serum copper and ceruloplasmin in patients with psoriasis after helio- and thalassotherapy (1973) Archiv für dermatologische Forschung, 247, pp. 289-294","Kruizinga, P.; HZ UniversityNetherlands",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85020248851 "Ulaş D., Anadol Y.","12794003400;56532111000;","A case study for medical tourism: investigating a private hospital venture in Turkey",2016,"Anatolia","27","3",,"327","338",,3,"10.1080/13032917.2016.1191763","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84974777788&doi=10.1080%2f13032917.2016.1191763&partnerID=40&md5=84aa2064890d7d70ef852e370e7d7031","Faculty of Political Sciences, Ankara University, Ankara, Turkey; College of Business Administration, University of Dubai, Dubai, United Arab Emirates","Ulaş, D., Faculty of Political Sciences, Ankara University, Ankara, Turkey; Anadol, Y., College of Business Administration, University of Dubai, Dubai, United Arab Emirates","This paper investigates the county-specific environmental factors that a private hospital needs to consider when entering the medical tourism market by using a strategic marketing road map. A qualitative research was conducted, and primary data were collected from the 2 directors and 12 medical professionals in a case hospital. The results show that government support, infrastructure, economic factors such as cost, capacity, and human resources orientation are the main factors affecting the development of medical tourism for a private hospital. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","Health tourism; Medical marketing; Medical tourism; Private hospital; Strategic marketing; SWOT and TOWS matrix","environmental factor; hospital sector; marketing; medical tourism; private sector; Turkey",,,,,,,,"Altin, U., Bektas, G., Antep, Z., Irban, A., The international patient’s portfolio and marketing of Turkish health tourism, 8th International Strategic Management Conference (2012) Procedia-Social and Behavioral Sciences, 58, pp. 1004-1007; Arendt, S.W., Roberts, K.R., Strohbehn, C., Ellis, J., Paez, P., Meyer, J., Use of qualitative research in foodservice organizations: A review of challenges, strategies, and applications (2011) International Journal of Contemporary Hospitality Management, 24, pp. 820-837; Atilla, G., Buyuker, D.I., Tüketim nesnesi olarak sağlikli olma kültürü (healthism) üzerine nitel bir ön çalişma (2012) Dumlupınar Üniversitesi Sosyal Bilimler Dergisi, 34, pp. 221-230; Barca, M., Akdeve, E., Balay, İ.G., (2012) Evaluation report on medical tourism in Turkey 2012, , Turkey: Ministry of Health; Chang, H.H., Huang, W.C., Application of a quantification SWOT analytical method (2006) Mathematical and Computer Modelling, 43, pp. 158-169; Chuang, T.C., Liu, J.S., Lu, L.Y.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, 45, pp. 49-58; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Dasgupta, D., (2011) Tourism marketing, , New Delhi: Dorling Kindersley; Dawn, S.K., Pal, S., Medical tourism in India: Issues, opportunities and designing strategies for growth and development (2011) International Journal of Multidisciplinary Research, 1, pp. 185-202; Devers, K.J., Brewster, L.R., Casalino, L.P., Changes in hospital competitive strategy: A new medical arms race? (2003) HSR: Health Services Research, 38, pp. 447-469; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18, pp. 193-201; Helmy, E.M., Tourism sector against international best practices: An exploratory study (2011) Tourismos: An International Multidisciplinary Journal of Tourism, 6, pp. 293-311; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel and Tourism Marketing, 27, pp. 236-251; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in HongKong: An assessment of the barrier (2011) Tourism Management, 32, pp. 999-1005; Kotler, P., Shalowitz, J., Stevens, R.J., (2008) Marketing for Health Care Organizations, building a customer-driven health system, , San Francisco, CA: Jossey Bass; (2013) Evalution report on medical tourism in Turkey 2013, , http://www.saglik.gov.tr/SaglikTurizmi/dosya/1-79232/h/eng-medikal-turizm.pdf; (2011) Law enforcement regarding the organization and responsibilities of Ministry of Health and its subsidiaries, , http://www.resmigazete.gov.tr/eskiler/2011/11/20111102M1-3.htm, Law enforcement, No: 28103; Özer, Ö., Songur, C., Türkiye’nin dünya sağlık turizmindeki yeri ve ekonomik boyutu (2012) Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 4, pp. 69-81; Piazolo, M., Zanca, N.A., Medical tourism: A case study for the USA and India, Germany and Hungary (2011) Acta Polytechnica Hungarica, 8, pp. 137-160; Sayili, M., Akca, H., Duman, T., Esengun, K., Psoriasis treatment via doctor fishes as part of health tourism: A case study of Kangal Fish Spring, Turkey (2007) Tourism Management, 28, pp. 625-629; Şimşek, H., Yıldırım, A., (2004) Sosyal bilimlerde nitel araştırma yöntemleri[Quantitative research methods in social sciences], , Ankara: Seçkin Yayınevi; Smith, M., Puczko, L., (2009) Health and wellness tourism, , UK: Butterworth-Heinemann; Taie, E.S., Emerging of medical tourism in Egyptian hospitals: International patient satisfaction towards nurses’ services quality (2013) Global Advanced Research Journal of Management and Business Studies, 2, pp. 93-104; Tuncer, D., Ayhan, D.Y., Varoglu, D., (2011) Genel Isletmecilik[General management], , Ankara: Siyasal Kitabevi; Vick, L., (2012) Medical tourism: Legal issues, , Pynes Hill: Woodwater House; Welman, J.C., Kruger, S.J., (1999) Research methodology for the business and administrative sciences, , Johannesburg: International Thompson; (2013) UNWTO tourism highlights, 2014 edition, , http://dtxtq4w60xqpw.cloudfront.net/sites/all/files/pdf/unwto_highlights14_en.pdf; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88","Anadol, Y.; College of Business Administration, University of DubaiUnited Arab Emirates; email: yanadol@ud.ac.ae",,,"Routledge",,,,,13032917,,,,"English","Anatolia",Article,"Final",,Scopus,2-s2.0-84974777788 "Ueasin N., Wongchai A.","55987455100;53364851600;","The operational efficiency of health tourism industries in three provinces of northeastern Thailand",2016,"Information (Japan)","19","7B",,"2839","2844",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84989820730&partnerID=40&md5=d750f50e1a9a9dfe766302eba2328a0a","Indo-China Country International Trade and Economic Research Sector, Faculty of Integrated Social Science, Khon Kaen University, Nong Khai Campus, Nong Khai, 43100, Thailand; Department of Agricultural Economy and Development, Faculty of Agriculture, Chiang Mai University, No 239, Suthep Sub-District, Muang District, Chiang Mai Province, 50200, Thailand","Ueasin, N., Indo-China Country International Trade and Economic Research Sector, Faculty of Integrated Social Science, Khon Kaen University, Nong Khai Campus, Nong Khai, 43100, Thailand; Wongchai, A., Department of Agricultural Economy and Development, Faculty of Agriculture, Chiang Mai University, No 239, Suthep Sub-District, Muang District, Chiang Mai Province, 50200, Thailand","Health tourism industries have efficiently supported the economy of three northeastern provinces for many years. Since there have been a few researches on measuring the operational efficiency of the health tourism industries, this study primarily focused on the characteristics of tourists in three northeastern provinces of Thailand: Nongkhai, Udonthani and Sakol-Nakorn, together with to measure the operational efficiency of these industries, totally 104 firms. The concept of Metafrontier DEA-based approach was theoretically adopted in this study. The findings showed that the majority of tourism industries in Nongkhai and Sakol-Nakorn were Thai traditional massage, and a therapy message was mostly found in Udonthani. Correspondingly, the three provinces had a small number of employees (1-5 persons) and massage beds (1-5 beds). The two groups of tourists who visit Nongkhai, Udonthani, and Sakol-Nakorn for healthy leisure were group tourists and individual tourists, the largest number of whom were working-age people, 40-60 years old, and older people aged more than 60 years old. Most of them are female. Furthermore, Based on the regional frontier, the analysis of operational efficiency of health tourism revealed that Sakol-Nakorn yields the highest level with an average score of 0.852, followed by Nongkhai and Udonthani with an average score of 0.789 (high level) and 0.610 (medium level), respectively. The efficiency score varied due to the quantity of inputs used and quantity of outputs yielded in the different studied areas. The researchers recommend that an entrepreneur should increase the productivity and labors' skills. Additionally, the initiate costs, including the massage equipment, water and electricity fee, consumed materials, a number of masseurs/masseuse, and shop decorative items, should be economically used to heighten operational efficiency. © 2016 International Information Institute.","Data envelopment analysis; Health tourism; Metafrontier; Operational efficiency; Technology gap ratios",,,,,,,,,"Untong, A., Kaosa-Ard, M., Spas performances benchmarking and operation efficiency (2014) Journal of Applied Economics, 21, pp. 1-19; Battese, G.E., Rao, D.S.P., O'Donnell, C.J., A metafrontier production function for estimation of technical efficiencies and technology gaps for firms operating under different technologies (2004) Journal of Productivity Analysis, 21, pp. 91-103; Rao, D.S.P., O'Donnell, C.J., Battese, G.E., Metafrontier frameworks for the study of firm-level efficiencies and technology ratios (2008) Empirical Economics, 34 (2008), pp. 231-255; Assaf, A., Barros, C.P., Josiassen, A., Hotel efficiency: A bootstrapped metafrontier approach (2010) International Journal of Hospitality Management, 29, pp. 468-475; Charnes, A., Cooper, W.W., Rhodes, E., Measuring the efficiency of decision making units (1978) European Journal of Operational Research, 2, pp. 429-444; Untong, A., Operational efficiency and technology gap ratio of hotels under the different environments (in Thai) (2013) Journal of Applied Economics, 20, pp. 37-54","Wongchai, A.; Department of Agricultural Economy and Development, Faculty of Agriculture, Chiang Mai University, No 239, Suthep Sub-District, Muang District, Thailand; email: add.a@hotmail.com",,,"International Information Institute Ltd.",,,,,13434500,,,,"English","Information",Article,"Final",,Scopus,2-s2.0-84989820730 "Marcekova R., Simockova I., Sebova L.","36682777500;56582387500;22136012500;","Health tourism in the context of active ageing of Slovak population",2016,"Economic Annals-XXI","156","1-2",,"109","111",,3,"10.21003/ea.V156-0025","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84966397519&doi=10.21003%2fea.V156-0025&partnerID=40&md5=5228e4c4070f5600a8022f815ef9b4ed","Matej Bel University, Banska Bystrica, Slovak Republic, 10 Tajovskeho Str., Banska Bystrica, 975 90, Slovakia","Marcekova, R., Matej Bel University, Banska Bystrica, Slovak Republic, 10 Tajovskeho Str., Banska Bystrica, 975 90, Slovakia; Simockova, I., Matej Bel University, Banska Bystrica, Slovak Republic, 10 Tajovskeho Str., Banska Bystrica, 975 90, Slovakia; Sebova, L., Matej Bel University, Banska Bystrica, Slovak Republic, 10 Tajovskeho Str., Banska Bystrica, 975 90, Slovakia","The article examines health tourism in the context of active ageing of population. The proportion of senior age in the total European population is constantly increasing. The ageing of population becomes a global phenomenon. Currently, active ageing as a process of optimising opportunities for maintaining health, participation in public life and security in order to enhance the quality of life of elderly people can solve problems related to the demographic development. Health tourism facilities may enrich active ageing by adapting their services to the needs of visitors, whom active ageing concerns. The aim of this paper is to point at the ageing of population as well as at the growth of importance of health tourism in Slovakia in terms of the demographic structure of population. For this purpose, the research was undertaken of 175 respondents over 45 years old who, at the time of the survey (March-May 2014), used health tourism services in investigated facilities. According to the results of our investigation, it is worth mentioning that providers of the relevant facilities should explore the segments of middle-aged, elder and senior customers over 45 in detail meet their new needs by creating complex innovative products which may combine health, anti-age and social aspects. © Institute of Society Transformation, 2016.","Active ageing; Health tourism facilities; Middle-aged visitors; Old age visitors; Senior visitors",,,,,,,,,"TNS Opinion, Active aging report Conducted by TNS Opinion & Social at the request of Directorate-General for Employment, Social Affairs and Inclusion (2012) Survey Co-ordinated by Directorate-Genral Communication, , http://ec.europa.eu/public_opinion/archives/ebs/ebs_378_en.pdf; Alen, E., Losada, N., Dominguez, T., The impact of ageing on the tourism industry: An approach to the senior tourist profile (2015) Social Indicators Research, , April 25; Balaz, V., (2013) Active Aging Strategy, , http://www.cvmpsvr.sk, National project. Education Centre of the Ministry of Labor, Social Affairs and Family; Bernini, C., Cracolici, M.F., Demographic change, tourism expenditure and life cycle behaviour (2015) International Journal of Tourism Management, 47, pp. 191-205. , Elsevier: IPC Science & Technology Press; Brezinova, O., (2013) Aged Consumers of Hotel Services in a Chosen Region, , Conference: 7th International Days of Statistics and Economics. Publisher: Melandrium; Ferrer, J.G., Sanz, M.F., Ferrandis, E.D., Mccabe, S., Garcia, J.S., Social tourism and healthy ageing (2015) International Journal of Tourism Research, , Publisher: John Wiley and Sons Ltd; Ferri Sanz, M., Dura Ferrandis, E., Garces Ferrer, J., Tourism as a helathy and active ageing strategy: The effects of tourism on the health of the elederly (2015) Action Primaria, 8 (47), pp. 547-578; Gucik, M., (2004) A Short Dictionary of Tourism, , Library of tourism 6. Banska Bystrica: Slovak-Swiss Tourism; Ho, Y.-F., Lu, L.-S., Behavioral analysis of the active aging groups' ecotourism travel experience (2014) Gerontechnology, 2 (13); Huang, L.A., Xu, H.B., A cultural perspective of health and wellness tourism in China (2014) Journal of China Tourism Research, 4 (10), pp. 493-510; Lee, C., Payne, L.L., Exploring the relationship between different types of serious leisure and successful aging (2015) Activities, Adaptation and Aging, 1 (39), pp. 1-18; Lim, E.Z.K., Thompson, C.L., Measuring active ageing among older adults in Singapore (2015) Ageing and Society, pp. 1-17; Loh, C.P.A., Trends and structural shifts in health tourism: Evidence from seasonal time-series data on health-related travel spending by Canada during 1970-2010 (2015) Social Science and Medicine, 132, pp. 173-180; Mikusova Merickova, B., Sebo, J., Kuvikova, H., Regional Health Policy and Health Care Reform in Slovakia (Analysis and suggested approach) (2007) Health Care Issues: An International Perspective, pp. 493-517. , http://www.atiner.gr/docs/2006HealthCONT.htm; Morgan, N.A., Pritchard, A.B., Sedgley, D.C., Social tourism and well-being in later life (2015) Annals of Tourism Research, 52, pp. 1-15; Pompurova, K., Marakova, V., Simockova, I., Consumer behaviour examination in case of a package tour purchase: Example of Slovak citizents (2015) Economicnij Casopis-XXI (Economic Annals - XXI), 3-4 (1), pp. 72-75. , http://soskin.info/userfiles/file/2015/3-4_1_2015/Pompurova,%20Marakova,Simockova.pdf; Sedlakova, D., (2012) Active Aging: Good Health Adds Years of Life, , http://www.who.sk; Sykorova, D., (2007) Autonomy in Old Age, , Chapters from gerontosociologie. Prague: Sociologicke nakladatelstvi; Tej, J., Matusikova, D., Tourism product creation as a basis of economic prosperity of a destination (2014) Economicnij Casopis-XXI (Economic Annals-XXI), 5-6, pp. 45-48. , http://soskin.info/userfiles/file/2014/5-6_2014/Tej_Matusikova.pdf; (2013) The National Programme for Active Ageing for the Years 2014 to 2020, , http://www.employment.gov.sk; Vozikaki, M., Linardakis, M., Micheli, K., Philalithis, A., Activity participation and well-being among european adults aged 65 years and older (2016) Social Indicators Research, pp. 1-27. , 11205; Yung, E.H.K., Cohejos, S., Chan, E.H.W., Social needs of the elderly and active aging in public open spaces in urban renewal (2016) Cities. The International Journal of Urban Policy and Planning, 52, pp. 114-122",,,,"Institute of Society Transformation",,,,,17286220,,,,"English","Eco. Annals.",Article,"Final",Open Access,Scopus,2-s2.0-84966397519 "Garman A.N., Johnson T.J., Lynch E.B., Satjapot S.","7004084762;8340561600;7101800681;26030657100;","Care provider perspectives on medical travel: A three-country study of destination hospitals",2016,"Health Marketing Quarterly","33","1",,"48","58",,3,"10.1080/07359683.2016.1131579","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961238671&doi=10.1080%2f07359683.2016.1131579&partnerID=40&md5=da070a96b9e17c561dcaf54e8bcfdf3f","Department of Health Systems Management, Rush University Medical Center, Rush University, Chicago, IL, United States; Department of Preventative Medicine, Rush University Medical Center, Rush University, Chicago, IL, United States; Johns Hopkins Medicine International, Baltimore, MD, United States","Garman, A.N., Department of Health Systems Management, Rush University Medical Center, Rush University, Chicago, IL, United States; Johnson, T.J., Department of Health Systems Management, Rush University Medical Center, Rush University, Chicago, IL, United States; Lynch, E.B., Department of Preventative Medicine, Rush University Medical Center, Rush University, Chicago, IL, United States; Satjapot, S., Johns Hopkins Medicine International, Baltimore, MD, United States","Despite growing interest in the current and potential role of medical travel in U.S. patient care, very little research has been conducted on clinician and other provider organizations’ perspectives on providing international patient care. The present study sought to gain formative insights about medical travel from the providers’ perspectives, by conducting structured interviews and focus groups in six hospitals from three countries catering to patients traveling from the United States. Findings highlighted the surprising role of international events and policies in the evolution of medical travel, as well as both the desire and need for more transparent quality standards. © 2016, Taylor & Francis Group, LLC.","Clinical perspectives; medical tourism; medical travel; provider motivations; qualitative research","attitude to health; health care personnel; hospital; human; information processing; interview; medical tourism; Mexico; psychology; qualitative research; Singapore; Thailand; United States; Focus Groups; Health Knowledge, Attitudes, Practice; Health Personnel; Hospitals; Humans; Interviews as Topic; Medical Tourism; Mexico; Qualitative Research; Singapore; Thailand; United States",,,,,,,,"Altman, S.H., Shactman, D., Eilat, E., Could U.S. hospitals go the way of U.S. airlines? (2006) Health Affairs, 25, pp. 11-21; Corbin, J., Strauss, A., (2008) Basics of qualitative research, , (3rd ed.), Thousand Oaks, CA: Sage; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10, pp. 266-2010; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism in India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72, pp. 726-732; DeNavas-Walt, C., Proctor, B.D., Smith, J.C., (2010) Income, poverty, and health insurance coverage in the United States: U.S. Census Bureau., , www.census.gov/prod/2011pubs/p60-239.pdf, Retrieved from; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) McKinsey Quarterly, pp. 1-11. , May; Gan, L.L., Frederick, J.R., Medical tourists: Who goes and what motivates them? (2013) Health Marketing Quarterly, 30, pp. 117-194; Garman, A.N., Johnson, T.J., Royer, T.C., (2011) The future of healthcare: Global trends worth watching., , Chicago, IL: Health Administration Press; Garman, A.N., Milstein, A., Anderson, M., Medical travel. In R. Mullner (Ed.) (2008) Encyclopedia of health services research., , Thousand Oaks, CA: Sage; Guiry, M., Vehquist, D.G., Traveling abroad for medical care: U.S. medical tourists’ expectations and perceptions of service quality (2011) Health Marketing Quarterly, 28, pp. 253-269; Gupta, A., Sao, D., The constitutionality of legal current barriers to telemedicine in the United States: Analysis and future directions of its relationship to national and international health reform (2011) Health Matrix, 21, pp. 385-442; Huat, J.Y.C., Medical tourism and Singapore (2007) The International Hospital Federation Reference Book 2006/2007., , https://www.ihf-fih.org/home?document=resources&resource_type=50, Retrieved from; Johnson, T.J., Garman, A.N., Impact of medical travel on imports and exports of medical services (2011) Health Policy, 98, pp. 171-177; Karuppan, C.M., Karuppan, M., Who are the medical travelers and what do they want? A qualitative study (2011) Health Marketing Quarterly, 28, pp. 116-132; Miles, M.B., Huberman, A.M., (1994) An expanded sourcebook: Qualitative data analysis, , (2nd ed.), Thousand Oaks, CA: Sage; Thompson, M., Barlow, R.G., Dialing up delivery: A renewed frontier for health care value (2012) Benefits Quarterly, 28, pp. 13-16; Vijaya, R.M., Medical tourism: Revenue generation or international transfer of healthcare problems? (2010) Journal of Economic Issues, 44, pp. 53-69; Whitaker, A., Manderson, L., Cartwright, E., Patients without borders: Understanding medical travel (2010) Medical Anthropology, 29, pp. 336-343","Garman, A.N.; Department of Health Systems Management, Rush University, 1700 W. Van Buren St., Ste 126B, United States; email: andy_n_garman@rush.edu",,,"Routledge",,,,,07359683,,HMQUE,"26950538","English","Health Mark. Q.",Article,"Final",,Scopus,2-s2.0-84961238671 "Rezaee R., Mohammadzadeh M.","57213232347;56394706800;","Effective factors in expansion of medical tourism in Iran",2016,"Medical Journal of the Islamic Republic of Iran","30","1", 409,"","",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019048723&partnerID=40&md5=712ea5a4ae5eb4683d6e9d46014a9bf3","Institute of Technology, Linköping University, Department of Management and Engineering, Linköping, Sweden; Ministry of Health and Medical Education, Deputy of Curative Affairs, Budget Administration, Tehran, Iran; Faculty of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran","Rezaee, R., Institute of Technology, Linköping University, Department of Management and Engineering, Linköping, Sweden, Ministry of Health and Medical Education, Deputy of Curative Affairs, Budget Administration, Tehran, Iran; Mohammadzadeh, M., Faculty of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran","Background: Medical tourism (MT) refers to circumstances in which people travel for medical treatments. The present study focuses on determining factors affecting MT in Iran. Methods: The study uses a mixed method approach. Initially, through a qualitative study, 12 experts were interviewed deeply; then, 22 participants in three equal focus groups expressed their ideas about growth and development of MT in Iran. Based on the expressed ideas, 120 factors were identified and accordingly a structured questionnaire was developed. Some members from the focus groups confirmed the questionnaire's face and content validity. The reliability of pertinent items was confirmed using Cronbach's alpha=0.8. Afterwards, 61 eligible subjects filled out this questionnaire. Results: The findings showed that ""healthcare quality"" and ""high level of expertise"" are two most attractive factors in MT. However, other factors such as ""healthcare costs"", and ""visa facilities"" are among key factors as well. Also, the role of ""the healthcare providers"" was found to be more prominent than the roles of ""the government"" and ""the general tourist services"". Conclusion: Although some attractive MT factors are present currently, MT expansion to a desirable level in Iran requires a comprehensive plan of which its factors were discussed in this paper.","Access to care; Health tourism; Healthcare cost; Healthcare quality; Iran; Medical tourism",,,,,,,,,"Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: the dawning of a new paradigm for healthcare (2006) Int J Fertil Women Med, 51 (6), pp. 251-255; Davatchi, F., Jamshidi, A.R., Banihashemi, A.T., Gholami, J., Forouzanfar, M.H., Akhlaghi, M., WHO-ILAR COPCORD study (stage 1, urban study) in Iran (2008) J rheumatol, 35 (7), pp. 1384-1390; Jabbari, A., Rahimi Zarchi, M.K., Kavosi, Z., Shafaghat, T., Keshtkaran, A., The Marketing Mix and Development of Medical Tourism in Shiraz (2013) Materia socio-medica, 25 (1), p. 32; Doswell, R., (1997) Tourism: How effective management makes the difference, , Routledge; Middleton, V.T., (1998) Sustainable tourism: A marketing perspective, , Routledge; Kušen, E., Health tourism (2002) Tourism (Zagreb), 50 (2), pp. 175-188; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Dalstrom, M., Medical travel facilitators: connecting patients and providers in a globalized world (2013) Anthropol Med, 20 (1), pp. 24-35; Malchesky, P.S., Organ Replacement, Medical Device Costs, and Medical Tourism: Globalization of the Clinical Application of Artificial Organ Technologies? (2011) Artific Organ, 35 (12), pp. 1139-1141; Mason, P., Grabowski, P., Du, W., Severe acute respiratory syndrome, tourism and the media (2005) International Journal of Tourism Research, 7 (1), pp. 11-21; Brotman, B.A., Medical tourism private hospitals: focus India (2010) J healthcare Finance, 37 (1), p. 45; Craig, K., Beichl, L., Globalization of Healthcare: Case Management in a 21st-Century World (2009) Profess Case Manag, 14 (5), pp. 235-246; Mehrdad, R., Health system in Iran (2009) JMAJ, 52 (1), pp. 69-73; Simpson, K., Bretherton, P., The impact of community attachment on host society attitudes and behaviours towards visitors (2009) Tourism and Hospitality Plan Develop, 6 (3), pp. 235-246","Rezaee, R.; Institute of Technology, Linköping University, Department of Management and EngineeringSweden; email: rezaee@health.gov.ir",,,"Tehran University of Medical Sciences",,,,,10161430,,MJIIE,,"English",,Article,"Final",,Scopus,2-s2.0-85019048723 "Reiter A., Ma A., Rawat N., Shrock C., Saria S.","24072196400;54958223900;55034863400;55617423600;56014917500;","Process monitoring in the intensive care unit: Assessing patient mobility through activity analysis with a non-invasive mobility sensor",2016,"Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)","9900 LNCS",,,"482","490",,3,"10.1007/978-3-319-46720-7_56","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996569951&doi=10.1007%2f978-3-319-46720-7_56&partnerID=40&md5=3ce0c6afc3e5949385195a03cb67fbe0","The Johns Hopkins University, Baltimore, MD, United States; Johns Hopkins Medical Institutions, Baltimore, MD, United States","Reiter, A., The Johns Hopkins University, Baltimore, MD, United States; Ma, A., The Johns Hopkins University, Baltimore, MD, United States; Rawat, N., Johns Hopkins Medical Institutions, Baltimore, MD, United States; Shrock, C., Johns Hopkins Medical Institutions, Baltimore, MD, United States; Saria, S., The Johns Hopkins University, Baltimore, MD, United States","Throughout a patient’s stay in the Intensive Care Unit (ICU),accurate measurement of patient mobility,as part of routine care,is helpful in understanding the harmful effects of bedrest [1]. However,mobility is typically measured through observation by a trained and dedicated observer,which is extremely limiting. In this work,we present a video-based automated mobility measurement system called NIMS: Non-Invasive Mobility Sensor. Our main contributions are: (1) a novel multi-person tracking methodology designed for complex environments with occlusion and pose variations,and (2) an application of human-activity attributes in a clinical setting. We demonstrate NIMS on data collected from an active patient room in an adult ICU and show a high inter-rater reliability using a weighted Kappa statistic of 0.86 for automatic prediction of the highest level of patient mobility as compared to clinical experts. © Springer International Publishing AG 2016.","Activity recognition; Patient safety; Tracking","Medical computing; Medical imaging; Process monitoring; Surface discharges; Accurate measurement; Activity recognition; Automatic prediction; Complex environments; Inter-rater reliabilities; Mobility measurements; Multi-person tracking; Patient safety; Intensive care units; actimetry; adult; algorithm; devices; human; intensive care unit; movement (physiology); procedures; reproducibility; sensitivity and specificity; videorecording; Actigraphy; Adult; Algorithms; Humans; Intensive Care Units; Movement; Reproducibility of Results; Sensitivity and Specificity; Video Recording",,,,,,,,"Brower, R., Consequences of bed rest (2009) Crit. Care Med, 37 (10), pp. S422-S428; Corchado, J., Bajo, J., de Paz, Y., Tapia, D., Intelligent environment for monitoring Alzheimer patients,agent technology for health care (2008) Decis. Support Syst, 44 (2), pp. 382-396; Hwang, J., Kang, J., Jang, Y., Kim, H., Development of novel algorithm and realtime monitoring ambulatory system using bluetooth module for fall detection in the elderly (2004) IEEE EMBS; Smith, M., Saunders, R., Stuckhardt, K., McGinnis, J., (2013) Best Care at Lower Cost: The Path to Continuously Learning Health Care in America, , National Academies Press,Washington,DC; Hashem, M., Nelliot, A., Needham, D., Early mobilization and rehabilitation in the intensive care unit: Moving back to the future (2016) Respir. Care, 61, pp. 971-979; Berney, S., Rose, J., Bernhardt, J., Denehy, L., Prospective observation of physical activity in critically ill patients who were intubated for more than 48 hours (2015) J. Crit. Care, 30 (4), pp. 658-663; Chakraborty, I., Elgammal, A., Burd, R., Video based activity recognition in trauma resuscitation (2013) International Conference on Automatic Face and Gesture Recognition; Lea, C., Facker, J., Hager, G., 3D sensing algorithms towards building an intelligent intensive care unit (2013) AMIA Joint Summits Translational Science Proceedings; Dalal, N., Triggs, B., Histograms of oriented gradients for human detection (2005) IEEE CVPR; Chen, X., Mottaghi, R., Liu, X., Detect what you can: Detecting and representing objects using holistic models and body parts (2014) IEEE CVPR; Felzenszwalb, P., Girshick, R., McAllester, D., Ramanan, D., Object detection with discriminatively trained part-based models (2010) PAMI, 32 (9), pp. 1627-1645; Verceles, A., Hager, E., Use of accelerometry to monitor physical activity in critically ill subjects: A systematic review (2015) Respir. Care, 60 (9), pp. 1330-1336; Babenko, D., Yang, M., Belongie, S., Robust object tracking with online multiple instance learning (2011) PAMI, 33 (8), pp. 1619-1632; Lu, Y., Wu, T., Zhu, S., Online object tracking,learning and parsing with and-or graphs (2014) IEEE CVPR; Choi, W., Pantofaru, C., Savarese, S., A general framework for tracking multiple people from a moving camera (2013) PAMI, 35 (7), pp. 1577-1591; Milan, A., Roth, S., Schindler, K., Continuous energy minimization for multi-target tracking (2014) TPAMI, 36 (1), pp. 58-72; Wang, H., Schmid, C., Action recognition with improved trajectories (2013) IEEE ICCV; Karpathy, A., Toderici, G., Shetty, S., Large-scale video classification with convolutional neural networks (2014) IEEE CVPR; Simonyan, K., Zisserman, A., Two-stream convolutional networks for action recognition in videos (2014) NIPS; Wu, Z., Wang, X., Jiang, Y., Ye, H., Xue, X., Modeling spatial-temporal clues in a hybrid deep learning framework for video classification (2015) ACMMM; Liu, J., Kuipers, B., Savarese, S., Recognizing human actions by attributes (2011) IEEE CVPR; Ma, A.J., Yuen, P.C., Saria, S., (2015) Deformable Distributed Multiple Detector Fusion for Multi-Person Tracking, , arXiv:1512.05990 [cs.CV]; Hodgson, C., Needham, D., Haines, K., Feasibility and inter-rater reliability of the ICU mobility scale (2014) Heart Lung, 43 (1), pp. 19-24; Girshick, R., (2015) Fast R-CNN, , arXiv:1504.08083; Krizhevsky, A., Sutskever, I., Hinton, G.E., Imagenet classification with deep convolutional neural networks (2012) NIPS; Keni, B., Rainer, S., Evaluating multiple object tracking performance: The CLEAR MOT metrics (2008) EURASIP J. Image Video Proces, 2008, pp. 1-10; Spinello, L., Arras, K.O., People detection in RGB-D data (2011) IROS; McHugh, M., Interrater reliability: The Kappa statistic (2012) Biochemia Med, 22 (3), pp. 276-282","Reiter, A.; The Johns Hopkins UniversityUnited States; email: areiter@cs.jhu.edu","Unal G.Sabuncu M.R.Wells W.Ourselin S.Joskowicz L.","","Springer Verlag","1st International Workshop on Simulation and Synthesis in Medical Imaging, SASHIMI 2016 held in conjunction with 19th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2016","21 October 2016 through 21 October 2016",,185759,03029743,9783319467191,,"29170766","English","Lect. Notes Comput. Sci.",Conference Paper,"Final",,Scopus,2-s2.0-84996569951 "Fernández-Guerrero I.M., Fernández-Guerrero C., Fernández-Cano A.","6505587935;57188648256;6507517413;","A pioneering on medical education: The seminal text of J.P. Frank's De medicis peregrinationibus - Medical travels (1792)",2016,"Educacion Medica","17","1",,"29","34",,3,"10.1016/j.edumed.2015.09.011","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962114169&doi=10.1016%2fj.edumed.2015.09.011&partnerID=40&md5=79c09d16914c0fce1f831544c7637ba2","Service of Emergency, University Hospital Virgen de las Nieves, Granada, Spain; Anesthesiology Service, University Hospital Virgen de las Nieves, Granada, Spain; Department of Research Methods and Diagnostics in Education, Facultad de Ciencias de la Educación, Universidad de Granada, Granada, Spain","Fernández-Guerrero, I.M., Service of Emergency, University Hospital Virgen de las Nieves, Granada, Spain; Fernández-Guerrero, C., Anesthesiology Service, University Hospital Virgen de las Nieves, Granada, Spain; Fernández-Cano, A., Department of Research Methods and Diagnostics in Education, Facultad de Ciencias de la Educación, Universidad de Granada, Granada, Spain","Background: Medical travel is a general term for all journeys made by a health professional, and are common practice for education and training as a significant globalised topic in modern medical education, and their relevance dates back far into history. Methods: A historical-documental method is used in this study. It re-examines and discusses critically the J.P. Frank text De medicis peregrinationibus (medical travel) written in 1792. Findings: This paper enlightens on the meaning and usefulness of medical travels towards the end of the 18th century. A critical review of the text is carried out in order to compare medical travel and medical education towards the end of the 18th century with the same travel and education today.The authors discuss a number of relevant points that Frank makes regarding travelling physicians, the meaning and usefulness of medical travels, as well as about a proposed curriculum for travelling physicians that could still be followed today. Conclusions: As a general conclusion, Frank's paper could be considered a seminal work on medical travel for educational purposes. His observations are still relevant today, reflected in students travelling abroad as part of mobility programmes in medical education. © 2015 Elsevier España, S.L.U.","De medicis peregrinationibus; History of medical education; Johann Peter Frank; Medical education; Medical travels; Mobility programs; Seminal medical texts",,,,,,,,,"Dauphinee, W.D., Have medical degree, will travel (2008) Med Educ, 42, pp. 10-11; Houpt, E.R., Pearson, R.D., Hall, T.L., Three domains of competency in global health education: recommendations for all medical students (2007) Acad Med, 82, pp. 222-225; Patricio, M., The Bologna process: state of the art after the 2007 London Ministerial Conference (2007) Educ Med, 10, pp. 128-129; Hensen, P., The Bologna process in European higher education: impact of bachelor's and master's degrees on German medical education (2010) Teach Learn Med, 22, pp. 142-147; Ekeid, E., Studiosi vagantes (1966) Med Educ, 1, pp. 52-75; Grell, O.P., Arrizabalaga, J., (2010) Centres of medical excellence? Medical travel and education in Europe, 1500-1789, , Ashgate, Farnham, UK; Spillane, J.D., (1984) Medical travellers: narratives from the seventeenth, eighteenth and nineteenth centuries, , Oxford University Press, Oxford, UK; Vicedo, A., Abraham Flexner, pionero de la educación médica (2002) Educ Med, 5, pp. 163-167; McLean, M.R., Morahan, P.S., Dannels, S.A., McDade, D., Geographic mobility advances careers: study of the executive leadership in academic medicine (ELAM) program for women (2013) Acad Med, 88, pp. 1700-1706; Frank, J.P., Medicis peregrinationibus (1792) Delectus opusculorum medicorum, 11, pp. 359-382. , Pietro Galeati's Heirs Press, Pavia, IT; Bonner, T.N., (2000) Becoming a physician. Medical education in Britain, France, Germany, and the United States, 1750-1945, , Johns Hopkins University Press, Baltimore, MD; Frank, J.P., (1779) System einer vollstaendigen medicinischen polizey, 1 (9). , Schwan F, Mannheim, English translation as: A system of complete medical police. Baltimore, MD: Johns Hopkins University Press; 1976; Asgary, R., Price, J., Ripp, J., Global health training starts at home: a unique US-based global health clinical elective for residents (2012) Med Teach, 34, pp. e445-e451; Nishigori, H., Otani, T., Plint, S., Uchino, M., Ban, N., I came, I, saw, I reflected: a qualitative study into learning outcomes of international electives for Japanese and British medical students (2009) Med Teach, 31, pp. e196-e201; Peluso, M.J., Encandela, J., Hafler, J.P., Margolis, C.Z., Guiding principles for the development of global health education curricula in undergraduate medical education (2012) Med Teach, 34, pp. 653-658; Balandin, S., Lincoln, M., Sen, R., Wilkins, D.P., Trembath, D., Twelve tips for effective international clinical placements (2007) Med Teach, 29, pp. 872-877; Bender, A., Walker, P., The obligation of debriefing in global health education (2013) Med Teach, 35, pp. e1027-e1034; Keogh, J., Russel-Roberts, E., Exchange programmes and student mobility: meeting student's expectations or an expensive holiday (2009) Nurs Educ Today, 29, pp. 108-116; Majoor, G.D., Internationalization of undergraduate medical studies: promoting clinical tourism or academic development (2001) Med Educ, 35, pp. 1162-1163; Abramovitch, H., Schreier, A., Koren, N., American medical students in Israel: stress and coping - a follow-up study (2000) Med Educ, 34, pp. 890-896; Kumar, K., Xie, F., Medical students without borders: the value of undergraduate placements abroad (2014) Med Teach, 36, pp. 359-360; Dyke, T., The Erasmus programme: is British medical education going to lose out on educational opportunities in Europe? (1990) Med Educ, 24, p. 313; van den Broek, S., Cate, O.T., Wijnen-Meijer, M., van Dijk, M., Effect of the Bologna bachelor degree on considerations of medical students to interrupt or terminate their medical training (2014) Med Teach, 36, pp. 169-174; Kraeker, C., Chandler, C., We learn from them, they learn from us: global health experiences and host perceptions of visiting health care professionals (2013) Acad Med, 88, pp. 483-487; Whitehead, C.R., Hodges, B.D., Austin, Z., Captive on a carousel: discourses of 'new' in medical education 1910-2010 (2013) Adv Health Sci Educ, 18, pp. 755-768; King, L.S., Medicine in the USA - historical vignettes. The painfully slow progress in medical-education (1983) JAMA, 249, pp. 270-274; Bosch, F., Baños, J.E., Tendiendo puentes: la utilidad de la historia de la ciencia para comprender el proceso de investigación y desarrollo de medicamentos (2010) Educ Med, 13, pp. 255-262","Fernández-Cano, A.; Department of Research Methods and Diagnostics in Education, Facultad de Ciencias de la Educación, Universidad de GranadaSpain; email: afcano@ugr.es",,,"Fundacion Educacion Medica",,,,,15751813,,,,"English","Educ. Med.",Article,"Final",Open Access,Scopus,2-s2.0-84962114169 "Bristow R.S., Yang W.-T.","7006947050;57214739728;","Sea, sun, sand and …. Selecting surgery: An exploration of health, medical and wellness tourist's mobility",2015,"Human Geographies","9","2",,"117","129",,3,"10.5719/hgeo.2015.92.1","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949220817&doi=10.5719%2fhgeo.2015.92.1&partnerID=40&md5=fde09655446693ca367d5b81fdbf6ff3","WestField State University, United States; Feng-Chia University, Taiwan","Bristow, R.S., WestField State University, United States; Yang, W.-T., Feng-Chia University, Taiwan","Mass tourism facilities depend on repeat visitors as well as attracting new first time tourists. As these traditional sun and sand holiday destinations mature, tourism promoters are bundling opportunities to attract a different kind of tourist. Since many of these resorts are all-inclusive facilities and include a Spa, one potential expansion may be to market to health, medical or wellness tourists. Geographic research in travel and tourism has found that individuals either repeat visits to the same destination or diversify their choices. This paper highlights the decision-making process of tourists and how it may be related to the niche market of health, wellness, and medical tourism. It uses data from a survey that gathered the travel patterns and motivations, and socio-demographics of medical tourists. Consumers who exhibit different travel behavior rank hospital accreditation and American hospital affiliation more important than those who repeat travel behavior. © 2015 Human Geographies.","Costa rica; Health; Medical and wellness tourism; Mobility; Travel choice behavior",,,,,,,,,"Aizura, A.Z., Feminine transformations: Gender reassignment surgical tourism in Thailand (2010) Medical Anthropology, 29 (4), pp. 424-443; Alegre, J., Cladera, M., Repeat Visitation in Mature Sun and Sand Holiday Destinations (2006) Journal of Travel Research, 44 (3), pp. 288-297; Andersen, R., Revisiting the Behavioral model and Access to Medical Care: Does it Matter? 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Geogr.",Article,"Final",Open Access,Scopus,2-s2.0-84949220817 "Banerjee S., Nath S.S., Dey N., Eto H.","57104265200;56417200500;55356190900;7103278113;","Global medical tourism: A review",2015,"New Business Opportunities in the Growing E-Tourism Industry",,,,"114","131",,3,"10.4018/978-1-4666-8577-2.ch007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957635173&doi=10.4018%2f978-1-4666-8577-2.ch007&partnerID=40&md5=07ad059c6ad3bb5b12b8fdbd605c5ff6","Department of CSE, JIS College of Engineering and Technology, Kalyani, Nadia, India; Department of Computer Science, Bengal College of Engineering and Technology, Durgapur, West Bengal, India; University of Tsukuba, Japan; JIS College of Engineering and Technology, Kalyani, Nadia, India","Banerjee, S., Department of CSE, JIS College of Engineering and Technology, Kalyani, Nadia, India; Nath, S.S., Department of CSE, JIS College of Engineering and Technology, Kalyani, Nadia, India; Dey, N., Department of Computer Science, Bengal College of Engineering and Technology, Durgapur, West Bengal, India, JIS College of Engineering and Technology, Kalyani, Nadia, India; Eto, H., University of Tsukuba, Japan","Medical tourism is related to the travel of patients from one country to another in order to obtain medical treatment in that country. There are several countries worldwide promoting medical tourism and attracting patients. Most of the developing nations attract the patients because of cost benefits whereas the developed nations attract patients who require complex surgeries or any kind of advanced medical treatment. The main aim of this research paper is to focus on the development of medical tourism industry, worldwide. Medical Tourism industry throughout the world is growing at a fast rate. It has huge potential for generating employment and earning large amount of foreign exchange. This will help in the country's overall economic development. Medical tourism incorporates multi-dimensional activity but basically it is a service industry. Hence, medical tourism is a vital revenue earning source especially for the developing nations. Hence, it can be said that it is a win situation for both the patients as well as the destination countries. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave Macmillan Ltd; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165. , PMID:17486202; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368. , PMID:16522578; Great Indian hospitality can be biz too (2005) The Economic Times; Thai health tourism gives India headache (2005) The Economic Times; Apple by J, Schmidt J. Sending patients packing (2006) USA Today; Varshney, U., Using wireless technologies in healthcare (2006) Int. J. Mobile Communications, 4 (3), pp. 354-368; Ahluwalia, P., Varshney, U., Composite quality of service and decision making perspectives in wireless networks (2009) Decision Support Systems, 46 (2), pp. 542-551; Alam, S.S., (2009); Briefing papers: cosmetic surgery tourism (2007) Herrick; Devon, M., ""Medical tourism: health care free trade"" (2008), National Center for Policy Analysis Brief Analysis No. 623; Baliamoune-Lutz, M., An analysis of the determinants and effects of ICT diffusion in developing countries (2003) Information Technology for Development, 10 (3), pp. 151-169; Baliga, H., (2006) Medical tourism is the new wave of outsourcing from India; (2007) International Symposium on Stem Cell Therapy for the Failing Heart.; Breen, K., (2007) Patients heading abroad for hope, , Dallas Morning News; (2004) Vacation, adventure and surgery, , [Transcript and video] ""60 Minutes""; Chatterjee, S., Chakraborty, S., Sarker, S., Sarker, S., Lau, F.Y., Examining the success factors for mobile work in healthcare: A deductive study (2009) Decision Support Systems, 46 (3), pp. 620-633; (2005) Beat waiting lists with overseas op; Hancock, D., (2006) The Complete Medical Tourist -You're Guide to Inexpensive Cosmetic, Medical and Dental Surgery Abroad, , London, UK: John Blake Publishing; (2009) Tourism in the Developing World - Promoting Peace and Reducing Poverty; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal of Fertility and Women's Medicine, 51, pp. 251-255. , PMID:17566566; Kher, U., Outsourcing your heart, Time.: 44-47 (2006) Joint Commission International Accredited Organizations, , Accessed 2007; Konrad, W., (2007) Employers make a push for 'medical tourism', , CNNMoney/Fortune Small Business Web site; Lee, M.K.O., Cheung, C.M.K., A Multiple-Case Study (2004) Information Systems Frontiers, 6 (4), pp. 385-397. , December; Leigh, S., (2005) Reproductive 'tourism', , USA Today.: D7; Lorenz, R.O., Oppermann, R., Mobile health monitoring for the elderly: Designing for diversity (2009) Pervasive and Mobile Computing, 5 (5), pp. 478-495; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850. , PMID:17549816; Mechael, P., The case for mHealth in developing countries (2009) Innovations: Technology, Governance, Globalization, 4 (1), pp. 103-118; Milstein, A., Smith, M., America's new refugees - seeking affordable surgery offshore (2006) The New England Journal of Medicine, 355 (16), pp. 1637-1640. , PMID:17050886; (2007) Is traveling abroad for cheap surgery extreme? Your Health: Taking Control; Post, W., (2004) medical tourism industry booms as health costs rise, , Lancaster J. Surgeries, side trips for medical tourists. p. A1 Arnold K. (2006) Going under the knife abroad, The Monitor (McAllen, Texas):A1; Schult, J., (2006), A Medical Tourist's Guide to Affordable and Quality Cosmetic Care Outside the U.S. New York, NY: Stewart, Tabori & Chang; Shah Alam, S., Adoption of internet in Malaysian SMEs (2009) Journal of Small Business and Enterprise Development, 16 (2), pp. 240-255. , May 15; Van Dusen, A., (2007) Outsourcing your health, , Forbes Web site; Woodman, J., (2007) Patients beyond Borders - Everybody's Guide to Affordable, World-Class Medical Tourism, , Chapel Hill, NC: Healthy Travel Media","Banerjee, S.; Department of CSE, JIS College of Engineering and TechnologyIndia",,,"IGI Global",,,,,,9781466685789; 1466685778; 9781466685772,,,"English","New Bus. Oppor. in the Grow. E-Tour. Ind.",Book Chapter,"Final",,Scopus,2-s2.0-84957635173 "Johnston R., Adams K., Bishop L., Crooks V.A., Snyder J.","36500711800;37074104200;56673782200;35585107800;24170239100;","Best care on home ground versus elitist healthcare: Concerns and competing expectations for medical tourism development in Barbados",2015,"International Journal for Equity in Health","14","1", 147,"","",,3,"10.1186/s12939-015-0147-1","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924069555&doi=10.1186%2fs12939-015-0147-1&partnerID=40&md5=2b924ceff944ed0f8d8355e9fdfb7d77","Department of Geography, Simon Fraser University, Burnaby, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Faculty of Medical Sciences, University of West Indies, Cave Hill, Barbados","Johnston, R., Department of Geography, Simon Fraser University, Burnaby, Canada; Adams, K., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; Bishop, L., Faculty of Medical Sciences, University of West Indies, Cave Hill, Barbados; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada","Introduction: Many countries have demonstrated interest in expanding their medical tourism sectors because of its potential economic and health system benefits. However, medical tourism poses challenges to the equitable distribution of health resources between international and local patients and private and public medical facilities. Currently, very little is known about how medical tourism is perceived among front line workers and users of health systems in medical tourism 'destinations'. Barbados is one such country currently seeking to expand its medical tourism sector. Barbadian nurses and health care users were consulted about the challenges and benefits posed by ongoing medical tourism development there. Methods: Focus groups were held with two stakeholder groups in May, 2013. Nine (n = 9) citizens who use the public health system participated in the first focus group and seven (n = 7) nurses participated in the second. Each focus group ran for 1.5 hours and was digitally recorded. Following transcription, thematic analysis of the digitally coded focus group data was conducted to identify cross-cutting themes and issues. Results: Three core concerns regarding medical tourism's health equity impacts were raised; its potential to 1) incentivize migration of health workers from public to private facilities, 2) burden Barbados' lone tertiary health care centre, and 3) produce different tiers of quality of care within the same health system. These concerns were informed and tempered by the existing a) health system structure that incorporates both universal public healthcare and a significant private medical sector, b) international mobility among patients and health workers, and c) Barbados' large recreational tourism sector, which served as the main reference in discussions about medical tourism's impacts. Incorporating these concerns and contextual influences, participants' shared their expectations of how medical tourism should locally develop and operate. Conclusions: By engaging with local health workers and users, we begin to unpack how potential health equity impacts of medical tourism in an emerging destination are understood by local stakeholders who are not directing sector development. This further outlines how these groups employ knowledge from their home context to ground and reconcile their hopes and concerns for the impacts posed by medical tourism. © 2015 Johnston et al.","Barbados; Caribbean; Focus groups; Health equity; Health services; International medical travel; Medical tourism; Qualitative methods; Thematic analysis","disease treatment; health care; public health; quality of life; stakeholder; tourism development; tourism management; adult; Article; Barbadian; Barbados; clinical article; expectation; female; health care quality; health care system; home care; human; male; medical tourism; nurse; nursing care; patient mobility; priority journal; public health service; tertiary health care; thematic analysis; ethics; health care disparity; health care planning; information processing; patient attitude; private sector; supply and distribution; utilization; Barbados; Barbados; Focus Groups; Health Resources; Healthcare Disparities; Humans; Medical Tourism; Nurses, Public Health; Patient Acceptance of Health Care; Private Sector",,,,,,,,"Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Smith, R., Martínez Á., M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2-3), pp. 276-282; Connell, J., A new inequality? 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(2010) J Public Health Policy, 31 (2), pp. 185-198; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? (2010) A Scoping Review. 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(2013) PLoS One., 8 (10), p. e70406; Naranong, A., Naranong, V., The effects of medical tourism: Thailand's experience (2011) Bull World Health Organ., 89 (5), pp. 336-344; Ormond, M., Shifting subjects of health-care: Placing ""medical tourism"" in the context of malaysian domestic health-care reform (2011) Asia Pac Viewp, 52 (3), pp. 247-259; Alleyne, K., Making Strides in the Medical Tourism Field, , http://www.barbadosadvocate.com/newsitem.asp?more=local&NewsID=13821; Barbados Seeking to Become Health Care Capital of the Caribbean, , http://www.barbadosadvocate.com/newsitem.asp?more=3Dlocal&NewsID=24703; Kirton, W., The Medical Tourism Niche, , http://www.nationnews.com/nationnews/news/26420/medical-tourism-niche; Sen, G.A., Medical tourism: Reverse subsidy for the elite (2011) Signs, 36 (2), pp. 312-319; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Soc Sci Med., 67 (1), pp. 101-110; Koplan, J.P., Bond, T.C., Merson, M.H., Reddy, K.S., Rodriguez, M.H., Sewankambo, N.K., Towards a common definition of global health (2009) Lancet, 373 (9679), pp. 1993-1995; Rowson, M., Willott, C., Hughes, R., Maini, A., Martin, S., Miranda, J.J., Conceptualising global health: Theoretical issues and their relevance for teaching (2012) Global Health., 8 (1), p. 36; Runnels, V., Turner, L., Bioethics and transnational medical travel: India, ""medical tourism"", and the globalisation of healthcare (2011) Indian J Med Ethics, 8 (1), pp. 42-44; Kangas, B., Travel for medical care in a global world (2010) Med Anthropol, 29 (4), pp. 344-362","Johnston, R.; Department of Geography, Simon Fraser UniversityCanada",,,"BioMed Central Ltd.",,,,,14759276,,,"25643761","English","Int. J. Equity Health",Article,"Final",Open Access,Scopus,2-s2.0-84924069555 "Hall C.M.","55017070000;","The coming perfect storm: Medical tourism as a biosecurity issue",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"193","204",,3,"10.4337/9781783471195.00029","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027700748&doi=10.4337%2f9781783471195.00029&partnerID=40&md5=0708008c366d24552c20bea6f6069d52","Department of Management, Marketing and Entrepreneurship, University of Canterbury, New Zealand; Department of Geography, University of Oulu, Finland; School of Business and Economics, Linnaeus University, Sweden; School of Tourism and Hospitality, University of Johannesburg, South Africa","Hall, C.M., Department of Management, Marketing and Entrepreneurship, University of Canterbury, New Zealand, Department of Geography, University of Oulu, Finland, School of Business and Economics, Linnaeus University, Sweden, School of Tourism and Hospitality, University of Johannesburg, South Africa",[No abstract available],,,,,,,,,,"Adler, A., Shklyar, M., Schwaber, M., Navon-Venezia, S., Dhaher, Y., Edgar, R., Solter, E., Carmeli, Y., Introduction of OXA-48-producing Enterobacteriaceae to Israeli hospitals by medical tourism (2011) Journal of Antimicrobial Chemotherapy, 66 (12), pp. 2763-2766; Ahammad, Z.S., Sreekrishnan, T.R., Hands, C.L., Knapp, C., Graham, D., Increased waterborne blaNDM-1 resistance gene abundances associated with seasonal human pilgrimages to the Upper Ganges River (2014) Environmental Science & Technology, 48 (5), pp. 3014-3020; Allegranzi, B., Nejad, S.B., Combescure, C., Graafmans, W., Attar, H., Donaldson, L., Didier, D., Burden of endemic health-care-associated infection in developing countries: Systematic review and meta-analysis (2011) The Lancet, 377 (9761), pp. 228-241; Alp, E., Leblebicioglu, H., Doganay, M., Voss, A., Infection control practice in countries with limited resources (2011) Annals of Clinical Microbiology and Antimicrobials, 10, p. 36; Arcilla, M.S., van Hattem, J., Bootsma, M., van Genderen, P., Goorhuis, A., Schultsz, C., Stobberingh, E., Penders, J., The carriage of multiresistant bacteria after travel (COMBAT) prospective cohort study: Methodology and design (2014) BMC Public Health, 14 (1), p. 410; Baylina, P., Moreira, P., Healthcare-associated infections-on developing effective control systems under a renewed healthcare management debate (2012) International Journal of Healthcare Management, 5 (2), pp. 74-84; Beale, R., Fairbrother, J., Inglis, A., Trebeck, D., (2008) One Security A Working Partnership. 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9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85027700748 "Ormond M.","7801551522;","What’s where? Why there? And why care? A geography of responsibility in medical tourism",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"123","130",,3,"10.4337/9781783471195.00021","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963505741&doi=10.4337%2f9781783471195.00021&partnerID=40&md5=9189b2b8df39067665369ddba1298832","Wageningen University, Netherlands","Ormond, M., Wageningen University, Netherlands",[No abstract available],,,,,,,,,,"Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Promoting social responsibility amongst healthcare users: Medical tourists’ perspectives on an information sheet regarding ethical concerns in medical tourism (2013) Philosophy, Ethics and Humanities in Medicine, 8 (19), pp. 1-10; (2008) New AMA Guidelines on Medical Tourism, , Chicago: AMA; Barnett, C., Cloke, P., Clarke, N., Malpass, A., (2011) Globalizing Responsibility: The Political Rationalities of Ethical Consumption, , Chichester: John Wiley & Sons; Bell, D., Holliday, R., Jones, M., Probyn, E., Sanchez Taylor, J., Bikinis and bandages: An itinerary for cosmetic surgery tourism (2011) Tourist Studies, 11 (2), pp. 139-155; Brooker, E., Go, F.M., (2006) Health care tourism-a classic example of disruptive innovation, , Paper presented at Montebello, Quebec, ‘Travel and Tourism Research Association Canada Chapter Conference’, 15-17 October 2006; Buzinde, C.N., Yarnal, C., Therapeutic landscapes and postcolonial theory: A theoretical approach to medical tourism (2012) Social Science & Medicine, 74 (5), pp. 783-787; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Christensen, C.M., (1997) The Innovator’s Dilemma, , Cambridge, MA: Harvard Business School Press; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Drager, N., Fidler, D.P., Foreign policy, trade and health: At the cutting edge of global health policy (2007) Bulletin of the World Health Organization, 85 (3), p. 162; Elkington, J., (1997) Cannibals with Forks: The Triple Bottom Line of 21st Century Business, , Oxford: Capstone Press; Fennell, D., (2006) Tourism Ethics, , Clevedon: Channel View Publications; Friedman, T.L., (2006) The World is Flat, , London: Penguin; Hadi, A., (2009) Globalisation, medical tourism and health equity, , Symposium on Implications of Medical Tourism for Canadian Health and Health Policy, 30 November 2009, Ottawa: Canada; Johnston, R., Crooks, V., Medical tourism in the Caribbean Region: A call to consider environmental health equity (2013) West Indian Medical Journal, 62 (3), pp. 250-253; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14 (3), pp. 293-305; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Kingsbury, P., Crooks, V.A., Snyder, J., Johnston, R., Adams, K., Narratives of emotion and anxiety in medical tourism: On “State of the Heart and Larry’s Kidney” (2012) Social and Cultural Geography, 13 (4), pp. 361-378; Lee, C.A., Socialized medicine meets private industry: Medical tourism in Costa Rica (2012) Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services, pp. 87-110. , J. 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Oakes (eds), London: Routledge; Ormond, M., Claiming “cultural competence”: The promotion of multi-ethnic Malaysia as a medical tourism destination (2012) Medical Tourism: The Ethics, Regulation and Marketing of Health Mobility, pp. 187-200. , C.M. Hall (ed.), London: Routledge; Ormond, M., (2013) Neoliberal Governance and International Medical Travel in Malaysia, , London: Routledge; Ormond, M., Medical tourism (2014) The Wiley-Blackwell Companion to Tourism, pp. 425-434. , C.M. Hall, A. Williams, A. 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Oakes (eds), London: Routledge; Snyder, J., Dharamsi, S., Crooks, V.A., Fly-by medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists (2011) Globalization and Health, 7 (6), pp. 1-14; Solomon, H., Affective journeys: The emotional structuring of medical tourism in India (2011) Anthropology and Medicine, 18 (1), pp. 105-118; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Sparke, M., Unpacking economism and remapping the terrain of global health (2009) Global Health Governance: Transformations, Challenges and Opportunities Amidst Globalization, pp. 131-159. , O. Williams, A. Kay (eds), London: Palgrave; Thakkar, R.N., Medical tourism (2010) The Hospitalist, , October 2010, Philadelphia: Society of Hospital Medicine; Whittaker, A., Challenges of medical travel to global regulation: A case study of reproductive travel in Asia (2010) Global Social Policy, 10 (3), pp. 396-415; Wolvaart, G., Opportunities and challenges for developing countries in the health sector (1998) International Trade in Health Services: A Development Perspective, UNCTAD-WHO Joint Publication, pp. 63-70. , Geneva; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702; Woodman, J., The top 10 medical travel destinations (2010) International Living, , 1 June, Baltimore: International Living Publishing Ltd; Yea, S., Trafficking in part(s): The commercial kidney market in a Manila slum, Philippines (2010) Global Social Policy, 10 (3), pp. 358-376","Ormond, M.; Wageningen UniversityNetherlands",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84963505741 "Horsfall D., Lunt N.","35848647100;6603761945;","Medical tourism by numbers",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"25","36",,3,"10.4337/9781783471195.00011","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961797660&doi=10.4337%2f9781783471195.00011&partnerID=40&md5=8fbd2dffa28a90d7007e0b21abaea98e","Department of Social Policy and Social Work, University of York, United Kingdom","Horsfall, D., Department of Social Policy and Social Work, University of York, United Kingdom; Lunt, N., Department of Social Policy and Social Work, University of York, United Kingdom",[No abstract available],,,,,,,,,,"Abdullah, F., Zhang, Y., Lardaro, T., Black, M., Colombani, P.M., Chrouser, K., Pronovost, P.J., Chang, D.C., Analysis of 23 million US hospitalizations: Uninsured children have higher all-cause in-hospital mortality (2010) Journal of Public Health, 32 (2), pp. 236-244; Alhamdani, A., Wilson, M., Jones, T., Taqvi, L., Gonsalves, P., Boyle, M., Mahawar, K., Small, P.K., Laparoscopic adjustable gastric banding: A 10-year single-centre experience of 575 cases with weight loss following surgery (2012) Obesity Surgery, 22 (7), pp. 1029-1038; Alker, J., Mancini, T., Heberlein, M., (2012) Uninsured Children 2009-2011: Charting the Nation’s Progress, , Washington, DC: The Center for Children and Families, Georgetown University; Alleman, B., Luger, T., Reisinger, H., Martin, R., Horowitz, M., Cram, P., Medical tourism services available to residents of the United States (2010) Journal of General Internal Medicine, 26 (5), p. 5; Baker, S., Medical tourism, opportunities for American radiologists? (2014) Notes of a Radiology Watcher, , S. Baker (ed.), New York: Springer International Publishing; Baliga, H., (2006) Medical Tourism is the New Wave of Outsourcing from India, , India Daily. [No longer accessible online.]; Bergmann, S., Fertility tourism: Circumventive routes that enable access to reproductive technologies and substances (2011) Signs, 36 (2), pp. 280-289; Cohen, I.G., How to regulate medical tourism (and why it matters for bioethics) (2012) Developing World Bioethics, 12 (1), pp. 9-20; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732; Ehrbeck, T., Guevara, C., Mango, P.D., (2008) Mapping the Market for Medical Travel, , The McKinsey Quarterly; Fisher, C., Sood, K., What is driving the growth in medical tourism? (2014) Health Marketing Quarterly, 31 (3), pp. 246-262; Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the United States (2013) Plastic and Reconstructive Surgery-Global Open, 1 (7), p. e63; Gan, L.L., Frederick, J.R., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the NHS? (2013) PLoS ONE, 8 (10), p. e70406; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2010) Health Policy and Planning, 25 (3), pp. 248-251; Herrick, D.M., (2007) Medical Tourism: Global Competition in Health Care, , Policy report no. 304, Dallas: National Center for Policy Analysis; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Horowitz, M.D., Rosenweig, J.A., Medical tourism-health care in the global economy (2007) Physician Executive, 33 (6), pp. 24-30; Horsfall, D., Lunt, N., King, H., Hanefeld, J., Smith, R.D., The impact of the internet on medical tourism (2013) Medical Tourism and Transnational Health Care, pp. 223-239. , D. Botterill, G. Pennings, T. Mainil (eds.), Basingstoke: Palgrave Macmillan; Horton, S., Cole, S., Medical returns: Seeking health care in Mexico (2011) Social Science & Medicine, 72 (11), pp. 1846-1852; Hudson, N., Culley, L., Assisted reproductive travel: UK patient trajectories (2011) Reproductive BioMedicine Online, 23 (5), pp. 573-581; Inhorn, M.C., Diasporic dreaming: Return reproductive tourism to the Middle East (2011) Reproductive BioMedicine Online, 23 (5), pp. 582-591; Iorio, M., Verma, K., Ashktorab, S., Davison, S., Medical tourism in plastic surgery: Ethical guidelines and practice standards for perioperative care (2014) Aesthetic Plastic Surgery, 38 (3), pp. 602-607; Jacobs, J.P., Horowitz, M.D., Mavroudis, C., Siegel, A., Sade, R.M., Surgical tourism: The role of cardiothoracic surgery societies in evaluating international surgery centers (2013) The Annals of Thoracic Surgery, 96 (1), pp. 8-14; Johnson, T., Garman, A.N., Impact of medical travel on imports and exports of medical services (2010) Health Policy, 98 (2), pp. 171-177; Kantak, N.A., Reish, R.G., Slavin, S.A., Lin, S.J., Gossypiboma: An approach to diagnosis in the era of medical tourism (2014) Plastic and Reconstructive Surgery, 133 (3), pp. 443e-444e; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington, DC: Deloitte Center for Health Solutions; Keckley, P.H., Eselius, L.L., (2009) 2009 Survey of Health Care Consumers: Key Findings, Strategic Implications, , Washington, DC: Deloitte Center for Health Solutions; Keckley, P.H., Underwood, H.R., (2009) Medical Tourism: Update and Implications, , Washington, DC: Deloitte Center for Health Solutions; Kumar, S., Breuing, R., Chahal, R., Globalization of health care delivery in the United States through medical tourism (2011) Journal of Health Communication, 17 (2), pp. 177-198; Lin, H.-C., Assessment of the partnership quality between travel agencies and health care organizations on the international medical tourism market in Taiwan (2014) Journal of Quality Assurance in Hospitality & Tourism, 15 (4), pp. 356-381; Lunt, N., Exworthy, M., Green, S., Horsfall, D., Mannion, R., Smith, R.D., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , Health Working Papers, Paris: OECD; Lunt, N., Green, S., Mannion, R., Horsfall, D., Quality, safety and risk in medical tourism (2012) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, , C. M. Hall (ed.), New York: Routledge; Lunt, N., Horsfall, D., Smith, R.D., Exworthy, M., Hanefeld, J., Mannion, R., Market size, market share and market strategy: Three myths of medical tourism (2014) Policy and Politics, 42 (4), pp. 597-614; Lunt, N., Smith, R., Mannion, R., Green, S., Exworthy, M., Hanefeld, J., Horsfall, D., King, H., Implications for the NHS of inward and outward medical tourism: A policy and economic analysis using literature review and mixed-methods approaches (2014) Health Service Delivery Research, 2 (2); Lunt, N., Jin, K., Horsfall, D., Hanefeld, J., Insights on medical tourism: Markets as networks and the role of strong ties (2014) Korean Social Science Journal, 41 (1), pp. 19-37; Mackun, P., Wilson, S., (2011) Population Distribution and Change: 2000 to 2010 (2010 Census Briefs), , Maryland: US Census Bureau; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Developing World Bioethics, 11 (1), pp. 16-29; Melnick, G.A., Fonkych, K., Hospital pricing and the uninsured: Do the uninsured pay higher prices? (2008) Health Affairs, 27 (2), pp. 116-122; Merlock Jackson, K., Lyon Payne, L., Shepherd Stolley, K., Celebrity treatment: The intersection of star culture and medical tourism in American society (2013) The Journal of American Culture, 36 (2), pp. 124-134; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) Journal of Plastic, Reconstructive and Aesthetic Surgery, 65 (1), pp. 22-28; Noree, T., Hanefeld, J., Smith, R., UK medical tourists in Thailand: They are not who you think they are (2014) Globalization and Health, 10 (1), p. 29; Oh, K., Jun, J., Zhou, Q., Kreps, G., Korean American women’s perceptions about physical examinations and cancer screening services offered in Korea: The influences of medical tourism on Korean Americans (2014) Journal of Community Health, 39 (2), pp. 221-229; (2012) International Passenger Survey, , Newport: Office for National Statistics; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on South-South intra-regional medical travel (2014) Current Issues in Tourism, pp. 1-17; Owers, C., Ackroyd, R., A study examining the complications associated with gastric banding (2013) Obesity Surgery, 23 (1), pp. 56-59; Rhodes, R., Schiano, T., Transplant tourism in China: A tale of two transplants (2010) The American Journal of Bioethics, 10 (2), pp. 3-11; Shetty, P., Medical tourism booms in India, but at what cost? (2010) The Lancet, 376 (9742), pp. 671-672; Singh, N., Exploring the factors influencing the travel motivations of US medical tourists (2012) Current Issues in Tourism, 16 (5), pp. 436-454; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The “patient’s physician one-step removed”: The evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37 (9), pp. 530-534; Storrow, R.F., Assisted reproduction on treacherous terrain: The legal hazards of cross-border reproductive travel (2011) Reproductive BioMedicine Online, 23 (5), pp. 538-545; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) International Journal for Quality in Health Care, 23 (1), pp. 1-7; Turner, L., Making Canada a destination for medical tourists: Why Canadian provinces should not try to become “Mayo Clinics of the North” (2012) Healthcare Policy, 7, pp. 18-25; Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732; Verberg, M.F.G., Macklon, N.S., Nargund, G., Frydman, R., Devroey, P., Broekmans, F.J., Fauser, B.C.J.M., Mild ovarian stimulation for IVF (2009) Human Reproduction Update, 15 (1), pp. 13-29; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84961797660 "Chanda R.","7004477781;","Medical tourism and outward FDI in health services: India in South Asia",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"296","306",,3,"10.4337/9781783471195.00040","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961769233&doi=10.4337%2f9781783471195.00040&partnerID=40&md5=e817d7575114fdca9d816fdd69dd631a","Economics and Social Sciences Area, Indian Institute of Management Bangalore, India","Chanda, R., Economics and Social Sciences Area, Indian Institute of Management Bangalore, India",[No abstract available],,,,,,,,,,"India’s medical tourism takes a hit on Indo-Pak tension (2013) Business Standard, , 16 January 2013; Cattaneo, O., Trade in health services: What’s in it for developing countries (2009) World Bank Policy Research Working Paper, 5115. , Washington, DC: World Bank; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80 (2), pp. 158-163; Chanda, R., (2011) Integrating Services in South Asia: Trade, Investment, Mobility, , New Delhi: Oxford University Press; Chanda, R., Medical value travel in India: Prospects and challenges? (2013) Traveling Well: Essays in Medical Tourism, 4 (1). , R. Labonte, V. Runnels, C. Packer, R. Deonandan (eds); Herald, D., Shunning Pakistan, Afghans rush to India for quality healthcare (2011) Deccan Herald, , 29 May 2011; Harling, R., Turbitt, D., Millar, M., Ushiro-Lumb, I., Lacey, S., Xavier, G., Pope, J., Teo, C.-G., Passage from India: An outbreak of hepatitis B linked to a patient who acquired infection from health care overseas (2007) Public Health, 121 (10), pp. 734-741; (2013) Healthcare Industry in India, , Gurgaon: IBEF; Labonte, R., Overview: Medical tourism today: What, who, why and where? (2013) Traveling Well: Essays in Medical Tourism, 4 (1). , R. Labonte, V. Runnels, C. Packer, R. Deonandan (eds); Corporate India laments first-advantage loss in medical tourism (2013) The Malay Mail Online, , 14 August 2013; Pakistani children could soon be “made in Mumbai” (2012) NDTV, , 11 April 2012; Oberholzer-Gee, F., Khanna, T., Knoop, C.-I., Apollo hospitals-first world health care at emerging-market prices (2007) Harvard Business School Case Collection, , 9-706-440, Cambridge, MA: Harvard Business School; Rahman, M., (2000) Bangladesh-India Bilateral Trade: An Investigation into Trade in Services, , prepared under the South Asia Network of Economic Research Institutes (SANEI) Study Programme, Centre for Policy Dialogue, Dhaka; Liberalising health services under SAARC Agreement on Trade in Services (SATIS): Implications for South Asian countries (2011) South Asia Centre for Policy Studies PAPERS, Paper No. 24, , Kathmandu: SACEPS; Saligram, P.S., (2009) Trade aspects of medical tourism in India, , unpublished Master’s dissertation, University of Edinburgh, Edinburgh, Scotland; Sengupta, A., Nundy, S., The private health sector in India (2005) British Medical Journal, 331 (7526), pp. 1157-1158; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376 (9742), pp. 671-672; (1991) World Investment Reports, , Geneva: United Nations Conference on Trade and Development; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Woodman, J., (2014) Patients beyond Borders: Everybody’s Guide to Affordable, World-Class Medical Travel, , North Carolina: Healthy Travel Media","Chanda, R.; Economics and Social Sciences Area, Indian Institute of Management BangaloreIndia",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84961769233 "Hui S.H., Noonan L., Chavada R.","56754639900;55237788100;54411926100;","Post liposuction Mycobacterium abscessus surgical site infection in a returned medical tourist complicated by a paradoxical reaction during treatment",2015,"Infectious Disease Reports","7","4",,"87","90",,3,"10.4081/idr.2015.6304","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958174979&doi=10.4081%2fidr.2015.6304&partnerID=40&md5=695417712871fa590dad86302ee0d410","Department of Infectious Diseases, Fiona Stanley Hospital, Australia; Department of Microbiology and Infectious Diseases, Sydney South West Pathology Services, Liverpool Hospital, Australia; Department of Microbiology and Infectious Diseases, Pathology North Gosford Hospital, Australia","Hui, S.H., Department of Infectious Diseases, Fiona Stanley Hospital, Australia; Noonan, L., Department of Microbiology and Infectious Diseases, Sydney South West Pathology Services, Liverpool Hospital, Australia; Chavada, R., Department of Microbiology and Infectious Diseases, Pathology North Gosford Hospital, Australia","Rapidly growing mycobacterial skin and soft tissue infections are known to complicate cosmetic surgical procedures. Treatment consists of more surgery and prolonged antibiotic therapy guided by drug susceptibility testing. Paradoxical reactions occurring during antibiotic therapy can further complicate treatment of non-tuberculous mycobacterial infections. We report a case of post liposuction Mycobacterium abscessus surgical site infection in a returned medical tourist and occurrence of paradox during treatment. © Copyright M. Douglas-Vail et al., 2015.","Cosmetic surgical procedures; Medical tourism; Mycobacterium abscessus; Surgical site infections","amikacin; cefoxitin; clarithromycin; cotrimoxazole; doxycycline; flucloxacillin; imipenem; linezolid; piperacillin plus tazobactam; prednisone; quinoline derived antiinfective agent; venlafaxine; abdominoplasty; acne; adult; alopecia; antibiotic resistance; antibiotic sensitivity; Article; bacterium identification; case report; debridement; depression; drug competition; drug withdrawal; excision; female; human; human tissue; liposuction; liver dysfunction; maculopapular rash; medical tourism; moon face; Mycobacterium abscessus; pancytopenia; paradoxical drug reaction; polymerase chain reaction; side effect; skin abscess; surgical infection; unspecified side effect; Viet Nam; weight gain",,"amikacin, 37517-28-5, 39831-55-5; cefoxitin, 33564-30-6, 35607-66-0; clarithromycin, 81103-11-9; cotrimoxazole, 8064-90-2; doxycycline, 10592-13-9, 17086-28-1, 564-25-0, 94088-85-4; flucloxacillin, 1847-24-1, 5250-39-5; imipenem, 64221-86-9; linezolid, 165800-03-3; prednisone, 53-03-2; venlafaxine, 93413-69-5, 99300-78-4",,,,,,"Deer Gernooctee, M.A., Huitt, G., Infections due to rapidly growing mycobacteria (2006) Clin Infect Dis, 42, pp. 1756-1763; Clegg, H.W., Foster, M.T., Sanders, W.E., Jr., Baine, W.B., Infection due to organisms of the Mycobacterium fortuitum complex after augmentation mammoplasty: clinical and epidemiologic features (1983) J Infect Dis, 147, pp. 427-433; Torres, J., Murillo, J., Bofill, L., Rapidly growing mycobacterial infection following liposuction and liposculptur (1998) Caracas, Venezuela, 1996-1998. MMWR, 47, pp. 1065-1067; Lee, C.V., Balaban, V., (2012) Center for Disease Control and Prevention, , http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-2-the-pre-travel-consultation/medical-tourism, Yellow Book Chapter 2: The pre-travel consultation counselling and advice for travellers -Medical tourism, Available from, Accessed on: October 2015; Estivariz, C., Brief report: nontuberculous mycobacterial infections after cosmetic surgery - Santo Domingo, Dominican Republic, 2003-2004 (2004) MMWR, 53, p. 509; Chavada, R., Hui, S.H., Nagendra, V., Medical tourism raises questions that highlight the need for care and caution (2015) Med J Aust, 203, p. 137; Furuya, E.Y., Paez, A., Srinivasan, A., Outbreak of Mycobacterium abscessus wound infections among lipotourists from the United States who underwent abdominoplasty in the Dominical Republic (2008) Clin Infect Dis, 46, pp. 1181-1188; Schnabel, D., Gaines, J., Nguyen, D.B., Notes from the field: rapidly growing nontuberculous Mycobacterium wound infections among medical tourists undergoing cosmetic surgeries in the Dominican Republic--multiple states, March 2013-February 2014 (2014) MMWR, 63, pp. 201-202; Newman, M.I., Camberos, A.E., Ascherman, J., Mycobacterium abscessus outbreak in US patients linked to offshore surgicenter (2005) Ann Plast Surg, 55, pp. 107-110; Feldman, E.M., Ellsworth, W., Yuksel, E., Allen, S., Mycobacterium abscessus infection after breast augmentation: a case of contaminated implants? (2009) J Plast Reconstr Aesthet Surg, 62, pp. e330-e332; Zosso, C., Lienhard, R., Siegrist, H.H., Post liposuction infections by rapidly growing mycobacteria (2015) Infect Dis (London, England), 47, pp. 69-72; Ruegg, E., Cheretakis, A., Modarressi, A., Multisite infection with Mycobacterium abscessus after replacement of breast implants and gluteal lipofilling (2015) Case Rep Infect Dis, p. 361340; Maurer, F., Castelberg, C., von Braun, A., Postsurgical wound infections due to rapidly growing mycobacteria in Swiss medical tourists following cosmetic surgery (2014) Latin America between 2012 and 2014. Eurosurveillance, p. 19; Kendall, B.A., Barker, A.P., Hadley, J.C., Disseminated mycobacterial infection after international medical tourism (2015) Open Forum Infect Dis, 2. , ofv054; Griffith, D.E., Aksamit, T., Brown-Elliot, B.A., An official ATS/IDSA statement:Diagnosis, treatment and prevention of nontuberculous mycobacterial diseases (2007) Am J Respir Crit Care Med, 175, pp. 367-416; Vemulapalli, R.K., Cantey, J.R., Steed, L.L., Emergence of resistance to clarithromycin during treatment of disseminated cutaneous M. chelonae infection: case report and literature review (2001) J Infect, 43, pp. 163-168; Nash, K.A., Brown-Elliott, B.A., Wallace, R.J., Jr., A novel gene, erm(41), confers inducible macrolide resistance to clinical isolates of Mycobacterium abscessus but is absent from Mycobacterium chelonae (2009) Antimicrob Agents Chemother, 53, pp. 1367-1376; Sassi, M., Drancourt, M., Genome analysis reveals three genomospecies in Mycobacterium abscessus (2014) BMC Genomics, 15, p. 359; Nakanaga, K., Sekizuka, T., Fukano, H., Discrimination of Mycobacterium abscessus subsp (2014) massiliense from Mycobacterium abscessus subsp. abscessus in clinical isolates by multiplex PCR. J Clin Microbiol, 52, pp. 251-259; Brown-Elliott, B.A., Vasireddy, S., Vasireddy, R., Utility of sequencing the erm(41) gene in isolates of Mycobacterium abscessus subsp (2015) abscessus with low and intermediate clarithromycin MICs. J Clin Microbiol, 53, pp. 1211-1215; Chloremis, C.D., Padiatellis, C., Zoumboulakis, D., Yannakos, D., Transitory exacerbation of fever and roentgenographic findings during treatment of tuberculosis in children (1955) Am Rev Tuberc, 72, pp. 527-536; Cheng, S.L., Wang, H.C., Yang, P.C., Paradoxical response during antituberculous treatment in HIV-negative patients with pulmonary tuberculosis (2007) Int J Tuberc Lung Dis, 11, pp. 1290-1295; O'Brien, D.P., Robson, M.E., Callan, P.P., McDonald, A.H., Paradoxical immune-mediated reactions to Mycobacterium ulcerans during antibiotic treatment: a result of treatment success, not failure (2009) Med J Aust, 191, pp. 564-566; Friedman, N.D., McDonald, A.H., Robson, M.E., O'Brien, D.P., Corticosteroid use for paradoxical reactions during antibiotic treatment for Mycobacterium ulcerans (2012) PLoS Negl Trop Dis, 6, pp. 1-3; Yano, S., Kobayashi, K., Kato, K., Paradoxical worsening of pulmonary Mycobacterium abscessus (2007) Respir Med, 101, pp. 868-870","Chavada, R.; Department of Microbiology and Infectious Diseases, Gosford Hospital, Holden St, Gosford NSW 2250, Australia; email: ruchirchavda@gmail.com",,,"Page Press Publications",,,,,20367449,,,,"English","Infect. Dis. Rep.",Article,"Final",Open Access,Scopus,2-s2.0-84958174979 "Lysaght T., Sipp D.","14630578500;6602889343;","Dislodging the direct-to-consumer marketing of stem cell-based interventions from medical tourism",2015,"Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals",,,,"211","222",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949267275&partnerID=40&md5=20d5a3f3a394673aaff04ccee34f42c8","University of Sydney, Australia; Rutgers University, United States","Lysaght, T., University of Sydney, Australia; Sipp, D., Rutgers University, United States","Stem cells are the focus of an emergent field of clinical research and application that is frequently described as having enormous therapeutic potential. While currently only certain types of blood-forming (hematopoietic) stem cells are used routinely in the treatment of very specific types of blood and immune system disorders, many other proposed approaches are being investigated in clinical trials (Daley, 2012). For example, investigational products derived from human embryonic stem cells (hESCs) have entered clinical trials of uses in dry type agerelated macular degeneration and spinal cord injuries, while foetal-derived cells are being tested for the rehabilitation of ischemic stroke patients (Mack, 2011). A number of large-scale efficacy trials with autologous bone-marrow-derived stem cells for the treatment of acute myocardial infarction have either been completed or are underway (Clifford et al., 2012). More than a thousand other registered clinical trials using both allogeneic and autologous sources of somatic (or ‘adult’) stem cells (ASC) are also underway (Li, Atkins and Bubela, 2013), although many of these focus on the use of hematopoietic stem cells for indications they are currently used to treat, such as lymphoma, leukaemia and auto-immune diseases (Daley, 2012). © Bronwyn Parry, Beth Greenhough, Tim Brown and Isabel Dyck 2015. All rights reserved.",,,,,,,,,,"(2009) Stem Cell Treatment, , http://www.bumrungrad.com/overseas-medical-care/medical-services/info/stemcell.aspx, online Accessed 29 January 2013; Clifford, D.M., Fisher, S.A., Brunskill, S.J., Doree, C., Mathur, A., Long-Term Effects of Autologous Bone Marrow Stem Cell Treatment in Acute Myocardial Infarction: Factors that may influence outcomes (2012) Plos ONE, 7 (5), pp. e37373; Connell, J., (2011) Medical Tourism, , Wallingford: CAB International; Cyranoski, D., FDA's Claims Over Stem Cells Upheld (2012) Nature, 488 (7409), p. 14; Daley, G.Q., The Promise and Perils of Stem Cell Therapeutics (2012) Cell Stem Cell, 10 (6), pp. 740-749; Dominici, M., Le Blanc, K., Mueller, I., Slaper-Cortenbach, I., Marini, F., Minimal Criteria for Defining Multipotent Mesenchymal Stromal Cells. The International Society for Cellular Therapy position statement (2006) Cytotherapy, 8 (4), pp. 315-317; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A Typology of crossBorder Patient Mobility (2010) Health and Place, 16 (6), pp. 1145-1155; Hall, M.C., Health and Medical Tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hall, M.C., Medical and Health Tourism: The development and implications of medicla mobility (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 3-28. , M.C. Hall, ed., 2013., New York: Routledge; Hudson, S., Li, X., Domestic Medical Tourism: A neglected dimension of medical tourism research (2011) Journal of Hospitality Marketing and Management, 21 (3), pp. 227-246; (2008) Guidelines for the Clinical Translation of Stem, , http://www.isscr.org/clinical_trans/pdfs/ISSCRGLClinicalTrans.pdf, online Accessed 29 December 2013; Kangas, B., Traveling for Medical Care in a Global World (2010) Medical Anthropology, 29 (4), pp. 344-362; Kiatpongsan, S., Sipp, D., Monitoring and Regulating Offshore Stem Cell Clinics (2009) Science, 323 (5921), pp. 1564-1565; Lalu, M.M., Mc Intyre, L., Pugliese, C., Fergusson, D., Winston, B.W., Safety of Cell Therapy with Mesenchymal Stromal Cells (Safecell): A systematic review and meta-analysis of clinical trials (2012) Plos ONE, 7 (10), pp. e47559; Lau, D., Ogbogu, U., Taylor, B., Stafinski, T., Menon, D., Stem Cell Clinics Online: The direct-to-consumer portrayal of stem cell medicine (2008) Cell Stem Cell, 3 (6), pp. 591-594; Li, M.D., Atkins, H., Bubela, T., The global landscape of stem cell clinical trials (2013) Regenerative Medicine, 9 (1), pp. 27-39; Lunt, N., Carrera, P., Medical Tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Mack, G.S., ReNeuron and StemCells Get Green Light for Neural Stem Cell Trials (2011) Nature Biotechology, 29 (2), pp. 95-97; Park, S.B., South Korea Steps Up Stem-Cell Work (2012) Nature, , www.nature.com/news/south-korea-steps-up-stem-cell-work-1.10565, online Accessed 29 December 2013; Regenberg, A.C., Hutchinson, L.A., Schanker, B., Mathews, D., Medicine on the Fringe: Stem cell-based interventions in advance of evidence (2009) Stem Cells, 27 (9), pp. 2312-2319; Sipp, D., The Rocky Road to Regulation (2009) Nature Reports Stem Cells, , http://www.nature.com/stemcells/2009/0909/090923/full/stemcells.2009.125.html, 10.1038/stemcells.2009.125, online Accessed 29 December 2013; Song, P., Biotech Pilgrims and the Transnational Quest for Stem Cell Cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Stephano, R.-M., Abratt, D., Restricting Unapproved Stem Cell Therapies - The persisting battle (2012) Medical Tourism Magazine, , http://medicaltourismmag.com/restricting-unapproved-stem-cell-therapies-the-persisting-battle/, online [Accessed 29 December 2013; Thailand Moves Biotechnology Forward (2008) Thailand Investment Review, 18 (5), pp. 5-6; (2012) Thaimedtourism.Com, , http://www.thailandmedtourism.com, online Accessed 29 January 2013; Turner, L., Medical Tourism Initiatives Should Exclude Commercial Organ Transplantation (2008) Journal of the Royal Society of Medicine, 101 (8), pp. 391-394; Turner, L., Hodges, J.R., Introduction: Health care goes global (2012) Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services, pp. 1-16. , J.R. Hodges, L. Turner and A.M. Kimball, eds, 2012., Santa Barbara, CA: Praeger; Ward, V., Stem cell doctor Robert Trossel struck off medical register (2010) The Daily Telegraph, , http://www.telegraph.co.uk/health/healthnews/8033130/Stem-cell-doctor-Robert-Trossel-struck-off-medical-register.html, online Accessed 7 May 2012; Whittaker, A., Manderson, L., Cartwright, E., Patients Without Borders: Understanding medical travel (2010) Medical Anthropology, 29 (4), pp. 336-343; (2000) Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects, , http://www.wma.net/en/30publications/10policies/b3/, online Accessed 23 May 2011",,,,"Ashgate Publishing Ltd",,,,,,9781409457183; 9781409457176,,,"English","Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals",Book Chapter,"Final",,Scopus,2-s2.0-84949267275 "Connell J.","56227359000;","Transnational health care: Global markets and local marginalisation in medical tourism",2015,"Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals",,,,"75","93",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949235009&partnerID=40&md5=17beeaab4b3f1e449df08ec8649a934d","University of Sydney, Australia","Connell, J., University of Sydney, Australia","Tourism has long been associated with improved health, by passive relaxation on beaches, more vigorous golf and hiking, and the rise of spas, yoga and rejuvenation treatments: loosely health tourism. Recently a more specific medical tourism has grown with increasing numbers of people travelling across national borders for various treatments, notably cosmetic surgery, dentistry and checkups, but also for some unusual treatments, such as stem cell surgery, unavailable in home countries. In the past two decades a form of ‘reverse globalisation’ has brought patients from developed countries to less developed countries for medical care, for a combination of reasons involving cost, access, service and quality. Medical tourism has been said to have grown explosively since the late 1990s with large numbers of patients moving across international borders to countries such as India, Thailand and Mexico in search of medical care usually deemed too expensive at home, or where waiting lists are too long. Since sickness normally induces conservatism rather than expansiveness to a world of opportunities this is a remarkable shift. While contemporary medical tourism is often regarded as having begun in Cuba, it has become a quintessentially capitalist phenomenon and a dynamic example of the transnationalisation of health care, an activity once assumed to be thoroughly local, or at least national, but now globalised. © Bronwyn Parry, Beth Greenhough, Tim Brown and Isabel Dyck 2015. All rights reserved.",,,,,,,,,,"Ackerman, S., Plastic Paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Medical Anthropology, 29 (4), pp. 403-423; Anon, Partnership with Airline to Boost Medical Tourism (2011) International Medical Travel Journal, , 22 September; Anon, Overseas Filipinos Become Key Target for Philippine Medical Tourism (2011) International Medical Travel Journal, , 14 November; Anon, Medical Tourism Developments in the Caribbean (2012) International Medical Travel Journal, , 7 September; Anon, Malaysian Medical Tourism on the Increase (2012) International Medical Travel Journal, , 4 October; Anon, Mexico Increases Efforts to Attract US Medical Tourists (2012) International Medical Travel Journal, , 18 May; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , Basingstoke: Palgrave Macmillan; (2010) Annual Report, , 2009., Bangkok; Buzinde, C., Yamal, C., Therapeutic Landscapes and Postcolonial Theory: A theoretical approach to medical tourism (2012) Social Science and Medicine, 74 (5), pp. 783-787; Chee, H.L., Medical Tourism and the State in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Chinai, R., Goswami, R., Medical Visas Mark Growth of Indian Medical Tourism (2007) Bulletin of the World Health Organisation, 85 (3), pp. 164-165; Cohen, E., Medical Tourism in Thailand (2008) Explorations in Thai Tourism, pp. 225-255. , E. Cohen, ed., Bingley: Emerald; Cohen, G., Medical Tourism, Access to Health Care, and Global Justice (2011) Virginia Journal of International Law, 52. , http://heinonline.org/HOL/Page?handle=hein.joumals/vajint52&div=4&g_sent=1&collection=journals, [online], [Accessed 18 July 2013]; Connell, J., Local Skills and Global Markets? The migration of health workers from Caribbean and Pacific island states (2007) Social and Economic Studies, 56, pp. 67-95; Connell, J., (2010) Migration and the Globalisation of Health Care, , London: Edward Elgar; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Connell, J., A New Inequality? Privatisation, urban bias, migration and medical tourism (2011) Asia Pacific Viewpoint, 52 (3), pp. 260-271; Connell, J., Contemporary Medical Tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Connell, J., Medical Tourism in the Caribbean Islands. A cure for economies in crisis? (2013) Island Studies Journal, 8 (1), pp. 115-130; Cook, P., Kendall, G., Michael, M., Brown, N., Medical Tourism, Xenotourism and Client Expectations. Between bioscience and responsibilisation (2013) Medical Tourism. The ethics, regulation and Marketing of Health Mobility, pp. 61-74. , C.M. Hall, ed. 2013, London and New York: Routledge; Doyle, J., Ascension Health Plans $2 Billion Cayman ‘Health City’ Project (2012) Medical Tourism Magazine Newsletter, , 1 May; Einhorn, B., India Company's Medical-Tourism Push (2010) Bloomberg Business Week, , http://blogs.businessweek.com/mt/mt-tb.cgi/16544.1387312592, [online], [Accessed 12 March 2013]; (2012) Saving and Enriching Lives, , http://www.fortishealthcare.com, [online]. [Accessed 12 September 2012]; Gibson, C., Geographies of Tourism: (Un)ethical encounters (2010) Progress in Human Geography, 34 (4), pp. 521-527; (2012) Harley Street Fertility Centre, , http://www.harleystreetfertility.com, [online] [Accessed 25 August 2012]; Henderson, J., Healthcare in Southeast Asia (2004) Tourism Review International, 7, pp. 111-122; Hunter, D., Oultram, S., The Ethical and Policy Implications of Rogue Medical Tourism (2010) Global Social Policy, 10 (3), pp. 297-299; Inhom, M., Shrivastav, P., Ptrizio, P., Assisted Reproductive Technologies and Fertility ‘Tourism’: Examples from global Dubai and the Ivy League (2012) Medical Anthropology, 31 (3), pp. 249-265; Johnston, R., Crooks, V., Snyder, J., I Didn’t Even Know What I Was Looking For’. 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My (brief) experience with medical tourism (2009) Medica Tourism, 1, pp. 23-24; Lefebvre, B., The Indian Corporate Hospitals: Touching middle class lives (2008) Patterns of Middle Class Consumption in India and China, pp. 88-109. , C. Jaffelot and P. van de Veer, eds., 2008, New Delhi: Sage; Medhekar, A., Public-Private Partnerships for Sustainable Growth of Medical Tourism (2011) Medical Tourism Magazine, 21, pp. 51-54; Naranong, A., Naranong, V., The Effects of Medical Tourism: Thailand's experience (2011) Bulletin of the World Health Organisation, 89 (5), pp. 336-344; Niyomyath, W., Bone Therapy (2009) Medica Tourism, 1, pp. 31-33; Ormond, M., Claiming ‘Cultural Competence’. The promotion of multiethnic Malaysia as a medical tourism destination (2013) Medical Tourism. The Ethics, Regulation and Marketing of Health Mobility, pp. 187-200. , C.M. Hall, ed. 2013, London and New York: Routledge; Ormond, M., (2013) International Medical Travel and the Politics of Therapeutic Place-Making in Malaysia, , London and New York: Routledge; (2011) Report Card, , 2010, Singapore; Parry, B., Entangled Exchange: Reconceptualising the characterisation and practice of bodily commodification (2008) Geoforum, 39 (3), pp. 133-144; Poopta, T., Earning Tourist Dollars without Trauma (2010) The Nation, 2, pp. 10A. , November; Rasiah, R., Noh, A., Tumin, M., Privatising Healthcare in Malaysia: Power, policy and profits (2009) Journal of Contemporary Asia, 39 (1), pp. 50-62; Reisman, D., (2010) Health Tourism. Social Welfare through International Trade, , Cheltenham: Edward Elgar; Smith, K., The Problematization of Medical Tourism: A critique of neoliberalism (2012) Developing World Bioethics, 12 (1), pp. 1-8; Spitzer, D., Ayurvedic Tourism in Kerala: Local identities and global markets (2009) Asia on Tour. Exploring the Rise of Asian Tourism, pp. 138-150. , T. Winter, P. Teo and T. Chang, eds. 2009., Abingdon: Routledge; Sternberg, E., (2009) Healing Spaces, , Cambridge, MA: Belknap Press; Turner, L., From Durham to Delhi: ‘Medical tourism’ and the global economy (2007) Comparative Program on Health and Society, pp. 109-131. , J. Cohen-Kohler and M. Seaton, eds. 2007, Lupina Foundation Working Paper Series 2006-2007, University of Toronto; Vijaya, R., Medical Tourism: Revenue generation or international transfer of healthcare problems? (2010) Journal of Economic Issues, 44 (1), pp. 53-70; Whittaker, A., Pleasure and Pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Wibulpolprasert, S., Pachanee, C., Pitayarangsarit, S., Hempisut, P., International Service Trade and its Implications for Human Resources for Health: A case study of Thailand (2004) Human Resources for Health, 2 (10), pp. 1-12","Connell, J.; University of SydneyAustralia",,,"Ashgate Publishing Ltd",,,,,,9781409457183; 9781409457176,,,"English","Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals",Book Chapter,"Final",,Scopus,2-s2.0-84949235009 "Yang J.Y., Paek S., Kim T., Lee T.H.","56972889200;55346061400;36625742400;57198752271;","Health tourism: Needs for healing experience and intentions for transformation in wellness resorts in Korea",2015,"International Journal of Contemporary Hospitality Management","27","8",,"1881","1904",,3,"10.1108/IJCHM-11-2013-0505","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84947901454&doi=10.1108%2fIJCHM-11-2013-0505&partnerID=40&md5=0a18bbe626cd202c503267380f19bcb9","Department of Tourism and English, Doowon Technical College, Paju, South Korea; Department of Hospitality and Tourism Management, Macau University of Science and Technology, Taipa, Macau; College of Hotel and Tourism Management, Kyung Hee University, Seoul, South Korea","Yang, J.Y., Department of Tourism and English, Doowon Technical College, Paju, South Korea; Paek, S., Department of Hospitality and Tourism Management, Macau University of Science and Technology, Taipa, Macau; Kim, T., College of Hotel and Tourism Management, Kyung Hee University, Seoul, South Korea; Lee, T.H., College of Hotel and Tourism Management, Kyung Hee University, Seoul, South Korea","Purpose – The purpose of this study is to explore the effect of tourists’ needs for healing experience (NHE) on behavioral intentions for transformation (BIT) with healing involvement (HI) as a mediator. Using the two sub-constructs of BIT in the tourism industry (i.e. selection of healing tour products and transformational intention of healing tour behavior), this study evaluates BIT. Design/methodology/approach – The survey was administered to visitors in healing resorts/centers in Korea; 383 completed surveys were used to investigate the hypothesized relationships of this study using regression analysis. Findings – The study results confirmed the hypothesized relationships: the positive effects of NHE on BIT and the significant mediating role of HI in the relationships between NHE and BIT. Practical implications – The relationships among NHE, HI and BIT can improve the understanding and practices of healing experience and the development of healing products in the tourism industry. This study offers a meaningful and extended perspective on customers’ experience and product development by interpreting customers’ desires and needs. Originality/value – This study explores the under-researched subject of NHE and HI from a transformative economic perspective. The study is among the first to examine the structural relationships among NHE, HI and BIT. The uniqueness of the study is highlighted by the use of two sub-dimensions of the BIT industry (i.e. selection of healing tour products and transformational intention of healing tour behavior) in a tourism context. © 2015, Emerald Group Publishing Limited.","Behavioral intentions; Consumer behavior; Experience economy; Experience marketing; Healing involvement; Healing tour behavior; Health; Health tourism; Korea; Motivation; Tourism development; Wellness resorts",,,,,,"Kyung Hee University: KHU-20120796",,,"Abdel-Khalek, A.M., Religiosity, subjective well-being, self-esteem, and anxiety among Kuwaiti Muslim adolescents (2011) Mental Health, Religion & Culture, 14 (2), pp. 129-140. , )“”; AbuSabha, R., Achterberg, C., Review of self-efficacy and locus of control for nutrition- and health-related behavior (1997) Journal of the American Dietetic Association, 97 (10), pp. 1122-1132. , )“”; Amoako-Gyampah, K., Perceived usefulness, user involvement and behavioral intention: an empirical study of ERP implementation (2007) Computers in Human Behavior, 23 (3), pp. 1232-1248. , )“”; 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J. Contemp. Hosp. Manage.",Article,"Final",,Scopus,2-s2.0-84947901454 "Peris-Ortiz M., Álvarez-García J.","34979206700;55623697400;","Health and wellness tourism: Emergence of a new market segment",2015,"Health and Wellness Tourism: Emergence of a New Market Segment",,,,"1","180",,3,"10.1007/978-3-319-11490-3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944581057&doi=10.1007%2f978-3-319-11490-3&partnerID=40&md5=9a55fa19f714e0ef898e6a40ae8c3329","Department of Business Administration, Universitat Politècnica de València, Valencia, Spain; Accounting and Financial Economy Department, University of Extremadura, Cáceres, Spain","Peris-Ortiz, M., Department of Business Administration, Universitat Politècnica de València, Valencia, Spain; Álvarez-García, J., Accounting and Financial Economy Department, University of Extremadura, Cáceres, Spain","This book aims to contribute to the literature and aid in developing a theoretical and practical framework in the area of health and wellness tourism. With contributions and research from different countries using a practical approach, this book is an essential source for students, researchers and managers in the health and wellness tourism industry. Recently, there has been an increased interest in health and wellness due to greater life expectancy, aging populations, increasing levels of stress among others. In this context, the concepts of health, wellness, beauty, relaxation, and tourism can be combined to satisfy the needs of people seeking better quality-of-life. This has given rise to health and wellness tourism, a new market segment that contributes to employment and economic growth in the new economy. Health and wellness tourism involves two aspects: therapeutics, which seeks to cure certain diseases; and relaxation and leisure. As an alternative to traditional tourism, health and wellness tourism provides a new means of achieving regional and local development from a demographic, social, environmental and economic point-of-view. It contributes to tourist destinations’ economic growth, acting as a pillar to support other complementary activities. In short, health and wellness tourism contributes to employment growth and regional wealth, contributes to tourism seasonality, promotes quality in tourism destinations, helps create new tourist services with high value, promotes establishment of international cooperation networks, and yields a number of additional benefits. Featuring a variety of programs and initiatives from different regions, with an emphasis on thermal and thalassotherapy establishments, this volume sheds light on this emerging market segment and its implications for economic and policy development. © Springer International Publishing Switzerland 2015.",,,,,,,,,,,,,,"Springer International Publishing",,,,,,9783319114903; 9783319114897,,,"English","Health and Wellness Tourism: Emergence of a New Market Segm.",Book,"Final",,Scopus,2-s2.0-84944581057 "Saravana Kumar G., Krishna Raj R.","56668651700;57212453478;","Status, growth and impact of medical tourism in India",2015,"International Journal of Pharmaceutical Sciences Review and Research","34","1", 46,"284","291",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84942940102&partnerID=40&md5=cf11b6a8d37c8224d3190648a035e526","SRM University, Chennai, Tamil Nadu, India; Chennai`s Amirta IIHM, India; School of Management, SRM University, Chennai, Tamil Nadu, India","Saravana Kumar, G., SRM University, Chennai, Tamil Nadu, India, Chennai`s Amirta IIHM, India; Krishna Raj, R., School of Management, SRM University, Chennai, Tamil Nadu, India","Medical tourism is a new form of niche tourism increasingly becoming popular in the current world and India has emerged as a popular destination for providing Global standards of health care at affordable costs. More recently there has been a spatial shift in medical travel especially to Asian countries from advanced economies. The term medical tourism is the act of travelling to other countries to obtain medical, dental and surgical care. (Connell 2006)1 describes medical tourism as a popular mass culture where people travel to overseas countries to obtain healthcare services and facilities such as medical, dental and surgical care, whilst having the opportunity to visit tourist spots of that country. The objective of this study is to analyze the status, growth and impact effects of medical tourism in complimenting the growth of hotel industry business in India. Complimentarity is a situation where the growth of one sector compliments the growth of another sector. (Hirschman, A.O.1958)2. The results show that there is significant growth of medical tourism in India, which is growing at the rate 30% in 2015. The standards of medical treatment and hospital facilities provided to patients have significantly improved in India with 21 hospitals In India already accredited by JCI. India ranks 2nd in the world medical tourism sector. Globalization has further boosted the growth of Medical tourism and its found to be complimenting the growth of hotel and travel industry business in India. The study was conducted using secondary data and reports. © 2015, Global Research Online. All rights reserved.","Global health care; Health tourism; Medical tourism","alternative medicine; Article; bone marrow transplantation; extracorporeal circulation; eye surgery; government; health care cost; health care facility; health care industry; health care utilization; health service; human; India; Internet; language; medical tourism; orthopedic surgery; travel",,,,,,,,"John, C., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , December; Hirschman, A.O., (1958) The Strategy of Economic Development, , new heaven yale University press; Whittaker, F., Pleasure and pain: Medical Travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Gupta, A.S., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1), pp. 4-5; Reddy, S., Qadeer, I., Medical tourism in India: Progress or predicament (2010) Economic and Political Weekly, 45 (20), pp. 69-75; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Trivedi, M., (2013) Medical Tourism in India, , Philica article 387; Laing, J., Weiler, B., Mind, body and spirit: Health and wellness tourism in Asia (2008) Asian Tourism: Growth and Change, pp. 379-389; De, A., Ramirez, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Heung, V.C., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Hudson, S., Li, X., Domestic medical tourism: A neglected dimension of medical tourism research (2012) Journal of Hospitality Marketing & Management, 21 (3), pp. 227-246; Mukherjee, W., Mookerji, M., (2004), December 22, Hospitals busy tying up with Hospitality Inc. The Economic Times, 6; Rao, K.S., Nundy, M., Dua, A.S., Delivery of health services in the private sector (2005) Financing and Delivery of Health Care Services in India. National Commission on Macroeconomics and Health, pp. 89-124. , Government of India; Mohanty, D., Madhav, T.P., Medical Tourism: India’s Competitive Advantage (2006) Health Tourism an Introduction, 73p. , ICFAI University Press; Mochi, P., Shetty, N., Vahoniya, D., Medical tourism-destination India (2013) Commerce and Management, 2 (3), pp. 29-39; Pachanee, C.-A., Implications on Public Health from Mode 2 Trade in Health Services: Empirical Evidence [A Case of Thailand] (2009) Workshop on the Movement of Patients across International Borders- Emerging Challenges and Opportunities for Health Care Systems; Mishra, R., Shailesh, K., Making Indian Healthcare Market a Global Medical Tourism Destination (2012) IOSR Journal of Business and Management, 2, p. 4; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review Pharmacoeconomics Outcomes Research, 6, pp. 447-454; (2006) Factor Affecting the Demand for Health Insurance in a Micro Insurance Scheme, , Indian institute of management, Ahmedabad W.P. No. 2006-07-02; (2002) Health Care in India: The Road Ahead, , CII, McKinsey and Company and Indian Healthcare Federation, New Delhi; (2013) Business Standard, , 2 December; Mathieson, A., Wall, G., (1982) Tourism, Economic, Physical and Social Impacts, , Longman","Saravana Kumar, G.; SRM UniversityIndia",,,"Global Research Online",,,,,0976044X,,,,"English","Int. J. Pharm. Sci. Rev. Res.",Article,"Final",,Scopus,2-s2.0-84942940102 "Debata B.R., Patnaik B., Mahapatra S.S., Sreekumar","55331150500;37115884300;34881914000;23502228500;","Efficiency measurement in medical tourism: A DEA approach",2015,"International Journal of Process Management and Benchmarking","5","1",,"90","112",,3,"10.1504/IJPMB.2015.066000","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84915747515&doi=10.1504%2fIJPMB.2015.066000&partnerID=40&md5=a98535f6621f20b8106406183b5b3663","Rourkela Institute of Management Studies, Rourkela, 769015, India; Department of Humanities and Social Sciences, National Institute of Technology, Rourkela, 769008, India; Department of Mechanical Engineering, National Institute of Technology, Rourkela, 769008, India","Debata, B.R., Rourkela Institute of Management Studies, Rourkela, 769015, India; Patnaik, B., Department of Humanities and Social Sciences, National Institute of Technology, Rourkela, 769008, India; Mahapatra, S.S., Department of Mechanical Engineering, National Institute of Technology, Rourkela, 769008, India; Sreekumar, Rourkela Institute of Management Studies, Rourkela, 769015, India","The main purpose of the present study is to develop an appropriate construct to benchmark medical tourism in India for effective decision-making by minimising deficiencies and implementing possible strategies to improve the medical tourism performance. A total of 39 medical tourism service providers in India are chosen for benchmarking purpose. Data envelopment analysis (DEA), being a robust mathematical tool has been employed to evaluate the efficiency of medical tourism. The peer group and peer weights for the inefficient medical tourism service providers have been identified. The study identifies the parameters in which the inefficient decision-making units (DMUs) lack for formulating necessary strategies to improve upon them. The method being a generic one can be adopted by the managers to assess medical tourism performance and finds a suitable peer to which it should follow to improve own technical efficiency followed by in what respect it has to improve. 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Zere, E., Mbeeli, T., Shangula, K., Mandlhate, C., Mutirua, K., Tjivambi, B., Kapenambili, W., Technical efficiency of district hospitals: Evidence from Namibia using data envelopment analysis (2006) Cost Effectiveness and Resource Allocation, 4 (5), pp. 216-228; Zere, E., Mcintyre, D., Addison, T., Technical efficiency and productivity of public sector hospitals in three South African provinces (2001) The South African Journal of Economics, 69 (2), pp. 336-358; Zhu, J., (2003) Quantitative Models for Performance Evaluation and Benchmarking, , Springer's International Series, New York, NY; Zineldin, M., The quality of health care and patient satisfaction (2006) International Journal of Health Care Quality Assurance, 19 (1), pp. 60-92; Zuckerman, S., Hadley, J., Lezzoni, L., Measuring Hospital efficiency with frontier cost function (1994) Journal of Health Economics, 13 (3), pp. 255-280","Mahapatra, S.S.; Department of Mechanical Engineering, National Institute of TechnologyIndia",,,"Inderscience Publishers",,,,,14606739,,,,"English",,Article,"Final",,Scopus,2-s2.0-84915747515 "Suki A.A., Putit L., Yusof J.M., Khan N.R.M.","56331105800;41762608400;41662473500;56330267500;","Assessing medical tourists' destination choice behavior: A conceptual perspective",2015,"Theory and Practice in Hospitality and Tourism Research - Proceedings of the 2nd International Hospitality and Tourism Conference 2014",,,,"519","523",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907333129&partnerID=40&md5=4d588862b412031f2611725b13d4051c","Universiti Teknologi MARA, Shah Alam, Malaysia","Suki, A.A., Universiti Teknologi MARA, Shah Alam, Malaysia; Putit, L., Universiti Teknologi MARA, Shah Alam, Malaysia; Yusof, J.M., Universiti Teknologi MARA, Shah Alam, Malaysia; Khan, N.R.M., Universiti Teknologi MARA, Shah Alam, Malaysia","Over the recent years, medical tourism has become one of the niche sectors that significantly contributed towards a country's economic development. The purpose of this paper is two-fold: firstly, it aims to assess medical tourists' attitude, subjective norm and perceived behavioral control in affecting their intention towards adopting destination choice behavior. Secondly, it further attempts to determine potential significant linkages among the tourists' perceived destination image, perceived value and perceived behavioral control. Data collection procedures would involve initial focus group interview followed by survey questionnaire design and its subsequent distribution to 600 potential target respondents. The unit of analyses would be tapped on medical tourists visiting a progressively developing nation for the purpose of seeking medical services. Data would be analyzed for its reliability and validity prior subsequent testing of relationships using structural equation modelling statistical approach. Expected contributions of this study include an extended knowledge building on a new conceptual research framework of destination choice behavioral adoption within the medical tourism sector. It extends the application of theory of planned behavior by exploring its relationship with destination image and perceived value towards the provision of medical services. Subsequently, it is expected that there exists a potentially increased level of awareness amongst medical tourists' towards these services, and that more foreign medical tourists would identify Malaysia as a medical destination choice of theirs. © 2015 Taylor & Francis Group.","Destination choice behavior; Destination image; Perceived behavioral control; Perceived value; Theory of planned behavior","Surveys; Destination choice; Destination image; Perceived behavioral control; Perceived value; Theory of Planned Behavior; Medical imaging",,,,,,,,"Ajzen, I., From intentions to actions: A theory of planned behavior (1985) Action Control: From Cognition to Behavior, , J.K. Beckman (Ed.), Berlin Heidelberg: Springer; Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Ajzen, I., Madden, T.J., Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control (1986) Journal of Experimental Social Psychology, 22 (5), pp. 453-474; Alegre, J., Cladera, M., Analysing the effect of satisfaction and previous visits on tourist intentions to return (2009) European Journal of Marketing, 43 (5-6), pp. 670-685; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York, NY: Palgrave Macmillan Ltd; Connell, J., Medical tourism: Sea, sun, sand and... Surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Fishbein, M., Ajzen, I., (1975) Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research, , Boston.: Addison-Wesley; Han, H., Hwang, J., Multi-dimensions of the perceived benefits in a medical hotel and their roles in international travelers' decision-making process (2013) International Journal of Hospitality Management, 35 (DECEMBER), pp. 100-108; Huang, Y.-C., (2009) Examining the Antecedents of Behavioral Intentions in a Tourism Context, , http://scholar.google.com.my/scholar?hl=en&as_sdt=0,5&q= Examining+the+Antecedents+of+Behavioral+Intentions+in+a+Tourism+Context, Doctoral of Philosophy, Texas A&M University. Retrieved from; Hume, L.F., Demicco, F.J., Bringing hotels to healthcare: A RX for success (2007) Journal of Quality Assurance in Hospitality & Tourism, 8 (1), pp. 75-84; Jotikasthira, N., (2010) Salient Factors Influencing Medical Tourism Destination Choice, , http://scholar.google.com.my/scholar?hl=en&as_sdt=0,5&q= %27Salient+factors+influencing+medical+tourism+destination+choice%27, DBA thesis, Southern Cross University, Lismore, NSW. Retrieved from; Ko, T., Medical tourism system model (2011) International Journal of Tourism Sciences, 11 (1), pp. 18-52; Kotler, P., Keller, K., (2006) Marketing Management (12th Ed.), , Singapore: Pearson Education; Martin, D.S., Ramamonjiarivelo, Z., Martin, W.S., MEDTOUR: A scale for measuring medical tourism intentions (2011) Tourism Review, 66 (1-2), pp. 45-56; Middleton, V.T., Clarke, J.R., (2012) Marketing in Travel and Tourism (3rd Ed.), , Butterworth Heinemann, Oxford: Routledge; Milman, A., Pizam, A., The role of awareness and familiarity with a destination: The central Florida case (1995) Journal of Travel Research, 33 (3), pp. 21-27; Mohamad, M., Abdullah, A.R., Mokhlis, S., Tourists' evaluations of destination image and future behavioural intention: The case of Malaysia (2012) Journal of Management & Sustainability, 2 (1), pp. 181-189; Putit, L., Consumers' E-Transaction Behaviour Adoption: An Exploratory Study (2008) Journal of Human Capital Development, 1 (1), pp. 41-46; Reza Jalilvand, M., Samiei, N., Dini, B., Yaghoubi Manzari, P., Examining the structural relationships of electronic word of mouth, destination image, tourist attitude toward destination and travel intention: An integrated approach (2012) Journal of Destination Marketing & Management, 1 (1), pp. 134-143; Sen Gupta, A., Medical tourism and public health (2004) People's Democracy, 28 (19); Snepenger, D., Snepenger, M., (1993) Information Search by Pleasure Travelers, , New York: Van Nostrand Reinhold; Taylor, S., Todd, P., Decomposition and crossover effects in the theory of planned behavior: A study of consumer adoption intentions (1995) International Journal of Research in Marketing, 12 (2), pp. 137-155; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health Tourism in Australia: Supply, Demand and Opportunities, , CRC for Sustainable Tourism",,,"","CRC Press/Balkema","2nd International Hospitality and Tourism Conference 2014","2 September 2014 through 4 September 2014","Penang",107321,,9781138027060,,,"English","Theory Pract. Hosp. Tourism Res. - Proc. Int. Hosp. Tourism Conf.",Conference Paper,"Final",,Scopus,2-s2.0-84907333129 "Moreira P.","56707546300;","Health and medical tourism: Health management and marketing research challenges",2014,"International Journal of Healthcare Management","7","4",,"221","222",,3,"10.1179/2047970014Z.000000000115","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84926233935&doi=10.1179%2f2047970014Z.000000000115&partnerID=40&md5=2f20f118a43059170f6eb56f81456777",,"Moreira, P.",[No abstract available],,,,,,,,,,,"Moreira, P.",,,"Maney Publishing",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Editorial,"Final",Open Access,Scopus,2-s2.0-84926233935 "Rocha A.S.S., Brandao A.","57196818434;56871297500;","On developing wellness and medical tourism: The characterization of a national termal network",2014,"International Journal of Healthcare Management","7","4",,"226","236",,3,"10.1179/2047971914Y.0000000075","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84926233510&doi=10.1179%2f2047971914Y.0000000075&partnerID=40&md5=30f6470247392273547dad37d2ee2b81","Escola Superior de Saúde da Universidade de Aveiro, Universidade de Aveiro, Edifício 30 Agras do Crasto, Campus Universitário de Santiago Aveiro, Portugal; Rua Dr. Roberto Frias Porto, Portugal","Rocha, A.S.S., Escola Superior de Saúde da Universidade de Aveiro, Universidade de Aveiro, Edifício 30 Agras do Crasto, Campus Universitário de Santiago Aveiro, Portugal; Brandao, A., Rua Dr. Roberto Frias Porto, Portugal","Setting: Thermal institutions are healthcare units where clinical activities such as consultations and treatments are carried out. Natural mineral water is an endogenous resource, which can only be enjoyed when recognized by the scientific community as a ‘medicine’, with proven results in the prevention and treatment of several pathologies. Thermal institutions combine several methods and treatment techniques, such as crenotherapy, the exterior shower, the internal shower, and immersion in hot tubs and thermal pools.Objective and design: The present work focuses on the characterization of the Portuguese sector through its offers. Special attention was given to a set of variables, namely the type and number of health professionals involved in the thermal universe, the average costs of different available treatments, as well as the average comparative costs among the different management models carried out at Portuguese thermal institutions.Project and participants: A questionnaire was designed and used as a tool to gather information on the above parameters in a representative sample corresponding to 20 national thermal institutions.Main outcome measure(s): This study showed that both the ‘classical’ and ‘wellness hydrotherapies’ are performed in the majority of thermalism institutions, which operate all year round (thus contradicting the traditional seasonality of the sector).Results: There are a higher number of ‘physicians’ than ‘other health professionals’ at ‘private’ management thermal institutions, while the opposite trend is observed whenever the management is ‘public’.Conclusion: The current study shows that most national thermal institutions dedicated to a specific forum do not have in their clinical board physicians in that specialty. Concerning other health professionals who currently are practicing their functions at national thermal institutions, this study indicates predominantly four professional categories: physiotherapists, nurses, balneotherapy technicians, and physiotherapy assistants. The cheapest thermal treatments include aerosols, nasal irrigation, and ‘vaporization’, and the most expensive ones include aquatic therapy, lymphatic drainage, general manual massage, respiratory exercise, and the Vichy shower. © W. S. Maney & Son Ltd 2014.","Health tourism; Natural mineral water; Thermal institution offers",,,,,,,,,"Bull, A., (1992) The Economics of Travel and Tourism, , Melbourne: Pitman; Cunha, L., (2001) Introdução Ao Turismo, , Lisboa: Editorial Verbo; (2010) Turismo De Portugal - Ministério Da Economia, Da Inovação E Do Desenvolvimento, , http://www.turismodeportugal.pt, 2 de Outubro de; (2010) Organização Mundial De Turismo, , http://www.unwto.org/aboutwto/index.php, 14 de Outubro de; Medeiros, C.L., Cavaco, C., Centro de Estudos dos Povos e Culturas de Expressão Portuguesa (2008) Turismo De Saúde E Bem Estar -Termas, Spas Termais E Talassoterapia, , Colecção Estudos e Documentos 15, Lisboa: Universidade Católica Portuguesa; Mueller, H., Kaufmann, E., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) J Vacat Market, 7 (1), pp. 5-17; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Health tourism in Australia: Supply, demand and opportunities (2010) Sustainable Tourism Cooperative Research Centre, pp. 1-55. , http://www.sustainabletourismonline.com/42/growing-niche-markets/health-tourism-in-australia-supply-demand-and-opportunities; Moreira, P., Medical tourism reaches the international healthcare management debate (2013) Int J Healthc Manag, 6 (2), p. 65; Garcia-Altés, A., The development of health tourism services (2005) Ann Tour Res, 32 (1), pp. 266-268; (2010) Organização Mundial De Saúde, , http://www.who.int/en/, 6 de Outubro de; Folland, S., Goodman, A.C., Stano, M.A., (2007) Economia Da Saúde, tradução Cristina Bazan, 5ªedição, , Porto Alegre, Artemed Editora; Barros, P.P., (2009) Economia Da Saúde - Conceitos E Comportamentos, , Coimbra: Edições Almedina SA; Fazenda, N., Ladeiras, A., Vieira, T., Barbosa, D., (2009) Programa De Acção De Enfoque Temático - Turismo De Saúde E Bem-Estar, , http://norteemrede.inescporto.pt/planeamento-regional/informacao-transversal/doc.-definitivos-plano-de-accao/programa-de-accao-saude-e-bem-estar-agenda-regional-de-turismo/at_download/file, Agenda Regional de Turismo, Pacto Regional para a Competitividade da Região do Norte de Portugal, Tecniforma; Ghersetich, I., Freedman, D., Lotti, T., Balneology today (2000) Journal of the European Academy of Dermatology and Venereology, 14 (5), pp. 346-348. , http://www.ncbi.nlm.nih.gov/pubmed/11305374; Diário da República - I Série A - Nº 136-11 de Junho de 2004 -Decreto Lei nº 142/2004 -Actividade Termal; Quintela, M., (2008) Águas Que Curam, Águas Que ‘Energizam’ - Etnografia Da Prática Terapêutica Termal Na Sulfúrea (Portugal) E Nas Caldas Da Imperatriz (Brasil), , Universidade de Lisboa, Instituto de Ciências Sociais (Tese de Doutoramento; Quintela, J., Correia, A., Antunes, J., Service quality in health and wellness tourism - trends in Portugal (2011) Int J Bus, Manag Soc Sci, 2 (3), pp. 1-8; Termas em Portugal - Relatório Anual de Caracterização da Oferta e da Procura nos Estabelecimentos Termais - 2006; Termas em Portugal - Relatório Anual de Caracterização da Oferta e da Procura nos Estabelecimentos Termais - 2007; Termas em Portugal - Relatório Anual de Caracterização da Oferta e da Procura nos Estabelecimentos Termais - 2008; Termas em Portugal - Relatório Anual de Caracterização da Oferta e da Procura nos Estabelecimentos Termais - 2009; (2010), http://www.termasdeportugal.pt, 2 de Outubro de; Oguz, D., Kulekci, O., Akpinar, N., The contribution of thermal sources to tourism development: A case study from Çankiri Çavundur, Turkey (2010) Sci Res Essays, 5 (8), pp. 819-825; Moreira, P., Medical Tourism and international healthcare management: Fostering evidence based developments (2010) Int J Healthc Manag, 6 (3), p. 141","Rocha, A.S.S.; Escola Superior de Saúde da Universidade de Aveiro, Universidade de Aveiro, Edifício 30 Agras do Crasto, Campus Universitário de Santiago Aveiro, Portugal",,,"Maney Publishing",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-84926233510 "Eusébio C., Carneiro M.J., Kastenholz E., Alvelos H.","47961796400;36678729600;6508298100;14621373700;","The economic impact of health tourism programmes",2014,"Quantitative Methods in Tourism Economics",,,,"153","173",,3,"10.1007/978-3-7908-2879-5_9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930702405&doi=10.1007%2f978-3-7908-2879-5_9&partnerID=40&md5=d4eda9443252e6e9389e5c2e68644e91","DEGEI, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal","Eusébio, C., DEGEI, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal; Carneiro, M.J., DEGEI, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal; Kastenholz, E., DEGEI, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal; Alvelos, H., DEGEI, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal","The increasing awareness of the benefits that tourism brings to visitors and to destinations, and of the existence of groups with constraints to participate in tourism, has contributed to a rise of social tourism programmes worldwide. Since long, health is one of main issues of social concern. Additionally, the increase of life expectancy and population ageing is a marking feature of modern societies. Taking into consideration that seniors tend to suffer several constraints to participate in tourism, some related to health problems, the development of social health tourism programmes for this segment is crucial. The development of this kind of programmes also results in important economic benefits to tourism destinations. This chapter presents a methodology to quantify the total economic benefits-direct, indirect and induced-of a social tourism programme. This methodology was used to quantify the total economic benefits of a Portuguese social tourism programme focused on health tourism for the senior market in 2007. The empirical study shows that this social tourism programme has high multiplier effects, and originates considerable economic impacts for the national economy in terms of output, employment, household income and value added. The results provide useful inputs for the development of social tourism programmes aiming at maximizing the economic benefits of these programmes. © 2013 Springer-Verlag Berlin Heidelberg. 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Kim, S.S., Priedaux, B., Chon, K., A comparison of results of three statistical methods to understand the determinants of festival participants' expenditures (2010) Int J Hosp Manage, 29, pp. 297-307; Kumar, N.P., Economic impact of tourism on Fiji's economy: Empirical evidence from the computable general equilibrium model (2004) Tour Econ, 10 (4), pp. 419-433; Lee, C., Kwon, K.-S., Importance of secondary impact of foreign tourism receipts on the South Korean Economy (1995) J Travel Res, 34 (2), pp. 50-54; Lee, C., Kwon, K.-S., The economic impact of the casino industry in South Korea (1997) J Travel Res, 36 (1), pp. 52-58; Leeuwen, E.S., Nijkamp, P., Rietveld, P., A meta-analytic comparison of regional output multipliers at different spatial levels: Economic impacts of tourism (2009) Advances in Tourism Economics, pp. 13-33. , Matias A , Nijkamp P, Sarmento M (eds) Physica Verlag, Heidelberg; Leones, J., Colby, B., Crandall, K., Tracking expenditures of the elusive nature tourists of Southeastern Arizon (1998) J Travel Res, 36 (3), pp. 56-64; Lichty, R.W., Steines, D.N., Measuring the impact of tourism on a small community (1982) Growth Change, 13 (2), pp. 36-39; Liu, J., Var, T., The economic impact of tourism in metropolitan Victoria B.C (1983) J Travel Res, 22 (2), pp. 8-15; Lohmann, M., Danielsson, J., How to get the future of tourism out of today's consumer surveys: Prospects for senior and kids travel in Germany (2004) 7th Edition of the International Forum about Tourism Statistics, , Stockholm; Mayen, M., Muller, M., Woltering, M., Arnegger, J., Job, H., The economic impact of tourism in six German national parks (2010) Landscape Urban Plan, 92 (2), pp. 73-82; McCabe, S., Who needs a holiday Evaluating social tourism (2009) Ann Tour Res, 36 (4), pp. 667-688; McCabe, S., Joldersma, T., Li, C., Understanding the benefits of social tourism: Linking participation to subjective well-being and quality of life (2010) Int J Tour Res, 12 (6), pp. 761-773; McGehee, N.G., Santos, C.A., Social change discourse and volunteer tourism (2005) Ann Tour Res, 32 (3), pp. 760-779; Miller, R.E., Blair, P.D., (1985) Input-output Analysis: Foundations and Extensions, , Prentice Hall Englewood Cliffs; Minnaert, L., Maitland, R., Miller, G., Tourism and social policy: The value of social tourism (2009) Ann Tour Res, 36 (2), pp. 316-334; Nimrod, G., Retirement and tourism-themes in retirees' narratives (2008) Ann Tour Res, 35 (4), pp. 859-878; Nimrod, G., Rotem, A., Between relaxation and excitement: Activities and benefits in retirees' tourism (2010) Int J Tour Res, 12 (1), pp. 65-78; Ogorlec, A., Snoj, B., Guests' satisfaction with tourism services: A case of health resorts in Slovenia (1998) Tour Rev, 53 (2), pp. 38-47; (2011), http://www.bits-int.org/en/index.phpmenu1&submenu2, OITS Accessed 10 Feb 2011; Porter, P.K., Fletcher, D., The economic impact of the Olympic Games: Ex ante predictions and ex post reality (2008) J Sport Manage, 22 (4), pp. 470-486; Pratt, S., Economic linkages and impacts across the TALC (2011) Ann Tour Res, 38 (2), pp. 630-650; Ramos, A., (2005) O Termalismo em Portugal: Dos Factores de Obstrucąõ À Revitalizacąõ Pela Dimensaõ Tuŕstica, , Ph.D. thesis, Departament of Economics, Management and Industrial Engineering, University of Aveiro; Schubert, S.F., Brida, J.G., Macroeconomic effects of changes in tourism demand: A simple dynamic model (2009) Tour Econ, 15 (3), pp. 561-613; Shoemaker, S., Segmentation of the senior pleasure travel market: 10 years later (2000) J Travel Res, 39, pp. 11-26; (2009) Employment in the Social Tourism Sector in Europe, (Study Carried Out under the Auspices of EFFAT and BITS), , ULB-IGEAT-LITOteS; (1948) General Assembly Resolution 217 A, , United Nations Paris; (2011), http://www.unwto.org/ethics/principles/en/article7.php, UNWTO Accessed 9 Feb 2011; Zhou, D., Yanagida, J.F., Chakravorty, U., Leung, P., Estimating economic impacts from tourism (1997) Ann Tour Res, 24 (1), pp. 76-89","Eusébio, C.; DEGEI, Universidade de Aveiro, Campus Universitário de Santiago, Portugal",,,"Physica-Verlag",,,,,,9783790828795; 3790828785; 9783790828788,,,"English","Quantit. Methods in Tourism Econ.",Book Chapter,"Final",,Scopus,2-s2.0-84930702405 "Lunt N., Horsfall D.","6603761945;35848647100;","Medical Tourism",2014,"Encyclopedia of Health Economics",,,,"263","270",,3,"10.1016/B978-0-12-375678-7.00615-5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043301877&doi=10.1016%2fB978-0-12-375678-7.00615-5&partnerID=40&md5=d53440bce3c2ee188b16e5d0a5698b1b","University of York, Heslington, York, United Kingdom","Lunt, N., University of York, Heslington, York, United Kingdom; Horsfall, D., University of York, Heslington, York, United Kingdom","The rise of medical tourism poses questions for health systems around the world. This article sets the context for what exactly should be considered as medical tourism, charts the rise of the phenomenon, and outlines some of the emerging concerns and opportunities. Medical tourism may impact on both the country to which a person travels for treatment (the exporter of medical tourism services) and the source country (who import medical tourism services). Issues of patient safety, the global movement of health professionals, emergence of two-tier systems, and financing of domestic health systems are all discussed. © 2014 Elsevier Inc. All rights reserved.","Accreditation; Brain drain; Brokers; Globalization; Marketing; Medical tourism; Medical value travel; Outsourcing; Surgery; Trade; Two-tier system",,,,,,,,,"Carabello, L., A medical tourism primer for U.S. physicians (2008) Medical Practice Management, 23, pp. 291-294; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27, pp. 1093-1100; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) The McKinsey Quarterly, , https://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, (Online). Available at: (accessed 18.12.12); Lunt, N., Carrera, P., Advice for prospective medical tourists: Systematic review of consumer sites (2011) Tourism Review, 66, pp. 57-67; Lunt, N., Exworthy, M., Green, S., (2011) Medical tourism: Treatments, markets and health system implications: A scoping review, , OECD, Paris; Smith, R., Martínez Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Smith, R.D., Lee, K., Drager, N., Trade and health: An agenda for action (2009) Lancet, 373, pp. 768-773; Smith, R.D., Rupa, C., Viroj, T., Trade in health-related services (2009) Lancet, 373, pp. 593-601","Lunt, N.; University of YorkUnited Kingdom",,,"Elsevier",,,,,,9780123756787; 9780123756794,,,"English","Encycl. of Health Econ.",Book Chapter,"Final",,Scopus,2-s2.0-85043301877 "Lovelock K., Lovelock B.","18935765500;6602856037;","Medical tourism: Consumptive practice, ethics and healthcare – the importance of subjective proximity",2014,"Managing Ethical Consumption in Tourism",,,,"207","224",,3,"10.4324/9781315879437","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84925717673&doi=10.4324%2f9781315879437&partnerID=40&md5=12a80435ac16dccd178411eec2fef7a8","Department of Preventive and Social Medicine, University of Otago, New Zealand; Department of Tourism, University of Otago, New Zealand","Lovelock, K., Department of Preventive and Social Medicine, University of Otago, New Zealand; Lovelock, B., Department of Tourism, University of Otago, New Zealand",[No abstract available],,,,,,,,,,"Snyder, J., Crooks, V., Johnson, R., Kingsbury, P., Beyond Sun, Sand, And Stitches: Assigning Responsibility For The Harms Of Medical Tourism (2012) Bioethics, , www.onlineli-brary.wiley.com, Online. Blackwell publishing: Wiley OnLine Publishing; Fennell, D.A., (2006) Tourism Ethics, , Clevedon: Channel View Publications; Lovelock, B., Lovelock, K.M., (2013) The Ethics of Tourism: Critical and Applied Perspectives, , London: Routledge; Balaban, V., Marano, C., Medical Tourism Research: A Systematic Review (2010) International Journal of Infectious Diseases, 14: E135 (Supplement 1) 14th International Congress on Infectious Diseases (ICID) Abstracts; Banyai, M., Glover, T.D., Evaluating Research Methods on Travel Blogs (2011) Journal of Travel Research, 51 (3), pp. 267-277; Barnett, C., Cloke, P., Clarke, N., Malpass, A., Consuming Ethics: Articulating the Subjects and Spaces of Ethical Consumption (2005) Antipode, 37 (1), pp. 23-45; Bose, A., Private Health Care Sector In India: Is Private Health Care At The Cost Of Public Health Care? (2005) British Medical Journal, 331 (13), pp. 38-39; Burkett, L., Medical Tourism. Concerns, Benefits, And The American Legal Perspective (2007) Journal of Legal Medicine, 28, pp. 223-245; Connell, J., Medical Tourism: Sea, Sun, Sand And… Surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., (2011) Medical Tourism, , Wallingford, Oxfordshire: CAB International; Connell, J., Contemporary Medical Tourism: Conceptualisation, Culture And Commodification (2012) Tourism Management, 34, pp. 1-13; Cortez, N., Patient Without Borders: The Emerging Global Market For Patients And The Evolution Of Modern Healthcare (2008) Indiana Law Journal, 83 (71); Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What Is Known About The Patient's Experience Of Medical Tourism? A Scoping Review (2010) BMC Health Services Research, 10 (266); Geddes, C.C., Henderson, A., Mac Kenzie, P., Rodger, S.C., Outcome Of Patients From The West Of Scotland Travelling To Pakistan For Living Donor Kidney Transplants (2008) Transplantation, 86 (8), pp. 1143-1145; Hall, C.M., Health And Medical Tourism: A Kill Or Cure For Global Public Health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hermans, H., Cross Border Health Care In The European Union, Recent Legal Implications Of Decker And Kohll (2000) Journal of Evaluation in Clinical Practice, 6, pp. 431-439; Jeevan, R., Armstrong, A., Cosmetic Tourism And The Burden On The NHS (2008) JPlastReconstr Aesthet Surg, 61 (12), pp. 1423-1424; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What Is Known About The Effects Of Medical Tourism In Destination And Departure Countries? A Scoping Review (2010) BMC Health Services Research, 10 (266); Johnston, R., Crooks, V.A., Snyder, J., I Didn't Even Know What I Was Looking For”: A Qualitative Study Of The Decision-Making Processes Of Canadian Medical Tourists (2012) Globalization and Health, 8 (23); Krippendorff, K., (2004) Content Analysis: An introduction to Its Methdology, , Thousand Oaks, CA: Sage Publications; Lovelock, B., Lovelock, K.M., (2013) Ethics of Tourism: Critical and Applied Perspectives, , London: Routledge; Lunt, N., Hardey, M., Mannion, R., Nip, Tuck And Click: Medical Tourism And The Emergence Of Web-Based Health Information (2010) The Open Medical Informatics Journal, 4, pp. 1-11; Lunt, N., Percivil, C., Systematic Review Of Web Sites For Prospective Medical Tourists (2011) Tourism Review, 66 (1-2), pp. 57-67; Meghani, Z., A Robust, Particularist Ethical Assessment Of Medical Tourism (2011) Bioethics, 11 (1), pp. 16-29; Pearce, P.L., Tourists” Written Reactions To Poverty In Southern Africa (2012) Journal of Travel Research, 51, pp. 154-165; Pennings, G., Ethics without Boundaries: Medical Tourism (2007) Principles of Health Care Ethics, , R.E. Ashcroft, A. Dawson, H. Draper and J.R. McMillan (eds), (2nd edition), Chichester: John Wiley and Sons Ltd; Pocock, S., Phua, K.H., Medical Tourism And Policy Implications For Health Systems: A Conceptual Framework From A Comparative Study Of Thailand, Singapore And Malaysia (2011) Globalization and Health, 7 (12); Smith, D.M., (2000) Moral Geographies: Ethics in a World of Difference, , Edinburgh: Edinburgh University Press; Smith, S., (2010) Practical Tourism Research, , Wallingford, Oxfordshire: CAB International; Smuddle, P.M., Blogging, Ethics And Public Relations: A Proactive And Dialogic Approach (2005) Public Relations Quarterly, 50 (3), pp. 34-38; Snyder, J., Crooks, V., Johnston, R., Kinsbury, P., Beyond Sun, Sand, And Stitches: Assigning Responsibility For The Harms Of Medical Tourism (2012) Bioethics, 27 (5), pp. 233-242; Solomon, H., Affective Journeys: The Emotional Structuring Of Medical Tourism In India (2011) Anthropology & Medicine, 18 (1), pp. 105-118; Stewart, K., (2007) Ordinary Affects, , Durham: Duke University Press; Terzi, E., Kern, T., Kohnen, T., Complications After Refractive Surgery Abroad (2008) Ophthalmologe, 105 (5), p. 474; Vuckovic, N., Fast Relief: Buying Time With Medications (1999) Medical Anthropology Quarterly, 13 (1), pp. 51-68","Lovelock, K.; Department of Preventive and Social Medicine, University of OtagoUnited Kingdom",,,"Taylor and Francis",,,,,,9781315879437,,,"English","Managing Ethical Consum. in Tourism",Book Chapter,"Final",,Scopus,2-s2.0-84925717673 "Andrei C.L., Ţigu G., Drăgoescu R.M., Sinescu C.J.","36543507200;33568454300;56487873800;31367679900;","Analysis of medical tourism for cardiovascular diseases",2014,"Amfiteatru Economic","16","SpecialIssue.8",,"1136","1150",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921405152&partnerID=40&md5=c3392bed86afd2cf0dab4a004c0b0588","University of Medicine and Pharmacy Carol Davila of Bucharest, Romania; Bucharest University of Economic Studies, Romania","Andrei, C.L., University of Medicine and Pharmacy Carol Davila of Bucharest, Romania; Ţigu, G., Bucharest University of Economic Studies, Romania; Drăgoescu, R.M., Bucharest University of Economic Studies, Romania; Sinescu, C.J., University of Medicine and Pharmacy Carol Davila of Bucharest, Romania","Increasing costs of treatments have led to the apparition of the medical tourism. Patients in high-income countries seek to solve their health problems in developing countries where the cost of medical treatment is much lower. This cost difference has led to the medical tourism industry that is currently estimated with an annual growth rate of about 20%. Cardiovascular diseases are a leading cause of death worldwide. The high cost of treating these diseases cause many patients to seek treatment options abroad. This paper presents an analysis of the medical tourism industry highlighting the factors that led to its development, barriers to medical tourism, and the economic impact of this industry. Although Romania has highly appreciated doctors it hasn't achieved yet the high level of other developing countries where medical tourism is more intense. Spa tourism is still far from Romania's potential in this area due to the very small investments and the lack of necessary infrastructure. Using statistical and econometric techniques we examined key health indicators in Romania showing the lack of correlation between the prevalence of cardiovascular diseases, the development of the endowment of the health system in Romania, expenditures on health care and evolution of the number of foreign tourists coming to Romania to treat these diseases. We used statistical data series provided by N.S.I. that were processed using Eviews. We also tested whether there is a causal relationship in the Granger sense between the percentage of GDP allocated to the health care system and the number of nights spent by foreign tourists in resorts in Romania or the number of arrivals of foreign tourists.","Cardiovascular diseases; Health care; Health expenditure; Medical tourism; Spa tourism",,,,,,,,,"Andrei, C.L., Sinescu, C.J., Oancea, B., Iacob, A.I., Methods used by students for development of socio-economics barriers in heart failure management (2010) Procedia Social and Behavioural Sciences, 9, pp. 1272-1276; Arunanondchai, J., Fink, C., Globalization for health - Trade in Health Services in the ASEAN region. (2006) Health Promotion International, 21 (1), pp. 59-66; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries., , New York: Palgrave Macmillan; Caballero-Danell, S., Mugomba, C., Medical tourism and its entrepreneurial opportunities - A conceptual framework for entry into industry. (2007), Master Thesis no. 2006:91. Goteborg University, School of Business, Economics and Law; Chanda, R., (2002) Trade in health services., , Working paper no. 70. Bulletin of World Health Organization. Geneva: World Health Organization; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Medical Journal of Australia, 187, pp. 666-667; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of World Health Organization, 85 (3), pp. 164-165; Connell, J., Medical tourism: sea, sun, sand and . (2006) surgery. Tourism management, 27 (6), pp. 1093-1100; (2008) Medical Tourism - Consumers in search of value., , Washington, D.C.: Deloitte Center for Health Solutions; DeNavas-Walt, C., Proctor, B.D., Smith, J.C., (2012) Income, Poverty, and Health Insurance Coverage in the United States: 2011., , Current Population Reports. U.S. Census Bureau. Washington, DC: U.S. Government Printing Office; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 31 (1), pp. 27-35; Gan, L., Frederick, J.R., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Herrick, D.M., (2008) Medical tourism: health care free trade., , http://research.policyarchive.org/8293.pdf, [pdf] National Center for Policy Analysis, Brief Analysis No. 623, August. Available at: [Accessed 25 August 2014]; Horowitz, M.D., Rosenweig, A.J., Jones, C.A., Medical tourism: globalization of the healthcare marketplace. (2007) Medscape General Medicine, 9 (4), p. 33; (2011) Issues Monitor, Sharing knowledge on topical issues in the Healthcare Sector, 7; Lautier, M., Export of health services from developing countries: The case of Tunisia. (2008) Social Science & Medicine, 67 (1), pp. 101-110; Lee, C.G., Health care and tourism: Evidence from Singapore (2010) Tourism management, 31, pp. 486-488; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2012) Medical toursim: treatments, markets and health system implications: a scoping review., , http://www.oecd.org/els/health-systems/48723982.pdf, [pdf] OECD, Directorate for Employment, Labour and Social Affairs. Available at: [Accessed 25 August 2014]; Mendis, S., Puska, P., Norrving, B., (2011) Cardiovascular Disease: Global Atlas on Cardiovascular Disease Prevention and Control., , Geneva: World Health Organization; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand s exeprience (2011) Bulletin of the World Health Organization, 89, pp. 336-344; (2013) Asian Medical Tourism Market Forecast to 2015.; Smith, R.D., Lee, K., Drager, N., Trade and health - an agenda for action (2009) The Lancet, 373, pp. 768-773; (2001) World Population Ageing: 1950-2050., , http://www.un.org/esa/population/publications/worldageing19502050/, [online] Available at: [Accessed 25 August 2014]; (2010) Medical Tourism: a survey., , U.N.: Washington, D.C; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global public health: An international journal for research, policy and practice, 3, pp. 271-290; York, D., Medical tourism: the trend toward outsourcing medical procedures to foreign countries (2008) Journal of continuing education in the health professionals, 28 (2), pp. 99-102","Andrei, C.L.; University of Medicine and Pharmacy Carol Davila of BucharestRomania",,,"Editura Cefin",,,,,15829146,,,,"English","Amfiteatru Econ.",Article,"Final",,Scopus,2-s2.0-84921405152 "Choksuchat C., Ngamphak S., Maneesaeng B., Chiwpreechar Y., Chantrapornchai C.","36738807400;56285250000;56285576800;56285685500;6603855808;","Parallel health tourism information extraction and ontology storage",2014,"2014 11th Int. Joint Conf. on Computer Science and Software Engineering: ""Human Factors in Computer Science and Software Engineering"" - e-Science and High Performance Computing: eHPC, JCSSE 2014",,, 6841873,"236","241",,3,"10.1109/JCSSE.2014.6841873","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904557847&doi=10.1109%2fJCSSE.2014.6841873&partnerID=40&md5=be142ab07f460374cf2b566e689f4003","Department of Computing, Faculty of Science, Nakhon Pathom, Thailand; Dept. of Computer Engineering, Faculty of Engineering, Kasetsart University, Bangkok, Thailand","Choksuchat, C., Department of Computing, Faculty of Science, Nakhon Pathom, Thailand; Ngamphak, S., Department of Computing, Faculty of Science, Nakhon Pathom, Thailand; Maneesaeng, B., Department of Computing, Faculty of Science, Nakhon Pathom, Thailand; Chiwpreechar, Y., Department of Computing, Faculty of Science, Nakhon Pathom, Thailand; Chantrapornchai, C., Dept. of Computer Engineering, Faculty of Engineering, Kasetsart University, Bangkok, Thailand","Health tourism is now popular and being promoted in Thailand since it is one of the growing industry. Health tourism information is scattered around in many places especially, in the websites. A health tourism service provider may be in many forms such as in the hotel, as a separated business, as a hospital etc. Each service provider may have its own website as well as the websites from common providers such as Tripadvisor, Agoda, or Atsiam, etc. Each website provides different information about just one service provider. In this work, we are interested in information gathering process for health tourism. We introduce the use of parallel Java platform to gather the tourism information particularly, using a Java concurrent program and merge the information using MapReduce. The information we gather are preprocessed and combined with the information manually collected. Google Refine is used to merge all the information into single health tourism ontology. © 2014 IEEE.","Health Tourism Information; Java concurrency; Map reduce","Computer science; Computer software; Human engineering; Java programming language; Websites; Concurrent program; Health tourisms; Information gathering; Java concurrency; Java platforms; Map-reduce; Service provider; Thailand; Health",,,,,,,,"Woodman, J., Patients Beyond Borders: Everybody's Guide to Affordable, World-Class Medical Travel. ReadHowYouWant.com, 2011; https://www.kasikornresearch.com/en/k-econanalysis/pages/ViewSummary. aspx?docid=29792, Thai Medical Tourism. [Accessed: 27-Feb-2014]; Eman, M.H., Benchmarking the Egyptian Medical Tourism Sector Against International Best Practices: An Exploratory Study Tour. Int. Multidiscip. J. Tour, 6, pp. 293-311; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) J. Vacat. Mark, 7 (1), pp. 5-17; Caballero-Danell, S., Mugomba, C., (2007) Medical Tourism and Its Entrepreneurial Opportunities-A Conceptual Framework for Entry into the Industry, , Rapp. Nr Master Thesis 2006 91; Barbara, C., Gabriele, J., Van D.P.Ruud, (2007) Using OpenMP: Portable Shared Memory Parallel Programming (Scientific and Engineering Computation), , The MIT Press; Doug, L., The java.util.concurrent synchronizer framework (2005) Sci Comput Program, 58, pp. 293-309; Bull, J.M., Kambites, M.E., JOMP-an OpenMP-like interface for Java (2000) Presented at the Proceedings of the ACM 2000 Conference on Java Grande; Michael, K., Matthias, B., Ronald, V., Michael, P., JaMP: An implementation of OpenMP for a Java DSM: Research Articles (2007) Concurr Comput Pr. Exper, 19, pp. 2333-2352; Kaminsky, A., Parallel Java: A unified API for shared memory and cluster parallel programming in 100% Java (2007) Presented at the 21st IEEE International Parallel and Distributed Processing Symposium (IPDPS 2007); Robert, J., Bocchino, L., Vikram, S.A., Danny, D., Sarita, V.A., Stephen, H., Rakesh, K., Mohsen, V., A type and effect system for deterministic parallel Java (2009) SIGPLAN Not, 44, pp. 97-116; Doug, L., A Java fork/join framework (2000) Presented at the Proceedings of the ACM 2000 Conference on Java Grande; Goetz, B., Peierls, T., Bloch, J., Bowbeer, J., Holmes, D., Lea, D., Task execution (2006) Java Concurrency in Practice, p. 384. , 1st ed., Addison-Wesley Professional; 1 edition (May 19, 2006); http://code.google.com/intl/th-TH/edu/parallel/mapreduce-tutorial.html, Introduction to Parallel Programming and MapReduce; Jeffrey, D., Sanjay, G., MapReduce: Simplified data processing on large clusters (2008) Commun ACM, 51, pp. 107-113; Arguello, M., Gacitua, R., Osborne, J., Peters, S., Ekin, P., Sawyer, P., Skeletons and semantic web descriptions to integrate parallel programming into ontology learning frameworks (2009) Presented at the Proceedings of the UKSim 2009: 11th International Conference on Computer Modelling and Simulation; Dell'erba, M., Fodor, O., Ricci, F., Werthner, H., Harmonise: A solution for data interoperability (2002) I3E, 233, pp. 433-445; Dell'erba, M., Fodor, O., Höpken, W., Werthner, H., Exploiting semantic web technologies for harmonizing e-markets (2005) J. Inf. Technol. Tour, 7, pp. 201-219; Foder, O., Werther, H., Harmonise: A step toward an interoperable e-tourism market place (2005) Int. J. Electron. Commer, 9, pp. 11-39; Dogac, A., Kabak, Y., Laleci, G., Sinir, S., Yildiz, A., Kirbas, S., Gurcan, Y., Semantically enriched web services for the travel industry (2004) SIGMOD Rec, 33 (3), pp. 21-27; Balduini, M., Celino, I., Delláglio, D., Della Valle, E., Huang, Y., Lee, T., Kim, S.-H., Tresp, V., (2012) BOTTARI: An Augmented Reality Mobile Application to Deliver Personalized and Location-based Recommendations by Continuous Analysis of Social Media Streams, , presented at the; Li, D., Tim, F., Anupam, J., Rong, P., Cost, R.S., Yun, P., Pavan, R., Joel, S., Swoogle: A search and metadata engine for the semantic web (2004) Presented at the Proceedings of the Thirteenth ACM International Conference on Information and Knowledge Management; Hogan, A., Harth, A., Umbrich, J., Kinsella, S., Polleres, A., Decker, S., Searching and browsing linked data with SWSE: The semantic web search engine Web Semant. Sci. Serv. Agents World Wide Web, 9, pp. 365-401; Knublauch, H., [Protege] Annotation of /Owl/trunk/examples/travel.owl, , http://smi-protege.stanford.edu/svn/owl/trunk/examples/travel.owl? annotate=1171&pathrev=1171, Accessed: 25-Aug-2009; http://intra.info.uqam.ca/Members/valtchev_p/mbox/ETP-tourism.owl/view; http://e-tourism.deri.at/ont/e-tourism.owl, DERI (STI Innsbruck 2009) [Accessed: 15-Aug-2009]; Ou, S., http://qallme.fbk.eu/qallme-tourism4.0.owl, [Accessed: 30-Sep-2013]; http://gate.ac.uk/sale/talks/gate-course-july09/hands-on-resources/ questio/ontology/offline/tgproton.owl, Danica Damljanovic, ""Travel Guides ontology[Accessed: 10-Apr-2014]; Smith, M.K., Puczkó, L., (2009) Health and Wellness Tourism, , Elsevier/Butterworth-Heinemann; Cardoso, J., Developing an owl ontology for e-tourism (Chapter4) (2006) Semantic Web Services, Processes and Applications, 3, pp. 247-282. , J. Cardoso and A. Sheth, Eds. Springer US; Cardoso, J., (2013) E-Tourism: Creating Dynamic Packages Using Semantic Web Processes, , http://www.w3.org/2005/04/FSWS/Submissions/16/paper.html, Accessed: September 30; Bock, J., Parallel computation techniques for ontology reasoning (2008) Paper Presented at the 7th Int. Conference on the Semantic Web, pp. 901-908. , Springer-Verlag: Karlsruhe, Germany",,,"","IEEE Computer Society","2014 11th International Joint Conference on Computer Science and Software Engineering: ""Human Factors in Computer Science and Software Engineering"" - e-Science and High Performance Computing: eHPC, JCSSE 2014","14 May 2014 through 16 May 2014","Pattaya, Chonburi",106440,,9781479958221,,,"English","Int. Jt. Conf. Comput. Sci. Softw. Eng.: ""Hum. Factors Comput. Sci. Softw. Eng."" - e-Sci. High Perform. Comput.: eHPC, JCSSE",Conference Paper,"Final",,Scopus,2-s2.0-84904557847 "Meghani Z.","15848865800;","The ethics of medical tourism: From the United Kingdom to India seeking medical care",2013,"International Journal of Health Services","43","4",,"779","800",,3,"10.2190/HS.43.4.k","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886662274&doi=10.2190%2fHS.43.4.k&partnerID=40&md5=7abdaf1de57b9123dfe651f94b7b76d4","Department of Philosophy, University of Rhode Island, 170 Chafee Hall, Kingston, RI 02881, United States","Meghani, Z., Department of Philosophy, University of Rhode Island, 170 Chafee Hall, Kingston, RI 02881, United States","Is the practice of UK patients traveling to India as medical tourists morally justified? This article addresses that question by examining three ethically relevant issues. First, the key factor motivating citizens of the United Kingdom to seek medical treatment in India is identified and analyzed. Second, the life prospects of the majority of the citizens of the two nations are compared to determine whether the United Kingdom is morally warranted in relying on India to meet the medical needs of its citizens. Third, as neoliberal reforms are justified on the grounds that they will help the indigent populations affected by them, the impact of medical tourism-a neoliberal initiative-on India's socially and economically marginalized groups is scrutinized. © 2013, Baywood Publishing Co., Inc.",,"disease treatment; ethics; health policy; health services; marginalization; medical geography; tourism market; article; economics; ethics; female; health care delivery; human; India; infant; infant mortality; male; medical tourism; national health service; social class; time; United Kingdom; vulnerable population; women's rights; Female; Great Britain; Health Services Accessibility; Humans; India; Infant; Infant Mortality; Male; Medical Tourism; Social Class; State Medicine; Time Factors; Vulnerable Populations; Women's Rights; India; United Kingdom",,,,,,,,"Black, N., Liberating the NHS'-another attempt to implement market forces in English health care (2010) New Engl. J. 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Ethics, 5, pp. 4-5; Mudur, G., India plans to expand private sector in healthcare review (2003) BMJ, 326, pp. 520-520; Gupta, A.S., Medical tourism and public health (2004) People's Democracy, , May 9; Venkat, R., Team to market India as medical tourism destination in Britain (2010) MyNews, 18. , July; (2013) Why Are Hospitals in India Offering Luxury Services?, 21. , Knowledge@Wharton Today February; Mullan, F., Doctors for the world: Indian physician emigration (2006) Health Aff., 25, pp. 380-393; Himanshu, (2008) What Do the New Global Poverty Estimates Mean?, , http://www.networkideas.org/featart/jan2009/Himanshu_EPW.pdf, accessed May 1 2013; Arnold, F., (2007) Nutrition in India: National Family Health Survey (NFHS-3), India, 2005-2006, , International Institute for Population Sciences, Mumbai; Navarro, V., Neoliberalism as a class ideology, or, the political causes of the growth of inequalities (2007) Int. J. 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CLACSO, Buenos Aires; Sainath, P., Neo-liberal terrorism in India: The largest wave of suicides in history (2009) Counterpunch: Tells the Facts and Names the Names, , February 12; Rao, N., Land rights, gender equality and household food security: Exploring the conceptual links in the case of India (2006) Food Policy, 31, pp. 180-193; Chakrabortty, A., Bankers and politicians have turned food into a betting game: The result is soaring prices and starving children (2011) The Guardian, 7. , June; Swaminathan, M., Excluding the needy: The public provisioning of food in India (2002) Soc. Scientist, 30, pp. 34-58; Palriwala, P., Pillai, N., (2008) The Political and Social Economy of Care: India Research Report 1, , United Nations Research Institute for Social Development, Geneva; Bajpai, V., Saraya, A., User charges as a feature of health policy in India: A perspective (2010) Natl. Med. J. 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Guidelines for Consideration of Requests for Inclusion and Complaints of Under-Inclusion in the Central List of OBCs. Government of India. accessed May, 1,2013; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Dev. World Bioeth., 11, pp. 16-29","Meghani, Z.; Department of Philosophy, University of Rhode Island, 170 Chafee Hall, Kingston, RI 02881, United States; email: meghaniz@mail.uri.edu",,,,,,,,00207314,,IJHSC,"24397239","English","Int. J. Health Serv.",Article,"Final",,Scopus,2-s2.0-84886662274 "Strban G.","54413072300;","Patient mobility in the European Union: Between social security coordination and free movement of services",2013,"ERA Forum","14","3",,"391","407",,3,"10.1007/s12027-013-0311-2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84885310194&doi=10.1007%2fs12027-013-0311-2&partnerID=40&md5=eba867839565f654ca60e8f9df6a8208","University of Ljubljana, Ljubljana, Slovenia","Strban, G., University of Ljubljana, Ljubljana, Slovenia","For over fifty years, the social security systems of member states have been linked together (coordinated), in order to ensure free movement of workers and citizens in general. The Court of Justice of the European Union has developed a parallel coordination mechanism, based directly on Treaty provisions on free movement of goods and services. To achieve more legal clarity and equal access to cross-border healthcare for all, case-law-based solutions were codified in Directive 2011/24/EU. In this article, the question is explored of whether the sought-for goals have been achieved. It is argued that cross-border-healthcare has become quite complex and that transposing the Directive is not an easy task. © 2013 ERA.","Cross-border healthcare; Directive 2011/24/EU; Patient mobility; Social security coordination",,,,,,,,,"Bieback, K.-J., Richtlinie 2011/24/EU - Patientenrichtlinie (2013) Europäisches Sozialrecht 6. Auflage, pp. 656-724. , M. Fuchs (Ed.), Baden-Baden: Nomos; Eichenhofer, E., Unterliegen die den Basistarif anbietenden Träger der privaten Krankenversicherung dem Europäischen koordinierenden Sozialrecht? (2010) MedR, 28 (5), pp. 298-302; Eichenhofer, E., Application of the coordination regulation in the context of decentralisation and regionalisation in matters of social security (2010) 50 Years of Social Security Coordination, pp. 72-90. , Past-Present-Future, Y. Jorens (Ed.), Brussels: EU; Fillon, J.-C., Cross-border healthcare: towards coordination of two patient mobility routes (2010) 50 Years of Social Security Coordination, pp. 213-236. , Past-Present-Future, Y. Jorens (Ed.), Brussels: EU; Hatzopoulos, V., Harvey, T., Coming into line: the EU's Court softens on cross-border health care (2013) Health Policy Econ. Law, 8 (1), pp. 1-5; Jorens, Y., Coucheir, M., van Overmeiren, F., Access to health care in an internal market: impact for statutory and complementary systems (2005) Bulletin Luxemb. Quest. Soc., 18, pp. 1-136; Palm, W., Towards a renewed community framework for safe, high-quality and efficient cross-border healthcare within the EU (2011) Cross-Border Health Care in the EU, , M. Wismar (Ed.), Copenhagen: WHO; Pennings, F., The cross-border health care Directive: more free movement for citizens and more coherent EU Law? (2011) Eur. J. Soc. Secur., 13 (4), pp. 424-452; Strban, G., (2005) Temelji Obveznega Zdravstvenega Zavarovanja (Basic Principles of Mandatory Health Insurance), , Ljubljana: Scientia/Iustitia, Cankarjeva založba; Strban, G., (2011) Social Security of EU Migrants-An Interplay Between the Union and National Laws, pp. 81-101. , Budapest: Faculty of Law, University of Budapest; Strban, G., (2012) Social Security Coordination for Non-EU Countries in South and Eastern Europe: A Legal Analysis, , Budapest: International Labour Organisation; Strban, G., The right to cross-border healthcare in the EU-between social rights and economic freedoms (2012) Savremene Tendencije U Razvoju Pravne Nauke I Pravnog Obrazovanja, pp. 241-269. , B. Petrović (Ed.), Sarajevo: Faculty of Law; Strban, G., Distinctive long-term care schemes as a response to changed family structures and demographic situation (2012) Pravnik, 67 (3-4), pp. 249-278; Verschueren, H., Reverse discrimination: an unsolvable problem (2009) Rethinking the Free Movement of Workers: The European Challenges Ahead, pp. 99-118. , P. Minderhoud and N. Trimikliniotis (Eds.), Nijmegen: Wolf Legal Publishers","Strban, G.; University of Ljubljana, Ljubljana, Slovenia; email: grega.strban@pf.uni-lj.si",,,,,,,,16123093,,,,"English","ERA Forum",Article,"Final",,Scopus,2-s2.0-84885310194 "Song K.-M., Choi H.-Y., Moon S.-I.","55498308700;57199219508;55495965800;","A study on the u-health policy to promote medical tourism industry",2013,"International Journal of Bio-Science and Bio-Technology","5","3",,"175","180",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879731185&partnerID=40&md5=389408c71b5c3b272c0f9371266189d6","Hanyang University Institute of Aging Society, Seoul, South Korea; Health Insurance Review and Assessment Service, Seoul, South Korea; Hanyang University Hospitality Academy, Seoul, South Korea","Song, K.-M., Hanyang University Institute of Aging Society, Seoul, South Korea; Choi, H.-Y., Health Insurance Review and Assessment Service, Seoul, South Korea; Moon, S.-I., Hanyang University Hospitality Academy, Seoul, South Korea","This study aims to understand and analyse the legal status of telemedicine's standards and category, to bring up problems concerning the analysis findings, and to propose desirable legal measures. By considering the plain meaning of ""support"" in the Article 34 in Medical Act, responsibility limits of the telemedicine is surveyed. Permitted limits of telemedicine practices, responsibility in case of medical accident at a remote location is studied in this paper. Classification of telemedicine practices including remote doctor and local doctor, proposal for the liability, and necessary for the compensation of responsibility rule in the present Medical Act are also suggested.","Medical act; Medical tourism industry; Remote medical consultations; Remote medical services; Remote medical services within the bounds of the law and its responsibilities; U-health policy",,,,,,,,,"(2010), WHO Library Cataloguing-in-Publication Data, Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth 2009(Global Observatory for eHealth Series, 2), World Health Organization; (2012), http://www.epractice.eu/files/media/media1971.pdf, European Commission's Information Society and Media Directorate General, Legally eHealth: putting eHealth in its European legal context, March, 2008, July 4; Song, T.M., (2011) U-Health: Current Status and Tasks Ahead, , the Korea Institute for Health and Social Affairs; Besses, G.S., (2007) Telemedicine: Legal Issue, , S. S. Sanbar, A. Gibofsky, M. H. Firestone, Theodere R. LeBlang, Legal Medicine, edited by St. Louis: American College of Legal Medicine Textbook Committee; Jang, W., Kim, S.H., Kim, C., Kim, K., A Comparative Study on the telehealth regulations between U.S.A, Australia and Japan for developing the Korean telehealth system (2010) Korean Journal of Medicine and Law, 18 (1), pp. 79-104; Schwamm, L.H., Audebert, H.J., Amarenco, P., Chumbler, N.R., Frankel, M.R., George, M.G., Gorelick, P.B., White, C.J., Recommendations for the Implementation of Telemedicine Within Stroke Systems of Care: A Policy Statement From the American Heart Association (2009) Stroke, 40 (7), pp. 2635-2660; Jeff, M., Digital diagnosis: Liability concerns and state licensing issues are inhibiting the progress of telemedicine (1997) Communications and The Law, 19, pp. 25-43; Lee, J., Kim, K.Y., The Legal Problems about the Medical Liability of the Telemedicine (2001) Korean Journal of Medicine and Law, 9 (2), pp. 129-151; Jeong, Y., A Study on the Civil Liability of Telemedicine and Some Legislative Proposals (2007) The Korean Society of Law and Medicine Semiannual, 7 (1), pp. 323-386; Lee, Y.T., (2008) Mid-to Long-term Plan Establishment For U-Healthcare Activating, , Korea Health Industry Development Institute; Kim, D., Lee, J., u-Health: Encounter of Medical Appliances and Information Technology (2010) The Journal of Korea Information Processing Society, 17 (5), pp. 67-77; Daly, H.L., Telemedicine: The Invisible Legal Barriers to the Health Care of the Future (2000) Annals of Health Law, 9, pp. 73-106; Chan, M., Estève, D., Escriba, C., Campo, E., A review of smart homes-Present state and future challenges (2008) Computer Methods and Programs In Biomedicine, 91 (1), pp. 55-81; Venable, S.S., A Call to Action: Georgia Must Adopt New Standard of Care, Licensure, Reimbursement, and Privacy Laws for Telemedicine (2005) Emory Law Journal, 54, pp. 1183-1218","Choi, H.-Y.; Health Insurance Review and Assessment Service, Seoul, South Korea; email: haieung@hanyang.ac.kr",,,,,,,,22337849,,,,"English","Int. J. Bio-Sci. Bio-Technol.",Article,"Final",,Scopus,2-s2.0-84879731185 "Voigt C., Laing J.H.","36024612300;7006035125;","A way through the maze: Exploring differences and overlaps between wellness and medical tourism providers",2013,"Medical Tourism and Transnational Health Care",,,,"30","47",,3,"10.1057/9781137338495","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996774830&doi=10.1057%2f9781137338495&partnerID=40&md5=ba8f05cf3e54e26979169126cf282648","Curtin University, Perth, Australia; Department of Marketing and Tourism and Hospitality, La Trobe University, Bundoora, Australia","Voigt, C., Curtin University, Perth, Australia; Laing, J.H., Department of Marketing and Tourism and Hospitality, La Trobe University, Bundoora, Australia",[No abstract available],,,,,,,,,,"Ackerman, S.L., Plastic paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Medical Anthropology, 29 (4), pp. 403-423; Askegaard, S., Gertsen, M.C., Langer, R., The body consumed: Reflexivity and cosmetic surgery (2002) Psychology and Marketing, 19 (10), pp. 793-812; Baer, H.A., The growing interest of biomedicine in complementary and alternative medicine: A critical perspective (2002) Medical Anthropology Quarterly, 16 (4), pp. 403-405; Baer, H.A., The emergence of integrative medicine in Australia: The growing interest of biomedicine and nursing in complementary medicine in a Southern developed society (2008) Medical Anthropology Quarterly, 22 (1), pp. 52-66; Baer, H.A., Coulter, I., Introduction - Taking stock of integrative medicine:Broadening biomedicine or co-option of complementary and alternative medicine? 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Bodeker (eds), (Oxford:Butterworth-Heinemann); Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Dalen, J.E., Is integrative medicine the medicine of the future? A debate between Arnold S. Relman, MD, and Andrew Weil, MD (1999) Archives of Internal Medicine, 159 (18), pp. 2122-2126; Davis-Floyd, R., The technocratic, humanistic, and holistic paradigms of childbirth (2001) International Journal of Gynaecology and Obstetrics, 75 (1), pp. S5-S23; Dobos, G., Integrative medicine-medicine of the future or ""old wine in new skins""? (2009) European Journal of Integrative Medicine, 1 (3), pp. 109-115; Dunn, H.L., What high-level wellness means (1959) Canadian Journal of Public Health, 50 (11), pp. 447-457; Eisenberg, D.M., Davis, R.B., Ettner, S.L., Appel, S., Wilkey, S., Van Rompay, M., Kessler, R.C., Trends in alternative medicine use in the United States, 1990- 1997: Results of a follow-up national survey (1998) The Journal of the American Medical Association, 280, pp. 1569-1575; Ellis, S., Trends in the Global Spa Industry (2008) Understanding the Global Spa Industry: Spa Management, , M. Cohen and G. Bodeker (eds), (Oxford: Butterworth-Heinemann); Ernst, E., Integrated medicine: Smuggling alternative practices into rational medicine? (2011) Focus on Alternative and Complementary Therapies, 16 (1), pp. 1-2; Featherstone, M., The Body in Consumer Culture (1991) The Body: Social Process and Cultural Theory, , M. Featherstone, M. Hepworth and Turner, B. S. (eds), (London: Sage); Gaudet, T.W., Faass, N., Developing an Integrative Medicine Program:The University of Arizona Experience (2001) Integrating Complementary Medicine into Health Systems, , N. Faass (ed.), (Aspen: Gaithersburg); Gimlin, D., Cosmetic surgery: Beauty as commodity (2000) Qualitative Sociology, 23 (1), pp. 77-98; Goldstein, M.S., The Culture of Fitness and the Growth of CAM (2000) Complementary and Alternative Medicine:Challenge and Change, , M. Kelner, B.Wellman, B. Pescosolido andM. Saks (eds), (London: Routledge); Hattie, J.A., Myers, J.E., Sweeney, T.J., A factor structure of wellness:Theory, assessment, analysis and practice (2004) Journal of Counseling and Development, 82 (3), pp. 354-364; Hollenberg, D., How do private CAM therapies affect integrative health care settings in a publicly funded health care system? (2007) Journal of Complementary and Integrative Medicine, 4 (1), pp. 1-16; Kaptchuk, T.J., Miller, F.G., Viewpoint: What is the best and most ethical model for the relationship between mainstream and alternative medicine:Opposition, integration, or pluralism? (2005) Academic Medicine, 80 (3), pp. 286-290; Kelly, C., Analysing wellness tourism provision: A retreat operators' study (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 108-116; Kelner, M., Wellman, B., Health care and consumer choice: Medical and alternative therapies (1997) Social Science and Medicine, 45 (2), pp. 203-212; Kelner, M.M., Wellman, B., Complementary and alternative medicine: How do we know if it works? (2003) Healthcare Papers: New Models for the New Healthcare, 3 (5), pp. 10-28; Lempa, H., The spa: Emotional economy and social classes in nineteenthcentury Pyrmont (2008) Central European History, 35 (1), pp. 37-73; McGinley, S., Princess Haya to Steer Revamp of Dubai Healthcare City (2011) Arabian Business, , http://www.arabianbusiness.com/princess-haya-steer-revamp-ofdubai-healthcare-city-422610.html, date accessed 12 November 2011; Menzel, D., Ausgezeichnet kuren und sich wohlfühlen (2011) Nordkurier, p. 56; Müller, H., Lanz Kaufmann, E., Wellness tourism: Market analysis of a special health tourist segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Nahrstedt, W., Wellness: A New Perspective for Leisure Centers, Health Tourism, and Spas in Europe on the Global Health Market (2004) The Tourism and Leisure Industry: Shaping the Future, , K. Weiermair and C. Mathies (eds), (New York:Haworth Hospitality Press); O'Connor, B., Conception of the Body in Complementary and Alternative Medicine (2000) Complementary and Alternative Medicine: Challenge and Change, , M. Kelner, B.Wellman, B. Pescosolido and M. Saks (eds), (London: Routledge); Puczkó, L., Bacharov, M., Spa, bath, thermae: What's behind the labels (2006) Tourism Recreation Research, 31 (1), pp. 83-91; Ryan, R.M., Deci, E.L., On happiness and human potentials: A review of research on hedonic and eudaimonic well-being (2001) Annual Review of Psychology, 52, pp. 141-166; Saks, M., Professionalization, Politics and CAM (2000) Complementary and Alternative Medicine: Challenge and Change, , M. Kelner, B. Wellman, B. Pescosolido and M. Saks (eds), (London: Routledge); Saks, M., (2003) Orthodox and Alternative Medicine, , (London: Continuum); Shaw, I., Aldridge, A., Consumerism, health and social order (2003) Social Policy and Society, 2 (1), pp. 35-43; Sheldon, P.J., Bushell, R., Introduction to Wellness and Tourism (2009) Wellness and tourism: Mind, body, spirit, place, , R. Bushell and P. J. Sheldon (eds), (New York: Cognizant); Smith, M., Puczkó, L., (2008) Health and Wellness Tourism, , (Oxford: Butterworth-Heinemann); Snyderman, R., Weil, A., Integrative medicine: Bringing medicine back to its roots (2002) Archives of Internal Medicine, 162 (4), pp. 395-397; (2006) Medical Tourism: A Global Analysis, , (Arnhem: Association for Tourism and Leisure Education - ATLAS); Travis, J.W., Ryan, R.S., (1988) The Wellness Workbook, , 2nd edn (Berkeley, CA: Ten Speed Press); Verschuren, F., (2004) Spa Health and Wellness Tourism: A New Product Portfolio at the Canadian Tourism Commission, , (Ottawa: Canadian Tourism Commission); Voigt, C., Brown, G., Howat, G., Wellness tourists: In search for transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Wellness and Medical Tourism in Australia: Supply, Demand and Opportunities, , (Gold Coast: CRC for Sustainable Tourism); Weisz, G., Spas, mineral waters, and hydrological science in twentieth-century France (2001) Isis, 92 (3), pp. 451-483; Williamson, C., Reflections on health care consumerism: Insights from feminism (1999) Health Expectations, 2 (3), pp. 150-158","Voigt, C.; Curtin UniversityAustralia",,,"Palgrave Macmillan",,,,,,9781137338495; 9780230362369,,,"English","Med. Tour. and Transnatl. Health Care",Book Chapter,"Final",,Scopus,2-s2.0-84996774830 "Tawara S., Yonemochi Y., Kosaka T., Kouzaki Y., Takita T., Tsuruta T.","35802195400;55643458900;55643486600;25649706200;12787335900;7102764812;","Use of patients' mobile phones to store and share personal health information: Results of a questionnaire survey",2013,"Internal Medicine","52","7",,"751","756",,3,"10.2169/internalmedicine.52.9030","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875893324&doi=10.2169%2finternalmedicine.52.9030&partnerID=40&md5=bbfa01f49ee51a10d90866d8a71c8948","Department of Neurology, National Hospital Organization Kumamoto Medical Center, Japan; Department of Laboratory Medicine, National Hospital Organization Kumamoto Medical Center, Japan","Tawara, S., Department of Neurology, National Hospital Organization Kumamoto Medical Center, Japan; Yonemochi, Y., Department of Neurology, National Hospital Organization Kumamoto Medical Center, Japan; Kosaka, T., Department of Neurology, National Hospital Organization Kumamoto Medical Center, Japan; Kouzaki, Y., Department of Neurology, National Hospital Organization Kumamoto Medical Center, Japan; Takita, T., Department of Neurology, National Hospital Organization Kumamoto Medical Center, Japan; Tsuruta, T., Department of Laboratory Medicine, National Hospital Organization Kumamoto Medical Center, Japan","Objective To explore the opinions of outpatients concerning a new communication method: the selfmanagement of assessed personal problems in health information records (SAPPHIRE) using patients' mobile phones to store and share medical content (medical SAPPHIRE, or m-SAPPHIRE). Methods A cross-sectional questionnaire survey. Patients Outpatients who visited us from March 1 to May 30, 2012, were asked to complete a questionnaire survey regarding SAPPHIRE and m-SAPPHIRE. The m-SAPPHIRE data consisted of a problem list, height, weight, waist size and active medication list. Ten questions were asked regarding the usefulness of m- SAPPHIRE, the sharing of m-SAPPHIRE and the use of mobile phones to store m-SAPPHIRE data. Results One hundred and ninety-three patients (male/female, 79/114; mean age, 57±21 years) were registered: 95.9% answered that m-SAPPHIRE would be useful, 98% agreed to manage their personal health records by themselves, and 95.8%, 93.8%, and 92.8% of the patients responded that they would allow m- SAPPHIRE information to be shared with family members, medical workers, and health care providers, respectively. Of the patients, 75.1% responded that they owned a mobile phone, and 43.5% answered that they could enter m-SAPPHIRE information into a mobile phone by themselves, while 27.5% responded that they could do so with someone's help. Conclusion Patients believe that m-SAPPHIRE would be useful for retrieving their health records during emergency situations or for sharing with family members and medical and health care providers. SAPPHIRE using mobile phones could be an inexpensive and legal method for sharing medical data. © 2013 The Japanese Society of Internal Medicine.","Advanced directives; Medical SAPPHIRE; Mobile phone; Problem list; Sharing; Tsunami","adolescent; adult; aged; article; cross-sectional study; female; health survey; hospital service; human; major clinical study; male; medical information; mobile phone; outpatient care; questionnaire; self care; Adolescent; Adult; Aged; Aged, 80 and over; Cellular Phone; Cooperative Behavior; Cross-Sectional Studies; Female; Health Records, Personal; Humans; Male; Middle Aged; Prospective Studies; Questionnaires; Self Care; Young Adult",,,,,,,,"Akiyama, A., Hanabusa, H., Mikami, H., Factors influencing home death in a Japanese metropolitan region (2011) J Aging Res, pp. 1-8. , 610520 (published online); Fuse, A., Igarashi, Y., Tanaka, T., Onsite medical rounds and fact-finding activities conducted by Nippon Medical School in Miyagi prefecture after the Great East Japan Earthquake 2011 (2011) J Nippon Med Sch, 78, pp. 401-404; (2011) IT Strategic Headquarters, Task force report on IT strategy in the health care field, , www.kantei.go.jp/foreign/policy/it/201105_Report_HIT.pdf, Prime Minister of Japan and His Cabinet. Addendum, p41-44, May, Available at; Kotani, K., Sakane, N., Kurozawa, Y., The development of new communication technologies and patient-doctor interaction (2006) Intern Med, 46, p. 349; Watanabe, S., (2012) POS in the Era of Electronic Medical Record: To Promote Patient-centered Co-operative Medicine., , Hinohara S. Igaku Shoin, (in Japanese); Weed, L.L., (1969) Medical Records, Medical Education and Patient Care: The Problem Oriented Record as a Basic Tool., , The Press of Case Western Reserve University, Cleveland; (1972) The Problem Oriented System., , Hurst JW, Walker HK, Eds. The Williams & Wilkins Company, Baltimore; Blumenthal, D., Travenner, M., The ""meaningful use"" regulation for electronic health records (2010) N Engl J Med, 363, pp. 501-503; Pellegrino, E.D., (1979) Humanism and the Physician, p. 188. , Knoxville: University of Tennessee Press, cited from Golden LR: William Osler: A guide for the 21st century, The Quotable Osler. American College of Physicians, Philadelphia, 2008: xix-xxxviii; Bardes, C.L., Defining ""patient-centered medicine"" (2012) N Engl J Med, 366, pp. 782-783; Shenkin, B.N., Warner, D.C., Giving the patient his medical record: A proposal to improve the system (1973) N Engl J Med, 289, pp. 688-692; Walker, J., Levellie, S.G., Ngo, L., Inviting patients to read their doctor's note: Patients and doctors look ahead. Patient and physician surveys (2011) Ann Intern Med, 155, pp. 811-819; Steinbrook, R., Personally controlled online health data: The next big thing in medical care? (2008) N Engl J Med, 358, pp. 1653-1656; Zulman, D.M., Nazi, K.M., Turvey, C.L., Wagner, T.H., Woods, S.S., An, L.C., Patient interest in sharing personal health record information: A web based survey (2011) Ann Intern Med, 155, pp. 805-810; Ryu, T., http://medg.jp/mt/2012/02/vol415html, (in Japanese); IT Strategic Headquarters, Task force report on IT strategy in the health care field, , www.kantei.go.jp/foreign/policy/it/201105_Report_HIT.pdf, Prime Minister of Japan and His Cabinet. May 2011. Available at","Tawara, S.; Department of Neurology, National Hospital Organization Kumamoto Medical CenterJapan; email: stawara@kumamoto2.hosp.go.jp",,,,,,,,09182918,,IEDIE,"23545669","English","Intern. Med.",Article,"Final",Open Access,Scopus,2-s2.0-84875893324 "Mafrolla E., D'Amico E.","57022234200;56473388300;","Patients' mobility as an indicator for (in)efficiency: A panel data analysis on italian health care authorities",2013,"Health Economics Review","3","1", 3,"1","13",,3,"10.1186/2191-1991-3-3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84971325383&doi=10.1186%2f2191-1991-3-3&partnerID=40&md5=2f41995a6333b0945ec2aa5cc3ff187b","Department of Economics, University of Foggia, via Caggese 1, Foggia 71121, Italy; Department of Public Affairs, Rome Third University, Rome, Italy","Mafrolla, E., Department of Economics, University of Foggia, via Caggese 1, Foggia 71121, Italy; D'Amico, E., Department of Public Affairs, Rome Third University, Rome, Italy","This paper investigates the influence of internal managerial patterns of heath care authorities on the decision of patients to migrate towards different health care organizations to avail treatments. The efficiency and productivity issues are analyzed, considering the (passive) migration as a proxy for the (in)efficient service availed. We follow the ""vote by feet"" theorization by Tiebout, assuming that citizens can choose to avail a health treatment in a public service provider different from their resident one. The choice for a center that is far from home implies a negative judgment to the alternative health care supplier that is closer to the patient. Testing Fixed Effects Panel Model on a sample of Italian health care authorities, a strong correlation is found among variables in our model and some relevant dependence is tested between patients' mobility behavior and their resident authorities' efficiency in allocating resources on the proper operating cost. Spending in the proper way on health care could bring about an enhancement of performances. Instead, wasting resources is immediately perceived by the patient, who consequently seems to move to a different health care authority. © 2013 Mafrolla and D'Amico; licensee Springer.","Efficiency in health care; Fixed effects panel model; Health care management; Health treatment mobility; Italian health care authorities; Operating costs in health care","article; clinical effectiveness; controlled study; data analysis; health care cost; health care organization; human; Italy; medical service; medical society; organizational development; organizational downsizing; organizational efficiency; patient assessment; patient decision making; patient mobility; prediction; priority journal",,,,,,,,"Hollingsworth, B., The measurement of efficiency and productivity of health care delivery (2008) Health Econ, 17 (10), pp. 1107-1128; Ferrier, G.D., Valdmanis, V.G., Do mergers improve hospital productivity? (2004) J Oper Res Soc, 55 (10), pp. 1071-1080; Hollingsworth, B., Dawson, P.J., Maniadakis, N., Efficiency measurement of health care: A review of non-parametric methods and applications (1999) Health Care Manag Sci, 2, pp. 161-172; Burgess, J.E., Wilson, P.W., Hospital ownership and technical inefficiency (1996) Manage Sci, 42 (1), pp. 110-123; Rosko, M.D., Chilingerian, J.A., Zinn, J.S., Aaronson, W.E., The effects of ownership, operating environment, and strategic choices on nursing-home efficiency (1995) Med Care, 33 (10), pp. 1001-1021; Picone, G., Chou, S., Sloan, F., Are for-profit hospital conversions harmful to patients and medicare? (2002) Rand J Econ, 33 (3), pp. 507-523; Harper, J., Hauck, K., Street, A., Analysis of costs and efficiency in general surgery specialties in the United Kingdom (2001) Eur J Health Econ, 2, pp. 150-157; Scutchfield, F.D., Bhandari, M.W., Lawhorn, N.A., Lamberth, C.D., Ingram, R.C., Public health performance (2009) Am J Prev Med, 36 (3), pp. 266-272; Farrell, M.J., The measurement of productive efficiency (with discussion) (1957) J R Stat Soc a Stat Soc, 120 (3), pp. 253-290; Timmer, C.P., Using a probabilistic frontier production function to measure technical efficiency (1971) J Polit Econ, 79, pp. 776-794; Sengupta, J.K., Production frontier estimation to measure efficiency: A critical evaluation in light of Data Envelopment Analysis (1987) Manage Decis Econ, 8, pp. 93-99; Sherman, D.H., Interpreting hospital performance with financial statement analysis (1986) Account Rev, 61 (3), pp. 526-550; Stone, M., How not to measure the efficiency of public services (and how one might) (2002) J R Stat Soc a Stat Soc, 165 (3), pp. 405-434; Hulka, B., Zyzanski, S., Cassel, J., Thompson, S., Scale for the measurement of attitudes towards physicians and primary medical care (1970) Med Care, 8 (5), pp. 429-436; Nishimuzu, M., Page, N.M., Total factor productivity growth, technological progress and technical efficiency change: Dimensions of productivity change in Yugoslavia 1965-1978 (1982) Econ J, 92, pp. 920-936; Färe, R., Grosskopf, S., Lindgren, B., Poullier, J.P., Productivity growth in health care delivery (1997) Med Care, 35 (4), pp. 354-366; Malmquist, S., Index numbers and indifference surfaces (1953) Trabajos De Estatistics, 4, pp. 209-242; Shepherd, R., (1953) Cost and Production Functions. Princeton, , U.S.: Princeton Univ. Press; Hollingsworth, B., Revolution, evolution, or status quo? Guidelines for efficiency measurement in health care (2012) Prod Anal, 37 (1), pp. 1-5; Hood, C., The new public management in the 1980s: Variations on a theme (1995) J Account Org Soc, 20 (2-3), pp. 93-109; Gill, L., White, L., (2009) A Critical Review of Patient Satisfaction. Leadersh Health Serv, 22 (1), pp. 8-19; Kenagy, J.W., Berwick, D.M., Shore, M.F., Service quality in health care (1999) J Am Med Assoc, 281 (7), pp. 661-665; Crowe, R., Gage, H., Hampson, S., Hart, J., Kimber, A., Storey, L., Thomas, H., The measurement of satisfaction with healthcare: Implications for practice from a systematic review of the literature (2002) Health Technol Assess, 32 (6), pp. 1-244; Urden, K.D., Patient satisfaction measurement: Current issues and implications (2002) Outcomes Manag, 6 (6), pp. 125-131; Barbetta, G.P., Turati, G., L'analisi dell'efficienza tecnica nel settore della sanità. Un'applicazione al caso della Lombardia (2001) Economia Pubblica, 31 (2), pp. 97-127; Canta, C., Piacenza, M., Turati, G., Riforme del Servizio Sanitario Nazionale e dinamica dell'efficienza ospedaliera in Piemonte (2006) Politica Economica, 36 (2), pp. 157-191; de Rosis, F., Pizzutilo, S., A multiple regression model to look into the possible consequences of organizing a national health service in Italy (1982) Socio-Econ Plan Sci, 16 (2), pp. 85-94; Fabbri, D., Riforma sanitaria e produzione ospedaliera (2000) Economia Pubblica, 30 (1), pp. 132-164; Giuffrida, A., Lapecorella, F., Pignataro, G., Organizzazione dell'assistenza ospedaliera: Un'analisi dell'efficienza delle aziende ospedaliere e dei presidi ospedalieri (2000) Economia Pubblica, 4, pp. 101-124; Dell'Anno, R., Longo, F., Un'Analisi dell'efficienza di scala e di costo del Sistema Sanitario Pugliese (2009) Economia Pubblica, 39 (5-6), pp. 99-132; Tiebout, C.H., A pure theory of local expenditures (1956) J Polit Econ, 64 (5), pp. 416-424; Kao, E.P.C., Tung, G.G., Bed allocation in a public health care delivery system (1981) Manage Sci, 27 (5), pp. 507-520; Smith, H.L., Fottler, M.D., Saxberg, B.O., Cost containment in health care: A model for management research (1981) Acad Manage Rev, 6, pp. 397-407; Draper, N., Smith, H., (1998) Applied Regression Analysis, , 3rd edition. New York: Wiley","Mafrolla, E.; Department of Economics, University of Foggia, via Caggese 1, Foggia 71121, Italy; email: e.mafrolla@unifg.it",,,"Springer Verlag",,,,,21911991,,,,"English","Health Econ. Rev.",Article,"Final",Open Access,Scopus,2-s2.0-84971325383 "Moreira P.","56707546300;","Medical tourism reaches the international healthcare management debate",2013,"International Journal of Healthcare Managementa","6","2",,"655","",,3,"10.1179/2047970013Z.00000000056","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84905961907&doi=10.1179%2f2047970013Z.00000000056&partnerID=40&md5=7463f50c3c6a5d7967f7e49126257077","Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Portugal","Moreira, P., Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Portugal",[No abstract available],,,,,,,,,,"Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review (2012) OECD Reports, , http://www.oecd.org/els/health-systems/48723982, Available from:","Moreira, P.; Escola Nacional de Saúde Pública, Universidade Nova de LisboaPortugal; email: editorijhm@gmail.com",,,"Maney Publishing",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Editorial,"Final",Open Access,Scopus,2-s2.0-84905961907 "Nguyen H.H., Nguyen T.N., Clout R., Gibson A., Nguyen H.T.","57207188772;35183742900;6506044677;56363926200;7403322521;","Development of an assistive patient mobile system for hospital environments",2013,"Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS",,, 6610045,"2491","2494",,3,"10.1109/EMBC.2013.6610045","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886450544&doi=10.1109%2fEMBC.2013.6610045&partnerID=40&md5=3ff65c64fb148746d5db4dd8c72d329f","Centre for Health Technologies, Faculty of Engineering and Information Technology, University of Technology, Broadway, NSW 2007, Australia","Nguyen, H.H., Centre for Health Technologies, Faculty of Engineering and Information Technology, University of Technology, Broadway, NSW 2007, Australia; Nguyen, T.N., Centre for Health Technologies, Faculty of Engineering and Information Technology, University of Technology, Broadway, NSW 2007, Australia; Clout, R., Centre for Health Technologies, Faculty of Engineering and Information Technology, University of Technology, Broadway, NSW 2007, Australia; Gibson, A., Centre for Health Technologies, Faculty of Engineering and Information Technology, University of Technology, Broadway, NSW 2007, Australia; Nguyen, H.T., Centre for Health Technologies, Faculty of Engineering and Information Technology, University of Technology, Broadway, NSW 2007, Australia","This paper presents an assistive patient mobile system for hospital environments, which focuses on transferring the patient without nursing help. The system is a combination of an advanced hospital bed and an autonomous navigating robot. This intelligent bed can track the robot and routinely navigates and communicates with the bed. The work centralizes in building a structure, hardware design and robot detection and tracking algorithms by using laser range finder. The assistive patient mobile system has been tested and the real experiments are shown with a high performance of reliability and practicality. The accuracy of the method proposed in this paper is 91% for the targeted testing object with the error rate of classification by 6%. Additionally, a comparison between our method and a related one is also described including the comparison of results. © 2013 IEEE.",,"Error analysis; Hospitals; Assistive; Error rate; Hardware design; Hospital environment; In-buildings; Laser range finders; Mobile systems; Robot detection; Intelligent robots; artificial intelligence; bed; devices; hospital; human; patient lifting; reproducibility; robotics; Artificial Intelligence; Beds; Hospitals; Humans; instrumentation; Moving and Lifting Patients; Reproducibility of Results; Robotics",,,,,,,,"Shih-Wei, P., Feng-Li, L., Li-Chen, F., Mechanism design and mechatronic control of a multifunctional test bed for bedridden healthcare (2010) Mechatronics, IEEEIASME Transactions on, 15, pp. 234-241; Shyu, K., Chiu, Y.J., Lee, P.L., Lee, M.H., Sie, J.J., Wu, C.H., Wu, Y.T., Tung, P.C., Total design of an FPGA-based brain computer interface control hospital bed nursing system (2012) Industrial Electronics, IEEE Transactions on, pp. 1-10; Nguyen, A.V., Su, S., Nguyen, H.T., Development of a bayesian recursive algorithm to find free-spaces for an intelligent wheelchair (2011) Engineering in Medicine and Biology Society, EMBC, 2011 Annual International Conference of the IEEE, pp. 7250-7253; Vadakkepat, P., Lim, P., De Silva, L.C., Liu, J., Li, L., Multimodal approach to human-face detection and tracking (2008) Industrial Electronics, IEEE Transactions on, 55, pp. 1385-1393; Sales, J., Marin, R., Cervera, E., Rodriguez, S., Perez, J., Multi sensor person following in low-visibility scenarios (2010) Sensors, 10, pp. 10953-10966; Woojin, C., Hoyeon, K., Yoonkyu, Y., Chang-Bae, M., Jooyoung, P., The detection and following of human legs through inductive approaches for a mobile robot with a single laser range finder (2012) Industrial Electronics, IEEE Transactions on, 59, pp. 3156-3166; Bishop, C.M., Hinton, G., (1995) Neural Networks for Pattern Recognition, , Clarendon Press; Tax, D.M.J., (2012) D Dtools, the Data Description Toolbox for Matlab; Xiangqi, H., Sasaki, T., Hashimoto, H., Inoue, F., Circle detection and fitting based positioning system using laser range finder (2010) System Integration (SI), 2010 IEEE/SICE International Symposium on, pp. 442-447",,,"","Institute of Electrical and Electronics Engineers Inc.","2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2013","3 July 2013 through 7 July 2013","Osaka",100170,1557170X,9781457702167,,"24110232","English","Proc. Annu. Int. Conf. IEEE Eng. Med. Biol. Soc. EMBS",Conference Paper,"Final",,Scopus,2-s2.0-84886450544 "Delgoshaei B., Ravaghi H., Abolhassani N.","25031228600;14013025800;55711104700;","Importance-performance analysis of medical tourism in iran from medical tourists and medical services provider's perspective: 2011",2012,"Middle East Journal of Scientific Research","12","11",,"1541","1547",,3,"10.5829/idosi.mejsr.2012.12.11.39","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84877887056&doi=10.5829%2fidosi.mejsr.2012.12.11.39&partnerID=40&md5=a1a89bbe8a46491015f87a825b0b5298","Health Services Management, School of Management and Medical Information Science, Tehran University of Medical Sciences, Iran","Delgoshaei, B., Health Services Management, School of Management and Medical Information Science, Tehran University of Medical Sciences, Iran; Ravaghi, H., Health Services Management, School of Management and Medical Information Science, Tehran University of Medical Sciences, Iran; Abolhassani, N., Health Services Management, School of Management and Medical Information Science, Tehran University of Medical Sciences, Iran","Developing countries seek to alternative revenue sources. Iran as one of these countries with high potentiality for attracting medical tourist is seeking to enter medical tourism market. The study aimed to analyze the importance- performance of Tehran Province medical tourism as viewed by medical tourists and medical services providers. This descriptive, cross-sectional study was carried out in Tehran selected hospitals in the first three months of 2011. The data were gathered using a validated self-constructed questionnaire. The data were analyzed using descriptive statistical techniques. The results of the study indicate that the majority of medical tourists are attracted from the United Arab Emirates (%22.3). The respondents considered medical tourism factors as important (M=4.40±0.61). The Tehran selected hospitals' performance is average as related to medical tourism factors (M=2.75±0.66). Despite the importance given to medical tourism factors by medical tourists and medical services providers, Tehran selected hospitals' performance is average and no serious attempts are being made to attract medical tourists at macro level. Although quality, variety and cost of medical services and equipment in the selected hospitals are satisfactory, International accreditation of hospitals is still a major problem. © IDOSI Publications, 2012.","Importance-performance analysis (IPA); Medical services provider; Medical tourism",,,,,,,,,"Garcia, A., Besinga, C., Challenges and Opportunities in the Plilippine Medical Tourism Industry, pinoydental Journal,SGV Review (2006), 4, pp. 43-55; WATCH (2010) Asia Medical Tourism Market. International Journal of Health Services, 40, pp. 443-467. , Travel Smart-Asia; Wen Yin, W., (2008) Malaysia As An Asia Pacific Hub For Health Tourism: Doctors' Perspective [Master Thesis of Management], , University of Malaya, Faculty of Business and Accountancy; Connell, J., Medical Tourism: Sea, Sun,Sand and Surgery. (2006) Tourism Management Journal, 27, pp. 1093-1100; Hammouri, D., Islamic Tourism Arabs show their interest in health tourism (2003) Islamic Tourism Journal, 5, pp. 55-56; Ez El Deen, M., Medical Tourism in UAE to generate Dh7b by 2010 (2010) Gulf news, , http://www.pwl.placidway.com/news-detail/175/, 2007-04-29; Kazemi, Z., (2008) Study of Effective Factors for Attracting Medical Tourism in Iran, p. 2008. , [Master Thesis of Management], Lolea University of Technology, Faculty of Business Administration and Social Sciences, [Persian]; Shalbafian, A., Health Tourism Development GuidelinesfMaster Thesis of Tourism Management] (2007), p. 2007. , T ehran: Allame Tabatabaei University,School of Management; Beichl, L., (2009) Market Assessment and Marketing Strategy for Medica Tourism, pp. 3-6. , Usaid Jordan Economic Developmen Program, [Persian]; Cherukarta, J.M., Manalel, J., (2008) Medical Tourism in Kerala-Challenges and Scope, , Conference on Tourism in India-Challenges Ahead, 15-17 May 2008, IIM; Case Study On Movement Of Patients Across Borders And Its Impact On The ESCAP Region, In Chapter Health And Trade Linkages:Regional Perspectives, Development Of Health System In The Context Of Enhancing Economic Growth Towards Achieving The Millennium Development Goals In Asia And The Pacific, United Nations (2007) Economics And Social Commission For Asia And The Pacific (ESCAP), 5, pp. 131-137. , United Nations (UN); Herrick, D.M., Medical Tourism: Global Competition in Health Care (2007) National Center for Policy Analysis, 2007, p. 304. , NCPA Policy Report","Abolhassani, N.; Health Services Management, School of Management and Medical Information Science, Tehran University of Medical SciencesIran",,,,,,,,19909233,,,,"English","Middle East J. Sci. Res.",Article,"Final",,Scopus,2-s2.0-84877887056 "Steward J.","55314590700;","Travel to the SPAS: The growth of health tourism in Central Europe, 1850-1914",2012,"Journeys into Madness: Mapping Mental Illness in the Austro-Hungarian Empire","14",,,"72","89",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863894916&partnerID=40&md5=36e50a0d8614017d8d1c2402c95be998","School of Historical Studies, Newcastle University, United Kingdom","Steward, J., School of Historical Studies, Newcastle University, United Kingdom",[No abstract available],,,,,,,,,,,"Steward, J.; School of Historical Studies, Newcastle UniversityUnited Kingdom",,,"Berghahn Books",,,,,,9780857454591; 9780857454584,,,"English","Journeys into Madness: Mapp. Ment. Illn. in the Austro-Hungarian Emp.",Book Chapter,"Final",,Scopus,2-s2.0-84863894916 "Genç R.","26024989200;","Physical, psychological, and social aspects of QOL medical tourism",2012,"Handbook of Tourism and Quality-of-Life Research: Enhancing the Lives of Tourists and Residents of Host Communities",,,,"193","207",,3,"10.1007/978-94-007-2288-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84925281745&doi=10.1007%2f978-94-007-2288-0&partnerID=40&md5=03fa0a69c02f13a551675a7ba27fd646","International Logistics Transportation Department, Istanbul Bilgi University, Laureate Universities, Turkey","Genç, R., International Logistics Transportation Department, Istanbul Bilgi University, Laureate Universities, Turkey","Traveling along different destinations in terms of utilization of medical facilities and activities is known as “medical tourism” in the literature. In this chapter, the maintenance of quality-of-life is discussed from medical, economic, legal, and ethical perspectives in the context of medical tourism. In terms of economic gains, it saves substantial amount of money for patients, preventing deterioration of their economic well-being. Medical tourism decreases the time between diagnoses and treatment by providing new locations for treatment while the country of origin’s capacity remains limited. In the case of chronic illnesses, such as cancer, waiting for medical operations and procedures can be demoralizing for both patients and family members. By medical tourism, tourists save money and time which enhances their economic well-being and psychological well-being, as well as their health. We argue that medical tourism enhances quality of lives for both medical tourists and local people of the host country. Health-related and financial problems medical travel sometimes brings are also discussed. © Springer Science+Business Media B.V. 2012.",,,,,,,,,,"Dental care while travelling (2006) Journal of American Dental Association, 137, p. 928; (2008) New AMA guidelines on medical tourism., , http://www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf, Retrieved from; Asai, R.G., Jones, K.D., Am I obliged to treat a patient whose need for emergency care stems from dental tourism? (2007) Journal of American Dental Association, 138, pp. 1018-1019; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, Palgrave Macmillan; Budiani-Saberi, D.A., Delmonico, F.L., Organ trafficking and transplant tourism: A commentary on the global realities (2008) American Journal of Transplantation, 8 (5), pp. 925-929; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82 (12), pp. 1658-1661; Carabello, L., A medical tourism primer for US physicians (2008) The Journal of medical practice management:MPM, 23 (5), p. 291; Connell, L.J., Medical tourism: The newest of niches (2005) Tourism Recreation Research, 31 (1), pp. 99-102; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27, pp. 1093-1100; Esmail, N., The private cost of public queues in 2005 (2006) Health Care Fraser Forum, pp. 17-21; Esmail, N., Walker, M., (2005) Waiting your turn: Hospital waiting lists in Canada, , (15th ed.). Vancouver: The Fraser Institute; Genç, R., Türkiye’de ve Dünyada Organ Transplantasyon Cerrahisi: Transplantasyon Lojistiğinin Yönetimi (Organ Transplantation Surgery in Turkey and in the World: Transplantation Logistic Management) (2009) Ulusal Cerrahi Dergisi, 25 (1), pp. 40-44; Genç, R., (2011) The methods and concepts of logistics and supply chain management, , Amazon.com; Ghods, A.J., Nasrollahzadeh, D., Transplant tourism and the Iranian model of renal transplantation program: Ethical considerations (2005) Experimental and Clinical Transplantation, 3, pp. 351-354; Gibbons, A.J., Aviation dentistry (2002) Aviation medicine and the airline passenger, p. 142e6. , A. R. C. Cummin & A. N. Nicholson (Eds.), London: Arnold; Goeldner, C., 39th Congress AIEST: English Workshop Summary (1989) Revue de Tourisme, 44 (4), pp. 6-7; Green, S.T., Medical tourism: A potential growth factor in infection medicine and public health (2008) Journal of Infection, 57, p. 429. , http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WJT-4TYC5H5-J&_user=2367662&_origUdi=B7W62-4MH44WG-7&_fmt=high&_coverDate=11%2F30%2F2008&_rdoc=1&_orig=article&_acct=C000057088&_version=1&_urlVersion=0&_userid=2367662&md5=87bd2beb860098e144ee7a978a76641d-aff1; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace [review] (2007) Medscape General Medicine, 9 (4), p. 33; Hunter-Jones, P., Cancer and Tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; (2009) The declaration of the second international health tourism congress., , http://www.saglikturizmi.org.tr/II.USTKSonuBildirisiTR.pdf, Retrieved from; James, G., Hollandwort, J., Evaluating the impact of medical treatment on the quality of life: A 5-year update (1988) Social Science & Medicine, 4, pp. 425-434; Kedjarune, U., Leggat, P.A., Dental precautions for travellers (1997) Journal of Travel Medicine, 4, p. 38e40; Leggat, P., Kedjarune, U., Dental health, ‘dental tourism’ and travelers (2009) Travel Medicine and Infectious Disease, 7, pp. 123-124; Luebbert, K., Dahme, B., Hasenbring, M., The effectiveness of relaxation training in reducing treatment-related symptoms and improving emotional adjustment in acute non-surgical cancer treatment:A meta-analytical review (2001) Psycho-Oncology, 10 (6), pp. 490-502; McNamee, M., Parry, J., (1990) Notes on the Concept of Health., , J. Long, (Ed.), Leisure, health and wellbeing, leisure studies association, Eastbourne; (2007) Cold Springs., , NY; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Quelle: Journal of Vacation Marketing, 7, pp. 5-17; Page, S.J., Current issue in tourism: The evolution of travel medicine research: A new research agenda for tourism? (2009) Tourism Management, 30, pp. 149-157; (2008) Clinical Journal of American Society of Nephrology, 3, pp. 1227-1231; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreational Research, 31 (1), pp. 1-4; Thomas, P., (1998) An outdoor adventure program as therapy., , Dissertation in education, University College of North Wales, Bangor; Torkildsen, G., (1999) Leisure and recreation management, , (4th ed.). London: E & FN Spon; Turner, L., ‘First world health care at third world Prices’: Globalization, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325; Turner, L., Cross-border dental care: ‘Dental tourism’ and patient mobility (2008) Journal of Canadian Dental Association, 204, pp. 553-554; Unti, J.A., (2008) Medical tourism report to the American College of Surgeons Patient Safety and Quality Improvement Committee., , www.surgicalpatientsafety.facs.org/news/medicaltourism.html, Retrieved in; (2007), http://www.who.int/whr/2007/en/index.html, Report; Woolery, A., Myers, H., Sternlieb, B., Zelter, L., A yoga intervention for young adults with elevated symptoms of depression (2004) Alternative Therapies, 10 (2), pp. 60-63; (1988), www.who.int; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Zhang, X., (2003) Acupuncture: Review and analysis of reports on controlled clinical trials., , Geneva: World Health Organization","Genç, R.; International Logistics and Transportation Department, Istanbul Bilgi University, Laureate UniversitiesTurkey; email: drgenc@drgenc.com",,,"Springer Netherlands",,,,,,9789400722880; 9789400722873,,,"English","Handb. of Tourism and Quality-of-Life Research: Enhancing the Lives of Tourists and Residents of Host Communities",Book Chapter,"Final",,Scopus,2-s2.0-84925281745 "Cook P.S., Kendall G., Michael M., Brown N.","55160332300;7006008496;7103243232;35607916200;","Medical tourism, xenotourism and client expectations: Between bioscience and responsibilisation",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"61","74",,3,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874066258&doi=10.4324%2f9780203109458&partnerID=40&md5=c9020db2e36a1bca4639397838c74cd6","Faculty of Arts, School of Sociology and Social Work, University of Tasmania, Launceston, TAS, Australia; Queensland University of Technology, Kelvin Grove, QLD, Australia; Department of Sociology, Centre for the Study of Invention and Social Process, Goldsmiths College, University of London, London, United Kingdom; Department of Sociology, University of York, Heslington, York, United Kingdom","Cook, P.S., Faculty of Arts, School of Sociology and Social Work, University of Tasmania, Launceston, TAS, Australia; Kendall, G., Queensland University of Technology, Kelvin Grove, QLD, Australia; Michael, M., Department of Sociology, Centre for the Study of Invention and Social Process, Goldsmiths College, University of London, London, United Kingdom; Brown, N., Department of Sociology, University of York, Heslington, York, United Kingdom",[No abstract available],,,,,,,,,,"Armstrong, A., Garrett, K., Pig parts: Xenotransplantation (2004) ABC Radio National, Radio Broadcast, , http://www.abc.net.au/radionational/programs/backgroundbriefing/pig-parts-xenotransplantation/3421282, 11 July. [Online]; Barry, A., (2001) Political Machines: Governing a Technological Society, , London/New York: The Athlone Society; Barton, C., Pig cells offer hope of miracle cure (2005) The New Zealand Herald, , http://www.nzherald.co.nz/index.cfm?a_id=36&ObjectID=10126647, 21 May; Beck, U., (1999) World Risk Society, , Cambridge: Polity; Bloom, E.T., Moulton, A.D., McCoy, J., Chapman, L.E., Patterson, A.P., Xenotransplantation: The potential and the challenges (1999) Critical Care Nurse, 19 (2), pp. 76-83; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Boorstin, D.J., (1963) The Image, Or What Happened to the American Dream, , Harmondworth, Middlesex: Penguin Books; Buhler, L., Balancing potential benefit and risks of clinical trials in xenotransplantation: What should be done? (2005) Insulin-Free Times, , http://www.insulinfreetimes.com/05_summer/buhler.htm; Carrera, P.M., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; Check, E., Diabetes trial stirs debate on safety of xenotransplants (2002) Nature, 419 (6902), p. 5; Chinai, R., Goswami, R., Medical visas mark growth of indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Cohen, P., The race for a cure‘ (2002) New Scientist, 173, 6p; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Medical tourism: The newest of niches (2006) Tourist Recreation Research, 31 (1), pp. 99-102; Cook, P.S., Constructions and experiences of authenticity in medical tourism: The performances of places, spaces, practices, objects and bodies (2010) Tourist Studies, 10 (2), pp. 135-153; Douglas, N., Travelling for health: Spa and health resorts (2001) Special Interest Tourism: Contexts and Cases, Milton, , N. Douglas, N. Douglas and R. Derrett, Ontario: John Wiley and Sons; English, V., Gardner, J., Romano-Critchley, G., Sommerville, A., Ethical briefings (2001) Journal of Medical Ethics, 27, pp. 284-285; Fishman, J.A., Patience, C., Xenotransplantation: Infectious risk revisited (2004) American Journal of Transplantation, 4 (9), pp. 1383-1390; Gold, E.R., Adams, W.A., Reconciling private benefit and public risk in biotechnology: Xenotransplantation as a case study in consent (2002) Health Law Journal, 10, pp. 31-75; Goodrich, J.N., Goodrich, G.E., Health-care tourism – an exploratory study (1987) Tourism Management, 8, pp. 217-222; Hall, C.M., Health and medical tourism: Kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Holden, A., (2006) Tourism Studies and the Social Sciences, , London: Routledge; Jiménez, M., Diabetes patients, therapy undergo trial by fire (2006) Globe and Mail, 5, pp. A4. , September; Kevan, S.M., Quests for cures: A history of tourism for climate and health (1993) International Journal of Biometeorology, 37 (3), pp. 113-124; (2010) LCT’s DIABECELL® Registered for Sale and Use in Russia, , http://www.lctglobal.com/html/blob.php/LCT’s%20Diabecell%20Registered%20for%20Sale%20and%20Use%20in%20Russica_101210.pdf?attach=0&documentCode=2409&elementId=20084; MacCannell, D., Staged authenticity: Arrangements of social space in tourist settings (1973) American Journal of Sociology, 79 (3), pp. 589-603; MacCannell, D., (1976) The Tourist: A New Theory of the Leisure Class, , New York: Schocken; McKenzie, I., D’Apice, A., Cooper, D., Xenotransplantation trials (2002) Lancet, 359 (9325), pp. 2280-2281; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Developing World Bioethics, 11 (1), pp. 16-29; Mitka, M., Surgical tourism: Some us patients travel abroad for less costly surgery (2009) Journal of the American Medical Association, 302 (14), p. 1519; Pig-cell transplant treatment denied (2005) The New Zealand Herald, , http://www.nzherald.co.nz/index.cfm?c_id=5&ObjectID=10126694, 21 May; O’Connell, P., International xenotransplantation association (Ixa) minutes of the business meeting held in glasgow, 2003 (2004) Xenotransplantation, 11 (3), pp. 222-223; Patience, C., Takeuchi, Y., Weiss, R.A., Infection of human cells by an endogenous retrovirus of pigs (1997) Nature Medicine, 3 (5), pp. 282-286; Pettman, J.J., Body politics: International sex tourism (1997) Third World Quarterly, 18 (1), pp. 93-108; Rose, N., Inventiveness in politics (1996) Economy and Society, 28 (3), pp. 467-493; Salter, B., Jones, M., Regulating human genetics: The changing politics of biotechnology governance in the european union (2002) Health, Risk and Society, 4 (3), pp. 325-340; Scheper-Hughes, N., The ends of the body: Commodity fetishism and the global traffic in organs (2002) SAIS Review, 12 (1), pp. 61-79; Schofield, P., Health tourism in the kyrgyz republic: The soviet salt mine experience (2004) New Horizons in Tourism: Strange Experiences and Stranger Practices, , T.V. Singh. (ed.), Wallingford: CAB International; (2004) Transcript: Sixth Meeting of the Secretary’s Advisory Committee on Xenotransplantation, , http://www4.od.nih/oba/sacx/Feb2004/Feb2004transcript.pdf, 24 February. [Online]; Swarbrooke, J., Horner, S., (2007) Consumer Behaviour in Tourism, , 2nd edn, Oxford: Butterworth-Heinemann/Elsevier; Sykes, M., Commentary: World health assembly resolution 57.18 on xenotransplantation (2005) Transplantation, 79 (6), pp. 636-637; Sykes, M., D’Apice, A., Sandrin, M., The ethics of xenotransplantation. Position paper of the ethics committee of the international xenotransplantation association (2003) Xenotransplantation, 10 (3), pp. 194-203; Sykes, M., Sandrin, M., D’Apice, A., Guidelines for xenotransplantation (2003) New England Journal of Medicine, 349 (13), pp. 1294-1295; Sykes, M., Sandrin, M., Cozzi, E., International cooperation on xenotransplantation (2004) Nature Medicine, 10 (2), p. 119; Sykes, M., Sandrin, M., Cozzi, E., Rees, M.A., Commentaries: World health organization resolution on xenotransplantation (2004) Xenotransplantation, 11 (3), pp. 224-225; Sykes, M., Cozzi, E., D’Apice, A., Pierson, R.N., O’Connell, P., Cowan, P., Dorling, A., Sandrin, M., Response to valdes-gonzález ‘clinical trial of islet xenotransplantation in mexico (2007) Xenotransplantation, 14 (1), pp. 90-91; Theilmann, J.M., Medieval pilgrims and the origins of tourism (1987) Journal of Popular Culture, 20 (4), pp. 93-102; Urry, J., (1990) The Tourist Gaze: Leisure and Travel in Contemporary Societies, , London: Sage; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health Tourism in Australia: Supply, Demand and Opportunities, , Gold Coast: CRC for Sustainable Tourism; Westlund, K., Medical tourism: A growing trend in the americas (2000) Latin Trade, 8 (1), pp. 62–63, 66; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102","Cook, P.S.; Faculty of Arts, School of Sociology and Social Work, University of TasmaniaAustralia",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84874066258 "Nolan J.M., Schneider M.J.","7201399979;37087657700;","Medical tourism in the backcountry: Alternative health and healing in the Arkansas Ozarks",2011,"Signs","36","2",,"319","326",,3,"10.1086/655911","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650328703&doi=10.1086%2f655911&partnerID=40&md5=025b668a16bd3311f8816caebb105b8a","Department of Anthropology, University of Arkansas, United States","Nolan, J.M., Department of Anthropology, University of Arkansas, United States; Schneider, M.J., Department of Anthropology, University of Arkansas, United States",[No abstract available],,"alternative medicine; article; cultural factor; economics; education; ethnology; health care cost; health care delivery; history; legal aspect; medical tourism; psychological aspect; rural health care; rural population; traditional medicine; United States; Arkansas; Complementary Therapies; Cultural Characteristics; Delivery of Health Care; Health Care Costs; History, 20th Century; History, 21st Century; Medical Tourism; Medicine, Traditional; Rural Health Services; Rural Population",,,,,,,,"Blevins, B., (2002) Hill Folks: A History of Arkansas Ozarkers and Their Image, , Chapel Hill: University of North Carolina Press; Cavender, A., (2003) Folk Medicine in Southern Appalachia, , Chapel Hill: University of North Carolina Press; Cody, C., Naturopathy: Traditional therapies, modern methods (2004) Northwest Arkansas Business Matters, pp. 11-13. , July 4; Ehrenreich, B., English, D., (1974) Witches, Midwives and Nurses: A History of Women Healers, , London: Compendium; Eisenberg, D.M., Kessler, R.C., Foster, C., Norlock, F.E., Calkins, D.R., Delbanco, T.L., Unconventional medicine in the United States-prevalence, costs, and patterns of use (1993) New England Journal of Medicine, 328 (4), pp. 246-252; Hufford, D.J., Contemporary folk medicine (1988) Other Healers: Unorthodox Medicine in America, pp. 228-264. , ed. Norman Gevitz, Baltimore: Johns Hopkins University Press; Folk medicine in contemporary America (1992) Herbal and Magical Medicine: Traditional Healing Today, pp. 14-31. , ed. James Kirkland, Holly F. Mathews, C. W. Sullivan III, and Karen Baldwin, Durham, NC: Duke University Press; Cam and cultural diversity: Ethics and epistemology converge (2002) The Role of Complementary and Alternative Medicine: Accommodating Pluralism, pp. 15-35. , ed. Daniel Callahan, Washington, DC: Georgetown University Press; Jones, T.W., Commentary on 'cultural conservation of medicinal plant use in the Ozarks (2000) Human Organization, 59 (1), pp. 136-140; Ketchell, A.K., (2007) Holy Hills of the Ozarks: Religion and Tourism in Branson, Missouri, , Baltimore: Johns Hopkins University Press; Moerman, D.E., (1974) Extended Family and Popular Medicine on St. Helena Island, South Carolina: Adaptations to Marginality, , PhD dissertation, University of Michigan; Nolan, J.M., The roots of tradition: Social ecology, cultural geography, and medicinal plant knowledge in the Ozark-Ouachita highlands (1998) Journal of Ethnobiology, 18 (2), pp. 249-269; Nolan, J.M., Robbins, M.C., Cultural conservation of medicinal plant use in the Ozarks (1999) Human Organization, 58 (1), pp. 57-62; Ethnobotany and ethnicity in the Ozarks: A reply to jones (2000) Human Organization, 50 (1), pp. 140-142; Press, I., Urban folk medicine: A functional overview (1978) American Anthropologist, 80 (1), pp. 71-84; Randolph, V., (1964) Ozark Magic and Folklore, , New York: Dover; Ruiz, R., The healthiest and unhealthiest states (2009) Forbes, , http://www.forbes.com/2009/11/16/unhealthy-healthy-states- lifestylehealth-states-top-chart.html?partnerpyahoohealth, November 17; Salmon, J.W., Defining health and reorganizing medicine (1984) Alternative Medicines: Popular and Policy Perspectives, pp. 252-288. , New York: Tavistock; Wooton, J.C., Sparber, A., Surveys of complementary and alternative medicine: Part 1, general trends and demographic groups (2001) Journal of Alternative and Complementary Medicine, 7 (2), pp. 195-208","Nolan, J. M.; Department of Anthropology, University of ArkansasUnited States",,,,,,,,00979740,,,"21114077","English","Signs",Article,"Final",,Scopus,2-s2.0-78650328703 "Nakra P.","55328251000;","Could medical tourism aid health-care delivery?",2011,"Futurist","45","2",,"23","24",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864580588&partnerID=40&md5=ef883d75c3c8c2483b5ae09d26d2031e","Department of Marketing, School of Management, Marist College, Poughkeepsie, NY 12601, United States","Nakra, P., Department of Marketing, School of Management, Marist College, Poughkeepsie, NY 12601, United States",[No abstract available],,,,,,,,,,,"Nakra, P.; Department of Marketing, School of Management, Marist College, Poughkeepsie, NY 12601, United States; email: prema.nakra@marist.edu",,,,,,,,00163317,,,,"English","Futurist",Article,"Final",,Scopus,2-s2.0-84864580588 "Mellodge P., Vendetti C.","6504574026;37049400900;","Remotely monitoring a patient's mobility: A digital health application",2011,"IEEE Potentials","30","2", 5733977,"33","38",,3,"10.1109/MPOT.2010.939453","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952937436&doi=10.1109%2fMPOT.2010.939453&partnerID=40&md5=9e88a4a136596c862884dda00e573551","Department of Electrical Engineering, University of Hartford, United States; University of Hartford, United States","Mellodge, P., Department of Electrical Engineering, University of Hartford, United States; Vendetti, C., University of Hartford, United States","Digital health is the use of digital instruments in monitoring the health or well-being of an individual in need of medical assistance. In recent years, this field has rapidly expanded to encompass many different technologies. © 2006 IEEE.","Biomedical monitoring; Data acquisition; Medical information systems; Microcontrollers; Remote monitoring","Biomedical monitoring; Medical information system; Remote monitoring; Bioinformatics; Health; Information systems; Microcontrollers; Remote control; Monitoring",,,,,,,,"Trafton, A., (2008) NASA's iShoe [Online], , http://web.mit.edu/newsoffice/2008/i-shoe-0716.html; (2007) Tekscan's FlexiForce Sensors [Online], , http://www.tekscan.com/flexiforce/flexiforce.html, Tekscan Inc Available; (2010) EVB Plus's Tiny Bee Accelerometer [Online], , http://www.evbplus.com/accelerometer_3axis/tinybee_accelerometer_3axis. html, EVBPlus. Avai lable; (2009) Microchip Technology Inc.'s Microcontroller [Online], , http://www.microchip.com/wwwproducts/Devices.aspx?dDocName=en010215, Microchip Technology Inc. Available; (2010) National Instruments' LabVIEW [Online], , http://www.ni.com/labview/whatis/, National Instruments. Available","Mellodge, P.; Department of Electrical Engineering, University of HartfordUnited States; email: mellodge@hartford.edu",,,,,,,,02786648,,IEPTD,,"English","IEEE Potentials",Article,"Final",,Scopus,2-s2.0-79952937436 "Haley B.","55274196800;","Public policy and medical tourism: ethical implications for the Egyptian health care system.",2011,"World hospitals and health services : the official journal of the International Hospital Federation","47","4",,"13","15",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863219800&partnerID=40&md5=5b3a8053e20411a150255edfd81a0b5c","Public Health Department, University of North Florida, United States","Haley, B., Public Health Department, University of North Florida, United States","Egypt's medical tourism industry has been experiencing tremendous growth. However, Egypt continues to lack the necessary investment in its public health system to effectively care for its population. Current policy and the emergence of medical tourism have led to unequal health care access, resulting in high a prevalence of infectious diseases and lack of resources for its most vulnerable populations. As a new Egyptian government emerges, it is important for policymakers to understand the critical issues and ethical concerns of existing health policy. This understanding may be used to propose new policy that more effectively allocates to care for Egypt's population.",,"article; Egypt; ethics; health care delivery; health care policy; medical tourism; policy; Delivery of Health Care; Egypt; Health Policy; Medical Tourism; Public Policy",,,,,,,,,"Haley, B.",,,,,,,,10290540,,,"22619867","English","World Hosp Health Serv",Article,"Final",,Scopus,2-s2.0-84863219800 "LaRocco S.A., Pinchera B.J.","6603402031;53264665600;","The emerging trend of medical tourism",2011,"Nursing Management","42","6",,"24","29",,3,"10.1097/01.NUMA.0000397839.02765.0d","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80054036566&doi=10.1097%2f01.NUMA.0000397839.02765.0d&partnerID=40&md5=e36b33c1e224cecb2768c464e2e8293b","At Curry College's Division of Nursing, Milton, MA, United States","LaRocco, S.A., At Curry College's Division of Nursing, Milton, MA, United States; Pinchera, B.J., At Curry College's Division of Nursing, Milton, MA, United States",[No abstract available],,"article; economics; human; medical tourism; Humans; Medical Tourism",,,,,,,,"Kher, U., Outsourcing your heart. (2006) Time, 167 (22), pp. 44-47; Bauer JC. Medical tourism: Wave of the future in a world of hurt? Healthc Financ Manage. 2009;63(8)36-38, 40, 42; Cook R. Foreign Body. New York, NY: G.P. Putnam's Sons; 2008; Rose DA. Larry's Kidney. New York, NY: William Morrow; 2009; Grace MA. State of the Heart: A Medical Tourist's True Story of a Lifesaving Surgery in India. Oakland, CA: New Harbinger Publications; 2007; Milstein, A., Smith, M., Will the surgical world become flat Health Aff (Millwood (2007), 26 (1), pp. 137-141; Medical Tourism Association. Medical tourism sample surgery cost chart; Breen K. Heading abroad for hope. The Dallas Morning News. 2007; Dunn P. Medical tourism takes flight; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the US health care system. (2007) J Health Care Finance, 34 (1), pp. 27-35; Ginsburg PB. Senate Finance Committee testimony on health care costs. ; Robert Wood Johnson Foundation. High and rising health care costs: Demystifying U.S. health care spending; Ramirez de Arellano, A.B., Patients without borders: The emergence of medical tourism. (2007) Int J Health Serv, 37 (1), pp. 193-198; Joint Commission International. About Joint Commission International. ; Australian Council on Healthcare Standards International. Who we are",,,,,,,,,07446314,,,"21558977","English","Nurs. Manage.",Article,"Final",,Scopus,2-s2.0-80054036566 "Whiteman R.G.","44062209500;","Medical tourism and bariatric surgery",2011,"Surgery for Obesity and Related Diseases","7","5",,"652","654",,3,"10.1016/j.soard.2011.05.016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053309778&doi=10.1016%2fj.soard.2011.05.016&partnerID=40&md5=065e211e2712df7c94ce8ec871430a0e","Columbia University M.S. in Bioethics Candidate, New York, NY, United States","Whiteman, R.G., Columbia University M.S. in Bioethics Candidate, New York, NY, United States",[No abstract available],,"adult; article; bariatric surgery; case report; emergency ward; female; health care cost; health insurance; human; malnutrition; medical tourism; Mexico; obesity; priority journal; scar; travel; United States",,,,,,,,"Horansky, A., Texas Woman Nearly Dies after Surgery in Mexico KVUE News 2011, , http://www.kvue.com/news/Texas-woman-nearly-dies-after-surgery-in-Mexico- 116368509.html, Accessed May 17 2011; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) Am J Surg, 199, pp. 604-608; Laugesen, M.J., Vargas-Bustamante, A., A patient mobility framework that travels: European and United States-Mexican comparisons (2010) Health Policy, 97, pp. 225-231; Wysong, P., Medical tourisman expert interview with Michael Horowitz, M.D., M.B.A (2009) Medscape News Today, , http://www.medscape.com/viewarticle/710279, Accessed May 16, 2011; Perry, L., Blue Shield initiates quality focus in Baja California with new cross-border HMO (2000) Blue Shield of California, , https://www.blueshieldca.com/bsc/newsroom/pr/United_Behavioral_Health. jhtml, Accessed: May 16, 2011; Lindsay, G., Medical leave (2008) Fast Company, , http://www.fastcompany.com/magazine/125/medical-leave.html, Accessed: May 16, 2011; ST-65: Statement on medical and surgical tourism (2009) Bull Am Coll Surg, 94, pp. 26-27. , American College of Surgeons, Committee on Perioperative Care, American College of Surgeons; (2008) Medical Care Outside the United States (Resolutions 711 and 732, A-07): American Medical Association House of Delegates Report No. 1, , American Medical Association, Reference Committee G CHCA; (2008) Medical Tourism: Consumers in Search of Value, , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/ Documents/us_chs_MedicalTourismStudy%283%29.pdf, Deloitte, LLP Accessed: May 16, 2011; (2011) FDA Approves Expanded Use of LAP-BAND® Adjustable Gastric Banding System for Obese Adults, , http://agn360.client.shareholder.com/releasedetail.cfm?ReleaseID=550670, Allergan Inc. Accessed May 15, 2011; Snyder, J., Crooks, V.A., Medical tourism and bariatric surgery: More moral challenges (2010) Am J Bioeth, 10, pp. 28-30; Google, , http://www.google.com, Accessed May 15, 2011; http://obesitycontrolcenter.com/about/cost/, Obesity Control Center Accessed: May 13, 2011; Carpenter, B., (2010) Medical Tourism: Dangers of Medical Procedures Abroad the 33 News KDAF Television, , http://www.the33tv.com/news/kdaf-medical-tourism-dangers-story,0,440773. story, Accessed: May 16, 2011; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32","Whiteman, R.G.260 West Street, 2B, Mt. Kisco, NY 10549, United States; email: rgw2112@columbia.edu",,,"Elsevier Inc.",,,,,15507289,,,,"English","Surg. Obes. Relat. Dis.",Article,"Final",,Scopus,2-s2.0-80053309778 "Kucerová J., Marceková R., Nedelová G.","56682717700;36682777500;36682914200;","Wellness tourism in Slovakia",2010,"Moravian Geographical Reports","18","3",,"2","13",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650366455&partnerID=40&md5=8d3f4a563664e0dce9722ecc3e90cabc","Faculty of Economics, Matej Bel University, Tajovského 10, 975 90 Banská Bystrica, Slovakia","Kucerová, J., Faculty of Economics, Matej Bel University, Tajovského 10, 975 90 Banská Bystrica, Slovakia; Marceková, R., Faculty of Economics, Matej Bel University, Tajovského 10, 975 90 Banská Bystrica, Slovakia; Nedelová, G., Faculty of Economics, Matej Bel University, Tajovského 10, 975 90 Banská Bystrica, Slovakia","The wellness tourism market in four selected tourist regions in Slovakia is analysed in this paper. The results of field research, conducted by means of a questionnaire survey carried out by the ATLAS research group, are presented. A primary objective is to investigate the inter-dependencies between life style and participation in wellness tourism. Associations between existing demand for wellness facilities and six independent variables (smoking, fitness activities in daily life, diet, age, educational level and nationality) are tested. The differences among particular results of the field research in the four regions are discussed, as well as the overall results for the four regions as a whole. The field research data are evaluated by means of statistical software packages (SPSS/PASW), using non-parametric tests (Fischer Exact Test and Cramer's V statistics). The inter-dependencies among the six independent variables and visiting wellness facilities are exemplified in this project. © INSTITUTE OF GEONICS ASCR, v.v.i. 2010.","Lifestyle; Liptov tourist region; Orava tourist region; Slovakia; Tatra tourist region; Váh valley region; Wellness tourism","health care; international tourism; lifestyle; medicine; tourism market; Slovakia",,,,,,,,"Ardell, D.B., What is wellness?, , http://www.seekwellness.com, [online]. URL, [cit. 15.01.2009]; Blahušová, E., (1995) Životní Styl Wellness: Zdravé Cvicení Pro Pohodu., p. 141. , Praha, Olympia; Burák, E., Pohodou k Prosperite III. (2007) Ružomberok, Tesfo, pp. 50-51; Horníková, M., Wellness je životný styl (2005) Food Service, 15 (5), pp. 5-11; Javorská, J., Wellness ako súcast zdravotného cestovného ruchu (2006) Ekonomická revue cestovného ruchu, 3, pp. 144-156; Mehr als eine neue Marketing-Masche? Medical Wellness., , http://www.wellnessverband.de, [online]. URL, [cit. 8.12.2008]; Müller, H., Lanzkaufmann, E., Wellness Tourism: Market Analysis of a Special Health Tourism Segment and Implications for the Hotel Industry, , http://www.lanzkaufmann.ch, [online]. URL, [cit. 10.10.2008]; Smith, M., Kelly, C., Wellness tourism., 2006. , http://www.trrworld.org, [online]. URL, [cit. 16.11.2008]; Smith, M., Puczkó, L., (2008) Health and Wellness Tourism., p. 400. , Hungary, Elsevier; (2005), http://www.economy.gov.sk/regionalizacia-cestovneho-ruchu-v-sr-5699/ 127384s, Regionalizácia cestovného ruchu v Slovenskej republike, Bratislava. Ministerstvo hospodárstva SR, [online]. URL; Ministerstva Hospodárstva Slovenskej Republiky, Ktorou sa Ustanovujú Klasifikacné Znaky na Ubytovacie Zariadenia pri ich Zaradovaní do Kategórií a Tried, , Vyhláška c. 277/2008 Z. z; Wiesner, K., (2007) Wellnessmanagement., p. 215. , Berlin,Erich Schmidt Verlag; www.slovakia.travel.com","Kucerová, J.; Faculty of Economics, Matej Bel University, Tajovského 10, 975 90 Banská Bystrica, Slovakia; email: jana.kucerova@umb.sk",,,,,,,,12108812,,,,"English","Morav. Geogr. Rep.",Article,"Final",,Scopus,2-s2.0-78650366455 "McKinnon B.J., Bhatt N.","55757783020;36674518000;","Cochlear implants and medical tourism",2010,"Cochlear Implants International","11","3",,"125","132",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956598525&partnerID=40&md5=ff8fc457c2a375d063450f33122f922a","Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, BP-4109, Augusta, GA 30912-0004, United States","McKinnon, B.J., Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, BP-4109, Augusta, GA 30912-0004, United States; Bhatt, N., Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, BP-4109, Augusta, GA 30912-0004, United States","Objective: To compare the costs of medical tourism in cochlear implant surgery performed in India as compared to the United States. In addition, the cost savings of obtaining cochlear implant surgery in India were compare d to those of other surgical interventions obtained as a medical tourist. Methods: Searches were conducted on Medline and Google using the search terms: 'medical tourism', 'medical offshoring', 'medical outsourcing', 'cochlear implants' and 'cochlear implantation'. The information regarding cost of medical treatment was obtained from personal communication with individuals familiar with India's cochlear implantation medical tourism industry. Results: The range of cost depended on length of stay as well as the device chosen. Generally the cost, inclusive of travel, surgery and device, was in the range of $21,000-30,000, as compared to a cost range of $40,000-$60, 000 in the US. Conclusion: With the escalating cost of healthcare in the United States, it is not surprising that some patients would seek to obtain surgical care overseas at a fraction of the cost. Participants in medical tourism often have financial resources, but lack health insurance coverage. While cardiovascular and orthopedic surgery performed outside the United States in India at centers that cater to medical tourists are often performed at one-quarter to one-third of the cost that would have been paid in the United States, the cost differential for cochlear implants is not nearly as favorable. © 2010 W. S. Maney & Son, Ltd.","access to care; cochlear implantation; cochlear implants; health care costs; India; medical tourism",,,,,,,,,"Cochlear Implants, , http://www.entnet.org/HealthInformation/cochlearImplants.cfm, American Academy of Otolaryngology-Head & Neck Surgery. [accessed April 26, 2008]. Available at; Barton, G.R., Fortnum, H.M., Stacey, P.C., Summerfield, A.Q., Hearing-impaired children in the UK IV: Cost-effectiveness of paediatric cochlear implantation (2006) Ear and Hearing, 27, pp. 575-588; (2008) Health Insurance: Can Californians Afford It?, , http://www.chcf.org/documents/insurance/HealthlnsuranceAffordabHity.pdf, [accessed April 5, 2008]. Available at; Carter, R., Hailey, D., Economic evaluation of the cochlear implant (1999) International Journal of Technolog y Assessment in Health Care, 15 (3), pp. 520-530; Cheng, A.K., Rubin, H.R., Powe, N.R., Mellon, N.K., Francis, H.W., Niparko, J.K., Cost-utility analysis of the cochlear implant in children (2000) JAMA, 284 (7), pp. 850-856; Chinai, R., Goswani, R., Medical visas mark growth of indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; De Navas-Walt, C., Proctor, B.D., Smith, J., (2007) Income, Poverty, and Health Insurance Coverage in the Unite D States. 2006, , http://www.census.gov/prod/2007pubs/p60-233.pdf, US Census Bureau. Available at; Einhorn, B., (2008) Medical Travel Is Going to Be Part of the Solution, , http://www.businessweek.com/globalbiz/content/mar2008/gb20080312_835774. htm, [online] (17 March 2008) [accessed 30 March 2009]. Available at; Einhorn, B., (2008) Outsourcing the Patients, , http://www.businessweek.com/magazine/content/08_12/b4076036777780.htm, [online] (13 March 2008) [accessed 30 March 2009]. Available at; Einhorn, B., (2008) Hannaford's Medical-Tourism Experiment, , http://www.businessweek.com/globalbiz/content/nov2008/gb2008119_505319. htm?chan=globalbiz_special+report+-+asia+medical+tourism_special+report+- +asia+medical+tourism, [online] 9 November [accessed 30 March 2009]. Available at; Francis, H.W., Chee, N., Yeagle, J., Cheng, A., Niparko, J.K., Impact of cochlear implants on the functional health status of older adults (2002) Laryngoscope, 112 (8), pp. 1482-1488; Garber, S., Ridgely, M.S., Bradley, M., Chin, K.W., Payment under public and private insurance and access to cochlear implants (2002) Arch Otolaryngol Head Neck Surg, 128 (10), pp. 1145-1152; Higgins, L.A., Medical tourism takes off, but not without debate (2007) Manag Care, 16 (4), pp. 45-47; (2009), http://www.jointcommissioninternational.org/about-jci/, About Joint Commission International [accessed 23 March 2009]. Available at; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal of Fertility & Women's Medicine, 51 (6), pp. 251-255; McGinley, L., The Next Wave of Medical Tourists Might Include You, , http://online.wsj.com/article/SB120283288380762505.html, [accessed 16 February 2008]. Available at; Marcelo, R., IndiaFosters Growing 'Medical Tourism' Sector, , http://search.ft.com/ftArticle?queryText=Marcelo%2C+Ray. +India+Fosters+Growing+'Medical+Tourism'+Sector&y=11&aje=true&x= 14&id=030702002270&ct=0, [accessed 18 November 2008]. Available at; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Aff (Millwood), 25 (2), pp. 358-368; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) N Engl J Med, 355 (16), pp. 1637-1640; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Aff (Millwood), 26 (1), pp. 137-141; Mudur, G., Hospitals in India woo foreign patients (2004) BMJ, 328, p. 1338; (2008) More about Cochlear Implants, , http://www.nidcd.nih.gov/health/hearing/coch_moreon.asp, [accessed 26 April 2008]. Available at; O'Neill, C., O'Donoghue, G.M., Archbold, S.M., Normand, C., A cost-utility analysis of pediatric cochlear implantation (2000) Laryngoscope, 110 (1), pp. 156-160; Schulze-Gattermann, H., Illg, A., Schoenermark, M., Lenarz, T., Lesinski-Schiedat, A., Cost-benefit analysis of pediatric cochlear implantation: German experience (2002) Otol Neurotol, 23 (5), pp. 674-681; Statement on medical and surgical tourism (2009) Bulletin of the American College of Surgeons, 94 (4), pp. 26-27. , American College of Surgeons; Taylor, C., Medical Tourism's Popularity on the Rise, , http://www.ft.com/cms/s/2/98f03b1c-203f-11dc-9eb1-000b5df10621.html, [accessed 18 November 2007] Available at; Criteria of candidature for unilateral cochlear implantation in post-lingually deafened adults ii: Cost-effectiveness analysis (2004) Ear and Hearing, 25, pp. 336-360. , United Kingdom Cochlear Implant Study Group; (2007) The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs?, , http://aging.senate.gov/hearing_detail.cfm?id=270728, [accessed 18 November 2007]. Available at; Wachter, R.M., The 'Dis-location' of us medicine - The implications of medical outsourcing (2006) N Engl J Med, 354 (7), pp. 661-665","McKinnon, B. J.; Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, BP-4109, Augusta, GA 30912-0004, United States; email: brmckinnon@mcg.edu",,,"Maney Publishing",,,,,14670100,,CIIOA,"21756681","English","Cochlear Implants Int.",Article,"Final",,Scopus,2-s2.0-77956598525 "Chen H.-C., Kuo H.-C., Chung K.-P., Chang S., Su S., Yang M.-C.","8088072300;55435590200;7404086108;23104888200;7402029802;8112867500;","Classification and comparison of niche services for developing strategy of medical tourism in Asian countries",2010,"International Surgery","95","2",,"108","116",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956645872&partnerID=40&md5=713430e077e33cf8002ab1386a972d1c","Department of Plastic Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan; Department of Health Management, I-Shou University, Kaohsiung, Taiwan; Department of Public Health, Institute of Health Care Organization Administration, National Taiwan University, Taipei, Taiwan; Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan","Chen, H.-C., Department of Plastic Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan; Kuo, H.-C., Department of Health Management, I-Shou University, Kaohsiung, Taiwan; Chung, K.-P., Department of Public Health, Institute of Health Care Organization Administration, National Taiwan University, Taipei, Taiwan; Chang, S., Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan; Su, S., Department of Public Health, Institute of Health Care Organization Administration, National Taiwan University, Taipei, Taiwan; Yang, M.-C., Department of Public Health, Institute of Health Care Organization Administration, National Taiwan University, Taipei, Taiwan","Medical tourism is a new trend in medical service. It is booming not only in Asian countries but also in European and South American countries. Worldwide competition of medical service is expected in the future, and niche service will be a ""trademark"" for the promotion of global medicine. Niche service also functions for market segmentation. Niche services are usually surgical procedures. A study was carried out to compare different strategies for developing medical tourism in Asian countries. The role of a niche service is evaluated in the initiation and further development of medical tourism for individual countries. From this study, a general classification was proposed in terms of treatment procedures. It can be used as a useful guideline for additional studies in medical tourism. Niche service plays the following roles in the development of medical tourism: (1) It attracts attention in the mass media and helps in subsequent promotion of business, (2) it exerts pressure on the hospital, which must improve the quality of health care provided in treating foreign patients, especially the niche services, and (3) it is a tool for setting up the business model. E-Da Hospital is an example for developing medical tourism in Taiwan. A side effect is that niche service brings additional foreign patients, which will contribute to the benefit of the hospital, but this leaves less room for treating domestic patients. A niche service is a means of introduction for entry into the market of medical tourism. How to create a successful story is important for the development of a niche service. When a good reputation has been established, the information provided on the Internet can last for a long time and can spread internationally to form a distinguished mark for further development. Niche services can be classified into 3 categories: (1) Low-risk procedures with large price differences and long stay after retirement; (2) high-risk procedures with less of a price difference, and (3) banned procedures that are not allowed legally in home countries of foreign patients, such as stem cell therapy. In establishing a niche service, a high-quality, nonmedical segment should be integrated as well.","Asia; Classification; Global medicine; Niche service","article; classification; comparative study; economic aspect; economics; health care delivery; human; Internet; medical tourism; organization and management; outcome assessment; program development; risk; Southeast Asia; Asia, Southeastern; Delivery of Health Care; Economic Competition; Humans; Internet; Medical Tourism; Outcome Assessment (Health Care); Program Development; Risk",,,,,,,,"Chambers, D., McIntosh, B., Using authenticity to achieve competitive advantage in medical tourism in the English-speaking Caribbean (2008) Third World Quarterly, 29 (5), pp. 919-937; Connell, J., Medical tourism: Sea, sun, sand and ⋯ surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Hume, L.F., Demicco, F.J., Bringing hotels to healthcare - A Rx for success (2007) Journal of Quality Assurance in Hospitality and Tourism, 8 (1), pp. 75-84; Pafford, B., The third wave-medical tourism in the 21st century (2009) Southern Medical J, 102 (8), pp. 810-813; Smyth, F., Medical geography: Therapeutic places, spaces and networks (2005) Progress in Human Geography, 29 (4), pp. 488-495; Woodman, J., (2008) Patients Beyond Borders Taiwan Edition, , Chapel Hill, NC: Healthy Travel Media; Page, S.J., Current issue in tourism. The evolution of travel medicine research: A new research agenda for tourism? (2009) Tourism Management, 30 (2), pp. 149-157; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) J Contin Educ Health Prof, 28 (2), pp. 99-102; Huat, J.Y.C., (2006) Medical Tourism and Singapore, , In The International Hospital Federation Reference Book. Voltaire, France: The International Hospital Federation; Khan, Z.H., Hamidi, S., Miri, S.M., Craniopagus, Laleh and Ladan twins, sagittal sinus (2007) Turk Neurosurg, 17 (1), pp. 27-32; Mahajan, J.K., Kumar, D., Deb, M., Rao, K.L.N., Asymmetric conjoined twins: Atypical ischiopagus parasite (2002) J Pediatr Surg, 37 (10), pp. e33; Ratan, S., Rattan, K., Magu, S., Gupta, S., Narang, R., Arora, B., Thoracopagus parasites in two sets of twins: Evidence for the 'fusion theory' (2008) Pediatr Surg Int, 24 (11), pp. 1255-1259; Singh, M., Singh, K.P., Shaligram, P., Conjoined twins cephalopagus Janiceps monosymmetros: A case report (2003) Birth Defects Res Clin Mol Teratol, 67 (4), pp. 268-272; Wong, T.G., Ong, B.C., Ang, C., Chee, H.-L., Anesthetic management for a five-day separation of craniopagus twins (2003) Anesth Analg, 97 (4), pp. 999-1002; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) The Journal of Legal Medicine, 28 (2), pp. 223-245; Cossar, J.H., Reid, D., Fallon, R.J., Bell, E.J., Riding, M.H., Follett, E.A., A cumulative review of studies on travellers, their experience of illness and the implications of these findings (1990) J Infect, 21 (1), pp. 27-42; Page, S.J., Meyer, D., Tourist accidents: An exploratory analysis (1996) Annals of Tourism Research, 23 (3), pp. 666-690; Steffen, R., Kollaritsch, H., Fleischer, K., Travelers' diarrhea in the new millennium: Consensus among experts from Germanspeaking countries (2003) J Travel Med, 10 (1), pp. 38-45; Svantesson, D.J.B., From the airport to the surgery to the courtroom - Private international law and medical tourism (2008) Commonwealth Law Bulletin, 34 (2), pp. 265-276; Hill, C.W.L., Jones, G.R., (2007) Strategic Management Theory: An Integrated Approach, , 8th ed. Cincinnati, Ohio: South-Western Educational Publishing","Yang, M.-C.; Department of Public Health, Institute of Health Care Organization Administration, National Taiwan University, Taipei, Taiwan; email: mcy@ha.mc.edu.tw",,,,,,,,00208868,,INTSA,"20718315","English","Int. Surg.",Review,"Final",,Scopus,2-s2.0-77956645872 "Hui T.-K., Wan D.","7005618932;55666606400;","Health-care tourism in Singapore",2009,"Advances in Hospitality and Leisure","5",,,"109","123",,3,"10.1108/S1745-3542(2009)0000005010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84857533170&doi=10.1108%2fS1745-3542%282009%290000005010&partnerID=40&md5=7b8f0315f387e839d7ab07260b85c1d1",,"Hui, T.-K.; Wan, D.","Researcher defined health tourism as part of a tourist facility or destination to attract tourists by promoting its health-care services and facilities besides its regular tourist amenities. This study aims to find out how tourists perceive Singapore as a choice of destination for health-care treatment. Our findings reveal that ""medical facilities"" is the most important factor to consider when they seek for overseas treatment. While both the Asia and non-Asia groups of respondents perceive Singapore having good medical facilities, the Asia group considers ""communication"" as a problem they may encounter in Singapore whereas the non-Asia group is more concerned with ""cost."" The implication of the results is also discussed.",,,,,,,,,,,"Hui, T.-K.",,,,,,,,17453542,,,,"English","Adv. Hosp. Leis.",Article,"Final",,Scopus,2-s2.0-84857533170 "Nemie P., Kassim J.","35107739300;35170030700;","Cross-border issues in the development of medical tourism in Malaysia: legal challenges and opportunities.",2009,"Journal of law and medicine","17","1",,"59","73",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-70350482214&partnerID=40&md5=9b0d46fd2aae9564684a9617d5b95db5","Ahmad Ibrahim Kulliyyah of Laws, International Islamic University Malaysia.","Nemie, P., Ahmad Ibrahim Kulliyyah of Laws, International Islamic University Malaysia.; Kassim, J., Ahmad Ibrahim Kulliyyah of Laws, International Islamic University Malaysia.","Strategically located at the crossroads of Asia, Malaysia has become one of the key players in the fast-growing and lucrative market for health care services in Asia. Medical travel across international boundaries has been made possible through affordable airfares and the favourable exchange rates of the Malaysian ringgit has contributed to the rise of the ""medical tourism phenomenon"" where medical travel is combined with visiting popular tourist destinations in Malaysia. Further, competitive medical fees and modern medical facilities have also made Malaysia a popular destination for medical tourists. Nevertheless, the increased number of foreign patients has opened up possibilities of Malaysian health care providers being subjected to malpractice claims and triggering a myriad of cross-border legal issues. Presently, there is no internationally accepted legal framework to regulate medical tourism and issues of legal redress in relation to unsatisfactory provision of treatment across international boundaries. The economic benefits of medical tourism must be based upon a solid legal regulatory framework and strong ethical standards as well as upon high-quality medical and health care services. It is therefore important to assess the existing legal framework affecting the development of medical tourism in Malaysia in order to explore the gaps, deficiencies and possibilities for legal and regulatory reform.",,"article; economic aspect; health care delivery; human; legal aspect; Malaysia; malpractice; patient attitude; travel; Economic Competition; Health Services Accessibility; Humans; Malaysia; Malpractice; Patient Acceptance of Health Care; Travel",,,,,,,,,"Nemie, P.email: nemie@iiu.edu.my",,,,,,,,1320159X,,,"19771987","English","J Law Med",Article,"Final",,Scopus,2-s2.0-70350482214 "Koldowski J., Martin O.","15070760400;55999769500;","Emerging market segments: Religious and medical tourism in India",2008,"Trends and Issues in Global Tourism 2008",,,,"121","129",,3,"10.1007/978-3-540-77798-4_10","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859359092&doi=10.1007%2f978-3-540-77798-4_10&partnerID=40&md5=5fbcae74cdb0287733a5b93ab4fdb042","Strategic Intelligence Centre, Pacific Asia Travel Association (PATA), Unit B1, Siam Tower, 989 Rama Road, Pathumwan, 10330 Bangkog, Thailand","Koldowski, J., Strategic Intelligence Centre, Pacific Asia Travel Association (PATA), Unit B1, Siam Tower, 989 Rama Road, Pathumwan, 10330 Bangkog, Thailand; Martin, O., Strategic Intelligence Centre, Pacific Asia Travel Association (PATA), Unit B1, Siam Tower, 989 Rama Road, Pathumwan, 10330 Bangkog, Thailand","Ever since the introduction into commercial air service of the Boeing 747 jumbo jet, international air travel has become not only more accessible to the world's population but also generally, more affordable as well. © 2008 Springer-Verlag Berlin Heidelberg.",,,,,,,,,,"(2007) Medical Tourism, , http://resources.alibaba.com/topic/43527/MedicalTourism.htm; (2005), http://www.asianpacificpost.com/portal2/402881910674ebab010674f54cb31a55. do.html, May, 'Sun, Sand and Surgery'at; (2002) Health Care in India: The Road Ahead, , Confederation of Indian Industry and McKinsey & Company; (2004) Indians Keep the Faith: Religious Tourism Booms in India, , India Brand Equity Foundation IBEF; http://www.ilsc2004.qut.edu.au; http://www.medical-tourism-india.com; http://www.tourism.gov.in; (2007) Annual Statistical Report 2006, , PATA; (2007) Total Tourism India, , PATA; (2006) Insight Newsletter: Trend Alert: Health Tourism', , Shaping Tomorrow, August 22; (1995) Compendium of Tourism Statistics 1991-1995, , UNWTO; (2007) World Tourism Barometer, 5 (2). , UNWTO","Koldowski, J.; Strategic Intelligence Centre, Pacific Asia Travel Association (PATA), Unit B1, Siam Tower, 989 Rama Road, Pathumwan, 10330 Bangkog, Thailand",,,"Springer",,,,,,9783540777977,,,"English","Trends and Issues in Global Tourism 2008",Book Chapter,"Final",,Scopus,2-s2.0-84859359092 "Rotenberk L.","25937450000;","Medical tourism. As the world flattens, U.S. hospitals expand their global reach.",2008,"Hospitals & health networks / AHA","82","6",,"14","",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-49649096140&partnerID=40&md5=953889ec0b46bc5e3faef9056374b2f0",,"Rotenberk, L.",[No abstract available],,"financial management; health care delivery; hospital management; human; international cooperation; note; organization and management; travel; United States; Delivery of Health Care; Hospital Administration; Humans; Internationality; Marketing of Health Services; Travel; United States",,,,,,,,,"Rotenberk, L.",,,,,,,,10688838,,,"18666725","English","Hosp Health Netw",Note,"Final",,Scopus,2-s2.0-49649096140 "Volz D.","36788725400;","Marketing. Reverse medical tourism.",2008,"Hospitals & health networks / AHA","82","6",,"","",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-49649091563&partnerID=40&md5=7fc5683a71b87f9d2507bc61368ef0c4",,"Volz, D.",[No abstract available],,"financial management; health care delivery; hospital management; human; international cooperation; note; organization and management; travel; United States; Delivery of Health Care; Hospital Administration; Humans; Internationality; Marketing of Health Services; Travel; United States",,,,,,,,,"Volz, D.",,,,,,,,10688838,,,"18668727","English","Hosp Health Netw",Note,"Final",,Scopus,2-s2.0-49649091563 "Chaudhuri S.K.","57197201726;","Ethics of medical tourism",2008,"Journal of the Indian Medical Association","106","3",,"188","",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-49149092298&partnerID=40&md5=3667df043a70371cd67aeaefc36a55d5","Health Services, Government of Delhi","Chaudhuri, S.K., Health Services, Government of Delhi",[No abstract available],,"health care; health service; human; industry; letter; medical ethics; medical society; organization; tourism; Delivery of Health Care; Ethics, Medical; Humans; India; International Cooperation; Travel; World Health",,,,,,,,,"Chaudhuri, S. K.; Health Services, Government of DelhiIndia",,,,,,,,00195847,,JIMAA,"18714462","English","J. Indian Med. Assoc.",Letter,"Final",,Scopus,2-s2.0-49149092298 "Pfeifer M., Minne H.W.","57190119376;16504420700;","Patient mobilization in high-grade osteoporosis with fentanyl patches [Patienten-mobilisierung bei hochgradigen osteoporosen mit fentanyl- pflaster]",1999,"Zeitschrift fur Allgemeinmedizin","75","17-18",,"783","787",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033568769&partnerID=40&md5=1f71ed286a75a7b012f132c3e3182fd9",,"Pfeifer, M.; Minne, H.W.",[No abstract available],,"acetylsalicylic acid derivative; analgesic agent; antiemetic agent; bisacodyl; bisphosphonic acid derivative; calcitonin; diclofenac; dipyrone; fentanyl; fluorophosphate; lactulose; metoclopramide; morphine sulfate; nonsteroid antiinflammatory agent; omeprazole; tramadol; vitamin d; adult; aged; article; fracture; human; mobilization; osteoporosis; physiotherapy; postmenopause",,"bisacodyl, 603-50-9; calcitonin, 12321-44-7, 21215-62-3, 9007-12-9; diclofenac, 15307-79-6, 15307-86-5; dipyrone, 50567-35-6, 5907-38-0, 68-89-3; fentanyl, 437-38-7; fluorophosphate, 10163-15-2, 15181-43-8, 7631-97-2, 7789-74-4; lactulose, 4618-18-2; metoclopramide, 12707-59-4, 2576-84-3, 364-62-5, 7232-21-5; morphine sulfate, 23095-84-3, 35764-55-7, 64-31-3; omeprazole, 73590-58-6, 95510-70-6; tramadol, 27203-92-5, 36282-47-0","durogesic",,,,,,,,,,,,,,03419835,,ZALMA,,"German","Z. Allg.Med.",Article,"Final",,Scopus,2-s2.0-0033568769 "Hale W.A., Delaney M.J., McGaghie W.C.","7101829801;7102802893;7006333986;","Predicting elderly patients' mobility using fall history and physician assessment",1990,"Family Medicine","22","5",,"383","387",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0025106351&partnerID=40&md5=1f03a17eb601433dca6db4ccf8c55fdf","Family Practice Center, Moses H. Cone Family Practice Residency Program, 1125 N. Church Street, Greensboro, NC 27401, United States","Hale, W.A., Family Practice Center, Moses H. Cone Family Practice Residency Program, 1125 N. Church Street, Greensboro, NC 27401, United States; Delaney, M.J., Family Practice Center, Moses H. Cone Family Practice Residency Program, 1125 N. Church Street, Greensboro, NC 27401, United States; McGaghie, W.C., Family Practice Center, Moses H. Cone Family Practice Residency Program, 1125 N. Church Street, Greensboro, NC 27401, United States","This study tested whether a patient's history of falls or an office clinician's general assessment can predict which ambulatory elderly patients will do poorly on mobility testing. Ambulatory patients making routine visits who were age 65 or older, mentally competent, and not acutely ill were eligible. Fifty-two (91%) of these patients participated by completing a fall history questionnaire and undergoing mobility testing. After the visit, the attending physician estimated how the patient would score on the mobility test. Twelve (23%) of the patients reported falls and seven (13.5%) reported fall injuries in the preceding year. Both fall history and physician estimate of mobility score significantly correlated with the measured mobility score. Only the physician estimate of mobility score, however, had adequate sensitivity (94.4%) and specificity (82.4%) to be clinically useful. This estimate will allow the clinician to selectively apply mobility testing to those patients likely to score poorly.",,"aged; article; falling; forecasting; functional assessment; human; methodology; physician; Accidental Falls; Aged; Data Collection; Female; Geriatric Assessment; Human; Male; Medical History Taking; Questionnaires; Risk Factors; Support, Non-U.S. Gov't; Walking",,,,,,,,,,,,,,,,,07423225,,FAMEE,"2227175","English","FAM. MED.",Article,"Final",,Scopus,2-s2.0-0025106351 "Contandriopoulos A.P., Dionne G., Tessier G.","7003432683;7005055687;7004110685;","(The effects of patients' mobility on a private market of chirurgical services: the case of Quebec). [Mobilite des patients et modeles de creation de demande: le cas du Quebec.]",1983,"Actualite Economique","59","4",,"729","752",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0021089562&partnerID=40&md5=7c0a7ffe18815190780eac476c360c34","Univ. Montreal, Canada., Canada","Contandriopoulos, A.P., Univ. Montreal, Canada., Canada; Dionne, G., Univ. Montreal, Canada., Canada; Tessier, G., Univ. Montreal, Canada., Canada","Presents a theoretical model which analyses the effects of patients' mobility on a private market of chirurgical services and adapts this model to a regime of public health insurance. Discusses the main results in the literature and presents some preliminary results using data from the province of Quebec.-English summary",,,,,,,,,,,,,,,,,,,0001771X,,,,,,Article,"Final",,Scopus,2-s2.0-0021089562 "Hirschberg G.G., Lewis L., Vaughan P.","6701756910;57213620280;7103400867;","Promoting patient mobility and other ways to prevent secondary disabilities",1977,"Nursing","7","5",,"42","47",,3,"10.1097/00152193-197705000-00010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0017492231&doi=10.1097%2f00152193-197705000-00010&partnerID=40&md5=78028be5041c3563078e6a4132e5cee4",,"Hirschberg, G.G.; Lewis, L.; Vaughan, P.",[No abstract available],,"article; human; nursing; paralysis; Human; Paralysis",,,,,,,,,,,,,,,,,03604039,,,"584945","English","Nursing",Article,"Final",,Scopus,2-s2.0-0017492231 "Broustet J.P., Dubecq M., Bouloumie J., Baron P.","7101934759;6507186184;6602108400;7102981997;","Rehabilitation of the coronary patients: mobilization program in the acute phase [Réhabilitation des coronariens: programme de mobilisation à la phase aiguë.]",1973,"Schweizerische medizinische Wochenschrift","103","2",,"57","63",,3,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0015922067&partnerID=40&md5=8a672c2fb279df145584153f50bdc65c",,"Broustet, J.P.; Dubecq, M.; Bouloumie, J.; Baron, P.",[No abstract available],,"acute disease; article; decubitus; female; heart infarction; hemodynamics; human; intensive care unit; kinesiotherapy; male; orthostatic hypotension; pathophysiology; psychotherapy; thromboembolism; vocational rehabilitation; Acute Disease; Decubitus Ulcer; Exercise Therapy; Female; Hemodynamics; Human; Hypotension, Orthostatic; Intensive Care Units; Male; Myocardial Infarction; Psychotherapy; Rehabilitation, Vocational; Thromboembolism",,,,,,,,,"Broustet, J.P.",,,,,,,,00367672,,,"4685789","French","Schweiz Med Wochenschr",Article,"Final",,Scopus,2-s2.0-0015922067 "Wang K., Xu H., Huang L.","57195568788;14049304600;56202477100;","Wellness tourism and spatial stigma: A case study of Bama, China",2020,"Tourism Management","78",, 104039,"","",,2,"10.1016/j.tourman.2019.104039","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075263665&doi=10.1016%2fj.tourman.2019.104039&partnerID=40&md5=13e03405c848fe2b47318bf6a7586050","School of Tourism Management, Sun Yat-Sen University, 329 Building, 135 West Xingang Road, Haizhu District, Guangzhou, 510275, China; Department of Business Administration, Nanfang College of Sun Yat-sen University, Guangzhou, China","Wang, K., School of Tourism Management, Sun Yat-Sen University, 329 Building, 135 West Xingang Road, Haizhu District, Guangzhou, 510275, China; Xu, H., School of Tourism Management, Sun Yat-Sen University, 329 Building, 135 West Xingang Road, Haizhu District, Guangzhou, 510275, China; Huang, L., Department of Business Administration, Nanfang College of Sun Yat-sen University, Guangzhou, China","This study focused on the stigmatisation of an emerging wellness tourism destination due to patient travel for tourism. The concept of spatial stigma was adopted to explore how local residents perceive, experience and manage the particular negative effects of wellness tourism. The study investigated Bama Yao Autonomous County, colloquially known as ‘Bama’, in China, to which many tourists with cancer and other chronic diseases travel. The results showed that the influx of wellness tourists brought significant challenges in this area. The residents reported ambivalent experiences of and feelings about wellness tourism in local communities, and disagreed with the vilification of wellness tourists. However, they were concerned about the potential consequences of wellness tourism. To manage and resist spatial stigma, the residents deliberately separated themselves from the places occupied by wellness tourists. The theoretical contributions and managerial implications of the study are discussed. © 2019","Disease; Spatial stigma; Terminal illness; Tourism effects; Wellness tourism","spatial analysis; tourism management; tourist destination; travel behavior; China",,,,,"National Natural Science Foundation of China, NSFC: 41771145","The authors would like to thank Professor Erik Cohen and Doctor Qingming Cui for their suggestions on this paper. The work was supported by National Natural Science Foundation of China [grant numbers 41771145 , ‘Therapeutic Mobilities and Health Tourists’ Spatiotemporal Behaviors, Experiences, and Mechanisms']. Ke Wang is a Ph.D candidate in the School of Tourism Management at Sun Yat-Sen University. Her research interests include Chinese wellness tourism, tourist management, as well as mobilities and health. Honggang Xu is a Professor in the School of Tourism Management at Sun Yat-Sen University. Her research interests include tourism geography, tourist management, sustainable tourism and mobilities. Liyuan Huang is an Associate Professor in Department of Business Administration at Nanfang College of Sun Yat-sen University. Her research interests include wellness tourism, tourist experience and tourism impacts.",,"Angermeyer, M.C., Buyantugs, L., Kenzine, D.V., Matschinger, H., Effects of labelling on public attitudes towards people with schizophrenia: Are there cultural differences? (2004) Acta Psychiatrica Scandinavica, 109 (6), pp. 420-425; Angermeyer, M.C., Matschinger, H., The stigma of mental illness: Effects of labelling on public attitudes towards people with mental disorder (2003) Acta Psychiatrica Scandinavica, 108 (4), pp. 304-309; Ap, J., Residents' perceptions on tourism impacts (1992) Annals of Tourism Research, 19 (4), pp. 665-690; Asami, K., Ishida, Y., Sakamoto, N., Job discrimination against childhood cancer survivors in Japan: A cross-sectional survey (2012) Pediatrics International, 54 (5), pp. 663-668; Balmer, C., Griffiths, F., Dunn, J., A qualitative systematic review exploring lay understanding of cancer by adults without a cancer diagnosis (2014) Journal of Advanced Nursing, 70 (8), pp. 1688-1701; Besbris, M., Faber, J.W., Rich, P., Sharkey, P., Effect of neighborhood stigma on economic transactions (2015) Proceedings of the National Academy of Science, 112, pp. 4994-4998; Besbris, M., Faber, J.W., Rich, P., Sharkey, P., The geography of stigma: Experimental methods to identify the penalty of place (2018) Audit studies: Behind the scenes with theory, method, and nuance, edited by S.M. Gaddis, pp. 159-177. , M. Gaddis Springer Cham; BlogChina, All Chinese ‘longevity towns’ are made up (2017), http://wuwuti5.blogchina.com/658595389.html, (in Chinese). Retrieved from; Bonanno, A., Esmaeli, B., Cancer and facial disfigurement: Reducing survivors' stigma in social interaction (2012) Clinical Journal of Oncology Nursing, 16 (2), pp. 153-159; Bourdieu, P., Site effects (1999) The weight of the world, pp. 121-130. , P. Bourdieu Stanford University Press Stanford, CA; Boyle, M.P., Enacted stigma and felt stigma experienced by adults who stutter (2018) Journal of Communication Disorders, 73, pp. 50-61; Boyle, M.P., Dioguardi, L., Pate, J.E., A comparison of three strategies for reducing the public stigma associated with stuttering (2016) Journal of Fluency Disorders, 50, pp. 44-58; Braun, V., Clarke, V., Using thematic analysis in psychology (2006) Qualitative Research in Psychology, 3 (2), pp. 77-101; Broto, V.C., Burningham, K., Carter, C., Elghali, L., Stigma and attachment: Performance of identity in an environmentally degraded place (2010) Society & Natural Resources, 23 (10), pp. 952-968; Bushell, R., Sheldon, P.J., (2009) Wellness and tourism: Mind, body, spirit, place, , Cognizant Communication New York, NY; Bush, J., Moffatt, S., Dunn, C., ‘Even the birds round here cough’: Stigma, air pollution and health in Teesside (2001) Health & Place, 7 (1), pp. 47-56; But, J.W.P., Ap, J., The impacts of casino tourism development on Macao residents' livelihood (2017) Worldwide Hospitality and Tourism Themes, 9 (3), pp. 260-273; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Chambers, S.K., Dunn, J., Occhipinti, S., Hughes, S., Baade, P., Sinclair, S., A systematic review of the impact of stigma and nihilism on lung cancer outcomes (2012) BMC Cancer, 12 (1), p. 184; Chan, C.W., Hon, H.C., Chien, W.T., Lopez, V., Social support and coping in Chinese patients undergoing cancer surgery (2004) Cancer Nursing, 27 (3), pp. 230-236; Chan, H.C.O., Wong, D.S., The overlap between school bullying perpetration and victimization: Assessing the psychological, familial, and school factors of Chinese adolescents in Hong Kong (2015) Journal of Child and Family Studies, 24 (11), pp. 3224-3234; Chapple, A., Ziebland, S., McPherson, A., Stigma, shame, and blame experienced by patients with lung cancer: Qualitative study (2004) BMJ, 328 (7454), p. 1470; Chen, Y.C., Chinese values, health and nursing (2001) Journal of Advanced Nursing, 36 (2), pp. 270-273; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; Chen, S.C., Residents' perceptions of the impact of major annual tourism events in Macao: Cluster analysis (2011) Journal of Convention & Event Tourism, 12 (2), pp. 106-128; Cheng, H., Sit, J.W., Chan, C.W., So, W.K., Choi, K.C., Cheng, K.K., Social support and quality of life among Chinese breast cancer survivors: Findings from a mixed methods study (2013) European Journal of Oncology Nursing, 17 (6), pp. 788-796; Cho, J., Smith, K., Choi, E.K., Kim, I.R., Chang, Y.J., Park, H.Y., Public attitudes toward cancer and cancer patients: A national survey in Korea (2013) Psycho-Oncology, 22 (3), pp. 605-613; Corrigan, P.W., Rafacz, J., Rüsch, N., Examining a progressive model of self-stigma and its impact on people with serious mental illness (2011) Psychiatry Research, 189 (3), pp. 339-343; Corrigan, P.W., Tsang, H.W., Shi, K., Lam, C.S., Larson, J., Chinese and American employers' perspectives regarding hiring people with behaviorally driven health conditions: The role of stigma (2010) Social Science & Medicine, 71 (12), pp. 2162-2169; Deery, M., Jago, L., Fredline, L., Rethinking social impacts of tourism research: A new research agenda (2012) Tourism Management, 33 (1), pp. 64-73; Devereux, C., Carnegie, E., Pilgrimage: Journeying beyond self (2006) Tourism Recreation Research, 31 (1), pp. 47-56; Ding, Y., Zhang, M.F., Zhu, Y.L., Social support of Chinese patients with ovarian malignancies during chemotherapy: A cohort questionnaire survey (2008) International Journal of Nursing Studies, 45 (8), pp. 1205-1213; Fujisawa, D., Hagiwara, N., Cancer stigma and its health consequences (2015) Current Breast Cancer Reports, 7 (3), pp. 1-8; Fu, B., Qin, N., Cheng, L., Tang, G., Cao, Y., Yan, C., Development and validation of an infertility stigma scale for Chinese women (2015) Journal of Psychosomatic Research, 79 (1), pp. 69-75; Glasser, M., Kolvin, I., Campbell, D., Glasser, A., Leitch, I., Farrelly, S., Cycle of child sexual abuse: Links between being a victim and becoming a perpetrator (2001) The British Journal of Psychiatry, 179 (6), pp. 482-494; Goffman, E., Stigma: Notes on the management of spoiled identity (1963), Prentice-Hall Englewood Cliffs, NJ; Golden, J., Conroy, R.M., O'Dwyer, A.M., Golden, D., Hardouin, J.B., Illness-related stigma, mood and adjustment to illness in persons with hepatitis C (2006) Social Science & Medicine, 63 (12), pp. 3188-3198; Gonzales, A., Brenzel, L., Sancho, J., Health tourism and related services: Caribbean development and international trade. Final Report (2001); Goodarzi, M., Haghtalab, N., Shamshiry, E., Wellness tourism in Sareyn, Iran: Resources, planning and development (2016) Current Issues in Tourism, 19 (11), pp. 1071-1076; Hallab, Z., Catering to the healthy-living vacationer (2006) Journal of Vacation Marketing, 12 (1), pp. 71-91; Hassanpour Dehkordi, A., Mohammadi, N., Nikbakhat Nasrabadi, A., Hepatitis-related stigma in chronic patients: A qualitative study (2016) Applied Nursing Research, 29, pp. 206-210; Heung, V.C., Kucukusta, D., Wellness tourism in China: Resources, development and marketing (2013) International Journal of Tourism Research, 15 (4), pp. 346-359; Hjalager, A.M., Tervo-Kankare, K., Tuohino, A., Tourism value chains revisited and applied to rural well-being tourism (2016) Tourism Planning & Development, 13 (4), pp. 379-395; Howard, A.F., Balneaves, L.G., Bottorff, J.L., Ethnocultural women's experiences of breast cancer: A qualitative meta-study (2007) Cancer Nursing, 30 (4), pp. E27-E35; Howarth, C., ‘So, you're from Brixton?’: The struggle for recognition and esteem in a stigmatized community (2002) Ethnicities, 2 (2), pp. 237-260; Huang, K., International fifth longevity town: Comprehensive analysis of factors leading to longevity in Bama (1993) Guangxi Medical Journal, 1, pp. 17-22. , (in Chinese); Huang, L., Xu, H., A cultural perspective of health and wellness tourism in China (2014) Journal of China Tourism Research, 10 (4), pp. 493-510; Huang, L., Xu, H., Therapeutic landscapes and longevity: Wellness tourism in Bama (2018) Social Science & Medicine, 197, pp. 24-32; Hudson, S., Thal, K., Cárdenas, D., Meng, F., Wellness tourism: Stress alleviation or indulging healthful habits? 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Manage.",Article,"Final",,Scopus,2-s2.0-85075263665 "Lee C.-W., Li C.","57201958040;22035018600;","The process of constructing a health tourism destination index",2019,"International Journal of Environmental Research and Public Health","16","22", 4579,"","",,2,"10.3390/ijerph16224579","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075396246&doi=10.3390%2fijerph16224579&partnerID=40&md5=09a8a6db94a2795790b4e4f6407ba1fe","College of Humanities and Communications, Yango University, Fuzhou, 350015, China; Graduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal University, Taipei, 106, Taiwan","Lee, C.-W., College of Humanities and Communications, Yango University, Fuzhou, 350015, China; Li, C., Graduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal University, Taipei, 106, Taiwan","The purpose of the study is to identify a set of key indicators with weightings for health tourism destinations by using an advanced analytic hierarchy process (AHP) method, derived from the official, academic, and professional opinions of the experts. The AHP method allocated weightings to the evaluation criteria selected by the fifteen experts. After expert evaluations were conducted, the three dimensions and eleven sub-dimensions of the initial health tourism destination were obtained as follows: (1) special demands and indications—medical care, health promotion, and tourism and leisure; (2) natural environment—climate, air, water, and light; (3) leisure activities and general demands—sports, therapeutic activities, interactions with animals and plants, and diet. The results revealed that the dimensions of special demands and indications were given the most attention and that the sub-dimensions of sports promotion were the highest ranked by expert groups. The official and academic opinions suggested that health tourism destinations should focus on special demands and indications, while professionals tended to consider the natural environment as a primary concern. In particular, they considered that good air quality can help people release pressure, relax, activate lymphocytes, improve immune function, and enhance disease immunity. The health tourism destination index can contribute to the overall strategic planning process by identifying improvements in activities and enhancing competitiveness in health tourism management by using benchmarking to further improve tourists’ experience and satisfaction. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.","Analytic hierarchy process (AHP); Health environment; Health promotion; Health tourism destination; Recreational resource management","analytical hierarchy process; health care; recreational activity; resource management; sport; tourism management; tourist destination; air quality; analytic hierarchy process; analytic method; Article; climate; diet; health care planning; health promotion; human; immunity; leisure; light; lymphocyte activation; medical care; medical tourism; social interaction; sport; water supply; adult; aged; female; health behavior; male; medical tourism; middle aged; practice guideline; psychology; questionnaire; very elderly; Animalia; Adult; Aged; Aged, 80 and over; Female; Guidelines as Topic; Health Behavior; Health Promotion; Humans; Leisure Activities; Male; Medical Tourism; Middle Aged; Surveys and Questionnaires",,,,,,,,"Healthy China 2030 Action (2019–2030), , http://english.www.gov.cn/news/topnews/201908/09/content_WS5d4cc9e7c6d0c6695ff7e705.html, Available online, accessed on 1 November 2019; Yong, Z., To create a national sports and health city and promote national fitness (2017) Sport, 18, p. 3; Health Promotion, , http://www.who.int/topics/health_promotion/en/; Wu, Z., Guo, Q., Research on the development strategy of health tourism industry (2014) Chin. 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Sci., 1, pp. 83-98; Chen, L., Ng, E., Huang, S.-C., Fang, W.-T., A Self-Evaluation System of Quality Planning for Tourist Attractions in Taiwan: An Integrated AHP-Delphi Approach from Career Professionals (2017) Sustainability, 9, p. 1751; Siomon, H.A., (1997) Administrative Behavior: A Study of Decision-Making Process in Administrative, , The Free Press: New York, NY, USA; Jin, Y., Kang, W., Xue, Q.H., Review and Prospect of Chinese forest tourism research on improving Sub-Health (2013) Tour. Res., 5, pp. 15-20; Lipwoski, M., Krokosz, D., Lada, A., Slizik, M., Sense of coherence and connectedness to nature as predictors of motivation for practicing Karate (2019) Int. J. Environ. Res. Public. Health., 16, p. 2483; Kotarska, K., Noowak, L., Szark-Eckardt, M., Nowak, M., Selected Healthy behaviors and quality of life in people who practice combat sport and martial art (2019) Int. J. Environ. Res. Public Health, 16, p. 875; Li, Q., Morimoto, K., A forest bathing trip increases human natural killer activity and expression of anti-cancer proteins in female subjects (2008) J. Biol. Regul. Homeost Agents, 22, pp. 45-55","Li, C.; Graduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal UniversityTaiwan; email: t94002@ntnu.edu.tw",,,"MDPI AG",,,,,16617827,,,"31752340","English","Int. J. Environ. Res. Public Health",Article,"Final",Open Access,Scopus,2-s2.0-85075396246 "Liang L.J., Choi H.C., Joppe M., Lee W.","57193336367;14047811800;6506924641;55619312970;","Examining medical tourists' intention to visit a tourist destination: Application of an extended MEDTOUR scale in a cosmetic tourism context",2019,"International Journal of Tourism Research","21","6",,"772","784",,2,"10.1002/jtr.2303","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068120246&doi=10.1002%2fjtr.2303&partnerID=40&md5=8a1d74774730f8393a99658f8181c268","School of Hospitality and Tourism Management, University of Guelph, Guelph, ON, Canada; School of Community Resources and Development, Arizona State University, Tempe, AZ, United States","Liang, L.J., School of Hospitality and Tourism Management, University of Guelph, Guelph, ON, Canada; Choi, H.C., School of Hospitality and Tourism Management, University of Guelph, Guelph, ON, Canada; Joppe, M., School of Hospitality and Tourism Management, University of Guelph, Guelph, ON, Canada; Lee, W., School of Community Resources and Development, Arizona State University, Tempe, AZ, United States","Behavioral studies of medical tourists are still limited despite a recent and rapid boom in both the business and academic fields. In 2011, Martin, Ramamonjiarivelo, and Martin proposed their MEDTOUR scale to better understand medical tourists' intention to seek treatment overseas. However, the scale has not been validated through application in a different context to date. The present study aims to fill this gap by examining its reliability and applying it in an extended model with perceived risk and perceived benefit. Based on the results of the data collected from Chinese adults, the MEDTOUR scale achieved an acceptable level of factorial, convergent, and discriminant validity. Support was confirmed for all hypotheses with a relatively weak relation between perceived risk and attitude, as well as perceived behavioral control and behavior intention. This study's findings fully support the prediction of behavior intention to travel to a foreign country for medical treatment and provides some useful findings to help medical tourism marketers and hospitals in developing their strategies. © 2019 John Wiley & Sons, Ltd.","cosmetic tourism; medical tourism; MEDTOUR scale; perceived benefit; perceived risk; TPB","medical tourism; tourism market; tourist behavior; tourist destination",,,,,,,,"Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management, 5 (3), pp. 192-201. , https://doi.org/10.1016/j.jdmm.2015.12.005; Ajzen, I., From intentions to actions: A theory of planned behavior (1985) Action Control, pp. 11-39. , Berlin, Heidelberg, Springer; Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211. , https://doi.org/10.1016/0749-5978(91)90020-T; Ajzen, I., Fishbein, M., (1980) Understanding attitudes and predicting social behaviour, , Englewood Cliffs, Prentice-Hall; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consortium Journal of Hospitality & Tourism, 11 (1), pp. 75-81; Bauer, R.A., Consumer behavior as risk taking (1960) Proceedings of the 43rd National Conference of the American Marketing Assocation; Bentler, P.M., (1995) EQS structural equations program manual. 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J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85068120246 "Dryglas D., Lubowiecki-Vikuk A.","56951251900;57188707641;","Image of Poland as perceived by German and British medical tourists",2019,"Tourism Review","74","4",,"861","871",,2,"10.1108/TR-07-2018-0105","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074279382&doi=10.1108%2fTR-07-2018-0105&partnerID=40&md5=efd85999804a7cd987f35f2e50b16f2d","Department of General Geology and Geotourism, AGH University of Science and Technology, Krakow, Poland; Department of Consumer Behaviour Research, Warsaw School of Economics College of Management and Finance, Warsaw, Poland","Dryglas, D., Department of General Geology and Geotourism, AGH University of Science and Technology, Krakow, Poland; Lubowiecki-Vikuk, A., Department of Consumer Behaviour Research, Warsaw School of Economics College of Management and Finance, Warsaw, Poland","Purpose: The purpose of this paper is to identify Poland’s image as a medical tourism destination (MTD). Design/methodology/approach: Survey data were collected from 282 German and British medical tourists, using a self-administered questionnaire. The Computer-Assisted Web Interviewing method was used to conduct the survey. Subsequently, the responses were analysed using advanced statistical tools (McNemar’s exact test, Cochran’s Q test and Chi-square test). Findings: Before visiting Poland, the respondents perceived the country through the prism of medical attributes, whereas after the visit, they perceived it through the prism of non-medical attributes. Research limitations/implications: Identification of a set of MTD image characteristics has important implications for scholars, allowing them to understand attributes which shape projected and perceived MTD image. Such construct can also be a useful tool for marketing planners, destination managers and marketers to create an effective marketing policy and projected image of MTDs based on these features. Originality/value: The study fills an important gap regarding the lack of conceptual and empirical content allowing for exploration of MTD image. © 2019, Emerald Publishing Limited.","Britons; Destination image; Germans; Medical tourism destination; Poland",,,,,,,,,"Abubakar, A.M., Does eWOM influence destination trust and travel intention: a medical tourism perspective (2016) Economic Research-Ekonomska Istrazivanja, 29 (1), pp. 598-611; Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: a medical tourism perspective (2016) Journal of Destination Marketing & Management, 5, pp. 192-201; Aydin, G., Karamehmet, B., Factors affecting health tourism and international health-care facility choice (2017) International Journal of Pharmaceutical and Healthcare Marketing, 11 (1), pp. 16-36; Baloglu, S., McCleary, K.W., A model of destination image formation (1999) Annals of Tourism Research, 26 (4), pp. 868-897; Beerli, A., Martín, J.D., Factors influencing destination image (2004) Annals of Tourism Research, 31 (3), pp. 657-681; Benjamini, Y., Hochberg, Y., Controlling the false discovery rate: a practical and powerful approach to multiple testing (1995) Journal of the Royal Statistical Society: Series B (Methodological), 57 (1), pp. 289-300; Bilder, C.R., Loughin, T.M., Testing for marginal independence between two categorical variables with multiple responses (2004) Biometrics, 60 (1), pp. 241-248; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrane Macmillian, New York, NY; Bramwell, B., Rawding, L., Tourism marketing images of industrial cities (1996) Annals of Tourism Research, 23 (1), pp. 201-221; Buhalis, D., Marketing the competitive destination of the future (2000) Tourism Management, 21 (1), pp. 97-116; Carrera, P., Lunt, N., A European perspective on medical tourism: the need for a knowledge base (2010) International Journal of Health Services, 40 (3), pp. 469-484; Chen, J.S., Hsu, C.H.C., Measurement of Korean tourists’ perceived images of overseas destinations (2000) Journal of Travel Research, 38 (4), pp. 411-416; Chen, P.J., Kerstetter, D.L., International students’ image of rural Pennsylvania as a travel destination (1999) Journal of Travel Research, 37 (3), pp. 256-266; Chen, C.F., Tsai, D.C., How destination image and evaluative factors affect behavioral intentions? 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A scoping review (2010) International Journal for Equity in Health, 9 (1), p. 24; Junio, M.M.V., Kim, J.H., Lee, T.J., Competitiveness attributes of a medical tourism destination: the case of South Korea with importance-performance analysis (2017) Journal of Travel & Tourism Marketing, 34, pp. 444-460; Khan, M.J., Chelliah, S., Haron, M.S., Medical tourism destination image formation process: a conceptual model (2016) International Journal of Healthcare Management, 9 (2), pp. 134-143; Khan, M.J., Chelliah, S., Haron, M.S., Ahmed, S., Role of travel motivations, perceived and travel constraints on destination image and visit intention in medical tourism (2017) Sultan Qaboos University Medical Journal, 17 (1), pp. 11-17; Kim, M., Koo, D.W., Shin, D.J., Lee, S.M., From servicescape to loyalty in the medical tourism industry: a medical clinic’s service perspective (2017) INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, pp. 1-16; Kiss, K., The challenges of developing health tourism in the balkans (2015) Tourism, 63 (1), pp. 97-110; Loureiro, S.M.C., Medical tourists’ emotional and cognitive response to credibility and servicescape (2017) Current Issues in Tourism, 20 (15), pp. 1633-1652; Lu, H.Y., Wu, W.Y., Factors associated with medical travel behaviours: the input-process-output perspective (2018) Current Issues in Tourism, 21 (3), pp. 243-258; Lubowiecki-Vikuk, A., Consumption of dental services: medical tourism in CEE (2018) European Journal of Service Management, 27-1 (3), pp. 135-142. , Vols; Lubowiecki-Vikuk, A., Kurkowiak, J., Medical tourism potential of Central and Eastern Europe: attempt at classification (2017) CBU International Conference Proceedings, 5, pp. 286-293; Lubowiecki-Vikuk, A., Rab-Przybyłowicz, J., Selected aspect of functioning medical tourism market in Poland (2015) Folia Turistica, 34, pp. 85-107; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., Horsfall, D., King, H., Implications for the NHS of inward and outward medical tourism: a policy and economic analysis using literature review and mixed-methods approaches (2014) Health Services and Delivery Research, 2 (2), pp. 1-234; Mainil, T., Eijgelaar, E., Klijs, J., Nawijn, J., Peeters, P., (2017) Research for TRAN Committee – Health Tourism in the EU: A General Investigation, European Parliament, , Policy Department for Structural and Cohesion Policies, Brussels; Mathijsen, A., Home, sweet home? 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Exploratory research of polish immigrants in Belgium (2019) Tourism Management, 72, pp. 373-385; Milman, A., Pizam, A., The role of awareness and familiarity with a destination: the Central Florida case (1995) Journal of Travel Research, 33 (3), pp. 21-27; Moghavvemi, S., Ormond, M., Musa, G., Isa, C.R.M., Thirumoorthi, T., Mustapha, M.Z.B., Kanapathy, K.A.P., Connecting with prospective medical tourists online: a cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163; (2015) MTA members in Europe, , www.medicaltourismassociation.com/en/mta-members-in-europe.html, (accessed: 13 July 2015; Ormond, M., Kaspar, H., Medical travel/tourism and the city (2019) Handbook of Global Urban Health, pp. 1-21. , Vojnovic, I., Pearson, A.L., Gershim, A., DeVerteuil, G. and Allen, A. and,(Eds), Routledge, Abingdon; Pan, B., Li, X., The long tail of destination image and online marketing (2011) Annals of Tourism Research, 38 (1), pp. 132-152; Pike, S.D., Kotsi, F., Stopover destination image-using the repertory test to identify salient attributes (2016) Tourism Management Perspectives, 18, pp. 68-73; Pike, S.D., Ryan, C., Destination positioning analysis through a comparison of cognitive, affective and conative perceptions (2004) Journal of Travel Research, 42 (4), pp. 333-342; Prebensen, N.K., Exploring tourists’ images of a distant destination (2007) Tourism Management, 28 (3), pp. 747-756; Rab-Przybyłowicz, J., Trends and socio-economic aspects of medical tourism development in Poland (2016) Studia Periegetica, 2 (16), pp. 99-118; Ried, W., Marschall, P., Potential benefits of cross-border health care: the case of Poland and Germany (2016) Economics & Sociology, 9 (3), pp. 14-27; Satorra, A., Bentler, P.M., Corrections to test statistics and standard errors in covariance structure analysis (1994) Latent Variables Analysis: Applications for Developmental Research, pp. 399-419. , von Eye, A. and Clogg, C.C. and,(Eds), Sage, Thousand Oaks, CA; Schmerler, K., (2018) Medical Tourism in Germany: Determinants of International Patients’ Destination Choice, , Springer International Publishing, Cham; Shahijan, M.K., Rezaei, S., Preece, C.N., Ismail, W.K.W., International medical travelers’ behavioral intention: an empirical study in Iran (2015) Journal of Travel & Tourism Marketing, 32 (5), pp. 475-502; Sheehan-Smith, L., Key facilitators and best practices of hotel-style room service in hospitals (2006) Journal of the American Dietetic Association, 106 (4), pp. 581-586; Stylidis, D., Cherifi, B., Characteristics of destination image: visitors and non-visitors’ images of london (2018) Tourism Review, 73 (1), pp. 55-67; Sultana, S., Haque, A., Momen, A., Yasmin, F., Factors affecting the attractiveness of medical tourism destination: an empirical study on India- review article (2014) Iranian Journal of Public Health, 43 (7), pp. 867-876; Tasci, A.D.A., Gartner, W.C., Destination image and its functional relationship (2007) Journal of Travel Research, 45 (4), pp. 413-425; Tegegne, W.A., Moyle, B.D., Becken, S., A qualitative system dynamics approach to understanding destination image (2018) Journal of Destination Marketing & Management, 8, pp. 14-22; Truong, T.L.H., Lenglet, F., Mothe, C., Destination distinctiveness: concept, measurement, and impact on tourist satisfaction (2018) Journal of Destination Marketing & Management, 8, pp. 214-231; Westfall, P.H., Troendle, J.F., Pennello, G., Multiple McNemar tests (2010) Biometrics, 66 (4), pp. 1185-1191; Westland, J.C., Lower bounds on sample size in structural equation modeling (2010) Electronic Commerce Research and Applications, 9 (6), pp. 476-487; Wongkit, M., McKercher, B., Desired attributes of medical treatment and medical service providers: a case study of medical tourism in Thailand (2016) Journal of Travel & Tourism Marketing, 33, pp. 14-27; Wu, Z., Robson, S., Hollis, B., The application of hospitality elements in hospitals (2013) Journal of Healthcare Management, 58 (1), pp. 47-62; Zolfagharian, M., Rajamma, R.K., Naderi, I., Torkzadeh, S., Determinants of medical tourism destination selection process (2018) Journal of Hospitality Marketing & Management, 27 (7), pp. 775-794","Lubowiecki-Vikuk, A.; Department of Consumer Behaviour Research, Warsaw School of Economics College of Management and FinancePoland; email: adrian.lubowiecki-vikuk@sgh.waw.pl",,,"Emerald Group Publishing Ltd.",,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-85074279382 "Arulmozhi S.J., Praveenkumar K., Vinayagamoorthi G.","57211338402;57211339778;57210884546;","Medical tourism in India",2019,"International Journal of Recent Technology and Engineering","8","2 Special Issue 10",,"695","698",,2,"10.35940/ijrte.B1123.0982S1019","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073549820&doi=10.35940%2fijrte.B1123.0982S1019&partnerID=40&md5=c587235dfbce58af1be6b6c551c5979f","Department of Commerce, Alagappa University, Karaikudi, India","Arulmozhi, S.J., Department of Commerce, Alagappa University, Karaikudi, India; Praveenkumar, K., Department of Commerce, Alagappa University, Karaikudi, India; Vinayagamoorthi, G., Department of Commerce, Alagappa University, Karaikudi, India","In the recent era medical tourism has certain significance place in the tourism industry, In India now famous for low cost medical service with high quality medical treatment. The countries where medical tourism is being actively promoted include Greece, South Africa, Jordan, India, Malaysia, Philippines and Singapore. Recently, Indian healthcare sector shows huge advancements in fields such as technology, infrastructure, and manpower, catapulting India as one of the preferred medical destinations in the world and invariably paving path to an entirely new sector, the medical tourism industry. The medical tourism in India will touch the $8 billion mark by the end of 2020, the influx of the population that experiences a saving of close to 50 to 70 percent on medical tourism industry. Cost effectiveness is a major factor in India, because a patient can undergo any type of treatment at an extremely affordable cost without compromising the quality and other reason is of course the availability of medical visa without any hassle. The Indian government predicts that, India $17-billion-a-year healthcare industry could grow 13 per cent in each of the next six years, boosted by medical tourism, which industry watchers say is growing at 30 per cent annually. This study has been focused by the fully by secondary data, which are collected from the Indian tourism department, and also it analyze the growth percentage in Past years, it will be more helpful to medical service providers. Mainly this study’s objective was examining the foreign exchange earning option through medical tourism and analysis of annual growth of foreign tourist in India. It proves that the annual growth an efficiency of handling capacity of Indian medical the medical industry. ©BEIESP.","Foreign direct investment (FDI); Global value chain (GVC); Indian economy; Industrialists; Supply chain",,,,,,,,,"Mohamada, W.N., The Moderating Effect of Medical Travel Facilitators in Medical Tourism (2012) Science Direct Procedia-Social and Behavioral Sciences, 65, pp. 358-363; Naik, N.T.K., Suresh Lal, B., Economic Analysis Of Indian Medical Tourism(International Healthcare Destination) (2013) IJBMEIT, 5 (2), pp. 259-277; Shanmugam, K.R., Medical tourism in India: Progress, opportunities and challenges” (2013) MONOGRAPH 26/2013 MADRAS SCHOOL OF ECONOMICS Gandhi Mandapam Road Chennai 600 025, , India March 2013; Rail, A., Forecasting the Demand for Medical Tourism in India (2014) IOSR Journal of Humanities and Social Science (IOSR-JHSS), 19 (11), pp. 22-302279; Binoy, T.A., Dynamics of medical tourism in India-A microscopic analysis (2017) Asia Pacific Journal of Research Vol: I. Issue LVIII, (December 2017)",,,,"Blue Eyes Intelligence Engineering and Sciences Publication",,,,,22773878,,,,"English","Int. J. Recent Technol. Eng.",Article,"Final",Open Access,Scopus,2-s2.0-85073549820 "Eom T., Yu J., Han H.","57208175343;57200533185;21233360400;","Medical tourism in Korea – recent phenomena, emerging markets, potential threats, and challenge factors: A review",2019,"Asia Pacific Journal of Tourism Research","24","6",,"563","573",,2,"10.1080/10941665.2019.1610005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065618272&doi=10.1080%2f10941665.2019.1610005&partnerID=40&md5=42470a1b7bc3f61ba3585cd7a7412c6b","College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea; Department of Hotel and Restaurant Management, Tongwon University, Gwangju, South Korea","Eom, T., College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea; Yu, J., Department of Hotel and Restaurant Management, Tongwon University, Gwangju, South Korea; Han, H., College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea","The primary aim of this study is to provide comprehensive implications for medical tourism in Korea. Through qualitative review analysis, opportunity factors have been revealed including emerging low-cost carriers in the world and Korea; the widely recognized Korean wave; the increasing market for cosmetic surgery; and potential markets in China and the Middle East. Challenges have been indicated including overcharging by clinics and illegal brokers; the collaboration between Western and Korean medicine; a lack of scientific proof for Korean medicine; Korea’s cold winter climate; the North Korean threat; unclear market targeting; and the diverse medical market development in Korea. © 2019 Asia Pacific Tourism Association.","Challenge; Cosmetic surgery; Korea; Korean wave; Medical tourism; Medicine; North Korean threat; Opportunity; Qualitative review analysis; Review","culture; literature review; market development; medical tourism; medicine; qualitative analysis; security threat; Korea",,,,,,,,"Al-Ansi, A., Olya, H.G.T., Han, H., Effect of general risk on trust, satisfaction, and recommendation intention for halal food (2019) International Journal of Hospitality Management; Allemani, C., Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): Analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries (2018) The Lancet, 391, pp. 1023-1075; Battour, M., Ismail, M.N., Halal tourism concepts, practises, challenges and future (2016) Tourism Management Perspectives, 19, pp. 150-154; Chang, S.K., Baek, J.S., A study on design medical tourism strategy and business service model (2017) The Journal of Society for E-Business Studies, 22 (3), pp. 43-55; Cho, S.A., Choi, S.D., A preliminary study on the problems of the medical tourism activation policy and its political countermeasures: Focused on the identifying major issues using foreign case analysis (2016) Journal of Tourism Sciences, 40 (7), pp. 165-181; Choi, M.K., Chung, K.H., The effect of involvement Hallyu on the medical tourism focusing on Chinese tourist (2015) Management Education Review, 30 (4), pp. 201-221; (2013) Cancellation of International Events, Reduction of Tourists … Visualization of ‘North Korea risk’ in the Industrial World, , http://biz.chosun.com/site/data/html_dir/2013/04/11/2013041102418.html, Retrieved from; Chua, B., Kim, H., Lee, S., Han, H., The role of brand personality, self-congruity, and sensory experience in elucidating sky lounge users’ behavior (2019) Journal of Travel and Tourism Marketing, 36 (1), pp. 29-42; (2018) Average Monthly Temperature and Rainfall for Middle East from 1901–2015, , http://sdwebx.worldbank.org/climateportal/index.cfm?page=country_historical_climate&ThisRegion=Middle%20East&ThisRCode=ME; Daniel, A.C.M., Ramos, F.F.R., Modelling inbound international tourism demand to Portugal (2002) International Journal of Tourism Research, 4 (3), pp. 193-209; Dritsakis, N., Cointegration analysis of German and British tourism demand for Greece (2004) Tourism Management, 25 (1), pp. 111-119; (2013) Plastic Makes Perfect, Where is Most Plastic Surgery Performed?, , https://www.economist.com/graphic-detail/2013/01/30/plastic-makes-perfect; El-Gohary, H., Halal tourism, is it really Halal? 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J. Tour. Res.",Review,"Final",,Scopus,2-s2.0-85065618272 "Baiev V.V., Bakhov I.S., Fokina-Mezentseva K., Boretska N.","57211391940;55858989400;57211386776;57211227007;","Strategic analysis of development of medical tourism macro-destinations",2019,"Journal of Environmental Management and Tourism","10","4",,"801","808",,2,"10.14505/jemt.v10.4(36).10","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073737511&doi=10.14505%2fjemt.v10.4%2836%29.10&partnerID=40&md5=616723590419079690affada9ff06954","National University of Food Technologies, Ukraine; Interregional Academy of Personnel Management, Ukraine; Kyiv National University of Technologies and Design, Ukraine","Baiev, V.V., National University of Food Technologies, Ukraine; Bakhov, I.S., Interregional Academy of Personnel Management, Ukraine; Fokina-Mezentseva, K., Kyiv National University of Technologies and Design, Ukraine; Boretska, N., Kyiv National University of Technologies and Design, Ukraine","The article identifies the basic stages of the process of determining strategic objectives of a medical tourism destination. It suggests a range of tools for conducting a SWOT-analysis based on such analytical materials as Medical Tourism Index, World Economic Forum: Travel & Tourism Competitiveness Report, World Economic Forum: The Global Competitiveness Report. It also carries out a SWOT-analysis of macro-destinations of the leading countries in medical tourism. © 2019. ASERS Publishing. All rights reserved.","Industry medical tourism index; Medical tourism; Strategic analysis; Tourism",,,,,,,,,"Ansoff, I.H., (1984) Implanting Strategic Management, , Englewood Cliffs, New York: Prentice Hall International; (2015) World Health Organization, , http://ru.egg-life.net/article/68247, Tourism White Paper; Hill, C., Jones, G., Schilling, M., (2012) Strategic Management Theory: An Integrated Approach, p. 560. , 11th ed. Cengage Learning; www.jointcommissioninternational.org/about/, n. d.); Levytska, I., Korzh, N., Kizyun, A., Onyschuk, N., (2013) A Strategy for Tourism Regional Development, , Vinnytsya; Lunt, N., (2016) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , OECD.www.oecd.org/els/health-systems/48723982.pdf; Malska, M., Hryschuk, Y., Masyuk, O., Implementing Foreign Experience of Strategic Management of Tourism Development: Opportunities and Prospects for Ukraine (2015) Ekonomichnyi Chasopys-ХХ, 155 (11-12), pp. 78-81; (2016) Medical Tourism Index, , http://www.medicaltourismindex.com/research-knowledge/methodology; Sawaya, J., (2016) How Attractive is Your Destination for Medical Tourism?, , http://medicaltourismassociation.com/blog/how-attractive-is-your-destination-for-medical-tourism-the-medical-tourism-index; Stolley, К., Watson, S., (2012) Medical Tourism. EEIG, p. 343; Stoyka, V., Stoyka, S., The Role of Strategic Management in Stimulating the Tourism Industry Development (2015) Efektyvna Ekonomika, (2). , http://www.economy.nayka.com.ua; (2014) World Economic Forum, , http://reports.weforum.org/global-competitiveness-report-2014-2015/economies/#economy=GBR; (2015) World Economic Forum, , http://reports.weforum.org/global-competitiveness-report-2015-2016/economies/#economy=GBR; Travel & Tourism Competitiveness Report 2014-2015, , http://www3.weforum.org/docs/WEF_TT_Competitiveness_Report_2015.pdf, World Economic Forum",,,,"ASERS Publishing House",,,,,20687729,,,,"English","J. Environ. Manage. Tour.",Article,"Final",,Scopus,2-s2.0-85073737511 "Chee H.L., Whittaker A., Por H.H.","7004224160;7102570392;57194193140;","Sociality and transnational social space in the making of medical tourism: local actors and Indonesian patients in Malaysia",2019,"Mobilities","14","1",,"87","102",,2,"10.1080/17450101.2018.1521124","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054910891&doi=10.1080%2f17450101.2018.1521124&partnerID=40&md5=957b1c45f87fce28a14be7b72702006d","Centre for Research on Women and Gender, Universiti Sains Malaysia, Penang, Malaysia; School of Social Sciences, Faculty of Arts, Monash University, Melbourne, Australia; Malaysian Chinese Research Centre, University of Malaya, Kuala Lumpur, Malaysia","Chee, H.L., Centre for Research on Women and Gender, Universiti Sains Malaysia, Penang, Malaysia; Whittaker, A., School of Social Sciences, Faculty of Arts, Monash University, Melbourne, Australia; Por, H.H., Malaysian Chinese Research Centre, University of Malaya, Kuala Lumpur, Malaysia","We investigate international medical travel between Indonesia and Malaysia through the conceptual lens of sociality, transnational social space and therapeutic mobilities. Drawing upon narratives of local persons, medical traveller-patients, accompanying family members, hospital staff and medical travel facilitators, we illustrate how multifaceted linkages and processes generate and sustain the flow of patients across the border. In these narratives, we see multiple mobilities articulate and cross-cut in the building of transnational connections. This paper stretches the concept of transnational social space to apply to medical travel and contributes to the literature framing of international medical travel as a complex and multifaceted arena. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","cross-border migration; Indonesian healthcare; International medical travel; Malaysian private hospitals; transnational healthcare; transnational social space; transnationalism","health care; health services; hospital sector; international tourism; literature review; medical geography; tourism economics; tourist destination; Indonesia; Malaysia",,,,,"Australian Research Council, ARC: FT110100054 Appalachian Regional Commission, ARC: DP1094895 National University of Singapore, NUS","This work was supported by the Australian government through an Australian Research Council Future Fellowship (FT110100054) and an ARC Discovery Project (DP1094895), and by the Asia Research Institute, National University of Singapore through a supplementary grant.",,"Amit, V., Thinking through Sociality: The Importance of Mid-Level Concepts (2015) Thinking through Sociality: An Anthropological Interrogation of Key Concepts, pp. 1-19. , Amit V., (ed), Oxford: Berghahn,. edited by; Beijers, H., De Freitas, C., Cape Verdeans’ Pathways to Health: Local Problems, Transnational Solutions (2008) Transnational Archipelago: Perspectives on Cape Verdean Migration and Diaspora, pp. 237-254. , Carling J., Batalha L., (eds), Amsterdam: Amsterdam University Press, and,. edited by; Bochaton, A., Cross-Border Mobility and Social Networks: Laotians Seeking Medical Treatment along the Thai Border (2015) Social Science & Medicine, 124, pp. 364-373; Chee, H.L., Medical Tourism and the State in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Chee, H.L., Whittaker, A., Por, H.H., Medical Travel Facilitators, Private Hospitals, and International Medical Travel in Assemblage (2017) Asia Pacific Viewpoint, 58 (2), pp. 242-254; Connell, J., Medical Tourism: Sea, Sun, Sand and … Surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary Medical Tourism: Conceptualisation, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; (2011) Population and Housing Census of Malaysia: Population Distribution and Basic Demographic Characteristics 2010, , Malaysia: Department of Statistics; Faist, T., Towards Transnational Studies: World Theories, Transnationalisation and Changing Institutions (2010) Journal of Ethnic and Migration Studies, 36 (10), pp. 1665-1687; Faist, T., The Mobility Turn: A New Paradigm for the Social Sciences? (2013) Ethnic and Racial Studies, 36 (11), pp. 1637-1646; Glick Schiller, N., Salazar, N.B., Regimes of Mobility across the Globe (2013) Journal of Ethnic and Migration Studies, 39 (2), pp. 183-200; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why Do Medical Tourists Travel to Where They Do? The Role of Networks in Determining Medical Travel (2015) Social Science & Medicine, 124, pp. 356-363; Hannam, K., Sheller, M., Urry, J., Mobilities, Immobilities and Moorings (2006) Mobilities, 1 (1), pp. 1-22; Kaspar, H., Bochaton, A., Walton Roberts, M., Therapeutic Mobilities (2019) Mobilities, , 14; Lee, J.Y., Kearns, R.A., Friesen, W., Seeking Affective Health Care: Korean Immigrants’ Use of Homeland Medical Services (2010) Health & Place, 16, pp. 108-115; Levitt, P., Jaworsky, B.N., Transnational Migration Studies: Past Developments and Future Trends (2007) Annual Review of Sociology, 33, pp. 129-156; Levitt, P., Glick Schiller, N., Conceptualizing Simultaneity: A Transnational Social Field Perspective on Society (2004) International Migration Review, 38 (3), pp. 1002-1039; Long, N.J., Moore, H.L., Introduction (2013) Sociality: New Directions, pp. 1-24. , Long N.J., Moore H.L., (eds), Oxford: Berghahn, and,. edited by; Comparison of Healthcare Travellers between 2011-2014 (2015) Malaysian Healthcare Travel Council, , http://www.mhtc.org.my/en/statistics.aspx; (2002) Malaysia’s Health 2002: Technical Report of the Director-General of Health, Malaysia, , Malaysia: Ministry of Health; Ormond, M., Solidarity by Demand? Exit and Voice in International Medical Travel–The Case of Indonesia (2015) Social Science & Medicine, 124, pp. 305-312; Ormond, M., Sulianti, D., More than Medical Tourism: Lessons from Indonesia and Malaysia on South-South Intra-Regional Medical Travel (2017) Current Issues in Tourism, 20 (1), pp. 94-110; Sheller, M., The New Mobilities Paradigm for a Live Sociology (2014) Current Sociology Review, 62 (6), pp. 789-811; Sheller, M., Uneven Mobility Futures: A Foucauldian Approach (2016) Mobilities, 11 (1), pp. 15-31; Sheller, M., Urry, J., The New Mobilities Paradigm (2006) Environment and Planning A, 38, pp. 207-226; Council to Promote Medical Tourism (2009) The New Straits Times, , July, 22; Toyota, M., Chee, H.L., Xiang, B., Global Track, National Vehicle: Transnationalism in Medical Tourism in Asia (2013) European Journal of Transnational Studies, 5 (1), pp. 27-53; Urry, J., (2000) Sociology beyond Societies: Mobilities for the Twenty-First Century, , London: Routledge; Whittaker, A., Chee, H.L., Perceptions of an ‘International Hospital’ in Thailand by Medical Travel Patients: Cross-Cultural Tensions in a Transnational Space (2015) Social Science & Medicine, 124, pp. 290-297; Whittaker, A., Chee, H.L., Por, H.H., Regional Circuits of International Medical Travel: Prescriptions of Trust, Cultural Affinity and History (2017) Asia Pacific Viewpoint, 58 (2), pp. 136-147; Wimmer, A., Glick Schiller, N., Methodological Nationalism and Beyond: Nation-State Building, Migration and the Social Sciences (2002) Global Networks, 2 (4), pp. 301-334; Wong, D., The Recruitment of Foreign Labour in Malaysia: From Migration System to Guest Worker Regime (2006) Mobility, Labour Migration and Border Controls in Asia, pp. 213-227. , Kaur A., Metcalfe I., (eds), London: Palgrave,. edited by; Wong, M.L.L., Overview of the Development of Malaysia Healthcare Towards Medical Tourism (2012) Slide show, MediTour Expo, , http://www.meditourexpo.net/wp-content/themes/meditour/pdf/12.pdf, Las Vegas: May, 6–8; Woodman, J., (2008) Patients beyond Borders: Everybody’s Guide to Affordable, World-Class Medical Travel, , Second, Chapel Hill: Healthy Travel Media, Ed; Indonesia Population 2015 World Population Review, , http://worldpopulationreview.com/countries/indonesia-population/","Chee, H.L.; Centre for Research on Women and Gender, Universiti Sains MalaysiaMalaysia; email: cheehengleng@gmail.com",,,"Routledge",,,,,17450101,,,,"English","Mobilities",Article,"Final",,Scopus,2-s2.0-85054910891 "Ormond M., Kaspar H.","7801551522;56462375600;","Medical travel/tourism and the city",2019,"Handbook of Global Urban Health",,,,"182","200",,2,"10.4324/9781315465456-11","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070461289&doi=10.4324%2f9781315465456-11&partnerID=40&md5=2515fbf285fface57d374f30d42ec632","Wageningen University and Research, Netherlands; Health Department, Kalaidos University of Applied Sciences, Zurich, Switzerland","Ormond, M., Wageningen University and Research, Netherlands; Kaspar, H., Health Department, Kalaidos University of Applied Sciences, Zurich, Switzerland","Transnational medical travel/tourism, by and large, involves travel to cities and metropolitan areas. Only urban areas possess the sufficient volume and variety of world-class medical expertise, cutting-edge technology, transportation infrastructure, communication and mediation facilities, and hospitality services and infrastructure to become prominent transnational medical travel destinations. Yet how cities and transnational flows of patients, standards and capital interact to generate new urban assemblages and new assemblages of healthcare is a story that has yet to really be told. While research on transnational medical travel/tourism is becoming more nuanced, involving a broader variety of perspectives, actors and medical mobilities, attention thus far to urban areas has been largely implicit and, thus, conceptually under-explored and -utilised. In this chapter, we argue for a relational approach to the urban as well as to transnational healthcare. We focus on how elements become mobile, circulate and assemble to form medical travel/tourism and how this assembling entangles with the elements and relations that constitute the urban. The presented cases show that networks are fluid and constantly being made, as elements entangle and disentangle and, through relational processes of dissociation and re-association, themselves transform. © 2019 Taylor & Francis.",,,,,,,,,,"Amodeo, J., Medical refugees and the future of health tourism (2010) World Medical and Health Policy, 2 (4), pp. 65-81; Andrews, G.J., Evans, J., Wiles, J.L., Re-spacing and re-placing gerontology: Relationality and affect (2013) Ageing and Society, 33, pp. 1339-1373; Appleby, J., Schmit, J., Sending patients packing (2006) USA Today., , http://usatoday30.usatoday.com/money/industries/health/2006-07-26-travel-surgery-usat_x.htm, Retrieved from, 1 June 2017; Ashworth, G., Page, S.J., Urban tourism research: Recent progress and current paradoxes (2011) Tourism Management, 32 (1), pp. 1-15; Augé, M., (2008) Non-places: An introduction to supermodernity., , John Howe (trans.). 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Inda (Ed.), London: Blackwell; Reddy, S., Qadeer, I., Medical tourism in India: Progress or predicament (2010) Economic and Political Weekly, 45 (20), pp. 69-75; Roberts, E., Scheper-Hughes, N., Introduction: Medical migrations (2011) Body and Society, 17 (2-3), pp. 1-30; Sassen, S., Global cities and survival circuits (2002) Global woman: Nannies, maids and sex workers in the new economy, pp. 254-274. , B. Ehrenreich and A.R. Hochschild (Eds), New York: Henry Holt; Sassen, S., The global city: Introducing a concept (2005) Brown Journal of World Affairs, 11 (2), pp. 27-43; Scheper-Hughes, N., Bodies for sale-Whole or in parts (2001) Body and Society, 7 (2-3), pp. 1-8; Scheper-Hughes, N., Mr Tati’s holiday and João’s safari: Seeing the world through transplant tourism (2011) Body and Society, 17 (2-3), pp. 55-92; Schurr, C., From biopolitics to bioeconomies: The ART of (re-)producing white futures in Mexico’s surrogacy market (2016) Environment and Planning D: Society and Space, , online first; Sengupta, A., Nundy, S., The private health sector in India is burgeoning, but at the cost of public health care (2005) British Medical Journal, 331 (7526), pp. 1157-1158; (2016) Center of medical excellence., , http://english.visitmedicalkorea.com/eng/seoul/seoulMedicalTourism/seoulMedicalTourism01/seoulMedicalTourism01_01.jsp, Retrieved from, 1 June 2017; Shanmugam, K.R., (2013) Medical tourism in India: Progress, opportunities and challenges., , MSE Working Paper 26. Chennai: Madras School of Economics; Smerdon, U., Crossing bodies, crossing borders: International surrogacy between the United States and India (2008) Cumberland Law Review, 39 (1), pp. 15-85; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Solomon, H., Affective journeys: The emotional structuring of medical tourism in India (2011) Anthropology and Medicine, 18 (1), pp. 105-118; Home-shares annoy neighbours (2016) Star, , www.thestar.com.my/news/nation/2016/07/03/homeshares-annoy-neighbours/, 3 July. Retrieved from, 1 June 2017; Supakankunti, S., Medical tourism in Thailand (2014) Routledge handbook of global public health in Asia, pp. 669-687. , S.M. Griffiths, J.L. Tang, and E.K. Yeok (Eds), Abingdon: Routledge; Temenos, C., McCann, E., The local politics of policy mobility: Learning, persuasion, and the production of a municipal sustainability fix (2012) Environment and Planning A, 44 (6), pp. 1389-1406; Toyota, M., Chee, H.L., Xiang, B., Global track, national vehicle: Transnationalism in medical tourism in Asia (2013) European Journal of Transnational Studies, 5 (1), pp. 27-53; Vijay, N.M., Medical tourism: Subsidising health care for developed countries (2007) Third World Resurgence, 207, p. 39; Waldby, C., Mitchell, R., (2006) Tissue economies: Blood, organs, and cell lines in late capitalism., , Durham, NC: Duke University Press; Weisman, R., Destination for reluctant but hopeful travellers (2015) Boston Globe, , www.bostonglobe.com/lifestyle/travel/2015/06/27/rochester-thrives-destination-medical-center-for-reluctant-tourists-flocking-mayo-clinic/i9FTkn3KHbobH5hOo8sqUJ/story.html, 27 June. Retrieved from, 1 June 2017; Whitmore, R., Crooks, V.A., Snyder, J., A qualitative exploration of how Canadian informal caregivers in medical tourism use experiential resources to cope with providing transnational care (2015) Health and Social Care in the Community, 25 (1), pp. 266-274; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Whittaker, A., Chee, H.L., Perceptions of an ‘international hospital’ in Thailand by medical travel patients: Cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297; Whittaker, A., Chee, H.L., Por, H.H., Regional circuits of international medical travel: Prescriptions of trust, cultural affinity and history (2017) Asia Pacific Viewpoint, , online first; Wilson, A., Medical tourism in Thailand (2010) Asian biotech: Ethics and communities of fate, pp. 118-143. , A. Ong and N.N. Chen (Eds), Durham, NC: Duke University Press; Yap, J.C.H., Medical tourism and Singapore (2007) International Hospital Federation reference book 2006/2007, pp. 25-28. , www.ihf-fih.org/download_doc_file.php?doc=469be46b07c5e91d7bce0897764b9d4b, Bernex, Switzerland: International Hospital Federation. Retrieved from, 1 June 2017; Yeates, N., (2009) Globalizing care economies and migrant workers: Explorations in global care chains., , New York: Palgrave Macmillan; Yeoh, E., Othman, K., Ahmdad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 169-201",,,,"Taylor and Francis",,,,,,9781315465449; 9781138206250,,,"English","Handb. of Global Urban Health",Book Chapter,"Final",,Scopus,2-s2.0-85070461289 "Faroldi E., Fabi V., Vettori M.P., Gola M., Brambilla A., Capolongo S.","57170801800;57200245431;57086856800;56536234000;57210922429;6506701746;","Health tourism and thermal heritage: Assessing Italian spas with innovative multidisciplinary tools",2019,"Tourism Analysis","24","3",,"405","419",,2,"10.3727/108354219X15511865533121","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065926202&doi=10.3727%2f108354219X15511865533121&partnerID=40&md5=9575eb68a02ee51128baf72f31d58d9f","Department of Architecture, Built Environment and Construction Engineering, Milan, Italy","Faroldi, E., Department of Architecture, Built Environment and Construction Engineering, Milan, Italy; Fabi, V., Department of Architecture, Built Environment and Construction Engineering, Milan, Italy; Vettori, M.P., Department of Architecture, Built Environment and Construction Engineering, Milan, Italy; Gola, M., Department of Architecture, Built Environment and Construction Engineering, Milan, Italy; Brambilla, A., Department of Architecture, Built Environment and Construction Engineering, Milan, Italy; Capolongo, S., Department of Architecture, Built Environment and Construction Engineering, Milan, Italy","The recent evolution of European health policies and tourism market trends highlights the increasing attention to health promotion strategies along with healthcare tourism innovation. Thermal industry, considered as a set of places of care, represents a possible field for the integration of territorial health tourism services, thanks to its border-crossing connotation and its recognition by the European Commission as main subsector of health tourism. Although Italy represents one of the most attractive European health tourism destination, the thermal sector is still underdeveloped, in extremely heterogeneous and fragmented conditions, unable to catalyze socioeconomic potentialities as well as optimize the use of relevant built heritage. Therefore, it is necessary to develop reliable tools and decision-making models for improving the sector in terms of health, tourism and territorial qualities. Starting from previous studies, the aim of the article is to present the development of archiTHERMability tool and discuss the results of the application on different typologies of thermal facilities. The methodological path followed three steps: (a) a review was conducted among different assessment tools to understand the state of the art; (b) the existing Italian thermal heritage was mapped, and appropriate criteria and macroareas were selected and weighted based on interviews structured with multidisciplinary experts in architecture/territory/management areas; (c) the tool was tested on two different categories of thermal facilities. The tool application on four different thermal facilities highlighted, as expected, the relevance of the managerial field. Nevertheless, the importance of the territorial context and its levels of accessibility plays a fundamental role in the structure's characterization. ArchiTHERMability hence represents an innovative tool for analyzing and understanding the Italian thermal heritage potentialities. Further investigation is necessary to test the tool on a wider sample and with different weights of criteria. © 2019 Cognizant, LLC.","Evaluation tool; Health promotion; Health tourism; Italian spas; Territorial offer",,,,,,"Fondazione per la Ricerca Biomedica, FORB","The authors would like to acknowledge that the article presents the results of a founded national research project archiTHERMability—Strategies for new identities of thermal spaces (2016–2018) founded by the Foundation for Thermal Scientific Research [FoRST (Fondazione per la Ricerca Scientifica Ter-male)] and developed by Prof. Emilio Faroldi, Prof. Stefano Capolongo, Prof. Maria Pilar Vettori, Arch.",,"Bechieri, E., Quirino, N., (2012) Rapporto sul Sistema Termale in Italia, , Milano, Italy: Franco Angeli; Bossaglia, R., (1985) Stile e struttura delle città termali, , Torino, Italy: Nuovo istituto italiano d'arti grafiche; Buffoli, M., Capolongo, S., Bottero, M.C., Cavagliato, E., Speranza, S., Volpatti, L., Sustainable Healthcare: how to assess and improve healthcare structures' sustainability (2013) Annali di Igiene, 25 (5), pp. 411-418; Capolongo, S., Lemaire, N., Oppio, A., Buffoli, M., Roue Le Gall, A., Action planning for healthy cities: The role of multi-criteria analysis, developed in Italy and France, for assessing health performances in land-use plans and urban development projects (2016) Epidemiologia e Prevenzione, 40 (3-4), pp. 257-264; Capolongo, S., Mauri, M., Peretti, G., Pollo, R., Tognolo, C., Facilities for territorial medicine: The experiences of Piedmont and Lombardy Regions (2015) Technè, 9, pp. 230-236; Çetin, M., The role of architecture on the tourism industry: The problem of (mis)use of building technology and language of heritage (2011) Digital culture and E-tourism: Technologies, applications and management approaches, , In M. Lytras, P. Ordóñez de Pablos, E. Damiani, & L. Dìaz (Eds.). New York, NY: Hershey Information Science Reference; Cosmacini, G., (2016) Il tempo della cura: malati, medici, medicine, , Como, Italy: Nodolibri; Dargahi, S., Pazhouhanfar, M., The role of hotel architecture in tourist attraction development (2014) European Online Journal of Natural and Social Sciences, 3 (4), pp. 276-288; Davoudi, S., Resilience: A bridging concept or a dead end? (2012) PlanningTheory & Practice, 13 (2), pp. 299-307; Dell'Ovo, M., Capolongo, S., Architectures for health: Between historical contexts and suburban areas Tool to support location strategies (2016) Techne, 12, pp. 269-276; Enright, M.J., Newton, J., Tourism destination competitiveness: a quantitative approach (2004) Tourism Management, 25, pp. 777-788; (2016) The European tourism indicator system, , ETIS toolkit for sustainable destination management. Bruxelles, Belgium: European Commission; Fara, G.M., D'Alessandro, D., Population ageing: Impacts on the satisfaction of social demand and medical needs (2015) Techne, 9, pp. 21-26; Faroldi, E., (2000) Città Architettura Tecnologia. Il progetto e la costruzione della città sana, , Milano, Italy: Unicopoli; Faroldi, E., Capolongo, S., Vettori, M.P., Fabi, V., Gola, M., Allegri, D., Rebecchi, A., Brambilla, A., Italian SPAs and healthcare tourism A multidisciplinary tool to foster attractiveness of high-specialised services (2018) In Smart tourism, pp. 237-247. , New York, NY: McGraw-Hill Education; Faroldi, E., Cipullo, F., Vettori, M.P., (2007) Terme e architettura: progetti, tecnologie, strategie per una moderna cultura termale, , Santarcangelo di Romagna: Maggioli editore; Fehr, R., Capolongo, S., Healing environment and urban health (2016) Epidemiologia e Prevenzione, 40 (3-4), pp. 151-152; Folke, C., Carpenter, S.R., Walker, B., Scheffer, M., Chapin, T., Rockstrom, J., Resilience thinking: Integrating resilience, adaptability and transformability (2010) Ecology and Society, 5 (4); Frost, W., Laing, J., (2017) Commemorative events: Memory, identities, conflict, , London, UK: Routledge; Goodrich, J., Goodrich, G., Healthcare tourism An exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; James, P., (2012) Urban sustainability in theory and practice: Circles of sustainability, , London, UK: Routledge; Ladeiras, A., Mota, A., Pardo, M., A comparative study of thermal legislation in the Galicia-North Portugal Euroregion (2015) Health and wellness tourism, , In M. 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Cham, Switzerland: Springer International Publishing; Mainil, T., Eijgelaar, E., Klijs, J., Nawijn, J., Peeters, P., (2017) Research for TRAN Committee-Health tourism in the EU: A general investigation, , http://www.europarl.europa.eu/RegData/etudes/STUD/2017/601985/IPOL_STU(2017)601985_EN.pdf, European Parliament, Policy Department for Structural and Cohesion Policies, Brussels; Mangone, F., Belli, G., Tampieri, M.G., (2015) Architettura e paesaggi della villeggiatura in Italia tra Otto e Novecento, , Milano, Italy: Franco Angeli; Meerow, S., Newell, J.P., Stults, M., Defining urban resilience: A review (2016) Landscape and Urban Planning, 14, pp. 38-49; Mendola, D., Volo, S., Building composite indicators in tourism studies: Measurements and applications in tourism destination competitiveness (2017) Tourism Management, 59, pp. 541-553; (2017) Piano strategico Turismo 2017-2022, , http://www.turismo.beniculturali.it/wp-content/uploads/2017/07/Executive-Summary_ENG_web_def.pdf; Odone, A., Saccani, E., Chiesa, V., Saccenti, E., Signorelli, C., The implementation of a community health centre-based primary care model in Italy The experience of the Case della Salute in the Emilia-Romagna Region (2016) Annali dell'Istituto Superiore di Sanita, 52 (1), pp. 70-77; Oppio, A., Buffoli, M., Dell'Ovo, M., Capolongo, S., Addressing decisions about new hospitals' siting: A multidimensional evaluation approach (2016) Ann Ist Super Sanità, 52 (1), pp. 78-87; Porter, M.E., (1990) The competitive advantage of nations, , New York, NY: The Free Press; Riabacke, M., Danielson, M., Ekenberg, L., (2012) State-of-the-art prescriptive criteria weight elicitation, pp. 1-24. , Hindawi Publishing Corporation Advances in Decision Sciences; Ritchie, J.R.B., Crouch, G.I., (2003) The competitive destination, , A sustainable tourism perspective. Oxon, UK: CABI Publishing; Sanetra-Szeliga, J., (2015) Cultural heritage counts for Europe, , Full Report, European Commission, CHCfE Consortium; Santuari, A., (2010) Il termalismo in Europa: un caso di turismo sanitario, , Padova, Italy: CEDAM; Santuari, A., (2015) The future of medical SPAs: Is a new paradigm feasible?, , Legal and institutional patterns. Padova, Italy: CEDAM; Scerri, M., Edwards, D., Foley, C., (2016) The value of architecture to tourism, , Presented at the 26th Annual CAUTHE Conference; Smith, M.K., Puckzò, L., (2017) The Routledge handbook of health tourism, , (1st ed.). London, UK: Routledge; (2014) Great spas of Europe (Italy), , https://whc.unesco.org/en/tentativelists/5928/; (2016) Tavolo Tecnico Termalismo, , Documento di programmazione e sviluppo 2016-2018, Ministero della Salute; Revisiting lessons from the field (2006) Bulletin of the World Health Organization, 84 (1), p. 3; Zanni, N., (1993) L'immagine della città termale, , Da Bath a Salsomaggiore. Milano, Italy: Angelo Guerini e Associati; Zollo, A., Simonetti, B., Salsano, V., Rueda-Armengot, C., Promotion and marketing: Marketing strategies, Italy, regional development (2015) Health and wellness tourism. Emergence of a new market segment, , In M. Peris-Ortiz & J. álvarez-García (Eds.). Cham, Switzerland: Springer International Publishing","Fabi, V.; Department of Architecture, Built Environment and Construction Engineering, Politecnico di Milano, Via Ponzio 31, Italy; email: viola.fabi@polimi.it",,,"Cognizant Communication Corporation",,,,,10835423,,,,"English","Tour. Anal.",Article,"Final",,Scopus,2-s2.0-85065926202 "Avanzi A., Bierbauer K., Vales-Kennedy G., Covino J.","57202991707;57202995358;57202996199;57050673200;","Nontuberculous mycobacteria infection risk in medical tourism",2018,"Journal of the American Academy of Physician Assistants","31","8",,"45","47",,2,"10.1097/01.JAA.0000541484.62234.7f","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050110077&doi=10.1097%2f01.JAA.0000541484.62234.7f&partnerID=40&md5=0f7ac4620b7720ecd12b7c0bc321836a","University-Lenox Hill, New York, NY, United States","Avanzi, A., University-Lenox Hill, New York, NY, United States; Bierbauer, K., University-Lenox Hill, New York, NY, United States; Vales-Kennedy, G., University-Lenox Hill, New York, NY, United States; Covino, J., University-Lenox Hill, New York, NY, United States","The increasing popularity of medical tourism among US citizens has led to the rising incidence of nontuberculous mycobacteria (NTM) infections from cosmetic surgery performed in other countries. Clinicians must be aware of these infections and the potential difficulties in treating them. The most common NTM species isolated from cutaneous infections in medical tourists is Mycobacterium abscessus. Because many NTM species are antibiotic resistant, combination therapy is needed to combat skin and soft-tissue NTM infections in patients who had cosmetic procedures performed in foreign countries. © 2018 American Academy of Physician Assistants.","biofilm; Medical tourism; Mycobacterium abscessus; nontuberculous mycobacteria; rapidly growing mycobacteria; skin and soft tissue infections","atypical mycobacteriosis; bacterial skin disease; human; medical tourism; microbiology; risk factor; soft tissue infection; Humans; Medical Tourism; Mycobacterium Infections, Nontuberculous; Risk Factors; Skin Diseases, Bacterial; Soft Tissue Infections",,,,,,,,"Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the United States (2013) Plast Reconstr Surg Glob Open, 1 (7), p. e63; Going Abroad for Medical Care, , www.cdc.gov/features/medicaltourism/index.html, Centers for Disease Control and Prevention Accessed May 15, 2018; Schnabel, D., Esposito, D.H., Gaines, J., Multistate US outbreak of rapidly growing mycobacterial infections associated with medical tourism to the Dominican Republic 2013-2014 (2016) Emerg Infect Dis, 22 (8), pp. 1340-1347; Cusumano, L.R., Tran, V., Tlamsa, A., Rapidly growing Mycobacterium infections after cosmetic surgery in medical tourists: The Bronx experience and a review of the literature (2017) Int J Infect Dis, 63, pp. 1-6; Hui, S.H., Noonan, L., Chavada, R., Post liposuction Mycobacterium abscessus surgical site infection in a returned medical tourist complicated by a paradoxical reaction during treatment (2015) Infect Dis Rep, 7 (4), p. 6304; Maurer, F., Castelberg, C., Von Braun, A., Postsurgical wound infections due to rapidly growing mycobacteria in Swiss medical tourists following cosmetic surgery in Latin America between 2012 and 2014 (2014) Euro Surveill, 19 (37), p. 20905; Shetty, P., Medical tourism booms in India, but at what cost (2010) Lancet, 376 (9742), pp. 671-672; Lee, M.R., Sheng, W.H., Hung, C.C., Mycobacterium abscessus complex infections in humans (2015) Emerg Infect Dis, 21 (9), pp. 1638-1646",,,,"Lippincott Williams and Wilkins",,,,,15471896,,,"30048355","English","J. Am. Acad. Phys. Assist.",Article,"Final",,Scopus,2-s2.0-85050110077 "Sagayama H., Shizuma K., Toguchi M., Mizuhara H., Machida Y., Yamada Y., Ebine N., Higaki Y., Tanaka H.","55559366400;57202130509;57197791393;57202135502;57192073982;57205240742;6602098156;7005909686;55628563123;","Effect of the Health Tourism weight loss programme on body composition and health outcomes in healthy and excess-weight adults",2018,"British Journal of Nutrition","119","10",,"1133","1141",,2,"10.1017/S0007114518000582","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047265205&doi=10.1017%2fS0007114518000582&partnerID=40&md5=2df3a8b744186925a9ce1325997d24ab","Japan Society for the Promotion of Science, Kojimachi Business Center Building, 5-3-1 Kojimachi, Chiyoda-ku, Tokyo, 102-0083, Japan; Japan Institute of Sports Sciences, 3-15-1 Nishigaoka, Kita-ku, Tokyo, 115-0056, Japan; Career Vision Company, 2-5 Shimomaiso, Moji-ku, Kitakyushu-shi, Fukuoka, 800-0051, Japan; Nutritional Section, Rokuto Orthopedic Clinic, 46 Onoyama-cho, Naha-shi, Okinawa, 900-0026, Japan; Fukuoka University Institute for Physical Activity, 8-19-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka, 814-0180, Japan; Department of Nutritional Science, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, 1-23-1 Toyama, Shinjuku-ku, Tokyo, 162-8636, Japan; Faculty of Health and Sports Science, Doshisha University, 1-3 Miyakodani, Tatara, Kyotanabe-shi, Kyoto, 610-0394, Japan; Faculty of Sports and Health Science, Fukuoka University, 8-19-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka, 814-0180, Japan","Sagayama, H., Japan Society for the Promotion of Science, Kojimachi Business Center Building, 5-3-1 Kojimachi, Chiyoda-ku, Tokyo, 102-0083, Japan, Japan Institute of Sports Sciences, 3-15-1 Nishigaoka, Kita-ku, Tokyo, 115-0056, Japan; Shizuma, K., Career Vision Company, 2-5 Shimomaiso, Moji-ku, Kitakyushu-shi, Fukuoka, 800-0051, Japan; Toguchi, M., Nutritional Section, Rokuto Orthopedic Clinic, 46 Onoyama-cho, Naha-shi, Okinawa, 900-0026, Japan; Mizuhara, H., Fukuoka University Institute for Physical Activity, 8-19-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka, 814-0180, Japan; Machida, Y., Fukuoka University Institute for Physical Activity, 8-19-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka, 814-0180, Japan; Yamada, Y., Department of Nutritional Science, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, 1-23-1 Toyama, Shinjuku-ku, Tokyo, 162-8636, Japan; Ebine, N., Faculty of Health and Sports Science, Doshisha University, 1-3 Miyakodani, Tatara, Kyotanabe-shi, Kyoto, 610-0394, Japan; Higaki, Y., Fukuoka University Institute for Physical Activity, 8-19-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka, 814-0180, Japan, Faculty of Sports and Health Science, Fukuoka University, 8-19-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka, 814-0180, Japan; Tanaka, H., Fukuoka University Institute for Physical Activity, 8-19-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka, 814-0180, Japan, Faculty of Sports and Health Science, Fukuoka University, 8-19-1 Nanakuma, Jonan-ku, Fukuoka-shi, Fukuoka, 814-0180, Japan","Excess weight loss while minimising fat-free mass (FFM) loss is important for health. Travel is a particular period at risk for weight gain and for which the effects of a short-Term intensive weight loss programme have not been studied. Therefore, we studied the effect of a novel, 1-week supervised health travel programme combining high volume, low-To-moderate intensity exercise and energy intake restriction on weight, body composition and health outcomes in adults. Weight was also monitored for 12 weeks after the programme. In all, thirty-six subjects (nineteen men, seventeen women) consisting of sixteen excess-weight (BMI: 27·1 (sd 1·7) kg/m 2 ) and twenty healthy-weight (BMI: 22·3 (sd 1·8) kg/m 2 ) individuals participated. Subjects performed 1 h of slow-paced intermittent jogging three times per d and other leisure activities, whereas consuming only provided foods without water restriction. Body mass significantly decreased from pre-to post-intervention in excess-weight and healthy-weight individuals (-3·5 (sd 1·5) and-3·5 (sd 1·3) %, respectively; P<0·001 for both), and losses were maintained at 12 weeks post-intervention in both groups (-6·3 (sd 3·8) and-1·7 (sd 4·0) %, respectively; P<0·01 for both). Fat mass also significantly decreased in both groups (excess weight:-9·2 (sd 4·6) %: healthy weight:-13·4 (sd 9·0) %; P<0·01 for both), whereas FFM was maintained. Similar improvements were observed for blood biochemistry and pressure in both groups. This short-Term weight loss intervention yielded favourable outcomes in both excess-and healthy-weight adults, particularly a 3·5 % weight loss with no significant change to FFM. In addition, participants maintained weight loss for at least 12 weeks. Of multiple programme choices, the Health Tourism weight loss programme's results indicate that it is a viable option. © Copyright The Authors 2018.","Energy balance; Energy intake; Excess weight; Health tourism; Total energy expenditure; Weight loss","adult; article; blood biochemistry; body composition; body mass; caloric intake; clinical article; controlled study; energy balance; energy expenditure; exercise; fat free mass; female; human; jogging; male; tourism; travel; water deprivation; weight loss program; aged; body composition; body water; body weight; caloric restriction; energy metabolism; health behavior; low calorie diet; middle aged; obesity; physiology; procedures; travel; treatment outcome; weight loss program; Adult; Aged; Body Composition; Body Mass Index; Body Water; Body Weight; Caloric Restriction; Diet, Reducing; Energy Metabolism; Exercise; Female; Health Behavior; Humans; Male; Middle Aged; Overweight; Travel; Treatment Outcome; Weight Reduction Programs",,,,,,,,"(2017) Next Generation Healthcare Industry Association New Business Creation Working Group (7th)-summary of the Proceedings, , http://www.meti.go.jp/committee/kenkyukai/shoujo/jisedai_healthcare/sinjigyo_wg/007_giji.html, Japan Ministry of Economy Trade and Industry (accessed August 2017); Schoeller, D.A., The energy balance equation: Looking back and looking forward are two very different views (2009) Nutr Rev, 67, pp. 249-254; Heymsfield, S.B., Gonzalez, M.C.C., Shen, W., Weight loss composition is one-fourth fat-free mass: A critical review and critique of this widely cited rule (2014) Obes Rev, 15, pp. 310-321; Delany, J.P., Kelley, D.E., Hames, K.C., Effect of physical activity on weight loss, energy expenditure, and energy intake during diet induced weight loss (2014) Obesity, 22, pp. 363-370; Stoner, L., Rowlands, D., Morrison, A., Efficacy of exercise intervention for weight loss in overweight and obese adolescents: Meta-Analysis and implications (2016) Sport Med, 46, pp. 1737-1751; Margaria, R., Cerretelli, P., Aghemo, P., Energy cost of running (1963) J Appl Physiol, 18, pp. 367-370; Tanaka, H., Jackowska, M., (2016) Slow Jogging: Lose Weight, Stay Healthy, and Have Fun with Science-Based, Natural Running, , New York: Skyhorse Publishing; Ikenaga, M., Yamada, Y., Kose, Y., Effects of a 12-week, short-interval, intermittent, low-intensity, slowjogging program on skeletal muscle, fat infiltration, and fitness in older adults: Randomized controlled trial (2017) Eur J Appl Physiol, 117, pp. 7-15; Ando, T., Usui, C., Ohkawara, K., Effects of intermittent physical activity on fat utilization over a whole day (2013) Med Sci Sports Exerc, 45, pp. 1410-1418; (2014) Organisation for Economic Co-operation and Development, , http://www.oecd.org/els/health-systems/Obesity-Update-2014.pdf, (accessed March 2017) OECD: obesity update 2014. OECD 2014. Published online 27 May; (2013) Washoku, Traditional Dietary Cultures of the Japanese, Notably for the Celebration of New Year, , https://ich.unesco.org/en/RL/washoku-Traditional-dietary-cultures-of-The-japanesenotably-for-The-celebration-of-new-year-00869, (accessed August 2017) United Nations Educational Scientific and Cultural Organization; Ninomiya, K., Food science of dashi and umami taste (2016) Yakugaku Zasshi, 136, pp. 1327-1334; Willcox, B.J., Willcox, D.C., Caloric restriction, caloric restriction mimetics, and healthy aging in Okinawa: Controversies and clinical implications (2014) Curr Opin Clin Nutr Metab Care, 17, pp. 51-58; Murakami, H., Kawakami, R., Nakae, S., Accuracy of wearable devices for estimating total energy expenditure: Comparison with metabolic chamber and doubly labeled water method (2016) JAMA Intern Med, 176, pp. 702-703; Mori, Y., Ayabe, M., Yahiro, T., The effects of home-based bench step exercise on aerobic capacity, lower extremity power and static balance in older adults. Int (2006) J Sport Health Sci, 4, pp. 570-576; Rodriguez, N.N.R., Di Marco, N., Langley, S., American Dietetic Association, and Dietitians of Canada joint position statement: Nutrition and athletic performance (2009) Med Sci Sports Exerc, 41, pp. 709-731. , American College of Sports Medicine; (2016) Guidelines for the Management of Obesity Disease 2016, , 3rd ed. Tokyo: Life Science (in Japanese) Japan Society for the study of Obesity (editor); Sagayama, H., Yoshimura, E., Yamada, Y., Effects of rapid weight loss and regain on body composition and energy expenditure (2014) Appl Physiol Nutr Metab, 39, pp. 21-27; Sagayama, H., Jikumaru, Y., Hirata, A., Measurement of body composition in response to a short period of overfeeding (2014) J Physiol Anthropol, 33, p. 29; Racette, S.B., Schoeller, D.A., Luke, A.H., Relative dilution spaces of 2H-And 18O-labeled water in humans (1994) Am J Physiol, 267, pp. E585-E590; Schoeller, D.A., Ravussin, E., Schutz, Y., Energy expenditure by doubly labeled water: Validation in humans and proposed calculation (1986) Am J Physiol, 250, pp. R823-R830; Black, A.E., Prentice, A.M., Coward, W.A., Use of food quotients to predict respiratory quotients for the doublylabelled water method of measuring energy expenditure (1986) Hum Nutr Clin Nutr, 40, pp. 381-391; Weir, J.B., New methods for calculating metabolic rate with special reference to protein metabolism (1949) J Physiol, 109, pp. 1-9; Ganpule, A.A., Tanaka, S., Ishikawa-Takata, K., Interindividual variability in sleeping metabolic rate in Japanese subjects (2007) Eur J Clin Nutr, 61, pp. 1256-1261; Yoshimura, E., Kumahara, H., Tobina, T., Aerobic exercise attenuates the loss of skeletal muscle during energy restriction in adults with visceral adiposity (2014) Obes Facts, 7, pp. 26-35; (2015) Dietary Reference Intake for Japanese 2015, , Tokyo: Ministry of Health, Labour and Welfare Ministry of Health, Labour and Welfare; Sagayama, H., Hamaguchi, G., Toguchi, M., Energy requirement assessment in Japanese table tennis players using the doubly labeled water method (2017) Int J Sport Nutr Exerc Metab, 32, pp. 1-21; Sagayama, H., Kondo, E., Shiose, K., Energy requirement assessment and water turnover in Japanese college wrestlers using the doubly labeled water method (2017) J Nutr Sci Vitaminol (Tokyo), 63, pp. 141-147; Jensen, M.D., Ryan, D.H., Apovian, C.M., 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: A report of the American College of Cardiology/American Heart Association task force on practice guidelines and the Obesity Society (2014) J Am Coll Cardiol, 63, pp. 2985-3023; Nakata, Y., Okada, M., Hashimoto, K., Weight loss maintenance for 2 years after a 6-month randomised controlled trial comparing education-only and group-based support in Japanese adults (2014) Obes Facts, 7, pp. 376-387; Heymsfield, S.B., Thomas, D., Martin, C.K., Energy content of weight loss: Kinetic features during voluntary caloric restriction (2012) Metabolism, 61, pp. 937-943; Schoeller, D.A., Thomas, D., Energy balance and body composition (2015) World Rev Nutr Diet, 111, pp. 13-18; Redman, L.M., Heilbronn, L.K., Martin, C.K., Effect of calorie restriction with or without exercise on body composition and fat distribution (2007) J Clin Endocrinol Metab, 92, pp. 865-872; Heymsfield, S.B., Thomas, D., Nguyen, A.M., Voluntary weight loss: Systematic review of early phase body composition changes (2011) Obes Rev, 12, pp. 348-361; Chaston, T.B., Dixon, J.B., O'Brien, P.E., Changes in fat-free mass during significant weight loss: A systematic review (2007) Int J Obes, 31, pp. 743-750; Ainsworth, B.E., Haskell, W.L., Herrmann, S.D., 2011 compendium of physical activities: A second update of codes and MET values (2011) Med Sci Sports Exerc, 43, pp. 1575-1581; Pasiakos, S.M., Cao, J.J., Margolis, L.M., Effects of highprotein diets on fat-free mass and muscle protein synthesis following weight loss: A randomized controlled trial (2013) FASEB J, 27, pp. 3837-3847; Leidy, H.J., Clifton, P.M., Astrup, A., The role of protein in weight loss and maintenance (2015) Am J Clin Nutr, 101, pp. 1320S-1329S; Bonomi, A.G., Soenen, S., Goris, A.H.C., Weight-loss induced changes in physical activity and activity energy expenditure in overweight and obese subjects before and after energy restriction (2013) PLOS ONE, 8, pp. 1-8; Williamson, D.F., Serdula, M.K., Anda, R.F., Weight loss attempts in adults: Goals, duration, and rate of weight loss (1992) Am J Public Health, 82, pp. 1251-1257; Nishida, Y., Higaki, Y., Tokuyama, K., Effect of mild exercise training on glucose effectiveness in healthy men (2001) Diabetes Care, 24, pp. 1008-1013; Sunami, Y., Motoyama, M., Kinoshita, F., Effects of low-intensity aerobic training on the high-density lipoprotein cholesterol concentration in healthy elderly subjects (1999) Metabolism, 48, pp. 984-988; Hatamoto, Y., Goya, R., Yamada, Y., Effect of exercise timing on elevated postprandial glucose levels (2017) J Appl Physiol (Epublication Ahead of Print Version), , 20 April 2017","Tanaka, H.; Fukuoka University Institute for Physical Activity, 8-19-1 Nanakuma, Japan; email: htanaka@fukuoka-u.ac.jp",,,"Cambridge University Press",,,,,00071145,,BJNUA,"29759101","English","Br. J. Nutr.",Article,"Final",Open Access,Scopus,2-s2.0-85047265205 "Beena K.S., Venkatrama Raju D.","57202610989;57190229428;","A case study on medical tourism in Chennai city",2018,"International Journal of Civil Engineering and Technology","9","5",,"984","991",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047915738&partnerID=40&md5=fbbaba7b10221214177c435ae22020ff","Department of Tourism and Hospitality Management, Bharath University, Chennai, Tami Nadu, India; Department of Management Studies, Bharath University, Chennai, India","Beena, K.S., Department of Tourism and Hospitality Management, Bharath University, Chennai, Tami Nadu, India; Venkatrama Raju, D., Department of Management Studies, Bharath University, Chennai, India","Medical tourism is a process of travelling outside one’s own country for the purpose of receiving medical care. The objective of this study is to study the factors which are attracting the international patients to Chennai, to study the satisfaction level of International Patients and to compare the cost of the treatment in Chennai with foreign countries. This study was conducted in a corporate multi-super speciality hospital at Chennai. Primary Data is collected using methods such as interviews, questionnaires and observations of the admit patients in the study hospital for the year 2015 randomly. Sources of Data Collection – Paper based sources, Electronic sources, Official or government sources, Unofficial or general business sources. © IAEME Publication","Chennai; Inbound medical tourists; International patients; Medical tourism; Wellness tourism",,,,,,,,,"Kothari, C.R., (2002) Research Methodology, , 2nd Edition; Kptler, P., Bown, J., Makens, J., (2003) Marketing Management, Global Prodpective, , 3rd edition; Ramaswamy, V.S., Nanakuars, S., (2002) Marketing Management, Global Prospective, , 3rd Edition; Slouer, J.A.F., Edward, R., Gilbert, D.R., (1998) Management, , May 1st Edition; (2001) Hospital and Health Services Administration, , Syed Amin Tabish, Oxford; Narayan, B., (1999) ISO 9000 and Quality Movements; Sridhar Bhatt, K., (2002) Total Quality Movements, , Aug; (2007) Modern Medicare-, 3 (12). , Nov; (2007) Indian Journal of Medical Ethics, 4 (4). , Oct-Nov; (2007) Health Administrator, (12). , !, Dec; (2007) Express Healthcare, 1 (12). , Dec; (2006) International Journal of Management Science-, 2. , 2, Dec; Satpal Singh, Sahil, Study on medical tourism global competition in healthcare and a study on satisfaction level among foreign patient‟s (2014) International Journal of Marketing & Human Resource Management (IJMHRM), 5 (1), pp. 09-21; Chowdhary, S., 'Health is wealth‟: Medical tourism industry in India - the new revenue generator (2013) International Journal of Management (IJM), 4 (4), pp. 141-148",,,,"IAEME Publication",,,,,09766308,,,,"English","Int.J. Civ. Eng. Technol.",Article,"Final",,Scopus,2-s2.0-85047915738 "Samal A., Pradhan B.B., Mishra M.R., Jena J.","57200203658;36142226500;56357224400;36455867100;","Prospect of medical tourism in the state of Odisha: An analytical report from the selected private tertiary care hospitals",2018,"Indian Journal of Public Health Research and Development","9","5",,"231","237",,2,"10.5958/0976-5506.2018.00445.X","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047845591&doi=10.5958%2f0976-5506.2018.00445.X&partnerID=40&md5=5e19ad75514d40018ea3281cdcf8f24e","Faculty of Hospitality and Tourism Management, Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, India; Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, India; Dept. of Pharmacology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India","Samal, A., Faculty of Hospitality and Tourism Management, Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, India; Pradhan, B.B., Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, India; Mishra, M.R., Dept. of Pharmacology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India; Jena, J., Dept. of Pharmacology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India","Background: Globalization and technological advancements has enabled health care sector worldwide to provide its services at an affordable cost thereby promoting medical tourism. Developing countries including India are also in the race to attract the people from other parts of the world to avail the health care services in the native land. Objectives: This study is an attempt has to assess the ground realities of existing health care services in tertiary care hospitals in Odisha, to find out deficits and suggest corrective measures to facilitate medical tourism in the state. Method: Random sampling was done from three private tertiary care teaching hospitals. Opinions of the patients were captured in the form of questionnaire and assessed using SERVQUAL scale to find the gap between their expectations and perceptions. Likert scale was used to record the responses regarding the reason of their choice of hospitals, pricing of health services and attitudinal loyalty. Result: The quality of the services was the major deciding factor while cost was the least in choosing any particular hospital. The gap between expectation and perception was highest for empathy of health care providers. Around half of the respondents were satisfied with the health care services provided. Most respondents had positive attitudinal loyalty towards the hospitals. Conclusion: Ample scope of medical tourism exists in Odisha, provided continuous assessment of service qualities and necessary corrective measures are taken to reduce the gap between customer expectations and perceptions. © 2018, Indian Journal of Public Health Research and Development. All rights reserved.","Hospitals; Likert scale; Medical tourism; Service quality; SERVQUAL scale","adult; article; empathy; expectation; health care personnel; human; Likert scale; medical tourism; perception; questionnaire; sampling; teaching hospital; tertiary care center",,,,,,,,"Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27, pp. 1093-1100; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9, p. 33; Gupta, A.S., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5, pp. 4-5; India Brand Equity Foundation Research Report 2017, , https://www.ibef.org/industry/healthcare-india.aspx; Destination Ranking-Medical Tourism Index, , https://www.medicaltourismindex.com/overview/destination-ranking/; Medical Tourism Hamstrung by Obsolete Visa Rules, , http://www.business-standard.com/article/companies/medical-tourism-hamstrung-by-obsolete-visa-rules-113120201713_1.html, Business standard 2nd Dec 2013; Chowdary, S., (2017) Medical Tourist Arrivals in India up 25%, Business Standard; Parasuraman, A., Zeithaml, V.A., Berry, L.L., A conceptual model of service quality and its implications for future research (1985) The Journal of Marketing, 49, pp. 41-50; Parasuraman, A., Zeithaml, V.A., Berry, L.L., SERVQUAL: A multi-item scale for measuring consumer perceptions of the service quality (1988) Journal of Retailing, 64, pp. 12-40; http://www.mruc.net/sites/default/files/NEW%20SEC%20System.pdf; Sharifi, S., Saberi, K., Hospital Management Factors for better quality outcomes (2014) Ind. J. Fund. Appl Life Sci, 4, pp. 508-514; Jaswal, A.R., Walunj, S.R., Antecedents of Service Quality Gaps in Private Hospitals of Ahmednagar: A Critical Inquiry into the Hospital Attributes (2017) IBMRD’s Journal of Management & Research, 6, pp. 42-51; Lymperopoulos, C., Chaniotakis, I.E., Soureli, M., The importance of service quality in bank selection for mortgage loans (2006) Managing Service Quality, 16, pp. 365-379; Sharma, D., Examining the influence of service quality on customer satisfaction and patronage intentions in convenience store industry (2015) International Journal of Business and Globalisation, 15, pp. 152-170; Arsanam, P., Yousapronpaiboon, K., The Relationship between Service Quality and Customer Satisfaction of Pharmacy Departments in Public Hospitals (2014) International Journal of Innovation, Management and Technology, 5 (4), pp. 261-265; Grönroos, C., A service quality model and its marketing implications (1984) European Journal of Marketing, 18, pp. 36-44; Garvin, D., Competing on the eight dimensions of quality (1987) Harv. Bus. Rev., 56, pp. 101-109; Sweeney, J.C., Soutar, G.N., Johnson, L.W., Retail service quality and perceived value: A comparison of two models (1997) Journal of Retailing and Consumer Services, 4, pp. 39-48; Philip, G., Hazlett, S.A., The measurement of service quality: A new PCP attributes model (1997) International Journal of Quality & Reliability Management, 14, pp. 260-286; Frost, F.A., Kumar, M., INTSERVQUAL-an internal adaptation of the GAP model in a large service organization (2000) Journal of Services Marketing, 14, pp. 358-377; Heung, V.C., Wong, M.Y., Hailin, Q., (2000) Airport-Restaurant Service Quality in Hong Kong: An Application of SERVQUAL. the Cornell Hotel and Restaurant Administration Quarterly, 41, pp. 866-896; Babakus, E., Mangold, W.G., (1992) Adapting the SERVQUAL Scale to Hospital Services: An Empirical Investigation. Health Services Research, 26, p. 767; Asubonteng, P., McCleary, K.J., Swan, J.E., SERVQUAL revisited: A critical review of service quality (1996) Journal of Services Marketing, 10, pp. 62-81","Mishra, M.R.; Dept. of Pharmacology, Kalinga Institute of Medical Sciences, KIIT UniversityIndia",,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85047845591 "Chistobaev A.I., Semenova Z.A.","16308755500;35886164600;","Spatio-temporal dynamics of the global medical tourism",2018,"Journal of Environmental Management and Tourism","9","2",,"267","275",,2,"10.14505/jemt.v9.2(26).06","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85052078603&doi=10.14505%2fjemt.v9.2%2826%29.06&partnerID=40&md5=cebcd54a8564e292ffad448669e2a7db","Saint Petersburg State University, Russian Federation","Chistobaev, A.I., Saint Petersburg State University, Russian Federation; Semenova, Z.A., Saint Petersburg State University, Russian Federation","The study focuses on the emergence and development of medical tourism at the global and country levels. Article provides a definition of a medical tourism, reveals the stages of its formation – from the origin at ancient cultures to modern high technologies of biomedicine. The country ranking results held on the basis of an integrated index, featuring the assessment of the level of equipment at the medical infrastructure, the maintenance of hospitals, the availability of qualified specialists is discussed. The best practices of medical tourism are analyzed. It is shown that due to lower prices and higher service quality, the geographic vector of those wishing to receive treatment abroad is shifting to Asian countries. The need to strengthen the attention of government agencies to the development of medical tourism in the public and private health sectors is noted. © 2018. ASERS Publishing. All rights reserved.","Clinic; Health resort; Medical tourism; Public health; Sanatorium; Spa; Treatment",,,,,,"Russian Foundation for Basic Research, RFBR: 18-05-00328а","The reported study was funded by the Russian Foundation for Basic Research according to the research project № 18-05-00328а ”Theory and methodology of integral assessment of the health status of the population in the changing socio-geographical conditions of habitat”.",,"Bateneva, T., Morning Beach, Evening Operation (2014) Rossiyskaya Gazeta, 8 (5). , https://rg.ru/2014/08/05/turizm.html; Burchakov, A., (2016) The Russian Market of Medical Tourism: Inflated Figures and Fallen Interest. Business and Technologies, , https://vc.ru/13955-recomed; Chistobaev, A.I., Semenova, Z.A., From Hippocrates to E.N. Pavlovsky: The founders of medical geography (2010) Geography in School, 8, pp. 18-22; Chistobaev, A.I., Semenova, Z.A., Individual and Public Health as a Category of Medical Geography. Bulletin of St. Petersburg University. Series 7: Geology (2011) Geography, 3, pp. 83-91; Chistobaev, A.I., Semenova, Z.A., (2017) Medical Tourism – a New Sector of the Economy. Proceedings of the IX International Conference “The State and Business. Modern Problems of economics” St. Petersburg: RANEPA. P. 160–164; Cost of Treatment in Germany, , http://www.evroclinic.com/lechenie-za-rubezhom//lechenie-v-germanii/stoimost-lechenya; Peter, D., (2016), http://doctorpiter.ru/articles/13653; Erofeeva, I., (2016) Medical Tourism Changes Orientation. Sankt-Peterburgskiye Vedomosti, 12, p. 3; History of Medical Tourism. Available, , https://ru.health-tourism.com/medical-tourism/history; Kovaleva, I.P., (2015) Foreign Experience in the Development of Medical Tourism on the Example of Germany. Actual Problems of Economic Sciences, 42, pp. 107-115; Levterova, E.V., (2016) Prospects for the Development of St. Petersburg as a Destination for Medical Tourism in Russia. Conference Proceedings: “Actual Problems of the Hospitality Industry development”. St, pp. 154-157. , Petersburg: SPbGEU publishing; Manshina, N.V., (2014) Medical-Health and Medical Tourism: Statistics and Trends of the World and Russian Market. Materials of the 10Th International Conference on Medical and Health Resort Tourism “Medical Tourism, SPA@Health”. Moscow; Marchenko, O.G., (2013) World Medical Tourism is Shifting to the Countries of the Asia-Pacific Region. Anal. Modern Problems of Science and Education, 6. , https://science-education.ru/ru/article/view?id=11205; (2017), www.Medicaltourismassociation.com; www.cancermed.tu/index.php/medicinskiy-tyrizm; Medical Tourism in Japan. Available At, , www.miuki.info/2013/01zdravooxranenie-i-medicinckiy-turizm-v-yaponiy/; Medical Tourism Index 2016. Available At: Www.Medicaltourismindex.Com; Medical Tourism: Diagnosis and Treatment in Germany, , https://doktormunhen.ru/about/medicinskij-tourism-v-germanii.html; Pharmaceutical Herald (2016) Available, , www.Pharmvestnik; Mozokina, S.L., Trends in the Development of Medical and Health Tourism. Izvestiya of the St (2014) Petersburg State Economic University, 89, pp. 42-46; Rabin Medical Center. Available, , http://isclinics.org/napravlenia/kardioxirurgiya-i-torakalnaya-xirurgiya/; Russian Medical Tourism Association. Available, , http://amtrf.ru; Semenova, Z.A., Medical geography – the science of man, nature and society. Theory of socio-economic geography: The current state and development prospects. Conference proceedings. Rostov-on-Don. p (2010) 401–, p. 404; Semenova, Z.A., Medical and geographical management: The prerequisites for formation and development. Actual problems of modern economic, social and political geography. Moscow: MSPU. p (2011) 211–, p. 214; Semenova, Z.A., Modification of Modern Management Methods in Medical Geography (2016) Geographical Bulletin, 1 (36), pp. 132-137; Semenova, Z.A., Chistobaev, A.I., (2015) Medical Geography and Public Health: The Evolution of Knowledge. Monograph, , St. Petersburg: St. Petersburg State University; Semenova, Z.A., Chistobaev, A.I., Medical Tourism against the Background of Modern Geopolitical Events. Geopolitical Processes in the Modern Eurasian Space. Conference proceedings. Banya-Luka. p (2017) 385–, p. 394; Shchekin, G.Y., (2013) Tourism and Medicine. Volgograd: Publishing House of the VSMU; Statistics and Facts about Medical Tourism, , https://ru.health-tourism.com/medical-tourism/statistics/; Treatment in Germany. Available, , http://ru.health-tourism.com/medical-tourism-germany; Abd Mutalib, N.S., Online Narratives about Medical Tourism in Malaysia and Thailand: A Qualitative Content Analysis (2017) Journal of Travel & Tourism Marketing, 34 (6), pp. 821-832; Alsarayreh, M.N., Al Nawaiseh, K.H.A., Mahasneh, M.S.M., Rumman, M.A.R.A., Medical Tourism and Its Role in Marketing Jordan Abroad (2017) International Review of Management and Marketing, 7 (4), pp. 180-185; Banerjee, S., Nath, S.S., Dey, N., Eto, H., Global medical tourism: A review (2018) Medical Tourism: Breakthroughs in Research and Practice, pp. 1-19. , IGI Global; Bolton, S., Skountridaki, L., The medical tourist and a political economy of care (2017) Antipode, 49 (2), pp. 499-516; Past themes and future trends in Medical Tourism Research: A co-word Analysis (2018) Tourism Management, 65, pp. 200-211; Formadi, K., Mayer, P., Pénzes, E., (2017) Geography of Tourism in Hungary. the Geography of Tourism of Central and Eastern European Countries, pp. 189-232. , Springer, Cham; Moghavvemi, S., Connecting with prospective medical tourists online: A cross-sectional analysis of Private Hospital Websites Promoting Medical Tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163; Mohezar, S., Moghavvemi, S., Zailani, S., Malaysian Islamic Medical Tourism Market: A SWOT analysis (2017) Journal of Islamic Marketing, 8 (3), pp. 444-460; Muth, S., Russian as a Commodity: Medical Tourism and the Healthcare Industry in Post-Soviet Lithuania (2017) International Journal of Bilingual Education and Bilingualism, 20 (4), pp. 404-416; Ormond, M., Sulianti, D., More than Medical Tourism: Lessons from Indonesia and Malaysia on South–South Intra-Regional Medical Travel (2017) Current Issues in Tourism, 20 (1), pp. 94-110; Page, S.J., Case study: Wellness, Tourism and Small Business Development in a UK Coastal Resort: Public Engagement in Practice (2017) Tourism Management, 60, pp. 466-477; Rokni, L., Turgay, A.V.C.I., Park, S.H., Barriers of Developing Medical Tourism in a Destination: A Case of South Korea (2017) Iranian Journal of Public Health, 46 (7), p. 930; Seow, A.N., Choong, Y.O., Moorthy, K., Chan, L.M., Intention to visit Malaysia for Medical Tourism using the Antecedents of Theory of Planned Behaviour: A predictive model (2017) International Journal of Tourism Research",,,,"ASERS Publishing House",,,,,20687729,,,,"English","J. Environ. Manage. Tour.",Article,"Final",,Scopus,2-s2.0-85052078603 "Habibi A., Ariffin A.A.M., Aziz N.A.","56195779400;25926315700;36932259400;","The influence of perceived benefits, perceived sacrifices and perceived value on behavioural intention in the context of medical tourism",2018,"International Journal of Services, Economics and Management","9","3-4",,"295","316",,2,"10.1504/IJSEM.2018.097789","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061370754&doi=10.1504%2fIJSEM.2018.097789&partnerID=40&md5=85db5105ec5f4515b526c8ff8eceeecf","Graduate School of Business, UKM, Malaysia","Habibi, A., Graduate School of Business, UKM, Malaysia; Ariffin, A.A.M., Graduate School of Business, UKM, Malaysia; Aziz, N.A., Graduate School of Business, UKM, Malaysia","This study attempts to explain the relationships amongst perceived benefits, perceived sacrifices, perceived value and behavioural intention in the context of medical tourism. In this study, perceived benefits is represented by perceived medical quality (PMQ) and brand personality (BP) while perceived sacrifices by perceived fee (PF) and perceived risks (PR). A total of 157 international patients visiting Malaysian medical centres and hospitals were surveyed using structured questionnaires. The results revealed that perceived value is significantly related to behavioural intention in the context of medical tourism. The findings also indicated that significant relationships exist between both PMQ and perceived value, as well as between PR and perceived value with regards to both hospital and country. Interestingly, this study showed that the relationship between PF and perceived value was not significant. In overall, the findings of this study offer insights and inputs to enhance the marketability as well as positioning of both medical centres and respective countries as a world class medical tourism hub. © 2018 Inderscience Enterprises Ltd.","behavioural intention; medical tourism; perceived value",,,,,,,,,"Benevolo, C., Spinelli, R., International service delivery and internet-based technologies (2011) International Journal of Services, Economics and Management, 3 (3), pp. 251-266; Bergmark, R., Barr, D., Garcia, R., Mexican immigrants in the US living far from the border may return to Mexico for health services (2010) Journal of Immigrant and Minority Health, 12 (4), pp. 610-614; Bernstein, I.H., Nunnally, J., (1994) Psychometric Theory, , McGraw-Hill, New York; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Bonnefoy-Claudet, L., Ghantous, N., Emotions' impact on tourists' satisfaction with ski resorts: The mediating role of perceived value (2013) Journal of Travel & Tourism Marketing, 30 (6), pp. 624-637; Chahal, H., Kumari, N., Consumer perceived value and consumer loyalty in the healthcare sector (2011) Journal of Relationship Marketing, 10 (2), pp. 88-112; Chang, T.-Z., Wildt, A.R., Price, product information, and purchase intention: An empirical study (1994) Journal of the Academy of Marketing Science, 22 (1), pp. 16-27; Chen, C.F., Chen, F.S., Experience quality, perceived value, satisfaction and behavioral intentions for heritage tourists (2010) Tourism Management, 31 (1), pp. 29-35; Chen, C.-F., Tsai, D., How destination image and evaluative factors affect behavioral intentions? 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Graduate School of Business, UKMMalaysia; email: tajbluediamond@gmail.com",,,"Inderscience Publishers",,,,,17530822,,,,"English",,Article,"Final",,Scopus,2-s2.0-85061370754 "Davison S.P., Hayes K.D., LaBove G., Shaffer P.","7101979949;56563572000;55966884500;57205437521;","The price of medical tourism: The legal implications of surgery abroad",2018,"Plastic and Reconstructive Surgery","142","4",,"1075","1080",,2,"10.1097/PRS.0000000000004816","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060026861&doi=10.1097%2fPRS.0000000000004816&partnerID=40&md5=2fb013769ac42eb71a0e3a33fddf6d80","Washington, D.C.; Little Rock, Ark.; and Baltimore, Md., Georgetown University School of Medicine; Howard University College of Medicine; the University of Arkansas School of Medical Sciences, College of Medicine; and the Carey School of Business, The Johns Hopkins University","Davison, S.P., Washington, D.C.; Little Rock, Ark.; and Baltimore, Md., Georgetown University School of Medicine; Howard University College of Medicine; the University of Arkansas School of Medical Sciences, College of Medicine; and the Carey School of Business, The Johns Hopkins University; Hayes, K.D., Washington, D.C.; Little Rock, Ark.; and Baltimore, Md., Georgetown University School of Medicine; Howard University College of Medicine; the University of Arkansas School of Medical Sciences, College of Medicine; and the Carey School of Business, The Johns Hopkins University; LaBove, G., Washington, D.C.; Little Rock, Ark.; and Baltimore, Md., Georgetown University School of Medicine; Howard University College of Medicine; the University of Arkansas School of Medical Sciences, College of Medicine; and the Carey School of Business, The Johns Hopkins University; Shaffer, P., Washington, D.C.; Little Rock, Ark.; and Baltimore, Md., Georgetown University School of Medicine; Howard University College of Medicine; the University of Arkansas School of Medical Sciences, College of Medicine; and the Carey School of Business, The Johns Hopkins University","Medical tourism, or traveling abroad to obtain medical services, has evolved into a global health care phenomenon, with over 15 million U.S. patients each year seeking medical care internationally, representing a $50 billion dollar industry in 2017. Speculation and media fascination about the growing industry, diverse destinations, and rationale behind the medical tourists is rampant; however, the legal implications of tourism medicine, particularly when it goes wrong, are often unclear. On the international stage, accreditation agencies are limited in scope and practice, legal jurisdiction is difficult to establish, and the enforcement of rulings is nearly impossible. Patients seeking tourism medicine have little legal recourse and shoulder all the legal burden. Copyright © 2018 by the American Society of Plastic Surgeons.",,"accreditation; adult; article; global health; human; medical care; medical service; medical tourism; shoulder; travel; ethics; government regulation; health care delivery; legislation and jurisprudence; medical error; medical ethics; medical tourism; surgery; Ethics, Medical; Government Regulation; Health Services Accessibility; Humans; Medical Errors; Medical Tourism; Surgical Procedures, Operative",,,,,,,,"Adabi, K., Stern, C.S., Weichman, K.E., Population health implications of medical tourism (2017) Plast Reconstr Surg, 140, pp. 66-74; (2014) Medical Tourism: Update and Implications, , Deloitte. New York: Deloitte Center for Health Solutions; Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the United States (2013) Plast Reconstr Surg Glob Open, 1; Mirrer-Singer, P., Medical malpractice overseas: The legal uncertainty surrounding medical tourism (2007) Law Contemp Probl, 70, pp. 211-232; Iorio, M.L., Verma, K., Ashktorab, S., Davison, S.P., Medical tourism in plastic surgery: Ethical guidelines and practice standards for perioperative care (2014) Aesthetic Plast Surg, 38, pp. 602-607; Survey on Foreign Recognition of U.S. Money Judgements, , http://brownwelsh.com/Archive/ABCNY_Study_Enforcing_Judgments.pdf, Associations of the Bar of the City of New York, United State Department of State, New York City, Accessed July 20, 2017; Compare Prices, , http://medicaltourism.com/Forms/price-comparison.aspx, Accessed July 20, 2017; JCI-Accredited Organizations, , http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations/, Accessed July 20, 2017; Guidelines for Plastic Surgery Tourists, , http://www.isaps.org/medical-travel-guide/plastic-surgery-tourists, Accessed July 20, 2017; Dangers of Plastic Surgery Tourism, , https://www.plasticsurgery.org/patient-safety/dangers-of-plastic-surgery-tourism, Accessed July 20, 2017; Steklof, C., Medical tourism and the legal impediments to recovery in cases of medical malpractice (2010) Wash Univ Glob Stud Law Rev, 9, pp. 721-742; Langel, S., Averting medical malpractice lawsuits: Effective medicine-Or inadequate cure? (2010) Health Aff (Millwood), 29, pp. 1565-1568; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) J Leg Med, 28, pp. 223-245; Terry, N., Under-regulated health care phenomena in a flat word: Medical tourism and outsourcing (2007) West N Enlg Law Rev, 29, pp. 421-472; (2014) Gatte V Dohm, pp. 13-31033. , 5th Cir; International Patient Services: Frequently Asked Questions, , https://www.apollohospitals.com/international-patient-services/, Accessed February 15, 2016; Forum Non Conveniens, , https://www.law.cornell.edu/wex/forum_non_conveniens, Cornell University Law School, Legal Information Institute. Accessed July 20, 2017; Wapner, J., American Medical Association provides guidance on medical tourism (2008) BMJ, 337, p. a575","Davison, S.P.3301 New Mexico Avenue, United States; email: spdplastic@gmail.com",,,"Lippincott Williams and Wilkins",,,,,00321052,,PRSUA,"30252822","English","Plast. Reconstr. Surg.",Article,"Final",,Scopus,2-s2.0-85060026861 "Padilla P., Ly P., Dillard R., Boukovalas S., Zapata-Sirvent R., Phillips L.G.","57200752930;57204852770;57204851992;37113704000;7003968847;7402638097;","Medical tourism and postoperative infections: A systematic literature review of causative organisms and empiric treatment",2018,"Plastic and Reconstructive Surgery","142","6",,"1644","1651",,2,"10.1097/PRS.0000000000005014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85057546655&doi=10.1097%2fPRS.0000000000005014&partnerID=40&md5=73566cd6f4e5d7fe14ccb849f722b9d0","Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, United States","Padilla, P., Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, United States; Ly, P., Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, United States; Dillard, R., Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, United States; Boukovalas, S., Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, United States; Zapata-Sirvent, R., Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, United States; Phillips, L.G., Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, United States","Background: Medical tourism has become increasingly globalized as individuals travel abroad to receive medical care. Cosmetic patients in particular are more likely to seek surgery abroad to defray costs. Unfortunately, not all procedures performed abroad adhere to strict hygienic regulations, and bacterial flora vary. As a result, it is not uncommon for consumers to return home with difficult-to-treat postoperative infections. Methods: A systematic literature review of PubMed, Ovid, Web of Science, and Cumulative Index to Nursing and Allied Health Literature databases was performed to assess the microbiology patterns and medical management of patients with postoperative infections after undergoing elective surgery abroad. Results: Forty-two cases of postoperative infections were reported among patients who underwent elective surgery abroad. Most cases were reported from the Dominican Republic, and the most common elective procedures were abdominoplasty, mastopexy, and liposuction. Rapidly growing mycobacteria such as Mycobacterium abscessus, Mycobacterium fortuitum, and Mycobacterium chelonae were among the most common causes of postoperative infection, with M. abscessus involving 74 percent of cases. Most cases were treated with surgical débridement and a combination of antibiotics. Clarithromycin, amikacin, and moxifloxacin were the most common drugs used for long-term treatment. Conclusions: When encountering a patient with a history of medical tourism and treatment-refractory infection, rapidly growing mycobacteria must be considered. To increase the likelihood of yielding a diagnostic organism, multiple acid-fast bacilli cultures from fluid and débridement content should be performed. There has been reported success in treating rapidly growing mycobacterial infections with a combination of antibiotics including clarithromycin, amikacin, and moxifloxacin. Copyright © 2018 by the American Society of Plastic Surgeons.",,"antiinfective agent; combination drug therapy; debridement; elective surgery; human; medical tourism; mycobacteriosis; reoperation; risk factor; statistics and numerical data; surgical infection; Anti-Bacterial Agents; Debridement; Drug Therapy, Combination; Elective Surgical Procedures; Humans; Medical Tourism; Mycobacterium Infections; Reoperation; Risk Factors; Surgical Wound Infection",,"Anti-Bacterial Agents",,,,,,"Adabi, K., Stern, C.S., Weichman, K.E., Population health implications of medical tourism (2017) Plast Reconstr Surg., 140, pp. 66-74; Begum, S., Medical and wellness tourism: Opportunities and challenges. 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Reconstr. Surg.",Article,"Final",,Scopus,2-s2.0-85057546655 "Cohen G.","56992133800;","Circumvention medical tourism and cutting edge medicine: The case of mitochondrial replacement therapy",2018,"Indiana Journal of Global Legal Studies","25","1",,"439","462",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049008289&partnerID=40&md5=0dd15788fcfcceea0b9402b9582a4754","Harvard Law School, United States; Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, United States","Cohen, G., Harvard Law School, United States, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, United States","""Medical Tourism"" is the travel of patients from a home country to a destination country for the primary purpose of receiving health care. ""Circumvention Tourism"" is a sub-type of such travel where the motivation is circumventing a domestic prohibition on accessing a medical service. This Article focuses on such circumvention tourism for cutting-edge medicine. I use the recently reported case of travel to Mexico for Mitochondrial Replacement Therapy as a springboard for examining the legal and ethical issues raised by the practice and to discuss restrictive regulation in place in the United States. © Indiana University Maurer School of Law.",,,,,,,,,,"Khan, N.A., Mitochondrial disorders: Challenges in diagnosis & treatment (2015) Indian J. Med. Res., 141, p. 13. , 14; Claiborne, A., (2016) Mitochondrial Replacement Techniques: Ethical, Social, and Policy Considerations, pp. 38-40. , The National Academies Press; Saneto, R.P., Sedensky, M.M., Mitochondrial disease in childhood: MtDNA encoded (2013) Neurotherapeutics, , April at 205; Walker, M.A., Predisposition to infection and SIRS in mitochondrial disorders: 8 years' experience in an academic center (2014) J. 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Stud.",Review,"Final",,Scopus,2-s2.0-85049008289 "Ali M.M., Medhekar A.","55824632800;56939297300;","HEALTHCARE QUALITY OF Bangladesh AND OUTBOUND MEDICAL TRAVEL TO THAILAND",2018,"Economy of Region","14","2",,"575","588",,2,"10.17059/2018-2-19","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048558979&doi=10.17059%2f2018-2-19&partnerID=40&md5=cc2ac0442b2ef61e8ad2d440880af434","Dhaka School of Economics, University of Dhaka, Former Vice Chancellor, Presidency University, 4/C, Easkaton; Ramna, Dhaka, 1000, Bangladesh; School of Business and Law, Central Queensland University, Building 34/2.13, Off Bruce Highway, 4702, Rockhampton, 443256, Australia","Ali, M.M., Dhaka School of Economics, University of Dhaka, Former Vice Chancellor, Presidency University, 4/C, Easkaton; Ramna, Dhaka, 1000, Bangladesh; Medhekar, A., School of Business and Law, Central Queensland University, Building 34/2.13, Off Bruce Highway, 4702, Rockhampton, 443256, Australia","The healthcare system in Bangladesh suffers from many shortcomings. This drives not only the affluent and the middle-class, but also the poor Bangladeshi to travel cross-border to India, Thailand, Singapore and Malaysia for medical treatment. In Bangladesh, there are an over-crowded public healthcare system, the paucity of funds, a lack of medical expertise and technology, and few quality private hospitals to service the local high-income population. For this paper, Bangladeshi patients (n=113) who had undergone medical treatment in Thailand during February 2017 to June 2017, completed the survey. Statistical findings suggest that the medical costs are high in Thailand and hiring personal attendants for older patients is expensive. Apart from the language barrier with no interpreting services, the patients are also required to purchase sample medicine from the hospital dispensary at a higher price. On the positive side, the physicians in Thailand were overseas qualified, caring, trustworthy, honest and straightforward while dealing with patients, and had the expertise to provide diagnostic results for several diseases. Results also show that compared to Bangladesh, Thailand has less waiting-time for surgery with state-of-the-art medical facilities, and excellent healthcare service, resulting in an increasing outbound medical travel from Bangladesh. Healthcare policy implications are that the public and private hospitals in Bangladesh need to provide the quality of accredited and timely healthcare to the locals, so that the poor and middle-class Bangladeshi do not have to travel cross-border for healthcare. Unless Bangladesh improves its healthcare system, the outbound medical travel to Thailand and other neighboring countries will continue, and can it dream to develop a medical tourism market to attract foreign patients. Doctors, nurses and lab technicians along with health management personnel must be ethical and corruption free. Improved excellence in healthcare delivery, international accreditation, and elimination of dishonest performs in Bangladeshi healthcare will steadily decrease outbound medical travel by the poor and middle class Bangladeshi, save medical travel costs, medical travel-risk and anxiety of being away from home and relatives, resulting in more and more Bangladeshi patients preferring to trust and use their healthcare system. Future research directions will explore the quality, access and affordability of inclusive healthcare in both public and private hospitals of Bangladesh. © Ali M. M., Medhekar A. 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(2007) Biotechnology in Malaysia and Thailand, 11 (8), pp. 493-497; Veerasoontorn, R., Beise-Zee, R., Sivayathorn, A., Service quality as a key driver of medical tourism: The case of Bumrungrad International Hospital in Thailand (2011) International Journal of Leisure &Tourism Marketing, 2, pp. 140-158; Nutworadee, K., Motivation and Decision on Medical Tourism Service in Thailand (2015) ASEAN Journal of Management & Innovation, 2 (2), pp. 24-36; Hossain, A., Lasker, S.P., Introduction of bioethics and its necessity in Bangladesh (2010) Bangladesh Journal of Bioethics, 1 (1), pp. 2-18; Cohen, E., Medical Tourism in Thailand (2008) Assumption University-GSE E-Journal, 1 (1), pp. 24-37; Fukahori, H., Baba, Y., Hioki, F., Monkong, S., Intarasombat, P., Malathum, P., Healthcare services for Japanese elderly long staying in Thailand from the perspective of the patient and healthcare providers: A survey study (2011) Gerontology and Geriatrics, 53 (2), pp. 168-173; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2011) Bulletin of The World Health Organisation, 89, pp. 336-344; Rerkrujipimol, J., Assenov, I., Marketing strategies for promoting medical tourism in Thailand (2011) Journal of Tourism, Hospitality & Culinary Arts, 3 (2), pp. 95-105; Gursoy, D., McCleary, K.W., An integrative model of tourists’ information search behaviour (2004) Annals of Tourism Research, 31 (2), pp. 353-373; Medhekar, A., Public-Private-Partnerships for inclusive development: Role of private corporate sector in provision of healthcare services (2014) Procedia — Social &Behavioral Sciences, 157, pp. 33-44. , https://doi.org/10.1016/j.sbspro.2014.11.007; Chomvilailuk, R., Srisomyong, N., Three-dimensional perceptions of medical/health travellers and destination brand choices: Cases of Thailand (2015) Procedia — Social and Behavioral Sciences, 175 (2), pp. 376-383; Medhekar, A., Newby, L., Information Search for Medical Treatment Abroad (2012) Journal of Applied Global Research, 5 (3), pp. 53-72; Pornphol, P., Naveevong, C., A Cloud-Based Management Information System for Medical and Wellness Tourism (2015) International Journal of Innovation, Management and Technology, 6 (6), pp. 378-382; Pathumporn, J., Suphan, K., Behaviours of Medical Tourists, who use medical tourism agencies in Thailand (2016) International Business Management, 10 (4), pp. 512-516; Moghavvemi, S., Ormond, M., Musa, G., Isa, R., Thirumoorthi, T., Mustapha, M., Kanapathy, K., Chandy, J., Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163; Whittaker, A., Chee, H.L., Perceptions of an international hospital’ in Thailand by medical travel patient: Cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297; Green, T., Green, H., Scandlyn, J., Kestler, A., Perceptions of short-term medical volunteer work: A qualitative Study in Guatemala (2009) Globalization and Health, 5 (4), pp. 1-12. , doi.org; Crush, J., Chikanda, A., South–South medical tourism and the quest for health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320; Lajevardi, M., A Comprehensive Perspective on Medical Tourism Context and Create a Conceptual Framework (2016) Journal of Tourism & Hospitality, 5 (5), pp. 1-12",,,,"Institute of Economics, Ural Branch of the Russian Academy of Sciences",,,,,20726414,,,,"English","Econ. Reg.",Article,"Final",Open Access,Scopus,2-s2.0-85048558979 "Medhekar A., Haq F.","56939297300;55636506900;","Halal branding for medical tourism: Case of indian hospitals",2018,"Digital Marketing and Consumer Engagement: Concepts, Methodologies, Tools, and Applications",,,,"1190","1212",,2,"10.4018/978-1-5225-5187-4.ch061","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041617808&doi=10.4018%2f978-1-5225-5187-4.ch061&partnerID=40&md5=31405c3c1155ffbbb98d56ffd29bfc4c","CQ University, Australia; Canadian University of Dubai, United Arab Emirates","Medhekar, A., CQ University, Australia; Haq, F., Canadian University of Dubai, United Arab Emirates","This chapter explores the emergence and development of Halal branded hospitals and medical facilities as a product of Medical Tourism for Muslim patients around the world and in India. Halal tourism is a sub-category of spiritual tourism, where one has to abide by the Sharia law to satisfy Muslim customers. The main objective of the chapter is to focus on a niche category of halal medical tourism, where Sharia rules are followed to attract the medical tourist mainly from Islamic countries. This chapter also proposes a typology of Muslim medical tourist’s cultural sensitivities and recommends branding and certifying Halal Medical Tourism hospitals, healthcare facilities, pharmaceuticals, products, and services to attract Muslim patients, and provides challenges and opportunities with future research directions. The case studied in this chapter is of the Global Health City, the first Halal Certified Medical Hospital facility in Chennai, India. It presents a model for halal branding of Indian Medical Tourism based on the halal decision-making paradigm for Muslim customers designed by Wilson and Liu (2010). The model presented here indicates attitudes of being rational or emotional and elements reflecting affective and cognitive feelings for Muslim patients seeking halal treatment in halal hospitals. © 2018 by IGI Global. All rights reserved.",,,,,,,,,,"Ala-Al Hamarneh, A., Steiner, C., Islamic Tourism: Rethinking the strategies of tourism development in the Arab world after September 11-2001 (2004) Comparative Studies of South Asia, Africa and the Middle East, 24 (1), pp. 1-10; Alserhan, B.A., On Islamic branding: Brands as good deeds (2010) Journal of Islamic Marketing, 1 (2), pp. 101-106; (2010) Comparability of the Cost Estimates of Health Care Systems, , http://www.ama-assn.org/i-09-handbook.pdf, Report of the council on medical service. 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Bangkok, Thailand",,,,"IGI Global",,,,,,9781522551898; 1522551875; 9781522551874,,,"English","Digital Marketing and Consumer Engagem.: Concepts, Methodologies, Tools, and Applications",Book Chapter,"Final",,Scopus,2-s2.0-85041617808 "Jantunen E., Partanen A., Valtola J., Pyörälä M., Mäntymaa P., Nousiainen T., Varmavuo V.","7005969996;56667283700;6507279116;6602424109;6602140769;7004999920;24167097300;","Pre-emptive plerixafor injection in lymphoma patients mobilized with chemotherapy plus pegfilgrastim followed by apheresis on the same day",2017,"Journal of Clinical Apheresis","32","6",,"594","596",,2,"10.1002/jca.21522","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013059232&doi=10.1002%2fjca.21522&partnerID=40&md5=24a6b44000081c7f05cadb668923677c","Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Laboratory Centre of Eastern Finland, Kuopio, Finland; Department of Medicine, Kymeenlaakso Central Hospital, Kotka, Finland","Jantunen, E., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Partanen, A., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Valtola, J., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Pyörälä, M., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Mäntymaa, P., Laboratory Centre of Eastern Finland, Kuopio, Finland; Nousiainen, T., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Varmavuo, V., Department of Medicine, Kymeenlaakso Central Hospital, Kotka, Finland",[No abstract available],,"pegfilgrastim; plerixafor; filgrastim; heterocyclic compound; macrogol; pegfilgrastim; plerixafor octahydrochloride; apheresis; blood volume; bone marrow cell; cancer chemotherapy; CD34 selection; cell count; cell motility; clinical evaluation; hospitalization; human; Letter; leukocyte count; lymphoma; myeloma; nonhodgkin lymphoma; prediction; adult; aged; apheresis; female; lymphoma; male; middle aged; premedication; procedures; stem cell mobilization; time factor; Adult; Aged; Blood Component Removal; Female; Filgrastim; Hematopoietic Stem Cell Mobilization; Heterocyclic Compounds; Humans; Lymphoma; Male; Middle Aged; Polyethylene Glycols; Premedication; Time Factors",,"pegfilgrastim, 208265-92-3; plerixafor, 110078-46-1, 155148-31-5; filgrastim, 121181-53-1; macrogol, 25322-68-3; Filgrastim; Heterocyclic Compounds; pegfilgrastim; plerixafor octahydrochloride; Polyethylene Glycols",,,,,,"DiPersio, J.F., Micallef, I.N., Stiff, P.J., Phase III prospective randomized double-blind placebo-controlled trial of plerixafor plus granulocyte colony-stimulating factor compared with placebo plus granulocyte colony stimulating factor for autologous stem-cell mobilization and transplantation for patients with non-Hodgkin's lymphoma (2009) J Clin Oncol., 27, pp. 4767-4773; DiPersio, J.F., Stadtmayer, E.A., Nademanee, A., Plerixafor and G-CSF versus placebo and G-CSF to mobilize hematopoietic stem cells for autologous stem cell transplantation in patients with multiple myeloma (2009) Blood., 113, pp. 5720-5726; Jantunen, E., Lemoli, R.M., Preemptive use of plerixafor in difficult-to-mobilize patients: an emerging concept (2012) Transfusion., 52, pp. 906-914; Worel, N., Fritsch, G., Agis, H., Plerixafor as preemptive strategy results in high success rate in autologous stem cell mobilization failure J Clin Apher., , 2016 Aug 31; Cooper, D.L., Pratt, K., Baker, J., Late afternoon dosing of plerixafor for stem cell mobilization: a practical solution (2011) Clin Lymphoma Myeloma Leuk., 11, pp. 267-272; Harvey, R.D., Kaufman, J.L., Johnson, H.R., Temporal changes in plerixafor administration and hematopoietic stem cell mobilization efficacy: results of a prospective clinical trial in multiple myeloma (2013) Biol Blood Marrow Transplant., 19, pp. 1393-1395; Lefrere, F., Mauge, L., Rea, D., A specific time course for mobilization of peripheral blood CD34 + cells after plerixafor injection in very poor mobilizers: impact of timing of the apheresis procedure (2013) Transfusion., 53, pp. 564-569; Jantunen, E., Kuittinen, T., Mahlamäki, E., Pyörälä, M., Mäntymaa, P., Nousiainen, T., Efficacy of pre-emptively used plerixafor in patients mobilizing poorly after chemomobilization: a single centre experience (2011) Eur J Haematol., 86, pp. 299-304; Herbert, K.E., Demosthenous, L., Wiesner, G., Plerixafor plus pegfilgrastim is a safe, effective mobilization regimen for poor or adequate mobilizers of hematopoietic stem cells and progenitor cells: a phase I clinical trial (2014) Bone Marrow Transplant., 49, pp. 1056-1062; Kumar, S.K., Mikhael, J., Laplant, B., Phase 2 trial of intravenously administered plerixafor for stem cell mobilization in patients with multiple myeloma following lenalidomide-based initial therapy (2014) Bone Marrow Transplant., 49, pp. 201-205","Jantunen, E.; Department of Medicine, Kuopio University HospitalFinland; email: esa.jantunen@kuh.fi",,,"Wiley-Liss Inc.",,,,,07332459,,JCAPE,"28171695","English","J. Clin. Apheresis",Letter,"Final",,Scopus,2-s2.0-85013059232 "Paul D.P., Barker T., Watts A.L., Messinger A., Coustasse A.","7401667293;57196438924;57196438143;57196438736;16301073000;","Insurance Companies Adapting to Trends by Adopting Medical Tourism",2017,"Health Care Manager","36","4",,"326","333",,2,"10.1097/HCM.0000000000000179","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85033225815&doi=10.1097%2fHCM.0000000000000179&partnerID=40&md5=fafdb395e715a2a9b280a113b802b4be","Graduate Program in Health Care Management, Leon Hess Business School, Monmouth University, West Long, NJ, United States; Lewis College of Business, Marshall University, South Charleston, WV, United States","Paul, D.P., Graduate Program in Health Care Management, Leon Hess Business School, Monmouth University, West Long, NJ, United States; Barker, T., Lewis College of Business, Marshall University, South Charleston, WV, United States; Watts, A.L., Lewis College of Business, Marshall University, South Charleston, WV, United States; Messinger, A., Lewis College of Business, Marshall University, South Charleston, WV, United States; Coustasse, A., Lewis College of Business, Marshall University, South Charleston, WV, United States","Health care costs in the United States are rising every year, and patients are seeking new ways to control their expenditures and save money. Going abroad to receive health care is a cheaper alternative than receiving the same or similar care at home. Insurance companies are beginning to realize the benefits of medical tourism for both themselves and their beneficiaries and have therefore started to introduce medical tourism plans for their clients as an option for their beneficiaries. This research study explores the benefits and risks of medical tourism and examines the US insurance market's reaction to the trend of increasing medical tourism. The US medical tourism industry mirrors that of the United Kingdom in recent years, with more patients seeking care abroad than in the United States. Insurance companies have introduced new plans providing the option of traveling abroad to countries such as India and Costa Rica. Medical tourism is gaining popularity with US residents, and insurance companies are recognizing this trend. © 2017 Wolters Kluwer Health, Inc.","Insurance; medical costs; medical procedures; medical tourism","adult; Costa Rica; human; India; insurance; market; medical procedures; medical tourism; resident; travel; United Kingdom; United States; economics; health care cost; health care delivery; insurance; medical tourism; trends; Health Care Costs; Health Services Accessibility; Humans; Insurance Coverage; Medical Tourism; United States",,,,,,,,"Historical. Centers for Medicare & Medicaid Services Web Site., , https://www.cms.gov/research-statistics-data-andsystems/statistics-trends-and-reports/nationalhealthexpenddata/nhe-fact-sheet.html, Centers for Medicare & Medicaid Services Accessed August 24, 2016; Roehr, B., Healthcare in US will consume a fifth of GDP by 2020 (2011) BMJ, 343 (7818), p. 282; About the Affordable Care Act Law US Department of Health and Human Services Web Site, , http://www.hhs.gov/healthcare/about-the-law/read-thelaw/index.html, US Department of Health and Human Services Accessed May 15 2016; Definition of Medical Tourism Centers for Disease Control and Prevention Web Site, , https://wwwnc.cdc.gov/travel/yellowbook/2018/the-pre-travel-consultation/medical-tourism, Centers for Disease Control and Prevention Accessed May 15, 2016; Kumar, S., Breuing, R., Chahal, R., Globalization of health care delivery in the United States through medical tourism (2012) J Health Commun., 17 (2), pp. 177-198; Carruth, P., Carruth, A., The financial and cost accounting implications of medical tourism (2010) IBER., 9 (8); Horowitz, M., Rosensweig, J., Jones, C., Medical tourism: Globalization of the healthcare marketplace (2007) MedGenMed., 9 (4), p. 33; Willis, W., Coustasse, A., Medical tourism: Comparing coronary bypass surgery in the U.S. and abroad (2014) Proceedings of the Business and Health Administration Association Annual Conference, , Paper presented at March 2014; Chicago IL; Medical Tourism Statistics & Facts, , http://www.patientsbeyondborders.com/medical-tourismstatistics-facts, Patients Beyond Borders Patients Beyond Borders Web site Accessed August 24, 2016; Herrick, D., Medical Tourism: Global Competition in Health Care, , http://www.ncpa.org/pdfs/st304.pdf, National Center for Policy Analysis Web site. Accessed May 15, 2016; (2005) The Medical Tourist, "" Slate, , McKinsey & Company and the Confederation of Indian Industry, cited in Laura Moser December 6 and Bruce Stokes, ""Bedside India National Journal, May 5, 2007; Singh, S., Mishra, S., Critical Evaluation of Medical Tourism in India, , http://www.newmanpublication.com/br/2%20New%20Man%20Publication-%20NMIJMS%20%20August2015www.newmanpublication.com.pdf, New Man Publication Web site Accessed May 15, 2016; Bennie, R., Medical tourism: A look at how medical outsourcing can reshape health care (2014) Texas Int Law J., 49 (3), pp. 583-600; Bye, H., Shopping abroad for medical care: The next step in controlling the escalating health care costs of American Group Health Plans (2007) Health Law., 19 (5), pp. 30-31; Alleman, B., Luger, T., ReisingerH Martin, R., Horowitz, M., Cram, P., Medical tourism services available to residents of the United States (2011) J Gen Intern Med., 26 (5), pp. 492-497; Conley, D., Sikula, A., Willis, W., Coustasse, A., Medical tourism and international healthcare options. Zach Frank (2013) Proceedings of the Business and Health Administration Association, pp. 259-268. , ed. Paper presented at; Kirchner, E., Carroll, J., Nious, K., US Insurance Companies Expanding Medical Tourism Coverage. NBC Bay Area Web Site, , http://www.nbcbayarea.com/news/local/Medical-Tourism-The-Future-of-Healthcare-233414371.html, Accessed August 24 2016; US Insurance Companies Becoming More Receptive to Medical Tourism, , http://trip4care.com/us-insurance-companiesbecoming-more-receptive-to-medical-tourism/, Trip4CARE.com Trip4CARE.com Web site Accessed May 15, 2016; Travel Trends: 2015. Office for National Statistics Web Site, , http://www.ons.gov.uk/peoplepopulationandcommunity/leisureandtourism/articles/traveltrends/2015, Office for National Statistics Accessed August 25, 2016; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework froma comparative study of Thailand Singapore and Malaysia (2011) Globalization and Health., 7, p. 12; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: A cost or benefit to the NHS (2013) PlosOne, 8 (10), pp. 1-8; Chambers, A., Trends in U.S. Health Travel Services Trade. USITC Executive Briefing On Trade, , https://www.usitc.gov/publications/332/executivebriefings/chambershealth-related_travelfinal.pdf, USITC Executive Web site. Accessed August 25, 2016; Kirchner, E., Carroll, J., Nious, K., US Insurance Companies Expanding Medical Tourism Coverage, , http://www.nbcbayarea.com/on-air/as-seen-on/Medical-Tourism:-The-Futureof-HealthcareBay-Area-233417951.html, NBC News Bay Area Web site Accessed May 15, 2016; Smerd, J., Large companies hopping aboard medical tourism (2008) Workforce Management., 87 (11), pp. 8-10; McLean, T.R., Commentary: The industrialization of medical tourism and the Blue Ridge paper claim (2007) J Controversial Med Claims., pp. 18-19; Bennie, R., Medical tourism: A look at how medical outsourcing can reshape health care (2007) Texas Int Law J., 49, pp. 583-600; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge (2010) J Public Health Policy., 31, pp. 185-198; Wallace, S.P., Mendez-Luck, C., Castaneda, X., Heading south: Why Mexican immigrants in California seek health services in Mexico (2009) Med Care., 47 (6), pp. 662-669; Horton, S., Cole, S., Medical returns: Seeking health care in Mexico (2011) Soc Sci Med., 72 (11), pp. 1846-1852; Al-Lamki, L., Medical tourism: Beneficence or maleficence (2011) Sultan Qaboos Univ Med J., 11 (4), pp. 444-447; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics., 12, p. 17; Mestrović, T., Medical Tourism Risks. 2014. News Medical Life ScienceWeb Site., , http://www.news-medical.net/health/Medical-Tourism-Risks.aspx, Accessed August 26, 2016; (2009) The Pros and Cons of Medical Tourism, , http://www.lexology.com/library/detail.aspxg=66db0ce5-f789-4677-9699-07d0660cda79, Matheson Law Group Lexology Web site Accessed August 26, 2016; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int Soc Qual Health Care., 23 (1), pp. 1-7; Aetna Introduces New Cross-border Health Insurance for USA and Mexico. International Medical Travel Journal Web Site, , http://www.imtj.com/news/aetna-introducesnew-cross-border-health-insurance-usa-and-mexico/, International Medical Travel Journal Accessed May 15, 2016; Medical TourismAssociationWeb Site, , http://www.medicaltourism.com/Forms/price-comparison.aspx, Medical Tourism Association. Compare prices Accessed May 15, 2016","Coustasse, A.; Lewis College of Business, Marshall UniversityUnited States; email: coustassehen@marshall.edu",,,"Lippincott Williams and Wilkins",,,,,15255794,,,"28953068","English","Health Care Manager",Article,"Final",,Scopus,2-s2.0-85033225815 "Adams K., Snyder J., Crooks V.A., Johnston R.","37074104200;24170239100;35585107800;36500711800;","Developing an informational tool for ethical engagement in medical tourism",2017,"Philosophy, Ethics, and Humanities in Medicine","12","1", 4,"","",,2,"10.1186/s13010-017-0045-9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028340171&doi=10.1186%2fs13010-017-0045-9&partnerID=40&md5=6ca1ec8d78c8ead6d92ef85b6d9bda9f","Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC, Canada; Simon Fraser University, Robert C. Brown Building, Department of Geography, 8888 University Drive, Burnaby, BC, Canada","Adams, K., Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC, Canada; Crooks, V.A., Simon Fraser University, Robert C. Brown Building, Department of Geography, 8888 University Drive, Burnaby, BC, Canada; Johnston, R., Simon Fraser University, Robert C. Brown Building, Department of Geography, 8888 University Drive, Burnaby, BC, Canada","Background: Medical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism. Methods: The methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists' decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists. Results: The final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service. © 2017 The Author(s).","Equity; Ethics; Guideline; International medical travel; Medical tourism","Canada; consumer; decision making; doctor patient relation; ethics; human; medical tourism; practice guideline; public health; safety; travel; information dissemination; medical tourism; morality; patient education; procedures; prospective study; social behavior; Canada; Humans; Information Dissemination; Medical Tourism; Morals; Patient Education as Topic; Prospective Studies; Public Health; Social Responsibility",,,,,"Canadian Institutes of Health Research: 114797 Michael Smith Foundation for Health Research Michael Smith Foundation for Health Research","The development of this paper was supported through a Catalyst: Ethics grant from the Canadian Institute of Health Research (funding reference number 114797). VAC is also supported by a Scholar Award from the Michael Smith Foundation for Health Research.",,"Ehrbeck, T., Guevara, C., Mango, P.D., Health care and the consumer (2008) McKinsey Quarterly, 4, pp. 80-89; Crooks, V.A., Snyder, J., Regulating medical tourism (2010) Lancet, 376, pp. 1465-1466; Kangas, B., Complicating common ideas about medical tourism: gender, class, and globality in Yemenis' international medical travel (2011) Signs, 36, pp. 327-332; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge? (2010) J Public Health Policy, 31, pp. 185-198; Kangas, B., Traveling for medical care in a global world (2010) Med Anthropol, 9, pp. 344-362; Sobo, E., Medical travel: what it means, why it matters (2009) Med Anthropol, 28, pp. 326-335; Smith, K., The problematization of medical tourism: a critique of neoliberalism (2012) Developing World Bioethics, 12, pp. 1-8; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., Beyond sun, sand & stitches: assigning responsibility for the harms of medical tourism (2012) Bioethics, 27, pp. 233-242; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Develping World Bioethics, 11, pp. 16-29; Turner, L., 'first world care at third world prices': globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism: comparing patient and academic perspectives (2012) Public Health Ethics, 5 (1), pp. 1-9; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12, pp. 17-25; Turner, L., Medical travel and the Global Health services marketplace: identifying risks to patients, public health, and health systems (2012), pp. 253-277. , In: Hodges JR, Turner L, Kimball AK, editors. Risks and challenges in medical tourism: understanding the global market for health services. California: Praeger; Garud, A.D., Medical tourism and its impact on our healthcare (2005) Natl Med J India, 18, pp. 318-319; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries?: a scoping review (2010) Int J Equity Health, 41 (1), p. 9; Chen, Y.Y.B., Flood, C.M., Medical tourism's impact on health care equity and access in low- and middle-income countries: making the case for regulation (2013) J Law Med Ethics, pp. 286-300; Crooks, V.A., Turner, L., Cohen, G., Bristeir, J., Snyder, J., Casey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: a qualitative study of Canadian health and safety representatives' perspectives (2013) BMJ Open, 3; Eriksson, S., Hoglund, A.T., Helgesson, G., Do ethical guidelines give guidance? A critical examination of eight ethics regulations (2008) Camb Q Healthcare Ethics, 17, pp. 15-29; Beauchamp, T.L., Childress, J.F., (2001) Principles of biomedical ethics, , 5th ed. Oxford: Oxford University Press; Ite, U., Multinationals and corporate social responsibility in developing countries: a case study of Nigeria (2004) Corp Soc Responsib Environ Manag, 11, pp. 1-11; Farrell, B.H., Conventional or sustainable tourism? No room for choice (1999) Tour Manag, 20, pp. 189-191; (2005) Making tourism more sustainable: A guide for policymakers, , http://www.unep.fr/shared/publications/pdf/DTIx0592xPA-TourismPolicyEN.pdf; Schirnding, Y., Health and sustainable development: can we rise to the challenge? (2002) Lancet, 360, p. 581; Abramson, M., Collective responsibility in interdisciplinary collaboration: an ethical perspective for social workers (1984) Social Work Health Care, 10, pp. 35-43; Ormond, M., Sothern, M., You, too, can be an international medical traveler: reading medical travel guidebooks (2012) Health Place, 18, pp. 935-941; Peter, F., Evans, T., Ethical dimensions of health equity (2009) Challenging inequities in health: from ethics to action, , In: Evans T, et al., editors. Now York: Oxford University Press; Ormond, M., Solidarity by demand? Exit and voice in international medical travel - the case of Indonesia (2015) Soc Sci Med, 124, pp. 305-312; Solomon, H., Affective journeys: the emotional structuring of medical tourism in India (2011) Anthropol Med, 18, pp. 105-118; Whittaker, A., Chee, H.L., Perceptions of an 'international hospital' in Thailand by medical travel patients: cross-cultural tensions in transnational spaces (2015) Soc Sci Med, 124, pp. 290-297; Parvanta, C., Nelson, D.E., Parvanta, S., Harner, R.N., (2011) Essentials of Public Health Communication, , Missisauga: Jones & Bartlett Learning; Global Code of Ethical for Tourism 1999 (2012), http://ethics.unwto.org/en/content/global-code-ethics-tourism; D'Amore, L., Promoting sustainable tourism- the Canadian approach (1992) Tour Manag, 13, pp. 258-262; Byrd, E., Stakeholders in sustainable tourism development and their roles: applying stakeholder theory to sustainable tourism development (2007) Tourism Hospitality, 62, pp. 6-13; Prochaska, J.O., Velicer, W.F., The Transtheoretical model of health behaviour change (1997) Am J Health Promot, 12, pp. 38-48; ISSCR: Guidelines for the Clinical Translation of Stemcells (2008), http://www.isscr.org/docs/default-source/all-isscr-guidelines/guidelines-2016/isscr-guidelines-for-stem-cell-research-and-clinical-translationd67119731dff6ddbb37cff0000940c19.pdf?sfvrsn=4; ASPS: Plastic surgery is real surgery: do you have the facts you need? (2012), https://www.plasticsurgery.org/news/blog/how-to-ensure-your-plastic-surgery-is-safe; IMTJ: Medical Tourism Patient Guide (2012), http://www.imtj.com/resources/patient-guide; Hopwood, B., Mellor, M., O'Brien, G., Sustainable development: mapping different approaches (2005) Sustain Dev, 13, pp. 38-52; Robinson, J., Squaring the circle? Some thoughts on the idea of sustainable development (2004) Ecol Econ, 48, pp. 369-384; Malloy, D.C., Fennel, D.A., Codes of ethics and tourism: an exploratory content analysis (1998) Tour Manag, 19, pp. 453-461; Meagher, K.M., Lee, L.M., Integrating public health and deliberative public bioethics: lessons from the human genome project ethical, legal and social implications program (2016) Public Health Rep, 131, pp. 44-51; Lefebvre, R.C., Flora, J.A., Social marketing and public health intervention (1988) Health Educ Behav, 15, pp. 299-315; Johnston, R., Crooks, V.A., Snyder, J., ""I didn't even know what I was looking for "": A qualitative study of the decision-making processes of Canadian medical tourists (2012) Glob Health, 8. , https://doi.org/10.1186/1744-8603-8-23; Lunt, N., Carrera, P., Systematic review of web sites for prospective medical tourists (2011) Tour Rev, 66, pp. 57-67","Adams, K.; Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Canada; email: kaa4@sfu.ca",,,"BioMed Central Ltd.",,,,,17475341,,,"28841897","English","Philos. Ethics Humanit. Med.",Article,"Final",Open Access,Scopus,2-s2.0-85028340171 "Chandran S.D., Mohamed A.S.P., Zainuddin A., Puteh F., Azmi N.A.","36815764400;57193346146;57196185800;54791424300;57212117216;","Medical tourism: Why Malaysia is a preferred destination?",2017,"Advanced Science Letters","23","8",,"7861","7864",,2,"10.1166/asl.2017.9595","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032175890&doi=10.1166%2fasl.2017.9595&partnerID=40&md5=d2973ffd72f4de47601a016bd68d038a","Faculty of Administrative Science and Policy Studies, University Teknologi MARA (UiTM), Shah Alam, 40450, Malaysia","Chandran, S.D., Faculty of Administrative Science and Policy Studies, University Teknologi MARA (UiTM), Shah Alam, 40450, Malaysia; Mohamed, A.S.P., Faculty of Administrative Science and Policy Studies, University Teknologi MARA (UiTM), Shah Alam, 40450, Malaysia; Zainuddin, A., Faculty of Administrative Science and Policy Studies, University Teknologi MARA (UiTM), Shah Alam, 40450, Malaysia; Puteh, F., Faculty of Administrative Science and Policy Studies, University Teknologi MARA (UiTM), Shah Alam, 40450, Malaysia; Azmi, N.A., Faculty of Administrative Science and Policy Studies, University Teknologi MARA (UiTM), Shah Alam, 40450, Malaysia","Healthcare in Malaysia has undergone major transformations. Compared to the pre-colonial days where medical care was confined to traditional remedies, medical tourism now has emerged as one of the key contributors to the nation’s economic growth. In fact, Malaysia has developed as one of the Asia’s most recognised developing countries in medical tourism. Healthcare in Malaysia is under the purview of the Ministry of Health (MOH). However, to boost medical tourism MOH works closely with the Ministry of Tourism and Culture (MOTAC) to provide an efficient system of health care encompassing of both government and private healthcare institutions. In fact, Malaysia has emerged as one of the leading choices for foreign patients seeking healthcare treatment abroad. The objective of this paper is to analyse the contributing factors for the rise in medical tourism in Malaysia. First, this paper discusses briefly the importance of tourism industry as one of the contributors to the national economy. Second, this paper analyses the importance and the popularity of medical healthcare and the contributing factors that have placed Malaysia as one of the preferred medical healthcare destinations in the region. © 2017 American Scientific Publishers. All rights reserved.","Healthcare; Medical tourism",,,,,,"600-IRMI/FRGS/5/3(33)/2016","In general, Malaysia is an established medical tourism destination. The combination of factors such as quality care, regulations, safety standards, state-of-the-art facilities that have been furnished to meet international standards and the governing laws within this industry has contributed to the growth of medical tourism in Malaysia. Also, Malaysia healthcare offers specialties Acknowledgments: This study was supported partially by Research Management Centre (RMC) UiTM, Shah Alam under the FRGS Grant 600-IRMI/FRGS/5/3(33)/2016.",,"Rahman, A.A., (2014) Malaysia-India Tourism Cooperation, Director, Malaysia Tourism Board, New Delhi, , India, Interview on May; (2014), www.thestar.com.my/Travel/Malaysia/2014/04/14/Triple-win-for-Malaysias-travel-sector, Anon, Malaysia bags top honours at Travael, + Leisure’s travel awards, The Star, April; (2016), http://www.mod.gov.tr/Lists/RecentPublications/Attachments/100/Muslim%20Friendly%20Tourism%20in%20the%20OIC%20Member%20Countries.pdf, Commercial Cooperation of the Organization of Islam Cooperation (COMCEC), Report on Muslim Friendly Tourism: Understanding the Demand and Supply in the OIC Muslim Countries, February 2016; Dawn, S.K., Pal, S., (2011) Medical Tourism in India: Issues, Opportunities and Designing Strategies for Growth and Development; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., (2007) Medscape General Medicine (Medgenmed), 9, p. 33; Jala, I., (2016), https://www.pemandu.gov.my/transformation-unpluggedtourism-a-keyeconomic-sector, Tourism: A Key Economic Sector, Retrieved January 2017; (2016), https://www.imtj.com/news/recordyear-malaysia-medicaltourism, International Medical Travel Journal, Record Year for Malaysia Medical Tourism, Retrieved January 2017; (2015), Laporan Tahunan, Tourism Malaysia; (2015), Ministry of Tourism and Culture Malaysia, Tourism Malaysia Annual Report; (2015), Ministry of Tourism Malaysia, Malaysia Tourist Profile, Kuala Lumpur; (2004), Ministry of Tourism Malaysia, Review of National Tourism Policy [Main Report], KL; Mohamad, N.A., (2013), www.bharian.com.my/bharian/articles/Destinasipelancongankesihatan/Article; (2017), http://www.mhtc.org.my/en/healthcare-industry-inmalaysia.aspx, Official Website Malaysia Healthcare Travel Council, Retrieved January 2017; (2017), https://www.mhtc.org.my/global-recognition, Official Website Malaysia Healthcare Travel Council, Retrieved January 2017; Suwinski, P., (2012) Medical-Tourism-Health is Wealth, , http://www.slideshare.net/frostandsullivan/malaysia-medical-tourism-overview; (2017), http://corporate.tourism.gov.my/research.asp?page, Tourism Malaysia, Retrieved January 2017; Mun, W.K., Malaysia Healthcare Travel Council (MHTC) Officer (2014) Interview on April 2014 in Kuala Lumpur; Khuen, W.W., (2016) Intan Management Journal, 13, p. 109","Chandran, S.D.; Faculty of Administrative Science and Policy Studies, University Teknologi MARA (UiTM)Malaysia",,,"American Scientific Publishers",,,,,19366612,,,,"English","Adv. Sci. Lett.",Article,"Final",,Scopus,2-s2.0-85032175890 "Brophy J.","57195263060;","Navigating the ‘grey areas’: Australian medical travellers in China's stem cell bionetwork",2017,"Asia Pacific Viewpoint","58","2",,"216","227",,2,"10.1111/apv.12162","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026653616&doi=10.1111%2fapv.12162&partnerID=40&md5=f656ac7595e49bbee161bddac614e2ea","School of Social Sciences, Monash University, 500 Wellington Road, Clayton, VIC 3800, Australia","Brophy, J., School of Social Sciences, Monash University, 500 Wellington Road, Clayton, VIC 3800, Australia","The last decade has seen a marked rise in the phenomenon of the so-called stem cell tourism, whereby people travel from their home countries to access unproven stem cell treatments abroad. Despite increasing attempts on an international level from regulators, policy-makers and scientists to deter people from undergoing potentially harmful treatments, patient demand persists. Over the last decade, China has emerged as a leading destination for people seeking such treatments, where providers of treatments operate in varying ‘shades of grey’. While Chinese government intervention has had some impact on the availability of treatments within China, top-down regulatory measures face limitations considering strong patient demand and the geographical flexibility demonstrated by both patients and providers. This article draws on interviews with Australian patients who have travelled to China for stem cell treatments, or considered it and decided against it, as well as representatives of stem cell clinics in China and other stakeholders. It argues that Australian patients and/or carers articulate a culturally situated moral imperative to act in the face of limited conventional biomedical options and that commercial clinics capitalise on this to attract new patients and sustain the demand – either ‘underground’ in China, or by moving to other jurisdictions. © 2017 Victoria University of Wellington and John Wiley & Sons Australia, Ltd","Australia; China; medical travel; morality; patient decision-making; stem cells","biotechnology; decision making; disease treatment; medical tourism; morality; Australia; China",,,,,,,,"Berger, I., Ahmad, A., Bansal, A., Kapoor, T., Sipp, D., Rasko, J.E., Global distribution of businesses marketing stem cell-based interventions (2016) Cell Stem Cell, 19, pp. 158-162; Bharawaj, A., Ethic of consensibility, subaltern ethicality: the clinical application of embryonic stem cells in India (2013) BioSocieties, 8, pp. 25-40; Blumenthal, D., Hsiao, W., Lessons from the East: China's rapidly evolving health care system (2015) The New England Journal of Medicine, 372, pp. 1281-1285; Brown, N., Kraft, A., Martin, P., The promissory past of blood stem cells (2006) BioSocieties, 1 (3), pp. 329-348; Chen, H., Stem cell governance in China: from bench to bedside (2009) New Genetics and Society, 28 (3), pp. 267-282; Chen, H., Gottweis, H., Stem cell treatments in China: rethinking the patient role in the global bio-economy (2013) Bioethics, 27 (4), pp. 194-207; Cyranoski, D., China's stem cell rules go unheeded (2012) Nature, 484, pp. 149-150; DelVecchio Good, M., The biotechnical embrace (2001) Culture, Medicine & Psychiatry, 25 (4), pp. 395-410; (2016) Guidelines for stem cell research and clinical translation, , http://www.isscr.org/home/publications/2016-guidelines, International Society for Stem Cell Research., Retrieved 23 November, from website; Lau, D., Ogbogu, U., Taylor, B., Stafinski, T., Menon, D., Caulfield, T., Stem cell clinics online: the direct-to-consumer portrayal of stem cell medicine (2008) Cell Stem Cell, 3 (6), pp. 591-594; Levine, A., Wolf, L., The roles and responsibilities of physicians in patients' decisions about unproven stem cell therapies (2012) Journal of Law, Medicine & Ethics, 40, pp. 122-134; Lysaght, T., Kerridge, I., Sipp, D., Porter, G., Capps, B.J., (2015) Ethical and regulatory challenges with autologous adult stem cells: a comparative review of international regulations, ARI Working Paper, No. 22, National University of Singapore, , http://www.ari.nus.edu.sg/publication/working-papers.html, Retrieved 31 July 2015, from website; Maienschein, J., Regenerative medicine's historical roots in regeneration, transplantation, and translation (2011) Developmental Biology, 358 (2), pp. 278-284; McMahon, D., Thorsteindóttir, H., Singer, P., Daar, A., (2010) China's recipe for stem cell success: the yin and yang of regenerative medical research and therapy, , http://scienceprogress.org/2010/02/china-stem-cell/, Science Progress, Retrieved 31 July 2015, from website; McMahon, D., Thorsteindóttir, H., Singer, P., Daar, A., Cultivating regenerative medicine innovation in China (2010) Regenerative Medicine, 5 (1), pp. 35-44; (2006) National High-tech R&D Program (863 Program), , http://www.most.gov.cn/eng/programmes1/200610/t20061009_36225.htm, Retrieved 31 July 2015, from website; Munsie, M., Pera, M., Regulatory loophole enables unproven autologous cell therapies to thrive in Australia (2014) Stem Cells and Development, 23 (S1), pp. 34-38; Munsie, M., Hyun, I., A question of ethics: selling autologous stem cell therapies flaunts professional standards (2014) Stem Cell Research, 13 (3), pp. 647-653; Murdoch, C., Scott, C., Stem cell tourism and the power of hope (2010) The American Journal of Bioethics, 10 (5), pp. 16-23; (2015) The Australian stem cell handbook, , http://www.stemcellsaustralia.edu.au/AboutUs/Document-Library/Patient-Information.aspx, National Stem Cell Foundation of Australia and Stem Cells Australia. Retrieved 31 July 2015, from website; Ong, A., Chen, N., (2010) Asian Biotech: Ethics and Communities of Fate, , (eds.) (, Durham and London, Duke University Press; Patra, P.K., Sleeboom-Faulkner, M., Bionetworking: experimental stem cell therapy and patient recruitment in India (2009) Anthropology & Medicine, 16 (2), pp. 147-163; Patra, P.K., Sleeboom-Faulkner, M., Recruiter-patients as ambiguous symbols of health: bionetworking and stem cell therapy in India (2011) New Genetics and Society, 30 (2), pp. 155-166; Petersen, A., Krisjansen, I., Assembling “the bioeconomy”: exploiting the power of the promissory life science (2015) Journal of Sociology, 51 (1), pp. 28-46; Petersen, A., Munsie, M., Tanner, C., MacGregor, C., Brophy, J., (2017) Stem Cell Tourism and the Political Economy of Hope, , Basingstoke, Palgrave Macmillan; Petersen, A., Seear, K., Technologies of hope: techniques of the online advertising of stem cell treatments (2011) New Genetics and Society, 30 (4), pp. 329-346; Petersen, A., Seear, K., Munsie, M., Therapeutic journeys: the hopeful travails of stem cell tourists (2014) Sociology of Health and Illness, 36 (5), pp. 670-685; Petersen, A., Tanner, C., Munsie, M., Between hope and evidence: how community advisors demarcate the boundary between legitimate and illegitimate stem cell treatments (2015) Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 19 (2), pp. 188-206; Prasad, A., Ambivalent journeys of hope: Embryonic stem cell therapy in a clinic in India (2015) Health: An Interdisciplinary Journal for the Social Study of Health, Illness, and Medicine., 19 (2), pp. 137-153; Rose, N., The politics of life itself (2007) Theory, Culture & Society., 18 (6), pp. 1-30; Rose, N., Miller, P., Political power beyond the state: problematics of government (2010) British Journal of Sociology, 61, pp. 271-303; Rose, N., Novas, C., Biological Citizenship (2005) Global Assemblages: Technology, Politics, and Ethics as Anthropological Problems, pp. 439-463. , in, A. Ong, S.J. Collier, (eds.),, Massachusetts, Oxford and Victoria, Blackwell Publishing; Rosemann, A., Medical innovation and national experimental pluralism: insights from clinical stem cell research and applications in China (2013) BioSocieties, 8 (1), pp. 58-74; Rosemann, A., Sleeboom-Faulkner, M., New regulation for clinical stem cell research in China: expected impact and challenges for implementation (2016) Regenerative Medicine, 11 (1), pp. 5-9; Qin, S., Daverman, R., (2011) China's 12th Five Year Plan for medical technology, , http://www.chinabiotoday.com/articles/20111202_3, ChinaBio, Retrieved 31 July 2015, from website; Regenberg, A., Hutchinson, L., Schanker, B., Mathews, D., Medicine on the Fringe: Stem Cell-Based Interventions in Advance of Medical Ethics (2009) Stem Cells, 27, pp. 2139-2312; Salter, B., Zhou, Y., Datta, S., Health consumers and stem cell therapy innovation: markets, models and regulation (2014) Regenerative Medicine, 9 (3), pp. 353-366; Salter, B., Zhou, Y., Datta, S., Hegemony in the marketplace of biomedical innovation: consumer demand and stem cell science (2015) Social Science & Medicine, 131, pp. 156-163; Seear, K., Petersen, A., Munsie, M., Skinner, R., (2010) Hopeful journeys: experiences of stem cell treatments offered outside Australia, , http://www.industry.gov.au/industry/IndustrySectors/nanotechnology/Publications/Documents/Hopeful_Journeys_Stem_Cell_Treatment.pdf, School of Political and Social Inquiry, Monash University. Retrieved 31 July 2015, from website; Sipp, D., (2009) The rocky road to regulation, , http://www.nature.com/stemcells/2009/0909/090923/full/stemcells.2009.125.html, Nature Reports Stem Cells, Retrieved 31 July 2015, from website; Sipp, D., Direct-to-consumer stem cell marketing and regulatory responses (2013) Stem Cells Translational Medicine, 2 (9), pp. 638-640; Sleeboom-Faulkner, M., Boundary making and 'good' stem cell research (SCR) in mainland China: including bioethics, excluding debate (2010) East Asian Science, Technology and Society, 4 (1), pp. 31-51; Sleeboom-Faulkner, M., The large grey area between ‘bona fide’ and ‘rogue’ stem cell interventions—ethical acceptability and the need to include local variability (2016) Technological Forecasting and Social Change, 109, pp. 76-86; Sleeboom-Faulkner, M., Patra, P.K., Experimental stem cell therapy: biohierachies and bionetworking in Japan and India (2011) Social Studies of Science, 41 (5), pp. 696-707; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Song, P., The proliferation of stem cell therapies in post-Mao China: problematising ethical regulation (2011) New Genetics and Society, 30 (2), pp. 141-153; Sui, S., Sleeboom-Faulkner, M., Governance of stem cell research and its clinical translation in China: an example of profit-oriented bionetworking (2015) East Asian Science, Technology and Society, 9, pp. 397-412; Tam, F., (2012) Halt to rogue stem-cell therapy, , http://www.scmp.com/article/989799/halt-rogue-stem-cell-therapy, South China Morning Post, Hong Kong. Published online 11 January. Retrieved 31 July 2015, from website; Whittaker, A., Chee, H.L., Flexible bio-citizenship’ and international medical travel: Transnational mobilities for care in Asia (2016) International Sociology, 31 (3), pp. 286-304; Zhang, J.Y., Does China offer a new paradigm for doing science? (2014) China's Many Dreams: Comparative Perspectives on China's Search for National Rejuvenation, pp. 156-179. , in, D. Kerr, (ed.),, London, Palgrave Macmillan","Brophy, J.; School of Social Sciences, Monash University, 500 Wellington Road, Australia; email: jane.brophy@monash.edu",,,"Blackwell Publishing Ltd",,,,,13607456,,,,"English","Asia Pac. Viewp.",Article,"Final",,Scopus,2-s2.0-85026653616 "Delil S., Çelik R.N., San S., Dundar M.","57194696779;7801603840;55342823700;8627107800;","Clustering patient mobility patterns to assess effectiveness of health-service delivery",2017,"BMC Health Services Research","17","1", 458,"","",,2,"10.1186/s12913-017-2381-2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021724526&doi=10.1186%2fs12913-017-2381-2&partnerID=40&md5=113e6a3c21e0b7992fa186adf254fc41","Informatics Institute, Istanbul Technical University, Istanbul, Turkey; Department of Financial Econometrics, Sakarya University, Sakarya, Turkey; Department of Computer and Information Sciences, Indiana University-Purdue University, Indianapolis, IN, United States","Delil, S., Informatics Institute, Istanbul Technical University, Istanbul, Turkey; Çelik, R.N., Informatics Institute, Istanbul Technical University, Istanbul, Turkey; San, S., Department of Financial Econometrics, Sakarya University, Sakarya, Turkey; Dundar, M., Department of Computer and Information Sciences, Indiana University-Purdue University, Indianapolis, IN, United States","Background: Analysis of patient mobility in a country not only gives an idea of how the health-care system works, but also can be a guideline to determine the quality of health care and health disparity among regions. Even though determination of patient movement is important, it is not often realized that patient mobility could have a unique pattern beyond health-related endowments (e.g., facilities, medical staff). This study therefore addresses the following research question: Is there a way to identify regions with similar patterns using spatio-temporal distribution of patient mobility? The aim of the paper is to answer this question and improve a classification method that is useful for populous countries like Turkey that have many administrative areas. Methods: The data used in the study consist of spatio-temporal information on patient mobility for the period between 2009 and 2013. Patient mobility patterns based on the number of patients attracted/escaping across 81 provinces of Turkey are illustrated graphically. The hierarchical clustering method is used to group provinces in terms of the mobility characteristics revealed by the patterns. Clustered groups of provinces are analyzed using non-parametric statistical tests to identify potential correlations between clustered groups and the selected basic health indicators. Results: Ineffective health-care delivery in certain regions of Turkey was determined through identifying patient mobility patterns. High escape values obtained for a large number of provinces suggest poor health-care accessibility. On the other hand, over the period of time studied, visualization of temporal mobility revealed a considerable decrease in the escape ratio for inadequately equipped provinces. Among four of twelve clusters created using the hierarchical clustering method, which include 64 of 81 Turkish provinces, there was a statistically significant relationship between the patterns and the selected basic health indicators of the clusters. The remaining eight clusters included 17 provinces and showed anomalies. Conclusions: The most important contribution of this study is the development of a way to identify patient mobility patterns by analyzing patient movements across the clusters. These results are strong evidence that patient mobility patterns provide a useful tool for decisions concerning the distribution of health-care services and the provision of health care equipment to the provinces. © 2017 The Author(s).","Clustering patient mobility; Gandy nomogram; Health-service delivery; Hierarchical clustering; Patient mobility; Turkish health-care system","classification; clinical study; comparative effectiveness; controlled study; female; health care delivery; health care system; human; male; nomogram; patient mobility; statistical model; Turkey (republic); health care delivery; health service; medical geography; organization and management; travel; Delivery of Health Care; Geography, Medical; Health Services Accessibility; Health Services Administration; Humans; Travel; Turkey",,,,,,,,"http://www.un.org/en/universal-declaration-human-rights/, The Universal Declaration of Human Rights - United Nations Accessed 3 July 2017; Cornelissen, R., The principle of territoriality and the community regulations on social security (regulations 1408/71 and 574/72) (1996) Common Market Law Rev, 33, pp. 439-471; Andritsos, D.A., Tang, C.S., The impact of cross-border patient movement on the delivery of healthcare services (2013) Int J Prod Econ, 145, pp. 702-712; http://www.euractiv.com/section/health-consumers/linksdossier/patient-mobility/, Patient mobility Accessed 3 July 2017; http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1396269481289&uri=CELEX:32011L0024, Directive 2011/24/EU of The European Parliament And Of The Council Accessed 10 June 2016; Paolella, G., Pediatric health mobility: Is it only an Italian problem? (2012) Transl Med UniSa, 4, pp. 57-61. , 23905063 3728800; Fattore, G., Petrarca, G., Torbica, A., Traveling for care: Inter-regional mobility for aortic valve substitution in Italy (2014) Health Policy, 117, pp. 90-97. , 24726508; Legido-Quigley, H., Glinos, I.A., Baeten, R., McKee, M., Busse, R., Analysing arrangements for cross-border mobility of patients in the European Union: A proposal for a framework (2012) Health Policy, 108, pp. 27-36. , 22871354; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16, pp. 1145-1155. , 20729128; Lippi Bruni, M., Nobilio, L., Ugolini, C., The analysis of a cardiological network in a regulated setting: A spatial interaction approach (2008) Health Econ, 17, pp. 221-233. , 17575558; Messina, G., Forni, S., Collini, F., Quercioli, C., Nante, N., Patient mobility for cardiac problems: A risk-adjusted analysis in Italy (2013) BMC Health Serv Res, 13, p. 56. , 23399540; Cantarero, D., Health care and patients' migration across Spanish regions (2006) Eur J Health Econ, 7, pp. 114-116. , 16477461; Messina, G., Vigiani, N., Lispi, L., Nante, N., Patient migration among the Italian regions in 2003 (2008) Ital J Public Health., 5, pp. 45-52; Levaggi, R., Zanola, R., Patients' migration across regions: The case of Italy (2004) Appl Econ, 36, pp. 1751-1757; Mafrolla, E., D'Amico, E., Patients' mobility as an indicator for (in) efficiency: A panel data analysis on Italian health care authorities (2013) Heal Econ Rev, 3, pp. 1-13; http://www.tkhk.gov.tr/DB/8/743_DB_8_turkiye-de-ozellikli-planlama-gerektiren-saglik-hizmetleri-, Turkey specialized planning required health services 2011-2023 Accessed 3 July 2017; Gandy, R., Franci, A., Gurrieri, C., McClelland, B., Demonstrating access to public services diagrammatically (2011) Int J Public Adm, 34, pp. 516-527; Gandy, R., A graphical representation of the inter-relationship between districts (1979) Hosp Health Serv Rev, 75, p. 50. , 1:STN:280:DyaE1M7gvVChtg%3D%3D 10240512; http://www.sb.gov.tr/TR/belge/1-24556/bakanlik-ve-bagli-kuruluslarinin-tasra-teskilatlarinin-.html, Bakanllk ve baǧll kuruluşlarlnln taşra teşkilatlarlnln işleyişi Accessed 3 July 2017; http://www.worldbank.org/en/news/feature/2015/02/17/lessons-from-turkey-how-bahrain-is-looking-to-improve-its-healthcare, Lessons from Turkey: How Bahrain is looking to improve its healthcare Accessed 3 July 2017; http://www.oecd.org/els/health-systems/Review-of-Health-Care-Quality-Turkey_ExecutiveSummary.pdf, OECD Reviews of Healthcare Quality Turkey Raising standards, Executive Summary, Assessment And Recommendation Accessed 3 July 2017; http://www.oecdbookshop.org/browse.asp?pid=title-detail&lang=en&ds=&ISB=9789264051096, OECD Reviews of Health Systems: Turkey 2008 Accessed 3 July 2017; www.tableausoftware.com, 2003-2017 Tableau Software Accessed 3 July 2017; (2009) R: A Language and Environment for Statistical Computing, , Statistical Package R R Foundation for Statistical Computing Vienn; https://www.mathworks.com/help/stats/cophenet.html, Cophenetic correlation coefficient Accessed 3 July 2017; Skinner, J., Chapter Two - Causes and Consequences of Regional Variations in Health Care (2011) Handbook of Health Economics, pp. 45-93. , http://www.sciencedirect.com/science/article/pii/B9780444535924000025?via%3Dihub, Pauly MV, Mcguire TG, Pedro B editors Elsevier; http://www.turkstat.gov.tr, Turkish Statistical Institute Accessed 20 Oct 2016; Kruskal, W.H., Wallis, W.A., Use of ranks in one-criterion variance analysis (1952) J Am Stat Assoc, 47, pp. 583-621","Delil, S.; Informatics Institute, Istanbul Technical UniversityTurkey; email: sdelil@itu.edu.tr",,,"BioMed Central Ltd.",,,,,14726963,,,"28676090","English","BMC Health Serv. Res.",Article,"Final",Open Access,Scopus,2-s2.0-85021724526 "Cohen I.G.","25653634900;","Medical tourism, medical migration, and global justice: Implications for biosecurity in a globalized world",2017,"Medical Law Review","25","2", fwx013,"200","222",,2,"10.1093/medlaw/fwx013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021964014&doi=10.1093%2fmedlaw%2ffwx013&partnerID=40&md5=4061f851fbc6af486ef06bdfa21ddf57","Harvard Law School, Flom Center for Health Law Policy, Biotechnology, and Bioethics, United States","Cohen, I.G., Harvard Law School, Flom Center for Health Law Policy, Biotechnology, and Bioethics, United States","We live in the age of globalization. In medicine, that globalization has brought many benefits such as the diffusion of technology and the spread of health care training, but it has also brought threats to biosecurity. This article examines how medical tourism and medical migration pose risks to biosecurity. It also argues that designing legal responses to these risks requires not only technical competence but also a theory of global justice to guide that design. © 2017. Oxford University Press. All rights reserved.","Bioethics; Biosecurity; Global justice; Globalization; Medical migration; Medical tourism","health care delivery; human; international cooperation; medical tourism; social justice; Delivery of Health Care; Humans; Internationality; Medical Tourism; Social Justice",,,,,,,,"Glenn Cohen, I., (2013) The Globalization of Health Care: Legal and Ethical Challenges, , (OUP); Glenn Cohen, I., (2014) Patients with Passports: Medical Tourism, Law, and Ethics, , (OUP); Scheuerman, W., Globalization (2010) The Stanford Encyclopedia of Philosophy, , http://plato.stanford.edu/archives/sum2010/entries/globalization/, Edward N Zalta (ed) accessed 7 February; Scholte, J.A., Beyond the Buzzword: Towards a Critical Theory of Globalization (1996) Globalization: Theory and Practice, pp. 43 and 45-49. , Eleonore Kofman and Gillians Youngs (eds) (The Continuum International Publishing Group); Tomlinson, J., (1999) Globalization and Culture, p. 9. , (University of Chicago Press); Cohen, I.G., Transplant Tourism: The Ethics and Regulation of International Markets for Organs (2013) Med & Ethics, 41 JL, p. 269; Cohen, I.G., Circumvention Tourism (2012) Cornell LR, 97, p. 1309; Schoen, C., Insured But Not Protected: How Many Adults Are Underinsured (2005) Health Aff 289, W5 (289), pp. 295-296; Crooks, V., What is Known about the Patient's Experience of Medical Tourism? A Scoping Review (2010) BMC Health Service Res, 10 (266), p. 266; Labonte, R., Overview: Medical Tourism Today: What, Who, Why and Where (2013) Travelling Well: Essays in Medical Tourism, , R Labonte and others (eds), 4 Transdisciplinary Studies in Population Health Series 6, 12 (Institute of Population Health, University of Ottawa, Ottawa); Pitts, B., Battiste, N., As More Americans Have Surgeries Overseas, US Companies Consider ""Medical Tourism"" a Health Care Option (2013) ABC News/Nightline, , http://abcnews.go.com/Health/americans-surgeries-overseas-us-companies-medical-tourism-health/story?id=20423011, (30 September) accessed 15 August; Hodges, J.R., Kimball, A.M., Unseen Travelers: Medical Tourism and the Spread of Infectious Disease (2012) Risks & Challenges in Medical Tourism: Understanding the Global Market for Health Services, pp. 111 and 115. , JR Hodges, L Turner and AM Kimball (eds), (Praeger); Moser, M.R., An Outbreak of Influenza aboard a Commercial Airliner (1979) AmJ Epidemiology, 110, p. 1; McGee, G., Thanks, Andrew Speaker (2007) The Scientist, p. 26. , (July); Joly, Y., Nycum, G., The Tuberculosis Scare in Retrospect (2007) Med & Ethics, 35 JL (734), p. 737; Jean, S.-S., Hsueh, P.-R., High Burden of Antimicrobial Resistance in Asia (2011) Int J Antimicrobial Agents, 37 (291), p. 291; Yong, D., Characterization of a New Metallo-beta-lactamase gene, bla(NDM-l), and a Novel Erythromycin Esterase Gene Carried on a Unique Genetic Structure in Klebsiella Pneumoniae Sequence Type 14 from India (2009) Antimicrobial Agents & Chemotherapy, 53, p. 5054; Flood, C.M., Chaoulli's Legacy for the Future of Canadian Health Care Policy (2006) Osgoode Hall LJ, 44 (273), p. 289; Stoddart, G.L., Barer, M.L., Will Increasing Medical School Enrollment Solve Canada's Physician Supply Problems (1999) Canadian Med Asso J, 161, p. 983; Kamalakanthan, A., Jackson, S., (2006) The Supply of Doctors in Australia: Is There a Shortage, , http://tinyurl.com/3fz7r94, University of Queensland, Discussion Paper No 341 accessed 15 August; Snyder, J., Beyond Sun, Sand, and Stitches: Assigning Responsibility for the Harms of Medical Tourism (2013) Bioethics, 27 (233), p. 234; Benavides, D.D., Trade Policies and Export of Health Services: A Development Perspective (2002) Trade in Health Services: Global, Regional, and Country Perspectives, p. 55. , http://tinyurl.com/3crozzd, N Drager and C Vieira (eds) (Pan American Health Organization) accessed 16 August; Chen, Y.Y.B., Flood, C.M., Medical Tourism's Impact on Health Care Equity and Access in Low- and Middle-Income Countries: Making the Case for Regulation (2013) JL Med & Ethics, 41 (286), pp. 294-295; Pogge, T., World Poverty and Human Rights (2005) Ethics & Int Aff, 19 (1), p. 5; Risse, M., WhatWe Owe to the Global Poor (2005) J Ethics, 9, pp. 81 and 99-100; Nagel, T., The Problem of GlobalJustice (2005) Phil & Pub Aff 113, 33 (127), p. 128; Blake, M., Distributive Justice, State Coercion, and Autonomy (2001) Phil & Pub Aff 257, 30 (265), p. 289; Cohen, J., Sabel, C., Extra Rempublicam Nulla Justitia (2006) Phil & Pub Aff, 34 (147), pp. 154-155; Daniels, N., (2008) Just Health: Meeting Health Needs Fairly, p. 351. , (1st edn, CUP)","Cohen, I.G.; Harvard Law School, Griswold 503, United States; email: igcohen@law.harvard.edu",,,"Oxford University Press",,,,,09670742,,,"28402562","English","Med. Law Rev.",Article,"Final",,Scopus,2-s2.0-85021964014 "Suki A.A., Putit L., Mohamad Khan N.R.","56331105800;41762608400;56330267500;","Assessing sharia compliance medical destination behaviour: A medical tourism perspective",2017,"Pertanika Journal of Social Sciences and Humanities","25","S",,"203","213",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85057192925&partnerID=40&md5=d58ab7b4e97e5fcce92aa5bf1acedccb","Faculty of Business and Management, Universiti Teknologi MARA, Puncak Alam, Selangor 42300, Malaysia","Suki, A.A., Faculty of Business and Management, Universiti Teknologi MARA, Puncak Alam, Selangor 42300, Malaysia; Putit, L., Faculty of Business and Management, Universiti Teknologi MARA, Puncak Alam, Selangor 42300, Malaysia; Mohamad Khan, N.R., Faculty of Business and Management, Universiti Teknologi MARA, Puncak Alam, Selangor 42300, Malaysia","This study, using Sharia Compliance Medical Destination Behaviour (SCoM-DB) model, aims to assess the psychological factors that influence the tourist’s selection of sharia compliant medical destination. It further attempts to identify linkages between religiosity towards attitude and destination image towards the subjective norm. A survey questionnaire method using judgmental sampling technique was adopted. Data A total of 105 respondents were recruited for this purpose and data obtained was used to test the relationship using partial least square structural equation modelling (PLS-SEM). Findings revealed that attitude and perceived behavioural control have a significant influence on destination choice whereby the latter (perceived behavioural control) proved to be the strongest contributing factor. Meanwhile, subjective norm is found to have an insignificant effect on destination intention behaviour. The significant relationship between religiosity towards attitude and destination image was also noted. © Universiti Putra Malaysia Press","Destination intention behaviour; Intention; Medical tourism; Sharia compliance; Theory of Planned Behaviour (TPB)",,,,,,"Universiti Teknologi MARA, UiTM: 600-RMI FRGS 5/3 (127/2013 Universiti Teknologi MARA, UiTM","This research was supported by Ministry of Education and Universiti Teknologi MARA (UiTM) via the Fundamental Research Grant Scheme (FRGS) [File No: 600-RMI FRGS 5/3 (127/2013).",,"Ajzen, I., The theory of planned behavior (1991) Organization Behavior and Human Decision Processes, 50 (2), pp. 179-221; Ajzen, I., From intentions to actions: A theory of planned behavior (1985) Action Control: From Cognition to Behavior, , J.K. Beckman Ed; Alam, S.S., Mohd, R., Hisham, B., Is religiosity an important determinant on Muslim consumer behaviour in Malaysia? (2011) Journal of Islamic Marketing, 2 (1), pp. 83-96; Alegre, J., Cladera, M., Analysing the effect of satisfaction and previous visits on tourist intentions to return (2009) European Journal of Marketing, 43 (5-6), pp. 670-685; Al-Harran, S., Low, K.C., Marketing of halal products: The way forward (2008) The Halal Journal, pp. 44-46; Anuar, M.M., Adam, F., Omar, K., The role of religiosity in social responsible consumption (2012) International Journal of Asian Social Science, 2 (9), pp. 1467-1476; Beerli, A., Martin, J.D., Factors influencing destination image (2004) Annals of Tourism Research, 31, pp. 657-681; Bieger, T., Laesser, C., Information sources for travel decisions: Toward a source process model (2004) Journal of Travel Research, 42 (4), pp. 357-371; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan Ltd, New York, NY; Chen, C.F., Tsai, D., How destination image and evaluative factors affect behavioral intentions? (2007) Tourism Management, 28 (4), pp. 1115-1122; Cohen, J., (1988) Statistical Power Analysis for The Behavioral Sciences, , Mahwah, NJ: Lawrence Erlbaum; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about a patient‘s experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 266; Dolnicar, S., Grün, B., Validly measuring destination image in survey studies (2012) Journal of Travel Research, , 0047287512457267; Fornell, C., Larcker, D.F., Evaluating structural equation models with unobservable variables and measurement error (1981) Journal of Marketing Research, 18 (1), pp. 39-50; Hair, J.F., Jr., Hult, G.T.M., Ringle, C., Sarstedt, M., (2016) A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM), , Sage Publications; Jalilvand, M.R., Samiei, N., Dini, B., Manzari, P.Y., Examining the structural relationships of electronic word of mouth, destination image, tourist attitude toward destination and travel intention: An integrated approach (2012) Journal of Destination Marketing and Management, 1 (1), pp. 134-143; Johan, Z.J., Putit, L., Conceptualizing the influences of knowledge and religiosity on islamic credit card compliance (2016) Procedia Economics and Finance, 37, pp. 480-487; Jotikasthira, N., (2010) Salient Factors Influencing Medical Tourism Destination Choice, , DBA thesis, Southern Cross University, Lismore, NSW; Lam, T., Hsu, C.H., Predicting behavioral intention of choosing a travel destination (2006) Tourism Management, 27 (4), pp. 589-599; Light, D., Keller, S., Calhoun, C., (1989) Sociology, , New York: Alfred A. Knopf; Mahjom, N., Alias, M.H., Zulkifli, N.F., Critical success factors for bumiputera/ muslim medical tourism providers: Solution for financing needs using islamic financing instruments (2011) Proceedings of Persidangan Kebangsaan Ekonomi Malaysia PERKEM VI, 2, pp. 184-195; Martin, D.S., Ramamonjiarivelo, Z., Martin, W.S., Medtour: A scale for measuring medical tourism intentions (2011) Tourism Review, 66 (1), pp. 45-56; Mokhlis, S., Relevancy and measurement of religiosity in consumer behaviour research (2009) International Business Research, 2 (3), pp. 75-84; Murphy, L., Moscardo, G., Benckendorff, P., Exploring word-of-mouth influences on travel decisions: Friends and relatives vs. Other travellers (2007) International Journal of Consumer Studies, 31 (5), pp. 517-527; Nolan, S.D., Tourists use and evaluation of travel information sources: Summary and conclusions (1976) Journal of Travel Research, 14, pp. 6-8; Prem, J., The middle eastern patient’ (2009) Medical Tourism Magazine, (13). , Dec 18; Putit, L., Suki, A.A., Yusof, J.M., Khan, N.R.M., Conceptualizing medical tourists’ adoption of destination choice behaviour (2014) IBIMA 24th Conference Proceedings; Sirakaya, E., Sonmez, S., Choi, H.-S., Do destination images really matter? Predicting destination choices of student travellers (2001) Journal of Vacation Marketing, 7 (2), pp. 125-142; Snyder, J., Crooks, V.A., Johnston, R., Dharamsi, S., Do your homework… and then hope for the best”: The challenges that medical tourism poses to Canadian family physicians’ support of patients’ informed decision-making (2013) BMC Medical Ethics, 14 (1), p. 1; Suki, A.A., Putit, L., Yusof, J.M., Khan, R.M., Assessing medical tourists’ destination choice behavior: A conceptual perspective (2014) Theory and Practice in Hospitality and Tourism Research, pp. 519-523. , Aug 2014; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health Tourism in Australia: Supply, Demand and Opportunities, , Australia: CRC for Sustainable Tourism Pty Ltd; Walter, C.K., Tong, H.M., A local study of consumer vacation travel decisions (1977) Journal of Travel Research, 15 (4), pp. 30-34","Suki, A.A.; Faculty of Business and Management, Universiti Teknologi MARAMalaysia; email: amirahahmadsuki@yahoo.com",,,"Universiti Putra Malaysia",,,,,01287702,,,,"English","Pertanika J. Soc. Sci. Humanit.",Article,"Final",,Scopus,2-s2.0-85057192925 "Batalova L.V., Merzlyakova G.V.","57194265109;57194270314;","Historical overview of children's and youth sport-and-health tourism in udmurt republic",2017,"Teoriya i Praktika Fizicheskoy Kultury",,"2",,"56","58",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85037053153&partnerID=40&md5=9418cc437a5f1f784429fa788a74308a","Udmurt State University, Izhevsk, Russian Federation","Batalova, L.V., Udmurt State University, Izhevsk, Russian Federation; Merzlyakova, G.V., Udmurt State University, Izhevsk, Russian Federation","The article gives a historical overview of the children's and youth sport-andhealth tourism in Udmurtia. An objective of the study was to analyse and summarise the specific historical experience of the children's and youth sportand-health tourism in the Udmurt Republic with a special focus on its institutional forms and methods. The children's and youth tourism is interpreted herein as the tourist activity designed for children's and adolescent's groups composed of 18-years-old people. The children's and youth sport-and-health tourism in Udmurtia emerged and developed much in the same way as was traditional for the nation on the whole. However, the Udmurt Republic was different in the sense that the children's and youth sport-and-health tourism dominated over the other types and forms of tourist activity. The Udmurt children's and youth tourism emerged in the second half of the XIX century, but its sound institutional basics and core developmental vectors were formed in the period of 1930 to 1960ies. It was in 1970-1980ies that the children's and youth sport-and-health tourism shaped up as a separate tourist sector. The study demonstrates that it was the tourist walking trip that comprised the most popular and efficient institutional form of the children's and youth sport-and-health tourism at that time.","Children's and Youth Tourism; Sport-And-Health Tourism; Udmurt Republic",,,,,,,,,"Batalova, L.V., Vasilyeva, L.V., Turizm v Udmurtii: Istoriya i sovremennost (2012) Tourism in Udmurtia: History and the Present, p. 444. , Izhevsk: Udmurt university publ; State Archive of the Russian Federation, , Fund P-7576. Committee of Physical Culture and Sports of the USSR. (In Russ.); State Archive of the Russian Federation, , Fund P-9563. Ministry of Education of the USSR. (In Russ.); State Archive of the Russian Federation, , Fund P-9520. Central Council for Tourism and Excursions of AUCCTU. (In Russ.); Russian State Archive of Socio-Political History, , Fund M-5. Bureau of International Youth Tourism (BIYT)Sputnik"" CC LYCLSU. (In Russ.); Central State Archive of the Republic of Udmurtia. Fund P-1254. National Children's Excursion and Tourist Station of the Ministry of Education of the Udmurt Autonomous Soviet Socialist Republic. (In Russ.); Central State Archive of the Republic of Udmurtia. Fund P-1592. Udmurt Regional Council On Tourism and Excursions. (In Russ.); Sputnik"" Udmurt Regional Committee of AUCCTU. (In Russ.); Documentation Centre of the Recent History of the Udmurt Republic. Foundation 92. Udmurt Regional Committee of AUCCTU. (In Russ.)",,,,"Teoriya i praktika fizicheskoy kul'tury i sporta",,,,,00403601,,,,"Russian","Teor. Prakt. Fiz. Kult.",Review,"Final",,Scopus,2-s2.0-85037053153 "Psiha M.M., Vlamos P.","44462107300;6506847560;","IoT Applications with 5G Connectivity in Medical Tourism Sector Management: Third-Party Service Scenarios",2017,"Advances in Experimental Medicine and Biology","989",,,"141","154",,2,"10.1007/978-3-319-57348-9_12","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032337840&doi=10.1007%2f978-3-319-57348-9_12&partnerID=40&md5=3886d8cf3d0f83e66d548df03afc884f","Department of Informatics, Ionian University, Corfu, 49100, Greece","Psiha, M.M., Department of Informatics, Ionian University, Corfu, 49100, Greece; Vlamos, P., Department of Informatics, Ionian University, Corfu, 49100, Greece","5G is the next generation of mobile communication technology. Current generation of wireless technologies is being evolved toward 5G for better serving end users and transforming our society. Supported by 5G cloud technology, personal devices will extend their capabilities to various applications, supporting smart life. They will have significant role in health, medical tourism, security, safety, and social life applications. The next wave of mobile communication is to mobilize and automate industries and industry processes via Machine-Type Communication (MTC) and Internet of Things (IoT). The current key performance indicators for the 5G infrastructure for the fully connected society are sufficient to satisfy most of the technical requirements in the healthcare sector. Thus, 5G can be considered as a door opener for new possibilities and use cases, many of which are as yet unknown. In this paper we present heterogeneous use cases in medical tourism sector, based on 5G infrastructure technologies and third-party cloud services. © 2017, Springer International Publishing AG.","5G infrastructure; IoT applications; Machine-type communication; Management; Medical tourism sector","cloud computing; data processing; health care; human; information technology; Internet; internet of things; machine type communication; medical tourism; priority journal; wireless communication; health care delivery; wireless communication; Delivery of Health Care; Internet; Medical Tourism; Wireless Technology",,,,,,,,"(2015) 5G Initiative Team, , https://www.ngmn.org/uploads/media/NGMN_5G_White_Paper_V1_0.pdf; Dinh, H.T., Lee, C., Niyato, D., Wang, P., A Survey of Mobile Cloud Computing: Architecture, Applications, and Approaches (2013) Wireless Communications and Mobile Computing, 13 (18), pp. 1587-1611; Prasad, A., Lundén, P., Moisio, M., Uusitalo, M., Li, Z., (2015) Efficient Mobility and Traffic Management for Delay Tolerant Cloud Data in 5G Networks, IEEE PIMRC 2015, , Hongkong, China; (2015) Ericsson Mobility Report on the Pulse of the Networked Society; (2015) Beyond LTE, , Enabling the Mobile Broadband Explosion, Rysavy Research; (2015) U.S. and World Population Clock, , http://www.census.gov/popclock/; Huang, D., Zhou, Z., Xu, L., Xing, T., Zhong, Y., Secure Data Processing Framework for Mobile Cloud Computing (2011) IEEE Conference on Computer Communications Workshops (INFOCOM WKSHPS), pp. 614-618; Yu, R., Zhang, Y., Gjessing, S., Xia, W., Yang, K., Toward Cloud Based Vehicular Networks with Efficient Resource Management (2013) IEEE Network, 27 (5), pp. 48-55; Sabella, D., Rost, P., Sheng, Y., Pateromichelakis, E., Salim, U., Guitton-Ouhamou, P., Di Girolamo, M., Giuliani, G., (2013) RAN as a Service: Challenges of Designing a Flexible RAN Architecture in a Cloud-Based Heterogeneous Mobile Network, Future Network and Mobile Summit, pp. 1-8; Rost, P., Bernardos, C., Cloud Technologies for Flexible 5G Radio Access Networks (2014) IEEE Communications Magazine, 52 (5), pp. 68-76; (2015) The 5G Infrastructure Public Private Partnership: The Next Generation of Communication Networks and Services, , https://5g-ppp.eu/wp-content/uploads/2015/02/5G-Vision-Brochure-v1.pdf; (2016) Preliminary Views and Initial Considerations on 5G RAN Architecture and Functional Design; (2014), http://ec.europa.eu/newsroom/dae/document.cfm?doc_id=5147; (2016) 5G Masterplan – Five Keys to Create the New Communications Era, , http://resources.alcatel-lucent.com/asset/200316; (2014) Mobile-Edge Computing; Rost, P., Prasad, A., Opportunistic Hybrid ARQ-Enabler of Centralized-RAN Over Non-ideal Backhaul (2014) IEEE Wireless Communications Letters, 3 (5), pp. 481-484; (2014) Understanding 5G: Perspectives on Future Technological Advancements in Mobile; Chang, C.-Y., Konstantinos, A., Navid, N., Thrasyvou-Los, S., Analyzing MEC Architectural Implications for LTE/LTE-A. (Research Report RR-16-312) (2016) EURECOM, Department of Mobile Communications","Psiha, M.M.; Department of Informatics, Ionian UniversityGreece; email: psiha@ionio.gr",,,"Springer New York LLC",,,,,00652598,,AEMBA,"28971423","English","Adv. Exp. Med. Biol.",Book Chapter,"Final",,Scopus,2-s2.0-85032337840 "Karn S., Swain S.K.","57195599630;57195601995;","Health consciousness through wellness tourism: A new dimension to new age travelers'",2017,"African Journal of Hospitality, Tourism and Leisure","6","3",,"","",9,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029115039&partnerID=40&md5=2046eefb856683b30f284f182369d141","Dept. of Tourism Management, Faculty of Commerce and Management, IGN Tribal University, Amarkantak, Anuppur (M.P.), India","Karn, S., Dept. of Tourism Management, Faculty of Commerce and Management, IGN Tribal University, Amarkantak, Anuppur (M.P.), India; Swain, S.K., Dept. of Tourism Management, Faculty of Commerce and Management, IGN Tribal University, Amarkantak, Anuppur (M.P.), India","Health is multidimensional concept. There are various factors which interplay with, and which affect health at different levels, be it on the human body and soul, be it in bacteria on the micro level, or socio-economic status at the macro level. With burgeoning stress levels, chronic diseases globally paves the way for a growing consumer awareness that has a dramatic impact on individuals desirous of a healthy and wholesome lifestyle. Health-conscious individuals become more involved in seeking healthier behavioral dimensions in order to improve their general health, but these are mostly in striving for material possessions and higher status. In the process, social inevitably comes to the fore and realities hit home harshly. People are invariably always seeking new ways of relaxation and ways in which to rejuvenate themselves physically and emotionally. Wellness tourism is a comparatively a new trend that is booming. This is not surprising given that the WHO has been assertive in promoting a cohesive notion of wellbeing. In addition, people are more cognizant of the fact that they need to care for themselves more. Equating health with wellness and ignoring mental, psychological and social aspects, is a narrow view of individual well-being. The article explores the potential relationship of health consciousness and wellness as a whole. The objective is to aid people to figure out the bigger idea behind driving for a healthy sense of being and feeling vibrantly alive. The research suggests a new way towards universal and perennial concerns for wellness of individuals and groups of people and indeed for the well-being of the whole of mankind, through the growing trend of wellness tourism. © 2017 AJHTL.","Health; Health consciousness; Psychological well-being; Wellness; Wellness tourism",,,,,,,,,"Ardell, D.B., (1986) High Level Wellness: An Alternative to Doctors, Drugs, and Disease (2nd ed.), , Berkeley, CA: Ten Speed Press; Babao, A.J., Moscoso, L.S., Lifestyle and Health Status of Faculty of the college of Human Ecology and Food Sciences and the College of Education (2008) Journal of the American Association, 16, pp. 25-34; Becker, M.H., Maiman, L.A., Kirscht, J.P., Haefner, D.P., Drachman, R.H., The health belief model and prediction of dietary compliance: a field experiment (1977) Journal of Health and Social Behavior, 18, pp. 348-366; Berry, J.W., Dalal, A., Pande, N., (1994) Disability attitudes, beliefs and behaviors: A cross-cultural study, , Kingston: International Centre for Community-Based Rehabilitation; Berry, J.W., Poortinga, Y., Segal, M.H., Dasen, P.R., (2006) Cross-cultural psychology: Research and applications, , UK: Cambridge University Press; Brooker, E., Joppe, M., Entrepreneurial approaches to rural tourism in The Netherlands: Distinct differences (2014) Tourism Planning & Development, 11 (3), pp. 343-353; Bushell, R., Sheldon, P.J., (2009) Wellness and tourism: Mind, body, spirit, place, , NY: Elmsford; Dimon, A., (2013) Wellness Travel: 10 Trends for 2014 and Beyond, , Travelmarketreport.com; Douglas, N., Travelling for Health: Spa and Health Resorts (2001) Special Interest Tourism: Context and Cases, 260-282, , In N. Douglas, N. Douglas & R. Derrett (Eds.). Milton, Qld: John Wiley & Sons; Dunn, H.L., (1961) High-level wellness: A collection of twenty-nine short talks on different aspects of the theme"" High-level wellness for man and society, , http://www.worldcat.org, Thorofare, N.J.: Charles B. Slack [Date accessed 01 May 2017]; Dutta-Bergman, M.J., An alternative approach to social capital: Exploring the linkage between health consciousness and community participation (2004) Health Communication, 16 (4), pp. 393-409; Dutta-Bergman, M.J., Primary sources of health information: Comparisons in the domain of health attitudes, health cognitions, and health behaviors (2004) Health Communication, 16 (3), pp. 273-288; Dutta-Bergman, M.J., A formative approach to strategic message targeting through soap operas: Using selective processing theories (2006) Health Communication, 19 (1), pp. 11-18; Fernandez-Ballesteros, R., Quality of life: Concept and assessment (1998) Advances in psychological science: Social, personal and cultural aspects, 387-406, , In J Adair D Belanger, & K. Dion (Eds.). Hove, UK: Psychology Press; Fitzsimmons, A., (2012) Healthy Travel: Searching for Wellness on the Road, , Forbes; Forthofer, M.S., Bryant, C.A., Using audience-segmentation techniques to tailor health behavior change strategies (2000) American Journal of Health Behavior, 24 (1), pp. 36-43; Fosarelli, P., Fearfully wonderfully made: The interconnectedness of body-mind-spirit (2002) Journal of Religion and Health, 41 (3), pp. 207-229; Furnham, A., Forey, J., The attitudes behaviors and beliefs of patients of conventional vs. complementary (alternative) medicine. (1994) Journal of Clinical Psychology, 50 (3), pp. 458-469; Gilbert, D., Abdullah, J., Holiday taking and the Sense of Well-Being (2004) Annals of Tourism Research, 31 (1), pp. 104-121; Gould, S.J., Consumer attitudes toward health and health care: A differential perspective (1988) Journal of Consumer Affairs, 22 (1), pp. 96-118; Gould, S.J., Health consciousness and health behavior: the application of a new health consciousness scale (1990) American Journal of Preventive Medicine, 6 (4), pp. 228-237; Health and Wellness Market Report India-Horwath HTL, , http://horwathhtl.com/files/2012/06/Health-and-Wellness-Market-Report-India-1.pdf, [Date accessed 08 June 2017]; Insel, P., Roth, W.T., (2006) Core Concepts in Health, , http://www.huffingtonpost.in/entry/india-wellness-tourism_n_4241798references, (10th ed.). McGraw. Hill. India-wellness-tourism [Date accessed 12 June 2017]; Iversen, A.C., Kraft, P., Does socio-economic status and health consciousness influence how women respond to health related messages in media? (2006) Health Education Research, 21 (5), pp. 601-610; Jayanti, R.K., Burns, A.C., The antecedents of preventive health care behavior: An empirical study (1998) Journal of the Academy of Marketing Science, 26 (1), p. 6; Kahneman, D., Krueger, A.B., Developments in the measurement of subjective well-being (2006) Journal of Economic Perspectives, 20 (1), pp. 3-24; Kraft, F.B., Goodell, P.W., Identifying the health conscious consumer (1993) Marketing Health Services, 13 (3), p. 18; Mill, R.C., (1990) Tourism-the International Business, , Englewood Cliffs, NJ: Prentice Hall; Moorman, C., Matulich, E., A model of consumers' preventive health behaviors: The role of health motivation and health ability (1993) Journal of Consumer Research, 20 (2), pp. 208-228; Nahrstedt, W., (2002) Wellness at the focal point, Wellness and Economics, , http://shodhganga.inflibnet.ac.in/bitstream/10603/94949/5/05_chapter%201%20-%20introduction.pdf, (eds) Richter, B Puetz-Willems, & Augsburg, 10-22 [Accessed 06 May 2017]; Nefiodow, L.A., (2006) Der sechste Kondratieff: Wege zur Produktivität und Vollbeschäftigung im Zeitalter der Information (6th ed.), , Bonn: Rhein-Sieg-Verlag; Pilzer, P.Z., (2008) The Wellness Revolution: How to Make a Fortune in the Next Trillion Dollar Industry, , (2nd edition), John Wiley & Sons, LondoN; Ragheb, M.G., Leisure and Perceived Wellness: A Field Investigation (1993) Leisure Sciences, 15 (1), pp. 13-24; Rodgers, S., Chen, Q., Duffy, M., Fleming, K., Media usage as health segmentation variables (2007) Journal of Health Communication, 12 (2), pp. 105-119; Ryan, C., (2002) The Tourist Experience (2nd ed.), , London: Continuum; Ryff, C.D., Happiness is Everything or Is It? Exploration on the Meaning of Psychological Wellbeing (1989) Journal of personality and social psychology, 57, pp. 1069-1081; Ryff, C.D., Singer, B., The Contours of Positive Human Health (1998) Psychological Inquiry, 9, pp. 1-28; Schobersberger, W., Greie, S., Humpeler, E., Alpine Health Tourism: Future Prospects from a Medical Perspective (2004) The Tourism and Leisure industry: Shaping the Future, 199-208, , In K. Weiermair & C. Mathies (Eds.). New York: Haworth Hospitality Press; Schumacher, C., Zehrer, A., Schobersberger, W., Product Development for Health Tourism in Alpine Regions (2011) Journal of Tourism Challenges and Trends, 6 (2), pp. 13-32; Slater, M.D., Flora, J.A., (1989) Health lifestyles: Audience segmentation analysis for public health interventions, , Paper presented at the Annual Meeting of International Communication Association, San Francisco, CA; Smith, M., Puczkó, L., (2008) Health and Wellness Tourism, , Oxford: Butterworth-Heinemann; (2017), http://blog.virtuoso.com/tips-and-trends/7-trends-wellness-tourism-experience-now/, [Date accessed 10 August 2017]; (1978) Primary Health Care: Report of the International Conference at Alma Ata, , Geneva: WHO; (1988) Charter for action to achieve health for all by the year 2000 and beyond, , Geneva: WHO; (2006) Constitution of the world health organization, , http://www.who.int/governance/eb/who_constitution_en.pdf, [Date accessed 09 June 2017]","Karn, S.; Dept. of Tourism Management, Faculty of Commerce and Management, IGN Tribal UniversityIndia; email: karnsan@gmail.com",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85029115039 "DeMicco F.J., Weis S.A.","6506110255;57205110980;","Medical tourism and wellness: Hospitality bridging healthcare (H2H)©",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"1","440",,2,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027681147&doi=10.1201%2f9781315365671&partnerID=40&md5=437d9949568f7faf771f2fb8910b2afd","Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; The Mayo Clinic, United States","DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; Weis, S.A., The Mayo Clinic, United States","Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H) takes a systems approach to examining the growing field of medical tourism, one of the field’s hottest niches, with billions of dollars spent each year. This important book fills the need for a modern management book that looks at medical tourism in depth from a medical and hospitality operational management perspective. Growing numbers of people are going abroad to find affordable quality medical care for both necessary and cosmetic medical services. When they require surgery or dental work, they combine it with a trip to the Taj Mahal, a photo safari on the African veldt, or a stay at a luxury hotel-or at a hospital that feels like one-all at bargain-basement prices. The book takes a comprehensive look at medical tourism, covering such topics as: The history of medical tourism Why patients/tourists decide to travel for medical care The role of professional facilitators of medical tourism Key countries and medical disciplines in medical tourism Transportation, food, entertainment, and hotel/hospitality services Hotel and spa designs for medical tourism Best practices in medical tourism Patient follow-up after medical discharge Future trends in medical tourism Careers in medical tourism With the inclusion of case studies, the book provides a comprehensive look into this growing trend and will be valuable to upper-level undergraduate and graduate students in health care administration and those pursing MBAs in healthcare, medical students pursuing a management focus, and students in hospitality management. It will also be a must-have resource for professionals working in hotels and in health care. © 2017 by Apple Academic Press, Inc.",,,,,,,,,,,,,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book,"Final",,Scopus,2-s2.0-85027681147 "Bushell R.","6506503830;","Healthy tourism",2016,"The Routledge Handbook of Health Tourism",,,,"91","102",,2,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027679621&doi=10.4324%2f9781315693774&partnerID=40&md5=492c605b76988d1e9db62f25fce311c6","Institute for Culture and Society, School of Social Sciences and Psychology, Western Sydney University, Australia","Bushell, R., Institute for Culture and Society, School of Social Sciences and Psychology, Western Sydney University, Australia",[No abstract available],,,,,,,,,,"Akama, J.S., Kieti, D., Tourism and socio-economic development in developing countries: A case study of Mombasa Resort in Kenya (2007) Journal of Sustainable Tourism, 15 (6), pp. 735-748; (2008) Record of Meeting. ASEAN Plus Three Workshop on 'Healthy Tourism', , Bangkok, Thailand, 17-18 September 2008; Bapoo-Dundoo, P., (2001) Lessons Learned from GEF/SGP Funded Community-Based Tourism. SIDS IYE Regional Meeting, , Seychelles: UNEP-WTO; Bushell, R., Powis, B., (2009) 'Healthy Tourism' Report, , Jakarta, Indonesia: ASEAN Secretariat on Emerging Infectious Diseases; Bushell, R., Staiff, R., (2001) Development of a Conceptual Framework for 'Healthy Tourism' in the Pacific Region, , Sydney: Western Pacific Regional Office of the World Health Organization and the UWS WHO Collaborating Centre for Environmental Health; Conlin, M.C., Baum, T., (1995) Island Tourism: Management Principles and Practice, , New York: John Wiley; (2002) Red Card for Tourism?, , Basel, Switzerland: The NGO Network for Sustainable Tourism Development Working Group; Haynes, M., (2008) Current Tourism Status in Ha Long Bay and Recommendations for Visitor Management Strategy, , Commissioned report, Ha Noi, Gland, Switzerland, IUCN in collaboration with IUCN Viet Nam; Kennedy, A., Mad and bad in Byron. Byron Bay has become too popular for its own good (2002) Sydney Morning Herald, , April 1, Sydney, 17; Manning, E.D., Prieur, S., (1998) Governance for Tourism. Centre for a Sustainable Future, , Toronto, Canada: Foundation for International Training; Mastny, L., (2001) Travelling Light: New Paths for International Tourism, , WorldWatch Paper 159, Washington, DC: Worldwatch Institute; McElroy, J.L., Tourism development in small islands across the world (2003) Geografisker Annaler, 85 B (4), pp. 231-242; (2015) National Tourism Statistics, , Hanoi: Vietnam National Administration of Tourism; Ngone, A., (2001) Challenges Facing the Tourism Industry in Small Island Developing Nations, , SIDS IYE Regional Meeting, Scychelles: UNEP-WTO; Powis, B., (1999) Healthy Islands: Policy, Practice and Problem Solving. A Brief History, , Hawkesbury: WHO Collaborating Centre, University of Western Sydney; Prescott-Allen, R., (2001) The Wellbeing of Nations: A Country-by-Country Index of Quality of Life, , Washington DC: Island Press; (2009) 'Healthy Tourism' Survey Response, , unpublished. ASEAN; Richardson, R.B., (2010) The Contribution of Tourism to Economic Growth and Food Security, , Mali: Report for USAID; Ritchie, J., Sparks, M., Rotem, A., (2000) Regional Guidelines, , Sydney: University of New South Wales; Sinha, C., Bushell, R., Understanding the linkage between biodiversity and tourism: A study of ecotourism in a coastal village in Fiji (2002) Pacific Tourism Review, 6, pp. 35-50; (2000) Small States: Meeting Challenges in the Global Economy, , London: Commonwealth Secretariat and World Bank; Taylor, R., (1994) Pacific 2010: The Future, a Matter of Choice. National Centre for Development Studies, p. 23. , Canberra: Australian National University; (2001) Tourism and Development in the Least Developed Countries, , http://unctad.org/en/Docs/poldcm64.en.pdf, Geneva, Switzerland: UNCTAD; (1999) Environmental Outlooks for the Island Countries of the Caribbean, Indian Ocean and South Pacific, , Nairobi, Kenya: UNEP; (2009) A Three Year Journey for Sustainable Tourism, , Paris: UNEP; (2009) International Travel and Health, , Geneva, Switzerland: WHO; (2009) State of Conservation of World Heritage Properties Inscribed on the World Heritage List, , WHC-09/33.COM/7, Paris: UNESCO; (1996) Agenda 21 for the Travel and Tourism Industry: Towards Environmentally Sustainable Development, , Madrid, Spain: WTO, WTTC and Earth Council; (2015) Travel and Tourism Economic Impact 2015, , London: WTTC","Bushell, R.; Institute for Culture and Society, School of Social Sciences and Psychology, Western Sydney UniversityAustralia",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027679621 "Smith M.K., Puczkó L.","55495915200;6507221735;","Balneology and health tourism",2016,"The Routledge Handbook of Health Tourism",,,,"271","282",,2,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020307201&doi=10.4324%2f9781315693774&partnerID=40&md5=640a16baee4e54304099137a9a818073","Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary","Smith, M.K., Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary; Puczkó, L., Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary",[No abstract available],,,,,,,,,,"Bender, T., Bálint, G., Prohászka, Z., Géher, P., Tefner, I.K., Evidence-based hydro- and balneotherapy in Hungary - a systematic review and meta-analysis (2014) International Journal of Biometeorology, 58, pp. 311-323; Berber, N., Gajić, T., Dordević, M., Management and development possibilities for spa tourism in Serbia (2010) Revista de Turism, , file:///C:/Documents%20and%20Settings/ASUS/Dokumentumok/Downloads/89-278-1-SM.pdf, No. 9, (accessed 17 September 2015); Boekstein, M., (2001) The Role of Health in the Motivation to Visit Mineral Spa Resorts in the Western Cape, , Unpublished Master's dissertation, Cape Town, South Africa: University of the Western Cape; Bogacheva, E., (2012) Global Spa and Wellness Industry Briefing Papers 2012, pp. 21-22. , New York: Global Spa and Wellness Summit; Bogdanov, I., Kircheva, K., Miteva, L., Tsankov, N., Quality of life in patients undergoing combined climatotherapy and phototherapy (2012) Revista Medicala Romana, , http://www.medica.ro/reviste_med/download/rmr/2012.3/RMR_Nr-3_2012_Art-16.pdf, Volume LIX, NR. 3, (accessed 20 March 2016); Bottoni, P., Óvári, M., Záray, G., Caroli, S., Characteristics of spring waters in Budapest: A short review (2013) Microchemical Journal, 110, pp. 770-774; Burton, A.K., Balagué, F., Cardon, G., Eriksen, H.R., Henrotin, Y., Lahad, A., Leclerc, A., van der Beek, A.J., How to prevent low back pain (2005) Best Practice and Research in Clinical Rheumatology, 19 (4), pp. 541-555; Constantinides, C., Times are changing as Greece tries to become a major destinations (2013) International Medical Travel Journal, , http://www.imtj.com/articles/times-are-changing-greece-tries-become-major-destination, 29 November, (accessed 15 September 2015); Dinu, M., Zbuchea, A., Cioacă, A., Health tourism in Romania: main features and trends (2010) Journal of Tourism Challenges and Trends, 3 (2), pp. 9-34; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Clevedon, UK: Channel View; (2014) Health and Wellness Tourism in Greece, , http://www.euromonitor.com/health-and-wellness-in-greece/report, (accessed 17 September 2015); (2014) Health and Wellness Tourism in Turkey, , http://www.euromonitor.com/health-and-wellnessin-turkey/report, (accessed 17 September 2015); Felic, E., Health tourism opportunity for BiH (2013) Balkan Insight, , http://www.balkaninside.com/health-tourism-opportunity-for-bih, 30 July, (accessed 17 September 2015); Fioravanti, A., Cantarini, L., Guidelli, M., Galeazzi, M., Mechanisms of action of spa therapies in rheumatic diseases: What scientific evidence is there? (2011) Rheumatology International, 31, pp. 1-8; (2011) Wellness Tourism and Medical Tourism: Where do Spas Fit?, , New York: Global Spa Summit; (2011) Wellness Evidence, , http://www.wellnessevidence.com/wellnessevidence, (accessed 15 April 2016); Gomes, C., Carretero, M.I., Pozo, M., Maraver, F., Cantista, P., Armijo, F., Legido, J.L., Delgado, M., Peloids and pelotherapy: Historical evolution, classification and glossary (2013) Applied Clay Science, 75-76, pp. 28-38; (2015) Thermal Springs in Turkey, , http://www.allaboutturkey.com/spa.htm, (accessed 17 September 2015); Gutenbrunner, C., Bender, T., Cantista, P., Karagülle, Z., A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology (2010) International Journal of Biometeorology, 54, pp. 495-507; Hall, D.R., Smith, M.K., Marciszewska, B., (2006) Tourism in the New Europe: The Challenges and Opportunities of EU Enlargement, , Wallingford, UK: CABI; (2013) CrossSpa Study on Joint Potential of Health and Wellness Tourism Development in the Cross-border Area (Sarajevo Macro Region and Tourism Region of Western Serbia), , Belgrade, Serbia: Horwath; Healthcare and medical tourism in Bulgaria (2013) European Identity Politics? 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Puczkó (eds), London: Routledge; Riggins, N., Montenegro's tourism industry turns a corner (2014) Business Destinations, , http://www.businessdestinations.com/acte/montenegros-tourism-industry-turns-a-corner, September 17, (accessed 16 September 2015); Riyaz, N., Riyaz Arakkal, F., Spa therapy in dermatology (2011) Indian Journal of Dermatology, Venereology and Leprology, 77 (2), pp. 128-133; Smith, M.K., Puczkó, L., Sziva, I., Putting the thermal back into medical tourism (2015) Handbook on Medical Tourism and Patient Mobility, pp. 393-402. , N. Lunt, D. Horsfall and J. Hanefeld (eds), Cheltenham, UK: Edward Elgar Publishing; Speier, A.R., Health tourism in a Czech health spa (2011) Anthropology and Medicine, 18 (1), pp. 55-66; Stăncioiu, A., Botos, A., Pargaru, I., The Balkan balneotherapy product - an approach from the destination marketing perspective (2013) Theoretical and Applied Economics, XX, 10 (587), pp. 5-22; Taleska, M., Gorin, S., Radevski, R., Dimitrovska, O., Assessment of the conditions for the development of spa tourism in the Republic of Macedonia (2015), http://geobalcanica.org/proceedings/2015/GBP.2015.62.pdf, (accessed 1 September 2015); (2013) Global Wellness and Spa Tourism Monitor 2012-2013, , Budapest, Hungary: TOHWS; Tukamusaba, E., Hot springs in Uganda (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, p. 66. , M. K. Smith and L. Puczkó (eds), London: Routledge; Varga, C., Balneoprevention: New approaches (2012) International Journal of Biometeorology, 56, pp. 195-197","Smith, M.K.; Budapest Metropolitan University, School of Tourism, Leisure and HospitalityHungary",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85020307201 "Medhekar A.","56939297300;","The role of social media for knowledge dissemination in medical tourism: A case of India",2016,"Harnessing Social Media as a Knowledge Management Tool",,,,"25","54",,2,"10.4018/978-1-5225-0495-5.ch002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014211400&doi=10.4018%2f978-1-5225-0495-5.ch002&partnerID=40&md5=eb714f57c3c887efc950fc66ea075632","School of Business and Law, Central Queensland University, Rockhampton, Australia","Medhekar, A., School of Business and Law, Central Queensland University, Rockhampton, Australia","The use of social media for information dissemination for education, environmental movement, natural disasters, emergency, election campaign, grass root movements, non-profit organisations, public health communication, and marketing for health promotion, e-governance, and political revolutions is well known. The economic significance of the health and medical tourism sector in the global healthcare business should not be underestimated. Internet is playing a leading role as a platform for the dissemination of medical tourism business information. In this century, more and more actual and potential tourists are accessing the internet and social media applications to find and disseminate factual information regarding medical tourism facilitators, destinations, super-speciality hospitals, specialist doctors and nurses, quality and accreditation, accommodation facility, cost, waiting period for surgery and sharing their positive and negative experiences to inform potential medical tourists. Healthcare providers and medical tourists acquire information, create, collaborate, communicate and disseminate healthcare and medical tourism related information through the Word-of-Social-Media (WoSM) tools such as FaceBook, Flickr, Twitter, Blogs, Forums, YouTube patient testimonials, Google Plus, LinkedIn, Photo and video sharing, Alexa and mobile applications. Therefore social media has a great potential as an information source and a knowledge dissemination tool for tourism industry to network and create clusters locally and globally, to exploit new innovative technologies for interaction and collaboration between the healthcare providers as well as the medical tourists. The main contribution of this chapter is to explore and discuss the role and use of social media applications for knowledge dissemination by hospitals and the medical tourists in the global business of medical tourism in India. © 2017, IGI Global.",,,,,,,,,,"(2009) Asian Medical Tourism Association (AMTA) Growing Medical Tourism Industry in Asia, , http://www.1888pressrelease.com/asian-medical-tourism-association-amta, Retrieved March 3, 2010, from; Antheunis, M.L., Tates, K., Nieboer, T.E., Patients' and health professionals' use of social media in health care: Motives, barriers and expectations (2013) Patient Education and Counseling, 92 (3), pp. 426-431. , PMID:23899831; Bacigalupe, G., Is there a role for social technologies for collaborative healthcare? 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Van de Walle, M. Turoff, & S. R. Hiltz (Eds.), Armonk, NY: M.E. 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Academic Press; Yates, D., Paquette, S., Emergency knowledge management and social media technologies: A case study of the 2010 Haitian Earthquake (2010) International Journal of Information Management, 31 (1), pp. 6-13; Yeoh, E., Othman, K., Ahmad, H., Word-of-mouth and virtual marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Beesley, L.A., Cooper, C., Defining knowledge management (KM) activities: Towards consensus (2008) Journal of Knowledge Management, 12 (3), pp. 48-62; Boulos, M.K., Hetherington, L., Wheeler, S., Second Life: An overview of the potential of 3-D virtual worlds in medical and health education (2007) Health Information and Libraries Journal, 24 (4), pp. 233-245. , PMID:18005298; Buhalis, D., Law, R., Progress in information technology and tourism management: 20 years on and 10 years after the Internet-The state of e-Tourism Research (2008) Tourism Management, 29 (4), pp. 609-623; Lee, R.G., Garvin, T., Moving from information transfer to information exchange in health and health care (2003) Social Science & Medicine, 56 (3), pp. 449-464. , PMID:12570966; Lober, W.B., Flowers, J.L., Consumer's empowerment in healthcare amid the internet and social media (2011) Seminars in Oncology Nursing, 27 (3), pp. 169-182. , PMID:21783008; Medhekar, A., Growth of Medical Tourism in India and Public-Private Partnerships (2010) proceedings of the Seventh Indian Institute of Development Studies (IIDS) Australia, pp. 1-25. , International Conference on Development, Calcutta India; Quintas, P., Lefrere, P., Jones, G., Knowledge management: A strategic agenda (1997) Journal of Long Range Planning, 30 (3), pp. 385-391; Smith, B.G., Socially, distributing public relations: Twitter, Haiti, and interactivity in social media (2010) Public Relations Review, 36 (4), pp. 329-335; Trung, V.D., Social Marketing: A systematic review of research 1998-2012 (2014) Social Marketing Quarterly, 20 (1), pp. 15-34","Medhekar, A.; School of Business and Law, Central Queensland UniversityAustralia",,,"IGI Global",,,,,,9781522504962; 1522504958; 9781522504955,,,"English","Harnessing Soc. Med. as a Knowl. Manag. Tool",Book Chapter,"Final",,Scopus,2-s2.0-85014211400 "Yazdi M.R.T., Barazandeh H.","36905758200;57191220678;","Identifying and ranking health tourism development barriers in Iran using fuzzy VIKOR method",2016,"Asian Social Science","12","5",,"54","63",,2,"10.5539/ass.v12n5p54","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84987933130&doi=10.5539%2fass.v12n5p54&partnerID=40&md5=ea19a553b5b7746ca5ada5716ba6b351","Department of Industrial Management, Faculty of Management, University of Tehran, Iran; Faculty of Management, University of Tehran, Iran","Yazdi, M.R.T., Department of Industrial Management, Faculty of Management, University of Tehran, Iran; Barazandeh, H., Faculty of Management, University of Tehran, Iran","The present research is an applied study which employed a descriptive-correlation method. After a review of the related literature and survey of opinions of health tourism industry experts, the considered criteria in evaluation and ranking health tourism barriers were determined. Subsequently, 4 criteria (price, quality, accessibility, and proper time) were selected as the most important criteria. Using purposeful sampling method, out of cities and regions with health tourism attraction, four cities were selected as the most important cities with health tourism attraction. Using Fuzzy VIKOR method, quality was found to be the highest importance and proper time was determined as the lowest important criterion. Among sub-indices, improper medical quality was found to have the highest importance (weight). Among the selected cities, Mazandaran was found to have the highest priority. Shiraz, Tabriz and Mashhad, then, had the highest importance, respectively, in terms of health tourism development barriers. © 2016 Canadian Center of Science and Education. All rights reserved.","Fuzzy VIKOR; Health tourism; Tourism",,,,,,,,,"Baboli Yazdi, M.H., (2007) Tourism (the nature and concept), , (2nd ed). Tehran: SAMT publication; Bayati, S., Hagh Shenas, M., Esmaeili, T., Abhari, S., Iinvestigating the place of Iran in medical tourism compared to Arab countries (2011) The 1st international conference of tourism management and sustainable development conference; Beygi Firouzi, A., (2011) Formulating tourism development strategy in Lorestan Province based on SWOT and ANP, , (A thesis of Commercial management). Sistan and Balouchestan University; Bookman, M.Z., Bookman, K.R., (2007) Health tourism in Developing Countries, , Palgrave Macmillan, USA; Dows, W.R., (2005) Tourism management, , (Transl. by M. Arabi, & D. Izadi, 3rd ed.). Tehran: the cultural researches center; Eftekhari, A., (2010) The place of Iranian tourism in OIC and its role in cultural convergence of the Islamic world, article collections, 25-27, pp. 1-12. , Paper presented at 4th conference of Islamic world’ geographers, Sistan and Balochestan University; Gholizade, M., (2010) Presenting an integrated pattern to segmentize target market of tourism industry using SWOT approach (a case study of Gilan), , (MA thesis). Commercial management Rasht Islamic Azad University; Heraheshe, S., (2002) Curative tourism in Jordan and its potential development, , [MSc Thesis]. Bournemouth, UK: Bournemouth University; Houshmandi, R., Aras, Z., (2012) The potentials of medical tourism in dry and semi-dry regions of Iran, , Paper presented at the 1st national conference of desert; Ildoroumi, A.R., Sefidi, Z., (2011) Investigating the awareness and attitude of personnel of Qazvin Hospital regarding medical tourism in 2010, , Paper presented at Tourism and sustainable development conference; Jabbari, A.R., Mahmoudi Mimvand, F., Ezam Doust, F., Agha Rahimi, Z., Shojaei, L., (2012) Dentistry tourism capacity in Isfahan, health imformation management, , Paper presented at the 9th period, the magazine of management development in health system; Mahalati, S., (2001) An introduction to tourism, pp. 2-15. , Shahid Beheshti University publication; Mohseni, Z., Sustainable tourism in Iran: Functions, challenges and strategies (2009) Geographical space periodical, 9 (28), pp. 149-171; Rahnama, M.T., (2002) Comprehensive studies of Ardabil Province, two periodical of Homaye salamat, (6), p. 12. , 3rd year; Rezvani, A.A., (2000) Geography and tourism industry, , (4th ed.). Payam Noor publication; Rokni, L., Rokni, M.B., Ahmadpour, A., Rezaii, M., (2010) Investigating health tourism in Kish Island based on medical need of countries around Persian Gulf, , Paper presented at the 6th national conference of cultural tourism of Persian Gulf; Taghizade, Z., Rahimi, D., Eslamfard, F., (2011) The stratgeis of medical tourism development and biotourism in Qeshm Island using SWOT model, pp. 241-261. , Paper presented at the 7th national conference of Persian Gulf, 8-11; Tourani, S., Tabibi, J., Tofighi, S., Shaarbafchi Zadeh, N., Health tourism in Iran (2010) Research journal of Biomedical Sciences, 5 (3), pp. 251-257; (2006) Health tourism: A global analysis, , A report by tourism research and marketing, Atlas publication, Netherlands; Viladrich, A., Rita Ba, F., Health tourism in tango paradise. The internet branding of cosmetic surgery in Argentina (2014) Annals of Tourism Research, 45, pp. 116-131. , http://dx.doi.org/10.1016/j.annals.2013.12.007","Barazandeh, H.; Department of Business Management, Faculty of Management, University of TehranIran; email: hamidbarazandeh@ut.ac.ir",,,"Canadian Center of Science and Education",,,,,19112017,,,,"English","Asian Soc. Sci.",Article,"Final",Open Access,Scopus,2-s2.0-84987933130 "Lubowiecki-Vikuk A.","57188707641;","Participation in medical tourism versus physical activity of patients after liposuction: What are the concerns about health and quality of life?",2016,"Physical Culture and Sport, Studies and Research","69","1",,"29","42",,2,"10.1515/pcssr-2015-0027","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983313779&doi=10.1515%2fpcssr-2015-0027&partnerID=40&md5=7ef6e95bdd37a5d750cb6e0b0550a1c6","Kazimierz Wielki University in Bydgoszcz, Faculty of Physical Education, Health and Tourism, Mińska 15, Bydgoszcz, 85-428, Poland","Lubowiecki-Vikuk, A., Kazimierz Wielki University in Bydgoszcz, Faculty of Physical Education, Health and Tourism, Mińska 15, Bydgoszcz, 85-428, Poland","Nowadays, the act of taking care of one's appearance has become a marker of a healthy lifestyle among both women and (mostly metrosexual) men. Physical activity plays a minor role, and tourist trips are more and more frequently combined with the consumption of medical services, including surgery and aesthetic dermatology. The aim of this study is to explain the phenomenon of medical tourism, particularly the specialized category of medical tourism for liposuction treatments, and its relation to the values of physical culture. The work is theoretical; it is supplemented by references to the presented issues in the form of a case study of ""lipotourism"" and its participants. As a result, the profile of a medical tourist has been identified against which a ""lipotourist"" constitutes an inimitable case. It seems that although the purpose for the travels of such a tourist is recognized, it still remains a matter of conjecture in terms of experience and behavior. To prove the thesis that participating in tourism for medical reasons can affect one's quality of life, certain conditions must be met: 1. The applied treatment must not cause (permanent) damage to the patient's health; 2. Liposuction must be treated exclusively as an (invasive) aesthetic surgery and not as a method of weight reduction; 3. Regular physical activity and a healthy diet and lifestyle must be included in the process of body shaping, and 4. Health and physical education must be treated as superior values of quality of life. The existing considerations should only be regarded as preliminary. © by Adrian Lubowiecki-Vikuk 2016.","Body image; Leisure activities; Lipectomy; Obesity; Travel medicine",,,,,,,,,"Alam, M., Kaminer, M.S., Liposuction (2010) Body Contouring. Procedures in Cosmetic Dermatology, pp. 69-96. , In B.E. Katz, & N.S. Sadick (Eds.),. 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Biala Podlaska: AWF; Lubowiecki-Vikuk, A., Bosiacki, S., Opportunities for development of medical tourism in poznan in terms of supply-demand factors (2012) Turystyka i Rekreacja, 8, pp. 41-53; Lubowiecki-Vikuk, A., Mucha, D., Perspectives for the development of the pharmaceutical tourism in the region of southern Poland/ (2015) Rozprawy Naukowe Akademii Wychowania Fizycznego we Wroclawiu, 49, pp. 147-156; Lubowiecki-Vikuk, A., Rab-Przybylowicz, J., Selected aspects of the functioning of the market of medical tourism in Poland/ (2015) Folia Turistica, 34, pp. 85-107; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., Implications for the nhs of inward and outward medical tourism: A policy and economic analysis using literature review and mixed-methods approaches (2014) Health Services and Delivery Research, 2 (2), pp. 1-234; Mascie-Taylor, C.G.N., Goto, R., Human variation and body mass index: A review of the universality of bmi cut-offs, gender and urban-rural differences, and secular changes (2007) Journal of Physiological Anthropology, 26 (2), pp. 109-112; Matteelli, A., Carvalho, A.C., Bigoni, S., Visiting relatives and friends (vfr), pregnant, and other vulnerable travelers (2012) Infectious Disease Clinics of North America, 26 (3), pp. 625-635; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthetic Surgery Journal, 31 (6), pp. 694-697; Nelson, R., Infectious risks of medical tourism (2014) The Lancet, 14 (8), pp. 680-681; Directive 2011/24/eu of the European parliament and of the council of 9 March 2011 on the application of patients' rights in cross-border healthcare (2011) Official Journal of the European Union, 50 (88), p. 45. , 4 April 2011; Osinski, W., (2011) Teoria Wychowania Fizycznego/Theory of Physical Education/, , Poznan: AWF; Pawlucki, A., (2013) Nauki o Kulturze Fizycznej/Physical Culture Sciences, , Wroclaw: AWF; Perez, R.A., Liposuction and diabetes type 2 development risk reduction in the obese patient (2007) Medical Hypotheses, 68 (2), pp. 393-396; Podgórska, K., Drozdz, K., Bieniek, A., Szuba, A., Liposuction in the treatment of idiopathic lower extremity lymphoedema (2011) Acta Angiologica, 17 (4), pp. 271-276; Rapprich, S., Koller, J., Sattler, G., Wörle, B., Sommer, B., Bechara, F.G., Liposuction -A surgical procedure in dermatology (2012) Journal der Deutscheen Dermatologischen Gesellschaft, 10 (2), pp. 111-113; Rasinska, R., Siwinski, W., Medical tourism -travels in search of health in the opinion of women aged 40-60 (2014) Rozprawy Naukowe Akademii Wychowania Fizycznego we Wroclawiu, 45, pp. 146-152; Reed, C.M., Medical tourism (2008) The Medical Clinics of North America, 92 (6), pp. 1433-1446; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73 (4), pp. 300-304; Schlarb, D., Idelevich, E.A., Krause-Bergmann, A., Stollwerck, P., Successful interdisciplinary radical treatment of mycobacterium fortuitum infection in a lipotourist from Germany after abdominoplasty in Turkey (2015) New Microbes and New Infections, 8, pp. 21-23; Shridharani, S.M., Broyles, J.M., Matarasso, A., Liposuction devices: Technology update (2014) Medical Devices (Auckland, N.Z.), 7, pp. 241-251; Sieminska, L., Adipose tissue. Pathophysiology, distribution, sex differences and the role in inflammation and cancerogenesis (2007) Endokrynologia Polska, 58 (4), pp. 330-342; Smith, M., Puczko, L., (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , London: Rutledge Taylor & Francis Group; Sobanska, K., Gluszek, S., Select surgical and cosmetic procedures used in treating obesity and cellulite (2010) Studia Medyczne/Medical Studies, 19, pp. 7-11; Suder, A., Sokolowski, A., Relationship of social and lifestyle factors with central fat distribution expressed by the aggregate fat distribution index (2014) Anthropological Review, 77 (2), pp. 205-218; Todd, M.K., (2012) Medical Tourism Facilitator's Handbook, , Boca Raton: CRC Press, Taylor & Francis Group; Turner, L., News media reports of patient deaths following 'medical tourism' for cosmetic surgery and bariatric surgery (2012) Developing World Bioethics, 12 (1), pp. 21-34; Uemura, K., Trends in medical tourism as healthcare goes global (2012) Health Evaluation and Promotion, 39 (6), pp. 844-848; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Yazigi Solis, M., Artioli, G.G., Montag, E., Painelli, V.S., Saito, F.L., Lima, F.R., The liposuction-induced effects on adiponectin and selected cytokines are not affected by exercise training in women (2014) International Journal of Endocrinology, , 2014, ID 315382; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Zohrabian, A., The long-term effects and economic consequences of treatments for obesity: Work in progress (2005) The Lancet, 365 (9454), pp. 104-105; Zosso, C., Lienhard, R., Siegrist, H.H., Malinverni, R., Clerc, O., Post liposuction infections by rapidly growing mycobacteria (2015) Infectious Diseases (London, England), 47 (2), pp. 69-72; Zukiewicz-Sobczak, W., Wróblewska, P., Zwolinski, J., Chmielewska-Badora, J., Adamczuk, P., Krasowska, E., Obesity and poverty paradox in developed countries (2014) Annals of Agricultural and Environmental Medicine, 21 (3), pp. 590-594","Lubowiecki-Vikuk, A.; Kazimierz Wielki University in Bydgoszcz, Faculty of Physical Education, Health and Tourism, Mińska 15, Poland; email: lubowiecki@ukw.edu.pl",,,"De Gruyter Open Ltd",,,,,20812221,,,,"English","Phys. Cult. Sport Stud. Res.",Article,"Final",Open Access,Scopus,2-s2.0-84983313779 "Szymańska E.","55347442000;","Consumer participation in the health tourism innovation process",2016,"Engineering Management in Production and Services","8","4",,"28","38",,2,"10.1515/emj-2016-0030","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85056176093&doi=10.1515%2femj-2016-0030&partnerID=40&md5=4f30a07ad1ef581be1a7dc744249f7b4","Bialystok University of Technology, Faculty of Management, Department of Tourist Economy, Poland","Szymańska, E., Bialystok University of Technology, Faculty of Management, Department of Tourist Economy, Poland","The aim of the study is to compare the level of innovation of companies introducing innovations with consumer participation with that of other innovative providers of health tourism services. The following hypothesis was formulated: Companies benefiting from the participation of consumers in the process of innovation represent a higher level of innovativeness than other innovative providers of health tourism services. The following methods were used: a comparative analysis, a questionnaire (CAWI and PAPI), a standardized interview, and the ranking method. 461 providers of health tourism services participated in the research. The value and implications of the paper for the economic sciences contribute to the development of innovation theory. The hypothesis has been positively verified. The research shows a much higher level of innovation in companies cooperating with consumers (patients) than that of other respondents. © 2016 Engineering Management in Production and Services.All right reserved.","Consumers; Health; Innovation; Process of innovation; Tourism",,,,,,"Ministerstwo Nauki i Szkolnictwa Wyższego, MNiSW","7th International Conference on Engineering, Project, and Production Management (EPPM2016) was financed in the framework of the contract no. 712/P-DUN/2016 by the Ministry of Science and Higher Education from the funds earmarked for the public understanding of science initiatives.",,"Amodeo, J., Medical refugees and the future of health tourism (2010) World Medical & Health Policy, 2, pp. 65-81; Aw, B.Y., Roberts, M.J., Xu, D.Y., R&d investment exporting and productivity dynamics (2011) American Economic Review, 101, pp. 1312-1344; Baczko, T., (2012) Report on Innovativeness of the Health Sector in Poland in 2012, , Warsaw: Polisch Academy of Science; Balezentis, A., Balkiene, K., Innovation policy measurement: Analysis of Lithuania's case (2014) Economic Research - Ekonomska Istrazivanja, 27, pp. 1-14; (2014) Local Data Bank, , https://bdl.stat.gov.pl/BDL; Boruszczak, M., (2010) Turystyka Zdrowotna [Health Tourism], , Gdańsk: Wyzsza Szkoła Turystyki i Hotelarstwa w Gdańsku; Boruszczak, M., (2011) Turystyka Zdrowotna i Uzdrowiskowa [Health and Health-based Tourism], , Gdańsk: Wyzsza Szkoła Turystyki i Hotelarstwa w Gdańsku; Burkett, L., Medical tourism: Concerns, benefits and the American legal perspective (2007) The Journal of Legal Medicine, 28, pp. 223-245; Camison, C., Monfort-Mir, V.M., Measuring innovation in tourism from the Schumpeterian and the dynamic - Capabilities perspectives (2012) Tourism Management, 33, pp. 776-789; Chesbrough, H., (2003) Open Innovation. 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Practice and Principles], , Warsaw: PWE; Ejdys, J., Innovativeness of residential care services in Poland in the context of strategic orientation (2015) Procedia - Social and Behavioral Sciences, 213, pp. 746-752; Ejdys, J., Ustinovicius, L., Stankevičiene, J., Innovative application of contemporary management methods in a knowledge-based economy - Interdisciplinarity in science (2015) Journal of Business Economics and Management, 16, pp. 261-274; Furman, M., Porter, F., Stern, S., Determinants of national innovative capacity (2002) Research Policy, 31, pp. 899-993; Gallouj, F., Innovation in services and the attendant old and new myths (2002) The Journal of Socio - Economics, 31, pp. 137-154; Gallouj, F., Windrum, P., Services and services innovation (2009) Journal of Evolutionary Economics, 19, pp. 141-148; Garcia, R., Hollanders, A.H., The diffusion of informal knowledge and the innovation performance: A sectoral approach (2009) UNU-MERIT Working Paper; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gault, F., User innovation and the market (2011) Science and Public Policy, 39, pp. 118-128; Gault, F., Measuring innovation in all sectors of the economy (2013) Handbook of Innovation Indicators and Measurement, pp. 3-40. , F. 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Policy Innovation and local economic development in North Carolina (2010) Policy Studies Journal, 38, pp. 679-702; (2005) Oslo Manual, , Paris: OECD, Eurostat; Panasiuk, A., Panfiluk, E., Szymańska, E., Introduction to innovation research in health and wellness tourism (2016) European Journal of Service Management, 18 (2), pp. 23-31; Panfiluk, E., Aesthetic medicine tourism - Nature and scope of services (2016) Ekonomia i Zarządzanie, 8 (1), pp. 71-79; Perunovic, Z., Christiansen, T.B., Exploring Danish innovative manufacturing performance (2005) Technovation, 26, pp. 1051-1058; Polish Classification of Activities (2014) Polska Klasyfikacja Dzialalnosci (PKD), , http://www.pkd.com.pl/wyszukiwarka/lista_pkd; Reismann, D., (2010) Health Tourism: Social Welfare Through International Trade, , Cheltenham, UK: Edward Elgar; Rudawska, I., (2009) Usługi W Gospodarce Rynkowej [Services in the Market Economy], , Warszawa: PWE; Rycroft, R.W., Technology-based globalization indicators, centrality of innovation network data (2003) Technology in Society, 25, pp. 299-317; Schumpeter, J.A., The theory of economic development (1932) Harvard Economic Studies.; Szymańska, E., Barriers of innovativeness in tourism (2009) Ekonomika i Organizacja Przedsiȩbiorstwa, 9, pp. 60-67; Szymańska, E., (2013) Procesy Innowacyjne Przedsiȩbiorstw Świadczących Usługi W Zakresie Organizacji Imprez Turystycznych [Innovation Processes of Companies Providing Services in the Organization of Tourist Offers], , Białystok: Oficyna Wydawnicza Politechniki Białostockiej; Szymańska, E., Construction of the model of health tourism innovativeness (2015) Procedia - Social and Behavioral Sciences, 213, pp. 1008-1014; Tuominen, M., Rajala, A., Moller, K., How does adaptability drive firm innovativeness (2004) Journal of Business Research, 57, pp. 495-506; Unti, J.A., Medical and surgical tourism: The new world of health care globalization and what it means for the practicing surgeon (2009) Bull Am Coll Surg, 94, pp. 18-25; Urban, W., The quality of services created together with the customer - The concept and results of qualitative research - In Polish (2013) Zeszyty Naukowe Szkoły Głównej Gospodarstwa Wiejskiego W Warszawie. Polityki Europejskie, Finanse i Marketing, 58 (9), pp. 577-587; Urban, W., Czerska, J., Reaching an entrepreneurial management system of amoebas. A qualitative insight into the European experiences (2016) Ekonomia i Zarządzanie, 8 (1), pp. 7-18; Ustawa Z Dnia 29.07.2015 Roku O Niektorych Formach Wspierania Działalności Innowacyjnej [Act of 29.07.2015 on Certain Forms of Support for Innovative Activity], , (Dz U. 05.179.1484); http://www.who.int/about/definition/en/print.html; Zuzda, J.G., Esteves, D., Pinheiro, P., O'Hara, K., Latosiewicz, R., Bras, R., Awareness of ACSM physical activity recommendations for health promotion among Portuguese and Polish College Students Medicine & Science in Sport & Exercise (2013) Supplement to the Official Journal of the ACSM, 45 (5)","Szymańska, E.; Bialystok University of Technology, Faculty of Management, Department of Tourist EconomyPoland; email: e.szymanska@pb.edu.pl",,,"De Gruyter Open Ltd",,,,,25436597,,,,"English","Eng. Manag. Prod. Serv.",Article,"Final",Open Access,Scopus,2-s2.0-85056176093 "Makinde O.A.","54385732700;","Physicians as medical tourism facilitators in Nigeria: Ethical issues of the practice",2016,"Croatian Medical Journal","57","6",,"601","604",,2,"10.3325/cmj.2016.57.601","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011617060&doi=10.3325%2fcmj.2016.57.601&partnerID=40&md5=47c4dcf4634d2090f6510b0599eef30e","Viable Knowledge Masters, Abuja, Nigeria; Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa","Makinde, O.A., Viable Knowledge Masters, Abuja, Nigeria, Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa",[No abstract available],,"Article; clinical practice; financial management; follow up; government regulation; health care facility; health care quality; health service; human; Internet; medical ethics; medical tourism; Nigeria; patient care; physician; public health message; social media",,,,,,,,"Wagle, S., Web-based medical facilitators in medical tourism: the third party in decision-making (2013) Indian J Med Ethics, 10, pp. 28-33. , Medline:23439194; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The 'patient's physician one-step removed': the evolving roles of medical tourism facilitators (2011) J Med Ethics, 37, pp. 530-534. , Medline:21478420; Makinde, O.A., Brown, B., Olaleye, O., The impact of medical tourism and the code of medical ethics on advertisement in Nigeria (2014) Pan Afr Med J, 19, p. 103. , Medline:25722776; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11. , Medline:20517465; Ozan-Rafferty, M.E., Johnson, J.A., Shah, G.H., Kursun, A., In the words of the medical tourist: an analysis of internet narratives by health travelers to Turkey (2014) J Med Internet Res, 16. , Medline:24513565; Snyder, J., Crooks, V.A., New ethical perspectives on medical tourism in the developing world (2012) Dev World Bioeth, 12, pp. iii-vi. , Medline:22420452; Deaton, A.S., Tortora, R., People in Sub-Saharan Africa Rate their health and health care among the lowest in the world (2015) Health Aff(Millwood), 34, pp. 519-527. , Medline:25715657; Makinde, O.A., Health care in Sub-Saharan Africa (2015) Health Aff(Millwood), 34, p. 1254. , Medline:26153325; Whitmore, R., Crooks, V.A., Snyder, J., Ethics of care in medical tourism: informal caregivers' narratives of responsibility, vulnerability and mutuality (2015) Health Place, 35, pp. 113-118. , Medline:26313855; Leggat, P., Medical tourism (2015) Aust Fam Physician, 44, pp. 16-21. , Medline:25688954; Connell, J., Medical tourism: Sea, sun, sand and.. surgery (2006) Tourism Management, 27, pp. 1093-1100; Elebeke, E., Nigerians spend $1 billion annually on medical tourism (2014) Vanguard Newspaper [Internet], , http://www.vanguardngr.com/2014/05/nigerian-spends-1bnannually-medical-tourism/, May 12. 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Afrisonet, , http://www.afrisonet.com/2016/01/lonely-deathsin-indian-hospitals.html/, Accessed: Dec 26, 2016; Bogg, L., Diwan, V., Vora, K.S., DeCosta, A., Impact of alternative maternal demand-side financial support programs in India on the caesarean section rates: indications of supplier-induced demand (2016) Matern Child Health J, 20, pp. 11-15. , Medline:26259956; Vallgarda, S., Increased obstetric activity: a new meaning to ""induced labour""? (1989) J Epidemiol Community Health, 43, pp. 48-52. , Medline:2592891; van Dijk, C.E., Berg, B., Verheij, R.A., Spreeuwenberg, P., Groenewegen, P.P., Bakker, D.H., Moral hazard and supplier-induced demand: empirical evidence in general practice (2013) Health Econ, 22, pp. 340-352. , Medline:22344712; Karimi, S., Khorasani, E., Keyvanara, M., Afshari, S., Factors affecting physicians' behaviors in induced demand for health services (2015) International Journal of Educational and Psychological Researches, 1, pp. 43-51; Crozier, G.K.D., Baylis, F., The ethical physician encounters international medical travel (2010) J Med Ethics, 36, pp. 297-301. , Medline:20439336","Makinde, O.A.; Viable Knowledge MastersNigeria; email: sesmak@gmail.com",,,"Medicinska Naklada Zagreb",,,,,03539504,,CMEJE,,"English","Croat. Med. J.",Article,"Final",Open Access,Scopus,2-s2.0-85011617060 "Yessengabylova A., Bekbulatova A., Suraganova S., Bissekov A., Zhumanova B.","56192815000;55990176800;55990579600;56192014000;55647053000;","Recreational potential of Kazakhstan and prospects of medical health tourism in this country",2016,"International Journal of Environmental and Science Education","11","15", ijese.2016.641,"8447","8469",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85007042083&partnerID=40&md5=b1b95f5f9e4b0c23173992e628987d06","L.N.Gumilev Eurasian National UniversityAstana, Kazakhstan; Kazakh University of Economics, Finance and International TradeAstana, Kazakhstan","Yessengabylova, A., L.N.Gumilev Eurasian National UniversityAstana, Kazakhstan; Bekbulatova, A., L.N.Gumilev Eurasian National UniversityAstana, Kazakhstan; Suraganova, S., L.N.Gumilev Eurasian National UniversityAstana, Kazakhstan; Bissekov, A., L.N.Gumilev Eurasian National UniversityAstana, Kazakhstan; Zhumanova, B., Kazakh University of Economics, Finance and International TradeAstana, Kazakhstan","The present article analyzes the comparative characteristics of the recreational potential of hydro areas of the Republic of Kazakhstan. 20 hydro areas were marked out for comparative assessment of their attractiveness and recreational possibilities of the development of medical health tourism on the basis of balneological resources. The aim of the study is to identify the areas with the high natural recreational potential, but with a low level of exploration, thus identifying the most promising areas for the development of medical health tourism. The article gives comparative characteristics of areas with healthimproving resources and the level of their development to achieve this goal. The outline maps of natural and socio-economic and recreational resources of Kazakhstan and zoning were made for the purpose of comparison of the recreational potential areas on the basis on the performed analyses. As a result, the hydro mineral regions of Kazakhstan were classified into 4 groups with very high, high, medium and low-recreational potential. The presented results of the study will help to formulate proposals for the development of specific areas with a high medical-health potential. © 2016 Essengabylova at al.","Kazakhstan; Medical health tourism; Mineral resources; Mineral water; Recreation; Therapeutic mud",,,,,,,,,"(2016), http://www.stat.gov.kz/; Aleksandrova, A.Y., (2002) International Tourism, , Moscow: Aspekt Press; Bender, T., Karagülle, Z., Balint, G.P., Gutenbrunner, C., Balint, P.V., Sukenik, S., Hidrotherapy, balneotherapy, and spa treatment in pain management (2005) Rheumatology International, 25 (3), pp. 220-224; (2016), http://geology.gov.kz; Dzhetimov, M.A., Mazbayev, O.B., Asubayev, B.K., Yesengabylova, A., Tokpanov, E.A., Physical and chemical microbiological analysis of the therapeutic mud of “Kossor” deposit of Alakol lake (2014) Life Science Journal, 11 (5), pp. 217-221; Efimenko, N.V., (2012) Medical and Health Tourism in Russia and Abroad from the Point of the Resort Science. FGBU PGNIIK FMBA of Russia. Pyatigors. Resort Medicine, 3, p. 51; Fomin, I.A., Nazarova, T.V., Mazhitova, G.Z., Therapeutic muds of the NorthKazakhstan Region (2012) Research in the Field of Natural Sciences, 6; Gomes, C., Carreterob, M.I., Pozoc, M., Maraverd, F., Cantistae, P., Armijod, F., Legidof, J.L., Delgadoi, R., Peloids and pelotherapy: Historical evolution, classification and glossary (2013) Applied Clay Science, 7576; Gonzalez-Barreiro, C., Cancho-Grande, B., Araujo-Nespereira, P., Cid-Fernandez, J.A., Simal-Gandara, J., Occurrence of soluble organic compounds in thermal waters by ion trap mass detection (2009) Chemosphere, 75 (1), pp. 34-47; Ikkos, A., (2002) Health Tourism: New Challenge in Tourism, , Greece: GBR Consulting; Kan, S.M., Kalugin, O.A., Murtazin, E., Kurmangaliyeva, S., Rysmendeeva, G.I., Curative mud of Arasan-Kundyzdy litter and some aspects of their genesis. News of the National academy of sciences of the Republic of Kazakhstan (2015) Series of Geology and Technical Sciences, 3 (411), pp. 69-78; (2016), http://kerimagash.kz/ru/node/35; Martin, B.G., Weather, climate and tourism. A Geographical Perspective (2005) Annals of Tourism Research, 32 (3), pp. 571-591; (2016), http://www.mckinsey.com/; (2016), http://www.medicaltourismassociation.com/en/us-initiatives.html; (2002), Kostanay; Nahrstedt, W., Wellness: A New Perspective for Leisure Centers, Health Tourism, and Spas in Europe on the Global Health Market (2004) The Tourism and Leisure Industry: Shaping the Future, , K. Weiermair & C. Mathies (Eds.), New York: Haworth Hospitality Press; Nekipelova, O.M., Vlasov, V.G., Luneva, T.G., Using of low mineralized and low sulphide sludge mud in the complex therapy of patients with psoriasis vulgaris and arthropathic psoriasis (2013) Far East Health, 4, pp. 53-57; (2013) Medical Travel Today, , http://medicaltraveltoday.com/new-study-reveals-wellness-tourism-a-439-billion-market-representing-1-in-7-tourism-dollars/, New Study Reveals Wellness Tourism, Direct access; Sydykov, Z., (1972) Medicinal Mineral Waters of Kazakhstan, , Alma-Ata; Terzis, N., Takvorian, M., Zaharis, D., Moumtzi, E., Roussos, N., Patatoukas, D., Rehabilitation of patient with traumatic brain injury, femoral fracture and hip dislocation. A case report (2014) Annals of Physical and Rehabilitation Medicine, 57 (1), pp. 159-162; (2010) The National Atlas of the Republic of Kazakhstan, , Almaty; (2016), http://turizm-zhetysu.gov.kz/?p=317; Veselov, V.V., (1999) Groundwater Deposits in Kazakhstan, , Almaty; Vetitnev, A.M., Kuskov, A.S., (2010) Medical Tourism, , Moscow: Forum; Vetitnev, A.M., On the relation between the concepts of ""medical tourism"" and ""health resort business"" (2011) Resort Organizations: Management, Marketing, Economics, Finance, 3, p. 11","Suraganova, S.; L.N.Gumilev Eurasian National UniversityKazakhstan; email: suraganovas@mail.ru",,,"IJESE",,,,,13063065,,,,"English","Int. J. Environ. Sci. Educ.",Article,"Final",,Scopus,2-s2.0-85007042083 "Anish M.N., Dhanish P.B., Sridharan R.","56461314200;6506185226;7005923110;","Antecedents to behavioural intentions in medical tourism",2016,"International Journal of Management and Decision Making","15","3-4",,"308","335",,2,"10.1504/IJMDM.2016.080706","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85002642719&doi=10.1504%2fIJMDM.2016.080706&partnerID=40&md5=5adf6ee0cd334a27595ebbc477ea3bc4","Department of Mechanical Engineering, National Institute of Technology Calicut673601, India","Anish, M.N., Department of Mechanical Engineering, National Institute of Technology Calicut673601, India; Dhanish, P.B., Department of Mechanical Engineering, National Institute of Technology Calicut673601, India; Sridharan, R., Department of Mechanical Engineering, National Institute of Technology Calicut673601, India","This paper presents the salient details of a study conducted to determine the effects of service quality, patient satisfaction, image of the hospital, value of service and trust with the hospital on behavioural intentions in the medical tourism area of Kerala. Service quality is measured based on performance score (SERVPERF method). Responses from 411 international patients are used in this study. Nine dimensions of service quality are derived after factor analysis. Role of information and communication technology is used as a separate dimension of service quality in this study. Using regression analysis, it is found that service quality, patient satisfaction, image of the hospital, value of service and trust with the hospital significantly affect mouth publicity and re-purchase intention of international patients. It is also found that service quality, patient satisfaction and value of service significantly affect price sensitivity nature of international patients. Copyright © 2016 Inderscience Enterprises Ltd.","Behavioural intentions; Image; Medical tourism; Patient satisfaction; Service quality; Trust; Value",,,,,,,,,"Alexandris, K., Dimitriadis, N., Can perceptions of service quality predict behavioral intentions? 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Parasuraman, A., Zeithaml, V.A., Berry, L.L., SERQUAL: A multiple-item scale for measuring consumer perceptions of service quality (1988) Journal of Retailing, 64 (1), pp. 12-40; Park, J., Robertson, R., Wu, C., The effect of airline service quality on passengers' behavioural intentions: A Korean case study (2004) Journal of Air Transport Management, 10 (6), pp. 435-439; Ramez, W.S., Patients' perception of health care quality, satisfaction and behavioral intention: An empirical study in Bahrain (2012) International Journal of Business and Social Science, 3 (18), pp. 131-141; Reidenbach, R.E., Sandifer-Smallwood, B., Exploring perceptions of hospital operations by a modified SERVQUAL approach (1990) Journal of Health Care Marketing, 10 (4), pp. 47-55; Rust, R., Oliver, R.I., Service quality insights and managerial implications from the frontier (1994) Service Quality: New Directions in Theory and Practice, pp. 1-19. , in Roland T. 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Oliver (Eds.), Sage Publications, Inc., New York; Sanzo, M.J., Santos, M.L., Vázquez, R., Luis, I., Sanzo, M.A.J., Santos, M.L., Vazquez, R., The role of market orientation in business dyadic relationships: Testing an integrator model (2012) Journal of Marketing Management, 19 (1), pp. 73-107; Sarwar, A., Medical tourism in Malaysia: Prospect and challenges (2013) Iranian Journal of Public Health, 42 (8), pp. 795-805; Sarwar, A.A.M., Manaf, N.A., Omar, A., Medical tourist's perception in selecting their destination: A global perspective (2012) Iranian Journal Public Health, 41 (8), pp. 1-7; Saxe, R., Weitz, B.A., The SOCO scale: A measure of the customer orientation of salespeople (1982) Journal of Marketing Research, 19 (3), pp. 343-351; Sirdeshmukh, D., Singh, J., Sabol, B., Consumer trust, value, and loyalty in relational exchanges (2002) Journal of Marketing, 66 (1), pp. 15-37; Smith, T.A., Lawrence, W.W., Towards a better understanding of strategic planning in service versus manufacturing firms (2015) International Journal of Management and Decision Making, 14 (2), pp. 81-96; Supitchayangkool, S., Muang, A., The differences between satisfied/dissatisfied tourists towards service quality and revisiting Pattaya, Thailand (2012) International Journal of Business and Management, 7 (6), pp. 30-39; Taylor, S.A., Baker, L., An assessment of the relationship between service quality and customer satisfaction in the formation of consumers' purchase intentions (1994) Journal of Retailing, 70 (2), pp. 163-178; Tomes, A.E., Chee, S., Ng, P., Service quality in hospital care: The development of an in-patient questionnaire (1995) International Journal of Health Care Quality Assurance, 8 (3), pp. 25-33; Vandamme, R., Leunis, J., Development of a multiple item scale for measuring hospital hospital service quality (1993) International Journal of Service Industry Management, 4 (3), pp. 30-49; Wankhade, L., Dabade, B.M., Minimising quality uncertainty by the root-cause and failure analysis method (2009) International Journal of Management and Decision Making, 10 (5-6), pp. 359-385; Wu, H., Hsieh, S., A case study of applying importance-performance analysis in orthopedic department to evaluate service quality (2012) International Journal of Management and Decision Making, 12 (1), pp. 50-68; Wu, H., Liu, C., Hsu, W., An integrative model of customers' perceptions of health care services in Taiwan (2008) The Service Industries Journal, 28 (9), pp. 1307-1319; Yoon, S., Choi, D., Park, J., Service orientation: Its impact on business performance in the medical service industry (2007) The Service Industries Journal, 27 (4), pp. 371-388; Zeithaml, V.A., Consumer perceptions of price, quality and value: A means-end model and synthesis of evidence (1988) Journal of Marketing, 52 (3), pp. 2-22; Zeithaml, V.A., Berry, L.L., Parasuraman, A., The behavioral consequences of service quality (1996) Journal of Marketing, 60 (2), pp. 31-46; Zimmer, M.R., Golden, L.L., Impressions of retail stores: A content analysis of consumer images (1988) Journal of Retailing, 64 (3), pp. 265-293","Sridharan, R.; Department of Mechanical Engineering, National Institute of Technology CalicutIndia; email: sreedhar@nitc.ac.in",,,"Inderscience Enterprises Ltd.",,,,,14624621,,,,"English","Int. J. Manage. Decis. Mak.",Article,"Final",,Scopus,2-s2.0-85002642719 "Gola S.","57192235427;","Medical tourism in India – in whose interest?",2016,"Journal of International Trade Law and Policy","15","2-3",,"115","133",,2,"10.1108/JITLP-01-2016-0005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85002489587&doi=10.1108%2fJITLP-01-2016-0005&partnerID=40&md5=c09e303cb5bc33f963c733fb232a5f7c","School of Law, University of Manchester, Manchester, United Kingdom","Gola, S., School of Law, University of Manchester, Manchester, United Kingdom","Purpose: The present paper aims to analyse who actually benefits from the policies to promote international trade in healthcare services through medical tourism in India. It also assesses the implications of unfettered and unchecked medical tourism for public health policy-making. Design/methodology/approach: The research methodology adopted in this paper is inter-disciplinary (socioeconomic and legal) and includes a mix of doctrinal and empirical qualitative research. Findings: The present paper argues that in the absence of any baseline data in the public domain on inbound traffic of tourists visiting India on medical tourism, it is difficult to assess and evaluate the private sector claims and that the absence of any format for data collection, management and analysis results in questionable accountability and institutional fragmentation and non-coordination. Furthermore, it results in asymmetrical policy-making in areas like international trade, which may have unintended negative effects for public health. Research limitations/implications: The research findings of the present paper will also assist other developing countries considering to promote medical tourism to learn lessons from India’s experiences. Originality/value: The present paper uses the qualitative empirical research conducted by the author to analyse the state of affair of medical tourism in India. © 2016, © Emerald Group Publishing Limited.","Adaptive governance; GATS; Medical tourism; Public health",,,,,,,,,"Adlung, R., Carzaniga, A., Health services under the general agreement on trade in services (2001) Bulletin of the World Health Organization, 79 (4), pp. 352-364; Ashford, R., Socio-economics: what is its place in law practice? (1997) Wisconsin Law Review, pp. 611-624; Ashford, R., What is socioeconomics? 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TN/S/O/IND/Rev. 1*, , WTO, Geneva; Gebauer, T., Institutionalising solidarity for health (2013) Global Health and International Community: Ethical, Political and Regulatory Challenges, pp. 219-232. , Coggon, J. and Gola, S (Eds), Bloomsbury, London; Haffeld, J., Facilitative governance: transforming global health through complexity theory (2012) Global Public Health: An International Journal for Research, Policy and Practice, 7 (5), pp. 452-464; Hazarika, I., Medical tourism: its potential impact on the health workforce and health systems in India (2010) Health Policy and Planning, 25, pp. 248-251; Hill, P.S., Understanding global health governance as a complex adaptive system (2011) Global Public Health: An International Journal for Research, Policy and Practice, 6 (6), pp. 593-605; Kruk, M.E., Globalisation and global health governance: implications for public health (2012) Global Public Health: An International Journal for Research, Policy and Practice, 7 (S1), pp. S54-S62; Lefebvre, B., (2010) Hospital Chains in India: The Coming of Age, , IFRI, Paris; McLean, T.R., The global market for health care: economics and regulation (2008) Wisconsin International Law Journal, 26 (3), pp. 591-645; Marconini, M., Domestic capacity and international trade in health services: the main issues in UNCTAD-WHO joint publication (1998) International Trade in Health Services: A Development Perspective, Doc UNCTAD/ITCD/TSB/5-WHO/TFHE/98.1, pp. 55-62. , WHO Place; Medhekar, A., (2013) Indian government policy to support trade in medical tourism services, pp. 77-96. , Proceedings of the Seventh International Conference on Healthcare Systems & Global Business Issues, Jaipur; (2011), Reply to RTI query dated 2 December 2011; (2011), Reply to RTI query dated 19 December 2011; (2012), Directorate General of Health Services Reply to RTI query dated 12 January 2012; (2012), Hospital Division Reply to RTI query dated 30 March 2012; (2011), Office Memorandum dated 16 November 2011; (2011), Reply to RTI query dated 16 November 2011; (2011), Reply to RTI query dated 24 November 2011; (2007), Press release dated 6 March 2007; (2010), Reply to Parliamentary question dated 6 August 2010; (2011), Reply to Parliament question dated 5 August 2011; Mulay, S., Gibson, E., Marketing of assisted human reproduction and the Indian State (2006) Development, 49 (4), pp. 84-93; O’Connell, P., On reconciling irreconcilables: neo-liberal globalisation and human rights (2007) Human Rights Law Review, 7 (3), pp. 483-509; Onzivu, W., Reinforcing global health normative frameworks and legal obligations: can adaptive governance help? (2013) Global Health and International Community: Ethical, Political and Regulatory Challenges, pp. 233-248. , Coggon, J. and Gola, S (Eds), Bloomsbury, London; (2010) High Level Expert Group Report on Universal Health Coverage for India, , Planning Commission of India, New Delhi; Rath, S.P., Das, B., Mishra, S., Puthan, P., New avenue of tourism and revenue generation in India – ‘medical tourism’ (2012) International Journal of Business and Management Tomorrow, 2 (1), pp. 1-14; (2010) Booming medical tourism in India, , www.rncos.com/Market-Analysis-Reports/Booming-Medical-Tourism-in-India-IM123.htm, (accessed, 7 December 2015; Sengupta, A., Medical tourism: reverse subsidy for the elite (2011) Signs, 36 (2), pp. 312-319; Sharma, A., Medical tourism: emerging challenges and future prospects (2013) Indian Journal of Business and Management Invention, 2 (1), pp. 21-29; Shetty, P., Medical tourism booms in India, but at what cost? (2010) The Lancet, 376, pp. 671-672; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) The Lancet, 373 (9663), pp. 593-601; Tarantola, D., Gruskin, S., Human rights approach to public health policy (2008) International Encyclopedia of Public Health, 3, pp. 477-486. , Heggenhougen, K. and Quah, S.and (Eds), Academic Press, San Diego, CA; (2013) Medical Tourism Market (India, Thailand, Singapore, Malaysia, Mexico, Brazil, Taiwan, Turkey, South Korea, Costa Rica, Poland, Dubai and Philippines) - Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2013 – 2019, , www.transparencymarketresearch.com/medical-tourism.html, (accessed, 7 December 2015; (2002) Liberalization of Trade in Services and Human Rights: Report of the High Commissioner, UN Doc. E/CN.4/Sub.2/2002/9, , United Nations, Geneva; (1997) International Trade in Health Services: Difficulties and Opportunities for Developing Countries, Doc. TD/B/COM.1/EM.1/2, , United Nations, Geneva; Fort, M., Mercer, M.A., Gish, O., (2004) Sickness and Wealth: The Corporate Assault on Global Health, , South End Press, Boston; Labonté, R.N., Schrecker, T., Sengupta, A., (2005) Health for Some: Death, Disease and Disparity in a Globalizing Era, , Centre for Social Justice, London","Gola, S.; School of Law, University of ManchesterUnited Kingdom; email: golaswati@gmail.com",,,"Emerald Group Publishing Ltd.",,,,,14770024,,,,"English","J. Int. Trade Law Policy",Article,"Final",,Scopus,2-s2.0-85002489587 "Legido-Quigley H.","15837269400;","Is it more important to address the issue of patient mobility or to guarantee universal health coverage in Europe? Comment on “Regional incentives and patient cross-border mobility: Evidence from the italian experience”",2016,"International Journal of Health Policy and Management","5","1",,"47","50",,2,"10.15171/ijhpm.2015.163","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85002078871&doi=10.15171%2fijhpm.2015.163&partnerID=40&md5=4853fd3acb28f03ded7388afe07c7257","Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore","Legido-Quigley, H., Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore","This paper discusses whether European institutions should devote so much attention and funding to cross-border healthcare or they should instead prioritise guaranteeing universal health coverage (UHC), “addressing inequalities” and tackling the effects of austerity measures. The paper argues through providing the evidence in both areas of research, that the priority at European level from a public health and social justice perspective should be to guarantee UHC for all the population living in Europe and prioritise protective action for those who are most in need. © 2016 by Kerman University of Medical Sciences.","Austerity; European union; Financial crisis; Patient mobility","health service; human; migration; organization and management; private sector; public health; statistics and numerical data; utilization; Emigration and Immigration; Health Services; Humans; National Health Programs; Private Sector",,,,,,,,"(2011) Directive 2011/24/EU on the Application of patients’ Rights in Cross-Border Healthcare, , The European Parliament and the Council of Europe, Offical Journal of the European Union; Kentikelenis, A., Karanikolos, M., Papanicolas, I., Basu, S., McKee, M., Stuckler, D., Health effects of financial crisis: Omens of a Greek tragedy (2011) Lancet, 378 (9801), pp. 1457-1458; McKee, M., Karanikolos, M., Belcher, P., Stuckler, D., Austerity: A failed experiment on the people of Europe (2012) Clin Med, 12 (4), pp. 346-350; Stuckler, D., Basu, S., (2013) The Body Economic: Why Austerity Kills, , New York: Basic Books; Lopez Bernal, J.A., Gasparrini, A., Artundo, C.M., McKee, M., The effect of the late 2000s financial crisis on suicides in Spain: An interrupted time-series analysis (2013) Eur J Public Health, 23 (5), pp. 732-736; Karanikolos, M., Mladovsky, P., Cylus, J., Financial crisis, austerity, and health in Europe (2013) Lancet, 381 (9874), pp. 1323-1331; Gili, M., Roca, M., Basu, S., McKee, M., Stuckler, D., The mental health risks of economic crisis in Spain: Evidence from primary care centres, 2006 and 2010 (2013) Eur J Public Health, 23 (1), pp. 103-108; Vandoros, S., Hessel, P., Leone, T., Avendano, M., Have health trends worsened in Greece as a result of the financial crisis? A quasi-experimental approach (2013) Eur J Public Health, 23 (5), pp. 727-731; Brenna, E., Spandonaro, F., Regional incentives and patient cross-border mobility: Evidence from the Italian experience (2015) Int J Health Policy Manag, 4 (6), pp. 363-372; Legido-Quigley, H., Glinos, I., Baeten, R., McKee, M., Patient mobility in the European Union (2007) BMJ, 334 (7586), pp. 188-190; Glinos, I., Worrying about the wrong thing: Patient mobility versus mobility of health care professionals (2012) J Health Serv Res Policy, 17 (4), pp. 254-256; Legido-Quigley, H., Nolte, E., Green, J., La Parra, D., McKee, M., The health care experiences of British pensioners migrating to Spain: A qualitative study (2012) Health Policy, 105 (1), pp. 46-54; Legido-Quigley, H., McKee, M., Green, J., Trust in health care encounters and systems: A case study of British pensioners living in Spain (2014) Sociol Health Illn, 36 (8), pp. 1243-1258; Legido-Quigley, H., Otero, L., Parra, D., Alvarez-Dardet, C., Martinmoreno, J.M., McKee, M., Will austerity cuts dismantle the Spanish healthcare system? (2013) BMJ, 346, p. 2363; De Vogli, R., Vieno, A., Lenzi, M., Mortality due to mental and behavioral disorders associated with the Great Recession (2008-10) in Italy: A time trend analysis (2013) Eur J Public Health; Kentikelenis, A., Karanikolos, M., Papanicolas, I., Basu, S., McKee, M., Stuckler, D., Health effects of financial crisis: Omens of a Greek tragedy (2011) Lancet, 378 (9801), pp. 1457-1458; Kentikelenis, A., Karanikolos, M., Reeves, A., McKee, M., Stuckler, D., Greece’s health crisis: From austerity to denialism (2014) Lancet, 383 (9918), pp. 748-753; (2012) Datos Provisionales (Conditions of Life Survey, 2012, Provisional Data), p. 2012. , Encuesta de Condiciones de Vida Año 2012 Madrid: INE; Legido-Quigley, H., Urdaneta, E., Gonzalez, A., Erosion of universal health coverage in Spain (2013) Lancet, 382 (9909), p. 1977; Health at a Glance: Europe (2012) OECD Publishing, p. 2013; Stuckler, D., Basu, S., Suhrcke, M., Coutts, A., McKee, M., The public health effect of economic crises and alternative policy responses in Europe: An empirical analysis (2009) Lancet, 374 (9686), pp. 315-323; Kentikelenis, A., Karanikolos, M., Reeves, A., McKee, M., Stuckler, D., Greece’s health crisis: From austerity to denialism (2014) The Lancet, 383 (9918), pp. 748-753; Simou, E., Koutsogeorgou, E., Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review (2014) Health Policy, 115 (2), pp. 111-119; Tsounis, A., Sarafis, P., Alexopoulos, E.C., Austerity and its consequences on cancer screening in Greece (2014) Lancet, 384 (9960), p. 2110; (2015) Greece Scraps Hospital Visit Fee, to Hire Health Workers, , http://www.reuters.com/article/2015/04/02/us-eurozone-greece-health-idUSKBN0MT1CA20150402, Reuters, April 2; (2011) Portugal: Memorandum of Understanding on Specific Economic Policy Conditionality, , http://economico.sapo.pt/public/uploads/memorandotroika_04-05-2011.pdf; Expansion (2012) Madrid, , Expansion. La Ley de Dependencia se está resquebrajando por los recortes (The Dependency Law is desmantling due to the cuts); Estado, B.O.D., (2012) BOE, , Real Decreto-ley 21/2012, de 13 de julio, de medidas de liquidez de las Administraciones públicas y en el ámbito financiero (Royal Decree-law 21/2012, 13th July, measures to reform public administration and the financial system). Madrid: Núm. 168 Sábado 14 de julio de 2012; Legido-Quigley, H., Otero, L., La Parra, D., Alvarez-Dardet, C., Martinmoreno, J.M., McKee, M., Will austerity cuts dismantle the Spanish healthcare system? (2013) BMJ, 346, p. 2363; Del Mundo, M., (2015) Las Barreras Al Acceso a La atención Sanitaria De Las Mujeres Embarazadas Y Los/Las Menores En Europa; Cervero-Liceras, F., McKee, M., Legido-Quigley, H., The effects of the financial crisis and austerity measures on the Spanish health care system: A qualitative analysis of health professionals’ perceptions in the region of Valencia (2015) Health Policy, 119 (1), pp. 100-106; (2015) Transforming Our World: The 2030 Agenda for Sustainable Development","Legido-Quigley, H.; Saw Swee Hock School of Public Health, National University of SingaporeSingapore; email: ephhlq@nus.edu.sg",,,"Kerman University of Medical Sciences",,,,,23225939,,,"26673649","English","Int J Health Policy Manag",Note,"Final",Open Access,Scopus,2-s2.0-85002078871 "Mousavi S.M., Haghi M., Gharasi Manshadi M.","56165159700;56462535100;56966635500;","Health tourism in iran: A path towards sustainable development",2016,"Iranian Journal of Public Health","45","2",,"274","275",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963788031&partnerID=40&md5=06216432b97bf96fbf6f38bde193a318","Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Dept. of Health Education, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran","Mousavi, S.M., Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Haghi, M., Dept. of Health Education, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Gharasi Manshadi, M., Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran",[No abstract available],,,,,,,,,,"Morovati Sharifabadi, A., Asadian Ardakani, F., A Model for Health Tourism Develop-ment Using Fuzzy TOPSIS and Interpretive Structural Modeling in Yazd Province (2014) J Health Adm, 17 (55), pp. 73-88; Seyydjavadyn, S.R., Shafaei, M., Shafaghat Lonbar, H., Najafi, B., Investigating the Develop-ment of the Private Sector in Health Tourism (Based On Lewin's Model) (2013) J Health Account, 2 (4), pp. 15-32; Mostafavi, H., Shamsi Goushki, E., Abbasi, M., Ethics in Health Tourism (2012) Iran J Bioe-Tech, 2 (4), pp. 161-180; Khodayari, R., Tourani, S., Qaderi, A., Salehi, M., Jafa-Ri, H., Capabilities assessing of teaching hospitals in Iran University of medical sciences in attracting medical tourists according to JCI patient-oriented standards (2011) Hosp, 9 (3), pp. 51-56; Jabbari, A., Ferdosi, M., Keyvanara, M., Agharahimi, Z., Analysis of medical tourism industry stakeholders: Providing effective strategies in Isfahan, Iran (2013) Health Info Manage, 9 (6), pp. 1-9; Sharifabadi, A., Ardakani, F., A model for health tourism development using fuzzy TOP-SIS and interpretive structural modeling in Yazd province (2014) J Health Admin, 17 (55), pp. 73-88; Izadi, M., Ayoobian, A., Nasiri, T., Joneidi, N., Fazel, M., Hosseinpourfard, M., Situation of health tourism in Iran; opportunity or threat (2012) Mil Med J, 14 (2), pp. 69-75; Shaarbafchi-Zadeh, N., Azami, S., Bastani, P., Opportunities and challenges against cross border supply of health services in Iranian health sector: A qualitative approach (2012) Razi J Med Sci, 19 (100), pp. 1-11; Delgoshaie, B., Jabbari, A., Farzin, M.R., Sherbafchi-Zadeh, N., Tabibi, S.J., Current situation of medical tourism: A case study of Iran (2012) Payesh J, 11 (2), pp. 157-165","Gharasi Manshadi, M.; Health Management and Economics Research Center, Iran University of Medical SciencesIran; email: mgharasi@razi.tums.ac.ir",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English",,Letter,"Final",,Scopus,2-s2.0-84963788031 "Pian A.","56202568000;","Care and Migration Experiences Among Foreign Female Cancer Patients in France: Neither Medical Tourism Nor Therapeutic Immigration",2015,"Journal of Intercultural Studies","36","6",,"641","657",,2,"10.1080/07256868.2015.1095712","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949488713&doi=10.1080%2f07256868.2015.1095712&partnerID=40&md5=457bb67e2cc40ff52370dc55914c18b0","University of Strasbourg(DynamE), 22 rue René Descartes, Strasbourg, 67 000, France","Pian, A., University of Strasbourg(DynamE), 22 rue René Descartes, Strasbourg, 67 000, France","This article is based on a sociological study carried out on foreign cancer sufferers seeking health care or diagnoses in France. The present study brings into perspective two major dimensions. First, it contributes to deconstructing the antithesis between medical immigration and medical tourism: two concepts that are more akin to exogenous categories (population governance and population flows within the current global context) than to a true anthropological perspective of patient experiences and their biographical consequences. Second, it will show how mobility offers an important insight into patients’ use of health care services, and identify the inequalities they experience and the ways in which they try to overcome them. © 2015 Taylor & Francis.","cancer; life course; Medical immigration; medical tourism; migration; mobility",,,,,,,,,"Acevedo-Garcia, D., Almeida, J., Special issue introduction (2012) Social science and medicine, 75, pp. 2055-2059; Adam-Vézina, E., Femmes africaines séropositives en quête d'asile. 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Available from: [Accessed 19 Jan 2015]; Crooks, V., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC health services research, 10 (1). , http://www.biomedcentral.com/1472-6963/10/266, [online], Available from: [Accessed 28 Jul 2015]; Demazière, D., Samuel, O., Inscrire les parcours individuels dans leurs contexts (2010) Temporalités. Revue de sciences sociales et humaines, 11. , http://temporalites.revues.org/1167; De Sardan, J.-P., (2008) La rigueur du qualitatif: les contraintes empiriques de l’interprétation socio-anthropologique, p. 365. , Paris: Academia; Falquet, J., (2010) Le sexe de la mondialisation, p. 278. , Paris: Presses Universitaires de Sciences Po; Fassin, D., Qualifier les inégalités (2000) Les inégalités sociales de santé, pp. 123-144. , Leclerc A., Fassin D., Grandjean H., Kaminski M., Lang T., (eds), Paris: INSERM-La découverte; Fassin, D., Policing borders, producing boundaries. The governmentality of immigration in dark times (2011) Annual review of anthropology, 40, pp. 213-226; Fassin, D., Memmi, (2004) Le Gouvernement des Corps, , Paris: EHESS; Glick Schiller, N., Salazar, N.-B., Regimes of mobility across the Globe (2013) Journal of ethnic and migration studies, 39 (2), pp. 183-200; Granovetter, S.M., The strength of weak ties (1973) American journal of sociology, 78 (6), pp. 1360-1380; Guillou, A.-Y., Immigration thérapeutique, immigration pathogène. Abandonner le «parcours thérapeutique» pour l’expérience migratoire – Commentaire (2009) Sciences Sociales et Santé, 27 (1), pp. 63-71; Hoyez, A.-C., L'accès aux soins des migrants en France et la ‘culture de l'initiative locale’ (2011) Cybergeo: European journal of geography, , http://cybergeo.revues.org/24796, Une analyse des contextes locaux à l’épreuve des orientations nationales, Available from: [Accessed 8 Feb 2013]; Johnston, R., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9, p. 24; Jusot, F., Inégalités de santé liées à l’immigration en France: effet des conditions de vie ou sélection (2009) Revue Économique, 60 (2), pp. 385-411; Kennedy, P., Rééquiliber les comptes. La résilience du local et la fragilité d’une conscience globale (2013) Le tournant global des sciences sociales, pp. 133-151. , Caillé A., Dufoix S., (eds), Paris: La découverte; Kingsbury, P., Narratives of emotion and anxiety in medical tourism: on (2012) Social and cultural geography, 13 (4), pp. 361-378; Labonté, R., Overview: medical tourism today: what, who, why and where (2013) Transdisciplinary studies in population health series, 4 (1). , http://www.ruor.uottawa.ca/en/bitstream/handle/10393/23788/Travelling%20Well-%20Essays%20in%20MedicalTourism.pdf?sequence=1, [online], Available from: [Accessed 28 July 2015]; Lardoux, J.-M., La Bretagne est la région française avec le plus faible taux d’immigrés (2010) Octant info, 25. , http://www.insee.fr/fr/themes/document.asp?reg_id=2&ref_id=19075, [online], INSEE. Available from, : [Accessed 16 Feb 2014]; Lee, M., Han, H., Lockyer, T., Medical tourism- attracting Japanese tourists for medical tourism experience (2012) Journal of travel and tourism experience, 29 (1), pp. 69-86; Lefebvre, H., (1974) La Production de L’espace, p. 485. , Paris: Anthropos; Lunt, N., (2011), http://www.oecd.org/els/health-systems/48723982.pdf; Mbaye, M.-E., Sida et immigration thérapeutique en France: mythes et réalités (2009) Sciences Sociales et Santé, 27 (1), pp. 43-62; Ménoret, M., (1999) Les Temps du Cancer, , Paris: CNRS; Morokvasic-Muller, M., Erel, U., Shinozaki, K., (2003) Crossing borders and shifting boundaries. gender on the move, 1, p. 312. , Opladen: Leske and Budrich; Moujoud, N., (2008) Effets de la migration sur les femmes et les rapports sociaux de sexe: au-delà des visions binaires, , Cahiers du CEDREF, Femmes, genre, migrations et mondialisation: un état des problématique, 57–80; Nys, J.-F., Les nouveaux flux de migrations médicales (2010) Revue Internationale et Stratégique, 77 (1), pp. 24-35; Oelgemoller, C., ‘Transit and suspension migration management or the metamorphosis of asylum-seekers into ‘illegal’ immigrants’ (2011) Journal of Ethnic and Migration Studies, 37 (3), pp. 407-424; Olson, R.E., Managing hope, denial or temporal anomie? Informal cancer carer’s accounts of spouses’ (2011) Social sciences and medicine, 73, pp. 904-911; Ormond, M., Mun, W.-K., Khoon, C.-C., Medical tourism in Malaysia: how can we better identify and manage its advantages and disadvantages (2014) Global health action, 7. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161948/, [online], Available from: [Accessed 3 Nov 2014]; Oso Casas, L., (2008) Migration, genre et foyers transnationaux : un état de la bibliographie, , Cahiers du CEDREF, Femmes, genre, migrations et mondialisation: un état des problématique, 125–146; Pian, A., (2009) Aux nouvelles frontières de l'Europe. L’aventure incertaine des Sénégalais au Maroc, , Paris: La Dispute; Pian, A., De l’accès aux soins aux trajectoires du mourir. Les étrangers atteints de cancer à l’épreuve des contraintes administratives (2012) Revue Européenne des Migrations Internationales, 2 (8), pp. 101-125; Pian, A., Ici ou là-bas? La fin de vie en situation de migrations (2015) Les Territoires vécus de l’intervention sociale, pp. 191-200. , Bresson M., Colomb F., Gaspar J.-P., (eds), Paris: éd. Septentrion; Pourtau, L., Dumas, A., Amiel, P., Les individus face à l’événement ‘cancer’ (2011) Temporalités, 13. , http://temporalites.revues.org/1531, Available from: [Accessed 13 Feb 2013]; Roberts, E.F.S., Scheper-Hughes, N., Special issue: medical migrations: global quests for health and life (2011) Body & society, 17 (2-3), pp. 1-213; Sakoyan, J., Musso, S., Mulot, S., Quand la santé et les médecines circulent (2011) Anthropologie et santé. Revue internationale francophone d’anthropologie de la santé, 3. , http://anthropologiesante.revues.org/819, Available from: [Accessed 02 Oct 2015]; Salazar, R., (2001) Servants of globalization. Women, migration and domestic service, , Stanford, CA: Stanford University Press; Sarradon-Eck, A., Le cancer comme inscription d’une rupture biographique dans le corps (2009) Faire face au cancer. Image du corps, image de soi, pp. 285-311. , Cousson-Gélie F., Langlois E., Barrault M., (eds), Boulogne Billancourt: Tikinagan; Sassen, S., (1991) The global city: New York, London, Tokyo, , Oxford: Princeton University Press; Sayad, A., (1999) La double absence, , Paris: Seuil; Sobo, E.J., Medical travel: what it means and why it matters (2009) Medical anthropology, 29 (1), pp. 326-335; Speier, A.-R., Health tourism in a Czech health spa (2011) Anthropology and medicine, 18 (1), pp. 55-66; Streiff-Fenart, J., Wa Kabwe Segatti, A., (2011) The challenge of the threshold: border closures and migration movements in Africa, , Plymouth: Lexington Books; Tremblay, M., (2012) ‘Tourisme médical: quel rôle pour l’État? Laboratoire d’, , http://archives.enap.ca/bibliotheques/2012/03/030293256.pdf, étude sur les politiques publiques et la mondialisation, ENAP, 2012, 21 p. (Rapport évolutif. Analyse des impacts de la mondialisation sur la santé au Québec; Rapport 9). Available from, : [Accessed Apr 2013]; Unti, J.A., Medical and surgical tourism: the new world of health care globalization and what it means for the practicing surgeon (2009) Bulletin of the American college of surgeons, 94 (4), pp. 18-25; Waldinger, R., Fitzgerald, D., Transnationalism in question (2004) American journal of sociology, 109 (5), pp. 1177-1195; Zapata-Barrero, R., Pécoud, A., (2012), New perspectives on the ethics of international migration. American behavioral scientist, 56 (9), 1165–1182; Zimmerman, C., Kiss, L., Hossain, M., Migration and health: a framework for 21st century policy-making (2011) PloS med, 8 (5), pp. 1001-1034","Pian, A.; University of Strasbourg(DynamE), 22 rue René Descartes, France; email: pian@unistra.fr",,,"Routledge",,,,,07256868,,,,"English","J. Intercult. Stud.",Article,"Final",,Scopus,2-s2.0-84949488713 "Bruno P.","56988809500;","From educational and health tourism for children to social tourism: Vacation camps in the Province of Buenos Aires, Argentina [Del turismo escolar y sanitario infantil al turismo social: Colonias de vacaciones en la Provincia de Buenos Aires, Argentina]",2015,"Historia, Ciencias, Saude - Manguinhos","22","4",,"1467","1490",,2,"10.1590/S0104-59702015000400015","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84948970228&doi=10.1590%2fS0104-59702015000400015&partnerID=40&md5=c61d2789481ed609f81b664bca2938a1","Universidad Nacional de Mar del Plata, Complejo Manuel Belgrano, Funes 3.350, 3º piso., Mar del Plata, B7602AYL, Argentina","Bruno, P., Universidad Nacional de Mar del Plata, Complejo Manuel Belgrano, Funes 3.350, 3º piso., Mar del Plata, B7602AYL, Argentina","The early twentieth century saw the rise of vacation camps for frail children as educational and health-giving experiences provided by medical and philanthropic organizations. This article analyzes some of these early experiences, seen here as the predecessors of social tourism, in the Province of Buenos Aires. A combination of written sources are examined, mainly institutional reports, periodicals such as the Monitor de la Educación Común – published by the Consejo Nacional de Educación (National Board of Education) – or laws, with photographs and plans for different examples. I argue that these buildings were both physical and cultural “brands” in the places where they were located, and that their architectural structure encapsulated ideas about leisure space and cures in unique natural environments. © 2015, Fundacao Oswaldo Cruz. All rights reserved.","Frail children; History of tourism; Social tourism; Vacation camps","Argentina; camping; child; history; human; medical tourism; travel; Argentina; Camping; Child; History, 20th Century; Humans; Medical Tourism; Travel",,,,,,,,"Aliata, F., Gentile, E., Hospital (2004) Diccionario de Arquitectura en la Argentina, Estilos, obras, instituciones, ciudades., pp. 187-198. , Liernur, Jorge; Aliata, Fernando (Dir.). Buenos Aires: AGEA; Álvarez, A., La experiencia de ser un ""niño débil y enfermo"" lejos de su hogar: El caso del Asilo Marítimo, Mar del Plata, 1893-1920 (2010) História, Ciências, Saúde - Manguinhos, 17 (1), pp. 13-31; Álvarez, A., Reynoso, D., (1995) Médicos e instituciones de salud: Mar del Plata 1870-1960., , Buenos Aires: Hisa/UNMdP; (1947) Labor realizada y en ejecución: Breve reseña - diciembre 1942-junio 1947: Tres años de labor., , ARGENTINA. Ministerio de Obras Públicas de la Nación. Buenos Aires: Kraft; Boffi, L.L., (1930) Colonias marítimas de niños débiles., , Buenos Aires: Imprenta Ferrari Hnos; Boyer, M., El turismo en Europa, de la Edad Moderna al Siglo XX (2002) Historia Contemporánea, (25), pp. 13-31; Bruno, P., Los hoteles de turismo (1930-1955): Piezas claves del territorio turístico de la Argentina (2012) Registros: Revista de Investigación Histórica, 8 (9), pp. 54-80. , http://faud.mdp.edu.ar/revistas/index.php/registros/article/view/151, Acceso en: 27 dic. 2012; (1915) Ideas y Figuras, 7 (127). , CIUDADES… Ciudades argentinas: Mendoza, 16 jul; (1935) Revista de Arquitectura, 21 (170), 61p. , CONCEPTOS… Conceptos sobre edificación escolar en la República Argentina, feb; Cunha Matos, M., Hotel arquitecture in Portugal (2007) A portrait of the state-of-the-art research at the Tecnichal University of Lisbon, pp. 595-603. , Pereira, Manuel Seabra (Ed.). Netherland: Springer; Desmarás, C., (1942) Tiempo libre de los trabajadores: Vacaciones y centros de descanso., , Buenos Aires: Editorial Jurídica Argentina; (1937) Asociación Colonias de Niños Débiles y Preventorios Infantiles, , ESCUELAS… Escuelas y patronatos, Buenos Aires: Imprenta Fabril; Gehin, M., Las colonias escolares de vacaciones (1908) El Monitor de la Educación Común, 27 (428), pp. 504-516. , http://www.bnm.me.gov.ar/ebooks/reader/reader.php?mon=1&vt=n&dir=00150825&num_img=504, Acceso en: 10 abr. 2013. 31 mar; Herrero, M.B., Carbonetti, A., La mortalidad por tuberculosis en Argentina a lo largo del siglo XX (2013) História, Ciências, Saúde - Manguinhos, 20 (2), pp. 521-536; Ingenieros, J., Las colonias de vacaciones (1907) El Monitor de la Educación Común, 27 (410), pp. 109-119. , http://www.bnm.me.gov.ar/ebooks/reader/reader.php?mon=1&vt=n&dir=00150823&num_img=109, Acceso en: 20 dic. 2013; Jiménez Morales, E., La génesis del hotel turístico (2013) Turismo líquido, pp. 1-16. , Pié I Ninet, Ricardo; Rosa Jiménez, Carlos (Ed.). Barcelona: Universidad Politécnica de Cataluña; Lionetti, L., (2009) La cuestión social en torno a los niños pobres: Las estrategias conjuntas de la escuela pública y las instituciones particulares en la primera mitad del siglo XX., , http://www.historiapolitica.com/datos/biblioteca/lionetti_jiv.pdf, IV Jornadas de Historia Política, Casa de la Cultura de la Universidad Nacional del Sur, Bahía Blanca. Acceso en: 2 feb. 2014; Mazza, C., Bruno, P., Los hoteles y su equipamiento, arquitectura, ciudad y territorio del turismo (2009) Ciudad balnearia y arquitectura: Los hoteles de Mar del Plata en la primera mitad del siglo XX., , Bruno, Perla; Romero, Laura (Coord.). Mar del Plata: Faud, UNMdP; Mercante, D., Mensaje a la Asamblea Legislativa, 3 de mayo de 1949. Senado de la Provincia de Buenos Aires (1950) Diario de Sesiones, pp. 7-19. , 93º período, 1949. t.1, La Plata, Dirección de Impresiones Oficiales; (1956) Tiempo libre y colonias de vacaciones., , MINISTERIO… Ministerio de Trabajo y Previsión, Buenos Aires: Asesoría de Turismo Social y Vacaciones; Olivieri, E., Historia, evolución y organización de las colonias de vacaciones del Consejo Nacional de Educación (1939) El Monitor de la Educación, 58 (794), pp. 54-85. , http://www.bnm.me.gov.ar/ebooks/reader/reader.php?mon=1&vt=n&dir=00150929&num_img=54, Acceso en: 21 mar. 2014; Pastoriza, E., (2011) La conquista de las vacaciones: Breve historia del turismo en la Argentina., , Buenos Aires: Edhasa; Pastoriza, E., Usted se paga el viaje, la Provincia el hospedaje: Mar del Plata, el turismo social y las vacaciones populares durante el gobierno de Domingo A. Mercante (2005) El gobierno de Domingo A. Mercante en Buenos Aires (1946-1952): Un caso de peronismo provincial., pp. 297-320. , Panella, Claudio (Comp.). La Plata: ICPBA; Pereyra, M., Educación, salud y filantropía: El origen de las colonias escolares de vacaciones en España História de la Educación, 1, pp. 145-168. , hdl.handle.net/10366/79297, Salamanca: Ediciones Universidad de Salamanca. Acceso en: 13 jun. 2012. 1982; Piglia, M., (2014) Autos, rutas y turismo: El automóvil club argentino y el Estado., , Buenos Aires: Siglo Veintiuno; Pousada, R., Economía e historia del turismo español (2002) Historia Contemporánea, (25), pp. 203-232; (1940) Cuatro años de Gobierno 1936-1940, , PROVINCIA… Provincia de Buenos Aires, Buenos Aires: Kraft; Raimondi, A.A., (1930) Memoria del Hospital Tornú, Dispensario de Vías Respiratorias, Preventorio Roca y Colonia Marítima de Necochea, , Correspondiente al año 1929. Municipalidad de la Ciudad de Buenos Aires. Asistencia Pública. Buenos Aires: Imprenta Mercatali; Tosi, A., Memoria descriptiva del proyecto de Colonia Nacional de Vacaciones para niños débiles y maestros desgastados, a construirse en el Valle de Uspallata (1915) La Colonia de Nacional de Vacaciones para niños débiles y maestros desgastados en el Valle de Uspallata., , Dirección General de Escuelas Mendoza. Buenos Aires: La casa de los maestros; Zimmermann, E., Los intelectuales, las ciencias y el reformismo liberal: Argentina, 1890-1916 (1992) Desarrollo Económico, 31 (34), pp. 545-564","Bruno, P.; Universidad Nacional de Mar del Plata, Complejo Manuel Belgrano, Funes 3.350, 3º piso., Argentina",,,"Fundacao Oswaldo Cruz",,,,,01045970,,,"26625926","English","Hist. Cienc. Saude Manguhos",Article,"Final",Open Access,Scopus,2-s2.0-84948970228 "Kemp E., Williams K.H., Porter M., III","16024282300;35216538900;57190610521;","Hope across the seas: The role of emotions and risk propensity in medical tourism advertising",2015,"International Journal of Advertising","34","4",,"621","640",,2,"10.1080/02650487.2015.1024385","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84941549852&doi=10.1080%2f02650487.2015.1024385&partnerID=40&md5=c6ee0a9392f878a178a711274976a898","College of Business Administration, Department of Management and Marketing, University of New Orleans, New Orleans, LA, United States; The Lester E. Kabacoff School of Hotel, Restaurant and Tourism Administration, University of New Orleans, New Orleans, LA, United States; E. J. Ourso College of Business, Department of Marketing, Louisiana State University, Baton Rouge, LA, United States","Kemp, E., College of Business Administration, Department of Management and Marketing, University of New Orleans, New Orleans, LA, United States; Williams, K.H., The Lester E. Kabacoff School of Hotel, Restaurant and Tourism Administration, University of New Orleans, New Orleans, LA, United States; Porter, M., III, E. J. Ourso College of Business, Department of Marketing, Louisiana State University, Baton Rouge, LA, United States","Rising US medical costs as well as more competition in the health care industry have led many Americans to pursue health care in foreign destinations. As a result, leading countries in medical tourism have begun launching international advertising campaigns. A growing trend in much of this advertising is the use of emotional appeals. The purpose of this research is to examine whether the use of emotional appeals by nondomestic health care providers contributes to more favourable evaluations of the target health care provider than rational appeals. Specifically, two experimental studies investigate the efficacy of advertisements that induce the emotion of hope to determine whether these advertisements increase trust perceptions and reduce perceived risk, given an individual’s level of risk propensity. Implications for public policy makers and marketing managers who work in health care are discussed. © 2015 Advertising Association.","Emotions; Hope; Medical tourism advertising; Risk; Trust",,,,,,,,,"Adams, L., Tineke, F., Geuens, M., The influence of the self-regulatory focus on the effectiveness of stop-smoking campaigns for young smokers (2011) Journal of Consumer Affairs, 45 (2), pp. 275-305; Bagozzi, R.P., Moore, D.J., Public service advertisements: Emotions and empathy guide prosocial behavior (1994) Journal of Marketing, 58 (1), pp. 56-70; Baker, S., Vulnerability and resilience in natural disasters: A marketing and public policy perspective (2009) Journal of Public Policy & Marketing, 28 (1), pp. 114-123; Bauer, R., Consumer behavior as risk-taking (1960) Proceedings of the 43rd American Marketing Association, pp. 389-398. , ed. R. 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Emotional cues in ads targeting parents (2013) Journal of Consumer Affairs, 47 (3), pp. 485-517; Stone, R.N., Grønhaug, K., Perceived risk: Further considerations for the marketing discipline (1993) European Journal of Marketing, 27 (3), pp. 39-50; Strange, K., On track: Intended and unintended consequences of direct-to-consumer drug marketing (2007) Annals of Family Medicine, 5 (2), pp. 175-177; Taylor, J.W., The role of risk in consumer behavior (1974) Journal of Marketing, 38 (2), pp. 53-60; Ugar, Y., Riecken, G., Attitudes of US doctors and dentists towards advertising: A comparative study (2001) International Journal of Advertising, 20, pp. 341-359; Weinstein, N.D., Klein, W.M., Unrealistic optimism: Present and future (1996) Journal of Social and Clinical Psychology, 15, pp. 1-8; Winkler, T., Buckner, K., Receptiveness of gamers to embedded brand messages in advergames: Attitude toward product placement (2006) Journal of Interactive Advertising, 7 (1), pp. 24-32; Wright, A.A., Lynch, J.G., Jr, Communication effects of advertising versus direct experience (1995) Journal of Consumer Research, 21 (4), pp. 708-719; Wu, C., Shaffer, D., Susceptibility to persuasive appeals as a function of source credibility and prior experience with the attitude object (1987) Journal of Personality and Social Psychology, 52 (4), pp. 677-688; Zuckerman, M., Kuhlman, D.M., Personality and risk-taking: Common biosocial factors (2000) Journal of Personality, 68, pp. 999-1029","Kemp, E.; College of Business Administration, Department of Management and Marketing, University of New OrleansUnited States; email: ekemp@uno.edu",,,"NTC Publications Ltd.",,,,,02650487,,,,"English","Int. J. Advert.",Article,"Final",,Scopus,2-s2.0-84941549852 "Claster W., Ghotbi N., Shanmuganathan S.","25640945700;55957556300;14014387400;","Gathering medical tourism information through algorithmic text analysis of tweets",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"173","188",,2,"10.4018/978-1-4666-8574-1.ch013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957692143&doi=10.4018%2f978-1-4666-8574-1.ch013&partnerID=40&md5=26609fa409179878bf1e30234893c3c1","College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan; Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan; Centre for Geoinformatics, Auckland University of Technology, New Zealand","Claster, W., College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan; Ghotbi, N., Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan; Shanmuganathan, S., Centre for Geoinformatics, Auckland University of Technology, New Zealand","Informed use of medical tourism services depends on an Up-To-Date knowledge of the available services, and their costs and risks at various potential destinations. Such information can also assist in the competitive development of healthcare services. Innovation, product development, and health user relationship management by medical service providers is enhanced, as is knowledge base construction and management. This chapter shows that new forms of social media can provide valuable and previously difficult to obtain Real-Time knowledge on medical tourists' perceptions, concerns, and sentiment towards medical tourism Destinations-Both those already visited by other users and those under consideration for a possible visit. We show how analysis of comments from such social media as Twitter Micro-Blogs can be used to reveal potential and recent medical tourism motivations in the medical services markets in various locations. © 2015, IGI Global. 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Web-seminar presentation, , April 16, New York: Compete, Inc; Senecal, S., Nantel, J., The influence of online product recommendations on consumers' online choices (2004) Journal of Retailing, 80 (2), pp. 159-169; Shanmuganathan, S., Sallis, P., Narayanan, A., (2009) Unsupervised artificial neural nets for modeling the effects of climate change on New Zealand grape wines, , http://www.geo-informatics.org/publications/MODSIM09_Unsupervised_ANN_Shanmuganathan.pdf, Retrieved from; Tajeddini, K., Remy, D., Pardo, P., Market orientation and business performance: Evidence from the hotel industry in Germany (2011) Int. J. Leisure and Tourism Marketing, 2 (3), pp. 232-247; (2010) Thailand Tourism in Crisis as Protesters Die in 'Bloody Bangkok, , http://voices.yahoo.com/thailand-tourism-crisis-as-protesters-die-bloody-2038433.html, Retrieved from; (2007) eMarketer, , http://www.emarketer.com/Article.aspx?id=1005067andsrc=article2_newsltr, June 25, Retrieved from; Werthner, H., Ricci, F., E-commerce and tourism (2004) Communications of the ACM-The Blogosphere, 47 (12), pp. 101-105; Zhuang, L., Jing, F., Zhu, X., Movie review mining and summarization (2006) Proceedings of the 15th ACM International Conference on Information and Knowledge Management (CIKM '06), pp. 43-50. , Arlington, VA: ACM","Claster, W.; College of Asia Pacific Studies, Ritsumeikan Asia Pacific UniversityJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957692143 "Uchida Y.","57104369600;","Medical tourism or 'Medical examination and treatment abroad': An economic study of the phenomenon",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"18","30",,2,"10.4018/978-1-4666-8574-1.ch002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957669426&doi=10.4018%2f978-1-4666-8574-1.ch002&partnerID=40&md5=d9b89ecabc915cd1d918b4fdba14a34d","Graduate School of International Cooperation Studies, Kobe University, Japan; Doshisha University, Kyoto, Japan","Uchida, Y., Graduate School of International Cooperation Studies, Kobe University, Japan, Doshisha University, Kyoto, Japan","Medical care has traditionally been supported within a framework of public welfare within national borders. However, it has recently expanded beyond this, reflecting the globalization of medicine and the private health care insurance business. Medical tourism is not an appropriate description, because those who travel are mostly patients, not tourists looking for leisure. Medical tourism is more properly termed 'travel for medical examination and treatment abroad', or 'international patient business', from a Supply-Side economics point of view. This chapter considers the emerging international medical tourism niche market from the economic angle. First, it reviews the nature of transnational treatment based on the quality and costs of services. Second, the regulatory framework is examined. Private healthcare services are often considered as a competitive market. However, how to monitor and assure the quality/ safety of private healthcare abroad is a crucial issue, as much as price and delivery of services. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the United Sates (2011) Journal of General Internal Medicine, 26 (6), pp. 492-497. , PMID:21161425; Burge, P., Devlin, N., Appleby, J., Rohr, C., Grant, J., Do Patients Always prefer Quicker Treatment? A Discrete Choice Analysis of Patients' Stated Preferences in the London Patient Choice Project (2004) Applied Health Economics and Health Policy, 3 (4), pp. 183-194. , PMID:15901193; Carabello, L., A medical tourism primer for U.S. physicians (2008) The Journal of Medical Practice Management, 23 (5), pp. 291-294. , PMID:18472606; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary Medical Tourism: Conceptualization, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2010) Tourism Management, 32 (4), pp. 709-716; Deloitte, L.L.C., (2008) Medical Tourism, Consumers in Search of Value, , Washington, DC: Deloitte Center for Health Solutions; Ehrbeck, T., Guevara, C., Mango, P., Mapping the market for medical travel (2008) The McKinsey Quarterly, , http://www.mckinseyquarterly.com/PDFDownload.aspx?L21/412&L31/463&ar1/42134, 2008, Retrieved from; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Bristol, UK: Channel View Publications; Forbes, S., (2007) Open-heart surgery-90% off, , August 13, Forbes Magazine; Forgione, D., Smith, P., Medical tourism and its impact on the US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-33. , PMID:18972983; Freidman, T., (2007) The World is Flat, , New York: Picador; Freire, N.A., The emergent medical tourism: Advantages and disadvantages of the medical treatment abroad (2012) International Business Research, 5 (2), pp. 41-50; Gerst, S., American at the crossroads (2008) The International Medical Travel Journal, 5, pp. 52-55; Glinos, I.A., Baeten, R., Boffin, N., Cross-border contracted care in Belgian hospitals (2006) Patient mobility in the European Union: learning from experience, pp. 97-118. , M. Rosenmöller, R. Baeten, & M. McKee (Eds.), Denmark: European Observatory on Health Systems and Policies; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hall, C.M., (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, , Ed., London: Routledge; Hancock, D., (2006) The Complete Medical Tourist, , London: John Blake Publishing; Henderson, J.C., Paradigm Shifts: National tourism organizations and education and health tourism, the case of Singapore (2004) Tourism and Hospitality Research, 5 (2), pp. 170-180; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198. , PMID:20535101; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33. , PMID:18311383; (2011) JCI-Accredited Organizations, , Illinois, USA: Joint Commission International; Khoudry, C., (2009) Americans consider cross borders for medical care, , www.Gallup.com/poll, Retrieved from; Lowson, K., West, P., Chaplin, S., O'Reilly, J., (2002) Evaluation of Patients Travelling Overseas: Final Report, , York: York Health Economics Consortium; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32. , PMID:20185254; Lunt, N., Smith, R., Exworthy, M., Green, S., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A scoping review, , Paris: OECD; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850. , PMID:17549816; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) Human Resource Planning, 30 (2), pp. 8-10; (2009) 2009 MTA Medical Tourism Report, , http://www.medicaltourismassociation.com/en/2009-mta-survey-report.html, Retrieved from; (2013) 2013 MTA Medical Tourism Report, , http://www.medicaltourismassociation.com/en/2013-mta-survey-report.html, Retrieved from; (2014) IMTJ, , http://www.imtj.com/resources/research-and-statistics/medical-tourism-climate-survey-2014/, Retrieved from; (2014) Medical Tourism around the World, , http://www.medicaltourismmag.com/medical-tourism-around-the-world/, Retrieved from; Milstein, A., Smith, M., American's new refugees e seeking affordable surgery offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640. , October 19; Moody, M., Forgotten freedom: American healthcare under attack (2008) Medical Tourism, 3, pp. 20-22; Muscat, N., Grech, K., Cachia, J.M., Xureb, D., Sharing Capacities-Malta and the United Kingdom (2006) Patient mobility in the European Union: learning from experience, pp. 119-136. , M. Rosenmöller, M. McKee, & R. Baeten (Eds.), Denmark: European Observatory on Health Systems and Policies; Nicolaides, A., Lessons for South Africa from Asia on medical tourism's practice and potential (2012) Medical Technology SA, 25 (2), pp. 7-16; Ramírez de Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198. , PMID:17436992; Reddy, S., Qadeer, I., Medical Tourism in India: Progress or Predicament? (2010) Economic and Political Weekly, p. 45. , http://epw.in/epw/uploads/articles/14762.pdf, Retrieved from; Rosenmöller, M., McKee, M., Baeten, R., (2006) Patient mobility in the European Union: learning from experience, , Eds., Denmark: European Observatory on Health Systems and Policies; Schult, J., (2006) Beauty from afar: A medical tourist's guide to affordable and quality cosmetic care outside the U.S, , New York: Stewart, Tabori and Chang; Smith, R.D., Lee, K.M., Drager, N., Trade and health: An agenda for action (2009) Lancet, 373 (9665), pp. 768-773. , PMID:19167056; Sobo, E.J., Medial Travel: What it Means, Why it Matters (2009) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 28 (4), pp. 326-335. , PMID:20182968; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Velasco, N.A.O., Healthcare in paradise (2008) Asianews, pp. 24-30. , October; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3 (3), pp. 271-290; Whittaker, A., Manderson, L., Cartwright, E., Patients without Borders: Understanding Medical Travel (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 336-343. , PMID:21082481; Wood, L., (2007) The medical devices in South East Asia report provides a comprehensive analysis of the medical device market including five year market forecasts, , http://proquest.umi.com.ezproxy.scu.edu.au./pqdweb, New York: Business Wire, Retrieved from; Woodman, J., (2007) Patients beyond borders: Everybody's guide to affordable, world class medical tourism, , Chapel Hill: Healthy Travel Media; Yeung, O., Johnston, K., (2014) Global Spa & Wellness Economy Monitor. SRI International and the Global Wellness Institute, , Stanford, USA: SRI International; Youngman, I., Will the boss pick up the bill? (2008) The International Medical Travel Journal, 5, pp. 16-21","Uchida, Y.; Graduate School of International Cooperation Studies, Kobe UniversityJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957669426 "Ayoubian A.","55670887500;","Health tourism in Iran",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"258","281",,2,"10.4018/978-1-4666-8574-1.ch019","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957644827&doi=10.4018%2f978-1-4666-8574-1.ch019&partnerID=40&md5=6806188e2937169238a2cefeca443636","International Travel Medicine Center of Iran, Iran University of Medical Sciences, Tehran, Japan","Ayoubian, A., International Travel Medicine Center of Iran, Iran University of Medical Sciences, Tehran, Japan","This chapter shows that Iran has similar advantages to countries with a more developed brand of health tourism, including low costs, quality health services, competent doctors, and abundant natural and cultural attractions. The Health and Medical Ministry has developed 6 mandatory guidelines for medical centers receiving health tourists: these include the general condition of the facility, the workforce, medical facilities, geographical location, operational conditions, and the content of medical center websites. The Ministry offers facilities to hospitals and organizations applying to join the medical tourism program. In particular, the progressive provision of medical procedures, the distribution and marketing of health services, medical training, medical products, and equipment, is within a standardized framework of guidelines and development priorities. The chapter concludes that these interventions are designed to establish an effective presence in world and regional medical tourism markets. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Ayoubian, A., Tourani, S., Hashemi, Z., Medical Tourism Attraction of Tehran Hospitals (2013) International Journal of Travel Medicine and Global Health, 1 (2), pp. 95-98; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6, pp. 447-454. , PMID:20528514; Castro, J.M., (2009) Health Care in Japan, , www.expatforum.com/articles/health/healthcare-in-japan.html, Retrieved from; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Connell, J., Contemporary Medical Tourism: Conceptualization, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; (2013) Annual Report 2013, , Tehran: Government of Iran; (2011) Medical Tourism, , http://www.deloitte.com/assets/Dcom-UnitedStates/Local_Assets/Documents/us_chs_MedicalTourism_111209_web.pdf, Retrieved from; Erfannia, M., (2009) A comparative study of information systems in selected Countries and the provision of guidelines for medical tourism in Iran, , [Thesis]. Tehran: Tehran University of Medical Sciences, School of Public Health; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Bristol, UK: Channel View Publications; Ghalami, S., (2010) Investigate ways to improve Iran's position in the market for health services and medical tourism attraction, , [Thesis]. Tehran: School of Management, Tarbiat Modares University [in Persian]; Hall, C.M., (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, , Ed., London: Routledge; Hashim, J., Chongsuvivatwong, K., Phua, K.-H., Pocock, N., Yap Mui, T., Chhem, R.K., Wilopo, S.A., Lopez, A., Health and Healthcare Systems in Southeast Asia. Tokyo: United Nations University International SPA Association (2012) Hydrotherapy-What is it and why aren't we doing it?, , 2009, Kansas: ISPA; (2008) Iran and World Health Tourism, , Persian, Tehran: Department of Marketing and Market, Office of Goods and Services Market; Izadi, M., (2013) Travel medicine, country to country guide, , USA: NOVA; Izadi, M., Ayoobian, A., Nasiri, T., Jineidi, N., Fazel, M., Hoseinpourfard, M.J., Situation of health tourism in Iran; opportunity or threat (2012) Iranian Journal of Military Medicine, 14 (2), pp. 69-75; Izadi, M., Joneidi, N., Ranjbar, R., Ayoubian, A., (2012) Health tourism in Iran: Competitive advantage factor, , Tehran: Asia Pacific Travel Health Conference; Izadi, M., Saadat, S.H., Ayoubian, A., Hashemi Dehaghi, Z., Karbasi, M.R., Jalali, A., Health tourism in Iran; identifying obstacles for development of this Industry (2013) International Journal of Travel Medicine and Global Health, 1 (2), pp. 89-94; Jabbari, A., (2009) Designing a Model for Iran Medical Tourism, , Thesis, Tehran: School of Management and Medical In-formation, Iran University of Medical Sciences; Kazemi, Z., (2007) Study of the Effective Factor for Attracting Medical Tourism in Iran, , [Thesis]. Netherland: Lulea University of Technology; (2014) Medical Tourism around the World, , http://www.medicaltourismmag.com/medical-tourism-around-the-world/, Retrieved from; (2011) Medical Tourism Statistics and Facts, , file:///E:/Medical/Tourism/Background/TheAmericas/Medical/Tourism/Statistics&Facts/Patients/Beyond/Borders.htm, Retrieved from; Smith, M., Puczko, L., (2014) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , Oxford: Routledge; Turner, L., Medical Tourism: Family Medicine and International Health-Related Travel (2007) Canadian Family Physician Medecin de Famille Canadien, 53 (10), pp. 1639-1641. , PMID:17934018; (2010) WHO Global Code of Practice on the International Recruitment of Health Personnel, , May 21, Sixty-Third World Health Assembly WHA63.16; Xian, Y., Medical tourism is becoming a global tourism attraction (2010) Journal of Tourism, 3, pp. 19-12","Ayoubian, A.; International Travel Medicine Center of Iran, Iran University of Medical SciencesJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957644827 "Hassan A., Ahamed M.U., Shoeb-Ur-Rahman M.","56060590100;57104853700;57105574000;","The development, nature, and impact of medical tourism in Bangladesh",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"294","309",,2,"10.4018/978-1-4666-8574-1.ch021","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957623303&doi=10.4018%2f978-1-4666-8574-1.ch021&partnerID=40&md5=b555fc35bf6f1a57e28ec2fe31ae3dea","Tourism Consultants Network, The Tourism Society, United Kingdom; University of Dhaka, Bangladesh","Hassan, A., Tourism Consultants Network, The Tourism Society, United Kingdom; Ahamed, M.U., University of Dhaka, Bangladesh; Shoeb-Ur-Rahman, M., University of Dhaka, Bangladesh","Medical tourism is recent phenomenon. All such tourism is based on three main factors (tourists, service providers and facilities, and the policy frameworks required to put these together), that contribute to its development. Bangladesh has put these main factors in place for medical tourism, and now wishes to make better use of available service providers and facilities. The country is believed to have the capacity to become a major medical tourism destination, if its development is properly orchestrated. Bangladesh produces a considerable number of medical tourists, however the country has in recent years witnessed huge investment in public and private medical services, and health infrastructure development. This chapter is an analytical study that aims to explore the existing patterns of medical tourism in Bangladesh, while offering suggestions that would allow the country to gain a competitive edge. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Ali, M.M., Outbound medical tourism: The case of Bangladesh (2012) World Review of Business Research, 2 (4), pp. 50-70; Ali, M.M., Medhekar, A., A cross-border trade in healthcare services: Bangladesh to India (2012) Presidency University Journal, 1 (1); Andaleeb, S.S., Public and private hospitals in Bangladesh: Service quality and predictors of hospital choice (2000) Health Policy and Planning, 15 (1), pp. 95-102. , PMID:10731240; Ara, F., Key issues to health governance in Bangladesh (2008) Paper presented to the International Conference on Challenges of Governance in South Asia, , December 15-16, Kathmandu; (2014) List of Recognized Medical and Dental Colleges, , http://bit.ly/1u3hHgb, Retrieved from; Bezruchka, S., Medical tourism as medical harm in the third world: Why, for whom? (2000) Wilderness & Environmental Medicine, 11 (2), pp. 77-78. , PMID:10921355; Bishop, R., Litch, J., Medical tourism can do harm (personal view) (2000) British Medical Journal, 320 (7240), p. 1017. , PMID:10753174; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Borman, E., Health tourism: Where healthcare, ethics, and the state collide (2004) British Medical Journal, 328 (7431), pp. 60-61. , PMID:14715577; Brown, S., Medical tourism: Nations vie for health dollars (2008) Hospitals & Health Networks, 82 (12), p. 49. , PMID:19209504; Bushell, R., Sheldon, P., (2009) Wellness and Tourism: Mind, Body, Spirit, Place, , Eds., New York: Cognizant Communication Books; Carrera, P.M., Bridges, J.F.P., Globalisation and healthcare: understanding health and medical tourism (2006) Expert review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Connell, J., Medical tourism: Sea, sun, sun and ...surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary Medical Tourism: Conceptualization, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; English, V., Mussell, R., Sheather, J., Sommerville, A., Medical Tourism (2006) Journal of Medical Ethics, 32 (4), pp. 248-248; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Bristol, UK: Channel View Publications; George, B., Henthome, T., The incorporation of telemedicine with medical tourism (2009) Journal of Hospitality Marketing & Management, 18 (5). , 512-5-22; George, B., Nedelea, A., (2014) Medical tourism: the next big thing to come, , http://bit.ly/1nQKD9m, Retrieved from; Goodrich, J., Health Tourism: A new positioning strategy for tourist destinations (1994) Journal of International Consumer Marketing, 6 (3), pp. 227-238; Gray, H., Poland, S., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201. , PMID:18610785; Hall, C.M., Medical and Health Tourism: the development and implications of health mobility (2013) Medical Tourism: the ethics, regulation, and marketing of health mobility, p. 3. , C. M. Hall (Ed.), Oxford: Routledge; Hassan, A., Burns, P., Tourism Policies of Bangladesh-a contextual analysis (2014) Tourism Planning & Development, pp. 1-4; Hassan, A., Forhad, A., The Role of NGOs in the Sustainable Development of Bangladesh (2013) Present Environment & Sustainable Development, 7 (2), pp. 59-72; Hossen, M.A., Beliefs and practices relating to health care in developing countries [The Dhaka university Studies] (2001) Social Science Review, 22 (1), pp. 247-256; Islam, A., Akhter, S., Introducing user charges in government health facilities in Bangladesh: Policy and implementation. [The Dhaka University Studies] (2011) Social Science Review, 28 (1), pp. 43-56; Lagace, M., (2014) The Rise of Medical Tourism, , http://bit.ly/1m1K8VI, Retrieved from; Lee, C., Spisto, M., Medical tourism, an emerging international business (2008) Going for Gold~Best Practices in Ed. &. Public Paper, 7 (7), pp. 1-7; Mahmud, S., Citizen participation in the health sector in rural Bangladesh: Perceptions and reality (2004) IDS Bulletin, 35 (2), pp. 11-18; Mahmud, S., Health care provision and consumption in Bangladesh (2008) Emerging issues in Bangladesh economy-a review of Bangladesh's development 2005-06, pp. 323-359. , R. Sobhan. (Ed.), Dhaka: Center for Policy Dialogue and The University press Limited; McCallum, B.T., Jacoby, P.F., Medical outsourcing: Reducing clients' health care risks (2007) Journal of Financial Planning, 20 (10), p. 60; Nath, D.K., Urban health strategy: Needs and priorities (2010) Bangladesh Journal of Political Economy, 26 (1), pp. 147-162; Ninian, A., Medical Tourism (2008) Contemporary Review (London, England), 290, pp. 486-492; (2014) Medical tourism industry grows rapidly, , http://onforb.es/19l9POP, Retrieved from; Rahim, S., Q&A: preparing for a surgery abroad (2014), http://n.pr/1hnphAh, Retrieved from; Rahman, R.M., Hashem, F., The state of health determinants in Bangladesh (2000) The International Journal of Sociology and Social Policy, 20 (8), pp. 33-54; Smith, M., Kelly, C., Wellness Tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Smith, M., Puczko, L., (2014) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , Oxford: Routledge; Sobo, E., Medical travel: What it means, why it matters (2009) Medical Anthropology, 28 (4), pp. 326-335. , PMID:20182968; (2006) Medical tourism: a global analysis: a report by Tourism Research and Marketing, , Arnhem: ATLAS; (2014) UN World Tourism Organization (UNWTO), , http://bit.ly/1mxuIYQ, Retrieved from; Waikar, A.M., Cappel, S.D., Tate, U.S., Challenges and opportunities for developing countries from medical tourism (2011) Journal of Business and Economics, 2 (5), pp. 325-331; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3 (3), pp. 271-290; (2014) Travel & tourism economic impact 2014-Bangladesh, , http://bit.ly/1kw97E9, Retrieved from; Zinkewicz, P., Medical tourism on the rise (2008) Rough Notes, 151 (8), p. 88","Hassan, A.; Tourism Consultants Network, The Tourism SocietyUnited Kingdom",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957623303 "Schulkind J., Biggart R., Bowsher G.","56660653700;56660564100;55903854600;","Time to end the political rhetoric on health tourism",2015,"BMJ (Online)","350",, h2215,"","",,2,"10.1136/bmj.h2215","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930633319&doi=10.1136%2fbmj.h2215&partnerID=40&md5=3146fd9058c177cd8dbefc0b0b7a0a58","Brighton and Sussex Medical School, Audrey Emerton Building, Brighton, BN2 5BE, United Kingdom","Schulkind, J., Brighton and Sussex Medical School, Audrey Emerton Building, Brighton, BN2 5BE, United Kingdom; Biggart, R., Brighton and Sussex Medical School, Audrey Emerton Building, Brighton, BN2 5BE, United Kingdom; Bowsher, G., Brighton and Sussex Medical School, Audrey Emerton Building, Brighton, BN2 5BE, United Kingdom",[No abstract available],,"employment; government; health care access; health tourism; HIV test; human; Human immunodeficiency virus infection; incidence; Letter; medical research; medical tourism; national health service; political system; priority journal; public health; tax; United Kingdom; economics; health care delivery; Human immunodeficiency virus infection; national health service; Delivery of Health Care; HIV Infections; Humans; Medical Tourism; State Medicine",,,,,,,,"Kmietowicz, Z., UKIP wrong about HIV data and health tourism, say campaigners (2015) BMJ, 350, p. h1943. , (13 April.); (2005) New Developments in Sexual Health and HIV/AIDS Policy, , House of Commons; (2013) Quantitative Assessment of Visitor and Migrant use of the NHS in England: Exploring the Data, , www.gov.uk/government/uploads/system/uploads/attachment_data/file/251909/Quantitative_Assessment_of_Visitor_and_Migrant_Use_of_the_NHS_in_England_-_Exploring_the_Data_-_FULL_REPORT.pdf, Prederi; (2014) The Truth About ""Health Tourism, , http://doctorsoftheworld.org.uk/blog/entry/the-truth-about-health-tourism, Doctors of the World UK",,,,"BMJ Publishing Group",,,,,09598146,,BMJOA,"25920398","English","BMJ (Online)",Letter,"Final",,Scopus,2-s2.0-84930633319 "Exter A.D., Santuari A., Sokol T.","6602611750;6505721518;55539508900;","One year after the EU patient mobility directive: A three-country analysis",2015,"European Law Review","40","2",,"279","293",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84997505055&partnerID=40&md5=cc21366c5c1006506c25faaad7b17089","Erasmus University Rotterdam, Netherlands; University of Bologna, Italy; Zagreb School of Economics and Management, Croatia","Exter, A.D., Erasmus University Rotterdam, Netherlands; Santuari, A., University of Bologna, Italy; Sokol, T., Zagreb School of Economics and Management, Croatia","On October 25, 2013, a new era in the patient mobility debate began with the entering into force of the Cross-Border Health Care Directive (2011/24).1 This legal document allows EU citizens to seek healthcare in other Member States. The Directive is the result of a number of rulings by the Court of Justice of the EU on reimbursement claims for medical treatment abroad based on the free movement principles. After its formal approval by the European Parliament (2011), Member States have been working to incorporate the Directive into national law. The question is whether they have been successful, and if so, whether their legal framework is Europe-proof. This article addresses specific topics regulated in the Directive, including prior authorisation, establishing national contact points, e-health, mutual recognition of prescriptions, and the co-operation on health technology assessment. Moreover, a three-country analysis is presented, covering Croatia, Italy and the Netherlands. Representing different health care systems, each of these Member States seems to have dealt with the Directive in its own way, though respecting the underlying principles. The diversity also reveals the unique problems countries are facing when implementing the Directive. At the same time, there are several commonalities indicating signs of a so-called Europeanisation of health care systems. © 2015 Thomson Reuters (Professional) UK Limited and Contributors.",,,,,,,,,,"(2011) Officially, Directive 2011/24 on the Application of Patients' Rights in Cross-border Healthcare, , OJ L88/45; Luisi and Carbone Ministero del Tesoro (286/82) (1984) E.C.R., p. 377; (1985) C.M.L.R., 3, p. 52; Peeters, M., Free Movement of Patients: Directive 2011/24 on the Application of Patients' Rights in Cross-Border Healthcare (2012) Eur. J. Health Law, 19, p. 29; Sheppard, M., Treatments of Low-priority and the Patient Mobility Directive 2011, an End to Legal Uncertainty for the English NHS? (2013) Eur. J. Health Law, 20, p. 295; Taylor, S., Cross-border Patients and Informed Choices on Treatment in English and French Law and the Patients' Rights Directive (2012) Eur. J. Health Law, 19, p. 467; Nys, H., The Right to Informed Choice and the Patients' Rights Directive (2012) Eur. J. Health Law, 19, p. 327; Greer, S., Avoiding Another Directive: The Unstable Politics of European Union Cross-border Health Care Law (2013) Health Economics, Policy and Law, pp. 415-421. , October 8; Gronden De Van, J., (2011) Health Care and EU Law, pp. 79-241. , The Hague: T.M.C. Asser Press; Sokol, T., (2010) Croatian Yearbook of European Law and Policy, 6; (2014) The Eur. J. Health Law's Special Issue on the Directive, (1); Geraets-Smits v Stichting Ziekenfonds VGZ (C-157/99) (2001) E.C.R., pp. I-5473; (2002) C.M.L.R., 2, p. 21; Muller-Fauré v Onderlinge Waarborgmaatschappij OZ Zorgverzekeringen UA (C-385/99) (2003) E.C.R., pp. I-4509; (2004) C.M.L.R., 2, p. 33; Besluit Zvw art.2.1(2); (2011) Minister of Health Appendix Handelingen Kamerstukken II, , Appendix 2664; Parliamentary proceedings (Kamerstukken 2011-2012, 33362, no.2); Parliamentary questions April 25, 2013 by Ria Oomen-Ruijter and Ester de Lange. 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(2013) TvGr, 1, p. 4; Rismondo, M., (2007) Zbirka Ugovora O Socijalnom Osiguranju, , Zagreb: Narodne novine; (2014) Official Journal of the Italian Republic of March 21, p. 67; Health Insurance Act 2013 art.32; You Are An EU Citizen, , http://www.hzzo.hr/en/travel-insurance/english-you-are-an-eu-citizen; (2014) FAQ, , http://www.hzzo.hr/en/travel-insurance/english-faq, [Both accessed February 19, 2015]; De La Rosa, S., The Directive on Cross-border Healthcare or the Art of Codifying Complex Case Law (2012) C.M.L. Rev, 49, p. 36; Netherlands NCP Cross-Border Health Care, , http://www.cbhc.nl/, [Accessed February 19, 2015]; (2014) The Eur. J. 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(2006) MedizinRecht, 9, p. 524; Potter, B., Ethical, Legal, and Social Issues in Health Technology Assessment for Prenatal/preconceptional and Newborn Screening: A Workshop Report (2009) Public Health Genomics, 1, p. 4; Hervey, T., Cooperation between Health Care Authorities in the Proposed Directive on Patients' Rights in Cross-Border Healthcare (2011) Health Care and EU Law, pp. 181-184; Syrett, K., Health Technology Appraisal and the Courts: Accountability for Reasonableness and the Judicial Model of Procedural Justice (2011) Health Economics, Policy and Law, 6, p. 469; Sorenson, C., Chalkidou, K., Reflections on the Evolution of Health Technology Assessment in Europe (2012) Health Economics, Policy and Law, 7, p. 25; Kosteneffectiviteit in de zorg: Op weg naar een genuanceerd en geaccepteerd gebruik van Kosteneffectiviteitsgegevens in de zorg Annex Kamerstuk 29689, (476). , https://zoek.officielebekendmakingen.nl/, [Accessed February 19, 2015]; Den Exter, A., Cost-Effectiveness Analysis and the Law (2014) Int J. Law and Medicine, 1, pp. 285-297; Sozialgesetzbuch.De, , [Accessed February 19, 2015]; Ciani, O., Diffusion and Use of Health Technology Assessment in Policy-making: What Lessons for Decentralised Healthcare Systems? (2012) Health Policy, 108, p. 194; Ciani, Diffusion and Use of Health Technology Assessment in Policy-making (2012) Health Policy, 108, p. 194; Cicchetti, A., La definizione delle priorità nel processo di Hta tra esigenze centrali e regionali (2012) Politiche Sanitarie, 13, p. 245; (2013) Commission Implementing Decision Providing the Rules for the Establishment, Management and Transparent Functioning of the Network of National Authorities or Bodies Responsible for Health Technology Assessment, , http://www.EUnetHTA.net, OJ L175/71, [Accessed February 19, 2015]; Kristensen, F., What is Health Technology Assessment? (2008) Health Technology Assessment and Health Policy in Europe: Current Status, Challenges and Potential, p. 44. , M. Velasco Garrido et al. (eds), Copenhagen: World Health Organization; The HTA Core Model Application for Medical and Surgical Interventions (2.0), , http://www.eunethta.net, [Accessed February 19, 2015]; Exter, D., Cost-Effectiveness Analysis and the Law (2014) Int J. Law and Medicine, 1, p. 292; Directive 2011/24 art.15(7) and Recital 35; Brooks, E., Europeanisation through Soft Law: The Future of EU Health Policy? (2012) Political Perspectives, 6, p. 86",,,,"Sweet and Maxwell",,,,,03075400,,,,"English","Eur. Law Rev.",Review,"Final",,Scopus,2-s2.0-84997505055 "Noree T.","56148513800;","Medical tourism: A case study of Thailand",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"268","277",,2,"10.4337/9781783471195.00037","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038948618&doi=10.4337%2f9781783471195.00037&partnerID=40&md5=71b86896f04731a7dea94868cea78988","Ministry of Public Health, Thailand","Noree, T., Ministry of Public Health, Thailand",[No abstract available],,,,,,,,,,"Alsharif, M.J., Labonte, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10 (3), pp. 315-335; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; (2010) National strategic plan for the second phase of Thailand Medical Hub 2010-2014, , Ministry of Public Health, Thailand; Jose, R., Sachdeva, S., Keeping an eye on future: Medical tourism (2010) Indian Journal of Community Medicine, 35 (3), pp. 376-378; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2011) Bulletin of the World Health Organization, 89 (5), pp. 336-344; Pachanee, C., Wibulpholprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy and Planning, 21 (4), pp. 310-318; Pongsirirushakun, A., Naewmalee, K., An analysis of foreign tourist expenditure in Thailand (2003) Thailand Development Research Institute Quarterly Review, 18 (2), pp. 9-16; Teh, I., Chu, C., Supplementing growth with medical tourism (2005) Asia Pacific Biotech News, 9, pp. 8306-8311; Vanostenberg, P., Quality measurement across borders: Needs and options (2006) World Hospitals and Health Services, 42 (1), pp. 19-22; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Whittaker, A., Cross-border assisted reproduction care in Asia: Implications for access, equity and regulations (2011) Reproductive Health Matters, 19, pp. 107-116; Wibulpholprasert, S., Pachanee, C.-A., Pitayarangsarit, S., Hempisut, P., International service trade and its implications for human resources for health: A case study of Thailand (2004) Human Resources for Health, 2 (10). , DOI: 10.1186/1478-4491-2-10; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127","Noree, T.; Ministry of Public HealthThailand",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038948618 "Reisman D.","24485458600;","The economics of health and medical tourism",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"82","91",,2,"10.4337/9781783471195.00017","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038905459&doi=10.4337%2f9781783471195.00017&partnerID=40&md5=7a78e4770bbd206eaf83f3aacf700023","Nanyang Technological University, Singapore; University of Surrey, United Kingdom","Reisman, D., Nanyang Technological University, Singapore, University of Surrey, United Kingdom",[No abstract available],,,,,,,,,,"Arrow, K., The welfare economics of medical care (1963) American Economic Review, 53 (3), pp. 941-973; Connell, J., (2010) Migration and the Globalisation of Health Care: The Health Worker Exodus?, , Cheltenham, UK and Northampton, MA, USA: Edward Elgar; Duggal, R., Should public hospitals participate in medical tourism? (2003) Healthcare Management, , 15-30 December; Folland, S., Goodman, A.C., Stano, M., (2014) The Economics of Health and Health Care, , 7th edition, Boston, MA: Pearson; Hunter-Jones, P., The perceived effects of holiday-taking upon the health and wellbeing of patients treated for cancer (2003) International Journal of Tourism Research, 5 (3), pp. 183-196; Kangas, B., Travelling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Kaul, I., Conçeicão, P., Le Goulven, K., Mendoza, R.U., Why do global public goods matter today? (2003) Providing Global Public Goods: Managing Globalization, pp. 2-20. , I. Kaul, P. Conçeicão, K. Le Goulven, R.U. Mendoza (eds), Oxford: Oxford University Press; Krugman, P.R., Obstfeld, M., Melitz, M.J., (2015) International Economics: Theory and Policy, , 10th edition, Boston, MA: Pearson; Lunt, N.T., Mannion, R., Exworthy, M., A framework for exploring the policy implications of UK medical tourism and international patient flows (2013) Social Policy and Administration, 47 (1), pp. 1-25; Marshall, A., (1890) Principles of Economics, , 8th edition, London: Macmillan and Co; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Affairs, 26 (1), pp. 137-141; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2011) Bulletin of the World Health Organization, 89, pp. 336-344; Reisman, D.A., (2007) Health Care and Public Policy, , Cheltenham, UK and Northampton, MA, USA: Edward Elgar; Reisman, D.A., (2014) Trade in Health: Economics, Ethics and Public Policy, , Cheltenham, UK and Northampton, MA, USA: Edward Elgar; Santerre, R.E., Neun, S.P., (2010) Health Economics: Theory, Insights, and Industry Studies, , 6th edition, Boston, MA: Cengage; Santos, E.M., Taking excellence to heart (2008) Medical Tourism Magazine, (5), pp. 24-26; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) The Lancet, 373, pp. 593-601; Woodman, J., (2008) Patients Beyond Borders: Everybody’s Guide to Affordable, World-Class Medical Travel, , Chapel Hill, NC: Healthy Travel Media; Constitution of the World Health Organization (1946) WHO: Basic Documents, pp. 1-18. , Geneva: World Health Organization","Reisman, D.; Nanyang Technological UniversitySingapore",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038905459 "Lunt N.","6603761945;","Networks and supply chains: The nature of medical tourism markets",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"184","192",,2,"10.4337/9781783471195.00028","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038889258&doi=10.4337%2f9781783471195.00028&partnerID=40&md5=a475c8aa35c740b1b4ee74451dfa094c","Department of Social Policy and Social Work, University of York, United Kingdom","Lunt, N., Department of Social Policy and Social Work, University of York, United Kingdom",[No abstract available],,,,,,,,,,"Ackerman, S.L., Plastic paradise: Transforming bodies and selves in Costa Rica’s cosmetic surgery tourism industry (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 403-423; Bazzoli, G.J., Shortell, S.M., Dubbs, N., Chan, C., Kralovec, P., A taxonomy of health networks and systems: Bringing order out of chaos (1999) Health Services Research, 33 (6), pp. 1683-1717; Berkman, L.F., Glass, T., Brissette, I., Seeman, T.E., From social integration to health: Durkheim in the new millennium (2000) Social Science & Medicine, 51 (6), pp. 843-857; Borgatti, S.P., Halgin, D.S., On network theory (2011) Organization Science, 22, pp. 1168-1181; Brach, C., Sanches, L., Young, D., Rodgers, J., Harvey, H., McLemore, T., Fraser, I., Wrestling with typology: Penetrating the “black box” of managed care by focusing on health care system characteristics (2000) Medical Care Research Review, 57 (2), pp. 93-115; Cohen, D.A., Levy, M., Cohen Castel, O., Karkabi, K., The influence of a professional physician network on clinical decision making (2013) Patient Education and Counselling, 93 (3), pp. 496-503; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2010) Tourism Management, 32 (4), pp. 709-716; Culley, L., Hudson, N., Rapport, F., Blyth, E., Norton, W., Pacey, A.A., Crossing borders for fertility treatment: Motivations, destinations and outcomes of UK fertility travellers (2011) Human Reproduction, 26 (9), pp. 2373-2381; Ferreira, A., Young, T., Mathews, C., Zunza, M., Low, N., Strategies for partner notification for sexually transmitted infections, including HIV (2013) Cochrane Database System Review, 10, p. 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The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Higgins, J., (1988) The Business of Medicine: Private Health Care in Britain, , London: Palgrave Macmillan; Holliday, R., Bell, D., Jones, M., Probyn, E., Sanchez Taylor, J., Cheung, O., Cho, J.-H., Lewis, H., (2014) Sun, Sea, Sand and Silicone: Project Report, , Leeds: ESRC and the University of Leeds; Horsfall, D., Lunt, N., King, H., Hanefeld, J., Smith, R.D., The impact of the Internet on medical tourism (2013) Medical Tourism and Transnational Health Care, pp. 223-239. , T. Mainil, D. Botterill, G. Pennings (eds), London: Palgrave Macmillan; Johnson, T.J., Garman, A.N., Hohmann, S.F., Meurer, S., Allen, M., The United States: Destination and departure points (2012) Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services, pp. 19-36. , J.R. Hodges, L. Turner, A. 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(1997) Acta Sociologica, 40 (2), pp. 161-182; Thoits, P.A., Mechanisms linking social ties and support to physical and mental health (2011) Journal of Health and Social Behaviour, 52, pp. 145-161; Wassermann, S., Faust, K., (1994) Social Network Analysis, , Cambridge: Cambridge University Press; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3 (3), pp. 271-290; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: Understanding medical travel (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 336-343","Lunt, N.; Department of Social Policy and Social Work, University of YorkUnited Kingdom",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038889258 "Lunt N., Horsfall D., Hanefeld J.","6603761945;35848647100;26430746700;","The shaping of contemporary medical tourism and patient mobility",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"3","15",,2,"10.4337/9781783471195.00009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038885965&doi=10.4337%2f9781783471195.00009&partnerID=40&md5=352ba7a6227f2ebb1bdb843d993980e9","Department of Social Policy and Social Work, University of York, United Kingdom; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, United Kingdom","Lunt, N., Department of Social Policy and Social Work, University of York, United Kingdom; Horsfall, D., Department of Social Policy and Social Work, University of York, United Kingdom; Hanefeld, J., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, United Kingdom",[No abstract available],,,,,,,,,,"Ackerman, S.L., Plastic paradise: Transforming bodies and selves in Costa Rica’s cosmetic surgery tourism industry (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 403-423; Bender, T., Balint, P.V., Balint, G.P., A brief history of spa therapy (2002) Annals of the Rheumatic Diseases, 61 (10), pp. 949-950; Bertinato, L., Busse, R., Fahy, N., Legido-Quigley, H., McKee, M., Palm, W., Passarani, I., Ronfini, F., (2005) Cross-border Health Care in Europe, , Denmark: WHO; Blewett, P., Out of-province patients: Should more hospitals go the UH route? 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Tourism and Patient Mobil.",Book Chapter,"Final",Open Access,Scopus,2-s2.0-85038885965 "Jin K.N.","7102766682;","Marketing medical tourism in Korea",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"164","173",,2,"10.4337/9781783471195.00026","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026568246&doi=10.4337%2f9781783471195.00026&partnerID=40&md5=567c5e84cc6a00c134c0c298ab967df1","Department of Health Administration, Yonsei University, South Korea","Jin, K.N., Department of Health Administration, Yonsei University, South Korea",[No abstract available],,,,,,,,,,"Anderson, L.M., Scrimshaw, S.C., Fullilove, M.T., Fielding, J.E., Normand, J., Culturally competent healthcare systems. 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The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; South Korea: South Korea gets tough on unregistered medical tourism agents (2013) International Medical Travel Journal, , Hertfordshire: Intuition Communications; Jin, K.N., (2014) A Study on the Competitive Advantage of Korean Medicine, , Seoul: Korea Tourism Organization (in Korean); Jin, K.N., Kim, S.H., Comparative analysis of hospital websites with JCI accreditation across four nations (2011) Korean Journal of Hospital Management, 16 (3), pp. 75-91; Medical charity goes beyond Korea (2013) Medical Korea, , Seoul: KHIDI; (2014) Statistics on International Patients in Korea, 2012, , Seoul: KHIDI; Introduction of Medical Korea Academy (2014) Medical Korea, , Seoul: KHIDI; Lee, M., Han, H., Lockyer, T., Medical tourism-attracting Japanese tourists for medical tourism experience (2012) Journal of Travel & Tourism Marketing, 29 (1), pp. 69-86; Lee, T.H., Major hospitals overcharge foreigners (2010) Korea Times, , www.koreatimes.co.kr/www/news/nation/2010/02/116_60838.html; Little, I., (2011) What is a Medical Tourism Facilitator?, , Auburn, WA: Traveling4Health; Liu, I., Chen, C., Cultural issues in medical tourism (2013) American Journal of Tourism Research, 2 (1), pp. 78-83; Lunt, N., Jin, K.N., Developments in medical tourism (2013) China Health Review, 4 (4), pp. 12-19; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) Journal of Health Communication, 16 (2), pp. 163-177; Munro, J., (2013) Medical Travel Agency Business Models, , Scottsdale, AZ: Medical Travel Quality Alliance; Na, S.S., East Asian medicine in South Korea (2012) Harvard Asia Quarterly, 14 (4), pp. 44-56; Ormond, M., Claiming “cultural competence”: The promotion of multi-ethnic Malaysia as a medical tourism destination (2012) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, p. 425/434. , C.M. Hall (ed.), New York: Routledge; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12, p. 17; Porter, M.E., Strategy and the Internet (2001) Harvard Business Review, , March, 63-78, Cambridge, MA: Harvard Business School; Sekliuckiene, J., Langviniene, N., Gaining the competitive advantage in services: Aspect of human resources (2011) Ekonomika ir Cadyba, 2 (22), pp. 26-34; Spece, R.G., Medical tourism: Protecting patients from conflicts of interest in broker’s fees paid by foreign providers (2009) Journal of Health and Biomedical Law, 2010, Arizona Legal Studies, Discussion Paper, 9, p. 41; Storrow, R., Assisted reproduction on treacherous terrain: The legal hazards of cross-border reproductive travel (2011) Reproductive Biomedicine, 23 (5), pp. 538-545; Thomas, R.K., (2011) Marketing Health Services, , 2nd edition, Chicago, IL: Health Administration Press; Tracy, B., (2004) Million Dollar Habits, , Irvine, CA: Entrepreneur Press; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) International Journal for Quality in Health Care, 23 (1), pp. 1-7; Viladrich, A., Baron-Faust, R., Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina (2014) Annals of Tourism Research, 45, pp. 116-131; Woodman, J., Medical tourism: Closing the international health care gap (2012) The Journal, pp. 94-102. , http://journal.aarpinternational.org/a/b/2012/02/Medical-Tourism-Closing-the-International-Health-Care-Gap; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2012) Tourism Management, 34, pp. 196-201","Jin, K.N.; Department of Health Administration, Yonsei UniversitySouth Korea",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85026568246 "Mainil T.","15029762900;","Medical sociology as a heuristic instrument for medical tourism and cross-border healthcare: Comment on “international patients on operation vacation - Perspectives of patients travelling to Hungary for orthopedic treatments”",2015,"International Journal of Health Policy and Management","4","4",,"243","244",,2,"10.15171/ijhpm.2015.37","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85002279684&doi=10.15171%2fijhpm.2015.37&partnerID=40&md5=0b8d0195430870f8b609b65d607d741a","Scaldis Academy, HZ University of Applied Sciences, Vlissingen, Netherlands; CELLO, Sociology of Health, University of Antwerp, Antwerp, Belgium","Mainil, T., Scaldis Academy, HZ University of Applied Sciences, Vlissingen, Netherlands, CELLO, Sociology of Health, University of Antwerp, Antwerp, Belgium","In this commentary, we establish a relationship between medical sociology and the study of medical tourism and cross-border healthcare by introducing Ronald Andersen’s behavioral model of healthcare use, and linking this model to the recent empirical study of Kovacs et al. on patients travelling to Hungary for orthopedic treatment. Finally, we plead for more measurement in the field of patient mobility. © 2015 by Kerman University of Medical Sciences.","Behavioral model of health services; Cross-border healthcare; Medical tourism",,,,,,,,,"Kovacs, E., Szocska, G., Knai, C., International Patients on Operation Vacation - Perspectives of Patients Travelling to Hungary for Orthopaedic Treatments (2014) Int J Health Policy Manag, 3, pp. 333-340; Brand, H., Hollederer, A., Wolf, U., Brand, A., Cross-border health activities in the Euregios (2008) Good Practice for Better Health. Health Policy, 86, pp. 245-254; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour Manag, 34, pp. 1-13; Ormond, M., Sulianti, D., More than medical tourism: Lessons from Indonesia and Malaysia on South-South intra-regional medical travel (2014) Current Issues in Tourism, , July 14; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in southern Africa (2015) Soc Sci Med, 124, pp. 313-320; Laugesen, M.J., Vargas Bustamante, A., A patient mobility framework that travels: European and United States-Mexican comparisons (2010) Health Policy, 97, pp. 225-231; Andersen, R.M., Revisiting the Behaviour model and access to medical care: Does it matter (1995) J Health Soc Behav, 36, pp. 1-10; Andersen, R.M., National health surveys and the behavioural model of health services use (2008) Med Care, 46, pp. 647-653; Mainil, T., Platenkamp, V., Dinnie, K., Botterill, D., Van Loon, F., Meulemans, H., Transnational health care: The quest for a global terminology (2012) Health Policy, 108, pp. 37-44; (2013) International Migration, Health and Human Rights, , Geneva: International Organization for Migration","Mainil, T.; Scaldis Academy, HZ University of Applied SciencesNetherlands; email: tomas.mainil@uantwerpen.be",,,"Kerman University of Medical Sciences",,,,,23225939,,,,"English","Int J Health Policy Manag",Note,"Final",Open Access,Scopus,2-s2.0-85002279684 "Neri S.","40461998600;","Interregional patient mobility in the italian NHS: A case of badly-managed decentralization: Comment on “regional incentives and patient cross-border mobility: Evidence from the Italian experience”",2015,"International Journal of Health Policy and Management","4","12",,"857","859",,2,"10.15171/ijhpm.2015.154","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85001976173&doi=10.15171%2fijhpm.2015.154&partnerID=40&md5=7102730be0ac37eb8435b1d7f75d99d9","Department of Social and Political Sciences, University of Milan, Milan, Italy","Neri, S., Department of Social and Political Sciences, University of Milan, Milan, Italy","The article by Brenna and Spandonaro on interregional mobility for acute hospital care in Italy raises important issues concerning social and territorial equity in a healthcare system. Based on Regions and private providers’ strategic behavior, the hypothesis adopted to explain patient cross-border mobility (CBM), demonstrated by statistical analysis, may be further explored using qualitative methods. In order to reduce CBM, the central government needs to play a more active role in coordination, even in a highly decentralized National Health Service (NHS). © 2015 by Kerman University of Medical Sciences.","Decentralization; Italian National Health Service (NHS); Managed competition; Patient choice; Patient mobility","health service; human; migration; organization and management; private sector; public health; statistics and numerical data; utilization; Emigration and Immigration; Health Services; Humans; National Health Programs; Private Sector",,,,,,,,"Footman, K., Knai, C., Baeten, R., Ketevan, G., McKee, M., (2014) Cross Border Health Care in Europe, , Copenaghen: Who Regional Office for Europe and European Observatory on Health Systems and Policies; Legido-Quigley, H., Glinos, I., Baeten, R., McKee, M., Patient mobility in the European Union (2007) Br Med J, 334 (7586), pp. 188-190; Rosenmöller, M., McKee, M., Baeten, R., Patient Mobility in the European Union (2006) Learning from Experience, , Copenaghen: Who Regional Office for Europe and European Observatory on Health Systems and Policies; Kovacs, E., Szoscka, G., Knai, C., International patients on operation vacation-perspectives of patients travelling to Hungary for orthopaedic treatments (2014) Int J Health Policy Manag, 3 (6), pp. 333-340; Brenna, E., Spandonaro, F., Regional incentives and patient cross-border mobility: Evidence from the Italian experience (2015) Int J Health Policy Manag, 4 (6), pp. 363-372; Enthoven, A., (1985) Reflections on the Management of the National Health Service, , London: Nuffield Provincial Hospitals Trust; Light, D., From Managed Competition to Managed Cooperation: Theory and Lessons from the British Experience (1997) Milbank Q., 75, pp. 297-341; Neri, S., The Evolution of Regional Health Services and the New Governance of the NHS in Italy (2011) Health Studies: Economic, Management and Policy, pp. 269-282. , Angus D, Boutsioli Z, eds., Athens: Athens Institute for Education and Research (Atiner); Ferrera, M., The partitocracy of healthcare: Towards a new welfare politics in Italy (1996) Res Publica, 38, pp. 447-460; France, G., Taroni, F., The evolution of health-policy making in Italy (2005) J Health Polit Policy Law, 30, pp. 169-187; Pavolini, E., Vicarelli, G., Is decentralization good for your health? Transformations in the Italian NHS (2012) Curr Sociol, 60 (4), pp. 472-488; Maino, F., Neri, S., Explaining welfare reforms in Italy between economy and politics: External constraints and endogenous dynamics (2011) Soc Policy Adm, 4, pp. 445-464; Peeters, M., Free movement of patients: Directive 2011/24 on the application of patients’ rights in cross-border healthcare (2012) Eur J Health Law, 19 (1), pp. 29-60","Neri, S.; Department of Social and Political Sciences, University of MilanItaly; email: stefano.neri@unimi.it",,,"Kerman University of Medical Sciences",,,,,23225939,,,"26673474","English","Int J Health Policy Manag",Note,"Final",Open Access,Scopus,2-s2.0-85001976173 "Kendall B.A., Barker A.P., Hadley J.C., Florell S.R., Winthrop K.L.","36573877800;23974525500;35226438500;7004682783;6603895097;","Disseminated mycobacterial infection after international medical tourism",2015,"Open Forum Infectious Diseases","2","2", ofv054,"","",,2,"10.1093/ofid/ofv054","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978328055&doi=10.1093%2fofid%2fofv054&partnerID=40&md5=5b939a3d91d19f9638c39116bcb3e104","Department of Medicine, University of Utah, Salt Lake City, UT, United States; Department of Pathology, University of Utah, Salt Lake City, UT, United States; Department of Dermatology, University of Utah, Salt Lake City, UT, United States; Department of Dermatology, Intermountain Healthcare, Ogden, UT, United States; Department of Medicine, Oregon Health and Sciences University, Portland, OR, United States; Department of Public Health and Preventative Medicine, Oregon Health and Sciences University, Portland, OR, United States","Kendall, B.A., Department of Medicine, University of Utah, Salt Lake City, UT, United States, Department of Pathology, University of Utah, Salt Lake City, UT, United States; Barker, A.P., Department of Pathology, University of Utah, Salt Lake City, UT, United States; Hadley, J.C., Department of Dermatology, Intermountain Healthcare, Ogden, UT, United States; Florell, S.R., Department of Dermatology, University of Utah, Salt Lake City, UT, United States; Winthrop, K.L., Department of Medicine, Oregon Health and Sciences University, Portland, OR, United States, Department of Public Health and Preventative Medicine, Oregon Health and Sciences University, Portland, OR, United States","International travel for the purpose of receiving medical care is increasing. We report a case of disseminated mycobacterial infection after fetal stem cell infusion. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Societyof America.","Atypical mycobacteria; Medical tourism; Nontuberculous mycobacteria","amikacin; aspartate aminotransferase; azithromycin; calcium; cefoxitin; chlorpheniramine; ciprofloxacin; clarithromycin; cotrimoxazole; dexamethasone; doxycycline; imipenem; linezolid; minocycline; moxifloxacin; adult; antibiotic sensitivity; Article; atypical mycobacteriosis; case report; computer assisted tomography; fatigue; female; fever; gene sequence; histopathology; human; human tissue; immune response; infusion; malaise; medical tourism; middle aged; minimum inhibitory concentration; nausea; ototoxicity; panniculitis; polymerase chain reaction; priority journal; punch biopsy; single nucleotide polymorphism; stem cell transplantation",,"amikacin, 37517-28-5, 39831-55-5; aspartate aminotransferase, 9000-97-9; azithromycin, 83905-01-5, 117772-70-0, 121470-24-4; calcium, 7440-70-2, 14092-94-5; cefoxitin, 33564-30-6, 35607-66-0; chlorpheniramine, 132-22-9; ciprofloxacin, 85721-33-1; clarithromycin, 81103-11-9; cotrimoxazole, 8064-90-2; dexamethasone, 50-02-2; doxycycline, 10592-13-9, 17086-28-1, 564-25-0, 94088-85-4; imipenem, 64221-86-9; linezolid, 165800-03-3; minocycline, 10118-90-8, 11006-27-2, 13614-98-7; moxifloxacin, 151096-09-2",,,,,,"Hanson, K.E., Slechta, E.S., Muir, H., Barker, A.P., Rapid molecular detection of inducible macrolide resistance in Mycobacterium chelonae and M. abscessus strains: a replacement for 14-day susceptibility testing? (2014) J Clin Microbiol, 52, pp. 1705-1707; Ripoll, F., Pasek, S., Schenowitz, C., Non mycobacterial virulence genes in the genome of the emerging pathogen Mycobacterium abscessus (2009) PLoS One, 4; Sekizuka, T., Kai, M., Nakanaga, K., Complete genome sequence and comparative genomic analysis of Mycobacterium massiliense JCM 15300 in the Mycobacterium abscessus group reveal a conserved genomic island MmGI-1 related to putative lipid metabolism (2014) PLoS One, 9; Chen, L.H., Wilson, M.E., The globalization of healthcare: implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759; Aitken, M.L., Limaye, A., Pottinger, P., Respiratory outbreak of Mycobacterium abscessus subspecies massiliense in a lung transplant and cystic fibrosis center (2012) Am J Respir Crit Care Med, 185, pp. 231-232; Prevots, D.R., Shaw, P.A., Strickland, D., Nontuberculous mycobacterial lung disease prevalence at four integrated health care delivery systems (2010) Am J Respir Crit Care Med, 182, pp. 970-976; Liu, R., To, K.K., Teng, J.L., Mycobacterium abscessus bacteremia after receipt of intravenous infusate of cytokine-induced killer cell therapy for body beautification and health boosting (2013) Clin Infect Dis, 57, pp. 981-991; Furuya, E.Y., Paez, A., Srinivasan, A., Outbreak of Mycobacterium abscessus wound infections among ""lipotourists"" from the United States who underwent abdominoplasty in the Dominican Republic (2008) Clin Infect Dis, 46, pp. 1181-1188; Maurer, F., Castelberg, C., von Braun, A., Postsurgical wound infections due to rapidly growing mycobacteria in Swiss medical tourists following cosmetic surgery in Latin America between 2012 and 2014 (2014) Euro Surveill, 19, pp. 1-4; Brown, C., Stem cell tourism poses risks (2012) CMAJ, 184, pp. E121-E122; Amariglio, N., Hirshberg, A., Scheithauer, B.W., Donor-derived brain tumor following neural stem cell transplantation in an ataxia telangiectasia patient (2009) PLoS Med, 6","Kendall, B.A.; Division of Infectious Diseases, University of Utah School of Medicine, 30 N 1900 E, Suite 4B319, United States",,,"Oxford University Press",,,,,23288957,,,,"English","Open Forum Infect. Dis.",Article,"Final",Open Access,Scopus,2-s2.0-84978328055 "Millar M.R.","7102417500;","The choice to travel: Health tourists and the spread of antibiotic resistance",2015,"Public Health Ethics","8","3",,"238","245",,2,"10.1093/phe/phv003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84975726006&doi=10.1093%2fphe%2fphv003&partnerID=40&md5=659d1a7653c9b95bc9c6603d6e1c5391","Department of Infection, Barts Health NHS Trust, Pathology and Pharmacy Building, 80 Newark Street, Whitechapel, London, E1 2ES, United Kingdom","Millar, M.R., Department of Infection, Barts Health NHS Trust, Pathology and Pharmacy Building, 80 Newark Street, Whitechapel, London, E1 2ES, United Kingdom","Individuals are at risk of acquiring untreatable agents of infection when they travel to countries where antibioticresistant agents of infection are prevalent, and particularly when they travel for healthcare. Uncertainty with respect to the overall political and economic consequences seems to underlie the reluctance of public health authorities to issue relevant travel advisories. The conditions of choice, the act of choice and the consequences of choice can each be a primary focus of ethical appraisal of public health policy. The 'value of choice' account provided by Scanlon draws attention to the value of the choices that individuals are given, and the potential for reasonable rejection of policies that do not give adequate emphasis to the conditions of individual choice. There is both instrumental and symbolic value in informing people of the risk of acquisition of antibiotic-resistant microbes associated with health tourism. We cannot reasonably reject a principle of actively informing unless there are insurmountable countervailing reasons. These reasons should be explicit and subject to review. If health tourism is a concern then we might also consider how best to facilitate alternative choices. © The Author 2015.",,"antibiotic resistance; Article; bacterial colonization; bacterial strain; bacterial transmission; decision making; Enterobacteriaceae; health care; health care policy; human; infection risk; medical ethics; nonhuman; priority journal; public health; social interaction; tourism; travel",,,,,,,,"Anderson, E., What is the point of equality? 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(2011) Journal of Medical Ethics, 37, pp. 153-157; Millar, M., Constraining the use of antibiotics: Applying scanlon's contractualism (2012) Journal of Medical Ethics, 38, pp. 465-469; Millar, M., Moral permissibility and individual responsibility for the spread of infectious diseases (2012) Public Health Ethics, 5, pp. 314-317; Nordmann, P., Emergence of New Delhi metallo-beta-lactamase (ndm-1) and klebsiella pneumonia carbapenemase (kpc-2) in South Africa (2012) Journal of Clinical Microbiology, 50, pp. 525-527; Nordman, P., Naas, T., Poirel, L., Global spread of carbapenemase producing enterobacteriaceae (2011) Emerging Infectious Diseases, 10, pp. 1791-1798; Nuffield Council on Bioethics, (2007) Public Health: Ethical Issues, , London: Nuffield Council on Bioethics; Nys, T.R.V., Paternalism in public health care (2008) Journal of Public Health Ethics, 1, pp. 64-72; Ostholm-Balkhed, A., Tarnberg, M., Nilsson, M., Hanberger, H., Hallgren, A., Travelassociated faecal colonization with ESBL-producing enterobacteriaceae: Incidence and risk factors (2013) Journal of Antimicrobial Chemotherapy, 68, pp. 2144-2153; Owens, J., Crobb, A., Beyond choice and individualism: Understanding autonomy for public health ethics (2013) Journal of Public Health Ethics, 6, pp. 262-271; Pandey, G., India rejects UK scientists 'superbug' claim (2010) BBC News, , August; Patient Safety Alert., Addressing rising trends and outbreaks in carbapenemase-producing enterobacteriaceae (2014) NHS England and Public Health England, , http://www.england.nhs.uk/wp-content/uploads/2014/03/psa-carbapenemase.pdf, accessed April 2014; Public Health England, (2014) General Information (Carbapenem Resistance and NDM-1), , http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/CarbapenemResistance/GeneralInformation/, Public Health England, [accessed April 2014]; Resnik, D.B., Responsibility for health: Personal, social, and environmental (2007) Journal of Medical Ethics, 33, pp. 444-445; Ross, W.D., (1930) The Right and the Good, , Oxford: Oxford University Press; Scanlon, T.M., (1998) What We Owe to Each Other, , Harvard: Harvard University Press; Scanlon, T.M., Reply to olsaretti (2013) Journal of Moral Philosophy, 10 (4), pp. 484-487; Scanlon, T.M., Reply to stemplowska (2013) Journal of Moral Philosophy, 10 (4), pp. 508-514; Sinha, K., Lancet says sorry for 'Delhi bug' (2011) Times of India, , January; (1984) Siracusa Principles on the Limitation and Derogation of Principles in the International Covenant on Civil and Political Rights, , Annex, UN Doc E/CN.4/1984/ 4. United Nations; Von Wintersdorff, C.J.H., Penders, J., Stobberingh, E.E., Oude Lashof, A.M.L., Hoebe, C.J.P.A., Savelkoul, P.H.M., Wolffs, P.F.G., High rates of antimicrobial drug resistance gene acquisition after international travel, the netherlands (2014) Emerging Infectious Diseases, 20, pp. 649-657; Wernli, D., Haustein, T., Conly, J., Carmeli, Y., Kickbusch, I., Harbarth, S., A call for action: The application of the international health regulations to the global threat of antimicrobial resistance (2011) PLoS Medicine, 8; World Health Organization., (2013) Exploring Patient Participation in Reducing Health-care-related Safety Risks, , Copenhagen: World Health Organization; World Health Organization., (2014) Antimicrobial Fact Sheet no.194, , http://www.who.int/mediacentre/factsheets/fs194, updated April 2014[accessed April 2014]; Yong, D., Toelman, M.A., Giske, C.G., Cho, H.S., Sundman, K., Lee, K., Walsh, T.R., Characterization of a new metallo-b-lactamase gene, bla(ndm-1), and a novel erythromycin esterase gene carried on a unique genetic structure in klebsiella pneumonia sequence type 14 from India (2009) Antimicrobial Agents and Chemotherapy, 53, pp. 5046-5054","Millar, M.R.; Department of Infection, Barts Health NHS Trust, Pathology and Pharmacy Building, 80 Newark Street, United Kingdom; email: M.R.Millar@qmul.ac.uk",,,"Oxford University Press",,,,,17549973,,,,"English","Public Health Ethics",Article,"Final",,Scopus,2-s2.0-84975726006 "Kaya S., Karsavuran S., Yildiz A.","7102876747;57188828788;56168695700;","Medical tourism developments within Turkey",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"332","338",,2,"10.4337/9781783471195.00044","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961847484&doi=10.4337%2f9781783471195.00044&partnerID=40&md5=2f32cebdc99360b2d31b36501dba8abe","Department of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Turkey","Kaya, S., Department of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Turkey; Karsavuran, S., Department of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Turkey; Yildiz, A., Department of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Turkey",[No abstract available],,,,,,,,,,"Akdağ, R., (2011) Turkey Health Transformation Program: Evaluation Report (2003-2010), , Ankara: Republic of Turkey Ministry of Health; Atun, R., Aydın, S., Chakraborty, S., Sümer, S., Aran, M., Gürol, İ., Nazlıoğlu, S., Akdağ, R., Universal health coverage in Turkey: Enhancement of equity (2013) Lancet, 382, pp. 65-89; Aydın, D., Aypek, N., Aktepe, C., Şahbaz, R.P., Arslan, S., (2011) Türkiye’de Medikal Turizm, , Ankara: T.C. Sağlık Bakanlığı Tedavi Hizmetleri Genel Müdürlüğü; Barca, M., Akdeve, E., Gedik Balay, İ., (2012) Evaluation Report on Medical Tourism in Turkey 2012, , Ankara: Republic of Turkey Ministry of Health; Barca, M., Akdeve, E., Gedik Balay, İ., Türkiye Sağlık Turizm Sektörünün Analizi ve Strateji Önerileri (2013) İşletme Araştırmaları Dergisi, 5 (3), pp. 64-92; Bora Başara, B., Güler, C., Yentür, G.K., Pulgat, E., (2013) Health Statistics Yearbook 2012, , Ankara: Republic of Turkey Ministry of Health; Gülen, K.G., Demirci, S., (2012) Türkiye’de Sağlık Turizmi Sektörü, , İstanbul: İstanbul Ticaret Odası Yayınları; (2014) JCI-Accredited Organizations, , Oak Brook, IL: JCI; Kaya, S., Yıldırım, H.H., Karsavuran, S., Özer, Ö., (2013) Evaluation Report on Medical Tourism in Turkey 2013, , Ankara: Republic of Turkey Ministry of Health; (2011) Decree Law No. 663, On Structure and Duties of The Ministry of Health and Affiliated Institutions, , Official Gazette No. 28103 dated 2 November 2011; (2012) Medical Tourism 2012 Activity Report, , Ankara: Republic of Turkey Ministry of Health; (2012) Strategic Plan 2013-2017, , Ankara: Republic of Turkey Ministry of Health; (2012) Health Tourism Handbook, , Ankara: Republic of Turkey Ministry of Health; Şahbaz, R.P., Akdu, U., Akdu, S., Türkiye’de Medikal Turizm Uygulamaları; İstanbul ve Ankara Örneği (2012) Balıkesir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 15 (27), pp. 267-295; Kalkınma Bakanlığı, T.C., (2013) Onuncu Kalkınma Planı (2014-2018), , Ankara: Republic of Turkey Ministry of Development. [Title translates as Tenth Development Plan (2014-2018).]; Kültürve Turizm Bakanlığı, T.C., (2007) Türkiye Turizm Stratejisi 2023: Eylem Planı 2007-2013, , http://www.kulturturizm.gov.tr/genel/text/eng/TST2023.pdf, Ankara: Republic of Turkey Ministry of Culture and Tourism. [Title translates as Tourism Strategy of Turkey 2023 and Activity Plan for Tourism Strategy of Turkey 2007-2013; Sağlık Bakanlığı, T.C., (2010) Stratejik Plan 2010-2014, , Ankara: Republic of Turkey Ministry of Health; Sağlık Bakanlığı, T.C., (2013) Sağlık Serbest Bölgesi Çalışması: Ocak 2013, , Ankara: Republic of Turkey Ministry of Health. [Title translates as A Study on Health Free Zones: January 2013.]; Sağlık Vakfı, T., (2010) Dünya’da ve Türkiye’de Sağlık Turizmi-2010: Durum Tespit Raporu ve Çözüm Önerileri, , Ankara: The Health Foundation of Turkey. [Title translates as Health Tourism in the World and in Turkey-2010: Evaluation Report and Suggestions.]; (2014) UNWTO Tourism Highlights 2014 Edition, , Madrid: UNWTO; Yalçın, P., (2006) Türkiye’de sağlık turizminde alt yapı oluşturulma gereği ve sağlık kurumlarına yönelik bir araştırma, , Gazi Üniversitesi Sosyal Bilimler Enstitüsü İşletme Anabilim Dalı Hastane İşletmeciliği Bilim Dalı Yüksek Lisans Tezi. [Title translates as ‘Need for establishing an infrastructure in health tourism in Turkey and a survey for health institutions’, Master’s thesis in Hospital Management, Department of Business Administration, Gazi University Institute of Social Sciences.]; Zengingönül, O., Emeç, H., İyilikçi, D.E., Bingöl, P., (2012) Sağlık Turizmi: İstanbul’a Yönelik Bir Değerlendirme, , İstanbul: İstanbul Development Agency. [Title translates as Health Tourism: An Evaluation for Istanbul.]",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84961847484 "Kronfol N.M.","6603925557;","Medical tourism developments within the Middle East",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"307","312",,2,"10.4337/9781783471195.00041","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961847477&doi=10.4337%2f9781783471195.00041&partnerID=40&md5=0f37d6248bc6a22f367273165841bdb3","Lebanese HealthCare Management Association, Lebanon","Kronfol, N.M., Lebanese HealthCare Management Association, Lebanon",[No abstract available],,,,,,,,,,"Haley, B., Public policy and medical tourism: Ethical implications for the Egyptian health care system (2011) World Hospitals and Health Services, 47 (4), pp. 13-15; Hay, B., Botterill, D., From a medical tourism hospital to a National Health Service hospital in eight easy years! A case study of the Golden Jubilee Hospital in Glasgow, Scotland (2010) Medical Tourism Conference, Centre for Cross Cultural Understanding Masterclass NHTV Breda University of Applied Sciences, , Breda University of Applied Sciences, the Netherlands; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Kannan, P., Dubai reveals master plan for 500,000 medical tourists a year (2014) The National UAE, , 25 March; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Malkawi, K., Jordan remains medical tourism hub despite regional unrest (2012) The Jordan Times, , 18 March; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92 (6), pp. 1433-1446","Kronfol, N.M.; Lebanese HealthCare Management AssociationLebanon",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84961847477 "Hadler M.W.","55654131500;","Migration and patient mobility in Latin America",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"313","322",,2,"10.4337/9781783471195.00042","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961820244&doi=10.4337%2f9781783471195.00042&partnerID=40&md5=ac28e29c97a44f73392c5ba47d0ebf12","UCLA Center for Health Policy Research, United States","Hadler, M.W., UCLA Center for Health Policy Research, United States",[No abstract available],,,,,,,,,,"Berk, M.L., Schur, C.L., The effect of fear on access to care among undocumented Latino immigrants (2001) Journal of Immigrant Health, 3 (3), pp. 151-156; Berk, M.L., Schur, C.L., Chavez, L.R., Frankel, M., Health care use among undocumented Latino immigrants (2000) Health Affairs, 19 (4), pp. 51-64; Block, M.A.G., (2009) Salud migrante: Propuesta de un seguro binacional de salud, , Cuernavaca: Instituto Nacional de Salud Pública; Block, M.A.G., Bustamante, A.V., de la Sierra, L.A., Cardoso, A.M., Redressing the limitations of the Affordable Care Act for Mexican immigrants through bi-national health insurance: A willingness to pay study in Los Angeles (2012) Journal of Immigrant and Minority Health, 16, pp. 179-188; Bustamante, A.V., Van der Wees, P.J., Integrating immigrants into the US health system (2012) Virtual Mentor, 14 (4), p. 318; Bustamante, A.V., Ojeda, G., Castañeda, X., Willingness to pay for cross-border health insurance between the United States and Mexico (2008) Health Affairs, 27 (1), pp. 169-178; Canales, A.I., Vargas Becerra, P.N., Armas, I.M., (2009) Migración y salud en zonas fronterizas: Informe comparativo sobre cinco fronteras seleccionadas, , Cepal-UNFPA: inédito; Capps, R., Rosenblum, M.R., Fix, M., (2009) Immigrants and Health Care Reform: What’s Really at Stake?, , Washington, DC: Migration Policy Institute; Carrasquillo, O., Pati, S., The role of health insurance on Pap smear and mammography utilization by immigrants living in the United States (2004) Preventive Medicine, 39 (5), pp. 943-950; Carrasquillo, O., Rosenblum, M.R., Fix, M., Impact of language barriers on patient satisfaction in an emergency department (1999) Journal of General Internal Medicine, 14 (2), pp. 82-87; Cerrutti, M., Diagnostico de las poblaciones de inmigrantes en la Argentina (2009) Direccion Nacional de Poblacion del Ministerio del Interior; Cerrutti, M., (2010) Salud y migración internacional: Mujeres bolivianas en la Argentina; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; (2009) Health Plan for Central America and the Dominican Republic, , San José, Costa Rica: COMISCA; Courtis, C., Liguori, G., Cerrutti, M., (2010) Migración y salud en zonas fronterizas: El Estado Plurinacional de Bolivia y la Argentina, , Naciones Unidas, Comisión Económica para América Latina y el Caribe, CEPAL; Dumont, J.-C., Spielvogel, G., Widmaier, S., (2010) International Migrants in Developed, Emerging and Developing Countries: An Extended Profile, , OECD Publishing; Goldman, D.P., Smith, J.P., Sood, N., Immigrants and the cost of medical care (2006) Health Affairs, 25 (6), pp. 1700-1711; González, A.P., Garantías y acceso a derecho de los migrantes externos residentes en Argentina: Focalizando la mirada en el poder judicial (2012) Jurid Manizales, 9 (2), pp. 105-123; Hadler, M.W., The role of the state in transnational health care: Exploring expansion of El Salvador’s Social Security Institute to include migrant families (2012) UCLA: Latin American Studies, p. 0498; (2010) Censo Nacional de Poblacion, Hogares y Viviendas, 2010; Jelin, E., Gimson, A., (2005) Salud y migración regional: Ciudadanía, discriminación y comunicación intercultural, , IDES; Mardones, P., Del “chivo expiatorio” al que se vayan todos: La Situación de los Derechos Humanos de las/os Bolivianas/os en la Argentina posterior a los episodios del 19 y 20 de diciembre de 2001 (2009) Miradas en Movimiento, 1, pp. 62-84; Programa de Promoción de la Salud para población Migrante de la Ciudad de Buenos Aires (2013) Doctors of the World; (2010) Viceministerio para los Salvadoreñen el Exterior; Novick, S., (2005) Evolución reciente de la política migratoria argentina, , texte présenté à la XXVe conférence mondiale de la population, Tours, 18-23 July; Ortega, A.N., Fang, H., Perez, V.H., Rizzo, J.A., Carter-Pokras, O., Wallace, S.P., Gelberg, L., Health care access, use of services, and experiences among undocumented Mexicans and other Latinos (2007) Archives of Internal Medicine, 167 (21), p. 2354; (2012) La Estrategia de Cooperación de la OPS/OMS con Argentina 2012-2016, , Argentina: PAHO/WHO Argentina; Passel, J.S., Cohn, V., (2011) Mexican Immigrants: Unauthorized Immigrant Population: National and State Trends, 2010, , Washington, DC: PEW Hispanic Center; Passel, J.S., D’Vera, C., (2009) A Portrait of Unauthorized Immigrants in the United States, , Washington, DC: Pew Research Center; (2009) Hispanics of Salvadoran origin in the United States, 2007, , Washington, DC: Pew Research Center; Rodríguez, M.A., Perceived quality of care, receipt of preventive care, and usual source of health care among undocumented and other Latinos (2009) Journal of General Internal Medicine, 24 (3), pp. 508-513; Scheppers, E., van Dongen, E., Dekker, J., Geertzen, J., Potential barriers to the use of health services among ethnic minorities: A review (2006) Family Practice, 23 (3), pp. 325-348; (2012) Health Systems in South America: Challenges to the universality, integrality and equity, , Rio de Janeiro: ISAGS; Terrazas, A., Salvadoran immigrants in the United States (2010) Migration Information Source, 21. , Washington, DC: Migration Policy Institute; (2005) Informe sobre Desarrollo Humano El Salvador 2005 “Una mirada al nuevo nosotros”: El impacto de las migraciones’ [’Human Development Report for El Salvador (IDHES) 2005 “A look at the new us”: The impact of migration, , San Salvador: United Nations Development Programme; Migration and health: Salvadorans in the United States (2010) Health Initiative of the Americas, , California: University of California & Ministry of Foreign Relations of El Salvador; Wallace, S.P., Castaneda, X., Migration and health: Latinos in the United States (2008) UCLA Center for Health Policy Research, Paper, p. 64; Zuckerman, S., Waidmann, T.A., Lawton, E., Undocumented immigrants, left out of health reform, likely to continue to grow as share of the uninsured (2011) Health Affairs, 30 (10), pp. 1997-2004","Hadler, M.W.; UCLA Center for Health Policy ResearchUnited States",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84961820244 "Horsfall D., Lunt N.","35848647100;6603761945;","Medical tourism and the internet",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"174","183",,2,"10.4337/9781783471195.00027","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961785478&doi=10.4337%2f9781783471195.00027&partnerID=40&md5=a3b434e7a730e6f863b6e7bfee375cba","Department of Social Policy and Social Work, University of York, United Kingdom","Horsfall, D., Department of Social Policy and Social Work, University of York, United Kingdom; Lunt, N., Department of Social Policy and Social Work, University of York, United Kingdom",[No abstract available],,,,,,,,,,"Bernard, A., Langille, M., Hughes, S., Rose, C., Leddin, D., Veldhuyzen van Zanten, S., A Systematic Review of Patient Inflammatory Bowel Disease Information Resources on the World Wide Web (2007) The American Journal of Gastroenterology, 102, pp. 2070-2077; Bernstam, E.V., Shelton, D.M., Walji, M., Meric-Bernstam, F., Instruments to Assess the Quality of Health Information on the World Wide Web: What Can Our Patients Actually Use? (2005) International Journal of Medical Informatics, 74 (1), pp. 13-19; Deshpande, A., Jadad, A., Trying to Measure the Quality of Health Information on the Internet: Is it Time to Move On? (2009) Journal of Rheumatology, 36, pp. 1-3; Eysenbach, G., What is E-health? (2001) Journal of Medical Internet Research, 3, p. e20; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Holliday, R., Bell, D., Jones, M., Probyn, E., Sanchez Taylor, J., Cheung, O., Cho, J.H., Lewis, H., (2014) Sun, Sea, Sand, and Silicone: Mapping Cosmetic Surgery Tourism, , Leeds: ESRC and the University of Leeds; Honekamp, W., Ostermann, H., Anamneses-Based Internet Information Supply: Can a Combination of an Expert System and Meta-Search Engine Help Consumers find the Health Information they Require? (2010) Open Medical Informatics Journal, 4, pp. 12-20; Horsfall, D.G., Lunt, N., King, H., Hanefeld, J., Smith, R.D., The Impact of the Internet on Medical Tourism (2013) Medical Tourism and Transnational Health Care, pp. 223-239. , D. Botterill, G. Pennings (eds), London: Palgrave Macmillan; Hudson, N., Culley, L., Assisted reproductive travel: UK patient trajectories (2011) Reproductive BioMedicine Online, 23 (5), pp. 573-581; Langille, M., Bernard, A., Rodgers, C., Hughes, S., Leddin, D., van Zanten, S.V., Systematic Review of the Quality of Patient Information on the Internet Regarding Inflammatory Bowel Disease Treatments (2010) Clinical Gastroenterology and Hepatology, 8 (4), pp. 322-328; Lawrentschuk, N., Sasges, D., Tasevski, R., Abouassaly, R., Scott, A., Davis, I., Oncology Health Information Quality on the Internet: A Multilingual Evaluation (2012) Annals of Surgical Oncology, 19 (3), pp. 706-713; Lichtenfeld, L., Can the Beast Be Tamed? The Woeful Tale of Accurate Health Information on the Internet (2012) Annals of Surgical Oncology, 19 (3), pp. 701-702; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Smith, R., Mannion, R., Green, S., Exworthy, M., Hanefeld, J., Horsfall, D., King, H., Implications for the NHS of Inward and Outward Medical Tourism: A Policy and Economic Analysis Using Literature Review and Mixed-Methods Approaches (2014) Health Service Delivery Research, 2 (2); Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) Journal of Health Communication, 16 (2), pp. 163-177; Meric, F., Bernstam, E.V., Mirza, N.Q., Hunt, K.K., Ames, F.C., Ross, M.I., Kuerer, H.M., Singletary, S.E., Breast Cancer on the World Wide Web: Cross Sectional Survey of Quality of Information and Popularity of Websites (2002) British Medical Journal, 324, pp. 577-581; Scullard, P., Peacock, C., Davies, P., Googling Children’s Health: Reliability of Medical Advice on the Internet (2010) Archives of Disease in Childhood, 95 (8), pp. 580-582; Thompson, A.E., Graydon, S.L., Patient-Oriented Methotrexate Information Sites on the Internet: A Review of Completeness, Accuracy, Format, Reliability, Credibility, and Readability (2009) The Journal of Rheumatology, 36 (1), pp. 41-49; Yeoh, E., Othman, K., Ahmad, H., Understanding Medical Tourists: Word-of-Mouth and Viral Marketing as Potent Marketing Tools (2013) Tourism Management, 34, pp. 196-201",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84961785478 "Chanin O., Khunchumnan P., Amphansookko S., Thongyai K., Rodneum J., Sriprasert P.","57038942500;57038949100;57038947800;57038876700;57039007300;57038968300;","Guidelines on Health Tourism Management for Middle Eastern Tourists in Phuket Province",2015,"Procedia Computer Science","65",,,"1146","1153",,2,"10.1016/j.procs.2015.09.031","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84953223582&doi=10.1016%2fj.procs.2015.09.031&partnerID=40&md5=6c774d0d6ae13ba9ce44f2f144ec7cb8","Rajamangala University of Technology Srivijaya, Songkla, 90000, Thailand; Nakorn Si Thammarat Rajabhat Univerisity, Nakorn Si Thammarat, 80000, Thailand","Chanin, O., Rajamangala University of Technology Srivijaya, Songkla, 90000, Thailand; Khunchumnan, P., Rajamangala University of Technology Srivijaya, Songkla, 90000, Thailand; Amphansookko, S., Rajamangala University of Technology Srivijaya, Songkla, 90000, Thailand; Thongyai, K., Rajamangala University of Technology Srivijaya, Songkla, 90000, Thailand; Rodneum, J., Rajamangala University of Technology Srivijaya, Songkla, 90000, Thailand; Sriprasert, P., Nakorn Si Thammarat Rajabhat Univerisity, Nakorn Si Thammarat, 80000, Thailand","There are three objectives in this study, 1) to study the behaviour and needs of Middle Eastern tourists for health tourism, 2) to study elements of health tourism for Middle Eastern tourists, and 3) to study guidelines on health tourism management for Middle Eastern tourists. The sample in this study is 400 Middle Eastern tourists, and 10 government staff. The research tools used were questionnaires and interviews. The study found that the Middle Eastern tourists have high needs in health tourism which are as follows: 1) fair prices 2) embedding intensity 3) aromatherapy IP terminals 4) souvenirs for home, and 5) public transportation. Following the average analysis (t-test), it revealed that these aspects have a statistical difference of 0.05 between the sexes with regard to health tourism. Moreover, seven aspects that have a significant statistical difference at 0.05 were age, education, income, occupation, status, experience and nationality with regards to health tourism. According to the study, indicators which were claimed to assist in managing health tourism include; 1) variety of activities 2) Islam friendly accommodation 3) public transport 4) promotion of health tourism 5) access to prayer rooms 6) access to health tourism information, and 7) fair price of souvenirs. Furthermore, guidelines on health tourism management for Middle Eastern tourists in Phuket Province include; 1) Tourism Authority of Thailand and travel agency should be given more variety, especially the health based activities. 2) Sub-district administrative organization should have measures in place that harmonize with the Middle Eastern tourists' needs. 3) Tourism Authority of Thailand should be studied in order to persuade Middle Eastern tourists to buy more souvenirs from the tourist attractions. 4) Thailand Government should be supported in arranging accommodation to be in line with Islamic principles. 5) Sub-district administrative organization have to arranged places for Middle Eastern tourists to praying particularly for ladies. 6) Thailand Government should inform the tourists from the Middle Eastern countries about activities involved in health tourism in Phuket. 7) Sub-district administrative organization should be executed in order to make all tourists feel safe, and also to protect them from being taken advantage of with regards to hiked prices. © 2015 The Authors.","Health Tourism; Middle East Tourists; Tourism Management","Costs; Mass transportation; Surveys; Administrative organizations; Health tourisms; Islamic principles; Middle East; Public transportation; Statistical differences; Tourism management; Tourist attractions; Health",,,,,,,,"Sunthorntham, T., (2014) The Market of Tourists from the Middle East Countries: The Trend of Demand and Significance Toward to Thailand Tourism, , http://prp.trf.or.th/ContentView.aspx?id=249&page=1, S. [15 November 2014]; (2013) Annual Report 2012, , http://thai.tourismthailand.org/about-tat/annual-report, The tourism authority of Thailand office [20 January 2013]; Kuntolbutra, C., (2004) Principle Management and Organization Management, , Bangkok: Chulalongkorn University Publishing house; Ritplag, S., (2012) The Tourism in Terms of Health at Modern Time in the Southern North East. Bangkok, , Bangkok: The Thai Research Fund (TRF); Sungkakorn, K., (2012) The concept of sufficient economy with community tourism, , Chiang Mai: Social research institution, Chiang Mai University; (2013) Chiang Mai.Health Tourism, , http://tisc.feu.ac.th/content.aspx?file_upload_id=3451&page_num=, Trade and investment service centre [20 January 2013]; Mill, R.C., Morrison, A.M., (1990) The Tourism System: An Introductory Text, , Iowa: Kendall/Hunt Publishing Company; Chuenjai, N., Puengpothong, K., The behavior and the need toward to domestic tourism of the local people in Srisakate province (2012) Journal of MSD Research of Faculty of Humanity and Social Sciences, 8 (3), pp. 51-59; Kaejonnann, (2008) The Organization Behavior, , Bangkok: SE-EUCATION; Schiffman, L.G., Kanuk, L.L., (2004) Consumer Behavior, , 8th ed. India: Prentice Hall; Kotler, P., Keller, K.L., (2012) Marketing Management, , 14rd. Global Edition: Pearson Inc; Manrai, L.A., Manrai, A.K., Hofsted's cultural dimensions and tourist behaviors: A review and conceptual framework (2001) '2001, Journal of Economics, Finance and Administrative Science, 16 (31), pp. 23-48; Cochran, W.G., (1990) SamplingTechniques, , New Yor:. Wiley; Prasit, N., (2009) Behavior and the Need of Using Medical Services of the Patients from Pranakron Sri Ayutthaya Hospital, pp. 344-349. , Bangkok University Conference; Tangjitwattana, B., (2006) The Development and Tourist Attraction Conservation, , Bangkok: Press and design; Chanin, O., (2015) Guideline for Halal Tourism Management on the Andaman Coast, Thailand, , The Proceeding 53rd Kasetsart University Annual Conference, Thailand",,"de Alencar M.S.Theodotou E.Theodotou E.Snasel V.Saleh Y.Salem A.-B.Valanderau L.Jelonek D.Kumar S.","","Elsevier","International Conference on Communications, Management, and Information Technology, ICCMIT 2015","20 April 2015 through 22 April 2015",,116706,18770509,,,,"English","Procedia Comput. Sci.",Conference Paper,"Final",Open Access,Scopus,2-s2.0-84953223582 "Johnson T.J., Garman A.N.","8340561600;7004084762;","Demand for international medical travel to the USA",2015,"Tourism Economics","21","5",,"1061","1077",,2,"10.5367/te.2014.0393","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943768045&doi=10.5367%2fte.2014.0393&partnerID=40&md5=2bca0157e7dc0a95d18930662af6ae52","Rush Center for the Advancement of Healthcare Value, Department of Health Systems Management, Rush University, 1700 West Van Buren Street, Chicago, IL 60612, United States","Johnson, T.J., Rush Center for the Advancement of Healthcare Value, Department of Health Systems Management, Rush University, 1700 West Van Buren Street, Chicago, IL 60612, United States; Garman, A.N., Rush Center for the Advancement of Healthcare Value, Department of Health Systems Management, Rush University, 1700 West Van Buren Street, Chicago, IL 60612, United States","The USA has developed a global reputation for providing highquality, cutting-edge medical care, and individuals from across the world travel to the country to receive care for complex medical conditions. Beyond this goal of higher quality of care, however, very little is known about the motivational patterns influencing medical travellers' decision making, including the extent to which existing tourism theory and forecasting models apply to this specialized group. The present study seeks to contribute to the knowledge base by developing and testing a macro-level model of international medical travel to the USA. Using country-level data from the US Department of Commerce, World Health Organization, World Bank and Central Intelligence Agency, a two-part regression analysis was used to assess factors associated with the presence and volume of inbound medical travel by country of origin. The results indicate that travel time and out-of-pocket healthcare expenditure are significant predictors of inbound medical tourism from a given country, and travel time, travel cost, services trade and the number of outbound travellers are significant predictors of the total volume of inbound medical travellers by country. The results are discussed in the light of existing tourism research, and guidance for hospitals, policy makers and the tourism industry is provided on where to target resources for developing relationships with providers and payers abroad.","International medical travel; International patients; Macro-level determinants; Medical tourism","decision making; health care; health expenditure; tourism economics; travel demand; travel time; United States",,,,,,,,"Bogg, T., Roberts, B.W., Conscientiousness and health-related behaviors: A meta-analysis of the leading behavioral contributors to mortality (2004) Psychological Bulletin, 130 (6), pp. 887-919; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? 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(2001) Journal of Health Economics, 20 (4), pp. 461-494; Marais, B.J., Lönnroth, K., Lawn, S.D., Migliori, G.B., Mwaba, P., Glaziou, P., Bates, M., Zumla, A., Tuberculosis comorbidity with communicable and non-communicable diseases: Integrating health services and control efforts (2013) The Lancet Infectious Diseases, 13 (5), pp. 436-448; Oesterle, A., Johnson, T.J., Delgado, J., A unifying framework of the demand for transnational medical travel (2013) International Journal of Health Services, 43 (3), pp. 415-436; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7. , http://www.globalizationandhealth.com/content/7/1/12, accessed 24 August 2015; Satjapot, S., Johnson, T., Garman, A., International medical travelers, length of stay, and the continuum of care: Inquiry and comparison (2011) Quality Management in Healthcare, 20 (1), pp. 76-83; (2012) Survey of International Patient Programs in the United States: Annual International Patient Program Benchmarking Report, 2010-2011, , USCIPP, US Cooperative for International Patient Programs, Chicago, IL; (2014) Survey of International Patient Programs in the United States: Annual International Patient Program Benchmarking Report, 2011-2012, , USCIPP, US Cooperative for International Patient Programs, Chicago, IL; Webb, T.L., Sheeran, P., Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence (2006) Psychological Bulletin, 132 (2), pp. 249-268; Wensing, M., Mainz, J., Ferreira, P., Hearnshaw, H., Hjortdahl, P., Olesen, F., Reis, S., Grol, R., General practice care and patients' priorities in Europe: An international comparison (1998) Health Policy, 45 (3), pp. 175-186","Johnson, T.J.; Rush Center for the Advancement of Healthcare Value, Department of Health Systems Management, Rush University, 1700 West Van Buren Street, United States",,,"University of London",,,,,13548166,,,,"English","Tour. Econ.",Article,"Final",,Scopus,2-s2.0-84943768045 "Ho L.H., Feng S.Y., Yen T.M.","7402955692;55261668400;24068171400;","Using fuzzy gap analysis to measure service quality of medical tourism in Taiwan",2015,"International Journal of Health Care Quality Assurance","28","7",,"648","659",,2,"10.1108/IJHCQA-06-2014-0072","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938698692&doi=10.1108%2fIJHCQA-06-2014-0072&partnerID=40&md5=54efa816bff1b2f1feb132c84c45cdc9","Department of Technology Management, Chung-Hua University, HsinChu, Taiwan; Department of Hospitality Management, Chung-Hua University, HsinChu, Taiwan; Department of Technology Management, Chung-Hua University, HsinChu, Taiwan","Ho, L.H., Department of Technology Management, Chung-Hua University, HsinChu, Taiwan; Feng, S.Y., Department of Hospitality Management, Chung-Hua University, HsinChu, Taiwan; Yen, T.M., Department of Technology Management, Chung-Hua University, HsinChu, Taiwan","Purpose – The purpose of this paper is intended to create a model to measure quality of service, using fuzzy linguistics to analyze the quality of service of medical tourism in Taiwan so as to find the direction for improvement of service quality in medical tourism. Design/methodology/approach – The study developed fuzzy questionnaires based on the characteristics of medical tourism quality of service in Taiwan. Questionnaires were delivered and recovered from February to April 2014, using random sampling according to the proportion of medical tourism companies in each region, and 150 effective samples were obtained. The critical quality of service level is found through the fuzzy gap analysis using questionnaires examining expectations and perceptions of customers, as the direction for continuous improvement. Findings – From the study, the primary five critical service items that improve the quality of service for medical tourism in Taiwan include, in order: the capability of the service provider to provide committed medical tourism services reliably and accurately, facility service providers in conjunction with the services provided, the cordial and polite attitude of the service provider eliciting a sense of trust from the customer, professional ability of medical (nursing) personnel in hospital and reliability of service provider. Originality/value – The contribution of this study is to create a fuzzy gap analysis to assess the performance of medical tourism service quality, identify key quality characteristics and provide a direction for improvement and development for medical tourism service quality in Taiwan. © 2015, Emerald Group Publishing Limited.","Continuous quality improvement; Performance measurement; Service quality; SERVQUAL","fuzzy logic; health care quality; health services research; human; medical tourism; patient satisfaction; questionnaire; Taiwan; Fuzzy Logic; Health Services Research; Humans; Medical Tourism; Patient Satisfaction; Quality of Health Care; Questionnaires; Taiwan",,,,,,,,"Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism service available to residents of the United States (2011) Journal of General Internal Medicine, 26 (5), pp. 492-497; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave McMillan, New York, NY; Broekhoven, E.V., Baets, B.D., Fast and accurate center of gravity defuzzification of Fuzzy system outputs defined on trapezoidal fuzzy partitions (2006) Fuzzy Sets and Systems, 157 (7), pp. 904-918; Caballero-Danell, S., Mugomba, C., (2007) Medical tourism and its entrepreneurial opportunities: A conceptual framework for entry into the industry, , unpublished master's thesis, University of Gothenburg, Gothenburg; Carman, J.M., Consumer perceptions of service quality: An assessment of the SERVQUAL dimensions (1990) Journal of Retailing, 66 (1), pp. 33-55; Carrasco, R.A., Munoz-Levia, F., Sanchez-Fernandez, J., Liebana-Cabanillas, F.J., A model for the integration of e-financial services questionnaires with SERVQUAL scales under fuzzy linguistic modeling (2012) Expert Systems with Applications, 39 (14), pp. 11535-11547; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review Pharmacoeconomics Outcomes Results, 6 (4), pp. 447-454; Chen, S.J., Hwang, C.L., (1992) Fuzzy Multiple Attribute Decision-Making Methods and Applications, , Springer-Verlag, Berlin; Chou, C.C., Liu, L.J., Huang, S.F., Yih, J.M., Han, T.C., An evaluation of airline service quality using the fuzzy weighted SERVQUAL method (2011) Applied Soft Computing, 11 (2), pp. 2117-2128; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cronin, J.J., Taylor, S.A., Measuring service quality: A reexamination and extension (1992) Journal of Marketing, 56 (3), pp. 55-68; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (266), pp. 1-12; Fottler, M.D., Malvey, D., Asi, Y., Warren, N.A., Can inbound and domestic medical tourism improve your bottom line? Identifying the potential of a US tourism market (2014) Journal of Healthcare Management, 59 (1), pp. 49-63; Garvin, D.A., Quality on the line (1983) Harvard Business Review, 61 (5), pp. 65-73; Gronroos, C., A service quality model and its marketing implications (1984) European Journal of Marketing, 18 (4), pp. 36-44; Guiry, M., Scott, J.J., Vequist, D.G., IV, Experienced and potential medical tourists' service quality expectations (2013) International Journal of Health Care Quality Assurance, 26 (5), pp. 433-446; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Ho, L.H., Tai, Y., Constructing quality of service indicators and improvement strategies for medical tourism in Taiwan (2014) Studies on Ethno-Medicine, 8 (1), pp. 23-31; Hu, H.Y., Lee, Y.C., Yen, T.M., Service quality gaps analysis based on fuzzy linguistic SERVQUAL with a case study in hospital out-patient services (2010) The TQM Journal, 22 (5), pp. 499-515; Hussu, A., Fuzzy control and defuzzification (1995) Mechatronics, 5 (5), pp. 513-526; Ladhari, R., Alternative measures of service quality: A review (2008) Managing Service Quality, 18 (1), pp. 65-86; Lehtinen, U., Lehtinen, J.R., (1982) Service Quality: A Study of Quality Dimensions, , Service Management Institute, Helsinki; Lin, H.T., Fuzzy application in service quality analysis: An empirical study (2010) Expert Systems with Applications, 37 (1), pp. 517-526; Lupo, T., A fuzzy SERVQUAL based method for reliable measurements of education quality in Italian higher education area (2013) Expert Systems with Applications, 40 (17), pp. 7096-7110; MacReady, N., Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; Nunnally, J.C., (1967) Psychometric Methods, , McGraw-Hill Book Company, New York, NY; Parasuraman, A., Zethaml, V.A., Berry, L.L., A conceptual model of service quality and its implications for future research (1985) Journal of Marketing, 49 (4), pp. 41-50; Parasuraman, A., Zeithaml, V.A., Berry, L.L., SERVQUAL: A multi-item scale of measuring consumer perceptions of service quality (1988) Journal of Retailing, 64 (1), pp. 12-41; Parasuraman, A., Zeithaml, V.A., Berry, L.L., Refinement and reassessment of the SERVQUAL scale (1991) Journal of Retailing, 67 (4), pp. 420-450; Peter, J.P., Churchill, J.R., Brown, T.J., Caution in the use of difference scores in consumer research (1993) Journal of Consumer Research, 19 (4), pp. 655-662; Quintela, J.A., Correia, A.G., Antunes, J.G., Service quality in health and wellness tourism-trends in Portugal (2011) International Journal of Business, Management and Social Sciences, 2 (3), pp. 1-8; Ramirez de Arellano, A., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: Students' perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 471-482; Shieh, J.I., Wu, H.H., Huang, K.K., A DEMATEL method in identifying key success factors of hospital service quality (2010) Knowledge-Based System, 23 (3), pp. 277-282; Singh, P.K., (2008) Medical Tourism, , Kanishka Publishers, New Delhi; Smith, P.C., Forgione, D., Global outsourcing of healthcare: A medical tourism model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Teas, R.K., Expectations, performance, evaluation and consumers' perceptions of quality (1993) Journal of Marketing, 57 (4), pp. 18-34; Teas, R.K., Expectations as a comparison standard in measuring service quality: An assessment of a reassessment (1994) Journal of Marketing, 58 (1), pp. 132-139; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702; Yang, C.L., Huang, R.H., Systematic approach for improving medical service quality (2013) International Journal of Economics, Finance and Management Sciences, 1 (2), pp. 108-114; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists (2008) Paper presented at the Asia Pacific Tourism Association (APTA) annual conference, , Bangkok, 9-12 July; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zadeh, L.A., Fuzzy sets (1965) Information and Control, 8 (3), pp. 338-353; Zeithaml, V.A., Berry, L.L., Parasuraman, A., The nature and determinants of customer expectations of service (1993) Journal of the Academy of Marketing Science, 21 (1), pp. 1-12","Yen, T.M.; Department of Technology Management, Chung-Hua UniversityTaiwan",,,"Emerald Group Publishing Ltd.",,,,,09526862,,,"26241087","English","Int. J. Health Care Qual. Assur.",Article,"Final",,Scopus,2-s2.0-84938698692 "Gattinger H., Stolt M., Hantikainen V., Köpke S., Senn B., Leino-Kilpi H.","53063485300;35204094400;6603129058;8683895200;36026919400;56644296200;","A systematic review of observational instruments used to assess nurses' skills in patient mobilisation",2015,"Journal of Clinical Nursing","24","5-6",,"640","661",,2,"10.1111/jocn.12689","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84923465780&doi=10.1111%2fjocn.12689&partnerID=40&md5=a27a64e2623d405babeb8dca15493294","Department of Nursing Science, University of Turku, Finland; Institute for Applied Nursing Science, University of Applied Science St. Gallen, Switzerland; Institute for Social Medicine and Epidemiology, Nursing Research Unit, University of Lübeck, Germany; University of Turku/Hospital District of South-Western Finland, Turku, Finland","Gattinger, H., Department of Nursing Science, University of Turku, Finland, Institute for Applied Nursing Science, University of Applied Science St. Gallen, Switzerland; Stolt, M., Department of Nursing Science, University of Turku, Finland; Hantikainen, V., Institute for Applied Nursing Science, University of Applied Science St. Gallen, Switzerland; Köpke, S., Institute for Social Medicine and Epidemiology, Nursing Research Unit, University of Lübeck, Germany; Senn, B., Institute for Applied Nursing Science, University of Applied Science St. Gallen, Switzerland; Leino-Kilpi, H., Department of Nursing Science, University of Turku, Finland, University of Turku/Hospital District of South-Western Finland, Turku, Finland","Aims and objectives: The aim of this study was to identify and describe the existing observation instruments that are used to assess nurses' skills in patient mobilisation and to evaluate the psychometric properties of the included instruments. Background: Structured knowledge about instruments for assessing nurses' skills in patient mobilisation is limited. Design: Systematic review. Methods: Studies were identified via electronic database searches and reference lists and were included based on the eligibility criteria. Data regarding the type of instrument, the number of items/domains and the psychometric properties of the instruments were extracted, and the quality of the instruments were appraised according to Zwakhalen et al.'s (BMC Geriatrics, 2006) proposed criteria. Results: A total of 26 studies, reporting on 16 instruments, were included in this review. The instruments differed in terms of: (1) type of patient-mobilisation task, (2) focus of the instrument, (3) level of structure and (4) use by the observer. Most of the instruments were developed and used in evaluation studies that measured nurses' mobilisation techniques as an outcome of an educational intervention. The total quality score of the included instruments varied between 6-11 points out of a maximum quality score of 19. Conclusion: Although patient mobilisation is part of nurses' everyday work, we suggest from the results of this review that no common consensus exists about the best way to perform patient-mobilisation tasks. The results from this study further show that no instrument measured all of the important aspects of effective patient mobilisation. Relevance for clinical practice: Most of the instruments that were reviewed were able to detect differences in patient-mobilisation techniques. However, convincing evidence is lacking with regard to the content, psychometric properties and practicability of these instruments for use in clinical practice. We suggest the development and validation of a new comprehensive instrument. © 2014 John Wiley & Sons Ltd.","Nursing; Patient lifting and positioning; Patient mobilisation; Skills; Systematic review","clinical competence; human; nursing; observation; patient lifting; psychometry; Clinical Competence; Humans; Moving and Lifting Patients; Observation; Psychometrics",,,,,,,,"Alavosius, M.P., Sulzer-Azaroff, B., An on-the-job method to evaluate patient lifting technique (1985) Applied Ergonomics, 16, pp. 307-311; Alavosius, M.P., Sulzer-Azaroff, B., The effects of performance feedback on the safety of client lifting and transfer (1986) Journal of applied behavior analysis, 19, pp. 261-267; Amick, B., Tullar, J., Brewer, S., Mahood, Q., Irvin, E., Pompeii, L., Wang, A., Evanoff, B., (2006) Interventions in Health-care Settings to Protect Musculoskeletal Health. 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Faculty of the Graduate School of the University of Minnesota; Scopa, M., Comparison of classroom instruction and independent study in body mechanics (1993) Journal of Continuing Education in Nursing, 24, pp. 170-173; Simmons, S.F., Schnelle, J.F., MacRae, P.G., Ouslander, J.G., Wheelchairs as mobility restraints: predictors of wheelchair activity in nonambulatory nursing home residents (1995) Journal of the American Geriatrics Society, 43, pp. 384-388; Smallwood, J.A., Patient handling: student nurses' views (2006) Learning in Health and Social Care, 5, pp. 208-219; Steinbrecher, S.M., The revised NIOSH lifting guidelines. Application in a hospital setting (1994) American Association of Occupational Health Nurses Journal, 42, pp. 62-66; Streiner, D.L., Norman, G.R., (2008) Health Measurement Scales. A Practical Guide to their Development and Use, , 4th edn. Oxford University Press, Oxford, NY; St-Vincent, M., Tellier, C., Lortie, M., Training in handling: an evaluative study (1989) Ergonomics, 32, pp. 191-210; Tamminen-Peter, L., An Ergonomic Evaluation of Three Transfer Methods. Thesis (2005) University of Turku, Faculty of Medicine, Occupational Health. Ser., C 228. , Scripta lingua Fennica edita 0082-6995; Turku, Finland; Troup, J.D., Rauhala, H.H., Ergonomics and training (1987) International journal of nursing studies, 24, pp. 325-330; Vasey, J., Crozier, L., A move in the right direction (1982) Nursing Mirror, 154, pp. 42-47; Videman, T., Rauhala, H., Asp, S., Lindstrom, K., Cedercreutz, G., Kamppi, M., Tola, S., Troup, J.D., Patient-handling skill, back injuries, and back pain. An intervention study in nursing (1989) Spine, 14, pp. 148-156; Wachs, J.E., Parker-Conrad, J.E., Predictors of registered nurses' lifting behavior (1989) American Association of Occupational Health Nurses Journal, 37, pp. 131-140; Warming, S., Juul-Kristensen, B., Ebbehoj, N.E., Schibye, B., An observation instrument for the description and evaluation of patient transfer technique (2004) Applied Ergonomics, 35, pp. 603-614; Yassi, A., Lockhart, K., Work-relatedness of low back pain in nursing personnel: a systematic review (2013) International Journal of Occupational and Environmental Health, 19, pp. 223-244; Zwakhalen, S., Hamers, J., Abu-Saad, H., Berger, M., Pain in elderly people with severe dementia: a systematic review of behavioural pain assessment tools (2006) BMC Geriatrics, 6, pp. 1-15","Gattinger, H.; Institute for Applied Nursing Science, University of Applied Science St. Gallen, Rosenbergstrasse 56, Switzerland",,,"Blackwell Publishing Ltd",,,,,09621067,,JCCNE,"25257805","English","J. Clin. Nurs.",Review,"Final",,Scopus,2-s2.0-84923465780 "Malkina-Pykh I.G., Pykh Y.A.","6603148031;55924206800;","Subjective well-being and personality: Implications for wellness tourism",2014,"WIT Transactions on Ecology and the Environment","187",,,"51","64",,2,"10.2495/ST140051","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930372847&doi=10.2495%2fST140051&partnerID=40&md5=7cc0552a3403b1c4c115efd3ee76ad87","Research Center for Interdisciplinary Environmental Cooperation, Russian Academy of Sciences (INENCO RAS), Russian Federation","Malkina-Pykh, I.G., Research Center for Interdisciplinary Environmental Cooperation, Russian Academy of Sciences (INENCO RAS), Russian Federation; Pykh, Y.A., Research Center for Interdisciplinary Environmental Cooperation, Russian Academy of Sciences (INENCO RAS), Russian Federation","The aims of this study are to demonstrate that 1) personality differences can be considered as the mechanisms underlying differences in subjective well-being and 2) rhythmic movement therapy (RMT) can be regarded as an effective tool for increasing subjective well-being (SWB) in the wellness tourism context. The proposed operationalisation of SWB includes five domains and several psychological constructs that are hypothesised to be components of a mental map, underlying SWB. A total of 213 subjects were recruited among those searching for psychological counselling and assessed with the appropriate questionnaires. Two groups were formed in accordance with their SWB level: group 1 – (very low, low and medium SWB levels) – 96 subjects, 75 females, 21 males, mean age 36, 3 ± 11, 0 years) and group 2 – (high and very high SWB levels) – 117 subjects, 96 females, 21 males, mean age 36, 8 ± 8, 68 years. ANOVA analyses with the SWB group as a factor revealed significant differences in all psychological variables in two groups except for personal standards. ANOVA analyses with gender as a factor revealed no differences in psychological variables except for body image dissatisfaction. The theoretical background for RMT as an effective part of a wellness service was provided. Our research provides evidence that thinking styles (mental models) may significantly influence SWB and any program used for increasing SWB must include a mental healing service. © 2014 WIT Press.","Leisure/vacation satisfaction; Personality; Rhythmic movement therapy; Subjective well-being; Wellness tourism","psychology; questionnaire survey; recreational activity; recreational facility; social behavior; theoretical study; tourism development; tourist behavior; variance analysis",,,,,,,,"Diener, E., Subjective well-being (1984) Psychological Bulletin, 95, pp. 542-575; Diener, E., Suh, E.M., Lucas, R.E., Smith, H.L., Subjective well-being: Three decades of progress (1999) Psychological Bulletin, 125, pp. 276-302; Schimmack, U., Diener, E.O., S. Life-satisfaction is a momentary judgment and a stable personality characteristic: The use of chronically accessible and stable sources (2002) Journal of Personality, 70 (3), pp. 345-384; Malkina-Pykh, I.G., Pykh, Y.A., (2013) The Method of Response Function in Psychology and Sociology. Southampton, , Boston: WIT Press; Dolnicar, S., Yanamandram, V., Cliff, K., The contribution of vacations to quality of life (2012) Annals of Tourism Research, 39 (1), pp. 59-83; Nawijn, J., Leisure Travel and Happiness. An Empirical Study into the Effect of Holiday Trips on Individuals’ Subjective Wellbeing (2012) Dissertation Erasmus University Rotterdam; Erez, A., Johnson, D.E., Judge, T.A., Self-deception as a mediator of the relationship between dispositions and subjective well-being (1995) Personality and Individual Differences, 19 (5), pp. 597-612; Cummins, R.A., Gullone, E., Lau, A., Model of subjective well-being homeostasis: The role of personality (2002) The Universality of Subjective Wellbeing Indicators: Social Indicators Research Series, pp. 7-46. , In: E. Gullone & R.A. Cummins (Eds.), Dordrecht: Kluwer; Bowlby, J., (1969) Attachment and Loss. I: Attachment, , New York: Basic Books; Schore, A.N., The neurobiology of attachment and early personality organization (2002) Journal of Prenatal and Perinatal Psychology and Health, 16 (3), pp. 249-263; Diener, E., Lucas, R.E., Scollon, C., Beyond the hedonic treadmill: Revising the adaptation theory of well-being (2006) American Psychologist, 61, pp. 305-314; Barbas, H., Anatomic basis of cognitive-emotional interactions in the primate prefrontal cortex (1995) Neuroscience and Biobehavioral Reviews, 19, pp. 499-510; Sin, N.L., Lyubomirsky, S., Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practicefriendly meta-analysis (2009) Journal of Clinical Psychology, 65, pp. 467-487; Pearce, P.L., The relationship between positive psychology and tourist behavior studies (2008) Tourism Analysis, 14 (1), pp. 37-48; Neal, J., Sirgy, M., Uysal, M., The role of satisfaction with leisure travel/tourism services and expenditure in satisfaction with leisure life and overall life (1999) Journal of Business Research, 44, pp. 153-163; Sirgy, M.J., Kruger, P.S., Lee, D.-J., Grace, B.Y., How does a travel trip affect tourists’ life satisfaction? (2011) Journal of Travel Research, 50 (3), pp. 261-275; Chen, C.-C., Petrick, J.F., Health and wellness benefits of travel experiences: A literature review (2013) Journal of Travel Research, 52 (6), pp. 709-719; Nawijn, J., Determinants of daily happiness on vacation (2011) Journal of Travel Research, 50 (5), pp. 559-566; Kovacs, A., The Leisure Personality: Relationships between Personality (2007) Leisure Satisfaction, and Life Satisfaction, , PhD Thesis, Indiana University. School of Health, Physical Education, and Recreation; Moghadam, M.B., Exploring relationship of personality’s models and constructs of leisure (2011) Middle-East Journal of Scientific Research, 8 (2), pp. 530-535; Reisinger, Y., Mavondo, F., Modeling psychographic profiles: A study of the U.S. And Australian student travel market (2004) Journal of Hospitality & Tourism Research, 28 (1), pp. 44-65; Summit, G.S., Spas and the Global Wellness Market: Synergies and Opportunities (2010) Prepared by SRI International, , May; Mueller, H., Kaufmann, E., Wellness tourism: Market Analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Smith, M., Puckzo, L., (2008) Health and Wellness Tourism, , Oxford: Butterworth-Heinemann; (2011), Where and What? Wellness Travel 2020 Full Report is prepared for Wellness Tourism Worldwide by Xellum Ltd. (Hungary) with the support from Global Spa and Wellness (USA); Voigt, C., Understanding Wellness Tourism: An Analysis of Benefits Sought (2010) Health, , Being. PhD Thesis. University of South Australia; Kelly, C., Analysing wellness tourism provision. A retreat operators’ study (2010) Journal of Hospitality and Tourism Management, 17, pp. 108-116; Filep, S., (2007) Flow”, Sightseeing, Satisfaction and Personal Development: Exploring Relationships via Positive Psychology, , Paper presented at the CAUTHE 2007: Tourism: Past Achievements, Future Challenges; Koch, S., Fuchs, T., Embodied arts therapies (2011) The Arts in Psychotherapy, 38 (4), pp. 276-280; Malkina-Pykh, I.G., Effectiveness of rhythmic movement therapy for disordered eating behaviours and obesity (2012) The Spanish Journal of Psychology, 15, pp. 1371-1387; Malkina-Pykh, I.G., Effectiveness of rhythmic movement therapy: Case study of alexithymia (2013) Body Movement and Dance in Psychotherapy, 8, pp. 141-159; Mowrer, J., Accessing implicit material through body sensations: The body tension sequence (2008) Hakomi Forum, , 19-20-21; Malkina-Pykh, I.G., Effectiveness of rhythmic movement therapy: Case study subjective well-being (2014) Body Movement and Dance in Psychotherapy, , under review; Panina, N., Golovakha, E., (2001) Tendencies in the Development of Ukrainian Society, , (1994–1998), Sociological Indicators. Kyiv: Institute of Sociology; Shostrom, E., (1974) Personal Orientation Inventory: Manual, , San Diego: Edits; Rean, A.A., (2001) Handbook of Personality Assessment, , Saint-Petersburg: Saint- Petersburg University Press; Eysenck, H.J., Eysenck, S., (1963) Manual of the Eysenck Personality Inventory, , London: University of London Press; Taylor, G.J., Ryan, D.P., Bagby, R.M., Toward the development of a new self-report alexithymia scale (1985) Psychotherapy and Psychosomatics, 44, pp. 191-199; Jade, D., (2002) How Good is Your Body Image?, , http://www2.netdoctor.co.uk/testyourself/facts/body_image.asp, Accessed 20 February 2012; Frost, R.O., Marten, P., Lahart, C., Rosenblate, R., The dimensions of perfectionism (1990) Cognitive Therapy and Research, 14, pp. 449-468; Robins, C.J., Ladd, J., Welkowitz, J., Blaney, P.H., Diaz, R., Kutcher, G., The Personal Style Inventory: Preliminary validation studies of new measures of sociotropy and autonomy (1994) Journal of Psychopathology and Behavior Assessment, 16, pp. 277-300; Gallese, V., The roots of empathy: The shared manifold hypothesis and the neural basis of intersubjectivity (2003) Psychopathology, 36, pp. 171-180",,"Favro S.Pineda F.D.Brebbia C.A.Brebbia C.A.Favro S.Pineda F.D.","International Journal of Sustainable Development and Planning;WIT Transactions on Ecology and the Environment","WITPress","6th International Conference on Sustainable Tourism, ST 2014","8 July 2014 through 10 July 2014",,114792,17433541,9781845648008; 9781845648008,,,"English","WIT Trans. Ecol. Environ.",Article,"Final",Open Access,Scopus,2-s2.0-84930372847 "Kantak N.A., Reish R.G., Slavin S.A., Lin S.J.","15845716800;8587726800;7103410517;8693135200;","Gossypiboma: An approach to diagnosis in the era of medical tourism",2014,"Plastic and Reconstructive Surgery","133","3",,"443e","444e",,2,"10.1097/01.prs.0000438499.85598.53","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84897807458&doi=10.1097%2f01.prs.0000438499.85598.53&partnerID=40&md5=bf1a92b15187baf509b20534fe79ba64","Harvard Plastic Surgery Combined Residency Program, Israel; Division of Plastic Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Boston, MA 02215-5501, United States","Kantak, N.A., Harvard Plastic Surgery Combined Residency Program, Israel; Reish, R.G., Harvard Plastic Surgery Combined Residency Program, Israel; Slavin, S.A., Division of Plastic Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Boston, MA 02215-5501, United States; Lin, S.J., Division of Plastic Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Boston, MA 02215-5501, United States",[No abstract available],,"article; case report; female; foreign body; human; medical tourism; middle aged; surgical sponge; Female; Foreign Bodies; Humans; Medical Tourism; Middle Aged; Surgical Sponges",,,,,,,,"(2008) WHO Guidelines for Safe Surgery, , World Health Organization, Geneva, Switzerland: WHO Press; Recommended practices for sponge, sharp, and instrument counts (2007) Standards, Recommended Practices and Guidelines, pp. 493-502. , Association of Peri-Operative Registered Nurses, Denver, Colo: AORN, Inc; Yamato, M., Ido, K., Izutsu, M., CT and ultrasound fnd-ings of surgically retained sponges and towels (1987) J Comput Assist Tomogr., 11, pp. 1003-1006; Choi, B.-I., Kim, S.-H., Yu, E.-S., Retained surgical sponge: Diagnosis with CT and sonography (1988) AJR Am J Roentgenol, 150, pp. 1047-1050; Turner, L., News media reports of patient deaths following ""medical tourism"" for cosmetic surgery and bariatric surgery (2012) Dev World Bioeth., 12, pp. 21-34","Lin, S.J.; Division of Plastic Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Boston, MA 02215-5501, United States; email: sjlin@bidmc.harvard.edu",,,,,,,,00321052,,PRSUA,"24572907","English","Plast. Reconstr. Surg.",Editorial,"Final",,Scopus,2-s2.0-84897807458 "Finch S.","55656649500;","Medical tourism driving health care disparity in Thailand.",2014,"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","186","1",,"","",,2,"10.1503/cmaj.109-4658","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894791955&doi=10.1503%2fcmaj.109-4658&partnerID=40&md5=3e13b21a9f2fa338e6e262c74c0707da",,"Finch, S.",[No abstract available],,"health care delivery; health care disparity; human; medical tourism; note; organization and management; statistics; Thailand; Delivery of Health Care; Health Services Accessibility; Healthcare Disparities; Humans; Medical Tourism; Thailand",,,,,,,,,"Finch, S.",,,,,,,,14882329,,,"24277705","English","CMAJ",Note,"Final",Open Access,Scopus,2-s2.0-84894791955 "Gupte G., Panjamapirom A.","36547965100;14833223700;","Understanding Medical Tourism",2014,"Encyclopedia of Health Economics",,,,"404","410",,2,"10.1016/B978-0-12-375678-7.01007-5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043279923&doi=10.1016%2fB978-0-12-375678-7.01007-5&partnerID=40&md5=cf0c935be67bd9c4157cd9760c20074c","Boston University, Boston, MA, United States; The Advisory Board Company, Washington, DC, United States","Gupte, G., Boston University, Boston, MA, United States; Panjamapirom, A., The Advisory Board Company, Washington, DC, United States","This article aims to provide an understanding of medical tourism. The section Growth of Medical Tourism provides a background about the growth of medical tourism and insight into the historical development of this concept. The section Medical Tourism through a Systems Thinking Perspective provides a systems view of medical tourism. Utilizing systems thinking approach, the role of medical tourism in the overall system of healthcare is presented. A special focus is on the markets and resources responsible for propelling this process. The section Economic Drivers of Medical Tourism, with illustrative graphs and figures encourages one to understand the advanced concepts of demand and supply for medical tourism and role of health insurance in its long and short run. The last two sections, Health Policy Issues in Medical Tourism and The Future of Medical Tourism discuss some of the policy issues and future of medical tourism. © 2014 Elsevier Inc. All rights reserved.","Globalization; Health policy; Medical tourism; Systems thinking perspective",,,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , Palgrave Macmillan, United States; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008) McKinsey Quarterly, , https://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, accessed 17.02.13; Herrick, D.M., Medical tourism: Global competition in health care (2007), http://www.ncpa.org/pub/st304, NCPA Policy Report, accessed 17.02.13; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Turner, L., 'Medical tourism' and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467; Unti, J.A., Medical and surgical tourism: The new world of health care globalization and what it means for the practicing surgeon (2009) Bulletin of American College of Surgery, 94 (4), pp. 18-25; Woodman, J., (2008) Patients beyond borders: Everybody's guide to affordable, world-class medical travel, , Catawba Publishing LLC, United States; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102","Gupte, G.; Boston UniversityUnited States",,,"Elsevier",,,,,,9780123756787; 9780123756794,,,"English","Encycl. of Health Econ.",Book Chapter,"Final",,Scopus,2-s2.0-85043279923 "Supakankunti S.","7801643265;","Medical tourism in thailand",2014,"Routledge Handbook of Global Public Health in Asia",,,,"669","687",,2,"10.4324/9781315818719","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84955737983&doi=10.4324%2f9781315818719&partnerID=40&md5=a55ebad762c9100c1a77c4c13b3f5229","Chulalongkorn University, Bangkok, Thailand","Supakankunti, S., Chulalongkorn University, Bangkok, Thailand",[No abstract available],,,,,,,,,,"(2008) Thailand Health Profile 2005-2007, , http://www.moph.go.th/ops/thp/index.php?option=com_content&task=view&id=6&emid=2&lang=en, MoPH, Bangkok: Ministry of Public Health, Bureau of Policy and Strategy; Kachondham, Y., Chunharas, S., At the Crossroads: Challenges for Thailand’s Health Development (1993) Health Policy and Planning, 8 (3), pp. 208-216; (2012) World Development Indicators, , http://data.worldbank.org/country, [Accessed 24 February; Khumthong, C.N., Supakankunti, S., (2003), The National MediAid Plan: A Stride to Attain ‘Health for All’ with Decentralisation. Chulalongkorn Discussion Paper; Patcharanarumol, W., Tangcharoensathien, V., Limwattananon, S., Panichkriangkai, W., Pachanee, P., Poungkantha, W., Gilson, L., Mills, A., Why and How Did Thailand Achieve Good Health at Low Cost? 2010, , http://ghlc.lshtm.ac.uk/; Supakankunti, S., Witvorapong, N., (2012) Health Care in Thailand; (2011) Understanding the Wto-Services: Rules for Growth and Investment, , http://www.wto.org; Pachanee, C., Wibulpolprasert, S., Incoherent Policies on Universal Coverage of Health Insurance and Promotion of International Trade in Health Services in Thailand (2006) Health Policy and Planning, 21 (4), pp. 310-318; (2008) Requirements for International Trade in Services Thailand, , http://www.asean.org/22517.zip; Supakankunti, S., Herberholz, C., Transforming the ASEAN Economic Community (AEC) into a Global Services Hub: Enhancing the Competitiveness of the Health Services Sector in Thailand (2012) Developing ASEAN Economic Community (AEC) into a Global Service Hub, pp. 147-172. , ERIA Research Project Report 2011, No. 1; Klongdee, S., (2011) Factors Determining the Demand and Competitiveness of Medical Tourism in Thailand, , Master’s Thesis, Faculty of Economics, Chulalongkorn University MoPH; (2009) Health Policy in Thailand. Ministry of Public Health, Bureau of Policy and Strategy, , MoPH; Naranong, A., Naranong, V., The Effects of Medical Tourism: Thailand’s Experience (2011) Bulletin of the World Health Organization, 89, pp. 336-344; Trade in Health Services in the ASEAN Regions: Thailand Opportunity, , MoPH; Pachanee, C., (2009), http://ihppthaigov.net/publication/attachresearch/181/chapter1.pdf, Implications on Public Health from Mode 2 Trade in Health Services: Empirical Evidence [A Case of Thailand]. Paper presented at the Workshop on the Movement of Patients across International Borders-Emerging Challenges and Opportunities for Health Care Systems, 24-25 February 2009, Kobe, Japan; Information Infrastructure Investments for Businesses in the Tourism Industry Project, , The Tourism Authority of Thailand; (2009) Department of Export Promotion, Ministry of Commerce, , http://www.thailandmedicaltourismcluster.org, MoPH, Accessed 24 February 2012; (1999) Thailand Health Profile, , http://www.moph.go.th/ops/thp/index.php?option=com_content&task=view&id=8&Itemid=2; Statistics, , http://www.bot.or.th/Thai/Statistics/Pages/index1.aspx; (2012) World Factbook, , https://www.cia.gov/library/publications/the-world-factbook/geos/th.html, Accessed 15 September; Thailand Health Profile 2001-2004, , http://www.moph.go.th/ops/thp/index.php?option=com_content&task=view&id=7&Itemid=2; (2005) Bureau of Policy and Strategy, , Report: Macroeconomics and Health Framework for Investing in Health-Thailand. A document distributed by the Bureau of Policy and Strategy, the Ministry of Public Health, the Royal Thai Government; http://www.thaiwebsites.com/provinces-GDP.asp, Thai Websites. GDP Per Capita and Population Data for the Provinces of Thailand; (2010) Country Health Information, , http://www.who.int/nha/country/en/, Geneva, World Health Organization, February; (2010) World Development Indicators Database, , http://www.worldbank.org/data, Washington, DC, World Bank. December; World Health Statistics 2011, , http://www.who.int/whosis/whostat/2011/en/index.html; Supakankunti, S., Pradithavanij, P.A., Preliminary Study of Hospital Transition in Health System Reform in Thailand; Department of Trade Negotiations (2010) (2010) Health Services, , Country Reports for the ANHSS Knowledge Event, A document distributed by the Department of Trade Negotiations, the Ministry of Commerce, the Royal Thai Government; Hempisut, P., Pachanee, C., Pitayarangsarit, S., Wibulpolprasert, S., (2004) International Service Trade and Its Implications for Human Resources for Health: A Case Study of Thailand, , http://www.human-resources-health.com/content/pdf/1478-4491-2-10.pdf; Janjaroen, W.S., Supakankunti, S., International Trade in Health Services in the Millennium: The Case of Thailand (1998) Bangkok College of Public Health, Chulalongkorn University, , http://www.who.int/trade/en/THpart3chap8.pdf; Janjaroen, W.S., Pinitpuvadol, S., Pongpanich, S., Samrongthong, R., Sitthi-Amorn, C., Supakankunti, S., (1999), Preliminary Study on Trade Liberalization in Health Services Sector: Its Consequences on Social and Health Care System in Thailand; Janjaroen, W.S., Pongpanich, S., Supakankunti, S., (2007) Socio-Economic Impacts of Trade Agreements on Health Services and Health Systems in Thailand, , Bangkok: Centre for HealTheconomics, Chulalongkorn University; (2011) Annual Report 2010, , Bangkok: National Health Security Office; Pachanee, C., Wibulpolprasert, S., (2004) Policy Coherence between Health Related Trade and Health System Development: Case Study of Thailand, , Trade and Health-Compilation of Presentations made at the Inter-regional Workshop, New Delhi; (2010) Prema Handbook 2010/2011, , Bangkok: Pharmaceutical Research and Manufacturers’ Association; Sakunphanit, T., Universal Health Care Coverage through Pluralistic Approaches: Experience from Thailand (2006) ILO, , http://www.setsmart.com/ism/login.jsp, SET Market Analysis and Reporting Tool; (2010) Annual Report 2009, , http://www.sso.go.th/wpr/eng/annualreport.html; Supakankunti, S., Future Prospects of Voluntary Health Insurance in Thailand (1999) Health Policy and Planning, 15 (1), pp. 85-94; Supakankunti, S., (2001) Determinants of Demand for Health Card in Thailand, , http://siteresources.worldbank.org/HEALTHNUTRITIONANDPOPULATION/Resources/281627-1095698140167/Supakankunti-DeterminantsofDemandwhole.pdf, HNP Discussion Paper; Supakankunti, S., Impact of Universal Coverage-Challenges for the Future (2003) Paper Presented in the Conference on Asia Healthcare & Insurance 2003 Organized by IBC ASIA (S) PTE Ltd, , Bangkok, Thailand, 26-27 June 2003; Supakankunti, S., Thai Health System in Transition: The Challenge of the Mutual Responsibilities (2003) Paper Presented at the Regional Workshop & Conference on Health Care Environment and Patient’s Rights, , Asia Foundation in Taipei, Taiwan, 6-7 November 2003. Also presented at the National University of Singapore, Joint Workshop between Department of Economics, National University of Singapore and the Faculty of Economics, Chulalongkorn University, Thailand, 12 December 2003; Supakankunti, S., Thai Universal Health Insurance Scheme in Transition: Challenges for the Future (2003) Paper Presented at Ihea, , San Francisco, USA; Supakankunti, S., Herberholz, C., Trade in Health Services-Harnessing the Benefits and Avoiding the Pitfalls: The Case of Thailand (2011) Research Report; Supakankunti, S., Janjaroen, W.S., Health Services Systems and the Consequences from the General Agreement on Trade in Services (GATS) (1998) Paper Presented at the Conference: A Macroeconomic Core of Open Economy for Progressive Industrialization and Development in Asia in the New Millennium, Organized Jointly by Chulalongkorn University and American Committee on Asian Economics Studies, , Bangkok, Thailand, 16-18 December 1998; Suppradit, T., Thailand: Medical Hub Update 2010 (2010) Cluster of International Affairs, Private Hospital Association; (2009), UN ESCAP, Medical Travel in Asia and the Pacific-Challenges and Opportunities. Bangkok: United Nations Economic and Social Commission for Asia and the Pacific","Supakankunti, S.; Chulalongkorn UniversityThailand",,,"Taylor and Francis",,,,,,9781315818719; 9780415643825,,,"English","Routledge Handb. of Global Public Health in Asia",Book Chapter,"Final",,Scopus,2-s2.0-84955737983 "Hung Y.-H., Ma J., Chou J.C.-L., Tzeng G.-H.","14031320600;56428162900;16400664700;7006940708;","Improving medical tourism services based on a hybrid MCDM model combined by DANP and VIKOR techniques",2014,"ICMIT 2014 - 2014 IEEE International Conference on Management of Innovation and Technology",,, 6942475,"486","488",,2,"10.1109/ICMIT.2014.6942475","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84912066258&doi=10.1109%2fICMIT.2014.6942475&partnerID=40&md5=1f1d7d38adf7d8289d537bb122a58533","Hwa-Hsia Institute of Technology, Taiwan; National Taipei University, Taiwan","Hung, Y.-H., Hwa-Hsia Institute of Technology, Taiwan; Ma, J., Hwa-Hsia Institute of Technology, Taiwan; Chou, J.C.-L., Hwa-Hsia Institute of Technology, Taiwan; Tzeng, G.-H., National Taipei University, Taiwan","Medical tourism has become an investment focus for many Asian countries, and has successfully attracted millions of medical tourists each year. Medical tourism consists of diverse industries that can provide abundant opportunities of new businesses. However, few studies in tourism and medical cares have discussed the medical tourism services, or proposed the services quality evaluation strategies to assist in improving performance for long-term development. Therefore, the purpose of this study is to address this problem using the novel method of hybrid MCDM (multiple criteria decision-making), including DEMATEL (decision-making trial and evaluation laboratory), DANP (the DEMATEL-based analytic network process) and VIKOR, to examine the influential relationships among dimensions and criteria of the empirical case and to ultimately present the best improvement schemes, which are valuable for both practitioners and researchers. © 2014 IEEE.","DANP; MCDM; Medical Tourism Services; VIKOR","Decision making; Analytic network process; DANP; Improving performance; Long-term development; MCDM; Multiple criteria decision making; Tourism services; VIKOR; Quality control",,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , NY: Palgrave Macmillan; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Keckly, P.H., (2008) Medical Tourism: Consumers in Search of Value, , Washington DC: Deloitte Center for Health Solutions; Hung, Y.-H., Huang, T.-L., Hsieh, J.-C., Tsuei, H.-J., Cheng Andg.-H. Tzeng, C.-C., Online reputation management for improving marketing by using a hybrid MCDM model (2012) Knowledge-Based Systems, 35, pp. 87-93; Woodman, J., (2008) Patients beyond Borders: Everybody's Guide to Affordable, World-class Medical Tourism, , Chapel Hill, NC: Healthy Travel Media; Wu, H., Current status of medical tourism in Taiwan (2009) Database of Industry & Technology Intelligence Service, , Ministry of Economic Affairs of Taiwan",,,"","Institute of Electrical and Electronics Engineers Inc.","2014 IEEE International Conference on Management of Innovation and Technology, ICMIT 2014","23 September 2014 through 25 September 2014",,108965,,9781479955299,,,"English","ICMIT - IEEE Int. Conf. Manag. Innov. Technol.",Conference Paper,"Final",,Scopus,2-s2.0-84912066258 "Levaggi R., Montefiori M.","6602186868;24339108000;","Preface. Health care provision and patient mobility. Health integration in the European Union.",2014,"Developments in health economics and public policy","12",,,"v","vii",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902650865&partnerID=40&md5=233e910f73f529aa4b488463798016b6",,"Levaggi, R.; Montefiori, M.",[No abstract available],,"decision making; editorial; European Union; health care delivery; human; integrated health care system; international cooperation; legal aspect; medical tourism; patient preference; Choice Behavior; Delivery of Health Care; Delivery of Health Care, Integrated; European Union; Humans; International Cooperation; Medical Tourism; Patient Preference",,,,,,,,,"Levaggi, R.",,,,,,,,09274987,,,"24864379","English","Dev Health Econ Public Policy",Editorial,"Final",,Scopus,2-s2.0-84902650865 "Tran B.A.P., Kludt N., Wong M.S.","56200152500;56136394300;35504091500;","The cost of medical tourism: Penny-wise and pound-foolish",2014,"Plastic and Reconstructive Surgery","133","6",,"908e","909e",,2,"10.1097/PRS.0000000000000195","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902123898&doi=10.1097%2fPRS.0000000000000195&partnerID=40&md5=4c0b8590c705bffbdd059f47244fc037","Division of Plastic Surgery, Indiana University, Emerson Hall, 545 Barnhill Drive, Indianapolis, IN 46202-5124, United States","Tran, B.A.P., Division of Plastic Surgery, Indiana University, Emerson Hall, 545 Barnhill Drive, Indianapolis, IN 46202-5124, United States; Kludt, N., Division of Plastic Surgery, Indiana University, Emerson Hall, 545 Barnhill Drive, Indianapolis, IN 46202-5124, United States; Wong, M.S., Division of Plastic Surgery, Indiana University, Emerson Hall, 545 Barnhill Drive, Indianapolis, IN 46202-5124, United States",[No abstract available],,"abdominoplasty; adult; article; breast augmentation; case report; cost control; cost of illness; economics; female; human; medical tourism; plastic surgery; postoperative complication; Abdominoplasty; Adult; Breast Implantation; Cost of Illness; Cost Savings; Female; Humans; Medical Tourism; Postoperative Complications; Reconstructive Surgical Procedures",,,,,,,,"Heible, M., The movement of patients across borders: Challengesand opportunities for public health (2011) Bull World HealthOrgan., 89, pp. 68-72; Chen, L.H., Wilson, M.E., The globalization of healthcare:Implications of medical tourism for the infectious diseaseclinician (2013) Clin Infect Dis., 57, pp. 1752-1759; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwrittenprice of cosmetic tourism: An observational study and costanalysis (2012) J Plast Reconstr Aesthet Surg., 65, pp. 22-28; Medical Tourism: Consumersin Search of Value, , http://www.deloitte.com/assets/Dcom-unitedStates/Local%20Assets/ Documents/us_chs_MedicalTourismStudy3.pdf, Deloitte Center for Health Solutions Available at Accessed September20 2013; Cosmetic SurgeryTourism Briefing Paper, , http://www.plasticsurgery.org/News-and-Resources/Briefing-Papers/ Cosmetic-Surgery-Tourism.html, American Society of Plastic Surgeons Arlington Heights, Ill: AmericanSociety of Plastic Surgeons; 2010 Available at Accessed October 23 2013","Tran, B.A.P.; Division of Plastic Surgery, Indiana University, Emerson Hall, 545 Barnhill Drive, Indianapolis, IN 46202-5124, United States; email: docpat@umich.edu",,,"Lippincott Williams and Wilkins",,,,,00321052,,PRSUA,"24867771","English","Plast. Reconstr. Surg.",Note,"Final",,Scopus,2-s2.0-84902123898 "Oborin M., Tryastsin M.","55694391500;56192299000;","Medical and health tourism in Russia: Some economic development features",2014,"Life Science Journal","11","SPEC. ISSUE 8", 95,"430","432",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84901777531&partnerID=40&md5=a2f977153beb3a47a04e4f9a7cece8fd","Perm branch of RSTEU, Perm, Russian Federation","Oborin, M., Perm branch of RSTEU, Perm, Russian Federation; Tryastsin, M., Perm branch of RSTEU, Perm, Russian Federation","The analysis of the global medical and health tourism development has been conducted and its main centres have been defined in the article. The competitive advantages of Russia in the field of the health resort and recreation development have been exposed. The features of the health resort activities development in the different federal districts of the country have been determined.","Health resort and recreation; Medical and health tourism; Resort",,,,,,,,,"Trout, J., Rivkin, S., (2009) Repositioning: Marketing in an Era of Competition, p. 224. , Change and Crisis; Williams, T., (2010) Positioning for Professionals: How Professional Knowledge Firms Can Differentiate Their Way to Success, p. 188; Walton, J.K., The English seaside resort (1983) A social history 1750-1914., , Leicester University Press; Agarwal, S., Restructuring seaside tourism: The resort lifecycle (2002) Annals of tourism research, 29 (1), pp. 25-55; Agarwal, S., The resort cycle and seaside tourism: An assessment of its applicability and validity (1997) Tourism Management, 18 (2), pp. 65-73; Mathieson, A., Wall, G., Tourism, economic, physical and social impacts (1982) Longman.; World Tourism Organization., , www.wto.ru; Shcherbakova, S.A., Charykova, A.A., The Role of the International Tourism in the Economy of the World Developing Countries (2006) Regional Studies, 1, pp. 29-36; Federal State Statistics Service of Russia., , www.gsu.ru; Oborin, M.S., Devyatkova, T.P., Vladimirsky, E.V., (2012) Modern Technologies of the Resort Business, p. 114; Uniform Interagency Information and Statistical System (UIISS) The Number of the Collective Accommodation Facilities., , www.fedstat.ru/indicator/data.do?id=31579&referrerType=1&referrerId=1292829; Uniform Interagency Information and Statistical System (UIISS) The Number of the Health Resort Organizations., , www.fedstat.ru/indicator/data.do?id=42106&referrerType=0&referrerId=1292880","Oborin, M.; Perm branch of RSTEU, Perm, Russian Federation",,,"Zhengzhou University",,,,,10978135,,,,"English","Life Sci. J.",Article,"Final",,Scopus,2-s2.0-84901777531 "Muangna U., Netramai C.","56022069700;23477952500;","Social network for Thailand medical tourism",2013,"BMEiCON 2013 - 6th Biomedical Engineering International Conference",,, 6687677,"","",,2,"10.1109/BMEiCon.2013.6687677","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84893234991&doi=10.1109%2fBMEiCon.2013.6687677&partnerID=40&md5=71281090c9a5976d21b8dbb7a68bd019","Software Systems Engineering, TGGS, KMUTNB, Bangkok, Thailand","Muangna, U., Software Systems Engineering, TGGS, KMUTNB, Bangkok, Thailand; Netramai, C., Software Systems Engineering, TGGS, KMUTNB, Bangkok, Thailand","The growth of medical tourism in Thailand attracted many organizations to develop applications for assisting traveler information. However, these applications may not satisfy all traveler's requirements in term of medical, tourism and social network. In consequence, this study has been proposed a new prototype of the mobile social network application to support medical tourist's requirement. The proposed application was designed to improve the quality of information by integrating three types of data: social networks, tourism and medical data from reliable resources such as Tourism Authority of Thailand (TAT), Facebook, Twitter and Google. The prototype of the application created to run on Windows Phone 7.5 which provides all travelers required information via Restful web services. The prototype test results of three cases in Bangkok area work well. © 2013 IEEE.","Medical tourism; Mobile application; Social network","Medical data; Medical tourism; Mobile applications; Mobile social networks; Prototype tests; Quality of information; RESTful Web services; Windows phones; Biomedical engineering; Computer applications; Web services; Social networking (online)",,,,,,,,"Connell, J., (2006) Medical Tourism: Sea, Sun, Sand and ... Surgery, 27 (13), pp. 1093-1100. , December; (2013) Tourism Authority of Thailand to Encourage Growth of the Medical Tourism Sector with Thailand Medical&wellness Tourism Trade Familiarization Trip, , www.tatnews.org/mediareleases-2012/item/379-tat-encourage-medical- tourism-withfamiliarization-trip, Internet:, Aug.21, 2012 [Jun 10]; Wongkit, M., McKercherb, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12. , October; Galper, M., (2012) Social Media Likes Healthcare from Marketing to Social Business, , PwC's Health Research Institute, New York, NY, April; (2013) Thailand Medical Tourism Portal, , Internet: Thailandmedtourism.com [Jun 10]; (2013) Health Tour Booking, , Internet: healthtourbooking.com [Jun 10]; Hidayat, N.F., Ferdiana, R., The development of mobile client application in yogyakara tourism and culinary information system based on social media integrated (2012) International Journal of Advanced Computer Science and Applications, 3, pp. 71-75; (2013) Tourism Authority of Thailand Collaborates with Nokia Thailand to Launch Mobile Application on Windows Phone, , www.tatnews.org/media-releases-2012/item/105-tatcollaborates-nokia- launch-mobile-application-windows, Internet:, May.18, 2012 [Jun 10]","Software Systems Engineering, TGGS, KMUTNB, Bangkok, Thailand",,"IEEE",,"6th Biomedical Engineering International Conference, BMEiCON 2013","23 October 2013 through 25 October 2013","Krabi",102371,,9781479914678,,,"English","BMEiCON - Biomed. Eng. Int. Conf.",Conference Paper,"Final",,Scopus,2-s2.0-84893234991 "Omay E.G.G., Cengiz E.","56004680300;56005232200;","Health tourism in Turkey: Opportunities and threats",2013,"Mediterranean Journal of Social Sciences","4","10",,"424","431",,2,"10.5901/mjss.2013.v4n10p424","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892555100&doi=10.5901%2fmjss.2013.v4n10p424&partnerID=40&md5=d7fe31038015fc8635536992de9b66c4",,"Omay, E.G.G.; Cengiz, E.","Health Tourism is becoming an upward trend in our globalised world. Health tourism can be simply defined as travelling of the individuals to other countries to seek medical care. Increased health care expenses in the West and the globalisation have led individuals to seek health care in other countries that provide affordable health care. On the other hand, wellness and antiaging practices are also gaining ground in today's modern world. The urge to look good on individuals as a result of the existing trends in today has also led the individual to seek advice in wellness and anti-aging. The changes in life styles and health marketing policies on wellness and anti-aging practices, lack of adequate insurances, high costs and travel means have increased the interest on health tourism. Turkey is a good destination for health tourism. Because of the high quality of service provided at an affordable cost. Also, there are no long waiting lines for foreign patients; the visa procedures are easy for most of the nations. The purpose of this paper is to outline the opportunities and threats of health tourism in Turkey.","Health tourism; Medical tourism; Opportunities; Threats; Turkey",,,,,,,,,"(2011) Health Report Tourism Sector Report, , BAKA (Western Mediterranean Development Agency) February; Carrera, P.M., Bridges, J.F.B., Globalization and Healthcare: Understanding Health and Medical Tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4); Cohen, E., Medical Tourism in Thailand (2008) AU-GSB e-journal, 1 (1); Connell, J., Medical Tourism: Sea, Sun, Sand and. Surgery (2006) Tourism Management, p. 27; Erdoǧan, S., Yilmaz, E., Medical Tourism: An Assessment on Turkey (2012) International Joint Conference of 10th International Conference on Knowledge, Economy and Management, , 11th International Conference of the ASIA Chapter of the AHRD & 2nd International Conference of the MENA Chapter of the AHRD Proceedings; Health, , http://www.merriam-webster.com/dictionary/health, (Accessed 05.07.2013); (2012) Evaluation Report on Medical Tourism in Turkey 2012, , Ministry of Health, Prepared by: Mehmet Barca, Erdal Akdeve, İklim Gedik Balay, İrfan Şencan, and Dursun Aydi{dotless}n, Republic of Turkey Ministry of Health Directorate General of Health Services Department of Health Tourism, Opus Printing LLC; Özer, Ö., Sonǧur, C., Türkiye'nin Dünya Saǧli{dotless}k Turizmindeki Yeri ve Ekonomik Boyutu (2012) Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 4 (7); Pocock, N.S., Phua, K.H., Medical Tourism and Policy Implications for Health Systems: A Conceptual Framework from a Comparative Study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (12); Price Statistics, , http://www.healthinturkey.org/en-EN/Price.aspx, DEIK (Foreign Economic Relations Board), (accessed in 06.07.2013); Reisman, D., (2010) Health Tourism: Social Welfare Through International Trade, , Edward Elgar Publishing Limited, Cheltenham; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, , Elsevier Ltd; Terry, N.P., Under-Regulated Health Care Phenomena in a Flat World: Medical Tourism and Outsourcing (2007) Western New England Law Review, p. 29; Tourism, , http://www.merriam-webster.com/dictionary/tourism, (Accessed 05.06.2013); (2013) UNWTO Tourism Highlights, , UNWTO (United Nations World Tourism Organization) 2013 Edition; Yu, J.Y., Ko, T.G., A Cross-Cultural Study of Perceptions of Medical Tourism among Chinese, Japanese and Korean Tourists in Korea (2012) Tourism Management, p. 33; WHO Definition of Health, , http://www.who.int/about/definition/en/print.html, World Health Organization, (Accessed 05.07.2013); Why Turkey?, , http://www.healthinturkey.org/en-EN/why-turkey/2.aspx, DEIK (Foreign Economic Relations Board) (accessed in 06.07.2013)",,,,,,,,,20399340,,,,"English","Mediterranean J. Soc. Sci.",Article,"Final",Open Access,Scopus,2-s2.0-84892555100 "Ippoliti R., Falavigna G.","36608285300;23501216500;","Subjects' decision-making process: An empirical analysis on patients' mobility process and the role of pharmaceutical clinical research",2013,"International Review of Economics","60","3",,"319","342",,2,"10.1007/s12232-012-0167-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84883453820&doi=10.1007%2fs12232-012-0167-8&partnerID=40&md5=5e09b73a00512b9206ff6c0ac3db782d","Institute of Public Policy and Collective Choices (POLIS), University of Eastern Piedmont, Via Cavour, 84, 15121 Alessandria, AL, Italy; CNR-CERIS, Via Real Collegio, 30, 10024 Moncalieri, TO, Italy","Ippoliti, R., Institute of Public Policy and Collective Choices (POLIS), University of Eastern Piedmont, Via Cavour, 84, 15121 Alessandria, AL, Italy; Falavigna, G., CNR-CERIS, Via Real Collegio, 30, 10024 Moncalieri, TO, Italy","This paper proposes a decision-making process based on trust. Imagining the relationship between patients and physicians, based on the trust that the former put in the latter, which is the effect of experimental activities on the researcher's (and/or medical center's) reputation? Is it admissible to suppose a positive correlation between pharmaceutical clinical research and the return in terms of image for the medical care suppliers? This is the research question of this paper. Through empirical analysis, this work supports the proposed decision-making process and tries to answer this open issue. Considering Italy between 2002 and 2006, the analysis concerns the patients' mobility process among regions and how pharmaceutical research can affect patients' perception of the quality of medical treatments. Results suggest that mobility is clearly affected by a decision-making process based both on already existing good reputation (i.e., cognitive) and on confirmation of that image (i.e., behavioral). The latter is the phase in which the physician's effort in the informed consent session of an experimental activity might make the difference in the reputation of the health care suppliers and, therefore, be a key factor in hospitalization choice. © 2012 Springer-Verlag.","Medical researchers; Patients' mobility process; Pharmaceutical clinical research; Regional analysis; Research subjects",,,,,,,,,"Appelbaum, P.S., Clarifying the ethics of clinical research: a path toward avoiding the therapeutic misconception (2002) AJOB, 2 (2), pp. 22-23; Appelbaum, P.S., Roth, L.H., Lidz, C., Benson, P., Winslade, W., False hope and best data: consent to research and the therapeutic misconception (1987) Hasting Cent Rep, 17 (2), pp. 20-24; Arrow, K.J., Uncertainty and the welfare economics of medical care (1963) Am Econ Rev, 53 (5), pp. 941-973; Calabresi, G., Reflection on medical experimentation in human (1969) Daedalus, 98 (2), pp. 387-405; Cantarero, D., Health care and patients' migration across Spanish regions (2006) Euro J Health Econ, 7, pp. 114-116; Danzon, P.M., Liability for medical malpractice (2000) Handbook of Health Economics, Chap 26, , A. J. Culyer and J. P. Newhouse (Eds.), Amsterdam: Elsevier; Daugherty, C.K., Impact of therapeutic research on informed consent and the ethics of clinical trials: a medical oncology perspective (1999) JCO, 17 (5), pp. 1601-1617; Emanuel, E.J., A phase I trial on the ethics of phase I trials (1995) JCO, 13 (5), pp. 1049-1051; Fabbri, D., Robone, S., The geography of hospital admission in a national health service with patient choice (2010) Health Econ, 19 (9), pp. 1029-1047; Freedman, B., Cohort-specific consent: an honest approach to phase I clinical cancer studies (1990) IRB, 12 (1), pp. 5-7; Hongyi, L., The power of bootstrap based tests for parameters in cointegrating regressions (2000) Stat Pap, 41, pp. 197-210; Ippoliti, R., The market of human experimentation (2010) Euro J Law Econ, , doi: 10. 1007/s10657-010-9190-y; Ippoliti, R., Making profits working on patients' expectations, a behavioral analysis of pharmaceutical clinical research (2011) J Bioecon, , doi: 10. 1007/s10818-011-9121-1; Ippoliti, R., Falavigna, G., Efficiency of medical care industry: evidence from the Italian regional system (2011) Euro J Oper Res, , doi: 10. 1016/j. ejor. 2011. 10. 010; Jolls, C., Sunstein, C.R., Thaler, R., A behavioral approach to law and economics (1998) Stanford Law Rev, 50, pp. 1471-1550; Kahneman, D., Tversky, A., Prospect theory: an analysis of decision under risk (1979) Econometrica, 47 (2), pp. 263-291; Lee, L.W., Behavioral bioethics: notes of a behavioral economist (2011) J Socio Econ, 40 (4), pp. 368-372; Levaggi, R., Zanola, R., Patient's migration across regions: the case of Italy (2004) Appl Econ, 36 (16), pp. 1751-1757; Lewicki, R.J., Bunker, B.B., Trust in relationship: a model of trust development and decline (1995) Conflict, Cooperation, Justice, , B. B. Bunker and J. Z. Ruben (Eds.), San Francisco, CA: Jossey-Bass; Lewicki, R.J., Bunker, B.B., Developing and maintaining trust in work relationships (1996) Trust in Organisation: Frontiers of Theory and Research, pp. 114-139. , R. M. Kramer and T. R. Tyler (Eds.), Thousand Oaks, CA: Sage; McGuire, T.G., Physician agency (2000) Handbook of health economics, 1 (9), pp. 461-536. , In: Culyer AJ, Newhouse JP (eds). Elsevier Science B. V, Amsterdam; Miller, M., Phase I cancer trials: a collusion of misunderstanding (2000) Hasting Cent Rep, 30 (4), pp. 34-42; Pauly, M.V., Is medical care different? (1978) Competition in the health care sector: Past, present and future, , In: Greenberg (ed). Aspen System Corporation, Rockville, MD; Rabe-Hesketh, S., Everitt, B., (2004) A handbook of statistical analyses using Stata, , 3rd ed. CRC Press LLC, Boca Raton, FL; Rotenberg, K.J., (1991) Children's Interpersonal Trust, , Berlin: Springer; Rotenberg, K.J., Loneliness and interpersonal trust (1994) J Social Clin Psychol, 13, pp. 152-173; Rotenberg, K.J., Trust across the life-span (2001) International Encyclopedia of the Social and Behavioural Sciences, pp. 7866-7868. , N. J. Smelser and P. B. Baltes (Eds.), New York: Pergamon; Rotter, J.B., A new scale for the measurement of interpersonal trust (1967) J Pers, 35, pp. 651-665; Rousseau, D.M., Sitkin, S.B., Butt, R.S., Camerer, C., Not so different after all: a cross-discipline view of Trust (1998) Acad Manage Rev, 23, pp. 393-405; Sankar, P., Communication and miscommunication in informed consent to research (2004) Med Anthropol Quart, 18 (4), pp. 429-446; Simon, H., (1947) Administrative behavior: A study of decision-making processes in administrative organizations, , 4th ed. in 1997. The Free Press, New York; Ugolini, C., Fabbri, D., Mobilità sanitaria e indici di entropia (1998) Mecosan, 26, pp. 9-24","Ippoliti, R.; Institute of Public Policy and Collective Choices (POLIS), University of Eastern Piedmont, Via Cavour, 84, 15121 Alessandria, AL, Italy; email: roberto.ippoliti@sp.unipmn.it",,,,,,,,18651704,,,,"English","Int. Rev. Econ.",Article,"Final",,Scopus,2-s2.0-84883453820 "Rieger T.","56675668600;","Sustainability and health tourism",2013,"Sustainability in Tourism: A Multidisciplinary Approach","9783834970435",,,"53","68",,2,"10.1007/978-3-8349-7043-5_3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930708803&doi=10.1007%2f978-3-8349-7043-5_3&partnerID=40&md5=79149fb473f32d8142347147884399f5","BiTS University of Applied Sciences, Iserlohn, Germany","Rieger, T., BiTS University of Applied Sciences, Iserlohn, Germany","The leisure time activities of many people have fundamentally changed during recent decades. Styles of individualisation, different consumer behaviours, consumption of fun and adventure, advanced globalisation, increasing luxury and a new health and body awareness are popular phenomena. These variables can characterise the changes in people's lifestyles and the tourism market has also been affected by these developments. © 2013 Springer Fachmedien Wiesbaden. All rights are reserved.",,,,,,,,,,"Aderhold, P., Der deutsche Fernreisemarkt (2000) Internationaler Tourismus, pp. 235-252. , Landgrebe, S. Ed., Oldenbourg, München, Wien; Becker, C., Job, H., Witzel, A., (1996) Tourismus und Nachhaltige Entwicklung. Grundlagen und Ansätze für den Mitteleuropäischen Raum, , Darmstadt: Wissenschaftliche Buchgesellschaft; Berg, W., (2008) Gesundheitstourismus und Wellnesstourismus, , Oldenbourg, München; Bieger, T., (2007) Management Von Destinationen, , 7th ed., Oldenbourg München; Bristow, R., Yang, W.T., Lu, M.T., An application of the global sustainable tourism criteria in health tourism (2010) Proceedings of the 2009 Northeastern Recreation Research Symposium, pp. 97-104. , http://www.nrs.fs.fed.us/pubs/gtr/gtr_nrs-p66.pdf#page=104, C. E. Watts Jr. and C. LeBlanc Fisher Eds., Newtown Square, PA: U. S. Department of Agriculture, Forest Service, Northern Research Station, acessed 22 October 2010; Bristow, R., Yang, W., Lu, M., Sustainable medical tourism in Costa Rica (2011) Tourism Review, 66 (1-2), pp. 107-117; Butler, R.W., Sustainable tourism: A state-of-the-art review (1999) Tourism Geographies, 1 (1), pp. 7-25; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Corbin, C.B., Pangrazi, R.P., Toward a uniform definition of wellness: A commentary (2001) President's Council on Physical Fitness and Sports Research Digest, 3 (15), pp. 1-8; Deutscher Tourismus Verband, (2005) Zahlen, Daten, Fakten 2004. Tourismus in Deutschland, , Eigenverlag, Bonn; Dunn, H.L., High-level wellness for man and society (1959) American Journal of Public Health and the Nation's Health, 49 (6), pp. 786-792; Europarc Federation, (2002) The European Charter for Sustainable Tourism in Protected Areas, , Updated Version of October 2002, Eigenverlag, Grafenau; Ferienwelt Winterberg, (2010) Gesundheitseinrichtungen, , http://www.winterberg.de/tourismus/de/aktiv-und-entspannen/vital-und-gesund/gesundheitseinrichtungen/index.php?navanchor=1010154, accessed 22 October 2010; Foundation for the Rights of the Future Generations, (2006) Nachhaltigkeitsdefinitionen Von Wissenschaftlern, , http://www.generationengerechtigkeit.de/images/stories/Publikationen/nachh.pdf, accessed 12 September 2010; Foundation Kathy Beys, (2004) Nachhaltigkeit, , http://www.nachhaltigkeit.aachener-stiftung.de/artikel/nachha.ltigkeit_1308.htm, accessed 12 September 2010; García-Altés, A., The development of health tourism services (2005) Annals of Tourism Research, 32, pp. 262-266; Haber, W., Nachhaltige Entwicklung - Aus ökologischer Sicht (1994) Zeitschrift für Angewandte Umweltforschung, 7 (1), pp. 9-25; Hall, C.M., Jenkins, J., (1995) Tourism and Public Policy, , Routledge London; Hinch, T., Higham, J., (2004) Sport Tourism Development, , Aspects of Tourism, 13. Channel View Publications, Clevedon; Holden, A., (2008) Environment and Tourism, , 2nd ed., Routledge, London; Hurrelmann, K., (2010) Gesundheitssoziologie, , 7th ed., Juventa, Weinheim; Krippendorf, J., (1975) Die Landschaftsfresser. Tourismus und Erholungslandschaft - Verderben Oder Segen?, , 2nd ed., Hallwag Bern, Stuttgart; Krippendorf, J., Towards new tourism policies: The importance of environmental and sociocultural factors (1982) Tourism Management, 3 (3), pp. 135-148; Lanz Kaufmann, E., Wellness-Tourismus: Entscheidungsgrundlagen für Investitionen und Qualitätsverbesserungen (2002) Berner Studien Zu Freizeit und Tourismus, p. 38. , 2nd ed., Universität Bern, Bern; Lee, C.G., Health care and tourism: Evidence from Singapore (2009) Tourism Management, 31 (4), pp. 486-488; Meadows, D.H., Meadows, D.L., Randers, J., Behrens, W.W., (1972) The Limits to Growth, , Potomac Associates, New American Library, Washington, D. C; Miller, G., The development of indicators for sustainable tourism: Results of a Delphi survey of tourism researchers (2001) Tourism Management, 22 (4), pp. 351-362; Oversum - Vital resort winterberg (2010) EuroAmusment Professional, 6 (5), p. 56; Pearce, D.G., (1995) Tourism Today: A Geographical Analysis, , Longman, London; Prinz, N., Climate change - A challenge for low mountain range regions characterized by winter sport tourism. The example of winterberg (2009) International Symposium ""Strategies for Adapting to Climate Change in the Regions of Europe"", , http://www.regional-climate.eu/fileadmin/download/Symposium_2009/Workshop_1/5P_Prinz_Beckmann_WS1.pdf, October 27 to 29, 2009, accessed 22 October 2010; Secretariat of the Convention on Biological Diversity, Guidelines on biodiversity and tourism development (2004) CBD Guidelines, , Secretariat of the Convention on Biological Diversity, Montreal; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Elsevier, Burlington, MA; The Global Sustainable Tourism Criteria (GSTC), (2009) Global Sustainable Tourism Criteria, , http://www.sustainabletourismcriteria.org/index.php?option=com_content&task=view&id=13&Itemid=47, accsessed 18 October 2010; Trittin, J., Vorwort in Bundesministerium für Umwelt (2004) Natur Bewegt - Natursport in Deutschland, p. 3. , Naturschutz und Reaktorsicherheit Ed., Bundesministerium für Umwelt, Naturschutz und Reaktorsicherheit, Berlin; Vorlaufer, K., (1996) Tourismus in Entwicklungsländern: Möglichkeiten und Grenzen Einer Nachhaltigen Entwicklung Durch Fremdenverkehr, , Wissenschaftliche Buchgesellschaft Darmstadt; Weaver, D., (2007) Sustainable Tourism: Theory and Practice, , Butterworth Heinemann Oxford; Wall, G., Is ecotourism sustainable? (1996) Environmental Management, 2 (3-4), pp. 207-216; Wheeller, B., Sustaining the ego (1993) Journal of Sustainable Tourism, 1 (2), pp. 121-129; World Commission on Environment and Development (WCED), (1987) Our Common Future, , Oxford University Press, New York; World Health Organization (WHO), (1946) Constitution, , WHO Press, Geneva; World Health Organization (WHO), (2007) Working for Health: An Introduction to the World Health Organization, , WHO Press, Geneva; World Tourism Organization (WTO), (1993) Sustainable Tourism Development: Guide for Local Planners, , WTO, Madrid; World Tourism Organization (WTO), (2010) UNWTO Tourism Barometer, , http://www.unwto.org/facts/eng/pdf/barometer/UNWTO_Barom10_update_august_en_excerpt.pdf, August 2010, accessed 20 September 2010","Rieger, T.; BiTS University of Applied SciencesGermany",,,"Springer Fachmedien",,,,,,9783834970435; 3834928062; 9783834928061,,,"English","Sustainability in Tour.: A Multidisc. Approach",Book Chapter,"Final",,Scopus,2-s2.0-84930708803 "Bhattacharya P.K.","57197238829;","Do West Bengal and other provinces in India need reforming for a poor-friendly, safe, quality, and effective healthcare system instead of a health industry, public-private partnership, or health tourism for the rich and middle class society of the state or country?",2013,"Annals of Tropical Medicine and Public Health","6","3",,"269","273",,2,"10.4103/1755-6783.120981","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890485759&doi=10.4103%2f1755-6783.120981&partnerID=40&md5=c3ded4453315072c683b21fb83148ac1","Department of Pathology, Calcutta School of Tropical Medicine, West Bengal University of Health Sciences, 108, CR Avenue, Kolkata, West Bengal, India","Bhattacharya, P.K., Department of Pathology, Calcutta School of Tropical Medicine, West Bengal University of Health Sciences, 108, CR Avenue, Kolkata, West Bengal, India",[No abstract available],,"editorial; health care cost; health care planning; health care policy; health care quality; health care system; human; India; patient safety; public health service; public-private partnership; social status; tourism; world health organization",,,,,,,,,"Bhattacharya, P.K.; Department of Pathology, Calcutta School of Tropical Medicine, West Bengal University of Health Sciences, 108, CR Avenue, Kolkata, West Bengal, India; email: profpkb@yahoo.co.in",,,,,,,,17556783,,,,"English","Ann. Trop. Med. Public Health",Editorial,"Final",,Scopus,2-s2.0-84890485759 "Cook S., Sembajwe R., Massoudi B., Recker A.","55898767600;55899776500;7801349598;55898198900;","An App a Day Keeps the Doctor... Informed: User Evaluation of a Patient Mobile Health Application and Clinician Dashboard",2013,"Communications in Computer and Information Science","374","PART II",,"153","157",,2,"10.1007/978-3-642-39476-8_32","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886284606&doi=10.1007%2f978-3-642-39476-8_32&partnerID=40&md5=a394adba2d7504f341f29887ffb18db0","RTI International, Research Triangle Park, NC, United States","Cook, S., RTI International, Research Triangle Park, NC, United States; Sembajwe, R., RTI International, Research Triangle Park, NC, United States; Massoudi, B., RTI International, Research Triangle Park, NC, United States; Recker, A., RTI International, Research Triangle Park, NC, United States","Data collection through mobile applications, or apps, is increasing due to the growing adoption of smartphones. The BreathEasy project used a smartphone application for collecting asthma patients' observations of daily living and a clinician dashboard to increase communication and understanding between patients and their clinicians. After a 6-month trial, these researchers collected evaluation data of these two systems from patients and clinicians through focus groups and the System Usability Scale. Here we present our findings on the user experiences of both patients and clinicians, as well as the perceived usability of the systems used. Their evaluations and recommendations will help improve future systems for these populations. © Springer-Verlag Berlin Heidelberg 2013.","Dashboard; Mobile Health Application; User Experience","Computer science; Dashboard; Mobile applications; Mobile health application; Perceived usability; Smart-phone applications; System usability; User evaluations; User experience; Human computer interaction",,,,,,,,"Strine, T., Mokdad, A., Balluz, L., Berry, J., Gonzalez, O., Impact of depression and anxiety on quality of life, health behaviors, and asthma control among adults in the United States with asthma (2006) Journal of Asthma, 45 (2), pp. 123-133; (2007), http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm, U.S. Department of Health and Human Services (2007) Expert Panel Report 3 (EPR3): Guidelines for the Diagnosis and Management of Asthma. National Heart, Lung, and Blood Institute (August., accessed April 5; Sauro, J., Measuring usability with the system usability scale (SUS). Quantitative Usability (2011) Statistics & Six Sigma, , http://www.measuringusability.com/sus.php, accessed April 9",,,"","Springer Verlag","15th International Conference on Human-Computer Interaction, HCI International 2013","21 July 2013 through 26 July 2013","Las Vegas, NV",97855,18650929,9783642394751,,,"English","Commun. Comput. Info. Sci.",Conference Paper,"Final",,Scopus,2-s2.0-84886284606 "Garg R.","35069391400;","""All is not well"" with medical tourism",2013,"Indian Journal of Community Medicine","38","1",,"59","61",,2,"10.4103/0970-0218.106631","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875454517&doi=10.4103%2f0970-0218.106631&partnerID=40&md5=95071b24cc499e0ded5667787694cecc","Department of Community Medicine, VCSGGMS and RI, Srinagar-Garhwal (Uttrakhand), India","Garg, R., Department of Community Medicine, VCSGGMS and RI, Srinagar-Garhwal (Uttrakhand), India",[No abstract available],,,,,,,,,,"Jose, R., Sachdeva, S., Keeping an eye on future: Medical tourism (2010) Indian J Community Med, 35, pp. 376-378; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85, pp. 164-165; http://india.gov.in/overseas/visit_india/medical_india.php, Government Of India. National Portal Of India. Medical Tourism, [Last assessed on 2011 Sep 18]; http://www.india-opportunities.es/healthcare.php?lang=ingandsub=tourism, India-opportunities: A Guide To Do Business In India. Health Care.Embassy Of India In Madrid, [Last assessed on 2011 Sep 21]; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376, pp. 671-672; Indian Medical Tourism to Touch Rs 9500 Cr by 2015: Assocham, , http://economictimes.indiatimes.com/ Indian_medical_tourism_to_touch_Rs_9500_cr_by_2015_Assocham/articleshow/3943611. cms, The Economic Times, New Delhi 6 Jan, 2009, [Last assessed on 2011 Sep 18]; Sen Gupta, A., Medical tourism in India: Winners and losers (2008) Indian J Med Ethics, 5, pp. 4-5; (2010) Meeting People's Health Needs in Partnership with States. The Journey so Far. 2005-10, , http://mohfw.nic.in/NRHM/Documents/5_Years_NRHM_Final.pdf, National Rural Health Mission, Ministry of Health and Family Welfare, Government of India.New Delhi., [Last assessed on 2011 Dec 20]; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2010) Health Policy Plan, 25, pp. 248-251; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80, pp. 158-163. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2567734/pdf/11953795.pdf, [Last assessed on 2011 Sep 21]; (2007) Morbidity and Health Care. International Institute for Population Sciences, Mumbai, India and ORC Macro International, 1, pp. 436-438. , National Family Health Survey (NFHS-III) 2005-06, Government of India; (2005) Conclusions and Recommendations, p. 125. , Report of the National Commission on Macroeconomics and Health, Ministry of Health and Family Welfare, Government of India: New Delhi; Devraj, R., (2010) Hunger Haunts Hospitals in India, 4. , http://southasia.oneworld.net/todaysheadlines/hunger-haunts-hospitals-in- india, One World South Asia: New Delhi., [Last assessed on 2011 Sep 21]; (2010) Man Dies As 3 Hospitals Refuse Him Treatment: New Delhi, , http://www.hindustantimes.com/Man-dies-as-3-hospitals-refuse-him- treatment/Article1-632871.aspx, Hindustan Times, [Last assessed on 2011 Sep 21]","Garg, R.; Department of Community Medicine, VCSGGMS and RI, Srinagar-Garhwal (Uttrakhand), India; email: garg50@rediffmail.com",,,,,,,,09700218,,,,"English","Indian J. Community Med.",Letter,"Final",Open Access,Scopus,2-s2.0-84875454517 "Mujani W.K., Tibek S.R., Yusoff K., Ibrahim M., Abdul Hamid H., Ya'akub N.I., Abidin S.N., Samah N.H.A.","36768948000;37098196200;36633583500;55020109300;14048409400;36769971000;55214330100;55612371300;","Medical tourism in Malaysia: KPJ healthcare's perspective of West Asian tourists",2012,"Advances in Natural and Applied Sciences","6","8",,"1374","1378",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874539051&partnerID=40&md5=cbffb9840ee0a5322cf38467a0563d7d","Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Faculty of Islamic Studies, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Centre for General Studies, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia; Faculty of Economy and Management, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia","Mujani, W.K., Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia, Faculty of Islamic Studies, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Tibek, S.R., Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia, Faculty of Islamic Studies, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Yusoff, K., Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia, Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Ibrahim, M., Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia, Centre for General Studies, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Abdul Hamid, H., Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia; Ya'akub, N.I., Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia, Faculty of Economy and Management, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Abidin, S.N., Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; Samah, N.H.A., Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia","This article discusses medical tourism in Malaysia. Among the matters discussed is KPJ Healthcare's view of West Asian health tourists. Also discussed are the potential of medical tourism, factors which encourage the industry of medical tourism as well as the role of the government in assisting development of this industry in Malaysia.","KPJ Healthcare; Malaysia; Medical tourism; West Asian tourists",,,,,,,,,"Bezruchka, S., Medical Tourism as Medical Harm to the Third World: Why? For Whom? (2000) Wilderness and Environmental Medicine, (11), pp. 77-78; (2009) Advancing Continuous Caring, , KPJ Annual Report., KPJ Healthcare Berhad; Leng, C.H., Medical Tourism and the State in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; (2011) Malaysia Healthcare, , http://www.malaysiahealthcare.com/; Mohana, P., (2010) Industri Pelancongan Kesihatan di Malaysia, , http://www.konsumerkini.net.my/v1/images/stories/images/image_24092010_medical.jpg; (2010) Tourism Malaysia, , http://www.tourism.gov.my/my/activities/default.asp?activity_id=23; (2010) Kesihatan: Malaysia Sedia Penuhi Permintaan GCC, , Utusan Malaysia, 20 March; Hussain, W.W.M.H., Rahman, M.N.A., Mujani, W.K., Zainol, Z.A., Ya'akub, N.I., Internet Marketing Strategy for Malaysia Medical Practitioners (2012) Journal of Medical Marketing: Device, Diagnostic and Pharmaceutical Marketing, (12), pp. 13-21; Whittaker, A., Challenges of Medical Travel to Global Regulation: A Case Study of Reproductive Travel in Asia (2010) Global Social Policy, 10 (3), pp. 396-415","Mujani, W. K.; Institute of West Asian Studies (IKRAB), Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia; email: inamal@yahoo.com",,,,,,,,19950772,,,,"English","Adv. Nat. Appl. Sci.",Article,"Final",,Scopus,2-s2.0-84874539051 "Hanefeld J., Lunt N., Horsfall D., Smith R.","26430746700;6603761945;35848647100;55746369800;","Discussion on banning advertising of cosmetic surgery needs to consider medical tourists",2012,"BMJ (Online)","345","7885", e7997,"","",,2,"10.1136/bmj.e7997","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84870753538&doi=10.1136%2fbmj.e7997&partnerID=40&md5=933754bd402c6db1e57bed0d5756ae29","Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom; University of York, York, United Kingdom","Hanefeld, J., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom; Lunt, N., University of York, York, United Kingdom; Horsfall, D., University of York, York, United Kingdom; Smith, R., Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom",[No abstract available],,"advertizing; consumer advocacy; esthetic surgery; general practitioner; health care access; health care need; health care personnel; health survey; letter; medical research; medical tourism; patient safety; priority journal; travel; United Kingdom; Advertising as Topic; Great Britain; Humans; Medical Tourism; Surgery, Plastic",,,,,,,,"Godlee, F., Promoting cosmetic surgery (2012) BMJ, 345, pp. e7535. , [Editor's choice]. (8 November.); Smith, R., Lunt, N., Hanefeld, J., The implications of PIP are more than just cosmetic (2012) Lancet, 379, pp. 1180-1181; (2008) Which? We Expose Medical Tourism Pitfalls, , www.which.co.uk/news/2008/03/we-expose-medical-tourism-pitfalls-135137/, Mar 20; Nassab, R., Hamnett, N., Nelson, K., Kaur, S., Greensill, B., Dhital, S., Cosmetic tourism: Public opinion and analysis of information and content available on the Internet (2010) Aesthetic Surg J, 30, pp. 465-469","Hanefeld, J.; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, United Kingdom; email: Johanna.Hanefeld@lshtm.ac.uk",,,,,,,,17561833,,BMJOA,"23183065","English","BMJ (Online)",Letter,"Final",,Scopus,2-s2.0-84870753538 "Pashley H.S.","57199516399;","Medical tourism presents opportunities and risks for patients.",2012,"AORN journal","96","2",,"C6","7",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84868295191&partnerID=40&md5=f9093fd595e20a3155fa2846551f1b8a",,"Pashley, H.S.",[No abstract available],,"article; health care cost; human; medical tourism; risk factor; Health Care Costs; Humans; Medical Tourism; Risk Factors",,,,,,,,,"Pashley, H.S.",,,,,,,,18780369,,,"23012761","English","AORN J",Article,"Final",,Scopus,2-s2.0-84868295191 "Hall C.M.","55017070000;","The contested futures and spaces of medical tourism",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"203","216",,2,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917474718&doi=10.4324%2f9780203109458&partnerID=40&md5=af73f7853ea619ccf63cd90a36f83ee3","Department of Management, University of Canterbury, New Zealand; Department of Geography, University of Oulu, Oulu, Finland; Sheffield Hallam University, United Kingdom; Linneaus University, Sweden","Hall, C.M., Department of Management, University of Canterbury, New Zealand, Department of Geography, University of Oulu, Oulu, Finland, Sheffield Hallam University, United Kingdom, Linneaus University, Sweden",[No abstract available],,,,,,,,,,"Allegranzi, B., Nejad, S.B., Combescure, C., Graafmans, W., Attar, H., Donaldson, L., Didier, D., Burden of endemic health-care-associated infection in developing countries: Systematic review and meta-analysis (2011) The Lancet, 377 (9761), pp. 228-241; Bagheri, A., Global health regulations should distinguish between medical tourism and transplant tourism (2010) Global Social Policy, 10 (3), pp. 295-297; Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14 (1), pp. e135. , 14th International Congress on Infectious Diseases (ICID) Abstracts; Bhattacharya, S., Price, N., Boxall, E., Adu, D., Lipkin, G., Smith, S., Osman, H., Holiday haemodialysis and imported hepatitis c virus infection: A series of sixteen cases in two large haemodialysis units (2009) Journal of Clinical Virology, 4 (4), pp. 296-299; Cantón, R., Lumb, J., Emerging resistance in gram-negative pathogens and implications for clinical practice (2011) Future Microbiology, 6, pp. 19-22; Rapidly growing mycobacterial infection following liposuction and liposculpture – caracas, venezuela, 1996–1998 (1998) Morbidity and Mortality Weekly Report, 47 (49), pp. 1065-1067; Brief report: Nontuberculous mycobacterial infections after cosmetic surgery – santo domingo, dominican republic, 2003–2004 (2004) Morbidity and Mortality Weekly Report, 53 (23), p. 509; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Medical Journal of Australia, 187 (11-12), pp. 666-667; Coker, R., Mounier-Jack, S., Pandemic influenza preparedness in the asia– pacific region (2006) The Lancet, 368 (9538), pp. 886-889; Coles, T., Hall, C.M., Rights and regulation of travel and tourism mobility (2011) Journal of Policy Research in Tourism, Leisure and Events, 3 (3), pp. 209-223; Cook, P.S., Kendall, G., Michael, M., Brown, N., The textures of globalization: Biopolitics and the closure of xenotourism (2011) New Genetics and Society, 30 (1), pp. 101-114; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (266); Dettenkofer, M., Wilson, C., Ebner, W., Norgauer, J., Rüden, H., Daschner, F.D., Surveillance of nosocomial infections in dermatology patients in a german university hospital (2003) British Journal of Dermatology, 149 (3), pp. 620-623; (2009) Medical Travel in Asia and the Pacific, , Challenges and Opportunities, Bangkok: United Nations Economic and Social Commission for Asia and the Pacific; Fahey, B.J., Behavioral and cultural aspects of transmission and infection (2007) Emerging Infectious Diseases: Trends and Issues, , F.R. Lashley and J.D. Durham, 2nd ed., New York: Springer; Feng, J., Huang, J., Nicoll, A., Foresight china ii: Identification and detection of infectious diseases (2008) Biosurveillance and Biosecurity. International Workshop, , D. Zheng, H. Chen H., Rolka and B. Lober, BioSecure 2008, Raleigh, NC, USA, December 2, 2008, Proceedings, Berlin: Springer-Verlag; Fernando, G.A.T.P., Collignon, P.J., Bell, J.M., A risk for returned travellers: The ‘post-antibiotic era’ (2010) Medical Journal of Australia, 193 (1), p. 59; Field, V., Gautret, P., Schlagenhauf, P., Burchard, G.-D., Caumes, E., Jensenius, M., Castelli, F., Parola, P., Travel and migration associated infectious diseases morbidity in europe, 2008 (2010) BMC Infectious Diseases, p. 10. , for the EuroTravNet network; Greig, J.D., Lee, M.B., Enteric outbreaks in long-term care facilities and recommendations for prevention: A review (2009) Epidemiology and Infection, 137, pp. 145-155; Hall, C.M., (2005) Tourism: Rethinking the Social Science of Mobility, , Harlow: Prentice Hall; Hall, C.M., Tourism, disease and global environmental change: The fourth transition (2006) Tourism and Global Environmental Change: Ecological, Economic, Social and Political Interrelationships, , S. Gössling and C.M. Hall (eds.), London: Routledge; Hall, C.M., Crisis events in tourism: Subjects of crisis in tourism (2010) Current Issues in Tourism, 13 (5), pp. 401-407; Hall, C.M., Health and medical tourism: Kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hall, C.M., Biosecurity, tourism and mobility: Institutional arrangements for managing tourism related biological invasions (2011) Journal of Policy Research in Tourism, Leisure and Events, 3 (3), pp. 256-280; Hall, C.M., Coles, T.E., Introduction: Tourism and international business – tourism as international business (2008) International Business and Tourism: Global Issues, Contemporary Interactions, , T.E. Coles and C.M. Hall London: Routledge; Hall, C.M., James, M., Medical tourism: Emerging biosecurity and nosocomial issues (2011) Tourism Review, 66 (1-2), pp. 118-126; Hall, C.M., James, M., Wilson, S., Biodiversity, biosecurity, and cruising in the arctic and sub-arctic (2010) Journal of Heritage Tourism, 5 (4), pp. 351-364; Hanvoravongchai, P., Adisasmito, W., Ngoc Chau, P., Conseil, A., De Sa, J., Krumkamp, R., Mounier-Jack, S., Coker, R., Pandemic influenza preparedness and health systems challenges in asia: Results from rapid analyses in 6 asian countries (2010) BMC Public Health, 10p. , for the AsiaFluCap project; Hooker, C., Sars as a ‘health scare’ (2008) Networked Disease: Emerging Infections in the Global City, pp. 123-137. , Ali, S.H. And Keil, R. (Eds.), Wiley-Blackwell, Chichester; Jeevan, R., Birch, J., Armstrong, A.P., Travelling abroad for aesthetic surgery: Informing healthcare practitioners and providers while improving patient safety (2011) Journal of Plastic Reconstructive and Aesthetic Surgery, 64 (2), pp. 143-147; Kimball, A.M., Hodges, J., (2010) Risky Trade and Emerging Infections’, , Institute of Medicine, Infectious Disease Movement in a Borderless World, Washington, DC: The National Academies Press; Koh, T.S., Gram-negative resistance in singapore: A historical perspective (2008) Annals Academy of Medicine Singapore, 37 (10), pp. 847-854; Koopmans, M., Noroviruses in healthcare settings: A challenging problem (2009) Journal of Hospital Infection, 73 (4), pp. 331-337; Kordvani, A., Hospitality, politics of mobility, and the movement of service suppliers under the gats (2006) Melbourne Journal of International Law, 7, pp. 74-103; Krishna, B.V.S., New delhi metallo-beta-lactamases: A wake-up call for microbiologists (2010) Indian Journal of Medical Microbiology, 28 (3), pp. 265-266; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Bagaria, J., Butt, F., Balakrishnan, R., Chaudhary, U., Woodford, N., Emergence of a new antibiotic resistance mechanism in india, pakistan, and the uk: A molecular, biological, and epidemiological study (2010) Lancet Infectious Diseases, 10 (9), pp. 597-602; Larner, W., Neo-liberalism: Policy, ideology, governmentality (2000) Studies in Political Economy, 63, pp. 5-25; Leahy, A.L., Medical tourism: The impact of travel to foreign countries for healthcare (2008) Surgeon, 6 (5), pp. 260-261; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Carrera, P., Systematic review of web sites for prospective medical tourists (2011) The Tourism Review, 66 (1-2), pp. 57-67; Löscher, T., Keystone, J.S., Steffen, R., Vaccination of travelers against hepatitis a and b (1999) Journal of Travel Medicine, 6 (2), pp. 107-114; Mainil, T., Platenkamp, V., Meulemans, H., The discourse of medical tourism in the media (2011) Tourism Review, 66 (1-2), pp. 31-44; Martin, R., Conseil, A., Longstaff, A., Kodo, J., Siegert, J., Duguet, A.-M., Lobato De Faria, P., Coker, R., Pandemic influenza control in europe and the constraints resulting from incoherent public health laws (2010) BMC Public Health, 10p; Martínez Álvarez, M., Chanda, R., Smith, R.D., The potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the uk and india (2011) Globalization and Health, 7; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Developing World Bioethics, 11 (1), pp. 16-29; Mensua, A., Mounier-Jack, S., Coker, R., Pandemic influenza preparedness in latin america: Analysis of national strategic plans (2009) Health Policy and Planning, 24 (4), pp. 253-260; Moellering, R.C., Ndm-1-a cause for worldwide concern (2010) New England Journal of Medicine, 363 (25), pp. 2377-2379; Muir, A., Weinbren, M.J., New delhi metallo-ß-lactamase: A cautionary tale (2010) Journal of Hospital Infection, 75 (3), pp. 239-240; Nataraj, G., Editorial: New delhi metallo beta-lactamase: What is in a name? (2010) Journal of Postgraduate Medicine, 56 (4), pp. 251-252; Nelson, B., Stem cell researchers face down stem cell tourism (2008) Nature Reports Stem Cells, , Published online: 5 June 2008; Noël, J., Current concerns in transplantation (2007) Bulletin of the World Health Organization, 85 (12), p. 905; Ortu, G., Mounier-Jack, S., Coker, R.J., Pandemic influenza preparedness in africa is a profound challenge for an already distressed region: Analysis of national preparedness plans (2008) Health Policy and Planning, 23 (3), pp. 161-169; Oshitani, H., Kamigaki, T., Suzuki, A., Major issues and challenges of influenza pandemic preparedness in developing countries (2008) Emerging Infectious Diseases, 14 (6), pp. 875-880; Pandey, G., India rejects uk scientists’ ‘superbug’ claim (2010) BBC News South Asia, , http://www.bbc.co.uk/news/world-south-asia-10954890, 12 August. Online; Patel, P.R., Thompson, N.D., Kallen, A.J., Arduino, M.J., Epidemiology, surveillance, and prevention of hepatitis c virus infections in hemodialysis patients (2010) American Journal of Kidney Diseases, 56 (2), pp. 371-378; Perfetto, R., Dholakia, N., Exploring the cultural contradictions of medical tourism (2010) Consumption Markets and Culture, 13 (4), pp. 399-417; Raptopoulou-Gigi, M., Severe acute respiratory syndrome (sars): A new emerging disease in the 21st century (2003) Hippokratia, 7 (2), pp. 81-83; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92 (6), pp. 1433-1446; Shalev, C., Stem cell tourism-a challenge for trans-national governance (2010) American Journal of Bioethics, 10 (5), pp. 40-42; Storrow, R., The pluralism problem in cross-border reproductive care (2010) Human Reproduction, 25 (12), pp. 2939-2943; Strausbaugh, L.J., Emerging health care-associated infections in the geriatric population (2001) Emerging Infectious Diseases, 7 (2), pp. 268-271; Sydnor, E.R.M., Perl, T.M., Hospital epidemiology and infection control in acute-care settings (2011) Clinical Microbiology Reviews, 24 (1), pp. 141-173; Talbot, E.A., Chen, L.H., Sanford, C., McCarthy, A., Leder, K., Travel medicine research priorities: Establishing an evidence base (2010) Journal of Travel Medicine, 17 (6), pp. 410-415; Tatem, A.J., The worldwide airline network and the dispersal of exotic species: 2007-2010 (2009) Ecography, 32, pp. 94-102; Tatem, A.J., Hay, S.I., Rogers, D.J., Global traffic and disease vector dispersal (2006) Proceedings of the National Academy of Sciences, 103 (16), pp. 6242-6247; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) International Journal for Quality in Health Care, 23 (1), pp. 1-7; Uçkay, I., Sax, H., Harbarth, S., Bernard, L., Pittet, D., Multi-resistant infections in repatriated patients after natural disasters: Lessons learned from the 2004 tsunami for hospital infection control (2008) Journal of Hospital Infection, 68 (1), pp. 1-8; Waterer, G., Controlling epidemic viral infection (2011) Current Opinion in Infectious Diseases, 24 (2), pp. 130-136; Whittaker, A., Cross-border assisted reproduction care in asia: Implications for access, equity and regulations (2011) Reproductive Health Matters, 19 (37), pp. 107-116; Wilson, M.E., Travel and the emergence of infectious diseases (1995) Journal of Emerging Infectious Diseases, 1 (2), pp. 39-46; Wilson, M.E., (2010) Global Travel and Emerging Infections’, , Institute of Medicine, Infectious Disease Movement in a Borderless World, Washington, DC: The National Academies Press; (2002) Prevention of Hospital-Acquired Infections: A Practical Guide, , WHO/CDS/CSR/EPH/2002.12, Geneva: Department of Communicable Disease, Surveillance and Response, WHO; (2007) International Health Regulations (2005) Areas of Work for Implementation, , June 2007, WHO/CDS/EPR/IHR/2007.1, Geneva: WHO; (2008) International Health Regulations (2005), , 2nd ed., Geneva: WHO; Yong, D., Toleman, M.A., Giske, C.G., Cho, H.S., Sundman, K., Lee, K., Walsh, T.R., Characterization of a new metallo-betalactamase gene, blandm-1, and a novel erythromycin esterase gene carried on a unique genetic structure in klebsiella pneumoniae sequence type 14 from india (2009) Antimicrobial Agents and Chemotherapy, 53 (12), pp. 5046-5054","Hall, C.M.; Department of Management, University of CanterburyNew Zealand",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917474718 "Abdul-Talib A.-N., Abd-Razak I.-S.","55636728000;55637538200;","Export market oriented behaviours within the medical tourism industry: A case study",2012,"International Journal of Tourism Policy","4","4",,"289","301",,2,"10.1504/IJTP.2012.052546","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875670545&doi=10.1504%2fIJTP.2012.052546&partnerID=40&md5=5bc32fd0e1add7373648a560ad65b853","International Business Department, Universiti Utara Malaysia, 06010 Sintok Kedah, Malaysia","Abdul-Talib, A.-N., International Business Department, Universiti Utara Malaysia, 06010 Sintok Kedah, Malaysia; Abd-Razak, I.-S., International Business Department, Universiti Utara Malaysia, 06010 Sintok Kedah, Malaysia","The impact of medical tourism has significantly increased in the international business sphere of late. The industry has become much celebrated especially among the emerging markets. This paper examines this phenomenon from the perspective of proactive and responsive export market-oriented behaviour. An established Malaysian medical institute which actively participates in the industry is used as a case study. Findings from the case study are discussed. Copyright © 2012 Inderscience Enterprises Ltd.","Export market orientation; Medical tourism; Services","medicine; tourism development; tourism market; Malaysia",,,,,,,,"Abd Manaf, N.H., Dato'Mohd Ghazali, R.J., Marikar, K., Positioning Malaysia in medical tourism (2010) International Conference on Marketing (ICMAR), , paper presented at the, Kuala Lumpur, Malaysia; Abd-Razak, I.S., Abdul-Talib, A.N., Explorative study of proactive and responsive export market-orientation: An in-depth interview (2009) Australian and New Zealand Marketing Academy Conference (ANZMAC), , http://www.duplication.net.au/ANZMAC09/papers/ANZMAC2009-288.pdf, Paper presented at the, Melbourne, Australia, (accessed on 2 July 2011); Ang, E., Malaysian medical tourism growing (2009) The Star, , http://biz.thestar.com.my/news/story.asp?file=/2009/2/14/business/ 3245091&sec=business, (accessed on 25 April 2011); Arunanondchai, J., Fink, C., Trade in health services in the ASEAN region (2007) World Bank Policy Research (Working Paper 4147), , http://www-wds.worldbank.org/servlet/WDSContentServer/WDSP/IB/2007/02/22/ 000016406-20070222101041/Rendered/PDF/wps.4147.pdf, (accessed on 17 June 2010); Azhar, A., RM600 million from medical tourism (2012) The Malay Mail, , http://www.mmail.com.my/story/rm600m-medical-tourism, (accessed on 11 July 2012); (2008) Perunding IJN Sangkal Dakwaan Cadangan Penswastaan Berikutan Tuntutan Mereka [IJN Consultants Deny Privatization Plan Is Due to Their Demand], , http://www.bernama.com/bernama/state_news/bm/news.php?id=379508&cat= ut, (accessed on 16 June 2012); Cadogan, J.W., Diamantopoulos, A., Siguaw, J.A., Export market-oriented activities: Their antecedents and performance consequences (2002) Journal of International Business Studies, 33 (3), pp. 615-626; Chee, H.L., (2007) Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare, (Working Paper No. 83), , http://www.ari.nus.edu.sg/docs/wps/wps07-083.pdf, Asia Research Institute, National University of Singapore, (accessed on 5 April, 2009); Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357. , http://gsp.sagepub.com/content/10/3/336, DOI: 10.1177/1468018110379978; Connell, J., Medical tourism: Sea, sun, sand* surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Dunn, P., Medical tourism takes flight (2007) Hospitals and Health Networks, 81 (11), pp. 40-44; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Fun and well (2008) Heart Talk, 3, p. 69. , http://www.ijn.com.my/ijn/index.php/download-section/cat_view/ 82-heart-talk, Heart Talk, (accessed on 18 June 2010); IJN leads JCI accreditation awareness drive (2008) Heart Talk, (3), p. 5. , http://www.ijn.com.my/ijn/index.php/download-section/cat_view/ 82-heart-talk, Heart Talk, (accessed on 18 June 2010); Improving IJN's standards (2008) Heart Talk, (3), p. 3. , http://www.ijn.com.my/ijn/index.php/download-section/cat_view/ 82-heart-talk, Heart Talk, (accessed on 18 June 2010); Health tourism gets a boost (2009) Heart Talk, (8), p. 15. , http://www.ijn.com.my/ijn/index.php/download-section/cat_view/ 82-heart-talk, Heart Talk, (accessed on 18 June 2010); IJN's new wing takes off (2009) Heart Talk, (7), p. 2. , http://www.ijn.com.my/ijn/index.php/download-section/cat_view/ 82-heart-talk, Heart Talk, (accessed on 18 June 2010); Herrick, D.M., (2007) Medical Tourism: Global Competition in Health Care, , http://www.ncpa.org/pub/st/st304, (accessed on 18 June 2010); Horowitz, M.D., Rosensweig, J.A., Medical tourism - Health care in the global economy (2007) The Physician Executive, 3 (6), pp. 24-30; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33. , http://www.jointcommissioninternational.org/JCI-Accredited-Organizations/, JCI website, (accessed on 11 June 2012); Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (1), pp. 24-37. , http://www.equityhealthj.com/content/9/1/24; Liow, T.L., (2009) Keynote Address at the Official Launch of the Malaysia Health Tourism Logo and Website, , http://www.moh.gov.my/attachments/3246, (accessed on 2 February 2012); Liow, T.L., Kualiti, kos lonjak pelancongan kesihatan [Quality, cost accelerates medical tourism] (2010) Berita Harian, , http://www.bharian.com.my/articles/Kualiti_koslonjakpelancongankesihatan/ Article/print_html; (2012) Medical Tourism Skyrockets: Three Million Patients Go Abroad for Medical Treatment Every Year, , http://www.nydailynews.com/lifestyle/health/medical-tourism-sets-pulses- racing-million-patients-medical-treatment-yeararticle-1.1081885#ixzz1xyioKxgd, New York Daily News Website, (accessed on 17 June 2012); (2012) Malaysia to Achieve Another Breakthrough Year in Medical Tourism, , http://www.nst.com.my/latest/malaysia-to-achieve-another-breakthrough- year-in-medicaltourism-1.76580, (accessed on 11 June 2012); Peters, C.R., Sauer, K.M., A survey of medical tourism service providers (2011) Journal of Marketing Development and Competitiveness, 5 (3), pp. 117-126; (2009) Sime Darby Batal Hasrat Ambil Alih IJN [Sime Darby Call off the Plan to Take over IJN], , http://pmr.penerangan.gov.my/index.php/isu-nasional/329-2009-01/ 2245-07-jan-sime-darby-batal-hasrat-ambil-alih-ijn.html, Portal Of Public Information Centre, (accessed on 16 June 2012); (2011) Subsidi Ubat Dicetak Dalam Bil [Medical Subsidy Printed Out in Bills], , http://pmr.penerangan.gov.my/index.php/isu-nasional/514-2011-11/ 11190-03-nov-subsidi-ubat-dicetak-dalam-bil.html, Portal Of The Public Information Centre, (accessed on 16 June 2012); (2011) Pelajar Jantung Tersumbat Rayu Bantuan Jalani Pembedahan [Student with Heart Problem Pledge for Help to Undergo Operation], , http://pmr.penerangan.gov.my/index.php/component/content/article/ 443-berita/9483-pelajarjantung-tersumbat-rayu-bantuan-jalani-pembedahan.html, Portal of the Public Information Centre, (accessed on 16 June 2012); Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Stuart-Kregor, P., Marketing strategy: Can healthcare marketing be classed as 'excellent'? (2005) Journal of Medical Marketing, 5 (2), pp. 116-118; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) International Journal for Quality in Health Care, 23 (1), pp. 1-7. , DOI: 10.1093/intqhc; Yin, R.K., (1994) Case Study Research: Design and Methods, , 2nd ed., SAGE Publications Inc., California, USA","Abdul-Talib, A.-N.; International Business Department, Universiti Utara Malaysia, 06010 Sintok Kedah, Malaysia; email: asmat@uum.edu.my",,,"Inderscience Publishers",,,,,17504090,,,,"English","Int. J. Tour. Policy",Article,"Final",,Scopus,2-s2.0-84875670545 "Boultbee E.","55270404100;","Medical tourism: Overview and cost comparisons",2012,"British Journal of Health Care Management","18","6",,"294","297",,2,"10.12968/bjhc.2012.18.6.294","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863086603&doi=10.12968%2fbjhc.2012.18.6.294&partnerID=40&md5=95590eea07878495a1fac39ab82aaf2f",,"Boultbee, E.","Medical tourism is a term which has come into common usage. It is a segment of the broader health tourism market, which can be broken down into several major components. This article seeks to provide an overiew of the subject, the reasons for its popularity and comparisons of cost to the patient involved.",,,,,,,,,,,"Boultbee, E., London, United Kingdom; email: eboultbee@aol.com",,,"MA Healthcare Ltd",,,,,13580574,,,,"English","Br. J. Health Care Manage.",Review,"Final",,Scopus,2-s2.0-84863086603 "Gerzmava O., Lomtadze L., Kitovani D., Kadjrishvili M.","6508328077;55209882800;12777756000;55209882900;","[Development of medical tourism in Georgia. Problems and prospectiv (review)].",2011,"Georgian medical news",,"199",,"64","74",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860677900&partnerID=40&md5=c00d55e86e04c8801bd1e55bcd5e33c9",,"Gerzmava, O.; Lomtadze, L.; Kitovani, D.; Kadjrishvili, M.","Medical tourism is the movement of patients through a global network of health services. Medical tourists seek affordable healthcare on a timely basis in a variety of destination nations. The expansion of global medical services has sparked immense economic growth in developing nations and has created a new market for advertising access to care. Beyond offering a unique untapped market of services, medical tourism has invited a host of liability, malpractice and ethical concerns. The explosion of off-shore ""mini-surgical"" vacations will surely incite global unification and increased access, quality and affordability of care. Medical tourism is a dynamic subset of global health care that incorporates a variety of services, procedures and venues of care. Health insurance coverage, the impact on domestic and global markets, and the use of international standards of care will be examined in combination with quality, access and cost parameters. The global nature of medical tourism invites a variety of legal and ethical issues and calls for an organizational body to monitor this new phenomenon. Finally, the future implications of the globalization of health services and systems will be discussed.",,"developing country; economics; ethics; Georgia (republic); health care delivery; health insurance; human; international cooperation; legal aspect; malpractice; medical tourism; review; Delivery of Health Care; Developing Countries; Georgia (Republic); Health Services Accessibility; Humans; Insurance, Health; Internationality; Malpractice; Medical Tourism",,,,,,,,,"Gerzmava, O.",,,,,,,,15120112,,,"22155809","Russian","Georgian Med News",Review,"Final",,Scopus,2-s2.0-84860677900 "Mason A., Wright K.B., Bogard J.","26039290400;36096255900;55744872900;","Assessing cultural representations of physician and patient imagery in medical tourism websites",2011,"Journal of Intercultural Communication",,"25",,"","",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84878040285&partnerID=40&md5=75da23a6cb7f1f30c7aa3d872a169cf5","Pittsburg State University, Department of Communication, 213 Grubbs Hall, 1701 S. Broadway St, Pittsburg, KS 66762, United States; Department of Communication, University of Oklahoma, United States","Mason, A., Pittsburg State University, Department of Communication, 213 Grubbs Hall, 1701 S. Broadway St, Pittsburg, KS 66762, United States; Wright, K.B., Department of Communication, University of Oklahoma, United States; Bogard, J., Department of Communication, University of Oklahoma, United States","Given recent international trends in globalized healthcare systems, an analysis of the cultural representations of patient and physician imagery was conducted on 66 medical tourism websites. Expectancy violations theory serves as the intercultural theoretical framework for exploring the medical tourism process overall, and quality of care expectations specifically. Results revealed the type of website and international region of care varied both representations of care toward patients and the depictions of physicians as well as their associated environmental surroundings. The data reveals a cause for concern resulting from the distortion and diminishment regarding the ethnicity of physicians who offer services in overseas medical facilities. Future directions are offered to explore the consequences of these images among organizations advancing medical tourism services.","Advertising; Cultural identity; Expectancy violations; Medical tourism; Websites",,,,,,,,,"Baliga, H., Medical tourism is the new wave of outsourcing from India (2007) India Daily, , http://www.indiadaily.com/editorial/14858.asp, Retrieved August 20, 2008 from; Bina, M., Unaffordability Ebola (2007) Medical Tourism, 1, p. 48; Burgoon, J.K., Cross-cultural and intercultural applications of expectancy violations theory (1995) Intercultural communication theory, pp. 194-214. , In R. Wiseman (Ed.), Thousand Oaks, CA: Sage; Burgoon, J.K., Walthers, J.B., Nonverbal expectancies and the evaluative consequences of violations (1990) Human Communication Research, 17, pp. 232-265; Church, A.T., Sojourner adjustment (1982) Psychological Bulletin, 91, pp. 540-571; Dutta, M., (2008) Communicating Health: A culture-centered approach., , Malden, MA, Polity Press; Edelheit, J., (2007) New Trends: Self-Insurance and Medical Tourism, , http://siia.org/i4a/pages/Index.cfm?pageID=4085, Retrieved August 30, 2008 from; Horowitz, M., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Kher, U., Outsourcing your heart (2006) Time, pp. 44-47; Joint Commission International Accredited Organizations, , http://www.jointcommissioninternational.org/10241/, Retrieved on June 14, from; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal of Fertile Women, 51, pp. 251-255; Kyrouz, E.M., Holt, M., Mittman, R., Everett, W., (1998) Twenty-first century healthcare consumers, , Menlo Park, CA: Institute for the Future; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25, pp. 358-368; McQuail, D., Blumler, J., Brown, J.R., (1972) Sociology of the mass media, , London: Penguin; Milstein, A., Smith, M., America's new refugees: Seeking affordable surgery offshore (2006) New New England Journal of Medicine, 355, pp. 1637-1640; Mittman, R., Cain, M., (2001) The future of the Internet in healthcare, pp. 47-73. , In R. E. Rice and J. E. Katz (Eds.) The Internet and health communication, Thousand Oaks, CA: Sage; Mooradian, B.L., Going Home When Home Does Not Feel Like Home: Reentry, Expectancy Violation Theory, Self-Construal, and Psychological and Social Support (2004) Intercultural communication studies, 1 (13), pp. 37-50; Pachisa, M., (2007) Top 10 Reasons Why Medical Tourism is Popular?, , http://www.associatedcontent.com/article/506179/top_10_reasons_why_medicaltou, December, Retreived on March 19, 2009 from; Potter, W., Levine-Donnerstein, D., Rethinking validity and reliability in content analysis (1999) Journal of Applied Communication Research, 27, pp. 258-284; Ribisil, K., Lee, R., Henriksen, L., Haladjian, H., A content analysis of websites promoting smoking culture and lifestyle (2003) Health Education and Behavior, 30 (1), pp. 64-78","Mason, A.; Pittsburg State University, Department of Communication, 213 Grubbs Hall, 1701 S. Broadway St, Pittsburg, KS 66762, United States",,,,,,,,14041634,,,,"English","J. Intercultural Commun.",Article,"Final",,Scopus,2-s2.0-84878040285 "Al Khaja K.A.J., Sequeira R.P., Damanhori A.H.H.","7801495386;7005141860;6507574335;","Polypharmacy associated with medical tourism: A critique on drug therapy",2011,"International Journal of Clinical Pharmacy","33","1",,"61","65",,2,"10.1007/s11096-010-9477-7","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960062802&doi=10.1007%2fs11096-010-9477-7&partnerID=40&md5=9305658333b09e0e813ed366c8227716","Department of Pharmacology and Therapeutics, Arabian Gulf University, P.O. Box 22979, Manama, Bahrain; Primary Care, Ministry of Health, Manama, Bahrain","Al Khaja, K.A.J., Department of Pharmacology and Therapeutics, Arabian Gulf University, P.O. Box 22979, Manama, Bahrain; Sequeira, R.P., Department of Pharmacology and Therapeutics, Arabian Gulf University, P.O. Box 22979, Manama, Bahrain; Damanhori, A.H.H., Primary Care, Ministry of Health, Manama, Bahrain",[No abstract available],,"acarbose; acetylsalicylic acid; albumin; amitriptyline; diclofenac; ezetimibe plus simvastatin; fenofibrate; folic acid; glimepiride; glucose; hemoglobin A1c; high density lipoprotein cholesterol; insulin glargine; irbesartan; levothyroxine sodium; low density lipoprotein cholesterol; metformin; metformin plus rosiglitazone; multivitamin; parathyroid hormone; phentermine; pig insulin; pregabalin; rosiglitazone; scopolamine; simvastatin; supralip; tetrahydrolipstatin; tramadol; triacylglycerol; unclassified drug; unindexed drug; adult; article; Bahrain; bedtime dosage; case report; demyelinating disease; depression; diabetes mellitus; diabetic retinopathy; disease severity; drug cost; drug surveillance program; electromyography; female; glycemic control; hearing impairment; human; hypercholesterolemia; hypertension; medical tourism; muscle atonia; nerve conduction; neuropathic pain; obesity; polypharmacy; priority journal; quality of life; radiculopathy; recommended drug dose; Drug Interactions; Drug Therapy; Female; Humans; Medical Tourism; Middle Aged; Polypharmacy",,"acarbose, 56180-94-0; acetylsalicylic acid, 493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1; amitriptyline, 50-48-6, 549-18-8; diclofenac, 15307-79-6, 15307-86-5; fenofibrate, 49562-28-9; folic acid, 59-30-3, 6484-89-5; glimepiride, 93479-97-1; glucose, 50-99-7, 84778-64-3; hemoglobin A1c, 62572-11-6; insulin glargine, 160337-95-1; irbesartan, 138402-11-6; levothyroxine sodium, 55-03-8; metformin, 1115-70-4, 657-24-9; parathyroid hormone, 12584-96-2, 68893-82-3, 9002-64-6; phentermine, 1197-21-3, 122-09-8; pig insulin, 12584-58-6; pregabalin, 148553-50-8; rosiglitazone, 122320-73-4, 155141-29-0; scopolamine, 138-12-5, 51-34-3, 55-16-3; simvastatin, 79902-63-9; tetrahydrolipstatin, 96829-58-2; tramadol, 27203-92-5, 36282-47-0","amaryl; aprovel; aspent; avandamet; avandia; euthyrox; glucobay; lantus; lyrica; supralip; tramal; tryptanol; vytorin; xenical",,,,,"Pennings, G., Ethics without boundaries: Medical tourism (2007) Principles of Health Care Ethics, , Ashcroft RE, Dawson A, Draper H, McMillan JR, editors, 2nd edn. West Sussex, England: Wiley Print ISBN: 978 047002 713 4; online ISBN 978 047051 054 4; Horowitz, M.D., Rosensweig, J., Jones, C.A., Medical trourism: Globalization of the healthcare marketplace (2007) Med Gen Med., 9, p. 33; Good, C.B., Polypharmacy in elderly patients with diabetes (2002) Diabetes Spectr., 15, pp. 240-248; Lee, R.D., Polypharmacy: A case report and new protocol for management (1998) Journal of the American Board of Family Practice, 11 (2), pp. 140-144; Holstein, A., Egberts, E.-H., Risk of hypoglycemia with oral antidiabetic agents in patients with type 2 diabetes (2003) Experimental and Clinical Endocrinology and Diabetes, 111 (7), pp. 405-414. , DOI 10.1055/s-2003-44287; (2002) The complete drug reference. Thirty-third edition, , Martindale. (ed) Sweetman SC. London: Chicago Pharmaceutical Press;. Print ISBN 0 85369 499 0; Van De Laar, F.A., Lucassen, P.L., Akkermans, R.P., Van De Lisdonk, E.H., Rutten, G.E., Alpha-glucosidase inhibitors for type 2 diabetes mellitus (2005) Cochrane Database Syst Rev., 18, pp. CD003639; Nesto, R.W., Bell, D., Bonow, R.O., Fonseca, V., Grundy, S.M., Horton, E.S., Le Winter, M., Kahn, R., Thiazolidinedione Use, Fluid Retention, and Congestive Heart Failure: A consensus statement from the American Heart Association and American Diabetes Association (2004) Diabetes Care, 27 (1), pp. 256-263. , DOI 10.2337/diacare.27.1.256; Starner, C.I., Schafer, J.A., Heaton, A.H., Gleason, P.P., Rosiglitazone and pioglitazone utilization from January. 2007 through May 2008 associated with five risk warning events (2007) J Manag Care Pharm., 14, pp. 523-531; Position statement. Dyslipidemia management in adults with diabetes (2004) Diabetes Care., 27 (SUPPL. 1), pp. S68-S71. , American Diabetes Association; Ballantyne, C.M., Blazing, M.A., King, T.R., Brady, W.E., Palmisano, J., Efficacy and safety of ezetimibe co-administered with simvastatin compared with atorvastatin in adults with hypercholesterolemia (2004) American Journal of Cardiology, 93 (12), pp. 1487-1494. , DOI 10.1016/j.amjcard.2004.02.060, PII S0002914904003546; Bellosta, S., Paoletti, R., Corsini, A., Safety of statins: Focus on pharmacokinetics and drug interactions (2004) Circulation., 109 (23 SUPPL. 1), pp. 11150-11157; Robin, S.J., Targeting low high-density lipoprotein cholesterol for therapy: Lessons from the Veterans affairs high-density lipoprotein interaction trial (2001) Am J Cardiol., 88, pp. 19N-23N; Position statement. Diabetic nephropathy (2002) Diabetes Care., 25 (SUPPL. 1), pp. S85-S89. , American Diabetes Association; Jensen, T.S., Backonja, M.-M., Hernandez Jimenez, S., Tesfaye, S., Valensi, P., Ziegler, D., New perspectives on the management of diabetic peripheral neuropathic pain (2006) Diabetes and Vascular Disease Research, 3 (2), pp. 108-119; Max, M.B., Lynch, S.A., Muir, J., Shoaf, S.E., Smoller, B., Dubner, R., Effects of desipramine, amitriptyline, and fluoxetine on pain in diabetic neuropathy (1992) N Eng J Med., 326, pp. 1287-1288; Ziegler, D., Treatment of diabetic neuropathy and neuropathic pain. How far have we came? (2008) Diabetes Care., 31 (SUPPL. 2), pp. S255-S261","Al Khaja, K.A.J.; Department of Pharmacology and Therapeutics, Arabian Gulf University, P.O. Box 22979, Manama, Bahrain; email: khlidj@agu.edu.bh",,,,,,,,22107703,,,"21365396","English","Int. J. Clin. Pharm.",Article,"Final",,Scopus,2-s2.0-79960062802 "Tresidder R.","36490820800;","Health and medical tourism",2011,"Research Themes for Tourism",,,,"266","275",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890186046&partnerID=40&md5=839e6a66e66b3011a9278a04e5de53cd","Sheffield Business School, Sheffield Hallam University, United Kingdom","Tresidder, R., Sheffield Business School, Sheffield Hallam University, United Kingdom",[No abstract available],,,,,,,,,,"Bender, T., Balint, P., Balint, G., A brief history of spa therapy (2002) Annals of the Rheumatic Diseases, 61, p. 949; Bies, W., Zacharia, L., Medical tourism: outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , Palgrave MacMillan, New York; Budiani-Saberi, D., Delmonico, F., Organ trafficking and transplant tourism: a commentary on the global realities (2008) American Journal of Transplantation, 8, pp. 925-929; Connell, J., Medical tourism: sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; de Arellano, A., Patients without borders: the emergence of medical tourism (2007) International Journal of Health Services, 37, pp. 193-198; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32, pp. 262-266; Hassan, J., (2003) The Seaside, Health and the Environment in England and Wales Since 1800, , Ashgate, Aldershot, UK; Henderson, J., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7, pp. 11-121; Huang, J., Mao, Y., Millis, J.M., Government policy and organs transplantation in China (2008) Lancet, 372, pp. 1937-1938; Jackson, R., Waters and spas in the classical world (1990) Medical History, 10, pp. 1-3; Lagace, M., (2007) The Rise of Medical Tourism, , Harvard Business School, Working Knowledge, Boston, MA; Laws, E., (1996) Health Tourism, A Business Opportunity Approach, , Routledge, London, UK; Rhodes, R., Schiano, T., Transplant tourism in China: a tale of two transplants (2010) The American Journal of Bioethics, 10, pp. 2-11; Rothman, D.J., Rose, E., Awaya, T., Cohen, B., Daar, A., Dzemeshkevich, S.L., Lee, C.J., Smit, H., The Bellagio Task Force Report on transplantation, bodily integrity, and the international traffic in organs (1997) Transplantation Proceedings, 29, pp. 2739-2745; Swarbrook, J., Horner, S., (2007) Consumer Behaviour in Tourism, , Butterworth Heinemann/ Elsevier, Oxford, UK, 2nd edn; Tsankov, N., Kamarashev, J., Spa therapy in Bulgaria (1996) Clinics in Dermatology, 14, pp. 675-678; Yang, Y., Al-Ani, S., Bartlett, G., Moazzam, A., Cosmetic tourism-its true cost (2009) ANZ Journal of Surgery, 79, pp. A60; (2007) Second Global Consultation on Critical Issues in Human Transplantation: Towards a Common Attitude to Transplantation, , WHO, Report. World Health Organization, Geneva, Switzerland","Tresidder, R.; Sheffield Business School, Sheffield Hallam UniversityUnited Kingdom",,,"CABI Publishing",,,,,,9781845936846,,,"English","Res. Themes for Tourism",Book Chapter,"Final",,Scopus,2-s2.0-84890186046 "Carreon J.R., Todd R.W., Knox J.S.","57195624299;26036692000;26634114600;","Medical tourism communication of a Thai private hospital website",2011,"Journal of Applied Linguistics and Professional Practice","8","2",,"165","185",,2,"10.1558/japl.v8i2.165","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029359782&doi=10.1558%2fjapl.v8i2.165&partnerID=40&md5=cb18355c93a34960fe43ff51c6ea3e9e","School of Liberal Arts, King Mongkut's University of Technology Thonburi, 126 Pracha-Uthit Road, Bangmod, Thung Khru, Bangkok, 10140, Thailand; Department of Linguistics, 5th floor, Building C5A, Balaclava Road, North Ryde, NSW 2109, Australia","Carreon, J.R., School of Liberal Arts, King Mongkut's University of Technology Thonburi, 126 Pracha-Uthit Road, Bangmod, Thung Khru, Bangkok, 10140, Thailand; Todd, R.W., School of Liberal Arts, King Mongkut's University of Technology Thonburi, 126 Pracha-Uthit Road, Bangmod, Thung Khru, Bangkok, 10140, Thailand; Knox, J.S., Department of Linguistics, 5th floor, Building C5A, Balaclava Road, North Ryde, NSW 2109, Australia","The growth of medical tourism has led to a change in the customer base from local to international, presenting a challenge in how to communicate with these potential new patients. In this paper we use the tools of social semiotics and corpus linguistics to analyze two versions of a Thai private hospital website, one from 1998 before the growth of medical tourism and one from 2010 when roughly half of all patients at the hospital were international. The findings show that, although some differences can be attributed to developments in website capabilities, the 2010 website uses several strategies to build social relationships, involve the audience and engender trust with the goal of establishing the hospital's credibility for an international audience. © 2013, EQUINOX PUBLISHING.","Hospital communication; Hospital websites; Medical tourism; Social semiotics",,,,,,,,,"Abusch, D., Lexical alternatives as a source of pragmatic presuppositions (2002) The Proceedings of Semantics and Linguistic Theory 12, pp. 1-20. , In B. Jackson (ed.). Ithaca, NY: CLC Publications; Baker, P., (2006) Using Corpora in Discourse Analysis, , London: Continuum; (1998) Annual Economic Report 1998, , http://www.bot.or.th/English/EconomicConditions/Thai/report/AnnualReport_Doc/AnnualReport_1998.pdf, Accessed on 5 September 2012; Bateman, J.A., (2008) Multimodality and Genre: A Foundation for the Systematic Analysis of Multimodal Documents, , http://dx.doi.org/10.1057/9780230582323, Basingstoke, Hampshire: Palgrave Macmillan; Bex, T., The genre of advertising (1993) Revue belge de philologie et d'histoire, 71 (3), pp. 719-732; Biber, D., Conrad, S., Reppen, R., (1998) Corpus Linguistics: Investigating Language Structure and Use, , http://dx.doi.org/10.1017/CBO9780511804489, Cambridge: Cambridge University Press; Boardman, M., (2005) The Language of Websites, , Abingdon, Oxon: Routledge; Cook, G.W.D., (2001) The Discourse of Advertising, , London: Routledge; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83 (1), pp. 71-131; Fischer, I., Herfet, T., Watermarks and text transformations in visual document authentication (2007) Journal of Computer, 2 (5), pp. 44-53; Goddard, A., (1998) The Language of Advertising, , London: Routledge; Herrick, D.M., (2007) Medical tourism: Global competition in health care, , NCPA, Policy Report No. 304; BOI and investment promotion policy to strengthen health system (2012) Thai Health, 2012, pp. 77-81. , Mahidol University, Bangkok; Thailand: What's happening at Bumrungrad International Hospital? (2009) International Journal Medical Travel Journal News, , http://www.imtj.com/news/?EntryId82=158481, Accessed on 28 August 2012; Khan, M., (2010) Medical tourism: Outsourcing of healthcare, , ScholarWorks@UMass, University of Massachusetts, Amherst; Knox, J.S., Visual-verbal communication on online newspaper home pages (2007) Visual Communication, 6 (1), pp. 19-53. , http://dx.doi.org/10.1177/1470357207071464; Kress, G., van Leeuwen, T., (2006) Reading Images: The Grammar of Visual Design, , London: Routledge; Levinson, S.C., (1983) Pragmatics, , Cambridge: Cambridge University Press; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) The Open Medical Informatics Journal, 4, pp. 1-11. , http://dx.doi.org/10.2174/1874431101004010001; Medical Tourism Association Bumrungrad Hospital Survey May 1st 2009 (2009) Medical Tourism Magazine, , http://www.medicaltourismassociation.com/userfiles/files/Bumrungrad%20Patient%20Survey-FINAL.pdf, Accessed on 17 September 2012; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bulletin of the World Health Organization, 89, pp. 336-344. , http://dx.doi.org/10.2471/BLT.09.072249; O'Neill, O., (2002) Autonomy and Trust in Bioethics, , http://dx.doi.org/10.1017/CBO9780511606250, Cambridge: Cambridge University Press; Rayson, P., Garside, R., Comparing corpora using frequency profiling (2000) Annual Meeting of the ACL: Proceedings of the Workshop on Comparing Corpora, 9, pp. 1-6. , http://dx.doi.org/10.3115/1117729.1117730; Relman, A.S., Medical professionalism in a commercialized health care market (2008) Cleveland Clinic Journal of Medicine, 75 (6), pp. S33-S36. , http://dx.doi.org/10.3949/ccjm.75.Suppl_6.S33; Runckel, C., (2007) Which Thai hospital is best for me: Bumrungrad or Bangkok Hospital, , http://www.business-in-asia.com/asia/thailand_medical_tour.html, Accessed on 22 August 2012; Sarnsamak, P., (2008) Medical tourism worsens doctor crisis, , 5 February 2008. The Nation, p. 1; Scott, M., PC analysis of key words-and key key words (1997) System, 25 (2), pp. 233-245. , http://dx.doi.org/10.1016/S0346-251X(97)00011-0; Scott, M., Focusing on the text and its key words (2000) Rethinking Language Pedagogy from a Corpus Perspective, Volume 2, pp. 103-122. , L. Burnard and T. McEnery (eds). Frankfurt: Peter Lang; Tata, S., (2007) Medical Travel in Asia and the Pacific: Challenges and Opportunities, , Bangkok: United Nations Economic and Social Commission for Asia and the Pacific; Medical equipment and accessories (2007) Thailand Investment Review, 17 (9), pp. 6-10; Thailand: Asia's medical hub (2007) Thailand Investment Review, 17 (9), pp. 1-3; (2010) List of FDA-approved lasers for LASIK, , http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/SurgeryandLifeSupport/LASIK/ucm192109.htm, Accessed on 21 September 2012; Warren, J.L., Yabroff, K.R., Meekins, A., Topor, M., Lamont, E.B., Brown, M.L., Evaluation of trends in the cost of initial cancer treatment (2008) Journal of the National Cancer Institute, 100, pp. 888-897. , http://dx.doi.org/10.1093/jnci/djn175; Woolhandler, S., Himmelstein, D.U., When money is the mission-the high costs of investor-owned care (1999) New England Journal of Medicine, 341, pp. 444-446. , http://dx.doi.org/10.1056/NEJM199908053410611","Carreon, J.R.; School of Liberal Arts, King Mongkut's University of Technology Thonburi, 126 Pracha- Uthit Road, Thailand; email: milojohn23@gmail.com",,,"Equinox Publishing Ltd",,,,,20403658,,,,"English","J. Appl. Linguist. Prof. Pract.",Article,"Final",,Scopus,2-s2.0-85029359782 "Dousse N.","17834213100;","Early patient mobilisation - Various methods of active and passive mobilisation in intensive care [La mobilisation précoce du patient - Les différentes techniques de mobilisation passive et active aux soins intensifs]",2011,"Reanimation","20","SUPPL.2",,"698","701",,2,"10.1007/s13546-010-0139-5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856973220&doi=10.1007%2fs13546-010-0139-5&partnerID=40&md5=6f44598ac6068d571f171723d27b23ad","Soins Intensifs Adultes, Hôpitaux Universitaires de Genève, rue Gabrielle-Perret-Gentil 4, CH-1211 Genève 14, Switzerland","Dousse, N., Soins Intensifs Adultes, Hôpitaux Universitaires de Genève, rue Gabrielle-Perret-Gentil 4, CH-1211 Genève 14, Switzerland",[No abstract available],,"article; human; intensive care; passive movement; patient mobility",,,,,,,,"Griffiths, R.D., Palmer, T.E., Helliwell, T., Effect of passive stretching on the wasting of muscle in the critically ill (1995) Nutrition, 11, pp. 428-432; Broy, C., Choffart, V., Gangloff, P., Faut-il mobiliser un patient en réanimation ? 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Available from; (2004) Office of Travel and Tourism Industries Survey of International Air Travelers US to Overseas and Mexico by Birth and Citizenship. 2004 Report, , U. S. Department of Commerce. January-December; Wapner, J., American medical association provides guidance on medical tourism (2008) BMJ, 337, pp. a575","Reed, C. M.; Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333, United States",,,,,,,,07415206,,,"20814276","English","Plast. Surg. Nurs.",Article,"Final",,Scopus,2-s2.0-77957582988 "Laupland K.B., Fisman D.N.","7004382069;7003967070;","The accidental medical tourist",2010,"Canadian Journal of Infectious Diseases and Medical Microbiology","21","4",,"155","156",,2,"10.1155/2010/769408","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953242145&doi=10.1155%2f2010%2f769408&partnerID=40&md5=08f6ce11cf0c7e652e54aad9e9a023e4","Departments of Medicine, Critical Care Medicine, Pathology and Laboratory Medicine, Centre for Antimicrobial Resistance, University of Calgary, Calgary, AB, Canada; Hospital for Sick Children, University of Toronto, Ontario Agency for Health Protection and Promotion, Toronto, ON, Canada","Laupland, K.B., Departments of Medicine, Critical Care Medicine, Pathology and Laboratory Medicine, Centre for Antimicrobial Resistance, University of Calgary, Calgary, AB, Canada; Fisman, D.N., Hospital for Sick Children, University of Toronto, Ontario Agency for Health Protection and Promotion, Toronto, ON, Canada",[No abstract available],,"colistin; metallo beta lactamase; tigecycline; antibiotic resistance; Gram negative infection; human; Klebsiella pneumoniae; malaria; medical ethics; medical tourism; mycobacteriosis; Mycobacterium abscessus; nephrotoxicity; neurotoxicity; review; travel",,"colistin, 1066-17-7, 1264-72-8; tigecycline, 220620-09-7",,,,,,"Turner, L., ""Medical tourism"" and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care (2010) Int J Health Serv, 40, pp. 443-467; Shenfield, F., De Mouzon, J., Pennings, G., Cross border reproductive care in six European countries (2010) Hum Reprod, 25, pp. 1361-1368; Schiano, T.D., Rhodes, R., Transplant tourism (2010) Curr Opin Organ Transplant, 15, pp. 245-248; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Krishnaswami, J., Exploring health care and medical tourism in a modernizing society: Journey in Chennai, India (2010) Perm J, 14, pp. 78-89; Nontuberculous mycobacterial infections after cosmetic surgery - Santo Domingo, Dominican Republic, 2003-2004 (2004) MMWR Morb Mortal Wkly Rep, 53, p. 509; Yong, D., Toleman, M.A., Giske, C.G., Characterization of a new metallo-beta-lactamase gene, bla(NDM-1), and a novel erythromycin esterase gene carried on a unique genetic structure in Klebsiella pneumoniae sequence type 14 from India (2009) Antimicrob Agents Chemother, 53, pp. 5046-5054; Poirel, L., Lagrutta, E., Taylor, P., Pham, J., Nordmann, P., Emergence of metallo-b-lactamase NDM-1-producing multidrug resistant Escherichia coli in Australia (2010) Antimicrob Agents Chemother, 54, pp. 4914-4916; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: A molecular, biological, and epidemiological study (2010) Lancet Infect Dis, 10, pp. 597-602; Detection of Enterobacteriaceae isolates carrying metallo-beta-lactamase - United States, 2010 (2010) MMWR Morb Mortal Wkly Rep, 59, p. 750; Laupland, K.B., Church, D.L., Vidakovich, J., Mucenski, M., Pitout, J.D., Community-onset extended-spectrum beta-lactamase (ESBL) producing Escherichia coli: Importance of international travel (2008) J Infect, 57, pp. 441-448; Patel, T.A., Armstrong, M., Morris-Jones, S.D., Wright, S.G., Doherty, T., Imported enteric fever: Case series from the hospital for tropical diseases, London, United Kingdom (2010) Am J Trop Med Hyg, 82, pp. 1121-1126; Meltzer, E., Schwartz, E., Enteric fever: A travel medicine oriented view (2010) Curr Opin Infect Dis, 23, pp. 432-437; Lynch, M.F., Blanton, E.M., Bulens, S., Typhoid fever in the United States, 1999-2006 (2009) JAMA, 302, pp. 859-865; Goldfarb, D., Harvey, S.B., Jessamine, K., Jessamine, P., Toye, B., Desjardins, M., Detection of plasmid-mediated KPC-producing Klebsiella pneumoniae in Ottawa, Canada: Evidence of intrahospital transmission (2009) J Clin Microbiol, 47, pp. 1920-1922; Stuart, T.L., Mulvey, M., Simor, A.E., Acinetobacter baumannii in casualties returning from Afghanistan (2007) Can J Infect Control, 22, pp. 152-154; Tien, H.C., Battad, A., Bryce, E.A., Multi-drug resistant Acinetobacter infections in critically injured Canadian forces soldiers (2007) BMC Infect Dis, 7, p. 95; Kontopoulou, K., Protonotariou, E., Vasilakos, K., Hospital outbreak caused by Klebsiella pneumoniae producing KPC-2 beta-lactamase resistant to colistin (2010) J Hosp Infect, 76, pp. 70-73; Falagas, M.E., Kasiakou, S.K., Colistin: The revival of polymyxins for the management of multidrug-resistant gram-negative bacterial infections (2005) Clinical Infectious Diseases, 40 (9), pp. 1333-1341. , DOI 10.1086/429323","Laupland, K. B.; Peter Lougheed Centre, 3500-36th Street Northeast, Calgary, AB T1Y 6J4, Canada; email: Kevin.laupland@calgaryhealthregion.ca",,,"Hindawi Limited",,,,,17129532,,,,"English","Can. J. Infect. Dis. Med. Microbiol.",Review,"Final",Open Access,Scopus,2-s2.0-79953242145 "Puri S., Singh A., Yashik","15923854800;55487577000;36621809800;","Medical tourism-A new arena",2010,"Iranian Journal of Public Health","39","3",,"16","19",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77958604352&partnerID=40&md5=500515a79136de3f4925ce5325b5d794","Dept. of Community Medicine, Government Medical College and Hospital, Chandigarh, India; Dept. of Community Medicine, School of Public Health, PGIMER (Post Graduate Institute of Medicine and research), Chandigarh, India; Government Medical College and Hospital, Chandigarh, India","Puri, S., Dept. of Community Medicine, Government Medical College and Hospital, Chandigarh, India; Singh, A., Dept. of Community Medicine, School of Public Health, PGIMER (Post Graduate Institute of Medicine and research), Chandigarh, India; Yashik, Government Medical College and Hospital, Chandigarh, India","Globalisation has given birth to medical tourism. Health and medical tourism are the fastest growing segments in not only developed nations but in developing countries too. India has become a hot destination, as the Indian medical standards match up to the highly prescribed international standards at a very low cost. However, it is an unmixed blessing; along with advantages, it has many unintended side effects also.",,,,,,,,,,"Borman, E., Health Tourism (2004) BMJ, 328, pp. 60-61; John, S.O., Health care is para-dox in India (2005) BMJ, 330, p. 1330; Laurie, G., For big surgery, Delhi is dealing (2008) The Chicago Tribune, , http://www.google.com, March 28; Mudur, G., Hospitals in India woo foreign patients (2004) BMJ, 328, p. 1338; Peter, A.C., Sponsored medical tourism (2008) BMJ, 336, p. 522; Wapner, J., American Medical Association provides guidance on medical tourism (2008) BMJ, 337, p. 575; Lagace, M., The Rise of Medical Tourism (2007) Harvard Business School Working Knowledge, , http/hbswk.hbs.edu/item; Eggertson, L., Wait-list weary Canadians seek treatment abroad (2006) CMAJ, 9, p. 174; Bezruchka, S., Medical Tourism as medical harm in the third world: Why, For Whom? (2000) Wilderness and Environmental Medicine, 11, pp. 77-78; Bishop, R., Litch, J., 2000. Medical Tourism can do harm BMJ, 320, p. 1017; (2004) CBC News Online, , http://www.google.com, Medical tourism, Need surgery, will travel, June 18. Available; Medical tourism growing worldwide (2005) UDaily, , http://www.yahoo.com, by Becca Hutchinson, July 25; http://www.google.com; Gray, H., Poland, S., Medical Tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-197; Carrera, P., Medical tourism (2006) Health Affairs, 25 (5), p. 1453; Chinai, R., Goswami, R., Medical Visas mark growth of Indian medical tourism (2007) Bulletin of The World Health Organization, 209, p. 422; Nazir, Z., Just what the hospital ordered: Global accreditations (2006) Indian Express News, , http://www.google.com, Sep 18. Available; Sinha, K., Medical tourism booming in India (2008) The Times of India, , http://www.rediffmail.com, Apr 4. Available; Whittaker, A., Pleasure and Pain: Medical Travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Assocham, Indian medical tourism to touch Rs 9,500 cr by 2015 (2009) The Economic Times, , http://www.google.com, 6 Jan. Available from; Henderson, J., Healthcare Tourism in Southeast Asia (2004) Tourism Review International, 7 (3-4), pp. 111-121; Just what the hospital ordered: Global accreditations (2006) Indian Express, , http://www.google.com, by Zeenat Nazir, Sept 18. Available; Borman, E., Health Tourism: Where healthcare, ethics, and the state collide (2004) BMJ, 328, pp. 60-72; Pennings, G., Legal harmonization and reproductive tourism in Europe (2004) Human Reproductions, 9 (12), pp. 2689-2694; Lluberas, G., Medical Tourism (2001) Wilderness and Environmental Medicine, 12 (1), p. 66. , http://www.wemjournal.org; Shimazono, Y., The state of the international organ trade: A provisional picture based on integration of available information (2007) The Bulletin of The World Health Organization, 85, pp. 901-908; McCallum, B.T., Jacob, P.F., Medical outsourcing: Reducing client's health care risks (2007) Journal of Financial Planning, 20 (10), p. 60","Puri, S.; Dept. of Community Medicine, Government Medical College and Hospital, Chandigarh, India; email: soniagpuri@gmail.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Review,"Final",,Scopus,2-s2.0-77958604352 "Kern B.S.","35362084200;","Medical tourism liability may fall on domestic doctors.",2009,"Medical economics","86","23",,"42","",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-75649106859&partnerID=40&md5=7d3689489286db059a4dbb3031534745","Argent Professional Insurance Agency in WarrenNew Jersey, United States","Kern, B.S., Argent Professional Insurance Agency in WarrenNew Jersey, United States",[No abstract available],,"article; human; legal aspect; legal liability; malpractice; medical tourism; physician; United States; Humans; Liability, Legal; Malpractice; Medical Tourism; Physicians; United States",,,,,,,,,"Kern, B.S.",,,,,,,,00257206,,,"20055023","English","Med Econ",Article,"Final",,Scopus,2-s2.0-75649106859 "Richards T.","7201873469;","The medical travellers' tale",2008,"BMJ","337","7682",,"1324","",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-57449105223&partnerID=40&md5=2cf6417bfe9c35750ffd09b4f8fc9926",,"Richards, T.",[No abstract available],,"geographic distribution; health care; health care cost; medical care; medical service; priority journal; short survey; tourism; travel; Delivery of Health Care; Hospitals, Private; Humans; Patient Acceptance of Health Care; Travel",,,,,,,,,,,,,,,,,09598146,,BMJOA,"19052071","English","BMJ",Short Survey,"Final",,Scopus,2-s2.0-57449105223 "Horowitz M.D., Rosensweig J.A., Jones C.A.","57210536016;23005952900;57183388900;","Women's issues in medical tourism",2008,"International Journal of Fertility and Women's Medicine","53","5",,"150","160",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-63049133112&partnerID=40&md5=e84b59aa1aa752a5e99ce6646f12587b","Global Perspectives Program, Goizueta Business School, Emory University, Atlanta, GA, United States; Medical Insights International, Lebanon, GA, United States; Center for Study of Multiple Births, Chicago, IL, United States; For My Odds LLC, Chicago, IL, United States","Horowitz, M.D., Global Perspectives Program, Goizueta Business School, Emory University, Atlanta, GA, United States, Medical Insights International, Lebanon, GA, United States; Rosensweig, J.A., Global Perspectives Program, Goizueta Business School, Emory University, Atlanta, GA, United States; Jones, C.A., Center for Study of Multiple Births, Chicago, IL, United States, For My Odds LLC, Chicago, IL, United States","The citizens of many countries have long traveled to the United States and to the developed countries of Europe to seek the expertise and advanced technology available in leading medical centers. In the recent past, a trend known as medical tourism has emerged where citizens of highly developed countries are traveling to less developed areas of the world to receive medical care. With a focus on women's health issues, this paper discusses the nature of medical tourism including its rapid evolution, the diverse destinations to which patients are traveling for a wide variety of procedures, and concerns about safety and quality. Also, we explore the challenges and potential opportunities in women's health care associated with medical tourism. © 2008 MSP International, Inc.","Globalization; Health economics; Health policy; Medical tourism; Professional affairs","article; economic evaluation; gynecologic care; health care cost; health care delivery; health care policy; health care quality; health insurance; health service; hospitalization; human; industrialization; Internet; medical care; medical practice; medical tourism; medicolegal aspect; obstetric care; patient safety; patient satisfaction; priority journal; tourism; travel; women's health",,,,,,,,"Horowitz, M.D., Rosensweig, J.A., Medical tourism - healthcare in the global economy (2007) Physician Executive, 33, pp. 24-30; Tourists seek cheaper medical procedures in Asia (Audio). All things Considered, National Public Radio 2005; Feb 14. Available at http://www.npr.org/templates/story/story.php?storyId=4498754. Accessed July 9, 2007; Vacation, adventure and surgery? (Transcript and Video) (2004) Minutes, CBS News, 60. , http://www.cbsnews.com/stries/2005/04/21/60minutes/main689998.shtml, Sep 4. Available at Accessed July 9, 2007; Bishop, R.A., Litch, J.A., Medical tourism can do harm (2000) Br Med J, 320, p. 1017; Schult J: Beauty from Afar-A Medical Tourist's Guide to Affordable and Quality Cosmetic Care Outside the U.S. New York, NY: Stewart, Tabori & Chang, 2006; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25, pp. 358-368; Great Indian hospitality can be biz too. The Economic Times (India) Jul 29, 2005; Sen, C., Thai health tourism gives India headache (2005) The Economic Times, , India Jul 24; Wiradji, S.M., Singapore aims to be medical health care destination (2005) The Jakarta Post, , Jul 24; Baliga, H., Medical tourism is the new wave of outsourcing from India India Daily, , http://www.indiadaily.com/editorial/14858.asp, Dec 23, 2006. Available at, Accessed July 9, 2007; Jones, C., cited in, Arnold, K., Going under the knife abroad: Medical tourism industry booms as health care costs rise (2006) The Monitor, , McAllen, TX Nov 15; Konrad, W., Employers make a push for 'medical tourism' CNNMoney,com/Fortune Small Business, , http://money.cnn.com/magazines/fsb/fsb_archive/2007/05/01/100003808/index.htm?postversion=2007043012, May 15, 2007. Available at, Accessed July 9, 2007; Cochrane, J., Why patients are flocking overseas for operations (2006) Newsweek International, , Oct 30; Lancaster, J., Surgeries, side trips for 'medical tourists (2004) Washington Post, , Oct. 21; Thailand's Medical Tourism (Video). CBS News Aug 15, 2005. Available at http://www.cbsnews.com/htdocs/videoplayer/ newVid/ smallℏayer/cbsnews_videoplayer.shtml?clip=/media/2005/08/16/ video781417.wmv&sec=&vidId=&title= Thailands$£Medical$ £Tourism&hitboxMLC= Accessed July 11, 2007; Kher, U., Outsourcing your heart (2006) Time, pp. 44-47. , May 29; Alsever, J., Basking on the beach, or maybe on the operating table (2006) New York Times, , Oct 15; Hancock, D., (2006) The Complete Medical Tourist - Your Guide to Inexpensive Cosmetic, Medical and Dental Surgery Abroad, , London: John Blake Publishing; Woodman, J., (2007) Patients Beyond Borders - Everybody's Guide to Affordable, World-Class Medical Tourism, , Chapel Hill, NC: Healthy Travel Media; Breen, K., Patients heading abroad for hope (2007) Dallas Morning News, , http://www.dallasnews.com/sharedcontent/dws/dn/latestnews/stories/052907dnmetmedicaltourism, May 29, 3993464.html, Accessed July 11; Bangkok International Symposium, , http://www.stemcellbangkok.com, on Stem Cell Therapy for the Failing Heart. Available, Accessed July 11, 2007; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) Int J Fertil Wom Med, 51, pp. 251-255; Henderson M: Couples are 'driven to IVF tourism by ethical disparities across Europe'. The Times (London). July 2, 2007. Available at http://www.timesonline.co.uk/tol/news/uk/science/ article2013609.ece. Accessed July 4, 2007; Europe struggles to meet the challenges posed by PGD patients traveling abroad, , http://www.eurekalert.org/pub_releases/2007-07/esfh-est070107.php, European Society for Human Reproduction and Embryology, Press Release, Available at:, Accessed July 11, 2007; Leigh, S., Reproductive 'tourism' (2005) USA Today, , May 2; Tiny Treasures, LLC Egg Donation Facilitation Agency, , http://www.tinytreasuresagency.com/parents/international/index.html, International Clients. Available at, Accessed July 11, 2007; (2007) Women on Waves, , http://www.womenonwaves.org/article-1020.273-en.html, Abortion on our ship. Available at, Accessed Jul 11; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1848-1850; Buenos Aires or Bust. Mod Healthcare 34:48. 2004; Bumrungrad International Hospital Heart Center, , http://www.bumrungrad.com/overseas-medical-care/Medical-Services/Clinics-and-Centers/Heart-Center.aspx, Thailand, Available at, Accessed July 12, 2007; Singapore medicine, , http://www.singaporemedicine.com, Available at, Accessed July 12, 2007; http://www.imc.jhmi.edu/sin/default.asp, Johns Hopkins Singapore International Medical Centre. Available at, July 12, 2007; Jenkinson, M., Get ready for medical tourism. Alberta Report / Newsmagazine (Canada) (1996), 23 (16), p. 9; Clinic International-The International Health Service, , http://www.clinic-international.com/go/home, Germany, Available at, Accessed July 13, 2007; Medical Tourism at Munich International Airport, , http://europforvisitors.com/munich/airport/muechen-airport-center-medical-facilities.htm, Germany, Available at, Accessed July 13, 2007; O'Keeffe, A., Hibbert, K., Get your bypass operation on the HIS (2003) New Statesman (UK), 132 (4659), p. 21; The Tel Aviv Sourasky Medical Center, , http://www.tasmc.org.il/e/medicaltourism, Israel, Available at, Accessed July 13, 2007; Bookman MZ, Bookman KR: Medical tourism in developing countries. New Youk, NY:PAlgrave Macmillan Ltd. 65-93,169-185, 2007; Chinai, R., Goswami, R., Medical visas mark growth of Indian Medical Tourism (2007) Bull World Health Organ, 85, pp. 164-165; Joint Commission International Accredited Organizations, , http://www.Jointcommissioninternational.org/10241, Available at, Accessed July 15, 2007; International Organization for Standardization. Available at http://www.iso.org/iso/en/ISOOnline.frontpage. Accessed July 15, 2007; http://www.plasticsurgery.org/media/briefing_papers/Cosmetic-Surgery-Tourism-Briefing-Paper.cfm, Briefing Paper: Cosmetic Surgery Tourism. Available at, Accessed July 15, 2007; Milstein, A., Smith, M., America's new refugees- seeking affordable surgery offshore (2006) NEJM, 355, pp. 1637-1640; American Medical Association Organized Medical Staff Section. Governing Council Report B (June 2007). Medical travel outside the U.S. Available at http://www.ama-assn.org/ama1/pub/upload/mm/21/ a07repb.pdf. Accessed July 17, 2007; Results of site search for ""medical tourism"", , http://www3.aaos.org/search/search.asp?client=my_collection&site=my_colletion&output=xml&ie=&lr=&q=Medical+Tourism&btnG=Search, Available at, Accessed July 17, 2007; Results of site search for ""dental tourism"", , http://gsa.ada.org/search?q=dental+tourism&site=ADAorg_Collection&client=ADAorg_FrontEnd&proxystylesheet=ADAorg_FrontEnd&output=xml_no_dtd&proxyreload=1&btnG.x=0&btnG.y=0&btnG=Search, Available at, Accessed July 17, 2007; Results of site search for medical tourism, , http://www.acog.org, Available at, Accessed July 17, 2007; Results of site search for medical tourism, , http://www.asrm.org/search/sitesearch.html, Available at, Accessed July 17, 2007; Results of site search for medical tourism, , http://www.sart.org/index.html, Society for Assisted Reproductive Technology, Available at, Accessed July 17, 2007; Safety of Medical Tourism (Video). CSPAN.org Jun 27, 2006. Available at http://www.c-spanstore.org/shop/index.php?main_page= product_video_info&cPath=6_11&products_id=193173-1 Accessed July 17, 2007; Van Dusen A: Outsourcing your health. Forbes.com May 22, 2007. Available at http://www.forbes.com/2007/05/21/outsourcing- medical-tourism-biz-cx_avd_0522medtourism.html?partner=email. Accesses July 17, 2007; Is traveling abroad for cheap surgery extreme? Your Health: Taking Control NBC Nightly News, , http://video.msn.com/v/us/fv/msnbc/fv.htm??g=e16a56187fb2-4773-a2679a9724b394bf&f=00&fg=copy, Available at Accessed July 17, 2007; West Virginia Legislature. HB 2841. Available at http://www.legis.state.wv.us/Bill_Text_HTML/2007_SESSIONS/RS/ BILLS/hb2841%20intr.htm. Accessed July 17, 2007; West Virginia Legislature. Bill status - 2007 regular session. HB 2841. Available at http://www.legis.state.wv.us/Bill_Status/ bills_history.cfm?year=2007&sessiontype=RS. Accessed July 17, 2007; MedicWl tourism: Need surgery: will travel. Indepth: Health Care, CBC News Online Jun 18, 2004. Available at http://www.cbc.ca/news/background/healthcare/medicaltourism2.html. Accessed July 17, 2007","Horowitz, M.D.; Global Perspectives Program, Goizueta Business School, Emory University, Atlanta, GA, United States",,,,,,,,1534892X,,IJWMF,,"English","Int. J. Fertil. Women's Med.",Article,"Final",,Scopus,2-s2.0-63049133112 "Hannam K.","6602124855;","Ayurvedic health tourism in Kerala, India",2008,"Health and Wellness Tourism",,,,"341","344",,2,"10.4324/9780080942032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906643679&doi=10.4324%2f9780080942032&partnerID=40&md5=3a283207f3e4d6310c26c5cd8f61287e","School of Arts, Design, Media and Culture, University of Sunderland, Sunderland, United Kingdom","Hannam, K., School of Arts, Design, Media and Culture, University of Sunderland, Sunderland, United Kingdom",[No abstract available],,,,,,,,,,,"Hannam, K.; School of Arts, Design, Media and Culture, University of Sunderland, Sunderland, United Kingdom",,,"Butterworth-Heinemann",,,,,,9780080942032,,,"English","Health and Wellness Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84906643679 "Gustavo N.","56259028600;","São Pedro do Sul thermal centre: Between health and wellness tourism",2008,"Health and Wellness Tourism",,,,"319","324",,2,"10.4324/9780080942032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84903981897&doi=10.4324%2f9780080942032&partnerID=40&md5=9c2ce4c7e3ab292b11710b0e110e278b","Escola Superior de Hotelaria e Turismo do Estoril, Estoril, Portugal","Gustavo, N., Escola Superior de Hotelaria e Turismo do Estoril, Estoril, Portugal",[No abstract available],,,,,,,,,,,"Gustavo, N.; Escola Superior de Hotelaria e Turismo do Estoril, Estoril, Portugal",,,"Butterworth-Heinemann",,,,,,9780080942032,,,"English","Health and Wellness Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84903981897 "Chatterjee A.","56320080200;","The art, science and commerce of medical tourism",2007,"Journal of the Indian Medical Association","105","11",,"619","620",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-42249103590&partnerID=40&md5=1bce7ca2da24f940ca1fbfb49ed7c187","BM Birla Heart Research Centre, Kolkata 700027, India","Chatterjee, A., BM Birla Heart Research Centre, Kolkata 700027, India",[No abstract available],,"accreditation; art; consultation; editorial; health care; health care facility; health care industry; hospital; India; medicare; medicine; science; telemedicine; tourism; transplantation; Delivery of Health Care; Humans; India; International Cooperation; Science; Travel; World Health",,,,,,,,,"Chatterjee, A.; BM Birla Heart Research Centre, Kolkata 700027, India",,,,,,,,00195847,,JIMAA,"18405086","English","J. Indian Med. Assoc.",Editorial,"Final",,Scopus,2-s2.0-42249103590 "Muzaffar F., Hussain I.","6602606243;55567670800;","Medical tourism: Are we ready to take the challenge?",2007,"Journal of Pakistan Association of Dermatologists","17","4",,"215","218",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-41149163263&partnerID=40&md5=d0d7c8eddc02eda4814ec7210976318d","Dermatology Department, Institute of Child Health, Children Hospital, Lahore, Pakistan; Dermatology Department, Postgraduate Medical Institute, Lahore General Hospital, Lahore, Pakistan","Muzaffar, F., Dermatology Department, Institute of Child Health, Children Hospital, Lahore, Pakistan; Hussain, I., Dermatology Department, Postgraduate Medical Institute, Lahore General Hospital, Lahore, Pakistan",[No abstract available],,"editorial; health care organization; health care quality; health care system; health program; health service; human; medical practice; travel",,,,,,,,"Medical tourism, , http://en.wikipedia.org/wiki/Medical_tourism, Accessed on 14.11.2007; Horowitz, M.D., Rosenweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape Med J, 9, p. 33; http://www.europeanmedicaltourist.com, European medical tourism; Discovering medical tourism, , http://www.medical-travel-asia-guide.blogspot.com; Relief in taxes for poultry, dairy industries and medical tourism, , http://www.dailytimes.com.pk/default.asp?page=2006%5C06%5C08%5Cstory_8-6-2006_pg5_1","Muzaffar, F.; Dermatology Department, Institute of Child Health, Children Hospital, Lahore, Pakistan; email: dr_farhanamuzaffar62@hotmail.com",,,,,,,,15609014,,JPADF,,"English","J. Pak. Assoc. Dermatol.",Editorial,"Final",,Scopus,2-s2.0-41149163263 "Falcon C.","7004440600;","Low-power transceivers get patients mobile",2004,"IEE Communications Engineer","2","3",,"40","43",,2,"10.1049/ce:20040308","https://www.scopus.com/inward/record.uri?eid=2-s2.0-3142567014&doi=10.1049%2fce%3a20040308&partnerID=40&md5=4948b9c6e25a6297a5f9ab1d8a16b85e","AMI Semiconductor","Falcon, C., AMI Semiconductor","The wireless system enabled by low-power radio technology which is applied in the medical environment is discussed. The system facilitates higher level of patient care, relatives comfort and delivers mobility inside and outside medical facility environment. The medical implant communication services (MICS) and wireless medical telemetry services (WMTS) are the two network protocols related to medical electronic devices. WMTS are used to measure critical parameters of the patients using radio enabled sensors and provides digital communication of the measurements with time. The device enables the patients to contact and communicate with their relatives and physicians.",,"Costs; Electronic medical equipment; Energy utilization; Frequencies; Human engineering; Machine design; Radiation effects; Radio communication; Risk assessment; Telemetering equipment; Transceivers; Cardiac rhythm management (CRM); Magnetic inductive couplings; Medical implant communication services (MICS); Wireless medical telemetry services (WMTS); Wireless telecommunication systems",,,,,,,,,"AMI Semiconductor",,,,,,,,14798352,,,,"English","IEE Commun. Eng.",Review,"Final",,Scopus,2-s2.0-3142567014 "Johnson O.","7103253356;","Bogotá launches health tourism project.",2002,"BMJ (Clinical research ed.)","325","7354",,"10","",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-19044399911&partnerID=40&md5=da4c99533ab45a62233b297541ea0800",,"Johnson, O.",[No abstract available],,"article; Colombia; health care delivery; human; travel; Colombia; Health Services Accessibility; Humans; Travel",,,,,,,,,"Johnson, O.",,,,,,,,14685833,,,"12102070","English","BMJ",Article,"Final",,Scopus,2-s2.0-19044399911 "Hale W.A., Delaney M.J., McGaghie W.C.","7101829801;7102802893;7006333986;","Physician estimates as predictors of elderly patients' mobility scores",1992,"Family Medicine","24","1",,"24","27",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026570849&partnerID=40&md5=cc53ebcd1253a400e5196865310ced98","Family Practice Center, 1125 North Church Street, Greensboro, NC 27401- 1007, United States","Hale, W.A., Family Practice Center, 1125 North Church Street, Greensboro, NC 27401- 1007, United States; Delaney, M.J., Family Practice Center, 1125 North Church Street, Greensboro, NC 27401- 1007, United States; McGaghie, W.C., Family Practice Center, 1125 North Church Street, Greensboro, NC 27401- 1007, United States","In a previous study, residency physicians' estimates of patients' mobility scores were strongly associated with the patients' actual scores. The present study tested the hypothesis that community physicians would similarly be able to predict patients' mobility scores. Dysmobility risk-factor questionnaires were given during routine office visits to 120 ambulatory and mentally competent patients older than age 65. After the visit, the attending physician estimated the patient's mobility score (PEMS), and the patient independently underwent mobility testing. The PEMS was 71% sensitive and 80% specific in selecting those patients who had a mobility score of less than 30. Choosing patients with low PEMS or high age (75+) increased sensitivity (96%) while decreasing specificity (53%). Alternatively, selecting only patients over age 75 with low PEMS or problems walking had a sensitivity of 78% and specificity of 86%. This study suggests that by using pretests, the physician can exclude many elderly patients from mobility testing while detecting most of those who are dysmobile.",,"aged; article; elderly care; female; functional assessment; general practitioner; human; major clinical study; male; questionnaire; risk factor; Activities of Daily Living; Aged; Aged, 80 and over; Evaluation Studies; Family Practice; Gait; Geriatric Assessment; Human; Locomotion; Mass Screening; Predictive Value of Tests; Questionnaires; Sensitivity and Specificity; Support, Non-U.S. Gov't",,,,,,,,,,,,,,,,,07423225,,FAMEE,"1544528","English","FAM. MED.",Article,"Final",,Scopus,2-s2.0-0026570849 "Halstead L.S.","36725731800;","Wheelchair odometer: method for quantitating patients' mobility in wheelchairs.",1973,"Archives of Physical Medicine and Rehabilitation","54","1",,"39","42",,2,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0015535545&partnerID=40&md5=7cd92c79a0b1ae91fdedd740192b83a2",,"Halstead, L.S.",[No abstract available],,"apparatus, equipment and supplies; article; disabled person; human; motion; wheelchair; Disabled Persons; Equipment and Supplies; Human; Motion; Wheelchairs",,,,,,,,,"Halstead, L.S.",,,,,,,,00039993,,,"4266028","English","Arch Phys Med Rehabil",Article,"Final",,Scopus,2-s2.0-0015535545 "Boeger Z.","57191309531;","Incorporating mammography into an overseas referral metric: Tongan doctors’ assessments of patient eligibility for medical travel",2020,"Social Science and Medicine","254",, 112355,"","",,1,"10.1016/j.socscimed.2019.06.008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067273028&doi=10.1016%2fj.socscimed.2019.06.008&partnerID=40&md5=1abdaf21bba18b7b0ff55216061e5e10","Department of Anthropology, University of Hawai‘i–Mānoa, 2424 Maile Way, Saunders Hall 346, Honolulu, HI 96822, United States","Boeger, Z., Department of Anthropology, University of Hawai‘i–Mānoa, 2424 Maile Way, Saunders Hall 346, Honolulu, HI 96822, United States","Tonga's largest public hospital received its second—although its first fully functioning—mammogram machine in 2016. If diagnosed with breast cancer, Tongan women must travel to New Zealand or Australia to access biomedical treatment (e.g. chemotherapy), but many can only do so with financial support from the Tongan government. Given limited funding, strict referral guidelines require doctors to quantify patients into calculations of risk. According to these guidelines, which I argue serve as an overseas referral metric, only “low-risk” patients—as determined by prognosis and treatment cost—are supposed to be funded. At present, doctors can sometimes draw on qualitative knowledge, such as long-term clinical experience, to circumvent referral guidelines. However, as mammography touts new epidemiological capabilities, it also has the potential to reinforce emphases on quantifiable evaluations of referral eligibility, which are often preferred by program funders. This could potentially exclude some women from treatment, as already-limited funding is increasingly reserved for those deemed “low-risk” according to numerical assessments. Based on recent ethnographic fieldwork (2016-2017) in Nuku‘alofa, Tonga, I draw on in-depth interviews and conversations with local doctors to elucidate the interplay between mammography access and practitioners’ processes of cancer diagnosis, patient risk assessment, and overseas referral. In following doctors' efforts to maximize accountability and risk management in referrals, I show how broader emphases on quantification and efficiency in global-health practice can generate intense moral dilemmas for those who must grapple with their implementation in the day-to-day. Significantly, these experiences demonstrate how numerical trends in global health not only permeate local health-care practices but also impact transnational health-care seeking, shaping a political economy of medical travel that structures opportunities for some women (and not others) to access biomedical treatment abroad. © 2019 Elsevier Ltd","Biomedical technologies; Breast cancer; Global health; Mammography; Medical travel; Metrics; Tonga; Women's health","cancer; chemotherapy; disease treatment; epidemiology; ethnography; guideline; health risk; health worker; hospital sector; medical geography; quantitative analysis; risk assessment; womens health; Article; Australia; breast cancer; cancer chemotherapy; cancer diagnosis; cancer prognosis; clinical practice; cost of illness; funding; global health; health care; health care access; health care cost; human; mammography; medical technology; medical travel; New Zealand; overseas referral metric; patient eligibility; patient referral; practice guideline; qualitative analysis; risk assessment; risk management; Tonga; trend study; Tonga; Alofa",,,,,"National Science Foundation, NSF: 1628195","I would like to express my deep gratitude to the Tongan Ministry of Health and especially the members of the medical referral team and their administrative coordinator for their support of this project. Thank you to Siri Suh and two anonymous reviewers for their feedback on earlier drafts of this article, as well as to Jan Brunson, who organized the panel on indicator fetishes and women's health at the 2017 American Anthropological Association Annual Meeting that prompted this article. This material is based upon work supported by the National Science Foundation under Grant Number 1628195 . Any opinions, findings, and conclusions or recommendations expressed in this material are those of the author and do not necessarily reflect the views of the National Science Foundation.",,"Ka‘ili, T.O., Marking Indigeneity: the Tongan Art of Sociospatial Relations (2017), University of Arizona Press Tucson; Ackerman, S.L., Plastic paradise: transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Med. Anthropol., 29 (4), pp. 403-423; Adams, V., Saving Tibet? An inquiry into modernity, lies, truths, and beliefs (2005) Med. Anthropol., 24 (1), pp. 71-110; Adams, V., Epilogue: what counts in good global health? (2016) Metrics: what Counts in Global Health, pp. 225-230. , V. Adams Duke University Press Durham; Adams, V., Metrics of the global sovereign: numbers and stories in global health (2016) Metrics: what Counts in Global Health, pp. 19-56. , V. Adams Duke University Press Durham; Addo, P., Creating a Nation with Cloth: Women, Wealth, and Tradition in the Tongan Diaspora (2013), Berghahn Books Oxford; Aronowitz, R., Gardasil: a vaccine against cancer and a drug to reduce risk (2010) Three Shots at Prevention: the HPV Vaccine and the Politics of Medicine's Simple Solutions, pp. 21-38. , K. Wailoo J. Livingston S. Epstein R. Aronowitz Baltimore: John Hopkins University Press Baltimore; Besnier, N., On the Edge of the Global: Modern Anxieties in a Pacific Island Nation (2011), Stanford University Press Stanford; Bloomfield, S.F., Illness and Cure in Tonga: Traditional and Modern Medical Practice (2002), Vava‘u Press Nuku‘alofa; Bowker, G.C., Star, S.L., Sorting Things Out (1999), MIT Press Cambridge; Casper, M.J., Carpenter, L.M., Sex, drugs, and politics: the HPV vaccine for cervical cancer. Socio (2008) Health Illn, 30 (6), pp. 886-899; Connell, J., Medical tourism: sea, sun, sand and…surgery (2006) Tourism Manag., 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: conceptualization, culture, and commodification (2013) Tourism Manag., 34, pp. 1-13; DeShazer, M.K., Mammographies: the Cultural Discourses of Breast Cancer Narratives (2013), University of Michigan Press Ann Arbor; Douglas, M., Risk and Blame: Essays in Cultural Theory (1992), Routledge London; Emerson, R.M., Fretz, R.I., Shaw, L.L., Writing Ethnographic Fieldnotes (2011), second ed. University of Chicago Press Chicago; Erikson, S.L., Global health business: the production and performativity of statistics in Sierra Leone and Germany (2012) Med. Anthropol., 31 (4), pp. 367-384; Erikson, S.L., Global health indicators and maternal health futures: the case of intrauterine growth restriction (2015) Glob. Pub. 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Prev., 32S, pp. S29-S36; Merry, S.E., The Seductions of Quantification: Measuring Human Rights, Gender Violence, and Sex Trafficking (2016), University of Chicago Press; Moore, M.A., Baumann, F., Foliaki, S., Goodman, M.T., Haddock, R., Maraka, R., Koroivueta, J., Sobue, T., Cancer epidemiology in the pacific islands—past, present and future (2010) Asian Pac. J. Cancer Prev., 11 (S2), pp. 99-106; Morton, H., From ma‘uli to motivator: transformations in reproductive health care in Tonga (2002) Birthing in the Pacific: beyond Tradition and Modernity?, pp. 31-55. , V. Lukere M. Jolly University of Hawai'i Press Honolulu; Morton Lee, H., Tongans Overseas: between Two Shores (2003), University of Hawai‘i Press Honolulu; Murphy, M., The Economization of Life (2017), Duke University Press Durham; Naraindas, H., Bastos, C., Healing holidays? itinerant patients, therapeutic locales and the quest for health (2010) Anthropol. 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Cornell University Press Ithaca; Smith, K., The problematization of medical tourism: a critique of neoliberalism (2012) Devel. World Bioeth., 12 (1), pp. 1-8; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Med. Anthropol., 29 (4), pp. 384-402; Speier, A.R., Health tourism in a Czech health spa (2010) Anthropol. Med., 18 (1), pp. 55-66; Street, A., Biomedicine in an Unstable Place: Infrastructure and Personhood in a Papua New Guinea Hospital (2014), Duke University Press Durham; Overseas Patient Referral Guideline. Copy in Author's Possession (2015); Tonga Statistics Department, Tonga 2016 Census of Population and Housing, Volume 1: Basic Tables and Administrative Report. Tonga Statistics Department, Nuku‘alofa (2016); Vaioleti, T.M., Talanoa research methodology: a developing position on Pacific research (2006) Waikato J. of Edu, 12, pp. 21-34; Wendland, C.L., Estimating death: a close reading of maternal mortality metrics in Malawi (2016) Metrics: what Counts in Global Health, pp. 57-81. , V. Adams Duke University Press Durham; Whittaker, A., Speier, A., “Cycling overseas”: care, commodification, and stratification in cross-border reproductive travel (2010) Med. Anthropol., 29 (4), pp. 363-383; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: understanding medical travel (2010) Med. Anthropol., 29 (4), pp. 336-343; Wilson, A., Foreign bodies and national scales: medical tourism in Thailand (2011) Bod. Soc., 17 (2-3), pp. 121-137; World Health Organization, Noncommunicable Diseases (NCD) Country Profiles: Tonga (2018), https://www.who.int/nmh/countries/ton_en.pdf?ua=1, (Accessed 31 March 2019); Young-Leslie, H., Inventing Health: Tradition, Textiles and Maternal Obligation in the Kingdom of Tonga (1999), PhD dissertation York University Toronto",,,,"Elsevier Ltd",,,,,02779536,,SSMDE,"31213369","English","Soc. Sci. Med.",Article,"Final",,Scopus,2-s2.0-85067273028 "Virani A., Wellstead A.M., Howlett M.","57197730017;55894862200;7004315057;","The north-south policy divide in transnational healthcare: A comparative review of policy research on medical tourism in source and destination countries",2020,"Globalization and Health","16","1", 37,"","",,1,"10.1186/s12992-020-00566-3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083948421&doi=10.1186%2fs12992-020-00566-3&partnerID=40&md5=1822a76e7fc9af566122a6266fa50d96","Lee Kuan Yew School of Public Policy, National University of Singapore, 469C Bukit Timah Road, Singapore, 259772, Singapore; Department of Social Sciences, Michigan Technological University, Houghton, United States; Department of Political Science, Simon Fraser University, Burnaby, BC, Canada","Virani, A., Lee Kuan Yew School of Public Policy, National University of Singapore, 469C Bukit Timah Road, Singapore, 259772, Singapore; Wellstead, A.M., Department of Social Sciences, Michigan Technological University, Houghton, United States; Howlett, M., Department of Political Science, Simon Fraser University, Burnaby, BC, Canada","Medical tourism occupies different spaces within national policy frameworks depending on which side of the transnational paradigm countries belong to, and how they seek to leverage it towards their developmental goals. This article draws attention to this policy divide in transnational healthcare through a comparative bibliometric review of policy research on medical tourism in select source (Canada, United States and United Kingdom) and destination countries (Mexico, India, Thailand, Malaysia and Singapore), using a systematic search of the Web of Science (WoS) database and review of grey literature. We assess cross-national differences in policy and policy research on medical tourism against contextual policy landscapes and challenges, and examine the convergence between research and policy. Our findings indicate major disparities in development agendas and national policy concerns, both between and among source and destination countries. Further, we find that research on medical tourism does not always address prevailing policy challenges, just as the policy discourse oftentimes neglects relevant policy research on the subject. Based on our review, we highlight the limited application of theoretical policy paradigms in current medical tourism research and make the case for a comparative policy research agenda for the field. © 2020 The Author(s).","Bibliometric analysis; Comparative review; Medical tourism; North-south divide; Policy research; Research-policy gap; Transnational healthcare","comparative study; health care; health policy; medical tourism; research; tourist destination; attention; Canada; grey literature; human; India; Malaysia; medical tourism; Mexico; neglect; review; Singapore; systematic review; Thailand; theoretical study; United Kingdom; Web of Science",,,,,,,,"Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, p. 1. , 20517465 2874214; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tour Manag, 27 (6), pp. 1093-1100; Viladrich, A., Baron-Faust, R., Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina (2014) Ann Tour Res, 45, pp. 116-131; De Arellano, A.B.R., Patients without borders: The emergence of medical tourism (2007) Int J Health Serv, 37 (1), pp. 193-198; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9 (1), p. 24. , 21047433 2987953; Maran, C., (2018) Unsettling Healthcare, , https://unsettlinghealthcare.org/2018/12/05/grin-or-grimace/, Department of International Development, King's College London London [cited 2018]; Whittaker, A., The implications of medical travel upon equity in lower-and middle-income countries (2015) Handbook on Medical Tourism and Patient Mobility, pp. 112-122. , N. Lunt D. Horsfall J. Hanefeld (eds) Edward Elgar Publishing Cheltenham; Burkett, L., Medical tourism: Concerns, benefits, and the American legal perspective (2007) J Legal Med, 28 (2), pp. 223-245; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2010) Int J Qual Health Care, 23 (1), pp. 1-7. , 21148210; Chen, Y.B., Flood, C.M., Medical tourism's impact on health care equity and access in low-and middle-income countries: Making the case for regulation (2013) J Law Med Ethics, 41 (1), pp. 286-300. , 23581671 23581671; Shaffer, E.R., Waitzkin, H., Brenner, J., Jasso-Aguilar, R., Global trade and public health (2005) Am J Public Health, 95 (1), pp. 23-34. , 15623854 1449846; Owen, J.W., Roberts, O., Globalisation, health and foreign policy: Emerging linkages and interests (2005) Glob Health, 1 (1), p. 12; (2017) New National Policy on Medical Tourism. International Medical Tourism Journal, , Anon; Dey, S., (2017) New Policy on the Cards to Boost Medical Tourism. The Times of India; (2017) Situation Analyses: Backdrop to the National Health Policy 2017, , Ministry of Health and Family Welfare Ministry of Health and Family Welfare, Government of India New Delhi; (2017) National Health Policy 2017, , Ministry of Health and Family Welfare Ministry of Health and Family Welfare, Government of India New Delhi; Ormond, M., Mun, W.K., Khoon, C.C., Medical tourism in Malaysia: How can we better identify and manage its advantages and disadvantages? (2014) Glob Health Action, 7 (1), p. 25201. , 25215912; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85 (3), pp. 164-165. , 17486202 2636228; Ruggeri, K., Záliš, L., Meurice, C.R., Hilton, I., Ly, T.-L., Zupan, Z., Evidence on global medical travel (2015) Bull World Health Organ, 93 (11), pp. 785-789. , 26549906 4622152; Runnels, V., Packer, C., Travelling for healthcare from Canada: An overview of out-of-country care funded by provincial/territorial health insurance plans (2013) Travelling Well: Essays in Medical Tourism. Transdisciplinary Studies in Population Health Series. 4, pp. 133-150. , R. Labonté V. Runnels C. Packer R. Deonandan (eds) Institute of Population Health, University of Ottawa Ottawa; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? 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This study contributes to propose an approach which effectively assesses performance of medical tourism industry based on considering the economic impact factors as well as provides a conceptual framework for the industry analysis. Grey system theory is utilized as a major analyzing approach. According to that, factors impact on the sustainable development of medical tourism in Asia-Pacific region could be identified. The performance of each destination in this region was simultaneously revealed. The results presented an overall perspective of the medical tourism industry in the scope of the Asia-Pacific region, and in Taiwan particularly. Data was collected on six major destinations including Singapore, Thailand, India, South Korea, Malaysia and Taiwan. The results proved that tourism sources and healthcare medical infrastructures play a crucial role in promoting the healthcare travel industry, while cost advantage and marketing effectiveness were less considered. In addition, performance analyse indicated that Thailand has a good performance and stands in the top ranking, followed by Malaysia, India, Singapore, South Korea and Taiwan, respectively. The revenue of Taiwan has increased slowly in the last six years, with a market worth approximately NT$20.5 billion, and the number of medical travelers is expected to increase to 777,523 by 2025. The findings of this study are expected to provide useful information for the medical tourism industry and related key players in strategic planning. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.","Asia-Pacific region; Economic impact; Grey system theory; Medical tourism industry; Performance evaluation; Sustainable development; Taiwan","economic impact; health care; medical tourism; performance assessment; sustainable development; tourism economics; tourist destination; article; conceptual framework; human; India; Malaysia; marketing; medical tourism; Singapore; South Korea; strategic planning; sustainable development; systems theory; Taiwan; Thailand; travel; India; Malaysia; Singapore [Southeast Asia]; South Korea; Taiwan; Thailand",,,,,,,,"Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of canadian broker websites (2011) BMC Med. Eth., 12, p. 17; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Serv. 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J. Environ. Res. Public Health",Article,"Final",Open Access,Scopus,2-s2.0-85079080275 "Cham T.-H., Lim Y.-M., Sia B.-C., Cheah J.-H., Ting H.","57035596700;57209889824;57215716772;57215717159;56312440400;","Medical Tourism Destination Image and its Relationship with the Intention to Revisit: A Study of Chinese Medical Tourists in Malaysia [医疗旅游目的地形象与旅客再访意愿的关系:以马来西亚之中国藉游客为例]",2020,"Journal of China Tourism Research",,,,"","",,1,"10.1080/19388160.2020.1734514","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081727929&doi=10.1080%2f19388160.2020.1734514&partnerID=40&md5=8755b282421d24a37da37b5c211eceaf","Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia; Faculty of Economics and Management, Universiti Putra Malaysia (UPM), Serdang, Malaysia; Faculty of Hospitality & Tourism Management, UCSI University, Kuala Lumpur, Malaysia","Cham, T.-H., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia; Lim, Y.-M., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia; Sia, B.-C., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), Kajang, Malaysia; Cheah, J.-H., Faculty of Economics and Management, Universiti Putra Malaysia (UPM), Serdang, Malaysia; Ting, H., Faculty of Hospitality & Tourism Management, UCSI University, Kuala Lumpur, Malaysia","Medical tourism in Malaysia has grown over the years and has become a promising industry. However, due to the establishment of China’s Belt and Road Initiative (BRI), we see a spill-over effect where more Chinese people visit and seek medical treatments in Malaysia. Attracting these Chinese medical tourists has become a great competition as Malaysia is not the sole player in the South East Asia region. The objective of this study is to examine the factors influencing Malaysia as a medical tourism destination among Chinese medical tourists. Self-administered questionnaires were used to collect data from a sample of 600 respondents to test the hypothesized relationships. The data were analyzed using a structural equation modeling approach via AMOS and SPSS. The results show that country-specific factors (country knowledge, safety and security, accessibility, and price reasonableness) and social factors (word-of-mouth and social media) are significant predictors of the image of Malaysia as a medical tourism destination, which in turn, affect perceived value and intention to revisit. This study is one of the few that examines the perception of Chinese medical tourists, a lucrative market that contributes significantly to the global medical tourism industry. Theoretical and managerial implications of the research are discussed. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group.","behavioral intention; belt and road initiative (BRI); Destination image; medical tourism; social media; value",,,,,,,,,"Abd Manaf, N.H., Hussin, H., Kassim, J.P.N., Alavi, R., Dahari, Z., Country perspective on medical tourism: The Malaysian experience (2015) Leadership in Health Services, 28 (1), pp. 43-56; Aguila, G.M., Ragot, R., Ecotourism industry in Ilijan Batangas City, Philippines: Assessing its effects as a basis of proposed tourism development plan (2014) Quarterly Journal of Business Studies, 1 (1), pp. 24-35; Allameh, S.M., Khazaei Pool, J., Jaberi, A., Salehzadeh, R., Asadi, H., Factors influencing sport tourists’ revisit intentions: The role and effect of destination image, perceived quality, perceived value and satisfaction (2015) Asia Pacific Journal of Marketing and Logistics, 27 (2), pp. 191-207; Aref, F., Gill, S.S., Rural tourism development through rural cooperatives (2009) Nature and Science, 7 (10), pp. 68-73; Athanasopoulou, P., Giovanis, A., Modelling the effect of respect and rapport on relationship quality and customer loyalty in high credence services (2015) Journal of Customer Behaviour, 14 (4), pp. 331-351; Ayob, N.M., Masroni, T., Issues of safety and security: New challenging to Malaysia tourism industry (2014) SHS Web of Conferences, 12, pp. 1-10. , November; Baloglu, S., McCleary, K.W., A model of destination image formation (1999) Annals of Tourism Research, 26 (4), pp. 868-897; Beerli, A., Martin, J.D., Factors influencing destination image (2004) Annals of Tourism Research, 31 (3), pp. 657-681; Bianchi, C., Milberg, S., Cúneo, A., Understanding travelers’ intentions to visit a short versus long-haul emerging vacation destination: The case of Chile (2017) Tourism Management, 59, pp. 312-324; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7), pp. 1144-1159; Bigne, J.E., Sanchez, M.I., Sanchez, J., Tourism image, evaluation variables and after purchase behaviour: Inter-relationship (2001) Tourism Management, 22 (6), pp. 607-616; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York: Palgrave Macmillan; Bourne, L.E., Dominowski, R.L., Loftus, E.F., (1986) Cognitive processes, , Englewood Cliffs, NJ: Prentice Hall; Bramwell, B., Rawding, L., Tourism marketing images of industrial cities (1996) Annals of Tourism Research, 23 (1), pp. 201-221; Bruhn, M., Schoenmueller, V., Schäfer, D.B., Are social media replacing traditional media in terms of brand equity creation? 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A review (2014) Tourism Management Perspectives, 10, pp. 27-36; Zhang, H., Xu, F., Leung, H.H., Cai, L.A., The influence of destination-country image on prospective tourists’ visit intention: Testing three competing models (2016) Asia Pacific Journal of Tourism Research, 21 (7), pp. 811-835; Zolfagharian, M., Rajamma, R.K., Naderi, I., Torkzadeh, S., Determinants of medical tourism destination selection process (2018) Journal of Hospitality Marketing & Management, 27 (7), pp. 775-794","Cham, T.-H.; Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman (UTAR), 43000 KajangMalaysia; email: chamth@utar.edu.my",,,"Routledge",,,,,19388160,,,,"English","J. China Tour. Res.",Article,"Article in Press",,Scopus,2-s2.0-85081727929 "Medhekar A., Wong H.Y., Hall J.E.","56939297300;56939197200;56727127000;","Health-care providers perspective on value in medical travel to India",2020,"Tourism Review",,,,"","",,1,"10.1108/TR-06-2019-0276","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079447077&doi=10.1108%2fTR-06-2019-0276&partnerID=40&md5=f6e85a8ff2e6ab50e0660d41608a4821","School of Business and Law, Central Queensland University, Rockhampton, Australia; School of Business and Law, Faculty of Health, Deakin University, Burwood, Australia; Faculty of Business and Law, Deakin University, Melbourne, Australia","Medhekar, A., School of Business and Law, Central Queensland University, Rockhampton, Australia; Wong, H.Y., School of Business and Law, Faculty of Health, Deakin University, Burwood, Australia; Hall, J.E., Faculty of Business and Law, Deakin University, Melbourne, Australia","Purpose: The purpose of this paper is to explore the supply-side factors that determines the quality of global healthcare services from medical tourism healthcare providers’ (MTHP) perspective, which provide value-in-medical-travel to foreign patients/medical tourists, who travel to India for medical treatment/surgery. Design/methodology/approach: The thematic content analysis of in-depth interviews with 15 senior MTHP, from 15 private hospitals in India was undertaken, to generate the themes, and identify the supply-side factors necessary for sustainable medical tourism management. Findings: The findings conclude that MTHP ranked in ascending order, less waiting-time for surgery, healthcare quality and accreditation, staff/surgeon’s expertise, healthcare information, hospital facilities and services, patient-safety, travel-risk, surgical costs and holiday opportunity as essential factors for providing sustainable quality and value-in-medical-travel to patients. Research limitations/implications: Many private hospital spokespersons declined to be interviewed due to confidentiality and privacy policy Practical implications: The findings are generalised in case of global private hospitals treating foreign patients. Policy implications suggest that private hospitals in developing countries need to focus on providing value-in-medical-travel, such as accreditation quality of healthcare, no waiting-time, patient-safety, qualified and experienced medical and non-medical staff, hospital facilities and post-surgery care with positive healthcare outcomes. Social implications: Medical-tour facilitators, hotels and tourism sites need to collaborate with agencies to provide inclusive built environment, first-aid and wheelchair access, to medical tourists, having financial and legal implications for business. Originality/value: There is little qualitative empirical research on the views of MTHP, regarding management of essential supply-side factors that provide value-in-medical-travel to attract medical tourists to India. © 2020, Emerald Publishing Limited.","Globalization; India; Medical tourism; Patient-safety; Quality; Waiting-time",,,,,,,,,"Adams, K., Snyder, J., Crooks, V., Johnston, R., Tourism discourse and medical tourists motivations to travel (2015) Tourism Review, 70 (2), pp. 85-96; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave, Macmillan, New York, NY; Brotman, B.A., Medical tourism private hospitals: focus India (2010) Journal of Health Care Finance, 37 (1), pp. 45-50; Buhalis, D., Michopoulou, E., Information-enabled tourism destination marketing: addressing the accessibility market (2011) Current Issues in Tourism, 14 (2), pp. 145-168; Burkett, L., Medical tourism: concerns, benefits and the American perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245; Burns, L.R., Medical tourism opportunities and challenges: illustration from US-India trade (2015) International Journal of Healthcare Management, 8 (1), pp. 15-26; Carrera, P., Why do patients engage in medical tourism? 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(2005) International Journal of Quality in Healthcare, 17 (4), p. 277; Smith, R., Chanda, R., Viroj, T., Trade in health-related services (2009) The Lancet, 373 (9663), pp. 593-601; Sproule, W., Content analysis (2010) Social Research Methods, pp. 323-350. , Walter, M.,(Ed), 2nd ed., Oxford University Press, Sydney; Toral, R., Quality, liability, aftercare:medical tourism must nail down these three areas of concern in order to thrive (2009) Modern Healthcare, 39 (21), pp. 20-23; Turner, L., Medical tourism and the global market place in health services: US patients, international hospitals and search for affordable healthcare (2010) International Journal of Health Services, 40 (3), pp. 443-467; Turner, L., Quality in health care and globalisation of health services: accreditation and regulatory oversight of medical tourism companies (2011) International Journal for Quality in Health Care, 23 (1), pp. 1-7; (2019) Sustainable development goals, , https://sustainabledevelopment.un.org/?menu=1300, (accessed: 4-March-2019; Veerasoontorn, R., Beise, R., Sivayathorn, A., Service quality as a key driver of medical tourism: the case of Bumrungrad international hospital in Thailand (2011) International Journal of Leisure and Tourism Marketing, 2, pp. 140-158; Wagner, L., McDonald, S., Castle, N., Relationship between nursing home safety culture and joint commission accreditation (2012) The Joint Commission Journal on Quality and Patient Safety, 38 (5), pp. 207-215; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality: An International Journal, 22 (5), pp. 465-491","Medhekar, A.; School of Business and Law, Central Queensland UniversityAustralia; email: A.Medhekar@cqu.edu.au",,,"Emerald Group Publishing Ltd.",,,,,16605373,,,,"English","Tour. Rev.",Article,"Article in Press",,Scopus,2-s2.0-85079447077 "Kamassi A., Abdul Manaf N.H., Omar A.","57210844581;57214693645;35424518300;","The need of international Islamic standards for medical tourism providers: a Malaysian experience",2020,"Journal of Islamic Marketing",,,,"","",,1,"10.1108/JIMA-03-2019-0051","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078901621&doi=10.1108%2fJIMA-03-2019-0051&partnerID=40&md5=424e84ba6d0b69085a7024887568082a","Department of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia","Kamassi, A., Department of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Abdul Manaf, N.H., Department of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia; Omar, A., Department of Business Administration, International Islamic University Malaysia, Kuala Lumpur, Malaysia","Purpose: The purpose of this study is to confirm that there is a great need for international Islamic accreditation body as a response of the growing number of the Islamic-friendly hospitals and Islamic practices among medical tourism providers across the globe, with a specific focus on the Malaysian industry. Design/methodology/approach: This paper systematically reviews the content of medical tourism studies and international accreditation organizations for health-care providers from literature to meet its objective. Findings: The establishment of international Islamic accreditation body becomes necessary nowadays as the response of the growing of Islamic medical tourism market. Creating standards based on Islamic laws and ethics may assess medical tourism providers when dealing with Muslim medical tourists. Furthermore, the most important benefit of Islamic accreditation is the development of uniform standards for Islamic medical tourism practices that combines health care and tourism services together. Practical implications: An international Islamic accreditation body should be developed to assist practitioners and policymakers to use standards to select policies to improve Islamic medical tourism practices, which in turn may facilitate the identification of effective services that can meet Muslim medical tourists’ needs and expectations. Originality/value: This study is the first that suggests the need to establish an international Islamic accreditation organization that assesses hospitals to offer Islamic medical tourism practices for Muslim medical tourists. It may contribute and add value to the body of Islamic medical tourism. © 2020, Emerald Publishing Limited.","International accreditation body; Islamic standards; Medical tourism providers; Muslim medical tourists",,,,,,,,,"Alkhenizan, A., Shaw, C., Impact of accreditation on the quality of healthcare services: a systematic review of the literature (2011) Annals of Saudi Medicine, 31 (4), pp. 407-416; Alpers, L.M., Hospital food: when nurses’ and ethnic minority patients’ understanding of islamic dietary needs differ (2019) Nursing Open, 6 (4), pp. 1455-1463; Annabi, C.A., Wada, S.M., Halal pharmaceutical industry in Nigeria: a bitter pill to swallow (2016) Journal of Emerging Economies and Islamic Research, 4 (2); Arefi, A., Feiz, D., Beishami, B., Zarei, A., Halal brand is an effective solution for the development of medical tourism: a case study of hospital hotel (2018) Health, Spirituality and Medical Ethics, 5 (1), pp. 2-7; Attum, B., Shamoon, Z., Cultural competence in the care of muslim patients and their families (2019) PubMed, , www.ncbi.nlm.nih.gov/books/NBK499933/, (accessed: 29 June 2019; (2018) Assessment to the national safety and quality health services standards second edition, , www.achs.org.au/media/152789/nsqhs_standards_2nd_edition_brochure_final.pdf, (accessed: 09 July 2019; Badruldin, B., Mohamed, Z., Sharifuddin, J., Rezai, G., Mahir Abdullah, A., Abd Latif, I., Ghazali Mohayidin, M., Clients’ perception towards JAKIM service quality in halal certification (2012) Journal of Islamic Marketing, 3 (1), pp. 59-71; Battour, M., Ismail, M.N., Halal tourism: concepts, practices, challenges and future (2015) Tourism Management Perspectives; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York, NY; Bristow, R.S., Yang, W.T., Lu, M.T., Sustainable medical tourism in Costa Rica (2011) Tourism Review, 66 (1-2), pp. 107-117; BustamamSarion, U.S.A., Shaharudin, A., (2013) The implementation of MS1900: 2005: a case study at SIRIM Berhad, , https://s3.amazonaws.com/academia.edu.documents/32916504/the_implementation_of_ms1900-2005-a_case_study_at_sirim_berhad.pdf?response-content-disposition=inline%3B%20filename%3DThe_Implementation_of_MS1900_2005_A_Case.pdf&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=AKIAIWOWYYGZ2Y53UL3A%2F20190702%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Date=20190702T104509Z&X-Amz-Expires=3600&X-Amz-SignedHeaders=host&X-Amz-Signature=8060870a5fe5a5a2d3487799bba5a0be463d0bcb8da2fe52297603d91a9b988e,(accessed: 2 July 2019; Cochrane, D., Securing patient safety through quality assurance in a mixed economy of healthcare: the role of accreditation (2014) Clinical Risk, 20 (4), pp. 82-89; Cohen, E., Medical travel–a critical assessment (2010) Tourism Recreation Research, 35 (3), pp. 225-237; Connell, J., (2011) Medical Tourism, , Cabi; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sree, K., Interrelations of service quality and service loyalty dimensions in medical tourism: a structural equation modelling approach (2015) Benchmarking: An International Journal, 22 (1), pp. 18-55; Del Pino, F.J.P., Nurses and muslim patients: two perspectives on Islamic culture in the hospital (2017) Procedia-Social and Behavioral Sciences, 237, pp. 1131-1137; El-Jardali, F., Jamal, D., Dimassi, H., Ammar, W., Tchaghchaghian, V., The impact of hospital accreditation on quality of care: perception of Lebanese nurses (2008) International Journal for Quality in Health Care, 20 (5), pp. 363-371; Enderwick, P., Nagar, S., The competitive challenge of emerging markets: the case of medical tourism (2011) International Journal of Emerging Markets, 6 (4), pp. 329-350; Greenfield, D., Pawsey, M., Hinchcliff, R., Moldovan, M., Braithwaite, J., The standard of healthcare accreditation standards: a review of empirical research underpinning their development and impact (2012) BMC Health Services Research, 12 (1), p. 329; Henderson, J.C., Halal food, certification and halal tourism: insights from Malaysia and Singapore (2015) Tourism Management Perspectives; (2015), www.isqua.org/media/attachments/2018/03/20/guidelines_and_principles_for_the_development_of_health_and_social_care_standards__4th_edition_v1.2.pdf, (accessed: 9 July 2019; Iranmanesh, M., Moghavvemi, S., Zailani, S., Hyun, S.S., The role of trust and religious commitment in islamic medical tourism (2018) Asia Pacific Journal of Tourism Research, 23 (3), pp. 245-259; Izadi, M., Hoseinpourfard, M., Ayoubian, A., Karbasi, M., Jahangiri, M., Jalali, A., A survey to the implementation of Islamic standards in the hospitals of Iran for attraction of Muslim medical tourists (2013) Int. 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(Ed), Emerald Group Publishing Limited; Stephenson, M.L., Deciphering ‘Islamic hospitality’: developments, challenges and opportunities (2014) Tourism Management, 40, pp. 155-164; Tranfield, D., Denyer, D., Smart, P., Towards a methodology for developing evidence-informed management knowledge by means of systematic review (2003) British Journal of Management, 14 (3), pp. 207-222; Whittaker, A., Chee, H.L., Perceptions of an ‘international hospital’in Thailand by medical travel patients: cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297; Whittaker, S., Linegar, A., Shaw, C., Spieker, N., Quality standards for healthcare establishments in South Africa (2011) South African Health Review 2011, (1), pp. 59-67; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702; (2016) ITB world travel trends report 2016/2017, , www.itb-berlin.de/media/itb/itb_dl_all/itb_presse_all/World_Travel_Trends_Report_2016_2017.pdf, (accessed, Berlin. Messe Berlin GmbH: 14 August 2018; Yousefian, S., Harat, A.T., Fathi, M., Ravand, M., A proposed adaptation of joint commission international accreditation standards for hospital – JCI to the health care excellence model (2013) Advances in Environmental Biology, 7 (6), pp. 956-967; Zailani, S., Ali, S.M., Iranmanesh, M., Moghavvemi, S., Musa, G., Predicting Muslim medical tourists’ satisfaction with malaysian islamic friendly hospitals (2016) Tourism Management, 57, pp. 159-167; Zarmani, N.F., Ramli, M.A., Saifuddeen, S.M., Development of halal medical devices in Malaysia: recommendation and challenges (2014) Online Journal of Research in Islamic Studies, 1 (3), pp. 57-67; Zawawi, M., Othman, K., An overview of shariah compliant healthcare services in Malaysia (2018) Malaysian Journal of Consumer and Family Economics, , www.majcafe.com/wp-content/uploads/2018/07/10.-Shari%E2%80%99ah-Compliant-Healthcare-Services-In-Malaysia-An-Overview.pdf, (accessed: 25 June 2019","Kamassi, A.; Department of Business Administration, International Islamic University MalaysiaMalaysia; email: ahmed.kamassi@live.iium.edu.my",,,"Emerald Group Publishing Ltd.",,,,,17590833,,,,"English","J. Islam. Mark.",Review,"Article in Press",,Scopus,2-s2.0-85078901621 "Bush K., Barbosa H., Farooq S., Weisenthal S.J., Trayhan M., White R.J., Noyes E.I., Ghoshal G., Zand M.S.","57194048342;57130275200;57194047367;56845876300;57194053818;57194063293;57213294719;14826464300;7004190420;","Predicting hospital-onset Clostridium difficile using patient mobility data: A network approach",2019,"Infection Control and Hospital Epidemiology","40","12",,"1380","1386",,1,"10.1017/ice.2019.288","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075814198&doi=10.1017%2fice.2019.288&partnerID=40&md5=50380285c7a6c686ff1efc359a28a20c","Rochester Center for Health Informatics, University of Rochester Medical Center, Rochester, NY, United States; Clinical and Translational Science Institute, University of Rochester Medical Center, Rochester, NY, United States; Department of Physics and Astronomy, University of Rochester, Rochester, NY, United States; Department of Epidemiology and Environmental Health, State University of New York at Buffalo, Buffalo, NY, United States; Department of Medicine, Division of Nephrology, University of Rochester Medical Center, Rochester, NY, United States","Bush, K., Rochester Center for Health Informatics, University of Rochester Medical Center, Rochester, NY, United States, Clinical and Translational Science Institute, University of Rochester Medical Center, Rochester, NY, United States; Barbosa, H., Department of Physics and Astronomy, University of Rochester, Rochester, NY, United States; Farooq, S., Rochester Center for Health Informatics, University of Rochester Medical Center, Rochester, NY, United States; Weisenthal, S.J., Rochester Center for Health Informatics, University of Rochester Medical Center, Rochester, NY, United States, Clinical and Translational Science Institute, University of Rochester Medical Center, Rochester, NY, United States; Trayhan, M., Rochester Center for Health Informatics, University of Rochester Medical Center, Rochester, NY, United States, Clinical and Translational Science Institute, University of Rochester Medical Center, Rochester, NY, United States; White, R.J., Rochester Center for Health Informatics, University of Rochester Medical Center, Rochester, NY, United States, Clinical and Translational Science Institute, University of Rochester Medical Center, Rochester, NY, United States; Noyes, E.I., Department of Epidemiology and Environmental Health, State University of New York at Buffalo, Buffalo, NY, United States; Ghoshal, G., Department of Physics and Astronomy, University of Rochester, Rochester, NY, United States; Zand, M.S., Rochester Center for Health Informatics, University of Rochester Medical Center, Rochester, NY, United States, Clinical and Translational Science Institute, University of Rochester Medical Center, Rochester, NY, United States, Department of Medicine, Division of Nephrology, University of Rochester Medical Center, Rochester, NY, United States","Objective: To examine the relationship between unit-wide Clostridium difficile infection (CDI) susceptibility and inpatient mobility and to create contagion centrality as a new predictive measure of CDI.Design: Retrospective cohort study.Methods: A mobility network was constructed using 2 years of patient electronic health record data for a 739-bed hospital (n = 72,636 admissions). Network centrality measures were calculated for each hospital unit (node) providing clinical context for each in terms of patient transfers between units (ie, edges). Daily unit-wide CDI susceptibility scores were calculated using logistic regression and were compared to network centrality measures to determine the relationship between unit CDI susceptibility and patient mobility.Results: Closeness centrality was a statistically significant measure associated with unit susceptibility (P <.05), highlighting the importance of incoming patient mobility in CDI prevention at the unit level. Contagion centrality (CC) was calculated using inpatient transfer rates, unit-wide susceptibility of CDI, and current hospital CDI infections. The contagion centrality measure was statistically significant (P <.05) with our outcome of hospital-onset CDI cases, and it captured the additional opportunities for transmission associated with inpatient transfers. We have used this analysis to create easily interpretable clinical tools showing this relationship as well as the risk of hospital-onset CDI in real time, and these tools can be implemented in hospital EHR systems.Conclusions: Quantifying and visualizing the combination of inpatient transfers, unit-wide risk, and current infections help identify hospital units at risk of developing a CDI outbreak and, thus, provide clinicians and infection prevention staff with advanced warning and specific location data to inform prevention efforts. © © The Society for Healthcare Epidemiology of America and Cambridge University Press 2019.",,"antibiotic agent; proton pump inhibitor; acute kidney failure; antibiotic therapy; Article; Clostridium difficile infection; cohort analysis; electronic health record; enzyme immunoassay; gastrectomy; hospital admission; human; Human immunodeficiency virus infection; infection sensitivity; major clinical study; non insulin dependent diabetes mellitus; patient isolation; patient mobility; patient transport; population risk; respiratory failure; retrospective study; Clostridium infection; cross infection; disease predisposition; microbiology; patient transport; predictive value; risk factor; Clostridium Infections; Cross Infection; Disease Susceptibility; Humans; Patient Transfer; Predictive Value of Tests; Retrospective Studies; Risk Factors",,,,,,,,"Lessa, F.C., Mu, Y., Bamberg, W.M., Burden of Clostridium difficile infection in the United States (2015) N Engl J Med, 372, pp. 825-834; Leffler, D.A., Lamont, J.T., Clostridium difficile infection (2015) N Engl J Med, 372, pp. 1539-1548; Widmer, A.F., Frei, R., Erb, S., Transmissibility of Clostridium difficile without contact isolation: Results from a prospective observational study with 451 patients (2017) Clin Infect Dis, 64, pp. 393-400; Otete, E.H., Ahankari, A.S., Jones, H., Parameters for the mathematical modelling of Clostridium difficile acquisition and transmission: A systematic review (2013) PLoS One, 8 (12), p. e84224; Hellmich, T.R., Clements, C.M., El-Sherif, N., Contact tracing with a realtime location system: A case study of increasing relative effectiveness in an emergency department (2017) Am J Infect Control, 45, pp. 1308-1311; Newman, M.E., (2010) Networks: An Introduction, , New York: Oxford University Press; Donker, T., Wallinga, J., Grundmann, H., Patient referral patterns and the spread of hospital-Acquired infections through national health care networks (2010) PLoS Comput Biol, 6 (3), p. e1000715; Donker, T., Wallinga, J., Slack, R., Grundmann, H., Hospital networks and the dispersal of hospital-Acquired pathogens by patient transfer (2012) PLoS One, 7 (4), p. e35002; DiDiodato, G., McArthur, L., Interhospital patient transfers between Ontario's academic and large community hospitals increase the risk of Clostridium difficile infection (2018) Am J Infect Control, 46, pp. 191-196; Curtis, D.E., Hlady, C.S., Kanade, G., Pemmaraju, S.V., Polgreen, P.M., Segre, A.M., Healthcare worker contact networks and the prevention of hospital-Acquired infections (2013) PLoS One, 8 (12), p. e79906; Cusumano-Towner, M., Li, D.Y., Tuo, S., Krishnan, G., Maslove, D.M., A social network of hospital acquired infection built from electronic medical record data (2013) J Am Med Inform Assoc, 20, pp. 427-434; LaBarbera, F.D., Nikiforov, I., Parvathenani, A., Pramil, V., Gorrepati, S., A prediction model for Clostridium difficile recurrence (2015) J Community Hosp Intern Med Perspect, 5 (1), p. 26033; Tanner, J., Khan, D., Anthony, D., Paton, J., Waterlow score topredict patients at risk of developing Clostridium difficile-Associated disease (2009) J Hosp Infect, 71, pp. 239-244; Tabak, Y.P., Johannes, R.S., Sun, X., Nunez, C.M., McDonald, L.C., Predicting the risk for hospital-onset Clostridium difficile infection (HO-CDI) at the time of inpatient admission: HO-CDI risk score (2015) Infect Control Hosp Epidemiol, 36, pp. 695-701; Oh, J., Makar, M., Fusco, C., A generalizable, data-driven approach to predict daily risk of Clostridium difficile infection at two large academic health centers (2018) Infect Control Hosp Epidemiol, 39, pp. 425-433; Identifying healthcare-Associated infections (HAI) for NHSN surveillance (2019) Centers for Disease Control and Prevention Website, , https://www.cdc.gov/nhsn/pdfs/pscmanual/2psc-identifyinghais-nhsncurrent.pdf, National Healthcare Safety Network Published. Accessed October 8, 2019; Kuhn, M., Johnson, K., (2013) Applied Predictive Modeling, , New York Springer; Wei, Q., Dunbrack, J.R.L., The role of balanced training and testing data sets for binary classifiers in bioinformatics (2013) PLoS One, 8 (7), p. e67863; Bursac, Z., Gauss, C.H., Williams, D.K., Hosmer, D.W., Purposeful selection of variables in logistic regression (2008) Source Code Biol Med, 3, p. 17; Markose, S.M., Systemic risk from global financial derivatives: A network analysis of contagion and its mitigation with super-spreader tax (2012) Working Paper: International Monetary Fund, , https://www.imf.org/external/pubs/ft/wp/2012/wp12282.pdf, Published Accessed October 8, 2019; Rosenberg, A., Visualizing nationwide variation in Medicare Part D prescribing patterns (2018) BMC Medical Informatics and Decision Making, 18, p. 103; Hosmer, D., Lemeshow, S., May, S., (1999) Applied Survival Analysis: Regression Modeling of Time to Event Data, , New York: John Wiley & Sons; Hosmer, D., Lemeshow, S., (2000) Applied Logistic Regression, , New York: John Wiley & Sons; Revolinski, S.L., Munoz-Price, L.S., Clostridium difficile in immunocompro-mised hosts: A review of epidemiology, risk factors, treatment, and prevention (2019) Clin Infect Dis, 68, pp. 2144-2153; Peixoto, T.P., Hierarchical block structures and high-resolution model selection in large networks (2014) Physical Review X, 4, p. 1","Zand, M.S.; Rochester Center for Health Informatics, University of Rochester Medical CenterUnited States; email: Martin_Zand@URMC.Rochester.edu",,,"Cambridge University Press",,,,,0899823X,,ICEPE,"31656216","English","Infect. Control Hosp. Epidemiol.",Article,"Final",Open Access,Scopus,2-s2.0-85075814198 "Saragih H.S., Jonathan P.","24077323600;57212214909;","Views of Indonesian consumer towards medical tourism experience in Malaysia",2019,"Journal of Asia Business Studies","13","4",,"507","524",,1,"10.1108/JABS-04-2018-0135","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076232893&doi=10.1108%2fJABS-04-2018-0135&partnerID=40&md5=79a768dc235033bf46d61f3aafc444e0","School of Business and Economics, Universitas Prasetiya Mulya, South Tangerang, Indonesia; Universitas Pelita Harapan, Tangerang, Indonesia","Saragih, H.S., School of Business and Economics, Universitas Prasetiya Mulya, South Tangerang, Indonesia; Jonathan, P., Universitas Pelita Harapan, Tangerang, Indonesia","Purpose: Indonesians are known for their unique behaviour and willingness to travel abroad for healthcare treatments. More than half of the healthcare “tourists” who travel to Malaysia come from Indonesia, followed in numbers by those in India, Japan, and China, Libya, the UK, Australia, USA, Bangladesh and the Philippines. Malaysia is also geographically located near two Indonesian main islands, i.e. North Sumatera and North Kalimantan. These reasons contribute to making Indonesia one of the most productive healthcare consumers in Malaysia. This study aims to examine these Indonesian consumers’ through the use of behavioural lenses to examine their medical tourism experiences in Malaysia, its neighbouring country. Design/methodology/approach: The theory of planned behaviour is used as the basis of these analyses and hypotheses development. In total, 7 variables and 18 indicators that built both the exogenous and endogenous variables were developed from previous literature. Through a purposive sampling technique, the authors collected 200 samples of individuals where each respondent must at least have been to Malaysia once for medical treatments related to a general check-up, cardiovascular, cancer, orthopaedics, nervous systems or dental problems. A partial least squares – structural equation modelling analysis was carried out to examine both the measurement model and the structural model. Findings: Behavioural belief positively affects the attitude of Indonesian patients and their intentions to visit Malaysia for medical treatment, i.e. attitude, subjective norms and perceived behavioural control. Results show that as individuals, Indonesians have a strong belief that undergoing medical treatment in Malaysia will be more favourable than having that same medical treatment in Indonesia. The study also shows that people who are considered important to patients, e.g. family members or relatives, significantly influence their intention to visit Malaysian medical institutions. The authors also found that patients’ resources and capabilities – e.g. financial strength, supporting infrastructures and time availability – are essential factors for Indonesian patients to choose medical tourism and to visit Malaysia as their venue for medical services. Research limitations/implications: The results of this study are consistent with the previous research, which has shown that attitude, subjective norms and perceived behavioural control positively affect visit intention. The results also suggest new interesting theoretical findings that Indonesia’s medical tourist intention to visit Malaysia is most strongly caused by subjective norms followed by individual attitudes and perceived behavioural control, all reasons that are identical to Japanese medical tourists’ visiting South Korea for similar purposes. Indeed, there are similar behavioural practices and beliefs among both Indonesian and Japanese medical tourists, despite the gap existing in these two countries’ economies. Practical implications: The study proposes two managerial implications using its findings. First, this study can be a basis for the Malaysian medical tourism business to better understand Indonesian medical tourists’ behaviour when visiting their country. The study explicitly suggests that it is both collective and individual beliefs that drive Indonesian patients, who have the sufficient resources, to visit Malaysia because of better quality and affordability available there compared to Indonesian medical services. Second, this study raises a fundamental question about Indonesian stakeholders in the medical industry. In the near future, this type of medical tourism behaviour will, without a doubt, affect the Indonesian economy at large. Originality/value: The contributions of this study are twofold. First, compared to previous studies that focussed specifically on the developed countries, this study focusses on Indonesian consumers’ point of view as an emerging country towards Malaysia’s medical tourism business. Second, this study provides quantifiable insights on the Indonesia-Malaysia medical tourism phenomenon, which previously has been frequently discussed, but only using a qualitative exploratory approach. © 2019, Emerald Publishing Limited.","Indonesia; Malaysia; Medical tourism; Planned behaviour",,,,,,"Universitas Prasetiya Mulya","The authors of this study are largely benefited from the assistance of Research Office, Universitas Prasetiya Mulya, BSD.",,"Abubakar, M., Does eWOM influence destination trust and travel intention: a medical tourism perspective (2016) Economic Research-Ekonomska IstražIvanja, 29 (1), pp. 598-611; Ajzen, I., From intentions to actions: a theory of planned behavior (1985) Action Control, , Springer; Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Ajzen, I., Perceived behavioral control, self‐efficacy, locus of control, and the theory of planned behavior (2002) Journal of Applied Social Psychology, 32 (4), pp. 665-683; Ajzen, I., Consumer attitudes and behavior: the theory of planned behavior applied to food consumption decisions (2015) Rivista di Economia Agraria/Italian Review of Agricultural Economics, 70, pp. 121-138; Allport, G.W., (1935) Attitudes: A Handbook of Social Psychology, , Clark University Press, Worcester, MA; Armitage, C.J., Efficacy of the theory of planned behaviour: a meta-analytic review (2001) British Journal of Social Psychology, 40 (4), p. 4; Bagozzi, R., Gurhan-Canli, Z., Priester, J., (2002) The Social Psychology of Consumer Behaviour, , McGraw-Hill Education; Bandura, A., Self-efficacy: toward a unifying theory of behavioral change (1977) Psychological Review, 84 (2), p. 191; (2011) Orang Indonesia berobat ke luar negeri, , www.bbc.com/indonesia/laporan_khusus/2011/03/110307_kesehatan; Bergner, R.M., What is behavior? And so what? 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Asia Bus. Stud.",Article,"Final",,Scopus,2-s2.0-85076232893 "Pan X., Yang Z., Han F., Lu Y., Liu Q.","57211405273;23670559100;36631949700;57211402787;57210362340;","Evaluating potential areas for mountain wellness tourism: A case study of Ili, Xinjiang province",2019,"Sustainability (Switzerland)","11","20", 5668,"","",,1,"10.3390/su11205668","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073807706&doi=10.3390%2fsu11205668&partnerID=40&md5=e506cf0d5b0e7625e9ea3c6bcb8072a8","State Key Laboratory of Desert and Oasis Ecology, Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi, 830011, China; University of Chinese Academy of Sciences, Beijing, 100049, China","Pan, X., State Key Laboratory of Desert and Oasis Ecology, Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi, 830011, China, University of Chinese Academy of Sciences, Beijing, 100049, China; Yang, Z., State Key Laboratory of Desert and Oasis Ecology, Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi, 830011, China; Han, F., State Key Laboratory of Desert and Oasis Ecology, Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi, 830011, China; Lu, Y., State Key Laboratory of Desert and Oasis Ecology, Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi, 830011, China, University of Chinese Academy of Sciences, Beijing, 100049, China; Liu, Q., State Key Laboratory of Desert and Oasis Ecology, Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi, 830011, China, University of Chinese Academy of Sciences, Beijing, 100049, China","Evaluation of land-use suitability can prevent problems, such as environmental disruption, wastage of resources, and ecological disruption, when unsuitable tourism-based exploration is undertaken in an area. This study summarizes a novel concept and proposes the idea of wellness tourism, which constitutes health preservation, sports and recovery, medical healing, and aged nursing, integrated with Chinese culture. A spatial suitability evaluation system for wellness tourism was developed in a mountain area via the integration of the analytic network process-Delphi. As wellness tourism activities diversified, land suitability was assigned to four kinds of wellness tourism activities, while considering their unique requirements. Comparative analysis and five-degree suitable maps of four kinds of activities revealed that Yining City and its peripheral localities have the potential of functioning as a comprehensive and national wellness tourist destination. The counties of Horgos, Huocheng, Qapqal, Zhaosu, Tekes, Tokkuztara, and Narat should make full use of their strengths, as they have the advantage of catering to different wellness tourism activities. This paper discusses some conceptual aspects of wellness tourism, provides an example for the selection of potential areas for wellness tourism in the mountainous regions of China, and provides baseline information that can support the development of wellness tourism. © 2019 by the authors.","ANP; Delphi; GIS; Mountainous region; Spatial suitability analysis; Wellness tourism","Delphi analysis; exploration; GIS; human activity; land use change; mountain region; spatial analysis; tourism development; China; Xinjiang Uygur",,,,,"National Basic Research Program of China (973 Program): 2016YFC0503307 National Natural Science Foundation of China, NSFC: 41971192","Funding: This research was funded as a sub-project of the National Key Research and Development Program of China (No. 2016YFC0503307) and the National Natural Science Foundation of China (No. 41971192).",,"Serre, L.D., Chevalier, C., Marketing travel services to senior consumers (2012) J. Consum. 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Manag, 17, pp. 150-157","Yang, Z.; State Key Laboratory of Desert and Oasis Ecology, Xinjiang Institute of Ecology and Geography, Chinese Academy of SciencesChina; email: yangzhaoping19@sina.com",,,"MDPI AG",,,,,20711050,,,,"English","Sustainability",Article,"Final",Open Access,Scopus,2-s2.0-85073807706 "Honda N.H., Aoki K., Kamisasanuki T., Matsuda N., To M., Matsushima H., Ishii Y., Haruki K.","57191883797;56134735900;55235360700;57208263270;7003294571;7102854417;35406136600;35093922600;","Isolation of three distinct carbapenemase-producing Gram-negative bacteria from a Vietnamese medical tourist",2019,"Journal of Infection and Chemotherapy","25","10",,"811","815",,1,"10.1016/j.jiac.2019.03.020","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064250304&doi=10.1016%2fj.jiac.2019.03.020&partnerID=40&md5=35507b1f3a982f24783a4d6393bee77b","Department of Laboratory Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan; Department of Infection Control & Infectious Diseases, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan; Emergency and Critical Care Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan; Department of Microbiology and Infectious Diseases, Faculty of Medicine, Toho University, Tokyo, 143-8540, Japan","Honda, N.H., Department of Laboratory Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan, Department of Infection Control & Infectious Diseases, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan; Aoki, K., Department of Microbiology and Infectious Diseases, Faculty of Medicine, Toho University, Tokyo, 143-8540, Japan; Kamisasanuki, T., Emergency and Critical Care Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan; Matsuda, N., Department of Laboratory Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan, Department of Infection Control & Infectious Diseases, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan; To, M., Department of Laboratory Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan; Matsushima, H., Emergency and Critical Care Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan; Ishii, Y., Department of Microbiology and Infectious Diseases, Faculty of Medicine, Toho University, Tokyo, 143-8540, Japan; Haruki, K., Department of Laboratory Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan, Department of Infection Control & Infectious Diseases, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan","Carbapenem-resistant Klebsiella pneumoniae and Escherichia coli, multidrug-resistant Pseudomonas aeruginosa and vancomycin-resistant Enterococcus faecium were isolated from a single patient. The patient came to Japan for advanced medical treatment after having undergone laparoscopic cholecystectomy and hospitalization in Vietnam. Whole-genome sequence analysis revealed that K. pneumoniae harbored blaOXA-48 that was found on a Col156 -type small plasmid, E. coli harbored blaNDM-5 and P. aeruginosa harbored both blaNDM-1 and 16S rRNA methyltransferase (rmtB). To the best of our knowledge, this is the first report of detection of K. pneumoniae harboring blaOXA-48 on a Col156-type small plasmid in the world and P. aeruginosa coharboring genes encoding NDM-1 and RmtB in Japan. © 2019 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases","Col156; Medical tourism; NDM-1; NDM-5; OXA-48; RmtB","amikacin; colistin; linezolid; meropenem; methyltransferase; RNA 16S; tigecycline; bacterial protein; beta lactamase; carbapenemase; abdominal infection; adult; Article; artificial ventilation; bacterium isolation; blood transfusion; body temperature; breathing rate; carbapenem-resistant Enterobacteriaceae; case report; clinical article; computer assisted tomography; duodenum perforation; dyspnea; echocardiography; Enterococcus faecium; fatigue; heart rate; hospital admission; hospital discharge; hospital patient; hospitalization; human; infection prevention; Japan; Klebsiella pneumoniae; laparoscopic cholecystectomy; loss of appetite; male; medical tourism; middle aged; multidrug resistant Pseudomonas aeruginosa; pericardial effusion; pericardiocentesis; perioperative period; plasmid; Pseudomonas aeruginosa; sequence analysis; surgical infection; thorax radiography; vacuum assisted closure; vancomycin resistant Enterococcus faecium; Viet Nam; Vietnamese; whole genome sequencing; beta-lactam resistance; carbapenem-resistant Enterobacteriaceae; drug effect; Escherichia coli; genetics; Gram negative infection; isolation and purification; medical tourism; metabolism; microbiology; multidrug resistance; vancomycin resistant Enterococcus; Bacterial Proteins; beta-Lactam Resistance; beta-Lactamases; Carbapenem-Resistant Enterobacteriaceae; Drug Resistance, Multiple, Bacterial; Escherichia coli; Gram-Negative Bacterial Infections; Humans; Japan; Klebsiella pneumoniae; Male; Medical Tourism; Middle Aged; Plasmids; Pseudomonas aeruginosa; Vancomycin-Resistant Enterococci; Vietnam",,"amikacin, 37517-28-5, 39831-55-5; colistin, 1066-17-7, 1264-72-8; linezolid, 165800-03-3; meropenem, 96036-03-2; methyltransferase, 9033-25-4; tigecycline, 220620-09-7; beta lactamase, 9073-60-3; Bacterial Proteins; beta-Lactamases; carbapenemase",,,,,,"Nordman, P., Poirel, L., The difficult-to-control spread of carbapenemase producers among Enterobacteriaceae worldwide (2014) Clin Microbiol Infect, 20, pp. 821-830; Kazmierczak, K.M., Rabine, S., Hackel, M., McLaughlin, R.E., Biedenbach, D.J., Bouchillon, S.K., Multiyear, multinational survey of the incidence and global distribution of metallo-β-lactamase-producing Enterobacteriaceae and Pseudomonas aeruginosa (2016) Antimicrob Agents Chemother, 60, pp. 1067-1078; Doi, Y., Wachino, J., Arakawa, Y., Aminoglycoside resistance: the emergence of acquired 16S ribosomal RNA methyltransferases (2016) Infect Dis Clin N Am, 30, pp. 523-537; Nagano, N., Endoh, Y., Nagano, Y., Toyama, M., Matsui, M., Shibayama, K., First report of OXA-48 carbapenemase-producing Klebsiella pneumoniae and Escherichia coli in Japan from a patient returned from Southeast Asia (2013) Jpn J Infect Dis, 66, pp. 79-81; Nakano, R., Nakano, A., Hikosaka, K., Kawakami, S., Mastsunaga, N., Asahara, M., First report of metallo-β-lactamase NDM-5-producing Escherichia coli in Japan (2014) Antimicrob Agents Chemother, 58, pp. 7611-7612; Visitor arrivals & Japanese overseas travelers https://www.jnto.go.jp/jpn/index.html, (Accessed 19 November 2018); Ministry of Economy, Trade and Industry. Report on medical tourism in Japan http://www.meti.go.jp/committee/kenkyukai/shoujo/iryou_coordinate/pdf/001_04_00.pdf, (Accessed 16 December 2018); MIZUHO Research & Analysis, The economic impact of the 2020 tokyo olympic games https://www.mizuho-fg.co.jp/company/activity/onethinktank/pdf/vol008.pdf, (Accessed 16 December 2018); Bankevich, A., Nurk, S., Antipov, D., Gurevich, A.A., Dvorkin, M., Kulikov, A.S., SPAdes: a new genome assembly algorithm and its applications to single-cell sequencing (2012) J Comput Biol, 19, pp. 455-457; Aoki, K., Harada, S., Yahara, K., Ishii, Y., Motooka, D., Nakamura, S., Molecular characterization of IMP-1-producing Enterobacter cloacae complex isolates in Tokyo (2018) Antimicrob Agents Chemother, 62. , e02091-17; Doi, Y., de Oliveira Garcia, D., Adams, J., Paterson, D.L., Coproduction of novel 16S rRNA methylase RmtD and metallo-β-lactamase SPM-1 in a panresistant Pseudomonas aeruginosa isolate from Brazil (2007) Antimicrob Agents Chemother, 51, pp. 852-856; Rahman, M., Prasad, K.N., Gupta, S., Singh, S., Singh, A., Pathak, A., Prevalence and molecular characterization of New Delhi metallo-beta-lactamases in multidrug-resistant Pseudomonas aeruginosa and Acinetobacter baumannii from India (2018) Microb Drug Resist, 24 (6), pp. 792-798; Tada, T., Shimada, K., Satou, K., Hirano, T., Pokhrel, B.M., Sherchand, J.B., Pseudomonas aeruginosa clinical isolates in Nepal coproducing metallo-β-lactamases and 16S rRNA methyltransferases (2017) Antimicrob Agents Chemother, 61 (9). , e00694-17; Tada, T., Tsuchida, M., Shimada, K., Nga, T.T.T., Thu, L.T.A., Phu, T.T., Dissemination of carbapenem-resistant Klebsiella pneumoniae clinical isolates with various combinations of carbapenemases (KPC-2, NDM-1, NDM-4, and OXA-48) and 16S rRNA methylases (RmtB and RmtC) in Vietnam (2017) BMC Infect Dis, 17, p. 467; Tan, D., Htun, H.L., Koh, J., Kanagasabai, K., Lim, J.W., Hon, P.Y., Comparative epidemiology of vancomycin-resistant enterococci colonization in an acute-care hospital and its affiliated intermediate- and long-term care facilities in Singapore (2018) Antimicrob Agents Chemother, 62 (12), pp. e01507-e01518. , 26; Jiang, H., Zhou, Z., Wang, L.S., Fang, Y., Chu, C.I., The risk factors, costs, and survival analysis of invasive VRE infections at a medical center in Eastern Taiwan (2017) Int J Infect Dis, 54, pp. 18-24; (2019), https://janis.mhlw.go.jp/report/kensa.html, Clinical Laboratory Division. <> accessed 8 April; Matsushima, A., Takakura, S., Yamamoto, M., Matsumura, Y., Shirano, M., Nagao, M., Regional spread and control of vancomycin-resistant Enterococcus faecium and Enterococcus faecalis in Kyoto, Japan (2012) Eur J Clin Microbiol Infect Dis, 31 (6), pp. 1095-1100; Rodriguez-Bano, Gutierrez-Gutierrez, B., Machuca, I., Pascual, A., Treatment of infections caused by extended-spectrum-beta-lactamase-, AmpC-, and carbapenemase-producing Enterobacteriaceae (2018) Clin Microbiol Rev, 31 (2). , e00079-17; Reyes, K., Bardossy, A.C., Zervos, M., Vancomycin-resistant enterococci. Epidemiology, infection prevention, and control (2016) Infect Dis Clin N Am, 30, pp. 953-965","Honda, N.H.; Department of Laboratory Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minami-Koshigaya, Japan; email: nhonda@dokkyomed.ac.jp",,,"Elsevier B.V.",,,,,1341321X,,JICHF,"30987949","English","J. Infect. Chemother.",Article,"Final",,Scopus,2-s2.0-85064250304 "Whitmore R., Crooks V.A., Snyder J.","7005041258;35585107800;24170239100;","Exploring informal caregivers’ roles in medical tourism through qualitative data triangulation",2019,"Qualitative Report","24","8", 3,"1852","1865",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071373925&partnerID=40&md5=1db61fb9c358115f64db3555f18b1911","Simon Fraser University, Burnaby, BC, Canada","Whitmore, R., Simon Fraser University, Burnaby, BC, Canada; Crooks, V.A., Simon Fraser University, Burnaby, BC, Canada; Snyder, J., Simon Fraser University, Burnaby, BC, Canada","When Canadian medical tourists go abroad, they are often accompanied by friends and family, referred to as caregiver-companions, who provide informal care. These individuals play a role in patient decision-making and are stakeholders in medical tourism, yet little is known about their participation in this consumer health practice. To examine the roles that Canadian caregiver-companions play while accompanying medical tourists abroad, and to identify how multi-perspective qualitative data can augment our understanding of these roles, primary and secondary analysis was undertaken on datasets generated from multiple qualitative studies: Semistructured interviews with medical tourists, caregiver-companions, and international patient coordinators, and a survey with medical tourism facilitators. The findings from the triangulated analysis of these qualitative datasets serve to better understand the multiple, overlapping perspectives of different stakeholders in medical tourism. Results show that medical tourism caregivers act as companions, providing physical and emotional care; navigators, providing logistical assistance; and knowledge brokers, participating in decision-making and information exchange between medical tourists and professionals. Using data triangulation to examine the narratives of multiple stakeholders confirmed, altered, and augmented our knowledge of caregiver-companion roles. The unique perspectives offered by each participant group augment our understanding of caregiver roles and the practice of medical tourism. © 2019, Nova Southeastern University. All rights reserved.","Caregivers Caregiving; Family Caregiving; Medical Tourism; Qualitative Analysis; Semi-Structured Interviews; Triangulation",,,,,,"Michael Smith Foundation for Health Research, MSFHR Canadian Institutes of Health Research, CIHR: FRN 115692, EPP 97286 Michael Smith Foundation for Health Research, MSFHR","We are thankful to all four groups of participants for their invaluable contributions to the study. VAC is funded by a Scholar Award from the Michael Smith Foundation for Health Research and holds the Canada Research Chair in Health Service Geographies. This study was supported a Catalyst Grant and Operating Grant awarded by the Canadian Institutes of Health Research [EPP 97286, FRN 115692].","Valorie A. Crooks is professor in the Department of Geography at Simon Fraser University. She is a health geographer and holds the Canada Research Chair in Health Service Geographies and a Scholar Award from the Michael Smith Foundation for Health Research. Correspondence regarding this article can also be addressed directly to: crooks@sfu.ca.","Adabi, K., Stern, C.S., Weichman, K.E., Garfein, E.S., Pathula, A., Draper, L., Tepper, O.M., Population health implications of medical tourism (2017) Plastic and Reconstructive Surgery, 140 (1), pp. 66-74; Adelman, R.D., Tmanova, L.L., Delgado, D., Dion, S., Lachs, M.S., Caregiver burden: A clinical review (2014) JAMA: The Journal of The American Medical Association, 311 (10), pp. 1052-1060; Ansello, E.F., Rosenthal, C., Editorial: Hidden costs and invisible contributions in family caregiving: An introduction (2007) Canadian Journal on Aging, 26 (S1), pp. 1-6; Casey, V., Crooks, V.A., Snyder, J., Turner, L., Knowledge brokers, companions, and navigators: A qualitative examination of informal caregivers’ roles in medical tourism (2013) International Journal for Equity in Health, 12, p. 94; Casey, V., Crooks, V.A., Snyder, J., Turner, L., Youre dealing with an emotionally charged individual”: An industry perspective on the challenges posed by medical tourists’ informal caregiver-companions (2013) Globalization and Health, 9 (31), pp. 1-12; Chen, Y.Y., Flood, C.M., Medical tourism’s impact on health care equity and access in low- and middle-income countries: Making the case for regulation. 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Contemporary medical tourism: Conceptualisation, culture and commodification Tourism Management, 34, pp. 1-13. , doi.org/10.1016/j.tourman.2012.05.009; Crooks, V.A., Snyder, J., Johnston, R., Kingsbury, P., (2011) Perspectives on Canadians’ Involvement in Medical Tourism, , http://www.sfu.ca/medicaltourism/Perspectives_on_Canadians_Involvement_in_Medical_Tourism.pdf, Simon Fraser University; Crooks, V.A., Whitmore, R., Snyder, J., Turner, L., Ensure that you are well aware of the risks you are taking: Actions and activities medical tourists’ informal caregivers can undertake to protect their health and safety (2017) BMC Public Health, 17 (487), pp. 1-10; Crozier, G.K.D., Martin, D., How to address the ethics of reproductive travel to developing countries: A comparison of national self-sufficiency and regulated market approaches (2012) Developing World Bioethics, 12 (1), pp. 45-54; Deonandan, R., Green, S., Van Beinum, A., Ethical concerns for maternal surrogacy and reproductive tourism (2012) Journal of Medical Ethics, 38 (12), pp. 742-745. , dx.doi.org/10.1136/medethics-2012-100551; Einsiedel, E.F., Adamson, H., Stem cell tourism and future stem cell tourists: Policy and ethical implications (2012) Developing World Bioethics, 12 (1), pp. 35-44; Gatrell, A.C., (2011) Mobilities and Health, , London, England: Ashgate Publishing, Ltd; Hohm, C., Snyder, J., It was the best decision of my life: A thematic content analysis of former medical tourists’ patient testimonials (2015) BMC Medical Ethics, 16 (8), pp. 1-7. , doi.org/10.1186/1472-6939-16-8; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? 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Psychology (2015) Health & Medicine, 20 (1), pp. 41-46; Turner, L., Beyond “medical tourism”: Canadian companies marketing medical travel (2012) Globalization and Health, 8 (16), pp. 1-11; Turner, L., Transnational medical travel: Ethical dimensions of global healthcare (2013) Cambridge Quarterly of Healthcare Ethics, 22 (2), pp. 170-180; Vikström, L., Identifying dissonant and complementary data on women through the triangulation of historical sources (2010) International Journal of Social Research Methodology, 13 (3), pp. 211-221. , doi.org/10.1080/13645579.2010.482257; Viladrich, A., Baron-Faust, R., Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina (2014) Annals of Tourism Research, 45, pp. 116-131. , doi.org/10.1016/j.annals.2013.12.007; Whitmore, R., Crooks, V.A., Snyder, J., Ethics of care in medical tourism: Informal caregivers’ narratives of responsibility, vulnerability and mutuality (2015) Health & Place, 35, pp. 113-118; Whitmore, R., Crooks, V.A., Snyder, J., A qualitative exploration of how Canadian informal caregivers in medical tourism use experiential resources to cope with providing transnational care (2017) Health and Social Care in the Community, 25 (1), pp. 266-274; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88. , doi.org/10.1016/j.tourman.2011.02.002; Whitmore, R., Crooks, V.A., Snyder, J., Exploring informal caregivers’ roles in medical tourism through qualitative data triangulation (2019) The Qualitative Report, 24 (8), pp. 1852-1865. , https://nsuworks.nova.edu/tqr/vol24/iss8/3",,,,"Nova Southeastern University",,,,,10520147,,,,"English","Qual. Rep.",Article,"Final",,Scopus,2-s2.0-85071373925 "Hyder A.S., Rydback M., Borg E., Osarenkhoe A.","7005465165;57204550997;34771224900;15846987700;","Medical tourism in emerging markets: The role of trust, networks, and word-of-mouth",2019,"Health Marketing Quarterly","36","3",,"203","219",,1,"10.1080/07359683.2019.1618008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067617363&doi=10.1080%2f07359683.2019.1618008&partnerID=40&md5=ac1128dff4143f3eafcb215f1b6d4dbf","Department of Business and Economic Studies, University of Gävle, Gävle, Sweden; Department of Business Studies, Södertörn University, Huddinge, Sweden","Hyder, A.S., Department of Business and Economic Studies, University of Gävle, Gävle, Sweden; Rydback, M., Department of Business and Economic Studies, University of Gävle, Gävle, Sweden, Department of Business Studies, Södertörn University, Huddinge, Sweden; Borg, E., Department of Business Studies, Södertörn University, Huddinge, Sweden; Osarenkhoe, A., Department of Business and Economic Studies, University of Gävle, Gävle, Sweden","ABTRACT: Despite the growing popularity of medical tourism (MT) in emerging markets (EMs), little is known about how healthcare providers operationalize. This article analyzes how healthcare providers meet different challenges to market MT in an EM setting. A qualitative method was used for data collection and conducting case studies on healthcare services in the Philippines. The results show that trust and network building are necessary for mitigating the unfavorable characteristics, instability and lack of legitimacy caused by institutional constraints in EM. Word-of-mouth is found to be important to attract new customers and disseminate information about MT services. © 2019, © 2019 The Author(s). Published with license by Taylor & Francis Group, LLC.","Emerging markets; Healthcare; Medical tourism; Network; Trust","article; human; market; medical tourism; Philippines; qualitative analysis; trust; economics; health care delivery; health services research; marketing; medical tourism; social network; Delivery of Health Care; Humans; Marketing; Medical Tourism; Organizational Case Studies; Philippines; Social Networking; Trust",,,,,,,,"Arndt, J., Role of product-related conversations in the diffusion of a new product (1967) Journal of Marketing Research, 4 (3), pp. 291-295; Berry, L.L., Parasuraman, A., (1991) Marketing services: Competing through quality., , New York, NY: The Free Press; Bianchi, C., Saleh, A., On importer trust and commitment: A comparative study of two developing countries (2010) International Marketing Review, 27 (1), pp. 55-86; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave Macmillan; Borg, E.A., The marketing of innovations in high-technology companies: a network approach (2009) European Journal of Marketing, 43 (3-4), pp. 364-370; Brown, T.J., Barry, T.E., Dacin, P.A., Gunst, R.F., Spreading the word: Investigating antecedents of consumers’ positive word-of-mouth intentions and behaviors in a retailing context (2005) Journal of the Academy of Marketing Science, 33 (2), pp. 123-138; Burgess, S.M., Steenkamp, J.B.E., Marketing renaissance: How research in emerging markets advances marketing science and practice (2006) International Journal of Research in Marketing, 23 (4), pp. 337-356; Cassia, F., Magno, F., Marketing issues for business-to-business firms entering emerging markets: an investigation among Italian companies in Eastern Europe (2015) International Journal of Emerging Markets, 10 (1), pp. 141-155; Chaniotakis, I.E., Lymperopoulos, L., Service quality effect on satisfaction and word of mouth in the health care industry (2009) Managing Service Quality: An International Journal, 19 (2), pp. 229-242; Connell, J., Medical tourism: Sea, sun, and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Coulter, K.S., Coulter, R.A., Determinants of trust in a service provider: The moderating role of length of relationship (2002) Journal of Services Marketing, 16 (1), pp. 35-50; Eisenhardt, K.M., Building theories from case study research (1989) Academy of Management Review, 14 (4), pp. 532-550; Eisingerich, A.B., Bell, S.J., Maintaining customer relationships in high credence services (2007) Journal of Services Marketing, 21 (4), pp. 253-262; Enderwick, P., Nagar, S., The competitive challenge of emerging markets: The case of medical tourism (2011) International Journal of Emerging Markets, 6 (4), pp. 329-350; Esposito, A., Hospital branding in Italy: A pilot study based on the case method (2017) Health Marketing Quarterly, 34 (1), pp. 35-47; Fisk, R.P., Grove, S.J., John, J., (2000) Interactive Services Marketing, , Boston, MA: Houghton Mifflin; Fregidou-Malama, M., Hyder, A.S., Impact of culture on marketing of health services–Elekta in Brazil (2015) International Business Review, 24 (3), pp. 530-540; Garman, A.N., Johnson, T.J., Lynch, E.B., Satjapot, S., Care provider perspectives on medical travel: A three-country study of destination hospitals (2016) Health Marketing Quarterly, 33 (1), pp. 48-58; Ghauri, P., Tasavori, M., Zaefarian, R., Internationalisation of service firms through corporate social entrepreneurship and networking (2014) International Marketing Review, 31 (6), pp. 576-600; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tourism Management, 46, pp. 20-29; Heung, V.C., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Hyder, A.S., Fregidou-Malama, M., Services marketing in a cross-cultural environment: The case of Egypt (2009) Journal of Services Marketing, 23 (4), pp. 261-271; Håkansson, H., Ford, D., Gadde, L.E., Snehota, I., Waluszewski, A., (2009) Business in networks, , New York, NY: John Wiley & Sons; Johanson, J., Vahlne, J., The internationalization process of the firm—A model of knowledge development and increasing foreign market commitments (1977) Journal of International Business Studies, 8 (1), pp. 23-32. , http://www.jstor.org/stable/254397, –,. 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A pilot study of the effects of website marketing for medical specialist providers under gatekeeping arrangements (2017) Health Marketing Quarterly, 34 (4), pp. 223-246","Hyder, A.S.; University of Gävle, Kungsbäcksvägen 47, Sweden; email: ahr@hig.se",,,"Routledge",,,,,07359683,,HMQUE,"31210584","English","Health Mark. Q.",Article,"Final",Open Access,Scopus,2-s2.0-85067617363 "Rokni L., Park S.H.","35488882800;57194621304;","Medical tourism in Iran, reevaluation on the new trends: A narrative review",2019,"Iranian Journal of Public Health","48","7",,"1191","1202",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069747283&partnerID=40&md5=77e8abcaf6d74e618700dd85e23c5f40","Asia Contents Institute, Konkuk University, Seoul, South Korea","Rokni, L., Asia Contents Institute, Konkuk University, Seoul, South Korea; Park, S.H., Asia Contents Institute, Konkuk University, Seoul, South Korea","Background: This narrative review aimed to reevaluate the medical tourism sector in Iran to reveal the new trends and activities in order to know the current actual share of Iran in the competitive market of global medical tourism. Methods: A holistic approach was adopted to analyze the information collected through a system of investigation that comprised the available secondary data, besides the information and statistical data about the associated organizations to this sector in Iran. Results: Iran’s medical tourism sector is consistent with the new trends in global market, which is mainly bordered countries-based, cultural-oriented, and diasporic type of travelling. Conclusion: It would be more realistic in the contemporary situation to focus the promotions on the border countries, and design the policy, and implementation in accordance with their cultural and social preferences. Activities in both levels of governmental and micro-level planning are demanded, under the cover of a comprehensive monitoring system. This review will benefit researchers exploring the updated evaluation of Iran’s medical tourism; also, it provides helpful insights to authorities in both governmental and private sector. © 2019, Iranian Journal of Public Health. All rights reserved.","Global trends; Health tourism; Iran; Medical tourism; Medical travel","human; Iran; market; medical tourism; monitoring; narrative; organization; private sector; review; scientist; travel",,,,,"Konkuk University, KU Konkuk University, KU","This paper was supported by the KU Research Professor Program of Konkuk University.",,"Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, p. 113; (2018) Medical Travel and Tourism, Global Market Report, , https://www.imtj.com/, First Edition. 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(2010) In: Tourism and Political Change, , Goodfellow, Oxford; Butler, R., O'gorman, K.D., Prentice, R., Destination appraisal for European cultural tourism to Iran (2012) International Journal of Tourism Research, 14 (4), pp. 323-338; Jalilvand, M.R., Samiei, N., Dini, B., Manzari, P.Y., Examining the structural relationships of electronic word of mouth, destination image, tourist attitude toward destination and travel intention: An integrated approach (2012) Journal of Destination Marketing & Management, 1 (1-2), pp. 134-143; (2019) Legal Challenge for Medical Tourism Agencies in Iran, , https://www.imtj.com/news/legal-challengemedical-tourism-agencies-iran/; Geva, I., Building international brand. In proceeding book. Medical Korea, from challenge to chance in global healthcare (2018) The 9Th Global Healthcare & Medical Tourism Conference, pp. 76-94. , Seoul, South Korea; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2016) Health Place, 16 (6), pp. 1145-1155; Song, Y.J., The South Korean health care system (2009) JMAJ, 52 (3), pp. 206-209; Alizadeh, S., Chavan, M., Cultural competence dimensions and outcomes: A systematic review of the literature (2016) Health Soc Care Community, 24 (6), pp. e117-e130; Jagyasi, P., Defining medical tourism. Another approach (2008) Medical Tourism Magazine, 6, pp. 9-11; Ormond, M., Medical tourism, medical exile: Responding to the cross-border pursuit of healthcare in Malaysia (2012) Real Tourism, pp. 157-175. , Eds, Claudio Minca, Tim Oakes, Routledge","Park, S.H.; Asia Contents Institute, Konkuk UniversitySouth Korea; email: syamony@konkuk.ac.kr",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Review,"Final",,Scopus,2-s2.0-85069747283 "Collins A., Medhekar A., Wong H.Y., Cobanoglu C.","7403186196;56939297300;56939197200;6506766856;","Factors influencing outbound medical travel from the USA",2019,"Tourism Review","74","3",,"463","479",,1,"10.1108/TR-06-2018-0083","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061038424&doi=10.1108%2fTR-06-2018-0083&partnerID=40&md5=9bbcc0eb216ab452bf159ef9df25277b","Department of Tourism and Hotel Management, School of Applied Technology and Management, Bilkent University, Ankara, Turkey; School of Business and Law, Central Queensland University, Rockhampton, QLD, Australia; Department of Marketing, Deakin University, Melbourne, VIC, Australia; College of Hospitality and Tourism Leadership, University of South Florida Sarasota-Manatee, Sarasota, FL, United States","Collins, A., Department of Tourism and Hotel Management, School of Applied Technology and Management, Bilkent University, Ankara, Turkey; Medhekar, A., School of Business and Law, Central Queensland University, Rockhampton, QLD, Australia; Wong, H.Y., Department of Marketing, Deakin University, Melbourne, VIC, Australia; Cobanoglu, C., College of Hospitality and Tourism Leadership, University of South Florida Sarasota-Manatee, Sarasota, FL, United States","Purpose: The purpose of this paper is to explore how Americans choose a country and medical facility to travel abroad for medical treatment based on the following factors country environment, tourism destination, medical tourism costs and medical facilities and services. Design/methodology/approach: Online survey with the help of Amazon Mechanical Turk website was used for data collection, and 541 valid cases were used of American residents who had travelled abroad for medical tourism. Exploratory and confirmatory factor analyses were undertaken to validate the scales. Findings: Findings indicated four major factors that can influence American medical tourists’ choices of medical tourism destinations. These factors are overseas’ country factors, attractiveness of tourism destination, medical tourism costs and facilities and services. Both the convergent and discriminant validities for the constructs were established. The results of the measurement-model-fit based on various measures were within the suggested cut-off values. Research limitations/implications: Out of the 541 responses of post-travel experienced medical tourists, it is hard to tell how similar/dissimilar the participants are in terms of ranking the four factors. To be competitive to attract global medical tourists, research suggests that the five popular countries of treatment, India, China, Thailand, Mexico and Turkey, identified in this study should provide high quality of medical and tourism facilities to patients. Originality/value: This study contributes to the understanding of the underlying factors, which influence American medical tourists’ choice of destinations, with validated scales. 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Healthcare, 39 (21), pp. 20-23; Tucki, A., Cleave, P., Medical tourism – new growing industry on a concealed market (2014) European Journal of Medical Technologies, 4 (5), pp. 1-7; Turner, L., Medical tourism and the global market place in health services: US patients, international hospitals and search for affordable healthcare (2010) International Journal of Health Services, 40 (3), pp. 443-467; Turner, L., Transnational medical travel: ethical dimensions of global healthcare (2013) Cambridge Quarterly of Healthcare Ethics, 22 (2), pp. 170-180; Veerasoontorn, R., Beise-Zee, R., Sivayathorn, A., Service quality as a key driver of medical tourism: the case of bumrungrad international hospital in Thailand (2011) International Journal of Leisure and Tourism Marketing, 2 (2), pp. 140-158; Whittaker, A., Chee, H.L., Perceptions of an international hospital in Thailand by medical travel patient: cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297; Woodman, J., (2016) Patients beyond Borders: Everybody’s Guide to Affordable, World-Class Medical Travel, , ed., 3, Elsevier Publishing; York, D., Medical tourism: the trend towards outsourcing medical procedures to foreign countries (2009) Journal of Continuing Education Health Professionals, 28 (2), pp. 99-102","Cobanoglu, C.; College of Hospitality and Tourism Leadership, University of South Florida Sarasota-ManateeUnited States; email: cihan@cihan.org",,,"Emerald Group Publishing Ltd.",,,,,16605373,,,,"English","Tour. Rev.",Article,"Final",,Scopus,2-s2.0-85061038424 "Holzer F., Mastroleo I.","56519575500;56520130000;","Innovative Practice in Latin America: Medical Tourism and the Crowding Out of Research",2019,"American Journal of Bioethics","19","6",,"42","44",,1,"10.1080/15265161.2019.1602189","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067060270&doi=10.1080%2f15265161.2019.1602189&partnerID=40&md5=94cce7e1b7200f3653c72329cbb4a655","Facultad Latinoamericana de Ciencias Sociales Argentina, CONICET, Argentina; Sorbonne University, France","Holzer, F., Facultad Latinoamericana de Ciencias Sociales Argentina, CONICET, Argentina, Sorbonne University, France; Mastroleo, I., Facultad Latinoamericana de Ciencias Sociales Argentina, CONICET, Argentina",[No abstract available],,"human; medical tourism; morality; South and Central America; Humans; Latin America; Medical Tourism; Morals",,,,,"Fondation Brocher Deutscher Akademischer Austauschdienst, DAAD Consejo Nacional de Investigaciones Científicas y Técnicas, CONICET","This publication has been made possible thanks to financial support by CONICET Argentina, the German DAAD, the Biothera Foundation, and the Brocher Foundation.",,"ACOG committee opinion no. 352: Innovative practice: Ethical guidelines (2015) Obstetrics and Gynecology, 108 (6), pp. 1589-1595; Chan, S., Arellano, M.M., Genome editing and international regulatory challenges: Lessons from Mexico (2016) Ethics, Medicine and Public Health, 2 (3), pp. 426-434; Earl, J., Innovative practice, clinical research, and the ethical advancement of medicine (2019) American Journal of Bioethics, 19 (6), pp. 7-18; Holzer, F.S., Mastroleo, I.D., Ethical aspects of precision medicine: an introduction to the ethics and concept of clinical innovation (2018) Precision medicine: Tools and quantitative approaches, pp. 1-19. , Deigner H.-P., Kohl M., (eds), London, UK: Academic Press-Elsevier, and,. eds; Holzer, F.S., Mastroleo, I.D., Innovative care in Latin America: definition, justification and ethical principles (2019) Controversies in latin american bioethics, , https://doi.org/10.5281/zenodo.2577257, Hevia M., Rivera López E., (eds), New York: Springer International Publishing, and,. eds.,. (Accepted for publication press). Pre-print; Kolata, G., (2016) A cautionary tale for ‘stem cell tourism, , https://www.nytimes.com/2016/06/23/health/a-cautionary-tale-of-stem-cell-tourism.html?_r=1, New York Times,.’,. Article published June 22 2016, [accessed April 17 2017]; Palacios-González, C., Medina-Arellano, M.D.J., Mitochondrial replacement techniques and mexico's rule of law: on the legality of the first maternal spindle transfer case (2017) Journal of Law and the Biosciences, 4 (1), pp. 50-69; Rosemann, A., Regulatory developments for non-hematopoietic stem cell therapeutics: Perspectives from the EU, the USA, Japan, China, India, Argentina and Brazil (2019) A roadmap to non-Hematopoietic stem cell-based therapeutics: from the bench to the clinic, , https://doi.org/10.1016/B978-0-12-811920-4.00019-7, Chen X.D., (ed), Amsterdam, Netherlands: Elsevier Academic Press, G. Bortz, and F. Vasen.,. 432–92. ed","Holzer, F.; Facultad Latinoamericana de Ciencias Sociales ArgentinaArgentina; email: felicitasholzer@gmx.de",,,"Routledge",,,,,15265161,,,"31135315","English","Am. J. Bioethics",Note,"Final",,Scopus,2-s2.0-85067060270 "Dryglas D., Lubowiecki-Vikuk A.","56951251900;57188707641;","The attractiveness of Poland as a medical tourism destination from the perspective of German and British consumers",2019,"Entrepreneurial Business and Economics Review","7","2",,"45","62",,1,"10.15678/EBER.2019.070203","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070471549&doi=10.15678%2fEBER.2019.070203&partnerID=40&md5=66d4a5d86005975df315082fc3aafe67","Department of General Geology and Geotourism of the AGH University of Science and Technology, Poland; Department of Consumer Behaviour Research of the Warsaw School of Economics, Poland","Dryglas, D., Department of General Geology and Geotourism of the AGH University of Science and Technology, Poland; Lubowiecki-Vikuk, A., Department of Consumer Behaviour Research of the Warsaw School of Economics, Poland","Objective: The aim of the article is an assessment of the attractiveness of Poland as a medical tourism destination (MTD). Research Design & Methods: Survey data were collected from 282 German and British tourists, using a self-administered questionnaire. The Computer-Assisted Web Interviewing method was used to conduct the survey. Subsequently, the responses were analysed using advanced statistical tools (McNemar’s exact test, Cochran’s Q test snd Chi-square test). Findings: The results indicated that tourists from Western Europe are currently more interested in using medical services in Central and Eastern Europe countries (CEEC) than in the past. Out of CEEC, Poland was the most frequently chosen MTD. Associations with Poland as a MTD were affected by such socio-demographic factors as age and nationality. Implications & Recommendations: Identification of the growing importance of Poland as a MTD, as well as socio-demographic factors affecting the choice of Poland as a MTD have important implications for scholars, allowing them to understand how medical tourists evaluate the attractiveness of MTDs in Poland, and can be a useful tool for marketing planners, destination managers and marketers to create an effective marketing policy of MTDs in Poland. Contribution & Value Added: The study fills an important gap regarding the lack of empirical content allowing for the exploration of the attractiveness of MTDs in Poland. © 2019, Cracow University of Economics. All rights reserved.","Medical services; Medical tourism; Poland; Tourism destination attractiveness",,,,,,"Akademia Górniczo-Hutnicza im. Stanislawa Staszica, AGH: 11.11.140.005 Ministerstwo Nauki i Szkolnictwa Wyższego, MNiSW","This research was supported by AGH No. 11.11.140.005.","The copyediting and proofreading of articles in English is financed in the framework of contract No. 913/P-DUN/2019 by the Ministry of Science and Higher Education of the Republic of Poland committed to activities aimed at science promotion.","Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) Journal of Destination Marketing & Management, 5 (3), pp. 192-201. , https://doi.org/10.1016/j.jdmm.2015.12.005; Beladi, H., Chao, C.-C., Ee, M.S., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Economic Modelling, 46, pp. 391-396. , https://doi.org/10.1016/j.econmod.2014.12.045; Benjamini, Y., Hochberg, Y., Controlling the false discovery rate: A practical and powerful approach to multiple testing (1995) Journal of the Royal Statistical Society, Series B, 57 (1), pp. 289-300; Bilder, C.R., Loughin, T.M., Testing for marginal independence between two categorical variables with multiple responses (2004) Biometrics, 60 (1), pp. 241-248; Bonferroni, C.E., Teoria statistica delle classi e calcolo delle probabilità (1936) Pubblicazioni Del R Istituto Superiore Di Scienze Economiche E Commerciali Di Firenze, 8, pp. 3-62; Borek, E., Medical tourism in Europe and in Poland – present status, development bariers, perspectives and recemendations concerning the development of medical tourism in Poland (2013) Public Health and Governance. 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Haber & M. Szałas (Eds.)., Warsaw: PARP; Zarei, A., Maleki, F., Asian medical marketing, a review of factors affecting Asian medical tourism development (2019) Journal of Quality Assurance in Hospitality & Tourism, 20 (1), pp. 1-15. , https://doi.org/10.1080/1528008X.2018.1438959; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-40. , https://doi.org/10.1016/j.tourman.2012.05.007","Dryglas, D.; AGH University of Science and Technology, Department of General Geology and Geotourism, Al. Mickiewicza, 30, Poland; email: ddryglas@agh.edu.pl",,,"Cracow University of Economics",,,,,2353883X,,,,"English","Entrep. Bus. Econ. Rev.",Article,"Final",Open Access,Scopus,2-s2.0-85070471549 "Nikbin D., Batouei A., Iranmanesh M., Kim K., Hyun S.S.","37028801200;57208817410;55226710300;57206847954;26325461500;","Hospital prestige in medical tourism: empirical evidence from Malaysia",2019,"Journal of Travel and Tourism Marketing","36","4",,"521","535",,1,"10.1080/10548408.2019.1582397","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065858589&doi=10.1080%2f10548408.2019.1582397&partnerID=40&md5=0179f03ef879f63e536ff2c9ae70d5bb","Faculty of Business, Sohar University, Sohar, Oman; School of Communication, Universiti Sains Malaysia, Kuala Lumpur, Malaysia; Graduate School of Business, Universiti Sains Malaysia, Penang, Malaysia; Korean Standards Association, Seoul, South Korea; School of Tourism, Hanyang University, Seoul, South Korea","Nikbin, D., Faculty of Business, Sohar University, Sohar, Oman; Batouei, A., School of Communication, Universiti Sains Malaysia, Kuala Lumpur, Malaysia; Iranmanesh, M., Graduate School of Business, Universiti Sains Malaysia, Penang, Malaysia; Kim, K., Korean Standards Association, Seoul, South Korea; Hyun, S.S., School of Tourism, Hanyang University, Seoul, South Korea","This study examines the relationships among perceived warmth, perceived competence, hospitals’ facilities, doctors’ expertise, interaction with other patients, hospital prestige, and Malaysia’s image as a destination for medical tourism. Data were collected from tourists in Malaysian private hospitals. The findings provide evidence that perceived warmth, perceived competence, hospitals’ facilities, and doctors’ expertise predict hospital prestige which affects Malaysia’s image as a destination for medical tourism. The moderating role of interaction with other patients is confirmed on certain relationships. The findings of this study extend the literature on hospital prestige in medical tourism and are useful for the management of hospitals. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","doctors’ medical expertise; hospital prestige; Malaysia; Medical tourism; perceived competence; perceived warmth",,,,,,,,,"Aaker, J., Vohs, K.D., Mogilner, C., Nonprofits are seen as warm and for-profits as competent: Firm stereotypes matter (2010) Journal of Consumer Research, 37 (2), pp. 224-237; Abele, A.E., Cuddy, A.J., Judd, C.M., Yzerbyt, V.Y., Fundamental dimensions of social judgment (2008) European Journal of Social Psychology, 38 (7), pp. 1063-1065; Abele, A.E., Wojciszke, B., Agency and communion from the perspective of self versus others (2007) Journal of Personality and Social Psychology, 93 (5), p. 751; Abele, A.E., Wojciszke, B., Communal and agentic content in social cognition: A dual perspective model (2014) Advances in Experimental Social Psychology, 50, pp. 195-255. , M. 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Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-85065858589 "Dhatchayeny D.R., Arya S., Chung Y.H.","56784365400;57201530219;7404387559;","Patient mobility support for indoor non-directed optical body area networks",2019,"Sensors (Switzerland)","19","10", 2297,"","",,1,"10.3390/s19102297","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85066444098&doi=10.3390%2fs19102297&partnerID=40&md5=bcb8baf7927049f6ee2ea7a5b58304aa","Department of Information and Communications Engineering, Pukyong National University, Busan, 48513, South Korea","Dhatchayeny, D.R., Department of Information and Communications Engineering, Pukyong National University, Busan, 48513, South Korea; Arya, S., Department of Information and Communications Engineering, Pukyong National University, Busan, 48513, South Korea; Chung, Y.H., Department of Information and Communications Engineering, Pukyong National University, Busan, 48513, South Korea","In this paper, a patient mobility support scheme for indoor non-directed optical body area networks (OBAN) is presented. The OBAN is an optical healthcare system where medical sensors are installed on various parts of the patient’s body and are connected to an optical coordinator for transmitting the physiological signals via optical wireless links. In the proposed scheme, a white light-emitting diode (LED) was employed as the optical coordinator that was mounted on the patient body, while a photodetector (PD) was used as the receiver installed at the ceiling. We considered three practical mobility scenarios in terms of the location of the coordinator: (i) Shoulder, (ii) wrist, and (iii) both shoulder and wrist. The analytical channel model for multiple reflections in a non-directed OBAN was developed and validated in the form of simulations. In addition, experiments were carried out to verify the effectiveness of the proposed mobility scheme. It was found that the third scenario (shoulder and wrist) performed best, showing a bit error rate (BER) of 1.2 × 10-6 at a distance of 1.25 m. The experimental results demonstrated that the proposed mobility support scheme in the OBAN added an additional degree of freedom to patients with reliable performances. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.","Diversity; Light-emitting diodes; Mobility; Optical communications","Carrier mobility; Degrees of freedom (mechanics); Light emitting diodes; Optical communication; Analytical channel models; Diversity; Health-care system; Multiple reflections; Optical wireless link; Physiological signals; Reliable performance; White light emitting diodes; Bit error rate",,,,,"2018R1D1A3B07049858 National Research Foundation of Korea, NRF","Funding: This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2018R1D1A3B07049858).",,"Cavallari, R., Martelli, F., Rosini, R., Buratti, C., Verdone, R.A., Survey on wireless body area networks: Technologies and design challenges (2014) IEEE Commun. Surv. 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No. 01CH37270) (GLOBECOM’01), , San Antonio, TX, USA, 25–29 November; Arnon, S., Barry, J., Karagiannidis, G., Schober, R., Uysal, M., (2012) Advanced Optical Wireless Communication Systems, , Cambridge University Press: New York, NY, USA; Goldberger, A.L., Amaral, L.A., Glass, L., Hausdorff, J.M., Ivanov, P.C., Mark, R.G., Mietus, J.E., Stanley, H.E., PhysioBank, PhysioToolkit, and PhysioNet: Components of a new research resource for complex physiologic signals (2000) Circulation, 101, pp. e215-e220","Chung, Y.H.; Department of Information and Communications Engineering, Pukyong National UniversitySouth Korea; email: yhchung@pknu.ac.kr",,,"MDPI AG",,,,,14248220,,,"31109028","English","Sensors",Article,"Final",Open Access,Scopus,2-s2.0-85066444098 "Jindal P., Yashika","57209501682;56669824300;","Medical tourism in India: An analysis",2019,"International Journal of Innovative Technology and Exploring Engineering","8","7",,"465","471",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067945625&partnerID=40&md5=d0e99954e7af33a864c945cfecae23d7","M.M. Institute of Management, Maharishi Markandeshwar (Deemed to be University), Mullana-Ambala, India","Jindal, P., M.M. Institute of Management, Maharishi Markandeshwar (Deemed to be University), Mullana-Ambala, India; Yashika, M.M. Institute of Management, Maharishi Markandeshwar (Deemed to be University), Mullana-Ambala, India","In the current set-up tourism business is gaining massive financial profits. This is not limited to hotels, restaurants and historical sight scenes, but also extended to health care services globally, presented in term as medical tourism. Medical tourism or healthcare services industry is a rapidly growing industry worldwide. It is a combination of two economic activities, which represents the blend of two industries i.e. tourism and medicine. In the recent times, the globalization of the medical tourism and the immense requirement of quality health services at affordable cost, attract the foreign tourist towards developing countries like India, which adequate resources, expertise doctors, staff and hospitals to meet these demands. Now a day’s foreign tourists are preferring India not only for vacations but also for health care services like surgery, knee transplantation, beauty surgery, hip replacement, dental problems and many more. Most of tourist prefers India for ayurvedic treatment and treatment from natural resources. This paper emphasis on the strengths of India’s medical tourism, the challenges they have to face and the main drivers of medical tourism. It also discusses about the prospectives and expansion of medical tourism in India with the help of data analysis. © BEIESP.","Ayurvedic Treatment; Globalization; Health care services; Medical Tourism",,,,,,,,,"Baxi, A., Prescribe core support- Special Report (2004) The Economic Times, p. 5. , April 1; Ruka, E., Garel, P., (2015) HOPE Chief Executive, HOPE - European Hospital and Healthcare Federation, , HOPE intern; Glinos, I., Baeten, R., A literature Review of Cross‐Border Patient Mobility in the European Union (2006) Europe for Patients Project; Mochi, P., Shetty, N., Vahoniya, D., Medical tourism-destination India. Commerce and Management, 2, p. 3; Hudson, S., Li, X., Domestic medical tourism: A neglected dimension of medical tourism research Journal of Hospitality Marketing & Management; Mohanty, D., Madhav, T.P., Medical Tourism: India’s Competitive Advantage (2006) Health Tourism an Introduction, , ICFAI University Press; Trivedi, M., (2013) Medical Tourism in India.; (2008) The McKinsey Quarterly, Mapping the Market for Medical Travel; Reddy, P.C., Healthcare Services in the New Millennium (2000) Management and Labour Studies, p. 115; Rao, K.S., Nundy, M., Dua, A.S., (2005) Delivery of Health Services in the Private Sector. Financing and Delivery of Health Care Services in India, , National Commission on Macroeconomics and Health‒Background papers. Ministry of Health and Family Welfare. Government of India; Pachanee, C.-A., Implications on Public Health from Mode 2 Trade in Health Services: Empirical Evidence [A Case of Thailand] (2009) Workshop on the Movement of Patients across International Borders- Emerging Challenges and Opportunities for Health Care Systems",,,,"Blue Eyes Intelligence Engineering and Sciences Publication",,,,,22783075,,,,"English","Int. J. Innov. Technol. Explor. Eng.",Article,"Final",,Scopus,2-s2.0-85067945625 "Martínez Almanza M.T., Guía Julve J., Morales Muñoz S.A., Esparza Santillana M.A.","57203913887;23469201100;57203917107;57203918406;","Border medical tourism: the Ciudad Juárez medical product",2019,"Anatolia","30","2",,"258","266",,1,"10.1080/13032917.2018.1519216","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053544884&doi=10.1080%2f13032917.2018.1519216&partnerID=40&md5=ef06abbfd3e13230ede3a144d61e24b4","Social Sciences Department, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Mexico; Department of Organization, Business Management, and Product Design, University of Girona, Girona, Spain; Nursing Department, FEMAP Hospital and Hospital Ángeles of Ciudad Juárez, Ciudad Juárez, Mexico","Martínez Almanza, M.T., Social Sciences Department, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Mexico; Guía Julve, J., Department of Organization, Business Management, and Product Design, University of Girona, Girona, Spain; Morales Muñoz, S.A., Social Sciences Department, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Mexico; Esparza Santillana, M.A., Nursing Department, FEMAP Hospital and Hospital Ángeles of Ciudad Juárez, Ciudad Juárez, Mexico","The pursuit of cross-border health care between the United States and Mexico has been a common practice for decades. Patients in the United States are motivated to seek medical attention in Ciudad Juárez, Mexico, due to several factors: affordability of treatment abroad, access to treatments not available at home, considerable cost differentiation, as well as long waiting lists to receive medical attention at home, among others. The results of 28 interviews with the main stakeholders are presented in this article, with the purpose of achieving a better understanding of border medical tourism. The results show a medical tourism product differentiated by various health care needs and the income of patients. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","border effects; Ciudad Juárez; Medical tourism; Mexico; product differentiation","border region; cost; disease treatment; health care; medical tourism; stakeholder; Chihuahua [Mexico]; Juarez; Mexico [North America]",,,,,"Secretaría de Educación Pública, SEP","We would like to thank all the health and tourism representatives from Ciudad Juárez, who gave their time to participate in this study. This research was funded by a “Programa de Mejoramiento del Profesorado” (Professors Improvement Program) Grant, from the Secretaría de Educación Pública from Mexico’s Federal government.",,"Alsharif, M.J., Labonté, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10 (3), pp. 315-335; Barbosa, M., The policy of cultural tourism and tourism product design for cultural tourism. Case: Tourist corridor Bogota Boyacá-Santander (2007) EAN Magazine, (60), pp. 105-122; Brewer, J., Hunter, A., (1989) Multimethod research: A synthesis of styles, , Sage, &,. Newbury Park, California; Caballero, S., Mugomba, C., (2006) Medical Tourism and Its Entrepreneurial opportunities. A conceptual framework for entry into the industry; Casey, V., Crooks, V.A., Snyder, J., Turner, L., Knowledge brokers, companions, and navigators: A qualitative examination of the informal caregivers’ roles in medical tourism (2013) International Journal for Equity in Health, 12 (94); Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualization, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Crooks, V., Cameron, K., Chouinard, V., Johnston, R., Snyder, J., Casey, V., Use of medical tourism for hip and knee surgery in osteoarthritis: A qualitative examination of distinctive attitudinal Characteristics among Canadian patients (2012) BMC Health Services, 12 (1), p. 417; De la Puente, M., Sector del Turismo de Salud: Caso de Colombia [Health Tourism Sector: Case of Colombia] (2015) Caribbean Economy Magazine[Revista De Economía Del Caribe, (16), pp. 129-161; Dey, I., (1998) Qualitative data analysis: A user friendly guide for social scientists, , London: Routledge; Dunn, W.N., (1986) Policy analysis: Perspectives, concepts, and methods, , Greenwich, CT: JAI Press; Gan, L.L., James, F., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Glaser, B., Strauss, A., The discovery of grounded theory (1967) International Journal of Qualitative Methods, 5. , http://www.ualberta.ca/~iiqm/backissues/5_1/pdf/mills.pdf, Retrieved from; Glinos, I., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health & Place, 16, pp. 1145-1155; Goodrich, J., Goodrich, G., Health-care tourism–An exploratory study (1987) Tourism Management, pp. 217-222; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2014) Social Science & Medicine, 124, , 356–363; Heung, V., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Heung, V., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32, pp. 995-1005; Horton, S., Cole, S., Medical returns: Seeking health care in Mexico (2011) Social Science & Medicine, 72, pp. 1846-1852; Hunter-Jones, P., Cancer and Tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Kotler, P., (2000) Marketing Management, , Prentice Hall,. Upper Saddle River, New Jersey; Martínez-Almanza, M.T., Julve Guía, J., Serra Salame, C., Genesis and evolution of medical tourism (2014) Tourism trends in Latin America, , Ciudad Juarez, Chihuahua, Mexico:, &,. In; Ormond, M., Harnessing “diasporic” medical mobilities (2014) Migration, health and inequality, pp. 150-162. , London: Zed Books,. F. Thomas & J. Gideon (Eds; Ormond, M., Sothern, M., You, too, can be an international medical traveler: Reading medical travel guidebooks (2012) Health & Place, 18 (5), pp. 935-941; Patton, M., (1990) Qualitative evaluation and research methods, , Newbury Park, CA: Sage; Regis, C., Epps, T., Bernier, L., Implementing medical travel in the Canadian healthcare system: Considerations for policy makers - ProQuest (2013) Health Law Journal, 20. , http://search.proquest.com/docview/1467739986/fulltextPDF/22C81E651694402PQ/20?accountid=15295, Retrieved from; Rerkrujipimol, J., Assenov, I., Marketing strategies for promoting medical tourism in Thailand (2011) Journal of Tourism, Hospitality & Culinary Arts, 3 (2), pp. 95-105; Selltiz, C., Jahoda, M., Deutsch, M., Cook, S., (1965) Research methods in social relations, , Madrid: Holt, Rinehart and Winston; Snyder, J., Crooks, V., Johnston, R., Perceptions of the ethics of medical tourism: Comparing patient and academic perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Strauss, A.L., Corbin, J., (2002) Basis of qualitative research: Techniques and procedures for developing grounded theory, , http://cataleg.udg.edu/record=b1203227~S10*cat, Medellín: University of Antioquia, Retrieved from; Wendt, K., (2012) Medical tourism: Trends and opportunities, , Las Vegas: University of Nevada; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Martínez Almanza, M.T.; Universidad Autónoma de Ciudad JuárezMexico; email: almanzateresa@gmail.com",,,"Routledge",,,,,13032917,,,,"English","Anatolia",Article,"Final",,Scopus,2-s2.0-85053544884 "Medhekar A., Wong H.Y., Hall J.E.","56939297300;56939197200;56727127000;","Factors influencing inbound medical travel to India",2019,"Journal of Health Organization and Management","33","2",,"155","172",,1,"10.1108/JHOM-08-2018-0234","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061373949&doi=10.1108%2fJHOM-08-2018-0234&partnerID=40&md5=5c89c2720619d736f0a91af9c282f503","School of Business and Law, Central Queensland University, Brisbane, Australia; Department of Marketing, Deakin University – Melbourne Burwood Campus, Burwood, Australia","Medhekar, A., School of Business and Law, Central Queensland University, Brisbane, Australia; Wong, H.Y., Department of Marketing, Deakin University – Melbourne Burwood Campus, Burwood, Australia; Hall, J.E., Department of Marketing, Deakin University – Melbourne Burwood Campus, Burwood, Australia","Purpose: The purpose of this paper is to explore the demand-side factors that influence the inbound medical tourists’ (MTs) decision to travel abroad for medical treatment/surgery. Design/methodology/approach: The researchers conducted thematic analysis of in-depth interviews in India with 24 foreign MTs’ to generate the themes, identify factors and propose a model with hypothesis for future quantitative survey. Findings: The findings conclude that patients ranked in ascending order less waiting time for surgery, healthcare quality and accreditation, staff/surgeons expertise, healthcare information, hospital facilities and services, patient safety, travel risk, surgical costs and holiday opportunity as important factors that influence the decision to travel abroad for medical treatment/surgery. Research limitations/implications: Foreign patients from six private hospitals were willing to be interviewed with the permission of the hospital. Due to confidentiality and privacy policy, many hospitals declined interviews with foreign patients. Practical implications: The findings are generalised in case of foreign patients as MTs and all private hospitals treating foreign patients in India and other global healthcare destinations. Policy implications suggest that private hospitals in developing countries need to provide first-class quality of healthcare as foreign patients look for internationally accredited quality, no waiting time, patient safety, qualified and experienced surgeons, healthcare workers education and experience hospital facilities and post-surgery care with positive healthcare outcomes. Originality/value: There is little empirical research on the views of inbound MTs, about factors influencing their decision to travel abroad for surgery to India. © 2019, Emerald Publishing Limited.","Accreditation; Global healthcare; India; Medical travel; Patient safety; Waiting time","accreditation; adult; article; confidentiality; developing country; drug safety; empirical research; human; India; interview; multicenter study; patient safety; privacy; quantitative analysis; risk assessment; scientist; surgeon; thematic analysis; tourism; travel; accreditation; aged; female; health care quality; hospital admission; India; male; medical tourism; middle aged; patient safety; qualitative research; time factor; Accreditation; Adult; Aged; Female; Humans; India; Male; Medical Tourism; Middle Aged; Patient Safety; Qualitative Research; Quality of Health Care; Time Factors; Waiting Lists",,,,,,,,"Ackerman, S., Plastic paradise: transforming bodies and selves in Costa Rica’s cosmetic surgery tourism industry (2010) Medical Anthropology, 29 (4), pp. 403-423; Adam, K., Snyder, J., Crooks, V.A., Johnston, R., Promoting social responsibility amongst healthcare users: medical tourists’ perspectives on an information sheet regarding ethical concerns in medical tourism (2013) Promoting Philosophy, Ethics, and Humanities in Medicine, 8 (19), pp. 19-29; Adams, J.S., Crooks, V., Johnston, R., Tourism discourse and medical tourists ‘motivations to travel’ (2015) Tourism Review, 70 (2), pp. 85-96; Ali, M.M., Outbound medical tourism: the case of Bangladesh (2012) World Review of Business Research, 2 (4), pp. 50-70; Barclay, E., Stem-cell experts raise concerns about medical tourism (2009) Lancet, 373 (9667), pp. 883-884; Bies, W., Zacharia, L., Medical tourism: outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York, NY; Brotman, B.A., Medical tourism private hospitals: focus India (2010) Journal Health Care Finance, 37 (1), pp. 45-50; Burns, R.L., Medical tourism opportunities and challenges: illustration from US–India trade (2015) International Journal of Healthcare Management, 8 (1), pp. 15-26; (2016) Foreign tourists who visited India for medical tourism purpose during 2012-2014, , www.business-standard.com/article/news-cm/the-foreign-tourists-who-visited-india-for-medical-purpose-during-2012-2013-and-2014-were-171021-236898-and-184298-respectively-116042500714_1.html, (accessed, 9 May 2016; (2017) IVF market in India to reach $ 775 million by 2022, , www.business-standard.com/article/news-ians/latest-low-cost-technologies-making-india-medical-tourism-hub-experts-117062200004_1.html, (accessed, 15 August 2017; Canaway, R., Bismark, M., Dunt, D., Kelahar, M., Medical directors’ perspectives on strengthening hospital quality and safety (2017) Journal of Health Organisation and Management, 31 (7-8), pp. 696-712; Chacko, P., Medical tourism in India: issues and challenges (2006) MBA Review, 4 (12), pp. 123-129; Chanda, R., Social services and the GATS: key issues and concerns (2003) World Development, 31 (12), pp. 1997-2011; (2013) Travel and Tourism Sector: Potential, Opportunities and Enabling Framework for Sustainable Growth, , CII-Mckinsey, Delhi; Cohen, G., How to regulate medical tourism: and why it matters for bio-ethics (2012) Developing World Bioethics, 12 (1), pp. 9-20; Connell, J., Medical tourism: sea, sun, sand and…surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34 (C), pp. 1-13; Creswell, J.W., (2014) Qualitative Inquiry and Research Design: Choosing Among Five Approaches, , 3rd Asia-Pacific ed., Sage Publications, Thousand Oaks, CA; Crooks, V.A., Ormongd, M., Jin, K.N., Reflections on ‘medical tourism’ from the 2016 global healthcare policy and management forum (2017) BMC Proceedings, 11 (8), pp. 1-4; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? 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(Ed.), 2nd ed., Oxford University Press, Sydney; Sultana, S., Haque, A., Momen, A., Yasmin, F., Factors affecting the attractiveness of medical tourism destination: an empirical study on India (2014) Iranian Journal of Public Health, 43 (7), pp. 867-876; Tashakkori, A., Teddlie, C., (2010) Handbook of Mixed Methods in Social and Behavioral Research, , (Eds) (, 2nd ed., SAGE, Thousand Oaks, CA; Government approves new visa policy to attract foreigners, boost trade (2016) The Economic Times, , http://economictimes.indiatimes.com/nri/visa-and-immigration/government-approves-new-visa-policy-to-attract-foreigners-boost-trade/articleshow/55722289.cms, 1 December: (accessed, 8 June 2018; Toral, R., Quality, liability, aftercare: medical tourism must nail down these three areas of concern on order to thrive (2009) Modern Healthcare, 39 (21), pp. 20-23; Turner, L., Cross-border dental care: ‘dental tourism’ and patient mobility (2008) British Dental Journal, 204 (10), pp. 553-554; Turner, L., Medical tourism and the global market place in health services: US patients, international hospitals and search for affordable healthcare (2010) International Journal of Health Services, 40 (3), pp. 443-467; Turner, L., Quality in health care and globalisation of health services: accreditation and regulatory oversight of medical tourism companies (2011) Journal of Quality in Health Care, 23 (1), pp. 1-7; Turner, L., News media reports of patient deaths following ‘medical tourism’ for cosmetic surgery and bariatric surgery (2012) Developing World Bioethics, 12 (1), pp. 21-34; (2017) World Tourism Organisation, , www2.unwto.org/en, (accessed, 3 April 2017; Veerasoontorn, R., Beise-Zee, R., International hospital out-shopping: a staged model of push and pull factors (2010) International Journal of Pharmaceutical and Healthcare Marketing, 4 (3), pp. 247-264; Veerasoontorn, R., Beise-Zee, R., Sivayathorn, A., Service quality as a key driver of medical tourism: the case of Bumrungrad International Hospital in Thailand (2011) International Journal of Leisure and Tourism Marketing, 2 (2), pp. 140-158; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality, 22 (5), pp. 465-491; Whittaker, A., Chee, H.L., Flexible bio-citizenship and international medical travel: transnational mobilities for care in Asia (2016) International Sociology, 31 (3), pp. 286-304; Woodman, J., (2016) Patients Beyond Borders: Everybody’s Guide to Affordable World-Class Medical Travel, , 3rd ed., Elsevier, Chapel Hill, NC","Medhekar, A.; School of Business and Law, Central Queensland UniversityAustralia; email: a.medhekar@cqu.edu.au",,,"Emerald Group Publishing Ltd.",,,,,14777266,,,"30950309","English","J. Health Organ. Manage.",Article,"Final",,Scopus,2-s2.0-85061373949 "Sadeh E., Garkaz M.","36142128300;37101245200;","Interpretive structural modeling of quality factors in both medical and hospitality services in the medical tourism industry",2019,"Journal of Travel and Tourism Marketing","36","2",,"253","267",,1,"10.1080/10548408.2018.1527273","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054418600&doi=10.1080%2f10548408.2018.1527273&partnerID=40&md5=ada3d9994881c18454a622de4c38d054","Department of Management, Saveh Branch, Islamic Azad University, Saveh, Iran; Department of Accounting, Gorgan Branch, Islamic Azad University, Gorgan, Iran","Sadeh, E., Department of Management, Saveh Branch, Islamic Azad University, Saveh, Iran; Garkaz, M., Department of Accounting, Gorgan Branch, Islamic Azad University, Gorgan, Iran","This study aims to theoretically integrate quality factors of both medical and hospitality services in medical tourism. Medical tourism comprises both medicine and tourism. Although the core product in medical tourism is medical treatment, attractive hospitality and travel options are also essential. Despite the dual nature of medical tourism, the two aspects of this concept have not been integrated in a unique framework. This study attempts to fill this gap using interpretive structural modeling (ISM). According to ISM, although factors of medical services and hospitality services are independent from each other, these factors have vital impacts on perceived value, satisfaction, and loyalty. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","hospitality services; interpretive structural modelling; ISM; medical services; Medical tourism; medical travelers; patients’ loyalty; patients’ satisfaction; perceived value; service quality",,,,,,,,,"Aiura, H., Sanjo, Y., Privatization of local public hospitals: Effect on budget, medical service quality, and social welfare (2010) International Journal of Health Care Finance and Economics, 10, pp. 275-299; Alonso-Almeida, M., Marti, J., Rocafort, A., Effects of quality management on hospitality performance in different contexts (2016) Industrial Management & Data Systems, 116 (5), pp. 1005-1023; Anthony, W., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702; Augustyn, M., Seakhoa-King, A., Is the servqual scale an adequate measure of quality in leisure, tourism and hospitality? 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In; Yu, J., Ko, T., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88; Zaibaf, M., Taherikia, F., Fakharian, M., Effect of perceived service quality on customer satisfaction in hospitality industry: Gronroos’ service quality model development (2013) Journal of Hospitality Marketing & Management, 22, pp. 490-504; Zolfagharian, M., Rajamma, R.K., Naderi, I., Torkzadeh, S., Determinants of medical tourism destination selection process (2018) Journal of Hospitality Marketing & Management","Sadeh, E.; Department of Management, Saveh Branch, Islamic Azad UniversityIran; email: e.sadeh@yahoo.com",,,"Routledge",,,,,10548408,,JTTME,,"English","J. Travel Tour. Mark.",Article,"Final",,Scopus,2-s2.0-85054418600 "Chung H., Choi H.Y.","57205558602;57202749199;","Influence of physical environment and medical service quality on customer satisfaction in medical travel to Korea",2019,"Asia Life Sciences",,"1",,"465","476",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062673243&partnerID=40&md5=ef448d252a451b57e578a7c5f98e743b","Department of English Language and Literature, Seoul National University of Science and Technology, 172 Gongneung-dong, Nowon-gu, Seoul, South Korea; Department of Airline Service Management, Jeju International University, 2870, 5.16-ro, Jeju-si, Jeju-do, South Korea","Chung, H., Department of English Language and Literature, Seoul National University of Science and Technology, 172 Gongneung-dong, Nowon-gu, Seoul, South Korea; Choi, H.Y., Department of Airline Service Management, Jeju International University, 2870, 5.16-ro, Jeju-si, Jeju-do, South Korea","This study examined the effect of physical environment and medical service quality on customer satisfaction in foreign medical tourism. The quality of medical service also has a positive effect on customer satisfaction. As a result of the analysis, three factors of physical environment were identified, namely: social, environmental and design factors. The influences on the customer satisfaction were in the order of peripheral, design and social factors. The dimensions of service quality’s influence on customer satisfaction were correspondence, reliability, tangibility, assurance and empathy. These results provide a broader understanding of customer satisfaction in terms of physical environment and service quality. From a customer’s perspective, the customer’s social factors and responsiveness to the employees could be found to be closely related to the formation of the customer’s satisfaction. © Rushing Water Publishers Ltd. 2019.","Customer satisfaction; Medical service quality; Medical tourism; Physical environment",,,,,,"Seoul National University of Science and Technology","This study was supported by the Research Program funded by the Seoul national university of Science and Technology.",,"Baker, J., The role of the environment in marketing service: The consumer perspective, in the service challenge (1988) Integrating for Competitive Advantage, pp. 79-84. , Czepeil, J.A., C.A. Congram and J. 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(1988) Journal of the American Medical Association, 260, pp. 1743-1748; Kim, D.Y., Kim, M.S., Structural equation analysis: A study on the model of marketing strategy for the medical tourism (2008) International Journal of Tourism and Hospitality Research, 22 (2), pp. 261-281; Kwak, D.Y., A study on product choice attributes of medical tourists (2012) International Journal of Tourism and Hospitality Research, 25 (4), pp. 85-101; Oliver, R.L., A conceptual model of service quality and service satisfaction: Compatible goals, different concepts (1993) Advances in Service Marketing and Management, 2, pp. 65-85; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, p. 416. , Oxford, UK; Swan, J., Dening the understanding of hospital patient satisfaction: Fulfillment and equity effects (1985) Journal of Health Care Marketing, 5 (3), pp. 7-18; Taylor, S.A., Baker, T.L., An assessment of the relationship between service quality and customer satisfaction in the formation of consumers’ purchase intentions (1994) Journal of Retailing, 70 (2), pp. 163-178; Yoon, S.W., Kim, S.B., The effects of physical environment, perceived justice and perceived waiting-time on repurchase intension (2003) Journal of Global Scholars of Marketing Science, 12, pp. 135-154","Choi, H.Y.; Department of Airline Service Management, Jeju International University, 2870, 5.16-ro, South Korea; email: hwayeol@hanmail.net",,,"Rushing Water Publishers Ltd.",,,,,01173375,,,,"English","Asia Life Sci.",Article,"Final",,Scopus,2-s2.0-85062673243 "Valtola J., Silvennoinen R., Ropponen A., Siitonen T., Säily M., Sankelo M., Putkonen M., Partanen A., Pyörälä M., Savolainen E.-R., Mäntymaa P., Pelkonen J., Jantunen E., Varmavuo V.","6507279116;7005268459;6602279976;6603599905;6701607505;7801555785;8654757000;56667283700;6602424109;7003551160;6602140769;7004067647;7005969996;24167097300;","Blood graft composition and post-transplant recovery in myeloma patients mobilized with plerixafor: a prospective multicenter study",2019,"Leukemia and Lymphoma","60","2",,"453","461",,1,"10.1080/10428194.2018.1485911","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053266713&doi=10.1080%2f10428194.2018.1485911&partnerID=40&md5=d1964ad21afefc3380a639e6ce0d89c0","Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Division of Hematology, Comprehensive Cancer Center Helsinki University Hospital, Helsinki, Finland; Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland; Department of Medicine, Oulu University Hospital, Oulu, Finland; Department of Internal Medicine, Tampere University Hospital, Tampere, Finland; Department of Medicine, Turku University Hospital, Turku, Finland; Nordlab Oulu, Medical Research Center Oulu, Oulu University Hospital University of Oulu, Oulu, Finland; Laboratory Centre of Eastern Finland, Kuopio, Finland; Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland; Siunsote, Central Hospital of North Karelia, Joensuu, Finland; Department of Medicine, Kymenlaakso Central Hospital, Kotka, Finland","Valtola, J., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Silvennoinen, R., Department of Medicine, Kuopio University Hospital, Kuopio, Finland, Division of Hematology, Comprehensive Cancer Center Helsinki University Hospital, Helsinki, Finland; Ropponen, A., Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland; Siitonen, T., Department of Medicine, Oulu University Hospital, Oulu, Finland; Säily, M., Department of Medicine, Oulu University Hospital, Oulu, Finland; Sankelo, M., Department of Internal Medicine, Tampere University Hospital, Tampere, Finland; Putkonen, M., Department of Medicine, Turku University Hospital, Turku, Finland; Partanen, A., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Pyörälä, M., Department of Medicine, Kuopio University Hospital, Kuopio, Finland; Savolainen, E.-R., Nordlab Oulu, Medical Research Center Oulu, Oulu University Hospital University of Oulu, Oulu, Finland; Mäntymaa, P., Laboratory Centre of Eastern Finland, Kuopio, Finland; Pelkonen, J., Department of Clinical Microbiology, University of Eastern Finland, Kuopio, Finland, Laboratory Centre of Eastern Finland, Kuopio, Finland; Jantunen, E., Department of Medicine, Kuopio University Hospital, Kuopio, Finland, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland, Siunsote, Central Hospital of North Karelia, Joensuu, Finland; Varmavuo, V., Department of Medicine, Kymenlaakso Central Hospital, Kotka, Finland","The composition of autologous blood grafts after cryopreservation, post-transplant hematological recovery up to 1 year and immune recovery up to 6 months as well as outcome was analyzed in 87 patients with multiple myeloma (MM). The patients receiving added plerixafor due to poor mobilization (11%) were compared to those mobilized with G-CSF or cyclophosphamide (CY) plus G-CSF. The use of plerixafor was found to significantly affect the graft composition as there was a significantly higher proportion of the more primitive CD34 + cells, higher number of T and B lymphocytes as well as NK cells in the grafts of patients who received also plerixafor. The hematological recovery after auto-SCT was comparable between the groups. The recovery of CD3 + CD4 + T cells was faster in plerixafor mobilized patients at 1 and 3 months post-transplant. There were no significant differences in progression-free (PFS) or overall survival (OS) according to the plerixafor use. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","autologous stem cell transplantation; graft composition; hematological recovery; immune recovery; Multiple myeloma; outcome; plerixafor","CD34 antigen; cyclophosphamide; granulocyte colony stimulating factor; plerixafor; adult; aged; Article; B lymphocyte; CD3+ T lymphocyte; CD4+ T lymphocyte; controlled study; cryopreservation; human; human cell; immune reconstitution; lymphocyte count; major clinical study; myeloma; natural killer cell; priority journal; prospective study; stem cell mobilization; T lymphocyte; adverse event; autotransplantation; clinical trial; female; graft survival; hematopoietic stem cell transplantation; male; middle aged; multicenter study; multimodality cancer therapy; multiple myeloma; procedures; treatment outcome; Aged; Combined Modality Therapy; Female; Graft Survival; Hematopoietic Stem Cell Mobilization; Hematopoietic Stem Cell Transplantation; Humans; Immune Reconstitution; Male; Middle Aged; Multiple Myeloma; Prospective Studies; Transplantation, Autologous; Treatment Outcome",,"cyclophosphamide, 50-18-0; plerixafor, 110078-46-1, 155148-31-5",,,"Suomen Kulttuurirahasto, SKR Finska Läkaresällskapet","The help of research nurses Kirsi Kvist-M€akel€a, Helena J€arvio€, and Eeva Kiljander is acknowledged. Dr. Valtola is grateful for the scholarships granted by the Research Foundation of Hematological Diseases, the Cancer Fund of North Savo District, Paavo Koistinen Fund, the Finnish Cultural Foundation, The Finnish-Norwegian Medical Foundation, The Finnish Medical Society Duodecim and the Kuopio University Hospital Research Foundation.",,"Passweg, J.R., Baldomero, H., Bader, P., European society for Blood and Marrow Transplantation (EBMT). Is the use of unrelated donor transplantation leveling off in Europe? 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Toor, A., Ayers, J., Strupeck, J., Favourable results with a single autologous stem cell transplant following conditioning with busulphan and cyclophosphamide in patients with multiple myeloma (2004) Br J Haematol, 124, pp. 769-776; O'Shea, D., Giles, C., Terpos, E., Predictive factors for survival in myeloma patients who undergo autologous stem cell transplantation: a single-centre experience in 211 patients (2006) Bone Marrow Transplant, 37, pp. 731-737; Wahlin, A., Eriksson, M., Hultdin, M., Relation between harvest success and outcome after autologous peripheral blood stem cell transplantation in multiple myeloma (2004) Eur J Haematol, 73, pp. 263-268; Varmavuo, V., Mäntymaa, P., Kuittinen, T., Blood graft lymphocyte subsets after plerixafor injection in non-Hodgkin lymphoma patients mobilizing poorly with chemotherapy plus granulocyte-colony-stimulating factor (2012) Transfusion, 52, pp. 1785-1791; Varmavuo, V., Mäntymaa, P., Nousiainen, T., Blood graft composition after plerixafor injection in patients with NHL (2012) Eur J Haematol, 89, pp. 128-135; Varmavuo, V., Mäntymaa, P., Silvennoinen, R., CD34 + cell subclasses and lymphocyte subsets in blood grafts collected after various mobilization methods in myeloma patients (2013) Transfusion, 53, pp. 1024-1032; Valtola, J., Varmavuo, V., Ropponen, A., Blood graft cellular composition and posttransplant recovery in non-Hodgkin lymphoma patients mobilized with or without plerixafor: a prospective comparison (2015) Transfusion, 55, pp. 2358-2368; Hiwase, D., Hiwase, S., Bailey, M., Higher infused lymphocyte dose predicts higher lymphocyte recovery, which in turn, predicts superior overall survival following autologous hematopoietic stem cell transplantation for multiple myeloma (2008) Biol Blood Marrow Transplant, 14, pp. 116-124; Lee, S., Yahng, S., Cho, B., Lymphocyte subset analysis for the assessment of treatment-related complications after autologous stem cell transplantation in multiple myeloma (2012) Cytotherapy, 14, pp. 505-512; Porrata, L., Gertz, M., Geyer, S., The dose of infused lymphocytes in the autograft directly correlates with clinical outcome after autologous peripheral blood hematopoietic stem cell transplantation in multiple myeloma (2004) Leukemia, 18, pp. 1085-1092; Valtola, J., Silvennoinen, R., Ropponen, A., Blood graft cellular composition and posttransplant outcomes in myeloma patients mobilized with or without low-dose cyclophosphamide: a randomized comparison (2016) Transfusion, 56, pp. 1394-1401; Worel, N., Fritsch, G., Agis, H., Plerixafor as preemptive strategy results in high success rates in autologous stem cell mobilization failure (2017) J Clin Apher, 32, pp. 224-234; Worel, N., Frank, N., Frech, C., Influence of plerixafor on the mobilization of CD34 + cell subpopulations and lymphocyte subtypes (2017) Transfusion, 57, pp. 2206-2215; Silvennoinen, R., Anttila, P., Säily, M., A randomized phase II study of stem cell mobilization with cyclophosphamide + G-CSF or G-CSF alone after lenalidomide-based induction in multiple myeloma (2016) Bone Marrow Transplant, 51, pp. 372-376; Gratama, J., Kraan, J., Keeney, M., Validation of the single-platform ISHAGE method for CD34 + hematopoietic stem and progenitor cell enumeration in an international multicenter study (2003) Cytotherapy, 5, pp. 55-65; Alexander, E., Towery, J., Miller, A., Beyond CD34 + cell dose: impact of method of peripheral blood hematopoietic stem cell mobilization (granulocyte-colony-stimulating factor [G-CSF], G-CSF plus plerixafor, or cyclophosphamide G-CSF/granulocyte-macrophage [GM]-CSF) on number of colony-forming unit-GM, engraftment, and Day +100 hematopoietic graft function (2011) Transfusion, 51, pp. 1995-2000; Micallef, I., Stiff, P., Stadtmauer, E., Safety and efficacy of upfront plerixafor + G-CSF versus placebo + G-CSF for mobilization of CD34(+) hematopoietic progenitor cells in patients ≥60 and <60 years of age with non-Hodgkin lymphoma or multiple myeloma (2013) Am J Hematol, 88, pp. 1017-1023; Russell, N., Douglas, K., Ho, A., Plerixafor and granulocyte colony-stimulating factor for first-line steady-state autologous peripheral blood stem cell mobilization in lymphoma and multiple myeloma: results of the prospective PREDICT trial (2013) Haematologica, 98, pp. 172-178; Shaughnessy, P., Uberti, J., Devine, S., Plerixafor and G-CSF for autologous stem cell mobilization in patients with NHL, Hodgkin lymphoma and multiple myeloma: results from the expanded access program (2013) Bone Marrow Transplant, 48, pp. 777-781; 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Garfall, A., Dougherty, A., Vogl, D., Association between mobilization regimen and PFS after auto-SCT for multiple myeloma (2014) Bone Marrow Transplant, 49, pp. 1439-1441; Morris, C., Sureda, A., van, B.A., The EMA-directed plerixafor safety survey: the EBMT CALM study (2011) Bone Marrow Transplant, 46, p. S32","Valtola, J.; Department of Medicine, Kuopio University Hospital, P.O.B. 100, Finland; email: jaakko.valtola@gmail.com",,,"Taylor and Francis Ltd",,,,,10428194,,LELYE,"30160591","English","Leuk. Lymphoma",Article,"Final",,Scopus,2-s2.0-85053266713 "Dileep M.R., Prathyash V., Jithin J.","56766113400;57205647886;57205648880;","Ayurtourism:A web based recommendation system for medical tourism",2019,"ACM International Conference Proceeding Series",,,,"492","495",,1,"10.1145/3288599.3297120","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060917720&doi=10.1145%2f3288599.3297120&partnerID=40&md5=6798b7ccfa5d7709126c913d09fcd3c8","Department of CSE, National Institute of Technology Calicut, Kerala, India","Dileep, M.R., Department of CSE, National Institute of Technology Calicut, Kerala, India; Prathyash, V., Department of CSE, National Institute of Technology Calicut, Kerala, India; Jithin, J., Department of CSE, National Institute of Technology Calicut, Kerala, India","AyurTourism:A recommendation system which provides a web based platform for collaborating Ayurvedic treatment and Tourism is proposed in this paper. Our proposal is that the leisure mind of people can be utilized as an opportunity to increase the revenue. The search keywords, implicit and explicit feed backs, reviews and user profiles are effectively used to determine the user preferences in our model. The personalized recommendations are generated on preferred hospitals for Ayurvedic treatment, trending tourist places, travel, food, and accommodation facility near the hospitals. Data mining and collaborative filtering are employed to implement this model. © 2019 Association for Computing Machinery.","Ayurvedic; Collaborative filtering; Data mining; Tourism","Collaborative filtering; Data mining; Hospitals; Recommender systems; Websites; Ayurvedic; Personalized recommendation; Search keyword; Tourism; User profile; Web based; Web based platform; Distributed computer systems",,,,,,,,"Pejic Bach, M., Schatten, M., (2013) Data Mining Applications in Tourism: A Keyword Analysis; BorrÃăs, J., Moreno, A., Valls, A., Intelligent tourism recommender systems: A survey (2014) Expert Systems with Applications, 41 (16), pp. 7370-7389. , https://doi.org/10.1016/j.eswa.2014.06.007, 2014; Chareyron, G., Da-Rugna, J., Raimbault, T., Big data: A new challenge for tourism (2014) 2014 IEEE International Conference on Big Data (Big Data), pp. 5-7. , https://doi.org/10.1109/BigData.2014.7004475; Frikha, M., Mhiri, M., Zarai, M., Gargouri, F., Using TMT ontology in trust based medical tourism recommender system (2016) 2016 IEEE/ACS 13th International Conference of Computer Systems and Applications (AICCSA), pp. 1-8. , https://doi.org/10.1109/AICCSA.2016.7945768; Kamalpour, M., Aghdam, A.R., Xu, S., Khani, E.G., Baghi, A., (2017) Uncovering Hotel Guests Preferences Through Data Mining Techniques, , 08 2017; Li, X., Du, J., Zi, L., Shimohara, K., Study and implementation of personalized searching system based on user's interest model (2012) 2012 IEEE 2nd International Conference on Cloud Computing and Intelligence Systems, pp. 1-5. , https://doi.org/10.1109/CCIS.2012.6664355, 01; Loiseau, T.-J., Djebali, S., Raimbault, T., Branchet, B., Chareyron, G., (2017) Characterization of Daily Tourism Behaviors Based on Place Sequence Analysis from Photo Sharing Websites, pp. 2760-2765. , https://doi.org/10.1109/BigData.2017.8258241; Muangna, U., Netramai, C., Social network for Thailand medical tourism (2013) The 6th 2013 Biomedical Engineering International Conference, pp. 1-5. , https://doi.org/10.1109/BMEiCon.2013.6687677; Park, K., Nguyen, M.C., Won, H., Web-based collaborative big data analytics on big data as a service platform (2015) 2015 17th International Conference on Advanced Communication Technology (ICACT), pp. 564-567. , https://doi.org/10.1109/ICACT.2015.7224859; Sharma, G.K., Sharma, P., A study on data mining algorithms for tourism industry (2016) International Journal of Latest Trends in Engineering and Technology, 7 (1), pp. 580-587. , May 2016; Zhou, X., Xu, C., Kimmons, B., Detecting tourism destinations using scalable geospatial analysis based on cloud computing platform (2015) Computers, Environment and Urban Systems, 54, pp. 144-153. , https://doi.org/10.1016/j.compenvurbsys.2015.07.006, Complete 2015",,,"ACM","Association for Computing Machinery","20th International Conference on Distributed Computing and Networking, ICDCN 2019","4 January 2019 through 7 January 2019",,144121,,9781450360944,,,"English","ACM Int. Conf. Proc. Ser.",Conference Paper,"Final",,Scopus,2-s2.0-85060917720 "Hartmann S.","57204861027;","Mobilising patients towards transnational healthcare markets–insights into the mobilising work of medical travel facilitators in Delhi",2019,"Mobilities","14","1",,"71","86",,1,"10.1080/17450101.2018.1533694","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85057553772&doi=10.1080%2f17450101.2018.1533694&partnerID=40&md5=39fe3cac62153a24a8869810cf4a46c4","Department of Geography, University of Zurich, Zurich, Switzerland","Hartmann, S., Department of Geography, University of Zurich, Zurich, Switzerland","Medical travel facilitators play an important role in mobilising patients towards transnational healthcare markets. However, little is known about the actual mobilising work of medical travel facilitators located at destination sites, such as Delhi, India. The following ethnographic study suggests conceptualising medical travel facilitators as brokers who are productive of a mobility infrastructure. This allows categorising three mobilisation strategies: direct patient mobilisation, channel partner mobilisation and patient testimonial mobilisation. These strategies draw attention to practices that build trust over distance, the power of word-of-mouth and the importance of nurturing personal relationships that translate into transnational channels that direct people to particular destinations. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.","brokers; India; Medical travel facilitators; mobility infrastructure; transnational healthcare","conceptual framework; ethnography; health care; medical geography; mobility; multinational enterprise; Delhi; India",,,,,"Singapore Eye Research Institute, SERI Indian Council of Social Science Research, ICSSR","This work was supported by the Swiss State Secretariat for Education, Research and Innovation (SERI) and the Indian Council for Social Science Research (ICSSR) under Indo-Swiss Joint Research Programme in the Social Sciences, Seed Money Grants (SMG) [call for projects 2014]; and Prof. Dr Christian Berndt under institutional funding.",,"Al‐Amin, M., Makarem, S.C., Pradhan, R., Hospital Ability to Attract International Patients: A Conceptual Framework (2011) International Journal of Pharmaceutical and Healthcare Marketing, 5 (3), pp. 205-221; Bisht, R., Pitchforth, E., Murray, S.F., Understanding India, Globalisation and Health Care Systems: A Mapping of Research in the Social Sciences (2012) Globalization and Health, 8 (32), pp. 1-15; Blouin, C., Drager, N., Smith, R., (2006) International Trade in Health Services and the GATS. 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The research method that was used is represented in quantitative surveys and in-depth results using in-depth interviews. As a result, health care and the intention to reuse health services are the quality of medical services for patients, medical equipment technology, hospital management, price and benefit comparisons, and communication. In conclusion, health services and communication does not affect the intention to recommend health services. © 2019, Universidad del Zulia. All rights reserved.","Health; Intention; Intention; Recommendation; Repurchase",,,,,,,,,"Ahmad, B., Marina, C., Revisiting service quality through the lens of concentric services (2018) International Journal of Operations & Production Management; Aihie, O.N., Ohanaka, B.I., Perceived Academic Stress among Undergraduate Students in a Nigerian University (2019) Journal of Educational and Social Research, 9 (2), p. 56; Dwi, R., Dwi, N., Ita, Y., (2017) Patient Family Satisfaction in ICU Room Permata Medika Hospital Semarang, , KesMaDaSka Journal. 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Mgt, 7 (1), p. 65; Mahendro, P., The Effect of Therapeutic Nurse Communication on Patient Satisfaction in Outpatient Hospital Jogja (2017) Medicoeticolegal Journal and Hospital Management, 6 (1), pp. 72-81. , Indonesia; Sadegh, A., Ehsan, Z., Abbas, D., Soheila, K., Hospital responsiveness and its effect on overall patient satisfaction: A cross-sectional study in Iran (2017) International Journal of Health Care Quality Assurance; Shahidul, I., Consumer value health understanding: Service marketing perspective (2018) South Asian Journal of Business Studie; Suhana, M., Sedigheh, M., Suhaiza, Z., (2017) Malaysian Islamic Medical Tourism Market: A SWOT Analysis, , Journal of Islamic Marketing. UK; Vineet, J., Puneeta, A., Modeling the factors affecting the Indian Medical Tourism Sector using Interpretive Structural Modeling (2018) Benchmarking: An International Journal; Winda, A., (2015) The Health Service Strategy in Improving the Quality of Health Services through the CRC Method (Citizen Report Card) in the City of Surabaya, 3 (2). , Public Policy and Management","Ratnasari, R.T.; Faculty of Economics and Business, Universitas AirlanggaIndonesia; email: ririnsari@feb.unair.ac.id",,,"Universidad del Zulia",,,,,10121587,,,,"English","Opcion",Article,"Final",,Scopus,2-s2.0-85076969357 "Hadian M., Jabbari A., Mousavi S.H., Sheikhbardsiri H.","57202368342;57192251543;57211586680;57191166997;","Medical tourism development: A systematic review of economic aspects",2019,"International Journal of Healthcare Management",,,,"","",,1,"10.1080/20479700.2019.1677977","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074502015&doi=10.1080%2f20479700.2019.1677977&partnerID=40&md5=69dbaf93d9370be1f365d06ad025b913","Department of Health Care Management, Student Research Committee of School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran; Health Services Management, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Health in Emergencies and Disasters, Student Research Committee of School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Emergency Operation Center (EOC), Disasters and Emergencies Management Center, Kerman University of Medical Sciences, Kerman, Iran","Hadian, M., Department of Health Care Management, Student Research Committee of School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran; Jabbari, A., Health Services Management, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Mousavi, S.H., Department of Health in Emergencies and Disasters, Student Research Committee of School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran; Sheikhbardsiri, H., Department of Emergency Operation Center (EOC), Disasters and Emergencies Management Center, Kerman University of Medical Sciences, Kerman, Iran","The tourism industry is one of the largest and most productive economic activities in the world that directly and indirectly affects other economic and cultural activities. The purpose of this study was to identify the strengths points and challenges of medical tourism development in Iran. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA guidelines. Overview of the study shows that Iran has good scope for the medical tourism industry but, in general, is faced with main challenges, including lack of technology and technical infrastructures, existence of different organs of political and decision-making and also its cultural and political conditions. Therefore if Iran intends to use the strategy of developing medical tourism, as one of the strengths of the resilient economy, it should weigh strengths and challenges. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","Economics; health tourism; Iran; Medical tourism; resistance; therapeutic tourism","decision making; economics; human; Iran; medical tourism; meta analysis; Preferred Reporting Items for Systematic Reviews and Meta-Analyses; review; systematic review",,,,,,,,"Jabbari, A., (2009) Designing a model for Iran medical tourism, , Tehran: Tehran University of Medical Sciences; Pan, X., Moreira, J.P., Outbound medical tourists from China: an update on motivations, deterrents, and needs (2018) Int J Healthc Manag, 11 (3), pp. 217-224; Sandberg, D.S., Medical tourism: an emerging global healthcare industry (2017) Int J Healthc Manag, 10 (4), pp. 281-288; Khan, M.J., Chelliah, S., Haron, M.S., Push factors, risks, and types of visit intentions of international medical travelers–a conceptual model (2017) Int J Healthc Manag, 10 (2), pp. 115-121; Zamani-Farahani, H., Henderson, J.C., Islamic tourism and managing tourism development in Islamic societies: the cases of Iran and Saudi Arabia (2010) International Journal of Tourism Research, 12 (1), pp. 79-89; Zarei, A., Feiz, D., Maleki Minbashrazgah, M., Factors influencing selection of medical tourism destinations: a special niche market (2018) Int J Healthc Manag, 66, pp. 1-7; Radovcic, Z., Nola, I., Medical tourism globe-trotting: features, impacts, and risks (2018) Int J Healthc Manag, 14, pp. 1-7; Ghasemi, F., Jalalabadi, L., Poormoosavi, R.S., Analyzing the role of security in developing Iran’s foreign tourism (2014) Eur Online J Nat Soc Sci: Proc, 3 (3s), pp. 210-216; Khan, M.J., Chelliah, S., Haron, M.S., Medical tourism destination image formation process: a conceptual model (2016) Int J Healthc Manag, 9 (2), pp. 134-143; Jabbari, A., Agharahimi, Z., Hosseini, S., Capabilities of infertility tourism in Isfahan: A qualitative study [sup]1 (2013) International Journal of Health System and Disaster Management, 1 (2), p. 99; Mooghali, A., Rajabi, A., Khalili, R., Investigating the obstacles and difficulties of using the potentials of medical tourism in Shiraz hospitals (2018) J Health Manag Inform, 5 (1), pp. 27-32; Delgoshaei, B., Ravaghi, H., Abolhassani, N., Importance-performance analysis of medical tourism in Iran from medical tourists and medical services provider’s perspective: 2011 (2012) Middle-East J Sci Res, 12 (11), pp. 1541-1547; Turner, L., Medical tourism’ and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) Int J Health Serv, 40 (3), pp. 443-467. , ‘; Zarchi, M.K.R., Jabbari, A., Hatam, N., Strategic analysis of Shiraz medical tourism industry: a mixed method study (2018) Galen Med J, 7, p. 1021; Hutton, B., Salanti, G., Caldwell, D.M., The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations (2015) Ann Intern Med, 162 (11), pp. 777-784; http://www.casp-tools-checklists/c18f8, CASP checklists. [cited 2019 Sep 20]. 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Lulea University of Technology; 2009; Asadi, R., Daryaei, M., Strategies for development of Iran health tourism (2011) Euro J Soc Sci, 23 (3), pp. 329-344; Kazemi, Z., (2007) Study of the effective factors for attracting medical tourism in Iran [Thesis, , Luleå: Luleå University of Technology; Nazmfar, H., Aftab, A., Gilandeh, A.G., (2018) Key factors influencing the planning of a creative city, , Urmia: Case Study; Panahi, H., Azizi, M., Evaluating of the capabilities of Tabriz hospitals in the development of health tourism (2018) J Health, 9 (1), pp. 100-114; Qolipour, M., Torabipour, A., Khiavi, F.F., Assessing medical tourism services quality using SERVQUAL model: a patient’s perspective (2018) Iran J Public Health, 47 (1), p. 103; Rafiei Darani, H., Asghari, H., Study of international tourism demand in Middle East by panel data model (2018) Int J Cult, Tour Hosp Res, 12 (1), pp. 80-88; Delgoshaei, B., Ravaghi, H., Abolhassani, N., Importance–performance analysis of medical tourism in Tehran province from medical tourists and medical services providers’ perspective (2012) J Hospital, 11 (1), pp. 63-72; Izadi, M., Saadat, S.H., Ayoubian, A., Health tourism in Iran; identifying obstacles for development of this industry (2013) Int J Travel Med Glob Health, 1 (2), pp. 89-94; Lahmian, R., Study of tourism industry in urban planning with priority of medical tourism in Iran (2014) J Tour Hosp Res, 3 (3), pp. 91-104; Manouchehri, J., Farhangi, A.A., Someeh, S., The challenges of Kish health tourism: a case study (2014) Int J Basic Appl Sci, 3 (3), p. 335; Momeni, M., The role of tourists’ offices in the tourists’ attraction and their contentment: case study of Isfahan, Iran (2015) Asian Soc Sci, 11 (13), p. 190; Naami, A., Chatrooz, A., Systematic review of medical tourism in Iran and case study of Tehran University of Medical Sciences (2018) J Payavard Salamat, 11 (5), pp. 598-609; Heung, V.C., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: an assessment of the barriers (2011) Tour Manag, 32 (5), pp. 995-1005; Leng, C.H., Medical tourism and the state in Malaysia and Singapore (2010) Glob Soc Policy, 10 (3), pp. 336-357; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73 (4), pp. 300-304; Goodarzi, M., Taghvaei, M., Zangiabadi, A., Factor analysis of effective factors on the improvement of medical tourism in shiraz megalopolis (2014) Environ Manag Sustain Dev, 3 (1), p. 138; Hemmati, F., Dabbaghi, F., Mahmoudi, G., Iran’s need for medical tourism development (2018) J Res Med Dent Sci, 6 (1), pp. 269-273; NajafiNasab, M., Agheli, L., Andrade, M.V., Determinants of medical tourism expansion in Iran: structural equation modeling approach (2019) Iran J Econ Stud, 7 (2), pp. 169-189; Sharifabadi, A.M., Ardakani, F.A., A model for health tourism development using fuzzy TOPSIS and interpretive structural modeling in Yazd province (2014) J Health Adm (JHA), 17 (55), pp. 14-21; Shafaghat, T., Jabbari, A., Kavoosi, Z., The capabilities of Iranian hospitals in attracting medical tourists; based on Joint Commission International: a case study of Shiraz hospitals (2014) Int J Travel Med Glob Health, 2 (1), pp. 5-9; Smart, T., Watch, A., Travel and hospitality industry set to tap into Asia’s US $4 billion medical tourism market, , Travel Smart–Asia Watch, April–May, 2006: p. 1–4; Street, M., Medical tourism in Iran: analysis of opportunities and challenges with MADM approach (2010) Res J Biol Sci, 5 (3), pp. 251-257; Abadi, F., Sahebi, I., Arab, A., Application of best-worst method in evaluation of medical tourism development strategy (2018) Decis Sci Lett, 7 (1), pp. 77-86; Zamani-Farahani, H., Musa, G., The relationship between Islamic religiosity and residents’ perceptions of socio-cultural impacts of tourism in Iran: case studies of Sare’in and Masooleh (2012) Tour Manag, 33 (4), pp. 802-814","Sheikhbardsiri, H.; Center of Emergencies and Disasters Management, Pardizeh of Kerman University of Medical Science, Haftbagh Street, Iran; email: Hojat.sheikhbardsiri@gmail.com",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Review,"Article in Press",,Scopus,2-s2.0-85074502015 "Aiwerioghene E.M., Singh M., Ajmera P.","57211534357;57214313005;57195928425;","Modelling the factors affecting Nigerian medical tourism sector using an interpretive structural modelling approach",2019,"International Journal of Healthcare Management",,,,"","",,1,"10.1080/20479700.2019.1677036","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074356246&doi=10.1080%2f20479700.2019.1677036&partnerID=40&md5=59e6611d960424346799ae25a53cb236","Department of Healthcare Management, Mena College of Management, Dubai, United Arab Emirates; Faculty of Health & Allied Sciences, Amity University, Haryana, India; Amity Medical School, Amity University, Haryana, India","Aiwerioghene, E.M., Department of Healthcare Management, Mena College of Management, Dubai, United Arab Emirates; Singh, M., Faculty of Health & Allied Sciences, Amity University, Haryana, India; Ajmera, P., Amity Medical School, Amity University, Haryana, India","Healthcare system of Nigeria is still considered to be in its developing stage when compared to other countries like USA and UK. Nigeria can perform exceptionally well in its healthcare delivery system if some factors are put into place. The aim of this paper is to identify the factors affecting Nigerian medical tourism sector. With respect to this, 15 variables were identified from literature reviews and brainstorming sections among experts in healthcare executives which, in turn, gave rise to the development of a structural model. More appropriate understanding of these factors/variables and their various contextual relationship will help to improve Nigerian medical tourism sector. The contextual relationship between these variables was identified and Interpretation Structure Modelling (interpretive modelling technique) was used. Furthermore, the MICMAC analysis was also employed in the classification of the 15 variables based on their individual driving power and dependence power in order to classify the factor affecting Nigerian medical tourism sector. The model factors affecting medical tourism in this study will contribute to improving healthcare management practice in other countries, which are currently having issues concerning high migration of patients for medical tourism. When these factors are properly implemented, they will give rise to best practices and ensure excellent healthcare delivery. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","health tourism; healthcare; interpretive structural modelling; JCI; Medical tourism; tourism destination",,,,,,,,,"Sandberg, D.S., Medical tourism: an emerging global healthcare industry (2017) Int J Healthc Manag, 10 (4), pp. 281-288. , https://doi.org/10.1080/20479700.2017.1296213; Tseng, H., Medical health care tourism: why patients go overseas and what nurse practitioners need to know (2013) Int J Healthc Manag, 6 (2), pp. 132-135. , https://doi.org/10.1179/2047971912Y.0000000026; Carrera, P., Bridges, J., Globalization and healthcare: understanding health and medical tourism (2006) Expert review of pharmacoeconomics & outcomes research, 6. , https://doi.org/10.1586/14737167.6.4.447; Connell, J., Medical tourism: sea, sun, sand and … surgery (2006) Tourism Manage, 27 (6), pp. 1093-1100. , https://doi.org/10.1016/j.tourman.2005.11.005; Idowu, E.O., Adewole, O.A., Spectrum of neurosurgical complications following medical tourism: challenges of patients without borders (2015) Afr Health Sci, 15 (1), pp. 240-245. , https://www.ajol.info/index.php/ahs/article/view/114150/103859; Makinde, O.A., Brown, B., Olaleye, O., The impact of medical tourism and the code of medical ethics on advertisement in Nigeria (2014) Pan Afr Med J, 19. , https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4337373/; Sharkdam, W., Medical tourism and Nigeria-India relations (with Agatha Eileen & Gbajabiamila, Titilola Abike) (2015) J Tourism Res, 12, pp. 44-65; Akinwale, A.A., The menace of inadequate infrastructure in Nigeria (2010) Afr J Sci Technol Innov Dev, 2 (3), pp. 207-228; Hopkins, L., Labonté, R., Runnels, V., Medical tourism today: what is the state of existing knowledge? 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Australia; Duckett, S., Changing hospitals: the role of hospital accreditation (1983) Soc Sci Med, 17, pp. 1573-1579. , [PubMed]; Juul, A.B., Gluud, C., Wetterslev, J., The effects of a randomised multi-centre trial and international accreditation on availability and quality of clinical guidelines (2005) Int J Health Care Qual Assur Inc Leadersh Health Serv, 18, pp. 321-328. , [PubMed]; Chen, J., Rathore, S.S., Radford, M.J., JCAHO accreditation and quality of care for acute myocardial infarction (2003) Health Aff, 2003 (22), pp. 243-254. , [PubMed]; Shiffman, J., Okonofua, F.E., The state of political priority for safe motherhood in Nigeria (2007) BJOG: Int J Obstet Gynaecol, 114 (2), pp. 127-133; Donaldson, M.S., Yordy, K.D., Lohr, K.N., (1996) Primary care: America’s health in a new era, , http://www.nap.edu/openbook.php?record_id=5152%26page=52, Washington (DC: Committee on the Future of Primary Care, Institute of Medicine, Available from; Monye, F., An appraisal of the National Health Insurance Scheme of Nigeria (2006) Commonwealth Law Bulletin, 32 (3), pp. 415-427; Ibrahim, A., Price, A., Dainty, A., The analysis and allocation of risks in public private partnerships in infrastructure projects in Nigeria (2006) J Financ Manage Property Construct, 11 (3), pp. 149-164; Shitika, S.S., Vij, A., Modelling emotionally intelligent behaviour at workplace–an interpretive structural modelling technique (2015) Pac Bus Rev Int, 8 (3), pp. 57-65; Shojania, K.G., Duncan, B.W., McDonald, K., Making health care safer: a critical analysis of patient safety practices (2001) Evid Rep Technol Assess (Summ), 43 (1), p. 668; (2016), https://www.medicaltourismindex.com/2016-medical-tourism-industry-valuation/, Medical tourism industry valued at $100B; poised for 25% year-over-year growth by 2025. Available from; Radovcic, Z., Nola, I.A., Medical tourism globe-trotting: features, impacts, and risks (2018) Int J Healthc Manag, , https://doi.org/10.1080/20479700.2018.1428388; Rasul, I., Rogger, D., Management of bureaucrats and public service delivery: evidence from the Nigerian civil service (2018) Econ J, 128 (608), pp. 413-446; Gupta, M.D., Gauri, V., Khemani, S., (2003) Decentralized delivery of primary health services in Nigeria. Africa Region human development working paper Series, , Washington (DC: The World Bank; Doole, I., Lowe, R., (2008), International marketing strategy: analysis, development and implementation: Cengage Learning EMEA; Williams, F., Boren, S.A., The role of electronic medical record in care delivery in developing countries (2008) Int J Inf Manage, 28 (6), pp. 503-507; Oparah, A.C., Enato, E.F., Akoria, O.A., Assessment of patient satisfaction with pharmaceutical services in a Nigerian teaching hospital (2004) Int J Pharm Pract, 12 (1), pp. 7-12; Bankole, A.O., Odularu, G.O., Achieving the millennium development goals: issues and options for the Nigeria’s tourism industry (2006) Tourism Rev, 61 (1), pp. 26-30; Jakada, B.A., Gambo, M.K., A conceptual analysis of market orientation philosophy in the hospitality industry of Nigeria (2014) J Market Manage, 5 (1), p. 50","Aiwerioghene, E.M.; Department of Healthcare Management, Mena College of Management, Al Safa 1, Street 8B, Building 43 (Near Al Ittihad Pvt School), Jumeirah P.O. Box 430470, Dubai, U.A.E., United Arab Emirates; email: meshach@mcm.ac.ae",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Article in Press",,Scopus,2-s2.0-85074356246 "Boguszewicz-Kreft M., Sokołowska K., Magier-łakomy E., Janiūnaitė B.","57207842794;56127679800;57195177831;36711796500;","The country of origin of services and consumers as the determinants of purchase intentions in medical tourism",2019,"Journal of East European Management Studies","24","3",,"466","483",,1,"10.5771/0949-6181-2019-3-466","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073383646&doi=10.5771%2f0949-6181-2019-3-466&partnerID=40&md5=87d269df6fbec53cfa301760d100ce83","Faculty of Finance and Management, Marketing Department, WSB University in Gdańsk, Poland; Faculty of Finance and Management, WSB University in Gdańsk, Poland; Department of Management, WSB University in Gdańsk, Poland; Faculty of Social Sciences, Arts and Humanities, Kaunas University of Technology, Lithuania","Boguszewicz-Kreft, M., Faculty of Finance and Management, Marketing Department, WSB University in Gdańsk, Poland; Sokołowska, K., Faculty of Finance and Management, WSB University in Gdańsk, Poland; Magier-łakomy, E., Department of Management, WSB University in Gdańsk, Poland; Janiūnaitė, B., Faculty of Social Sciences, Arts and Humanities, Kaunas University of Technology, Lithuania","The aim of the study is to find the determinants of the decision to purchase medical services in other countries. The following hypothesis is tested: the image of the country of origin, the power of the country and the origin of the consumer influence the consumer’s intentions to purchase medical services. An international comparison has been carried out, in which 264 respondents from Poland, Germany and Lithuania have participated. The data have been collected with the use of a questionnaire form developed by the authors, and they have been analysed with a mixed regression analysis. The results show that the readiness to purchase medical services differs, depending on the country of origin of services, the power of the country and the origin of the consumer. The results of the research can be applied in business practice and in the strategies developed by institutions shaping the image of the country and positioning it in the international context. © 2019, Nomos Verlagsgesellschaft mbH und Co. All rights reserved.","Consumer’s origin; Country-of-origin effect; Dimensions of the country-of-origin; Marketing of services; Medical services",,,,,,,,,"Ahmed, Z.U., Johnson, J.I., Ling, C.K., Fang, T.W., Nui, A.K., Country-of-origin and brand effects on consumers' evaluations of cruise lines (2002) International Marketing Review, 19 (3), pp. 279-302; Al-Amin, M., Makarem, S.C., Pradhan, R., Hospital ability to attract international patients: A conceptual framework (2011) International Journal of Pharmaceutical and Healthcare Marketing, 5 (3), pp. 205-221; Balabanis, G., Diamantopoulos, A., Gains and Losses from the Misperception of Brand Origin: The Role of Brand Strength and Country-of-Origin Image (2011) Journal of International Marketing, 19 (2), pp. 95-116; Berentzen, J.B., Backhaus, C., Michaelis, M., Blut, M., Ahlert, D., Does “Made in…"" Also Apply to Services? 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Central Europe, 22 (4), pp. 194-204; Wong, K.A., Folkes, V., Country-of-Origin Effects on Consumers' Attributions and Word-of-Mouth Communications about Services (2008) Advances in Consumer Research, 35, pp. 1029-1032; Woo, E., Schwartz, Z., Towards Assessing the Knowledge Gap in Medical Tourism (2014) Journal of Quality Assurance in Hospitality & Tourism, 15 (2), pp. 213-226; Verlegh, P.W.J., Steenkamp, J.B.E.M., A review of Meta Analysis of Country of Origin Research (1999) Journal of Economic Psychology, 20, pp. 521-546","Janiūnaitė, B.; Faculty of Social Sciences, Arts and Humanities, Kaunas University of TechnologyLithuania; email: brigita.janiunaite@ktu.lt",,,"Nomos Verlagsgesellschaft mbH und Co",,,,,09496181,,,,"English","J. East Eur. Manage. Stud.",Article,"Final",,Scopus,2-s2.0-85073383646 "Rawat N., Rao V., Peven M., Shrock C., Reiter A., Saria S., Ali H.","55034863400;57210741746;57204175741;55617423600;24072196400;56014917500;57212432228;","Comparison of automated activity recognition to provider observations of patient mobility in the ICU",2019,"Critical Care Medicine","47","9",,"1232","1234",,1,"10.1097/CCM.0000000000003852","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071355269&doi=10.1097%2fCCM.0000000000003852&partnerID=40&md5=c6cde58777260e92bfe97c085239b7c9","Department of Anesthesia and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, School of Medicine, Baltimore, MD, United States; Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States; Johns Hopkins University, School of Medicine, Baltimore, MD, United States; Department of Health Policy and Management, Johns Hopkins University Bloomberg, School of Public Health, Baltimore, MD, United States","Rawat, N., Department of Anesthesia and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, School of Medicine, Baltimore, MD, United States; Rao, V., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States; Peven, M., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States; Shrock, C., Johns Hopkins University, School of Medicine, Baltimore, MD, United States; Reiter, A., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States; Saria, S., Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, School of Medicine, Baltimore, MD, United States, Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States, Department of Health Policy and Management, Johns Hopkins University Bloomberg, School of Public Health, Baltimore, MD, United States; Ali, H., Department of Computer Science, Johns Hopkins University, Baltimore, MD, United States","Objectives: To compare noninvasive mobility sensor patient motion signature to direct observations by physicians and nurses. Design: Prospective, observational study. Setting: Academic hospital surgical ICU. Patients and Measurements: A total of 2,426 1-minute clips from six ICU patients (development dataset) and 4,824 1-minute clips from five patients (test dataset). Interventions: None. Main Results: Noninvasive mobility sensor achieved a minute-level accuracy of 94.2% (2,138/2,272) and an hour-level accuracy of 81.4% (70/86). Conclusions: The automated noninvasive mobility sensor system represents a significant departure from current manual measurement and reporting used in clinical care, lowering the burden of measurement and documentation on caregivers. © 2019 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc.","Artificial intelligence; Computer vision; Intensive care unit; Mobility; Rehabilitation","aged; APACHE; Article; artificial intelligence; clinical article; computer vision; electronic health record; female; human; intensive care unit; male; measurement accuracy; non invasive procedure; nurse; observational study; patient mobility; patient monitoring; physician; priority journal; prospective study; surgical intensive care unit; algorithm; devices; intensive care unit; mobilization; organization and management; remote sensing; university hospital; very elderly; Academic Medical Centers; Aged; Aged, 80 and over; Algorithms; Early Ambulation; Female; Humans; Intensive Care Units; Male; Prospective Studies; Remote Sensing Technology",,,,,"National Heart, Lung, and Blood Institute, NHLBI National Institutes of Health, NIH Gordon and Betty Moore Foundation, GBMF","1Department of Anesthesia and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. 2Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD. 3Department of Computer Science, Johns Hopkins University, Baltimore, MD. 4Johns Hopkins University School of Medicine, Baltimore, MD. 5Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website (http:/journals.lww.com/ ccmjournal). Drs. Rawat’s and Rao’s institutions received funding from the National Heart, Lung, and Blood Institute. Drs. Rawat, Shrock, Reiter, Saria, and Ali received support for article research from the National Institutes of Health (NIH). Dr. Reiter’s institution received funding from the NIH and the Gordon and Betty Moore Foundation. Dr. Saria received funding from Bayesian Health and PatientPing and received support for article research from the Gordon and Betty Moore Foundation. Dr. Ali’s institution received funding from the NIH. Dr. Peven disclosed that he does not have any potential conflicts of interest. For information regarding this article, E-mail: nrawat1@jhmi.edu Copyright © 2019 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved. DOI: 10.1097/CCM.0000000000003852",,"Smith, M., Saunders, R., Stuckhardt, K., McGinnis, J., (2013) Best Care at Lower Cost: The Path to Continuously Learning Health Care in America, , Washington, DC, National Academies Press; Hopkins, R.O., Mitchell, L., Thomsen, G.E., Implementing a mobility program to minimize post-intensive care syndrome (2016) AACN Adv Crit Care, 27, pp. 187-203; Cameron, S., Ball, I., Cepinskas, G., Early mobilization in the critical care unit: A review of adult and pediatric literature (2015) J Crit Care, 30, pp. 664-672; Rawat, N., Ma, A.J., Reiter, A., Shrock, C., Saria, S., Measuring patient mobility in the ICU using a novel non-invasive sensor (2017) Crit Care Med, 45, pp. 630-646; Reiter, A., Ma, A., Rawat, N., Process monitoring in the intensive care unit: Assessing patient mobility through activity analysis with a non-invasive mobility sensor (2016) International Conference on Medical Image Computing and Computer-Assisted Intervention, 9900, pp. 482-490; Carreira, J., Zisserman, A., Quo Vadis, Action Recognition? A New Model and the Kinetics Dataset, , https://arxiv.org/abs/1705.07750; Hodgson, C., Needham, D., Haines, K., Feasibility and inter-rater reliability of the ICU mobility scale (2014) Heart Lung, 43, pp. 19-24; Berney, S.C., Rose, J.W., Bernhardt, J., Prospective observation of physical activity in critically ill patients who were intubated for more than 48 hours (2017) J Crit Care, 30, pp. 658-663; Connolly, B.A., Mortimore, J.L., Douiri, A., Low levels of physical activity during critical illness and weaning: The evidence-reality gap J Intensive Care Med, , Jan 1: 885066617716377, [Epub ahead of print]; Lea, C., Facker, J., Hager, G., 3D sensing algorithms towards building an intelligent intensive care unit (2013) AMIA Jt Summits Transl Sci Proc, 2013, pp. 136-140; Yeung, S., Downing, N.L., Fei-Fei, L., Bedside computer vision-Moving artificial intelligence from driver assistance to patient safety (2018) N Engl J Med, 378, pp. 1271-1273","Rawat, N.; Department of Anesthesia and Critical Care Medicine, Johns Hopkins University School of MedicineUnited States; email: nrawat1@jhmi.edu",,,"Lippincott Williams and Wilkins",,,,,00903493,,CCMDC,"31162207","English","Crit. Care Med.",Article,"Final",,Scopus,2-s2.0-85071355269 "Lubowiecki-Vikuk A., Dryglas D.","57188707641;56951251900;","Medical tourism services and medical tourism destinations in Central and Eastern Europe - the opinion of Britons and Germans",2019,"Economic Research-Ekonomska Istrazivanja ","32","1",,"1256","1274",,1,"10.1080/1331677X.2019.1627892","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068482793&doi=10.1080%2f1331677X.2019.1627892&partnerID=40&md5=8fa103d7986bbea173bc8cc2d62effe8","Department of Consumer Behaviour Research, Collegium of Management and Finance, Warsaw School of Economics, Warsaw, Poland; Department of General Geology and Geotourism, AGH University of Science and Technology, Krakow, Poland","Lubowiecki-Vikuk, A., Department of Consumer Behaviour Research, Collegium of Management and Finance, Warsaw School of Economics, Warsaw, Poland; Dryglas, D., Department of General Geology and Geotourism, AGH University of Science and Technology, Krakow, Poland","The aim of this paper is to identify preferred Central and Eastern Europe (CEE) medical tourism destinations (MTD) and medical services in the context of socio-demographic determinants. The computer-assisted web interviewing (CAWI) method was used. A total of 282 completed self-administered questionnaires were collected from Britons and Germans, who constitute a large segment of medical tourists in CEE. Subsequently, the responses were analysed using the chi-square test and the method of logistic regression function. The results indicated that the chosen destinations and medical services vary depending on gender, age and nationality. The survey results have implications for scholars, allowing them to understand the way Britons and Germans evaluate MTDs and medical services in CEE, as well as for medical tourism facilitators/brokers and destination management organisations engaged in the process of creating a medical tourism product. The obtained results have also implications for further research related to the development of medical tourism in CEE. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.","Britons; Central and Eastern Europe; Germans; Medical services; medical tourism; Poland","health services; medical tourism; tourism development; tourism management; tourist destination; Eastern Europe; Poland [Central Europe]",,,,,,,,"(2015), https://www.medigo.com/blog/featured-articles/2015-medical-travel-trends-united-kingdom/, Report. MEDIGO. 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(2012) Maturitas, 73 (4), pp. 300-304; Satorra, A., Bentler, P.M., Corrections to test statistics and standard errors in covariance structure analysis (1994) Latent variables analysis: Applications for developmental research, pp. 399-419. , Von Eye A., Clogg C.C., (eds), Thousand Oaks, CA: Sage, &,. (Eds; Smith, M., Puczkó, L., Michalkó, G., Kiss, K., Sziva, I., (2016), http://infota.org/wp-content/uploads/2016/03/BalkanWellbeingFINALREPORT.pdf, Balkan wellbeing and health tourism study,. Final Report. Budapest: Metropolitan University. Retrieved from; (2015), http://www.treatmentabroad.com/costs, Compare the cost of treatment abroad,. Retrieved from; (2016), http://ecseed.zrc-sazu.si/, East Central and South-East Europe division,. Retrieved from; Wisla, R., Sierotowicz, T., Medical technological specializations of Central and Eastern European regions (2016) Economics & Sociology, 9 (3), pp. 195-209","Lubowiecki-Vikuk, A.; Department of Consumer Behaviour Research, Collegium of Management and Finance, Warsaw School of EconomicsPoland; email: adrian.lubowiecki-vikuk@sgh.waw.pl",,,"Taylor and Francis Ltd.",,,,,1331677X,,,,"English","Economic Res. Ekon. Istraz.",Article,"Final",Open Access,Scopus,2-s2.0-85068482793 "Almasan R.E., Ionescu E.V., Iliescu M.G., Oprea C., Iliescu D.M., Nenciu M.I., Golumbeanu M.","57197705709;35290674700;57194241579;56206348600;57191439229;55193472000;35387988000;","Techirghiol lake in the context of the integrated development of health tourism",2019,"Journal of Environmental Protection and Ecology","20","1",,"206","213",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064437516&partnerID=40&md5=8bfdd39b10f8b12af56c10a1f5510e4b","Balneal and Rehabilitation Sanatorium of Techirghiol, 34-40 Dr. Victor Climescu Street, Techirghiol, Romania; Faculty of Medicine, ‘Ovidius’ University of Constanta, 1 University Street, Constanta, Romania; National Institute for Marine Research and Development ‘Grigore Antipa’ Constanta, 300 Mamaia Blvd, Constanta, 900 581, Romania","Almasan, R.E., Balneal and Rehabilitation Sanatorium of Techirghiol, 34-40 Dr. Victor Climescu Street, Techirghiol, Romania; Ionescu, E.V., Balneal and Rehabilitation Sanatorium of Techirghiol, 34-40 Dr. Victor Climescu Street, Techirghiol, Romania, Faculty of Medicine, ‘Ovidius’ University of Constanta, 1 University Street, Constanta, Romania; Iliescu, M.G., Balneal and Rehabilitation Sanatorium of Techirghiol, 34-40 Dr. Victor Climescu Street, Techirghiol, Romania, Faculty of Medicine, ‘Ovidius’ University of Constanta, 1 University Street, Constanta, Romania; Oprea, C., Balneal and Rehabilitation Sanatorium of Techirghiol, 34-40 Dr. Victor Climescu Street, Techirghiol, Romania, Faculty of Medicine, ‘Ovidius’ University of Constanta, 1 University Street, Constanta, Romania; Iliescu, D.M., Faculty of Medicine, ‘Ovidius’ University of Constanta, 1 University Street, Constanta, Romania; Nenciu, M.I., National Institute for Marine Research and Development ‘Grigore Antipa’ Constanta, 300 Mamaia Blvd, Constanta, 900 581, Romania; Golumbeanu, M., National Institute for Marine Research and Development ‘Grigore Antipa’ Constanta, 300 Mamaia Blvd, Constanta, 900 581, Romania","The tourism destination management of the Techirghiol area involves many processes regarding the usage of natural resources from the lake Techirghiol for therapeutic purposes and should be a major concern of the local and central public administration, upon the long-term management of the Romanian natural heritage. With one of the richest and oldest historical balneal bases in Romania, Balneal and Rehabilitation Sanatorium of Techirghiol is preoccupied with the development of the methods and means of ensuring the preservation and sustainable use of its natural heritage, such as the sapropelic mud of Techirghiol. Techirghiol Lake was declared protected area by means of Government decision (G.D.) 1266/2000, and, in 2006 also as Ramsar site (Convention on Wet Areas) by means of G.D. 1586/2006, and in 2007 Area of Special Aqui-Fauna Special Protection (SPA), thus being part of the European network of protected areas Natura 2000. One of the management projects of the specialists from the research nucleus of Balneal and Rehabilitation Sanatorium of Techirghiol involves the development of an integrated special catalog for guideline balneal treatments and touristic consultancy services both for Romanian and foreign tourists, adapted to the specific individual needs, including social tourism which is representative in this area. The Balneal and Rehabilitation Sanatorium of Techirghiol offers many spa and medical balneal treatments during the entire year, with obvious peak in middle summer, with a big development in this moment of wellness treatments using natural factors from lake resources, as a priority of the local management to improve all aspects of patient well-being. © 2019, Scibulcom Ltd. All rights Reserved.","Balneal; Integrated tourism; Natura 2000; Sapropelic mud; Techirghiol","heritage tourism; integrated approach; public administration; tourism; tourism management; tourist destination; Constanta; Romania; Techirghiol Lake",,,,,,,,"Goranczewski, B., Puciato, D., SWOT Analysis in the Formulation of Tourism Development Strategies for Destinations (2010) Tourism, 20 (2), p. 45; Iliescu, M.G., Profir, D., Surdu, O., Marin, V., Demirgean, S., Statistical View through Balneal Activity in Techirghiol Medical Area (2018) J Environ Prot Ecol, 19 (2), p. 382; Almasan, R.E., Lupu, A.A., Ionescu, E.V., Scarlat, C.T., Iliescu, M.G., Oprea, C., Iliescu, D.M., Balneal Resources Management of Lake Techirghiol in International Tourism Integrator Concept (2018) Proc Rom Acad, 20 (2), p. 105. , Series B (the Publishing House Medicine of the Romanian Academy); Relicovschi, A., (2000) Politics in Environmental Management, , The European Institute in Romania, Bucharest; http://turism.gov.ro/wp-content/uploads/2016/02/Master-Plan-pentru-dezvoltarea-Turismului-Balnear_faza-I-si-II-ptr-PaginaWeb.pdf; Horizons 2013-2020-2030, , http://www.undp.ro/download/files/sndd/SNDD_ENG_176x235_FINAL.pdf; Coros, M.M., Gică, O.A., Yallop, A.C., Moisescu, O.I., Innovative and Sustainable Tourism Strategies: A Viable Alternative for Romania’s Economic Development (2017) Worldwide Hospitality and Tourism Themes, 9 (5), p. 504; Improving Wintering Conditions for Branta ruficollis at Techirghiol, , http://ec.europa.eu/environment/life/project/Projects/index.cfm?fuseaction=home.showFile&rep=file&fil=LIFE04_NAT_RO_000220_LAYMAN.pdf; Golumbeanu, M., Nenciu, M., Teohareva, M., Stepanova, K., Dyachenko, A., Goriup, N., Gilca, A., Bilashvili, K., Environmental Sustainable Tourism within the Black Sea Region (2014) J Environ Prot Ecol, 15 (2), p. 574; Tucmeanu, A.I., Popescu, D.M., Ionescu, E.V., Almasan, R.E., Oprea, C., Mociu, A., Iliescu, M.G., Iliescu, D.M., Management Consultancy for Organisational Change in Health from the Manager Perspective (2017) J Environ Prot Ecol, 18 (3), p. 1238; Lupu, A., Ionescu, E.V., Iliescu, M.G., Almasan, R.E., Oprea, C., Ion, I., Iliescu, D.M., Effect of Techirghiol Specific Climate Factors on the Patients Quality of Life with Degenerative Lumbar Pain (2018) J Environ Prot Ecol, 19 (4), p. 1857","Ionescu, E.V.; Balneal and Rehabilitation Sanatorium of Techirghiol, 34-40 Dr. Victor Climescu Street, Romania; email: iliescumadalina@gmail.com",,,"Scibulcom Ltd.",,,,,13115065,,,,"English","J. Environ. Prot. Ecol.",Article,"Final",,Scopus,2-s2.0-85064437516 "Revathi J., Jansi Rani S.","57207798604;57215321574;","Analysis of medical tourism and its economic impact",2019,"Indian Journal of Public Health Research and Development","10","1",,"21","25",,1,"10.5958/0976-5506.2019.00006.8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062920988&doi=10.5958%2f0976-5506.2019.00006.8&partnerID=40&md5=87d612e47b06622aafe359516e0e5c77","Department of Economics, Vels University, Chennai, India","Revathi, J., Department of Economics, Vels University, Chennai, India; Jansi Rani, S., Department of Economics, Vels University, Chennai, India","People travel from their native to abroad to obtain treatment as well as site seeing. MT is not a new one; in olden days spa and mineral contained water are used to treatment; like air (ozone), sea water which is rich in iron and sulphur, hills, temples thermal water, mud are used to treat the patient. But Allopathy treatment is universally accepted. Developing countries very less amount are invested but they encourage private and corporate more for health care and NABH gives accreditation to the hospitals who maintains optimum quality and care, and get accreditation from JCI. Ministry of Medical Tourism provide Fiscal incentives, develop infrastructure, ease medical visa, transport, skilled professionals, and most importantly consume reasonable or less cost,. MT is recognized as export Industry. Comparative to other countries MT in India is unique one, has variety of Alternative medicine, the things which they used are very natural like plants, leaves, seeds,etc… and has no side effects, it is preventive and curative and promotive methods. Meditation for mind peacefulness, yoga for fitness Ayurveda and Siddha keeps the body healthy. India is an exotic destination landscape with beaches, ancient ruins, pilgrimage, huge mountains, star hotels so many beautiful places which attracts numerous foreign medical tourists. The persons who are not affordable or uninsured and underinsured from developed countries come to India to get treatment. © 2019, Indian Journal of Public Health Research and Development. All rights reserved.","CII-Confederation of Indian Industry; JCI-Joint Commission International; M T-Medical Tourism; NABH-National Accreditation Board of Health","allopathy; alternative medicine; Article; Ayurveda; cost benefit analysis; economic aspect; education; government; health care; health care cost; health care facility; health care policy; health insurance; human; India; knowledge; labor; medical tourism; meditation; perception; policy; strength; yoga",,,,,,,,"(2008) MBA Distance Mode Semester Course Material-Anna University, Chennai, , Sriram Printing Press. Chennai; Connell, J., (2013) Medical Tourism, , CABI; Chaudhary, P., (2009) Tourism Policy and Planning, , Adeline Books. Delhi; Spira, M., (2007) TOURISM ECONIMICS, , Ane books Pvt.Ltd, first edition, new Delhi; Indian Management ‘Health Care’, 56 (3). , AIMA (All India Medical Association), Spenta Publications, March 2017; Srinath, R.K., Universal Health Coverage is the best prescription The Hindu, , 7 th December 2017; Priya, S., Medical Tourism booms in India, but at what cost? (2010) The Lancet, 376. , No 9742. P 671-672. 28 August, Accessed on 1 Feb 2017; (2017) India Facing Possible Mental Health Epidemic, , Special correspondent, President Ram Nath Kovind at 22 nd convocation ceremony of NIMHANS in Bangalore on Saturday, Ministers Anand Kumar and J P Nadda are participated,-HINDU 31 December; (2007) Medical Tourism on Indian Economy, , PALGRAVE MACMILLIAN, ACCESSED ON 1 FEB201; Special Correspondent, ‘Govt. doctors’ to boycott death audit’. The Hindu; Leigh, T., First World Healthcare at Third World Prices; Globalization, Bioethics and Medical Tourism (2007) Springer Link. Biosocietics, 2 (3), pp. 303-325. , www.link.springeer.com/article/10.1017/s1745855207005765, September, Accessed on 1 Feb 2018; Vijaya, R.M., Medical Tourism; Revenue generation or International Transfer of Healthcare problems (2010) Taylor &Francis ONLINE. Journal of Economic Issues, 44 (1), pp. 53-70. , published on 8 December 2014; Ayurveda and Yoga boosting medical tourism in the country (2016) Healthworld from the Economic Times, , https://health.economictimes.indiatimes.com/news/industry/ayurveda-and-yoga-boosting-medical-tourism-in-the-country/51862027, 17 April, Accessed on 8 February 2018; Renee-Marie, S., Ozone and Thalassotherapy: An alternative form of healing (2013) YOUR GUIDE TO INTERNATIONAL MEDICINE Medical Tourism Magazine, 28, pp. 12-14. , Global Healthquest, 47-48. July; (2010) Aspects of Tourism-The Tourism Area Life Cycle-Applications and Modifications, 1. , Edited by Richard W. Butler, Viva Books; Laura, H., Ronald, L., Vivien, R., Corinne, P., Medical Tourism Today: What is the state of existing knowledge? (2010) Springer Link, 31 (2). , www.link.springer.com/article/10.1057/jphp.2010.10, July, Accessed on 1 Feb 2018",,,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85062920988 "Connell J.","56227359000;","Medical tourism: In search of an economic niche",2018,"Routledge Handbook on Tourism in the Middle East and North Africa",,,,"352","364",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079584989&partnerID=40&md5=e0418a71ee813cc67c174ac82d476229","School of Geosciences, University of Sydney, Australia","Connell, J., School of Geosciences, University of Sydney, Australia",[No abstract available],,,,,,,,,,"Al-Hinai, S., Al-Busaidi, A., Al-Busaidi, I., Medical tourism abroad: A new challenge to Oman's health system-Al Dakhilya region experience (2011) Sultan Qabus University Medical Journal, 11, pp. 477-484; Alsharif, M., Labonté, R., Zuxun, L., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10, pp. 315-335; Anon, Iraq crisis hits Indian medical tourism (2014) International Medical Travel Journal, , www.imtj.com/news/iraq-crisis-hits-indian-medical-tourism/, 14 July. Available online, (Accessed 12 September 2018); Anon, Lebanon seeks to clean up health care provision (2015) International Medical Travel Journal, , www.imtj.com/news/lebanon-seeks-clean-healthcare-provision-0/, 25 August. Available online, (Accessed 12 September 2018); Anon, Israeli hospitals must record medical tourism statistics (2016) International Medical Travel Journal, , www.imtj.com/news/israeli-hospitals-must-record-medical-tourismstatistics/, 6 October. Available online, (Accessed 12 September 2018); Anon, Israel makes headway in medical tourism legislation (2016) Medical Tourism Magazine, , www.medicaltourismmag.com/israel-medical-tourism-legislation/, November. Available online, (Accessed 12 September 2018); Anon, Medical tourism a priority for Lebanon (2016) International Medical Travel Journal, , www.imtj.com/news/medical-tourism-priority-lebanon/, 30 October. Available online, (Accessed 12 September 2018); Chen, Y., Flood, C., Medical tourism's impact on health care equity and access in low-and middle-income countries: Making the case for regulation (2013) Journal of Law, Medicine and Ethics, 41 (1), pp. 286-300; Connell, J., (2011) Medical Tourism, , Wallingford: CAB International; Connell, J., A new inequality? Privatisation, urban bias, migration and medical tourism (2011) Asia Pacific Viewpoint, 52, pp. 260-271; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34 (1), pp. 1-13; Connell, J., Medical tourism: Concepts and definitions (2015) Handbook on Medical Tourism and Patient, pp. 16-24. , N. Lunt, D. Horsfall, & J. Hanefeld (eds), Mobility, Cheltenham: Edward Elgar; Connell, J., From medical tourism to transnational health care? An epilogue for the future (2015) Social Science and Medicine, 124, pp. 398-401; Connell, J., Reducing the scale? From global images to border crossings in medical tourism (2016) Global Networks, 16 (4), pp. 531-550; Constable, N., The commodification of intimacy: Marriage, sex, and reproductive labour (2009) Annual Review of Anthropology, 38, pp. 49-64; Ebrahim, A., Ganguli, S., Strategic priorities for exploiting Bahrain's medical tourism potential (2017) Journal of Place Management and Development, 10 (1), pp. 45-60; Helmy, E., Travers, R., Towards the development of Egyptian medical tourism sector (2009) Anatolia, 20 (2), pp. 419-439; Inhorn, M., Globalisation and gametes: Reproductive ""tourism"", Islamic bioethics and Middle Eastern modernity (2011) Anthropology and Medicine, 18 (1), pp. 87-103; Inhorn, M., Reproductive exile in global Dubai: South Asian stories (2012) Cultural Politics, 8 (2), pp. 283-306; Inhorn, M., (2015) Cosmopolitan Conceptions. IVF Sojourns in Global Dubai, , Durham, NC: Duke University Press; Inhorn, M., Medical cosmopolitanism in global Dubai: A twenty-first-century transnational intracytoplasmic sperm injection (ICSI) depot (2017) Medical Anthropology Quarterly, 31 (1), pp. 5-22; Jabbari, A., Kavosi, Z., Gholami, M., Medical tourists' profile in Shiraz (2014) International of Health System & Disaster Management, 2 (4), pp. 232-236; Johnson, J., Egypt: Where it all begins (2010) Medical Tourism Magazine, 15, pp. 36-38; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21, pp. 35-78; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14, pp. 293-305; Kangas, B., Complicating common ideas about medical tourism: Gender, class and globality in Yemenis' international medical travel (2011) Signs, 36 (2), pp. 327-332; Kaya, S., Karsavuran, S., Yildiz, A., Medical tourism developments within Turkey (2015) Handbook on Medical Tourism and Patient Mobility, pp. 332-338. , N. Lunt, D. Horsfall, & J. Hanefeld (eds), Cheltenham: Edward Elgar; Kronfol, N., Medical tourism developments within the Middle East (2015) Handbook on Medical Tourism and Patient Mobility, pp. 307-312. , N. Lunt, D. Horsfall, & J. Hanefeld (eds), Cheltenham: Edward Elgar; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Social Science and Medicine, 67, pp. 101-110; Medical tourism providing needed Band-Aid to Turkish debt (2013) Medical Tourism Magazine, 28, pp. 16-17; Out of Africa: Cures for ailing health systems found in foreign lands (2014) Medical Tourism Magazine, 30, pp. 21-22; Nielsen, S., Yazici, S., Petersen, S., Blaakilde, A., Krasnik, A., Use of cross-border healthcare services among ethnic Danes, Turkish immigrants and Turkish descendants in Denmark: A combined survey and registry study (2012) BMC Health Services Research, 12, p. 390; Noubar, H., Heidarzadeh, N., Bahador, B., Evaluating strategies for promoting health tourism (2014) Journal of Political and Social Sciences, 1 (1), pp. 15-19; Ormond, M., (2013) Neoliberal Governance and International Medical Travel in Malaysia, , London: Routledge; Safaeepour, M., Goodarzi, M., Rostami Kondari, N., Planning and developing medical tourism in megalopolis Shiraz (2015) Management Science Letters, 5, pp. 123-136; Stephano, R., Just doing it: Jordan making a name for itself in medical tourism (2014) Medical Tourism Magazine, 32, pp. 61-63; Stephano, R., Germany's designs on Arab patients (2015) Middle East Health, pp. 28-32. , September; Sugorakova, D., Turkey: Renaissance of thermal therapy (2014) Medical Tourism Magazine, 32, pp. 103-105; Toyota, M., Chee, H., Xiang, B., Global track, national vehicle: Transnationalism in medical tourism in Asia (2013) European Journal of Transnational Studies, 5 (1), pp. 27-53; Vequist, D., Bolatkale, E., Valdez, E., Health tourism economic report-Jordan (2009) Medical Tourism Magazine, 2. , August; Yeates, N., (2009) Globalising Care Economies and Migrant Workers: Explorations in Global Care Chains, , Basingstoke: Palgrave; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Youngman, I., The falling star of medical tourism (2016) International Medical Travel Journal, , www.imtj.com/news/falling-star-medical-tourism/, 15 April 2016. Available online, (Accessed 11 September 2018)","Connell, J.; School of Geosciences, University of SydneyAustralia",,,"Taylor and Francis",,,,,,9781315624525; 9781138651920,,,"English","Routledge Handb. on Tour. in the Middle East and North Afr.",Book Chapter,"Final",,Scopus,2-s2.0-85079584989 "Azimi R., Mahmoudi G., Esmaeili H.-A.","57204161473;54399040200;55864410200;","Ranking factors affecting the attraction of foreign medical tourists in hospitals affiliated to mashhad university of medical sciences based on marketing mix model",2018,"Iranian Journal of Public Health","47","10",,"1593","1598",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054720334&partnerID=40&md5=d57eed12dea7ef0b393cf616af15d648","Health Care Management, Sari Branch, Islamic Azad University, Sari, Iran; Hospital Administration Research Center, Sari Branch, Islamic Azad University, Sari, Iran; Dept. of Biologic Statistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran","Azimi, R., Health Care Management, Sari Branch, Islamic Azad University, Sari, Iran; Mahmoudi, G., Hospital Administration Research Center, Sari Branch, Islamic Azad University, Sari, Iran; Esmaeili, H.-A., Dept. of Biologic Statistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran","Background: This study was designed to rank factors affecting attraction of foreign medical tourists based on marketing mix model. Methods: In this descriptive study, data were collected through a questionnaire. Foreign patients, hospitalized from Jan 2015 to Sep 2016 in all hospitals of Mashhad were chosen as the study population (13 hospitals). Data analysis was conducted using Friedman test and Wilcoxon test in SPSS 21 at a significance level of 0. 05. Results: Factors of staff, service and process gained the highest score from the perspective of patients; while price, facilities and promotion scored the lowest among parameters affecting the attraction of medical tourists to hospitals of Mashhad. In this context, factors of staff (96%) and price (66%) had the highest and lowest effect on absorption of tourists, respectively. Conclusion: To promote medical tourism, important factors such as staff, service, and process should be further stressed and variables of price, facilities and promotion demand for a revision by the authorities in this industry. © 2018, Iranian Journal of Public Health. All rights reserved.","Hospitals; Iran; Medical tourism; Mixed marketing; Ranking","adult; article; data analysis software; Friedman test; human; Iran; marketing; medical tourism; multicenter study; questionnaire; rank sum test; staff",,,,,,,,"Mousavi, S.M., Haghi, M., Gharasi Manshadi, M., Health Tourism in Iran: A Path towards Sustainable Development (2016) Iran J Public Health, 45, pp. 274-275; Maboodi, M.T., Hakimi, H., Determinant Factors on Medical Tourism (Case Study: Iran) (2016) Journal of Tourism Planning and Development, 4, pp. 80-106; Khodayari, R., Tourani, S., Qaderi, A., Salehi, M., Jafari, H., Capabilities assessing of teaching hospitals in Iran University of medical sciences in attracting medical tourists according to JCI patient-oriented standards (2011) Journal of Hospital, 9, pp. 51-56; Rokni, L., Pourahmad, A., Hassan Moteiey Langroudi, M., Mahmoudi, M., Heidarzadeh, N., (2013) Appraisal the Potential of Central Iran, in the Context of Health Tourism; Hosseini, S.M., Maher, A., Safarian, O., Ayoubian, A., Sheibani-Tehrani, D., Amini-Anabad, H., Hashemidehaghi, Z., Development Strategy of Health Tourism in Iran (2015) Int J Travel Med Glob Health, 3, pp. 153-158; Rahimi Zarchi, M., Jabbari, A., Rahimi, S.H., Shafaghat, T., Abbasi, S., Preparation and Designing a Checklist for Health Care Marketing Mix, with Medical Tourism Approach (2013) Int J Travel Med Glob Health, 1, pp. 103-108; Guojinga, F., Zhijun, L., Medical tourism: The new favorite tourist market (2013) Journal of Economics and International Finance, 5, pp. 65-70; Rezaee, R., Mohammadzadeh, M., Effective factors in expansion of medical tourism in Iran (2016) Med J Islam Repub Iran, 30, p. 409; Hadizadeh Moghadam, A., Zahediannejad, M.H., Ghanbarzadeh Miandehi, R., Fakharmanesh, S., Pattern of factors affecting the motivation of medical tourists to enter Iran (2013) Journal of Business Management Perspective, 12, pp. 59-79; Wong, K.M., Velasamy, P., Arshad, T.N.T., (2014) Medical Tourism Destination SWOT Analysis: A Case Study of Malaysia, Thailand, Singapore and India, p. 01037. , SHS Web of Conferences, EDP Sciences; Maleki, S., Tavangar, M., Analyzing health tourism challenges in Mashhad from the perspective of foreign patients (2016) Journal of Geography and Urban Space Development, 2 (2), pp. 43-45; Aziz, A., Yusof, R.M., Ayob, M., Bakar, N.T.A., Awang, A.H., Measuring tourist behavioural intention through quality in Malaysian medical tourism industry (2015) Procedia Economics and Finance, 31, pp. 280-285; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72, pp. 726-732; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tourism Management, 46, pp. 20-29; Sultana, S., Haque, A., Momen, A., Yasmin, F., Factors affecting the attractiveness of medical tourism destination: An empirical study on india-review article (2014) Iran J Public Health, 43, pp. 867-876; Taghvaei, M., Goodarzi, M., Developing and Prioritizing the Formation of Strategies in Medical Tourism (Case Study: Shiraz Metropolis) (2016) Scientific Journal Management System, 7, pp. 1-22; Donyadideh, A., The obstacles impeding the development of Irans tourism industry with emphasis on marketing (2013) Journal of Hospitality Management and Tourism, 4, pp. 59-68; Jabbari, A., Rahimi Zarchi, M.K., Kavosi, Z., Shafaghat, T., Keshtkaran, A., The marketing mix and development of medical tourism in Shiraz (2013) Mater Sociomed, 25, pp. 32-36","Mahmoudi, G.; Hospital Administration Research Center, Sari Branch, Islamic Azad UniversityIran; email: alemi.mahmudi@iausari.ac.ir",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Article,"Final",,Scopus,2-s2.0-85054720334 "Guha Roy D., Mukherjee S., Bhattacharya S.","57203204942;56316810800;57199365811;","Empirical research on CBBE scale for medical tourism",2018,"International Journal of Pharmaceutical and Healthcare Marketing","12","3",,"348","370",,1,"10.1108/IJPHM-12-2017-0074","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050920552&doi=10.1108%2fIJPHM-12-2017-0074&partnerID=40&md5=ce51acdaaaf458bd586571052611d2ef","VGSOM, Indian Institute of Technology Kharagpur, Kharagpur, India","Guha Roy, D., VGSOM, Indian Institute of Technology Kharagpur, Kharagpur, India; Mukherjee, S., VGSOM, Indian Institute of Technology Kharagpur, Kharagpur, India; Bhattacharya, S., VGSOM, Indian Institute of Technology Kharagpur, Kharagpur, India","Purpose: The medical tourism market across the globe lacks a consolidated, standard customer-based brand equity (CBBE) scale till the present day. The purpose of this research is to theorize a scale with probable existing dimensions and based on prior literature adding culture and infrastructure/superstructure as new components for global comparison among BRICS and SAARC nations. This empirical research initiates laying the foundation of deriving a unified scale. Design/methodology/approach: Extensive literature reviews from leading academic journals, books and web information were used to theoretically propose the scale. R (an open source coding language) was used for quantitative analysis. Findings: Culture (environment index) and infrastructure/superstructure (industry/economic index) were found to be relevant in the context of CBBE scale for medical tourism. The other dimensions are brand awareness, brand association, perceived quality and loyalty. Research limitations/implications: The research literature was fragmented because of international scopes of medical tourism destinations as well as a variety of medical services offered. The dynamic nature of this industry, which is dependent on several factors such as healthcare, cost, related services, tourism etc. made it difficult to access the real contribution of individual items. Practical implications: This paper proposes the foundation to develop a CBBE scale for medical tourism in India, adding culture and infrastructure/superstructure as new dimensions. It opens doors for new research with scale refining, branding assessment and fine-tuning items for the new dimensions. Originality/value: This research is the first of its kind to create a standard CBBE scale for developing countries. It has added a new set of literature and consolidated prior contextual works on culture and infrastructure in reference to medical tourism. The questionnaire is of practical value to hospitals. 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J. Pharm. Healthc. Mark.",Article,"Final",,Scopus,2-s2.0-85050920552 "Seo B.R., Park S.-H.","57203306607;57194621304;","Policies to promote medical tourism in Korea: A narrative review",2018,"Iranian Journal of Public Health","47","8",,"1077","1083",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051189780&partnerID=40&md5=024762cb5a3e86b499e28f302af0905d","Dept. of Global MICE, Konkuk University, Seoul, South Korea; Asia Contents Institute, Konkuk University, Seoul, South Korea","Seo, B.R., Dept. of Global MICE, Konkuk University, Seoul, South Korea; Park, S.-H., Asia Contents Institute, Konkuk University, Seoul, South Korea","Background: There is a growing global demand for medical tourism while more people are moving across borders in Asia, offering new opportunities to the high-value medical tourism market. The purpose of this study was to provide grounds for promoting the International Meditour Coordinator (IMC), issued as a national license in Korea and to provide the evidence for the efficient use of the IMC in the field of health care. Methods: We examined the trend of professional manpower in the rapidly-changing Korean medical market by analyzing the operational status of professional manpower in order to promote medical tourism, which began in 2009 in Korea. We also analyzed the problems of the national qualification system for the IMC and sought to improve the professionalism and usability of the national qualification system by improving the quality satisfaction of the professionals who support the growth of the medical tourism industry. Results: In Korea, IMCs are responsible for detailed support services in clinics, support to tourists, medical tourism marketing to support the advancement of domestic and international medical institutions in each market, medical tourism counseling, risk management, and administrative work, thereby contributing to the development and enhancement of competitiveness in Korea’s global healthcare industry. Conclusion: To support the growth of the medical tourism industry, which is a global trend, and increase user satisfaction with the quality of medical tourist services, it is urgently necessary to establish human resource management policy guidelines in the medical tourism industry based on the current operational status of professional human resources and the future prospect of supply and demand in the sector. © 2018, Iranian Journal of Public Health. All rights reserved.","International meditour coordinator; Korea; Medical sector; Medical tourism industry","counseling; health care industry; human; Korea; licence; manpower; marketing; medical tourism; narrative; practice guideline; professionalism; resource management; review; risk management; satisfaction",,,,,"Konkuk University, KU","This paper was supported by Konkuk University in 2016.",,"Song, B.-N., World economic war, Find the Way of the Korean (2009) Cheonglimchulpan, p. 19. , [Korean Book]; Seo, B.R., (2012) A Plan to Establish a Medical Tour-Ism Brand through Local Cultural Contents-Suggesting a Model to Establish a Local Medical Tourism Brand in Korea, p. 1. , [Ph.D thesis]. Konkuk University, Korea, [In Korean]; Lee, Y.T., (2006) Medical Tourism and Methods to Boost Medical Tourism, Seminar Presentations and Materials on the Statistics on International Patients Visiting Korean Medical Institutions, pp. 123-125. , Korea Health Industry Development institute, [In Korean]; (2016) Korea’s Medical Tourism Marketing, p. 12. , Korea Tourism Organization, Korea Tourism Organization, [Korean Book]; (2013) Medical Tourism Association, , http://www.medicaltourismassociation.com/en/2013-mta-survey-report.html, MTA Medical Tourism Survey; (2013) RNCOS, , https://www.rncos.com/Market-Analysis-Reports/Asian-Medical-Tourism-Market-Forecast-to-2015-IM499.htm, Asian Medical Tourism Market Forecast to 2015; (2016) Analysis of Ecosystem of Korea Medical Tourism Industry and Long-Term Strategy Report on Medical Tourism, pp. 7-9. , Korea Tourism Organization, Korea Tourism Organization, [Korean Book]; (2016) Korea’s Medical Tourism Marketing, p. 19. , Korea Tourism Organization, Korea Tourism Organization, [Korean Book]; (2018) Results of the Survey on Attracting Foreign Patients, p. 1. , Korea Health Industry Development Institute, Korea Health Industry Development Institute, [Korean Book]; http://www.q-net.or.kr, Human Resources Development Service of Korea; (2013) Korea Medical Tourism Overview, p. 18. , Korea Tourism Organization, Korea Tourism Organization, [Korean Book]; Park, I.S., A study on the development of a conceptual model for school curriculum evaluation (2010) The Journal of Curriculum Studies, 28 (1), pp. 113-134. , [In Korean]; Min, H.S., A Study on the Satisfaction of the ""OJT"" for the Students in the Tourism Related Department (2004) Journal of Hospitality and Tourism Studies, 15, pp. 67-82. , [In Korean]; (2013) Korea Medical Tourism Overview, p. 21. , Korea Tourism Organization, Korea Tourism Organization, [Korean Book]; Yoo, J.Y., (2013) Study on the Statistics on Operation of Medical Tourism Professionals and Demand Forecast, p. 25. , Korea Culture & Tourism Institute, [Korean Book]; Kim, M.W., The Effect that the National Technical Qualifications have on its Practical usage and Satisfaction Level (2013) Journal of the Korean Society of Design Culture, 21 (4), p. 77. , [In Korean]; (2013) Korea Medical Tourism Overview, p. 22. , Korea Tourism Organization, Korea Tourism Organization, [Korean Book]; Yoo, J.Y., (2013) Study on the Statistics on Operation of Medical Tourism Professionals and Demand Forecast, p. 74. , Korea Culture & Tourism Institute, [Korean Book]; Ha, J.B., Yang, J.Y., (2016) Analysis of Medical Over-Seas Expansion Status in 2016, p. 3. , KHIDI Brief, 233. Korea Health Industry Development Institute, [Korean Article]","Park, S.-H.; Asia Contents Institute, Konkuk UniversitySouth Korea; email: syamony@konkuk.ac.kr",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Review,"Final",,Scopus,2-s2.0-85051189780 "Adams K., Snyder J., Crooks V.A., Berry N.S.","37074104200;24170239100;35585107800;24402486100;","A critical examination of empowerment discourse in medical tourism: The case of the dental tourism industry in Los Algodones, Mexico",2018,"Globalization and Health","14","1", 70,"","",,1,"10.1186/s12992-018-0392-3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050285055&doi=10.1186%2fs12992-018-0392-3&partnerID=40&md5=70c596478ef63aa0cc24698ffbbe535c","Simon Fraser University, Faculty of Health Sciences, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Simon Fraser University, Department of Geography, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Adams, K., Simon Fraser University, Faculty of Health Sciences, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Snyder, J., Simon Fraser University, Faculty of Health Sciences, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Crooks, V.A., Simon Fraser University, Department of Geography, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Berry, N.S., Simon Fraser University, Faculty of Health Sciences, 8888 University Drive, Burnaby, BC V5A 1S6, Canada","Background: Medical tourism is a term used to describe the phenomenon of individuals intentionally traveling across national borders to privately purchase medical care. The medical tourism industry has been portrayed in the media as an ""escape valve"" providing alternative care options as a result of vast economic asymmetries between the global north and global south and the flexible regulatory environment in which care is provided to medical tourists. Discourse suggesting the medical tourism industry necessarily enhances access to medical care has been employed by industry stakeholders to promote continued expansion of the industry; however, it remains unknown how this discourse informs industry practices on the ground. Using case study methodology, this research examines the perspectives and experiences of industry stakeholders working and living in a dental tourism industry site in northern Mexico to develop a better understanding of the ways in which common discourses of the industry are taken up or resisted by various industry stakeholders and the possible implications of these practices on health equity. Results: Interview discussions with a range of industry stakeholders suggest that care provision in this particular location enables international patients to access high quality dental care at more affordable prices than typically available in their home countries. However, interview participants also raised concerns about the quality of care provided to medical tourists and poor access to needed care amongst local populations. These concerns disrupt discourses about the positive health impacts of the industry commonly circulated by industry stakeholders positioned to profit from these unjust industry practices. Conclusions: We argue in this paper that elite industry stakeholders in our case site took up discourses of medical tourism as enhancing access to care in ways that mask health equity concerns for the industry and justify particular industry activities despite health equity concerns for these practices. This research provides new insight into the ways in which the medical tourism industry raises ethical concern and the structures of power informing unethical practices. © 2018 The Author(s).","Critical discourse analysis; Dental tourism; Health equity; Medical tourism","dental health; empowerment; health care; medical tourism; stakeholder; adult; article; dental procedure; discourse analysis; empowerment; health equity; human; interview; medical tourism; Mexico; profit; behavior; ethics; health care delivery; health equity; Mexico; stakeholder engagement; Baja California [(STT) Mexico]; Los Algodones; Mexico [North America]; Dental Care; Health Equity; Health Services Accessibility; Humans; Medical Tourism; Mexico; Power (Psychology); Stakeholder Participation",,,,,"Canadian Institutes of Health Research, CIHR Michael Smith Foundation for Health Research, MSFHR","KA is funded by a PhD fellowship from the Canadian Institutes of Health Research (CIHR). Parts of this research were funded by a Michael Smith Foreign Travel Supplement awarded to KA by the CIHR. VAC holds a scholar award from the Michael Smith Foundation for Health Research and the Canada Research Chair in Health Services Research.",,"Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24. , https://doi.org/10.1186/1475-9276-9-24; Connell, J., Reducing the scale? From global images to border crossings in medical tourism (2016) Global Networks, 16, pp. 531-550; Crush, J., Chikanda, A., South-south medical tourism and the quest for health in southern Africa (2014) Soc Sci Med, 124, pp. 313-320; Turner, L., ""Dental tourism"": issues surrounding cross-border travel for dental care (2009) J Can Dent Assoc, 75, p. 2; Imison, M., Schweinsberg, S., Australian news media framing of medical tourism in low- and middle-income countries: a content review (2013) BMC Public Health, 13, p. 109; Qadeer, I., Reddy, S., Medical tourism in India: perceptions of physicians in tertiary care hospitals (2013) Philos Ethics Humanit Med, 8, p. 20. , https://doi.org/10.1186/1747-5341-8-20; Horton, S., Cole, S., Medical returns: seeking health care in Mexico (2011) Soc Sci Med, 72, pp. 1846-1852; Whittaker, A., Leng, C.H., 'Flexible bio-citizenship' and international medical travel: transnational mobilities for care in Asia (2016) Int Sociol, 31, pp. 286-304; Henton, D., (2011) Mexico a Dental Mecca: Saskatoon Star Phoenix; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2010) Developing World Bioethics, 11, pp. 16-29; Ormond, M., Shifting subjects of health-care: placing 'medical tourism' in the context of Malaysian domestic health-care reform (2011) Asia Pacific Viewpoint., 52, pp. 247-259; Birn, A.-E., Nervi, L., Siqueira, E., Neoliberalism redux: the Global Health policy agenda and the politics of cooptation in Latin America and beyond (2016) Development Change, 47, pp. 734-759; Schrecker, T., Neoliberalism and health: the linkages and the dangers (2016) Sociol Compass, 10, pp. 952-971; Connell, J., A new inequality? Privatisation, urban bias, and migration and medical tourism (2011) Asia Pacific Viewpoint, 52, pp. 250-261; Smith, K., The problematization of medical tourism: a critique of neoliberalism (2012) Developing World Bioethics., 12, pp. 1-8; Mulligan, J., The problem of choice: from the voluntary way to affordable care act health insurance exchanges (2017) Soc Sci Med, 181, pp. 34-42; Chanda, R., Trade in health services (2002) Bull World Health Organ, 80, pp. 158-163; Johnston, R., Crooks, V.A., Snyder, J., Whitmore, R., ""The major forces that need to back medical tourism. were in alignment"": championing development of Barbados' medical tourism sector (2015) Int J Health Serv, 45, pp. 334-352; Snyder, J., Crooks, V.A., Johnston, R., Ceron, A., Labonté, R., ""That's enough patients for everyone!"": local stakeholders' views on attracting patients into Barbados and Guatemala's emerging medical tourism sectors (2016) Glob Health, p. 12. , https://doi.org/10.1186/s12992-016-0203-7; Chen, Y.Y., Flood, C., Medical tourism's impact on health care equity and access in middle- and low- income countries: making the case for regulation (2013) Law Med Ethics, 41, pp. 286-300; Judkins, G., Persistence of the U.S.-Mexico border: expansion of medical-tourism amid trade Liberalizaton (2007) J Lat Am Geogr, 6, pp. 11-32; Oberle, A.P., Arreola, D.D., Mexican medical border towns: a case study of Algodones, Baja California (2004) J Borderlands Stud, 19, pp. 27-44; Adams, K., Snyder, J., Crooks, V.A., Narratives of a ""dental oasis"": examining media portrayals of dental tourism in the border town of Los Algodones (2017) Mexico J Borderlands Stud, 12, pp. 1-17; Miller-Thayer, J., (2010) Medical migration: strategies for affordable care in an unaffordable system, PhD dissertation, , UC Riverside; Ely, P., Selling Mexico: marketing and tourism values (2013) Tourism Manag Perspect, 8, pp. 80-89; Flyvberg, B., Five misunderstandings about case-study research (2006) Qual Inq, 12, pp. 219-245; Gerring, J., What is a case study and what is it good for? (2004) Am Pol Sci Rev, 98, pp. 341-354; Ryan, G.W., Bernard, H.R., Techniques to identify themes (2003) Field Methods, 15, pp. 85-109; Menon, A.V., Do online reviews diminish physician authority? The case of cosmetic surgery in the U.S (2017) Soc Sci Med, 181, pp. 1-8; Gonzalez-Robledo, L.M., Gozalez-Robledo, M.C., Nigenda, G., Dentist education and labour market in Mexico: elements for policy definition (2012) Hum Resour Health, 10, p. 31. , https://doi.org/10.1186/1478-4491-10-31; Voigt, K., Incentives, health promotion, and equality (2012) Health Econ Policy Law, 7, pp. 263-283; McCrossen, A., (2009) Land of necessity: Consumer Culture in the United States- Mexico Borderlands, , Durham: Duke University Press; Berger, D., Wood, A.G., Introduction: Tourism studies and the tourism dilemma (2010) Holiday in Mexico: Critical Reflections on Tourism and Tourist Encounters, , In: Berger D, Wood AG, editors Durham: Duke University Press; Roulston, K., Shelton, S.A., Reconceptualizing Bias in teaching qualitative research methods (2015) Qual Methods, 21, pp. 332-342; Sundberg, J., The state of exception and the imperial way of life in the United States-Mexico borderlands (2015) Environ Plann D Soc Space, 33, pp. 209-228","Adams, K.; Simon Fraser University, Faculty of Health Sciences, 8888 University Drive, Canada; email: kaa4@sfu.ca",,,"BioMed Central Ltd.",,,,,17448603,,,"30029610","English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-85050285055 "Suzana M., Walls H., Smith R., Hanefeld J.","56868559400;24482778500;55746369800;26430746700;","Understanding medical travel from a source country perspective: A cross sectional study of the experiences of medical travelers from the Maldives",2018,"Globalization and Health","14","1", 58,"","",,1,"10.1186/s12992-018-0375-4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048939647&doi=10.1186%2fs12992-018-0375-4&partnerID=40&md5=c7e08712f1699485a5c1f71c5110df03","The Maldives National University, Department of Public Health, Faculty of Health Sciences, Haveeree Higun, Malé, 20-04, Maldives; London School of Hygiene and Tropical Medicine, Department of Global Health and Development, Keppel street, London, WC1E 7HT, United Kingdom","Suzana, M., The Maldives National University, Department of Public Health, Faculty of Health Sciences, Haveeree Higun, Malé, 20-04, Maldives; Walls, H., London School of Hygiene and Tropical Medicine, Department of Global Health and Development, Keppel street, London, WC1E 7HT, United Kingdom; Smith, R., London School of Hygiene and Tropical Medicine, Department of Global Health and Development, Keppel street, London, WC1E 7HT, United Kingdom; Hanefeld, J., London School of Hygiene and Tropical Medicine, Department of Global Health and Development, Keppel street, London, WC1E 7HT, United Kingdom","Background: The resolution adopted in 2006 by the World Health Organization on international trade and health urges Member States to understand the implications of international trade and trade agreements for health and to address any challenges arising through policies and regulations. The government of Maldives is an importer of health services (with outgoing medical travelers), through offering a comprehensive universal health care package for its people that includes subsidized treatment abroad for services unavailable in the country. By the end of the first year of the scheme approximately US$11.6 m had been spent by the government of Maldives to treat patients abroad. In this study, affordability, continuity and quality of this care were assessed from the perspective of the medical traveler to provide recommendations for safer and more cost effective medical travel policy. Results: Despite universal health care, a substantial proportion of Maldivian travelers have not accessed the government subsidy, and a third reported not having sufficient funds for the treatment episode abroad. Among the five most visited hospitals in this study, none were JCI accredited at the time of the study period and only three from India had undergone the National Accreditation Board for Hospitals (NABH) in India. Satisfaction with treatment received was high amongst travelers but concern for the continuity of care was very high, and more than a third of the patients had experienced complications arising from the treatment overseas. Conclusion: Source countries can use their bargaining power in the trade of health services to offer a more comprehensive package for medical travelers. Source countries with largely public funded health systems need to ensure that medical travel is truly affordable and universal, with measures for quality control such as the use of accredited foreign hospitals to make it safer and to impose measures that ensure the continuity of care for travelers. © 2018 The Author(s).","Governance; Maldives; Medical travel","governance approach; health services; hospital sector; medical tourism; policy analysis; quality control; service quality; adolescent; adult; aged; Article; child; controlled study; cost effectiveness analysis; cross-sectional study; female; government; health care policy; health service; human; India; Maldives; male; medical education; middle aged; priority journal; quality control; school child; structured questionnaire; travel; young adult; economics; financial management; health care quality; Indian Ocean; medical tourism; patient care; patient satisfaction; psychology; statistics and numerical data; India; Maldives; Adolescent; Adult; Child; Continuity of Patient Care; Cross-Sectional Studies; Female; Financing, Government; Humans; Indian Ocean Islands; Male; Medical Tourism; Middle Aged; Patient Satisfaction; Quality of Health Care; Universal Health Insurance; Young Adult",,,,,,"The study was funded by the Anne Mills Fellowship in Health Systems Research.",,"Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system (2014) J Travel Med, 21 (6), pp. 410-417; (2016) Balance of payments and international investment position statistics (BOP/IIP), , http://data.imf.org/?sk=7A51304B-6426-40C0-83DD-CA473CA1FD52, [cited 2016 February ]; (2016) Who. Trade and health, , http://www.who.int/trade/trade_and_health/en/; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Soc Sci Med, 124, pp. 356-363; Ormond, M., Solidarity by demand? Exit and voice in international medical travel-the case of Indonesia (2015) Soc Sci Med, 124, pp. 305-312; Lunt, N., Horsfall, D., Hanefeld, J., Medical tourism: a snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-44; (2016) Maldives Population and Housing Census 2014, , http://statisticsmaldives.gov.mv/nbs/wp-content/uploads/2015/10/Census-Summary-Tables1.pdf,http://statisticsmaldives.gov.mv/nbs/wp-content/uploads/2016/02/StatisticalReleaseII-Education.pdf, Maldives: Maldives: national bureau of statistics; [cited 2016]; (2016) Study says domestic travel in Maldives mostly for medical, , Haveeru Sect. Business; (2014) Utilization trends and cost containment options for Aasandha, , http://documents.worldbank.org/curated/en/497531468282320997/pdf/812470BRI0P1210Box0379833B00PUBLIC0.pdf, 2013 02 November; (2016) Bilateral projects: High commossion of India Male, , http://www.hci.gov.in/male/?2539?000, [cited 2016]; Suzana, M., Mills, A., Tangcharoensathien, V., Chongsuvivatwong, V., The economic burden of overseas medical treatment: a cross sectional study of Maldivian medical travelers (2015) BMC Health Serv Res, 15 (1), p. 1; (2012) R: a language and environment for statistical Computing; Noree, T.H.J., Smith, R., UK medical tourists in Thailand: they are not who you think they are (2014) Glob Health, 10, p. 29; Bochaton, A., Cross-border mobility and social networks: Laotians seeking medical treatment along the Thai border (2015) Soc Sci Med, 124, pp. 364-373; Chambers, A., (2015) Trends in U.S. health travel services trade, , [executive briefing on trade] In press; Km, S.M., D' Souza, S.C., Medical Tourism and Market feasibility in emerging economy, , https://www.researchgate.net/profile/Sudheer_Km4/publication/271854546_Medical_Tourism_and_Market_feasibility_in_emerging_economy/links/54d58c950cf2970e4e651892/Medical-Tourism-and-Market-feasibility-in-emerging-economy.pdf; (2015) Tracking universal health coverage: first global monitoring report, , Geneva: World Health Organization; O'Donnell, O., Access to health care in developing countries: breaking down demand side barriers (2007) Cadernos de Saúde Pública, 23 (12), pp. 2820-2834; Allen, H., Wright, B.J., Harding, K., Broffman, L., The role of stigma in access to health care for the poor (2014) The Milbank Quarterly, 92 (2), pp. 289-318; Baird, A.G., Wright, N., Poor access to care: rural health deprivation? (2006) Br J Gen Pract, 47, pp. 777-780; (2012) Household Income and Expenditure Survey 2009-2010, , Planning DoN. Republic of Maldives: Ministry of Finance and Treasury;; Noor, R., Outbound Medical Tourism from Bangladesh: Problems and Solutions.; Hanefeld, J., Horsfall, D., Lunt, N., Smith, R., Medical tourism: a cost or benefit to the NHS? (2013) PLoS One, 8 (10), p. e70406; Herrick, DM., Medical tourism: global competition in health care (2007) National Center for Policy Analysis, 1, pp. 2-3; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism? A scoping review (2011) Open Medicine, 5 (3), pp. 139-148; Mohssine, N., Raji, I., Lanteigne, G., Amalik, A., Chaouch, A., Organizational impact of preparation for healthcare institution accreditation in Morocco (2015) SANTE PUBLIQUE, 27 (4), pp. 503-513; Dastur, F., Hospital accreditation: a certificate of proficiency for healthcare institutions (2012) J Assoc Physicians India, 60, pp. 12-13; Mumford, V., Reeve, R., Greenfield, D., Forde, K., Westbrook, J., Braithwaite, J., Is accreditation linked to hospital infection rates? A 4-year, data linkage study of Staphylococcus aureus rates and accreditation scores in 77 Australian acute hospitals (2015) Int J Qual Health Care, 27 (6), pp. 479-485; Lunt, N., (2011) Medical tourism: treatments, markets and health system implications: a scoping review: OECD, Directorate for Employment, , Labour and Social Affairs; Rad, N.F., Som, A.P., Zainuddin, Y., Service Quality and Patients' satisfaction in medical tourism (2010) World Applied Sciences Journal, 10 (1), pp. 24-30; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: word-of-mouth and viral marketing as potent marketing tools (2013) Tour Manag, 34, pp. 196-201; (2015) Statistical Year Book of Maldives 2015, , Republic of Maldives: National Bureau of Statistics Maldives; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4 (1), pp. 1-11","Suzana, M.; The Maldives National University, Department of Public Health, Faculty of Health Sciences, Haveeree HigunMaldives; email: mariyam.suzana@mnu.edu.mv",,,"BioMed Central Ltd.",,,,,17448603,,,"29921295","English","Globalization Health",Article,"Final",Open Access,Scopus,2-s2.0-85048939647 "Oliver D.","55851112700;","David Oliver: Health tourism, immigration, and the NHS",2018,"BMJ (Clinical research ed.)","361",,,"k2536","",,1,"10.1136/bmj.k2536","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061981307&doi=10.1136%2fbmj.k2536&partnerID=40&md5=102986bb8a33f76107d59bdc6853557b","Berkshire, United Kingdom","Oliver, D., Berkshire, United Kingdom",[No abstract available],,,,,,,,,,,,,,"NLM (Medline)",,,,,17561833,,,"29895684","English","BMJ",Article,"Final",Open Access,Scopus,2-s2.0-85061981307 "Pestereva N.M., Khechumyan A.F., Vorozbit N.","56165946700;57194739200;57206905311;","The comprehensive evaluation of the bioclimatic comfort at the territories of the Russian Far East with reference to winter-time recreational activities and primary wellness tourism",2018,"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","95","2",,"37","42",,1,"10.17116/kurort201895237-42","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062059955&doi=10.17116%2fkurort201895237-42&partnerID=40&md5=9658f33df2ffd26f8b6d49a929a58d65","North-Caucasian Federal Scientific and Clinical Center of the Federal Medical and Biological Agency; Financial University under the Government of the Russian Federation","Pestereva, N.M., North-Caucasian Federal Scientific and Clinical Center of the Federal Medical and Biological Agency, Financial University under the Government of the Russian Federation; Khechumyan, A.F., North-Caucasian Federal Scientific and Clinical Center of the Federal Medical and Biological Agency; Vorozbit, N., North-Caucasian Federal Scientific and Clinical Center of the Federal Medical and Biological Agency","BACKGROUND: in the framework of the current tendency toward the further development of the socio-economic sphere in the Russian Far East (RFE), the relevant investigations aimed at creating the comfortable conditions for recreational and touristic activities as well as for rehabilitative therapy of the local population acquire the increasingly greater importance. AIM: The objective of the present study was the comprehensive evaluation of the bioclimatic comfort at the territories of interest with special reference to winter-time recreational activities and primary wellness tourism. MATERIALS AND METHODS: This study was designed to evaluate the health resort, recreational, and therapeutic resources of the selected areas of the Russian Far East with special reference to the data provided by the climate monitoring stations during the periods from December to March of 1965-2014. The following methods were used for the purpose: the comparative analysis of climatic information and elementary methods of mathematical statistics. RESULTS: The evaluation of the study territory in terms of the bioclimatic comfort gave evidence that the southern regions of Primorye as well as Sakhalin island, and Kamchatka peninsula provide the most favorable conditions for the therapeutic and recreational activities, leisure and sports in the winter seasons. CONCLUSION: The analysis of the studied bioclimatic indices of comfort at different territories of the Russian Far East has demonstrated their great potential for the further development of recreation services, rehabilitation, sporting and touristic activities. The study has revealed the new opportunities for the enhancement of bioclimatic comfort of the region and for the improvement of the quality of life and employment of the local population.Обоснование. В современных условиях ускоренного развития социально-экономической сферы Дальнего Востока России (ДВР) актуальны исследования по созданию комфортных условий для отдыха, туризма, оздоровления и реабилитации местного населения. Цель исследования — провести анализ биоклиматических ресурсов ДВР в условиях современного изменения климата для активизации лечебно-оздоровительного туризма. Материал и методы. Предметом данного исследования стала оценка курортно-рекреационных и лечебно-оздоровительных ресурсов ДВР. Были изучены данные климатических станций за ноябрь—март с 1965 по 2015 г. Были использованы метод сравнительного анализа и элементарные методы математической статистики. Результаты. Оценка комфортности исследуемой территории с помощью биоклиматических индексов показала, что наиболее благоприятными для проведения лечебно-оздоровительных мероприятий, отдыха и спорта в зимнее время года на ДВР являются южные районы Приморья, Сахалина и Камчатки. Заключение. Анализ рассмотренных биоклиматических индексов комфортности территории ДВР в целях расширения услуг рекреации, оздоровления, отдыха и туризма создает новые условия и возможности для повышения качества жизни и занятости населения.","climatic changes; mountain ski resort; primary wellness tourism; recreation","climate; human; medical tourism; public health service; recreation; Russian Federation; season; Climate; Health Resorts; Humans; Medical Tourism; Recreation; Russia; Seasons",,,,,,,,,,,,"NLM (Medline)",,,,,00428787,,,"29786680","Russian","Vopr Kurortol Fizioter Lech Fiz Kult",Article,"Final",Open Access,Scopus,2-s2.0-85062059955 "Beena K.S., Venkatrama Raju D.","57202610989;57190229428;","A study on ayurvedic medicines in medical tourism with special reference to kerala",2018,"International Journal of Mechanical Engineering and Technology","9","5",,"801","808",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047829707&partnerID=40&md5=1e503464e74a272e48a0cd292ee4b60b","Department of Tourism and Hospitality Management, Bharath University, Chennai, Tamilnadu, India; Department of Management Studies, Bharath University, Chennai, Tamilnadu, India","Beena, K.S., Department of Tourism and Hospitality Management, Bharath University, Chennai, Tamilnadu, India; Venkatrama Raju, D., Department of Management Studies, Bharath University, Chennai, Tamilnadu, India","Travelling around the globe for medical treatment is becoming more and more prevalent these days. Kerala, as one of the several major destinations in medical tourism industry that is rapidly developing, is creating worldwide trademark as “The Medical Hub of Asia”. The objective of this research study is to determine the influencing factors that lead international medical tourists to choose hospitals in Kerala as their medical tourism destination. These factors will be ranked according to importance so as to assist in determining which point the hospital should focus on. © IAEME Publication","Ayurvedic tourism; Customer preference; Kerala tourism; Marketing Mix; Medical tourism",,,,,,,,,"(2000) Tourism Policy: Vision 2020, , Department of Tourism Government of Kerala; Farrugia, J., Medical tourism—what prospects? (2006) The Times, , May 31; http://dir.indiamart.com; http://en.wikipedia.org/wiki.Medical_tourism; http://indiamedicine.nic; http://keralatourism.org; http://mediescapes.com; Pruthi, R., (2006) Medical Tourism in India, , Arise Publishers and Distributors, New Delhi; Puri, N., Health tourism (2003) FICCI Seminar on Medical Tourism, , Paper 11th December; Chennai; Radhika, P.C., (2007) Potentialities of Dental Tourism in Kerala--A Case Study on Dr. Rajkrishnan‘S Dental Clinic, , Dissertation M.G. University, Kottayam; (2007) Economic Review, , State Planning Board Government of Kerala, Trivandrum; Biswas, W., Medical tourism – a growing and potential segment in indian scenario (2016) Journal of Management, 3 (1), pp. 19-26; Singh, S., Sahil, Study on medical tourism global competition in healthcare and a study on satisfaction level among foreign patient‘s (2014) International Journal of Marketing & Human Resource Management (IJMHRM), 5 (1), pp. 09-21; Chowdhary, S., Health is wealth‘: Medical tourism industry in India - the new revenue generator (2013) International Journal of Management (IJM), 4 (4), pp. 141-148; www.ayur-vedic.com; www.howtobooks.co.uk; www.imtjonline.com/zine/home/india-new-medical-visa; www.keralatraveltourism.com; www.newmedicalhorizons.com",,,,"IAEME Publication",,,,,09766340,,,,"English","Int. J. Mech. Eng. Technol.",Article,"Final",,Scopus,2-s2.0-85047829707 "Nasser J.S., Chung K.C.","57194637660;26642946300;","Discussion: Plastic surgery complications from medical tourism treated in a U.S. Academic Medical Center",2018,"Plastic and Reconstructive Surgery","141","4",,"524e","525e",,1,"10.1097/PRS.0000000000004215","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85052205617&doi=10.1097%2fPRS.0000000000004215&partnerID=40&md5=5efaa0c9435c1cf26a0e05769781ddbc","Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, United States","Nasser, J.S., Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, United States; Chung, K.C., Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, United States",[No abstract available],,"human; medical tourism; plastic surgery; reconstructive surgery; university hospital; Academic Medical Centers; Humans; Medical Tourism; Reconstructive Surgical Procedures; Surgery, Plastic",,,,,,"The work was supported by a Midcareer Investigator Award in Patient-Oriented Research (2 K24-AR053120-06) (to K.C.C.). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.",,"Klein, H.J., Simic, D., Fuchs, N., Complications after cosmetic surgery tourism (2017) Aesthet Surg J, 37, pp. 474-482; Adabi, K., Stern, C.S., Weichman, K.E., Population health implications of medical tourism (2017) Plast Reconstr Surg, 140, pp. 66-74; Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the United States (2013) Plast Reconstr Surg Glob Open, 1, p. e63; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13","Chung, K.C.; Section of Plastic Surgery, University of Michigan Health System, 1500 East Medical Center Drive 2130 Taubman Center, SPC 5340, United States; email: kecchung@med.umich.edu",,,"Lippincott Williams and Wilkins",,,,,00321052,,PRSUA,"29595726","English","Plast. Reconstr. Surg.",Article,"Final",,Scopus,2-s2.0-85052205617 "Chung K.-C., Chang L.-C.","56532923200;57207994857;","A sustainability strategy assessment framework model for medical tourism supply chain in Asia",2018,"Journal of Testing and Evaluation","46","2", JTE20160424,"","",,1,"10.1520/JTE20160424","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063452768&doi=10.1520%2fJTE20160424&partnerID=40&md5=0b2849f48e202ab5dcf47db7371fc547","National Penghu University of Science and Technology, Department of Marketing and Logistics Management, No.300, Liuhe Rd., Magong City, Penghu County, 880, Taiwan; Taiwan Hospitality and Tourism University, Department of Hotel Management, No.268, Zhongxing St., Shoufeng Township, Hualien County, 974, Taiwan","Chung, K.-C., National Penghu University of Science and Technology, Department of Marketing and Logistics Management, No.300, Liuhe Rd., Magong City, Penghu County, 880, Taiwan; Chang, L.-C., Taiwan Hospitality and Tourism University, Department of Hotel Management, No.268, Zhongxing St., Shoufeng Township, Hualien County, 974, Taiwan","This study developed a sustainability policy evaluation for medical tourism supply chain (MTSC) that is validated using the Delphi method and the analytical network process (ANP). This study assessed the criteria through expert survey method by five experts from the government, the academe, and the industry. Results showed that the financial perspective is the heaviest among the criteria, indicating unanimous agreement of the experts and scholars that a healthy financial situation is necessary to integrate the MTSC. This study can provide criteria and correct the overall performance for MTSC entrepreneurs and scholars. Lastly, the conclusion provided MTSC-related insights and suggestions. Copyright © 2017 by ASTM International,","Analytical network process; Delphi method; Medical tourism supply chain","Decision making; Sustainable development; Analytical network process; Analytical network processes (ANP); Delphi method; Expert survey; Framework models; Sustainability policy; Sustainability strategies; Tourism supply chain; Supply chains",,,,,,"3. Project grant (SC3): based on the type of project and ap-plying grants or funding from the government.",,"Heung, V.C.S., Kucukusta, D., Song, H., Medical Tourism Development in Hong Kong: An Assessment of the Barriers (2011) Tour. Manage., 32 (5), pp. 995-1005. , https://doi.org/10.1016/j.tourman.2010.08.012; Jones, C.A., Keith, L.G., Medical Tourism and Reproductive Outsourcing: The Dawning of a New Paradigm for Healthcare (2006) Int. J. Fert. Women’S Med., 51 (6), pp. 251-255; MacReady, N., Developing Countries Court Medical Tourists (2007) Lancet, 369 (9576), pp. 1849-1850. , https://doi.org/10.1016/S0140-6736(07)60833-2; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York; Ramirez De Arellano, A., Patients Without Borders: The Emergence of Medical Tourism (2007) Int. J. Health Serv., 37 (1), pp. 193-198. , https://doi.org/10.2190/4857-468G-2325-47UU; Chen, D., Innovation of Tourism Supply Chain Management (2009) The International Conference on Management of E-Commerce and E-Government, pp. 310-313. , Washington, D.C., September 16–19, IEEE, New York; Ferrer, M., Medhekar, A., The Factors Impacting on the Management of Global Medical Tourism Service Supply Chain (2012) GSTF J. Bus. Rev., 2 (2), pp. 206-211. , https://doi.org/10.5176/2010-4804_2.2.204; Maloni, M.J., Benton, W.C., Supply Chain Partnerships: Opportunities for Operations Research (1997) Eur. J. Oper. Res., 101 (3), pp. 419-429. , https://doi.org/10.1016/S0377-2217(97)00118-5; Shamini, K., Puspavathy, R., Medical Tourism Investigating the Contributing Factors to Medical Tourism in Malaysia and Its Impact on Profitability (2010) The International Conference on Business and Economic Research, , Kuala Lumpur, Malaysia, November 26–28, Global Research Agency, unpublished; Han, H., Hyun, S., Customer Retention in the Medical Tourism Industry: Impact of Quality, Satisfaction, Trust, and Price Reasonableness (2015) Tour. Manage., 46, pp. 20-29. , https://doi.org/10.1016/j.tourman.2014.06.003; Smith, R.D., Martinez-Ãlvarez, M., Chanda, R., Medical Tourism: A Review of the Literature and Analysis of a Role for Bi-Lateral Trade (2011) Health Policy, 103 (2-3), pp. 276-282. , https://doi.org/10.1016/j.healthpol.2011.06.009; Page, S.J., (2011) Tourism Management, , Oxford, Butterworth-Heinemann; Chan, H.K., Chan, F.T.S., Effect of Information Sharing in Supply Chains with Flexibility (2009) Int. J. Prod. Res., 47 (1), pp. 213-232. , https://doi.org/10.1080/00207540600767764; Lee, H.K., Fernando, Y., The Antecedents and Outcomes of the Medical Tourism Supply Chain (2015) Tour. Manage., 46, pp. 148-157. , https://doi.org/10.1016/j.tourman.2014.06.014; Peng, H., Xu, X., Chen, W., (2011) Tourism Supply Chain Coordination by Tourism Websites, , National Natural Science Foundation, Beijing, China; Kumar, A., Ozdamar, L., Zhang, C.N., Supply Chain Redesign in the Healthcare Industry of Singapore (2008) Supply Chain Manage.: An Int. J., 13 (2), pp. 95-103. , https://doi.org/10.1108/13598540810860930; Tapper, R., Font, X., (2004) Tourism Supply Chains, Report of A Desk Research Project for The Travel Foundation, , Final Report, Leeds Metropolitan University, Environment Business & Development Group, Leeds, UK; Kaplan, R.S., Norton, D.P., The Balanced Scorecard-Measures that Drive Performance (1992) Harv. Bus. Rev., 70 (1), pp. 71-79; Kaplan, R.S., Norton, D.P., Using the Balanced Scorecard as a Strategic Management System (1996) Harv. Bus. Rev., 74 (1), pp. 75-85; Kaplan, R.S., Norton, D.P., (1996) The Balanced Scorecard: Translating Strategy Into Action, , Harvard Business School Press, Cambridge, MA; Hill, K.Q., Fowles, J., The Methodological Worth of the Delphi Forecasting Technique (1975) Technol. Forecast Soc., 7 (2), pp. 179-192. , https://doi.org/10.1016/0040-1625(75)90057-8; Linstone, H.A., Turoff, M., (1975) The Delphi Method: Techniques and Applications, , Addison-Wesley, New York; Stewart, T.R., The Delphi Technique and Judgmental Forecasting (1987) Climatic Change, 11 (1), pp. 97-113. , https://doi.org/10.1007/BF00138797; Rowe, G., Wright, G., The Delphi Technique as a Forecasting Tool: Issues and Analysis (1999) Int. J. Forecast., 15 (4), pp. 353-375. , https://doi.org/10.1016/S0169-2070(99)00018-7; Saaty, T.L., (1996) Decision Making with Dependence and Feedback: The Analytic Network Process, , RWS Publications, Pittsburgh, PA; Saaty, T.L., Vargas, L.G., (2006) Decision Making with The Analytic Network Process: Economic, Political, Social and Technological Applications with Benefits, Opportunities, Costs and Risks, , Springer, New York; Meade, L.M., Sarkis, J., Strategic Analysis of Logistics and Supply Chain Management Systems Using the Analytic Network Process (1998) Transp. Res. E-Log, 34 (3), pp. 201-215. , https://doi.org/10.1016/S1366-5545(98)00012-X","Chung, K.-C.; National Penghu University of Science and Technology, Department of Marketing and Logistics Management, No.300, Liuhe Rd., Taiwan; email: d9732004@gmail.com",,,"ASTM International",,,,,00903973,,JTEVA,,"English","J Test Eval",Article,"Final",,Scopus,2-s2.0-85063452768 "Zavlin D., Chegireddy V., Echo A., Friedman J.D., Heller L.","57193740740;57194130215;26634947100;7401866159;16041937100;","Population health implications of medical tourism",2018,"Plastic and Reconstructive Surgery","141","3",,"464E","465E",,1,"10.1097/PRS.0000000000004159","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044316849&doi=10.1097%2fPRS.0000000000004159&partnerID=40&md5=59d82f29e7aa067acf14226df003526e","Department of Plastic Surgery, Assaf Harofeh Medical Center, Tel Aviv, Israel; Division of Plastic Surgery, Baylor College of Medicine, Houston, TX, United States; Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, 6560 Fannin Street Scurlock Tower, Suite 2200, Houston, TX 77030, United States","Zavlin, D., Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, 6560 Fannin Street Scurlock Tower, Suite 2200, Houston, TX 77030, United States; Chegireddy, V., Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, 6560 Fannin Street Scurlock Tower, Suite 2200, Houston, TX 77030, United States; Echo, A., Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, 6560 Fannin Street Scurlock Tower, Suite 2200, Houston, TX 77030, United States; Friedman, J.D., Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, 6560 Fannin Street Scurlock Tower, Suite 2200, Houston, TX 77030, United States; Heller, L., Department of Plastic Surgery, Assaf Harofeh Medical Center, Tel Aviv, Israel, Division of Plastic Surgery, Baylor College of Medicine, Houston, TX, United States",[No abstract available],,"health care delivery; human; medical tourism; population health; Delivery of Health Care; Humans; Medical Tourism; Population Health",,,,,,,,"Adabi, K., Stern, C.S., Weichman, K.E., Population health implications of medical tourism (2017) Plast Reconstr Surg, 140, pp. 66-74; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) MedGenMed, 9, p. 33; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel The McKinsey Quarterly, , https://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, Accessed July 25, 2017; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) Int J Health Care Qual Assur, 26, pp. 688-702; Guidelines for Plastic Surgery Tourists, , https://www.isaps.org/medical-travel-guide/plastic-surgery-tourists, Accessed July 25, 2017","Zavlin, D.; Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, 6560 Fannin Street Scurlock Tower, Suite 2200, United States; email: dzavlin@houstonmethodist.org",,,"Lippincott Williams and Wilkins",,,,,00321052,,PRSUA,"29485603","English","Plast. Reconstr. Surg.",Letter,"Final",Open Access,Scopus,2-s2.0-85044316849 "Whittaker A.","7102570392;","Conceptualising asian medical travel as medical migrations",2018,"Routledge Handbook of Asian Migrations",,,,"114","127",,1,"10.4324/9781315660493","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85045608490&doi=10.4324%2f9781315660493&partnerID=40&md5=e3a34c0820dec13212dbcc511f0da65e","School of Social Sciences, Monash University, Melbourne, Australia","Whittaker, A., School of Social Sciences, Monash University, Melbourne, Australia",[No abstract available],,,,,,,,,,"Aizura, A., Where health and beauty meet: femininity and racialisation in Thai cosmetic surgery clinics (2009) Asian Studies Review, 33 (3), pp. 303-317; Appadurai, A., Disjuncture and difference in the global cultural economy (1990) Theory, culture and society, 7 (2), pp. 295-310; Beladi, H., Chao, C-C., Mong, S.E., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Economic Modelling, 46, pp. 391-396; Bell, D., Transnational healthcare, cross- border perspectives (2015) Social Science and Medicine, 124, pp. 284-289; Belton, S., Maung, C., Fertility and abortion: Burmese women's health on the Thai- Burma border (2004) Forced Migration Review, 19, pp. 36-37; Belton, S., Borders of fertility: unplanned pregnancy and unsafe abortion in Burmese women migrating to Thailand (2007) Health Care for Women International, 28 (4), pp. 419-433; Benson, M., O'Reilly, K., Migration and the search for a better way of life: a critical exploration of lifestyle migration (2009) The Sociological Review, 57c (4), pp. 608-625; Bochaton, A., The rise of a transnational healthcare paradigm. Thai hospitals at the crossroad of new patient flows (2013) EJOTS European Journal of Transnational Studies, 5 (1), pp. 54-80; Bochaton, A., Cross- border mobility and social networks: Laotians seeking medical treatment along the Thai border (2015) Social Science and Medicine, 124, pp. 364-373; Brijnath, B., Familial bonds and boarding passes: understanding caregiving in a transnational context (2009) Identities: Global Studies in Culture and Power, 16 (1), pp. 83-101; Cardozo, B.L., Karenni refugees living in Thai-Burmese border camps: traumatic experiences, mental health outcomes, and social functioning (2004) Social Science and Medicine, 58 (12), pp. 2637-2644; Chee, H.L., Ownership, control, and contention: challenges for the future of healthcare in Malaysia (2008) Social Science and Medicine, 66 (10), pp. 2145-2156; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Chee, H.L., Por, H.H., Whittaker, A., Medical travel facilitators as an integral part of the medical tourism infrastructure of private hospitals in Malaysia (2015), Paper presented at the International Medical Travel and the Politics of Transnational Mobility in Asia Workshop, Asia Research Institute, National University of Singapore, Singapore, 26-27 August 2015; Chuenniran, A., Destitute foreigners and Thailand's hospitals' (2011) Bangkok Post, , www.bangkokpost.com/archive/hospitals-count-cost-of-foreigners-bills/217242, Accessed 20 January 2011; Cohen, L., Migrant supplementarity: remaking biological relatedness in Chinese military and Indian five- star hospitals (2011) Body and Society, 17 (2-3), pp. 31-541; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Connell, J., (2011) Medical Tourism, , Wallingford, Oxfordshire: Cabi; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 1; Culley, L.A., British South Asian communities and infertility services (2006) Human Fertility, 9 (1), pp. 37-45; de Casanova, E.M., Sutton, B., Transnational body projects: media representations of cosmetic surgery tourism in Argentina and the United States (2013) Journal of World-Systems Research, 19 (1), p. 57; Durham, J., (2015) Cross border movement from the Lao PDR and the interplay between social networks and cultural capital: a qualitative study, , Paper presented at the International Medical Travel and the Politics of Transnational Mobility in Asia, Asia Research Institute, Singapore, 26-27 August 2015; Fussell, E., Space, time, and volition: dimensions of migration theory (2012) The Oxford Handbook of the Politics of International Migration, pp. 25-52. , In M.R. Rosenblum and D.J. 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Ong, and N. N. Chen, eds., Durham, NA: Duke University Press; Yea, S., Trafficking in part (s): the commercial kidney market in a Manila slum, Philippines (2010) Global Social Policy, 10 (3), pp. 358-376; Yu, J.Y., Tae, G.K., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Whittaker, A.; School of Social Sciences, Monash UniversityAustralia",,,"Taylor and Francis",,,,,,9781317337256; 9781315660493,,,"English","Rout. Handb. of Asian Migr.",Book Chapter,"Final",,Scopus,2-s2.0-85045608490 "Gan L.L., Frederick J.R.","16480026900;39761481600;","The choice of facilitators in medical tourism",2018,"Health Marketing Quarterly","35","1",,"65","83",,1,"10.1080/07359683.2018.1434891","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042406499&doi=10.1080%2f07359683.2018.1434891&partnerID=40&md5=c10d2a3e8c5c2cc30ee704cbc8359bec","Department of Economics and Decision Sciences, School of Business, University of North Carolina at Pembroke, Pembroke, NC, United States","Gan, L.L., Department of Economics and Decision Sciences, School of Business, University of North Carolina at Pembroke, Pembroke, NC, United States; Frederick, J.R., Department of Economics and Decision Sciences, School of Business, University of North Carolina at Pembroke, Pembroke, NC, United States","The study identified which of the four facilitators (themselves, agents, insurers, or doctors) consumers are most likely to use when they travel for various medical procedures. A survey conducted between 2011 and 2014 yielded 964 responses. The multinomial logistic regression results showed that being 51–64 years old was positively related to going on their own or using agents to arrange for knee replacements. Having a high school education or less was positively linked to using both agents and insurers to facilitate knee replacements, whereas having a bachelor’s degree was negatively associated with going on their own for stem cell therapy. © 2018 Taylor & Francis.","Cosmetic procedures; health tourism; knee replacements; medical tourism; medical tourism facilitators; stem-cell therapy","article; cell therapy; high school; human; human cell; human experiment; knee replacement; medical tourism; stem cell; adult; decision making; female; health care delivery; health insurance; male; middle aged; organization and management; physician; psychology; Adult; Choice Behavior; Female; Health Services Accessibility; Humans; Insurance, Health; Male; Medical Tourism; Middle Aged; Physicians",,,,,,,,"Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Promoting social responsibility amongst health care users: Medical tourists’ perspectives on an information sheet regarding ethical concerns in medical tourism (2013) Philosophy, Ethics, and Humanities in Medicine, 8 (1), p. 19; Al-Amin, M., Makarem, S.C., Pradhan, R., Hospital ability to attract international patients: A conceptual framework (2011) International Journal of Pharmaceutical and Healthcare Marketing, 5 (3), pp. 205-221; (2013) 2013 plastic surgery statistics report, , http://www.plasticsurgery.org/Documents/news-resources/statistics/2013-statistics/plastic-surgery-statistics-full-report-2013.pdf, Retrieved from; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave MacMillan; Brouwer, W., Van Exel, J., Hermans, B., Stoop, A., Should I stay or should I go? 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(2013) Healthcare Marketing Quarterly, 30 (4), pp. 177-194; Gooding, S., The relative importance of information sources in consumers’ choice of hospitals (1995) Journal of Ambulatory Care Marketing, 6 (1), pp. 99-108; Grotle, M., Hagen, K., Natvig, B., Dahl, F., Kvien, T., Prevalence and burden of osteoarthritis: Results from a population survey in Norway (2008) Journal of Rheumatology, 35 (4), pp. 677-684; Hagen, L., Uysal, M., (1991) An examination of motivations and activities of pre-retirement (50–64) and post-retirement (65–98) age groups for a touring trip, , June,. Proceedings of the Travel and Tourism Research Association 22nd Annual Conference in Hyatt regency hotel, Long Beach, CA; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Holliday, R., Bell, D., Cheung, O., Jones, M., Probyn, E., Brief encounters: Assembling cosmetic surgery tourism (2015) Social Science & Medicine, 124, pp. 298-304; (2008) ISSCR guidelines for the clinical translation of stem cells, , http://www.isscr.org/docs/default-source/clin-trans-guidelines/isscrglclinicaltrans.pdf, Retrieved from; Javalgi, R., Rao, S., Thomas, E., Choosing a hospital: Analysis of consumer tradeoffs (1991) Journal of Health Care Marketing, 11 (1), pp. 12-22; Johnson, T.J., Garman, A.N., Impact of medical travel on imports and exports of medical services (2010) Health Policy., 8 (2-3), pp. 171-177; Johnston, R., Crooks, V.A., Snyder, J., I didn’t even know what I was looking for: A qualitative study of the decision-making processes of Canadian medical tourists (2012) BMC Globalization and Health, 8 (23); Lau, D., Ogbogu, U., Taylor, B., Stafinski, T., Menon, D., Caulfield, T., Stem cell clinics online: The direct-to-consumer portrayal of stem cell medicine (2008) Cell Stem Cell, 3 (6), pp. 591-594; Lautier, M., International trade of health services: Global trends and local impact (2014) Health Policy, 118 (1), pp. 105-113; Lee, H., Wright, K.B., O’Connor, M., Wombacher, K., Framing medical tourism: An analysis of persuasive appeals, risks and benefit, and new media features of medical tourism broker websites (2014) Health Communication, 29 (7), pp. 637-645; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; MacReady, N., Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) Human Resource Planning, 30 (2), pp. 8-10; Masi de Cassanova, E., Sutton, B., Transnational body projects: Media representations of cosmetic surgery tourism in Argentina and the United States (2013) Journal of World Systems Research, 19 (1), pp. 57-81; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368; Milstein, A., Smith, M., America’s new refugees—seeking affordable surgery offshore (2006) The New England Journal of Medicine, 355 (16), pp. 1637-1640; Murdoch, C., Scott, C., Stem cell tourism and the power of hope (2010) The American Journal of Bioethics, 10 (5), pp. 16-23; Ormond, M., Neoliberal governance and international medical travel in Malaysia (2013) London, UK: Routledge.; Page, S.J., The evolution of travel medicine: A new research agenda for tourism? (2009) Tourism Management, 30 (2), pp. 149-157; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12 (17), pp. 1-9; Regenberg, A., Hutchinson, L., Schanker, B., Matthews, D., Medicine on the fringe: Stem cell-based interventions in advance of evidence (2009) Stem Cells, 27, pp. 2312-2319; Romsa, G., Blenman, M., Vacation patterns of the elderly German (1989) Annals of Tourism Research, 16 (2), pp. 178-188; Simpson, P., Siguaw, J., Perceived travel risks: The traveler perspective and manageability (2008) International Journal of Tourism Research, 10 (4), pp. 315-327; Stan, S., Transnational healthcare practices of Romanian migrants in Ireland: Inequalities of access and the privatisation of healthcare services in Europe (2015) Social Science & Medicine, 124, pp. 346-355; Turner, L., Beyond medical tourism: Canadian companies marketing medical travel (2012) Globalization and Health, 8 (16); Vequist, D.G., Valdez, E., Medical tourism economic report: Monterrey, Mexico (2008) Medical Tourism Magazine, 4, p. 21; You, X., O’Leary, J.T., Destination behavior of older UK travelers (1999) Tourism Recreation Research, 24 (1), pp. 23-34","Gan, L.L.; Department of Economics and Decision Sciences, School of Business, University of North Carolina at Pembroke, Box 1510, United States; email: lydia.gan@uncp.edu",,,"Routledge",,,,,07359683,,HMQUE,"29474154","English","Health Mark. Q.",Article,"Final",,Scopus,2-s2.0-85042406499 "Mayakul T., Kiattisin S., Prasad R.","57208427168;25655027300;7402378359;","A sustainable medical tourism framework based on the enterprise architecture design: The case in Thailand",2018,"Journal of Green Engineering","8","3",,"359","388",,1,"10.13052/JGE1904-4720.838","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064815433&doi=10.13052%2fJGE1904-4720.838&partnerID=40&md5=107caf0cdd21fb34f30cdf41d50f4cbe","IT management, Mahidol University, Thailand; Aarhus University, Denmark","Mayakul, T., IT management, Mahidol University, Thailand; Kiattisin, S., IT management, Mahidol University, Thailand; Prasad, R., Aarhus University, Denmark","Presently, medical tourism is a rapidly growing business in Thailand, while sustainable medicine is still being widely used as the basis for health policies. To improve the quality of life of people through holistic management, Enterprise Architecture (EA) is used as the strategic management concept in accordance with digital disruption. EAcombines both business and technology to align policies and establish governance. This paper presents a medical tourism framework based on the EA concept for sustainable development in Thailand. This novel framework has been developed both through comprehensive literature review as well as requirement analysis based on the i* model consisting of five layers including leadership, business, application, data, and technology. Moreover, the i* model is used to prove a relationship between the entities, especially the key stakeholders, the standards, and the compliance for each layer. The content validity and the kappa statistic were used for quantitative evaluation. This framework demonstrates that technology would contribute to enhance the medical tourism industry through the layers of data and application. Furthermore, the interoperability standard for health services, preventive medicine, and wellness activities are important for business layers. The proposed framework would generate advantages for the government in terms of good governance, transparency as well as process improvement. © 2018 the Author(s). All rights reserved.","Enterprise Architecture (EA); Medical tourism; Sustainable medicine",,,,,,,,,"Wong, K.M., Velasamy, P., Arshad, T.N.T., Medical tourism destination SWOT analysis: A case study of Malaysia, Thailand, Singapore and India (2014) SHS Web of Conferences, 12, p. 01037. , EDP Sciences; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (1), p. 12; Finch, S., Thailand top destination for medical tourists (2017) CMAJ: Canadian Medical Association Journal, 186 (1), pp. E1-E2; Wuttirakkajon, N., Thailand and Medical Hub of Asia, , https://www.gsb.or.th/getattachment/58a1c42f-18c9-4836-9763-5048dae898b3/Hot-Issue%E0%B9%80%E0%B8%A1%E0%B8%94%E0%B8%84%E0%B8%AD%E0%B8%A5-%E0%B8%AE%E0%B8%9A-final.aspx; Cohen, E., Medical Tourism in Thailand (2008) AU-GSB E-Journal, 1 (1), pp. 24-37; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Macgregor, S., (2011) Enterprise Architecture as Competitive Advantage, , http://www.opengroup.org/johannesburg2011/StuartMacgregor-EAascompetitiveadvantage.pdf, Available from; Bernard, S.A., (2012) An Introduction to Enterprise Architecture, , Third Edition: AuthorHouse; Sowa, J.F., Zachman, J.A., Extending and formalizing the framework for information systems architecture (1992) IBM Systems Journal, 31 (3), pp. 590-616; TOGAF 9.1: Part I: Inroduction, , http://pubs.opengroup.org/architecture/togaf9-doc/arch, Available from; (2013) Federal Enterprise Architecture Framework Version 2, , https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/egovdocs/feav2.pdf, Available from; (2012) COBIT 5: A Business Framework for the Governance and Management of Enterprise IT, , https://www.isaca.org/cobit/Documents/COBIT-5-Introduction.pdf, Available from; A Generic Process for Enterprise Architecture, , http://www.opengroup.org/architecture/togaf7-doc/arch/; Yu, E., Strohmaier, M., Deng, X., Exploring Intentional Modeling and Analysis for Enterprise Architecture (2006) Proceedings of the Workshop on Trends in Enterprise Architecture Research (TEAR), at the Enterprise Computing Conference (EDOC) Hong Kong; Abd Manaf, N.H., Hussin, H., Jahn Kassim, P.N., Alavi, R., Dahari, Z., Country perspective on medical tourism: The Malaysian experience (2015) Leadership in Health Services, 28 (1), pp. 43-56; Johnston, R., Crooks, V.A., Ormond, M., Policy implications of medical tourism development in destination countries: Revisiting and revising an existing framework by examining the case of Jamaica (2015) Globalization and Health, 11 (1), p. 29. , https://doi.org/10.1186/s12992-015-0113-0; Ho, K.T., Medical tourism: New strategies for the health care industry in Taiwan (2015) Journal of the Formosan Medical Association, 114 (2), pp. 99-101; Connell, J., From medical tourism to transnational health care? An epilogue for the future (2015) Social Science & Medicine (1982), 124, p. 398. , https://doi.org/10.1016/j.socscimed.2014.11.015; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702; Sadlier, C., Bergin, C., Merry, C., Healthcare globalization and medical tourism (2014) Clinical Infectious Diseases, 58 (11), pp. 1642-1643. , https://doi.org/10.1093/cid/ciu143; Greenfield, D., Pawsey, M., Medical tourism raises questions that highlight the need for care and caution (2014) Medical Journal of Australia, 201 (10), pp. 568-569; Kjærgård, B., Land, B., Bransholm Pedersen, K., Health and sustainability (2013) Health Promotion International, 29 (3), pp. 558-568. , https://doi.org/10.1093/heapro/das071; Public Health, Environmental and Social Determinants of Health, , http://www.who.int/sustainable-development/en/, Available from; Kreisberg, J., Green medicine: An integral approach that benefits physicians, patients, communities, and the environment (2007) Integrative Medicine, 6 (6), pp. 38-41; Thompson, T., Ballard, T., Sustainable medicine: Good for the environment, good for people (2011) Br J Gen Pract, 61 (582), pp. 3-4; Malerba, L., (2010) Green Medicine: Challenging the Assumptions of Conventional Health Care, , California: North Atlantic Books; WHO Health Systems Framework, , http://www.wpro.who.int/healthservices/healthsystemsframework/en/; Perry, M., Fitzpatrick, J., Enterprise Architecture (EA) and the Health Metrics Network (HMN) Framework: A Federated Approach for Interoperability Enterprise Architecture Conference and Exhibition; Round, R., Marshall, B., Horton, K., Planning for effective health promotion evaluation (2005) Victorian Government Department of Human Services, , Melbourne; Evaluation in Health Promotion Principles and Perspectives, , http://www.euro.who.int/data/assets/pdffile/0007/108934/E73455.pdf, Available from; Health Promotion Evaluation: Recommendations to Policy-Makers, , http://apps.who.int/iris/bitstream/handle/10665/108116/E60706.pdf;jsessionid=335EFE1D0C1DE6288603930CE494B01F?sequence=1, Available from; Thailand: Medical Hub of Asia, , http://www.boi.go.th/upload/content/BOI-brochure2016-medical-2016052424249.pdf; About JCI, , https://www.jointcommissioninternational.org; (2015) HA Standard, , https://www.ha.or.th/Backend/fileupload/%E0%B8%A1%E0%B8%B2%E0%B8%95%E0%B8%A3%E0%B8%90%E0%B8%B2%E0%B8%99%E0%B9%82%E0%B8%A3%E0%B8%87%E0%B8%9E%E0%B8%A2%E0%B8%B2%E0%B8%9A%E0%B8%B2%E0%B8%A5%E0%B9%81%E0%B8%A5%E0%B8%B0%E0%B8%9A%E0%B8%A3%E0%B8%B4%E0%B8%81%E0%B8%B2%E0%B8%A3%E0%B8%AA%E0%B8%B8%E0%B8%82%E0%B8%A0%E0%B8%B2%E0%B8%9E/Attach/HAStandard.pdf, Available from; Yu, E., Giorgini, P., Maiden, N., Mylopoulos, J., Fickas, S., Social Modeling for Requirements Engineering (2010) Cooperative Information Systems; Lawshe, C.H., A quantitative approach to content validity 1 (1975) Personnel Psychology, 28 (4), pp. 563-575; Tharasena, B., Lawan, S., Phenolics, flavonoids and antioxidant activity of vegetables as Thai side dish (2014) APCBEE Procedia, 8, pp. 99-104; (2017) Thailand Investment Review 2017, , http://www.boi.go.th/upload/content/TIRApr1740465.pdf, 27 Dec, Available from; Finch, S., Medical tourism driving health care disparity in Thailand (2014) CMAJ: Canadian Medical Association Journal, 186 (1), p. 11; (2017) Nation, 2017, p. 13. , July; (2017) Green & Clean Hospital, , Health Do, editor; Chen, L.H., Wilson, M.E., globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clinical Infectious Diseases, 57 (12), pp. 1752-1759; Summary of the HIPAA Privacy Rule, Hhs.Gov, , https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html, Available, [Accessed October 2017]; (2012), https://www.itu.int/ITU-D/cyb/events/2012/ehealth/NateHDev/Session%201/ITU-WHO%20National%20eHealth%20Strategy%20toolkit%20March%202012.pdf, Available:, [Accessed 2017]; Cyr, T.J.S., (2013) An Overview of Healthcare Standards, , Southeastcon, Jacksonville, FL, USA; Polit, D.F., Beck, C.T., Owen, S.V., Is the CVI an acceptable indicator of content validity? Appraisal and recommendations (2007) Research in Nursing & Health, 30 (4), pp. 459-467; Bush-Kaufman, A., Walsh, M., Aragón, M.C., Barale, K., Adaptation of Content Validity Index Methodology to Review a Resource Guide for Food Pantries (2017) Journal of the Academy of Nutrition and Dietetics, 117 (10), p. 146; Zamanzadeh, V., Ghahramanian, A., Rassouli, M., Abbaszadeh, A., Alavi-Majd, H., Nikanfar, A.-R., Design and Implementation Content Validity Study: Development of an instrument for measuring Patient-Centered Communication (2015) Journal of Caring Sciences, 4 (2), pp. 165-178. , http://doi.org/10.15171/jcs.2015.017; World Health Statistics 2017: Monitoring Health for the Sdgs, , http://www.who.int/gho/publications/worldhealthstatistics/2017/en/","Mayakul, T.; IT management, Mahidol UniversityThailand; email: theeraya.may@mahidol.edu",,,"Alpha Publishers",,,,,19044720,,,,"English","J. Green Eng.",Article,"Final",Open Access,Scopus,2-s2.0-85064815433 "Fuerst S., Torkkeli L.","56529467500;54911945700;","The rise and fall of an international new venture: The case of an online medical tourism platform",2018,"Reverse Entrepreneurship in Latin America: Internationalization from Emerging Markets to Developed Economies",,,,"7","27",,1,"10.1007/978-3-319-94466-1_2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063484513&doi=10.1007%2f978-3-319-94466-1_2&partnerID=40&md5=65478bf35b292e2ac4dcece754acfd46","Department of International Business, School of Business, Universidad EAFIT, Medellín, Colombia; School of Business and Management, Lappeenranta University, of Technology (LUT), Lappeenranta, Finland","Fuerst, S., Department of International Business, School of Business, Universidad EAFIT, Medellín, Colombia; Torkkeli, L., School of Business and Management, Lappeenranta University, of Technology (LUT), Lappeenranta, Finland","Thomas moves to Colombia. He teams up with Daniel to create an Internet platform on which hospitals, clinics, and doctors from Colombia can offer their services to patients from the US. The promotion of medical tourism is a priority for the local government. Thomas decides to outsource the design and programming of Flyclinic’s Internet platform. This proves to be challenging. The initial launch of the website is delayed by eight months, and making hospitals and clinics sign the contract for use of the platform proves to be difficult. This causes Thomas to rethink the business model. Thomas questions whether the health-care providers in Colombia are interested in medical tourism at all. Flyclinic eventually enters into what Thomas calls a “starvation mode.” © The Author(s) 2019.","Business model; Colombia; Failure; International new venture; Latin America; Medical tourism",,,,,,,,,"(2018) Medical Tourism Market by Treatment Type, , https://www.alliedmarketresearch.com/medical-tourism-market, (Cardiovascular Treatment, Orthopedic Treatment, Neurological Treatment, Cancer Treatment, Fertility Treatment, and Others) – Global Opportunity Analysis and Industry Forecast, 2017–2023. Retrieved March 28, 2018; Bernstein, L., (2014) Once Again, U.S. has Most Expensive, Least Effective Health Care System in Survey, , https://www.washingtonpost.com/news/to-your-health/wp/2014/06/16/once-again-u-s-has-most-expensive-least-effective-healthcare-system-in-survey/?utm_term=.bdf534d62eae, June 16, The Washington Post. Retrieved March 28, 2018; (2013) Diseño E implementación De Un Modelo Cluster Para La atención De Pacientes Internacionales En La Ciudad De Medellín (Rep.), , http://www.camaramedellin.com.co/site/Portals/0/Documentos/2013/CLUSTERNo.8.pdf; De La Hoz-Correa, A., Muñoz-Leiva, F., Bakucz, M., Past Themes and Future Trends in Medical Tourism Research: A Co-word Analysis (2018) Tourism Management, 65, pp. 200-211; Keckley, P.H., Underwood, H.R., (2018), http://www.coa.org/docs/DeloitteStudyMedicalTourism_111209_web.pdf, Medical Tourism: Update and implications (Rep.). Retrieved March 28; (2011) Medical Tourism Statistics & Facts, , https://patientsbeyondborders.com/medical-tourism-statistics-facts, July 12; (2018), http://www.procolombia.co/en/health-colombia/health-turism-news/16-colombian-clinics-amongbest-40-latin-america, Retrieved March 28; (2012) Colombian Startup Flyclinic Promotes Marketplace of Latin American Healthcare Offerings, , http://pulsosocial.com/en/2012/01/07/colombian-startup-flyclinic-promotesmarketplace-of-latin-american-healthcare-offerings, January 7; (2018) Global Medical Tourism Market Size, , https://www.reuters.com/brandfeatures/venture-capital/article?id=11869, Share, Trends and Forecast by 2021 – Market Research Report 2017. Retrieved March 28; (2012), https://twitter.com/flyclinic, March 24). Flyclinic; (2018), https://en.wikipedia.org/wiki/Hospital#General, Hospital. Retrieved March 28","Fuerst, S.; Department of International Business, School of Business, Universidad EAFITColombia; email: sfuerst@eafit.edu.co",,,"Palgrave Macmillan",,,,,,9783319944661; 9783319944654,,,"English","Reverse Entrepreneurship in lat. am.: Internationalization from Emerg. Markets to Developed Economies",Book Chapter,"Final",,Scopus,2-s2.0-85063484513 "Goodson C.M., Friedman L.A., Mantheiy E., Heckle K., Lavezza A., Toonstra A., Parker A.M., Seltzer J., Velaetis M., Glover M., Outten C., Schwartz K., Jones A., Coggins S., Hoyer E.H., Chan K.S., Needham D.M.","56422043300;7403040203;55548646600;57205270772;57189220156;56800841200;55652121500;57201882548;57205271724;57201882946;57201882077;57205271617;57205271156;57205271597;55579132200;55549894100;7102365588;","Perceived Barriers to Mobility in a Medical ICU: The Patient Mobilization Attitudes & Beliefs Survey for the ICU",2018,"Journal of Intensive Care Medicine",,,,"","",,1,"10.1177/0885066618807120","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059344219&doi=10.1177%2f0885066618807120&partnerID=40&md5=9e662f8be26129772490b2902af47635","Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, United States; Medical Intensive Care Unit, Johns Hopkins Hospital, Baltimore, MD, United States; Respiratory Therapy, Johns Hopkins Hospital, Baltimore, MD, United States; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States","Goodson, C.M., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Friedman, L.A., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Mantheiy, E., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Heckle, K., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Lavezza, A., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, United States; Toonstra, A., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, United States; Parker, A.M., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Seltzer, J., Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, United States; Velaetis, M., Medical Intensive Care Unit, Johns Hopkins Hospital, Baltimore, MD, United States; Glover, M., Medical Intensive Care Unit, Johns Hopkins Hospital, Baltimore, MD, United States; Outten, C., Medical Intensive Care Unit, Johns Hopkins Hospital, Baltimore, MD, United States; Schwartz, K., Respiratory Therapy, Johns Hopkins Hospital, Baltimore, MD, United States; Jones, A., Medical Intensive Care Unit, Johns Hopkins Hospital, Baltimore, MD, United States; Coggins, S., Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, United States; Hoyer, E.H., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Chan, K.S., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Needham, D.M., Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States, Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, United States","Purpose: Early mobilization in the intensive care unit (ICU) can improve patient outcomes but has perceived barriers to implementation. As part of an ongoing structured quality improvement project to increase mobilization of medical ICU patients by nurses and clinical technicians, we adapted the existing, validated Patient Mobilization Attitudes & Beliefs Survey (PMABS) for the ICU setting and evaluated its performance characteristics and results. Materials and Methods: The 26-item PMABS adapted for the ICU (PMABS-ICU) was administered as an online survey to 163 nurses, clinical technicians, respiratory therapists, attending and fellow physicians, nurse practitioners, and physician assistants in one medical ICU. We evaluated the overall and subscale (knowledge, attitude, and behavior) scores and compared these scores by respondent characteristics (clinical role and years of work experience). Results: The survey response rate was 96% (155/163). The survey demonstrated acceptable discriminant validity and acceptable internal consistency for the overall scale (Cronbach α: 0.82, 95% confidence interval: 0.76-0.85), with weaker internal consistency for all subscales (Cronbach α: 0.62-0.69). Across all respondent groups, the overall barrier score (range: 1-100) was relatively low, with attending physicians perceiving the lowest barriers (median [interquartile range]: 30 [28-34]) and nurses perceiving the highest (37 [31-40]). Within the first 10 years of work experience, greater experience was associated with a lower overall barrier score (−0.8 for each additional year; P = 0.02). Conclusions: In our medical ICU, across 6 different clinical roles, there were relatively low perceived barriers to patient mobility, with greater work experience over the first 10 years being associated with lower perceived barriers. As part of a structured quality improvement project, the PMABS-ICU may be valuable in assisting to identify specific perceived barriers for consideration in designing mobility interventions for the ICU setting. © The Author(s) 2018.","barriers; early mobility; multiprofessional; quality improvement; rehabilitation; survey","adult; article; case report; clinical article; Cronbach alpha coefficient; discriminant validity; female; human; internal consistency; male; medical intensive care unit; mobilization; nurse practitioner; patient mobility; physician assistant; respiratory therapist; total quality management; work experience",,,,,,,,"Pfoh, E.R., Wozniak, A.W., Colantuoni, E., Physical declines occurring after hospital discharge in ARDS survivors: a 5-year longitudinal study (2016) Intensive Care Med, 42 (10), pp. 1557-1566; Herridge, M.S., Tansey, C.M., Matté, A., Functional disability 5 years after acute respiratory distress syndrome (2011) N Engl J Med, 364 (14), pp. 1293-1304; Dinglas, V.D., Aronson Friedman, L., Colantuoni, E., Muscle weakness and 5-year survival in acute respiratory distress syndrome survivors (2017) Crit Care Med, 45 (3), pp. 446-453; Fan, E., Dowdy, D.W., Colantuoni, E., Physical complications in acute lung injury survivors: a two-year longitudinal prospective study (2014) Crit Care Med, 42 (4), pp. 849-859; Needham, D.M., Wozniak, A.W., Hough, C.L., Risk factors for physical impairment after acute lung injury in a national, multicenter study (2014) Am J Respir Crit Care Med, 189 (10), pp. 1214-1224; Schaller, S.J., Anstey, M., Blobner, M., Early, goal-directed mobilisation in the surgical intensive care unit: a randomised controlled trial (2016) Lancet, 388 (10052), pp. 1377-1388; Tipping, C.J., Harrold, M., Holland, A., Romero, L., Nisbet, T., Hodgson, C.L., The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review (2017) Intensive Care Med, 43 (2), pp. 171-183; Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial (2009) Lancet, 373 (9678), pp. 1874-1882; Hodgson, C.L., Bailey, M., Bellomo, R., A binational multicenter pilot feasibility randomized controlled trial of early goal-directed mobilization in ICU (2016) Crit Care Med, 44 (6), pp. 1145-1152; Morris, P.E., Goad, A., Thompson, C., Early intensive care unit mobility therapy in the treatment of acute respiratory failure (2008) Crit Care Med, 36 (8), pp. 2238-2243; Goodson, C.M., Tipping, C., Mantheiy, E.C., Physical rehabilitation in the ICU: understanding the evidence (2017) ICU Manag Pract, 17 (3), pp. 152-154; Pronovost, P.J., Berenholtz, S.M., Needham, D.M., Translating evidence into practice: a model for large scale knowledge translation (2008) BMJ, 337, p. a1714; Colquhoun, H.L., Squires, J.E., Kolehmainen, N., Fraser, C., Grimshaw, J.M., Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review (2017) Implement Sci, 12 (1), p. 30; Young, D.L., Seltzer, J., Glover, M., Identifying barriers to nurse-facilitated patient mobility in the intensive care unit (2018) Am J Crit Care, 27 (3), pp. 186-193; Hoyer, E.H., Brotman, D.J., Chan, K.S., Needham, D.M., Barriers to early mobility of hospitalized general medicine patients: survey development and results (2015) Am J Phys Med Rehabil, 94 (4), pp. 304-312; Girard, T.D., Alhazzani, W., Kress, J.P., An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline: liberation from mechanical ventilation in critically ill adults. Rehabilitation protocols, ventilator liberation protocols, and cuff leak tests (2016) Am J Respir Crit Care Med; Devlin, J.W., Skrobik, Y., Gélinas, C., Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU (2018) Crit Care Med, 46 (9), p. e825; Hoyer, E.H., Young, D.L., Klein, L.M., Toward a common language for measuring patient mobility in the hospital: reliability and construct validity of interprofessional mobility measures (2018) Phys Ther, 98 (2), pp. 133-142; Needham, D.M., Korupolu, R., Zanni, J.M., Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project (2010) Arch Phys Med Rehabil, 91 (4), pp. 536-542; Eakin, M.N., Ugbah, L., Arnautovic, T., Parker, A.M., Needham, D.M., Implementing and sustaining an early rehabilitation program in a medical intensive care unit: a qualitative analysis (2015) J Crit Care, 30 (4), pp. 698-704; Dubb, R., Nydahl, P., Hermes, C., Barriers and strategies for early mobilization of patients in intensive care units (2016) Ann Am Thorac Soc, 13 (5), pp. 724-730; Parry, S.M., Knight, L.D., Connolly, B., Factors influencing physical activity and rehabilitation in survivors of critical illness: a systematic review of quantitative and qualitative studies (2017) Intensive Care Med, 43 (4), pp. 531-542; Koo, K.K., Choong, K., Cook, D.J., Early mobilization of critically ill adults: a survey of knowledge, perceptions and practices of Canadian physicians and physiotherapists (2016) CMAJ Open, 4 (3), pp. E448-E454","Needham, D.M.; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University School of MedicineUnited States; email: dale.needham@jhmi.edu",,,"SAGE Publications Inc.",,,,,08850666,,JICME,,"English","J. Intensive Care Med.",Article in Press,"Article in Press",,Scopus,2-s2.0-85059344219 "Szromek A.R.","24492661400;","Development of health tourism in Polish spas in the context of air pollution, an aging population and changes in business models",2018,"International Multidisciplinary Scientific GeoConference Surveying Geology and Mining Ecology Management, SGEM","18","5.3",,"199","206",,1,"10.5593/sgem2018/5.3/S28.025","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058882943&doi=10.5593%2fsgem2018%2f5.3%2fS28.025&partnerID=40&md5=5a20cde90478af5ef083a74c69782f2e","Silesian University of Technology, Department of Organization and Management, Poland","Szromek, A.R., Silesian University of Technology, Department of Organization and Management, Poland","Background: The development of the activity of spa tourism enterprises is particularly important in countries that are struggling with the phenomenon of an aging population, high mortality due to civilization diseases and air pollution. The article discusses the phenomenon of the development of Polish health resorts in the context of social changes in the perception of traditional and modern spa products. Method: To illustrate the phenomena occurring in spa tourism in Poland, statistical data (i.e. fluctuation of tourist traffic in 45 Polish spas, average age of mortality, etc.) were used. A historical analysis of significant polythene and economic impacts on the development of health resorts. Results: Attempts have been made to explain the changes taking place in the context of Tourism Area Life Cycle (TALC) concept of R.W. Butler and two hypotheses of spas development. Conclusion: The results of the analysis of tourist traffic in Polish health resorts (generally) in the years 1949-2016 indicate the occurrence of cyclical changes in the development of spa areas (analyzed in an aggregated way). Period of time 1998-2018 can be considered a breakthrough period in Polish spas – a significant change in the health resort enterprises business models took place. © SGEM2018.","Aging population; Air pollution; Health tourism; Spas","Air pollution; Life cycle; Aging population; Breakthrough periods; Business models; Economic impacts; Health tourisms; Historical analysis; Spas; Statistical datas; Health",,,,,"13/010/BK_18/0029, BK-231/ROZ1/2018","This paper was published as part of the research project ‘A business model for health resort enterprises’ No. 2017/25/B/HS4/00301, supervised and financed by the National Science Center in Poland and as part of statutory research ROZ 1:BK-231/ROZ1/2018 (13/010/BK_18/0029) at the Silesian University of Technology, Faculty of Organization and Management.",,"Butler, R.W., The Concept of the Tourism Area Cycle Evolution: Implications for Management of Resources (1980) The Canadian Geographers 24/1, Canada, pp. 5-12. , p; Dryglas, D., Salamaga, M., Segmentation by push motives in health tourism destinations: A case study of Polish spa resorts (2018) Journal of Destination Marketing & Management, , Article in press; Kapczyński, A., Szromek, A.R., Hypotheses concerning the development of Polish spas in the years 1949-2006, [w:] (2008) Tourism Management, 29, pp. 1035-1037. , ELSEVIER; Lanz-Kaufmann, E., Muller, H., Wellness Tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Osterwalder, A., Pigneur, Y., (2010) Business Model Generation: A Handbook for Visionaries, Game Changers, and Challengers.Paperback, p. 48. , p; Parris-Chambers, S., Health Tourism Well in Jamaica Eturbonews, pp. 7-8. , www.travelindus-tryreview.com/news/5309, (2.05.2007) [by:] R. Bushell, P.J. Sheldon (eds.), Wellness and tourism – mind, body, spirit, place. Innovation and tourism. Cognizant Communication Corporation, New York 2009; Szromek, A.R., Januszewska, M., Romaniuk, P., Demographic Phenomena and Demand for Health Tourism Services Correlated in Poland American Journal of Tourism Management, 2012, pp. 10-20; Szromek, A.R., Romaniuk, P., Hadzik, A., The privatization of spa companies in Poland-An evaluation of policy assumptions and implementation (2016) Health Policy, 120 (4), pp. 362-368. , pp; (2018) The World Bank-Fertility Rate, Total (Births per Woman), , https://data.worldbank.org/indicator/sp.dyn.tfrt.in?(8.03; Weaver, D., Lawton, L., Tourism Management. Wiley Australia Tourism Series (2006) Milton, p. 32. , p; Weaver, D.B., The Exploratory War-distorted Destination Life Cycle (2000) International Journal of Tourism Research, 2, pp. 151-161. , p; http://www.who.int/mediacentre/news/releases/2016/air-pollution-rising/en/(8.03.2018, 12 May 2016, Geneva; http://www.who.int/phe/health_topics/outdoorair/databases/cities/en/(8.03.2018, (update 2016). 2016, Geneva","Szromek, A.R.; Silesian University of Technology, Department of Organization and ManagementPoland",,,"International Multidisciplinary Scientific Geoconference","18th International Multidisciplinary Scientific Geoconference, SGEM 2018","2 July 2018 through 8 July 2018",,142873,13142704,9786197408355; 9786197408362; 9786197408379; 9786197408386; 9786197408393; 9786197408409; 9786197408416; 9786197408423; 9786197408430; 9786197408447; 9786197408454; 9786197408461; 9786197408478; 9786197408485; 9786197408492; 9786197408508; 9786197408515; 9786197408522; 9786197408355,,,"English","Int. Multidisciplinary Sci. Geoconf. Surveying Geology Mining Ecology Manage., SGEM",Conference Paper,"Final",,Scopus,2-s2.0-85058882943 "Khan S.N., Nasurdin A.M., Ling T.C.","57203386246;8229999900;57195572706;","The role of psychological capital on nursing performance in the context of medical tourism in Malaysia",2018,"International Journal of Business and Society","19","3",,"748","761",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058777588&partnerID=40&md5=6db98103099abb3b67de1c748fd1c936","Universiti Sains Malaysia, Malaysia","Khan, S.N., Universiti Sains Malaysia, Malaysia; Nasurdin, A.M., Universiti Sains Malaysia, Malaysia; Ling, T.C., Universiti Sains Malaysia, Malaysia","The rising importance of medical tourism to a country’s economic growth has necessitated the need for healthcare employees particularly those from the private sector to always perform at their best level. Since nurses represent the largest workforce component in healthcare, their performance would have a salient impact on international patients’ perception of service quality and satisfaction. Psychological capital has been identified as a contributor to employee job performance. Hence, the purpose of this study is to examine the effects of four psychological capital dimensions (self-efficacy, hope, resilience and optimism) on nurses’ job performance (task performance and contextual performance). Statistical analysis using Partial Least Squares (PLS) conducted on the questionnaire data from 639 staff nurses working in private hospitals in Malaysia revealed that all psychological capital dimensions except for resilience have positive effects on the two forms of job performance. Finally, finding implications, limitations, future research suggestions and conclusion are proffered. © 2018, Universiti Malaysia Sarawak. All rights reserved.","Job performance; Malaysia; Medical tourism; Nurses; Private healthcare; Psychological capital",,,,,,"Universiti Sains Malaysia, USM: 1001/PMGT/816252","The authors would like to express their gratitude to Universiti Sains Malaysia for providing the grant (1001/PMGT/816252) to fund this research.",,"Adler, N.J., (2002) International Dimensions of Organizational Behavior, , 4th edn. 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Ghauri, Bingley: Emerald Group Publishing Limited; Jackson, D., Firtko, A., Edenborough, M., Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: A literature review (2007) Journal of Advanced Nursing, 60 (1), pp. 1-9; Jung, H.S., Yoon, H.H., The impact of employees’ positive psychological capital on job satisfaction and organizational citizenship behaviors in the hotel (2015) International Journal of Contemporary Hospitality Management, 27 (6), pp. 1135-1156; Kappagoda, S., Othman, M.Z.F., Alwis, G.D., The impact of psychological capital on job performance: Development of a conceptual framework (2014) European Journal of Business and Management, 6 (15), pp. 143-154; Katrinli, A., Atabay, G., Gunay, G., Guneri, B., Leader–member exchange, organizational identification and the mediating role of job involvement for nurses (2008) Journal of Advanced Nursing, 64 (4), pp. 354-362; Lam, S.S.K., SERVQUAL: A tool for measuring patient's opinions of hospital service quality in Hong Kong (1997) Total Quality Management, 8 (4), pp. 145-152; Larson, M., Luthans, F., Potential added value of psychological capital in predicting work attitudes (2006) Journal of Leadership & Organizational Studies, 13 (1), pp. 45-62; Lee, M.Y., Kim, K.H., Influence of head nurses' transformational leadership on staff nurse's psychological well-being, stress and somatization-focused on the mediating effect of positive psychological capital (2012) Journal of Korean Academy of Nursing Administration, 18 (2), pp. 166-175; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Luthans, F., Youssef, C.M., Human, social, and now positive psychological capital management: Investing in people for competitive advantage (2004) Organizational Dynamics, 33 (2), pp. 143-160; Luthans, F., Avolio, B.J., Avey, J.B., Norman, S.M., Positive psychological capital: Measurement and relationship with performance and satisfaction (2007) Personnel Psychology, 60 (3), pp. 541-572; Luthans, F., Luthans, K.W., Luthans, B.C., Positive psychological capital: Beyond human and social capital (2004) Business Horizons, 47 (1), pp. 45-50; Luthans, K.W., Lebsack, S.A., Lebsack, R.R., Positivity in healthcare: Relation of optimism to performance (2008) Journal of Health Organization and Management, 22 (2), pp. 178-188; (2017), https://www.mhtc.org.my/, Retrieved on 15th May 2017; Manaf, N.H.A., Hussin, H., Kassim, P.N.J., Alavi, R., Dahari, Z., Issues and challenges in medical tourism: An interdisciplinary perspective (2013) Proceedings of the 2nd Applied International Business Conference (AIBC2013), , 7-8th December, Labuan, Sabah; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) People and Strategy, 30 (2), pp. 8-10; Nyhan, R.C., Marlowe, H.A., Organizational effectiveness enhancement under total quality management (TQM) in a non-Manufacturing (1993) Productivity and Quality Management Frontiers, pp. 294-303. , D.J. 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Sink (Eds.), Norcross: GA Industrial Engineering and Management Press; Okhakhu, E., Emeka, P., Okhakhu-Okpodi, J., Employee performance and self-efficacy theory as tools for safe healthcare delivery in Nigerian hospitals: A literature-based exploration (2016) Insights to a Changing World Journal, 1, pp. 125-137; Othman, N., Nasurdin, A.M., Social support and work engagement: A study of Malaysian nurses (2013) Journal of Nursing Management, 21 (8), pp. 1083-1090; (2013) ETP Annual Report 2013, , http://etp.pemandu.gov.my/annualreport2013/Review_of_the_ETP_2013-@Review_of_the_ETP_2013.aspx; (2010) Creating Wealth through Excellence in Healthcare, , http://www.moh.gov.my/images/gallery/ETP/NKEAPenjagaanKesihatan.pdf; Purdy, N., Spence Laschinger, H.K., Finegan, J., Kerr, M., Olivera, F., Effects of work environments on nurse and patient outcomes (2010) Journal of Nursing Management, 18 (8), pp. 901-913; Rich, G.A., Salesperson optimism: Can sales managers enhance it and so what if they do? 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An explorative questionnaire study (2016) International Journal of Nursing Studies, 63, pp. 65-72; Wagnild, G.M., Young, H.M., Development and psychometric evaluation of the resilience scale (1993) Journal of Nursing Measurement, 1 (2), pp. 165-178; Williams, L.J., Anderson, S.E., Job satisfaction and organizational commitment as predictors of organizational citizenship and in-role behaviors (1991) Journal of Management, 17 (3), pp. 601-617; Wright, S.G., Developing nursing: The contribution to quality (2007) International Journal of Health Care Quality Assurance, 20 (1), pp. 53-60; Youssef, C.M., Luthans, F., Positive organizational behavior in the workplace the impact of hope, optimism, and resilience (2007) Journal of Management, 33 (5), pp. 774-800","Nasurdin, A.M.; School of Management, Universiti Sains MalaysiaMalaysia; email: aizzat@usm.my",,,"Universiti Malaysia Sarawak",,,,,15116670,,,,"English","Int. J. Bus. Soc.",Article,"Final",,Scopus,2-s2.0-85058777588 "Anderson R.J., Sparbel K., Barr R.N., Doerschug K., Corbridge S.","57171218700;6603232328;57198288906;6603156834;7003892896;","Electronic health record tool to promote team communication and early patient mobility in the intensive care unit",2018,"Critical Care Nurse","38","6",,"23","35",,1,"10.4037/ccn2018813","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058561792&doi=10.4037%2fccn2018813&partnerID=40&md5=a1f736c2a9b0dbea21898cfc160410e5","Mayo Clinic, Rochester, MN, United States; College of Nursing, University of Illinois at Chicago, Quad Cities Campus, Moline, IL, United States; University of Iowa Hospitals and Clinics, Iowa City, IA, United States; Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of Illinois at Chicago, Chicago, IL, United States","Anderson, R.J., Mayo Clinic, Rochester, MN, United States; Sparbel, K., College of Nursing, University of Illinois at Chicago, Quad Cities Campus, Moline, IL, United States; Barr, R.N., University of Iowa Hospitals and Clinics, Iowa City, IA, United States; Doerschug, K., University of Iowa Hospitals and Clinics, Iowa City, IA, United States; Corbridge, S., Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of Illinois at Chicago, Chicago, IL, United States","BACKGROUND Intensive care unit early mobility programs improve patients' outcomes while reducing costs for both patients and institutions. Inadequate interprofessional communication is a known barrier to achieving good early mobility program outcomes. Electronic health record communication tools promoting interprofessional communication have demonstrated improved patient outcomes, but have not been evaluated for mobility in the intensive care unit. OBJECTIVES To implement an early mobility collaboration program in an existing early mobility program, consisting of protocol education and an electronic health record tool designed to improve interprofessional communication and collaboration. METHODS In phase 1, staff members viewed an online educational module, the existing mobility protocol, and the ""Mobility Levels"" grading scale. In phase 2, an electronic health record communication tool displayed recently recorded mobility levels to all care providers. Staff knowledge of the early mobility program and perceptions of mobility-related communication were assessed by survey; patient outcomes including mobility goals, mechanical ventilation time, length of intensive care unit stay, and cost were assessed by records review. RESULTS Statistically significant increases were found for staff satisfaction with mobility-related communication (P < .001) and communication frequency (P = .02), but not for staff knowledge (P = .28). Hours to achievement of mobility goal (P = .02) and length of intensive care unit stay (P = .02) decreased significantly. Average ventilation time decreased by 27 hours. Discharge recommendations at higher functional levels increased. Total intensive care unit cost decreased significantly (-39.5%; P = .04). CONCLUSIONS Interprofessional communication and collaboration can lead to improved outcomes. Combining routine educational reviews and an electronic health record communication tool may improve patient and system outcomes for intensive care unit early mobility program patients. © 2018 American Association of Critical-Care Nurses.",,"achievement; adult; article; artificial ventilation; controlled study; education; electronic health record; human; intensive care unit; interpersonal communication; medical record review; patient mobility; perception; satisfaction; electronic health record; intensive care; intensive care unit; interpersonal communication; patient care; practice guideline; procedures; public relations; questionnaire; standards; walking difficulty; Communication; Critical Care; Electronic Health Records; Guidelines as Topic; Humans; Intensive Care Units; Interprofessional Relations; Mobility Limitation; Patient Care Team; Surveys and Questionnaires",,,,,,,,"Hermans, G., Van den Berghe, G., Clinical review: intensive care unit acquired weakness (2015) Crit Care, 19 (1), p. 274; Kalisch, B.J., Lee, S., Dabney, B.W., Outcomes of inpatient mobilization: a literature review (2013) J Clin Nurs, 23 (11-12), pp. 1486-1501; Burtin, C., Clerckx, B., Robbeets, C., Early exercise in critically ill patients enhances short-term functional recovery (2009) Crit Care Med, 37 (9), pp. 2499-2505; Schweikert, W.D., Pohlman, M.C., Pohlman, A.S., Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial (2009) Lancet, 373 (9678), pp. 1874-1882; Chiang, L.L., Wang, L.Y., Wu, C.P., Wu, H.D., Wu, Y.T., Effects of physical training on functional status in patients with prolonged mechanical ventilation (2006) Phys Ther, 86 (9), pp. 1271-1281; Stiller, K., Phillips, A., Lambert, P., The safety of mobilisation and its effect on haemodynamic and respiratory status of intensive care patients (2004) Physiother Theory Pract, 20 (3), pp. 175-185; Fraser, D., Spiva, L., Forman, W., Hallen, C., Implementation of an early mobility program in an ICU (2015) Am J Nurs, 115 (12), pp. 49-58; Panesar, R.S., Albert, B., Messina, C., Parker, M., The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit (2016) Am J Med Qual, 31 (1), pp. 64-68; Roeder, J.A., The electronic medical record in the surgical setting (2009) AORN J, 89 (4), pp. 677-682; Cameron, S., Ball, I., Cepinskas, G., Early mobilization in the critical care unit: a review of adult and pediatric literature (2015) J Crit Care, 30 (4), pp. 664-672; Brower, R.J., Consequences of bed rest (2009) Crit Care Med, 37 (10), pp. S422-S428; Morris, P.E., Moving our critically ill patients: mobility barriers and benefits (2007) Crit Care Clin, 23 (1), pp. 1-20; Nydahl, P., Sricharoenchai, T., Chandra, D., Safety of mobilization and rehabilitation in the intensive care unit: systematic review with meta-analysis (2017) Ann Am Thorac Soc, 14 (5), pp. 766-777; Lord, R.K., Mayhew, C.R., Korupolu, R., ICU early physical rehabilitation programs: financial modeling of cost savings (2013) Crit Care Med, 41 (3), pp. 717-724; Kayambu, G., Boots, R., Paratz, J., Early physical rehabilitation in intensive care patients with sepsis syndromes: a pilot randomised controlled trial (2015) Intensive Care Med, 41 (5), pp. 865-874; Talley, C.L., Wonnacott, R.O., Schuette, J.K., Jamieson, J., Heung, M., Extending the benefits of early mobility to critically ill patients undergoing continuous renal replacement therapy: the Michigan experience (2013) Crit Care Nurs Q, 36 (1), pp. 89-100; Rahimi, R.A., Skrzat, J., Reddy, D.R., Physical rehabilitation of intensive care patients requiring extracorporeal membrane oxygenation: a small case series (2013) Phys Ther, 93 (2), pp. 248-255; Lowman, J.D., Kirk, T.K., Clark, D.E., Physical therapy management of a patient on portable extracorporeal membrane oxygenation as a bridge to lung transplantation: a case report (2013) Cardiopulm Phys Ther J, 23 (1), pp. 30-35; Titsworth, W.L., Hester, J., Correia, T., The effect of increased mobility on morbidity in the neurointensive care unit (2012) J Neurosurg, 116 (6), pp. 1379-1388; Morris, P.E., Goad, A., Thompson, C., Early intensive care unit mobility therapy in the treatment of acute respiratory failure (2008) Crit Care Med, 36 (8), pp. 2238-2243; Perme, C.S., Southard, R.E., Joyce, D.L., Early mobilization of LVAD recipients who require prolonged mechanical ventilation (2006) Tex Heart Inst J, 33 (2), pp. 130-133; Zafiropoulos, B., Alison, J.A., McCarren, B., Physiological responses to the early mobilisation of the intubated, ventilated abdominal surgery patient (2004) Aust J Physiother, 50 (2), pp. 95-100; (2013) N-ISS-03.040 Early and Progressive Mobilization Guidelines, , UIHC Policy and Procedure Manual; Bassett, R.D., Vollman, K.M., Brandwene, L., Murray, T., Integrating a multidisciplinary mobility programme into intensive care practice (IMMPTP): a multicentre collaborative (2012) Intensive Crit Care Nurs, 28 (2), pp. 88-97; Campbell, M.R., Fisher, J., Anderson, L., Kreppel, E., Implementation of early exercise and progressive mobility: steps to success (2015) Crit Care Nurse, 35 (1), pp. 82-88; Eakin, M.N., Ugbah, L., Arnautovic, T., Parker, A.M., Needham, D.M., Implementing and sustaining an early rehabilitation program in a medical intensive care unit: a qualitative analysis (2015) J Crit Care, 30 (4), pp. 698-704; Dafoe, S., Chapman, M.J., Edwards, S., Stiller, K., Overcoming barriers to the mobilisation of patients in an intensive care unit (2015) Anaesth Intensive Care, 43 (6), pp. 719-727; Barber, E.A., Everard, T., Holland, A.E., Tipping, C., Bradley, S.J., Hodgson, C.L., Barriers and facilitators to early mobilisation in intensive care: a qualitative study (2014) Aust Crit Care, 28 (4), pp. 177-182; Amidei, C., Mobilisation in critical care: a concept analysis (2012) Intensive Crit Care Nurs, 28 (2), pp. 73-81; Dubb, R., Nydahl, P., Hermes, C., Barriers and strategies for early mobilization of patients in intensive care units (2016) Ann Am Thorac Soc, 13 (5), pp. 724-730; Garzon-Serrano, J., Ryan, C., Waak, K., Early mobilization in critically ill patients: patients' mobilization level depends on health care provider's profession (2011) PM R, 3 (4), pp. 307-313; Singer, A., Duarte Fernandez, R., The effect of electronic medical record system use on communication between pharmacists and prescribers (2015) BMC Fam Pract, 16, pp. 155-161; Kantor, M.A., Evans, K.H., Shieh, L., Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge (2015) J Gen Intern Med, 30 (3), pp. 312-318; Curtis, J.R., Ciechanowski, P.S., Downey, L., Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU (2012) Contemp Clin Trials, 33 (6), pp. 1245-1254; Stutsky, B.J., Spence Laschinger, H.K., Development and testing of a conceptual framework for interprofessional collaborative practice (2014) Health Interprofessional Pract, 2 (2); Papadakos, P., Lackmann, B., Visser-Isles, L., (2008) Mechanical Ventilation: Clinical Applications and Pathophysiology, , Philadelphia, PA: Saunders Elsevier","Anderson, R.J.; Mayo Clinic-RMH, 10-3 ICU, 200 1st St SW, United States; email: anderson.robert2@mayo.edu",,,"American Association of Critical Care Nurses",,,,,02795442,,,"30504495","English","Crit. Care Nurs.",Article,"Final",,Scopus,2-s2.0-85058561792 "Odmell C., Mamimine P.W., Kudakwashe C.","57203436129;57188547324;57203429295;","A situational analysis of health tourism for appropriation of indigenous herbal sexual stimulants and fertility enhancers in Zimbabwe: A situational analysis paper",2018,"Cogent Social Sciences","4","1", 1440498,"","",,1,"10.1080/23311886.2018.1440498","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051728444&doi=10.1080%2f23311886.2018.1440498&partnerID=40&md5=06d87f277962a7fb7216e6ecd04ffdd3","Department of Hospitality and Tourism, Chinhoyi University of Technology, Chinhoyi, Zimbabwe; Department of Bio-Technology, Chinhoyi University of Technology, Chinhoyi, Zimbabwe","Odmell, C., Department of Hospitality and Tourism, Chinhoyi University of Technology, Chinhoyi, Zimbabwe; Mamimine, P.W., Department of Hospitality and Tourism, Chinhoyi University of Technology, Chinhoyi, Zimbabwe; Kudakwashe, C., Department of Bio-Technology, Chinhoyi University of Technology, Chinhoyi, Zimbabwe","In Zimbabwe, health tourism for the sake of gaining access to herbal substances for sexual and fertility enhancement remains both undocumented and shrouded in myths. The significance of indigenous herbal medicine practice in stimulating medical tourism growth has remained understudied, undervalued and unappreciated. Seemingly, research has paid very little attention to this branch of health tourism based on traditional medical practice. The pharmacological properties of the various indigenous herbal medicine prescribed, dispensed and consumed under health tourism remains scientifically unassessed and not much is known about the nature of the tourist traffic whose main purpose of travel is the consumption of these indigenous herbal substances for sexual stimulation and/or fertility enhancement. As a result the commercial potential of indigenous sexual stimulants and fertility enhancement herbs remains uncharted both for health tourism and the health sector in general in Zimbabwe. This situational analysis paper sought to clarify the knowledge on the medical tourism market place concerning indigenous herbal medicine for sexual stimulants and/or fertility enhancers. The paper also maps out what has been achieved within the herbal medical tourism industry. Specifically the paper explores the medical tourism entrepreneurial potential and highlights the knowledge gap concerning herbal medicine and health tourism development based on these traditional herbal medicines and highlight areas for further research. © 2018, © 2018 The Author(s). 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Revised December 2008: WHO, USA; (2008) Traditional medicine, , Fact sheet Number 134; Woodside, A.G., Hsu, S.-Y., Marshall, R., General theory of cultures’ consequences on international tourism behavior (2011) Journal of Business Research, 64 (8), pp. 785-799; Yeoman, I., Brass, D., McMahon-Beattie, U., Current issue in tourism: The authentic tourist (2007) Tourism Management, 28 (4), pp. 1128-1138; Yeoman, I., Hsu, C.H., Smith, K., Watson, S., (2011) Tourism and demography, , Oxford: Goodfellow Publishers","Odmell, C.; Department of Hospitality and Tourism, Chinhoyi University of TechnologyZimbabwe; email: odmell@yahoo.com",,,"Cogent OA",,,,,23311886,,,,"English","Cogent Soc. Sci.",Review,"Final",Open Access,Scopus,2-s2.0-85051728444 "Anish M.N., Dhanish P.B., Sridharan R.","56461314200;6506185226;7005923110;","Instrument for measuring service quality and dimensions of service quality affecting image, value and trust in medical tourism area",2018,"International Journal of Services and Operations Management","30","4",,"419","446",,1,"10.1504/IJSOM.2018.093511","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050716548&doi=10.1504%2fIJSOM.2018.093511&partnerID=40&md5=3e216989afe00375c22d5482d0bce5e8","Department of Mechanical Engineering, National Institute of Technology, Calicut, India","Anish, M.N., Department of Mechanical Engineering, National Institute of Technology, Calicut, India; Dhanish, P.B., Department of Mechanical Engineering, National Institute of Technology, Calicut, India; Sridharan, R., Department of Mechanical Engineering, National Institute of Technology, Calicut, India","This paper focuses on developing a measuring instrument for determining service quality in the medical tourism area of Kerala. The measuring instrument MEDIPERF is developed based on SEVPERF method and data are collected from 411 international patients. Reliability and validity of the developed instrument are verified. This research considers a new dimension, role of information and communication technology for measuring service quality. Using regression analysis, it is inferred that the dimensions such as personnel quality, process of clinical care, hygiene and administrative procedures have significant influences in deciding the image of the hospital. It is also found that the dimensions such as personnel quality, process of clinical care, role of information and communication technology, hygiene and safety indicators have significant influences in deciding the value of service. The study also reveals that the dimensions affecting trust with the hospital are personnel quality, process of clinical care, hygiene and administrative procedures. 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Recently, South Korea, armed with a dual medical system of conventional and traditional Korean medicine, has been gaining international standing in this industry. This study examined the characteristics, medical service use, and satisfaction of foreign patients who visited a spine-specialty Korean medicine hospital as musculoskeletal disorders are the highest frequency category of medical conditions treated using Korean medicine. The electronic medical records of 1,733 foreign patients who had first visited an integrative Korean medicine hospital in 2012-2015 were analyzed, and a satisfaction survey was conducted by e-mail along with phone calls and interviews. Female patients in their 40s with low back or neck pain comprised the most prevalent patient group. The most frequently used visiting channels were agencies, followed by recommendation by friends or family. Patients received an average of 5.25 sessions, and, based on analysis of 134 survey results, the highest satisfaction rates were associated with acupuncture and pharmacopuncture of provided treatments, high physician expertise, and reliability among medical services and coordinating and translating services among nonmedical factors. Overall, 90.2% replied that they were satisfied and 76.9% that their perception of Korean medicine had improved following treatment. Nonresidential foreigners who received integrative medicine treatment expressed high satisfaction, but visiting and promotion channels were shown to be limited, which connotes both the potential of Korean medicine in propelling Korea forward in the global medical tourism industry and the need for more systematic promotion of Korean medicine medical tourism. © 2018 Jaekwon Shin et al.",,"acupuncture; adult; aged; allopathy; Article; controlled study; electronic medical record; female; health care utilization; health survey; human; integrative medicine; Korean medicine; major clinical study; male; medical education; medical service; medical tourism; nuclear magnetic resonance imaging; patient satisfaction; radiodiagnosis; South Korea; world health organization",,,,,"Korea Health Industry Development Institute, KHIDI: HI17C0761","This research was supported by the Traditional Korean Medicine R&D Program funded by the Ministry of Health & Welfare through the Korea Health Industry Development Institute (KHIDI) (HI17C0761).",,"Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1); De Arellano, A.B.R., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Yoon, S.Y., Lee, J.G., Ryu, S.W., Influencing Factors to preference of medical tourism products of Japanese tourists (2010) Korea Journal of Hospital Management, 15; Guiry, M., Vequist, D.G., South Korea's medical tourism destination brand personality and the influence of personal values (2015) Asia Pacific Journal of Tourism Research, 20 (5), pp. 563-584; Yun, S.Y., (2012) Medical Tourism Is Next Big Thing, , The Korea Times; Curley, G., (2010) Korea's Medical Tourism Industry: One Stop Health Services for Optimal Living, , Forbes Custom; (2010) The Independent, , S. Korea eyes bigger slice of medical tourism market; (2012) 2011 Statistics on International Patients in Korea, pp. 1-41. , Korea Health Industy Development Institute Health Industry Development Institute, Seoul, South Korea; Lee, C., (2011) Medical Tour of Korea 2012, pp. 12-66. , Korea Tourism Organization, Seoul, South Korea; Lee, J., Ji, E.S., Effect of an integral care system: A combination of oriental and western care for older adults with degenerative arthritis (2011) Journal of Korean Academy of Nursing, 41 (1), pp. 18-25; (2011) National Survey OfOriental Medicine Utilization and Herbal Drug Consumption, , Korea Ministry of Health & Welfare Korea Ministry of Health &Welfare Press, Seoul, South Korea; Shin, J.-S., Lee, J., Kim, M.-R., The short-term effect of integrated complementary and alternative medicine treatment in inpatients diagnosed with lumbar intervertebral disc herniation: A prospective observational study (2016) The Journal of Alternative and ComplementaryMedicine, 22 (7), pp. 533-543; (2018) 2016 Yearbook of Traditional Korean Medicin, pp. 250-252. , Pusan National University School of KoreanMedicine, Korea Institute of Oriental Medicine and The Association of Korean Oriental Medicine, Seoul, South Korea; Robinson, N., Liu, J., Oriental and traditional medicinesupporting the vision for integrated health (2012) European Journal of Integrative Medicine, 4 (4), pp. e363-e365; (2010) International Classification of Diseases (ICD)-10, , World Health Organization; Doering, E.R., Factors influencing inpatient satisfaction with care (1983) QRB Quality Review Bulletin, 9 (10), pp. 291-299; Abramowitz, S., Cote, A.A., Berry, E., Analyzing patient satisfaction: A multianalytic approach (1987) Quality Review Bulletin, 13 (4), pp. 122-130; Cleary, P.D., McNeil, B.J., Patient satisfaction as an indicator of quality care (1988) Inquiry, 25 (1), pp. 25-36; Butt, M.M., Run De Cyril, E.C., Private healthcare quality: Applying a SERVQUAL model (2010) International Journal of Health Care Quality Assurance, 23 (7), pp. 658-673; Lim, P.C., Tang, N.K.H., A study of patients' expectations and satisfaction in Singapore hospitals (2000) International Journal of Health Care Quality Assurance, 13 (7), pp. 290-299; Luna, S.P.L., Angeli, A.L., Ferreira, C.L., Lettry, V., Scognamillo-Szabó, M., Comparison of pharmacopuncture, aquapuncture and acepromazine for sedation of horses (2008) Evidence-Based Complementary and Alternative Medicine, 5 (3), pp. 267-272; Strudwick, M.W., Hinks, R.C., Choy, S.T.B., Point injection as an alternative acupuncture technique - An exploratory study of responses in healthy subjects (2007) Acupuncture in Medicine, 25 (4), pp. 166-174; Lee, C., (2013) Medical Tour of Korea 2013 Strategy, pp. 53-103. , Korea Tourism Organization, Seoul, South Korea; Kwon, T., Kim, T., (2014) Survey on the Satisfaction of International Medical Tourists and the Associated Medical Institutions, pp. 1-59. , Korea Tourism Organization, Seoul, South Korea; Lee, Y., (2016) 2015 Statistics on International Patients in Korea, pp. 1-60. , Korea Health Industry Development Institute, Seoul, South Korea; (2013) 2012 Statistics on International Patients in Korea, pp. 1-41. , Korea Health Industy Development Institute, KoreaHealth Industry Development Institute, Seoul, South Korea; Cronin, J.J., Jr., Taylor, S.A., Measuring service quality: A reexamination and extension (1992) Journal OfMarketing, 56 (3), pp. 55-68; Han, H., Kim, W., Outcomes of relational benefits: Restaurant customers' perspective (2009) Journal of Travel & Tourism Marketing, 26 (8), pp. 820-835; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (1); Abd Manaf, N.H., Hussin, H., Jahn Kassim, P.N., Alavi, R., Dahari, Z., Country perspective on medical tourism: The Malaysian experience (2015) Leadership InHealth Services, 28 (1), pp. 43-56","Ha, I.-H.; Jaseng Spine and Joint Research Institute, Jaseng Medical FoundationSouth Korea; email: hanihata@gmail.com",,,"Hindawi Limited",,,,,1741427X,,,,"English","Evid.-Based Complement. Altern. Med.",Article,"Final",Open Access,Scopus,2-s2.0-85048194817 "Kim H.-Y., Choi J.-W.","57206211643;57201279394;","Research on the analysis of the competitiveness of the medical tourism of Korea through IPA",2018,"Journal of Engineering and Applied Sciences","13","3",,"721","726",,1,"10.3923/jeasci.2018.721.726","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044158158&doi=10.3923%2fjeasci.2018.721.726&partnerID=40&md5=586987c5f01b291413ca24e0c87b2243","Gwangju Tourism Development Institute, Suwon, KS008, South Korea; Department of Tourism Management, Kyonggi University, Suwon, KS013, South Korea","Kim, H.-Y., Gwangju Tourism Development Institute, Suwon, KS008, South Korea; Choi, J.-W., Department of Tourism Management, Kyonggi University, Suwon, KS013, South Korea","Medcal tourism has expanded to include the wellness products. Ths research aims to provide policy advice on facilitating medical tourism in Korea through analysis on its importance and satisfaction rate. For analysis, we conducted a survey on Foreigners who visited Korea for medcal purposes. The questionnaire included medcal service and tourism. We conducted a frequency analysis on population statistical elements and medcal tourism part. The analysis (IPA) on importance (Y) and satisfaction (X) from medcal tourist visit were evaluated by medical services (5 questions) and medcal and tourist environment (8 questions) and the analysis is presented in a 2-dmensional graph. Analysis shows that medcal tourism of Korea attracts young Foreign female visitors who are introduced by the internet or friends. Visitors mainly use plastic surgeries and skin care services. Main tourist activities include shopping and food tour. The IPA shows that medical technology, specialized servicesand hospital name recognition were strengths. The competitiveness of the medical procedure price was selected as the area of heavy improvement. Diversity, uniquenessand marketing of tour programs, accessibilityand tourism resources were shown as the areas of gradual improvement. Human resource specialized for medcal tourism, safety of the area and international recognition of country's standing are additional service areas. For this reason, the current strengths needs to be fiuther strengthened via. marketq strategy includq a word-of-mouthmarketing u s q SNS and a prioritized policy for medical tourism improvement is required. © Medwell Journals, 2018.","Health tourism; IPA; Medical tourism; Strengths; Well-being tour; Wellness tourism",,,,,,,,,"(2016) Korea tourism organization, Korea medical tourism marketing: Present and future of medical tourism in Korea, , Ministry of Culture, Sports and Tourism, Sejong City, South Korea; Buzinde, C.N., Yarnal, C., Therapeutic landscapes and postcolonial theory: A theoretical approach to medical tourism (2012) Soc. Sci. Med, 74, pp. 783-787; Connell, J., Medical tourism: Sea, sun, sand and surgery: School of Geosciences, University of Sydney, Australia (2006) Tourism Manage, 27, pp. 1093-1100; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images and the marketing of international patient travel (2011) Soc. Sci. Med, 72, pp. 726-732; Hyeyoung, K., Factors analysis for medical tourism industry promotion (2009) Korea Tourism Res. Inst, 23, pp. 5-18; Kim, S.Y., Ryu, S.Y., Structural change and growth factors of medical tourism industry (2015) Tourism Leisure Res, 27, pp. 251-266; Martilla, J.A., James, J.C., Importance-performance analysis (1977) J. Marketing, 41, pp. 77-79; (2013) Asian medical tourism market forecast to 2015, , RNCOS, Noida, India; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Can. Family Phys, 53, pp. 1639-1641; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Manage, 32, pp. 1125-1127","Choi, J.-W.; Department of Tourism Management, Kyonggi UniversitySouth Korea",,,"Medwell Journals",,,,,1816949X,,,,"English","J. Eng. Appl. Sci.",Article,"Final",,Scopus,2-s2.0-85044158158 "Koggalage P.D., Gunawardena N.S., De Silva A.H.","57194175801;13005909200;57194175678;","Medical travellers’ perspectives in selecting in-patient services at selected private hospitals in Sri Lanka",2017,"Asia Pacific Journal of Tourism Research","22","7",,"747","757",,1,"10.1080/10941665.2017.1319396","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019033846&doi=10.1080%2f10941665.2017.1319396&partnerID=40&md5=6d5d07100cdd9591724c470392c17823","Health Education Bureau, Ministry of Health, Nutrition and Indigenous Medicine, Colombo, Sri Lanka; Health Systems Analysis and Evidence, World Health Organization Country Office for Sri Lanka, Colombo, Sri Lanka; Ministry of Health, Nutrition and Indigenous Medicine, Colombo, Sri Lanka","Koggalage, P.D., Health Education Bureau, Ministry of Health, Nutrition and Indigenous Medicine, Colombo, Sri Lanka; Gunawardena, N.S., Health Systems Analysis and Evidence, World Health Organization Country Office for Sri Lanka, Colombo, Sri Lanka; De Silva, A.H., Ministry of Health, Nutrition and Indigenous Medicine, Colombo, Sri Lanka","The Sri Lankan government has clear plans to develop medical tourism as an industry. Availability of high-quality medical professionals and accredited hospitals has encouraged medical travellers to come to Sri Lanka and to expand the medical tourism industry in the country. The purpose of this cross-sectional study was to describe medical travellers’ perspectives in seeking in-patient services at selected four private hospitals in Sri Lanka. Foreign national in-patients (n = 252) were interviewed using an interviewer-administered questionnaire. The response rate was 93.25%. The majority (68.1%) were Maldivians followed by Indians (20.4%) and 51.1% sought surgical care. Availability of high-quality medical professionals (94.2%) and accredited hospitals (81.3%), easy visa (90.2%) were top reasons to select Sri Lanka. Medical travellers faced difficulties in communication (37.4%), transport (31.9%), accommodation (57%) and finding quality food (41.7%). The study recommends improvement of infrastructure and support services for medical travellers and that private hospitals obtain international accreditation to improve medical tourism potentials. © 2017 Asia Pacific Tourism Association.","medical destination; Medical tourism; medical travel; medical traveller; Sri Lanka","health care; hospital sector; medical tourism; questionnaire survey; service quality; tourist destination; travel behavior; Sri Lanka",,,,,,,,"Altin, M., Singal, M., Kara, D., (2011) Consumer decision components for medical tourism: A stakeholder approach, , 16th graduate student research conference in hospitality and tourism, Houston:; (2014), http://www.sundayobserver.lk/2014/03/30/fin21.asp, BOI investments boost medical tourism. Sunday Observer. Retrieved from; Attygalle, R., (2015), http://lmd.lk/health-and-wellness-2/, The lure of local remedies. 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Best pratices in Medical Tourism 3; Pougajendy, S., Medical tourism in Chennai : Challenges and scope (2012) A Journal of Economics and Management, 1 (6), pp. 150-160; Reddy, S.G., Medical tourism in India: An exploratory study (2013) Doctoral dissertation, , Kansas State University, Kansas:; Ricafort, K., A study of influencing factors that lead medical tourists to choose Thailand hospitals as medical tourism destination (2011) Doctoral dissertation, , http://www.webster.ac.th/2012/pdf/thesis/2011-12/mba/KristineRicafort/RicafortK.pdf, Webster University, Retrieved from; (2011), http://www.ranfertravels.com/blog/2011/08/03/sri-lanka-medical-tourism---target-healthcare/, Sri Lanka Medical Tourism–Target Healthcare | Ranfer Travels blog. Retrieved September 2, 2015, from; Retrieved February 18, 2017; https://www.imtj.com/news/sri-lanka-plans-promote-medical-tourism/, Retrieved February 18, 2017","Koggalage, P.D.; Health Education Bureau, Ministry of Health, Nutrition and Indigenous MedicineSri Lanka; email: dineshkoggalage@yahoo.com",,,"Routledge",,,,,10941665,,,,"English","Asia Pac. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85019033846 "Horsfall D., Pagan R.","35848647100;8237834700;","Jumping the queue? How a focus on health tourism as benefit fraud misses much of the medical tourism story",2017,"Social Policy Review 29: Analysis and Debate in Social Policy, 2017",,,,"219","241",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041061781&partnerID=40&md5=16450668fa67662de08de62158c32c11","University of York, United Kingdom; Department of Economía Aplicada (Hacienda Pública), University of Malaga, Spain","Horsfall, D., University of York, United Kingdom; Pagan, R., Department of Economía Aplicada (Hacienda Pública), University of Malaga, Spain",[No abstract available],,,,,,,,,,"Adams, A., Health tourism: GP surgeries selling ""black market"" access to NHS' (2012) The Telegraph, , www.telegraph.co.uk/news/health/news/9582272/Health-tourism-GP-surgeries-selling-blackmarket-access-to-NHS.html, 3 October; (2007) Crossing borders: Responding to the local challenges of migrant workers, , London: Audit Commission; 'Facelift holidays' (2004) Inside Out, , www.bbc.co.uk/insideout/eastmidlands/series5/cosmetic-surgery.shtml, 9 February; Britain's secret health tourists (2012) Panorama, , www.bbc.co.uk/programmes/b01nbryp, BBC 1, 3 October; Cosmetic surgery warning follows Joy Williams' death (2014), www.bbc.co.uk/news/uk-englandlondon-29791057, BBC, 27 October; (2012) Boletín Oficial del Estado, 98. , www.boe.es/boe/dias/2012/04/24/pdfs/BOE-A-2012-5403.pdf, March-April; Borland, S., Health tourists paying £1,000 bribes to get onto GP surgery lists before having thousands of pounds worth of NHS treatment for free (2012) Daily Mail, , www.dailymail.co.uk/health/article-2211994/Health-tourists-paying-1-000-bribes-GPsurgery-lists-having-thousands-pounds-worth-NHS-treatment-free.html, 3 October; Buckland, D., Exclusive: 200,000 desperate Britons go ABROAD for medical care as NHS waiting lists spiral (2015) Sunday Express, , www.express.co.uk/news/uk/570305/Britons-NHS-waiting-listsmedical-treatment, 14 April; Burman, J., Failing NHS forced to send British patients ABROAD to Calais hospital in ""barking"" move' (2015) Daily Express, , www.express.co.uk/news/uk/603694/NHS-France-South-Kent-Coast-Clinical-Commissioning-Group-Centre-Hospitalier-de-Calais, 8 Sept; Chen, Y.Y., Flood, C.M., Medical tourism's impact on health care equity and access in low- and middle-income countries: making the case for regulation (2013) Journal of Law, Medicine & Ethics, 41 (1), pp. 286-300; Cohen, I.G., How to regulate medical tourism (and why it matters for bioethics) (2012) Developing World Bioethics, 12 (1), pp. 9-20; Cohen, I.G., 'Medical outlaws or medical refugees? 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Hanefeld (eds) Cheltenham: Edward Elgar; McDermott, N., Wooller, S., UP THE BLUFF: NHS hospital reveals £5m bill as hundreds of pregnant health tourists deluge Trust (2016) The Sun, , www.thesun.co.uk/news/1958543/nhs-hospital-reveals-5m-bill-as-hundreds-of-pregnant-health-touristsdeluge-trust/, 12 October; MacReady, N., Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; (2016) Public services and infrastructure | Key Topics: The impact on the NHS, , www.migrationwatchuk.org/key-topics/public-services-infrastructure; Miller, D., Health tourists who come to Britain for free NHS treatment cost the taxpayer £40m (2012) Daily Mail, , www.dailymail.co.uk/health/article-2214173/Health-tourists-come-Britain-free-NHS-treatment-cost-taxpayer-40m.html, 7 October; (2016) Recovering the cost of NHS treatment for overseas visitors: A report by the Comptroller and Auditor General, , 28 October, London: National Audit Office; Noree, T., Hanefeld, J., Smith, R., 'UK medical tourists in Thailand: they are not who you think they are' (2014) Globalization and Health, 10 (1), p. 29; (2016) International Passenger Survey, , Newport: ONS; Ormond, M., '""First World treatments at Third World prices"": the real cost of medical tourism' (2008) Medical tourism: A growth industry, pp. 69-77. , in R. Anand and S. Gupta (eds) Hyderabad: Icfai University Press; Pallot, P., NHS axes free health care for expats (2014) The Telegraph, , www.telegraph.co.uk/news/health/expathealth/10628246/NHS-axes-free-health-care-for-expats.html, 11 February; Question by John Mann MP to the Departent of Health and answered by Rt Hon Alistair Burt MP: To ask the Secretary of State for Health, how much was paid to which countries for overseas health treatment of UK nationals in 2015? (2016), www.parliament.uk/business/publications/written-questions-answers-statements/writtenquestion/Commons/2016-02-19/27364/; Pietras, E., The women who went abroad for cheap cosmetic surgery and ended up scarred for life (2014) Daily Mirror, , www.mirror.co.uk/news/real-life-stories/women-who-went-abroadcheap-2992507, 6 January; Rhodes, R., Schiano, T., Transplant tourism in China: a tale of two transplants (2010) American Journal of Bioethics, 10 (2), pp. 3-11; Smith, R., NHS surgeons are having to fix botched plastic surgery after patients seek cheap deals abroad (2008) The Telegraph, , www.telegraph.co.uk/news/health/news/3544764/NHSspending-millions-fixing-botched-plastic-surgery-done-abroad.html, 3 December; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 384-402; (2013) Turismo de salud en España, , www.minetur.gob.es/turismo/es-ES/PNIT/Eje3/Paginas/estudioturismo-salud.aspx, Ministerio de Industria, Energía y Turismo/ Escuela de Organización Industrial; Steventon, A., Bardsley, M., Use of secondary care in England by international immigrants (2011) Journal of Health Services Research & Policy, 16 (2), pp. 90-94; Syal, R., Campbell, D., Hospitals may require patients to show passports for NHS treatment (2016) The Guardian, , www.theguardian.com/society/2016/nov/21/hospitals-may-requirepatients-to-show-passports-for-nhs-treatment, 22 November; Crackdown on free access to NHS services for migrants (2016), www.telegraph.co.uk/news/2016/05/08/crackdown-on-free-access-to-nhs-services-for-migrants/, 8 May; Topham, L., ""They promised luxury - but my cosmetic surgery 'holiday' was a nightmare"": Polish practice reduced June's breasts without asking and left a gaping hole in her stomach (2013) Mail on Sunday, , www.dailymail.co.uk/health/article-2371524/They-promised-luxury--cosmetic-surgery-holiday-nightmare-Polishpractice-reduced-Junes-breasts-asking-left-gaping-hole-stomach.html#ixzz4VCw7fHZL, 20 July; Triggle, N., NHS pays to rectify cosmetic ops (2008), http://news.bbc.co.uk/1/hi/health/7761223.stm; (2015) Trends in international migrant stock: Migrants by destination and origin, , www.un.org/en/development/desa/population/migration/data/estimates2/estimates15.shtml; Van Hoof, W., Pennings, G., Extraterritoriality for crossborder reproductive care: should states act against citizens travelling abroad for illegal infertility treatment? (2011) Reproductive BioMedicine Online, 23 (5), pp. 546-554; Williams, Z., NHS: Poles, paracetamol and the myth of health tourism (2013) The Guardian, , www.theguardian.com/commentisfree/2013/may/17/nhs-myth-health-tourism-zoe-williams, 17 May; Yakupoglu, Y., Ozden, E., Dilek, M., Demirbas, A., Adibelli, Z., Sarikaya, S., Transplantation tourism: high risk for the recipients' (2010) Clinical Transplantation, 24, pp. 835-838","Horsfall, D.; University of YorkUnited Kingdom",,,"Policy Press",,,,,,9781447336228; 9781447336211,,,"English","Soc. Policy Rev. 29: Anal. and Debate in Soc. Policy, 2017",Book Chapter,"Final",,Scopus,2-s2.0-85041061781 "Park G., Oh J., Chung K., Kim W.","57200142014;55626226900;55626721300;57193999362;","The relationship among destination image, hospital image, attitude on K-medical tourism: Focusing the Chinese medical tourists",2017,"Information (Japan)","20","5",,"3187","3197",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85039923659&partnerID=40&md5=f4cea6aa2dc4349e1800d01cde41ff0f","Dept. of Business Administration, Gyeongsang National University, 501 Jinju-daero, Jinju, Gyeongsangnam-do, 52828, South Korea; Dept. of Industrial Management, Gyeongsang National Univ., Fellow of BEPJ, GNU, 501 Jinju-daero, Jinju, Gyeongsangnam-do, 52828, South Korea; Dept. of Business Administration, Gyeongsang National Univ., BEPJ, GNU, 501 Jinju-daero, Jinju, Gyeongsangnam-do, 52828, South Korea","Park, G., Dept. of Business Administration, Gyeongsang National University, 501 Jinju-daero, Jinju, Gyeongsangnam-do, 52828, South Korea; Oh, J., Dept. of Industrial Management, Gyeongsang National Univ., Fellow of BEPJ, GNU, 501 Jinju-daero, Jinju, Gyeongsangnam-do, 52828, South Korea; Chung, K., Dept. of Business Administration, Gyeongsang National Univ., BEPJ, GNU, 501 Jinju-daero, Jinju, Gyeongsangnam-do, 52828, South Korea; Kim, W., Dept. of Business Administration, Gyeongsang National University, 501 Jinju-daero, Jinju, Gyeongsangnam-do, 52828, South Korea","The purpose of this study is firstly to measure destination image and hospital image of the tourism spot from Chinese tourist, and secondly to confirm how those factors influence the tourists' attitude toward K-medical tour. For empirical study, a survey was conducted to Chinese tourists, who were the dominant nationality among the foreign tourists in Korea. A total of 320 questionnaires were distributed and 296 questionnaires had returned. After eliminating 18 questionnaires with irrelevant data and missing data, 278 questionnaires were used in the analysis. Most of the respondents were female with 97.8% out of total, and more than 90% of the respondents' frequencies of visit were less than four times, which suggests that the most of the tourists purchase tourism services combined with medical tourism, especially for cosmetic surgery. For achieve the goal of the empirical study, the factor of destination image has been divided into cognitive image and emotional image, and hospital image has been divided into four elements of accessibility, diversity of service, service employee, and physical facility. The results of the path analysis has shown that cognitive image has a significant effect on accessibility, diversity of service and service employee, while it does not have significant effect on physical facility. Emotional image, however, has linked positively with all the components of the hospital image; accessibility, diversity of service, service employee, and physical facility. In addition, in the linkage between hospital image and attitude formation toward K-medical tourism, diversity of service and service employee have shown positive effects on attitude formation, while the other two components, accessibility and physical facility, do not. The results of the study suggest meaningful implications on focusing strategies in the field of K-medical tourism targeting foreign tourists. © 2017 International Information Institute.","Attitude; Destination image; Hospital image; K-medical tourism; Medical tourist",,,,,,,,,"(2013) Korea Tourism Organization. Korea Medical Tourism Full Report: Strategies; (2015) Korea Health Industry Development Institute. Overseas Medical Tourists Survey; (2014) Incheon Medical Tourism Foundation, -domestic and Overseas Medical Tourism Trends Research; Baloglu, S., McCleary, K.W., A model of destination image formation (1999) Annals of Tourism Research, 26, pp. 868-897; Lin, C., Morais, D.B., Hou, J., Examining the role of cognitive and affective image in predicting choice across natural, developed, and theme-park destinations (2007) Journal of Travel Research, 46, pp. 183-194; Stern, E., Krakover, S., The formation of a composite urban image (1993) Geographical Analysis, 25, pp. 130-146; Kim, H.B., Jang, H.S., The effects of destination images after visit on tourists' attitude and word-of-mouth communication (2008) Journal of Tourism Sciences, 32, pp. 209-229; Javalgi, R., Whipple, T., McManamon, M., Hospital image: A correspondence analysis approach (1992) Journal Health Care, 12, pp. 34-41; Kang, H.S., Ko, J.W., The effect of waiting time on a hospital image (2009) International Area Studies Review, 13, pp. 491-512; Maxham, J.G., Service recovery's influence on consumer satisfaction, positive wordof-mouth, and purchase intentions (1999) Mclntire School of Commerce. University of Virginia; Kim, S.H., Kim, Y.I., Oh, J.K., Market segmentation based on the motivation of marine tourism and the effect of marine tour activities on tour satisfaction and image: Focused onbusan area (2012) Tourism Management, 27, pp. 17-36; Park, M.H., Jang, Y.H., The effect of consumer animosity on purchase intention of Japanese products: The mediating role of overall country image, ethnocentrism and product judgment (2012) Journal of Consumption Culture, 15, pp. 19-38; Milman, A., Pizam, A., The role of awareness and famility with a destination; the central Florida case (1995) Journal of Travel Research, 33, pp. 21-27; Park, S.H., Ko, D.W., Scales development for the affectional images on a destination: Pure-affectional image and semi-affectional image (2002) Tourism Management, 25, pp. 13-32; Chi, C.G.Q., Qu, H., Examining the structural relationships of destination image, tourist satisfaction and destination loyalty: An integrated approach (2008) Tourism Management, 29, pp. 624-636; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Kim, H.R., Jang, Y.J., Tourism destination: A study on the effect relationships among medical service quality, urban image and satisfaction in daejeon province (2012) Journal of Hospitality and Tourism Studies, 14, pp. 16-27; Lee, J.H., A study on the tourism image, satisfaction and revisit intention of domestic tourist in jeju-do (2012) Tamla Culture Research Institure, 40, pp. 109-138; Kotler, P., Keller, K.L., Marketing management (2006) New Jersey: Pearson Education, , 12th ed; Smith, P.C., Forgione, D., Global outsourcing of healthcare: A medical tourism model (2007) Journal of Information Technology Case and Application Research, 9, pp. 19-30; Lusch, R.F., Brown, J.R., Interdependency, contracting, and relational behavior in marketing channels (1996) Journal of Marketing, 60, pp. 19-38; Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., Multivariate data analysis (2010) Englewood Cliffs: Prentice-hall, , 7th ed; Bagozzi, R.P., Yi, Y., On the evaluation of structural equation models (1998) Journal of the Academy of Marketing Science, 16, pp. 74-94; Park, G.J., Chung, K.H., Kim, W.J., Oh, J.S., The revitalization of medical tourism and repositioning of medium-small sized hospital (2016) Asia-pacific Proceedings of Applied Science and Engineering for Better Human Life, 8, pp. 151-155","Oh, J.; Dept. of Industrial Management, Gyeongsang National Univ., Fellow of BEPJ, GNU, 501 Jinju-daero, South Korea; email: jsoh@gnu.ac.kr",,,"International Information Institute Ltd.",,,,,13434500,,,,"English","Information",Article,"Final",,Scopus,2-s2.0-85039923659 "Kim M.-S.","57148732000;","Integrative modeling of medical tourism industry's competitiveness and a moderating effect of related experience",2017,"Information (Japan)","20","5",,"3097","3104",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85039901653&partnerID=40&md5=09f9fb2f0e1f2c0635713f2540286747","Faculty of Economics and Commerce, Keimyung University, 1095, Dalseo-Gu, Daegu, 704-701, South Korea","Kim, M.-S., Faculty of Economics and Commerce, Keimyung University, 1095, Dalseo-Gu, Daegu, 704-701, South Korea","This study aims to develop an integrative model for assessing the competitiveness of a medical tourism service and to adopt related experience as a moderating variable. The new model will integrate multi-level factors that affect the preference of potential medical tourists. They include (1) service quality factors (supplier factors) (2) national or local government's medical tourism infrastructure factors from the macro level dimension (supplier factors) (3) medical tourist's individual factors from micro level dimensions (demand factors). © 2017 International Information Institute.","International competitiveness; Medical tourism; Related experience; Servqual",,,,,,,,,"Connell, J., Medical Tourism: Sea, sun, sand and⋯surgery (2006) Tour. Manag., 27, pp. 1093-1100; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health & Place, 16, pp. 1145-1155; Chun, H.J., Lee, H.S., Kim, K.H., Neo-service industry, medical tourism as an international trade product in 21st century: A case of H university hospital (2008) International Commerce and Information Review, 10, pp. 579-595; Lee, H.K., Fernando, Y., The antecedents and outcomes of the medical tourism supply chain (2015) Tour. Manag., 46, pp. 148-157; Parasuraman, A., Zeithaml, V.A., Berry, L.L., SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality (1988) Journal of Retailing, 64, pp. 12-40; Jadhav, S., Yeravdekar, R., Kulkarni, M., Cross-border healthcare access in South Asian Countries: Learnings for sustainable healthcare tourism in India (2014) Procedia. Soc, Behav. Sci., 157, pp. 109-117; Li, Z., Attractive forces and risks of international medical tourism: A study based on India (2014) J. Chem. Pharm. Res., 6, pp. 125-129; Nadeau, J., Heslop, L., O'Reilly, N., Luk, P., Destination image in a country context (2008) Ann. Tour. Res., 35, pp. 84-106; Miles, P., Miles, G., Cannon, A., Linking servicescape to customer satisfaction: Exploring the role of competitive strategy (2012) Int. J. Oper. Prod. Man., 32, pp. 772-795; Pai, Y.P., Chary, S.T., Measuring patient-perceived hospital service quality: A conceptual framework (2016) Int. J. Health Care Qual. Assur., 29, pp. 300-323; Kim, M.S., A multi-level approach to the international competitiveness of medical tourism service (2016) Asia-pacific Proceedings of Applied Science and Engineering for Better Human Life, pp. 61-65. , JeJu, South Korea, August, 8; Hsu, T.-K., Tsai, Y.-F., Wu, H.-H., The preference analysis for tourist choice of destination: A case study of Taiwan (2009) Tour. Manag., 30, pp. 288-297","Kim, M.-S.; Faculty of Economics and Commerce, Keimyung University, 1095, Dalseo-Gu, South Korea; email: kms@gw.kmu.ac.kr",,,"International Information Institute Ltd.",,,,,13434500,,,,"English","Information",Article,"Final",,Scopus,2-s2.0-85039901653 "Geller-Bernstein C., Kenett R.S., Epstein V., Eshel A.","7003334086;6602155136;15845349800;7006076792;","Dead Sea medical tourism: an allergological point of view",2017,"Aerobiologia","33","1",,"49","58",,1,"10.1007/s10453-016-9449-z","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978634888&doi=10.1007%2fs10453-016-9449-z&partnerID=40&md5=216ca185009ea9b7665ccba5efd7052d","Zabludovicz Center for Autoimmune Diseases, Sheba Medical Center, Tel-Hashomer, Israel; Institute for Drug Research, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel; KPA Ltd., Ra’anana, Israel; Ted Arisson Laboratory for Airborne Allergens, Tel-Aviv University, Tel-Aviv, Israel","Geller-Bernstein, C., Zabludovicz Center for Autoimmune Diseases, Sheba Medical Center, Tel-Hashomer, Israel; Kenett, R.S., Institute for Drug Research, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel, KPA Ltd., Ra’anana, Israel; Epstein, V., Ted Arisson Laboratory for Airborne Allergens, Tel-Aviv University, Tel-Aviv, Israel; Eshel, A., Ted Arisson Laboratory for Airborne Allergens, Tel-Aviv University, Tel-Aviv, Israel","A 1-year study was conducted, with the aim to investigate the airborne allergens around the Dead Sea (DS), identify and quantify airborne pollen and spores in the DS region, and determine the different sensitization prevalence among various population groups to these aeroallergens. According to results, we also aimed to define “safe seasons” when there are no or only few aeroallergens in the atmosphere that surrounds the Dead Sea. A Rotorod and a Hirst trap were used for continuous monitoring of pollen and spores which were then identified. Sensitization to aeroallergens was assessed by skin prick tests (SPT) in three groups of allergic residents: foreign tourists, Israeli tourists, and local workers from the hotel industry. Air around the DS is by no means free of aeroallergens, 50 pollen and 43 mold types were identified. Pollen was from native plants, imported ornamentals, and others transported by winds from long distances. Overall pollen concentrations were lower around the Dead Sea than in the Tel Aviv region, but in certain months, they were higher around the DS. Marked seasonal variations in pollen and spore dispersal were observed. By SPT, hypersensitivity to Chenopodiaceae, Amaranthaceae, Cupressus, Solidago, Poaceae, Olea, Artemisia as well as molds such as Alternaria and Aspergillus, was found. As assessed by SPT, some of tourists and permanent residents are allergic to pollen, molds, and house dust mites. The presented study enables one to denote “safe” seasons when the concentration of airborne allergens is below “allergenic risk”: June–August and November–February. These seasons are the most suitable for allergic medical tourists. © 2016, Springer Science+Business Media Dordrecht.","Aerobiology; Dead Sea; Sensitization; Tourism","pollen antigen; adult; air temperature; Alternaria; Amaranthaceae; Artemisia; Article; Aspergillus; autumn; clinical article; controlled study; Cupressus; dead sea; female; house dust allergy; human; male; medical tourism; mould; oceanic regions; olive tree; pollen allergy; prevalence; prick test; rotarod test; seasonal variation; sensitization; Solidago; spring; summer; vegetation; wind; winter",,,,,,,,"Abou Chakra, O.R., Lacroix, H., Thibaudon, M., Synergie pollen—polluants et role des facteurs metereologiques sur le risqué de pollinose: Evolution des consultations dans la region amie noise pendant la saison pollinique 2007 (2010) Revue Française d’Allergologie, 50, pp. 443-449; Aguilera, F., Ruiz Valenzuela, L., Altitudinal fluctuations in the olive pollen emission: an approximation from the olive groves of the south-east Iberian Peninsula (2012) Aerobiologia, 28, pp. 403-411; Alcazar, P., Carinos, P., De Castro, C., Guerra, F., Moreno, C., Domingo-Vilches, E., Galan, C., Airborne plane–tree (Platanus hispanica) pollen distribution in the city of Cordoba, South—western Spain, and possible implications on pollen allergy (2004) Journal of Investigational Allergolology and Clinical Immunology, 14, pp. 238-243. , COI: 1:STN:280:DC%2BD2crns1CisQ%3D%3D; Burr, M.L., Emberlin, J.C., Treu, R., Pollen counts in relation to the prevalence of allergic rhinoconjunctivitis, asthma and atopic eczema in the international study of asthma and allergies in childhood (2003) Clinical and Experimental Allergy, 33, pp. 1675-1680. , COI: 1:STN:280:DC%2BD3snht1SmtA%3D%3D; D’Amato, G., Cecchi, L., Bonini, S., Nunes, C., Allergenic pollen and pollen allergy in Europe (2007) Allergy, 62, pp. 199-206; De Weger, L., Bergmann, K., Rantio-Lehtimaki, C., Impact of pollen (2013) Allergenic pollen: A review of the production, release, distribution and health impacts, pp. 151-215. , Sofiev M, Bergmann K-C, (eds), Springer, Dordrecht; Frenguelli, G., Passalaqua, G., Bonini, S., Iocchi, A., Incorvaia, C., Marcucci, F., Tedeschini, E., Frati, F., Bridging allergologic and botanical knowledge in seasonal allergy: A role for phenology (2010) Annals of Allergy Asthma and Immunology, 105, pp. 223-227; Fuchs, C., Kenett, R.S., A test for detecting outlying cells in the multinomial distribution and two-way contingency tables (1980) Journal of the American Statistical Association, 75, pp. 395-398; Geller-Bernstein, C., Keynan, N., Kennet, R., Shomer-Ilan, A., Waisel, Y., Aerobiology as a tool for prevention of hay fever (1991) Grana, 30, pp. 76-78; Geller-Bernstein, C., Lahoz, C., Cardaba, B., Hassoun, G., Yancovici-Kidon, M., Kenett, R., Waisel, Y., Is it “bad hygiene” to inhale pollen in early life? (2004) Allergy, 2002, pp. 37-40; Hodak, E., Gotlieb, A.B., Segal, T., Maron, L., Lotem, M., Feinmesser, M., David, M., An open trial for climatic therapy at the Dead Sea for patch–stage mycosis fungoides (2004) Journal of the American Academy of Dermatology, 51, pp. 33-38; Hollo, P., Gonzales, R., Kasa, M., Horvath, A., Synchronous balneotherapy is effective for the different clinical types of psoriasis (2001) Journal of the European Academy of Dermatology and Venereology, 19, pp. 578-581; Kenett, R.S., Shmueli, G., Clarifying the terminology that describes scientific reproducibility (2015) Nature Methods, 12, p. 699. , COI: 1:CAS:528:DC%2BC2MXht1Kiur%2FP; Kenett, R.S., Zacks, S., Amberti, D., (2014) Modern industrial statistics: With applications in R, MINITAB and JMP, , Wiley, Hoboken; Leroy, S.A.G., Pollen analysis of core DS7-1SC (Dead Sea) showing intertwined effects of climatic change and human activities in the Late Holocene (2010) Journal of Archaeological Science, 37, pp. 306-316; Leroy, S.A.G., Marco, S., Bookman, R., Miller, C.S., Impact of earthquakes on agriculture during Roman-Byzantine period from pollen records of the Dead Sea laminated sediment (2010) Quaternary Research, 73, pp. 191-200; Litt, T., Ohlwein, C., Neumann, F.H., Hense, A., Stein, M., Holocene climate variability in the Levant from the Dead Sea pollen record (2012) Quaternary Science Reviews, 49, pp. 95-105; Matz, H., Orion, H., Wolf, R., Balneotherapy in dermatology (2003) Dermatology and Therapy, 16, pp. 132-140; Moriguchi, H., Matsumoto, M., Nishimoto, Y., Kuwada, K., The development of a pollen information system for the improvement of QOL (2001) Journal of Medical Investigation, 48, pp. 198-200. , COI: 1:STN:280:DC%2BD3MnktlGgsA%3D%3D; Neumann, F.H., Kagan, E.J., Leroy, S.A.G., Baruch, U., Vegetation history and climate fluctuations on a transect along the Dead Sea west shore and their impact on past societies over the last 3500 years (2010) Journal of Arid Environments, 74, pp. 756-764; Neumann, F.H., Kagan, E.J., Stein, M., Agnon, A., Assessment of the effect of earthquake activity on regional vegetation—High-resolution pollen study of the Ein Feshka section, Holocene Dead Sea (2009) Review of Palaeobotany and Palynology, 155, pp. 42-51; Norris-Hill, J., The influence of ambient temperature on the abundance of Poaceae pollen (1997) Aerobiologia, 13, pp. 91-97; Pauling, A., Rotach, M.W., Gehring, R., Clot, B., A method to derive vegetation distribution maps for pollen dispersion models using birch as an example (2012) International Journal of Biometeorology, 56, pp. 949-958. , COI: 1:STN:280:DC%2BC38znsFGhsA%3D%3D; Pawankar, R., Canonica, G.W., Holgate, S.T., (2011) & Lockey, R.F, , http://www.worldallergy.org/UserFiles/file/WAO-White-Book-on-Allergy_web.pdf, Eds.: White book on allergy. World Allergy Organization (WAO; Peternel, R., Milanovic, M.S., Srnec, L., Airborne ragweed (Ambrosia artemisifolia L.) pollen content in the city of Zagreb and implications on pollen allergy (2008) Annals of Agricultural and Environmental Medicine, 15, pp. 125-130; Reille, M., (1992) Pollen et Spores d’Europe et d’Afrique du Nord, , Laboratoire de Botanique Historique et Palynologie, CNRS, Marseille; Schäppi, G.F., Taylor, P.E., Kenrick, J., Staff, I.A., Suphioglu, C., Predicting the grass pollen count from meteorological data with regard to estimating the severity of hayfever symptoms in Melbourne (Australia) (1998) Aerobiologia, 14, pp. 29-37; Singh, A.B., Mathur, C., An aerobiological perspective in allergy and asthma (2012) Asia Pacific Allergy, 2, pp. 210-222; Singh, A.B., Shahi, S., Aeroallergens in clinical practice of allergy in: India—Asia Pacific Workshop report (2008) Asian Pacific Journal of Allergy and Immunology, 26, pp. 245-256; Sukenik, S., Abu-Shakra, M., Kudish, S., Flusser, D., Dead Sea and Tiberias as resort areas for patients suffering from different types of arthritis (2006) Ha-Refua, 145 (117-122), p. 165; Takasaki, K., Enatsu, K., Kumagami, H., Takahashi, H., Relationship between airborne pollen count and treatment outcome in Japanese cedar pollinosis patients (2009) European Archives of Oto-Rhino-Laryngology, 266, pp. 673-676; Tas, J., Rahat, S., Pollen survey in Ein Bokek (Dead Sea) (1963) Ha-Refuah, 64, pp. 253-254; Verdolini, R., Bugati, L., Filosasa, C., Manello, B., Lawlor, F., Cerio, R.R., Old fashioned sodium bicarbonate bath for the treatment of psoriasis in the era of futuristic biology (an old ally to be rescued) (2005) Journal of Dermatological Treatment, 16, pp. 26-30. , COI: 1:CAS:528:DC%2BD2MXhsFSmu7w%3D; Waisel, Y., (1972) Biology of halophytes, , Academic Press, New York; Waisel, Y., Mienis, Z., Kosman, E., Geller-Bernstein, C., The partial contribution of specific airborne pollen to pollen induced allergy (2004) Aerobiologia, 20, pp. 197-208","Eshel, A.; Ted Arisson Laboratory for Airborne Allergens, Tel-Aviv UniversityIsrael; email: amrame@ex.tau.ac.il",,,"Springer Netherlands",,,,,03935965,,AROBF,,"English","Aerobiologia",Article,"Final",,Scopus,2-s2.0-84978634888 "Samuelsen B.T., Andrews K.L., Houdek M.T., Terry M., Shives T.C., Sim F.H.","56366843000;55187126300;55989454700;56072774500;7004021935;7102848281;","The Impact of the Immediate Postoperative Prosthesis on Patient Mobility and Quality of Life after Transtibial Amputation",2017,"American Journal of Physical Medicine and Rehabilitation","96","2",,"116","119",,1,"10.1097/PHM.0000000000000553","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978145862&doi=10.1097%2fPHM.0000000000000553&partnerID=40&md5=b31ae91ea6f9351bae5becf7635d14f7","Departments of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States; Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, United States","Samuelsen, B.T., Departments of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States; Andrews, K.L., Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, United States; Houdek, M.T., Departments of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States; Terry, M., Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, United States; Shives, T.C., Departments of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States; Sim, F.H., Departments of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States","Background The immediate postoperative prosthesis has been purported to allow early mobilization with potential physical and psychologic benefits to patients. This study used accelerometers and validated questionnaires to prospectively examine activity level and quality of life data for patients receiving an immediate postoperative prosthesis after transtibial amputation. Methods A total of 10 patients were included in the study. Mean age was 58 yrs (range, 22-69 yrs), there were 9 men and 1 woman, and reason for amputation was nonhealing gangrenous ulcer in 9 patients and ischemic limb in 1 patient. Patients were followed for 6 wks. Activity data were collected on ActiGraph GT3X accelerometers and analyzed using ActiLife 6 Data Analysis Software. At the 6-wk postoperative visit, an Amputee Mobility Predictor clinician-rated performance evaluation was conducted and a Short Form-36 questionnaire was completed. Results Patients in the cohort spent an average of 88% (range, 83%-92%) of their time sedentary, 11.5% (range, 7.6%-16.9%) of their time in light physical activity, and 0.3% (range, 0.12%-1.36%) of their time in moderate to vigorous physical activity. No statistically significant relationships were observed between expected level of function and recorded activity level. Patients had low physical and emotional Short Form-36 component scores. Conclusions Patients with transtibial amputations were extremely sedentary in the early postoperative period despite their immediate postoperative prosthesis dressings. © 2016 Wolters Kluwer Health, Inc. All rights reserved.","accelerometer; Amputation; IPOP; rehabilitation; transtibial","adult; aged; amputation; cohort analysis; daily life activity; female; gait; human; leg; limb prosthesis; male; middle aged; mobilization; psychology; quality of life; questionnaire; rehabilitation; tibia; time factor; young adult; Activities of Daily Living; Adult; Aged; Amputation; Artificial Limbs; Cohort Studies; Early Ambulation; Female; Gait; Humans; Leg; Male; Middle Aged; Quality of Life; Surveys and Questionnaires; Tibia; Time Factors; Young Adult",,,,,,,,"Ziegler-Graham, K., MacKenzie, E.J., Ephraim, P.L., Estimating the prevalence of limb loss in the United States: 2005 to 2050 (2008) Arch Phys Med Rehabil, 89, pp. 422-429; Owings, M.F., Kozak, L.J., Ambulatory and inpatient procedures in the United States, 1996 (1998) Vital Health Stat 13, pp. 1-119; Mazari, F.A., Mockford, K., Barnett, C., Hull early walking aid for rehabilitation of transtibial amputees-Randomized controlled trial (HEART) (2010) J Vasc Surg, 52, pp. 1564-1571; Deutsch, A., English, R.D., Vermeer, T.C., Removable rigid dressings versus soft dressings: A randomized, controlled study with dysvascular, trans-tibial amputees (2005) Prosthet Orthot Int, 29, pp. 193-200; Ali, M.M., Loretz, L., Shea, A., A contemporary comparative analysis of immediate postoperative prosthesis placement following below-knee amputation (2013) Ann Vasc Surg, 27, pp. 1146-1153; Churilov, I., Churilov, L., Murphy, D., Do rigid dressings reduce the time from amputation to prosthetic fitting? A systematic review and meta-analysis (2014) Ann Vasc Surg, 28, pp. 1801-1808; Woodburn, K.R., Sockalingham, S., Gilmore, H., A randomised trial of rigid stump dressing following trans-tibial amputation for peripheral arterial insufficiency (2004) Prosthet Orthot Int, 28, pp. 22-27; Wilson, P.D., Early Weight-Bearing in the Treatment of Amputations of the Lower Limbs (1922) J Bone Joint Surg Am., 4, pp. 224-247; Berlemont, M., Weber, R., Temporary prosthetic fitting of lower limb amputees on the operating table Technic and long-term results in 34 cases (1966) Acta Orthop Belg, 32, pp. 662-667; Burgess, E.M., Romano, R.L., The management of lower extremity amputees using immediate postsurgical prostheses (1968) Clin Orthop Relat Res, 57, pp. 137-146; Baker, W.H., Barnes, R.W., Shurr, D.G., The healing of below-knee amputations: A comparison of soft and plaster dressing (1977) Am J Surg, 133, pp. 716-718; Sheehan, J.C.M., Quigley, M.J., The Stat Limb: A Prosthesis for Immediate Postoperative Fitting of AK and BK amputations (1987) Clin Prostet Orthot, 11, pp. 5-10; Lilja, M., Oberg, T., International forum: Proper time for permanent prosthetic fitting (1997) J Prosthet Orthot, 9, pp. 90-95; Ware, J.E., Jr., Sherbourne, C.D., The MOS 36-item Short-Form Health Survey (SF-36) I. Conceptual framework and item selection (1992) Med Care, 30, pp. 473-483; Gailey, R.S., Roach, K.E., Applegate, E.B., The Amputee Mobility Predictor: An instrument to assess determinants of the lower-limb amputee's ability to ambulate (2002) Arch Phys Med Rehabil, 83, pp. 613-627; Lee, J.A., Williams, S.M., Brown, D.D., Concurrent validation of the Actigraph gt3x+, Polar Active accelerometer, Omron HJ-720 and Yamax Digiwalker SW-701 pedometer step counts in lab-based and free-living settings (2015) J Sports Sci, 33, pp. 991-1000; Santos-Lozano, A., Santin-Medeiros, F., Cardon, G., Actigraph GT3X: Validation and determination of physical activity intensity cut points (2013) J Sports Med, 34, pp. 975-982; Troiano, R.P., Berrigan, D., Dodd, K.W., Physical activity in the United States measured by accelerometer (2008) Med Sci Sports Exerc, 40, pp. 181-188; Hays, R.D., Sherbourne, C.D., Mazel, R.M., The RAND 36-Item Health Survey 1.0 (1993) Health Econ, 2, pp. 217-227; Laucis, N.C., Hays, R.D., Bhattacharyya, T., Scoring the SF-36 in orthopaedics: A brief guide (2015) J Bone Joint Surg Am, 97, pp. 1628-1634; Brummel, N.E., Balas, M.C., Morandi, A., Understanding and reducing disability in older adults following critical illness (2015) Crit Care Med, 43, pp. 1265-1275","Samuelsen, B.T.; Departments of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, United States",,,"Lippincott Williams and Wilkins",,,,,08949115,,AJPRE,"27386805","English","Am. J. Phys. Med. Rehabil.",Article,"Final",,Scopus,2-s2.0-84978145862 "Mason A.M., Spencer E.","26039290400;57205111647;","Health communication: Insights for quality hospitality bridging healthcarE (H2H) delivery in medical tourism",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"127","145",,1,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058608126&doi=10.1201%2f9781315365671&partnerID=40&md5=6caffdb5468085a35ea65880d8ddae7c","Pittsburg State University, Pittsburg, KS 66762, United States","Mason, A.M., Pittsburg State University, Pittsburg, KS 66762, United States; Spencer, E., Pittsburg State University, Pittsburg, KS 66762, United States","This chapter examines communication in the healthcare setting. Health communication is a very important tool that healthcare professionals need to practice correctly with their patients. This chapter presents new strategies for optimizing the quality of health communication associated with all aspects of the medical tourism process. © 2017 by Apple Academic Press, Inc.","Convergence; Cultural competency; Elective surgeries; Medical tourism; Monochronic cultures",,,,,,,,,"Alden, D.L., Merz, M.Y., Thi, L.M., Patient Decision-making Preference and Physical Decision- making Style for Contraceptive Method Choice in an Asian Culture: Does Concordance Matter? (2010) Health Commun., 25, pp. 718-725; Bassan, S., Michaelsen, M.A., Honeymoon, Medical Treatment or Big Business? An Analysis of the Meanings of the Term “reproductive tourism” in German and Israeli Public Media Discourses (2013) Philos., Ethics, Human. 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I., Parrott, R., Eds.; Lawrence Erlbaum Associates: Mahwah, NJ; Turner, L., Canadian Medical Tourism Companies that have Exited the Marketplace: Content Analysis of Websites Used to Market Transnational Medical Travel (2011) Global. Health, 7 (1), p. 40; White, J., Cocchi, R., The 10 Riskiest Medical Procedures (2012) Healthcare Bus. Technol., , http://www.healthcarebusinesstech.com/the-10-riskiest-medical-procedures/, May 4, [Online]., (accessed Oct 18, 2015); Wright, K.B., Sparks, L., O’Hair, H.D., (2013) Mass Communication and Health: Health Communication in the 21st Century, p. 169. , 2nd ed.; Wiley-Blackwell: New Jersey","Mason, A.M.; Pittsburg State UniversityUnited States; email: amason@pittstate.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058608126 "Cormany D.","36668193400;","Introduction to the phenomenon of “medical tourism”",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"19","44",,1,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058602177&doi=10.1201%2f9781315365671&partnerID=40&md5=a5bd1f8b01ace950d44f357e06ad9c3a","Florida International University, Miami, FL 33199, United States","Cormany, D., Florida International University, Miami, FL 33199, United States","Medical tourism is often discussed as if it is a monolithic activity. This fails to take into consideration the variety of medical treatments sought by travelers, the plethora of destinations offering medical and tourism services, and the legal and political environments within which the services are offered. A more productive way to evaluate and study medical travel might be undertaken by first assessing the nature of the medical or health treatments which initiate travel, what tourism often considers “push” factors in a traveler’s motivation, and then considering the “pull” factors which cause a traveler to make a destination selection. This chapter presents a model for considering both the push and pull factors that contribute to the growing phenomenon of global health care. Included are specific criteria by which both factors may be categorized and evaluated. © 2017 by Apple Academic Press, Inc.","Global health care; Medical tourism; Medical travelers; Pull factors; Push factors",,,,,,,,,"Anderson, R.A., (1987) Wellness Medicine., , American Health Press: Lynnwood, WA; Balch, O., (2006) Buenos Aires or Bust., , Guardian co.uk, October 24; Bashe, G., Hicks, N., (2000) Branding Health Services., , Aspen: Gaithersburg, MD; http://www.thebodylineretreat.com, (accessed June 10, 2008); Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries., , Palgrave MacMillan: New York; http://www.bumrungrad.com, (accessed June 20, 2008); Connell, J., (2011) Medical Tourism., , Cabi Publishing: Oxfordshire, UK; Cormany, D., Talking a Pulse on Potential Medical Tourism Destinations: The Hospitality and Tourism Industries (2008) Medical Tourism Mag., pp. 34-37. , Nov; Dann, G.M.S., Anomie, Ego-Enhancement and Tourism (1977) Ann. 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Int., 7, pp. 111-121; Hidalgo, J., Bad Forecasts Begat Doctor Crunch (2008) Las Vegas Rev. J., p. 4; http://www.hospitalitynet.org/news/4035697.html, Hospitalitynet: International Medical Travel Association Emerges as the Leading Organization in the Global Medical Travel Industry, (accessed Sept 12, 2015); Health Care Costs: A Primer, , http://www.kff.org/insurance/7670.cfm, (accessed Sept 13, 2015); Karakowsky, A., (2008) Telephonic conversation, , July 22; Leibrock, C., (2001) Design Details for Health: Making the Most of the Interior Design’s Healing Potential., , Wiley & Sons: New York; Maples, M.F., Spirituality, Wellness and the “Silver Tsunami”: Implications for Counseling. Counseling Outfitters, , http://www.counselingoutfitters.com/vistas/vistas07/Maples.htm, (accessed Nov 7, 2007); Mathieson, A., Wall, G., (1982) Tourism: Economic, Physical and Social Impacts., , Longman Group Ltd.: Harlow, UK; Nahrstedt, W., Wellness: A New Perspective for Leisure Centers, Health Tourism, and Spas in Europe on the Global Health Market (2004) The Tourism and Leisure Industry: Shaping the Future ;, pp. 181-198. , Weiermair, K., Mathies, C., Eds.; Haworth Hospitality: Binghamton, NY; Nefiodow, L.A., (1996) Der Sechste Kondratieff-wege zur Produktivitat und Information., , Rhein-Sieg-Verlag-Sankt Augustin; Page, R., Page, C., (2007) México: Health and Safety Travel Guide, , 2nd ed., MedToGo: Tempe, AZ; Polk, N., (2003) After Surgery, a Hotel Suited for Healing, , http://www.nytimes.com/2003/11/16/nyregion/after-surgery-a-hotel-suited-forhealing.html, The New York Times [Online], November 16, (accessed Sept. 13, 2015); Reisman, D., (2010) Health Tourism: Social Welfare Through International Trade., , Edward Elgar Publishing: London; Schult, J., (2006) Beauty from Afar: A Medical Tourist’s Guide to Affordable and Quality Cosmetic Care Outside the U.S., , Stewart, Tabori & Chang: New York; http://sepiamutiny.com/blog/2005/04/24/medical_tourism/, Sepia Mutiny: Medical Tourism on ""60 Minutes”, (accessed Sept 12, 2015); Smith, M., Puczko, L., (2009) Health and Wellness Tourism., , Butterworth-Heinemann: Burlington, MA; Stephano, R., (2009) Creation of Medical Cluster in Chihuahua, México., , Presented March 15; Wall, B.M., History of Hospitals. Penn Nursing Science, , http://www.nursing.upenn.edu/nhhc/Pages/History%20of%20Hospitals.aspx, [Online]., (accessed Sept 13, 2015); Woodman, J., (2008) Patients Beyond Borders; Everybody’s Guide to Affordable, World-Class Medical Travel., , Healthy Travel Media: Chapel Hill, NC; (2000) Global Competitiveness Report 2000., , Oxford University Press:New York","Cormany, D.; Florida International UniversityUnited States; email: Dan.cormany@sjsu.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058602177 "Giannotti S.","57205108146;","A cottage industry emerging in medical tourism: Medical cannabis tourism",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"257","275",,1,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058597695&doi=10.1201%2f9781315365671&partnerID=40&md5=0f38b32294c6dd72e868c401a83d6549","The Cannabis and Hemp Association, New York, NY, United States","Giannotti, S., The Cannabis and Hemp Association, New York, NY, United States","This chapter examines the prospects for medical cannabis tourism where medical marijuana could find a niche as an alternative to opioid narcotic drugs for chronic pain. Medical marijuana could also become an affordable alternative to generic drugs for certain disorders. It could be a remedy for people not receiving insurance coverage and as an emergency access alternative to mitigate symptoms for a wide range of diseases with no current pharmacological remedy. Medical cannabis tourism could offer the opportunity for patients to experience an ancient healing plant, currently inaccessible in modern times, at a cost in line with other over-the-counter remedies. © 2017 by Apple Academic Press, Inc.","Botanical drug product; CBD; Entourage effect; Marijuana refugees; Medical cannabis tourism; Medical tourism; THC",,,,,,,,,"(2015) The State of Legal Marijuana Markets: 3rd ed., , www.arcview.com, [Online]; Ben-Shabbat, S., An Entourage Effect: Inactive Endogenous Fatty Acid Glycerol Esters Enhance 2-Arachindonoyl-glycerol Cannabinoid Activity (1998) Eur. J. Pharmacol., 353, pp. 23-31; Blevins, J., Marijuana Has Huge Influence on Colorado Tourism, State Survey Says (2015) The Denver Post, , December 20, [Online]., denverpost.com/business/ci_29225304/ marijuana-has-huge-influence-colorado-tourism-state-survey; Covert, C., (2014) Colorado’s Budding Marijuana Tourism., , http://startribune.com/colorado-s-budding-marijuana-tourism/269456661, StarTribune, August, 2nd, [Online]; (2014) Controlled Substances Act. Rules., , http://deadiversion.usdoj.gov/fed_regs/rules/2014/fr0822.htm, [Online]; Furn, D., (2013) Be Afraid of Big Marijuana, , http://www.cnn.com/2013/09/10/opinion/Frum-Big-Marijuana-cv, September 10, [Online]. CNN; Goni, U., Uruguay Sets Price of Legalised Cannabis at $1 Per Gram (2013) The Guardian., , http://theguardian.com/world/2013/oct/22/uruguay-legal-cannabis-1-dollargram, October, [Online]; Hughes, T., Nevada Cracking Door to Marijuana Tourism (2014) USA Today, , http://www.usatoday.com/story/news/nation/2014/11/17/Nevada-medical-marijuanareciprocity/19178969, 17 November, [Online]; (2015) New Marijuana Companies vs. Existing Players: Startups Dominate the Marijuana Industry., , 3rd Annual Marijuana Business Professionals Survey; (2015) Medical Tourism and Obamacare: Self-funding Employers in Search of Benefits to the Affordable Care Act., (33), pp. 38-40; (2014) Cannabis Cash: How Much Your State Could Your State Make from Marijuana Legalization?, , https://nerdwallet.com/blog/cities/how-much-money-states-make-marijuana-legalization, September 22, [Online]; Palet Secorum, L., Weed Tourism: Have you Booked Your Reservation? (2014) National Geographic Magazine, , http://news.nationalgeographic.com/news/2014/10/141018-marijuana-tourism-weed-pot-colorado-law, [online]. October 19; Poppick, S., Soon You’ll be Able to Turn your Brown Eyes Blue for $5,000 (2015) Time Magazine, , http://time.com/money/3733372/surgery-turn-brown-eyes-blue/, March, [Online]; Rahn, B., (2014) Qualifying Conditions for Medical Marijuana by State, , https://www.leafly.com/news/health/qualifying-conditions-for-medical-marijuana-by-state, January, [Online]; Rodman, E., From Criminalization to Regulation: New Classifications of Cannabis Necessitate Reform of International Drug Treaties (2015) Brooklyn J. Int. Law, 40 (2). , http://brooklynworks.brooklaw.edu/cgi/viewcontent.cgi?article=1041&context=bjil, Article 6 [Online]; Shell, H., Tabernash Marijuana Facility to Include Educational Component (2014) SkyHigh News, , http://skihidailynews.com/news/14388192-113/igadi-marijuanawilton-building, December 25, [Online]; Walsh, J., Bennet, W.C., (2014) Marijuana Legalization is an Opportunity to Modernize International Drug Treaties, , http://www.brookings.edu/~/media/research/files/reports/2014/10/15-marijuana-legalization-modernize-drugtreaties-bennett-walsh/cepmmjlegalizationv4.pdf, [Online]. Brookings Institute Press, October; (2012) What is Driving the Growth in Medical Tourism?, , http://efti.hhp.ufl.edu/wp-content%5Cuploads/Medical-Tourism-2012.pdf, qSample Report [Online]; What is a Botanical Drug?, , http://fda.gov/AboutFDA/CentersOffices/Officeofmedicalproductsandtobacco/CDER/ucm090983.htm, [Online]","Giannotti, S.; The Cannabis and Hemp AssociationUnited States; email: scott@cannabisandhemp.org",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058597695 "Agbabiaka H.I., Omisore E.O., Odunsi O.","57200626793;26531515700;6507872863;","Medical tourism in Nigeria: a multivariate analysis of challenges faced by patrons",2017,"International Journal of Tourism Cities","3","4",,"339","349",,1,"10.1108/IJTC-12-2016-0053","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041965364&doi=10.1108%2fIJTC-12-2016-0053&partnerID=40&md5=d535558ce0403871c2a63faaf4d72a0a","Department of Urban and Regional Planning, Obafemi Awolowo University, Ile-Ife, Nigeria","Agbabiaka, H.I., Department of Urban and Regional Planning, Obafemi Awolowo University, Ile-Ife, Nigeria; Omisore, E.O., Department of Urban and Regional Planning, Obafemi Awolowo University, Ile-Ife, Nigeria; Odunsi, O., Department of Urban and Regional Planning, Obafemi Awolowo University, Ile-Ife, Nigeria","Purpose: The purpose of this paper is to examine multivariate analysis of challenges faced by patrons of medical tourism in Lagos metropolis, Nigeria. Design/methodology/approach: Systematic sampling technique was employed to select 15 specialized private hospitals and 14 Public hospitals in the study area, resulting to a sample size of 29 hospitals. Ten patrons were contacted in each of the selected hospitals; consequently, 290 patrons were sampled. Findings: The major challenges faced across the selected hospitals in the study area as revealed by this study included time spent in transit to hospital (PKI=3.96 and Mean Dev.=0.77), payment procedure is quick and simple (PKI=3.86 and Mean Dev.=0.67), package pricing is not transparent (PKI=3.76 and Mean Dev. =0.57), hospital facilities and equipment are not easily accessible (PKI=3.63 and Mean Dev.=0.44), Doctors do not pay enough attention to patrons (PKI=3.61 and Mean Dev.=0.42), Doctors do not give adequate explanation of patrons condition (PKI=3.49 and Mean Dev.=0.30), High cost of treatments (PKI=3.32 and Mean Dev.=0.13). The result of multiple regression analysis that produced (R2=0.933, F=296.080, p=0.000) meaning that challenges faced by patrons explain 99.3 percent variation of their destination choice. Originality/value: The study revealed that challenges face by patrons determine their destination choice. © 2017, International Tourism Studies Association.","Challenges; Domestic medical tourism; Medical tourism; Multivariate analysis; Patrons; Tourism",,,,,,,,,"Agbabiaka, H.I., (2015) Determinants of medical tourism in medical tourism in metropolitan Lagos, Nigeria, , thesis submittedpartial fulfilment of the requirements for the award of masters of science degreethe Department of Urban and Regional Planning, Faculty of Environmental Design and Management, ObafemiAwolowo University, Ile-Ife; Agbabiaka, H.I., Omisore, E.O., Akinkunle, A.A., Patrons’ perception of service delivery of medical tourism sites in Metropolitan Lagos, Nigeria (2016) Journal of Tourism, Hospitality and Sports, 23, pp. 1-9. , http://iiste.org/Journals/index.php/JTHS/article/view/34373; Al-Lamki, L., medical tourism: beneficence or maleficence? (2011) Sultan Qaboos University Medical Journal, 11 (4), pp. 444-447. , www.ncbi.nlm.nih.gov/pmc/articles/PMC3206745, accessed, April 12, 2016; Altin, M., Singal, M., Kara, D., (2011) Consumer Decision Components for Medical Tourism: A Stakeholder Approach, , University of Massachusetts, Massachusetts; Anderson, T.W., (2003) An Introduction to Multivariate Statistical Analysis, , 3rd ed., John Wiley & Sons, Inc., Hoboken, New Jersey; Awadzi, W., Panda, D., Medicaltourism: globalizationandmarketingof medical services (2005) The Consortium Journal of Hospitality and Tourism, 11 (1), pp. 75-80; Beladi, H., Chao, C., Shanee, M., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Economic Modeling, 46 (1), pp. 391-396; Ben, H.Y., Hanqin, Z.Q., Peter, P.Y., Motivations and experiences of mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (11), pp. 1125-1127; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillian, New York, NY; Chee, H.L., (2007) Medical tourism in Malaysia: international movement of healthcare consumers and the commodification of healthcare, , http://dx.doi.org/10.2139/ssrn.1317163, Asia Research Institute Working Paper 83; (2012) Outbound medical tourism: result of a poor healthcare system, , www.ciuci.us/research-insights/2012/outbound-medical-tourism-result-of-a-poor-healthcare-system; Connell, J., Medical tourism: sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Crooks, V., Kigsbury, P., Snyder, J., Jonston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 266; (2008) Medical tourism: consumers in search of value, , www.deloitte.com/assets/Dcom.UnitedStates/Local%20Assets/Documents/us_chs_MedicalTourismStudy(3).pdf/, (accessed, April 13, 2016; Elebeke, E., (2014) Nigerians spent $1 billion annually on medical tourism, , www.vanguardngr.com/2014/05/nigerian-spends-1bn-annually-medical-tourism, Vanguard Newspaper: (accessed, April 13, 2016; Enderwick, P., Nagar, S., The competitive challenges of emerging markets: the case of medical tourism (2011) International Journal of Emerging Markets, 6 (4), pp. 329-350; Forgione, D.A., Smith, P.C., Medical tourismand its impactonthe US health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; Gunasekera, K., (2015) Medical tourism: what next for Asia? A stax perspective on the Asian medical tourism industry, , www.stax.com, (accessed, April 12, 2016; Hadi, A., (2009) Globalization, medical tourism and health equity, , paper presented at the Symposium on Implications of Medical Tourism for Canadian Health And Health Policy, Ottawa, Novermber 13; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science Medicine, 124 (1), pp. 356-363; Medical tourism (2015) European Hospital and Healthcare Federation, pp. 1-40. , www.hopeww.org/, (accessed, April 13, 2016; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) MedGenMed, 9 (4), p. 33. , www.ncbi.nlm.nih.gov/pmc/articles/PMC2234298, p.: (accessed, April 12, 2016; Hunter, W.C., Medical tourism: a new global niche (2007) International Journal of Tourism Science, 7 (1), pp. 129-140; Johnson, T.J., Youngquist, J.S., Garman, A.N., Hohmann, S., Cieslak, P.R., Factors influencing medical travel into the United States (2015) International Journal of Pharmaceutical and Healthcare Marketing, 9 (2), pp. 118-135; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Karuppan, C.M., Karuppan, M., Changing trends in health care tourism (2010) The Health Care Manager, 29 (4), pp. 349-358; Kumar, S., Breuing, R., Chahal, R., Globalization of medical tourism management: a needed research agenda? (2012) Advances in Management, 5 (1), pp. 5-7; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , Organisation for Economic Co-operation and Development, Paris: (accessed, 12 April 2016; Misung, L., Heesup, H., Tim, L., Medical tourism: attracting Japanese tourists for medical tourism experience (2012) Journal of Travel Tourism Marketing, 29 (1), pp. 69-86; Munro, J.W., (2012) What is medical tourism? Towards a practical understanding of medical tourism and travel, wellness tourism, health tourism and health travel, , www.mtqua.org/2012/07/02/what-is-medical-tourism/, (accessed, April 12, 2016; Naik, N.T.K., Lal, B.S., Economic analysis of Indian medical tourism: international heathcare destination (2013) International Journal of Business Management, Economics and Information Technology, 5 (2), pp. 259-277; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2009) Bulletin of the World Health Organization, 89 (5), pp. 336-344; (2013) Meeting of the society for quality in health care in Nigeria, , www.ahrq.gov, (accessed, April 13, 2016; Omisore, E.O., Agbabiaka, H.I., Factors influencing patronage of medical tourism in Metropolitan Lagos, Nigeria (2016) International Journal of Scientific & Technology Research, 5 (4), pp. 32-41; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (1), p. 12; Rad, N.F., Som, A.P.M., Zainuddin, Y., Service quality and patients’ satisfaction in medical tourism (2010) World Applied Science Journal, 10 (1), pp. 24-30; Richard, S., Melisa, M.Á., Rupa, C., Medical tourism: a review of the literature and analysis of a role for bilateral trade (2011) Health Policy, 103 (2-3), pp. 276-282; Shaywitz, D.A., Ausiello, D.A., Global health: a chance for Western physicians to give-and receive (2002) The American Journal of Medicine, 113 (4), pp. 354-357; Song, H.J., Zhang, Z.X., Evaluation of sustainable tourism development of the hotel industry in Hainan, China by Earth Check (2014) Open Access Library Journal, 1 (9), p. e854. , p.: (accessed, April 12, 2016; Sultana, S., Haque, A., Momen, A., Factors affecting the attractiveness of medical tourism destination: an emperical study on India-review article (2014) Iran Journal of Public Health, 43 (7), pp. 867-876; Thilakavathy, M., Potentials and prospects of medical tourism in Chennai, India (2015) Current Issues and Emerging Trends in Medical Tourism, pp. 246-257. , IGI Global; (2010) Medical tourism: a survey, , United Nations Economic Commission for Latin America and the Carribean [UNECLAC], United Nations Publications, Warshington, DC; Whittaker, A., Pleasure and pain: medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Wongrukmit, P., Thawesaengskulthai, N., Hospitalservicequalitypreferences among culturediversity (2014) Total Quality Management and Business Excellence, 25 (7-8), pp. 908-922; (2010) Medical tourism booms in India, but at what cost, , www.thelancet.com, (accessed, August 9, 2014; Wuensch, K.L., (2016) An Introduction to multivariate statistics, , www.Core.edu/psyc/wuenschk/KLW.htm, (accessed, April 14, 2016; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., (2008) Motivationofmedicaltourists: an exploratory case study of Hong Kong medical tourists, , paper presented at the APTA Annual Conference, Bangkok; (2011) Wellness tourism and medical tourism: where do spas fit, , www.leadingspasofcanada.com/files/file/Business%20Tools/spas_wellness_medical_tourism_report_final.pdf, (accessed, April 11, 2016; (2014) Medical and wellness tourism: lessons from Asia, , ITC, Geneva","Agbabiaka, H.I.; Department of Urban and Regional Planning, Obafemi Awolowo UniversityNigeria; email: wisdomislifee@yahoo.com",,,"Emerald Group Publishing Ltd.",,,,,20565607,,,,"English","Int. J. Tour. Cities",Article,"Final",,Scopus,2-s2.0-85041965364 "García C.A.G.","57197852728;","Turismo en salud: ¿una forma de medicalización de la sociedad? [Health tourism: A form of medicalization of society?]",2017,"Revista Lasallista de Investigacion","14","2",,"51","64",,1,"10.22507/rli.v14n2a5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85035340508&doi=10.22507%2frli.v14n2a5&partnerID=40&md5=0f76d7084e0d36d1c020555cd3854721","Universidad Pontifica Bolivariana, Colombia","García, C.A.G., Universidad Pontifica Bolivariana, Colombia","Introduction. Postmodernity is characterized among many of its typologies by extreme consumerism. In different countries, market logic extends from product circulation on the market to the configuration of the right to health services, to such an extent that pharmaceutical, clinical, cosmetics science and tourism multinationals would seem to have gained total control of biomedical sciences. A control of people's right to health services by the market can thus be observed. In fact, an indicative sign of this reality is a significant increase in the medicalization of society, since habitual problems of human existence are treated as medical problems. In our environment, it is common to see a great amount of treatments, medication, and cosmetic and nutritional products being used to give sanitary response to problems which are not medical a priori, such as aging, unhappiness, social isolation, shyness, among others. Objective. Show the relationship between health tourism and the medicalization of society, from bioethics and biolaw perspectives. Materials and methods. This article reports on a qualitative documentary investigation that seeks to bring together methodologies typical of bioethics and legal hermeneutics. Results. This work shows how health tourism is related to the medicalization of society, since the former is shown in many cases as a life experience into which medical treatment can be ""packaged"", commercially speaking; tourist experiences offer, along with cosmetic treatments, surgery and hospitalization, spa services and private medical home care. Conclusion. Health tourism, seen from a bioethics perspective, would seem to be redefining the doctor-patient relationship, turning it from service assistance to a commercial relationship between a service operator and a client in which profit, not medical assistance, prevails; thus the patients are reduced to the capacity they have to pay for the different medical services offered.","Bioethics; Biolaw; Medical right; Medicalization of society; Tourism",,,,,,"Ministerio de Industria, Energía y Turismo, MINETUR","En Colombia se han realizado grandes esfuerzos en este tema, siendo famosos los informes Mckinsey and company (Ministerio de Comercio Industria y Turismo, 2009), así como el informe Estudio de Costos-Sectores PTP (Programa de Transformación Productiva), Turismo de Salud (Bancóldex, 2014), documentos que le dieron a este tema gran visibilidad, y lo llevaron a la agenda para el desarrollo del Plan Sectorial de Turismo, y a la política Nacional de Competitividad y productividad CONPES 3527 desencadenando numerosas políticas públicas municipales sobre el tema.",,"Alcántara Moreno, G., Transculturación del consumismo sanitario y medicalización en la globalización (2012) Revista Electrónica de PortalesMedicos.com, , http://www.portalesmedicos.com/publicaciones/articles/4955/1/Transculturacion-delconsumismo-sanitario-y-medicalizacion-enla-globalizacion.html; Álvarez, J., Una mirada crítica al turismo reproductivo (2012) Segunda época, 6 (11), pp. 36-54; Barriga, A., Farías, M., Ruiz, A., Sánchez, A., Jiménez, W., Turismo en salud: una tendencia mundial que se abre paso en Colombia (2011) Ciencia y tecnología para la salud visual y ocular, 9 (1), pp. 125-137; Branco, P., López, M., Henn, M., Alen, M., Gonçalves, J., El turismo de salud y el uso terapéutico del agua (2011) Estudios y Perspectivas en Turismo, 20 (2), pp. 462-477; Clúster Servicios de Medicina y Odontología (2013), http://www.camaramedellin.com.co/site/Cluster-y-Competitividad/Comunidad-Cluster/Cluster-Medicina-y-Odontologia.aspx; Cortés, R., García, A., Pacas, D., Diseño de un plan de negocios para la creación de una agencia turística en el Municipio de San Salvador con el propósito de ofrecer paquetes personalizados para satisfacer y promover la salud física, mental y emocional de los clientes (2010) Trabajo de grado pregrado para optar al grado de :licenciatura en administración de empresas, , http://ri.ues.edu.sv/273/1/10136381.pdf, Universidad del Salvador; De la Puente, M., Sector del turismo de Salud: caso de Colombia (2015) Revista de Economía del Caribe, (16), pp. 129-161; Edgar, A., The dominance of big pharma: power (2013) Med Health Care and Philos, 16 (2), pp. 295-305; Camino de Santiago: Peregrinos de la salud (2014), http://www.efesalud.com/noticias/camino-de-santiagoperegrinos-de-la-salud/; Forestieri Bustos, K., (2012) Turismo medico como opción de desarrollo económico del sector salud en Colombia, , Bogotá: Universidad EAN; Gómez, A., Latorre, C., Carreño, J., Dilemas éticos en la relación entre los profesionales de la industria farmacéutica y los profesionales de la salud (2007) Persona y Bioética, 11 (28), pp. 23-38; González, M., López-Torres, J., Santos, C., Efectos de la balneoterapia en la autopercepción de salud y el estado afectivo de los ancianos (2007) Revista Española de Geriatría y Gerontología, 42 (1), pp. 52-54; González, B., Medicalización, iatrogenia y ética de las relaciones con la industria farmacéutica (2009) Tesis de Maestría área de Bioética, , Bilbao: Universidad del País Vasco; González, L., Puerta, J., Tecnología, demanda social y 'medicina del deseo (2009) Medicina Clínica, 173 (17), pp. 671-675; Holguín, G., (2014) La guerra contra los medicamentos genéricos, , Bogotá: Aguilar; Illich, I., (1977) Limits to medicine: the expropiation of health, , New York: Penguin Books; Lorente, E., La Rioja-España, destino de turismo espiritual (2013) Belezos: Revista de Cultura Popular y Tradiciones de La Rioja, 1 (23), pp. 28-53; Lojano, R., Plasencia, Z., (2016) Implementación de turismo de salud en el cantón Nabón con base en medicina ancestral, , Recuperado de dspace.uazuay.edu.ec/bitstream/ datos/5524/1/11853.pdf; Martínez, M., Abellán, M., Leal, P., Gómez, E., Ortín, J., Abellán, A., Influencia de la balneoterapia sobre la presión arterial (2013) Estudio Balneotens. Hipertensión y Riesgo Vascular, 3 (30), pp. 86-91; Martínez, I., Romay, H., Balneoterapia en geriatría (2008) Fisioterapia, 3 (30), pp. 152-161; feria clúster de salud-Cámara de Comercio de Medellín (2013), http://www.camaramedellin.com.co/site/Portals/0/Documentos/2013/PRESENTACION%20MEDESALUD.pdf; Desarrollando sectores de Clase Mundial en Colombia (2009), https://www.ptp.com.co/documentos/Plan%20de%20Negocios%20Turismo%20de%20Salud.pdf; Plan sectorial de turismo 2011-2014: turismo: factor de prosperidad para Colombia' (2016), http://www.mincit.gov.co/minturismo/descargar.php?id=40732; Salud y derechos humanos http://www.who.int/mediacentre/factsheets/fs323/es/; Reverter, J., Barbany, J., Del gimnasio al ocio-salud (2007) Gestión deportiva, ocio y turismo, (4), pp. 59-68; Rivero, A., Rivero, A., La gimnasia terapéutica como parte de la oferta turística (2001) Rev. Cub. Med. Dep. & Cul. Fís, 8 (2), pp. 1-6; Salazar, J., Sueños alcanzados con un bisturí, algunos chuzones y unas cuantas horas de vuelo (2013) Experiencias quirúrgicas estéticas de mujeres caleñas y turismo medico estético en Cali, , https://repository.icesi.edu.co/biblioteca_digital/handle/10906/77595, (Trabajo de grado para optar el título de pregrado en sociología). Cali: Universidad Icesi; San Martín, J., (1997) Psicosociología del ocio y el turismo, , Málaga: Aljibe; Sarrazin, J., Transnacionalización de la espiritualidad y turismo místico (2011) IV Congreso de la red de migraciones y desarrollo Crisis Global y estrategias Migratorias, pp. 1-12. , Quito: Flacso; Scuro, J., El neochamanismo como vehículo del cambio (2015) Ciencias Sociales y Religión, 17 (22), pp. 167-187; Wildner, A., Promoción del turismo de salud y bienestar en Alemania: análisis de la oferta y estudio de satisfacción del cliente alemán, , http://riuma.uma.es/xmlui/handle/10630/6935?show=full, Universidad de Málaga","García, C.A.G.; Universidad Pontifica BolivarianaColombia; email: carlosgomez777@gmail.com",,,"Corporacion Universitaria Lasallista",,,,,17944449,,,,"Spanish","Rev. Lasa. Invest.",Article,"Final",Open Access,Scopus,2-s2.0-85035340508 "Sarwar A., Raman M.","55390247500;56238888000;","Branding halal and future prospects for the medical tourism industry in Malaysia",2017,"Information (Japan)","20","4",,"2281","2287",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85035245277&partnerID=40&md5=1286b7d2021da74411b4e886fea656e2","Faculty of Management, Multimedia University, Cyberjaya, Malaysia","Sarwar, A., Faculty of Management, Multimedia University, Cyberjaya, Malaysia; Raman, M., Faculty of Management, Multimedia University, Cyberjaya, Malaysia","Medical tourism is growing faster than ever. In order to generate foreign revenue, Malaysian policy makers need to introduce effective strategies to attract medical tourists to visit Malaysia for medical tourism. However, Malaysia is still in dire need to develop a competitive edge in medical tourism in order to become a key player in the business. Although a number of researches have been conducted on medical tourism, no study has been conducted on medical tourism from Islamic perspective till date. Therefore, in order to gain from this booming emerging market, this study has emphasised on the halal concept that might help to attract more Muslim patients to procure medical procedures in Malaysia. This study also believes that Malaysia's image as a 'Muslim country' with easily available halal foods and conveniences for practicing Muslims may provide some advantages over its neighbouring competitors Singapore and Thailand to attract more Muslim medical tourists in the coming years. The findings will facilitate a clearer understanding for researchers, government bodies and people involved in the hospitality and medical tourism industry on how religion can play a critical role on the decision making towards destination selection. © International Information Institute.","Halal; Islam; Medical Tourism; Religious Motivation; Trust",,,,,,"Multimedia University, MMU: MMU I/160075","The authors are thankful to Multimedia University, Cyberjaya for funding this research project (Project ID: MMU I/160075).",,"Ababou, M., The impact of age, generation and sex variables on religious beliefs and practices in Morocco (2005) Social Compass, 1 (52), pp. 31-44; Abdul Talib, H.H., Mohd Ali, K.A., Jamaludin, K.R., Quality assurance in halal food manufacturing in Malaysia: A Preliminary Study (2008) Paper Prasented at the International Conference on Mechanical & Manufacturing Engineering (ICME), , 21-23 May, Johor Bahru, Malaysia; Al-Nahdi, M.T.S.M., Ismail, I., Haron, H., Islam, M.A., Intention to patronage halal restaurants among Malaysian Muslims-An Issue of Halal Perception (2013) Paper Prasented at the 5th Global Social Business Summit, , Kuala Lumpur, Malaysia, 7-9 November; (2015) Association of Private Hospitals of Malaysia (APHM), , http://www.hospitals-malaysia.org/portallindex.asp?menuid=42, Retrieved on 31 September; Azah, N.A., Nizam, M., Azmi, M.H., Users perception and opportunities in Malaysia in introducing RFID system for Halal food tracking (2008) WSEAS Transactions on Infonnation Science and Applications, 5, pp. 843-852; Bergeaud-Blackler, F., Muslim women and halal meat markets in France (2005) Brill: Leiden; Bonne, K., Verbeke, W., Muslim consumer trust in halal meat status and control in Belgium (2008) Meat Science, 79, pp. 113-123; Bonne, K., Verbeke, W., Religious values informing halal meat production and the control and delivery of halal credence qualitY (2008) Agriculture and Human Values, 25, pp. 35-47; Bonne, K., Vermeir, I., Bergeaud-Blackler, F., Verbeke, W., Determinants of halal meat consumption in France (2007) British Food Journal, 109 (5), pp. 367-386; Chang, J., (2006) Malaysia Exporter Guide Annual 2006, , Kuala Lumpur USDA Foreign Agricultural Service; Connell, J., Medical tourism: Sea, sun, sand and surgerY (2006) Tourism Management, 27 (6), pp. 1093-1100; Dahalan, Z., (2008) The Tendency of Muslims Toward Halal Food Concept: A Study in UiTM Pulau Pinang, , Paper Prasented at the ECER Regional Conference, Kelantan, Malaysia; (2010) Population Distribution and Basic Demographic Characteristic Report, , http://www.statistics.gov.my/.1, Department of Statistics Malaysia Retrieved on 22 December 2011 from; Din, S., Trading halal commodities: Opportunities and challenges for the Muslim world (2006) Kuala Lumpur: Universiti Teknologi Malaysia; (2010) Economic Transformation Programme: A Roadmap for Malaysia, pp. 317-353. , Economic Transformation Programme (ETP). Revving Up the Tourism IndustrY. In: Putra Jaya: PEMANDU Prime Ministers Department; (2010) Economic Transformation Programme: A Roadmap for Malaysia, pp. 553-587. , Economic Transformation Programme (ETP). Creating Wealth through Excellence in Healthcare. In: Putra Jaya: PEMANDU Prime Ministers Department; Garbarino, E., Johnson, M.S., The different roles of satisfaction, trust, and commitment in customer relationships (1999) Journal of Marketing, 63 (2), pp. 70-87; Huffman, W., Rousu, M., Shogren, J., Tegene, A., (2002) Who Do Consumers Trust for Information: The Case of Genetically Modified Foods?, , Working Paper No 02015 Iowa State University Department of Economics. Ames: Iowa State University; (2015) The Management of Malaysia Halal Certification, , http://www.halal.gov.my/, Retrieved on 01 February JAKIM from JAKIM; Karim, J.A., Rahman, S.A., Ariffin, Z.Z., Do muslims purchase muslim products? Muslim Centric Ness: An Exploratory StudY (2011) Proceeding of the International Conference on E-business, Management and Economics (IPEDR), 25, pp. 60-65. , Singapore: IACSIT Press; Leng, C.H., Medical tourism in Malaysia: International movement of healthcare consumers and the comniodification of healthcare (2007) Asia Research Institute Working Paper Series, 83, pp. 1-32; Manaf, N.H.A., Health tourism in Malaysian: Prospects and challenges (2010) Paper Prasented at the Second International Conference on Arab-Malaysia Islamic Global Business and Entrepreneurship, , March 20-24, Yannouk University, Jordan and Damascus University, Syria; Manaf, N.H.A., Hussin, H., Kassim, P.N.J., Alavi, R., Dahari, Z., Issues and challenges in medical tourism: An Interdisciplinary Perspective (2013) Paper Prasented at the 2nd Applied International Business Conference, , 7-8 December, Kota Kinabalu. Sabah, Malaysia; McKnight, D.H., Cummings, L.L., Chervany, N.E., Initial trust formation in new organizational relationships (1998) Academy of Management Review, 23 (3), pp. 473-490; Meijboom, F.L.B., Visak, T., Brom, F.W.A., From trust to trustworthiness: Why information is not enough in the food sector (2006) Journal of Agricultural and Environmental Ethics, 19, pp. 427-442; (2002) Technical Report of the Director-General of Health Malaysia 2002, pp. 104-113. , www.moh.gov.my, Kuala Lumpur. Retrieved on 16 May from Ministry of Health (MOH). Malaysias Health; (2009), www.moh.gov.my, Retrieved on 16 May 2015 from Ministry of Health (MOH). Annual Report; (2011), www.moh.gov.my, Annual Report 2011. Retrieved on 16 May 2015 from Ministry of Health (MOH); Mohd Yusoff, H., Halal certification scheme (2004) Standard & Quality News, 11, pp. 4-5; Morrow, J.L., Hansen, M.H., Person, A.W., The cognitive and affective antecedents of general trust within cooperative organizations (2004) Journal of Managerial Issues, 16 (1), pp. 48-64; Othman, R., Ahmad, Z.A., Zailani, S., The effect of institutional pressures in the Malaysian Halal food industrY (2009) International Business Management, 3 (4), pp. 80-84; Othman, R., Zailani, S., Ahmad, Z.A., Customers attitude towards flalal food status: A survey on Penang Muslim Consumers (2006) Paper Prasented at the 2 National Conference on Entrepreneurship and Small Business, , 9-10 December, Penang; Sarwar, A., Medical tourism in Malaysia: Prospect and challenges (2013) Iranian Journal of Public Health, 42 (8), pp. 795-805; Sarwar, A., Healthcare services quality in Malaysian private hospitals: A Qualitative Study (2014) International Journal of Hospital Research, 3 (3), pp. 103-112; Shafie, S., Othman, M.N., (2006) Halal Certification: An International Marketing Issues and Challenges, , www.ctwcongress.de/pap00226.pdf, Retrieved 21 May 2016 from; Shah, N.R., Halal products from the consumers perception: A online SurveY (2007) Paper Prasented at Islamic Entrepreneurship Conference (iCEPs2007), , 19-21 January. Faculty of Economics and Muamalat, Kolej Universiti Islam Malaysia; Simoons, F.J., (1994) Eat Not This Flesh Food Avoidances from Prehistory to the Present, , Madison London: The University Wiscons in Press; Smith, H.J., Milberg, S.J., Burke, S.J., Information privacy: Measuring individuals concerns about organizational practices (1996) MIS Quaterly, 20 (2), pp. 167-195; Wan-Hassan, W.M., Hall, C.M., (2003) The Demand for Halal Food among Muslim Travellers in New Zealand, pp. 81-101. , Hall, C.M., Sharples, L., Mitchell, R., Cambourne, B., & Macionis, N. (eds.) . Food Tourism around the World: Developments, Management and Markets, Oxford: Butterworth-Heinemann; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Zulkefli, M., (2005) Halal Standards and Certification, , http://www.Halaljournal.comiartrnanipulisbiprinter44.shtml, Retrieved 22 August 2016 from",,,,"International Information Institute Ltd.",,,,,13434500,,,,"English","Information",Article,"Final",,Scopus,2-s2.0-85035245277 "Frikha M., Mhiri M.B.A., Gargouri F.","57213692410;36746984800;6602113319;","Social trust based semantic tourism recommender system: A case of medical tourism in Tunisia",2017,"European Journal of Tourism Research","17",,,"59","82",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032036402&partnerID=40&md5=e45e3719d2b59ee77c045cafae950fed","University of Sfax, MIRACL Laboratory, Sfax, Tunisia","Frikha, M., University of Sfax, MIRACL Laboratory, Sfax, Tunisia; Mhiri, M.B.A., University of Sfax, MIRACL Laboratory, Sfax, Tunisia; Gargouri, F., University of Sfax, MIRACL Laboratory, Sfax, Tunisia","Based on the assumption that users generally have a tendency to use items recommended by friends rather than strangers and that trust among friends positively correlates with user preference, we decided to refer to research conducted on the emerging field of trust-based recommender system. We propose to integrate the temporal factor in measuring trust between social network friends. A Trusted Friend’s calculation method is developed for determining social trusted friends in Facebook. We have, accordingly, demonstrated the importance of the interactions’ time between users. Afterwards, we have used this method in a semantic tourism recommender system as a smart e-tourism tool able to recommend items based on the users’ preferences and their trusted friends’ preferences. We have also applied our tourism recommender system for the case of medical tourism in Tunisia to help users interested in traveling to Tunisia for medical purposes. Finally, we have implemented the system and collected feedback from real users to evaluate the quality of recommendation and prove its importance in improving the medical tourism domain. © 2017 Varna University of Management. 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J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85032036402 "John S.P.","55711569800;","An analysis of the social media practices for sustainable medical tourism destination marketing",2017,"International Journal of Tourism Policy","7","3",,"222","249",,1,"10.1504/IJTP.2017.086965","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030763281&doi=10.1504%2fIJTP.2017.086965&partnerID=40&md5=bcb9e8351cc7e6b7450d2e9db9214699","Department of Marketing, Waikato Management School, University of Waikato, 4th Floor, Post Bag: 3105, Hamilton, 3216, New Zealand","John, S.P., Department of Marketing, Waikato Management School, University of Waikato, 4th Floor, Post Bag: 3105, Hamilton, 3216, New Zealand","Despite the numerous studies investigating the wide adoption of social media by tourists and tourism providers, literature focusing on the analysis of social media strategies in the context of medical tourism is still limited. This research investigated the usage of social media for the marketing and promotion of four medical tourism destinations in Asia. Contents of corporate websites and social media platforms used by 70 international medical care providers in the region were examined. Findings suggest that most of the medical tourism providers are not fully utilising the potential of social media for tourism marketing. Medical tourism marketers should initiate more interactive forms of communication and promotion through social media and other online platforms. Online visitor's comments, reviews, and queries must be monitored, and adequate responses have to be posted promptly to generate a positive destination image among medical tourists, residents, travel and tourism operators and other stakeholders to ensure sustainable growth in this sector. The study contributes to both theory and practice by examining the utilisation of social media in medical tourism, a rapidly growing segment of the tourism and hospitality industry. 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A review (2014) Tourism Management Perspectives, 10, pp. 27-36. , http://doi.org/10.1016/j.tmp.2014.01.001, April","John, S.P.; Department of Marketing, Waikato Management School, University of Waikato, 4th Floor, Post Bag: 3105, New Zealand; email: sjohn@waikato.ac.nz",,,"Inderscience Publishers",,,,,17504090,,,,"English",,Article,"Final",,Scopus,2-s2.0-85030763281 "Kim S.","55841015300;","The new Korean wave in the middle east and its role in the strategic approach to medical tourism in Korea",2017,"Kritika Kultura","2017","29",,"258","271",,1,"10.13185/KK2017.02912","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030104571&doi=10.13185%2fKK2017.02912&partnerID=40&md5=64e76a0d351344bd3e9df6429f5c8b53","Department of Arabic Interpretation and Translation, Hankuk University of Foreign Studies, South Korea","Kim, S., Department of Arabic Interpretation and Translation, Hankuk University of Foreign Studies, South Korea","The “Korean Wave” (known as Hallyu in Korean) describes the phenomenon whereby aspects of Korean culture have become popular globally. By conducting a cross-cultural analysis, this study identifies the status and shifts of Hallyu in the Middle East, and analyzes the factors that have helped it spread successfully. This paper also seeks a strategic approach for evaluating the role of the new Korean Wave in the Middle East. The number of Middle Eastern patients and families visiting Korea for medical tourism has risen rapidly in the past few years. Medical tourism from the Middle East is expected to grow, improving Korea’s reputation in the region and generating financial gain. The results imply great potential for establishing a new Korean Wave beyond the present scope. © Ateneo de Manila University.","Cross-cultural understanding; Hallyu; Korean drama; Korean wave; Medical tourism; Middle East",,,,,,"Hankuk University of Foreign Studies, HUFS","This study was supported by Hankuk University of Foreign Studies Research Fund of 2017.",,"Ainslie, M., Lipura, S., Lim, J., Understanding the Hallyu Backlash in Southeast Asia: A Case Study of Consumers in Thailand, Malaysia and Philippines (2017) Kritika Kultura, 28, pp. 3-98; Baek, M., Kim, B., Choi, S., Preferences for and Experiences with Cultural Content, Country Image, and Brand Attitude: Japanese TV Dramas and Films in Korea (2017) Journal of Leisure Studies, 7 (1), pp. 53-79; Chee, H., Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Co-modification of Healthcare (2007) Asia Research Institute Working Paper, Vol, 1, p. 83; Choi, E.J., (2009) Study on the Influence of Korean Wave in Iran: Focusing on the Dae Jang Geum, , M.A. Thesis, Graduate School of Business Administration, Kyunghee University, Korea; Chunryul, R., (2008) A Roadmap for the Diffusion of the Korean Wave, , Korea Communications Commission; Cohen, E., Medical Tourism in Thailand (2008) AU-GSB E-Journal, 1 (1), pp. 24-37; Connell, J., Tummy Tucks and the Taj Mahal? 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Report, Korea; Moonsung, C., (2012) International Commerce and Information Review, 15, pp. 76-86; Naranong, A., Naranong, V., The Effects of Medical Tourism: Thailand’s Experience (2011) Bulletin of the World Health Organization (WHO), 89 (5), pp. 336-344; Oh, I., Lee, C., A League of their Own: Female Supporters of Hallyu and Korean-Japan Relations (2014) Pacific Focus, Inha Journal of International Studies, 29 (2), pp. 284-302; Oh, I., Lee, H., K-pop in Korea: How the Pop Music Industry Is Changing a Post-Developmental Society (2014) Cross-Currents: East Asian History and Culture Review, 3 (1), pp. 72-93; Otmazgin, N., Lyan, I., Hallyu across the Desert: K-pop Fandom in Israel and Palestine (2013) Cross-Currents: East Asian History and Culture Review, 3 (1), pp. 32-55; Park, G., Message for Hallyu Generation (2013) Creative Industry and Contents, Korea Creative Content Agency, , September; Park, S., The Trade Creation Effects of Hallyu (2009) The Bank of Korea Economic Research Institute, 15 (1), pp. 73-96; Rhee, J., Otmazgin, N., Expanding Transnational Dialogue in Asia through Hallyu The Asia Pacific Journal, 14 (7). , http://apjjf.org/2016/07/Rhee-1.html, 4, 1 Apr. 2016; Shim, D., Hybridity and the Rise of Korean Popular Culture in Asia (2006) Media, Culture and Society, 28 (1), pp. 25-44; Shim, D., The Growth of Korean Cultural Industries and the Korean Wave (2008) East Asian Pop Culture: Analysing the Korean Wave, Hong Kong UP, pp. 15-32; Stackpole, I., Ziemba, E., (2008) Recreational and Medical Tourism & Retirement Living: Opportunities & Challenges for Tourism Professionals, , Stackpole & Associates, Inc","Kim, S.; Department of Arabic Interpretation and Translation, Hankuk University of Foreign StudiesSouth Korea; email: suwan@hufs.ac.kr",,,"Kritika Kultura",,,,,1656152X,,,,"English","Krit. Kult.",Article,"Final",Open Access,Scopus,2-s2.0-85030104571 "Komppula R., Konu H., Vikman N.","23004669700;35976130400;57194584160;","Listening to the sounds of silence: Forest-based wellbeing tourism in Finland",2017,"Nature Tourism",,,,"120","130",,1,"10.4324/9781315659640","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021047267&doi=10.4324%2f9781315659640&partnerID=40&md5=ecad2eef502ade1f8aa091b3b2772bf8","University of Eastern Finland, Finland; Center for Tourism Studies, University of Eastern Finland, Finland; School of Humanities, University of Eastern Finland, Finland","Komppula, R., University of Eastern Finland, Finland; Konu, H., Center for Tourism Studies, University of Eastern Finland, Finland; Vikman, N., School of Humanities, University of Eastern Finland, Finland",[No abstract available],,,,,,,,,,"Ampuja, O., Peltomaa, M., (2014) Huutoja hiljaisuuteen. 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Kozak (Eds.), Anatolia, Ankara, Turkey; Konu, H., Developing a forest-based wellbeing tourism product together with customers: An ethnographic approach (2015) Tourism Management, 49, pp. 1-16; Konu, H., Developing forest-based wellbeing tourism products by using virtual product testing (2015) ANATOLIA, 26 (1), pp. 99-102; Konu, H., Laukkanen, T., Predictors of tourists’ wellbeing holiday intentions in Finland (2010) Journal of Hospitality and Tourism Management, 17, pp. 144-149; Konu, H., Tuohino, A., Komppula, R., Lake Wellness: A practical example of a New Service Development (NSV) concept in tourism industry (2010) Journal of Vacation Marketing, 16 (2), pp. 125-139; Korpela, K.M., Ylen, M., Tyrväinen, L., Silvennoinen, H., Favorite green, waterside and urban environments, restorative experiences and perceived health in Finland (2010) Health Promotion International, 25 (2), pp. 200-209; Korpela, K., Borodulin, K., Neuvonen, M., Paronen, O., Tyrväinen, L., Analyzing the mediators between nature-based outdoor recreation and emotional well-being (2014) Journal of Environmental Psychology, 37, pp. 1-7; Lappalainen, T., (1998) Hiljaisuuden etsijöitä. Ihmisiä elämän perimmäisten kysymysten äärellä, , Juva: WSOY; Lee, J., Park, B.J., Tsunetsugu, Y., Kagawa, T., Miyazaki, Y., Restorative effects of viewing real forest landscapes, based on a comparison with urban landscapes (2009) Scandinavian Journal of Forest Research, 24, pp. 227-324; Lee, J., Li, Q., Tyrväinen, L., Tsunetsugu, Y., Park, B.-J., Kagawa, T., Miyazaki, Y., Nature therapy and preventive medicine (2012) Public Health: Social and Behavioral Health, , www.intechopen.com/books/public-health-social-and-behavioral-health/nature-therapy-and-preventivemedicine, J. Maddock (Ed.), InTech; Li, Q., Effect of forest bathing trips on human immune function (2010) Environmental Health and Preventive Medicine, 15, pp. 9-17; Manfredo, M.J., Driver, B.L., Tarrant, M.A., Measuring leisure motivation: A meta-analysis of the recreation experience preference scales (1996) Journal of Leisure Research, 28 (3), pp. 188-213; Mehmetoglu, M., A case study of nature-based tourists: Specialists versus generalists (2005) Journal of Vacation Marketing, 11 (4), pp. 357-369; Moran, J.M., Kelley, W.M., Heatherton, T.F., What can the organization of the brain’s default mode network tell us about self-knowledge? (2013) Frontiers in Human Neuroscience, 7, p. 391. , http://doi.org/10.3389/fnhum.2013.00391; Morita, E., Fukuda, S., Nagano, J., Hamajima, N., Yamamoto, H., Iwai, Y., Psychological effects of forest environments on healthy adults: Shinrin-yoku (forest-air bathing, walking) as possible method of stress reduction (2007) Public Health, 121, pp. 54-63; Morita, E., Naito, M., Hishada, A., Wakai, K., Mori, A., Asai, Y., Okada, R., Hamajiva, N., No association between the frequency of forest walking and blood pressure levels of the prevalence of hypertension in a cross-sectional study of Japanese population (2011) Environmental Health Preventive Medicine, 16 (5), pp. 299-306; Ohtsuka, Y., Yabunaka, N., Takayama, S., Shinrin-yoku (forest-air bathing and walking) effectively decreases blood glucose levels in diabetic patients (1998) International Journal of Biometeorol, 41, pp. 125-127; Park, B.J., Tsunestugu, Y., Morikawa, T., Ishii, H., Furuhashi, S., Hirano, H., Physiological effects of Shinrin-yoku (taking in the atmosphere of the forest) in mixed forest in Shinano Town, Japan (2008) Scandinavian Journal of Forest Research, 23, pp. 278-283; Park, B.J., Tsunestugu, Y., Morikawa, T., Kasetani, T., Kagawa, T., Miyazaki, Y., Physiological effects of forest recreation in a young conifer forest in Hinokage Town, Japan (2009) Silva Fennica, 43 (2), pp. 291-301; Pesonen, J., Komppula, R., Rural wellbeing tourism: Motivations and expectations (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 150-158; Sarlin, T., (2006) Hiljaisuutta etsimässä, , Helsinki: Kirjapaja; Schafer, R.M., (1977) Five Village Soundscapes, , Vancouver: A.R.C. Publication; Thibaud, J.-P., A Sonic Paradigm of Urban Ambiances (2011) Journal of Sonic Studies, 1 (1), pp. 1-14; Tsunestugu, Y., Park, B.J., Yoshifumi, M., Trends in research related to “Shinrinyoku” (taking in the forest atmosphere of forest bathing) in Japan (2010) Environmental Health and Preventive Medicine, 15, pp. 27-37; Tyrväinen, L., Ojala, A., Korpela, K., Lanki, T., Tsunetsugu, Y., Kagawa, T., The influence of urban green environments on stress relief measures: A field experiment (2014) Journal of Environmental Psychology, 38, pp. 1-9; Uimonen, H., Mieluisat ja meluisat - ääniympäristön veto ja vastenmielisyys (2006) Sata suomalaista äänimaisemaa [One hundred Finnish Soundscapes], pp. 55-67. , H. Järviluoma, A. Koivumäki, M. Kytö & H. Uimonen (Eds.), SKS:n toimituksia 1100. Helsinki: SKS; Vikman, N., Suomalaisuuden sydänääniä luonnon helmassa. [Heartbeats of Finnishness in the Nature] (2006) Sata suomalaista äänimaisemaa [One hundred Finnish Soundscapes], pp. 12-22. , H. Järviluoma, A. Koivumäki, M. Kytö & H. Uimonen (Eds.), SKS: n toimituksia 1100. Helsinki: SKS; Vikman, N., (2007) Eletty ääniympäristö. Pohjoisitalialaisen Cembran kylän kuulokulmat muutoksessa [The Lived Acoustic Environments: Cembra’s Changing Points of Ear] (Doctoral dissertation), , http://urn.fi/urn:isbn:978-951-44-7126-1, Retrieved from Acta Universitatis Tamperensis; Vikman, N., Silence depends on muscle power: An ethnographic pilgrimage into a cultural interruption. 2003/2009 (2009) Acoustic Environments in Change, pp. 72-89. , H. Järviluoma, M. Kytö, B. Truax, H. Uimonen & N. Vikman. (Eds.), Tampere: TAMK University of Applied Sciences. Tampereen ammattikorkeakoulun julkaisuja Sarja A, Tutkimuksia; 13. Kirjallisuuden ja kulttuurin tutkimuksia/Joensuun yliopisto, humanistinen tiedekunta; 14; Vikman, N., Alussa oli askel - katsaus kuuntelukävelyyn ympäristökulttuurin tutkimuksen metodina [In the beginning there was step. An overview to listening walks as a method of environmental-cultural research] (2010) Vaeltavat metodit [Wandering Methods], pp. 190-214. , J. Pöysä, H. Järviluoma & S. Vakimo, (Eds.), Suomen kansatietouden tutkijain seura, Kultaneito VIII, Joensuu; (2015) Kiinan nuoret unelmoivat matkasta Pohjoismaihin [Young Chinese dream about a trip to the Nordic Countries], , www.visitfinland.fi/news/kiinan-nuoret-unelmoivat-matkasta-pohjoismaihin/, accessed May 18, 2016",,,,"Taylor and Francis",,,,,,9781317334675; 9781138961739,,,"English","Nat. Tourism",Book Chapter,"Final",,Scopus,2-s2.0-85021047267 "Laing J., Frost W.","7006035125;55603022200;","Leading taste: The influence of trendsetters on health tourism",2016,"The Routledge Handbook of Health Tourism",,,,"32","44",,1,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027705077&doi=10.4324%2f9781315693774&partnerID=40&md5=61f7094f1742e94b013da63dc58f992c","La Trobe University, Department of Management and Marketing, Bundoora, VIC, Australia; La Trobe University, Bundoora, VIC, Australia","Laing, J., La Trobe University, Department of Management and Marketing, Bundoora, VIC, Australia; Frost, W., La Trobe University, Bundoora, VIC, Australia",[No abstract available],,,,,,,,,,"Borsay, P., (1989) The English Urban Renaissance: Culture and Society in the Provincial Town, 1660-1770, , Oxford, UK: Clarendon Press; Busby, G., Meethan, K., Cultural capital in Cornwall: Heritage and the visitor (2008) Cornish Studies Sixteen, pp. 146-166. , Payton, P. 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(eds), London: Routledge; Frost, W., Laing, J., On the trail of Errol Flynn: Explorations in autoethnography (2015) Tourism Analysis, 20 (3), pp. 283-296; Giles, D.C., Parasocial interaction: A review of the literature and a model for future research (2002) Media Psychology, 4 (3), pp. 279-305; Glover, P., Celebrity endorsement in tourism advertising: Effects on destination image (2009) Journal of Hospitality and Tourism Management, 16 (1), pp. 16-23; Hughes, J.R.T., (1986) The Vital Few: The Entrepreneur and American Economic Progress, , expanded edn, Oxford, UK: Oxford University Press; Hughes, K.D., Jennings, J.E., Brush, C., Carter, S., Welter, F., Extending women's entrepreneurship research in new directions (2012) Entrepreneurship Theory and Practice, 36 (3), pp. 429-442; Jackson, K.M., Payne, L.L., Stolley, K.S., Celebrity treatment: The intersection of star culture and medical tourism in American society (2013) Journal of American Culture, 36 (2), pp. 124-134; Jeans, D.N., Beach resort morphology in England and Australia: A review and extension (1990) Recreational Uses of Coastal Areas, pp. 277-285. , Fabbri, P. (ed.), Dordrecht, The Netherlands: Springer; Jones, S., Taylor, B., Food writing and food cultures: The case of Elizabeth David and Jane Grigson (2001) European Journal of Cultural Studies, 4 (2), pp. 171-188; Kim, S., Audience involvement and film tourism experiences: Emotional places, emotional experiences (2012) Tourism Management, 33 (2), pp. 387-396; Labrecque, L.I., Markos, E., Milne, G.R., Online personal branding: Processes, challenges and implications (2011) Journal of Interactive Marketing, 25 (1), pp. 37-50; Laing, J., Peninsula Hot Springs: A new spa tourism experience ""down under"" (2009) Health and Wellness Tourism, pp. 329-333. , Smith, M. and Puczkó, L. (eds), London: Elsevier; Laing, J.H., Weiler, B., Mind, body and spirit: Health and wellness tourism in Asia (2008) Asian Tourism: Growth and Change, pp. 379-389. , Cochrane, J. 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Applying the Mair and Jago model (2012) Journal of Sustainable Tourism, 20 (5), pp. 683-700; Mercille, J., Media effects on image: The case of Tibet (2005) Annals of Tourism Research, 32 (4), pp. 1039-1055; Miller, T.L., Grimes, M.G., McMullen, J.S., Vogus, T.J., Venturing for others with heart and head: How compassion encourages social entrepreneurship (2012) Academy of Management Review, 37 (4), pp. 616-640; Peninsula Hot Springs: In hot demand (2015) NAB Business Research and Insights, , http://business.nab.com.au/peninsula-hot-springs-in-hot-demand-9239/, (accessed 2 December 2015); Nelson, M., (2001) Queen Victoria and the Discovery of the Riviera, , 2007 edn, New York: Tauris Parke; O'Connor, N., O'Leary, S., The importance of celebrity association in tourism destination branding: Determining the power of the JFK brand in New Ross (County Wexford, Ireland) (2012) European Journal of Tourism, Hospitality and Recreation, 3 (3), pp. 87-98; Plumptre, G., (1995) Edward VII, , London: Pavilion; Riley Fitch, N., (1997) Appetite for Life: The Biography of Julia Child, , New York: First Anchor Books; Rojek, C., (2001) Celebrity, , London: Reaktion Books; Russell, R.A., Butler, R.W., Introduction (2010) Giants of Tourism, pp. x-xvii. , Butler, R. W. and Russell, R. A. (eds), Wallingford, UK: CAB International; Segrave, K., (2005) Suntanning in 20th Century America, , Jefferson, NC: McFarland and Company; Shepherd, I.D., From cattle and coke to Charlie: Meeting the challenge of self marketing and personal branding (2005) Journal of Marketing Management, 21 (5-6), pp. 589-606; Smith, E.A., (1999) George IV, , New Haven, CT: Yale University Press; Smith, M., Puczkó, L., (2014) Health, Tourism and Hospitality: Spas, Wellness and Medical Tourism, , 2nd edn, London: Routledge; Spitz, B., (2012) Dearie: The Remarkable Life of Julia Child, , New York: Alfred A. Knopf; Tabbachi, M., American and European spa (2008) Understanding the Global Spa Industry: Spa Management, pp. 26-40. , Cohen, M. and Bodeker, G. (eds), Oxford, UK: Elsevier; Towner, J., The master of ceremonies: Beau Nash and the rise of Bath, 1700-1750 (2010) Giants of Tourism, pp. 18-31. , Butler, R. W. and Russell, R. A. (eds), Wallingford, UK: CAB International; Van der Veen, R., Analysis of the implementation of celebrity endorsement as a destination marketing instrument (2008) Journal of Travel and Tourism Marketing, 24 (2-3), pp. 213-222; van der Veen, R., Song, H., Impact of the perceived image of celebrity endorsers on tourists' intentions to visit (2014) Journal of Travel Research, 53 (2), pp. 211-224","Laing, J.; La Trobe University, Department of Management and MarketingAustralia",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027705077 "Tuominen T., Saari S., Binder D.","57195395970;57195396918;57195394793;","Enhancing the competitiveness of a wellness tourism destination by coordinating the multiple actor collaboration",2016,"The Routledge Handbook of Health Tourism",,,,"285","297",,1,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027694237&doi=10.4324%2f9781315693774&partnerID=40&md5=58655cd68857635aeb439c50eee10d55","Turku University of Applied Sciences (TUAS), Faculty of Business, ICT and Chemical Engineering, Turku, Finland; MBA International Hospitality and Spa Management, FH Joanneum University of Applied Sciences, Austria","Tuominen, T., Turku University of Applied Sciences (TUAS), Faculty of Business, ICT and Chemical Engineering, Turku, Finland; Saari, S., Turku University of Applied Sciences (TUAS), Faculty of Business, ICT and Chemical Engineering, Turku, Finland; Binder, D., MBA International Hospitality and Spa Management, FH Joanneum University of Applied Sciences, Austria",[No abstract available],,,,,,,,,,"Aarstad, J., Ness, H., Haugland, S., Innovation, uncertainty and inter-firm shortcut ties in a tourism destination context (2015) Tourism Management, 48, pp. 354-361; Beritelli, P., Cooperation among prominent actors in a tourism destination (2011) Annals of Tourism Research, 38 (2), pp. 607-629; Cassens, M., (2013) Gesundheitstourismus und touristische Destinationsentwicklung, , Munich, Germany: Oldenbourg Verlag; Cooper, C., (2012) Essentials of Tourism, , Harlow, UK: Prentice Hall - Pearson Education; Cox, N., Gyrd-Jones, R., Gardiner, S., Internal brand management of destination brands: Exploring the roles of destination management organisations and operators (2014) Journal of Destination Marketing and Management, 3, pp. 85-95; Dvorak, D., Saari, S., Tuominen, T., (2014) Developing a Competitive Health and Wellbeing Destination, , http://julkaisut.turkuamk.fi/isbn9789522165404.pdf, (accessed 7 June 2015); Dwyer, L., Kim, C., Destination competitiveness: Determinants and indicators (2003) Current Issues in Tourism, 6 (5), pp. 369-414; Fyall, A., Garrod, B., Wang, Y., Destination collaboration: A critical review of theoretical approaches to a multi-dimensional phenomenon (2012) Journal of Destination Marketing and Management, 1, pp. 10-26; Hassan, S., Determinants of market competitiveness in an environmentally sustainable tourism industry (2000) Journal of Travel Research, 38 (3), pp. 239-245; Haugland, S.A., Ness, H., Grönseth, B.-O., Aarstad, J., Development of tourism destinations, an integrated multilevel perspective (2011) Annals of Tourism Research, 38 (1), pp. 268-290; Jamal, T., Jamrozy, U., Collaborative networks and partnerships for integrated destination management (2006) Tourism Management Dynamics, pp. 164-172. , D. Buhalis and C. Costa (eds), Amsterdam, The Netherlands: Elsevier; Komppula, R., The role of individual entrepreneurs in the development of competitiveness for a rural tourism destination - A case study (2014) Tourism Management, 40, pp. 361-371; Morrison, A., (2013) Marketing and Managing Tourism Destinations, , London: Routledge; Prideaux, B., (2009) Resort Destinations: Evolution, Management and Development, , Oxford, UK: Butterworth-Heinemann; Prideaux, B., Berbigier, D., Thompson, M., Wellness tourism and destination competitiveness (2014) Wellness Tourism, A Destination Perspective, pp. 45-60. , C. Voigt and C. Pforr (eds), London: Routledge; Qu, H., Kim, L.H., Im, H.H., A model of destination branding: Integrating the concepts of the branding and destination image (2011) Tourism Management, 32, pp. 465-476; Ritchie, J.R.B., Crouch, G.I., (2003) The Competitive Destination: A Sustainable Tourism Perspective, , Wallingford, UK: CABI International; Ritchie, J.R.B., Crouch, G.I., A model of destination competitiveness and sustainability (2011) Destination Marketing and Management: Theories and Applications, pp. 326-339. , Y. Wang and A. Pizam (eds), Wallingford, UK: CABI; Selin, S., Chavez, D., Developing an evolutionary tourism partnership model (1995) Annals of Tourism Research, 22 (4), pp. 844-856; Sheldon, P.J., Park, S.-Y., Development of a sustainable wellness destination (2009) Wellness and Tourism: Mind, Body, Spirit, Place, pp. 99-113. , R. Bushell and P. J. Sheldon (eds), New York: Cognizant Communication Corporation; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Oxford, UK: Butterworth-Heinemann; (2007) A Practical Guide to Tourism Destination Management, , https://pub.unwto.org/WebRoot/Store/Shops/Infoshop/4745/8BCE/AD9A/ECA8/048B/C0A8/0164/0B7A/071115_practical_guide_destination_management_excerpt.pdf, (accessed 15 August 2015); Voigt, C., Laing, J., An examination of the extent of collaboration between major wellness tourism stakeholders in Australia (2014) Wellness Tourism, A Destination Perspective, pp. 63-77. , C. Voigt and C. Pforr (eds), London: Routledge; Voigt, C., Pforr, C., Concluding discussion: Implications for destination development and management (2014) Wellness Tourism, A Destination Perspective, pp. 290-310. , C. Voigt and C. Pforr (eds), London: Routledge; Volgger, M., Pechlaner, H., Requirements for destination organizations in destination governance: Understanding DMO success (2014) Tourism Management, 41, pp. 64-75; Wang, Y., Destination marketing and management: Scope, definition and structures (2011) Destination Marketing and Management, pp. 1-20. , Y. Wang and A. Pizam (eds), Wallingford, UK: CABI International; Wang, Y., Krakover, S., Destination marketing: Competition, cooperation or coopetition? (2008) International Journal of Contemporary Hospitality Management, 20 (2), pp. 126-141","Tuominen, T.; Turku University of Applied Sciences (TUAS), Faculty of Business, ICT and Chemical EngineeringFinland",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027694237 "Reisman D.","24485458600;","The ethics of medical travel",2016,"The Routledge Handbook of Health Tourism",,,,"183","192",,1,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027682744&doi=10.4324%2f9781315693774&partnerID=40&md5=8fb8c2b252d8fa6135b9352444a58830","Centre for Liberal Arts and Social Sciences, Nanyang Technological University, Singapore","Reisman, D., Centre for Liberal Arts and Social Sciences, Nanyang Technological University, Singapore",[No abstract available],,,,,,,,,,"Bentham, J., (1988) A Fragment on Government, , [1776], Cambridge, UK: Cambridge University Press; Buchanan, J.M., (1999) The Collected Works of James Buchanan, , Indianapolis, IN: Liberty Press, Vols. 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Kelley; Titmuss, R.M., (1970) The Gift Relationship: From Human Blood to Social Policy, , London: George Allen and Unwin; (1800) A Declaration by the Representatives of the United States of America, , [1776], reprinted in The Constitutions of the Sixteen States which Compose the Confederated Republic of America, Newburgh, UK: David Denniston; (1962) Constitution of the World Health Organization, pp. 1-18. , [1946], WHO, Basic Documents, Geneva, Switzerland: WHO; Yach, D., Bettcher, D., The globalization of public health, II: The convergence of self-interest and altruism (1998) American Journal of Public Health, 80, pp. 738-741","Reisman, D.; Centre for Liberal Arts and Social Sciences, Nanyang Technological UniversitySingapore",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027682744 "Ferrari S., Gilli M.","56830061000;56830243300;","Protected natural areas as innovative health tourism destinations",2016,"The Routledge Handbook of Health Tourism",,,,"419","429",,1,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027681389&doi=10.4324%2f9781315693774&partnerID=40&md5=8b4f80afdd04aa080e2e1897c592250a","Department of Scienze Aziendali e Giuridiche, University of Calabria, Italy; University of Milano-Bicocca, Italy","Ferrari, S., Department of Scienze Aziendali e Giuridiche, University of Calabria, Italy; Gilli, M., University of Milano-Bicocca, Italy",[No abstract available],,,,,,,,,,"Arnould, E., Price, L., River magic: Extraordinary experience and the extended service encounter (1993) Journal of Consumer Research, 20 (1), pp. 24-45; Benfield, J.A., Taff, B.D., Newman, P., Smyth, J., Natural sound facilitates mood recovery (2014) Ecopsychology, 6 (3), pp. 183-188; Blamey, R.K., The nature of ecotourism (1995) Occasional Paper, p. 21. , Canberra, Australia: Bureau of Tourism Research; Cater, C., Garrod, B., Low, F., (2016) Encyclopedia of Sustainable Tourism, , Wallingford, UK: CABI; Cohen, M., Bodeker, G., (2008) Understanding the Global Spa Industry. 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Saving Our Children from Nature-Deficit Disorder, , Chapel Hill, NC: Algonquin Books; Lumsdon, H., McGrath, G., Developing a conceptual framework for slow travel: A grounded theory approach (2011) Journal of Sustainable Tourism, 19 (3), pp. 265-279; MacCannell, D., (1976) The Tourist Gaze: A New Theory of the Leisure Class, , New York: Schocken Books; Maller, C., Townsend, M., Pryor, A., Brown, P., St Leger, L., Healthy nature, healthy people: ""Contact with nature"" as an upstream health promotion intervention for populations (2005) Health Promotion International, 21 (1); Maslow, A.H., (1976) Religions, Values and Peak-Experiences, , New York: Penguin Compass; Mehrabian, A., Russell, J.A., (1974) An Approach to Environmental Psychology, , Cambridge, MA: MIT Press; Meyer-Arendt, K., Tourism and the natural environment (2004) A Companion to Tourism, pp. 425-437. , Lew, A.A., Hall, C.M. and Williams, A.M. (eds), Victoria, Australia: Blackwell Publishing; Milligan, C., Wiles, J., Landscapes of care (2010) Progress in Human Geography, 34 (6), pp. 736-754; Moyle, B.D., Weiler, B., Moore, S.A., Benefits that matter to managers: An exploratory study of three national park management agencies (2014) Managing Leisure, 19 (6), pp. 400-419; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; (2005) National Parks, Outdoor Life and Health, , Nordic Conference, Freynes, Iceland, 5-7 May; Olmsted, F.L., (1865) The Value and Care of Parks. Report to the Congress of the State of California, , [Reprinted in Nash, R. (ed.) (1976) The American Environment, Reading, MA: Addison-Wesley, pp. 18-24.]; (2007) 5° Rapporto Ecotur sul Turismo Natura, , Milan, Italy: Il Sole 24 Ore; (2012) Turisti nei parchi del Trentino, , Trento, Italy: Provincia Autonoma Trento; (2014) Turismo in Trentino. Rapporto 2014, , Trento, Italy: Provincia Autonoma Trento; Reese, R.F., Myers, J.E., EcoWellness: The missing factor in holistic wellness models (2012) Journal of Counselling and Development, 90, pp. 400-406; Romagosa, F., Eagles, P.F.J., Lemieux, C.J., From the inside out to the outside in: Exploring the role of parks and protected areas as providers of human health and well-being (2015) Journal of Outdoor Recreation and Tourism, 10, pp. 70-77; Roszak, T., (1992) The Voice of the Hearth: An Exploration of Ecopsychology, , Grand Rapids, MI: Phanes Press; Ruspini, E., Salute e bellezza ""tutto compreso"". Domanda e offerta di turismo medico-estetico (2010) Altri turismi. Viaggi, esperienze, emozioni, pp. 149-163. , Marra, E. and Ruspini, E. (eds), Milan, Italy: Franco Angeli; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Oxford, UK: Butterworth-Heinemann; Smith, M., Puczkó, L., (2014) Health, Tourism and Hospitality. Spas, Wellness and Medical Travel, , 2nd edition, Abingdon, UK: Routledge; Thomsen, J.M., Powell, E.B., Allen, D., Designing parks for human health and development (2013) Park Science, 3 (2), pp. 30-36; Ulrich, R.S., Effects of interior design on wellness: Theory and recent scientific research (1991) Journal of Healthcare Interior Design, pp. 97-109; Ulrich, R.S., Simons, R.T., Losito, B.D., Fiorito, E., Miles, M.A., Zelson, M., Stress recovery during exposure to natural and urban environments (1991) Journal of Environmental Psychology, 11, pp. 201-230; (2008) International Recommendations for Tourism Statistics, , 2008, retrieved 18 August 2011, from statistics.unwto.org; Voigt, C., Pforr, C., (2013) Wellness Tourism. A Destination Perspective, , Abingdon, UK: Routledge; Voigt, C., Brown, G., Howat, G., Wellness tourism: In search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; Wall Reinius, S., Fredman, P., Protected areas as tourism attractions (2007) Annals of Tourism Research, 34 (4), pp. 839-854; (2005) Ecosystems and Human Well-being: Health Synthesis. A Report of the Millennium Ecosystem Assessment, , Geneva, Switzerland: World Health Organization; (2010) Vital Sites. The Contribution of Protected Areas to Human Health, , Gland, Switzerland: WWF","Ferrari, S.; Department of Scienze Aziendali e Giuridiche, University of CalabriaItaly",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027681389 "Steckenbauer G.C., Tischler S., Hartl A., Pichler C.","57195399806;57195395590;7005189823;57195396666;","Destination and product development rested on evidence-based health tourism",2016,"The Routledge Handbook of Health Tourism",,,,"315","331",,1,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020310266&doi=10.4324%2f9781315693774&partnerID=40&md5=0788a7e20737f9412d06ea4bd95f7fc8","Business Department, IMC University of Applied Sciences, Krems, Austria; Institute of Ecomedicine, Paracelsus Medical University, Salzburg, Austria","Steckenbauer, G.C., Business Department, IMC University of Applied Sciences, Krems, Austria; Tischler, S., Business Department, IMC University of Applied Sciences, Krems, Austria; Hartl, A., Institute of Ecomedicine, Paracelsus Medical University, Salzburg, Austria; Pichler, C., Institute of Ecomedicine, Paracelsus Medical University, Salzburg, Austria",[No abstract available],,,,,,,,,,"Barth, R., Werner, C., (2005) Der Wellness Faktor, , Vienna, Austria: Relax Guide and Magazin Verlag Christian Werner; Bell, S., Tyrväinen, L., Sievänen, T., Pröbstl, U., Simpson, M., Outdoor recreation and nature tourism: A European perspective (2007) Living Reviews in Landscape Research, 1, pp. 2-46; Blank, C., Schobersberger, W., Academic education in health tourism - knowledge about and willingness for academic training within the field of health tourism: A cross-country evaluation within the German-speaking Alpine area (2013) Tourism and Hospitality, 2 (1), pp. 2-6; (2011) Innovativer Gesundheitstourismus in Deutschland. 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Basics - Tools - Cases, , Hoboken, NJ: John Wiley; (2013) Wellness-Siegel: Nur neun Siegel sind wirklich hilfreich, , https://www.test.de/Wellness-Siegel-Nur-neun-Siegel-sind-wirklich-hilfreich-4612145-0, (accessed 20 January 2016); Strauss-Blasche, G., Riedmann, B., Schobersberger, W., Ekmekcioglu, C., Riedmann, G., Waanders, R., Humpeler, E., Vacation at moderate and low altitude improves perceived health in individuals with metabolic syndrome (2004) Journal of Travel Medicine, 11 (5), pp. 300-304; Strauss-Blasche, G., Reithofer, B., Schobersberger, W., Ekmekcioglu, C., Marktl, W., Effect of vacation on health: Moderating factors of vacation outcome (2005) Journal of Travel Medicine, 12 (2), pp. 94-101; Theiss, H.D., Adam, M., Greie, S., Schobersberger, W., Humpeler, E., Franz, W.M., Increased levels of circulating progenitor cells after 1-week sojourn at moderate altitude (Austrian Moderate Altitude Study II, AMAS II) (2008) Respiratory Physiology and Neurobiology, 160 (2), pp. 232-238; Tsunetsugu, Y., Park, B., Miyazaki, Y., Trends in research related to ""Shinrin-yoku"" (taking in the forest atmosphere or forest bathing) in Japan (2010) Environmental Health and Preventive Medicine, 15 (1), pp. 27-37; Tsunetsugu, Y., Park, B.-J., Lee, J., Kagawa, T., Miyazaki, Y., Psychological relaxation effect of forest therapy - results of field experiments in 19 forests in Japan involving 228 participants (2011) Nippon Eiseigaku Zasshi (Japanese Journal of Hygiene), 66 (4), pp. 670-676; Tuominen, T., Binder, D., Dvorak, D., Husak, C., Illing, K., Lange, S., Schmidt, R., (2014) Developing a Competitive Health and Well-being Destination, , http://julkaisut.turkuamk.fi/isbn9789522165405.pdf, (accessed 20 January 2016); (2015) World Urbanization Prospects: The 2014 Revision, , New York: United Nations, Department of Economic and Social Affairs, Population Division; Vahrner, A., Strozzi, M., Mehr Gesundheit für Tirol-Urlauber - Expertenrunde (2014) Tiroler Tageszeitung, , 19 January 2014; Van den Berg, A.E., Hartig, T., Staats, H., Preference for nature in urbanized societies: Stress, restoration and the pursuit of sustainability (2007) Journal of Social Issues, 63 (1), pp. 79-96; Wall, G., Mathieson, A., (2006) Tourism: Change, Impacts and Opportunities, , Harlow, UK: Pearson Education; (2016) Welltain Destinationen, , http://www.welltain.at/_DEV/, (accessed 12 January 2016); Wilson, E., (1984) Biophilia, , Cambridge, MA: Harvard University Press; Winklmayr, M., Hartl, A., (2013) Erfassung, Analyse und Potentialabschätzung der Wirkung natürlicher Heilvorkommen in Salzburg, , Salzburg: Land Salzburg, Abteilung für Wirtschaft und Tourismus, Salzburg; Zehrer, A., Service experience and service design: Concepts and application in tourism SMEs (2009) Managing Service Quality: An International Journal, 19 (3), pp. 332-349","Steckenbauer, G.C.; Business Department, IMC University of Applied SciencesAustria",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85020310266 "Shabaninejad H., Gorgi H.A., Ziaee Niri A.","56047947500;57196258057;57194574169;","Ranking the effective factors in attracting health tourists in Tehran: Application of multi-criteria decision-making model",2016,"Journal of Biology and Today's World","5","11",,"203","208",,1,"10.15412/J.JBTW.01051103","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020892521&doi=10.15412%2fJ.JBTW.01051103&partnerID=40&md5=f9b93d51243270f50d67f4008256db65","Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran","Shabaninejad, H., Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Gorgi, H.A., Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Ziaee Niri, A., Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran","Health tourism is rapidly emerging as a symbol of international trade in health care. The present study was aimed to identify and prioritize the effective factors in attracting health tourists in Tehran province by multi-criteria decision-making model. The present study is a descriptive research which was carried out in a cross-sectional method in 2016 in two stages. In the first stage, the factors affecting the attraction of health tourism were identified with reviewing the studies. And in the second stage, the identified effective factors were ranked, which was carried out using the Analytic Hierarchy Process. In order to collect the required data, a paired comparison questionnaire was employed. The reliability of questionnaire was confirmed according to the inconsistency rate which was 0.02. Expert Choice 11.0 was employed to analyze and weight the factors. After the factors were weighted, they were prioritized based on their assigned weights. The results of the present study showed that all of the participants believed that quality with a weight of 0.223, patient-centered areas with a weight of 0.106, and appropriate time with a weight of 0.100 were ranked first to third. According to the results of the present study, it can be concluded that quality of the delivered services is the most important criteria in absorbing health tourists in the province and even in the country. © 2016 Hosein Shabaninejad et al.","AHP; Health tourism; Iran; Multi-criteria decision-making; Prioritizing",,,,,,,,,"Izadi, M., Saadat, S.H., Ayoubian, A., Dehaghi, Z.H., Karbasi, M.R., Jalali, A.R., Health tourism in Iran; identifying obstacles for development of this industry (2014) International Journal of Travel Medicine and Global Health, 1 (2), pp. 89-94; Chou, S.Y., Kiser, A.I., Rodriguez, E.L., An expectation confirmation perspective of medical tourism (2012) Journal of Service Science Research, 4 (2), pp. 299-318; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Smith, R., Álvarez, M.M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2), pp. 276-282; Pan, T.-J., Chen, W.-C., Chinese medical tourists-Their perceptions of Taiwan (2014) Tourism Management, 44, pp. 108-112; Yap, J., Medical tourism and Singapore (2007) International Hospital Federation Reference Book, pp. 25-26; Darwazeh, D., (2011) Medical Tourism: Establishing a Sustainable Medical Facility; Palvia, S., Global outsourcing of IT and IT enabled services: A relationship framework and a two stage model for selecting a vendor (2007) Managing Global Information Technology: Strategies and Challenges, pp. 433-458; Sack, C., Scherag, A., Lütkes, P., Günther, W., Jöckel, K.-H., Holtmann, G., Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37 000 patients treated by 73 hospitals (2011) International Journal for Quality in Health Care, 23 (3), pp. 278-283; Morovati Sharifabadi, A., Asadian Ardakani, F., A model for health tourism development using fuzzy TOPSIS and interpretive structural modeling in Yazd province (2014) Journal of Health Administration, 17 (55), pp. 73-88; Altin, M.M., Singal, M., Kara, D., (2011) Consumer Decision Components for Medical Tourism: A Stakeholder Approach; Sharifabadi, A.M., Ardakani, F.A., Appling VIKOR Fuzzy Method to Rank Media in terms of their Attention to Various Fields of Tourism (2014) Global Media Journal: Persian Edition, 9 (1); Delgoshaei, B., Ravaghi, H., Abolhassani, N., Importance-Performance analysis of medical tourism in Tehran province from medical tourists and medical services providers' perspective (2012) Journal of Hospital, 11 (1), pp. 63-72; Vali, L., Tabatabaee, S.S., Kalhor, R., Amini, S., Kiaei, M.Z., Analysis of Productivity Improvement Act for Clinical Staff Working in the Health System: A Qualitative Study (2016) Global Journal of Health Science, 8 (2), p. 106; Tabrizi, J., Gharibi, F., Systematic survey of accreditation models for designing a national model (2011) Scientific Journal of Kurdistan University of Medical Sciences, 16 (3), pp. 95-109; Lagiewski, R., Myers, W., (2008) Medical Tourism: Perspectives and Applications for Destination Development; Keshavarz, A., Keshavarz, M.N., Afrozi, M., Kakemam, E., Khodayari, Z.R., Kalhor, R., Attracting Medical Tourists by Qazvin’s Hospitals In: Joint Commission International Approach; Khodayari, R., Tourani, S., Qaderi, A., Salehi, M., Jafari, H., Capabilities assessing of teaching hospitals in Iran University of medical sciences in attracting medical tourists according to JCI patient-oriented standards (2011) Journal of Hospital, 9 (3), pp. 51-56; Jerome, M., (2007) Refining the Medical Tourism Market and Delivery System; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201; Sultani, A., Hadavi, M., Heydari, S., Shahabinezhad, M., Barriers to Patient Education Based on the Viewpoints of Nurses and Nurse Managers in Hospitals of Rafsanjan University of Medical Sciences, 2008 (2013) Journal of Rafsanjan University of Medical Sciences, 12 (4), pp. 309-318; Kazemi, Z., (2007) Study of Effective Factors for Attracting Medical Tourist in Iran. Research Paper Requirements for the MS Degree, , Lulea University of Technology, Netherlands; Ayoubian, A., Tourani, S., Dehaghi, Z.H., Medical tourism attraction of Tehran hospitals (2014) International Journal of Travel Medicine and Global Health, 1 (2), pp. 95-98; Mai, T.V., Systems thinking approach as a unique tool for sustainable tourism development: A case study in the Cat Ba Biosphere Reserve of Vietnam (2010) Proceedings of the 54Th Annual Meeting of the ISSS-2010, , Waterloo, Canada; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Izadi, M., Ayoobian, A., Nasiri, T., Joneidi, N., Fazel, M., Hosseinpourfard, M., Situation of health tourism in Iran opportunity or threat (2012) Journal Mil Med, 14 (2), pp. 69-75","Ziaee Niri, A.; Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, No 6, Rashid Yasemi st., Vali-e-asr Ave, Iran; email: mziaee2000@gmail.com",,,"Lexis Publisher",,,,,24765376,,,,"English","J. Biol. Today's World",Article,"Final",,Scopus,2-s2.0-85020892521 "Phua K.-L.","35877142200;","The promotion of cross-border medical tourism in developing countries: Economic growth at the expense of healthcare system efficiency and cost containment?",2016,"Open Public Health Journal","9",,,"98","105",,1,"10.2174/1874944501609010098","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85008419315&doi=10.2174%2f1874944501609010098&partnerID=40&md5=0111e45c828b329d729ef3c79c30ec45","School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor 46150, Malaysia","Phua, K.-L., School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor 46150, Malaysia","Background: More and more developing nations are promoting cross-border medical tourism as a way to enhance economic growth. Major destinations for medical tourism in South and Southeast Asia include India, Thailand, Malaysia and wealthy Singapore. Much has been written on the pros and cons of the growth of medical tourism for both destination and source countries. This article uses a different approach. Methodology: Examples from India, Thailand and Malaysia are used to discuss the actual and potential impact of medical tourism on healthcare system efficiency and costs. Results and Conclusions: Based on the experience of these three countries, it is argued that the promotion of cross-border medical tourism to enhance economic growth is likely to be at the expense of national healthcare system efficiency as it goes directly against cost containment strategies and measures. © Kai-Lit Phua; Licensee Bentham Open.","Access to healthcare; Cost containment; Healthcare system efficiency; Medical tourism","advertising; Article; developing country; economic development; government regulation; health care cost; health care facility; health care quality; health service; human; medical tourism; priority journal; technology",,,,,,,,"Phua, K.L., Cross-border medical tourism: A typology and agenda for research in the South-East Asian region (2008) ASEAN J Hospitality Tourism, 7 (2), pp. 169-177; (2016), http://www.mhtc.org.my/en/mission-vision-background.aspx, About us. No date, cited; (2002) Technical Report of the Director-General of Health, , Putrajaya, Malaysia: Ministry of Health; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Glob Soc Policy, 10 (3), pp. 336-357. , http://dx.doi.org/10.1177/1468018110379978; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376 (9742), pp. 671-672. , http://dx.doi.org/10.1016/S0140-6736(10)61320-7; Naranong, A., Naranong, V., The effects of medical tourism: Thailands experience (2011) Bull World Health Organ, 89 (5), pp. 336-344. , http://dx.doi.org/10.2471/BLT.09.072249; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 12, p. 7. , http://dx.doi.org/10.1186/1744-8603-7-12; Lee, C.V., Balaban, V., Medical Tourism Centers for Disease Control and Prevention, , http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-2-the-pre-travel-consultation/medical-tourism2013, Retrieved 2016 Sept 26; Chokrungvaranont, P., Selvaggi, G., Jindarak, S., The development of sex reassignment surgery in Thailand: A social perspective (2014) Scientific World J, 2014. , http://dx.doi.org/10.1155/2014/182981; Cetron, M., Demicco, F.J., (2006) Club Medic. 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New York Times, , http://www.nytimes.com/2013/09/22/sunday-review/isthisa-hospital-or-a-hotel.html?_r=02013, Sept 13, Retrieved 2016 Sept 26; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bull World Health Organ, 85 (3), pp. 164-165. , http://dx.doi.org/10.2471/BLT.07.010307; Ferrinho, P., Van Lerberghe, W., Fronteira, I., Hipólito, F., Biscaia, A., Dual practice in the health sector: Review of the evidence (2004) Hum Resour Health, 2 (1), p. 14. , http://www.human-resources-health.com/content/2/1/14; Medisave for Approved Overseas Hospitalization, , http://www.moh.gov.sg/content/moh_web/home/pressRoom/pressRoomItemRelease/2010/Medisave_for_Approved_Overseas_Hospitalisation.html2010, Retrieved 2016, Sept 26; Piazolo, M., Zanca, N.A., Medical tourism – a case study for the USA and India, Germany and Hungary (2011) Acta Polytech Hung, 8 (1), pp. 137-160; Garud, A.D., Medical tourism and its impact on our healthcare (2005) Natl Med J India, 18 (6), pp. 318-319; Ganguly, N.K., Arora, N.K., Chandy, S.J., Rationalizing antibiotic use to limit antibiotic resistance in India (2011) Indian J Med Res, 134, pp. 281-294; Phua, K.L., Rising health care costs: The contradictory responses of the Malaysian state (2007) Health Care in Malaysia: The Dynamics of Provision, Financing and Access, pp. 59-71. , Chee HL, Barracough S, Eds Routledge; Pachanee, C.A., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy Plan, 21 (4), pp. 310-318. , http://dx.doi.org/10.1093/heapol/czl017; Phua, K.L., Phua, K.H., (2009) Health Economics, , Pulau Pinang, Malaysia: Penerbit Universiti Sains Malaysia","Phua, K.-L.; School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, Malaysia; email: phuakl@hotmail.com",,,"Bentham Science Publishers B.V.",,,,,18749445,,,,"English","Open Public Health J.",Article,"Final",Open Access,Scopus,2-s2.0-85008419315 "Gürcü M., Tengilimoglu D.","57193754123;6507766213;","Health tourism-based destination marketing",2016,"Strategic Place Branding Methodologies and Theory for Tourist Attraction",,,,"308","331",,1,"10.4018/978-1-5225-0579-2.ch015","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014134105&doi=10.4018%2f978-1-5225-0579-2.ch015&partnerID=40&md5=51fb68c9285519df6f3c75deb6bea570","Bozok University, Turkey; Atilim University, Turkey","Gürcü, M., Bozok University, Turkey; Tengilimoglu, D., Atilim University, Turkey","Visits of people for their health caused health tourism to be created. Health tourism has a great market share in the world with a volume of 100 billion dollars. A big battle has started between companies and countries that want to get share from this market. It became necessary to be act professionally because of the competition in health tourism sector. It is very important to know the market, to determine customer requests and needs, to know the advantageous and disadvantageous of competitors and to positions itself at the correct place. It is necessary to focus on international market at health tourism process. Politicians and the government has a big role in being a destination in health tourism sector. All the factors in service process are important parts of both service quality and of branding process. © 2017, IGI Global. All rights reserved.",,,,,,,,,,"Altin, M., Singal, M., Kara, D., (2011), http://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1286&context=gradconf_hospitality, Consumer Decision Components for Medical Tourism: A Stakeholder Approach; Aydin, D., Yilmaz, C., (2011) Medikal turizm araştirmasi, , [Medical tourism research]. 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I˙taly: HVS; Vukovic, P., Cavlin, G., Cavlin, M., Complementarily in the development of rural tourism with the development of thermal baths, spa and wellness tourism (2015) Economics of Agriculture, 62 (1), pp. 259-270; (2013), http://www2.unwto.org/publication/unwto-annual-report-2012, UNWTO Annual Report 2012. Madrid: UNWTO; Yilmaz, N., Sağlikta Marka Olabiliriz [We can brand health] Timreport, , http://www.timreport.org/tr/content.asp?PID=09CDDEE4-E85C-4202-A94C-E39E40CB1C01","Gürcü, M.; Bozok UniversityTurkey",,,"IGI Global",,,,,,9781522505808; 1522505792; 9781522505792,,,"English","Strateg. Place Branding Methodol. and Theory for Tour. Attract.",Book Chapter,"Final",,Scopus,2-s2.0-85014134105 "Zhang J., Lee H.-Y.","55266463100;56101958500;","The word-of-mouth effects on the chinese customers' choice intention of medical tourism destination",2016,"Journal of Distribution Science","14","7",,"21","31",,1,"10.15722/jds.14.7.201607.21","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028087496&doi=10.15722%2fjds.14.7.201607.21&partnerID=40&md5=2800f125d8884a84617194ceda362c91","School of Global Business, Konkuk University, Seoul, South Korea; School of Management, Kyung Hee University, Seoul, South Korea","Zhang, J., School of Global Business, Konkuk University, Seoul, South Korea; Lee, H.-Y., School of Management, Kyung Hee University, Seoul, South Korea","Purpose - With globalization, medical tourism has developed as a new industry, which attracts practitioners and academics to have more interest in researches on customers' behavior. This research was to investigate empirically WOM effects on the intention of Chinese customers when they select an international medical tourism destination. Interestingly, WOM effects on their choice and decision process may vary by the extent of their severity of illness. Research design, data, and methodology - The data was collected from 1,747 potential Chinese residents in main districts of China. Moderated regression analysis was used to estimate WOM effects on Chinese customers' choice intention. Results - Results imply that WOM determinants of tie strength, credibility, and vividness do interact with medical tourism information and affect customers' intention for health care abroad. Results also reveal that the severity of illness plays a critical moderating role in customers' decision process. Conclusions - WOM and the severity of illness are important moderators for Chinese customers to make a decision for medical tourism. It provides some implications for service organizations for developing and implementing marketing strategies in international health care markets.","Credibility; Destination choice intention; Medical tourism information; Severity of illness; Tie strength; Vividness",,,,,,,,,"Adams, E.K., Houchens, R., Wright, G.E., Robbins, J., Predicting hospital choice for rural medicare beneficiaries: the role of severity of illness (1991) Health Service Research, 26 (5), pp. 583-612; Argan, M., Word-of-Mouth (WOM) as a tool of health communication: A case study of Turkey (2012) Journal of Society for Development in New Net Environment in B & H, 6 (1), pp. 216-221; Arndt, J., Role of product-related conversations in the diffusion of a new product (1967) Journal of Marketing Research, 4 (3), pp. 291-295; Aronson, E., Turner, J.A., Carlsmith, J.M., Communication credibility and communication discrepancy as determinants of opinion change (1963) Journal of Abnormal and Social Psychology, 67 (1), pp. 31-36; Babakus, E., Mangold, W.G., Adapting the SERVQUAL scale to hospital services: An empirical investigation (1992) Health Services Research, 26 (6), pp. 767-786; Bansal, H.S., Voyer, P.A., Word-of-Mouth process within a services purchase decision context (2000) Journal of Service Research, 3 (2), pp. 166-177; Berkowitz, E.N., Flexner, W., The market for health services: Is there a non-traditional consumer? 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Distribution Science",Article,"Final",Open Access,Scopus,2-s2.0-85028087496 "Sarwar A., Yong Gun Fie D., Mhd Sarif S., Nikhshemi S.R.","55390247500;57189364686;57189358439;57189373070;","On the ethics of medical tourism: An examination of patients' perspectives",2016,"Iranian Journal of Public Health","45","5",,"688","689",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84969813043&partnerID=40&md5=df0cdb9aba58a0121488e0cbc8daee56","Faculty of Management, Multimedia University, Cyberjaya, Selangor 63100, Malaysia; Faculty of Economics & Management Sciences, International Islamic University MalaysiaSelangor, Malaysia; Dept. of Marketing, Sunway Business SchoolSelangor, Malaysia","Sarwar, A., Faculty of Management, Multimedia University, Cyberjaya, Selangor 63100, Malaysia; Yong Gun Fie, D., Faculty of Management, Multimedia University, Cyberjaya, Selangor 63100, Malaysia; Mhd Sarif, S., Faculty of Economics & Management Sciences, International Islamic University MalaysiaSelangor, Malaysia; Nikhshemi, S.R., Dept. of Marketing, Sunway Business SchoolSelangor, Malaysia",[No abstract available],,,,,,,,,,"Flanigan, B.E., (2009) Medical Tourism – Consumers in Search of Value, , http://medicaltourisminturkey.org/panel/Panel1/3Deloitte.pdf, Available from; Sankaranarayanan, G., Medical tourism is becoming a common form of vacationing (2005) Express Healthcare Management, , http://www.expresshealthcaremgmt.com/20050315/medicaltourism02.shtml, Mar 1–15. Available from; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape Gen Med, 9 (4), p. 33; Sarwar, A., Medical Tourism in Malaysia: Prospect and Challenges (2013) Iran J Public Health, 42 (8), pp. 795-805; Crooks, V.A., Turner, L., Cohen, I.G., Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of Canadian health and safety representatives’ perspectives (2013) BMJ Open, p. 3; Padma, P., Rajendran, C., Sai, L.P., A conceptual framework of service quality in healthcare Perspectives of Indian patients and their attendants (2009) Benchmarking Int J, 16 (2), pp. 157-191; Carman, K.L., Dardess, P., Maurer, M., Sofaer, S., Adams, K., Bechtel, C., Sweeney, J., Patient and Family Engagement: A Framework for Understanding the Elements and Developing Interventions and Policies (2013) Health Aff, 32 (2), pp. 223-231; Naranong, A., Naranong, V., The effects of medical tourism: Thailand’s experience (2011) B World Health Organ, 89, pp. 336-344; Bernabeo, E., Holmboe, E.S., Patients, Providers, and Systems Need to Acquire a Specific Set of Competencies to Achieve Truly PatientCentered Care (2013) Health Aff, 32 (2), pp. 250-258","Sarwar, A.; Faculty of Management, Multimedia UniversityMalaysia; email: sunabdullah@gmail.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English",,Letter,"Final",,Scopus,2-s2.0-84969813043 "Mutalib N.S.A., Ming L.C., Yee S.M., Wong P.L., Soh Y.C.","57191253463;55745857500;57191261084;57191250825;56396269300;","Medical tourism: Ethics, risks and benefits",2016,"Indian Journal of Pharmaceutical Education and Research","50","2",,"261","270",,1,"10.5530/ijper.50.2.6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84988378014&doi=10.5530%2fijper.50.2.6&partnerID=40&md5=a91b79d7a05a861099647f1f62339a32","Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia; Vector-borne Diseases Research Group (VERDI), Pharmaceutical and Life Sciences CoRe, Universiti Teknologi MARASelangor, Malaysia; Department of Pharmacy Practice, Faculty of Pharmacy and Allied Health Sciences, SEGi UniversitySelangor, Malaysia","Mutalib, N.S.A., Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia; Ming, L.C., Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia, Vector-borne Diseases Research Group (VERDI), Pharmaceutical and Life Sciences CoRe, Universiti Teknologi MARASelangor, Malaysia; Yee, S.M., Department of Pharmacy Practice, Faculty of Pharmacy and Allied Health Sciences, SEGi UniversitySelangor, Malaysia; Wong, P.L., Department of Pharmacy Practice, Faculty of Pharmacy and Allied Health Sciences, SEGi UniversitySelangor, Malaysia; Soh, Y.C., Department of Pharmacy Practice, Faculty of Pharmacy, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia","Background: Despite of the global increase of medical tourism, there is no review done to examine the motivation leads to the practice of medical tourism, opportunities and risks with the practice of medical tourism and the ethical issue of medical tourism. Objectives: This review aims to highlight the issues associated with medical tourism and its facilitators and barriers by evaluating literature of the development and types of medical tourism in these countries. Methodology: We reviewed the relevant articles that were searched using Embase, Medline, Pub Med and CINAHL databases. Risks and benefits as well as ethical issues emerged from the practice of medical tourism were identified. Results: Pull factors that make patients having medical treatment, therapy and services abroad are language familiarity, the need for privacy, quality, bioethical legislation, food, cultural and tourist attractions at their destination. Affluent medical tourists from countries such as Indonesia, Brunei, Singapore and Bangladesh also are likely to practise medical tourism for both purpose of cheaper and reliable medical therapy and tourist vacation. Thus, the countries that have certain attractions associated with cheaper healthcare cost will be the most preferred place for them to practise medical tourism. Conclusion: This review can be useful for the patients who want to practise medical tourism, for nations which has already practised medical tourism to improve their quality in medical tourism and aware of ethical concerns that arise from this practice, as well as for the references of the countries which want to practice medical tourism in the future. © 2016, Association of Pharmaceutical Teachers of India. All rights reserved.","Access and evaluation; Cross-border medical tourism; Health care quality; Hospital care; Medical tourism; Push and pull factors","Bangladesh; Brunei Darussalam; Cinahl; Embase; ethics; health care cost; health care quality; hospital care; human; Indonesia; language; law; medical tourism; Medline; privacy; Singapore; systematic review",,,,,"Universiti Teknologi MARA, UiTM","This work was supported by LESTARI Grant Scheme: 600-RMI/DANA 5/3/LESTARI (42/2015). The authors would like to express their gratitude to Ministry of Higher Education and Universiti Teknologi MARA, Malaysia for financial support for this research. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.",,"Johnston, R., Crooks, V.A., Ormond, M., Policy implications of medical tourism development in destination countries: Revisiting and revising an existing framework by examining the case of Jamaica (2015) Global Health., 11 (1), p. 29; Chen, L.H., Wilson, M.E., Medical tourism (2015) J Travel Med., 22 (3), p. 218; Leggat, P., Medical tourism (2015) Aust Fam Physician., 44 (1), pp. 16-21; Connell, J., From medical tourism to transnational health care? 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Pharm. Educ. Res.",Article,"Final",,Scopus,2-s2.0-84988378014 "Loh C.-P.A.","26032610200;","Response to ""critically reflecting on Loh's ""trends and structural shifts in health tourism""""",2016,"Social Science and Medicine","152",,,"190","192",,1,"10.1016/j.socscimed.2016.01.003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958114866&doi=10.1016%2fj.socscimed.2016.01.003&partnerID=40&md5=82af3b15cba8a3a4d700a400d76ddfd2","Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, United States","Loh, C.-P.A., Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, United States",[No abstract available],,"Canada; emergency care; health care cost; health care planning; health care quality; health promotion; health service; human; medical procedures; medical tourism; Note; structure analysis; travel; trend study; wellbeing; medical tourism; season; statistics and numerical data; Humans; Medical Tourism; Seasons",,,,,,,,"Crooks, V.A., Johnston, R., Labonte, R., Snyder, J., Critically reflecting on Loh's ""Trends and structural shifts in health tourism"" (2016) Soc. Sci. Med. Forthcom.; Glauser, W., Private clinics continue explosive growth (2011) CMAJ May 17, 2011, 183 (8). , First published March 28, 2011; Karsenty, G., (2001) International trade in services statistics and trade in health services, , WTO, Geneva; Lautier, M., Export of health services from developing countries: the case of Tunisia (2008) Soc. Sci. Med., 67, pp. 101-110; Lautier, M., International trade of health services: global trends and local impact (2014) Health Policy, 118 (1), pp. 105-113; Lett, D., Private health clinics remain unregulated in most of Canada (2008) CMAJ April. 8, 2008, 178, pp. 986-987; Loh, C.-P.A., Health tourism on the rise? evidence from the balance of payments statistics (2014) Eur. J. Health Econ., 15 (7), pp. 759-766; Loh, C.-P.A., Trends and structural shifts in health tourism: evidence from seasonal time-series data on health-related travel spending by Canada during 1970-2010 (2015) Soc. Sci. Med., 132, pp. 173-180","Loh, C.-P.A.; Department of Economics and Geography, Coggin College of Business, University of North Florida, 1 UNF Drive, United States; email: cloh@unf.edu",,,"Elsevier Ltd",,,,,02779536,,SSMDE,"26809704","English","Soc. Sci. Med.",Note,"Final",,Scopus,2-s2.0-84958114866 "Kim H.J., Yang N.Y.","57158718300;56912754100;","The impacts of medical tourism coordinators’ job characteristics and job burnout on job satisfaction",2016,"International Journal of Bio-Science and Bio-Technology","8","1",,"85","94",,1,"10.14257/ijbsbt.2016.8.1.08","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84960090827&doi=10.14257%2fijbsbt.2016.8.1.08&partnerID=40&md5=b83c8482db9e1ff18effadca736d611a","Konyang University, Graduate School, Nursing Department, Daejeon, South Korea; Konyang University, Nursing Dept, Daejeon, South Korea","Kim, H.J., Konyang University, Graduate School, Nursing Department, Daejeon, South Korea; Yang, N.Y., Konyang University, Nursing Dept, Daejeon, South Korea","This study was conducted to identify differences in job characteristics, and levels of job burnout and job satisfaction of medical tourism coordinators. It also aimed to discover a relationship among variables, and to identify impacting factors on job satisfaction. 102 subjects participated in this study. They were employees at domestic medical organizations which are officially certified to treat overseas patients in South Korea. The findings of this study were as follows. The mean scores were 3.84 out of 5 for job characteristics, 2.98 out of 7 for job burnout, and 3.46 out of 5 for job satisfaction. The levels of medical tourism coordinators’ job burnout (p=.042) and satisfaction (p=.039) were discovered to be different according to their work locations. However, job characteristics did not differ according to general characteristics. In this study, a positive correlation between job characteristics and job satisfaction (p=.008) along with a negative correlation between job burnout and job satisfaction (p<.001) was discovered. Moreover, it was found that job characteristics and burnout were impacting factors on job satisfaction accounting for 38.4% of job satisfaction. Thus, it is important not only to define job characteristics more clearly through job analysis, but also to analyze the factors likely to result in job burnout in order to increase job satisfaction. © 2016 SERSC.","Coordinator; Job burnout; Job characteristics; Job satisfaction; Medical tourism",,,,,,,,,"http://www.cdc.gov/features/medicaltourism/; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; You, S.G., (2013) A Study on the Factors Influencing the Professionalism of Medical Tourism Employees: A Case of Medical Tour Coordinator, , Unpublished master’s thesis, Hanyang University, Seoul; Kwak, D.Y., A Study on the Transfer of Medical Tourism Coordinator Training: Focused on the Moderating Effects of Organizational Climate Factors (2012) International Journal of Tourism and Hospital Research, 26 (1), pp. 267-283; Chung, H.O., A Study on plans for the education of specialists and Required Manpower in Medical Tourism (2011) Journal of Tourism Sciences, 35 (6), pp. 205-228; http://www.q-net.or.kr/crf005.do?id=crf00505&gSite=Q&gId=&jmCd=9105&tabGbn=1; http://www.law.go.kr/lsInfoP.do?lsiSeq=164223&efYd=20141121#0000; An, H.G., Park, D.H., Jang, B.J., An Exploratory Study on the Curriculum Development for Medical Tourism Experts (2011) Northeast Asia Tourism Research, 7 (4), pp. 169-185; Kim, H.J., Yang, N.Y., The Correlation between Medical Tourism Coordinators’ Job Characteristics, Job Burnout and Job Satisfaction (2015) Proceedings of the 8thInternational Workshop Series: Healthcare and Nursing, pp. 88-92. , December 14-16, Jeju, South Korea; Han, Y.J., (2014) The Effects of Work Environment on Job Stress and Job Satisfaction in the Medical Tourism Staff, , Unpublished doctoral thesis, Kosin University, Busan; In, S.H., Nam, M.H., Chung, K.I., Mediating Effects of Intrinsic Job Motivation on the Relationship between the Psychological Capital and Organizational Commitment in the Medical Tourism Corporations (2014) International Journal of Tourism and Hospitality Research, 28 (7), pp. 87-101; Faul, F., Erdfelder, E., Buchner, A., Lang, A.G., Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses (2009) Behavior Research Methods, 41, pp. 1149-1160; Na, J.E., (2013) The Impact of Job Characteristics Factors of a Medical Tourism Coordinator on Job Involvement, Job Burnout and Emotional Labor, , Unpublished master’s thesis, Kyunghee University, Seoul; Hackman, J.R., Oldham, G.R., (1980) Work Redesign, , Addison-Wesley Publishing Company, Reading, Massachusetts; Choi, H.Y., (2002) Perfectionism Tendency, Social Support, and Burnout among Counselors, , Unpublished master’s thesis, The Catholic University, Bucheon; Maslach, C., Jackson, S.E., (1981) Maslach Burnout Inventory: Research Edition, , manual, Consulting Psychologists Press, Palo Alto, California; Oh, S.J., (2009) A Study on Care-Givers’ Job Satisfaction at Long-Term Nursing Homes-Centering on Guri and Namyangju, , Unpublished master’s thesis, Kyungwon University, Seongnam; Lee, S.J., (1994) (A) Study on Social Worker’s Job Satisfaction, , Unpublished master’s thesis, Ewha Womans University, Seoul; Smith, P.C., Kendall, L.M., Hulin, C.L., (1969) Measurement of Satisfaction in Work and Retirement: A Strategy for the Study of Attitudes, , Rand McNally & Co, Chicago; Kim, H.D., Kim, J.W., Cho, Y.J., A Study on the Relationship of Job characteristics, Job involvement, and Self-efficacy of Employees in Domestic corporations (2014) Journal of Corporate Education, 16 (1), pp. 101-127; Kang, N.H., (2013) (A) Mediator Effect of Self-Efficacy in the Association between Job Stress and Burnout among General Hospital Nurses, , Unpublished master’s thesis, Korea University, Seoul; Hamaideh, S.H., Burnout, social support, and job satisfaction among Jordanian mental health nurses (2011) Issues in Mental Health Nursing, 32 (4), pp. 234-242; Klopper, H.C., Coetzee, S.K., Pretorius, R., Bester, P., Practice environment, job satisfaction and burnout of critical care nurses in South Africa (2012) Journal of Nursing Management, 20 (5), pp. 685-695; Xie, Z., Wang, A., Chen, B., Nurse burnout and its association with occupational stress in a cross-sectional study in Shanghai (2011) Journal of Advanced Nursing, 67 (7), pp. 1537-1546; Jung, Y.H., (2010) A Role of Hospital Coordinator in Primary Health Clinic: Dentistry, Plastic Surgery, Oriental Medical and Dermatologic Clinic, , Unpublished master’s thesis, Catholic University of Pusan, Busan; Choi, S.Y., (2014) Job Satisfaction, Job Workload, and Importance among Cancer Clinical Research Coordinators, , Unpublished master’s thesis, Ewha Womans University, Seoul","Yang, N.Y.; Konyang University, Nursing DeptSouth Korea; email: nyyang@konyang.ac.kr",,,"Science and Engineering Research Support Society",,,,,22337849,,,,"English","Int. J. Bio-Sci. Bio-Technol.",Article,"Final",,Scopus,2-s2.0-84960090827 "Laddi A., Bhardwaj V., Kapoor N., Pankaj D., Kumar A.","55241674700;57188864418;57195513619;14023125200;55658018900;","Unobtrusive head gesture based directional control system for patient mobility cart",2016,"Proceedings of 2015 International Conference on Signal Processing, Computing and Control, ISPCC 2015",,, 7375032,"236","240",,1,"10.1109/ISPCC.2015.7375032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963976845&doi=10.1109%2fISPCC.2015.7375032&partnerID=40&md5=8fdeacf777d39960f8459a7a49dae54b","Biomedical Instrumentation Division, CSIR-Central Scientific Instruments Organisation, Chandigarh, India","Laddi, A., Biomedical Instrumentation Division, CSIR-Central Scientific Instruments Organisation, Chandigarh, India; Bhardwaj, V., Biomedical Instrumentation Division, CSIR-Central Scientific Instruments Organisation, Chandigarh, India; Kapoor, N., Biomedical Instrumentation Division, CSIR-Central Scientific Instruments Organisation, Chandigarh, India; Pankaj, D., Biomedical Instrumentation Division, CSIR-Central Scientific Instruments Organisation, Chandigarh, India; Kumar, A., Biomedical Instrumentation Division, CSIR-Central Scientific Instruments Organisation, Chandigarh, India","This work is based upon the design and development of novel technique which involves real-time identification of the head gestures using camera. The system incorporates a unique directional control system for maneuvering patient cart based upon the commands generated by head gestures. The work involved design and development of customized patient cart, camera arm attached along with camera, and tablet computer. The gesture detection was done by face alignment technique developed using regression based supervised learning method. The algorithm efficiently detects roll, and pitch under unconstraint conditions such as natural head movements and variable illuminations which avoid any loss of performance and sensitivity. The system is unobtrusive in nature as the patient cart is controlled by using normal head gestures only with a remotely fixed camera at a distance from the subject. Ultrasonic sensors based collision warning detection was also incorporated for safety purposes. The system is tested in laboratory environment and its performance was found to be excellent and most helpful for the effective empowerment of quadriplegic patients who want to maneuver their mobility cart themselves by head gestures only. © 2015 IEEE.","camera; head gestures; supervised learning; unobtrusive","Cameras; Control systems; Medical computing; Supervised learning; Ultrasonic applications; Design and Development; Directional control; Head gestures; Laboratory environment; Real-time identification; Supervised learning methods; unobtrusive; Variable illumination; Signal processing",,,,,,,,"Kondori, F.A., Yousefi, S., Liu, L., Li, H., Head operated electric wheelchair Image Analysis and Interpretation (SSIAI), 2014 IEEE Southwest Symposium on, pp. 53-56; Hu, Z.F., Li, L., Luo, Y., Zhang, Y., Wei, X., A novel intelligent wheelchair control approach based on head gesture recognition (2010) International Conference on Computer Application and System Modeling (ICCASMA 2010); Ramirez, E.J.R., Hu, H., Maier, K.M., Head movements based control of an intelligent wheelchair in an indoor enviroment (2012) Proceedings of the 2012 IEEE International Conference on Robotics and Biomimetics, , December 11-14 Guangzhou, China; Xiong, X., De La Torre, F., Supervised descent method and its applications to face alignment (2013) Computer Vision and Pattern Recognition (CVPR), 2013 IEEE Conference on, , IEEE; Cao, X., Wei, Y., Wen, F., Sun, J., Face alignment by explicit shape regression (2012) Computer Vision and Pattern Recognition (CVPR), 2012 IEEE Conference on, , IEEE; Ren, S., Cao, X., Wei, Y., Sun, J., Face alignment at 3000 fps via regressing local binary features (2014) Proc. IEEE Conf. CVPR, pp. 1685-1692; Bradski, G., (2000) The OpenCV Library, , Dr. Dobb's Journal of Software Tools",,"Kumar P.Saini D.S.","Jaypee Group;Jaypee University of Information Technology (JUIT)","Institute of Electrical and Electronics Engineers Inc.","International Conference on Signal Processing, Computing and Control, ISPCC 2015","24 September 2015 through 26 September 2015",,119002,,9781479984367,,,"English","Proc. Int. Conf. Signal Process., Comput. Control, ISPCC",Conference Paper,"Final",,Scopus,2-s2.0-84963976845 "Karvunis Yu.A., Kapilevich L.V.","57193309254;7003343275;","General cultural competence building at sport and health tourism sessions",2016,"Teoriya i Praktika Fizicheskoy Kultury",,"6",,"89","90",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041314747&partnerID=40&md5=51e9e73952d535b9379418ff1df5c3d6","National Research Tomsk State University, Tomsk, Russian Federation; National Research Tomsk Polytechnic University, Tomsk, Russian Federation","Karvunis, Yu.A., National Research Tomsk State University, Tomsk, Russian Federation; Kapilevich, L.V., National Research Tomsk State University, Tomsk, Russian Federation, National Research Tomsk Polytechnic University, Tomsk, Russian Federation","Sport and health tourism sessions are an important factor in the formation of general cultural competences of students. This form of recreation is most effective in building such significant general cultural competences as knowledge of local history and the basics of life safety. Of great importance is also overall physical development, environmental and patriotic education.","Competences; Recreation; Sport and health tourism",,,,,,,,,"Karvunis, Yu.A., Status and prospects of development of active tourism among youth (2014) Teoriya i Praktika Fiz. Kultury, (10), pp. 62-64. , Yu.A. Karvunis, L.V. Kapilevich; Karvunis, Yu.A., Specificity of health and fitness and recreational programs in children's and youth tourism system (2016) Teoriya i Praktika Fiz. Kultury, (2), pp. 87-89. , Yu.A. Karvunis, L.V. Kapilevich; Shil'ko, V.G., Physical education of students through organization of public amateur forms of university physical culture and sports activities (2011) Teoriya i Praktika Fiz. Kultury, (4), pp. 25-27. , V.G. Shil'ko, N.L. Guseva; Shil'ko, V.G., Pedagogical technologies of physical culture and sports activities of students (2014) Teoriya i Praktika Fiz. Kultury, (11), pp. 52-53. , Shil'ko V.G., Shil'ko T.A., Guseva N.L. V.G. Shil'ko, T.A. Shil'ko, N.L. Guseva; Brown-Leonardi, C., Reindeer champions: Culture, rituals and training race reindeer (2016) Polar Record, , Jan; Humphreys, C., Understanding how sporting characteristics and behaviours influence destination selection: A grounded theory study of golf tourism (2014) Journal of Sport and Tourism, 19 (1), pp. 29-54; Kulczycki, C., Halpenny, E.A., Sport cycling tourists' setting preferences, appraisals and attachments (2014) Journal of Sport and Tourism, 19 (2), pp. 169-197; Hea, Y., Zhaoa, R., Duana, S., Jina, M., Intuitionistic fuzzy number: An application to a scenic tourist satisfacation evaluation (2016) Journal of Difference Equations and Applications, , Jan",,,,"Teoriya i praktika fizicheskoy kul'tury i sporta",,,,,00403601,,,,"Russian","Teor. Prakt. Fiz. Kult.",Article,"Final",,Scopus,2-s2.0-85041314747 "Zienkiewicz T., Zczynska K.G., Zienkiewicz E.","56117038900;57200109818;56118423700;","Opportunities for development of health tourism in Lublin province [Mozliwości rozwoju turystyki uzdrowiskowej w województwie lubelskim]",2016,"Annales Universitatis Mariae Curie-Sklodowska. Sectio B","71","2",,"139","152",,1,"10.17951/b.2016.71.2.139","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85039737241&doi=10.17951%2fb.2016.71.2.139&partnerID=40&md5=cd83ee273a5289642376d21ca0efc8d3","Zaklad Geografii Społeczno-Ekonomicznej, Wydział Nauk O Ziemi I Gospodarki Przestrzennej, Uniwersytet Marii Curie-Skłodowskiej, Al. Kraśnicka 2cd, Lublin, 20-718, Poland; Klinika Neurologii Dzieciȩcej, Katedra Pediatrii, Uniwersytet Medyczny W Lublinie, Lublin, 20-093, Poland","Zienkiewicz, T., Zaklad Geografii Społeczno-Ekonomicznej, Wydział Nauk O Ziemi I Gospodarki Przestrzennej, Uniwersytet Marii Curie-Skłodowskiej, Al. Kraśnicka 2cd, Lublin, 20-718, Poland; Zczynska, K.G., Zaklad Geografii Społeczno-Ekonomicznej, Wydział Nauk O Ziemi I Gospodarki Przestrzennej, Uniwersytet Marii Curie-Skłodowskiej, Al. Kraśnicka 2cd, Lublin, 20-718, Poland; Zienkiewicz, E., Klinika Neurologii Dzieciȩcej, Katedra Pediatrii, Uniwersytet Medyczny W Lublinie, Lublin, 20-093, Poland","The aim of the study is to present a quantitative analysis of the current development and forecasts of development of the spa tourism in the province of Lublin. The results of the research indicate significant changes in the dynamics of the analyzed characteristics thus clearly indicating the growing interest in spa tourism in the region of Lublin. The authors point to the need of developing the medicinal-service base and the need to prepare a plan for promoting the region in terms of spa tourism.","Development dynamics; Lublin province; Spa tourism","development strategy; forecasting method; medicine; quantitative analysis; recreational facility; tourism development; tourism management; tourist attraction; Lubelskie; Lublin; Poland [Central Europe]",,,,,,,,"Bak, I., Szczecinska, B., Ocena atrakcyjnosci turystycznej województw w Polsce (2015) Folia Pomeranae Universitatis Technologia Stetinensis, 317 (78), pp. 5-16; (2013) Aktywnosć Fizyczna Polaków, , CBOS, Fundacja Centrum Badania Opinii Społecznej, Warszawa; Gaworecki, W., (2003) Turystyka, , PWE, Warszawa; (2014) Zdrowie I Zachowanie Zdrowotne Mieszkanców Polski W sWietle Europejskiego Ankietowego Badania Zdrowia (EHIS) 2014 R., Główny Urzad Statystyczny, , GUS, Warszawa; (2016) Turystyka W 2015 R., Informacje I Opracowania Statystyczne, , GUS, Główny Urzad Statystyczny, Warszawa; (2016) Zdrowie I Ochrona Zdrowia, , http://swaid.stat.gov.pl, GUS, (GUS). Pobrano 1.10.2016 z lokalizacji Lecznictwo Uzdrowiskowe; Jagusiewicz, A., (2001) Funkcje Turystyczne Uzdrowisk Polskich, , Instytut Turystyki, Warszawa; Januszek, M., (2017) Aktualnosci Turystyczne.pl, , http//aktualnosciturystyczne.pl/uzdrowiska/nizinny-kurort-bez-zadcia, Polska Organizacja Turystyczna). Pobrano 4.11.2016 z lokalizacji Nizinny kurort bez zadecia; Krasinski, Z., Kondycja turystyki uzdrowiskowej w Polsce a reformy społeczne w 1999 (1999) Rozwój Usług Turystycznych U Progu XXI Wieku, , w: G. Gołembski (red.), Wyd. AE, Poznan; (2017) Spełnianie Wymogów Okreslonych Dla Uzdrowisk, , NIK, Najwyzsza Izba Kontroli, Warszawa; Starzynska, W., (2007) Statystyka Praktyczna, , PWN, Warszawa; Szamborski, Z., (1978) Turystyka Zdrowotna Uzdrowiskowa Jako Istotny Element Odnowy Sił Człowieka, (6). , Zeszyty Naukowe Instytutu Turystyki; Tucki, A., Hadzik, A., (2013) Analiza Mozliwosci Rozwoju Turystyki Zdrowotnej W Województwie Lubelskim W Kontekscie Zidentyfikowanej Inteligentnej Specjalizacji Regionu W Dziedzinie Usług Medycznych I Prozdrowotnych, , Urzad Marszałkowski Województwa Lubelskiego w Lublinie, Perfekta info, Lublin; Ustawa z dnia 28 lipca 2005 r. o lecznictwie uzdrowiskowym, uzdrowiskach i obszarach ochrony uzdrowiskowej oraz gminach uzdrowiskowych (Dz.U. 2005 nr 167, poz. 1399, z pózn. Zm); Wolski, J., Turystyka zdrowotna a uzdrowiska europejskich krajów socjalistycznych (1970) Problemy Uzdrowiskowe, (5), pp. 1-165",,,,"Wydawnictwo Uniwersytetu Marii Curie-Sklodowskiej w Lublinie",,,,,01371983,,,,"Polish","Ann. Univ. Mariae Curie-Sklodowska Sect. B",Article,"Final",Open Access,Scopus,2-s2.0-85039737241 "Cavazza M., Fenech L., Lega F.","57194196592;6507703447;57193164709;","Developing medical tourism [Sviluppare il turismo sanitario]",2016,"Mecosan","24","99",,"125","129",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019096931&partnerID=40&md5=c0d0cdfc2fa5532008452b0bbaf01697","CERGAS, Bocconi, Italy","Cavazza, M., CERGAS, Bocconi, Italy; Fenech, L., CERGAS, Bocconi, Italy; Lega, F., CERGAS, Bocconi, Italy",[No abstract available],,,,,,,,,,,,,,"FrancoAngeli s.r.l.",,,,,11216921,,,,"English; Italian","Mecosan",Article,"Final",,Scopus,2-s2.0-85019096931 "Karvunis Yu.A., Kapilevich L.V.","57193309254;7003343275;","General cultural competence building at Sport and health tourism sessions",2016,"Teoriya i Praktika Fizicheskoy Kultury","2016","4",,"","",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85015896008&partnerID=40&md5=16430ae2b70e54e051be20e8c22e128b","National Research Tomsk State University, Tomsk, Russian Federation; National Research Tomsk Polytechnic University, Tomsk, Russian Federation","Karvunis, Yu.A., National Research Tomsk State University, Tomsk, Russian Federation; Kapilevich, L.V., National Research Tomsk State University, Tomsk, Russian Federation, National Research Tomsk Polytechnic University, Tomsk, Russian Federation","Sport and health tourism sessions are an important factor in the formation of general cultural competences of students. This form of recreation is most effective in building such significant general cultural competences as knowledge of local history and the fundamentals of health and safety. Of great importance is also overall physical development, environmental and patriotic education.","Competences; Recreation; Sport and health tourism",,,,,,,,,"Karvunis, Yu.A., Status and prospects of development of active tourism among youth (2014) Teoriya i Praktika Fiz. Kultury, (10), pp. 62-64. , Yu. A. Karvunis, L. V. Kapilevich; Karvunis, Yu.A., Specificity of health and fitness and recreational programs in children's and youth tourism system (2016) Teoriya i Praktika Fiz. Kultury, (2), pp. 87-89. , Yu. A. Karvunis, L. V. Kapilevich; Shil'ko, V.G., Physical education of students through organization of public amateur forms of university physical culture and sports activities (2011) Teoriya i Praktika Fiz. Kultury, (4), pp. 25-27. , V. G. Shil'ko, N. L. Guseva; Shil'ko, V.G., Pedagogical technologies of physical culture and sports activities of students (2014) Teoriya i Praktika Fiz. Kultury, 11, pp. 52-53. , Shil'ko V. G., Shil'ko T. A., Guseva N. L., V. G. Shil'ko, T. A. Shil'ko, N. L. Guseva; Brown-Leonardi, C., Reindeer champions: Culture, rituals and training race reindeer (2016) Polar Record, , Jan; Humphreys, C., Understanding how sporting characteristics and behaviours influence destination selection: A grounded theory study of golf tourism (2014) Journal of Sport and Tourism, 19 (1), pp. 29-54; Kulczycki, C., Halpenny, E.A., Sport cycling tourists' setting preferences, appraisals and attachments (2014) Journal of Sport and Tourism, 19 (2), pp. 169-197; Hea, Y., Zhaoa, R., Duana, S., Jina, M., Intuitionistic fuzzy number: An application to a scenic tourist satisfacation evaluation (2016) Journal of Difference Equations and Applications, , Jan","Kapilevich, L.V.",,,"Teoriya i Praktika Fizicheskoi Kul'tury",,,,,00403601,,,,"English","Teor. Prakt. Fiz. Kult.",Article,"Final",,Scopus,2-s2.0-85015896008 "Motaghi S.","57193340608;","Effective factors on development of health tourism (Case study: Fars Province)",2016,"Research Journal of Applied Sciences","11","11",,"1275","1279",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013074578&partnerID=40&md5=4c349fe9dae1985a69b3954449fd1c80","Department of Economics, Payame Noor University, Tehran, Iran","Motaghi, S., Department of Economics, Payame Noor University, Tehran, Iran","Health tourism is a branch of Industrial tourism. Health tourism provides medical services and makes it necessary to observe basic principles of tourism. Therefore, attention to health and medical infrastructures along with tourism industry infrastructures are of great importance as the secondary attractions; specifically in the regions with the health tourism in their development plans. Iran is among noteworthy regions with the ability to compete with other countries such as the Persian Gulf countries, because of its relative advantages in the treatment, whether natural (hot springs, mud, medical plants, pleasant climate, etc.) or unnatural (medication and treatment). This point is more serious and requires more profound studies and attention in some specific areas of the country (including Fars Province), since they possess more potentials in this regard. Therefore, in this study, Fars Province has been concentrated and investigated. The result of the study revealed a close and meaningful relationship between the province economic and social infrastructures as well as macro planning and management and its health tourism development. © Medwell Journals, 2016.","Areas; Country; Fars Province; Health tourism; Socio-economic infrastructures",,,,,,,,,"Ali, R., (2011) Principles and Basics of Tourism, , 2nd Edn., University of Tehran, Tehran, Iran; Amini, A., (2012) Geomorphology of Fars Province, , Ferdowsi University of Mashhad, Mashhad, Iran; Edward, (2007) Psychology of Tourism, , Tehran International Book Fair, Tehran, Iran; Kazemi, M., (2006) Tourism Management, , SAMT Publications, Tehran; Rahnamai, M.T., (2008) The Process of Tourism Planning in Iran, , 4th Edn., SAMT Publications, Tehran, Iran; Rezvani, M.R., (2009) Research Methodologies in Iran Geography, , SAMT Publications, Tehran, Iran; Vali, Z., (2007) An Introduction to Health Tourism, , Shahid Beheshti University, Tehran, Iran","Motaghi, S.; Department of Economics, Payame Noor UniversityIran",,,"Medwell Journals",,,,,1815932X,,,,"English","Res. J. Appl. Sci.",Article,"Final",,Scopus,2-s2.0-85013074578 "Karvunis Y.A., Kapilevich L.V.","57193309254;7003343275;","Basics of sport and health tourism: Optional school course effi-Ciency rating",2016,"Teoriya i Praktika Fizicheskoy Kultury","2016-January","12",,"87","88",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85012931538&partnerID=40&md5=fc42bbc5901dec29048c3c45da9d3f31","National Research Tomsk State University, Tomsk, Russian Federation; National Research Tomsk Polytechnic University, Tomsk, Russian Federation","Karvunis, Y.A., National Research Tomsk State University, Tomsk, Russian Federation; Kapilevich, L.V., National Research Tomsk State University, Tomsk, Russian Federation, National Research Tomsk Polytechnic University, Tomsk, Russian Federation","Objective of the study was to analyze the school children's involvement in different sport and health tourism projects prior to and after the relevant optional school courses. Subject to the study were 240 (128 boys and 112 girls) 5-7-graders from 10 schools (7 urban and 3 rural schools) in the Siberian Region. The study was performed in a few stages in the school years of 2014/2015 and 2015/2016. Comparative analysis of the degrees of the pupils' involvement in different sport and health tourism projects prior to and after the relevant optional school courses showed the optional courses being quite effective. It should be noted that there is a certain correlation of the degrees of the children's involvement in and interest to the tourism-related activity with the relevant interests in their families induced by the children. The short-term optional courses of tourism basics were found to encourage further interest of the pupils to advanced tourism-related education..","Recreation; School children; Sport and health tourism",,,,,,,,,"Kalashnikova, T.V., Krakovetskaya, I.V., Danilova, N.E., Physical culture and sport industry development management: Financial perspective (2016) Teoriya i Praktika Fizicheskoy Kultury, (2), pp. 100-103; Kalashnikova, T.V., Selevich, T.S., Krakovetskaya, I.V., Llysheva, N.N., Danilova, N.E., Russian sport economy: Challenges and contradictions (2015) Teoriya i Praktika Fizicheskoy Kultury, (8), pp. 43-45; Karvunls, J.A., Kapilevich, L.V., State and prospects of development of active tourism among youth of Tomsk region (2014) Teoriya i Praktika Fizicheskoy Kultury, (10), pp. 62-65; Karvunis, J.A., Kapilevich, L.V., Active tourism as promising form of recreation for students on vacation (2015) Teoriya i Praktika Fizicheskoy Kultury, (11); Karvunis, J.A., Kapilevich, L.V., Specificity of fitness and recreational programs in children and youth tourism (2016) Teoriya i Praktika Fizicheskoy Kultury, (2), pp. 86-87; Neretina, T.G., Orekhova, T.F., Ovsyannikova, E.A., Klevesenkova, S.V., Students' health and recreation tourism promotion experience (2016) Teoriya i Praktika Fizicheskoy Kultury, (8), pp. 41-43",,,,"Teoriya i Praktika Fizicheskoi Kul'tury",,,,,00403601,,,,"Russian","Teor. Prakt. Fiz. Kult.",Article,"Final",,Scopus,2-s2.0-85012931538 "Malyshev A.A., Khodasevich L.S., Maznichenko M.A., Romanov S.M.","57193224580;7004194854;57000384900;56999993800;","Integration of educational and sports technologies in youth wellness tourism",2016,"European Journal of Contemporary Education","18","4",,"452","463",,1,"10.13187/ejced.2016.18.452","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011866944&doi=10.13187%2fejced.2016.18.452&partnerID=40&md5=f8c7d14813bae568cb852c93b7fc57f6","Sochi State University, Russian Federation","Malyshev, A.A., Sochi State University, Russian Federation; Khodasevich, L.S., Sochi State University, Russian Federation; Maznichenko, M.A., Sochi State University, Russian Federation; Romanov, S.M., Sochi State University, Russian Federation","The article reveals the potential of the youth tourism, addressing a number of problems of higher education: formation of a general cultural competence, preservation and strengthening of students' health, enhancing educational progress, motivating the physical self-improvement, contributing to the formation of healthy lifestyle values and developing social adaptation skills. The need to integrate these tasks with educational, sports, medical and biological technologies is scientifically grounded. The application of sports and wellness tourism in the educational potential of curricular and extracurricular activities of the University was developed as a theoretical model. This work describes the progress and results of its experimental testing. The results show that the sports and wellness tourism practices in higher educational establishments (on the basis of integration of educational, sports, medical and biological technologies) contribute to the formation of a general cultural competence, improve students' health, increase their fitness and motivate the physical self-improvement, as well as contribute to the development of physical qualities, in both men and women. © 2016 by Academic Publishing House.","Educational potential of sports and wellness tourism; Higher education; Sports and wellness tourism",,,,,,,,,"Allaste, A.A., Lagerspetz, M., Recreational drug use in Estonia: The context of club culture (2002) Contemporary Drug Problems, 29 (1), p. 183; Boeva, A.V., Zimin, L.A., Semenov, A.V., Characteristics of mortality in Irkutsk from external causes of certain diseases and the intake of ethyl alcohol (2013) Byulleten' Vostochno-Sibirskogo nauchnogo tsentra Sibirskogo otdeleniya Rossiiskoi akademii meditsinskikh nauk, 91, pp. 140-143. , 3-1, [in Russian]; Dartau, L.A., Health management students in education and educational environment of high school (2010) Zdorov'esberegayushchee obrazovanie, 4, pp. 85-89. , [in Russian]; Dolgikh, V.V., Smirnov, E.L., Kulesh, D.V., Shoyko S.V.Abashin, N.N., Korovin S.A.Lebedeva, L.N., Cherkashina, A.G., Health youth of premilitary age: analysis of current trends (based on Siberia) (2013) Vestnik Rossiiskoi voenno-meditsinskoi akademii, 42 (2), pp. 148-151. , [in Russian]; Fedotov, Y.N., Vostokov, I.E., (2003) Sports tourism, , Moscow: Soviet Sport [in Russian]; Gaptar, V.M., Model Biennial sessions of sports and health tourism, with the athletes, beginners (2014) Vestnik Chelyabinskogo gosudarstvennogo universiteta, 13 (342). Obrazovanie i zdravookhranenie, 4, pp. 87-93. , [in Russian]; Hadland, S.E., Kerr, T., Li, K., Montaner, E., Access to drug and alcohol treatment among a cohort of street-involved youth (2009) Drug and Alcohol Dependenct, 101 (1), pp. 1-7; Kobylyatskaya, I.A., Osykin, A.S., Shkatova, E.Y., Condition student youth health (2015) Uspekhi sovremennogo estestvoznaniya, 5, pp. 74-75. , [in Russian]; Kotova, G.N., Incidence of psychoevjtional stress in youth medium (2007) European Journal of Natural History, 3, pp. 97-98; Kozlov, A.I., Questions sports tourism, as an integral part of domestic tourism. Proceedings of the All-Russian scientific-practical conference with international participation ""Physical culture, sport and tourism: scientific and methodological support"" (2014) Permian, pp. 155-157. , [in Russian]; Kuzmenyuk, G.F., (2010) Improving the organization of prevention of substance use among students, , Author's Abstract of Cand. Diss. Moscow [in Russian]; Ignatiev, M.A., Ignatiev, A.M., (2007) Organizational and regulatory framework of tourism: a teaching aid for students FFK, , Cheboksary: GOU VPO CSPU [in Russian]; Malashenkova, M.I., System of mass sports rehabilitation and use of the recreational potential of a mountain climatic resort: Abstract (2009) Dis. Dr. biol. sciences, , Moscow [in Russian]; Pashin, A.A., Formation of the valuable relation to health in physical education students: Abstract (2012) Dis. Dr. ped. sciences., , Moscow [in Russian]; Pecoraro, A., Woody, G.E., Fishman, M., Ma M.Piralishvili, G., Pharmacologically assisted treatment of opioid dependent youth (2013) Paediatric Drugs, 15 (6), pp. 449-458; Popov, V.A., Verbetsky, A.S., Substance students. Terminology apparatus (2014) Molodoi uchenyi, 2, pp. 832-834. , [in Russian]; Pozdeyeva, L.V., Improvement of physical education university students (2008) Vysshee obrazovanie segodnya, 5, pp. 110-112. , [in Russian]; Proskuryakova, L.A., Zinchuk, S.F., Analysis of morbidity and disability student youth over a ten-year period (2012) Zdravookhranenie Rossiiskoi Federatsii, 2, pp. 42-44. , [in Russian]; Pugachev, I.Y., Dutov, S.Y., Osmanov, E.M., Prevalence of tobacco use among different population groups and ways of its prevention (2012) Vestnik Tambovskogo universiteta. Seriya: Estestvennye i tekhnicheskie nauki, 17 (2), pp. 791-796. , [in Russian]; Romanovsky, S.K., Motor activity as a basic condition for maintaining and strengthening the health of today's students with disabilities in health (2015) Vestnik sportivnoi nauki, 3, pp. 58-62. , [in Russian]; Shafii, M., Shafii, S.L., School violence, depression, and suicide (2003) Journal of Applied Psychoanalytic Studies, 5 (2), pp. 155-169; Zaretsky, V.V., Bulatnikov, A.N., Voronin, M., Yu Zaretskaya, L.V., Kalabalin, A.S., Kirilina N.K.Tolkachev, O.A., Morozov, V.V., Potemkin, G.A., Formation of socially-responsible behavior in children and youth (2008) Prevention of deviant and additive behavior among children and youth in institutions of higher, secondary and elementary education, , Moscow, APKiPPRO [in Russian]; Weinstock, H., Berman, S., Cates, W., Jr., Sexually transmitted diseases among American youth incidence and prevalence estimates 2000. Perspective on Sexual? (2004) Reproductive Health, 36 (1), p. 6","Malyshev, A.A.; Sochi State UniversityRussian Federation; email: andreysport83@rambler.ru",,,"Academic Publishing House Researcher",,,,,23049650,,,,"English","Eur. J. Contemp. Educ.",Article,"Final",Open Access,Scopus,2-s2.0-85011866944 "Karpov A.","57208423051;","Health care inequality, patient mobility and welfare",2016,"Economics Bulletin","36","2",,"1000","1009",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983347755&partnerID=40&md5=42039444ecec769eeb4bbaab2c714a2d","National Research University Higher School of Economics, Russian Federation","Karpov, A., National Research University Higher School of Economics, Russian Federation","This paper justifies unequal health care quality in a model with two regions and patients differentiated by location and quality perception. There are two efficient regimes of health care quality provision. In the presence of high travel and quality provision costs, qualities should be equal. Reducing these costs results in unequal distribution of quality in effective solution. High health care inequality under a centralised solution is better for the majority of the population as well as for both regions, if the costs are sufficiently low. Market equilibrium implements an efficient solution only when there are high travel and quality provision costs.",,,,,,,,,,"Aiura, H., Inter-regional competition and quality in hospital care (2013) The European Journal of Health Economics, 14, pp. 515-526; Balia, S., Brau, R., Marrocu, E., Free patient mobility is not a free lunch. Lessons from a decentralised NHS (2014), http://crenos.unica.it/crenos/sites/default/files/WP%2014-09.pdf, Working Paper CRENoS. 2014/09. Accessed 21 January 2016; Bardey, D., Canta, C., Lozachmeur, J.-M., The regulation of health care providers' payments when horizontal and vertical differentiation matter (2012) Journal of Health Economics, 31, pp. 691-704; Beitia, A., Hospital quality choice and market structure in a regulated duopoly (2003) Journal of Health Economics, 22, pp. 1011-1036; Brekke, K.R., Cellini, R., Siciliani, L., Straumee, O.R., Competition and quality in health care markets: A differential-game approach (2010) Journal of Health Economics, 29, pp. 508-523; Brekke, K.R., Siciliani, L., Straume, O.R., Price and quality in spatial competition (2010) Regional Science and Urban Economics, 40, pp. 471-480; Brekke, K.R., Siciliani, L., Straume, O.R., Hospital Competition with Soft Budgets (2015) Scandinavian Journal of Economics, 117, pp. 1019-1048; Brekke, K.R., Levaggi, R., Siciliani, L., Straume, O.R., Patient mobility, health care quality and welfare (2014) Journal of Economic Behavior and Organization, 105, pp. 140-157; Brekke, K.R., Nuscheler, R., Straume, O.R., Quality and Location Choices under Price Regulation (2006) Journal of Economics & Management Strategy, 15, pp. 207-227; Chioveanu, I., Price and quality competition (2012) Journal of Economics, 107, pp. 23-44; d'Aspremont, C., Jaskold Gabszewicz, J., Thisse, J.-F., On Hotelling's ""Stability in Competition (1979) Econometrica, 47, pp. 1145-1150; Dranove, D., Health Care Markets, Regulators, and Certifiers (2012) Handbook of Health Economics, 2, pp. 639-690; Dubovik, A., Janssen, M.C.W., Oligopolistic competition in price and quality (2012) Games and Economic Behavior, 75, pp. 120-138; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the market for medical travel (2008), The McKinsey Quarterly, May; Gravelle, H., Masiero, G., Quality incentives in a regulated market with imperfect information and switching costs: Capitation in general practice (2000) Journal of Health Economics, 19, pp. 1067-1088; Herr, A., Quality and Welfare in a Mixed Duopoly with Regulated Prices: The Case of a Public and a Private Hospital (2011) German Economic Review, 12, pp. 422-437; Levaggi, R., Montefiori, M., Patient selection in a mixed oligopoly market for health care: the role of the soft budget constraint (2013) International Review of Economics, 60, pp. 49-70; Ma, C.A., Burgess, J.F., Jr., Quality competition, welfare and regulation (1993) Journal of Economics, 58, pp. 153-173; Montefiori, M., Spatial competition for quality in the market for hospital care (2005) The European Journal of Health Economics, 6, pp. 131-135; Sanjo, Y., Quality choice in a health care market: a mixed duopoly approach (2009) The European Journal of Health Economics, 10, pp. 207-215; Toth, F., How health care regionalisation in Italy is widening the North-South gap (2014) Health Economics, Policy and Law, 9, pp. 231-249","Karpov, A.; National Research University Higher School of EconomicsRussian Federation; email: akarpov@hse.ru",,,"Economics Bulletin",,,,,15452921,,,,"English","Econ. Bull.",Article,"Final",,Scopus,2-s2.0-84983347755 "Canestrino R., Magliocca P., Nigro C.","55565239100;57190391948;14048880900;","Understanding medical tourism within the field of neo-institutionalism: An ethical insight",2016,"International Journal of Environment and Health","8","1",,"76","99",,1,"10.1504/IJENVH.2016.077659","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979650429&doi=10.1504%2fIJENVH.2016.077659&partnerID=40&md5=4b31412f6e15eb4a76d4a466ae10d7db","Business Management - SECS-P/08, DISAQ - 'Parthenope' University of Naples, Naples, 80132, Italy; Business Management - SECS-P/08, University of Foggia, Foggia, 71121, Italy","Canestrino, R., Business Management - SECS-P/08, DISAQ - 'Parthenope' University of Naples, Naples, 80132, Italy; Magliocca, P., Business Management - SECS-P/08, University of Foggia, Foggia, 71121, Italy; Nigro, C., Business Management - SECS-P/08, University of Foggia, Foggia, 71121, Italy","Medical Tourism (MT) has increased in recent years, since a large number of patients from worldwide have travelled to other countries to receive medical cares. This tendency poses deep ethical dilemmas with reference to both the respect of human rights and the unequal distribution of healthcare resources between the rich and the poor. According to the above-mentioned considerations, our paper aims at exploring the ethical concerns of MT and of its social sustainability, as well. In doing this, the neo-institutionalist perspective has been adopted to understand the phenomenon. The proposed paper is theoretical one: it reviews relevant health and medical tourism literature, crossing it with the main contributions belonging to the neo-institutionalism. The adoption of a neo-institutional perspective provides scholars for a new framework that has never been used before, to investigate MT. © 2016 Inderscience Enterprises Ltd.","Ethical insights; Medical tourism; Neo-institutionalism; Normative institutional framework; Social sustainability; Symbolic institutional framework","adoption; human; medical tourism; theoretical model",,,,,,,,"Ackerman, S., Plastic paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry (2010) Medical Anthropology, 29, pp. 403-423; Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Promotion social responsibility amongst health care users: Medical tourists perspectives on an information sheet regarding ethical concerns in medical tourism (2013) Philosophy, Ethics, and Humanities in Medicine, 8, p. 19; Annadurai, K., Danasekaran, R., Mani, G., Euthanasia: Right to die with dignity (2014) Journal of Family Medicine and Primary Care, 3 (4), p. 477; Arellano, A., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37, pp. 193-198; Arellano, A., Medical tourism in the Caribbean (2011) Signs, 36, pp. 289-297; Bass, D., Kidneys for cash and egg safaris e can we allow 'transplant tourism to flourish in South Africa? (2005) South African Medical Journal, 95, pp. 42-44; Beckstead, A.L., Morrow, S.L., Mormon clients experiences of conversion therapy: The need for a new treatment approach (2004) The Counseling Psychologist, 32, pp. 651-690; Bileskyjuly, D., Serbia becomes a hub for sex-change surgery (2012) Policy on Cross Border Reproductive Services, IFSW, Geneva, (2008). , http://www.ifsw.org/en/p38001484.html, The New York Times Blyth, E. and Auffrey, M Accessed 24 October, 2009; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York; Bramstedt, K.A., Xu, J., Checklist: Passport, plane ticket, organ transplant (2007) American Journal of Transplantation, 7, pp. 1698-1701; Bristow, R., Yang, W.T., Lu, M.T., An application of the global sustainable tourism criteria in health tourism (2010) Proceedings of the 2009 Northeastern Recreation Research Symposium, US Department of Agriculture, Forest Service, Northern Research Station, Newtown Square, PA, 104, pp. 97-104. , http://www.nrs.fs.fed.us/pubs/gtr/gtr_nrs-p66.pdf#page; Burns, L.B., Medical tourism opportunities and challenges: Illustration from US-India trade (2015) International Journal of Healthcare Management, 8 (1), pp. 15-26; Burns, L.R., (2014) India's Healthcare Industry: Innovation in Delivery, Financing, and Manufacturing, , Cambridge University Press; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82, pp. 1658-1661; Canestrino, R., Business ethics and firms internationalization processes. The impact of culture on 'ethical gap (2007) IACCM Conference Cross-Cultural Life of Social Values, pp. 18-19. , May, Rotterdam; Canestrino, R., Magliocca, P., Nigro, C., Drivers and implications of medical tourism: A neo-institutional perspective (2015) Sinergie - The Italian Journal of Management, 33 (97), pp. 271-289; Carolillo, G., Mastroberardino, P., Nigro, C., The 2007 financial crisis: Strategic actors and processes of construction of a concrete system (2011) Journal of Management and Governance, 17 (2), pp. 453-489; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmaco Economics and Outcomes Research, 6 (4), pp. 447-454; Chee, H.L., Ownership, control, and contention: Challenges for the future of healthcare in Malaysia (2008) Social Science and Medicine, 66 (10), pp. 2145-2156; Chiu, R., Social equity in housing in the Hong Kong special administrative region: A social sustainability perspective (2002) Sustainable Development, 10 (3), pp. 155-162; Chiu, R., Social sustainability and sustainable housing (2003) Housing and Social Change: East, West Perspectives, pp. 221-239. , Forrest, R. and Lee, J Routledge London, New York; Chuang, T.C., Liu, J.S., Lu, L.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, 45, pp. 49-58; Cohen, G., Transplant tourism: The ethics and regulation of international markets for organs (2013) The Journal of Law, Medicine and Ethics, 41 (1), pp. 269-285. , Spring; Cohen, J., Wasemael, Y.V., Smets, T., Bilsen, J., Deliens, L., Cultural differences affecting euthanasia practice in Belgium: One law but different attitudes and practices in Flanders and Wallonia (2012) Social Science and Medicine, 75 (5), pp. 845-853. , September; Connell, J., Medical tourism: Sea, sun, sand and... Surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13. , February; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Crooks, V.A., Snyder, J., Medical tourism: What Canadian family doctors should know (2011) Canadian Family Physician, 57, pp. E151-E153; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? 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A scoping review (2010) International Journal for Equity in Health, 9, p. 24; Jones, S.L., Yarhouse, M.A., (2007) Ex-Gay? a Longitudinal Study of Religiously Mediated Change in Sexual Orientation, , Intervarsity Press, Downer' s Grove, IL; Kopson, M.S., Medical tourism: Implications for providers and plans (2010) Journal of Health and Life Sciences Law, 3 (2), pp. 147-165. , January; Laws, E., Health tourism: A business opportunity approach (1996) Health and the International Tourist, pp. 199-214. , Clift, S. and Page, S.J Routledge: London and New York; Lee, C.G., Health care and tourism: Evidence from Singapore (2010) Tourism Management, 31, pp. 486-488; Lee, C.G., Hung, W.T., Tourism, health and income in Singapore (2010) International Journal of Tourism Research, 12, pp. 355-359; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 1 (66), pp. 27-32; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2014) Medical Tourism: Treatments Market and Health System Implications, 2010. , http://www.oecd.org/els/health-systems/48723982.pdf, A Scoping Review, OECD, Directorate for Employment, Labour and Social Affairs 25 August; Major, R.W.L., Paying kidney donors: Time to follow Iran? (2008) McGill Journal of Medicine, 11, pp. 67-69; March, J.G., Olsen, J.P., (2005) Elaborating the New Institutionalism, (11). , Arena; Martin, J., Siehl, C., Organizational culture and counterculture: An uneasy symbiosis (1983) Organizational Dynamics, 12 (2), pp. 52-64; Martin, J., Sitkin, S., Bohem, M., Founders and the elusiveness of a cultural legacy (1985) Organizational Culture: The Meaning of Life in the Workplace, , Frost, P., Moore, L., Louis, M., Lundberg, C. and Martin, J Sage, Beverly Hills; Martin, L., Reproductive tourism in the age of globalization (2009) Globalizations, 6 (2), pp. 249-263; Martin, L.J., The world's not ready for this: Globalizing selective technologies (2014) Science, Technology & Human Values, 39 (3), pp. 432-455; Materstvedt, L.J., Clark, D., Ellershaw, J., Forde, R., Gravgaard, A.M., Müller-Busch, H.C., Porta Sales, J., I, Rapin, C.H., Euthanasia and physician-assisted suicide: A view from an EAPC Ethics Task Force (2003) Palliative Medicine, 17, pp. 97-101. , March; Merion, R.M., Barnes, A.D., Lin, M., Ashby, V.B., Mcbride, V., Ortiz-Rios, E., Welch, J.C., Burdick, J., Transplants in foreign countries among patients removed from the US transplant waiting list (2008) American Journal of Transplantation, 8, pp. 988-996; Meyer, J.W., Rowan, B., Institutional organizations: Formal structure as myth and ceremony (1977) American Journal of Sociology, 83, pp. 340-363; Nguyen, H., (2009) Medical Tourism: A Global Opportunity, , LSU in English 2000; Palattiyil, G., Blyth, E., Sidhva, D., Balakrishnan, G., Globalization and cross-border reproductive services: Ethical implications of surrogacy in India for social work (2010) International Social Work, 53 (5), pp. 686-700; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12 (1), p. 17; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 6 (28), pp. 337-341; Pereira, J., Legalizing euthanasia or assisted suicide: The illusion of safeguards and controls (2011) Curr. Oncol, 18, pp. 38-45; Petilli, A., Dèttore, D., Montano, A., Flebus, G.B., Religione e omosessualità: Uno studio empirico sull'omofobia interiorizzata e di persone omosessuali in funzione del grado di religiosità (2015) Progetto Gionata, , https://gionata.files.wordpress.com/2015/01/studio_arianna_petilli_religione_cattolica_e_omosessualita.pdf; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (1), p. 1; Pollard, K., The Medical Tourism Numbers Game (2011) Part 2, , www.imtj.com/articles/2011/blogmedical-toursim-nmbers-game-part-two-401; Ramamonjiarivelo, Z., Martin David, S., Martin, W.S., The determinants of medical tourism intentions: Applying the theory of planned behavior (2015) Health Marketing Quarterly, 32 (2), pp. 165-179; Ramesh, M., Xun, W., Realigning public and private health care in Southeast Asia (2008) The Pacific Review, 21 (2), pp. 171-187; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92, pp. 1433-1446; Robertson, D.C., Business ethics across cultures (2002) The Handbook of Cross-Cultural Management, , Gannon, M.J. and Newman, K. L Blakwell Business, Oxford; Robertson, J.A., Causative and beneficial complicity in the embryonic stem cell debate (2004) Connecticut Law Review, 65, p. 105; Rodriguez, C., (2014) Will Belgium's Legalized Child Euthanasia Trigger, , www.forbes.com/sites/ceciliarodriguez/2014/03/06/2378; Sachs, I., Social sustainability and whole development (1999) Sustainability and the Social Sciences, pp. 25-36. , Becker, E. and Jahn, T Zed Books and UNESCO, New York; Sanmartin, C., Gendron, F., Berthelot, J., Murphy, K., (2004) Access to Health Care Services in Canada, 2003. , Catalogue No. 82-575-XIE, Statistics Canada, Ottawa; Sengupta, A., Medical tourism: Reverse subsidy for the elite (2011) Signs, 36, pp. 312-319; Sharma, A., (2008) Entre Drafting Surrogacy Legislation, 2008. , http://timesofindia.indiatimes.com/articleshow/3344597.cms, Accessed 25 September; Shondell Miller, D., Gonzalez, C., When death is the destination: The business of death tourism-despite legal and social implications (2013) International Journal of Culture, 7 (3), pp. 293-306. , Tourism and Hospitality Research; Shroff, S., Legal and ethical aspects of organ donation and transplantation (2009) Ndian Journal of Urology: IJU: Journal of the Urological Society of India, 25 (3), p. 348; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, , Butterworth-Heinemann, Routledge, London; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The 'patient's physician one-step removed: The evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Sobo, E.J., Medical travel: What it means, why it matters (2009) Medical Anthropology, 28 (4), pp. 326-335; Stajkovic, A.D., Luthans, F., Differential effects of incentive motivators on work performance (2001) Academy of Management Journal, 44, pp. 580-590; Steele, S., Worswick, D., Destination death: A review of Australian legal regulation around international travel to end life (2013) Journal of Law and Medicine, 21 (2), pp. 415-428; Terry, N., The politics of health law: Under-regulated health care phenomena in a flat world: Medical tourism and outsourcing (2007) Western New England Law Review, 29, p. 421; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Turner, L., Cross-border dental care: 'Dental tourism' and patient mobility (2008) British Dental Journal, 204 (10), pp. 553-554. , May; Turner, L., Commercial organ transplantation in the philippines (2009) Cambridge Quarterly of Healthcare Ethics, 18 (2), pp. 192-196; Vallance, S., Perkins, H.C., Dixon, J.E., What is social sustainability? A clarification concepts (2011) Geoforum, 3 (42), pp. 342-348; Watts, J., China introduces new rules to deter human organ trade (2007) Lancet, 369, p. 11917. , 11918; Woo, E., Schwartz, Z., Towards assessing the knowledge gap in medical tourism (2014) Journal of Quality Assurance in Hospitality and Tourism, 15 (2), pp. 213-226","Canestrino, R.; Business Management - SECS-P/08, DISAQ - 'Parthenope' University of NaplesItaly; email: rossella.canestrino@uniparthenope.it",,,"Inderscience Publishers",,,,,17434955,,,,"English",,Review,"Final",Open Access,Scopus,2-s2.0-84979650429 "Ali M.M., Medhekar A.","55824632800;56939297300;","Globalization, medical travel and healthcare management in Bangladesh",2016,"Problems and Perspectives in Management","14","2",,"360","375 and 260",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84974686549&partnerID=40&md5=2f4e210f84153cadb92ee405b3b9329c","Daffodil University, Bangladesh; Central Queensland University, Australia","Ali, M.M., Daffodil University, Bangladesh; Medhekar, A., Central Queensland University, Australia","There is an increasing evidence of people from Bangladesh travelling to neighboring countries of Asia, such as India, Thailand, Malaysia and Singapore for medical treatment due to poor quality of healthcare services, high cost, and non-availability of speciality medical treatment and facilities. Medical travel is a practise where patients travel to other countries for diagnostic, pathological and complex invasive surgeries due to various push factors in their home country which prevents them for getting affordable, accessible and accredited quality of medical treatment in a timely manner, due to high cost of surgery, uninsured, long waiting period, non-availability of treatment, lack of medical facilities and proper care, lack of trained doctors and nurses, ethical and regulatory reasons, corruption and inadequate public or private medical facilities. This study is based on qualitative and quantitative analysis to examine why people are travelling from Bangladesh to India for medical treatment. Quantitative data were randomly collected from six divisional cities of Bangladesh: Dhaka, Chittagong, Sylhet, Rajshai, Barisal and Khulna and two districts Comilla and Bogra. A total of 1282 participants, out of 1450 returned the questionnaires. Data were analyzed using regression analysis. The results concluded that the pull factors that motivated Bangladeshis to travel to India for medical treatment were: low cost of surgery, qualified experienced doctors, quality of nursing care, non-availability of treatment in Bangladesh, and state of the art medical facilities and treatment in India, which concurs with the literature. © Muhammad Mahboob Ali, Anita Medhekar, 2016.","Bangladesh; Globalization; Healthcare management; India; Medical travel",,,,,,,,,"Ahmed, S.M., Hossain, M.A., Raja Chowdhury, A.M., Bhuiya, A.U., The health workforce crisis in Bangladesh: Shortage, inappropriate skill-mix and inequitable distribution (2011) Human Resources for Health, pp. 9-13; Ali, M.M., Outbound Medical Tourism: The Case of Bangladesh (2012) World Review of Business Research, 2 (4), pp. 50-70; Andaleeb, S.S., Public and private hospitals in Bangladesh: Service quality and predictors of hospital choice (2000) Health Policy and Planning, 15 (1), pp. 95-102; Blyth, E., Farrand, A., Reproductive tourism - A price worth paying for reproductive autonomy? 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(2010) Journal of Economic Issues, 44 (1), pp. 53-70; Wagner, C., Linder, R., The demand for EU cross-border care: An empirical analysis (2010) Journal of Management and Marketing in Healthcare, 3 (2), pp. 176-187; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality, 22 (5), pp. 465-491; Whittaker, A., Challenges of medical travel to global regulation: A case study of reproductive travel in Asia (2010) Global Social Policy, 10, pp. 396-415; Widdows, H., Localised Past, Globalised Future: Towards an Effective Bioethical Framework Using Examples from Population Genetics and Medical Tourism (2011) Bioethics, 25 (2), pp. 83-91; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists (2008) Asia Pacific Tourism Association (APTA) Annual Conference, , Bangkok, Thailand",,,,"LLC CPC Business Perspectives",,,,,17277051,,,,"English","Probl. Perspect. Manage.",Article,"Final",,Scopus,2-s2.0-84974686549 "Garcia-Garzon E., Zhukovsky P., Haller E., Plakolm S., Fink D., Petrova D., Mahalingam V., Menezes I.G., Ruggeri K.","57189694665;57189697356;57189694818;57189696306;57189700777;55838614800;56191960800;54420691300;54682337000;","Multilevel modeling and policy development: Guidelines and applications to medical travel",2016,"Frontiers in Psychology","7","MAY", 752,"","",,1,"10.3389/fpsyg.2016.00752","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84974665914&doi=10.3389%2ffpsyg.2016.00752&partnerID=40&md5=566606ba2c6d7156c66f7fe23d3504ab","Policy Research Group, Department of Psychology, University of Cambridge, Cambridge, United Kingdom; Departamento de Psicología Social y Metodología, Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain; Department of Psychology, Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, United Kingdom; Department of Psychology, Clinical Psychology with Focus on Psychotherapy Research, University of Zurich, Zurich, Switzerland; Unit for Paediatric and Adolescent Psychiatry, Division of Paediatrics, University Medical Centre Maribor, Maribor, Slovenia; Department of Psychology, Cognitive and Affective Neuroscience, University of Zurich, Zurich, Switzerland; Department of Experimental Psychology, Mind, Brain, and Behavior Research Center, University of Granada, Granada, Spain; Department of Psychology, University of Cambridge, Cambridge, United Kingdom; Quantitative Methods and Predictive Psychometrics, Institute of Psychology, Federal University of Bahia, Salvador, Brazil; Department of Engineering, Engineering Design Centre, University of Cambridge, Cambridge, United Kingdom","Garcia-Garzon, E., Policy Research Group, Department of Psychology, University of Cambridge, Cambridge, United Kingdom, Departamento de Psicología Social y Metodología, Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain; Zhukovsky, P., Department of Psychology, Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, United Kingdom; Haller, E., Department of Psychology, Clinical Psychology with Focus on Psychotherapy Research, University of Zurich, Zurich, Switzerland; Plakolm, S., Unit for Paediatric and Adolescent Psychiatry, Division of Paediatrics, University Medical Centre Maribor, Maribor, Slovenia; Fink, D., Department of Psychology, Cognitive and Affective Neuroscience, University of Zurich, Zurich, Switzerland; Petrova, D., Department of Experimental Psychology, Mind, Brain, and Behavior Research Center, University of Granada, Granada, Spain; Mahalingam, V., Department of Psychology, University of Cambridge, Cambridge, United Kingdom; Menezes, I.G., Quantitative Methods and Predictive Psychometrics, Institute of Psychology, Federal University of Bahia, Salvador, Brazil; Ruggeri, K., Policy Research Group, Department of Psychology, University of Cambridge, Cambridge, United Kingdom, Department of Engineering, Engineering Design Centre, University of Cambridge, Cambridge, United Kingdom","Medical travel has expanded rapidly in recent years, resulting in new markets and increased access to medical care. Whereas several studies investigated the motives of individuals seeking healthcare abroad, the conventional analytical approach is limited by substantial caveats. Classical techniques as found in the literature cannot provide sufficient insight due to the nested nature of data generated. The application of adequate analytical techniques, specifically multilevel modeling, is scarce to non-existent in the context of medical travel. This study introduces the guidelines for application of multilevel techniques in public health research by presenting an application of multilevel modeling in analyzing the decision-making patterns of potential medical travelers. Benefits and potential limitations are discussed. © 2016 Garcia-Garzon, Zhukovsky, Haller, Plakolm, Fink, Petrova, Mahalingam, Menezes and Ruggeri.","Hierarchical linear model; Medical tourism; Medical travel; Multilevel model; Policy; Policy research; Public health",,,,,,,,,"(2007) Report of the APA Task Force on Socioeconomic Status, , Washington, DC American Psychological Association; Austin, P.C., Manca, A., Zwarenstein, M., Juurlink, D.N., Stanbrook, M.B., A substantial and confusing variation exists in handling of baseline covariates in randomized controlled trials: a review of trials published in leading medical journals (2010) J. Clin. Epidemiol, 63, pp. 142-153; Austin, P.C., Tu, J.V., Alter, D.A., Comparing hierarchical modeling with traditional logistics regression analysis among patients hospitalized with acute myocardial infarction: should we be analyzing cardiovascular outcomes data differently? (2003) Am. 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Public Health, 3, p. 284","Garcia-Garzon, E.; Policy Research Group, Department of Psychology, University of CambridgeUnited Kingdom; email: egarciasalamanca@gmail.com",,,"Frontiers Research Foundation",,,,,16641078,,,,"English","Front. Psychol.",Article,"Final",Open Access,Scopus,2-s2.0-84974665914 "Renganathan R., Vijayabanu C., Sukumaran A.K.S., Srinivasakumar V., Vijayanand V.","54585765000;56962734300;55485907400;56612052500;55305510400;","Case study on the relevance of blue ocean strategy in health care and medical tourism in India",2016,"Research Journal of Pharmaceutical, Biological and Chemical Sciences","7","1",,"1103","1108",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84955316456&partnerID=40&md5=67e857fad63550a27f59b897fff54f2d","Faculty, School of Management, SASTRA University, Thanjavur, Tamil Nadu, India","Renganathan, R., Faculty, School of Management, SASTRA University, Thanjavur, Tamil Nadu, India; Vijayabanu, C., Faculty, School of Management, SASTRA University, Thanjavur, Tamil Nadu, India; Sukumaran, A.K.S., Faculty, School of Management, SASTRA University, Thanjavur, Tamil Nadu, India; Srinivasakumar, V., Faculty, School of Management, SASTRA University, Thanjavur, Tamil Nadu, India; Vijayanand, V., Faculty, School of Management, SASTRA University, Thanjavur, Tamil Nadu, India","Blue ocean strategy deals with the creation or entry of any sector/business into an untapped new arena to do business in order to maintain profit with minimum expenses, instead of competing in the already cluttered market place. In the globalized environment, service sectors are contributing phenomenally towards the economic development of any country. In India Healthcare industry is growing at a fabulous speed owing to its enormous revelation, services and mounting payments by public and private players. Health care is one of the imperative sectors in India in terms of income and employment. Medical tourism is gaining momentum in India because of its expertise, manpower, affordable cost and government policy. This case study deals with the application of Blue ocean strategy in the health sector and the development of medical tourism and various corporate hospitals in India.","Blue ocean strategy; Health care; Hospitals in India; Medical tourism; Service sector","economic development; employment; government; health care industry; hospital; India; manpower; market; medical tourism; profit; sea; velocity",,,,,,,,"Govindarajan, V., Ramamurti, R., (2012) Delivering World-Class Health Care, , Affordably, Harvard Business Review; Anvekar, S.R., Medical Tourism in India: A Strategic Approach towards Effective Branding for Health Care Services Marketing (2012) American Journal of Management, 12 (2-3), p. 109. , 2012; Deb, P.K., (2011) Marketing Medical and Health Tourism in India, 4, p. 78. , Anvesha.1 (Jan-Jun 2011); Mehra, C., Ananthakrishnan, R., (2015) 'Why free medicines can transform TB management', p. 16. , open page, THE HINDU, November, 10, 2015; Moorthy, S., (2015) 'Ajuba sees big data as next big thing for healthcare outsourcing firms', p. 15. , BusinessLine, Nov12 2015; https://www.blueoceanstrategy.com/bos-moves/novo-nordisk/; http://www.ibef.org/industry/tourism-hospitality-india.aspx; http://www.ibef.org/industry/healthcare-india.aspx; http://www.indiatvnews.com/news/india/top-10-hospitals-in-india-32095.html; http://www.hospitalinformationsystem.com/healthcare/blue-ocean-differentiate-or-die/; http://www.marketingprofs.com/ea/qst_question.asp?qstid=13173#ixzz3q7dRaSaC; http://archivehealthcare.financialexpress.com/specials/in-imaging/1118-radiology-looking-beyond-metros; http://strategyatheinz.blogspot.in/2013/11/applying-blue-ocean-in-pharma.html; http://www.ibef.org/industry/healthcare-india.aspx; http://www.ibef.org/industry/tourism-hospitality-india.aspx; http://search.proquest.com/abicomplete/docview/1722758566/fulltext/70309643634145B1PQ/15?accountid=31785, SMB World Asia (Online) Newton: Questex Media Group LLC. (Oct 18, 2015); http://archivehealthcare.financialexpress.com/201201/theyearthatwas201114.shtml; http://timesofindia.indiatimes.com/business/india-business/India-ranks-among-top-3-medical-tourism-destinations-in-Asia/articleshow/41447360.cms;; , p. 2015. , http://www.hospitalinformationsystem.com/healthcare/blue-ocean-differentiate-or-die/, June 27; http://www.allonmoney.com/health-care-cost/medical-tourism-in-india/http://www.allonmoney.com/author/ganesha10/, June 2019, 2014, Medical Tourism in India, Growth, Advantages, Disadvantages; http://www.indiamart.com/a2z-eyecare-hospital/medical-tourism-in-india.html; http://welliza.com/heart-surgeries-in-india-medical-tourism/wp-content/uploads/2015/06/Crop1.jpj-Shikhar, Saxena, June 30, 2015","Renganathan, R.; Faculty, School of Management, SASTRA UniversityIndia",,,"Research Journal of Pharmaceutical, Biological and Chemical Sciences",,,,,09758585,,,,"English","Res. J. Pharm., Biol. Chem. Sci.",Article,"Final",,Scopus,2-s2.0-84955316456 "Chen C.C., Nakayama M., Ractham P.","7501949741;7401792580;14036025900;","The impact of social influence, information quality and online forum features on the credibility of doctors and hospitals for Medical tourism services",2015,"International Journal of Healthcare Information Systems and Informatics","10","4",,"22","37",,1,"10.4018/IJHISI.2015100102","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84964607624&doi=10.4018%2fIJHISI.2015100102&partnerID=40&md5=38d8ee65db00e6c1c0338e7f5034ae89","Walker College of Business, Appalachian State University, Boone, NC, United States; College of Computing and Digital Media, DePaul University, Chicago, IL, United States; Thammasat Business School, Thammasat Universtiy, Bangkok, Thailand","Chen, C.C., Walker College of Business, Appalachian State University, Boone, NC, United States; Nakayama, M., College of Computing and Digital Media, DePaul University, Chicago, IL, United States; Ractham, P., Thammasat Business School, Thammasat Universtiy, Bangkok, Thailand","Medical tourism, especially cosmetic surgery to South Korea, is increasingly popular amongst Thai youths. Like many other youths around the world, they can obtain the relevant information from a variety ofsources, including web discussion forums. These are the mostfrequently used information sources that people use to explore the feasibility of having cosmetic surgery overseas. However, it is not empirically clear how much influence these forums have on youth, or what impact social influence, the quality of information and the forum's features (e.g., doctor information, before/after surgery pictures, clinic/hospital information, surgery information and chat rooms) have on the credibility of doctors and hospitals. This study conducted a number of field experiments and collected datafrom 233 discussion threads on top 3 online discussionforums that were ranked by 207 business school students. The results show that the reliability of web information is critical in enhancing the credibility of both doctors and hospitals. In addition, the credibility of doctors depends on the forum that is used to find information about surgery, as well as social influence. The credibility of hospitals, on the other hand, is not influenced by the social influence of a consumer's peers. Instead, their credibility is increased by the forum's use of before/after surgery pictures, clinical information and information about doctors. Future research may investigate further how different forum features and the web media can have an impact on the credibility of doctors and hospitals. Copyright © 2015, IGI Global.","Leastlikelihoodmodel (ELM); Medical tourism; Online decision-making; Online information search; Self-perception theory; Trust in online information","Behavioral research; Cosmetics; Decision making; Decision theory; Hospitals; Social networking (online); Surgery; Leastlikelihoodmodel (ELM); Medical tourism; On-line decision makings; On-line information; Online information searches; Self-perception theory; Economic and social effects",,,,,,,,"Andio Freiré, N., The emergent medical tourism: Advantages and disadvantages of the medical treatments abroad (2012) International Business Research, 5 (2), pp. 41-50; Bates, B.R., Romina, S., Ahmed, R., Hopson, D., The effect of source credibility on consumers' perceptions of the quality of health information on the Internet (2006) Informatics for Health & Social Care, 31 (1), pp. 45-52. , 16754366; Bem, D.J., Self-perception theory (1972) Advances in Experimental Social Psychology, 6. , L. 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(2007) Social Science & Medicine, 64 (9), pp. 1853-1862. , 17328998; Sirdeshmukh, D., Singh, J., Sabol, B., Consumer trust, value, and loyalty in relational exchanges (2002) Journal of Marketing, 66 (1), pp. 15-37; Smith, A.K., Health care bargains abroad (2012) Kiplinger's Personal Finance, 66 (1), pp. 65-68; Terry, N., Under-regulated healthcare phenomena in a flat world: Medical tourism and outsourcing (2007) Western New England Law Review, 29, pp. 421-472; Torpy, J.M., Burke, A.E., Golub, R.M., Health literacy (2011) Journal of the American Medical Association, 306 (10), p. 1158. , 21917587; Venkatesh, V., Morris, M.G., Davis, G.B., Davis, F.D., User acceptance of information technology: Toward a unified view (2003) Management Information Systems Quarterly, 27 (3), pp. 425-478; Yee, N., Bailenson, J.N., Ducheneaut, N., The Proteus effect implications of transformed digital self-representation on online and offline behavior (2009) Communication Research, 36 (2), pp. 285-312; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-110",,,,"IGI Global",,,,,15553396,,,,"English","Int.",Article,"Final",,Scopus,2-s2.0-84964607624 "Cooper M., Hieda M.","14032718400;57104879500;","The dark side of medical tourism? End of life choice, human trafficking, and organ transplants",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"232","244",,1,"10.4018/978-1-4666-8574-1.ch017","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957714618&doi=10.4018%2f978-1-4666-8574-1.ch017&partnerID=40&md5=db6e19c6a3972613b2bc7c7ca779b849","Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan; St Luke Clinic, Oita, Japan","Cooper, M., Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan; Hieda, M., St Luke Clinic, Oita, Japan","There are 4 principles that should govern the response of the healthcare system in its treatment of individual medical problems. These may be summarized as: 1. medical care should be accessible to all; 2. the principle of patient autonomy should govern Decision-Making; 3. medical treatment should be recognized as being part of cultural behavior; and, 4. the medical profession should support the benefit of the patient. However, the combination of these with the rising cost of healthcare and the impact of globalization, has led to a dark side for medical tourism. In this situation, both patients and physicians are faced with ethical, human security and sustainability issues. This chapter examines 3 major issues in medical tourism: end of life choice, trafficking in human bodies and body parts, and organ transplants. In the healthcare systems of many countries, these issues can also involve criminal activities. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Abidin, Z., Zainal, L., Are health professionals responsible for the shortage of organs from deceased donors in Malaysia? (2013) Transplant International, 26 (2), pp. 187-194. , PMID:23199156; Al-Khader, A.A., The Iranian transplant program: comment from an Islamic perspective (2002) Nephrology, Dialysis, Transplantation, 17 (2), pp. 213-215. , PMID:11812868; Atighetchi, D., (2007) Islamic Bioethics: Problems and Perspectives, , Amsterdam: Springer; Chugh, K.S., Jha, V., Commerce in transplantation in Third World countries (1996) Kidney International, 49 (5), pp. 1181-1186. , PMID:8731080; Chugh, K.S., Jha, V., Problems and outcomes of living unrelated donor transplants in the developing countries (2000) Kidney International, 57, pp. 131-135; Cohen, J., Ben Ami, S., Ashkenazi, T., Singer, P., Attitude of Health Care Professionals to Brain Death: Influence on the Organ Donation Process (2008) Clinical Transplantation, 22 (2), pp. 211-215. , PMID:18339141; Connell, J., Contemporary Medical Tourism: Conceptualization, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; (2008) Report of the Convention on Transplant Tourism and Organ Trafficking, , http://declarationofistanbul.org/shdexltendy/er, Retrieved from; Denier, Y., Mind the gap! Three approaches to scarcity in health care (2008) Medicine, Health Care, and Philosophy, 11 (1), pp. 73-87. , PMID:17508268; Engelhardt, H.T., Jr., The Family: Crucial to and Divisive in Bioethics (2013) International Journal of Chinese & Comparative Philosophy of Medicine, pp. 113-127; (2009) Liberty and Death: A manifesto concerning an individual's right to choose to die, , http://www.assistedsuicide.org/liberty_and_death_manifesto_right_to_die.html, Oregon: ERGO, Retrieved from; Ganzini, L., Nelson, H.D., Lee, M.A., Kraemer, D.F., Schmidt, T.A., Delorit, M.A., Oregon Physicians' Attitudes about and experiences with End-of-Life Care since passage of the Oregon Death with Dignity Act (2001) Journal of the American Medical Association, 285 (18), pp. 2363-2369. , PMID:11343484; Gawande, A., (2014) Being Mortal: Medicine and What Matters in the End, , Canada: Doubleday; Gilbertson, D.T., Liu, J., Xue, J.L., Louis, T.A., Solid, C.A., Ebben, J.P., Collins, A.J., Projecting the number of patients with end-stage renal disease in the United States to the year 2015 (2005) Journal of the American Society of Nephrology, 16 (12), pp. 3736-3741. , PMID:16267160; (1999) Organ donation and transplantation policy, , http://bdlaws.minlaw.gov.bd/bangla_pdf_part.php?id=828&vol=32&search=1999, Retrieved 21 June 2014, from; Goy, E.R., Jackson, A., Harvath, T., Miller, L.L., Delorit, M.A., Ganzini, L., (2003) Oregon hospice nurses and social workers' assessment of physician progress in palliative care over the past 5 years, , http://www.ncbi.nlm.nih.gov/pubmed/16594421, Retrieved from; Goyal, M., Mehta, R.L., Schneiderman, L.J., Sehgal, A.R., Economic and health consequences of selling a kidney in India (2002) Journal of the American Medical Association, 288 (13), pp. 1589-1593. , PMID:12350189; Hall, C.M., (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, , Ed., London: Routledge; Haustein, S.V., Sellers, M.T., Factors associated with (un)willingness to be an organ donor: Importance of public exposure and knowledge (2004) Clinical Transplantation, 18 (2), pp. 193-200. , PMID:15016135; Higgins, R., West, N., Fletcher, S., Stein, A., Lam, F., Kashi, H., Kidney transplantation in patients travelling from the UK to India or Pakistan (2003) Nephrology, Dialysis, Transplantation, 18 (4), pp. 851-852. , PMID:12637669; Hippen, B., Preventive measures may not reduce the demand for kidney transplantation. There is reason to suppose this is not the case (2006) Kidney International, 70 (3), pp. 606-607. , PMID:16871262; Hippen, B.E., The Case for Kidney Markets (2006) New Atlantis (Washington, D.C.), 14, pp. 47-61. , Fall; Hippen, B.E., Taylor, J.S., In Defence of Transplantation: A Reply to Nancy Scheper-Hughes (2007) American Journal of Transplantation, 7 (7), pp. 1695-1697. , PMID:17511762; Hooi, L.S., Mansor, L.Y., (2011) Sixth Report of the National Transplant Registry Malaysia 2009, , http://www.crc.gov.my/pdf/6thNTRreport2009.pdf, Kuala Lumpur, 2011, Retrieved from; Howarth, G., (2007) Death and dying: A sociological introduction, , Cambridge: Polity; Ivanovski, N., Stojkovski, L., Cakalaroski, K., Masin, G., Djikova, S., Polenakovic, M., Renal transplantation from paid, unrelated donors in India-it is not only unethical, it is also medically unsafe (1997) Nephrology, Dialysis, Transplantation, 12 (9), pp. 2028-2029. , PMID:9306369; Jamal, T., Lelo, L., Exploring the conceptual and analytical framing of dark tourism: from darkness to intentionality (2011) Tourist experience: Contemporary perspectives, pp. 29-42. , R. Sharpley & P. R. Stone (Eds.), Abingdon, Oxon: Routledge; Jha, V., Paid transplants in India: The grim reality (2004) Nephrology, Dialysis, Transplantation, 19 (3), pp. 541-543. , PMID:14767006; Lawrence, R., Abuse of live related kidney transplantation (1997) Nephrology, Dialysis, Transplantation, 12 (9), p. 2028. , PMID:9306368; Lennon, J.J., Foley, M., (2000) Dark Tourism, , London: Continuum; Maynard, B., My Right to Death with Dignity at 29 (2014) CNN Report, , November 3; McMurray, R.J., Clarke, O.W., Barrasso, J.A., Clohan, D.B., Epps, C.H., Jr., Glasson, J., Decisions near the end of life (1992) Journal of the American Medical Association, 267 (16), pp. 2229-2233. , PMID:1372944; (2004) Organ Trafficking and Transplantation Pose New Challenges, , September 7, Bexhill-On-Sea, UK: Medilexicon International Ltd; Mellor, P.A., Shilling, C., Modernity, Self-Identity and the Sequestration of Death (1993) Sociology, 27 (3), pp. 3411-3431; Merican, M.I., (2006) Guideline of the Malaysia Medical Council, , Kuala Lumpur: Malaysia Medical Council; Miles, W.F.S., Auschwitz: Museum Interpretation and Darker Tourism (2002) Annals of Tourism Research, 29 (4), pp. 1175-1178; Mitchell, K., Owens, G., End of life decision-making by New Zealand general practitioners: A national survey (2004) The New Zealand Medical Journal, 117 (1196), p. U934. , PMID:15280938; (2012) Kidney Disease Statistics for the United States, , Washington: NHI; Neoh, C.-A., The need for and ethical handling of East-West-Native integrated global medicine (2014) Proceedings of the 15th Asian Bioethics Conference (ABC 15) & 12th Asia Pacific Conference (APC 12), pp. 348-352. , Beppu: Ritsumeikan Asia Pacific University; Ryan, C., Dark tourism-an introduction (2005) Taking Tourism to the Limits: Issues, Concepts and Managerial Perspectives, pp. 187-190. , C. Ryan, S. Page, & M. Aitken (Eds.), Oxford: Elsevier; Scheper-Hughes, N., The Global Traffic in Human Organs (2000) Current Anthropology, 41 (2), pp. 191-224. , PMID:10702141; Scheper-Hughes, N., The tyranny of the gift: Sacrificial violence in living donor transplants (2007) American Journal of Transplantation, 7 (3), pp. 507-511. , PMID:17250554; Seaton, A.V., War and Thanatourism: Waterloo 1815-1914 (1999) Annals of Tourism Research, 26 (1), pp. 130-158; Siminoff, L.A., Arnold, R.M., Hewlett, J., The process of organ donation and its effect on consent (2001) Clinical Transplantation, 15 (1), pp. 39-47. , PMID:11168314; Siraj, S., Organ donation and family relations in Bangladesh (2014) Proceedings of the 15th Asian Bioethics Conference (ABC 15) & 12th Asia Pacific Conference (APC 12), pp. 57-60. , Beppu: Ritsumeikan Asia Pacific University; Smith, A., Medical Tourism and organ trafficking (2012) African Journal of Hospitality. Tourism and Leisure, 2 (1), pp. 1-9; Stone, P., Frequently Asked Questions (2014) The Institute for Dark Tourism Research (ITDR), , www.dark-tourism.org.uk/faqs, Retrieved from; Stone, P.R., A dark tourism spectrum: Towards a typology of death and macabre related tourist sites, attractions and exhibitions (2006) TOURISM. Special Issue on Spirituality and Meaningful Experiences in Tourism, 52 (2), pp. 145-160; Stone, P.R., Dark Tourism and Significant Other Death: Towards a Model of Mortality Mediation (2012) Annals of Tourism Research, 39 (3), pp. 1565-1587; Stone, P.R., Sharpley, R., Consuming Dark Tourism: A Thanatological Perspective (2008) Annals of Tourism Research, 35 (2), pp. 574-596; Sui, W.G., Yan, Q., Xie, S.P., Chen, H.Z., Li, D., Hu, C.X., Successful Organ Donation from Brain Dead Donors in a Chinese Organ Transplantation Center (2011) American Journal of Transplantation, 11 (10), pp. 2247-2249. , PMID:21883900; Turner, L., Medical Tourism: Family Medicine and International Health-Related Travel (2007) Canadian Family Physician Medecin de Famille Canadien, 53 (10), pp. 1639-1641. , PMID:17934018; (2004) Human Tissue Act, , http://www.legislation.gov.uk/ukpga/2004/30/pdfs/ukpga_20040030_en.pdf, Retrieved from; (2006) Human Tissue Act (Scotland), , http://www.legislation.gov.uk/asp/2006/4/pdfs/asp_20060004_en.pdf, Retrieved from; (2002) The world health report: reducing risks, promoting healthy life, , Geneva: World Health Organization; (2004) Organ Trafficking And Transplantation Pose New Challenges, , September 1, Geneva: World Health Organization; (2008) WHO Guiding Principles on human cell, tissue and organ transplantation, , Geneva: World Health Organization","Cooper, M.; Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific UniversityJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957714618 "Thilakavathy M.","57200094224;","Potentials and prospects of medical tourism in Chennai, India",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"246","257",,1,"10.4018/978-1-4666-8574-1.ch018","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957680943&doi=10.4018%2f978-1-4666-8574-1.ch018&partnerID=40&md5=0ed8e58220c05f2f6b9b512aa5806373","Department of History, Tourism and Travel Management, Ethiraj Women's College, University of Madras, India","Thilakavathy, M., Department of History, Tourism and Travel Management, Ethiraj Women's College, University of Madras, India","Medical tourism or as it is often called, Health Tourism or Medical Travel, has emerged as Million-Billion dollar industry. Medical tourism is the practice of traveling outside one's home town to access medical treatment. The concept of Medical Tourism in India refers to visit by overseas patients for medical treatment and relaxation. Medical tourists choose India as their favourite destination because of the key opportunities in Indian healthcare sector in the form of efficient infrastructures and technology. The health insurance market and National medical systems here are well developed, which is convenient for visitors from the West and the Middle East. They also find the hospital expenses very affordable. The Tamil Nadu region is proud of possessing India's best medical facilities (Allopathy, Ayurveda, Siddha, Unani, and so on). Chennai leads in the Indian health care sector and is considered the Health Capital of India, and suitable subject for this Chapter on medical tourism in India. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Chatak, G.R., (2010) Medical Tourism Codes and Guidelines. New Delhi, , New Delhi: Cyber Tech Publications; Connell, J., (2011) Medical Tourism, , Wallingford: CAB International; Devashish, D., (2011) Tourism Marketing, , New Delhi: Dorling Kindersley; Gupta, A., Sharma, V., (2008) Medical Tourism: on the Growth Track in India, , Germany: Drunk und Bindung; (2011) JCI-Accredited Organizations, , Illinois, USA: Joint Commission International; Kaminsky, A.P., Long, R.D., (2011) India Today, An Encyclopedia of life in the Republic, , Eds., California: ABC-CLIO, LLC; (2013) 2013 MTA Medical Tourism Report, , http://www.medicaltourismassociation.com/en/2013-mta-survey-report.html, Retrieved from; (2002) National Health Policy 2002, , http://http://www.slideshare.net/itsvaibhav/national-health-policy-2002, Retrieved from; (2014) Health Care Card Proposal, , www.primeindiahealthcare.com/, Retrieved from; Shaywitz, D.A., Ausiello, D.A., Global Health: A Chance for Western Physicians to Give-and Receive (2002) The American Journal of Medicine, 113 (4), pp. 354-357. , PMID:12361834; Singh, P.K., (2008) Medical Tourism: Global Outlook and Indian Scenario, , New Delhi: Kanishka Publishers; Soundarapandian, M., (2007) Green Productivity in Small and Medium Enterprises, , New Delhi: Concept Publishing Company; (2014) US global medical tourism provider: India, , www.surgeryplanet.com, Retrieved from; (2012) Health Care Sector Report, , March 15, Chennai, India","Thilakavathy, M.; Department of History, Tourism and Travel Management, Ethiraj Women's College, University of MadrasIndia",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957680943 "Hieda M.","57104879500;","The psychology of medical tourism",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"44","57",,1,"10.4018/978-1-4666-8574-1.ch004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957650478&doi=10.4018%2f978-1-4666-8574-1.ch004&partnerID=40&md5=f17d0e06e784b9d541a3123551ae45d2","St Luke Clinic, Oita, Japan","Hieda, M., St Luke Clinic, Oita, Japan","What can clinical psychology contribute to medical tourism? Well, of course, clinicians are a very important part of any form of medical treatment, but psychologists are important because of their training in the mental condition of the patient, an aspect of medicine that is often not valued as highly as that of physical intervention in disease control or accident recovery. And yet, the whole concept of health and wellness (of which medical tourism is increasingly a part) relies heavily on the addition of psychological support in the healing and rehabilitation process. This chapter provides some insights into the processes and value of psychological intervention in the physical and mental wellbeing of patients in the medical system, provides information on the Japanese variants of this, and seeks to extend understanding of the value of this intervention for medical tourists. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Carkhuff, R.R., (1987) The Art of Helping, , New York: Human Resource Development Press; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Coordinating Committee for the Promotion of Medical Tourism in Japan, , (2013Japan Tourism Agency (JTA). Tokyo: Ministry of Land, Infrastructure, Transport and Tourism; Corey, M.S., Corey, G., (1998) Becoming a Helper, , 3rd Ed, New York: Brooks/Cole Publishing Company; Dryden, W., Horton, I., Mearns, D., (1995) Issues in Professional Counsellor Training, , New York: Cassell; Egan, G., (1975) The Skilled Helper, , New York: Monterey Books/Cole; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism, , London: Channel View Press; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hanyu, M., (2011) Tourism Nation promotion strategies: health tourism introduction to Japan, , Tokyo: Nihon hyouron-sha; Ishii, T., Kume, A., Hasegawa, N., Sakuragi, T., Ishiguro, T., (2013) Towards building peace, intercultural communication, and multicultural learning for the first time, , Tokyo: Uhikaku; Iwakabe, S., Fukushima, T., Ito, E., (2013) Introduction to clinical psychology: crossing a different approach, , Tokyo: Yuhikaku; (2012) Guidelines for Medical Tourism Coordinators, , Tokyo: Ministry of Land, Infrastructure, Transport and Tourism; Lund, J.W., (2002) Balneological Use of Geothermal Waters, , Oregon: Geo-Heat Center; Mano, T., (2006) Globalization of Medical Services, , Tokyo: Iwanami-Shoten; Mathews, J.R., Walker, C.E., (1997) Basic Skills and Professional Issues in Clinical Psychology, , New York: Allyn & Bacon; Mazillier, J.S., Hall, J., (1999) What is clinical psychology?, , Oxford: Oxford University Press; Mueller, H., Kaufmann, L.E., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 1-13; Nakamura, Y., Minamitani, K., (2013) Medical Interpreters: a job beyond the wall of language and culture, , Osaka: Osaka University Publication Association; Nakao, K., Ura, T., (2009) An Introduction to Tourism, , Tokyo: Koyoshobou; Oguchi, K., Mind"" and ""Region"" to energize tourism=mental health tourism (2008) Regional Future, p. 12. , July; Plante, T.G., (1999) Contemporary clinical psychology, , New York: John Wiley & Sons; Reisman, J.M., (1976) A History of Clinical Psychology, , New York: Irvington Publishers; Scheper-Hughes, N., The Global Traffic in Human Organs (2000) Current Anthropology, 41 (2), pp. 191-211. , PMID:10702141; Shimoyama, H., On the education and training system of clinical psychology: Comparison with U.K and U.S.A (2000) Bulletin of Foundation of the Japanese Certification Board for Clinical Psychologists, 12 (1), pp. 19-32; Shimoyama, H., (2011) An International Comparison of Clinical Psychology in Practice, , Tokyo: Kazama Shobo Co; Smith, M., Puczko, L., (2009) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , Oxford: Routledge; Tatara, M., Najima, J., (2006) Clinical Psychologist Handbook, , Tokyo: Seishin-Shobo; Uemura, K., Takahata, K., Minoguchi, M., Hara, Y., Hisada, M., (2012) Understanding Community Psychology, , Eds., 2nd Ed, Tokyo: Minerva Shobo; Yajima, J., Stress moderating effects of hot spring bathing. Hot Springs Regional Research (2007) Japan Hot Springs Community Association, 3 (8), pp. 1-8","Hieda, M.; St Luke ClinicJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957650478 "Utsunomiya T.","57104627600;","Reproductive medicine and medical tourism",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"123","138",,1,"10.4018/978-1-4666-8574-1.ch009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957646891&doi=10.4018%2f978-1-4666-8574-1.ch009&partnerID=40&md5=be7ed3116db67a014becd6966be9921f","St Luke Clinic, St Luke Research Institute of Reproductive Medicine, Oita, Japan","Utsunomiya, T., St Luke Clinic, St Luke Research Institute of Reproductive Medicine, Oita, Japan","Reproductive medicine is practiced in a distinctive environment. This environment is shaped by the rapid pace of medical advancement, and the fact that reproductive medical tourism tends to involve third parties. There are many unresolved problems and a need for guidelines to advance proper medical practice. There are also differences in historical, political, religious, and social environments in the destinations involved in reproductive medical tourism. These generate problems relating to the rights and welfare of both patients and children. This chapter discusses these and other problems concerning differences in legal regimes, and discrepancies between the treatment received in the destination country and that provided after returning home. Most significantly, the problems are accompanied by a failure to acknowledge the paramount importance of the rights not only of patients, but also of unborn children. To engage in reproductive medical tourism without regard for these rights is not permissible. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Bergmann, S., Reproductive agency and projects: Germans searching for egg donation in Spain and the Czech Republic (2011) Reproductive Biomedicine Online, 23 (5), pp. 600-608. , PMID:21840759; Boggio, A., Italy enacts new law on medically assisted reproduction (2005) Human Reproduction (Oxford, England), 20 (5), pp. 1153-1157. , PMID:15790606; (2011) Assisted Reproductive Technology National Summary Report, , Atlanta, GA, USA: Centers for Disease Control and Prevention; Ciocci, D., Camargo, A.L., Bonetti, T.C., Iaconelli, A., Jr., Pasqualotto, F.F., Borges, E., Jr., Reproductive tourism: Offspring's rights (2006) Fertility and Sterility, 86, p. s151; Culley, L., Hudson, N., Rapport, F., Blyth, E., Norton, W., Pacey, A.A., Crossing borders for fertility treatment: Motivations, destinations and outcomes of UK fertility travelers (2011) Human Reproduction (Oxford, England), 26 (9), pp. 2373-2381. , PMID:21715450; Cross-border reproductive care: A committee opinion (2013) Fertility and Sterility, 100 (3), pp. 645-650. , PMID:23523262; Ferraretti, A.P., Goossens, V., Kupka, M., Bhattacharya, S., de Mouzon, J., Castilla, J.A., Assisted reproductive technology in Europe, 2009: Results generated from European registers by ESHRE (2013) Human Reproduction (Oxford, England), 28 (9), pp. 2318-2331. , PMID:23842560; Gurtin, Z.B., Banning reproductive travel: Turkey's ART legislation and third-party assisted reproduction (2011) Reproductive Biomedicine Online, 23 (5), pp. 555-564. , PMID:21962527; Hibino, Y., Commercial surrogacy and legal regulation in India (2011) Sanka to fujinka, 78, pp. 497-503; Hibino, Y., Medical tourism and reproductive industry in Thailand (2012) Sanka to fujinka, 79, pp. 94-101; Hudson, N., Culley, L., Blyth, E., Norton, W., Rapport, F., Pacey, A., Cross-border reproductive care: A review of the literature (2011) Reproductive Biomedicine Online, 22 (7), pp. 673-685. , PMID:21498121; Inhorn, M.C., Patrizio, P., Serour, G.I., Third-party reproductive assistance around the Mediterranean: Comparing Sunni Egypt, Catholic Italy and Multisectarian Lebanon (2010) Reproductive Biomedicine Online, 21 (7), pp. 848-853. , PMID:21050814; Jadva, V., Freeman, T., Kramer, W., Golombok, S., Experiences of offspring searching for and contacting their donor siblings and donor (2010) Reproductive Biomedicine Online, 20 (4), pp. 523-532. , PMID:20129827; (2009) Proposals regarding reproductive medicine using donor material, , Tokyo: Japan Society for Reproductive Medicine; 2012 Report of the Registrations and Surveys Subcommittee, Ethics Committee (2012) Acta Obstetrica et Gynaecologica Japonica, 65, pp. 2083-2115; Kuji, N., Hamaya, T., Iwata, S., Egg donation and perinatal prognosis (2007) Sanka to Fujinka, 74, pp. 1067-1071; Mancini, F., Clua, E., Martínez, F., Battaglia, C., Veiga, A., Barri, P.N., Heterotopic pregnancy in a cross border oocyte donation patient: the importance of cooperation between centers (2011) Fertility and Sterility, 95 (2432), pp. e13.2432-e.15; Nagata, Y., Ichikawa, Y., Okada, H., Kyouno, H., Sato, E., Sato, K., Views of infertile patients on application of assisted reproductive technologies for extra-marital stage (2004) Nihon Jusei Chakushō Gakkaishi, 21, pp. 6-14; Nakayama, S., Adachi, T., Perinatal management and its problems of pregnancies achieved by donor egg in vitro fertilization (2011) Sanfujinka Chiryo, 103, pp. 383-388; Nygren, K., Adamson, D., Zegers-Hochschild, F., de Mouzon, J., Cross-border fertility care: International Committee Monitoring Assisted Reproductive Technologies global survey: 2006 data and estimates (2010) Fertility and Sterility, 94 (1), pp. e4-e10. , PMID:20153467; Pande, A., Transnational commercial surrogacy in India: Gifts for global sisters? (2011) Reproductive Biomedicine Online, 23 (5), pp. 618-625. , PMID:21958916; Pennings, G., de Wert, G., Shenfield, F., Cohen, J., Tarlatzis, B., Devroey, P., ESHRE Task Force on Ethics and Law 15: Cross-border reproductive care (2008) Human Reproduction (Oxford, England), 23 (10), pp. 2182-2184. , PMID:18611918; (2008) Issues related to assisted reproductive technologies centered on surrogate pregnancy: toward a social consensus, , Tokyo: Science Council of Japan; Shenfield, F., de Mouzon, J., Pennings, G., Ferraretti, A.P., Andersen, A.N., de Wert, G., Goossens, V.F., Cross border reproductive care in six European countries (2010) Human Reproduction (Oxford, England), 25 (6), pp. 1361-1368. , PMID:20348165; Shenfield, F., Pennings, G., De Mouzon, J., Ferraretti, A.P., Goossens, V.F., ESHRE's good practice guide for cross-border reproductive care for centers and practitioners (2011) Human Reproduction (Oxford, England), 26 (7), pp. 1625-1627. , PMID:21505043; Storrow, R.F., Assisted reproduction on treacherous terrain: The legal hazards of cross-border reproductive travel (2011) Reproductive Biomedicine Online, 23 (5), pp. 538-545. , PMID:21962773; (2012) Survey of attitudes to medical tourism among patients receiving fertility treatments, , Kanazawa: Study Group on Reproductive Technology and Healthcare; Suzuki, K., Hoshi, K., Minai, J., Yanaihara, T., Takeda, Y., Yamagata, Z., Analysis of national representative opinion surveys concerning gestational surrogacy in Japan (2006) European Journal of Obstetrics, Gynecology, and Reproductive Biology, 126 (1), pp. 39-47. , PMID:16171926; Takeshita, T., Long-term prognosis of children born through assisted reproductive medicine and the standardization of assisted reproductive medicine (2013) Survey of births in Japan following donor egg treatments: report of research project funded by the Ministry of Health, Labor and Welfare, pp. 76-98. , 2012, Tokyo: Japan Child and Family Research Institute; Utsunomiya, T., The actual conditions of AID and problems to be solved: From the opinions of those who were born by AID (2013) Nihon Jusei Chakushō Gakkaishi, 30, pp. 146-159; Van Hoof, W., Pennings, G., Extraterritoriality for cross-border reproductive care: Should states act against citizens travelling abroad for illegal infertility treatment? (2011) Reproductive Biomedicine Online, 23 (5), pp. 546-554. , PMID:21955486; Van Hoof, W., Provoost, V., Pennings, G., Reflections of Dutch patients on IVF treatment in Belgium: A qualitative analysis of internet forums (2013) Human Reproduction (Oxford, England), 28 (4), pp. 1013-1022. , PMID:23335612; Whittaker, A.M., Reproduction opportunists in the new global sex trade: PGD and non-medical sex selection (2011) Reproductive Biomedicine Online, 23 (5), pp. 609-617. , PMID:21975224; Zanini, G., Abandoned by the State, betrayed by the Church: Italian experiences of cross-border reproductive care (2011) Reproductive Biomedicine Online, 23 (5), pp. 565-572. , PMID:21955488","Utsunomiya, T.; St Luke Clinic, St Luke Research Institute of Reproductive MedicineJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957646891 "Fernando Y., Khei L.H.","26664524300;57105742700;","Dive with the sharks: A content analysis of the medical tourism supply chain",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"31","43",,1,"10.4018/978-1-4666-8574-1.ch003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957645143&doi=10.4018%2f978-1-4666-8574-1.ch003&partnerID=40&md5=a51f0a5a5c9f206002bdd060ab89adeb","Graduate School of Business, Universiti Sains Malaysia (USM), Malaysia; Motorola Solutions, Malaysia","Fernando, Y., Graduate School of Business, Universiti Sains Malaysia (USM), Malaysia; Khei, L.H., Motorola Solutions, Malaysia","Diving with sharks involves Heart-Thumping moments. Once nerves are under control and the lesson has been learnt, the situation seems easy. The analogy of diving with sharks can also be used for the medical tourism supply chain. The importance of the contribution of medical tourism to the business entities in the healthcare industry, and to the economics of healthcare is often noted. Yet, what factors make the medical tourism supply chain itself a winning business strategy are just as often unknown. In this chapter analysis of the medical tourism supply chain is undertaken, based on a specific pattern of analytical categories derived from a typical literature search process. The numbers of articles published in Peer-Reviewed journals on particular keywords and factors impinging on the medical tourism supply chain have been systematically analysed. The chapter suggests that four issues in the medical tourism supply chain require further investigation. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Agan, Y., Impact of Operations, Marketing, and Information Technology Capabilities on Supply Chain Integration (2011) Journal of Economic and Social Research, 13 (1), pp. 27-56; Al-Sagheer, A., Mohammed, H.B., Ahli, M., Impact of Supply Chain Integration on Business Performance and Its Challenges (2011) International Business & Economics Research Journal, 10 (12), pp. 79-92; Aniza, I., Aidalina, M., Nirmalini, R., Inggit, M., Ajeng, T., Health tourism in Malaysia: The Strength and Weaknesses (2009) Journal of Community Health, 15 (1), pp. 7-15; Antai, I., A Theory of the Competing Supply Chain: Alternatives for Development (2011) International Business Research, 4 (1), pp. 74-85; Ballou, R.H., Gilbert, S.M., Mukherjee, A., New Managerial Challenges from Supply Chain Opportunities (2000) Industrial Marketing Management, 29 (1), pp. 7-18; Cao, M., Vonderembse, M.A., Zhang, Q., Nathan, T.S.R., Supply Chain Collaboration: Conceptualisation and Instrument Development (2010) International Journal of Production Research, 48 (22), pp. 6613-6635; Chan, H.K., Chan, F.T.S., A Review of Coordination Studies in the Context of Supply Chain Dynamics (2010) International Journal of Production Research, 48 (10), pp. 2793-2819; Chen, D., Innovation of Tourism Supply Chain Management (2009) Proceedings of the International Conference on Management of e-Commerce and e-Government, pp. 310-313. , September 16-19, C. Wan, J-Y Chung, Z. Fang, & Z. Wan. (Eds.), Nanchang, China. ICMeCG; Cohen, E., Medical Tourism in Thailand, , http://www.graduate.au.edu/Journal/Journal1/Medical%20Tourism%20Dr%20Cohen.pdf, n. d., Retrieved from; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., (2011) Health and Medical Tourism, , United Kingdom: CAB International; Costes, N.F., Jahre, M., Supply Chain Integration and Performance: A review of the Evidence (2008) The International Journal of Logistics Management, 19 (2), pp. 130-154; Fawcett, S.E., Osterhaus, P., Magnan, G.M., Brau, J.C., McCarter, M.W., Information sharing and supply chain performance: The role of connectivity and willingness (2007) Supply Chain Management: An International Journal, 12 (5), pp. 358-368; Ferrer, M., Medhekar, A., The Factors Impacting on the Management of Global Medical Tourism Service Supply Chain (2012) GSTF Journal on Business Review, 2 (2); Ganesh, M., Raghunathan, S., Rajendran, C., The value of information sharing in a multi-product supply chain with product substitution (2008) IIE Transactions, 40 (12), pp. 1124-1140; Gereffi, G., Global value chains in a post-Washington Consensus world (2014) Review of International Political Economy, 21 (1), pp. 9-37; Ha, B.C., Park, Y.K., Cho, S., Suppliers' affective trust and trust in competency in buyers: Its effect on collaboration and logistics efficiency (2011) International Journal of Operations & Production Management, 31 (1), pp. 56-77; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Jayaram, J., Xu, K., Nicolae, M., The Direct and Contingency Effects of Supplier Coordination and Customer Coordination on Quality and Flexibility Performance (2011) International Journal of Production Research, 49 (1), pp. 59-85; Kocoglu, I., Imamoglu, S.Z., Ince, H., Keskin, H., The Effect of Supply Chain Integration on Information Sharing: Enhancing the Supply Chain Performance (2011) Procedia: Social and Behavioral Sciences, 24, pp. 1630-1649; Kumar, A., Ozdamar, L., Zhang, C.N., Supply chain redesign in the healthcare industry of Singapore (2008) Supply Chain Management: An International Journal, 13 (2), pp. 95-103; Liu, X., Partovi, F., A collaborate contract to retain long term relationship and quality improvement in supply chains (2007) Service Systems and Service Management, 1, pp. 1-5; Mayring, P., (2007) Qualitative Inhaltsanalyse. Grundlagen Und Techniken, , Weinheim: Taschenbuch; Moharana, H.S., Murty, J.S., Senapati, S.K., Khuntia, K., Coordination, Collaboration and Integration for Supply Chain Management (2012) International Journal of Interscience Management Review, 2 (2), pp. 2231-1513; Moshkdanian, F., Molahosseini, A., Impact of supply chain integration on the performance of Bahman group (2013) Interdisciplinary Journal of Contemporary Research in Business, 5 (1), pp. 184-192; (2010) Transforming the tourism sector into a high income industry, , http://www.neac.gov.my/files/Transforming_the_Tourism_Sector_into_A_High_Income_Industry.pdf, Retrieved from; Page, S.J., (2011) Further Web Reading 1: The Supply of Tourism (e1-e23), , Oxford: Butterworth-Heinemann; Peng, H., Xu, X., Chen, W., (2011) Tourism Supply Chain Coordination by Tourism Websites, , Beijing: National Natural Science Foundation of China; Peters, C.R., Sauer, K.M., A survey of Medical Tourism Service Providers (2011) Journal of Marketing Development and Competitiveness, 5 (3), pp. 117-126; Piboonrungroj, P., Disney, S.M., Tourism Supply Chains: A Conceptual Framework (2012) PhD Networking Conference, Exploring Tourism III: Issue in PhD research; Sezen, B., Relative effects of design, integration and information sharing on supply chain performance (2008) Supply Chain Management: An International Journal, 13 (3), pp. 233-240; Singh, R.K., Developing the Framework for Coordination in Supply Chain of SMEs (2011) Business Process Management Journal, 17 (4), pp. 619-638; Soroor, J., Tarokh, M.J., Shemshadi, A., Theoretical and Practical Study of Supply Chain Coordination (2009) Journal of Business and Industrial Marketing, 24 (2), pp. 131-142; Stone, C., Wellbeing, equity, sustainable development and social tourism in twenty-first century Europe (2012) Future Tourism: Political, Social and Economic Challenges, pp. 52-79. , J. Leigh, C. Webster, & S. Ivanov (Eds.), London: Routledge; Vijayasarathy, L.R., Supply Integration: An investigation of its multi-dimensionality and relational antecedents (2010) International Journal of Production Economics, 124 (2), pp. 489-505; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health Tourism in Australia: Supply, Demand and Opportunities, , Australia: Tourism Australia, CRC for Sustainable Tourism Pty Ltd; White, M.D., March, E.E., Content Analysis: A Flexible methodology (2006) Research Methods, 55 (1), pp. 22-45; Zhang, S.H., Cheung, K.L., The impact of information sharing and advance order information on a supply chain with balanced ordering (2010) Production and Operations Management Society, 20 (2), pp. 253-267; Zhang, X., Song, H., Huang, G.Q., Tourism Supply Chain Management: A New Research Agenda (2009) Tourism Management, 30 (3), pp. 345-358","Fernando, Y.; Graduate School of Business, Universiti Sains Malaysia (USM)Malaysia",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957645143 "Sung E., Ozuem W.","57104820200;24802550500;","Customer-Perceived value of medical tourism",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"58","78",,1,"10.4018/978-1-4666-8574-1.ch005","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957645085&doi=10.4018%2f978-1-4666-8574-1.ch005&partnerID=40&md5=4b64afe690b51b954d2eb1361c9744a8","Cardiff Metropolitan University, United Kingdom; Regents University, London, United Kingdom","Sung, E., Cardiff Metropolitan University, United Kingdom; Ozuem, W., Regents University, London, United Kingdom","The combination of medical treatment and tourism seems to be a promising and relatively new type of niche tourism. The globalization of health care has given rise to a new form of tourism that is commonly known as health tourism. Within the health tourism arena, medical tourism is among the fastest growing sectors. It enables patients to quickly and conveniently travel to receive medical services at lower prices and of better quality than they could in their native countries. Yet analyses of medical tourism in developing, emerging markets are under developed, particularly in South Korea. As a response, this chapter examines the Customer-Perceived value of medical tourism, which deriving explicit factors that influence choice in relation to medical tourism. © 2015, IGI Global. 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Aitken (Eds.), Oxford: Elsevier; Samir, N., Karim, S., An insight: Medical tourism, local and international perspectives (2011) Oman Medical Journal, 26 (4), pp. 215-218. , PMID:22043422; Sanchez, J., Callarisa, L., Rodriguex, R.M., Moliner, M.A., Perceived value of the purchase of a tourism product (2006) Tourism Management, 27 (3), pp. 394-409; Sarwar, A.A., Manaf, N.A., Omar, A., Medical tourist's perception in selecting their destination: A global perspective (2012) Iranian Journal of Public Health, 41 (8), pp. 1-7. , PMID:23113218; Sheth, J., Newman, B., Gross, B., (1991) Consumption values and market choices: The theory and applications, , Cincinnati, OH: South Western Publishing Co; Sinha, I., Desarbo, W., An integrated approach toward the spatial modeling perceived customer value (1998) Journal of Marketing Research, 35 (2), pp. 236-249; Snyder, J., Crooks, V., Johnston, R., Kingsbury, P., Beyond sun, sand, and stitches: Assigning responsibility for the harms of medical tourism (2013) Bioethics, 27 (5), pp. 233-242. , PMID:23814800; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism: Comparing patients and academic perspectives (2011) Public Health Ethics 1-9, , http://phe.oxfordjournals.org/content/early/2011/12/09/phe.phr034.full.pdf+html, Retrieved from; Stephano, R.-M., Edelheit, J., (2012) US HealthCare Reform's Effect on the US Medical Tourism Marketplace, , Medical Tourism Magazine; Sweeney, J.C., Soutar, G.N., Consumer perceived value: The development of a multiple item scale (2001) Journal of Retailing, 77 (2), pp. 203-220; Tam, J.L.M., Customer satisfaction, service quality and perceived value: An integrative Model (2004) Journal of Marketing Management, 20 (7-8), pp. 897-917; Turel, O., Serenko, A., Bontis, N., User acceptance of hedonic digital artefacts: A theory consumption values perspective (2010) Information & Management, 47 (1), pp. 53-59; Turner, L.G., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician Medecin de Famille Canadien, 53, pp. 1639-1641. , PMID:17934018; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) International Journal for Quality in Health Care, 23 (1), pp. 1-7. , PMID:21148210; Upadhyaya, M., Hakeem, A., (2013) Medical Tourism: Opportunities, Challenges and Strategies for India, , http://publication.gunadarma.ac.id/bitstream/123456789/9574/1/Medical-Tourism-Opportunities-Challenges-and-Strategies-for-India.pdf, Retrieved from; Walker, T., Consumers go abroad in pursuit of cost-effective healthcare (2006) Managed Healthcare Executive, 16 (7), p. 10; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality, 22 (5), pp. 465-491; Wongkit, M., Mckercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; Woodruff, R.B., Customer value: The next source for competitive advantage (1997) Journal of the Academy of Marketing Science, 25 (2), pp. 139-153; World, B.B.C., Medical tourism boom in South Korea (2014) BBC World, , http://www.bbc.co.uk/search?q=Medical%20tourism%20boom%20in%20South%20Korea, April 13, Retrieved from; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourist in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word of mouth and vital Marketing as potent Marketing Tools (2013) Tourism Management, 34, pp. 196-201; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zabkar, V., Brencic, M.M., Dmitrovic, T., Modelling perceived quality, visitor satisfaction and behavioral intentions at the destination level (2010) Tourism Management, 31 (4), pp. 537-546; Zeithaml, V.A., Consumer perceptions of price, quality and value: A means-ends model and synthesis of evidence (1998) Journal of Marketing, 52 (3), pp. 2-22; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-40","Sung, E.; Cardiff Metropolitan UniversityUnited Kingdom",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957645085 "Vafadari K.","55905665300;","Inbound, outbound, and domestic: The current situation in the chinese medical tourism market",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"350","363",,1,"10.4018/978-1-4666-8574-1.ch024","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957643469&doi=10.4018%2f978-1-4666-8574-1.ch024&partnerID=40&md5=bfce21718ecb7f4a5eb438ea0fbed0db","College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan","Vafadari, K., College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan","China is now being promoted as a medical tourism destination, however visa difficulties, and the lack of quality destinations mean the numbers of inbound tourists are so far small. The real interest for the moment lies in the growth that has now made China one of the main suppliers of outbound medical tourists. This Chapter shows that the number of Chinese going abroad for medical treatment has increased significantly in recent years due to rising incomes and fewer restrictions on mobility. Chinese health consumers appear not to be as motivated by price as US citizens, but more by their ability to substitute overseas destinations for the poor medical services at home. Development has generated a group of people wealthy enough to demand the quality care available World-Wide, and internally has promoted significant domestic medical tourism from the less Well-Endowed regions to those that have such services available. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"(2014) GME Funding: How to Fix the Doctor Shortage, , https://www.aamc.org/advocacy/campaigns_and_coalitions/fixdocshortage/, Retrieved from; (2012) Cancer Facts and Statistics, , www.cancer.org/research/cancerfactsstatistics/, Retrieved from; Arlt, W.G., New Chinese Tourism Law makes a Dent in Arrival Statistics in the Fourth Quarter of 2013 (2014) Forbes Asia, , March 1; Arlt, W.G., (2014) China's Outbound Tourism 2014: The Young and the old joining the Middle Aged Abroad, , http://pickapicker.co.nz/news/?p=6984#sthash.BCxGADva.dpuf, Retrieved 29 October 2014, from; Chee, H.L., Chee Heng, L., Medical Tourism and the State (2010) Global Social Policy, 10 (3), pp. 336-357; Chen, J., An overview of the benefits market in China (2013) Paper presented to the 5th World Medical Tourism & Global Healthcare Congress, , September 20-24, Morocco: Marrakesh; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Connell, J., Contemporary Medical Tourism: Conceptualization, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; Guojinja, F.A.N., Zhijun, L., Medical tourism: The new favorite tourist market (2012) Journal of Economics and International Finance, 5 (3), pp. 65-70; CHINA: Medical travel zone to be built (2014) Medical Tourism News, , http://www.imtj.com/news/?entryid82=440924#sthash.7EgZWNvP.oF9kB61E.dpuf, May 9, Retrieved from; Huesch, M.D., One and Done? Equality of Opportunity and repeated access to scarce, invisible medical resources (2012) BMC Medical Ethics, 13, p. 11. , May; (2011) Medical Tourism Demand from China, , November 18; Li, Y., (2014) China's Booming 'Medical Tourism' Business, , http://www.worldcrunch.com/culture-society/c3p1/#.VYQ4I1LD_IU, Retrieved from; Liu, B.X., Study on Related Issues of Medical Tourism (2008) Modern Bus. Trade Ind, 6, pp. 68-72; (Press Release) (2013) Warning over dangerous Traditional Chinese Medicines, , August 20, London; (2012) US HealthCare Reform's Effect on the US Medical Tourism Marketplace, , http://www.medicaltourismassociation.com/en/us-healthcarereform-s-affect-on-the-us-medical-tourism-marketplace-white-paper.html, July 9, Retrieved from; (2013) An Overview of the Medical Benefits Market in China, , January 11; (2013) China Cancer Registry Annual Report 2012, , Beijing: NCCR; (2014) Medical Tourism Statistics & Facts, , http://www.patientsbeyondborders.com/medical-tourism-statistics-facts, Retrieved from; Sun, Y., Liu, D., Primary Research on traditional Chinese Medicine Tourism (2007) Market Modernization, 5, pp. 165-169; (2014) Medical Tourism to Korea rises in the China Market, , March 5, Seoul; (2014) China Tourism Statistics, , http://www.travelchinaguide.com/tourism/, Retrieved from; (2011) China's rich are enhancing medical tourism in search of quality care and privacy, , November 17; Wang, C., Chinese Tourists Spark Growth of Global Medical Tourism Market (2014) The China Daily, , July 21; Yang, J., Jun, Z., Analysis of the TCM theory of traditional Chinese health exercise (2013) Journal of Sport and Health Science, 2 (4), pp. 204-208; Zhang, W., Yang, X., International Medical Tourism probing (2007) J. Guilin Institute Tourism, 10, pp. 96-100","Vafadari, K.; College of Asia Pacific Studies, Ritsumeikan Asia Pacific UniversityJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957643469 "Liu I.-C., Chen C.-C.","37023195200;57103931700;","Empirical analysis on the medical tourism policy in Taiwan",2015,"New Business Opportunities in the Growing E-Tourism Industry",,,,"132","148",,1,"10.4018/978-1-4666-8577-2.ch008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957709341&doi=10.4018%2f978-1-4666-8577-2.ch008&partnerID=40&md5=abfe609a66216f673f5305c2654f777e","Department of Social and Policy Science, Yuan Ze University, Taiwan; Department of Public Affairs and Management, Kainan University, Taiwan","Liu, I.-C., Department of Social and Policy Science, Yuan Ze University, Taiwan; Chen, C.-C., Department of Public Affairs and Management, Kainan University, Taiwan","""Medical Tourism"" is a growing industry, attracting more and more attention. Taiwan's government, hopeful that this new industry could generate considerable revenue, has declared its ambition to become the premier choice for cross-country medical care for international visitors. The policy network approach emphasizes the interaction between policy actors. This chapter examines Taiwan's medical tourism development from the model of public policy implementation. We present findings from twelve semi-structured interviews with stakeholders across medical service providers, as well as government officers, and civil society sectors. We found that medical tourism in Taiwan is a growing service, with both public and private sector involvement. However, it is still lagging behind regional competitors such as Singapore, Thailand, and India. Thus, active efforts should be made to encourage the coordination between the medical care sector, tourism industry, and relevant authorities. © IGI Global.",,,,,,,,,,"Agranoff, R., (2007) Managing within networks: Adding value to public organizations, , Washington, DC: Georgetown University Press; Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14, pp. e135-e135; Benson, J.K., A framework for policy analysis (1982) Interorganisational co-ordination: Theory, research, and implementation, pp. 137-201. , D. L. Rogers & D. A. 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(2012) International Journal of Engineering Sciences Paradigms and Researches, 1 (1), pp. 2319-6564; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Huxham, C., Vangen, S., (2005) Managing to collaborate: The theory and practice of collaborative advantage, , London: Routledge; Johnston, R., Crooks, V.C., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (24), pp. 1-13. , PMID:21047433; Kickert, W.J.M., Klijn, E.H., Koppenjan, J.F.M., (1997) Managing complex networks: Strategies for the public sector, , London: Sage; Klijn, E.H., Teisman, G.R., Strategies and games in networks (1997) Managing complex networks: Strategies for the public sector, pp. 50-54. , W. J. M. Kickert, E.-H. Klijn, & J. F. M. Koppenjan (Eds.), London: Sage; Marin, B., Mayntz, R., (1991) Policy networks: Empirical evidence and theoretical considerations, , Boulder, CO: Westview Press; Pacock, N., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (12), pp. 1-12. , PMID:21310041; Pennings, G., Ethics without boundaries: Medical tourism (2007) Principles of health care ethics, pp. 505-510. , R. E. Ashcroft, A. Dawson, & J. R. McMillan (Eds.), Hoboken, NJ: John Wiley & Sons; Peterson, J., Bomberg, E., (1999) Decision-making in the European Union, , New York: Palgrave; Peterson, J., O'Toole, L.J., Jr., Federal governance in the United States and the European union: A policy network perspective. (2001) The federal vision: Legitimacy and levels of governance in the United States and the European Union, pp. 300-334. , K. Nicolaïdis & R. Howse (Eds.), Oxford: Oxford University Press; Provan, K.G., Milward, H.B., A preliminary theory of network effectiveness: A comparative study of four community mental health systems (1995) Administrative Science Quarterly, 40 (1), pp. 1-33; Rhodes, R.A.W., (1988) Beyond Westminster and whitehall: The subsectoral governments of Britain, , London: Unwin; Richardson, J.J., Jordan, A.G., (1979) Governing under pressure, , Oxford: Martin Robertson; Scharpf, F.W., Interorganizational policy studies: Issues, concepts and perspectives (1978) Health tourism: Social welfare through international trade, pp. 345-370. , K. Reisman & A. David (Eds.), Cheltenham: Edward Elgar; Smith, R., Chanda, R., Tangcharoensathien, V., Trade in health related services (2009) Lancet, 373 (9663), pp. 593-601; (2013) Research and markets: Medical tourism market - Global industry analysis, size, share, growth, trends and forecast, 2013 -2019, , http://www.researchandmarkets.com/research/fp34lb/medical_tourism, Retrieved July 15, 2014, from; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3 (3), pp. 271-290; Woodman, J., (2008) Patients beyond borders, Taiwan edition, , New York: A Healthy Travel Publication; Agawal, S., Restructuring seaside tourism: The resort lifecycle (2002) Annals of Tourism Research, 29 (1), pp. 25-55; Bhadoria, B.M.S., Mudaliar, A., SWOT analysis on: Medical tourism in India (2009) BSSS Journal of Management, 1, pp. 70-83; Bies, W., Lefteris, Z., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Caffyn, A., Jobbins, G., Governance capacity and stakeholder interactions in the development and management of coastal tourism: Examples from Morocco and Tunisia (2003) Journal of Sustainable Tourism, 11 (2-3), pp. 224-245; Cantallops, B., Policies supporting sustainable tourism development in the Balearic Islands: The ecotax (2004) Anatolia, 15 (1), pp. 39-56; Carrera, P.M., Bridges, F.P., Globalization and healthcare: Understanding health care and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (3), pp. 447-454; Cetron, M., MeMicco, F., Davies, O., (2006) Hospitality 2010: The future of hospitality and travel, , Upper Saddle River, NJ: Prentice Hall; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., (2011) Medical tourism, , Oxfordshire: CABI; Cooper, C., (2012) Essentials of tourism, , Harlow: Prentice Hall-Person Education; Dahan, N., Doh, J., Guay, T., The role of multinational corporations in transnational institution building: A policy network perspective (2006) Human Relations, 59 (11), pp. 1571-1600; Dodds, R., Butler, R., Barriers to implementing sustainable tourism policy in mass tourism destinations (2010) Tourismos: An International Multidisciplinary Journal of Tourism, 5 (1), pp. 35-53; Goldsmith, S., Eggers, W.D., (2004) Governing by network: The new shape of the public sector, , Washington, DC: Brookings Institution Press; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201; Greaves, J., Grant, W., Underperforming policy networks: The biopesticides network in the United Kingdom (2010) British Politics, 5 (1), pp. 14-40; Grennan, T., A wolf in sheep's clothing? A closer look at medical tourism (2003) Medical Ethics (Burlington, Mass.), 1 (1), pp. 50-54; Healy, C., Surgical tourism and the globalization of healthcare (2009) Irish Journal of Medical Science, 178 (2), pp. 125-127; Heinrich, C.J., Hill, C.J., Lynn, L.E., Jr., Governance as an organizing theme for empirical research (2004) The art of governance, pp. 3-19. , P. W. Ingrham & L. E. Lynn Jr., (Eds.), Washington, DC: Georgetown University Press; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Ho, K.T., (2014) Medical tourism: New strategies for the health care industry in Taiwan, , Retrieved December 15, 2014, from; Howlett, M., Do networks matter? Linking policy network structure to policy outcomes: Evidence from four Canadian policy sectors 1990-2000 (2002) Canadian Journal of Political Science, 35 (2), pp. 235-267; Kazemi, Z., (2008) Study of the effective factors for attracting medical tourism in Iran., , http://epubl.ltu.se/1653-0187/2008/021/index.html, Master thesis of Lulea University of Technology. Retrieved July 15, 2014, from; Klijn, E.H., Koppenjan, J., Termeer, K., Managing networks in the public sector: A theoretical study of management strategies in policy networks (1995) Public Administration, 73 (3), pp. 437-454; Kumar, R., (2009) Global trends in health and medical tourism, , New Delhi: SBS Publishers and Distributors Pvt. Ltd; Marsh, D., Smith, M.J., Understanding policy networks: Towards a dialectical approach (2000) Political Studies, 48 (1), pp. 4-23; Marsh, D., Smith, M.J., There is more than one way to do political science: On different ways to study policy networks (2001) Political Studies, 49 (3), pp. 528-541; Mays, K., (2014) Transparency and trust in medical tourism, , http://www.imtj.com/articles/2014/transparency-and-trust-in-medical-tourism-40195/, Retrieved December 12, 2014, from; Mayuri, D., Chandrasekaran, R., Anantharaman, R.N., Patient-perceived dimensions of total quality service in health care (2008) Benchmarking: An International Journal, 15 (5), pp. 560-583; Menvielle, L., Menvielle, W., Tounois, N., Medical tourism: A decision model in a service context (2011) Preliminary Communication, 59 (1), pp. 47-61; Peters, C.R., Sauer, K.M., A survey of medical tourism service providers (2011) Journal of Marketing Development and Competitive, 5 (3), pp. 117-126; Vijay, M.N., Medical tourism-subsiding corporate health care for developed countries (2000) Third World Network, 5 (1), pp. 9-10; Weisz, G., Historical reflection on medical travel (2011) Anthropology & Medicine, 18 (1), pp. 137-144; Woodside, A.G., Ramos, M.V., Duque, M., Tourism's destination dominance and marketing website usefulness (2011) International Journal of Contemporary Hospitality Management, 23 (4), pp. 552-564; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) The Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102","Liu, I.-C.; Department of Social and Policy Science, Yuan Ze UniversityTaiwan",,,"IGI Global",,,,,,9781466685789; 1466685778; 9781466685772,,,"English","New Bus. Oppor. in the Grow. E-Tour. Ind.",Book Chapter,"Final",,Scopus,2-s2.0-84957709341 "Debata B.R., Mahapatra S.S., Patnaik B.","55331150500;34881914000;37115884300;","Medical tourism service quality: An indian perspective",2015,"New Business Opportunities in the Growing E-Tourism Industry",,,,"149","180",,1,"10.4018/978-1-4666-8577-2.ch009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957628401&doi=10.4018%2f978-1-4666-8577-2.ch009&partnerID=40&md5=43871358cd735675421ab68971325e13","University of Macao, Macau; Department of Mechanical Engineering, National Institute of Technology Rourkela, India; Department of Humanities and Social Sciences, National Institute of Technology Rourkela, India","Debata, B.R., University of Macao, Macau; Mahapatra, S.S., Department of Mechanical Engineering, National Institute of Technology Rourkela, India; Patnaik, B., Department of Humanities and Social Sciences, National Institute of Technology Rourkela, India","Medical tourism, a growing phenomenon in the world today, possesses a worthwhile potential for the economic development of any country. Globalization, development of information and communication technology (ICT) and adherence to the international quality standards potentially result in a significant increase in the movement of patients and healthcare professionals across national boundaries. The demand for medical tourism in India is experiencing a tremendous growth. However, the Indian medical tourism sector faces various challenges. Since India attempts to position itself as one of the preferred global medical tourism hub, a thorough understanding of means to attract, satisfy and retain medical tourists is extremely important. Five hundred and thirty four (534) useful responses in two different phases is collected and tested to examine the validity and reliability of the scale to ensure a quantitative and statistically proven identification of the responses. The exploratory factor analysis (EFA) is used to identify the underlying dimensions of medical tourism service quality for medical tourism in India. Next, confirmatory factor analysis (CFA) was used to confirm the factor structure of the constructs and validate EFA results. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Andaleeb, S.S., Siddiqui, N., Khandakar, S., Patient Satisfaction with health services in Bangladesh (2007) Health Policy and Planning, 22 (4), pp. 263-273. , PMID:17545252; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review of the two-step approach (1988) Psychological Bulletin, 103 (3), pp. 411-423; Awadzi, W., Panda, D., Medical tourism: Globalization and marketing of medical services (2005) The Consortium Journal of Hospitality and Tourism, 11, pp. 75-80; Babakus, E., Mangold, W.G., Adapting the SERVQUAL scale to hospital services: An empirical investigation (1992) Health Services Research, 26 (6), pp. 767-780. , PMID:1737708; Begde, P., (2008) Opportunity and challenges for medical tourism in India, , May, Paper presented at conference on tourism in India-challenges ahead, Indian Institute of Management, Kozhikode, India; Bookman, M., Bookman, K., (2007) Medical tourism in developing countries, , New York, NY: Palgrave MacMillan; Bowers, M.R., Swan, J.E., Koehler, W.F., What attributes determine quality and satisfaction with healthcare delivery? 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(2006) Health Affairs, 25 (1), pp. 11-21. , PMID:16403740; Bikker, A.P., Thompson, A.G.H., Predicting and comparing patient satisfaction in four different modes of health care across a nation (2006) Social Science & Medicine, 63 (6), pp. 1671-1683. , PMID:16678952; Cameron, K., Crooks, V.A., Chouinard, V., Snyder, J., Johnston, R., Casey, V., Motivation, justification, normalization: Talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries (2014) Social Science & Medicine, 10 (6), pp. 93-100. , PMID:24556288; Chaplin, E., Terninko, J., (2000) Customer Driven Healthcare: QFD for Process Improvement and Cost Reduction, , Milwaukee: ASQ Quality Press; Chou, S.Y., Kiser, A.I., Rodriguez, E.L., An expectation confirmation perspective of medical tourism (2012) Journal of Service Science Research, 4 (2), pp. 299-318; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Debata, B.R., Patnaik, B., De Run, E.C., Mahapatra, S.S., (2011) Modelling of medical tourism enablers in India, , MAG SCHOLAR Conference, Christchurch, New Zealand, 30th-31th May; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar, (2011) A quality deployment framework for the service quality of medical tourism in India, , 5th International Conference of the Asian Academy of Applied Business (AAAB), Phnom Penh, Cambodia, 9th-10th June; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar, Efficiency measurement amongst medical tourism service providers in India (2013) International Journal for Responsible Tourism, 2 (1), pp. 24-31; Debata, B.R., Patnaik, B., Mahapatra, S.S., Evaluating medical tourism enablers with interpretive structural modeling (2013) Benchmarking: An International Journal, 20 (6), pp. 716-743; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar, (2013) Benchmarking of medical tourism service providers: A DEA approach, , 6th International Conference of the Asian Academy of Applied Business (AAAB), Bandung, Indonesia, 30th May-1st June; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar., Interrelations of service quality and service loyalty dimensions in medical tourism: a structural equation modelling approach (2015) Benchmarking: An International Journal, 22 (1); Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar, N.A., Development of an instrument for measuring service quality of medical tourism in India (2011) International Journal of Indian Culture and Business Management, 4 (6), pp. 589-608; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar, N.A., An integrated approach for service quality improvement in medical tourism: An Indian perspective (2012) International Journal of Services and Operations Management, 13 (1), pp. 119-144; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sreekumar, N.A., Efficiency measurement in medical tourism: A DEA approach (2015) International Journal of Process Management and Benchmarking, 5 (1), pp. 90-112; Guiry, M., Brand positioning in the medical tourism industry: A brand personality perspective (2010) International Journal of Behavioural and Healthcare Research, 2 (1), pp. 20-37; Guiry, M., Vequist, D.G., Traveling abroad for medical care: US medical tourists' expectations and perceptions of service quality (2011) Health Marketing Quarterly, 28 (3), pp. 253-269. , PMID:21815742; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2010) Health Policy and Planning, 25 (3), pp. 248-251. , PMID:19926658; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge & quest? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198. , PMID:20535101; Marlowe, J., Sullivan, P., Medical Tourism: The Ultimate Outsourcing (2007) Human Resource Planning, 30 (2), pp. 8-10; McCallum, B.T., Jacoby, P.F., Medical outsourcing: Reducing clients' health care risks (2007) Journal of Financial Planning, 20 (10), pp. 60-70; Meleigy, M., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, pp. 164-166. , PMID:17486202; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the Ethics of Medical Tourism by Canadian Patients: Comparing Patient and Academic Perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Valorie, A.C., Leigh, T., Jeremy, S., Rory, J., Paul, K., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732. , PMID:21310519; Wu, H.L., Liu, C.Y., Hsu, W.H., An integrative model of customers' perception of health care services in Taiwan (2008) Service Industries Journal, 28 (9), pp. 1307-1319","Debata, B.R.; University of MacaoMacau",,,"IGI Global",,,,,,9781466685789; 1466685778; 9781466685772,,,"English","New Bus. Oppor. in the Grow. E-Tour. Ind.",Book Chapter,"Final",,Scopus,2-s2.0-84957628401 "Adams K., Whitmore R., Johnston R., Crooks V.A.","37074104200;7005041258;36500711800;35585107800;","Medical tourism in Barbados: Negotiating inherent tensions",2015,"Entrepreneurship in Small Island States and Territories","8",,,"200","217",,1,"10.4324/9781315764528","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84960302248&doi=10.4324%2f9781315764528&partnerID=40&md5=4d556966c41552be10bc3c04eb530952","Simon Fraser University (SFU)BC, Canada; Department of Geography, Simon Fraser University, Canada","Adams, K., Simon Fraser University (SFU)BC, Canada; Whitmore, R., Department of Geography, Simon Fraser University, Canada; Johnston, R., Department of Geography, Simon Fraser University, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Canada",[No abstract available],,,,,,,,,,"Andrian, L., Mercer-Blackman, V., Presbitero, A., Rebucci, A., (2013) Vulnerability, debt and growth in the Caribbean: A fan chart approach, , http://publications.iadb.org/bitstream/handle/11319/5990/Debt%20and%20Growth%20Technical%20Note.pdf?sequence=1, Washington, DC: Inter American Development Bank; (2014) Why BFC? Our clinic, , www.barbadosivf.com/why-bfc/our-clinic/, Retrieved from; Bishop, M.L., Tourism as a small-state development strategy (2010) Progress in Development Studies, 10 (2), pp. 99-114; Bishop, M.L., Girvan, N., Shaw, T.M., Solange, M., Kirton, R.M., Scobie, M., Mohammed, D., Anatol, M., (2011) Caribbean regional integration, , www.normangirvan.info/wp-content/uploads/2011/06/iir-regional-integration-report-final.pdf, University of the West Indies Institute of International Relations. Retrieved from; Campbell, B.J., Kissoon, N., Syed, N., Fraser, H.S., Health human resource planning in Barbados and the Eastern Caribbean States: A matter of sustainabil-ity (2008) West Indian Medical Journal, 57 (6), pp. 542-548; Campling, L., Rosalie, M., Sustaining social development in a small island developing state? 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Abingdon: Routledge; Smith, K., The problematization of medical tourism: A critique of neoliberal-ism (2012) Developing World Bioethics, 12 (1), pp. 1-8; Snyder, J., Crooks, V.A., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: A prospective, qualitative study of stakeholder perspectives (2013) International Journal for Equity in Health, 12 (2). , www.ncbi.nlm.nih.gov/pmc/articles/PMC3600002/, Retrieved from; Turner, L., First world health care at third world prices: Globalization, bio-ethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Worrell, D., Belgrave, A., Grosvenor, T., Lescott, A., An analysis of the tourism sector in Barbados (2011) Central Bank of Barbados Economic Review, 37 (1), pp. 49-75; Zappino, V., (2005) Caribbean tourism and development: An overview, , http://ecdpm.org/wp-content/uploads/2013/11/DP-65-Caribbean-Tourism-Industry-Development-2005.pdf, European Centre for Development Policy Management. Retrieved from","Adams, K.; Simon Fraser University (SFU)Canada",,,"Taylor and Francis Inc.",,,,,,9781317654544; 9781138789982,,,"English","Entrep. in Small Isl. States and Territ.",Book Chapter,"Final",,Scopus,2-s2.0-84960302248 "Shchekin G.Y., Guba T.I.","56584684500;56584350000;","Social risks of medical tourism",2015,"Asian Social Science","11","7",,"233","239",,1,"10.5539/ass.v11n7p233","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84926459243&doi=10.5539%2fass.v11n7p233&partnerID=40&md5=c44be0ff153b9335cf1e18ad9586fb89","State Government-Funded Educational Institution of Higher Professional Training under the Ministry of Health of the Russian Federation “Volgograd State Medical University”, 1, Pavshikh Bortsov Sq, Volgograd, 400131, Russian Federation","Shchekin, G.Y., State Government-Funded Educational Institution of Higher Professional Training under the Ministry of Health of the Russian Federation “Volgograd State Medical University”, 1, Pavshikh Bortsov Sq, Volgograd, 400131, Russian Federation; Guba, T.I., State Government-Funded Educational Institution of Higher Professional Training under the Ministry of Health of the Russian Federation “Volgograd State Medical University”, 1, Pavshikh Bortsov Sq, Volgograd, 400131, Russian Federation","Modern medicine as a subject of international tourism. Conceptual approaches to the definition and description of medical tourism were analyzed. International experience in rendering services of medical tourism, its rapid growth in such countries as the USA, Germany Israel and India was studied. A range of serviced rendered by foreign medical institutions was described. Prospects of medical tourism in today’s Russia was considered. Social role of travel agencies in development of medical tourism was described. Social risks were revealed and described and recommendations to develop medical tourism were suggested. © author(s).","Medical tourism; Social agents of medical tourism; Socially significant diseases",,,,,,,,,"International Medical Tourism. International Health Care Center, , http://medaspect.com.ua/lechenie-v-indii/apollo-kliniki, ASPECT, (n. d.). 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Retrieved August 25, from","Shchekin, G.Y.; State Government-Funded Educational Institution of Higher Professional Training under the Ministry of Health of the Russian Federation “Volgograd State Medical University”, 1, Pavshikh Bortsov Sq, Russian Federation",,,"Canadian Center of Science and Education",,,,,19112017,,,,"English","Asian Soc. Sci.",Article,"Final",Open Access,Scopus,2-s2.0-84926459243 "Crooks V.A., Snyder J.","35585107800;24170239100;","Medical tourism dialogue needs a broader scope",2015,"CMAJ","187","3",,"207","",,1,"10.1503/cmaj.115-0008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84923823531&doi=10.1503%2fcmaj.115-0008&partnerID=40&md5=2bcf9ee7636ff96012f1099668d5725f","Simon Fraser University, Burnaby, BC, Canada","Crooks, V.A., Simon Fraser University, Burnaby, BC, Canada; Snyder, J., Simon Fraser University, Burnaby, BC, Canada",[No abstract available],,"Canada; health care; health practitioner; health service; human; Letter; medical care; medical profession; medical tourism; public hospital; travel; Humans; Medical Tourism",,,,,,,,"Stanbrook, M., Fletcher, J., Attracting medical tourists to Canada is a risky experiment (2014) CMAJ, 186, p. 971",,,,"Canadian Medical Association",,,,,08203946,,CMAJA,"25691796","English","CMAJ",Letter,"Final",Open Access,Scopus,2-s2.0-84923823531 "Bochaton A.","16641923000;","International medical travel developments within Thailand and Southeast Asia",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"278","287",,1,"10.4337/9781783471195.00038","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038939925&doi=10.4337%2f9781783471195.00038&partnerID=40&md5=dbb78857c112cb47c8bab28ac3f14a5b","Department of Geography, University of Paris Ouest Nanterre la Défense-Mosaïques UMR Lavue, France","Bochaton, A., Department of Geography, University of Paris Ouest Nanterre la Défense-Mosaïques UMR Lavue, France",[No abstract available],,,,,,,,,,"Overview: Small-scale hydropower, foreign direct investment and medical tourism: Helping or hurting the poor? (2010) Bulletin, 5. , August; Bochaton, A., The rise of a transnational healthcare paradigm: Thai hospitals at the crossroads of new patient flows (2013) European Journal of Transnational Studies, 5 (1), pp. 54-80; Bochaton, A., Cross-border mobility and social networks: Laotians seeking medical treatment along the Thai border (2015) Social Science & Medicine, 124, pp. 364-373; Bochaton, A., Lefebvre, B., The rebirth of the hospital: Heterotopia and medical tourism in Asia (2008) Asia on Tour: Exploring the rise of Asian tourism, pp. 97-108. , T. Winter, P. Teo, T.C. Chang (eds), London: Routledge; Bochaton, A., Lefebvre, B., Interviewing elites. Perspectives from medical tourism sector in India and Thailand (2010) Fieldwork in tourism: Methods, issues and reflections, pp. 85-95. , M. Hall (ed.), London: Routledge; Chamnan, R., (1991) Role of monarchy in Thai political and social development with special reference to King Bhumibol Adulyadej, , New-Delhi: Centre of South, Central, South-East Asian and South-West Pacific Studies, School of International Studies, Jawaharlal Nehru University; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732; Ellis, A.G., The service to medicine in Siam: Rendered by His Royal Highness Prince Mahidol of Songkla (1936) Contemporary history: The service to medicine in Siam rendered by His Royal Highness Prince Mahidol of Songkla C.P.H., M.D. (Harvard), pp. 165-198. , A.G. Ellis (ed.), Bulletin of the Institute of the History of Medicine, IV, 2, Bangkok; Gesler, W., Therapeutic landscapes: An evolving theme (2005) Health & Place, 11 (4), pp. 295-298; Gesler, W., Bell, M., Curtis, S., Hubbard, P., Francis, S., Therapy by design: Evaluating the UK hospital building program (2004) Health & Place, 10 (2), pp. 117-128; Glinos, I., Baeten, R., Maarse, H., Purchasing health services abroad: Practices of cross-border contracting and patient mobility in six European countries (2010) Health Policy, 95 (2), pp. 103-112; Harryono, M., Huang, Y.-F., Myazawa, K., Sethaput, V., (2006) Microeconomics of competitiveness, , Thailand Medical Tourism Cluster, Cambridge, MA: Harvard Business School; Hours, B., Selim, M., (1997) Essai d’anthropologie politique sur le Laos contemporain: Marché, socialisme et génies, , Paris: L’Harmattan; Kittikanya, C., State hospitals left behind in race (2005) Bangkok Post, , Economic Review, Year End 2005; (2008) Thailand Health Profile 2005-2007, , Bangkok: Ministry of Public Health; Mobillion, V., (2010) Territoires et soins à Vientiane (Laos): Une géographie de la capitale d’une République Démocratique Populaire, , PhD thesis in Geography, Paris: Ouest Nanterre la Défense University, 486; Nation, T., (1996) Non-Thais prove burden to border medical services, , 24 September 1996; Ormond, M.E., (2013) Neoliberal governance and international medical travel in Malaysia, , Abingdon: Routledge; Pachanee, C.A., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy and Planning, 21 (4), pp. 310-318; Pottier, R., (2004) Santé et Société au Laos (1973-1978). Le système de santé lao et ses possibilités de développement: Le cas de la zone de santé de Tha Düa, , Paris: Comité de coopération avec le Laos (CCL), 505; (2007) In commemoration of the 115th birth anniversary of H.R.H. Prince Mahidol of Songkla, , special publication in The Nation; Purvis, A., Is it a hotel? Is it a trendy bar? No, it’s a hospital (2001) The Guardian, , 5 August 2001; Toyota, M., Ageing and transnational householding: Japanese retirees in Southeast Asia (2006) International Development Planning Review, 28 (4), pp. 515-531; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Wilson, A., Medical tourism in Bangkok (2010) Asian biotech: Ethics and communities of fate, pp. 118-143. , A. Ong, N.N. Chen (eds), Durham: Duke University Press; Wilson, A., Foreign bodies and national scales: Medical tourism in Thailand (2011) Body and Society, 17 (2-3), pp. 121-137","Bochaton, A.; Department of Geography, University of Paris Ouest Nanterre la Défense-Mosaïques UMR LavueFrance",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038939925 "Calnan M., Calovski V.","55150191800;57200048013;","Medical tourism and trust: Towards an agenda for research",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"379","390",,1,"10.4337/9781783471195.00050","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038897146&doi=10.4337%2f9781783471195.00050&partnerID=40&md5=67c500e622a850e8a6e46812e4ba785b","School of Social Policy, Sociology and Social Research, University of Kent, United Kingdom","Calnan, M., School of Social Policy, Sociology and Social Research, University of Kent, United Kingdom; Calovski, V., School of Social Policy, Sociology and Social Research, University of Kent, United Kingdom",[No abstract available],,,,,,,,,,"Alaszweski, A., Risk, trust and health (2003) Health, Risk and Society, 5 (3), pp. 235-240; Brennan, N., Barnes, R., Calnan, M., Corrigan, O., Dieppe, P., Entwhistle, V., Trust in the health-care provider-patient relationship: A systematic mapping review of the evidence base (2013) International Journal for Quality in Health Care, 25 (6), pp. 682-688; Brown, P., Calnan, M., (2012) Trusting on the Edge, , Bristol: Policy Press; Burge, P., Devlin, N., Appleby, J., Rohr, C., Grant, J., Do patients always prefer quicker treatment?: A discrete choice analysis of patients’ stated preferences in the London patient choice project (2004) Applied Health Economics and Health Policy, 3 (4), pp. 183-194; Calnan, M., Rowe, M., (2008) Trust Matters in Health Care, , Maidenhead: Open University Press; Calnan, M., Rowe, M., Trust, accountability and choice (2008) Health, Risk and Society, 10 (3), pp. 201-206; Calnan, M., Palm, W., Sohy, F., Quaghebeur, D.N.A., Cross border use of health care: A survey of frontier workers’ knowledge, attitudes and use (1997) European Journal of Public Health, 7 (3), pp. 26-32; Calnan, M., Palm, W., Sohy, F., Quaghebear, D., Implementing a policy for cross-border use of health care: A case study of frontier workers’ knowledge, attitudes and use (1997) Health Care and its Financing in the Single European Market, pp. 306-311. , R. Leidl (ed.), Amsterdam: IOS Press; Cohen, E., (2008) The Explorations in Thai Tourism, , Bingley: Emerald; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Coulson, A., Trust and contract in public sector management (1998) Trust and Contracts: Relationships in Local Government Health and Public Services, , A. Coulson (ed.), Bristol: Policy Press; Davies, H.T.O., Falling public trust in health services: Implications for accountability (1999) Journal of Health Services Research and Policy, 4 (4), pp. 193-194; Ehrbeck, T., Guevara, C., Mango, P., (2008) Mapping the Market for Medical Travel, , New York: The McKinsey Quarterly; Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare (2011) Official Journal of the European Union, , 4.4.2011: L. 88/45-L. 88/65; Gambetta, D., (1988) Making and Breaking Co-operative Relations, , Oxford: Blackwell; Gilson, L., Trust and the development of health care as a social institution (2003) Social Science & Medicine, 56 (7), pp. 1453-1468; Glinos, I.A., Baeten, R., Boffin, N., Cross-border contracted care in Belgian hospitals (2006) Patient Mobility in the European Union: Learning from Experience, , M. Rosenmöller, R. Baeten, M. McKee (eds), Denmark: European Observatory on Health Systems and Policies; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health & Place, 16 (6), pp. 1145-1155; Hall, M., Dogan, E., Zheng, B., Mishra, A., Trust in physicians and medical institutions. Does it matter? (2001) Milbank Quarterly, 79 (4), pp. 613-639; Hardie, E.A., Critchley, C.R., Public perceptions of Australia’s doctors, hospitals and healthcare systems (2008) Medical Journal of Australia, 189 (4), pp. 210-214; Herrick, D., (2007) Medical Tourism: Global Competition in Health Care, , Dallas, TX: National Center for Policy Analysis; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Horowitz, M., Rosensweig, J., Jones, C., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Horsfall, D., Lunt, N., King, H., Hanefeld, J., Smith, R.D., The impact of the internet on medical tourism (2013) Medical Tourism and Transnational Health Care, pp. 223-239. , T. Mainil, D. Botterill, G. Pennings (eds), London: Palgrave Macmillan; Keckley, P., Underwood, H., (2008) Medical Tourism: Consumers in Search of Value, , Washington, DC: Deloitte Center for Health Solutions; Lowson, K., West, P., Chaplin, S., O’Reilly, J., (2002) Evaluation of Treating Patients Overseas, , Report for the Department of Health, York: York Health Economics Consortium, University of York; Luhmann, N., (1979) Trust and Power, , Chichester: Wiley & Sons; Lunt, N., Carrera, P., Advice for prospective medical tourists: Systematic review of consumer sites (2011) Tourism Review, 66 (1-2), pp. 57-67; Lunt, N., Green, S.T., Mannion, R., Horsfall, D., Quality, safety and risk in medical tourism (2012) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 31-46. , M.C. Hall (ed.), London: Routledge; Lunt, N., Horsfall, D., Smith, R.D., Exworthy, M., Hanefeld, J., Mannion, R., Market size, market share and market strategy: Three myths of medical tourism (2014) Policy and Politics, 42 (4), pp. 597-614; Mayer, R.C., Davis, J.H., Schoorman, F.D., An integrative model of organization trust (1995) Academy of Management Review, 20 (3), pp. 438-458; Mechanic, D., Meyer, S., Concepts of trust among patients with serious illness (2000) Social Science & Medicine, 51 (5), pp. 657-668; Mishra, A., Organizational responses to crisis: The centrality of trust (1996) Trust in Organizations: Frontiers of Theory and Research, , R.M. Kramer, T.R. Tyler (eds), Thousand Oaks, CA: Sage; Natalier, K., Willis, K., Taking responsibility or averting risk? A socio-cultural approach to risk and trust in private health insurance decisions (2008) Health, Risk and Society, 10 (4), pp. 399-411; Nettleton, S., Burrows, R., O’Malley, L., The mundane realities of the everyday use of the internet for health and their consequences for media convergence (2005) Sociology of Health and Illness, 25 (6), pp. 589-607; Pilgrim, D., Tomasini, F., Yassilev, I., (2011) Examining Trust in Health Care: A Multidisplinary Perspective, , London: Palgrave Macmillan; Pollard, K., (2010) Medical Tourism Statistics: Comparing Apples with Apples…, , London: Intuition Communications; Rose-Ackerman, S., Trust, honesty and corruption: Reflection on the state-building process (2001) European Journal of Sociology, 42 (3), pp. 526-570; Smith, M.K., Puczkó, L., (2009) Health and Wellness Tourism, , Amsterdam: Elsevier/Butterworth-Heinemann; Titmuss, R., (1968) Commitment to Welfare, , London: George Allen and Unwin Ltd; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Wang, H., Value as a medical tourism driver (2012) Managing Service Quality, 22 (5), pp. 465-491; Wongkit, M., McKercher, B., Toward a typology of medical tourists: A case study of Thailand (2013) Tourism Management, 38, pp. 4-12; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038897146 "Smith M., Puczkó L., Sziva I.","55495915200;6507221735;56445804800;","Putting the thermal back into medical tourism",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"393","402",,1,"10.4337/9781783471195.00052","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027693258&doi=10.4337%2f9781783471195.00052&partnerID=40&md5=bc00b8ee021357f01997031641cff669","BKF University of Applied Sciences, Budapest, Hungary","Smith, M., BKF University of Applied Sciences, Budapest, Hungary; Puczkó, L., BKF University of Applied Sciences, Budapest, Hungary; Sziva, I., BKF University of Applied Sciences, Budapest, Hungary",[No abstract available],,,,,,,,,,"Bircher, J., Towards a dynamic definition of health and disease (2005) Medicine, Health Care and Philosophy, 8, pp. 335-341; Boekstein, M., (2001) The Role of Health in the Motivation to Visit Mineral Spa Resorts in the Western Cape, , Unpublished Master’s dissertation, Cape Town: University of the Western Cape; Boekstein, M., Revitalising the healing tradition: Thermal springs in the Western Cape (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, pp. 369-372. , M.K. Smith, L. Puczkó (eds), London: Routledge; Bogacheva, E., (2012) Global Spa and Wellness Industry Briefing Papers 2012, pp. 21-22. , New York: Global Spa and Wellness Summit; Booyens, B., (1981) Bronwaters van Genesing: Die Tradisionele Warmbronwaterkultuur in Ons Volksgeneeskunde, , Cape Town: Tafelberg; Breuleux, P., (2013) Medical Wellness. Professional Directory, Resource Guide, , Pittsburgh, PA: Medical Wellness Association; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2012) Tourism Management, 34, pp. 1-13; (2008) Medical Wellness, , Dusseldorf: Deutscher Wellness Verband; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Clevedon: Channel View; Glinos, I., Worrying about the wrong thing: Patient mobility versus mobility of health care professionals (2012) Journal of Health Services Research and Policy, 17 (4), pp. 254-256; (2010) Spas and the Global Wellness Market: Synergies and Opportunities, , New York: Global Spa Summit; Hadzik, A., Ujma, D., Gammon, S., Wellness and spa provision in the Silesian health resorts in Poland (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, pp. 321-328. , M.K. Smith, L. Puczkó (eds), London: Routledge; (2012) Spa Culture, , Budapest: Hungarian National Tourist Office; (1973) Health Tourism, , Geneva: United Nations; Kangas, B., Traveling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Kent, L., The thermal waters of the Union of South Africa (1949) Transactions of the Geological Society of South Africa, 52, pp. 231-241; Khayat, M.H., (1998) Spirituality in the Definition of Health: The World Health Organization’s Point of View, , Prague: Medizinethik; Larson, J.S., The World Health Organization’s definition of health: Social versus spiritual health (1996) Social Indicators Research, 38 (2), pp. 181-192; Lebe, S.S., Wellness tourism development in Slovenia in the last two decades (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, pp. 315-319. , M.K. Smith, L. Puczkó (eds), London: Routledge; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , Paris: OECD; (2013) Medical Tourism FAQs, , http://www.medicaltourismassociation.com/en/medical-tourism-faq-s.html, accessed 3 October 2014 at; Mezősi, C., (2009) Nemzetközi kitekintés. Lehetőségek az orvos turizmus területén-Hogyan gazdálkodunk az adottságokkal, , Budapest: Turizmus. [Translates as International outlook. Possibilities in the market of surgical medical tourism-how we deal with our resources.]; Munro, J.W., (2012) What is Medical Tourism?, , Medical Travel Quality Alliance; Nemer, N., (2012) Global Spa and Wellness Industry Briefing Papers 2012, , New York: Global Spa and Wellness Summit; Priszinger, K., Formádi, K., Comparative analysis of health tourism products and online communication of selected Hungarian spas and hotels (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, pp. 285-290. , M.K. Smith, L. Puczkó (eds), London: Routledge; Saracci, R., The World Health Organization needs to reconsider its definition of Health (1997) British Medical Journal, 314, pp. 1409-1410; Schweder, I., (2012) Global Spa and Wellness Industry Briefing Papers 2012, , New York: Global Spa and Wellness Summit; Shivdasani, S., (2012) Global Spa and Wellness Industry Briefing Papers 2012, , New York: Global Spa and Wellness Summit; Smith, M.K., Puczkó, L., (2009) Health and Wellness Tourism, , Elsevier: Butterworth Heinemann; Smith, M.K., Puczkó, L., (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , London: Routledge; Smith, M.K., Puczkó, L., Sziva, I., Thermal medical versus surgical medical tourism in Hungary: The challenges of reconciling public and private sector policies (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 95-108. , C.M. Hall (ed.), London: Routledge; (2013) Global Wellness and Spa Tourism Monitor 2012-2013, , Budapest: TOHWS; Tukamusaba, E., Hot springs in Uganda (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , M.K. Smith, L. Puczkó (eds), London: Routledge (p. 66); (1984) Discussion Document on the Concept and Principles of Health Promotion, , Copenhagen, 9-13 July, WHO",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85027693258 "Barros P.P.","7006055171;","Health systems and medical tourism",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"71","81",,1,"10.4337/9781783471195.00016","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027688107&doi=10.4337%2f9781783471195.00016&partnerID=40&md5=0be614bf425d9d10f7d5e948cf18aecc","Universidade Nova de Lisboa, Portugal","Barros, P.P., Universidade Nova de Lisboa, Portugal",[No abstract available],,,,,,,,,,"Statement on medical and surgical tourism (2009) Bulletin of the American College of Surgeons, 94 (4), pp. 26-27; Barros, P., Martinez-Giralt, X., Public and private provision of health care (2002) Journal of Economics and Management Strategy, 11 (1), pp. 109-133; Barros, P., Martinez-Giralt, X., Models of negotiation and bargaining in health care (2006) Elgar Companion to Health Economics, pp. 233-241. , A. Jones (ed.), Cheltenham, UK and Northampton, MA, USA: Edward Elgar; Chen, Y.Y., Flood, C., Medical tourism’s impact on health care equity and access in low-and middle-income countries: Making the case for regulation (2013) The Journal of Law, Medicine & Ethics, 41 (1), pp. 286-300; Directive 2011/24/EU of the European Parliament and of the Council of 9th March 2011 on the application of patients’ rights in cross-border healthcare (2011) Official Journal of the European Union, , 4.4.2011: L. 88/45-L. 88/65; Geoffard, P.Y., Verdier, T., International trade in medical services (2010) Paris School of Economics, , Paris: Paris School of Economics; Grandlund, D., Wikstrom, M., (2013) Public provision and cross-border health care, , Working paper, Umea University and HUI Research; Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal of Equity in Health, 3 (1), pp. 9-24; Lunt, N., Smith, R.D., Exworthy, M., Green, S., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , Paris: OECD; Pauly, M.V., Satterthwaite, M.A., The pricing of primary care physicians services: A test of the role of consumer information (1981) The Bell Journal of Economics, 12 (2), pp. 488-506; Satterthwaite, M.A., Consumer information, equilibrium industry price, and the number of sellers (1979) The Bell Journal of Economics, 10 (2), pp. 483-502","Barros, P.P.; Universidade Nova de LisboaPortugal",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85027688107 "Sobo E.J.","7004194791;","Culture and medical travel",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"217","227",,1,"10.4337/9781783471195.00032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026568901&doi=10.4337%2f9781783471195.00032&partnerID=40&md5=127aca6e6ed6b12f9d149cb70960e157","Department of Anthropology, San Diego State University, United States","Sobo, E.J., Department of Anthropology, San Diego State University, United States",[No abstract available],,,,,,,,,,"Ackerman, S., Plastic paradise: Transforming bodies and selves in Costa Rica’s cosmetic surgery tourism industry (2010) Medical Anthropology, 29 (4), pp. 403-423; Brach, C., Fraser, I., Can cultural competency reduce racial and ethnic disparities? A review and conceptual model (2000) Medical Care Research and Review, 57 (1), pp. 181-217; Cohen, E., Medical tourism in Thailand (2008) Explorations in Thai Tourism: Collected Case Studies, pp. 225-255. , E. Cohen (ed.), Bingley, UK: Emerald Group Publishing Ltd; Cohen, I.G., Transplant tourism: The ethics and regulation of international markets for organs (2013) Global Health and the Law, 41 (1), pp. 269-285; Operating profit; globalisation and health care (2008) Economist, 388 (8593); Galanti, G.-A., (2008) Caring for Patients from Different Cultures: Case Studies from American Hospitals, , Philadelphia: University of Pennsylvania Press; Good, B., Good, M.-J.D., Learning medicine: The constructing of medical knowledge at Harvard Medical School (1993) Knowledge, Power, and Practice, pp. 81-107. , S. Lindenbaum, M. Lock (eds), Los Angeles: University of California Press; Hahn, R.A., (1995) Sickness and Healing: An Anthropological Perspective, , New Haven: Yale University Press; Horton, S., Medical returns as class transformation: Situating migrants’ medical returns within a framework of transnationalism (2013) Medical Anthropology, 32 (5), pp. 417-432; Inhorn, M., Patrizio, P., Rethinking reproductive “tourism” as reproductive “exile” (2009) Fertility and Sterility, 29 (3), pp. 904-906; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21 (1), pp. 35-78; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology & Medicine, 14 (3), pp. 293-305; Kangas, B., Travelling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington, DC: Deloitte Center for Health Solutions; Kozhimannil, K., Law, M., Virnig, B., Caesarean delivery rates vary tenfold among US hospitals; reducing variation may address quality and cost issues (2013) Health Affairs, 32 (3), pp. 527-535; Milstein, A., Smith, M., America’s new refugees-seeking affordable surgery offshore (2006) New England Journal of Medicine, 355 (16), pp. 1637-1640; Payer, L., (1988) Medicine and Culture: Varieties of Treatments in the United States, England, West Germany and France, , New York: Henry Holt and Company; Sobo, E.J., Medical travel: What it means and why it matters (2009) Medical Anthropology, 29 (1), pp. 326-335; Sobo, E.J., Loustaunau, M., (2010) The Cultural Context of Health, Illness and Medicine, , Santa Barbara, CA: Praeger; Sobo, E.J., Seid, M., Cultural issues in health services delivery: What kind of “competence” is needed, and from whom? (2003) Annals of Behavioral Science & Medical Education, 9 (2), pp. 97-100; Sobo, E.J., Herlihy, E., Bicker, M., Selling medical travel to US patient-consumers: The cultural appeal of website marketing messages (2011) Anthropology and Medicine, 18 (1), pp. 119-136; Speier, A., IVF vacation: Providing “modern” fertility treatments at lower costs (2008) 107th Annual Meeting of the American Anthropological Association, pp. 19-23. , November, San Francisco; Taylor, J.S., The story catches you and you fall down: Tragedy, ethnography, and “cultural competence” (2003) Medical Anthropology Quarterly, 17 (2), pp. 159-181; Tervalon, M., Murray-García, J., Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education (1998) Journal of Health Care for the Poor and Underserved, 9 (2), pp. 117-125; Wedenoja, W., Sobo, E., Culture and unconscious motivation (1997) Motivation and Culture, pp. 159-177. , D. Munro, J. F. Schumaker, S. C. Carr (eds), New York: Routledge; Whittaker, A., Pleasure and pain: Medical tourism in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, 3 (3), pp. 271-290; Whittaker, A., Speier, A., “Cycling overseas”: Care, commodification, and stratification in cross-border reproductive travel (2010) Medical Anthropology, 29 (4), pp. 363-383","Sobo, E.J.; Department of Anthropology, San Diego State UniversityUnited States",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85026568901 "Endo H., Okamura S., Toya M.","36246091200;35211549500;57200045544;","The national context of medical travel within Japan",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"288","295",,1,"10.4337/9781783471195.00039","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961842332&doi=10.4337%2f9781783471195.00039&partnerID=40&md5=49015ad7e65e1e24eaa2e32e1db35e5e","Tokyo Women’s Medical University, Japan; Department of Health Service Management, International University of Health and Welfare, Japan; Department of Quality Improvement, Japan Council for Quality Health Care, Japan","Endo, H., Tokyo Women’s Medical University, Japan; Okamura, S., Department of Health Service Management, International University of Health and Welfare, Japan; Toya, M., Department of Quality Improvement, Japan Council for Quality Health Care, Japan",[No abstract available],,,,,,,,,,"(2010) The new growth strategy, , (in Japanese), Tokyo: DPJ; (2010) Report on internationalization of medicine: ‘current state of medical tourism’, , Tokyo: DBJ; Endo, H., Okamura, S., Saito, T., Kanatani, Y., (2011) Study on international medical exchange, , (in Japanese), Report of the research grant from the Ministry of Health, Labour and Welfare, Government of Japan; Endo, H., Okamura, S., Touya, M., (2012) Study on issues surrounding medical institutions in Japan for international medical exchange, , (in Japanese), Report of the research grant from the Ministry of Health, Labour and Welfare, Government of Japan; Endo, H., Okamura, S., Touya, M., (2013) Study on preparedness of medical institutions for international medical exchange, , (in Japanese), Report of the research grant from the Ministry of Health, Labour and Welfare, Government of Japan; (2013) The accreditation system for medical institutions accepting international patients, , Tokyo: JMIP; Kaihara, S., Acceptance of international patients, Commentary (2009) Nikkei Newspaper, , Japanese, 22 June 2009; (2010) Publication of Medical Industry Working Group Report, , Tokyo: Ministry of Economy, Trade and Industry; (2013) Report on international medical exchange, , (in Japanese), Tokyo: Ministry of Economy, Trade and Industry; Niki, R., (2011) 89th Niki’s newsletter on medical economics and policy, , (in Japanese), Tokyo: Institute of Nonprofit Health Care Cooperation; (2013) New Growth Strategy, , Tokyo: Cabinet Public Relations Office",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84961842332 "Schneider I.","57213004333;","Race to the bottom or race to the top? governing medical tourism in a globalised world",2015,"Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals",,,,"191","210",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949207414&partnerID=40&md5=c6247fdcf5537a0d50659b6b9bd0cef5","University of Hamburg, Germany","Schneider, I., University of Hamburg, Germany","Medical tourism as a burgeoning phenomenon is both an effect and an expression of globalisation processes. The growth of international trade and markets, touristic infrastructures, acceleration, mobility and flexibility, communication facilitated through the internet, together with the sometimes aggressive marketing of respective ‘services’ have contributed to a striking rise in cross-border health care. Medical tourism has gained political support, both within Europe and beyond, not least within policy programmes to create a European single market and in the context of international trade agreements. Medical tourism is predominately sailing under the banner of economic justification. It does so by highlighting the comparative cost advantages if medical services can be provided elsewhere more cost-effectively and with possibly even higher standards of care. Medical tourism has become big business, a multi-billion dollar industry with hospitals competing for hundreds of thousands of patients who are travelling to obtain medical care across the world every year (Lunt et al., 2012a). © Bronwyn Parry, Beth Greenhough, Tim Brown and Isabel Dyck 2015. All rights reserved.",,,,,,,,,,"Bubela, T., Caulfield, T., Do the Print Media ‘Hype’ Genetic Research? A comparison of newspaper stories and peer-reviewed research papers (2004) Canadian Medical Association Journal, 170 (9), pp. 1399-1407; Caulfield, T., Condit, C., Science and the Sources of Hype (2012) Public Health Genomics, 15 (3-4), pp. 209-217; Cohen, I.G., Medical Tourism: The view from 10,000 feet (2010) Hastings Center Report, 40 (2), pp. 11-12; (2012) Towards a Council of Europe Convention to Combat Trafficking in Organs, Tissues and Cells of Human Origin, , http://assembly.coe.int/ASP/XRef/X2H-DW-XSL.asp?fileid=19236&lang=EN, Doc. 13082. 20 December, [online], Accessed 29 December 2013; Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What is Known about the Patient's Experience of Medical Tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 266; De Arellano, A., Patients Without Borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Delmonico, F.L., The Implications of Istanbul Declaration on Organ Trafficking and Transplant Tourism (2009) Current Opinion on Organ Transplantation, 14 (2), pp. 116-119; (2006) Report on the Regulation of Reproductive Cell Donation in the European Union. Results of Survey, , Brussels: European Commission; Fisher, E., Jones, J., Von Schomberg, R., (2006) Implementing the Precautionary Principle: Perspectives and Prospects, , Cheltenham: Edward Elgar; Hoffmann-Riem, W., (2000) Rechtswissenschaftliche Innovationsforschung Als Reaktion Auf Gesellschaftlichen Innovationsbedarf, , http://www2.jura.uni-hamburg.de/ceri/publ/download01.PDF, Accessed 28 February 2013; Hyder, N., India Limits Surrogacy Visas to Married Couples (2013) Bionews, , http://www.bionews.org.uk/page_242618.asp, 689, 21 January. [online], Accessed 29 December 2013; Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What is Known about the Effects of Medical Tourism in Destination and Departure Countries? A scoping review International Journal for Equity in Health, 9 (1), p. 24. , http://www.equityhealthj.com/content/9/1/24, online Accessed 29 December 2013; Keller, M., Herz auf Bestellung (2013) Die Zeit, , http://www.zeit.de/2013/n/China-Transplantationen-Organhandel, [online] Accessed 29 December 2013; Kulish, N., Cottrell, C., German Health Care Attracts Foreign Patients (2012) The New York Times, , http://www.nytimes.com/2012/12/21/world/europe/german-health-care-attracts-foreign-patients.html?_r=0, [online], Accessed 29 December 2013; Lunt, N., Green, S.T., Mannion, R., Horsfall, D., Quality, Safety and Risk in Medical Tourism (2012) Medical Tourism: The ethics, Regulation, and Marketing of Health Mobility, p. 2. , M.C. Hall, ed. 2012., London: Routledge, ch; Lunt, N., Mannion, R., Exworthy, M., A Framework for Exploring the Policy Implications of UK Medical Tourism and International Patient Flows (2012) Social Policy & Administration, 47 (1), pp. 1-25; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A scoping Review, , http://www.oecd.org/els/healthpoliciesanddata/48723982.pdf, OECD. [online], Accessed 29 December 2013; Magnus, D., Cho, M.K., Therapeutic Misconception and Stem Cell Research (2007) Nature Reports Stem Cells, , http://www.nature.com/stemcells/2007/0709/070927/full/stemcells.2007.88.html, [online] Accessed 29 December 2013; Mayntz, R., New Challenges to Governance Theory (1998) Jean Monet Chair Papers No.50, , http://www.uned.es/113016/docencia/spd%20-%20doctorado%202001-02/Introducci%F3n/Mayntz%20govemance%20EUI%201998.htm, online Accessed 29 December 2013; O’neill, O., (2002) Autonomy and Trust in Bioethics, , Cambridge: Cambridge University Press; Pocock, N.S., Phua, K.H., Medical Tourism and Policy Implications for Health Systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (12), pp. 1-12; Pennings, G., Reproductive Tourism as Moral Pluralism in Motion (2002) Journal of Medical Ethics, 28 (6), pp. 337-341; Scharpf, F.W., (1997) Games Real Actors Play: Actor-Centered Institutionalism in Policy Research, , Boulder, CO: Westview; Schneider, I., Pro-Life’ and ‘Pro-Choice (2003) Human Nature: A Working Conference on the Challenges of the new Human Genetics Technologies - within and beyond the Limits of human nature, , http://www.docstoc.com/docs/159961388/Ingrid-Schneider-Pro-life-and-Pro-choice-Overcoming-the-Glow, Overcoming the misleading controversy, Berlin, Germany, 12-15 October 2003. [online] Accessed 29 December 2014; Schneider, I., Indirect Commodification of Ova Donation for Assisted Reproduction and for Human Cloning Research - Proposals for supranational regulation (2009) Altruism Reconsidered, pp. 209-241. , M. Steinmann, P. Sykora and U. Wiesing, eds 2009, Farnham and Burlington: Ashgate Publishing; (2010) The European Patent System: Shifts in Governance through Parliaments and Civil Society, , Frankfurt and New York: Campus; The Body, the Law, and the Market: Public policy implications in a liberal state (2014) Human Rights and Human Nature, pp. 197-215. , M. Albers, T. Hoffmann and J. Reinhardt, eds, 2014., Dordrecht: Springer; Stone-Sweet, A., Managing Difference: Constitutional pluralism and transnational rights protection (2011) Difference and Democracy, pp. 227-244. , K. Raube and A. Sattler, eds, 2011., Frankfurt and New York: Campus; Tattara, G., Medical Tourism and Domestic Population Health (2010) University Ca’Foscari of Venice, Research Paper No. 02-10, , http://ssm.com/abstract=1544224orhttp://dx.doi.org/10.2139/ssm.1544224, online Accessed 29 December 2013; Local, T., Surrogate Children Have No Right to German Passport, Court Rules (2011) The Local, , 28 April; Westacott, E., Moral Relativism (2012) International Encyclopedia of Philosophy, , http://www.iep.utm.edu/moral-re/, online Accessed 29 December 2013","Schneider, I.; University of HamburgGermany",,,"Ashgate Publishing Ltd",,,,,,9781409457183; 9781409457176,,,"English","Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals",Book Chapter,"Final",,Scopus,2-s2.0-84949207414 "Krishnamoorthy S., Venkatesh S.","56810678200;57201538442;","Wellness tourism: Investigation of tourists’ profiles and motivational factors",2015,"International Journal of Pharmaceutical Sciences Review and Research","33","2", 55,"274","280",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940528559&partnerID=40&md5=b7a3d9209a7b5dbf9e180cf1636cf21f","School of Management, SRM University, Chennai, India; Loyola Institute of Business Administration, Loyola College, Chennai, India","Krishnamoorthy, S., School of Management, SRM University, Chennai, India; Venkatesh, S., Loyola Institute of Business Administration, Loyola College, Chennai, India","Wellness tourism has increasingly become an important economic and marketing strategy for tourist destinations attracting tourist visitations. The study on “investigation of profiles and motivational factors of international tourists to India” is an exploration to analyze the original reasons for international tourists selecting India as a wellness tourism destination. It is attempting to explore that a deep knowledge of tourist profile and their key motivations within this context is essential in order to withstand the growth of wellness tourism business. This study was conducted through a structured questionnaire and responses received from international wellness tourists in India. This study sought to understand the wellness motivation that are grasped in their own experiences during their visits to wellness service centers in India. It revealed the empirical findings of wellness tourists’ motivation by expanding the push-pull motivation theory that focused on the individual psychological factors (motivation, perception and attitude towards wellness) and the destination’s wellness attributes. A total of 350 tourists were interviewed amongst which only 150 were found to suit to the present study. Holiday packages offered by wellness tourism operators play a very important pull motivational factor, the presence of a partner or spouse played very important role in choosing to visit Indian tourist sites and information sources and the right educational background, wellness tourists could easily sieve through all competing tourist destinations to choose the best country to travel to for their relaxation needs and rejuvenation purpose. The findings benefit the wellness service providers in term of developing appropriate marketing strategies and improved tourist enlightenment. The scope of this study and the type of respondent limit to make a common implication of the research findings. © 2015, Global Research Online. All rights reserved.","Motivational factors; Push-pull strategy; Wellness tourism","adult; aged; Article; attitude; conceptual framework; demography; educational status; female; holiday package; human; interview; leisure; Likert scale; male; middle aged; motivation; perception; personal experience; push pull factor; rejuvenation; satisfaction; structured questionnaire; tourism; wellbeing; young adult",,,,,,,,"Walton-Roberts, M., International migration of health professionals and the marketization and privatization of health education in India: From push-pull to global political economy (2014) Social Science and Medicine, 124, pp. 374-382. , www.elsevier.com/locale/socscimed; Azman, I., Kim, J., Chan, L., Health and Spa Tourism Business: Tourists’ Profiles and Motivational Factors. School of Business and Economics, University Malaysia. Health, wellness and Tourism: Healthy tourists, healthy business? (2010) Proceedings of the Travel and Tourism Research Association Europe, p. 2010; Voigt, C., Understanding wellness tourism: An analysis of benefits sought (2010) Health-Promoting Behaviours and Positive Psychological Well-Being, , Doctoral dissertation, University of South Australia); Kanagaraj, D.C., Bindhu, T., An Analysis of Push and Pull Travel Motivations of Domestic Tourists to Kerala (2013) International Journal of Management and Business Studies, 3 (2), pp. 112-118; Kim Lian Chan, J., Baum, T., Motivation factors of ecotourists in ecolodge accommodation: The push and pull factors (2007) Asia Pacific Journal of Tourism Research, 12 (4), pp. 349-364; Damijanic, A.T., Saftic, D., Persuric, A., Influence of wellness in selecting tourism destination (2011) The 5Th International Scientific Conference-Entrepreneurship and Macroeconomic Management: Reflections on the World in Turmoil, , January, Hrvatska znanstvena bibliografija i MZOS-Svibor; Beeton, S., Holidays as Health: The No leave, No life campaign, La Trobe University, Australia. Health, wellness and Tourism: Healthy tourists, healthy business? (2010) Proceedings of the Travel and Tourism Research Association Europe, p. 2010","Krishnamoorthy, S.; School of Management, SRM UniversityIndia",,,"Global Research Online",,,,,0976044X,,,,"English","Int. J. Pharm. Sci. Rev. Res.",Article,"Final",,Scopus,2-s2.0-84940528559 "Chavada R., Hui S.H., Nagendra V.","54411926100;56754639900;56755348100;","Medical tourism raises questions that highlight the need for care and caution",2015,"Medical Journal of Australia","203","3",,"137","",,1,"10.5694/mja15.00004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938489005&doi=10.5694%2fmja15.00004&partnerID=40&md5=52ece6e636e07177b4f75cda758757bd","Liverpool Hospital, Sydney, NSW, Australia","Chavada, R., Liverpool Hospital, Sydney, NSW, Australia; Hui, S.H., Liverpool Hospital, Sydney, NSW, Australia; Nagendra, V., Liverpool Hospital, Sydney, NSW, Australia",[No abstract available],,"antiinfective agent; corticosteroid; allergic reaction; atypical Mycobacterium; financial management; Letter; liposuction; medical tourism; Mycobacterium abscessus; Mycobacterium fortuitum; Mycobacterium mucogenicum; polymerase chain reaction; risk assessment; skin infection; tattooing; human; Humans; Medical Tourism",,,,,,,,"Greenfield, D., Pawsey, M., Medical tourism raises questions that highlight the need for care and caution (2014) Med J Aust, 201, pp. 568-569. , https://www.mja.com.au/journal/2014/201/10/medical-tourism-raises-questionshighlight-need-care-and-caution; Nelson, R., Infectious risks of medical tourism (2014) Lancet Infect Dis, 14, pp. 680-681; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthet Surg J, 31, pp. 694-697; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759",,,,"Australasian Medical Publishing Co. Ltd",,,,,0025729X,,MJAUA,"26224180","English","Med. J. Aust.",Letter,"Final",,Scopus,2-s2.0-84938489005 "Kmietowicz Z.","26643098800;","UKIP wrong about HIV data and health tourism, say campaigners",2015,"BMJ (Clinical research ed.)","350",,,"h1943","",,1,"10.1136/bmj.h1943","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930663929&doi=10.1136%2fbmj.h1943&partnerID=40&md5=0cf16ad093e51c62eb9a2c6421a2cd7b","The BMJ, United Kingdom","Kmietowicz, Z., The BMJ, United Kingdom",[No abstract available],,"economics; health care delivery; human; Human immunodeficiency virus infection; medical tourism; migrant; national health service; politics; public health; United Kingdom; Delivery of Health Care; Emigrants and Immigrants; Great Britain; HIV Infections; Humans; Medical Tourism; Politics; Public Health; State Medicine",,,,,,,,,,,,,,,,,17561833,,,"25869935","English","BMJ",Note,"Final",,Scopus,2-s2.0-84930663929 "Aziz Y.A., Samdin Z., Awang K.W., Abdullah Z.","35212938800;55183476000;36884091500;23990423000;","Developing an index for medical tourism",2015,"International Business Management","9","4",,"412","415",,1,"10.3923/ibm.2015.412.415","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84928668317&doi=10.3923%2fibm.2015.412.415&partnerID=40&md5=e89251d5b3b32250c92faba415c02e03","Universiti Putra Malaysia, Serdang, 43300, Malaysia","Aziz, Y.A., Universiti Putra Malaysia, Serdang, 43300, Malaysia; Samdin, Z., Universiti Putra Malaysia, Serdang, 43300, Malaysia; Awang, K.W., Universiti Putra Malaysia, Serdang, 43300, Malaysia; Abdullah, Z., Universiti Putra Malaysia, Serdang, 43300, Malaysia","Currently, medical tourism is regarded as an important emerging tourism sector in the Malaysian economy. Despite it's significant contribution to the country's GDP, the examination of the main factors that contribute to the success of the industry remain limited. Therefore, the objective of the study is three-fold. First is to propose the medical tourism index from the service point of view. Second is to examine the ranking of the identified index. Finally to investigate the index which holds most value for money. The survey is conducted with 400 medical tourists over a period of 4 months. Several important findings are reported. An index with 5 dimensions is identified as the most important factors in medical tourism. The findings also suggest that hospital reputation is the most influential factor among the index. The result also provides evidence that medical treatment is a factor that has the most excellent value for money. It is concluded that clear index categorisation will assist greatly in conceptualising empirical developments and improving the overall service experience for medical tourists. The implications are discussed, limitations are noted and possible areas in future research are proposed. © Medwell Journals, 2015.","GDP; Index; Malaysia; Medical tourism; Service",,,,,,,,,"Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathe. Comput. Mod., 46, pp. 1144-1159; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tourism Manage., 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage., 34, pp. 1-13; De Freitas, C.R., Tourism climatology: Evaluating environmental information for decision making and business planning in the recreation and tourism sector (2003) Int. J. Biometeorol., 48, pp. 45-54; Garcia-Altes, A., The development of health tourism services (2005) Ann. Tourism Res., 32, pp. 262-266; Goodrich, J.N., Goodrich, G.E., Health-care tourism-an exploratory study (1987) Tourism Manage., 8, pp. 217-222; Lee, C.G., Health care and tourism: Evidence from Singapore (2010) Tourism Manage., 31, pp. 486-488; Ross, K., Health tourism: An overview (2001) HSMAI Marketing Review, , http://www.hospitalitynet.org/news/4010521html, December 27, 2001","Aziz, Y.A.; Universiti Putra MalaysiaMalaysia",,,"Medwell Journals",,,,,19935250,,,,"English","Int. Bus. Manage.",Article,"Final",,Scopus,2-s2.0-84928668317 "Chen L.H., Wilson M.E.","8082938100;57193196232;","Medical tourism",2015,"Journal of Travel Medicine","22","3",,"218","",,1,"10.1111/jtm.12190","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84928329119&doi=10.1111%2fjtm.12190&partnerID=40&md5=2ab234f9ed3bc4dc0b2e0ff67b184e2d","Travel Medicine Center, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, United States; Harvard School of Public Health, University of California San Francisco, San Francisco, CA, United States","Chen, L.H., Travel Medicine Center, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, United States; Wilson, M.E., Harvard School of Public Health, University of California San Francisco, San Francisco, CA, United States",[No abstract available],,"confidentiality; emporiatrics; follow up; health care; health care personnel; home care; human; Letter; medical literature; medical service; medical tourism; female; health care cost; health care delivery; male; medical tourism; patient preference; patient satisfaction; statistics and numerical data; Delivery of Health Care; Female; Health Care Costs; Humans; Male; Medical Tourism; Patient Preference; Patient Satisfaction",,,,,,,,"Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system (2014) J Travel Med, 21, pp. 410-417; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759; Cohen, I.G., (2014) Patients with Passports: Medical Tourism, Law, and Ethics, , New York: Oxford University Press; (2012) Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services, , Hodges J.R. Turner L. Kimball A.M. eds. Santa Barbara, CA: Praeger; Sadlier, C., Bergin, C., Merry, C., Healthcare globalization and medical tourism (2014) Clin Infect Dis, 58, pp. 1642-1643; Chen, L.H., Wilson, M.E., Reply to Sadlier, Bergin, and Merry (2014) Clin Infect Dis, 58, pp. 1643-1644",,,,"Blackwell Publishing Inc.",,,,,11951982,,JTRMF,"25904465","English","J. Travel Med.",Letter,"Final",Open Access,Scopus,2-s2.0-84928329119 "Aziz A., Md-Yusof R., Abu-Bakar N.T., Taib S.N.H., Ayob M.","55371525100;56367355600;57214680956;56368299500;57203502149;","Travel behavioral intention of choosing Malaysia as destination for medical tourism",2015,"Theory and Practice in Hospitality and Tourism Research - Proceedings of the 2nd International Hospitality and Tourism Conference 2014",,,,"185","188",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907373129&partnerID=40&md5=3da0771af1ede08b78aef7335ebbd786","Universiti Teknologi MARA, Melaka, Malaysia","Aziz, A., Universiti Teknologi MARA, Melaka, Malaysia; Md-Yusof, R., Universiti Teknologi MARA, Melaka, Malaysia; Abu-Bakar, N.T., Universiti Teknologi MARA, Melaka, Malaysia; Taib, S.N.H., Universiti Teknologi MARA, Melaka, Malaysia; Ayob, M., Universiti Teknologi MARA, Melaka, Malaysia","This paper aims to explore how the image of destination could allure the medical tourists in choosing Malaysia as their chosen destination. This conceptual paper offers an in-depth literature review regarding destination image and behavioral intention of the potential tourists and medical tourists. These tourists and medical tourists from many countries will be tapped in order to get information and to test the hypotheses. Understanding the relationships between behavioral intention and destination image, the destination country would have a better idea how to build up and attractive image and improve their marketing efforts in attracting as many medical tourists as possible. This study is perhaps will contribute to an understanding what factors that will influence the intentions of medical tourists through investigation by targeting the customers' perception and satisfaction. © 2015 Taylor & Francis Group.","Behavioral intention; Destination image; Perceived","Customer satisfaction; Behavioral intention; Destination image; Literature reviews; Malaysia; Perceived; Medical imaging",,,,,,,,"(2011) 2011 Survey of Health Care Consumers Global Report Key Findings, Strategic Implications, , www.deloitte.com, Retrieved from; Ali, J.A., Howaidee, M., The Impact of Service Quality on Tourist Satisfaction in Jerash (2012) Interdisciplinary Journal of Contemporary Research in Business, 3 (12), pp. 164-187; Andaleeb, S.S., Service Quality perceptions and patient satisfaction: A study of hospitals in developing country (2001) Social Science & Medicine, 52, pp. 1359-1370; Athanassopoulos, A., Gounaris, S., Stathakopoulos, Behavioural responses to customer satisfaction: An empirical study European Journal of Marketing, (5-6), pp. 687-707. , V. 2001.35; Bigne, J.E., Sanchez, M.I., Sanchez, J., Tourism image, evaluation variables and after purchase behaviour: Inter-relationship (2001) Tourism Management, 22 (6), pp. 607-616; Caruana, A., Service loyalty: The effects of service quality and the mediating role of customer satisfaction (2002) European Journal of Marketing, 36 (7-8), pp. 811-828; Connel, J., Medical Tourism: Sea, Sun, sand and... Surgery (2006) Tourism Management, (6). , http://www.sciencedirect.com, Retrieved from; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 266; Echtner, C.M., Ritchie, J.R.B., The Meaning and Measurement of Destination Image (2003) The Journal of Tourism Studies, 14 (1); Fakeye, P.C., Crompton, J.L., Image differences between prospective, first-time, and repeat visitors to the Lower Rio Grande Valley (1991) Journal of Travel Research, 30 (2), pp. 10-16; Finkelstein, B.S., Harper, D.L., Rosenthal, G.E., Patient assessments of hospital maternity care: A useful tool for consumers? (1999) Health Services Research, 34 (2), p. 623; Gartner, W.C., Tourism image: Attribute measurement of state tourism products using multidimensional scaling techniques (1989) Journal of Travel Research, 28 (2), pp. 16-20; Hankinson, G., Destination brand images: A business tourism perspective (2005) Journal of Services Marketing, 19 (1), pp. 24-32; Jacoby, J., Chestnut, R.W., (1978) Brand Loyalty: Measurement and Management, , Wiley New York; Jayawardena, C., Mastering Caribbean tourism (2002) International Journal of Contemporary Hospitality Management, 14 (2), pp. 88-93; Kesar, O., Rimac, K., Medical Tourism Development in Croatia (2011) Zagreb International Review of Economic & Business, 14 (2), pp. 107-134; Kessler, D.P., Mylod, D., Does patient satisfaction affect patient loyalty? (2011) International Journal of Health Care Quality Assurance, 24 (4), pp. 266-273; Kotler, P., (2003) Marketing Management (11 Ed.), , Prentice Hall; Kotler, P., Armstrong, G., (2001) Principles of Marketing (9 Ed.), , Prentice Hall; Ladhari, R., Service quality, emotional satisfaction, and behavioural intentions: A study in the hotel industry (2009) Managing Service Quality, 19 (3), pp. 308-331; Lee, C.-K., Lee, Y.-K., Lee, B., Korea's destination image formed by the 2002 World Cup (2005) Annals of Tourism Research, 32 (4), pp. 839-858; MALAYSIA:Tracking Malaysian medical tourist statistics (2009) International Medical Travel Journal:News, , The Malaysian Tourism Promotion Board MTPB, T.M; (2012) Penang Monthly, , Medical Tourism Revenue; Milman, A., Pizam, A., The role of awareness and familiarity with a destination: The central Florida case (1995) Journal of Travel Research, 33 (3), pp. 21-27; Opperman, M., Predicting Destination Choice - A Discussion of Destination Loyalty (1999) Journal of Vacation Marketing, 5 (1), pp. 78-84; Owusu-Frimpong, N., Nwankwo, S., Dason, B., Measuring service quality and patient satisfaction with access to public and private healthcare delivery (2010) International Journal of Public Sector Management, 23 (3), pp. 203-220; Wood, L., Researh and Markets: Malaysia Medical Tourism Outlook 2012- Despite the Global Economic Slowdown, Malaysia Received Around 22 Million International Tourists in 2008 (2009) Business and Economics; Woodside, A.G., Moore, E.M., Competing resort hotels Word-of-mouth communication and guest retention (1987) Tourism Management, 8 (4), pp. 323-328; Zeithaml, V.A., Berry, L.L., Parasuraman, A., The Behavioral consequences of service quality (1996) Journal of Marketing, 60, pp. 31-46",,,"","CRC Press/Balkema","2nd International Hospitality and Tourism Conference 2014","2 September 2014 through 4 September 2014","Penang",107321,,9781138027060,,,"English","Theory Pract. Hosp. Tourism Res. - Proc. Int. Hosp. Tourism Conf.",Conference Paper,"Final",,Scopus,2-s2.0-84907373129 "Medhekar A., Wong H.Y., Hall J.","56939297300;56939197200;56727127000;","Medical tourism: A conceptual framework for an innovation in global healthcare provision",2014,"Hospitality, Travel, and Tourism: Concepts, Methodologies, Tools, and Applications","1",,,"198","221",,1,"10.4018/978-1-4666-6543-9.ch013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945985770&doi=10.4018%2f978-1-4666-6543-9.ch013&partnerID=40&md5=033669ce7be2496429b70c3df7aa813e","CQ University, Australia; Deakin University, Australia","Medhekar, A., CQ University, Australia; Wong, H.Y., Deakin University, Australia; Hall, J., Deakin University, Australia","The purpose of this chapter is to establish a conceptual model that can potentially fill research gaps in the literature about medical tourism as an innovative concept in global healthcare provision by developing emerging economies as they are providing low cost alternatives in medical treatment at internationally accredited medical facilities to treat patients from developed countries. Major databases such as Ebscohost and Emerald have been used to search relevant literature. The literature on medical tourism is reviewed so as to understand the key drivers of medical tourism as well as research gaps in the existing literature. Three major drivers of medical tourism have been identified, namely cost, waiting time, and perceived quality. Further empirical research is needed to test the conceptual model in order to better understand what drives a decision to engage in medical tourism. This chapter makes three major contributions; firstly, the identification of the medical tourism literature from the service marketing and management perspectives; secondly, to propose a conceptual model representing innovation in medical tourism for global healthcare by developing emerging economies; thirdly, the identification of research gaps in the medical tourism literature through which future research can further the knowledge of why people travel to developing countries for medical treatment. © 2015, IGI Global.",,,,,,,,,,"Ali, M.M., Outbound medical tourism:The case of Bangladesh (2012) World Review of Business Research, 2 (4), pp. 50-70; Article (2008) American Medical Association and Medibank Private, 78 (10), pp. 38-43; (2010) AMTA (The Asian Medical Tourism Association), , http://www.health-tourism.com/medical-tourism/conferences/, Retrieved June 1, 2010, from; Anderson, G., Black, C., Dunn, E., Alonso, J., Christian-Norregard, J., Foler-Anderson, T., Bernth-Peterson, P., Willingness to pay to shorten waiting time for cataract surgery (1997) Health Affairs, 16 (5), pp. 181-190. , PMID:9314689; Arunanondchai, J., Fink, C., (2007) Trade in health services in the ASEAN region, , (World Bank Research Paper, no- 4147). 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Chichester, UK: Wiley Publishing; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., (2008) Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists, , Paper presented at the Asia Pacific Tourism Association (APTA) Annual Conference. Bangkok, Thailand","Medhekar, A.; CQ UniversityAustralia",,,"IGI Global",,,,,,9781466665446; 1466665432; 9781466665439,,,"English","Hosp., Travel, and Tour.: Concepts, Methodol., Tools, and Appl.",Book Chapter,"Final",,Scopus,2-s2.0-84945985770 "Stanbrook M., Fletcher J.","6602723831;57072413000;","Attracting medical tourists to Canada is a risky experiment",2014,"CMAJ","186","13",,"971","",,1,"10.1503/cmaj.141047","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907172257&doi=10.1503%2fcmaj.141047&partnerID=40&md5=9866bbc21ab562b7e1b2c7ca85d9e47e","CMAJ, United States","Stanbrook, M.; Fletcher, J., CMAJ, United States",[No abstract available],,"Canada; Editorial; elective surgery; funding; government regulation; health care access; health program; hospital administrator; hospital care; hospital cost; human; integrated health care system; international cooperation; medical tourism; non profit hospital; operating room; private hospital; public health service; total quality management; organization and management; teaching hospital; Canada; Hospitals, Teaching; Humans; Medical Tourism",,,,,,,,,"Fletcher, J.; CMAJUnited States",,,"Canadian Medical Association",,,,,08203946,,CMAJA,"25183719","English","CMAJ",Editorial,"Final",Open Access,Scopus,2-s2.0-84907172257 "Milone G., Tripepi G.","7004500974;35431826300;","Algorithms for early identification of poor mobilization and for on-demand use of plerixafor in patients mobilized by chemotherapy and granulocyte-colony stimulating factor",2014,"Leukemia and Lymphoma","55","3",,"725","726",,1,"10.3109/10428194.2013.832243","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894462417&doi=10.3109%2f10428194.2013.832243&partnerID=40&md5=850801bddc3b899c8aa49cade91b38a8","Bone Marrow Transplant Unit, Azienda Ospedaliera Policlinico-Vittorio Emanuele, Catania, Italy; Epidemiologia Clinica, IBIM-CRN, Reggio Calabria, Italy","Milone, G., Bone Marrow Transplant Unit, Azienda Ospedaliera Policlinico-Vittorio Emanuele, Catania, Italy; Tripepi, G., Epidemiologia Clinica, IBIM-CRN, Reggio Calabria, Italy",[No abstract available],,"Algorithms; Antineoplastic Agents; Granulocyte Colony-Stimulating Factor; Hematopoietic Stem Cell Mobilization; Heterocyclic Compounds; Humans; Treatment Outcome",,,,,,,,"Farina, L., Spina, F., Guidetti, A., Peripheral blood CD34+ cell monitoring after cyclophosphamide and G-CSF: An algorithm for the pre-emptive use of plerixafor (2013) Leuk Lymphoma, , Jun 14 [Epub ahead of print]; Milone, G., Martino, M., Scalzulli, P., Plerixafor on demand in association with chemotherapy and G-CSF halves rate of mobilization failure in lymphoma and in multiple myeloma: Preliminary results of a multicenter prospective study (2013) Bone Marrow Transplant, 48 (SUPPL. 2), pp. S49; Gisselbrecht, C., Glass, B., Mounier, N., Salvage regimens with autologous transplantation for relapsed large B-cell lymphoma in the rituximab era (2010) J Clin Oncol, 28, pp. 4184-4190; Telio, D., Fernandes, K., Ma, C., Salvage chemotherapy and autologous stem cell transplant in primary refractory diffuse large B-cell lymphoma: Outcomes and prognostic factors (2012) Leuk Lymphoma, 53, pp. 836-841; Rigacci, L., Fabbri, A., Puccini, B., Oxaliplatin-basedchemotherapy (dexamethasone, high-dose cytarabine, and oxaliplatin) rituximab is an effective salvage regimen in patients with relapsed or refractory lymphoma (2010) Cancer, 116, pp. 4573-4579; Awan, F., Kochuparambil, S.T., Falconer, D.E., Comparable efficacy and lower cost of PBSC mobilization with intermediate-dose cyclophosphamide and G-CSF compared with plerixafor and G-CSF in patients with multiple myeloma treated with novel therapies (2013) Bone Marrow Transplant, , Apr 15 [Epub ahead of print]; Milone, G., Tripepi, G., Martino, M., Early measurement of CD34+ cells in peripheral blood after cyclophosphamide and granulocyte colony-stimulating factor treatment predicts later CD34+ mobilisation failure and is a possible criterion for guiding ""on demand"" use of plerixafor (2013) Blood Transfus, 11, pp. 94-101","Milone, G.; Bone Marrow Transplant Unit, Azienda Ospedaliera Policlinico-Vittorio Emanuele, Catania, Italy; email: giuseppe.milone@gmail.com",,,,,,,,10428194,,LELYE,"23927398","English","Leuk. Lymphoma",Letter,"Final",,Scopus,2-s2.0-84894462417 "Lawrance B.N.","7801348739;","“Health tourism” or “atrocious barbarism”? Contextualizing migrant agency, expertise, and medical humanitarian practice",2014,"Adjudicating Refugee and Asylum Status: The Role of Witness, Expertise, and Testimony",,,,"221","244",,1,"10.1017/CBO9781107706460.014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954165163&doi=10.1017%2fCBO9781107706460.014&partnerID=40&md5=58c63ae3cb613b0d95ade5769cd71460","Rochester Institute of Technology, New York, United States","Lawrance, B.N., Rochester Institute of Technology, New York, United States","A Tale of Two Kidneys, On July 24, 2013, Roseline Onoshoagbe Akhalu was celebrating. She had just won her second appeal against deportation to Nigeria by the United Kingdom Border Agency (UKBA). Judge Southern, on behalf of the Upper Tribunal, stated, “the circumstances here were, if not truly unique, so exceptional as to stand out from the ordinary run of cases where a claimant complains of being disadvantaged by a comparative lack of medical care in his or her own country” ([2013] UKUT 400 (IAC) §53). Removal to Nigeria was deemed “disproportionate,” and a result it is now likely that Akhalu will be able to remain permanently in the United Kingdom, and continue her life. The relationships established with her physicians and the “ongoing therapeutic relationships” with National Health Service (NHS) providers were reckoned significant enough that she had a right, under Article Eight of the European Convention on Human Rights (ECHR), to a private life, thus safeguarding her claim to residency and continued medical care (Toal 2014). Akhalu’s victory was a remarkable conclusion to a long sequence of medical and legal ordeals. Akhalu first came to the United Kingdom in 2004 with a financial scholarship for a Masters degree in International Development. She left behind in Nigeria no immediate family; her husband had died of a brain tumor several years earlier, and they were childless. But while undertaking her studies, she was diagnosed with kidney failure. Several years of treatment ensued, concluding, or so she thought with a successful transplant in 2009. But, like many transplant patients, Akhalu is destined for a lifetime of immunosuppressant pharmaceuticals. Whereas she won her appeal to remain in 2012, the UKBA challenged the ruling, and argued that it was not the responsibility of the United Kingdom to provide health care to aliens. Akhalu’s legal team marshaled vital country conditions reports to argue that comparable medical treatment would be difficult to obtain in Nigeria, and beyond the means of a person with such a limited earning capacity, and that removal would constitute a “disproportionate” burden. © Cambridge University Press 2015.",,,,,,,,,,"(2014) Medical Humanitarianism: Ethnographies of Practice, , Abramowitz, Sharon and catherine panter-Brick, eds. Philadelphia: University of pennsylvania press; Agabem, G., (2005) Stato Di Eccezione, , Homo Sacer, 2,1, 2003. Turin: Bollati Boringhieri Trans. Kevin Attell as State of Exception; (2004) Public Health, Ethics, and Equity, , Anand, S., F. Peter, and A. Sen, eds., Oxford: Oxford university press; (2008) Cancer Patient Loses Visa Battle, , http://news.bbc.co.uk/2/hi/uk_news/wales/7178416.stm, January 9, Retrieved January 20, 2008; (2013) Theresa May: Health Tourism ‘Not Fair’, , http://www.bbc.com/news/uk-24471679, October 10, Retrieved February 1, 2014; Bettinson, V., Jones, A., The Integration or Exclusion of Welfare Rights in the ECHR: The Removal of Foreign Nationals with HIV After N v. UK (2009) Journal of Social Welfare and Family Law, 31, pp. 83-94; Bloomaert, J., Language, Asylum, and the National Order (2009) Current Anthropology, 54-4, pp. 415-441; Brauman, R., (2009) Humanitarian Medicine, , Paris: Crash/Fondation Medecins Sans Frontieres; Calhoun, C., The Idea of Emergency: Humanitarian Action and Global (Dis)order (2010) Contemporary States of Emergency: The Politics of Military and Humanitarian Interventions, pp. 29-58. , In Fassin, Didier, and mariella pandolfi, eds., New York: Zone books; Carrera, P.M., Bridges, J.F.P., Globalization and Healthcare: Understanding Health and Medical Tourism (2006) Expert Review of Pharmaco- Economics & Outcomes Research, 6 (4), pp. 447-454; Castaneda, H., Medical Humanitarianism and Physicians’ Organized Efforts to Provide Aid to Unauthorized Migrants in Germany (2011) Human Organization, 70 (1), pp. 1-10; Chalmers, J., Legal Responses to HIV and AIDS (2010) Legal Studies, 30 (2), pp. 334-337; Chandler, D., The Road to Military Humanitarianism: How the Human Rights NGOs Shaped a New Humanitarian Agenda (2001) Human Rights Quarterly, 23, pp. 678-700; Chung, R., A Theoretical Framework for a Comprehensive Approach to Medical Humanitarianism (2012) Public Health Ethics, 5 (1), pp. 49-55; Cohen, N., In Theresa May’s Surreal World, Feelings Trump Facts (2013) The Guardian, , http://www.theguardian.com/commentisfree/2013/oct/12/theresa-may-health-tourism-facts, October 12, 2013, Retrieved January 12, 2014; Connell, J., Contemporary Medical Tourism: Conceptualisation, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; Daniels, N., (1985) Just Health Care, , New York: Cambridge University Press; Daniels, N., (2008) Just Health: Meeting Needs Fairly, , New York: Cambridge University Press; De Torrente, N., Humanitarian Action Under Attack: Reflections on the Iraq War (2004) Harvard Human Rights Journal, 17 (1), pp. 1-29; Eastmond, M., Nationalist Discourses and the Construction of Difference: Bosnian Muslim Refugees in Sweden (1998) Journal of Refugee Studies, 11 (2), pp. 161-181; Fassin, D., (2012) Humanitarian Reason: A Moral History of the Present, , Berkeley: University of California Press; Fassin, D., ’Halluin, E., The Truth from the Body: Medical Certificates as Ultimate Evidence for Asylum Seekers (2005) American Anthropologist; Fassin, D., Pandolfi, M., (2010) Contemporary States of Emergency: The Politics of Military and Humanitarian Interventions, , New York: Zone Books; Feldman, I., Ticktin, M., (2010) In The Name of Humanity: The Government Ofthreat and Care, , Durham, NC: Duke University Press; Ford, R., Cancer Deportation ‘Not Exceptional (2008) The Times, , January 16, 2008; Fox, R.C., Medical Humanitarianism and Human Rights: Reflections on Doctors Without Borders and Doctors of the World (1995) Social Science and Medicine Volume, 41 (12), pp. 1607-1616; Good, A., Undoubtedly an Expert? 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Lawrance and Jacqueline Stevens, eds., Philadelphia: University of Pennsylvania Press; Hundt, L., Gillian, C., Dawn, T., Aziz, A., Abuateya, H., Advocating Multi-Disciplinarity in Studying Complex Emergencies: The Limitations of a Psychological Approach to Understanding How Young People Cope with Prolonged Conflict in Gaza (2004) Journal of Biosocial Science, 36 (4), pp. 417-431; Lillich, R.B., The Soering Case (1991) The American Journal Ofinternational Law, 85 (1), pp. 128-149; Macdougall, W., (2013) Our Kingdom, , http://www.opendemocracy.net/ourkingdom/alan-white/trials-of-roseline-akhalu, blog, Open Democracy.Net, by “William MacDougall.”response to a, Retrieved February 1, 2014; Madill, E., (2012) Roseline’s Journey: A Kidney Transplant Patient Meets UK Border Agency Contractors, , http://www.opendemocracy.net/ourkingdom/esme-madill/roseline’s-journey-kidney-transplant-patient-meets-uk-border-agency-contracto, Open Democracy.Net May 12, 2012, Retrieved January 12, 2014; Malphrus, G., Expert Witnesses in Immigration Proceedings (2010) Immigration Law Advisor, 4 (5), pp. 6-10; Mantouvalou, V., N v. 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January 18, Retrieved March 29, 2013; Mc Coll, H., Johnson, S., Characteristics and Needs of Asylum Seekers and Refugees in Contact with London Community Mental Health Teams: A Descriptive Investigation (2006) Social Psychiatry and Psychiatric Epidemiology, 41, pp. 789-795; Meffert, S.M., Musalo, K., Mc Niel, D.E., Binder, R.L., The Role of Mental health Professionals in Political Asylum Processing (2010) Journal of the American Academy of Psychiatry Law, 38 (4), pp. 479-489; Musalo, K., In re Kasinga: A Big Step Forward for Gender-Based Asylum Claims (1996) Interpreter Releases, 73, pp. 853-867. , July; Musalo, K., Ruminations on In re Kasinga: The Decision’s Legacy (1998) USC Review of Law and Women’s Studies, 7, pp. 35-37; Migrant Health: What Are Doctors’ Leaders Doing? (2008) The Lancet, 371 (9608), p. 178; Piot, C., Representing Africa in the Kasinga Asylum Case (2007) Transcultural Bodies: Female Genital Cutting in Global Context, , In ylva hernlund and bettina Shell-Duncan, eds. New brunswick, NJ: Rutgers university press; Redfield, P., (2012) Life in Crisis: The Ethical Journey of Doctors without Borders, , Berkeley: University of California Press; Reisman, D.A., (2010) Health Tourism: Social Welfare through International Trade, , Cheltenham, UK: Edward Elgar; Rose, A.M., The Social Scientist as an Expert Witness (1956) Minnesota Law Review, 40, pp. 205-218; Rosen, L., The Anthropologist as Expert Witness (1977) American Anthropologist, 79 (3), pp. 555-578; Ross, J., Can an Expert Wear Two Hats? (2001) New Law Journal, pp. 1646-1649; Sawyer, C., Insufficiently Inhuman: Removing AIDS Patients from the UK (2004) Journal Ofsocial Welfare and Family Law, pp. 281-288; Shuman, A., Bohmer, C., Representing Trauma: Political Asylum Narrative (2004) Journal of American Folklore, 117, pp. 394-414; Speed, S., At the Crossroads of Human Rights and Anthropology: Towards a Critically-Engaged Activist Research (2006) American Anthropologist, 108 (1), pp. 66-76; Squire, V., (2009) The Exclusionary Politics of Asylum, , Basingstoke, UK: Palgrave- Macmillan; Stevens, D., Asylum Seekers and the Right to Access Health Care (2010) Northern Ireland Legal Quarterly, 61 (4), pp. 363-390; Terretta, M., Fraudulent Asylum-Seeking as Transnational Mobilization: The Example of Cameroon (2015) African Asylum at a Crossroads: Activism, Expert Testimony, and Refugee Rights, , In Iris Berger, Benjamin N. 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(2011) Body and Society, 17, pp. 205-213; Thuen, T., Anthropological Knowledge in the Courtroom: Conflicting Paradigms (2004) Social Anthropology, 12 (3), pp. 265-287; Ticktin, M., Where Ethics and Politics Meet: The Violence of Humanitarianism in France (2006) American Ethnologist, 33 (1), pp. 33-49; Ticktin, M., (2011) Casualities of Care: Immigration and the Politics of Humanitarianism in France, , Berkeley: University of California Press; Toal, R., (2014), Interview with Ronan Toal, Ms. Akhalu’s barrister, conducted by the author, February 26, 2014; Travis, A., Immigration Chief Defends Deportation of Cancer Patient (2008) The Guardian, , http://www.guardian.co.uk/uk/2008/jan/16/immigration.politics, January 15, Retrieved March 14, 2013; (1979) 1967 Protocol Relating to the Status of Refugees, , http://www.refworld.org/docid/4f33c8d92.html, Reissued December 2011, HCR/1P/4/ENG/REV. 3, accessed april 17, 2013; (2008) Bishops’ Appeal over Cancer Patient Row, , http://icwales.icnetwork.co.uk/news/cardiff-news/2008/01/17/bishops-appeal-over-cancer-patient-row-91466-20361834/, January 18, retrieved January 12, 2014; Wagner, L., Professionals, Providers, and Profiteers? Haitian Doctors Amid the Influx of Foreign Humanitarian Volunteers (2014) Medical Humanitarianism: Ethnographies of Practice, , In sharon abramowitz and catherine panter-Brick, eds. Philadelphia: University of pennsylvania press; Watters, C., Emerging Paradigms in the Mental Health Care ofRefugees (2001) Social Science and Medicine, 52, pp. 1709-1718; White, A., The Trials of Roseline Akhalu: Why Is the Home Office Continuing a Cruel and Ludicrous Campaign Against a Woman Who They Have Accepted Will Definitely Die If Returned to Nigeria? (2013) New Statesman, , ttp://www.newstatesman.com/alan-white/2013/01/trials-roseline-akhalu, January 15, 2013, Retrieved January 21, 2014; Willen, S.S., Do ‘Illegal’ Im/migrants Have a Right to Health? Engaging Ethical Theory as Social Practice at a Tel Aviv Open Clinic (2011) Medical Anthropology Quarterly, 25 (3), pp. 303-330; Woodcock, J., Healing Rituals with Families in Exile (1995) Journal of Family Therapy, 17, pp. 397-404; Wylie, K., The Use of Expert Country Evidence (2012) IARLJ Discussion Paper Circulated at the IARLJ 9Th World Conference, , http://www.iarlj.org/general/images/stories/BLED_conference/papers/WP_ECE-K_Wylie.pdf, Bled, Slovenia, September 7-9, 2011, Retrieved February 2, 2014; Yeo, C., (2013) Human Rights, Expulsion and Medical Treatment Cases: A Review, , http://www.freemovement.org.uk/2013/11/27/human-rights-expulsion-and-medical-treatment-cases-a-review/, Free Movement blog, November 27, Retrieved November 30, 2013","Lawrance, B.N.; Rochester Institute of TechnologyUnited States",,,"Cambridge University Press",,,,,,9781107706460; 9781107069060,,,"English","Adjudicating Refugee and Asylum Status: The Role of Witness, Expertise, and Testimony",Book Chapter,"Final",,Scopus,2-s2.0-84954165163 "Sarantopoulos I., Katsoni V., Geitona M.","24759579700;55986408600;6507224647;","Medical tourism and the role of e-medical tourism intermediaries in Greece",2014,"Tourismos","9","2",,"129","145",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84950322527&partnerID=40&md5=86c0a2979c12cf4ff52befb63aa6ac90","School of Social Sciences, University of Peloponnese, Corinth, Greece; Tourism Department, TEI of Athens, Aigaleo, Greece","Sarantopoulos, I., School of Social Sciences, University of Peloponnese, Corinth, Greece; Katsoni, V., Tourism Department, TEI of Athens, Aigaleo, Greece; Geitona, M., Tourism Department, TEI of Athens, Aigaleo, Greece","The aim of this paper is to investigate the tourist industry's satisfaction with medical tourism in Greece, the factors associated with its performance improvement and the ICT infrastructure underlying it. For this purpose, a nationwide survey was carried out in 2012. According to our findings, satisfaction of tourist company executives with their performance in handling the flow of medical tourists depends on the degree of company stafftraining on medical tourism. In addition, the important role of state agencies or local government in guaranteeing local infrastructure availability and quality is a fact that influences directly tourism entrepreneurship in the country. Obviously, medical tourism in Greece could constitute an important source of national income and consequently, an alternative for the country to exit the economic crisis, provided care is given to ICT infrastructure and legislation procedures. © University of the Aegean.","E-medical tourism intermediaries; Greece; Icts; Medical tourism",,,,,,,,,"Collins, H., Patient satisfaction surveys (1996) Hospital Practice, 31 (11), pp. 39-41; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2010) Tourism Management, 32, pp. 709-p.716; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10, pp. 266-277; Ford, R.C., Fottler, M.D., Creating customer-focused health care organizations (2000) Health Care Management Rev, 25 (4), pp. 18-33; Garg, S.R., Bhardwaj, A., Indian Medical Tourism Industry: Growth Opportunities and Challenges (2012) Multi Disciplinary Edu Global Quest, 1 (1), pp. 115-135; Harahshesh, S., Curative tourism in Jordan and its potential development (2002), Unpublished Thesis for the fulfilment of MA in European Tourism Management (ETM) United Kingdom: Bournemouth University; Helmy, E.M., Benchmarking The Egyptian Medical Tourism Sector Against International Best Practices: An Exploratory Study (2011) Tourismos: An International Multidisciplinary Journal Of Tourism, 6 (2), pp. 293-311. , Autumn 2011; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical Tourism: Globalization of the Healthcare Marketplace (2007) MedGenMed, 9 (4), pp. 33-39; (2010) The main indicators of Hungarians travelling abroad, by main motivation of travel, , www.ksh.hu, Accessed 20 March 2013; Katsoni, V., Venetsanopoulou, M., Use of Tourism Distribution Channels and Marketing Segmentation Strategies (2012) Studia UBB Negotia Journal, 57 (4), pp. p.3-26; Katsoni, V., Kavoura, A., The Use Of Content Analysis On Hotels' Websites As Communication Tools (2013), pp. 443-448. , Paper presented at the 3rd International Conference: Quantitative and Qualitative Methodologies in the Economic and Administrative Sciences (QMEAS). TEI of Athens, Athens, Greece:23-24 May; Kavoura, A., Advertising Agencies' Deontology and the Implementation of the Greek Advertising-Communication Code (2012), pp. 163-169. , Paper presented at the International Conference on Contemporary Marketing Issues (ICCMI), Thessaloniki, Greece: June 13-15; Kotler, P., Keller, P., (2006) Marketing management, , New York: Pearson Prentice Hall; Kotler, P., Bowen, J., Makens, J.C., (2006) Marketing for Hospitality and Tourism, , Pearson Prentice Hall, New Jersey; Leahy, S.E., Murphy, P.R., Poist, R.F., Determinants of successful logistical. relationships: a third party provider perspective (1995) Transportation Journal, 32 (2), pp. 9-12; Legido-Quigley, H., McKee, M., Nolte, E., Glinos, I., Assuring the Quality of Health Care in the European Union: a case for Action, European Observatory on Health Systems and Policies (2008), Report No 12, Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies; Levett, C., (2005) A slice of the action, p. 27. , Sydney Morning Herald, 29 October; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: medical tourism and the emergence of web-based health information (2010) Open Medical Informatics Journal, 4, pp. 1-11; Lunt, N., Mannion, R., Exworthy, M., A Framework for Exploring the Policy Implications of UK Medical Tourism and International Patient Flows. (2012) Social Policy & Administration, 17, pp. 61-81; Smith, M., Puczko, L., (2009) Health and Wellness tourism, , UK, Butterworth-Heinemann; Thelen, S., Travers, R., Identification and Formulation of a sector Strategy for Medical and Therapeutic Tourism in Egypt (2007), Cairo, EUROPEAID for the Egyptian Tourism Authority; Turner, L., Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel (2011) Global Health, 7, pp. 40-48; Turner, L., Canada's turbulent medical tourism industry (2012) Canadian Family Physicians, 58 (2), pp. 371-373",,,,"University of the Aegean",,,,,17908418,,,,"English","Tourismos",Article,"Final",,Scopus,2-s2.0-84950322527 "Mohezar S., Zailani S., Moghavvemi S.","15848954200;55891414700;55812336800;","Establishing Islamic medical tourism in Malaysia: Understanding the motivations and challenges",2014,"The Role of Service in the Tourism and Hospitality Industry - Proceedings of the 2nd International Conference on Management and Technology in Knowledge, Service, Tourism and Hospitality, SERVE 2014",,,,"121","126",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84941985158&partnerID=40&md5=5c85a6c06a5c5e3889c8db3205a43ea5","University of Malaya, Kuala Lumpur, Malaysia","Mohezar, S., University of Malaya, Kuala Lumpur, Malaysia; Zailani, S., University of Malaya, Kuala Lumpur, Malaysia; Moghavvemi, S., University of Malaya, Kuala Lumpur, Malaysia","Greater purchasing power of Islamic followers across the globe demands a greater understanding of Muslims’ needs when embarking on medical tourism activity and development. Despite the potential of this emerging market, efforts to explain Islamic medical tourism are lacking. This paper examines the concept of Islamic medical practice as a medical tourism product by identifying the features and characteristics of such healthcare service. We also explore the motivations and challenges faced by the industry players. The understanding of Islamic medical tourism allows service providers and policy makers to consider the issues and challenges within the industry, so as to promote proper planning and development in an effort to capture this lucrative market. © 2015 Taylor & Francis Group, London.","Health tourism; Healthcare; Islamic medical tourism; Malaysia",,,,,,,,,"Abd Manaf, N.H., Ghazali, R.J., Marikar, K., Positioning Malaysia in medical tourism (2010) Medical Tourism International Conference on Marketing, , International Islamic University Malaysia; (2010) Malaysia Healthcare Travel & Medical Tourism, , www.hospitals-malaysia.org; Ninth Malaysia Plan 2006–2010 (2006) Kuala Lumpur: Percetakan Nasional Malaysia Berhad, 203p; Henderson, J.C., Managing tourism and Islam in peninsular Malaysia (2003) Tourism Management, 24, pp. 447-456; Horowitz, M.D., Rosenweig, J.A., Medical tourism—Healthcare in the global economy (2007) The Physician Executive, pp. 24-30. , November/December; Mahjom, N., Alias, M., Zulkifli, N.F., (2011) Critical Success Factors for Bumiputera/Muslim Medical Tourism Providers: Solution for Financing Needs Using Islamic; MTA releases first patient surveys on medical tourism (2009) Medical Tourism Magazine, pp. 34-36. , May/June; Potrafke, N., Islam and democracy (2012) Public Choice, 151 (1), pp. 185-192; Snyder, J., Crooks, V.A., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: A prospective, qualitative study of stakeholder perceptions (2013) International Journal for Equity in Health, 12 (2), pp. 2-11; (2009) Health Tourism in Malaysia, , http://www.tourism.gov.my; Turner, L., (2007) First World Healthcare at Third World Prices: Globalisation, Bioethics and Medical Tourism, 2, pp. 303-325; Wong, K.M., Musa, G., Medical tourism in Thailand, Singapore, Malaysia and India (2012) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility. Routledge, pp. 167-186. , In Michael Hall (Ed.); Zamani-Farahani, H., Henderson, J.C., Islamic tourism and managing tourism development in Islamic societies: The cases of Iran and Saudi Arabia (2009) International Journal of Tourism Research, 12, pp. 79-89",,"Gaol F.L.Hutagalung F.","","CRC Press/Balkema","2nd International Conference on Management and Technology in Knowledge, Service, Tourism and Hospitality, SERVE 2014","23 August 2014 through 24 August 2014",,114189,,9781138027367,,,"English","Role Serv. Tour. Hosp. Ind. - Proc. Int. Conf. Manag. Technol. Knowl., Serv., Tourism Hosp.",Conference Paper,"Final",,Scopus,2-s2.0-84941985158 "Moghavvemi S., Zailan S., Ali S.M., Musa G.","55812336800;57214715469;56857102200;7004159636;","Islamic medical tourism providers in Malaysia: Challenges and opportunities",2014,"The Role of Service in the Tourism and Hospitality Industry - Proceedings of the 2nd International Conference on Management and Technology in Knowledge, Service, Tourism and Hospitality, SERVE 2014",,,,"97","100",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84941963620&partnerID=40&md5=799ce2fd9e04fdb0e9e1ac321aa031ba","University of Malaya, Kuala Lumpur, Malaysia","Moghavvemi, S., University of Malaya, Kuala Lumpur, Malaysia; Zailan, S., University of Malaya, Kuala Lumpur, Malaysia; Ali, S.M., University of Malaya, Kuala Lumpur, Malaysia; Musa, G., University of Malaya, Kuala Lumpur, Malaysia","This study explores the challenges and opportunities that Islamic medical service providers faced in Malaysia. We conducted a total of ten in-depth interviews and analyzed the data using N-Vivo qualitative software. The findings suggested that despite many efforts from Ministry of Health to encourage the hospital to provide Islamic medical practices, only 9 (26.73%) hospitals out of 35 main private medical tourism providers employed the Islamic practices in the hospital. They provide a variety of Islamic service for hospital staffs and Islamic medical tourists. However, they face some challenges, which make it difficult to employ 100% Islamic values for patients. Understanding the challenges and opportunities in Islamic medical tourism industry can assist the policy maker in Malaysia to better meet the needs of industry players, improve their condition and increase the potential for attracting Muslim medical tourists. © 2015 Taylor & Francis Group, London.",,,,,,,,,,"Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , Basingstoke: Palgrave Macmillan; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6, pp. 447-454; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , http://dx.doi.org/10.1016/j.tourman.2012.05.009, Available at; Connell, J., Tummy tucks and the Taj Mahal? Medical tourism and the globalization of health care (2008) Tourism Management, pp. 232-244. , In A. Woodside, & D. Martin (Eds.), Wallingford: CABI; Connell, J., Birdwatching, twitching and tourism: Towards an Australian perspective (2009) Australian Geographer, 40, pp. 203-217; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Ehrbeck, T., Guevara, C., Mango, P.D., (2008) Mapping the Market for Medical Travel, , The McKinsey Quarterly; Kechley, P.H., Eselius, L.L., (2009) Survey of Health Care Consumers Key Findings, Strategic Implications, , Washington, DC: Deloitte Center for Health Solutions, Deloitte Development LLC; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington, DC: Deloitte Center for Health Solutions; Lunt, N., Hardey, M., Mannion, R., Nip, Tuck and Click: Medical Tourism and the Emergence of Web-Based Health Information (2010) Open Medical Information Journal, 4, pp. 1-11; Reisman, D., (2010) Health Tourism. Social Welfare through International Trade, , Cheltenham: Edward Elgar",,"Gaol F.L.Hutagalung F.","","CRC Press/Balkema","2nd International Conference on Management and Technology in Knowledge, Service, Tourism and Hospitality, SERVE 2014","23 August 2014 through 24 August 2014",,114189,,9781138027367,,,"English","Role Serv. Tour. Hosp. Ind. - Proc. Int. Conf. Manag. Technol. Knowl., Serv., Tourism Hosp.",Conference Paper,"Final",,Scopus,2-s2.0-84941963620 "Sinescu R.D., Anghel A., Vulcănescu R.T.","55885522100;56115035000;56487996700;","Hand surgery - Postoperative recovery and medical tourism",2014,"Amfiteatru Economic","16","SpecialIssue.8",,"1125","1135",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921387870&partnerID=40&md5=2ce903a156f055c90ade9539b49369df","Department of Plastic Surgery Carol Davila University of Medicine, Clinical Department of Plastic Surgery - Reconstructive Microsurgery, Elias Emergency Hospital, Bucharest, Romania; The Bucharest University of Economic Studies, Bucharest, Romania","Sinescu, R.D., Department of Plastic Surgery Carol Davila University of Medicine, Clinical Department of Plastic Surgery - Reconstructive Microsurgery, Elias Emergency Hospital, Bucharest, Romania; Anghel, A., Department of Plastic Surgery Carol Davila University of Medicine, Clinical Department of Plastic Surgery - Reconstructive Microsurgery, Elias Emergency Hospital, Bucharest, Romania; Vulcănescu, R.T., The Bucharest University of Economic Studies, Bucharest, Romania","Medical tourism is a growing industry worldwide. Romania has spa treatment facilities that can ensure the development of medical tourism. This article presents a statistical analysis of hand surgery in Romania in 2012. Using adequate quantitative methods we highlight significant differences between age groups and differences regarding procedures that have gender particularities. Recovery after such surgery can be achieved through spa treatment Romania, taking advantage of lower prices compared to other developed countries and numerous medical tourism facilities.","ANOVA; Gender differences; Hand surgery; Medical tourism; Spa tourism",,,,,,,,,"Alderman, A.K., Arora, A.S., Kuhn, L., Wei, Y., Chung, K.C., An Analysis of Women's and Men's Surgical Priorities and Willingness to Have Rheumatoid Hand Surgery (2006) The Journal of Hand Surgery, 31 (9), pp. 1447-1453; Andrei, T., Iacob, A.I., Vlad, L.B., Tendencies in the Romania's regional economic development during the period 1991-2004 (2007) Economic Computation and Economic Cybernetics Studies and Research, 41 (1-2), pp. 107-119; Andrei, C.L., Stancu, S., Andrei, T., The analysis of health education of the population as an important factor in optimizing medical expenses (2010) Procedia Social and Behavioral Sciences, 2 (2), pp. 3427-3431; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York: Palgrave Macmillan; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; (2008) Medical Tourism - Consumers in search of value., , Washington, D.C: Deloitte Center for Health Solutions; Enderwick, P., Swati, N., The competitive challenge of emerging markets: the case of medical tourism (2011) International Journal of Emerging Markets, 6 (4), pp. 329-350; Gan, L., Frederick, J.R., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Gür Omay, E.G., Cengiz, E., Health Tourism in Turkey: Opportunities and Threats (2013) Mediterranean journal of social sciences, 4 (10), pp. 424-431; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2012) Medical tourism: treatments, markets and health system implications: a scoping review., , OECD, Directorate for Employment, Labour and Social Affairs; Liu, I.C., The Research of Medical Tourism Policy Network in Taiwan (2012) Sociology Mind, 2 (4), pp. 457-463; Mainil, T., Platenkamp, V., Meulemans, H., The discourse of medical tourism in the media (2011) Tourism Review of AIEST - International Association of Scientific Experts in Tourism, 66 (1), pp. 31-44; Parsiyar, A., Medical tourism: the commodification of health care in Latin America (2009) Law and Business Review of the Americas, 15 (2), pp. 379-404; Sinescu, R., Anghel, A., Andrei, C., Non-car accidents and treatment in plastic surgery (2014) Economic Computation and Economic Cybernetics Studies and Research, 48 (2), pp. 287-294; Tamaoki, M.J., Belloti, J.C., Lenza, M., Matsumoto, M.H., Dos Santos, J.B.G., Faloppa, F., Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults. (2010) Cochrane Database of Systematic Reviews, (8)","Sinescu, R.D.; Department of Plastic Surgery Carol Davila University of Medicine, Clinical Department of Plastic Surgery - Reconstructive Microsurgery, Elias Emergency HospitalRomania",,,"Editura Cefin",,,,,15829146,,,,"English","Amfiteatru Econ.",Article,"Final",,Scopus,2-s2.0-84921387870 "Cheng Y., Chen I.-S., Ng I.-L., Chang H.-H., Pien L.-C., Tseng Y.-H.","56726994600;55571082200;56432316200;56431594900;54388391800;56432039800;","A critical analysis on the impacts of cross-strait service trade agreement, free economic pilot zones and medical tourism",2014,"Taiwan Journal of Public Health","33","4",,"337","348",,1,"10.6288/TJPH201433103042","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84913592697&doi=10.6288%2fTJPH201433103042&partnerID=40&md5=93e5b6a01fbf0b78ff80d73ed06cd5ac",,"Cheng, Y.; Chen, I.-S.; Ng, I.-L.; Chang, H.-H.; Pien, L.-C.; Tseng, Y.-H.",[No abstract available],,,,,,,,,,"Department of Statistics, Ministry of Health and Welfare, R. O. C. (Taiwan), Hospital and Clinic Statistics, , http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=1717, Accessed April 16, 2014, In Chinese; The Control Yuan, R. O. C. (Taiwan), Investigative Report on the Overall Examination of Taiwan's National Health Insurance, , http://goo.gl/bLywN2, Accessed April 16, 2014, In Chinese; Wang, C.C., Discussion about the focus and content of the Medical Care Act amendment (2004) Taiwan Med J, 47, pp. 41-43. , In Chinese; Ministry of Health and Welfare, R. O. C. (Taiwan), Taiwan Task Force for Medical Travel (TTFMT), , http://medicaltravel.org.tw, AccessedApril 16, 2014, In Chinese; Lee, P.C., A discussion about transplant medicine with Chu Cyrus CY (2011) Liberty Times, , April 13, In Chinese; Taiwan External Trade Development Council, The Ministry of Health and Welfare Announced the Sites of Approved Healthcare Institutions to Act as Agents to Apply for Health Examinations and Aesthetic Medicine on Behalf of Visitors from Mainland China, , http://www.taiwanservices.com.tw/org2/1/news_detail/zh_TW/43145/1, Accessed April 16, 2014, In Chinese; Yang, C.L., Should we develop international healthcare? (2013) United Daily News, , May 7, In Chinese; Taiwan External Trade Development Council, Press Release: Taiwan External Trade Development Council Partners with Chang Gung Memorial Hospital and Min-sheng General Hospital to Assist Beijing Residents in Leading Healthy and Beautiful Lives, , http://www.taiwanservices.com.tw/org2/l/news_detail/zh_TW/62740/I, Accessed April 16, 2014, In Chinese; Ministry of Health and Welfare, R. O. C. (Taiwan), Senior Specialist Liu Mingh-Sun's Report Abroad, , http://report.nat.gov.tw/ReportFront/report_detail.jspx?sysId=C10203434, Accessed April 16, 2014, In Chinese; Executive Yuan, R. O. C. (Taiwan), Press Release: Joint Opening Ceremony of International Healthcare Centers. Premier Jiang: Creating a Niche in the Global Healthcare Market for Taiwan, , http://goo.gl/90W8A2, Accessed April 16, 2014, In Chinese; National Development Council, Draft Free Economic Pilot Zone Special Act (Executive Yuan Version for Parliamentary Review), , http://www.fepz.org.tw, Accessed April 16, 2014, In Chinese; Ramesh, M., Wu, X., He, A.J., Health governance and healthcare reforms in China (2013) Health Policy Plan; The Legislative Yuan, R. O. C. (Taiwan), Self-review of the cross-strait service trade agreement: Full transcript of the 3rd public hearing on the cross-strait service trade agreement of the Legislative Yuan, 4th session, 8th term Available at, , http://review.fumao.today/videos, Accessed April 16, 2014, In Chinese; Taiwan Healthcare Insurance Association, Ten-chan Hospital 2012 Annual Research Report-analysis of the Difficulties in and Strategies for Managing Taiwanfunded Hospitals, , http://thia-health.org.tw, Accessed April 16, 2014, In Chinese; National Policy Foundation, Opportunities and Difficulties for the Taiwan Healthcare Industry in Entering Mainland China, , http://wwwjipf.org.tw/post/3/13090, Accessed April 16, 2014, In Chinese; Apple Daily, ""Chinese-funded hospitals acquire know-how from Taiwan."" Taiwan's medical community hesitates, as most attempts to enter the Mainland result in disappointment (2014) Apple Daily, , March 21, In Chinese; Taiwan Task Force for Medical Travel, About TTFMT, , http://medicaltravel.org.tw, Accessed April 16, 2014, In Chinese; David international medical tourism consultants limited Company Profile, , http://www.lk-hm.com, Accessed April 16, 2014, In Chinese; Taiwan Services Trade Information Platform, Taiwan's External Trade Development Council Facilitates the First Medical Referral Platform After the Signing of the Cross-strait Trade Act, , thttp://www.taiwanservices.com.tw/org2/l/news_detail/zh_CN/53894/I, Accessed April 16, 2014, In Chinese; Yao, H.C., Chinese Capitalists Explore Potential Targets in Taiwan, from Hospitals to Real Estate, , http://www.storrrimediagroup.corn/orjencms/investigate/detail/36aal4da-c4a9-lle3-896c-ef2804cba5al/?uu, Accessed April 16, 2014, In Chinese; Department of Medical Affairs, Ministry of Health and Welfare, R. O. C. (Taiwan), Assessing the Impact of the Development of International Healthcare and the Cross-strait Service Trade Agreement (Figures 3 and 4), , http://goo.gl/Z71wab, Accessed April 16, 2014, In Chinese; Lan, C.T., The market saw the return of NTD$800 billion in private capital last year (2010) Economic Daily News, , February 24, In Chinese; Wu, Y.L., Cheng, Y., Potential impacts of medical tourism on medical care system (2013) Taiwan J Public Health, 32, pp. 303-308. , In Chinese: English abstract; China FTA Network, China-singapore FTA, , http://fta.mofcom.gov.cn/topic/ensingapore.shtml, Accessed April 16, 2014; Pannarunotai, S., Suknak, K., The impact of health services liberalization on Thailand (2004) Proceedings of 27th Annual Symposium of Thammasat University, , Thailand: Thammasat University; Pachanee, C.A., Wibulpolprasert, S., Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand (2006) Health Policy Plan, 21, pp. 310-318; Kanchanachitra, C., Lindelow, M., Johnston, T., Human resources for health in southeast Asia: Shortages, distributional challenges, and international trade in health services (2011) Lancet, 377, pp. 769-781; Taiwan Healthcare Reform Foundation, Press Conference to Examine the Financial Truth About ""corporate Hospitals"", , http://www.thrf.org.tw/Page_Show.asp?Page_ID=1860, Accessed April 16, 2014, In Chinese; Taiwan Healthcare Reform Foundation, The Taiwan Healthcare Reform Foundation Calls for Amending the Medical Care Act to Curb the Transformation of ""corporate Hospitals"" to ""corporations"", , http://www.thrf.org.tw/Page_Show.asp7Page_ID-1860, Accessed April 16, 2014, In Chinese; Jhan, J.F., Many Mainland Chinese visitors often leave their aesthetic medicine groups. 8 hospitals are prohibited from organizing such groups (2013) United Daily News, , October 11, In Chinese; Stuckler, D., Basu, S., The body economic: Why austerity kills (2014) Compiled, , Tam KY, Chen CH, Taipei: Bookzone, In Chinese","Cheng, Y.",,,"Chinese Public Health Association of Taiwan",,,,,10232141,,TGWZA,,"Chinese","Taiwain J. Public Health",Review,"Final",,Scopus,2-s2.0-84913592697 "Simonelli N., Lusignani M., Veglia F., Giovannardi M., Tondo C.","56422183400;23477483000;21136513100;55812833000;7004201364;","Safety and comfort of patients mobilized 24 and 48 hours after a pacemaker implantation: A retrospective study [Sicurezza e comfort dei pazienti con impianto di pacemaker mobilizzati dopo 24 e 48 ore: Studio retrospettivo]",2014,"Assistenza Infermieristica e Ricerca","33","3",,"127","133",,1,"10.1702/1648.18028","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84911407363&doi=10.1702%2f1648.18028&partnerID=40&md5=b7982ea9aacebd84ad0044ade70ce276","Scuola di Scienze fisiopatologiche, neuropsicobiologiche ed assistenziali al ciclo della vita, Università degli Studi di Milano, Italy; Area Aritmologia, Centro Cardiologico Monzino IRCCS, Italy; Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Italy; Unità di Biostatistica, Centro Cardiologico Monzino IRCCS, Milano, Italy","Simonelli, N., Scuola di Scienze fisiopatologiche, neuropsicobiologiche ed assistenziali al ciclo della vita, Università degli Studi di Milano, Italy, Area Aritmologia, Centro Cardiologico Monzino IRCCS, Italy; Lusignani, M., Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Italy; Veglia, F., Unità di Biostatistica, Centro Cardiologico Monzino IRCCS, Milano, Italy; Giovannardi, M., Unità di Biostatistica, Centro Cardiologico Monzino IRCCS, Milano, Italy; Tondo, C., Area Aritmologia, Centro Cardiologico Monzino IRCCS, Italy","Objective: To observe the safety and comfort of mobilization 24 and 48 hours after PI.Methods: Observational retrospective study on clinical records of consecutive patients undergoing PI from January 2009 to April 2012 in Monzino Hospital in Milan and with a bed rest of 24 or 48 hours.Results: A total of 411 patients were included (Group 48h n=251, Group 24h: n=160). Complications occurred more frequently in the Group 48h: haematomas (3.2% vs 1.9% OR:1.71, p=0.4269); lead dislocations (1.9% vs. 0.6%; OR:3.23 p=0.2863). Patients with longer bed rest received more analgesics for back pain (BP) or pacemaker pocket pain (PPP) (BP: 12% vs 3.1%; OR:4.21; p=0.0036; PPP 13.1% vs 3.7% OR:3.88; p=0.0029).Conclusions: The mobilization after 24 hours to PI increased patients’ comfort without increasing risks. Future studies are warranted to explore the effects of a bed rest shorter than 24 hours.Background: In Italy bed rest times after a pacemaker implantation (PI) may vary between 24 and 72 hours, although previous studies showed that early mobilization does not increase the risk of complications. © 2014, Il Pensiero Scientifico Editore s.r.l. All rights reserved.","Mobilization; Pacemaker; Pain; Postoperative complications","adverse effects; aged; artificial heart pacemaker; bed rest; female; human; male; mobilization; pain; patient safety; postoperative care; Postoperative Complications; retrospective study; statistics and numerical data; time factor; Aged; Bed Rest; Early Ambulation; Female; Humans; Male; Pacemaker, Artificial; Pain; Patient Safety; Postoperative Care; Postoperative Complications; Retrospective Studies; Time Factors",,,,,,,,"Bavnbek, K., Ahsan, S.Y., Sanders, J., Lee, S.F., Chow, A.W., Wound management and restrictive arm movement following cardiac device implantation - evidence for practice? (2010) Eur J Cardiovasc Nurs, 9, pp. 85-91; Brower, R.G., Consequences of bed rest (2009) Crit Care Med, 10, pp. 422-428; Naffe, A., Iype, M., Easo, M., McLeroy, S.D., Pinaga, K., Vish, N., Appropriateness of sling immobilization to prevent lead displacement after pacemaker/implantable cardioverter- defibrillator implantation (2009) Proc (Bayl Univ Med Cent), 22, pp. 3-6; Brignole, M., Auricchio, A., Baron-Esquivias, G., Bordachar, P., Boriani, G., Breithardt, O.A., 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: The Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA) (2013) Eur Heart J, 34, pp. 2281-2329; Zerbato, E., (2011) Studio multicentrico assistenza in cardiostimolazione: Risultati., pp. 47-54. , Atti del XIII Congresso Nazionale Gruppo Italiano Infermieri di Cardiologia, Milano Marittima; Miracapillo, G., Costoli, A., Addonisio, L., Breschi, M., Pasquinelli, K., Gemignani, L., Early mobilization after pacemaker implantation (2006) J Cardiovasc Med (Hagerstown), 7, pp. 197-202; Osman, F., Krishnamoorthy, S., Nadir, A., Mullin, P., Morley-Davies, A., Creamer, J., Safety and cost-effectiveness of same day permanent pacemaker implantation (2010) Am J Cardiol, 3, pp. 383-385; Chow, V., Ranasinghe, I., Lau, J., Stowe, H., Bannon, P., Hendel, N., Peri-procedural anticoagulation and the incidence of haematoma formation after permanent pacemaker implantation in the elderly (2010) Heart Lung Circ, 19, pp. 706-712; Birnie, D.H., Healey, J.H., Wells, G.A., Verma, A., Tang, A.S., Krahn, A.D., Pacemaker or defibrillator surgery without interruption of anticoagulation (2013) N Engl J Med, 368, pp. 2084-2093; Van Eck, J.W., van Hemel, N.M., Zuithof, P., van Asseldonk, J.P., Voskuil, T.L., Grobbee, D.E., Incidence and predictors of in-hospital events after first implantation of pacemakers (2007) Europace, 9, pp. 884-889; Simonelli, N., Di Mauro, S., Di Minno, M.N.D., Salvini, L., Livelli di autonomia dei pazienti sottoposti a impianto di pacemaker cardiaco: Studio pilota sugli effetti della mobilizzazione precoce (2012) L'Infermiere, 3, pp. 49-54; Haug, B., Kjelsberg, K., Lappegard, K.T., Pacemaker implantation in small hospitals: Complication rates comparable to larger centres (2011) Europace, 13, pp. 1580-1586; Kirkfeldt, R.E., Joahansen, J.B., Nohr, E.A., Jørgensen, O.D., Nielsen, J.C., Complications after cardiac implantable electronic device implantations: An analysis of a complete, nationwide cohort in Denmark (2014) Eur Heart J, 35, pp. 1186-1194; Chair, S.Y., Li, K.M., Wong, S.W., Factors that affect back pain among Hong Kong Chinese patients after cardiac catheterization (2004) Eur J Cardiovasc Nurs, 3, pp. 279-285; Höglund, J., Stenestrand, U., Todt, T., Johansson, I., The effect of early mobilisation for patient undergoing coronary angiography; a pilot study with focus on vascular complications and back pain (2011) Eur J Cardiovasc Nurs, 10, pp. 130-136","Simonelli, N.; Scuola di Scienze fisiopatologiche, neuropsicobiologiche ed assistenziali al ciclo della vita, Università degli Studi di MilanoItaly",,,"Il Pensiero Scientifico Editore s.r.l.",,,,,15925986,,,"25343414","Italian","Assistenza Inferm. Ric.",Article,"Final",,Scopus,2-s2.0-84911407363 "Murillo R.","56421756000;","Assessing national destination-branding transformations: Theory and application to Costa Rica's nature-based and medical tourism product-services",2014,"Advances in Culture, Tourism and Hospitality Research","8",,,"71","109",,1,"10.1108/S1871-317320140000008004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84911397972&doi=10.1108%2fS1871-317320140000008004&partnerID=40&md5=199b0c33bacd1c296116f38cd6bea5d4",,"Murillo, R.","This chapter analyzes the tourism industry from national and regional perspectives, in order to understand the past and current trends in Costa Rica's positioning and branding attributes and strategies for tourism development. The intent here is not to provide an exhaustive comprehensive literature review of academic research on country branding; and so it is by all means a case study as it describes the evolution of the tourism industry in Costa Rica-including the transformative stages the country went through since the 1980s-as planned tourism national management programs evolved toward reaching the target of creating a nature-based tourism brand. The medical industry and then medical tourism industries are analyzed in a global basis and the US market is examined in detail because of its potential to develop a new complementary niche for Costa Rica's tourism industry. The chapter intends to asses Costa Rica's potential to become a country brand in medical tourism, leveraged on its natural tourism destination branding status quo. Copyright © 2014 by Emerald Group Publishing Limited All rights of reproduction in any form reserved.","Costa Rica; Country branding; Medical tourism; National tourism management; Tourism industry cluster",,,,,,,,,"Alessie, L., (2009) Medical Tourism: Vaccinated Against the Recession?, , http://www.hvs.com/article/3776/medical_tourism_vaccinated-against_therecession, Retrieved from HVS website Accessed on April 06, 2013; Artavia, R., Barahona, J., Sánchez, J., (1996) Tourism in Costa Rica: The Challenge to Competitivity. Alajuela, Costa Rica: Latin American Center for Competitiveness and Sustainable Development (CLACDS; Banco Central de la Republica Dominicana, (2013) Estadisticas Economicas, , http://www.bancentral.gov.do/estadisticas.asp?a=Sector_Real, Accessed on April 13, 2013; Baudrillard, J., The system of objects (1968) Jean Baudrillard: Selected Writings, , M. Poster (Ed.) Cambridge, UK: Polity Press; Blanke, J., Chiesa, T., Executive summary (2011) The Travel & Tourism Competitiveness Report 2011: Beyond the Downturn, pp. xiii-xxvi. , J. Blanke & T. Chiesa (Eds.) Geneva, Switzerland: World Economic Forum; Blanke, J., Chiesa, T., Crotti, R., The travel & tourism competitiveness index 2013: Contributing to national growth and employment (2013) The Travel & Tourism Competitiveness Report 2013: Reducing Barriers to Economic Growth and Job Creation, pp. 3-41. , J. Blanke & T. Chiesa (Eds.) Geneva, Switzerland: World Economic Forum; Butler, R., Tourism-an evolutionary perspective (1993) Tourism and Sustainable Development: Monitoring, Planning, and Managing, pp. 24-27. , J. G. Nelson, R. W. Butler, & G. Wall (Eds.) Waterloo, ON: University of Waterloo (Department of Geography Publication 37; Central America Data, (2013) Mas Turismo Médico en Costa Rica, , http://www.centralamericadata.com/es/article/home/Ms_turismo-mdico_en_Costa-Rica, Accessed on April 13, 2013; Central America Data, (2013) La Oferta de Costa Rica en Turismo Medico, , http://www.centralamericadata.com/es/article/home/Costa_Rica_apuesta_a_crecer_en_turismo-mdico, Accessed on April 13, 2013; Cohen, G., Protecting patients with passports: Medical tourism and the patient protective-argument (2010) Iowa Law Review, 95 (5), pp. 1467-1567; Connell, J., Sun, sea, sand & ... Surgery (2006) Tourism Management, 27, pp. 1093-1100; Cook, B., (2009) Personal Interview Re. Medical Tourism Opportunities for Costa Rica under the Perspective of the Medical Tourism Development Department Head at the Clinica Blíbica Hospital, , Hospital Clínica Bíblica (Costa Rica), with Rodrigo Murillo, May 28, 2009; (2008) Medical Tourism. Consumers in Search for Value, , Deloitte. Washington, DC: Deloitte Center for Health Solutions; (2009) Medical Tourism: Update and Implications, , Deloitte. Washington, DC: Deloitte Center for Health Solutions; Donald, S.H., Gammack, J.G., (2007) Tourism and the Branded City: Film and Identity on the Pacific Rim, , Aldershot: Ashgate; Duar, P., (2009) Personal Interview Re. Medical Tourism under the Strategic View of the Costa Rica's General Director of Costa Rican Association for Professionals in Tourism, , ACOPROT (Costa Rican Association for Professionals in Tourism), with Rodrigo Murillo, May 5, 2009; Euromonitor, (2013) Costa Rica Quick Stats 2011. Health and Wellness Tourism, , Retrieved from Passport Online Website. Accessed on April 11, 2013; Future Brand, (2012) Country Brand Index. 2013, , http://www.tfsa.ca/storage/reports/CBI-2012-13.pdf, Accessed on March 9, 2013; Herrick, D., (2007) Medical Tourism: Global Competition in Health Care. Policy, , Report No. 304. National Center for Policy Analysis. Dallas, Texas; Herrick, D., (2008) Medical Tourism: Health Care Free Trade. Policy Report No. 623, , http://www.ncpa.org/pub/ba623, National Center for Policy Analysis, Dallas, TX Accessed on April 8, 2013; Inman, C., Mesa, N., Flores, K., Prado, A., (2002) Tourism in Costa Rica: The Challenge of Competitiveness, , Working Paper. Latin American Center for Competitiveness and Sustainable Development (CLACDS). Alajuela, Costa Rica; De Turismo, I.C., (2007) Plan Nacional de Turismo Sostenible de Costa Rica 2002-2012, Actualizacion 2006, , Instituto Costarricense de Turismo; Instituto Costarricense de Turismo, (2010) Plan Nacional de Turismo Sostenible de Costa Rica 2010-2016, , Instituto Costarricense de Turismo; Instituto Costarricense de Turismo, (2012) Tourism Statistical Yearly Report 2011, , Costa Rica; JICA, & ICT-Agencia de Cooperación Internacional del Japón and Instituto Costarricense de Turismo, (2001) Estudio Para El Plan de Uso de la Tierra en Las Zonas Costeras de Las Unidades de Planeamiento Turístico en la República de Costa Rica, , Final Report 3. Pacific Consultants Internacional. Yachiyo Engineering Co. Ltd; Little, I., (2010) The Ramada is Doing It Right-a Blueprint to Follow When Catering to Medical Tourists, , http://medicaltourism.escapeartist.com/resources-medical/the-ramada-is-doing-it-right-%E2%80%93-a-blueprint-to-follow-when-catering-to-medical-tourists, 11 May 2010. Espace Artist. Medical Tourism Online Accessed on March 12, 2013; Manzi, M., (2009) Personal Interview Re. Medical Tourism under the Strategic View of the Costa Rica's Minister of Competitiveness Assessor, , Ministry of Competitiveness of Costa Rica, with Rodrigo Murillo, May 29, 2009; Medical Tourism, (2013) Surgeries Cost Comparison, , http://www.medicaltourism.com/en/compare-costs.html, Medical Tourism website Accessed on June 12, 2013; Morgan, N., Pritchard, A., Pride, R., (2002) Destination Branding: Creating the Unique Destination Proposition, , Boston: Butterworth-Heinemann; Murillo, R., Kilian, B., Castro, R., Chapter 12 Leveraging and sustainability of PES (2011) Lessons Learned in Costa Rica Ecosystem Services from Agriculture and Agroforestry Measurement and Payment, pp. 267-287. , B. Rapidel, F. DeClerck, J. Le Coq, & J. Beer (Eds.), London: Earthscan; National Institute of Dental and Craniofacial Research. (2013). Oral Health in America, A Report of the Surgeon General (Executive Summary), , http://www.nidcr.nih.gov/datastatistics/surgeongeneral/report/executivesummary.htm, Accessed on April 8, 2013; Pacific Prime, (2012) The Top 10 Medical Tourism Destinations in 2012 so Far International Health Insurance Online, , http://www.pacificprime.com/blog/the-top-10-medical-tourism-destinations-in-2012-so-far.html, Accessed on April 12, 2013; Piazolo, M., Zanca, N., Medical tourism-A case study for the USA and India, Germany and Hungary (2011) Acta Polytechnica Hungary, 8, pp. 27-38; Plunkett Research, (2013) Health Expenditures and Services in the U.S, , http://www.plunkettresearch.com/health-care-medical-market-research/industry-trends, Accessed on April 06, 2013; Richter, M., (2012) Medical Tourism Sets Pulses Racing. Agence France-Presse (AFP), , http://www.google.com/hostednews/afp/article/ALeqM5jD_0iy7v_HpPicSMmJFWq04iGBg?docId=CNG.f06b3f115da0bd54c843b2d1d70de8f8.8f1, Accessed on April 12, 2013; Rosenthal, J., Medical tourism takes off (2009) National Geographic Traveler, 26, pp. 10-16; Skyscanner, (2009) Nature Holidays in World's 10 Greenest Countries, , http://www.skyscanner.net/news/nature-holidays-world-s-10-greenest-countries, Accessed on March 9, 2013; The Medica, (2013) Medical Industry Overview, , http://www.themedica.com/industry-overview.html, Accessed on April 06, 2013; United Nations Development Program, (2009) Human Development Report 2009 Overcoming Barriers: Human Mobility and Development, , Canada: Lowe-Martin Group; United Nations World Tourism Organization, (2009) UNWTO World Tourism Barometer, , Interim Update, April 3, 2009; Valentine, P., Review: Nature-based tourism (1992) Special Interest Tourism, pp. 105-127. , London, Great Britain: Belhaven Press; Wood, M., (2002) Ecotourism: Principles, Practices & Policies for Sustainability (1st Ed.), , Paris, France: United Nations Environmental Program, Division of Technology Industry and Economics, Production Unit, United Nations Publications; World Health Organization, (2012) World Health Statistics 2012, , Geneva, Switzerland: WHO Library Cataloguing-in-Publication Data; Yanos, M., Top 5 medical tourism destinations (2008) Medical Tourism Can Mean Attractive Opportunities for Foreign Patients and Investors, , http://www.nuwireinvestor.com/articles/top-5-medical-tourism-destinations-51502.aspx, NuWire Investor Online Accessed on April 12, 2013","Murillo, R.",,,"Emerald Group Publishing Ltd.",,,,,18713173,,,,"English","Adv. Cult. Tour. Hosp. Res.",Article,"Final",,Scopus,2-s2.0-84911397972 "Maneenetr T., Naipinit A., Tran T.H.","55869855300;55759237900;56147461900;","Guidelines to development wellness tourism in Roi-Kaen-San-Sin cluster, Thailand",2014,"Mediterranean Journal of Social Sciences","5","23",,"214","220",,1,"10.5901/mjss.2014.v5n23p214","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84910046826&doi=10.5901%2fmjss.2014.v5n23p214&partnerID=40&md5=238871f2bbc38b674ceaf2fb949aa064","Center for Asia-Pacific Tourism Research, Khon Kaen University, Thailand; Khon Kaen University, Thailand; Tourism Management, Khon Kaen University, Thailand","Maneenetr, T., Center for Asia-Pacific Tourism Research, Khon Kaen University, Thailand; Naipinit, A., Khon Kaen University, Thailand; Tran, T.H., Tourism Management, Khon Kaen University, Thailand","The aim of this study is to investigate tourists’ opinions on wellness tourism in Roi-Kaen-San-Sin cluster, Thailand and guidelines to develop wellness tourism in Roi-Kaen-San-Sin cluster, Thailand. Mix method was applied to ensure the research objective. Quantitate data collection is from questionaire of 400 tourists and qualitative data is collected from focus group discussion. The results showed that on overall, tourists’ opinions on wellness tourism in Roi-Kaen-San-Sin cluster is at a high level in which attraction, attitude and accommodation are at the highest level while activities and advertising are at the high level and accessibility, amenities and advertising are all at a moderate. The guidelines to develop wellness tourism in Roi- Kaen-San-Sin cluster is comprised 1) improving facilitates for tourists 2) promoting wellness tourism through advertising activities 3) publish map direction of wellness destination in Roi-Kaen-San-Sin cluster and 4) diversity wellness activities for tourists. © 2014, Mediterranean Center of Social and Educational Research. All right reserved.","Tourism destination; Wellness tourism",,,,,,,,,"Buhalis, D., Marketing the competitive destination of the future (2000) Tourism management, 21, pp. 97-116; http://dx.doi.org/10.1016/S0261-5177(99)00095-3; Bushell, R., Sheldon, P., (2009) Wellness and Tourism: Mind, Body, Spirit, Place, , New York: Cognizant; Cohen, E., A phenomenology of tourist experiences (1996) The sociology of tourism: Theoretical and empirical investigations, pp. 90-111. , In Y.Apostopoulos, S. Leivadi& A. Yiannakis (Eds.), London:Routledge; The meditation places in Thailand: A guildeline to Meditation Centres in Thaialnd, , http://www.dhammathai.org/e/meditation/page1.php, Dhammathai (n.d.); Health and Wellness Tourism in Thailand (2011) Retrieved from, , http://www.euromonitor.com/health-andwellness-tourism-in-thailand/report, Euromonitor International; Felicia, S., Părgaru, I., Elena, M.M., The destination brand, some conceptual methodologic guidelines in the destination marketing (2009) Proceedings of The 2nd International Tourism Conference:”Sustainable mountain tourism–local responses for global changes”,, pp. 26-27. , DrobetaTurnuSeverin, Sept. 2009, Universitaria Publishing House, Craiova; Hartwell, H., Book review: Wellness Tourism: A Destination Perspective (2014) Tourism Management, 42, pp. 305-306; Kelly, C., Analysing wellness tourism provision: A retreat operators’ study (2010) Journal of Hospitality and Tourism Management, 17, pp. 108-116; Kelly, C., Smith, M.K., Holistic Tourism: Integrating body, mind and spirit (2009) Wellness and Tourism: Mind, Body, Spirit, Place, pp. 69-83. , In: Bushell, R. and Sheldon, P, New York: Cognizant; Kovathanakul, D., Roi - Kaen - San - Sin destination brandingThe challenge of responsible tourism in Thailand for AEC (2013) International Journal for Responsible Tourism, 2 (2), pp. 41-54; Le Serre, D., Who is the senior consumer for the tourism industry? (2008) Amfiteatru Economic, 10, pp. 195-206; Leiper, N., (1995) Tourism Management, , Melbourne: RMIT press; Malizu, M., Key elements of a Model for Sustanable Tourism (2010) International Journal of Energy and Environment, 2 (4), pp. 45-54; Molina, A., Gómez, M., Martín-Consuegra, D., Tourism marketing information and destination imagemanagement (2010) . African Journal of Business Management, 4 (5), pp. 722-728; Molina, A., Gómez, M., Martín-Consuegra, D., Tourism marketing information and destination imagemanagement (2010) . African Journal of Business Management, 4 (5), pp. 722-728; Naipinit, A., Maneenetr, T., Na Sakolnakorn, T.P., Churngchow, C., Kroeksakul, P., SWOT Analysis of Religious Tourism in the RoiKaenSarn Sin Cluster of Northeastern Thailand (2013) Asian Social Science, 9 (13), pp. 262-269; Pesonen, J., Komppula, R., Rural wellbeing tourism: Motivations and expectations [Special section] (2010) Journal of Hospitality and Tourism Management, 17, pp. 150-157; Smith, M., Transforming Quality of life through Wellnes Tourism (2013) Transformational Tourism: Tourist Perspectives, pp. 55-67. , Y. Reisinger (Ed), Oxfordshire, UK: CABI; Voigt, C., Brown, G., Howat, G., Wellness tourists: In search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; World Tourism Organization, (2007) A Practical Guide to Tourism Destination Management, , Madrid: World Tourism Organization; Yamane, T., (1973) Statistic: An Introductory Analysis, , New York: Harper and Row","Maneenetr, T.; Center for Asia-Pacific Tourism Research, Khon Kaen UniversityThailand",,,"Mediterranean Center of Social and Educational Research",,,,,20399340,,,,"English","Mediterranean J. Soc. Sci.",Article,"Final",Open Access,Scopus,2-s2.0-84910046826 "Bartold P.M.","7007048712;","Medical tourism - An established problem",2014,"Australian Dental Journal","59","3",,"279","",,1,"10.1111/adj.12204","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907346887&doi=10.1111%2fadj.12204&partnerID=40&md5=b5b45f8a3b9f4ff29b3be3eac22ce491",,"Bartold, P.M.",[No abstract available],,"dental material; dental procedure; economics; health insurance; human; medical tourism; publication; retreatment; standards; trends; Dental Care; Dental Materials; Humans; Insurance, Dental; Medical Tourism; Periodicals as Topic; Retreatment",,"Dental Materials",,,,,,,"Bartold, P.M.",,,"Blackwell Publishing",,,,,00450421,,ADEJA,"25145838","English","Aust. Dent. J.",Editorial,"Final",,Scopus,2-s2.0-84907346887 "Karuppan C.M.","6601931384;","Employer-based coverage and medical travel options: lessons for healthcare managers.",2014,"Journal of healthcare management / American College of Healthcare Executives","59","3",,"210","222",,1,"10.1097/00115514-201405000-00009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906327402&doi=10.1097%2f00115514-201405000-00009&partnerID=40&md5=4ff091a2d75357c6a95b99d563d5b493",,"Karuppan, C.M.","Outbound medical travel (MT) involves U.S. patients going abroad to seek medical care. Over the past decade, there has been much discussion about MT's broadening appeal to several segments of U.S. healthcare consumers, but little is known about its penetration in the employer-based coverage (EBC) marketplace. The objectives of this article are to fill this gap and identify (1) the current status of MT options in EBC, (2) the differences between adopters and nonadopters of MT options, and (3) the factors that impede adoption. The results were obtained from a nationwide survey of human resources (HR) professionals making decisions regarding medical benefits. In this sample (n = 608), 16.8% of the respondents offered outbound MT options to their employees, often bypassing their insurance providers. Besides benefiting from a strong HR function, these organizations tended to be more involved in global business transactions, more open to change, more sensitive to cost savings, and more flexible in implementing administrative innovations than nonadopters were. An organizational climate conducive to innovation may explain their propensity to downplay the importance of well-known obstacles to implementation, such as the effort required to make changes, an emphasis on short-term goals, and the fear of liability. The lessons to be learned by U.S. healthcare managers are clear. To attract a value-conscious market, they must offer an attractive package of outstanding quality (clinical outcomes and patient experience) at competitive costs. Operational excellence may thus be the key to slowing the inevitable diffusion of MT options in EBC and maintaining or even expanding the U.S. market share of elective surgeries.",,"article; health care facility; health insurance; human; medical tourism; questionnaire; United States; Health Benefit Plans, Employee; Health Facility Administrators; Humans; Medical Tourism; Questionnaires; United States",,,,,,,,,"Karuppan, C.M.",,,,,,,,10969012,,,"24988676","English","J Healthc Manag",Article,"Final",,Scopus,2-s2.0-84906327402 [No author name available],[No author id available],"Stem cells and medical tourism",2014,"Asian Biomedicine","8","1",,"1","3",,1,"10.5372/1905-7415.0801.255","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902210943&doi=10.5372%2f1905-7415.0801.255&partnerID=40&md5=f13274732be6e6c64a9322649898188e",,"",[No abstract available],,"advertizing; bone marrow transplantation; cell cloning; editorial; embryonic stem cell; experimental therapy; food and drug administration; hematologic disease; human; Internet; law; licensing; medical tourism; patient safety; pluripotent stem cell; research ethics; stem cell; stem cell research; stem cell transplantation",,,,,,,,"Lau, D., Ogbogu, U., Taylor, B., Stafinski, T., Menon, D., Caulfield, T., Stem cell clinics online: The direct-to-consumer portrayal of stem cell medicine (2008) Cell Stem Cell, 3, pp. 591-594; Stem Cell Clinics List, , http://www.stemcellsfreak.com/p/stem-cell-clinics-list.html, cited 2014 February 13, Available from; Andersson, E.R., Lendahl, U., Regenerative medicine: A 2009 overview (2009) J Intern Med, 266, pp. 303-310; Teo, A.K., Vallier, L., Emerging use of stem cells in regenerative medicine (2010) Biochem J, 428, pp. 11-23; De La Morena, M.T., Gatti, R.A., A history of bone marrow transplantation (2010) Immunol Allergy Clin North Am, 30, pp. 1-15; Gratwohl, A., Baldomero, H., Aljurf, M., Pasquini, M.C., Bouzas, L.F., Yoshimi, A., Hematopoietic stem cell transplantation: A global perspective (2010) JAMA, 303, pp. 1617-1624. , for the Worldwide Network of Blood and Marrow Transplantation; Hentze, H., Graichen, R., Colman, A., Cell therapy and the safety of embryonic stem cell-derived grafts (2007) Trends Biotechnol, 25, pp. 24-32; FDA Regulation of Human Cells, Tissues, and Cellular and Tissue-based Products (HCT/P's) Product List, , http://www.fda.gov/BiologicsBloodVaccines/TissueTissueProducts/ RegulationofTissues/ucm150485.htm, 05/12/2009 [cited 2014 February 13], Available from; Daley, G.Q., Stem cells: Roadmap to the clinic (2010) J Clin Invest, 120, pp. 8-10; Kolios, G., Moodley, Y., Introduction to stem cells and regenerative medicine (2013) Respiration, 85, pp. 3-10; Stem cell basics: Introduction (2002) Stem Cell Information, , http://stemcells.nih.gov/info/basics/pages/basics1.aspx, Bethesda, MD: National Institutes of Health, U.S. Department of Health and Human Services. April 28, cited 2014 February 13, Available from; Sipp, D., The rocky road to regulation (2009) Nature Reports: Stem Cells, , http://www.nature.com/stemcells/2009/0909/090923/full/stemcells.2009.125. html, 23 September [cited 2014 February 13]; doi:10.1038/stemcells.2009.125, Available from; Barclay, E., Stem-cell experts raise concerns about medical tourism (2009) Lancet, 373 (9667), pp. 883-884; (2013) Stem Cell Tourism, , http://www.cirm.ca.gov/our-progress/concerns-about-stem-cell-tourism, on line. [cited 2014 February 12], Available from; Lindvall, O., Hyun, I., Medical innovation versus stem cell tourism (2009) Science, 324 (5935), pp. 1664-1665; (2013) Clinicaltrials.Gov, , http://www.clinicaltrials.gov, U.S. National Institutes of Health [on line]. cited 2014 February 13, Available from; Where can I get more information? (2009) Stem Cell Information, , http://stemcells.nih.gov/info/basics/pages/basics7.aspx, Bethesda, MD: Department of Health and Human Services, cited 2014 February 13, Available at; (2012) FDA Warns about Stem Cell Claims, , http://www.fda.gov/forconsumers/consumerupdates/ucm286155.htm, on line. 6 January [cited 2014 February 13], Available from; Ethical guidelines for publication in Asian Biomedicine (2013) Asian Biomedicine, 7, pp. 911-912; (2008) ISSCR Patient Handbook on Stem Cell Therapies, , http://www.isscr.org/visitor-types/public/about-stem-cell-treatments, on line 3 December [cited 2014 February 13], Available at; Sivaraman, M.A.F., Noor, S.N.M., Ethics of embryonic stem cell research according to Buddhist, Hindu, Catholic, and Islamic religions: Perspective from Malaysia (2014) Asian Biomedicine, 8, pp. 43-52; Ai, J., Azizi, E., Shamsian, A., Eslami, A., Khoshzaban, A., Ebrahimi-Barough, S., Alizadeh, A., BMP-2 can promote the osteogenic differentiation of human endometrial stem cells (2014) Asian Biomedicine, 8, pp. 21-29; Hua, S., Chung, H., Sidhu, K., Human therapeutic cloning, pitfalls and lacks luster because of rapid developments in induced pluripotent stem cell technology (2014) Asian Biomedicine, 8, pp. 5-10",,,,"Asian Biomedicine",,,,,19057415,,,,"English","Asian Biomed.",Editorial,"Final",Open Access,Scopus,2-s2.0-84902210943 "Collier R.","25947265000;","Foreign OR, Canadian doc: medical tourism with a twist.",2014,"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","186","5",,"332","333",,1,"10.1503/cmaj.109-4722","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899945609&doi=10.1503%2fcmaj.109-4722&partnerID=40&md5=290915ae1aad2f9701fecac6090113b8",,"Collier, R.",[No abstract available],,"Canada; Caribbean Islands; ethnology; general surgery; human; medical tourism; note; organization and management; Canada; General Surgery; Humans; Medical Tourism; West Indies",,,,,,,,,"Collier, R.",,,,,,,,14882329,,,"24549130","English","CMAJ",Note,"Final",Open Access,Scopus,2-s2.0-84899945609 "Ho L.-H., Yi T.","7402955692;56145396200;","Constructing quality of service indicators and improvement strategies for medical tourism in Taiwan",2014,"Studies on Ethno-Medicine","8","1",,"23","31",,1,"10.1080/09735070.2014.11886469","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899682863&doi=10.1080%2f09735070.2014.11886469&partnerID=40&md5=ccb04c3e031c8ed79de5783786cc8887","Department of Technology Management, Chung Hua University, No.707, Sec.2, WuFu Rd, Hsinchu, 30012, Taiwan; Chung Hua University, No.707, Sec.2, WuFu Rd, Hsinchu, 30012, Taiwan","Ho, L.-H., Department of Technology Management, Chung Hua University, No.707, Sec.2, WuFu Rd, Hsinchu, 30012, Taiwan; Yi, T., Chung Hua University, No.707, Sec.2, WuFu Rd, Hsinchu, 30012, Taiwan","Aiming to establish the quality of service indicators and performance analysis for medical tourism industry, five dimensions of quality of service and 31 indicators for medical tourism are constructed through literature review and in-depth interviews with business representatives, experts, administrative organizations, and consumers. The consumer expectation and perception of medical tourism industry are collected and analyzed with artificial neural network and Mahalanobis Distance. The key improvement directions in the quality of service for medical tourism industry are sequenced as Service companies or hospitals present relevant certificates and certification, Appropriately keep secret of patients' medical records, Service providers (travel agents, treatment planners) can understand customer demands, Travel agents should present medical knowledge to provide customers with correct information, and Service providers (travel agents, treatment planners) could design a standard service procedure according to customer demands. The research results could provide the government, industry, and universities with reference of decision-making for medical tourism. © Kamla-Raj 2014.","Gap analysis; Mahalanobis distance; Medical tourism; Neural network; Quality of service",,,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism In Developing Countries, , New York: Palgrave Macmillan; Caballero-Danell, S., Mugomba, C., (2007) Medical Tourism and Its Entrepreneurial Opportunities: A Conceptual Framework For Entry Into the Industry. Master's Thesis, Unpublished, , Sweden: University of Gothen burg; Carman, J.M., Consumer perceptions of service quality: An assessment of the SERVQUAL dimensions (1990) Journal of Retailing, 66 (1), pp. 33-55; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cronin, J.J., Taylor, S.A., Measuring service quality: A reexamination and extension (1992) Journal of Marketing, 56 (3), pp. 55-68; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (1), p. 266; Darby, M.R., Karni, B., Free competition and the optimal amount of fraud (1973) Journal of Law and Economics, 16, pp. 67-86; Deng, W.J., Chen, W.C., Pei, W., Back-propagation neural network based importance-performance analysis for determining critical service attributes (2008) Expert Systems With Applications, 34 (2), pp. 1115-1125; Dolinsky, A.L., Caputo, R.K., Adding a competitive dimension on importance-performance analysis: An application to traditional health care systems (1991) Health Marketing Quarterly, 8 (3-4), pp. 61-79; Gronroos, C., A service quality model and its marketing implications (1984) European Journal of Marketing, 18 (4), pp. 36-44; Hall, C.M., Health and medical tourism: A kill or cure for global public health? 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Ethno-med.",Article,"Final",,Scopus,2-s2.0-84899682863 "Bristow R.S.","7006947050;","Sustainability and eco-health tourism",2013,"Sustainability in Tourism: A Multidisciplinary Approach","9783834970435",,,"69","84",,1,"10.1007/978-3-8349-7043-5_4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930691009&doi=10.1007%2f978-3-8349-7043-5_4&partnerID=40&md5=206f5d3ee4bc5f21170c23743a267453","Department of Geography and Regional Planning, Westfield State University, Massachusetts, United States","Bristow, R.S., Department of Geography and Regional Planning, Westfield State University, Massachusetts, United States","Over the millennia, travel to foreign lands to soak in mineral waters has been popular for the privileged (Bookman and Bookman, 2007; Connell, 2011; Mitman, 2003; Reisman, 2010; Towner, 1996; TRAM, 2006). Long sought for their medicinal values, mineral springs have attracted visitors for thousands of years. © 2013 Springer Fachmedien Wiesbaden. 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Family medicine and international medical-related travel (2007) Canadian Family Physician, 53 (10), pp. 1639-1641; Turner, L., Canadian medical tourism companies that have exited the marketplace: Content analysis of Websites used to market transnational medical travel (2011) Globalization and Health, 7 (40), pp. 1-16; Urology Times, Medical tourists receive HIFU treatment abroad (2008) Urology Times, 36 (9), p. 12; United Nations, (2009) Medical Travel in Asia and the Pacific: Challenges and Opportunities, , United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand; Van Wilkinson, S., Cuba's Tourism 'Boom"": A curse or a blessing (2008) Third World Quarterly, 29 (5), pp. 979-993; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., Health tourism in Australia: Supply, demand and opportunities (2010) Sustainable Tourism Pty Ltd, , http://www.sustainabletourismonline.com/42/growing-niche-markets/health-tourism-in-australia-supply-demand-andopportunities, accessed 15 January 2012; Voigt, C., Brown, G., Howat, G., Wellness tourist: In search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; World Health Organization, (2007) Wastes from Health-care Activities Fact Sheet, , http://www.who.int/mediacentre/factsheets/fs253/en, accessed 15 February 2012; World Health Organization, (2011) Global Health Observatory Data Repository: Health Workforce Aggregated Data, Density per 1000, , http://apps.who.int/ghodata/#, accessed 27 February 2012","Bristow, R.S.; Department of Geography and Regional Planning, Westfield State UniversityUnited States",,,"Springer Fachmedien",,,,,,9783834970435; 3834928062; 9783834928061,,,"English","Sustainability in Tour.: A Multidisc. Approach",Book Chapter,"Final",,Scopus,2-s2.0-84930691009 "Bruce D.M.","53563157100;","Sickness, health, tourism and the ever-present threat of death: Nineteenth-century spa and seasonal travel",2013,"Medical Tourism and Transnational Health Care",,,,"13","29",,1,"10.1057/9781137338495","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996799591&doi=10.1057%2f9781137338495&partnerID=40&md5=8e6ff75ea46beb2233ffec09570ef418","Business School, University of the West of England, Bristol, United Kingdom","Bruce, D.M., Business School, University of the West of England, Bristol, United Kingdom",[No abstract available],,,,,,,,,,"Ackroyd, P., (2012) Wilkie Collins: A Brief Life, , (London: Chatto and Windus); Baedeker, K., (1878) Traveller's Manual of Conversation in Four Languages, , 23rd edn (Leipsic: Karl Baedeker); Baedeker, K., (1899) Northern Italy, , 11th remodelled edn (Leipsic: Karl Baedeker); Baedeker, K., (1907) Switzerland, , 22nd edn (Leipsic: Karl Baedeker); Batchelor, J., (2006) Lady Trevelyan and the Pre-Raphaelite Brotherhood, , (London: Chatto and Windus); Botterill, D., Representations of tourism in 20th century opera (2012) Narratives of Travel and Tourism, , J. 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Fell Smith) (1909) Dictionary of National Biography, 18, p. 994. , (Oxford:OUP); Dunning, E., Problems of the emotions in sport and leisure: critical and counter critical comments on the conventional and figurational sociologies of sport and leisure (1996) Leisure Studies, 15, pp. 185-207; Flint, K., Introduction (1998) Pictures from Italy, , K. Flint (ed.), by Charles Dickens (1846) (London: Penguin); Fuessel, S., (2008) Georg Braun and Franz Hogenberg - Cities of theWorld 1572-1618, , (Koeln, Germany: Taschen); Gittings, R., (1968) John Keats, , (London: Penguin); Hanley, K., Walton, J., Constructing Cultural Tourism: John Ruskin and the Tourist Gaze (2010) Illustrated London News, , (Bristol: Channel View), for 29 May (1847) (Chester) [for one of many examples]; Jepson, T., Buckley, J., Ellingham, M., (2006) The Rough Guide to Tuscany and Umbria, , 6th edn (London: Rough Guides); Johnson, B., (2011) Johnson's Life of London, , (London: Harper); Koshar, R., Introduction (2002) Histories of Leisure, , R. Koshar (ed.), (Oxford: Berg); Levi, P., (1971) Pausanias Guide to Greece 2nd Century AD, , translated with an Introduction 2 Volumes (London: Penguin); Macaulay, T.B., The Journals of Thomas Babington Macaulay (1838), 1848-1859, W. Thomas (ed.) 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Health Care",Book Chapter,"Final",,Scopus,2-s2.0-84996799591 "Moreira P.","56707546300;","Medical tourism and international healthcare management: Fostering evidence based developments",2013,"International Journal of Healthcare Managementa","6","3",,"141","",,1,"10.1179/2047970013Z.00000000072","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84905960896&doi=10.1179%2f2047970013Z.00000000072&partnerID=40&md5=0e296da9b9a9994295dbeb5be87e381d","Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Portugal","Moreira, P., Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Portugal",[No abstract available],,,,,,,,,,"Moreira, P., Medical Tourism reaches the International Healthcare Management debate (2013) International Healthcare Management, 6 (2), p. 65; (2011) Improving estimates of exports and imports of health services and goods under the sha framework., , http://www.oecd.org/els/health-systems/49011758.pdf, OECD, Available at, (consulted in 18/March/2013); Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10, p. 266. , doi:10.1186/1472-6963-10-266; (2012) Medical Tourism: Treatments, Markets and Health System Implications: A scoping review., , http://www.oecd.org/els/health-systems/internationaltradeinhealthservices.htm, OECD, Available at, (consulted in 15/March/2013); (2012) The Destination Branding Program., , www.medicaltoursimassociation.com, Medical Tourism Association, Available at, (consulted in 19/March/2013)","Moreira, P.; Escola Nacional de Saúde Pública, Universidade Nova de LisboaPortugal; email: editorijhm@gmail.com",,,"Maney Publishing",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Editorial,"Final",Open Access,Scopus,2-s2.0-84905960896 "Hamel W., Schell W., Cesaní V.","57197374940;24173547200;8250414200;","A quantitative approach towards the selection of medical tourism destinations",2013,"IIE Annual Conference and Expo 2013",,,,"1428","1437",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900329347&partnerID=40&md5=63b894e734bce93a7e1865774b248ee0","Montana State University, Bozeman, MT, United States; University of Puerto Rico at Mayagüez, Mayagüez, Puerto Rico","Hamel, W., Montana State University, Bozeman, MT, United States; Schell, W., Montana State University, Bozeman, MT, United States; Cesaní, V., University of Puerto Rico at Mayagüez, Mayagüez, Puerto Rico","Medical Tourism, the act of traveling across international borders to receive medical treatment, is an increasingly common practice as developed nations struggle to provide quick, affordable healthcare to their citizens. Although this practice is growing in popularity, currently few widely available mathematical models exist to assist patients in deciding the recommended location for a needed or desired procedure. This project creates a multi-attribute model to assist the patient with this decision by applying the Analytic Network Process (ANP). The model was developed using a multi-step approach that included identifying the attributes important in choosing a hospital and rating a sample group of hospitals on these attributes using both research and patient input. The model was built and tested using two surgeries commonly sought in medical tourism: hip replacement and rhinoplasty. Findings show how the model gives patients greater support when considering medical tourism, helping them find the hospital most suitable to them for their procedure. Through reviewing patient utilization of the pilot model, additional opportunities for model improvement are identified and recommendations for future work made.","Analytic network process; Hospital selection; Medical tourism","Decision theory; Exhibitions; Hip prostheses; Mathematical models; Analytic network process; Hip replacements; International border; Medical tourism; Medical treatment; Multi-attribute models; Multi-step approaches; Quantitative approach; Hospitals",,,,,,,,"(2011) Income, Poverty, and Health Insurance Coverage in the United States, , U.S. Department of Commerce, (September 2012), by Carmen DeNavas-Walt, Bernadette D. Proctor, Jessica C. Smith. U.S. Census Bureau; Gill, H., Singh, N., Exploring the factors that affect the choice of destination for medical tourism (2011) Journal of Service Science and Management, 4, pp. 315-324; Connel, J., (2011) Medical Tourism, , Wallingford: CABI Publishing; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Affairs, 26 (1), pp. 137-141; Forgione, D., Smith, P., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9, pp. 19-30; Heung, V., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27, pp. 236-251; Altin, M., Kara, D., Singal, M., (2011) Consumer Decision Components for Medical Tourism: A Stakeholder Approach, , University of Massachusetts, 16th Graduate Students Research Conference United States of America; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) H.R. Human Resource Planning, 30 (2), pp. 8-10; Himmelstein, D.U., Thorne, D., Warren, E., Woolhandler, S., Medical bankruptcy in the united states, 2007: Results of a national survey (2009) American Journal of Medicine; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions, 28, pp. 99-102; Levary Reuven, R., Multiple-criteria approach to ranking medical tourism destinations (2011) Thunderbird International Business Review, 53, p. 4; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2006) Mathematical and Computer Modeling, 46, pp. 1144-1159; (2012) Top-Ranked Hospitals for Orthopedics, , http://health.usnews.com/best-hospitals/rankings/orthopedics, U.S. News & World Report., Accessed October 1, 2012 at; (2009) Activities after Hip Replacement, , http://orthoinfo.aaos.org/topic.cfm?topic=a00356, American Academy of Orthopedic Surgeons, Accessed July 2, 2012 at; (2012) Foreign per Diem Rates by Location, , http://aoprals.state.gov/web920/per_diem.asp, U.S. Department of State, Accessed October 26, 2012 at; (2012) Per Diem Rates, , http://www.gsa.gov/portal/category/21287?utm_source=OGP&utm_medium= print-radio&utm_term=perdiem&utm_campaign=shortcut, U.S. General Services Administration, Accessed October 26, 2012 at; (2012) World's Best Universities, , http://www.usnews.com/education/worlds-best-universities-rankings, U.S. News & World Report, Accessed October 19, 2012 at; (2011) The World's Top 100 Universities Ranked for Medicine, Biology, and Psychology, , http://www.guardian.co.uk/news/datablog/2011/may/04/top-100-world- university-rankings-medicine-biology-psychology, The Guardian, Accessed October 19, 2012 at; Blasier Ralph, B., The problem of the aging surgeon: When surgeon age becomes a surgical risk factor (2009) Clinical Orthopaedics and Related Research, February, pp. 402-411; Saaty, R., (2003) Decision Making in Complex Environments; Montgomery, D.C., (2013) Design and Analysis of Experiments, , Eighth Edition. John Wiley & Sons, Inc",,,"Arena;Boeing;et al.;FedEx Ground;The Ergonomics Center of North Carolina;The Hershey Company","Institute of Industrial Engineers","IIE Annual Conference and Expo 2013","18 May 2013 through 22 May 2013","San Juan",104963,,,,,"English","IIE Annu. Conf. Expo",Conference Paper,"Final",,Scopus,2-s2.0-84900329347 "Hin C.W., Bohari A.M., Pu L.T.","55386018400;55804552200;56094947900;","An analysis of competitiveness of medical tourism in Malaysia and Thailand: A strategic management approach",2013,"International Business Management","7","6",,"493","499",,1,"10.3923/ibm.2013.493.499","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84897414268&doi=10.3923%2fibm.2013.493.499&partnerID=40&md5=41804669704e6cfb16861dfd9861980b","College of Business, Universiti of Utara Malaysia, 06010 Sintok, Kedah, Malaysia","Hin, C.W., College of Business, Universiti of Utara Malaysia, 06010 Sintok, Kedah, Malaysia; Bohari, A.M., College of Business, Universiti of Utara Malaysia, 06010 Sintok, Kedah, Malaysia; Pu, L.T., College of Business, Universiti of Utara Malaysia, 06010 Sintok, Kedah, Malaysia","In this age of globalization and escalating medical costs patients around the globe, especially in developed countries have to consider comparing different countries to seek for medical care. Medical tourism encompasses all the industries in catering to patients seeking health care outside their home region. These industries include health care, travel, accommodation and also recreation. This study examined the competitiveness of Malaysia (in particular, State of Penang) with Thailand in the medical tourism industry using a conceptual approach derived from strategic management discipline. The approach used were SWOT analysis, Porter's 5 forces analysis and competitive positioning matrix. Medical tourism has both strengths and weaknesses to both countries with Thailand being more competitive in medical treatment like plastic surgery, they have developed their medical tourism earlier than Malaysia while Malaysia (Penang) has more competitive advantage in heart surgery wide usage of English, Penang as a tourist destination attraction and reasonable cost. © 2013 Medwell journals.","Competitive advantage; Heart surgery; Malaysia; Medical tourism; Strategic management approach",,,,,,,,,"SARS: Economic impacts and implications (2003), ADB, Asian Development Bank, May 2003, Hong Kong; Cohen, E., Medical Tourism in Thailand (2007) Depatment of Socioloy and Anthropology, pp. 24-37. , The Herbew University of Jerusalem, Mount; Cornell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Manage., 27, pp. 1093-1100; Edey, C., Bumrungrad hospital: Five star healthcare in Thailand (2002) Thailand Opport., 1, pp. 76-78; Wait times for Canadians needing surgery hit an all time high of more than 18 weeks in 2007 (2007), Fraser Institute, October 15, 2007. The Fraser Institute, Canada; Higgins, L.A., Medical toursim takes off, but not without debate (2007), http://www.managedcaremag.com/archives/0704/0704.travel.html, Managed Care, April, 2007, USA; Keckley, P.H., Underwood H.R, Medical tourism consensus in search of value (2008), Deloitte Centre for Health Solutions; Marjuni, H., Waking the sleeping giant (2008), pp. 12-15. , http://www.mia.org.my/at/at/200802/04.pdf, Accountants Today, February 2008, pp:; Milstein, A., Smith, M., America's new refugees-seeking affordable surgeiy offshore (2006) N. Engl. J. Med., 355, pp. 1637-1640; Mohamed, B., Sirat, M., Medical tourism in visit Penang 2009 (2009), p. 246. , Proceedings of the 2nd National Symposium on Tourism Research, July 18, 2009, Universiti Sains Malaysia; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand (2011), 7. , Singapore and Malaysia. Globalizat. Health, Vol. 10.1186/1744-8603-7-12; Porter, M.E., (1998), On competition.. Harvard Business School, Boston, MA; Russell, C., A kinder cut (2006), Bangkok Post, April 27, 2006; The, I., Chu, C., Supplementing growth with medical tourism (2005) Asia Pacific Biotech News, 9, pp. 306-311; Medical-hub plan could hurt health (2006), The Nation, Nation Multimedia Group, The Nation, February 2006, Bangkok, Thailand","Hin, C.W.; College of Business, Universiti of Utara Malaysia, 06010 Sintok, Kedah, Malaysia",,,"Medwell Journals",,,,,19935250,,,,"English","Int. Bus. Manage.",Article,"Final",,Scopus,2-s2.0-84897414268 "Rojas L.A.R., Bermudez G.M.T., Morales A.A.O.","55364097500;55363591700;57197431014;","A knowledge management model applied to health tourism in Colombia",2013,"Advances in Intelligent Systems and Computing","172 AISC",,,"537","546",,1,"10.1007/978-3-642-30867-3_48","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866534930&doi=10.1007%2f978-3-642-30867-3_48&partnerID=40&md5=9879387b1f45c76ebaa4962db22334ba","Fundación Universitaria Los Libertadores, Bogotá, Colombia; Universidad Distrital Francisco José de Caldas, Bogotá, Colombia","Rojas, L.A.R., Fundación Universitaria Los Libertadores, Bogotá, Colombia; Bermudez, G.M.T., Universidad Distrital Francisco José de Caldas, Bogotá, Colombia; Morales, A.A.O., Universidad Distrital Francisco José de Caldas, Bogotá, Colombia","Health tourism is an emerging sector in many countries, where developing economies find an opportunity to grow by providing quality medical services at competitive prices. The proposed model is applied to Knowledge Management and is also based on Medical Tourism from the perspective of Information and Communications Technology - ICT. This model represents a fundamental tool for achieving competitive tourism worldwide and for improving decision-making in the industry, since the fundamental weaknesses of such an industry are related to information-wise aspects, value and reliability when transferring knowledge. This management model provides a guide to achieve these objectives through the establishment of tools for its implementation. © 2013 Springer-Verlag.",,"Management; Colombia; Competitive prices; Developing economies; Fundamental tools; Information and communications technology; Knowledge management model; Management Model; Medical services; Knowledge management",,,,,,,,"(2010) Documento CONPES 3678, , Departamento Nacional de Planeación; (2009) Turismo & Salud, Una Dupla Ganadora, , https://www.mincomercio.gov.co/ptp/descargar.php?id=40519, Industria y Turismo de Colombia.: Recuperado el, (Octubre 30, 2011); Connell, J., Medical tourism: Sea, sun, sand and y surgery (2006) Revista Tourism Management, 27, pp. 1093-1100; (2009) Desarrollando Sectores de Clasemundial en Colombia, , https://www.mincomercio.gov.co/ptp/descargar.php?id=40518, Industria y Turismo de Colombia.: Recuperado el, (Octubre 30, 2011); Nonaka, I., Takeuchi, H., (1995) The Knowledge-Creating Company: How Japanese Companies Create the Dynamics of Innovation, , Oxford University Press, Londres; Casas, R., (2001) La Formación de Redes de Conocimiento. Una Perspectiva Regional Desde México, IIS-UNAM, , Anthropos, Barcelona; Merinero, R., Desarrollo Local Y Análisis de RedesSociales: El Valor de Las Relaciones Como Factor del Desarrollo Socioeconómico, , http://revista-redes.rediris.es/pdf-vol18/vol18_11.pdf, [Versión electrónica] Recuperado de (2010); Reisman, D., (2010) Health Tourism: Social Welfare Through International Trade, , MPG Books Group, UK; Cárdenas, F., González, C., (2011) Propuesta de Un Modelo de Gestiónsustentada en El Comercio Electrónico Como Herramienta de Fortalecimiento del Cluster de Turismo de Saludpara Bogotá, , Trabajo de Grado, Universidad Distrital, Colombia","Rojas, L.A.R.; Fundación Universitaria Los Libertadores, Bogotá, Colombia; email: larodriguezr1@libertadores.edu.co",,"IEEE Systems Man and Cybernetics Society Spain Section Chapter","Springer Verlag","7th International Conference on Knowledge Management in Organizations, KMO 2012","11 July 2012 through 13 July 2012","Salamanca",92773,21945357,9783642308666,,,"English","Adv. Intell. Sys. Comput.",Conference Paper,"Final",,Scopus,2-s2.0-84866534930 "Lee Y.-C., Wu W.-L.","15755749200;55707445100;","Key factors in developing medical and wellness tourism - Asian consumers as an example",2012,"HealthMED","6","12",,"4267","4271",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84872949542&partnerID=40&md5=0e449498cf463e157736dfdba56db4b0","Department of International Business, Chien Hsin University of Science and Technology, Taiwan","Lee, Y.-C., Department of International Business, Chien Hsin University of Science and Technology, Taiwan; Wu, W.-L., Department of International Business, Chien Hsin University of Science and Technology, Taiwan","Modern people expect to reduce pressure of life through engaging in wellness activities on their travels. Consumers are also eager to increase their confidence by means of changing their appearance. In addition, Asian countries have actively thrown themselves into the development of the medical and wellness tourist market, thus driving a new trend in tourism. This study aimed to investigate consumers' cognition of and demand for medical and wellness tourist services and provided relevant suggestions for government organizations, medical institutions, and the tourist industry.","Medical tourism; Wellness tourism","article; attitude to health; clinical article; cognition; economic development; female; government; human; internal consistency; interview; knowledge; male; mental health; outpatient; questionnaire; tourism; travel; wellbeing",,,,,,,,"Lai, S.Z., (2011), http://library.tbroc.gov.tw/libecq/mdl_bibliography/detail.aspx?no=A20012159, 2010 Survey of Travel by R.O.C Citizens. Tou-rism Bureau, Republic of China (Taiwan), Online Available 2012/05/10; Avenel, E., Barlet, C., Vertical Foreclosure, Technolo-gical Choice, and Entry on the Intermediate Market (2000) Journal of Economics & Management Strategy, 9 (3), pp. 211-230; Mueller, H., Kaufmann, E.L., Wellness Tourism: Market Analysis of a Special Health Tourism Segment and Implications for the Hotel Industry (2001) Journal of Vacati-on Marketing, 7 (1), pp. 5-17; Lee, C., Spisto, M., (2009) Medical Tourism, the Future of He-alth Services 2007, , http://www.bm.nsysu.edu.tw/tu-torial/iylu/12th%20ICIT/07-07.pdf, Online Available, 08/15; Lee, Y.C., Lin, Y.C., Lee, C.K., The Research of Customer's Cognition and Need towards Medical Tourism in Taiwan (2011) Journal of Customer Satisfaction, 7, pp. 77-100; Homer, C., Zong, W., Huang, C., Chang, M.H., Resi-dents' Perceptions of Ecotourism and Attitudes Toward Its Development in the Pescadores Taiwan (2005) Journal of Outdoor Recreation Study, 18 (3), pp. 1-30; Law, K.S., Wong, C., Mobley, W.H., Toward a taxonomy of multidimensional constructs (1998) Academy of Manage-ment Review, 23 (4), pp. 741-755; Jarvis, C.B., Mackenzie, S.B., Podsakoff, P.M., A critical re-view of construct indicators and measurement model misspecification in marketing and consumer research (2003) Journal of Consumer Research, 30, pp. 199-218","Wu, W.-L.; Department of International Business, Chien Hsin University of Science and TechnologyTaiwan; email: wuweili0709@yahoo.com.tw",,,,,,,,18402291,,,,"English","HealthMED",Article,"Final",,Scopus,2-s2.0-84872949542 "Green S.T.","7403568394;","Medical Tourism",2012,"Hunter's Tropical Medicine and Emerging Infectious Disease: Ninth Edition",,,,"1066","1068",,1,"10.1016/B978-1-4160-4390-4.00151-X","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902072282&doi=10.1016%2fB978-1-4160-4390-4.00151-X&partnerID=40&md5=13bec6d5efd2a1e6eeb57c63e1f17028","Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Trust, United Kingdom; Sheffield Hallam University, United Kingdom; York Management School, University of York, York, United Kingdom","Green, S.T., Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Trust, United Kingdom, Sheffield Hallam University, United Kingdom, York Management School, University of York, York, United Kingdom",[No abstract available],,,,,,,,,,"Crooks, V.A., Snyder, J., Medical tourism: What Canadian family physicians need to know (2011) Can Fam Physician, 57, pp. 527-529; Deloitte's report reduction in US medical tourism due to the recession (2009) Int Med Tourism J, , http://www.imtj.com/news/?EntryId82=166602, Available at, (last accessed 31 December 2011); Ehrbeck, T., Guervara, C., Margo, P.D., McKinsey Quarterly. Mapping the market for medical travel, , http://www.medretreat.com/templates/UserFiles/Documents/McKinsey%20Report%20Medical%20Travel.pdf, Available at (last accessed: 25th April 2012); Mortensen, J., International trade in health services: assessing the trade and the trade-offs, , http://www.arengufond.ee/upload/Editor/teenused/Tervise%20lugemine/International_Trade_in_Health%20Services_DK_Mortensen%202008.pdf, Available at (last accessed 25th April 2012); Alleman, B.W., Medical tourism services available to residents of the United States (2011) J Gen Intern Med, 26, pp. 492-497; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376, pp. 671-672; Ounibi, W., High HIV and HbsAg infection rate in recipients of commercial transplants (1993) J Am Soc Nephrol, 4, p. 957; Trivedi, M., Sanghavi, D., Knowledge deficits regarding Chagas' disease may place Mexico's blood supply at risk (2010) Transfus Apher Sci, 43, pp. 193-196; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study (2010) Lancet Infect Dis, 10, pp. 597-602; Bronnert, J., Wilde, H., Tepsumethanon, V., Organ transplantations and rabies transmission (2007) J Trav Med, 14, pp. 177-180; Iwamoto, M., Jernigan, D.B., Guasch, A., Transmission of West Nile virus from an organ donor to four transplant recipients (2003) N Engl J Med, 348, pp. 2196-2203; Shaw, C., The external assessmentof health services (2003) World Hospitals and Health Services, 40 (1). , http://www.who.int/management/External%20Assessment%20of%20Health%20Services.pdf, Available at, (last accessed 25th April 2012); Rooney, A.L., van Ostenberg, P.R., (1999) Licensure, Accreditation, and Certification: Approaches to Health, , http://www.qaproject.org/indexl.html, Quality Assurance Project, Bethesda, Available at, (last accessed 25th April 2012); Henderson, M., Patients warned over dangers of untested stem-cell wonder cures, , http://www.timesonline.co.uk/tol/news/uk/health/article621777.ece, (last accessed 25th April 2012); Sex selection: Getting the baby you want, , http://www.guardian.co.uk/lifeandstyle/2010/apr/03/sex-selection-babies, Available at (last accessed 25th April 2012); Stella Obasanjo's doctor jailed for negligence, , http://thenationonlineng.net/web2/articles/19341/1/Stella-Obasanjos-doctor-jailed-for-negligence/Page1.html, Available at (last accessed 25th April 2012); 'Buttocks injection' death: Police quiz woman in US, , http://www.bbc.co.uk/news/world-us-canada-12410546, Available at (last accessed 25th April 2012); Delmonico, F.L., The implications of Istanbul Declaration on organ trafficking and transplant tourism (2009) Curr Opin Organ Transpl, 141, pp. 116-119","Green, S.T.; Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS TrustUnited Kingdom",,,"Elsevier Inc.",,,,,,9781416043904,,,"English","Hunter's Trop. Med. and Emerg. Infecti. Dis.: Ninth Ed.",Book Chapter,"Final",,Scopus,2-s2.0-84902072282 "Hamid S.M.A., Putit N.","55370902900;55370554100;","Branding Kuching City as health tourism destination",2012,"Current Issues in Hospitality and Tourism Research and Innovations - Proceedings of the International Hospitality and Tourism Conference, IHTC 2012",,,,"263","268",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866936840&partnerID=40&md5=ddaef27969ba4bf94ab1c4bd6a563a1e","UiTM, Sarawak, Malaysia","Hamid, S.M.A., UiTM, Sarawak, Malaysia; Putit, N., UiTM, Sarawak, Malaysia","This paper provides an overviewof health tourism industry in Malaysia and explores the potential and opportunity for brandingKuching City as a health tourism destination. It discusses the NewEconomic Model (NEM) as a way to unleash the country's growth potential in the industry. This paper also presents problems affecting the tourism industry and the prospects for health tourism as the drive toward multiplying economic base for Tourism sectors. Finally, the paper highlights strategies and recommendations for the growth of health tourism and the branding of Kuching City as health tourism destination. © 2012 Taylor & Francis Group.","Branding; Destinations; Health tourism; Kuching city; New economic model","Branding; Destinations; Economic models; Growth potential; Kuching city; Malaysia; Tourism industry; Industry; Health",,,,,,,,"Medical Tourism Report 2000/2010, , Association of Private Hospital Malaysia(APHM), Kuala Lumpur. Borneo Post: Medical Tourism taking root - Abang Johari, 2012/05/12; Government Eyes Medical Tourism as Good Income Earner - Abang Johari, , Borneo Post:, 2011/12/09; Carrera, Bridges, Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 445-454; Chaudhuri, Holbrook, The chain of effect from brand trust and brand affect to brand performance: The role of brand loyalty (2001) Journal of Marketing, 65, pp. 81-93. , April; Chinai, Goswami, Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Clarke, Tourism brands: An exploratory study of the brands box model (2000) Journal OfVacation Marketing, 6 (4), pp. 329-345; Domizlaff, (1992) Die Gewinnung des ö Ffentlichen Vertrauens: Ein Lehrbuch Der Markentechnik, , Auflage, Hamburg; Dedmon, The future of primary care in Thailand in the context of a global financial crisis (2009) Asian Biomedicine, 3 (4), pp. 345-350; Deloitte, (2009) Medical Tourism: Update and Implications, Deloitte Centre for Health Solutions, , Washington, DC; Freundt, (2006) Emotionalisierung Von Marken, , Deutscher Universitätsverlag, Leipzig; Frost, Sullivan, (2009) Medical Tourism: Update and Implications, , Centre for HealthWashington, DC; Goodrich, Goodrich, Health-care tourism - an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; Hosany, E., Muzaffer, U., Destination image and destination personality: An application of branding theories to tourism places (2006) Journal of Business Research, 59, pp. 638-642; Koll, Wallpach, V., One brand perception? Or many? The heterogeneity of intra-brand knowledge (2009) Journal of Product & Brand Management, 18 (5), pp. 338-345; Kotler, K., Bliemel, (2007) Marketing-Management, , 12th ed. Pearson Studium, München; MacReady, Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; Matzler, G.-K., Bidmon, Risk aversion and brand loyalty: The mediating role of brand trust and brand affect (2008) Journal of Product & Brand Management, 17 (3), pp. 154-162; Medical and Health Tourism 2008-2010, , Malaysia External Trade Development Corporation (MATRADE), Kuala Lumpur; Meffert, B., Koers, (2005) Markenmanagement: Identitätsorientierte Markenführung Und Praktische Umsetzung, , 2nd ed. Gabler Verlag, Wiesbaden; Ministry of Culture, Art and Tourism, Health Tourism Statistic Report 2003-2011, , Kuala Lumpur; Ministry of Health Malaysia, Health Statistic Report 2003- 2010, , Kuala Lumpur; Najib, (2009) Government Transformation Plan, , Kuala Lumpur; Nefiodov, (1999) Der Sechste Kondratieff: Wege Zur Produktivität UndVollbeschä ftigung Im Zeitalter Der Information, , 3rd ed. Rhein-Sieg-Verlag, Sankt Augustin; New economic model (2009) Report by National Economic Advisory Council; Pasini, Tourist health as a new branch of public health (1989) World Health Statistics Quarterly, 42, pp. 77-84; Pennings, Reproductive tourism as moral pluralism in motion (2002) Journal of Tourism in Europe, Human Reproduction, 19 (12), pp. 2689-2694; (2009) Sarawak Corridor of Renewable Energy Report, , SCORE., Sarawak; Sheaff, Healthcare access and mobility between the UK and other European Union states: An 'implementation surplus (1997) Health Policy, 42 (3), pp. 239-253; Smith, Puczkó, (2008) Health and Wellness Tourism, , Butterworth-Heinemann, Oxford; Tasci, Kozak, Destination brands vs. Destination image - do we know what we mean? (2006) Journal OfVacation Marketing, 12 (4), pp. 299-317; Wagner, Peters, Can association methods reveal the effects of internal branding on tourism stakeholder? (2009) Journal of Place Management and Development, 2 (1), pp. 52-69; Woo, Medical tourism and the future of medical practice inKorea (2009) Journal of TheKorean Medical Association, 52 (9), pp. 844-846","Hamid, S.M.A.; UiTM, Sarawak, Malaysia",,,,"International Hospitality and Tourism Conference, IHTC 2012","3 September 2012 through 5 September 2012","Kuala Lumpur",92935,,9780415621335,,,"English","Curr. Issues Hosp. Tour. Res. Innov. - Proc. Int. Hosp. Tour. Conf., IHTC",Conference Paper,"Final",,Scopus,2-s2.0-84866936840 "Azmi K.M., Awang K.W.","55370898600;36884091500;","Sustainable tourism development and stakeholders' networking: A case study on medical tourism in Malaysia",2012,"Current Issues in Hospitality and Tourism Research and Innovations - Proceedings of the International Hospitality and Tourism Conference, IHTC 2012",,,,"571","576",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866933228&partnerID=40&md5=1962fbca90fa45e13ce2a938fa30d26c","Graduate School of Management, Universiti Putra Malaysia, Serdang, Malaysia","Azmi, K.M., Graduate School of Management, Universiti Putra Malaysia, Serdang, Malaysia; Awang, K.W., Graduate School of Management, Universiti Putra Malaysia, Serdang, Malaysia","This paper studies how sustainable tourism policies could best be developed and ultimately implemented in medical tourism sector. In order to achieve this goal, the study will examine how the concept of sustainable tourism is interpreted in medical tourism as well as investigate the existing pattern of relationships and current networking system among medical tourism stakeholders in order to determine roles and potential influences of legitimate and powerful stakeholders in tourism policy making.The success of achieving sustainable tourism industry depends on full support and commitment from all stakeholders is highly needed.Thus, this is only a conceptual-based paper and future work will broaden the study context by including analysis of stakeholders networking in medical tourism in Malaysia. © 2012 Taylor & Francis Group.","Medical tourism; Stakeholders networking; Sustainable tourism; Tourism","Malaysia; Medical tourism; Networking systems; Stakeholders networking; Sustainable tourism; Tourism; Sustainable development",,,,,,,,"Abidin, Z.Z., (1999) Identification of Criteria and Indicators for the Sustainable Management of Ecotourism in Taman Negara National Park, , Malaysia: A Delphi consensus; Environmentally sustainable tourism in APEC member economies (1996) Asia Pacific Economic Cooperation (APEC) Team Working Group (TWG), , APEC Secretariat, Singapore; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consortium Journal of Hospitality & Tourism, 11 (1), pp. 75-81; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , NewYork: Palgrave McMillan; Bowman, K.S., Sustainable tourism certification and state capacity: Keep it local, simple, and fuzzy (2011) International Journal of Culture, Tourism and Hospitality Research, 5 (3), pp. 269-281; Bramwell, B., Lane, B., Sustainable tourism: An evolving global approach (1993) Journal of Sustainable Tourism, 1 (1), pp. 1-5; Bramwell, B., Henry, I., A framework for understanding sustainable tourism management (1996) Sustainable Tourism Management, Principles and Practice, pp. 23-71. , edited by Bramwell, B. Straaten J.V. D. and Prat, A. G.Tilburg, the Netherlands: Tilburg University Press; Briassoulis, H., Sustainable tourism and the question of the commons (2002) Annals of Tourism Research, 29 (4), pp. 1065-1085; Bristow, R.S., Yang, W.-T., Lu, M.-T., Sustainable medical tourism in Costa Rica (2011) Tourism Review, 66 (1-2), pp. 107-117; Burkett, L., Medical tourism: Concerns, benefits and the American perspective (2007) Journal of Legal Medicine, 28, pp. 223-245; Butler, R.W., Sustainable tourism - Looking backwards in order to progress? (1998) Sustainable Tourism: A Geographical Perspective, pp. 25-34. , C. M. Hall and A. A. Lew (eds), Harlow: Longman; Butler, R.W., Alternative tourism: Pious hope or Trojan Horse? (1990) Journal of Travel Research, (3), pp. 40-45; Butler, R.W., Tourism, environment, and sustainable development (1991) Environmental Conservation, 18 (3), pp. 201-209; Butler, R.W., The concept of carrying capacity for tourism destinations: Dead or merely buried? 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Washington, DC: Taylor and Frances; Hardy, A.L., Beeton, R.J.S., Sustainable tourism or maintainable tourism: Managing resources for more than average outcomes (2001) Journal of Sustainable Tourism, 9, pp. 168-192; Hardy, A., Beeton, R.J.S., Pearson, L., Sustainable tourism: An overview of the concept and its position in relation to conceptualizations of tourism (2002) Journal of Sustainable Tourism, 10 (6), pp. 475-496; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Hunter, C., On the need to reconceptualise sustainable tourism development (1997) Journal of Sustainable Tourism, 3 (3), pp. 155-165; Inskeep, E.L., (1991) Tourism Planning: An Integrated and Sustainable Development Approach, , New York: Van Nostrand Reinhold; Jamal, T., Getz, D., Community roundtables for tourism related conflicts: The dialectics of consensus and process structures (2000) Tourism Collaboration and Partnerships: Politics, Practice and Sustainability, , Bramwell, B. and Lane, B (Eds), Channel View Publications, Clevedon; Leonard, T., (2009) Medical Tourists to Bring InRM540 Million by 2010, , http://www.malaysiahealthcare.com/, Retrieved from; Leposky, G., Globalization and sustainable development (1997) Vocation Industry Review, , March/April, 10; Middleton, V.T.C., Hawkins, R., (1998) Sustainable Tourism: A Marketing Perspective, , Oxford, UK: Butterworth-Heinemann; Miller, G., The development of indicators for sustainable tourism: Results of a Delphi survey of tourism researchers (2001) Tourism Management, 22, pp. 351-362; Moore, W., Adress (1996) Miami Conference on the Carribean and Latin America, , Miami, Florida; Musa, G., Thirumoorthi, T., Doshi, D., Travel behavior among inbound medical tourists in Kuala Lumpur (2011) Current Issues in Tourism, , iFirst article, 1-19 DOI:10.1080/13683500.2011.626847; Ormond, M., Medical tourism, medical exile: Responding to the cross-border pursuit of healthcare in Malaysia (2011) Real Tourism: Representation, Practice and the 'Material' in Contemporary Travel, pp. 143-161. , Edited by: Minca, C. and Oakes, T. 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WIT Press, UK; (2008) Profile of Tourist by Selected Markets 2008, , Tourism Malaysia, Kuala Lumpur: Tourism Malaysia; (2008) UNWTO Future Vision: Tourism towards 2030, , http://www.eturbonews.com/6333/unwtofuture-vision-tourism-towards-2030, United Nations World Tourism Organization UNWTO, Retrieved at, Accessed on October, 2011; Wahab, S., Pigram, J.J., (1997) Tourism Development and Growth: The Challenge of Sustainability, , eds. New York: Routledge; Wall, G., Sustainable tourism-unsustainable development (1997) Tourism Development and Growth: The Challenge of Sustainability, pp. 33-49. , S. Wahab and J. J. Pigram (eds)., London: Routledge; (1987) Our Common Future, , World Commission on Environment and Development (WCED), The World Commission on Environment and Development. Oxford: Oxford University Press; World Tourism Organization (WTO)-International working group on indicators of sustainable tourism (IWGIST) (1993) (1993) Indicators for the Sustainable Management of Tourism, , World Tourism Organization. Winnipeg: WTO; (2006) The Global Travel &Tourism Summit, , http://www.globaltraveltourism.com/previous-summits/2006/default.html, Washington DC, 10-12 April 2006, Retrieved from, Accessed on November 2011; Xinyan, Z., Haiyan, S., Huang, G.Q., Tourism supply chain management: A new research agenda (2009) Tourism Management, 30, pp. 345-358; Yuksel, F., Bramwell, B., Yuksel, A., Stakeholder interviews and tourism planning at Pamukkale, Turkey (1999) Tourism Management, 20 (3), pp. 351-360","Azmi, K.M.; Graduate School of Management, Universiti Putra Malaysia, Serdang, Malaysia",,,,"International Hospitality and Tourism Conference, IHTC 2012","3 September 2012 through 5 September 2012","Kuala Lumpur",92935,,9780415621335,,,"English","Curr. Issues Hosp. Tour. Res. Innov. - Proc. Int. Hosp. Tour. Conf., IHTC",Conference Paper,"Final",,Scopus,2-s2.0-84866933228 "Idrus S., Musa R., Muhammad Naziman Y.H.N., Mohd Aznan N.F., Yaacob A., Mohd Pauzi N.","55140588800;41661843300;49964027200;55371482300;55370562400;57204492876;","Medical tourism destination brand positioning model",2012,"Current Issues in Hospitality and Tourism Research and Innovations - Proceedings of the International Hospitality and Tourism Conference, IHTC 2012",,,,"515","518",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866891791&partnerID=40&md5=4690db74500a19e724c816d6f9047418","Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia","Idrus, S., Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia; Musa, R., Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia; Muhammad Naziman, Y.H.N., Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia; Mohd Aznan, N.F., Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia; Yaacob, A., Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia; Mohd Pauzi, N., Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia","Malaysia is one of the countries that have deliberately set out to be a dominant medical tourism destination competing with other country. This sector is to generate RM35.5 billion incremental Gross National Income (GNI) contribution and reach RM506 billion by the target year 2020. Malaysia has strong competitive advantage in stable political climate, comparable quality of medical services at private medical centers and price advantage over other regional players. However, lack of marketing strategy was the reason why Malaysia, despite the fact it is a Muslim country, is behind Thailand and Singapore in attracting medical tourism from Middle East. Indeed Malaysia appears to have the edge in term of religion, Muslim Hospital staff, halal food and other aspects. Porter's diamond of national competitiveness shows that medical tourism has numbers of limitation and one of it is positioning brand name of destination. It shows the important of brand image toward building destination positioning in gaining competitive advantage. Only a few academic researches have been conducted on this particular niche market. However, there is increasing availability of literature in the mainstream media example print, electronic media and the Internet, illustrating the growth this form of tourism. Hence the lacking of academia interest in medical tourism both necessitates and validates this study within the medical tourism niche market. The study will propose a new model destination brand positioning which incorporate the factors that contribute to the destination image and their effect on customer engagement and destination positioning. The study was conducted in selected private hospital in Malaysia; interview and questionnaire distribution was used in order to get the respond from the tourists. Expected result from this study will help Malaysia medical tourism industry in competing with other competitor especially Thailand and Singapore in building our own destination brand position. © 2012 Taylor & Francis Group.",,"Academic research; Brand image; Brand names; Brand position; Competitive advantage; Destination image; Electronic media; Gross national incomes; In-buildings; Mainstream media; Malaysia; Marketing strategy; Medical center; Medical services; Middle East; National competitiveness; Niche markets; Political climate; Private hospitals; Singapore; Thailand; Tourism industry; Competition; Hospitals; Commerce",,,,,,,,"Kuusik, A., Tiru, M., Varblane, U., Innovation in destination Marketing: The use of passive mobile positioning for the segmentation of repeat visitors in Estoni (2011) Baltic Journal of Management, 6 (3), pp. 378-399. , 2011, q Emerald Group Publishing Limited 1746-5265 DOI 10.1108/17465261111168000; Polo, E.M.Andy., Effect of brand extension strategy on brand image: A comparative study of the UK and Spanish markets (2008) International Marketing Review, 25 (1), pp. 107-137. , 2008; Peter, E., Swati, N., The competitive challenge of emerging markets: The case of medical tourism (2010) International Journal of Emerging Markets, 6 (4), pp. 329-350. , 2011, q Emerald Group Publishing Limited 1746-8809 DOI 10.1108/17468801111170347; Hem, L.E., Iversen, N.M., How to develop a destination brand logo: A qualitative and quantitative approach (2004) Scandinavian Journal of Hospitality and Tourism, 4 (2). , Taylor & Francis; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology & Medicine, 14 (3), pp. 293-305; Keller, K.L., Conceptualising, measuring and managing customer-based brand equity (1993) Journal of Marketing, 57, pp. 1-2; Kotler, P., Amstrong, G., Saunders, J., Wong, V., (1999) Principles of Marketing, , Second European Ed.). New Jersey: Prentice Hall; LaMalfa, K., (2008) The Positive Economics of Customer Engagement, , www.allegiance.com/library.php, available at:, (accessed 16 December 2008; Martinez, E., Pina, J.M., The negative impact of brand extensions on parent brand image (2003) Journal of Product&Brand Management, 12 (7), pp. 432-448; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vocation Marketing, 7 (1), pp. 5-17; Musa, R., Putit, L., Naziman, Y.H.N.M., Husin, N., Investigating the impact of destination image on total tourists' experience (tte) and destination loyalty: Using structural equation modelling approach (2011) International Conference on Business, Engineering and Industrial Applications (ICBEIA), Langkawi, , Paper presented at the; Ross, K., (2001) Health Tourism: An Overview, , www.hospitalitynet.org/news/4010521.search?query=%22health+tourism%22a, available at:, (accessed 20 January 2012; Seow, J., (2010) Challenges to Medical Tourism, , http://www.marketingmagazine.com.my/onlineedition/challenges-to-medical- tourism, Retrieved from, (accessed 20 January 2012; Smith, K., Medical tourism: For richer or poorer (2008) Ownership &Appropriation, A Joint Conference of the ASA, , University of Auckland, New Zealand, paper presented at, the ASAANZ and the AAS; Kesavan, R., Mascarenhas, O.A., Bernacchi, M., Lasting customer loyalty: A total customer experience approach (2006) Journal of Consumer Marketing, 23 (7), pp. 97-405; Westjohn, S.A., Singh, N., Magnusson, P., Responsiveness to global and local consumer culture positioning:A personality and collective identity perspective (2011) Journal of International Marketing, , Ahead of Print. doi: 10.1509/jim.10.0154","Idrus, S.; Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia",,,,"International Hospitality and Tourism Conference, IHTC 2012","3 September 2012 through 5 September 2012","Kuala Lumpur",92935,,9780415621335,,,"English","Curr. Issues Hosp. Tour. Res. Innov. - Proc. Int. Hosp. Tour. Conf., IHTC",Conference Paper,"Final",,Scopus,2-s2.0-84866891791 "Oladosu J.B., Emuoyibofarhe J.O.","36677975300;55316054300;","A yoruba-english language translator for doctor-patient mobile chat application",2012,"International Journal of Computers and Applications","34","3",,"149","156",,1,"10.2316/Journal.202.2012.3.202-3079","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863968674&doi=10.2316%2fJournal.202.2012.3.202-3079&partnerID=40&md5=6cba38761fd2315a049e2ad6d3874bde","Computer Science and Engineering Department, Ladoke Akintola University of Technology, P.M.B. 4000, Ogbomoso, Oyo State, Nigeria","Oladosu, J.B., Computer Science and Engineering Department, Ladoke Akintola University of Technology, P.M.B. 4000, Ogbomoso, Oyo State, Nigeria; Emuoyibofarhe, J.O., Computer Science and Engineering Department, Ladoke Akintola University of Technology, P.M.B. 4000, Ogbomoso, Oyo State, Nigeria","The mobile communication technology is fast gaining enormous popularity offering a wide range of capabilities for distant communication, which forms the basis of its use in all facets of human activities. This work uses the mobile programming technology provided by JAVA to design and simulate an instant message exchanger and language mapping that allows patients to reach out to physicians and have access to health care services. A working model for a mobile chat application using various components such as mobile client terminal, the Internet and server was developed. The model was simulated using JAVA 2 Micro Edition (J2ME) and the JAVA 2 Enterprise Edition (J2EE). The tool developed in this work has been tested and usability assessment conducted among medical practitioners and a number of clients. Result shows that the solution will be useful in providing health care services to semi-literates (those who cannot communicate in official language) without a physical contact with the doctors, in a rural setting. Ethical and legal modalities are being worked out for national usage of this solution.","E-health; Machine translation; Mobile computing; Natural language processing; Yoruba language","Ehealth; Healthcare services; Human activities; Instant messages; Java 2 Enterprise edition; Java 2 micro editions; Language mapping; Language translators; Machine translations; Medical practitioner; Mobile chat; Mobile client; Mobile communication technology; NAtural language processing; Official languages; Physical contacts; Programming technology; Usability assessment; Working models; Yoruba language; Computational linguistics; Computer simulation; Computer software; Health care; Mobile computing; Natural language processing systems; Translation (languages); Java programming language",,,,,,,,"Sakari, V., (2012) MOMEDA: Mobile Medical Data, , http://ehto.org/ht_projects/html/dynamic/87.html, accessed Apr. 26; Maglogiannis, I., Apostolopoulos, N., Tsoukias, P., Designing and implementing an electronic health record for personal digital assistants (PDA's) (2004) International Journal for Quality of Life Research, 2 (1), pp. 63-67. , http://www.icsd.aegean.gr/lecturers/imaglo/Papers/JQLRPaper.pdf, accessed Apr. 26, 2012; Amatayakul, M.K., (2012) Electronic Health Records, A Practical Guide for Professionals and Organizations, , http://library.ahima.org/xpedio/groups/public/documents/ahima/ bok1_015872.pdf, American Health Information Management Association, (accessed Apr. 25,),-c 2004, ISBN: 1-58426-133-1; (2012) EHealth Initiative, EHealth Initiative Blueprint: Building Consensus for Common Action, EHealth Initiative, , http://www.ehealthinitiative.org/resources/viewdownload/88/89.html, 818 Connecticut Ave. N.W. Washington, D.C., October 2007, (Accessed Apr. 27; Shortliffe, E.H., Wiederhold, G., Perreault, L.E., Fagan, L.M., (2000) Medical Informatics: Computer Applications in Health Care and Biomedicine (2nd Edn.), , Springer Verlag, New York; Collen, M.F., (1995) A History of Medical Informatics in the United States, 1950-1990, , American Medical Informatics Association: Washington, DC; (2012) Iron Mountain, Reaping the Benefits of Comprehensive Health Information Management, , http://www.ironmountain.com/Knowledge-Center/Reference-Library/ View-by-Document-Type/White-Papers-Briefs/R/Reaping-the-Benefits-of- Comprehensive-Health-Information-Management.aspx, accessed Apr. 26; Weiser, M., (1991) The Computer for the 21st Century, , http://hypertext/weiser/SciAmDraft3.html, Scientific American, Uc Paper; (2012) First Mobile Wireless Application for the Healthcare Industry Running on SAP NetWeaver, , http://www.hhmglobal.com/knowledge-bank/techno-trends/ first-mobile-wireless-applicationfor-the-healthcare-industry-running-on-sap- netweaver, Hospital & Healthcare ManagementTM, , (accessed Apr. 26; Hatboro, P.A., (2012) First Mobile Wireless Application Running on SAP NetWeaver Mobile for Healthcare Industry in North America Goes Live, , http://www.medindia.net/health-pressrelease/First-Mobile-Wireless- Application-Running-on-SAP-NetWeaver-Mobile-for-Healthcare-Industry-in-North- America-Goes-Live-34070-1.htm, accessed Apr. 26; Franz, A., Horiguchi, K., Duan, L., Ecker, D., Koontz, E., Uchida, K., An integrated architecture for example-based machine translation (2000) Proceedings 18th Int. Conf. on Computational Linguistics, , http://aclweb.org/anthology/C/C00/C00-2152.pdf, accessed Jan. 17, 2012); Somers, H., Review article: Example-based machine translation (1999) Machine Translation, 14 (2), pp. 113-159. , DOI 10.1023/A:1008109312730; Hutchins, J., Towards a definition of example-based machine translation (2005) Proceedings of Workshop on Example-Based Machine Translation, pp. 63-70. , MT Summit X, Phuket, Thailand; Lepage, Y., Denoual, E., Purest ever example-based machine translation: Detailed presentation and assessment (2005) Machine Translation, 19 (3-4), pp. 251-282. , DOI 10.1007/s10590-006-9010-x, Special Issue: Example-Based Machine Translation; Mishra, V., Mishra, R.B., Study of example based english to sanskrit machine translation (2008) Journal of Research and Development in Computer Science and Engineering, Polibits, 37, pp. 43-54; C̈neyd Tantug, A., Adali, E., Oflazer, K., Machine translation between turkic languages (2007) Proc. ACL 2007 Demo and Poster Sessions, pp. 189-192. , Prague; (2012), http://en.wikipedia.org/wiki/Multiword_expression, accessed Jan. 17","Oladosu, J.B.; Computer Science and Engineering Department, Ladoke Akintola University of Technology, P.M.B. 4000, Ogbomoso, Oyo State, Nigeria; email: johnoladosu@gmail.com",,,,,,,,1206212X,,IJCAF,,"English","Int J Comput Appl",Article,"Final",,Scopus,2-s2.0-84863968674 "Grewal I., Das J.K., Kishore J.","36092720000;14033707900;57207592700;","Concerns, expectations and satisfaction of medical tourists attending tertiary care hospitals in New Delhi, India",2012,"Journal International Medical Sciences Academy","25","3",,"151","154",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84868272974&partnerID=40&md5=890c07b2ba3953ec37cb92295c4e9447","Directorate General of Health Services, MOH and FW, Govt. of India, New Delhi, India; National Institute of Health and FW, Munirka, New Delhi, India; Maulana Azad Medical College, New Delhi, India","Grewal, I., Directorate General of Health Services, MOH and FW, Govt. of India, New Delhi, India; Das, J.K., National Institute of Health and FW, Munirka, New Delhi, India; Kishore, J., Maulana Azad Medical College, New Delhi, India","Delhi, the capital of India, has large number of hospitals providing medical services to people of neighboring states and abroad. On one hand it generates revenue to government and on the other hand big profit to private hospitals. This demands constant improvement of quality of care to remain competitive with other medical tourism destinations. Assessment of concerns, expectation and satisfaction level of medical tourists about their medical treatment is an important issue, although subjective, but one of the important methods to improve the quality of medical services. There is evidence which suggests that care, which is less than satisfactory to the patients, is also less effective and may reflect a failure to answer patients' needs, their expectations, or acceptable standard of service. From this study it is concluded that medical tourists were found to be satisfied with services provided in tertiary care hospitals of Delhi. Yet to address their overall concerns and issues, health sector needs to take some steps such as developing/strengthening facilities for follow up, in each country from where medical tourists were coming.",,"adult; aged; article; clinical article; expectation; female; health care cost; health care quality; health service; hospital care; human; India; male; medical care; medical tourism; patient satisfaction; tertiary health care; tourism",,,,,,,,"Morgan, D., Medical Tourism: Ethical Baggage and Legal Currencies (2003) Medical Ethics Tomorrow, 63 (1), pp. 1-5; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368. , http://content.healthaffairs.org/cgi/reprint/25/2/358, DOI 10.1377/hlthaff.25.2.358; Grey, H.H., Poland, S.C., Medical Tourism: Crossing Borders to Access Health Care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201; Garud, A.D., Medical tourism and its impact on our healthcare (2005) National Medical Journal of India, 18 (6), pp. 318-319; Graham, K., It was a big leap of faith (2005) Guardian, 21, pp. 8-9; Burkett, L., Medical Tourism: Concerns, benefits, and the American Legal Perspec tive (2007) The Journal of Legal Medicine, 28, pp. 223-245; Karen, P., Insurers Investigate Medical Tourism to Save Money on Care (2006) Business Insurance, 40 (50), pp. 17-18; Jeremy, S., A Ticket to Lower Care Costs (2006) Workforce Management, 85 (22), pp. 1,29-31,33; Bethely, J.G., Exploring patients: Money versus possible safety issues (2006) Am Med News, , http://www.ama-assn.org/amednews/2006/09/18/bisa0918.htm/accessedon14.9. 2007, Sept 18, [accessed on 14.9.2007]. Available from; (2009) Healthtourisminasia.com [Homepage on the Internet], , http://www.healthtourisminasia.com, [cited 2009 Oct 20]. Available from; Lambart, T., A Brief History of Medicine, , http://www.localhistories.org/medicine.html/, [cited 2009 Oct 20]. Available from; (2002) Healthcare in India: The Road Ahead - A Report by CII-Mckinsey &Co, , CII-Mckinsey; Wilkin, D., Hallam, L., Doggett, M., (1992) Measures of Need and Outcome for Primary Health Care, , Oxford: Oxford Medical Publications; Sitzia, J., Wood, N., Response rate in patient satisfaction research: An analysis of 210 published studies (1998) International Journal for Quality in Health Care, 10 (4), pp. 311-317. , DOI 10.1093/intqhc/10.4.311; Operating profit: Globalisation and health care (2008) Economist, 388, p. 12. , Anonymous; DiMicco, F., Centron, M., Club Medic (2006) Asian Pac Biotech News, 10, pp. 527-531. , doi: 10.1142/S0219030306000747. 129; Dunn, P., Medical tourism takes flight (2007) Hosp Health Networks, 81, pp. 40-44; Jesitus, J., Safari surgery (2006) Cosmetic Surg Times, 9, pp. 1-14; Medical tourism soars in popularity (2007) J Hosp Palliat Nurs, 9, pp. 234-234; Werb, J., Sun, sea and surgery (2007) BC Bus, 35, pp. 17-17; Jeevan, R., Armstrong, A., Cosmetic Tourism and the burden on NHS (2008) Journal of Plastic, Reconstructive and Aesthetic Surgery, 61, pp. 1423-1424. , Editorial; Survey Reveals Rise on Botched Holiday Surgery, , http://www.baaps.org.uk/content/view/252/62/;2007, Available from; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism' - an avoidable burden on the NHS (2007) Journal of Plastic, Reconstructive and Aesthetic Surgery, 60 (9), pp. 1075-1077. , DOI 10.1016/j.bjps.2007.03.030, PII S1748681507002136; Graves, N., Halton, K., Doidge, S., Clements, A., Lairson, D., Whitby, M., Who bears the cost of healthcare-acquired surgical site infection? (2008) Journal of Hospital Infection, 69, pp. 274-282. , doi: 10.1016/j.jhin.2008.04.022; The motivations and experiences of 648 medical tourists Medical Tourist Survey 2008; Herts: Intuition Communication Ltd 2008","Das, J.K.; National Institute of Health and FW, Munirka, New Delhi, India; email: qnajeeb@gmail.com",,,,,,,,0971071X,,JMSAE,,"English","J. Int. Med. Sci. Acad.",Article,"Final",,Scopus,2-s2.0-84868272974 "Lee A.C.W.","7405631431;","Transfusion-dependent anaemia of undetermined origin: A distinctive syndrome in paediatric medical tourism",2012,"Annals of the Academy of Medicine Singapore","41","7",,"305","308",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84865658417&partnerID=40&md5=b96827c90cd935611142b9daad8de689","Children's Haematology and Cancer Centre, Mount Elizabeth Hospital, Singapore","Lee, A.C.W., Children's Haematology and Cancer Centre, Mount Elizabeth Hospital, Singapore","Introduction: The underlying diagnosis of severe anaemic illnesses in children may not be easy to identify at times, especially when regular blood transfusion has been started. Materials and Methods: International children patients attending a haematology clinic for diagnostic evaluation were identified retrospectively if they had to receive repeated blood transfusions with an undiagnosed illness or an incorrect diagnosis. Their demographic data, presenting features, and eventual diagnosis were described. Results: Twelve children including 7 boys were enrolled from March 2007 to August 2011. Five came from Vietnam; 2 each came from Bangladesh and Indonesia; and 1 each from Hong Kong, Myanmar, and Ukraine. Their illnesses started at a mean age of 1.5 years (0.1 to 6.6) and they had been receiving blood transfusion for a mean duration of 2.5 years (0.1 to 9.9) years prior to the evaluation. Thalassemia major was the first diagnosis in 5 cases; one had been treated for autoimmune haemolytic anaemia while the rest had not been given a diagnosis. After the evaluation, 4 children were diagnosed with Diamond Blackfan anaemia, 3 were diagnosed with hereditary spherocytosis, and one each with hereditary pyropoikilocytosis, congenital sideroblastic anaemia, congenital thrombotic thrombocytopenic purpura, transient erythroblastopenia of childhood, and autoimmune myelofi brosis associated with human immunodeficiency virus infection. Conclusion: A definitive diagnosis can be identified in this cohort of children on medical tourism with severe anaemic illnesses requiring repeated transfusions with diagnostic approaches that circumvent the interference of transfused cells.","Child health services; Diagnostic errors; Diamond blackfan anaemia; Hereditary spherocytosis","anemia; article; Blackfan Diamond anemia; blood transfusion; child; clinical article; erythroblastopenia; female; hemoglobin blood level; hemolytic anemia; hereditary pyropoikilocytosis; hereditary sideroblastic anemia; hereditary spherocytosis; human; Human immunodeficiency virus infection; infant; male; medical history; medical tourism; myelofibrosis; preschool child; retrospective study; school child; thalassemia major; thrombotic thrombocytopenic purpura; Anemia; Anemia, Diamond-Blackfan; Blood Transfusion; Child; Child Health Services; Child, Preschool; Delayed Diagnosis; Diagnostic Errors; Female; Humans; Infant; Male; Medical Tourism; Retrospective Studies; Spherocytosis, Hereditary",,,,,,,,"Oski, F.A., Brugnara, C., Nathan, D.G., A diagnostic approach to the anemic patient (1998) Nathan and Oski's Hematology of Infancy and Childhood, , In: Nathan DG, Orkin SH, editors, Saunders, Philadelphia; Thomas, A.E., Investigation of anaemia (2005) Curr Paediatr, 15, pp. 44-49; Lee, A.C., Ting, W.C., Transfusion-dependent microcytic anaemia in a 10-year-old girl (2008) Ann Acad Med Singapore, 37, pp. 447-448; Lee, A.C., Image in medicine. A case of congenital haemolytic anaemia and thrombocytopenia: Upshaw-Schulman syndrome (congenital thrombotic thrombocytopenic purpura) (2010) Ann Acad Med Singapore, 39, pp. 665-666; Lee, A.C., Fong, C.M., Autoimmune myelofibrosis as the first manifestation of human immunodeficiency virus infection in an infant (2012) Ann Hematol, 91, pp. 809-810; King, M.J., Smythe, J.S., Mushes, R., Eosin-5-maleimide binding to band 3 and Rh-related proteins forms the basis of a screening test for hereditary spherocytosis (2004) Br J Haematol, 124, pp. 106-113","Lee, A. C. W.; Children's Haematology and Cancer Centre, Mount Elizabeth Hospital, Level 4, 3 Mount Elizabeth, Singapore, 228510, Singapore; email: anselm.cw.lee@gmail.com",,,,,,,,03044602,,AAMSC,"22892608","English","Ann. Acad. Med. Singapore",Article,"Final",,Scopus,2-s2.0-84865658417 "Turner L.","7202689997;","Making Canada a destination for medical tourists: Why Canadian provinces should not try to become ""mayo clinics of the north""",2012,"Healthcare Policy","7","4",,"18","25",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84861471656&partnerID=40&md5=45265501992a784248e6a760abde2b00","Center for Bioethics, School of Public Health and College of Pharmacy, University of Minnesota, Minneapolis, MN, United States","Turner, L., Center for Bioethics, School of Public Health and College of Pharmacy, University of Minnesota, Minneapolis, MN, United States","When Canadian researchers examine the subject of medical tourism, they typically focus on ethical, social, public health and health policy issues related to Canadians seeking health services in other countries. They emphasize study of Canada as a departure point for medical tourists rather than as a potential destination for international patients. Several influential voices have recently argued that provincial healthcare systems in Canada should market health services to international patients. Proponents of marketing Canada as a destination for medical tourists argue that attracting international patients will generate revenue for provincial healthcare systems. Responding to such proposals, I argue that there are at least seven reasons why provincial health systems in Canada should not dedicate institutional, financial and health human resources to promoting themselves as destinations for medical tourists.",,"Canada; health care facility; health care policy; health service; human; medical practice; medical research; patient care; patient safety; review; social marketing; tourism; Canada; Continuity of Patient Care; Health Facilities, Proprietary; Health Services Needs and Demand; Healthcare Disparities; Humans; Medical Tourism; Patient Safety; Resource Allocation",,,,,,,,"Baliga, H., Medical Tourism Is the New Wave of Outsourcing from India (2006) India Daily, , December 23; Birch, D., Vu, L., Karmali, S., Stoklossa, C., Sharma, A., Medical Tourism in Bariatric Surgery (2010) American Journal of Surgery, 199, pp. 604-608; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism' - an avoidable burden on the NHS (2007) Journal of Plastic, Reconstructive and Aesthetic Surgery, 60 (9), pp. 1075-1077. , DOI 10.1016/j.bjps.2007.03.030, PII S1748681507002136; (2010), http://www.health.gov.bc.ca/swt, Ministry of Health Services Wait Times Registry. Retrieved March 3, 2012; Cheung, I., Wilson, A., Arthroplasty Tourism (2007) Medical Journal of Australia, 187, pp. 666-667; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , DOI 10.1016/j.tourman.2005.11.005, PII S0261517705001871; Crooks, V., Snyder, J., Medical Tourism: What Canadian Family Physicians Need to Know (2011) Canadian Family Physician, 57, pp. 527-529; Day, B., A Cure for Canada (2009) National Post, pp. A13. , January 26; Day, B., Health versus Wealth: Patients Get Pulled Both Ways (2009) The Globe and Mail, pp. S3. , July 31; Fayerman, P., Plan to Sell Health Care to Foreigners Problematic (2010) Vancouver Sun, , April 29; Fowlie, J., BC: Come for the Great Outdoors, and Surgery (2010) National Post, , March 10; Gajic, O., Warner, D., Decker, P., Rana, R., Bourke, D., Sprung, J., Long-Haul Air Travel before Major Surgery: A Prescription for Thromboembolism? (2005) Mayo Clinic Proceedings, 80, pp. 728-731; Hall, J., Canada a Mecca for Medical Tourism? (2007) The Toronto Star, , October 13; Handschin, A., Banic, A., Constantinescu, M., Pulmonary Embolism after Plastic Surgery Tourism (2007) Clinical and Applied Thrombosis/Hemostasis, 13, p. 340; Jeevan, R., Armstrong, A., Cosmetic Tourism and the Burden on the NHS (2008) Journal of Plastic, Reconstructive and Aesthetic Surgery, 61, pp. 1423-1424; Johnson, T., Garman, A., Impact of Medical Travel on Imports and Exports of Medical Services (2010) Health Policy, 98, pp. 171-177; Judkins, G., Persistence of the U. S. - Mexico border: Expansion of medical-tourism amid trade liberalization (2007) Journal of Latin American Geography, 6 (2), pp. 11-32; Keckley, P., Underwood, H., Medical Tourism: Consumers in Search of Value (2008) Deloitte Center for Health Solutions, , http://www.deloitte.com/assets/Dcom-unitedStates/Local%20Assets/ Documents/us_chs_MedicalTourismStudy(3).pdf, Retrieved March 3, 2012; MacGillis, A., Mayo Clinic Faulted for Limiting Medicare Patients (2009) Washington Post, , October 13; MacGillis, A., Stein, R., Is the Mayo Clinic a Model or a Mirage? Jury Is Still Out (2009) Washington Post, , September 20; MacLeod, A., BC Considering Selling Health Services to Visitors (2010) The Tyee, p. 9. , March; Milstein, A., Smith, M., Will the Surgical World Become Flat? (2007) Health Affairs, 26, pp. 137-141; Penney, K., Snyder, J., Crooks, V., Johnston, R., Risk Communication and Informed Consent in the Medical Tourism Industry: A Thematic Content Analysis of Canadian Broker Websites (2011) BMC Medical Ethics, 12, p. 17; Priest, L., Ontario MDs to Launch Medical Tourism Firm (2008) The Globe and Mail, , September 30; Purdy, L., Fam, M., Evolving Medical Tourism in Canada: Exploring a New Frontier (2011) Deloitte Center for Health Solutions, , http://www.deloitte.com/assets/Dcom-Canada/Local%20Assets/Documents/ Public%20Sector/ca_en_ps_evolving_medical_tourism_052511.pdf, Retrieved March 3, 2012; Snyder, J., Crooks, V., Adams, K., Kingsbury, P., Johnston, R., The 'Patient's Physician One Step Removed': The Evolving Roles of Medical Tourism Facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Thomas, G., Krishnan, S., Effective Public-Private Partnership in Healthcare: Apollo as a Cautionary Tale (2010) Indian Journal of Medical Ethics, 7 (1), pp. 2-4; Turner, L., First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Medical Tourism: Family Medicine and International Health-Related Travel (2007) Canadian Family Physician, 53, pp. 1639-1641","Turner, L.N504 Boynton, 410 Church St. SE, Minneapolis, MN 55455, United States; email: turne462@umn.edu",,,,,,,,17156572,,,"23634159","English","Healtc. Policy",Review,"Final",,Scopus,2-s2.0-84861471656 "Idrus S., Musa R., Naziman Y.H.N.M., Mohd Aznan N.F., Othman A.Y., Mohd Pauzi N.","55140588800;41661843300;55433835300;55371482300;57209597306;57204492876;","Medical tourism destination brand positioning model",2012,"Current Issues in Hospitality and Tourism Research and Innovations",,,,"515","518",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055179156&partnerID=40&md5=bd4f5bc890c4462ea4eb375b9d276822","Faculty of Business Management, Universiti Teknologi MARA Kelantan, Malaysia","Idrus, S., Faculty of Business Management, Universiti Teknologi MARA Kelantan, Malaysia; Musa, R., Faculty of Business Management, Universiti Teknologi MARA Kelantan, Malaysia; Naziman, Y.H.N.M., Faculty of Business Management, Universiti Teknologi MARA Kelantan, Malaysia; Mohd Aznan, N.F., Faculty of Business Management, Universiti Teknologi MARA Kelantan, Malaysia; Othman, A.Y., Faculty of Business Management, Universiti Teknologi MARA Kelantan, Malaysia; Mohd Pauzi, N., Faculty of Business Management, Universiti Teknologi MARA Kelantan, Malaysia","Malaysia is one of the countries that have deliberately set out to be a dominant medical tourism destination competing with other country. This sector is to generate RM35.5 billion incremental Gross National Income (GNI) contribution and reach RM506 billion by the target year 2020. Malaysia has strong competitive advantage in stable political climate, comparable quality of medical services at private medical centers and price advantage over other regional players. However, lack of marketing strategy was the reason why Malaysia, despite the fact it is a Muslim country, is behind Thailand and Singapore in attracting medical tourism from Middle East. Indeed Malaysia appears to have the edge in term of religion, Muslim Hospital staff, halal food and other aspects. Porter’s diamond of national competitiveness shows that medical tourism has numbers of limitation and one of it is positioning brand name of destination. It shows the important of brand image toward building destination positioning in gaining competitive advantage. Only a few academic researches have been conducted on this particular niche market. However, there is increasing availability of literature in the mainstream media example print, electronic media and the Internet, illustrating the growth this form of tourism. Hence the lacking of academia interest in medical tourism both necessitates and validates this study within the medical tourism niche market. The study will propose a new model destination brand positioning which incorporate the factors that contribute to the destination image and their effect on customer engagement and destination positioning. The study was conducted in selected private hospital in Malaysia; interview and questionnaire distribution was used in order to get the respond from the tourists. Expected result from this study will help Malaysia medical tourism industry in competing with other competitor especially Thailand and Singapore in building our own destination brand position. © 2012 Taylor & Francis Group, London.",,,,,,,,,,"Kuusik, A., Tiru, M., Varblane, U., Innovation in destination Marketing: The use of passive mobile positioning for the segmentation of repeat visitors in Estoni (2011) Baltic Journal of Management, 6 (3), pp. 378-399. , q Emerald Group Publishing Limited; Martinez, E., Polo, Y., Effect of brand extension strategy on brand image: A comparative study of the UK and Spanish markets (2008) International Marketing Reviewvol, 25 (1), pp. 107-137; Peter, E., Swati, N., The competitive challenge of emerging markets: The case of medical tourism (2010) International Journal of Emerging Markets, 6 (4), pp. 329-350. , q Emerald Group Publishing Limited; Hem, L.E., Iversen, N.M., How to Develop a Destination Brand Logo: A Qualitative and Quantitative Approach (2004) Scandinavian Journal of Hospitality and Tourism, 4 (2). , Taylor & Francis; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology & Medicine, 14 (3), pp. 293-305; Keller, K.L., Conceptualising, measuring and managing customer-based brand equity (1993) Journal of Marketing, 57, pp. 1-2; Kotler, P., Amstrong, G., Saunders, J., Wong, V., (1999) Principles of Marketing (Second European Ed.), , New Jersey: Prentice Hall; Lamalfa, K., (2008) The Positive Economics of Customer Engagement, , www.allegiance.com/library.php; Martinez, E., Pina, J.M., The negative impact of brand extensions on parent brand image (2003) Journal of Product&Brand Management, 12 (7), pp. 432-448; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vocation Marketing, 7 (1), pp. 5-17; Musa, R., Putit, L., Naziman, Y.H.N.M., Husin, N., (2011) Investigating the Impact of Destination Image on Total Tourists’ Experience (TTE) and Destination Loyalty: Using Structural Equation Modelling Approach, , Paper presented at the International Conference on Business, Engineering and Industrial Applications (ICBEIA), Langkawi; Ross, K., (2001) Health Tourism: An Overview, , www.hospitalitynet.org/news/4010521.search?query=%22health+tourism%22a; Seow, J., (2010) Challenges to Medical Tourism, , http://www.marketingmagazine.com.my/onlineedition/challenges-to-medical-tourism; Smith, K., (2008) Medical Tourism: For Richer Or Poorer, , University of Auckland, New Zealand, paper presented at Ownership &Appropriation, a Joint Conference of the ASA, the ASAANZ and the AAS; Mascarenhas, O.A., Kesavan, R., Bernacchi, M., Lasting customer loyalty: A total customer experience approach (2006) Journal of Consumer Marketing, 23 (7), pp. 97-405; Westjohn, S.A., Singh, N., Magnusson, P., Responsiveness to Global and Local Consumer Culture Positioning: A Personality and Collective Identity Perspective (2011) Journal of International Marketing. Ahead of Print",,,,"CRC Press",,,,,,9780203075364; 9780415621335,,,"English","Current Issues in Hospitality and Tourism Research and Innovations",Book Chapter,"Final",,Scopus,2-s2.0-85055179156 "Lam C.C.-C., Cros H.D., Vong L.","57208681784;56339055500;56291063700;","Macao’s cross-border medical tourism: A new way forward?",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility","9780203109458",,,"123","136",,1,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917474874&doi=10.4324%2f9780203109458&partnerID=40&md5=2d140e2e36ddbff34ce0b4c4da7a00be","Institute for Tourism Studies, Colina de Mong-Ha Macao, Macau; Hong Kong Institute of Education, 10 Lo Ping Road, Tai Po, Hong Kong, China","Lam, C.C.-C., Institute for Tourism Studies, Colina de Mong-Ha Macao, Macau; Cros, H.D., Hong Kong Institute of Education, 10 Lo Ping Road, Tai Po, Hong Kong, China; Vong, L., Institute for Tourism Studies, Colina de Mong-Ha Macao, Macau",[No abstract available],,,,,,,,,,"(2011) Hong Kong in Figures 2011, , Hong Kong: Hong Kong Special Administrative Region; Thailand (2011) The World Factbook, , https://www.cia.gov/library/publications/the-world-factbook/geos/th.html; Chen, C.F., (2011) Medical Tourism Holds Promise: Legislative Speaker, , http://focustaiwan.tw/ShowNews/WebNews_Detail.aspx?Type=aLIV&TNo=&ID=201106240020, Focus Taiwan, the Central News Agency, 24 June; (2011) Tourism Performance in 2010, , http://www.tourism.gov.hk/english/statistics/statistics_perform.html, Hong Kong: The Government of Hong Kong Special Administrative Region; Connell, J., Sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; (2011) Statistics, , http://www.singstat.gov.sg/stats/latestdata.html, Singapore: Government of Singapore; (2011) Tourism Statistics, , Thailand: Department of Tourism; (2011) National Statistics, , http://eng.stat.gov.tw/mp.asp?mp=5, Taiwan: Directorate General of Budget, Accounting and Statistics; Gottlieb, B., (2011) Mainland Chinese No Longer Permitted to Give Birth in Hong Kong’, , http://ascportfolios.org/chinaandmedia/2011/04/12/mainland-chineseno-longer-permitted-to-give-birth-in-hong-kong/, University of Southern California, Annenberg, School of Communication and Journalism; Hall, C.M., Health and medical tourism: Kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Henderson, J., Healthcare tourism in southeast asia (2004) Tourism Review International, 7 (3-4), pp. 111-121; Kim, Y., Boo, C., Kim, M., (2009) A Framework for Health Tourism: A Case Study of Jeju Province in the Republic of Korea (South Korea)’, , http://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1227&context=refereed, Paper presented at the International CHRIE Conference, San Francisco, California; Lam, C.C., Vong, T.N., Macao: The gambling paradise. Profiling the roles and motives of customers (2009) Journal of China Tourism Research, 5 (4), pp. 338-400; Lam, C.C., Lei, W.S., City brands and special interest tourism: Macau (2010) Destination Branding: Creating the Unique Destination Proposition, , N. Morgan, A. Pritchard and R. Pride, 3rd edn, Oxford: Elsevier; Lam, C.C., Du Cros, H., Vong, T.N., Macao’s potential for developing regional chinese medical tourism (2011) Tourism Review, 66 (1-2), pp. 68-82; Lee, C.G., Health care and tourism: Evidence from singapore (2010) Tourism Management, 31 (4), pp. 486-488; Li, X., Cheng, S.W., The way to the diversification of macau’s social economy: A study on macau’s cultural tourism development (2010) International Journal of Trade, Economics and Finance, 1 (2), pp. 131-135; (2004) More Mainlanders Can Visit Individually, , http://cn.macautourism.gov.mo/en/ezone/mttdetail.php?lan=cn&id=1494; (2010) Macau SAR Celebrates Its Tenth Anniversary, , http://www.macautourism.gov.mo/en/ezone/mttdetail.php?lan=cn&id=1991, Macau: Macau Government Tourist Office; Mintier, T., (2009) Snapshots: Interview with Curtis Schroeder’, , Bangkok 101, July, 10; (2011) Foreign Exchange Reserves and Nominal Effective Exchange Rate Index for the Pataca March 2011, Press Release, , Macau: Monetary Authority of Macau; (2011) Annual Tourism Statistics, , https://app.stb.gov.sg/asp/tou/tou03.asp, Singapore: Singapore Tourism Board; (2010) Statistics, , http://www.dsec.gov.mo/TimeSeriesDatabase.aspx; (2011) Health Statistics, , http://www.dsec.gov.mo/Statistic.aspx; Sui, C., (2011) Taiwan Taps China for Lucrative Medical Tourism Market, , http://www.bbc.co.uk/news/business-12889648, BBC News, 31 March; Van, I.K., To prepare nurses for health harmony of community (2010) Macau Journal of Nursing, 9 (1), pp. 39-43; (2000) The World Health Report 2000. Health Systems: Improving Performance, , Geneva: World Health Organization","Lam, C.C.-C.; Institute for Tourism Studies, Colina de Mong-Ha Macao, Macau",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917474874 "Pforr C., Locher C.","6507368783;7006340991;","Impacts of health policy on medical tourism in Germany",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"77","94",,1,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917444456&doi=10.4324%2f9780203109458&partnerID=40&md5=e69157912b5c1604076a80024a57b58d","School of Management & CBS Tourism Research Cluster, Curtin UniversityWA, Australia; School of Biomedical, Biomolecular and Chemical Sciences, University of Western Australia, Crawley, WA, Australia","Pforr, C., School of Management & CBS Tourism Research Cluster, Curtin UniversityWA, Australia; Locher, C., School of Biomedical, Biomolecular and Chemical Sciences, University of Western Australia, Crawley, WA, Australia",[No abstract available],,,,,,,,,,"Albaner, J., Grozea-Helmenstein, D., (2002) Bestandsaufnahme Der Entwicklungspotenziale Im Gesundheitstourismus, , Wien: Bundesministerium für Wirtschaft und Arbeit. BMWA; Allinger, H.J., (2006) Bürgerversicherung Und Kopfpauschale Haben Vieles Gemeinsam – Anmerkungen Zu Einer Reform Der Gesetzlichen Krankenversicherung (Passauer Diskussionspapiere: Volkswirtschaftliche Reihe), , Passau: Gruppe der volkswirtschaftlichen Professoren, Universität Passau; Bennett, M., King, B., Milner, L., The health resort sector in australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-136; Böckmann, R., The private health insurance: Demarketization of a welfare market? (2009) German Policy Studies, 5 (1), pp. 119-140; Böckmann, R., Gerlinger, T., Health policy and marketization: Introduction (2009) German Policy Studies, 5 (1), pp. 1-2; Breske, F., (2004) Leistungskatalog Des Gesundheitswesens Im Internationalen Vergleich, , Kiel: Institut für Gesundheits-System-Forschung; (2011) Daten Des Gesundheitswesens 2010, , Berlin: BMG; Cohen, E., Medical travel – a critical assessment (2010) Tourism Recreation Research, 35 (3), pp. 225-237; (2011) Directive on Cross-Border Health Care Adopted, , http://www.consilium.europa.eu/uedocs/cms_data/docs/pressdata/en/lsa/119514.pdf, Press Release; (2008) Incoming Tourismus-Deutschland, , Frankfurt: DZT; (2011) Leitfaden Gesundheitstourismus, , Frankfurt: DZT; (2009) Die Kur in Deutschland, , Berlin: DHV; (2009) Jahresbericht 2009, , Berlin: DHV; Dörpinghaus, S., (2009) Medical Wellness – Zukunftsmarkt Mit Hindernissen, , Gelsenkirchen: IAT; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism, , Spas and Hot Springs, Bristol: Channel View Publications; Ewert, B., Economization and marketization in the german health care system: How do users respond? (2009) German Policy Studies, 5 (1), pp. 21-44; Felder, S., ÖKonomie des gesundheitswesens: Genese und optimierung (2010) Das Parlament, 45. , http://www.das-parlament.de; Funk, K., Gesundheitspolitik in internationaler perspektive (2010) Das Parlament, 45. , http://www.das-parlament.de; (2011) Gesund Reisen – Medizintourismus, , http://www.geo.de; Gerlinger, T., Health care reform in germany (2010) German Policy Studies, 6 (1), pp. 107-142; Gerlinger, T., Schönwälder, T., (2007) Gesundheitsreformen in Deutschland 1975-2007 (Themen), , http://www.bpb.de/themen/, Berlin: Bundeszentrale für politische Bildung; Germann, M., (2009) Potential Des Internationalen Medizintourismus am Sempacher See, , Siders: STF; Golz, H.-G., Editorial (2010) Das Parlament, 45. , http://www.dasparlament.de; Green, D.G., Irvine, B., (2001) Health Care in France and Germany: Lessons for the UK, , London: Civitas; Hajen, L., (2009) Europäischer Wachstumsmarkt. Gesundheitsdienstleistungen Zwischen Vision Und realität, , Paper presented at the Symposium Gesundheitsdienstleistungen im Europäischen binnenmarkt, Johan Wolfgang Goethe Universität Frankfurt, 24–25 November 2009; Hall, C.M., Health and medical tourism: Kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Handel, G., (2009) Social Welfare in Western Society, , New Brunswick, NJ: Transaction Publishers; Henderson, J.W., (2009) Health Economics and Policy, , Mason, OH: Cengage Learning; Hinsken, E., Greetings from germany – offer of first class health tourism (2009) Medical Tourism, 12 (9-10), p. 70; Horowitz, M.D., Rosensweig, J.A., Medical tourism – health care in the global economy (2007) Physician Executive, 33 (6), pp. 24-30; Horowitz, M.D., Rosensweig, J.A., Medical tourism vs. Traditional international medical travel: A tale of two models (2008) International Medical Travel Journal, pp. 1-14. , http://www.imtjonline.com; (2010) Structure of the Health Economy, , http://www.iatge.de/; Jakubowski, E., Busse, R., (1998) Health Care Systems in the EU. A Comparative Study (Public Health and Consumer Protection Series, SACO 101 EN), , Brussels: European Parliament, Directorate General for Research; Juszczak, J., (2006) Medizintourismus Als Chance für Die Tourismusindustrie, , Paper presented at ITB Hochschulforum, Berlin, 8 March 2006; Kartte, J., Neumann, K., (2008) Der Gesundheitsmarkt, , Berlin: Roland Berger Strategy Consultants; Kliegel, I., Der markt der gesundheit. Daten, fakten, trends (2007) Focus Marktanalysen, pp. 1-43; Kumar, R., (2009) Global Trends in Health and Medical Tourism, , New Delhi: SBS; Wörishofen, K.B., (2008) Kur- Und Tourismusbericht 2008, , Bad Wörishofen: Kurdirektion Bad Wörishofen; (2007) Die Gesundheitsreform 2007 (Dossiers), , http://www.lpb-bw.de/gesundheitsreform.html, Stuttgart: Landeszentrale für politische Bildung Baden-Württemberg; Von Landtag, B.-W., (2008) Förderung Öffentlicher Tourismuseinrichtungen (Drucksache 14/3414), , Stuttgart: Landtag von Baden-Württemberg; Lisac, M., (2006) Health Care Reform in Germany: Not the Big Bang, , Gütersloh: Bertelsmann Stiftung; Lohmann, M., (2010) Nachfragepotenziale Im Gesundheitstourismus – Chancen Und Herausforderungen Im Quellmarkt Deutschland (ÖGAF/ITF – Expertengespräch), , Wien, 25 November; Mann, T., (1924) The Magic Mountain (Der Zauberberg), , Berlin: S. Fischer Verlag; Merten, M., Patientenmobilität in europa. Von tourismus keine spur (2004) Deutsches Ärzteblatt, 101 (27), pp. 1942-1944; Mueller, H., Lanz-Kaufmann, E., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Nebling, T., Schemken, H.-W., Cross-border contracting: The german experience (2006) Patient Mobility in the European Union, , M. Rosenmöller, M. McKee and R. Baeten, Copenhagen: WHO; Patient choice beyond borders (2011) Implications of the EU Directive on Cross-Border Healthcare for NHS Commissioners and Providers (Briefing), 7, pp. 1-8. , http://www.nhsconfed.org/Publications/briefings/Pages/Patient-choice-beyond-borders.aspx; Niehaus, F., Finkenstädt, V., (2009) Deutschland – Ein Im Internationalen Vergleich Teures Gesundheitswesen?, , (WIP Diskussionspapier 12/09), Köln: Wissenschaftliches Institut der PKV; Opaschowski, H.W., Wohin geht die reise? (2010) Diercke Weltatlas Magazin, 2, pp. 4-5; (2009) Health at a Glance 2009-OECD Indicators, , Paris: OECD; Pannowitsch, S., Institutionalized healthcare reform in germany? Error correction or political strategy? (2009) German Policy Studies, 5 (1), pp. 141-168; Perschke-Hartmann, C., (1994) Die Doppelte Reform. Gesundheitspolitik Von Blüm Zu Seehofer, , Opladen: Leske and Budrich; Koch-Institut, R., (2009) Ausgaben Und Finanzierung Des Gesundheitswesens (Gesundheitsberichterstattung Des Bundes, Heft 45), , Berlin: Robert Koch-Institut; Rulle, M., Hoffmann, W., Kraft, K., (2010) Erfolgsstrategien Im Gesundheitstourismus, , Analyse zur Erwartung und Zufriedenheit von Gästen, Berlin: Erich Schmidt Verlag; Spielberg, P., Kommission auf schmusekurs (2006) Deutsches Ärzteblatt, 103 (47), p. 3162; Spielberg, P., Individuelle rundumbetreuung erwünscht (2009) Deutsches Ärzteblatt, 106 (47), p. 2361; Spies, T., (2006) Die Bürgerversicherung - Zukunftsfähig Und Gerecht, , Frankfurt: VASVerlag; (2011) Gesundheitsausgaben 2009, , Tabelle Gesundheitsausgaben in Deutschland in Mio. €), Berlin: DSTATIS; Turner, L., Medical tourism: Family medicine and international health-related travel (2007) Canadian Family Physician, 53 (10), pp. 1639-1641; Ulrich, V., Health care in germany: Structure, expenditure, and prospects (1996) Healthy Incentives: Canadian Health Reform in an International Context, , http://www.oldfraser.lexi.net/publications/books/health_reform/germany, McArthur, C. Ramsay and M. Walker, Vancouver: The Fraser Institute; Van Ginneken, E., Busse, R., Cross-border health care data (2011) Cross-Border Health Care in the European Union, , M. Wismar, W. Palm, J. Figueras, K. Ernst and E. Van Ginneken, Copenhagen: WHO; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health Tourism in Australia: Supply, Demand and Opportunities, , Gold Coast: STCRC; Von Bandemer, S., Salewski, K., Schwanitz, R., (2009) Die Internationalisierung Der Gesundheitswirtschaft, , Gelsenkirchen: IWT; Wehkamp, K.-H., Balanceakt zwischen bismarck und beveridge (2006) Das Parlament, 50. , http://www.das-parlament.de; Wesley, A., Pforr, C., Historical dimensions of coastal tourism (2009) Coastal Tourism Development, , R. Dowling and C. Pforr, New York: Cognizant Communication Corporation; Wismar, M., Palm, W., Figueras, J., Ernst, K., Van Ginneken, E., (2011) Cross-Border Health Care in the European Union, , Copenhagen: WHO","Pforr, C.; School of Management & CBS Tourism Research Cluster, Curtin UniversityAustralia",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917444456 "Smith M., Puczkó L., Sziva I.","55495915200;6507221735;56445804800;","Thermal medical versus surgical medical tourism in Hungary: The challenges of reconciling public and private sector policies",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"95","108",,1,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917434515&doi=10.4324%2f9780203109458&partnerID=40&md5=00a016e163d57830ea4aeadd10de87c6","Budapest Business School, College of Commerce, Catering and Tourism, Department of Tourism, 9–11 Alkotmany Street, Budapest, H-1054, Hungary; Xellum Ltd, Oktober 6 Utca 14, Budapest, 1051, Hungary; Budapest Business School, College of Commerce, Catering and Tourism, Department of Tourism, 9–11 Alkotmany Street, Budapest, H-1054, Hungary","Smith, M., Budapest Business School, College of Commerce, Catering and Tourism, Department of Tourism, 9–11 Alkotmany Street, Budapest, H-1054, Hungary; Puczkó, L., Xellum Ltd, Oktober 6 Utca 14, Budapest, 1051, Hungary; Sziva, I., Budapest Business School, College of Commerce, Catering and Tourism, Department of Tourism, 9–11 Alkotmany Street, Budapest, H-1054, Hungary",[No abstract available],,,,,,,,,,"(2009) Family Choice Hungary, , http://www.eski.hu/new3/gyogyturizmus/zip_doc_2009/Family_Choice:Hungary2.doc; Gáti, J., (2011) Hídépítok, Támogatás a Fogturizmusnak’, , HVG, May 14; Halassy, E., The attitude of the hungarian population of water-, wellness and medical tourism (2007) Turizmus Bulletin, 11 (4), pp. 2-12; (2009) The Recreation Cheque System in Hungary, , http://www.mnua.hu/pdf/20081023angol.pdf; (2009) Health Tourism Resources in Hungary, , http://www.hungary.com/main.php?folderID=856&articleID; (2008) Travelling Habits of the Hungarian Population, , Budapest: Magyar Turizmus Zrt; (2009) The Distribution of the Guests regarding the Way of Booking, , http://portal.ksh.hu/pls/ksh/docs/hun/xstadat/xstadat_evkozi/tabl4_05_20hb.html; (2009) Information on European Medical Tourism in Different European Countries, , http://www.europeanmedicaltourismcongress.com; (2007) Országos Egészségturisztikai Fejlesztési Stratégia, , Budapest: Aquaprofit Rt; Puczkó, L., Rátz, T., Social tourism in hungary: From trade unions to cinema tickets (2011) Current Issues in Tourism, 14 (5), pp. 459-473; Smith, M., Puczkó, L., Ivett Sziva, I., Research report: Global spa summit 2011 (2011) Wellness Tourism and Medical Tourism: Where Do Spa Fit?, , New York: GSS; Sziva, I., Gulliver in the land of giants? The opportunities of the hungarian initiations in the surgical medical touristic market (2010) Health, Wellness and Tourism: Healthy Tourists, Healthy Business?, , L. Puczkó, Proceedings of the Travel and Tourism Research Association Europe 2010 Annual Conference, Budapest; (2006) A Fürdofejlesztésekkel Kapcsolatban a Hazai Termálvízkészlet Fenntartható Azonosításáról És a Használt Víz Kezelésérol Szóló Hidrogeológiai Kutatás, , Budapest: VITUKI; Youngman, I., (2009) Medical Tourism Statistics: Why Mckinsey has Got It Wrong, , http://www.imtj.com/articles/2009/mckinsey-wrong-medical-travel","Smith, M.; Tourism Competence Centre, Department of Economic Geography, Faculty of Business, Corvinus University, Fovam Tér 8, Hungary",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917434515 "Boga T.C., Weiermair K.","56445763600;56000486200;","Branding health and medical tourism services: An analysis of members of public health insurers in Germany",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"139","153",,1,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917399568&doi=10.4324%2f9780203109458&partnerID=40&md5=b2a44b5660eda7ca7006901bb2cf65a9","Institute of Strategic Management, Marketing and Tourism, Innsbruck University School of Management, Innsbruck, Austria","Boga, T.C., Institute of Strategic Management, Marketing and Tourism, Innsbruck University School of Management, Innsbruck, Austria; Weiermair, K., Institute of Strategic Management, Marketing and Tourism, Innsbruck University School of Management, Innsbruck, Austria",[No abstract available],,,,,,,,,,"Aaker, D.A., (1991) Managing Brand Equity, , New York: Jossey-Bass; Aaker, D.A., (1996) Building Strong Brands, , New York: Jossey-Bass; Aaker, J.L., Dimensions of brand personality (1997) Journal of Marketing Research, 34 (3), pp. 347-356; (2011) AMA Dictionary, , http://www.marketingpower.com/_layouts/Dictionary.aspx?dLetter=B; Azoulay, A., Kapferer, J.-N., Do brand personality scales really measure brand personality? (2003) Journal of Brand Management, 11 (2), pp. 143-155; Bateson, J.E.G., Why we need services marketing (1979) Conceptual and Theoretical Development in Marketing, Proceeding Series, , O.C. Ferrell, S.W. Brown and C.W. Lamb Jr, Chicago, IL: American Marketing Association; Batra, R., Lehmann, D.R., Singh, D., The brand personality component of brand goodwill: Some antecedents and consequences (1993) Brand Equity and Advertising, , D.A. Aaker and A.L. Biel, Hillsdale, NJ: Psychology Press; Bausch, T., Hanslbauer, T., Nungesser, S., (2007) HM ALPSHEALTHCOMP Report 1: Perception of the Alpine Region as Health and Wellness Destination, , Munich: Hochschule München, Fakultät für Tourismus; Bekmeier-Feuerhahn, S., (1998) Marktorientierte Markenbewertung, , Wiesbaden: Dt. Univ.-Verl; Berry, L., Bendapudi, N., Healthcare: A fertile field for service research (2007) Journal of Service Research, 10 (2), pp. 111-122; Bielen, F., Sempels, C., (2003) The Dimensionality of the Concept of Intangibility: A Critical Analysis, , www.uclouvain.be/cps/ucl/doc/iag/documents/WP_106_Sempels.pdf; Boga, T.C., (2011) Wahl Und Kaufentscheidungen Für Innovative Und Intangible Dienstleistungen: Dargestellt am Beispiel Von Neuen Touristischen Dienstleistungen Für Alpine Gesundheit Und Wellness, , Doctoral thesis, University of Innsbruck, Austria; Boga, T.C., Weiermair, K., Branding new services in health tourism (2011) Tourism Review, 66 (1-2), pp. 90-106; Bowen, J., Bowers, M.R., A marketing contingency approach to service organizations (1986) Creativity in Services Marketing, , Venkatesan, M. Et al., Chicago, IL: American Marketing Association; Bühner, M., (2006) Einführung in Die Test- Und Fragebogenkonstruktion, , München: Pearson Studium; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Choo, H., Park, S.-Y., (2009) The Influence of the Resident’S Identification with a Tourist Destination Brand on Their Behavior, , http://scholarworks.umass.edu/refereed/Sessions/Wednesday/5; Clarke, J., Tourism brands: An exploratory study of the brands box model (2000) Journal of Vacation Marketing, 6 (4), pp. 329-345; Cox, D.F., Rich, S.V., Perceived risk and consumer decision making—the case of telephone shopping (1964) Risk Taking and Information Handling in Consumer Behavior, , Cox D.F. (ed.), Boston, MA: Harvard Business School; Day, G.S., (1970) Buyer Attitudes and Brand Choice, , New York: Free Press; Foster, S., Branding and spas (2008) Understanding the Global Spa Industry—Spa Management, , M. Cohen and G. Bodeker, Oxford: Elsevier; Freundt, T.C., (2006) Emotionalisierung Von Marken, , Wiesbaden: Deutscher Universitätsverlag; Global Spa Summit, (2010) Spas and the Global Wellness Market: Synergies and Opportunities, , prepared by SRI International, May 2010; Goeldner, C., 39th congress aiest: English workshop summary (1989) Revue De Tourisme, 44 (4), pp. 6-7; Golonka, J., (2009) Werbung Und Werte, , Wiesbaden: VS Verlag für Sozialwissenschaften; Goodrich, J.N., Goodrich, G.E., Health-care tourism—an explanatory study (1987) Tourism Management, 8, pp. 217-222; Goutaland, C., (1999) Product and Service Intangibility: A Study of Its Dimensions and Consequences on Product/Service Evaluation, , Master’s thesis at the Faculty of Commerce and Administration, Concordia University, Canada; Grunert, K.G., Grunert, S.C., Measuring subjective meaning structures by the laddering method: Theoretical considerations and methodological problems (1995) International Journal of Research in Marketing, 12, pp. 209-225; Gutman, J., A means-end chain model based on consumer categorization processes (1982) Journal of Marketing, 46, pp. 60-72; Hall, C.M., Health and medical tourism: Kill or cure for global public health? 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Or many? the heterogeneity of intra-brand knowledge (2009) Journal of Product and Brand Management, 18 (5), pp. 338-345; Kotler, P., Keller, K.L., Bliemel, F., (2007) Marketing-Management, , München: Pearson Studium; Kroeber-Riel, W., Weinberg, P., (2003) Konsumentenverhalten, , 8th edn., München: Verlag Vahlen; Laroche, M., McDougall, G.H.G., Bergeron, J., Yang, Z., Exploring how intangibility affects perceived risk (2004) Journal of Service Research, 6 (4), pp. 373-389; Laroche, M., Yang, Z., McDougall, G.H.G., Bergeron, J., Internet versus bricks-and-mortar retailers: An investigation into intangibility and its consequences (2005) Journal of Retailing, 81 (4), pp. 251-267; McCracken, G., Who is the celebrity endorser? Cultural foundations of the endorsement process (1989) Journal of Consumer Research, 16 (3), pp. 310-321; Macias, W., Stavchansky Lewis, L., Shankar, V., Dr. Mom and dr. Web: A qualitative analysis of women’s use of health information on the web (2004) Journal of Interactive Advertising, 4 (2), pp. 9-19; Maehle, N., (2007) Brand Personality Enhancement. An Experimental Study of Alternative Strategies, , http://www.edamba.eu/userfiles/Natalia%20Maehle.doc, paper presented at 16th EDAMBA Summer Academy, July 2007, Soreze, France; Matzler, K., Grabner-Kräuter, S., Bidmon, S., Risk aversion and brand loyalty: The mediating role of brand trust and brand affect (2008) Journal of Product & Brand Management, 17 (3), pp. 154-162; Meffert, H., (2000) Marketing: Grundlagen Marktorientierter Unternehmensführung, , Wiesbaden: Gabler Verlag; Nefiodow, L.A., (1999) Der Sechste Kondratieff. Wege Zur Produktivität Und Vollbeschäftigung Im Zeitalter Der Information, , 3rd edn., Sankt Augustin: Rhein- Sieg-Verlag; Nunnally, J.C., (1978) Psychometric Theory, , New York: McGraw-Hill; Pikkemaat, B., Weiermair, K., Einleitung—zur bedeutung der qualität im tourismus (2004) Qualitätszeichen Im Tourismus, , K. Weiermair and B. Pikkemaat Berlin: Schmidt Erich Verlag; Pitts, R.E., Woodside, A.G., Personal values and travel decision (1986) Journal of Travel Research, 25 (1), pp. 20-25; (2005) Health Cast 2020: Gesundheit Zukunftsfähig Gestalten, , PricewaterhouseCoopers’ Health Research Institute; Reynolds, T.J., Gutman, J., Laddering theory, method, analysis and interpretation (1988) Journal of Advertising Research, 28, pp. 11-31; Reynolds, T.J., Gengler, C.E., Howard, D.J., A means-end analysis of brand persuasion through advertising (1995) International Journal of Research in Marketing, 12, pp. 257-266; Rokeach, M., (1973) The Nature of Human Values, , New York: The Free Press; Romeiß-Stracke, F., (2001) Markt Der Zukunft: Neue Produkte Und Dienstleistungen Im Gesundheitstourismus, , Bad Kissingen; Schunk, D.H., (1996) Learning Theories, , Englewood Cliffs, NJ: Prentice Hall; Smith, M., Puczkó, L., (2008) Health and Wellness Tourism, , Oxford: Elsevier; Tasci, A.D.A., Kozak, M., Destination brands vs destination image: Do we know what we mean? (2006) Journal of Vacation Marketing, 12 (4), pp. 299-317; Ter Hofstede, F., Audenaert, A., Steenkamp, J.-B.E.M., Wedel, M., An investigation into the association pattern technique as a quantitative approach to measuring means-end chains (1998) International Journal of Research in Marketing, 15, pp. 37-50; Torres, A., Bijmolt, T.H.A., Assessing brand image through communalities and asymmetries in brand-to-attribute and attribute-to-brand associations (2009) European Journal of Operational Research, 195, pp. 628-640; Wagner, O., Peters, M., Can association methods reveal the effects of internal branding on tourism stakeholders? (2009) Journal of Place Management and Development, 2 (1), pp. 52-69; Walker, B.A., Olson, J.C., Means-end chains: Connecting products with self (1991) Journal of Business Research, 22, pp. 111-118; Weis, M., Huber, F., (2000) Der Wert Der Markenpersönlichkeit. Das Phänomen Der Strategischen Positionierung Von Marken, , Wiesbaden: Deutscher Universitäts-Verlag; Winkler, K., Grimm, B., (2006) Reiseanalyse RA 2006. Modulbericht: Gesundheit, , Wellness & Kur im Urlaub, Kiel: F.U.R; Zaltman, G., Coulter, R.H., Seeing the voice of the customer: Metaphor-based advertising research (1995) Journal of Advertising Research, 35 (4), pp. 35-51; Zeithaml, V.A., How consumer evaluation processes differ between goods and services (1991) Services Marketing, , C.H. Lovelock (ed.), Englewood Cliffs, NJ: Prentice Hall","Boga, T.C.; Institute of Strategic Management, Marketing and Tourism, Innsbruck University School of ManagementAustria",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917399568 "Giacomelli G., Longo F.","55554084200;57206536554;","International patients mobility in the EU: Determinants, relevance, rules and trends [La mobilità internazionale dei pazienti nella ue: Determinanti, rilevanza, regole e tendenze]",2012,"Mecosan","20","81",,"105","117",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84872236636&partnerID=40&md5=aa259e9152251b0608c790c315fb7b51","Gruppo Segesta, Italy; Dipartimento di Analisi delle Politiche e Management Pubblico, Università Bocconi, Italy","Giacomelli, G., Gruppo Segesta, Italy; Longo, F., Dipartimento di Analisi delle Politiche e Management Pubblico, Università Bocconi, Italy","The endorsement of the Directive 2011/24/EU on the application of patients' rights in cross-border healthcare lays the foundation for higher levels of integration among different models of healthcare services in European Union. It would likely improve the patient mobility, mainly within the cross-border areas, with relevant outcomes in terms of organization, provision and costs of the services. This paper aims to analyze the evolution of patient mobility during the last years, in order to give a perspective on the next ones, and to forecast the effects of the regulatory and policy action of EU institutions on patients' behaviour.","Cross-border healthcare; Eu integration; Europe; Free movement; Patient mobility",,,,,,,,,"Baeten, R., The proposal for a directive on patients' rights in cross-border healthcare (2009) Social Developments in the European Union. Tenth Annual Report, , C. Degryse a cura di, ETUI, Bruxelles; Baeten, R., Vanhercke, B., Coucheir, M., The Europeanisation of national health care systems: Creative adaptation in the shadow of patient mobility case law (2010) Observatoire Social Européen, , Paper series n. 3/luglio 2010, Bruxelles; Bertinato, L., Busse, R., (2005) Policy Brief. Crossborder Health Care in Europe, , Osservatorio Europeo sulle politiche e i sistemi sanitari, Copenaghen; Brand, H., From ""Public health in Europe"" to ""European public health"" (2010) European Journal of Public Health, 20 (2), pp. 127-129; Bruzzi, S., Il settore sanitario di fronte alle sfide del processo di integrazione economica europea (2007) Impresa Progetto, (1). , DITEA; Busse, R., Wörz, M., Foubister, T., Mossialos, E., Berman, P., (2006) Mapping Health Services Access: National and Cross-border Issues, , Report finale del progetto HealthACCESS, Bruxelles; Carenzi, A., La domanda di salute nell'attuale Unione Europea (2008) Il Welfare in Europa: La Domanda di Salute, pp. 129-140. , A. Carenzi, G. Cesana, G. Vittadini a cura di, Rapporto Cefass 2008, Milano; Cavazza, M., Il Mercato unico della salute nell'UE (2008) Il Welfare in Europa: La Domanda di Salute, pp. 141-192. , A. Carenzi, G. Cesana, G. Vittadini a cura di, Rapporto Cefass 2008, Milano; (2004) Seguito del Processo di Riflessione di Alto Livello Sulla Mobilità dei Pazienti e Sugli Sviluppi dell'Assistenza Sanitaria Nell'Unione Europea, , COMMISSIONE EUROPEA, 21 aprile 2004, Bruxelles; (2008) Proposta di Direttiva del Parlamento Europeo e del Consiglio Concernente l'Applicazione dei Diritti dei Pazienti nell'Assistenza Sanitaria Transfrontaliera, , COMMISSIONE EUROPEA, 2 luglio 2008, Bruxelles; (2011) Direttiva del Parlamento Europeo e del Consiglio Concernente l'Applicazione dei Diritti dei Pazienti nell'Assistenza Sanitaria Transfrontaliera, , PARLAMENTO EUROPEO, 9 marzo 2011, Bruxelles; Cross-border health services in the EU. Analytical report (2008) Eurobarometro, (210). , DG SANCO, The Gallup Organization per conto della DG Salute e Protezione del Consumatore SANCO della Commissione Europea; Della Cee, G., (1971) Regolamento N. 1408/71 del Consiglio Relativo all'Applicazione dei Regimi di Sicurezza Sociale ai Lavoratori Dipendenti e ai Loro Familiari Che Si Spostano all'Interno della Comunità, , del 14 giugno 1971; Longo, F., Tasselli, S., I profili di utenza e la mobilità dei pazienti (2008) La Sanità Futura. Come Cambieranno Gli Utenti, le Istituzioni, I Servizi e le Tecnologie, pp. 77-111. , F. Longo, M. Del Vecchio, F. Lega a cura di, Egea, Milano; Palm, W., Glinos, I., Enabling patient mobility in the EU: Between free movement and coordination (2010) Health Systems Governance in Europe. The Role of European Union Law and Policy, pp. 509-560. , E. Mossialos, G. Permanand, R. Baeten, T. Hervey a cura di, Cambridge University Press, Cambridge; Ricciuti, E., Tediosi, F., Assistenza sanitaria senza frontiere (2011) Lavoce.info, , http://www.lavoce.info/articoli/-sanita/pagina1002396.html, 7.07.2011; Rosenmöller, M., Lluch, M., Meeting the needs of long-term resident in Spain (2006) Patiens Mobility in the European Union - Learning from Experience, , M. Mckee, R. Baeten, M. Rosenmöller eds., European Observatory on Health Systems and Policies, May, 194, Brussels; Rosenmöller, M., McKee, M., Baeten, R., (2006) Patient Mobility in the European Union. Learning from Experience, , Osservatorio Europeo sulle politiche e i sistemi sanitari, Copenaghen; Thomson, S., Foubister, T., Mossialos, E., Financing health care in the European Union. Challenges and policy responses (2009) Observatory Studies Series, (17). , Osservatorio Europeo sulle politiche e i sistemi sanitari, Copenaghen; Zanetta, G.P., (2003) L'Europa e la Salute, , 1a edizione, Franco Angeli, Milano","Giacomelli, G.; Gruppo SegestaItaly",,,,,,,,11216921,,,,"Italian","Mecosan",Article,"Final",,Scopus,2-s2.0-84872236636 "Sokol T., Hodak L.M., Abramović A.","55539508900;55539356200;55539920700;","Patient mobility directive: One step forward or two steps back for cross-border healthcare?",2012,"Croatian Yearbook of European Law and Policy","8","2012",,"143","174",,1,"10.3935/cyelp.08.2012.134","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871704271&doi=10.3935%2fcyelp.08.2012.134&partnerID=40&md5=b0cfc02842473dd5c126e08c432b45c9","KU Leuven, Institute for Social Law, Belgium; School of Economics and Management, Zagreb, Croatia","Sokol, T., KU Leuven, Institute for Social Law, Belgium, School of Economics and Management, Zagreb, Croatia; Hodak, L.M., School of Economics and Management, Zagreb, Croatia; Abramović, A., School of Economics and Management, Zagreb, Croatia","The European Parliament and the Council of the European Union adopted on 9 March 2011 the Directive on the application of patients' rights in cross-border healthcare. This Directive emerged as a result of the Court of Justice's jurisprudence on social security coverage of healthcare obtained outside the Member State where the patient has social security protection. The aim of this paper is to investigate the Directive and determine whether it will add (once transposed into national legal systems) to the current set of patient entitlements and make it easier for patients to obtain socially covered healthcare outside the state of social protection, and to discuss the Directive's application in Croatia once the country joins the EU. The paper analyses the Patient Mobility Directive by focusing on the issue of whether the Directive actually contributes to patient mobility in the EU and also its relationship with national social security legislation, especially in Croatia. The paper argues that the Patient Mobility Directive's impact on the actual movement of patients across borders might prove to be counterproductive in some areas, due to its limiting certain entitlements to access socially covered healthcare abroad. On the other hand, the Directive will also add to some patients' entitlements in accessing healthcare abroad and improve (from the patients' point of view) certain aspects of the overall framework for obtaining cross-border healthcare. Therefore, the Directive's impact in terms of facilitating patients' ability to obtain socially covered healthcare outside the Member State of social protection remains ambivalent.",,,,,,,,,,"Note; Note; Marhold, F., Modernisation of European Coordination of Sickness Benefits (2009) European Journal of Social Security, 11, p. 119; Pennings, F., Introduction: Regulation 883/2004 - The Third Coordination Regulation in a Row (2009) European Journal of Social Security, 11, p. 3; Jorens, Y., Van Overmeiren, F., General Principles of Coordination in Regulation 883/2004 (2009) European Journal of Social Security, 11, p. 47; Schoukens, P., Pieters, D., The Rules within Regulation 883/2004 for Determining the Applicable Legislation (2009) European Journal of Social Security, 11, p. 81; Note; Note; Cabral, P., Cross-border Medical Care in the European Union: Bringing down a First Wall (1999) EL Rev, 24, p. 387; Cabral, P., The Internal Market and the Right to Cross Border Medical Care (2004) EL Rev, 29, p. 673; Cousins, M., Patient Mobility and National Health Systems (2007) Legal Issues of Economic Integration, 34, p. 183; Flear, M., Case C-385/99 V. G. Muller-Faure v. Onderlinge Waarborgmaatschappij O.Z. Zorgverzekeringen U.A. and E.E.M van Riet v. Onderlinge Waarborgmaatschappij Z.A.O. Zorgverzekeringen, Judgement of the Court of 13 May 2003 (2004) CML Rev, 41, p. 209. , (case note); Greer, S.L., Migration of Patients and Migration of Power: Politics and Policy Consequences of Patient Mobility in Europe (2009) Wisconsin International Law Journal, 26, p. 908; Hatzopoulos, V.G., Killing National Health and Insurance Systems but Healing Patients? The European Market for Health Care Services after the Judgements of the ECJ in Vanbraekel and Peerbooms (2002) CML Rev, 39, p. 683; Hatzopoulos, V., Health Law and Policy: The Impact of the EU (2005) EU Law and the Welfare State: In Search of Solidarity, , G de Burca (ed), (OUP); Kaczorowska, A., A Review of the Creation by the European Court of Justice of the Right to Effective and Speedy Medical Treatment and its Outcomes (2006) European Law Journal, 12, p. 345; Lenaerts, K., Heremans, T., Contours of a European Social Union in the Case-Law of the European Court of Justice (2006) 2 European Constitutional Law Review, p. 101; Newdick, C., Citizenship, Free Movement and Health Care: Cementing Individual Rights by Corroding Social Solidarity (2006) CML Rev, 43, p. 1645; Newdick, C., Disrupting the Community: Saving Public Health Ethics from the EU Internal Market (2011) Health Care and EU Law, , JW van de Gronden, E Szyszczak, U Neergaard and M Krajewski (eds), (TMC Asser Press); Newdick, C., The European Court of Justice, Trans-National Health Care, and Social Citizenship: Accidental Death of a Concept? (2009) Wisconsin International Law Journal, 26, p. 844; Nys, H., Comparative Health Law and the Harmonization of Patients' Rights in Europe (2001) European Journal of Health Law, 8, p. 317; Pennings, F., The Cross-border Health Care Directive: More Free Movement for Citizens and more Coherent EU Law? (2011) European Journal of Social Security, 13, p. 424; van de Gronden, J.W., Cross-Border Health Care in the EU and the Organization of the National Health Care Systems of the Member States: The Dynamics Resulting from the European Court of Justice's Decisions on Free Movement and Competition Law (2009) Wisconsin International Law Journal, 26, p. 705; Van der Mei, A.P., Cross-border Access to Healthcare and Entitlement to Complementary ""Vanbraekel reimbursement"" (2011) EL Rev, 36, p. 431; Van der Mei, A.P., Cross-Border Access to Health Care within the European Union: Recent Developments in Law and Policy (2003) European Journal of Health Law, 10, p. 369; de La Rosa, S., The Directive on Cross-border Healthcare or the Art of Codifying Complex Case Law (2012) CML Rev, 49, p. 15. , 18; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Note; Hervey, T., Cooperation between Health Care Authorities in the Proposed Directive on Patients' Rights in Cross-Border Healthcare, (5). , van de Gronden, Szyszczak, Neergaard and Krajewski; Note; Note; Note; (2011) Guidance for the Referral of Patients Abroad for NHS Proton Treatment, , National Specialised Commissioning Team; (2012) Health Service Executive Treatment Abroad Scheme: E112 (IE) Application Form, , Health Service Executive; Note; Note; Hervey, T.K., If Only It Were So Simple - Public Health Services and EU Law (2011) Market Integration and Public Services in the European Union, , M Cremona (ed), (OUP); Note; Note; Note; Sauter, W., (2011) Harmonisation in Healthcare: The EU Patients' Rights Directive, , http://www.nza.nl/104107/230942/Research_paper_'Harmonisation_in_healthcare_the_EU_patients'_rights_directive'.pdf, (TILEC Discussion Paper 06), accessed 25 January 2012; Davies, G., Legislating for Patients' Rights, (5), pp. 205-207. , van de Gronden, Szyszczak, Neergaard and Krajewski; Note; (2009) Annual Report 2009, p. 1. , National Treatment Purchase Fund; (2004) Patient Booklet, p. 8. , National Treatment Purchase Fund; (2006) Freedom of Information Guidance Manual, p. 17. , National Treatment Purchase Fund; Wismar, M., Palm, W., Figueras, J., Ernst, K., van Ginneken, E., (2011) Cross-border Health Care in the European Union - Mapping and Analysing Practices and Policies, , (eds), (WHO); Obermaier, A., (2009) The End of Territoriality? The Impact of ECJ Rulings on British German and French Social Policy, , (Ashgate); (2005) Guidelines for Purchase of Treatment Abroad, , Commission of the European Communities; Hervey, T.K., New Governance Responses to Healthcare Migration in the EU: The EU Guidelines on Block Purchasing (2007) Maastricht Journal of European and Comparative Law, 14, p. 303; Note; Note; Note; Rodin, S., (2011) National Identity and Market Freedoms after The Treaty of Lisbon, , http://papers.ssrn.com/sol3/papers.cfm?abstract_id=2005691, accessed 10 January 2012; Note; Note; Note; Note; Szyszczak, E., Patients' Rights: A Lost Cause or Missed Opportunity?, (5), p. 125. , van de Gronden, Szyszczak, Neergaard and Krajewski; (2007) Treaty of Lisbon: New Cases of Qualified Majority Voting, , Commission of the European Communities, (Council and European Council); http://epp.eurostat.ec.europa.eu/tgm/table.do?tab=table&init=1&plugin=1&language=en&pcode=tec00114, According to EUROSTAT, accessed on 12 September 2012; Note; Rismondo, M., (2007) Zbirka ugovora o socijalnom osiguranju, , (Narodne novine); Note; Rismondo, , (66), p. 14; Note; Note; Pieters, D., (2006) Social Security: An Introduction to the Basic Principles, pp. 21-22. , (2nd edn Kluwer Law International); Note; Note; Note; Note; Note; Note; (2011) Izvješće o upućivanju osiguranih osoba na liječenje u inozemstvo tijekom 2010. godine, , Health Insurance Institute of Croatia; Note; Note; Note; Note; Note; Note; Note; What you should know about the usage of health care services during temporary stay in the Republic of Croatia, , http://www.hzzonet.hr/03_03_05_eng.php, Health Insurance Institute of Croatia, accessed 20 September 2012","Sokol, T.; KU Leuven, Institute for Social LawBelgium",,,"University of Zagreb",,,,,18455662,,,,"English","Croat. Yearb. Eur. Law Policy",Article,"Final",,Scopus,2-s2.0-84871704271 "Malchesky P.S.","35462185500;","Organ replacement, medical device costs, and medical tourism: Globalization of the clinical application of artificial organ technologies?",2011,"Artificial Organs","35","12",,"1139","1141",,1,"10.1111/j.1525-1594.2011.01396.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-83755225840&doi=10.1111%2fj.1525-1594.2011.01396.x&partnerID=40&md5=b170889e42a60d585061aad8856c2b53","10 W. Erie St. Suite 200, Painesville, OH 44077, United States","Malchesky, P.S., 10 W. Erie St. Suite 200, Painesville, OH 44077, United States",[No abstract available],,"artificial organ; cost; cost control; defibrillator; editorial; food and drug administration; global change; health care; health care cost; health care delivery; health care facility; health care quality; health service; hip prosthesis; hospital admission; human; life expectancy; medical assessment; medical instrumentation; medical technology; medical tourism; organ transplantation; patient care; priority journal; quality control; Artificial Organs; Humans; Internationality; Medical Tourism",,,,,,,,"Global Industry Analysts. Global Artificial Organs Market to Reach US$15.4 Billion by the Year 2015. Available at: Accessed January 10, 2011; MassDevice Staff. Eye and Ear Implants Blow Away Hearts and Hips for Most Frequently Implanted Medical Devices in the U.S. Available at: Accessed July 22, 2011; Wikipedia. Measuring Poverty. Available at: Accessed April 11, 2011; Smith, D., Poverty Rate Hits 15-Year High. Thomson Reuters. Available at: Accessed August 4, 2011; Jain, M., (2011), Medical Tourism Draws Growing Numbers of Americans to Seek Health Care Abroad. The Washington Post, April 4, Available at: Accessed August 4, 2011; Lyn, T.E., China ""Stem Cell Therapies"" Offer Heartbreak for Many. Available at: Accessed September 21, 2011; Keckley, P., (2009), Medical Tourism: Update and Implications. Deloitte Center for Health Solutions, Available at: Accessed August 4, 2011; Fiore, K., (2011), Medical Tourism: Boom or Bust? MedPage Today, Available at: Accessed July 5, 2011; (2011), Austrian Airlines. Travel and More. Skylines, May Available at: Accessed September 21, 2011","Malchesky, P.S.10 W. Erie St. Suite 200, Painesville, OH 44077, United States; email: artiforgs@aol.com",,,,,,,,0160564X,,ARORD,"22171796","English","Artif. Organs",Editorial,"Final",,Scopus,2-s2.0-83755225840 "Ben-Sefer E., Balik C., Friedman O., Shields L.","10539216800;7003499331;57214708743;7006781714;","Don't get lost in translation: Nursing children as medical tourists",2011,"Neonatal, Paediatric and Child Health Nursing","14","3",,"21","24",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84870893157&partnerID=40&md5=a3586fed9bc79898216681168306b9c2","Schoenburn Academic College of Nursing, 17 Henrietta Szold St, Tel Aviv, Israel; Schoenburn Academic College of Nursing, Tel Aviv, Israel; Dana Children's Hospital, Tel Aviv, Israel; Department of Paediatric and Child Health Nursing, Curtin University and Child and Adolescent Health Service, Perth, WA, Australia; Medical School, University of Queensland, Australia","Ben-Sefer, E., Schoenburn Academic College of Nursing, 17 Henrietta Szold St, Tel Aviv, Israel; Balik, C., Schoenburn Academic College of Nursing, Tel Aviv, Israel; Friedman, O., Dana Children's Hospital, Tel Aviv, Israel; Shields, L., Department of Paediatric and Child Health Nursing, Curtin University and Child and Adolescent Health Service, Perth, WA, Australia, Medical School, University of Queensland, Australia","Medical tourism is a growing trend in health care as families seek more affordable options in medical care and treatment for their children. Children who require care outside their home country present special challenges, dilemmas and issues for nurses who must provide that care. Culture, language and social support must all be considered in a family-centred care approach. This paper explores the emergence of medical tourism as a health care phenomenon, and explores the essential skills of an experienced paediatric medical tourism nurse in Israel.","Culture; Family; Family-centred care; Medical tourism",,,,,,,,,"Bishop, R., Litch, J.A., Medical tourism can do harm (2000) BMJ, 7240, p. 1017; Comarow, A., (2008) Under the Knife in Bangalore. US News World Report [Internet]. USA CNS News, , http://www.cbsnews.com/stories/2008/05/05/usnews/main4071307.shtml, 3 May; [cited 17 January 2011]; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369, pp. 1849-1850; Ben Natan, M., Ben-Sefer, E., Ehrenfeld, M., Nurses in medical tourism: A new role for nursing? (2009) Online J Issues Nurs [Internet], 14, p. 3. , http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ ANAPeriodicals/OJIN/TableofContents/Vol142009/No3Sept09/Articles-Previous- Topics/Medical-Tourism.aspx, [cited 17 January 2011]; Smith, M., Puczko, L., (2008) Health and Wellness Tourism, , USA: Elsevier Science & Technology Books; Gross, N.C., (2008) The Medical Tourist. The Jerusalem Report [Internet]. Israel Hadassah, 13. , http://www.hadassah-med.com/English/Eng_MainNavBar/News/Press+Clips/ tourism.htm, [cited 17 January 2011]; (2011) Health-tourism.com. Medical Tourism in Israel [Internet]. USA Health-tourism.com, , http://www.health-tourism.com/israel-medical-tourism/, 16 January [cited 17 January 2011]; (2011) Israel Tel Aviv Sourasky Medical Center, , http://www.tasmc.org.il/e/, Tel Aviv Sourasky Medical Center. Tel Aviv Sourasky Medical Center [Internet] [cited 17 January 2011]; Israel Tel Aviv Sourasky Medical Center, , http://www.tasmc.org.il/e/dana/, Tel Aviv Sourasky Medical Center. Dana Children's Hospital [Internet] [cited 17 January 2011]; Shields, L., Pratt, J., Hunter, J., Family centred care: A review of qualitative studies (2006) Journal of Clinical Nursing, 15 (10), pp. 1317-1323. , DOI 10.1111/j.1365-2702.2006.01433.x; Shields, L., Pratt, J., Davis, L.M., Hunter, J., Family-centred care for children in hospital (2007) Cochrane Database of Systematic Reviews, (1), pp. CD004811. , http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/ CD004811/pdf_fs.html, DOI 10.1002/14651858.CD004811.pub2","Ben-Sefer, E.; Schoenburn Academic College of Nursing, 17 Henrietta Szold St, Tel Aviv, Israel; email: ebensefe@yahoo.com.au",,,,,,,,14416638,,,,"English","Neonatal Paediatr. Child Health Nurs.",Article,"Final",,Scopus,2-s2.0-84870893157 "Taleghani M., Largani M.S., Mousavian S.J.","35365547200;54415979800;37122438900;","The role of health tourism in development process (concepts and applications)",2011,"Australian Journal of Basic and Applied Sciences","5","10",,"544","550",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864489693&partnerID=40&md5=7a519d23acd1b11d512e1d1e2e937a58","Department of Business Management and Accounting, Tonekabon Branch, Islamic Azad University, Tonekabon, Mazandaran, Iran; Department of Management, Astara Branch, Islamic Azad University, Astara, Iran","Taleghani, M., Department of Business Management and Accounting, Tonekabon Branch, Islamic Azad University, Tonekabon, Mazandaran, Iran; Largani, M.S., Department of Business Management and Accounting, Tonekabon Branch, Islamic Azad University, Tonekabon, Mazandaran, Iran; Mousavian, S.J., Department of Management, Astara Branch, Islamic Azad University, Astara, Iran","Motivation and satisfaction are two concepts widely studied in tourism literature; the relevance of these constructs being derived from their impact on tourist behavior but which focus at tourism in general. However the purpose of this paper is to undertaken realizing the need to examine closely the aspects of health tourist motivation and satisfaction, a relatively new player in the industry. This study intends to describe health tourist motivation and satisfaction based on known attributes and to understand key motivation and satisfaction dimensions. In addition identifying travel motivation and satisfaction levels of health tourists allows insight to the areas of strength and weaknesses of the local healthcare industry.","Health tourist; Motivation; Tourism; Tourist satisfaction",,,,,,,,,"Alen Gonzalez, M.E., Rodriguez Comesana, L., Fraz Brea, J.A., Assesing Tourist behavioral intentions through perceived service Quality and customer satisfaction (2007) Journal of Business Research, 60, pp. 153-160; Saad, A.S., Determinants of customer satisfaction with hospitals: A managerial model (1998) International journal of health care quality assurance, 11 (6), pp. 181-187; Bashani, A., Health tourism and profitable highway, Iran newspaper, Ordibehesht (1389) Sixteen years, 4493, p. 9; Babakus, E., Boiler, G.W., An experimental assessment of the SERVQUAL scale (1992) Journal of Business Research, 24, pp. 253-268; Boscarino, J.A., The public's perceptions of quality hospitals II: Implications for patient surveys (1992) Hospital and Health Services Administration, 37 (1), pp. 13-35; Carmichael, J., Figuring patient satisfaction into physician salaries (1996) Managed Health care, pp. 45-48. , September; Cho, W.H., Lee, H., Kim, C., Lee, S., Choi, K.S., The impact of visit frequency on the relationship between service quality and outpatient satisfaction: A south korean study (2004) Health Research and Education Trust, 39 (1), pp. 13-34; Chon, K.S., (1991) Tourism destination image modification process. tourism management, 12, pp. 68-72; Connell, J., Medical Tourism: Sea, Sun, Sand and. Surgery (2006) Tourism Management; Crompton, J., Motivations for pleasure vacation (1979) Annals of Tourism Research, 6 (4), pp. 408-424; Crompton, J.L., McKay, S.L., Motives of visitors attending festival events (1997) Annals of Tourism Research, 24 (2), pp. 425-439; Donabedian, A., Quality assessment and assurance: Unity of purpose, diversity of means (1988) Inquiry, 25, pp. 173-192; Dosh, Dharmesh, R., (2008) Health tourism an exploratory study on motivation, satisfaction and consumption behaviour of health tourism in malasyian private hospital, p. 171; Garci a-Altes, A., Development of health Tourism Services (2005) Spain Annals of Tourism Research, 32 (1), pp. 262-266; George, B.P., Nedelea, A., Medical tourism: An analysis with special reference to its current practice in India (2009) International Journal of Leisure and Tourism Marketing, 1 (2), pp. 27-35; George, W., Marketing of Services, , (Eds), American Marketing Association, Chicago. IL; Ghazali, M., (2002) Travel health Experience among international to high Altitude Destinations of Sagarmatha National Park, Nepal and Tibet, , China Unpublished Ph. D thesis, University of Otago, New Zealand; Heistand, M., NY Hospitals treat marketing-ills? (1986) Ad week, 27 (27), p. 2; ben Hoobin, Y., Motivation and experiences of mainland Chinese medical tourists in Hongkong (2010) Tourism management, pp. 1-3; Hosseini, S.H., What do you know about health tourism, trade world magazine, pp. 188-190. , 1387; Kazemi, M., Tourism management, p. 183. , 1386., Samt publishing; Lunt, N., Carera, P., Medical tourism; Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Messerli, H.R., Oyama, Y., Health and wellness tourism-global (2004) Travel and Tourism Analyst(August), 1, p. 542; Mostafa, An empirical study of patients, expectation and satisfaction in Egyption Hospital (2005) International Journal of Health care Quality Assurance, 18 (7), pp. 516-532; Newstorm, J., Davis, K., (2004) Organization Behavior, , McGraw-hill; Oliver, R.L., A cognitive model of the antecedent sand consequences of Satisfaction decisions (1980) JournalofMarketingResearch, 27, pp. 460-469; Oon, K.P., (2006) Service Quality and Travel motivation among Health Tourists in Island Hospital, , penang. unpublished MBA dissertation, university of Malaya, Malaysia; Petersen, M.B.H., Measuring patient satisfaction: Collecting useful data (1988) Journal of Nursing Quality Assurance, 2 (3), pp. 2-35; Salimpoor, H., The review of history of exporting medicine goods and service to abroad, Homaye Saadat magazine, , 1385. Bahman and Esfand, thirth year, number seventeenth; Ali, S., Health tourism need comprehensive plan (1385) Negareh magazine, 15, p. 13; Tam, J.L.M., Linking Quality improvement with patient satisfaction: A study of a health service center (2007) Marketing intelligence and planning, 25 (7), pp. 732-745; Medical tourism: A global analysis (2006) A report by Tourism Research and Marketing (TRAM), , TRAM, ATLAS; Tucker, J.L., Adams, S.R., Incorporating Patient Assessment of Satisfaction and Quality: An integrative Model of patients (2001) Evaluation of their care managing service Quality, 11 (4), pp. 272-287; Yap, J.Y.C., Medical tourism and Singapore (2007) Imtenational hospital federation reference book, pp. 25-26; Yellen, E., Davis, G., Richard, R., The measurement of Patient satisfaction (2002) Journal of nursing care Quality, 16 (4), pp. 23-29; Yildiz, Z., Erdogmus, S., Measuring patient satisfaction of the Quality of health care: A study of hospital in turkey (2004) Journal of medical system, 28 (6), pp. 581-589; Yucelt, U., An investigation of Causes of patient satisfaction /dissatisfaction with physician service (1994) Health marketing Quarterly, 12 (2), pp. 11-27; Zeithaml, V., (1981) How consumer Evaluation Process Differ Between Goods and Services, , www.health-tourism.com, in Donnelly, J. and","Taleghani, M.; Department of Business Management and Accounting, Tonekabon Branch, Islamic Azad University, Tonekabon, Mazandaran, Iran; email: m.taleghani454@yahoo.com",,,,,,,,19918178,,,,"English","Aust. J. Basic Appl. Sci.",Article,"Final",,Scopus,2-s2.0-84864489693 "Li J., Liu H., Chen J., Xue Q., Bao Y.","57196157375;23972799300;49460959000;56056041800;55085076100;","Travel health and health tourism: A perspective of the subject of tourism",2011,"Communications in Computer and Information Science","208 CCIS","PART 1",,"56","63",,1,"10.1007/978-3-642-23023-3_8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80051677537&doi=10.1007%2f978-3-642-23023-3_8&partnerID=40&md5=8cc0dea93589dd37397c5540ab89848e","School of Tourism and Health, Zhejiang AandF University, Lin'an, Zhejiang 311300, China; School of International Studies, Zhejiang University, Hangzhou, Zhejiang 310058, China","Li, J., School of Tourism and Health, Zhejiang AandF University, Lin'an, Zhejiang 311300, China; Liu, H., School of International Studies, Zhejiang University, Hangzhou, Zhejiang 310058, China; Chen, J., School of Tourism and Health, Zhejiang AandF University, Lin'an, Zhejiang 311300, China; Xue, Q., School of Tourism and Health, Zhejiang AandF University, Lin'an, Zhejiang 311300, China; Bao, Y., School of Tourism and Health, Zhejiang AandF University, Lin'an, Zhejiang 311300, China","The emphasis on travel health and health tourism shows a historic progress in tourism, which is the focus of tourism development under the post-modern society and post-tourism era, and as well as the mirror of the idea of Humanism in tourism. When the forms of tourism evolve from traditional ones, such as sightseeing tour and cultural tour, to health tourism, it pays more attention to both physical and mental health in the traveling, which shows the development in tourism, basing on the change from considering economic benefits simply to giving consideration to social benefits, ecological benefits, and human health. Travel health and health tourism are defined. The relationship between them are discussed and measures and suggestions to achieve them are also proposed. © 2011 Springer-Verlag Berlin Heidelberg.","Health tourism; Tourism Management; Travel health","Ecological benefits; Economic benefits; Human health; Mental health; Sightseeing tours; Social benefits; Tourism development; Tourism Management; Travel health; Economics; Health",,,,,,,,"Lan, S., Speeding the establishment of healthy and safe tourism destinations, and Creating the image of China being "" healthy and safe tourism country (2008) China Tourism News Paper, , June 16; Tao, H., (2001) New Introduction of Tourism Studies, , Tourism Education Press, Beijing; Wang, X., (2000) Guide for Tourism Industsry Programming, , Chinese Tourism Press, Beijing; Wang, Y., Gao, Y., Concept, types and development expecations of health tourism (2007) Journal of Guilin Institute of Tourism, 6, pp. 803-805; Ye, Y., Nursing implementation of special care ward in tourism areas (2005) Nanfang Journal of Nursing, 12 (7), pp. 37-38; Zhou, Y., Song, H., Zhou, K., Studies on the development strategy of Australia sports tourism (2005) Journal of Sports Culture, 20 (1), pp. 24-25","Li, J.; School of Tourism and Health, Zhejiang AandF University, Lin'an, Zhejiang 311300, China; email: leonjian08@yahoo.com",,"Hong Kong Education Society;International Material Science Society;Information Engineering Research Institute",,"2011 International Symposium on Applied Economics, Business and Development, ISAEBD 2011","6 August 2011 through 7 August 2011","Dalian",86026,18650929,9783642230226,,,"English","Commun. Comput. Info. Sci.",Conference Paper,"Final",,Scopus,2-s2.0-80051677537 "Huntington M.K.","8121668900;","The expanding scope of medical travel",2011,"American Family Physician","84","8",,"863","864",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-80054805984&partnerID=40&md5=e9c57d74a485942ad3bbb80d5dc62e4f",,"Huntington, M.K.",[No abstract available],,"accreditation; cultural factor; editorial; food and drug administration; health care availability; health care cost; health care need; health care quality; health insurance; human; Internet; language ability; medical tourism; medicolegal aspect; morbidity; mortality; patient safety; United States",,,,,,,,"Medical tourism: Update and implications, , http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_chs_MedicalTourism_111209_web.pdf, Deloitte Center for Healthcare Solutions, Accessed August 22, 2011; Medical Tourism Association, , http://www.medicaltourism.com, Accessed July 28, 2011; Companion global healthcare, , http://southcarolinablues.com/members/discountsaddedvalues/companionglobalhealthcare.aspx, Blue Cross Blue Shield of South Carolina, Accessed July 28, 2011; (2007) Joint principles of the patient centered medical home, , http://www.pcpcc.net/content/joint-principles-patient-centered-medical-home, Patient-Centered Primary Care Collaborative, February, Accessed July 28, 2011; Joint Commission International, , http://www.jointcommissioninternational.org/About-JCI/, Accessed August 28, 2011; Huntington, M.K., Before surgery: Have you done enough to mitigate risk? (2010) J Fam Pract, 59 (4), pp. 202-211; Bazemore, A.W., Huntington, M., The pretravel consultation (2009) Am Fam Physician, 80 (6), pp. 583-590","Huntington, M. K., Sioux Falls, SD, United States; email: mark.huntington@usd.edu",,,"American Academy of Family Physicians",,,,,0002838X,,AFPYA,,"English","Am. Fam. Phys.",Editorial,"Final",,Scopus,2-s2.0-80054805984 "Helms S.","7004690889;","Telemetry heightens nurses’ vigilance, patients’ mobility",2011,"Nursing Management","34","12",,"29","30",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-1542783741&partnerID=40&md5=a0a58758f9f0812c7ff89c30739aae42","Rowan Regional Medical Center, Salisbury, NC, United States","Helms, S., Rowan Regional Medical Center, Salisbury, NC, United States","Telemetry monitoring yields better workflow and enhanced productivity. © 2011 Lippincott Williams & Wilkins, Inc.",,"article; electrocardiography; hospital information system; hospital management; human; intensive care; monitoring; nursing; nursing staff; organization and management; telemetry; Critical Care; Efficiency, Organizational; Electrocardiography, Ambulatory; Hospital Communication Systems; Humans; Monitoring, Physiologic; Nursing Staff, Hospital; Point-of-Care Systems; Telemetry",,,,,,,,"American Association of Critical-Care Nurses:Self-Reporting Survey. National Teaching Institute, May 2001; Waldbiling, K., Enterprise Clinical Imaging Beyond 2000.. The Five Elements of PACS, (2000) 2000 HISSS Proceedings, 2, p. 195; Ledbetter, C., Toward Best Practice: Leveraging the Electronic Patient Record as a Clinical Data Warehouse, (2001) Journal of Healthcare Information Management, 15, p. 119; Oliveira, J., A Shotgun Wedding: Business Decision Support Meets Clinical Decision Support, (2003) Journal of Healthcare Information Management, 16, p. 28","Helms, S.; Rowan Regional Medical Center, Salisbury, NC, United States",,,,,,,,07446314,,,"14668682","English","Nurs. Manage.",Article,"Final",,Scopus,2-s2.0-1542783741 "Turner L.G.","7202689997;","The coming backlash against medical tourism",2010,"Plastic and Reconstructive Surgery","126","6",,"326e","327e",,1,"10.1097/PRS.0b013e3181f640b8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650056545&doi=10.1097%2fPRS.0b013e3181f640b8&partnerID=40&md5=95d48630a7c0e7332728b6e2c9aafe87","Center for Bioethics and School of Public Health, University of Minnesota, 410 Church Street SE, Minneapolis, MN 55455, United States","Turner, L.G., Center for Bioethics and School of Public Health, University of Minnesota, 410 Church Street SE, Minneapolis, MN 55455, United States",[No abstract available],,"article; cost control; developing country; doctor patient relation; economics; ethics; financial management; health care quality; human; international cooperation; medical ethics; medical tourism; patient education; plastic surgery; postoperative care; risk assessment; Cost Savings; Developing Countries; Ethics, Medical; Humans; Internationality; Marketing of Health Services; Medical Tourism; Patient Education as Topic; Physician-Patient Relations; Postoperative Care; Quality of Health Care; Risk Assessment; Surgery, Plastic",,,,,,,,"Furuya, E.Y., Paez, A., Srinivasan, A., Outbreak of Mycobacterium abscessus wound infections among ""lipotourists"" from the United States who underwent abdominoplasty in the Dominican Republic (2008) Clin Infect Dis., 46, pp. 1181-1188; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of 'cosmetic tourism': An avoidable burden on the NHS (2007) J Plast Reconstr Aesthet Surg., 60, pp. 1075-1077; Green, S.T., Medical tourism: A potential growth factor in infection medicine and public health (2008) J Infect., 57, p. 429; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med J Aust., 187, pp. 666-667; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) J Plast Reconstr Aesthet Surg., 61, pp. 1423-1424","Turner, L. G.; Center for Bioethics and School of Public Health, University of Minnesota, 410 Church Street SE, Minneapolis, MN 55455, United States; email: turne462@umn.edu",,,,,,,,00321052,,PRSUA,"21124118","English","Plast. Reconstr. Surg.",Note,"Final",,Scopus,2-s2.0-78650056545 "McHale J.","7006240472;","Health tourism and the UK: Some new developments",2010,"British Journal of Nursing","19","14",,"926","927",,1,"10.12968/bjon.2010.19.14.49054","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956203276&doi=10.12968%2fbjon.2010.19.14.49054&partnerID=40&md5=7f208ace3b50b0d715719c59f724a404","School of Law, University of Birmingham, United Kingdom","McHale, J., School of Law, University of Birmingham, United Kingdom","Pre-empting the implementation of the EU draft Patient's Rights directive, the UK Government has issued regulations governing the reimbursement of costs of treatment to patients seeking treatment overseas. This article explores the new regulations and how they may impact on NHS resource allocation in the future.","European Union; Free movement; Health tourism","article; economics; Europe; health care delivery; human; legal aspect; medical tourism; national health service; organization and management; patient right; reimbursement; resource allocation; United Kingdom; Europe; Great Britain; Health Services Accessibility; Humans; Medical Tourism; Patient Rights; Reimbursement Mechanisms; Resource Allocation; State Medicine",,,,,,,,"(2008) Proposal for A Directive of the European Parliament and of the Council on the Application of Patients' Rights in Cross-border Healthcare, , http://tiny.cc/9yilh, Commission of the European Communities (accessed 15 July 2010); (2010) Cross-border Healthcare and Patient Mobility: Revised Advice on Handling Requests from Patients for Treatment in Countries of the European Economic Area - Guidance for the NHS, , Department of Health. DH, London; The National Health Service (Reimbursement of the Cost of EEA Treatment) Regulations 2010, , SI 2010/915. HMSO, London; McHale, J., Law, patient's rights and NHS resource allocation: Is eurostar the answer? (2006) Health Analysis, 14 (2), p. 169; Newdick, C., Citizenship, free movement and healthcare: Cementing individual rights by coroding social solidarity (2006) CMLRev, 43, p. 1661","McHale, J.; School of Law, University of BirminghamUnited Kingdom",,,"MA Healthcare Ltd",,,,,09660461,,,"20647988","English","Brit. J. Nurs.",Article,"Final",,Scopus,2-s2.0-77956203276 "De Neve J.-W.","57039962400;","Intra-European medical travel remains minor: A commentary in response to 'Hermesse J, Lewalle H, Palm W. Patient mobility within the European Union. Eur J of Public Health. 1997'",2010,"European Journal of Public Health","20","3",,"249","250",,1,"10.1093/eurpub/ckq045","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952910239&doi=10.1093%2feurpub%2fckq045&partnerID=40&md5=4fe116db9d843730f7b708d5679901e6","Johns Hopkins Medicine International, International Patient Coordination Responsible, Anadolu Medical Center, Istanbul, Turkey","De Neve, J.-W., Johns Hopkins Medicine International, International Patient Coordination Responsible, Anadolu Medical Center, Istanbul, Turkey",[No abstract available],,"article; economics; European Union; health care cost; health care policy; health insurance; human; insurance; legal aspect; medical tourism; medicolegal aspect; statistics; European Union; Health Expenditures; Health Policy; Humans; Insurance Carriers; Insurance, Health; Legislation, Medical; Medical Tourism",,,,,,,,"Baeten, R., Glios, I., (2006) A Literature Review of Cross-Border Patient Mobility in the European Union, , Observatoire Social Européen; (2010) Accompanying Document to the Proposal for a Directive of the European Parliament and of the Council on the Application of Patient's Rights in Cross-Border Healthcare, , http://www.europarl.europa.eu/meetdocs/2004_2009/documents/dv/sec(2008) 2163_/SEC(2008)2163_en.pdf, European Commission 2.7.2008, SEC(2008) 2163, European Commission, Brussels. Available at (22 April date last accessed); Moves, E.U., Ahead with Medical Mobility Law, , http://www.forbes.com/2009/04/06/european-parliament-votes-busines-s- oxford-analytica.html, Forbes, USA. Available at (14 April 2010, date last accessed); Rosenmöller, M., McKee, M., Baeten, R., (2006) Patient Mobility in the European Union: Learning from Experience, , Europe for Patients Project. European Observatory on Health Systems and Policies; Vos, C., (2010) Patient Reis Graag Naar Buitenland, , http://www.volkskrant.nl/archief_gratis/article1210153.ece/ Patient_reist_graag_naar_buitenland, Available at (14 April date last accessed); Thijssen, W., (2010) Volkskrant Reizen. Medisch Toerisme Is Ten Dode Opgeschreven, , http://www.volkskrantreizen.nl/redactie/wilthijssen/artikel10504514/ medisch_toerisme_is_ten_d, Available at (14 April date last accessed); (2010) Belgische Ziekenhuizen Mikken op Buitenlandse Patienten, , http://www.mo.be/index.php?id=348&tx_uwnews_pi2%5Bart_id%5D= 20722&cHash=89fa271c1b, Available at. (14 April date last accessed); (2010), www.dh.gov.uk/en/Consultations/Liveconsultations/DH_089029, Available at (14 April date last accessed); Dutch insurance companies sending customers to German hospitals (2010) International Medical Travel Journal, , http://www.imtj.com/news/?EntryId82=161740, Available at (14 April date last accessed)","De Neve, J.-W.; Anadolu Medical Center, International Services Department, Bayramoglu Cikisi Cayirova Mevkii, Anadolu Caddesi No. 1, Gebze 41400 Istanbul, Turkey; email: jwdeneve@gmail.com",,,,,,,,11011262,,EJPHF,"20430807","English","Eur. J. Public Health",Note,"Final",Open Access,Scopus,2-s2.0-77952910239 "Ariwa E., Syvertsen C.M.","6506492799;23973865000;","Informatization of economic growth in the health-tourism industry in montenegro using insights from regionalization",2010,"Journal of Internet Banking and Commerce","15","1",,"","",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953328729&partnerID=40&md5=dd619ac8eb8cae98f106089521826e91","London Metropolitan Business School, London Metropolitan University, United Kingdom; Østfold University College, Norway","Ariwa, E., London Metropolitan Business School, London Metropolitan University, United Kingdom; Syvertsen, C.M., Østfold University College, Norway","We suggest that the health center Igalo is the main entrepreneurial agent in health tourism in Montenegro. In order to succeed in stimulating economic growth, the health center can benefit from using a regional approach for attracting foreign visitors. Technological knowledge, with a focus on routines, is regarded as the main driver of changing existing practices. Change of routines can have effects on leadership traits and value creation processes, both within the health center Igalo and among other actors in tourism industry. However, due to economical, ethical and political turbulence at Balkan, the conclusions are not clean-cut. Using process research and story telling as the research approaches, the research sheds light on the possibilities and boundaries for heath tourism development in Montenegro. © Onibere & Egwali, 2010.","Economic growth; Health tourism development; Igalo health centre; Montenegro; Regionalization",,,,,,,,,"Acs, Z.J., Armington, C., Employment growth and entrepreneurial activities in cities (2004) Regional Studies, 38, pp. 911-927; Amin, A., Thrift, N., Neo-Marshallian nodes in global networks (1992) International Journal of Urban and Regional Research, 16, pp. 571-587; Argyris, C., Schon, D., (1978) Organizational Learning, , Addition-Wesley, Reading, MA; Astley, W.G., Zammuto, R.F., Organization Science, Managers and Language Games (1992) Organization Science, 3 (4), pp. 443-460; Audretsch, D.B., Fritsch, M., Growth regimes over time and space (2002) Regional Studies, 36, pp. 113-124; Barney, G., Technology as an occasion for structuring: Evidence from observations of CT scanners and the social order of radiology departments (1986) Administrative Science Quarterly, 20, pp. 160-176; Baum, J.A.C., Organizational Ecology (1996) Handbook of Organizational Studies, , In Clegg, S, C. Handy and W. Nord (eds.), Sage, London; Beech, N., Johnson, P., Discourses of Disputed Identities in the Practice of Strategic Change. 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(Eds.), Greeenwich, CT, JAI Press; Prahalad, C.K., Hamel, G., The Core Competence of the Corporation (1990) Harvard Business Review, 68, pp. 79-91. , (May-June); Penrose, E.T., (1959) The Theory of the Growth of the Firm, , Wiley New York, NY; Piore, M., Sabel, C., (1984) The Second Industrial Divide, , New York: Basic Books; Porter, M.E., (1985) Competitive Advantage, , The Free Press, New York; Ramer, A., (1997) Revelations For a New Millennium, , San Francicso: Harper; Rescher, N., (1998) Complexity: A Philosophical Overview, , London: Transaction Publisher; Schumpeter, J.A., (1934) The Theory of Economic Development, , Harvard University Press Cambridge, MA; Schumpeter, J.A., (1939) Business Cycles: A Theoretical Historical and Statistical Analysis of The Capitalist Process, , McGraw-Hill, New York, NY; Schumpeter, J.A., (1942) Capitalism Socialism, and Democracy, , Harper & Brothers, New York, NY; Schumpeter, J.A., The creative response in economic history (1947) Journal of Economic History, 7, pp. 149-159; Soulsby, A., Clark, E., Organization Theory and the Post-socialist Transformation: Contributions to Organizational Knowledge (2007) Human Relations, 60 (10), pp. 1419-1442; Stabell, C.B., Fjeldstad, O.D., Configuring value for competitive advantage on chains, shops, and networks (1998) Strategic Management Journal, 19, pp. 413-437; Stacey, R.D., The science of complexity: An alternative perspective for strategic change processes (1995) Strategic Management Journal, 16, pp. 477-495; Szulanski, G., The process of knowledge transfers: S diachronic analysis of stickiness (2000) Organizational Behavior and Human Decision Processes, 82, pp. 9-27; Teece, D.J., Piscano, G., Shuen, A., Dynamic capabilities and strategic management (1997) Strategic Management Journal, 18 (18), pp. 19-33; Thomke, S., Managing experimentation in the design of new products (1998) Management Science, 44, pp. 743-762; Thompson, J.D., (1967) Organizations In Action, , New York: McGraw-Hill; Tsoukas, H., Chia, R., On Organizational Becoming: Rethinking Organizational Change (2002) Organizational Science, 13 (5), pp. 567-582; Waarts, E., Everdingen, Y.M., van Hilligersburg, J., The dynamics of factors affecting the adoption of innovations (2002) The Journal of Product Innovation Management, 19 (6), pp. 412-423; Waldrop, M., (1992) Complexity: The emerging Science and the Edge of Order and Chaos, , Simon and Schuser/Penguin, London; Weick, K., (1995) Sensemaking in organizations, , Thousand Oarks, Sage; Weick, K.E., Browning, L.D., Argument and narration in organizational communication (1986) Journal of Management, 12 (2), pp. 243-259; Wenger, E., McDermott, R.S.G., Snyder, W.M., (2002) Cultitating communities of practice, , Harvard Business School Press; Williams, A., Shaw, G., (1998) Tourism and Economic Development: European Experiences, , (3rd ed.), Chichester: Wiley; Winter, S.G., Knowledge and Competence As Strategic Assets (1987) The Competitive Challenge Strategies for Industrial Innovation and Renewal, pp. 159-184. , Teece, DJ (ed),Callinger: Cambridge, MA; Zoolo, M., Winter, S.G., Deliberate learning and he evolution of dynamic capabilities (2002) Organization Science, 13 (3), pp. 339-351","Ariwa, E.; London Metropolitan Business School, London Metropolitan UniversityUnited Kingdom; email: e.ariwa@londonmet.ac.uk",,,,,,,,12045357,,,,"English","J. Internet Bank. Commer.",Article,"Final",,Scopus,2-s2.0-77953328729 "James D.G.","42661459800;","A medical tourist's visit to London",2010,"Journal of Medical Biography","18","1",,"34","",,1,"10.1258/jmb.2009.009052","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866268150&doi=10.1258%2fjmb.2009.009052&partnerID=40&md5=ad4220d6c2e6d5f05eb8a1e30c4533a4","London, United Kingdom","James, D.G., London, United Kingdom",[No abstract available],,"article; history; hospital; human; medical society; travel; United Kingdom; History, 18th Century; History, 19th Century; History, 20th Century; Hospitals; Humans; London; Societies, Medical; Travel",,,,,,,,,"James, D.G., London, United Kingdom",,,,,,,,09677720,,,"20207897","English","J. Med. Biogr.",Article,"Final",,Scopus,2-s2.0-84866268150 "Weiss J.","34968676600;","Medical tourism in Germany: the trip to the hospital [Medizintourismus in Deutschland: Die Reise ins Krankenhaus.]",2010,"Deutsche medizinische Wochenschrift (1946)","135","1-2",,"","",,1,"10.1055/s-0030-1247665","https://www.scopus.com/inward/record.uri?eid=2-s2.0-74949138689&doi=10.1055%2fs-0030-1247665&partnerID=40&md5=548742e7057a3d8197559ff569ac5964",,"Weiss, J.",[No abstract available],,"article; economics; Germany; health care delivery; human; medical tourism; standard; Delivery of Health Care; Germany; Humans; Medical Tourism",,,,,,,,,"Weiss, J.",,,,,,,,14394413,,,"20072967","German","Dtsch. Med. Wochenschr.",Article,"Final",,Scopus,2-s2.0-74949138689 "Tureac C.E., Turtureanu A.G., Bordean I., Grigore A., Modiga G.","55916698400;55963838700;55965611100;55965404400;55965319700;","The development of sustainable health tourism in the salty lakes areas",2009,"9th International Multidicsciplinary Scientific Geoconference and EXPO - Modern Management of Mine Producing, Geology and Environmental Protection, SGEM 2009","2",,,"763","768",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890335499&partnerID=40&md5=9ad238968e9a4cae5c57e89e731abc27","DANUBIUS University Galatzi, Romania","Tureac, C.E., DANUBIUS University Galatzi, Romania; Turtureanu, A.G., DANUBIUS University Galatzi, Romania; Bordean, I., DANUBIUS University Galatzi, Romania; Grigore, A., DANUBIUS University Galatzi, Romania; Modiga, G., DANUBIUS University Galatzi, Romania","In the current global crisis conditions any opportunity of extending the tourism market, attracting a new segment of tourists is welcome. The lake's water stands as a crucial link that conditions a leads through its physicalchemical composition the lake's biological life, the flora and fauna casting, their discomposure and transformation into mud quality important organic mater. The water's level growth involves deep qualitative alterations, concerning the peloidogenesis phenomenon related species, and the water's level drops until its drought limit affects not only the lake's biological life, but the intense mineralization processes exposed therapeutic mud. The Salt Lake's biogenesis has a pour and reduced number of few linked food chains and species. Although the vast majority of the lakes in Braila plain are having therapeutic proprieties the only arranged with balneary resorts is the Salt Lake Braila. © 2009 All Rights Reserved by the International Multidisciplinary Scientific GeoConference SGEM Printed in Sofia, Bulgaria.","Braila lake salt; Health tourism; Natural resources development; Plain braila; Tourism","Biological life; Food chain; Health tourisms; Mineralization process; Plain braila; Salt lakes; Sustainable healths; Tourism; Exhibitions; Lakes",,,,,,,,"Apostoleanu, G., (1884) The Salt Lake Baths, , Braila; Bogdan, O., Marinica, I., Rusan, N., Rusu, S., Warm Winter Risk in Romania (2008) Institute of Geography of Romanian Academy, Bucharest, Romania Balwois 2008 - Ohrid, , Republic of Macedonia; Botzan, D.A., Comanescu, M.P., The problem of the environment and nature conservation in Romania (2006) Earth and Environmental Science, , Part V Springer Netherlands; Canciu, C., Considerations on loessures from the Braila Plain, The Analele of Stefan Cel Mare (2004) University, Section Geography, , Year XIII, Suceava; Florea, N., (1976) Geochemistry of Water Turning the Romanian Plain to The Northeast, , Ed Academiei Republicii Socialiste Romania, Bucharest; Gastescu, P., (1971) Lakes In Romania, , Ed Academiei Republicii Socialiste Romania; Gastescu, P., Cornescu, I.S., (1973) Counties Homeland - Braila, , , Ed Academiei, Bucharest; Gastescu, P., Zavoianu, I., Bogdan, O., Driga, B., Breier, A., (1979) Excess Moisture From the Romanian Plain of North-East (1969-1973), , Ed Academiei, Bucharest; Coord, S.V., (1980) Counties Homeland-Braila, , Ed Sport-Turism, Bucharest; (1995) ICT, , *** Trends and perspectives of the Romanian balneary touristic offer in the context of the European tourism, Study; (2009) Encyclopedia Britannica1, , *** Braila. In the Britannic Encyclopedia, retrived March 10, 2009; http://www.britannica.com/EBchecked/topic/77254/Braila","DANUBIUS University GalatziRomania",,,,"9th International Multidicsciplinary Scientific Geoconference and EXPO, SGEM 2009","14 June 2009 through 19 June 2009","Albena",101472,,9789549181814,,,"English","Int. Multidicsciplinary Sci. Geoconf. EXPO - Mod. Manage. Mine Producing, Geology Environ. Protection",Conference Paper,"Final",,Scopus,2-s2.0-84890335499 "Spielberg P.","57204492399;","Medical tourism: Personalized all-around care desired [Medizintourismus: Individuelle rundumbetreuung erwünscht]",2009,"Deutsches Arzteblatt","106","47",,"","",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-76149085511&partnerID=40&md5=7e4c42546799ed11ec27ef72eb6d3b4b",,"Spielberg, P.",[No abstract available],,"Germany; health care; health service; note; patient care; tourism",,,,,,,,,"Spielberg, P.",,,,,,,,00121207,,DEAEB,,"German","Dtsch. Arztebl.",Note,"Final",,Scopus,2-s2.0-76149085511 "Vequist IV D.G., Valdez E.","55666196900;35184454000;","The correlation between medical tourism and biotechnology",2009,"Journal of Commercial Biotechnology","15","4",,"287","289",,1,"10.1057/jcb.2009.24","https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349591552&doi=10.1057%2fjcb.2009.24&partnerID=40&md5=53dd11063ba34b9f9dd9e71e8e6a3ef6","Center for Medical Tourism Research, University of the Incarnate Word, 4301 Broadway, San Antonio, TX 78209, United States","Vequist IV, D.G., Center for Medical Tourism Research, University of the Incarnate Word, 4301 Broadway, San Antonio, TX 78209, United States; Valdez, E., Center for Medical Tourism Research, University of the Incarnate Word, 4301 Broadway, San Antonio, TX 78209, United States",[No abstract available],,"biotechnology; competence; developed country; economic development; good clinical practice; good laboratory practice; good manufacturing practice; health care access; health care quality; medical care; medical service; medical tourism; note; tourism",,,,,,,,"Medical Tourism Association website. (2008) http://www.medicaltourismassociation.com/, MTA, accessed 20 June 2009; http://www.jointcommissioninternational.org, Joint Commission International website, accessed 20 June 2009; Price Waterhouse & Coopers. (2007) http://www.pwc.com/extweb/ pwcpublications.nsf?docid/91BF330647FFA402852572F2005ECC22, PWC, accessed 15 January 2009; American Hospital Association. (2009), http://www.aha.org/aha/ research-and-trends/health-and-hospital-trends/2007.html, AHA, accessed 16 June 2009; Centers for Disease Control. (2009), http://www.cdc.gov/nchs/nhis.htm, CDC, accessed 16 June 2009; BioSpectrum - Asia Edition. (2008), http://www.biospectrumasia.com/ content/270208MYS5627.asp, BioSpectrum Bureau, accessed 15 January 2009; Williams, D.E. and Seus, J.D. (2007), http://www.medretreat.com/ templates/UserFiles/Documents/Medical%20Tourism%20White%,20 Paper%,2010-07.pdf, accessed 20 March 2009","Vequist IV, D.G.; Center for Medical Tourism Research, University of the Incarnate Word, 4301 Broadway, San Antonio, TX 78209, United States",,,,,,,,14628732,,JCBOA,,"English","J. Commer. Biotechnol.",Note,"Final",,Scopus,2-s2.0-70349591552 "Jensen J.M.","7404522440;","Silver City health tourism in the early twentieth century: A case study",2009,"New Mexico Historical Review","84","3",,"321","361",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349429726&partnerID=40&md5=129ff0abfa38fb7cb2da6a067086c14f","New Mexico State University, United States","Jensen, J.M., New Mexico State University, United States",[No abstract available],,,,,,,,,,"Charlotte Russell Partridge and Miriam Frink Papers, 1862-1980 Milwaukee Manuscript Collection, p. 167. , Archives Division, Wisconsin Historical Society, Milwaukee, Wisconsin hereafter Partridge and Frink Papers, WHSAD; Berry, S.M., Russell, S.A., (1995) Built to Last: An Architectural History of Silver City, , New Mexico, 2d ed, Silver City, N.Mex.: Silver City Museum Society; Bates, B., Bargaining for Life: A Social History of Tuberculosis, 1876-1938 (1992) Studies in Health, Illness, and Caregiving in America, , Philadelphia: University of Pennsylvania Press; Rothman, S.M., (1994) Living in the Shadow of Death: Tuberculosis and the Social Experience of Illness in American History, , Baltimore, Md.: Johns Hopkins University Press; Loraine Harris McClevey (daughter of George Harris), interview by the author, 10 September 2007; Eleanor Partridge Harris to Charlotte Russell Partridge, 3 October 1912 Partridge and Frink Papers, , Silver City WHSAD; Jensen, J.M., (2006) Calling This Place Home: Women on the Wisconsin Frontier, 1850-1925, pp. 155-162. , St. Paul: Minnesota Historical Society Press; Sweet, E.A., Interstate Migration of Tuberculosis Persons: Its Bearing on the Public Health with Special Reference to the States of Texas and New Mexico (1915) Public Health Reports, 30, p. 1067. , 9 April 1069; Glaberman, U.B., (2000) The New Mexico Cottage Sanatorium: Tuberculosis in Southern New Mexico from 1890 to 1920, pp. 23-25. , honors thesis, New Mexico State University; Jones, B.M., (1967) Health Seekers in the Southwest, 1817-1900, , Norman: University of Oklahoma Press; Duffy, J., Medicine in the West: An Historical Overview (1982) Journal of the West, 21, pp. 5-14. , July; Shane, K.D., New Mexico: Salubrious El Dorado (1981) New Mexico Historical Review, 56, pp. 387-399. , October; Spidle Jr., J.W., ""An Army of Tubercular Invalids': New Mexico and the Birth of a Tuberculosis Industry (1986) New Mexico Historical Review, 61, pp. 179-201. , July; Spidle Jr., J.W., (1986) Doctors of Medicine in New Mexico: A History of Health and Medical Practice, 1886-1986, , Albuquerque: University of New Mexico Press; Johnson, J.R., John Weinzirl: A Personal Search for the Conquest of Tuberculosis (1988) New Mexico Historical Review, 63, pp. 141-155. , April; DeMark, J.L., Chasing the Cure - A History of Healthseekers to Albuquerque, 1902-1940 (1982) Journal of the West, 21, pp. 49-58. , July; Bullock, E.S., Sands, C.T., Twelve Years of Pulmonary Tuberculosis Treatment in the West (1909) Journal of the American Medical Association, 52, pp. 1973-1980. , 19 June; Lewis, N.O., Chasing the Cure in New Mexico: The Lungers and Their Legacy (2008) El Palacio, pp. 40-47. , winter; Peters, L.S., Cornish Jr., P.G., The Cauterization of Adhesions by Closed Pneumolysis after the Jacobaeus-Unverrecht Method (1931) Southwestern Medicine, 15, p. 61; Numbers, R.L., Public Protection and Self-Interest: Medical Societies in Wisconsin (1981) Wisconsin Medicine: Historical Perspectives, p. 94. , eds. Ronald L. Numbers and Judith W. Leavitt Madison: University of Wisconsin Press; Population Schedules of the Thirteenth Census of the United States 1910: New Mexico (1982) Microcopy T624, p. 29. , Washington, D.C.: National Archives and Records Service Records of the Bureau of the Census, Record Group National Archives; The National Cyclopedia of American Biography LeRoy Samuel Peters, , s.v; Peters, L.S., Observations on Diet in Tuberculosis (1911) New Mexico Medical Journal, 6, pp. 234-237. , July; Peters, L.S., Changing Concepts of Tuberculosis during Twenty-five Years (1940) Southwestern Medicine, 24, pp. 46-48. , February; Peters, L.S., New Mexico Medicine (1941) New Mexico Quarterly Review, 11, pp. 322-329; Peters, L.S., What New Mexico Needs Most in Tuberculosis Legislation (1915) New Mexico Medical Journal, 15, pp. 229-233; Peters, L.S., What Next in Medicine (1938) Southwestern Medicine, 22, pp. 429-431; Lawrence, G., Artificial Pneumothorax Boxes (2002) The Lancet, 360, p. 1105. , 5 October; Peters, L.S., Bullock, E.S., Artificial Pneumo-Thorax in the Treatment of Pulmonary Tuberculosis (1913) New Mexico Medical Journal, 9, pp. 95-97; Long, E.R., Artificial Pneumothorax in Tuberculosis (1919) American Journal of Nursing, 19, pp. 265-268. , January; Sachs, T.B., Artificial Pneumothorax in the Treatment of Pulmonary Tuberculosis: Results Obtained by Twenty-four American Observers (1915) Journal of the American Medical Association, 65, pp. 1861-1866. , 27 November; Alexander, J., (1925) The Surgery of Pulmonary Tuberculosis, pp. 79-94. , Philadelphia: Lea and Febiger; Myer, J.A., Tuberculosis, the Adirondacks, and Coming of Age for Thoracic Surgery (1991) Annals of Thoracic Surgery, 52, pp. 881-885; Dowling, (1977) Fighting Infection: Conquests of the Twentieth Century, p. 75. , Cambridge, Mass.: Harvard University Press; Russell, D., (1970) The Wild West: Or, a history of the Wild West Shows, Being an Account of the Prestigious, Peregrinatory Pageants Pretentiously Presented before the Citizens of the Republic, the Crowned Heads of Europe, and Multitudes of Awe-struck Men, Women, and Children around the Globe, Which Created a Wonderfully Imaginative and Unrealistic Image of the American West, p. 70. , Fort Worth, Tex.: The Amon Carter Museum of Western Art, 97, 124; Rosa, J.G., May, R., (1989) Buffalo Bill and His Wild West: A Pictorial Biography, p. 198. , Lawrence: University Press of Kansas","Jensen, J. M.; New Mexico State UniversityUnited States",,,,,,,,00286206,,,,"English","New Mex. Hist. Rev.",Article,"Final",,Scopus,2-s2.0-70349429726 "Rajeev A., Latif S.","57213655284;35801165600;","Study of the knowledge, attitude and experience of medical tourism among target groups with special emphasis on South India",2009,"Online Journal of Health and Allied Sciences","8","2",,"","",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77950343751&partnerID=40&md5=c5e9b57419267e8cf4c550974764a730","Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, India; Kasturba Medical College, Mangalore, India","Rajeev, A., Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, India; Latif, S., Kasturba Medical College, Mangalore, India","Medical tourism aims at providing cost-effective customized health care in collaboration with the tourism industry in distant locations wherein the hospitality component is handled efficiently so that fixing appointments, making arrangements for accommodation and other logistics become hassle-free for the patient. This allows more concentration on the procedure at hand and the interaction between the medical fraternity and the patient becomes smoother. More and more hospitals in India are gearing up to provide such services to neighbouring countries and even to the developed nations across the world. The purpose of this study was to study the knowledge, attitude and experiences of the population of a suitable cross-section regarding the emerging scenario of medical tourism with special interest vis-à-vis Non Resident Indians (NRIs) specifically to the state of Karnataka and Mangalore in particular. It was found that compared to the locals (kannadigas or non-kannadigas), the Non-resident Indians were more dissatisfied with the health care facilities available in their proximity. Though a majority of them do have medical insurance, it still looks as if the care is more cost-effective when sourced to India. NRIs are more aware of the potential of medical tourism through their communication with the medical fraternity as well as the general public and 11.1% of NRIs have really utilized the services of medical tourism. An e-mail survey which was also conducted among a number of foreigners yielded the interesting fact that they indeed had a greater awareness regarding medical tourism with an emphasis on health tourism. The reason why these foreigners opted for medical tourism was due to the substandard medical care available in their locality, rather than due to the cost of medical care as such.","Karnataka; Mangalore; Medical tourism",,,,,,,,,"Surgery Is Done On Wrong Side Of a Brain, , http://query.nytimes.com/gst/fullpage.html?sec=health&res=990CE7DC1239F936A15755C0A963958260, Anonymous. New York Times Health. Available at; Should I stay or should I go? (2004) Bull World Health Organ, 82 (8), pp. 634-634. , Fiona Fleck. August; The private health sector in India (2005) BMJ, 331, pp. 1157-1158. , Amit Sengupta and Samiran Nundy. November; (2006) CMAJ, 174 (9), p. 1246. , http://www.cmaj.ca/cgi/reprint/174/9/1246.pdf, Apples, oranges and wait times: CIHI report. April 25, Available at DOI:10.1503/cmaj.060387; Hospitals in India woo foreign patients (2004) BMJ, 328, p. 1338. , Ganapati, Mudur. (5 June), doi:10.1136/bmj.328.7452.1338; Challenges of the National Rural Health Mission. EDITORIAL (2005) Indian Journal of Medical Ethics, 2. , http://www.issuesinmedicalethics.org/issue132.html, Thelma Narayan. Apr-Jun Available at; Anita, A., Promoting Medical Tourism - Will it help? (2004) bmj.com, , http://bmj.bmjjournals.com/cgi/eletter-submit/328/7452/1338, 6 Jun; Cost Comparison - India Vs United States Of America (USA), , http://www.medicaltourismindia.com/india-medical-tours/indian-medical-health-packages.html, Anonymous. Available at","Rajeev, A., Chothara, Kottayam-686003, Kerala, India; email: rajeevtka@gmail.com",,,,,,,,09725997,,,,"English","Online J. Health Allied Sci.",Article,"Final",,Scopus,2-s2.0-77950343751 "Pańczyk W.","36696581300;","Recreational-health tourism in the Lublin region - Potential local-regional product [Turystyka rekreacyjno-zdrowotna na Lubelszczyźnie - Potencjalny produkt lokalno-regionalny]",2009,"Annales Universitatis Mariae Curie-Sklodowska. Sectio B","64","2",,"15","25",,1,"10.2478/v10066-010-0002-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955080109&doi=10.2478%2fv10066-010-0002-8&partnerID=40&md5=f1baf1406417d0f044ed77984dd8a677","Zakład Rekreacji Zamiejscowy Wydział Wychowania Fizycznego W Białej Podlaskiej, Akademia Wychowania Fizycznego, Warszawie, Poland","Pańczyk, W., Zakład Rekreacji Zamiejscowy Wydział Wychowania Fizycznego W Białej Podlaskiej, Akademia Wychowania Fizycznego, Warszawie, Poland","Commercial and spontaneous developing tourism praxis is visibly ahead of its theory. Health function in tourism praxis is actually not visible. It is also similar in some theoretical works. L. Turos (historian and educator) says that tourism ""is a cognitive, emotional, esthetical, social and moral experience..."" (Turos 1996). W. Gaworecki (1998) sees tourism's functions differently. He writes that tourism finds reflections in different human life spheres: social, psychological, cultural, spatial and economical, and among ten tourism functions he mentions, as the two first: leisure and health. W. Alejziak (1999) sees humanistic tourism's values even more distinctly. He claims that ""tourism is permanent and more and more important element of contemporary human's needs structure. It is human, who is most important here"". In postmodern human's needs structure tourism can realize rarely perceived health-prophylactic needs through different forms of rest, same as needs from widely recognized health therapy range. Human's health - somatic, as well as psychic - is shaped mainly by their interactivity with natural environment. The Lublin region is characterized, from recreational-sanatorium side, by two national parks and seventeen landscape parks, thus it should realize health needs firstly by tourism. Nineteen spacious natural environments create a unique occasion for recreational-sanatorium forms of Lublin tourism. Completing Toyne's (1978) term - health-recreational bio-climate, which is built with such elements as: air pressure, humidity, air temperature and sun operation (Riedl 1998), ""recreational surface"", the Lublin region is very advantageous for keeping homeo- and heterostasis of a human. Special beneficial effects on health are to be experienced on the Lublin lake areas, very rich in natural values and forest areas, offering therapeutic bio-climate. Recreational- sanatorium forms of tourism in these environments are the content of this article.","health tourism; prophylactic and therapeutic nature influence; recreational-sanatorium forms of Lublin region's tourism","Air pressures; Air temperature; Beneficial effects; Forest area; Human lives; Interactivity; Lake areas; National parks; Natural environments; prophylactic and therapeutic nature influence; recreational-sanatorium forms of Lublin region's tourism; Regional products; Atmospheric pressure; Parks; Health; air temperature; atmospheric pressure; bioclimatology; economic analysis; esthetics; forest ecosystem; health risk; humidity; landscape; morality; recreational development; spatial analysis; theoretical study; tourism development; Lubelskie; Lublin; Poland",,,,,,,,"Alejziak, W., (1999) Turystyka W Obliczu Wyzwań XXI Wieku, , ""Albis"", Kraków; Bergier, J., Rozwój turystyki przyjazdowej do województwa lubelskiego w latach 2001-2006 przesłanka̧ strategii rozwoju (2007) Kie-runki Rozwoju Turystyki W Województwie Lubelskiem, , J. Begier, M. Stelmach (red.) PWSZ, Biała Podlaska; Czeremeda, A., Kucharski, W., (1979) Parki Krajobrazowe i Obszary Chronionego Krajobrazu, , nowe formy ochrony przyrody. Aura 4; Gaworecki, W.W., (1994) Turystyka, , PWE, Warszawa; Kałamacka, W., Antyczne podróże do uzdrowisk pocza̧tkiem turystyki (2006) Aksjologia Turystyki, , Z. Dziu-biński (red.) SOSiRP, Warszawa; Krzymowska-Kostrowicka, A., (1997) Geoekologia Turystyki i Wypoczynku, , PWN, Warszawa; Lewandowski, M., Rajdy przygody - Specyficzny kierunek w turystyce aktywnej czy też wyczynowy sport ekstremalny? (2006) Turystyka Aktywna i Jej Rozwój na Roztoczu - Regionie Pogranicza, , A. Świeca, K. Kałamucki (red.) Kartpol, Lublin; Lijewski, T., Mikułowski, B., Wyrzykowski, J., (2002) Geografia Turystyki Polski, , Polskie Wyd. Ekonomiczne, Warszawa; Pańczyk, W., Turystyka aktywna na Roztoczu wobec pasywności fizycznej człowieka cywilizacji konsumpcyjnej (2006) Turystyka Aktyw-na i Jej Rozwój na Roztoczu - Regionie Pogranicza, , A. Świeca, K. Kałamucki (red.) Kartpol, Lublin; Pańczyk, W., Możliwości realizacji specjalnych potrzeb człowieka cywilizacji kon-sumpcyjnej dziȩki wykorzystaniu walorów rekreacyjno-turystycznych Euroregionu Bug (2006) Walory Turystyczne Euroregionu Bug Jako Czynnik Aktywizacji Gospodarczej i Integracji Społeczno-kulturowej W Zjed-noczonej Europie, , M Bochenek., G. Godlewski (red.) AWF, Biała Podlaska; Podemski, K., (2004) Socjologia Podróży, , UAM, Poznań; Riedl, T., (1998) Biologia Środowiskowa, , AWF, Gdańsk; Rymarczyk, P., Turystyka jako zwierciadło współczesnej kultury konsumpcyjnej (2006) Turystyka i Rekreacja - Wymiary Teore-tyczne i Praktyczne, , J. Kosiewicz, K. Obodyński (red.) Rzeszów; Siwiński, W., (1997) Pedagogika Kultury Fizycznej, , AWF, Poznań; Szczȩsny, T., (1997) Ochrona Przyrody i Krajobrazu, , PWN, Warszawa; Toczek-Werner, S., Walory środowiska (2003) Kultura Fizyczna W Środowisku Przyrodniczym W Okresie Letnim, , R. Błacha, W. Bigiel (red.) AWF, Wrocław; Toyne, P., (1978) Recreation and Environment, , Macmillan, London; Turos, L., (1996) Turystyka i Edukacja, , Ypsylon, Warszawa; Wyrzykowski, J., Geograficzne uwarunkowania rozwoju turystyki urlopowej i wy-poczynkowej w Polsce (1986) Acta Universitatis Wratislaviensis, 935. , Studia geogra-ficzne, XLIV; Ziȩba, S., (1998) Dylematy Bezpieczeństwa Ekologicznego, , KUL, Lublin","Pańczyk, W.; Zakład Rekreacji Zamiejscowy Wydział Wychowania Fizycznego W Białej Podlaskiej, Akademia Wychowania Fizycznego, Warszawie, Poland",,,,,,,,01371983,,,,"Polish","Ann. Univ. Mariae Curie-Sklodowska Sect. B",Article,"Final",,Scopus,2-s2.0-79955080109 "Lang I.G.","35388790300;","Patient mobility in the European Union: pushing for EU internal health market",2009,"Medicine and Law","28","4",,"661","671",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-74849108222&partnerID=40&md5=2e1d8c1f1ca26eb2782581ae3efd5d98","London School of Economics and Political Science, United Kingdom; Faculty of Law, University of Zagreb, Croatia","Lang, I.G., London School of Economics and Political Science, United Kingdom, Faculty of Law, University of Zagreb, Croatia","Having access to high-quality healthcare is a priority issue for European citizens and is recognised by the Charter of Fundamental Rights of the EU. The right to healthcare also encompasses situations where patients travel from one EU Member State to another and receive treatment there. This paper will explore the contradictory relation between the competence of EU Member States to regulate their health systems on their own, on the one hand, and free movement of services in the European Union, on the other hand. It will discuss the consequences of the decisions of the European Court of Justice in this field and the provisions of the Proposal for a Directive on Patients' Rights in Cross-Border Healthcare, especially in the light of opening up of EU Member States' healthcare markets, the need to control national healthcare expenditures and to protect the welfare state and the population of the host state. © PROBOOK 2009.","Cross-border movement; EU health law; Free movement of services; Overriding reasons of general interest; Public health; Reimbursement; Solidarity; Welfare state","article; European Union; health care delivery; human; international cooperation; legal aspect; medical tourism; patient right; Delivery of Health Care; European Union; Health Services Accessibility; Humans; International Cooperation; Medical Tourism; Patient Rights",,,,,,,,"see e.g. Case C-76/90 (1991) Säger, pp. ECR1-4221. , For the movement of a service provider; For the movement of a service recipient, see e.g. Case C-186/87 Cowan [1989] ECR I-195; Sometimes the existence of a potential recipient suffices for the application of EC law - see e.g. C-384/93 Alpine Investment [1995] ECR I- 1141; C-405/98 Gourmet International [2001] ECR I- 1795; Para. 12 in Säger (n. 1); Para. 16 in Joined Cases 286/82 and 26/83 Luisi and Carbone v Ministem del Tesoro [1984] ECR 377;; Para. 18 in Case C-159/90 SPUC. V. Grogan [1991] ECR I- 4685. Art. 50 EC stipulates that services shall be considered to be services within the meaning of this Treaty where they are normally provided for remuneration; Paras. 20 and 21 in Case C-158/96 Kohll [1998] ECR I-1931; Para, 55-56 in Case C-157/99 (2001) Geraets-Smits and Peerbooms, pp. ECR1-5473; Para. 39 in Case C-385/99 Mülier-Fauré[2003] ECR I-4509; For a detailed analysis of Art. 152 EC see T. Hervey and J. V. McHale, Health Law and the European Union, Cambridge University Press, 2004; Kohlt (n. 4); para. 44 in Geraets-Smits and Peerbooms, , See e.g. para. 17, n. 5; para. 146 in Case C-372/04 Watts [2006] ECR I-4325; Hatzopoulos, V., Health Law and Policy: The Impact of the EU (2005) EU Law and the Welfare Stat: In Search of Solidarity, pp. 122-125. , For an overview and analysis of secondary legislation adopted in the field of healthcare, see e.g, G. de Bùrca ed, Oxford University Press; For the discussion see Commission Communication Consultation regarding Community action on health services, SEC(2006) 1195/4, dating from 26 September 2006, and Commission Communication Follow-up to the high level reflection process on patient mobility and healthcare developments in the European Union, COM(2004) 301 final, dating from 20 April 2004; Kubosova, L., (2008) EU executive to tackle patient mobility in new social package, , http://euobserver.eom/9/26427, EUobserver, 2 July, available at last accessed on 9 January 2008; (2008) 414 final, , Proposal for a Directive of the European Parliament and the Council on the Application of Patients' Rights in Cross-Border Healthcare COM, 2 July; For a detailed discussion of the pros and cons of positive and negative integration in the healthcare field and the balance of powers between the EU and Member States as regards healthcare, see T. Hervey and L. Trubek, Freedom to provide health care services within the EU: An Opportunity for a Transformative Directive, paper presented at Law in New Governance Law Taskforce II Conference, 26-27 May 2006, University College London; Hervey, T., The European Union and the Governance of Health Care (2006) Law and New Governance in the EU and the US, , See also, G. de Búrca and J. Scott eds, Oxford, Hart; T. Hervey and J. V. McHale (n. 6). On the issue of regulatory competition see M. P. Maduro, We the Court: The European Court of Justice and the European Economic Constitution, Oxford: Hart, 1998; By the analysis of three case studies on France, the UK and Germany, A. J. Obermaier (The National Judiciary - Sword of European Court of Justice Rulings: The Example of the Kohll/Decker Jurisprudence, European Law Journal, 14, No. 6, 2008, 735-752) shows that, after the ECJ's rulings in Kohll and Decker, national courts played an important role in overcoming national resistance against these rulings. Obermaier suggests that, by applying ECJ's reasoning in a number of national cases, national courts forced national legislators to implement ECJ's rulings and end judicial uncertainty; Para. 53 in Kohll (n. 4);; para. 108 in Müller-Fauré(n. 5); to self-employed persons and to members of their families moving within the Community (1971) OJ L, 149, p. 2. , Council Regulation 1408/71 on the application of social security schemes to employed persons, 5 July; Barnard, C., (2007) The Substantive Law o fthe EU: The Four Freedoms, pp. 362-369. , Oxford University Press; See e.g. public health justification in paras. 69, 79-81 in Müller-Faure (n. 5); Art, 6(2) of the Draft Directive, (11); Art, 7 and 8 of the Draft Directive, (11); Point 7.2. of the Explanatory Memorandum attached to the Draft Directive (n. 11); Art 6(3) of the Draft Directive (n. 11); EU faces long row, , http://www.euractiv.com/en/health/eu-faces-long-row-cross-border-healthcare/article-174265, 17 July 2008, accessible at last accessed on 9 January 2009; Para, 12 in Säger, (1); Para. 15 in Säger (n.l); Paras. 69, 79-81 in Müller-Fauré (n. 5); (2008) After more than a decade, the European Commission released the directive on patients, , http:www.epha.org/a/2878, For such criticism see e.g. European Public Health Alliance EPHA, rights in cross-border healthcare, 24 September, accessible at last accessed on 9 January 2008; On the other hand, nothing in the Draft Directive prevents Member States from setting up national regimes that would pay in advance for the cross-border treatment; Flash Eurobarometer 210, Cross-border health services in the EU - Analytical Report, June 2007, accessible at http://ec.europa.eu/public- opinion/flash/fi-210-en.pdf, last accessed on 9 January 2008; According to J. Sussex (Cross-border healthcare: Going nowhere, Health Service Journal, 111, 2001), some of the factors might be doctors' reluctance to refer patients outside their home Member State as well as some legal and administrative uncertainties about reimbursement for cross-border treatment; According to Flash Eurobarometer 210 (n. 29), 78% of those questioned stated that their motive for being open to cross-border treatment is to receive better quality treatment than at home; After more than a decade, the European Commission released the directive on patients European Public Health Alliance (EPHA, rights in cross-border healthcare n. 27; This reflects the discussion in S. L. Greer (Uninvited Europeanization: neofunctionalism and the EU in health policy, Journal of European Public Policy 13:1, 2006, pp. 134-152) suggesting that all Member States can try to work for now is EU law that they like and that EU policy creates EU politics; Art, 22 of the Draft Directive, (11); Palm, W., Nickless, N., Lewalle, H., Coheur, A., (2000) Implications of recent jurisprudence on the co-ordination of healthcare protection systems, report produced for the European Commission Directorate-General for Employment and Social Affairs, , Brussels, Association International de la Mutualit AIM; Baeten, R., (2001) European Integration and National Healthcare Systems: A Challenge for Social Policy, 1, p. 8. , See also, infose; Jorens, Y., The Right to Health Care Across Borders (2003) The Impact of EU Law on Health Care Systems, Brussels: PIE, , R. Baeten, M. McKee and E. Mossialos eds, Pieter Lang; Mossialos, E., Palm, W., The European Court of Justice and the free movement of patients in the European Union International Social Security Review, 56, pp. 2-2003; Such fear has sometimes had a positive impact on Member States by stimulating them to reduce waiting times for domestic patients, see L. Bertinato et al. Policy Brief: Cross-Border Health Care in Europe, Brussels, World Health Organisation on behalf of the European Observatory on Health Systems and Policies, 2005. For an analysis of EU's governance of healthcare via the Open Method of Coordination; Hervey, T., The European Union's governance of health care and the welfare modernization agenda (2008) Regulation & Governance, 2, pp. 103-120. , see; A. Cygan (Public Healthcare in the European Union: Still a Service of General Interest?, International and Comparative Law Quarterly (ICLQ), 57, 2008, pp. 529-560) suggests that, when having to choose priorities in the application of two opposed objectives, the one within Art. 49 and the other within Art. 152(5) EC - the Court has given priority to Art. 49 EC and opted to protect individual economic rights over equal access to a universal healthcare service. Watts (n. 7) has shown that Member States have limited control over issues such as waiting lists; W. Palm and J. Nickless (Access to healthcare in the European Union - The consequences of the Kohll and Decker judgements, Eurohealth 7, 2001, pp. 13-15) questioned Member States' powers to make access to healthcare subject to certain procedures such as waiting lists (the question was posed prior to Watts) and to certain conditions such as age","Lang, I. G.; London School of Economics and Political ScienceUnited Kingdom",,,"Yozmot Heiliger Ltd",,,,,07231393,,MELAD,"20157977","English","Med. Law",Article,"Final",,Scopus,2-s2.0-74849108222 "Rotem A., Toker A., Mor-Yossef S.","26531735700;7004977321;15061634000;","Medical tourism: Changing a world trend into a national resource [Hebrew Source]",2009,"Harefuah","148","1",,"30","33",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-65249177144&partnerID=40&md5=50f0eb3b34f7b1a8737a8a885fd849f1","Hadassah Medical Organization, Jerusalem, Israel","Rotem, A., Hadassah Medical Organization, Jerusalem, Israel; Toker, A., Hadassah Medical Organization, Jerusalem, Israel; Mor-Yossef, S., Hadassah Medical Organization, Jerusalem, Israel","Medical tourism is a new world trend that has great potential. Many countries, especially in the Far East, invest in this emerging industry in order to build a modern medical infrastructure that will attract foreigners and will create a new source of income, while improving the medical services provided to the local community. This article reviews relevant literature and recent research on medical tourism. We suggest that Israel adopt a health policy that will use local know-how to turn it into a world leader in medical tourism.","Health policy; Medical tourism; Patients from abroad","article; foreign worker; health care delivery; health care planning; health care policy; human; Israel; leadership; organization and management; recreation; standard; travel; Delivery of Health Care; Foreign Professional Personnel; Health Policy; Health Resources; Humans; Israel; Leadership; Recreation; Travel",,,,,,,,"Pallarito, K., Insurers investigate medical tourism to save money on care (2006) Business Insurance, 40, p. 17; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, p. 21. , New York; Morrison, A.M., (1989) Hospitality and Travel Marketing, p. 7. , New York; Novelli, M., (2004) Niche Tourism, pp. 4-5. , Oxford; Woodman, J., Patients Beyond Boarders (2007), p. 5. , Chapel Hill, NC; Nautiyal S, Dogra, S., Medical Tourism Set to Take Off in a Big Way (1933) Parma Pulse, , http://www.expresspharmaonline.com/20050310/healthnews01.shtml; Kher, U., Outsourcing your Heart Time Magazine, , 21.5.2006; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the Market for Medical Travel (2008) The McKinsey Quarterly, , May; Herrick, D.M., (2000) Medical Tourism: Global Competition in Health Care, , NCPA Policy Report#304, ISBN # 1-56808-170-2 November; Story from BBC NEWS, , http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/3749801.stm, Published: 27.5.2004; Oxford Analytica, , www.oxan.com, Medical Tourism Industry Grows Rapidly 26.10.2006; Hebrew Souce 12 Hebrew Souce 3.7.2007; Robert, M., Wachter, M.D., The Dis-location of U.S. Medicine - The Implications of Medical Outsourcing (2006) N Engl J Med, 354, pp. 661-665; Bashshur, R., Technology Serves the People: The Story of a Cooperative Telemedicine Project by NASA, the Indian Health Service and the Papago People (1980), Superintendent of Documents, US Government Printing Office, Washington, D.C","Rotem, A.; Hadassah Medical Organization, Jerusalem, Israel; email: asaftoker@hadassah.org.il",,,,,,,,00177768,,HAREA,"19320386","Hebrew","Harefuah",Article,"Final",,Scopus,2-s2.0-65249177144 "Levaggi R., Menoncin F.","6602186868;6507674170;","Fiscal federalism, patient mobility and soft budget constraint in Italy",2008,"Politica Economica","24","3",,"367","388",,1,"10.1429/28763","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85031789246&doi=10.1429%2f28763&partnerID=40&md5=007daf8f1cc78dcfebebb7ff8cf87d8c","Dipartimento di Scienze Economiche, Università degli Studi di Brescia, Via San Faustino 74b, Brescia, I-25100, Italy","Levaggi, R., Dipartimento di Scienze Economiche, Università degli Studi di Brescia, Via San Faustino 74b, Brescia, I-25100, Italy; Menoncin, F., Dipartimento di Scienze Economiche, Università degli Studi di Brescia, Via San Faustino 74b, Brescia, I-25100, Italy","In some countries the reform of public health care provision has been accompanied by a parallel process of devolution that has also entailed the organisation of health care becoming a regional competence. However, the application of fiscal federalism in the context of the provision of health care is not so straightforward due to the nature of the services involved. In this paper we will concentrate on the soft budget constraint policy which involves local authorities persistently running into a deficit. In our paper we explain such behaviour as the result of a game among local authorities where the more efficient one wants to increase its production beyond local needs; to do so it induces the less efficient one to make patient receive services outside their region in exchange for a reduction in the local tax rate. The lack of coordination between local objectives and total welfare means that this policy is optimal at local level, but inefficient at Central Government level. The outcome of such game is a welfare loss.","Health Care Provision; Patients mobility.; Soft Budget Constraint",,,,,,,,,"Bordignon, M., Turati, G., (2006) Bailing Out Expectations and Health Expenditure in Italy: An Empirical Approach, , http://www4.unicatt.it/Docenti/Bordignon/download/Bailing%20out%20Expectations.pdf, available at; Grazzini, L., Petretto, A., (2005) Regional Fiscal Effort with Revenue Sharing and Equalisation, , http://maceprha.unipv.it/websiep/default.asp, available at; King, D., (1984) Fiscal Tiers: The Economics of Multi-level Government, , London, Allen & Unwin; Kornai, J., The soft budget constraint (1986) Kyklos, 39 (1), pp. 3-30; Kornai, J., Maskin, E., Roland, G., Understanding the soft budget constraint (2003) Journal of Economic Literature, 41, pp. 1095-1136; Levaggi, R., (1991) Fiscal Federalism, and Grants-in-aid: The Problem of Asymmetrical Information, , Aldershot, Avebury, Gower; Levaggi, R., Trasferimenti ai governi locali, beni pubblici impuri e strategie di rielezione (2006) Analisi di Politiche Economiche e Fiscali per Lo Sviluppo, , in A. Fossati (ed Milano, Franco Angeli; Levaggi, R., Ruocco, A., (2007) Regole e Concorrenza Nella Sanità, , mimeo; Levaggi, R., Smith, P.C., Decentralization in health care: Lessons from public economics (2004) Health Policy and Economics: Opportunities and Challenges, , in P. Smith, L. Ginnelly and M. Sculpher (eds London, Open, University Press; Levaggi, R., Zanola, R., Flypaper Effect and Sluggishness: Evidence from regional health expenditure in Italy (2003) International Tax and Public Finance, 10 (5), pp. 537-547; Marton, J., Wildasin, D., (2007) Medicaid Expenditures and State Budgets: Past, Present, and Future, Working Papers 2007-04, , University of Kentucky, Institute for Federalism and Intergovernmental Relations; Maskin, E., Xu, C., Soft budget constraint theories (2001) Economics of Transition, (9), pp. 1-27; Oates, W., (1972) Fiscal Federalism, , New YorkHarcourt Brace Janovich; Oates, W., Towards a second generation theory of fiscal federalism (2005) International Tax and Public Finance, (1), pp. 349-374; Petretto, A., On the cost and benefit of the regionalisation of the NHS (2000) Economics of Governance, (1), pp. 213-232; Petretto, A., (2002) The Impact of Vertical Fiscal Competition On the Tax Structure of a Federation with Equalising Grant, , http://maceprha.unipv.it/websiep/default.asp, available at; Smart, M., Taxation and deadweight loss in a system of intergovernmental transfer (1998) The Canadian Journal of Economics, 31 (1), pp. 189-206; Tresh, R., (2002) Public Finance: A Normative View, 2nd Edition, , San Diego,Academic Press; Wildasin, D.E., The institutions of federalism: Towards an analytical framework (2004) National Tax Journal, 57, pp. 247-272",,,,"Societa Editrice il Mulino",,,,,11209496,,,,"English","Polit. Econ.",Review,"Final",,Scopus,2-s2.0-85031789246 "Lingarchani A.","56111298900;","Extending collaborative business model with mobility and its implementation in the medical tourism industry",2008,"Handbook of Research in Mobile Business, Second Edition: Technical, Methodological and Social Perspectives",,,,"150","159",,1,"10.4018/978-1-60566-156-8.ch014","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84898391796&doi=10.4018%2f978-1-60566-156-8.ch014&partnerID=40&md5=d12c7c0727f73c85705f1089716e89a9","University of Technology, Sydney, Australia","Lingarchani, A., University of Technology, Sydney, Australia","This chapter discusses how to extend the collaborative business process model with mobility and how to implement such a model in the ""Medical Tourism"" industry. The implementation discussion in this chapter is based within the context of the booming Indian Medical Tourism industry that is growing rapidly with reported annual growth rate of up to 30% over past few years. The collaboration between various available services like lodging, transport, and hospital through separate domains, in order to provide a unified service to the potential client, is considered in this chapter. The resultant architecture can be considered as a Service-Oriented Architecture (SOA) which can provide immense value during implementation. © 2009, IGI Global.",,,,,,,,,,"(2007) Medical Tourism - Healthcare in the Competitive Global Marketplace, , http://www.changemakers.net/en-us/node/1086, Medical Insights International, United States. Retrieved on 19 July 2008, from; (2008) Magining Medical Travel's Future, , http://www.bridgehealthinternational.com/blog/2008/05/imagining-medical-travels-future/, May 12, BridgeHealth International Incorporated, United States. Retrieved on 20 July 2008, from; Alistair, B., (2005) A Critical Overview of Web Services Choreography Description Language, , www.bptrends.com, March, Retrieved on 19 April, 2008, from; Danell, S., Mugomba, C., (2007) Medical Tourism and its Entrepreneurial Opportunities - a Conceptual Framework for Entry into the Industry, , January, Master Thesis, Goteborg University, Goteborg; Ghanbary, A., (2007) IRMA Conference Paper; Ghanbary, A., (2008) Collaborative Business Process Engineering (CBPE) Across Multiple Organizations, , PhD thesis, University of Western Sydney; Herrick, D., (2007) Medical Tourism: Global Competition in Health Care, , http://www.ncpa.org/pub/st/st304/st304.pdf, Nov, National Centre of Policy Analysis. Retrieved on 18 July 2008, from; Lingarchani, A., (2007) Type Browser Extender, , Project Report, Gujarat University, Vadodara; Martins, H., Jones, M., Chapter V. Relevance of mobile computing in the field of medicine (2005) Handbook of Research in Mobile Business: Technological, Methodological and Social Perspectives, , In, I, B. Unhelkar (ed.). Hershey, PA, USA: IGI Global; Rosemarie, G., (2002) Web Services Choreography Interface (WSCI) Specifications Released to the Public, , http://www.developer.com/java/article.php/1379601, June, Gamelan (developer.com). Retrieved on 20 July 2008, from; (2008) Top 10 Reasons Why Medical Tourism is Popular, , https://www.healthbase.com/hb/pages/Top-10-Reasons-Why-Medical-Tourism-is-Popular.jsp, HealthBase, Newton. Retrieved on 19 April 2008, from; Medical Tourism, , http://en.wikipedia.org/wiki/Medical_tourism, Wikipedia, Retrieved from; Medical Tourism Guide, , http://medicaltourismguide.org/risks/, Wikipedia, Retrieved from","Lingarchani, A.; University of Technology, SydneyAustralia",,,"IGI Global",,,,,,9781605661568,,,"English","Handbook of Res. in Mobile Bus., Second Edition: Tech., Methodological and Social Perspectives",Book Chapter,"Final",,Scopus,2-s2.0-84898391796 "Petroune I., Yachina E.","56338646500;56338875900;","Heritage of spa and health tourism in Russia",2008,"Health and Wellness Tourism",,,,"285","290",,1,"10.4324/9780080942032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899396992&doi=10.4324%2f9780080942032&partnerID=40&md5=fbaf58bdd90d973d5dd99f8f95443e9f","Sochi State University of Tourism and Recreation, Sochi, Russian Federation; Institute of Rehabilitilogy under Sochi, State University for Tourism and Recreation Sochi Research, Institute of Balneology, Sochi, Russian Federation","Petroune, I., Sochi State University of Tourism and Recreation, Sochi, Russian Federation; Yachina, E., Institute of Rehabilitilogy under Sochi, State University for Tourism and Recreation Sochi Research, Institute of Balneology, Sochi, Russian Federation",[No abstract available],,,,,,,,,,,"Petroune, I.; Sochi State University of Tourism and Recreation, Sochi, Russian Federation",,,"Butterworth-Heinemann",,,,,,9780080942032,,,"English","Health and Wellness Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84899396992 "Arnold P.C.","36052290500;","Sponsored medical tourism",2008,"BMJ","336","7643",,"522","",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-40949142389&partnerID=40&md5=b8087c710d2d8bacda1130d51cc1e712",,"Arnold, P.C.",[No abstract available],,"drug industry; fee; general practice; letter; medical education; priority journal; registration; surgical instrument; tourism",,,,,,,,"Moynihan R. Doctors' education: the invisible influence of drug company sponsorship. BMJ 2008;336:416-7. (23 February.)","Arnold, P. C., Edgecliff, NSW 2027, Australia; email: parnold@ozemail.com.au",,,,,,,,09598146,,BMJOA,,"English","BMJ",Letter,"Final",,Scopus,2-s2.0-40949142389 "Kantor A.","17135204500;","Medical tourism takes off.",2008,"AHIP Coverage","49","3",,"42","44, 46",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-45949092836&partnerID=40&md5=bb77efed617e884d9504adbc3adebaf1","PR Healthcare, Bethesda, Maryland, United States","Kantor, A., PR Healthcare, Bethesda, Maryland, United States",[No abstract available],,"article; economics; health care delivery; human; international cooperation; patient attitude; travel; Delivery of Health Care; Humans; International Cooperation; Patient Acceptance of Health Care; Travel",,,,,,,,,"Kantor, A.",,,,,,,,15518442,,,"18533387","English","AHIP Cover",Article,"Final",,Scopus,2-s2.0-45949092836 "Le Borgne C.","27567821100;","Medical tourism: A new way of taking care of oneself [Concurrence et santé le tourisme médical: Une nouvellle façon de se soigner]",2007,"Tribunes de la Sante","15","2",,"47","53",,1,"10.3917/seve.015.0047","https://www.scopus.com/inward/record.uri?eid=2-s2.0-67649544184&doi=10.3917%2fseve.015.0047&partnerID=40&md5=5c9b3576995fe4079b45a85c89cdbfaf","Rédactrice en chef adjointe du Panorama du Médecin, Spécialisée dans le Secteur de la Santé et de la Protection Sociale, France","Le Borgne, C., Rédactrice en chef adjointe du Panorama du Médecin, Spécialisée dans le Secteur de la Santé et de la Protection Sociale, France","Medical tourism becomes a reality. Patients now cross national borders more often to benefit from healthcare that is less regulated than in their home country (genetics), less expensive (dentistry, plastic surgery), or more available (prostheses, residential nursing home, care for autistic children). But a new phenomenon has arisen with globalization: heavy care is now more available in such areas as cardiology, ophthalmology and oncology in certain countries as India, Thailand, Tunisia and Morocco. These healthcare services are promoted by aggressive commercial advertising aimed at attracting an international clientele who can pay for it. This latest trend is still of only marginal importance for French patients but is already quite widespread in North America, England or Italy, as well as in the Gulf countries and North Africa. Medical tourism becomes a reality. Patients now cross national borders more often to benefit from healthcare that is less regulated than in their home country (genetics), less expensive (dentistry, plastic surgery), or more available (prostheses, residential nursing home, care for autistic children). But a new phenomenon has arisen with globalization: heavy care is now more available in such areas as cardiology, ophthalmology and oncology in certain countries as India, Thailand, Tunisia and Morocco. These healthcare services are promoted by aggressive commercial advertising aimed at attracting an international clientele who can pay for it. This latest trend is still of only marginal importance for French patients but is already quite widespread in North America, England or Italy, as well as in the Gulf countries and North Africa. © Presses de Sciences Po. Tous droits réservés pour tous pays.",,,,,,,,,,,"Le Borgne, C.; Rédactrice en chef adjointe du Panorama du Médecin, Spécialisée dans le Secteur de la Santé et de la Protection SocialeFrance; email: cleborgne@huveaux.fr",,,,,,,,17658888,,,,"French","Trib. Sante",Article,"Final",,Scopus,2-s2.0-67649544184 "Mensdorf B.","7004401355;","Step by step to nursing care competence--8: patient mobilization: with as little effort as possible to achieve the goal [Schritt für Schritt zur Handlungssicherheit--Teil 8: Mobilisation: Mit so wenig Anstrengung wie möglich zum Ziel.]",2007,"Pflege Zeitschrift","60","12",,"691","694",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-40949091134&partnerID=40&md5=54ab00caa0a8d0fa6a14e2a94ed15120","Pflegezentrum Bethanien der Evangelischen Diakonissenanstalt Stuttgart.","Mensdorf, B., Pflegezentrum Bethanien der Evangelischen Diakonissenanstalt Stuttgart.",[No abstract available],,"article; biomechanics; clinical competence; human; in service training; kinesthesia; mobilization; nurse patient relationship; nursing; nursing assessment; nursing theory; walking difficulty; Clinical Competence; Early Ambulation; Humans; Inservice Training; Kinesthesis; Lifting; Mobility Limitation; Nurse-Patient Relations; Nursing Assessment; Nursing Theory",,,,,,,,,"Mensdorf, B.email: mensdorf@diak-stuttgart.de",,,,,,,,09451129,,,"18200988","German","Pflege Z",Article,"Final",,Scopus,2-s2.0-40949091134 "Offermanns G.","57193855938;","Patient mobility in Europe [Patientenmobilität in Europa]",2007,"Public Health Forum","15","56",,"13.e1","13.e3",,1,"10.1016/j.phf.2007.07.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-47149108517&doi=10.1016%2fj.phf.2007.07.007&partnerID=40&md5=fe959b3dc3c35229fc4048721e921251","Alpen-Adria-Universität Klagenfurt, Fakultät für Wirtschaftswissenschaften, Abt. fur Offentliche, Betriebswirtschaftslehre, Bereich Management und Okonomie Im Gesundheitswesen, Universitätsstraße 65-67, 9020 Klagenfurt, Austria","Offermanns, G., Alpen-Adria-Universität Klagenfurt, Fakultät für Wirtschaftswissenschaften, Abt. fur Offentliche, Betriebswirtschaftslehre, Bereich Management und Okonomie Im Gesundheitswesen, Universitätsstraße 65-67, 9020 Klagenfurt, Austria",[No abstract available],,,,,,,,,,"Bertinato, L., (2005) Cross-Border Health Care in Europe - Policy Brief (Online), , http://www.mig.tu-berlin.de/files/2005.publications/2005.bertinato.l.pdf, Copenhagen: World Health Organization, June (Zitierdatum 15.06.07), abrufbar unter; Busse, R., (2006) Mapping Health Services Access: National and Cross-Border Issues (Health Access Final Report) (Online), , http://www.ehma.org/_fileupload/File/HealthACCESS/ HealthAccess_FinalReport_20Nov.doc, Brüssel: European Health Management Association (EHMA), November (Zitierdatum 13.06.2007), abrufbar unter; Hurst, J., Siciliani, L., Tackling Excessive Waiting Times for Elective Surgery: A Comparison of Policies in Twelve OECD Countries. Annex 3: Detailed Country Reviews: Figures (2003) Paris: OECD Health Working Papers No. 6; Karl, B., Grenzüberschreitende Gesundheitsversorgung in der Europäischen Union (2006) Economic An Sociopolitical Perspectives for Health Services in Central Europe, pp. 22-36. , Burger R, editor. Wien: Gesundheitsmanagement OEG;; Rosenbrock, R., Gerlinger, T., (2004) Gesundheitspolitik, , Verlag Hans Huber Bern; Rosenmöller, M., (2006) Patient Mobility in the European Union - Learning from Experience (Online), , http://www.iese.edu/en/files/6_22160.pdf, Copenhagen: World Health Organization, May (Zitierdatum 15.06.07), abrufbar unter; Wismar, M., Analysis of Single European Market legislation and jurisdiction (2002) The European Union and Health Services, pp. 41-59. , Busse R, editor. Amsterdam: IOS Press;; Wörz, M., (2005) Mapping Health Services Access: National and Cross-Border Issues (Health Access Phase I) (Online), , http://www.ehma.org/_fileupload/File/Projects/HA_Summary_Report_01_02_06. pdf, Brüssel: European Health Management Association (EHMA), Dezember (Zitierdatum 13.06.2007), abrufbar unter","Offermanns, G.; Alpen-Adria-Universität Klagenfurt, Fakultät für Wirtschaftswissenschaften, Abt. fur Offentliche, Betriebswirtschaftslehre, Bereich Management und Okonomie Im Gesundheitswesen, Universitätsstraße 65-67, 9020 Klagenfurt, Austria; email: guido.offermanns@uni-klu.ac.at",,,"Urban und Fischer Verlag Jena",,,,,09445587,,,,"German","Public Health Forum",Article,"Final",,Scopus,2-s2.0-47149108517 "Nath S.V.","57204730004;","Global Medical Tourism: Dawn of A New Era",2007,"Journal of Information Technology Case and Application Research","9","3",,"1","5",,1,"10.1080/15228053.2007.10856115","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041614884&doi=10.1080%2f15228053.2007.10856115&partnerID=40&md5=383d89bfe17c134606b8f3ede6401727","Medical Excursion, Inc, United States","Nath, S.V., Medical Excursion, Inc, United States","In this preface that coincides with the Sixth Annual International Smart-Sourcing conference held in Atlantic city, New Jersey, USA on September 6-7, 2007, we look at the rise of the Global Medical Tourism (GMT) that has followed the ""commodification of healthcare"" [1]. Can we still maintain the personal touch and patient safety as the guiding principle in this emerging industry? In the Western world, increasingly, healthcare is treated as a commodity, - the process by which it is rendered more and more similar to a commodity that is amenable to being traded in the free market [1]. Free markets always strive towards an arbitrage equilibrium or arbitrage free market and as long as the price differential for elective medical procedures exists between the Western World and the Medical Tourism destinations exist, this industry will thrive. Given, this fact, we look at the state of this industry and how to build safeguards over it so that patient safety is not compromised. In other words, this industry is ripe for a Blue Book of patient safety standards. Here we strive to bring all the stakeholders of the industry together to start such a process. There are a lot of small and medium businesses that somehow manage to provide healthcare benefits to their employees but are only one medical claim awayfiom disaster. One employee has a heart attack and needs an open heart surgery or another one has a ski injury and needs a knee surgery (ACLIMCL repair), the claim will either nearly double the healthcare premium for next year for small groups or will prevent it from renewal. Loss of healthcare benefits can easily lead to loss of valuable employees. As a result many small and medium businesses are looking at selfinsurance coupled with GMT to insulate them from such adversities. The US healthcare say professionals along with their remote counterparts have responded to this need in recent years and have created companies that can be called the Medical Tourism Operators in an attempt to add the personal touch for the patients in this comrnoditized market. Some of the issues that exist in this area are how do you stay away from practicing medicine yet service the medical needs of the patients. Medicine, being a very regulated industry, at least in USA, is full of rules and regulation in the interest of the consumers on one-hand and malpractice litigations on the other. All these make GMT a very dynamic emerging industry as a confluence of healthcare, economics, CRMIIT law and more recently politics (movie Sicko is a good example of that). © 1970, © 1970 Elsevier Ltd.",,,,,,,,,,,"Nath, S.V.; Medical Excursion, IncUnited States; email: Shyam@MedicalExcursion.com",,,"Routledge",,,,,15228053,,,,"English","J. Inf. Technol. Case Appl. Res.",Editorial,"Final",,Scopus,2-s2.0-85041614884 "Bey T.","6701330070;","Globalization of medical performances: Risks and adverse effects of medical tourism [Globalisierung medizinischer leistungen: Risiken und nebenwirkungen des medizintourismus]",2007,"Deutsches Arzteblatt","104","4",,"A176","178",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33846821871&partnerID=40&md5=27510f126aff66773505fb021d9677a5","Department of Emergency Medicine, University of California Irvine, UCI Medical Center, 101 The City Drive, Rte. 128, Orange, CA 92868, United States","Bey, T., Department of Emergency Medicine, University of California Irvine, UCI Medical Center, 101 The City Drive, Rte. 128, Orange, CA 92868, United States",[No abstract available],,"article; health care organization; hospital; medical education; medical literature; professional competence; tourism",,,,,,,,"(2005) Overview of the Uninsured in the United States: An Analysis of the 2005 Current Population Survey, pp. 1-11. , http://aspe.hhs.gov/health/ reports/05/est-uninsured/index.htm, US-Department of Health, Office of the Assistant Secretary for Planning and Evaluation; Kher U: Outsourcing your heart. Time May 29, 2006; 167, No. 22; www.time.com/time/magazine/article/0,9171,1196429,00.html; Milstein, A., Miller, M., America's New Refugees - Seeking Affordable Surgery Offshore (2006) N Eng J Med, 255, pp. 1637-1640; Milstein A: Federal Trade Commission Testimony on February 27, 2003. http://www.ftc.gov/ogc/healthcarehearings/docs/030227milstein1.pdf, http://www.ftc.gov/ogc/healthcarehearings/03052730agenda.htm; Rai, S., Union Disrupts Plan to Send Ailing Workers to India for Cheaper Medical Care (2006) The New York Times, 100 (6). , October 11; http://www.apollohospdelhi.com, Appollo Hospital in New Delhi; http://www.jointcommission.org, Joint Commission; http://www.jcrinc.com, Joint Commission Resources; Gentleman, A., Controversy in India over medical treatment (2005) International Herald Tribune, , http://www.iht.com/bin/print_ipub.php?file=/ articles/2005/12/02/news/india.php, December 2; Sengupta, A., Nundy, S., The private health sector in India (2005) BMJ, 331, pp. 1157-1158; Bernhard, B., Disaster training from UCI helps doctors in Mumbai (2006) Orange County Register, , http://www.ocregister.com/ocregister/news/abox/ article_1213601.php, July 17; Mudur, G., Hospitals in India woo foreign patients (2004) BMJ, 328, p. 1338; Misra, R., Pro-Poor Health Reform-Why, What and How (2003) Second Consultation on Marcroeconomics and Health, , http://www.who.int/macrohealth/events/en/ rajeev_misra.pdf, Geneva, 28, 30 October, Published by the World Health Organization","Bey, T.; Department of Emergency Medicine, University of California Irvine, UCI Medical Center, 101 The City Drive, Rte. 128, Orange, CA 92868, United States",,,,,,,,00121207,,DEAEB,,"German","Dtsch. Arztebl.",Article,"Final",,Scopus,2-s2.0-33846821871 "Yang Y.-H., Cheng Y., Meng F.-C.","51564970300;55487736000;55426667300;","An available way for developing medical tourism in Shanghai: A theoretic exploration",2007,"Proceedings of 2007 International Conference on Management Science and Engineering, ICMSE'07 (14th)",,, 4422202,"2430","2435",,1,"10.1109/ICMSE.2007.4422202","https://www.scopus.com/inward/record.uri?eid=2-s2.0-43549085247&doi=10.1109%2fICMSE.2007.4422202&partnerID=40&md5=9e9612305239fc0032685927d4f52acb","School of Economics and Management, Tongji University, 200092, China; Siemens Ltd., 200120, China","Yang, Y.-H., School of Economics and Management, Tongji University, 200092, China; Cheng, Y., School of Economics and Management, Tongji University, 200092, China; Meng, F.-C., Siemens Ltd., 200120, China","Medical tourism is growing rapidly and forming a profitable industry which everyone is wanting a share of, as well as Shanghai government. Shanghai government plans to develop medical tourism and takes it as a part of becoming the centre of modern service industry. However, the best hospitals are state owned and they are not competent to do marketing and promotion. So the international clinics affiliated these hospitals face some demand deficiency. If some new hospitals are established to develop the international medical treatment, it is difficult for them to attract patient abroad because lack of reputation. And it is deed the fact that the best doctors all work for hospitals state owned in China which is formed a kind of tradition. So it is difficult for new hospital to attract excellent staffs. An available way is proposed here. We suggest that specialized agencies go abroad to canvass this new breed of big-spending tourists for hospitals, and hospitals provide high quality treatment This kind of cooperation between them insures specialization, efficiency and scale economic. We employ a dissymmetrical two player game to address how the profits of the business should be allotted between agency and hospital in order to keep the cooperation for long. The result shows the cooperation between agency and hospital is stable on condition that the payoff is allotted between them rightly. We hope the solution in this paper can help guide the practice developing Medical tourism.","Agency; Evolutional game; Hospital; Medical tourism","Marketing; Medical applications; Patient treatment; Planning; Evolutional game; Medical tourism; Service industry; Profitability",,,,,,,,,"Yang, Y.-H.; School of Economics and Management, Tongji University, 200092, China",,"Harbin Institute of Technology, P.R. China;National Natural Science Foundation of China","Institute of Electrical and Electronics Engineers Inc.","2007 International Conference on Management Science and Engineering, ICMSE'07","20 August 2007 through 22 August 2007","Harbin",72050,,9787883580805,,,"English","Proc. Int. Conf. Manage. Sci. Eng. ICMSE",Conference Paper,"Final",,Scopus,2-s2.0-43549085247 "Ghafari A.S., Meghdari A., Vossoughi G.R.","56423499100;7003828407;9240169600;","Intelligent control of powered exoskeleton to assist paraplegic patients mobility using hybrid neuro-fuzzy ANFIS approach",2006,"2006 IEEE International Conference on Robotics and Biomimetics, ROBIO 2006",,, 4141956,"733","738",,1,"10.1109/ROBIO.2006.340297","https://www.scopus.com/inward/record.uri?eid=2-s2.0-46249087054&doi=10.1109%2fROBIO.2006.340297&partnerID=40&md5=e181b5fbbb8613201203761db0462d07","Center of Excellence in Design, Robotics and Automation (CEDRA), School of Mechanical Engineering, Sharif University of Technology, P.O. Box 11365-9567, Tehran, Iran","Ghafari, A.S., Center of Excellence in Design, Robotics and Automation (CEDRA), School of Mechanical Engineering, Sharif University of Technology, P.O. Box 11365-9567, Tehran, Iran; Meghdari, A., Center of Excellence in Design, Robotics and Automation (CEDRA), School of Mechanical Engineering, Sharif University of Technology, P.O. Box 11365-9567, Tehran, Iran; Vossoughi, G.R., Center of Excellence in Design, Robotics and Automation (CEDRA), School of Mechanical Engineering, Sharif University of Technology, P.O. Box 11365-9567, Tehran, Iran","Integrating humans and robotics technology into one system offers multiple opportunities for creating assistive technologies that can be employed in biomechanical, industrial, and aerospace applications. The present study deals with employing the adaptive neuro-fuzzy inference system (ANFIS) approach in rule base derivation for powered exoskeleton intelligent control to assist paraplegic patient mobility. By employing the hybrid learning algorithm, optimal distributed membership functions to describe the mapping relation in the input and output parameters of the gait cycle were derived. As the proposed control strategy was unaffected by changing human dynamics, the reliability and robustness of the controller for safe interaction with humans were increased. ©2006 IEEE.","ANFIS; Exoskeleton; Neuro-Fuzzy; Paraplegic","Adaptive control systems; Automation; Biomechanics; Biomimetics; Conformal mapping; Control theory; Describing functions; Function evaluation; Fuzzy control; Fuzzy inference; Fuzzy logic; Fuzzy systems; Intelligent control; Learning algorithms; Learning systems; Membership functions; Robotics; Robots; Robust control; Robustness (control systems); (min ,max ,+) functions; Adaptive Neuro-Fuzzy Inference System (ANFIS); Assistive technology (AT); Control strategies; Gait cycles; Human dynamics; Hybrid learning algorithms; Input and output (I/O); international conferences; Mapping relation; Neuro fuzzy (NF); Paraplegic patients; Patient mobility; Reliability and robustness; Robotics technology; Rule base (IF THEN); Military data processing",,,,,,,,"Kralj, A., Bajd, T., (1989) Functional Electrical Stimulation: Standing and Walking after Spinal Cord Injury, , Boca Raton, FL: CRC; Nashner, L.M., McCollum, G., The Organization of Human Postural Movements: A Formal Basis and Experimental Synthesis (1985) Behav. Brain Sci, 8, pp. 135-172; Jaime, R.P., Matjacic, Z., Hunt, K.J., Paraplegic Standing Supported by FES-Controlled Ankle Stiffness (2002) IEEE Transactions on Neural Systems and Rehabilitation Engineering, 10 (4), pp. 239-248. , December; Holderbaum, W., Hunt, K.J., Gollee, H., H∞ Robust Control Design for Unsupported Paraplegic Standing: Experimental Evaluation (2002) Control Engineering Practice, 10, pp. 1211-1222; Hunt, K.J., Gollee, H., Jaime, R.P., Control of Paraplegic Ankle Joint Stiffness Using FES while Standing (2001) Medical Engineering and Physics, 23, pp. 541-555; Van der Spek, J.H., Veltink, P.H., Hermens, H.J., Koopman, B.F.J., Boom, H.B.K., Static and Dynamic Evaluation of the Influence of Supplementary Hip-Joint Stiffness on Crutch-Supported Paraplegic Stance (2003) IEEE Transactions on Neural Systems and Rehabilitation Engineering, 11 (4), pp. 452-462. , December; Van der Spek, J.H., Veltink, P.H., Hermens, H.J., Koopman, B.F.J., Boom, H.B.K., A Model Based Approach to Stabilizing Crutch Supported Paraplegic Standing by Artificial Hip Joint Stiffness (2003) IEEE Transactions on Neural Systems and Rehabilitation Engineering, 11 (4), pp. 443-451. , December; Vukobratovic, M., Hristic, D., Stojiljkovic, Z., Development of active anthropometric exoskeletons (1974) Med. Biol. Eng, 12 (1), pp. 66-80; Seireg, A., Grundman, J.G., Design of a multitask exoskeletal walking device for paraplegics (1981) Biomechanics of Medical Devices, pp. 569-639. , Ghista DN, ed, New York: Marcel Dekker, Inc; Lee, S., Sankai, Y., Power assist control for walking aid with HAL-3 based on EMG and impedance adjustment around knee joints (2002) Proceedings of the 2002 IEEE/RSJ Int. Conference on Intelligent Robotics and Systems, pp. 1499-1504; Kawamoto, H., Sankai, Y., Power assist method based on phase sequence driven by interaction between human and robot suit (2004) 13th IEEE International Workshop on Robot and Human interactive Communication; Kasaoka, K., Sankai, Y., Predictive control estimating operator's intention for stepping-up motion by exoskeleton type power assist system HAL (2001) IEEE/RSJ International Conference on Intelligent Robots and Systems; Jacobsen, S.C., Olivier, M., Smith, F.M., Research robots for applications in artificial intelligence, teleoperation and entertainment (2004) Int. J. of Robotics Research, 23 (4-5), pp. 319-330; Chu, A., Kazerooni, H., Zoss, A., On the biomimetic design of the Berkley Lower Extremity Exoskeleton (BLEEX) (2005) Proceedings of the 2005 IEEE International Conference on Robotics and Automation, pp. 4356-4363. , Barcelona, Spain, April; Huang, L., Steger, J.R., Kazerooni, H., Hybrid control of the Berkley lower extremity exoskeleton (BLEEX) (2005) Proceedings of IMECE2005, , ASME International Mechanical Engineering Congress and Exposition, November 5-11, Orlando, Florida USA; Kazerooni, H., Racine, J.L., Huang, L., Steger, R., On the control of the Berkeley lower extremity exoskeleton (BLEEX) (2005) Proceedings of the 2005 IEEE International Conference on Robotics and Automation, pp. 4364-4371. , Barcelona, Spain, April; Zoss, A., Kazerooni, H., Architecture and hydraulics of a lower extremity exoskeleton (2005) Proceedings of IMECE2005, , ASME International Mechanical Engineering Congress and Exposition, November 5-11, Orlando, Florida USA; Ferris, D.P., Sawicki, G.S., Domingo, A.R., Powered lower limb orthoses for gait rehabilitation (2005) Top Spinal Cord Inj. Rehabil, 11 (3), pp. 34-39; Jang, J.S.R., ANFIS: Adaptive network based fuzzy inference system (1993) IEEE Trans. Syst. Man Cybernet, 23 (3), pp. 665-685; Jang, J.S.R., Sun, C.T., Mizutani, E., (1997) Neuro-fuzzy and soft computing - a computational approach to learning and machine intelligence, , Prentice Hall international, Inc; Yeh, F.H., Lu, Y.H., Li, C.L., Wu, M.T., Application of ANFIS for inverse prediction of hole profile in the square hole bore-expanding process (2006), pp. 136-144. , Journal of Processing Technology 17.3; Winter, A., International Society of Biomechanics, , http://www.isbweb.org/data, Biomechanical Data Resources, Gait Data. Available","Ghafari, A. S.; Center of Excellence in Design, Robotics and Automation (CEDRA), School of Mechanical Engineering, Sharif University of Technology, P.O. Box 11365-9567, Tehran, Iran; email: a_selkghafari@mech.sharif.edu",,"IEEE Robotics and Automation Society (RAS);Robotics Society of Japan (RSJ);Japanese Society of Mechanical Engineers (JSME);Peking University;Beijing Institute of Technology;Yunnan University",,"2006 IEEE International Conference on Robotics and Biomimetics, ROBIO 2006","17 December 2006 through 20 December 2006","Kunming",72424,,1424405718; 9781424405718,,,"English","IEEE Int. Conf. Rob. Biomimetics, ROBIO 2006",Conference Paper,"Final",,Scopus,2-s2.0-46249087054 "Kmietowicz Z.","26643098800;","GPs to check on patients' residency status to stop “health tourism”",2004,"BMJ","328","7450",,"1217","",,1,"10.1136/bmj.328.7450.1217-a","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85007760241&doi=10.1136%2fbmj.328.7450.1217-a&partnerID=40&md5=dd0ec4a903096b63853cdd6157a6124d","London, United Kingdom","Kmietowicz, Z., London, United Kingdom",[No abstract available],,,,,,,,,,,"Kmietowicz, Z., London, United Kingdom",,,,,,,,09598138,,,,"English","BMJ",Article,"Final",,Scopus,2-s2.0-85007760241 "George T.","57196842722;","...following medical tourism in Chennai",2003,"National Medical Journal of India","16","6",,"343","",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-1642513737&partnerID=40&md5=054fcc3c20dd377b38ad519a82bb1d08",,"George, T.",[No abstract available],,"Africa; dental care; eye disease; health care cost; health care delivery; health care quality; health service; heart disease; human; India; medical specialist; note; patient care; tourism",,,,,,,,,,,,,,,,,0970258X,,NMJIE,,"English","Natl. Med. J. India",Note,"Final",,Scopus,2-s2.0-1642513737 "Tarantolo S., Travstman M., Reed E.G., Murohv B., Mann S., Kessinqer A., Sharp J.G.","7004202312;14526080400;7202479384;14525520200;7401546746;14525236600;35473832100;","Administration of gm-csf to breast cancer patients mobilizes low numbers of tumor cells into leukapheresis harvests",1996,"Experimental Hematology","24","9",,"1047","",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-3042945361&partnerID=40&md5=e11aa6d07baea12a06e5484e8d198606","University of Nebraska, Omaha, NE, United States","Tarantolo, S., University of Nebraska, Omaha, NE, United States; Travstman, M., University of Nebraska, Omaha, NE, United States; Reed, E.G., University of Nebraska, Omaha, NE, United States; Murohv, B., University of Nebraska, Omaha, NE, United States; Mann, S., University of Nebraska, Omaha, NE, United States; Kessinqer, A., University of Nebraska, Omaha, NE, United States; Sharp, J.G., University of Nebraska, Omaha, NE, United States","Brugger et al (1994) reported that the administration of chemotherapy followed by G-CSF to patients (pts) with breast and lung cancer caused epithelial cells to appear in the circulation at a time dependent on whether bone marrow was involved with tumor. In this circumstance, it is, unclear if vascular damage caused by the chemotherapy contributes to the release of tumor cells. Consequently, we have evaluated mobilization of breast cancer cells into apheresis harvests in 15 pts with metastatic breast cancer following administration of GM-CSF alone. The tumor cells were detected by both immunocytochemistry(ICC) and RT-PCR to cytokeratins 8, 18 and 19. Blood and bone marrow were sampled prior to apheresis harvests and during cytokine administration, as well as, the pooled frozen sample administered to the patient and a blood sample immediately post-transplant. We observed positive apheresis harvests in pts with negative blood and marrow prior to mobilization. These results demonstrate that breast cancer cells are mobilized in low numbers, into leukapheresis harvests following the administration of cytokine alone and some tumor cells are likely to be re-infused with the harvest. However, the clinical significance of reinfusion of small numbers of mobilized tumor cells remains to be determined.",,,,,,,,,,,"Tarantolo, S.; University of Nebraska, Omaha, NE, United States",,,,,,,,0301472X,,EXHEB,,"English","Exp. Hematol.",Article,"Final",,Scopus,2-s2.0-3042945361 "van Heteren G.","6602674406;","Health care history - International comparisons of health care systems: Part two. medical travellers as 'system builders'",1994,"Health Care Analysis","2","2",,"157","163",,1,"10.1007/BF02249740","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028434675&doi=10.1007%2fBF02249740&partnerID=40&md5=87f1398c4da3b35a7e2531e575083855",,"van Heteren, G.","The accounts of Wunderlich and Lee, which have been presented in the second part of this brief series, are two representative examples of a well-respected 19th-century genre of international comparison of medical systems. Since these early comparative accounts consist of observations on medical systems by doctor-travellers at a time when intense medical reform debates about the national significance of medicine were taking place, the focus of attention is often intra-professional. In texts such as those by Wunderlich and Lee, creating coherence within a national health care system was primarily understood as constructing national coherence within the medical profession. The comparisons which derived from international travellers of the period were on the whole cast in a literary, narrative form, and were based on personal observation and occasional hands-on experience in foreign practice. The relevance of this type of publication for national policy at this early stage of national system development was defined in terms of the perceived advantages which a more detailed explication of differences between the medical educational structures, medical philosophies and practical professional roles in different nations might bring. © 1994 John Wiley & Sons, Ltd.",,"article; comparative study; cultural factor; foreign worker; France; Germany; health care delivery; history; history of medicine; medical education; organization and management; travel; United Kingdom; Comparative Study; Cross-Cultural Comparison; Delivery of Health Care; Education, Medical; England; Foreign Professional Personnel; France; Germany; History of Medicine, 19th Cent.; History of Medicine, 20th Cent.; Travel",,,,,,,,"Maulitz, R., (1987) Morbid Appearance. The Anatomy of Pathology in the Early Nineteenth Century, , Cambridge University Press, Cambridge; Wunderlich, C.A., (1841) Wien und Paris. Ein Beitrag zur Geschichte und Beurtheilung der gegenwärtige Heilkunde in Deutschland und Frankreich, , Verlag von Ebner & Seubert, Stuttgart; Lee, E., (1843) Observations on the Principal Medical Institutions and Practice of France, Italy and Germany: with notices on the universities and climates: and illustrative cases. (Re-written and considerably enlarged with a parallel view of English and Foreign Medicine and Surgery), , J. Churchill, London; Marx, K. F. H. M. (1842). Erinnerungen aus England, Braunschweig; Mühry, A. M. (1836). Darstellung und Ansichten zur Vergleichung der Medicin in Frankreich, England, und Deutschland, Hannover",,,,"Kluwer Academic Publishers",,,,,10653058,,HCAVE,"10134794","English","Health Care Anal",Article,"Final",,Scopus,2-s2.0-0028434675 "Skupnjak B.","6602586933;","On the benefits and morever, the necessity of establishing the health tourism centre",1990,"Medicina","26","2-3",,"77","81",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0025600858&partnerID=40&md5=1bfe2a7cd898a6a45ac3039dbd009381","Zavod za Organizaciju i Ekonomiku Zdravstva, Zagreb, Yugoslavia","Skupnjak, B., Zavod za Organizaciju i Ekonomiku Zdravstva, Zagreb, Yugoslavia",[No abstract available],,"health care facility; nonhuman; review; tourism",,,,,,,,,,,,,,,,,00257729,,MCNAB,,"Serbian","MEDICINA",Review,"Final",,Scopus,2-s2.0-0025600858 "Cuculic M., Brozicevic I.","6602237023;6508088619;","Touristic medicine and health tourism",1990,"Medicina","26","1",,"33","35",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0025117908&partnerID=40&md5=3e7f6a181842e5e0b3771eda5ed6fef0","Klinika za Infektivne Bolesti i Febrilna Stanja Klinickog Bolnickog Centra, Rijeka, Yugoslavia","Cuculic, M., Klinika za Infektivne Bolesti i Febrilna Stanja Klinickog Bolnickog Centra, Rijeka, Yugoslavia; Brozicevic, I., Klinika za Infektivne Bolesti i Febrilna Stanja Klinickog Bolnickog Centra, Rijeka, Yugoslavia",[No abstract available],,"human; public health; review; tourism",,,,,,,,,,,,,,,,,00257729,,MCNAB,,"Serbian","MEDICINA",Review,"Final",,Scopus,2-s2.0-0025117908 "Wisthal B.","6506386928;","Improving patient's mobility by oxygen-savings. Oxytron - a new oxygen demand system [DURCH SAUERSTOFFERSPARNIS ZU VERBESSERTER PATIENTENMOBILITAT. OXYTRON - EIN SAUERSTOFFSPARSYSTEM]",1989,"Atemwegs- und Lungenkrankheiten","15","5",,"200","204",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0024346575&partnerID=40&md5=651c37eeb366397f0f0ee1215d280045","Teutoburger-Wald-Klinik, D-4792 Bad Lippspringe, Germany","Wisthal, B., Teutoburger-Wald-Klinik, D-4792 Bad Lippspringe, Germany",[No abstract available],,"human; oxygen therapy",,,,,,,,,,,,,,,,,03413055,,ATLUD,,"German","ATEMWEGS- LUNGENKR.",Article,"Final",,Scopus,2-s2.0-0024346575 "Wanner A.L., Stone J.T.","57197088212;7403061221;","Prolonged EEG recording with unrestricted patient mobility.",1982,"The West Virginia medical journal","78","5",,"113","116",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0020133040&partnerID=40&md5=95e715a97b29cc8da993b4fddbdbf62b",,"Wanner, A.L.; Stone, J.T.",[No abstract available],,"adult; article; case report; electroencephalography; female; human; instrumentation; male; methodology; preschool child; seizure; tape recorder; Adult; Case Report; Child, Preschool; Electroencephalography; Female; Human; Male; Middle Age; Seizures; Tape Recording",,,,,,,,,"Wanner, A.L.",,,,,,,,00433284,,,"6953706","English","W V Med J",Article,"Final",,Scopus,2-s2.0-0020133040 "Bain D.J.","7005887039;","Patient mobility and consulting behavior: a comparative study between the United Kingdom and the United States.",1981,"Journal of Family Practice","12","5",,"891","895",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0019570525&partnerID=40&md5=74d63f0dcda95d9d72420d2dd875f97e",,"Bain, D.J.","A study of consulting patterns of patients in the United Kingdom and the United States who had recently moved house and settled in a new environment shows that the act of moving has a notable effect on patients' health. Despite the radically different structure of the medical services in the United Kingdom and the United States, the consulting behavior of patients in contrasting settings was remarkably similar. During the first year in a new community, adults will consult twice as often as established patients with emotional illness; and during the same period of time, children will be seen twice as often with respiratory illness. The settling in period in a new environment is a time of stress, and such times of stress will be reflected by higher consulting rates and greater demand on physicians' services.",,"article; comparative study; general practice; human; migration; patient referral; United Kingdom; United States; utilization review; Comparative Study; Family Practice; Great Britain; Human; Referral and Consultation; Residential Mobility; United States",,,,,,,,,"Bain, D.J.",,,,,,,,00943509,,,"7217907","English","J Fam Pract",Article,"Final",,Scopus,2-s2.0-0019570525 "BUGYI B.","35346825800;","Data on medical tourism and climate therapy in the High Tatra mountains.",1963,"Orvosi hetilap","104",,,"1426","1428",,1,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-75449131869&partnerID=40&md5=ce66e7d669be3a79708200eca8aee674",,"BUGYI, B.",[No abstract available],,"article; climate; public health service; travel; CLIMATE; HEALTH RESORTS; TRAVEL; Climate; Health Resorts; Travel",,,,,,,,,"BUGYI, B.",,,,,,,,00306002,,,"14016703","Hungarian","Orv Hetil",Article,"Final",,Scopus,2-s2.0-75449131869 "Ganer Herman H., Ben Zvi M., Tairy D., Kleiner I., Gonen N., Kuper Sason L., Bar J., Kovo M.","56565588700;57185569300;57199705159;57189003973;57195504230;57203871957;7102487536;23100556700;","Enhancing patient mobility following cesarean-delivery - the efficacy of an improved postpartum protocol assessed with pedometers",2020,"BMC pregnancy and childbirth","20","1",,"353","",,,"10.1186/s12884-020-03046-z","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086354916&doi=10.1186%2fs12884-020-03046-z&partnerID=40&md5=6001be04a408459cae79e69354c31f22","Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel","Ganer Herman, H., Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel; Ben Zvi, M., Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel; Tairy, D., Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel; Kleiner, I., Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel; Gonen, N., Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel; Kuper Sason, L., Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel; Bar, J., Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel; Kovo, M., Departments of Obstetrics and Gynecology, Edith Wolfson Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Holon, Tel Aviv, Israel","BACKGROUND: The incidence of thromboembolic complications is highest in the immediate postpartum period, especially following caesarean delivery (CD). Ambulation following CD is important in their prevention. We examined the effect of an educational protocol on patients' mobility following CD, with the use of digital step counters (pedometers). METHODS: Starting February 2018, we implemented an educational protocol at the maternity ward, which included nurses' tutoring and subsequent patients' education, regarding the importance of early ambulation. Following CD, ambulation was initiated 4 h following surgery (as compared to 6 h prior). Scheduled IV acetaminophen was administered at six-hour intervals for 48 h (as compared to only 24 h prior), while additional analgesics were given upon patient request. We compared maternal demographics, delivery and postpartum course between the pre-protocol group (n = 101) and the post-protocol group (n = 100). All patients were asked to wear pedometers for 48 h following the delivery to assess ambulation. RESULTS: Patients' demographics, surgical and post-partum course were non-significant between the groups, except for surgical length (48.5 ± 14.6 vs. 53.5 ± 15.3 min in the pre and post protocol groups, respectively, p = 0.02). The pre-protocol group was treated with more additional analgesics (p = 0.02). A higher number of steps was taken in the post-protocol group as compared to the pre-protocol group (4394 ± 2985 vs.3551 ± 2931, respectively p = 0.04). In a linear regression analysis in which the number of steps served as the dependent variable, this educational protocol was independently associated with a higher number of steps [coefficient 988 steps, 95% CI 137-1838, p = 0.02], as was smoking, after adjustment for surgical length, emergent surgery, maternal age and body mass index. CONCLUSION: An educational protocol which included earlier ambulation and regular interval pain control was associated with improved ambulation following CD.","Analgesics; Cesarean-delivery; Pedometer; Steps",,,,,,,,,,,,,"NLM (Medline)",,,,,14712393,,,"32517733","English","BMC Pregnancy Childbirth",Article,"Final",Open Access,Scopus,2-s2.0-85086354916 "Rauchegger T., Angermann R., Meusburger A., Schwab J., Haas G., Kralinger M., Zehetner C.","57206776125;57197836459;57217123036;57217122399;15122076500;6601931051;26021611900;","Patient Mobility and Journey Distance as Risk Factors for Severe Visual Impairment: Real-Life Data Analysis of Treatment-naïve Patients with nAMD under Intravitreal Aflibercept Therapy [PatientInnen-Mobilität und Anreisedistanz als Risiko für höhergradige Sehbehinderung: Real-Life-Daten therapienaiver AMD-PatientInnen unter intravitrealer Aflibercept-Therapie]",2020,"Klinische Monatsblatter fur Augenheilkunde","237","6",,"789","796",,,"10.1055/a-1008-9357","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086347026&doi=10.1055%2fa-1008-9357&partnerID=40&md5=6f0724d2b2d2391e77d4862d1fe53afa","Medizinische Universität Innsbruck, Austria; Landeskrankenhaus Salzburg - Universitätsklinikum der Paracelsus Medizinischen PrivatuniversitätSalzburg, Austria","Rauchegger, T., Medizinische Universität Innsbruck, Austria; Angermann, R., Medizinische Universität Innsbruck, Austria, Landeskrankenhaus Salzburg - Universitätsklinikum der Paracelsus Medizinischen PrivatuniversitätSalzburg, Austria; Meusburger, A., Medizinische Universität Innsbruck, Austria; Schwab, J., Medizinische Universität Innsbruck, Austria; Haas, G., Medizinische Universität Innsbruck, Austria; Kralinger, M., Medizinische Universität Innsbruck, Austria; Zehetner, C., Medizinische Universität Innsbruck, Austria","OBJECTIVE: The aim of this study is to describe the effectiveness of aflibercept in treatment-naive patients with neovascular age related macular degeneration (nAMD) and the impact of patients' residential distance to the clinic and patients' mobility on therapy in a pro re nata regime. METHODS: A retrospective dataset analysis of 483 treatment-naive patients with nAMD was performed. The main outcomes were best corrected visual acuity (BCVA), central foveal thickness (CFT), bilateral visual impairment, distance and type of transport to the clinic. Secondary outcomes were injection rate, numbers and reasons of loss to follow-up. RESULTS: Patients received 4.91 ± 1.9 injections in their first year and 7.06 ± 3.6 after the period of 25 months (m). Initially the BCVA improved significantly after a loading dose from 0.72 logMAR (± 0.44) to 0.63 logMAR (± 0.45; p = 0.03). However, the BCVA significantly decreased after 2 years to 0.82 (± 0.48; p < 0.001). The proportion of patients with higher visual impairment and patients needing assistance with transport increased with the distance of their residence to the clinic (both p < 0.001). The LTFU rate was 3% and showed a correlation with greater age (p = 0.019). CONCLUSION: The presented data show that aflibercept is effective for the treatment of nAMD. Although a good increase in visual acuity is initially achieved in the majority of patients, the initial success of treatment is not maintained throughout the course of the disease. Compared to controlled clinical studies, the presented data show reduced therapeutic success and lower injection frequencies. The rising demand for patient transport aid and increased visual impairment with increased distance indicate potential problems within the healthcare system. Georg Thieme Verlag KG Stuttgart · New York.FRAGESTELLUNG: Ziel unserer Studie war die Analyse der Effektivität von intravitrealen Injektionen mit Aflibercept. Ein weiterer Untersuchungsgegenstand waren mögliche negative Einflussfaktoren auf die Behandlung von PatientInnen mit therapienaiver exsudativer Makuladegeneration. METHODE: Es wurden Real-Life-Daten von PatientInnen mit exsudativer altersbedingter Makuladegeneration (nAMD) unter Aflibercept-Therapie retrospektiv erhoben. Erfasst wurden u. a. Geschlecht, Alter, Entfernung zur Klinik in km, Art des Transports, bestkorrigierter Visus (BCVA), zentrale Foveadicke (CFT) bei Diagnosestellung und allen Verlaufskontrollen, Sehbehinderung nach WHO-Kriterien, Anzahl der Kontrollen und Anzahl der Injektion im 1. Jahr sowie im 2. Jahr nach Behandlungsbeginn. ERGEBNISSE: Es wurden Daten von 483 PatientInnen erhoben. Die PatientInnen erhielten in den ersten 12 Monaten 4,91 ± 1,9 Injektionen und nach 26 Monaten 7,06 ± 3,6 Injektionen. Nach der initialen Loading Dose steigerte sich der BCVA signifikant von 0,72 logMAR (± 0,44) auf 0,63 logMAR (± 0,45; p = 0,03), jedoch kam es bis zum Ende des Beobachtungszeitraums zu einem signifikant schlechteren Visus als zu Behandlungsbeginn (0,82 logMAR ± 0,48; p < 0,01). In einer Trendanalyse zeigte sich mit weiterer Entfernung des Wohnorts zur Klinik ein signifikant höherer Anteil der PatientInnen, die einen Krankentransport oder eine Begleitung aus dem privaten Umfeld benötigten. Außerdem war in Korrelation mit der Distanz zur Klinik ein signifikanter Anstieg höhergradiger Sehbehinderungen feststellbar (beides p < 0,001). SCHLUSSFOLGERUNG: Die Real-Life-Daten therapienaiver PatientInnen mit exsudativer AMD unter Aflibercept-Therapie zeigen, dass im Vergleich zu randomisierten klinischen Studien ein schlechteres Visusergebnis und eine niedrigere Injektionsfrequenz erzielt wurde. Der höhere Bedarf für einen begleitenden Patiententransport und der Anstieg der Prävalenz höhergradiger Sehbehinderungen bei zunehmender Entfernung des Wohnorts zur Klinik könnten einen Hinweis auf strukturelle Probleme der Versorgungsqualität von PatientInnen mit nAMD darstellen.",,,,,,,,,,,,,,"NLM (Medline)",,,,,14393999,,,"31770790","German","Klin Monbl Augenheilkd",Article,"Final",,Scopus,2-s2.0-85086347026 "Camargo-Plazas P., Silva e Silva V., Duhn L., Tregunno D.","57201556815;57190619264;6507783925;6506490884;","Teaching about globalization for nursing practice: Medical tourism as an exemplar",2020,"Nurse Education Today","89",, 104403,"","",,,"10.1016/j.nedt.2020.104403","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082414848&doi=10.1016%2fj.nedt.2020.104403&partnerID=40&md5=6e30700598852044d1168be374359d39","School of Nursing, Queen's University, Room 203, Cataraqui Building, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada; School of Nursing, Queen's University, Cataraqui Building, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada; School of Nursing, Queen's University, Room 227, Cataraqui Building, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada; School of Nursing, Queen's University, Room 236, Cataraqui Building, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada","Camargo-Plazas, P., School of Nursing, Queen's University, Room 203, Cataraqui Building, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada; Silva e Silva, V., School of Nursing, Queen's University, Cataraqui Building, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada; Duhn, L., School of Nursing, Queen's University, Room 227, Cataraqui Building, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada; Tregunno, D., School of Nursing, Queen's University, Room 236, Cataraqui Building, 92 Barrie Street, Kingston, Ontario K7L 3N6, Canada",[No abstract available],"Critical pedagogy; Ethics; Globalization; Nursing undergraduate education; Organ donation; Organ tourism; Transplant tourism",,,,,,,,,"Akoh, J.A., Key issues in transplant tourism (2012) World J. Transplant., 2 (1), pp. 9-18; Camargo Plazas, P., Understanding the space of nursing practice in Colombia: a critical reflection on the effects of health system reform (2018) Nurs. Inq., 25 (3); Camargo Plazas, M.D.P., Cameron, B.L., Freire's participatory educational method to understand the experience of living with chronic illness in the age of globalization (2015) J. Nurs. Res., 23 (2), pp. 83-93; Corfee, F.A., Transplant tourism and organ trafficking: ethical implications for the nursing profession (2016) Nurs. Ethics, 23 (7), pp. 754-760; Coulibaly, S.K., Erbao, C., Metuge Mekongcho, T., Economic globalization, entrepreneurship, and development (2018) Technol. Forecast. Soc. Chang., 127 (100), pp. 271-280; Crooks, V.A., Turner, L., Cohen, I.G., Bristeir, J., Snyder, J., Csaey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: a qualitative study of Canadian health and safety representatives’ perspectives (2013) BMJ Open, 3 (e002302), pp. 1-8; Shalev, C., Moreno, A., Eyal, H., Leibel, M., Schuz, R., Eldar-Geva, R., Ethics and regulation of inter-country medically assisted reproduction: a call for action (2016) Isr. J. Health Policy Res., 5 (59), pp. 1-12; Whittaker, C., Dunsmore, V., Murphy, F., Rolfe, C., Trevitt, R., Long-term care and nursing management of a patient who is the recipient of a renal transplant (2012) J. Ren. Care, 38 (4), pp. 233-240","Camargo-Plazas, P.; School of Nursing, Queen's University, Room 203, Cataraqui Building, 92 Barrie Street, Canada; email: mdpc@queensu.ca",,,"Churchill Livingstone",,,,,02606917,,,"32222570","English","Nurse Educ. Today",Editorial,"Final",,Scopus,2-s2.0-85082414848 "Raggio B.S., Brody-Camp S.A., Jawad B.A., Winters R.D., Aslam R.","57184345700;56862209300;57190401631;22936189600;55813562100;","Complications Associated with Medical Tourism for Facial Rejuvenation: A Systematic Review",2020,"Aesthetic Plastic Surgery","44","3",,"1058","1065",,,"10.1007/s00266-020-01638-w","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079445945&doi=10.1007%2fs00266-020-01638-w&partnerID=40&md5=f9b1ea548cf1bf81aab25db0728dc115","Department of Otolaryngology, Tulane University Medical Center, 1430 Tulane Ave, #8659, New Orleans, LA 70112, United States; Department of Otorhinolaryngology, Ochsner Clinic Foundation, New Orleans, United States","Raggio, B.S., Department of Otolaryngology, Tulane University Medical Center, 1430 Tulane Ave, #8659, New Orleans, LA 70112, United States; Brody-Camp, S.A., Department of Otolaryngology, Tulane University Medical Center, 1430 Tulane Ave, #8659, New Orleans, LA 70112, United States; Jawad, B.A., Department of Otolaryngology, Tulane University Medical Center, 1430 Tulane Ave, #8659, New Orleans, LA 70112, United States; Winters, R.D., Department of Otolaryngology, Tulane University Medical Center, 1430 Tulane Ave, #8659, New Orleans, LA 70112, United States, Department of Otorhinolaryngology, Ochsner Clinic Foundation, New Orleans, United States; Aslam, R., Department of Otolaryngology, Tulane University Medical Center, 1430 Tulane Ave, #8659, New Orleans, LA 70112, United States","Background: Medical tourism for cosmetic surgery has become increasingly popular in recent years. The existing literature has identified poor outcomes associated with general cosmetic tourism; however, the complications associated with cosmetic tourism for facial rejuvenation remain poorly understood. The aims of this study are to delineate the risk profile associated with medical tourism for facial rejuvenation. Methods: A systematic review of PubMed, MEDLINE, and Embase was performed through January 2019 using the PRISMA guidelines. Search terms included combinations of keywords including medical tourism and plastic surgery and other related nomenclature. Articles published in English relevant to medical tourism for facial rejuvenation and its associated complications were examined. Results: We identified six retrospective studies including 31 patients who had obtained facial rejuvenation procedures abroad and experienced treatment-associated complications. Twenty-five of 26 listed patients (96%) were female (age range 33–62 years). Departure nations included the USA, Switzerland, England, Ireland, Australia, and Thailand. Destination nations included the Dominican Republic, Cyprus, the USA, Colombia, Thailand, India, and China. Procedures included blepharoplasty, facelift, rhinoplasty, chin lift, and injections with botulinum toxin and dermal fillers. Complications included abscess, poor cosmesis, facial nerve palsy, and death. Conclusions: We present the first study to systematically review the complications associated with medical tourism for facial rejuvenation. No definitive conclusions can be made given the paucity of relevant data, its clinical and statistical heterogeneity, and small sample size. Additional research is warranted to help inform patients who seek facial rejuvenation procedures abroad and to better understand the health system implications associated with cosmetic tourism for facial rejuvenation. Level of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. © 2020, Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.","Complications; Medical tourism; Outcomes; Plastic surgery",,,,,,,"The authors would like to acknowledge Benjamin Bryant, Medical Librarian at Ochsner Health System, and Mary Holt, Medical Librarian at Tulane University Health Sciences Center, for assistance with creating the systematic review search strategy.",,"Turner, L., Medical tourism” and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care (2010) Int J Health Serv, 40 (3), pp. 443-467; Pereira, R.T., Malone, C.M., Flaherty, G.T., Aesthetic journeys: a review of cosmetic surgery tourism (2018) J Travel Med, 25 (1), p. tay042; Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the United States (2013) Plast Reconstr Surg Glob Open, 1 (7); Griffiths, D., Mullock, A., Cosmetic surgery: regulatory challenges in a global beauty market (2018) Health Care Anal, 26 (3), pp. 220-234; Crooks, V.A., Snyder, J., Regulating medical tourism (2010) Lancet, 376 (9751), pp. 1465-1466; Lunt, N., Horsfall, D., Hanefeld, J., Medical tourism: a snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-44; Holliday, R., Bell, D., Cheung, O., Jones, M., Probyn, E., Brief encounters: assembling cosmetic surgery tourism (2015) Soc Sci Med, 124, pp. 298-304; Thacoor, A., van den Bosch, P., Akhavani, M., Surgical management of cosmetic surgery tourism-related complications: current trends and cost analysis study of the financial impact on the UK National Health Service (NHS) (2018) Aesthet Surg J, 39, pp. 786-791; Brightman, L., Ng, S., Ahern, S., Cooter, R., Hopper, I., Cosmetic tourism for breast augmentation: a systematic review (2018) ANZ J Surg, 88 (9), pp. 842-847; Nasser, J.S., Chung, K.C., Discussion: plastic surgery complications from medical tourism treated in a U.S. Academic Medical Center (2018) Plast Reconstr Surg, 141 (4), pp. 524e-525e. , COI: 1:CAS:528:DC%2BC1cXmt1Wnu7k%3D; Padilla, P., Ly, P., Dillard, R., Boukovalas, S., Zapata-Sirvent, R., Phillips, L.G., Medical tourism and postoperative infections: a systematic literature review of causative organisms and empiric treatment (2018) Plast Reconstr Surg, 142 (6), pp. 1644-1651. , COI: 1:CAS:528:DC%2BC1cXitlCmsbbM; Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., Group, P., Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (2010) Int J Surg, 8 (5), pp. 336-341; Moher, D., Shamseer, L., Clarke, M., Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement (2015) Syst Rev, 4, p. 1; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266; Nguyen, A., Mahabir, R.C., An update on the level of evidence for plastic surgery research published in plastic and reconstructive surgery (2016) Plast Reconstr Surg Glob Open, 4 (7); Higgins, J., Altman, D., Sterne, J., Chapter 8: Assessing risk of bias in included studies (2011) Cochrane Handbook for Systematic Reviews of Interventions, , Higgins J, Green S, Version 5.1.0 ed. The Cochrane Collaboration; Murad, M.H., Sultan, S., Haffar, S., Bazerbachi, F., Methodological quality and synthesis of case series and case reports (2018) BMJ Evid Based Med, 23 (2), pp. 60-63; Balshem, H., Helfand, M., Schunemann, H.J., GRADE guidelines: 3. Rating the quality of evidence (2011) J Clin Epidemiol, 64 (4), pp. 401-406; Ross, K.M., Moscoso, A.V., Bayer, L.R., Rosselli-Risal, L., Orgill, D.P., Plastic surgery complications from medical tourism treated in a U.S. Academic Medical Center (2018) Plast Reconstr Surg, 141 (4), pp. 517e-523e. , COI: 1:CAS:528:DC%2BC1cXmt1Wnu7g%3D; Klein, H.J., Simic, D., Fuchs, N., Complications after cosmetic surgery tourism (2017) Aesthet Surg J, 37 (4), pp. 474-482. , PID: 28364525; Livingston, R., Berlund, P., Eccles-Smith, J., Sawhney, R., The real cost of “cosmetic tourism” cost analysis study of “cosmetic tourism” complications presenting to a public hospital (2015) Eplasty, 15. , PID: 26240672; Yau, B., Lang, C., Sawhney, R., Mycobacterium abscessus abscess post-thread facial rejuvenation procedure (2015) Eplasty, 15, p. ic19. , PID: 25987942; Turner, L., News media reports of patient deaths following ‘medical tourism’ for cosmetic surgery and bariatric surgery (2012) Dev World Bioeth, 12 (1), pp. 21-34; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: an observational study and cost analysis (2012) J Plast Reconstr Aesthet Surg, 65 (1), pp. 22-28. , COI: 1:STN:280:DC%2BC38%2FlvFaitg%3D%3D; (2017) ISAPS Global Statistics: 2017 Full Global Survey Results, , https://www.isaps.org/wp-content/uploads/2018/10/ISAPS_2017_International_Study_Cosmetic_Procedures.pdf, Accessed 20 Jan 2019; Lunt, N., Smith, R.D., Exworthy, M., Green, S.T., Horsfall, D.G., Mannion, R., (2011) Medical tourism: treatments, markets and health system implications: a scoping review, , OECD, Paris; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthet Surg J, 31 (6), pp. 694-697; (2017) 2017 Plastic Surgery Statistics Report, , http://www.plasticsurgery.org/news/plastic-surgery-statistics#section-title, Accessed Jan; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Adabi, K., Stern, C.S., Weichman, K.E., Population health implications of medical tourism (2017) Plast Reconstr Surg, 140 (1), pp. 66-74. , COI: 1:CAS:528:DC%2BC2sXhtVKqu7rF; Davison, S.P., Hayes, K.D., LaBove, G., Shaffer, P., The price of medical tourism: the legal implications of surgery abroad (2018) Plast Reconstr Surg, 142 (4), pp. 1075-1080. , COI: 1:CAS:528:DC%2BC1cXhslOls77O; Cooter, R.D., Barker, S., Carroll, S.M., International importance of robust breast device registries (2015) Plast Reconstr Surg, 135 (2), pp. 330-336. , COI: 1:CAS:528:DC%2BC2MXhsF2iu7Y%3D","Raggio, B.S.; Department of Otolaryngology, Tulane University Medical Center, 1430 Tulane Ave, #8659, United States; email: braggio@tulane.edu",,,"Springer",,,,,0364216X,,APSUD,"32040602","English","Aesthet. Plast. Surg.",Article,"Final",,Scopus,2-s2.0-85079445945 "Ban H.-J., Kim H.-S.","57210364281;35621942400;","Applying the modified health belief model (Hbm) to korean medical tourism",2020,"International Journal of Environmental Research and Public Health","17","10", 3646,"","",,,"10.3390/ijerph17103646","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085249475&doi=10.3390%2fijerph17103646&partnerID=40&md5=b94b814b1890671a577c7bb9b1e13ce6","School of Hospitality and Tourism Management, Kyungsung University, 309 Suyoungro, Nam-Gu, Busan, 48434, South Korea","Ban, H.-J., School of Hospitality and Tourism Management, Kyungsung University, 309 Suyoungro, Nam-Gu, Busan, 48434, South Korea; Kim, H.-S., School of Hospitality and Tourism Management, Kyungsung University, 309 Suyoungro, Nam-Gu, Busan, 48434, South Korea","The purpose of this study is to investigate how foreigners’ health beliefs influence their visiting intentions to Korean medical tourism. This study used an online survey engine (docs.google.com/forms) to collect data from foreigners who are from India, Nepal, Bangladesh, Vietnam, and Mongolia, who are potential Korean medical tourists. Out of 213 questionnaires collected, 200 questionnaires (93.9%) were used for the statistical analysis. The Confirmatory factor analysis (CFA) revealed that six dimensions, “Experience”, “Susceptibility”, “Severity”, “Barrier”, “Benefit”, and “Visiting Intention”, had construct validity; Cronbach’s alpha coefficient was tested for item reliability. It is expected that four variables in the health belief model (HBM) that are determined by objective and logical thinking processes will affect the choice of Korean medical tourism. The results showed that Susceptibility, Severity, Barrier, and Benefit had significant effects on Visiting Intention and was a valid measurement to determine “Visiting Intention”. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.","Health belief model (HBM); Korean medical tourism; Visiting intention","factor analysis; health education; medical tourism; perception; public health; questionnaire survey; tourist behavior; article; Bangladesh; confirmatory factor analysis; construct validity; Cronbach alpha coefficient; foreigner; health belief; Health Belief Model; human; human experiment; India; logical reasoning; medical tourism; Mongolia; Nepal; questionnaire; Viet Nam; South Korea",,,,,"Ministry of Education, MOE Kyungsung University: KSU-Grants2019 National Research Foundation of Korea, NRF: NRF-2019S1A5A2A03049170","Funding: This research was supported by Kyungsung University Research Grants in 2019 (grant number KSU-Grants2019). Additionally, this work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2019S1A5A2A03049170).",,"Korean Medical Tourism Marketing. the Present and Future of Korean Medical Tourism, , https://kto.visitkorea.or.kr/viewer/view.kto?id=47773&type=bd, (accessed on 20 March 2020); Byun, J.W., Kim, Y.K., Current Status and Strategy of Promotional Marketing for Medical Tourism, , https://kto.visitkorea.or.kr/kor/biz/marketing/medical/data.kto, Available online, accessed on 20 March 2020; Song, M.K., Kim, S.H., A study on the difference of medical tourism storytelling attributes by the medical tourists"" behavior characteristic and demographic characteristic-Focused on Chinese and Japanese medical tourist in Korea (2016) Int. J. Tour. Hosp. Res., 31, pp. 43-68; Beladi, H., Chao, C.C., Ee, M.S., Hollas, D., Does medical tourism promote economic growth? A cross-country analysis (2019) J. Travel Res., 58, pp. 121-135; Strengths of the Korean Medical System, , https://kto.visitkorea.or.kr/viewer/view.kto?id=47773&type=bd, (accessed on 20 March 2020); Rhee, N.H., Cho, S.W., Jin, S.N., A study on causal relationship between selection attributes of Russian medical tourists to Korea and their intention of visiting Korea (2016) J. Tour. Leisure Res., 28, pp. 133-151; Kim, S., Choi, S., The medical professionalism of Korean physicians: Present and future (2015) BMC Med. Ethics, 16; Cho, K.T., Kim, S.M., Selecting medical devices and materials for development in Korea: The analytic hierarchy process approach (2003) Int. J. Health Plan. Manag., 18, pp. 161-174; Eom, T., Yu, J., Han, H., Medical tourism in Korea–recent phenomena, emerging markets, potential threats, and challenge factors: A review (2019) Asia Pac. J. Tour. 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Public Health, 16, p. 4964; Kim, J.H., Cho, J.H., Investigation of effects of individuals’ social viewing of fine dust information obtained through social media on behavioral intentions of disease prevention: Application of health beliefs model (2019) Korea Broadcast. Tellecommun. Stud., 12, pp. 84-120; Hochbaum, G.M., (1958) Public Participation in Medical Screening Programs: A Socio-Psychological Study, , No. 572; U. S, Government Printing Office: Washington, DC, USA; Rosenstock, I.M., Historical origins of the health belief model (1974) Health Educ. Quart., 2, pp. 328-335; Rosenstock, I.M., Strecher, V.J., Becker, M.H., Social learning theory and the health belief model (1988) Health Educ. 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Res., 22, pp. 951-971; Jeong, Y.R., The effects of Halyu-star image and medical tourism service quality on cosmetic surgery attitude and behavioral intention: The case of latent Chinese female (2019) J. Tour. Leisure Res., 31, pp. 109-128; (2015) Health at a Glance., , https://read.oecd-ilibrary.org/social-issuesmigration-health/health-at-a-glance-2015_health_glance-2015-en#page1, (accessed on 7 May 2020); Medical Tourism., , https://kto.visitkorea.or.kr/kor/biz/marketing/medical.kto, (accessed on 19 March 2020); Statistical Analysis Report on Attraction of Foreign Patients, , https://www.medicalkorea.or.kr/notice/infoView.do, Available online, accessed on 22 April 2020; Kim, Y.J., Kim, J., Effects of Expected Medical Service and Country Image on Medical Tourism Intention (2018) Inter. Bus. Rev., 22, pp. 187-214; Janz, N.K., Becker, M.H., The health belief model: A decade later (1984) Health Educ. Quart., 11, pp. 1-47; Larsen, P.D., (2002) Chronic Illness: Impact and Interventions, , Jones & Bartlett Learning: Burlington, MA, USA; Ajzen, I., Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior 1 (2002) J. Appl. Soc. Psychol, 32, pp. 665-683; Chew, F., Palmer, S., Slonska, Z., Subbiah, K., Enhancing health knowledge, health beliefs, and health behavior in Poland through a health promoting television program series (2002) J. Health Commun., 7, pp. 179-196; Chien, P.M., Sharifpour, M., Ritchie, B.W., Watson, B., Travelers’ health risk perceptions and preventative behavior: A psychological approach (2017) J. Travel Res., 56, pp. 744-759. , [CrossRef]; Mehraban, S.S.Z., Namdar, A., Naghizadeh, M.M., Assessment of preventive behavior for cervical cancer with the health belief model (2018) Asian Pac. J. Cancer P, 19, p. 2155; Kim, Y.K., Myoung, H., Kim, Y.B., The effect of Chinese perception on buying intention toward dental treatment of South Korea: Shanghai residents based on HBM(Health Belief Model) (2012) Korean J. Hotel Tour., 21, pp. 215-231; Kim, H.S., Ahn, J., No, J.K., Applying the Health Belief Model to college students’ health behavior (2012) Nutr. Res. Pract., 6, pp. 551-558; A study of the effects on perceived risk on overall risk and intention to participate in medical tourism abroad: Focused on US potential medical tourists (2019) Tour. Res., 34, pp. 201-216; Gerbing, D.W., Anderson, J.C., An updated paradigm for scale development incorporating unidimensionality and its assessment (1988) J. Mark. Res., 25, pp. 186-192; Huang, X., Dai, S., Xu, H., Predicting tourists’ health risk preventative behaviour and travelling satisfaction in Tibet: Combining the theory of planned behaviour and health belief model (2020) Tour. Manag. Perspect., 33; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tour. Manag., 46, pp. 20-29; Li, C., Unger, J.B., Schuster, D., Rohrbach, L.A., Howard-Pitney, B., Norman, G., Youths’ exposure to environmental tobacco smoke (ETS): Associations with health beliefs and social pressure (2003) Addict. Behav., 28, pp. 39-53; Umeh, K., Rogan-Gibson, J., Perceptions of threat, benefits, and barriers in breast self-examination amongst young asymptomatic women (2001) Br. J. Heal. Psychol., 6, pp. 361-372; Lee, M.S., A Study on the Relationship between Adolescent Misconducts and Harmful Environment Based on Health Belief Model (2001) Korean J. Heal. Educ. Pr., 18, pp. 37-58; Larki, A., Tahmasebi, R., Reisi, M., Factors predicting self-care behaviors among low health literacy hypertensive patients based on health belief model in Bushehr District, South of Iran (2018) Inter. J. Hypertens., 2018, pp. 1-7; Wiebe, J.S., Christensen, A.J., Health beliefs, personality, and adherence in hemodialysis patients: An interactional perspective (1997) Ann. Behav. Med., 19, pp. 30-35; Sheldon, P., Rauschnabel, P.A., Antony, M.G., Car, S., A cross-cultural comparison of Croatian and American social network sites: Exploring cultural differences in motives for Instagram use (2017) Comp. Hum. Behav., 75, pp. 643-651","Kim, H.-S.; School of Hospitality and Tourism Management, Kyungsung University, 309 Suyoungro, Nam-Gu, South Korea; email: kims@ks.ac.kr",,,"MDPI AG",,,,,16617827,,,"32455897","English","Int. J. Environ. Res. Public Health",Article,"Final",Open Access,Scopus,2-s2.0-85085249475 "Joung D., Lee B., Lee J., Lee C., Koo S., Park C., Kim S., Kagawa T., Park B.-J.","55923175800;57203749894;57216674260;56185803600;57216670837;57216673868;36659473400;16309222000;16310541800;","Measures to promote rural healthcare tourism with a scientific evidence-based approach",2020,"International Journal of Environmental Research and Public Health","17","9", 3266,"","",,,"10.3390/ijerph17093266","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084264247&doi=10.3390%2fijerph17093266&partnerID=40&md5=e7afc4fddd001c31aee69510bb5e7270","Department of Environment and Forest Resources, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea; Department of Agricultural Economics, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea; Gyeonggi Regional Headquarter, Korea Rural Community Corporation, 347 Jangan-ro, Jangan-gu, Suwon-si, Gyeonggi-do 16346, South Korea; Forestry and Forest Products Research Insitute, 1 Matsunosato, Ibaraki, Tsukuba, 305-8687, Japan","Joung, D., Department of Environment and Forest Resources, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea; Lee, B., Department of Environment and Forest Resources, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea; Lee, J., Department of Environment and Forest Resources, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea; Lee, C., Department of Environment and Forest Resources, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea; Koo, S., Department of Agricultural Economics, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea; Park, C., Gyeonggi Regional Headquarter, Korea Rural Community Corporation, 347 Jangan-ro, Jangan-gu, Suwon-si, Gyeonggi-do 16346, South Korea; Kim, S., Department of Environment and Forest Resources, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea; Kagawa, T., Forestry and Forest Products Research Insitute, 1 Matsunosato, Ibaraki, Tsukuba, 305-8687, Japan; Park, B.-J., Department of Environment and Forest Resources, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon, 34134, South Korea","The present study aimed to evaluate the effects of physical activities on human health in forests in countryside and rural areas. The test experiment was conducted in a countryside forest, whereas the controlled experiment was conducted in an urban area where the study participants resided. A total of 22 participants (aged 20.9 ± 1.3 years) were evaluated in this study. Heart rate variability and salivary cortisol level were used as indices of physiological conditions, and semantic differential method, profile of mood states (POMS), and state-trait anxiety inventory (STAI) were used to evaluate the participants’ emotional states. The participants were asked to walk around forest and urban areas for 15 min. The results were as follows. As compared to the urban area, in the forest area, 1) the power of the high-frequency (HF) component of the heart rate variability (HRV) was significantly higher; 2) low-frequency (LF)/(LF+HF) was significantly lower; 3) salivary cortisol level was significantly lower; 4) the participants felt more comfortable, natural, relaxed, and less anxious and showed higher levels of positive emotions and lower levels of negative emotions. Consequently, walking in the forest area induces relaxing short-term physiological and psychological effects on young people living in urban areas. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.","Forest bathing; Healthcare tourism; Heart rate variability; Physical activity; POMS; Rural and mountain economy; Salivary cortisol; STAI; Walking","hydrocortisone; forest; health care; mental health; physical activity; rural area; saliva; tourism; walking; age; anxiety; Article; controlled study; cortisol saliva level; emotion; evidence based practice; forest; heart rate variability; human; human activities; intermethod comparison; medical tourism; mood; physical activity; rural health care; rural population; saliva level; State Trait Anxiety Inventory; urban area; urban rural difference",,"hydrocortisone, 50-23-7",,,"2014068B10-1919-AA03 Korea Forest Service, KFS","Funding: This study was carried out with the support of ´R&D Program for Forest Science Technology (Project No. 2014068B10-1919-AA03)´ provided by Korea Forest Service(Korea Forestry Promotion Institute).",,"Khan, M.H.G., (2007) Economic Growth and Development since the 1960S; UN DESA Working Paper No. 54, , DESA: New York, NY, USA; Kim, I.K., Liang, J., Rhee, K.O., Kim, C.S., Population aging in Korea: Changes since the 1960s (1996) J. 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Public Health",Article,"Final",Open Access,Scopus,2-s2.0-85084264247 "Han H., Kiatkawsin K., Koo B., Kim W.","21233360400;57190402941;57202445131;55276984400;","Thai wellness tourism and quality: comparison between Chinese and American visitors’ behaviors",2020,"Asia Pacific Journal of Tourism Research","25","4",,"424","440",,,"10.1080/10941665.2020.1737551","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082523358&doi=10.1080%2f10941665.2020.1737551&partnerID=40&md5=cea51e6b4e9caaac5d340a0d7c79f664","College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea; School of Hospitality and Tourism Management, Spears School of Business, Oklahoma State University, Stillwater, OK, United States; Department of Tourism Management, Dong-A University, Busan, South Korea","Han, H., College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea; Kiatkawsin, K., College of Hospitality and Tourism Management, Sejong University, Seoul, South Korea; Koo, B., School of Hospitality and Tourism Management, Spears School of Business, Oklahoma State University, Stillwater, OK, United States; Kim, W., Department of Tourism Management, Dong-A University, Busan, South Korea","The present study aimed to delineate overseas travelers’ behavioral intention formation for revisiting and recommending Thailand for wellness spa tourism. In addition, cross-cultural differences were examined between Chinese and US travelers. Our results successfully built a sturdy framework linking the second-order structure of wellness spa quality, price perception, brand loves, and behavioral intentions in sequence. Moreover, this research successfully deepened their behavioral intention generation process by adding the significant moderating impact of culture (Chinese and US travelers). Our findings help Thailand destination marketers improve its destination competitiveness using wellness spa tourism as a tool. © 2020, © 2020 Asia Pacific Tourism Association.","brand love; China and US travelers; destination price; intention to recommend; intention to revisit; physical environment quality; product quality; quality of wellness spa tourism; service encounter quality; Thailand inbound tourism","competitiveness; culture; environmental quality; perception; product development; tourism; tourist behavior; tourist destination; Thailand",,,,,,,,"Ajzen, I., Fishbein, M., (1980) Understanding attitude and predicting social behavior, , Prentice Hall; Albert, N., Merunka, D., Valette-Florence, P., When consumers love their brands: Exploring the concept and its dimensions (2008) Journal of Business Research, 61, pp. 1062-1075. , https://doi.org/10.1016/j.jbusres.2007.09.014; Allen, J.W., Harrell, G.D., Hutt, M.D., (1976) Price awareness study, , Food Marketing Institute; Anggraeni, A., Effects of brand love, personality and image on word of mouth: The case of local fashion brands among young consumers (2015) Procedia–Social and Behavioral Sciences, 211, pp. 442-447. , https://doi.org/10.1016/j.sbspro.2015.11.058; Argyle, M., Rules for social relationships in four cultures (1986) Australian Journal of Psychology, 38 (3), pp. 309-318. , https://doi.org/10.1080/00049538608259017; Atienza, K.L.T., Evangelista, C.A., Kvangelista, L.I., Ibre, R.T., Impacts of tourism industry of massage spa therapy in Batangas City, Philippines (2014) Asia Pacific Journal of Multidisciplinary Research, 2 (5), pp. 87-93; Batra, R., Ahuvia, A., Bagozzi, R.P., Brand love (2012) Journal of Marketing, 76 (2), pp. 1-16. , https://doi.org/10.1509/jm.09.0339; Bowen, J.T., Shoemaker, S., Loyalty: A strategic commitment (2003) Cornell Hospitality Quarterly, 44 (5-6), pp. 31-46. , https://doi.org/10.1177/001088040304400505; Bryant, S., (2019), https://countrynavigator.com/blog/global-talent/cultural-differences-us-vs-china/, 10 cultural differences between China and the US., (July; Byun, J., Jang, S., Can signaling impact customer satisfaction and behavioral intentions in times of service failure?: Evidence from open versus closed kitchen restaurants (2019) Journal of Hospitality Marketing & Management, 28 (7), pp. 785-806. , https://doi.org/10.1080/19368623.2019.1567432; Carroll, B.A., Ahuvia, A.C., Some antecedents and outcomes of brand love (2006) Market Letter, 17, pp. 79-89. , https://doi.org/10.1007/s11002-006-4219-2; Chi, C.G.Q., Qu, H., Examining the structural relationships of destination image, tourist satisfaction and destination loyalty: An integrated approach (2008) Tourism Management, 29, pp. 624-636. , https://doi.org/10.1016/j.tourman.2007.06.007; Chiang, C.-F., Influence of price, service convenience, and social servicescape on post-purchase process of capsule hotels (2018) Asia Pacific Journal of Tourism Research, 23 (4), pp. 373-384. , https://doi.org/10.1080/10941665.2018.1444649; Cho, Y., Thyroff, A., Rapert, M.I., Park, S., Lee, H., To be or not to be green: Exploring individualism and collectivism as antecedents of environmental behavior (2013) Journal of Business Research, 66, pp. 1052-1059. , https://doi.org/10.1016/j.jbusres.2012.08.020; Chua, B., Lee, S., Goh, B., Han, H., Impacts of cruise service quality and price on vacationers’ cruise experience: Moderating role of price sensitivity (2015) International Journal of Hospitality Management, 44, pp. 131-145. , https://doi.org/10.1016/j.ijhm.2014.10.012; Cockerell, N., Market segments: Spas and health resorts in Europe (1996) Travel and Tourism Analyst, 1, pp. 53-77; Creswell, J.W., Creswell, J.D., (2017) Research design: Qualitative, quantitative, and mixed methods approaches, , Sage Publications; Crotts, J.C., Pizam, A., The effect of national culture on consumers’ evaluation of travel services (2003) Journal of Tourism, Culture, and Communications, 4 (1), pp. 17-28. , https://doi.org/10.3727/109830403108750786; Dickson, P.R., Sawyer, A.G., The price knowledge and search of supermarket shoppers (1990) Journal of Marketing, 54 (3), pp. 42-53. , https://doi.org/10.1177/002224299005400304; Drennan, J., Bianchi, C., Cacho-Elizondo, S., Louriero, S., Guibert, N., Proud, W., Examining the role of wine brand love on brand loyalty: A multi-country comparison (2015) International Journal of Hospitality Management, 49, pp. 47-55. , https://doi.org/10.1016/j.ijhm.2015.04.012; Elfenbein, H.A., Emotion in organizations: A review and theoretical integration (2007) Academy of Management Annals, 1 (1), pp. 315-386. , https://doi.org/10.5465/078559812; Ellis, S., Trends in the global spa industry (2008) Understanding the global spa industry: Spa management, pp. 66-84. , Cohen M., Bodeker G., (eds), Butterworth-Heinemann,. 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Res.",Article,"Final",,Scopus,2-s2.0-85082523358 "Khan M.J., Khan F., Amin S., Chelliah S.","57188853382;57209203636;57209208616;36674575500;","Perceived risks, travel constraints, and destination perception: A study on sub-saharan African medical travellers",2020,"Sustainability (Switzerland)","12","7", 2807,"1","16",,,"10.3390/su12072807","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083640007&doi=10.3390%2fsu12072807&partnerID=40&md5=f89e24fdb30b2271556050357559acb9","College of Health Sciences, Saudi Electronic University, Riyadh, 4249, Saudi Arabia; School of Management, Universiti Sains Malaysia, Penang, 11800, Malaysia","Khan, M.J., College of Health Sciences, Saudi Electronic University, Riyadh, 4249, Saudi Arabia; Khan, F., College of Health Sciences, Saudi Electronic University, Riyadh, 4249, Saudi Arabia; Amin, S., College of Health Sciences, Saudi Electronic University, Riyadh, 4249, Saudi Arabia; Chelliah, S., School of Management, Universiti Sains Malaysia, Penang, 11800, Malaysia","In medical travel, previous studies have investigated the factors that influence medical travellers to receive treatment outside the country. However, most of these studies are limited to travel motivations and perceptions of medical services at destinations. The main objective of this study was to investigate the relationship between medical travellers' perceived risks, travel constraints, and destination image based on medical and non-medical attributes. This is a quantitative study whereby the data was collected from 306 sub-Saharan African medical travellers, who visited India for the treatment. The study found that physical-health risk has a significant negative influence on destination image based on medical attributes. The service quality risk has a negative effect on destination image based on both medical and non-medical attributes, and destination risk has a negative effect on destination image based on medical attributes. The study also found that travel constraints have a negative influence on both medical and non-medical destination image. © 2020 by the authors.","India; Medical travel destination image; Perceived travel risks; Sub-Saharan African medical travellers; Travel constraints","health risk; health services; medical tourism; perception; service quality; travel behavior; India; Sub-Saharan Africa",,,,,,,,"Ramirez, D.A.A.B., Patients without borders: The emergence of medical tourism (2007) Int. J. Public Health, 2, pp. 193-198; Purdy, L., Fam, M., Evolving medical tourism in Canada: Exploring a new frontier (2011) Deloitte Center for Health Solutions, p. 13. , Deloitte: Quebec, Canada; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour. Manag, 34, pp. 1-13. , [CrossRef]; Khan, M.J., Chelliah, S., Haron, M.S., Push factors, risks, and types of visit intentions of international medical travelers-a conceptual model (2017) J. Healthc. 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Equity Health, 12, p. 94. , [CrossRef]; Dey, S., (2017) New Policy on the Cards to Boost Medical Tourism, , The Times of India: Mumbai, India; (2016) New Rules for Medical and Health Tourism E-Visas to India, , https://www.imtj.com/news/new-rules-medical-and-health-tourism-e-visas-india/, (accessed on 3 January 2018)","Khan, M.J.; College of Health Sciences, Saudi Electronic UniversitySaudi Arabia; email: moha.khan@seu.edu.sa",,,"MDPI AG",,,,,20711050,,,,"English","Sustainability",Article,"Final",Open Access,Scopus,2-s2.0-85083640007 "Kayser S.A., Wiggermann N.E., Kumpar D.","57202281911;23991594400;57194719023;","Factors associated with safe patient handling practice in acute care and its relationship with patient mobilization: A cross-sectional study",2020,"International Journal of Nursing Studies","104",, 103508,"","",,,"10.1016/j.ijnurstu.2019.103508","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079881129&doi=10.1016%2fj.ijnurstu.2019.103508&partnerID=40&md5=4bcf6c1d4e42c2f1017add0b9e2c052d","Hill-Rom Holdings, Inc., 1069 State Road 46 East, Batesville, IN 47006, United States","Kayser, S.A., Hill-Rom Holdings, Inc., 1069 State Road 46 East, Batesville, IN 47006, United States; Wiggermann, N.E., Hill-Rom Holdings, Inc., 1069 State Road 46 East, Batesville, IN 47006, United States; Kumpar, D., Hill-Rom Holdings, Inc., 1069 State Road 46 East, Batesville, IN 47006, United States","Background: Mobilizing hospital patients is associated with improved outcomes and shorter length of stay. Safe patient handling and mobility programs that include mechanical lift use facilitate mobilizing patients and reduce the likelihood of musculoskeletal disorders in staff. However, there is little information on the prevalence of lift use or why some patients are more likely to have a lift used than others. Such information is needed to inform public policy, benchmark lift use over time, and contextualize barriers for lift use. Objective: To determine the percentage of patients that had a lift used during care in US acute care facilities, identify attributes related to the patient and their hospital stay that affect the lift use, examine whether state legislation increased lift use, and determine whether lift use was correlated with more frequent mobilization out of bed. Design: Retrospective analysis of the 2018 International Pressure Ulcer Prevalence ™ data. Participants: 40,856 patients in 642 US acute care hospitals over the age of 18 with complete data. Methods: Lift use prevalence was calculated as the percentage of patients that met inclusion criteria that had a lift used for care. Prevalence was then analyzed by patient mobility level. A logistic regression examined the influence of patient and facility related attributes. For patients with limited mobility (that could not stand or turn themselves), a t-test of proportions evaluated whether lift use during a patient's stay was correlated with an increased likelihood of being out of bed at the time of the survey. Results: 3.7% of patients had a lift used during their care. 11.1% of limited mobility patients had a lift used. Lift use was associated with higher body mass, longer length of stay, lower Braden score, pressure injury prevention methods in place, being in an intensive care unit, being in a smaller hospital, and being in a state with safe patient handling and mobility legislation. Limited mobility patients moved with lifts during their stay were more likely to be observed in a bedside chair and less likely to be observed in bed, as compared to patients that never had a lift used. Conclusions: Despite the benefits to patients and caregivers, US acute care facilities are largely not using lifts to safely mobilize patients. Results suggested that safe patient handling and mobility legislation has increased the rate of lift use. Finally, lift use was correlated with patients being mobilized out of bed. © 2019","Lift use; Mechanical lift; Patient immobility; Patient lift; Repositioning; Safe patient handling and mobility; SPHM",,,,,,,,,"Alamgir, H., Li, O.W., Yu, S., Gorman, E., Fast, C., Kidd, C., Evaluation of ceiling lifts: transfer time, patient comfort and staff perceptions (2009) Injury, 40 (9), pp. 987-992; Alamgir, H., Yu, S., Fast, C., Hennessy, S., Kidd, C., Yassi, A., Efficiency of overhead ceiling lifts in reducing musculoskeletal injury among carers working in long-term care institutions (2008) Injury, 39 (5), pp. 570-577; Safe Patient Handling and Mobility: Interprofessional National Standards (2014); Balas, M.C., Vasilevskis, E.E., Olsen, K.M., Schmid, K.K., Shostrom, V., Cohen, M.Z., Burke, W.J., Effectiveness and safety of the awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle (2014) Crit. Care Med., 42 (5), pp. 1024-1036; Boynton, T., Kelly, L., Perez, A., Implementing a mobility assessment tool for nurses (2014) Am. Nurse Today, (9), pp. 13-16; (2013), https://www.cdc.gov/niosh/topics/safepatient/default.html, Centers for Disease Control and Prevention. Safe patient handling and mobility (SPHM). Retrieved from; Cohen, M.H., Faia, F., Nelson, G.G., Green, D.A., Borden, C.M., (2010), http://www.decisionaa.com/wp-content/uploads/2014/09/FGI_PHAMAwhitepaper_042710.pdf, Patient handling and movement assessments: a white paper. Retrieved from; Dennerlein, J.T., O'Day, E.T., Mulloy, D.F., Somerville, J., Stoddard, A.M., Kenwood, C., Hashimoto, D., Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme (2017) Occup. Environ. Med., 74 (5), pp. 336-343; Evanoff, B., Wolf, L., Aton, E., Canos, J., Collins, J., Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace (2003) Am. J. Ind. Med., 44 (5), pp. 451-457; Gomaa, A.E., Tapp, L.C., Luckhaupt, S.E., Vanoli, K., Sarmiento, R.F., Raudabaugh, W.M., Sprigg, S.M., Occupational traumatic injuries among workers in health care facilities - United States, 2012-2014 (2015) MMWR Morb. Mortal. Wkly. Rep., 64 (15), pp. 405-410; Hosmer, D.W., Lemeshow, S., Applied Logistic Regression (2000), second ed. John Wiley & Sons New York, NY; Kalisch, B.J., Tschannen, D., Lee, H., Friese, C.R., Hospital variation in missed nursing care (2011) Am. J. Med. Qual., 26 (4), pp. 291-299; Kayser, S.A., VanGilder, C.A., Ayello, E.A., Lachenbruch, C., Prevalence and analysis of medical device-related pressure injuries: results from the international pressure ulcer prevalence survey (2018) Adv. Skin Wound Care, 31 (6), pp. 276-285; Kayser, S.A., VanGilder, C.A., Lachenbruch, C., Predictors of superficial and severe hospital-acquired pressure injuries: a cross-sectional study using the international pressure ulcer prevalence survey (2018) Int. J. Nurs. Stud., 89, pp. 46-52; Klein, K., Mulkey, M., Bena, J.F., Albert, N.M., Clinical and psychological effects of early mobilization in patients treated in a neurologic ICU: a comparative study (2015) Crit. Care Med., 43 (4), pp. 865-873; Knight, J., Nigam, Y., Jones, A., Effects of bedrest 1: cardiovascular, respiratory and haematological systems (2009) Nurs. Times, 105 (21), pp. 16-20; Koppelaar, E., Knibbe, J.J., Miedema, H.S., Burdorf, A., The influence of individual and organisational factors on nurses' behaviour to use lifting devices in healthcare (2013) Appl. Ergon., 44 (4), pp. 532-537; Lachenbruch, C., Ribble, D., Emmons, K., VanGilder, C., Pressure ulcer risk in the incontinent patient: analysis of incontinence and hospital-acquired pressure ulcers from the international pressure ulcer prevalence survey (2016) J. Wound Ostomy Continence Nurs., 43 (3), pp. 235-241; (2011), https://www.nursingworld.org/~48dd70/globalassets/docs/ana/health-safetysurvey_mediabackgrounder_2011.pdf, LCWA Research Group. 2011 ANA health & safety survey: hazards of the rn work environment. Retrieved from; Lee, S.J., Faucett, J., Gillen, M., Krause, N., Landry, L., Factors associated with safe patient handling behaviors among critical care nurses (2010) Am. J. Ind. Med., 53 (9), pp. 886-897; Lee, S.J., Lee, J.H., Safe patient handling behaviors and lift use among hospital nurses: a cross-sectional study (2017) Int. J. Nurs. Stud., 74, pp. 53-60; Marras, W.S., Davis, K.G., Kirking, B.C., Bertsche, P.K., A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques (1999) Ergonomics, 42 (7), pp. 904-926; Marras, W.S., Knapik, G.G., Ferguson, S., Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices (2009) Ergonomics, 52 (3), pp. 384-397; O'Brien, R., A caution regarding rules of thumb for variance inflation factors (2007) Qual. Quant., 41, pp. 673-690; Pompeii, L.A., Lipscomb, H.J., Schoenfisch, A.L., Dement, J.M., Musculoskeletal injuries resulting from patient handling tasks among hospital workers (2009) Am. J. Ind. Med., 52 (7), pp. 571-578; Stata Statistical Software: Release 14 (2015), StataCorp LP College Station, TX; Teeple, E., Collins, J.E., Shrestha, S., Dennerlein, J.T., Losina, E., Katz, J.N., Outcomes of safe patient handling and mobilization programs: a meta-analysis (2017) Work, 58 (2), pp. 173-184; Titsworth, W.L., Hester, J., Correia, T., Reed, R., Guin, P., Archibald, L., Mocco, J., The effect of increased mobility on morbidity in the neurointensive care unit (2012) J. Neurosurg., 116 (6), pp. 1379-1388; (2009), https://www.bls.gov/iif/oshwc/osh/case/osch0040.pdf, U.S. Bureau of Labor Statistics. 2008 Nonfatal occupational injuries and illnesses, private industry. Retrieved from; (2017), https://www.bls.gov/iif/soii-chart-data-2017.htm, U.S. Bureau of Labor Statistics. Injuries, illnesses, and fatalities. Retrieved from; Waters, T.R., When is it safe to manually lift a patient (2007) Am. J. Nurs., 107 (8), pp. 53-58; Wiggermann, N., Zhou, V., (In press). Effect of repositioning aids and patient weight on biomechanical stresses when repositioning patients in bed. Hum. Factors. doi:; Winkelman, C., Johnson, K.D., Hejal, R., Gordon, N.H., Rowbottom, J., Daly, J., Levine, A.D., Examining the positive effects of exercise in intubated adults in ICU: a prospective repeated measures clinical study (2012) Intensive Crit. Care Nurs., 28 (6), pp. 307-318","Kayser, S.A.; Hill-Rom Holdings, Inc., 1069 State Road 46 East, United States; email: susan.kayser@hillrom.com",,,"Elsevier Ltd",,,,,00207489,,IJNUA,"32105973","English","Int. J. Nurs. Stud.",Article,"Final",Open Access,Scopus,2-s2.0-85079881129 "Mathijsen A., Mathijsen F.P.","57205349752;26322686800;","Diasporic medical tourism: A scoping review of quantitative and qualitative evidence",2020,"Globalization and Health","16","1", 27,"","",,,"10.1186/s12992-020-00550-x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082732918&doi=10.1186%2fs12992-020-00550-x&partnerID=40&md5=fe057ecde14ca8c289380bcb1c70b525","Sgh Warsaw School of Economics, Collegium of the World Economy, Aleja Niepodległości 162, Warsaw, 02-554, Poland; Ichec Brussels Management School, Boulevard Brand Whitlock 4, Woluwe-Saint-Pierre, 1150, Belgium","Mathijsen, A., Sgh Warsaw School of Economics, Collegium of the World Economy, Aleja Niepodległości 162, Warsaw, 02-554, Poland; Mathijsen, F.P., Ichec Brussels Management School, Boulevard Brand Whitlock 4, Woluwe-Saint-Pierre, 1150, Belgium","Background: There is a growing recognition of the significance of the diasporic dimension of medical travel. Explanations of medical tourism are increasingly presented in a wider context of transnationalism, diaspora and migration. Yet diaspora and cross-border travellers rarely get through the broader narrative of medical travel. Objective: Our aim in this scoping review was to extend the current knowledge on the emerging subject of diasporic travels for medical purposes. Specifically, we reviewed the existing literature on what is known about the determinants and motivational factors of diasporic medical tourism; its geographic scope and its quantitative estimation. Methods: Using a scoping review methodology, we conducted the search in seven electronic databases. It resulted in 210 records retrieved. Ultimately, 28 research papers and 6 non-research papers (published between 2002 and 2019) met the following criteria: 1) focus on healthcare and health-related practices, 2) transnational perspective, 3) healthcare consumption in the country of origin (homeland) while being a resident of another country, 4) published in English. Results: The findings from our review highlighted the importance of diasporic medical patients who had been researched and analysed on four continents. Even though quantitative evidence has been scarce, the data analysed in the scoping review pointed to the existence of non-negligible level of diasporic medical tourism in Northern America, and in Europe. Various motivational factors were enumerated with their frequency of occurrence: Medical culture (12), time availability (""by the way of being home"") (9), communication (6), dissatisfaction with the current system (6), healthcare insurance status (5), quality of healthcare (5), second opinion (3), and value for money (3). Conclusion: Diasporic medical tourists constitute an attractive segment of consumers that is still not well understood and targeted. They are part of transnational communities that cultivate the links between the two nations. They simultaneously participate in bi-lateral healthcare systems via return visits which impact the health systems of sending and receiving countries in a substantial way. In the current globalised, connected and migratory context, transnationalism seems to represent an answer to many local healthcare-related barriers. Sending and receiving countries have put in place an array of programmes and policies addressed to the diasporic medical travellers. © 2020 The Author(s).","Diaspora health; Diaspora travel; Diasporic medical tourism; Medical tourism; Medical tourism scoping; Migration health; Transnational health; Transnational healthcare","communication; diaspora; health insurance; medical tourism; migration; nationalism; policy approach; qualitative analysis; quantitative analysis; adult; consumer; Europe; female; health care system; health insurance; human; male; medical tourism; money; quantitative analysis; resident; review; systematic review; travel; article; Europe; North America",,,,,,,,"Lunt, N., Horsfall, D.G., Hanefeld, J., Medical travel: A snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-44. , 10.1016/j.maturitas.2016.03.001; Wang, L., Kwak, M.J., Immigration, barriers to healthcare and transnational ties: A case study of south Korean immigrants in Toronto, Canada (2015) Soc Sci Med, 133, pp. 340-348. , 10.1016/j.socscimed.2014.11.039; Dade, C., (2004) Transnationalism, Foreign Assistance, Domestic Communities: New Opportunities and New Challenges for Canada and the United States. Focal Point Spotlight on the Americas, , Retrieved April 4, 2018 from https://www.focal.ca/pdf/focalpoint_se_march2004.pdf; Connell, J., From medical tourism to transnational health care? An epilogue for the future. Social science (2015) Soc Sci Med, 124. , 10.1016/j.socscimed.2014.11.015; Solomon, H., Affective journeys: The emotional structuring of medical travel in India (2011) Anthropology & Medicine, 18 (1), pp. 105-118. , 10.1080/13648470.2010.525878; Bell, D., Holliday, R., Ormond, M., Mainil, T., Introduction. Transnational healthcare, cross-border perspectives (2015) Soc Sci Med, 124, pp. 284-289. , 10.1016/j.socscimed.2014.11.014; Phillimore, J., Bradby, H., Knecht, M., Padilla, B., Pemberton, S., Bricolage as conceptual tool for understanding access to healthcare in superdiverse populations (2019) Social Theory & Health, 17, pp. 231-252. , 10.1057/s41285-018-0075-4; Villa-Torres, L., Gonzalez-Vazquez, T., Fleming, P.J., Gonzalez-Gonzalez, E.L., Infante-Xibille, C., Chavez, R., Barrington, C., Transnationalism and health: A systematic literature review on the use of transnationalism in the study of the health practices and behaviours of migrants (2017) Soc Sci Med, 183, pp. 70-79. , 10.1016/j.socscimed.2017.04.048; Ormond, M., Lunt, N., Transnational medical travel: Patient mobility, shifting health system entitlements and attachments (2019) J Ethn Migr Stud, , https://doi.org/10.1080/1369183X.2019.1597465; A. 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Background Paper, , International Organization for Migration (IOM) IOM Geneva; (2011) Glossary on Migration, , International Organization for Migration (IOM) 2 IOM Geneva; (2016) For a Europe of Diasporas, , Armenian General Benevolent Union (AGBU) The European Union of Jewish Students (EUJS) & Phiren Amenca Retrieved March 20, 2018 from http://europeofdiasporas.eu/project/news-and-events/charter-europe-diasporas; Constant, A.F., Zimmermann, K.F., Diaspora economics: New perspectives (2016) Int J Manpower, 37 (7), pp. 1110-1135. , 10.1108/IJM-07-2016-0151; Timothy, D., Coles, T., (2004) Travel, Diasporas and Space, , (eds) Routledge London; Connell, J., Reducing the scale? 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Use of Health Care Services by Polish Migrants in London (2013) Cent East Eur Migr Rev, 2 (2), pp. 98-114; Miller-Thayer, J., (2010) Health Migration: Crossing Borders for Affordable Health Care, Field Actions Science Reports, p. 2. , Retrieved June 20, 2018 from http://journals.openedition.org/factsreports/503; Messias, D.K., Transnational health resources, practices, and perspectives: Brazilian immigrant Women's narratives (2002) J Immigrant Health, 4 (4), pp. 183-200. , 10.1023/A:1020154402366; Thomas, F., Transnational health and treatment networks: Meaning, value and place in health seeking amongst southern African migrants in London (2010) Health Place, 16 (3), pp. 606-612. , 10.1016/j.healthplace.2010.01.006; (2019) Euro Health Consumer Index 2018 Report, , Health Consumer Powerhouse Retrieved December 15, 2019 from https://healthpowerhouse.com/media/EHCI-2018/EHCI-2018-report.pdf; Dann, M.S., Anomie, ego-enhancement and travel (1977) Ann Travel Res, 4 (4), pp. 184-194. , 10.1016/0160-7383(77)90037-8; Crompton, J.L., Motivations for pleasure vacation (1979) Ann Travel Res, 6 (4), pp. 408-424. , 10.1016/0160-7383(79)90004-5; Bergmark, R., Barr, D., Garcia, R., Mexican immigrants in the US living far from the border may return to Mexico for health services (2010) J Immigr Minor Health, 12 (4), pp. 610-614. , 10.1007/s10903-008-9213-8; De Freitas, C., (2006) Seeking the Good Doctor-""when Health Knows No Borders"". Cape Verdeans' Perceptions of Health Care Providers in the Netherlands, , Porto: Alto Comissariado para a Imigracąõ e Minorias Étnicas (ACIME) Dissertation University of Amsterdam; Seid, M., Castañeda, D., Mize, R., Zivkovic, M., Varni, J.W., Crossing the border for health care: Access and primary care characteristics for young children of Latino farm workers along the US-Mexico border (2003) Ambulatory Pediatrics, 3 (3), pp. 121-130. , 10.1367/1539-4409(2003)003<0121:CTBFHC>2.0.CO;2; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Soc Sci Med, 133, pp. 340-348. , https://doi.org/10.1016/j.socscimed.2014.05.016; Main, I., Medical travels of polish female migrants in Europe (2014) Czech Sociol Rev, 50 (6), pp. 897-918. , 10.13060/00380288.2014.50.6.147; Şekercan, A., Woudstra, A.J., Peters, R.J.G., Lamkaddem, M., Akgün, S., Essink-Bot, M.-L., Dutch citizens of Turkish origin who utilise healthcare services in Turkey: A qualitative study on motives and contextual factors (2018) Bmc Health Services Research, 18 (289), pp. 1-10. , 10.1186/s12913-018-3026-9; De Jesus, M., Xiao, C., Cross-border health care utilization among the Hispanic population in the United States: Implications for closing the health care access gap (2013) Ethnicity & Health, 18 (3), pp. 297-314. , 10.1080/13557858.2012.730610; Lokdam, N., Kristiansen, M., Handlos, L.N., Norredam, M., Use of healthcare services in the region of origin among patients with an immigrant background in Denmark: A qualitative study of the motives (2016) BMC Health Serv Res., 16 (99). , https://doi.org/10.1186/s12913-016-1346-1; Stan, S., Transnational healthcare practices of Romanian migrants in Ireland: Inequalities of access and the privatisation of healthcare services in Europe (2015) Soc Sci Med, 124. , 10.1016/j.socscimed.2014.04.013; Rocco, L., Suhrcke, M., (2012) Is Social Capital Good for Health? A European Perspective, , WHO Regional Office for Europe Copenhagen; Landeck, M., Garza, C., Utilization of physician health care services in Mexico by U.S. Hispanic border residents (2002) Health Mark Q, 20 (1), pp. 3-16. , 10.1300/J026v20n01_02; Warner, D.C., Jahnke, L., (2010) U.S.-Mexico Mode 2 Imports and Exports of Health Services. Paper Presented at the Meeting of the Organization for Economic Cooperation and Development, Marseille, France; Warner, D.C., Medicare in Mexico: Innovating for fairness and cost savings (2007) Policy Research Project Report, the University of Texas at Austin, 156, pp. 117-118. , Retrieved May 23, 2018 from https://repositories.lib.utexas.edu/handle/2152/17362; La Parra, D., Mateo, M.A., Health status and access to health care of British nationals living on the Costa Blanca, Spain (2008) Ageing Soc, 28 (1), pp. 85-102. , 10.1017/S0144686X07006563; Pearson, D., Theorizing citizenship in British settler societies (2002) Ethn Racial Stud, 25 (6), pp. 989-1012. , 10.1080/0141987022000009403; Waterbury, M.A., Bridging the divide: Towards a comparative framework for understanding kin state and migrant-sending state diaspora politics (2010) Diaspora and Transnationalism: Concepts, Theories and Methods, pp. 131-140. , R. Bauböck T. Faist (eds) University Press Amsterdam; (2013) Trinidad's Medical Travel Future Hinges on the Diaspora, , International Medical Travel Journal (IMTL) Retrieved April 20, 2018 from https://www.imtj.com/news/trinidads-medical-travel-future-hinges-diaspora; Jun, J., Oh, K.M., Framing risks and benefits of medical tourism: A content analysis of medical tourism coverage in Korean American community newspapers (2015) J Health Commun, 20 (6), pp. 720-727. , 10.1080/10810730.2015.1018574; Porter, M.E., De Vera, M., Huang, B., Khan, O., Qin, Z., Tan, A., (2008) Medical Tourism in the Philippines, , Retrieved February 26, 2019 from https://www.isc.hbs.edu/resources/courses/moc-course-at-harvard/Documents/pdf/student-projects/Philippine_Medical_Tourism_2008.pdf; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., Horsfall, D., King, H., Implications for the NHS of inward and outward medical travel: A policy and economic analysis using literature review and mixed-methods approaches (2014) Health Serv Deliv Res., 2 (2). , Https://www.ncbi.nlm.nih.gov/books/NBK263160/, Retrieved from:, Accessed 20 June 2019; Fulton, B.D., Galárraga, O., Dow, W.H., Informing public policy toward binational health insurance: Empirical evidence from California (2013) Salud Publica Mex, 55 (4), pp. S468-S476; Aligawesa, M., Mulimira, M.W., (2015) The Role of Diaspora Organizations in Developing Culturally Appropriate Mental Health Care in the UK, , Retrieved July 15, 2019 from the mental health innovation network website: Https://www.mhinnovation.net/blog/2015/feb/26/role-diaspora-organisations-developing-culturally-appropriate-mental-health-care-uk; (2015) Empowerment of Migrants by Ensuring Their Health and Wellbeing. Background Paper, , Global Forum on Migration and Development (GFMD) Retrieved 22 August, 2019 from https://www.gfmd.org/iom-input-empowerment-migrants-ensuring-their-health-and-wellbeing","Mathijsen, A.; Sgh Warsaw School of Economics, Collegium of the World Economy, Aleja Niepodległości 162, Poland; email: ignatowicza@hotmail.com",,,"BioMed Central Ltd.",,,,,17448603,,,"32228641","English","Globalization Health",Review,"Final",Open Access,Scopus,2-s2.0-85082732918 "Deepu P., Ajit Prabhu V., Chandrasekar K.S.","57216204158;55816079800;57211312031;","Medical tourism in modern medicine: The Kerala perspective",2020,"Test Engineering and Management","83",,,"2442","2447",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082828994&partnerID=40&md5=9b58e158643c88216c0427c8513d6941","University of Kerala, India; KSCSTE, Trivandrum, India; IMK, University of Kerala, India","Deepu, P., University of Kerala, India; Ajit Prabhu, V., KSCSTE, Trivandrum, India; Chandrasekar, K.S., IMK, University of Kerala, India","Medical Tourism has become a fast-growing industry in the world. Among the world tourist destinations, India has attained a top position along with other Asian countries like Thailand, Malaysia and Singapore. The main reasons favorable to India are lower treatment cost, absence of long waiting list, availability of expert doctors and advanced medical care. Among the Indian states, Kerala is at the top in medical tourism industry, combining improved medical facilities, expert and foreign trained doctors and improved tourism facilities. Most of the corporate hospitals in Kerala gets patients who are either relatives of Non Resident Indians and those from abroad. Some of the hospitals have a liaison centre in other countries and considering the cost of treatment being low are able to attract more patients. This study looks into the aspect of the same and also some of the challenges faced in medical tourism. © 2020 Mattingley Publishing. All rights reserved.","Cross-border health care; Kerala Tourism; Medical Tourism; Modern Medicine","Hospitals; Patient treatment; Asian countries; Cross-border; Medical facility; Modern medicine; Singapore; Tourist destinations; Treatment costs; Waiting lists; Tourism",,,,,,,,"Ahluwalia, M.S., Report of task force on employment opportunities in Kapila (2002) Planning Commission Report on Labour and Employment, , Raj and Uma Eds. New Delhi; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York. Palgrave Macmillan; Chacko, P., Medical tourism in India: Issues and challenges (2006) MBA Review, 4 (12), pp. 123-129; Chanda, R., Trade in health services: Sea, sun, sand and surgery (2002) Tourism Management, 80 (2), pp. 158-163; (2002) Healthcare in India, , CII Mc Kinsey The Road Ahead. CII Mc Kinsey and Coand Indian Healthcare Federation, New Delhi; Dawn, S.K., Pal, S., Medical tourism in India: Issues, opportunities and designing strategies for growth and development (2011) International Journal of Multi-Disciplinary Research, 1 (3); (2017) Kerala Tourism Statistics, , Dept. of Tourism, Govt. of Kerala; (2018) Kerala Tourism Statistics, , Dept. of Tourism, Govt. of Kerala; Hall, C.M., Health and medical tourism: Kill or cure for global public health (2011) Tourism Review, , May 2011; Horowitz, M.D., Rosenweig, J.A., Medical tourism - Healthcare in global economy (2007) The Physician Executive, 33 (6), pp. 24-26; John, J., Chelat, A., Medical tourism and inclusive growth: Significance of Ayurveda sector (2013) Atna Journalof Tourism Studies, 8 (2), pp. 19-35; Kumar, R., (2008) Medical Tourism in India, , Deep and Deep Publications Pvt Ltd, New Delhi; Lagace, M., (2007) The Rise of Medical Tourism, , Harvard Business School, 2007; Singh, M.C., (2010) Medical Tourism, , Centrum Press, New Delhi; Singh, P.K., (2008) Medical Tourism: Global Outlook and Indian Scenario, , Kanshika Publishers and Distributors. New Delhi; Surendran, K., Tourism and employment (2019) Deshabhimani Malayalam Daily, p. 6. , 27th Sept, 2019; Thomson, N., (2011) Medical Tourism, , Discovery Publishing House Pvt Ltd, New Delhi; Vijaya, R.M., Medical tourism: Revenue generation or international transfer of healthcare problem? (2010) Journal of Economic Issues, 44 (1), pp. 53-69; (2018) World Tourism Statistics, , Govt. of India Publication",,,,"Mattingley Publishing",,,,,01934120,,TENMA,,"English","Test Eng Manage",Article,"Final",,Scopus,2-s2.0-85082828994 "Osadchuk M.A., Osadchuk A.M., Trushin M.V.","6701741609;24576966600;10142619100;","Medical tourism in the context of national health systems` institutional characteristics",2020,"Journal of Environmental Management and Tourism","11","2",,"229","235",,,"10.14505/jemt.v11.2(42).01","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085086149&doi=10.14505%2fjemt.v11.2%2842%29.01&partnerID=40&md5=6e7865fda6bc0384b1751b6c632f01b2","I.M. Sechenov First Moscow State Medical University, Russian Federation; Samara State Medical University, Russian Federation; Kazan Federal University, Russian Federation","Osadchuk, M.A., I.M. Sechenov First Moscow State Medical University, Russian Federation; Osadchuk, A.M., Samara State Medical University, Russian Federation; Trushin, M.V., Kazan Federal University, Russian Federation","Medical tourism (MT) is a modern type of medical services outside the state of residence. It links medicine and tourism. Moreover, its availability combined with economic feasibility is the main incentive for seeking medical care outside the place of residence and is an important issue for national health systems. A noticeable MT contribution to the country`s economy is possible if there is a well-thought-out infrastructure with introduction of certification procedure, a universal service and marketing system, an adequate response to the offer of additional tourism services and regulation of conditions for systematic cooperation with private intermediaries. However, the absence of interstate standards for this type of medical care leads to significant ethical, political, epidemiological and economic problems and makes it difficult to assess its professional quality. This necessitates the creation of a legal framework that takes into account the rights and responsibilities of both the medical services consumer and the host country. © 2020, ASERS Publishing. All rights reserved.","Economic issues; Implications for national health systems; Legal issues; Medical tourism",,,,,,,,,"Adams, K., Snyder, J., Crooks, V.A., Berry, N.S., A critical examination of empowerment discourse in medical tourism: The case of the dental tourism industry in Los Algodones, Mexico (2018) Global Health, 14 (1). , https://doi.org/10.1186/s12992-018-0392-3; Baker, D., Should unnecessary harmful nontherapeutic cosmetic surgery be criminalised (2014) New Criminal Law Review, 17 (4), pp. 587-630; Cesario, S.K., Implications of Medical Tourism (2018) Nurs Womens Health, 22 (3), pp. 269-273. , https://doi.org/10.1016/j.nwh.2018.03.008; Chan, S., Current and emerging global themes in the bioethics of regenerative medicine: The tangled web of stem cell translation (2017) Regen Med, 12 (7), pp. 839-851. , https://doi.org/10.2217/rme-2017-0065; Cohen, I.G., Patient with passports: Medical tourism (2015) Law and Ethics, , New York: Oxford Univ. Press; Connell, J., Reducing the scale? From global images to border crossings in medical tourism (2016) Global Networks, 16, pp. 531-550. , https://doi.org/10.1111/glob.12136; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10; Crush, J., Chikanda, A., South-south medical tourism and the quest for health in southern Africa (2014) Soc Sci Med, 124, pp. 313-320. , https://doi.org/10.1016/j.socscimed.2014.06.025; Davison, S.P., Hayes, K.D., Labove, G., Shaffer, P., The Price of Medical Tourism: The Legal Implications of Surgery Abroad (2018) Plast Reconstr Surg, 142 (4), pp. 1075-1080. , https://doi.org/10.1097/PRS.0000000000004816; Dawson, J., (2016) Medical Tourism Industry Valued at $100B; Poised for 25% Year-Over-Year Growth by 2025, , https://www.medicaltourismindex.com/2016-medical-tourism-industry-valuation/; Fares, B., Labonté, R., Runnels, V., Briefing 2 — Should Canada’s hospitals open their doors to medical tourists? Health care in Canada: An economic growth engine (2015) The Conference Board of Canada, , www.conferenceboard.ca/e-library/abstract.aspx?did=7003, Available at; Foley, B.M., Haglin, J.M., Tanzer, J.R., Eltorai, A.E.M., Patient care without borders: A systematic review of medical and surgical tourism (2019) J Travel Med, 26 (6); Freyer, W., Kim, B.S., Medical tourism and travel-an interdisciplinary approach (2014) Gesundheitswesen, 76 (1), pp. 65-68. , https://doi.org/10.1055/s-0033-1343439; Gaines, J., Notes from the Field: Nontuberculous Mycobacteria infections in U.S. Medical tourists associated with plastic surgery-Dominican Republic, 2017 (2018) MMWR Morb Mortal Wkly Rep, 67, pp. 369-370; Gill, J., Opportunities to deter transplant tourism exist before referral for transplantation and during the workup and management of transplant candidates (2011) Kidney Int, 79 (9), pp. 1026-1031. , https://doi.org/10.1038/ki.2010.540; Gill, J.S., Policy Statement of Canadian Society of Transplantation and Canadian Society of Nephrology on Organ Trafficking and Transplant Tourism (2010) Transplantation, 90, pp. 817-820; Griffiths, D., Mullock, A., Cosmetic Surgery: Regulatory Challenges in a Global Beauty Marke (2018) Health Care Anal., 26 (3), pp. 220-234. , https://doi.org/10.1007/s10728-017-0339-5; Henton, D., (2011) Mexico a Dental Mecca: Saskatoon Star Phoenix; Horton, S., Cole, S., Medical returns: Seeking health care in Mexico (2011) Soc Sci Med, 72, pp. 1846-1852. , https://doi.org/10.1016/j.socscimed.2011.03.035; Hui, S.H., Noonan, L., Chavada, R., Post liposuction Mycobacterium abscessus surgical site infection in a returned medical tourist complicated by a paradoxical reaction during treatment (2015) Infect Dis Rep, 7, p. 6304; Jackson, C., Snyder, J., Crooks, V.A., Lavergne, M.R., ""I didn't have to prove to anybody that I was a good candidate"": A case study framing international bariatric tourism by Canadians as circumvention tourism (2018) BMC Health Serv Res, 18 (1), p. 573. , https://doi.org/10.1186/s12913-018-3385-2; Khawaja, T., Patients hospitalized abroad as importers of multiresistant bacteria—a cross-sectional study (2017) Clin Microbiol Infect, 23 (673), pp. e1-e8; Kim, D.H., (2016) Financial Costs and Patients' Perceptions of Medical Tourism in Bariatric Surgery. an J Surg., 59 (1), pp. 59-61; Latham, M., (2008) Medical Law Review, 16 (3), pp. 437-457. , https://doi.org/10.1093/medlaw/fwn019; Financial Implications of Atypical Mycobacterial Infections After Cosmetic Tourism: Is It Worth the Risk? (2018) Ann Plast Surg, 81 (3), pp. 269-273. , https://doi.org/10.1097/SAP.0000000000001563; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Lunt, N., Implications for the NHS of inward and outward medical tourism: A policy and economic analysis using literature review and mixed methods approaches (2014) Southampton, , UK): NIHR Journals Library; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2010) Developing World Bioethics, 11, pp. 16-29. , https://doi.org/10.1111/j.1471-8847.2010.00282.x; Ormond, M., Shifting subjects of healthcare: Placing ‘medical tourism’ in the context of Malaysian domestic health-care reform (2011) Asia Pacific Viewpoint, 52, pp. 247-259; Pereira, R.T., Malone, C.M., Flaherty, G.T., Aesthetic journeys: A review of cosmetic surgery tourism (2018) J Travel Med, 25 (1). , https://doi.org/10.1093/jtm/tay042; Pitts-Taylor, V., Becoming-being a cosmetic surgery patient: Semantic instability and the intersubjective self (2005) Studies in Gender and Sexuality, 10 (3), p. 122; Sharma, P., Vazquez Guillamet, L.J., Miljkovic, G., Atypical Mycobacterial infection after abdominoplasty overseas: A case report and literature review (2016) Case Rep. Infect. Dis.; Smith, R.D., Foreign direct investment and trade in health services: A review of the literature (2004) Soc Sci Med, 59, pp. 2313-2323; Swarbrooke, J., Horner, S., (2007) Consumer Behaviour in Tourism, , London: Routledge; Turner, L., Dental tourism: Issues surrounding cross-border travel for dental care (2009) J Can Dent Assoc., 75, p. 2; van Beers, B.C., Is Europe 'giving in to baby markets?' Reproductive tourism in Europe and the gradual erosion of existing legal limits to reproductive markets (2015) Med Law Rev, 23 (1), pp. 103-134. , https://doi.org/10.1093/medlaw/fwu016; Whittaker, A., Leng, C.H., ‘Flexible bio-citizenship’ and international medical travel: Transnational mobilities for care in Asia (2016) Int Sociol, 31, pp. 286-304. , https://doi.org/10.1177/0268580916629623; Whittaker, A., Leng, C.H., ISAPS Statistics 27 June 2017 [press release Aesthetic Plastic Journal 2017; Whittaker, A., Leng, C.H., Plastic Surgery Statistics (2016) 2016",,,,"ASERS Publishing House",,,,,20687729,,,,"English","J. Environ. Manage. Tour.",Article,"Final",,Scopus,2-s2.0-85085086149 "Chen P.","57216786862;","Strategy of Artificial Intelligence Assisted Health Tourism in the Perspective of Global Region Based on Markov Chain Model",2020,"Proceedings of the 4th International Conference on Computing Methodologies and Communication, ICCMC 2020",,, 9076548,"391","394",,,"10.1109/ICCMC48092.2020.ICCMC-00073","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084633192&doi=10.1109%2fICCMC48092.2020.ICCMC-00073&partnerID=40&md5=71f8c94e5e2c351a4965d0a2f0756d6d","China University of Labor Relations, Beijing, 100048, China","Chen, P., China University of Labor Relations, Beijing, 100048, China","Strategy of the artificial intelligence assisted health tourism in the perspective of global region based on the Markov chain model is studied in this paper. In the process of developing the core big data visualization platform of the scenic spots, the application of visualization technology can display the collected business data efficiently, concisely and clearly. To effectively then analyze the data, the paper has listed novelties. (1) The model assumes that the covariance matrix of factor variables is the identity matrix and that the transition probabilities are also sometimes homogeneous. (2) The Internet of things is roughly recognized as having three levels, the first layer, also the bottom layer, refers to the perception layer used to perceive. The core and comprehensive analysis are done for the efficient analysis. © 2020 IEEE.","Artificial Intelligence; Data Mining; Health Tourism; Intelligent System; Markov Chain","Artificial intelligence; Covariance matrix; Data visualization; Tourism; Visualization; Comprehensive analysis; Efficient analysis; Global regions; Health tourisms; Identity matrices; Markov chain models; Transition probabilities; Visualization technologies; Markov chains",,,,,,,,"Popenici, S.A., Kerr, S., Exploring the impact of art ificial intelligence on teaching and learning in higher educat ion (2017) Research and Pract Ice in Technology Enhanced Learning, 12 (1), p. 22; Dankwa-Mullan, I., Rivo, M., Sepulveda, M., Park, Y., Snowdon, J., Rhee, K., Transforming diabetes care through artificial intelligence: The future is here (2019) Populat Ion Health Management, 22 (3), pp. 229-242; Hassabis, D., Kumaran, D., Summerfield, C., Botvinick, M., Neuroscience-inspired artificial intelligence (2017) Neuron, 95 (2), pp. 245-258; Wang, H., Wang, J., An effect ive image representat ion method using kernel classificat ion (2014) 2014 IEEE 26th Internat Ional Conference on Tools with Art Ificial Intelligence, pp. 853-858. , November. IEEE; Collins, G.S., Moons, K.G., Report ing of art ificial intelligence predict ion models (2019) T He Lancet, 393, pp. 1577-1579. , 10181; Dunjko, V., Briegel, H.J., Machine learning & art if icial intelligence in the quantum domain: A review of recent progress (2018) Reports on Progress in Physics, 81 (7), p. 074001; Abbasi, M., El Hanandeh, A., Forecast ing municipal solid waste generat ion using art ificial intelligence modelling approaches (2016) Waste Management, 56, pp. 13-22; Sangaiah, A.K., Samuel, O.W., Li, X., Abdel-Basset, M., Wang, H., Towards an efficient risk assessment in software projects-Fuzzy reinforcement paradigm (2018) Computers & Elect Rical Engineering, 71, pp. 833-846; Mori, Y., Kudo, S.E., Misawa, M., Saito, Y., Ikematsu, H., Hotta, K., Ohtsuka, K., Maeda, Y., Real-t ime use of art ificial intelligence in ident ificat ion of diminut ive polyps during colonoscopy: A prospect ive study (2018) Annals of Internal Medicine, 169 (6), pp. 357-366; Jiang, F., Jiang, Y., Zhi, H., Dong, Y., Li, H., Ma, S., Wang, Y., Wang, Y., Artificial intelligence in healthcare: Past, present and future (2017) Stroke and Vascular Neurology, 2 (4), pp. 230-243; Hirasawa, T., Aoyama, K., Tanimoto, T., Ishihara, S., Shichijo, S., Ozawa, T., Ohnishi, T., Tada, T., Applicat ion of art ificial intelligence using a convolut ional neural network for detect ing gastric cancer in endoscopic images (2018) Gastric Cancer, 21 (4), pp. 653-660; Huang, W., Wang, H., Zhang, Y., Zhang, S., A novel cluster comput ing technique based on signal clustering and analytic hierarchy model using hadoop (2019) Cluster Comput Ing, 22 (6), pp. 13077-13084; Samuel, M., An improved safety algorithm for artificial intelligence enabled processors in self driving cars (2019) Journal of Artificial Intelligence, 1 (2), pp. 95-104; Kaplan, A., Haenlein, M., Siri, Siri, in my hand: Who's the fairest in the land on the interpretat ions, illustrat ions, and implicat ions of art ificial intelligence (2019) Business Horizons, 62 (1), pp. 15-25; Krittanawong, C., Zhang, H., Wang, Z., Aydar, M., Kitai, T., Art ificial intelligence in precision cardiovascular medicine (2017) Journal of the American College of Cardiology, 69 (21), pp. 2657-2664; Rodríguez-Ruiz, A., Krupinski, E., Mordang, J.J., Schilling, K., Heywang-Köbrunner, S.H., Sechopoulos, I., Mann, R.M., Detect ion of breast cancer with mammography: Effect of an artificial intelligence support system (2019) Radiology, 290 (2), pp. 305-314; Holmes, W., Bialik, M., Fadel, C., (2019) Art Ificial Intelligence in Educat Ion: Promises and Implicat Ions for Teaching and Learning, , Boston, MA: Center for Curriculum Redesign","Chen, P.; China University of Labor RelationsChina; email: xwiawa502374@126.com",,,"Institute of Electrical and Electronics Engineers Inc.","4th International Conference on Computing Methodologies and Communication, ICCMC 2020","11 March 2020 through 13 March 2020",,159543,,9781728148892,,,"English","Proc. Int. Conf. Comput. Methodol. Commun., ICCMC",Conference Paper,"Final",,Scopus,2-s2.0-85084633192 "Andreou K., Ioannou P., Konstantakopoulou O., Kaitelidou D., Galanis P., Charalambous G.","57216579569;7101638298;57189635213;6508184680;6506259346;57212736747;","The attitudes of specialists towards medical tourism and in vitro fertilization medical tourism services in cyprus",2020,"Archives of Hellenic Medicine","37","2",,"191","199",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084358583&partnerID=40&md5=439727b7dc23264cc11f8418d64a071d","Oncology Clinic, General Hospital of Limassol, Limassol, Cyprus; Pediatric Respiratory Research Unit, “Archbishop Makarios III” Hospital, Nicosia, Cyprus; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece; Emergency Department Unit, “Hippocration” General Hospital, Athens, Greece; Department of Health Sciences, MSc in Health Management, Frederick University, Nicosia, Cyprus","Andreou, K., Oncology Clinic, General Hospital of Limassol, Limassol, Cyprus; Ioannou, P., Pediatric Respiratory Research Unit, “Archbishop Makarios III” Hospital, Nicosia, Cyprus; Konstantakopoulou, O., Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece; Kaitelidou, D., Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece; Galanis, P., Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece; Charalambous, G., Emergency Department Unit, “Hippocration” General Hospital, Athens, Greece, Department of Health Sciences, MSc in Health Management, Frederick University, Nicosia, Cyprus","OBJECTIVE To investigate the attitudes of the Cypriot specialists in the field of medical tourism towards medical tourism and assisted reproduction, and specifically, in vitro fertilization (IVF) medical tourism services and the associated marketing activities. METHOD A cross-sectional study was conducted from March to June 2018. The study population consisted of 50 specialists in the field of medical tourism who completed a structured questionnaire. The questionnaire was based on a systematic literature review and a qualitative study with 10 specialists who participated in semi-structured interviews. Demographic characteristics were used as the independent variables, and the dependent variables were: (a) Characteristics of medical tourists looking for IVF services in Cyprus, (b) reasons for choosing Cyprus for IVF services, (c) the specialists’ attitudes towards medical tourism and IVF, and (d) the specialists’ attitudes towards the marketing of medical tourism and IVF. RESULTS The mean age of the participants was 47.2 years, and their mean experience was 13.2 years. Most of the participants were women (62%), had a postgraduate degree (58%) and were working in the private sector (78%). The social, demographic and economic characteristics of medical tourists seeking IVF services in Cyprus were reported to be: couples of average or higher economic and social status, higher educational level, religious beliefs and young couples. The most important reasons for medical tourists to choose Cyprus for IVF services were: the improvement in success rates and safety of IVF procedures, the low cost, the state-of-the-art technology, the favorable climatic conditions, the convenient geographical location and the prevailing political stability in Cyprus. A strong positive attitude towards medical tourism and IVF services was associated with a strong positive attitude towards the accompanying marketing activities. CONCLUSIONS Healthcare providers in Cyprus should be accredited and certified in medical tourism services and policy makers should establish and implement specialist training programs. Cyprus should invest in the development of IVF medical tourism services, by offering also personalized services, according to the specific characteristics of the medical tourists. © Athens Medical Society.","Assisted reproduction; Attitudes; Cyprus; In vitro fertilization; Medical tourism","adult; article; attitude; climate; cross-sectional study; Cyprus; demography; dependent variable; female; health care personnel; human; human experiment; in vitro fertilization; independent variable; marketing; medical tourism; middle aged; postgraduate student; private sector; qualitative research; religion; reproduction; semi structured interview; social status; structured questionnaire; systematic review; training",,,,,,,,"Banerjee, S., Nath, S.S., Dey, N., Eto, H., Global medical tourism: A re-view (2018) Medical Tourism: Breakthroughs in Research and Practice, pp. 1-19. , Khosrow-Pour M, IGI Global, Pennsylvania; Horowitz, M.D., Rosensweig, J., Medical tourism vs traditional international medical travel: A tale of two models (2008) IMTJ, 3, p. 3; Beladi, H., Chao, C.C., Shan Ee, M., Hollas, D., Does medical tour-tour- ism promote economic growth? A cross-country analysis (2019) J Travel Res, 58, pp. 121-135. , ism; Panibratov, A., Michailova, S., The role of state ownership and home government political support in Russian multinationals’ internationalization (2019) Intern J Emerg Markets, 14, pp. 436-450; Delanoe, I., Cyprus, a Russian foothold in the changing East-ern Mediterranean (2013) Middle East Rev Int Affairs, 17, pp. 84-93; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Manage, 27, pp. 1093-1100; Crone, R.K., Flat medicine? Exploring trends in the globaliza-tion of health care (2008) Acad Med, 83, pp. 117-121; Vastag, B., Unproven treatments (2008) US News World Rep, 144, p. 50; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’ s experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The “patient’s physician one-step removed”: The evolving roles of medical tourism facilitators (2011) J Med Ethics, 37, pp. 530-534; Hughes, E.G., Sawyer, A., Dejean, D., Adamson, G.D., Cross-border reproductive care in North America: A pilot study testing a prospective data collection program for in vitro fertilization clinics in Canada and the United States (2016) Fertil Steril, 105, pp. 786-790; Yildiz, M.S., Khan, M.M., Opportunities for reproductive tourism: Cost and quality advantages of Turkey in the provision of in-vi-tro fertilization (IVF) services (2016) BMC Health Serv Res, 16; Mudur, G., Hospitals in India woo foreign patients (2004) Br Med J, 328, p. 1338; Saniotis, A., Changing ethics in medical practice: A Thai per-spective (2007) Indian J Med Ethics, 4, pp. 24-25; Burkett, L., Medical tourism. Concerns, benefits, and the American legal perspective (2007) J Leg Med, 28, pp. 223-245; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Inst Ethics J, 18, pp. 193-201; Mendes Gomes, L.B., Bitar Siqueira, M.H., DE CASTRO, E.C., Outcomes of GnRH agonist triggering in assisted reproductive technology: A systematic review (2017) Reprodução Climatério, 32, pp. 104-108; Duguet, A.M., Boyer-Beviere, B., Preimplantation genetic diag-nosis: The situation in France and in other European coun-tries (2017) Eur J Health Law, 24, pp. 160-174; Apostolou, M., Hadjimarkou, M., Domains of motivation in men and women for initiating and terminating procreation in an evolutionary perspective (2018) Marriage Fam Rev, 54, pp. 486-506; Memić, H., Badnjević, A., Džemić, Z., Regulations and directives – past, present, future (2018) Inspection of Medical Devices: For Regulatory Purposes, pp. 5-29. , Badnjević A, Cifrek M, Magjarevic R, Džemić Z, Springer, Singapore; Ishihara, O., Adamson, G.D., Dyer, S., DE MOUZON, J., Nygren, K.G., Sul-Livan, E.A., International committee for monitoring assisted reproductive technologies: World report on assisted repro-repro- ductive technologies, 2007 (2015) Fertil Steril, 103, pp. 402-413. , ductive; Andreou, K., Kaitelidou, D., Galanis, P., Charalambous, G., The development of medical tourism related to assisted reproduction technology (ART) methods worldwide and its growth perspectives in Cyprus: A systematic review (2019) . International Journal of Caring Sciences, , (under publication); Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a com-parative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 12; Inhorn, M.C., Making Muslim babies: IVF and gamete donation in Sunni versus Shi’a Islam (2006) Cult Med Psychiatry, 30, pp. 427-450; Birenbaum-Carmeli, D., “Cheaper than a newcomer”: On the social production of IVF policy in Israel (2004) Sociol Health Illn, 26, pp. 897-924; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Glob Public Health, 3, pp. 271-290; Turner, L., Cross-border dental care: “Dental tourism” and patient mobility (2008) Br Dent J, 204, pp. 553-554; Alleman, B.W., Luger, T., Reisinger, H.S., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the United States (2011) J Gen Intern Med, 26, pp. 492-497; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld J Et, A., Implications for the NHS of inward and outward medical tourism: A policy and economic analysis using literature review and mixed-methods approaches (2014) NIHR Journals Library, 2, p. 2. , (Health Services and Delivery Research, no), Southampton; Snyder, J., Crooks, V.A., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: A prospective, qualitative study of stakeholder perceptions (2013) Int J Equity Health, 12, p. 2; Bookman, M.Z., (2007) BOOKMAN KR. Medical Tourism in Developing Coun-Tries, , Palgrave Macmillan, New York; Johnston, R., Va, C., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and depar-ture countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Piazolo, M., Albayrak-Zanca, N., Medical tourism – a case study for the USA and India (2011) Germany and Hungary. Acta Polytech Hung, 8, pp. 137-160","Galanis, P.67 Mikras Asias street, Greece; email: pegalan@nurs.uoa.gr",,,"BETA Medical Publishers Ltd",,,,,11053992,,AEIAF,,"English","Arch. Hell. Med.",Article,"Final",,Scopus,2-s2.0-85084358583 "Josephin Arulmozhi S., Praveenkumar K., Vijayalakshmi R., Vinayagamoorthi G.","57211330655;57211339778;57211332377;57210884546;","Medical tourists huddle to India",2020,"International Journal of Scientific and Technology Research","9","3",,"4111","4115",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083861609&partnerID=40&md5=3cf95b5b7fd827b741ed54063177d513","Department Of Commerce, Alagappa University, Karaikudi, Tamilnadu, India","Josephin Arulmozhi, S., Department Of Commerce, Alagappa University, Karaikudi, Tamilnadu, India; Praveenkumar, K., Department Of Commerce, Alagappa University, Karaikudi, Tamilnadu, India; Vijayalakshmi, R., Department Of Commerce, Alagappa University, Karaikudi, Tamilnadu, India; Vinayagamoorthi, G., Department Of Commerce, Alagappa University, Karaikudi, Tamilnadu, India","People traveling from one place to another or one country to another, for getting affordable and good medical treatment is called ""medical tourism. Wellbeing the travel industry is a term for movement that spotlights on therapeutic medications and the utilization of medicinal services administrations. healthcare services. It covers a wide field of wellbeing focused, the travel industry running from preventive and wellbeing conductive treatment to rehabilitation and corrective types of movement. With the strong medical infrastructure in India, medical tourism is getting developed due to advancements in the healthcare field and medicine. It also provides intensive care units, neonatal care, special surgeries, pre, and post-operative care facilities at Hospitals at an affordable cost. Along with our national patients being treated in Chennai hospitals and research centers, they are also treating patients from other countries like Sri Lanka, Dubai, Kuwait, Southeast Asia, and the Middle East. India has also received good appreciation in offering specialized organ transplantations and rare surgeries for abroad patients. Open heart surgery, liver transplant, hip replacement, knee replacement packages at India hospitals are 30 to 50% lesser than Thailand. India has also attained a 30% growth in this medical tourism in 2015. According to the Confederation of Indian Industries (CII), Chennai has attracted about 40 percent of the country's medical tourists. Hospitals have the international standard infrastructure, field wise experts, reduced costs, availability of latest technologies, good medical insurance and all these have made medical tourism a booming one in India. Patients particularly those from creating and immature nations, for example, Nigeria, Kenya, Burundi, Congo, Bangladesh, Oman and Iraq, Maldives are here for cutting edge restorative consideration. Leading hospitals, which receive international patients have started to maintain international wings. This ensures that Indian Hospitals have grown up in this medical tourism in treating both national and international patients with the advancement in medical infra and experts. The study also analysis growth rate, trend, and forecasting of medical tourist arrival in Incredible India. © 2020 IJSTR.","FICCI; Growth; Hospital Facilities; Medical tourists; MTV; Tourist arrival",,,,,,,"This article has been written with the Financial support of RUSA 2.0 Grant vide letter no. F24-51/2014-U Policy (TN-Multi-Gen), Department of Education, Government of India, dated 09.10.2018.",,"Kaur, H., Kochar, R., (2017) the article entitled “Growth of Medical Tourism inIndia: The Current Scenarioin” (2017) International Journal of Scientific Engineering and Applied Science (IJSEAS), 3 (5). , Volume‐ , Issue‐, May; Bhargav, S., Dr., (2018) the paper entitled “Medical tourism:Trends and Challenges in Indian Scenario” (2018) International Journal of Management, IT & Engineering, 8 (1). , Vol. , Issue, , January, ISSN: 2249-0558 Impact Factor: 7.119; Malhotra, N., Malhotra, P., (2015) the paper entitled “Medical Tourism: Future of India” (2015) International Journal of Management and Commerce Innovations, 2 (2), pp. 597-601. , ISSN 2348-7585 (Online), Vol. , Issue, pp:, Month: October 2014-March; Muthyam, P., (2017) the paper entitled “Medical Tourism In India: An Analysis” (2017) International Journal of Information Research and Review, 4 (12), pp. 4801-4803. , Vol., Issue,, pp, December; Josephin Arulmozhi, S., (2019) the paper entitled “Medical Tourism in India” (2019) International Journal of Recent Technology and Engineering (IJRTE), 8 (2S10). , ISSN: 2277-3878, Volume-, Issue, September; (2018) The Hindu News Paper, p. 1. , July 24, Page; https://www.thehindu.com/news/national/medical-tourists-flocking-to-india/article24497896.ece; https://www.ukessays.com/essays/tourism/the-introduction-to-medical-tourism-tourism-essay.php; http://www.destinationindiatours.com/packages/medical-tourism/; https://www.financialexpress.com/opinion/can-medical-tourism-be-the-tie-that-binds-india-and-pakistan/1293035/; https://slideplayer.com/slide/6879439/; https://vdocuments.site/documents/medical-tourism-synopsis.html; http://indpaedia.com/ind/index.php/Medical_tourism:_India; https://www.imtj.com/news/minister-state-tourism-claims-495k-foreign-patients-2017/; https://www.thehindu.com/todays-paper/medical-tourists-flocking-to-india/article24499622.ece; http://www.ficci.in/Medical-Value-Travel-Report.pdfs",,,,"International Journal of Scientific and Technology Research",,,,,22778616,,,,"English","Int. J. Sci. Technol. Res.",Article,"Final",,Scopus,2-s2.0-85083861609 "Bagga T., Vishnoi S.K., Jain S., Sharma R.","56422199500;57211628361;57216135216;57212897721;","Medical tourism: Treatment, therapy & tourism",2020,"International Journal of Scientific and Technology Research","9","3",,"4447","4453",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082597536&partnerID=40&md5=4fdb1a5e20409ba168425c0991011645","Amity UniversityUttar Pradesh, India","Bagga, T., Amity UniversityUttar Pradesh, India; Vishnoi, S.K., Amity UniversityUttar Pradesh, India; Jain, S., Amity UniversityUttar Pradesh, India; Sharma, R., Amity UniversityUttar Pradesh, India","Globalization not only leads the trade and businesses across borders, countries and continents, but also bring along the emergence and development of the concept of tourism. Medical tourism enables the patients to choose medically superior countries for treatment. Being well informed and updated about the country specific developments, technological and medicinal inventions & innovations, security and privacy provisions are some of the critical success factors duly acknowledged by visitors before choosing a medical tourism destination. This research study reveals the various factors like low cost of medical expenditures, state-of-the-art medical equipment’s, dual service of medical treatment plus tourism (vacation) and medical ecosystem of the host country, acknowledged by medical travelers while selecting their preferred medical tourism destination. © 2020, International Journal of Scientific and Technology Research. All rights reserved.","Medical Tourism; Medical Tourism Destination; Medical Treatment",,,,,,,,,"Singh, A., Vishnoi, S.K., Bagga, T., A Study on Customer Preferences towards Travel and Tourism Sector and Their Services. International Journal of Research in Advent (2018) Technology, pp. 3847-3854; Vishnoi, S.K., Bagga, T., Sharma, A., Wani, S.N., Artificial Intelligence enabled marketing solutions: A review (2018) Indian Journal of Economics & Business, 17 (4), pp. 167-177; Horowitz, M.D., Rosensweig, J.A., Medical Tourism – Health Care in the Global Economy (2007) Physician Exectuive, pp. 1-7; Arellano, A.B., Patients Without Borders: The Emergence Of Medical Tourism (2007) International Journal of Health Services, pp. 193-198; (2014), https://patientsbeyondborders.com/:https://patientsbeyondborders.com/, Retrieved from; Das, R., (2014) FORBES, , www.forbes.com:https://www.forbes.com/sites/reenitadas/2014/08/19/medical-tourism-gets-a-facelift-and-perhaps-a-pacemaker/#1438d866391b; Zutshi, V., (2019) Destination Reporter, , www.destinationreporter.com:https://destinationreporterindia.com/2019/02/06/india-as-a-destination-for-medical-tourism/, February 6; Jayaraman, V.R., (2014) Forbes INDIA, , www.forbesindia.com:http://www.forbesindia.com/blog/health/4-things-toknow-about-indias-next-crown-jewel-medical-tourism/; Reddy, S., Qadeer, I., Medical Tourism in India: Progress or Predicament? (2010) Economic & Political Weekly, pp. 69-75; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, pp. 4-15; Hoz-Correa, A.D., Munoz-Leiva, F., Bakucz, M., Past themes and future trends in medical tourism research: A co-word analysis (2018) Tourism Management, pp. 200-211; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., King, H., Implications for the NHS of inward and outward medical tourism: A policy and economic analysis using literature review and mixed-methods approaches (2014) Health Services and Delivery Research; Chuang, T.C., Liu, J.S., Lu, L.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, pp. 49-58; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, pp. 709-716; Skountridaki, L., Barriers to business relations between medical tourism facilitators and medical professionals (2017) Tourism Management, pp. 254-266; Solomon, H., Affective journeys: The emotional structuring of medical tourism in India (2011) Anthropology & Medicine, pp. 105-118; Lunt, N., Careera, P., Systematic review of web sites for prospective medical tourists (2011) Tourism Review, pp. 57-67; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? (2010) A Scoping Review. BMC Health Service Research, pp. 1-12; Johnston, R., Crooks, V.A., Synder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? (2010) A Scoping Review. International Journal of Equity in Health, pp. 1-13; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, pp. 19-30; Lunt, N., Horsfall, D., Hanefeld, J., Medical tourism: A snapshot of evidence on treatment abroad (2016) Maturitas, pp. 37-44; Heung, V.C., Kucukusta, D., Song, H., A Conceptual Model Of Medical Tourism: Implications For Future Research (2010) Journal of Travel & Tourism Marketing, pp. 236-251; Page, S.J., Current issue in tourism: The evolution of travel medicine research: A new research agenda for tourism? (2008) Tourism Management, pp. 149-157; Heung, V.C., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, pp. 995-1005",,,,"International Journal of Scientific and Technology Research",,,,,22778616,,,,"English","Int. J. Sci. Technol. Res.",Article,"Final",,Scopus,2-s2.0-85082597536 "Park J.-K., Ahn J., Han S.-L., Back K.-J., An M.","35103247700;57191622886;37027869600;8598934000;57215852972;","Exploring Internal Benefits of Medical Tourism Facilitators' Satisfaction: Customer Orientation, Job Satisfaction, and Work Performance",2020,"Journal of healthcare management / American College of Healthcare Executives","65","2",,"90","105",,,"10.1097/JHM-D-18-00168","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082096312&doi=10.1097%2fJHM-D-18-00168&partnerID=40&md5=15684e61fb8ce344a5870ce7c057527b","professor, School of Business, Hanyang University, Seoul, Korea senior lecturer, School of Tourism, Hospitality & Events, Taylor's University, Subang Jaya, Malaysia professor, School of Business, Hanyang University, Seoul, Korea associate dean for research and graduate studies, Conrad Hilton College of Hotel and Restaurant Management, University of Houston, Houston, Texas; and lecturer, School of Business, Hanyang University, Seoul, Korea","Park, J.-K., professor, School of Business, Hanyang University, Seoul, Korea senior lecturer, School of Tourism, Hospitality & Events, Taylor's University, Subang Jaya, Malaysia professor, School of Business, Hanyang University, Seoul, Korea associate dean for research and graduate studies, Conrad Hilton College of Hotel and Restaurant Management, University of Houston, Houston, Texas; and lecturer, School of Business, Hanyang University, Seoul, Korea; Ahn, J.; Han, S.-L.; Back, K.-J.; An, M.","EXECUTIVE SUMMARY: This study examined the impact of employee satisfaction with management and coworkers on their performance as medical tourism facilitators. The proposed hypotheses were tested with structural equation modeling based on data collected from major hospitals in South Korea. Results supported assumptions that satisfaction with management is positively correlated with customer orientation and job satisfaction of medical tourism facilitators, as well as with the assumption that satisfaction with coworkers has a direct impact on customer orientation. This study has practical implications as organizations develop effective internal marketing (i.e., communication) strategies to improve the performance of medical tourism facilitators.",,"article; coworker; employee; human; job performance; job satisfaction; marketing; medical tourism; organization; South Korea; structural equation modeling",,,,,,,,,,,,"NLM (Medline)",,,,,10969012,,,"32168184","English","J Healthc Manag",Article,"Final",,Scopus,2-s2.0-85082096312 "Foster S.C.","57216228080;","PRACTITIONER APPLICATION: Exploring Internal Benefits of Medical Tourism Facilitators' Satisfaction: Customer Orientation, Job Satisfaction, and Work Performance",2020,"Journal of healthcare management / American College of Healthcare Executives","65","2",,"105","106",,,"10.1097/JHM-D-20-00002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082095509&doi=10.1097%2fJHM-D-20-00002&partnerID=40&md5=8c4aac23386ff879652170a36c7821e0","president and CEO, St. Luke's Health-Patients Medical Center, Pasadena, Texas, and St. Luke's Health-Sugar Land Hospital, Sugar Land, Texas","Foster, S.C., president and CEO, St. Luke's Health-Patients Medical Center, Pasadena, Texas, and St. Luke's Health-Sugar Land Hospital, Sugar Land, Texas",[No abstract available],,"job performance; job satisfaction; medical tourism; Job Satisfaction; Medical Tourism; Work Performance",,,,,,,,,,,,"NLM (Medline)",,,,,10969012,,,"32168185","English","J Healthc Manag",Note,"Final",,Scopus,2-s2.0-85082095509 "Boguszewicz-Kreft M., Kuczamer-Kłopotowska S., Kozłowski A., Ayci A., Abuhashesh M.","57207842794;57193934222;57211031940;57215546563;57207842485;","The theory of planned behaviour in medical tourism: International comparison in the young consumer segment",2020,"International Journal of Environmental Research and Public Health","17","5", 1626,"","",,,"10.3390/ijerph17051626","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081139292&doi=10.3390%2fijerph17051626&partnerID=40&md5=00d645e92f704bbbcb5cd7df00bc4fea","Department of Marketing, Faculty of Finance and Management, WSB University in Gdańsk, Gdańsk, 80-123, Poland; Department of Marketing, Faculty of Management, University of Gdańsk, Sopot, 81-824, Poland; Department of Statistics, Faculty of Management, University of Gdańsk, Sopot, 81-824, Poland; Small and Medium Enterprises Development Organization of Turkey, Ankara, 06050, Turkey; E-Marketing and Social Media Department, Princess Sumaya University for Technology (PSUT, Amman, 11941, Jordan","Boguszewicz-Kreft, M., Department of Marketing, Faculty of Finance and Management, WSB University in Gdańsk, Gdańsk, 80-123, Poland; Kuczamer-Kłopotowska, S., Department of Marketing, Faculty of Management, University of Gdańsk, Sopot, 81-824, Poland; Kozłowski, A., Department of Statistics, Faculty of Management, University of Gdańsk, Sopot, 81-824, Poland; Ayci, A., Small and Medium Enterprises Development Organization of Turkey, Ankara, 06050, Turkey; Abuhashesh, M., E-Marketing and Social Media Department, Princess Sumaya University for Technology (PSUT, Amman, 11941, Jordan","The Theory of Planned Behaviour (TPB) assumes the possibility of predicting and explaining humans’ behaviour by identifying their intentions. The intentions are shaped by three groups of factors: attitudes towards, social norms and perceived behavioural control over the behaviour. The aim of the research is to examine the applicability of the TPB in medical tourism and to check whether there are differences in predicting the intentions of medical tourists from different countries. The study covered potential medical tourists—521 young consumers from three regionally important markets in medical tourism services: Jordan, Poland and Turkey. The study used a research survey to collect data, which were analysed using the multiple regression and analysis of variance methods. The research showed that the TPB model can be used in medical tourism. The results also show that the consumers’ country of origin is a significant factor when predicting their intention to use medical tourism services. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.","Jordan; Medical tourism; Poland; Theory of Planned Behaviour (TPB); Travel intention; Turkey","international comparison; medical tourism; prediction; public health; regression analysis; travel behavior; analysis of variance; article; consumer; human; Jordan; medical tourism; multiple regression; Poland; Theory of Planned Behavior; travel; Turkey (republic); Jordan; Poland [Central Europe]; Turkey",,,,,,,,"Ajzen, I., The theory of planned behavior (1991) Organ. Behav. Hum. Decis. Process., 50, pp. 179-211; Ajzen, I., Fishbein, M., (1980) Understanding Attitudes and Predicting Social Behavior, , Prentice-Hall: Englewood Cliffs, NJ, USA; Sparks, B., Pan, G.W., Chinese Outbound tourists: Understanding their attitudes, constraints and use of information sources (2009) Tour. Manag., 30, pp. 483-494; Quintal, V.A., Lee, J.A., Soutar, G.N., Risk, uncertainty and the theory of planned behavior: A tourism example (2010) Tour. Manag., 31, pp. 797-805; Lam, T., Hsu, C.H.C., Predicting behavioral intention of choosing a travel destination (2006) Tour. Manag., 27, pp. 589-599; Sparks, B., Planning a wine tourism vacation? Factors that help to predict tourist behavioural intentions (2007) Tour. Manag., 28, pp. 1180-1192; Banberg, S., Ajzen, I., Schmidt, P., Choice of Travel Mode in the Theory of Planned Behaviour: The Roles of Past Behaviour, Habit, and Reasoned Action (2003) Basic Appl. Sci. Psychol., 25, pp. 175-188; Kaplan, S., Manca, F., Nielsen, T.A.S., Prato, C.G., Intentions to use bike-sharing for holiday cycling: An application of the Theory of Planned Behavior (2015) Tour. Manag., 47, pp. 34-46; Doran, R., Larsen, S., The Relative Importance of Social and Personal Norms in Explaining Intentions to Choose Eco-Friendly Travel Options (2016) Int. J. Tour. Res., 18, pp. 159-166; Hu, H., Zhang, J., Wang, C., Yu, P., Chu, G., What influences tourists’ intention to participate in the Zero Litter Initiative in mountainous tourism areas: A case study of Huangshan National Park, China (2019) Sci. Total Environ., 657, pp. 1127-1137; Wang, C., Zhang, J., Cao, J., Hu, H., Yu, P., The influence of environmental background on tourists’ environmentally responsible behaviour (2019) J. Environ. Manag., 231, pp. 804-810; Amaro, S., Duarte, P., An integrative model of consumers’ intentions to purchase travel online (2015) Tour. Manag., 46, pp. 64-79; Cheng, S., Lam, T., Hsu, C.H.C., Negative Word-of-Mouth Communication Intention: An Application of the Theory of Planned Behavior (2006) J. Hosp. Tour. 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Rev., 71, pp. 135-147; Holliday, R., Bell, D., Jones, M., Hardy, K., Hunter, E., Probyn, E., Taylor, J.S., Beautiful face, beautiful place: Relational geographies and gender in cosmetic surgery tourism websites (2015) Gender Place Cult, 22, pp. 90-106; Lubowiecki-Vikuk, A., Dryglas, D., Medical tourism services and medical tourism destinations in Central and Eastern Europe—The opinion of Britons and Germans (2019) Econ. Res. Istraz., 32, pp. 1256-1274","Boguszewicz-Kreft, M.; Department of Marketing, Faculty of Finance and Management, WSB University in GdańskPoland; email: mboguszewicz@wsb.gda.pl",,,"MDPI AG",,,,,16617827,,,"32138240","English","Int. J. Environ. Res. Public Health",Article,"Final",Open Access,Scopus,2-s2.0-85081139292 "Sharma A., Prasai N., Ajmera P., Yadav S., Madan S.","57215089062;57215083570;57195928425;57212460594;57214446956;","Challenges faced by medical tourists in India and its growth prospects (A descriptive study).",2020,"International Journal of Scientific and Technology Research","9","2",,"5005","5011",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079903563&partnerID=40&md5=1e6755e11dcc34842a2a36f6f1f1e2d6","Hospital Administration in Amity UniversityHaryana, India; Department of Hospital Administration at Amity UniversityHaryana, India; Amity UniversityHaryana, India","Sharma, A., Hospital Administration in Amity UniversityHaryana, India; Prasai, N., Hospital Administration in Amity UniversityHaryana, India; Ajmera, P., Department of Hospital Administration at Amity UniversityHaryana, India; Yadav, S., Amity UniversityHaryana, India; Madan, S., Amity UniversityHaryana, India","This study talks about Medical Tourism which refers to any travel to foreign countries for receiving medical treatment. Medical Tourism has become one of the large-scale businesses for many countries such as India, Thailand and many South American countries. Also, countries like Malaysia and Singapore attract a lot of medical tourist. The medical tourism industry is growing gradually. Medical tourism helps in providing fast and easier access to all the services that are required. Medical Tourism is of great importance in context to different prospective such as according to the patient, according to the economic status of the hospital as well as of the country. The main objective of this study is to find out and understand various challenges that are being faced by the medical tourism in India. All the international patients of all age groups were included in the study. A sample of 50 international patients was selected for the study. Results were made based upon the questionnaire and it was observed that the Majority of the medical tourists visited India only for the treatment. Low cost was not the primary reason for their visit to India, instead the better quality of the treatment, services, doctors and staff brought them to India. Medical Tourists seemed to be highly satisfied with the Doctors and fairly satisfied with the nurses and the services. The proper conclusion was made by SWOT analysis after this. Then some of the recommendations were given with respect to the result at micro and macro levels. Also, the future prospects and limitations of the study were also mentioned. © 2020 IJSTR.","Accreditation; Medical tourism; Medical Tourism Index; Medical Tourism Industry; Medical Travel Value",,,,,,,,,"Chandra, A., (2019) Exploring Medical Tourism Opportunities in India (With Special Reference to Delhi/Ncrz), , Available at SSRN 3320007; Gupta, P., Challenges and Strengths of Medical Tourism in Delhi NCR (2015) DU Journal of Undergraduate Research and Innovation, 1 (2), pp. 230-251; Majumdar, K.K., Kishore, J., Medical tourism in India and its future prospects (2018) International Journal of Preventive, Curative and Community Medicine, 4 (2), pp. 4-8; Sharma, A., Medical tourism: Emerging challenges and future prospects (2013) International Journal of Business and Management Invention, 2 (1), pp. 21-29; Sultana, S., Factors affecting the attractiveness of medical tourism destination: An empirical study on india-review article (2014) Iranian Journal of Public Health, 43 (7), p. 867; Walia, K., (2019) Hba1c Testing Market Size, Share, Growth, Trends, Analysis and Forecast 2018 to 2025",,,,"International Journal of Scientific and Technology Research",,,,,22778616,,,,"English","Int. J. Sci. Technol. Res.",Article,"Final",,Scopus,2-s2.0-85079903563 "Kamassi A., Abd Manaf N.H., Omar A.","57210844581;8610860900;35424518300;","The identity and role of stakeholders in the medical tourism industry: state of the art",2020,"Tourism Review","75","3",,"559","574",,,"10.1108/TR-01-2019-0031","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078997612&doi=10.1108%2fTR-01-2019-0031&partnerID=40&md5=46dcaeaf27210ffadfc0c682a16a14ae","Department of Business Administration, International Islamic University, Malaysia, Kuala Lumpur, Malaysia","Kamassi, A., Department of Business Administration, International Islamic University, Malaysia, Kuala Lumpur, Malaysia; Abd Manaf, N.H., Department of Business Administration, International Islamic University, Malaysia, Kuala Lumpur, Malaysia; Omar, A., Department of Business Administration, International Islamic University, Malaysia, Kuala Lumpur, Malaysia","Purpose: This paper aims to address and identify the major stakeholders in the medical tourism industry, based on their participation in medical tourism activities and their support for medical tourism development. Design/methodology/approach: This paper systematically reviews the content of medical tourism studies from literature to identify key stakeholders and address the roles they play in the medical tourism industry. Findings: This study shows that the key stakeholders in the medical tourism industry are eight, namely, medical tourists, health-care providers, government agencies, facilitators, accreditation and credentialing bodies, health-care marketers, insurance providers and infrastructure and facilities. These stakeholders strongly influence medical tourists’ decision-making process in seeking medical treatment abroad. Besides, a successful medical tourism development depends greatly on the excellent partnership between all stakeholders. Practical implications: This paper sheds light on the crucial role of these stakeholders that can be an important consideration in medical tourists’ decision-making process and industry growth. The study can facilitate policymakers in designing and developing policies to improve medical tourism practices. Originality/value: This paper expands the knowledge about medical tourism literature by identifying and explaining the significant role of each stakeholder in the industry. The results of this paper are quite revealing to all practitioners in terms of the potential strategies and medical tourism growth. 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Moghavvemi, S., Ormond, M., Musa, G., Isa, C.R.M., Thirumoorthi, T., Mustapha, M.Z.B., Chandy, J.J.C., Connecting with prospective medical tourists online: a cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163; Mohamad, W.N., Omar, A., Haron, M.S., The moderating effect of medical travel facilitators in medical tourism (2012) Procedia - Social and Behavioral Sciences, 65, pp. 358-363; Musa, G., Thirumoorthi, T., Doshi, D., Travel behaviour among inbound medical tourists in Kuala Lumpur (2012) Current Issues in Tourism, 15 (6), pp. 525-543; Ormond, M.E., (2011) International medical travel and the politics of therapeutic place-making in Malaysia, , working paper, University of St Andrews, Scotland; Paffhausen, A.L., Peguero, C., Roche-Villarreal, L., (2010) Medical Tourism: A Survey, , United Nations Economic Commission for Latin America and the Caribbean, Washington, DC; Pasadilla, G., (2014) Medical and Wellness Tourism: lessons from Asia, , International Trade Center (ITC), Geneva; 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Yang, Y.S., Key success factors in medical tourism marketing (2013) International Journal of Academic Research in Business and Social Sciences, 3 (3), pp. 152-158; Zailani, S., Ali, S.M., Iranmanesh, M., Moghavvemi, S., Musa, G., Predicting Muslim medical tourists' satisfaction with Malaysian Islamic friendly hospitals (2016) Tourism Management, 57, pp. 159-167; Darcy, S., Cameron, B., Pegg, S., Accessible tourism and sustainability: a discussion and case study (2010) Journal of Sustainable Tourism, 18 (4), pp. 515-537; Das, G., Mukherjee, S., A measure of medical tourism destination brand equity (2016) International Journal of Pharmaceutical and Healthcare Marketing, 10 (1), pp. 104-128; Ngamvichaikit, A., Beise-Zee, R., Communication needs of medical tourists: an exploratory study in Thailand (2014) International Journal of Pharmaceutical and Healthcare Marketing, 8 (1), pp. 98-117; Turner, L., Medical tourism and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467","Kamassi, A.; Department of Business Administration, International Islamic University, MalaysiaMalaysia; email: ahmed.kamassi@live.iium.edu.my",,,"Emerald Group Publishing Ltd.",,,,,16605373,,,,"English","Tour. Rev.",Review,"Final",,Scopus,2-s2.0-85078997612 "Shukla R., Soni V., Gupta M.","57200218157;57215188185;57215201319;","Management of significant factors involved in medical tourism",2020,"Test Engineering and Management","82","1-2",,"2521","2525",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85080075182&partnerID=40&md5=fb9183f74259ad66ccd30beee24d8eab","Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India","Shukla, R., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India; Soni, V., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India; Gupta, M., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India","Nowadays many people travel abroad for receiving the medical care, as there exists innovative medical treatment procedures which are available in very few developed countries. This process can be termed as ""Medical Tourism"". The patient with a particular disease seeking for the medical treatment will look for the more efficient treatment procedure where the patient can be cured within a less period of time and at minimum cost. Increase in popularity of ""medical tourism"" have captured the attention of researchers, media and the policy makers. The role of Internet and travel industries matters a lot in ""medical tourism"" process, as the people will look for the closest destination to travel for the treatment which will reduce the transportation cost. Cost, quality and the type of treatments along with the guidelines for medical tourists are considered to be the major factors of medical tourism which are discussed in this paper. © 2020 Mattingley Publishing. All rights reserved.","Cost; Health; Healthcare; Medical procedures; Medical tourists; Medicine; Quality; Risk factors; Tourism; Treatments","Costs; Health; Health care; Health risks; Image quality; Medicine; Patient treatment; Developed countries; Efficient treatment; Medical procedures; Medical tourists; Medical treatment; Risk factors; Transportation cost; Treatments; Tourism",,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries.; Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tour. Manag.; Lunt, N., Horsfall, D., Medical tourism (2014) Encyclopedia of Health Economics; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health.; Sarantopoulos, I., Katsoni, V., Geitona, M., Medical tourism and the role of e-medical tourism intermediaries in Greece (2014) Tourismos; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review.; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Math. Comput. Model.; Chuang, T.C., Liu, J.S., Lu, L.Y.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tour. Manag.; Sarwar, A., Medical tourism in Malaysia: Prospect and challenges (2013) Iran. J. Public Health; Mainil, T., Platenkamp, V., Meulemans, H., The discourse of medical tourism in the media (2011) Tour. Rev.; Suess, C., Baloglu, S., Busser, J.A., Perceived impacts of medical tourism development on community wellbeing (2018) Tour. Manag.; Leggat, P., Medical tourism (2015) Aust. Fam. Physician; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management.",,,,"Mattingley Publishing",,,,,01934120,,TENMA,,"English","Test Eng Manage",Article,"Final",,Scopus,2-s2.0-85080075182 "Gupta M., Shukla R., Soni V.","57215201319;57200218157;57215188185;","A review of factors associated with medical tourism industrial management",2020,"Test Engineering and Management","82","1-2",,"2516","2520",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85080069354&partnerID=40&md5=7ce47549cd03b527a3e57c1da85c05f5","Department of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India","Gupta, M., Department of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India; Shukla, R., Department of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India; Soni, V., Department of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India","The term ""Medical tourism"" describes the process of travelling outside the residential country for receiving the medical treatment. More specifically, the term is referred to the travelling of the patients from the less developed countries to the developed countries for pursuing the medical treatment which are not available in the country in which they resides. In recent years, the patients are seeking for the healthcare services which can be offered at low prices, so they travel from richer to less developed countries. This paper reviews the growth of medical tourism companies and its factors influencing the management which includes the challenges face by the representatives in the medical tourism companies, maintaining standards of healthcare services, organizing training and certification programs of medical tourism agent, cost and service quality factors. © 2020 Mattingley Publishing. All rights reserved.","Cost; Healthcare services; Medical tourism; Medical tourism companies; Medical tourists; Quality; Training; Treatment","Image quality; Patient treatment; Personnel training; Tourism; Certification programs; Developed countries; Healthcare services; Less developed countries; Medical tourists; Medical treatment; Service quality factor; Treatment; Costs",,,,,,,,"Connell, J., Medical tourism: Sea, sun, sand and... surgery (2006) Tour. Manag.; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research.; Prasad, C.B.V.K., Medical tourism industry-advantage India (2008) Conf. Glob. Compet. Compet. Indian Corp., , India IIMK; Sarwar, A., Medical tourism in Malaysia: Prospect and challenges (2013) Iran. J. Public Health; Jabbari, A., Zarchi, M., Kavosi, Z., Shafaghat, T., Keshtkaran, A., The marketing mix and development of medical tourism in shiraz (2013) Mater. Socio Medica; Appiah-Adu, K., Fyall, A., Singh, S., Marketing culture and customer retention in the tourism industry (2000) Serv. Ind. J.; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int. J. Qual. Heal. Care; Kim, D.H., Sheppard, C.E., De Gara, C.J., Karmali, S., Birch, D.W., Financial costs and patients' perceptions of medical tourism in bariatric surgery (2016) Can. J. Surg.; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tour. Manag.; Leggat, P., Medical tourism (2015) Aust. Fam. Physician; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management.; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health.; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review.",,,,"Mattingley Publishing",,,,,01934120,,TENMA,,"English","Test Eng Manage",Review,"Final",,Scopus,2-s2.0-85080069354 "Soni V., Gupta M., Shukla R.","57215188185;57215201319;57200218157;","Medical tourism in India",2020,"Test Engineering and Management","82","1-2",,"2511","2515",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85080023936&partnerID=40&md5=ea42714cf3182adef81cf45e7a5ecf9c","Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India","Soni, V., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India; Gupta, M., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India; Shukla, R., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India","There is a medical tourism trend in India today. Many foreign and domestic tourist patients choose Maharashtra, Goa, Karnataka and Gujarat Indian states for medical treatment and as tourism. Health is considered to have enormous potential. There is strong growth rapid expansion in this field, specially driven by foreign patients, due to the availability of efficient infrastructure and comparatively cheaper (at a global stage) medical treatment. Best medical expertise have made India one of the best medical tourism's locations. Foreign tourists prefer this country not because of its holidays, but also because of its health care facilities such as surgery, knee transplant, beauty surgery, problems related to dental etc. Most of thetourist prefer India to use natural resources for Ayurveda treatment. Article will discuss about the rise & challenges related to medical tourism in India taking ideal example of Karnataka. © 2020 Mattingley Publishing. All rights reserved.","Growth rate; Medical expertise & cost efficiency; Medical tourism","Growth rate; Surgery; Cost efficiency; Gujarat; Healthcare facility; Karnataka; Medical treatment; Rapid expansion; Strong growth; Tourism",,,,,,,,"Jindal, P., Yashika, Medical tourism in India: An analysis (2019) Int. J. Innov. Technol. Explor. Eng.; Bharti, S.K., Gupta, P., Pandey, B., Kumar, A., Husain, S., A case for medical tourism in India (2015) Indian Streams Res. J., 5 (1), pp. 1-3; Gupta, V., Das, P., Medical tourism in India (2012) Clinics in Laboratory Medicine, 32 (2), pp. 321-325; Reddy, D., Subrahmanyam, C., Advisor, M., Medical tourism in India (2017) Narayana Med. J., 6 (2), p. 21; Mochi, P., Shetty, N., Vahoniya, D., Medical tourism - Destination India (2013) Commerce and Management, 2 (3), pp. 29-39; Arulmozhi, S.J., Praveenkumar, K., Vinayagamoorthi, G., Medical tourism in India (2019) Int. J. Recent Technol. Eng., 8 (2), pp. 695-698; Sambrani, V.N., Makkalageri, S.N., Medical tourism scenario in India (2014) Int. J. Appl. Serv. Mark. Perspect., 3 (1), pp. 709-716; Prajapati, M.C., Patel, V.B., Impact of medical tourism in India (2012) Int. J. Res. Commer. Manag., 3 (4), pp. 91-95; Behrmann, J., Smith, E., Top 7 issues in medical tourism: Challenges, knowledge gaps, and future directions for research and policy development (2010) Glob. J. Health Sci.; Ranjan Debata, B., Sree, K., Patnaik, B., Sankar Mahapatra, S., Evaluating medical tourism enablers with interpretive structural modeling (2013) Benchmarking An Int. J.; Thayarnsin, S.L., Douglas, A.C., A systematic review of challenges in medical tourism destination management (2016) 2016 Ttra International Conference; Hadian, M., Jabbari, A., Mousavi, S.H., Sheikhbardsiri, H., Medical tourism development: A systematic review of economic aspects (2019) International Journal of Healthcare Management.",,,,"Mattingley Publishing",,,,,01934120,,TENMA,,"English","Test Eng Manage",Article,"Final",,Scopus,2-s2.0-85080023936 "Hou H., Kumar R., Munieleswar","57215096285;57215089052;57215092767;","Chinese tourists‟ intention to visit Malaysia as a destination of choice for medical tourism",2020,"Test Engineering and Management","82","1-2",,"566","574",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079854066&partnerID=40&md5=dc74a50d77308bc70425eb83e667504d",,"Hou, H.; Kumar, R.; Munieleswar","The demand for medical tourism in Malaysia is increasing rapidly due to more patients traveling beyond borders to seek medical treatment. Moreover, Chinese outbound medical tourism is growing sharp where patients travel beyond borders to seek medical treatment. A self-administered survey questionnaire is used in this study for data collection and a total of 320 respondents have filled out the survey. Research findings show that three underlying dimensions of travel motivations (pull factors) have been determined which are “value for money”, “supporting services”, and “cultural similarity”, which have significantly influenced the intention of Chinese tourists visiting Malaysia as a destination of choice for medical tourism. In addition, the perceived quality of medical services, which comprises two dimensions namely the perceived medical service quality (core service) and perceived customer service quality (supplementary service) has also influenced the Chinese medical tourists' intention to visit Malaysia as a destination of choice for medical tourism. The main medical treatment pursued by respondents were wellness or preventive healthcare, treatment for diseases and beauty enhancement. The findings also offered an important managerial implication for the destination marketing organizations (DMOs) in obtaining deeper insight into the Chinese outbound medical tourism market. © 2020 Mattingley Publishing. All rights reserved.","Chinese tourist; Malaysia; Medical tourism; Motivation","Commerce; Motivation; Patient treatment; Quality of service; Surveys; Chinese tourists; Customer services; Malaysia; Managerial implications; Medical service qualities; Perceived quality; Supplementary services; Travel motivations; Tourism",,,,,,"Second Author DR. RAVINDRA KUMAR A/L PERUMAL holds a PhD in Management from the Limkokwing University of Creative Technology (Jan` 2016). He obtained a Post Graduate Certificate in Teaching & Learning from Lancaster University, U.K. (Dec` 2009), an Executive Diploma in Logistics Management from Open University, Malaysia. (May` 2007), a Master of Business Administration from Nottingham Trent University, U.K. (Sept` 2001), a Tour Guide Certificate from Perbadanan Kemajuan Pelancongan Malaysia (TDC) (Dec` 1990) and a Diploma in Hotel Operations from Hotel & Tourism School “Les Roches”, Switzerland (Dec` 1985). Currently he is a Senior Lecturer in the School of Marketing & Media at Asia Pacific University of Technology and Innovation. Dr. Ravindra teaches Tourism Sustainability. He has been awarded the Fundamental Research Grant Scheme by the Ministry of Higher Education in Mar` 2012. Prior to that, he was a Lecturer at Sunway University from Jun` 2002 to Dec` 2009 and before that a Lecturer-in-Charge of the Raffles School of Tourism & Hospitality Management under the Raffles Education Group at Olympia College, Petaling Jaya Campus from Jan 1998 to May` 2002.",,"Aaker, D.A., Kumar, V., Day, G.S., (2007) Marketing Research, , 9 ed.). 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(2018) Tourism and Hospitality Research, 18 (4), pp. 505-513; Tiren-Verbeet, N.L., Cetin, M., Alp, E., Doganay, M., Bone marrow transplantation and medical tourism at erciyes university-a single center experience (2018) International Journal of Travel Medicine and Global Health, 6 (1), pp. 1-6; (2019) Malaysia Profile of Tourist by Selected Market 2019, , Tourism of Malaysia Kuala Lumpur: Tourism Malaysia; Turner, L., (2007) First World Health Care at Third World Prices; Globalization, bioethics and medical tourism BioSocieties, 2 (3), pp. 303-325; Wahba, M.A., Bridwell, L.G., Maslow reconsidered: A review of research on the need hierarchy theory (1976) Organizational Behavior and Human Performance, 15 (2), pp. 212-240; Yamane, T., (1967) Statistics, An Introductory Analysis, , 2nd Ed., New York: Harper and Row; Zikmund, W., Babin, B., Carr, J., Griffin, M., (2013) Business Research Methods",,,,"Mattingley Publishing",,,,,01934120,,TENMA,,"English","Test Eng Manage",Article,"Final",,Scopus,2-s2.0-85079854066 "Xu T., Wang W., Du J.","57217107596;57217108397;57217102354;","An Integrative Review of Patients’ Experience in the Medical Tourism",2020,"Inquiry (United States)","57",,,"","",,,"10.1177/0046958020926762","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086261880&doi=10.1177%2f0046958020926762&partnerID=40&md5=97fb9c8192eaf90e4ee519e2c83504e5","Texas Woman’s University, Houston, United States","Xu, T., Texas Woman’s University, Houston, United States; Wang, W., Texas Woman’s University, Houston, United States; Du, J., Texas Woman’s University, Houston, United States","Medical tourism has emerged as an industry due to the constantly improved information technology and decreasing cost for transportation. Evidence on how medical tourists develop their medical travel and their experience keeps growing. This article aims to provide an integrative review to understand medical tourism from the patients’ perspective. PRISMA procedures were followed. All the literature was published from January 1, 2009, to May 4, 2019, in peer-reviewed journals in CINAHL and MEDLINE/PubMed. Johns Hopkins Nursing evidence level and quality guide were used to evaluate evidence level. Twenty-one studies including 8 quantitative, 10 qualitative, and 3 mix-method studies were reviewed. Low cost, short waiting list, quality, and procedures available were the motivators to treatment abroad. The Internet, former tourists’ testimonial, and physician and facilitators’ advice were the predominant resources consulted. Perceived value of medical quality directly affected patients’ overall satisfaction. Our integrative review has led to the identification of many factors related to medical tourist’s experience. We suggest further empirical researches on (1) the patients’ decision-making process of motivators and barriers, (2) the factors related to patients’ experience on the health care quality, and (3) the strategies to ensure the continuity of care. © The Author(s) 2020.","experience; global health; health service; medical tourism; medical travel","adult; article; Cinahl; decision making; empirical research; evidence based nursing; global health; health care quality; hospital admission; human; Internet; medical tourism; Medline; patient care; physician; quantitative analysis; satisfaction; travel",,,,,,"We thank Dr. Mikyoung A. Lee, Associate Director of PhD Program and Associate Professor, for supporting the manuscript development in the Exploring Scientific Literature Review course at Texas Woman?s University College of Nursing. The author(s) received no financial support for the research, authorship, and/or publication of this article.",,"Pafford, B., The third wave? 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A scoping review (2010) BMC Health Serv Res, 10, p. 266","Xu, T.; Texas Woman’s UniversityUnited States; email: txu@twu.edu",,,"SAGE Publications Inc.",,,,,00469580,,INQYA,"32513038","English","Inquiry",Review,"Final",Open Access,Scopus,2-s2.0-85086261880 "Ghalamkari S., Kazemi A., Barzoki A.S., Teimouri H.","55102893500;56653164400;37057052300;35732586800;","Formulating optimal strategies for engaging in health tourism sector in Isfahan province",2020,"International Journal of Procurement Management","13","3",,"332","346",,,"10.1504/IJPM.2020.107497","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086049440&doi=10.1504%2fIJPM.2020.107497&partnerID=40&md5=057954ce172d7715e21b445c29427b4f","Department of Business Management, Faculty of Administrative and Economics, University of Isfahan, Iran; Department of Management, Faculty of Administrative and Economics, University of Isfahan, Iran","Ghalamkari, S., Department of Business Management, Faculty of Administrative and Economics, University of Isfahan, Iran; Kazemi, A., Department of Management, Faculty of Administrative and Economics, University of Isfahan, Iran; Barzoki, A.S., Department of Management, Faculty of Administrative and Economics, University of Isfahan, Iran; Teimouri, H., Department of Management, Faculty of Administrative and Economics, University of Isfahan, Iran","This study aims to formulate optimal human resource strategies for engaging in health tourism in Isfahan. The expert population of study consists of the professors of Isfahan University and Isfahan University of Medical Sciences, managers of cultural heritage organisation, and administers of Isfahan hoteliers and tourism agencies. Strategic plans were formulated using SWOT matrix and space matrix. The indices of medical tourism locating were first extracted for four parts of SWOT matrix, i.e., strengths, weaknesses, threats and opportunities using Delphi technique. Then, SWOT matrix was developed based on which industry attractiveness, financial power, environment stability and competitive advantage were configured in space matrix. Then, the competitive situation was determined using fuzzy Delphi technique. 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Mind, Body, Spirit, Place 3-18, , in Bushell, R. and Sheldon, P.J. (Eds.), Cognizant Communication, New York; Shih, H.A., Chiang, Y.H., Strategy alignment between HRM, KM, and corporate development (2005) International Journal of Manpower, 26 (6), pp. 582-603; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Stojanovic, M., Stojanovic, D., Randelovic, D., New trends in participation at tourist market under conditions of global economic crisis (2010) Tourism & Hospitality Management, Conference Proceedings, pp. 1260-1268; Thompson, A., Strickland, A.J., (2002) Strategic Management: Concepts and Cases, , Irwin New York; Visakhi, P., Gupta, B.M., Gupta, R., Garg, A.K., Health tourism research: A scientometric assessment of global publications output during 2007-16 (2017) Int. J. Med. Public Health, 7 (2), pp. 73-79","Kazemi, A.; Department of Management, Faculty of Administrative and Economics, University of IsfahanIran; email: alik@ase.ui.ac.ir",,,"Inderscience Publishers",,,,,17538432,,,,"English",,Article,"Final",,Scopus,2-s2.0-85086049440 "Hernández-Angulo C.A., Bohórquez-Hernández M.J., Nieto I.C., González-Torres H.J.","57217047182;57217043647;57217046321;57193801407;","Health tourism cluster: Global context of this model [Clúster de turismo en salud: Contexto global de este modelo]",2020,"Archivos Venezolanos de Farmacologia y Terapeutica","39","1",,"39","48",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085953608&partnerID=40&md5=2d7517473d715ce055029d088af23fb3","Universidad Autónoma del Caribe, Facultad Administrativa, Económica y Contable, Barranquilla, Colombia; Universidad Simón Bolívar, Facultad de Ciencias de la Salud, Barranquilla, Colombia","Hernández-Angulo, C.A., Universidad Autónoma del Caribe, Facultad Administrativa, Económica y Contable, Barranquilla, Colombia; Bohórquez-Hernández, M.J., Universidad Autónoma del Caribe, Facultad Administrativa, Económica y Contable, Barranquilla, Colombia; Nieto, I.C., Universidad Autónoma del Caribe, Facultad Administrativa, Económica y Contable, Barranquilla, Colombia; González-Torres, H.J., Universidad Simón Bolívar, Facultad de Ciencias de la Salud, Barranquilla, Colombia","Objective: To identify the updates on information about health tourism clusters, contemplating variables associated with these productive complexes. Methodology: Bibliographic review in various data bases us-ing the terms: Health Cluster, Health Tourism Cluster, Tourism Cluster, Health Tourism, Medical Tourism, Health and medical tourism, Clúster de Turismo en Salud, Clúster de Turismo Medico, Clúster de Turismo, Cluster de Salud, Turismo en Salud, Turismo Medico. Articles and books considered relevant were selected, and which contained information on the area of health and well-being and on clusters as productive complexes worldwide. Results: 35 relevant references were selected, associated with medical/health tourism clusters. They were organized in the chapters Health, Cluster, Medical Tourism and Health Tourism, Health Tourism Cluster, Health Tourism Clusters around the world, Advantages and Disadvantages, Contribu-tion to society and Economy and Innovation. Conclusions: Clusters are emerging more as an alternative for development in economic environments, specifically the regional one, since it moves in concentric geographical ar-eas. Strengthen the strategy, to bet on innovation, focus on an adequate structure, possessing a futuristic vision, and joint work of the actors that intervene especially the trio academia-state-company, make this type of agglomerations an interest-ing bet that faces economic challenges. © 2020, Venezuelan Society of Pharmacology and Clinical and Therapeutic Pharmacology. All rights reserved.","Cross border health care; Health cluster; International patient service; Medical tourism; Medical travel; Pref-erential access","article; economic aspect; medical tourism; travel; vision",,,,,,,,"Medical tourism: Consumers in search of value (2008) Ann Tour Res, pp. 1-1275; Henderson, J., Paradigm shifts: National tourism organisations and education and healthcare tourism (2004) The Case of Singapore. Tour Hosp Res, 5, pp. 170-180; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understand-ing health and medical tourism (2006) Expert Rev Pharmacoeconomics Outcomes Res, 6 (4), pp. 447-454; Porter, M.E., Location, Competition, and Economic Development: Local Clusters in a Global Economy (2000) Econ Dev Q, 14 (1), pp. 15-34; Causado-Rodríguez, E., Mojica-Cueto, A., Charris-Fontanilla, A., Clúster de turismo de salud en Colombia: Referentes para la competitividad (2018) Duazary, 15 (3), p. 307; Bernal, M.C., Rodr, D.L., Las tecnologías de la información y comuni-cación como factor de innovación y competitividad empresarial (2019) Las Tecnol La Inf Y Comun Como Factor innovación Y Compet Empres, 24 (1), pp. 85-96; Hernández, R., Fernández, C., Baptista, P., De, S.A., Metodología de La Investig-ación (2014) México: Mc Graw-Hill Interamericana Editores; Official Records of the World Health Organization-Summary Report on Proceedings (1946) Minutes and Final Acts of the International Health Conference., (2), p. 143. , Int Heal Conf; CUMBRIA Bienestar. El Bienestar físico, mental, emocional y social |; Cifuentes L. Bienestar físico y emocional: tan sencillo como leer y caminar; OMS | Salud mental: Un estado de bienestar (2014) WHO; Ucha, F., Definición de Bienestar Social Concepto En Definición ABC; Altenburg, T., La promoción de clústers industriales en América La-tina (2001) Experiencias Y Estrategias. Ser FOCO Pymes., pp. 1-27; Gardiner, S., Scott, N., Successful tourism clusters: Passion in paradise (2014) Ann Tour Res, 46, pp. 171-173; Rabellotti, R., Recovery of a Mexican Cluster: Devaluation Bonan-za or Collective Efficiency? (1999) World Dev, 27 (9), pp. 1571-1585; Ramos, J., Una Estrategia De Desarrollo a Partir De Los Complejos Pro-Ductivos En Torno a Los Recursos Naturales, , Publicación | Comisión Económica para América Latina y el Caribe; (2009) Organización Para La Cooperación Y El Desarrollo Económi-cos, , Clusters, Innovation and Entrepreneurship. OECD; Vera, R., Ganga, F., Los Clusters Industriales: Precisión Conceptual Y Desarrollo Teórico, 20; Vázquez, A., Desarrollo endógeno (2007) Teorías Y políticas De Desarrollo Territorial. Investig Reg., p. 11; Pearcy, D., Anderson, A., Exploring the Jamaican health tourism sector within a sustainability framework (2010) J Tour Challenges Trends; Molnar, C., Health tourism in Hungary: History, its revaluation and tendencies (2010) J Tour Challenges Trends., 1; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Elsevier/Butter-worth-Heinemann; Voigt, C., Laing, J., Wray, M., (2010) HEALTH TOURISM IN AUSTRALIA: Supply, DEMAND AND Opportunities.; Taleghani, M., Chirani, E., Shaabani, A., Health Tourism, Tourist Sat-isfaction and Motivation (2011) IJCRB Interdisciplinary Journal of Contemporary Research in Business, 3; Hall, C., Adventure, sport and health tourism (1992) Adventure, Sport Heal Tour., pp. 141-158; Bennett, M., King, B., Milner, L., (2004) The Health Resort Sector in Australia: A Positioning Study., 10; (2018) Turismo, Comercio Y La OMC: Comunicado Conjunto De La OMT, La OMC, El ITC Y El WTTC., , World Tourism Organization (UNWTO; Borkowska-Niszczota, M., Tourism Clusters in Eastern Poland-Analysis of Selected Aspects of the Operation (2015) Procedia-Soc Behav Sci, 213, pp. 957-964; Beni, M., Globalização Do Turismo: Megatendências Do Setor e a Realidade Brasileira Ph; 2; Horowitz, M., Rosensweig, J., Jones, C., Medical tourism: Globalization of the healthcare marketplace Medgenmed, 9 (4), p. 33; List of Cluster Organ-Isations-European Cluster Collaboration Platform. List of Cluster Organisations; International Medical Travel Journal. Medical tourism associations & clusters | IMTJ. Medical tourism associations & clusters; Joint Commission International. JCI-Accredited Organizations | Joint Commission International. JCI-Accredited Organizations; Health-Tourism.com. Destinos de Turismo Médico | Health-Tourism. com. Destinos de Turismo Médico; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tour Manag, 27 (6), pp. 1093-1100; Horowitz, M., Rosensweig, J., Health Care in the Global Economy (2007) Physician Exec, 6 (33), pp. 24-30; Cutler, D., Reber, S., Paying for Health Insurance: The trade-off Between Competition and Adverse Selection (1998) Q J Econ, 113, pp. 433-466; Barriga, A., Farías, M., Ruiz, Á., Sánchez, A., Jiménez, W., Turismo en salud: Una tendencia mundial que se abre paso en colombia (2011) Cienc Y Tecnol Para La Salud Vis Y Ocul., 9, pp. 125-137; Michopoulou, E., Buhalis, D., Information provision for challeng-ing markets: The case of the accessibility requiring market in the context of tourism (2013) Inf Manag, 50 (5), pp. 229-239; Pyka, A., Scharnhorst, A., Introduction: Network Perspectives on Inno-vations: Innovative Networks–Network Innovation (2009) Introduction: Network Perspectives on Innovations: Innovative Networks–Net-work Innovation, pp. 1-16; Ernst, D., Lundvall, Å., Information tecnology in the learning economy, challenges for developing countries (1995) Danish Res Unit Ind Dyn DRU-ID., pp. 1-56; Boscherini, F., Yoguel, G., (1995) Innovative Processes in Smes: Some Con-Siderations about the Argentine Case.; McCormick, D., El futuro de los clusters y las cadenas productivas (2005) Semest Econ Univ Medellin., 8, pp. 87-102; (1999) Organización Para La Cooperación Y El Desarrollo Económi-cos, , Managing National Innovation Systems","González-Torres, H.J.; Universidad Simón Bolívar, Facultad de Ciencias de la SaludColombia; email: hgonzalez11@unisimonbolivar.edu.co",,,"Venezuelan Society of Pharmacology and Clinical and Therapeutic Pharmacology",,,,,07980264,,,,"Spanish","Arch. Venez. Farmacol. Ter.",Article,"Final",,Scopus,2-s2.0-85085953608 "Cham T.H., Cheng B.L., Low M.P., Cheok J.B.C.","57035596700;56937652800;57212441763;45561006700;","Brand image as the competitive edge for hospitals in medical tourism",2020,"European Business Review",,,,"","",,,"10.1108/EBR-10-2019-0269","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085899849&doi=10.1108%2fEBR-10-2019-0269&partnerID=40&md5=4f1602b6d34d4a3331f7df6e044448b8","Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman, Kajang, Malaysia; Department of Marketing, Sunway University, Kuala Lumpur, Malaysia","Cham, T.H., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman, Kajang, Malaysia; Cheng, B.L., Department of Marketing, Sunway University, Kuala Lumpur, Malaysia; Low, M.P., Faculty of Accountancy and Management, Universiti Tunku Abdul Rahman, Kajang, Malaysia; Cheok, J.B.C., Department of Marketing, Sunway University, Kuala Lumpur, Malaysia","Purpose: Following promising growth of the international medical tourism industry, competitions within the global market have escalated tremendously with increased involvement by numerous healthcare providers to acquire a share of its disposable income. The brand reputation would hereby play a determining role as a competitive strategy. Specifically, this paper aims to investigate the impact of social and marketing aspects on the brand image of medical tourism-based hospitals, alongside its relationship toward service quality. In turn, the influence of perceived service quality on satisfaction and the perceived value was examined, in view of further potential behavioral intention among medical tourists on healthcare providers in Malaysia. Design/methodology/approach: The data were collected through a survey questionnaire among medical tourists, with 596 successful cases collected via 6 major private hospitals at 3 popular Malaysian medical tourism locations. Data analysis was then performed using both SPSS and Smart PLS software. Findings: The findings from the present study acknowledged the importance of both social (e.g. social media and word-of-mouth communications) and marketing (e.g. hospital advertisement and price perception) aspects toward establishing brand image among medical tourism-based hospitals. Consequently, the brand image would influence perceived service quality among medical tourists; further entail positive impact on behavioral intention, with satisfaction and perceived value as mediators between both factors. Following PLS predict analysis confirming this model’s high predictive capability, it demonstrated close representation to actual medical tourism scenario in Malaysia. Originality/value: This study is one of the very few studies that explored the minimally investigated territory on the consequential importance of hospital branding within the medical tourism industry; specifically through extending the literature on the influence of social and marketing efforts toward the formation of brand image. © 2020, Emerald Publishing Limited.","Patient satisfaction; Perceived value; Service quality; Social media; Word-of-mouth",,,,,,,,,"Adibi, R., (2012) Signs of Semantics: three Questions about Visual Meaning, , SAMT Publication, Tehran; (2018) Definition of advertisement, , https://marketing-dictionary.org/a/advertisement/#cite_ref-1, (accessed: 7 July 2018; An, S., Suh, J., Eck, T., Examining structural relationships among service quality, perceived value, satisfaction and revisit intention for airbnb guests (2019) International Journal of Tourism Sciences, 19 (3), pp. 1-21; Aragon, S.J., Gesell, S.B., A patient satisfaction theory and its robustness across gender in emergency departments: a multigroup structural equation modeling investigation (2003) American Journal of Medical Quality, 18 (6), pp. 229-241; Ardestani, A.S., Mirabi, V.R., Kazemi, M.A.A., Far, B.E., A study on the effect of marketing advertisements and price promotions to Brand equity in iranian insurance industry (a case study on Iran, asia and parsian insurance companies) (2014) Research Journal of Recent Sciences, 3 (7), pp. 123-129; Ažman, S., Gomišček, B., Functional form of connections between perceived service quality, customer satisfaction and customer loyalty in the automotive servicing industry (2015) Total Quality Management and Business Excellence, 26 (7-8), pp. 888-904; Babakus, E., Glenn, M.W., Adapting the SERVQUAL scale to hospital services: an empirical investigation (1992) Health Services Research, 26 (6), pp. 767-780; Beneke, J., Zimmerman, N., Beyond private label panache: the effect of store image and perceived price on Brand prestige (2014) Journal of Consumer Marketing, 31 (4), pp. 301-311; Bhutada, N.S., Rollins, B.L., Disease-specific direct-to-consumer advertising of pharmaceuticals: an examination of endorser type and gender effects on consumers’ attitudes and behaviors (2015) Research in Social and Administrative Pharmacy, 11 (6), pp. 891-900; Brodie, R., Whittome, J., Brush, G., Investigating the service brand: a customer value perspective (2009) Journal of Business Research, 62, pp. 345-355; Bruhn, M., Schoenmueller, V., Schäfer, D.B., Are social media replacing traditional media in terms of Brand equity creation? 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An exploratory investigation of the 5Qs model at some egyptian and jordanian medical clinics (2006) International Journal of Health Care Quality Assurance, 19 (1), pp. 60-92; Zineldin, M., The royalty of loyalty: CRM, quality and retention (2006) Journal of Consumer Marketing, 23 (7), pp. 430-437; Parasuraman, A., Zeithaml, V.A., Berry, L.L., SERVQUAL: a multiple-item scale for measuring consumer perceptions of service quality (1988) Journal of Retailing, 64 (1), pp. 12-40","Cham, T.H.; Faculty of Accountancy and Management, Universiti Tunku Abdul RahmanMalaysia; email: jaysoncham@gmail.com",,,"Emerald Group Publishing Ltd.",,,,,0955534X,,,,"English","Eur. Bus. Rev.",Article,"Article in Press",,Scopus,2-s2.0-85085899849 "Liman H., Makusidi M., Sakajiki A.","6504181239;23985535900;56669784700;","Kidney transplant-related medical tourism in patients with end-stage renal disease: A report from a renal center in a developing nation",2020,"Sahel Medical Journal","23","1",,"7","11",,,"10.4103/smj.smj_17_19","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085579116&doi=10.4103%2fsmj.smj_17_19&partnerID=40&md5=46a82736f5865611bfa3486eb110e771","Department of Medicine, Renal Centre, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria","Liman, H., Department of Medicine, Renal Centre, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria; Makusidi, M., Department of Medicine, Renal Centre, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria; Sakajiki, A., Department of Medicine, Renal Centre, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria","Background: Kidney transplant-related medical tourism is still prevalent in developing countries for patients with end stage renal disease. Objectives: We set out to review our single centre experience with kidney transplant-related medical tourism. Materials and Methods: We reviewed the demographic and clinical characteristics of our endstage renal disease patients who opted for kidney transplant over an 11 year period. Endpoint was kidney transplantation. Data was analysed with SPSS Statistical software Version 20. Results: A total of 27 patients were referred for kidney transplant evaluation, out of which 12(44.4%) were transplanted. All the 15 patients who were not transplanted died within one year of returning to our centre. The finding of co-morbidity during pre-transplant evaluation and lack of a suitable donor were the major reasons for our patients returning without a transplant. Of those who were transplanted, 5(41.7%) patients died from various complications. Conclusion: Kidney transplant-related medical tourism is still prevalent in Nigeria. Comorbidity and lack of suitable donor remain important impediments to kidney transplantation even when finance is available. Local Kidney transplant needs to be encouraged in Nigeria. © 2020 BioMed Central Ltd.. All rights reserved.","End-stage renal disease; kidney transplant; medical tourism",,,,,,,,,"Schweizer, R.T., Bartus, S.A., Robbins, K.C., Izard, M., Foster, J.H., Renal transplantation as definitive therapy for endstage renal disease (1976) Conn Med, 40, pp. 83-86; Novick, A.C., Renal transplantation is well established as the preferred form of replacement therapy for most patients with endstage renal disease (1996) World J Urol, 14, p. 205; Schippers, H.M., Kalff, M.W., Cost comparison haemodialysis and renal transplantation (1976) Tissue Antigens, 7, pp. 86-90; Silva, S.B., Caulliraux, H.M., Araújo, C.A., Rocha, E., Cost comparison of kidney transplant versus dialysis in Brazil (2016) Cad Saude Publica, 32; Tan, J., Qiu, J., Lu, T., Liu, Z., Guo, Y., Zhang, S., Thirty years of kidney transplantation in two Chinese centers (2005) Clin Transpl, pp. 203-207; Muller, E., Transplantation in Africa - An overview Clin Nephrol 2016, 86, pp. 90-95; Bamgboye, E.L., Barriers to a functional renal transplant program in developing countries (2009) Ethn Dis, 19, pp. S156-S159; Badmus, T.A., Arogundade, F.A., Sanusi, A.A., Akinsola, W.A., Adesunkanmi, A.R., Agbakwuru, A.O., Kidney transplantation in a developing economy: Challenges and initial report of three cases at ile ife (2005) Cent Afr J Med, 51, pp. 102-106; Bamgboye, E.L., The challenges of ESRD care in developing economies: Sub-Saharan African opportunities for significant improvement (2016) Clin Nephrol, 86 (2016), pp. 18-22; Chugh, K.S., Jha, V., Problems and outcomes of living unrelated donor transplants in the developing countries (2000) Kidney Int, 57, pp. S131-S135; Makusidi, M.A., Liman, H.M., Yakubu, A., Isah, M.D., Abdullahi, S., Chijioke, A., Hemodialysis performance and outcomes among end stage renal disease patients from Sokoto, North-Western Nigeria (2014) Indian J Nephrol, 24, pp. 82-85; Rao, M., Juneja, R., Shirly, R.B., Jacob, C.K., Haemodialysis for end-stage renal disease in Southern India - A perspective from a tertiary referral care centre (1998) Nephrol Dial Transplant, 13, pp. 2494-2500; Mittal, S., Kher, V., Gulati, S., Agarwal, L.K., Arora, P., Chronic renal failure in India (1997) Ren Fail, 19, pp. 763-770; Weigand, K., Mühlstädt, S., Mohammed, N., Schaarschmidt, T., Fornara, P., Living kidney donation in Germany - A topical overview (2016) J Kidney, 2, pp. 117-120; Naicker, S., Burden of end-stage renal disease in sub-Saharan Africa (2010) Clin Nephrol, 74, pp. S13-S16; Nalado, A., Abdu, A., Adamu, B., Aliyu, M.H., Arogundade, F.A., Sanusi, A.A., Prevlaence of chronic kidney disease markers in Kumbotso rural Northern Nigeria (2016) Afr J Med Med Sci, 45, pp. 61-65; Nugent, R.A., Fathima, S.F., Feigl, A.B., Chyung, D., The burden of chronic kidney disease on developing nations: A 21st century challenge in global health (2011) Nephron Clin Pract, 118, pp. c269-c277; Tavares, L.P., Zantomio, F., Inequity in healthcare use among older people after 2008: The case of Southern European countries (2017) Health Policy, 121, pp. 1063-1071; Arogundade, F.A., Kidney transplantation in a low-resource setting: Nigeria experience (2013) Kidney Int Suppl (2011), 3, pp. 241-245; Gordon, E.J., Ladner, D.P., Gender inequities pervade organ transplantation access (2012) Transplantation, 94, pp. 447-448; Egbi, O.G., Okafor, U.H., Miebodei, K.E., Kasia, B.E., Kunle-Olowu, O.E., Unuigbe, E.I., Prevalence and correlates of chronic kidney disease among civil servants in Bayelsa State, Nigeria (2014) Niger J Clin Pract, 17, pp. 602-607; Arogundade, F.A., Sanusi, A.A., Hassan, M.O., Akinsola, A., The pattern, clinical characteristics and outcome of ESRD in ile-ife, Nigeria: Is there a change in trend? 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A single-center experience (2017) J Organ Transplant Med, 8, pp. 132-139","Liman, H.; Department of Medicine, Renal Centre, Usmanu Danfodiyo University Teaching HospitalNigeria; email: hamiduliman@gmail.com",,,"Wolters Kluwer Medknow Publications",,,,,23216689,,,,"English","Sahel Med. J",Article,"Final",,Scopus,2-s2.0-85085579116 "Olya H., Nia T.H.","57193663496;57216951188;","The Medical Tourism Index and Behavioral Responses of Medical Travelers: A Mixed-Method Study",2020,"Journal of Travel Research",,,,"","",,,"10.1177/0047287520915278","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085495725&doi=10.1177%2f0047287520915278&partnerID=40&md5=e0c1385b06fad1ae860e9e4b94aced0c","Sheffield University, Management School, University of Sheffield, Sheffield, United Kingdom; Nursing Department, Cyprus Science University, Ozankoy, Kyrenia, Cyprus","Olya, H., Sheffield University, Management School, University of Sheffield, Sheffield, United Kingdom; Nia, T.H., Nursing Department, Cyprus Science University, Ozankoy, Kyrenia, Cyprus","This empirical study applies complexity theory to understand complex interactions of demographics and medical tourism index (MTI) dimensions in predicting causal models leading to high and low levels of satisfaction and behavioral intentions among medical travelers. A questionnaire-based survey is applied to investigate causal models (i.e., a combination of predictors) to predict satisfaction and the behavioral intentions of international patients who traveled to Cyprus. This study also conducted an in-depth interview to identify motives, complications, and conditions stimulating the behaviors of medical travelers. According to the necessary condition analysis (NCA) results, three dimensions of MTI, excluding cost, are necessary to achieve satisfaction and desired behavioral intention. Findings from interviews reveal that medical complications and legal conditions in the origin country influence medical traveler’s behaviors. The model testing results support key tenets of complexity theory and extend our knowledge of how to regulate conditions to discharge a dis/satisfied and dis/loyal patient. © The Author(s) 2020.","behavior; complexity theory; medical complication; medical tourism; satisfaction",,,,,,,,,"Anderson, J.C., Gerbing, D.W., Structural Equation Modeling in Practice: A Review and Recommended Two-Step Approach (1988) Psychological Bulletin, 103 (3). , (,): 411–23; Baggio, R., Symptoms of Complexity in a Tourism System (2008) Tourism Analysis, 13 (1), pp. 1-20; Beerli, A., Martı́n, J.D., Tourists’ Characteristics and the Perceived Image of Tourist Destinations: A Quantitative Analysis—A Case Study of Lanzarote, Spain (2004) Tourism Management, 25 (5). , (,): 623–36; Bernini, C., Cracolici, M.F., Demographic Change, Tourism Expenditure and Life Cycle Behaviour (2015) Tourism Management, 47, pp. 191-205; Chuang, T.C., Liu, J.S., Lu, L.Y., Lee, Y., The Main Paths of Medical Tourism: From Transplantation to Beautification (2014) Tourism Management, 45, pp. 49-58; Cohen, J., (1977) Statistical Power Analysis for the Behavioral Sciences, , New York, Academic Press; Connell, J., Medical Tourism: Sea, Sun, Sand and.. 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Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and Experiences of Mainland Chinese Medical Tourists in Hong Kong (2011) Tourism Management, 32 (5). , (,): 1125–27; Yu, J.Y., Ko, T.G., A Cross-Cultural Study of Perceptions of Medical Tourism among Chinese, Japanese and Korean Tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zarei, A., Maleki, F., Asian Medical Marketing, a Review of Factors Affecting Asian Medical Tourism Development (2019) Journal of Quality Assurance in Hospitality and Tourism, 20 (1), pp. 1-15","Olya, H.; Sheffield University, Management School, University of SheffieldUnited Kingdom; email: h.olya@sheffield.ac.uk",,,"SAGE Publications Ltd",,,,,00472875,,,,"English","J. Travel Res.",Article,"Article in Press",,Scopus,2-s2.0-85085495725 "Parekh J., Jaffer A., Bhanushali U., Shukla S.","57216936017;57216932818;57216932432;57200220309;","Disintermediation in medical tourism through blockchain technology: an analysis using value-focused thinking approach",2020,"Information Technology and Tourism",,,,"","",,,"10.1007/s40558-020-00180-4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085375350&doi=10.1007%2fs40558-020-00180-4&partnerID=40&md5=f976fa9afd04d744a51f0291890494b7","Bachelor of Engineering Candidate, Information Technology Department, Sardar Patel Institute of Technology, Mumbai, India; Faculty, Information Management Area, S.P. Jain Institute of Management and Research, Mumbai, India","Parekh, J., Bachelor of Engineering Candidate, Information Technology Department, Sardar Patel Institute of Technology, Mumbai, India; Jaffer, A., Bachelor of Engineering Candidate, Information Technology Department, Sardar Patel Institute of Technology, Mumbai, India; Bhanushali, U., Bachelor of Engineering Candidate, Information Technology Department, Sardar Patel Institute of Technology, Mumbai, India; Shukla, S., Faculty, Information Management Area, S.P. Jain Institute of Management and Research, Mumbai, India","Medical tourism (MT) is a promising industry that has shown significant growth in the past few decades. Patients often travel abroad to seek treatment, conventional and otherwise due to a myriad of reasons. The reasons include but are not limited to rising costs in their home country, experimental treatments only available abroad or better standards of care. However, MT has also created room for intermediaries to grow. These intermediaries are known as medical tourism facilitators (MTF), and as the name suggests, they provide patients services to make their experience easier and more convenient. MTFs often under deliver on their claims to the detriment of the patient. Given the varying legal jurisdiction, the sensitive nature of the healthcare process, and the arduous process of seeking and claiming settlements, most medical tourists are unlikely to pursue cases where they have been cheated. To understand the system of MT and the key issues faced by stakeholders, we used Value Focussed Thinking (VFT). VFT assists to arrive at the fundamental objectives that need to be addressed for mitigating these problems of MT. Based on the findings of VFT; we present a linkage or equivalence between the fundamental objectives for mitigating the problems of MT through Blockchain Technology. 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Jain Institute of Management and ResearchIndia; email: shekhar.a.shukla@gmail.com",,,"Springer",,,,,10983058,,,,"English","Inf. Technol. Tour.",Article,"Article in Press",,Scopus,2-s2.0-85085375350 "Karadayi-Usta S., Serdarasan S.","57214085622;57216922119;","A conceptual model of medical tourism service supply chain",2020,"Journal of Industrial Engineering and Management","13","2",,"246","265",,,"10.3926/jiem.3008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085355233&doi=10.3926%2fjiem.3008&partnerID=40&md5=6ad4ed4d01cb97ed2c67ea25a5219ef0","Istanbul Technical University, Turkey","Karadayi-Usta, S., Istanbul Technical University, Turkey; Serdarasan, S., Istanbul Technical University, Turkey","Purpose: Medical tourism service requires involvement of multiple parties from the service network, however medical tourism is not well studied from a supply chain management perspective. This study suggests a conceptual model of medical tourism service supply chain (MTSSC) to provide a clearer understanding of its nature, and defines its business processes. Design/methodology/approach: Triangulation which makes use of literature review, in-depth interviews, and expert evaluations was applied to develop and validate the suggested model. The proposed model is initialized based on the relevant literature. In-depth interviews were used to refine and finalize the model. Expert evaluations ensure the trustworthiness of the model and the business process definitions. Findings: The proposed model uses a nested process structure rather than a one-dimensional supply chain model, where the assistance company maintains an intermediary role between the patient and all the service providers (e.g. medical institutions, transportation, accommodation). Additionally, the conceptual model identifies seven business processes: service design, service recovery management, customer relationship management, supplier relationship management, demand management, capacity and resource management, and service delivery management. Practical implications: The results provide a better understanding of the MTSSC structure and processes, and a recognition of the MTSSC members. The process definitions give the members an idea about their roles in the service design and delivery in practice. Additionally, a better understanding of the system as a whole leads to better process development and control. MTSSC members may shape their organizations internally and supply chain-wide by considering this conceptual model. Moreover, the model acts as a basis for supply chain collaboration decisions. Originality/value: The conceptual model is built upon the theories and practice of medical tourism services, supply chain management, and service operations management. This study contributes to the theory of medical tourism services management by explaining the MTSSC concepts and business processes, and extends existing knowledge. © 2020, Universitat Politecnica de Catalunya. 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Ind. Eng. Manage.",Article,"Final",Open Access,Scopus,2-s2.0-85085355233 "Dhale S.","57216865210;","Factors influencing the meteoric rise of the Indian medical tourism sector and its impact on the economy.",2020,"Journal of Critical Reviews","7","7",,"692","694",,,"10.31838/jcr.07.07.126","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085025270&doi=10.31838%2fjcr.07.07.126&partnerID=40&md5=b934fcfb8ddfdf895b42bcc266f2a1bc","Symbiosis Institute Of Health Sciences, Symbiosis International (Deemed University), Pune Senapati Bapat Road, Pune, 411004, India","Dhale, S., Symbiosis Institute Of Health Sciences, Symbiosis International (Deemed University), Pune Senapati Bapat Road, Pune, 411004, India","Today, medical tourism is an industry that offers tremendous potential because of its low-cost medical treatment as well as a strong hospitality advantage for developing country like India. The medical tourism industry could have impressive growth shown by the software and pharmaceutical industry in India in the last decade. Medical tourism offers a significant opportunity to contribute to the growth of healthcare economies' of the country. The number of patients arriving in India to seek medical treatment is rising because the provision of high-quality health facilities at an affordable rate is projected to make medical tourism the next major foreign exchange earner. Medical Tourism is the key foreign exchange earner and promotes economic growth in other fields, such as tourism, transportation, pharmaceutical goods, hotels, and restaurant. In this study, the researcher has tried to assess the impact of the Indian Medical Tourism sector on the Economy. © 2020 by Advance Scientific Research. This is an open-access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)","Affordable Treatment; Healthcare Tourism; Indian Economy; Medical Tourism",,,,,,,,,"Badwe, A.N., Giri, P.A., Latti, R.G., Medical tourism in India: A new avenue (2012) International Journal of Biomedical and Advance Research, 3 (3). , https://doi.org/10.7439/ijbar.v3i3.337; Jagyasi, D.P., (2014) Economic Benefits of Medical Tourism, , https://www.medicaltourism.com/blog/economicbenefits-of-medical-tourism/, Retrieved October 15, 2019, from; Hazari, D.S., (2018) India-Emerging Destination for Medical Tourism, 9 (4), pp. 453-457; (2019) Healthcare Industry in India, , https://www.ibef.org/industry/healthcareindia.aspx, Retrieved October 15, 2019, from; Issa, J., Development of medical tourism (2019) Αγαη, 8. , http://tourism.gov.in/sites/default/files/usq449for25062019.pdf, Retrieved from; Huang, J., (2019) The Implications of India's Medical Tourism Industry, , https://www.orfonline.org/expert-speak/implicationsindia-medical-tourism-industry/, Retrieved October 15, 2019, from; (2019) Medical Value Travel in India, , http://www.ficci.in/Medical-Value-TravelReport.pdf, Retrieved November 29, 2019, from; Mishra, D.R., Making Indian healthcare market a global medical tourism destination (2012) IOSR Journal of Business and Management, 2 (4), pp. 23-28. , https://doi.org/10.9790/487x-0242328; Narayan, L., Addressing language barriers to healthcare in India (2013) National Medical Journal of India, 26 (4), pp. 236-238; Josephin Arulmozhi, S., Praveenkumar, K., International journal of recent technology and engineering (2019) Medical Tourism in India, (10), pp. 1-11. , https://doi.org/10.35940/ijrte.xxxxx.xxxxxx, D. G; Sagar, R., Latha, P.V., Medical tourism - An emerging industry in India (2014) Journal for Medical and Scientific Research, 2 (3), pp. 169-177; Shanmugam, K.R., (2013) Medical Tourism in India: Progress, Opportunities and Challenges, p. 33. , Madras School of Economics, March 2013 March; Suri, M., (2019) India Wants to Make Medical Tourism a $9 Billion Industry by 2020, , https://edition.cnn.com/2019/02/13/health/indiamedical-tourism-industry-intl/index.html, Retrieved October 15, 2019, from; Zutshi, V., (2019) India as a Destination for Medical Tourism, , https://destinationreporterindia.com/2019/02/06/indiaas-a-destination-for-medical-tourism/, Retrieved from","Dhale, S.; Symbiosis Institute Of Health Sciences, Symbiosis International (Deemed University), Pune Senapati Bapat Road, India; email: drdhale@sihspune.org",,,"Innovare Academics Sciences Pvt. Ltd",,,,,23945125,,,,"English","J. Crit. Rev.",Article,"Final",Open Access,Scopus,2-s2.0-85085025270 "Wong B.K.M., Sa’aid Hazley S.A.","57192071283;57216861631;","The future of health tourism in the industrial revolution 4.0 era",2020,"Journal of Tourism Futures",,,,"","",,,"10.1108/JTF-01-2020-0006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084978797&doi=10.1108%2fJTF-01-2020-0006&partnerID=40&md5=e72a0f5557fba646738650a17a46cb21","School of Business, UOW Malaysia KDU University College, Shah Alam, Malaysia","Wong, B.K.M., School of Business, UOW Malaysia KDU University College, Shah Alam, Malaysia; Sa’aid Hazley, S.A., School of Business, UOW Malaysia KDU University College, Shah Alam, Malaysia","Purpose: The technological advances in the Industrial Revolution (IR) 4.0 era escalate the advancement of the healthcare industry, including the health tourism phenomenon. Based on the current trend in connected health care (e.g. mobile healthcare technology; digital health, etc.), this paper aims to propose that the distance between healthcare providers around the globe and its potential patients can be vastly reduced to almost on a real time basis. Design/methodology/approach: A secondary literature review is conducted to identify the key development of IR 4.0 technologies in the healthcare industry and its possible trend leading the health tourism sector. Findings: The adoption of IR 4.0 technologies is expected to make seeking treatments overseas more affordable, accessible and health records readily available on a real-time and secured basis. However, it is worth to note that the growth of health tourism raises the eyebrows of society from the security, social and economic perspectives. Originality/value: This paper contributes to our understanding that the emergence of IR 4.0 technologies changes the landscape of the health care and health tourism industry. Continuous technology advancement is expected to further shape the future trend and escalate the commercialization aspect of the health tourism industry. © 2020, Brian Kee Mun Wong and Sarah Alia Saaid Hazley.","Future trends; Health tourism; Industrial revolution; IR 4.0; Technologies",,,,,,,,,"Allen, S., (2019) 2019 global health care outlook, , https://www2.deloitte.com/global/en/pages/life-sciences-and-healthcare/articles/global-health-care-sector-outlook.html, (accessed: 31 October 2019; Bernasconi, S., (2016) MedTech views, , www.medtechviews.eu/article/role-medical-technology-4th-industrial-revolution, (accessed: 31 October 2019; Bhattacharyya, S.M., (2020) Medical tourism: role of telemedicine, , www.asianhhm.com/healthcare-management/medical-tourism-telemedicine, (accessed: 13 April 2020; Carlson, D., Ehrlich, N., (2005) Assistive technology and information technology use and need by persons with disabilities in the United States, 2001, , https://www2.ed.gov/rschstat/research/pubs/at-use/at-use-2001.pdf, (accessed: 31 October 2019; (2020) Stepping into the world of healthcare, artificial intelligence, and robotics, , www.magazine.medicaltourism.com/article/stepping-into-the-world-of-healthcare-artificial-intelligence-and-robotics, (accessed: 10 April 2020; (2017) Future of smart hospitals – concept definition, application, and growth opportunities, K1FF-01, , https://store.frost.com/future-of-smart-hospitals.html, (accessed: 31 October 2019; Ghovanloo, M., Huo, X., Wearable and non-invasive assistive technologies, chapter 7.3’ (2014) Wearable Sensors: Fundamentals, Implementation and Applications, pp. 563-590. , Sazonov, E. and Neuman, M.R. and,(Eds), Academic Press, MA; Gianfaldoni, S., Tchernev, G., Wollina, U., Roccia, M.G., Fioranelli, M., Gianfaldoni, R., Lotti, T., History of the baths and thermal medicine (2017) Macedonian Journal of Medical Sciences, 5 (4), pp. 566-568; (2020) The history of medical tourism, , www.health-tourism.com/medical-tourism/history/, (accessed: 13 April 2020; Hong, Y.A., Vision 2.0 medical tourism and telemedicine: a new frontier of an old business (2016) Journal of Medical Internet Research, 18 (5), p. e115. , www.ncbi.nlm.nih.gov/pmc/articles/PMC4895094/, p., doi: (accessed: 13 April 2020; (2018) Medical tourism will benefit from telemedicine and blockchain, , https://medium.com/iryo-network/medical-tourism-will-benefit-from-telemedicine-and-blockchain-f0d15a82fc18, (accessed: 10 April 2020; Junata, M., Tong, R., Wearable technology in medicine and health care: introduction, chapter 1 (2018) Wearable Technology in Medicine and Health Care, pp. 1-5. , Tong, R. (Ed.), Academic Press, MA; Landman, F., (2018) The future of healthcare is mobile, , https://readwrite.com/2018/06/20/the-future-of-healthcare-is-mobile/, (accessed: 31 October 2019; Li, B., Dong, Q., Downen, R., Tran, N., Jackson, J., Pillai, D., Li, Z., A wearable IoT aldehyde sensor for pediatric asthma research and management (2019) Sensors and Actuators, 287, pp. 584-594; Lobo, F., (2020) Industry 4.0 – manufacturing and the future of medical things, , www.asianhhm.com/technology-equipment/industry-manufacturing-future-medical-things, (accessed: 13 April 2020; Luxton, D.D., An introduction to artificial intelligence in behavioral and mental health care, chapter 1 (2016) Artificial Intelligence in Behavioral and Mental Health Care, pp. 1-26. , Luxton, D.D. (Ed.), Academic Press, MA; Mann, S., Vision 2 (2013) 0’, IEEE Spectrum, 50 (3), pp. 42-47; (2020) Medical tourism: how is digital tech reshaping the industry?, , https://medical-technology.nridigital.com/medical_technology_jan20/medical_tourism_how_is_digital_tech_reshaping_the_industry, (accessed: 13 April 2020; (2020) Trends in healthcare digital revolution, , www.magazine.medicaltourism.com/article/trends-healthcare-digital-revolution, (accessed: 13 April 2020; NaRanong, A., NaRanong, V., (2011) The effects of medical tourism: Thailand’s experience, , www.who.int/bulletin/volumes/89/5/09-072249/en/, (accessed: 13 April 2020; Nehra, A., Gettman, M., Rivera, M., Agarwal, D., O’Neil, D., Jenkins, S., Viers, B., Patients are willing to utilize wearable devices for their care: a survey of perceptions and acceptance of wearable technology for health monitoring in a urological patient population (2017) Urology Practice, 4 (6), pp. 508-514; Psiha, M.M., Vlamos, P., IoT applications with 5G connectivity in medical tourism sector management: third-party service scenarios (2017) Advances in Experimental Medicine and Biology, 989, pp. 141-154; Tim, W., (2018) Health tourism today and into the future, , http://dihtf.com/wp-content/uploads/presentations/DrTim%20Wilson%20-%20Health%20Tourism%20today%20and%20into%20the%20future.pdf, (accessed: 31 October 2019; Wong, K.M., Musa, G., ‘Medical tourism in Asia: Thailand, Singapore, Malaysia, and India, chapter 11’ (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 167-186. , Hall, C. M. (Ed.), Routledge, London and New York, NY; Yusof, N., Rosnan, H., Zamzuri, N., Internationalisation process of medical tourism industry in Malaysia, a sequential approach (2019) Revista Publicando, 6 (19), pp. 448-462; Yusof, A., (2017) Revenue expected to exceed RM2b, , www.nst.com.my/business/2017/11/299817/revenue-expected-exceed-rm2b, (accessed: 13 April 2020","Wong, B.K.M.; School of Business, UOW Malaysia KDU University CollegeMalaysia; email: keemunw@gmail.com",,,"Emerald Group Publishing Ltd.",,,,,20555911,,,,"English","J. Tour. Futur.",Article,"Article in Press",Open Access,Scopus,2-s2.0-85084978797 "Shukla R., Singh M., Saxena S.K.","57200218157;57211322668;57211317448;","Foreign patient’s satisfaction from hospitality services–medical tourism at JCI accredited hospitals of Delhi-NCR, India",2020,"International Journal of Psychosocial Rehabilitation","24","7",,"4027","4035",,,"10.37200/IJPR/V24I7/PR270399","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084673470&doi=10.37200%2fIJPR%2fV24I7%2fPR270399&partnerID=40&md5=762690d5444f37734afab0928537cf88","Amity University, Noida, Uttar Pradesh, India; Jaypee Palace Hotel & Convention Centre, Agra, India","Shukla, R., Amity University, Noida, Uttar Pradesh, India; Singh, M., Amity University, Noida, Uttar Pradesh, India; Saxena, S.K., Jaypee Palace Hotel & Convention Centre, Agra, India","This study is done to understand the scope of the hospitality services provided to foreign patients admitted at JCI accredited hospitals at Delhi-NCR. This study evaluates the satisfaction of foreign patients from hospitality services provided to them at these hospitals. A review of existing literature and focus group discussions were conducted to explore the scope of hospitality services and facilities offered to foreign patients coming to these hospitals. Primary data through questionnaire was collected and statistically analysed to get some meaningful insights about the patient satisfaction from these services. Study finds that JCI accredited hospitals at Delhi NCR deliver considerably good patient’s care and pay attention to hospitality style non clinical services to foreign patients. These hospitals consider hospitality services as an opportunity to bring brand excellence and also use it as a differentiator for better patient satisfaction. However this study found some neglected areas of services offered and some unattended needs and desires of the foreign patients. Study explores the foreign patient satisfaction from such services and findings are going to be valuable to the hospitals trying to do their best in achieving higher patient satisfaction. The study offers a first-hand review of hospitality services and its elements in Internationally Accredited Hospitals at Delhi NCR. Hospitals dealing with foreign patients and targeting to benefit from the growing scope of medical tourism where the patient’s expectations from non-clinical services are higher are going to benefit at large. © 2020, Hampstead Psychological Associates. All rights reserved.","Hospitable Hospitals; Hospital Service Quality; Hospitality at Hospitals; Patient Satisfaction","adult; article; attention; controlled study; expectation; female; hospital service; human; male; medical tourism; National Capital Territory of Delhi; patient satisfaction; questionnaire; systematic review",,,,,,,,"www.freepressjournal.in:https://www.freepressjournal.in/cmcm/medical-value-travel-first-world-treatment-at-third-world-prices; Boshoff, C., Grey, B., 35, No. 4). The Relationships Between Service Quality, Customer Satisfaction and Buying Intentions in the Private Hospital Industry (2004) South African Journal of Business Management, pp. 27-37; Bramhbhatt, D.M., Baser, D.N., Joshi, P.N., An Emperical Investigation of Patient's Perseptions of Service Quality (2011) International Journal of Multidisciplinary Research, pp. 50-64; Chaudhary, M., Agrawal, A., Medical Tourism in National Capital Region India: Perspectives of the Medical Service Providers (2014) IMED, 7 (2), pp. 35-42; Chaudhary, M., Agrawal, A., (2014) Medical Tourism in National Capital Region India: Perspectives of the Medical Service Providers., 7 (2), pp. 35-42. , Vol., No.)., IMED; (2010) HCAHPS Fact Sheet, , july). Centers for Medicare and Medicaid Services; (2017) Annual Report-Directorate General of Commercial Intelligence and Statistics., , New Delhi: Ministry of commerce and Industry, Govt. of India; Medical Value Travel in India (2016) IMS Health India; Loncaric, D., Loncaric, D., Markovic, S., Health Tourism, Customer Satisfaction and Quality of Life: The ROle of Speciallity Hospitals (2015) Tosee – Tourism in Southern and Eastern Europe, 3, pp. 159-173. , Vol. 3), Vol., pp. 159-173,, pp; Malhotra, N., Dash, S., (2015) Marketing Research: An Applied Orientation, , Pearson Publication; (2018) India Tourism Statistics at a Glance, , New Delhi: Govt. of India; www.tourism.gov.in; Oliver, R., (1997) Satisfaction: A Behavioural Perspective on the Consumer, , New York: McGraw-Hill; Padma, P., Rajendrn, C., Lokachari, P.S., Service quality and its impact on customwer satisfaction in indian Hospitals: Perspectives of patients and their attendants (2010) Benchmarking an International Journal-Emeradl Internationl Journal, pp. 807-841; Panda, T.K., Satyabrat, D., The Role of Tangibility in Service Quality and its impact on External Customer Satisfaction: A Comparative Study of Hospital and Hospitality Sectors (2014) IUP Journal of Marketing Managment, pp. 55-69; Punam, G., Bhawna, P., Challenges and Strengths of Medical Tourism in Delhi NCR (2012) DU Journal of Undergraduate Reseaerch and Innovatrion, pp. 230-251; Punam, G., Bhawna, P., Challenges and Strengths of Medical Tourism in Delhi NCR (2012) DU Journal of Undergraduate Reseaerch and Innovatrion, 1 (2), pp. 230-251. , (Vol, Issue,); Rajpal, D.A., (2017), www.freepressjournal.in; Rukmini Shrinivasan, E.B., The big Draw: IndianTourism in Numbers (2018) Economic Times; (2019), www.indiaheals.servicesepc.org; (2016) Why Hospitals Need to Be in Hospitality Business., , www.siegelgale.com, Retrieved feb 18th, 2018, from; Ueltschy, L.C., Laroche, M., Eggert, M., Service Quality and Satisfaction:An International Comparison of Professional Services Perceptions (2007) Journal of Services Marketing, pp. 410-423; Wu, Z., Robson, S., Hollis, B., The Application of Hospitality Elements in Hospitals (2013) Journal of Healthcare Management, pp. 47-62. , January / February)",,,,"Hampstead Psychological Associates",,,,,14757192,,,,"English","Int. J. Psychosoc. Rehab.",Article,"Final",,Scopus,2-s2.0-85084673470 "Wongsawat C., Deebhijarn S.","57216784567;57196440894;","Factors influencing repurchase intention among foreign medical tourists in Bangkok, Thailand: A structural equation model",2020,"Asia-Pacific Social Science Review","20","1",,"109","116",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084662242&partnerID=40&md5=13bce639db5a72330ff833b4cb7e712d","King Mongkut’s Institute of Technology Ladkrabang, Thailand","Wongsawat, C., King Mongkut’s Institute of Technology Ladkrabang, Thailand; Deebhijarn, S., King Mongkut’s Institute of Technology Ladkrabang, Thailand","Thailand is already a top global medical tourism destination, yet it continues to improve its products and services intended for foreign medical tourists (FMT). Thailand’s 2017–2026 policy, aimed at positioning itself as a world-class medical hub, is geared precisely to ensure that the tourism industry is continually improved and that the FMT are always considered, for example, in terms of their repurchase intention. Repurchase intention is strategic to Thailand: it has implications for the repeat visits among the FMT as well as it is indicative of the industry quality, both of which have far-reaching consequences for the country’s tourist arrivals and revenues. Employing a structural equation modeling, this study demonstrates the effects of five factors, namely, customer expectation, perceived quality, brand experience, perceived value, and customer satisfaction, on repurchase intention among a sample of 600 FMT, who were recruited and interviewed at 16 hospitals in Bangkok. Results indicate that customer satisfaction has the foremost effect on repurchase intention, and followed, albeit with far lesser effects, by customer expectation, brand experience, perceived value, and perceived quality, in that order. In general, the five-factor model was found to have only explained 34.2% of the variance in the repurchase intention among the FMT interviewed. The model is subject to further testing and validation. © 2020 by De La Salle University.","Customer expectation; Customer satisfaction; Foreign medical tourists; Repurchase intention; Structural equation modeling; Thailand",,,,,,,,,"Ashfaq, M., Yun, J., Waheed, A., Khan, M.S., Farrukh, M., Customers’ expectation, satisfaction, and repurchase intention of used products online: Empirical evidence from China (2019) SAGE Open, 9 (2), pp. 1-14; Tourism: Still a Reliable Driver of Growth?, , https://cutt.ly/IwZAGgY, 2019, May 16, Bangkok: Author. Retrieved from; Blery, E., (2003) Factors Influencing customers’ Repurchase Intentions in the Greek Mobile Telephony Sector (Unpublished Doctoral Dissertation), , http://epubs.surrey.ac.uk/795825/1/397199.pdf, University of Surrey, Surrey, United Kingdom. Retrieved from; Braverman, B., 1.4 million Americans will go abroad for medical care this year Should You? The Fiscal Times, , http://www.thefiscaltimes.com/2016/08/17/14-Million-Americans-Will-Go-Abroad-Medical-Care-Year-Should-You, 2016, August 17; He, Y., Chan, L.K., Tse, S.K., From consumer satisfaction to repurchase intention: The role of price tolerance in a competitive service market (2008) Total Quality Management & Business Excellence, 19 (9), pp. 949-961. , https://www.tandfonline.com/doi/pdf/10.1080/14783360802224628?needAccess=true; Hume, M., Mort, G.S., Winzar, H., Exploring repurchase intention in a performing arts context: Who comes? And why do they come back? (2007) International Journal of Nonprofit and Voluntary Sector Marketing, 12 (2), pp. 135-148; Kim, M., Koo, D.W., Shin, D.J., Lee, S.M., From servicescape to loyalty in the medical tourism industry: A medical clinic’s service perspective (2017) Inquiry, 54; (2018) Medical Tourism: Industry in Focus, , Bangkok: Author; Mechinda, P., Serirat, S., Anuwichanont, J., Gulid, N., An examination of tourists loyalty towards medical tourism in Pattaya (2010) Thailand. International Business and Economics Research Journal, 9 (1), pp. 55-70. , https://cutt.ly/EwZ4zjz; Morgan, D., (2010) The Growth of Medical Tourism, , http://oecdobserver.org/news/fullstory.php/aid/3342/The_growth_of_medical_tourism.html, OECD Observer; Mostaghimi, M., Akhlagh, E.M., Daneshm, S.H.S., An investigation of the effects of customer’s expectations and perceived quality on customer’s loyalty with the mediating role of the perceived value and customer’s satisfaction (2016) Journal of History, Culture and Art Research, 5 (4), pp. 593-606. , https://cutt.ly/4wKnyFJ; Ngamsangchaikit, W., (2017) Shifts in Medical Tourism, , https://www.ttrweekly.com/site/2017/08/shifts-in-medical-tourism/, August 1, TTR Weekly; Noree, T., Hanefeld, J., Smith, R., UK medical tourists in Thailand: They are not who you think they are (2014) Globalization and Health, 10 (1), pp. 29-35; Thailand’s healthcare ranked sixth best in the world (2019) Bangkok Post, , https://www.bangkokpost.com/thailand/general/1746289/thailands-healthcare-ranked-sixth-best-in-the-world, September 9; Sahin, A., Kitapci, H., Zehir, C., The effects of brand experience and service quality on repurchase intention: The role of brand relationship quality (2012) African Journal of Business Management, 6 (45), pp. 11190-11201; Sayed, M.A., Does brand experience build customer’s satisfaction and loyalty in the automobile industry? (2015) Journal of Marketing and Consumer Research, 15, pp. 103-112. , https://pdfs.semanticscholar.org/b59d/34bc325552cb9abc9d373e3efa877cf37a30.pdf; Som, A.P.M., Marzuki, A., Yousefi, M., Abukhalifeh, A.N., Factors influencing visitors’ revisit behavioral intentions: A case study of Sabah, Malaysia (2012) International Journal of Marketing Studies, 4 (4), pp. 39-50. , https://pdfs.semanticscholar.org/f1a2/150350d549d651f113ca7d1aa275a22b176d.pdf, Retrieved from; Souki, G.Q., Filho, C.G., Perceived quality, satisfaction and customer loyalty: An empirical study in the mobile phones sector in Brazil (2008) International Journal of Internet and Enterprise Management, 5 (4), pp. 298-312; Thai, V.V., Determinants of customer expectations of service: Implications for fostering customer satisfaction (2015) International Journal of Management and Applied Science, 1 (4), pp. 146-151. , http://www.iraj.in/journal/journal_file/journal_pdf/14-134-1431348440146-151.pdf, Retrieved from; (2019) Bangkok Post, , https://cutt.ly/twZ4vAY, September 10)., Retrieved from; Vuthisopon, S., Srinuan, C., Low-cost carrier passenger repurchase intention: A structural equation model analysis (2017) Asia-Pacific Social Science Review, 17 (2), pp. 249-266. , http://apssr.com/wp-content/uploads/2018/03/6_Vuthisopon-revised-112317-1.pdf; Wu, L.Y., Chen, K.Y., Chen, P.Y., Cheng, S.L., Perceived value, transaction cost, and repurchase-intention in online shopping: A relational exchange perspective (2014) Journal of Business Research, 67 (1), pp. 2768-2776. , https://www.sciencedirect.com/science/article/pii/S0148296312002433; Yee, C.J., San, N.C., Consumers’ perceived quality, perceived value and perceived risk towards purchase decision on automobile (2011) American Journal of Economics and Business Administration, 3 (1), pp. 47-57. , https://thescipub.com/pdf/10.3844/ajebasp.2011.47.57","Wongsawat, C.; King Mongkut’s Institute of Technology LadkrabangThailand; email: chayapa.kmitl03@gmail.com",,,"Asia-Pacific Social Science Review",,,,,01198386,,,,"English","Asia-Pacific Soc. Sci. Rev",Article,"Final",,Scopus,2-s2.0-85084662242 "Datta B.","57201210364;","Factors affecting the satisfaction level of medical tourists: A case study of Delhi national capital region",2020,"Geojournal of Tourism and Geosites","29","2",,"628","635",,,"10.30892/gtg.29219-494","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084610614&doi=10.30892%2fgtg.29219-494&partnerID=40&md5=ae2813a0dc644866391d56cc6eb30bf7","Amity University Uttar Pradesh, Amity Institute of Travel and Tourism, Sector-125, Noida, India","Datta, B., Amity University Uttar Pradesh, Amity Institute of Travel and Tourism, Sector-125, Noida, India","The medical tourism industry is considered to be one of the fastest growing niche forms of tourism globally. In numerical terms by 2024 it is expected to generate revenue close to 28 billion USD. According to Ministry of Tourism India's medical tourism industry could generate revenue worth 9 billion USD considering a growth of 200% by 2020. The study was conducted on 400 medical tourists in Delhi National Capital Region to find their perception pertaining to their satisfaction on various variables of medical tourism. Factor Analysis was utilized to reduce these 12 variables into 3 factors i.e. hospital services, quality of treatment, touristic services. A multiple regression was employed to eventually identify the factors affecting the overall satisfaction level of medical tourists visiting Delhi National Capital Region. The study indicates that quality of treatment has contributed the most and has stronger effect towards the satisfaction level of medical tourists as compared to other independent variables in Delhi National Capital Region. © 2020 Editura Universitatii din Oradea. All rights reserved.","Delhi National Capital Region; Factor Analysis; Medical tourists; Multiple Regression; Satisfaction level","economic growth; medical tourism; multiple regression; perception; spatiotemporal analysis; Delhi; India",,,,,,,,"Algina, J., Olejnik, S., Sample size tables for correlation analysis with applications in partial correlation and multiple regression analysis (2003) Multivariate Behavioural Research, 38 (3), pp. 309-323; Arellano, A.B.R., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Service, 37 (1), pp. 193-198; Aziz, A., Yusof, R.M., Ayob, M., Bakar, N.T.A., Awang, A.H., Measuring tourist behavioural intention through quality in Malaysian medical tourism industry (2015) Proc Econ Finance, 31, pp. 280-285; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159; Brown, S.T., Swartz, T.A., A gap analysis of professional service quality (1989) The Journal of Marketing, 53 (2), pp. 92-98; Burkett, L., Medical tourism concerns, benefits and the American legal perspective (2007) The Journal of Legal Medicine, 28 (2), pp. 1-20; Caballero-Danell, S., Mugomba, C., (2007) Medical Tourism and Its Entrepreneurial Opportunities-A Conceptual Framework for Entry into the Industry, , Master's thesis). Gothenburg University, Sweden; Carrera, P.W., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmaco Economics & Outcomes, 6, pp. 447-454; Castonguay, G., Brown, A., Plastic surgery tourism providing a boon for Costa Rica's Surgeons (1993) Canadian Medical Association Journal, 148 (1), pp. 74-76; Chang, D.Y., Service quality assessment of a chain steakhouse in Taiwan (2009) Journal of Quality Assurance in Hospitality & Tourism, 10 (4), pp. 255-278; Connell, J., Medical tourism: Sea, sun, sand and... Surgery (2006) Tourism Management, 27, pp. 1093-1100; Cronin, J., Jr., Taylor, S., Measuring service quality: A re-examination and extension (1992) The Journal of Marketing, 56 (3), pp. 55-68; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (266), pp. 1-12; Demicco, F.J., Cetron, M., Club medic (2006) Asia Pacific Biotech News, 10 (10), pp. 527-531; Keith, L.G., Medical tourism and reproductive outsourcing; the dawning of a new paradigm for healthcare (2006) International Journal of Fertility, 51 (6), pp. 251-255. , G. A. &; Goodrich, J.N., Socialist Cuba: A case of health tourism (1993) Journal of Travel Research, pp. 36-41. , Summer; Gupta, A.S., Medical tourism and public health (2004) People's Democracy, 28 (19). , http://pd.cpim.org/2004/0509/05092004_snd.htm, Retrieved March 7, 2008 from; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Henderson, J.C., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7 (3-4), pp. 111-121; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Huh, J., Uysal, M., Satisfaction with cultural/heritage sites: Virginia historic Triangle (2003) Journal of Quality of Assurance in Hospitality & Tourism, 4 (3-4), pp. 1-77194; Hunter, W.C., Medical tourism: A new global niche (2007) International Journal of Tourism Sciences, 7 (1), pp. 129-140; Hunter-Jones, P., Cancer and tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Jafari, M., Sadeghifar, J., Raadabadi, M., Mosavi, S.M., Khodayari Zarnaq, R., Bahadori, M., The inquiry of international standards for medical tourism: A case study into hospitals of Tehran University of Medical Sciences (2014) Int J Travel Med Global Health, 2 (2), pp. 45-50; Jones, G.A., Keith, L.G., Medical tourism and reproductive outsourcing; the dawning of a new paradigm for healthcare (2006) International Journal of Fertility, 51 (6), pp. 251-255; Kaiser, H., An index of factor simplicity (1974) Psychometrika, 39, pp. 31-36; Kozak, M., Rimmington, M., Tourist satisfaction with Mallorca, Spain, as an off-season holiday destination (2000) Journal of Travel Research, 38, pp. 260-269; Lamb, C.W., Hair, J.F., McDaniel, C., (2010) MKTG 4, , Mason, OH: South-Western College Publishing; Lunt, N., Carrera, R., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Martin, D.S., Ramamonjiarivelo, Z., Martin, W.S., Medtour: A scales for measuring medical tourism intentions (2011) Tourism Review, 66 (1-2), pp. 45-56; Moghimehfar, F., Nasr-Esfahani, M.H., Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and Fertility treatment (2011) Tourism Management, 32, pp. 1431-1434; Momeni, K., Janati, A., Imani, A., Khodayari-Zarnaq, R., Barriers to the development of medical tourism in East Azerbaijan province (2018) Iran: A Qualitative Study of Tourism Management, 69, pp. 307-316; Reddy, G.R., York, V.K., Brannon, L.A., Travel for treatment: Students' perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Smith, R., Álvares, M.M., Chanda, R., Medical tourism: A review of the literature and analysis of role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Teh, I., Healthcare tourism in Thailand: Pain ahead? (2007) Asia Pacific Biotech News, 11 (8), pp. 493-497; Ye, B.H., Qiu, H.Z., Yuen, P.P., Motivations and experiences of Mainland Chinese medical tourists in Hong Kong (2011) Tourism Management, 32 (5), pp. 1125-1127; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: A structural model (2005) Tourism Management, 26 (1), pp. 45-56; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; (2009), http://www.kams.or.kr/, Retrieved January 10 from; Tourism Review, 66 (1-2), pp. 4-15; Henderson, J.C., Healthcare tourism in Southeast Asia (2004) Tourism Review International, 7 (3-4), pp. 111-121","Datta, B.; Amity University Uttar Pradesh, Amity Institute of Travel and Tourism, Sector-125, India; email: bdatta@amity.edu",,,"Editura Universitatii din Oradea",,,,,20650817,,,,"English","Geojournal Tour. Geosites",Article,"Final",Open Access,Scopus,2-s2.0-85084610614 "Mazzei C.J., Yurek J.W., Patel J.N., Poletick E.B., D'Achille R.S., Wittig J.C.","57214447612;57216732865;57192303608;25936610500;57216734712;7005318488;","Providing Patient Mobilization With a Mobility Technician Improves Staff Efficiency and Constrains Cost in Primary Total Hip Arthroplasty",2020,"Journal of Arthroplasty",,,,"","",,,"10.1016/j.arth.2020.03.042","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084383757&doi=10.1016%2fj.arth.2020.03.042&partnerID=40&md5=9915182d684de807da2240c22ce0dd4e","Department of Orthopedic Surgery, Morristown Medical Center, Morristown, NJ, United States; Department of Orthopedic Surgery, Jersey City Medical Center, Jersey City, NJ, United States; Department of Physical Therapy, Morristown Medical Center, Morristown, NJ, United States","Mazzei, C.J., Department of Orthopedic Surgery, Morristown Medical Center, Morristown, NJ, United States; Yurek, J.W., Department of Orthopedic Surgery, Jersey City Medical Center, Jersey City, NJ, United States; Patel, J.N., Department of Orthopedic Surgery, Morristown Medical Center, Morristown, NJ, United States; Poletick, E.B., Department of Orthopedic Surgery, Morristown Medical Center, Morristown, NJ, United States; D'Achille, R.S., Department of Physical Therapy, Morristown Medical Center, Morristown, NJ, United States; Wittig, J.C., Department of Orthopedic Surgery, Morristown Medical Center, Morristown, NJ, United States","Background: Mobility technicians (MTs) demonstrate value in constraining the cost of total joint replacement procedures. MTs are certified medical assistants with specialized ambulation/gait training who work under the direction of the nursing staff to meet patient mobilization demands in hospital wards. This study analyzed their impact on primary total hip arthroplasty (THA). Methods: Data were retrospectively reviewed from both the time before and the time after MTs were introduced to the hospital for demographic information (ie, age, gender, race, and payer) and clinical measures (ie, length of stay and discharge disposition). The control group was treated and mobilized according to standard physical therapy and nursing staff protocols. Study group subjects had access to the MTs at the direction of their registered nurse. Included subjects underwent a primary THA procedure for arthritic conditions or hip fractures, or for conversion from a previous hip surgery. Excluded were subjects who underwent procedures for revision, bilateral, or hip resurfacing procedures. Results: The study and control groups included 542 and 1297 subjects, respectively. They shared a median length of stay of 2 days (P = .121). More study group subjects were discharged home than were their control group counterparts (91.51%-87.43%, P = .012). Cost analysis revealed an annual savings of $119,794.50 in total first post-acute care (ie, the period spent at a patient's initial discharge disposition level) costs to the institution. Therefore, MTs would need to successfully treat only 5 patients annually to recoup a savings equivalent to their salary. Conclusion: MTs support the recovery of THA patients in the hospital, in turn optimizing their discharge disposition. Institutions may experience a financial benefit in a bundled payment system, in which avoiding costly rehab facilities may result in savings over the episode. © 2020 Elsevier Inc.","ambulation; bundled payments; cost; mobilization; physical therapy; primary total hip arthroplasty",,,,,,,,,"Singh, J.A., Yu, S., Chen, L., Cleveland, J.D., Rates of total joint replacement in the United States: future projections to 2020-2040 using the National Inpatient Sample (2019) J Rheumatol, 46, pp. 1134-1140; Kurtz, S., Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 (2007) J Bone Joint Surg Am, 89, p. 780; Wilson, N.A., Schneller, E.S., Montgomery, K., Bozic, K.J., Hip and knee implants: current trends and policy considerations (2008) Health Aff (Millwood), 27, pp. 1587-1598; Sloan, M., Sheth, N.P., Projected volume of primary and revision total joint arthroplasty in the United States, 2030-2060 (Paper 016) (2018) Presented at the 2018 Annual Meeting of the American Academy of Orthopaedic Surgeons, March 6-10, , Louisiana New Orleans; Kim, K., Iorio, R., The 5 clinical pillars of value for total joint arthroplasty in a bundled payment paradigm (2017) J Arthroplasty, 32, pp. 1712-1716; Guerra, M.L., Singh, P.J., Taylor, N.F., Early mobilization of patients who have had a hip or knee joint replacement reduces length of stay in hospital: a systematic review (2015) Clin Rehabil, 29, pp. 844-854; Vaudreuil, N.J., McGlaston, T.J., Gulledge, C.D., Bove, A.M., Klatt, B.A., Performance milestones in postoperative physical therapy after total hip arthroplasty: impact on length of stay and discharge destination (2018) Curr Orthop Pract, 29, pp. 308-315; Juliano, K., Edwards, D., Spinello, D., Capizzano, Y., Epelman, E., Kalowitz, J., Initiating physical therapy on the day of surgery decreases length of stay without compromising functional outcomes following total hip arthroplasty (2011) HSS J, 7, pp. 16-20; Okamoto, T., Ridley, R.J., Edmondston, S.J., Visser, M., Headford, J., Yates, P.J., Day-of-surgery mobilization reduces the length of stay after elective hip arthroplasty (2016) J Arthroplasty, 31, pp. 2227-2230; Chua, M.J., Hart, A.J., Mittal, R., Harris, I.A., Xuan, W., Naylor, J.M., Early mobilisation after total hip or knee arthroplasty: a multicentre prospective observational study (2017) PLoS One, 12, p. e0179820; Tayrose, G., Newman, D., Slover, J., Jaffe, F., Hunter, T., Bosco, J., III, Rapid mobilization decreases length-of-stay in joint replacement patients (2013) Bull Hosp Jt Dis (2013), 71, p. 222; Young, D.L., Seltzer, J., Glover, M., Outten, C., Lavezza, A., Mantheiy, E., Identifying barriers to nurse-facilitated patient mobility in the intensive care unit (2018) Am J Crit Care, 27, pp. 186-193; Hoyer, E.H., Brotman, D.J., Chan, K.S., Needham, D.M., Barriers to early mobility of hospitalized general medicine patients: survey development and results (2015) Am J Phys Med Rehabil, 94, pp. 304-312; Hamilton, A.C., Lee, N., Stilphen, M., Hu, B., Schramm, S., Frost, F., Increasing mobility via in-hospital ambulation protocol delivered by mobility technicians: a pilot randomized controlled trial (2019) J Hosp Med, 14, pp. 272-277; Sibley, R.A., Charubhumi, V., Hutzler, L.H., Paoli, A.R., Bosco, J.A., Joint replacement volume positively correlates with improved hospital performance on Centers for Medicare and Medicaid Services quality metrics (2017) J Arthroplasty, 32, pp. 1409-1413","Wittig, J.C.; Department of Orthopedic Surgery, Morristown Medical Center, Atlantic Health System, 100 Madison Avenue, United States",,,"Churchill Livingstone Inc.",,,,,08835403,,JOARE,"32389412","English","J. Arthroplasty",Article,"Article in Press",Open Access,Scopus,2-s2.0-85084383757 "Pitakdumrongkit K., Lim G.","56525342400;56579728900;","Neo-Liberalism, the Rise of the Unelected and Policymaking in Thailand: The Case of the Medical Tourism Industry",2020,"Journal of Contemporary Asia",,,,"","",,,"10.1080/00472336.2020.1740294","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084073937&doi=10.1080%2f00472336.2020.1740294&partnerID=40&md5=f83bb97f79a619489d3ffc1a48f39b13","S. Rajaratnam School of International Studies, Nanyang Technological University, Singapore; Nanyang Centre for Public Administration, Nanyang Technological University, Nanyang, Singapore","Pitakdumrongkit, K., S. Rajaratnam School of International Studies, Nanyang Technological University, Singapore; Lim, G., Nanyang Centre for Public Administration, Nanyang Technological University, Nanyang, Singapore","This article discusses how neo-liberal ideas about development take root when they encounter the very different political and economic context of a developing economy. It analyses Thailand’s medical tourism industry, earmarked by Thailand’s government as one of several priority industries to boost the economy in the aftermath of the 1997 Asian Economic Crisis, which ravaged Thailand and ushered in a group of unelected actors–“reign-seekers”–intent on disbursing supposedly de-politicised neo-liberal governance reform. This article makes three inter-related arguments. First, these unconventional actors function as a fluid intermediary linking various public agencies, private sector players and civil society actors, fostering dialogue and reconciling diverging interests. Second, the influence of neo-liberalism on the workings of the state has been relatively modest as the “reign-seekers” have primarily promoted welfare-oriented policies over pro-business ones. Third, the “reign-seeking” elites’ welfare-oriented stance underlines the fracture and heterogeneity within a group of supposedly neo-liberal proponents. © 2020, © 2020 Journal of Contemporary Asia.","globalisation; health policy; Medical tourism; policymaking; reign-seeking; Thailand",,,,,,,,,"Aalbers, M., Neoliberalism is Dead … Long Live Neoliberalism! 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A., (ed), and; Winichakul, T., Toppling Democracy (2008) Journal of Contemporary Asia, 38 (1), pp. 11-37; (2020) Kiawkub roaw: Wisaitut and Puntakit [About Us: Vision and Mission, , https://www.tat.or.th/th/about-tat/vision, Accessed February12, 2020; Udomvej, T., (2018) Company Research: Chularat Hospital, , Bangkok: Krungsri Securities; Van Apeldoorn, B., Transnationalization and the Restructuring of Europe’s Socioeconomic Order (1998) International Journal of Political Economy, 28 (1), pp. 12-53; Kanchoochat, V., Reign-Seeking and the Rise of the Unelected in Thailand (2016) Journal of Contemporary Asia, 46 (3), pp. 486-503; Vibert, F., (2007) The Rise of the Unelected: Democracy and the New Separation of Powers, , Cambridge: Cambridge University Press; Williamson, J., What Washington Means by Policy Reform (1990) In Latin American Adjustment: How Much Has Happened?, pp. 7-40. , Williamson J., (ed), Washington: Institute for International Economics,. edited by","Lim, G.; Nanyang Centre for Public Administration, Nanyang Technological University, 50 Nanyang Avenue, S3.2-B4, Singapore; email: Guanie.Lim@ntu.edu.sg",,,"Routledge",,,,,00472336,,,,"English","J. Contemp. Asia",Article,"Article in Press",,Scopus,2-s2.0-85084073937 "Adabi K., Stern C.S., Kinkhabwala C.M., Weichman K.E., Garfein E.S., Tepper O.M., Conejero J.A.","56503781300;56556044900;57210645494;35148668000;6508239410;6603112461;56494745400;","Early Surgical Management of Medical Tourism Complications Improves Patient Outcomes",2020,"Plastic and Reconstructive Surgery",,,,"1147","1154",,,"10.1097/PRS.0000000000006728","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084031269&doi=10.1097%2fPRS.0000000000006728&partnerID=40&md5=18af0b7ef77688954445348f1ac3f390","Montefiore Medical Center, Albert Einstein College of Medicine, 1776 Eastchester Road, Bronx, NY 10461, United States","Adabi, K., Montefiore Medical Center, Albert Einstein College of Medicine, 1776 Eastchester Road, Bronx, NY 10461, United States; Stern, C.S., Montefiore Medical Center, Albert Einstein College of Medicine, 1776 Eastchester Road, Bronx, NY 10461, United States; Kinkhabwala, C.M., Montefiore Medical Center, Albert Einstein College of Medicine, 1776 Eastchester Road, Bronx, NY 10461, United States; Weichman, K.E., Montefiore Medical Center, Albert Einstein College of Medicine, 1776 Eastchester Road, Bronx, NY 10461, United States; Garfein, E.S., Montefiore Medical Center, Albert Einstein College of Medicine, 1776 Eastchester Road, Bronx, NY 10461, United States; Tepper, O.M., Montefiore Medical Center, Albert Einstein College of Medicine, 1776 Eastchester Road, Bronx, NY 10461, United States; Conejero, J.A., Montefiore Medical Center, Albert Einstein College of Medicine, 1776 Eastchester Road, Bronx, NY 10461, United States","Background: Complications from medical tourism can be significant, requiring aggressive treatment at initial presentation. This study evaluates the effect of early surgical versus conservative management on readmission rates and costs. Methods: A single-center retrospective review was conducted from May of 2013 to May of 2017 of patients presenting with soft-tissue infections after cosmetic surgery performed abroad. Patients were categorized into two groups based on their management at initial presentation as either conservative or surgical. Demographic information, the procedures performed abroad, and the severity of infection were included. The authors' primary outcome was the incidence of readmission in the two groups. International Classification of Diseases, Ninth Revision; International Classification of Diseases, Tenth Revision; and CPT codes were used for direct-billed cost analysis. Results: Fifty-three patients (one man and 52 women) presented with complications after procedures performed abroad, of which 37 were soft-tissue infections. Twenty-four patients with soft-tissue infections at initial presentation were managed conservatively, and 13 patients were treated surgically. The two groups were similar in patient demographics and type of procedure performed abroad. Patients who were managed conservatively at initial presentation had a higher rate of readmission despite having lower severity of infections (OR, 4.7; p = 0.037). A significantly lower total cost of treatment was shown with early surgical management of these complications (p = 0.003). Conclusions: Conservative management of complications from medical tourism has resulted in a high incidence of failure, leading to readmission and increased costs. This can contribute to poor outcomes in patients that are already having complications from cosmetic surgery. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III. © 2020 by the American Society of Plastic Surgeons.",,,,,,,,,,"Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , New York: Deloitte Center for Health Solutions; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31, pp. 185-198; Franzblau, L.E., Chung, K.C., Impact of medical tourism on cosmetic surgery in the United States (2013) Plast Reconstr Surg Glob Open, 1, p. e63; Yakupoglu, Y.K., Ozden, E., Dilek, M., Transplantation tourism: High risk for the recipients (2010) Clin Transplant, 24, pp. 835-838; Ross, K.M., Moscoso, A.V., Bayer, L.R., Rosselli-Risal, L., Orgill, D.P., Plastic surgery complications from medical tourism treated in a U.S (2018) Academic Medical Center. 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Reconstr. Surg.",Article,"Article in Press",Open Access,Scopus,2-s2.0-85084031269 "Soltani S., Ghorbanian M., Tham A.","57216460851;57216461712;55615313200;","South to South Medical Tourists, the Liminality of Iran?",2020,"Journal of Quality Assurance in Hospitality and Tourism",,,,"","",,,"10.1080/1528008X.2020.1747588","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083554324&doi=10.1080%2f1528008X.2020.1747588&partnerID=40&md5=ee7b7f550d35d9b3ba3ef0d44d9b1298","Faculty of Social Sciences, Business, and Economics(FSE), Abo Akademi University, Turku, Finland; Faculty of Humanities, University of Zanjan, Zanjan, Iran; USC Business School, University of the Sunshine Coast, Sunshine Coast, Australia","Soltani, S., Faculty of Social Sciences, Business, and Economics(FSE), Abo Akademi University, Turku, Finland; Ghorbanian, M., Faculty of Humanities, University of Zanjan, Zanjan, Iran; Tham, A., USC Business School, University of the Sunshine Coast, Sunshine Coast, Australia","Liminal spaces of medical tourism remain under-investigated. To address this gap, liminal spaces of Azerbaijani, Armenian and Iraqi medical tourists to Tabriz, Iran are explored. Using a mixed-method approach employing direct observations, interviews and 150 questionnaires of medical tourists, data were collected and analyzed using AMOS (Analysis of a Moment Structures) software. Among the range of factors tested, appropriate infrastructure and medical tourist monitoring had the highest influence on shaping medical tourists’ liminal spaces. 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(2017) Tourism Management, 59 (Apr), pp. 267-280. , https://doi.org/10.1016/j.tourman.2016.08.009; Zolfagharian, M., Rajamma, R.K., Naderi, I., Torkzadeh, S., Determinants of medical tourism destination selection process (2018) Journal of Hospitality Marketing & Management, 27 (7), pp. 775-794. , https://doi.org/10.1080/19368623.2018.1444527","Tham, A.; University of the Sunshine CoastAustralia; email: mtham@usc.edu.au",,,"Routledge",,,,,1528008X,,,,"English","J. Qual. Assur. Hosp. Tour.",Article,"Article in Press",,Scopus,2-s2.0-85083554324 "McNamara K.M.","57216416861;","Rhythms of care: Medical travels beyond the borders of Bangladesh",2020,"East Asian Science, Technology and Society","14","1",,"61","83",,,"10.1215/18752160-8233817","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083500017&doi=10.1215%2f18752160-8233817&partnerID=40&md5=c32e4ea5d0b099d4dd1a9a3fbe22018b","Christian Medical College, Vellore, India","McNamara, K.M., Christian Medical College, Vellore, India","This article examines the experiences of Bangladeshi patients and their families as they travel transnationally within Asia for medical care. I explain how failures of biomedicine in Bangladesh feed into idealized expectations of care abroad. This medical imaginary is fueled by the hope that more expensive treatment in wealth-ier countries will result in better care, and it is sustained by the way the medical tourism industry operates and the way Bangladeshi patients and their families make choices and engage in the doing of care abroad. A detailed case study of a Bangladeshi cancer patient’s prolonged care in Singapore illustrates the tensions and ambivalences in the quest for the best treatment. These tensions are exacerbated by the linguistic, monetary, and emotional challenges faced in traveling back and forth between countries. While patients feel at times betrayed by experiences of care that do not meet their expecta-tions, they also feel compelled to carry on. I capture this dynamic in the term rhythms of care, understanding these as the way the medical imaginary shapes care practices that become a scaffolding for hope to be maintained and further travel to be undertaken. I also reflect on how I become part of these rhythms by acting as the family’s interpreter as they navigate health care in Singapore. © 2020 Ministry of Science and Technology, Taiwan.","Cancer; Hope; Medical imaginary; Patient choice; Rhythms of care; Transnational medical travel",,,,,,"National University of Singapore, NUS","I would especially like to thank Catelijne Coopmans for her care, encouragement, and insightful feedback for this article through its many iterations and drafts. She and the other participants in our workshop ?Framing Technology and Care in Asian Contexts? helped me to develop the ideas that eventually became this article. Also two anonymous reviewers? careful feedback was critical in convincing me to push my argument in interesting directions. Marjorie McNamara was a patient sounding board for the times when I was working through ideas. I also want to thank all the Bangladeshi families who openly shared their experiences about medical travel with me. Finally, I am grateful to the Asia Research Institute of the National University of Singapore (NUS) for enabling me to conduct this research during my postdoctoral fellowship and for supporting our workshop both financially and logistically.",,"Gourab, A., Factors Influencing Patients’ Satisfaction at Different Levels of Health Facilities in Bangladesh: Results from Patient Exit Interviews (2018) Plos One, 13 (5), pp. 1-13; Amrith, M., (2017) Caring for Strangers: Filipino Medical Workers in Asia, , Copenhagen: NIAS Press; Andaleeb, S.S., Siddiqui, N., Khandakar, S., Patient Satisfaction with Health Services in Bangladesh (2007) Health Policy and Planning, 22, pp. 263-273; Aulino, F., Rituals of Care for the Elderly in Northern Thailand: Merit, Morality, and the Everyday of Long-Term Care (2016) American Ethnologist, 43 (1), pp. 91-102; Bell, D., Holliday, R., Ormond, M., Mainil, T., Transnational Healthcare, Cross-Border Perspectives (2015) Social Science and Medicine, 124, pp. 284-289; Lauren Gail, B., (2011) Cruel Optimism, , Durham, NC: Duke University Press; Heng Leng, C., Medical Tourism and the State in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Chee, H.L., Whittaker, A., Yeoh, B.S.A., International Medical Travel and the Politics of Transnational Mobility in Asia (2017) Asia Pacific Viewpoint, 58 (2), pp. 129-135; Collins, S., (2015) The Core of Care Ethics, , New York: Palgrave Macmillan; Connell, J., From Medical Tourism to Transnational Health Care? 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Technol. Soc.",Article,"Final",Open Access,Scopus,2-s2.0-85083500017 "Whittaker A.","7102570392;","Dying overseas: Reflections on translations of care in international medical travel hospitals in Malaysia and Thailand",2020,"East Asian Science, Technology and Society","14","1",,"137","144",,,"10.1215/18752160-8234381","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083326766&doi=10.1215%2f18752160-8234381&partnerID=40&md5=6b14f29c4b4c8d35703ea6704723dfe3","School of Social Sciences, Monash University, Australia","Whittaker, A., School of Social Sciences, Monash University, Australia",[No abstract available],,,,,,,"Australian Research Council, ARC: DP 1094895","Acknowledgements I wish to thank Professor Chee Heng Leng and Dr. Por Heong Hong, who worked with me on this study. This work draws on research supported by an Australian Research Council Discovery Project, Medical Travel in Asia: Therapeutic Quests for Hearts and Hips (DP 1094895), funded by the Australian government. Ethical clearance for this study was obtained through the University of Queensland Behavioral and Social Sciences Ethical Review Committee and the Monash University Human Research Ethics Committee and permissions granted by various authorities at participating hospitals. I thank the hospitals, staff, and patients for their participation in this research.",,"Buch, E.D., Anthropology of Aging and Care (2015) Annual Review of Anthropology, 44, pp. 277-293; Chaufan, C., Hollister, B., Nazareno, J., Fox, P., Medical Ideology as a Double-Edged Sword: The Politics of Cure and Care in the Making of Alzheimer’s Disease (2012) Social Science and Medicine, 74 (5), pp. 788-795; Chee, H.L., Whittaker, A., Por, H.H., Sociality and Transnational Social Space in the Making of Medical Tourism: Local Actors and Indonesian Patients in Malaysia (2019) Mobilities, 14 (1), pp. 87-102; Cheong, W.L., Mohan, D., Warren, N., Reidpath, D., Palliative Care Research in the Asia Pacific Region: A Systematic Review and Bibliometric Analysis of Peer-Reviewed Publications (2019) Journal of Palliative Medicine, 22 (5), pp. 545-552; Gardner, J., Warren, N., Learning from Deep Brain Stimulation: The Fallacy of Techno-Solutionism and the Need for “Regimes of Care (2019) Medicine, Health Care and Philosophy, 22 (3), pp. 363-374; Garman, A.N., Johnson, T.J., Lynch, E.B., Satjapot, S., Care Provider Perspectives on Medical Travel: A Three-Country Study of Destination Hospitals (2016) Health Marketing Quarterly, 33 (1), pp. 48-58; Hodges, J.R., Kimball, A.M., (2012) Unseen Travelers: Medical Tourism and the Spread of Infectious Disease, pp. 111-137. , Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services, edited by Jill R. Hodges, Leigh Turner, and Ann Marie Kimball, Santa Barbara, CA: Praeger; Mol, A., (2008) The Logic of Care: Health and the Problem of Patient Choice, , Abingdon, UK: Routledge; Whittaker, A., Chee, H.L., ‘Flexible Bio-Citizenship’ and International Medical Travel: Transnational Mobilities for Care in Asia (2016) International Sociology, 31 (3), pp. 286-304","Whittaker, A.; School of Social Sciences, Monash UniversityAustralia; email: andrea.whittaker@monash.edu",,,"Duke University Press",,,,,18752160,,,,"English","East Asian Sci. Technol. Soc.",Note,"Final",,Scopus,2-s2.0-85083326766 "Thawornwiriyatrakul W., Meeprom S.","57192411436;57163689900;","Antecedents of tourist loyalty in health and wellness tourism: The impact of travel motives, perceived service quality, and satisfaction",2020,"International Journal of Innovation, Creativity and Change","11","10",,"300","315",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083064904&partnerID=40&md5=c3fd13ecd42fbff5df116ab000e73873","Department of Tourism and Hospitality, Faculty of Business Administration, Khon Kaen University (Nong Khai Campus), Thailand; Department of Hospitality and Event Management, Faculty of Business Administration and Accountancy, Khon Kaen University (Khon Kaen Campus), Thailand","Thawornwiriyatrakul, W., Department of Tourism and Hospitality, Faculty of Business Administration, Khon Kaen University (Nong Khai Campus), Thailand; Meeprom, S., Department of Hospitality and Event Management, Faculty of Business Administration and Accountancy, Khon Kaen University (Khon Kaen Campus), Thailand","This study attempts to contribute to theory and practice by examining the role of travel motive, perceived service quality, tourist satisfaction and revisit intention in the context of health and wellness tourism. The study relies on primary data collected from international tourists travelling for health and wellness reasons in Phuket, Thailand. Data was collected using convenience sampling and a self-administered approach. The findings indicated that the relationships of travel motive with perceived quality of service and satisfaction were positive and significant. Furthermore, the results revealed that perceived quality of service and satisfaction to tourist loyalty were also positive and significant. The additional analysis also provided for testing the mediating effect of perceived quality of service and satisfaction on the relationship between travel motive and revisit intention. © 2020 Primrose Hall Publishing Group.","Health and wellness tourism and Thailand; Perceived service quality; Tourist satisfaction; Travel motives",,,,,,"National Research Council of Thailand, NRCT","This paper was supported by the National Research Council of Thailand.",,"Aiken, L.S., West, S.G., Reno, R.R., (1991) Multiple regression: Testing and interpreting interactions, , Sage; Akhoondnejad, A., Tourist loyalty to a local cultural event: The case of Turkmen handicrafts festival (2016) Tourism Management, pp. 468-477; Albayrak, T., Caber, M., Examining the relationship between tourist motivation and satisfaction by two competing methods (2018) Tourism Management, pp. 201-213; Ali, F., Ryu, K., Hussain, K., Influence of Experiences on Memories, Satisfaction and Behavioral Intentions: A Study of Creative Tourism (2016) Journal of Travel & Tourism Marketing, 33 (1), pp. 85-100; Baron, R.M., Kenny, D.A., The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations (1986) Journal of Personality Social Psychology, 51 (6), p. 1173; Battour, M.M., Battor, M.M., Ismail, M., The Mediating Role of Tourist Satisfaction: A Study of Muslim Tourists in Malaysia (2012) Journal of Travel & Tourism Marketing, 29 (3), pp. 279-297; Beladi, H., Chao, C.-C., Ee, M.S., Hollas, D., Does Medical Tourism Promote Economic Growth? 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Synergistic Effects of Self-and Other-Efficacy (2012) Journal of Marketing, 76 (6), pp. 121-140; Yoon, Y.-S., Lee, J.-S., Lee, C.-K., Measuring festival quality and value affecting visitors' satisfaction and loyalty using a structural approach (2010) International Journal of Hospitality Management, 29 (2), pp. 335-342; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zabkar, V., Brenćić, M.M., Dmitrovic, T., Modelling perceived quality, visitor satisfaction and behavioural intentions at the destination level (2010) Tourism Management, 31 (4), pp. 537-546","Meeprom, S.; Department of Hospitality and Event Management, Faculty of Business Administration and Accountancy, Khon Kaen University (Khon Kaen Campus)Thailand; email: supame@kku.ac.th",,,"Primrose Hall Publishing Group",,,,,22011315,,,,"English","Int. J. Innov. Creat. Change",Article,"Final",,Scopus,2-s2.0-85083064904 "Dillette A.K., Douglas A.C., Andrzejewski C.","57192314786;16432497200;23567842600;","Dimensions of holistic wellness as a result of international wellness tourism experiences",2020,"Current Issues in Tourism",,,,"","",,,"10.1080/13683500.2020.1746247","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082936869&doi=10.1080%2f13683500.2020.1746247&partnerID=40&md5=fb8358fc348affaa290b25f46e5bef7b","L. Robert Payne School of Hospitality and Tourism Management, San Diego State University, San Diego, CA, United States; Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, AL, United States; Department of Educational Foundations, Leadership and Technology, Auburn University, Auburn, AL, United States","Dillette, A.K., L. Robert Payne School of Hospitality and Tourism Management, San Diego State University, San Diego, CA, United States; Douglas, A.C., Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, AL, United States; Andrzejewski, C., Department of Educational Foundations, Leadership and Technology, Auburn University, Auburn, AL, United States","Interest in wellness tourism has seen rapid growth in recent years from both researchers and industry representatives. However, it has been noted that research related to understanding the components of a wellness tourism experience is lacking. This research examined International wellness tourism experiences as described by user-generated content published on TripAdvisor.com. Using netnography analysis in conjunction with framework analysis, thematic qualitative coding of travel reviews provided an in-depth meaningful understanding of the wellness tourism experience. In line with Dunn’s [(1959). High-level wellness for man and society. American Journal of Public Health and the Nations Health, 49(6), 786–792] definition of holistic wellness the results identified four dimensions of the wellness tourism experience, namely body, mind, spirit and environment. Though consumer reviews varied, there was consensus within the data that all four dimensions served as a mechanism towards wellness, in some instances, proving to be barriers. Recommendations for the planning and management of wellness tourism are discussed for each of the dimensions. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group.","netnography; tourism; user-generated content; well-being; Wellness",,,,,,,,,"Adams, T.B., (2003), https://www.hedir.org/, The power of perceptions: Measuring wellness a globally acceptable, philosophically consistentway. Wellness Management. 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Robert Payne School of Hospitality and Tourism Management, San Diego State UniversityUnited States; email: adillette@sdsu.edu",,,"Routledge",,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Article in Press",,Scopus,2-s2.0-85082936869 "Kazakov S., Oyner O.","57190134537;57190139877;","Wellness tourism: a perspective article",2020,"Tourism Review",,,,"","",,,"10.1108/TR-05-2019-0154","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082805663&doi=10.1108%2fTR-05-2019-0154&partnerID=40&md5=54e996a91fe3526d4b07a368a4749161","Department of Company Marketing, National Research University Higher School of Economics, Moscow, Russian Federation; Department of Company Marketing, School of Business Administration, Faculty of Business and Management, National Research University – Higher School of Economics, Moscow, Russian Federation","Kazakov, S., Department of Company Marketing, National Research University Higher School of Economics, Moscow, Russian Federation; Oyner, O., Department of Company Marketing, School of Business Administration, Faculty of Business and Management, National Research University – Higher School of Economics, Moscow, Russian Federation","Purpose: This paper aims to examine the development and significant contributions in a growing array of relevant publications spanning from 1946 to date and discuss future developments of the wellness tourism topic until the year 2095. Design/methodology/approach: This perspective study traces down the wellness tourism evolution research by re-viewing and analysing an extant body of the relevant literature over the last 75 years. This paper builds a rigorous perspective review by examination of publications derived from several scientific domains, including tourism, medicine, economics and social sciences. Findings: As a result of this study, wellness tourism can be attributed as a profuse and proliferating research stream in the recent 75 years. Its relevance to significant aspects of life, such as health and also due to effects on human, social, and economic well-being, drives its proliferation. The paper anticipates the relevance and topicality of wellness tourism studies for academic research in the next 75 years. Originality/value: This paper contributes to the theory by addressing the ambiguous nature of wellness tourism, recapping the debate on the most debated research questions, and revealing the perspectives for future research in this area. © 2020, Emerald Publishing Limited.","Health resorts; Health tourism; Research perspectives; Well-being; Wellness; Wellness tourism",,,,,,,,,"Antonovsky, A., (1979) Health, Stress, and Coping, , Jossey-Bass, San Francisco; Buhalis, D., Leung, R., Smart hospitality – interconnectivity and interoperability towards an ecosystem (2018) International Journal of Hospitality Management, 71, pp. 41-50; Cassens, M., Hörmann, G., Tarnai, C., Stosiek, N., Meyer, W., Health tourism: increasing importance of touristic settings for public health and medical prevention (2012) Prävention Und Gesundheitsförderung, 7 (1), pp. 24-29; Chrysikou, E., Ecopsychosocial parameters and mental health: the complexities of the psychiatric ward (2017) In Proceedings 11th International Space Syntax Symposium, pp. 1-5. , Instituto Superior Técnico, Departamento de Engenharia Civil, Arquitetura e Georrecursos; Chrysikou, E., (2014) Architecture for Psychiatric Environments and Therapeutic Spaces, , Ios Press; Chrysikou, E., Tziraki, C., Buhalis, D., Architectural hybrids for living across the lifespan: lessons from dementia (2018) The Service Industries Journal, 38 (1-2), pp. 4-26; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Dawson, J.J.Y., Devadatta, S., Fox, W., Radhakrishna, S., Ramakrishnan, C.V., Somasundaram, P.R., Velu, S., A 5-year study of patients with pulmonary tuberculosis in a concurrent comparison of home and sanatorium treatment for one year with isoniazid plus PAS (1966) Bulletin of the World Health Organization, 34 (4), p. 533; Demiris, G., Iribarren, S.J., Sward, K., Lee, S., Yang, R., Patient generated health data use in clinical practice: a systematic review (2019) Nursing Outlook, 67 (4), pp. 311-330; Diener, E., Suh, E., Measuring quality of life: economic, social and subjective indicators (1997) Social Indicators Research, 40 (1-2), pp. 189-216; Dilani, A., Psychosocially supportive design: a salutogenic approach to the design of the physical environment (2008) Design and Health Scientific Review, 1 (2), pp. 47-55; Dilani, A., Psychosocially supportive design: a salutogenic approach to the design of the hospital environment (2009) The Culture for the Future of Healthcare Architecture. 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Rev.",Review,"Article in Press",,Scopus,2-s2.0-85082805663 "Chaulagain S., Pizam A., Wang Y.","57204424717;7003300405;54279519500;","An Integrated Behavioral Model for Medical Tourism: An American Perspective",2020,"Journal of Travel Research",,,,"","",,,"10.1177/0047287520907681","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082679422&doi=10.1177%2f0047287520907681&partnerID=40&md5=f6a9615b760b73657ee8ab8b1aec2768","Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, United States","Chaulagain, S., Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, United States; Pizam, A., Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, United States; Wang, Y., Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, United States","This study aims to develop and test a theoretical model that predicts individuals’ intention to engage in medical tourism. Structural equation modeling (SEM) was performed to test the study hypotheses by using data collected from 246 US residents. The study results indicated that perceived benefits were positively, and perceived barriers negatively, associated with attitude, and perceived barriers had a negative impact on perceived behavioral control. The study results further revealed that attitude, perceived behavioral control, and subjective norm positively influenced individuals’ intention to engage in medical tourism. Finally, a significant moderating effect of perceived severity was found on the relationships between perceived benefits and attitude, perceived barriers and attitude, and attitude and behavioral intention. The findings of the study offer valuable theoretical contributions and practical implications in the context of medical tourism. © The Author(s) 2020.","health belief model; medical tourism; perceived barriers; perceived benefits; theory of planned behavior",,,,,,,,,"Alexandris, K., Stodolska, M., The Influence of Perceived Constraints on the Attitudes toward Recreational Sport Participation (2004) Society and Leisure, 27 (1), pp. 197-217; Ajzen, I., From Intentions to Actions: A Theory of Planned Behavior (1985) Action Control, pp. 11-39. , J. 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Zarei, A., Maleki, F., Asian Medical Marketing, a Review of Factors Affecting Asian Medical Tourism Development (2019) Journal of Quality Assurance in Hospitality & Tourism, 20 (1), pp. 1-15; Zemore, S.E., Ajzen, I., Predicting Substance Abuse Treatment Completion Using a New Scale Based on the Theory of Planned Behavior (2014) Journal of Substance Abuse Treatment, 46 (2), p. 174. , (,):, –82; Zhang, H., Zhang, J., Cheng, S., Lu, S., Shi, C., Role of Constraints in Chinese Calligraphic Landscape Experience: An Extension of a Leisure Constraints Model (2012) Tourism Management, 33 (6), p. 1398. , (,):, –407; Zolfagharian, M., Rajamma, R.K., Naderi, I., Torkzadeh, S., Determinants of Medical Tourism Destination Selection Process (2018) Journal of Hospitality Marketing & Management, 27 (7), p. 775. , (,):, –94","Chaulagain, S.; Rosen College of Hospitality Management, University of Central FloridaUnited States; email: Suja.Chaulagain@ucf.edu",,,"SAGE Publications Ltd",,,,,00472875,,,,"English","J. Travel Res.",Article,"Article in Press",,Scopus,2-s2.0-85082679422 "Ko S.-H.","57191962175;","The effect of medical tourism motivation and psychological distance on perceived risk and revisit intention-focusing on Chinese medical tourists",2020,"International Journal of Advanced Science and Technology","29","4 Special Issue",,"277","284",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082330239&partnerID=40&md5=75f63da4c8342bbe0645e9033a1b2418","Dept. Of Airline Service, Seowon University, Musin BLVD, Seowon gu, Cheongju, 28674, South Korea","Ko, S.-H., Dept. Of Airline Service, Seowon University, Musin BLVD, Seowon gu, Cheongju, 28674, South Korea","Background/Objectives: This research tries to examine the effect of medical tourism motivation and psychological distance on perceived risk and revisit intention using Chinese medical tourists. Methods/Statistical analysis: This research conducted a survey to Chinese medical tourists from January 17 to 22, 2019. Collected data were analyzed using statistical programs, SPSS 20.0 and AMOS 20. 0. To examine demographic characteristics of respondents, this research did frequency analysis, and, to test reliability of the data, it did confirmatory factor analysis and reliability test. In addition, to test effects among variables, it did structural equation model analysis. Findings: First, push and pull factor in medical tourism motivation was found to have negative affect on perceived risk. That is, the more highly one perceives the push and pull factors, the less one tends to perceive risks. In particular, the finding that high perception on treatment, rest, and cosmetic surgery reduces perceived risk among Chinese medical tourists hints that, when the Korean government provides them with information on medical tourism, it is desirable to highlight safety of treatment and cosmetic surgery. Second, both cultural environmental distance and political economic distance in psychological distance were found to have positive effects on perceived risk. The finding can be understood to mean that the farther medical tourist feels on travel target, the more highly the tourist perceives the risk. In the relationship between psychological distance and perceived risk, the effect of cultural environmental distance was found to be stronger on perceived risk than that of political economic distance. Third, perceived risk of medical tourists was found to have negative effect on revisit intention. Improvements/Applications: By providing medical tourists with high-tech medical facilities, high-quality medical treatment, comfortable post-treatment, clinics can reduce perceived risks of such tourists, and make them to wish to revisit the clinics. © 2020 SERSC.","Chinese medical tourists; Medical tourism; Medical tourism motivation; Perceived risk; Psychological distance; Revisit intention",,,,,,,,,"Horowitz, M.D., Rosensweig, J.A., Medical Tourism-Health Care in the Global Economy (2007) The Physician Executive, 33 (6), pp. 24-30; Connell, J., Medical Tourism: Sea, Sun and Surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , Dec; http://kto.visitkorea.or.kr/kor.kto.2019; https://www.khidi.or.kr/kps.2019; Goossens, C., Tourism Information and Pleasure Motivation (2000) Annals of Tourism Research, 27 (2), pp. 301-321. , Apr; Mayo, E.J., Jarvis, L.P., (1981) The Psychology of Leisure Travel, , Boston: CBI Publishing Company, Inc; Dann, G.M.S., Tourist Motivation an Appraisal (1981) Annals of Tourism Research, 8 (2), pp. 187-219; Um, S., Crompton, J.L., Attitude Determinants in Tourism Destination Choice (1990) Annals of Tourism Research, 17 (3), pp. 432-448; Bauer, R.A., (1960) Consumer Behavior and Marketing Action, , Boston. Massachusetts: Kentpublishing Company; Roselius, T., Consumer Rankings of Risk Reduction Methods (1971) Journal of Marketing, 35 (1), pp. 56-61. , Jan; Kaplan, L.B., Szybillo, G.J., The, J.J., Components of Perceived Risk in Product Purchase: A cross-validation (1974) Journal of Applied Psychology, 59 (3), pp. 287-291; Kang, I., Shin, M.M., Lee, J., Service Evaluation Model for Medical Tour Service (2014) Journal of Hospitality & Tourism Research, 38 (4), pp. 506-527. , Oct; Beckerman, W., Distance and the Pattern of Intra-European Trade (1956) Review of Economics and Statistics, 38 (1), pp. 31-40. , Feb; Johanson, J., Vahlne, J.E., The Internationalization Process of the Firm: A Model of Knowledge Development and Increasing Foreign Market Commitments (1977) Journal of International Business Studies, 8 (1), pp. 23-32. , Mar; Sousa, C.M.P., Lages, L.F., The PD scale: A measure of psychic distance and its impact on international marketing strategy (2011) International Marketing Review, 28 (2), pp. 201-222; Kogut, B., Singh, H., The Effect of National Culture on the Choice of Entry Mode (1988) Journal of International Business Studies, 19 (3), pp. 411-432. , Sep; Jaapar, M., Musa, G., Moghavvemi, S., Saub, R., Dental tourism:Examining tourist profiles motivation and satisfaction (2017) Tourism Management, 61, pp. 538-552. , Aug; Wong, B.K.M., Musa, G., Taha, A.Z., Malaysia my second home: The influence of push and pull motivations on satisfaction (2017) Tourism Management, 61, pp. 394-410. , Aug; Mitchell, V.W., Consumer Perceived Risk: Conceptualizations and Models (1999) European Journal of Marketing, 33 (1-2), pp. 163-195. , Feb; Ankomah, P.K., Crompton, J.L., Baker, D.A., A Study of Pleasure Travelers' Cognitive Distance Assessments (1995) Journal of Travel Research, 34 (2), pp. 12-18. , Oct; Crotts, J.C., The effect of cultural distance on overseas travel behaviors (2004) Journal of Travel Research, 43 (1), pp. 83-88. , Aug; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review and recommended two-step approach (1988) Psychological Bulletin, 103 (3), pp. 411-423; Fornell, C., Larcker, D.F., Evaluating structural equation models with unobservable variables and measurement error (1981) Journal of Marketing Research, 18 (1), pp. 39-50. , Feb","Ko, S.-H.; Dept. Of Airline Service, Seowon University, Musin BLVD, Seowon gu, South Korea; email: sunny_ko@hanmail.net",,,"Science and Engineering Research Support Society",,,,,20054238,,,,"English","Int. J. Adv. Sci. Technol.",Article,"Final",,Scopus,2-s2.0-85082330239 "Phanpanya K., Leelapattana W., Thongma W., Waiapha Y.","57215720619;57188874435;57192427176;57215715814;","Tourism service factors affecting health tourism service innovation in Mae Hong Son province",2020,"International Journal of Innovation, Creativity and Change","11","7",,"34","51",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081715432&partnerID=40&md5=9986050846a916272d0826829b7b2139","School of Tourism Development, Maejo University, Thailand; School of Tourism Development, Maejo University, Thailand","Phanpanya, K., School of Tourism Development, Maejo University, Thailand; Leelapattana, W., School of Tourism Development, Maejo University, Thailand; Thongma, W., School of Tourism Development, Maejo University, Thailand; Waiapha, Y., School of Tourism Development, Maejo University, Thailand","This research is on tourism services factors that affect health tourism service innovation in Mae Hong Son Province. The objective of this study is to know the factors of tourism services that affect health tourism service innovation in Mae Hong Son Province. This research is quantitative research. The population is 43 operators in the health and beauty sector in Mae Hong Son Province. The researchers used descriptive statistics and distribution in the form of frequencies, percentage values, average values, standard deviations, and inferential statistics. Multi-variable regression analysis was done with the statistics regarding data analysis. The study indicated that the proactive operation and cooperation with customers that affects health tourism service innovation in Mae Hong Son Province can be explained by the hypothesis test. According to some assumptions, there was a prediction coefficient of 32.7 percent with statistical significance at 0.05. Other factors that can predict health tourism service innovation in Mae Hong Son Province amount to a total of 67.3 percent. Therefore, a regression equation of the standard score is as follows: Y1 = 2.134 +0.244 X12 +0.315 X31. It means that proactive operational procedures and cooperation with customer factors affect health tourism service innovation in Mae Hong Son Province concurrently. © 2020, Primrose Hall Publishing Group.","Factors; Health tourism; Service; Service innovation; Tourism",,,,,,"National Research Council of Thailand, NRCT","I wish to extend my sincere appreciation to the committees and officers in the National Research Council of Thailand for their significant and continuous support research plan development grants for a new model from the year 2018 regarding consultation and information. I would like to express my sincere thanks to my advisor for his invaluable help and constant encouragement throughout the course of this research.",,"Aldebert, B., Dang, R.J., Longhi, C., (2011) Innovation in the tourism industry: The case of Tourism@. 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Bangkok: Office of the Permanent Secretary for Tourism and Sports; (2010) National Plan of Action for the National Innovation Agency 2006-2009: Approved by the National Innovation Board at the 1/2006 meeting, , Tuesday 31 January 2006; (2008), www.oecd.org/dataoecd/39/19/40556222.pdf, OECD Annual Report 2008, OECD Publishing, Paris; Ottenbacher, M., Gnoth, J., How to develop successful hospitality innovation (2005) Cornell Hotel and Restaurant Administration Quarterly, 46 (2), pp. 205-222; Ratanawong, W., The causal factors and effects of service innovation for tour businesses in Southern Thailand (2014) (Doctoral dissertation, Prince of Songkla University); Thailand 4. 0 model drives Thailand to prosperity, stability and sustainability, pp. 130-134. , 2560; Going beyond the dominant paradigm for information technology innovation research: Emerging concepts and methods (2004) Journal of the association for information systems, 5 (8), pp. 314-355; Rupjamlong, P., Strategic Policy Framework for Promoting Health Tourism (2009) Ph. D. thesis, , National Institute of Development Administration; Skarzynski, P., Gibson, R., Innovation to the core: A blueprint for transforming the way your company innovates (2008) Harvard Business Press; Suwantaphonkul, I., Tunmetha, M., Evaluation of the extension of the concept of learning management according to the principles of brain development for educational personnel in the project to develop playgrounds in schools together with the Office of Nakhon Sawan Primary Education Area Office 1 (2018) Hatyai Academic Journal, 16 (2), pp. 111-125; Testa, M.R., Sipe, L.J., (2011), The organizational culture audit: A model for hospitality executives",,,,"Primrose Hall Publishing Group",,,,,22011315,,,,"English","Int. J. Innov. Creat. Change",Article,"Final",,Scopus,2-s2.0-85081715432 "Aljumah A., Nuseir M.T., Islam A.","57200986764;26638922500;57203931902;","Impacts of service quality, satisfaction and trust on the loyalty of foreign patients in Malaysian medical tourism",2020,"International Journal of Innovation, Creativity and Change","11","2",,"451","467",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081641952&partnerID=40&md5=d90443532b92735dfa12b1c1af9c7894","College of Business, Alain University, Abu Dhabi Campus, P.O. Box 112612, Abu Dhabi, United Arab Emirates; School of business innovation and technopreneurship, University Malaysia Perlis, Perlis, Malaysia","Aljumah, A., College of Business, Alain University, Abu Dhabi Campus, P.O. Box 112612, Abu Dhabi, United Arab Emirates; Nuseir, M.T., College of Business, Alain University, Abu Dhabi Campus, P.O. Box 112612, Abu Dhabi, United Arab Emirates; Islam, A., School of business innovation and technopreneurship, University Malaysia Perlis, Perlis, Malaysia","Medical tourism is one of the fastest-growing tourism sectors in the world generally and in Malaysia specifically. The main aim of this study was to examine the moderator's effect on the role of trust; trust on the influence of satisfaction and foreign patient's loyalty. In addition, satisfaction as mediation between service quality and foreign patient loyalty in Malaysia medical tourism. The study generated quantitative research, questionnaire data collection purposes, 640 questionnaires were distributed to foreign patients in Malaysia. From this number, 389 responses were finally found usable for analysis, which showed a 60% response rate. Data was analysed using the partial least Squares-structural Equation Model PLS-SEM. Overall, the findings showed that service quality significantly related to foreign patient loyalty in Malaysia. A further result of the moderators' role show that trust is a success moderator between satisfaction and foreign patient loyalty. Also, satisfaction showed a positive result between service quality and foreign patient's loyalty. Furthermore, this study contributes to the theory by validating the attributes of Theory of ""Self-Regulation of Attitudes, Intentions, and Behaviours"" regarding customers intention to stay longer in order to create a solid relationship with Malaysian hospitals. © 2020, Primrose Hall Publishing Group.","Foreign patients' loyalty; Malaysia; Medical tourism; Satisfaction; Service quality; Trust",,,,,,,,,"Al-Refai, A.N.S., (2015) Factors influencing customers' loyalty of mobile service provider among generation Y, , (Doctoral dissertation, Universiti Utara Malaysia); Andaleeb, S.S., Public and private hospitals in Bangladesh: Service quality and predictors of hospital choice (2000) Health policy and planning, 15 (1), pp. 95-102; Badri, M., Attia, S., Ustadi, A.M., Healthcare quality and moderators of patient satisfaction: Testing for causality (2009) International Journal of Health Care Quality Assurance, 22 (4), pp. 382-410; Bagozzi, R.P., The self-regulation of attitudes, intentions, and behavior (1992) Social psychology quarterly, pp. 178-204; 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(2004) Trends in molecular medicine, 10 (4), pp. 150-157; Liu-Thompkins, Y., Williams, E.V., Tam, L., Not all repeat purchases are the same: Attitudinal Loyalty and Habit (2010) College of Business and Public Administration, , Old Dominion University, Norfolk; Mohsan, F., Nawaz, M.M., Khan, M.S., Shaukat, Z., Aslam, N., Impact of customer satisfaction on customer loyalty and intentions to switch: Evidence from banking sector of Pakistan (2011) International Journal of Business and Social Science, 2 (16), pp. 230-245; Munyau, P.K., Mwirigi, F.M., The Influence of Customer Loyalty on Celebrity Endorser Choice Decision Making: An Exploratory Survey of Customers of Selected Celebrity Endorsed Products in Kenya (2013) European Journal of Business and Management, 5 (22), pp. 86-93; Musa, R., A proposed conceptual framework of satisfaction-attitudinal loyalty-behavioral loyalty chain: Exploring the moderating effect of trust (2005) ANZMAC 2005 Conference: Relationship Marketing (Consumer), pp. 44-51; Naidu, A., Factors affecting patient satisfaction and healthcare quality (2009) International journal of health care quality assurance, 22 (4), pp. 366-381; Oliva, T.A., Oliver, R.L., MacMillan, I.C., A catastrophe model for developing service satisfaction strategies (1992) The Journal of Marketing, pp. 83-95; Oliver Richard, L.S., (1997) A Behavioral Perspective on the consumer new, yew, , NY: Irwin-McGraw-Hill; Oliver, R.L., A cognitive model of the antecedent and consequences of satisfaction decisions (1980) Journal of Marketing Research, 17 (4), pp. 460-469; Oliver, R.L., Whence Consumer Loyalty? (1999) Journal of Marketing, 63 (3), pp. 33-44; Oliver, R.L., (2009) Satisfaction: A behavioral perspective on the consumer, , (2nded). M.E. Sharpe; Parasuraman, A., Zeithaml, V., Berry, L., A conceptual model of service quality and its implications for future research (1985) Journal of Marketing, 49, pp. 41-50; Petrick, J.F., The roles of quality, value and satisfaction in predicting cruise passengers 'behavioral intentions (2004) Journal of Travel Research, 42 (4), pp. 397-407; Ranaweera, C., Prabhu, J., On the relative importance of customer satisfaction and trust as determinants of customer retention and positive word of mouth (2003) Journal of Targeting, Measurement and Analysis for marketing, 12 (1), pp. 82-90; Rauyruen, P., Miller, K.E., Relationship quality as a predictor of B2B customer loyalty (2007) Journal of Business Research, 60 (1), pp. 21-31; Ren, H., Park, Medical Tourism Services: The Role of Patients' Perceived Health Consciousness and Value (2017) Journal of Service Science Research, (9), pp. 179-195; Roberts, K., Varki, S., Brodie, R., Measuring the quality of relationships in consumer services: An empirical study (2003) European Journal of Marketing, 37 (1-2), pp. 169-196; Sassenberg, K., Matschke, C., Scholl, A., The impact of discrepancies from ingroup norms on group members' well-being and motivation (2011) European journal of social psychology, 41 (7), pp. 886-897; Schneider, B., Bowen, D.E., Understanding customer delight and outrage (1999) Sloan management review, 41 (1), p. 35; Sun, P.C., Lin, C.M., Building customer trust and loyalty: An empirical study in a retailing context (2010) The Service Industries Journal, 30 (9), pp. 1439-1455; Pham, T., Tomsfelt, J., Aberg, L., (2013) A Study about E-loyalty using the Bagozzi framework, , http:diva-portal.org/smash/get/diva2:628701; Hansen, T., The Moderating Influence of Broad-Scope Trust on Customer-Seller Relationships (2012) Psychology & Marketing, 29 (5), pp. 350-364; Tracey, M., Vonderembse, M.A., Lim, J.S., Manufacturing technology and strategy formulation: Keys to enhancing competitiveness and improving performance (1999) Journal of operations management, 17 (4), pp. 411-428; Voss, G.B., Godfrey, A., Seiders, K., How complementarity and substitution alter the customer satisfaction-repurchase link (2010) Journal of Marketing, 74 (6), pp. 111-127; Wallin Andreassen, T., Lindestad, B., Customer loyalty and complex services: The impact of corporate image on quality, customer satisfaction and loyalty for customers with varying degrees of service expertise (1998) International Journal of service Industry management, 9 (1), pp. 7-23; Wang, Y., Po Lo, H., Chi, R., Yang, Y., An integrated framework for customer value and customer-relationship-management performance: A customer-based perspective from China. Managing Service Quality (2004) An International Journal, 14 (2-3), pp. 169-182; Wieringa, J.E., Verhoef, P.C., Understanding customer switching behavior in a liberalizing service market: An exploratory study (2007) Journal of Service Research, 10 (2), pp. 174-186",,,,"Primrose Hall Publishing Group",,,,,22011315,,,,"English","Int. J. Innov. Creat. Change",Article,"Final",,Scopus,2-s2.0-85081641952 "Moghadam F.N., Masoudi Asl I., Hessam S., Farahani M.M.","57215183746;55209938900;54392886900;57215197257;","In search a medical tourism marketing pattern in Iran: The case of cultural sensitivities",2020,"International Journal of Healthcare Management",,,,"","",,,"10.1080/20479700.2020.1732647","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85080103418&doi=10.1080%2f20479700.2020.1732647&partnerID=40&md5=1dc210348c6e4cca7f344fcb817f7f0d","South Tehran Branch, Islamic Azad University, Tehran, Iran; Department of healthcare Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Department of Health Care Management, South Tehran Branch, Islamic Azad University, Tehran, Iran; Department of Biostatistics, Research Center, Tehran University of Technology, Islamic Azad University, Tehran, Iran","Moghadam, F.N., South Tehran Branch, Islamic Azad University, Tehran, Iran; Masoudi Asl, I., Department of healthcare Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Hessam, S., Department of Health Care Management, South Tehran Branch, Islamic Azad University, Tehran, Iran; Farahani, M.M., Department of Biostatistics, Research Center, Tehran University of Technology, Islamic Azad University, Tehran, Iran","Health tourism has a significant financial benefit in the current industrial world. In addition, attention is being paid to the medical and cultural sensitivities in the development of the medical tourism industry, which increases the willingness of foreign patients to receive health care and treatment. The purpose of this study was to investigate the role and importance of the factor of paying attention to the medical and cultural sensitivities of international patients in the proposed pattern of medical tourism marketing. In the stage of exploratory factor analysis, the proposed pattern including 9 factors with 60 items after confirmatory factor analysis confirmed and the ‘attention to the cultural and medical sensitivities’ factor with 6 variables ranked 8 among other factors. Regarding the issue of medical and cultural sensitivities of foreign patients, it can be expected that patients will be more intimate and sympathetic during admission to medical centres and receive health care services, which will increase their sense of security and trust towards health workers. Healthcare activists and government officials are expected to give special attention to the cultural and medical sensitivities in developing short-term and long-term plans for the development of the health tourism industry. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group.","Cultural sensitivity; health tourism; Iran; marketing; medical tourism marketing; pattern","adult; article; attention; confirmatory factor analysis; cultural sensitivity; exploratory factor analysis; government employee; health care personnel; human; Iran; marketing; medical tourism; trust",,,,,,,,"Wang, L., Yotsumoto, Y., Conflict in tourism development in rural China (2019) Tourism Management, 70, pp. 188-200; Sandberg, D.S., Medical tourism: an emerging global healthcare industry (2017) Int J Healthc Manag, 10 (4), pp. 281-288; Medhekar, A., Public-private partnerships for inclusive development: role of private corporate sector in provision of healthcare services (2014) Procedia - Social and Behavioral Sciences, 157, pp. 33-44; Hopkins, L.R., Runnels, V., Packer, C., Medical tourism today (2010) Public Health Policy, 31 (2), pp. 185-198; Global Competitiveness Index 2018; Khodadadi, M., Challenges and opportunities for tourism development in Iran: perspectives of Iranian tourism suppliers (2016) Tourism Management Perspectives, 19, pp. 90-92; Nasiri Pour, A.A.S., Leila the power of Tehran hospitals in the development of therapeutic tourism (2013) Hospital Profile. Medical Tourism, 35 (30), pp. 25-34; Gaines, J., Lee, C.V., 39 - Medical tourism (2019) Travel medicine, pp. 371-375. , Keystone J.S., Kozarsky P.E., Connor B.A., Nothdurft H.D., Mendelson M., Leder K., (eds), 4th Ed., London: Elsevier,. In:, editor.,. p; Guy, B.S., Henson, J.L.N., Dotson, M.J., Characteristics of consumers likely and unlikely to participate in medical tourism (2015) Int J Healthc Manag, 8 (2), pp. 68-76; Kazemi, M., Study of the effective factors for attracting medical tourism in Iran (2010) Tourism Management, pp. 1-115. , Technology U.O., (ed), University of Technology,. In:, editor.,. p; Renée-Marie Stephano, J., https://wwwmedicaltourismmagcom/print-edition; Kalantari, K., (2009) Structural equation modeling in socioeconomic research, , Tehran: Culture Saba Publishing; Pakjou, A., Izadi, M., Sh, M.P., The pattern of travel medicine ethics in an international cooperation program of military medicine (2011) J Military Medicine, 13 (2), pp. 1-5; Khan, M.J., Chelliah, S., Haron, M.S., Medical tourism destination image formation process: A conceptual model (2016) Int J Healthc Manag, 9 (2), pp. 134-143; Hassanpour, M., A comparative study on the status of health tourism in Iran and the world in order to formulate product development strategies (2014) The Secretariat of the Special Commerce Commission of Iran Chamber of Commerce, 69, p. 68; Yousaf, S., Xiucheng, F., Halal culinary and tourism marketing strategies on government websites: A preliminary analysis (2018) Tourism Management, 68, pp. 423-443; Aquino, R.S., Lück, M., Schänzel, H.A., A conceptual framework of tourism social entrepreneurship for sustainable community development (2018) J Hosp Tourism Manage, 37, pp. 23-32; Khalil, M., An analysis of the competitive situation medical tourism industry (2017) IranBali Medical Journal, 2, pp. 307-316; Janta, H., Christou, A., Hosting as social practice: Gendered insights into contemporary tourism mobilities (2019) Ann Tour Res, 74, pp. 167-176; Frank, E.J., Teaching international business as an Opportunity to Develop cultural sensitivity (2017) J Teach Int Bus, 28 (3-4), pp. 197-211; Radovic, Z., Nola, I.A., Medical tourism globe-trotting: Features, impacts, and risks (2019) Int J Healthc Manag, 18, pp. 1-7; Park, S., Hahn, S., Lee, T., Two factor model of consumer satisfaction: international tourism research (2018) Tour Manage, 67, pp. 82-88","Masoudi Asl, I.; Department of healthcare Services Management, School of Health Management and Information Sciences, Iran University of Medical SciencesIran; email: drirvanmasoodiasl@yahoo.com",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Article in Press",,Scopus,2-s2.0-85080103418 "Beena K.S., Venkatrama Raju D.","57202610989;57190229428;","Elements of medical tourism in India - A microscopic analysis",2020,"Test Engineering and Management","82",,,"3966","3976",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079757908&partnerID=40&md5=ed2827b42b2858abd35cdd38fa95b148","Department of Tourism and Hospitality Management, Bharath University, Selaiyur, India; Dept of Management Studies, Bharath University, Selaiyur Chennai, 600 073, India","Beena, K.S., Department of Tourism and Hospitality Management, Bharath University, Selaiyur, India; Venkatrama Raju, D., Dept of Management Studies, Bharath University, Selaiyur Chennai, 600 073, India","Medical Tourism, has been created as a quickly developing sections of the travel industry with a huge commitment for outside trade profit, pay and business multiplier. Medical tourism covers vacationers from outside nations visiting India for getting different medical treatments and procedures holding a substantial restorative visa issued by legislature of India. The Indian and worldwide restorative the travel industry measurements uncovers that India has been perceived as an a standout amongst the most proffered therapeutic the travel industry goals by numerous nations including nations from European and American main lands. While dissecting the Indian and worldwide therapeutic the travel industry situation a few inquiries are observed appropriate and huge to be replied and to be assessed, for example, What is the pattern of therapeutic the travel industry in India and for what reason does India being chosen as a favored medicinal the travel industry goal? This think about intends to assess the restorative the travel industry patterns of India and furthermore to comprehend the explanations behind choosing India as a medicinal the travel industry goal by global medicinal vacationers. The investigation has been directed by breaking down the secondary information sources distributed by different Medical tourism journals. The study uncovers that there are numerous purposes behind picking India as a favored therapeutic the travel industry goal and the prime reason is cost favorable circumstances and closeness to the medicinal the travel industry producing nations. © 2020 Mattingley Publishing. All rights reserved.","Foreign Exchange; Income and Employment Multiplier; Medical Tourism; Medical Treatments; Medical Visa; Strategies","Mechanical engineering; Test facilities; Foreign exchange; Income and Employment Multiplier; Medical treatment; Medical Visa; Strategies; Tourism",,,,,,,,"Binoy, T.A., Prospects of developing medical tourism in India (2007) Atna-Journal of Tourism Considers, 2. , Christ College Bangalore, AJTS,. July 2007; (2017) India Services Sector-A Multi-Trillion Dollar Opportunity for Global Harmonious Growth, , Confederation of Indian Industry (CII) report titled; Pollard, K., India medical tourism market worth $8 billion? The Reality (2017) Global Medical Travel Journal, , January 2017; Pollard, K., Measuring the ROI from medicinal the travel industry advancement (2017) Universal Medical Travel Journal, , November 2017; Medicinal the Travel Industry Market Report: 2015, Worldwide Market Measure, Share, Trends, Analysis, Growth and Research Report, , recovered on 12/12/2017; (2015) Revised Guidelines for Promotion of Wellness and Medical as Niche Tourism Items, , The Report of Ministry of Tourism distributed by Ministry of Tourism, Government of India; Shashiraj, U., Binoy, T.A., Medical tourism and rural karnataka, an ethnic medicinal perspective (2017) Global Journal of Current Research, 9 (7), pp. 53729-53734. , Dr",,,,"Mattingley Publishing",,,,,01934120,,TENMA,,"English","Test Eng Manage",Article,"Final",,Scopus,2-s2.0-85079757908 "Mangwane J., Ntanjana A.","57211456387;57189958490;","Wellness tourism in south africa: Development opportunities",2020,"Smart Innovation, Systems and Technologies","171",,,"581","592",,,"10.1007/978-981-15-2024-2_50","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079680568&doi=10.1007%2f978-981-15-2024-2_50&partnerID=40&md5=1ce245c7572a125905a05e6ab3be4b96","Tshwane University ofTechnology, Pretoria, South Africa","Mangwane, J., Tshwane University ofTechnology, Pretoria, South Africa; Ntanjana, A., Tshwane University ofTechnology, Pretoria, South Africa","Due to growing attention in health and general wellness, health associated industries have experienced an exponential growth. The idea of wellness has been around since the early Greek years and has presented as a sociological and theoretical concern. In research, wellness has extended to areas such as academia, economics, and psychology to name but a few. Regarding tourism, wellness is somewhat a new trend that has witnessed an incredible growth. Globally there has been a rising number of people travelling to destinations that offer wellness facilities; this is because wellness is one of the elements that consumers are searching for when engaging in tourism. Consequently, wellness tourism has been on the rise. South Africa’s rich cultural and natural resources are the primary offerings of the country’s tourism sector. Developing wellness tourism in South Africa will boost the economy and provide the country with a competitive edge as a tourism destination. This research paper utilises secondary literature to explore the concept of wellness tourism in South Africa. The main objective of this study is to explore Africa’s wellness tourism resources, especially in South Africa and its potential for development. Research reveals that South Africa’s rich cultural and natural landscape are excellent attributes for wellness tourism development in the country. Recommendations on harnessing the opportunities for wellness tourism are outlined. There is a scarcity of academic observation on wellness tourism and the secondary research will provide outcomes that will be of benefit to the wellness tourism industry in Africa. © Springer Nature Singapore Pte Ltd. 2020.","Wellness Tourism South Africa Health Resources","Economics; Health; Competitive edges; Exponential growth; Natural landscapes; Number of peoples; Research papers; Secondary researches; South Africa; Tourism development; Tourism",,,,,,,,"(2015) African Tourism Monitor: Unlocking Africa’s Tourism Potential, , African Development Bank; Andrews, L., Higgins, A., Rews, M.W., Lalor, J.G., Classic Grounded Theory to Analyse Secondary Data: Reality and Reflections (2012) Grounded Theory Review, 11 (1); Atkinson, S., Beyond components of wellbeing: The effects of relational and situated assemblage (2013) Topoi, 32 (2), pp. 137-144; Blancheton, B., Marchi, J.J., The three systems of rail tourism: French case (2013) Tourism Management Perspectives, 5, pp. 31-40; Boekstein, M.S., Spencer, J.P., International trends in health tourism: Implications for thermal spring tourism in the Western Cape Province of South Africa: Tourism and hospitality. African Journal for Physical Health Education (2013) Recreation and Dance, 19 (2), pp. 287-298; Boekstein, M.S., Healing waters: Balneological classification of thermal springs in South Africa. African Journal for Physical Health Education (2014) Recreation and Dance, 20 (21), pp. 557-568; Chan, J., Broad definition and meaning of Health and Wellness Tourism in Sabah (2007) Malaysia; Csirmaz, É., Pető, K., International trends in recreational and wellness tourism (2015) Procedia Economics and Finance, 32, pp. 755-762; Fourie, J., Santana-Gallego, M., The impact of mega-sport events on tourist arrivals (2011) Tourism Management, 32 (6), pp. 1364-1370; Genov, G., (2008) Special Interest Tourism (Turizam Posebnih Interesa), , Belgrade: Čugura Print; (2018) Global Wellness Tourism Economy Executive Summary: [Online], , https://globalwellnessinstitute.org/wp-content/uploads/2018/11/GWI_GlobalWellnessTourismEconomyReport.pdf; Goodarzi, M., Haghtalab, N., Shamshiry, E., Wellness tourism in Sareyn, Iran: Resources, planning and development (2016) Current Issues in Tourism, 19 (11), pp. 1071-1076; Henama, U.S., Health tourism in South Africa: Opportunities and possibilities (2014) African Journal of Hospitality, Tourism and Leisure, 3 (1), pp. 1-8; Huang, L., Xu, H., Therapeutic landscapes and longevity: Wellness tourism in Bama (2018) Social Science & Medicine, 197, pp. 24-32; Hudson, S., Thal, K., Cárdenas, D., Meng, F., Wellness tourism: Stress alleviation or indulging healthful habits? (2017) International Journal of Culture, Tourism and Hospitality Research, 11 (1), pp. 35-52; Johnston, M.P., Secondary data analysis: A method of which the time has come (2017) Qualitative and Quantitative Methods in Libraries, 3 (3), pp. 619-626; Kelly, C., Wellness tourism: Retreat visitor motivations and experiences (2012) Tourism Recreation Research, 37 (3), pp. 205-213; Koncul, N., Wellness: A new mode of tourism (2012) Economic Research-Ekonomska istraživanja, 25 (2), pp. 525-534; Kruizinga, P., Health tourism and health promotion at the coast (2016) The Routledge Handbook of Health Tourism, pp. 386-398; Lee, T.J., Kim, J.S., Relationships between emotion regulations seeking programme satisfaction, attention restoration and life satisfaction: Healing programme participants (2016) Routledge Handbook of Health Tourism, pp. 375-385; Lee, T.J., Kim, J.S., Relationships between emotion regulations seeking programme satisfaction, attention restoration and life satisfaction: Healing programme participants (2016) Routledge Handbook of Health Tourism, pp. 375-385. , M.K Smith & L. Puczko, London:Routledge; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Norman, A., Pokorny, J.J., Meditation retreats: Spiritual tourism well-being interventions (2017) Tourism Management Perspectives, 24, pp. 201-207; Pyke, S., Hartwell, H., Blake, A., Hemingway, A., Exploring well-being as a tourism product resource (2016) Tourism Management, 55, pp. 94-105; Rátz, T., Zennis és Lomi, avagy új trendek az egészségturizmusban (2004) Egészégturizmus, pp. 46-65. , AubertA.–Csapó J, Bornus nyomda, Pécs; Richardson, M., Maspero, M., Golightly, D., Sheffield, D., Staples, V., Lumber, R., Nature: A new paradigm for well-being and ergonomics (2017) Ergonomics, 60 (2), pp. 292-305; Rodrigues, Á., Kastenholz, E., Rodrigues, A., Hiking as a relevant wellness activity-results of an exploratory study of hiking tourists in Portugal applied to a rural tourism project (2010) Journal of Vacation Marketing, 16 (4), pp. 331-343; Venues, S.A., (2019), http://blog.sa-venues.com/activities/hot-springs-in-south-africa/; Sheldon, P.J., Park, S.Y., Sustainable wellness tourism: Governance and entrepreneurship issues (2008) Acta Turis-Tica, 20 (2), pp. 151-172; Smith, M.K., Diekmann, A., Tourism and wellbeing (2017) Annals of Tourism Research, 66, pp. 1-13; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, , London: ButterworthHeinemann; Soini, K., Eskelinen, P., Smeds, P., Tuohimetsä, S., Vehmasto, E., (2019) Wellbeing from Blue Spaces: Streams in Research and Good Practices; Son, Z., The brief introduction of Chinese ancient wellness (2010) China. Med. Hist, 40 (3), pp. 184-186; (2015) National Department of Tourism (NDT), , https://www.tourism.gov.za/AboutNDT/Publications/Tourism%20Roundtable.pdf#search=cultural%20tourist%20arrivals%202015, South Africa, African Tourism Ministers unite to find common ground on tourism development in Africa; (2017) National Department of Tourism (NDT), , http://www.gov.za/speeches/international-tourist-arrivals-20-feb-2017-0000, South Africa; (2019), https://www.sanparks.org/, South African National Parks; Steiner, C.J., Reisinger, Y., Ringing the fourfold: A philosophical framework for thinking about wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 5-14; Strydom, A.J., The economic impact of the Volksblad Arts Festival (2006) Acta Commercii, pp. 87-98; Tshipala, N.N., Coetzee, W.J.L., Potgieter, M., Stakeholders willingness to apply sustainable adventure tourism indicators: A case of Watervale Boven in South Africa. African Journal of Hospitality (2014) Tourism and Leiusre, 3 (1), p. 123; (2008) Medical Travel in Asia and the Pacific: Challenges and Opportunities, , Bangkok: Author; Voigt, C., Pforr, C., (2014) Wellness Tourism: A Destination Perspective, , Routledge","Mangwane, J.; Tshwane University ofTechnologySouth Africa; email: mangwanej@tut.ac.za","Rocha A.Abreu A.de Carvalho J.V.Liberato D.Liberato P.Gonzalez E.A.",,"Springer","International Conference on Tourism, Technology and Systems, ICOTTS 2019","5 December 2019 through 7 December 2019",,235499,21903018,9789811520235,,,"English","Smart Innov. Syst. Technol.",Conference Paper,"Final",,Scopus,2-s2.0-85079680568 "Ahire M., Fernandes P.O., Teixeiral J.P.","57211476747;35200741800;57215009367;","Forecasting and estimation of medical tourism demand in India",2020,"Smart Innovation, Systems and Technologies","171",,,"211","222",,,"10.1007/978-981-15-2024-2_19","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079653765&doi=10.1007%2f978-981-15-2024-2_19&partnerID=40&md5=8787419507a33653302831ad1067925e","Instituto Politécnico de Bragança, Bragança, Portugal; UNIAG (Applied Management Research Unit), Bragança, Portugal; CEDRI (Research Center in Digitalization and Intelligent Robotics), Bragança, Portugal","Ahire, M., Instituto Politécnico de Bragança, Bragança, Portugal; Fernandes, P.O., Instituto Politécnico de Bragança, Bragança, Portugal, UNIAG (Applied Management Research Unit), Bragança, Portugal; Teixeiral, J.P., Instituto Politécnico de Bragança, Bragança, Portugal, UNIAG (Applied Management Research Unit), Bragança, Portugal, CEDRI (Research Center in Digitalization and Intelligent Robotics), Bragança, Portugal","The paper deals with India’s Medical tourism analysis and forecasting, applying two time series forecasting models, for monthly data spreading over 2014 to 2017. Medical tourism worldwide and particularly in India is on rise. Figures of medical tourist arrivals in India for 2014, 2015 and 2016 denotes a significant growth. Several measures have been taken by the Government to attract medical tourists to the country. This study was undertaken to analyse the growth trends in medical tourism in India over a period of last four years and to forecast the medical tourist arrivals over the next couple of years using the ARIMA method for trend projection. The paper discusses these trends and the application of the model. The projections show a great potential for the country to earn valuable foreign exchange through medical tourism. India has a huge cost and expertise advantage which if leveraged through proper publicity can make it one of the leading medical tourist destinations in the days to come. It is suggested that the authorities should take efforts in this direction with aggressive publicity policies. © Springer Nature Singapore Pte Ltd. 2020.","ARIMA model; Forecast; Inbound medical tourism; India; Medical tourism","Forecasting; Time series analysis; ARIMA modeling; Foreign exchange; Growth trends; India; Time series forecasting models; Tourism demand; Tourist destinations; Trend projections; Tourism",,,,,,,,"Medical tourism and national health care systems: An institutionalist research agenda ; Béland, D., Zarzeczny, A., Medical tourism and national health care systems: An institutionalist research agenda (2018) Globalization and Health, 14 (1), p. 68; Kim, D., Sheppard, C., De Gara, C., Karmali, S., Birch, D., Financial costs and patients’ perceptions of medical tourism in bariatric surgery (2016) NCBI. Can J Surg, 59 (1), pp. 59-61; Cohen, R.A., Martinez, M.E., Zammitti, E.P., (2015) Health Insurance Coverage: Early Release of Estimates from the National Health Interview Survey, , Washington, DC: Centers for Disease Control and Prevention (National Center for Health Statistics; Béland, D., Rocco, P., Waddan, A., (2016) Obamacare Wars: Federalism, State Politics, and the Affordable Care Act, , Lawrence, KS: University Press of Kansas; Mangan, D., Big drop in Texans without health insurance, but poor lag (2016) CNBC. Health and Science; Snyder, J., Johnston, R., Crooks, V.A., Morgan, J., Adams, K., How medical tourism enables preferential access to care: Four patterns from the Canadian context (2017) Health Care Analysis, 25 (2), pp. 138-150; Chun, C., Literature Review of Related Research on Medical Tourism (2017) 3Rd International Conference on Social Science, Management and Economics (SSME); Thayarnsin, S.L., Douglas, A.C., A Systematic Review of Challenges in Medical Tourism Destination Management (2016) Travel and Tourism Research Association; Braverman, B., 1.4 million Americans will go abroad for medical care this year. Should you? (2016) The Fiscal Times, , http://www.thefiscaltimes.com/2016/08/17, [On-line], last accessed 2019/04/04; Stephano, R.M., Top 10 medical tourism destinations in the world Medical Tourism Magazine, , (n/d); Boyd, J.B., McGrath, M.H., Maa, J., Emerging trends in the outsourcing of medical and surgical care (2011) NCBI: Arch Surg, 146 (1), pp. 107-112; Box, G., Jenkins, G., (1970) Time Series Analysis Forecasting and Control, , Holden-Day, San Francisco; Zou, H., Yang, Y., Combining time series models for forecasting (2004) International Journal of Forecasting, 20, pp. 69-84; Fernandes, P.O., Teixeira, J.P., Ferreira, J.M., Azevedo, S.G., Modelling Tourism Demand: A Comparative Study between Artificial Neural Networks and the Box Jenkins Methodology (2008) Romanian Journal of Economic Forecasting, 5 (3), pp. 30-50; Cuhadar, M., Modelling and Forecasting Inbound Tourism Demand to Istanbul-A Comparative Analysis (2014) European Journal of Business and Social Sciences, 2 (12), pp. 101-119; (2019) Official Website Consulted for Data Collection, , https://www.medicaltourismindex.com/destination/india, Medical tourism index, last accessed 04/04","Fernandes, P.O.; Instituto Politécnico de BragançaPortugal; email: pof@ipb.pt","Rocha A.Abreu A.de Carvalho J.V.Liberato D.Liberato P.Gonzalez E.A.",,"Springer","International Conference on Tourism, Technology and Systems, ICOTTS 2019","5 December 2019 through 7 December 2019",,235499,21903018,9789811520235,,,"English","Smart Innov. Syst. Technol.",Conference Paper,"Final",,Scopus,2-s2.0-85079653765 "Ferreira F.A., Castro C.","24723992800;56790437400;","Medical tourism in Portugal - a potential niche market",2020,"Smart Innovation, Systems and Technologies","171",,,"615","625",,,"10.1007/978-981-15-2024-2_53","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079625403&doi=10.1007%2f978-981-15-2024-2_53&partnerID=40&md5=85e5cdeff12cd8c99f0f5dfe1da4500d","Applied Management Research Unit (UNIAG), School of Hospitality and Tourism of Polytechnic Institute of Porto (ESHT), Rua D. Sancho I, 981, Vila do Conde, 4480-876, Portugal; CEOS.PP/ISCAP/P.PORTO, CEPESE, Porto Accounting and Business School of Polytechnic Institute of Porto, Rua Jaime Lopes Amorim, Mamede de Infesta, 4465-004 S, Portugal","Ferreira, F.A., Applied Management Research Unit (UNIAG), School of Hospitality and Tourism of Polytechnic Institute of Porto (ESHT), Rua D. Sancho I, 981, Vila do Conde, 4480-876, Portugal; Castro, C., CEOS.PP/ISCAP/P.PORTO, CEPESE, Porto Accounting and Business School of Polytechnic Institute of Porto, Rua Jaime Lopes Amorim, Mamede de Infesta, 4465-004 S, Portugal","In this age of globalized medicine, when international travel and access to online health information is easily accessible, medical tourism (MT) gains an important global perspective on health. Patients, in most countries around the world, are exercising crescent degrees of autonomy in their health care options, obtaining information from different sources from their regular health care providers and, in some cases, choosing to seek care alternatives outside of national health service. In Portugal MT, is still only in the early stages but is considered one of the strategic products for tourism development. This study aims to explore the existing information on MT in Portugal. Information plays a very important role in attracting medical tourism and Portugal's ability to design and implement information networks is largely known. Proper medical information systems are one of the most important tools for attracting medical tourists. The analysis in this paper reveals that Portugal presents the necessary conditions to be a destination of MT, due to the infrastructures and the human resources that it has, but currently few people know this country for the practice of medical treatments. Although the MT is in the introductory phase of the market, already has mechanisms to meet demand, it is still necessary to position itself in the international market. It will be necessary to create an image of Portugal associated with tourism linked to health care, creating a branding and slogans to promote the MT. © Springer Nature Singapore Pte Ltd. 2020.","Medical Tourism; Portugal; Tourism Facilitators","Health care; Information services; International trade; Public health; Tourism; Design and implements; Health care providers; Information networks; International markets; International travel; National health services; Online health information; Portugal; Medical information systems",,,,,"UID/GES/04752/2019","Fernanda A. Ferreira acknowledges the financial support of UNIAG, R&D unit funded by the FCT ± Portuguese Foundation for the Development of Science and Technology, Ministry of Science, Technology and Higher Education, under the Project UID/GES/04752/2019.",,"(2019) World Tourism Barometer and Statistical Annex, , January; (2018) UNWTO Tourism Highlights, , 2018 Edition, UNWTO, Madrid; (2019) Global Medical Tourism Market 2019-2025 Report, , Orion Market Research Private Limited, London; Chanda, R., Trade in health services (2002) Bulletin of the World Health Organization, 80 (2), pp. 158-163; Hunter, W.C., Medical Tourism: A new global niche"" (2007) International Journal of Tourism Sciences, 7 (1), pp. 129-140; Connel, J., Medical Tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., (2011) Medical Tourism, , Cabi, United Kingdom; Glossary of Statistical Terms, , https://stats.oecd.org/glossary/detail.asp?ID=2725, last accessed 2019/06/02; https://medicaltourismassociation.com, last accessed 2019/06/05; (2018) Exploring Health Tourism - Executive Summary, , UNWTO, Madrid; Mainil, T., Eijgelaar, E., Klijs, J., Nawijn, J., Peeters, P., (2017) Research for TRAN Committee -Health Tourism in the EU: A General Investigation. European Parliament, , Policy Department for Structural and Cohesion Policies, Brussels; Snyder, J., Johnston, R., Crooks, V.A., Morgan, J., Adams, K., How medical tourism enables preferential access to care: Four patterns from the Canadian context (2017) Health Care Analysis, 25 (2), pp. 138-150; Surej, J., Roy, L., Mark, K., Applications of social media for medical tourism marketing: An empirical analysis (2018) Anatolia, 29 (4), pp. 553-565; Freire, N., The Emergent Medical Tourism: Advantages and disadvantages of the medical treatments abroad (2012) International Business Research, 5 (2), pp. 41-50; Ahmed, G., Al Amiri, N., Khan, W., Outward Medical Tourism: A Case of UAE (2018) Theoretical Economics Letters, 8, pp. 1368-1390; Lunt, N., Smith, R., Exworthy, M., Green, G., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review. OECD, Directorate for Employment, , Labour and Social Affairs, Paris; https://www.statista.com/topics/3292/medical-tourism-in-europe/, Statista, last accessed 2019/07/05; Stephano, R., Samuels, B., Domestic medical tourism: Establishing U.S. centers of medical excellence (2012) Medical Tourism Magazine, p. 23; Turismo De Portugal, , https://www.turismodeportugal.pt/pt/quem_somos/Organizacao/in-formation-hub-mne/Documents/Investment-Destination-PT-May2018.pdf, last accessed 2019/06/02; Portal Das Comunidades, , https://www.portaldascomunidades.mne.pt/ima-ges/GADG/Interven%C3%A7%C3%A3o_SE_Turismo__PPT_-Ana_Mendes_Godinho.pdf, last accessed 2019/06/02; https://www.turismodeportugal.pt/SiteCollection-Documents/estrategia/estrategia-turismo-2027.pdf, last accessed 2019/06/05; (2015) The Travel & Tourism Competitiveness Report 2015 - Growth through Shock, , World Economic Forum, Geneve; (2014) Relatório Do Grupo De Trabalho Interministerial - Turismo De Saûde, , Lisboa; https://www.jointcommissioninternational.org, last accessed 2019/07/02; Medical Tourism in Portugal, , http://www.medicaltourisminportugal.com, last accessed 2019/06/03; https://www.medicalport.org/, last accessed 2019/06/02; http://healthportugal.com, last accessed 2019/07/02; Tourismforall, , https://www.tourism-for-all.com, last accessed 2019/07/02; Travel Health Experience, , travelhealthexperience.comlast accessed 2019/07/02; https://www.treatmentabroad.com/about, last accessed 2019/07/02; https://amtsbe.com, last accessed 2019/07/02; http://www.poci-compete2020.pt/noticias/detalhe/Proj14291_Medical-Tourism, last accessed 2019/06/25","Ferreira, F.A.; Applied Management Research Unit (UNIAG), School of Hospitality and Tourism of Polytechnic Institute of Porto (ESHT), Rua D. Sancho I, 981, Portugal; email: faf@esht.ipp.pt","Rocha A.Abreu A.de Carvalho J.V.Liberato D.Liberato P.Gonzalez E.A.",,"Springer","International Conference on Tourism, Technology and Systems, ICOTTS 2019","5 December 2019 through 7 December 2019",,235499,21903018,9789811520235,,,"English","Smart Innov. Syst. Technol.",Conference Paper,"Final",,Scopus,2-s2.0-85079625403 "Salehi-Esfahani S., Ridderstaat J., Ozturk A.B.","57195535574;55910158200;35189325300;","Health tourism in a developed country with a dominant tourism market: the case of the United States’ travellers to Canada",2020,"Current Issues in Tourism",,,,"","",,,"10.1080/13683500.2020.1724081","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079366212&doi=10.1080%2f13683500.2020.1724081&partnerID=40&md5=0ec267ca8b9f8625f2f6880d91d05ad0","Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, United States","Salehi-Esfahani, S., Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, United States; Ridderstaat, J., Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, United States; Ozturk, A.B., Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, United States","Health tourism is a booming billion-dollar business, which has attracted the attention of academia and industry. Most of the research conducted on health tourism has been conceptual or has mainly focused on health tourism activities from developed to developing countries. This study investigates the impact of tourism demand on health-related tourism spending in a developed country (Canada) with a dominant tourism market (United States (U.S.)). The study considers both volume and price effects of health tourism during the period of 1986–2016, by applying time-series analysis, including unit root and cointegration testing and application of autoregressive distribution lag modelling. The results show a positive long-term effect of U.S. tourism demand on overall health-related tourism spending in Canada, but varying results when considering the volume and price dimensions. The findings provide further insights for managing the niche business of health tourism in Canada. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group.","Canada; developed countries; Health tourism; price and volume effects; tourism demand; United States",,,,,,,,,"Adabi, K., Stern, C., Weichman, K., Garfein, E., Pothula, A., Draper, L., Tepper, O., Population health implications of medical tourism (2017) Plastic and Reconstructive Surgery, 140 (1), pp. 66-74; Aydin, G., Karamehmet, B., Factors affecting health tourism and international health-care facility choice (2017) International Journal of Pharmaceutical and Healthcare Marketing, 11 (1), pp. 16-36; Azimi, R., Mahmoudi, G., Esmaeili, H., A study of the effect of advertising on attracting medical tourism (2017) International Journal of Travel Medicine and Global Health, 5 (3), pp. 89-93; Baumol, W., Blinder, A., (2016) Microeconomics: Principles and policy, , Boston: Cengage Learning; Beladi, H., Chao, C.C., Ee, M.S., Hollas, D., Does medical tourism promote economic growth? A cross-country analysis (2019) Journal of Travel Research, 58 (1), pp. 121-135; Burns, L.R., Medical tourism opportunities and challenges: Illustration from U.S.–India trade (2015) International Journal of Healthcare Management, 8 (1), pp. 15-26; Cameron, A., Trivedi, P., (2010) Microeconometrics using Stata, , College station, TX: Stata Press; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Chambers, A., (2015) Trends in U.S. health travel service trade, , USITC Executive Briefing on Trade; Cohen, E., Medical travel—A critical assessment (2010) Tourism Recreation Research, 35 (3), pp. 225-237; Cohen, M., Elliott, F., Oates, L., Schembri, A., Mantri, N., Do wellness tourists get well? An observational study of multiple dimensions of health and well-being after a week-long retreat (2017) The Journal of Alternative and Complementary Medicine, 23 (2), pp. 140-148; Cook, P.S., (2008) What is health and medical tourism?, , The annual conference of the Australian Sociological Association, Melbourne, Victoria; Cook, R., Hsu, C., Taylor, L., (2018) Tourism: The business of hospitality and travel, , New Jersey: Pearson, Inc; Crooks, V.A., Johnston, R., Labonté, R., Snyder, J., Critically reflecting on Loh's “trends and structural shifts in health tourism” (2016) Social Science & Medicine, 152, pp. 186-189; Dalen, J., Alpert, J., Medical tourists: Incoming and outgoing (2019) The American Journal of Medicine, 132 (1), pp. 9-10; De Arellano, A.B.R., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; de la Hoz-Correa, A., Muñoz-Leiva, F., Bakucz, M., Past themes and future trends in medical tourism research: A co-word analysis (2018) Tourism Management, 65, pp. 200-211; Dickey, D.A., Fuller, W.A., Distribution of the estimators for autoregressive time series with a unit root (1979) Journal of the American Statistical Association, 74 (366a), pp. 427-431; Dryglas, D., Salamaga, M., Segmentation by push motives in health tourism destinations: A case study of Polish spa resorts (2018) Journal of Destination Marketing and Management, 9, pp. 234-246; Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tourism Management, 52, pp. 539-556; Frechtling, D., (1996) Practical tourism forecasting, , Oxford: Butterworth-Heinemann; Frechtling, D., (2001) Forecasting tourism demand: Methods and strategies, , Massachusetts: Butterworth-Heinemann; Gan, L.L., Frederick, J.R., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Gujarati, D., (2015) Econometrics by example, , London: Palgrave; Gujarati, D., Porter, D., (2009) Basic econometrics, , New York: McGraw-Hill; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system (2014) Journal of Travel Medicine, 21 (6), pp. 410-417; Hoque, M.M., Yusop, Z., Impacts of trade liberalisation on aggregate import in Bangladesh: An ARDL Bounds test approach (2010) Journal of Asian Economics, 21 (1), pp. 37-52; Horowitz, M., Rosensweig, A., Medical tourism–health care in the global economy (2007) Physician Executive, 33 (6), p. 24; Ile, F., Țigu, G., Medical tourism market trends–An exploratory research (2017) Proceedings of the International Conference on Business Excellence, 11 (1), pp. 1111-1121; Jaapar, M., Musa, G., Moghavvemi, S., Saub, R., Dental tourism: Examining tourist profiles, motivation and satisfaction (2017) Tourism Management, 61, pp. 538-552; Kennedy, P., (2008) A guide to econometrics, , Malden: Blackwell; Khan, M.J., Chelliah, S., Haron, M.S., Medical tourism destination image formation process: A conceptual model (2016) International Journal of Healthcare Management, 9 (2), pp. 134-143; Lein, S., Köberl, E., (2009) Capacity utilisation, constraints and price adjustments under the microscope, , Zurich: Swiss National Bank; Loh, C.P.A., Trends and structural shifts in health tourism: Evidence from seasonal time-series data on health-related travel spending by Canada during 1970–2010 (2015) Social Science & Medicine, 132, pp. 173-180; Mahadeva, L., Robinson, P., (2004) Unit root testing to help model building, , London: Centre for Central Banking Studies, Bank of England; Mainil, T.J.G.M.J., Eijgelaar, E., Klijs, J., Nawijn, J., Peeters, P.M., (2017) Research for TRAN committee–health tourism in the EU: A general investigation, , Brussels: European Parliament, Policy Department for Structural and Cohesion Policies; Mankiw, N., (2018) Principles of microeconomics, , Boston: Cengage Learning; Marsek, P.W., Sharpe, F., (2009) The complete idiot’s guide to medical tourism, , New York: Penguin Group; Milenković, M., Petrović, N., Big data-the impact on health tourism and sustainability (2018) TISC-Tourism International Scientific Conference Vrnjačka Banja, pp. 513-530. , Vrnjačka Banja: University of Kragujevac, &; Moghavvemi, S., Ormond, M., Musa, G., Isa, C., Thirumoorthi, T., Mustapha, M., Chandy, J., Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163. , …; Narayan, P., The saving and investment Nexus for China: Evidence from cointegration tests (2005) Applied Economics, 37 (17), pp. 1979-1990; Page, S., (2019) Tourism management, , London: Routledge; Papatheodorou, A., Rosselló, J., Xiao, H., Global economic crisis and tourism: Consequences and perspectives (2010) Journal of Travel Research, 49 (1), pp. 39-45; Pesaran, M.H., Shin, Y., Smith, R.J., Bounds testing approaches to the analysis of level relationships (2001) Journal of Applied Econometrics, 16 (3), pp. 289-326; Phillips, P.C., Perron, P., Testing for a unit root in time series regression (1988) Biometrika, 75 (2), pp. 335-346; Ridderstaat, J., Croes, R.R., Nijkamp, P., The tourism development–quality of life nexus in a small island destination (2016) Journal of Travel Research, 55 (1), pp. 79-94; Ridderstaat, J., Singh, D., DeMicco, F., The impact of major tourist markets on health tourism spending in the United States (2019) Journal of Destination Marketing & Management, 11, pp. 270-280; Ritchie, J., Amaya Molinar, C., Frechtling, D., Impacts of the world recession and economic crisis on tourism: North America (2010) Journal of Travel Research, 49 (1), pp. 5-15; Romanova, G., Vetitnev, A., Dimanche, F., (2016) Health and wellness tourism, , Bingley: Emerald Group Publishing Limited; Sandberg, D., Medical tourism: An emerging global healthcare industry (2017) International Journal of Healthcare Management, 10 (4), pp. 281-288; Schmidgall, R., (2016) Hospitality industry managerial accounting, , Michigan: The American Hotel & Lodging Educational Institute; Sheldon, P.J., Bushell, R., Introduction to wellness and tourism (2009) Wellness and tourism: Mind, body, spirit, place, pp. 3-18. , Bushell R., Sheldon P.J., (eds), Innovation and Tourism—Connecting Theory & Practice series), New York: Cognizant Communication, &,. (Eds; Smith, S., (2010) Practical tourism research, , Oxfordshire: CABI; Smith, M., Puczkó, L., More than a special interest: Defining and determining the demand for health tourism (2015) Tourism Recreation Research, 40 (2), pp. 205-219; Song, H., Dwyer, L., Li, G., Cao, Z., Tourism economics research: A review and assessment (2012) Annals of Tourism Research, 39 (3), pp. 1653-1682; Song, H., Witt, S., Li, G., (2009) The advanced econometrics of tourism demand, , New York: Routledge; (2018), https://www.statcan.gc.ca/eng/start; Turner, L., “Medical tourism” and the global Marketplace in health services: U.S. patients, international hospitals, and the search for Affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467; Turner, L., Beyond ""medical tourism"": Canadian companies marketing medical travel (2012) Globalization and Health, 8 (1), pp. 16-11; (2018) Exploring health tourism, , Madrid: United Nations World Tourism Organization & European Travel Commission; Varian, H.R., (2014) Intermediate microeconomics: A modern approach: Ninth international student edition, , New York, NY: W.W. Norton & Company; Veal, A., (2006) Research methods for leisure and tourism: A practical guide, , London: Prentice-Hall; Wertheimer, A.I., Ding, Q., Drug reimportation into the United States (2016) Pharmaceutical Public Policy, pp. 161-179; Wooldridge, J., (2013) Introductory econometrics: A modern approach, , Ohio: South-Western Cengage Learning; Yang, (2007) Encyclopedia of measurement and statistics, , http://sk.sagepub.com/reference/statistics, Edited by N. J. Salkind. Retrieved from; Yin, R., (2014) Case study research: Design and methods, , Thousand Oaks, CA: Sage Publications","Salehi-Esfahani, S.; Rosen College of Hospitality Management, University of Central FloridaUnited States; email: saba.salehiesfahani@ucf.edu",,,"Routledge",,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Article in Press",,Scopus,2-s2.0-85079366212 "Beena K.S., Venkatrama Raju D.","57202610989;57190229428;","Marketing strategies in promoting medical tourism in India",2020,"Test Engineering and Management","82",,,"4846","4851",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078927003&partnerID=40&md5=302821efd5f88091c109260198689a79","Department of Tourism and Hospitality Management, Bharath University, Selaiyur, India; Dept of Management Studies, Bharath University, Selaiyur, Chennai, India","Beena, K.S., Department of Tourism and Hospitality Management, Bharath University, Selaiyur, India; Venkatrama Raju, D., Dept of Management Studies, Bharath University, Selaiyur, Chennai, India","India is viewed as among the worldwide pioneers in the restorative the travel industry showcase which has developed quickly in later a long time yet confronting a high challenge from other neighbouring nations like, Thailand and Singapore. This article is planned to feature the possibilities of Medical Tourism in India and endeavors to show the use of 7Ps of advertising blend in advancing the medicinal the travel industry in India. The utilization of the advertising blend in Medical showcasing could get India to the best position the Medical Tourism Market of the world. India right now has around 18% of the worldwide therapeutic the travel industry showcase with a normal 2, 00,000 global patients footfall consistently for restorative care including medical procedures yielding normal income of USD 15,000/ - per medicinal visitor. In this way a compelling medicinal promoting technique can catch the consideration of the universal patients towards other enhanced restorative techniques like Ayurveda medicines, Yoga, Fertility, Addiction and Recovery, Dentistry and so on alongside its current notoriety in the fields of Orthopedics and Cardiology. It is because of absence of compelling showcasing system, poor interest in wellbeing foundation and arrangement choice with respect to the Govt. making dangers to the Indian Medical The travel industry division in ruling the other market players of the worldwide medicinal the travel industry showcase. © 2019 Mattingley Publishing. All rights reserved.","Marketing concepts; Marketing strategies etc; Medical Tourism; Sales Promotion; Tourism Marketing","Patient rehabilitation; Sales; Strategic planning; Marketing concept; Marketing strategy; Medical Tourism; Sales promotions; Tourism marketings; Commerce",,,,,,,,"Dooley, J., Jones, S., Iverson, D., Social marketing and health promotion communication: From traditional marketing to Web 2.0 (2013) Journal, Health Marketing Quarterly, 7. , Dr. Prof. Prof; Udhayaraj, G., Marketing strategies for promoting medical tourism in Tamilnadu (2016) SSRG International Journal, , Dr. T. Joseph Rex, Research Advisor Research Scholar Associate Professor, Department of Commerce, Department of Commerce, St. Joseph's college (Autonomous), Tiruchirappalli - 620 002. Tiruchirappalli, Special December; Hanks, G., How to Implement the 4 P's of Marketing in Healthcare, , www.chron.com, online research article at; Thornton, G., Indian medical tourism industry to touch $ 8 billion by 2020 (2015) Recent Trends in Medical Tourism in India, Indian Journal of Applied Research, 4 (5). , online article, Nov 01, K.S. Vijayanambi, Dr. R. Kannan, May 2014; Leng, C., Medical tourism in India: International movement of healthcare consumers and the commodification of healthcare (2007) Asia Research Institute Working Paper Series, , Retrieved July 29, 2007; Uniyal, M., Dhodi, R.K., Dhodi, R., Sharma, S., SWOT analysis of Indian medical tourism industry (2014) PARIPEX - Indian Journal of Research, 3 (2). , Dr Dr |: | Feb; Suthin, K., Assenov, I., Tirasatayapitak, A., Medical tourism: Can supply keep up with the demand (2007) Proceedings, APac-CHRIE & Asia Pacific Tourism, Association Joint Conference, , Beijing, China; Douglas Evans, W., How social marketing rocks in health care? (2006) BMJ (Online) Journal, 332. , June; www.patientsbeyondborders.com; www.smallbusiness.chron.com; www.gmedicaltourism.com; www.economictimes.com",,,,"Mattingley Publishing",,,,,01934120,,TENMA,,"English","Test Eng Manage",Article,"Final",,Scopus,2-s2.0-85078927003 "Muth S., Suryanarayan N.","56015854900;57056460400;","Language, medical tourism and the enterprising self",2020,"Multilingua",,,,"","",,,"10.1515/multi-2019-0006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078206279&doi=10.1515%2fmulti-2019-0006&partnerID=40&md5=c7da9ad001291cb7b833aca90218e777","Department of Linguistics and English Language, Lancaster University, County South, Lancaster, LA1 4YW, United Kingdom; University of Delhi, Delhi, 110007, India","Muth, S., Department of Linguistics and English Language, Lancaster University, County South, Lancaster, LA1 4YW, United Kingdom; Suryanarayan, N., University of Delhi, Delhi, 110007, India","This paper aims to demonstrate the implications of health mobility on language practices in the medical tourism industry in India and on the ways, language workers become entrepreneurs. Drawing from ethnographic fieldwork that traces the trajectories of three former students of Russian, we highlight their future aspirations as language learners and entrepreneurs and show, how they attempt to capitalize on language skills and respond to changing conditions and patient movements within the structures, constraints and uncertainties of the linguistic market. Here, it is our aim to illustrate what it takes to become an enterprising and successful language worker and at the same time highlight their current positioning as emblematic yet subordinate figures within a fast-growing service industry in an emerging economy. We further demonstrate, how language skills not only become commodities to serve existing or future markets, but instead are recast as tools that can be strategically employed to secure recognition and access to prestigious and lucrative professional networks. In doing so, this paper illustrates how linguistic value is produced in a service industry that to date only received little attention in sociolinguistic research. © 2020 Walter de Gruyter GmbH, Berlin/Boston 2020","India; language and healthcare; language and work; language commodification; medical tourism",,,,,,,,,"(2017) Medical Tourism Market by Treatment Type (Cardiovascular Treatment, Orthopedic Treatment, Neurological Treatment, Cancer Treatment, Fertility Treatment, and Others) - Global Opportunity Analysis and Industry Forecast, 2017-2023, , Portland AMR; Appadurai, A., Appadurai, A., (1986) The social life of things: Commodities in cultural perspective, pp. 3-63. , Introduction: Commodities and the politics of value Cambridge Cambridge University Press; Bishop, H., Coupland, N., Garrett, P., Globalisation, advertising and language choice: Shifting values for Welsh and Welshness in Y Drych, 1851-2001 (2005) Multilingua, 24 (4), pp. 343-378; Bourdieu, P., The economics of linguistic exchange (1977) Social Science Information, 16 (6), pp. 645-668; Bourdieu, P., (1991) Language and symbolic power, , In J. 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Hyderabad, Business Standard; Muth, S., Russian as a commodity: medical tourism and the healthcare industry in post-Soviet Lithuania (2017) International Journal of Bilingual Education and Bilingualism, 20 (4), pp. 404-416; Muth, S., 'The ideal Russian speaker is no Russian': Language commodification and its limits in medical tourism to Switzerland (2018) Language Policy, 17 (2), pp. 217-237; Muth, S., Del Percio, A., Policing for commodification: turning communicative resources into commoditiesspecial issue) (2018) Language Policy, 17 (2); Ormond, M., (2013) Neoliberal governance and international medical travel in Malaysia, , London Routledge; Österle, A., Balázs, P., Delgado, J., Travelling for teeth: characteristics and perspectives of dental care tourism in Hungary (2009) British Dental Journal, 206 (8), pp. 425-428; Park, J., Wee, L., (2012) Markets of English: Linguistic capital and language policy in a globalizing world, , London Routledge; Park, J.S., The promise of English: Linguistic capital and the neoliberal worker in the South Korean jobmarket (2011) International Journal of Bilingual Education and Bilingualism, 14 (4), pp. 443-455; Park, J.S., Language as pure potential (2016) Journal of Multilingual and Multicultural Development, 37 (5), pp. 453-466; Piller, I., Cho, J., Neoliberalism as language policy (2013) Language in Society, 42 (1), pp. 23-44; Piller, I., Lising, L., Language, employment, and settlement: Temporary meat workers in Australia (2014) Multilingua, 33 (1-2), pp. 35-59; Piller, I., Takahashi, K., Duchêne, A., Moyer, M., Roberts, C., (2013) Language, migration and social inequalities: A critical sociolinguistic perspective on institutions and work, pp. 95-117. , Language work aboard the low-cost airline Clevedon Multilingual Matters; Rahman, T., Language ideology, identity and the commodification of language in the call centers of Pakistan (2009) Language in Society, 38 (2), pp. 233-258; Sharma, A., Medical tourism: emerging challenges and future prospects (2013) Indian Journal of Business and Management Invention, 2 (1), pp. 21-29; Shetty, P., Medical tourism booms in India, but at what cost? (2010) The Lancet, 376, pp. 671-672; Smith, K., The problematization of medical tourism: a critique of neoliberalism (2012) Developing World Bioethics, 12 (1), pp. 1-8; Smith, M., Puczkó, L., (2014) Health, tourism and hospitality: Spas, wellness and medical travel, , London Routledge; Stan, S., Transnational health care practices of Romanian migrants in Ireland: inequalities of access and the privatisation of health care services in Europe (2015) Social Science and Medicine, 124, pp. 346-355; Suryanarayan, N., The role of the Russian language in India's healthcare sector (2017) Russian Journal of Linguistics, 21 (3), pp. 515-529; Tan, P.K.W., Rubdy, R., (2008) Language as commodity: Global structures, local marketplaces, , London Continuum; Urciuoli, B., Skills and selves in the new workplace (2008) American Ethnologist, 35 (2), pp. 211-228; Wee, L., (2015) The language of organizational styling, , Cambridge Cambridge University Press","Muth, S.; Department of Linguistics and English Language, Lancaster University, County South, United Kingdom; email: s.muth@lancaster.ac.uk",,,"Walter de Gruyter GmbH",,,,,01678507,,,,"English","Multilingua",Article,"Article in Press",,Scopus,2-s2.0-85078206279 "Huppertz J.W., Leung D.J., Hohmann S.F., Harris A., Sidhu M.S., McKenna D.P.","23004824800;57213190536;26534424300;57213187632;15059582500;57213192856;","Direct-to-Consumer Hospital Advertising and Domestic Medical Travel in the United States",2020,"Journal of Healthcare Management","65","1",,"30","43",,,"10.1097/JHM-D-18-00232","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077719329&doi=10.1097%2fJHM-D-18-00232&partnerID=40&md5=2773afd34e2b3cad551e7e70997f66ea","MBA Healthcare Management Program, David D. Reh School of Business, Clarkson University, Schenectady, NY, United States; Scripps Mercy Hospital, San Diego, CA, United States; Vizient, Chicago, IL, United States; Albany Medical College, Albany, NY, United States; Albany Medical Center, Albany, NY, United States","Huppertz, J.W., MBA Healthcare Management Program, David D. Reh School of Business, Clarkson University, Schenectady, NY, United States; Leung, D.J., Scripps Mercy Hospital, San Diego, CA, United States; Hohmann, S.F., Vizient, Chicago, IL, United States; Harris, A., Vizient, Chicago, IL, United States; Sidhu, M.S., Albany Medical College, Albany, NY, United States; McKenna, D.P., Albany Medical Center, Albany, NY, United States","Expanding hospitals' geographic market area has been proposed as a means to increase competition and reduce healthcare costs. However, most patients in the United States receive care locally and are unlikely to seek out distant hospitals, effectively limiting competition to local markets. We hypothesize that mass media advertising can help overcome patients' reluctance to travel for elective medical care. We examined hospitals' advertising in distant markets to determine whether their expenditures predict the number of patients who travel to those hospitals.We obtained data on 2015 advertising expenditures by 273 U.S. academic medical centers from a market research firm. Regression models examined associations between hospitals' advertising expenditures and patient volume metrics: Inpatients, encounters, and charges originating from distant markets where the medical centers advertised. Results showed that hospitals' advertising expenditures in distant markets were associated with higher numbers of inpatient admissions, patient visits, and charges from those markets. Compared to the distant markets where they advertised, the hometown markets of these hospitals are smaller with lower per capita income, suggesting hospitals are seeking incremental patient volume from more lucrative markets.Findings suggest that advertising may familiarize patients with distant facilities, encouraging domestic medical travel and enabling broader geographic competition among hospitals. © 2020 Foundation of the American College of Healthcare Executives. All rights reserved.",,"adult; advertising; article; body weight; competition; consumer; controlled study; hospital patient; human; marketing; mass medium; medical care; patient volume; travel; United States; university hospital",,,,,,,,"Abel, G.A., Burstein, H.J., Hevelone, N.D., Weeks, J.C., Cancer-related direct-to-consumer advertising: Awareness, perceptions, and reported impact among patients undergoing active cancer treatment (2009) Journal of Clinical Oncology, 27 (25), pp. 4182-4187; Abrams, M.N., Phillips, G., How Hospitals Can Grow in a Value-based World, , www.hhnmag.com/articles/7625-how-hospitals-can-grow-in-a-value-based-world, (2016, September 19) Hospitals & Health Networks. 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(2017) Health Services Research, 52 (4), pp. 1590-1611; Hwang, J., Christensen, C.M., Disruptive innovation in health care delivery: A framework for business-model innovation (2007) Health Affairs, 22 (5), pp. 1329-1335; Illes, J., Kann, D., Karetsky, K., Letourneau, P., Raffin, T.A., Schradley-Desmond, P., Atlas, S.W., Advertising, patient decision making, and self-referral for computer tomographic and magnetic resonance imaging (2004) Archives of Internal Medicine, 164, pp. 2415-2419; Jha, A.K., Back to the future: Volume as a quality metric (2015) JAMA, 314 (3), pp. 214-215; Jiang, H.J., Friedman, B., Begun, J., Factors associated with high-quality/low-cost hospital performance (2006) Journal of Health Care Finance, 32 (3), pp. 39-52; Kessler, D.P., Geppert, J.J., The effects of competition on variation in the quality and cost of medical care (2005) Journal of Economics & Management Strategy, 14 (3), pp. 575-589; Landen, R., www.modernhealthcare.com/article/20130803/MAGAZINE/308039952, (2013, August 3). Telling their stories. Modern Healthcare. Retrieved from; Langley, J.D., Johnson, T.J., Hohmann, S.F., Meurer, S.J., Garman, A.N., Empirical analysis of domestic medical travel for elective cardiovascular procedures (2013) American Journal of Managed Care, 19 (10), pp. 825-833; Larson, R.J., Schwartz, L.M., Woloshin, S., Welch, S.G., Advertising by academic medical centers (2005) Archives of Internal Medicine, 165, pp. 643-651; Laverty, A.A., Smith, P.C., Pape, U.J., Mears, A., Wachter, R.M., Millett, C., High-profile investigations into hospital safety problems in England did not prompt patients to switch providers (2012) Health Affairs, 31 (3), pp. 593-601; Li, F., Miniard, P.W., On the potential for advertising to facilitate trust in the advertised brand (2006) Journal of Advertising, 35 (4), pp. 101-112; Liesse, J., https://adage.com/trend-reports/report.php?id=113, (2016, October 17). Healthcare marketing: The facts and figures you need to know. Stat [Advertising Age research report]. Retrieved from; (2012) Mayo Clinic, , www.mayoclinic.org/documents/mc2045-pdf/doc-20078949, Facts and highlights. Retrieved from; Melnick, G., Keeler, E., The effects of multi-hospital systems on hospital prices (2007) Journal of Health Economics, 26, pp. 400-413; Moriya, A.S., Vogt, W.B., Gaynor, M., Hospital prices and market structure in the hospital and insurance industries (2010) Health Economics, Policy and Law, 5, pp. 459-479; Moser, H.R., Freeman, G.L., How the public views hospital advertising: An empirical analysis (2011) Journal of Medical Marketing, 11 (4), pp. 320-330; www.tvb.org/Portals/0/media/file/DMA/2015-2016-dma-ranks.pdf, Nielsen Co. (2015). Local television market universe estimates. Retrieved from; Oxman, D., www.the-hospitalist.org/hospitalist/article/123323/hospital-advertising, (2007, January). Hospital advertising: Is it time for a closer look? The Hospitalist, 1. Retrieved from; Porter, M.E., Kaplan, R.S., How to pay for health care (2016) Harvard Business Review, 91 (7-8), pp. 88-98; Porter, M.E., Lee, T.H., The strategy that will fix health care (2013) Harvard Business Review, 91 (10), pp. 50-70; Porter, M.E., Teisberg, E.O., Redefining competition in health care (2004) Harvard Business Review, 82 (6), pp. 64-76; Radcliff, T.A., Brasure, M., Moscovice, I.S., Stensland, J.T., Understanding rural hospital bypass behavior (2003) Journal of Rural Health, 19 (3), pp. 252-259; Reinhardt, U.E., The pricing of U.S. Hospital services: Chaos behind a veil of secrecy (2006) Health Affairs, 25 (1), pp. 57-69; Robinson, J.C., MacPherson, K., Payers test reference pricing and centers of excellence to steer patients to low-price and high-quality providers (2012) Health Affairs, 31 (9), pp. 2028-2036; Schenker, Y., Arnold, R.M., London, A., The ethics of advertising for health care services (2014) American Journal of Bioethics, 14 (3), pp. 34-43; Shimp, T.A., Andrews, J.C., (2013) Advertising, Promotion and Other Aspects of Integrated Marketing Communications, , (9th ed.). Mason, OH: South-Western Cengage Learning; Stark, M., Fins, J.J., Toward an agile defense of patient health care decisions (2014) American Journal of Bioethics, 14 (3), pp. 44-46; Town, R.J., Vistnes, G., Hospital competition in HMO networks (2001) Journal of Health Economics, 20, pp. 733-753; White, C., Reschovsky, J.D., Bond, A.M., Understanding differences between high- A nd low-price hospitals: Implications for efforts to rein in costs (2014) Health Affairs, 33 (2), pp. 324-331","Huppertz, J.W.; MBA Healthcare Management Program, David D. Reh School of Business, Clarkson UniversityUnited States; email: jhuppert@clarkson.edu",,,"Lippincott Williams and Wilkins",,,,,10969012,,JHMAF,"31913237","English","J. Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-85077719329 "Leaming L.E.","35491020900;","Practitioner Application: Direct-to-Consumer Hospital Advertising and Domestic Medical Travel in the United States",2020,"Journal of Healthcare Management","65","1",,"43","44",,,"10.1097/JHM-D-19-00256","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077679837&doi=10.1097%2fJHM-D-19-00256&partnerID=40&md5=5e176716748397d576c1008034961216","Estes Park Health, Estes Park, CO, United States","Leaming, L.E., Estes Park Health, Estes Park, CO, United States",[No abstract available],,"direct-to-consumer advertizing; domestic medical travel; health care availability; health care cost; hospital CEO; hospital service; human; Note; rural health care; travel; United States; advertising; hospital; medical tourism; travel; Advertising; Hospitals; Medical Tourism; Travel; United States",,,,,,,,"The NC Rural Health Research Program, , www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/rural-hospital-closures//, (2019, November 25). Rural hospital closures. Retrieved from","Leaming, L.E.; Estes Park HealthUnited States",,,"Lippincott Williams and Wilkins",,,,,10969012,,JHMAF,"31913238","English","J. Healthc. Manage.",Note,"Final",,Scopus,2-s2.0-85077679837 "Garosi V.H., Zarei M.R., Farahan M.A., Ziapour A., Haghani H.","57213160476;57196523850;57213146344;57202571078;55932039900;","A study of nurses' performance relative to the risk factors for musculoskeletal disorders associated with patient mobility in the teaching hospitals across Kermanshah",2020,"Journal of Public Health (Germany)",,,,"","",,,"10.1007/s10389-019-01138-5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077583046&doi=10.1007%2fs10389-019-01138-5&partnerID=40&md5=1f652178baee44d6145449dacaac5e88","Kermanshah University of Medical Sciences, Kermanshah, Iran; Iran University of Medical Sciences, Tehran, Iran; Health Education and Health Promotion, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran","Garosi, V.H., Kermanshah University of Medical Sciences, Kermanshah, Iran; Zarei, M.R., Iran University of Medical Sciences, Tehran, Iran; Farahan, M.A., Iran University of Medical Sciences, Tehran, Iran; Ziapour, A., Health Education and Health Promotion, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran; Haghani, H., Iran University of Medical Sciences, Tehran, Iran","Aim: Work-related musculoskeletal disorders (WMSDs) associated with patient mobility are one of the most common occupational hazards to which the nursing staff are exposed. Therefore, the present study aimed to investigate nurses’ performance relative to the risk factors for musculoskeletal disorders associated with patient mobility in the Teaching Hospitals across Kermanshah in 2018. Methods: In this cross-sectional descriptive study, 270 nursing staff were studied in 2017. As for data collection, the valid questionnaire of nurses’ performance was used. Then, after data collection, the data were entered into SPSS Statistical Software Version 16.0 and analyzed using the descriptive and inferential statistics such as chi-square, independent t-test, analysis of variance, and Pearson correlation coefficient. Results: The results of the present study revealed that the average working time per week was 54.14 ± 13.17 h, regardless of the promotion and productivity rules. It was also found out that the most painful parts of the body identified by the nursing staff were the lumbar spine and neck. The mean score of nurses’ performance relative to the risk factors for musculoskeletal and skeletal disorders associated with patient mobility was 7.75 out of 18. Conclusion: Given the level of nurses’ performance relative to the risk factors for musculoskeletal disorders associated with patient mobility, it is necessary to carry out further studies so as to figure out how to prevent and reduce such disorders. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.","Musculoskeletal disorders; Nurses; Patient mobility; Performance",,,,,,,,,"Ali Arabian, F., Motamedzade, M., Golmohammadi, R., Moghim Beigi, A., Pir Hayati, F., The impact of ergonomics intervention on musculoskeletal disorders among Nahav and Alimoradian hospital staff (2013) J Ergonom, 1 (1), pp. 23-32; Arsalani, N., Fallahi-Khoshknab, M., Josephson, M., Lagerstrom, M., Iranian nursing staff's self-reported general and mental health related to working conditions and family situation (2012) Int Nurs Rev, 59 (3), pp. 416-423; Asgari, P., Mahmoudi, M., Hekmatpou, D., KhajehGoodari, M., Rafiei, F., Tajik, R., The effect of education of occupational safety on knowledge and improvement of employee performance during moving patients in intensive care units (2016) Iran Occup Health, 13 (5), pp. 71-79; Atakro, C.A., Armah, E., Menlah, A., Garti, I., Addo, S.B., Adatara, P., Boni, G.S., Clinical placement experiences by undergraduate nursing students in selected teaching hospitals in Ghana (2019) BMC Nurs, 18 (1), pp. 1-10; Balague, F., Mannion, A.F., Pellise, F., Cedraschi, C., Clinical update: low back pain (2007) Lancet, 369 (9563), pp. 726-728; Choobineh, A., Rajaeefard, A., Neghab, M., Perceived demands and musculoskeletal disorders among hospital nurses (2007) Hakim Res J, 10 (2), pp. 70-75; Dadkhah, B., Mohammadi, M., Mozafari, N., Mizane ehteram be mahdudeye ghalamroe vahoghughe bimaran dar bimarestanhaye shahre ardabil (2015) J Nurs Mid Res, 23, pp. 37-44; Farahabadi, M., Chavoshizade, S.A., Barati, A., Investigation of factors affecting musculoskeletal disorders among hospital emergency nurses of Qom University of Medical Sciences, Iran (2016) Qom Univ Med Sci, 10 (8), pp. 54-61; Gooya, M.M., Soroush, M., Khademi, N., Mokhtari-Azad, T., Janbakhsh, A., Yeilaghi, S., Parsa, S., Zangeneh, A., An evaluation of the effects of influenza vaccination on HIV/AIDS-stricken patients in Kermanshah Province, Western Iran (2017) Ann Trop Med Public Health, 10 (3), p. 628; Habibi, E., Taheri, M.R., Hasanzadeh, A., Relationship between mental workload and musculoskeletal disorders among Alzahra hospital nurses (2015) Iran J Nurs Midwifery Res, 20 (1), pp. 1-6. , PID: 25709683; Karimian, R., Rahnama, N., Karimian, M., Janbozorgi, A., Ergonomic evaluation of the risk of suffering from musculoskeletal disorders in nurses with quick exposure check (QEC) and the effect of 8-week selected corrective exercises and ergonomic occupational intervention on their exposure rate (2015) J Fasa Univ Med Sci, 5 (2), pp. 210-218; Kim, H., Dropkin, J., Spaeth, K., Smith, F., Moline, J., Patient handling and musculoskeletal disorders among hospital workers: analysis of 7 years of institutional workers' compensation claims data (2012) Am j Indus Med, 55 (8), pp. 683-690; Mohammadi, M., Ziapoor, A., Mahboubi, M., Faroukhi, A., Amani, N., Hydarpour, F., Anbari, S.Z., Esfandnia, A., Performance evaluation of hospitals under supervision of kermanshah medical sciences using pabonlasoty diagram of a five-year period (2008-2012) (2014) Life Sci J, 11 (1), pp. 77-81; Moreira, R.F., Sato, T.O., Foltran, F.A., Silva, L.C., Coury, H.J., Prevalence of musculoskeletal symptoms in hospital nurse technicians and licensed practical nurses: associations with demographic factors (2014) Braz J Phys Ther, 18 (4), pp. 323-333; Nasiry Zarrin Ghabaee, D., Haresabadi, M., Bagheri Nesami, M., Talebpour Amiri, F., Work-related musculoskeletal disorders and their relationships with the quality of life in nurses (2016) Iran J Ergonom, 4 (1), pp. 39-46; Ngan, K., Drebit, S., Siow, S., Yu, S., Keen, D., Alamgir, H., Risks and causes of musculoskeletal injuries among health care workers (2010) Occup Med, 60 (5), pp. 389-394. , COI: 1:STN:280:DC%2BC3cnptFyqsg%3D%3D; Nilsson, A., Denison, E., Lindberg, P., Life values as predictors of pain, disability and sick leave among Swedish registered nurses: a longitudinal study (2011) BMC Nurs, 10 (1), pp. 1-9; Powell-Cope, G., Rugs, D., What elements of the 2013 American Nurses Association safe patient handling and mobility standards are reflected in state legislation? (2015) Am J Safe Patient Handl Mov, 5 (1), pp. 13-18. , PID: 26413418; Raeisi, S., Hosseini, M., Attarchi, M.S., Golabadi, M., Rezaei, M.S., Namvar, M., The association between job type and ward of service of nursing personnel and prevalence of musculoskeletal disorders (2013) Razi J Med Sci, 20, pp. 108): 1-108):10; Reshadat, S., Zangeneh, A., Saeidi, S., Izadi, N., Ghasemi, S.R., Rajabi-Gilan, N., A feasibility study of implementing the policies on increasing birth rate with an emphasis on socio-economic status: a case study of Kermanshah Metropolis, western Iran (2018) Soc Indicat Res, 140 (2), pp. 619-636; Reshadat, S., Tohidi, M., Ghasemi, M., Zangeneh, A., Saeidi, S., Teimouri, R., Yigitcanlar, T., Interrelationship between underprivileged neighborhoods and health promotion lifestyles: Insights from Kermanshah (2019) J Public Health, 2019, pp. 1-10. , https://doi.org/10.1007/s10389-019-01086-0; Reshadat, S., Saedi, S., Zangeneh, A., Amooie, M.R., Karbasi, A., Equity in access to health care using geographic information system: a Kermanshah case study (2014) J Mazandaran Univ Med Sci, 24 (115), pp. 134-140; Salmani Nodooshan, H., Choobineh, A., Razeghi, M., Shahnazar Nezhad Khales, T., A survey of patient handling between bed and stretcher and associated problems in hospital environments (2016) Iran J Ergonom, 3 (4), pp. 67-74; Smedley, J., Inskip, H., Trevelyan, F., Buckle, P., Cooper, C., Coggon, D., Risk factors for incident neck and shoulder pain in hospital nurses (2003) Occup Environ Med, 60 (11), pp. 864-869; Stevenson, K.N., Jack, S.M., O’Mara, L., LeGris, J., Registered nurses’ experiences of patient violence on acute care psychiatric inpatient units: an interpretive descriptive study (2015) BMC Nurs, 14, pp. 1): 1-1):13; Tinubu, B.M., Mbada, C.E., Oyeyemi, A.L., Fabunmi, A.A., Work-related musculoskeletal disorders among nurses in Ibadan, south-West Nigeria: a cross-sectional survey (2010) BMC Musculoskeletal Disord, 11 (1), pp. 1-8; Zamanian, Z., Norouzi, F., Esfandiari, Z., Rahgosai, M., Hasan, F., Kohnavard, B., Assessment of the prevalence of musculoskeletal disorders in nurses (2017) Armaghane Danesh Bimonthly J, 21 (10), pp. 976-986; Zangeneh, A., Najafi, F., Karimi, S., Saeidi, S., Izadi, N., Spatial-temporal cluster analysis of mortality from road traffic injuries using geographic information systems in west of Iran during 2009–2014 (2018) J Forensic Legal Med, 55, pp. 15-22; Ziapour, A., Kianipour, N., Health-related quality of life among university students: the role of demographic variables (2018) J Clin Diagn Res, 11 (10), pp. JC01-JC04","Zarei, M.R.; Iran University of Medical SciencesIran; email: zarei_1343@yahoo.com",,,"Springer",,,,,21981833,,JPHHA,,"English","J. Public Health",Article,"Article in Press",,Scopus,2-s2.0-85077583046 "Usman K., Liu Z., Ping C., Hong T., Ming H.","56241718700;55633691200;57212213406;57212208751;57212214689;","Hainan province: China's new free trade zone and Hainan medical tourism",2020,,"19","1",,"88","97",,,"10.1504/IJEBR.2020.103904","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076200414&doi=10.1504%2fIJEBR.2020.103904&partnerID=40&md5=4d9c65ba02afc55c39a7d83b838e6da6","School of Business Administration, Foshan Polytechnic, Foshan City, Guangdong Province, China; School of Management, University of Science and Technology of China, Hefei, Anhui Province, China","Usman, K., School of Business Administration, Foshan Polytechnic, Foshan City, Guangdong Province, China; Liu, Z., School of Management, University of Science and Technology of China, Hefei, Anhui Province, China; Ping, C., School of Business Administration, Foshan Polytechnic, Foshan City, Guangdong Province, China; Hong, T., School of Business Administration, Foshan Polytechnic, Foshan City, Guangdong Province, China; Ming, H., School of Business Administration, Foshan Polytechnic, Foshan City, Guangdong Province, China","The Government of China has promoting the free trade zones of the country to captivate the largest overseas investment. The association between development of tourism and foreign trade is widely recognised. This study discussed the impact of Hainan free trade zone on medical tourism in Hainan province. The Hainan free trade zone plan is not only to promote the growth in South China, but it also contributes to the growth of economy in the Pacific Asia region and the rest of the World. Under the free visa entry policy, the government can attract tourists from all over the world, and can increase the industry of tourism by fulfilling the requirements of international tourists. Copyright © 2020 Inderscience Enterprises Ltd.","Free trade zones; FTZs; Hainan province; Medical tourism; Visa free access",,,,,,"Anhui University of Science and Technology, AUST","more than six research articles. He was a Research Scholar in the University of Science and Technology of China, Hefei, Anhui Province. His principal research interest is in cross boarder e-commerce, one belt one road, innovation capacity, national innovation system and economic growth of nations. He has contributed through writing journal papers on innovation capacity, economic growth, innovation efficiency of the countries.",,"Borensztein, E., De Gregorio, J., Lee, J.W., How does foreign direct investment affect economic growth? (1998) Journal of International Economics, 45 (1), pp. 115-135; (2018) Hainan Plans Good News for Free Trade, , http://www.chinadaily.com.cn/a/201804/17/WS5ad55a98a3105cdcf6518bd5.html, online accessed 7 April 2018; (2009) China Special Report: Industrial Parks - China's Vehicles for Manufacturing, , http//:www.chinaknowledge.com, online accessed 3 August 2015; (2018) Medical Tourism Emerges in Hainan, , http://www.globaltimes.cn/content/1103516.shtml, online accessed 22 May 2018; Litwack, J., Qian, Y., Balanced or unbalanced development: Special economic zones as catalysts for transition (1998) Journal of Comparative Economics, 26 (1), pp. 117-141; Nishitateno, S., China's special economic zones: Experimental units for economic reform (1983) International and Comparative Law Quarterly, 32 (1), pp. 175-185. , http://www.jstor.org/stable/759472, online accessed 14 August 2015; Pak, C.D., (1997) The Special Economic Zones of China and Their Impact on Its Economic Development, , Greenwood, USA; (2013) Shanghai Free Trade Zone, , http://en.shftz.gov.cn/government-affairs/organization/, online accessed 29 September 2013; (2013) Shanghai Free Trade Zone: The Next Shenzhen?, , http://www.economist.com/news/china/21587237-new-enterprise-zone-could-spark-widermarket-reformsbut-onlyif-bureaucrats-ease-their-grip, online accessed 5 June 2014; (2015) Special Economic Zones: Not So Special, , http://www.economist.com/node/21647615/print, 4 April online accessed 5 October 2015; (2018) Hainan Plans Good News for Free Trade, , https://www.telegraph.co.uk/news/world/china-watch/business/hainan-international-free-trade-zone/, online accessed 24 May 2018; Wei, Y., Ye, X., Regional inequality in China: A case study of Zhejiang province (2004) Journal of Economic and Social Geography, 95 (1), pp. 44-60; Wong, K.-Y., China's special economic zone experiment: An appraisal (1987) Geografiska Annaler Serices B, Human Geography, 69 (1), pp. 27-40; (2009) Clusters for Competitiveness: A Practical Guide and Policy Implications for Developing Cluster Initiatives, , World Bank International Trade Department, PREM Network, Report, World Bank, Washington, DC; (2018) China Focus: Hainan to Offer Visa-Free Access to Tourists from 59 Countries, , http://www.xinhuanet.com/english/2018-04/18/c_137120441.htm, online accessed 18 April 2018; Yeung, Y.-M., Lee, J., Kee, G., China's special economic zones at 30 (2009) Eurasian Geography and Economics, 50 (2), pp. 222-240","Usman, K.; School of Business Administration, Foshan PolytechnicChina; email: isakhelve@yahoo.com",,,"Inderscience Publishers",,,,,17569850,,,,"English",,Article,"Final",,Scopus,2-s2.0-85076200414 "Alghizzawi M., Habes M., Salloum S.A.","57211502890;56453227500;57195670894;","The Relationship Between Digital Media and Marketing Medical Tourism Destinations in Jordan: Facebook Perspective",2020,"Advances in Intelligent Systems and Computing","1058",,,"438","448",,,"10.1007/978-3-030-31129-2_40","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075626650&doi=10.1007%2f978-3-030-31129-2_40&partnerID=40&md5=bc68370bd9d13da33f50ac32e824fac2","Faculty of Economics and Management Sciences, University Sultan Zainal Abidin, Kuala Terengganu, Malaysia; Faculty of Applied Social Sciences, University Sultan Zainal Abidin, Kuala Terengganu, Terengganu, Malaysia; Faculty of Engineering & IT, The British University in Dubai, Dubai, United Arab Emirates; Faculty of Engineering & IT, University of Fujairah, Fujairah, United Arab Emirates","Alghizzawi, M., Faculty of Economics and Management Sciences, University Sultan Zainal Abidin, Kuala Terengganu, Malaysia; Habes, M., Faculty of Applied Social Sciences, University Sultan Zainal Abidin, Kuala Terengganu, Terengganu, Malaysia; Salloum, S.A., Faculty of Engineering & IT, The British University in Dubai, Dubai, United Arab Emirates, Faculty of Engineering & IT, University of Fujairah, Fujairah, United Arab Emirates","This study aimed to analyze and discover the relation of using digital media sites (Facebook) on promoting medical tourism destinations in Jordan, and its impact on the behavior of tourists through the technologies provided by these means. Away from the traditional methods in marketing, the researchers used the survey methodology for a sample of 560 tourists distributed at central of Jordan in Dead Sea area to realize the study objective, a new framework was suggested to show the impact of Facebook on the behavior of tourists through: demographic variables, Facebook features, advertising, by using the TAM model in adoption of social media technology in tourism marketing for tourist destinations in Jordan. The proposed data were analyzed using the Smart PLS system by modeling structural equations (SEM). The outcome of the study showed that the advantages of Facebook, advertising and demographic variables have a favorable effect on the (PEOU) of the tourist and the PU in the adoption of tourism behavior, in addition to the (PU) and (PEOU) (ATT), which led to the adoption of behavior around therapeutic tourism destinations in Jordan. By determining the impact of Facebook in marketing tourism in Jordan, it would be useful to conduct further research to provide better proposals for marketing tourist therapeutic destinations in Jordan. © Springer Nature Switzerland AG 2020.","Digital media; Facebook; Jordan; Medical tourism; Social media; TAM model","Commerce; Digital storage; Intelligent systems; Marketing; Population statistics; Facebook; Jordan; Medical tourism; Social media; TAM model; Social networking (online)",,,,,,,,"Al-Sameem, A., (2012) Role of Social Media Sites in Marketing Egypt as an International Tourist Destination; Habes, M., Alghizzawi, M., Khalaf, R., Salloum, S.A., Ghani, M.A., The relationship between social media and academic performance: Facebook perspective (2018) Int. J. Inf. Technol. Lang. Stud., 2 (1); Magatef, S.G., The impact of tourism marketing mix elements on the satisfaction of inbound tourists to Jordan (2015) Int. J. Bus. Soc. Sci., 6 (7), pp. 41-58; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tour. Manag., 27 (6), pp. 1093-1100; Alghizzawi, M., Salloum, S.A., Habes, M., The role of social media in tourism marketing in Jordan (2018) Int. J. Inf. Technol. Lang. Stud., 2 (3); Alghizzawi, M., The role of digital marketing in consumer behavior: A survey (2019) Int. J. Inf. Technol. Lang. Stud., 3 (1); Arsal, I., (2008) The Influence of Electronic Word of Mouth in an Online Travel Community on Travel Decisions: A Case Study; Leung, X.Y., Bai, B., Stahura, K.A., The marketing effectiveness of social media in the hotel industry: A comparison of Facebook and Twitter (2015) J. Hosp. Tour. Res., 39 (2), pp. 147-169; Mackenzie, S.B., Lutz, R.J., Belch, G.E., The role of attitude toward the ad as a mediator of advertising effectiveness: A test of competing explanations (1986) J. Mark. Res., 23 (2), pp. 130-143; Mariani, M., Ek Styven, M., Ayeh, J.K., Using Facebook for travel decision-making: An international study of antecedents (2019) Int. J. Contemp. Hosp. Manag., 31 (2), pp. 1021-1044; Lynch, J.G., Jr., Introduction to the journal of marketing research special interdisciplinary issue on consumer financial decision making (2011) J. Mark. Res., 48 (SPL), pp. Siv-Sviii; Bazazo, I.K., Alananzeh, O.A., Taani, A.A.A., Marketing the therapeutic tourist sites in Jordan using geographic information system (2016) Marketing, 8 (30); Alghizzawi, M., The impact of smartphone adoption on marketing therapeutic tourist sites in Jordan (2018) Int. J. Eng. Technol., 7, pp. 91-96. , 4.34; Venkatesh, V., Perceived usefulness, perceived ease of use, and user acceptance of information technology (2000) Manage. Sci., 46 (2), pp. 319-340; Tarhini, A., Elyas, T., Akour, M.A., Al-Salti, Z., Technology, demographic characteristics and e-learning acceptance: a conceptual model based on extended technology acceptance model (2016) High. Educ. Stud., 6 (3), pp. 72-89; Davis, F.D., Bagozzi, R.P., Warshaw, P.R., User acceptance of computer technology: A comparison of two theoretical models (1989) Manage. Sci., 35 (8), pp. 982-1003; Habes, M., Salloum, S.A., Alghizzawi, M., Alshibly, M.S., The role of modern media technology in improving collaborative learning of students in Jordanian universities (2018) Int. J. Inf. Technol. Lang. Stud., 2 (3); Wadie, N., (2012) An Exploration of Facebook. Com Adoption in Tunisia Using Technology Acceptance Model (TAM) and Theory of Reasoned Action (TRA; Carter, B., Levy, J., Levy, J.R., (2012) Facebook Marketing: Leveraging Facebook’s Features for Your Marketing Campaigns, , Que Publishing; Debatin, B., Lovejoy, J.P., Horn, A.-K., Hughes, B.N., Facebook and online privacy: Attitudes, behaviors, and unintended consequences (2009) J. Comput. Commun., 15 (1), pp. 83-108; Curran, K., Graham, S., Temple, C., Advertising on Facebook (2011) Int. J. E-Bus. Dev., 1 (1), pp. 26-33; Habes, M., The influence of personal motivation on using social TV: A uses and gratifications approach (2019) Int. J. Inf. Technol. Lang. Stud., 3 (1); Jung, T., Chung, N., The impact of interaction and ubiquity on trust, benefits (2015) And Enjoyment in Social Media Continuance Use; Kim, Y.B., Joo, H.C., Lee, B.G., How to forecast behavioral effects on mobile advertising in the smart environment using the technology acceptance model and web advertising effect model (2016) KSII Trans. Internet Inf. Syst., 10 (10), pp. 4997-5013; Kim, S., Baek, T.H., Kim, Y.-K., Yoo, K., Factors affecting stickiness and word of mouth in mobile applications (2016) J. Res. Interact. Mark., 10 (3), pp. 177-192; Koufaris, M., Applying the technology acceptance model and flow theory to online consumer behavior (2002) Inf. Syst. Res., 13 (2), pp. 205-223; Salloum, S.A., Al-Emran, M., Shaalan, K., Tarhini, A., Factors affecting the e-learning acceptance: a case study from UAE (2018) Educ. Inf. Technol., pp. 1-22; Yang, B., Kim, Y., Yoo, C., The integrated mobile advertising model: The effects of technology-and emotion-based evaluations (2013) J. Bus. Res., 66 (9), pp. 1345-1352; Davis, F.D., Perceived usefulness, perceived ease of use, and user acceptance of information technology (1989) MIS Q, pp. 319-340; Rauniar, R., Rawski, G., Yang, J., Johnson, B., Technology acceptance model (TAM) and social media usage: An empirical study on Facebook (2014) J. Enterp. Inf. Manag., 27 (1), pp. 6-30; Venkatesh, V., Bala, H., Technology acceptance model 3 and a research agenda on interventions (2008) Decis. Sci., 39 (2), pp. 273-315; Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., Tatham, R.L., (1998) Multivariate Data Analysis, , (5. Baski); Chin, W.W., The partial least squares approach to structural equation modeling (1998) Mod. Methods Bus. Res., 295 (2), pp. 295-336; Straub, D., Boudreau, M.-C., Gefen, D., Validation guidelines for IS positivist research (2004) Commun. Assoc. Inf. Syst., 13 (1), p. 24; Falk, R.F., Miller, N.B., (1992) A Primer for Soft Modeling, , University of Akron Press; Fornell, C., Larcker, D.F., Evaluating structural equation models with unobservable variables and measurement error (1981) J. Mark. Res., pp. 39-50; Tenenhaus, M., Vinzi, V.E., Chatelin, Y.-M., Lauro, C., PLS path modeling (2005) Comput. Stat. Data Anal., 48 (1), pp. 159-205; Hamouda, M., Understanding social media advertising effect on consumers’ responses: An empirical investigation of tourism advertising on Facebook (2018) J. Enterp. Inf. Manag., 31 (3), pp. 426-445","Salloum, S.A.; Faculty of Engineering & IT, University of FujairahUnited Arab Emirates; email: ssalloum@uof.ac.ae","Hassanien A.E.Shaalan K.Tolba M.F.",,"Springer","5th International Conference on Advanced Intelligent Systems and Informatics, AISI 2019","26 October 2019 through 28 October 2019",,232799,21945357,9783030311285,,,"English","Adv. Intell. Sys. Comput.",Conference Paper,"Final",,Scopus,2-s2.0-85075626650 "Kardayi-Usta S., Bozdag C.E.","57214085622;7801357811;","Healthcare service provider type selection of the medical tourists by using neutrosophic sets",2020,"Advances in Intelligent Systems and Computing","1029",,,"674","682",,,"10.1007/978-3-030-23756-1_81","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069454905&doi=10.1007%2f978-3-030-23756-1_81&partnerID=40&md5=e5e3e3cc3a50da48de443a56b68f5ad3","Istanbul Technical University, Istanbul, 34367, Turkey","Kardayi-Usta, S., Istanbul Technical University, Istanbul, 34367, Turkey; Bozdag, C.E., Istanbul Technical University, Istanbul, 34367, Turkey","Medical tourism service offers a professional healthcare opportunity by travelling abroad with the chance of touristic and cultural activities at the destination country. Medical travelers prefer a foreign country for treatment due to long waiting periods, high costs, excessive number of patients, inadequate number of healthcare professionals and inadequate cutting-edge technological equipment at their country of residence. An assistance company (AC) is a legal requirement to support medical tourists in Turkey during the treatment period, and offers alternative healthcare service providers (HSPs) that are public hospitals, private hospitals and private clinics at the first phase of the medical tourism service. Moreover, there are specific HSPs certificated by the government. For instance, there are a few number of public hospitals authenticated for medical tourism. By taking the whole above statements into consideration, HSP selection is a key decision making point differentiating from a traditional hospital selection of a patient. Medical tourists must evaluate various criteria in order to select a proper HSP. Additionally, these decision criteria are often vague, complex, indeterminate and inconsistent information in the HSP type decision. Hence, in this study, a decision making model based on neutrosophic fuzzy sets considering HSP selection in every aspect (i.e. truthiness, indeterminacy and falsity) is suggested. © 2020, Springer Nature Switzerland AG.","Decision making; Healthcare service provider type selection; Medical tourists; Neutrosophic fuzzy sets","Cutting equipment; Fuzzy sets; Hospitals; Patient treatment; Decision criterions; Decision making models; Health care professionals; Healthcare services; Inconsistent information; Medical tourists; Technological equipments; Type selection; Decision making",,,,,,,,"Ferrer, M., Medhekar, A., The factors impacting on the management of global medical tourism service supply chain (2012) J. GSTF Bus. Rev., 2 (2), pp. 206-211; Lee, H.K., Fernando, Y., The ancecedents and outcomes of the medical tourism supply chain (2015) Tour. Manag., 46, pp. 148-157; Debata, B.R., Patnaik, B., Mahapatra, S.S., An integrated approach for service quality improvement in medical tourism: An Indian perspective (2012) Int. J. Serv. Oper. Manag., 13 (1), pp. 119-145; Kumar, S., Breuing, R., Chahal, R., Globalization of health care delivery in the United States through medical tourism (2012) J. Health Commun., 17 (2), pp. 177-198; Smarandache, F., Neutrosophy. Neutrosophic Probability Set, and Logic. ProQuest Information & Learning, Ann (1998) Arbor; Wang, H., Smarandache, F., Zhang, Y.Q., Sunderraman, R., Single valued neutrosophic sets (2010) Multispace Multistructure, 4, pp. 410-413; Peng, J.J., Wang, J.Q., Wang, J., Zhang, H.Y., Chen, Z.H., Simplified neutrosophic sets and their applications in multi-criteria group decision-making problems (2016) Int. J. Syst. Sci., 47 (10), pp. 2342-2358","Kardayi-Usta, S.; Istanbul Technical UniversityTurkey; email: karadayis@itu.edu.tr","Kahraman C.Cevik Onar S.Oztaysi B.Sari I.U.Cebi S.Tolga A.C.",,"Springer Verlag","International Conference on Intelligent and Fuzzy Systems, INFUS 2019","23 July 2019 through 25 July 2019",,228529,21945357,9783030237554,,,"English","Adv. Intell. Sys. Comput.",Conference Paper,"Final",,Scopus,2-s2.0-85069454905 "Kerber K., Kolahdooz F., Otway M., Laboucan M., Jang S.L., Lawrence S., Aronyk S., Quinn M., Irlbacher-Fox S., Milligan C., Broadhead S., Delancey D., Corriveau A., Sharma S.","57208765755;16506510500;57212253229;57204247746;56391595900;57212254739;57212250194;57212250105;56574207300;57202551270;57212254176;57212253445;6603499737;55600978400;","Opportunities for improving patient experiences among medical travellers from Canada's far north: A mixed-methods study",2019,"BMJ Open","9","12", e030885,"","",,,"10.1136/bmjopen-2019-030885","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076312900&doi=10.1136%2fbmjopen-2019-030885&partnerID=40&md5=97e40b16b697be877632f64dbd314d1c","Department of Medicine, University of Alberta, Edmonton, AB, Canada; Regional Public Health Office, Beaufort-Delta Health and Social Services, Inuvik, Northwest Territories, Canada; Hotlì Ts'eeda Northwest Territories SPOR Support Unit, Yellowknife, Northwest Territories, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Department of Health and Social Services, Government of the Northwest Territories, Yellowknife, Northwest Territories, Canada","Kerber, K., Department of Medicine, University of Alberta, Edmonton, AB, Canada; Kolahdooz, F., Department of Medicine, University of Alberta, Edmonton, AB, Canada; Otway, M., Department of Medicine, University of Alberta, Edmonton, AB, Canada; Laboucan, M., Department of Medicine, University of Alberta, Edmonton, AB, Canada; Jang, S.L., Department of Medicine, University of Alberta, Edmonton, AB, Canada; Lawrence, S., Department of Medicine, University of Alberta, Edmonton, AB, Canada; Aronyk, S., Department of Medicine, University of Alberta, Edmonton, AB, Canada; Quinn, M., Regional Public Health Office, Beaufort-Delta Health and Social Services, Inuvik, Northwest Territories, Canada; Irlbacher-Fox, S., Hotlì Ts'eeda Northwest Territories SPOR Support Unit, Yellowknife, Northwest Territories, Canada; Milligan, C., Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Broadhead, S., Department of Health and Social Services, Government of the Northwest Territories, Yellowknife, Northwest Territories, Canada; Delancey, D., Hotlì Ts'eeda Northwest Territories SPOR Support Unit, Yellowknife, Northwest Territories, Canada; Corriveau, A., Department of Health and Social Services, Government of the Northwest Territories, Yellowknife, Northwest Territories, Canada; Sharma, S., Department of Medicine, University of Alberta, Edmonton, AB, Canada","Objectives This paper explores patient experiences and identifies barriers and opportunities for improving access to healthcare for patients from the Canadian north who travel to receive medical care in a Southern province. Design A mixed-methods, cross-sectional study involved one-on-one interviews, focus group discussions and key informant interviews. Participants 52 one-on-one interviews with Northwest Territories (NWT) patients and patient escorts and two focus group discussions (n=10). Fourteen key informant interviews were conducted with health workers, programme managers and staff of community organisations providing services for out-of-province patients. A Community Advisory Board guided the development of the questionnaires and interpretation of results. Results Respondents were satisfied with the care received overall, but described unnecessary burdens and bureaucratic challenges throughout the travel process. Themes relating to access to healthcare included: plans and logistics for travel; level of communication between services; clarity around jurisdiction and responsibility for care; indirect costs of travel and direct costs of uninsured services; and having a patient escort or advocate available to assist with appointments and navigate the system. Three themes related to healthcare experiences included: cultural awareness, respect and caring, and medical translation. Respondents provided suggestions to improve access to care. Conclusions Patients from NWT need more information and support before and during travel. Ensuring that medical travellers and escorts are prepared before departing, that healthcare providers engage in culturally appropriate communication and connecting travellers to support services on arrival have the potential to improve medical travel experiences. © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.","healthcare access; healthcare services; medical travel; northern Canada; patient experience","adult; article; awareness; care behavior; clinical article; community; cross-sectional study; female; health care access; health care personnel; human; interview; male; manager; medical care; medically uninsured; Northwest Territories; questionnaire; responsibility; travel",,,,,"Royal Alexandra Hospital Foundation","In this study, medical travellers, escorts and support workers were interviewed in the context of a larger project on improving access to healthcare for underserved populations. While Canada’s population distribution is unique, jurisdictions within Australia, USA, Norway, Finland and Greenland have similar geographies that depend on medical travel from remote and isolated communities, and present opportunities for learning. In this population, effective and transparent travel preparation, efficient communication across all phases of care and cultural knowledge were found to be central to ensuring both access to care and a positive patient experience. Many medical travellers reported satisfaction with the care received, while also reporting significant stress involved with managing travel logistics across different health jurisdictions. With direct flights from only one NWT community, the first leg involves travelling to the nearest larger centre in NWT, which can add a day or more to the trip, with no designated facility or support for infirm travellers. This ‘multilocality’ of individuals moving between home and distant care facilities can become a long-term feature of people’s lives, 22 creating disruptions to personal, family, community and cultural obligations. 14 Medical travel can create additional challenges for an already vulnerable person in a health crisis. Almost all NWT residents are required to travel to access advanced medical care at some point. 23 Such travel is further complicated by complex policies affecting healthcare delivery for Indigenous populations. 23 Detailed policies surrounding medical travel and NIHB aim towards standardisation, but are not applied uniformly. This may reduce the ability to respond to shifting patient needs in dynamic situations, such as long-distance travel during a period of illness or injury. 22 Access to information and communication across jurisdictions were particular areas of concern. Electronic health records between NWT and Alberta have allowed for more efficient sharing of patient information, but barriers to full utilisation of the system exist and important medical information does not always travel with patients to other jurisdictions. 24 25 Medical travellers paid out-of-pocket for incidentals and some prescriptions and procedures, and some could not access social assistance benefits or bank accounts away from home. Interjurisdiction coordination has been a long-standing challenge, with negative consequences for health outcomes. 22 Patient escorts were described as an important source of support and advocacy. Family members can support decision-making and adherence to treatment plans, 23 but are not always the best escorts. 26 Even with changes to the patient escort policy, 22 26 respondents echoed that challenges still exist, such as unreliable escorts and inconsistent policy application. For patients alone, a local trained navigator or advocate could help with medical communication, providing emotional and cultural support. 27 Communication predeparture and during the course of travel and treatment should use different formats and media to reach a larger audience with targeted information. Participants called for more culturally appropriate care and cultural knowledge within the healthcare system. Challenges with cross-cultural health communication and health literacy can be particularly harmful. 23 28 29 Respondents described the care and support provided by an Indigenous clinic, cultural helpers and a local Northern support unit staffed by healthcare professionals with experience living in remote settings, as extremely valuable. However, not all travellers were aware of or able to connect to services and resources. Recently, culturally relevant services have been shown to improve the experience of Indigenous patients requiring medical relocation for dialysis in South Australia, 30 and have been identified as especially important for palliative care and cancer services provided away from home in Northern Territory, Australia. 31 32 Respondents described the impact of negative healthcare experiences, including not feeling listened to or respected or discriminated against, on health-seeking behaviours. The unequal patient–provider power dynamic in healthcare, particularly within a colonialist historical context, is well described. 33–35 Relying on patients to advocate for their health and needed services, underestimates the complex power relationships involved. Eight of the 94 summary recommendations arising from Canada’s Truth and Reconciliation Commission specifically pertain to health. 36 Greater understanding of how residential schools, forced relocation and systemic discrimination have shaped Northern communities in Canada, and how to use that knowledge to change healthcare service delivery is still needed. The barriers to medical travel can be overwhelming, leading to delays in receiving care, or an avoidance of care-seeking altogether, 37 resulting in poorer outcomes and higher costs for aggravated health conditions. 38 One study of medical travel in Arctic regions of Nordic countries estimated that the number of service hours per Northern patient is 2–3 times higher than urban populations. 39 Continuity of care remains a challenge in the North; with only 31.1% of Indigenous territorial residents seeing a regular doctor, compared with 76.4% of Indigenous people outside the territories. 40 One systematic review of the impact of distance to healthcare services on health outcomes in Northern settings found worse health outcomes among patients living further away from healthcare facilities and concluded that distance should be a consideration in discussions of treatment options. 37 To our knowledge, this study is the first to explore the experience of medical travel from the perspective of outpatients, escorts, providers and support staff in an urban centre in Canada. The mixed-methods design allowed the merging of rich data from multiple different perspectives. One limitation of this study is the measurement of patient experience during the medical travel process, and not in the home community following the medical travel journey, which may have provided additional insight into continuity of care. Additionally, while patient travel escorts provided some context for hospitalised patients, respondents were mainly individuals receiving outpatient services, and the study findings may not be generalisable to inpatients with greater acute care needs. Finally, this study conducted interviews at the point of care and did not include individuals living in remote and isolated communities who were not able to get the required appointments, referrals or the paperwork to travel. Given the potential for delayed or deferred care-seeking, further research is needed to assess the barriers to healthcare access among Northern residents who are not able to access medical travel. The experience of patients travelling a long distance for an extended period away from home is important to understand in order to provide quality care within Canadian provincial health systems, and will be relevant for other jurisdictions serving remote and isolated communities. The majority of medical travellers from NWT were satisfied with the care received. However, many also encountered serious challenges with medical travel, including significant delays in accessing and receiving care. Patients outside of their home jurisdiction are a unique and potentially vulnerable population that could benefit from increased access to and continuity of care. Healthcare providers and policy-makers may not be aware of the complexity of the medical travel experience and the stress involved with managing travel logistics across different health jurisdictions. More effective and transparent travel preparation and efficient communication across jurisdictions and with patients could help to improve the experience of medical travel for residents of the far north. We are grateful to Larga for providing space for interviews. We thank all of the participants who graciously shared their insight and perspectives. We acknowledge the contribution of The CARE Project Community Advisory Board members who provided insightful feedback on the study design and interpretation of results. We would like to thank the Government of Northwest Territories, Alberta Health Services and the Hotıì ts’eeda SPOR SUPPORT (Support for People and Patient-Oriented Research and Trials) Unit for their ongoing partnership. Contributors SS, FK and KK conceptualised the study, analysed and interpreted the data. SS, FK, KK, MO, SL, SLJ, SA, ML, MO, MQ, SI-F, CM, SB, DD, and AC contributed to the writing and review of the manuscript and interpretation of results. All authors approved the final manuscript. Each author has reviewed and approved the contents of the submitted manuscript for publication. Funding This work was supported by the Royal Alexandra Hospital Foundation. Disclaimer The funder had no role in the study design, nor in the collection, analysis, and interpretation of data, nor the writing of the manuscript, nor in the decision to submit the article for publication. The researchers confirm independence from funders and that all authors, external and internal, had full access to all of the data and can take responsibility for the integrity of the data and the accuracy of the data analysis. Competing interests None declared. Patient consent for publication Not required. Ethics approval University of Alberta’s Human Research Ethics Board, and the Northern Alberta Clinical Trials and Research Centre granted ethical approval (PR00069624). Provenance and peer review Not commissioned; externally peer reviewed. Data availability statement No data are available.",,"(1985) Canada Health Act (R.S.C.), , C. C-6; Supply, Distribution and Migration of Physicians in Canada 2017, 2018, , https://www.cihi.ca/en/quick-stats, Canadian Institute for Health Information. Available [Accessed 18 Aug 2019]; (2010) Have Health Card Will Travel: Out-Of-Province/-Territory Patients, , Canadian Institute for Health Information. Ottawa: CIHI; (2017) National Health Expenditure Trends 1975 to 2017, , Canadian Institute for Health Information. 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Winnipeg, MB: Truth and Reconciliation Commission of Canada; Kelly, C., Hulme, C., Farragher, T., Are differences in travel time or distance to healthcare for adults in global North countries associated with an impact on health outcomes? A systematic review (2016) BMJ Open, 6, p. e013059; Wong, S., Regan, S., Patient perspectives on primary health care in rural communities: Effects of geography on access, continuity and effciency (2009) Rural Remote Health, 9, p. 1142; Gunnarsson, B., Jensen, N.S.K., Gari, T., Air ambulance and hospital services for critically ill and injured in Greenland, Iceland and the Faroe Islands how can we improve? (2015) Int J Circumpolar Health, 74, p. 25697; (2018) Pursuit of Health Equity: Defning Stratifers for Measuring Health Inequality-a Focus on Age, Sex, Gender, Income, Education and Geographic Location, , Canadian Institute for Health Information. Ottawa: Canadian Institute for Health Information","Sharma, S.; Department of Medicine, University of AlbertaCanada; email: gita.sharma@ualberta.ca",,,"BMJ Publishing Group",,,,,20446055,,,"31806609","English","BMJ Open",Article,"Final",Open Access,Scopus,2-s2.0-85076312900 "Yıldız M.S., Khan M.M.","57190582864;44161182600;","Factors Affecting the Choice of Medical Tourism Destination: A Case Study of Medical Tourists from the Arab Region in Turkey",2019,"Journal of Health Management","21","4",,"465","475",,,"10.1177/0972063419884396","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075552741&doi=10.1177%2f0972063419884396&partnerID=40&md5=ece78b606b5d687404b5998bc6fb8780","Turkey Ministry of Health, Sıhhiye, Ankara, Turkey; Department of Health Services Policy and Management, Arnold School of Public Health, Health Services Policy and Management, Columbia, SC, United States","Yıldız, M.S., Turkey Ministry of Health, Sıhhiye, Ankara, Turkey; Khan, M.M., Department of Health Services Policy and Management, Arnold School of Public Health, Health Services Policy and Management, Columbia, SC, United States","The main purpose of this study is to identify the aspects that are considered relatively more important by medical tourists from the Arab world as well as Turkish healthcare providers’ ability to perform these tasks and functions well. Additionally, patients from the Arab world were asked for their reasons for seeking care abroad and the factors affecting their choice of destination (Turkey). Each of the parameters’ importance–performance scores that were collected from medical tourists through a structured questionnaire were analysed by their positions on the importance–performance analysis (IPA) graph. The IPA demonstrated that eight out of 17 aspects of medical services were considered very important by patients and were delivered with high degree of performance by a facility. Seven of the parameters were in ‘low priority—Quadrant 3’, which means that providers performed relatively poorly in these areas and patients did not consider these as important as well. Only one of the parameters was in low importance–high performance area and one other was in high importance–low performance area. The attributes of medical tourism patients found by the analysis may help Turkish healthcare providers to identify the aspects that should be strengthened to improve customer satisfaction. © 2019 Indian Institute of Health Management Research.","importance performance analysis; Medical tourism; medical tourism destination choice","adult; Arab world; article; health care personnel; human; medical service; medical tourism; satisfaction; structured questionnaire; Turkey (republic)",,,,,,,,"Barca, M., Akdeve, E., Balay, İ.G., Strategic analysis of medical tourism in Turkey and strategy recommendations (article in Turkish) (2013) İşletme Araştırmaları Dergisi, 5 (3), pp. 64-92; Cattaneo, O., (2009) Trade in health services: What’s in it for developing countries?, , http://documents.worldbank.org/curated/en/799361468147875354/Trade-in-health-services-whats-in-it-for-developing-countries, Washington, DC, The World Bank, (Policy Research Working Paper No: WPS 5115)., :, Retrieved from; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13. , http://dx.doi.org/10.1016/j.tourman.2012.05.009, Retrieved from; Evans, M.R., Chon, K.S., Formulating and evaluating tourism policy using importance-performance analysis (1989) Hospitality Education and Research Journal, 13 (3), pp. 203-213; George, B.P., Henthorne, T.L., Williams, A.J., Determinants of satisfaction and dissatisfaction among preventive and curative medical tourists: A comparative analysis (2010) International Journal Behavioral and Healthcare Research, 2 (1), pp. 1-19; Go, F., Zhang, W., Applying importance-performance analysis to Beijing as an international meeting destination (1997) Journal of Travel Research, 35 (4), pp. 42-49; Görener, A., A SWOT-AHP approach for assessment of medical tourism sector in Turkey, alphanumeric journal, the journal of operations research, statistics (2016) Econometrics and Management Information Systems, 4 (2), pp. 159-170; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Joppe, M., Martin, D.W., Waalen, J., Toronto’s image as a destination: A comparative importance-satisfaction analysis by origin of visitor (2001) Journal of Travel Research, 39 (3), pp. 252-260; Lacher, R.G., Harrill, R., Going beyond sun, sand and surf? An importance-performance analysis of activities in a 3S resort destination (2010) eRTR—Review of Tourism Research, 8 (4), pp. 57-68; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical tourism: Treatments, markets and health system implications: A scoping review, , Paris, France, OECD; MacReady, N., Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; Martilla, J., James, J., Importance-performance analysis (1977) Journal of Marketing, 41 (1), pp. 77-79; Musa, G., Doshi, D.R., Wong, K.M., Thirumoorthi, T., How satisfied are inbound medical tourists in Malaysia? A study on private hospitals in Kuala Lumpur (2012) Journal of Travel & Tourism Marketing, 29 (7), pp. 629-646; Noree, T., Hanefeld, J., Smith, R., Medical tourism in Thailand: A cross-sectional study (2016) Bulletin of World Health Organisation, 94, pp. 30-36. , http://dx.doi.org/10.2471/BLT.14.152165, Retrieved from; O’Neill, M.A., Palmer, A., Importance-performance analysis: A useful tool for directing continuous quality improvement in education (2004) Quality Assurance in Education, 12 (1), pp. 39-52; Pan, T.J., Chen, W.C., Chinese medical tourists: Their perceptions of Taiwan (2014) Tourism Management, 44, pp. 108-112; Ramirez, A.A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Smith, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2), pp. 276-282; (2016) Activity report 2015, pp. 47-48. , https://sgb.saglik.gov.tr/index.php?lang=tr&page=57&newsCat=1&newsID=992, (., –,). Retrieved from; (2012) Strategic plan 2013–2017, pp. 118-119. , https://sbu.saglik.gov.tr/Ekutuphane/Yayin/455, (., –,). Retrieved from; (2016) Tourism highlights 2016 edition, , http://www.e-unwto.org/doi/pdf/10.18111/9789284418145, Madrid. Retrieved from; Wong, M.S., Hideki, N., George, P., The use of importance-performance analysis (IPA) in evaluating Japan’s e-government services (2011) Journal of Theoretical and Applied Electronic Commerce Research, 6 (2), pp. 17-30; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702; Yıldırım, H.H., Konca, M., Aydın, M.A., Diktaş, H., Otuzoğlu, M., Okumuş, N., (2017) Turkey International Patient Report 2015-2016. Ministry of Health, General Directorate of Healthcare Services, Medical Tourism Department, , http://www.saglikturizmi.gov.tr/TR,23582/saglik-turizmi-2015-2016-raporu.html, Ankara, Turkey, Retrieved from; Yıldız, M.S., Khan, M.M., Opportunities for reproductive tourism: Cost and quality advantages of Turkey in the provision of in-vitro fertilization (IVF) services (2016) BMC Health Services Research, 16, p. 378; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Yıldız, M.S.; Turkey Ministry of HealthTurkey; email: msaid.yildiz@saglik.gov.tr",,,"Sage Publications India Pvt. Ltd",,,,,09720634,,,,"English","J. Health Manage.",Article,"Final",,Scopus,2-s2.0-85075552741 "Kim Y.-J., Choi H.-Y.","57211794417;57202749199;","A study on the risk recognition and motivation of medical tourists-comparison among Japan, Russia and China",2019,"Asia Life Sciences","Supplement 20","1",,"35","46",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074967026&partnerID=40&md5=e3c73618ae79e0e0800b7b90693e2d47","Department of Exercise Rehabilitation Welfare, Sungshin University-Soojung Campus, 2 Bomun-ro 34 da-gil, Seoungbuk-gu, Seoul, 02844, South Korea; Department of Airline Service Managment, School of Business, Jeju International University, Jeju-si, Jeju-do, South Korea","Kim, Y.-J., Department of Exercise Rehabilitation Welfare, Sungshin University-Soojung Campus, 2 Bomun-ro 34 da-gil, Seoungbuk-gu, Seoul, 02844, South Korea; Choi, H.-Y., Department of Airline Service Managment, School of Business, Jeju International University, Jeju-si, Jeju-do, South Korea","The purpose of this study was to provide a comprehensive and systematic understanding of cognition and attitude in medical tourism in Korea. Especially, considering the international characteristics of medical tourism, we compared the motives and risk perception of tourists from Russia, Japan, and China who are most active in medical tourism in Korea. The overall attitude toward medical tourism in Korea was 5.00 on the 7-point average, indicating that all three countries were positive. The most favorable attitude toward medical tourism in Korea was surveyed as Russian tourists. Japanese patients who showed the most negative attitudes toward medical tourism in Korea showed a negative perception level below the midpoint of the scale for all 19 items measuring health service and convenience factors. The overall perception of Chinese tourists in Korea is median between Russia and Japan. This study can not completely explain the cultural influence on the perception and attitude of medical tourism, but at least Hofstede (1980) found the effect of communityism / individualism and avoidance tendency of uncertainty. © Rushing Water Publishers Ltd. 2019.","Attitude toward medical tourism; Convenience; Cross-cultural study; Medical service; Medical tourism; Risk",,,,,,,,,"Chung, H.J., Choi, H.Y., Influence of physical environment and medical service quality on customer satisfaction in medical travel to Korea (2019) Asia Life Sciences Supplement, 18 (1), pp. 465-476; Connell, J., Medical tourism; Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10, pp. 266-267; Crooks, V., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images and the marketing of international travel (2011) Social Science & Medicine, 72, pp. 726-732; Donthu, N., Yoo, B., Cultural influences on services quality expectations (1998) Journal of Services Research, 1 (2), pp. 178-185; Ehrbeck, T., Guevara, C., Mango, P., Cordina, R., Singhal, S., Health care and the consumer (2008) Mckinsey Quarterly, 4 (2), pp. 80-91; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2010) Tourism Management, 32 (5), pp. 995-1005; Hofstede, G., (1980) Culture’s Consequences: International Differences in Work-Related Values, 475p. , Sage, Newbury Park, CA, USA; Horowitz, M., Rosensweig, J.A., Medical tourism – Health care in the global economy (2007) The Physician Executive, pp. 24-30. , November/December; Horowitz, M., Rosensweig, J.A., Jones, C., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), pp. 1-7; Liu, R., Furrer, O., Sudharshan, D., The relationships between culture and behavioral intentions: An empirical examination (2001) Journal of Consumer Marketing, 18 (1), pp. 54-74; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Pizzi, R., Global medical tourism revenue to hit $100B by 2012 (2012) Healthcare Finance News, , http://www.healthcarefinancenews.com/news/global-medical-tourism-revenue-hit-100b-2012; Yu, J., Ko, T., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2011) Tourism Management, 33 (1), pp. 80-88; Zhang, J., Beatty, S., Walsh, G., Review and future directions of cross-cultural consumer services research (2008) Journal of Business Research, 61 (3), pp. 211-224","Choi, H.-Y.; Department of Airline Service Managment, School of Business, Jeju International UniversitySouth Korea; email: hwayeol@hanmail.net",,,"Rushing Water Publishers Ltd.",,,,,01173375,,,,"English","Asia Life Sci.",Article,"Final",,Scopus,2-s2.0-85074967026 "Rokni L., Park S.-H., Avci T.","35488882800;57211603838;15069260300;","Improving medical tourism services through human behaviour and cultural competence",2019,"Iranian Journal of Public Health","48","11",,"1988","1996",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074580562&partnerID=40&md5=6d20789fadf001fc15afd6833ff544de","Asia Contents Institute, Konkuk University, Seoul, South Korea; Faculty of Tourism Management, Eastern Mediterranean University, Famagusta, Cyprus","Rokni, L., Asia Contents Institute, Konkuk University, Seoul, South Korea; Park, S.-H., Asia Contents Institute, Konkuk University, Seoul, South Korea; Avci, T., Faculty of Tourism Management, Eastern Mediterranean University, Famagusta, Cyprus","Background: Medical tourism is a type of service sector in which there is direct interaction between healthcare practitioners and patient-customers, leading to several challenges due to cultural and social background differences. We aimed to investigate the determinants of delivering a culturally-oriented service in medical tourism sector. Methods: Adopting an exploratory qualitative approach, interviews were conducted through a semi-structured procedure with authorities across various medical sectors in South Korea in winter 2017. Participants were all involved in and aware of the medical tourism sector, both academically and clinically. The interview transcripts were coded through a systematic thematic analysis. Results: In order to focus on non-clinical service in medical tourism sector, and a system of cultural competence delivery, three main themes were identified: 1) The personal characteristics of doctors; 2) External supports to be provided by the associated organisations; and finally, 3) Skilfulness, which implies the culturally-oriented interaction with foreign patients. Conclusion: Several strategies are suggested to address the non-clinical challenges and conflicts in doctor-patient interaction in the sector of medical tourism. It is likely that providing a culturally-oriented service in this sector demands for a comprehensive planning, and several strategies for implementation in order to support and train a team of skilful doctors with non-clinical characteristics. These finding will likely have insights for those organisations searching to improve their performance in the medical tourism sector. © 2019, Iranian Journal of Public Health. All rights reserved.","Cultural competence; Human behaviour; Medical tourism; South Korea","adult; article; cultural competence; exploratory research; genetic transcription; human; interview; medical tourism; organization; South Korea; thematic analysis; winter",,,,,"Konkuk University, KU","The authors declare that they have no competing interests. This paper was supported by the KU Research Professor Program of Konkuk University.",,"Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Ormond, M., Medical tourism (2014) The Wiley-Blackwell Companion to Tourism. Ed(S), , Alan A. 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Real Tourism: Practice, Care, and Politics in Contemporary Travel (2011) Culture, 26, p. 143; Egnew, T.R., Suffering, meaning, and healing: Challenges of contemporary medicine (2009) Ann Fam Med, 7, pp. 170-175; Boutin-Foster, C., Foster, J.C., Konopasek, L., Physician, know thyself: The professional culture of medicine as a framework for teaching cultural competence (2008) Acad Med, 83, pp. 106-111; Veerasoontorn, R., Beise-Zee, R., International hospital outshopping: A staged model of push and pull factors (2010) Int J Pharm Healthc Mark, 4, pp. 247-264; Song, Y.J., The South Korean health care system (2009) JMAJ, 52, pp. 206-209; Ormond, M., (2012) Claiming ‘cultural competence’: The Promotion of Multi-Ethnic Malaysia as a Medical Tourism Destination, , Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility. Ed(s), Hall CMe. London: Routledge; Woodman, J., Patients beyond borders: Everybody's guide to affordable, world-class medical travel (2009) Healthy Travel Media; Song, Y.J., The South Korean health care system (2009) JMAJ, 52, pp. 206-209; Jun, J., Framing Service, Benefit, and Credibility Through Images and Texts: A Content Analysis of Online Promotional Messages of Korean Medical Tourism Industry (2016) Health Commun, 31, pp. 845-852; Schnitzler, F., The Europian view: Is there a strategy for Kore to attract Europian patients and wellness tourists (2018) The 9Th Global Healthcare & Medical Tourism Conference, pp. 294-300. , 9-11 May, Seoul, South Korea pp; Lin, H.C., Impact of nurses’ cross‐cultural competence on nursing intellectual capital from a social cognitive theory perspective (2016) J Adv Nurs, 72 (5), pp. 1144-1154; Deardorff, D.K., Identification and assessment of intercultural competence as a student outcome of internationalization (2006) J Stud Int Educ, 10, pp. 241-266; Spitzberg, B.H.C.G., (2009). Conceptualizingintercultural competence The Handbook of Intercultural Competence. Ed(S), Deardoff DK, pp. 2-52. , Newbury Park: Sage, pp. pp; Podsakoff, P.M., Mackenzie, S.B., Lee, J.-Y., Podsakoff, N.P., Common method biases in behavioral research: A critical review of the literature and recommended remedies (2003) J Appl Psychol, 88, pp. 879-903; Luborsky, M.R., The identification and analysis of themes and patterns (1994) Qualitative Methods in Aging Research, 168, pp. 189-210. , J. F. Gubrium & A. Sankar (Eds.), Sage focus edition, Vol., (pp., Thousand Oaks, CA, US: Sage Publications, Inc; Charmaz, K., Belgrave, L., (2012) Qualitative Interviewing and Grounded Theory Analysis. The SAGE Handbook of Interview Research: The Complexity of The Craft, 2, pp. 347-365; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16, pp. 1145-1155; Baum, T., Human resources in tourism: Still waiting for change?–A 2015 reprise (2015) Tourism Management, 50, pp. 204-212; Limberger, A.A., (2010) Impact of Repeated Participation in Computer-Based Cultural Competency Review Training on Cultural Competence of Healthcare Providers and Satisfaction Outcomes among Their Patients. Doctoral Dissertation, , Tui University; Saha, S., Korthuis, P.T., Cohn, J.A., Sharp, V.L., Moore, R.D., Beach, M.C., Primary care provider cultural competence and racial disparities in HIV care and outcomes (2013) J Gen Intern Med, 28, pp. 622-629; Balcazar, F.E., Suarez-Balcazar, Y., Taylor-Ritzler, T., Cultural competence: Development of a conceptual framework (2009) Disabil Rehabil, 31, pp. 1153-1160; Echeverri, M., Brookover, C., Kennedy, K., Nine constructs of cultural competence for curriculum development (2010) Am J Pharm Educ, 74, p. 181; Kim‐Godwin, Y.S., Clarke, P.N., Barton, L., A model for the delivery of culturally competent community care (2001) J Adv Nurs, 35, pp. 918-925; Burchum, J.L.R., Cultural competence: An evolutionary perspective (2002) Nursing Forum, Wiley Online Library, pp. 5-15; Paez, K.A., Allen, J.K., Carson, K.A., Cooper, L.A., Provider and clinic cultural competence in a primary care setting (2008) Soc Sci Med, 66, pp. 1204-1216; Doorenbos, A.Z., Schim, S.M., Cultural competence in hospice (2004) Am J Hosp Palliat Care, 21, pp. 28-32; Weech-Maldonado, R., Elliott, M.N., Pradhan, R., Schiller, C., Dreachslin, J., Hays, R.D., Moving towards culturally competent health systems: Organizational and market factors (2012) Soc Sci Med, 75, pp. 815-822; Price, E.G., Beach, M.C., Gary, T.L., A systematic review of the methodological rigor of studies evaluating cultural competence training of health professionals (2005) Acad Med, 80, pp. 578-586; Beach, M.C., Price, E.G., Gary, T.L., Cultural competency: A systematic review of health care provider educational interventions (2005) Medical Care, 43, pp. 356-373; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88; Geva, I., (2018) Building International Brand. Medical Korea, from Challenge to Chance in Global Healthcare. the 9Th Global Healthcare & Medical Tourism Conference, pp. 76-94. , Seoul, South Korea pp; Kim, S., Lee, J., Jung, J., Assessment of medical tourism development in Korea for the achievement of competitive advantages (2013) Asia Pacific Journal of Tourism Research, 18, pp. 421-445","Rokni, L.; Asia Contents Institute, Konkuk UniversitySouth Korea; email: rokni.ladan@Gmail.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Article,"Final",,Scopus,2-s2.0-85074580562 "Komarov M.N., Zavalishina S.Y., Karpushkin A.A., Malyshev A.V., Kumantsova E.S.","57211393579;36505389100;57212649247;57193224580;57212653999;","Rehabilitation potential of physical activity complex with elements of sports and health tourism in case of dysfunction of the cardiovascular system in adolescence",2019,"Indian Journal of Public Health Research and Development","10","10",,"1814","1818",,,"10.5958/0976-5506.2019.03108.5","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077273451&doi=10.5958%2f0976-5506.2019.03108.5&partnerID=40&md5=5084c0c774a7edd5dda2b8aa5b9205c9","College, st. V. Pika, 4, Moscow, Russian Federation; Department of Adaptive Physical Culture and Recreation, Russian State Social University, st. V. Pika, 4, Moscow, Russian Federation; Department of Physical Education and Sport, Penza State University, st. Red, 40, Penza, Russian Federation; Department of Management and Technology in Tourism and Service, Sochi State University, st. Sovetskaya, 26a, Sochi, Russian Federation; Department of Adaptology and Sports Training, Institute of Natural Science and Sports Technologies, Moscow State Pedagogical University, Agricultural Avenue, 4, building 1, Moscow, Russian Federation","Komarov, M.N., College, st. V. Pika, 4, Moscow, Russian Federation; Zavalishina, S.Y., Department of Adaptive Physical Culture and Recreation, Russian State Social University, st. V. Pika, 4, Moscow, Russian Federation; Karpushkin, A.A., Department of Physical Education and Sport, Penza State University, st. Red, 40, Penza, Russian Federation; Malyshev, A.V., Department of Management and Technology in Tourism and Service, Sochi State University, st. Sovetskaya, 26a, Sochi, Russian Federation; Kumantsova, E.S., Department of Adaptology and Sports Training, Institute of Natural Science and Sports Technologies, Moscow State Pedagogical University, Agricultural Avenue, 4, building 1, Moscow, Russian Federation","It is known that the harmonious combination of work and rest, regular physical training, proper nutrition, hardening of the body is very effective in terms of overall recovery and preservation of the health of its cardiovascular system. Prolonged lack of motor activity leads to a persistent deterioration of health and often contributes to the occurrence of heart and vascular diseases. Regular physical activities with elements of sports and health tourism in both groups of young people with dysfunction of the cardiovascular system ensured a stable optimum heart rate and blood pressure. At the same time, their values reached a more preferable level in the experimental group. In addition, against the background of metered physical loads with elements of sports and health tourism, the examinees succeeded in physiologically advantageous increase in the volume of vital capacity of the lungs. This occurred against the background of a very pronounced growth in the examined level of physical fitness. At the same time, the indicators of speed-strength qualities and general endurance have very strongly increased. Thus, sports and health tourism is one of the very effective health technologies for the beginning dysfunctions of the cardiovascular system in adolescence. © 2019, Indian Journal of Public Health Research and Development. All rights reserved.","Adolescence; Cardiovascular diseases; Motor activity; Physical culture; Prevention; Sports and health tourism",,,,,,,,,"Simonenko, V.B., Medvedev, I.N., Tolmachev, V.V., Effect of irbesartan of the function of hemocoagulative component of hemostasis in patients with arterial hypertension during metabolic syndrome (2010) Klinicheskaia Meditsina, 88 (6), pp. 27-30; Medvedev, I.N., Gromnatskii, N.I., Golikov, B.M., Al’-Zuraiki, E.M., Li, V.I., Effects of lisinopril on platelet aggregation in patients with arterial hypertension with metabolic syndrome (2004) Kardiologiia, 44 (10), pp. 57-59; Medvedev, I.N., Microrheology of erythrocytes in arterial hypertension and dyslipidemia with a complex hypolipidemic treatment (2017) Russian Journal of Cardiology, 4 (144), pp. 13-17; Tkacheva, E.S., Physiological Features of Platelets in Milk and Vegetable Nutrition Piglets (2018) Biomedical & Pharmacology Journal, 11 (3), pp. 1437-1442. , http://dx.doi.org/10.13005/bpj/1508; Amelina, I.V., Medvedev, I.N., Transcriptional activity of chromosome nucleolar organizing regions in population of Kursk region (2009) Bulletin of Experimental Biology and Medicine, 147 (6), pp. 730-732; Medvedev, I.N., Gromnatskii, N.I., The influence of hypocaloric diet on thrombocyte rheology in patients with metabolic syndrome (2006) Klinicheskaia Meditsina, 84 (3), pp. 49-52; Medvedev, I.N., Dynamics of violations of intravascular platelet activity in rats during the formation of metabolic syndrome using fructose models (2016) Problems of Nutrition, 85 (1), pp. 42-46; Medvedev, I.N., Gromnatskii, N.I., The influence of nebivolol on thrombocyte aggregation in patients with arterial hypertension with metabolic syndrome (2005) Klinicheskaia Meditsina, 83 (3), pp. 31-33; Makurina, O.N., Vorobyeva, N.V., Mal, G.S., Skripleva, E.V., Skoblikova, T.V., Functional Features of Hemocoagulation in Rats with Experimentally Formed Arterial Hypertension in Conditions of Increased Motor Activity (2018) Prensa Med Argent, 104, p. 6; Myakotnykh, V.V., Karpov, V.Y., Technology recovery students of the university tourist profile, taking into account the peculiarities of their professional activities (2009) Sochi Journal of Economy, 1, p. 118; Bikbulatova, A.A., Determining the thickness of materials in therapeutic and preventive heat-saving garments (2014) Proceedings of Higher Education Institutes. Textile Industry Technology., 1 (349), pp. 119-123; Medvedev, I.N., Place and Possibilities of the Robotic System Lokomat in the Rehabilitation of Patients after Ischemic Stroke (2019) Biomedical & Pharmacology Journal, 12 (1), pp. 131-140. , http://dx.doi.org/10.13005/bpj/1621; Lanzberg, L.A., Physical training, as a means of health promotion and prevention of cardiovascular diseases (1988) Moscow: Physical Education and Sport, 100; Maksimov, V.I., Parakhnevich, A.V., Parakhnevich, A.А., Glagoleva, T.I., Kutafina, N.V., Erythrocytes’ Microrheological Features of Piglets during the Phase of Dairy-vegetable Nutrition after Damage or Common Supercooling (2017) Annual Research & Review in Biology, 16 (3), pp. 1-8; (2000) Heart Disease and Rehabilitation, p. 406. , Edited by M.L. Pollock, D.H. Schmidt. Kiev: Olympic literature; Matveev, A.P., Makhov, A.S., Karpov, V.Y., Kornev, A.V., The content of the concept “Health-saving technologies” in the context of modern school education (2016) Theory and Practice of Physical Culture, 9, pp. 59-61; Karpov, V.Y., Sapozhnikova, Y.I., Designing the content and methods of training in physical education of a correctional orientation with students of special medical groups (2008) Scientific Notes of the University. P.F. Lesgaft., 8, pp. 41-44; Maksimov, V.I., Parakhnevich, A.V., Parakhnevich, A.А., Glagoleva, T.I., Kutafina, N.V., Physiological Reaction of Erythrocytes’ Micro Rheological Features in Newborn Piglets on Unfavourable Environmental Factors (2017) Annual Research & Review in Biology, 16 (1), pp. 1-8; Oshurkova Ju, L., Glagoleva, T.I., Physiological Activity of Platelet Aggregation in Calves of Vegetable Feeding (2017) Biomedical & Pharmacology Journal, 10 (3), pp. 1395-1400; Sizov, A.A., Pashina, I.V., Lischuk, N.G., Alferova, M.E., Lyaskovets, A.V., Shahbazov, R.F., Andreeva, N.A., Medico-Legal Aspects of Containment of the Spread of Sexually Transmitted Infections (2019) The Journal of Social Sciences Research, 5 (5), pp. 1005-1009","Zavalishina, S.Y.; Department of Adaptive Physical Culture and Recreation, Russian State Social University, st. V. Pika 4, Russian Federation; email: ilmedv1@yandex.ru",,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85077273451 "Cerón A., Crooks V.A., Labonté R., Snyder J., Flores W.","37012054200;35585107800;55334992200;24170239100;6701624547;","Medical Tourism in Guatemala: Qualitatively Exploring How Existing Health System Inequities Facilitate Sector Development",2019,"International Journal of Health Services","49","4",,"754","772",,,"10.1177/0020731419866085","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070379855&doi=10.1177%2f0020731419866085&partnerID=40&md5=d7538bbc6c2298082997bf9e7ba32d47","Department of Anthropology, University of Denver, Denver, CO, United States; Department of Geography, Simon Fraser University, Burnaby, BC, Canada; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Centro de Estudios para la Equidad y Gobernanza en los Sistemas de Salud, Ciudad de Guatemala, Guatemala","Cerón, A., Department of Anthropology, University of Denver, Denver, CO, United States; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Labonté, R., School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Flores, W., Centro de Estudios para la Equidad y Gobernanza en los Sistemas de Salud, Ciudad de Guatemala, Guatemala","This article explores how existing health inequities in the Guatemalan health system facilitate the emergence of its medical tourism industry. We report on our thematic analysis of 50 key informant interviews conducted with 4 groups of stakeholders in the local medical tourism sector. Participants frequently discussed the interplay between the country’s longstanding health inequities and the promotion of medical tourism, characterized by 4 thematic viewpoints: the private health sector is already flourishing; the highly fragmented health system already faces multiple challenges; the underfunded public health sector has a weak regulatory capacity; and the commodification of health care has already advanced. Medical tourism and health inequities shape each other in low- and middle-income countries. In addition to the potential for medical tourism to exacerbate health inequities, previously existing health inequities create opportunities for the industry’s growth. Although regulation of the medical tourism industry is necessary, it needs to be implemented both at the domestic and supranational levels for it to be effective in preventing greater health inequities, and it needs to address the political and economic drivers that make health systems generate health disparities. © The Author(s) 2019.","Guatemala; health inequities; health systems; medical tourism; qualitative methods; regulation","health care; medical tourism; public health; qualitative analysis; questionnaire survey; stakeholder; adult; article; commodification; controlled study; driver; Guatemala; health disparity; human; interview; medical tourism; middle income country; public health; qualitative analysis; thematic analysis; Guatemala; health care delivery; health care disparity; medical tourism; organization and management; private sector; public sector; qualitative research; socioeconomics; Delivery of Health Care; Guatemala; Healthcare Disparities; Humans; Interviews as Topic; Medical Tourism; Private Sector; Public Sector; Qualitative Research; Socioeconomic Factors",,,,,"Canadian Institutes of Health Research, CIHR: Application #257739 [FRN 114797]",,,"Sandberg, D., Medical tourism: an emerging global healthcare industry (2017) Int J Healthc Manag, 10 (4), pp. 281-288; Beladi, H., Chao, C., Ee, M., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Econ Model, 46, pp. 391-396; Pocock, N., Phua, K., Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 12; Lautier, M., International trade of health services: global trends and local impact (2014) Health Policy, 118, pp. 105-113; Smith, R., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet, 373 (9663), pp. 593-601; Alsharif, M., Labonté, R., Lu, Z., Patients beyond borders: a study of medical tourists in four countries (2010) Glob Soc Policy, 10 (3), pp. 315-335; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , 1st ed., New York, NY, Palgrave Macmillan; Álvarez, M., Smith, R., Chanda, R., The impact of medical tourism in low- and middle-income countries (2013) Medical Tourism and Transnational Health Care, pp. 208-222. , Botterill D., Pennings G., Mainil T., (eds), London, England, Palgrave Macmillan, In:, eds; Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: what is the state of existing knowledge (2010) J Public Health Policy, 31 (2), pp. 185-198; Labonté, R., Runnels, V., Crooks, V.A., Johnston, R., Snyder, J., What does the development of medical tourism in Barbados hold for health equity? An exploratory qualitative case study (2017) Glob Health Res Policy, 2, p. 5; Hoffman, L., Crooks, V.A., Snyder, J., Adams, K., Health equity impacts of medical tourism in the Caribbean: the need to provide actionable guidance regarding balancing local and foreign interests (2015) West Indian Med J WIMJ Open, 2 (3), pp. 142-145; (2016) Encuesta Nacional de Condiciones de Vida 2014, , Guatemala City, Guatemala, Instituto Nacional de Estadística; (2017), https://data.worldbank.org/indicator/NY.GNP.PCAP.CD, GNI per capita, Atlas method (current US$)., Published, Accessed July 15, 2019; Cabrera, M., Lustig, N., Morá, H., (2015), Washington, DC: Center for Global Development;, Working Paper No. 397; Becerril-Montekio, V., López-Dávila, L., Sistema de salud de Guatemala (2011) . Salud Publica Mex, 53, pp. S197-S208; Verdugo, J., The failures of neoliberalism: health sector reform in Guatemala (2004) Sickness and Wealth: The Corporate Assault on Health, pp. 57-68. , Fort M., Mercer M., Gish O., (eds), Cambridge, MA, South End Press, In:, eds; (2015) Cuentas nacionales en salud: financiamiento de la salud en Guatemala, período 1995-2014, , Guatemala City, Guatemala, Ministerio de Salud Pública y Asistencia Social; (2010) Diagnóstico nacional de mortalidad materna, Guatemala 2007, , Guatemala City, Guatemala, Ministerio de Salud Pública y Asistencia Social, Secretaría de Planificación de la Presidencia; Chaclán, O., (2012) Turismo médico y la oportunidad de mercado en Guatemala, , 1st ed., Guatemala City, Guatemala, Camaja; Cerón, A., Flores, W., Crooks, V.A., Labonté, R., (2014) An Overview of Guatemala’s Medical Tourism Industry; Version 2.0, British Columbia, , Burnaby, Canada, Simon Fraser University Medical Tourism Research Group; (2008) Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health, , Geneva, Switzerland, World Health Organization, :;, Final Report on the Commission on Social Determinants of Health; Gerring, J., (2017) Case Study Research, , 1st ed., Cambridge, England, Cambridge University Press; Snyder, J., Crooks, V.A., Johnston, R., Cerón, A., Labonté, R., That's enough patients for everyone!”: local stakeholders’ views on attracting patients into Barbados and Guatemala's emerging medical tourism sectors (2016) Global Health, 12, p. 60; Johnston, R., Crooks, V.A., Cerón, A., Providers’ perspectives on inbound medical tourism in Central America and the Caribbean: factors driving and inhibiting sector development and their health equity implications (2016) Glob Health Action, 9, p. 32760; Patton, M., (2002) Qualitative Research and Evaluation Methods, , 3rd ed., Thousand Oaks, CA, Sage; (2012) NVivo Version 10 [Software], , Melbourne, Australia, QSR International; Flores, C., (2017) Diagnóstico Nacional de Salud, , Guatemala City, Guatemala, Ministerio de Salud Pública y Asistencia Social; Labonté, R., Crooks, V.A., Cerón, A., Runnels, V., Snyder, J., Government roles in regulating medical tourism: evidence from Guatemala (2018) Int J Equity Health, 17, p. 150; Chen, Y.Y., Flood, C., Medical tourism’s impact on health care equity and access in low-and-middle-income countries: making the case for regulation (2013) J Law Med Ethics, 41 (1), pp. 286-300","Cerón, A.; Department of Anthropology, University of DenverUnited States; email: alejandro.ceronvaldes@du.edu",,,"SAGE Publications Inc.",,,,,00207314,,IJHSC,"31349751","English","Int. J. Health Serv.",Article,"Final",,Scopus,2-s2.0-85070379855 "Telej E., Gamble J.R.","57210110934;55881152100;","Yoga wellness tourism: a study of marketing strategies in India",2019,"Journal of Consumer Marketing","36","6",,"794","805",,,"10.1108/JCM-07-2018-2788","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069479014&doi=10.1108%2fJCM-07-2018-2788&partnerID=40&md5=21315203f6e81cf50754b51d21f1b89d","Department of Marketing, Tourism and Languages, Edinburgh Napier University, Edinburgh, United Kingdom; Dublin City University, Dublin, Ireland","Telej, E., Department of Marketing, Tourism and Languages, Edinburgh Napier University, Edinburgh, United Kingdom; Gamble, J.R., Dublin City University, Dublin, Ireland","Purpose: The purpose of this paper is to examine marketing strategies that India is currently applying to promote itself as a competitive yoga destination. Design/methodology/approach: The methodological approach consisted of a constructivist research paradigm, a qualitative methodology and an interview-based data collection method. Ten in-depth, semi-structured interviews were conducted with yoga practitioners from various backgrounds and yoga levels who have travelled to India for yoga tourism purposes. Findings: The findings determined that interpretation of yoga tourism is crucial in the choice of marketing approach adopted by destinations offering yoga retreats because, as the study has shown, various perceptions of yoga constitute the basis for particular promotional strategies. Research limitations/implications: Future research could expand on the sample size and demographics of the current study by investigating, possibly through comparative means, larger groups of more diversified yoga practitioners from different countries or backgrounds. Practical implications: It was recommended that India’s tourism marketers re-design their approach concerning an ‘authentic’ yoga experience. Indian destination marketing organisations should target those searching for an authentic yoga experience and use imagery that is realistic. Originality/value: The findings of this study have led to the re-positioning of yoga tourism in India, utilising a unique combinative approach in which a more inclusive concept of wellness is juxtaposed against a lack of any religious referencing. It was also revealed that the motivations of yoga tourists are only partially targeted through an undifferentiated strategic marketing approach. © 2019, Emerald Publishing Limited.","Destination marketing; India; Marketing strategy; Wellness tourism; Yoga tourism",,,,,,,,,"Aggarwal, A.K., Guglani, M., Goel, R.K., Spiritual & yoga tourism: a case study on experience of foreign tourists visiting Rishikesh, India (2008) Tourism in India- Challenges Ahead, pp. 457-464. , 15-17 May 2008, Indian institute of Management Kozhikode, Kekala; Alter, J.S., (2004) Yoga in Modern India: The Body Between Science and Philosophy, , Princeton University Press, New York, NY; Arendt, S.W., Roberts, K.R., Strohbehn, C., Ellis, J., Paez, P., Meyer, J., Use of qualitative research in foodservice organizations: a review of challenges, strategies, and applications (2012) International Journal of Contemporary Hospitality Management, 24 (6), pp. 820-837; Askegaard, S., Eckhardt, G.M., Glocal yoga: re-appropriation in the Indian consumptionscape (2012) Marketing Theory, 12 (1), pp. 45-60; Balakrishnan, M.S., Strategic branding of destinations: a framework (2009) European Journal of Marketing, 43 (5-6), pp. 611-629; Bandyopadhyay, R., Morais, D., Representative dissonance: India’s self and western image (2005) Annals of Tourism Research, 32 (4), pp. 1006-1021; Bandyopadhyay, R., The perennial Western tourism representations of India that refuse to die (2009) Turizam: Znanstveno-Stručni Casopis, 57 (1), pp. 23-35; Bankar, M.A., Chaudhari, S.K., Chaudhari, K.D., Impact of long-term yoga practice on sleep quality and quality of life in the elderly (2013) Journal of Ayurveda and Integrative Medicine, 4 (1), pp. 28-32; Bazeley, P., Jackson, K., (2013) Qualitative Data Analysis with NVivo, , 2nd ed, Sage Publications Limited, London; Bernard, H.R., (2011) Research Methods in Anthropology: Qualitative and Quantitative Approaches, , Altamira Press, Rowman; Beverland, M.B., Farrelly, F., Quester, P.G., Authentic subcultural membership: antecedents and consequences of authenticating acts and authoritative performances (2010) Psychology and Marketing, 27 (7), pp. 698-716; Blackstone, A., (2012) Principles of Sociological Inquiry: Qualitative and Quantitative Methods, , Flatworld, London; Blaxter, L., Hughes, C., Tight, M., (2006) How to Research, , Open University Press, Berkshire; Bradley, G.L., Sparks, B.A., Weber, K., The stress of online reviews: a conceptual model and research agenda (2015) International Journal of Contemporary Hospitality Management, 27 (5), pp. 739-755; Brown, T.C., Miller, B.M., Adams, B.M., What’s in a name? 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Volume I: The Nature and Structure of Tourism, pp. 339-349. , Williams, S. (Ed.), Routledge, London; Tse, D.K., Gorn, G.J., An experiment on the salience of country-of-origin in the era of global brands (1993) Journal of International Marketing, 1 (1), pp. 57-76; Worthington, V., (1982) A History of Yoga, , Routledge, London; Yeoman, I., Brass, D., McMahon-Beattie, U., Current issue in tourism: the authentic tourist (2007) Tourism Management, 28 (4), pp. 1128-1138; Yin, R.K., (2011) Qualitative Research from Start to Finish, , Guilford Publications, New York, NY","Gamble, J.R.; Dublin City UniversityIreland; email: jordangamble@sjtu.edu.cn",,,"Emerald Group Publishing Ltd.",,,,,07363761,,,,"English","J. Consum. Mark.",Article,"Final",,Scopus,2-s2.0-85069479014 "Guo R.","57211216466;","On the Development of Healthy Tourism Industry in Shandong Province under the Background of Big Data",2019,"Journal of Physics: Conference Series","1302","2", 022012,"","",,,"10.1088/1742-6596/1302/2/022012","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073028388&doi=10.1088%2f1742-6596%2f1302%2f2%2f022012&partnerID=40&md5=a84d4fb69723bf797a12f80def61379d","Shandong Xiehe University, Jinan, 250100, China","Guo, R., Shandong Xiehe University, Jinan, 250100, China","As the important convergence point of people's livelihood improvement and economic development, ""medical and health industry"" is one of the emerging industries in the ""top ten"" industries to support the Major Project for Transforming Old and New Driving Forces in Shandong province. Developing healthy tourism industry is conducive to promoting the construction of ""Healthy Shandong"" and accelerating the transformation of old and new driving forces. Besides the advantage of natural resources for developing healthy tourism, a series of policies, such as Shandong Province Healthy Tourism Industry Development Plan (2018-2022), provide a good opportunity and platform for Shandong healthy tourism to explore the domestic and international markets. At present, many problems have been exposed for developing Shandong Healthy Tourism industry, including that the provincial medical health industry is still in its infancy, the industry is big but not strong, the industry structure is no reasonable, regional differentiation is not obvious enough, leading enterprises and well-known brands are few, the application of new technology is insufficient, the support OF HR is not strong, and cross-border integration needs to be deepened. It is suggested that the government ought to make rational use of big data to strengthen the top-level design, innovate developing models, promote quality improvement and capacity expansion, strengthen intellectual security, and establish brand image. © 2019 Published under licence by IOP Publishing Ltd.",,"Artificial intelligence; Image enhancement; Information systems; Information use; International trade; Medical problems; Capacity expansion; Convergence points; Economic development; Industry structures; International markets; Quality improvement; Shandong province; Top-level designs; Big data",,,,,,,,"Ren, X., Healthy tourism: Connotation analysis and development path (2016) Journal of Tourism; He, M., (2017) Report on the Development of China's Healthy and Healthy Industry, , (Social sciences academic press); He, B., Cai, X.D., Research on the development of healthy tourism industry in Hainan province from the perspective of new formats (2018) Nanhai Journal; Wang, A., Analysis on development strategies of domestic healthy tourism service products (2017) China Business Review; Yang, Z., China's tourism development - Tourism, health and health (2016) Journal of Tourism","Guo, R.; Shandong Xiehe UniversityChina; email: 286998048@qq.com","Tseng J.Cheung S.K.S.Kotenko I.",,"Institute of Physics Publishing","2019 4th Annual International Conference on Information System and Artificial Intelligence, ISAI 2019","17 May 2019 through 18 May 2019",,152110,17426588,,,,"English","J. Phys. Conf. Ser.",Conference Paper,"Final",Open Access,Scopus,2-s2.0-85073028388 "Baiev V.V., Bakhov I.S., Holovach N.V., Zgalat-Lozynska L.O.","57211391940;55858989400;57214320373;57006838600;","The economic determinants of the world medical tourism industry development",2019,"Journal of Environmental Management and Tourism","10","6",,"1392","1398",,,"10.14505/jemt.v10.6(38).22","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078614750&doi=10.14505%2fjemt.v10.6%2838%29.22&partnerID=40&md5=b8b167babca102593ccdb53408d3209d","National University of Food Technologies, Ukraine; Interregional Academy of Personnel Management, Ukraine; Kyiv National University of Construction and Architecture, Ukraine","Baiev, V.V., National University of Food Technologies, Ukraine; Bakhov, I.S., Interregional Academy of Personnel Management, Ukraine; Holovach, N.V., Interregional Academy of Personnel Management, Ukraine; Zgalat-Lozynska, L.O., Kyiv National University of Construction and Architecture, Ukraine","The paper considers the main types of medical tourism – diagnostic-therapeutic, health and beauty, and health resort treatment. It specifies the basic prerequisites for development of the international medical tourism industry – cost and quality of medical services, accreditation of medical institutions in compliance with international quality standards; development of medical tourism clusters. © 2019, ASERS Publishing. All rights reserved.","Diagnostic-therapeutic tourism; Economic determinants; Health and beauty tourism; Health resort treatment tourism; Medical tourism; Medical tourism components",,,,,,,,,"Baiev, V.V., Bakhov, I.S., Fokina-Mezentseva, K., Boretska., N., Strategic analysis of development of medical tourism macro-destinations (2019) Journal of Environmental Management and Tourism, 10 (4), pp. 801-808; Bakulina, O., Legan, I., Bakhov, I., Cluster associations as a factor of innovative and integrative development of the economy (2019) International Journal of Innovative Technology and Exploring Engineering, 8 (10), pp. 2249-2255; Belik, I., Green growth diagnostics: Regional aspect (2019) Journal of Environmental Management and Tourism, 10 (2), pp. 448-458. , https://doi.org/10.14505//jemt.v10.2(34).23; Dyshlovyj, I., Peculiarities of functioning of regional recreation and tourist cluster and its regulation (2010) Ekonomika I Upravlenie, 6, pp. 69-75; Koval`, O., Medical tourism: Leisure or treatment? The latest aspects (2016) Tour Inform Zakarpattya, , http://tourinformorg.ua/medychnyj-turyzm-vidpochynok-chy-likuvannya-novitni-aspekty-2, in Ukrainian; Marcekova, R., Simockova, S., Sebova, L., Health tourism in the context of active ageing of Slovak population (2016) Economic Annals-Xxi, 156 (1-2), pp. 109-111. , 2016; Peacock, L., (2016) Medical Tourism in Asia. Smart Travel Asia, , http://www.smarttravelasia.com/MedicalTourism.htm; Pogodayev, E.S., Marketing of works as a source of the new hybrid offerings in widened marketing of goods, works and services (2013) Journal of Business & Industrial Marketing, 28 (8), pp. 638-648; Poleshchuk, N., Health tourism – a popular trend in the development of world tourism (2010) Materials of International Scientific-Practical Conference Overcoming Economic and Financial Crisis: The Experience of Germany and Belarus, pp. 108-111; Ratner, С., Who owns medical tourism? Reaction to the Mta v Imta legal action (2019) International Medical Travel Journal, , http://www.imtj.com/articles/2009/mta-v-imta-legal-action-30018/; Sari, Y., Model of improving tourism industry performance through innovation capability (2019) Journal of Environmental Management and Tourism, 10 (4), pp. 853-864. , https://doi.org/10.14505//jemt.10.4(36).16; Somov, D., The functional approach to strategic management (2019) Economic Annals-Xxi, 171 (5-6), pp. 19-22; Stolley, К., Watson, S., (2014) Medical Tourism. EEIG, 343; Vaxovych, I., Malimon, V., Factors of development of the regional market of medical tourism in the developed world (2012) Finansovyj Prostir, 3 (7), pp. 38-45. , in Ukrainian; Watkins, D., Digital tourism as a key factor in the development of the economy (2018) Economic Annals, 21 (1-2), pp. 40-45. , https://doi.org/10.21003/ea.V169-08; Youngman, І., Trends in the dental tourism market in 2014 (2014) International Medical Travel Journal, , http://www.imtj.com/articles/2014/trends-in-the-dental-tourism-market-in-2014-30195/; Advantages of Check-Up Abroad, , http://www.intmedtourism.com/ru/advantages-of-checkup-abroad1/, Available at; Check-Up-Modern Diagnosis of the Organism. Medvoyage.Info-Website about Medical Tourism, , http://medvoyage.info/news/tourism/check_up_sovremennaya_diagnostika_organizma/, Available at; ECO and Wellness Concept, , http://www.ecoglobus.com/leftside/wellness.htm; Health Tourism, , http://medvoyage.info/medtourism/health/; (2015) The World Health Organization. the Tourism White Paper, , http://ru.egg-life.net/article/68247, Available at; ISAPS have Called the Country's Leading Plastic Surgeon, , http://novoston.com/news/isaps-nazvalo-strany-lidiruyushchie-po-plasticheskim-operaciyam-30169/, Available at; http://oplastike.com/article/statistika-isaps-za-2014-god-20-millionov-proczedur-i-e-to-ne-predel, Available at; Lithuanian Medical Tourism Cluster, , at:www.litcare.com/; (2016) International Medical Travel Journal, , https://www.imtj.com/resources/medical-tourism-climate-survey-2016/; Medical and Health Tourism, , http://tourfaq.net/travel-business/lechebnyj-i-ozdorovitelnyj-turizm/; Medical Tourism, , http://nikitafirst.com.ua/lechebnyi-turizm#sthash; Medical Tourism, , http://www.intmedtourism.com/ru/medical-tourism; The Best SPA Resorts in the World, , http://astar-travel.com.ua/article/luchshie-spa-kurorty-mira",,,,"ASERS Publishing House",,,,,20687729,,,,"English","J. Environ. Manage. Tour.",Article,"Final",,Scopus,2-s2.0-85078614750 "Dunets A.N., Zhogova I.G., Akimov O.S.","57204573412;57205727610;57214130213;","Spatial planning for health tourism development in Belokurikha resort",2019,"Journal of Environmental Management and Tourism","10","6",,"1331","1337",,,"10.14505/jemt.v10.6(38).15","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078292201&doi=10.14505%2fjemt.v10.6%2838%29.15&partnerID=40&md5=2aef6262b1b9af229ec734340415339b","Department of Economic Geography and Cartography, Altai State University, Russian Federation; Department of Foreign Languages, Altai State University, Russian Federation","Dunets, A.N., Department of Economic Geography and Cartography, Altai State University, Russian Federation; Zhogova, I.G., Department of Foreign Languages, Altai State University, Russian Federation; Akimov, O.S., Department of Economic Geography and Cartography, Altai State University, Russian Federation","The health tourism development is of the greatest interest for the business sector and regional authorities in Altai Krai. To a great extent, tourist attractions are maintained and operate year-round. It should be noted that it is essential for the region, located in Siberia. In fact, Belokurikha Resort is the largest recreational area in the Asian part of the Russian Federation. Development of the resort has been subjected to the limits imposed by its location in a small valley of a mountainous river. Therefore, the commercial enterprises, local government and scholars are working on projects for the development of medical tourism within neighbouring territories of the resort. The authors of this paper suggest applying the frame approach in spatial planning for the territorial tourist complex “Bolshaya Belokurikha” (“Big Belokurikha”), and the main elements that are significant for the successful implementation of tourist projects are identified within. The use of the integrated approach allows for the consideration of stakeholders’ interests. To preserve the natural environment and further development of tourism, the natural park ""Foothills of Altai"" was established. This park is considered as a base of touristic operations. The concept and purpose of spatial development is to combine the development of medical tourism and rehabilitation into the natural environment. Currently, project proposals are being discussed by the working group of Altai Krai, and then they will be sent to the Ministry of Economic Development of the Government of the Russian Federation. © 2019, ASERS Publishing. All rights reserved.","Altai Mountains; Belokurikha; Health tourism; Resort; Spatial planning",,,,,,"Russian Foundation for Basic Research, RFBR: 19-45-220009","The reported study was funded by RFBR, project number 19-45-220009 р_а.",,"Bоgomolov, Y.S., Theoretical and methodological fundamentals of management of tourist-recreational complex development in the region (2008) Spb, p. 32; Dunets, A., Muhamedieva, A., Sycheva, I., Perepechkina, E., Vakhrushev, I., Kulchytskiy, A., Spatial tourism planning: Using the model of functional and planning complexes (2019) Journal of Environmental Management and Tourism, 10 (4), pp. 711-719; Dunets, A.N., Akimov, О.S., Latysheva, O.A., Platonova, S.G., (2018) Tourist Geo-Destinations as a New Option in Bolshaya Belokurikha, pp. 38-46. , Economics. Management. Service. Tourism. Culture. Barnaul: Publishing House of AltSTU; Gaman, G., Racasan, B.S., Potra, A.C., Tourism and polycentric development based on health and recreational tourism tupply (2017) Geojournal of Tourism and Geosites, 19 (1), pp. 35-49; Gozner, M., Josan, I., Legislative aspects concerning tourism planning issues in Romania (2013) Geojournal of Tourism and Geosites, 12 (2), pp. 94-100; Gunn, C.A., Var, T., (2002) Tourism Planning: Basics, Concepts, Cases, p. 300. , New York: Routledge; Hall, С.M., Tourism planning: Policies, process and relationships (2008) Great Britain by Henry Ling Ltd., p. 302; Harrill, R., Potts, T.D., Tourism planning in historic districts attitudes toward tourism development in Charleston (2003) Journal of the American Planning Association, 69 (3), pp. 233-244; Kavalyauskas, P., The problem of territorial organization of recreational activities (1989) Theoretical Problems of Recreational Geography, pp. 68-79. , Moscow: Izd-vo Akad.Nauk, (in Russian); Kolbovsky, Е.А., Ecology of tourism and ecological tourism (2006) Аcademy, 256; Kruzhalin, V.I., Scientific-methodical substantiation of the design of tourist-recreational zones (2007) Tourism and Recreation: Basic and Applied Research, pp. 34-38. , М.: RIB «Tourist»; Kudryavtsev, О.K., (1985) Settlement and Planning Structure of Large Urban Agglomerations., p. 160p. , М: Stroyizdat; Lautier, M., International trade of health services: Global trends and local impact (2014) Health Policy, 118 (1), pp. 105-113; Porter, M., Location, competition and economic development: Local clusters in a global economy (2000) Economic Development Quarterly, 14 (1), pp. 7-20; Rеvyakin, V.S.A., (1997) Belokurikha Medical-Rehabilitation Area, 154. , Barnaul; Rоdoman, B.B., (2002) Polarized Biosphere. Smolensk: Oykumena: 336 P; Sandberg, D.S., Medical tourism: An emerging global healthcare industry (2017) International Journal of Healthcare Management, 10 (4), pp. 281-288; Veal, A.J., (2002) Leisure and Tourism Policy and Planning, 302. , MA, USA: CABI Publishing; Vetitnev, A.M., Health tourism: Issues of terminology and typology (2012) Vestnik Sgutikd, 2 (20), pp. 50-56; Vladimirov, V.V., (1986) District Planning, 325; Zyraynov, А.I., (2010) Geographic Technologies of Tourist Design, p. 119. , Perm: Publishing House of Perm University; Zyraynov, А.I., (2013) Investment Memorandum, 76p. , CJSC “Resort Belokurikha”",,,,"ASERS Publishing House",,,,,20687729,,,,"English","J. Environ. Manage. Tour.",Article,"Final",,Scopus,2-s2.0-85078292201 "Rath S., Akhtar N., Panda S.","54890404300;57211909643;57210537617;","Medical tourism: Prospects and challenges",2019,"Indian Journal of Public Health Research and Development","10","9",,"1621","1625",,,"10.5958/0976-5506.2019.02685.8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075312110&doi=10.5958%2f0976-5506.2019.02685.8&partnerID=40&md5=4b5f36e591494c6703c54d479bc97300","Central Research Laboratory, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India; Asian Institute of Public Health, Pahala, Bhubaneswar-Cuttack NH-5, Bhubaneswar, Odisha, India; Department of Prosthodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India","Rath, S., Central Research Laboratory, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India; Akhtar, N., Asian Institute of Public Health, Pahala, Bhubaneswar-Cuttack NH-5, Bhubaneswar, Odisha, India; Panda, S., Department of Prosthodontics, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India","The main purpose of this article is to present a review on medical tourism and identifying its interrelationships and existing risk on health and biosafety. This article focuses on identifying the extent of biosafety risk that encourages an individual to purchase cross-border health services and products. Also, it highlights the causes of growth of medical tourism in India along with the major challenges faced by patients and authorities. © 2019, Indian Journal of Public Health Research and Development. All rights reserved.","Biosafety; Biosecurity; Challenges; Health services; Medical Tourism; Prospects","adult; article; biosafety; human; India; medical tourism",,,,,,,,"Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Med Gen Med, 9 (4), p. 33; Béland, D., Zarzeczny, A., Medical tourism and national health care systems: An institutionalist research agenda (2018) Global Health, 14 (1), p. 68; Cesario, S.K., Implications of medical tourism (2018) Nurs Women’s Health, 22 (3), pp. 269-273; Gupta, V., Das, P., Medical tourism in India (2012) Clin Lab Med, 32 (2), pp. 321-325; Nair, S.R., Relevance of health economics to the Indian healthcare system: A perspective (2015) Perspect Clin Res, 6 (4), pp. 225-226; Borman, E., Health tourism (2004) BMJ, 328 (7431), pp. 60-61; Al-Lamki, L., Medical tourism: Beneficence or maleficence? Sultan Qaboos (2011) Univ Med J, 11 (4), pp. 444-447; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 12; Labonté, R., Crooks, V.A., Valdés, A.C., Runnels, V., Snyder, J., Government roles in regulating medical tourism: Evidence from Guatemala (2018) Int J Equity Health, 17 (1), p. 150; Garg, R., “All is Not Well” with Medical Tourism (2013) Indian J Community Med, 38 (1), pp. 59-61; Sarwar, A.A., Manaf, N.A., Omar, A., Medical Tourist’s Perception in Selecting their Destination: A Global Perspective (2012) Iran J Public Health, 41 (8), pp. 1-7; Sultana, S., Haque, A., Momen, A., Yasmin, F., Factors affecting the attractiveness of medical tourism destination: An empirical study on India-review article (2014) Iran J Public Health, 43 (7), pp. 867-876; Toumi, R., Globalization and health care: Global justice and the role of physicians (2014) Med Health Care Philos, 17 (1), pp. 71-80; Crooks, V.A., Li, N., Snyder, J., “You don’t want to lose that trust that you’ve built with this patient”: (dis)trust, medical tourism, and the Canadian family physician-patient relationship (2015) BMC Fam Pract, 16, p. 25; Cohen, I.G., Medical Tourism, Medical Migration, and Global Justice: Implications for Biosecurity in a Globalized World (2017) Med Law Rev, 25 (2), pp. 200-222. , May 1; Leggat, P., Medical tourism (2015) Aust Fam Physician, 44 (1-2), pp. 16-21; Durrani, H., Healthcare and healthcare systems: Inspiring progress and future prospects (2016) Mhealth, 2, p. 3; Crooks, V.A., Ormond, M., Jin, K.N., Reflections on ‘medical tourism’ from the 2016 Global Healthcare Policy and Management Forum (2017) BMC Proc, 11, p. 6; Sharma, N., Jain, A.K., Gupta, P.K., Sharma, D.S., Review of adoption of disruptive innovative practices in medical tourism in India (2017) Asian J Pharm Res Health Care, 9 (3), pp. 112-123; Faizi, N., Khalique, N., Ahmad, A., Shah, M.S., The dire need for primary care specialization in India: Concerns and challenges (2016) J Family Med Prim Care, 5, pp. 228-233; Majumdar, K.K., Kishore, J., Medical tourism in India and its future prospects (2018) Int J Preven Curat Comm Med, 4 (2), pp. 4-8","Rath, S.; Faculty of Dental Sciences and Nursing, Central Research Laboratory, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University)India; email: dr.shaktirath@gmail.com",,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85075312110 "Giri A., Chatterjee S., Chakraborty S., Aich A., Biswas S.","57210103113;57210211007;57210960572;57211783385;57210696648;","Determinants of satisfaction level of medical tourists with reference to healthcare industry in tamil nadu, india: An empirical study",2019,"Indian Journal of Public Health Research and Development","10","9",,"498","503",,,"10.5958/0976-5506.2019.02478.1","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074989415&doi=10.5958%2f0976-5506.2019.02478.1&partnerID=40&md5=63ad43a89ff1cae2b7f313bc888ac840","School of Management & Social Science, Haldia Institute of Technology, Haldia, West Bengal, India; Department of Pharmaceutical Management, Haldia Institute Management, Haldia, West Bengal, India; Department of Hospital Management, Haldia, West Bengal, India; Department of Science and Management, Haldia Institute of Health Sciences, Haldia, West Bengal, India; Administration Department, Haldia Institute Management, Haldia, West Bengal, India","Giri, A., School of Management & Social Science, Haldia Institute of Technology, Haldia, West Bengal, India; Chatterjee, S., Department of Pharmaceutical Management, Haldia Institute Management, Haldia, West Bengal, India; Chakraborty, S., Department of Hospital Management, Haldia, West Bengal, India; Aich, A., Department of Science and Management, Haldia Institute of Health Sciences, Haldia, West Bengal, India; Biswas, S., Administration Department, Haldia Institute Management, Haldia, West Bengal, India","Medical Tourism is a relatively new concept that is emerging at a rapid pace. It has a potential to give huge economic benefits if tapped properly. India is ranked amongst one of the top destinations for medical tourism. This is because of availability of quality services at an affordable price. This paper aims at identifying the factors with underlying variables that are responsible for causing customer satisfaction in this industry. Tamil Nadu has been selected as the sampling area as it is one of the best destinations of India for medical tourism where the tourists often frequent. Reliability of the sample data and validity of the questionnaire were checked. A model on Medical-Tourists-Satisfaction has been developed by structural equation modelling (SEM) through SPSS and AMOS. The findings imply that Indian healthcare industry needs to emphasize more on the identified critical factors in this study and the government needs to intervene to fully tap the potential of this industry. © 2019, Indian Journal of Public Health Research and Development. All rights reserved.","Customer Satisfaction; Healthcare Industry; Medical Tourism; Quality Services; Structural Equation Modelling","article; empiricism; government; health care industry; human; human experiment; medical tourism; questionnaire; reliability; satisfaction; structural equation modeling; Tamil Nadu; validity",,,,,,,,"Aljumah, A.I., Islam, A., Noor, I.M., Determinants of foreign patients’ loyalty of medical tourism in Malaysia: Trust and Perceived Value as moderators (2017) Science International (Lahore), 29 (3), pp. 579-587; Cheng, S., Yang, M., Chiang, T., Patient Satisfaction with and Recommendation of a Hospital: Effects of Interpersonal and Technical Aspects of Hospital Care (2003) International Journal for Quality in Health Care, 15 (4), pp. 345-355; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health and Place, 16 (6), pp. 1145-1155; Haque, A., Yasmin, F., Anwar, N., Factors determinants of Patients’ Satisfaction towards Health tourism in Malaysia (2018) International Tourism and Hospitality Journal, 1 (1), pp. 1-18; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Jackson, L.A., Barber, D.S., Ethical and sustainable healthcare tourism development: A primer (2014) Tourism and Hospitality Research, 15 (1), pp. 19-26; Kian, T.P., Heng, T.K., An exploratory study on the factors that influence patient satisfaction and its impact on patient loyalty (2015) International Journal of Innovation, Management and Technology, 6 (3), pp. 180-185; Majeed, S., Lu, C., Majeed, M., Shahid, M.N., Health resorts and multi textured perceptions of International Health Tourists (2018) Sustainability, 10 (4), p. 1063; Muthyam, P., Medical Tourism in India: An Analysis (2017) International Journal of Information Research and Review, 4 (12), pp. 4801-4803; Sharma, A., Medical tourism: Emerging challenges and future prospects (2013) International Journal of Business and Management Invention, 2 (1), pp. 21-29","Giri, A.; School of Management & Social Science, Haldia Institute of Technology, Main Building (2nd Floor), HIT Campus, Purba Medinipur, India; email: arunangshugiri@gmail.com",,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85074989415 "Usman Mohideen K.S., Selvakumar V., Hari Harasudha H., Maran K.","57201423219;57211550788;57211556132;56554129900;","A factual research on employee green behavior in select medical research centres - medical tourist staffs’ perspective",2019,"International Journal of Recent Technology and Engineering","8","2 Special Issue 11",,"3059","3063",,,"10.35940/ijrte.B1396.0982S1119","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074406010&doi=10.35940%2fijrte.B1396.0982S1119&partnerID=40&md5=926dfcf039e7321f01b4bc9ba6adb43d","Department of Management Studies, Sri Sai Ram Engineering College, Sai Leo Nagar, West Tambaram, Chennai, Tamil Nadu, India; School of Management Studies, Tamil Nadu Open University, Saidapet, Chennai, Tamil Nadu, India; Sri Sai Ram Institute of Management Studies, Sai Leo Nagar, West Tambaram, Chennai, Tamil Nadu, India","Usman Mohideen, K.S., Department of Management Studies, Sri Sai Ram Engineering College, Sai Leo Nagar, West Tambaram, Chennai, Tamil Nadu, India; Selvakumar, V., Department of Management Studies, Sri Sai Ram Engineering College, Sai Leo Nagar, West Tambaram, Chennai, Tamil Nadu, India; Hari Harasudha, H., School of Management Studies, Tamil Nadu Open University, Saidapet, Chennai, Tamil Nadu, India; Maran, K., Department of Management Studies, Sri Sai Ram Engineering College, Sai Leo Nagar, West Tambaram, Chennai, Tamil Nadu, India, Sri Sai Ram Institute of Management Studies, Sai Leo Nagar, West Tambaram, Chennai, Tamil Nadu, India","Employee Green Behavior (EGB) is the positive environmental behavior that the employees exhibit in an organization. It is one of the several methods in which environment could be protected. The purpose of this study was to gain an understanding of variables that impact EGB of employees in the select medical centers. This descriptive paper on EGB gives insight into the significance of employee green behavior which plays a significant role in protecting the environment and analyses the benefits of green behavior for the employees as well as the environment. The study explored various variables such as Sustaining work, Avoiding harm, Conserving resources and Taking initiatives from medical tourist staffs perspective. The sample size selected for the study is 150 respondents. The respondents are selected by simple random sampling method and structured questionnaire is used to collect data. Correlation, Independent sample t-test and Chi-square were used to analyze the data. There is a significant difference between Marital Status and Avoiding Harm and Marital status and Conserving Resources whereas there is no significant difference between Marital Status and Sustaining Work and Marital Status and Taking Initiative. Positive relationship exhibited between considered variables. © BEIESP.","Avoiding harm; Conserving resources; Employee green behavior; Medical research centers and medical tourist staffs; Sustaining work and taking initiatives",,,,,,,,,"Kim, A., (2014) Multilevel Influences on Voluntary Workplace Green Behaviour: Individual Differences, Leader Behaviour and Co-Worker Advocacy, 43 (5), pp. 1335-1358; (2012) Do I Look Good in Green? A Conceptual Framework, Amazon, Organizations and Sustainability, 6 (2), pp. 7-23; Green HRM: People Management Commitment to Environmental Sustainability (2012) Research Journal of Recent Sciences, 1 (6), pp. 244-252; Christine, J., Development of an Employee Green Behavior Descriptive Norms Scale (2014) Electronic Theses, Projects, and Dissertations, 1 (2), p. 83; Sherin, J., Is it time to promote employee green behavior? The need and scope (2017) Journal of Management Research and Analysis, 3 (4), pp. 117-122; Impact Of Green Human Resource Factors On Environmental Performance In Manufacturing Companies: An Empirical Evidence (2015) International Journal of Engineering and Management Science, 6 (1), pp. 23-30; McCunn, L.J., Do green offices affect employee engagement and environmental attitudes? (2012) Architectural Science Review, 2 (8), pp. 128-134; Manika, D.W., The Impact of Individual Attitudinal and Organisational Variables on Workplace Environmentally Friendly Behaviors (2015) Journal of Business Ethics, 3 (5), pp. 663-684; Manoharan, The Pro-Environmental Behavior of Employee in an Apparel Manufacturing Organization in Nuwara-Eliya District of Sri Lanka (2017) Sri Lankan Journal of Human Resource Management, 1 (4), p. 26; Nadia, Green Workplace Behavior in Saudi Arabia: The Case of Enviro Co (2017) Journal of Management and Sustainability, 7 (1), pp. 23-27; Green organizational climates and employee pro-environmental behavior in the hotel industry (2016) Journal of Sustainable Tourism, 26 (7), pp. 1142-1159; Iqbal, Q., Employee’s green behavior for environmental sustainability: A case of the banking sector in Pakistan (2018) World Journal of Science, Technology and Sustainable Development, 15 (2), pp. 118-130; Rachel, Employee Motives for Engaging in Environmentally Sustainable Behaviors: A Multi-Study Analysis (2015) Digital Conservancy, 1 (9), p. 23; Ranitha, Employee Green Behavior: A Case in Manufacturing & Service Sector in Sri Lanka (2017) International Journal of Academic Research in Business and Social Sciences, 7 (8), p. 12; Thanita, The model of corporate social responsibility, organizational commitment and employee green behavior (2017) UTCC International Journal of Business and Economics, 9 (2), p. 23; Norton, T.A., Employee Green Behavior: A Theoretical Framework, Multilevel Review, and Future Research Agenda (2015) Organization & Environment, 28 (1), pp. 103-125; Vincent, Encouraging sustainability in the workplace: A survey on the pro-environmental behavior of university employees (2014) Journal of Cleaner Production, 7 (3), p. 18",,,,"Blue Eyes Intelligence Engineering and Sciences Publication",,,,,22773878,,,,"English","Int. J. Recent Technol. Eng.",Article,"Final",Open Access,Scopus,2-s2.0-85074406010 "Awano N., Takamoto T., Kawakami J., Genda A., Ninomiya A., Ikeda M., Matsuno F., Izumo T., Kunitoh H.","55202122500;12809322000;57211544933;57211544251;57211544025;57211544360;57211545660;14627628500;7003627919;","Issues associated with medical tourism for cancer care in Japan",2019,"Japanese Journal of Clinical Oncology","49","8",,"708","713",,,"10.1093/jjco/hyz061","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074378725&doi=10.1093%2fjjco%2fhyz061&partnerID=40&md5=589090c38c8a8d6033d5a315371ba2a7","Department of Respiratory Medicine, Japanese Red Cross Medical Center, Tokyo, Japan; Department of Hepato-Biliary-Pancreatic and Liver Transplantation Surgery, Japanese Red Cross Medical Center, Tokyo, Japan; Department of Nursing, Japanese Red Cross Medical Center, Tokyo, Japan; Department of Medical Oncology, Japanese Red Cross Medical Center, Tokyo, Japan","Awano, N., Department of Respiratory Medicine, Japanese Red Cross Medical Center, Tokyo, Japan; Takamoto, T., Department of Hepato-Biliary-Pancreatic and Liver Transplantation Surgery, Japanese Red Cross Medical Center, Tokyo, Japan; Kawakami, J., Department of Nursing, Japanese Red Cross Medical Center, Tokyo, Japan; Genda, A., Department of Nursing, Japanese Red Cross Medical Center, Tokyo, Japan; Ninomiya, A., Department of Nursing, Japanese Red Cross Medical Center, Tokyo, Japan; Ikeda, M., Department of Nursing, Japanese Red Cross Medical Center, Tokyo, Japan; Matsuno, F., Department of Nursing, Japanese Red Cross Medical Center, Tokyo, Japan; Izumo, T., Department of Respiratory Medicine, Japanese Red Cross Medical Center, Tokyo, Japan; Kunitoh, H., Department of Medical Oncology, Japanese Red Cross Medical Center, Tokyo, Japan","Background: Medical tourism has grown globally, especially in oncology field, but it may cause serious problems. We aimed to elucidate concerns generated by medical tourism at a Japanese hospital and recommend solutions. Methods: We evaluated 72 consecutive patients with cancer who had traveled from abroad to receive second opinions, clinical examinations or treatments at our hospital between January 2015 and December 2016. Data were retrospectively collected to include the purpose of patients’ visits, presence and content of referral documents, details of treatments provided at our hospital, concordance between treatments received and patients’ expectations, troublesome hospital incidents, risks of travel and problems with payment. Results: The purpose of the visit was actual cancer treatment in the majority of the cases. Thirteen patients could speak neither Japanese nor English. Inadequate content in patient referral documents and discordance between information from the referring physician and findings at first examination were the main issues observed in the pre-treatment phase; 33 patients decided to receive treatment at our hospital. Language differences caused problems in patients’ understanding of instructions and explanations during treatment. Additional problems included inaccurate self-evaluation of disease status, differences in cultural habits and requests for inappropriate and/ or unavailable therapies. No major issues that could lead to injury in patients or medical staff were observed. Risks involved with returning home and transfer of treatment to local physicians were the main post-treatment issues. Conclusion: Medical tourism raises various issues. Institutional and medical staff should be adequately prepared by developing working systems. © The Author(s) 2019. Published by Oxford University Press. All rights reserved.","Global oncology; International medicine; Medical tourism; Social medicine","adult; aged; Article; clinical examination; English (language); female; health service; human; incidence; Japan; major clinical study; male; mass communication; medical documentation; medical staff; medical tourism; patient care; patient referral; patient transport; physician; retrospective study; risk factor; self evaluation; travel; cultural anthropology; economics; habit; health care cost; health care personnel; middle aged; neoplasm; very elderly; young adult; Adult; Aged; Aged, 80 and over; Culture; Female; Habits; Health Expenditures; Health Personnel; Humans; Japan; Male; Medical Tourism; Middle Aged; Neoplasms; Retrospective Studies; Travel; Young Adult",,,,,,,,"Leng, C.H., Medical tourism and the state in Malaysia and singapore (2010) Glob Soc Policy, 10, pp. 336-357; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376, pp. 671-672; Ormond, M., Shifting subjects of health-care: Placing ‘medical tourism’ in the context of malaysian domestic health-care reform (2011) Asia Pac View, 52, pp. 247-259; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and malaysia (2011) Globa Health, 7, p. 12; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2011) Bull World Health Organ, 89, pp. 336-344; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13; Turner, L., ‘First world health care at third world prices’: Globalization, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325; Lautier, M., International trade of health services: Global trends and local impact (2014) Health Policy, 118, pp. 105-113; Johnston, R., Crooks, V.A., Cerón, A., Providers’ perspectives on inbound medical tourism in central america and the caribbean: Factors driving and inhibiting sector development and their health equity implications (2016) Glob Health Action, 9, p. 32760; Benedetti, D.J., Golshan, M., Kesselheim, J.C., Going the distance: Ethical issues arising when patients seek cancer care from international settings (2018) J Glob Oncol, 4, pp. 1-4","Awano, N.; Department of Respiratory Medicine, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Japan; email: awanobu0606@hotmail.co.jp",,,"Oxford University Press",,,,,03682811,,JJCOA,"31329917","English","Jpn. J. Clin. Oncol.",Article,"Final",,Scopus,2-s2.0-85074378725 "Young L.K., Vimawala S., Ahmad N., Kushnir V., Bonawitz S.C., Brody J.D., Enriquez M.L., Koshkareva Y.A.","57208014888;57206720827;57200573459;57208012240;6507561374;55539192200;54919401300;16052694700;","Review of inbound medical tourism and legal details of obtaining a visa for treatment of head and neck cancer",2019,"Head and Neck","41","8",,"E125","E132",,,"10.1002/hed.25743","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063563960&doi=10.1002%2fhed.25743&partnerID=40&md5=5ecf73b03872c07e0331e445ab525bca","Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, NJ, United States; Department of Surgery, Division of Otolaryngology—Head and Neck Surgery, Cooper University Hospital, Camden, NJ, United States; VB Kushnir LLC, Philadelphia, PA, United States; Department of Surgery, Division of Plastic Surgery, Cooper University Hospital, Camden, NJ, United States; Department of Radiology, Cooper University Hospital, Camden, NJ, United States; Department of Pathology, Cooper University Hospital, Camden, NJ, United States","Young, L.K., Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, NJ, United States; Vimawala, S., Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, NJ, United States; Ahmad, N., Department of Surgery, Division of Otolaryngology—Head and Neck Surgery, Cooper University Hospital, Camden, NJ, United States; Kushnir, V., VB Kushnir LLC, Philadelphia, PA, United States; Bonawitz, S.C., Department of Surgery, Division of Plastic Surgery, Cooper University Hospital, Camden, NJ, United States; Brody, J.D., Department of Radiology, Cooper University Hospital, Camden, NJ, United States; Enriquez, M.L., Department of Pathology, Cooper University Hospital, Camden, NJ, United States; Koshkareva, Y.A., Department of Surgery, Division of Otolaryngology—Head and Neck Surgery, Cooper University Hospital, Camden, NJ, United States","Background: We aim to provide a review of inbound medical tourism and the legal process of obtaining a visa for medical/surgical treatment for the patients with head and neck cancer. Methods: We reviewed current statistics and the medical and legal literature regarding inbound medical tourism and the process of obtaining a visa for patients traveling to the United States for medical treatment. To illustrate this process, we present a case of an advanced-staged and disfiguring facial polymorphous high-grade adenocarcinoma in a previously healthy 29-year-old woman from Liberia. Results: This report provides a synopsis of available statistical data on inbound medical tourism and the legal aspects of obtaining a visa for patients seeking medical care from abroad. Conclusions: Medical tourists traveling to the United States for treatment of head and neck pathologies face considerable barriers in obtaining prompt care, leading to a possible increased disease burden and difficulty in rendering oncologic treatment. © 2019 Wiley Periodicals, Inc.","head and neck cancer; inbound medical tourism; medical visa","antineoplastic agent; protein S 100; adult; body weight loss; cancer chemotherapy; cancer radiotherapy; cancer surgery; case report; chemoradiotherapy; clinical article; ethmoidectomy; facial bone; female; follow up; head and neck cancer; human; human tissue; immigration; immunohistochemistry; long term care; maxilla resection; medical care; medical tourism; mitosis rate; nose cavity; nuclear magnetic resonance imaging; physical examination; priority journal; Review; tissue section; United States",,,,,,,,"Woodman, J., (2014) Patients Beyond Borders: Everybody's Guide to Affordable, World-Class Medical Travel, , Chapel Hill, NC, Healthy Travel Media; (2017) Estimated Number of Inbound Medical Travelers By Country: 2016, , http://patientsbeyondborders.com/, Chapel Hill, NC, Patients Beyond Borders, Accessed April 18, 2018; Lunt, N., Smith, R., Exworth, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, p. 55. , http://www.oecd.org/dataoecd/51/11/48723982.pdf, Paris, OECD; Chambers, A., https://www.usitc.gov/publications/332/executive_briefings/chambers_health-related_travel_final.pdf, Trends in U.S. Health Travel Services Trade. USITC Executive Briefing on Trade. 2015., Accessed April 18, 2018; Fottler, M.D., Can inbound and domestic medical tourism improve your bottom line? Identifying the potential of a U.S. tourism market (2014) J Health Care Manag, 59 (1), pp. 49-63; Goldbach, A.R., West, D.J., Medical tourism: a new venue of healthcare (2010) J Glob Bus Issues, 4 (2), pp. 43-53; https://health.usnews.com/best-hospitals/rankings/ear-nose-and-throat, Best Hospitals for Ear, Nose & Throat. US News World Rep., Accessed April 25, 2018; Wike, V.S., Where should they go? Undocumented immigrants and long-term care in the United States (2013) HEC Forum, 25 (2), pp. 173-182; Hasan, R., https://www.ahcmedia.com/articles/114644-struggling-to-find-post-acute-care-for-undocumented-and-uninsured-immigrants, Struggling to find post-acute care for undocumented and uninsured immigrants [Internet]. Relias Media. 2009., Accessed Nov 26, 2017; (2018) What is a U.S. Visa?, , https://travel.state.gov/content/travel/en/us-visas/visa-information-resources/frequently-asked-questions/what-is-us-visa.html, [Internet]. U.S. Department of State, Accessed Apr 2018; (2015) Status of Citizens of the Freely Associated States of the Federated States of Micronesia and the Republic of the Marshall Islands, , https://save.uscis.gov/web/media/resourcesContents/CFA_MIS.pdf, Internet, U.S, Citizenship and Immigration Services, Accessed Apr 2018; (2018), https://travel.state.gov/content/travel/en/us-visas/tourism-visit/citizens-of-canada-and-bermuda.html, Accessed Apr 2018; What are the document requirements for Bahamian citizens coming to the United States? [Internet] (2018) U.S. Customs and Border Protection, , https://help.cbp.gov/app/answers/detail/a_id/1250/~/bahamian-citizen-document-requirements, Accessed Apr 2018; (2016), https://www.dhs.gov/visa-waiver-program, Internet, Department of Homeland Security, Accessed Apr 2018; (1988), Temporary visitors for business or pleasure, 22 C.F.R. 41.31(a); (1988), (1). , Temporary visitors for business or pleasure, 22 C.F.R. 41.31(b); (1976), Special requirements for admission, extensionmaintenance of status, 8 C.F.R. 214.2; (1965), Immigration and Nationality Act, 8 U.S.C.S. § 1101; (2003), Admission of nonimmigrants, 8 U.S.C.S. § 1184; (1988), (1). , Temporary visitors for business or pleasure, 22 C.F.R. 41.31(a); (1988), (2). , Temporary visitors for business or pleasure, 22 C.F.R. 41.31(a); (1988), (3). , Temporary visitors for business or pleasure, 22 C.F.R. 41.31(a); Visitor Visa [Internet] (2018) U.S. Department of State, , https://travel.state.gov/content/travel/en/us-visas/tourism-visit/visitor.html, Accessed Apr 2018; Terzi, E., Kern, T., Kohnen, T., Komplikationen nach refraktiver Chirurgie im Ausland [complications after refractive surgery abroad] (2008) Ophthalmologe, 105 (5), pp. 474-479; (2003) Evaluering: Pasienterfaringer I kjøp av Helsetjenester i Utlandet [Evaluation: Patient Experiences from Purchasing Healthcare Abroad], , Oslo, Norway, Norwegian Knowledge Centre for Health Services; Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 266","Koshkareva, Y.A.; Department of Surgery, Division of Otolaryngology—Head and Neck Surgery, Cooper University HospitalUnited States; email: koshkareva-yekaterina@cooperhealth.edu",,,"John Wiley and Sons Inc.",,,,,10433074,,HEANE,"30908746","English","Head Neck",Review,"Final",,Scopus,2-s2.0-85063563960 "Crooks V.A., Labonté R., Ceron A., Johnston R., Snyder J., Snyder M.","35585107800;55334992200;37012054200;36500711800;24170239100;56848691100;","""medical tourism will...obligate physicians to elevate their level so that they can compete"": A qualitative exploration of the anticipated impacts of inbound medical tourism on health human resources in Guatemala",2019,"Human Resources for Health","17","1", 53,"","",,,"10.1186/s12960-019-0395-z","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068935954&doi=10.1186%2fs12960-019-0395-z&partnerID=40&md5=bd2262ebf1c0a6131e47e7fb1d72fdae","Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; School of Epidemiology and Public Health, University of Ottawa, Alta Vista Campus, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3, Canada; Department of Anthropology, University of Denver, 2000 E. Asbury Avenue, Denver, CO 80208, United States; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, British Columbia V5A 1S6, Canada; Meating Ground Consulting, Collingwood, ON, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Labonté, R., School of Epidemiology and Public Health, University of Ottawa, Alta Vista Campus, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3, Canada; Ceron, A., Department of Anthropology, University of Denver, 2000 E. Asbury Avenue, Denver, CO 80208, United States; Johnston, R., Department of Geography, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, British Columbia V5A 1S6, Canada; Snyder, M., Meating Ground Consulting, Collingwood, ON, Canada","Background: Medical tourism, which involves cross-border travel to access private, non-emergency medical interventions, is growing in many Latin American Caribbean countries. The commodification and export of private health services is often promoted due to perceived economic benefits. Research indicates growing concern for health inequities caused by medical tourism, which includes its impact on health human resources, yet little research addresses the impacts of medical tourism on health human resources in destination countries and the subsequent impacts for health equity. To address this gap, we use a case study approach to identify anticipated impacts of medical tourism sector development on health human resources and the implications for health equity in Guatemala. Methods: After undertaking an extensive review of media and policy discussions in Guatemala's medical tourism sector and site visits observing first-hand the complex dynamics of this sector, in-depth key informant interviews were conducted with 50 purposefully selected medical tourism stakeholders in representing five key sectors: public health care, private health care, health human resources, civil society, and government. Participants were identified using multiple recruitment methods. Interviews were transcribed in English. Transcripts were reviewed to identify emerging themes and were coded accordingly. The coding scheme was tested for integrity and thematic analysis ensued. Data were analysed thematically. Results: Findings revealed five areas of concern that relate to Guatemala's nascent medical tourism sector development and its anticipated impacts on health human resources: the impetus to meet international training and practice standards; opportunities and demand for English language training and competency among health workers; health worker migration from public to private sector; job creation and labour market augmentation as a result of medical tourism; and the demand for specialist care. These thematic areas present opportunities and challenges for health workers and the health care system. Conclusion: From a health equity perspective, the results question the responsibility of Guatemala's medical education system for supporting an enhanced medical tourism sector, particularly with an increasing focus on the demand for private clinics, specific specialities, English-language training, and international standards. Further, significant health inequalities and barriers to care for Indigenous populations are unlikely to benefit from the impacts identified from participants, as is true for rural-urban and public-private health human resource migration. © 2019 The Author(s).","Guatemala; Health equity; Health human resources; Latin American and Caribbean region; Medical tourism","adult; article; Caribbean; English (language); female; genetic transcription; government; Guatemala; health care personnel; health care system; health equity; human; human experiment; interview; job market; language development; male; medical education; medical tourism; private sector; public health service; responsibility; thematic analysis; economic aspect; economics; government regulation; Guatemala; health care delivery; health care policy; health services research; qualitative research; Economic Competition; Government Regulation; Guatemala; Health Policy; Health Services Accessibility; Health Services Research; Health Workforce; Humans; Interviews as Topic; Medical Tourism; Qualitative Research",,,,,"Canadian Institutes of Health Research, CIHR Michael Smith Foundation for Health Research, MSFHR Canadian Institutes of Health Research, CIHR","VAC holds the Canada Research Chair in Health Service Geographies and also a Scholar Award from the Michael Smith Foundation for Health Research. RL holds the Canada Research Chair in Globalization and Health Equity. RJ was funded during the study period by a PhD fellowship awarded by the Canadian Institutes of Health Research. We are thankful to Neville Li who assisted us as a research coordinator during parts of our work on this analysis.","This study is funded by an Operating Grant awarded by the Canadian Institutes of Health Research (CIHR).","Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour Manag, 34, pp. 1-13; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health., 9, p. 24; Crooks, V., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Heal Serv Res., 10, p. 266; Crooks, V.A., Snyder, J., Medical tourism (2011) Can Fam Physician., 57, pp. 527-529. , 21571709 3093576; Noree, T., Hanefeld, J., Smith, R., UK medical tourists in Thailand: They are not who you think they are (2014) Global Health., 10, p. 29; Ramírez De Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) Int J Heal Serv., 37 (1), pp. 193-198; Cortez, N., Into the void: The legal ambiguities of an unregulated medical tourism market (2012) Risks and Challenges in Medical Tourism, pp. 187-206. , J.R. Hodges L. Turner A.M. Kimball (eds) ABC- CLIO Santa Barbara; Beladi, H., Chao, C.C., Ee, M.S., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Econ Model., 46, pp. 391-396; Sandberg, D.S., Medical tourism: An emerging global healthcare industry (2017) Int J Healthc Manag., 10 (4), pp. 281-288; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) Lancet., 373 (9663), pp. 593-601; Snyder, J., Crooks, V.A., Johnston, R., Cerón, A., Labonte, R., That's enough patients for everyone!"": Local stakeholders' views on attracting patients into Barbados and Guatemala's emerging medical tourism sectors (2016) Global Health., 12, p. 60; Snyder, J., Crooks, V.A., Medical treatment not approved yet? No problem! Welcome to circumvention tourism (2015) The Conversation, , https://theconversation.com/medical-treatment-not-approved-yet-no-problem-welcome-to-circumvention-tourism-35070, Accessed 12 Jan 2018; Ehrbeck, T., Guevara, C., Mango, P., (2008) Mapping the Market for Medical Travel, , http://www.lindsayresnick.com/Resource_Links/MedicalTravel.pdf, The McKinsey Quarterly Pittsburgh Accessed 15 Nov 2017; Alsharif, M.J., Labonté, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Glob Soc Policy., 10 (3), pp. 315-335; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge (2010) J Public Health Policy., 31 (2), pp. 185-198; (2008) Closing the Gap in A Generation: Health Equity Through Action on the Social Determinants of Health, , http://www.bvsde.paho.org/bvsacd/cd68/Marmot.pdf%5Cnpapers2://publication/uuid/E1779459-4655-4721-8531-CF82E8D47409, CSDH Final Report on the Commission on Social Determinants of Health Geneva Accessed 15 Nov 2017; Labonté, R., Runnels, V., Crooks, V.A., Johnston, R., Snyder, J., What does the development of medical tourism in Barbados hold for health equity? An exploratory qualitative case study (2017) Glob Heal Res Policy., 2, p. 5; Hoffman, L., Crooks, V., Snyder, J., Adams, K., Health equity impacts of medical tourism in the Caribbean: The need to provide actionable guidance regarding balancing local and foreign interests (2015) WIMJ Open., 2 (3), pp. 142-145; Qadeer, I., Reddy, S., Medical tourism in India: Perceptions of physicians in tertiary care hospitals (2013) Philos Ethics, Humanit Med, 8, p. 20; Adams, K., Crooks, V.A., Cohen, I.G., Whitmore, R., Medical tourism in the tropics: New regulation is needed to tackle equity and quality concerns in Barbados (2015) A Glob Village., 13 (13), pp. 6-10; Chen, Y.Y.B., Flood, C.M., Tourism's impact on health and access countries: Making the case for regulation (2013) J Law, Med Ethics, pp. 286-300; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan New York; Saniotis, A., Changing ethics in medical practice: A Thai perspective (2008) Indian J Med Ethics., 4 (1), pp. 24-25; Snyder, J., Crooks, V.A., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: A prospective, qualitative study of stakeholder perceptions (2013) Int J Equity Health [Internet], 12, p. 2; Walton-Roberts, M., International migration of health professionals and the marketization and privatization of health education in India: From push-pull to global political economy (2015) Soc Sci Med., 124, pp. 374-382; Turner, L., 'First World Health Care at Third World Prices': Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Whittaker, A., The implicatiosn of medical travel upon equity in lower-and middle-income countries Handbook on Medical Tourism and Patient Mobility, 112, pp. 22-2015. , Lunt N, Horsfall D, Hanefeld J, editors. UK: Edward Elgar Publishing; Otterson, J., Jenni Otterson writes from Punta Gorda (2012) Amandala, , http://amandala.com.bz/news/jenni-otterson-writes-punta-gorda/, Accessed 9 Sep 2013; Shooman, J., Medical tourism is serious business (2013) Caycompass, , http://www.compasscayman.com/caycompass/2013/04/30/Medical-tourism-is-serious-business/, Accessed 9 Sep 2013; Johnston, R., Crooks, V.A., Medical tourism in the Caribbean region: A call to consider environmental health equity (2013) WIMJ, 62, p. 3; Dearellano, R., Medical tourism in the Caribbean (2011) Signs (Chic), 36 (2), pp. 289-296; Snyder, J., Crooks, V.A., Johnston, R., Adams, K., Whitmore, R., Medical tourism's impacts on health worker migration in the Caribbean: Five examples and their implications for global justice (2015) Glob Heal Act, 8, p. 1; Warf, B., Do you know the way to San Jose? Medical Tourism in Costa Rica (2010) J Lat Am Geog, 9 (1), pp. 51-66; Edmonds, A., Almost invisible scars"": Medical tourism to Brazil (2011) Signs (Chic), 36 (2), pp. 297-302; Vindrola-Padros, C., A cautionary tale: The 'new' medical tourism industry in Argentina (2015) Somatechnics, 5 (1), pp. 69-87; Connell, J., Medical tourism in the Caribbean islands: A cure for economies in crisis? (2013) Island Studies Journal, 8 (1), pp. 115-130; (2006), INE (National Statistics Institute). Encuesta Nacional de Condiciones de Vida, ENCOVI-2006. Guatemala; (2018), https://www.cia.gov/library/publications/the-world-factbook/geos/gt.html, US Department of State. The World Factbook: Guatemala Accessed 15 Mar 2018; (2016), http://hdr.undp.org/sites/all/themes/hdr_theme/country-notes/GTM.pdf, United Nations Development Programme. Human Development for Everyone: Guatemala. New York Accessed 15 Nov 2017; Menkos, J., Saiz, I., Eva, M.J., (2009) Rights or Privileges? Fiscal Commitments to the Rights to Health, Education and Food in Guatemala: Executive Summary, , Center for Economic and Social Rights (CESR) Guatemala; Cerón, A., Flores, W., Crooks, V.A., Labonté, R., (2014) An Overview of Guatemala's Medical Tourism Industry: Version 2.0, , British Columbia, Canada; Guatemala, M.T., (2018) Why Medical Toursim Guatemala? Medical Tourism Guatemala (MTG), , http://www.medicaltourismguatemala.com/about-us/. Accessed 15 Nov 2017; Labonté, R., Crooks, V.A., Ceron, A., Runnels, V., Snyder, J., Government roles in regulating medical tourism: Evidence from Guatemala (2018) Int J Equity Hlth, 17, p. 150; Cerón, A., Crooks, V.A., Labonte, R., Snyder, J., Flores, W., Medical tourism in Guatemala: Qualitatively exploring how existing health system inequities faciliate sector development Int J Health Serv., , in press; Gerring, J., (2017) Case Study Research: Principles and Practices, , 2 Cambridge University Press Cambridge; Johnston, R., Crooks, V.A., Ceron, A., Labonte, R., Snyder, J., Nunez, E.O., Providers' perspectives on inbound medical tourism in Central America and the Caribbean: Factors driving and inhibiting sector development and their health equity implications (2016) Glob Health Action., 9, p. 32760; Patton, M., (2002) Qualitative Research and Evaluation Methods, , 3 Sage Thousand Oaks; Clarke, V., Braun, V., Thematic analysis (2017) J Posit Psychol., 12 (3), pp. 297-298; Squires, A., Beltran-Sanches, H., (2013) Strengthening Health Systems in North and Central America: What Role for Migration?, , Migration Policy Institute Washington, DC; Mazzaschi, A., Surgeon and Safari: Producing valuable bodies in Johannesburg (2011) Signs, 36 (2), pp. 303-312; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) Int J Health Care Qual Assur., 26 (8), pp. 688-702; Boelen, C., Heck, J.E., (1995) Defining and Measuring the Social Accountability of Medical Schools, , http://apps.who.int/iris/bitstream/10665/59441/1/WHO_HRH_95.7.pdf, Who/Hrh/95.7 Geneva Accessed 15 Mar 2018; McCurdy, L., Goode, L.D., Inui, T.S., Daugherty, R.M., Wilson, D.E., Wallace, A.G., Fulfilling the social contract between medical schools and the public (1997) Acad Med., 72 (12), pp. 1063-1070. , 1:STN:280:DyaK1c%2FpvVSjsw%3D%3D; Talib, Z.M., Kiguli-Malwadde, E., Wohltjen, H., Derbew, M., Mulla, Y., Olaleye, D., Transforming health professions' education through in-country collaboration: Examining the consortia among African medical schools catalyzed by the Medical Education Partnership Initiative (2015) Hum Resour Health., 13, p. 1; Chary, A., Flood, D., Austad, K., Moore, J., King, N., Martinez, B., Navigating bureaucracy: Accompanying indigenous maya patients with complex health care needs in Guatemala (2016) Hum Organ., 75 (4), pp. 305-314; Van Lerberghe, W., Evans, T., Rasanthan, K., Mechbal, A., (2008) Primary Health Care: Now More Than Ever, , The World Health Report Geneva; Gilson, L., Doherty, J., Loewenson, R., Francis, V., (2007) Challenging Inequity Through Health Systems, , http://www.sfu.ca/medicaltourism/An%20Overview%20of%20Guatemala%27s%20Medical%20Tourism%20Industry%20-%20Version%202.0.pdf, World Health Organization Accessed 10 July 2019; Labonté, R., Sanders, D., Packer, C., Schaay, N., Is the Alma Ata vision of comprehensive primary health care viable? Findings from an international project (2014) Glob Health Action., 7, p. 24997; Walton-Roberts, M., Runnels, V., Rajan, S.I., Sood, A., Nair, S., Thomas, P., Causes, consequences, and policy responses to the migration of health workers: Key findings from India (2017) Hum Resour Health., 15, p. 28; Labonté, R., Sanders, D., Mathole, T., Crush, J., Chikanda, A., Dambisya, Y., Health worker migration from South Africa: Causes, consequences and policy responses (2015) Hum Resour Health., 13, p. 92","Crooks, V.A.; Department of Geography, Simon Fraser University, 8888 University Drive, Canada; email: crooks@sfu.ca",,,"BioMed Central Ltd.",,,,,14784491,,,"31299994","English","Hum. Resour. Health",Article,"Final",Open Access,Scopus,2-s2.0-85068935954 "Kuehn B.","8522603600;","Medical Tourism-Linked Infections",2019,"JAMA","322","2",,"108","",,,"10.1001/jama.2019.9205","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069325882&doi=10.1001%2fjama.2019.9205&partnerID=40&md5=21072c37eb63383bbcefc8c1117c68a3",,"Kuehn, B.",[No abstract available],,,,,,,,,,,,,,"NLM (Medline)",,,,,15383598,,,"31287530","English","JAMA",Article,"Final",,Scopus,2-s2.0-85069325882 "Savchuk V., Lozynska O., Kunanets N., Pasichnyk V.","57195672558;57195508804;57189375884;24483963200;","Medical tourism information support system",2019,"2019 IEEE 2nd Ukraine Conference on Electrical and Computer Engineering, UKRCON 2019 - Proceedings",,, 8879894,"924","927",,,"10.1109/UKRCON.2019.8879894","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074916379&doi=10.1109%2fUKRCON.2019.8879894&partnerID=40&md5=8d9b12234080e61dcbbe063b21a7c34c","Information Systems and Networks Department, Lviv Polytechnic National University, Lviv, Ukraine","Savchuk, V., Information Systems and Networks Department, Lviv Polytechnic National University, Lviv, Ukraine; Lozynska, O., Information Systems and Networks Department, Lviv Polytechnic National University, Lviv, Ukraine; Kunanets, N., Information Systems and Networks Department, Lviv Polytechnic National University, Lviv, Ukraine; Pasichnyk, V., Information Systems and Networks Department, Lviv Polytechnic National University, Lviv, Ukraine","This paper introduces the architecture of the system to support medical tourism. A new model with decision support capabilities to assist medical tourism customers is developed. The analysis of popularity and quality of medical tourist applications are conducted. The information sources used to arrange medical tourism trips are given in the paper. The formation of the user's medical recommendations is based on the information about symptoms of the user, processing of this information, creation / search of the user medical card, search for the coincidence of the user's symptoms with the signs of illness, finding the best treatment option for the user. The system to support medical tourism consists of seven interdependence components: user interface, user profile analysis, definition of the user disease, selection of hospitals and doctors, communication with doctors and tour organization. The system to support medical tourism which provides the user with the all necessary information about the travel organization and medical support is described. Tasks that require further research are defined. © 2019 IEEE.","Medical tourism; Medical trip; Mobile information technologies; Petri net; Process modeling; System architecture; Trip support","Computer architecture; Decision support systems; Petri nets; Quality control; User interfaces; Decision supports; Information sources; Information support systems; Medical cards; Medical tourism; Medical trip; Process Modeling; System architectures; Medical information systems",,,,,,,,"http://www.medlawcenter.com.ua/ua/99/648.html, Medical tourism, last accessed 2018/11/09; https://www.medicaltourismassociation.com/en/medical-tourism-faqs.html, Medical Tourism FAQ's, Access mode; (2017), https://medicaltourismassociation.com/userfiles/files/GLOBAL-BUYERS-REPORT-BRIEF.pdf, Global Buyers Survey-Global Healthcare Resources, 24.-Access mode; https://medicaltourism.com/(X(1)S(eg5g5pkbx4zpo0hjhjxi4iov))/Forms/Miami/medicaltourismfacilitators.aspx, Medical Tourism Facilitators.-Access mode; https://play.google.com/store/apps/details?id=com.placidway.inc&hl=en, PlacidWay Medical Tourism, Access mode; https://www.placidway.com/, Explore PlacidWay Medical Centers, Access mode; Best All Clinics Wordwide, , https://www.placidway.com/search-centers/All/1, Access mode; https://play.google.com/store/apps/dev?id=8748434482781391916, Creativa Consultores, S. A. de C. V-Access mode; Farhad Medical Tourism India, , https://play.google.com/store/apps/details?id=in.firm.stepsindia.farhadmedicaltourismindia, Access mode; https://www.google.com/maps/about/, Google Maps,-Access mode; Savchuk, V., Lozynska, O., Pasichnyk, V., Modeling of informational and technological support of the tourist profile formation process (2018) Computer Science and Information Technologies 'CSIT-2018': Proc. of the XII Intern. Sci. and Techn. Conf, 54, pp. 203-206; Bomba, A., Pasichnyk, V., Turba, Y., Kunanets, N., Mathematical and computer models of message distribution in social networks based on the space modification of Fermi-Pasta-Ulam approach (2018) Advances in Intelligent Systems and Computing Book Series (AISC), 754, pp. 257-266; Kunanets, N., Lukasz, W., Pasichnyk, V., Duda, O., Matsiuk, O., Falat, P., Cloud computing technologies in smart city (2017) Projects, "" 9th International Conference on Intelligent Data Acquisition and Advanced Computing Systems: Technology and Applications (IDAACS), pp. 339-342; Rzheuskyi, A., Veretennikova, N., Kunanets, N., Kut, V., The information support of virtual research teams by means of cloud managers (2018) International Journal of Intelligent Systems and Applications(IJISA), 10, pp. 37-46; Savchuk, V.V., Kunanec, N.E., Pasichnyk, V.V., Popiel, P., Weryhska-Bieniasz, R., Kashaganova, G., Kalizhanova, A., Safety recommendation component of mobile information assistant of the tourist (2017) Proceedings of SPIE-The International Society for Optical Engineering, , https://www.spiedigitallibrary.org/conference-proceedings-ofspie/10445/104455Z/Safety-recommendation-component-of-mobileinformation-assistant-of-the-tourist/10.1117/12.2280833.short, 10445, August, Access mode",,"Antyufeyeva M.",,"Institute of Electrical and Electronics Engineers Inc.","2nd IEEE Ukraine Conference on Electrical and Computer Engineering, UKRCON 2019","2 July 2019 through 6 July 2019",,153211,,9781728138824,,,"English","IEEE Ukraine Conf. Electr. Comput. Eng., UKRCON - Proc.",Conference Paper,"Final",,Scopus,2-s2.0-85074916379 "Hashim N.A.A.N., Velayuthan S.K., Yusoff A.M., Awang Z.B., Safri F.H.M.","57211293173;57211289774;57210730545;57210733622;57211287563;","Validating the measuring instrument for motivation factors towards visiting spa and wellness tourism destinations in kuala lumpur",2019,"International Journal of Innovative Technology and Exploring Engineering","8","9 Special Issue",,"1106","1108",,,"10.35940/ijitee.I1175.0789S19","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073358193&doi=10.35940%2fijitee.I1175.0789S19&partnerID=40&md5=77413486c9c045d8541038958697d255","Department of Tourism Management, Faculty of Hospitality, Tourism & Wellness, Universiti Malaysia Kelantan, Malaysia; Hospitality Department, Faculty of Hospitality, Tourism & Wellness, Universiti Malaysia Kelantan, Malaysia","Hashim, N.A.A.N., Department of Tourism Management, Faculty of Hospitality, Tourism & Wellness, Universiti Malaysia Kelantan, Malaysia; Velayuthan, S.K., Department of Tourism Management, Faculty of Hospitality, Tourism & Wellness, Universiti Malaysia Kelantan, Malaysia; Yusoff, A.M., Hospitality Department, Faculty of Hospitality, Tourism & Wellness, Universiti Malaysia Kelantan, Malaysia; Awang, Z.B., Department of Tourism Management, Faculty of Hospitality, Tourism & Wellness, Universiti Malaysia Kelantan, Malaysia; Safri, F.H.M., Department of Tourism Management, Faculty of Hospitality, Tourism & Wellness, Universiti Malaysia Kelantan, Malaysia","Visiting Spa and wellness tourism destinations is a new social trend among wellness tourist around Malaysia as this industry is still at a growth stage in the product lifecycle. However, limited interest has been paid on the study of domestic tourist motivation to visit the spa and wellness tourism destination. Thus, by applying the quantitative approach, the purpose of this pilot study is to assess the validity and reliability of the instrument used in measuring the motivation factors towards visiting spa and wellness tourism destinations in Kuala Lumpur. A total of 150-sample data were analysed using the statistical software IBM SPSS version 23. Before that, content and face validity, reliability and data normality were examined based on expert assessment. The result of the pilot study indicated that the measuring instruments used in this study are reliable, and the data is proved of rational normality. The findings of this study provided overall support for the proposed measuring instrument for further research. © BEIESP.","Domestic Tourist; Motivation; Spa; Visit; Wellness",,,,,,,,,"Athena, H.N., Mak, K.K., Health or Self-indulgence? The Motivation And Characteristic Among Spa Goers (2009) International Journal of Tourism Research, pp. 185-199; Bulmer, M.G., (1970) Principles of Statistics, , United States: Dover Publication Inc; Das, K.R., Imon, A.H.M.R., A brief review of tests for normality (2016) American Journal of Theoretical and Applied Statistics, 5 (1), pp. 5-12; (2016) Summit Mission, , http://www.globalwellnesssummit.com, Retrieved from; Hashemi, S.M., Jusoh, J., Kiumarsi, S., Mohammadi, S., Influence Factors Of Spa and Wellness Tourism on Revisit Intention: The Mediating Role of International Tourist Motivation and Tourist Satisfaction (2015) International Journal of Research, 3 (7), pp. 1-11; Konu, H., Laukkanen, T., Roles Of Motivation Factors In Predicting The Tourist's Intention To Make Wellbeing Holidays-A Finnish Case (2009) ANZMAC, pp. 1-9; Hyde-Smith, M.J., (2012) The Wellness Spa: Construct Definition and Performance Evaluation, , Unpublished Doctoral dissertation) Auckland University of Technology; Sekaran, U., Bougie, R., (2017) Research Methods for Business: A Skill Building Approach, , United Kingdom: John Wiley & Sons, Ltd, Publication; Smith, M., Puczkó, L., (2008) Health and Wellness Tourism, , Routledge",,,,"Blue Eyes Intelligence Engineering and Sciences Publication",,,,,22783075,,,,"English","Int. J. Innov. Technol. Explor. Eng.",Article,"Final",Open Access,Scopus,2-s2.0-85073358193 "Krupp A.E., Ehlenbach W.J., King B.","55991906900;12645334700;57190592790;","Factors nurses in the intensive care unit consider when making decisions about patient mobility",2019,"American Journal of Critical Care","28","4",,"281","289",,,"10.4037/ajcc2019624","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068506041&doi=10.4037%2fajcc2019624&partnerID=40&md5=3d47f9ad6020325d27f8240ea3631cb9","National Clinician Scholars Program, University of Pennsylvania School of Nursing, Philadelphia, PA, United States; University of Wisconsin-Madison School of Medicine and Public Helth, United States; University of Wisconsin-Madison School of Nursing, United States","Krupp, A.E., National Clinician Scholars Program, University of Pennsylvania School of Nursing, Philadelphia, PA, United States; Ehlenbach, W.J., University of Wisconsin-Madison School of Medicine and Public Helth, United States; King, B., University of Wisconsin-Madison School of Nursing, United States","Background Early mobility interventions in the intensive care unit can improve patients' outcomes, yet they are not routinely implemented in many intensive care units. In an effort to identify opportunities to implement and sustain evidence-based practice, prior work has demonstrated that understanding the decision-making process of health professionals is critical for identifying opportunities to improve program implementation. Nurses are often responsible for mobilizing patients, but how they overcome barriers and make decisions to mobilize patients in the intensive care unit is not understood. Objective To describe processes that nurses in intensive care units use to make decisions and barriers that influence their decision-making about patient mobility. Methods An exploratory descriptive approach using semistructured interviews of a purposive sample of registered nurses in 2 intensive care units at 2 hospitals was used. Interviews were transcribed and analyzed by using directed content analysis to identify categories that describe nurses' decision-making about patient mobility. Results Semistructured interviews were conducted with 20 nurses in a 1-on-1 setting. Four main categories that influenced nurses' decision-making about mobility were identified in the directed content analysis: purpose of mobility, gathering information, establishing and activating the plan, and barriers to progressing the plan. Conclusions Deciding to mobilize patients in the intensive care unit is a multifaceted, individualized decision made by nurses, and numerous patient-, nurse-, and unit-related factors influence that decision. Future studies that target unit culture and interprofessional perspectives are needed. © 2019 American Association of Critical-Care Nurses.",,"adult; article; content analysis; decision making; exploratory research; genetic transcription; human; intensive care unit; multicenter study; patient mobility; purposive sample; registered nurse; semi structured interview",,,,,,,,"Ehlenbach, W.J., Larson, E.B., Curtis, J.R., Hough, C.L., Physical function and disability after acute care and critical illness hospitalizations in a prospective cohort of older adults (2010) J Am Geriatr Soc, 63 (10), pp. 2061-2069; Iwashyna, T.J., Ely, E.W., Smith, D.M., Langa, K.M., Long-term cognitive impairment and functional disability among survivors of severe sepsis (2010) JAMA, 304 (16), pp. 1787-1794; van der Schaaf, M., Beelen, A., Dongelmans, D.A., Vroom, M.B., Nollet, F., Poor functional recovery after a critical illness: a longitudinal study (2009) J Rehabil Med, 41 (13), pp. 1041-1048; Kamdar, B.B., Huang, M., Dinglas, V.D., Joblessness and lost earnings after acute respiratory distress syndrome in a 1-year national multicenter study (2017) Am J Respir Crit Care Med, 196 (8), pp. 1012-1020; Prescott, H.C., Langa, K.M., Liu, V., Escobar, G.J., Iwashyna, T.J., Increased 1-year healthcare use in survivors of severe sepsis (2014) Am J Respir Crit Care Med, 190 (1), pp. 62-69; Adler, J., Malone, D., Early mobilization in the intensive care unit: a systematic review (2012) Cardiopulm Phys Ther J, 23 (1), pp. 5-13; Casey, C.M., The study of activity in older ICU patients: an integrative review (2013) J Gerontol Nurs, 39 (8), pp. 12-25; Li, Z., Peng, X., Zhu, B., Zhang, Y., Xi, X., Active mobilization for mechanically ventilated patients: a systematic review (2013) Arch Phys Med Rehabil, 94 (3), pp. 551-561; Choi, J., Tasota, F.J., Hoffman, L.A., Mobility interventions to improve outcomes in patients undergoing prolonged mechanical ventilation: a review of the literature (2008) Biol Res Nurs, 10 (1), pp. 21-33; Perme, C., Chandrashekar, R., Early mobility and walking program for patients in intensive care units: creating a standard of care (2009) Am J Crit Care, 18 (3), pp. 212-221; Bakhru, R.N., Wiebe, D.J., McWilliams, D.J., Spuhler, V.J., Schweickert, W.D., An environmental scan for early mobilization practices in US ICUs (2015) Crit Care Med, 43 (11), pp. 2360-2369; Barber, E.A., Everard, T., Holland, A.E., Tipping, C., Bradley, S.J., Hodgson, C.L., Barriers and facilitators to early mobilisation in intensive care: a qualitative study (2015) Aust Crit Care, 28 (4), pp. 177-182; Dubb, R., Nydahl, P., Hermes, C., Barriers and strategies for early mobilization of patients in intensive care units (2016) Ann Am Thorac Soc, 13 (5), pp. 724-730; Honiden, S., Connors, G.R., Barriers and challenges to the successful implementation of an intensive care unit mobility program: understanding systems and human factors in search for practical solutions (2015) Clin Chest Med, 36 (3), pp. 431-440; Hoyer, E.H., Brotman, D.J., Chan, K., Needham, D.M., Barriers to early mobility of hospitalized general medicine patients: survey development and results (2015) Am J Phys Med Rehabil, 94 (4), pp. 304-312; Fesler-Birch, D.M., Critical thinking and patient outcomes: a review (2005) Nurs Outlook, 53 (2), pp. 59-65; Kalisch, B.J., Williams, R.A., Development and psychometric testing of a tool to measure missed nursing care (2009) J Nurs Adm, 39 (5), pp. 211-219; Tanner, C.A., Thinking like a nurse: a research-based model of clinical judgement in nursing (2006) J Nurs Educ, 45 (6), pp. 204-211; Thompson, C., Aitken, L., Doran, D., Dowding, D., An agenda for clinical decision making and judgement in nursing research and education (2013) Int J Nurs Stud, 50 (12), pp. 1720-1726; Lipshitz, R., Klein, G., Orasanu, J., Salas, E., Taking stock of naturalistic decision making (2001) J Behav Decis Mak, 14 (5), pp. 331-352; Doherty-King, B., Bowers, B., How nurses decide to ambulate hospitalized older adults: development of a conceptual model (2011) Gerontologist, 51 (6), pp. 786-797; Hoffman, R.R., Militello, L.G., Naturalistic decision making (2012) Perspectives on Cognitive Task Analysis: Historical Origins and Modern Communities of Practice, pp. 171-209. , In: Hoffman RR, Militello LG. New York, NY: Psychology Press; Kalisch, B.J., Landstrom, G., Williams, R.A., Missed nursing care: errors of omission (2009) Nurs Outlook, 57 (1), pp. 3-9; Sandelowski, M., Sample size in qualitative research (1995) Res Nurs Health, 18 (2), pp. 179-183; Elo, S., Kyngäs, H., The qualitative content analysis process (2008) J Adv Nurs, 62 (1), pp. 107-115; (2017), Version 7.5.9. Los Angeles, CA: SocioCultural Research Consultants; Garzon-Serrano, J., Ryan, C., Early mobilization in critically ill patients: patients' mobilization level depends on health care provider's profession (2011) PM R, 3 (4), pp. 307-313; Messer, A., Comer, L., Forst, S., Implementation of a progressive mobilization program in a medical-surgical intensive care unit (2015) Crit Care Nurse, 35 (5), pp. 28-42; Hodgson, C.L., Stiller, K., Needham, D.M., Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults (2014) Crit Care, 18 (6), p. 658; Ebright, P., The complex work of RNs: implications for healthy work environments (2010) Online J Issues Nurs, 15 (1). , manuscript; Potter, P., Wolf, L., Boxerman, S., Understanding the cognitive work of nursing in the acute care environment (2005) J Nurs Adm, 35 (7-8), pp. 327-335; Jackson, J.C., Santoro, M.J., Ely, T.M., Improving patient care through the prism of psychology: application of Maslow's hierarchy to sedation, delirium, and early mobility in the intensive care unit (2014) J Crit Care, 29 (3), pp. 438-444; Kalisch, B.J., Missed nursing care: a qualitative study (2006) J Nurs Care Qual, 21 (4), pp. 306-313; Hopkins, R.O., Spuhler, V.J., Thomsen, G.E., Transforming ICU culture to facilitate early mobility (2007) Crit Care Clin, 23 (1), pp. 81-96; Engel, H.J., Needham, D.M., Morris, P.E., Gropper, M.A., ICU early mobilization: from recommendation to implementation at three medical centers (2013) Crit Care Med, 41 (9), pp. S69-S80; Devlin, J.W., Pohlman, A.S., Everybody, every day: an ""awakening and breathing coordination, delirium monitoring/ management, and early exercise/mobility"" culture is feasible in your ICU (2014) Crit Care Med, 42 (5), pp. 1280-1281; Carrothers, K.M., Barr, J., Spurlock, B., Ridgely, M.S., Damberg, C.L., Ely, E.W., Contextual issues influencing implementation and outcomes associated with an integrated approach to managing pain, agitation, and delirium in adult ICUs (2013) Crit Care Med, 41 (9), pp. S128-S135","Krupp, A.E.; Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, 418 Curie Blvd, United States; email: akrupp@upenn.edu",,,"American Association of Critical Care Nurses",,,,,10623264,,,"31263011","English","Am. J. Crit. Care",Article,"Final",,Scopus,2-s2.0-85068506041 "Kim S., Lee W.S.","57209600184;55646486800;","Network text analysis of medical tourism in newspapers using text mining: The South Korea case",2019,"Tourism Management Perspectives","31",,,"332","339",,,"10.1016/j.tmp.2019.05.010","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068207785&doi=10.1016%2fj.tmp.2019.05.010&partnerID=40&md5=fc3165b53e9c49f1e41cdf9c7d0f5e83","Department of Leisure and tourism sciences, Kyonggi University, Room 403, Choong-Jung-Gwan, 24, Kyonggidae-ro 9-gil, Seodaemun-gu, Seoul, South Korea; Department of Tourism & Recreation, Kyonggi University, Room 403, Choong-Jung-Gwan, 24, Kyonggidae-ro 9-gil, Seodaemun-gu, Seoul, South Korea","Kim, S., Department of Leisure and tourism sciences, Kyonggi University, Room 403, Choong-Jung-Gwan, 24, Kyonggidae-ro 9-gil, Seodaemun-gu, Seoul, South Korea; Lee, W.S., Department of Tourism & Recreation, Kyonggi University, Room 403, Choong-Jung-Gwan, 24, Kyonggidae-ro 9-gil, Seodaemun-gu, Seoul, South Korea","The main purpose of this study was to investigate keywords related to medical tourism in daily and medical newspapers and to analyze networks between keywords. We collected newspaper articles by running a web crawler with Python. A total of 3802 articles from 4 medical newspapers and 1705 articles from 5 daily newspapers from 2009 to 2017 were reviewed. The clusters derived from daily newspapers focus mainly on medical tourists, medical care and service, regional vitalization, and field support. In contrast, the clusters derived from medical newspapers focus mainly on medical tourism marketing, introducing medical treatment overseas, the medical community's voice, and medical tourism vitalization with support from a government. We found that the content varied depending on the characteristics of the newspapers. This information is necessary to understand various perspectives on policymaking. The academic contributions and practical implications of the findings are discussed. © 2019 Elsevier Ltd","Medical tourism; Network text analysis; Newspaper articles; Text mining",,,,,,,,,"Álvarez, M.M., Chanda, R., Smith, R.D., The potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the UK and India (2011) Glob. Health, 7 (1), p. 11; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Math. Comput. 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Manag., 27 (6), pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour. Manag., 34, pp. 1-13; Diesner, J., Carley, K.M., Revealing social structure from texts: Meta-matrix text analysis as a novel method for network text analysis (2005) Causal mapping for research in information technology, pp. 81-108. , V.K. Narayanan D.J. Armstrong IGI Global; Edelheit, J.S., Defining medical tourism or not (2008) Medical Tourism Magazine, 5 (1), pp. 9-10; Fan, W., Wallace, L., Rich, S., Zhang, Z., Tapping the power of text mining (2006) Commun. ACM, 49 (9), pp. 76-82; Feinerer, I., Hornik, K., R package ‘tm’. R foundation for statistical computing (2015), http://tm.r-forge.r-project.org, URL (last date accessed: 19 October 2018); Feldman, R., Sanger, J., The text mining handbook: Advanced approaches in analyzing unstructured data (2007), Cambridge university press Cambridge; Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tour. Manag., 52, pp. 539-556; Garcia-Altes, A., The development of health tourism services (2005) Ann. Tour. Res., 32 (1), pp. 262-266; Godnov, U., Redek, T., Application of text mining in tourism: Case of Croatia (2016) Ann. Tour. Res., 58, pp. 162-166; Ha, S.H., Lee, M.K., A news frame analysis by the south Korean press on the livelihoods of a north Koreans (2012) Korean Journal of Communication and Information, 58, pp. 222-241; Hearst, M., What is text mining. SIMS (2003), https://www.jaist.ac.jp/~bao/MOT-Ishikawa/FurtherReadingNo1.pdf, UC Berkeley URL; Hearst, M.A., Untangling text data mining (1999) Proceedings of the 37th annual meeting of the Association for Computational Linguistics on computational linguistics, pp. 3-10. , Association for Computational Linguistics; Horowitz, M.D., Medical tourism-health care in the global economy (2007) Physician Executive, 33 (6), pp. 24-30; House of Commons Public Administration and Constitutional Affairs Committee (PACAC), Managing Ministers' and officials' conflict of interest: time for clearer values, principles and action (2017), https://publications.parliament.uk/pa/cm201617/cmselect/cmpubadm/252/252.pdf, Thirteenth report of session 2016-17. URL; Hudson, S., Li, X., Domestic medical tourism: A neglected dimension of medical tourism research (2012) Journal of Hospitality Marketing & Management, 21 (3), pp. 227-246; Jagyasi, P., Defining medical tourism: Another approach (2008) Medical Tourism Magazine, 6, pp. 9-11; Jeon, H., Kim, T., R package 'KoNLP'. R Foundation for Statistical Computing (2016), https://cran.r-project.org/web/packages/KoNLP, URL (Accessed 19 October 2018); Kang, D.K., The Economy Impact of Medical Tour by Foreigners. 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Joongangilbo (2017), https://news.joins.com/article/21199847, (February 02) URL ((last date accessed: 19 October 2018)); Ko, T.G., Medical tourism management. Seoul: 무역경영사 (2012), ((last date accessed: 19 October 2018)); Korea Audit Bureau of Certification, A paid circulation of the 2017 daily newspaper (2017), (Seoul, South Korea); Korea Tourism Organization, Korea Medical Tourism Marketing 2016 (2016), (Wonju, South Korea); Kwak, D.Y., A study on product choice attributes of medical tourists (2011) Korea Journal of Tourism and Hospitality Research, 25 (4), pp. 85-101; Lautier, M., Export of health services from developing countries: The case of Tunisia (2008) Social Science & Medicine, 67 (1), pp. 101-110; LaValle, S., Lesser, E., Shockley, R., Hopkins, M.S., Kruschwitz, N., Big data, analytics and the path from insights to value (2011) MIT Sloan Manag. Rev., 52 (2), p. 21; Leahy, A.L., Medical tourism: The impact of travel to foreign countries for healthcare (2008) Surgeon, 6 (5), pp. 260-261; Lee, E.M., Kim, W.I., Lee, G.H., Medical tourism selection attributes and development strategy for Daegu (2009) Korean Tournal of Tourism Research, 24 (2), pp. 109-125; Lee, H.G., Lee, J.C., The effect of quality of medical service on medical customer satisfaction and sustainable medical tourism (2010) Korean Journal Tourism Research, 25 (3), pp. 279-296; Lee, H.J., Study on the national qualification examination for international medical tour coordinator which students majoring in healthcare recognize (2016) International Journal of Tourism Management and Sciences, 31 (2), pp. 45-60; Lee, M.B., Park, S.H., The effect of engagement in Korean dramas and cosmetic surgery programs on the attitudes of Chinese people regarding cosmetic surgery and their behavior intentions (2016) International Journal of Tourism Management and Sciences, 31 (3), pp. 115-133; Lee, W.K., Chung, B.W., A case study for the activation of medical tourism (2007) Journal of Medical Tourism, 21 (2), pp. 389-406; Meijer, A.J., Publishing public performance results on the internet: Do stakeholders use the internet to hold Dutch public service organizations to account? (2007) Gov. Inf. Q., 24 (1), pp. 165-185; Mendenhall, R., Brown, N.M., Black, M.L., The potential of big data in rescuing and recovering black women's contributions to the Du bois-Atlanta school and to American sociology (2017) Ethn. Racial Stud., 40 (8), pp. 1231-1233; Newman, M.E.J., Mathematics of networks (2008) The new palgrave dictionary of economics, pp. 465-470. , S.N. Durlauf L.E. Blume 2nd ed. Palgrave Macmillan London; Noree, T., Hanefeld, J., Smith, R., Medical tourism in Thailand: A cross-sectional study (2016) Bull. World Health Organ., 94 (1), pp. 30-36; Oh, S.S., Jeon, M.S., A study on the revitalization of Korea medical tourism through Hallyu culture (2017) Journal of Convergence Tourism Contents, 3 (2), pp. 41-56; Paranyushkin, D., Text network analysis (2010), http://issuu.com/deemeetree/docs/text-network-analysis; Park, C., Jung, C., Text network analysis: Detecting shared meaning through socio-cognitive networks of policy stakeholders (2013) Journal of Governmental Studies, 19 (2), pp. 73-108; Park, E.J., Ahn, D.W., Park, C.S., Text network analysis of newspaper articles on life-sustaining treatments (2018) J. Korean Acad. Community Health Nurs., 29 (2), pp. 244-256; Richardson, J., Analysing newspapers: An approach from critical discourse analysis (2006), Palgrave Basingstoke; Richardson, L., Python library 'Beautiful Soup' (2017), https://www.crummy.com/software/BeautifulSoup/, URL; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376 (9742), pp. 671-672; Turner, L., ‘First world health care at third world prices’: Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Walker, S.J., Big data: A revolution that will transform how we live, work, and think (2014) Int. J. Advert., 33 (1), pp. 181-183; Wasserman, S., Faust, K., Social network analysis: Methods and applications (1994), 8. , Cambridge university press; Yoon, S.M., Han, J.S., Kim, H.R., A study on the effects relation of medical service quality, service value and clients' satisfaction for the medical tourism (2009) Journal of the Korea Service Management Society, 10 (1), pp. 137-157","Lee, W.S.; Department of Tourism & Recreation, Kyonggi University, Room 403, Choong-Jung-Gwan, 24, Kyonggidae-ro 9-gil, Seodaemun-gu, South Korea; email: lws798@kyonggi.ac.kr",,,"Elsevier B.V.",,,,,22119736,,,,"English","Tour. Manage. Perspect.",Article,"Final",,Scopus,2-s2.0-85068207785 "Chakrabarti S., Tatavarthy A.D.","56719068400;57208123253;","The geography of medical travel in India: Differences across states, and the urban-rural divide",2019,"Applied Geography","107",,,"12","25",,,"10.1016/j.apgeog.2019.04.003","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064314261&doi=10.1016%2fj.apgeog.2019.04.003&partnerID=40&md5=d3e261fca1516386ceb49018aedeb729","Indian Institute of Management Ahmedabad, Wing 15-J, Heritage Campus, India; Indian Institute of Management Ahmedabad, Wing 15-D, Heritage Campus, India","Chakrabarti, S., Indian Institute of Management Ahmedabad, Wing 15-J, Heritage Campus, India; Tatavarthy, A.D., Indian Institute of Management Ahmedabad, Wing 15-D, Heritage Campus, India","There is a large body of literature exploring spatial disparity in access to healthcare services, and the resultant geographic inequality in the demand for medical travel. We are, however, unaware of any such study conducted in India in the past. The transportation implications of inequitable healthcare access, therefore, remains unknown to Indian planners and policymakers. We use a unique dataset, the 2014–15 Domestic Tourism Expenditure survey conducted by the National Sample Survey Office, Ministry of Statistics and Programme Implementation, Government of India, to address this critical gap in the literature. We use trip-making information of 42,547 persons (13,525 urban and 29,022 rural residents) belonging to 28 Indian states in order to analyze the variation in individuals' medical trip destination choice, on average, across states. We analyze overnight trips (i.e., trips involving at least one night stay away from home) made for medical purposes only. Specifically, we isolate and compare the independent influence of state of residence (i.e., the state-effect) on residents' choice of within-district and out-of-state medical care location, after controlling for various personal and household factors that also govern choice. Additionally, we select a sub-sample of individuals who made out-of-state medical trips, and analyze state-level differences in the likelihood of long or >1500 km (vs. short or ≤1500 km) distance medical travel. We analyze urban and rural residents separately, and estimate a pooled model to explore intra-state urban-rural differences in medical trip destination choice. Our analyses reveal significant variation in urban and rural residents' destination choice for medical trips across India's states. We also find within-state urban-rural differences in destination choice to vary significantly across states. Our analysis provides new information on the geography of medical travel in India, underscoring the need for further research on the causes and consequences of the geographic disparity in healthcare access, and targeted action to improve healthcare access equitably across states. We expect our paper to stimulate further research to guide national and state health and transportation policies in India. © 2019 Elsevier Ltd","Health policy; Medical travel; Regional accessibility; Transportation geography; Travel demand","accessibility; data set; health expenditure; health policy; health services; medical tourism; rural area; spatial variation; transportation policy; travel behavior; travel demand; urban area; India",,,,,,,,"Arcury, T.A., Gesler, W.M., Preisser, J.S., Sherman, J., Spencer, J., Perin, J., The effects of geography and spatial behavior on health care utilization among the residents of a rural region (2005) Health Services Research, 40 (1), pp. 135-156; Balarajan, Y., Selvaraj, S., Subramanian, S.V., Health care and equity in India (2011) The Lancet, 377 (9764), pp. 505-515; Borders, T.F., Rural community‐dwelling elders' reports of access to care: Are there Hispanic versus non‐Hispanic white disparities? (2004) The Journal of Rural Health, 20 (3), pp. 210-220; Cameron, A.C., Miller, D.L., A practitioner's guide to cluster-robust inference (2015) Journal of Human Resources, 50 (2), pp. 317-372; Chan, L., Hart, L.G., Goodman, D.C., Geographic access to health care for rural Medicare beneficiaries (2006) The Journal of Rural Health, 22 (2), pp. 140-146; Das, J., Holla, A., Das, V., Mohanan, M., Tabak, D., Chan, B., In urban and rural India, a standardized patient study showed low levels of provider training and huge quality gaps (2012) Health Affairs, 31 (12), pp. 2774-2784; Fortney, J., Rost, K., Warren, J., Comparing alternative methods of measuring geographic access to health services (2000) Health Services & Outcomes Research Methodology, 1 (2), pp. 173-184; Guagliardo, M.F., Spatial accessibility of primary care: Concepts, methods and challenges (2004) International Journal of Health Geographics, 3 (1), p. 3; Jin, C., Cheng, J., Lu, Y., Huang, Z., Cao, F., Spatial inequity in access to healthcare facilities at a county level in a developing country: A case study of Deqing county, Zhejiang, China (2015) International Journal for Equity in Health, 14 (1), p. 67; Khan, A.A., Bhardwaj, S.M., Access to health care: A conceptual framework and its relevance to health care planning (1994) Evaluation & the Health Professions, 17 (1), pp. 60-76; Laditka, J.N., Laditka, S.B., Probst, J.C., Health care access in rural areas: Evidence that hospitalization for ambulatory care-sensitive conditions in the United States may increase with the level of rurality (2009) Health & Place, 15 (3), pp. 761-770; Lagomarsino, G., Garabrant, A., Adyas, A., Muga, R., Otoo, N., Moving towards universal health coverage: Health insurance reforms in nine developing countries in Africa and Asia (2012) The Lancet, 380 (9845), pp. 933-943; Levesque, J.F., Harris, M.F., Russell, G., Patient-centred access to health care: Conceptualising access at the interface of health systems and populations (2013) International Journal for Equity in Health, 12 (1), p. 18; McIntyre, D.I., Thiede, M., Birch, S., Access as a policy-relevant concept in low-and middle-income countries (2009) Health Economics, Policy and Law, 4 (2), pp. 179-193; Navaneetham, K., Dharmalingam, A., Utilization of maternal health care services in Southern India (2002) Social Science & Medicine, 55 (10), pp. 1849-1869; Neutens, T., Accessibility, equity and health care: Review and research directions for transport geographers (2015) Journal of Transport Geography, 43, pp. 14-27; Oliver, A., Mossialos, E., Equity of access to health care: Outlining the foundations for action (2004) Journal of Epidemiology & Community Health, 58 (8), pp. 655-658; Onega, T., Duell, E.J., Shi, X., Wang, D., Demidenko, E., Goodman, D., Geographic access to cancer care in the US (2008) Cancer, 112 (4), pp. 909-918; Peters, D.H., Garg, A., Bloom, G., Walker, D.G., Brieger, W.R., Rahman, M.H., Poverty and access to health care in developing countries (2008) Annals of the New York Academy of Sciences, 1136 (1), pp. 161-171; Probst, J.C., Laditka, S.B., Wang, J.Y., Johnson, A.O., Effects of residence and race on burden of travel for care: Cross sectional analysis of the 2001 US national household travel survey (2007) BMC Health Services Research, 7 (1), p. 40; Purohit, B.C., Inter-state disparities in health care and financial burden on the poor in India (2004) Journal of Health & Social Policy, 18 (3), pp. 37-60; Rosenthal, S.S., Strange, W.C., Evidence on the nature and sources of agglomeration economies (2004) Handbook of regional and urban economics, 4, pp. 2119-2171. , Elsevier; Sahoo, J., Singh, S.V., Gupta, V.K., Garg, S., Kishore, J., Do socio-demographic factors still predict the choice of place of delivery: A cross-sectional study in rural North India (2015) Journal of Epidemiology and Global Health, 5 (4), pp. S27-S34; Sopher, D.E., (1980) An exploration of India: Geographical perspectives on society and culture, , Cornell Univ Press; Walker, C., Allamneni, C., Orr, J., Yun, H., Fitzmorris, P., Xie, F., Socioeconomic status and race are both independently associated with increased hospitalization rate among Crohn's disease patients (2018) Scientific Reports, 8 (1), p. 4028; Wang, F., Luo, W., Assessing spatial and nonspatial factors for healthcare access: Towards an integrated approach to defining health professional shortage areas (2005) Health & Place, 11 (2), pp. 131-146; Yin, C., He, Q., Liu, Y., Chen, W., Gao, Y., Inequality of public health and its role in spatial accessibility to medical facilities in China (2018) Applied Geography, 92, pp. 50-62; Yip, W., Mahal, A., The health care systems of China and India: Performance and future challenges (2008) Health Affairs, 27 (4), pp. 921-932","Chakrabarti, S.; Indian Institute of Management Ahmedabad, Wing 15-J, Heritage Campus, India; email: sandipc@iima.ac.in",,,"Elsevier Ltd",,,,,01436228,,,,"English","Appl. Geogr.",Article,"Final",,Scopus,2-s2.0-85064314261 "Adashi E.Y., Cohen I.G.","55628588208;25653634900;","Germline editing: could ban encourage medical tourism?",2019,"Nature","569","7754",,"40","",,,"10.1038/d41586-019-01365-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065046429&doi=10.1038%2fd41586-019-01365-6&partnerID=40&md5=eed85e767b5d22deec0b31e0bad48dc5",,"Adashi, E.Y.; Cohen, I.G.",[No abstract available],"Biotechnology; Genomics; Law","funding; gene editing; genetic disorder; government; human; Letter; medical tourism; mitochondrial replacement therapy; mortality; priority journal; reproduction; United States; embryo research; ethics; gene editing; genetics; germline mutation; legislation and jurisprudence; medical tourism; Embryo Research; Gene Editing; Germ-Line Mutation; Humans; Medical Tourism; Mitochondrial Replacement Therapy",,,,,,,,,,,,"Nature Publishing Group",,,,,00280836,,NATUA,"31040417","English","Nature",Letter,"Final",Open Access,Scopus,2-s2.0-85065046429 "Medugu A.K.","57215579771;","Exploring the factors that affect the choice of destination for medical tourism",2019,"International Journal of Psychosocial Rehabilitation","23","2",,"388","396",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081244345&partnerID=40&md5=1821bb7b90f39fb7f52b5e9a8a927627",,"Medugu, A.K.","Medicinal the adventure industry has gotten one in all of the most current patterns inside the journey enterprise that has been and may probable maintain developing exponentially always. A amazing deal of voyagers than at any other time are presently shifting to a few different united states to actuate top exceptional medicinal pills for less fee. The component of my studies is to research the passion for Nigerian explorers in restorative the journey industry. In view of the literary works regarded into, it's miles for the maximum detail normal that ready expert, wonderful restorative remedy places of work, and quick recuperation remedy once required in which the maximum noteworthy three elements in advance than deciding on whether or not or now not to take a go to overseas. The effects are beneficial to businesses which are both legitimately or in a roundabout way associated with this industry, much like safety organizations, MasterCard corporations, tour offices, motels, nourishment and drinkable organizations, medicinal places of work and administration and spas. © 2019, Hampstead Psychological Associates. All rights reserved.","Medical tourism; Safety organizations",,,,,,,,,"Connell, J., Restorative Tourism: Sea, Sun, Sand and Surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Herrick, D.M., Restorative Tourism: Global Competition in Health Care National Center for Policy Analysis, , Http://www.Ncpa.Org/bar/st304, 1 November 2007; Mueller, H., Kaufmann, E.L., Wellbeing Tourism: Market Analysis of a Special Health Tourism Segment and Implications for the Hotel Industry (2001) Journal of Vacation Marketing, 7 (1), pp. 15-17; Bookman, M.Z., Bookman, K.R., (2007) Restorative Tourism in Developing Countries, , Palgrave Macmillan, New York; Ross, K., Wellbeing Tourism: An Overview (2001) Hospitality Sales and Marketing Association International Marketing Review; Http://www.Forbes.Com/2007/12/07/restorativethetravelbusinessenterprisegrowingpf-ii_ad_1207money_inl.Html, Davidson, ""Profit on Medical Tourism,"" Forbes.Com, 7 December 2007; Hancock, D., (2006) The Complete Medical Tourist,"", , John Blake Distributing, London; Picker, K., Restorative Tourism, , Http://www.Time.Com/time/nicely-being/article/0,8599,1861919,00.Html; Horowitz, M.D., Rosensweig, J.A., Restorative Tour-ism-Health Care within the Global Economy (2007) The Physician Executive, 33 (6), pp. 28-30; Reier, S., (2004) Restorative Tourism: Borders Hopping for Cheaper and Faster Care Gains Converts; Anderson, R., (1995) Returning to the Social Version and Get Proper of Entry to Recuperation Attention: Does It Rely? Wellbeing Soc Behav, pp. 1-10; Azi, A.S., An evaluation of Nigeria's budgetary allotment to the schooling location: Implication for tertiary training in Nigeria (2011) Diary of Educational Foundations, 1. , http://www.Ajol.Data/index.Personalhomepage/jef/article/see/116445, Recovered on 7/10/2016; (2016) Nigeria's Buhari down and out Guarantee to Cease Restorative the Adventure Enterprise, , BBC.Com.Information.Enterprise, June 7), Gotten to on 14/07/2016; Bruce, B.M., Our unquenchable hunger for some issue outside Watch Nigeria, , https://www.Observenigeria.Com/fantasticthoughts/our-unquenchablestarvationfor-something-farflungwiththeresourceof-ben-murray-bruce/, Retrieved on 2/10/2016; (2007) Hang Tight Activities Shorter for Some Medicinal Methodology Report. Canadian Properly Being Alliance, , www.Medicare.Ca.4, April five, Accessible at:, Recovered on 18/7/2016; Clemens, M., (2007) Do Visas Execute? Wellbeing Impacts of African Properly Being Gifted Resettlement, , Working Paper 114, Center for Global Development; (2014) Therapeutic the Tour Enterprise: What Nigeria Must Gain from India. Universal Journal of Development and Management Review (INJODEMAR), 13 (1); Dusen, A.V., (2008) U.S Clinics Truely Worth the Day Out, , Forbes; Egbujo, U., (2015) Our Feeble Emergency Clinics and a Wellbeing Framework Wrecked, , http://www.Vanguardngr.Com/2015/06/our-unsteadyscientificclinicsand-a-healthframeworkwrecked; Goodrich, G., Goodrich, J., (1987) Social Coverage the Excursion Industry an Investigation Look at the Tour Business Enterprise Management, 1, pp. 217-222; (2011) India the Excursion Company Insights 2010: Incredible India, Ministry of Tourism; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Therapeutic the tour organization: Globalization of the human offerings business middle (2007) Medgenmed, 9, p. 33; Ibekwe, N., (2016) Nigeria Wellbeing Specialists Request 15% Budgetary Designation to Human Offerings, , http://www.Premiumtimesng.Com/news/extra-news/202410-nigeria-well-beingspecialistsrequest15-budgetary-designationhealthcare.Html, Recovered on 7/10/2016; Ihekweazu, C., (2016) Absence of Believe in Well-Being Department: Theunderlying Purpose for the Substantial Lassa Fever Episode in Nigeria, , http://nigeriahealthwatch.Com/absenceof-takeintoaccount-in-well-beingdepartmentthe-hiddenmotiveforthe-full-sizelassa-fever-episodein-nigeria/, January 26, Accessible at, Recovered on 22/10/2016); (2010) Jordan Gained the Healing Purpose of the Three Hundred and Sixty Five Days Provide: IMTJ; Mekwunye, E., (2016) The Consciousness Camps Called Government Medical Clinics in Nigeria! Peruse the Account of the Manner Ekene Lost His Father, , https://www.Bellanaija.Com/2016/06/the-concentrationcamps-knownas-authorities-emergencyclinicsin-nigeria-study-the-storyof-how-ekene-outofplace-his-father; Nnamani, C., Nigeria: Nnamani Desires Sufficient Financing of Health Factor, , http://allafrica.Com/testimonies/200505190303.Html; Nwachucku, J., (2016) Towards Developing Uplifting Demeanor in Human Services Administrations, , https://www.Medicalworldnigeria.Com/2016/02/withinthepathof-growingremarkable-demeanorin-medicinalofferingsservices#.WAn9UtIrJH0; Nwambu, W., (2016) It’s Time to Put More within the Nigeria Properly-Being Section and Make Naija Extra Grounded, , https://www.One.Org/africa/blog/nowcanbethepropertimeto-positionedmore-in-the-nigerian-properly-beingcomponentand-make-naija-moregrounded/; Ogbebo, W., (2015) The Numerous Problems of Nigeria‟s Properly Being Division, , http://control.Ng/highlights/446619/the-many-troublesof-nigerias-well-beingphase; Ogunyemi, S., (2016) Nigerians Travel to a Few Different United States of America to Treat Intestinal Infection NMA Chairman, , http://www.Pmnewsnigeria.Com/2016/02/19/nigerians-tourtoeverydifferentUnitedStatesofAmericato-dealwith-junglefevernma-government/, February 19, Accessible at:, Gotten to on 19/07/2016","Medugu, A.K.email: annamedugu@gmail.com",,,"Hampstead Psychological Associates",,,,,14757192,,,,"English","Int. J. Psychosoc. Rehab.",Article,"Final",,Scopus,2-s2.0-85081244345 "Revathi J., Jansi Rani S.","57207798604;57215321574;","Analysis of factors influencing medical tourism in India chennai and its impacts",2019,"Indian Journal of Public Health Research and Development","10","4",,"113","117",,,"10.5958/0976-5506.2019.00674.0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064198410&doi=10.5958%2f0976-5506.2019.00674.0&partnerID=40&md5=c2cb46354531671ada36b5840a967534","Department of Economics, VISTAS, Chennai, India","Revathi, J., Department of Economics, VISTAS, Chennai, India; Jansi Rani, S., Department of Economics, VISTAS, Chennai, India","Emerging countries like India has abundant opportunity because it built its own health care and offer high quality treatment at low cost, India adopts western medicine and still practicing Indigenous system also, excellent destination for the medical tourist because of exotic beaches, mountains, pilgrimage places, most importantly is get accreditation from NABH,JCI to offer the quality of treatment and use state of art in technology,skilled professional these attracts the foreign patients to India,especially Tamil Nadu is the hub of medical tourist many reputed hospital and star hotels are available and transportation makes it easier,service provider also offer the health packages and provides information to their need, tourism and medical tourism are labour oriented, generally India have large pool of professionals, paramedical, these things medical tourism became profit earning industry in India. © 2019, Indian Journal of Public Health Research and Development. All rights reserved.","JCI-International Joint commission; MT-Medical Tourism; SMAC(social, mobile analytic cloud); Society for International Health Care Accreditation (SOFIHA)","accreditation; adult; article; human; medical tourism; profit; public health; seashore; Tamil Nadu; western medicine",,,,,,,,"Shaikshahazadi, B., Medical and Wellness Tourism: Opportunities and Challenges-Marketing ‘Brand India (2013) Research Journal of Management Sciences, 2 (1), pp. 1-6; Das, R., Medical Marketing in Medical Tourism in India (2017) Elk Asia Pacific Journalof Marketing and Retail Management, 8 (3); (2017) Chennai Gate Way of South India, , https://www.deccanchronicle.com/nation/current-affairs/090117/japan-wishes-to-make-chennai-smart-city.html, Nov 24, Accessed on 11th March 2018; Chronicle, D., Tamil Nadu Gets over Rs 1 Lakh Crore Infrastructure Projects from Centre, , https://www.deccanchronicle.com/nation/current-affairs/241117/tamil-nadu-gets-over-rs-1-lakh-crore-infrastructure-projects-from-centre.html, Nov 24, 2017. Accessed on Jan 22 nd 2018; Sen, G.A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1), pp. 4-5; Kumar, S.G., Raj, K.R., Status, Growth and Impact of Medical Tourism (2015) International Journal of Pharmaceutical Sciences Review and Research; Mathieson, A., Wall, G., (1982) Tourism, Economic, Physical and Social Impacts, , Longman; Rana, M., Indian Health Care on the Cusp of a Digital Transformation (2016) Telemedicon., , https://www.gita.org.in/Attachments/Reports/indian-healthcare-on-the-cusp-of-a-digital-transformation.pdf, 4,5,8,11,12. Accessed on 11 th June 2018; Guru, P., Strategy to Increase Brand Value of Indian Hospitals in International Markets (2013) Your Guide to International Medicine Medical Tourism Magazine. Global Healthquest, (28), pp. 69-70. , July; Imrana, Q., Sunitha, R., Philosophy, Ethics and Humanities in Medicine (2013) Medical Tourism in India: Perceptions of Physicians in Tertiary Care Hospitals, , https://doi.org/10.1186/1747-5341-8-20, 1 7th December; (2009) MBA Fourth Semester Course Material, , Center for Distance Education, Anna University. Print; Sukanta, S., International Journal of Medical Sciences (2017) Tamil Nadu: A New Identity of Medical Tourism in India, 2 (12), pp. 19-21; Mohamed, S.A., Siddha and Wellness Tourism: Opportunities and Challenges for Brand Tamilnadu (2015) International Journal of Research in Ayurveda and Pharmacy, 6 (3); Shyam, T., Tamilnadu-Healthcare, Public Health and Medical Tourism, , http://www.skyscrapercity.com/showthread.php?t=1306301, Skyscrapercity.Com. January 22 nd 2011. Accessed on Jan 20 th 2018; Singh, V.K., Regulatory Alignment Play Catch up (2018) Inno Health, 3, p. 42. , Jan-Mar. Print; http://tnidb.tn.gov.in/about_tn.php, Accessed on 22 nd Jan 2018; Trivedi, M., (2013) Medical Tourism in India; (2012) Health Policy and Health Care Systems. MBA Second Year-Fourth Semester – Excel Books, , New Delhi. Print; Pleasure and pain: Medical Travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290",,,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85064198410 "Frenz M.","51963585900;","Introduction: Medical tourism or movement for healthcare? Reflections on (inter-)national cross-border mobility",2019,"Global Public Health","14","3",,"321","325",,,"10.1080/17441692.2018.1515971","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053277171&doi=10.1080%2f17441692.2018.1515971&partnerID=40&md5=ef1bb679d68b458a2ffbc67e3cafbc8d","Institute of History, University of Stuttgart, Stuttgart, Germany","Frenz, M., Institute of History, University of Stuttgart, Stuttgart, Germany",[No abstract available],,"Article; health care personnel; health care policy; health care practice; health care system; human; medical anthropology; medical sociology; medical tourism; priority journal; public health; symposium",,,,,"Economic and Social Research Council, ESRC: ES/K005901/1 Indian Council of Social Science Research, ICSSR Deutsche Forschungsgemeinschaft, DFG","This introduction and the papers in this collection were produced with the assistance of a grant under the Indian-European Research Networking Scheme, and the editor and authors are grateful to the Economic and Social Research Council [grant number ES/K005901/1], the Deutsche Forschungsgemeinschaft, and the Indian Council of Social Science Research for their support.",,"Bell, D., Ormond, M., Mainil, T., Transnational healthcare, cross-border perspectives (2015) Social Science and Medicine, 124, pp. 284-289. , https://doi.org/10.1016/j.socscimed.2014.11.014; Botterill, D., Pennings, G., Mainil, T., (2013) Medical tourism and transnational health care, , Basingstoke: Palgrave Macmillan, &, (Eds; Chikanda, A., Crush, J., South-South medical tourism and the quest for health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320; Chikanda, A., Crush, J., South-South cross-border patient travel to South Africa (2017) Global Public Health, , https://doi.org/10.1080/17441692.2017.1414288, Advance online publication; Connell, J., (2011) Medical tourism, , Wallingford: CABI; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Connell, J., From medical tourism to transnational health care? An epilogue for the future (2015) Social Science and Medicine, 124, pp. 398-401. , https://doi.org/10.1016/j.socscimed.2014.11.015; Connell, J., Reducing the scale? From global images to border crossings in medical tourism (2016) Global Networks, 16, pp. 531-550; Glinos, I., Baeten, R., Dreams vs. reality: Seven case-studies on the desirability and feasibility of cross-border hospital collaboration in Europe (reprint) (2015) Social Science & Medicine, 124, pp. 331-337. , https://doi.org/10.1016/j.socscimed.2014.07.015; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK national health services as an example of a public health care system (2014) Journal of Travel Medicine, 21, pp. 410-417; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology & Medicine, 14, pp. 293-305; Kannan, S., Frenz, M., Seeking health under palm trees: Ayurveda in Kerala (2017) Global Public Health, , https://doi.org/10.1080/17441692.2017.1417458, Advance online publication; Mahendradhata, Y., Proceed with caution: Potential challenges and risks of developing healthcare tourism in Indonesia (2018) Global Public Health, , https://doi.org/10.1080/17441692.2018.1504224, Advance online publication; Muth, S., Russian as a commodity: Medical tourism and the healthcare industry in post-soviet Lithuania (2017) International Journal of Bilingual Education and Bilingualism, 20, pp. 404-416; Ormond, M., Solidarity by demand? Exit and voice in international medical travel. The case of Indonesia (2015) Social Science & Medicine, 124, pp. 305-312; Parkin, D., Pathways to healing: Curative travel among Muslims and Non-Muslims in eastern east Africa (2014) Medical Anthropology, 33, pp. 21-36; Smith-Morris, C., Manderson, L., The baggage of health travellers (2010) Medical Anthropology, 29, pp. 331-335; Stan, S., Transnational healthcare practices of Romanian migrants in Ireland: Inequalities of access and the privatisation of healthcare services in Europe (2015) Social Science and Medicine, 124, pp. 346-355. , https://doi.org/10.1016/j.socscimed.2014.04.013; Whittaker, A., Manderson, L., Cartwright, E., Patients without borders: Understanding medical travel (2010) Medical Anthropology, 29, pp. 336-343","Frenz, M.; Institute of History, University of StuttgartGermany; email: margret.frenz@hi.uni-stuttgart.de",,,"Routledge",,,,,17441692,,,"30182814","English","Global Public Health",Article,"Final",,Scopus,2-s2.0-85053277171 "Burki T.K.","56500213600;","UK health tourism for private cancer care",2019,"The Lancet. Oncology","20","3",,"334","",,,"10.1016/S1470-2045(19)30070-1","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062638300&doi=10.1016%2fS1470-2045%2819%2930070-1&partnerID=40&md5=13296a2bb827e504ea5060343f584932",,"Burki, T.K.",[No abstract available],,,,,,,,,,,,,,"NLM (Medline)",,,,,14745488,,,"30773270","English","Lancet Oncol.",Article,"Final",,Scopus,2-s2.0-85062638300 "Kumar N., Sharma S.","57214110450;57215592174;","Are they really happy? Insights into the medical tourists' satisfaction in Delhi hospitals",2019,"African Journal of Hospitality, Tourism and Leisure","8","4",,"1","19",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084841758&partnerID=40&md5=bcebef417ab731966b4a582cf5e72f50","Amity Institute of Travel and Tourism, Amity University, Noida, India","Kumar, N., Amity Institute of Travel and Tourism, Amity University, Noida, India; Sharma, S., Amity Institute of Travel and Tourism, Amity University, Noida, India","The current global trend towards leading a healthier life has converted medical tourism from a niche tourism to a mass tourism movement across many regions of the world. For centuries, tourists (rather than pilgrims) have taken sojourns to undertake the benefits of natural settings in the form of Spa and wellness retreats. Now these sojourns are shifted to medical and wellness centres. With a growing number of medical and wellness centres across the globe, quality has become a major concern for the incoming tourists to these centres. So, the purpose of this paper is to measure the quality standards of select hospitals of Delhi and analyse the gaps in the patients' expectations and perception of the international health tourists. The study also investigates the areas for improvement for the Indian medical tourism industry to meet the global challenges being faced by the Southeast Asian competitors in medical tourism. A total of 200 self-structured questionnaires focusing on the different parameters of quality on 5-point Likert scale were distributed to the medical tourists who had come to Delhi hospitals to undertake medical treatment. The survey instrument was distributed and collected personally after a due confirmation from the medical tourists across the three Delhi hospitals during May-June 2019. The gaps have been measured across the five dimensions of service quality and findings suggests a gap in quality promises made to medical tourists in Delhi hospitals in the five dimensions of the SERVQUAL instrument. This is alarming hospitals to evaluate their services on international quality parameters and to benchmark the global standards and compete with the Southeast Asian counterparts who have already started receiving a major chunk of international medical tourists from the global markets. The present study also aims to conclude insights on the perceived service quality expected by the incoming medical tourist in a specific sequence of reliability, assurance, tangibility, empathy and responsiveness. © 2019 AJHTL /Author/s.","Delhi hospitals; Ethics; India; Medical tourism; Quality; SERVQUAL",,,,,,,,,"Abu Hassan, N., Hemdi, M.A., Medical Tourists' Future Destination Choice (2018) Asian Journal of Behavioural Studies, 3 (13), p. 117; Amyx, D., Mowen, J.C., Hamm, R., Patient satisfaction: A matter of choice (2000) Journal of Services Marketing, 14 (7), pp. 557-572; Bentler, P.M., Comparative fit indexes in structural models (1990) Psychological Bulletin; Berry, L.L., Parasuraman, A., Zeithaml, V.A., The service-quality puzzle' (1988) Business Horizons, 31 (5), pp. 35-43; Brady, M.K., Cronin, J.J., Some new thoughts on conceptualizing perceived service quality: A hierarchical approach (2001) Journal of Marketing, 65 (30), pp. 34-49; Bank Service Quality, Customer Satisfaction and Loyalty in Ethiopian Banking Sector Bank Service Quality, Customer Satisfaction and Loyalty in Ethiopian Banking Sector (2008) Journal of Business Administration and Management Sciences Research, 1, pp. 001-009. , (January 2013); Dabholkar, P.A., Thorpe, D.I., Rentz, J.O., 'A measure of service quality for retail stores: Scale development and validation' (1996) Journal of the Academy of Marketing Science, 24 (1), pp. 3-16; Famiyeh, S., Asante-Darko, D., Kwarteng, A., Service quality, customer satisfaction, and loyalty in the banking sector (2018) International Journal of Quality & Reliability Management, 35 (8), pp. 1546-1567; Fatima, J.K., Razzaque, M.A., 'Service quality and satisfaction in the banking sector' (2014) International Journal of Quality and Reliability Management, 31 (4), pp. 367-379; George, A., Kumar, G.S.G., Impact of service quality dimensions in internet banking on customer satisfaction (2014) DECISION, 41 (1), pp. 73-85; Gregory, J.L., Applying SERVQUAL: Using service quality perceptions to improve student satisfaction and program image (2019) Journal of Applied Research in Higher Education, 11 (4), pp. 788-799; Gronroos, C., A Service Quality Model and its Marketing Implications (1984) European Journal of Marketing, 18 (4), pp. 36-44; Guiry, M., Vequist, D.G., Traveling Abroad for Medical Care: U.S. Medical Tourists' Expectations and Perceptions of Service Quality (2011) Health Marketing Quarterly, 28 (3), pp. 253-269; Han, H., Hyun, S.S., Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness (2015) Tourism Management, 46, pp. 20-29. , (Feb 2015); Hanefeld, J., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK national health service as an example of a public health care system, (2014) Journal of Travel Medicine, 21 (6), pp. 410-417; Heydari, M., Factors Affecting the Satisfaction of Medical Tourists: A Systematic Review (2019) Health Scope, 8 (3); Hooper, D., Coughlan, J., Mullen, M.R., Structural equation modelling: Guidelines for determining model fit (2008) Electronic Journal of Business Research Methods; Hu, L., Bentler, P.M., Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification (1998) Psychological Methods, 3 (4), pp. 424-453; Hulland, J.S., Use of partial least squares (PLS) in strategic management research (1999) Strategic Management Journal, 20 (2), pp. 195-204; Karwati, S., Sukardi, S., Syafruddin, S., (2019) The Study of Quality Service of Education in Public Vocational Schools in Using ServQual Model; Kenny, D.A., Kaniskan, B., McCoach, D.B., The Performance of RMSEA in Models With Small Degrees of Freedom (2015) Sociological Methods and Research, 44 (3), pp. 486-507; Koenker, R., Machado, J.A.F., Goodness of Fit and Related Inference Processes for Quantile Regression (1999) Journal of the American Statistical Association, 94 (448), pp. 1296-1310; Kumar, N., Sharma, S., Gupta, G.K., Analyzing relationship between social media experience and travel decisions: Study on the millennials of national capital region (2020) International Journal of Advanced Science and Technology, 29 (5), pp. 711-725; Kumarasinghe, S., Lee, C., Karunasekara, C., Comparing local and foreign perceptions of service quality of five-star hotels in Sri Lanka (2019) Journal of Quality Assurance in Hospitality and Tourism, 20 (1), pp. 44-65; Lertwannawit, A., Gulid, N., International tourists' service quality perception and behavioral loyalty toward medical tourism in Bangkok Metropolitan area (2011) Journal of Applied Business Research, 27 (6), pp. 1-12; Lewis, T., Fit Statistics commonly reported for CFA and SEM (2017) Cornell Statistics Department; Makoe, M., Nsamba, A., The gap between student perceptions and expectations of quality support services at the University of South Africa (2019) American Journal of Distance Education, 33 (2), pp. 132-141; Manaf, N.H.A., Medical tourism service quality: Finally some empirical findings (2015) Total Quality Management and Business Excellence, 26 (9-10), pp. 1017-1028; Markovic, S., Loncaric, D., Loncaric, D., Service quality and customer satisfaction in the health care industry-Towards health tourism market (2014) Tourism and Hospitality Management, 3, pp. 159-173; Muhammad Awan, H., Shahzad Bukhari, K., Iqbal, A., Service quality and customer satisfaction in the banking sector (2011) Journal of Islamic Marketing, 2 (3), pp. 203-224; Muhammad Butt, M., de Cyril Run, E., Private healthcare quality: Applying a SERVQUAL model (2010) International Journal of Health Care Quality Assurance, 23 (7), pp. 658-673; Mun, W.K., 'Medical Tourism Destination SWOT Analysis: A Case Study' (2015) SHS Web of Conferences, 12; Nicolaides, A., Zigiriadis, E., Medical tourism as an important niche of tourism development in South Africa (2011) African Journal of Hospitality Tourism Leisure, 1 (3), p. 11; Nicolaides, A., The critical role of ethics training in medical education (2014) African Journal of Hospitality, Tourism and Leisure, 3 (1), pp. 1-12; Nicolaides, A., Considering Medical Technology use, Ethics and Litigation (2019) The Journal of Medical Laboratory Science & Technology South Africa, 1 (4); Nicolaides, A., (2008) Service quality, empowerment and ethics in the South African hospitality and tourism industry and the road ahead using ISO9000/1-uzspace, , unizulu. ac. za; Pearce, P.L., A Favorability-Satisfaction Model of Tourists' Evaluations (1980) Journal of Travel Research, 19 (1), pp. 13-17; Qolipour, M., Assessing medical tourism services quality using SERVQUAL model: A patient's perspective (2018) Iranian Journal of Public Health, 47 (1), pp. 103-110; Rezaei, J., Quality assessment of airline baggage handling systems using SERVQUAL and BWM (2018) Tourism Management, 66, pp. 85-93; Sahoo, S.C., Misra, S.N., Ray, K.K., Customer Perception of Service based on Servqual Dimensions:A Study of Indian Life Insurance Companies (2019) Parikalpana: KIIT Journal of Management, 15 (1-2), pp. 166-182; Wu, H.C., Li, T., Li, M.Y., 'A Study of Behavioral Intentions, Patient Satisfaction, Perceived Value, Patient Trust and Experiential Quality for Medical Tourists' (2016) Journal of Quality Assurance in Hospitality and Tourism, 17 (2), pp. 114-150; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continuing Education in the Health Professions; Zarei, A., Maleki, F., Asian medical marketing, a review of factors affecting Asian medical tourism development (2019) Journal of Quality Assurance in Hospitality and Tourism, 20 (1), pp. 1-15; Zigiriadis, E., Nicolaides, A., Effective stakeholder management for medical practitioners (2014) African Journal of Hospitality, Tourism and Leisure, 3 (1), p. 114","Kumar, N.; Amity Institute of Travel and Tourism, Amity UniversityIndia; email: nksari@gmail.com",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85084841758 "Shukla R., Soni V., Gupta M.","57200218157;57215188185;57215201319;","Different factors affecting medical travel organizers in medical travel industry",2019,"International Journal of Psychosocial Rehabilitation","23","6",,"131","135",,,"10.37200/IJPR/V23I6/PR190747","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084496925&doi=10.37200%2fIJPR%2fV23I6%2fPR190747&partnerID=40&md5=5cbb3124854eb7c8fbe5f7851bdbf11c","Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India","Shukla, R., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India; Soni, V., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India; Gupta, M., Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of Colleges, Chandigarh, India","Medical Travel Industry shows a critical job in changing the future of medical precautions internationally, because of the development of economy, technology, and other worldwide affairs. There is growing proof that medicinal travelers looking for help from medicinal travel Organizers for stay away from basic arrangements in finding dependable suppliers and guaranteeing inconvenience reasonable travel arrangements. In Medical Travel Industry, these Organizers show a remarkable job as a mediator in connecting between the approaching patients in a single nation and medicinal offices somewhere else in the globe. Up till now, the literature in the medicinal Travel Industry has concentrated solely on patients also, social insurance suppliers. Nonetheless, little is known experimentally as to the significance of medicinal travel Organizers and their commitments in the medicinal Travel Industry. Consequently, the directing job of medicinal travel Organizers should be investigated because of the rising number of medical travelers. It is additionally helpful to medicinal facilities suppliers and organizations associated with this industry just as future analysts. © 2019, Hampstead Psychological Associates. All rights reserved.","Health precautions; Medical Tourist; Medical Travel Industry; Medical Travel Organizers; Travel Industry","adult; article; human; medical tourism; organization; social insurance; travel",,,,,,,,"Carrera, P.M., Bridges, J.F.P., Globalization and healthprecautions: Understanding health and medical Travel Industry (2006) Expert Review of Pharmacoeconomics and Outcomes Research; Bridges, J.F.P., Loukanova, S., Carrera, P.M., Patient Empowerment in Health Precautions (2016) In International Encyclopedia of Public Health; Turner, L.G., (2011) Quality in Health Precautions and Globalization of Health Facilities: Accreditation and Regulatory Oversight of Medical Travel Industry Companies, , Int. J. Qual. Heal. Precautions; Heung, V.C.S., Kucukusta, D., Song, H., Medical Travel Industry development in Hong Kong: An assessment of the barriers (2011) Tour. Manag.; Bookman, M.Z., Bookman, K.R., (2007) Medical Travel Industry in Developing Countries; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical Travel Industry to India: Messages, images, and the marketing of international patient travel (2011) Soc. Sci. Med.; Understanding the impacts of medical Travel Industry on health human resources in Barbados: A prospective, qualitative study of stakeholder perceptions (2013) Int. J. Equity Health; Lunt, N., Carrera, P., Medical Travel Industry: Assessing the evidence on treatment abroad (2010) Maturitas; Jagyasi, P., Medical Travel Industry Impact It’s More Than Obvious (2010) Medical Travel Industry Magazine; Turner, L., Beyond ‘medical Travel Industry’: Canadian companies marketing medical travel (2012) Global. Health; Gan, L.L., Frederick, J.R., Medical Travel Industry Organizers: Patterns of service differentiation (2011) J. Vacat. Mark.; Carrera, P., Lunt, N., A European perspective on medical Travel Industry: The need for a knowledge base (2010) Int. J. Heal. Serv.; Baloglu, S., Mangaloglu, M., Travel Industry destination images of Turkey, Egypt, Greece, and Italy as perceived by US-based tour operators and travel agents (2001) Tour. Manag.; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical travelist travel to where they do? The role of networks in determining medical travel (2015) Soc. Sci. Med.","Shukla, R.; Dept. of Management, Chandigarh Business School of Administration, Chandigarh Group of CollegesIndia; email: cgcpapers@gmail.com",,,"Hampstead Psychological Associates",,,,,14757192,,,,"English","Int. J. Psychosoc. Rehab.",Article,"Final",,Scopus,2-s2.0-85084496925 "Abdullah A.R., Cheah S., Mulia V.B., Abdul Fatah I.A.","57216526249;57216524917;57216531974;57216528577;","Factors attracting Indonesian medical tourists to Penang",2019,"African Journal of Hospitality, Tourism and Leisure","2019","Special Issue",,"1","10",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85083804816&partnerID=40&md5=081f967ea797b1d30208ddd9476ab5b2","School of Hospitality, Tourism and Culinary Arts, KDU Penang University College, Penang, Malaysia; Politeknik Internasional Bali, Indonesia; Universiti Sains Malaysia, Penang, Malaysia","Abdullah, A.R., School of Hospitality, Tourism and Culinary Arts, KDU Penang University College, Penang, Malaysia; Cheah, S., School of Hospitality, Tourism and Culinary Arts, KDU Penang University College, Penang, Malaysia; Mulia, V.B., Politeknik Internasional Bali, Indonesia; Abdul Fatah, I.A., Universiti Sains Malaysia, Penang, Malaysia","This study sought to unpack factors attracting Indonesian medical tourists to Penang and employed a qualitative methodology in collecting information focusing only on Indonesian medical tourists. Semistructure in-depth interviews were conducted on 25 participants who have had out-patient or in-patient medical treatment experience in private hospitals in Penang island. The interview findings revealed that effectiveness and accuracy of medical prescription and treatment was a major theme that enticed throngs of Indonesian medical tourists to the area. Apart from that, improved telecommunication and connectedness, affordable prices, a 'home away from home' and the reliable transportation system were the other themes which emerged and became apparent in making the burgeoning medical tourism industry sustainable in Penang. © 2020 AJHTL.","Health; Indonesia; Interviews; Medical tourism; Penang",,,,,,,"The authors would like to thank KDU University College for funding this research paper through KDU UC Conference Funding 2018. The authors would also like to extend gratitude to all pharmacies in Penang especially to Wellings Pharmacy for granting permission to conduct interviews at their premise. Further gratitude goes to the Indonesian participants for their precious time and invaluable inputs towards making this study possible.",,"Alemi, F., Circella, G., Handy, S., Mokhtarian, P., What influences travelers to use Uber? 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Retrieved from","Abdullah, A.R.; School of Hospitality, Tourism and Culinary Arts, KDU Penang University CollegeMalaysia; email: azreen.rozainee@kdupg.edu.my",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85083804816 "Mosammam H.M., Sarrafi M., Nia J.T.","57188729173;57188724834;57188715159;","Measuring the competitiveness of Iran's health tourism",2019,"International Journal of Tourism Policy","9","3",,"201","221",,,"10.1504/ijtp.2019.104875","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079768540&doi=10.1504%2fijtp.2019.104875&partnerID=40&md5=ee288460f7fa3d626be43adf32bb0119","Center for Regional/Spatial Planning, Shahid Beheshti University, Tehran, Iran; Department of Architecture and Urban Planning, Shahid Beheshti University, Tehran, Iran; Department of Geography and Urban Planning, Center for Regional/Spatial Planning, Shahid Beheshti University, Tehran, Iran","Mosammam, H.M., Center for Regional/Spatial Planning, Shahid Beheshti University, Tehran, Iran; Sarrafi, M., Department of Architecture and Urban Planning, Shahid Beheshti University, Tehran, Iran; Nia, J.T., Department of Geography and Urban Planning, Center for Regional/Spatial Planning, Shahid Beheshti University, Tehran, Iran","High competitiveness of the destination is one of the key factors of success and reaping the benefits of tourism in the international tourism market. Accordingly, this paper seeks to identify the determinants of health tourism competitiveness in Iran using customised indicators and Dwyer's integrated model. The selection of competitiveness indicators is based on a three-stage web-based Delphi survey. After selecting the 138 indicators and categorising them into six groups, the questionnaire was developed and 119 questionnaires were completed through a web survey. The results revealed that among six key determinants of health tourism competitiveness, only endowed resources have relatively favourable conditions and the overall images of Iran's health tourism are not competitive. Such results may be an important step to understand the strengths and weaknesses of health tourism in Iran and can be used as a guide for tourism planners and policy-makers to adopt appropriate policies. © 2019 Inderscience Enterprises Ltd.","Competitiveness; Health tourism; Integrated model; Iran","competitiveness; medical tourism; policy approach; tourism economics; tourism market; tourist destination; Iran",,,,,,,,"Aaker, D.A., Managing assets and skills: The key to a sustainable competitive advantage (1989) California Management Review, 31 (2), pp. 91-106; Ahadi, M.R., Razi-Ardakani, H., Estimating the cost of road traffic accidents in Iran using human capital method (2015) International Journal of Transportation Engineering, 2 (3), pp. 163-178; Armenski, T., Marković, V., Davidović, N., Jovanović, T., Integrated model of destination competitiveness (2011) Geographica Pannonica, 15 (2), pp. 58-69; Asadi, R., Daryaei, M., Strategies for development of Iran health tourism (2011) Euro. 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It depends on your perspective (2009) Journal of the Center for Health Innovation, 9. , Winter; (2007) The Travel and Tourism Competitiveness Report 2007, , http://www.weforum.org/en/initiatives/gcp/TravelandTourismReport/TravelTourismCompetitivenessReport2007/index.htm, online accessed 14 September 2015",,,,"Inderscience Publishers",,,,,17504090,,,,"English",,Article,"Final",,Scopus,2-s2.0-85079768540 "Vásquez-Bernal O.A., Pinzo´n-Hoyos B., Mosquera-Laverde W.E.","55319982600;57214836130;57201252356;","Medical tourism in Colombia: A documentary analysis of the components of economic, social and environmental sustainabilityc",2019,"Proceedings of the International Conference on Industrial Engineering and Operations Management",,,,"435","438",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079276745&partnerID=40&md5=6cf88162a5b27e8bb8df0e9288862ccf","School of Basic Science, Technology and Engineering, Universidad Nacional Abierta y a Distancia UNAD, Bogotá D. C, Colombia; Universidad Cooperativa de Colombia, Bogotá D. C, Colombia","Vásquez-Bernal, O.A., School of Basic Science, Technology and Engineering, Universidad Nacional Abierta y a Distancia UNAD, Bogotá D. C, Colombia; Pinzo´n-Hoyos, B., School of Basic Science, Technology and Engineering, Universidad Nacional Abierta y a Distancia UNAD, Bogotá D. C, Colombia; Mosquera-Laverde, W.E., Universidad Cooperativa de Colombia, Bogotá D. C, Colombia","Analyzing the components of sustainability from the economic, social and environmental spheres in the framework of the value network of medical tourism, establishes strategic importance to take advantage of the economy that surrounds the tourist destinations in the different regions of Colombia. For the case of study, the regions will be analyzed: central formed by the cities of Bogota and Medellin, eastern conformed by the city of Bucaramanga and pacific by the city of Cali. Based on the methodology developed by Gereffi (1999) in the global value chain approach, Gattorna (2009), and Hald, (2010) in a dynamic supply chain approach, the characteristics of the different value networks and their interaction with the different stakeholders that will be compared. © 2019, IEOM Society International.","Dynamic supply chain; Global value chain; Medical tourism; Sustainability; Value networks",,,,,,,,,"Gereffi, G., International Trade and Industrial Upgrading in the Apparel Commodity Chain (1999) Journal of International Economics, 48; Gattorna, J., Dynamic Supply Chain Alignment: A New Business Model for Peak Performance in Enterprise Supply Chains Across All Geographies (2009) Farnham, p. 420. , U.K.: Gower Publishing Limited; Haid, K.S., Gattorna, J., (2010) Dynamic Supply Chain Alignment: A New Business Model for Peak Performance in Enterprise Supply Chains Across All Geographies, 49 (5), pp. 969-973. , (2009). Farnham, U.K.: Gower Publishing Limited. 420 pages', Human Resource Management; Hopkins, L., Labonte´, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198. , wwwpalgrave-journalscom/jphp/, Macmillan Publishers Ltd. 0197-5897; Hyder, A.S., Rydback, M., Borg, E., Osarenkhoe, A., (2019) Medical tourism in emerging markets: The role of trust, networks, and word-of-mouth. Health Marketing Quarterly, , https//doiorg/101080/0735968320191618008, Routledge. Taylor & Francis Group",,,"EATON Powering Business worldwide;Sheridan;SIEMENS;UNIVERSITY of DERBY;UNIVERSITY of Windsor","IEOM Society","4th North American IEOM Conference. IEOM 2019","23 October 2019 through 25 October 2019",,141498,21698767,9781532359507,,,"English","Proc. Int. Conf. Ind. Eng. Oper. Manage.",Conference Paper,"Final",,Scopus,2-s2.0-85079276745 "Zheng C., Quentzel J., Brust J.C.M.","57214797258;57214802799;34976236900;","Complications of silicone cosmetic procedures among medical tourists from the Bronx, New York: A retrospective analysis",2019,"Journal of Clinical and Aesthetic Dermatology","12","10",,"24","28",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079118525&partnerID=40&md5=aa2b9717e4ed805c430748029f36ed71","Division of Infectious Diseases, Tulane University, New Orleans, LA, United States; Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States; Divisions of General Internal Medicine and Infectious Diseases, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States","Zheng, C., Division of Infectious Diseases, Tulane University, New Orleans, LA, United States; Quentzel, J., Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States; Brust, J.C.M., Divisions of General Internal Medicine and Infectious Diseases, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States","Hundreds of thousands of Americans travel abroad each year for medical care, such as cosmetic silicone procedures. However, medical tourists risk encountering unqualified providers and receiving injectable or implantable cosmetic materials of questionable purity. We performed a retrospective chart review of patients treated at a multisite academic center in the Bronx, New York, between the years 2008 and 2017, and identified 12 patients who developed complications following silicone procedures performed in a foreign country, Puerto Rico, or the United States by an unlicensed provider. Procedures included silicone injections or implants in the breasts, buttocks, and face. Destination countries included the Dominican Republic, Guatemala, Venezuela, and Mexico. The patients in our study suffered significant morbidity, with complications including infection, implant rupture, and silicone migration. Laboratory and radiographic findings demonstrated nonspecific markers of inflammation. The management of silicone complications can be difficult and prolonged, and can place a large financial burden on the healthcare system as well as have significant and long-term negative consequences for the patient. Clinicians should be aware of the risks for adverse events, such as the ones described here following silicone injection and/or implant procedures, in patients who, whether for financial, cultural, or other reasons, chose to undergo cosmetic procedures in another country or by an unlicensed practictioner in the US. It is important that clinicians recognize the considerable and diverse morbidity of such patients and treat them with sensitivity and empathy to ensure optimal outcomes. © 2019 Matrix Medical Communications. All rights reserved.","Cosmetic procedures; Management; Medical tourism; Silicone granuloma; Silicone injection","antibiotic agent; cefalexin; prednisone; silicone; abscess; acute kidney failure; adult; aged; antibiotic therapy; Article; breast; breast implant rupture; breast malformation; breast tumor; burn; buttock; calcification; cellulitis; chronic inflammation; chronic kidney failure; clinical feature; composite skin graft; computer assisted tomography; contracture; cosmetic dermatology; debridement; device embolization; device infection; device migration; device removal; erythema; erythrocyte sedimentation rate; face; face edema; fat necrosis; female; fibrosis; foreign body reaction; granulation tissue; granuloma; histiocytosis; human; hypercalcemia; hyperemia; leg pain; lip; lithotripsy; lung granuloma; lymphadenopathy; lymphatic drainage; major clinical study; male; mammography; mastalgia; medicaid; medical device complication; medical tourism; medicare; middle aged; nephrectomy; nephrolithiasis; New York; nuclear magnetic resonance imaging; pruritus; retrospective study; scar formation; septic shock; seroma; silicone granuloma; skin discoloration; Staphylococcus aureus infection; subcutaneous nodule; subcutaneous tissue; superficial thrombophlebitis; thigh; ulcer; wound infection",,"cefalexin, 15686-71-2, 23325-78-2; prednisone, 53-03-2; silicone, 63148-53-8, 8043-93-4, 8055-24-1",,,,,,"Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) MedGenMed, 9 (4), p. 33; Nguyen, D., Gaines, J., Medical Tourism, , https://wwwnc.cdc.gov/travel/yellowbook/2018/the-pre-travel-consultation/medical-tourism, Accessed May 9, 2018; FDA Warns against the Use of Injectable Silicone for Body Contouring and Enhancement: FDA Safety Communication, , https://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm584824.htm, Accessed November 4, 2017; Adabi, K., Stern, C.S., Weichman, K.E., Population health implications of medical tourism (2017) Plast Reconstr Surg, 140 (1), pp. 66-74; Ryu, A.J., Glazebrook, K.N., Samreen, N., Spectrum of chronic complications related to silicone leakage and migration (2018) Am J Med, 131 (11), pp. 1383-1386; Cusumano, L.R., Tran, V., Tlamsa, A., Rapidly growing Mycobacterium infections after cosmetic surgery in medical tourists: The Bronx experience and a review of the literature (2017) Int J Infect Dis, 63, pp. 1-6; Cai, S.S., Chopra, K., Lifchez, S.D., Management of Mycobacterium abscessus infection after medical tourism in cosmetic surgery and a review of literature (2016) Ann Plast Surg, 77 (6), pp. 678-682; Pasternack, F.R., Fox, L.P., Engler, D.E., Silicone granulomas treated with etanercept (2005) Arch Dermatol, 141 (1), pp. 13-15; Paul, S., Goyal, A., Duncan, L.M., Smith, G.P., Granulomatous reaction to liquid injectable silicone for gluteal enhancement: Review of management options and success of doxycycline (2015) DermatolTher, 28 (2), pp. 98-101; Singh, M., Solomon, I.H., Calderwood, M.S., Talbot, S.G., Silicone-induced granuloma after buttock augmentation (2016) Plast Reconstr Surg Glob Open, 4 (2); Plaza, T., Lautenschlager, S., Penis swelling due to foreign body reaction after injection of silicone (2010) J Dtsch Dermatol Ges, 8 (9), pp. 689-691; Nasseri, E., Gluteal augmentation with liquid silicone of unknown purity causes granulomas in an adult female: Case report and review of the literature (2016) J Cutan Med Surg, 20 (1), pp. 72-79; Ellis, L.Z., Cohen, J.L., High, W., Granulomatous reaction to silicone injection (2012) J Clin Aesthet Dermatol, 5 (7), pp. 44-47; Safyer, S., Montefiore Medicine’S 2018–2019 State Budget Testimony on Health Policy and Medicaid, , www.montefiore.org/documents/news/2018-2019-State-Budget-Testimony-onHealth-Policy-and-Medicaid-Dr-Steven-Safyer.pdf, Accessed June 29, 2018; Chase, D., Montefiore Medical Center: Integrated Care Delivery for Vulnerable Populations, , https://www.commonwealthfund.org/publications/case-study/2010/oct/montefioremedical-center-integrated-care-delivery-vulnerable, Accessed June 29, 2018; QuickFacts Bronx County (Bronx Borough), , https://www.census.gov/quickfacts/fact/table/bronxcountybronxboroughnewyork/PST045217, New York.: Accessed June 29, 2018","Brust, J.C.M.; Divisions of General Internal Medicine and Infectious Diseases, Montefiore Medical Center, Albert Einstein College of MedicineUnited States; email: jcmbrust@gmail.com",,,"Matrix Medical Communications",,,,,19412789,,,,"English","J. Clin. Aesthetic Dermatol.",Article,"Final",,Scopus,2-s2.0-85079118525 "Carvajal M.F.A., Bonilla-Cruz N.-J., Hernandez-Peña Y.K., Cornejo A.C.","57214290992;57201681589;57200562089;57214293097;","Intervention guidelines: Resilience and entrepreneurship in microempresaries of the health tourism sector. a psychological innovation [Lineamientos de intervención: Resiliencia y emprendimiento en microempresarios del sector turismo en salud. una innovación psicológica]",2019,"Archivos Venezolanos de Farmacologia y Terapeutica","38","5",,"629","636",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078577726&partnerID=40&md5=4daf8c328fc7a568b9f24dd08ab43506","Universidad Simón Bolívar, Facultad de Ciencias Jurídicas y Sociales, Cúcuta, Colombia","Carvajal, M.F.A., Universidad Simón Bolívar, Facultad de Ciencias Jurídicas y Sociales, Cúcuta, Colombia; Bonilla-Cruz, N.-J., Universidad Simón Bolívar, Facultad de Ciencias Jurídicas y Sociales, Cúcuta, Colombia; Hernandez-Peña, Y.K., Universidad Simón Bolívar, Facultad de Ciencias Jurídicas y Sociales, Cúcuta, Colombia; Cornejo, A.C., Universidad Simón Bolívar, Facultad de Ciencias Jurídicas y Sociales, Cúcuta, Colombia","Objective: To analyze the relationship between resilience and entrepreneurship in the health tourism sector of the city of Cúcuta–Colombia. Method: quantitative non-experimental transversal type with a correlational-descriptive scope. Results: the high score of micro-entrepreneurs against the two established variables (resilience and entrepreneurship) through the tools of entrepreneurial skill scale (EHE) and the adaptation to the Colombian population of the inventory of resilience factors against adversity (IFRA). As a result, no correlation was found between the two variables, obtaining a correlation coefficient of 0.032 and a significance of 0.787. Conclusion: an entrepreneur cannot necessarily be resilient to generate and maintain a good business idea. Intervention guidelines are made with the thematic axes of resilience and entrepreneurship. © 2019, Sociedad Venezolana de Farmacologia y de Farmacologia Clinica y Terapeutica. All rights reserved.","Entrepreneurship; Micro-entrepreneur; Resilience; Tourism sector in health","article; Colombian; correlation coefficient; entrepreneurship; human; practice guideline; quantitative analysis; skill; tourism",,,,,,"AVFT está incluida en las bases de datos de publicaciones científicas en salud: OPEN JOURNAL SYSTEMS REDALYC (Red de Revistas Científicas de América Latina, el Caribe, España y Portugal) SCOPUS de Excerpta Medica GOOGLE SCHOLAR Scielo BIREME (Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud) LATINDEX (Sistema Regional de Información en Línea para Revistas Científicas de América Latina, el Caribe, España y Portugal) Índice de Revistas Latinoamericanas en Ciencias (Universidad Nacional Autónoma de México) LIVECS (Literatura Venezolana de Ciencias de la Salud) LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud) PERIÓDICA (Índices de Revistas Latinoamericanas en Ciencias) REVENCYT (Índice y Biblioteca Electrónica de Revistas Venezolanas de Ciencias y Tecnología) www.revhiper tension.com www.revdiabetes.com www.revsindrome.com",,"Tinoco-Gómez, O., Medición de la Capacidad Emprendedora de ingresantes a la Facultad de Ingeniería Industrial de la UNMSM (2008) Industrial Data, 11 (2); López, I., Calvete, E., Desarrollo del Inventario de factores de resiliencia ante la adversidad (2016) Ansiedad Y Estrés, 22 (2); Sánchez, M.M., Colombia en posconflicto: ¿turismo para la paz o paz para el turismo? (2018) Araucaria, 20 (39); (2016) Informe económico, , https://clustersalud.americaeconomia.com/%20https://clustersa-lud.americaeconomia.com/, Acceso 29 de Agostode; (2016) Cámara De Comercio De Bogotá. Llegada De Turistas De Salud Crece 23% Anual, , “https://www.ccb.org.co/Clusters/Cluster-de-Salud-de-Bogota/Noticias/2017/Agosto/Llegada-de-turistas-de-salud-crece-23-anual”https://www.ccb.org.co/Clusters/Cluster-de-Salud-de-Bogota/Noticias/2017/Agosto/Llegada-de-turistas-de-sa-lud-crece-23-anual; Agudelo, C., Fajardo, N.E., González, C., Montes, E., Rodríguez, N., Lle-gadas de turistas internacionales a Colombia durante 2001-2017: Evolución, características y determinantes (2019) Borradores De Economía, (1064); (2016) Informe De Coyuntura económica Regional, , “https://www.dane.gov.co/files/icer/2015/ICER_Norte_de_Santan-der2015.pdf”https://www.dane.gov.co/files/icer/2015/ICER_Nor-te_de_Santander2015.pdf, Bogotá, Acceso 12 de Agosto de 2017. Disponible en: HYPERLINK; Rodríguez, E.C., Cueto, A.M., Fontanilla, A.C., Clúster de turismo de salud en Colombia: Referentes para la competitividad (2018) Duazary: Revista Internacional De Ciencias De La Salud, 15 (3); Nguyen, Q., Kuntz, J.R.C., Näswall, K., Malinen, S., Employee resilience and leadership styles: The moderating role of proactive personality and optimism (2016) New Zealand Journal of Psychology, 45 (2); Saltos, J.A., (2019) Mejora De La Resiliencia Del Proceso Financiero Bancario Utilizando Herramientas Lean, , Bachelor’s thesis, Quito: Universidad de las Américas; Salanova, M., Llorens, S., Martínez, I.M., Portaciones desde la psicología organizacional positiva para desarrollar organizaciones saludables y resilientes (2016) Papeles Del Psicólogo, 37 (3); Serna-Silva, G., Zenozain-Cordero, C., Schmidt-Urdanivia, J., La resiliencia: Un factor decisivo para el crecimiento y mejora de las organizaciones (2018) Gestión En El Tercer Milenio, 20 (39); Áreas clave para la alineación de la agili-dad y resiliencia con la perspectiva de género en las organizaciones (2017) Dirección Y Organización, 63; Meza, M.L., La Resiliencia como elemento esencial en la Cultura Organizacional (2018) CIENCIA MATRIA, 4 (6); León, F., La resiliencia: Su aplicación en el sector empresarial (2015) Revista Académica: Contribuciones a La Economía; Acosta, H., Cruz-Ortiz, V., Salanova, M., Llorens, S., Healthy organization: Analysing its meaning based on the HERO Model / Orga-nizaciones saludables: Analizando su significado desde el Modelo HERO (2015) Revista De Psicología Social, 30 (2); Villamar, F.H.L., Harold, F., La Resiliencia: Su aplicación en el sector empresarial (2015) Revista Contribuciones a La Economía; Dominguez, G., Estructura De La Cadena De Valor Del Sector gastronómico Del Municipio De Caicedonia Valle En El Marco Del Paisaje Cultural Cafetero De Colombia, , Doctoral dissertation; Sánchez Vázquez, J., El significado vital en las organizaciones: Apor-taciones de la economía de la felicidad / The vital meaning in organizations: Contributions in the economy of happiness (2018) CAURIEN-SIA. Revista Anual De Ciencias EclesiáSticas., 13; Lupano Perugini, M.L., Castro Solano, A., Perfiles de organizaciones positivas. Análisis de características percibidas según variables in-dividuales, organizacionales y de resultado (2016) Escritos De Psicología, 9 (2); Blanco, Y., Caicedo, C., Resiliencia como factor de éxito en las organizaciones. (2016) Cultura Educación Y Sociedad, 39 (2); Rivera-Porras, D.A., Carrillo-Sierra, S.M., Forgiony-Santos, J.O., Nuván-Hurtado, I.L., Rozo-Sánchez, A.C., Cultura organizacional, retos y desafíos para las organizaciones saludables (2018) Revista Espacios, 39 (2); Rodríguez, A., Nuevas perspectivas para entender el emprendimiento empresarial (2009) Pensamiento & Gestión, (26); Leitão, F.A.S., Cruz, N.M., Los rasgos psicológicos del emprendedor y la continuidad del proyecto emrpesarial: Un estudio empírico de los emprendedores brasileños (2006) Revista Eletrônica De Administração, 12 (2); Núñez Ramírez, M.A., Salgado, P., Madrigal Torres, B.E., Autoestima y habilidades emprendedoras en estudiantes de ciencias económico-administrativas de la Universidad De Guadalajara-México (2014) Revista De Investigación En Comunicación Y Desarrollo, 5 (2); Hernández Sampieri, R., Fernández Collado, C., Baptista, L.P., (2014) Metodología De La investigación. Sexta Edición Ed. Hernández R, Editor, , México: Mc Graw Hill; Moyano, E.I., La enseñanza de la lectura y la escritura académicas mediante programas a lo largo del curriculum universitario: Opción teórica, didáctica y de gestión (2018) DELTA: Documentação De Estudos Em Lingüística Teórica E Aplicada, 34 (1); Patiño, D.D.P., Poveda, J.F., Sancán, D.P., Ramírez, P.V., Esquema de alin-eamiento estratégico: Una perspectiva teórica desde la consultoría empresarial y la gerencia aplicada (2018) Revista Ciencia UNEMI, 11 (28); Chaparro, A.D., (2019) Tejiendo El Territorio. Lineamientos Para La construcción Desde Lo Local. Turismo Y Sociedad, p. 24; Alaña, T.P., Gonzaga, S.J., Yánez, M.M., Gestión tributaria a microempresarios mediante la creación del centro de asesoría caso: Umet sede Machala (2018) Revista Universidad Y Sociedad, 10 (2); Alvarez, J.A.H., Castillo, M.F.R., Proactividad y resiliencia en estudiantes emprendedores de Lima (2019) Propósitos Y Representaciones, 8; Romero, O.M., Jaramillo, M.F., Aguirre, M.C., Ruiz, J.A., Resiliencia y percepción de oportunidades de negocio de los estudiantes de la Universidad Técnica de Machala, Ecuador (2017) Revista ESPACIOS, 28 (50); Rivas, E., de la Paz, L., Enrique, A., Intervención Psicosocial Para Po-Tenciar La Responsabilidad Social Empresarial Como Un Factor Resiliente Para La prevención De La corrupción Administrativa; Lirios, C.G., Vázquez, F.R.S., Varela, B.L.R., Domínguez, G.A.L., Comple-jización de un modelo para el estudio de la resiliencia ambiental (2018) Revista De Investigación Académica Sin Frontera: División De Ciencias Económicas Y Sociales, (25); Camarán, M.L., (2019) La Responsabilidad Social Empresarial Y Los Objetivos Del Desarrollo Sostenible (ODS), 11 (24). , Revista Científica Teorías, Enfoques y Aplicaciones en las Ciencias Sociales; Ramos, A.I., Herrera, J.A., Ramírez, M.S., Desarrollo de habilidades cognitivas con aprendizaje móvil: Un estudio de casos (2010) Comunicar, 17 (34); Gómez, R., Hernando, J., Mitchell, D., Innovación Y Emprendimiento En Colombia-Balance, Perspectivas Y Recomendaciones De política: 2014-2018; Espinoza, M.Á.L., Crespo, G.D.L.C.R., Junco, O.D., Hernández, J.G., Los servicios ecosistémicos en manglares: Beneficios a la resiliencia del ecosistema ante cambios climáticos, a la comunidad y su desarrollo local. (2019) Revista Metropolitana De Ciencias Aplicadas, 2 (2); Rivera, H.A., Vargas, S., Business Resilience a Dynamic Capability to Overcome Extreme Adversity (2019) Espacios, 40 (6); Hidalgo, M., Valoración del impacto económico y social del Carnaval de Negros y Blancos de Pasto, Colombia (2019) Lecturas De Economía, (90); Páez, F.O.C., Rodríguez, D.M.B., Estrategias de mercadeo implementa-das para la competitividad empresarial de unidades productivas ag-ropecuarias del sena Soacha (2018) Revista Siembra CBA, 28 (1)","Bonilla-Cruz, N.-J.; Universidad Simón Bolívar, Facultad de Ciencias Jurídicas y SocialesColombia; email: n.bonilla01@unisimonbolivar.edu.co",,,"Sociedad Venezolana de Farmacologia y de Farmacologia Clinica y Terapeutica",,,,,07980264,,,,"Spanish","Arch. Venez. Farmacol. Ter.",Article,"Final",,Scopus,2-s2.0-85078577726 "Ushakov D.S., Yushkevych O.O., Ovander N.L., Tkachuk H.Yu., Vyhovskyi V.H.","55077823300;56131679200;36572185500;57208227142;57214257563;","The strategy of Thai medical services promotion at foreign markets and development of medical tourism",2019,"Geojournal of Tourism and Geosites","27","4",,"1429","1438",,,"10.30892/gtg.27426-445","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078562300&doi=10.30892%2fgtg.27426-445&partnerID=40&md5=7f7d65ac5bc26ca9d49660e35985540d","International college, Suan Sunandha Rajabhat University, Bangkok, Thailand; Department of Management and Entrepreneurship, Zhytomyr Polytechnic State University, Zhytomyr, Ukraine; Department of Digital Economics and International Economic Relations, Zhytomyr Polytechnic State University, Zhytomyr, Ukraine","Ushakov, D.S., International college, Suan Sunandha Rajabhat University, Bangkok, Thailand; Yushkevych, O.O., Department of Management and Entrepreneurship, Zhytomyr Polytechnic State University, Zhytomyr, Ukraine; Ovander, N.L., Department of Digital Economics and International Economic Relations, Zhytomyr Polytechnic State University, Zhytomyr, Ukraine; Tkachuk, H.Yu., Department of Management and Entrepreneurship, Zhytomyr Polytechnic State University, Zhytomyr, Ukraine; Vyhovskyi, V.H., Department of Management and Entrepreneurship, Zhytomyr Polytechnic State University, Zhytomyr, Ukraine","Aims. The main aim of the research is to develop a preliminary offer of special medical tours to Thailand for the citizens of Russian Federation; to evaluate the limits of demand for Thai national medical tour-product in Russia, the potential key features of promotion and sales of Thai medical tours in Russia under the current economic conditions. Introduction. The relevance of the study is due to the fact that more than 50 countries of the world see the provision of medical services to international patients as the top-priority area of their national development. Leading approach to the study of this problem is the comparative method that has afforded revealing peculiarities of promoting Thai medical tours and potential sales to foreign patients. Results. The paper identifies the role of medical services in the process of Thai national tourist product differentiation and describes some of the special medical tours in Thailand specifically designed for overseas markets. The authors also evaluate the limit of demand for the national medical tour product of Thailand. Inerpretation. The authors emphasized the importance of promoting an excellent and high-tech service in promoting the Thai wellness product. The article also suggests checking the economic and marketing effectiveness of the business model of a sanatorium in Thailand. This model will be somewhat more expensive than a traditional hotel, but, unlike a hotel, it will have a number of strong competitive advantages in terms of Russian sales and will be able to actively earn additional services. The materials of the paper imply the practical significance for the university teachers of the economic specializations. © 2019 Editura Universitatii din Oradea. All rights reserved.","Healthcare; Insurance; Medical services; Medical tourism; Overseas markets","business; competition (economics); demand analysis; economic conditions; health care; health insurance; health services; marketing; medical tourism; research work; strategic approach; tourism development; Russian Federation; Thailand",,,,,,,,"Abaydeldinov, Y., Kala, N., International legal aspects of tourism activity: International treaties analysis (2016) Journal of Advanced Research in Law and Economics, 7 (4), pp. 714-720; Aimagambetov, E., Bugubaeva, R., Bespayeva, R., Tashbaev, N., Model of sustainable development of tourism industry in Kazakhstan (regional perspective) (2017) Public Policy and Administration, 16 (2), pp. 179-197; Aizura, A., Where health and beauty meet: Femininity and racialisation in Thai cosmetic surgery clinics (2017) Asian Studies Review, 33 (3), pp. 303-317; Anand, G., (2009) The Henry Ford of Heart Surgery, , http://online.wsj.com/article/SB125875892887958111.html, Accessed 24 September 2019; Anszperger, A., The role of public administration in tourism development in the case of the Torun county (2017) Public Policy and Administration, 16 (4), pp. 553-566; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2007) The Consortium Journal, 75, p. 11; Baimbetov, A.K., Rzaev, F.G., Nardaya, Sh.G., Bizhanov, K.A., Yergeshov, K.A., Medeubekov, U.Sh., New trends in interventional arrhythmology: The experience of two centers in the cryoablation of atrial fibrillation (2018) Journal of Arrhythmology, 92, pp. 5-10; Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14 (1), p. 135; Buathong, K., Lai, P.-C., Event sustainable development in Thailand: A qualitative investigation (2019) Journal of Hospitality, Leisure, Sport and Tourism Education, 24, pp. 110-119; Burkett, L., Medical tourism (2007) Journal of Legal Medicine, 28 (2), pp. 223-245; Chistobaev, A.I., Semenova, Z.A., Spatio-temporal dynamics of the global medical tourism (2018) Journal of Environmental Management and Tourism, 9 (2), pp. 267-275; Chkalova, O., Efremova, M., Lezhnin, V., Polukhina, A., Sheresheva, M., Innovative mechanism for local tourism system management: A case study (2019) Entrepreneurship and Sustainability Issues, 6 (4), pp. 2052-2067. , http://doi.org/10.9770/jesi.2019.6.4(35; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; de Arellano, A., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; DeNavas-Walt, C., Proctor, B.D., Smith, J.C., (2010) Income, Poverty, and Health Insurance Coverage in the United States: 2009, , Washington: U.S. Government Printing Office; Ehrbeck, T., Guevara, C., Mango, P., Mapping the market for medical travel (2008) Health Care, 2, pp. 1-11; Font, X., Lynes, J., Corporate social responsibility in tourism and hospitality (2018) Journal of Sustainable Tourism, 26 (7), pp. 1027-1042; Grasso, F., Local governance, resources and tourism promotion: The case of taormina (2014) Journal of Economics & Sociology, 7 (3), pp. 170-178; 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Vetitnev, A., Dzubina, A., Spa-services and sanatorium-resort complexes of Russia (2013) Tourism: An International Interdisciplinary Journal, 61 (2), pp. 187-200; Zhuravleva, O.V., Sukhova, M.G., Karanin, A.V., Malkov, P.Yu., Relative sustainability of the Altai transborder ecosystems (2018) Periodico Tche Quimica, 15 (30), pp. 660-669; (2017) Department of Health Annual Report 2016-17, , https://www.health.gov.au/resources/publications/department-of-health-annual-report-2016-17; (2016) World Tourism Organization (UNWTO), , https://www.eunwto.org/doi/pdf/10.18111/9789284418145","Ushakov, D.S.; International college, Suan Sunandha Rajabhat UniversityThailand; email: denis.us@ssru.ac.th",,,"Editura Universitatii din Oradea",,,,,20650817,,,,"English","Geojournal Tour. Geosites",Article,"Final",Open Access,Scopus,2-s2.0-85078562300 "Keerthana Y., Kishore Babu M.","57212118649;57044649900;","Globalisation – Impact on (Indian health care) medical tourism",2019,"Journal of International Pharmaceutical Research","46","1",,"416","423",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077295989&partnerID=40&md5=8ac43b85e1b32f0463967a03741a894a","KL Business School, Koneru Lakshmaiah Education Foundation, Guntur, Andhra Pradesh, India","Keerthana, Y., KL Business School, Koneru Lakshmaiah Education Foundation, Guntur, Andhra Pradesh, India; Kishore Babu, M., KL Business School, Koneru Lakshmaiah Education Foundation, Guntur, Andhra Pradesh, India","Medical Tourism is fast growing industry in Healthcare sector around the world providing services to 2 major industries i.e. Tourism and healthcare. India is promoting medical tourism vastly and there is a massive growth in the healthcare sector. In our Indian economy, healthcare sector is playing a vital role with a rapid growth by 2020. The patients become more reliable by knowing the information of the treatment and surgeries which is available in the Internet. The technology and quality with low cost of treatment is attracting more number of patients from foreign countries. In this present study we discuss about the structure of the Indian Healthcare Industry and also the growth of medical tourism, FTA’s for the top 10 countries nationality wise. The research is descriptive in nature and the study reveals the key competitive advantage, trends in the industry and also the digital technologies that have been using in the hospitals, lastly the cost comparisons of the medical treatment in few countries. © 2019, Editorial office of Journal of International Pharmaceutical Research. All rights reserved.","Cost comparison; Foreign Tourist Arrivals; Health Care; Market Size; Medical Tourism","adult; article; health care cost; health care industry; human; Internet; market; medical tourism",,,,,,,,"(2012) Health IT & CIO Report, , http://www.beckerhospitalreview.com/healthcare-information-technology/10-technologies-to-keep-hospitals-competitive.html, Beckershospitalreview; Coopers, P.W., (2007) Emerging Market Report, Health Care in India; Rajendra Mishra, K.S., Making Indian Healthcare Market a Global Medical Tourism Destination (2012) IOSR Journal of Business and Management (IOSRJBM), pp. 23-28; Tripathi, A., Nadaf, Y.F., Bilehal, D., Nayak, S., Gaonkar, S.L., A review on synthesis of isoniazid derivatives and their biological properties (2019) International Journal of Pharmaceutical Research. 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Int. Pharm. Res.",Article,"Final",,Scopus,2-s2.0-85077295989 "Malik G.","57212727824;","The creation of a medical tourist destination: Exploring determinants of perception",2019,"International Journal of Healthcare Management",,,,"","",,,"10.1080/20479700.2019.1677023","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076580894&doi=10.1080%2f20479700.2019.1677023&partnerID=40&md5=20b79e614e9a5b2298cf807349f575d1","Department of Marketing & Sales, Amity Business School and XLRI Jamshedpur, Amity University, Noida, India","Malik, G., Department of Marketing & Sales, Amity Business School and XLRI Jamshedpur, Amity University, Noida, India","Demand for improved healthcare has grown at a fast pace in recent years. This study aims at exploring the perception of medical tourists when choosing the medical tourist destination. The proposed conceptual model incorporates constructs that affect the perception of medical tourists and also established the relationship between satisfaction, motivational factors, and advocacy of medical tourist destinations. The study incorporates attributes of the Self-Determination Theory (SDT) and is based on a field survey of international patients (n = 311) from two private hospitals of NCR (National Capital Region) of India. Analysis was conducted using structured equation modeling and hierarchical regression analysis. Findings of the study confirm that the proposed model helps to assess the formation of a medical tourist destination and its mediating mechanism in the context of tourism services. All factors are found to be fully moderated by the attitude of residents, except nation brand authenticity and cost of medical treatment. 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Academy of Marketing Science, University of Miami; Allen, L.R., Long, P.T., Perdue, R.R., The impact of tourism development on residents’ perceptions of community life (1988) J Travel Res, 27 (1), pp. 16-21; Pizam, A., Tourism's impacts: The social costs to the destination community as perceived by its residents (1978) J Travel Res, 16 (4), pp. 8-12; Long, T.P., Perdue, R.R., Allen, L., Rural resident tourism perceptions and attitudes by community level of tourism (1990) J Travel Res, 28 (3), pp. 3-9; Madrigal, R., A tale of tourism in two cities (1993) Ann Tour Res, 20 (2), pp. 336-353; Belisle, F.J., Hoy, D.R., The perceived impact of tourism by residents a case study in Santa Marta, Colombia (1980) Ann Tour Res, 7 (1), pp. 83-101; Díaz, R., Gutiérrez, D., The attitude of the resident in the tourist destination of Tenerife: evaluation and trend (2010) STEPS: Magaz Tourism Cult Herit, 8 (4), pp. 431-444; Lamb, C., Hair, J., McDaniel, C., (2014) Principles of marketing, , Boston: Cengage Learning; Soloman, M.R., (2001) Consumer behaviour: buying, having, being, , 5th ed., New Jersy: Prentice Hall; Sheldon, K.M., Ryan, R.M., Deci, E.L., The independent effects of goal contents and motives on well-being: it’s both what you pursue and why you pursue it (2004) Pers Soc Psychol Bull, 30, pp. 475-486; Yoon, Y., Uysal, M., An examination of the effects of motivation and satisfaction on destination loyalty: a structural model (2005) Tour Manag, 26 (1), pp. 45-56; Podsakoff, N.P., Common method biases in behavioral research: A critical review of the literature and recommended remedies (2003) J Appl Psych, 885 (879), pp. 10-1037; Amick, D.J., Walberg, H.J., (1975) Introductory multivariate analysis: for educational, psychological, and social research, , McCutchan Pub. Corp; Morhart, F., Malär, L., Guèvremont, A., Brand authenticity: An integrative framework and measurement scale (2015) J Consum Psychol, 25 (2), pp. 200-218; Jotikasthira, N., (2010), Salient factors influencing medical tourism destination choice; Bhattacherjee, A., Understanding information systems continuance: an expectation-confirmation model (2001) MIS Q, pp. 351-370; Bowie, D., Chang, J.C., Tourist satisfaction: A view from a mixed international guided package tour (2005) J Vacat Market, 11 (4), pp. 303-322; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review and recommended two-step approach (1988) Psychol Bull, 103 (3), p. 411; Fornell, C., Larcker, D.F., Evaluating structural equation models with unobservable variables and measurement error (1981) J Market Res, 18 (1), pp. 39-50; Chin, W.W., The partial least squares approach to structural equation modeling (1998) Modern Meth Bus Res, 295 (2), pp. 295-336; Thomas, W., Leigh, C.P., Shelton, J., The consumer quest for authenticity: The multiplicity of meanings within the MG subculture of consumption (2006) J Acad Market Sci, 2006 (34), p. 481; Zolfagharian, M., Rajamma, R.K., Naderi, I., Determinants of medical tourism destination selection process (2018) J Hospit Market Manag, 27 (7), pp. 775-794; Lunt, N., Smith, R., Exworthy, M., (2011) Medical tourism: treatments, markets and health system implications: a scoping review, , OECD; Guy, B.S., Henson, J.L.N., Dotson, M.J., Characteristics of consumers likely and unlikely to participate in medical tourism (2015) Int J Healthc Manag, 8 (2), pp. 68-76; Hudson, S., Domestic medical tourism: A neglected dimension of medical tourism research (2011) Med Tourism Mag, 22. , http://www.medicaltourismmag.com, Retrieved from; Khan, M.J., Chelliah, S., Haron, M.S., Medical tourism destination image formation process: A conceptual model (2016) Int J Healthc Manag, 9 (2), pp. 134-143","Malik, G.; Department of Marketing & Sales, Amity Business School, Amity University, F-3 Block IIIrd Floor, Amity University Campus, Sector–125, India; email: r17002@astra.xlri.ac.in",,,"Taylor and Francis Ltd.",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Article in Press",,Scopus,2-s2.0-85076580894 "Smith M.","55495915200;","Health tourism in the mediterranean",2019,"Sustainable Tourism Practices in the Mediterranean",,,,"167","183",,,"10.4324/9781315104911-11","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076277554&doi=10.4324%2f9781315104911-11&partnerID=40&md5=4fb571ac74e458d5234652521a9f1392","Tourism Budapest Metropolitan University, Hungary","Smith, M., Tourism Budapest Metropolitan University, Hungary","This chapter focuses on those Mediterranean countries which are also commonly considered to be part of the Balkan region, namely: Albania, Bosnia and Herzegovina, Croatia, Greece, Montenegro, Slovenia and Turkey. The Balkan region has a long history of health tourism, in many cases going back to Roman times. Almost all of the Balkan countries have thermal and mineral waters which have been used for healing in the past and are often still used as the basis for health tourism. However, in some of the countries, a very small percentage of the available waters are actually used for health tourism, and many facilities that do are in need of urgent regeneration. This chapter uses case studies and Delphi panel research to analyze the sustainability of the health tourism sector in these countries, emphasizing the need for future product development and quality enhancement. In addition to spa development and thermal water use, it is argued that the Balkan region has considerable potential in landscape and nature-based activities, gastronomy and, in some cases, medical tourism. © 2020 selection and editorial matter, Ipek Kalemci Tüzün, Mehmet Ergül and Colin Johnson; individual chapters, the contributors.",,,,,,,,,,"Andrews, H., (2015) Eu-Financed Spa Tourism Project between Bosnia-Herzegovina and Serbia Hailed a Success, , www.spabusiness.com/detail.cfm?pagetype=detail&subject=news&codeID=313558, spabusiness.com, 20 January; Ariwa, E., Syvertsen, C.M., Informatization of economic growth in the healthtourism industry in Montenegro using insights from regionalization (2010) Journal of Internet Banking and Commerce, 15 (1). , www.arraydev.com/commerce/JIBC/2010-04/Ezendu%20and%20Carston%20Paper%20for%20Informatization%20and%20HealthcareUpdate.pdf; (2014) Albanian Medical Tourism Agency, , www.medicaltourismalbania.com; Barca, M., Akdeve, E., Gedik Balay, I., (2012) Evaluation Report on Medical Tourism in Turkey 2012, , Turkey: Ministry of Health; Bradbury, P., (2017) Health Tourism is Coming Home: Why Zagreb is the Next Big Medical Tourism Destination, , www.mybosnia.net/index.php/tourism/spa-and-health, Total Croatia News; Bushell, R., Healthy tourism (2017) The Routledge Handbook of Health Tourism, pp. 91-102. , M.K. Smith and L. Puczko, eds., London: Routledge; Butler, R.W., The concept of a tourism area cycle of evolution: Implications for management resources (1980) The Canadian Geographer, 24 (1), pp. 5-16; (2015) Potentials of Health Tourism, , www.privrednakomora.me/en/saopstenja/potentials-health-tourism; Constantinides, C., Times are changing as Greece tries to become a major destinations (2013) IMTJ, , www.imtj.com/articles/times-are-changinggreece-tries-become-major-destination; (2017) Health Tourists Spend 10 Times More in Turkey than Vacationers, , www.dailysabah.com/tourism/2017/08/16/health-tourists-spend-10-times-more-in-turkey-than-vacationers-1502822698; Donohoe, H.M., Needham, R.D., Moving best practice forward: Delphi characteristics, advantages, potential problems, and solutions (2009) International Journal of Tourism Research, 11 (5), pp. 415-437; (2014) Health and Wellness Tourism in Croatia, , www.euromonitor.com/health-and-wellness-tourism-in-croatia/report; (2014) Health and Wellness Tourism in Greece, , www.euromonitor.com/health-and-wellness-in-greece/report; (2014) Health and Wellness Tourism in Slovenia, , www.euromonitor.com/health-and-wellness-tourism-in-slovenia/report; (2014) Health and Wellness Tourism in Turkey, , www.euromonitor.com/health-and-wellness-in-turkey/report; Felic, E., (2013) Health Tourism Opportunity for Bih, , www.balkaninside.com/health-tourism-opportunity-for-bih, Balkan Insight; Gambarov, V., Gjinika, H., Thermal spring health tourism in Albania: Challenges and perspectives (2017) Tourism, Culture and Heritage in a Smart Economy, pp. 455-465. , V. Katsoni, A. Upadhya and A. Stratigea, eds; Garrod, B., Fyall, A., Revisiting Delphi: The Delphi technique as a method of tourism research (2005) Tourism Research Methods: Integrating Theory with Practice, pp. 85-98. , B.W. Ritchie, P. Burns and C. Palmer, eds., Wallingford: CABI; Ginter, E., Simko, V., (2011) Balkan: New Data on Health, Life Expectancy and Mortality, Internal Medicine, , www.medicina-interna.ro/articol.php?articol=659andlang=ro; (2015), http://sites.ecovillage.org/en/globalecovillage-network; Gordon, T.J., (1994) The Delphi Method: Futures Research Methodology, , www.gerenciamento.ufba.br/Downloads/delphi%20(1).pdf; (2015) Thermal Springs in Turkey, , www.allaboutturkey.com/spa.htm; Green, H., Hunter, C., Moore, B., The application of the Delphi technique in tourism (1990) Annals of Tourism Research, 17, pp. 270-279; The study on the potential of health tourism in Montenegro (2012) Adriatic Health and Vitality Network; (2010) Greek Spa Industry Lacks Trained Professionals, , http://news.gtp.gr/2010/03/01/greek-spa-industry-lacks-trained-professionals; (2017) Health Tourism Meets Its Ithaca – Conference Conclusions, , https://healthtourismgreece.com/index.php/news/22-health-tourism-meets-its-ithaca-conference-conclusions; Hjalager, A., Konu, H., Huijbens, E.H., Björk, P., Flagestad, A., Nordin, S., Tuohino, A., (2011) Innovating and Re-Branding Nordic Wellbeing Tourism, , www.nordicinnovation.org/Global/_Publications/Reports/2011/2011_NordicWellbeingTourism_report.pdf; Horwath, (2013) Crossspa Study on Joint Potential of Health and Wellness Tourism Development in the Cross-Border Area (Sarajevo Macro Region and Tourism Region of Western Serbia), , Belgrade: Horwath, Belgrade; Hsu, C., Sandford, B.A., The Delphi technique: Making sense of consensus (2007) Practical Assessment, Research & Evaluation, 12 (10), pp. 1-8; (2016) Medical Tourism to Croatia has Great Potential, , www.imtj.com/news/medical-tourism-croatia-has-great-potential; (2017) Slovenia Promotes Spas and Resorts in 30 December 2017, , www.imtj.com/news/slovenia-promotes-spas-and-resorts-2017; Karagülle, M.Z., (2013) Wellness at Traditional Balkan Spas; Innovation Or Authenticity?, , Serbia: 3rd Balkan Spa Summit; Kesar, O., Rimac, K., Medical tourism development in Croatia (2011) Zagreb International Review of Economics & Business, 14 (2), pp. 107-134. , http://hrcak.srce.hr/78762; Korkmaz, M., Aytaҫ, A., Yücel, A., Kiliҫ, S., Toke, B.F., Gümüş, S., Health tourism in Turkey and practical example of its economic dimensions (2014) IIB International Refereed Academic Social Sciences Journal, 15 (5), pp. 229-246; Lebe, S.S., Wellness tourism development in Slovenia in the last two decades (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, pp. 315-319. , M.K. Smith and L. Puczkó, eds., London: Routledge; Lee, C., King, B.E., Using the Delphi method to assess the potential of Taiwan’s hot springs tourism sector (2009) International Journal of Tourism Research, 11, pp. 415-437; Marku, M.A., Tourism strategy of Albania (2014) European Scientific Journal, 2, pp. 57-66; Miller, G., The development of indicators for sustainable tourism: Results of a Delphi survey of tourism researchers (2001) Tourism Management, 22, pp. 351-362; (2008) The Montenegro Tourism Development Strategy 2020, , Podgorica; (2017) Spa and Health, , www.mybosnia.net/index.php/tourism/spa-and-health; (2015), www.balkansgeotourism.travel; Nedelcheva, A., An ethnobotanical study of wild edible plants in Bulgaria (2013) Eurasian Journal of Biosciences, 7, pp. 77-94; Pak, M., Altbauer, I., Strategy for development and marketing of Slovenian Spas (2014) SPACE, , https://docplayer.net/24311100-Strategy-fordevelopment-and-marketing-of-slovenian-spas-maja-pak-iztok-altbauer.html; Pan, M.S.Q., Vella, A.J., Archer, B.H., Parlett, G., A mini-Delphi approach: An improvement on single round techniques (1995) Progress in Tourism and Hospitality Research, 2, pp. 27-39; Rančić, M., Pavić, L., Miljatov, M., Wellness centers in Slovenia: Tourists’ profiles and motivational factors (2014) TURIZAM, 18 (2), pp. 72-83; Redzic, S., Wild medicinal plants and their usage in traditional human therapy (Southern Bosnia and Herzegovina (2010) W. Balkan, Journal of Medicinal Plants Research, 4, pp. 1003-1027; Renko, S., Food in the function of rural development in the context of tourism industry (2010) Book of Extended Abstracts of 5Th International Conference Economic Development Perspectives of SEE Region in the Global Recession Context, pp. 179-180; (2017) Tourism Arrivals and Overnight Stays, , www.stat.si/StatWeb/en/News/Index/6846; Riggins, N., (2014) Montenegro’s Tourism Industry Turns a Corner, , www.businessdestinations.com/acte/montenegros-tourismindustry-turns-a-corner, Business Destinations; Smith, M.K., Baltic health tourism: Uniqueness and commonalities (2015) Scandinavian Journal of Tourism and Hospitality, 15 (4), pp. 357-379; Simundić, B., Healthy food as the basic for health tourism (1997) Proceedings of the 4Th International Conference: The Promotion of Health Tourism, pp. 167-178. , Opatija; Smith, M.K., Puczkó, L., (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , London: Routledge; Smith, M.K., Puczkó, L., Balneology and health tourism (2017) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, pp. 271-281. , M.K. Smith and L. Puczkó, eds., London: Routledge; Stăncioiu, A., Botos, A., Pargaru, I., The Balkan balneotherapy product – An approach from the destination marketing perspective (2013) Theoretical and Applied Economics, 10 (587), pp. 5-22; (2013) More Visiting Albania on Health Tourism Purposes, , www.tiranatimes.com/?p=115057www.tiranatimes.com/?p=115057; (2014) Health and Wellness Spa, , www.visitgreece.gr/en/leisure/wellness; Vitic, A., Ringer, G., Branding post conflict destinations (2008) Journal of Travel and Tourism Marketing, 23 (2-4), pp. 127-137","Smith, M.; Tourism Budapest Metropolitan UniversityHungary; email: msmith@metropolitan.hu",,,"Taylor and Francis",,,,,,9781351599566; 9781138097377,,,"English","Sustainable Tourism Practices in the Mediterranean",Book Chapter,"Final",,Scopus,2-s2.0-85076277554 "Tulay P., Atılan O.","55450610200;57210414721;","Oocyte donors’ awareness on donation procedure and risks: A call for developing guidelines for health tourism in oocyte donation programmes",2019,"Journal of the Turkish German Gynecology Association","20","4",,"236","242",,,"10.4274/jtgga.galenos.2018.2018.0110","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075950581&doi=10.4274%2fjtgga.galenos.2018.2018.0110&partnerID=40&md5=f432172bc8d6f0b22ecc523fe55e0a7f","Department of Medical Genetics, Near East University, Faculty of Medicine, Nicosia, Cyprus; Near East University, Research Centre of Experimental Health Sciences, Nicosia, Cyprus; Department of Medical Biology and Genetics, Near East University Institute of Health Sciences, Nicosia, Cyprus","Tulay, P., Department of Medical Genetics, Near East University, Faculty of Medicine, Nicosia, Cyprus, Near East University, Research Centre of Experimental Health Sciences, Nicosia, Cyprus; Atılan, O., Department of Medical Biology and Genetics, Near East University Institute of Health Sciences, Nicosia, Cyprus","Objective: In the recent years, oocyte donation programmes have widely spread worldwide becoming the drive of health tourism. In some countries, donation programmes are tightly regulated, whereas in others, the guidelines or regulations are not well defined. To evaluate donors’ awareness of the donation programmes and the ethical consequences in enrolling these programmes. Material and Methods: A detailed questionnaire-based survey was conducted to evaluate the donors’ main drive to get involved in the donation programme and the donor’s knowledge and awareness of risk factors. Results: The majority of the donors (70%) were undergoing donation programmes for financial gains through compensation. The donors were especially not aware of the long-term medical risks and the possibility of identity exposure through genetic screening. Conclusion: The main duty of health professionals is to counsel donors about the basic procedures and any possible problems they may face during the donation programmes. Reimbursement of oocyte donors is a slippery slope in oocyte donation programmes. High compensation may make women think that donation is a profession without considering possible risks. Furthermore, with the wider use of direct-to-consumer genetic testing, and genetic anonymity may be at risk, thus the donors have to be counselled properly. Therefore, in this era of health tourism, it is crucial to set up well-defined counselling bodies in all oocyte donation centres and enable donors to make an informed choice in becoming oocyte donors. © 2019 by the Turkish-German Gynecological Education and Research Foundation.","Donor programme; Donors; Ethics; Oocyte donation","adult; article; awareness; compensation; consumer; counseling; ethics; female; genetic screening; human; human experiment; occupation; oocyte donation; oocyte donor; questionnaire; reimbursement; risk factor; tourism",,,,,,,,"Harper, J.C., Kennett, D., Reisel, D., The end of donor anonymity: How genetic testing is likely to drive anonymous gamete donation out of business (2016) Hum Reprod, 31, pp. 1135-1140; (2016) Human Fertilisation and Embryology; Schneider, J., Lahl, J., Kramer, W., Long-term breast cancer risk following ovarian stimulation in young egg donors: A call for follow-up, research and informed consent (2017) Reprod Biomed Online, 34, pp. 480-485; Bodri, D., Guillen, J.J., Polo, A., Trullenque, M., Esteve, C., Col, O., Complications related to ovarian stimulation and oocyte retrieval in 4052 oocyte donor cycles (2008) Reprod Biomed Online, 17, pp. 237-243; Maxwell, K.N., Cholst, I.N., Rosenwaks, Z., The incidence of both serious and minor complications in young women undergoing oocyte donation (2008) Fertil Steril, 90, pp. 2165-2171; Vloeberghs, V., Peeraer, K., Pexsters, A., D’Hooghe, T., Ovarian hyperstimulation syndrome and complications of ART (2009) Best Pract Res Clin Obstet Gynaecol, 23, pp. 691-709; Skillern, A., Cedars, M., Huddleston, H., Egg donor informed consent tool (EDICT): Development and validation of a new informed consent tool for oocyte donors (2013) Fertil Steril, 99, pp. 1733-1738; McMillan, J., Hope, T., Gametes, money and egg sharing (2003) Lancet, 362, p. 584; Pennings, G., Central role of alturism in the recruitment of gamete donors (2015) Monash Bioeth Rev, 33, pp. 78-88; Cholst, I.N., Oocyte donation and the therapeutic misconception (2013) Fertil Steril, 99, pp. 1561-1562; Boutelle, A.L., Donor motivations, associated risks and ethical considerations of oocyte donation (2014) Nurs Womens Health, 18, pp. 112-121; Resnik, D.B., Bioethical issues in providing financial incentives to research participants (2015) Medicoleg Bioeth, 5, pp. 35-41; Bakker, M.R., Maas, J., Bekker, M.H., Bredenoord, A., Fauser, B.C., Bos, A.M., Autonomy and self-esteem of women who donate to an oocyte cryopreservation bank in the Netherlands (2017) Reprod Biomed Online, 35, pp. 225-231; Kenney, N.J., McGowan, M.L., Looking back: Egg donors’ retrospective evaluations of their motivations, expectations, and experiences during their first donation cycle (2010) Fertil Steril, 93, pp. 455-466; Motluk, A., Anonymous sperm donor traced on internet (2005) New Sci, 2524, p. 6; Flory, J., Emanuel, E., Interventions to improve research participants’ understanding in informed consent for research: A systematic review (2004) JAMA, 292, pp. 1593-1601; Byrd, L.M., Sidebotham, M., Lieberman, B., Egg donation the donor’s view: An aid to future recruitment (2002) Hum Fertil (Camb), 5, pp. 175-182; Söderström-Anttila, V., Follow-up study of Finnish volunteer oocyte donors concerning their attitudes to oocyte donation (1995) Hum Reprod, 10, pp. 3073-3076; Sauer, M.V., Ary, B.R., Paulson, R.J., The demographic characterization of women participating in oocyte donation: A review of 300 consecutively performed cycles (1994) Int J Gynaecol Obstet, 45, pp. 147-151; Fielding, D., Handley, S., Duqueno, L., Weaver, S., Lui, S., Motivation, attitudes and experience of donation: A follow-up of women donating eggs in assisted conception treatment (1998) J Community Appl Soc Psychol, 8, pp. 273-287; Rosenberg, H., Epstein, Y., Follow-up study of anonymous ovum donors (1995) Hum Reprod, 10, pp. 2741-2747; Lindheim, S.R., Kavic, S., Sauer, M.V., Understanding differences in the perception of anonymous parties: A comparison between gamete donors and their recipients (2000) J Assist Reprod Genet, 17, pp. 127-130; Klock, S.C., Braverman, A.M., Rausch, D.T., Predicting anonymous egg donor satisfaction: A preliminary study (1998) J Womens Health, 7, pp. 229-237; Lessor, R., Cervantes, N., O’Connor, N., Balmaceda, J., Asch, R.H., An analysis of social and psychological characteristics of women volunteering to become oocyte donors (1993) Fertil Steril, 59, pp. 65-71; Greenfeld, D.A., Mazure, C.M., Olive, D.L., Keefe, D.L., Similarities and differences between anonymous and directed candidates for oocyte donation (1995) J Assist Reprod Genet, 12, pp. 118-122; Pennings, G., de Mouzon, J., Shenfield, F., Ferraretti, A.P., Mardesic, T., Ruiz, A., Socio-demographic and fertility-related characteristics and motivations of oocyte donors in eleven European countries (2014) Hum Reprod, 29, pp. 1076-1089","Tulay, P.; Department of Medical Genetics, Near East University, Faculty of MedicineCyprus; email: pinar.tulay@neu.edu.tr",,,"Galenos Yayincilik",,,,,13090399,,,,"English","J. Turkish German Gynecol. Assoc. Artemis",Article,"Final",Open Access,Scopus,2-s2.0-85075950581 "Naghipour M., Langarizadeh M., Razzazi M.","26025129300;36114561000;56019859600;","Identification of the requirements for designing medical tourism information system of Iran",2019,"Journal of Education and Health Promotion","8","1", 0,"","",,,"10.4103/jehp.jehp_372_18","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075024919&doi=10.4103%2fjehp.jehp_372_18&partnerID=40&md5=3d3e617459f745b63150993b6a3357f8","Department of Health Information Management, School of Health Management and Information Sciences, International Campus (IUMS-IC), Iran University of Medical Sciences, Tehran, Iran; Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Department of Computer Engineering and Information Technology, Amirkabir University of Technology, Tehran, Iran","Naghipour, M., Department of Health Information Management, School of Health Management and Information Sciences, International Campus (IUMS-IC), Iran University of Medical Sciences, Tehran, Iran; Langarizadeh, M., Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Razzazi, M., Department of Computer Engineering and Information Technology, Amirkabir University of Technology, Tehran, Iran","BACKGROUND: Given the substantial role of information systems in planning and simplifying the decision-making process for the government, organizations, health centers, and facilitators, in order to attract medical tourists from less developed and neighboring countries, the comprehensive Iranian Medical Tourism Information System can be used. The objective of this study was to designing a conceptual model for Iranian medical tourism information system. METHODOLOGY: This study was carried out in a three-step applied and combined method. In the first step, a systematic review was done on the studies and then the reliability of the results was checked during a semi-structured in-depth interview with 11 experts in medical tourism through open questions. In the third step, the Delphi method was conducted quantitatively to get the ideas of 26 experts. SPSS software version 22 was used for factor analysis. RESULTS: The proposed conceptual model for Iranian Medical Tourism Information System includes a variety of services from the first moment of decision to travel until the moment of returning from a medical journey, following up the treatment, and sharing the patients' experiences. CONCLUSION: It could be concluded that considering the commercial importance and financial benefits of medical tourism, it should provide the necessary facilities to expedite the provision of services to these foreign patients; consequently, an appropriate basis for attracting more medical tourists from neighboring countries, developing countries, and even developed countries will be provided. © 2019 Institute of Electrical and Electronics Engineers Inc.. All rights reserved.","Computer-aided design; information systems; management information systems; medical tourism",,,,,,"Iran University of Medical Sciences, IUMS","The current study was part of a PhD dissertation supported by the International Campus (grant no: IUMS/SHMIS/I_2017/96/D/110/3428), Iran University of Medical Sciences.",,"Moghavvemi, S., Ormond, M., Musa, G., Isa, C.R., Thirumoorthi, T., Mustapha, M.Z., Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand (2017) Tour Manag, 58, pp. 154-163; Samadbeik, M., Asadi, H., Mohseni, M., Takbiri, A., Moosavi, A., Garavand, A., Designing a medical tourism website: A qualitative study (2017) Iran J Public Health, 46, pp. 249-257; Masoud, F., Alireza, J., Mahmoud, K., Zahra, A., A systematic review of publications studies on medical tourism (2013) J Educ Health Promot, 2, p. 51; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11; Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tour Manag, 52, pp. 539-556; Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759; Asadi, R., Daryaei, M., Strategies for development of Iran health tourism (2011) Eur J Soc Sci, 23, pp. 329-344; Jabbari, A., (2009) Designing a Model for Iran Medical Tourism, , [Phd thesis]. Tehran: School of Management and Medical Information, Iran University Medical Sciences; Izadi, M., Saadat, H.S., Ayoubian, A., Hashemi Dehaghi, Z., Karbasi, M.R., Jalali, A.R., Health tourism in Iran; Identifying obstacles for development of this industry (2013) Int J Travel Med, 1, pp. 82-94; Dalen, J.E., Alpert, J.S., Medical tourists: Incoming and outgoing (2019) Am J Med, 132, pp. 9-10; Momeni, K., Janati, A., Imani, A., Khodayari-Zarnaq, R., Arab-Zozani, M., An analysis of competitive situation medical tourism industry: A case study in Northwest Iran (2017) Bal Med J, 6, pp. 283-292; Erfaninia, L., (2009) Comparative Study on Medical Tourism in Selective Country, , [MSc thesis] Tehran: Paramedical School, Tehran Medical Sciences University; http://www.avab.behdasht.gov.ir/ipd, [Last accessed on 2018 Jun 20]; Payroun, J., Broumand, Z., Strategies to attract international tourism in Iran (2014) Arab J Bus Manag Rev, 2, pp. 28-37; Najafi, B., Raeissi, P., Gorji, H.A., Ahmadi, A., Haghighi, M., Identifying factors affecting destination choice of medical tourists: A systematic review of literature (2017) J Fundam Appl Sci, 9, pp. 1309-1328; Abubakar, A.M., Ilkan, M., Impact of online WOM on destination trust and intention to travel: A medical tourism perspective (2016) J Destination Mark Manage, 5, pp. 192-201; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Soc Sci Med, 124, pp. 356-363; Turner, L., Beyond 'medical tourism': Canadian companies marketing medical travel (2012) Global Health, 8, p. 16; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72, pp. 726-732; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tour Manag, 32, pp. 709-716; Wagle, S., Web-based medical facilitators in medical tourism: The third party in decision-making (2013) Indian J Med Ethics, 10, pp. 28-33","Langarizadeh, M.; Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical SciencesIran; email: langarizadeh.m@iums.ac.ir",,,"Wolters Kluwer Medknow Publications",,,,,22779531,,,,"English","J. Edu. Health Promotion",Article,"Final",,Scopus,2-s2.0-85075024919 "Iwu C.G., Choto P., Tengeh R.K.","55701545600;56897227100;50462672400;","Sustainability issues of health tourism Non-Profit- Organisations",2019,"African Journal of Hospitality, Tourism and Leisure","8","5",,"","",15,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074443170&partnerID=40&md5=68c15a1f36a1919b0561eac2d7f4e6f1","Department of Entrepreneurship and Business Management, Faculty of Business and Management Sciences, Cape Peninsula University of Technology, Cape Town, South Africa; Department of Marketing, Faculty of Business and Management Sciences, Cape Peninsula University of Technology, South Africa","Iwu, C.G., Department of Entrepreneurship and Business Management, Faculty of Business and Management Sciences, Cape Peninsula University of Technology, Cape Town, South Africa; Choto, P., Department of Marketing, Faculty of Business and Management Sciences, Cape Peninsula University of Technology, South Africa; Tengeh, R.K., Department of Entrepreneurship and Business Management, Faculty of Business and Management Sciences, Cape Peninsula University of Technology, Cape Town, South Africa","Health tourism occurs when people around the world travel across international borders to access various health and wellness treatment and at the same time touring the country they are visiting. It is one of the growing industries in South Africa, as people are constantly coming to South Africa in search of health care services. Health tourism is imperative for economic growth and development and has recently assumed the status of one of the most important contributors to employment, infrastructural and services development, and generating an economic return. Due to these significant contributions, it is vital to have sustainable health care services in countries attracting health tourists. Making use of the traditional literature method, this paper presents an overview of health tourism, the importance of healthcare in South Africa, discussing the sustainability issues faced by health care providers and the impact thereof to health tourism. More importantly, we drew lessons from the three overlapping circle model as well as the four capital model. to further the discussion on sustaionable strategies for health tourism NPOs. © 2019 AJHTL /Author/s.","Health tourism; Healthcare; NPOs; Sustainability; Tourism",,,,,,,,,"Abraham, A., Financial management in the non-profit sector: a mission-based approach to ratio analysis in membership organizations (2006) Journal of American Academy of Business, 10 (1), pp. 212-217; Agostinho, F., Sevegnani, F., Almeida, C.M.V.B., Giannetti, B.F., Exploring the potentialities of emergy accounting in studying the limits to growth of urban systems (2018) Ecological Indicators, 94, pp. 4-12; Anon, (2012) The Four Capital model, , http://www.snam.it/export/sites/snamrp/repository/ENG_file/Sustainability/4_capitali_uk.pdf, [28 July 2018]; Arshad, R., Bakar, N.A., Sakri, F.H., Omar, N., Organizational Characteristics and Disclosure Practices of Non-profit Organizations in Malaysia (2013) Asian Social Science, 9 (1), pp. 209-217; Aydin, G., Karamehmet, B., Factors affecting health tourism and international healthcare facility choice (2017) International Journal of Pharmaceutical and Healthcare Marketing, 11 (1), pp. 16-36; Balabanis, G., Stables, R., Phillips, H., Market orientation in the top 200 British charity organizations and its impact on their performance (1997) European Journal of Marketing, 31 (8), pp. 583-603; Barles, S., Urban metabolism of Paris and its region (2009) Journal of Industrial Ecology, 13 (6), pp. 898-913; Barrett, J., Vallack, H., Jones, A., Haq, G., (2002) A material flow analysis and ecological footprint of York, , Stockholm: Stockholm Environment Institute; Batti, R.C., Challenges facing NGOs in resource mobilization (2014) Humanities and Social Sciences, 2 (3), pp. 57-64; Behn, B.K., DeVries, D.D., Lin, J., The determinants of transparency in nonprofit organizations: An exploratory study (2010) Advances in Accounting, 26 (1), pp. 6-12; Bose, B., (2015) Effects of non-profit competition on charitable donations, , University of Washington-Seattle Working Paper; Boudreau, J., Ramstad, P., Talentship, talent segmentation, and sustainability: A new HR decision science paradigm for a new strategy definition (2005) Human Resource Management, 44 (2), pp. 129-136; Carrera, P., Lunt, N., A European perspective on medical tourism: the need for a knowledge base (2010) International Journal of Health Services, 40, pp. 469-484; Chigwedere, S., (2013) Leveraging Latent Capital to Foster Sustainability, , http://www.ngopulse.org/article/leveraging-latent-capital-foster-sustainability, [18 September 2017]; Two Commas and a Full Stop: A Preliminary Report on the Civicus Index on Civil Society Project in South Africa (2002) CIVICUS Index on Civil Society Occasional Paper Series, 1 (9); Coetzee, M., Income Generation Models for Nonprofit Organisations (2013) Presentation for Women in Philanthropy, , http://www.marcuscoetzee.co.za/presentation-income-generation-models-6March2013.pdf, [10 October 2017]; Coetzee, M., (2018) What do we mean by ""organizational sustainability""?, , http://www.marcuscoetzee.co.za/what-do-we-mean-by-organizational-sustainability/, [27 July 2018]; Colbert, B., Kurucz, E., Three conceptions of triple bottom-line business sustainability and the role for HRM (2007) People and Strategy, 30 (1), p. 21; Constanza, R., Patten, B.C., Defining and predicting sustainability (1995) Ecological Economics, 15 (3), pp. 193-196; Corcelli, F., Fiorentino, G., Petit-Boix, A., Rieradevall, J., Gabarrell, X., Transforming rooftops into productive urban spaces in the Mediterranean (2019) An LCA comparison of agri-urban production and photovoltaic energy generation. 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John J. Heldrich Center for Workforce Development","Iwu, C.G.; Department of Entrepreneurship and Business Management, Faculty of Business and Management Sciences, Cape Peninsula University of TechnologySouth Africa; email: iwuc@cput.ac.za",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85074443170 "Ahire M., Fernandes P.O., Teixeira J.P.","57211476747;35200741800;57069567500;","India's medical tourism analysis and forecasting",2019,"Proceedings of the 33rd International Business Information Management Association Conference, IBIMA 2019: Education Excellence and Innovation Management through Vision 2020",,,,"4788","4796",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074088254&partnerID=40&md5=fd8e15f1dad68f0b08479576e7ba4655","Specialization in Business Management, Polytechnic Institute of Braganca, Campus de Santa Apolonia, Braganca, 5300-253, Portugal; Applied Management Research Unit (UNIAG), Polytechnic Institute of Braganca (IPB), Campus de Santa Apolonia, Braganca, 5300-253, Portugal; Research Centre in Digitalization and Intelligent Robotics (CEDRI), Applied Management Research Unit (UNIAG), Polytechnic Institute of Braganca (IPB), Campus de Santa Apolonia, Braganca, 5300-253, Portugal","Ahire, M., Specialization in Business Management, Polytechnic Institute of Braganca, Campus de Santa Apolonia, Braganca, 5300-253, Portugal; Fernandes, P.O., Applied Management Research Unit (UNIAG), Polytechnic Institute of Braganca (IPB), Campus de Santa Apolonia, Braganca, 5300-253, Portugal; Teixeira, J.P., Research Centre in Digitalization and Intelligent Robotics (CEDRI), Applied Management Research Unit (UNIAG), Polytechnic Institute of Braganca (IPB), Campus de Santa Apolonia, Braganca, 5300-253, Portugal","The paper deals with India Medical tourism analysis and forecasting, applying an assortment of time series forecasting models, for monthly data spreading over 2014 to 2018. Medical tourism worldwide and in India is on rise. Figures of medical tourist arrivals in India for 2014, 2015 and 2016 suggest of a significant growth. A number of measures have been taken by the Government to attract medical tourists to the country. This study was undertaken to analyse the growth trends in medical tourism in India over a period of last five years and also to project the medical tourist arrivals over the next couple of years using the sophisticated ARIMA method of trend projection. The paper discusses these trends including their calculations. The projections show a great potential for the country to earn valuable foreign exchange through medical tourism. India has a huge cost and expertise advantage which if leveraged through proper publicity can make it one of the leading medical tourist destinations in the days to come. The Government should step-up its efforts in this direction with aggressive publicity policies. © 2019 International Business Information Management Association (IBIMA).","ARIMA model; Forecast; Inbound medical tourism; India; Medical tourism",,,,,,,,,"Béland, D., Rocco, P., Waddan, A., (2016) Obamacare Wars: Federalism, State Politics, and the Affordable Care Act, , Lawrence, KS: University Press of Kansas; Béland, D., Zarzeczny, A., Medical tourism and national health care systems: An institutionalist research agenda (2018) Globalization and Health, 14 (1), p. 68; Boyd, J., McGrath, M., Maa, J., Emerging trends in the outsourcing of medical and surgical care (2011) Arch Surg, 146, pp. 107-112; Braverman, B., 1.4 million Americans will go abroad for medical care this year (2016) Should You?, , http://www.thefiscaltimes.com/2016/08/17/14-Million-Americans-Will-Go-AbroadMedical-Care-Year-Should-You; Cohen, R., Martinez, M., Zammitti, E., (2015) Health Insurance Coverage: Early Release of Estimates from the National Health Interview Survey, , https://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201605.pdf:1, 2015.Washington, DC: Centers for Disease Control and Prevention (National Center for Health Statistics); 2016; Cuhadar, M., Modelling and forecasting inbound tourism demand to Istanbul-A comparative analysis (2014) European Journal of Business and Social Sciences, 2 (12), pp. 101-119; Fernandes, P.O., Teixeira, J.P., Ferreira, J.M., Azevedo, S.G., Modelling tourism demand: A comparative study between artificial neural networks and the box jenkins methodology (2008) Romanian Journal of Economic Forecasting, 5 (3), pp. 30-50; (2017) Tourism Statistics, , Government of India, Ministry of Tourism; (2018) Unstarred Question, , Government of India, Ministry of Tourism, LokSabha, †951, answered on 17.12; (2017) Unstarredquestion, , Government of India, Ministry of Tourism, LokSabha, †30, answered on 18.12; (2018) Unstarredquestion No.3120, , Government of India, Ministry of Tourism, LokSabha, answered on 31.12; Kim, D., Sheppard, C., Gara, C., Karmali, S., Birch, D., Financial costs and patients' perceptions of medical tourism in bariatric surgery (2016) Can J Surg, 59 (1), pp. 59-61; Mangan, D., (2016) Big Drop in Texans without Health Insurance, but Poor Lag, , http://www.cnbc.com/2016/06/01/big-drop-in-texanswithout-health-insurance-but-poor-lag.html; Stephano, R., Top 10 Medical Tourism Destinations in the World, , http://www.medicaltourismmag.com/top-10-medical-tourism-destinations-world/, s/d; Snyder, J., Johnston, R., Crooks, V., Morgan, J., Adams, K., How medical tourism enables preferential access to care: Four patterns from the Canadian context (2017) Health Care Anal, 25, pp. 138-150; Thayarnsin, S., Douglas, A., A systematic review of challenges in medical tourism destination management (2016) Travel and Tourism Research Association: Advancing Tourism Research Globally, 9. , https://scholarworks.umass.edu/ttra/2016/Qualitative_Research_Workshop/9; Zou, H., Yang, Y., Combining time series models for forecasting (2004) International Journal of Forecasting, 20, pp. 69-84; https://www.medicaltourismindex.com/destination/india/, Official websites consulted for data collection","Fernandes, P.O.; Applied Management Research Unit (UNIAG), Polytechnic Institute of Braganca (IPB), Campus de Santa ApoloniaPortugal; email: pof@ipb.pt","Soliman K.S.",,"International Business Information Management Association, IBIMA","33rd International Business Information Management Association Conference: Education Excellence and Innovation Management through Vision 2020, IBIMA 2019","10 April 2019 through 11 April 2019",,152210,,9780999855126,,,"English","Proc. Int. Bus. Inf. Manag. Assoc. Conf., IBIMA: Educ. Excell. Innov. Manag. Vis.",Conference Paper,"Final",,Scopus,2-s2.0-85074088254 "Stoica B.-S., Bugheanu A.-M., Ciocoiu C.N.","57211468145;57201113539;27367704800;","Medical tourism of the EU patients treated in Romania: An analysis of the relevant indicators",2019,"Proceedings of the 33rd International Business Information Management Association Conference, IBIMA 2019: Education Excellence and Innovation Management through Vision 2020",,,,"2165","2176",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074083625&partnerID=40&md5=e1e22fe7f34ea2319a5852931f54d020","Bucharest University of Economic Studies, Bucharest, Romania","Stoica, B.-S., Bucharest University of Economic Studies, Bucharest, Romania; Bugheanu, A.-M., Bucharest University of Economic Studies, Bucharest, Romania; Ciocoiu, C.N., Bucharest University of Economic Studies, Bucharest, Romania","Romania's accession to the EU in 2007 led to the transposition of community legislation into national health legislation. EU citizens acquired more rights to the medical treatment in Romanian territory. Starting with the legislative base and continuing with the analysis of relevant indicators referring to the EU citizens who benefited from medical services in Romania, it is noted that the number of them is growing. In order to present an overview of the situation of EU patients treated in Romania in spa resorts, state and private clinics, were selected from the Romanian statistical bases the arrivals, overnights and documents for reimbursement of medical services expenses. The approach was chosen in the context of European patient dynamics and it was supported by the analysis of reports and statistics developed at the EU level. Stable and rising, the Romanian medical tourism market is not developed to the same extent as the markets of other Central and Eastern European countries. Taken into consideration, the few proposals listed at the end of this approach could help to develop medical tourism on Romanian territory. © 2019 International Business Information Management Association (IBIMA).","Balneary resorts; EU patients; Health legislation; Medical tourism",,,,,,,"This paper was co-financed by the The Bucharest University of Economic Studies during the PhD program. This study was also counducted through the post-doctoral advanced research studies for the academic years 2018-2020, Management field, coordinator The Bucharest University of Economic Studies.",,"Andrei, C.L., Tigu, G., Dragoescu, R.M., Sinescu, C.J., O analiză a turismului medical pentru boli cardiovasculare (2014) Amfiteatru Economic, 16 (8), pp. 917-931; Aydin, G., Karamehmet, B., Factors affecting health tourism and international health-care facility choice (2017) International Journal of Pharmaceutical and Healthcare Marketing, 11 (1), pp. 16-36; Badulescu, D., Badulescu, A., Medical tourism: between entrepreneurship opportunities and bioethics boundaries: Narrative review article (2014) Iranian Journal of Public Health, 43 (4), pp. 406-415; Bolos, B.V., Medical tourism in Romania, MureÅŸ County case study (2012) Healthcare & Medical Tourism, , https://www.researchgate.net/publication/234833246_Medical_Tourism_in_Romania_Mures_County_Case_Study, Online, Retrieved January 25, 2019; Callens, S., Van Gompel, N., Van De Steeg, L., (2017) Study on Cross-Border Health Services: Enhancing Information Provision to Patients, , https://ec.europa.eu/health/sites/health/files/cross_border_care/docs/ev_20171019_co05_en.pdf, Presentation, Brussels, 19.10.2017, Online, Retrieved January 25, 2019; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Preferences of europeans towards tourism (2015) Report, Flash Eurobarometer 414 - TNS Political & Social, , http://ec.europa.eu/commfrontoffice/publicopinion/flash/fl_414_en.pdf, March 2015, Online, Retrieved January 25, 2019; Fink, R., Health tourism in the EU: Facts and figures (2018) Regiondo, , https://pro.regiondo.com.health-tourism-eu, Online, Retrieved February 9, 2019; Hall, M.C., Health and medical tourism: A kill or a cure for global public health? (2011) Tourism Review, 66, pp. 4-15; Hofer, S., Honegger, F., Hubeli, J., Health tourism: Definition focused on the Swiss market and conceptualisation of health(i)ness (2012) Journal of Health Organization and Management, 26 (1), pp. 60-80; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Horowitz, M.D., Rosenweig, J.A., Medical tourism - Health care in the global economy (2007) The Physician Executive, 33 (6), pp. 24-30; Lunt, N., Carrera, P., Medical tourism: Assesing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Oliver, D., Health tourism, immigration, and the NHS (2018) British Medical Journal, , https://www.bmj.com/content/bmj/361/bmj.k2536.full.pdf, Online, Retrieved February 10, 2019; Patrichi, I.C., Dodu, S.P., Medical tourism - A business or a necessity? (2014) Journal of Tourism - Studies and Research in Tourism, 18 (18), pp. 44-48; Salagean, S., (2018) Turismul Medical ÃŽn România, Făcut La Scară Mică, Dar Cu Profit, , https://evz.ro/turismul-medical-in-romania-facut-la-scara-micadar-cu-profit.html, Online, Retrieved January 23, 2019; Sinescu, R.D., Anghel, A., Teohari Vulcănescu, R., Chirurgia mâinii - Recuperarea postoperatorie ÅŸi turismul medical (2014) Amfiteatru Economic, 16 (8), pp. 906-916; Sirbu, A., Mihalcioiu, C., (2018) Vehicule ÃŽnmatriculate Åži Accidente De CirculaÅ£ie Rutieră - Anul 2017, , Institutul NaÅ£ional de Statistică, BucureÅŸti; Stancioiu, A.F., Botos, A., Pargaru, I., Clarifications regarding medical tourism destinations marketing (2014) Balneo Research Journal, 5 (3), pp. 84-98; Stoica, B., Ciocoiu, C.N., The risk Concept in the Healthcare Sector and its Implications for the Contracting of Medical Services (2018) Proceedings of the 12th International Management Conference (IMC), pp. 906-917. , 1-2 November 2018, Bucharest, Romania; Tudorica, A., Turismul medical - Afacere de milioane de euro (2017) Cotidianul, , https://www.cotidianul.ro/turismul-medical-afacere-de-milioane-de-euro, Online, Retrieved January 24, 2019; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Wilson, P., (2017) European Member State Data. Cross-Border Patient Flows Based on Directive 2011/24/EU Year 2016, , https://ec.europa.eu/health/sites/health/files/cross_border_care/docs/ev_20171019_co01_en.pdf, Presentation, Brussels, 19.10.2017, Online, Retrieved January 25, 2019",,"Soliman K.S.",,"International Business Information Management Association, IBIMA","33rd International Business Information Management Association Conference: Education Excellence and Innovation Management through Vision 2020, IBIMA 2019","10 April 2019 through 11 April 2019",,152210,,9780999855126,,,"English","Proc. Int. Bus. Inf. Manag. Assoc. Conf., IBIMA: Educ. Excell. Innov. Manag. Vis.",Conference Paper,"Final",,Scopus,2-s2.0-85074083625 "Shukla R., Singh M., Saxena S.K.","57200218157;57211322668;57211317448;","Consumer perception of hospitality services in jci accredited hospitals at Delhi – NCR: An exploratory research on growth of medical tourism",2019,"Humanities and Social Sciences Reviews","7","1",,"413","422",,,"10.18510/hssr.2019.7147","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073472034&doi=10.18510%2fhssr.2019.7147&partnerID=40&md5=1b51fdb70c5ce2155401642935403df4","Amity University, Noida, Uttar Pradesh, India; GM – HRD, Jaypee Palace Hotel & Convention Centre, Agra, Uttar Pradesh, India","Shukla, R., Amity University, Noida, Uttar Pradesh, India; Singh, M., Amity University, Noida, Uttar Pradesh, India; Saxena, S.K., GM – HRD, Jaypee Palace Hotel & Convention Centre, Agra, Uttar Pradesh, India","Purpose: This research focuses on understanding the consumer perception and scope of hospitality services provided to patients and their attendants, getting admitted for treatment at internationally accredited multispecialty hospitals. The study also gives insights into the relation among these service elements and their role in the overall satisfaction of patients coming to Delhi NCR as a medical tourist. Methodology: Literature review and interviews with hospital staff, involved as service providers, to find the hospitality services and facilities provided to patients coming to Delhi NCR as a medical tourist. The study adopted survey through questionnaire method to collect primary data, which is analysed through SPSS to study the perceptions of patients/attendants and its relationship with overall patient satisfaction. Main Findings: This research finds that the majority of the JCI accredited hospitals in Delhi-NCR, show fairly good focus on patient care and hospitality centric service style was in place. Hospitality aspects are considered as an opportunity to enhance service excellence and the same is supported by management to bring better patient satisfaction. However, the research found some neglected desires of patients and few areas of poor service delivery. Applications: Hospitals benefiting with medical tourism where attention to nonclinical services is magnified due to a higher expectation of the guest, will benefit from this research. This research would be valuable to healthcare organizations in doing their best to achieve greater patient’s satisfaction, which will improve our image as a destination for Medical Value Travel. Novelty/Originality: This study explores hospitality services and their relative importance in patient satisfaction. This study describes higher patient satisfaction as an outcome of excellence in non-clinical services. The research outcome is based on primary data and offers a first-hand view of patients perceived hospitality service quality and its constituents. © Shukla et al.","Consumer Perception; Hospitality Service Medical Tourism; Internationally accredited multispecialty hospitals; Patient Satisfaction",,,,,,,,,"Adams, A., (2008) Medicine by Design, , https://doi.org/10.1108/09526869810231541, University of Minnesota press; Andaleeb, S.S., Determinants of customer satisfaction with hospitals: A managerial model (1998) International Journal of Health Care Quality Assurance, 11 (6), pp. 181-187. , https://doi.org/10.1016/S0277-9536(00)00235-5; Andaleeb, S.S., Service quality perceptions and patient satisfaction: A study of hospitals in a developing country (2001) Social Science and Medicine, pp. 1359-1370; Asif, S., Sargeant, A., Modelling internal communication in the financial services sector (2000) European Journal of Marketing, p. 299 317. , https://doi.org/10.1108/03090560010311867; Boshoff, C., Grey, B., The Relationships between Service Quality, Customer Satisfaction and Buying Intentions in the Private Hospital Industry (2004) South African Journal of Business Management, 35 (4), pp. 27-37; Bramhbhatt, D.M., Baser, D.N., Joshi, P.N., An Empirical Investigation of Patient's Perceptions of Service Quality (2011) International Journal of Multidisciplinary Research; Chaudhary, M., Agrawal, A., Medical Tourism in National Capital Region India: Perspectives of the Medical Service Providers (2014) IMED, 7 (2), pp. 35-42; (2010) HCAHPS Fact Sheet. Canter for Medicare and Medicaid Services; Crooks, V.A., Kingsbury, P., Snyder, J., Jhonston, R., What is known about patient's experience od medical tourism? A Scoping Review (2010) BMC Health Services Research, , https://doi.org/10.1186/1472-6963-10-266; (2016) Medical Value Travel in India, , MS Health India; Gilbert, F.W., Lumpkin, J.R., Adaptation and customer expectation of health care options (1992) Journal of Health Care Marketing, pp. 46-55; Haddrell, V., Danaher, P.J., A comparison of question scales used for measuring customer satisfaction (1996) International Journal of Service Industry Management, 7 (4), pp. 4-26. , https://doi.org/10.1108/09564239610129922; Hansemark, O.C., Albinsson, M., Customer Satisfaction and Retention: The experiences of individual employees (2004) Managing Service Quality, pp. 40-57. , https://doi.org/10.1108/09604520410513668; Heskett, J.L., Jones, T.O., Loveman, G.W., Jr, W.E., Schlesinger, L.A., Putting the service profit chain to work (1994) Harvard Business Review, pp. 164-174; Jackson, J., Chamberlin, J., (2001) Predictors of Patient Satisfaction, pp. 609-620. , https://doi.org/10.1016/S0277-9536(00)00164-7, Social Science and Medicine; Jones, T., Sasser, W., Why satisfied customers defect (1995) Harvard Business Review, pp. 88-99; Loncaric, D., Loncaric, D., Markovic, S., Health Tourism, Customer Satisfaction and Quality of Life: The Role of Speciality Hospitals (2015) Tosee – Tourism in Southern and Eastern Europe, 3, pp. 159-173; Malhotra, N., Dash, S., (2015) Marketing Research: An Applied Orientation, , Pearson Publication; Maloot, D.W., (1959) Division of Rare and Manuscript Collection, , Deane W Malott Papers, Cornell University Library; Manaf, N.H., Inpatient Satisfaction: An analysis of Malaysian public Hospitals (2012) International Journal of Public Sector Management, pp. 6-16. , https://doi.org/10.1108/09513551211200258; Markovic, S., Loncaric, D., Loncaric, D., SERVICE QUALITY AND CUSTOMER SATISFACTION IN THE HEALTH CARE INDUSTRY-TOWARDS HEALTH TOURISM MARKET (2014) Tourism and Hospitality Management, 20 (2), pp. 155-170; O’Connor, S., Trinh, H.Q., Al, E., Perceptual gaps in understanding patient expectations for health care service quality (2000) Health Care Management Review, pp. 7-23. , https://doi.org/10.1097/00004010-200004000-00002; Oliver, R., (1997) Satisfaction: A Behavioural Perspective on the Consumer, , New York: McGraw-Hill; Padma, P., Rajendran, C., Lokachari, P.S., Service quality and its impact on customer satisfaction in Indian Hospitals: Perspectives of patients and their attendants (2010) Benchmarking an International Journal –Emerald International Journal, pp. 807-841. , https://doi.org/10.1108/14635771011089746, Oct; Pakdil, F., Harwood, T.N., Patient Satisfaction in a Preoperative Assessment Clinic: An Analysis Using SERVQUAL Dimensions (2005) Total Quality Management, pp. 15-30. , https://doi.org/10.1080/1478336042000255622; Panda, T.K., Satyabrat, D., The Role of Tangibility in Service Quality and its impact on External Customer Satisfaction: A Comparative Study of Hospital and Hospitality Sectors (2014) IUP Journal of Marketing Management, 13 (4), pp. 55-69; Punam, G., Bhawna, P., Challenges and Strengths of Medical Tourism in Delhi NCR (2012) DU Journal of Undergraduate Research and Innovation, 1 (2), pp. 230-251; Reichheld, F., Sasser, W., Zero defects, Quality comes to services (1990) Harvard Business Review, pp. 105-111; Robeznieks, A., (2014) Hospitable Hospitals-Winning Entries in Annual Design Awards Keep Focus on Patient Experience, , www.modernhealthcare.com/sections/designawards-2010; Rukminishrinivasan, E.B., (2018) The Big Draw, , IndianTourism in Numbers. Economic Times; Rust, R., Keiningham, A.J., Return on quality (ROQ): Making service quality financially accountable (1995) Journal of Marketing, pp. 58-70. , https://doi.org/10.1177/002224299505900205https://doi.org/10.2307/1252073; Sadia, S.A., Models in Consumer Buying behaviour (2008) Models in Consumer Buying Behaviour, pp. 90-97. , S. SamarAli, New Delhi: Regal Publications; Studer, Q.R., Hardwire Your Hospital for Pay for Performance Success (2012) The HCAHPS Hand Book: Gulf Breeze FL Fire Starter Publishing; Swain, D., Sahu, S., (2008) Opportunities and Challenges in Health Tourism in India. Conference on Tourism in India-Challenges Ahead, pp. 475-484; Ueltschy, L.C., Laroche, M., Eggert, M., Al, E., Service Quality and Satisfaction: An International Comparison of Professional Services Perceptions (2007) Journal of Services Marketing, 21 (6), pp. 410-423. , https://doi.org/10.1108/08876040710818903; Wu, Z., Robson, S., Hollis, B., The Application of Hospitality Elements in Hospitals (2013) Journal of Healthcare Management, pp. 47-62. , https://doi.org/10.1097/00115514-201301000-00009, January / February",,,,"Gyandhara International Academic Publications",,,,,23956518,,,,"English","Humanit. Soc. Sci. Rev.",Article,"Final",Open Access,Scopus,2-s2.0-85073472034 "Kim K.-L., Seo B.-R.","57211292073;57203306607;","Developmental strategies of the promotion policies in medical tourism industry in South Korea: A 10-year study (2009-2018)",2019,"Iranian Journal of Public Health","48","9",,"1607","1616",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073337364&partnerID=40&md5=7f1606619fb1ab797014f1ddc84fc559","Asia Contents Institute, Konkuk University, Seoul, South Korea; Korea Department of Global MICE, Konkuk University, Seoul, South Korea","Kim, K.-L., Asia Contents Institute, Konkuk University, Seoul, South Korea; Seo, B.-R., Korea Department of Global MICE, Konkuk University, Seoul, South Korea","Background: After the revision of the Medical Service Act, Article 27-2, in 2009, Korea has been actively in-volved in the medical tourism industry. The number of foreign patients visiting Korea has consistently in-creased coming from various countries around the world. Currently, the industry is striving to achieve qualita-tive growth in medical tourism. Accordingly, there is a necessity to analyze and review policies for the devel-opment of medical tourism to create a sustainable market. Methods: We analyzed the information of foreign patients visiting Korea over a period of last 10 years. Statis-tical data were obtained from the Korea Health Industry Development Institute (KHIDI) and Korea Tourism Organization (KTO). Results: The number of foreign patients visiting Korea had increased from 60,201 in 2009 to 321,574 in 2017. Since 2017, the number of patients from the U.S., Russia and Middle East has been on an upward trend while the number of Chinese patients has decreased. This result clearly shows that international affairs and cultural aspects have a significant impact on the selection of medical tourism. Conclusion: It is suggested to i) establish the medical tourism information system and brand the Korean med-ical tourism offering a joint treatment of western and oriental medicine, ii) prepare the expansion of the indus-try to the medical wellness tourism industry by training global healthcare experts and iii) organize tailored med-ical services with consideration of various backgrounds and culture of foreign patients. © 2019, Iranian Journal of Public Health. All rights reserved.","Medical service; Medical tourism; Medical tourism industry","adult; article; Chinese; human; information system; medical service; medical tourism; Middle East; oriental medicine; Russian Federation; South Korea",,,,,"Konkuk University, KU Konkuk University, KU","This paper was supported by the KU Research Professor Program of Konkuk University.",,"Yu, J., Lee, T.J., Characteristics of a Medical Tourism In-dustry: The Case of South Korea (2017) Journal of Travel & Tourism Marketing, 28, pp. 856-872; News provided by Research and Markets, , 2017.07.04; Byung Ro, S.E.O., Sam-Hun, P.A.R.K., Policies to Promote Medical Tourism in Korea: A Narrative Review (2018) Iran J Public Health, 47 (8), pp. 1077-1083; www.hankyung.com, 2014.11.20. [In Kore-an]; www.mk.co.kr, 2019.03.18. [In Korean]; Lee, J., (2009) A Policy Suggestion for the Revitalization of Health Care Tourism, pp. 79-80. , Kyunghee University Graduate School of Tourism, In Korean; Cho, S., Choi, S., A Preliminary Study on Problems of Revitalization Policy on Medical Tourism and Response: Drawing Implications and Analysis Foreign Cases (2016) Journal of Tourism Sciences, 48 (7), pp. 165-181. , In Korean; Debata, B.R., Patnaik, B., Mahapatra, S.S., Sree, K., Interrelations of service quality and service loyalty dimensions in medical tourism: A structural equation modelling approach (2015) Benchmarking, 22 (1), pp. 18-55; Naoki, A., (2016) Comparative Study of International Tourism Policy in Japan and Korea, , Tottori University of Environmental Studies. [In Japanese]; (2018) Visa Issuances Statistics 2017, , In Japanese; Veselova, E.S., Medical Tourism: Tourism with Health Benefits (2017) Problems of Economic Transition, 59 (6), pp. 480-500; (2013) Necessity for a Convergence Model of Medical Tourism, , In Korean; www.bosa.co.kr, 2017.10.11. [In Korean]; (2016) Policy Status of Major Countries on Medical Service and Devel-opment Path of Health Care Industry, , Korean Book; Park, J., Lim, J., (2016) Bio Healthcare, Saebit Edunet, pp. 85-90. , Korean Book; Rokni, L., Yun, J.Y., Healthcare Mobility between East and West, Two Forthcom-ing Challenges (2017) Iran J Public Health, 46 (10), pp. 1437-1439; An, D., Understanding Medical Tourists in Korea: Cross-Cultural Perceptions of Medical Tourism among Patients from the USA, Russia, Japan, and China (2013) Asia Pacific Journal of Tourism Research, 19 (10), pp. 1141-1169; http://www.whosaeng.com/, 2019.03.06. [In Korean]; An, D., Understanding Medical Tourists in Korea: Cross-Cultural Perceptions of Medical Tourism among Patients from the USA, Russia, Japan, and China (2013) Asia Pacific Journal of Tourism Research, 19 (10), pp. 1141-1169; Guiry, M., Vequist, D.G., South Ko-rea’s medical tourism destination brand personality and the influence of personal values (2015) Asia Pacific Journal of Tourism Re-search, 20 (5), pp. 563-584; Jun, J., Framing Service, Benefit, and Credibility Through Images and Texts: A Content Analysis of Online Promotional Messages of Korean Medical Tourism Industry (2016) Health Communication, 31 (7), pp. 845-852; Chun, H.W., Han, M.K., Jang, J.H., Application Trends in Virtual Reality (2017) Electronics and telecommunications trends, 32 (1), pp. 93-101. , In Korean; www.mttoday.co.kr, 2019.6.27. [In Korean]; Kim, H., Kim, E., Kim, H., Analysis of Operational Characteristics and Substantiality Plan of Inpatient Diets for Foreigners in Hospitals (2016) J Korean Diet Assoc, 22 (2), pp. 118-130; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism management, 34, pp. 1-13; Rokni, L., Park, S.H., Medical Tourism in Iran, Reevaluation on the New Trends: A Narrative Review (2019) Iran J Public Health, 48 (7), pp. 1191-1202; Lee, Y., A study on the De-sign Alternatives of the Health Tourism Integrated Model (2019) Korean Review of Corporation Management, 10 (1), pp. 95-114","Seo, B.-R.; Korea Department of Global MICE, Konkuk UniversitySouth Korea; email: brs2020@naver.com",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Article,"Final",,Scopus,2-s2.0-85073337364 "Kopmaz B., Kitapci N.S., Kitapci O.C., Bulu S.B., Aksu P.K., Koksal L., Mumcu G.","57210824462;57210818982;57210810658;57210818350;57210818256;6504770451;6603541241;","Dental websites as new media tools for patients in dental health tourism",2019,"Acta Informatica Medica","27","2",,"128","132",,,"10.5455/aim.2019.27.128-132","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071563506&doi=10.5455%2faim.2019.27.128-132&partnerID=40&md5=1e63c68dcb4b7365deb4a0195a10aecb","Departments of Health Management, University of Health Sciences, Istanbul, Turkey; Departments of Health Management, Marmara University, Istanbul, Turkey; Institute of Health Sciences, Marmara University, Istanbul, Turkey; Departments of Health Management, Yeditepe University, Istanbul, Turkey","Kopmaz, B., Departments of Health Management, University of Health Sciences, Istanbul, Turkey; Kitapci, N.S., Departments of Health Management, Marmara University, Istanbul, Turkey; Kitapci, O.C., Departments of Health Management, Marmara University, Istanbul, Turkey; Bulu, S.B., Institute of Health Sciences, Marmara University, Istanbul, Turkey; Aksu, P.K., Departments of Health Management, Yeditepe University, Istanbul, Turkey; Koksal, L., Departments of Health Management, Marmara University, Istanbul, Turkey; Mumcu, G., Departments of Health Management, Marmara University, Istanbul, Turkey","Introduction: Nowadays, potential patients surf the internet to check the websites of health care organizations to select the most suitable health organization for their needs within the perspective of health tourism. To this effect, dental health tourism as a subset of health tourism is considered to be a developing sector. Aim: The aim of the study was to assess whether websites are effectively used as media tools by dental health care organizations, which serve as currently active as well as promising components of health tourism in Turkey. Methods: In this cross-sectional study, 555 websites of dental health care organizations were examined. Web pages were evaluated by using E-Information Quality Scale of the Health Centre. A low score indicates well-designed websites. Results: Scores related to ""contact information"" and ""website layout"" were lower in the private ones (n:146) than the public institutions (n:409)(p=0.000, p=0.011). It was observed that 80.8% (n:122) of the websites with foreign language options (n:151), were private institutions); whereas, public institutions only constitute 19.2% (n:29) of the total. All sub-group scores in the scale were lower in the organizations offering foreign language alternatives in contrast to the ones without foreign language options (p<0.05). Conclusion: In private dental health care organizations,"" contact information"" and ""website layout"" of websites were observed to be the most prominent features in the conduct of public relations activities. Websites with foreign language alternatives were well-designed due to the fact that language options were considered to be an incentive for the health tourists. 2019 Busra Kopmaz, Gonca Mumcu, Nur Sişman Kitapçi. © 2019 JPR Solutions. All rights reserved.","Dental health tourism; Health tourism; Healthcare institutions; Websites","adult; article; controlled study; cross-sectional study; data quality; dental procedure; female; health center; human; language; male; public relations; tourism; Turkey (republic)",,,,,,,,"Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Developing an informational tool for ethical engagement in medical tourism (2017) Philosophy, Ethics, and Humanities in Medicine, 12 (1), p. 4; Mrčela, N.T., Borovac, J.A., Vrdoljak, D., Grazio, S., Luetić, A.T., Tomek-Roksandić, S., When elders choose: Which factors could influence the decision-making among elderly in the selection of health tourism services? (2015) Medical Hypotheses, 85 (6), pp. 898-904; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7 (1), p. 12; Dhama, K., Patthi, B., Singla, A., Gupta, R., Niraj, L.K., Ali, I., Global tourist guide to oral care - A systematic review (2016) Journal of Clinical and Diagnostic Research: JCDR, 10 (9), p. ZE01; Jaapar, M., Musa, G., Moghavvemi, S., Saub, R., (2017) Dental Tourism: Examining Tourist Profiles, Motivation and Satisfaction, pp. 538-552; Gheorghe, R., Dental tourism from Switzerland to Germany (2017) Swiss Dental Journal, 127 (7-8), pp. 618-633; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Riordain, R.N., McCreary, C., Dental patients' use of the Internet (2009) British Dental Journal, 207 (12), p. 583; Aydin, G., Karamehmet, B., Factors affecting health tourism and international health-care facility choice (2017) International Journal of Pharmaceutical and Healthcare Marketing, 11 (1), pp. 16-36; Ghatala, M.H., Educational, A.H., Lakshmi, B., (2016) A Case for Medical Tourism in India, pp. 1-11; Moynihan, P., Petersen, P.E., Diet, nutrition and the prevention of dental diseases (2004) Public Health Nutrition, 7 (1), pp. 201-226; Kesar, O., Mikulić, J., Medical tourist satisfaction and dissatisfaction with dental care services: An exploratory case study (2017) 4th International Scientific Conference ToSEE-Tourism in Southern and Eastern Europe; Mumcu, G., (2014) The Healthcare Quality and Hospital Information Management System: A Sample from Turkey, pp. 31-37; Kumar, S., Breuing, R., Chahal, R., Globalization of health care delivery in the United States through medical tourism (2012) Journal of Health Communication, 17 (2), pp. 177-198; Lee, H., Wright, K.B., O'Connor, M., Wombacher, K., Framing medical tourism: An analysis of persuasive appeals, risks and benefits, and new media features of medical tourism broker websites (2014) Health Communication, 29 (7), pp. 637-645; (2015) Turkey Govt to Grow Foreign Patient Numbers, , https://www.asiaone.com/health/turkey-govt-grow-foreign-patient-numbers, Asiaone (January 28), Accessed date: 25 February 2019; Akar, C., (2014) Turkiye'de Aǧiz-diş Saǧliǧi Hizmetlerinin Strateji Deǧerlendirmesi, 9. , Ankara: Turk Dişhekimleri Birliǧi Yayinlari, Araştirma Dizisi; Llinas, G., Rodriguez-Inesta, D., Mira, J., Lorenzo, S., Aibar, C., A comparison of websites from Spanish, American and British hospitals (2008) Methods of Information in Medicine, 47 (2), pp. 124-130; Samadbeik, M., Asadi, H., Mohseni, M., Takbiri, A., Moosavi, A., Garavand, A., Designing a medical tourism website: A qualitative study (2017) Iranian Journal of Public Health, 46 (2), p. 249; Sanders, R., Linn, A.J., A mixed method study investigating the impact of talking about patients' internet use on patient-reported outcomes (2018) Journal of Health Communication, pp. 1-9; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Mason, A., Wright, K.B., Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites (2011) Journal of Health Communication, 16 (2), pp. 163-177; Holliday, R., Bell, D., Jones, M., Hardy, K., Hunter, E., Probyn, E., Beautiful face, beautiful place: Relational geographies and gender in cosmetic surgery tourism websites (2015) Gender, Place & Culture, 22 (1), pp. 90-106; Leggat, P., Kedjarune, U., Dental health, 'dental tourism'and travellers (2009) Travel Medicine and Infectious Disease, 7 (3), pp. 123-124; Moghavvemi, S., Ormond, M., Musa, G., Isa, C.R.M., Thirumoorthi, T., Mustapha, M.Z.B., Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163; Turner, L., Cross-border dental care: 'dental tourism'and patient mobility (2008) British Dental Journal, 204 (10), p. 553; Zare, Z., Jebraeily, M., Patients' perceptions of applying information and communication technology tools in self-care and factors affecting it (2018) Acta Inform Med, 26 (2), p. 102; Nguyen, M.H., Bol, N., Van Weert, J.C., Loos, E.F., Tytgat, K.M., Geijsen, D., Optimising eH ealth tools for older patients: Collaborative redesign of a hospital website (2019) European Journal of Cancer Care, p. e12882; (2014) 2013 Turkiye Nufus Ve Saǧlik Araştirmasi, 1. , Enstitusu HUNE. Hacettepe Universitesi Nufus Etutleri Enstitusu, TC Kalkinma Bakanliǧi ve TUBITAK, Ankara, Turkiye","Kopmaz, B.; Departments of Health Management, University of Health SciencesTurkey; email: bkopmaz@gmail.com",,,"Avicena Publishing",,,,,03538109,,,,"English","Acta Inform. Med.",Article,"Final",,Scopus,2-s2.0-85071563506 "Manna R., Cavallone M., Ciasullo M.V., Palumbo R.","57188753136;6508271194;55556214900;56023165300;","Beyond the rhetoric of health tourism: shedding light on the reality of health tourism in Italy",2019,"Current Issues in Tourism",,,,"","",,,"10.1080/13683500.2019.1650726","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070930414&doi=10.1080%2f13683500.2019.1650726&partnerID=40&md5=d6b929d6e605d1315b7a9b25b6fc4653","Department of Management and Quantitative Studies, University of Naples ‘Parthenope’, Naples, Italy; Department of Management, Economics and Quantitative Methods, University of Bergamo, Bergamo, Italy; Department of Management and Innovation Systems, University of Salerno, Fisciano, SA, Italy","Manna, R., Department of Management and Quantitative Studies, University of Naples ‘Parthenope’, Naples, Italy; Cavallone, M., Department of Management, Economics and Quantitative Methods, University of Bergamo, Bergamo, Italy; Ciasullo, M.V., Department of Management and Innovation Systems, University of Salerno, Fisciano, SA, Italy; Palumbo, R., Department of Management and Innovation Systems, University of Salerno, Fisciano, SA, Italy","Health tourism is attracting the growing interest of scholars and practitioners; however, little is still known about its distinguishing attributes and implications. As a consequence, the rhetoric of health tourism usually prevails over its reality. Drawing on secondary data collected from a nationwide survey, this article aims at shedding light on the reality of health tourism in Italy. A stereotype logistic regression model was designed to identify the socio-demographic factors which have triggered Italian tourists’ propensity to combine tourism with health needs. The study findings suggest that health tourism in Italy is in its infancy. It primarily consists of domestic travel, which is thought to add to the widening of the north–south divide. Health tourists generally prefer brief trips and urban contexts. Tailored policy and management interventions are needed to steer the development of health tourism across Italy. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.","Health tourism; health tourists; health travel; tourism; transnational care",,,,,,,,,"Adinolfi, A., Borgonovi, E., Palumbo, R., Piscopo, G., Framing the shades of sustainability in health care: Pitfalls and perspectives from western EU countries (2018) Sustainability, 10 (12), p. 4439; Anderson, J.A., Regression and ordered categorical variables (1984) Journal of the Royal Statistical Society, 46 (1), pp. 1-30; Aydin, G., Karamehmet, B., Factors affecting health tourism and international health-care facility choice (2017) International Journal of Pharmaceutical and Healthcare Marketing, 11 (1), pp. 16-36; Azzopardi-Muscat, N., Baeten, R., Clemens, T., Habicht, T., Keskimäki, I., Kowalska-Bobko, I., van Ginnekeni, E., The role of the 2011 patients’ rights in cross-border health care directive in shaping seven national health systems: Looking beyond patient mobility (2018) Health Policy, 122 (3), pp. 279-283. , …; Balia, S., Brau, R., Marrocu, E., Interregional patient mobility in a decentralized healthcare system (2018) Regional Studies, 52 (3), pp. 388-402; Boga, T.C., Weiermair, K., Branding new services in health tourism (2011) Tourism Review, 66 (1), pp. 90-106; Borman, E., Health tourism. Where healthcare, ethics, and the state collide (2004) British Medical Journal, 328 (7431), pp. 60-61; Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 447-454; Cavazza, M., Fenech, L., Lega, F., Developing health tourism (title in Italian: Sviluppare il turismo sanitario) (2016) Mecosan, 99 (1), pp. 125-129; Chew, Y.T., Koeshendro, A.D., Identifying research gaps in medical tourism (2016) Destination marketing: An international perspective, pp. 119-125. , Kozak M., Kozak N., (eds), Abingdon, OX: Routledge, &,. (Eds; Connell, J., Reducing the scale? 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(2009) Health Policy, 90 (2-3), pp. 303-312; Toth, F., How health care regionalisation in Italy is widening the North–South gap (2014) Health Economics, Policy and Law, 9 (3), pp. 231-249; Vetitnev, A., Kopyirin, A., Kiseleva, A., System dynamics modelling and forecasting health tourism demand: The case of Russian resorts (2016) Current Issues in Tourism, 19 (7), pp. 618-623; Zolfagharian, M., Rajamma, R.K., Naderi, I., Torkzadeh, S., Determinants of medical tourism destination selection process (2018) Journal of Hospitality Marketing & Management, 27 (7), pp. 775-794","Palumbo, R.; Department of Management and Innovation Systems, University of SalernoItaly; email: rpalumbo@unisa.it",,,"Routledge",,,,,13683500,,,,"English","Curr. Issues Tour.",Article,"Article in Press",,Scopus,2-s2.0-85070930414 "Heydari Fard M., Sanayei A., Ansari A.","57210377063;55823623500;55673218300;","Determinants of Medical Tourists’ Revisit and Recommend Intention",2019,"International Journal of Hospitality and Tourism Administration",,,,"","",,,"10.1080/15256480.2019.1650688","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070514685&doi=10.1080%2f15256480.2019.1650688&partnerID=40&md5=f74f6284476732c795d7edd69641462e","Department of Management, University of Isfahan, Isfahan, Iran","Heydari Fard, M., Department of Management, University of Isfahan, Isfahan, Iran; Sanayei, A., Department of Management, University of Isfahan, Isfahan, Iran; Ansari, A., Department of Management, University of Isfahan, Isfahan, Iran","The present study aims to analyze the factors affecting medical tourists’ revisit and recommend intention such as perceived authenticity, destination image, perceived value, and satisfaction. To this end, a 50-item questionnaire is distributed among 384 medical tourists who have visited Iran’s hospitals and beauty clinics in the spring, summer, and fall of 2017. The results indicate that medical tourists’ perceived authenticity of medical centers has an impact on their destination image, and both of these factors affect their perceived value and satisfaction. In addition, medical tourists’ satisfaction of their trip leads to their revisit intention and their revisit intention influence their word of mouth. © 2019, © 2019 Taylor & Francis.","destination image; Medical tourism; perceived authenticity; revisit intention; satisfaction; word of mouth",,,,,,,,,"Abodeeb, J.A., (2014) Destination image from an Arab perspective: The influence of culture on perceptions of and motivations for visiting the gold coast, , Australia, PhD thesis, Southern Cross University, Lismore, NSW. ePublications@SCU; Alegre, J., Juaneda, C., Destination loyalty: Consumers’ economic behavior (2006) Annals of Tourism Research, 33 (3), pp. 684-706; Bianchi, C., Pike, S., Lings, I., Investigating attitudes towards three South American destinations in an emerging long haul market using a model of consumer-based brand equity (CBBE) (2014) Tourism Management, 42, pp. 215-223; Bigne, J.E., Sanchez, M.I., Sanchez, J., Tourism image, evaluation variables and after purchase behaviour: Inter-relationship (2001) Tourism Management, 22 (6), pp. 607-616; Bolton, R.N., Drew, J.H., A multistage model of customers’ assessments of service quality and value (1991) Journal of Consumer Research, 17 (4), pp. 375-384; Bontis, N., Booker, L.D., Serenko, A., The mediating effect of organizational reputation on customer loyalty and service recommendation in the banking industry (2007) Management Decision, 45 (9), pp. 1426-1445; Bookman, M.Z., Bookman, K.R., (2007), Introduction to medical tourism. 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(Gabler Verlag; Zhang, H., Fu, X., Cai, L.A., Lu, L., Destination image and tourist loyalty: A meta-analysis (2014) Tourism Management, 40, pp. 213-223","Ansari, A.; Department of Management, University of IsfahanIran; email: a.ansari@ase.ui.ac.ir",,,"Routledge",,,,,15256480,,,,"English","Int. J. Hosp. Tour. Adm.",Article,"Article in Press",,Scopus,2-s2.0-85070514685 "Jakšić-Stojanović A., Janković M., Šerić N.","57202854657;57201311109;35335464100;","Montenegro as a high-quality health tourism destination: Trends and Perspectives",2019,"African Journal of Hospitality, Tourism and Leisure","8","3",,"","",9,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067821603&partnerID=40&md5=75052319681056777cddc4443f7c0f21","Faculty of Visual Art, University Mediterranean Vice - Rector for International Cooperation University Mediterranean, Josipa Broza bb, Podgorica, 81000, Montenegro; Faculty of Economics and Business, University Mediterranean, Josipa Broza bb, Podgorica, 81000, Montenegro; Product Management, Logistic and Branding in Tourism, Faculty of Economics, University of Split, Cvite Fiskovića 5, Split, 21 000, Croatia","Jakšić-Stojanović, A., Faculty of Visual Art, University Mediterranean Vice - Rector for International Cooperation University Mediterranean, Josipa Broza bb, Podgorica, 81000, Montenegro; Janković, M., Faculty of Economics and Business, University Mediterranean, Josipa Broza bb, Podgorica, 81000, Montenegro; Šerić, N., Product Management, Logistic and Branding in Tourism, Faculty of Economics, University of Split, Cvite Fiskovića 5, Split, 21 000, Croatia","The main objective of the paper is to provide a theoretical and practical framework in order to identify the key advantages and disadvantages of Montenegro as a health tourism destination. The main method that was used was a SWOT analysis, as well as a survey based on an original and thus selfdesigned questionnaire intended for this purpose. The results of the research have shown some key advantages and disadvantages of Montenegrin health-tourism. Although Montenegro as a country, has a great potential regarding the health tourism sector, it is a fact that this potential is not adequately valorized. In that sense, a strategy of development of the health tourism sector should be created. Strategy should contain a specific vision, mission, strategic goals, as well as measures that should be carried out and activities that should be realized in order to make Montenegro attractive and high-quality health tourism destination. © 2019 AJHTL.","Destination; Health; Health tourism; Medicine; Montenegro",,,,,,,,,"Bakic, O., (2010) Marketing u turizmu: Univezitet Singidunum, , Fakultet za turisticki i hotelski menadžment, Beograd; Bartoluci, M., Čavlek, N., (2007) Zdravstveno-preventivni rekreacijski programi u turizmu: Turizam i sport-razvojni aspekti, , Školska knjiga, Zagreb; Eisner, A.B., Lumpkin, G.T., Dess, G.G., (2007) Strategijski menadžment: Data status, , Beograd; Nicolaides, A., Lessons for South Africa from Asia on Medical Tourism's practice and potential (2011) Medical Technology SA, 25 (2); Radovic, M., (2010) Tourism Geography of Montenegro: Faculty of Tourism Bar & Faculty of Tourism catering Kotor, pp. 171-172. , Bar-Kotor; http://www.bjelasica-komovi.me/wpcontent/uploads/2015/01/Strategija-razvoja-turizma-Crne-Gore-do-2020.-godine-1.pdf, Strategy of Tourism Development until 2020 2008 Ministry of Tourism and Sustainable Development; Unkovic, S., Zecevic, B., (2009) Ekonomika turizma: Centar za izdavacku djelatnost Ekonomskog fakulteta u Beogradu, , site:http://cf.cdn.unwto.org/sites/all/files/pdf/annual_report_2015_lr.pd, Beograd, (249-257). WTO Annual report (2015) [Date of access 10 March 2019]","Janković, M.; Faculty of Economics and Business, University Mediterranean, Josipa Broza bb, Montenegro; email: marija.jankovic.mbs@gmail.com",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85067821603 "Odmell C., Mamimine P.W., Kudakwashe C.","57203436129;57188547324;57203429295;","Methodological complexities in the study of health tourism: A study of the appropriation of indigenous herbal sexual stimulants and fertility enhancers in Zimbabwe (A review paper)",2019,"Cogent Social Sciences","5","1", 1607435,"","",,,"10.1080/23311886.2019.1607435","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067203267&doi=10.1080%2f23311886.2019.1607435&partnerID=40&md5=097939675be243d251a2ba5c31137fbf","Department of Hospitality and Tourism, Chinhoyi University of Technology, Chinhoyi, Zimbabwe","Odmell, C., Department of Hospitality and Tourism, Chinhoyi University of Technology, Chinhoyi, Zimbabwe; Mamimine, P.W., Department of Hospitality and Tourism, Chinhoyi University of Technology, Chinhoyi, Zimbabwe; Kudakwashe, C., Department of Hospitality and Tourism, Chinhoyi University of Technology, Chinhoyi, Zimbabwe","The study of health tourism based on the consumption of traditional herbal sexual stimulants and fertility enhancers is an exceptional ordeal. Research 10 in this field has proved methodologically complex as the population constitute the hard-to-reach group (hidden populations). Consumers of these traditional herbal prescriptions generally are floating populations and socially invisible thus getting hold of them poses major methodological complexities. This paper focuses on highlighting the issues underlying the study of hidden populations, with a particular focus on tradi- 15 tional herbalists and the consumers of indigenous sexual stimulants and fertility enhancers. Certain specific methodological challenges are faced by researchers working with hidden populations, and this paper explores these in the field of health tourism based on the consumption of indigenous herbal medicine. Particular focus is paid to the methodological challenges involved. The paper’s main contribution is to highlight and emphasize the methodological problems that emerge whenstudying socially invisible populations and to showcase the inadequacy of some existing methods to recruit these hidden populations. © 2019, © 2019 The Author(s). This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license.","appropriation; health tourism; hidden populations; indigenous fertility enhancers; ingenious sexual stimulants; Methodological complexities",,,,,,,"Permission to conduct the study was granted by The Medical Research Council of Zimbabwe and local authorities in the study focus area (Mashonaland West Province in Zimbabwe). This was of necessity as the study falls into what Lee (1993) and Ram, Edwards, and Jones (2007) calls “sensitive research” as it potentially posed substantial threats to those involved as it involved sensitive information that could lead to stigmatization due to its intrusive nature.",,"Abdolreza, S., Bhopal, R.S., Aziz, S., Approaches to recruiting “Hard-To-Reach-Populations“ into research: A review of literature (2011) Health Promotion Perspectives Journal, 1 (2), pp. 86-13; Agadjanian, V., Zotova, N., Sampling and surveying hard-to-reach populations for demographic research: A study of female labor migrants in Moscow, Russia (2012) Demographic Research, 26 (5), pp. 131-150. , http://www.demographic-research.org/Volumes/Vol26/5/DOI:10.4054/DemRes.2012.26.5, Retrived from; Asase, A., Akwetey, G.A., Achel, D.G., Ethnopharmacological use of herbal remedies for the treatment of malaria in the Dangme West District of Ghana (2010) Journal of Ethnopharmacology, 129 (3), pp. 367-376; Au, D.T., Wu, J., Jiang, Z., Chen, H., Lu, G., Zhao, Z., Ethnobotanical study of medicinal plants used by Hakka in Guangdong, China (2008) Journal of Ethnopharmacology, 117 (1), pp. 41-50; Charity, M., Walter, M.P., Forbes, K., Kumbirai, M., Margaret, N., Stakeholders‘ knowledge, attitudes and practises towards health tourism development in Zimbabwe (2013) Australian Journal of Business and Management Research, 3 (2), p. 24; Chauhan, N.S., Sharma, V., Dixit, V., Thakur, M., A review of plants used for the improvement of sexual performance and virility (2014) BioMed Research International, 2014; Chipungu, O., Mamimine, P.W., Chitindingu, K., A situational analysis of health tourism for the appropriation of indigenous herbal sexual stimulants and fertility enhancers in Zimbabwe. 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New Delhi; Lee, R., (1993) Doing research on sensitive topics, , London: Sage; Li, X., Stanton, B., Fang, X., Lin, D., Mao, R., Wang, J., Harris, C., HIV/STD risk behaviors and perceptions among rural-to-urban migrants in China (2004) AIDS Education and Prevention, 16 (6), pp. 538-556. , …; Lucas, G.N., Herbal medicine and children (2010) Sri Lanka Journal of Child Health, 39, pp. 76-78; Maree, J.G., Career adaptabilities scale-South African form: Psychometric properties and construct validity (2012) Journal of Vocational Behaviour, 80 (3), pp. 730-733; Maroyi, A., An ethnobotanical survey of medicinal plants used by the people in Nhema communal area, Zimbabwe (2011) Journal of Ethnopharmacology, 136 (2), pp. 347-354; Maroyi, A., Traditional use of medicinal plants in south-central Zimbabwe: Review and perspectives (2013) Journal of Ethnobiology and Ethnomedicine, 9 (1), p. 31; Marpsat, M., Razafindratsima, N., Survey methods for hard-to-reach populations: Troduction to the special issue (2010) Methodological Innovations Online, 5 (2); Mason, M., Sample size and saturation in PhD studies using qualitative interviews (2010) Forum Qualitative Soziaforschung/Forum: Qualitative Social Research, 11, , http://www.qualitative-research.net/index.php/fqs/article/view/1428/3027, Retrived from ; Merriam, S.B., Tisdell, E.J., (2015) Qualitative reserch: A guide to design and implementation, , John Wiley & Sons, &,. 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E. Aryeetey, & R. Kanbur (Eds; van Meetern, M., (2010) Life without papers: Aspirations, incorporation and transnational activities of irregular migrants in the low countries, , Rotterdam: Erasmus Universiteit; Vershinina, N., Barrett, R., Meyer, M., (2009) Polish immigrants in Leicester: Forms of capital underpinning entrepreneurial activity (Occasional Paper Series, N86), , Leicester: Leicester Business School; Vershinina, N., Rodionova, Y., Methodological issues in studying hidden population operating in informal economy (2011) International Journal of Sociology and Social Policy, 31 (11-12), pp. 697-716; Wiens, A.N., (2017) The interview: Research on its anatomy and structure, , Routledge,. New York; Williams, A.M., Balaz, V., Wallace, C., International labor mobility and uneven regional development in Europe: Human, capital, knowledge and entrepreneurship (2004) European Urban and Regional Studies, 11 (1), pp. 27-46; (2008) Traditional medicine. World health organization fact sheet no134, December 2008, , http://www.who.int/mediacentre/factsheets/fs134/en/, Retrieved from; Yausheva, A.A., (2007) Building a sample in research of new possibilities. Sotsiologichskie Issledovaniia, (8), pp. 90-96. , in Russia), August","Odmell, C.; Department of Hospitality and Tourism, Chinhoyi University of TechnologyZimbabwe; email: odmell@yahoo.com",,,"Cogent OA",,,,,23311886,,,,"English","Cogent Soc. Sci.",Review,"Final",,Scopus,2-s2.0-85067203267 "Jackson C., Snyder J., Crooks V.A., Lavergne M.R.","57203020515;24170239100;35585107800;36009747500;","Exploring isolation, self-directed care and extensive follow-up: factors heightening the health and safety risks of bariatric surgery abroad among Canadian medical tourists",2019,"International Journal of Qualitative Studies on Health and Well-being","14","1", 1613874,"","",,,"10.1080/17482631.2019.1613874","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065774569&doi=10.1080%2f17482631.2019.1613874&partnerID=40&md5=a4c26df74afcef8e1ea1af299c3739b2","Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Department of Geography, Simon Fraser University, Burnaby, BC, Canada","Jackson, C., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Crooks, V.A., Department of Geography, Simon Fraser University, Burnaby, BC, Canada; Lavergne, M.R., Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada","Purpose: This article explores first-hand accounts of Canadian bariatric patients’ experiences of seeking and obtaining weight loss surgery abroad through the practice of medical tourism. While researchers have identified many of the challenges and associated health and safety risks imposed on patients by engaging in medical tourism generally, little is known about the specific challenges experienced by Canadians seeking bariatric surgery abroad.Method: To better understand these challenges, we conducted thematic analysis on interviews conducted with 20 former Canadian bariatric tourists.Results: Our analysis illuminated three key challenges Canadians face in obtaining bariatric care: (1) stigma and isolation from friends, family and medical professionals; (2) self-directed navigation of domestic and destination health care systems; and (3) challenges with obtaining adequate follow-up care in Canada.Conclusions: While these challenges identified by participants may occur in other forms of medical tourism, it appears that these challenges are occurring simultaneously in cases of bariatric tourism by Canadians. These challenges appear to work in conjunction to heighten the health and safety risks potential Canadian bariatric tourists may be exposed to. Unless structural changes occur to increase domestic availability of bariatric surgery, Canadians are likely to continue seeking this care abroad. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.","bariatric surgery; Canada; challenges; Medical tourism; risk","adult; article; bariatric surgery; body weight loss; Canada; Canadian; drug safety; follow up; friend; health care system; human; interview; medical tourism; risk assessment; scientist; stigma; surgery; thematic analysis; adverse event; aftercare; Canada; family; health behavior; health care delivery; health care personnel; patient attitude; prospective study; questionnaire; safety; self care; social isolation; social stigma; social support; travel; Aftercare; Bariatric Surgery; Canada; Delivery of Health Care; Family; Friends; Health Behavior; Health Personnel; Humans; Medical Tourism; Patient Acceptance of Health Care; Prospective Studies; Safety; Self Care; Social Isolation; Social Stigma; Social Support; Surveys and Questionnaires; Travel",,,,,,"This work was not supported by any agencies, grants or fellowships.",,"Aarts, M.A., Sivapalan, N., Nikzad, S.E., Serodio, K., Sockalingam, S., Conn, L.G., Optimizing bariatric surgery multidisciplinary follow-up: A focus on patient-centered care (2017) Obesity Surgery, 27, pp. 730-712; Adams, K., Snyder, J., Crooks, V.A., Johnston, R., Promoting social responsibility amongst health care users: Medical tourists’ perspectives on an information sheet regarding ethical concerns in medical tourism (2013) Philosophy, Ethics and Humanities in Medicine, 8 (19), pp. 1-10; Aills, L., Blankenship, J., Buffington, C., Furtado, M., Parrot, J., ASMBS allied health nutritional guidelines for the surgical weight loss patient (2008) Surgery for Obesity and Related Diseases, 4, pp. S73-S108; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) The American Journal of Surgery, 199, pp. 604-608; Braun, V., Clarke, V., Using thematic analysis in psychology (2006) Qualitative Research in Psychology, 3 (2), pp. 77-101; Buchwald, H., Estok, R., Fahrbach, K., Banel, D., Sledge, I., Trends in mortality in bariatric surgery: A systematic review and meta-analysis (2007) Surgery, 142 (4), pp. 621-635; Buchwald, H., Ikramuddin, S., Dorman, R.B., Schone, J.L., Dixon, J.B., Management of the metabolic/bariatric surgery patient (2011) The American Journal of Medicine, 124, pp. 1099-1105; (2014) Bariatric surgery in Canada (Report), , https://secure.cihi.ca/free_products/Bariatric_Surgery_in_Canada_EN.pdf, May, Retrieved from; Carter, P.L., The evolution of bariatric surgery (2015) The American Journal of Surgery, 209, pp. 779-782; Chan, B.T.B., Austin, P.C., Patient, physician, and community factors affecting referrals to specialists in Ontario, Canada: A population-based, multi-level modelling approach (2003) Medical Care, 41 (4), pp. 500-511; Christou, N.V., Access to bariatric (metabolic) surgery in Canada (2011) Canadian Journal of Diabetes, 35 (2), pp. 123-128; Christou, N.V., Efthimiou, E., Bariatric surgery waiting times in Canada (2009) Canadian Journal of Surgery, 52 (3), pp. 229-234; Collier, R., Foreign OR, Canadian doc: Medical tourism with a twist (2014) Canadian Medical Association Journal, 186 (5), pp. 332-333; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? 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Reno, NV: ; Melin, I., Reynisdottir, S., Berglund, L., Zamfir, M., Karlström, B., Conservative treatment of obesity in an academic obesity unit: Long-term outcome and drop-out (2006) Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 11 (1), pp. 22-30; Moroshko, I., Brennan, L., O’Brien, P., Predictors of attrition in bariatric aftercare: A systematic review of the literature (2012) Obesity Surgery, 22, pp. 1640-1647; Murphy, T.F., Ethics and the prohibition of donor gametes in fertility medicine (2009) Ethics, Bioscience and Life, 18 (1), pp. 60-67; Gastrointestinal surgery for severe obesity (1991) NIH Consensus Statement Online March 25–27, 9 (1), pp. 1-20; Nguyen, N.T., Masoomi, H., Laugenour, K., Sanaiha, Y., Reavis, K.M., Mills, S.D., Stamos, M.J., Predictive factors of mortality in bariatric surgery: Data from the nationwide inpatient sample (2011) Surgery, 150 (2), pp. 347-351; Pagel, J., Berry, S., Bariatric medical tourism comes at a high cost for patients and Canada (2016) CBC Radio-The Current, , https://www.cbc.ca/radio/thecurrent/the-current-for-march-17-2016-1.3495265/bariatric-medical-tourism-comes-at-a-high-cost-for-patients-and-canada-1.3495273, March, 21, Retrieved from; Romanow, R.J., (2002) Building on values: The future of health care in Canada, , http://publications.gc.ca/collections/Collection/CP32-85-2002E.pdf, November, Ottawa: Commission on the Future of Health Care Canada, Retrieved from; Runkel, N., Colombo-Benkmann, M., Hüttl, T.P., Tigges, H., Mann, O., Sauerland, S., Bariatric Surgery (2011) Deutsches Ärzteblatt International, 108 (20), pp. 341-346; Runnels, V., Labonte, R., Packer, C., Chaudhry, S., Adams, O., Blackmer, J., Canadian physicians’ responses to cross border health care (2014) BMC Globalization and Health, 10 (20), pp. 1-7; Sadler, G.R., Lee, H., Lim, R.S., Fullerton, J., Recruitment of hard-to-reach population subgroups via adaptations of the snowball sampling strategy (2010) Nursing and Health Sciences, 12, pp. 369-374; Salant, T., Santry, H.P., Internet marketing of bariatric surgery: Contemporary trends in the medicalization of obesity (2006) Social Science and Medicine, 62, pp. 2445-2457; Sheppard, C.E., Lester, E.L., Chuck, A.W., Kim, D.H., Karmali, S., de Gara, C.J., Birch, D.W., Medical tourism and bariatric surgery: Who pays? (2014) Surgical Endoscopy and Other Interventional Techniques, 28, pp. 3329-3336; Sheppard, C.E., Lester, E.L., Karmali, S., de Gara, C.J., Birch, D.W., The cost of bariatric medical tourism on the Canadian healthcare system (2014) The American Journal of Surgery, 207, pp. 743-747; Snyder, J., Crooks, V.A., Medical tourism and bariatric surgery: More moral challenges (2010) The American Journal of Bioethics, 10 (12), pp. 28-30; Snyder, J., Crooks, V.A., Johnston, R., Dharamsi, S., “Do your homework…and then hope for the best”: The challenges that medical tourism poses to Canadian family physicians’ support of patients’ informed decision-making (2013) BMC Medical Ethics, 14 (37), pp. 1-10; (2018) Canadian health characteristics, annual estimates, , http://www150.statcan.gc.ca/t1/tbl1/en/cv.action?pid=1310009601, Retrieved from; Turner, L., Canadian medicare and the global healthcare bazaar (2007) Policy Options, 9, pp. 73-77; Turner, L., “Medical tourism” and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467; Wheeler, E., Prettyman, A., Lenhard, M.J., Tran, K., Adherence to outpatient program postoperative appointments after bariatric surgery (2008) Surgery for Obesity and Related Diseases, 4, pp. 515-520; Williams, M.V., Davis, T., Parker, R.M., Weiss, B.D., The role of health literacy in patient-physician communication (2002) Family Medicine, 34 (5), pp. 383-389; Wilson, H.O., Datta, D.B., Complication from micronutrient deficiency following bariatric surgery (2014) Annals of Clinical Biochemistry, 51 (6), pp. 705-709; (2018) Obesity and overweight, , http://www.who.int/mediacentre/factsheets/fs311/en/, February, 16, Retrieved from; Zeigler, O., Sirveaux, M.A., Brunaud, L., Reibel, N., Quilliot, D., Medical follow up after bariatric surgery: Nutritional and drug issues. General recommendations for the prevention and treatment of nutritional deficiencies (2009) Diabetes and Metabolism, 35 (6), pp. 544-557","Jackson, C.; Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Canada; email: carly.hohm@gmail.com",,,"Taylor and Francis Ltd.",,,,,17482623,,,"31084487","English","Int. J Qual. Stud. Health Well-being",Article,"Final",Open Access,Scopus,2-s2.0-85065774569 "Beena K.S., Venkatrama Raju D.","57202610989;57190229428;","Bangalore as a medical tourist destination challenges and prospects",2019,"International Journal of Mechanical Engineering and Technology",,"1",,"405","408",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060955274&partnerID=40&md5=a76b4a5b6e82af8110b47a86d92763ec","Department of Tourism and Hospitality Management, Bharath University, Agaram main road, Chennai, Tami Nadu 600 073, India; Dept of Management Studies, Bharath University, Selaiyur, Chennai, 600 073, India","Beena, K.S., Department of Tourism and Hospitality Management, Bharath University, Agaram main road, Chennai, Tami Nadu 600 073, India; Venkatrama Raju, D., Dept of Management Studies, Bharath University, Selaiyur, Chennai, 600 073, India","Medical tourism is a term to describe the rapidly-growing practice of travelling across international borders to obtain health care. Services typically sought by travellers include elective procedures as well as complex specialized surgeries. OVCI 50 countries have identified medical tourism as a national industry. With global healthcare revenues upward of US$3.3 trillion health care is world’s second largest business after retailing. The healthcare industry in India is worth US$19 billion and is expected to grow at an annual rate of 13% for the next three years. India’s annual spending on healthcare is 5.2% of GDP and is distributed between the government and public sector (37%) and private providers (individual, charitable& for non-profit ventures (63%). The aim of this study is to determine the effective factors for attracting medical tourism to Bangalore in a variety of aspect such as propel’ function of related organization, ‘proper marketing mix according to special circumstances of Bangalore. It seems that knowing each these factors are necessary for entering Bangalore to medical tourism market. It examines the diverse challenges that need to be addressed for the medical tourism industry to realize its potential. It then outlines a range of strategic and tactical initiatives that would contribute to a faster growth of the industry. Special emphasis is placed on the need for partnership amongst the various stakeholders such as medical and healthcare providers, hospitality and transportation services, tourism departments and the government. This article focuses on the factors that make India the most potential medical tourism market in world. Actors such as lo cost, scale and range of treatments provide ill differentiate it from other medical tourism destinations in the world. © IAEME Publication","Affordable Healthcare; Medical Tourism; Medical Tourists; Surgical Care",,,,,,,,,"Alexender, J., Minister of Tourism, Govt of Karnataka on the topic “Tourism Destinations Development in Karnataka (2004) The New Indian Express, , July 11; Xavier, V.M., Faculty Department of Management studies St.Thomas Collge. Thrissur. Paper Presented at National Tourism Conference, Gwalior and Tourism and Travel on Prospects of Tourism Industry; (2009) Hindu Survey of Indian Industry, , US$; (1991) Tourism Development in India by Shetty, , Leela; Jagmohan, N., Tourism Development Resource Conservation; Chauhan, R., Heritage & Culture Tourism, , by; India Tourism Website; www.wikipedia.com; Biswas, W., Medical tourism – A growing and potential segment in Indian scenario (2016) Journal of Management, 3 (1), pp. 19-26; Beena, K.S., Venkatrama Raju, D., A study on Ayurvedic medicines in medical tourism with special reference to Kerala (2018) International Journal of Mechanical Engineering and Technology, 9 (5), pp. 801-808; Beena, K.S., Venkatrama Raju, D., A case study on medical tourism in Chennai city (2018) International Journal of Civil Engineering and Technology, 9 (5), pp. 984-991; Ramesh, U., Joseph, K., The holistic approach of ayurveda based wellness tourism in Kerala (2012) International Journal of Advanced Research in Management (IJARM), 3 (2), pp. 29-39. , ISSN Print: 0976 – 6324, ISSN Online: 0976 – 6332",,,,"IAEME Publication",,,,,09766340,,,,"English","Int. J. Mech. Eng. Technol.",Article,"Final",,Scopus,2-s2.0-85060955274 "Guba D.V., Voronov Y.S.","57205539200;56039381400;","Educational potential of health tourism",2019,"Teoriya i Praktika Fizicheskoy Kultury","2019","1",,"73","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060443840&partnerID=40&md5=8fe2e9d334d024afa8410c2a340c070a","Russian State University of Physical Education, Sports, Youth and Tourism (SCOLIPE), Moscow, Russian Federation; Smolensk State Academy of Physical Culture, Sports and Tourism, Smolensk, Russian Federation","Guba, D.V., Russian State University of Physical Education, Sports, Youth and Tourism (SCOLIPE), Moscow, Russian Federation; Voronov, Y.S., Smolensk State Academy of Physical Culture, Sports and Tourism, Smolensk, Russian Federation",[No abstract available],,,,,,,,,,,,,,"Teoriya i praktika fizicheskoy kul'tury i sporta",,,,,00403601,,,,"Russian","Teor. Prakt. Fiz. Kult.",Editorial,"Final",,Scopus,2-s2.0-85060443840 "Kosova L.S., L'Gotina L.P., Filandysheva L.B., Lozhkina M.B., Shulgina E.M.","57205341071;57205338968;57021712600;57190805387;57205340976;","The Contemporary Condition and Trends of Medical Tourism Development in Tomsk Region",2018,"IOP Conference Series: Earth and Environmental Science","204","1", 012019,"","",,,"10.1088/1755-1315/204/1/012019","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059614144&doi=10.1088%2f1755-1315%2f204%2f1%2f012019&partnerID=40&md5=4b93929ec640ceb0ecce2091af1860e1","Department of Local History and Tourism, Faculty of Geology and Geography, National Research Tomsk State University, Lenin Avenue, 36, Tomsk, 634050, Russian Federation","Kosova, L.S., Department of Local History and Tourism, Faculty of Geology and Geography, National Research Tomsk State University, Lenin Avenue, 36, Tomsk, 634050, Russian Federation; L'Gotina, L.P., Department of Local History and Tourism, Faculty of Geology and Geography, National Research Tomsk State University, Lenin Avenue, 36, Tomsk, 634050, Russian Federation; Filandysheva, L.B., Department of Local History and Tourism, Faculty of Geology and Geography, National Research Tomsk State University, Lenin Avenue, 36, Tomsk, 634050, Russian Federation; Lozhkina, M.B., Department of Local History and Tourism, Faculty of Geology and Geography, National Research Tomsk State University, Lenin Avenue, 36, Tomsk, 634050, Russian Federation; Shulgina, E.M., Department of Local History and Tourism, Faculty of Geology and Geography, National Research Tomsk State University, Lenin Avenue, 36, Tomsk, 634050, Russian Federation","This paper considers the development of the current tourist trend in Tomsk region that is medical tourism, due to the health resort resources identified, i.e. mineral water, therapeutic mud, etc. It analyses the sanatorium-and-spa base of a given sort of tourism, denotes the under-exploitation of the healing resources examined, and defines the basic tasks for the further development of this trend as well. © 2018 Published under licence by IOP Publishing Ltd.","healing areas; medical tourism; mineral water; resort resources; therapeutic mud","Beverages; Mineral resources; Water; healing areas; medical tourism; Mineral water; resort resources; therapeutic mud; Water resources",,,,,,,,"Branch of Tomsk Research Institute of Balneology and Physiotherapy 2018, URL: http://niikf.tomsk.ru/istoricheskaja-spravka/(Accessed 10 February 2018); Leviczkogo, E.F., Adilova, V.B., Resort and Recreational Potential of Western Siberia 2002, p. 226. , (Tomsk, Russia: Krasnoe znamya); Tronova, T.M., (2005) Materials of the International Conference «opportunities for Tourism Development in the Siberian Region and Adjacent Territories», pp. 102-104. , (Tomsk, Russia) The current state of the resort complex of the sanatorium quot;Chazhemtoquot; Tomsk region; Klopotova, N.G., (2015) Materials of the XV International Conference «opportunities for Tourism Development in the Siberian Region and Adjacent Territories», pp. 189-191. , (Tomsk, Russia) Assessment of recreational and medical resources of separate territories of the Tomsk region; Lepokurova, O.E., Zyateva, O.F., (2011) Chemical Composition of Mineral Water ""omega"" Tomsk Region, Proceedings of Tomsk Polytechnic University, 1, pp. 172-177. , (Tomsk, Russia)",,,,"Institute of Physics Publishing","17th Theoretical and Practical Conference on Opportunities for Development of Regional Studies of Siberia and Neighbouring Areas","30 October 2018 through 1 November 2018",,143763,17551307,,,,"English","IOP Conf. Ser. Earth Environ. Sci.",Conference Paper,"Final",Open Access,Scopus,2-s2.0-85059614144 "Chakraborty P., Poddar M.","57209588123;57209033927;","Medical Tourism Opportunities in India: A Study on the Multispecialty Hospitals of Kolkata",2018,"Journal of Health Management","20","4",,"465","474",,,"10.1177/0972063418799228","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85056583882&doi=10.1177%2f0972063418799228&partnerID=40&md5=cf9f08f680d6785cc47dfa9e20e4068e","Management, JIS University, Kolkata, India; JIS University, Kolkata, India","Chakraborty, P., Management, JIS University, Kolkata, India; Poddar, M., JIS University, Kolkata, India","Indian hospital sector is now witnessing cut-throat competition to remain competitive and to attract patients from the foreign countries, they have to change their conventional systems towards more customer-centric approach. Due to the presence of considerable number of super-specialty hospitals, Kolkata is gradually becoming a preferred place in the field of medical tourism in India. Patients from African and Middle East counties are now coming here due to experienced and skilled medical and paramedical staffs, and facilities at an affordable price. The objective of this article is to examine the roles and initiatives of hospital management team in the process of retention of patients. We are also proposing certain strategies based on the value creation strategy for the medical tourism—which will ultimately contribute factors of this aspect. As a part of the qualitative study, we have collected data onto 80 respondents comprising doctors, nurses, supporting staffs and medical superintendent of different private hospitals in Kolkata. The results of this qualitative study indicate that different professional hospital management staffs need to behave like a united team with same organizational goal. © 2018 Indian Institute of Health Management Research.","brand promotion; hospital marketing; Medical tourism; patient retention; qualitative","adult; article; doctor nurse relation; female; hospital management; human; India; major clinical study; male; marketing; medical tourism; qualitative research",,,,,,,,"Arellano, A.B.R.D., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Avenkar, S.R., Medical tourism in India: A strategic approach towards effective branding for health care services marketing (2012) American Journal of Management, 12 (2-3), pp. 108-116; Beerli, A., Martín, J.D., Factors influencing destination image (2004) Annals of Tourism Research, 31 (3), pp. 657-668; Chakraborty, P., Sanyal, S., (2016) Positioning strategy of super-specialty hospitals in respect of medical tourism: A value co-creation approach on neurology segment, , February, 26–27, Presented paper 2-days UGC sponsored International Seminar, organised by Department of Business Administration, Vidyasagar University, West Bengal; Herrick, D.A., Medical tourism: Global competition in health care (2007) NCPA Policy, , http://www.ncpa.org/pdfs/st304.pdf, Retrieved from; (2016) Healthcare, , http://www.india-opportunities.es/archivos/publicaciones/Healthcare-January-2016.pdf, January, (,)., Retrieved from; (2015) Healthcare: The neglected GDP driver, , https://www.gita.org.in/Attachments/Reports/Healthcare-the-neglected-GDP-driver-2015.pdf, Retrieved from; Turner, L., First world health care at third bioethics and medical tourism (2007) Bio Societies, 2 (3), pp. 303-325","Chakraborty, P.; Management, JIS UniversityIndia; email: probalpat@gmail.com",,,"Sage Publications India Pvt. Ltd",,,,,09720634,,,,"English","J. Health Manage.",Article,"Final",,Scopus,2-s2.0-85056583882 "Ruggeri K., Ivanović N., Razum J., Kácha O., Menezes I.G., Zafari Z., Garcia-Garzon E.","54682337000;57204161853;57204158845;57194418491;54420691300;43661980900;57189694665;","An evidence-based policy for improving choice in global health access through medical travel",2018,"Health Policy","122","12",,"1372","1376",,,"10.1016/j.healthpol.2018.09.017","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054767344&doi=10.1016%2fj.healthpol.2018.09.017&partnerID=40&md5=217e813ed0d9b91c6494de404502f412","Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, United States; Policy Research Group, University of Cambridge, United Kingdom; Faculty of Humanities and Social Sciences, University of Zagreb, Croatia; Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Croatia; Faculty of Arts, Masaryk University, Czech Republic; Predictive Psychometrics Laboratory, University of Lincoln, United Kingdom; Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, United States; Department of Social Psychology and Methodology Department, Psychology Faculty, Universidad Autónoma de Madrid, Spain","Ruggeri, K., Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, United States, Policy Research Group, University of Cambridge, United Kingdom; Ivanović, N., Faculty of Humanities and Social Sciences, University of Zagreb, Croatia; Razum, J., Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Croatia; Kácha, O., Faculty of Arts, Masaryk University, Czech Republic; Menezes, I.G., Predictive Psychometrics Laboratory, University of Lincoln, United Kingdom; Zafari, Z., Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, United States; Garcia-Garzon, E., Department of Social Psychology and Methodology Department, Psychology Faculty, Universidad Autónoma de Madrid, Spain","Global medical travel has had an increasing trend without a comprehensive, evidence-driven policy to ensure safe and effective practice. To identify key factors that influence medical travel, we conducted a series of studies culminating with a preference and decision-making component of over 500 prospective medical travelers from a number of countries. Results indicated that quality of care was the most critical factor in the decision, followed by lower costs of procedure and shorter waiting times. Lower costs were less of a factor if the procedure was more invasive, which also increased the importance of waiting time in the decision. The most desired destinations for care were in Europe (United Kingdom, Germany) and North America (United States). Building on these insights and previous literature, we present a model that implements applications from these factors and additional insights generated across the series of studies toward an effective policy framework. © 2018 Elsevier B.V.","Evidence-based policy; Global health policy; Health economics; Medical tourism; Medical travel","article; decision making; Germany; global health; health economics; medical tourism; travel; United Kingdom; United States; adult; decision making; economics; Europe; female; health care policy; health care quality; hospital admission; human; male; medical tourism; prospective study; Adult; Decision Making; Europe; Female; Global Health; Health Policy; Humans; Male; Medical Tourism; Prospective Studies; Quality of Health Care; United States; Waiting Lists",,,,,,,,"Ruggeri, K., Záliš, L., Meurice, C., Evidence on global medical travel (2015) Bulletin of the World Health Organization, 93 (11), pp. 785-789; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., Medical tourism: treatments, markets and health system implications: a scoping review (2011), OECD Paris; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Keckley, P.H., Underwood, H.R., Medical tourism—consumers in search of value (2008), Deloitte Center for Health Solutions Washington, D.C; Saadatnia, F., Mehregan, M.R., Determining and prioritizing factors affecting to increase customers attraction of medical tourism from the perspective of Arabic countries (2014) International Journal of Marketing Studies, 6 (3), pp. 155-162; European Parliament Council, Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare (2011), European Union Brussels; European Commission, Commission report on the operation of Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare (2015), European Union Brussels; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system (2014) Journal of Travel Medicine, 21 (6), pp. 410-417; Kácha, O., Kovács, B., McCarthy, C., An approach to establishing international quality standards for medical travel (2016) Frontiers in Public Health, 4, p. 29; Hinrichs-Krapels, S., Bussmann, S., Dobyns, C., Key considerations for an economic and legal framework facilitating medical travel (2016) Frontiers in Public Health, 4, p. 47; Maguire, Á., Bussmann, S., zu Köcker, C.M., Verra, S.E., Giurgi, L.A., Ruggeri, K., Raising concern about the information provided on medical travel agency websites: a place for policy (2016) Health Policy and Technology; Verra, S., Kroeze, R., Ruggeri, K., Facilitating safe and successful cross-border healthcare in the European Union (2016) Health Policy, 120 (6), pp. 718-727; Herrick, D.M., Medical tourism: Global competition in health care (2007), http://w.medretreat.com/templates/UserFiles/Documents/MedicalTourism-NCPAReport.pdf, National Center for Policy Analysis Dallas; Zhukovsky, P., Ruggeri, K., Garcia-Garzon, E., Global health policy and access to care: investigating patient choice on an international level using social media (2016) Frontiers in Public Health, 3, p. 284; Exworthy, M., Peckham, S., Access, choice and travel: implications for health policy (2006) Social Policy and Administration, 40 (3), pp. 267-287; Garcia-Garzon, E., Zhukovsky, P., Haller, E., Multilevel modeling and policy development: guidelines and applications to medical travel (2016) Frontiers in Psychology, 7, p. 752; Záliš, L., Maguire, Á., Soforic, K., Ruggeri, K., Global access to healthcare and well-being: a place for policy and science (2016) Frontiers in Public Health, 4, p. 129; Yildiz, M.S., Khan, M.M., Opportunities for reproductive tourism: cost and quality advantages of Turkey in the provision of in-vitro Fertilization (IVF) services (2016) BMC Health Services Research, 16 (1), p. 378; Rokni, L., Turgay, A.V.C.I., Park, S.H., Barriers of developing medical tourism in a destination: a case of South Korea (2017) Iranian Journal of Public Health, 46 (7), pp. 930-937; Louviere, J.J., Flynn, T.N., Carson, R.T., Discrete choice experiments are not conjoint analysis (2010) Journal of Choice Modelling, 3, pp. 57-72; Burge, P., Devlin, N., Appleby, J., Rohr, C., Grant, J., London patient choice project evaluation (2005), Available in RAND Corp; Crush, J., Chikanda, A., Maswikwa, B., Patients without borders: medical tourism and medical migration in Southern Africa (2012); Heung, V.C., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: an assessment of the barriers (2011) Tourism Management, 32, pp. 995-1005; Lim, M.K., Transforming Singapore health care: public-private partnership (2005) Annals-Academy of Medicine Singapore, 34 (Aug (7)), p. 461; WHO and the Government of South Australia. The Adelaide Statement on Health in All Policies: moving towards a shared governance for health and well-being","Ruggeri, K.; Mailman School of Public Health, Columbia University, 722 W 168th Street, United States; email: dr2946@columbia.edu",,,"Elsevier Ireland Ltd",,,,,01688510,,HEPOE,"30337161","English","Health Policy",Article,"Final",,Scopus,2-s2.0-85054767344 "Wilde C., Ross A.R., Maharajan S.","55256456800;57201076364;6507717888;","Health tourism and the need for occasional strong paternalism: complications and management of cosmetic anterior chamber iris implantation",2018,"Eye (Basingstoke)","32","12",,"1915","1916",,,"10.1038/s41433-018-0200-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053072618&doi=10.1038%2fs41433-018-0200-6&partnerID=40&md5=4cb9dad0fe45e2f08fb63e32b6f27672","Ophthalmology and Vision Sciences, Division of Clinical Neurosciences, B Floor, EENT Centre, Queen’s Medical Centre, University of Nottingham, Nottingham, United Kingdom","Wilde, C., Ophthalmology and Vision Sciences, Division of Clinical Neurosciences, B Floor, EENT Centre, Queen’s Medical Centre, University of Nottingham, Nottingham, United Kingdom; Ross, A.R., Ophthalmology and Vision Sciences, Division of Clinical Neurosciences, B Floor, EENT Centre, Queen’s Medical Centre, University of Nottingham, Nottingham, United Kingdom; Maharajan, S., Ophthalmology and Vision Sciences, Division of Clinical Neurosciences, B Floor, EENT Centre, Queen’s Medical Centre, University of Nottingham, Nottingham, United Kingdom",[No abstract available],,"abscess; adult; anterior eye chamber; aphakia; bacterial keratitis; best corrected visual acuity; case report; cataractogenesis; clinical article; corectopia; Descemet stripping endothelial keratoplasty; device removal; esthetic surgery; eye disease; eye inflammation; eye pain; eye redness; glaucoma; gonioscopy; graft failure; human; hyphema; implantation; intraocular hypertension; iris atrophy; Jordan; Letter; male; medical device complication; medical tourism; middle aged; penetrating keratoplasty; photophobia; scar formation; uveitis; esthetic surgery; eye disease; iris; prosthesis implantation; treatment outcome; Cosmetic Techniques; Device Removal; Eye Diseases; Humans; Iris; Keratoplasty, Penetrating; Male; Medical Tourism; Middle Aged; Prosthesis Implantation; Treatment Outcome",,,,,,,,"Johnston, R., Crooks, V.A., Snyder, J., I didn’t even know what I was looking for”: a qualitative study of the decision-making processes of Canadian medical tourists (2012) Glob Health, 8, p. 23; Crooks, V.A., Turner, L., Cohen, I.G., Bristeir, J., Snyder, J., Casey, V., Ethical and legal implications of the risks of medical tourism for patients: a qualitative study of Canadian health and safety representatives’ perspectives (2013) BMJ Open, 3; Al-Hinai, S.S., Al-Busaidi, A.S., Al-Busaidi, I.H., Medical tourism abroad: a new challenge to Oman’s health system - Al Dakhilya region experience (2011) Sultan Qaboos Univ Med J, 11, pp. 477-484. , PID: 22087396; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) J Plast Reconstr Aesthet Surg, 61, pp. 1423-1424; Hoguet, A., Ritterband, D., Koplin, R., Wu, E., Raviv, T., Aljian, J., Serious ocular complications of cosmetic iris implants in 14 eyes (2012) J Cataract Refract Surg, 38, pp. 387-393","Maharajan, S.; Ophthalmology and Vision Sciences, Division of Clinical Neurosciences, B Floor, EENT Centre, Queen’s Medical Centre, University of NottinghamUnited Kingdom; email: senthil.maharajan@nuh.nhs.uk",,,"Nature Publishing Group",,,,,0950222X,,EYEEE,"30171194","English","Eye",Letter,"Final",Open Access,Scopus,2-s2.0-85053072618 "Savaşan A., Yalvaç M., Uzunboylu H., Tuncel E.","57196057830;57191768714;14030910200;57192180279;","The attitudes of education, tourism and health sector managers in Northern Cyprus towards Education on Health Tourism",2018,"Quality and Quantity","52",,,"285","303",,,"10.1007/s11135-017-0612-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85031493762&doi=10.1007%2fs11135-017-0612-6&partnerID=40&md5=03762cdd0669aa4e78fc5350a430ed99","Department of Educational Administration, Supervision, Planning and Economics, Atatürk Faculty of Education, Near East University, Nicosia, Cyprus; Department of Nutrition and Dietetics, Faculty of Health Sciences, Near East University, Nicosia, Cyprus; Atatürk Faculty of Education, Near East University, Nicosia, Cyprus","Savaşan, A., Department of Educational Administration, Supervision, Planning and Economics, Atatürk Faculty of Education, Near East University, Nicosia, Cyprus; Yalvaç, M., Department of Nutrition and Dietetics, Faculty of Health Sciences, Near East University, Nicosia, Cyprus; Uzunboylu, H., Atatürk Faculty of Education, Near East University, Nicosia, Cyprus; Tuncel, E., Department of Educational Administration, Supervision, Planning and Economics, Atatürk Faculty of Education, Near East University, Nicosia, Cyprus","This study aims to determine the attitudes of the shareholders in the health tourism sector in Northern Cyprus towards Education on Health Tourism and to constitute a basis for an educational model to be developed for health tourism. Qualitative (analytic) and descriptive, documentary source analysis, sampling and statistical methods, face-to-face interviews data collection technique were used in this study. The study population consists of the managers working in education, tourism and health sectors in Northern Cyprus. Using the simple random sampling, 310 people were selected and interviewed. A questionnaire with two sections was used to collect data. The first section included questions about participants’ introductory characteristics, and the second section was the Attitude towards Education on Health Tourism Scale. This scale was prepared in accordance with a literature review related to education on health tourism and to interviews performed with the experts from the education, tourism and health fields. The Scale was passed validity and reliability tests and was used in this study. The statements the participants agreed with most were: “Intermediate staff working in health, accommodation, transportation and other relevant sectors should be provided in-service training on health tourism” in the education subdimension. © 2017, Springer Science+Business Media B.V.","Education on health tourism; Health tourism; Health tourism management; Health tourism managers; Northern Cyprus; The attitudes towards Education on Health Tourism scale",,,,,,"Scientific Committee on Antarctic Research, SCAR","The questionnaire was used as a data collection tool between May 1, 2015 and March 1, 2016. Before administering the questionnaire, the participants were given detailed information about the study and the questionnaire. The participants were informed that their names and surnames would not be used to ensure that they provide correct and frank answers, and that the results would solely be used for scientific purposes. They were also told that their answers would not be shared with third parties. The study was approved by the Scientific Research Ethics Committee of Near East University. Informed consent was obtained from all participants.",,"Arıkan, R., (2004) Araştırma Teknikleri Ve Rapor Hazırlama = Research Techniques and Report Preparation. Asil Yayınları, Ankara S, p. 141; Aytaç, M., Öngen, B., Doğrulayıcı faktör analizi ile yeni çevresel paradigma ölçeğinin yapı geçerliliğinin incelenmesi = The structure of environmental attidutes: first-order confirmatory factor analysis (2012) İstatistikçiler Dergisi = J. Stat. Stat. Actuar. Sci., 5 (1), pp. 14-22; Bahar, M., Derici, M., Gul, C., Guney, E., Ozgirin, K., Yildirm, R., (2009) A New Opportunity for Turkey: Medical Tourism Review Document, , TUSIAD-Health Study Group, İstanbul; Biljana, P., Tourism in the global development strategy of Macedonia: economic perspectives (2011) UTMS J. Econ., 2 (1), pp. 101-108; Büyüköztürk, Ş., (2001) Deneysel Desenler=Experimental Designes, , PegemA Yayıncılık, Ankara; Callan, H., (2016) Social and Cultural Anthropology, , http://www.discoveranthropology.org.uk/about-anthropology/what-is-anthropology/social-and-cultural-anthropology.html, Accessed 14 Feb 2017; Connell, J., Contemporary medical tourism: conceptualization, culture and commodification (2013) Tour. Manag., 34, pp. 1-13; Gan, L.L., Frederick, J.R., Medical tourism in Singapore: a structure-conduct-performance analysis (2011) J. Asia Pac. Bus., 12 (2), pp. 141-170; Gençay, C., Sağlık turizmi = Health tourism (2007) Eraslan Sürdürülebilir Rekabet Avantajı Elde Etmede Turizm Sektörü = Tourism Sector to Achieve Sustainable Competitive Advantage, pp. 172-180. , Bulu M, Eraslan IH, (eds), Kazancı Hukuk Yayımevi, Istanbul; Ghanbari, A., Moradlu, K.Z., Ramazani, M., Medical tourism (2014) Manag. Sci. Lett., 4, pp. 1651-1654; Hall, C.M., Voigt, C., Brown, G., Howat, G., Wellness tourists: in search of transformation (2011) Tour. Rev., 66, pp. 16-30; Kaptan, S., (1998) Bilimsel Araştırma Teknikleri ve İstatiksel Yöntemleri = Scientific Research Techniques and Statistical Methods, , Tekışık Ofset, Ankara; Karasar, N., (2005) Bilimsel Araştırma Yöntemi, , Nobel Yayın Dağıtım, Ankara; Kline, R.B., (2005) Principles and Practice of Structural Equation Modeling, , 2, Guilford Publications Inc., NY; Lee, H.K., Fernando, Y., The antecedents and outcomes of the medical tourism supply chain (2015) Tour. Manag., 46, pp. 148-157; Meliou, E., Maroudas, L., Understanding tourism development: a representational approach (2010) Tour. Int. Multidiscipl. J. Tour., 5 (2), pp. 115-127; Özdamar, K., (2002) Paket Programlar ile İstatistiksel Veri Analizi = Statistical Data Analysis with Packet Programs, , Kaan Kitabevi, Eskişehir; Özlem, Ö., Sonğur, C., Türkiye’nin Dünya Sağlık Turizmindeki Yeri ve Ekonomik Boyutu = Turkey’s position in the world health tourism and its economic dimension (2013) Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi = Mehmet Akif Ersoy Univ. J. Soc. Sci. Inst., 4 (7), pp. 69-81; Somnuek, P., The development of teaching and learning innovation by using instructional media for enhancement of learning achievement towards tourism product knowledge in tourism marketing class (2014) SHS Web of Conferences, 12, p. 01040. , EDP Sciences; Tabachnick, B.G., Fidell, L.S., Osterlind, S.J., (2001) Using Multivariate Statistics, , 4, Pearson/Allyn & Bacon, Boston","Savaşan, A.; Department of Educational Administration, Supervision, Planning and Economics, Atatürk Faculty of Education, Near East UniversityCyprus; email: savasanahmet@gmail.com",,,"Springer Netherlands",,,,,00335177,,,,"English","Qual. Quant.",Review,"Final",,Scopus,2-s2.0-85031493762 "Rydback M., Hyder A.S.","57204550997;7005465165;","Customization in medical tourism in the Philippines",2018,"International Journal of Pharmaceutical and Healthcare Marketing","12","4",,"486","500",,,"10.1108/IJPHM-07-2017-0035","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85056134689&doi=10.1108%2fIJPHM-07-2017-0035&partnerID=40&md5=64d1aa1f4508f6c6f8a520badfc0d0ce","Department of Business and Economics Studies, University of Gävle, Gävle, Sweden; School of Social Sciences, Södertörn University, Huddinge, Sweden; Department of Business and Economics Studies, University of Gävle, Gävle, Sweden","Rydback, M., Department of Business and Economics Studies, University of Gävle, Gävle, Sweden, School of Social Sciences, Södertörn University, Huddinge, Sweden; Hyder, A.S., Department of Business and Economics Studies, University of Gävle, Gävle, Sweden","Purpose: Focusing on customization, this paper aims to examine how service providers market health care in emerging markets through medical tourism. Design/methodology/approach: Using a qualitative method, researchers conducted 18 semi-structured interviews with managers from five health-care providers and supporting organizations in the Philippines. For analysis, data from the service providers are compared. Findings: Customization is found to play crucial role in offering health-care services. The customization takes place by adapting to emotional, social and cultural needs; alleviating knowledge asymmetry; and moderating the negative impact of the unfamiliar context experienced by international patients. Research/limitations implications: The empirically grounded theoretical framework needs to be tested in different contexts for generalization. Practical implications: The study focuses on understanding and responding to the needs of international patients, also demonstrating that health-care marketing must be developed through a joint effort by both the medical and business sides of health-care providers. Social implications: The paper acknowledges the need for health-care marketing and the novel role of health-care providers. Originality/value: Using a marketing lens, this study sheds light on the underexplored industry of medical tourism. © 2018, Emerald Publishing Limited.","Emerging market; Health care; International patients; Knowledge asymmetry; Medical tourism; Service marketing",,,,,,,,,"(1999) Communication in Medicine: Spirituality, Cultural Issues, and End of Life Care, , Association of American Medical Colleges, Washington, DC; Baalbaki, I.B., Malhotra, N.K., Standardization versus customization in international marketing: an investigation using bridging conjoint analysis (1995) Journal of the Academy of Marketing Science, 23 (3), pp. 182-194; Berry, L.L., Bendapudi, N., Health care: a fertile field for service research (2007) Journal of Service Research, 10 (2), pp. 111-122; Bettencourt, L.A., Gwinner, K., Customization of the service experience: the role of the frontline employee (1996) International Journal of Service Industry Management, 7 (2), pp. 3-20; Bhattacharya, A.K., Michael, D.C., How local companies keep multinationals at Bay (2008) Harvard Business Review, 86 (3), pp. 20-33; Blankson, C., Cowan, K., Darley, W.K., Marketing practices of rural micro and small businesses in Ghana: the role of public policy (2018) Journal of Macromarketing, 38 (1), pp. 29-56; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York, NY; Burgess, S.M., Steenkamp, J.B.E., Marketing renaissance: how research in emerging markets advances marketing science and practice (2006) International Journal of Research in Marketing, 23 (4), pp. 337-356; Cassia, F., Magno, F., Marketing issues for business-to-business firms entering emerging markets: an investigation among Italian companies in Eastern Europe (2015) International Journal of Emerging Markets, 10 (1), pp. 141-155; Cheng, J.L.C., Critical issues in international management research: an agenda for future advancement (2007) European Journal of International Management, 1 (1-2), pp. 23-38; Coelho, P.S., Henseler, J., Creating customer loyalty through service customization (2012) European Journal of Marketing, 46 (3-4), pp. 331-356; Connell, J., Medical tourism: sea, sun, and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Contemporary medical tourism: conceptualisation, culture and commodification (2013) Tourism Management, 34 (1), pp. 1-13; Correia, A., Kozak, A., Fyall, A., Gnoth, J., Digital marketing technologies and new markets: from embryonic markets to digital marketing (2016) Anatolia, 27 (1), pp. 1-3; Creswell, J.W., (2013) Qualitative Inquiry and Research Design: Choosing among Five Traditions, , 3rd ed, Sage Publication Inc, Thousand Oaks, CA; Doz, Y., Qualitative research for international business (2011) Journal of International Business Studies, 42 (5), pp. 582-590; Eisenhardt, K.M., Building theories from case study research (1989) Academy of Management Review, 14 (4), pp. 532-550; Eisenhardt, K.M., Graebner, M.E., Theory building from cases: opportunities and challenges (2007) Academy of Management Journal, 50 (1), pp. 25-32; Enderwick, P., Nagar, S., The comparative challenge of emerging markets: the case of medical tourism (2011) International Journal of Emerging Markets, 6 (4), pp. 329-350; Fischer, S., Hospital positioning and integrated hospital marketing communications: state-of-the-art review, conceptual framework, and research agenda (2014) Journal of Nonprofit and Public Sector Marketing, 26 (1), pp. 1-34; Gummesson, E., Making relationship marketing operational (1994) International Journal of Service Industry Management, 5 (5), pp. 5-20; Heung, V., Kucukusta, D., Haiyan, S., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel and Tourism Marketing, 27 (3), pp. 236-251; Hyder, A.S., Fregidou-Malama, M., Services marketing in a cross-cultural environment: the case of Egypt (2009) Journal of Services Marketing, 23 (4), pp. 261-271; Kay, M.J., Healthcare marketing: What is salient? (2007) International Journal of Pharmaceutical and Healthcare Marketing, 1 (3), pp. 247-263; Khanna, T., Palepu, K., Sinha, J., Strategies that fit emerging markets (2005) Harvard Business Review, 84 (10), pp. 60-69; Kundu, S.K., Merchant, H., Service multinationals: their past, present, and future (2008) Management International Review, 48 (4), pp. 371-377; Lovelock, C.H., Classifying services to gain strategic marketing insights (1983) The Journal of Marketing, 47 (3), pp. 9-20. , Summer; Malhotra, N.K., Miller, G.L., Ethical issues in marketing managed care, marketing health services (1996) Journal of Health Care Marketing, 16 (1), pp. 60-65; Millar, S.J., Munro, J.W., Great every time: delivering excellent patient experience by managing critical touchpoints in medical tourism (2012) Medical Travel Quality Alliance, , www.mtqua.org/files/MTQUA-Critical-patient-touchpoints-in-medical-tourism.pdf; Nguyen, B., Klaus, P., Simkin, L., It’s just not fair: exploring the effects of firm customization on unfairness perceptions, trust and loyalty (2014) Journal of Services Marketing, 28 (6), pp. 484-497; (2017) Traffic index 2017, , www.numbeo.com/traffic/rankings.jsp, (accessed: 9 June 2017; Perry, C., Case research in marketing (2000) The Marketing Review, 1 (3), pp. 303-323; Picazo, O.F., (2013) Medical tourism in the Philippines: market profile, benchmarking exercise, and SWOT analysis (No. 2013-45), , PIDS Discussion Paper Series; Pinto, M.B., Social media’s contribution to customer satisfaction with services (2015) The Service Industries Journal, 35 (11-12), pp. 573-590; Porter, M.E., De Vera, M., Huang, B., Khan, O., Qin, Z., Tan, A., (2008) Medical tourism in the Philippines: microeconomics of competitiveness: firms, clusters and economic development, , www.isc.hbs.edu/resources/courses/moc-course-at-harvard/Documents/pdf/student-projects/Philippine_Medical_Tourism_2008.pdf, (accessed: 9 November 2016; Rajagopal, S., Guo, L., Edvardsson, B., Role of resource integration in adoption of medical tourism service (2013) International Journal of Quality and Service Sciences, 5 (3), pp. 321-336; Rottig, D., Institutions and emerging markets: effects and implications for multinational corporations (2016) International Journal of Emerging Markets, 11 (1), pp. 2-17; Ryals, L., Making customer relationship management work: the measurement and profitable management of customer relationships (2005) Journal of Marketing, 69 (4), pp. 252-261; Sheth, J.N., Impact of emerging markets on marketing: rethinking existing perspectives and practices (2011) Journal of Marketing, 75 (4), pp. 166-182; Sundbo, J., The service economy: standardisation or customisation? (2002) Service Industries Journal, 22 (4), pp. 93-116; Turner, L., First world health care at third world prices: globalization, bioethics, and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Vredenburg, J., Bell, S.J., Variability in health care services: the role of service employee flexibility (2014) Australasian Marketing Journal, 22 (3), pp. 168-178; Woo, E., Schwartz, Z., Towards assessing the knowledge gap in medical tourism (2014) Journal of Quality Assurance in Hospitality and Tourism, 15 (2), pp. 213-226; Yin, R., (1994) Case Study Research – Design and Method, , 2nd ed, Sage Publication, Thousands Oaks, CA; Zeithaml, V.A., Bitner, M.J., Gremler, D.D., (2006) Services Marketing: Integrating Customer Focus across the Firm, , McGraw-Hill, New York, NY","Rydback, M.; Department of Business and Economics Studies, University of GävleSweden; email: mieryk@hig.se",,,"Emerald Group Publishing Ltd.",,,,,17506123,,,,"English","Int. J. Pharm. Healthc. Mark.",Article,"Final",,Scopus,2-s2.0-85056134689 "Mitsi D., Kostopoulou E., Agraniotis M., Fradelos E.C.","57214284604;57204808975;22949876200;56347571000;","The marketing of health services: The example of medical tourism",2018,"Archives of Hellenic Medicine","35","6",,"815","823",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85057279409&partnerID=40&md5=b2064c286672b3c1abed01af869e2244","“Elpis” General Hospital of Athens, Athens, Greece; “Korgialenio Benakio HRC” General Hospital of Athens, Athens, Greece; Athens, Greece; Psychiatric Department, “Sotiria” General Hospital for Chest Diseases, Athens, Greece","Mitsi, D., “Elpis” General Hospital of Athens, Athens, Greece; Kostopoulou, E., “Korgialenio Benakio HRC” General Hospital of Athens, Athens, Greece; Agraniotis, M., Athens, Greece; Fradelos, E.C., Psychiatric Department, “Sotiria” General Hospital for Chest Diseases, Athens, Greece","Medical tourism is a cultural phenomenon according to which individuals travel from their place of residence to other places in order to receive health care and services, and at the same time have holidays. The services provided for such individuals aim at the maintenance and improvement of their health condition, the treatment of their illnesses, and rehabilitation. Marketing in health services is gaining in importance, for the retention of existing clients, and the increase in the numbers of patients for the health care provider organizations, but also by exertion of influence on the decision-making process by the “consumers of health services”. © Athens Medical Society.","Health services; Marketing of health services; Medical tourism","adult; article; consumer; exercise; financial management; health care personnel; human; medical tourism; organization; rehabilitation; travel",,,,,,,,"Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tour Manag, 52, pp. 539-556; Lunt, N., Horsfall, D., Hanefeld, J., Medical tourism: A snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-44; Connell, J., (2011) Medical Tourism, , CABI, Wallingford, Oxfordshire; Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient’s experience of medical tourism? 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An analysis of the meanings of the term “re-productive tourism” in German and Israeli public media discourses (2013) Philos Ethics Humanit Med, 8, p. 9; Esiyok, B., Çakar, M., Kurtulmuşoğlu, F.B., The effect of cultural dis-dis- tance on medical tourism (2017) J Destin Mark Manage, 6, pp. 66-75. , tance; Khan, S., Alam, S., Kingdom of Saudi Arabia: A potential destination for medical tourism (2014) Journal of Taiban University Medical Sciences, 9, pp. 257-262; Penney, K., Snyder, J., Crooks, V., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, p. 17; Sarantopoulos, I., Katsoni, V., Geitona, M., A supply side investigation of medical tourism and ICT use in Greece (2014) Soc Behav Sci, 148, pp. 370-377; Law, R., Leung, R., Buhalis, D., Information technology applications in hospitality and tourism: A review of publications from 2005 to 2007 (2009) J Travel Tour Mark, 26, pp. 599-623; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Manage, 34, pp. 196-201; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 12; Johnston, R., Crooks, V.A., Ormond, M., Policy implications of medical tourism development in destination countries: Revisiting and revising an existing framework by examining the case of Jamaica (2015) Global Health, 11, p. 29","Fradelos, E.C.12–14 Evdoxou street, Greece; email: evagelosfradelos@hotmail.com",,,"BETA Medical Publishers Ltd",,,,,11053992,,AEIAF,,"Greek","Arch. Hell. Med.",Article,"Final",,Scopus,2-s2.0-85057279409 "Roy D.G., Battacharya S., Mukherjee S.","57204481502;57199365811;56316810800;","Qualitative explorations into customer based brand equity (CBBE) for medical tourism in India",2018,"Qualitative Report","23","10", 6,"2422","2452",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055743492&partnerID=40&md5=a3ec595a6ea27d0004924025e0d5065e","Indian Institute of Technology (VGSOM), Kharagpur, India","Roy, D.G., Indian Institute of Technology (VGSOM), Kharagpur, India; Battacharya, S., Indian Institute of Technology (VGSOM), Kharagpur, India; Mukherjee, S., Indian Institute of Technology (VGSOM), Kharagpur, India","The focus of our research is Customer Based Brand Equity (CBBE) in Indian medical tourism which has gained wider attention world-wide. To be able to operationalize CBBE (brand equity) for medical tourism scale development, we generated items for such a scale through content analysis. The research questions for this study were (a) What are the dimensions for a brand equity scale for medical tourism considering social, economic, and market influences? (b) How is culture along with an economic indicator such as infrastructure/superstructure relevant in the context of CBBE for medical tourism? and (c) To what extent does the content analysis of interviews based on questionnaires from literature reviews support the variable? The respondents were contacted from two large East Indian Hospitals with continuous visits by heterogeneous foreign patients. Content analysis was used to evaluate the responses using the framework for coding as given by Corbin and Strauss (2008). This paper explores the reasons as to why the patients from western countries and the Middle East prefer other destinations as compared to India for medical tourism. © 2018: Diya Guha Roy, Sujoy Bhattacharya, Srabanti Mukherjee, and Nova Southeastern University.","Content analysis; Culture; Customer based brand equity scale; Infrastructure; Medical tourism; Qualitative analysis",,,,,,,,,"Aaker, D.A., Management brand equity (1991) Conversations with Marketing Masters, pp. 26-44. , L. Mazur & L. 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Rep.",Article,"Final",,Scopus,2-s2.0-85055743492 "Beena K.S., Venkatramana Raju D.","57202610989;57205549035;","Factor leads medical tourists to choose Chennai hospitals as medical tourism destination",2018,"International Journal of Mechanical and Production Engineering Research and Development","8","Special Issue 6",,"883","888",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060452060&partnerID=40&md5=a61adcbf6a97a52cc820e747c055515b","Department Tourism and Hospitality Management, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India; Department of Commerce, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India","Beena, K.S., Department Tourism and Hospitality Management, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India; Venkatramana Raju, D., Department of Commerce, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India","Travelling or crossing borders around the globe for receiving medical treatment is becoming more popular these days. The fundamental premise of medical tourism is that the same care, or even better quality of care, may be available in other countries, and obtained at a more affordable cost than in the home country (Medical Tourism Association2008). Chennai is one of the several major destinations in the medical tourism industry that is rapidly developing, is creating worldwide trademark as “The Medical Hub of Asia”. The objective of this research study is to determine the influencing factors that lead international medical tourists to choose hospitals in Chennai as their medical tourism destination. The factors ranked according to its relative importance so as to help the hospitals in focusing on the weaker area of Medical Tourism. It is largely a consumer-driven trend and in order to survive and thrive, the health-delivery industry must keep up with its consumers’ demands and needs (Nakra, 2011). © TJPRC Pvt. Ltd.","Chennai; Health tourism; Medical tourism; Wellness tourism",,,,,,,,,"(2008) New Delhi: RNCOS Industry Research Solutions, , http://www.rncos.com/Market-Analysis-Reports/Asian-Medical-Tourism-Analysis-2008-2012-IM105.html, Retrieved 2009; Baker, D., Globalising healthcare: A prescription with benefits. Organisation for Economic Cooperation and Development (2010) The OECD Observer, pp. 14-20. , Paris: Oct 2010., Iss. 281; (2010) Asia Medical Hub Idea to Be Revived, , http://www.bangkokpost.com/business/economics/39116/asia-medical-hubidea-to-be-revived; Erdener Kayanak, E., Tourism Market Potential Analysis in Botswana: A Delphi Study (2006) Journal of Travel Research, 45 (2), pp. 227-237; Eraqi, M.L., Tourism services quality (TourServQual) in Egypt: The viewpoints of external and internal customers (2006) Benchmarking: An International Journal, 13 (4), pp. 469-492",,,,"Transstellar Journal Publications and Research Consultancy Private Limited (TJPRC)",,,,,22496890,,,,"English","Int. J. Mech. Prod. Eng. Res. Dev.",Article,"Final",,Scopus,2-s2.0-85060452060 "Hashemi S., Tavangar M., Marzuki A., Shahvali M.","56368071900;57205358575;9942831200;57016631200;","Effects of perceived quality and trust on behavioural intentions: An empirical study of health tourists in Mashhad, Iran",2018,"Tourism in Iran: Challenges, Development and Issues",,,,"207","225",,,"10.4324/9781315146409","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059707663&doi=10.4324%2f9781315146409&partnerID=40&md5=c7b674e6d46c95bd8981d59156daa8e8","Department of Urban and Regional Planning, School of Housing, Building and Planning, Universiti Sains Malaysia, George Town, Malaysia; Institute for Tourism Research (ACECR), Department of Geography and Urban Planning, Shahid Chamran University of Ahvaz, Iran; College of Health and Human Development, Department of Recreation, Park and Tourism Management, Pennsylvania State UniversityPA, United States","Hashemi, S., Department of Urban and Regional Planning, School of Housing, Building and Planning, Universiti Sains Malaysia, George Town, Malaysia; Tavangar, M., Institute for Tourism Research (ACECR), Department of Geography and Urban Planning, Shahid Chamran University of Ahvaz, Iran; Marzuki, A., Department of Urban and Regional Planning, School of Housing, Building and Planning, Universiti Sains Malaysia, George Town, Malaysia; Shahvali, M., College of Health and Human Development, Department of Recreation, Park and Tourism Management, Pennsylvania State UniversityPA, United States",[No abstract available],,,,,,,,,,"Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Anderson, L.A., Dedrick, R.F., Development of the trust in physician scale: A measure to assess interpersonal trust in patient-physician relationships (1990) Psychological Reports, 67 (3), pp. 1091-1100; Ayoubian, A., Health tourism in Iran (2015) Current issues and emerging trends in medical tourism, pp. 258-280. , M. 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(Case study: Iran-Mashhad Razavi Hospital) (2014) International Journal of Marketing Studies, 6 (3), pp. 155-162; Sarstedt, M., A review of recent approaches for capturing heterogeneity in partial least squares path modelling (2008) Journal of Modelling in Management, 3 (2), pp. 140-161; Shahijan, M.K., Rezaei, S., Preece, C.N., Ismail, W.K.W., International medical travelers' behavioral intention: An empirical study in Iran (2015) Journal of Travel & Tourism Marketing, 32 (5), pp. 475-502; Sirdeshmukh, D., Singh, J., Sabol, B., Consumer trust, value and loyalty in relational exchanges (2002) Journal of Marketing, 66 (1), pp. 15-37; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The patient's physician one-step removed: The evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 37, pp. 530-534; Street, M., Medical tourism in Iran: Analysis of opportunities and challenges with MADM approach (2010) Research Journal of Biological Sciences, 5 (3), pp. 251-257; Thom, D.H., Physician behaviors that predict patient trust (2001) Journal of Family Practice, 50 (4), pp. 323-328; Thom, D.H., Campbell, B., Patient-physician trust: An exploratory study (1997) Journal of Family Practice, 44 (2), pp. 169-177; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality: An International Journal, 22 (5), pp. 465-491; Wang, H.Y., Wang, S.H., Mainland Chinese customers' intention toward medical tourism in Taiwan (2013) International Journal of Social, Management, Economics and Business Engineering, 7 (2), pp. 221-223; Wu, H.C., Li, T., A study of experiential quality, perceived value, heritage image, experiential satisfaction, and behavioral intentions for heritage tourists (2017) Journal of Hospitality & Tourism Research, 41 (8), pp. 904-944. , https://doi.org/10.1177/1096348014525638; Wu, H.C., Li, T., Li, M.Y., A study of behavioral intentions, patient satisfaction, perceived value, patient trust and experiential quality for medical tourists (2016) Journal of Quality Assurance in Hospitality & Tourism, 17 (2), pp. 114-150; Zboja, J.J., Voorhees, C.M., The impact of brand trust and satisfaction on retailer repurchase intentions (2006) Journal of Services Marketing, 20 (6), pp. 381-390; Zeithaml, V.A., Berry, L.L., Parasuraman, A., The behavioral consequences of service quality (1996) Journal of Marketing, 60 (2), pp. 31-46","Hashemi, S.; Department of Urban and Regional Planning, School of Housing, Building and Planning, Universiti Sains MalaysiaMalaysia",,,"Taylor and Francis",,,,,,9781315146409; 9781138505124,,,"English","Tour. in Iran: Chall., Dev. and Issues",Book Chapter,"Final",,Scopus,2-s2.0-85059707663 "Kressing F.","52963814300;","Aspects of intercultural differences in the context of international medical tourism [Aspekte kultureller Differenz im internationalen Medizintourismus]",2018,"Ethik in der Medizin","30","3",,"251","262",,,"10.1007/s00481-018-0498-4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050234927&doi=10.1007%2fs00481-018-0498-4&partnerID=40&md5=d000b1c1e4a4ee3f9803daebe3434414","Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Parkstr. 11, Ulm, 89073, Germany","Kressing, F., Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Parkstr. 11, Ulm, 89073, Germany","Definition of the problem: Medical tourism is a broad concept defined as “global outsourcing” of health services as health care for “first world patients” in “third world countries”—or vice versa. In an attempt to broaden the understanding of medical tourism, this paper will focus on ethical questions and experiences of intercultural diversity that go hand in hand with international health travel. Arguments: The phenomenon of worldwide medical tourism raises a number of ethical considerations: offering health care and wellness services to a wealthy foreign client may increase health inequities in countries of the southern hemisphere and decrease access to health services for the less wealthy domestic population. Further concerns in regard of growing worldwide health travel are bound to the increasing commodification of complementary and alternative medicine (CAM), including traditional folk medicine. Future prospects: The commercialization of indigenous healing practices may not only contribute to a “theurgical revival” in medical care, but also to a neocolonial marketing mechanism that neither respects indigenous knowledge nor indigenous property rights. Closely connected to modern “biomapping”, trade in indigenous genomes may occur in the future, comparable to the already existing trade in human organs and indigenous pharmacopeia. © 2018, Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature.","Commercialization of complementary and alternative (folk) medicine; Health inequities; Indigenous knowledge; Indigenous property rights; Medical travel; Spatial transfer and outsourcing of health care","alternative medicine; article; commodification; genome; global health; human; marketing; medical care; medical literature; medical tourism; public health; Southern Hemisphere; traditional medicine; travel",,,,,,,,"Albrecht, H., (2010) Medizinerausbildung. Wehe! Wehe! Homöopathie, Akupunktur, Ayurveda – der Aberglaube frisst die moderne Medizin. Zunehmend lehren deutsche Hochschulen alternative Verfahren. ZEIT online, , http://www.zeit.de/2010/37/M-Alternativmedizin; Barve, K., (2013) Neo-Schamanismus: Heilkunst oder Scharlatanerie? 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Neumann, Würzburg; Laqueur, W., (1978) Die deutsche Jugendbewegung, , Verlag Wissenschaft und Politik, Köln; Mulenga, E., (2014) Medical tourism is hurting Zambia. Zambia reports, July 17, , https://zambiareports.com/2014/07/17/medical-tourism-hurting-zambia/; Mundy, B., (2016) South Korea’s ambitions in medical tourism. Business of health: emerging markets. Financial Times, October 16, , https://www.ft.com/content/b84a4f08-4570-11e4-9b71-00144feabdc0; Naraindas, H., Von Korallen, Chipkarten, medizinischen Informationen und der Jungfrau Maria: Heilpraktiker in Deutschland und die Aneignung der Ayurveda-Therapie (2011) Z Ethnol, 136, pp. 93-114; Naraindas, H., Nosopolitics. Epistemic mangling and the creolization of contemporary Ayurveda (2014) Medical pluralism and homeopathy in India and Germany (1810–2010), pp. 105-136. , Dinges M, (ed), Franz Steiner, Stuttgart; Naraindas, H., Bastos, C., (2015) Healing holidays: itinerant patients, therapeutic locales and the quest for health, , (eds), Routledge, London; Osterloh, F., Verbotene Behandlungen. Vor den Gefahren warnen (2016) Dtsch Arztebl, 133 (47), p. A2142; Posey, D.A., (1994) Indigenous peoples, traditional technologies and equitable sharing: international instruments for the protection of community intellectual property and traditional resource rights, , Green College Centre for Environmental Policy and Understanding, Oxford; Reuter, W., (2013) Der Tod ist ganz ungefährlich: Buddhistische Hilfen im Umgang mit Alter, Krankheit, Tod, , Jhana-Verlag, Uttenbühl; Rubeis, G., Steger, F., Genome Editing in der Pränatalmedizin. Eine medizinethische Analyse (2016) Jahrbuch für Recht und Ethik – Annual Review of Law and Ethics 24, pp. 143-159. , Byrd SB, Hruschka J, Joerden JC, (eds), Duncker & Humblot, Berlin; Schubert, K., Özbay, J., Tinnemann, P., (2009) Hier und Dort. Einblicke in die Globale Gesundheit, , (eds), Globalisation and Health Initiative (GandHI), Bundesvertretung der Medizinstudierenden Deutschlands (bvmd), Berlin, Leipzig; Tahir Ajobe, A., Alhassan, A., Chung, S., Leonard, J., Ahmad, R., (2013) Nigeria: How Nigerians spend billions on medical tourism. Daily Trust, , http://all-africa.com/stories/201301071129.html; Unschuld, P., (1980) Medizin in China – eine Ideengeschichte, , Beck, München; Unti, J.A., Medical and surgical tourism: the new world of health care globalization and what it means for the practicing surgeon (2009) Bull Am Coll Surg, 94, pp. 18-25. , PID: 19492750; Voß, E., (2011) Mediales Heilen in Deutschland. Eine Ethnographie, , Reimer, Berlin; Whitmarsh, I., American genomics in Barbados: race, illness, and pleasure in the science of personalized medicine (2011) Body Soc, 17, pp. 159-181","Kressing, F.; Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Parkstr. 11, Germany; email: frank.kressing@uni-ulm.de",,,"Springer Verlag",,,,,09357335,,,,"German","Ethik Med.",Article,"Final",,Scopus,2-s2.0-85050234927 "Dubrey S.W., Murphy L., Dobbin J., Boutros S.","7004550725;57209614662;57201188264;57202516004;","Health tourism and the NHS: a personal view",2018,"British journal of hospital medicine (London, England : 2005)","79","8",,"476","",,,"10.12968/hmed.2018.79.8.476","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064890509&doi=10.12968%2fhmed.2018.79.8.476&partnerID=40&md5=ff31ae6dda553d841ea3accd79a03510","Consultant Cardiologist Department of Cardiology The Hillingdon Hospital Hillingdon Hospitals NHS Foundation Trust Uxbridge Middlesex UB8 3NN; Foundation Doctor Centre for Primary Care and Public Health Barts Health NHS Trust London EC1A 7BE; Foundation Doctor Centre for Primary Care and Public Health Barts Health NHS Trust London; Paediatric Registrar Paediatric Intensive Care Unit Great Ormond Street Children's Hospital London","Dubrey, S.W., Consultant Cardiologist Department of Cardiology The Hillingdon Hospital Hillingdon Hospitals NHS Foundation Trust Uxbridge Middlesex UB8 3NN; Murphy, L., Foundation Doctor Centre for Primary Care and Public Health Barts Health NHS Trust London EC1A 7BE; Dobbin, J., Foundation Doctor Centre for Primary Care and Public Health Barts Health NHS Trust London; Boutros, S., Paediatric Registrar Paediatric Intensive Care Unit Great Ormond Street Children's Hospital London",[No abstract available],,"economics; ethics; health service; human; medical tourism; national health service; United Kingdom; Humans; Medical Overuse; Medical Tourism; State Medicine; United Kingdom",,,,,,,,,,,,"NLM (Medline)",,,,,17508460,,,"30070946","English","Br J Hosp Med (Lond)",Letter,"Final",,Scopus,2-s2.0-85064890509 [No author name available],[No author id available],"How the medical-tourism business thrives",2018,"Economist (United Kingdom)","414","9099",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050621483&partnerID=40&md5=15a20e5b4b58b477dae7f07c1d62d40f",,"",[No abstract available],,,,,,,,,,,,,,"Economist Newspaper Ltd",,,,,00130613,,,,"English","Economist",Article,"Final",,Scopus,2-s2.0-85050621483 "Afshar Y., Tabsh K.","22833746400;57209424988;","Pregnancy and subsequent uterine rupture in a 72-year-old gravida: medical tourism versus procreative freedom",2018,"Journal of Obstetrics and Gynaecology","38","5",,"716","718",,,"10.1080/01443615.2017.1379968","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041582212&doi=10.1080%2f01443615.2017.1379968&partnerID=40&md5=d66fb1b411f1776f50901a64c65ca4f5","David Geffen School of Medicine, Department of Obstetrics and Gynecology, UCLA, Los Angeles, CA, United States","Afshar, Y., David Geffen School of Medicine, Department of Obstetrics and Gynecology, UCLA, Los Angeles, CA, United States; Tabsh, K., David Geffen School of Medicine, Department of Obstetrics and Gynecology, UCLA, Los Angeles, CA, United States",[No abstract available],,"fresh frozen plasma; abdominal pain; aged; appendectomy; Article; case report; clinical article; computer assisted tomography; cryoprecipitate; differential diagnosis; disseminated intravascular clotting; erythrocyte concentrate; female; hemodynamic monitoring; hemoperitoneum; hepatobiliary disease; human; hypotension; intestine obstruction; nausea and vomiting; neonatal intensive care unit; nullipara; patient history of surgery; peritoneum; pregnancy; priority journal; tachycardia; thrombocyte; uterus rupture; vital sign; ethics; infertility therapy; medical tourism; pregnancy; pregnancy complication; reproductive rights; uterus rupture; Aged; Female; Humans; Medical Tourism; Pregnancy; Pregnancy Complications; Reproductive Rights; Reproductive Techniques, Assisted; Uterine Rupture",,,,,,,,"Berg, L., Rostila, M., Hjern, A., Parental death during childhood and depression in young adults–a national cohort study (2016) Journal of Child Psychology and Psychiatry, 57, pp. 1092-1098; Cutas, D., Smajdor, A., Postmenopausal motherhood reloaded: advanced age and in vitro derived gametes (2015) Hypatia, 30, pp. 386-402; Oocyte or embryo donation to women of advanced reproductive age: an Ethics Committee opinion (2016) Fertility and Sterility, 106, pp. e3-e7; Harris, S., Naina, H.V., Cullen’s sign revisited (2008) The American Journal of Medicine, 121, pp. 682-683; Jackson, S., Hong, C., Wang, E.T., Alexander, C., Gregory, K.D., Pisarska, M.D., Pregnancy outcomes in very advanced maternal age pregnancies: the impact of assisted reproductive technology (2015) Fertility and Sterility, 103, pp. 76-80; Mathews, T.J., Hamilton, B., (2016) Mean age of mothers is on the rise: United States, 2000–2014, , Hyattsville (MD): National Center for Health Statistics,. NCHS data brief, no 232; Olshaker, J.S., Emergency department pregnancy testing (1996) The Journal of Emergency Medicine, 14, pp. 59-65; Osmundson, S.S., Gould, J.B., Butwick, A.J., Yeaton-Massey, A., El-Sayed, Y.Y., Labor outcome at extremely advanced maternal age (2016) American Journal of Obstetrics and Gynecology, 214, pp. 362 e1-367; Paulson, R.J., Thornton, M.H., Francis, M.M., Salvador, H.S., Successful pregnancy in a 63-year-old woman (1997) Fertility and Sterility, 67, pp. 949-951; Sayed Ahmed, W.A., Habash, Y.H., Hamdy, M.A., Ghoneim, H.M., Rupture of the pregnant uterus–a 20-year review (2017) The Journal of Maternal-Fetal & Neonatal Medicine, 30, pp. 1488-1493; Simo Gonzalez, M., Calaf Alsina, J., Terribas Sala, N., Luqui Scarcelli, N., Plana Borras, J., Polo Ramos, A., Pregnancy beyond 65: report of a unique case and discussion of a controversial issue (2016) The European Journal of Contraception & Reproductive Health Care, 21, pp. 496-498; (2015), D. O. E. A. S. A., Population Division,. World Fertility Patterns 2015; van den Akker, T., Brobbel, C., Dekkers, O.M., Bloemenkamp, K.W., Prevalence, indications, risk indicators, and outcomes of emergency peripartum hysterectomy worldwide: a systematic review and meta-analysis (2016) Obstetrics Gynecology, 128, pp. 1281-1294; (2017), http://www.who.int/healthinfo/survey/ageingdefnolder/en/, [Internet] [cited 2017 July 17]. Available from","Afshar, Y.; David Geffen School of Medicine, Department of Obstetrics and Gynecology, UCLA, 10833 Le Conte Avenue, United States; email: yafshar@mednet.ucla.edu",,,"Taylor and Francis Ltd",,,,,01443615,,JOGYD,"29390892","English","J. Obstet. Gynaecol.",Article,"Final",,Scopus,2-s2.0-85041582212 "Lee J., Kim T.-Y., Shin J.-S., Lee J., Kim H.-N., Lee Y.J., Kim M.-R., Ahn Y.-J., Park K.B., Kim K.H., Suhr K., Ha I.-H.","55938454400;57089340700;54585910300;55660924300;56981380500;56673063900;55660889500;56900482400;56723109800;56925669700;57196484976;55660224800;","Korean and conventional medicine tourism industry trends as indicated in medical tourism advertisement images: qualitative research using data from medical Korea 2015",2018,"Asia Pacific Journal of Tourism Research","23","7",,"703","713",,,"10.1080/10941665.2018.1487459","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049229546&doi=10.1080%2f10941665.2018.1487459&partnerID=40&md5=3cf5412cb1d0f8a59e3a43c78a16f8d9","Department of Korean Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea; Jaseng Hospital of Korean Medicine, Seoul, South Korea; Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, South Korea; Department of Preventive Medicine, College of Korean Medicine, Woosuk University, Wanju-gun, South Korea; Prevention Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States","Lee, J., Department of Korean Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea; Kim, T.-Y., Jaseng Hospital of Korean Medicine, Seoul, South Korea; Shin, J.-S., Jaseng Hospital of Korean Medicine, Seoul, South Korea; Lee, J., Jaseng Hospital of Korean Medicine, Seoul, South Korea; Kim, H.-N., Jaseng Hospital of Korean Medicine, Seoul, South Korea; Lee, Y.J., Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, South Korea; Kim, M.-R., Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, South Korea; Ahn, Y.-J., Jaseng Hospital of Korean Medicine, Seoul, South Korea; Park, K.B., Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, South Korea; Kim, K.H., Department of Preventive Medicine, College of Korean Medicine, Woosuk University, Wanju-gun, South Korea; Suhr, K., Prevention Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States; Ha, I.-H., Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, South Korea","This study analyzed advertisement images targeting international audiences of South Korean medical facilities (traditional Korean and conventional medicine) participating in Medical Korea 2015 using thematic content analysis. The image categories most often used in conventional medicine were medical procedures, facilities, and staff photos, while those for traditional Korean medicine were medical procedures, staff photos, and images. Conventional medicine consistently presented high SERVQUAL tangibility scores, whereas Korean medicine displayed distinct associations between SERVQUAL categories and image size. Analyses suggested specialty preference by language. These findings may be used to recognize key messages in medical tourism and contribute to its systematic promotion. Abbreviations: KHIDI: Korea health industry development institute; SERVQUAL: service quality. © 2018, © 2018 Asia Pacific Tourism Association.","advertisement; conventional allopathic medicine; image; medical tourism; service quality; SERVQUAL; South Korea; thematic content analysis; tourism marketing; traditional Korean medicine","advertising; language; marketing; medical tourism; qualitative analysis; service quality; tourism management; tourism market; South Korea",,,,,,,,"Alsharif, M.J., Labonte, R., Zuxun, L., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10 (3), pp. 315-335; Aronson, J., A pragmatic view of thematic analysis (1995) The Qualitative Report, 2 (1), pp. 1-3; Auh, S., Paik, S., Kim, Y., A study on the educational satisfaction and the occupational readiness among the home-health-care workers licensing program participants: An application of educational service quality (SERVQUAL) model (2010) Journal of Korea Family Resource Management Association, 14 (3), pp. 69-85; Bisht, R., Pitchforth, E., Murray, S.F., Understanding India, globalisation and health care systems: A mapping of research in the social sciences (2012) Globalization and Health, 8, p. 32; Cho, B., Kwon, U., Gentry, J.W., Jun, S., Kropp, F., Cultural values reflected in theme and execution: A comparative study of U. S. and Korean television (1999) Journal of Advertising, 28 (4), pp. 59-73; Crooks, V.A., Li, N., Snyder, J., Dharamsi, S., Benjaminy, S., Jacob, K.J., Illes, J., You don’t want to lose that trust that you’ve built with this patient … ”: (dis)trust, medical tourism, and the Canadian family physician-patient relationship (2015) BMC Family Practice, 16 (25); Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine (1982), 72 (5), pp. 726-732; Durham, J., Blondell, S.J., A realist synthesis of cross-border patient movement from low and middle income countries to similar or higher income countries (2017) Globalization and Health, 13 (1), p. 68; Frederick, J.R., Gan, L.L., East-West differences among medical tourism facilitators’ websites (2015) Journal of Destination Marketing and Management, 4 (2), pp. 98-109; Hofstede, G., (1980) Culture’s consequences: International differences in work-related values, , Beverly Hills, CA: Sage; Johnston, R., Crooks, V.A., Cerón, A., Labonté, R., Snyder, J., Núñez, E.O., Flores, W.G., Providers’ perspectives on inbound medical tourism in Central America and the Caribbean: Factors driving and inhibiting sector development and their health equity implications (2016) Global Health Action, 9. , 32760; Kangas, B., The burden of pursuing treatment abroad: Three stories of medical travellers from Yemen (2010) Global Social Policy, 10 (3), pp. 306-314; Ko, E.S., Lee, K.H., Song, S.H., The role of images between visual thinking and analytic thinking (2008) Journal of Korea Society of Educational Studies in Mathematics, 10 (1), pp. 63-78; (2011) 2010 Statistics on international patients in Korea, , Seoul: Ministry of Health and Welfare; (2015) 2014 Results of international patients in Korea, , Seoul: Ministry of Health and Welfare; Lee, J.-M., Moon, K.-W., Lee, J.-Y., Kim, E.-S., Son, C.-G., Survey of awareness of Chinese tourists on Korean medical tourism (2012) The Journal of Korean Oriental Internal Medicine, 33 (1), pp. 54-61; Lee, C.K., Yu, J.Y., Yim, E.S., Forecasting demand for Korean oriental medical tourism and estimating Its economic impact (2009) Journal of Tourism Science, 33 (6), pp. 55-74; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Mason, A., Wright, K.B., Bogard, J., Assessing cultural representations of physician and patient imagery in medical tourism websites (2011) Journal of Intercultural Communication, 25, pp. 163-177; (2011) System reform for Bi-phase medical tourism industry advancement strategy, , http://www.mcst.go.kr/web/s_notice/press/pressView.jsp?pSeq=11411, Retrieved from; Parasuraman, A., Zeithaml, V., Berry, L., SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality (2002) Journal of Retailing, 64 (1), pp. 12-40; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12 (17); Reidenbach, R.E., Sandifer-Smallwood, B., Exploring perceptions of hospital operations by a modified SERVQUAL approach (1990) Journal of Health Care Marketing, 10 (4), pp. 47-55; Rho, C.-C., A study on the expo promotion for regional development : Focusing on the national case study (2007) Journal of the Koea Construction and Environment Association, 6 (4), pp. 75-90; Samadbeik, M., Asadi, H., Mohseni, M., Takbiri, A., Moosavi, A., Garavand, A., Designing a medical tourism website: A qualitative study (2017) Iranian Journal of Public Health, 46 (2), pp. 249-257; Snyder, J., Crooks, V.A., Turner, L., Johnston, R., Understanding the impacts of medical tourism on health human resources in Barbados: A prospective, qualitative study of stakeholder perceptions (2013) International Journal for Equity in Health, 12 (2)","Ha, I.-H.; Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 3F Jung-il Bldg, 538 Gangnam-daero, Gangnam-gu, South Korea; email: hanihata@gmail.com",,,"Routledge",,,,,10941665,,,,"English","Asia Pac. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-85049229546 "Jedeejit P., Chernbumroong S., Tongpaeng Y.","57200139503;57193877293;55975615800;","The Exploration of Competency Situation in Wellness Tourism in Chiangmai Thailand",2018,"6th Global Wireless Summit, GWS 2018",,, 8686579,"137","141",,,"10.1109/GWS.2018.8686579","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064733745&doi=10.1109%2fGWS.2018.8686579&partnerID=40&md5=57274589773e407b417556e9f89d6354","College of Arts, Media and Technology, Chiang Mai University, Chiang Mai Province, Thailand; College of Arts, Media and Technology Chiang Mai University, Knowledge and Innovation Laboratory (KIRLY), Chiang Mai Province, Thailand","Jedeejit, P., College of Arts, Media and Technology, Chiang Mai University, Chiang Mai Province, Thailand; Chernbumroong, S., College of Arts, Media and Technology Chiang Mai University, Knowledge and Innovation Laboratory (KIRLY), Chiang Mai Province, Thailand; Tongpaeng, Y., College of Arts, Media and Technology Chiang Mai University, Knowledge and Innovation Laboratory (KIRLY), Chiang Mai Province, Thailand","The aim of this study focuses on explore the differentiate of current and expect situation for wellness tourism in Chiangmai. Today the world tourism has changes in accordance with the world economy that has hugely transformed and developed from the old way to digital economy. In addition, in present time people emphasize on healthiness and wellbeing, and they care to protect themselves from diseases. The situation leads to establishment of a new characteristic of tourism, which reflects people's interest in health care called 'Wellness Tourism'. The study used qualitative research method to collect data by document analysis from literature review, observation, in-deep the interview and semi-structured interviews with key in-formant and analyze together. In the past, spas in Chiangmai had overlapped with other businesses for many years, causing them to be indistinctive. Many massage parlors secretly use the word 'spa' while, in fact, they are only parlors that provide massage services without complete components of spas that should consist of sight, sound, smell, taste and touch. In fact, spas are a concept of health-promoting services. In order to provide Chiangmai with wellness services centers to balance bodies and minds, or so-called wellness tourism, entrepreneurs and related individuals should gain knowledge and understandings about upgrading tourism in Chiangmai from being cultural tourism to becoming wellness tourism. © 2018 IEEE.","competency; knowledge management; wellness","Knowledge management; competency; Digital economy; Document analysis; Literature reviews; Qualitative research methods; Semi structured interviews; wellness; World economy; Physical therapy",,,,,,,,"Ardell, D.B., (1985) The History and Future of Wellness, , (updat. Ed.). Kendall/Hunt Dubuque, Iowa; Brymer, E., Lacaze, A.-M., 18. The benefits of ecotourism for visitor wellness (2013) International Handbook on Ecotourism, 217; John, H., (2001) The Creative Economy: How People Make Money from Ideas, , Penguin; Nazari, J.A., Herremans, I.M., Extended vaic model: Measuring intellectual capital components (2007) Journal of Intellectual Capital, 8 (4), pp. 595-609; Guthrie, J., Petty, R., Intellectual capital: Australian annual reporting practices (2000) Journal of Intellectual Capital, 1 (3), pp. 241-251; (2012) Kasikorn Research Center, , https://www.kasikornresearch.com, Retrieved Jan 10, 2017 from; Keller, K.L., Parameswaran, M.G., Jacob, I., (2011) Strategic Brand Management: Building, Measuring, and Managing Brand Equity, , Pearson Education India; Edvinsson, L., Malone, M.S., (1997) Intellectual Capital: Realizing Your Company's True Value by Finding Its Hidden Brainpower; (2015) Bangkok: Ministry of Information and Communication Technology, , Ministry of Information and Communication Technology. Digital economy; Wellness tourism and medical tourism: Where do spas fit (2011) 12th National Economic and Social Development Plan, , http://Thailand.prd.go.th/ewt_news.php?nid=3807, M. T. Association. May [Accessed: 07-Mar-2017]; Bontis, N., There's a price on your head: Managing intellectual capital strategically (1996) Business Quarterly, 60, pp. 40-78; Bontis, N., Fitz-Enz, J., Intellectual capital ROI: A causal map of human capital antecedents and consequents (2002) Journal of Intellectual Capital, 3 (3), pp. 223-247; Nonaka, Takeuchi, H., (1995) The Knowledge-creating Company: How Japanese Companies Create the Dynamics of Innovation, , Oxford university press; Nonaka, Takeuchi, H., (1995) The Knowledge-creating Company: How Japanese Companies Create the Dynamics of Innovation, , Oxford university press; The twelfth national economic and social plan (2015) Bangkok: Office of the National Economic and Social Development Board, , Office of the National Economic and Social Development Board; Kotler, P., Keller, K.L., (2000) Market management, , Translated by Abdolreza Rezaeenejhad, (1st ed.) Tehran: Nashr-e-Fara Publications; Schumpeter, (1924) The Theory of Economic Development, , New York: Oxford University Press; Jatusripitak, S., (2015) Economic Policy and the Direction of Thailand Retrieved from, , http://www.propertytoday.in.th/finance; Mesinsri, S., (2016) Thailand 4. 0. Create New Economy Overcome Middle Income Trap, , http://www.thairath.co.th/content/613903, Decode, Retrieved from; (2009) Thailand Tourism Strategic Plan 2015-2017, , The official of tourism authority of Thailand. Bangkok: The official of tourism authority of Thailand; (2013) Tourism Authority of Thailand, , http://www.tourismThailand.org; (2011) World Population Prospects: The 2010 Revision. New York, , http://esa.un.org, United Nations, Population Division; (2011) UNWTO Tourism Highlights, , www.unwto.org/pub, 9 February 2012",,,,"Institute of Electrical and Electronics Engineers Inc.","6th Global Wireless Summit, GWS 2018","25 November 2018 through 28 November 2018",,147305,,9781538642887,,,"English","Glob. Wirel. Summit, GWS",Conference Paper,"Final",,Scopus,2-s2.0-85064733745 "Kim M.-S.","57148732000;","Theoretical approaches in the medical tourism field: A comparative study from an eclectic perspective",2018,"Asia Life Sciences","SUPPLEMENT 15","3",,"1575","1589",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054595042&partnerID=40&md5=11b0ed46950d5a5a84c316b0df563736","Faculty of Economics and Commerce, Keimyung University, 1095, Dalseo-Gu, Daegu, 704-701, South Korea","Kim, M.-S., Faculty of Economics and Commerce, Keimyung University, 1095, Dalseo-Gu, Daegu, 704-701, South Korea","This study aimed to compare the dominant three theoretical approaches in the field of medical tourism and to make a suggestion of a new one, an eclectic approach. The dominant approaches include a rational choice, the socio-cultural and the institutional approach. It is always needed to recognize the merits and limitations of existing theories from a critical perspective. The recognition of current status enables us to find a more improved theory. The eclectic approach suggests that the current approaches should be used selectively rather than universally to explain a medical tourist’s purchasing decision. That is, when one approach matches with the contextual conditions where it is superior in explanation to others, that approach should be employed to explain a targeted purchasing decision. © Rushing Water Publishers Ltd. 2018.","Contextual fit; Cultural familiarity; Eclectic approach; Imitative isomorphism; National image; SERVQUAL model",,,,,,"Ministry of Education, MOE National Research Foundation of Korea, NRF: NRF-2017S1A5A8019556","This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2017S1A5A8019556). This is an extended and revised version of a preliminary conference paper that was presented in the 5th International Conference on Interdisciplinary Research Theory and Technology, HSST, Daejeon, Republic of Korea, 21-23 December 2017.",,"Arora, N., Martolia, M., Ashok, A., A comparative study of the image registration process on the multimodal medical images (2017) Asia-Pacific Journal of Convergent Research Interchange, 3 (1), pp. 1-17; Baron, R.A., Byrne, D.E., (1991) Social Psychology: Understanding Human Interaction, Allyn and Bacon, , Boston, Mass., USA; Bickart, B., Schindler, R.M., Internet forums as influential sources of consumer information (2001) Journal of Interactive Marketing, 15 (3), pp. 31-40; Büyüközkan, G., Çifçi, G., Güleryüz, S., Strategic analysis of healthcare service quality using fuzzy AHP methodology (2011) Expert Systems with Applications, 38 (8), pp. 9407-9424; Casaló, L.V., Flavián, C., Guinalíu, M., Ekinci, Y., Do online hotel rating schemes influence booking behavior? 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Parasuraman, A., Zeithaml, V.A., Berry, L.L., A conceptual model of service quality and its implications for future research (1985) Journal of Marketing, 49 (4), pp. 41-50; Parasuraman, A., Zeithaml, V.A., Berry, L.L., SERVQUAL: A multi-item scale for measuring consumer perceptions of service quality (1988) Journal of Retailing, 64 (1), pp. 12-40; Pike, S., Ryan, C., Destination positioning analysis through a comparison of cognitive, affective, and conative perceptions (2004) Journal of Travel Research, 42 (4), pp. 333-342; Seo, Y., (2012) Cultural Impact on Customer Satisfaction and Service Quality Evaluation in Hotels, p. 1370. , http://digitalscholarship.unlv.edu/thesesdissertations/1370, UNLV Theses, Dissertations, Professional Papers, and Capstones; Stylos, N., Vassiliadis, C.A., Bellou, V., Andronikidis, A., Destination images, holistic images and personal normative beliefs: Predictors of intention to revisit a destination (2016) Tourism Management, 53, pp. 40-60; Tseng, J.-J., Chou, P.-H., Mimetic isomorphism and its effect on merger and acquisition activities in Taiwanese financial industries (2011) The Service Industries Journal, 31 (9), pp. 1451-1469; Wallace, S., Mendez-Luck, C., Castaneda, X., Heading South: Why Mexican immigrants in California seek health services in Mexico (2009) Medical Care, 47, pp. 662-669; Whittaker, A., Chee, H.L., Perceptions of an ‘International Hospital’ in Thailand by medical travel patients: Cross-cultural tensions in a transnational space (2015) Social Science and Medicine, 124, pp. 290-297; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-ofmouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201. , February; Yoon, S.M., Kim, G.J., A study on the influence of medical tourism motivations on medical tourists purchasing attitude: Focused on inbound japanese tourists (2012) Tourism and Leisure Research, 24 (1), pp. 121-147; Yunus, N., Rashid, W.E.W., The influence of country-of-origin on consumer purchase intention: The mobile phones brand from China (2016) Procedia Economics and Finance, 37, pp. 343-349; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-40","Kim, M.-S.; Faculty of Economics and Commerce, Keimyung University, 1095, Dalseo-Gu, South Korea; email: kms@gw.kmu.ac.kr",,,"Rushing Water Publishers Ltd.",,,,,01173375,,,,"English","Asia Life Sci.",Article,"Final",,Scopus,2-s2.0-85054595042 "Jing F., Lim C.-K.","57204123775;57204127237;","Advancement strategies toward the chinese market in korean medical tourism industry",2018,"Asia Life Sciences","SUPPLEMENT 15","3",,"2073","2081",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054583107&partnerID=40&md5=a5820c9f467f08ac50ceb99dd5cd4510","Department of Business Administration, Tongmyong University, Busan, South Korea; Department of Distribution Management, Tongmyong University, Busan, South Korea","Jing, F., Department of Business Administration, Tongmyong University, Busan, South Korea; Lim, C.-K., Department of Distribution Management, Tongmyong University, Busan, South Korea","As the scale of world-wide medical tourism markets has radically exploded, China has centered especially in Asian district’s expansion. With this world-wide trend, the interest in tourism development related to medical industry has recently enhanced. As a result, some nearby southeast-Asian countries in Asia such as Thailand abd Singapore has already activated medical tourism, producing income increase and creating employment. Recently, Korea has been evaluated as a newborn eye-catching medical tourism country, and ranked 7th among 9 Asian medical tourism countries in preference surveys. In addition, Korea is also assessed as one of the highest advanced countries in the medical level and technology, so it is urgent to develop and support strategies to realize its high-quality potential. Especially with Chinese rapid growth in economy and the number of the rich, the number of people to get advanced medical treatments through medical tourism in medically-advanced foreign countries has distinctively increased. Among them, many have visited Korea for medical tourism. As the number of medical tourism visitors has largely increased, we may expect the possibility to procure a considerable market occupation in medical tourism if we take advantage of high-leveled medical technology and geographical approachability of Korea. Considering all the situations and reviewing literature and previous studies related to medical tourism, this research points out our current competitive power and problems in terms of medical tourism characteristics and current situations of Korean/world-wide medical tourism. After that, drawing ways such as cooperative involvements and advancements for medical service/ tourism complexes, wellness tourism utilization, human resource development system setting, and four strategies for the advancement into Chinese markets, we finally suggest implications to advance actively into Chinese markets and to make a big progress of Korean medical tourism industry. © Rushing Water Publishers Ltd. 2018.","Advancement strategy; Chinese medical market; Medical service; Medical tourism industry; Wellness tourism",,,,,,,,,"Che, C.H., (2012) A Study on the Improvement Medical Tourism through the Service Oversea., pp. 16-20. , Master’s Thesis, Ga-Cheon University, Korea, Unpublished); Chung, S.K., Accidental self-removal of medical devices according to use of physical restraints: Systematic review. Asia-Pacific Journal of Multimedia Services Convergent with Art (2016) Humanities and Sociology, 6 (11), pp. 253-267; Han, J.W., Kim, J.M., Effects of global competency on cultural competency in nursing student. Asia-Pacific Journal of Multimedia Services Convergent with Art (2017) Humanities and Sociology, 7 (6), pp. 589-601; Jang, G.H., (2015) The Attribution of Medical Tourism Market on South Korea and the Attraction Project Applied on Chinese Customer, pp. 15-30. , Master’s Thesis, Kyung-Hee University, Korea, pp., (Unpublished); Jang, M.H., (2013) A Study on Marketing Strategies of the Cosmetic Plastic Surgery Hospital Attributes, pp. 32-35. , Master’s Thesis, Gen-Guk University, Unpublished); Jang, Y., (2014) Development of China’s Medical Tourism Plan, pp. 18-19. , Master’s Thesis, Busan University, Korea, Unpublished; Jee, Y.J., Kim, B.R., Factors influencing physical activity of Korean elderly. Asia- Pacific Journal of Multimedia Services Convergent with Art (2016) Humanities and Sociology, 6 (11), pp. 339-346; Kim, C.J., Yeo, K.S., Lee, P.W., Lim, H.J., Moon, B.J., Song, K.T., Yu, K.G., Kim, S.S., Study on national protected health information for secondary use and de-identification. Asia-Pacific Journal of Multimedia Services Convergent with Art (2016) Humanities and Sociology, 6 (8), pp. 15-23; Lee, I.Y., (2010) A Study of Choice Factors on Overseas Medical-Tour Services in South Korean, pp. 23-25. , Doctoral Thesis, Kyung-Hee University, Korea, Unpublished; Korea Medical Tourism Marketing 2016 (2016) Korea Tourism Organization, pp. 7-23; Park, J.J., (2010) Study on the Marketing Strategy for Activation of the Medical Service Market, pp. 48-52. , Master’s Thesis, Dong-Ui University, Korea, Unpublished; Park, K.H., Marketing strategy for medical tourism industry in Korea (2011) International Journal of Tourism and Hospitality Research, 26 (2), pp. 15-28; Seul, I.U., (2014) A Study on the Selection Factors, Satisfaction and Recommended Intention of Korea Medical Tourism, pp. 15-18. , Master’s Thesis, Ho-Nam University, Korea, (Unpublished)","Lim, C.-K.; Department of Distribution Management, Tongmyong UniversitySouth Korea; email: cklim@tu.ac.kr",,,"Rushing Water Publishers Ltd.",,,,,01173375,,,,"English","Asia Life Sci.",Article,"Final",,Scopus,2-s2.0-85054583107 "Poljanec-Borić S., Wertag A., Carić H.","6506473862;56033842300;36196133600;","The perception of ecosystem services in public sector domains of health, tourism and environment protection in Croatia [Percepcija ekosistemskih usluga u institucijama javnog zdravstva, turizma i zaštite okoliša u Hrvatskoj]",2018,"Sociologija i Prostor","56","2",,"119","136",,,"10.5673/sip.56.2.2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048758232&doi=10.5673%2fsip.56.2.2&partnerID=40&md5=ca364e46c127944a077698403e1a4d14","Institute of Social Sciences Ivo Pilar, Zagreb, Croatia; Institute for Tourism, Zagreb, Croatia","Poljanec-Borić, S., Institute of Social Sciences Ivo Pilar, Zagreb, Croatia; Wertag, A., Institute of Social Sciences Ivo Pilar, Zagreb, Croatia; Carić, H., Institute for Tourism, Zagreb, Croatia","In the article we analyze the familiarity with the concept of ecosystem services, perceptions of their various dimensions and attitudes to them. The target respondents were employees working in public institutions responsible for public health, tourism and environment and/or nature protection. Drawing on the COST project ToBeWell, a questionnaire was designed in order to find out how the concept was perceived within those institutions in several EU countries, including Croatia. The research carried out on a non-probabilistic sample in Croatia showed satisfactory familiarity with the concept within tourism and environment/nature protection institutions but unsatisfactory familiarity within public health institutions. Although the concept was perceived as relevant across all three institutional domains, the governance of ecosystem services and the cooperation in public health, environment protection and tourism were rated unsatisfactory. © 2018 Institut za društvena istraživanja u Zagrebu - Institute for Social Research in Zagreb Sva prava pridržana - All rights reserved.","Ecosystem services; Environment; Governance; Nature; Policy; Public health; Tourism",,,,,,,,,"Blanco, E., Razzaque, J., Ecosystem Services and Human Well-Being in a Globalized World: Assessing the Role of Law (2009) Human Rights Quarterly, 31 (3), pp. 697-720; Boerema, A., Rebelo, A.J., Bodi, M.B., Esler, K.J., Meire, P., Rohr, J., Are ecosystem services adequately quantified? (2017) Journal of Applied Ecology, 54, pp. 358-370; Boyd, J., Banzhav, S., What are ecosystem services? The need for standardized environmental accounting units (2007) Ecological Economics, 63 (2-3), pp. 616-626; Capak, K., Petrović, G., Environmental health in Croatia - current status and perspectives (2009) Periodicum Biologorum, 111 (1), pp. 13-19; (2012) Memorandum of Understanding for the implementation of a European Concerted Reserach Action designated as COST ACTION IS 1204: Tourism, Wellbeing and Ecosystem Services (TobeWELL), , Brussels: COST CSO; National List of Tourism Indicators (Nacionalna lista pokazatelja za turizam) (2008) Br. Dok, , www.azo.hr/fgs.axd?id=2271, 25-08-82/11. Zagreb, 08. 02. 2008. Agencija za zaštitu okoliša, Accessed 8 June 2017; Cvjetanović, B., Hommage to Andrija Stampar (1990) World Health Forum, 11, pp. 376-380; Čorak, S., Boranić-Živoder, S., Tourism Destination and DMO Transformation (2017) Evolution of Destination Planning and Strategy: The Rise of Tourism In, pp. 99-119. , Dwyer L.; Tomljenović R. and Čorak S. (Eds.), Croatia. Springer; Dietz, T., Ostrom, E., Stern, C.P., The Struggle to Govern the Commons (2003) Science, 303 (5652), pp. 1907-1912; Dwyer, L., Tomljenović, R., Čorak, S., (2017) Evolution of Destination Planning and Strategy - the Rise of Tourism in Croatia, , Palgrave Macmillan; (2017) Natura 2000, , http://ec.europa.eu/environment/nature/natura2000/index_en.htm, (Accessed 13 June 2017); Fisher, B., Ecosystem Services and Economic theory: Integration for Policy-Relevant Research (2008) Ecological Applications, 18 (8), pp. 2050-2067; Gemenne, F., Bruckner, P., Ionesco, D., (2013) The State of Environmental Mirgration, , http://www.iddri.org/Publications/Collections/Analy-ses/SEM%202013.pdf, Paris: IDDRI, Accessed 29 May 2017; (2017) Proposal of the Strategy and Action Plan of Nature Protection 2017 - 2025, , https://vlada.gov.hr/UserDocsImages//Sjednice/2017/02%20velja%C4%8Da/20%20sjed-nica%2014%20VRH//20%20-%2011%20b.pdf, Nacrt prijedloga strategije i akcijskog plana zaštite prirode Republike Hrvatske za razdoblje od 2017. do 2025. godine, (Accessed 1 June 2017); Grêt-Regamey, A., Sirén, E., Brunner, S.H., Weibel, B., Review of decision support tools to operationalize the ecosystem services concept (2017) Ecosystem Services, 26, pp. 306-315; Haase, D., Frantzeskaki, N., Elmquist, T., Ecosystem Services in Urban Landscapes: Practical Applications and Governance Implications (2014) Ambio, 43 (4), pp. 407-412. , https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3989513/, Accessed 30 May 2017; (2015) Attitudes and Spendings of Tourists in Croatia - TO-MAS Summer 2014, , Zagreb; Ivandić, N., Marušić, Z., Implementation of tourism satellite account: Assessing the Contribution of Tourism to the Croatian Economy (2017) Evolution of Destination Planning and Strategy: The Rise of Tourism in Croatia, pp. 149-173. , Dwyer L.; Tomljenović R. and Čorak S. (Eds.), Springer; Kranjčević, J., Abandoned Tourism Resorts in Croatia: The Consequence of Discordant Spatial Planning and Tourism Development Policies (2017) Evolution of Destination Planning and Strategy: The Rise of Tourism in Croatia, pp. 173-201. , Dwyer L.; Tomljenović R. and Čorak S. (Eds.), Springer; Kunst, I., Managing Tourism Development Process in Croatia: Can European Union Accession Help? (2017) Evolution of Destination Planning and Strategy: The Rise of Tourism in Croatia, pp. 37-67. , Dwyer L.; Tomljenović R. and Čorak S. (Eds.), Springer; Kušen, E., Tourism Attraction System (2017) Evolution of Destination Planning and Strategy: The Rise of Tourism in Croatia, pp. 119-149. , Dwyer L.; Tomljenović R. and Čorak S. (Eds.), Springer; Leimona, B., van Noordwijk, M., de Grot, R., Leemans, R., Fairly efficient, efficiently fair: Lessons from designing and testing payment schemes for ecosystem services in Asia (2015) Ecosystem Services, 12, pp. 16-28; Lugo, E., Ecosystem services, the Millennium Ecosystem Assessment and the Conceptual Difference Between Benefits Provided by Ecosystems and Benefits Provided by People (2008) Journal of Land Use & Environmental Law, 23 (2), pp. 243-261; McMichael, A.J., (1993) Planetary Overload: Global Environmental Change and the Health of the Human Species, , Cambridge University Press; (2017) History of Nature Protection in the Republic of Croatia, , http://www.zastita-prirode.hr/eng/Protected-Nature/Nature-protection-in-the-Republic-of-Croatia/History-of-na-ture-protection-in-the-Republic-of-Croatia, (Accessed 9 June 2017); (2012) National Health Care Strategy, , Abridged Version. Zagreb; Notman, E., (2006) State of Knowledge: Ecosystem Services from Forests, , http://www.fs.fed.us/ecosystemservices/pdf/state-of-knowledge.pdf, Accessed 9 June 2017; Ozimec, R., (2014) Irrisistible Croatia (Neodoljiva Hrvatska), , Ecological tourism in: Matić et al. (Eds), Zagreb: Lux Promocija; Pearce, D., Do we really care about Biodiversity? (2007) Environmental Resource Economics, 37 (1), pp. 313-333; Posner, S., McKenzie, E., Ricketts, T., Policy impacts of ecosystem services knowledge (2016) Proceedings of the National Academy of Sciences of the United States of America (PNAS), 113 (7), pp. 1760-1765. , http://www.pnas.org/con-tent/113/7/1760, Accessed 23 May 2018; Poljanec-Borić, S., (2016) Pravo Na Sada (The Right to Now). Zagreb: Institut društvenih Znanosti Ivo Pilar; Primmer, E., Jokinen, P., Blicharska, M., Barton, N.D., Potschin, M., Governance of Ecosystem Services: A framework for empirical analysis (2015) Ecosystem Services, 16, pp. 158-166; Rapport, J.D., Costanza, R., McMichael, A.J., Assessing ecosystem health (1998) Trends in Ecology and Evolution, 13 (10), pp. 397-402; Ruijs, S., van Egmond, P., (2017) Natural Capital in Practice: How to Include Its Value in Dutch Decision-Making Processes. Ecosystem Services, 25, pp. 106-116; Salzman, J.E., A Field of Green: The Past and Future of Ecosystem Services (2006) Journal of Land Use & Environmental Law, 21 (2), pp. 133-151; Smith, S., Rowcroft, P., Evarard, M., Couldric, L., Reed, M., Roger, H., Quick, T., White, C., (2013) Payments for Ecosystem Services: A Best Practice Guide, , London: Defra; (2005) Post-Tsunami Tourism Phuket Struggles to Reverse Slump, , http://www.thaiwebsites.com/tourism-tsunami.asp, Accessed 7 June 2017; (2017) School of Public Health Andrija Stampar, , http://mef.unizg.hr/en/about-us/organisation/school-of-public-health-andrija-stampar, (Accessed 7 June 2017); Vukonić, B., (2005) Povijest Hrvatskog Turizma, , Prometej; The Travel & Tourism Competitiveness Report 2017 (2017) Paving the Way for a More Sustainable and Inclusive Future, , 13: 978-1-944835-08-8. Geneva; (2005) Millenium Ecosystem Assessment, Ecosystems and Human Well-Being: Synthesis, , http://www.millenniumassessment.org/doc-uments/document.356.aspx.pdf, (Accessed 7 June 2017)",,,,"INST SOCIAL RES ZAGREB",,,,,18465226,,,,"English","Soci. Pro.",Article,"Final",Open Access,Scopus,2-s2.0-85048758232 "Hung Y.-H., Chou J.C.-L., Ma J., Lin C.-P.","14031320600;16400664700;56428162900;57202425842;","Opportunity recognition for small businesses in medical tourism in Taiwan",2018,"MATEC Web of Conferences","169",, 01024,"","",,,"10.1051/matecconf/201816901024","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048254801&doi=10.1051%2fmatecconf%2f201816901024&partnerID=40&md5=223d35ce9dc3861ef4aaaf5b21108cf1","Department of Information Management, Hwa-Hsia Institute of Technology, Taiwan","Hung, Y.-H., Department of Information Management, Hwa-Hsia Institute of Technology, Taiwan; Chou, J.C.-L., Department of Information Management, Hwa-Hsia Institute of Technology, Taiwan; Ma, J., Department of Information Management, Hwa-Hsia Institute of Technology, Taiwan; Lin, C.-P., Department of Information Management, Hwa-Hsia Institute of Technology, Taiwan","Medical tourism has become an investment focus for many Asian countries. For example, India, Singapore, Thailand, South Korea, and Malaysia have governmental projects to foster this emerging industry, and successfully attract millions of medical tourists each year. Medical tourism consists of diverse industries that can provide abundant opportunities of new businesses. Currently Taiwan is trying to catch up in this trend by making national development policies, setting up institutions, modifying laws and regulations, and encouraging investment of private sector. The purpose of this study is to analyze the status quo of international medical tourism in Taiwan, and identify several opportunities for small businesses to catch and to participate in forming a solid medical tourism industry for Taiwan. © The Authors, published by EDP Sciences, 2018.",,"Investments; Laws and legislation; Asian countries; Laws and regulations; National development; Opportunity recognition; Private sectors; Small business; South Korea; Tourism industry; Engineering research",,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , (NY: Palgrave Macmillan,); Connell, J., (2006) Tourism Management, 27 (6), pp. 1093-1100; Keckly, P.H., (2008) Medical Tourism: Consumers in Search of Value, , Washington DC: Deloitte Center for Health Solutions; Woodman, J., (2008) Patients beyond Borders: Everybody's Guide to Affordable, World-class Medical Tourism, , Chapel Hill, NC: Healthy Travel Media; Wu, H., Database of industry &technology intelligence service: Current status of medical tourism in Taiwan (2009) Ministry of Economic Affairs of Taiwan; Hung, Y.H., Huang, T.L., Hsieh, J.C., Tsuei, H.J., Cheng, C.C., Tzeng, G.H., (2012) Knowledge-Based Systems, 35, pp. 87-93; Pourahmad, A., Hosseini, A., Banaitis, A., Nasiri, H., Banaitiene, N., Tzeng, G.H., (2015) Technological and Economic Development of Economy, 21 (5), pp. 773-796; Shen, K.Y., Tzeng, G.H., (2015) Soft Computing, 19 (4), pp. 859-874","Lin, C.-P.; Department of Information Management, Hwa-Hsia Institute of TechnologyTaiwan; email: jerome@cc.hwh.edu.tw","Hsieh W.-H.","","EDP Sciences","6th International Multi-Conference on Engineering and Technology Innovation, IMETI 2017","27 October 2017 through 31 October 2017",,136772,2261236X,,,,"English","MATEC Web Conf.",Conference Paper,"Final",Open Access,Scopus,2-s2.0-85048254801 "Nakayama M., Chen C., Ractham P.","7401792580;7501949741;14036025900;","Medical tourism for cosmetic procedures: Credibility assessment of service providers via online health forums",2018,"Handbook of Research on Emerging Perspectives on Healthcare Information Systems and Informatics",,,,"498","514",,,"10.4018/978-1-5225-5460-8.ch022","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050320682&doi=10.4018%2f978-1-5225-5460-8.ch022&partnerID=40&md5=55656859463e37853546cfc43cd910ab","University of California, Los Angeles, United States; Department of Computer Information Systems and Supply Chain Management, Appalachian State University, United States; Department of Management Information System, Thammasat Business School, Thammasat University, Bangkok, Thailand","Nakayama, M., University of California, Los Angeles, United States; Chen, C., Department of Computer Information Systems and Supply Chain Management, Appalachian State University, United States; Ractham, P., Department of Management Information System, Thammasat Business School, Thammasat University, Bangkok, Thailand","Medical tourism, especially cosmetic surgery in South Korea, is popular amongst Thai youths. Like their counterparts around the world, they rely on web resources-in particular, online health discussion forums typically offering many features-to research cosmetic surgery providers. However, these forums are not without challenges. This chapter conducted lab experiments with 207 business school students to assess the impact of these forums along with their 16 features on credibility assessment of service providers. The results show that the reliability of web information is critical in enhancing the credibility of both doctors and hospitals, and social influence is important for doctor credibility but not hospital credibility. In addition, only certain types of forum features impact the credibility assessment of cosmetic surgery providers. © 2018, IGI Global.",,,,,,,,,,"AlGhamdi, K.M., Moussa, N.A., Internet use by the public to search for health-related information (2012) International Journal of Medical Informatics, 81 (6), pp. 363-373; (2016) 2016 Cosmetic Surgery National Data Bank Statistics, , https://www.surgery.org/sites/default/files/ASAPS-Stats2016.pdf, from; Ba, S., Pavlou, P.A., Evidence of the effect of trust building technology in electronic markets: Price premiums and buyer behavior (2002) Management Information Systems Quarterly, 26 (3), pp. 243-268; Bates, B.R., Romina, S., Ahmed, R., Hopson, D., The effect of source credibility on consumers' perceptions of the quality of health information on the Internet (2006) Informatics for Health & Social Care, 31 (1), pp. 45-52. , 16754366; Bem, D.J., (1972) Self-Perception Theory. In Advances in Experimental Social Psychology, 6. , New York: Academic Press; Betts, D., Dahlen, H.G., Smith, C.A., A search for hope and understanding: An analysis of threatened miscarriage internet forums (2014) Midwifery, 30 (6), pp. 650-656. , PMID:24439850; Bhattacherjee, A., Sanford, C., Influence processes for information technology acceptance: An elaboration likelihood model (2006) Management Information Systems Quarterly, 30 (4), pp. 805-825; Biggs, M., Self-fulfilling prophecies (2009) The Oxford handbook of analytical sociology, pp. 294-314. , P. Hedström & P. Bearman (Eds.), New York: Oxford University Press; Blanchard, A.L., Markus, M.L., The experienced sense of a virtual community: Characteristics and processes (2004) ACM SIGMIS Database, 35 (1), pp. 64-79; Briggs, P., Burford, B., De Angeli, A., Lynch, P., Trust in online advice (2002) Social Science Computer Review, 20 (3), pp. 321-332; Briggs, P., Simpson, B., Angeli, A., Personalisation and trust: a reciprocal relationship? (2004) Designing Personalized user experiences in eCommerce, pp. 39-55; Brown, H.G., Poole, M.S., Rodgers, T.L., Interpersonal traits, complementarity, and trust in virtual collaboration (2004) Journal of Management Information Systems, 20 (4), pp. 115-138; (2015) Here are the vainest countries in the world, , http://www.businessinsider.com/here-are-the-vainest-countries-in-the-world-2015-8; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Cotten, S.R., Gupta, S.S., Characteristics of online and offline health information seekers and factors that discriminate between them (2004) Social Science & Medicine, 59 (9), pp. 1795-1806. , PMID:15312915; Cyr, D., Head, M., Ivanov, A., Design aesthetics leading to m-loyalty in mobile commerce (2006) Information & Management, 43 (8), pp. 950-963; Dimoka, A., What does the brain tell us about trust and distrust? 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Smith, A.K., Health care bargains abroad (2012) Kiplinger's Personal Finance, 66 (1), pp. 65-68; Terry, N., Under-Regulated Healthcare Phenomena in a Flat World: Medical Tourism and Outsourcing (2007) Western New England Law Review, 29, pp. 421-472; Torpy, J.M., Burke, A.E., Golub, R.M., Health Literacy (2011) Journal of the American Medical Association, 306 (10), pp. 1158-1158. , PMID:21917587; (2016) Global Medical Tourism Market to Witness Increasing Influx of Medical Tourists in Asian Countries, , http://www.transparencymarketresearch.com/article/medical-tourism.htm; Venkatesh, V., Morris, M.G., Davis, G.B., Davis, F.D., User acceptance of information technology: Toward a unified view (2003) Management Information Systems Quarterly, 27 (3), pp. 425-478; Yee, N., Bailenson, J.N., Ducheneaut, N., The Proteus effect implications of transformed digital self-representation on online and offline behavior (2009) Communication Research, 36 (2), pp. 285-312; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35, pp. 32-40","Nakayama, M.; University of CaliforniaUnited States",,,"IGI Global",,,,,,9781522554615; 1522554602; 9781522554608,,,"English","Handb. of Res. on Emerg. Perspect. on Healthc. Inf. Syst. and Inf.",Book Chapter,"Final",,Scopus,2-s2.0-85050320682 "Ahmed M., Sudi A., Bello A., Lawal A.T., Awaisu M., Maitama H.Y.","7402830988;57200448011;55337669000;56003026700;57189321465;7801448873;","Managing the sequelae of urology medical tourism: A single center experience",2018,"The Nigerian postgraduate medical journal","25","2",,"117","120",,,"10.4103/npmj.npmj_54_18","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063669936&doi=10.4103%2fnpmj.npmj_54_18&partnerID=40&md5=d9883b1f6078d2e886665ca9f80e89df","Division of Urology, Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria","Ahmed, M., Division of Urology, Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria; Sudi, A., Division of Urology, Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria; Bello, A., Division of Urology, Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria; Lawal, A.T., Division of Urology, Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria; Awaisu, M., Division of Urology, Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria; Maitama, H.Y., Division of Urology, Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria","Background: Medical tourism is a fast-growing business worldwide with almost every country involved as either a provider and/or consumer. The degree of participation may vary depending on the status of health-care system in that country. This study aims to present our experience in the management of patients who sought urologic care abroad or returned from medical tourism with urologic complications. Methods: The method of study was based on the documentation of interaction with patients, patients' relations and their agents in a questionnaire between January 2010 and December 2015. The data obtained included, their demographics, indications/motivations for seeking treatment abroad, procedures performed and complications. We also documented the secondary procedures that were performed and complications managed in our center. The data were entered into Microsoft Excel and analysed using descriptive statistics, tables and figures. Results: A total of 113 have either indicated intention of going to seek for urological care abroad or had already had urologic procedures abroad but were attending our clinic for follow up or for management of complications. Only about 12% of these patients were found to have genuine indications for seeking care abroad. Most of the indications were not justifiably based on the current capabilities of our health facility but more due to a lack of trust in the system or at worst pretentious. Conclusion: Patients seek for treatment abroad for variable reasons but and most could not be justified based on available local options. India and some Middle-East countries were the favoured destinations, and the quality of care and relative lower cost are the major attractions. The rising trend in medical tourism is fuelled by the poor state of our health-care system, perceived dearth of expertise and a general apathy and lack of trust.","Complications; indications; medical tourism; motivations; urological sequelae","human; India; male genital system surgery; medical tourism; Nigeria; postoperative complication; rehabilitation; urology; Humans; India; Medical Tourism; Nigeria; Postoperative Complications; Urologic Surgical Procedures, Male; Urology",,,,,,,,,,,,"NLM (Medline)",,,,,11171936,,,"30027924","English","Niger Postgrad Med J",Article,"Final",,Scopus,2-s2.0-85063669936 "Suzana M., Walls H., Smith R., Hanefeld J.","56868559400;24482778500;55746369800;26430746700;","Evaluation of public subsidy for medical travel: Does it protect against household impoverishment?",2018,"International Journal for Equity in Health","17","1", 30,"","",,,"10.1186/s12939-018-0726-z","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043231004&doi=10.1186%2fs12939-018-0726-z&partnerID=40&md5=9fe77ef3502ed2cc2d369b4ff4260ac8","Faculty of Health Sciences, Maldives National University, Handhuvaree Higun, Malé, Maldives; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, Keppel street, London, WC1E 7HT, United Kingdom","Suzana, M., Faculty of Health Sciences, Maldives National University, Handhuvaree Higun, Malé, Maldives; Walls, H., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, Keppel street, London, WC1E 7HT, United Kingdom; Smith, R., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, Keppel street, London, WC1E 7HT, United Kingdom; Hanefeld, J., Department of Global Health and Development, London School of Hygiene and Tropical Medicine, Keppel street, London, WC1E 7HT, United Kingdom","Background: In resource-constrained health systems medical travel is a common alternative to seeking unavailable health services. This paper was motivated by the need to understand better the impact of such travel on households and health systems. Methods: We used primary data from 344 subsidized and 471 non-subsidized inbound medical travellers during June to December 2013 drawn from the North, Centre and South regions of the Maldives where three international airports are located. Using a researcher-administered questionnaire to acquire data, we calculated annual out-of-pocket (OOP) spending on health, food and non-food items among households where at least one member had travelled to another country for medical care within the last year and estimated the poverty head count using household income as a living standard measure. Results: Most of the socio demographic indicators, and costs of treatment abroad among Maldivian medical travellers were similar across different household income levels with no statistical difference between subsidized and non-subsidized travellers (p value: 0.499). The government subsidy across income quintiles was also similar indicating that the Maldivian health financing structure supports equality rather than being equity-sensitive. There was no statistical difference in OOP expenditure on medical care abroad and annual OOP expenditure on healthcare was similar across income quintiles. Diseases of the circulatory system, eye and musculoskeletal system had the most impoverishing effect - diseases for which half of the patients, or less, did not receive the public subsidy. Annually, 6 and 14% of the medical travellers in the Maldives fell into poverty ($2 per day) before and after making OOP payments to health care. Conclusion: Evidence of a strong association between predominant public financing of medical travel and equality was found. With universal eligibility to the government subsidy for medical travel, utilization of treatment abroad, medical expenditures abroad and OOP expenditures on health among Maldivian medical travellers were similar between the poor and the rich. However, we conclude mixed evidence on the linkages between public financing of medical travel and impoverishment which needs to be further explored with comparison of impoverishment levels between households with and without medical travel. © 2018 The Author(s).",,"airport; demographic trend; health services; household income; living standard; poverty; questionnaire survey; socioeconomic conditions; subsidy system; travel behavior; adult; Article; controlled study; cost of illness; cross-sectional study; health care financing; health care need; health care utilization; health service; household income; human; major clinical study; Maldives; medical care; medical travel; middle income group; poverty; priority journal; social status; economics; female; financial management; health care cost; income; male; medical tourism; poverty; socioeconomics; statistics and numerical data; Maldives; Female; Financing, Government; Financing, Personal; Health Expenditures; Humans; Income; Male; Medical Tourism; Poverty; Socioeconomic Factors",,,,,,"We would like to thank the participants of the study and we express our gratitude for the funding support provided for the study by the Anne Mills fellowship for health systems research.","This research was funded by the Anne Mills Fellowship for health system research granted to the principle author. The funder was involved with the design, analysis and interpretation of the initial manuscript generated from these data. However, there was no involvement of the funder in the analysis nor the interpretation of this paper.","(2016) What is universal health coverage?, , http://www.who.int/features/qa/universal_health_coverage/en/, WHO [15 May 2016]; Online Questiona and answer archives]; Wong, K.M., Velasamy, P., Arshad, T.N.T., Medical tourism destination SWOT analysis: A case study of Malaysia, Thailand, Singapore and India (2014) SHS Web of Conferences, , EDP Sciences; Peng, Y., Chang, W., Zhou, H., Hu, H., Liang, W., Factors associated with health-seeking behavior among migrant workers in Beijing, China (2010) BMC Health Serv Res, 10 (1), p. 69. , 20298613 2848137; Zafar, S.Y., Peppercorn, J.M., Schrag, D., Taylor, D.H., Goetzinger, A.M., Zhong, X., The financial toxicity of cancer treatment: A pilot study assessing out-of-pocket expenses and the insured cancer patient's experience (2013) Oncologist, 18 (4), pp. 381-390. , 23442307 3639525; Mataria, A., Raad, F., Abu-Zaineh, M., Donaldson, C., Catastrophic healthcare payments and impoverishment in the occupied Palestinian territory (2010) Appl. 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Washington DC: World Bank; Xu, K., Evans, D.B., Carrin, G., Aguilar-Rivera, A.M., Musgrove, P., Evans, T., Protecting households from catastrophic health spending (2007) Health Aff, 26 (4), pp. 972-983","Suzana, M.; Faculty of Health Sciences, Maldives National University, Handhuvaree Higun, Maldives; email: mariyam.suzana@mnu.edu.mv",,,"BioMed Central Ltd.",,,,,14759276,,,"29510756","English","Int. J. Equity Health",Article,"Final",Open Access,Scopus,2-s2.0-85043231004 "Costanza F.","57194082079;","Governing patients' mobility to pursue public value: A system dynamic approach to improve healthcare performance management",2018,"Handbook of Research on Modernization and Accountability in Public Sector Management",,,,"276","299",,,"10.4018/978-1-5225-3731-1.ch013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047366327&doi=10.4018%2f978-1-5225-3731-1.ch013&partnerID=40&md5=c03fab110046d506deef5e40eb64c721","University of Palermo, Italy","Costanza, F., University of Palermo, Italy","This chapter combines traditional performance management and system dynamics simulation modelling to address patients' mobility issues and pursue public value. The Italian case study is a first illustration of travelling flows' causal structure; however, the perspective is to introduce such methodological approach also at European level. After a literature review about the main factors inducing healthcare mobility, the phenomenon is explored in light of public management theories. Then, a model portrays the causal structure of the phenomenon in terms of system dynamics and performance management items. There follows a discussion of theoretical and managerial implications of the study, as well as ideas and issues for next research steps. © 2018, IGI Global.",,,,,,,,,,"Andritsos, D.A., Tang, C.S., The impact of cross-border patient movement on the delivery of healthcare services (2013) International Journal of Production Economics, 145 (2), pp. 702-712; Anessi Pessina, E., Cantu', E., Carbone, C., Do Italian Regions effectively use DRG funding to steer provider behaviours? (2001) Policy, performance and management in governmental and intergovernmental relations. Transatlantic Perspectives, , E. Ongaro, M. H. Massey, & E. 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(2006) Public Management Review, 8 (3), pp. 377-387; Palm, W., Glinos, I.A., Enabling patient mobility in the EU: between free movement and coordination (2010) Health Systems Governance in Europe: the role of EU law and policy, pp. 509-560. , E. Mossialos, G. Permanand, R. Baeten, & T. Hervey (Eds.), Cambridge, UK: Cambridge University Press; Palm, W., Glinos, I.A., Rechel, B., Garel, P., Busse, R., Figueras, J., Building European Reference Networks in Health Care-Exploring concepts and national practices in the European Union (2013) European Observatory on Health Systems and Policies, Observatory Studies Series, p. 28. , http://www.euro.who.int/_data/assets/pdf_file/0004/184738/e96805-final.pdf; Petrelli, A., Landriscina, T., Costa, G., Bologna, E., Bonciani, M., Marinacci, C., Sebastiani, G., Viaggiare per la salute: Necessità o opportunità? (2012) Monitor Agenas, 29 (9), pp. 67-73; Pidd, M., (2004) Systems modelling: Theory and practice, , Oxford, UK: John Wiley & Sons; Quaglio, G., Karapiperis, T., Van Woensel, L., Arnold, E., McDaid, D., Austerity and health in Europe (2013) Health Policy (Amsterdam), 113 (1-2), pp. 13-19. , PMID:24176290; Richardson, G.P., System Dynamics: Simulation for Policy Analysis from a Feedback Perspective (1991) Qualitative Simulation Modeling and Analysis, , P. A. Fishwick & P. A. Luker (Eds.), New York, NY: Springer-Verlag; Richardson, G.P., Reflections on the foundations of system dynamics (2011) System Dynamics Review, 27 (3), pp. 219-243; Rosenmoller, M., McKee, M., Baeten, R., (2006) Patient mobility in the European Union-learning from experience, pp. 59-78. , Copenhagen: European Observatory on Health Systems and Policies; Simonetti, G., Ugenti, R., Casciello, M., Tamburini, C., Relazione sullo Stato Sanitario del Paese 2012-2013 (2014) Presidenza Italiana Consiglio EU 2014, , Ministero della Salute; Simou, E., Koutsogeorgou, E., Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review (2014) Health Policy (Amsterdam), 115 (2-3), pp. 111-119. , PMID:24589039; Snyder, J., Crooks, V.A., Adams, K., Kingsbury, P., Johnston, R., The 'patient's physician one-step removed: the evolving roles of medical tourism facilitators (2011) Global Medical Ethics, , April 8; Sterman, J.D., Business Dynamics (2000) System thinking and modeling for a complex world, , Boston, MA: Mc Graw-Hill; Sterman, J.D., Interactive web-based simulations for strategy and sustainability: The MIT Sloan LearningEdge management flight simulators, Part I (2014) System Dynamics Review, 30 (1-2), pp. 89-121; Stoker, G., Public Value Management A New Narrative for Networked Governance? (2006) American Review of Public Administration, 36 (1), pp. 41-57; Thatcher, M., (1995) Downing Street Years, , London, UK: Harper Collins; Patient mobility in the European Union (2008) Study on Legislative Proposals on Patients' Rights in Cross-Border Health Care, IP/A/ENVI/ST/2008-16, , http://www.europarl.europa.eu/document/activities/cont/201107/20110718ATT24286/20110718ATT24286EN.pdf; Trotta, A., Cardamone, E., Cavallaro, G., Mauro, M., Applying the Balanced Scorecard approach in teaching hospitals: A literature review and conceptual framework (2013) The International Journal of Health Planning and Management, 28 (2), pp. 181-201. , PMID:23081849; Vainieri, M., Nuti, S., Performance Measurement Features of the Italian Regional Healthcare Systems: Differences and Similarities, Health Management - Different Approaches and Solutions (2011), Lublin, Poland: Dr. Krzysztof Smigorski Ed; Van Ginneken, E., Busse, R., Cross-border healthcare data (2011) Cross-border Health Care in the European Union, , M. Wismar, W. Palm, J. Figueras, K. Ernst, & E. van Ginneken (Eds.), European Observatory on Health Systems and Policy; Vrijens, F., Renard, F., Jonckheera, P., Van den Heedea, K., Desomera, A., Van de Voordea, C., Meeusc, P., The Belgian Health System Performance Report 2012: Snapshot of results and recommendations to policy makers (2013) Health Policy (Amsterdam), 112 (1-2), pp. 133-140. , PMID:23927845; Wismar, M., Palm, W., Figueras, J., Ernst, K., Van Ginneken, E., Cross-border health care in the European Union - Mapping and analysing practices and policies (2011) European observatory on Health Systems, p. 22. , http://www.euro.who.int/_data/assets/pdf_file/0004/135994/e94875.pdf; Zocchetti, C., Definizione della mobilità sanitaria (2012) Monitor Agenas, 29 (9), pp. 11-18; Zuccatelli, G., La mobilità sanitaria: Un fenomeno da governare (2012) Monitor Agenas, 29 (9), pp. 4-6","Costanza, F.; University of PalermoItaly",,,"IGI Global",,,,,,9781522537335; 1522537317; 9781522537311,,,"English","Handb. of Res. on Mod. and Account. in Public Sect. Manag.",Book Chapter,"Final",,Scopus,2-s2.0-85047366327 "Al-Shamsi H.O., Al-Hajeili M., Alrawi S.","57202965135;56022956300;57205567886;","Chasing the cure around the globe: Medical tourism for cancer care from developing countries",2018,"Journal of Global Oncology","2018","4",,"","",,,"10.1200/JGO.17.00087","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060558744&doi=10.1200%2fJGO.17.00087&partnerID=40&md5=83eaef756a91e66e2c4c7f6b40520a91","Alzahra Private Hospital, Dubai, United Arab Emirates; King Abdulaziz University, Jeddah, Saudi Arabia; University of Sharjah, College of Medicine, United Arab Emirates","Al-Shamsi, H.O., University of Sharjah, College of Medicine, United Arab Emirates; Al-Hajeili, M., King Abdulaziz University, Jeddah, Saudi Arabia; Alrawi, S., Alzahra Private Hospital, Dubai, United Arab Emirates",[No abstract available],,"cancer therapy; clinical practice; developing country; health care availability; health care policy; health care quality; help seeking behavior; human; Letter; medical ethics; medical tourism; patient care; patient referral; practice guideline; priority journal; developing country; health care delivery; neoplasm; Delivery of Health Care; Developing Countries; Humans; Medical Tourism; Neoplasms",,,,,,,,"Benedetti, D.J., Golshen, M., Kesselheim, J.C., Going the distance: Ethical issues arising when patients seek cancer care from international settings J Glob Oncol; Freyer, W., Kim, B.S., Medical tourism and travel: An interdisciplinary approach (2014) Gesundheitswesen, 76, pp. 65-68. , German; Hanefeld, J., Smith, R., Horsfall, D., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system (2014) J Travel Med, 21, pp. 410-417; Abdularouf, S., 600 million UAE Dirhams spent on cancer care medical tourism (2014) Ittihad Newspaper; Blair, I., Sharif, A., Health and health systems performance in the United Arab Emirates (2013) World Hosp Health Serv, 49, pp. 12-17; Al-Amri, A.M., Cancer patients' desire for information: A study in a teaching hospital in Saudi Arabia (2009) East Mediterr Health J, 15, pp. 19-24; Karim, S.M., Zekri, J.M., Bassi, S., Breaking bad news: Preferences of cancer patients in Saudi Arabia (2015) J Palliat Care Med, 5, p. 2. , https://www.omicsgroup.org/journals/breaking-bad-newspreferences-of-cancer-patients-in-saudi-arabia-2165-7386.1000207.php?aid=40578","Al-Shamsi, H.O.; University of Sharjah, College of MedicineUnited Arab Emirates; email: humaid.alshamsi@medportal.ca",,,"American Society of Clinical Oncology",,,,,23789506,,,"30241209","English","J. Glob. Oncol.",Letter,"Final",Open Access,Scopus,2-s2.0-85060558744 "Adabi K., Garfein E.S., Tepper O.M.","56503781300;6508239410;6603112461;","Reply: Population health implications of medical tourism",2018,"Plastic and Reconstructive Surgery","141","3",,"465E","466E",,,"10.1097/PRS.0000000000004160","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044309695&doi=10.1097%2fPRS.0000000000004160&partnerID=40&md5=26abf6a77f9de299d5c57c45bb18de43","Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Place Tower Two, Bronx, NY 10461, United States","Adabi, K., Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Place Tower Two, Bronx, NY 10461, United States; Garfein, E.S., Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Place Tower Two, Bronx, NY 10461, United States; Tepper, O.M., Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Place Tower Two, Bronx, NY 10461, United States",[No abstract available],,"health care delivery; human; medical tourism; population health; Delivery of Health Care; Humans; Medical Tourism; Population Health",,,,,,,,"Adabi, K., Stern, C.S., Weichman, K.E., Population health implications of medical tourism (2017) Plast Reconstr Surg, 140, pp. 66-74","Tepper, O.M.; Montefiore Medical Center, Albert Einstein College of Medicine, 1250 Waters Place Tower Two, United States; email: orenteppermd@yahoo.com",,,"Lippincott Williams and Wilkins",,,,,00321052,,PRSUA,"29485604","English","Plast. Reconstr. Surg.",Letter,"Final",,Scopus,2-s2.0-85044309695 "Eltorai A.E.M., Garimella R.","36458227200;56942344000;","Orthopaedic medical tourism",2018,"Musculoskeletal Care","16","1",,"173","177",,,"10.1002/msc.1220","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043238761&doi=10.1002%2fmsc.1220&partnerID=40&md5=9c38075543c35a51d7e966d672a48c07","Warren Alpert Medical School of Brown University, Providence, RI, United States","Eltorai, A.E.M., Warren Alpert Medical School of Brown University, Providence, RI, United States; Garimella, R., Warren Alpert Medical School of Brown University, Providence, RI, United States",[No abstract available],,"human; medical tourism; orthopedic surgery; Humans; Medical Tourism; Orthopedic Procedures",,,,,,,,"Al-Lamki, L., Medical tourism: Beneficence or maleficence (2011) Sultan Qaboos University Medical Journal, 11 (4), pp. 444-447; (2010) Briefing paper: Cosmetic surgery tourism, , https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism, American Society of Plastic Surgeons. Retrieved from; (2011) Why is health spending in the United States so high?, (2011). , https://www.oecd.org/unitedstates/49084355.pdf, Health at a Glance 2011 OECD indicators. Retrieved from; (2012) German clinic attracts international patients for orthopedic treatment, , https://www.imtj.com/news/german-clinic-attracts-international-patients-orthopedic-treatment/, International Medical Travel Journal. Retrieved from; Buford, T., (2012) Medical tourism is a growing orthopedic trend, , https://orthostreams.com/2012/02/medical-tourism-is-a-growing-orthopedic-trend-sue-goes-to-belgium/, Retrieved from; Cheung, I.K., Arthroplasty tourism (2007) Medical Journal of Australia, 187 (11-12), pp. 666-667. , http://europepmc.org/abstract/med/18072912c; Cooper, L., (2016) Even with Obamacare, 29 million people are uninsured: Here's why, , http://www.thefiscaltimes.com/2016/05/10/Even-Obamacare-29-Million-People-Are-Uninsured-Here-s-Why, The Fiscal Times, Retrieved from; Crooks, V.A., Turner, L., Cohen, I.G., Bristeir, J., Snyder, J., Casey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of Canadian health and safety representatives’ perspectives (2013) British Medical Journal Open, 3 (2). , https://doi.org/10.1136/bmjopen-2012-002302; Donachie, R., (2016) Over 30 million Americans are ""underinsured"" under Obamacare, , http://dailycaller.com/2016/11/28/over-30-million-americans-are-underinsured-under-obamacare/, The Daily Caller, Retrieved from; Ehrbeck, T., Guevara, C., Mango, P.D., (2008) Mapping the market for medical travel, , http://www.heal-wheel-india.com/white-pappers/McKinsey-Report-Medical-Travel.pdf, #x0026;, The McKinsey Quarterly, Retrieved from; Govindarajan, V., (2013) India's secret to low-cost health care, , https://hbr.org/2013/10/indias-secret-to-low-cost-health-care, Harvard Business Review, Retrieved from; Horowitz, M.D., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33. , https://doi.org/10.1093/cid/ciu143; Jeevan, R., Birch, J., Armstrong, A.P., Travelling abroad for aesthetic surgery: Informing healthcare practitioners and providers while improving patient safety (2011) Journal of Plastic, Reconstructive & Aesthetic Surgery, 64 (2), pp. 143-147. , https://doi.org/10.1016/j.bjps.2010.04.022; Kelley, E., (2013) Medical tourism, , http://www.who.int/global_health_histories/seminars/kelley_presentation_medical_tourism.pdf, World Health Organization, Retrieved from; Li, H.W.C., Patients without borders: The historical changes of medical tourism (2014) University of Western Ontario Medical Journal, 83 (2), pp. 20-22. , https://doi.org/10.2190/4857-468G-2325-47UU; Livingston, R., Burlund, P., Eccles-Smith, J., Sawhney, R., The real cost of ""cosmetic tourism"" cost analysis study of ""cosmetic tourism"" complications presenting to a public hospital (2015) Eplasty, 15. , #x0026;, Ecollection2015; Mestrovic, T., (2014) Medical tourism risks, , https://www.news-medical.net/health/Medical-Tourism-Risks.aspx, News Medical Life Sciences, Retrieved from; Räsänen, P., Paavolainen, P., Sintonen, H., Koivisto, A.M., Blom, M., Ryynänen, O.P., Roine, R.P., Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs (2007) Acta Orthopaedica, 78 (1), pp. 108-115. , https://doi.org/10.1080/17453670610013501; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92 (6), pp. 1433-1446. , https://doi.org/10.1016/j.mcna.2008.08.001; Runnels, V., Labonté, R., Packer, C., Chaudhry, S., Adams, O., Blackmer, J., Canadian physicians’ responses to cross border health care (2014) Global Health, 10, p. 20. , https://doi.org/10.1186/1744-8603-10-20; Turner, L., Medical tourism” and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467. , https://doi.org/10.2190/HS.40.3.d","Eltorai, A.E.M.; Warren Alpert Medical School of Brown UniversityUnited States; email: adam_eltorai@brown.edu",,,"John Wiley and Sons Ltd",,,,,14782189,,,"29193705","English","Musculoskelet. Care",Article,"Final",,Scopus,2-s2.0-85043238761 "Pongwat A.","57204047865;","An investigation of tourism information on destination management organization websites as the pull factor: A case study of health and wellness tourism information",2018,"International Conference on Software, Knowledge Information, Industrial Management and Applications, SKIMA","2017-December",, 8294121,"","",,,"10.1109/SKIMA.2017.8294121","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054243764&doi=10.1109%2fSKIMA.2017.8294121&partnerID=40&md5=9bc5c1dd584e5f72f41161a0fea183ce","Chiang Mai University, Thailand","Pongwat, A., Chiang Mai University, Thailand","The current study investigates tourism information provided on the tourism destination management organization websites parallel with senior tourists' preferences, constraints, and travel behaviors to find the associations between them. As the exploratory study, the phenomenon within Thailand setting was solely explored. Senior travelers were mainly the samples of the research. Health and wellness tourism information provided on Tourism Authority of Thailand (TAT) websites were captured and analyzed based on the suggested tourism motivations. Netnography content analysis was employed to extract the data collected from senior travelers who participated in online travel communities. Three stages were conducted in the methodology, including examining the data captured from reviews available on the online travel community, TripAdvisor.com; exploring health and wellness information available on TAT websites; and analyzing and comparing the findings. The findings from TripAdvisor.com exposed that escapism motivation was the main motive that pushes senior travelers to visit Thailand. However, even though Thailand has been ranked among the world's top wellness destinations, health and wellness tourism was rarely mentioned in Thailand Travel Forum. The key constraints concerned weather issues, physical impairments, and accessibilities. By investigating TAT websites, more information about health and medical products and services were found, while information regarding wellness tourism product was absent. Since TAT and the government intended to attract more wellness senior tourists, both parties should deliver additional relevant and useful information essential for their trip planning and improve the functionality of the existing websites to enhance user experiences on the websites and communication competencies. © 2017 IEEE.","destination management organization; pull factor; tourism information broker; tourism motivation; website content","Application programs; Health; Information management; Motivation; Exploratory studies; Health and wellness; Information broker; Online travel communities; Physical impairments; pull factor; Travel behaviors; Web site contents; Websites",,,,,,,,"(2017) Tourism Travel and Research Association: Advancing Tourism Research Globally, , http://www.globalspaandwellnesssummit.org/index.php/spa-industryresource, GWI, The Global Wellness Tourism Economy 2013 & 2014; Oh, C.O., The contribution of tourism development to economic growth in the Korean economy (2005) Tourism Management, 26 (1), pp. 39-44; (2015) Tourism Digital Economy, , MOTS (Ministry of Toursim and Sports); (2016) International Tourist Arrivals to Thailand 2015, , http://tatic.tourismthailand.org/articles/8935, TATIC (Tourism Authority of Thailand Intelligence Center) Department of Tourism (Thailand); Hung, K., Lu, J., Active living in later life: An overview of aging studies in hospitality and tourism journals (2015) Int. J. Hosp. Manag., 53, pp. 133-144; (2015) Thailand Tourism Strategy 2015-2017, , http://www.mots.go.th/ewt_dl_link.php?nid=7114, MOTS; Hallab, Z.A.A., Yoon, Y., Uysal, M., Segmentation based on the healthy-living attitude: A market's travel behavior (2003) J. Hosp. Leis. Mark., 10 (3-4), pp. 185-198; Goodrich, J.N., Goodrich, G.E., Health-care tourism-an exploratory study (1987) Tour. Manag., 8 (3), pp. 217-222; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, , MA: Butterworth-Heinemann; Langvinien, N., Changing patterns in the health tourism services sector in Lithuania (2014) Procedia-Soc. Behav. Sci., 156, pp. 310-316. , April; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) J. Vacat. Mark., 7 (1), pp. 5-17; Chen, K.H., Liu, H.H., Chang, F.H., Essential customer service factors and the segmentation of older visitors within wellness tourism based on hot springs hotels (2013) Int. J. Hosp. Manag., 35, pp. 122-132; Csirmaz, E., Pet, K., International trends in recreational and wellness Tourism (2015) Procedia Econ. Financ., 32 (15), pp. 755-762; Sirgy, M.J., Su, C., Destination image, self congruity and travel behavior: Toward an integrative model (2000) J. Travel Res., 38, pp. 340-352. , May; (2015) World Population Prospects: The 2015 Revision, Key Findings and Advance Tables, , https://esa.un.org/unpd/wpp/publications/files/key_findings_wpp_2015.pdf, UNDESA (United Nations Department of Economic and Social Affairs); Shoemaker, S., Segmentation of the senior pleasure travel market (1989) J. Travel Res., 27 (3), pp. 14-21; Shoemaker, S., Segmenting the mature market: 10 years later (2000) J. Travel Res., 39, pp. 11-26. , AUGUST; Tempest, S., Barnatt, C., Coupland, C., Grey advantage: New strategies for the old (2002) Long Range Plann., 35 (5), pp. 475-492; Naidoo, P., Ramseook-Munhurrun, P., Seebaluck, N.V., Janvier, S., Investigating the motivation of baby boomers for adventure Tourism (2015) Procedia-Soc. Behav. Sci., 175, pp. 244-251; Crompton, J.L., Motivations for pleasure vacation (1979) Ann. Tour. Res., 6 (4), pp. 408-424; Leiper, N., Tourist attraction systems (1990) Ann. Tour. Res., 17 (3), pp. 367-384; Nikjoo, A.H., Ketabi, M., The role of push and pull factors in the way tourists choose their destination (2015) Anatolia, 26 (4), pp. 588-597; Uysal, M., Jurowski, C., Testing the push and pull factors (1994) Ann. Tour. Res., 21 (4), pp. 844-846; Jang, S., Wu, C.M.E., Seniors' travel motivation and the influential factors: An examination of Taiwanese seniors (2006) Tour. Manag., 27 (2), pp. 306-316; Hsu, C.H.C., Cai, L.A., Wong, K.K.F., A model of senior tourism motivations-Anecdotes from Beijing and Shanghai (2007) Tour. Manag., 28 (5), pp. 1262-1273; Kim, Y., Weaver, P., McCleary, K., A structural equation model: The relationship between travel motivation and information sources in the senior travel market (1996) J. Vacat. Mark., 3 (1), pp. 55-66; Dutton, W.H., Helsper, E.J., (2007) Oxford Internet Survey 2007 Report: The Internet in Britain; Bronner, F., De Hoog, R., Vacationers and eWOM: Who posts, and why, where, and what? (2011) J. Travel Res., 50 (1), pp. 15-26; Tomasovi Mrela, N., Borovac, J.A., Vrdoljak, D., Grazio, S., Tikvica Lueti, A., Tomek-Roksandi, S., When elders choose: Which factors could influence the decision-making among elderly in the selection of health tourism services? (2015) Med. Hypotheses, 85 (6), pp. 898-904; Nimrod, G., Seniors' online communities: A quantitative content analysis (2010) Gerontologist, 50 (3), pp. 382-392; Chen, S.C., Shoemaker, S., Age and cohort effects: The American senior tourism market (2014) Ann. Tour. Res., 48, pp. 58-75; Hsieh, H., Shannon, S., Three approaches to qualitative content analysis (2005) Qual. Health Res., 15 (9), pp. 1277-1288; Wong, C.U.I., McKercher, B., Tourist information center staff as knowledge brokers (2011) Ann. Tour. Res., 38 (2), pp. 481-498; Chen, J.S., Prebensen, N., Huan, T.C., Determining the motivation of wellness travelers (2008) Anatolia, 19 (1), pp. 103-115; Kim, W.G., Lee, C., Hiemstra, S.J., Effects of an online virtual community on customer loyalty and travel product purchases (2004) Tour. Manag., 25 (3), pp. 343-355","Pongwat, A.; Chiang Mai UniversityThailand; email: p.dawny@gmail.com",,"","Institute of Electrical and Electronics Engineers Inc.","11th International Conference on Software, Knowledge, Information Management and Applications, SKIMA 2017","6 December 2017 through 8 December 2017",,134707,2373082X,9781538646021,,,"English","Proc. Int. Conf. Softw., Knowl., Inf. Manag. Appl., SKIMA",Conference Paper,"Final",,Scopus,2-s2.0-85054243764 "Rokni L., Park S.-H.","35488882800;57194621304;","Trend of medical tourism publications: An attempt to explore the involved academic disciplines and interests",2018,"Iranian Journal of Public Health","47","2",,"225","230",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041558304&partnerID=40&md5=cec022994b1665d2cf2a67f6cc0a87f2","Asia Contents Institute, Konkuk University, Seoul, South Korea","Rokni, L., Asia Contents Institute, Konkuk University, Seoul, South Korea; Park, S.-H., Asia Contents Institute, Konkuk University, Seoul, South Korea","Background: Medical tourism suffers from the lack of a consensus regarding the involved categories. This study aimed to address this gap from the academic disciplines and publications perspective. Methods: Totally 1954 citations were identified through a formula of keyword search of SCOPUS. In order to classify the various subject areas, we followed the international standard classification of education (ISCED) developed by UNESCO. Moreover, the trends of publications were identified based on their popularity between 2000 and 2017. Results: The category with the most interests on publication about medical tourism was ‘health and welfare’, followed by ‘social science’. Even though various disciplines were involved in the medical tourism, it seems that a downward trend has been experienced since 2015. Conclusion: The identified key trends of medical tourism publications will benefit researchers exploring the categories of medical tourism or health travel. The results contribute to advance the state of knowledge from the academic perspective. © 2018, Iranian Journal of Public Health. All rights reserved.","Academic categories; Health travel; ISCED; Medical tourism; Publication trend","article; classification; education; human; human experiment; medical tourism; publication; scientist; Scopus; sociology; systematic review; travel; welfare",,,,,"Konkuk University, KU","The paper was supported by Konkuk University in 2015.",,"Ormond, M., Medical tourism (2014) The Wiley-Blackwell Companion to Tourism, , Alan A. Lew CMHaAW: John Wiley & Sons; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Manage, 34, pp. 1-13; (2017) Medical Travel Quality Alliance, , https://www.mtqua.org/; Pollard, K., (2010) Medical Tourism Statistics: Comparing Apples with Apples, , https://www.imtj.com/articles/medical-tourism-statistics-comparing-apples-apples/, IMTJ, London; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Manage, 27, pp. 1093-1100; Turner, L., Beyond"" medical tourism"": Canadian companies marketing medical travel (2012) Global Health, 15 (8), p. 16; Chen, H.C., Kuo, H.C., Chung, K.P., Chang, S., Su, S., Yang, M.C., Classification and comparison of niche services for developing strategy of medical tourism in Asian countries (2010) Int Surg, 95 (2), pp. 108-116; Rokni, L., Pourahmad, A., Langroudi, M.H.M., Mahmoudi, M.R., Heidarzadeh, N., Appraisal the potential of central Iran, in the context of health tourism (2013) Iran J Public Health, 1-42 (3), pp. 272-279; Crooks, V.A., Ormond, M., Jin, K.N., Reflections on ‘medical tourism’from the 2016 Global Healthcare Policy and Management Forum. BMC proceedings (2017) Bio Med Central, 13 (11), p. 6; (2015) International Standard Classification of Education Fields of Education and Training 2013 (ISCED-F 2013): Detailed Field Descriptions; Borenstein, M., Hedges, L.V., Higgins, J., (2009) Rothstein HR, , References. ed. Wiley Online Library; Crooks, V.A., Johnston, R., Labonté, R., Snyder, J., Critically reflecting on Loh's “Trends and structural shifts in health tourism” (2016) Soc Sci Med, 152, pp. 186-189; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system (2014) J Travel Med, 2014, 21 (6), pp. 410-417; Geva, I., (2016) Is Medical Tourism a Business? Published in Procceding Book Of: Medical Korea and K-Hospitals Seoul, , Korea; Skountridaki, L., Barriers to business relations between medical tourism facilitators and medical professionals (2017) Tourism Manage, 59, pp. 254-266","Park, S.-H.; Asia Contents Institute, Konkuk UniversitySouth Korea; email: syamony@konkuk.ac.kr",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English","Iran. J. Public Health",Article,"Final",,Scopus,2-s2.0-85041558304 "Plianbangchang S.","12041813500;","A view on medical care globalization and medical tourism",2018,"Journal of Health Research","32","1",,"69","73",,,"10.1108/JHR-11-2017-008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074964699&doi=10.1108%2fJHR-11-2017-008&partnerID=40&md5=9284541a569a5edd188672f75c585682","College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand","Plianbangchang, S., College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand","Purpose – The purpose of this paper is to disseminate among concerned professionals its certain operational aspects, including some possible implications on health and medical care practices. Design/methodology/approach – It is written on the basis of the author’s special study of a diverse source of information, as well as on author’s practical experience and observation in this particular area. Findings – Special attention is paid to possible public health impacts within a broad social and economic framework, as well as to its impacts on the existing national health care systems in countries, that would possibly lead to certain degree of inequity in health at national level as an important consequence of health development progress. Originality/value – Knowledge and understanding gained from this paper might be useful in the efforts to develop and manage national health care systems to ensure a reasonable balance in health status of people of all groups. © Samlee Plianbangchang.","Economic globalization; Health globalization; Health tourism; Wellness tourism","attention; health status; human; medical care; medical tourism; note; public health service",,,,,,,,"(2017) Globalization, , https://en.wikipedia.org/wiki/Globalization; Fidler, D.P., The globalization of public health: The first 100 years of international health diplomacy (2001) Bull World Health Organ, 79 (9), pp. 842-849; Schroth, L., Khawaja, R., Globalization of healthcare (2007) Front Health Serv Manage, 24 (2), pp. 19-30; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medgenmed, 9 (4), p. 33. , No; (2015) The Global Wellness Tourism Economy Report 2013-2014, p. 27. , Miami Fl: GWI","Plianbangchang, S.; College of Public Health Sciences, Chulalongkorn UniversityThailand; email: samleep40@gmail.com",,,"College of Public Health Sciences",,,,,08574421,,,,"English","J. Health Res.",Note,"Final",Open Access,Scopus,2-s2.0-85074964699 "Migliaccio M.","55863308000;","Thermal spas and their role in wellness tourism: An Italian Overview",2018,"African Journal of Hospitality, Tourism and Leisure","7","6",,"","",7,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068816283&partnerID=40&md5=53bcaab908b30a3d060d5881f2b268d6","Department DEMM, University of Sannio, Via Delle Puglie, 82, Benevento, 82100, Italy","Migliaccio, M., Department DEMM, University of Sannio, Via Delle Puglie, 82, Benevento, 82100, Italy","Health and wellness tourism is an important and broad sector of the tourism industry, and the one that is growing faster each year. The strong affirmation of the concept of wellness, on the one hand, and the not always clear relationship with the concept of health, on the other hand, is showing strong repercussions on the behavior of companies operating in this field. Interestingly in this regard, we find the situation of the thermal springs, which, for historical, cultural and linguistic reasons, have over time assumed different roles and functions in satisfying the needs and wants of customers in specific geographical areas. These companies have been studied in a fragmented and residual way in the extant tourism and management literature. This document focuses on thermal springs operating in Italy. It aims to explore the main strategic issues of the spas operating in Italy. The stress on these companies derives, not only from the remarkable tradition that they represent in the country, and the richness and quality of the thermal springs that characterize them, but also from the need to shed light on the causes that still slow down the harmonization process with the wellness aspects, thus penalizing the Italian thermal sector. The analysis of the literature on thermal spas revealed the most relevant issues to which scholars are devoting their efforts. The researcher draw on secondary data from inter alia sources such as Federterme (Italian Association of thermal spas) and Federturismo (Italian Association of Tourism Enterprises). It is argued that the contribution of this study is threefold. First, by focusing on thermal springs, it contributes to the development of studies about a sector of health tourism relatively unexplored. Secondly, by highlighting thermal springs operating in Italy, the researcher point out strengths and weaknesses of these enterprises. Finally the study is completed by considering some limitations in analysis and suggestions for further research are proffered. © 2018 AJHTL.","Health; Italy; Knowledge; Thermal spas; Wellness tourism",,,,,,,,,"Ardell, D.B., (1979) High level wellness, an alternative to doctors, drugs, and disease, , http//:agris.fao.org; Bastos, C., From Sulphur to Perfume: Spa and SPA at Monchique, Algarve (2011) Anthropology & Medicine, 18 (1), pp. 37-53; Becheri, E., Micera, R., Morvillo, A., (2018) XII Rapporto sul turismo italiano, , CNR, Iriss; Becheri, E., Morvillo, A., Stato attuale e prospettive di sviluppo del turismo termale, New Mercury Tourism Consulting (2018) XII Rapporto sul turismo italiano, , in Becheri E., Micera R., Morvillo A.(eds) (2018) CNR, Iriss CNR Iriss, 2018; Boekstein, M., From illness to wellness-has thermal spring health tourism reached a new turning point? African Journal of Hospitality (2014) Tourism and Leisure, 3 (2); Capasso, A., Migliaccio, M., (2005) Evoluzione del settore termale, , Prospettive e modelli di sviluppo per le imprese italiane, Franco Angeli; Day, G.S., The Capabilities of Market-Driven Organization (1994) Joumal of Marketing, 58, pp. 37-52. , October 1994; Erfurt-Cooper, P., The Importance of Natural Geothermal Resources in Tourism (2010) Proceedings World Geothermal Congress 2010 Bali, , Indonesia, 25-29 April 2010; (2019), http//:https://www.globalwellnesssummit.com/2019-global-wellness-trends/download-report/; Hall, C., Health and medical tourism: a kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; (2019) SA's hottest springs, , https://mg.co.za/article/2010-05-24-sas-hottest-springs; Mueller, H., Lanz Kaufmann, E., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2010) Journal of Vacation Marketing, 7 (1), pp. 5-17; O'Meara, S., (2018) Hot spring resorts in China: best places to relax and recuperate in thermal waters as demand for ancient bathing custom explodes, , Travel & Leisure, Hong Kong Polytechnic University; Peris-Ortiz, M., Alvarez-Garcia, J., Rueda-Armengot, C., (2015) Achieving Competitive Advantage through Quality Management, , Springer; Quirino, N., (2018) L'economia del settore termale, , Rapporto 2017, Ebiterme, slides Ottobre 2018; (2004) Federterme; (2012) Federterme; (2015) Federterme; Smith, M., Puczko, L., (2014) Health, Tourism and Hospitality, , Wellness Spa and Medical Travel, Second Edition, Routledge, Taylor and Francis Group; Voigt, C., Brown, G., Howat, G., Wellness tourists: in search of transformation (2011) Tourism Review, 66 (1-2), pp. 16-30; Willbanks, C., (2016) 10 Delightful Hot Springs In South Africa, , https://afktravel.com/57065/10-delightful-hot-springs-in-south-africa/, AFK Travel","Migliaccio, M.; Department DEMM, University of Sannio, Via Delle Puglie, 82, Italy; email: migliaccio@unisannio.it",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85068816283 "Šuligoj M., Kavrečič P.","56087923100;36473488100;","The beginnings of organized development of health tourism in the princely county of gorizia and gradisca [Začetki organiziranega razvoja zdravstvenega turizma v pokneženi grofiji goriško-gradiški]",2018,"Zgodovinski Casopis","72","1-2",,"126","144",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063484588&partnerID=40&md5=5d9b8badda6f8482b82de32368146f27","University of Primorska, Faculty of Tourism Studies – Turistica, Obala 11a, Portorož-Portorose, SI-6320, Slovenia; University of Primorska, Faculty of Humanities, Titov trg 5, Koper-Capodistria, SI-6000, Slovenia","Šuligoj, M., University of Primorska, Faculty of Tourism Studies – Turistica, Obala 11a, Portorož-Portorose, SI-6320, Slovenia; Kavrečič, P., University of Primorska, Faculty of Humanities, Titov trg 5, Koper-Capodistria, SI-6000, Slovenia","The article aims to analyse the development of health tourism in the Princely County of Gorizia and Gradisca from to the second half of the 19 th century to the beginning of the Great War, i.e. in the period when the county began to experience an increased investment in tourism. It highlights the period when the county saw the development of as many as three different locations (Gorizia, Grado, and Monfalcone) in the context of a general trend of improving one’s health and/or therapy through “new” practices; their beginnings were based on the natural assets of each respective local environment. In terms of historical research in the realm of tourism the aforementioned towns, barring Grado, have been less researched than Opatija or Portorož. The article analyses and illuminates the success of the aforementioned tourist resorts but also addresses several developmental difficulties. The analysis indicated that Grado was the most successful tourist destination in the county.","Grado; Health tourism; Health-related tourist destinations; Special interest tourism; The Princely County of Gorizia and Gradisca",,,,,,,,,"ASGO, Archivo di Stato di Gorizia, Archivio Storico, Comune di Gorizia, fascicoli separati, Società di Gorizia, Statuti, 1865–1892, filza 3315, prot. N. 8558/1875, š. 1596; ASGO, Archivio Storico, Comune di Gorizia, filza 1239/II, prot. 1136/1914, š. 1039; AST, Archivio Di Stato Di Trieste, Luogotenenza Del Litorale, Atti Generali, Volume I, 1850–1885, Sezione II, Classifica 2/12, , Materia 10 Erezione di Stabilimenti balneari, š. 362; AST, Luogotenenza del Litorale, Atti generali, volume II, 1886–1906, Fascicolo 39/25, Fonti salutari (bagni), š. 519, 601, 1219, 1220; AST, Luogotenenza Del Litorale, Atti Presidiali, 1906–1918, Sezione 7, Società Secondo La Legge dell’anno 1867 E Leggi d’adunanza, , 7.a Società per il promovimento degli interessi economici, società d’abbellimento, š. 313, 327; Automobilkarte für Tirol, Vorarlberg, Salzburg, Südbayern, Salzkammergut, Kärnten und Küstenland mit einem Reiseführer auf der Rückseite in deutsch-englisch-franzüsischer Übersetzung. Innsbruck: Automobil-Klub für Tirol und Vorarlberg, n.d; Grado, Bagno di spiaggia e luogo di cura Grado nel Litorale Austriaco. Gorizia: Stabilimento tipografico Seitz succ. A MUSIG, 1914; Österreichische Statistik: Band XII, Heft IV, 1883; Band XIII, Heft 3, 1884; Band 18, Heft IV, 1885; Band XXI, Heft 4, 1886; Band 22, Heft III, 1887; Band XXVIII, Heft 2, 1888; Band XXXI, Heft 4, 1889; Band XXXVII, Heft 2, 1890; Band XXXVIII, Heft 2, 1891; Band XL, Heft 2, 1892; Band XLIV, Heft 3, 1893; Band XLVIII, Heft 3, 1894; Band XLIX, Heft 4, 1895; Band LII, Heft 1, 1896; Band LV, Heft 1, 1897; Band LIX, Heft 1, 1898; Band LX, Heft 1, 1899; Band LXVIII, Heft 2, 1900; Band LXXII, Heft 3, 1901; Band LXXVII, Heft 1, 1902; Band LXXIX, Heft 2, 1903; Band LXXX, Heft 3, 1904; Band LXXXII, Heft 1, 1905; Band LXXXVI, Heft 3, 1906; Band XCII, Heft 2, 1907–1910; Band 11, Heft 1, 2 1911–1912, Neue Folge; Band 14, Heft 2, 1913, Neue Folge; Spezialortsrepertorium der Österreichischen Länder Spezialortsrepertorium für das Österreichisch-Illyrische Küstenland (1918): Bearbeitet auf Grund der Ergebnisse der Volkszählung vom 31. Dezember 1910. Herausgegeben von der Statistischen Zentralkommission. Wien, Verlag der Deutschösterreichischen Staatsdruckerei; Special Orts-Repertorien der im Österreichischen Reichsrathe vertretenen Königsreiche und Länder, Special-Orts-Repertorium des österreichisch-illyrischen Küstenlandes / Re-pertorio speciale dei luoghi nal litorale austro-illirico / Specijalni repertorij krajev na avstrijsko-ilirskem Primorju = Posebni popis mjesta u avstro-ilirskom Primorju (1894): Neubearbeitung auf Grund der Ergebnisse der Volkszählung vom 31. December 1890 / Nuova compilazione pubblicata in base ai risultati dell’anagrafe 31. dicembre 1890 / Na novo predelan po rezultatih popisa ljudstva dne 31. decembra 1890 / Nanovo ga preradil Herausgegeben von der K. K. statistichen Central-Commission / i. r. commissione centrale di statistica / na svitlo dala c. kr. Centralna statistična komisija / na svijet izdala c. k. statistička centralna komisija. Wien, Alfred Hölder; Girolamo, A., (1823) Le Grotte Di Adlersberg, Di S. Canciano, Di Corniale E Di S. Servolo, La Mi-Niera Di Mercurio d’Idria, Il Lago Di Cirknitz, Le Terme Di Monfalcone, antichità Romane d’Aquileja E Pola, Ed Altri Notevoli Oggeti Nelle Vicinanze Di Trieste. Vienna: Dalla Tipografia Di Antonio Strauss, , A spese di Paolo Schubart in Trieste; Blažević, I., (1987) Povijest Turizma Istre I Kvarnera., , Opatija: »Otokar Keršovani«; Antonio, B., (1992) Ritorno a Grado: Un Secolo Di Turismo, , Monfalcone: Edizioni della Laguna; Bressan, M., (2011) Signori, Si Parte. Come Viaggiavamo Nella Muitteleuropa 1815–1915. Mariano Del Friuli: Edizioni Della Laguna S.R.L; Bressan, M., (2005) Terme E Acque Minerali in Friuli Venezia Giulia: Censimento Delle Fonti Archivistiche, Documentarie E Bibliografiche per Una Storia Del Termalismo / Spas and Mineral Waters in Friuli Venezia Giulia: Census of Archival, Documental and Bibliographic Sources for a History of Thermalism, , Mariano del Friuli (Go): Edizione della Laguna; Burton, R.F., (1881) The Thermæ of Monfalcone, Aqua Dei Et Vitae, , London: Horace, cox; Cenedella, G.-A., (1862) Analisi Chimica dell’acqua Termale Di Monfalcone. Udine: Tip. Giuseppe Seitz; Darovec, D., (2008) Kratka Zgodovina Istre, , Koper: Založba Annales; de Grassi, M., (1992) La Rivoluzione Innavertita in Un Secolo Di Turismo La più Grande Trasforma-Zione Territoriale E Sociale Della Stroia Di Grado, pp. 9-22. , Antono Boemo (ur), Ritorno a Grado: un secolo di turismo. Monfalcone; Fabi, L., (1991) Storia Di Gorizia, , Padova: Il Poligrafo; Gemeindelexikon der im Reichsrate vertretenen Königreiche und Länder, Bearbeitet auf Grund der Ergebnisse der Volkszählung vom 31 Dezember 1900 Herausgegeben von der k. k. statistischen Zentralkommission. VII. Österreichish-Illyrisches Küstenland. (Triest, Görz und Gradiska, Istrien.). Wien: K. K. Hof-und Staatsdrückerei, 1906; Naoko, I., (2008) Le Industrie Goriziane E l’istituto per La Promozione Delle Industrie Di Gorizia 1903–1914, , Doctoral disertation. Trieste: University of Trieste; Janša-Zorn, O., (2006) Društva, Povezana Z Razvojem Turizma Na Slovenskem, Do Prve Svetovne Vojne. Sašo Jerše, Darja Mihelič, Peter Štih, (Ur.), Med Srednjo Evropo in Sredozemljem, Vojetov Zbornik, pp. 689-703. , Ljubljana, Založba ZRC, ZRC SAZU; Kalc, A., Vidiki razvoja prebivalstva Goriške-Gradiške v 19. Stoletju in do prve svetovne vojne (2013) Acta Histriae, 21 (4), pp. 683-706; Pietro, K., Notizie storiche di Montona: Con appendice (1875) Trieste: Tipografia Del Lloyd Austro-Ungarico; Kavrečič, P., (2015) Turizem V Avstrijskem Primorju. Zdravilišča, kopališča in kraške Jame (1819–1914, , ). Koper: Založba Univerze na Primorskem; Kavrečič, P., Pričevalci preteklosti: Avanturisti in drugi popotniki na Krasu in v Istri pred modernim turizmom (2011) Acta Histriae, 19 (4), pp. 683-702; Kavrečič, P., Biseri avstrijske riviere. Opatija, Gradež, Portorož, začetki modernega turizma na severnem Jadranu (2009) Kronika: časopis Za Slovensko Krajevno Zgodovino, Izr. št, pp. 113-128. , Ljubljana; Kresal, F., , Struktura slovenskega gospodarstva od 1851–1914 (2002) Časopis Za Zgodovino in Narodopisje, 2-3 (73-38), pp. 101-124; Langella, A., (2012) Le Acque Termali Di Monfalcone. Tra Storia E Legenda. Monfalcone: Società Terme Romane Di Monfalcone; Alberto, L., (2001) La Camera Di Commercio Di Gorizia 1850–2000: Uomini E Lavoro in 150 Anni Di Storia, , Gorizia: Libreria Editrice Goriziana; Luchitta, A., Appunti di storia turistica goriziana (1850–1940) (1998) Quaderni Giuliani Di Storia, 19 (1), pp. 34-47; Maggioli, M., Spazi del lavoro e paesaggio culturale: Un caso di studio (2009) Espacio Y Tiempo, Revista De Ciencias Humanas, 23-2009, pp. 209-232; Biagio, M., Nell’ 80 anniversario della azieda di cura e soggiorno di Grado (1972) Grado: Grado, Azienda Di Cura E Soggiorno Di Grado; Marušič, B., Železnice na Goriškem (1860–1918) (2008) Acta Histriae, 16 (3), pp. 261-276; Niel, A., (1991) L’i.r. Riviera Da Abbazia a Grado, , Trieste: Edizioni Lint; Noe, H., (2001) Peregrinando Nella Laguna, pp. 63-78. , Marina Bressan, (ur.), Impressioni di viaggio. Grado e Aquileia tra ‘800 e ‘900. Gorizia; Giacomo, P., (1892) Monfalcone E Suo Territorio, , Udine: Tipografija D. Del Bianco; Pucer, A., (1985) Portorož – Sto Let Organiziranega Turizma, , Koper, PAK; Salamić, N., (2016) Gorica Kot klimatskozdraviliška Destinacija Med Letoma 1874 in 1914. Magistrsko Delo. Koper: Univerza Na Primorskem, Fakulteta Za humanistične študije; Stanonik, J., (1992) Zgodnji angleški Potopisi Po Sloveniji. Zgodovinski časopis, 46, pp. 112-118; Studen, A., K zgodovini potovanj in o začetku turizma pred prvo svetovno vojno (1995) Tatjana Badovinac, Rolanda Fugger Germadnik (Ur.), to in Ono O meščanstvu V Provinci. Celje, pp. 70-78; Studen, Andrej, Ustavite, ustavite železnega slona, Prihod južne železnice v naše kraje. Zgodovina za vse, 4, 1, 1997, str. 14–19; Šuligoj, M., (2015) Retrospektiva Turizma Istre. Koper/Capodistria: Založba Univerze Na Primorskem; Šuligoj, M., Impact of the Great War on the conditions for the development of the hospitality industry in Gorizia/Görz/Gorica and its surroundings (2016) Historický časopis, 64 (3), pp. 431-449; Tavano, L., La badiota Suor Giovanna Nepomucena Piccinini (1815–1885) protagonista a Gorizia (1991) Ladinia, 15, pp. 75-83. , 1991; Czoernig, V., Carl, G., (1987) Stazione Climatica. 2Nd Ed. Gorizia: A Cura Della Cassa Di Risparmio Di Gorizia; Roberto, Z., (2011) Il Turismo in Provincia Di Gorizia: Aspetti Quantitativi. Gorizia: Camera Di Commercio Gorizia, , Ufficio Studi e Statistica; Zimmermann, F.X., (2008) Gorizia Di Ieri, , Gorizia: Libreria Editrice Goriziana",,,,"Zveza Zgodovinskih Drustev Slovenije",,,,,03505774,,,,"Slovenian","Zgodovinski Cas.",Article,"Final",,Scopus,2-s2.0-85063484588 "Borg E.A., Ljungbo K.","34771224900;57207982085;","International market-oriented strategies for medical tourism destinations",2018,"International Journal of Market Research","60","6",,"621","634",,,"10.1177/1470785318770134","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063445899&doi=10.1177%2f1470785318770134&partnerID=40&md5=8317cfcd5ba2c35be51dd4ebf9d7b1f8","Sodertorn University, Sweden","Borg, E.A., Sodertorn University, Sweden; Ljungbo, K., Sodertorn University, Sweden","Patients seeking medical care are traveling greater distances for treatment. The globalization of health care has given rise to a thriving global medical services industry. The ability to gain access to more advanced treatments and differences in cost and inflexible national health care systems encourage patients to seek treatment abroad. In the new information age, patients seek information about available treatment opportunities with less regard to national boundaries. International hospitals are seeking new marketing strategies for their services. Today, much of the marketing takes place on the Internet, which is accelerating the internationalization of the medical services industry. This article presents a comparative and interpretative study. We have interpreted the market orientation and degree of specialization of hospitals in Singapore and in Sweden, which in turn are compared to leading hospitals in the United States. In this research, we present evidence of different approaches to medical tourism based on different organizational frameworks for the marketing of medical services to international patients. The study indicates that market orientation results in greater emphasis on superior service quality of health care. This in turn leads to the delivery of improved services to patients. © The Author(s) 2018.","Destination branding; Internationalization; Interpretative research; Market orientation; Medical tourism",,,,,,"Stiftelsen för Kunskaps- och Kompetensutveckling, KK","The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Authors would like to thank the Knowledge Foundation for financial contributions to this research. Prior to this funding we are also thankful for funding from Ragnar Söderberg foundation, which enabled the initial research and international interviews.",,"Bates, D.W., Gawande, A.A., Improving safety with information technology (2003) New England Journal of Medicine, 348, pp. 2526-2534; Bhuian, S.N., Bulent, M., Bell, S.J., Just entrepreneurial enough: The moderating effect of entrepreneurship on the relationship between market orientation and performance (2005) Journal of Business Research, 58, pp. 9-17; Bhunia, C.T., (2005) Information technology, network and the internet., , New Delhi, India: New Age International; Blain, C., Levy, S.E., Brent Ritchie, J.R., Destination branding: Insights and practices from destination management organizations (2005) Journal of Travel Research, 43, pp. 328-338; (2014), https://www.bloomberg.com/graphics/infographics/most-efficienthealth-care-around-the-world.html, Retrieved from; Borg, E.A., (1996) Beyond modern management: A new world of business and information technology., , Malmö, Sweden: Liber; Borg, E.A., The marketing of innovation in high-technology companies, a network approach (2009) European Journal of Marketing, 43, pp. 364-370; Borg, E.A., (2006) Globalization, nations and markets: Challenging issues in current research on globalization., , Södertörn Academic Studies 23; Borman, E., Health tourism: Where healthcare, ethics, and the state collide (2004) British Medical Journal, 328, pp. 60-61; Bryman, A., Bell, B., (2013) Företagsekonomiska Forskningsmetoder., , Stockholm, UK: Liber; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27, pp. 1093-1100; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; Day, G.S., (1990) Market driven strategy: Processes for creating value., , New York, NY: Free Press; Day, G.S., Marketing’s contribution to the strategy dialogue (1992) Journal of the Academy of the Marketing Science, 20, pp. 323-329; Denzin, N.K., Lincoln, Y.S., Introduction: Entering the field of qualitative research (1998) The landscape of quality research: Theories and issues, pp. 1-44. , N. K. Denzin & Y. S. Lincoln (Eds.), Thousand Oaks, CA: SAGE; Deshpande, R., Farley, J.U., Webster, F.E., Corporate culture, customer orientation and innovativeness in Japanese firms: A quadrad analysis (1993) Journal of Marketing, 57, pp. 23-37; Deshpande, R., Webster, F.E., Organizational culture and marketing: Defining the research agenda (1989) Journal of Marketing, 53, pp. 3-15; García-Altés, A., The development of health tourism services (2005) Annals of Tourism Research, 32, pp. 262-266; Goh, J.M., Gao, G., Agarwal, G.R., Evolving work routines: Adaptive routinization of information technology in healthcare (2011) Information Systems Research, 22, pp. 565-585; Grosskopf, S., Valdmanis, V., Measuring hospital performance: A non-parametric approach (1987) Journal of Health Economics, 6, pp. 89-107; Hanna, S., Rowley, J., An analysis of terminology use in place branding (2008) Place Branding and Public Diplomacy, 4, pp. 61-75; Herrick, D.M., (2007) Medical tourism: Global competition in health care, , NCPA Policy Report No. 304, Dallas, TX: National Center for Policy Analysis; Irfan, S.M., Ijaz, A., Comparison of service quality between private and public hospitals: Empirical evidences from Pakistan (2011) Journal of Quality and Technology Management, 7, pp. 1-22; Jabnoun, N., Chaker, M., Comparing the quality of private and public hospitals (2003) Managing Service Quality, 13, pp. 290-299; Jaworski, B.J., Kohli, A.K., Market orientation: Antecedents and consequences (1993) Journal of Marketing, 57, pp. 53-70; Kohli, A.K., Jaworski, B.J., Market orientation: The construct, research propositions, and managerial implications (1990) Journal of Marketing, 54, pp. 1-18; Kotler, P., Strategies for introducing marketing into non-profit organizations (1979) Journal of Marketing, 43, pp. 37-44; Lee, M.L., A conspicuous production theory of hospital behavior (1971) Southern Economic Journal, 38, pp. 48-58; Leng, C.H., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10, pp. 336-357; Lin, C., Lin, I.-C., Roan, J., Barriers to physicians’ adoption to healthcare information technology: An empirical study on multiple hospitals (2012) Journal of Medical Systems, 36, pp. 1965-1977; Magnussen, J., Efficiency measurement and the operationalization of hospital production (1996) Health Services Research, 31, pp. 21-37; Morgan, N.J., Pritchard, A., Piggot, R., Destination branding and the role of the stakeholders: The case of New Zealand (2003) Journal of Vacation Marketing, 9, pp. 3285-3299; Narver, J.C., Slater, S.F., The effect of a market orientation on business profitability (1990) Journal of Marketing, 54, pp. 20-35; Olson, E.M., Slater, S.F., Hult, T.M., The performance implications of fit among business strategy, marketing organization structure, and strategic behavior (2005) Journal of Marketing, 69, pp. 49-65; Pai, F.-Y., Huang, K.-I., Applying the technology acceptance model to the introduction of healthcare information systems (2011) Technological Forecasting and Social Change, 78, pp. 650-660; Pauly, M.V., Nonprofit firms in medical markets (1987) The American Economic Review, 77, pp. 257-262; Pike, S., Tourism destination branding complexity (2005) Journal of Product & Brand Management, 14, pp. 258-259; Reed, C.M., Medical tourism (2008) Medical Clinics of North America, 92, pp. 1433-1446; Register, C.A., Bruning, E.R., Profit incentives and technical efficiency in the production of hospital care (1987) Southern Economic Journal, 53, pp. 899-914; Rust, R.T., Lemon, K.N., Zeithaml, V.A., Return on marketing: Using customer equity to focus marketing strategy (2004) Journal of Marketing, 68, pp. 109-127; Schwandt, T., Constructivist, interpretivist approaches to human inquiry (1998) The landscape of quality research: Theories and issues, pp. 221-259. , N. K. Denzin & Y. S. Lincoln (Eds.), Thousand Oaks, CA: SAGE; Shapiro, B.T., What the hell is market oriented? (1988) Harvard Business Review, 66, pp. 119-125; Sharp, B., Marketing orientation: More than just customer focus (1991) International Journal of Wine Marketing, 3, pp. 20-25; Silverman, D., (2000) Doing qualitative research: A practical handbook., , London, England: SAGE; Slater, S.F., Narver, J.C., Does competitive environment moderate the market orientation-performance relationship? (1994) Journal of Marketing, 58, pp. 46-55; Vorhies, D.W., Morgan, N.A., A configuration theory assessment of marketing organization fit with business strategy and its relationship with marketing performance (2003) Journal of Marketing, 67, pp. 100-115; Woolhandler, S., Himmelstein, D.U., Cost of care and administration at for-profit and other hospitals in the United States (1997) The New England Journal of Medicine, 336, pp. 769-775","Borg, E.A.; School of Business, Department of Sociial Sciences, Sodertorn UniversitySweden; email: erik.borg@sh.se",,,"SAGE Publications Ltd",,,,,14707853,,,,"English","Int. J. Mark. Res.",Article,"Final",,Scopus,2-s2.0-85063445899 "Timana H., Kama N., Mohd Yusoff R.C., Selamat A.","57207964528;36154396500;57191709896;24468984100;","Social media for medical and health information: Malaysian medical tourism hospital",2018,"Frontiers in Artificial Intelligence and Applications","303",,,"143","156",,,"10.3233/978-1-61499-900-3-143","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063398511&doi=10.3233%2f978-1-61499-900-3-143&partnerID=40&md5=3cd221f54a2fb00170c7ea212c44cdb9","Advanced Informatics School, Malaysia; Faculty of Computing, Universiti Teknologi Malaysia, Kuala Lumpur, Malaysia; Hazila Timan, Advanced Informatics School, Universiti Teknologi Malaysia Kuala Lumpur, Jalan Sultan Yahya Petra (Jalan Semarak), Kuala Lumpur, 54100, Malaysia","Timana, H., Advanced Informatics School, Malaysia, Hazila Timan, Advanced Informatics School, Universiti Teknologi Malaysia Kuala Lumpur, Jalan Sultan Yahya Petra (Jalan Semarak), Kuala Lumpur, 54100, Malaysia; Kama, N., Advanced Informatics School, Malaysia; Mohd Yusoff, R.C., Advanced Informatics School, Malaysia; Selamat, A., Faculty of Computing, Universiti Teknologi Malaysia, Kuala Lumpur, Malaysia","Given the rapid development of Internet, social media opened up new opportunity for medical and health communications. Numbers of previous research conducted showed that social media shape up new chances to ensure an effective distribution of information in healthcare. Looking from the perspective of medical tourism, this study aimed to identify the availability of social media link in the medical tourism hospitals websites from Malaysia and evaluate their performance on every social media platform namely Facebook, Instagram, Twitter and YouTube. A list of 70 medical tourism hospitals gathered from the websites of Malaysian Health Travel Council (MHTC) http://www.mhtc.org.my. Each URL of the hospital identified and visited. The social media link availability on the website was observed and results showed that Facebook is the most preferable social media among the hospitals which is 51.4% followed by Instagram recorded as 14.3%. The Twitter recorded as 12.9% and YouTube only 11.4% hospitals. Most hospitals only provide one link to social media directly from their website. Astonishingly, almost half of the total medical tourism hospitals in Malaysia that is 44.2% does not have link to any social media on their websites. The top ten-hospital performance in Facebook rank gain more than 15000 “like” and “follows” at their page. Therefore, it was highly recommended for the medical tourism hospitals to actively engage with the social media and promote the link on their websites so that they can lead their current and prospective patients towards various information resources for a better distribution of medical and health information. © 2018 The authors and IOS Press. All rights reserved.","Medical and health information; Medical informatics; Medical tourism; Medical tourism hospital; Social media","Health; Hospitals; Social networking (online); Effective distribution; Health communication; Health informations; Hospital performance; Information resource; Medical tourism; Social media; Social media platforms; Medical informatics",,,,,"Universiti Teknologi Malaysia: 4C150","The study financially supported by 01M16, Matching Grant awarded by Universiti Teknologi Malaysia and 4C150, Contract Research Grant awarded by Majlis Agama Islam Selangor.",,"Canals, P., Performance auditing of tourism websites: France, Spain, and Portugal (2010) Advances in Culture, Tourism and Hospitality Research, 4. , https://doi.org/10.1108/S1871-3173(2010)0000004009, Elsevier; Crawford, N.M., Hasselhof, F., Evans-Hoeker, E.A., Social media in today’s medical practice: The mismatch between current physician usage and consumer preferences (2017) Fertility and Sterility, 108 (3), p. e113. , https://doi.org/10.1016/j.fertnstert.2017.07.345; De Choudhury, M., Morris, M.R., White, R.W., Seeking and sharing health information online (2014) Proceedings of the 32nd Annual ACM Conference on Human Factors in Computing Systems - CHI '14, pp. 1365-1376. , https://doi.org/10.1145/2556288.2557214; Eckler, P., Worsowicz, G., Rayburn, J.W., Social media and health care: An overview (2010) PM and R, 2 (11), pp. 1046-1050. , https://doi.org/10.1016/j.pmrj.2010.09.005; Fergie, G., Hilton, S., Hunt, K., Young adults’ experiences of seeking online information about diabetes and mental health in the age of social media (2016) Health Expectations, 19 (6), pp. 1324-1335. , https://doi.org/10.1111/hex.12430; Fernández-Luque, L., Bau, T., Health and social media: Perfect storm of information (2015) Healthcare Informatics Research, 21 (2), pp. 67-73. , https://doi.org/10.4258/hir.2015.21.2.67; Fox, S., (2009) The Social Life of Health Information, , http://www.webcitation.org/5t9VMUhcL%5Cnhttp://www.webcitation.org/5u0r2NZ9L%5Cnhttp://www.pewinternet.org/Reports/2009/8-The-Social-Life-of-Health-Information/01-Summary-of-Findings.aspx, Retrieved from; Grajales, F.J., Sheps, S., Ho, K., Novak-Lauscher, H., Eysenbach, G., Social media: A review and tutorial of applications in medicine and health care (2014) Journal of Medical Internet Research, 16 (2). , https://doi.org/10.2196/jmir.2912; Berland, G.K., Elliott, M.N., Morales, L.S., Algazy, J.I., Kravitz, R.L., Broder, M.S., Kanouse, D.E., Page, P., Health information on the internet (2001) JAMA: The Journal of the American Medical Association, 285 (20), pp. 119-121. , https://doi.org/10.3109/01443610903440927, MD; PhD; MD, PhD; MD, MPH; MD, MSPH; MD; PhD; MS, MPhil; MD, MPH; Hersh, W.R., Care, E., An, I.S., (2001) Medical Informatics, 288 (16), pp. 1955-1958. , https://doi.org/10.1007/978-0-387-21721-5; Huang, E., Users' preferred interactive e-health tools on hospital web sites (2012) International Journal of Pharmaceutical and Healthcare Marketing, 6 (3), pp. 215-229. , https://doi.org/10.1108/17506121211259395; Huerta, T.R., Hefner, J.L., Ford, E.W., McAlearney, A.S., Menachemi, N., Hospital website rankings in the United States: Expanding benchmarks and standards for effective consumer engagement (2014) Journal of Medical Internet Research, 16 (2). , https://doi.org/10.2196/jmir.3054; Kaplan, A.M., Haenlein, M., Users of the world, unite! The challenges and opportunities of social media (2010) Business Horizons, 53 (1), pp. 59-68. , https://doi.org/10.1016/j.bushor.2009.09.003; Lončarić, D., Bašan, L., Jurković, M., Websites as tool for promotion of health tourism offering in Croatian specialty hospitals and health resorts 2 health tourism in Croatia (2013) Recent Advances in Business Management and Marketing, pp. 265-270; Minifie, J.R., Dietert, J., Middlebrook, B., (2005) International Hospital Website Strategy Comparisons, 6 (512), pp. 62-72. , http://www.mountainplains.org/articles/2005/general/MPMAjm13.doc, Retrieved from; Moghavvemi, S., Ormond, M., Musa, G., Mohamed Isa, C.R., Thirumoorthi, T., Bin Mustapha, M.Z., Chiremel Chandy, J.J., Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand (2017) Tourism Management, 58, pp. 154-163. , https://doi.org/10.1016/j.tourman.2016.10.010; Nazem, G., Ahmadi, N., Doust, S., (2017) Exploring MedicalTourist Experiences at the Private Hospital in Malaysia: What Could Be Improved ?, 2 (2), pp. 26-32; Petch, T., (2004) Content Analysis of Selected Health Information Websites Final Report; Salarvand, S., Samadbeik, M., Tarrahi, M.J., Salarvand, H., Quality of public hospitals websites: A cross-sectional analytical study in Iran (2016) Acta Informatica Medica: AIM : Journal of the Society for Medical Informatics of Bosnia & Herzegovina : Časopis Društva za Medicinsku Informatiku BiH, 24 (2), pp. 130-133. , https://doi.org/10.5455/aim.2016.24.130-133; Van De Belt, T.H., Berben, S.A.A., Samsom, M., Engelen, L.J.L.P., Schoonhoven, L., Use of social media by Western European hospitals: Longitudinal study (2012) Journal of Medical Internet Research, 14 (3). , https://doi.org/10.2196/jmir.1992; Vanzetta, M., Vellone, E., Dal Molin, A., Rocco, G., De Marinis, M.G., Rosaria, A., Communication with the public in the health-care system: A descriptive study of the use of social media in local health authorities and public hospitals in Italy (2014) Annali dell’Istituto Superiore di Sanità, 50 (2), pp. 163-170. , https://doi.org/10.4415/ANN_14_02_10; Westerman, D., Spence, P.R., Van Der Heide, B., Social media as information source: Recency of updates and credibility of information (2014) Journal of Computer-Mediated Communication, 19 (2), pp. 171-183. , https://doi.org/10.1111/jcc4.12041; Yoong, W.L., Sulaiman, N., (2015) Hospitality & Tourism Marketing Internet Marketing in Promoting Cross-Border Healthcare in Malaysia, pp. 978-981. , https://doi.org/10.1201/b19162-20; Yoong, W.L., Sulaiman, N., Baldry, D., (2013) A Framework Development for Promoting Medical Tourism (MT) to Malaysia Using Internet Strategy for International Patient Tourists (IPT), , https://doi.org/10.13140/2.1.4909.7288","Timana, H.; Advanced Informatics SchoolMalaysia; email: hazila.tman23@gmail.com","Herrera-Viedma E.Fujita H.",,"IOS Press","17th International Conference on New Trends in Intelligent Software Methodology Tools and Techniques, SoMeT 2018","26 September 2018 through 28 September 2018",,146073,09226389,9781614998990,,,"English","Front. Artif. Intell. Appl.",Conference Paper,"Final",,Scopus,2-s2.0-85063398511 "Castellano M.I., Bittar O., Janne S.","57193426782;57207844390;57207845762;","New medical tourism business for the hotel in barranquilla sector model [Turismo médico nuevo modelo de negocio para el sector hotelero en barranquilla]",2018,"Proceedings of the 32nd International Business Information Management Association Conference, IBIMA 2018 - Vision 2020: Sustainable Economic Development and Application of Innovation Management from Regional expansion to Global Growth",,,,"1932","1941",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063053621&partnerID=40&md5=a5041aed6521f3c24561149e962b4bd7","Universidad del Norte, Barranquilla, Colombia; Investigadora Independiente, Maracaibo, Venezuela; Universidad Simón Bolívar, Barranquilla, Colombia","Castellano, M.I., Universidad del Norte, Barranquilla, Colombia; Bittar, O., Investigadora Independiente, Maracaibo, Venezuela; Janne, S., Universidad Simón Bolívar, Barranquilla, Colombia","Colombia for a few decades has been the destination preferred by people who have health conditions, in particular, those related to ophthalmology, cosmetic and curative medicine and welfare, this mobility which has been increasing due from 2012 the level of specialization of medical equipment, accessibility costs, certification of clinics and hospitals, among others. However, in parallel, the health tourist demand accommodation offering you the conditions and facilities for happy ending his recovery process, reason why, the present study aims to analyze medical tourism as a new business model for the hotel sector in Barranquilla. This took a sample of 15 hotels with category 4 and 5 star. Applied the standard instrument for the provision of tourism services in health and determine whether their spaces and services are adapted to the attention of this type of visitor. Results set, that the level of standard for seven factors evaluated in 15 hotels, is ranked in the order of 73.94%, that is medium standard, which seems to denote entry, that the hospitality industry has not valued the input generated by tourism doctor as a new business model. However, there are still aspects by assessing in the investigative process, which will yield more indicators of what the position of the hotel sector to this new business model for its strengthening in the city of Barranquilla. Copyright © 2018 International Business Information Management Association (IBIMA).","Hospitality; Medical tourism companies","Health; Information management; Colombia; Health condition; Hospitality; Hospitality industry; Hotel sectors; New business models; Recovery process; Tourism services; Hotels",,,,,"FP7 Health, HEALTH","A este tenor, Acevedo y Roa desarrollaron en 2012, un estudio interesante titulado, “Empresa de servicios médicos y hotelería integrales Vitta-Health Hotel” en Cali Colombia, el mismo tuvo como objetivo proponer servicios de internación hospitalaria en la ciudad de Cali con servicios de hotelería de alto confort. Los hallazgos denotan la viabilidad y factibilidad del proyecto Vitta Health Hotel como negocio, para suplir las deficiencias de los centros de salud en cuanto a capacidad instalada (camas), dando respuesta a las necesidades de los turistas de salud y dentro de ellas ofrecer un servicio diferenciador con características de hotel de primera, vale decir, de alto confort.",,"Acevedo, J., Roa, A., (2012) Empresa de Servicios Médicos y Hotelería Integrales Vitta-Health Hotel, , y Tesis de Maestría en Administración. Facultad de Ciencias Administrativas y Económicas. Universidad ICESI. Cali. Colombia; Castellano, N., Bittar, O., Castellano, M.I., (2017) Incursionando en El Mundo de la Investigación. Orientaciones Básicas, , y Editorial Académica Española. Beau Bassin, Mauiritius; Martínez, D., Turismo Médico: Generalidades para su comprensión integral (2016) Turismo y Sociedad, 19, pp. 137-161. , http://dx.doi.org/10.18601/0107555.N19.08, dic.2016, online Recuperado marzo 25, 2018. Disponible en; (2013) Programa de Transformación Productiva. Plan de Negocios Para El Subsector de Turismo de Bienestar en Colombia. Resumen Ejecutivo, , Ministerio de Comercio, Industria y Turismo Abril 2013. Bogotá-Colombia; (2016) Manual de Estándares Básicos de Las Organizaciones Hoteleras Que Ofrecen Servicios en Programas de Turismo en Salud. Programa de Transformación Productiva, , Ministerio de Comercio, Industria y Turismo Sigil Consulting Group S.A. Bogotá Colombia; Castañeda, A., Alenta Medical Care apostará por el turismo de salud en Bogotá (2017) En Diario la República, , https://www.larepublica.co/empresas/alenta-medical-care-apostara-por-el-turismo-de-salud-en-bogota-2559489, 17 de octubre 2017, Salud. Recuperado el 25 de marzo de 2018. Disponible en; Castañeda, A., Una mezcla de hotelería y medicina. Opciones para atender a los turistas de salud (2016) Diario El Espectador, , https://www.elespectador.com/economia/opciones-para-atender-los-turistas-de-salud-articulo-720169, 21 de oct. 2017, Economía. Recuperado el 25 de marzo de 2018. Disponible en; Portafolio, Llegada de turistas de salud crece 23% anual (2017) Diario Digital Portafolio.Co, , http://www.portafolio.co/negocios/llegada-de-turistas-de-salud-crece-23-anual-509087, agosto 27 de 2017, Economía. Recuperado el 25 de abril de 2018. Disponible en; El turismo de salud busca crecer más en Colombia (2014) Diario Digital Portafolio.Co, , http://www.portafolio.co/economia/finanzas/turismo-salud-busca-crecer-colombia-66184, abril 08 de abril 2014, Economía. Recuperado el 25 de abril de 2018. Disponible en; Colombia, destino preferido para el turismo médico (2013) El Espectador, , http://www.elespectador.com/noticias/salud/colombia-destino-preferido-para-el-turismo-medico-articulo-436944, en 30 de julio 2013, salud en Recuperado el 25 de abril de 2018. Disponible en; Rivera, C., (2016) Turismo Médico: Modelo de Negocio Para la Red Privada de Prestadores de Servicios de Salud en la Isla de San Andrés, , Tesis de Maestría en Administración. Facultad de Administración. Universidad Nacional de Colombia, Sede Manizales; Sánchez, A., Turismo de salud: Situación actual y perspectivas de futuro (2006) Apuntes IX Máster en Organización y Dirección Turística: Turismo de Salud, , Ourense Universidad de Vigo; http://www.clinicaanastahl.org.pe/hoteleria-hospitalaria/; https://clinicadelgado.pe/hoteleria/",,"Soliman K.S.",,"International Business Information Management Association, IBIMA","32nd International Business Information Management Association Conference, IBIMA 2018","15 November 2018 through 16 November 2018",,145733,,9780999855119,,,"Spanish","Proc. Int. Bus. Inf. Manag. Assoc. Conf., IBIMA - Vis.: Sustain. Econ. Dev. Appl. Innov. Manag. Reg. Expans. Glob. Growth",Conference Paper,"Final",,Scopus,2-s2.0-85063053621 "Libkovska U., Muiznieks A., Bikse V., Lusena-Ezera I.","56951318400;57205172256;56097600700;57192807883;","Water resources for medical tourism development in Latvia",2018,"International Multidisciplinary Scientific GeoConference Surveying Geology and Mining Ecology Management, SGEM","18","3.1",,"789","796",,,"10.5593/sgem2018/3.1/S12.103","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058884914&doi=10.5593%2fsgem2018%2f3.1%2fS12.103&partnerID=40&md5=aaeddb7461503d6291745d60d22f6ef7","Ventspils University College, Latvia; Liepaja University, Latvia","Libkovska, U., Ventspils University College, Latvia; Muiznieks, A., Ventspils University College, Latvia; Bikse, V., Liepaja University, Latvia; Lusena-Ezera, I., Liepaja University, Latvia","The possibilities to develop health resorts and balneological or spa and thalassotherapy centres in the Baltic Sea region countries have not yet been fully analysed. The water resources in Latvia have been used historically and still in nowadays could be used for different types of treatments more effective. The core questions for a medical tourism development are products, demand and service quality. It is marked in the Baltic Sea country (Lithuania, Latvia, Estonia) development strategy that environmental management has a direct positive impact on the development of health tourism, to which identification and use of medical resources is very important. In the framework of the International Cooperation Project of the Baltic States coastal municipalities conducted research on available medical resources and their possible use when developing resorts and spas. In this article, the authors analyse the effect of historical importance of usage water resources (sea, inland water and ground (mineral water) for the future development of medical products with perspective of export. In order to analyses the water management in the region and the medical resources, the SWOT analysis of medical service providers what are using balneological treatments was made, a group of other research instruments had chosen. The research analyses of secondary data on historical sources applied, questionnaire (n>100) for evaluation of medical service treatment quality in Latvian health resorts was applied. © SGEM2018 All Rights Reserved.","Balneology; Health resort; Medical tourism; Water treatments","Beverages; Environmental management; Health; International cooperation; Quality control; Water management; Water treatment; Balneology; Coastal municipalities; Development strategies; Medical tourism; Research analysis; Research instruments; Tourism development; Treatment quality; Mineral resources",,,,,,,,"Belte, P., Riga, J., Sloka and Kemeri with surrounding area: Historical review (1935) Latvian: Rīgas, Jūrmalas, Slokas Un Ķemeru pilsētas Ar apkārtni: Vēsturisks Apskats. Dubulti: Autora Izdevums, p. 299. , Pp; Bender, T., Karagulle, Z., Balint, G.P., Gutenbrunner, C., Balint, P.V., Sukenik, S., Hydrotherapy, balneotherapy, and spa treatment in pain management (2005) Rheumatology International, 25 (3), pp. 220-224. , Volume, Issue, pp., April; Gomes, C., Carretero, M.I., Pozo, M., Maraver, F., Cantista, P., Armijo, F., Legido, J.L., Delgado, R., Peloids and pelotherapy: Historical evolution, classification and glossary (2013) Applied Clay Science, , http://www.espalibrary.eu/search/1074/; Gutenbrunner, C., Bender, T., Cantista, P., Karagule, Z., A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology (2010) International Journal of Biometeorology, 54 (5), pp. 495-507. , Volume, Issue, pp., September; (2013), www.ismhdirect.net/upload/ismh/documentHydroGlobe.pdf, Hydroglobe. Definition of a global framework for hydrotherapy. A FEMTEC-FoRST joint project; Jirgena, H., The directions of the economic development perspective of the regions in Latvia Latvian: Latvijas reģionu Ekonomikas attīstības perspektīvas Virzieni 2010-2011, p. 306. , http://rpr.gov.lv/wp-content/uploads/2017/12/RegEkonAttPersp_10_11.pdf, LZA Ekonomikas institūts; https://www.meteo.lv/lapas/geologija/zemes-dzilu-resursi/pazemes-udeni/pazemes-udeni?id=1236&nid=491, Latvian Environment, Geology and Meteorology Centre (LEGMC); Maraver, F., Michan, A., Morer, C., Aguilera, L., Is thalassotherapy simply a type of climatotherapy? (2011) International Journal of Biometeorology, 55 (2), pp. 107-108. , Volume, Issue, pp., March; Ozola, S., Liepaja Square Plans and Spatial Composition to the First World War (2013) Latvian: Liepājas Laukumu Planojums Un telpiskā kompozīcija līdz Pirmajam Pasaules Karam. II starptautiskā zinātniski praktiskā Konference “Māksla Un mūzika kultūras diskursā”, Rezekne, pp. 177-185. , pp; Stradins, J., Biobibliology (2017) Latvian: Latvijas zinātņu akadēmijas akadēmiķis Janis Stradiņš, Biobibliogrāfija III, Sagatvojusi Venta Kocere, Izdevniecība “Zinātne”, Rīga, p. 544; Terentjeva, L., Fridenberga, L., Natural healing products in Latvia (2008) Latvian: Latvijas kūrortu Dabiskie dziedniecības līdzekļi. Rīga, Multicentrs, p. 256. , p; (2016), http://www.varam.gov.lv, The Ministry of Environmental Protection and Regional Development. A long-term national thematic plan for the development of the Baltic Sea coastal public infrastructure; Tubergen, A., Linden, S., (2015) A Brief History of Spa Therapy, , http://ard.bjm.com; (2011), www.lu.lv/par/projekti/es, University of Latvia. Project documents. In Latvian: Ārstniecisko dūņu aktīvo frakciju attīrīšana, raksturojums un stabilizācija profilaktisku, ādas atjaunināšanos veicinošu higiēnas un kosmētikas preparātu izstrādei, Project Nr. 2010/0292/2DP/2.1.1.1.0/10/APIA/VIAA/122; Viksna, A., Medical Beginnings in Latvian Regions (1993) Latvian: Latvijas ārsts. Medicīnas sākumi Latvijas Novados. Rīga: Latvijas Ārstu biedrība, p. 120",,,,"International Multidisciplinary Scientific Geoconference","18th International Multidisciplinary Scientific Geoconference, SGEM 2018","2 July 2018 through 8 July 2018",,142873,13142704,9786197408355; 9786197408362; 9786197408379; 9786197408386; 9786197408393; 9786197408409; 9786197408416; 9786197408423; 9786197408430; 9786197408447; 9786197408454; 9786197408461; 9786197408478; 9786197408485; 9786197408492; 9786197408508; 9786197408515; 9786197408522; 9786197408355,,,"English","Int. Multidisciplinary Sci. Geoconf. Surveying Geology Mining Ecology Manage., SGEM",Conference Paper,"Final",,Scopus,2-s2.0-85058884914 "Davoust E., Pastor G.C., Seghiri M.","57205145034;36696863000;15763767900;","Translating the discourse of medical tourism: A catalogue of resources and corpus for translators and researchers",2018,"SKASE Journal of Translation and Interpretation","11","2",,"34","66",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058819195&partnerID=40&md5=d0e1cd555f0dcbdbb0fdf1d420907590","Translation and Interpreting Department, University of Malaga (UMA), Spain","Davoust, E., Translation and Interpreting Department, University of Malaga (UMA), Spain; Pastor, G.C., Translation and Interpreting Department, University of Malaga (UMA), Spain; Seghiri, M., Translation and Interpreting Department, University of Malaga (UMA), Spain","The recent increase in medical tourism in Europe also means more written contents are translated on the web to get to potential clients. Translating cross-border care language is somehow challenging because it implies different agents and linguistic fields making it difficult for translators and researchers to be fully apprehended. We hereby present a catalogue of possible informative resources on medical tourism and an ad hoc corpus based on Spanish medical websites-focused on aesthetics and cosmetics-that were translated into English. © 2018 Slovak Association for the Study of English.All rights reserved.","Electronic documentation; Medical tourism; Specialised translation; Web for corpus; Website translation",,,,,,,,,"Amparo, A., Translation Technologies Scope, Tools and Resources (2008) Target: International Journal on Translation Studies, 20 (1), pp. 79-102; García, Á., Los textos en el ámbito del comercio exterior: una taxonomía para la formación de traductores (2017) Sendebar, (28), pp. 113-133. , October 2017. issn-e 2340-2415; Almahano Güeto Inmaculada, Pinazo Encarnación, P., (2013) Turismo y Salud: Traducción, Interpretación y Comunicación Intercultural en El Sector Turístico Europeo, p. 2013. , Granada: Comares; Romeral, A., Seghiri Míriam, L., Determinación de la representatividad cualitativa y cuantitativa de un corpus virtual de contratos de compraventa de viviendas (inglés-español (2018) Traducción Literaria y Discursos Traductológicos Especializados, pp. 309-330. , Ámterdam: Peter Lang; Romeral, A., Seghiri Míriam, L., .Pending publication. Compilation of an ad hoc corpus for extracting glossaries in the interpretation classroom (2018) Current Trends in Translation Teaching and Learning e; Frank, A., (2001) Übersetzen im Informationszeitalter. Trier: WVT Wissenschaflicher, , Verlag Trier; Baker, M.C., David, A., (2015) Medical Tourism Development, Challenges and Opportunities for Asia, 12. , Alma Tourism, N; Barceló Martínez, T., Luque Francisca, G., La influencia de las nuevas tecnologías en la profesión: el traductor en la era de internet. In (2016) Quaderns de Filologia: Estudis Lingüístics, 21, pp. 39-56; Bertinato, L., Reinhard, B., (2005) Cross-border Health Care in Europe. Policy Brief. European Observatory on Health Systems and Policies, , http://apps.who.int/iris/bitstream/10665/107679/1/E87922.pdf; Douglas, B., Jerry, K., Towards a taxonomy of web registers and text types: A multi-dimensional analysis (2007) Corpus Linguistics and the Web, pp. 109-132. , Hundt, M. Nesselhauf N. and Biewer C. (eds.) Amsterdam-New York: Rodopi; Bookman, Z., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan, New York, 2007; Lynne, B., Using Specialized Monolingual Native-Language corpora as a Translation Resource: A Pilot Study"", in (1998) META, 43 (4), pp. 631-651; Bristow, R.S., Yang, W.-T., An Application of the Global Sustainable Tourism Criteria in Health Tourism. Geography and Regional Planning Westfield State College (2009) Proceedings of the 2009 Northeastern Recreation Research Symposium GTR-NRS-P-66, , https://www.nrs.fs.fed.us/pubs/gtr/gtr-nrs-p-66papers/15-bristowp-66.pdf; Carrera, P.M., Bridges, J.F.P., Globalization and Healthcare: Understanding Health and Medical tourism (2006) Expert Review of Pharmaco-economics and Outcomes Research, 6, p. 4; Rodríguez, C., Milagrosa, C., (2010) El Trabajo Terminográfico en Traducción. Explotación de un Corpus Multilingüe de Turismo de Salud y Belleza (Español-Francés/inglés/italiano, , Málaga: SPICUM; Chantana, C., Chidchanok, C., (2016) Ontology Construction and Application in Practice Case Study of Health Tourism in Thailand. in Springerplus, , December 2016; Cormany Daniel, B., Seyhmus, B., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2010) Tourism Management, 32; Pastor Gloria, C., La traducción de textos médicos especializados a través de recursos electrónicos y corpus virtuales (2004) Luis González and Pollux Hernúñez, Eds. Las Palabras Del Traductor, pp. 137-164; Corpas, G., (2007) Determinación Del Umbral de Representatividad de un Corpus Mediante El Algoritmo N-Cor. Procesamiento Del Lenguaje Natural, n?39, 2007, pp. 165-172; Corpas Pastor, G., (2010) Size Matters: A Quantitative Approach to Corpus Representativeness, pp. 112-146. , In Rabadán, R (Ed.) Lengua, traducción, recepción. En honor de Julio César Santoyo/Language, translation, reception. To honor Julio César Santoyo. Secretar; Crozier, G.K.D., Françoise, B., The ethical physician encounters international medical travel (2010) Journal of Medical Ethics, 36, pp. 297-301; Muñoz Isabel, D., Caracterización de la traducción turística. Problemas dificultades (2012) Revista de Lingüística y Lenguas Aplicadas, no7, ISSN 1886-2438; Muñoz Isabel, D., Aspectos pragmático-lingüísticos del discurso del turismo de aventura: estudio de un caso (2014) Revista Normas (Revista de Estudios Lingüísticos Hispánicos. N?4. ISSB, pp. 2174-7245; Ehrbeck, T., Mapping the Market for Medical Travel (2008) The McKinsey Quarterly, , https://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134; Fletcher William, H., Facilitating the Compilation and Dissemination of Ad-Hoc Web Corpora (2004) Corpora and Language Learners. 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Documentación para la Traducción Jurídica, , http://www3.uva.es/docutradso/; Juncal, G., María Dolores, O., (2018) Computer Tools in the Teaching of Translators As Website Localization Professionals. Conference: INTED2018: 12th International Technology Education and Development. Valencia. Spain. Available from, , https://www.researchgate.net/publication/322385690_Computer_tools_in_the_teaching_of_translators_as_website_localization_professionals, [accessed Aug 31 2018]; John, H.W., Somers, H.L., (1992) An Introduction to Machine Translation. London, , Academic Press; Hutchins, W., John, Computer-based translation systems and tools (1996) The ELRA Newsletter, 1 (4), pp. 6-9; Michelle, I., Stephen, S., (2013) Australian News Media Framing of Medical Tourism in Low-and Middle-income Countries: A Content Review. BMC Public Health. Published February 2013, , https://doi.org/10.1186/1471-2458-13-109; Crespo, J., Angel, M., (2013) Translation and Web Localisation. New York-London: Routledge, pp. 244-2499; Johnston, R., Crooks, V.A., Ormond, M., Policy implications of medical tourism development in destination countries: Revisiting and revising an existing framework by examining the case of Jamaica (2015) Global Health, 2015 (11), p. 29. , Published online 2015 Jul 4; Beth, K., Traveling for Medical Care in a Global World. Medical Anthropology: Cross-Cultural Studies (2010) Health and Illness, 29, pp. 344-362; Keckley, H., (2008) Medical Tourism: Consumers in Search of Value, , Washington: Deloitte Centre for Health Solutions; Edward, K., (2013) Medical Tourism. WHO Patient Safety Programme. Conference Held in 2nd October 2013, , http://www.who.int/global_health_histories/seminars/kelley_presentation_medical_tourism.pdf; Adam, K., Web as corpus (2001) Proceedings of the Corpus Linguistics 2001 Conference, UCREL Technical Papers, 13, pp. 342-344. , In Paul Rayson, Andrew Wilson, Tony McEnery, Andrew Hardie and Shereen Khoja (eds.) 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Elsevier. 66; Serrano, M., Blanca, M., (2010) Revisión y Corrección de Textos Médicos Destinados A Los Pacientes. y Algo Más. Workshop. IV Jornadas Científicas y Profesionales de Tremédica Málaga (España, , http://tremedica.org/panacea.html, 22-24 October, 2009. In Panace@. Vol. XI, n? 31. Primer semestre, 2010. 11 (31): 29-36; Melby Alan, K., (1983) The Translation Profession and the Computer.CALICO Journal, 1 (1), pp. 55-57; Milstein, A., Mark, S., America's New Refugees-Seeking Affordable Surgery Offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; Moghavvemi, S., (2016) Connecting with Prospective Medical Tourists Online: A Crosssectional Analysis of Private Hospital Websites Promoting Medical Tourism in India, Malaysia and Thailand, pp. 154-163. , https://doi.org/10.1016/j.tourman.2016.10.010, In Tourism Management 58 (February 2017): October 2016; Pearson, J., (1998) Terms in Context. Amsterdam/Filadelphia: John Bejamins Publishing Company; Anthony, P., (2010) Exploring Translation Theories, , Routledge; Pereda Lorena, R., Varela Salina José Mari, A., (2017) Traducción y Optimización en Buscadores (SEO): De la Traducción A la Transcreación. en Sendebar, 28, pp. 2340-2415. , http://revistaseug.ugr.es/index.php/sendebar/article/view/5298; Manhaz, S., Heshmatollah, A., Mohammad, M., Afsaneh, T., Ahmad, M., Ali, G., (2017) Designing A Medical Tourism Website: A Qualitative Study, 46 (2), pp. 249-257. , Iran J Public Health. 2017 Feb; Miriam, S., (2006) Compilación de un Corpus Trilingüe de Seguros Turísticos (Español-inglésitaliano, , Málaga: SPICUM; Miriam, S., (2011) Metodología Protocolizada de Compilación de un Corpus de Seguros de Viajes: Aspectos de Diseño y Representatividad @RLA Revista de Lingüística Teórica y Aplicada. (RLA, (49), pp. 13-30. , 2; Míriam, S., Determinación de la representatividad cuantitativa de un corpus ad hoc bilingüe (inglés-español) de manuales de instrucciones generales de lectores electrónicos/Establishing the quantitative representativiness of an E-Reader User's Guide ad hoc corpus (English-Spanish (2015) Corpus-based Translation and Interpreting Studies: From Description to Application, pp. 125-146. , En María Teresa Sánchez Nieto (ed.). Berlín: Frank & Timme; Miriam, S., (2017) Metodología de Elaboración de un Glosario Bilingüe y Bidireccional (Inglésespañol/español-inglés) Basado en Corpus para la Traducción de Manuales de Instrucciones de Televisores. Babel, 63 (1), pp. 43-67; Miriam, S., Corpus e interpretación biosanitaria: extracción terminológica basada en bitextos del campo de la Neurología para la fase documental del intérprete (Corpora and medical interpreting: terminology extraction based on bitexts for the interpreter's documentation process (2017) Panacea, 18 (46), pp. 123-132. , Volumen monográfico de interpretación en el ámbito biosanitario; Smith, P.C., Forgione, A., Global outsourcing of healthcare: A medical tourism model. in Journal of Information Technology (2007) Case and Application Research, 9 (3), pp. 19-30; Eniko, T., Translating Culture Specific Items in Tourism Brochures (2011) Skase Journal of Translation and Interpretation, 5 (2); Krista, V., Translators, dictionaries and text corpora (2000) I Corpora Nella Didatica della Traduzione. Bologna: CLUEB, pp. 117-133. , S. Bernardini and F. Zanettin, eds; Salina, V., José, M., Bernd, M., (2015) Translating and Interpreting Healthcare Discourses, 79. , Berlin: Frank & Timme. col. TRANSÜD. Arbeitenzur theorie und Praxis des Übersetzensund Dolmetschens; Anahí, V., Rita, B., Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina (2014) Annals of Tourism Research. Elsevier, 45, pp. 116-131. , https://doi.org/10.1016/j.annals.2013.12.007, March 2014; Wismar, M., Palm, W., Figueras, J., Ernst, K., Van Ginneken, E., (2001) Cross-border Health Care in the European Union. Mapping and Analysing Practices and Policies. the European Observatory on Health Systems and Policies. Publications, WHO Regional Office for Europe, Scherfigsvej 8, DK-2100 Copenhagen ø, Denmark; Andrea, W., Pleasure and pain: Medical travel in Asia (2008) Global Public Health: An International Journal for Research, Policy and Practice, (3), pp. 271-290; Federico, Z., DIY Corpora: The WWW and the Translator (2002) Training the Language Services Provider for the New Millennium, Porto: Facultade de Letras, Universidade Do Porto, pp. 239-248. , In Maia, Belinda/Haller, Jonathan/Urlrych, Margherita eds; Ana, Z., Pastor, C., Seghiri Miriam, G., Integration of Machine Translation in CAT Tools: State of the Art, Evaluation and User Attitudes (2015) Skase Journal of Translation and Interpretation, 8 (1). , 2015",,,,"Slovak Association for the Study of English",,,,,13367811,,,,"English","SKASE J. Transl. Interpret. Collect.",Article,"Final",,Scopus,2-s2.0-85058819195 "Nikitina O.A.","57195281454;","Finding out shared expert opinion on the development of inbound medical tourism: The case of Russia",2018,"European Research Studies Journal","21","3",,"623","635",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058241750&partnerID=40&md5=c728f825c20b0622eff1888f2cfdafa6","Saint-Petersburg State University of Economics, Saint-Petersburg, Russian Federation","Nikitina, O.A., Saint-Petersburg State University of Economics, Saint-Petersburg, Russian Federation","Delphi method is applied in this study for the developement of Saint-Petersburg (Russia) medical tourism. Medical tourism is an authorized facilitator company having the functions of a national or regional agent and approved by the state authorities that has to be the organizing core. The experts agreed that for attracting tourists the process of international accreditation of clinics, staff, hotel centers and resorts had to be launched. The process, for such a development has to begin with creating an own accreditation system for inbound medical travel services and market players under the authorized national or regional facilitator. It is pointed out that educational programs in medical tourism is an important direction in building this attidute. Thus, surveys have enabled the authors to word formalized suggestions on reference points of the medical tourism development concept for Saint-Petersburg and Leningrad region. © 2018 European Research Studies Journal. All rights reserved.","Delphi method.; Inbound medical tourism; Medical tourism; Models of medical tourism",,,,,,,"The author expresses her gratitude to the scientific administration of Saint-Petersburg State University of Economics for financial support of the research in the form of the grant.","The author expresses her gratitude to V. Potanin Foundation for the financial support of the research in the form of the grant.","Ackermann-Liebrich, U., Ludwig, C., Darioli, R., Thommen, A., Meier, C., Zemp Stutz, E., Versicherungsmedizin (2007) Sozial- Und Präventivmedizin, Public Health, pp. 153-193. , Gutzwiller, F. and Paccaud, F. 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Techniques and Applications, , https://web.njit.edu/~turoff/pubs/delphibook/delphibook.pdf; Lunt, N., Horsfall, D., Medical Tourism (2014) Encyclopedia of Health Economics, pp. 263-270; (2016) Medical Tourism Index, , https://www.medicaltourismindex.com; Raghav, S., (2007) An International, Moral & Legal Perspective: The Call for Legalization of Surrogacy in India, , https://papers.ssrn.com/sol3/papers.cfm?abstract_id=997923; (2017) Results of The Year, 2017., , RAOMT. Brief. Russian Association of Medical Tourism. RAOMT; Sigrist, S., (2006) Zukunftsperspektiven Des Gesundheitsmarktes, , Gottlieb Duttweiler Institut. GDI im Auftrag in oder of Eidgenössisches Departement des Inneren, Bern; Sigrist, S., Health Horizons – Guide zu den neuen Gesundheitsmärkten (2006) Guide to The New Healthmarkets, (20). , Gottlieb Duttweiler Institut GDI, Zurich; Smith, P.C., Forgione, D.A., (2014) Global Outsourcing of Healthcare: A Medical Tourism Decision Model, , https://www.tandfonline.com/doi/abs/10.1080/15228053.2007.10856117; Todd, M.K., (2012) Medical Tourism. Facilitator'S Handbook, , CRC Press. Taylor & Francis Group; Travel, Medical Anthropology Cross-Cultural Studies in Health and Illness, 29 (4), pp. 336-343; Turner, L., Cross-border dental care: 'dental tourism' and patient mobility (2008) British Dental Journal, 204 (10), pp. 553-554; Whittaker, A., Manderson, L., Cartwright, E., Patients without Borders: Understanding Medical (2017) 2016-2017 Global Buyers Survey Brief, , http://medicaltourismassociation.com/userfiles/files/GLOBAL_BUYERS_REPORT_BRIEF.pdf, 2010","Nikitina, O.A.; Saint-Petersburg State University of EconomicsRussian Federation; email: maol@rambler.ru",,,"International Strategic Management Association",,,,,11082976,,,,"English","Eur. Res. Stud.",Article,"Final",,Scopus,2-s2.0-85058241750 "Gengan W., Xiangmin Z., Yuping W.","57203343777;57203343435;56364254300;","Medical tourism and nursing under the background of globalization",2018,"Journal of Advanced Oxidation Technologies","21","2", 201812089,"","",,,"10.26802/jaots.2018.12089","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051345332&doi=10.26802%2fjaots.2018.12089&partnerID=40&md5=140824abc6cd2b0b7f37059a289bd367","College of Tourism, HuaQiao University, Quanzhou, Fujian, 362021, China; Research Center for Tourism and Service Management, HuaQiao University, Quanzhou, Fujian, 362021, China","Gengan, W., College of Tourism, HuaQiao University, Quanzhou, Fujian, 362021, China, Research Center for Tourism and Service Management, HuaQiao University, Quanzhou, Fujian, 362021, China; Xiangmin, Z., College of Tourism, HuaQiao University, Quanzhou, Fujian, 362021, China; Yuping, W., College of Tourism, HuaQiao University, Quanzhou, Fujian, 362021, China, Research Center for Tourism and Service Management, HuaQiao University, Quanzhou, Fujian, 362021, China","After 80s of last century, under the background of the development of the world economy and the progress of science and technology, the global economy, culture, science and technology, and many other aspects tend to the integration. The integration of the medical and health field is mainly manifested by the patient's behavior without borders. Patients' participation in health care without borders continues to increase, so as to make the medical tourism industry gradually prosperous and developed. The actual information of the 578 tourists was selected as a sample, and the Probit discrete choice model measurement method was used, the relationship among demographic characteristics, tourism and tourist pull the thrust of these 3 variables under the action of the 19 factors and medical tourism decision was analyzed. The impact factors of tourism decision-making Probit model after the improvement have significant statistical significances. Among them, there are significant correlation between the 7 variables and tourism decision-making. Age and education are negative to each other, and the rest are positive. In this article, the actual content of medical tourism is fully discussed, hoping to provide some help to the nursing professionals in the understanding of foreign medical activities and the concept of self-care professional. © 2018 Walter de Gruyter GmbH. All rights reserved.","Globalization; Influencing Factors; Medical Tourism; Nursing; Probit Model",,,,,,,,,"Cha, O., (2015) La Revue Du Praticien, 65 (4), pp. 517-521; Lunt, N.T., Mannion, R., Exworthy, M., (2013) Social Policy & Administration, 47 (1), pp. 1-25; Embi, P.J., (2013) Journal Of The American Medical Informatics Association, 20 (4), pp. 718-726; Buchanan, S., (2012) International Journal Of Information Management, 32 (3), pp. 251-256; Peterson, P.G., (2012) Journal Of Digital Imaging, 25 (6), pp. 764-770; Soguero-Ruiz, C., (2013) Ieee Transactions On Biomedical Engineering, 60 (7), pp. 1825-1833; Hudson, N., Culley, L., (2013) Reproductive Biomedicine Online, 27 (3), pp. 253-260; Chuang, T.C., (2014) Tourism Management, 45, pp. 49-58; Bowen, M.E., (2013) Technology And Health Care, 21 (3), pp. 191-197; Berhe, S., Demurjian, S., Agresta, T., (2009) Ifip Wg 113 Working Conference on Data & Applications Security XXIII, pp. 283-290; Chan, R., Stieda, V., (2011) Health Information And Libraries Journal, 28 (1), pp. 50-58; Lee, E.S., (2009) International Journal Of Medical Informatics, 78 (1), pp. 10-21; Benham-Hutchins, M.M., Effken, J.A., (2010) International Journal Of Medical Informatics, 79 (4), pp. 252-267; Russ, A.L., (2012) International Journal Of Medical Informatics, 81 (4), pp. 232-243; Góngora Castillo, C., (2009) Educación Médica Superior, 23 (3); Fernando, J.I., Dawson, L.L., (2009) International Journal Of Medical Informatics, 78 (12), pp. 815-826; Araujo, J., (2009) International Journal Of Medical Informatics, 78 (6), pp. 375-385; Ocha, W., Culture Health & Sexuality, (5), pp. 563-575. , 201214; Teixeira, L., Ferreira, C., Santos, B.S., (2012) Computer Methods and Programs in Biomedicine, 106 (3), pp. 160-174; Assimacopoulos, A., (2008) Telemedicine Journal and E-Health, 14 (8), pp. 762-768; Wears, R.L., Cook, R.I., Perry, S.J., (2006) Reliability Engineering & System Safety, 91 (12), pp. 1494-1501; Wang, W., (2008) Computer Engineering and Application, 44, pp. 1002-8331. , 44: 6<25:MXGGWS>2.0.TX;2-N6. 2008;25-28; Stewart, L.H., Trunkey, D., Rebagliati, G.S., (2007) Journal Of Emergency Medicine, 32 (1), pp. 45-54; Rector, A., Rogers, J., Bittner, T., (2007) Journal Of Biomedical Informatics, 39 (3), pp. 333-349; Eason, K., Journal Of Information Technology, 22 (3), pp. 257-264; Gao, H., Deng, Z., Xu, D., (2009) Journal of Harbin Institute of Technology, 41. , 0367-6234 41:1<67:WXCRBY>2.0.TX;2-61). 2009;67-70; Fang, Y., Lu, X., Li, H., (2006) Ieee International Conference On Systems, Man, And Cybernetics, Conference Proceedings, pp. 4717-4721; Zhang, Y., Liu, B., (2007) European Conference on Principles & Practice of Knowledge Discovery in Databases, pp. 629-637; Mates, J., (2007) Journal Of Digital Imaging, 20 (3), pp. 296-306","Gengan, W.; College of Tourism, HuaQiao UniversityChina",,,"J.AOTs Sycamore Global Publications LLC",,,,,12038407,,,,"English","J. Adv. Oxid. Technol.",Article,"Final",,Scopus,2-s2.0-85051345332 "Baimyrzayev K.M., Andasbayev Y.S., Tokpanov E.A.","57205165358;57203154541;56127707100;","The value of the hydro resources of Lake Zhalanashkol for the development of health tourism and recreation in the Republic of Kazakhstan",2018,"Espacios","39","18",,"","",7,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050772135&partnerID=40&md5=bcc2ea66bdd7a6728bc7bcecd91cbd85","Academic of KAO n.a. Altinsarin, The Rector of Zhetysu state University n. a. I. Zhansugurov, Taldykorgan, Kazakhstan; Zhetysu state University named after I. Zhansugurov, Kazakhstan; Department of natural Sciences of Zhetysu state University n. a. I. Zhansugurov, Kazakhstan","Baimyrzayev, K.M., Academic of KAO n.a. Altinsarin, The Rector of Zhetysu state University n. a. I. Zhansugurov, Taldykorgan, Kazakhstan; Andasbayev, Y.S., Zhetysu state University named after I. Zhansugurov, Kazakhstan; Tokpanov, E.A., Department of natural Sciences of Zhetysu state University n. a. I. Zhansugurov, Kazakhstan","In Alakol intermountain basin is a unique natural object of the Kazakhstan - lake Zhalanashkol. A special place is occupied by hydro resources of the lake, which should be used for the development of therapeutic tourism and recreation. The article presents the results of a study of the physicochemical composition of the water and mud of the lake Zhalanashkol. Until recently, scientific researches and design elaborations not received enough data balneological properties of water and brine lake Zhalanashkol. © 2018.","Balneology; Health tourism; Lake Zhalanashkol; Minerals",,,,,,,,,"Dzhetimov, M.A., Mazbayev, O.B., Asubayev, B.K., Yesengabylova, A., Tokpanov, E.A., Physical And Chemical Microbiological Analysis Of The Therapeutic Mud Of ""Kossor"" Deposit Of Alakol Lake (2014) Life Sci J, 11 (5), pp. 217-221; Filonec, P.P., Morphometry of lakes Taldy-Kurgan, and Alma-ATA areas (1970) In the book: The geography of desert and mountain areas of Kazakhstan, 15, pp. 12-135. , Alma-ATA, ""Nauka"" Of The Kazakh SSR; Garrett, D., (2004) Handbook of Lithium and Natural Calcium Chloride, p. 457. , Their Deposits, Processing, Uses and Properties. Elsevier; Gussenov, B.S., (2015) Development of foreign economic activities in the age of globalization Tutorial LAP LAMBERT Academic Publishing, p. 316; Kholenok, V.F., Natural and medicinal resources of Kazakhstan (1982) Alma-ATA: Gylym, pp. 33-67; Kuskov, S., (2004) Balneology and Wellness tourism, p. 317. , A. S. Kuskov, Lysikova O. V.-Rostov n/D: Feniks; Myazina, N.G., Comparison of hydrogeochemical features lake. Elton and the Dead Sea (2013) Water management in Russia, (1), pp. 52-59; Sairan, S., Yessengabylova, A., Bissekov, A., Sarbassov, Y., Kaisar, B., Sanitary and microbiological researches of therapeutic muds of the deposit ""Kossor"" of the Almaty oblast (2014) Life Sci J, 11 (9), pp. 276-279",,,,"Revista Espacios",,,,,07981015,,,,"English","Espacios",Article,"Final",,Scopus,2-s2.0-85050772135 "George B., Henthorne T.L.","10040491200;6602775879;","Cross-cultural competence as a basis of the competitive advantage of the United States in medical tourism",2018,"Critical Essays in Tourism Research",,,,"191","200",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048385475&partnerID=40&md5=6e189b19c95775ba526f572071c3adf2","Fort Hays State UniversityKS, United States; University of Nevada Las VegasNV, United States","George, B., Fort Hays State UniversityKS, United States; Henthorne, T.L., University of Nevada Las VegasNV, United States","This chapter is an attempt to extend the construct of cross cultural competence into the domain of medical tourism. One of the bases of competitive advantage in international medical tourism is cross cultural competence. While medical treatment in the U.S. is inherently expensive, cross cultural competence could act as a compensating lever. The U.S. hospitals employ a racially and ethnically diverse workforce, many of whom are recent migrants from different parts of the world. This makes overseas patients feel “at home” while they are admitted for treatment in the US hospitals. The authors provide a theoretical basis for further development of this debate. © 2018 Nova Science Publishers, Inc.","Competitive advantage; Cross-cultural competence; Medical tourism; United States",,,,,,,,,"Abbe, A., Gulick, L.M.V., Herman, J.L., (2007) Cross-cultural competence in Army leaders, , A conceptual and empirical foundation. Washington, DC: U.S. Army; Barney, J.B., Organizational culture: Can it be a source of sustained competitive advantage? (1986) Academy of management review, 11 (3), pp. 656-665; Bennett, M.J., Towards ethnorelativism: A developmental model of intercultural sensitivity (revised) (1993) Education for the Intercultural Experience., , R. M. Paige (Ed.), Yarmouth, Me: Intercultural Press; Betancourt, J.R., Green, A.R., Carrillo, J.E., Ananeh-Firempong, O., Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care (2003) Public Health Reports, 118 (4), pp. 293-302; Campinha-Bacote, J., The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care (2002) Journal of Transcultural Nursing, 13 (3), pp. 181-184; Cox, T.H., Blake, S., Managing Cultural Diversity: Implications for Organizational Competitiveness (1991) The Executive, 5 (3), pp. 45-56; Fearon, J.D., Ethnic and Cultural Diversity by Country (2003) Journal of Economic Growth, 8 (2), pp. 195-222; Fiol, C.M., Managing culture as a competitive resource: An identitybased view of sustainable competitive advantage (1991) Journal of management, 17 (1), pp. 191-211; George, B.P., Medical Tourism in India: A Case Study of Apollo Hospitals (2008) Health and Wellness Tourism., , Smith, M. and Pulazo, K. (Eds), UK: Butterworth Heinemann; George, B.P., Henthorne, T.L., Incorporation of telemedicine with medical tourism: A study of consequences (2009) Journal of Hospitality Marketing and Management, 18 (5), pp. 512-522; George, B.P., Henthorne, T.L., Determinants of satisfaction and dissatisfaction among preventive and curative medical tourists: A comparative analysis (2010) International Journal of Behavioral and Healthcare Research, 2 (1), pp. 5-19; George, B.P., Shyamsundar, A., The factors that affect Indian migrants’ decision to stay in or counter migrate from the United States: A study with special reference to the role of tourism related imagery as a determinant (2008) Journal of Identity and Migration Studies, 2 (1), pp. 99-121; Hall, R., A framework linking intangible resources and capabiliites to sustainable competitive advantage (1993) Strategic management journal, 14 (8), pp. 607-618; Henthorne, T.L., Salgaonkar, P.B., George, B.P., External recommendations versus internal satisfaction in health care: A case study in India (2009) Health Marketing Quarterly, 26 (3), pp. 241-249; Herzberg, F., One more time: How do you motivate employees? (1968) Harvard Business Review, 40 (1), pp. 53-62; Korstanje, M.E., George, B., Health Cover, The Case of Martin and Carolina In Australia (2014) Revista de turism-studii si cercetari in turism, (17), pp. 8-14; Lavizzo-Mourey, R., Mackenzie, E.R., Cultural Competence: Essential Measurements of Quality for Managed Care Organizations (1996) Annals of Internal Medicine, 124 (10), pp. 919-921; Lor, P.H., George, B.P., An appreciative inquiry into the healthcare concerns of the elder Hmong women living in Alaska, USA (2014) Journal of Rural and Community Development, 9 (3), pp. 337-347; Meehan, P., Gadiesh, O., Hori, S., Culture as competitive advantage (2006) Leader to Leader, 2006 (39), pp. 55-61; Miller, J.G., Cultural Diversity in the Morality of Caring: Individually Oriented Versus Duty-Based Interpersonal Moral Codes (1994) Cross-Cultural Research, 28 (1), pp. 3-39; Porter, M.E., (1990) The Competitive Advantage of Nations, , New York: Free Press; Tervalon, M., Murray-García, J., Cultural Humility Versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education (1998) Journal of Health Care for the Poor and Underserved, 9 (2), pp. 117-125","George, B.; Fort Hays State UniversityUnited States; email: bpgeorge@fhsu.edu",,,"Nova Science Publishers, Inc.",,,,,,9781536133844; 9781536133837,,,"English","Critical Essays in Tourism Research",Book Chapter,"Final",,Scopus,2-s2.0-85048385475 "Omer Tontus H., Nebioglu S.","57202356255;57202356130;","Drivers of healthcare globalisation and their effects on medical tourism",2018,"e-Review of Tourism Research","15","2-3",,"255","272",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047978302&partnerID=40&md5=b8ddde83eb7c625b53ae9a4a4f99c60d","Public Hospitals Administration of Turkey, Emergency Health Services and Foreign Health Departments, Ministry of Health, Bilkent Kampus, Ankara, Turkey; Public Hospitals Administration of Turkey, Healthcare Services Department, Ministry of Health, Bilkent Kampus, Ankara, Turkey","Omer Tontus, H., Public Hospitals Administration of Turkey, Emergency Health Services and Foreign Health Departments, Ministry of Health, Bilkent Kampus, Ankara, Turkey; Nebioglu, S., Public Hospitals Administration of Turkey, Healthcare Services Department, Ministry of Health, Bilkent Kampus, Ankara, Turkey","Globalisation has intensified in many parts of the world, becoming an important challenge for public health institutions and policymakers. Although many studies have been conducted on the role of globalization in healthcare, no consensus has been reached on its effects. In this commentary, we attempt to evaluate the drivers of healthcare globalization and their effect on medical tourism destination selection. The focus of the commentary is the effects of globalization on patients, whose primary purpose is to travel for planned treatment for health reasons. People from developed countries look for alternative healthcare services and travel to developing countries for cost-effective medical care. Factors which foster medical tourism include demographic changes, remodeling of the healthcare industry, modern technological changes and advanced medical practices, including cost and quality considerations. This commentary presents a list of key factors related to globalization and their effects on medical tourism. © 2018 Texas A and M University.","Drivers; Factors; Globalisation; Medical tourism",,,,,,,,,"Bennie, R., Medical Tourism: A Look at How Medical Outsourcing Can Reshape Health Care (2014) Texas International Law Journal, 49, pp. 583-600; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tourism Management, 34, pp. 1-13; (2017) Old Is the New Young: How Global Consumers Are Challenging Ageing, , http://go.euromonitor.com/rs/805-KOK-719/images/sbOldNewYoungGlobalConsumersChallengingAgeing.pdf, (accessed: 23 August 2017); Gill, H., Singh, N., Exploring the Factors that Affect the Choice of Destination for Medical Tourism (2011) Journal of Service Science and Management, 2011 (4), pp. 315-324; (2015) European Hospital and Healthcare Federation, , http://www.hope.be/wp-content/uploads/2011/15/98_2015_HOPE-PUBLICATION_Medical-Tourism.pdf, Medical Tourism report (accessed: 22 August 2017); Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical Tourism: Globalization of the Healthcare Marketplace (2007) MedGenMed. 2007, 9 (4), p. 33. , https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234298/, (accessed: 22 August 2017); Jagyasi, D.P., (2008) Defining Medical Tourism, , http://www.medicaltourismmag.com/defining-medical-tourism-another-approach/, (accessed: 2 September 2017); Khan, M., ""Medical Tourism: Outsourcing of Healthcare"" (2010) International CHRIE Conference-Refereed Track, p. 23. , http://scholarworks.umass.edu/refereed/CHRIE_2010/Friday/23, (accessed: 22 August 2017); Kumar, J., Hussian, K., Shahi, M., (2012) The Proceedings of 11th Asia Pacific Forum for Graduate Students Research in Tourism and International Convention and Expo Summit 2012, , https://www.researchgate.net/publication/273317674_An_Evaluation_of_the_Factors_for_Medical_Tourism_Destination_Selection, 22-24 May 2012 Hong Kong SAR, China (accessed: 9 September 2017, ); Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A scoping review, , www.oecd.org/els/health-systems/48723982.pdf, OECD 50 Report (accessed: 29 August, 2017); Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., Implications for the NHS of inward and outward medical tourism: a policy and economic analysis using literature review and mixed-methods approaches (2014) Health Serv Deliv Res, 2 (2), pp. 16-17; Lunt, N., Horsfall, D.G., Hanefeld, J., Medical tourism: A snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-44; Mainil, T., Van Loon, F., Botterill, D., Dinnie, K., Platenkamp, V., Meulemans, H., Framing and Measuring International Patient Management (2012) Annual Review of Health Care Management: Strategy and Policy Perspectives on Reforming Health Systems (Advances in Health Care Management), 13, pp. 145-159. , in Leonard H. Friedman, Grant T. Savage, Jim Goes (ed.) Emerald Group Publishing Limited; McMichael, A.J., Beaglehole, R., The changing global context of public health (2000) Lancet, 356, pp. 577-582; Mestrovic, T., (2014) Medical Tourism Accreditation, , http://www.news-medical.net/health/Medical-Tourism-Accreditation.aspx, (accessed: 22 August 2017); Munro, J.W., (2012) ""What is medical tourism?, , http://www.globalwellnesssummit.com/wp-content/uploads/Industry-Research/Global/2012-mtqa-what-is-medical-tourism.pdf, (accessed: 22 August 2017); Rollyson, S., (2010), http://globalizationhealthcare.net/analysis/drivers/, Drivers, Business Drivers of Medical Tourism (accessed: 23 August 2017); Schroth, L., Khawaja, R., Globalization of healthcare (2007) Front Health Serv Manage, 24 (2), p. 1930. , Winter; (2015) Did you know? A fact sheet about medical tourism; Circumvention Medical Tourism, , http://www.sfu.ca/medicaltourism/One%20page%20summaries%20June%202015/Circumvention%20Medical%20Tourism.pdf, Simon Fraser University Medical Tourism Research Group. (accessed: 29 August 2017); Turner, L.G., ""Medical tourism"" and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467; Turner, L.G., Quality in Health Care and Globalization of Health Services: Accreditation and Regulatory Oversight of Medical Tourism Companies (2011) Int J Qual Health Care, 23 (1), pp. 1-7; Woodward, D., Drager, N., Beaglehole, R., Lipson, D., Globalization and health: a framework for analysis and action (2001) Bulletin of the World Health Organization, 79 (9), pp. 875-881; (2000) World merchandise trade by selected region and economy, 1980-99, , http://www.wto.org/english/res_e/statis_e/webpub_e.xls, Geneva, World Trade Organization, 2000 (accessed: 22 August 2017)",,,,"Texas A and M University",,,,,19415842,,,,"English","e-Review Tour. Res.",Article,"Final",,Scopus,2-s2.0-85047978302 "Verulava T., Jorbenadze R.","56602860500;57196029808;","Medical tourism in Georgia: Current barriers and recommendations",2018,"Malaysian Journal of Public Health Medicine","18","1",,"81","87",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046890710&partnerID=40&md5=194ab1a62cf55fc0f0e5daa9bd02b2da","Health Policy and Insurance Institute, School of Business, Ilia State University, Tbilisi, Georgia; G. Chapidze Emergency Cardiology Center, Tbilisi, Georgia","Verulava, T., Health Policy and Insurance Institute, School of Business, Ilia State University, Tbilisi, Georgia; Jorbenadze, R., G. Chapidze Emergency Cardiology Center, Tbilisi, Georgia","The aim of this study is to determine the effective factors that influence the development of medical tourism in Georgia. Qualitative and quantitative methods were used for research. Within the qualitative research the experts of medical tourism were interviewed. Within the qualitative research this study investigates medical tourists' expectations and perceptions regarding healthcare services. Study tools were prepared on the basis of specially developed ""Medical Outcomes Study, Patient Satisfaction Questionnaire"" (MOS PSQ-III). The results reveal that policies and regulations, government support, costs, capacity problems, and the healthcare needs of the local community are the main barriers to the development of such tourism. Several strategies for lifting these barriers are suggested, such as new promotional activity policies, government action to encourage investment in the medical tourism market, and cooperative efforts by the hospitality sector and medical institutions to develop medical tourism products. This paper sheds light on a poorly researched field in the Georgian context. It provides directions for hospital managers to develop strategies which will meet patients' expectations of service quality and increase their competitiveness in the health tourism market. © 2018 Malaysian Public Health Physicians Association.","Customer satisfaction; Georgia; Health services; Hospital; Medical tourism; Service quality","adult; article; expectation; government; health care need; human; investment; manager; market; medical tourism; patient satisfaction; perception; qualitative research; quantitative analysis; questionnaire",,,,,,,,"Hays, R.D., Davies, A.R., Ware, J.E., (1987) Scoring the Medical Outcomes Study Patient Satisfaction Questionnaire, PSQ-III, , MOS memorandum, Rand Corporation, Santa Monica; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 85-198; Dunn, F., Medical tourism takes flight (2007) Hospitals and Health Networks, 81 (11), pp. 40-44; Shimazono, Y., The state of the international organ trade: A provisional picture based on integration of available information (2007) Bulletin of the World Health Organization, 85 (12), pp. 955-962; Turner, L., Medical tourism initiatives should exclude commercial organ transplantation (2008) Journal of the Royal Society of Medicine, 101 (8); Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28 (6), pp. 337-341; Mulay, S., Gibson, L., Marketing or assisted human reproduction and the Indian State (2006) Development, 49, p. 84; Smith, R.D., Foreign direct investment and trade in health services: A review of the literature (2004) Social Science & Medicine, 59 (11); Bookman, M.Z., (2007) Bookman KR, , Medical Tourism in Developing Countries. New York: Palgrave Macmillan; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83, pp. 71-132; Chanda, R., (2007) Foreign Investment in Hospitals in India: Status and Implications, , India: Ministry of Health and Family Welfare and WHO Country Office; Markovic, S., Loncaric, D., Loncaric, D., Service Quality and Customer Satisfaction in the Health Care Industry-Towards Health Tourism Market (2014) Tourism and Hospitality Management, 20 (2), pp. 155-170; Soewardi, H., Abdianto, R.U., Sari, A.D., Development of effective displays design for Tourism Park (2016) Malaysian Journal of Public Health Medicine, 16, pp. 44-49; Ghazali, M.H.B., Shah, S.A.B., AbdManaf, M.R.B., What it takes to set up travel health services: A review from countries with established service (2017) Malaysian Journal of Public Health Medicine, 17 (3), pp. 47-57; Almahbashi, T., Aljunid, S.M., Ismail, A., Importance and performance of quality improvement at the institutes of health profession education in Yemen (2016) Malaysian Journal of Public Health Medicine, 16 (3), pp. 52-58; Verulava, T., Jorbenadze, R., Barkalaia, T., Introduction of universal health program in Georgia: Problems and Perspectives (2017) Georgian Medical News, 262 (1), pp. 116-120; Verulava, T., Maglakelidze, T., Health Financing Policy in the South Caucasus: Georgia, Armenia, Azerbaijan (2017) Bulletin of the Georgian National Academy of Sciences, 11 (2), pp. 143-150; Asatiani, M., Verulava, T., Georgian Welfare State: Preliminary Study Based on Esping-Andersen's Typology (2017) Economics and Sociology, 10 (4), pp. 21-28; Gerzmava, O., Tegetashvili, A., Main Trends of Developing Medical Tourism in Georgia (2015) European Scientific Journal, 2, pp. 228-232; Gerzmava, O., Lomtadze, L., Kitovani, D., Kadjrishvili, M., Development of medical tourism in Georgia (2011) Problems and perspectives.Georgian medical news, (199), pp. 64-74","Verulava, T.; Health Policy and Insurance Institute, School of Business, Ilia State UniversityGeorgia; email: tengiz.verulava@iliauni.edu.ge",,,"Malaysian Public Health Physicians Association",,,,,16750306,,,,"English","Malays. J. Public Health Med.",Article,"Final",,Scopus,2-s2.0-85046890710 "Kirkner R.M.","35069663500;","Medical tourism: Once ready for takeoff, now stuck at the gate",2018,"Managed Care","2018","APR", 7,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044721173&partnerID=40&md5=b11171bec8c6d2dcd330e8a5f82fd6c9",,"Kirkner, R.M.",[No abstract available],,"health care cost; health care policy; international cooperation; medical tourism; trends; United States; Health Care Costs; Internationality; Medical Tourism; Patient Protection and Affordable Care Act; United States",,,,,,,,,"Kirkner, R.M.",,,"MediMedia USA Inc.",,,,,10623388,,,"29701590","English","Managed Care",Article,"Final",,Scopus,2-s2.0-85044721173 "Bouzaabia O., Bouzaabia R., Mejri K.","55748182500;55781804800;35789917900;","Role of internet in the development of medical tourism service in Tunisia",2018,"Digital Marketing and Consumer Engagement: Concepts, Methodologies, Tools, and Applications",,,,"859","883",,,"10.4018/978-1-5225-5187-4.ch044","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041632441&doi=10.4018%2f978-1-5225-5187-4.ch044&partnerID=40&md5=f34618ad43bfc6c0d75ef221fbec3a38","University of Gabes, Tunisia; University of Sousse, Tunisia; IHEC Sousse, Tunisia","Bouzaabia, O., University of Gabes, Tunisia; Bouzaabia, R., University of Sousse, Tunisia; Mejri, K., IHEC Sousse, Tunisia","Medical tourism is gaining importance through the last decades thanks to internationalization. in this area, internationalization has been facilitated by the internet revolution that enables instantaneous transmission of text, audio and visual data as well as graphics, which makes the medical consultation distance shorter and moreover reliable. a state of the art on internationalization, medical tourism and digital marketing has been presented. Furthermore, the authors, through a rich case study of the International Medical Embassy, examined the role played by the different digital marketing techniques in the development of medical tourism services in an emerging country such as Tunisia. based that, theoretical as well as practical recommendations are presented. © 2018 by IGI Global. All rights reserved.",,,,,,,,,,"Aharoni, Y., (1966) The foreign investment decision process., , Boston: Harvard University Press; Amidou, L., (2012) Marketing des réseaux sociaux., , MA Editions; Baker, L., Wagner, T.H., Singer, S., Bundorf, M.K., Use of the Internet and e-mail for health care Information (2003) Journal of the American Medical Association, 289 (18), pp. 400-406; Baliga, H., Medical tourism is the new wave of outsourcing from India (2006) India Daily, , http://www.indiadaily.com/editorial/14858.asp, December 23, Retrieved from; Bauer, H.H., Grether, M., Leach, M., Building customer relations over the Internet (2002) Industrial Marketing Management, 31 (2), pp. 75-85; Bauer, H.H., Grether, M., Leach, M., Building customer relations over the Internet (2002) Industrial Marketing Management, 31 (2), pp. 155-163; Bell, J., McNaughton, R.B., Young, S., Crick, D., Towards an integrative model of small firm internationalization (2003) Journal of International Entrepreneurship, 1 (4), pp. 339-362; Bilkey, W., Tesar, G., The export behaviour of small sized Wisconsin manufacturing firms (1977) Journal of International Business Studies, 8 (1), pp. 93-96; Blomqvist, K., Kyläheiko, K., Virolainen, V.-M., Filling a gap in traditional transaction cost economics: Towards transaction benefits-based analysis (2002) International Journal of Production Economics, 79 (1), pp. 1-14; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing countries., , New York:Palgrave Macmillan; Boumidiene, L., Le tourisme médical: Un enjeu stratégique pour la Tunisie (2012) Les journées de l’entreprise.; Brian, M.J., Bhatt, N., Cochlear Implants and Medical Tourism (2010) Cochlear Implants International, 11 (3), pp. 125-132. , PMID:21756681; Buhalis, D., (2003) eTourism: Information Technology for Strategic Tourism Management, , New York: Financial Times Prentice Hall; Buhalis, D., Oconnor, P., Information Communication Technology Revolutionizing Tourism (2005) Tourism Recreation Research, 30 (3), pp. 7-16; Cavusgil, T., On the internationalisation process of firms (1980) European Research, 8 (6), pp. 273-281; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connolly, D.J., Lee, S., Developing Information Technology Proficiencies and Fluency in Hospitality Students (2006) Journal of Hospitality & Tourism Education, 18 (3), pp. 15-29; Coviello, N., Milley, R., Marcolin, B., Understanding IT-enabled Interactivity in Contemporary Marketing (2001) Journal of Interactive Marketing, 15 (4), pp. 18-33; Coviello, N., Munro, H., Growing the entrepreneurial firm: Networking for internal market development (1995) European Journal of Marketing, 29 (7), pp. 49-61; Coviello, N., Munro, H., Network relationships and the internationalization process of small software firms (1997) International Business Review, 6 (4), pp. 361-386; Coviello, N.E., McAuley, A., Internationalisation and the smaller firm: A review of contemporary empirical research (1999) Management International Review, 39 (3), pp. 223-256; Crowford, K., (2006) Medical tourism agencies take operations overseas., , http://money.cnn.com/2006/08/02/magazines/business2/medicaltourism.biz2/, CNN. 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Japan Advanced Institute of Science and Technology; Molla, A., Licker, P., Perceived E readiness Factoring E commerce Adoption: An Empirical Investigation in a developing Country (2005) International Journal of Electronic Commerce, 10 (1), pp. 83-110; Neelankantan, S., India’s global ambitions (2003) Far Eastern Economic Review., , November 6; Nieto, M., Fernández, Z., The role of information technology in corporate strategy of small and medium enterprises (2005) Journal of International Entrepreneurship, 3 (4), pp. 251-262; Olson, H.S., Wiedersheim-Paul, E., Factors affecting the pre-export behavior of non-exporting Firms (1978) European Research in International Business, pp. 283-305. , M. Ghertman & J. 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(2013) Research page: 2013 & 2012 estimates of visitors of Florida by quarter., , http://www.visitfloridamediablog.com/home/florida-facts/research/, Retrieved from; Wan Normila, M., Azizah, O., The Moderating Effect of Medical Travel Facilitators in Medical Tourism (2012) Procedia: Social and Behavioral Sciences, 65, pp. 358-363; Wickramasinghe, N., Goldberg, S., How M = Ec2 in healthcare (2004) International Journal of Mobile Communications, 2 (2), pp. 140-156; Wickramasinghe, N., Misra, S.K., A wireless trust model for healthcare (2004) International Journal of Electronic Healthcare, 1 (1), pp. 60-77; Wong, K.M., Musa, G., (2012) Medical Tourism: The Ethics, Regulation and Marketing of Health Mobility.; Yip, G.S., Biscarri, G., Monti, J.A., The Role of the internationalization process in the performance of newly internationalizing firms (2000) Journal of International Marketing, 8 (3), pp. 10-35; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) The Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) The Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; Zain, M., Ng, S.I., The impacts of network relationships on SMEs internationalization process (2006) Thunderbird International Business Review, 48 (2), pp. 183-205",,,,"IGI Global",,,,,,9781522551898; 1522551875; 9781522551874,,,"English","Digital Marketing and Consumer Engagem.: Concepts, Methodologies, Tools, and Applications",Book Chapter,"Final",,Scopus,2-s2.0-85041632441 "Choi W.A., Kim H., Lee S.-C.","36196339700;57203630298;57213176328;","Word-of-mouth in medical tourism: The major determinant for emirati patients to visit Korea",2018,"Korean Journal of Internal Medicine","33","1",,"221","223",,,"10.3904/kjim.2015.182","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040921397&doi=10.3904%2fkjim.2015.182&partnerID=40&md5=0d2612bafb99faedfceb71d7957045da","Department of Hispanic Language and Literature, Seoul National University, Seoul, South Korea; International Health Services, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Heart, Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea","Choi, W.A., Department of Hispanic Language and Literature, Seoul National University, Seoul, South Korea; Kim, H., International Health Services, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; Lee, S.-C., Heart, Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea",[No abstract available],"Emirati patients; Medical tourism; Word-of-mouth","caregiver; clinical article; controlled study; Emirati; health practitioner; hospital patient; human; Korean (people); Letter; medical tourism; patient decision making; patient satisfaction; physician; questionnaire; South Korea; travel; Asia; child; China; decision making; ethnology; health care personnel; health care quality; medical tourism; statistics and numerical data; United Arab Emirates; Asia; Child; China; Choice Behavior; Health Personnel; Humans; Medical Tourism; Quality of Health Care; Republic of Korea; Surveys and Questionnaires; United Arab Emirates",,,,,,,,"International visitor survey 2013 (2007) Wonju (KR): Korea Tourism Organization, , http://kto.visitkorea.or.kr/kor/notice/data/statis/tstatus/forsta-tus/board/view.kto?id=421189&isNotice=false&instan-ceId=295&rnum=1; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tour Manag, 27, pp. 1093-1100; Inhorn, M.C., Shrivastav, P., Globalization and reproductive tourism in the United Arab Emirates (2010) Asia Pac J Public Health, 22, pp. 68S-74S; Rerkrujipimol, J., Assenov, I., (2014) Medical Tourism in Thailand and Its Marketing Strategies [Internet]. Phuket (TH): Prince of Songkla University, , http://www.conference.phuket.psu.ac.th/proceedings/psu_open_week_2008/data/tour-ism/4_13.pdf; Margolis, S.A., Al-Marzouq, S., Revel, T., Reed, R.L., Patient satisfaction with primary health care services in the United Arab Emirates (2003) Int J Qual Health Care, 15, pp. 241-249","Lee, S.-C.; Heart, Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, South Korea; email: i101016@skku.ed0075",,,"Korean Association of Internal Medicine",,,,,12263303,,KJIME,"27141853","English","Korean J. Intern. Med.",Letter,"Final",Open Access,Scopus,2-s2.0-85040921397 "Karadayi M.A., Isik M.","36967808500;36343688900;","A categorical DEA framework for evaluating medical tourism efficiency of “top destinations”",2018,"International Series in Operations Research and Management Science","262",,,"493","511",,,"10.1007/978-3-319-65455-3_19","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85037729383&doi=10.1007%2f978-3-319-65455-3_19&partnerID=40&md5=0e390fb25107eb59ca40a9825d88ee09","Industrial Engineering Department, Medipol University, Beykoz, Istanbul, 34810, Turkey; Industrial Engineering Department, Bogazici University, Bebek, Istanbul, 34342, Turkey","Karadayi, M.A., Industrial Engineering Department, Medipol University, Beykoz, Istanbul, 34810, Turkey; Isik, M., Industrial Engineering Department, Bogazici University, Bebek, Istanbul, 34342, Turkey","Over the past decade, medical tourism has been one of the fastest growing sectors in developing countries. In this context, the attempt to monitor the performance of top medical tourism destinations has become a major concern. In spite of the fact that medical tourism has a significantly direct impact on not only GDP but also foreign exchange generation, there is an absence of empirical studies on the key drivers. This study proposes a categorical data envelopment analysis (DEA) framework for evaluating medical tourism performance of top destinations. Finally, research hypotheses are created to analyze the relationship between the countries’ medical tourism performance and their political, regulatory environment, technology and knowledge outputs. © Springer International Publishing AG 2018.","Categorical data; Data envelopment analysis; Efficiency; Medical tourism; Performance evaluation",,,,,,,,,"Alsharif, M.J., Labonte, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Soc Policy, 10, pp. 315-335; Banker, R.D., Morey, R.C., The use of categorical variables in data envelopment analysis (1986) Manag Sci, 32, pp. 1613-1627; Beladi, H., Chao, C.C., Ee, M.S., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Econ Model, 46, pp. 391-396; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Math Comput Model, 46, pp. 1144-1159; Charnes, A., Cooper, W.W., Rhodes, E., Measuring the Efficiency of Decision Making Units (1978) EJOR, 2, pp. 429-444; Chuang, T.C., Liu, J.S., Lu, L., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tour Manag, 45, pp. 49-58; Cook, W.D., Seiford, L.M., Data Envelopment Analysis (DEA)- Thirty years on (2009) Eur J Oper Res, 192, pp. 1-17; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsburt, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Soc Sci Med, 72, pp. 726-732; Dash, U., Vaishnavi, S.D., Muraleedharan, V.R., Technical efficiency and scale efficiency of district hospitals: A case study (2010) J Health Manag, 12, pp. 231-248; De Nicola, A., Gitto, S., Mancuso, P., Valdmanis, V., Healthcare reform in Italy: An analysis of efficiency based on nonparametric methods (2014) Int J Health Plann Manag, 29, pp. 48-63; Fetscherin, M., Stephano, R.M., The medical tourism index: Scale development and validation (2016) Tour Manag, 52, pp. 539-556; Gautam, S., Hicks, L., Johnson, T., Mishra, B., Measuring the performance of critical access hospitals in Missouri using data envelopment analysis (2013) J Rural Health, 29, pp. 150-158; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16, pp. 1145-1155; Gok, M.S., Sezen, B., Analyzing the ambiguous relationship between efficiency, quality and patient satisfaction in healthcare services: The case of public hospitals in Turkey (2013) Health Policy, 111, pp. 290-300; (2009) The Rise of Medical Tourism, , www.grailresearch.com; Hajialiafzali, H., Moss, J.R., Mahmood, M.A., Efficiency measurement for hospitals owned by the Iranian social security organization (2007) J Med Syst, 31, pp. 166-172; Hoof, V.W., Pennings, G., Sutter, P., Cross-border reproductive care for law evasion: A qualitative study into the experiences and moral perspectives of French women who go to Belgium for treatment with donor sperm (2015) Soc Sci Med, 124, pp. 391-397; Hu, H.H., Qi, Q., Yang, C.H., Analysis of hospital technical efficiency in China: Effect of health ınsurance reform (2012) China Econ Rev, 23, pp. 865-877; (2015), http://economicsandpeace.org/wp-content/uploads/2015/06/Global-Peace-Index-Report-2015_0.pdf; Ketabi, S., Efficiency measurement of cardiac care units of Isfahan hospitals in Iran (2011) J Med Syst, 35, pp. 143-150; Lee, C.G., Health care and tourism: Evidence from Singapore (2010) Tour Manag, 31, pp. 486-488; Lunt, N., Horsfall, D., Hanefeld, J., Medical tourism: A snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-44; Lunt, N., Smith, R., Exworthy, M., Green, S., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, 55p. , OECD, Paris; Mainil, T., (2012) Transnational Health Care and Medical Tourism: Understanding 21St-Century Patient Mobility: Towards a Rationale of Transnational Health Region Development, , 978–90–5472-219-9 NRIT Media, Nieuwegein; Mark, B.A., Jones, C.B., Lindley, L., Ozcan, Y.A., An examination of technical efficiency, quality, and patient safety in acute care nursing units (2009) Policy Polit Nurs Pract, 10, pp. 80-186; (2013) M. T.A Medical Tourism Climate Survey, , www.medicaltourismassociation.com; (2016) 2015-2016 Annual Report, , http://www.medicaltourismassociation.com/userfiles/files/GHR_M_0037_ANNUAL_REPORT.pdf; (2016), http://www.medretreat.com/destinations/thailand.html; Mohamad, W.N., Omar, A., Haroni, M.S., The moderating effect of medical travel facilitators in medical tourism (2012) Procedia- Soc Behav Sci, 65, pp. 358-363; Nayar, P., Ozcan, Y.A., Data envelopment analysis comparison of hospital efficiency and quality (2008) J Med Syst, 32, pp. 193-199; Pan, T., Chen, W.C., Chinese medical tourists – Their perceptions of Taiwan (2014) Tour Manag, 44, pp. 108-112; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Glob Health, 7, 12p; Prakash, V., Annapoorni, D., Performance evaluation of public hospitals in Tamil Nadu: DEA Approach (2015) J Health Manag, 17, pp. 417-424; Rozée, V.E., De La Rochebrochard, E., Cross border reproductive care human reproduction (2013) Hum Reprod, 28, pp. 3103-3110; Smith, R.M., Álvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103, pp. 276-282; Taskopru, V., (2014) Comparative Analysis of Classical Data Envelopment Analysis and Categorical Data Envelopment Analysis Models for Energy Efficiency, Master’s Thesis, , Mimar Sinan Fine Arts University, Istanbul; Veerasoontorn, R., Beise-Zee, R., International hospital outshopping: A staged model of push and pull factors (2010) Int J Pharma. Healthc Mark, 4, pp. 247-264; Viladrich, A., Faust, R.B., Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina (2014) Ann Tour Res, 45, pp. 116-131; Wilson, G.W., Jadlow, J.M., Competition, profitincentives, andtechnicalefficiency in theprovision of nuclearmedicineservices (1982) Bell J Econ, 13, pp. 472-482; (2013) The Global Information Technology Report, , http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.362.6163&rep=rep1&type=pdf; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tour Manag, 33, pp. 80-88; Zere, E., Mbeeli, T., Shangula, K., Mandlhate, C., Mutirua, K., Tjivambi, B., Kapenambili, W., Technical efficiency of district hospitals: Evidence from Namibia using data envelopment analysis (2006) Cost Eff Resour Allocation, 4, pp. 5-14; Zhou, Z., Zhao, L., Lui, S., Ma, C., A generalized fuzzy DEA/AR performance assessment model (2012) Math Comput Model, 55, pp. 2117-2128","Isik, M.; Industrial Engineering Department, Bogazici University, Bebek, Turkey; email: makaradayi@medipol.edu.tr",,,"Springer New York LLC",,,,,08848289,,,,"English","Int. Ser. Oper. Res.Manag. Sci.",Book Chapter,"Final",,Scopus,2-s2.0-85037729383 "Das B.","36969509000;","Medical tourism, biomedical wastes and health hazard",2018,"Advances in Intelligent Systems and Computing","590",,,"397","405",,,"10.1007/978-3-319-60483-1_41","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85023202534&doi=10.1007%2f978-3-319-60483-1_41&partnerID=40&md5=e90074ef757cdbb240feb82d7a7061f2","Department of Geography, Dr MeghnadSaha College, Itahar, Uttar DinajpurWest Bengal 733128, India","Das, B., Department of Geography, Dr MeghnadSaha College, Itahar, Uttar DinajpurWest Bengal 733128, India","The term hazard means occurrence of an event exceeding threshold point or tolerance limit. The hazard may be classified as natural, quasi-natural and man-made or anthropogenic among which the third one is considered to be the most critical one developed as a direct consequence of illogical man-environment interaction system. Biomedical waste has the potential to create hazardous environment. These wastes, generated in both government and private health care units, pathological laboratories, research laboratories, etc. refer to different types of biodegradable and non-degradable, hazardous and nonhazardous materials. Traditionally, all such types of wastes would be dumped into common municipality vats and would be mixed with other types of municipality wastes. Such disposal system of biomedical wastes would create a threat to the health of not only of the persons engaged in health service related activities, but also of other people living in adjacent areas. A framework for biomedical waste disposal system, formulated by the Government of India in 1998, has been implemented and in use in the State of West Bengal. However, due to lack of perception among different stakeholders, implementation of such a system cannot prevent health hazard created by disposal of biomedical wastes. In recent times, the problem of hazard has become very critical mainly due to increasing flow of patients from foreign countries in the form of medical tourism. In fact, medical tourism in India contributes an extra inflow of patients at the rate of about 30% per year. As a resultant effect, a huge amount of biomedical wastes are generated every year by migrant patients imposing an additional load to both environmental threshold and environmental cost. The present study is aimed to estimate the biomedical wastes generated by medical tourists as well as to find out the types, causes and magnitude of health hazard problem generated by biomedical wastes. As a remedial measure, an environmental service tax needs to be imposed on the medical tourists to solve the problem of extra environmental stress created by them. © Springer International Publishing AG 2018.","Biomedical wastes; Environmental service tax; Health hazard; Medical tourists; Stakeholders","Biomedical equipment; Ergonomics; Hazards; Health care; Health hazards; Health risks; Human engineering; Problem solving; Research laboratories; Waste disposal; Wastes; Environmental services; Environmental stress; Environmental threshold; Hazardous environment; Medical tourists; Nonhazardous materials; Stakeholders; Waste disposal systems; Biohazards",,,,,,,,"Chartier, Y., Emmanuael, J., Pieper, U., Priiss, A., Rushbrook, P., Stringer, R., Townend, W., Zghondi, R., Safe Management of Wastes from Health-Care Activites (2014) World Health Organization; (2017), www.medwasteind.org; Shanmugam, K.R., Medical Tourism in India: Progress, Opportunities and Challenges (2013) Monograph-26; http://tourism.gov.in; (2015) Market Research Division, , Ministry of Tourism, Government of India; Bhangle, V., Indian Medical Tourism (2015) Opportunities and Challenges; Dawn, S.K., Pal, S., Medical tourism in india: Issues opportunities and designing strategies for growth and development (2011) Int. J. Multi-Discipl. Res, 1, pp. 185-202","Das, B.; Department of Geography, Dr MeghnadSaha College, Itahar, Uttar Dinajpur, India; email: beladas62@gmail.com","Duffy V.Lightner N.","","Springer Verlag","AHFE 2017 International Conferences on Human Factors and Ergonomics in Healthcare and Medical Devices, 2017","17 July 2017 through 21 July 2017",,193489,21945357,9783319604824,,,"English","Adv. Intell. Sys. Comput.",Conference Paper,"Final",,Scopus,2-s2.0-85023202534 "Fleck K.","57015115600;","South Korea: The government is the driving force in medical tourism [Südkorea: Regierung ist treibende Kraft im Medizintourismus]",2017,"Deutsches Arzteblatt International","114","45",,"A2094","A2096",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85035233889&partnerID=40&md5=d5344eff17355e9e6f8291e4bd138d28",,"Fleck, K.",[No abstract available],,"government; medical tourism; Short Survey; South Korea",,,,,,,,,"Fleck, K.",,,"Deutscher Arzte-Verlag GmbH",,,,,18660452,,,,"English; German","Dtsch. Arztebl. Inter.",Short Survey,"Final",,Scopus,2-s2.0-85035233889 "Jedeejit P., Nuankaew P., Nuankaew W.","57200139503;56426447600;57193735880;","Development knowledge management pattern for entrepreneurship in upper-northern Thailand wellness tourism",2017,"ECTI-CON 2017 - 2017 14th International Conference on Electrical Engineering/Electronics, Computer, Telecommunications and Information Technology",,, 8096256,"393","395",,,"10.1109/ECTICon.2017.8096256","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85039900692&doi=10.1109%2fECTICon.2017.8096256&partnerID=40&md5=bb3c0b5d39f36d44959b7456c9bc45ae","Faculty of College of Art Media and Technology, Chiang Mai University, Thailand; School of Information and Communication Technology, University of Phayao, Thailand; Faculty of Information Technology, Rajabhat Mahasarakham University, Thailand","Jedeejit, P., Faculty of College of Art Media and Technology, Chiang Mai University, Thailand; Nuankaew, P., School of Information and Communication Technology, University of Phayao, Thailand; Nuankaew, W., Faculty of Information Technology, Rajabhat Mahasarakham University, Thailand","The aim of this study focuses on knowledge management in entrepreneurship for develop knowledge by integrated knowledge based capital in Thailand. At present time the world society has changed in changed in almost every aspect, affecting adjustments in economy, culture, way of life and value. In nowadays people have to adapt either their work or career to survive. Entrepreneur as well as Thai economy have to adjust themselves to the global changes and step into the new world sustainably. Knowledge based economy is a concept that could be developed into a strategy to help progress into the new world sustainably by using the Thai wisdom or knowledge capital, which is the knowledge transformed generation to generation from the ancient time until now. It is the nation's intellectual property and belongs to all Thais. In consequence Thai wisdom or knowledge capital could be developed and added value to products and services. The researcher purpose the concept or model for integrated local knowledge in term of wellness and international concept for success Thai service industries in wellness tourism. © 2017 IEEE.","Creative Economy; Entrepreneurship; Knowledge Based; Wellness Tourism","Knowledge based systems; Creative Economy; Entrepreneurship; Knowledge based; Knowledge based economy; Knowledge capitals; Products and services; Service industries; Wellness Tourism; Knowledge management",,,,,,,,"Aaker, D.A., Equity, M.B., (1991) The Free Press, 206. , New York; Ardell, D.B., (1985) The History and Future of Wellness, , (updat. Ed.) Kendall/Hunt Dubuque, Iowa; Aaker, D.A., David, A., (1996) Building Strong Brands, , New York: The FreePress; Aaker, D.A., Adler, D.A., (1984) Developing Business Strategies, 200. , Wiley New York; Bontis, N., Bart, C.K., Nazari, J.A., Herremans, I.M., Extended VAIC model: Measuring intellectual capital components (2007) Journal of Intellectual Capital, 8 (4), pp. 595-609; Bontis, N., Theres a price on your head: Managing intellectual capital strategically (1996) Business Quarterly, 60, pp. 40-78; (2011) Wellness Tourism, Medical Tourism: Where Do Spas Fit, , May; Bontis, N., Fitz-Enz, J., Intellectual capital ROI: A causal map of human capital antecedents and consequents (2002) Journal of Intellectual Capital, 3 (3), pp. 223-247; Brymer, E., Lacaze, A.-M., 18. The benefits of ecotourism for visitor wellness (2013) International Handbook on Ecotourism, 217; John, H., The creative economy: How people make money from ideas (2001) Penguin; Guthrie, J., Petty, R., Intellectual capital: Australian annual reporting practices (2000) Journal of Intellectual Capital, 1 (3), pp. 241-251; Edvinsson, L., Malone, M.S., (1997) Intellectual Capital: Realizing Your Companys True Value by Finding Its Hidden Brainpower; Keller, K.L., Parameswaran, M.G., Jacob, I., Strategic brand management: Building, measuring, and managing brand equity (2011) Pearson Education India; Kotler, P., Keller, K.L., (2000) Market Management, Translated by Abdolreza Rezaeenejhad, , (1st ed.) Tehran: Nashr-e-Fara Publications; Nonaka, I., Takeuchi, H., (1995) The Knowledge-creating Company: How Japanese Companies Create the Dynamics of Innovation, , Oxford university press; http://thailand.prd.go.th/ewt_news.php?nid=3807, 12th National Economic and Social Development Plan [Accessed: 07-Mar-2017]; (2012), https://www.kasikornresearch.com, Kasikorn Research Center Retrieved Jan 10, 2017","Jedeejit, P.; Faculty of College of Art Media and Technology, Chiang Mai UniversityThailand; email: ploy_cr@yahoo.com",,"","Institute of Electrical and Electronics Engineers Inc.","14th International Conference on Electrical Engineering/Electronics, Computer, Telecommunications and Information Technology, ECTI-CON 2017","27 June 2017 through 30 June 2017",,131765,,9781538604496,,,"English","ECTI-CON - Int. Conf. Electr. Eng./Electron., Comput., Telecommun. Inf. Technol.",Conference Paper,"Final",,Scopus,2-s2.0-85039900692 "Penner M.","57197755436;","Practitioner Application: The Effects of Price and Health Consciousness and Satisfaction on the Medical Tourism Experience",2017,"Journal of Healthcare Management","62","6",,"417","418",,,"10.1097/JHM-D-17-00153","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034584317&doi=10.1097%2fJHM-D-17-00153&partnerID=40&md5=47297ea23b94298e40773b3e344c8153","Houston Methodist Global Health Care Services, Houston Methodist HospitalTX, United States","Penner, M., Houston Methodist Global Health Care Services, Houston Methodist HospitalTX, United States",[No abstract available],,"Article; consciousness; consumer; experience; healing; health; health care cost; health care organization; health care utilization; health service; hospital; human; medical tourism; patient decision making; patient satisfaction; United States; attitude to health; commercial phenomena; consumer attitude; economics; medical tourism; patient satisfaction; statistics and numerical data; Commerce; Consumer Behavior; Health Knowledge, Attitudes, Practice; Humans; Medical Tourism; Patient Satisfaction",,,,,,,,"(2016) Defining Patient Experience, , www.theberylinstitute.org, Beryl Institute Retrieved from","Penner, M.; Houston Methodist Global Health Care Services, Houston Methodist HospitalUnited States",,,"Lippincott Williams and Wilkins",,,,,10969012,,JHMAF,"29135766","English","J. Healthc. Manage.",Article,"Final",,Scopus,2-s2.0-85034584317 "Liang Z.-X., Hui T.-K., Sea P.-Z.","56518812400;7005618932;57195742149;","Is price most important? Healthcare tourism in Southeast Asia",2017,"Tourism Geographies","19","5",,"823","847",,,"10.1080/14616688.2017.1376224","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029726846&doi=10.1080%2f14616688.2017.1376224&partnerID=40&md5=1d25a8432458cb9cb7dadfdbcfef8903","School of Tourism Mangement, Sun Yat-Sen University, Guangzhou, China; Department of Analytics and Operation, NUS Business School, National University of Singapore, Singapore","Liang, Z.-X., School of Tourism Mangement, Sun Yat-Sen University, Guangzhou, China; Hui, T.-K., Department of Analytics and Operation, NUS Business School, National University of Singapore, Singapore; Sea, P.-Z., Department of Analytics and Operation, NUS Business School, National University of Singapore, Singapore","Healthcare tourism is a general term for traveling to another country to seek healthcare services. It spread from Western countries to emerging Southeast Asian nations in the past decade because of a series of factors. Price is likely considered as one of the important factors among most healthcare tourism providers and politicians. However, healthcare tourists tend to consider more before making a decision. According to some early studies, healthcare quality, package, convenience, country, price, emotional value, and social value were frequently considered factors. To examine the role of these factors, this study proposes a structural model to investigate the relationship of the perceived value, satisfaction, and behavioral intentions of three Southeast Asian countries, namely Singapore, Thailand, and Malaysia. A sample of size 724 is collected at the Departure Hall of the Singapore Changi International Airport within a two-month period, using a systematic random sampling method, in which every third tourist who pass the surveyor is asked to fill in the questionnaire. All of the questionnaires handed out on a given day referred to the same country, and the three different countries are rotated on different days. All factors are significant and it is found that the two most important factors are functional value of healthcare quality and emotional value. Price is a significant but the least important factor. This indicates that cheaper price may be just a promotional gimmick or an obvious incentive, but it is not the main driving force for healthcare tourists to make their decisions. The results also provide empirical support that emphasis on perceived value of healthcare tourism may also translate into trust in the staff and other positive feelings. It is further found that the impact of perceived value on behavioral intentions is mediated by satisfaction for all three countries. © 2017 Informa UK Limited, trading as Taylor & Francis Group.","behavioral intention; Healthcare tourism; perceived value; satisfaction; Southeast Asia","health care; health services; tourist behavior; tourist destination; Malaysia; Singapore [Southeast Asia]; Thailand",,,,,"National Natural Science Foundation of China, NSFC: 41301146","This work was supported by the National Natural Science Foundation of China [grant number 41301146].",,"Agarwal, J., Malhotra, N.K., An integrated model of attitude and affect: Theoretical foundation and an empirical investigation (2005) Journal of Business Research, 58 (4), pp. 483-493; Al-Sabbahy, H.Z., Ekinci, Y., Riley, M., An investigation of perceived value dimensions: Implications for hospitality research (2004) Journal of Travel Research, 42 (3), pp. 226-234; Anderson, E.W., Sullivan, M., The antecedents and consequences of customer satisfaction for firms (1993) Marketing Science, 12 (2), pp. 125-143; Bagozzi, R.P., The self-regulation of attitudes, intentions, and behavior (1992) Social Psychology Quarterly, 55 (2), pp. 178-204; Bagozzi, R.P., Yi, Y., Multitrait-multimethod matrices in consumer research (1991) Journal of Consumer Research, 17 (4), pp. 426-439; Baker, D.A., Crompton, J.L., Quality, satisfaction and behavioral intentions (2000) Annals of Tourism Research, 27 (3), pp. 785-804; Bennett, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2003) Journal of Vacation Marketing, 10 (2), pp. 122-137; Bentler, P.M., Comparative fit indexes in structural models (1990) Psychological bulletin, 107 (2), pp. 238-246; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46 (7-8), pp. 1144-1159; Bitner, M.J., Evaluating service encounters: The effects of physical surroundings and employee responses (1990) Journal of Marketing, 54 (2), pp. 69-82; Bollen, K.A., A new incremental fit index for general structural models (1989) Sociological Methods and Research, 17 (3), pp. 303-316; Bonsón Ponte, E., Carvajal-Trujillo, E., Escobar-Rodríguez, T., Influence of trust and perceived value on the intention to purchase travel online: Integrating the effects of assurance on trust antecedents (2015) Tourism Management, 47, pp. 286-302; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York, NY: Palgrave MacMillan; Browne, N.W., Cudeck, R., Alternative ways of assessing model fit (1993) Testing structural equation models, pp. 445-455. , Bollen K.A., Long J.S., (eds), Newbury Park, CA: Sage, &,. In, (Eds; Byrne, B.M., (2001) Structural equation modeling with AMOS: Basic concepts, applications, and programming, , Mahwah, NJ: Lawrence Erlbaum Associates; Chee, H.L., Medical tourism in Malaysia: International movement of healthcare consumers and the commodification of healthcare (2007) SSRN Electronic Journal., , http://dx.doi.org/10.2139/ssrn.1317163, Working Paper Series, 83, Retrieved from; Chen, C.F., Chen, F.S., Experience quality, perceived value, satisfaction and behavioral intentions for heritage tourists (2010) Tourism Management, 31 (1), pp. 29-35; Chen, C., Tsai, D., How destination image and evaluative factors affect behavioral intentions (2007) Tourism Management, 28 (4), pp. 1115-1122; Chen, C., Tsai, M., Perceived value, satisfaction, and loyalty of TV travel product shopping: Involvement as a moderator (2008) Tourism Management, 29 (6), pp. 1166-1171; Choi, K., Cho, W., Lee, S., Lee, H., Kim, C., The relationships among quality, value, satisfaction and behavioral intention in health care provider choice: A South Korean study (2004) Journal of Business Research, 57 (8), pp. 913-921; Connell, J., Medical tourism: Sea, sun, sand and … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cooper, C.P., Fletcher, J., Noble, A., Westlake, J.N., Changing tourism demand in central Europe: The case of Romanian tourism spas (1995) Journal of Tourism Studies, 6 (2), pp. 30-44; Cronin, J.J., Brady, M.K., Hult, G.T., Assessing the effects of quality, value, customer satisfaction on consumer behavioral intentions in service environments (2000) Journal of Retailing, 76 (2), pp. 193-218; de Arellano, A.B.R., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Donabedian, A., The effectiveness of quality assurance (1996) International Journal for Quality in Health Care, 8 (4), pp. 401-407; Eggert, A., Ulaga, W., Customer perceived value: A substitute for satisfaction in business markets (2002) Journal of Business and Industrial Marketing, 17 (2-3), pp. 107-118; Fick, G.R., Brent Ritchie, J.R., Measuring service quality in the travel and tourism industry (1991) Journal of Travel Research, 30 (2), pp. 2-9; 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(2015) Yearbook of statistics Singapore, 2015, , http://www.singstat.gov.sg/docs/default-source/default-document-library/publications/publications_and_papers/reference/yearbook_2015/yos2015.pdf, Retrieved from; Sweeney, J.C., Soutar, G.N., Johnson, L.W., Retail service quality and perceived value: A comparison of two models (1996) Journal of Retailing and Consumer Services, 4 (1), pp. 39-48; Sweeney, J.C., Soutar, G.N., Johnson, L.W., The role of perceived risk in the quality-value relationship: A study in a retail environment (1999) Journal of Retailing, 75 (1), pp. 77-105; Sweeney, J.C., Soutar, G.N., Consumer perceived value: The development of a multiple item scale (2001) Journal of Retailing, 77 (2), pp. 203-220; Turner, L., Dental tourism”: Issues surrounding cross-border travel for dental care (2009) Journal of the Canadian Dental Association, 75, pp. 117-119; Weber, K., The assessment of tourist satisfaction using the expectancy disconfirmation theory: A study of the German travel market in Australia (1997) Pacific Tourism Review, 1 (1), pp. 35-45; 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Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33, pp. 80-88; Zarrilli, S., Kinnon, C., (1998) International trade in health services: A development perspective, , Geneva: United Nations Conference on Trade and Development","Liang, Z.-X.; School of Tourism Mangement, Sun Yat-Sen UniversityChina; email: liangzx3@mail.sysu.edu.cn",,,"Routledge",,,,,14616688,,,,"English","Tour. Geogr.",Article,"Final",,Scopus,2-s2.0-85029726846 "Rawat S.R.","56553831900;","Understanding challenges and opportunities before wellness tourism in India",2017,"Indian Journal of Public Health Research and Development","8","4",,"668","677",,,"10.5958/0976-5506.2017.00414.4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85039861121&doi=10.5958%2f0976-5506.2017.00414.4&partnerID=40&md5=bcf9b0c71e156d5c21801062519d30ce","Symbiosis Law School, Pune, India; Symbiosis International University, Pune, India","Rawat, S.R., Symbiosis Law School, Pune, India, Symbiosis International University, Pune, India","Introduction: Make in India initiative of the present government has identified tourism & hospitality as one of the sectors for expediting the growth of Indian economy through generation of employment opportunities in the country. Adhering to the national call, author conducted a study on Health & Wellness Tourism (H& WT). H& WT is a travel associated with the quest for maintaining or enhancing one’s personal wellbeing. In India this niche segment is still unexplored. Purpose: The objective behind research in hand was to understand the challenges & opportunities before WT in India. It also studied the impact of changing family size, women’s social roles and concern towards healthy lifestyles over H& WT. Research Methodology: Research is based on both primary as well as secondary sources of information. The primary data was collected through a questionnaire survey of 300 people from Himachal Pradesh (Manali, Palampur & Dharamshala), India belonging to different income & age groups. In-depth interview of 6 hoteliers and tourist guides was also conducted. Analysis and interpretation of data was done through Graphs, ANOVA Test and Post Hoc Tests using SPSS. Results & discussion: The changing demographic and economic environment has led to a significant change in the attitude of people towards tourism. People in the higher income group have started connecting tourism with wellness rather than the traditional cultural, sports or eco- tourism. Attributes such as availability of spa, gym and healthy food have started luring higher income groups. © 2017, Indian Journal of Public Health Research and Development. All rights reserved.","Changing demography; Changing economy; Employment generation; Wellness tourism; Yoga","analysis of variance; data analysis software; demography; employment; family size; government; groups by age; healthy lifestyle; Himachal Pradesh; human; human experiment; income group; interview; post hoc analysis; questionnaire; sport; tourism; travel; wellbeing",,,,,,,,"(2016) Sector Tourism & Hospitality, , http://www.makeinindia.com/sector/tourism-and-hospitality, Accessed on 27th March 2017; (1946) Preamble to the Constitution of the World Health Organization as Adopted by the International Health Conference, (2), p. 100. , New York, 19 June–22 July 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no) and entered into force on 7 April 1948; In, L., Using Group on for health and wellness businesses (2016) Business Horizons, 59, pp. 369-377. , www.sciencedirect.com; (2010) Types of Spas, , http://www.experienceispa.com/spa-goers/spa-101/types-ofspas/, Retrieved March 18,2017; Kelly, C., Analysing wellness tourism provision: A retreat operators’ study (2010) Journal of Hospitality and Tourism Management, 17 (1). , Mar 2010; Rodrigues, A., Kastenholz, K., Rodrigues, A., Hiking as a wellness activity ean exploratory study of hiking tourists in Portugal (2010) Journal of Vacation Marketing, 16 (4); Chen, C.C., Huang, W.J., Petrick, J.F., Holiday recovery experiences,tourism satisfaction and life satisfaction-Is there a relationship? (2016) Tourism Management, 53; Konu, H., Developing a forest-based wellbeing tourism product togetherwith customers-An ethnographic approach (2015) Tourism Management, 49; Pyke, S., Hartwell, H., Blake, A., Hemingway, A., Exploring well-being as atourism product resource (2016) Tourism Management, 55; Rutty, M., Scott, D., Thermal range of coastal tourism resort microclimates (2014) Tourism Geographies, 16 (3); Nawijn, J., The holiday happiness curve: A preliminary investigation intomood during a holiday abroad (2010) International Journal of Tourism Research, 12; Brooker, E., Joppe, M., Entrepreneurial approaches to rural tourism in TheNetherlands: Distinct differences (2014) Tourism Planning & Development, 11 (3); Walton, J.K., (1983) The English Seaside Resort - A Social History 1750-1914, , Leicester: Leicester University press; Kahneman, D., Krueger, A.B., Developments in the measurement of subjective well-being (2006) Journal of Economic Perspectives, 20 (1); Ferriss, A.L., (2010) Approaches to Improving the Quality of Life: How to Enhance Thequality of Life, , Dordrecht NL: Springer; Page, S.J., Case study: Wellness, tourism and small business development in a UK coastal resort: Public engagement in practice (2016) Tourism Management, 60. , http://dx.doi.org/10.1016/j.tourman.2016.12.0140261-5177/, © 2016 The Authors.Published by Elsevier Ltd; Carneiro, M.J., Eusebio, C., Host-tourist interaction and impact of tourism on residents’ Quality of Life (2015) Tourism & Management Studies, 11 (1); (2016) Sector Tourism & Hospitality, , http://www.makeinindia.com/sector/tourism-and-hospitality, Accessed on 27th March 2017","Rawat, S.R.; Symbiosis Law SchoolIndia",,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85039861121 "Ronald B.S., Singh S.","57200130447;57200133852;","Medical tourism: A new challenge to right to health in a globalised world",2017,"Indian Journal of Public Health Research and Development","8","4",,"880","884",,,"10.5958/0976-5506.2017.00444.2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85039840074&doi=10.5958%2f0976-5506.2017.00444.2&partnerID=40&md5=bc95bef891a767bc105e48b7b726c6b3","Symbiosis Law School, Symbiosis International University, Pune, India","Ronald, B.S.; Singh, S., Symbiosis Law School, Symbiosis International University, Pune, India","This paper focusses on the medical tourism with special reference to various challenges to right to health in globalized world. Although there are few existing laws that prescribe standards of care by medical practitioners, there is a need to have and express law that protects and safeguards patient rights of those coming from other countries for treatment in India. While there are well developed malpractice laws in many developed countries in India the protection available is nowhere near. There is a need to provide more transparency in the health care sector from the government. Better regulation to help in the growth and sustenance of Medical Industry and trade in services through medical tourism. © 2017, Indian Journal of Public Health Research and Development. All rights reserved.","Globalization; Medical industry; Medical tourism; Right to health","adult; developed country; government; health care cost; human; India; malpractice; medical tourism; patient right",,,,,,,,"(2017), www.grantthornton, accessed on 2 May; (2008) Medical Tourism: Consumers in Search of Value. Report, , http://www.deloitte.com/assets/DcomUnitedStates/Local%20Assets/Documents/us_chs_MedicalTourismStudy(3).pdf, Deloitte Center for Health Solutions, Washington, DC; Reddy, S., Qadeer, I., Medical Tourism in India: Progress or Predicament? (2010) Economic and Political Weekly, 45 (20), pp. 69-75. , MAY 15-21; Howze, K.S., Note, Medcal Tourirm: Symptom or Care? (2007) GA. L. REV., 41 (1013), pp. 1015-1016. , 1016 n.18; Glenn Cohen, I., Protecting Patients with Passports: Medical Tourism and the Patient-Protective Argument (2010) Iowa L. Rix., 95 (1467), p. 1472; Verma, V., Holistic Medicines in India and West (1991) India International Centre Quarterly, 18 (2-3), pp. 7-20. , HOLISTIC HEALTH(SUMMER-MONSOON; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83, p. 71; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge (2010) Journal of Public Health Policy, 31 (2), pp. 185-198. , July; (2007) Medical Travel in Asia and the Pacific. Challenges and Opportunities., , Bangkok: United Nations Economic and Social Commission for Asia and the Pacific; York, D., Medical tourism: The trend towards outsourcing medical procedures to foreign countries (2008) The Journal of Continuing Education in the Health Professions, 28 (2), pp. 99-102; (1972), Wright v. Yackley, 459 F.2d 287,289 (9th Cir; Benavides, D.D., Trade Poides and Export of Health Senices: A Development Perspecive (2002) Trade in Health Services: Global, Regional, and Country Perspectives, 53 (55). , http://tinyurl.com/3crozzd, Nick Drager & Cesar Vieira eds; http://www.cii.in; http://www.medretreat.com/templates/UserFiles/Documents/Press%20Releases/MedRetreatPressRelease20051118.pdf",,,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85039840074 "Shalini P.","57192238892;","Bridging healthcare with wellness tourism in india",2017,"Indian Journal of Public Health Research and Development","8","4",,"345","350",,,"10.5958/0976-5506.2017.00367.9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038394718&doi=10.5958%2f0976-5506.2017.00367.9&partnerID=40&md5=acbad6036ef3add3791423d94861ce1a","VELS University, Chennai, India","Shalini, P., VELS University, Chennai, India","Background/Objectives: The intent of this paper is to perceive how factors such as Social Wellness, Emotional Wellness, Ayurvedha Treatment and Travel Motivation influence Customer Satisfaction of clientele in Chennai’s to bridge the gap of Health and Wellness Tourism sector. Method/Statistical Analysis: The paper uses multivariate statistical techniques to decipher the motive behind the utility of Health and Wellness Tourism. Findings: The results of the SEM show a very strong relationship between the different variables. The independent variables are Social Wellness, Emotional Wellness, Ayurveda Tourism. The dependent variables are Customer Satisfaction and Travel Motivation. Applications/Improvement: This paper tries to find the relationship of tourism with wellbeing. New research is emerging on the relationships between tourism and subjective well-being. With this trend in other countries we researcher studied the aspect of wellbeing in our Indian conditions. © 2017, Indian Journal of Public Health Research and Development. All rights reserved.","Ayurveda treatment; Customer satisfaction; Emotional wellness; Social wellness; Travel motivation","Ayurveda; dependent variable; human; human experiment; independent variable; India; motivation; satisfaction; scientist; statistical analysis; tourism; travel; wellbeing",,,,,,,,"Seasonality In The Tourism Industry Impacts And Strategies (2008) Cooperative Research Centre for Sustainable Tourism; Stanciulescu, G.C., Diaconescu, G.N., Diaconescu, D.M., Health, Spa, Wellness Tourism. What is the difference? (2013) Knowledge Horizons-Economics, 7 (3), pp. 158-161; Muller, Kaufmann, Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2000) Journal of Vacation Marketing; Verband, (2008) Health and Wellness Tourism, , Routledge, 23-Oct-2008-Business & Economics-416 pages; Renger, Optimal Living Profile: An inventory to assess health and wellness (2000) American Journal of Health Behavior, 24 (6), pp. 403-412. , November, (10); Closing the gap in a generation: Health equity through action on the social determinants of health (2008) The Lancet, 372 (9650), pp. 1661-1669. , 8-14 November; Papatheodorou, Leisure travel in Europe and airline business models: A study of regional airports in Great Britain (2006) Journal of Air Transport Management, 2006-Elsevier; Ankomahand Baker, C., Influence of cognitive distance in vacation choice (1996) Annals of Tourism Research, 23 (1), pp. 138-150; (2008) Contemporary Tourism, , Routledge, 20-Nov-2007-Business & Economics-400 pages; Okigbo, R.N., Biodiversity and conservation of medicinal and aromatic plants in Africa (2008) Academic Journals, Biotechnology and Molecular Biology Reviews, 3 (6), pp. 127-134. , December; Lucy, Edgar, Medicinal plants: A reemerging health aid Electronic Journal of Biotechnology; Bindu, (2009) Kerala: Health Tourism Hub for Ayurveda International Journal of Social Sciences and Management, 2 (3)","Shalini, P.; VELS UniversityIndia",,,"Indian Journal of Public Health Research and Development",,,,,09760245,,,,"English","Indian J. Public Health Res. Dev.",Article,"Final",,Scopus,2-s2.0-85038394718 "Groshev I.V., Krasnoslobodtsev A.A.","8681183900;57205030409;","World market of medical tourism",2017,"World Economy and International Relations","61","10",,"87","95",,,"10.20542/0131-2227-2017-61-10-87-95","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032980273&doi=10.20542%2f0131-2227-2017-61-10-87-95&partnerID=40&md5=6d6b4965a09da3d04137e1109d884382","State University of Management, 99, Ryazanskii Prosp., Moscow, 109542, Russian Federation; Research Institute of Education and Science, 32/3, Bol'shaya Gruzinskaya Str., Moscow, 123056, Russian Federation","Groshev, I.V., State University of Management, 99, Ryazanskii Prosp., Moscow, 109542, Russian Federation, Research Institute of Education and Science, 32/3, Bol'shaya Gruzinskaya Str., Moscow, 123056, Russian Federation; Krasnoslobodtsev, A.A., Research Institute of Education and Science, 32/3, Bol'shaya Gruzinskaya Str., Moscow, 123056, Russian Federation","The article considers new and fast-growing format of international tourism - medical tourism. Medical tourism is a hybrid of medical and hospitality services within a single market system with its own infrastructure, including medical facilities, sending institutions, medical tourism agencies, and medical travel experts. For some countries, for instance, Israel, treatment of foreign patients turned into a priority direction of the national economy development. It receives a considerable legal, regulative and marketing support from the government. The global market of medical tourism already acquired a distinct shape. The authors consider main trends of contemporary medical tourism: yield potential, particular features, growth points and specialization of the main involved countries. It is stressed that the market of medical services has a high yield potential, especially when unique products with a high added value are proposed under attractive conditions. The typical costs of medical tourists are significantly higher as compared to traditional tourists' spending. From county to country such costs have significant individual variations primarily defined by the costs of therapeutic part of the touristic product. The authors investigate the motives of international medical tourists (including price/quality ratio, applied technology, ethical aspects of treatment), the sources of information on medical tourism opportunities and the range of sought-after medical procedures. The principal types of medical tourism are singled out and analyzed in details: health, fitness and wellness tourism. It is noted that Russia has good prospects for integration in the international medical tourism market. As for now, Russia is basically positioned at the consumer side of this market. Russia can become a supplier of medical services for foreign clients on the basis of major improvements in the nation-wide system of healthcare.","Health tourism; Medical services; Medical tourism; Patient; Tourist; Tourist service; Wellness tourism",,,,,,,,,"Horowitz, M.D., Rosensweig, J.A., Jones, Ch.A., Medical tourism: Globalization of the healthcare marketplace (2005) Medscape General Medicine, (4-9), pp. 11-17; (1997) International Tourism: A Global Perspective, p. 402. , Madrid WTO; Groshev, I.V., Korchagin, E.P., Tourism business for elderly people (2012) EKO, (9), pp. 33-39; Pharmaceuticals & Medical Products Practice, , http://www.mckinsey.com/Client_Service/Pharmaceuticals_and_Medical_Products, (accessed 20.02. 2017); Medical Tourism Around the World, , http://www.picsgrid.com/medical-tourism-around-the-world-infographics, (accessed 20.02.2017); Mulikhov, M.N., Kutsevol, N.G., Development of a mechanism for implementing the medical tourism concept (2012) Fundamental'Nye Issledovaniya, (6), pp. 739-743; New Study Reveals Wellness Tourism, , http://www.travelandtourworld.com/news/article/wellness-tourism-439-billion-market-study-reveals, (accessed 20.02.2017); Bateneva, T., The morning beach, in the evening operation (2014) Rossiyskaya Biznes-gazeta, (30-959). , 05.08.2014; Medical Tourism Statistics & Facts, , http://www.patientsbeyondborders.com/medical-tourism-statistics-facts, (accessed 20 February 2017); The State of Israel. Healthcare, , http://eleven.co.il/article/11738, (In Russ.) (accessed 20.02.2017); Kovaleva, I.P., Features of USA healthcare and medical tourism market system (2015) Ekonomika i Upravlenie v XXi Veke: Tendentsii Razvitiya, (20), pp. 163-171; Rusanova, N.E., ""Reproductive tourism"" in Russia: Opportunities and challenges (2009) Servis Plus, (3), pp. 83-86; Vetitnev, A.M., Torgasheva, A.A., Characteristics of main indicators of health tourism in the Russian federation (2014) Nauchnyy Zhurnal NIU ITMO, (4), pp. 86-95; Groshev, I.V., Korchagin, E.P., Chinese senior citizens - Future of the global tourism market (2014) European Social Science Journal, 2 (8), pp. 529-535; Why Russians Are Treated Abroad, , http://treatmentabroad.ru/tourism/russia_globalmedicaltourism/16383, (In Russ.) (accessed 20.02. 2017); World Tourism Organization, , http://www2.unwto.org/, (accessed 20.02.y 2017); Kovaleva, I.P., Features of the medical tourism development in Turkey (2015) Ekonomika i Upravlenie: Analiz Tendentsiy i Perspektiv Razvitiya, (18), pp. 138-143",,,,"Nauka Publishing House",,,,,01312227,,,,"Russian","World Economy Int. Relat.",Article,"Final",,Scopus,2-s2.0-85032980273 "Hreh M., Cohn C.S., McKenna D., Gniadek T.J.","57188553121;35997673100;7103178701;57195387564;","Traveling treatment: medical tourism in the emerging era of potentially transmissible therapeutics",2017,"Transfusion","57","10",,"2549","2550",,,"10.1111/trf.14276","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029793872&doi=10.1111%2ftrf.14276&partnerID=40&md5=0aa4b0207f623f14f83d6c7539bb4ee4","Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, United States","Hreh, M., Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, United States; Cohn, C.S., Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, United States; McKenna, D., Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, United States; Gniadek, T.J., Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, United States",[No abstract available],,"oncolytic echovirus 7; oncolytic virus; rigvir; unclassified drug; drug approval; drug control; drug efficacy; drug safety; Guillain Barre syndrome; health care access; health hazard; hospice care; human; immunosuppressive treatment; Letter; medical tourism; melanoma; meningitis; nuclear magnetic resonance imaging; oncolytic virotherapy; pancreas adenocarcinoma; plasma exchange; practice guideline; public health; risk benefit analysis; solid malignant neoplasm; treatment duration; tumor immunity; virus replication; virus transmission; weakness; adenocarcinoma; blood donor; case report; Enterovirus B; Enterovirus infection; Guillain Barre syndrome; immunocompromised patient; Latvia; male; Minnesota; pancreas tumor; pathogenicity; secondary; transmission; virology; Adenocarcinoma; Blood Donors; Enterovirus B, Human; Enterovirus Infections; Guillain-Barre Syndrome; Humans; Immunocompromised Host; Latvia; Male; Medical Tourism; Minnesota; Oncolytic Virotherapy; Pancreatic Neoplasms",,,"rigvir, Latima, Latvia","Latima, Latvia",,,,"Judd, W.J., Storry, J.R., Annesley, T.D., The first example of a paraben-dependent antibody to an Rh protein (2001) Transfusion, 41, pp. 371-374; Alberts, P., Olmane, E., Brokāne, L., Long-term treatment with the oncolytic ECHO-7 virus Rigvir of a melanoma stage IV M1c patient, a small cell lung cancer stage IIIA patient, and a histiocytic sarcoma stage IV patient—three case reports (2016) APMIS, 124, pp. 896-904; Doniņa, S., Strēle, I., Proboka, G., Adapted ECHO-7 virus Rigvir immunotherapy (oncolytic virotherapy) prolongs survival in melanoma patients after surgical excision of the tumour in a retrospective study (2015) Melanoma Res, 25, pp. 421-426; Kleinman, H., Ramras, D.G., Cooney, M.K., Boyd, L., Aseptic meningitis due to ECHO virus type 7 (1962) N Engl J Med, 267, pp. 1116-1121; Sieradzan, K., Kaminska, A., [The Miller-Fisher syndrome during ECHO-7 neuro-infection. A case history] (1990) Neurol Neurochir Pol, 24, pp. 347-350; Rudin, C.M., Cohen, E.E., Papadimitrakopoulou, V.A., An attenuated adenovirus, ONYX-015, as mouthwash therapy for premalignant oral dysplasia (2003) J Clin Oncol, 21, pp. 4546-4552",,,,"Blackwell Publishing Inc.",,,,,00411132,,TRANA,"28944545","English","Transfusion",Letter,"Final",,Scopus,2-s2.0-85029793872 "Jun J.","44161101900;","Health information disparities and medical tourism use among Korean immigrants in the US",2017,"Culture, Migration, and Health Communication in a Global Context",,,,"123","141",,,"10.4324/9781315401348","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041249097&doi=10.4324%2f9781315401348&partnerID=40&md5=63cbd847e48a21883cb11d9fe672e167","George Mason University, United States","Jun, J., George Mason University, United States",[No abstract available],,,,,,,,,,"Health belief: Koreans in the United States (2006), www.apiahf.org/sites/default/files/APIAHF_Healthbrief08e_2006.pdf, Asian and Pacific Islander American health forum; Barringer, H., Gardiner, R., (1993) Asians and Pacific Islanders in the United States, , New York: Russel Sage Foundation; Bastani, R., Glenn, A., Maxwell, E., Jo, M., Hepatitis B testing for liver cancer control among Korean Americans (2007) Ethnicity & Disease, 17 (2), pp. 365-373; Bergmark, R., Barr, D., Garcia, R., Mexican immigrants in the US living far from the border may return to mexico for health services (2010) Journal of Immigrant & Minority Health, 12 (4), pp. 610-614; Medical tourism: Getting medical care in another country, traveler's health http://wwwnc.cdc.gov/travel/page/medical-tourism, (n.d.). 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A scoping review (2010) BMC Health Services Research, 10, p. 266; Eun, Y., Lee, E., Kim, J., Fogg, L., Breast cancer screening beliefs among older Korean American women (2009) Journal of Geontological Nursing, 35 (9), pp. 40-50; Medical treatment abroad, affordable healthcare options, travel health abroad (2009), www.globalbenefitoptions.com/facts_about_medical_tourism.html, Retrieved August 29, 2013; Guiry, M., Vequist, G., The role of professional values in determining U.S. medical tourists' expectations and perceptions of healthcare facility service quality: An exploratory investigation (2010) Journal of Tourism Challenges & Trends, 3 (2), pp. 115-140; Han, E., Song, H., Kim, S., Doctor visits among Korean Americans in Los Angeles County (1996) Asian American and Pacific Islander Journal of Health, 4, pp. 1-3; Hesse, B., Moser, R., Rutten, L., Surveys of physicians and electronic health information (2010) New England Journal of Medicine, 362 (9), pp. 859-860; Hesse, B., Nelson, D., Kreps, G., Croyle, R., Arora, N., Rimer, B., Viswanath, K., Trust and sources of health information: The impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey (2005) Archives of Internal Medicine, 165 (22), pp. 2618-2624; Honda, K., Kreps, G., The relationship of media attention to colorectal cancer-related risk appraisals in older Japanese Americans: Using structural equation modeling to develop an explanatory model (2006) Californian Journal of Health Promotion, 4 (3), pp. 23-33; Hsieh, E., Pitaloka, D., Johnson, A., Bilingual health communication: Distinctive needs of providers from five specialties (2013) Health Communication, 28 (6), pp. 557-567; Im, E., Choe, M., Korean women's attitudes toward physical activity (2004) Research in Nursing & Health, 27 (1), pp. 4-18; Jacobs, M., Fixing foreign foul-ups (2010), www.edmontonsun.com/comment/columnists/mindelle_jacobs/2010/12/07/16465056.html, Edmonton Sun; Jemal, A., Tiwari, R., Murray, T., Ghafoor, A., Samuels, A., Ward, E., Thun, M., Cancer statistics, 2004 (2004) CA: A Cancer Journal for Clinicians, 54 (1), pp. 8-29; Jin, S., Explosive increase of Korean medical tourism among Americans (2011), www.koreadaily.com/news/read.asp?art_id=1204058; Jo, A., Maxwell, A., Rick, A., Cha, J., Bastani, R., Why are Korean American physicians reluctant to recommend colorectal cancer screening to Korean American patients? 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Anderson (Ed.), Newbury Park, CA: Sage; Kreps, G., Communication and racial inequities in health care (2006) American Behavioral Scientist, 49 (6), pp. 760-774; Kreps, G., Neuhauser, L., Special issue editorial review board (2010) Journal of Computer-Mediated Communication, 15 (4), pp. 682-682; Lee, C., Korean immigrants' viewing patterns of Korean satellite television and its role in their lives (2004) Asian Journal of Communication, 4 (1), pp. 68-80; Lee, E., Farran, C., Depression among Korean, Korean American, and Caucasian American family caregivers (2004) Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society/Transcultural Nursing Society, 15 (1), pp. 18-25; Lee, J., Channels of health communications used among Korean and Asian Indian older adults (2010) Social Work in Health Care, 49 (2), pp. 165-175; Lee, J., Demissie, K., Lu, S., Rhoads, G., Cancer incidence among Korean-American immigrants in the United States and native Koreans in South Korea (2007) Cancer Control: Journal of the Moffitt Cancer Center, 14 (1), pp. 78-85; Lee, Y., Kearns, R., Friesen, W., Seeking affective health care: Korean immigrants' use of homeland medical services (2010) Health & Place, 16 (1), pp. 108-115; Lee, M., Knowledge, barriers, and motivators related to cervical cancer screening among Korean-American women (2000) A focus group approach. Cancer Nursing, 23 (3), pp. 168-175; Li, S., Kwon, S., Weerasingh, I., Rey, M., Trinh-Shevrin, C., Smoking among Asian Americans: Acculturation and gender in the context of tobacco control policies in New York City (2013) Health Promotion Practice, 14 (5), pp. 18S-28S; Maxwell, E., Bastani, R., Warda, U., Mammography utilization and related attitudes among Korean-American women (1998) Women & Health, 27 (3), pp. 89-107; Maxwell, E., Crespi, C., Antonio, C., Lu, P., Explaining disparities in colorectal cancer screening among five Asian ethnic groups: A populationbased study in California (2010) BMC Cancer, 10, pp. 214-222; McDonnell, D., Lee, H., Kim, Y., Kazinets, G., Moskowitz, J., Cancer coverage in a mainstream and Korean American online newspaper: Lessons for community intervention (2008) Patient Education and Counseling, 71 (3), pp. 388-395; Miller, B., Chu, K., Hankey, B., Ries, L., Cancer incidence and mortality patterns among specific Asian and Pacific Islander populations in the U.S (2008) Cancer Causes & Control, 19 (3), pp. 227-256; Morrow, A., Man dies after controversial MS treatment, doctor says (2010) The Globe and Mail, , www.theglobeandmail.com/news/national/man-dies-after-controversial-ms-treatment-doctor-says/article1314585/; Why Korean Americans need responsible health reform (2009), http://nakasec.org/wp-content/uploads/sites/3/2009/05/health_reform_community_ed_material-final1.pdf, The National Korean American Service and Education Consortium (NAKASEC); NHIS early release - health insurance - 2010 (2011), www.cdc.gov/nchs/nhis.htm, Retrieved May 10, 2012; Bridging language barriers in health care: Public opinion survey of California immigrants from Latin America, Asia and the Middle East (2003), www.bendixenandassociates.com/studies/NCMpercent20Healthpercent20Carepercent20Reportpercent202003.pdf, New California Media; Ngo-Metzger, Q., Legedza, A., Phillips, R., Asian Americans' reports of their health care experiences (2004) Results of a national survey. Journal of General Internal Medicine, 19 (2), pp. 111-119; Nguyen, G., Bellamy, S., Cancer information seeking preferences and experiences: Disparities between Asian Americans and Whites in the Health Information National Trends Survey (HINTS) (2006) Journal of Health Communication, 11, pp. 173-180; Women of color health data book (2006), http://orwh.od.nih.gov/pubs/WomenofColor2006.pdf, National Institutes of Health (NIH); Health people 2020 topics and objectives (2016), www.healthypeople.gov/2020/topics-objectives, Office of Disease Prevention and Health Promotion; (2011) Health at a glance 2011 OECD indicators, , http://encompass.library.cornell.edu/cgi-bin/checkIP.cgi?access=gateway_standardpercent26url, Washington: Organization for Economic Cooperation & Development Brookings Institution Press; Oh, K., Jun, J., Zhao, X., Kreps, G., Lee, E., Cancer information seeking behaviors of Korean American women: A mixed-methods study using surveys and focus group interviews (2015) Journal of Health Communication, pp. 1-12; Oh, K., Jun, J., Zhou, Q., Kreps, G., Korean American women's perceptions about physical examinations and cancer screening services offered in Korea: The influences of medical tourism on Korean Americans (2014) Journal of Community Health, 39 (2), pp. 221-229; Oh, K., Kreps, G., Jun, J., Chong, E., Ramsey, L., Examining the health information seeking behaviors of Korean Americans (2012) Journal of Health Communication, 17 (7), pp. 779-790; Oh, K., Kreps, G., Jun, J., Ramsey, L., Cancer information seeking and awareness of cancer information sources among Korean Americans (2011) Journal of Cancer Education, 26 (2), pp. 355-364; Oh, K., Kreps, G., Jun, J., Colorectal cancer screening knowledge, beliefs, and practices of Korean Americans (2013) American Journal of Health Behaviors, 37 (3), pp. 381-394; Pang, K., (1991) Korean elderly women in America: Everyday life, health and illness, , New York: AMS Press; Park, N., Jang, Y., Lee, B., Haley, W., Chiriboga, D., The mediating role of loneliness in the relation between social engagement and depressive symptoms among older Korean Americans: Do men and women differ? (2013) Psychological Sciences and Social Sciences, 68 (2), pp. 193-201; Park, S., Medical tourism emerges as new growth engine (2008) Korean Times, , www.koreatimes.co.kr/www/news/special/2011/04/242_21375.html, March 25; Park, S., Americans' use of Korean medical tourism services. 29 percent increase in the past year (2012) Koreadaily, , www.koreadaily.com/news/read.asp?art_id=1413177, May 21; Park, S., Murphy, S., Sharma, S., Kolonel, L., Dietary intakes and health-related behaviours of Korean American women born in the USA and Korea: The Multiethnic Cohort Study (2005) Public Health Nutrition, 8 (7), pp. 904-911; Penney, K., Snyder, J., Crooks, V., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12 (1), p. 17; Rains, S., Perceptions of traditional information sources and use of the world wide web to seek health information: Findings from the Health Information National Trends Survey (2007) Journal of Health Communication, 12 (7), pp. 667-680; Ryu, S., Crespi, C., Maxwell, A., A bi-national comparative study of health behaviors of Koreans in South Korea and Korean Americans in California (2013) Journal of Immigrant and Minority Health, 15, p. 9706; Ryu, S.Y., Crespi, C.M., Maxwell, A.E., Colorectal cancer among Koreans living in South Korea versus California: incidence, mortality, and screening rates (2013) Ethnicity & Health, 19 (4), pp. 406-423; Shim, J., Medical tourists increasing rapidly (2013) Korea Times, , http://koreatimes.co.kr/www/news/nation/2013/04/113_133635.html; Shin, H., Robert, A., (2010) Language use in the United States: 2007, American Community Survey Reports, ACS-12, , U.S. Census Bureau, Washington, DC; Shin, K., Shin, C., Blanchette, P., Health and health care of Korean-American elders (2002), http://web.stanford.edu/group/ethnoger/korean.html; Sohn, L., Harada, N., Knowledge and use of preventive health practices among Korean women in Los Angeles county (2005) Preventive Medicine, 41 (1), pp. 167-178; Sommers, B.D., Gunja, M.Z., Finegold, K., Musco, T., Changes in self-reported insurance coverage, access to care, and health under the Affordable Care Act (2015) Journal of the American Medical Association, 314 (4), pp. 366-374; Terrazas, A., Migration information source: Korean immigrants in the United States (2009), www.migrationinformation.org/usfocus/display.cfm?ID=716, Migration Policy Institute; 2001 Health care quality survey (2002), www.commonwealthfund.org/publications/surveys/2001/2001-healthcare-quality-survey; Highlights: 2010 - U.S Census Bureau (2010), www.census.gov/hhes/www/hlthins/data/incpovhlth/2010/highlights.html, Retrieved November 6, 2011; Race reporting for the Asian population by selected categories: 2010 (2010), http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC_10_SF1_QTP8&prodType=table; American fact finder: Results (2013), http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk, Retrieved September 5, 2015; Wismer, B., Moskowitz, J., Min, K., Chen, A., Ahn, Y., Cho, S., . Tager, I., Interim assessment of a community intervention to improve breast and cervical cancer screening among Korean American women (2001) Journal of Public Health Management and Practice, 7 (2), pp. 61-70; Wong, S.T., Yoo, G.J., Stewart, A.L., The changing meaning of family support among older Chinese and Korean immigrants (2006) Psychological Sciences and Social Sciences, 61 (1), pp. S4-S9; Yoo, G., Kim, B., Korean immigrants and health care access: Implications for the uninsured and underinsured (2008) Research in the Sociology of Health Care, 25, pp. 77-94","Jun, J.; George Mason UniversityUnited States",,,"Taylor and Francis",,,,,,9781315401348; 9781138224896,,,"English","Cult., Migr., and Health Commun. in a Glob. Context",Book Chapter,"Final",,Scopus,2-s2.0-85041249097 "Oral T.","57201501197;","The definition of legal relationship between the physician and health tourist in civil law countries and physicians’ obligation to inform patient in the framework of health tourism law",2017,"Medicine and Law","36","3",,"41","50",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034232187&partnerID=40&md5=622dfdcde7ee9af776c5a053c0cc04a3","Ankara University, Faculty of Law, Turkey","Oral, T., Ankara University, Faculty of Law, Turkey","In this paper the legal relationship between the health tourist, physician (or dentist) and hospitals will first be discussed. It will be examined whether the relationship that arises can be considered as a “consumer contract” generally and also within the meaning of relevant provisions of the new Turkish Consumer Protection Code, which was renewed on 7th November 2013 and entered into force on 28th May 2014. On the basis of the conclusion reached regarding the first question, which legal system should have jurisdiction in case of a dispute will be reviewed. The third and final question posed will be if there are any specific obligations of physician and private hospitals or changes in the scope of their duties to inform and take informed consent. © 2017, Yozmot Heiliger Ltd. All rights reserved.","Duty to Inform in the Framework of Health Tourism Law; Health Tourism; Informed Consent; Legal Definition of Treatment Contracts; Obligations of Physician; Treatment Contracts as Consumer Contracts","adult; consumer; human; informed consent; tourism",,,,,,,,"Akipek Öcal, Ş., Hasta ve Hekim Arasında Kurulan Sözleşmeler Bakımından Tüketicinin Korunması, in Topbaş, H. And Üçışık F (2015) Sektörel Bazda Tüketici Uygulamaları, 2014-2015, pp. 283-295. , Ankara: Bilge; Bellhausen, B., (2013) Das Arztrechtliche System Als Grenze Der Arbeitsteiligen Medizin: Zugleich Ein Beitrag Zur Privatrechtsdogmatischen Integration Des Artzrechts, , Göttingen: Univerlag Universitaet Göttingen; (2014) Nomos Kommentar, p. 2. , Bergmann and Middendorf, §630a, in Bergmann, K. O., Pauge, B. and Steinmeyer, H. D. Gesamtes Medizinrecht,, Auflage, Baden-Baden: Nomos; Busche, (2009) In Münchener Kommentar, p. 5. , Auflage, München: Beck; Deutsch, E., Spickhoff, A., (2008) Medizinrecht, p. 6. , Auflage, Berlin, Heidelberg: Springer; Erman, BGB, 14. Auflage, Köln: Verlag Otto Schmid; Fellmann, W., (2007) Arzt Und Rechtsverhältnis Zum Patienten, , in Kuhn, M. W. and Poledna, T. Arztrecht in der Praxis, 2. Auflage, Zürich, Basel, Genf: Schultess; Hall, A.M., Schneider, E.C., Patients as Consumers: Courts, Contracts and the New Medical Marketplace (2008) Michigan Law Review, 106 (4), pp. 643-689; Honsell, H., (1994) Handbuch Des Arztrechts, , Zürich: Schultess; Kern, R., (2013) Handbuch Des Medizinschadensrechts, , § 1, in Ratzel, R. and Lissel, P, München: Beck; Koch, B., Medical Liability in Austria (2011) Medical Liability in Europe – a Comparison of Selected Jurisdictions, Tort and Insurance Law, 29. , in Koch, B. (Ed.), Göttingen: De Gruyter, p. 1 ff; Koziol, H., (1984) Österreichisches Haftpflichtrecht, , Band II: Besonderer Teil, 2., neubearbeitete Auflage, Wien: Manz; Könning-Feil, A., (1992) Das Internationale Arzthaftungsrecht, , Frankfurt a. M., Berlin, Bern, New York, Paris, Wien: Peter Lang; Laufs, A., Kern, R., (2010) Handbuch Des Arztrechts, , München: Verlag C. H. Beck0; Muschner, J., (2002) Die Haftungsrechtliche Stellung Auslaendischer Patienten, Frankfurt/M., Berlin, Bern, Bruxelles, , New York, Oxford, Wien: Peter Lang Münchener Kommentar/BUSCHE, 5. Auflage; Neumayr, M., Prozessuale Fragen des Arzthaftungsprozesses (2015) Resch and Wallner, Handbuch Des Medizinrecht, p. 2. , Auflage, Wien: LexisNexis; Petry, F.M., Medical Liability in Germany (2011) Medical Liability in Europe – a Comparison of Selected Jurisdictions, Tort and Insurance Law, 29, 233p. , in Koch, B. (Ed.), Göttingen: De Gruyter; (2014) Erman, BGB, 14, , Rehborn and Gescher, Auflage, Köln: Verlag Dr. Otto Schmidt; Reisewitz, J., (2015) Rechtsfragen Des Medizintourismus, , Berlin, Heidelberg: Springer; Schweierische Eidgenossenschaft, Patientenrechte Und Patientenpartizipation in Der Schweiz, Bericht in Erfüllung Der Postulate 12.3100 Kessler, , 12.3124 Gilli und 12.3207 Steiert, Bern, 24.06.2015, (viewed on 14 May 2015); (2015) Report for Health Tourism Law, 1p. , http://www.tursab.org.tr/dosya/12186/saglikturizmiraporu_12186_5485299.pdf, Association of Turkish Travel Agencies, (viewed on 5th May 2016); (2016) In Palandt, Bürgerliches Gesetzbuch, p. 75. , Einf v. §611, Auflage, München: Beck; Wiegand, W., (1985) Der Arztvertrag, Insbesondere Die Haftung Des Arztes, pp. 84-85. , http://wolfgangwiegand.ch/publikationen/_32_Der%20Arztvertrag,%20insbesondere%20die%20Haftung%20des%20Arztes/80_insgesamt.pdf, (viewed on 14th May 2016","Oral, T.; Ankara University, Faculty of LawTurkey; email: oral.tugce@gmail.com",,,"Yozmot Heiliger Ltd",,,,,07231393,,MELAD,,"English","Med. Law",Article,"Final",,Scopus,2-s2.0-85034232187 "Stadler M.","57195428275;","Medical travel helps unions, employers improve cost and quality of care",2017,"Managed Care","2017","AUG", 11,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028074359&partnerID=40&md5=af1ed7268b23c22152e22dc502a70d4d",,"Stadler, M.",[No abstract available],,"health care quality; health insurance; medical tourism; United States; Health Benefit Plans, Employee; Medical Tourism; Quality of Health Care; United States",,,,,,,,,"Stadler, M.",,,"MediMedia USA Inc.",,,,,10623388,,,"28895823","English","Managed Care",Note,"Final",,Scopus,2-s2.0-85028074359 "Rezaei-Hachesu P., Safdari R., Ghazisaeedi M., Samad-Soltani T.","57195288015;14519912200;56070775700;57195059375;","The applications of health informatics in medical tourism industry of Iran",2017,"Iranian Journal of Public Health","46","8",,"1147","1148",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85025069490&partnerID=40&md5=a6850e3bd1fb25d02eedb20d71d6c92e","Dept. of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran; Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran; Dept. of Health Information Technology, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran","Rezaei-Hachesu, P., Dept. of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran; Safdari, R., Dept. of Health Information Technology, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran; Ghazisaeedi, M., Dept. of Health Information Technology, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran; Samad-Soltani, T., Dept. of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran",[No abstract available],,,,,,,,,,"Mousavi, S.M., Haghi, M., Manshadi, M.G., Health Tourism in Iran: A Path towards Sustainable Development (2016) Iran J Public Health, 45, pp. 274-275; Jabbari, A., Delgoshaei, B., Mardani, R., Tabibi, S.J., Medical tourism in Iran: Issues and challenges (2012) J Educ Health Promot, 1, p. 39; Ballweg, R., Sullivan, E.M., Brown, D., Vetrosky, D., (2013) Physician Assistant: A Guide to Clinical Practice, , Expert Consult - Online and Print. ed. Elsevier/Saunders; Viziteu, L., (2008) Horizons and Perspectives Ehealth, , Analele Universitatii din Craiova-Seria Stiinte Economice; Herrick, D.M., (2007) Medical Tourism: Global Competition in Health Care, , NCPA Policy Reports; Sharda, N., (2009) Tourism Informatics: Visual Travel Recommender Systems, Social Communities, and User Interface Design, , Information Science Reference","Samad-Soltani, T.; Dept. of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical SciencesIran; email: t-ssoltany@razi.tums.ac.ir",,,"Iranian Journal of Public Health",,,,,22516085,,,,"English",,Letter,"Final",,Scopus,2-s2.0-85025069490 "Weis J.L., Sirard R.B., Palmieri P.A.","57215713076;57215713536;24528636900;","Medical tourism: The role of the primary care provider",2017,"BJGP Open","1","2",,"","",4,,"10.3399/bjgpopen17X100617","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081706712&doi=10.3399%2fbjgpopen17X100617&partnerID=40&md5=6c638dad00f029a3ff26df511d459aac","Urgent Care and Primary Care, Coordinated Health, Allentown, PA, United States; Institute for Health Services Research, Universidad Privada del Norte, Lima, Peru","Weis, J.L., Urgent Care and Primary Care, Coordinated Health, Allentown, PA, United States; Sirard, R.B., Urgent Care and Primary Care, Coordinated Health, Allentown, PA, United States; Palmieri, P.A., Institute for Health Services Research, Universidad Privada del Norte, Lima, Peru",[No abstract available],"Family practice; Medical tourism; Organ trafficking; Primary health care; Transplant tourism; Travel medicine","Article; comparative study; coronary artery bypass surgery; cost effectiveness analysis; European Union; health care cost; health care personnel; health hazard; health insurance; heart valve replacement; hip replacement; human; India; knee replacement; Malaysia; medical tourism; Mexico; nephrectomy; patient safety; Philippines; primary medical care; Singapore; Thailand; travel; United Kingdom; United States",,,,,,,,"Lunt, N., Carrera, P., Medical tourism: assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Smith, R., Exworthy, M., Medical tourism: treatments, markets and health system implications: a scoping review, , https://www.oecd.org/els/health-systems/48723982.pdf, (accessed 8 Mar 2017); Horowitz, M.D., Rosenweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) Medscape Gen Med, 9 (4), p. 33; Kelley, E., (2013) Medical Tourism, , http://www.who.int/global_health_histories/seminars/kelley_presentation_medical_tourism.pdf, (accessed 8 Mar 2017); Pafford, B., The third wave-medical tourism in the 21st century (2009) South Med J, 102 (8), pp. 810-813; Johnston, R., Crooks, V.A., Snyder, J., 'I didn't even know what I was looking for': a qualitative study of the decision-making processes of Canadian medical tourists (2012) Global Health, 8 (23), pp. 1-12; Chen, L.H., Wilson, M.E., The globalization of health care: implications of medical tourism for the ID clinician (2013) Clin Infect Dis, 57 (12), pp. 1753-1759; Bagshaw, M., DeVoll, J., Jennings, R., Medical guidelines for airline passengers, , http://www.asma.org/asma/media/asma/Travel-Publications/paxguidelines.pdf, Aerosp Med 2002(accessed 8 Mar 2017); (2015) Trafficking in persons report, , http://www.state.gov/j/tip/rls/tiprpt/2014/index.htm, (accessed 8 Mar 2017); Roque, P., (1999) Men from Baseco, , http://newint.org/features/2014/05/01/organ-trafficking-keynote, Photograph. Photographer, (accessed 8 Mar 2017); Penney, K., Snyder, J., Crooks, V.A., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Med Ethics, 12, p. 17; (2013) QHA Trent Accreditation, , http://www.qha-trent.co.uk/medical-tourism-and-accreditation, Medical Tourism and Accreditation, (accessed 8 Mar 2017); JCI-Accredited Organizations, , http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations/, (accessed 8 Mar 2017)","Weis, J.L.; Urgent Care and Primary Care, Coordinated HealthUnited States; email: j.weis@live.com",,,"Royal College of General Practitioners",,,,,18495435,,,,"English","BJGP Open",Article,"Final",Open Access,Scopus,2-s2.0-85081706712 "Cvitan L.","56525198500;","Impact of climate change on heating and cooling needs in crikvenica as a health tourism destination",2017,"Hrvatski Meteoroloski Casopis","52","52",,"27","50",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050346791&partnerID=40&md5=2a9e6cc88e308354de3a937ce89a74f5","Meteorological and Hydrological Service, Gric 3, Zagreb, 1000, Croatia; Državni hidrometeoroloski zavod, Gric 3, Zagreb, 1000, Croatia","Cvitan, L., Meteorological and Hydrological Service, Gric 3, Zagreb, 1000, Croatia, Državni hidrometeoroloski zavod, Gric 3, Zagreb, 1000, Croatia","Crikvenica has had a long tradition of tourism in Croatia. In order to maintain tourism as the town's most lucrative activity, continuous investment in tourism and the auxiliary infrastructure is important - particularly medical tourism since it includes tourists with a need for special indoor and outdoor comfort. Climate changes are some of the most important reasons for infrastructure investment, since the great benefits of tourism in Crikvenica have always depended on its natural resources, mainly the pleasant climate. The influence of climate changes on internal thermal comfort during the period 1902-2016, analysed on the basis of seven derived temperature parameters, can be seen in the statistically significant trends in later start dates and earlier end dates for household heating, a decline in the energy needed for heating and an increase in the energy needed for cooling. On the basis of three temperature thresholds for four temperature parameters, heating/cooling energy consumption in poorly and highly insulated buildings is discussed, and the possibility of saving energy with the use of proper insulation is explained. In order to show the intensity of recent climate changes, seven temperature parameters' probability distributions for the period 1981-2010 are compared with the relevant distributions in the referent period 1961-1990. This comparison is made to improve the awareness of climate change risk and to help in strategic planning within the tourism industry in Crikvenica, with the intention of remaining competitive on the tourism market. © 2017 Hrvatsko Meteorolosko Drustvo. All rights reserved.","Crikvenica (Croatia); Heating and cooling degree-days; Heating season start and end dates; Probabilities; Trends","climate change; climate effect; competitiveness; cooling; heating; medical tourism; probability; socioeconomic impact; tourism market; tourist destination; trend analysis; Crikvenica; Croatia",,,,,,,,"Antunes Azevedo, J., Chapman, L., Muller, C.L., Critique and suggested modifications of the degree days methodology to enable long-term electricity consumption assessments (2015) A Case Study in Birmingham, Meteorol. Appl, 22, pp. 789-796; http://meteo.arso.gov.si/uploads/probase/www/climate/table/en/by_variable/cooling-heating-degree-days.txt, ARSO (Agencija Republike Slovenije za okolje):, Retrieved September 2017; Energy estimating and modelling methods (2001) American Society of Heating, Refrigeration, and Air-Conditioning Engineers ASHRAE Handbook Fundamentals 2001, , ASHRAE, (SI Edition), Atlanta, GA; Australian Government - Bureau of Meteorology, , www.bom.gov.au/climate/map/heating-cooling-degree-days/documentation.Shtml; Austroclim, , http://www.austroclim.at/startclim/, Retrieved July 2011; Beenstock, M., Goldin, E., Nabot, D., The demand for electricity in Israel (1999) Energy Econ, 21, pp. 168-183; Brankovic, Č., Guttler, I., Gajić-Čapka, M., Evaluating climate change at the Croatian Adriatic from observations and regional climate models' simulations (2013) Clim Dyn, 41, pp. 2353-2373; Brosy, C., Zaninovic, K., Matzarakis, A., Quantification of climate tourism potential of Croatia based on measured data and regional modelling (2014) Int. J. Biometeorol, 58, pp. 1369-1381; Buyukalaca, O., Bulut, H., Yilmaz, T., Analysis of variable-base heating and cooling degree-days for Turkey (2001) Appl Energy, 69, pp. 269-283; Cartalis, C., Synodinou, A., Proedrou, M., Tsangrassoulis, A., Santamouris, M., Modifications in energy demand in urban areas as a result of climate changes: An assessment for the southeast Mediterranean region (2001) Energy Convers Manag, 42, pp. 1647-1656; Christenson, M., Manz, H., Gyalistras, D., Climate warming impact on degreedays and building energy demand in Switzerland (2006) Energy Convers Manage, 47, pp. 671-686; Cox, R.A., Drews, M., Rode, C., Nielsen, S.B., Simple future weather files for estimating heating and cooling demand (2015) Build Environ, 83, pp. 104-114; Cvitan, L., Sokol Jurkovic, R., Changes of heating and cooling demands in Croatia during the period 1901-2008 (2011) Croat Meteor J, 46, pp. 27-33; Cvitan, L., Sokol Jurkovic, R., Secular trends in heating and cooling monthly demands in Croatia (2016) Theor Appl Climatol, 125 (3-4), pp. 565-581; Engle, R.F., Mustafa, C., Rice, J., Modelling peak electricity demand (1992) J Forecast, 11, pp. 241-251; http://ec.europa.eu/eurostat/cache/metadata/en/nrg_esdgr_esms.htm, EUROSTAT (the Statistical Office of the European Union):, Retrieved September 2017; Giannakopoulos, C., Hadjinicolaou, P., Zerefos, C., Demosthenous, G., Changing energy requirements in the Mediterranean under changing climatic conditions (2009) Energies, 2, pp. 805-815; Hekkenberg, M., Moll, H.C., Schoot, U.A.J.M., Dynamic temperature dependence patterns in future energy demand models in the context of climate change (2009) Energy, 34, pp. 1797-1806; Indraganti, M., Boussaa, D., A method to estimate the heating and cooling degree-days for different climatic zones of Saudi Arabia (2017) Building Services Engineering Research and Technology, 38 (3), pp. 327-350; Matzarakis, A., Balafoutis, C., Heating degree-days over Greece as an index of energy consumption (2004) Int. J. Clim, 24 (14), pp. 1817-1828; Mitchell, J.M., Dzerdzeevski, B., Flohn, H., Hofmeyr, W.L., Lamb, H.H., Rao, K.N., Wallen, C.C., (1966) Climatic Change, p. 99. , Technical note, 79th edn. World Meteorological Organization, Geneva; (2014) Sixth National Communication and First Biennial Report of the Republic of Croatia under the United Nation Framework Convention on the Climate Change (UNFCCC), p. 247. , http://unfccc.int/files/national_reports/annex_i_natcom_/application/pdf/hrv_nc6.pdf, MZOIP :, Republic of Croatia Ministry of Environmental and Nature Protection (MZOIP), Zagreb; Nakićenovic, N., Special report on emission scenarios (2000) A Special Report of Working Group III of the IPCC, p. 599. , Cambridge University Press, Cambridge; Parry, M.L., Canziani, O.F., Palutikof, J.P., Van Der Linden, P.J., Hanson, C.E., Climate change 2007: Impacts, adaptation and vulnerability (2007) Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change, p. 982. , Cambridge University Press: Cambridge, UK; Penzar, B., Penzar, I., Orlic, M., (2001) Vrijeme I Klima Hrvatskog Jadrana (Weather and Climate of the Croatian Adriatic, in Croatian), p. 258. , Dr. Feletar & Hrvatski hidrografski institut, Zagreb-Koprivnica-Split; Sailor, D.J., Munoz, J.R., Sensitivity of electricity and natural gas consumption to climate in the USA - methodology and results for eight states (1997) Energy, 22, pp. 987-998; Semmler, T., McGrath, R., Steele-Dunne, S., Hanafin, J., Nolana, P., Wang, S., Influence of climate change on heating and cooling energy demand in Ireland (2010) Int J Climatol, 30, pp. 1502-1511; Sivak, M., Potential energy demand for cooling in the 50 largest metropolitan areas of the world: Implications for developing countries (2009) Energ Policy, 37, pp. 1382-1384; Spinoni, J., Vogt, J., Barbosa, P., European degree-day climatologies and trends for the period 1951-2011 (2015) Int. J. Climatol, 35, pp. 25-36; Valor, E., Meneu, V., Caselles, V., Daily air temperature and electricity load in Spain (2001) J Appl Meteorol, 40, pp. 1413-1421; (1991) Blatt 2: Berechnung Der Kosten Von Warmeversorgungsanlagen, , VDI (Verein Deutscher Ingenieure), Raumheizung, VDI-2067; Wibig, J., Heating degree days and cooling degree days variability in Lodz in the period 1931-2000 (2003) Fifth International Conference on Urban Climate, , Lodz, Poland; Wilks, D.S., (2006) Statistical Methods in the Atmospheric Sciences, 2nd Edn, p. 627. , Elsevier Academic Press, San Diego; http://www.wmo.int/pages/themes/climate/statisticaldepictionsofclimate.php, WMO (World Meteorological Organization):, Retrieved January 2016; Zaninovic, K., Gajić-Čapka, M., Perčec Tadic, M., Vučetic, M., Milkovic, J., Bajic, A., Cindric, K., Vučetic, V., Klimatski atlas Hrvatske/Climate atlas of Croatia 1961- 1990, 1971-2000 (2008) Državni Hidrometeorološki Zavod (DHMZ), p. 200. , Zagreb; Yildiz, I., Sosaoglu, B., Spatial distributions of heating, cooling, and industrial degree- days in Turkey (2007) Theor Appl Climatol, 90, pp. 249-261","Cvitan, L.; Meteorological and Hydrological Service, Gric 3, Croatia; email: lidija.cvitan@cirus.dhz.hr",,,"Hrvatsko Meteorolosko Drustvo",,,,,13300083,,,,"English","Hrvat. Meteoroloski Cas.",Review,"Final",,Scopus,2-s2.0-85050346791 "Knopf A.","35848484900;","Why medical tourism is rare in the addiction market",2017,"Behavioral Healthcare","37","3",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028458457&partnerID=40&md5=208b033dc56721e78d03234192ebb39f","New York, United States","Knopf, A., New York, United States",[No abstract available],,,,,,,,,,,"Knopf, A.United States",,,"Vendome Group LLC",,,,,19317093,,,,"English","Behav. Healthc.",Article,"Final",,Scopus,2-s2.0-85028458457 "Mogaka J.J., Tsoka-Gwegweni J.M., Mupara L.M., Mashamba-Thompson T.","57194640548;55616518100;57194640160;56281917500;","Role, structure and effects of medical tourism in Africa: A systematic scoping review protocol",2017,"BMJ Open","7","6", e013021,"","",,,"10.1136/bmjopen-2016-013021","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021380945&doi=10.1136%2fbmjopen-2016-013021&partnerID=40&md5=2c16b3ada11dc691893c4062bbe4a0e6","Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu Natal, Durban, South Africa","Mogaka, J.J., Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu Natal, Durban, South Africa; Tsoka-Gwegweni, J.M., Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu Natal, Durban, South Africa; Mupara, L.M., Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu Natal, Durban, South Africa; Mashamba-Thompson, T., Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu Natal, Durban, South Africa","Introduction Some patients travel out of, while others come into Africa for medical care through a growing global phenomenon referred to as medical tourism (MT): the travel in search of medical care that is either unavailable, unaffordable or proscribed at home healthcare systems. While some castigate MT as promoting healthcare inequity, others endorse it as a revenue generator, promising local healthcare system strengthening. Currently, however, the understanding of this component of healthcare in Africa is inadequate. This study seeks to determine the level of knowledge on the role, structure and effect of MT in Africa as it relates to healthcare systems in the region. Methods Conduct a systematic scoping review to outline the role, structure and effect of MT in Africa. Databases: Academic Search Complete, Business Source Complete. Studies mapped in two stages: (1) mapping the studies based on the relevance of their titles and subject descriptors; (2) applying further inclusion criteria on studies from stage 1. Two reviewers will independently assess study quality and abstract data. Both quantitative and qualitative data analysis will be performed, using STATA V.13 and NVIVO, respectively. Ethics and dissemination The study results will be disseminated by publication in peer-reviewed journals and findings presented at academic and industry conferences related to MT, public health, health systems strengthening and tourism. Discussion MT spurs cutting-edge medical technologies, techniques and best practices in healthcare delivery. The two-tier healthcare landscape in Africa, however, presents an exceptionally unique context in which to situate this study. Much has been written about MT globally, but not much is known about the phenomenon in Africa; hence the appropriateness of this scientific assessment of MT in the region. By elucidating the role, structure and effect of this phenomenon, this study hopes to contribute to health systems strengthening in Africa. © 2017 Article author(s) (or their employer(s) unless otherwise stated in the text of the article). All rights reserved.","global health; health services research; healthcare systems; medical tourism; public health","Africa; health care personnel; health care system; human; medical care; medical information; medical tourism; public health; Review; systematic review; Africa; health care disparity; methodology; public health; Africa; Healthcare Disparities; Humans; Medical Tourism; Public Health; Research Design",,,,,,,,"Alsharif, M.J., Labonté, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Glob Soc Policy, 10, pp. 315-335; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66, pp. 4-15; Johnston, R., Crooks, V.A., Snyder, J., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) Int J Equity Health, 9, p. 24; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) Int J Qual Health Care, 23, pp. 1-7; Reddy, S.G., Medical tourism in India: An exploratory study 2013 Kansas State University Kansas; Dominique, M., (2013) Medical Tourism and Cross-border Care; Handler, A., Issel, M., Turnock, B., A conceptual framework to measure performance of the public health system (2001) Am J Public Health, 91, pp. 1235-1239; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of Thailand, Singapore and Malaysia (2011) Global Health, 7, p. 121; Ahwireng-Obeng, F., Van Loggerenberg, C., Africa's middle class women bring entrepreneurial opportunities in breast care medical tourism to South Africa (2011) Int J Health Plann Manage, 26, pp. 39-55; Hanefeld, J., Lunt, N., Smith, R., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Soc Sci Med, 124, pp. 356-363; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries; Turner, L., First world health care at third world prices': Globalization, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325; Connell, J., Contemporary medical tourism: Conceptualisation, culture and commodification (2013) Tour Manag, 34, pp. 1-13; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in Southern Africa (2015) Soc Sci Med, 124, pp. 313-320; Crush, J., Chikand, A., Maswikwa, B., South-South and North-South medical tourism: The case of South Africa (2013) Travelling Well: Essays in Medical Tourism, pp. 43-61. , Ottawa Ottawa: University of Ottawa, Institute of Population Health; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Med Inform J, 4, pp. 1-11; Abdullahel, H., Globalization, medical tourism and health equity (2009) Symposium on Implications of Medical Tourism ForCanadian Health and Health Policy, , Ottawa; Crooks, V.A., Kingsbury, P., Snyder, J., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Serv Res, 10, p. 10266; Runnels, V., 12 conclusions: Medical Tourism today and tomorrow Transdisciplinary Studies in Population Health Series. Chapt; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27, pp. 236-251; (2016) Standard Country and Area Codes Classifications (M49), , http://unstats.un.org/unsd/methods/m49/m49regin.htm, Division UNS; Arksey, H., O'Malley, L., Scoping studies: Towards a methodological framework (2005) Int J Soc Res Methodol, 8, pp. 19-32; Levac, D., Colquhoun, H., O'Brien, K.K., Scoping studies: Advancing the methodology (2010) Implement Sci, 5, pp. 1-9; Mashamba-Thompson, T.P., Sartorius, B., Thabane, L., Impact of point-of-care diagnostics on maternal outcomes in HIV-infected women: Systematic review and meta-analysis protocol (2016) BMJ Open, 6, p. e008002; McHugh, M.L., Interrater reliability: The kappa statistic (2012) Biochem Med, 22, pp. 276-282; Pluye, P., (2011) Proposal: A Mixed Methods Appraisal Tool for Systematic Mixed Studies Reviews, , http://www.webcitation.org/5tTRTc9yJ:http://mixedmethodsappraisaltoolpublic.pbworks.com; Pham, M.T., Raji, A., Greig, J.D., A scoping review of scoping reviews: Advancing the approach and enhancing the consistency (2014) Res Synth Methods, 5, pp. 371-385; Han, X., Fang, B., Measuring the size of tourism and its impact in an economy (1997) Statistical Journal of the un Economic Commission for Europe, 14, p. 357; Gbenga, A., (2014) Nigeria: Awry Tales of Nigerians Seeking Medical Treatment Abroad, , The Guardian. Nigeria; Productions, D.L., In South Africa, fertility treatments are available at a number of world-class clinics that specialise in the field (2016) Because of the High Costs of Fertility Treatments Internationally, It Makes Financial Sense for Couples to Come to South Africa and Consult with Our World-class Specialists, , http://www.southafrica.net/za/en/articles/entry/article-southafrica.net-fertility-treatments; 2015High Court considers South African surrogate Family Law Newswire., , http://www.marilynstowe.co.uk/2015/06/22/high-court-considers-south-african-surrogate, Team SFLW; Cooke, J.G., Public health in Africa-A report of the csis global health policy center (2010) J Public Health Africa, 1; Kaseje, D., (2006) Health Care in Africa: Challenges Opportunities and an Emerging Model for Improvement; Caballero-Danell, S., Mugomba, C., (2007) Medical tourism and its entrepreneurial opportunities: A conceptual framework for entry into the industry; Africa, K., (2012) The State of Healthcare in AfricaKPMG, , South Africa; Ajayi, I.O., Adewole, I.F., Breast and cervical Cancer screening activities among family physicians in Nigeria (2002) Afr J Med Med Sci, 31, pp. 305-309; Akukwe, C., Healthcare delivery in Africa: Issues, choices, challenges and opportunities (2006) African Renaissance, 3 (4); Clemens, M.A., Pettersson, G., New data on african health professionals abroad (2008) Hum Resour Health, 6, pp. 1-11; George, R., Medical tourism: Surgeon & safari (2004) South African Travel and Tourism Cases, pp. 241-243; Herrick, D.M., Medical tourism: Global competition in health care (2007) National Center for Policy Analysis, 1; Christie, I., (2014) Tourism in Africa: Harnessing Tourism for Growth and Improved Livelihoods: World Bank Publications; Kachipande, S., Medical tourism in Africa (2013) Sun, Sea, Scalpel and Safari; Maaka, T.P., The role of medical tourism in 21st century Africa health system (2006) African Rennaissance, 3, pp. 99-110; Kenya targeting medical tourism (2015) Journal IMT., , http://www.imtj.com/news/kenya-targeting-medical-tourism/; Uppiah, M., The legal implications for Mauritius to develop the medical tourism sector (2014) 4th Advances in Hospitality & Tourism Marketing & Management Con; Mahomed, S., Slabbert, M.N., Stem cell tourism in South Africa: The legal position (2012) South African Journal of Bioethics and Law, 5, pp. 69-73; Moher, D., Liberati, A., Tetzlaff, J., Reprint-preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement (2009) Phys Ther, 89, pp. 873-880","Tsoka-Gwegweni, J.M.; Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu NatalSouth Africa; email: Tsokagwegweni@ukzn.ac.za",,,"BMJ Publishing Group",,,,,20446055,,,"28645947","English","BMJ Open",Review,"Final",Open Access,Scopus,2-s2.0-85021380945 "Hansen K.S.","57205132646;","Medical tourism and its implications for patients and hospital services throughout the world",2017,"Ugeskrift for laeger","179","20",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058741713&partnerID=40&md5=a7c08675cff6fb022f582b95e9ad6f46","krsh@sund.ku.dk, France","Hansen, K.S., krsh@sund.ku.dk, France","This article provides a snapshot of global medical tourism and its positive and negative implications for healthcare around the world presented through selected examples. Medical tourism is an old phenomenon which has seen a rapid increase due to global technological advances thus enabling people to receive treatment anywhere in the world, often combined with a tropical vacation. Treatments are of a non-acute, voluntary nature and are driven largely by high prices and long waiting lists at the home countries and low prices and high service quality at the destination country.",,"economics; fee; health care quality; hospital admission; human; leisure; medical tourism; trends; Fees and Charges; Holidays; Humans; Medical Tourism; Quality of Health Care; Waiting Lists",,,,,,,,,,,,,,,,,16036824,,,"28504632","Danish","Ugeskr. Laeg.",Review,"Final",,Scopus,2-s2.0-85058741713 "Joseph S.","57202232498;","Sustainable medical tourism model - A case study of Kerala, India",2017,"Asia-Pacific Journal of Innovation in Hospitality and Tourism","6","1",,"77","98",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047569530&partnerID=40&md5=e1e07d237860886ba4012efce063282b","GPM Government College, India","Joseph, S., GPM Government College, India","Medical tourism is a term used to portray a current booming industry which is viewed optimistically by media practitioners, researchers and the health care industry. Along with its enormous scope and potential, the issues and problems that may arise due to the promotion of medical tourism at a destination should be taken seriously and addressed tactfully. These sustainability challenges and dimensions can be acquired from medical tourists. This article establishes a possible relationship between the different components of the medical tourism industry and thereby, proposes a sustainable medical tourism model while incorporating all the variables which directly and indirectly influence destinations both in terms of medical and tourism features. © The Author(s) 2017.","Destination factors; Hospital service quality; Level of experience; Medical factors; Medical tourism; Sustainable medical tourism outcome",,,,,,,,,"Aldaqal, S., Alghamdi, H., AlTurki, H., Eldeek, S., Kensarah, A., Determinants of patient satisfaction in the surgical ward at a university hospital in Saudi Arabia (2012) Life Science Journal, 9 (1), pp. 277-280; Andriotis, K., Agiomirgianakis, G., Mihiotis, A., Measuring tourist satisfaction: A factor-cluster segmentation approach (2008) Journal of Vacation Marketing, 14 (3), pp. 221-235; Angelopoulou, P., Kangis, P., Babis, G., Private and public medicine: A comparison of quality perceptions (1998) International Journal of Health Care Quality Assurance, 11 (1), pp. 14-20; Angelova, B., Zekiri, J., Measuring customer satisfaction with service quality using American Customer Satisfaction Model (ACSI Model) (2011) International Journal of Academic Research in Business and Social Sciences, 1 (3), pp. 232-258; Banyai, M., (2012) Assessing Visitors’ Satisfaction at Parks Canada Sites, , Unpublished doctoral dissertation). 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Rep); (2004) Indicators of Sustainable Development for Tourism Destinations: A Guidebook, , UNWTO Madrid: World Tourism Organization; Verlinde, E., De Laender, N., De Maesschalck, S., Deveugele, M., Willems, S., The social gradient in doctor-patient communication (2012) International Journal for Equity in Health, 11 (12), pp. 1-14; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health Tourism in Australia: Supply, Demand and Opportunities, , CRC for Sustainable Tourism Gold Coast; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34 (2), pp. 196-201; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Ziemba, E., Learn from the real experts in medical tourism - The patients (2015) International Medical Travel Journal, , https://www.imtj.com/articles/learn-real-expertsmedical-tourism-patients","Joseph, S.; GPM Government CollegeIndia; email: sjsindhu@gmail.com",,,"Taylor's University Sdn Bhd",,,,,22891471,,,,"English","Asia-Pacific J. Innov. Hosp. Tour.",Article,"Final",,Scopus,2-s2.0-85047569530 "In S.-H., Seok E.-J., Kim J.-H.","57196413676;57195998626;57195995295;","The impact of negative waiting experience of Korean plastic surgery tourism on the negative emotional response and exit intention : A study on Chinese medical tourists visiting korea",2017,"Information (Japan)","20","3",,"1829","1839",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030772904&partnerID=40&md5=a7f72ea62ed6347d9156d99407170879","Dept. of Hotel and Foofservice Industry, ShinAnshan University, 671 Chojidong, Anshan City, 425-792, South Korea; Dept. OfAerial Service, Kyungmin College, 545 Seburo, Uijeongbusi, Gyeonggido, 11618, South Korea; Dept. of Semayeul International Development, Yeungnam University, 280 Daehakro, Gyeongsan, Gyeongsangbuk-do, 138541, South Korea","In, S.-H., Dept. of Hotel and Foofservice Industry, ShinAnshan University, 671 Chojidong, Anshan City, 425-792, South Korea; Seok, E.-J., Dept. 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This compels cosmetic surgery clinics to provide medical tourists with the corresponding service, to pay attention to their perceived NWE perceived, and to establish marketing strategies for comparative supremacy and sustainable survival and development.","Exit intention; Negative emotional response; Negative waiting experience; Plastic surgery tourism",,,,,,,,,"Seok, E.J., Kim, J.H., Influence of negative waiting experience on exit intention in plastic surgery tourism: Moderating effect of negative emotional response (2016) Asia-pacific Proceedings of Applied Science and Engineering for Better Human Life, 3, pp. 79-82; (2011) Asian Economy: Set Up Unending Differentiation Strategy of Korean Wave; (2010) Herald Economy, Herald Economy, , http://www.heraIdbiz.com; (2013) Sports and Tourism.Korea Tourism Corporation: The Comprehensive Survey of Korea Medical Tourism, , Ministry of Culture; Jones, P., Dent, M., Improving service: Managing response time in hospitality operations (1994) International Journal of Operations & Production Management, 14 (5), pp. 55-58; Katz, K., Larson, B., Larson, R., Prescription for the waiting-in-line blues entertain, enlighten, and engage (1991) Sloan Management Review, 32 (2), pp. 44-53; Bitner, M.J., Servicescapes: The impact of physical surroundings on customers and employees (1992) Journal of Marketing, 56 (2), pp. 57-71; Weiner, B., An attributional theory of motivation and emotion (1985) Psychological Review, 92 (4), pp. 548-573; Hall, C.M., (1992) Review. 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Lowe's pioneering flat-rate deal with the Cleveland Clinic for heart surgery has shown both cost savings and quality improvement. Other large employers, notably Walmart and PepsiCo, have followed suit, signing contracts with self-described, single-hospital ""centers of excellence"" for a handful of elective procedures.",,"coronary artery bypass graft; cost control; economics; health care quality; health insurance; human; medical tourism; standards; Coronary Artery Bypass; Cost Control; Health Benefit Plans, Employee; Humans; Medical Tourism; Quality Indicators, Health Care",,,,,,,,,,,,,,,,,10623388,,,"28271992","English","Manag Care",Article,"Final",,Scopus,2-s2.0-85049712232 "DeMicco F.J., Luo D.P.","6506110255;57205110459;","Using the system model to describe the workings of the mayo clinic for medical tourism",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"47","73",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058610975&doi=10.1201%2f9781315365671&partnerID=40&md5=7316371c3975f0cb95a2dc53cf7a6174","Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; Luo, D.P., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","The Mayo Clinic Systems Model presented in this chapter provides a vantage point through the window of desirable patient/guest services outcomes. The Systems Model provides a roadmap or blueprint for the integration of all of the services from pre-Mayo to post-Mayo and all the processes in between. The understanding of this model can lead to a very positive level of patient/ guest satisfaction and a positive health outcome. © 2017 by Apple Academic Press, Inc.","Healthcare; Hotel; Medical tourism; Process; Systems model",,,,,,,,,"Andreassen, T., Lindestad, B., Customer Loyalty and Complex Services: The Impact of Corporate Image on Quality, Customer Satisfaction and Loyalty for Customers with Varying Degrees of Service Expertise (1997) Int. J. Serv. Ind. Manage., 8 (4), pp. 1-32; Berry, L.L., Seltman, K.D., (2008) Management Lessons from Mayo Clinic, p. 4; Carabello, L., A Medical Tourism Primer for U.S. Physicians (2008) Med. Pract. Manage., 23, pp. 291-294; Carrera, P.M., Bridges, J.F.P., Globalization and Healthcare: Understanding Health and Medical Tourism (2006) Exp. Rev. Pharmoecon. Outcomes Res., 6 (4), pp. 447-454; Cetron, M., DeMicco, F.J., Davies, O., (2010) Hospitality 2015: The Future of Hospitality and Travel., , The Educational Institute of the American Hotel and Lodging Association Publisher:Orlando, FL; Cheung, I.K., Wilson, A., Arthroplasty Tourism (2007) Med. J. Aust., 187, pp. 666-667; (2010), http://www.dallastown.net/Page/1760, Dallastown area Middle School, Universal Systems Model, Retrieved from, by July 15, 2015; Donabedian, A., The Effectiveness of Quality Assurance (1996) Int. J. Quality Health Care, 18 (4), pp. 401-407; Edvardsson, B., (1996) Kvalitet Och Tj.nsteutveckling., , Studentlitteratur: Lund; Edvardsson, B., Gustafsson, A., Johnson, M.D., Sand, B., (2000) New Service Development and Innovation in the New Economy., , Studentlitteratur: Lund; Ehrbeck, T., Guevara, C., Mango, P.D., Mapping the Market for Medical Travel (2008) McKinsey Q., , https://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, [Online]. Available; Hennig-Thran, T., Hansen, U., (2000) Relationship Marketing;, p. 90. , Springer Publisher; Heskett, J., Thomas, O., Loveman, G., Sasser, W., Schlesinger, L., Putting the Service Profit Chain to Work (1994) Harvard Bus. Rev., 72, pp. 164-174; Labelle, M., Colombel, L., Perrien, J., Le processus decisionnel du consommateur en mati. rede produits et services financiers (2003) Actes des 8.me journ.es de recherche en marketing de Bourgogne ;, pp. 139-157. , Dijon; Lee, F., (2004) If Disney Ran Your Hospital ;, p. 3; Lunt, N., Smith, R., Exworthy, M., Stephen, T., Cetron, M., DeMicco, F.J., Davies, O., (2010) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review., , http://www.oecd.org/els/health-systems/48723982.pdf, OECD Directorate for Employment, Labor and Social Affairs, Retrieved from; Normann, R., (1984) Service Management: Strategy and Leadership in Service Businesses, , New York, NY: Wiley; Saget, E., Des pays tr.s hospitaliers (2005) L’Express, , www.lexpress.fr/reussir/dossier/sante2/dossier.asp?ida=434541, October. Retrieved October 10, 2008, from; Saunders, W.B., (1926) Sketch of the History of the Mayo Clinic and the Mayo Foundation., pp. 30-31. , W.B. Saunders: Philadelphia, PA; Ye, B., Yuen, P., Zhang, H., Yuen, P., Motivations and Experiences of Mainland Chinese Medical Tourists in Hong Kong (2011) Tourism Manage., 32, pp. 1125-1127","DeMicco, F.J.; Department of Hospitality Business Management, Lerner College of Business and Economics, University of DelawareUnited States; email: FDeMicco@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058610975 "DeMicco F.J., Teng M.","6506110255;57205108840;","Medical tourism and information technology",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"299","337",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058610744&doi=10.1201%2f9781315365671&partnerID=40&md5=c07fdea6cf15038946dae4be8eb9b157","Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; Teng, M., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","To facilitate medical tourism and travel around the world, information technology is necessary for patients. The technology provides medical records for patients and to their providers along with aiding in scheduling and many other areas of patient care. This chapter describes the importance of technology to provide information on medical patients who travel away from their country of origin. © 2017 by Apple Academic Press, Inc.","Healthcare; Healthcare tourism; Hospitality; Information technology; Medical tourists; Medical travel destinations",,,,,,,,,"Aiello, M., (2013) Enhancing a Physicians’ Online Reputation, , http://www.healthleadersmedia.com/page-4/MAR-289012/KevinMDon-Enhancing-a-Physicians-Online-Reputation, Health Leaders Media, 6 Feb., 2013. Web. 30 Apr; Akitunde, A., Medical Tourism Tips for Americans Thinking of Overseas Treatment, , http://www.huffingtonpost.com/2012/06/01/medical-tourism-tips-advantagesdisadvantages_n_1561408.html#slide=1046919, Retrieved from Huffington Post website; (2013) Water, Sanitation & Hygiene Strategy Overview., , Bill & Melinda Gate’s Foundation: Seattle, WA; “Brazil.” Medical Tourism Destination, Medical Facilities (2013) Med. Tourism, , Web. 01 May; Cetron, M.J., DeMicco, F., Davies, O., (2010) Hospitality 2015: The Future of Hospitality and Travel., , American Hotel & Lodging Educational Institute: Lansing, MI; Coiera, E., Communication Systems in Healthcare (2006) Clin. Biochem. Rev., 27 (2), pp. 89-98. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579411/, May, Retrieved from; Deloitte, L.L.P., (2009) Medical Tourism: Update and Implications, , www.deloitte.com, Retrieved from; Medical Tourism: Consumers in Search of Value., , http://www.deloitte.com/assets/Dcom-unitedStates/Local%20Assets/Documents/us_chs_MedicalTourismStudy(3).pdf, Retrieved from Deloitte Website; Edelheit, J., US Healthcare Reform’s Effect on the Medical Tourism Industry., , http://www.medicaltourismmag.com/webinar/us-healthcare-reforms-effect-on-themedical-tourism-industry-by-jonathanedelheit.html, Medical Tourism Association Podcast, Podcast retrieved from; Fried, B., Harris, D., Managing Healthcare Services in the Global Marketplace (2007) Front. Health Serv. Manage., 24 (2), pp. 3-18; Gale, J., (2012) Superbugs Spread to 40 Nations Threatening India Medical Tourism, , May 8, livemint.com/politics (accessed April 30, 2012); Healthbase. Top 10 Reasons Why Medical Tourism is Popular (2013) Healthcare Beyond Boundaries., , https://www.healthbase.com/hb/pages/Top-10-Reasons-Why-Medical-Tourism-is-Popular.jsp, Web. 29 Apr; Hellmich, N., Hospital Fare Getting a Nutritional Makeover, , http://www.usatoday.com/story/news/nation/2013/03/06/healthier-hospital-food/1965237/, Retrieved from USA Today website; Hill-Rom, NaviCare Nurse Call., , http://www.hill-rom.com/usa/Products/Category/Workflow-and-Communications/NaviCare-Nurse-Call/, Retrieved from; Josiam, B.M., Smeaton, G., Clements, C.J., Involvement: Motivation and Destination Selection (1999) J. Vacation Market., 5 (2), pp. 167-175; Karuppan, C., Karuppan, M., Changing Trends in Health Care Tourism (2010) Health Care Manager, 29 (4), pp. 349-358; Keckley, P.H., Underwood, H.R., (2009) Medical Tourism: Update and Implications, , Deloitte Center for Health Solutions: Washington, DC, (also used as cited in Karuppan & Karuppan, 2010); Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value., , http://www.deloitte.com/assets/Dcom-unitedStates/Local%20Assets/Documents/us_chs_MedicalTourismStudy(3).pdf, Deloitte Center for Health Solutions, Web. 05 May 2013; Keller, M., That’s Progress-Advancements in Hospital Foodservice, n.d. Retrieved from Today’s. LGS (2013) Advanced Healthcare Communications Technology, , http://www.lgsinnovations.com/solutions/healthcare, Retrieved from; Melrose, P., (2010) Discover, Interact, and Optimize for Smarter Healthcare with BPM Powered by Smart SOA, p. 3. , October 5; Pafford, B., (2009) The Third Wave-Medical Tourism in the 21st Century ;, pp. 4338-4348. , Southern Medical Association; Pasqual, L., (2013) Technology Innovations Saving Lives, , http://www.apihealthcare.com/blog/technology-innovations-saving-lives/, January 23, Retrieved from; Prem, Contribution of Technology to Medical Tourism, , http://www.drprem.com/technology-in-medical.tourism, Retrieved from; (2013), http://maestropms.com/solutions/modulesspa-andactivities, Retrieved from; Stefan, M., How To Control And Improve Your Medical Tourism Online Reputation (2013) Medical Travel Quality Alliance., , http://www.mtqua.org/2013/02/11/contro-medical-tourism-online-reputation/, InterMed LLC, 11 Feb., Web. 30 Apr. 2013; Stephano, R., Samuels, B., Domestic Medical Tourism: Establishing U.S. Centers of Medical Excellence (2012) Med. Tourism Mag., 23. , www.medicaltourismmag.com, Retrieved from; (2013) New App Powers Better Sanitation in Developing World, , http://www.technology.org/2013/04/16/newapp-powers-better-sanitation-indevelopingworld/, April 16, (accessed: April 30, 2012); (2011) Administration on Aging. Aging Statistics, , http://www.aoa.gov/aoaroot/aging_statistics/index.aspx, Retrieved from; Wendt, K., (2012) Medical Tourism: Trends and Opportunities., , UNLV Theses/Dissertations/Professional Papers/Capstones. Paper 1483","DeMicco, F.J.; Department of Hospitality Business Management, Lerner College of Business and Economics, University of DelawareUnited States; email: FDeMicco@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058610744 "DeMicco F.J.","6506110255;","New innovations in medical tourism and wellness in Europe: Switzerland",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"279","288",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058609161&doi=10.1201%2f9781315365671&partnerID=40&md5=66d0fe9d2620ea03e80b57788c8a104f","Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","This chapter describes a comprehensive state-of-the-art medical tourism resort in Switzerland. It is a unique design concept that includes hotels, medical treatment facilities, rehabilitation spa, and thermal baths in one beautiful setting in the Swiss Alps. Hospitals and luxury are two words that do not seem to go together; or do they? In a recent trend where medical recovery meets the comfort of a luxury hotel, the idea of “Hotels Bridging Health Care,” known as H2H, is gaining ground. A mixed-use concept, H2H creates a new and innovative business model for entrepreneurs to fulfill the unmet needs of patients and their families; all achieved in a hygienic, complementary, and friendly environment that provides quality accommodations, upscale treatments, and state-of-the-art wellness centers. “Medical tourism is a way for medical facilities to differentiate themselves from their competitors,” said Fred J. DeMicco, Aramark Chair and Professor in the University of Delaware’s Department of Hotel, Restaurant and Institutional Management. “Being able to stay and be pampered at the same place you are curing your ailment is the way many people with medical issues will want to go in the future.” “A case in point,” said DeMicco, “about 75 percent of all hospital services today are hotel and hospitality-related services.” In the recent economic downturn, hotels closely connected to hospitals appeared to be recession proof, which likely results from the appeal of completing a medical procedure and having a vacation at the same time. “Price is a real attraction,” said Ali Poorani, Associate Professor of UD’s HRIM program and Director of Hospitality Associates for Research and Training. “The cost of surgery in India, Thailand or South Africa can be onetenth of the rates in the United States. A heart-valve replacement that could cost $200,000 or more in the U.S. goes for approximately $10,000 in India, and that includes round-trip airfare and a brief vacation.” DeMicco added that as US accrediting bodies recognize many healthcare facilities overseas, more corporations and insurance companies are paying for medical travel abroad. Drs. DeMicco and Poorani have been watching the growth of H2H worldwide and are situating the program at UD to play a key role in expanding the concept. Over the past three years, DeMicco and Poorani have joined Kathleen Matt, the Dean of UD’s College of Health Sciences, and have held roundtable discussions on H2H, spas, and wellness. The discussions have brought together constituents from Delaware’s Health Care and Hospitality communities in an effort to share information and ideas about the alignment of the H2H concept with potential plans for UD’s Science and Technology Campus. Building upon the roundtable, as well as research by DeMicco and Poorani, HRIM held a conference on Hotel, Wellness and Medical Tourism Entrepreneurship to be held at The Grand Resort Bad Ragaz, a top medical tourism model near Davos, Switzerland. The interdisciplinary conference involves several UD departments. Conference sessions include an overview of medical tourism today and the future and concept of H2H with wellness spas. It also includes panel presentations and discussions on the operational model of The Grand Resort Bad Ragaz, the branding of cities and towns for medical tourism, financial and investment issues, potential infrastructure and legal issues, and the impact of communication on doctor/patient relationships. Students from HRIM, the Lerner College, and Nutritional Health Science will be returning June 2015. © 2017 by Apple Academic Press, Inc.","Healthcare; Hospitals; Hotel; Luxury; Medical recovery; Medical spa; Resort",,,,,,,,,,"DeMicco, F.J.; Department of Hospitality Business Management, Lerner College of Business and Economics, University of DelawareUnited States; email: FDeMicco@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058609161 "DeMicco F.J.","6506110255;","A disney approach to medical tourism and wellness",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"95","101",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058609147&doi=10.1201%2f9781315365671&partnerID=40&md5=35a943a30eeba180333b2521f184009c","Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","The author spent a part of his career working at Disney World in Orlando with the Contemporary Hotel and Wilderness Lodge. This chapter will examine the guest services, management, and leadership principles from Disney that could be applied to a healthcare environment. © 2017 by Apple Academic Press, Inc.","Guest; Healthcare; Hospitality; Patient satisfaction; Quality",,,,,,,,,"Landro, L., Hospitals Form Patient Advisory Councils to Learn How They Can Improve Care (2015) Wall Street J., , Nov. 29; Lee, F., (2004) If Disney Ran Your Hospital: 9 1/2/ Things You Would Do Differently., , Second River Healthcare Press: Bozeman, Montana; (2003), p. 1. , Press Ganey Associates. Press-Ganey Satisfaction Report Volume VII, August; (1999), http://www.gallup.com/consulting/52/employee-engagement.asp","DeMicco, F.J.; Department of Hospitality Business Management, Lerner College of Business and Economics, University of DelawareUnited States; email: FDeMicco@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058609147 "Jiang N., Poorani A.","57205112563;16417944200;","Medical tourism today and in the future for China",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"369","413",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058608863&doi=10.1201%2f9781315365671&partnerID=40&md5=e97130e79551ec2b81f99520f441346a","The Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","Jiang, N., The Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; Poorani, A., The Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","In order to analyze medical tourism cluster launching procedures and differentiation process of branding cities, this chapter discusses and synthesizes models, strategies, tactics, and principles for establishing medical tourism cluster and branding Chinese medical tourism destinations. It comprises two parts. Part I includes two chapters covering relative researches and secondary data to elaborate the current development of Medical Tourism. In three chapters, Part II explores important theories of the strategic procedure model and cluster model, then builds a strategic SWOT model and examines it in three settings: Beijing, Shanghai, and Sanya. The Goal of this research project is to bridge the gap between Chinese healthcare industry and tourism industry by analyzing fundamental requirements that the Chinese medical tourism market needs and barriers in its growth, in order to supplement the medical tourism field in current Chinese market. © 2017 by Apple Academic Press, Inc.","China; Medical tourism; Medical tourism cluster; Medical tourism zones (healthcare free zones); Strategic swot analysis; Traditional chinese medicine (TCM); Wellness tourism",,,,,,,,,"Anchana, N., Viroj, N., The Effects of Medical Tourism: Thailand’s Experience (2011) Bull. World Health Org., 89, pp. 336-344; Batson, A., Oster, S., China Reconsiders Fairness of ‘transplant tourism’ (2007) Wall Street J.-Eastern Edition, 249 (80), pp. A1-A9; Boga, T.C., Weiermair, K., Branding New Services in Health Tourism (2011) Tourism Rev., 66 (1), pp. 90-106; Bristow, R.S., Yang, W., Lu, M., Sustainable Medical Tourism in Costa Rica (2011) Tourism Rev., 66 (1), pp. 107-117; Cetron, M.J., DeMicco, F., Davies, O., (2010) Hospitality 2015: The Future of Hospitality and Travel., , American Hotel & Lodging Educational Institute: Lansing, MI; Chinai, R., Goswami, R., Medical Visas Mark Growth of Indian Medical Tourism (2007) Bull World Health Organ., 85, pp. 164-165; Connell, J., Medical tourism: Sea, Sun, Sand and Surgery (2006) Tourism Manage., 27, pp. 1093-1100; The 2011-2016 Outlook for Medical Tourism in Greater China (2011) Country Outlook Reports, , N.PAG; (2009) First Chinese Medical Tourism Group Visits Kaohsiung., , Cruiseguide, 2-2; Seeing the Doctor, Overseas: Medical Tourism Booms in Asia (2014) Daily-Mail.com, , http://www.dailymail.co.uk/wires/afp/article-2883301/Seeing-doctor-overseas-medical-tourism-booms-Asia.html, Retrieved from; David, M., The Growth of Medical Tourism (2010) OECD Observer, 281; Donald, S., Kofman, E., Kevin, C., (2009) Branding Cities: Cosmopolitanism, Parochialism, and Social Change., , Routledge: New York; Fetscherin, M., (2012) Consumer-brand Relationships: Insights for Theory and Practice., , Routledge:London, New York; Fried, B., Harris, D., Managing Healthcare Services in the Global Marketplace (2007) Front. Health Services Manage., 24 (2), pp. 3-18; Gan, L.L., Frederick, J.R., Medical Tourism Facilitators: Patterns of Service Differentiation (2011) J. Vacation Market., 17 (3), pp. 165-183; Gan, L.L., Frederick, J.R., Medical Tourism in Singapore: A Structure-conduct-performance Analysis (2011) J. Asia-Pacific Bus., 12 (2), pp. 141-170; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A Typology of Cross-border Patient Mobility (2010) Health Place, 16 (6), pp. 1145-1155; Guiry, M., Vequist, D.G., Traveling Abroad for Medical Care: U.S. Medical Tourists’ Expectations and Perceptions of Service Quality (2011) Health Market. Q., 28 (3), pp. 253-269; Gustavo, N.S., A 21st-century Approach to Health Tourism Spas: The Case of Portugal (2010) J. Hospitality Tourism Manage., 17 (1), pp. 127-135; Hazarika, I., Medical Tourism: Its Potential Impact on the Health Workforce and Health Systems in India (2010) Health Policy Planning, 25, pp. 248-251; Heung, V.C.S., Kucukusta, D., Song, H., A Conceptual Model of Medical Tourism:Implications for Future Research (2010) J. Travel Tourism Market., 27 (3), pp. 236-251; Heung, V.C.S., Kucukusta, D., Song, H., Medical Tourism Development in Hong Kong:An Assessment of the Barriers (2011) Tourism Manage., 32 (5), pp. 995-1005; Horowitz, M.D., Rosensweig, J.A., Medical Tourism vs. Traditional International Medical Travel: A Tale of Two Models (2008) IMTJ-Int. Med. Travel J., 3, pp. 30-33; Horowitz, M.D., Rosensweig, J.A., Medical Tourism-Health Care in the Global Economy (2007) Phys. Executive, 33 (6), pp. 24-30; Huang, Y.-L., Forecasting the Demand for Health Tourism in Asian Countries Using a gm(1,1)- alpha Model (2012) Tourism Hospitality Manage., 18 (2), pp. 171-181; Ivy, T., Calvin, C., Supplementing Growth with Medical Tourism (2005) APBN, 9 (8), pp. 306-311; Kozak, M., Baloglu, S., (2012) Managing and Marketing Tourist Destinations: Strategies to Gain a Competitive Edge., , Routledge: New York; Kucukusta, D., Heung, V.C.S., The Problems of Developing Wellness Tourism in China:From Supply Perspective (2012) J. China Tourism Res., 8 (2), pp. 146-158; Lam, C., Cros, H., Vong, T.N., Macao’s Potential for Developing Regional Chinese Medical Tourism (2011) Tourism Rev., 66 (1), pp. 68-82; Lee, C.-F., King, B., International Competitiveness in Hot Springs Tourism: An Application of the Analytical Hierarchy Process Approach (2010) Tourism Anal., 15 (5), pp. 531-544; Lee, M.-H., Liu, C., (2009) The Developing Trends in Health Tourism Industry., , http://www.zhyslyw.com/news/News_View.asp?NewsID=382, Retrieved from; Lehto, X.Y., Brown, S., Chen, Y., Morrison, A.M., Yoga Tourism as a Niche within the Wellness Tourism Market (2006) Tourism Recreation Res., 31 (1), pp. 25-35; Lunt, N.T., Carrera, P., Medical Tourism: Assessing the Evidence on Treatment Abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N.T., Mannion, R., Exworthy, M., A Framework for Exploring the Policy Implications of UK Medical Tourism and International Patient Flows (2013) Social Policy Administration, 47 (1), pp. 1-25; MacReady, N., Developing Countries Court Medical Tourists (2007) Lancet, 369 (9576), pp. 1849-1850; McMahon, D., Thorsteinsdottir, H., Regulations are Needed for Stem Cell Tourism: Insights from China (2010) Am. J. Bioethics, 10 (5), pp. 34-36; An Overview of the Benefit Market in China (2013) Medical Tourism Magazine, , http://www.MedicalTourismMag.com/article/an-overview-of-the-benefit-market-in-china.html, Retrieved from; Menvielle, L., Menvielle, W., Tournois, N., Medical Tourism: A Decision Model in a Service Context (2011) Tourism (13327461), 59 (1), pp. 47-61; Milstein, A., Smith, M., America’s New Refugees: Seeking Affordable Surgery Offshore (2006) New Engl. J. Med., 355, pp. 1637-1640; Mirrer-Singer, P., Medical Malpractice Overseas: The Legal Uncertainty Surrounding Medical Tourism (2007) Law Contemp. Probs., 70, p. 211; Mueller, H., Kaufmann, E.L., Wellness Tourism: Market Analysis of a Special Health Tourism Segment and Implications for the Hotel Industry (2001) J. Vacation Market., 7 (1), p. 5; Mukherjee, A., Natarajan, V.S., Gunashekara, C.K., Medical Tourism: A Stakeholder Model (2010) Proc. Northeast Bus. Econ. Assoc., pp. 443-444; Ormond, M., Shifting Subjects of Health-care: Placing ‘Medical Tourism’ in the Context of Malaysian Domestic Health-care Reform (2011) Asia Pacific Viewpoint, 52 (3), pp. 247-259; Pasadilla, G., (2014) Medical and Wellness Tourism: Lessons from Asia., 20143 (8), p. 28. , http://www.intracen.org/uploadedFiles/intracenorg/Content/Publications/Medical%20and%20wellness%20Tourism%20-%20lessons%20from%20Asia_L.pdf, ITC (International Trade Center): Geneva, Retrieved from; Patriquin, M., A Vacation that’ll have you Drooling (2007) Macleans, 120 (12), p. 68; Pestronk, M., Victims of Medical Tourism Malpractice likely to Sue Agents (2012) Travel Weekly, 71 (19), p. 29; Poorani, A.A., Poorani, R., The Role of Hotel Industry in Medical & Wellness Tourism (2013) Med. Tourism Mag., , http://www.medicaltourismmag.com/article/the-roleof-hotel-industry-in-medical-wellness-tourism.html, Retrieved from; Robinson, R.N.S., Tourism, Health and the Pharmacy: Towards a Critical Understanding of Health and Wellness Tourism (2005) Tourism (13327461), 53 (4), pp. 335-346; Rosenthal, J., Medical Tourism Takes Off (2009) Nat. Geogr. Traveler, 26 (4), pp. 10-16; Schalber, C., Peters, M., (2012) Determinants of Health Tourism Competitiveness: An Alpine Case Study, , Institut za Turizam; Seddighi, H.R., Nuttall, M.W., Theocharous, A.L., Does Cultural Background of Tourists Influence the Destination Choice? An Empirical Study with Special Reference to Political Instability (2001) Tourism Manage., 22 (2), pp. 181-191; Sheldon, P.J., Park, S.-Y., Sustainable Wellness Tourism: Governance and Entrepreneurship Issue (2008) Acta Turist., 20 (2), pp. 151-172; Steiner, C.J., Reisinger, Y., Ringing the Fourfold: A Philosophical Framework for Thinking about Wellness Tourism (2006) Tourism Recreation Res., 31 (1), pp. 5-14; Stephano, R.M., Cook, W., (2010) Developing an International Patient Center: A Guide to Creating the Best Patient Experience., , Global Health Insurance Publications: United States; Stephano, R.M., Cook, W., (2010) The Medical Tourism Facilitator: A Best Practices Guide to Healthcare Facilitation for International Patients., , Global Health Insurance Publications:United States; Turner, L., First World Health Care at Third World Prices: Globalization, Bioethics, and Medical Tourism (2007) Biosocieties, 2, pp. 303-325; Uysal, M., Crompton, J., Determinants of Demand for International Tourism Flow to Turkey (1984) Tourism Manage., 5; Vijaya, R.M., Medical Tourism: Revenue Generation or International Transfer of Healthcare Problems (2010) J. Economic Issues, 44 (1), pp. 53-69; Wang, H., Value as a Medical Tourism Driver (2012) Manage. Serv. Quality, 22 (5), pp. 465-491; Wendt, K., (2012) “Medical Tourism: Trends and Opportunities”., , UNLV Theses/Dissertations/Professional Papers/Capstones. Paper 1483; Woodman, J., (2008) Patients beyond Borders; Yang, J., Pampering at a Premium (2006) Travel Agent, 325 (12), p. 28; Young, H.K., Boo, C., Demirer, I., Kim, M., (2011) A Case Study of Health Tourism in the Jeju Province, South Korea., , Florida International University","Poorani, A.; The Lerner College of Business and Economics, University of DelawareUnited States; email: poorani@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058608863 "Poorani A., Jiang N.","16417944200;57205112563;","The branding of medical tourism in China: A snapshot using a strategic model analysis",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"359","368",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058605775&doi=10.1201%2f9781315365671&partnerID=40&md5=c637998c6e9ef2b9eb63bed08d19ff46","Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","Poorani, A., Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; Jiang, N., Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","This chapter looks into the medical tourism phenomenon is China. It takes a strategic approach to three prominent tourism cities in China. The chapter describes a strategy for a three-step branding model for the medical tourism market. Global business travel spending is expected to expand in the next several years with China leading the charge. According to the 2013 Global Business Travel Association study sponsored by Visa, Inc. China is projected to experience double-digit annual growth, reaching 375 billion dollars by 2017, greater than any other country represented in the study. © 2017 by Apple Academic Press, Inc.","China; Medical tourism; Strategy; Wellness",,,,,,,,,"Poorani, A.A., Poorani, R., The Role of Hotel Industry in Medical & Wellness Tourism (2013) Med. Tourism Mag., , http://www.medicaltourismmag.com/article/the-roleof-hotel-industry-in-medical-wellness-tourism.html, Retrieved from; Chen, J., An Overview of the Benefit Market in China (2013) Med. Tourism Mag., , http://www.MedicalTourismMag.com/article/an-overview-of-the-benefit-market-inchina.html, Retrieved from; Boga, T.C., Weiermair, K., Branding New Services in Health Tourism (2011) Tourism Rev., 66 (1), pp. 90-106; Bristow, R.S., Yang, W., Lu, M., Sustainable Medical Tourism in Costa Rica (2011) Tourism Rev., 66 (1), pp. 107-117; Cetron, M.J., DeMicco, F., Davies, O., (2010) Hospitality 2015: The Future of Hospitality and Travel., , American Hotel & Lodging Educational Institute: Lansing, MI; Connell, J., Medical Tourism: Sea, Sun, Sand and… Surgery (2006) Tourism Manage., 27, pp. 1093-1100; Donald, S., Kofman, E., Kevin, C., (2009) Branding Cities: Cosmopolitanism, Parochialism, and Social Change., , Routledge: New York; Fetscherin, M., (2012) Consumer-brand Relationships: Insights for Theory and Practice., , Routledge:London, New York; (2011), Country Outlook Reports. The 2011-2016 Outlook for Medical Tourism in Greater China. Country Outlook Reports, N.PAG; (2009), CruiseGuide. First Chinese Medical Tourism Group Visits Kaohsiung. CruiseGuide, 2-2; Gan, L.L., Frederick, J.R., Medical Tourism Facilitators: Patterns of Service Differentiation (2011) J. Vacat. Market., 17 (3), pp. 165-183; Gan, L.L., Frederick, J.R., Medical Tourism in Singapore: A Structure-Conduct-Performance analysis (2011) J. Asia-Pac. Bus., 12 (2), pp. 141-170; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A Typology of Cross-border Patient Mobility (2010) Health Place, 16 (6), pp. 1145-1155; Guiry, M., Vequist, D.G., Traveling Abroad for Medical Care: U.S. Medical Tourists’ Expectations and Perceptions of Service Quality (2011) Health Mark. Q., 28 (3), pp. 253-269; Hazarika, I., Medical Tourism: Its Potential Impact on the Health Workforce and Health Systems in India (2010) Health Policy Plann., 25, pp. 248-251; Heung, V.C.S., Kucukusta, D., Song, H., Medical Tourism Development in Hong Kong:An Assessment of the Barriers (2011) Tourism Manage., 32 (5), pp. 995-1005; Horowitz, M.D., Rosensweig, J.A., Medical Tourism vs. Traditional International Medical Travel: A Tale of Two Models (2008) Int. Med. Travel J., 3, pp. 30-33; Kozak, M., Baloglu, S., (2011) Managing and Marketing Tourist Destinations: Strategies to Gain a Competitive Edge., , Routledge: New York; Kucukusta, D., Heung, V.C.S., The Problems of Developing Wellness Tourism in China:From Supply Perspective (2012) J. China Tourism Res., 8 (2), pp. 146-158; Lam, C., Cros, H., Vong, T.N., Macao’s Potential for Developing Regional Chinese Medical Tourism (2011) Tourism Rev., 66 (1), pp. 68-82; Lehto, X.Y., Brown, S., Chen, Y., Morrison, A.M., Yoga Tourism as a Niche within the Wellness Tourism Market (2006) Tourism Recreat. Res., 31 (1), pp. 25-35; Lunt, N.T., Mannion, R., Exworthy, M., A Framework for Exploring the Policy Implications of UK Medical Tourism and International Patient Flows (2013) Soc. Policy Admin., 47 (1), pp. 1-25; Lee, M.-H., Liu, C., (2009) The Developing Trends in Health Tourism Industry, , http://www.zhyslyw.com/news/News_View.asp?NewsID=382, Retrieved from; Mueller, H., Kaufmann, E.L., Wellness Tourism: Market Analysis of a Special Health Tourism Segment and Implications for the Hotel Industry (2001) J. Vacat. Mark., 7 (1), p. 5; Mukherjee, A., Natarajan, V.S., Gunashekara, C.K., Medical Tourism: A Stakeholder Model (2010) Proc. Northeast Bus. Econ. Assoc., pp. 443-444; Ormond, M., Shifting Subjects of Health-care: Placing ‘Medical Tourism’ in the Context of Malaysian Domestic Health-care Reform (2011) Asia Pac. Viewpoint, 52 (3), pp. 247-259; Seddighi, H.R., Nuttall, M.W., Theocharous, A.L., Does Cultural Background of Tourists Influence the Destination Choice? An Empirical Study with Special Reference to Political Instability (2001) Tourism Manage., 22 (2), pp. 181-191; Sheldon, P.J., Park, S.-Y., Sustainable Wellness Tourism: Governance and Entrepreneurship Issue (2008) Acta Turist., 20 (2), pp. 151-172; Steiner, C.J., Reisinger, Y., Ringing the Fourfold: A Philosophical Framework for Thinking about Wellness Tourism (2006) Tourism Recreat. Res., 31 (1), pp. 5-14; Stephano, R.M., Cook, W., (2010) Developing an International Patient Center: A Guide to Creating the Best Patient Experience., , Global Health Insurance Publications: United States; Stephano, R.M., Cook, W., (2010) The Medical Tourism Facilitator: A Best Practices Guide to Healthcare Facilitation for International Patients., , Global Health Insurance Publications:United States; Turner, L., First World Health Care at Third World Prices: Globalization, Bioethics, and Medical Tourism (2007) Biosocieties, 2, pp. 303-325; Uysal, M., Crompton, J., Determinants of Demand for International Tourism Flow to Turkey (1984) Tourism Manage., 5, p. 106; Wendt, K., (2012) Medical Tourism: Trends and Opportunities, , UNLV Theses/Dissertations/Professional Papers/Capstones, Paper 1483; Huang, Y.-L., Forecasting the Demand for Health Tourism in Asian Countries Using a gm(1,1)-alpha Model (2012) Tourism Hosp. Manage., 18 (2), pp. 171-181; Young, H.K., Boo, C., Demirer, I., Kim, M., (2011) A Case Study of Health Tourism in the Jeju Province, South Korea., , Florida International University","Poorani, A.; Lerner College of Business and Economics, University of DelawareUnited States; email: poorani@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058605775 "Jaeger M., Hoffman M., Oprodovsky M.","57205109514;57205111079;57205108738;","Women traveling for health tourism: Results from focus groups in Austria",2017,"Women and Travel: Historical and Contemporary Perspectives",,,,"219","240",,,"10.1201/9781315365879","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058602547&doi=10.1201%2f9781315365879&partnerID=40&md5=23531ce0b7c66075fa4f1822d3397b0d","Austria; Medical University Graz, Austria; Campus Social Medical Center, Vienna, Austria","Jaeger, M., Austria; Hoffman, M., Medical University Graz, Austria; Oprodovsky, M., Campus Social Medical Center, Vienna, Austria","Tourism is one of the world’s growing markets and moves people and money for different reasons. In Austria, tourism constitutes 5.3% of GDP, which, in 2012, amounted to 15.09 billion Euro (Smeral, 2010). Health is increasingly seen as a crucial personal, economic, and political commodity which is founded in the dynamic interaction of demographics, economy, and advanced medicine. Among the most important growth sectors are located in the health-industry; the term “Gesundheitsgesellschaft” (“health-society”) is often being used (Kickbusch, 2012). The current accelerated lifestyle of many people causes changes in the living, working, and surrounding circumstances which in turn can lead to health problems. Health problems and the search for cure, rehabilitation, or relief, or the wish to promote one’s own health were, and still are, some of the primary motivators for traveling for health (Konu, 2010; Konu & Laukkanen, 2009; Hall, 2011; Smith & Puzcko, 2010). Fortunately, patients have early access to health care systems. One significant issue remains reduced accessibility of the system for individuals of lower socioeconomic standing (Cassens et al., 2012). For women this could be a hindrance due to the difference in their income as compared to men (Statistik Austria, 2013). © 2017 by Apple Academic Press, Inc.","Austra; Focus group; Health tourism; Spa; Wellness",,,,,,,,,"Desk Res., , http://www.aqr.org.uk/glossary/desk-research, accessed July 25, 2015; Aitchison, C., Reeves, C., Gendered (Bed)Spaces: The Culture and Commerce of Women Only Tourism (1998) Gender, Space and Identity: Leisure, Culture and Commerce;, pp. 47-68. , Aitchison, C., Jordan, F., Eds.; Leisure Studies Association: Bolton, UK; Bässler, R., (2003) Qualitätsniveau und Gesundheitskompetenz im Österreichischen Kur- und Wellness-Tourismus;, , Österreichisches Bundesministeriums für Wirtschaft und Arbeit: Wien; Bässler, R., Verhaltensmuster “Wellness” (2006) Wellness und Produktentwicklung. Erfolgreiche Gesundheitsangebote im Tourismus;, pp. 70-71 and 75-77 and 85-86. , Krczal, A., Weiermair, K., Eds.; Erich Schmidt Verlag GmbH & Co: Berlin; Bhimji, F., Cosmopolitan Belonging and Diaspora: Second-Generation British Muslim Women Traveling to South Asia (2008) Citizenship Stud., 12 (4), pp. 413-427; Brandes, U., (2010) Frauenzimmer im Hotel. Wie Geschäftsfrauen Sich Hotels Wünschen;, , Erich Schmidt Verlag: Berlin; (2011) Bundesministerium für Gesundheit 2011;, , Österreichischer Frauengesundheitsbericht 2010/2011. Eigenverlag: Linz, Austria; Byrne Swain, M., Gender in Tourism (1995) Ann. Tour. Res., 22, pp. 247-266; Cassens, M., Hörmann, G., Tarnai, C., Stosiek, N., Meyer, W., Health Tourism: Increasing Importance of Touristic Settings for Public Health and Medical Prevention (2012) Prävention Gesundheitsförderung., 7 (1), pp. 24-29; Tourismus Consulting GmbH (2011) Grundlagenstudie: Der Gesundheits- und Wellness-Tourismus in Österreich: Status-Potentiale-Ausblick;, , Bundesministerium für Wirtschaft: Wien; Cukier, J., Norris, J., Wall, G., The Involvement of Women in the Tourism Industry of Bali, Indonesia (1996) J. Dev. Stud., 33 (2), pp. 248-270; Dunn, H.L., High-Level Wellness for Man and Society (1959) Am. J. Public Health., 49 (6), pp. 786-792; Gibson, H., Jordan, F., Berdychevsky, L., Women and Tourism (2013) Leisure, Women and Gender;, , Freysinger, V. J., Shaw, S., Henderson, K. A., Bialeschki, D., Eds.; Venture Publishing: PA; Hall, C.M., Health and Medical Tourism: A Kill or Cure for Global Public Health? (2011) Tour. Rev., 66 (1-2), pp. 4-15; Harris, C., Wilson, E., Traveling Beyond the Boundaries of Constraint: Women, Travel and Empowerment (2007) Tourism and Gender: Embodiment, Sensuality and Experience;, pp. 235-250. , Pritchard, A., Ateljevic, I., Morgan, N., Harris, I., Eds.; CAB International: Wallingford, CT; Hudson, S., The Segmentation of Potential Tourists: Constraint Differences Between Men and Women (2000) J. Travel Res., 38, pp. 363-368; Illing, K.T., (2009) Gesundheitstourismus und Spa-Management;, , Oldenbourg Wissenschaftsverlag: München, Germany; Jaffè, D., (2005) Der Kunde ist weiblich: Was Frauen Sich Wünschen und wie sie Bekommen was Sie Wollen;, , Ullstein Buchverlag GmbH: Berlin; Kattiyapornpong, U., Miller, K.E., A Practitioner’s Report on the Interactive Effects of Socio-Demographic Barriers to Travel (2008) J. Vacat. Mark., 14 (4), pp. 357-371; Kickbusch, I., (2012) Die Gesundheitsgesellschaft, , http://www.ilonakickbusch.com/kickbusch/gesundheitsgesellschaft/index.php, Online, accessed Aug 12 2012; Kinnaird, V., Hall, D., Understanding Tourism Processes: A Gender-Aware Framework (1996) Tour. Manage., 17 (2), pp. 95-102; Konu, H., Identifying Potential Wellbeing Tourism Segments in Finland (2010) Tour. Rev., 65 (2), pp. 41-51; Konu, H., Laukkanen, T., (2009) Roles of Motivation Factors in Predicting Tourists’ Intentions to Make Wellbeing Holidays - A Finnish Case, , Conference Proceedings ANZMAC; Marzuki, A., Chin, T.L., Razak, A.A., What Women Want: Hotel Characteristics Preferences of Women Travelers. Strategies for Tourism Industry (2012) Strategies for Tourism Industry - Micro and Macro Perspective;, pp. 143-164. , Kasimoglu, M., Aydin, H., Eds.; InTech: Rijeka, Croatia; Mayring, P., (2010) Qualitative Inhaltsanalyse. Grundlagen und Techniken. 11. Aktualisierte und überarbeitete Auflage;, , Beltz Verlag: Weinheim und Basel; Mayring, P., Qualitative Inhaltsanalyse (2012) Qualitative Forschung, Ein Handbuch. 9. Auflage;, , Flick, U., Ed.; Rowohlts Taschenbuch Verlag: Hamburg, Germany; Moore, K., Cushman, G., Simmons, D., Behavioral Conceptualization of Tourism and Leisure (1995) Ann. Tour. Res., 22, pp. 67-85; Mottiar, Z., Quinn, D., Couple Dynamic in Household Tourism Decision Making: Women as the Gatekeepers? (2004) J. Vacat. Mark., 10, pp. 149-160; Mueller, H., Kaufmann, E.L., Wellness Tourism: Market Analysis of a Special Health Tourism Segment and Implications for the Hotel Industry (2001) J. Vacat. Mark., 7 (1), pp. 5-17; Norris, J., Wall, G., Cooper, C.P., Gender and Tourism (1994) Progress in Tourism, Recreation and Hospitality Management;, pp. 6 and 57-78. , Cooper, C. P., Lockwood, A., Eds; Österreich Werbung: Was sind die Motive für einen Urlaub in Österreich?, , SU Tourismusforschung, without year; Redclift, N., Sinclair, M.T., Sinclair, M.T., (2013) Working Women: International Perspectives on Labour and Gender Ideology., , Routledge: London; Riley, P.J., Road Culture of International Long-Term Budget Travelers (1988) Ann. Tour. Res., 15 (3), pp. 313-324; Rulle, M., (2008) Der Gesundheitstourismus in Europa, Entwicklungstendenzen und Diversifikationsstrategien, , 2nd ed.; Profil Verlag: München, Wien; Russell, M., (1986) The Blessings of a Good Thick Skirt: Women Travelers and Their World;, , Collins: London; Ryan, M., Henley, N., Soutar, G., Gender Differences in Tourism Destination Choice: Some Implications for Tourism Marketers;, pp. 2306-2317. , Edith Cowan University: Joondalup, Western Australia, without year; Sherman, L., Clemenz, C., Philipp, S., Gender-Based Service Preferences of Spa-Goers (2007) Adv. Hosp. Leis., 3, pp. 217-229; Smeral, E., (2010) Tourismusstrategische Ausrichtung 2015, Wachstum durch Strukturwandel, Kurzfassung;, , http://www.bmwfj.gv.at/TOURISMUS/Seiten/Tourismusstrategie.aspx, Österreichisches Institut für Wirtschaftsforschung: Wien. [Online], accessed Aug 10, 2012; Smith, M., Puczkó, L., (2010) Health and Wellness Tourism;, , Elsevier: Oxford, UK; Smith, V.L., Women: The Taste-Makers in Tourism (1979) Ann. Tour. Res., pp. 49-60; (2013) Soziales: Personeneinkommen, , http://www.statistik.at/web_de/statistiken/menschen_und_gesellschaft/soziales/personen-einkommen/index.html, accessed Aug 5, 2015; Wilson, E., Harris, C., Meaningful Travel: Women, Independent Travel and the Search for Self and Meaning (2006) Tourism., 54 (2), pp. 161-172; Zemp, E., Ackermann-Liebrich, U., Geschlechtsunterschiede in Gesundheit und Gesundheitsverhalten (1988) Sozial-und Präventivmedizin., 33 (3), pp. 186-192","Jaeger, M.Austria; email: margretjaeger@yahoo.com",,,"Apple Academic Press",,,,,,9781771884693; 9781771884686,,,"English","Women and Travel: Historical and Contemporary Perspectives",Book Chapter,"Final",,Scopus,2-s2.0-85058602547 "Molly M.L., DeMicco F.J.","57205107379;6506110255;","Best “experience” practices in medical tourism",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"289","297",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058600665&doi=10.1201%2f9781315365671&partnerID=40&md5=ec2a004f385e0d51b1d170e95435dfde","Department of Hospitality Business Management, The University of Delaware, Newark, DE 19716, United States; Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","Molly, M.L., Department of Hospitality Business Management, The University of Delaware, Newark, DE 19716, United States; DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","The principal objective of this chapter is to demonstrate the best practices in the rising trend of H2H and Medical Tourism. The concept of “Experience Economy” expedites the merging process of hospitality and hospitals: patients are also travelers now whose needs are not merely commodity type of medical care anymore but a memorable well-being experience. Moreover, H2H optimizes the process of realizing excellent care, which serves as the fundamental reason for tourism industry. In the section of “Best Practices in Medical Tourism,” “Christiana Care Way,” “Starwood Five Human Truths,” and “H2H packages” in Switzerland are selected to show how patient/guest experience can be made more interactive and less transactional. Therefore, although H2H demands the considerable collaboration from all parties involved in order to ultimately present the excellent care customers, tourists, and patients want, it carries tremendous opportunity for hospitals, hotels, Spa, restaurants, transportation, and more. © 2017 by Apple Academic Press, Inc.","Customer service; Healthcare experience; Hospitality; Hotel; Inbound tourists; Medical care; Medical tourism",,,,,,,,,"Cetron, M., DeMicco, F., Davies, O., (2010) Hospitality and Travel 2015., , The American Hotel and Lodging Association Educational Institute: Orlando, FL; (2016) About Christiana Care Care., , http://www.christianacare.org/way, Retrieved from; Deloitte, L.L.P., (2009) Medical Tourism: Update and Implications., , www.deloitte.com, Retrieved from; Lee, F., (2004) If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently., , Second River Healthcare Press: Bozeman, MT; (2016) Medical Tourism FAQ’s., , http://www.medicaltourismassociation.com/en/medical-tourism-faq-s.html, Retrieved from; Pine, B.J., Gilmore, J.H., (2011) The Experience Economy (Updated ed.)., , Harvard Business Review Press: Boston, MA; (2012) Asia Medical Tourism Analysis and Forecast to 2015., , http://www.marketresearch.com/Renub-Research-v3619/Asia-Medical-Tourism-Forecast-7174680/, Retrieved from; (2010) Inbound Medical Tourism: Survey of US International Patient Departments., , http://www.stackpoleassociates.com/, Retrieved from","DeMicco, F.J.; Department of Hospitality Business Management, Lerner College of Business and Economics, University of DelawareUnited States; email: FDeMicco@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058600665 "DeMicco F.J.","6506110255;","Case study: Medical tourism-recovery, rainforests, and restructuring: Opportunities for hotels bridging healthcare (H2H)",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"339","349",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058600284&doi=10.1201%2f9781315365671&partnerID=40&md5=7621536b729f719c7a2f147229fbd08b","Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States","This chapter looks at medical tourism in Costa Rica. The role that a tropical rain forest plays in providing a natural and relaxed setting is explored. The relationship between a relaxed rain forest setting and other more main stream medical tourism settings and patient recovery is discussed. © 2017 by Apple Academic Press, Inc.","Hospitality; Medical tourism; Rain forest; Recovery; Travel",,,,,,,,,,"DeMicco, F.J.; Department of Hospitality Business Management, Lerner College of Business and Economics, University of DelawareUnited States; email: FDeMicco@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058600284 "Hudson S., Li X.R.","7201374084;57205110757;","Domestic medical tourism: A neglected dimension of medical tourism research",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"159","181",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058597708&doi=10.1201%2f9781315365671&partnerID=40&md5=11902231dd5856ceb2afe15b2af29e44","The University of South Carolina, Columbia, SC 29208, United States","Hudson, S., The University of South Carolina, Columbia, SC 29208, United States; Li, X.R., The University of South Carolina, Columbia, SC 29208, United States","To date, the literature on medical tourism has focused almost exclusively on international medical tourism, or medical services outsourced to other countries. However, there are a growing number of patients who travel for medical care within their own country. Medical tourism experts have suggested that competition introduced from abroad, combined with healthcare reform, may stimulate improvement in healthcare offerings in the United States, and lead to an increase in such medical tourism. This chapter will therefore extend the literature by examining domestic medical tourism in the United States. There is a scarcity of research investigating consumer attitudes and beliefs toward the concept of medical tourism-particularly for domestic medical tourism-so the authors present a new model, and a research agenda for studying both attitudes toward such tourism, as well as the potential impact of domestic medical tourism on regional economies in the United States. © 2017 by Apple Academic Press, Inc.","Domestic; Health; Medical tourism; New model; Travel",,,,,,,,,"Ahmad, A., Medical tourism in India (2009) India Food and Travel Guide, , http://indiafoodandtravelguide.com, [Online], (accessed February 11, 2011); Amodeo, J., Medical Refugees and the Future of Health Tourism (2010) World Med. Health Policy., 2 (4), pp. 65-81; Appleby, J., Latest Destination for Medical Tourism: The U.S (2010) Kaiser Health News, , http://www.kaiserhealthnews.org, [Online], July 7, (accessed 9 February, 2011); Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries;, , Palgrave Macmillan: New York, NY; Bose, A., Private Health Sector in India: Is Private Health Care at the Cost of Public Health Care? (2005) BMJ., 331 (7528), pp. 1338-1339; Medical Travel Promotes Healthy Competition (2009) Bus. Insur., , http://www.businessinsurance.com/section/issue?date=20090823, [Online early access]. Published Online August 23, (accessed 25 May, 2011); Carrera, P.M., Bridges, J.F., Globalization and Healthcare: Understanding Health and Medical Tourism (2006) Expert Rev. Pharmacoecon. Outcomes Res., 6, pp. 447-454; Chambers, D., McIntosh, B., Using Authenticity to Achieve Competitive Advantage in Medical Tourism in the English-Speaking Caribbean (2008) Third World Q., 29 (5), pp. 919-937; Chuang, T.C., Liu, J.S., Lee, Y., The Main Paths of Medical Tourism: From Transplantation to Beautification (2014) Tourism Manage., 45, pp. 49-58; Cohen, E., Medical Travel-A Critical Assessment (2010) Tourism Recreation Res., 35 (3), pp. 225-237; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting Medical Tourism to India: Messages, Images, and the Marketing of International Patient Travel (2011) Soc. Sci. Med., 72, pp. 726-732; (2009) Medical Tourism: Update and Implications;, , Deloitte Center for Health Solutions: Washington, DC; Ehrbeck, T.C., Guevara, C., Mango, P.D., Mapping the Market for Medical Travel (2008) McKinsey Quarterly, , http://www.mckinseyquarterly.com/Mapping_the_market_for_travel_2134, [Online], May, (accessed Retrieved 11 January, 2011); Forgione, D.A., Smith, P.C., Medical Tourism and Its Impact on the US Healthcare System (2007) J. Health Care Finance, 34, pp. 27-35; Fried, B.J., Harris, D.M., Managing Healthcare Services in the Global Marketplace (2009) Front. Health Serv. Manage., 24 (2), pp. 3-18; (2015) The Global Wellness Tourism Economy Report 2013 & June 2014., , Global Wellness Institute: Florida, US; Goldbach, A.R., West, D.R., Medical Tourism: A New Venture of Healthcare (2010) J. Glob. Bus. Issues, 4 (2), pp. 43-44; Goodrich, J.N., Socialist Cuba: A Study of Health Tourism (1993) J. Travel Res., 32 (1), pp. 36-41; Green, B., (2005) Marketing to Leading-Edge Baby Boomers., , Paramount Publishing Inc.: Ithaca, NY; Hall, C.M., (2013) Medical Tourism: The Ethics, Regulation and Marketing of Health Mobility., , Routledge: London, UK; Han, H., Hyun, S.S., Customer Retention in the Medical Tourism Industry: Impact of Quality, Satisfaction, Trust, and Price Reasonableness (2015) Tourism Manage., 46, pp. 20-29; Oklahoma City is quickly becoming the medical tourism destination for oncology treatment (2011) HealthLeaders-InterStudy, , http://hl-isy.com/News-and-Events/Press-Releases/OKC-MO-050311, [Online early access]. Published Online: May 3, (accessed May 25, 2011); Henderson, J., Healthcare Tourism in Southeast Asia (2003) Tourism Rev. Int., 7 (3-4), pp. 111-121; Herrick, D.M., (2007) Medical Tourism: Global Competition in Health Care;, , National Center for Policy Analysis: Dallas, TX; Heung, C.S., Kucukusta, D., Song, H., A Conceptual Model of Medical Tourism: Implications for Future Research (2010) J. Travel Tourism Mark., 27 (3), pp. 236-251; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical Tourism Today: What is the State of Existing Knowledge (2010) J. Public Health Policy, 31 (2), pp. 185-198; Horowitz, M.D., Rosenweig, J.A., Medical Tourism-Health Care in the Global Economy (2007) Physician Exec., 33 (6), pp. 24-30; Horowitz, M.D., Rosenweig, J.A., Jones, C.A., Medical Tourism: Globalization of the Healthcare Marketplace (2007) Med. Gen. Med., 9 (3), p. 33. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234298/, [Online], November 13, (accessed 13 March, 2010); Hudson, S., Wooing Zoomers: Marketing to the Mature Traveler (2010) Mark. Intell. Plann., 28 (4), pp. 444-461; Hume, L.F., DeMicco, F.J., Bringing Hotels to Healthcare (2007) J. Qual. Assur. Hosp. Tourism, 8 (1), pp. 75-84; Medical Tourism Is Good Therapy for the Hotel Industry (2009) Int. Med. Travel J., , http://www.imtj.com/resources/press-releases/?esctl4779904directoryviewpager_p=3&entryid134=280430&cord=ASC, [Online], 23 April, (accessed January 20, 2014); USA: Corporate Medical Tourism Expanding Within the USA but Not Overseas (2010) Int. Med. Travel J. News, , http://www.imtj.com/news/?EntryId82=186558, [Online], February 26, (accessed May 25, 2011); USA: Missouri, Oklahoma, and New York See Opportunities in Domestic Medical Tourism (2011) International Medical Travel Journal News, , http://www.imtj.com/news/?EntryId82=289717, [Online], May 10, (accessed May 25, 2011); Jacob, S., Medical tourism gets domesticated (2014) D Magazine, , http://www.dmagazine.com/publications/d-ceo/2014/march/domestic-medical-tourism, [Online], March, (July 30 2015); Jayaraman, V.R., Four Things to Know about India’s Next Crown Jewel, Medical Tourism (2014) Forbes India, , http://forbesindia.com/blog/health/4-things-toknow-about-indias-next-crown-jewel-medical-tourism/, [Online], October 16, (accessed 30 July 2014); Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value;, , Deloitte Development LLC: Washington, DC; Lee, H.K., Fernando, Y., The Antecedents and Outcomes of the Medical Tourism Supply Chain (2015) Tourism Manage., 46, pp. 148-157; Li, X., Petrick, J., Examining the Antecedents of Brand Loyalty from an Investment Model Perspective (2008) J. Travel Res., 47 (1), pp. 25-34; Lovelock, C., Wortz, J., (2007) Services Marketing, , 6th ed.; Prentice Hall: Upper Saddle River, NJ; Lubell, J., New Tourist Attractions: More Patients Looking at Home before Going Abroad (2009) Mod. Healthc., 39 (24), pp. 28 and 30; Lunt, N., Carrera, P., Medical Tourism: Assessing the Evidence on Treatment Abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, Tuck, and Click: Medical Tourism and the Emergence of Web-Based Health Information (2010) Open Med. Inform. J., 4, pp. 1-11; Marlowe, J., Sullivan, P., Medical Tourism: The Ultimate Outsourcing (2007) Hum. Resour. Plann., 39 (2), pp. 8-10; Ongdee, S., The future is in Hotel-Spitals (2003) The Nation ;, p. 2. , June 30; (2009) Health Sector Report. Report for the Gulf Cooperation Council Region., , Ontario Ministry of International Trade & Investment, January; Ramirez de Arellano, A.B., Patients without Borders: The Emergence of Medical Tourism (2007) Int. J. Health Serv., 37, pp. 193-198; Reddy, G.R., York, V.K., Brannon, L.A., Travel for Treatment: Students’ Perspective on Medical Tourism (2010) Int. J. Tourism Res., 12 (5), pp. 510-522; Reed, C.M., Medical Tourism (2008) Med. Clin. North Am., 92, pp. 1433-1446; Rhea, S., Still Packing Their Bags: Health Reform Won’t Drastically Alter the Economics of Medical Tourism, but Patients and Providers Can Expect New Opportunities, at Home and Abroad (2009) Mod. Healthc., 39 (30), pp. 28-30; Robertson, C., Baby boomers are the model for healthy aging (2008) Ezine Articles, , http://www.ezinearticles.com, (July 7, 2009); Sherwood, C.H., The United States Vie to Lure Medical Tourists Seeking Healthcare Alongside Vacations (2014) The Guardian, , http://www.theguardian.com/business/2014/dec/12/us-states-vie-to-lure-medical-tourists-seeking-healthcare-alongsidevacations, [Online], December 12, (accessed July 30, 2015); Smith, A., Forgione, D., Global Outsourcing of Healthcare: A Medical Tourism Model (2007) J. Inform. Technol. Case Appl. Res., 9 (3), pp. 19-30; Sobo, E.J., Medical Travel: What it Means, Why it Matters (2009) Med. Anthropol., 28 (4), pp. 326-335; (2010) Behind the Big Blue H, , Hospitals Impact on Missouri’s Economy; (2010) Spas and the Global Wellness Market: Synergies and Opportunities;., , SRI International: Menlo Park, CA; Turner, L., First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism (2007) BioSocieties, 2, pp. 303-325; Ye, B.H., Yuen, P.P., Qui, H.Z., Zhang, V.H., (2008) Motivation of Medical Tourists: An Exploratory Case Study in Hong Kong Medical Tourists., , Paper Presented at the Asia Pacific Tourism Association (APTA) Annual Conference, Bangkok, Thailand; York, D., Medical Tourism: The Trend Toward Outsourcing Medical Procedures to Foreign Countries (2008) J. Contin. Educ. Health Prof., 28, pp. 99-102","Hudson, S.; The University of South CarolinaUnited States; email: shudson@hrsm.sc.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058597708 "Ahn J., Back K.-J., Park J.","57191622886;8598934000;35103247700;","Trends in medical tourism in South Korea",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"415","430",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058594423&doi=10.1201%2f9781315365671&partnerID=40&md5=b7a3050209cd2aabc351f27aef2787d5","Conrad N. Hilton College of Hotel and Restaurant Management, University of Houston, Houston, TX 77004, United States; College of Technology (RCS), University of Houston, Houston, TX 77004, United States","Ahn, J., Conrad N. Hilton College of Hotel and Restaurant Management, University of Houston, Houston, TX 77004, United States; Back, K.-J., Conrad N. Hilton College of Hotel and Restaurant Management, University of Houston, Houston, TX 77004, United States; Park, J., College of Technology (RCS), University of Houston, Houston, TX 77004, United States","In the medical tourism industry, Asian countries are getting attentions as the destination with a high quality of service and low price compared to European and American countries. In this chapter, we look at how Asian countries, and especially South Korea, have become popular medical tourism destinations due to their interest in developing tourism related to both medical and travel services. Furthermore, unique characteristics of both service providers and customers will be provided along with general information about medical tourism in South Korea. In conclusion, we suggested that the government and operators need to have convergence management perspective on medical tourism which should be implemented to improve synergy among technology, hospitality, culture, and tourism services. © 2017 by Apple Academic Press, Inc.","Asian medical tourism; Globalization; Medical tourism; South Korea",,,,,,,,,"Alsharif, M.J., Labonté, R., Lu, Z., Patients Beyond Borders: A Study of Medical Tourists in Four Countries (2010) Glob. Soc. Policy, 10 (3), pp. 315-335; Anita, M., (2014) Measures to Develop and Promote Down-under Medical Tourism Hub., , Central Queensland University; Baloglu, S., Uysal, M., Market Segments of Push and Pull Motivations: A Canonical Correlation Approach (1996) Int. J. Contemp. Hospitality Manage., 8 (3), pp. 32-38; (2015) 2013 Cosmetics & Beauty Expo, , http://www.businesskorea.co.kr/english/news/lifestyle/1200-2013-cosmetics-beauty-expo-promotingkorean-beauty, Retrieved from; Dann, G.M., Tourist Motivation an Appraisal (1981) Ann. Tourism Res., 8 (2), pp. 187-219; (2015) Why Korea Medical Tourism, , http://www.docfinderkorea.com/Medical-tourism-korea/, Retrieved from; Gan, L.L., Frederick, J.R., Medical Tourism Facilitators: Patterns of Service Differentiation (2011) J. Vacat. Mark., 17 (3), pp. 165-183; Gupta, A.S., Medical Tourism in India: Winners and Losers (2008) Indian J. Med. Ethics, 5 (1), pp. 4-5; Jeong, Y.Y., (2011) Study on the Legal Issues and Some Proposals of Medical Tourism; Kanchanachitra, C., Lindelow, M., Johnston, T., Hanvoravongchai, P., Lorenzo, F.M., Huong, N.L., Human Resources for Health in Southeast Asia: Shortages, Distributional Challenges, and International Trade in Health Services (2011) Lancet, 377 (9767), pp. 769-781; Kim, S., Arcodia, C., Identifying Success Factors in South Korean Medical Tourism (2014) CAUTHE 2014: Tourism and Hospitality in the Contemporary World: Trends, Changes and Complexity ;, p. 733; Klenosky, D.B., The “Pull” of Tourism Destinations: A Means-end Investigation (2002) J. Travel Res., 40 (4), pp. 396-403; (2013) The Foreign Patients Status, , http://khiss.go.kr/board/bbs_read.jsp?tname=MINBOARD358&bbsid=B205&bbs_seq=10&jkey=&jword=&pg=1&htxt_code=12536976882961856391090949807930&wj_vcs=, Retrieved from; (2008) Annual Report of the Medical Tourism in Korea, , Korea Medical Tourism Association: Seoul, Korea; (2015) Korea Tourism Organization 2015 Marketing survey for Medical Tourism in Korea, , Korea Medical Tourism Association: Seoul, Korea; (2011) Medical Tourism: Treatments, Markets and Health System Implications:A Scoping Review., , OECD, Directorate for Employment; Leng, C.H., Medical Tourism and the State in Malaysia and Singapore (2010) Glob. Soc. Policy, 10 (3), pp. 336-357; (2015) Our Role as a Medical Tourism Facilitator, , http://www.medicalavenuekorea.com/en/our-role-as-a-medical-tourism-facilitator/, Retrieved from; (2015) Asia Leads a Medical Tourism Industry Worth Billions, , http://asia.nikkei.com/magazine/20150226-Medicine-in-transit/On-the-Cover/Asia-leadsa-medical-tourism-industry-worth-billions, Retrieved from; (2016) K Beauty Skin Care, , http://www.sephora.com/korean-skincare, Retrieved from; Snyder, J., Crooks, V., Wright, A., Johnston, R., Medical Tourism Facilitators: Ethical Concerns about Roles and Responsibilities (2012) Risks and Challenges in Medical Tourism:Understanding the Global Market for Health Services ;, p. 279; (2015) Statistics and Facts on Internet Usage in South Korea, , http://www.statista.com/topics/2230/internet-usage-in-south-korea/, Retrieved from; Toyota, M., Medical Tourism Asia 2.0: Japan, South Korea and Taiwan (2011) Patients on the Move:Medical Tourism in Asia and the UK, 2011, Workshop, , NUS: Singapore; Yu, J.Y., Ko, T.G., A Cross-cultural Study of Perceptions of Medical Tourism among Chinese, Japanese and Korean Tourists in Korea (2012) Tourism Manage., 33 (1), pp. 80-88; Wilson, A., Foreign Bodies and National Scales: Medical Tourism in Thailand (2011) Body Soc., 17 (2-3), pp. 121-137","Back, K.-J.; Conrad N. Hilton College of Hotel and Restaurant Management, University of HoustonUnited States; email: kback@central.uh.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058594423 "DeMicco F.J., Rezvani E., Wang J.","6506110255;57205108091;57205113542;","Future trends in medical tourism and wellness: Club med or club medic?",2017,"Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H)",,,,"225","255",,,"10.1201/9781315365671","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058593486&doi=10.1201%2f9781315365671&partnerID=40&md5=3f8a41eef9d550fdaa340996979a8e67","Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; University of Delaware, Newark, DE 19716, United States","DeMicco, F.J., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; Rezvani, E., Department of Hospitality Business Management, Lerner College of Business and Economics, University of Delaware, Newark, DE 19716, United States; Wang, J., University of Delaware, Newark, DE 19716, United States","With healthcare costs sky rocketing and some medical specialties in short supply in some countries, patients are traveling abroad to seek the medical advice and treatments they need. This chapter looks at the availability, cost, and opportunities in the growing field of medical tourism. © 2017 by Apple Academic Press, Inc.","Heart-valve replacement; Hospitality; Hotel; Inferior medical care; Medical facilities; Medical tourism; Physicians",,,,,,,,,"Cetron, M., DeMicco, F., Davies, O., (2010) Hospitality & Travel 2015., , The Educational Foundation of the American Hotel & Lodging Association: Orlando, FL; (2014), http://www.imtj.com/news/entryid82=437564#sthash.cnl9G6yP.dpuf, Retrieved from; http://www.imtj.com/news/?entryid82=423518#sthash.CPlRinsa.dpuf; Lee, F., (2004) If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently., , Second River Healthcare Press: Bozeman, MT; (2015) Int. Med. Travel J., , http://www.imtj.com/news/?entryid82=430412, Retrieved from; (2014) Int. Med. Travel J., , http://www.imtj.com/news/?entryid82=439371, Retrieved from; (1999), http://www.gallup.com/consulting/52/employee-engagement.asp; (2006) Medical Tourism: A Global Analysis, , http://www.atlaswebshop.org/epages/61492534.sf/en_GB/?ObjectPath=/Shops/61492534/Products/ATL_00038","DeMicco, F.J.; Department of Hospitality Business Management, Lerner College of Business and Economics, University of DelawareUnited States; email: FDeMicco@udel.edu",,,"Apple Academic Press",,,,,,9781771885065; 9781771885058,,,"English","Med. Tourism and Wellness: Hospitality Bridging Healthc. (H2H)",Book Chapter,"Final",,Scopus,2-s2.0-85058593486 "Na S.A., Nee A.Y.H., Onn C.Y.","57203978801;57200129908;57203992176;","Medical tourism: The effects of perceived benefits, perceived risks and geographic region",2017,"Pertanika Journal of Social Sciences and Humanities","25","February",,"143","152",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053905596&partnerID=40&md5=bbf263fbb87361d55ef58e47b34fe5ae","Faculty of Business and Finance, Universiti Tunku Abdul Rahman (UTAR), Kampar, Perak, 31900, Malaysia","Na, S.A., Faculty of Business and Finance, Universiti Tunku Abdul Rahman (UTAR), Kampar, Perak, 31900, Malaysia; Nee, A.Y.H., Faculty of Business and Finance, Universiti Tunku Abdul Rahman (UTAR), Kampar, Perak, 31900, Malaysia; Onn, C.Y., Faculty of Business and Finance, Universiti Tunku Abdul Rahman (UTAR), Kampar, Perak, 31900, Malaysia","Malaysia has been targeting health travellers as a source of foreign exchange income especially after the Asian Financial Crisis. It is crucial for medical tourism industry in Malaysia to meet the expectations of their international clients as it competes with neighbours such as Thailand and Singapore. This study assesses the antecedents of attitude influencing the behaviour intention of potential health travellers in Malaysia by examining two dimensions of perceived value, namely perceived benefits and perceived risks. Findings of the study indicated that perceived value is a key predictor of tourist behavioural intentions. A difference was observed between regions among countries of origin. The research also highlighted managerial implications for private hospitals in the areas of marketing and product development. It is recommended hospitals should pay more attention to healthcare service value based on geographic regions of origin in order to create competitive advantage. © Universiti Putra Malaysia Press.","Health travellers; Intention; Malaysia; Medical tourism; Perceived benefits; Perceived risks",,,,,,,,,"Ajzen, I., From intentions to actions: A theory of planned behavior (1985) Action-Control: From Cognition to Behavior, , J. Kuhl & J. Beckmann Eds, Heidelberg: Springer; Ajzen, I., (1988) Attitudes, Personality, and Behaviour, , Chicago: Dorsey; Ajzen, I., The theory of planned behavior (1991) Organizational Behavior and Human Decision Processes, 50 (2), pp. 179-211; Ajzen, I., Fishbein, M., Attitudes and the attitude-behaviour relation: Reasoned and automatic processes (2000) European Review of Social Psychology, 11, pp. 1-33. , W. Stroebe & M. 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Analysis, , Makati: PIDS; Sarwar, A.A.M., Manaf, N.H.A., Omar, A., Medical tourist's perception in selecting their destination: A global perspective (2012) Iranian J Publ Health, 41 (8), pp. 1-7; Schiffman, R.G., Kanuk, L.L., (1983) Consumer Behavior, , 2nd ed.). Englewood Cliffs, NJ: Prentice-Hall; Smith, G.H., (2006) The Globalization of Health Care: Can Medical Tourism Reduce Health Care Costs?, , Hearing Publications, Washington, DC; Suleiman, A.B., Medical Tourism - Malaysia (2013) Regional World Health Summit Asia 2013, , https://d1wjxwc5zmlmv4.cloudfront.net/fileadmin/downloads/2013/WHSRMA_2013/Presentations/Day_2/Abu%20Bakar%20Suleiman%20-%20Medical%20Tourism%20-%20Malaysia.pdf, Singapore; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality, 22 (5), pp. 465-491; Yamasaki, D., Fujiwara, T., Asia leads a medical tourism industry worth billions (2015) Nikkei Asian Review, , http://asia.nikkei.com/magazine/20150226-Medicine-in-transit/On-the-Cover/Asia-leads-a-medical-tourism-industry-worth-billions, February 26","Onn, C.Y.; Faculty of Business and Finance, Universiti Tunku Abdul Rahman (UTAR)Malaysia; email: choongyo@utar.edu.my",,,"Universiti Putra Malaysia",,,,,01287702,,,,"English","Pertanika J. Soc. Sci. Humanit.",Article,"Final",,Scopus,2-s2.0-85053905596 "Phun J.I.V.","57202090485;","Health brokers Chinese herbal doctors, medical tourism, and medical advertisements in Southern California, 1900-1941",2017,"Amerasia Journal","43","2",,"47","78",,,"10.17953/aj.43.2.47-78","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047149197&doi=10.17953%2faj.43.2.47-78&partnerID=40&md5=bc2374121e913367db4bad68a6dab099","Chinese American Digital Oral History Project, California State University, Los Angeles, United States","Phun, J.I.V., Chinese American Digital Oral History Project, California State University, Los Angeles, United States",[No abstract available],,,,,,,,,,"Hillinger, C., Son carries on father's herb tradition (1979) Los Angeles Times, , December 6; Ulrich, L.T., (1990) A Midwife's Tale: The Life of Martha Ballard, Based on Her Diary, 1785-1812, , New York: Vintage; McCready, L.A., Harris, B., (2004) From Quackery to Quality Assurance: The First Twelve Decades of the Medical Board of California, , Sacramento: California State Medical Board; Tomes, N., Merchants of health: Medicine and consumer culture in the United States, 1900-1940 (2001) Journal of American History, 88 (2), p. 519; Tomes, N., (2016) Remaking the American Patient: How Madison Avenue and Modern Medicine Turned Patients into Consumers, , Chapel Hill: University of North Carolina Press; Helfer, C.K., (2012) Cultural Imprints: Chinese Elites in Turn-of-the-Century American Print Culture, pp. 81-119. , Doctoral Dissertation, University of California, Irvine; Aminda, M., Choosing Chinese medicine: Idaho's C.K. 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Information on medical tourism operations from the Internet during the period of 1997 to 2013 was used to track the entrance of countries participating in the industry and their uses of international accreditation as a quality assurance strategy. The international medical service industry appears to evolve over five stages: pre-modern medical tourism, emerging stage, rapid expansion, intense competition and regionalization. International accreditation certifications are differentially employed as a business strategy by leading and other destinations. © 2017 Taylor & Francis Group.",,,,,,,,,,"Behrmann, J., Smith, E., Top 7 issues in medical tourism: Challenges, knowledge gaps, and future directions for research and policy development (2010) Global Journal of Health Science, 2 (2), pp. 80-90; Carabello, L., (2014) The Affordable Care act’s Impact on Medical Travel, , http://www.theihcc.com/en/communities/medical_travel_health_care_access/domestic-medical-travel-quality-care-control-led-co_htklplcn.html; Chanda, R., (2002) Trade in Health Services, , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2567734/, Available from; Chee, H.L., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Choy, S., Stewart, S., (2011) Domestic Medical Tourism Gaining Traction, , http://www.americanbar.org/newsleter/publications/aba_health_esource:home/aba_health_law_esource:1107_choy.html; Connell, J., Medical tourism: Sea, sun, sand … surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; (2008) Medical Tourism: Consumers in Search of Value, , http://www.deloitte.com/, center for health solutions; Doh, P., Pearce, J., Revising our understanding and expectations of the international trade in services (2003) Journal of Transnational Management Development, 9 (1), pp. 59-78; Ehrbeck, T., Guevara, C., Mango, P., (2008) Mapping the Market for Medical Travel, , http://www.medretreat.com/templates/UserFiles/Docu-ments/McKinsey%20Report%20Medical%20Travel.pdf; Firat, E., (2012) Cross-Border Healthcare Stimulated by New European Healthcare Initiative, , http://www.medicaltourismmag.com/cross-border-healthcare-stimulated-by-new-european-healthcare-initiative/, Available from; Frankum, S., (2010) Has the Medical Travel Industry Reached Maturity?, , http://www.imtj.com/articles/2010/has-health-travel-reached-maturity-30081/; Helble, M., The movement of patients across borders: Challenges and opportunities for public health (2011) Bulletin of the World Health Organization, 89, pp. 68-72; Horowitz, D., Rosensweig, J., Jones, C., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), pp. 33-44; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9, pp. 24-36; Khan, J., Chelliah, S., Haron, S., Medical tourism destination image formation process: A conceptual model (2016) International Journal of Healthcare Management, 9 (2), pp. 134-143; Krishnan, T., Chelliah, S., (2013) Medical Tourism Research: A Conceptual Framework of Emerging Busi- Ness Strategies in Healthcare Industry, pp. 364-376. , Proceedings of International Conference on Tourism Development, ‘Building the future of tourism’, Penang, Malaysia, 4–5 February; (2011) Hospital Accreditation Schemes in Selected Places, , http://www.legco.gov.hk/yr10–11/english/sec/library/1011in16-e.pdf; Luntsmith, N., Mannion, R., Green, R., Exworthy, S., Hanefeld, M., Horsfall, M., Machin, D., King, L.H., (2014) Implications for the NHS of Inward and Outward Medical Tourism: A Policy and Economic Analysis Using Literature Review and Mixed-Methods Approaches, , http://www.ncbi.nlm.nih.gov/books/NBK263153/; Lunt, N., Smith, R., Exworthy, M., Green, S., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , http://www.oecd.org/dataoecd/51/11/48723982.pdf, Available from; Nigam, V., Srivastava, S., Impact of recession on tourism industry (2011) International Journal of Engineering and Management Sciences, 2 (2), pp. 71-80; Nikitin, I., (2013) Medical Tourism from Russia: Market Size and Characteristics, , http://akado.fi/2013/10/medical-tourism-from-russia-market-size-and-characteristics; Pollard, K., (2010) Medical Tourism…Lessons from the California Gold, , http://www.imtj.com/articles/2010/blog-medical-tourism-lessons-from-cali-fornia-gold-rush40127/#sthash.q1epg0bN.dpuf; Pollard, K., (2011) Medical Tourism: Trends for 2012 and Beyond, , http://www.imtj.com/articles/2011/medical-tourism-trends/, Available from; Schroeder, J., (2007) The Evolution of Medical Tourism, , http://www.ifc.org/wps/wcm/connect/, Available from; Sharma, A., Medical tourism: Emerging challenges and future prospects (2013) International Journal of Business and Management Invention, 2 (1), pp. 21-29; Upadhyaya, M., Soni, S., The growth and development of Indian global healthcare destinations (2008) Journal of Marketing & Communication, 4 (2), pp. 81-88; Vernon, R., International investment and international trade in the product cycle (1966) Quarterly Journal of Economics, 80 (2), pp. 190-207; Woodhead, A., Scoping medical tourism and international hospital accreditation growth (2013) International Journal of Health Care Quality Assurance, 26 (8), pp. 688-702; Youngman, I., (2016) Medical Tourism Research: Facts and Figures 2016, , https://www.imtj.com/resources/medical-tourism-research-facts-and-figures-2016/",,"Lumban Gaol F.Hutagalung F.Fong Peng C.Md Isa Z.Rushdan A.R.","","CRC Press/Balkema","5th International Congress on Interdisciplinary Behavior and Social Science, ICIBSOS 2016","5 November 2016 through 6 November 2016",,210489,,9781138035164,,,"English","Trends Issues Interdiscipl. Behav. Soc. Sci. - Proc. Int. Congr. Interdiscipl. Behav. Soc. Sci.",Conference Paper,"Final",,Scopus,2-s2.0-85046545988 "Willis M.","56668384900;","Medical tourism in victorian edinburgh: Writing narratives of healthy citizenship",2017,"New Directions in Literature and Medicine Studies",,,,"357","376",,,"10.1057/978-1-137-51988-7_20","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042405845&doi=10.1057%2f978-1-137-51988-7_20&partnerID=40&md5=da0dc18f6c09332e139423e91115eba1","School of English/John Percival Building, Cardiff University, Colum Drive, Cardiff, CF10 3EU, United Kingdom","Willis, M., School of English/John Percival Building, Cardiff University, Colum Drive, Cardiff, CF10 3EU, United Kingdom","This chapter explores travel guides to study representations of medicine in Victorian Edinburgh and focuses on three interlocking themes-the significance of Edinburgh as a city of cultural value; the centrality of charitable benevolence to Edinburgh's citizens; and the relationship between representations of environmental health and modern culture. These themes reveal how travel guides interpolate Edinburgh as a modern city rooted in an ethic of civic empathy that is regarded also as a unique local and national trait. The chapter concludes by asking what this civic nationalism may tell us of the relationship between writing, medicine and the city, and what directions potential future scholarship might take that will initiate further studies of the relationship between the humanities and the sciences. © The Author(s) 2017.",,,,,,,,,,"(1876) Edinburgh: James Middlemass and Co; Alison, W., (1840) Observations on the Management of the Poor in Scotland and Its Effect on the Health in the Great Towns, , Edinburgh: W. Blackwood and Sons; Baumgarten, M., Picturesque Tourist in the Victorian Industrial City: Carlyle, the Stereoscope, and the Social Text (1997) Carlyle Studies Annual, 17, pp. 61-72; (1878) Edinburgh: Andrew Elliott; Bhattacharaya, S., Global and Local Histories of Medicine: Interpretative Challenges and Future Possibilities (2011) The Oxford Handbook of the History of Medicine, pp. 135-149. , Ed. Mark Jackson. Oxford: Oxford University Press; (1871) Edinburgh: Adam and Charles Black; Carlyle, T., (1843) Past and Present, , Boston: Little Brown; Cooter, R., Medicine and Modernity (2011) The Oxford Handbook of the History of Medicine, pp. 100-116. , Ed. Mark Jackson. Oxford: Oxford University Press; Crouch, D., Introduction: Encounters in Leisure/Tourism (1999) Leisure/Tourism Geographies: Practices and Geographical Knowledge, pp. 1-16. , Ed. David Crouch. London: Routledge; (1890) Edinburgh and Vicinity: An Album Containing over 250 Views, , Edinburgh: W.R. and S. Ltd, c; Fergusson, R., (1905) The Poetical Works of Robert Fergusson, , Paisley: Alexander Gardner; Fissell, M.E., Health in the City: Putting the Pieces Together (1992) Urban History, 19 (2), pp. 251-256; (1851), Edinburgh: Forbes and Wilson; Gesler, W.M., Kearns, R.A., (2002) Culture/Place/Health, , London: Routledge; Gilbert, D., London in all its glory—or how to enjoy London: Guidebook Representations of Imperial London (1999) Journal of Historical Geography, 25 (3), pp. 279-297; Goodwin, G., Gordon, J., Guidebook Publishing in the Nineteenth Century: John Murrays Handbooks for Travellers (2013) Studies in Travel Writing, 17 (1), pp. 43-61; Grierson, E., (1950) Things Seen in Edinburgh, , London: Seeley, Service and Co; Hammerschmidt, S., Ramsay, Fergusson, Thomson, Davidson and Urban Poetry (2007) The Edinburgh History of Scottish Literature: Volume Two: Enlightenment, Britain and Empire (1707-1918), pp. 80-90. , Ed. Susan Manning et al. Edinburgh: Edinburgh University Press; Harman, C., (2005) Robert Louis Stevenson: A Biography, , London: Harper Collins; Henley, W., Hospital Outlines: Sketches and Portraits (1875) Cornhill Magazine, 32, pp. 120-128; Henley, W., (1889) Poems, , 2nd ed.; London: David Nutt; Littlejohn, H.D., (1865) Report on the Sanitary Condition of the City of Edinburgh, , Edinburgh: Colston and Son; Maccannell, D., (1976) The Tourist: A New Theory of the Leisure Class, , Berkeley: University of California Press; (1890) Macdonald’s Tourists’ Guide to Edinburgh and South-East of Scotland, , Edinburgh: William Macdonald and Co; (1883) Macleod’s Tourist Guide Through Edinburgh and Glasgow, , Edinburgh: John Menzies; (1863) Menzies Guide to Edinburgh and Environs, , Edinburgh: John Menzies; (1860) Oliver and Boyd’s Guide to Edinburgh and its Neighbourhood, , Edinburgh: Oliver and Boyd; Pickstone, J., (1985) Medicine and Industrial Society: A History of Hospital Development in Manchester and Its Regions, 1752-1946, , Manchester: Manchester University Press; Pickstone, J., (2000) Ways of Knowing: A New History of Science, Technology and Medicine, , Manchester: Manchester University Press; Porter, R., The Patients View: Doing Medical History from Below (1985) Theory and Society, 14 (2), pp. 175-198; Ramsay, A., (1874) The Ever Green: A Collection of Scots Poems Written by the Ingenious before 1600, 1724. , Glasgow: John Crum; Ramsay, A., (1730) The Address of the Muse, to the Right Honourable George Drummond Esq., Lord Provost; and Council of Edinburgh; Archive of the Royal Infirmary of Edinburgh, 1727-2013, Lothian Health Services Archives, , University of Edinburgh Special Collections; Reinarz, J., Mooney, G., Receiving the Rich, Rejecting the Poor: Towards a History of Hospital Visiting in Nineteenth-Century Provincial England (2009) Permeable Walls: Historical Perspectives on Hospital and Asylum Visiting, pp. 31-54. , Ed. Graham Mooney and Jonathan Reinarz. Amsterdam: Rodopi Press; Robb, D., (2016) Robert Louis Stevenson, , Tavistock: Northcote House; (1900), Edinburgh: Royal Hotel; Sellers, C., Health, Work, and Environment: A Hippocratic Turn in Medical History (2011) The Oxford Handbook of the History of Medicine, pp. 450-463. , Ed. Mark Jackson. Oxford: Oxford University Press; Sigsworth, M., Worboys, M., The Public View of Public Health in Mid-Victorian Britain (1994) Urban History, 21 (2), pp. 237-250; Stevenson, R.L., (1919) Edinburgh: Picturesque Notes, , London: Seeley Service and Co; Topp, L., Moran, J.E., Andrews, J., (2007) Madness, Architecture and the Built Environment: Psychiatric Spaces in Historical Context, , London: Routledge; (1873) The Tourist’s Picturesque Guide to Edinburgh and its Environs, , Edinburgh: John Men-zies; Watson, N., Introduction (2009) Literary Tourism and Nineteenth-Century Culture, pp. 1-7. , Ed. Nicola Watson. Basingstoke: Palgrave Macmillan; Wilson, E.O., (1998) Consilience: The Unity of Knowledge, , London: Little, Brown; Willis, M., Science in the City: Scientific Display and Urban Performance in Victorian Travel Guides to London (2016) Staging Science: Scientific Performances on Stage, Street and Screen, pp. 35-58. , Ed. Martin Willis. London: Palgrave Macmillan","Willis, M.; School of English/John Percival Building, Cardiff University, Colum Drive, United Kingdom; email: WillisM8@cardiff.ac.uk",,,"Palgrave Macmillan",,,,,,9781137519887; 9781137519870,,,"English","New Directions in Literature and Medicine Stud.",Book Chapter,"Final",,Scopus,2-s2.0-85042405845 "Savaşan A., Yalvaç M., Tuncel E.","57196057830;57191768714;57192180279;","Statistical reasoning for developing an attitude scale for health tourism stakeholders in North Cyprus context",2017,"Procedia Computer Science","120",,,"196","203",,,"10.1016/j.procs.2017.11.229","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040255061&doi=10.1016%2fj.procs.2017.11.229&partnerID=40&md5=de7442ce5d4b1116915126d5066b517a","Department of Educational Administration, Supervision, Planning and Economics, Atatürk Faculty of Education, Near East University, Nicosia, 99138, Cyprus; Department of Nutrition and Dietetics, Faculty of Health Sciences, Near East University, Nicosia, 99138, Cyprus; Atatürk Faculty of Education, Near East University, Nicosia, 99138, Cyprus","Savaşan, A., Department of Educational Administration, Supervision, Planning and Economics, Atatürk Faculty of Education, Near East University, Nicosia, 99138, Cyprus; Yalvaç, M., Department of Nutrition and Dietetics, Faculty of Health Sciences, Near East University, Nicosia, 99138, Cyprus; Tuncel, E., Atatürk Faculty of Education, Near East University, Nicosia, 99138, Cyprus","In this study, an ""Attitude Scale for Health Tourism Education"" was aimed to be developed in order to be used to determine the attitudes of stakeholders towards health tourism education and other relevant issues in North Cyprus health tourism context. The attitude scale was processed through validity and reliability tests in order to ensure the highest possible efficiency. The inadequate literature on health tourism education and the lack of an attitude scale related to the issue give the impression that the education factor in health tourism is so far ignored. In this respect, the Attitude Scale for Health Tourism Education, can be used to identify the attitudes of stakeholders taking part in the health tourism sector in North Cyprus and other relevant issues. The scale was also designed to be used in studies that could lay the groundwork for a training model which can be developed for the health tourism sector in North Cyprus. It is also believed that this work will contribute to the application of original scientific studies in areas such as the health tourism, psychology, sociology, business administration and engineering which will necessarily be engaged in developing a program for health tourism education with an interdisciplinary approach. © 2018 The Authors. Published by Elsevier B.V.","Health tourism; health tourism education; the attitude scala for health tourism education","Application programs; Computation theory; Soft computing; Business administration; Health tourisms; Reliability test; Scientific studies; Statistical reasoning; Training model; Health",,,,,"Scientific Committee on Antarctic Research","The field application of the questionnaire used as a data collection tool in the research was carried out between 01.05.2015 and 01.03.2016. Before the questionnaire was administered, the participants were given detailed information about the research. The study was approved by the Scientific Research Ethics Committee of Near East University. Additionally, informed consent form for participation was obtained from all participants.",,"Aytaç, M., Öngen, B., DoǧrulayIcI Faktör Analizi ile Yeni Çevresel Paradigma Ölçeǧinin YapI Geçerliliǧinin Incelenmesi=The Structure of Environmental Attidutes: First-order Confirmatory Factor Analysis (2012) Istatistikçiler Dergisi=Journal of Statisticians: Statistics and Actuarial Sciences, 5 (1), pp. 14-22; Ayyildiz, H., Cengiz, E., Pazarlama Modellerinin Testinde KullanIlabilecek YapIsal Eşitlik Modeli (YEM) Üzerine Kavramsal Bir Inceleme=A Conceptual Study on Structural Equation Model (SEM) that can be Used in the Testing of Marketing Models (2006) Süleyman Demirel Üniversitesi Iktisadi Ve Idari Bilimler Fakültesi Dergisi=Süleymen Demirel University Journal of the Faculty of Economic and Administrative Sciences, 11 (1), pp. 63-84; Bahar, M., Derici, M., Gul, C., Guney, E., Ozgirin, K., Yildirm, R., (2009) A New Opportunity for Turkey: Medical Tourism, Review Document, , TUSIAD-Health Study Group; Biljana, P., Tourism in the Global Development Strategy of Macedonia: Economic Perspectives (2011) UTMS Journal of Economics, 2 (1), pp. 101-108; Büyüköztürk, Ş., 2001. Deneysel Desenler=Experimental Designes. PegemA YayIncIlIk, Ankara; http://www.discoveranthropology.org.uk/about-Anthropology/what-is-Anthropology/social-And-cultural-Anthropology.html, Callan, H., 2016. Social and Cultural Anthropology. [online] Available at: < > (accessed 14.06.2017); Connell, J., Contemporary Medical Tourism: Conceptualization (2013) Culture and Commodification. Tourism Management, 34, pp. 1-13; Gan, L.L., Frederick, J.R., Medical Tourism in Singapore: A Structure-Conduct-Performance Analysis (2011) Journal of Asia-Pacific Business, 12 (2), pp. 141-170; Gençay, C., (2007), SaǧlIk Turizmi=Health Tourism, Sürdürülebilir Rekabet AvantajI Elde Etmede Turizm Sektörü=Tourism Sector to Achieve Sustainable Competitive Advantage. Bulu, M., and I.H. Eraslan, I.H. (Ed.). KazancI Hukuk YayImevi, Istanbul; Ghanbari, A., Moradlu, K.Z., Ramazani, M., Medical Tourism (2014) Management Science Letters, 4, pp. 1651-1654; Hall, C.M., Voigt, C., Brown, G., Howat, G., Wellness Tourists: In Search of Transformation (2011) Tourism Review, 66, pp. 16-30; Kline, R.B., (2005) Principles and Practice of Structural Equation Modeling. 2nd Ed, , Guilford Publications New York; Lee, H.K., Fernando, Y., The Antecedents and Outcomes of the Medical Tourism Supply Chain (2015) Tourism Management, 46, pp. 148-157; Meliou, E., Maroudas, L., Understanding Tourism Development: A Representational Approach (2010) Tourismos: An International Multidisciplinary Journal of Tourism, 5 (2), pp. 115-127; Özdamar, K., (2002) Paket Programlar ile Istatistiksel Veri Analizi=Statistical Data Analysis with Packet Programs, , Kaan Kitabevi, Eskişehir; Özlem, O., Sonǧur, C., Türkiye'nin Dünya SaǧlIk Turizmindeki Yeri ve Ekonomik Boyutu=Turkey's Position in the World Health Tourism and Its Economic Dimension (2013) Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi=Mehmet Akif Ersoy University Journal of Social Sciences Institute, 4 (7), pp. 69-81; Somnuek, P., (2014) The Development of Teaching and Learning Innovation by Using Instructional Media for Enhancement of Learning Achievement Towards Tourism Product Knowledge in Tourism Marketing Class, 12, p. 01040. , SHS Web of Conferences. EDP Sciences; Tabachnick, B.G., Fidell, L.S., Osterlind, S.J., (2001) Using Multivariate Statistics, , 4th ed. Pearson/Allyn & Bacon, Boston","Yalvaç, M.; Department of Nutrition and Dietetics, Faculty of Health Sciences, Near East UniversityCyprus; email: yalvacmesut@hotmail.com","Jamshidi M.Pedrycz W.Aliev R.A.Kacprzyk J.","","Elsevier B.V.","9th International Conference on Theory and Application of Soft Computing, Computing with Words and Perception, ICSCCW 2017","22 August 2017 through 23 August 2017",,133174,18770509,,,,"English","Procedia Comput. Sci.",Conference Paper,"Final",Open Access,Scopus,2-s2.0-85040255061 "Abdoli A., Bahmani P.","57197820889;56192805000;","A study of the relation between the quality perceived by medical tourists and costumer satisfaction",2017,"Journal of Engineering and Applied Sciences","12","20",,"5109","5115",,,"10.3923/jeasci.2017.5109.5115","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034991091&doi=10.3923%2fjeasci.2017.5109.5115&partnerID=40&md5=ad5672e9ff91e029853304c4440d5f63","Department of Busincss Management, Islamic Azad University, Kermanshah Branch, Kermanshah, Iran","Abdoli, A., Department of Busincss Management, Islamic Azad University, Kermanshah Branch, Kermanshah, Iran; Bahmani, P., Department of Busincss Management, Islamic Azad University, Kermanshah Branch, Kermanshah, Iran","The aim of this study is to investigate the relation between the quality perceived by medical tourist and costumer satisfaction. This model consists of independent variables: perceived quality of medical care and perceived quality of service and an intervening dependent variable: costumer satisfaction. The research method is descriptive/survey. The sampling method is random-stratified sampling. Cochran formula was used to determine the size of sample. To gather data, a closed questionnaire with likert scale values was administered among 384 Iraqi medical tourists who attended Imam Reza Medical Center in Kermanshah, Iran. Path analysis method was used to test the hypothesis and AMOS Software was utilized for statistical analysis of data. The results demonstrate a positive significant relation between variables. © Medwell Journals, 2017.","AMOS; Costumer satisfaction; Iraqi medcal tourists in Imam Reza Medical Center; Perceived quality of medcal care; Perceived quality of service; Sample",,,,,,,,,"Abari, A.A.F., Yarmohammadian, M.H., Esteki, M., Assessment of quality of education a non-governmental university via SERVQUAL model (2011) Procedia-Social Behav. Sci, 15, pp. 2299-2304; Akbaba, A., Measuring service quality in the hotel industry: A study in a business hotel in Turkey (2006) Int. J. Hosp. Manage, 25, pp. 170-192; Beerli, A., Martin, J.D., Quintana, A., A model of customer loyalty in retail banking market (2002) Eur. J. Market, 38, pp. 253-275; Chen-Yu, J.H., Kincade, D.H., Effects of product image at three stages of the consumer decision process for apparel products: Alternative evaluation, purchase and post-purchase (2001) J. Fashion Marketing Manage. Intl, 5, pp. 29-43; Crozier, G.K.D., Baylis, F., The ethical physician encounters international medical travel (2010) J. Med. Ethics, 36, pp. 297-301; Donabedian, A., Explorations in Quality Assessment and Monitoring (1980) The Definition of Quality and Approaches to Its Assessment, 1. , Health Administration Press, Ann Arbor, MI","Sanati, A.; Department of Business Management, Islamic Azad University, Kermmhah BranchIran",,,"Medwell Journals",,,,,1816949X,,,,"English","J. Eng. Appl. Sci.",Article,"Final",,Scopus,2-s2.0-85034991091 "Wall S., Hemingway A., Curtin S.","57195444137;22634211700;56264451100;","Engaging with a healthy tourism “offer”: strategies to improve place perceptions",2017,"Worldwide Hospitality and Tourism Themes","9","5",,"525","533",,,"10.1108/WHATT-07-2017-0038","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032924154&doi=10.1108%2fWHATT-07-2017-0038&partnerID=40&md5=aa62b3a39159d499f29dabd272eb572b","Bournemouth University, United Kingdom; Faculty of Public Health, Bournemouth University, Bournemouth, United Kingdom; Faculty of Management, Bournemouth University, Bournemouth, United Kingdom","Wall, S., Bournemouth University, United Kingdom; Hemingway, A., Faculty of Public Health, Bournemouth University, Bournemouth, United Kingdom; Curtin, S., Faculty of Management, Bournemouth University, Bournemouth, United Kingdom","Purpose: The purpose of this paper is to explore how engagement with a healthy tourism “offer” could improve place perceptions through the development of collaborative strategies to promote a well-being destination. Design/methodology/approach: This paper takes a constructivist grounded theory approach drawing on semi-structured interviews conducted with local members of the council from public health and tourism teams, in a seaside town in the South of England. Findings: Study findings indicate that the historical roots of the town’s creation have a bearing on the current planning challenges and strategies. Findings confirm that collaborative strategies to engage with a healthy tourism “offer” will improve place perceptions and promote a well-being destination. Research limitations/implications: This paper concludes that strategies to engage with a healthy tourism offer include interventions to curb alcohol consumption, regenerate areas and promote eudaemonic well-being – which could ultimately improve place perceptions. Originality/value: This paper proposes that the development of strategic alliances bridged through the construct of well-being could improve place perceptions and promote a well-being destination. © 2017, © Emerald Publishing Limited.","Grounded theory; Place; Public health; South of England; Tourism; Well-being",,,,,,,,,"Allen, L., Hafer, H., Long, R., Perdue, R., Rural residents’ attitudes toward recreation and tourism development (1993) Journal of Travel Research, 31 (4), pp. 27-33; Andrews, F.M., Withey, S.B., (1976) Social Indicators of Well-Being: Americans’ Perceptions of Life Quality, , Plenum, New York, NY; Bryant, F.B., Veroff, J., The structure of psychological well-being: a sociohistorical analysis (1982) Journal of Personality and Social Psychology, 43 (4), pp. 653-673; Butler, R., Alternative tourism: pious hope or Trojan horse? (1989) World Leisure and Recreation, 31 (4), pp. 9-17; Daniel, T.C., Muhar, A., Amberger, A., Aznar, O., Boyd, J.W., Chan, K.M.A., Costanza, R., Spierenburgk, M., Contributions of cultural services to the ecosystem services agenda (2012) PNAS, 109 (23), pp. 8912-8919; Doxey, G.V., (1975) A causation theory of visitor-resident irritants, methodology and research inferences: the impact of tourism, pp. 195-198. , Sixth Annual Conference Proceedings of The Travel and Tourism Research Association, San Diego; Elvins, N.S., Hadfield, M.P., (2003) West End Stress Area, Night–Time Economy Profiling: A Demonstration Project, , Department of Sociology and Social Policy, University of Durham, Durham; Fayers, P.M., Machin, D., (2007) Scores and Measurements: Validity, Reliability, Sensitivity, in Quality of Life: The Assessment, Analysis and Interpretation of Patient-Reported Outcomes, , 2nd ed., John Wiley & Sons, Chichester; Garcia, B., Cultural policy and urban regeneration in western European cities: lessons from experience, prospects for the future (2004) Local Economy, 19 (4), pp. 312-326; Gilbert, E.W., The growth of inland and seaside health resorts in England (1939) Scottish Geographical Magazine, 55 (1), pp. 16-35; Gursoy, D., Rutherford, D.G., Host attitudes toward tourism and improved structural model (2004) Annals of Tourism Research, 31 (3), pp. 495-516; Gursoy, D., Chi, C.G., Dyer, P., An examination of locals’ attitudes (2009) Annals of Tourism Research, 36 (4), pp. 723-726; Hair, J., Black, W., Babin, B., Anderson, R., (2010) Multivariate Data Analysis, , 7th ed., Prentice Hall, Upper Saddle River, NJ; Hobbs, D., Hadfield, P., Lister, S., Winlow, S., (2003) Bouncers: Violence and Governance in the Night-Time Economy, , Oxford University Press, Oxford; (2015) The economic cost of physical inactivity in Europe, , Centre for Economics and Business Research; Kasdan, T.B., Biswas-Diener, R., King, L.A., Reconsidering happiness: the costs of distinguishing between hedonics and Eudaimonia (2008) The Journal of Positive Psychology, 3 (4), pp. 219-233; Klanicka, S., Buchecker, M., Hunziker, M., Muller-Boker, U., Locals’ and tourists’ sense of place: a case study of a Swiss alpine village (2006) Mountain Research and Development, 26 (1), pp. 55-63; Kyle, G.T., Mowen, A.J., Tarrant, M., Linking place preferences with place meaning: an examination of the relationship between place motivation and place attachment (2004) Journal of Environmental Psychology, 24 (4), pp. 439-454; Li, H., PR China’s tourism industry today and its future development (1987) Tourism Management, 8 (2), pp. 90-91; Healthy communities programme overview (2010) Class Struggle and the Industrial Revolution in 1974; McCabe, S., Joldersma, T., Li, C., Understanding the benefits of social tourism: linking participation to subjective wellbeing and quality of life (2010) International Journal of Tourism Research, 12 (6), pp. 761-773; (2004) Health and Wellness Tourism: Global Travel and Tourism Analyst, , Mintel International Group, London; Munthe, C., The goals of public health: an integrated multidimensional model (2008) Public Health Ethics, 1 (1), pp. 39-52; Nunn, P.W.G., Sanitary administration in a health resort (1906) The Journal of the Royal Society for the Promotion of Health, 27 (6), pp. 290-304; Palang, H., Helmfrld, S., Antrop, M., Alumae, H., Rural landscapes: past processes and future strategies (2005) Landscape and Urban Planning, 70 (1-2), pp. 3-8; Ritchie, J.R.B., Crouch, G.I., (2003) The Competitive Destination: A Sustainable Tourism Perspective, , CABI Publishing, Oxon; Roberts, M., From ‘creative city’ to ‘no-go areas’: the expansion of the nighttime economy in British town and city centres (2006) Cities, 23 (5), pp. 331-338; Roberts, M., Turner, C., Conflicts of liveability in the 24-hour city: learning from 48 hours in the life of London’s Soho (2005) Journal of Urban Design, 10 (2), pp. 171-193; Ryan, C., Scotland, A., Montgomery, D., Resident attitudes to tourism development – a comparative study between Rangitikei, New Zealand, and Bakewell, United Kingdom (1998) Progress in Tourism and Hospitality Research, 4, pp. 115-130; Ryan, R.M., Huta, V., Deci, E.L., Living well: a self-determination theory perspective on Eudaimonia (2008) Journal of Happiness Studies, 9 (1), pp. 139-170; Seligman, M., (1999) Positive social science [president’s column], , APA Monitor, 2; Sheldon, K.M., The self-concordance model of healthy goal striving: when personal goals correctly represent the person (2002) Handbook of Self-Determination Research, , Deci, E.L. and Ryan, R.M (Eds), University of Rochester Press, Rochester; Skevington, S.M., Lotfy, M., O’Connell, K.A., The world health organisation’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial – a report from the WHOQOL group (2004) Quality of Life Research, 13 (2), pp. 299-310; Steger, M.F., Kashdan, T.B., Oishi, S., Being good by doing good: daily Eudaimonic activity and well-being (2008) Journal of Research in Personality, 42 (1), pp. 22-42; Tibbot, R., Culture club: can culture lead urban regeneration? (2002) Locum Destination Review, 9, pp. 71-73; Ulrich, R.S., (1983) Aesthetic and Affective Response to Natural Environment, Behavior and the Natural Environment, pp. 85-125. , Plenam PressAltman, New York, NY; Van der Vaart, J.H.P., Towards a new rural landscape: consequences of non-agricultural re-use of redundant far buildings in Friesland (2003) Landscape and Urban Planning, 70 (1-2), pp. 143-152; Walpole, M., Goodwin, H., Local economic impacts of dragon tourism in Indonesia (2000) Annals of Tourism Research, 27 (3), pp. 559-576; Walton, J.K., The demand for working-class seaside holidays in Victorian England (1981) The Economic History Review, 34 (2), pp. 249-265; Waterman, A.S., Reconsidering happiness: a Eudaimonist’s perspective (2008) Journal of Positive Psychology, 3 (4), pp. 234-252; Wise, N., Peric, M., Sports tourism, regeneration and social impacts: new opportunities and directions for research, the case of Medulin, Croatia (2016) Tourism in the City, pp. 311-320. , Bellinin, N. and Pasquinelli, C.and (Eds), Springer, Cham; Roberts, B., (2005) The End of Oil, , Bloomsbury, London","Wall, S.; Faculty of Management, Bournemouth UniversityUnited Kingdom; email: swall@bournemouth.ac.uk",,,"Emerald Group Publishing Ltd.",,,,,17554217,,,,"English","Worldwide Hospitality and Tourism Themes",Article,"Final",,Scopus,2-s2.0-85032924154 "Derriks T., Havrdova H.","57196043464;57196038860;","Coastal cities as health tourism destinations: Promoting activities in practice",2017,"WIT Transactions on the Built Environment","170",,,"139","147",,,"10.2495/CC170141","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85031311947&doi=10.2495%2fCC170141&partnerID=40&md5=53a7e0d980b3fa71e53023fc7f77926e","Research Centre for Coastal Tourism, HZ University of Applied Sciences, Netherlands","Derriks, T., Research Centre for Coastal Tourism, HZ University of Applied Sciences, Netherlands; Havrdova, H., Research Centre for Coastal Tourism, HZ University of Applied Sciences, Netherlands","The coast offers numerous health benefits, not only for its residents but also for its visitors. In terms of coastal city tourism, an offer of healthy activities allows visitors to not interrupt their daily healthy habits and instead enjoy the benefits of the destination while promoting a better health condition. Some people still share the view that when they travel, they simply want to relax and do not care that much about their health in terms of nutrition and exercising. Vlissingen, being a small coastal city by the sea within the Netherlands, especially attracts visitors with its long south-facing promenade and city beach. It is unknown to what extent health aspects are of importance to its visitors. For this reason, this study explores the city’s visitors on this issue as well as searching for ideas on how to promote health activities if showing potential and desires. The study addresses to what extent the visitors are interested in their health and if they are aware of the health benefits of the coast and possible coastal activities promoting their health. Destination management, policies and supply-side stakeholders are also investigated following earlier consumer-demand exploration findings. By interviews and desk research, potential improvements for the city to integrate health benefits into its existing tourism product are unravelled. The practice-based nature of this study emphasizes how health activities could be fostered in associated practices as visiting, branding, co-creation, and entrepreneurship in this Dutch city by the sea. © 2017 WIT Press.","City branding; Coastal activities; Health tourism; Practice-based studies",,,,,,,,,"Brown, T., Duncan, C., London’s burning: Recovering other geographies of health (2000) Health & Place, 6 (4), pp. 363-375; Crawford, R., Healthism and the medicalization of everyday life (1980) International Journal of Health Services, 10, pp. 365-388; Douglas, N., Derrett, R., (2001) Special Interest Tourism, , John Wiley and Sons Australia, Ltd; Wyles, K.J., Pahl, S., Thompson, R., (2011) Oh I Do like to Be beside the Seaside: A Field Study on the Psychological Benefits of Going to the Coast, , University of Plymouth: Plymouth; Dwyer, L., Edwards, D., Mistilis, N., Roman, C., Scott, N., Destination and enterprise management for a tourism future (2009) Tourism Management, 30 (1), pp. 63-74; Hjalager, A.M., Stages in the economic globalization of tourism (2007) Annals of Tourism Research, 34 (2), pp. 437-457; Kavaratzis, M., From city marketing to city branding: Towards a theoretical framework for developing city brands (2004) Place Branding and Public Diplomacy, 1 (1), pp. 58-73; (1948) WHO Definition of Health, , http://www.who.int/about/definition/en/print.html; Huber, M., How should we define health? (2011) BMJ, pp. 343-345; Huber, M., (2014) Towards a New, Dynamic Concept of Health, , Ipskamp Drukkers: Enschede; Voigt, C., Laing, J.H., A way through the maze: Exploring differences and overlaps between wellness and medical tourism providers (2013) Medical Tourism and Transnational Health Care, pp. 30-47; Clift, S., Page, S., (2015) Health and the International Tourist, , Routledge Revivals), Routledge; (1973) International Union of Tourism Organization: Health Tourism, , United Nations: Geneva; Crooks, V.A., Johnston, R., Labonté, R., Snyder, J., Critically reflecting on Loh’s “Trends and structural shifts in health tourism” (2016) Social Science & Medicine (1982), 152, pp. 186-189; Wheeler, B.W., White, M., Stahl-Timmins, W., Depledge, M.H., Does living by the coast improve health and wellbeing? (2012) Health & Place, 18 (5), pp. 1198-1201; Bauman, A., Smith, B., Stoker, L., Bellew, B., Booth, M., Geographical influences upon physical activity participation: Evidence of a ‘coastal effect’ (1999) Australian and New Zealand Journal of Public Health, 23 (3), pp. 322-324; Jans, M.P., Proper, K.I., Hildebrandt, V.H., Sedentary behavior in Dutch workers: Differences between occupations and business sectors (2007) American Journal of Preventive Medicine, 33 (6), pp. 450-454; Van Mechelen, W., Twisk, J.W., Post, G.B., Snel, J.A., Kemper, H.C., Physical activity of young people: The Amsterdam Longitudinal Growth and Health Study (2000) Medicine and Science in Sports and Exercise, 32 (9), pp. 1610-1616; Hildebrandt, V.H., Ooijendijk, W.T.M., Hopman-Rock, M., (2008) Bewegen En Gezondheid 2006/2007, , TNO Kwaliteit van Leven: Leiden",,,,"WITPress",,,,,17433509,,,,"English","WIT Trans. Built Environ.",Book Chapter,"Final",Open Access,Scopus,2-s2.0-85031311947 "Chitra M., Williams J.R., Faraday M.","57196034529;56562088800;57196035533;","Study on medical tourism in Chennai",2017,"International Journal of Applied Business and Economic Research","15","18",,"221","232",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85031100099&partnerID=40&md5=8c18fb32c68c39d313d256540b58a24a","School of HCM, Vels University, Chennai, 117, India","Chitra, M., School of HCM, Vels University, Chennai, 117, India; Williams, J.R., School of HCM, Vels University, Chennai, 117, India; Faraday, M., School of HCM, Vels University, Chennai, 117, India","In today's hectic life style each and every individual is faced with the dread of contracting some disease or infirmity due to pollution or exposure to the elements of nature. Medical Tourism is an emerging concept in India with great health awareness on the medical treatments for an assortment of disorders. The main attraction of medical tourists from foreign countries to come to India for treatment includes low costs of critical care treatment, little or no waiting time and services provided by experienced doctors at the most advanced hospitals equipped with state of the art facilities in the city. To take care of the ailments medical facilities vary from one country to other country in terms of cost, procedures and other facilities. This study aims to show to what extent medical facilities are available to people and to identify the draw backs of the individuals who are in need of medical intervention but do not have adequate knowledge of medical tourism options. It also provides the prospective patients with detailed medical procedures and facilities offered to them. It should be noted that all the hospitals are keen in maintaining global standards in all their medical facilities and services. Many of them are giving special attention to foreign patients. These hospitals accept international credit cards and global health insurance. The Chennai medical tourism industry is currently at a budding stage, but has a massive potential for future development and progress. © Serials Publications Pvt. Ltd.","Critical care diseases; Experienced doctors; Feed back by patients; Medical tourism; Pre-Advises; Tourism",,,,,,,,,"Murugan, A., (2012) The Book Titled Medical Tourism (Potential, Prospects and Emerging Issue), pp. 8-11. , published by Abhijeet New Delhi; Sommer, A., (2009) Rutherford India Health: Impact of Medical Tourism Facilities on State Health, p. 5. , Published by Lowa state university; (2011) Medical Tourism Treatment Market and Health System, pp. 130-135. , Glinos, published by OECD France; Mal, J., (2010) Medical Tourism in Multi-Specialty Hospitals in India, p. 26. , published by license biomed central ltd; Mainil, T., Platenkamp, V., Meulemans, H., The discourse of medical tourism in the media (2011) Tourism Review, 66, pp. 1-2; Brief, A., (2012) Report on Healthcare, Telemedicine & Medical Tourism in India, p. 16. , August, Published by corporate Calalyst India.(CCI); Anand, N., (2012) Badwe Medical Tourism in India: A New Avenue, pp. 1-47. , published by International Journal of Biomedical and Advance Research (IJBAR; Awadzi, W., Pamda, D., (2007) Medical Tourism: Globalization and the Marketing of Medical Service, pp. 75-81. , published by The consortium journal; George, J., Challenges of medical tourism in vulnerable India (2012) International Journal of General Medicine and Pharmacy (IJGMP), 1 (1), p. 29. , published by; Linda, N., Carrera, P., (2010) Medical Tourism: Assessing the Evidence on Treatment Abroad, pp. 27-32. , published by Maturitas edition; Duggirala, M., Rajendran, C., Anantharaman, R.N., (2012) Patient-perceived Dimensions of Total Quality Service in Healthcare, 15 (5), pp. 560-583. , published by an International Journal; (2009) Rajiv Rajan Asia Medical Tourism Analysis, p. 2. , published by Renub research; (2014) Martha Wiedemann in Food & Hospitality World Titled the Wellness Commitment, 2 (14), p. 19. , April -, Published by Global Fairs & Media Private Limited; Srinivas B.Rajesh., (2013) Kumar in Express Hospitality Titled the Healing Touch, 8 (22), pp. 20-23. , Edited by Kahinichakraborty Published by The Indian Express Limited; (2013) Sudipta Dev in Express Hospitality Titled Haven for Holistic Healing, 8 (22), pp. 16-17. , September, Published by The Indian Express Limited; Mathew, T., (2009) Medical Travel, , Published by The McKinsey Quarterly Magazine; Gan, L.L., Song, H., (2012) A SWOT Analysisof Medical Tourism: India and South Korea, p. 1. , www.ssrn.com, published by; (2011) IBEF-Health Tourism: Destination India, p. 5. , www.ibef.org, Dec 9, published by; Shanmugam, K.R., Medical tourism in India: Progress (2013) Opportunities and Challenges, pp. 1-15. , www.mse.ac.in; Kothari, C.R., (2011) Research Methodology, p. 151. , published by Prentice Hall of India Pvt. Ltd. 12th Edition",,,,"Serials Publications",,,,,09727302,,,,"English","Int. J. Appl. Bus. Econ. Res.",Article,"Final",,Scopus,2-s2.0-85031100099 "Yadav A., Dey A., Anuragi R.P., Prakash D., Gupta S.K.","56368972600;56570765100;57195630366;57193507725;55495187400;","Body packer masquerading as a medical tourist",2017,"Indian Journal of Forensic Medicine and Pathology","10","3",,"238","241",,,"10.21088/ijfmp.0974.3383.10317.12","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029350579&doi=10.21088%2fijfmp.0974.3383.10317.12&partnerID=40&md5=e16e391549ccb697f34e915049093551","Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India","Yadav, A., Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India; Dey, A., Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India; Anuragi, R.P., Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India; Prakash, D., Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India; Gupta, S.K., Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India","Drug trafficking is an international problem and has increased in prevalence and concealment methods over the years. Body packers either swallow drug-filled packets or introduce packets into their bodies rectally or vaginally with the purpose of concealing them and mainly smuggle cocaine, heroin and cannabis products. Increased sophistication of traffickers and improved packaging poses difficulty in detection. Sometimes the packets can leak and cause intoxication of the individual and even death. We report a case of death due to heroin leakage in a body packer, attempting to smuggle the drug by concealing it in his stomach. This article aims to highlight the existence of drug traffickers as Body packers so that preventive steps may be taken at the points of transit from other countries as they may be masquerading as Medical tourists, coming to India for treatment. © 2017 Red Flower Publication Pvt. Ltd.","Body packer; Cocaine; Drug intoxication; Drug trafficking; Heroin; Medical tourist",,,,,,,,,"United Nations Office on drug and Crime, , http://www.unodc.org/unodc/en/drugtrafficking/, [Internet]. [Cited 2017 July 12]; Reddy, K.S.N., The essentials of Forensic Medicine and Toxicology, p. 607. , 33rd Ed. New Delhi: Jaypee Brothers; 2014. Chapter 33; Drug Dependence and abuse; Rao, N.G., Textbook of Forensic Medicine & Toxicology, p. 537. , New Delhi: Jaypee Brothers: 2010. Chapter 34; Neurotoxics; Vij, K., Textbook of Forensic Medicine and Toxicology: Principles and practice, p. 472. , 6th ed. New Delhi: Elsevier India Pvt Ltd; 2014. Chapter-37; non Narcotic Drug Abuse; Aggarwal, A., Textbook of Forensic Medicine and Toxicology, pp. 747-748. , New Delhi: Avichal Publishing Company; 2014. Chapter-46; Drug dependence and abuse; Deitel, M., Syed, A.K., Intestinal obstruction by an unusual foreign body (1973) Can Med Assoc J, 109, pp. 211-212. , PMID: 4728949; Pidoto, R.R., Agliata, A.M., Bertoline, R., Nainini, A., Rossi, G., A new method of packaging cocaine for international traffic and implications for the management of cocaine body packers (2002) J Emerg Med, 23, pp. 149-153; Jakhar, J.K., Dhattarwal, S.K., Aggarwal, A.D., Chikara, P., Khanagwal, V.P., Heroin body packer's death in Haryana; India: A case report (2013) J Forensic Legal Med, 20, pp. 693-696; Sureka, B., Kumar, M.M., Mittal, A., Mukul, S., Body packer syndrome (2013) J Postgrad Med, 59, p. 166; Singh, S.R., Millo, T., Sharma, M., Behera, C., Sudden death of a cocaine body packer: a case report from Delhi, India (2012) J Forensic Med Toxi, 29 (2), pp. 111-112; Barnett, J.M., Codd, G., Sudden, unexpected death of a cannabis bodypacker, due to perforation of the rectum (2002) J Clin Forensic Med, 9, pp. 82-84; Booker, R.J., Smith, J.E., Rodger, M.P., Packers, pushers and stuffers-managing patients with concealed drugs in UK emergency departments: A clinical and medicolegal review (2009) Emergency Med J, 26, pp. 316-320; Traub, S.J., Hoffman, R.S., Nelson, L.S., Body packing-the internal concealment of illicit drugs (2003) N Engl J Med, 349, pp. 2519-2526; Wetli, C.V., Mittleman, R.E., The ""body packer syndrome""-toxicity following ingestion of illicit drugs packaged for transportation (1981) J Forensic Sci, 26, pp. 492-500; Panda, P.K., Kakkanattu, T.J., Arvind, K., Prayas, S., Kuldeep, K., Ashutosh, B., Wig, N., Mystifying Toxidrome: A Case of Heroin Body Packer Syndrome (2016) American J of Pharma Toxi, 11 (2), pp. 20-25; Pinto, A., Reginelli, A., Pinto, F., Sica, G., Scaglione, M., Radiological and practical aspects of body packing (2014) Br J Radiol, 87; McCarron, M.M., Wood, J.D., The cocaine body packer's syndrome: diagnosis and treatment (1983) JAMA, 250 (11), pp. 1417-1420; Pramanik, P., Vidua, R.K., Sudden Cardiac Death of a Body Packer Due to Cocaine Cardiotoxicity (2016) Clinical Med Insights: Path, 9, pp. 33-35; Gill, J.R., Graham, S.M., Ten years of ""body packers"" in New York city: 50 deaths (2002) J Forensic Sci, 47, pp. 1-4; Mathiharan, K., Kannan, K., (2012) Modi's medical jurisprudence and toxicology, p. 169. , 24th ed. New Delhi: Lexis Nexis Butterworths; Hutchins, K.D., Pierre-Louis, P.J.B., Zaretski, L., Heroin body packing: three fatal cases of intestinal perforation (2000) J Forensic Sci, 45, pp. 42-47; Duenas-Laita, A., Nogue, S., Burillo-Putze, G., Body packing (2004) N Engl J Med, 350, pp. 1260-1261; Takekawa, K., Ohmori, T., Kido, A., Oya, M., Methamphetamine body packer: acute poisoning death due to massive leaking of methamphetamine (2007) J Forensic Sci, 52, pp. 1219-1222; Sharma, P., Afghan drug smuggler, 19, dies after being stuffed with 61 packets of heroin and collapsing at Indira Gandhi Airport, , http://www.dailymail.co.uk/indiahome/indianews/article-4453210/Afghan-drug-smuggler-dies-stuffed-heroin.html, Mail Today. New Delhi. 2017 Apr 28. [Internet]. [Cited 2017 Jul 13]","Yadav, A.; Dept. of Forensic Medicine, All India Institute of Medical SciencesIndia; email: drayad_in@yahoo.com",,,"Red Flower Publication Pvt. Ltd",,,,,09743383,,,,"English","Indian J. Forensic Med. Pathol.",Article,"Final",,Scopus,2-s2.0-85029350579 "Mogaka J.J.O., Mashamba-Thompson T.P., Tsoka-Gwegweni J.M., Mupara L.M.","57194640548;56281917500;55616518100;57194640160;","Effects of medical tourism on health systems in Africa",2017,"African Journal of Hospitality, Tourism and Leisure","6","1",,"","",25,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029187502&partnerID=40&md5=08aea33b59b41af32cf5af64f9e9d7cd","University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa","Mogaka, J.J.O., University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa; Mashamba-Thompson, T.P., University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa; Tsoka-Gwegweni, J.M., University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa; Mupara, L.M., University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa","Medical tourism is the travel of people in search of medical care that is either, unavailable, unaffordable or proscribed at home healthcare systems. This is due to varying bioethical considerations for some medical procedures and technologies, high healthcare costs, and unequal accessibility to quality healthcare. This paper presents evidence of MT in Africa and critically discusses its role and effects on the region's healthcare systems. The systematic scoping review design guided by Arksey and O'Malley (2005) framework was used. Pre-determined exclusion/inclusion criteria were used to identify literature sources. 52 reviewed articles dwelt generally on the role and effects of MT on the structures, processes and system outcomes components of health systems in Africa, although only 14 (27%) of them solely focused on Africa. Although MT provides access to healthcare locally unavailable or unaffordable, it nevertheless disrupts the Dawson healthcare delivery model common in Africa and its usual referral system, while competing for scarce healthcare resources in the region. Africa experiences both in- and out-bound and intra-regional MT. Findings point to a contradiction to the commonly held belief limiting MT to the elites in society, and show that majority of MT activities in Africa are need-based rather than elite-based. African governments increasingly promote MT, although MT tends to compete in coexistence with, instead of being integral part of, national healthcare systems. MT affects both personal and population health, and if appropriately integrated into national healthcare systems, can complement and supplement both home and destination systems. © 2017 AJHTL.","Africa; Health provision; Medical tourism",,,,,,,,,"Abdullah, B., Ng, K., The sky is falling (2006) Biomed Imaging Intervention J, 2; Africa, K., (2012) The state of healthcare in africa, , South Africa: KPMG; Ahwireng-Obeng, F., Van Loggerenberg, C., Africa's middle class women bring entrepreneurial opportunities in breast care medical tourism to south africa (2011) The International journal of health planning and management, 26, pp. 39-55; Akukwe, C., (2006) Healthcare delivery in africa: Issues, choices, challenges and opportunities, p. 3. , African Renaissance; American Medical Association, A.-O., (2007) Medical travel outside the U.S, , http://www.medretreat.com/templates/UserFiles/Documents/AMA%20Report%20June%202007.pdf:AMA; Bezabih, B., Wamisho, B., Referrals of Ethiopian orthopedic patients for treatment abroad (2013) East and Central African Journal of Surgery, 18, pp. 3-9; Blouin, C., (2010) Trade in health services, , Can it improve access to health care for poor; Bodenheimer, T.S., Grumbach, K., (2004) Understanding health policy: A clinical approach 4 th edition, , New York, NY: McGraw-Hill Companies, Inc; Chou, F., Implementing medical tourism regulation in the face of the volume shock problem (2016) Seton Hall Legislative Journal, 40, pp. 187-217; Cohen, I.G., Medical tourism, access to health care, and global justice (2011) Virginia Journal of International Law, 52, pp. 1-56; Cohen, I.G., How to regulate medical tourism (and why it matters for bioethics) (2012) Developing World Bioethics, 12, pp. 9-20; Colquhoun, H.L., Levac, D., O'brien, K.K., Straus, S., Tricco, A.C., Perrier, L., Kastner, M., Moher, D., Scoping reviews: Time for clarity in definition, methods, and reporting (2014) Journal of clinical epidemiology, 67, pp. 1291-1294; Cordon, C.P., System theories: An overview of various system theories and its application in healthcare (2013) American Journal of Systems Science, 2, pp. 13-22; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83, pp. 71-132; Cortez, N., Medical malpractice model for developing countries, a (2011) Drexel L. Rev, 4, p. 217; Crush, J., Chikanda, A., South-south medical tourism and the quest for health in southern africa (2015) Social Science & Medicine, 124, pp. 313-320; Crush, J., Chikanda, A., Maswikwa, B., Patients without borders: Medical tourism and medical migration in southern africa (2012) Cape Town: Megadigital, pp. 1-51; Crush, J., Chikanda, A., Maswikwa, B., Labonté, R., Runnels, V., Packer, C., Deonandan, R., South-south and north-south medical tourism: The case of south africa (2013) Travelling well: Essays in medical tourism. Ottawa: Institute of Population Health, University of Ottawa, pp. 43-61; Crush, J., Chikanda, A., Sanders, D., Maswikwa, B., The rise of medical tourism to south africa (2015) Chapters, pp. 323-331; Dangor, F., Hoogendoorn, G., Moolla, R., Medical tourism by indian-south africans to india: An exploratory investigation (2015) Bulletin of Geography. Socio-economic Series, 29, pp. 19-30; Dijkers, M., What is a scoping review? (2015) Knowledge Translator for Disability Rehabilitation and Research, p. 4; El Taguri, A., Medical tourism and the libyan national health services (2007) Libyan J Med, 2, pp. 109-110; Gbenga, A., Nigeria: Awry tales of nigerians seeking medical treatment abroad (2014) The Guardian 2014, pp. 12-30; Godson Ezejiofor, D., Okoro, E., (2013) Globalization of healthcare srvices, issues, practices, and challenges to the nigerian society, p. 4. , International Journal of Research in the Academic Disciplines in Higher Education; Goldberg, A.M., (2013) Medical tourism? A case study of african patients in india; Grimshaw, J., (2010) A guide to knowledge synthesis: A knowledge synthesis chapter, , Canadian Institutes of Health Research; Arksey, H., O'Malley, L., Scoping studies: Towards a methodological framework (2005) International Journal of Social Research Methodology, 8, pp. 19-32; Handler, A., Issel, M., Turnock, B., A conceptual framework to measure performance of the public health system (2001) American Journal of Public Health, 91, pp. 1235-1239; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? (2014) A review of the literature with discussion of its implications for the uk national health service as an example of a public health care system. Journal of Travel Medicine, 21, pp. 410-417; Helmy, E.M., Travers, R., Towards the development of egyptian medical tourism sector (2009) Anatolia: An International Journal of Tourism & Hospitality Research, 20, pp. 419-439; Horowitz, M.D., Rosensweig Jeffrey, A., (2007) Medical tourism-health care in the global economy; Idowu, E.O., Adewole, O.A., Spectrum of neurosurgical complications following medical tourism: Challenges of patients without borders (2015) African health sciences, 15, pp. 240-245; Iordache, C., Ciochina, I., Roxana, P., (2013) Medical tourism-between the content and socio-economic development goals, , Development strategies. Romanian Journal of Marketing; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? (2010) A scoping review. International Journal for Equity in Health, 9, p. 24; Lautier, M., Export of health services from developing countries: The case of tunisia (2008) Social Science & Medicine, 67, pp. 101-110; Levac, D., Colquhoun, H., O'brien, K.K., Scoping studies: Advancing the methodology (2010) Implement Sci, 5, pp. 1-9; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Lunt, N., Horsfall, D., Hanefeld, J., Medical tourism: A snapshot of evidence on treatment abroad (2016) Maturitas, 88, pp. 37-44; Mazzaschi, A., (2011) Surgeon and safari, , Producing valuable bodies in johannesburg; Mchugh, M.L., Interrater reliability: The kappa statistic (2012) Biochemia medica, 22, pp. 276-282; Michelle, S., (2009) A research study to investigate the medical tourism industry in south africa, , Ph. D. Thesis, NHTV Breda, University of Applied Sciences; Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., Group, P., Reprint-preferred reporting items for systematic reviews and meta-analyses: The prisma statement (2009) Physical therapy, 89, pp. 873-880; Pfeffer, N., Eggs-ploiting women: A critical feminist analysis of the different principles in transplant and fertility tourism (2011) Reproductive BioMedicine Online (Reproductive Healthcare Limited), 23, pp. 634-641; Pham, M.T., Rajic, A., Greig, J.D., Sargeant, J.M., Papadopoulos, A., Mcewen, S.A., A scoping review of scoping reviews: Advancing the approach and enhancing the consistency (2014) Research synthesis methods, 5, pp. 371-385; Pluye, P., Robert, E., Cargo, M., Bartlett, G., O'cathain, A., Griffiths, F., Boardman, F., Rousseau, M.C., (2011) Proposal: A mixed methods appraisal tool for systematic mixed studies reviews, , http://mixedmethodsappraisaltoolpublic.pbworks.com:http://www.webcitation.org/5tTRTc9yJ; Pocock, N.S., Phua, K.H., Medical tourism and policy implications for health systems: A conceptual framework from a comparative study of thailand, singapore and malaysia (2011) Globalization and health, 7, p. 1; Purohit, B.C., (2011) Will medical tourism help the poor?, p. 5. , From Editor's Pen; Ross Anthony, C., Lurie, N., Global health services research: Challenging the future (2004) Health services research, 39, pp. 1923-1926; Ruggeri, K., Záliš, L., Meurice, C.R., Hilton, I., Ly, T.-L., Zupan, Z., Hinrichs, S., (2015) Evidence on global medical travel, 93, pp. 785-789; Samir, N., Karim, S., (2011) An insight: Medical tourism, local and international perspective, , Oman Medical Journal, 07//; Schellekens, O., Lindner, M., Lange, M., Van Der Gaag, J., (2007) A new paradigm for increased access to health care in africa, , Washington DC: International Finance Corporation/Financial Times Essay competition; Snyder, J., Crooks, V., Turner, L., Issues and challenges in research on the ethics of medical tourism: Reflections from a conference (2011) Journal of Bioethical Inquiry, 8, pp. 3-6; Starfield, B., Shi, L., Macinko, J., Contribution of primary care to health systems and health (2005) Milbank quarterly, 83, pp. 457-502; Steinwachs, D.M., Hughes, R.G., (2008) Health services research, , Scope and significance; Suzana, M., Mills, A., Tangcharoensathien, V., Chongsuvivatwong, V., The economic burden of overseas medical treatment: A cross sectional study of maldivian medical travelers (2015) BMC health services research, 15, p. 1; Sweet, J., Safety and access: Is the uk regulatory model right for america? (2014) Health Law and Policy Brief, 4, p. 8; Turner, L., 'First world health care at third world prices': Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Medical tourism family medicine and international health-related travel (2007) Canadian Family Physician, 53, pp. 1639-1641; Unger, J.-P., De Paepe, P., Van Dessel, P., Stolkiner, A., The production of critical theories in health systems research and education (2011) An epistemological approach to emancipating public research and education from private interests. Health, Culture and Society, 1, pp. 1-28; Uppiah, M., Gunputh, R., Nunkoo, R., Seetanah, B., Sannassee, R., Publish The legal implications for mauritius to develop the medical tourism sector (2013) 4th Advances in Hospitality & Tourism Marketing & Management Conference, pp. 1010-1026. , Mauritius, 25-27 June 2014, 2014. University of Mauritius; (2014) Who | definition of region groupings, , WHO; (2008) The role and future of health professions regulation 1st Report, , http://www.wma.net/en/20activities/40healthsystems/20scopeofpractice/010402_WHPCR_report_A4_single_page_final.pdf, World Health Professions Conference on Regulation; (2013) Sustainable health systems: Visions, strategies, critical uncertainties and scenarios, , WEF; (2000) The world health report 2000: Health systems: Improving performance, p. 19. , World Health Organization; Yaseen, H., (2007) Systems & systems theory Management for Health Care Professionals Series; Zakus, D., Bhattacharyya, O., Health systems, management, and organization in low-and middle-income countries (2007) Understanding global health, pp. 278-292","Mogaka, J.J.O.; University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, South Africa; email: johnmogaka2@gmail.com",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85029187502 "Mogaka J.J.O., Mupara L.M., Mashamba-Thompson T.P., Tsoka-Gwegweni J.M.","57194640548;57194640160;56281917500;55616518100;","Geo-location and range of medical tourism services in Africa",2017,"African Journal of Hospitality, Tourism and Leisure","6","1",,"","",21,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029179498&partnerID=40&md5=e0fe250007ea354b55eeb5510d31bb00","University of KwaZulu Natal, School of Nursing and Public Health, University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa","Mogaka, J.J.O., University of KwaZulu Natal, School of Nursing and Public Health, University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa; Mupara, L.M., University of KwaZulu Natal, School of Nursing and Public Health, University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa; Mashamba-Thompson, T.P., University of KwaZulu Natal, School of Nursing and Public Health, University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa; Tsoka-Gwegweni, J.M., University of KwaZulu Natal, School of Nursing and Public Health, University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, Durban, 4041, South Africa","Africa is both a source and a destination for patients who depart from and arrive in the region to consume healthcare that is either unavailable, unaffordable or of low quality at their home countries. This movement of patients represents a growing global phenomenon referred to as medical tourism (MT). Despite its surge in preference, research on the actors and players of MT in Africa is limited. Based on existing literature, this paper explores the structure of MT in Africa in terms of the available medical procedures and their geodistribution in the region, and key MT actors. The systematic scoping review method used in this study followed the Arksey and O'Malley (2005) framework. The design comprised a five-step process that involved identification of the questions to be addressed; identification of the relevant literature sources; selection of literature sources to be included in the review synthesis; recording key themes emerging from the literature; and collation, summary, and reporting of the results. Various databases were searched. The search identified 1346 potentially relevant articles in the scoping review. Findings showed that there are five categories of MT actors and players; each having its unique roles and expectations. At the micro level, MT is organized around multi-specialty hospitals and physician specialists with medical care services organized on specific diseases, organ systems, and/or populations. A few of MT services are offered through freestanding specialty hospitals; more are centers within multi-specialty hospitals with physician specialists. © 2017 AJHTL.","Healthcare systems; Medical care; Medical infrastructure; Tourism",,,,,,,,,"Agwa-Ejon, J., Pradhan, A., (2014) The impact of technology on the health care services in gauteng province, , south africa; Ahwireng-Obeng, F., Van Loggerenberg, C., Africa's middle class women bring entrepreneurial opportunities in breast care medical tourism to south africa (2011) The International journal of health planning and management, 26, pp. 39-55; Alsharif, M.J., Labonté, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10, pp. 315-335; Bergmann, S., Fertility tourism: Circumventive routes that enable access to reproductive technologies and substances (2011) Signs: Journal of Women in Culture & Society, 36, pp. 280-289; Bezabih, B., Wamisho, B., Referrals of ethiopian orthopedic patients for treatment abroad (2013) East and Central African Journal of Surgery, 18, pp. 3-9; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical & Computer Modelling, 46, pp. 1144-1159; Boekstein, M.S., Healing waters: Balneological classification of thermal springs in south africa (2014) Tourism, p. 20. , http://reference.sabinet.co.za/webx/access/electronic_journals/ajpherd/ajpherd_v20_n2_1_a22.pdf; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, 175 Fifth Avenue, New York, N.Y, , 10010 PALGRAVE MACMILLAN; Burkett, L., Medical tourism (2007) Journal of Legal Medicine, 28, pp. 223-245; Chen, Y.Y.B., Flood, C.M., Medical tourism's impact on health care equity and access in low-and middle-income countries: Making the case for regulation (2013) Journal of Law, Medicine & Ethics, 41, pp. 286-300; Colquhoun, H.L., Levac, D., O'brien, K.K., Straus, S., Tricco, A.C., Perrier, L., Kastner, M., Moher, D., Scoping reviews: Time for clarity in definition, methods, and reporting (2014) Journal of clinical epidemiology, 67, pp. 1291-1294; Crooks, V.A., Cohen, I.G., Adams, K., Whitmore, R., Morgan, J., Inbound medical tourism to barbados: A qualitative examination of local lawyers' prospective legal and regulatory concerns (2015) BMC Health Services Research, 15, pp. 1-8; Crush, J., Chikanda, A., South-south medical tourism and the quest for health in southern africa (2015) Social Science & Medicine, 124, pp. 313-320; Crush, J., Chikanda, A., Maswikwa, B., Patients without borders: Medical tourism and medical migration in southern africa (2012) Cape Town: Megadigital, pp. 1-51; Crush, J., Chikanda, A., Maswikwa, B., Labonté, R., Runnels, V., Packer, C., Deonandan, R., South-south and north-south medical tourism: The case of south africa (2013) Travelling well: Essays in medical tourism. Ottawa: Institute of Population Health, University of Ottawa, pp. 43-61; Crush, J., Chikanda, A., Sanders, D., Maswikwa, B., The rise of medical tourism to south africa (2015) Chapters, pp. 323-331; Dangor, F., Hoogendoorn, G., Moolla, R., Medical tourism by indian-south africans to india: An exploratory investigation (2015) Bulletin of Geography. Socio-economic Series, 29, pp. 19-30; De Arellano, A.B.R., (2011) Medical tourism in the caribbean; Dijkers, M., (2015) What is a scoping review? Knowledge Translator for Disability Rehabilitation and Research, p. 4; El Taguri, A., Medical tourism and the libyan national health services (2007) Libyan J Med, 2, pp. 109-110; George, B.P., Nedelea, A., (2008) Medical tourism: The next big thing to come, , Available at SSRN 1264925; Goldberg, A.M., (2013) Medical tourism? A case study of african patients in india; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18, pp. 193-201; Grimshaw, J., (2010) A guide to knowledge synthesis: A knowledge synthesis chapter, , Canadian Institutes of Health Research; Arksey, H., O'Malley, L., Scoping studies: Towards a methodological framework (2005) International Journal of Social Research Methodology, 8, pp. 19-32; Hadi, A., Published. Globalization, medical tourism and health equity (2009) Symposium on Implications of Medical Tourism for Canadian Health and Health Policy; Helmy, E.M., Travers, R., Towards the development of egyptian medical tourism sector (2009) Anatolia: An International Journal of Tourism & Hospitality Research, 20, pp. 419-439; Hunter, D., Oultram, S., The ethical and policy implications of rogue medical tourism (2010) Global Social Policy, 10, pp. 297-299; Idowu, E.O., Adewole, O.A., Spectrum of neurosurgical complications following medical tourism: Challenges of patients without borders (2015) African health sciences, 15, pp. 240-245; (2016) Jci-accredited organizations | joint commission international [Online], , http://www.jointcommissioninternational.org/about-jci/jci-accreditedorganizations/, [Accessed July 7 2016]; Jagyasi, P., (2009) South africa: The rising star on medical tourism horizon, p. 8. , Medical Tourism industry's latest nip/tuck; Larocco, S.A., Pinchera, B.J., The emerging trend of medical tourism (2011) Nursing Management, 42, pp. 24-30; Lautier, M., Export of health services from developing countries: The case of tunisia (2008) Social Science & Medicine, 67, pp. 101-110; Lautier, M., International trade of health services: Global trends and local impact (2014) Health Policy, 118, pp. 105-113; Levac, D., Colquhoun, H., O'brien, K.K., Scoping studies: Advancing the methodology (2010) Implement Sci, 5, pp. 1-9; Maaka, T.P., The role of medical tourism in 21st century africa health system (2006) African Rennaissance, 3, pp. 99-110; Mchugh, M.L., Interrater reliability: The kappa statistic (2012) Biochemia medica, 22, pp. 276-282; Meissner-Roloff, M., Pepper, M.S., Curbing stem cell tourism in south africa (2013) Applied & Translational Genomics, 2, pp. 22-27; Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., Group, P., Reprint-preferred reporting items for systematic reviews and meta-analyses: The prisma statement (2009) Physical therapy, 89, pp. 873-880; Mothiravally, V., Shahi, M., Kashif Hussain, E.H., Published. Strategic analysis of medical tourism: A case study of an island destination (2010) Proceedings of Regional Conference on Tourism Research, p. 156; Nicolaides, A., Zigiriadis, E., Fc, C.S., Medical tourism as an important niche of tourism development in south africa (2011) African Journal of Hospitality, Tourism and Leisure, 1, p. 11; Nwafor, O., (2012) Niche tourism and the challenges of developing medical tourism in the western cape province of south africa, p. 3. , http://reference.sabinet.co.za/webx/access/electronic_journals/sl_jeteraps/sl_jeteraps_v3_n4_a32.pdf; Pfeffer, N., Eggs-ploiting women: A critical feminist analysis of the different principles in transplant and fertility tourism (2011) Reproductive BioMedicine Online (Reproductive Healthcare Limited), 23, pp. 634-641; Pham, M.T., Rajic, A., Greig, J.D., Sargeant, J.M., Papadopoulos, A., Mcewen, S.A., A scoping review of scoping reviews: Advancing the approach and enhancing the consistency (2014) Research synthesis methods, 5, pp. 371-385; Pluye, P., Robert, E., Cargo, M., Bartlett, G., O'cathain, A., Griffiths, F., Boardman, F., Rousseau, M.C., (2011) Proposal: A mixed methods appraisal tool for systematic mixed studies reviews, , http://mixedmethodsappraisaltoolpublic.pbworks.com:http://www.webcitation.org/5tTRTc9yJ; Snyder, J., Dharamsi, S., Crooks, V.A., Fly-by medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists (2011) Globalization & Health, 7, pp. 6-19; Stanbrook, M., Fletcher, J., (2014) Attracting medical tourists to canada is a risky experiment, , CMAJ: Canadian Medical Association Journal, 09/16/; Stolk, M., (2009) Medical tourism to south africa: Sun, sea, sand, safari, and Surgery, , University of Applied Sciences: Degree Thesis; Turner, L., 'First world health care at third world prices': Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Umeora, O.U.J., Umeora, M.C., Emma-Echiegu, N.B., Chukwuneke, F.N., Surrogacy in nigeria: Legal, ethical, socio cultural, psychological and religious musings (2014) African Journal of Medical and Health Sciences, 13, p. 105; Uppiah, M., Gunputh, R., Nunkoo, R., Seetanah, B., Sannassee, R., Published. The legal implications for mauritius to develop the medical tourism sector 4th Advances in Hospitality & Tourism Marketing & Management Conference, pp. 1010-1026. , Mauritius, 25-27 June 2014, 2014. University of Mauritius; Weisz, G., Historical reflections on medical travel (2011) Anthropology & Medicine, 18, pp. 137-144; (2016) Whatclinic.Com homepage [Online], , http://www.whatclinic.com/, Dublin, Ireland: Global Medical Treatment Ltd [Accessed 29 June 2016]; Williams, G., Medical tourism: Becoming a standard operating procedure? (2013) Finweek, pp. 18-19; Woo, E., Schwartz, Z., Towards assessing the knowledge gap in medical tourism (2014) Journal of Quality Assurance in Hospitality & Tourism, 15, pp. 213-226; Wu, H.-C., Li, T., Li, M.-Y., A study of behavioral intentions, patient satisfaction, perceived value, patient trust and experiential quality for medical tourists (2016) Journal of Quality Assurance in Hospitality & Tourism, 17, pp. 114-150; Yang, Y.T., Al-Ani, S., Bartlett, G., Moazzam, A., Pr29p cosmetic medical tourism: Its true cost (2009) ANZ Journal of Surgery, 79, pp. A60-A60; Zarocostas, J., Developing nations pour cash into attracting medical tourists (2009) BMJ: British Medical Journal (Overseas & Retired Doctors Edition), 339, pp. 535-535","Tsoka-Gwegweni, J.M.; University of KwaZulu Natal, School of Nursing and Public Health, University of KwaZulu Natal Howard College Campus, Mazisi Kunene Avenue, South Africa; email: Tsokagwegweni@ukzn.ac.za",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85029179498 "Haarhoff R., Mokoena L.G.","56318985900;57195601888;","The market place of medical tourism facilitators in South Africa",2017,"African Journal of Hospitality, Tourism and Leisure","6","3",,"","",17,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029067158&partnerID=40&md5=cbc4052b2a739c9d83b7ac0c8cc89e58","Central University of Technology, Free State Province, South Africa","Haarhoff, R., Central University of Technology, Free State Province, South Africa; Mokoena, L.G., Central University of Technology, Free State Province, South Africa","Although there is no single definition for medical tourism, it is generally acknowledged that it refers to travel activity that involves a medical procedure. Cosmetic tourism refers to a subspecialty that is concerned primarily with the enhancement of physical appearance. The concept of combining travel with cosmetic surgery comes as a fresh idea to South Africa and its growing popularity is based on: the low cost of medical procedures in the developing countries, affordable air fares, favourable exchange rates and the internet. A medical tourism facilitator (MTF) acts as a coordinator between medical tourists and medical service providers such as surgeons or clinics and arranges treatment itineraries, lodging and local logistics. Attractive tourist packages ultimately provoke demand for this industry. In South Africa, the number of studies and availability of data on cosmetic tourism remains limited. The role of the MTFs calls for and validates this research within the medical tourism niche market in South Africa. The population included individuals who have made an appointment with a registered plastic surgeon. It was thus impossible to pre-determine the precise number of the population. A qualitative methodology was used to collect data anonymously from 236 voluntary respondents in the surgeon's waiting rooms after their consent was obtained. Results indicate that cosmetic tourists come from all over South Africa. The majority were female and organised the leisure component themselves. This opens the door for MTFs to investigate possible penetration into this travel market and thus to the expansion of the market. © 2017 AJHTL.","Facilitation; Health; Medical tourism; South Africa; Tourism sustainability; Travel",,,,,,,,,"(2012) Health tourism, , http://www.africarehealth.co.za/; Alsharif, M.J., Labonte, R., Lu, Z., Patients beyond borders: A study of medical tourists in four countries (2010) Global Social Policy, 10 (3), pp. 315-335; (2012) Plastic surgery statistics report, , http://www.plasticsurgery.org/Documents/news-resources/statistics/2012-Plastic-Surgery-Statistics/full-plastic-surgery-statistics-report.pdf; (2012) Association of Plastic & Reconstructive Surgeons of Southern Africa, , http://www.plasticsurgeons.co.za/FindASurgeon.aspx; Berer, M., Cosmetic surgery, body image and sexuality (2010) Journal of Reproductive Health Matters, 18 (35), pp. 4-10; Chordas, L., Now boarding (2007) Best's Review, 108 (5), pp. 54-60; Cohen, E., Medical Tourism in Thailand (2008) AU-GSB e-journal, 1 (1), pp. 24-37. , http://gsbejournal.au.edu/1V/Journal/Medical%20Tourism%20Dr%20Cohen.pdf; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Crush, J., Chikanda, A., Maskikwa, B., (2012) Patients without borders: Medical tourism and medical migration in Southern Africa. Migration policy series, , http://dspace.cigilibrary.org/jspui/bitstream/123456789/33006/1/Acrobat57.pdf?1, Retrieved; (2008) Medical Tourism, consumer in search of value, , http://www.deloitte.com/dtt/article/0%2C1002%2Ccid%25253D192707%2C00.html; (2011) Medical tourism in Australia. A scoping review, , http://www.deloitte.com/assets/DcomAustralia/Local%20Assets/Documents/Industries/LSHC/Deloitte_MedicalTourismreport_August_2011.pdf; Dingman, S., Otte, M.E., Foster, C., Cosmetic surgery: feminist perspectives (2012) Women and Therapy, 35 (3-4), pp. 181-192; (2011) Understanding ethical issues of medical tourism, , http://drprem.com/ueimt/; George, B.P., Henthorne, T.L., Williams, A.J., Determinants of satisfaction and dissatisfaction among preventive and curative medical tourists: a comparative analysis (2010) International Journal of Behavioural and Healthcare Research, 2 (1), pp. 5-19; Guiry, M., Vequist, D.G., The role of personal values in determining US medical tourists: Expectations and perceptions of healthcare facility service quality: An exploratory investigation (2010) Journal of Tourism Challenges and Trends, 3 (2), pp. 115-140; Gupta, A.S., Medical tourism and public health (2004) People's democracy, 28 (19). , http://archives.peoplesdemocracy.in/2004/0509/05092004_snd.htm; Helmy, E.M., Benchmarking the Egyptian medical tourism sector against international best practices: an exploratory study (2011) An International Multidisciplinary Journal of Tourism, 6 (2), pp. 293-311; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Howze, K.S., Medical tourism: symptoms or cure (2007) Georgia Law Review, 41 (3), pp. 1013-1052; Hudson, S., Li, X., Domestic medical tourism: The neglected dimension of medical tourism research (2012) Journal of Hospitality Marketing and Management, 21 (3), pp. 227-246; Hunter, J., Identifying the responsibility for risk at tourism destinations: The UK Experience (2000) Tourism Economics, 6 (2), pp. 187-198; Hyde, M., Evidence-based practice, ethics and EHDI program quality In A Sound Foundation through Early Amplification (2005) Proceedings of the Third International Conference, pp. 281-301. , Stäfa, Switzerland: Phonak AG; Jenkins, S., Price C.J.And Straker, L., (2003) The Researching Therapist, , Edinburgh: Churchill Livingstone; Jyothis, T., Janardhanan, V.K., Service quality in health tourism: An evaluation of the health tourism providers of Kerala (India) (2009) South Asian Journal of Tourism and Heritage, 2 (1), pp. 77-82; Klaus, M., Outsourcing vital operations: what if US health care costs drive patients overseas for surgery (2006) Quinnipiac Health Law Journal, 9 (2), pp. 219-271; Leedy, P.D., Ormrod, J.E., (2005) Practical research: planning and design, , 8th ed. Upper Saddle River, NJ: Merrill Prentice Hall; Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., Horsfall, D., King, H., (2014) ""Systematic review: what do we know about medical tourism?"" Health Services and Delivery Research, , http://www.ncbi.nlm.nih.gov/books/NBK263160/pdf/Bookshelf_NBK263160.pdf; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: medical tourism and the emergence of web-based health information (2010) The Open Medical Informatics Journal, 4, pp. 1-11. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2874214/pdf/TOMINFOJ-4-1.pdf; (2012) Medical Facilitator, , http://www.medicaltourismassociation.org.za/constitution; Menvielle, L., Menvielle, W., Tournois, N., Medical tourism: A decision model in a service context (2011) Tourism, 59 (1), pp. 47-61; Moghimehfar, F., Nasr-Esfahani, M.H., Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments (2011) Tourism Management, 32 (6), pp. 1431-1434; Mohamad, W.N., Omar, A., Haron, M.S., The moderating effect of medical travel facilitators in medical tourism (2012) Procedia-Social and Behavioural Sciences, 65, pp. 358-363; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; (2011) National tourism sector strategy, , http://www.tourism.gov.za/AboutNDT/Branches1/Knowledge/Documents/National%20Tourism%20Sector%20Strategy.pdf; Nicolaides, A., Lessons for South Africa from Asia on medical tourism's practice and potential (2011) Journal of the Society of Medical Laboratory Technologists of South Africa, 25 (2), pp. 7-15; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12 (1), pp. 1-9; Ramirez Arellano, A.B., Patients without borders: the emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: students' perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Samir, N., Karim, S., An insight: Medical tourism, local and international Perspective (2011) Oman Medical Journal, 26 (4), pp. 215-218; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; (2010) South African Tourism Strategic Research Unit, , http://www.southafrica.net/uploads/legacy/1/405212/2010%20Annual%20Report_v7_24062011.pdf; (2013) Strategic Research Unit, p. 68. , http://www.southafrica.net/uploads/files/2013_Annual_Report_v8_01102014_(1).pdf; (2014) South African Tourism Strategic Research Unit, , http://www.southafrica.net/uploads/files/2014_Annual_Report_v4_24082015.pdf; (2009), http://www.surgeon-and-safari.co.za/; (2012), http://www.surgicalattractions.com/welcome-surgical-attractions; (2008), http://www.surgicalbliss.com/; Suthin, K., Assenov, I., Tirasatayapitak, A., Medical Tourism: can supply keep up with the dema? (2007) Proceedings of the 5th APac-CHRIE, and the 13th Asia Pacific Tourism Association Joint Conference, 2007. , May 23-27 Beijing China; Swami, V., Arteche, A., Chamorro-Premuzic, T., Fumham, A., Stieger, S., Haubner, T., Voracek, M., Looking good: factors affecting the likelihood of having cosmetic surgery (2008) European Journal of Plastic Surgery, 30 (5), pp. 211-217; Swami, V., Chamorro-Premuzic, T., Bridges, S., Furnham, A., Acceptance of cosmetic surgery: Personality and individual difference predictors (2009) Body Image, 6 (1), pp. 7-13; (2006) Medical Tourism: global analysis, a report by the Tourism Research and Marketing, Atlas, , http://www.atlas-webshop.org/epages/61492534.sf/en_GB/?; (2006) TRAM Report on global medical tourism, , http://www.tram-research.com/MedicalTourism.pdf; Turner, L., 'First world health care at third world prices': Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 309-325; Turner, L., ""Medical Tourism"" and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467; (2014) Understanding tourism: Basic glossary, , http://media.unwto.org/en/content/understanding-tourism-basic-glossary; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88","Haarhoff, R.; Central University of TechnologySouth Africa; email: Rnel@cut.ac.za",,,"Africa Journals",,,,,2223814X,,,,"English","Afr. J. Hosp. Tour. Leis.",Article,"Final",,Scopus,2-s2.0-85029067158 "Nelson R.","7404561465;","The growing trend of medical tourism",2017,"American Journal of Nursing","117","7",,"18","19",,,"10.1097/01.NAJ.0000520937.93481.b7","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021832543&doi=10.1097%2f01.NAJ.0000520937.93481.b7&partnerID=40&md5=641deb2cc110b7fd46bcb15e5197cae7",,"Nelson, R.",[No abstract available],,"abdominoplasty; adult; adverse effects; case report; Dominican Republic; female; forecasting; health personnel attitude; human; lipectomy; medical tourism; mortality; nurse attitude; nursing staff; patient education; Postoperative Complications; psychology; risk assessment; trends; United States; Abdominoplasty; Adult; Attitude of Health Personnel; Dominican Republic; Female; Forecasting; Humans; Lipectomy; Medical Tourism; Nurse's Role; Nursing Staff; Patient Education as Topic; Postoperative Complications; Risk Assessment; United States",,,,,,,,,"Nelson, R.",,,"Lippincott Williams and Wilkins",,,,,0002936X,,AJNUA,"28644279","English","Am. J. Nurs.",Short Survey,"Final",,Scopus,2-s2.0-85021832543 "Oktriono K., Tarigan W.P.","56958520900;57194588895;","Need analysis for service quality as a proponent in medical tourism industry",2017,"Advanced Science Letters","23","4",,"3033","3036",,,"10.1166/asl.2017.7644","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021108151&doi=10.1166%2fasl.2017.7644&partnerID=40&md5=af5f11295d402340b8e84fd190c73e06","Language Center, Faculty of Humanities, BINUS University, Indonesia; Tourism Department, Faculty of Economics and Communication, BINUS University, Jl. Kemanggisan Ilir III No. 45, Kemanggisan, Palmerah Jakarta Barat, 11480, Indonesia","Oktriono, K., Language Center, Faculty of Humanities, BINUS University, Indonesia; Tarigan, W.P., Tourism Department, Faculty of Economics and Communication, BINUS University, Jl. Kemanggisan Ilir III No. 45, Kemanggisan, Palmerah Jakarta Barat, 11480, Indonesia","The aim of the study is to analyze service quality as a proponent in medical tourism industry in Jakarta. The study focused on service quality as a prominent issue in the era of competition. The study also provided the service process design characteristics (SPDCs) and priorities for service solutions. The data collection is conducted in Jakarta based on the inpatients and outpatients population. Quality Function Deployment (QFD) is utilized to transliterate the customer’s needs into technical responses. House of Quality, as the tool, espoused service characteristics identification into requirements specification. The method prioritized SPDCs research endeavors and elucidated the significance of service quality management for providing better service. The result signified that two comprehensive sets of customer’s requirements and SPDCs were developed, which in turn supported by House of Quality Analysis. © 2017 American Scientific Publishers All rights reserved.","Customer; House of quality; Medical tourism; QFD; Service quality; SPDCs",,,,,,"Binus University","This work was fully supported by BINUS University.",,"The, I., Chu, C., (2005) Asia Pacific Biotech News, 307, p. 306; Abdullah, B.J.J., Ng, K.H., (2006) Biomedical Imaging and Intervention Journal, 2, p. 1; Connell, J., (2006) Tourism Management, 27, p. 1093; Harahsheh, S.S., (2002) Curative Tourism in Jordan and Its Potential Development, , Master Thesis, Bournmouth University, United Kingdom; Mueller, H., Kaufmann, E.L., (2001) Journal of Vacation Marketing, 7, p. 5; Wisniewski, M., (2001) Total Quality Management, 12, p. 995; Gronroos, C., (1984) European Journal of Marketing, 18, p. 36; Schlicman, J., (2002), ISO 9001:2000 Quality Management System Design, Artech House, Norwood, USA; Zhao, X., Bai, C.H., Hui, Y.V., (2002) Total Quality Management, 13, p. 241; Sararoudi, M.B., (2008) Designing Service Quality in Four Star Hotels Based on Inbound Traveler’s Point of View, , Master Thesis, Luleå University of Technology, University of Isfahan, Iran; Shahin, A., Service process design characteristics (SPDCs): A comprehensive study of the main pillars for competitiveness (2004) The 4Th International Conference on Quality Management, , Tehran, December; Parasuraman, A., Zeithaml, V.A., Berry, L.L., (1994) Journal of Marketing, 58, p. 111; Juran, J.M., Godfrey, A.B., Hoogstoel, R.E., Schilling, E.G., (1999) Juran’s Quality Handbook, , 5th edn., McGraw-Hill, New York; Shahin, A., Servqual and model of service quality gaps: A framework for determining and prioritizing critical factors in delivering quality services (2006) Service Quality: An Introduction, pp. 117-131. , 1st edn., Edited by V. Partha Sarathy, ICFAI University Press, Andhra Pradesh, India; Akao, Y., QFD: Past, present, and future, International Symposium on QFD 1997 (1997) Linköping, pp. 1-12; Forsberg, K., Mooz, H., Cotterman, H., (2005) Visualizing Project Management, , John Wiley and Sons Inc., New Jersey; Parasuraman, A., Zeithaml, V.A., Berry, L.L., (1998) Journal of Retailing, 64, p. 12; Arasli, H., Ekiz, E.H., Katircioglu, S.T., (2008) International Journal of Health Care Quality Assurance, 21, p. 8","Oktriono, K.; Language Center, Faculty of Humanities, BINUS UniversityIndonesia",,,"American Scientific Publishers",,,,,19366612,,,,"English","Adv. Sci. Lett.",Article,"Final",,Scopus,2-s2.0-85021108151 "Khodasevich L.S., Romanov S.M., Polyakova A.V., Malyshev A.A.","7004194854;56999993800;57190118261;57193224580;","Medical and biological efficiency of health tourism among youth",2017,"Human Ecology (Russian Federation)",,"1",,"9","18",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020281907&partnerID=40&md5=884c1c44c597e38bbd13850858a10200","Sochi State University, Sochi, Russian Federation","Khodasevich, L.S., Sochi State University, Sochi, Russian Federation; Romanov, S.M., Sochi State University, Sochi, Russian Federation; Polyakova, A.V., Sochi State University, Sochi, Russian Federation; Malyshev, A.A., Sochi State University, Sochi, Russian Federation","Literature review is devoted to medical and biological efficiency of health tourism of modern youth, who are characterized by deterioration of health indicators due to the high prevalence of bad habits, lack of knowledge and inexperience in matters of disease prevention, lack of interest in the implementation of health measures and low level of physical activity. The authors describe health tourism as one of the most effective and attractive means of health improvement due to high availability to the youth and fitness of a big part of the territory of the Russian Federation for tourist activities. They consider it as the basis of a healthy lifestyle able to affect on its quality and duration, as well as disease prevention. Healthcare effect of sports and health tourism is greatly enhanced by the fact that they are carried out mainly in the green forest countryside or urban parkland. Physical activity in the conditions of the forest or parkland landscapes provides favorable effect of flora, bioclimate, topography and the picturesque landscape terrain, aimed at disadaptation prevention and improving the general non-specific resistance. Health tourism is similar in its healthcare effect to a sanatorium resort climate landscape therapy, being actually its variation. The health improvement process in both cases is a highly active motor activity, which improves mental performance, the level of the functional state of the cardiovascular, respiratory and muscular systems, forms a harmonious constitution. Physical activity in the forest or parkland offers a man a rare opportunity to approach nature, observe and appreciate its beauty.","Climate landscape therapy; Health tourism; Healthy lifestyle; Medical and biological efficiency; Youth",,,,,,,,,"Agadzhanyan, N.A., Kislitsyn, A.N., (2002) Rezervy Organizma i ekstremal'Nyi Turizm, p. 302. , [Reserves of the body and extreme tourism]. Moscow; Beskaravaynyy, E.B., Gudkov, A.B., Belozerov, S.P., Beskaravaynaya, A.V., Psychomotor reactions of servicemen of unconventional units in progress of service and combat missions (2014) Ekologiya Cheloveka, 4, pp. 52-59. , [Human Ecology]., . [in Russian]; Boeva, A.V., Zimina, L.A., Semjonov, A.V., Characteristics of the population of Irkutsk mortality from external causes of certain diseases and the intake of ethyl alcohol (2013) Bjulleten' Vostochno-Sibirskogo Nauchnogo Centra Sibirskogo Otdelenija Rossijskoj Akademii Medicinskih Nauk, 91 (1-3), pp. 140-143. , [Bulletin of the East-Siberian Scientific Center of the Siberian Branch of the Russian Academy of Medical Sciences]., [in Russian]; Brjun, A.E., Substance abuse -The result of the accumulation of risk factors in the process of mental development (2009) Nezavisimost' Lichnosti, 2, pp. 3-9. , [The independence of the individual]., [in Russian]; Gaptar, V.M., The two-year training model sports tourism with sportsmen-beginners Obrazovanie i Zdravoohranenie, 4, pp. 87-93. , Vestnik Cheljabinskogo gosudarstvennogo universiteta [Herald of Chelyabinsk State University]. 2014, 13 (342). [Education and health care]., [in Russian]; Gudkov, A.B., Beskaravainy, E.B., Popova, O.N., Sarychev, A.S., Characteristic of respiratory system compensatory-Adaptive reactions in military men of special task units in dynamics of service and fighting tasks performance (2014) Ekologiya Cheloveka, 12, pp. 3-8. , [Human Ecology]., [in Russian]; Dartau, L.A., Health management students in education and educational environment of high school (2010) Zdorov'Esberegajushhee Obrazovanie, 4, pp. 85-89. , [School health education]., [in Russian]; The Demographic Forecast until 2030, , http://demographia.net/demograficheskiyprognoz-do-2030-goda, (accessed 29.04.2016); Dolgih, V.V., Smirnov, E.L., Kulesh, D.V., Shojko, S.V., Abashin, N.N., Korovin, S.A., Lebedeva, L.N., Cherkashina, A.G., Youth of premilitary age health: Analysis of current trends (based on Siberia) (2013) Vestnik Rossijskoj Voenno-medicinskoj Akademii, 42 (2), pp. 148-151. , [Bulletin of the Russian Military Medical Academy]., [in Russian]; Zherlitsina, L.I., Bostanov, K.M., Povolotskaya, N.P., Blind, V.V., Climatic landshtaftoterapiya as a means to optimize the rehabilitation of patients with ischemic heart disease in the mountain resort dizadaptozami (2015) Nauchnyj Poisk, 2 (2), pp. 59-61. , [Scientific Search]., [in Russian]; Zhigarev, O.L., (2002) Vlijanie Sportivno-ozdorovitel'Nogo Turizma Na morfofunkcional'Nye i Psihofiziologicheskie Pokazateli Organizma Studentov, p. 22. , (avtoref. kand. diss.) [Influence of sports tourism on morphofunctional and psychophysiological indicators of an organism of students. Author's Abstract of Cand. Diss.]. Novosibirsk; Zaretsky, V., Bulatnikov, A.N., Voronin, M.Y., Zaretskaya, L.V., Kalabalin, A.S., Kirilina, N.K., Tolkachev, O.A., Potemkin, G.A., (2008) Formirovanie social'No-otvetstvennogo Povedenija U Detej i Molodjozhi. Profilaktika Deviantnogo i Addiktivnogo Povedenija Sredi Detej i Molodjozhi v Uchrezhdenijah Vysshego, Srednego i nachal'Nogo professional'Nogo Obrazovanija, p. 188. , [Formation of socially-responsible behavior in children and youth. Prevention of deviant and addictive behavior among children and youth in institutions of higher, secondary and elementary education]. Moscow; Kobylyatskaya, I.A., Osykin, A.S., Shkatova, E.Y., Status of student youth health (2015) Uspehi Sovremennogo Estestvoznanija, 5, pp. 74-75. , [Successes of modern science]., [in Russian]; Kozlov, A.I., Questions sports tourism, as an integral part of domestic tourism (2014) Fizicheskaja kul'Tura, Sport, Turizm: Nauchnometodicheskoe Soprovozhdenie, pp. 155-157. , [Physical culture, sport and tourism: Eauchno and methodological support]. Proceedings of the All-Russian scientific-practical conference with international participation. Perm; Korobitsin, A.A., Bannikova, R.V., Gudkov, A.B., Vyazmin, A.M., Shikhova, V.A., Medico-ecological aspects of the Northerners' way of life (1999) Ekologiya Cheloveka, 2, pp. 46-49. , [Human Ecology]., [in Russian]; Lyakh, V.I., (2000) Dvigatel'Nye Sposobnosti shkol'Nikov: Osnovy Teorii i Metodiki Razvitiya, p. 192. , [Motor abilities of schoolboys: The basic theory and methods of development]. Moscow, Terra-Sport; Malashenkova, M.I., (2009) Sistema Massovogo Sportivnogo Ozdorovleniya i ispol'Zovaniya Rekreatsionnogo Potentsiala Gornoklimaticheskikh Kurortov (Avtoref. Dokt. Diss.), p. 48. , [The system of mass sports rehabilitation and use of the recreational potential of a mountain climatic resort. Author's Abstract of Doct. Diss.]. Moscow; Maslyukova, E.V., Fursa, M.A., Chelovecheskii kapital molodezhi v Rossii: Sovremennye tendentsii i problem (2015) Ekonomicheskoe Razvitie v Usloviyakh Globalizatsii, pp. 52-61. , The human capital of young people in Russia: current trends and problems]. [Economic development in the context of globalization]. Rostov-on-Don; Medvedkov, N.I., Medvedkov, V.D., Ashirova, S.V., The incidence of students and ways of reducing (2012) Problemy sotsial'Noi Gigieny, Zdravookhraneniya i Istorii Meditsiny, 4, pp. 39-40. , [Problems of social hygiene, health and medical history]., [in Russian]; On Approval of the Regulations for Touristand Regional Studies, , http://www.alppp.ru/law/zdravoohranenie-fizicheskaja-kultura-i-sport-Turizm/turizm-ekskursii/2/prikaz-minobrazovanija-rsfsrot-13-07-1992-293.html, The Ministry of Education Russia. Order by July 13, 1992 No.293. (accessed 21.04.2016); Nikitin, P., Khasnulin, V.I., Gudkov, A.B., (2014) Contemporary Problems of Northern Medicine and Researchers' Efforts to Solve Them, 3, pp. 63-72. , Vestnik Severnogo (Arkticheskogo) fede-ral'nogo universiteta. Seriya: Mediko-biologicheskie nauki [Vestnik of Northern (Arctic) Federal University. Series: Medical and biological sciences., [in Russian]; Palkina, O.A., Gudkov, A.B., Sharenkova, L.A., Dynamics of indices of cardio-vascular system activity in girls-students during 5-year studies at higher educational institution (2007) Ekologiya Cheloveka, 2, pp. 22-25. , [Human Ecology]., [in Russain'; Povolotskaya, N.P., Efimenko, N.V., Kortunova, Z.V., Mkrtchyan, R.I., Zherlitsina, L.I., Sklyar, A.P., Natural aeroionofitoterapiya patients with coronary heart disease in the low mountain resorts: Advanced medical technology (2006) Pyatigorsk, p. 16. , registration certificate number FS-2006/330 from 14 November 2006; Povolotskaya, N.P., Sedakov, S.V., Senik, I.A., Blind, V.V., Modern problems of protection and rational use of landscape and balneological potential of the region caucasian mineral waters (2013) Materialy VII Mezhdunarodnogo Kongressa Innovatsionnye Faktory Ustoichivogo Razvitiya Turistsko-rekreatsionnykh Territorii, pp. 147-150. , v 3 t. T. 2. Innovatsionnye faktory ustoichivogo razvitiya turistsko-rekreatsionnykh territorii [Proceedings of the VII International Congress ""Innovative factors of sustainable development of tourism and recreational areas"" in 3 volumes. Vol. 2. ""Innovative factors of sustainable development of tourism and recreational areas""]. Pyatigorsk, Vestnik Kavkaza; Pozdeyeva, L.V., Improving physical education university students (2008) Vysshee Obrazovanie Segodnya, (5), pp. 110-112. , [Higher education today]., [in Russian]; Popov, V.A., Verbetsky, A.S., Substance use students. Terminology apparatus (2014) Molodoi Uchenyi, 2, pp. 832-834. , [Young scientist]., [in Russian]; Postanovlenie pravitel'Stva Rossiiskoi Federatsii Ot 17.01.2006 G. No. 14 O Priznanii Kurortov Essentuki, Zheleznovodsk, Kislovodsk i Pyatigorsk, Raspolozhennykh v stavropol'Skom Krae, Kurortami federal'Nogo Znacheniya i Ob Utverzhdenii Polozhenii Ob Etikh Kurortakh, (4). , Russian Federation Government Resolution dated 17.01.2006, N 14 ""On recognition resorts Essentuki, Zheleznovodsk, Kislovodsk and Pyatigorsk, located in the Stavropol region, resorts of federal importance, and on the approval of the provisions of these resorts']. Sobránie zakonodátel'stva Rossiiskoi Federátsii from 23.01.2006 Mr; Postanovlenie pravitel'Stva Rossiiskoi Federatsii Ot 2 Avgusta 2011 G. No. 644 O federal'Noi Tselevoi Programme ""razvitie Vnutrennego i V""ezdnogo Turizma Rossiiskoi Federatsii (2011-2018 Gody), , http://www.russiatourism.ru/content/2/section/28/detail/28/, Russian Federation Government Resolution of August 2, 2011 N 644 On the federal target program ""Development of domestic tourism of the Russian Federation (2011 - 2018)""]. (v red. 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Series: Natural and Technical Sciences]., [in Russian; Razumov, A.N., Kontseptsiya razvitiya vosstanovitel'noi meditsiny kak profilakticheskogo napravleniya meditsinskoi nauki i prakticheskogo zdravookhraneniya na 2006-2008 gg. (2005) Tezisy Dokladov Mezhdunarodnogo Kongressa vosstanovitel'Naya Meditsina i Reabilitatsiya - 2005, pp. 112-114. , [The concept of regenerative medicine as a preventive direction of medical science and practical public health for 2006- 2008].[Proceedings of the International Congress ""Regenerative Medicine and Rehabilitation - 2005""]. Moscow; Romanovsky, S.K., Motor activity as a basic condition for maintaining and strengthening the health of today's students with disabilities in health (2015) Vestnik Sportivnoi Nauki, 3, pp. 58-62. , [Journal of Sport Science]., [in Russian]; Sedakov, S.V., Povolotskaya, N.P., Urvachova, E.E., The use of natural aeroionofitoterapii in complex rehabilitation of patients with hypertension in the mountain resort (2013) Kurortnaya Meditsina, 2, pp. 33-37. , [Resort Medicine]., [in Russian]; Semchenko, L.N., Gerasimova, O.J., Batrymbetova, S.A., Features lifestyle and risk factors for the health of the student youth (2015) Aktual'Nye Problemy Gumanitarnykh i Estestvennykh Nauk, pp. 54-55. , [Actual problems of the humanities and natural sciences]., 8-4, [in Russian]; Ukaz prezidenta rossiiskoi federatsii ot 27.03.1992 g. No. 309 ob osobo okhranyaemom ekologo-kurortnom regione rossiiskoi federatsii Vedomosti S""ezda Narodnykh Deputatov Rossiiskoi Federatsii i VSRF, 15. , Presidential Decree of 27.03.1992, No. 309 ""On specially protected eco-resort region of the Russian Federation""]. In:, [Bulletin of Congress of People's Deputies of the Russian Federation and VSRF] 09.04.1992, No; Fedotov, Y.N., Vostokov, I.E., (2003) Sportivno-ozdorovitel'Nyi Turizm, p. 364. , [Sports tourism]. Moscow, Soviet Sport Publ; Kharaeva, M.S., Human capital as a factor in advancing economic development (2009) Kreativnaya Ekonomika, 3, pp. 20-27. , [Creative Economy]., [in Russian]; Sharenkova, L.A., Gudkov, A.B., Golubeva, V.M., The cardiovascular system of technical college students in the learning process in the first and second years (2002) Ekologiya Cheloveka, 3, pp. 17-20. , Human Ecology]., [in Russian; Shchenina, O.G., Molodezh' v Sovremennoi Rossii, , http://www.c-society.ru/data/200511/odegxvsovremennoirossii.doc, [Young people in modern Russia]. (accessed 21.04.2016); Yumukyan, A.V., (2012) Features Health and Way of Life of Teenage Boys, at the Present Stage of Social Development, 1, pp. 75-79. , Vestnik Rossiiskogo gosudarstvennogo meditsinskogo universiteta [Herald of the Russian State Medical University]., [in Russian]; Allaste, A.A., Lagerspetz, M., Recreational drug use in Estonia: The context of club culture (2002) Contemporary Drug Problems, 29 (1), p. 183; Hadland, S.E., Kerr, T., Li, K., Montaner, E., Access to drug and alcohol treatment among a cohort of street-involved youth (2009) Drug and Alcohol Dependenct, 101 (1), pp. 1-7; Kotova, G.N., Incidence of psychoevjtional stress in youth medium (2007) European Journal of Natural History, 3, pp. 97-98; Pecoraro, A., Woody, G.E., Fishman, M., Ma, M., Piralishvili, G., Pharmacologically assisted treatment of opioid dependent youth (2013) Paediatric Drugs, 15 (6), pp. 449-458; Shafii, M., Shafii, L., School violence, depression, and suicide (2003) Journal of Applied Psychoanalytic Studies, 5 (2), pp. 155-169; Selected cigarette smoking initiation and quitting behaviors among high school students-united (1998) MMWR: Morbidity & Mortality Weekly Report, 47 (19), pp. 386-389; Tarasova, E.V., Grivanova, S.M., Grivanov, I.Y., Tsvetlyuk, L.S., A survey of research concerned with the study of modern climate change and assessment of its impact on tourism, recreation, and sports (2015) European Geographical Studies, 5 (1), pp. 42-63; Weinstock, H., Berman, S., Cates, W., Jr., Sexually transmitted diseases among American youth incidence and prevalence estimates, 2000 (2004) Perspective on Sexual & Reproductive Health, 36 (1), p. 6","Khodasevich, L.S.; Sochi State UniversityRussian Federation; email: nic_kir@mail.ru",,,"Northern State Medical University",,,,,17280869,,,,"Russian","Hum. Ecol.",Article,"Final",,Scopus,2-s2.0-85020281907 "Kouchebagh P.R., Shahri M.H.-Z., Alavifar S.A.","57194156197;57194161564;57194035528;","Effective factors of customer satisfaction in medical tourism based on servqual model and ranking them by applying the topsis",2017,"Proceedings of the International Conference on Industrial Engineering and Operations Management",,,,"201","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018961796&partnerID=40&md5=ad529286dc364f8d65a2240218d76893",,"Kouchebagh, P.R.; Shahri, M.H.-Z.; Alavifar, S.A.","Nowadays any organization, public or private, regardless of the quality of services, will not survive in their business and in fact doomed to destruction. Medical tourism industry in recent decades due to the wide range of benefits such as high profit margins, employment, international peace, culture and ... is taken to the consideration of many countries in the region of Middle East. This is notable that One of the most important factors in the development of health tourism industry is the quality of Service. Regarding to the importance of the quality of health services for foreigner patients, this research carry out the analysis of effective factors of customer satisfaction in medical tourism based on servqual model and also ranking the factors by applying the TOPSIS decision making technique in case of Gandi hospital. This research is an applicable in terms of objectives and in terms of methodology is descriptive. The analyzed population is foreign patients of Gandi hotel hospital in Tehran during two months this questionnaires were distributed among 108 persons The findings of this research demonstrate, the SIG test in connection with the independent variables of empathy, the confidence, the responsiveness, reliability and tangible dimension is equal to 0.000and less calculated according to the value of SIG the significance level of 5 % as a result we can say with 95 %confidence hypotheses 1, 2, 3,4and 5 is confirmed. There is a significant relationship between these variables and the correlation value is calculated in these five variables are positive therefore there is a direct relationship between the variables. © IEOM Society International.","Health Tourism; Hospital; Hotel; Hotel Hospital Gandhi; Model SERVQUAL; Satisfaction",,,,,,,,,,,,"ATTADAMOUNE MICRO - FINANCE;EATON Powering Business world wide;informs;LINDO SYSTEMS INC;SIEMENS","IEOM Society","7th Annual Conference on Industrial Engineering and Operations Management, IEOM 2017","11 April 2017 through 13 April 2017",,135618,21698767,9780985549763,,,"English","Proc. Int. Conf. Ind. Eng. Oper. Manage.",Conference Paper,"Final",,Scopus,2-s2.0-85018961796 "Kalaivani A., Geetha M., Raja D.","57211576018;56689631500;57210665818;","India - an emerging epicenter of medical tourism",2017,"Journal of Krishna Institute of Medical Sciences University","6","2",,"135","136",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017538097&partnerID=40&md5=9189575de3594ccaca884a2d69846ed3","Department of Community Medicine, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth, Kancheepuram districtTamil Nadu 603108, India","Kalaivani, A., Department of Community Medicine, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth, Kancheepuram districtTamil Nadu 603108, India; Geetha, M., Department of Community Medicine, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth, Kancheepuram districtTamil Nadu 603108, India; Raja, D., Department of Community Medicine, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth, Kancheepuram districtTamil Nadu 603108, India",[No abstract available],,"alternative medicine; health care personnel; health insurance; health service; human; India; Letter; medical care; medical staff; medical tourism; meditation; orthopedic surgery; rejuvenation; spa treatment; yoga",,,,,,,,"Daniel, W.B., Lan, V., Shahzeer, K., Carlene, J.S., Arya, M.S., Medical tourism in bariatric surgery (2010) Am J Surg, 199, pp. 604-608; (2017), http://www.rncos.com/Market-Analysis-Reports/Asian-Medical-Tourism-Analysis-st2008-2012-IM105.htm, New Delhi: RNCOS Industry Research Solutions; 2009, Last accessed on 1 January; Promotion of medical tourism in the country Rajya Sabha, , https://factly.in/foreign-tourist-arrivals-medical-visa-increased-140-3-years/, 27th July 2016. Available from; Herrick, D.M., Medical tourism: Global competition in health care (2007) National Center for Policy Analysis, , www.ncpa.org/pub/st/st304, Last accessed on 13th January, 2017; Opportunities and challenges of health tourism in India (2008) Part XI – Health, Spiritual and Heritage Tourism, pp. 475-484. , Conference on Tourism in India – Challenges Ahead. IIMK; (2017), http://www.tourism.gov.in/TourismDivision/AboutContent.aspx?Name=Tourism%20Infrastructure%20Development&CID=18&INO=13, Last accessed on 12th January","Kalaivani, A.; Department of Community Medicine, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth, Kancheepuram district, India; email: kalaimedicos11@gmail.com",,,"Krishna Institute of Medical Sciences University",,,,,22314261,,,,"English","J. Krishna Inst. Med. Sci. Univ.",Letter,"Final",,Scopus,2-s2.0-85017538097 "Schlosser M., Lee F.","57206228789;57193385668;","Evaluating quality of 'medical tourism' for heart surgery: Measures that matter",2017,"Managed Care","2017","FEB",,"","",5,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013434455&partnerID=40&md5=cd42f164971bf144e00edd926076c55e",,"Schlosser, M.; Lee, F.",[No abstract available],,,,,,,,,,,,,,"MediMedia USA Inc.",,,,,10623388,,,,"English","Managed Care",Article,"Final",,Scopus,2-s2.0-85013434455 "Berki G.","57192831835;","Lightning or lightning bug: The role of the language gap and the access to proper information on entitlements in cross-border patient mobility",2017,"European Journal of Health Law","24","1",,"1","23",,,"10.1163/15718093-12341405","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85008419344&doi=10.1163%2f15718093-12341405&partnerID=40&md5=214b168cc96930f25c251ec86c932937","Department of Labour Law and Social Security, Faculty of Law and Political Sciences, University of Szeged, Hungary","Berki, G., Department of Labour Law and Social Security, Faculty of Law and Political Sciences, University of Szeged, Hungary","The language barrier and the lack of reliable information were identified as major practical obstacles of European patient mobility. Patients are highly concerned about the ability to communicate with their doctors when obtaining healthcare in a country where they do not speak the local language, as well as they find it complicated to gather all the necessary information about an unfamiliar healthcare system or about their cross-border healthcare entitlements conferred on them by the Union legislation. In a multilingual and patient-friendly European Union these issues must be tackled in order to ensure effective healthcare and to enforce patients' right to cross-border healthcare. This article investigates the current legal tools within the European Union on language gap in patient-provider communication and access to information on cross-border healthcare entitlements. Moreover, it offers some possible solutions for the future. © koninklijke brill nv, leiden, 2016.","Access to information; Cross-border patient mobility; European union; Language gap; Patient mobility directive","access to information; doctor patient relation; European Union; health care system; human; human experiment; language; law; lightning; patient mobility; communication barrier; European Union; legislation and jurisprudence; travel; Access to Information; Communication Barriers; European Union; Humans; Language; Travel",,,,,,,,"Busse, R., Worz, M., Foubister, T., Mossialos, E., Berman, P., (2006) Mapping Health Services Access: National and Cross-Border Issues -Final Report, p. 5. , http://ec.europa.eu/health/ph-projects/2003/action1/docs/2003-1-22-frep-en.pdf, retrieved 13 August 2015; Fowler, J.D., (2008) Cultural and Structural Barriers that Affect the Doctor-Patient Relationship: A Bolivian Perspective, p. 1. , http://ir.library.Oregonstate.edu/xmlui/bitstream/handle/1957/9896/Fowler.pdf?sequence=1, retrieved 13 August 2015; Palm, W., Nickless, J., Lewalle, H., Coheur, A., (2000) Implications of Recent Jurisprudence on the Co-Ordination of Health Care Protection Systems, p. 7. , http://www.ose.be/health/files/KDsyntEN.PDF, retrieved 13 August 2015; Glinos, I.A., Baeten, R., (2006) A Literature Review of Cross-Border Patient Mobility in the European Union, p. 6. , http://www.ose.be/files/publication/health/WP12-lit-review-final.pdf, retrieved 13 August 2015; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health and Place, 16 (6), p. 1147; Legido-Quigley, H., Glinos, I.A., Baeten, R., McKee, M., Busse, R., Analysing arrangements for cross-border mobility of patients in the european union: A proposal for a framework (2012) Health Policy, 108 (1), p. 27; (2012) Eurobarometer Qualitative Study: Patient involvement. Aggregate Report, p. 13. , http://ec.europa.eu/public-opinion/archives/quali/ql-5937-patient-en.pdf, European Commission, retrieved 13 August 2015; Sorlie, V., Lopez, R.A., When language, health literacy, and miscommunication collide: Tremors versus seizures (2011) Family Medicine, 43 (1), p. 48; Simpson, M., Buckman, R., Stewart, M., Maguire, P., Lipkin, M., Novack, D., Till, J., Doctor-patient communication: The toronto consensus statement (1991) British Medical Journal, 303, p. 1385; Carter-Pokras, O., O'Neill, M.J.F., Cheanvechai, V., Menis, M., Fan, T., Solera, A., Providing linguistically appropriate services to persons with limited english proficiency: A needs and resources investigation (2004) The American Journal of Managed Care, 10, p. 30. , (Special Issue; Oltermann, P., Something in common: Should english be the official language of the eu? (2013) The Guardian, , http://www.theguardian.com/world/2013/apr/24/europa-english-official-language-eu, 24 April, retrieved 14 Augustus 2015; Flores, G., The impact of medical interpreter services on the quality of health care: A systematic review (2005) Medical Care Research and Review, 62 (3), p. 255; Flores, G., Language barriers to health care in the United States (2006) The New England Journal of Medicine, 355 (3), p. 229; Priebe, S., Sandhu, S., Dias, S., Gaddini, A., Greacen, T., Ioannidis, E., Kluge, U., Bogic, M., Good practice in health care for migrants: Views and experiences of care professionals in 16 european countries (2011) BMC Public Health, 11 (187), p. 4. , http://www.biomedcentral.com/content/pdf/1471-2458-11-187.pdf, retrieved 14 Augustus 2015; Hampers, L.C., McNulty, J.E., Professional interpreters and bilingual physicians in a pediatric emergency department. Effect on resource utilization (2002) Archives of Pediatrics and Adolescent Medicine, 156 (11), pp. 1108-1113; Ferguson, W.J., Candib, L.M., Culture, language, and the doctor-patient relationship (2002) Modern Culture and Physician-Patient Communication, 34 (5), p. 359; Lindholm, M., Hargraves, J.L., Ferguson, W.J., Reed, G., Professional language interpretation and inpatient length of stay and readmission rates (2012) Journal of General Internal Medicine, 27 (10), pp. 1297-1298; Quan, K., Lynch, J., (2010) The High Costs of Language Barriers in Medical Malpractice, , http://www.healthlaw.org/images/stories/High-Costs-of-Language-Barriers-in-Malpractice.pdf, retrieved 17 August 2015; Gany, F., Leng, J., Shapiro, E., Abramson, D., Motola, I., Shield, D.C., Changrani, J., Patient satisfaction with different interpreting methods: A randomized controlled trial (2007) Journal of General Internal Medicine, 22, p. 317; Tinelli, M., Nikoloski, Z., Panteli, D., What information do patients want when choosing a hospital at home or abroad? A case study from Germany (2013) Eurohealth, 19, p. 4; Kummervold, P.E., Wynn, R., Health information accessed on the internet: The development in 5 european countries International Journal of Telemedicine and Applications, 1. , http://www.hindawi.com/journals/ijta/2012/297416/#B4; McMullan, M., Patients using the internet to obtain health information: How this affects the patient-health professional relationship (2006) Patient Education and Counseling, 63 (1-2), p. 27; Frischhut, M., Levaggi, R., Patient mobility in the context of austerity and an enlarged eu: The european court of justice's ruling in the petru case (2015) Health Policy Journal, 119, pp. 1293-1297. , http://www.healthpolicyjrnl.com/article/S0168-8510(15)00168-2/fulltext, online at:, retrieved 19 August 2015; Thorn, P., Dill, S., The role of patients' organizations in cross-border reproductive care (2010) Fertility and Sterility, 94 (1), p. 24","Berki, G.; Department of Labour Law and Social Security, Faculty of Law and Political Sciences, University of SzegedHungary; email: berkig@juris.u-szeged.hu",,,"Brill Nijhoff",,,,,09290273,,EJHLE,"29210251","English","Eur. J. Health Law",Review,"Final",,Scopus,2-s2.0-85008419344 [No author name available],[No author id available],"Staff role in stopping health tourism",2016,"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","24","8",,"6","",,,"10.7748/en.24.8.6.s3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016923977&doi=10.7748%2fen.24.8.6.s3&partnerID=40&md5=6c8386efafd771926eb10fef44788708",,"","Nurses have voiced concerns over what role, if any, they should play in decisions about charging overseas patients for NHS care.",,"England; human; medical tourism; national health service; nurse attitude; England; Humans; Medical Tourism; Nurse's Role; State Medicine",,,,,,,,,,,,,,,,,13545752,,,"27923304","English","Emerg Nurse",Note,"Final",,Scopus,2-s2.0-85016923977 "Kalhor R., Moosavi S., Ramezanpour M., Molapour A., Keshavarz A., Bahrami E.S., Azmal M., Gharaghieh F.","55670548600;57194692497;57194682319;16239392300;57189340031;57194684041;56803946300;57194681990;","Evaluation of the quality of services delivered in qazvin’s hospitals to attract medical tourists: Joint commission international approach",2016,"Journal of Biology and Today's World","5","12",,"224","229",,,"10.15412/J.JBTW.01051204","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021648317&doi=10.15412%2fJ.JBTW.01051204&partnerID=40&md5=31d189197d6f1d029e606b76a7544f67","Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran; Occupational Health Department, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran; Azad University of Arak, Arak, Iran; Microbiology Department, Azad University science and research branch, Tehran, Iran; Iranian Traditional Medicine Office, Vice Chancellor of Treatment Affairs, Qazvin University of Medical Sciences, Qazvin, Iran; Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran; Industrial Management Department, International Campus, Tehran University, Iran; Health Services Management, Chancellor of Treatment Affairs, Bushehr University of Medical Sciences, Bushehr, Iran; Health Services Management, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran","Kalhor, R., Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran; Moosavi, S., Occupational Health Department, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran; Ramezanpour, M., Azad University of Arak, Arak, Iran; Molapour, A., Microbiology Department, Azad University science and research branch, Tehran, Iran; Keshavarz, A., Iranian Traditional Medicine Office, Vice Chancellor of Treatment Affairs, Qazvin University of Medical Sciences, Qazvin, Iran; Bahrami, E.S., Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran, Industrial Management Department, International Campus, Tehran University, Iran; Azmal, M., Health Services Management, Chancellor of Treatment Affairs, Bushehr University of Medical Sciences, Bushehr, Iran; Gharaghieh, F., Health Services Management, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran","Medical tourism can be considered as a travel to promote mental, physical, and spiritual health of individuals, families, and groups. The present study was aimed at evaluating the level of preparation of the selected hospitals in Qazvin to attract medical tourists based on the standards of Joint Commission International (JCI). The present study was a descriptive crosssectional research carried out in 7 hospitals of Qazvin. The data collection instrument was the translated version of Joint Commission International Standards Checklist which includes 13 standards. The patient-and organization-oriented sections include 7 and 6 standards, respectively. The checklist was based on a 5-point Likert scale. Descriptive statistics techniques were employed to analyze the collected data. Among the 7 patient-oriented standards, the highest and lowest preparation scores were respectively related to Anesthesia and Surgical Care (77.5%) and Patient and Family Education (52.5%). Among the 6 organization-oriented standards, the highest and the lowest preparation scores were respectively related to management of information and communication (75.8%) and Facility Management and Safety (50%). According to the results of the present study, it seems that the hospitals under investigation had a relative preparation in attracting medical tourists. One of the most significant weakness of hospitals was lack of a systematic educational program for the personnel and patients and their families; therefore, it is recommended that necessary measures be taken in this regard. © 2016 Rohollah Kalhor et al.","Medical Tourism; Organization-oriented Standards; Patient-oriented Standards; Qazvin’s Hospitals; Quality Evaluation",,,,,,"Health Services Research Programme, HSR Qazvin University of Medical Sciences, QUMS: 28/20/4892","This study was part of a HSR project supported by QUMS Qazvin University of Medical Sciences (grant No: 28/20/4892). We would like to extend our gratitude to the participants in 7 hospitals for participating in this study and completing questionnaires.",,"Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31 (2), pp. 185-198. , [Scopus] [Crossref]; Manaf, N., Hussin, H., Kassim, P., Alavi, R., Dahari, Z., Medical tourism service quality: Finally some empirical findings (2015) Total Quality Management and Business Excellence, 26 (9-10), pp. 1017-1028. , [Scopus] [Crossref]; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , [Scopus] [Crossref]; Chou, S.Y., Kiser, A.I., Rodriguez, E.L., An expectation confirmation perspective of medical tourism (2012) Journal of Service Science Research, 4 (2), pp. 299-318. , [Crossref]; Smith, R., Álvarez, M.M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2), pp. 276-282. , [Scopus] [Crossref]; Pan, T.-J., Chen, W.-C., Chinese medical tourists-Their perceptions of Taiwan (2014) Tourism Management, 44, pp. 108-112. , [Scopus] [Crossref]; Yap, J., Medical tourism and Singapore (2007) International Hospital Federation Reference Book, pp. 25-26; Darwazeh, D., (2011) Medical Tourism: Establishing a Sustainable Medical Facility, , [PubMed]; Palvia, S., Global outsourcing of IT and IT enabled services: A relationship framework and a two stage model for selecting a vendor (2007) Managing Global Information Technology: Strategies and Challenges, pp. 433-458; Sack, C., Scherag, A., Lütkes, P., Günther, W., Jöckel, K.-H., Holtmann, G., Is there an association between hospital accreditation and patient satisfaction with hospital care? 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Lulea: Lulea University of Technology; Wilson, A., Foreign bodies and national scales: Medical tourism in Thailand (2011) Body and Society, 17 (2-3), pp. 121-137. , [Scopus] [Crossref]","Gharaghieh, F.; Health Services Management, School of Public Health, Qazvin University of Medical SciencesIran; email: f.gharaghieh@yahoo.com",,,"Lexis Publisher",,,,,24765376,,,,"English","J. Biol. Today's World",Article,"Final",,Scopus,2-s2.0-85021648317 "McCrae N.","6602767802;","Halting health tourism",2016,"Nursing management (Harrow, London, England : 1994)","23","8",,"15","",,,"10.7748/nm.23.8.15.s22","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016925460&doi=10.7748%2fnm.23.8.15.s22&partnerID=40&md5=ddc531cdfa7631f379e60dcd4cdb4f21","Florence Nightingale Faculty of Nursing and Midwifery, King's College London, United Kingdom","McCrae, N., Florence Nightingale Faculty of Nursing and Midwifery, King's College London, United Kingdom","The Lagos shuttle it's called. Every week several passengers arrive at Gatwick or Heathrow from Nigeria in the late stages of pregnancy.",,"health service; human; medical tourism; national health service; United Kingdom; Health Services Misuse; Humans; Medical Tourism; State Medicine; United Kingdom",,,,,,,,,,,,,,,,,13545760,,,"27905235","English","Nurs Manag (Harrow)",Article,"Final",,Scopus,2-s2.0-85016925460 "Friedman J.H.","35351954400;","Medical Tourism",2016,"Rhode Island medical journal (2013)","99","12",,"8","9",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016924359&partnerID=40&md5=2fdb7714ff50b470b3af104a28c19d76","Editor-in-chief of the Rhode Island Medical Journal, Professor and the Chief of the Division of Movement Disorders, Department of Neurology at the Alpert Medical School of Brown University, chief of Butler Hospital's Movement Disorders Program and first recipient of the Stanley Aronson Chair in Neurodegenerative Disorders","Friedman, J.H., Editor-in-chief of the Rhode Island Medical Journal, Professor and the Chief of the Division of Movement Disorders, Department of Neurology at the Alpert Medical School of Brown University, chief of Butler Hospital's Movement Disorders Program and first recipient of the Stanley Aronson Chair in Neurodegenerative Disorders",[No abstract available],,"Africa; developing country; hospital; human; medical education; teaching; travel; volunteer; Africa; Developing Countries; Education, Medical; Hospitals; Humans; Teaching; Travel; Volunteers",,,,,,,,,,,,,,,,,23272228,,,"27902990","English","R I Med J (2013)",Note,"Final",,Scopus,2-s2.0-85016924359 "Vedrasco E., Lursinsap C.","57193565934;55396044200;","Effective solution for a medical tourism aggregative system using the data mining approach",2016,"ACM International Conference Proceeding Series",,,,"99","104",,,"10.1145/3018009.3018055","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014916349&doi=10.1145%2f3018009.3018055&partnerID=40&md5=0fded46abdca25150c2492bb04a283bc","Department of Mathematics and Computer Science, Faculty of Science, Chulalongkorn University, Thailand","Vedrasco, E., Department of Mathematics and Computer Science, Faculty of Science, Chulalongkorn University, Thailand; Lursinsap, C., Department of Mathematics and Computer Science, Faculty of Science, Chulalongkorn University, Thailand","This paper analyzes the current active Medical Tourism websites and discusses the availability of various features among these websites. The analysis is based on the collected data about the features' importance and users' online search patterns from people have experiences in Medical Tourism and medical information search on the Internet. This study focuses on the Medical Tourism market in Thailand due to its popularity and high ranking among other international Medical Tourism destinations. A Medical Tourism aggregative system is proposed by using one of the Data Mining tools-Association Rule. © 2016 ACM.","Analytical Graph; Information and Data Management; Medical Information Search; Medical Tourism Website; Search Hospital Online; Web Content Improvement; Web Services Improvement","Bioinformatics; Data mining; Information management; Information retrieval; Web services; Websites; Analytical Graph; Medical information; Search Hospital Online; Tourism websites; Web content; Medical computing",,,,,,,,"Finch, S., Thailand top destination for medical tourists (2013) CMAJ., 186, p. 1. , November; Noree, T., Hanefeld, J., Smith, R., (2015) Medical Tourism in Thailand: A Cross-sectional Study, , World Health Organization; Hesse, B.W., Nelson, G.E., Kreps, G.L., Croyle, R.T., Arora, N.K., Rimer, B.K., Trust and sources of health information-The impact of the internet and its implications for health care providers: Finding from the first health information national trends survey (2005) American Medical Association Arch Intern Med, p. 165; Czerwiriska, M., Internet as the source for acquiring the medical information (2013) Computer Science and Information System, pp. 1239-1246; Hong, S.H., Kim, Y., Park, J.H., Lee, Y.H., Design of system framework for searching medical information (2014) Proceedings of ICISA, , IEEE; Cormany, D., Baloglu, S., Medical travel facilitor website: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Elsevier Tourism Management., 32, pp. 709-716; Berry, M.J., Linoff, G., (1997) Data Mining Techniques: For Marketing, Sales, and Customer Support, , John Wiley & Sons, Inc; Muangna, U., Netramai, C., Social network for Thailand medical tourism (2013) Proceedings of BMEiCON; Doi, S., Kimura, T., Suzuki, T., Development of doctors search engine based on ICD-10 (2012) Proceedings of SCIS & ISIS; Chang, I.C., Chou, P.C., Yeh, R.K.J., Tseng, H.T., (2015) Factor Influencing Chinese Tourists' Intentions to Use the Taiwan Medical Travel App, , September Elsevier; Sharma, R., Narayan, S., Khatri, S., Medical data mining using different classification and clustering techniques: A critical survey (2016) Proceedings of CICT, , Feb; Rukavitsyn, A.N., Kupriyanov, M.S., Shorov, A.V., Petukhov, I.V., Investigation of website classification methods based on data mining techniques (2016) SCM, , May; Thushara, Y., Ramesh, V., A study of web mining application on e-commerce using google analytics tool (2016) International Journal of Computer Application, 149 (11). , September; Harkins, J., (2015) Medical Tourism in Thailand: When Treatment Costs and Starbucks Clash, , 13 October Medical Tourism Magazine; Lema, N.M., Construction labour productivity analysis and benchmarking: The case of Tanzania (1996) Loughborough University Institution Repository, p. 138. , September; Fazlollahi, B., Parikh, M.A., Verma, S., Adaptive decision support system (1997) Decision Support Systems., 20, pp. 297-315; Arora, D., Malik, P., (2015) Analytics: Key to Go from Generating Big Data to Deriving Business Value; Lin, C.J., Jhao, Y.L., Cheng, S.H., Yeh, W.N., The intelligent agents in the study of web-based medical information search system (2012) Proceedings of ICMLC, , IEEE; Wang, R., Dai, Y., Dong, L., The application of apriori-BSO algorithms in medical records data mining (2016) Proceedings of Information Technology, Networking, Electronic and Automation Control Conference, , IEEE; Batra, S., Sacheva, S., Parashar, H.J., Mehndiratta, P., Applying data mining technique to standardized electronic health record for decision support (2013) Proceedings of ICCC, , Aug; Castro, J.R., Maldonado, J.A., Garcia, A.A., Puga, M.C., Figueroa, E., Towards an Intelligent Decision-Making Support in Health Information Systems (2016) SAI Computing Conference IEEE, , July; Zhang, P., Hu, S., He, J., Zhang, Y., Huang, G., Zhang, J., Building cloud-based healthcare data mining service (2016) IEEE International Conference on Service Computing",,,"","Association for Computing Machinery","2nd International Conference on Communication and Information Processing, ICCIP 2016","26 November 2016 through 29 November 2016",,126224,,9781450348195,,,"English","ACM Int. Conf. Proc. Ser.",Conference Paper,"Final",,Scopus,2-s2.0-85014916349 "Kleefield S.","6508265438;","Choosing the good hospital: Helping medical tourists make informed decisions",2016,"The Routledge Handbook of Health Tourism",,,,"230","245",,,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027707362&doi=10.4324%2f9781315693774&partnerID=40&md5=3040e2ec8bf7e575cb53e207771dec55","Harvard Medical School, Boston, MA, United States","Kleefield, S., Harvard Medical School, Boston, MA, United States",[No abstract available],,,,,,,,,,"(2012) Inpatient Quality Indicators, , Rockville, MD: US Department of Health and Human Services; Allegranzi, B., Bagheri, N., Combescure, C., Burden of endemic health-care-related infection in developing countries: Systematic review and meta-analysis (2011) The Lancet, 377, pp. 228-241; Beauchamp, T.L., Childress, J.F., (2001) Principles of Biomedical Ethics, , Oxford, UK: Oxford University Press; Bergs, J., Hellings, J., Cleemput, I., Systematic review and meta-analysis of the effect of the World Health Organization surgical safety checklist on postoperative complications (2014) British Journal of Surgery, 101 (3), pp. 150-158; Black, N., Patient reported outcome measures could help transform health care (2013) BMJ, p. 346; Blumenthal, D., Quality of care - what is it? 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A surgical safety checklist to reduce morbidity and mortality in a global population (2009) New England Journal of Medicine, 360 (5), pp. 491-499; Hohm, C., Snyder, J., It was the best decision of my life: A thematic content analysis of former medical tourists' patient testimonials (2015) BMC Medical Ethics, 16, p. 8; (2016) International Living, , http://internationalliving.com/author/iladmin/, (accessed 9 July 2016); (2014) Accredited Health Care Organizations, , www.jointcommissioninternational.org, (accessed 24 February 2016); Kohn, L., Donaldson, M., (2000) To Err Is Human: Building a Safer Health Care System, , Institute of Medicine, Washington, DC: National Academy Press; Medical tourism gaining momentum (2011) Issues Monitor, 7, pp. 1-13; Labonte, R., Overview: Medical tourism today: What, who, why and where? Travelling well: Essays in medical tourism (2013) Transdisciplinary Studies in Population Health Series, pp. 6-12. , Ottawa, Canada: Institute of Population Health: University of Ottawa; Leape, L.L., Error in medicine (1994) JAMA, 272, p. 1851; Leape, L.L., Brennan, T.A., Laird, N., The nature of adverse events in hospitalized patients: Results from the Harvard Medical Practice Study II (1991) New England Journal of Medicine, 1324, pp. 377-384; Lunt, N., Carrera, P., Systematic review of websites for prospective medical tourists (2011) Tourism Review, 66, pp. 57-67; Lunt, L., Mannion, R., Patient mobility in the global marketplace: A multidisciplinary perspective (2014) International Journal of Health Policy and Management, 2 (4), pp. 155-157; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Medical Informatics Journal, 4, pp. 1-11; Lunt, N., Machin, L., Green, S., Are there implications for quality of care for patients who participate in international medical tourism? (2011) Expert Review of Pharmacoeconomics and Outcomes Research, 11 (2), p. 133; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368; Millenson, W., (2000) Ernest Amory Codman: The End Result of a Life in Medicine, , Philadelphia, PA: WB Saunders; NaRonong, A., NaRanong, V., The effect of medical tourism: Thailand's experience (2011) Bulletin of the WHO, 89, pp. 336-344; Ozan-Rafferty, M., Johnson, J., Shah, G., In the words of the medical tourist: An analysis of internet narratives by health travelers to Turkey (2014) Journal of Medical Internet Research, 16 (2), p. 43; Penney, K., Snyder, J., Crooks, V., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12, pp. 1-11; Perla, R.J., Hohmann, S.F., Annis, K., Whole-patient measure of safety: Using administrative data to assess the probability of highly undesirable events during hospitalization (2015) Journal of Healthcare Quarterly, 35 (5), pp. 20-31; Reames, B.N., Krell, R.W., Campbell, D.A., A checklist-based intervention to improve surgical outcomes in Michigan: Evaluation of the Keystone Surgery program (2015) JAMA Surgery, 150 (3), pp. 208-215; Runnels, V., Carrera, P.M., Why do patients engage in medical tourism? (2012) Maturitas, 73, pp. 300-304; Satyanarayana, K.H., Informed consent: An ethical obligation or legal compulsion? (2008) Journal of Cutaneous and Aesthetic Surgery, 1 (1), pp. 33-35; Shekelle, P.G., Wachter, R.M., Pronovost, P.J., Making health care safe II: An updated critical anlysis of the evidence for patient safety practices (2013) Comparative Effectiveness Review, p. 211. , AHRQ Publication no 13, Rockville, MD: Agency for Healthcare Research and Quality; Snyder, J., Crooks, V.A., Kingsbury, P., The patient's physician one-step removed: The evolving roles of medical tourism facilitators (2011) Journal of Medical Ethics, 9, pp. 530-534; Tarlov, A.R., Ware, J.E., Greenfield, S., The Medical Outcomes Study, an application of methods for monitoring the results of medical care (1989) JAMA, 262 (7), pp. 925-930; Turner, L., First world health care at third world prices: Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) International Journal of Quality in Healthcare, 23 (1), pp. 1-7; Turner, L., Ethical dimensions of global healthcare (2013) Cambridge Quarterly of Healthcare Ethics, 22 (2), pp. 170-180; Turner, L., Canadian medical travel companies and the globalization of health care (2013) Medical Tourism and Transnational Health Care, pp. 151-178. , Botterill, D., Pennings, G. and Mainil, T. (eds), New York: Palgrave Macmillan; Vincent, C., Amalberti, R., (2016) Progress and Challenges for Patient Safety, , London: Springer Science and Business Media; Weldring, T., Smith, S., Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) (2013) Health Services Insights, 6, pp. 61-68; Woodman, J., (2014) Patients Beyond Borders, , Chapel Hill: Healthy Travel Media; Zimlichman, E., Henderson, D., Tamir, O., Health care-associated infections, a meta-analysis of costs and financial impact on the US health care system (2013) JAMA Internal Medicine, 173 (22), pp. 2039-2046","Kleefield, S.; Harvard Medical SchoolUnited States",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027707362 "DeMicco F.J.","6506110255;","A Disney strategic approach to patient/guest services in Hospitality Bridging Healthcare (H2H) and medical tourism and wellness",2016,"The Routledge Handbook of Health Tourism",,,,"261","270",,,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027696619&doi=10.4324%2f9781315693774&partnerID=40&md5=dcf2856a29ea138a8cb180df8c1e2014","Department of Hotel, Restaurant and Institutional Management, University of Delaware, United States","DeMicco, F.J., Department of Hotel, Restaurant and Institutional Management, University of Delaware, United States",[No abstract available],,,,,,,,,,"Cetron, M., DeMicco, F., Davies, O., (2010) Hospitality and Travel 2015, , Orlando, FL: The American Hotel and Lodging Association Educational Institute; Cockerell, L., (2008) Creating Magic: 10 Common Sense Leadership Strategies from a Life at Disney, , New York: Doubleday Press; DeMicco, F.J., (2016) Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H ©), , Waretown, NJ: Apple Academic Press; DeMicco, F.J., Williams, J.A., Down-board thinking (what are our next moves?) (1999) J. Am. Diet. Assoc., 99, pp. 285-286; (1999), http://www.gallup.com/consulting/52/employee-engagement.asp; Lee, F., (2004) If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently, , Bozeman, MT: Second River Healthcare Press; Mengyu, M.L., (2015) The Guest Experience in Healthcare, , unpublished manuscript; Pine, B.J., Gilmore, J.H., (1999) The Experience Economy: Work Is Theater and Every Business a Stage, , Boston, MA: Harvard Business School Press; Pine, B.J., Gilmore, J.H., (2011) The Experience Economy, , Boston, MA: Harvard Business Review Press; (2003), p. 1. , Volume VII, August; Tita, B., Robotic legs for the disabled (2014) Wall Street Journal, , November 11, D1","DeMicco, F.J.; Department of Hotel, Restaurant and Institutional Management, University of DelawareUnited States",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027696619 "Hall C.M.","55017070000;","The environmental externalities of medical and health tourism: Implications for global public health",2016,"The Routledge Handbook of Health Tourism",,,,"193","202",,,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027693768&doi=10.4324%2f9781315693774&partnerID=40&md5=0321b8f7d53835de7dc49f46522ddfc8","Department of Management, Marketing and Entrepreneurship, University of Canterbury, New Zealand; Department of Geography, University of Oulu, Finland; Linnaeus University School of Business and Economics, Kalmar, Sweden","Hall, C.M., Department of Management, Marketing and Entrepreneurship, University of Canterbury, New Zealand, Department of Geography, University of Oulu, Finland, Linnaeus University School of Business and Economics, Kalmar, Sweden",[No abstract available],,,,,,,,,,"Alberti, F.G., Giusti, J.D., Papa, F., Pizzurno, E., Competitiveness policies for medical tourism clusters: Government initiatives in Thailand (2014) International Journal of Economic Policy in Emerging Economies, 7 (3), pp. 281-309; Alén, E., De Carlos, P., Domínguez, T., An analysis of differentiation strategies for Galician thermal centres (2014) Current Issues in Tourism, 17 (6), pp. 499-517; Allegranzi, B., Nejad, S., Combescure, C., Graafmans, W., Attar, H., Donaldson, L., Didier, D., Burden of endemic health-care-associated infection in developing countries: Systematic review and meta-analysis (2011) The Lancet, 377 (9761), pp. 228-241; Barlam, T.F., Gupta, K., Antibiotic resistance spreads internationally across borders (2015) Journal of Law, Medicine and Ethics, 43, pp. 12-16; Barros, P.B., Health systems and medical tourism (2015) Handbook on Medical Tourism and Patient Mobility, pp. 71-81. , Lunt, N., Horsfall, D. and Hanefeld, J. (eds), Cheltenham, UK: Edward Elgar; Cohen, I.G., Medical tourism, access to health care and global justice (2011) Virginia Journal of International Law, 52, pp. 1-56; Collier, S., Lakoff, A., (2008) Biosecurity Interventions: Global Health and Security in Question, , New York: Columbia University Press; Davies, J., Davies, D., Origins and evolution of antibiotic resistance (2010) Microbiology and Molecular Biology Reviews, 74 (3), pp. 417-433; Farmer, P., Kleinman, A., Kim, J., Basilico, M., (2013) Reimaging Global Health: An Introduction, , Berkeley, CA: University of California Press; Franck, K.T., Nielsen, R.T., Holzknecht, B.J., Ersbøll, A.K., Fischer, T.K., Böttiger, B., Norovirus genotypes in hospital settings - differences between nosocomial and community-acquired infections (2015) Journal of Infectious Diseases, 212 (6), pp. 881-888; Hall, C.M., Health and medical tourism: Kill or cure for global public health? (2011) Tourism Review, 66, pp. 4-15; Hall, C.M., (2012) Medical Tourism: The Ethics, Regulation and Marketing of Health Mobility, , London: Routledge; Hall, C.M., The contested futures and spaces of medical tourism (2012) Medical Tourism: The Ethics, Regulation and Marketing of Health Mobility, pp. 203-216. , Hall, C. M. (ed.), London: Routledge; Hall, C.M., The coming perfect storm: Medical tourism as a biosecurity issue (2015) Handbook on Medical Tourism and Patient Mobility, pp. 193-206. , Lunt, N., Horsfall, D. and Hanefeld, J. (eds), Cheltenham, UK: Edward Elgar; Hall, C.M., Tourism and biological exchange and invasions: A missing dimension in sustainable tourism? (2015) Tourism Recreation Research, 40 (1), pp. 81-94; Hall, C.M., James, M., Medical tourism: Emerging biosecurity and nosocomial issues (2011) Tourism Review, 66, pp. 118-126; Hawkey, P.M., Jones, A., The changing epidemiology of resistance (2009) Journal of Antimicrobial Chemotherapy, 64, pp. i3-i10; Hooker, C., SARS as a ""health scare"" (2008) Networked Disease: Emerging Infections in the Global City, pp. 123-137. , Ali, S. H. and Keil, R. (eds), Chichester, UK: Wiley-Blackwell; (2010) Infectious Disease Movement in a Borderless World, , Washington, DC: The National Academies Press; Johnson, T.J., Garman, A.N., Travelling for value: Global drivers of change in the tertiary and quarternary markets (2015) Handbook on Medical Tourism and Patient Mobility, pp. 57-70. , Lunt, N., Horsfall, D. and Hanefeld, J. (eds), Cheltenham, UK: Edward Elgar; Jönsson, K., Legitimation challenges in global health governance: The case of non-communicable diseases (2014) Globalizations, 11 (3), pp. 301-314; Kumarasamy, K.K., Toleman, M., Walsh, T., Bagaria, J., Butt, F., Balakrishnan, R., Chaudhary, U., Woodford, N., Emergence of a new antibiotic resistance mechanism in India, Pakistan and the UK: A molecular, biological and epidemiological study (2010) The Lancet Infectious Diseases, 10 (9), pp. 597-602; Leahy, A.L., Medical tourism: The impact of travel to foreign countries for healthcare (2008) Surgeon, 6 (5), pp. 260-261; Leonard, A.F., Zhang, L., Balfour, A.J., Garside, R., Gaze, W.H., Human recreational exposure to antibiotic resistant bacteria in coastal bathing waters (2015) Environment International, 82, pp. 92-100. , September; Ling, M.L., Apisarnthanarak, A., Madriaga, G., Systematic literature review and meta-analysis of the burden of healthcare-associated infections (HAI) in Southeast Asia (2015) Clinical Infectious Diseases, 60 (11), pp. 1690-1699; Lübbert, C., Straube, L., Stein, C., Makarewicz, O., Schubert, S., Mössner, J., Pletz, M.W., Rodloff, A.C., Colonization with extended-spectrum beta-lactamase producing and carbapenemase-producing Enterobacteriaceae in international travelers returning to Germany (2015) International Journal of Medical Microbiology, 305 (1), pp. 148-156; Lunt, N.T., Mannion, R., Exworthy, M., A framework for exploring the policy implications of UK medical tourism and international patient flows (2013) Social Policy and Administration, 47 (1), pp. 1-25; Medina-Muñoz, D.R., Medina-Muñoz, R.D., Critical issues in health and wellness tourism: An exploratory study of visitors to wellness centres on Gran Canaria (2013) Current Issues in Tourism, 16 (5), pp. 415-435; Muir, A., Weinbren, M.J., New Delhi metallo-β-lactamase: A cautionary tale (2010) Journal of Hospital Infection, 75 (3), pp. 239-240; Musa, G., Thirumoorthi, T., Doshi, D., Travel behaviour among inbound medical tourists in Kuala Lumpur (2012) Current Issues in Tourism, 15 (6), pp. 525-543; Ormond, M., What's where? Why there? And why care? A geography of responsibility in medical tourism (2015) Handbook on Medical Tourism and Patient Mobility, pp. 123-132. , Lunt, N., Horsfall, D. and Hanefeld, J. 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(eds), Princeton, NJ: Princeton University Press; (2011) Report on the Burden of Endemic Health Care-Associated Infection Worldwide: A Systematic Review of the Literature, , Geneva, Switzerland: WHO; Ebola virus disease in West Africa - the first 9 months of the epidemic and forward projections (2014) New England Journal of Medicine, 371 (16), pp. 1481-1495; Woo, E., Schwartz, Z., Towards assessing the knowledge gap in medical tourism (2014) Journal of Quality Assurance in Hospitality and Tourism, 15 (2), pp. 213-226; Wu, H.C., Li, T., Li, M.Y., A study of behavioral intentions, patient satisfaction, perceived value, patient trust and experiential quality for medical tourists (2016) Journal of Quality Assurance in Hospitality and Tourism, 17 (2), pp. 114-150; Yong, D., Toleman, M.A., Giske, C.G., Cho, H.S., Sundman, K., Lee, K., Walsh, T.R., Characterization of a new metallo-betalactamase gene, blaNDM-1 and a novel erythromycin esterase gene carried on a unique genetic structure in Klebsiella pneumoniae sequence type 14 from India (2009) Antimicrobial Agents and Chemotherapy, 53 (12), pp. 5046-5054; Zhou, Y.P., Wilder-Smith, A., Hsu, L.Y., The role of international travel in the spread of methicillin-resistant Staphylococcus aureus (2014) Journal of Travel Medicine, 21 (4), pp. 272-281; Zingg, W., Holmes, A., Dettenkofer, M., Goetting, T., Secci, F., Clack, L., Allegranzi, B., Pittet, D., Hospital organisation, management and structure for prevention of health-care-associated infection: A systematic review and expert consensus (2015) The Lancet Infectious Diseases, 15 (2), pp. 212-224","Hall, C.M.; Department of Management, Marketing and Entrepreneurship, University of CanterburyNew Zealand",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027693768 "Konu H., Smith M.K.","35976130400;55495915200;","Cross-border health tourism collaborations: Opportunities and challenges",2016,"The Routledge Handbook of Health Tourism",,,,"298","314",,,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027691254&doi=10.4324%2f9781315693774&partnerID=40&md5=343c78f31b08cc2ff6ac24d2b3c94e9d","University of Eastern Finland, Centre for Tourism Studies, Savonlinna, Finland; Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary","Konu, H., University of Eastern Finland, Centre for Tourism Studies, Savonlinna, Finland; Smith, M.K., Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary",[No abstract available],,,,,,,,,,"Baum, T., Lockstone-Binney, L., Fit for purpose: Delivering wellness tourism through people (2014) Wellness Tourism, pp. 130-143. , Voigt, C. and Pforr, C. 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(eds), London: Routledge; (2013) Healthcare Clusters, Medical Clusters and Healthcare Association, , http://www.medicaltourismassociation.com/en/healthcare-clusters.html, (accessed 19 December 2015); Novelli, M., Schmitz, B., Spencer, T., Networks, clusters and innovation in tourism: A UK experience (2006) Tourism Management, 27, pp. 1141-1152; Pankova, M., (2013) Development of the Joint Regional Tourism Conception in the Baltic Region, , presentation at the Launch Event of the Baltic Health Tourism Cluster, Vilnius, October; Pavlovich, K., A rhizomic approach to tourism destination evolution and transformation (2014) Tourism Management, 41, pp. 1-8; Pforr, C., Locher, C., Health tourism in the context of demography and psychographic change: A German perspective (2014) Wellness Tourism, pp. 255-268. , Voigt, C. and Pforr, C. 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(eds), Vienna, Austria: Springer; Zach, F., Racherla, P., Assessing the value of collaborations in tourism networks: A case study of Elkhart County, Indiana (2011) Journal of Travel and Tourism Marketing, 28 (1), pp. 97-110","Konu, H.; University of Eastern Finland, Centre for Tourism StudiesFinland",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027691254 "Pesonen J., Tuohino A.","53164554800;6505504519;","Rural wellbeing tourism destinations - demand side viewpoint",2016,"The Routledge Handbook of Health Tourism",,,,"401","418",,,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027691212&doi=10.4324%2f9781315693774&partnerID=40&md5=5d9478f3c2c9eaee642bb47658ddfa44","University of Eastern Finland, Centre for Tourism Studies, Savonlinna, Finland","Pesonen, J., University of Eastern Finland, Centre for Tourism Studies, Savonlinna, Finland; Tuohino, A., University of Eastern Finland, Centre for Tourism Studies, Savonlinna, Finland",[No abstract available],,,,,,,,,,"Aburdene, P., (2007) Megatrends 2010: The Rise of Conscious Capitalism, , Charlottesville, VA: Hampton Roads Publishing; Bærenholdt, J.O., Haldrup, M., Larsen, J., Urry, J., (2004) Performing Tourist Places, , Aldershot/Burlington, VT: Ashgate; Bell, S., Simpson, M., Tyrväinen, L., Sievänen, T., Pröbstl, U., (2009) European Forest Recreation and Tourism: A Handbook, , Abingdon, UK: Taylor and Francis; Beritelli, P., Bieger, T., Laesser, C., The new frontiers of destination management applying variable geometry as a function-based approach (2014) Journal of Travel Research, 53 (4), pp. 403-417; Bramwell, B., Lane, B., (1994) Rural Tourism and Sustainable Rural Development, , Clevedon, UK: Channel View Publications; Bregoli, I., Del Chiappa, G., Coordinating relationships among destination stakeholders: Evidence from Edinburgh (UK) (2013) Tourism Analysis, 18 (2), pp. 145-155; Buhalis, D., Marketing the competitive destination of the future (2000) Tourism Management, 21 (1), pp. 97-116; Butler, R., Hall, C.M., Jenkins, J., (1998) Tourism and Recreation in Rural Areas, , Chichester, UK: John Wiley; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cooper, C., Fletcher, J., Wanhill, S., Gilbert, D., Shepherd, R., (2005) Tourism: Principles and Practice, , Harlow, UK: Pearson Education; Davidson, R., Maitland, R., (1997) Tourism Destinations, , London: Hodder and Stoughton; de Botton, A., (2002) The Art of Travel, , London: Penguin; Dolnicar, S., Grün, B., Cross-cultural differences in survey response patterns (2007) International Marketing Review, 24 (2), pp. 127-143; Dong, E., Wang, Y., Morais, D., Brooks, D., Segmenting the rural tourism market: The case of Potter Country, Pennsylvania, USA (2013) Journal of Vacation Marketing, 19 (2), pp. 181-193; Dredge, D., Jenkins, J., Destination place identity and regional tourism policy (2003) Tourism Geographies, 5 (4), pp. 383-407; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism, Spas and Hot Springs, , Bristol, UK: Channel View Publications; Fine, C.H., (1999) Clockspeed: Winning Industry Control in the Age of Temporary Advantage, , New York: Basic Books; Fyall, A., Garrod, B., Editorial (2012) Journal of Destination Marketing and Management, 1, pp. 1-3; García-Altés, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gottdiener, M., The consumption of space and the spaces of consumption (2000) New Forms of Consumption. 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A discussion of mental health tourism to extraordinary natural sites in the context of Antonovsky's 'sense of coherence' and Maslow's 'hierarchy of needs'",2016,"The Routledge Handbook of Health Tourism",,,,"347","364",,,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027683006&doi=10.4324%2f9781315693774&partnerID=40&md5=dcf1920ef583dbc06b693621143c766d","FH JOANNEUM University of Applied Sciences, Institute for Health and Tourism Management, Austria","Friedl, H.A., FH JOANNEUM University of Applied Sciences, Institute for Health and Tourism Management, Austria",[No abstract available],,,,,,,,,,"Abeles, V., (2015) Beyond Measure: Rescuing an Overscheduled, Overtested, Underestimated Generation, , New York: Simon and Schuster; Adachi-Mejia, A.M., Edwards, P.M., Gilbert-Diamond, D., Greenough, G.P., Olson, A.L., TXT me I'm only sleeping: Adolescents with mobile phones in their bedroom (2014) Family and Community Health, 37 (4), pp. 252-257; Aguinis, H., Joo, H., Gottfredson, R.K., Human performance. 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A phenomenological analysis (2013) Annals of Tourism Research, 42, pp. 150-168; Witkiewitz, K., Bowen, S., Harrop, E.N., Douglas, H., Enkema, M., Sedgwick, C., Mindfulness-based treatment to prevent addictive behavior relapse: Theoretical models and hypothesised mechanisms of change (2014) Substance Use and Misuse, 49 (5), pp. 513-524; Yen, C.F., Tang, T.C., Yen, J.Y., Lin, H.C., Huang, C.F., Liu, S.C., Ko, C.H., Symptoms of problematic cellular phone use, functional impairment and its association with depression among adolescents in Southern Taiwan (2009) Journal of Adolescence, 32 (4), pp. 863-873; Zanalda, G., Financial crises, history of (2015) International Encyclopedia of the Social and Behavioral Sciences, pp. 183-190. , Wright, J.D. (ed.), (2nd edn), Amsterdam, The Netherlands: Elsevier; Zenga, G., Go, F., de Vries, H.J., Paradox of authenticity versus standardization: Expansion strategies of restaurant groups in China (2012) International Journal of Hospitality Management, 31-34, pp. 1090-1100","Friedl, H.A.; FH JOANNEUM University of Applied Sciences, Institute for Health and Tourism ManagementAustria",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027683006 "Smith M.K.","55495915200;","An overview of lifestyle trends and their impacts on health tourism",2016,"The Routledge Handbook of Health Tourism",,,,"20","31",,,"10.4324/9781315693774","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027682090&doi=10.4324%2f9781315693774&partnerID=40&md5=0cb6b301ae19576575c6aa7e158b5073","Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary","Smith, M.K., Budapest Metropolitan University, School of Tourism, Leisure and Hospitality, Budapest, Hungary",[No abstract available],,,,,,,,,,"Beaven, C., (2009) No Impact Man: Saving the Planet One Family at a Time, , London: Piatkus; Becic, S., (2014) Balkan Health Statistics Intro, , http://healthfitnessrevolution.com/balkan-health-statistics, (accessed 9 October 2014); Bomar, P.J., Comments on complementary and alternative healing modalities (2013) International Journal of Nursing Practice, 19 (2), pp. 1-6; Chopra, D., (1993) Ageless Body, Timeless Mind, , London: Random House; Crowley, C., Lodge, H.S., (2007) Younger Next Year: Live Strong, Fit and Sexy - Until You're 80 and Beyond, , New York: Workman; Darling, C.A., Coccia, C., Senatore, N., Women in midlife: Stress, health and life satisfaction (2012) Stress and Health, 28, pp. 31-40; Davidson, R.J., Begley, S., (2013) The Emotional Life of Your Brain, , London: Hodder and Stoughton; De Botton, A., (2009) The Pleasures and Sorrows of Work, , London: Penguin Group; Diener, E., Suh, E.M., Lucas, R.M., Smith, H.L., Subjective wellbeing: Three decades of progress (1999) Psychological Bulletin, 125 (2), pp. 276-302; Easterlin, R.A., Life cycle happiness and its sources: Intersections of psychology, economics and demography (2006) Journal of Economic Psychology, 27, pp. 463-482; Ericson, T., Kjonstad, B.G., Barstad, A., Mindfulness and sustainability (2014) Ecological Economics, 104, pp. 73-79; (2013) Third European Quality of Life Survey - Quality of Life in Europe: Subjective Wellbeing, , Luxembourg: Publications Office of the European Union; (2013) State of Global Wellbeing, , http://info.healthways.com/hs-fs/hub/162029/file-1634508606-pdf/WB12013/Gallup-Healthways_State_of_Global_Wellbeing_vFINAL.pdf, (accessed 8 October 2014); (2016) The Future of Wellness at Work, , New York: GWI; Haidt, J., (2006) The Happiness Hypothesis, , London: Random House; (2015) The Year in Medicine, , file:///F:/Health%20Tourism%20Handbook/The%20year%20in%20medicine.pdf, December, (accessed 19 February 2016); Helliwell, J.F., Putnam, R.D., The social context of wellbeing (2004) Philosophical Transactions of the Royal Society of London, 359, pp. 1435-1446; Honoré, C., (2004) In Praise of Slow, , London: Orion; (2014) Sustaining Human Progress: Reducing Vulnerabilities and Building Resilience, , New York: UNDP; Jaslow, R., Baby boomers unhealthier than their parents, study says (2013) CBS News, , http://www.cbsnews.com/news/baby-boomers-unhealthier-than-their-parents-generation-study-says, 5 February, (accessed 20 February 2016); Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M., Hofmann, S.G., Mindfulness-based therapy: A comprehensive meta-analysis (2013) Clinical Psychology Review, 33, pp. 763-771; King, D.E., Mainous, A.G., Carnemolla, M., Everett, C.J., Clinical research study: Adherence to healthy lifestyle habits in US adults, 1988-2006 (2009) American Journal of Medicine, 122 (6), pp. 528-534; Louv, R., (2005) Last Child in the Woods: Saving Our Children from Nature Deficit Disorder, , London: Atlantic Books; Louv, R., (2012) The Nature Principle: Human Restoration and the End of Nature Deficit Disorder, , Chapel Hill, NC: Algonquin Books; (2016) General Statistics, , https://www.nationaleatingdisorders.org/general-statistics, (accessed 23 February 2016); (2012) Happy Planet Index, , http://www.happyplanetindex.org/assets/happy-planet-index-report.pdf, (accessed 24 February 2013); Today's adults unhealthier than their parents were (2013) NHS News, , http://www.nhs.uk/news/2013/04April/Pages/current-generation-unhealthier-than-their-parents.aspx, 11 April, (accessed 20 February 2016); Nunan, D., Mahtani, K.R., Roberts, N., Heneghan, C., Physical activity for the prevention and treatment of major chronic disease: An overview of systematic reviews (2013) Systematic Reviews, 2, p. 56; (2016) At What Age is Personal Well-Being the Highest?, , http://www.ons.gov.uk/ons/dcp171776_431796.pdf, (accessed 2 February 2016); Olano, H.A., Kachan, D., Tannenbaum, S.L., Mehta, A., Annane, D., Lee, D.J., Engagement in mindfulness practices by U.S. adults: Sociodemographic barriers (2015) Journal of Alternative and Complementary Medicine, 21 (2), pp. 100-102; Paoli, A., Bianco, A., What is fitness training? Definitions and implications: A systematic review article (2015) Iranian Journal Public Health, 44 (5), pp. 602-614. , May; Posadzki, P., Alotaibi, A., Ernst, E., Adverse effects of aromatherapy: A systematic review of case reports and case series (2012) International Journal of Risk and Safety in Medicine, 24 (3), pp. 147-161; Power, M., Well-being, quality of life and the naive pursuit of happiness (2013) Topoi, 32, pp. 145-152; Pretty, J., The consumption of a finite planet: Well-being, convergence, divergence and the nascent green economy (2013) Environmental and Resource Economics, 55, pp. 475-499; Puczkó, L., Smith, M.K., Tourism-specific quality of life index: The Budapest model (2010) Quality-of-Life Community Indicators for Parks, Recreation and Tourism Management, pp. 163-184. , Budruk, M. and Philips, R. (eds), Social Indicators Research Series 43, Dordrecht, The Netherlands: Springer; Rahman, T., Mittelhammer, R.C., Wandschneider, P., (2005) Measuring the Quality of Life Across Countries. A Sensitivity Analysis of Well-Being Indices, , Research paper No. 2005/06, Helsinki, Finland: World Institute for Development Economics Research (WIDER) established by United Nations University (UNU); Roth, G., (2010) Women, Food and God: An Unexpected Path to Almost Everything, , London: Simon and Shuster; Roy, M., Payette, H., The body image construct among Western seniors: A systematic review of the literature (2012) Archives of Gerontology and Geriatrics, 55 (3), pp. 505-521; Ryan, R.M., Deci, E.L., To be happy or to be self-fulfilled: A review of research on hedonic and eudaimonic well-being (2001) Annual Review of Psychology, 52, pp. 141-166. , Fiske, S. (ed.); Shochat, T., Impact of lifestyle and technology developments on sleep (2012) Nature and Science of Sleep, 4, pp. 19-34; Varga, M., Thege, B.K., Dukay-Szabó, S., Túry, F., van Furth, E.F., When eating healthy is not healthy: Orthorexia nervosa and its measurement with the ORTO-15 in Hungary (2014) BMC Psychiatry, 14, p. 59; Versnik Nowak, A.L., Hale, H.M., Prevalence of complementary and alternative medicine use among U.S. college students (2012) American Journal of Health Education, 43 (2), pp. 116-126; Weil, A., (2013) Spontaneous Happiness: Step-by-Step to Peak Emotional Wellbeing, , London: Hodder & Stoughton; White, A., Heather Boon, H., Terje, A., Lewith, G., Liu, J.P., Norheim, A.J., Steinsbekk, A., Fønnebø, V., Reducing the risk of complementary and alternative medicine (CAM): Challenges and priorities (2014) European Journal of Integrative Medicine, 6, pp. 404-408; WHO (Five) (1998) Wellbeing Index, , https://www.psykiatri-regionh.dk/who-5/Documents/WHO5_English.pdf, (accessed 27 August 2015); Wijnkoop, L., Jones, P.J., Uauy, R., Segal, L., Milner, J.R., Nutrition economics - food as an ally of public health (2013) British Journal of Nutrition, 109, pp. 777-784; Zheng, Z., Xue, C.C.L., Pain research in complementary and alternative medicine in Australia: A critical review (2013) Journal of Alternative and Complementary Medicine, 19 (2), pp. 81-91","Smith, M.K.; Budapest Metropolitan University, School of Tourism, Leisure and HospitalityHungary",,,"Taylor and Francis",,,,,,9781317437505; 9781138909830,,,"English","The Routl. Handb. of Health Tour.",Book Chapter,"Final",,Scopus,2-s2.0-85027682090 [No author name available],[No author id available],"Readers' panel - Should NHS staff ask suspected 'health tourists' for their ID?",2016,"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","31","11",,"31","",,,"10.7748/ns.31.11.31.s33","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021308275&doi=10.7748%2fns.31.11.31.s33&partnerID=40&md5=f738e0bdcf2decf138334d04580a9ed9",,"","Our experts consider a hot topic of the day.",,"health care delivery; human; identity; migrant; national health service; standards; United Kingdom; Delivery of Health Care; Emigrants and Immigrants; Humans; Identification (Psychology); State Medicine; United Kingdom",,,,,,,,,,,,,,,,,20479018,,,"27848444","English","Nurs Stand",Article,"Final",,Scopus,2-s2.0-85021308275 "Ruggeri K., Hinrichs-Krapels S.","54682337000;35069497200;","Editorial: Global health and medical travel",2016,"Frontiers in Public Health","4","OCT", 235,"","",,,"10.3389/FPUBH.2016.00235","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85015277265&doi=10.3389%2fFPUBH.2016.00235&partnerID=40&md5=c026878c57f774edaee1ae6d118e6d53","Policy Research Group, Department of Psychology, University of Cambridge, Cambridge, United Kingdom; The Policy Institute, King's College London, London, United Kingdom","Ruggeri, K., Policy Research Group, Department of Psychology, University of Cambridge, Cambridge, United Kingdom; Hinrichs-Krapels, S., The Policy Institute, King's College London, London, United Kingdom",[No abstract available],"Global health; Health policy; Health services; Health-care access; Medical travel",,,,,,"University of Cambridge","We would like to thank every contributor to the wider body of GHAP work from the Junior Researcher Programme, who have compiled an incredible amount of evidence to support the research that has informed the articles in this important research topic. Additional thanks to the Engineering Design Centre and the Department of Psychology at the University of Cambridge. The work presented here is only the beginning; we invite future researchers to develop the evidence base for creating appropriate policies for medical travel.",,"Ruggeri, K., Záliš, L., Meurice, C.R., Hilton, I., Ly, T., Zupan, Z., Evidence on global medical travel (2015) Bull World Health Organ, 93, pp. 785-789; Sobo, E., Medical travel: what it means, why it matters (2009) Med Anthropol, 28 (4), pp. 326-335; Cheung, I.K., Wilson, A., Arthroplasty tourism (2007) Med J Aust, 187, pp. 666-667; Chen, L.H., Wilson, M.E., The globalization of healthcare: implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis, 57, pp. 1752-1759; Holt-Lunstad, J., Smith, T., Layton, J., Social relationships and mortality risk: a meta-analytic review (2010) PLoS Med, 7 (7); Murphy, B., Elliott, P., Le Grande, M., Higgins, R., Ernest, C., Goble, A., Living alone predicts 30-day hospital readmission after coronary artery bypass graft surgery (2008) Eur J Cardiovasc Prev Rehabil, 15 (2), pp. 210-215","Ruggeri, K.; Policy Research Group, Department of Psychology, University of CambridgeUnited Kingdom; email: dar56@cam.ac.uk",,,"Frontiers Media S. A",,,,,22962565,,,,"English","Front. Public Health",Editorial,"Final",Open Access,Scopus,2-s2.0-85015277265 "Razumovskaya E.M., Mishakin T.S., Berdnikova O.A., Khasanova A.M.","55965843100;56347630500;56938754300;57194099143;","Medical tourism in the republic of Tatarstan: Opportunities and preconditions for sustainable development",2016,"Social Sciences and Interdisciplinary Behavior",,,,"227","230",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070920195&partnerID=40&md5=fd6595ea7f798027dae000353a412bc2","Kazan Federal University, Kazan, Russian Federation; City Clinical Hospital, Republic of Tatarstan, Russian Federation","Razumovskaya, E.M., Kazan Federal University, Kazan, Russian Federation; Mishakin, T.S., Kazan Federal University, Kazan, Russian Federation; Berdnikova, O.A., Kazan Federal University, Kazan, Russian Federation; Khasanova, A.M., City Clinical Hospital, Republic of Tatarstan, Russian Federation","Every year thousands of people around the world are traveling for medical treatment. Distance, cost, expertise, and availability of treatment are the factors that lead us to make a choice of destination and medical provider. This article discusses and analyzes the condition and development of perspectives of medical tourism in the Republic of Tatarstan. This article contains the definition of key factors in the successful development of medical tourism in Tatarstan and develops an agenda for the future. © 2016 Taylor & Francis Group, London.",,,,,,,,,,"Connell, J., Contemporary medical tourism: conceptualization, culture and commodification (2013) Tour.Manag, 34, pp. 1-13; Euromonitor International (2011) Global Medical Tourism Briefing: A Fast Growing Niche Market, , Euromonitor International; Beladi, H., Chao, C.-C., Ee, M.S., Hollas, D., Medical tourism and health worker migration in developing countries(2015) Economic Modelling, 46, pp. 391-396; Amirov, N.K., Bogdanov, E.I., Guryleva, M.E., Zefirov, A.L., Ismagilov, M.F., Mukhamedzyanov, R.Z., Sozinov, A.S., The history of Kazan neurological school(2007) Journal of the History of the Neurosciences, 16 (1-2), pp. 110-122; Ismagilova, G.N., Safiullin, L.N., Bagautdinova, N.G., Tourism development in region based on historical heritage (2014) Life Science Journal, 11 (6), pp. 363-367; Maksimov, D.S., Maximova, M.N., Mishakin, T.S., The System of social support and social services in the Republic of Tatarstan(2015) Mediterranean Journal of Social Sciences, 6 (1), pp. 386-390; Razumovskaya, E.M., Mishakin, T.S., Popov, M.L., Kucevol, N.G., Medical services during the XXVII world summer universiade 2013 in Kazan (2014) Mediterranean Journal of Social Sciences, 5 (18), pp. 17-20. , SPEC. ISSUE; Razumovskaya, E.M., Kutsevol, N., Popov, M., Mishakin, T., Leto, L., Tsalikova, V., The effectiveness of management practice in the market of socially important services (2014) Asian Social Science, 10 (28), pp. 118-122. , September; Egorov, E.V., Tsalikova, V.V., Razumovskaya, E.M., Contemporary issues of Russian population's health economics(2015) Mediterranean Journal of Social Sciences, 6 (1), pp. 391-395; Panasyuk, M.V., Dzasaeva, R.D., Shaidullin, R.N., Anopchenko, T.Y., Problems of modernization of the health economics in the russian regions (2013) World Applied Sciences Journal, 27 (13), pp. 154-158; Gafurov, I.R., Bagautdinova, N.G., Panasyuk, M.V., Analysis of Strategic Perspectives of Competitiveness of Kazan (2013) Recent Researches in Urban Sustainability, Architecture and Structures.Proceedings of the 2nd International Conference on Sustainable Cities, Urban Sustainability and Transportation(SCUST'13), pp. 37-44. , Baltimore, MD, USA, September 17-19, 2013.-Baltimore: WSEAS Press; Bagautdinova, N., Gafurov, I., Kalenskaya, N., Novenkova, A., The regional development strategy based on territorial marketing(The Case of Russia) (2012) World Applied Sciences Journal, 18, pp. 179-184","Razumovskaya, E.M.; Kazan Federal UniversityRussian Federation",,,"CRC Press",,,,,,9781315388502; 9781138028388,,,"English","Soc. Sci. and Interdiscip. Behav.",Book Chapter,"Final",,Scopus,2-s2.0-85070920195 "Dogra A.K., Dogra P.","57193334563;57193338600;","The medical tourism industry in the BRIC Nations: An Indian analysis",2016,"Opportunities and Challenges for Tourism and Hospitality in the BRIC Nations",,,,"320","336",,,"10.4018/978-1-5225-0708-6.ch020","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013093699&doi=10.4018%2f978-1-5225-0708-6.ch020&partnerID=40&md5=4343b31ca66df4139b8cb2d96fdbfea1","University Institute Of Applied Management Sciences, Panjab University, Chandigarh, India; Ivy Hospital, Nagar, Mohali, Punjab, India","Dogra, A.K., University Institute Of Applied Management Sciences, Panjab University, Chandigarh, India; Dogra, P., Ivy Hospital, Nagar, Mohali, Punjab, India","Despite BRIC's roaring economic growth over the past decade, and its citizens' growing belief that it is finally ready to join the league of global superpowers by the end of 2020. With the progress of the IT revolution, advances in transportation and communication technology, the evolution of financial techniques, and the easing of restrictions on trade and investment, there has been a geometric increase in the international movement of people, products, money and information in the BRIC nations. The economic dynamism has led the emerging economies (BRIC countries) to diversify their business activities from a global perspective, and attempt to create optimal global value chains. Demand for tourism in Brazil, Russia, India and China is expected to grow in tandem with rapid economic growth. These nations are rich in natural and manmade resources and should cope quite well and have tremendous opportunities for the growth of tourism especially medical tourism between these nations. This chapter will explore BRIC member countries, on how they can cooperate to further promote the BRIC Vision and establish a viable healthcare initiative focusing on Indian medical tourism that will serve as a blueprint and model for other economies. © 2017 by IGI Global. All rights reserved.",,,,,,,,,,"Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14, p. 135; Cheng, H.F., Gutierrez, M., Mahajan, A., Shachmurove, Y., Shahrokhi, M., A future global economy to be built by BRICS (2007) Global Finance Journal, 18 (2), pp. 143-156; (2015) Global Research Report, , Author; Industries in 2015 (2014), London: Author; Medical Tourism Market: Global Industry Analysis and Opportunity Assessment 2015-2025 (2015), London: Author; (2015) Report on India Media and Entertainment Industry, , New Delhi: Author; Lunt, N., Smith, R., Exworthy, M., Green, S., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Market and Health System Implications: A scoping review, , OECD Directorate for Employment, Labour and Social Affairs; (2016) Media Reports, Department of Industrial Policy and Promotion (DIPP), Press Information Bureau, , New Delhi: PIB; Mochi, P., Shetty, N., Vahoniya, D., Medical tourism-destination India (2013) Commerce and Management, 2 (3), pp. 29-39; Mohanty, D., Madhav, T.P., Medical Tourism: India's Competitive Advantage (2006) Health tourism an Introduction, p. 73. , ICFAI University Press; Mukherjee, W., Mookerji, M., Hospitals busy tying up with Hospitality Inc (2004) The Economic Times, p. 6; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Oxford, UK: Elsevier; Report on Medical Tourism (2015) India, , Bangalore: Indian; Summit, G.S., (2011) Research Report: Wellness Tourism and Medical Tourism: Where do Spas fit?, , Author; Medical tourism hamstrung by obsolete visa rules (2013), December 2, The Business Standard; International medical tourism industry pegged at USD 40 billion a year (2013) The Economic Times, , June 27; (2015), Washington, DC: World Economic Outlook; (2012) The OECD Environmental Outlook to 2050, , OECD; (2016) Covent Garden, , London; (2012) Report on Medical Tourism, , Author; World health statistics 2015 (2016), Geneva, Switzerland: WHO; Tourism 2020 Vision (1999), Madrid: WTO; (2014) Statistics Report, , Madrid: WTO; (2015) Statistics, , Madrid: Gateway; (1996) Progress and Priorities 1996, , London: WTTC; Blouin, C., Drager, N., Smith, R., (2006) International trade in health services and the GATS: current issues and debates, , Washington, D.C.: World Bank; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, pp. 169-185. , New York, NY: Palgrave Macmillan Ltd; Burkett, L., Medical Tourism: Concerns, Benefits, and the American Legal Perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245. , PMID:17558794; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant Tourism: Outcomes of United States Residents Who Undergo Kidney Transplantation Overseas (2006) Transplantation, 82 (12), pp. 1658-1661. , PMID:17198255; Carabello, L., A Medical Tourism Primer for U.S. Physicians (2008) Medical Practice Management, 23, pp. 291-294. , PMID:18472606; Carrera, P., Lunt, N., A European perspective on medical tourism: The need for a knowledge base (2010) International Journal of Health Services, 40 (3), pp. 469-484. , PMID:20799671; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165. , PMID:17486202; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Connell, J., Tummy Tucks and the Taj Mahal? Medical tourism and the globalization of health care (2008) Tourism management: analysis, behaviour and strategy, , A. G. Woodside & D. Martin (Eds.), Oxford: CABI; Garud, A.D., Medical tourism and its impact on our healthcare (2005) The National Medical Journal of India, 18, pp. 318-319. , PMID:16483034; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201. , PMID:18610785; Green, S.T., Medical tourism - a potential growth factor in infection medicine and public health (2008) The Journal of Infection, 57 (5), p. 429; Gupta, A.S., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 1, pp. 4-5. , PMID:18630244; Heung, V.C.S., Kucukusta, D., Song, H., A Conceptual Model of Medical Tourism: Implications for Future Research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) MedGenMed: Medscape General Medicine, 9, p. 33. , PMID:18311383; Kangas, B., Traveling for Medical Care in a Global World (2010) Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29 (4), pp. 344-362. , PMID:21082482; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington: Deloitte Center for Health Solutions; (2011) Improving Global Health: Forecasting the next 50 years - Patterns of Potential Human Progress, 3, pp. 142-145. , New Delhi: Oxford University Press; Sandhya, R.A., Medical tourism in India: A strategic approach towards effective branding for health care services marketing (2012) American journal of management, 20 (3), pp. 108-116; Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376 (9742), pp. 671-672. , PMID:20879077","Dogra, A.K.; University Institute Of Applied Management Sciences, Panjab UniversityIndia",,,"IGI Global",,,,,,9781522507093; 1522507086; 9781522507086,,,"English","Oppor. and Challenges for Tour. and Hosp. in the BRIC Nations",Book Chapter,"Final",,Scopus,2-s2.0-85013093699 "Hause H.","57191615716;","Fountains of youth: Medical tourism in Green Cove Springs, Florida, 1845-1900",2016,"Journal of Tourism History","8","3",,"239","259",,,"10.1080/1755182X.2016.1243157","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992036615&doi=10.1080%2f1755182X.2016.1243157&partnerID=40&md5=c82e1a5c876f58e338e49b181fffb99f","University of Maryland, University College, Adelphi, MD, United States; American History, American Public University, Charles Town, WV, United States","Hause, H., University of Maryland, University College, Adelphi, MD, United States, American History, American Public University, Charles Town, WV, United States","This study focuses on how the treatment of prevalent nineteenthcentury illnesses like tuberculosis relied upon a combination of climatology, hydrotherapy, and outdoor exercise, all of which were either naturally abundant in Green Cove Springs, Florida or for which the town came to provide outlets. Green Cove Springs’s ability to fill these vital medical needs contributed to the town’s development between 1845 and 1900. Health-seeking tourists stimulated the economy of Green Cove Springs as well as the population. Climatology dictated that permanent relocation to a healthy clime was necessary to evade death, so tourists transformed into residents. Traditional historiography links the settlement of and tourism to Florida towns with the desire for opportunity, health, or leisure, but sources tend to focus on only one of these motivations and centre on either settlement or tourism, rarely both. This paper presents a local history of Green Cove Springs, Florida, arguing that residents and tourists worked together to secure their own dreams of opportunity and leisure through quests for health. Medical-based tourism spawned opportunities for leisure and allowed many a chance to earn a living through hotel management, agriculture, and medicine. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","Bathing; Health; Seaside resorts; Spas; Waterfronts; Wilderness",,,,,,,,,"Routh, H.B., Balneology, Mineral Water, and Spas in Historical Perspective (1996) Clinics in Dermatology, 14 (6), p. 552. , http://www.sciencedirect.com.ezproxy1.apus.edu/science/article/pii/S0738081X96000831, November-December, accessed May 15, 2016); Migała, M., Development of Balneoclimatic Treatment of Patients with Lung Diseases and Tuberculosis (2009) Physiotherapy, 17 (3), p. 48. , http://search.ebscohost.com.ezproxy2.apus.edu/login.aspx?direct=true&db=s3h&AN=52489359&site=ehost-live&scope=site, accessed May 15, 2016); Van Tubergen, A., Van Der Linden, S., A Brief History of Spa Therapy (2012) Annals of the Rheumatic Diseases, 61 (3), p. 273. , http://www-ncbi-nlm-nih-gov.ezproxy.umuc.edu/pmc/articles/PMC1754027/(, March, accessed February 12, 2014); Development of Balneoclimatic Treatment of Patients with Lung Diseases and Tuberculosis, p. 48. , Migała; Rou, T., Balneology, Mineral Water, and Spas in Historical Perspective, p. 552; Tubergen, V., Linden, V.D., A Brief History of Spa Therapy, p. 274; Rou, T., Balneology, Mineral Water, and Spas in Historical Perspective, p. 552; Development of Balneoclimatic Treatment of Patients with Lung Diseases and Tuberculosis, p. 48; Thompson, K., Wilderness and Health in the Nineteenth Century (1976) Journal of Historical Geography, 2 (2), p. 149. , http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=030574887690253X&site=eds-live&scope=site, accessed February 17, 2014); Rou, T., Balneology, Mineral Water, and Spas in Historical Perspective, p. 553; Tubergen, V., Linden, V.D., A Brief History of Spa Therapy, p. 274; Weiss, T., Tourism in America Before World War II (2004) The Journal of Economic History, 64 (2), p. 296. , https://edge.apus.edu/x/4gweBk, June, accessed May 16, 2016); Frank, A.F., The Air Cure Town: Commodifying Mountain Air in Alpine Central Europe (2012) Central European History, 45 (2), pp. 187-189. , http://search.proquest.com.ezproxy2.apus.edu/docview/1030091016?pq-origsite=summon&accountid=8289, accessed May 10, 2016); Frank, A.F., The Air Cure Town: Commodifying Mountain Air in Alpine Central Europe (2012) Central European History, 45 (2), p. 190; Abrams, J., On the Road Again: Consumptives Traveling for Health in the American West, 1840-1925 (2010) Great Plains Quarterly, 30 (4), p. 272. , http://ezproxy2.apus.edu/login?url=http://search.proquest.com/docview/817631450/fulltextPDF/8C124A45ADDD47ABPQ/1?accountid=8289, Fall, accessed May 11, 2016); Thompson, K., Wilderness and Health in the Nineteenth Century, p. 150; Thompson, K., Wilderness and Health in the Nineteenth Century, p. 145; Thompson, K., Wilderness and Health in the Nineteenth Century, p. 149; The Air Cure Town, p. 188. , Frank; Durie, A., Medicine, Health and Economic Development: Promoting Spa and Seaside Resorts in Scotland c. 1750-1830 (2012) Medical History, 47 (2), pp. 250, 207, 212. , http://search.proquest.com.ezproxy1.apus.edu/docview/229742132?pq-origsite=summon&accountid=8289, (April 2003), accessed May 12, 2016); On the Road Again, pp. 274, 278. , Abrams; Tourism in America, pp. 293-295. , Weiss; Benedetto, A.V., Millikan, L.E., Mineral Water and Spas in the United States (1996) Clinics in Dermatology, 14 (6), p. 589. , http://www.sciencedirect.com.ezproxy1.apus.edu/science/article/pii/S0738081X96000892, November-December, accessed August 24, 2016); Benedetto, A.V., Millikan, L.E., Mineral Water and Spas in the United States (1996) Clinics in Dermatology, 14 (6), pp. 595-597. , November-December; Benedetto, A.V., Millikan, L.E., Mineral Water and Spas in the United States (1996) Clinics in Dermatology, 14 (6), p. 596. , November-December; Development of Balneoclimatic Treatment of Patients with Lung Diseases and Tuberculosis, p. 49; Tubergen, V., Linden, V.D., A Brief History of Spa Therapy, p. 275; Weisz, G., Historical Reflections on Medical Travel (2011) Anthropology and Medicine, 18 (1), p. 138. , http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=60610480&site=edslive&scope=site, April, accessed February 12, 2014); Knight, H., Southern Expansion: The Myth of the West in the Promotion of Florida, 1876-1900 (2010) European Journal of American Culture, 29 (2), p. 112. , http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=52803285&site=eds-live&scope=site, July, accessed February 12, 2014); Shire, L.C., Turning Sufferers into Settlers: Gender, Welfare, and National Expansion in Frontier Florida (2013) Journal of the Early Republic, 33 (3), pp. 490, 494. , http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edspmu&AN=edspmu.S1553062013300036&site=eds-live&scope=site, Fall, accessed February 23, 2014); Foster, J.T., Jr., Foster, S.W., Turnquest, R.A., A Liberated Journalist and Yankee Women on the Florida Frontier (2012) Florida Historical Quarterly, 91 (1), p. 36. , http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ahl&AN=79967976&site=eds-live&scope=site, accessed February 20, 2014); Thompson, T.R., Florida in American Popular Magazines, 1870-1970 (2003) Florida Historical Quarterly, 82 (1), p. 3. , http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ahl&AN=45863483&site=eds-live&scope=site, accessed February 19, 2014); Revels, T., Paradise, S., (2011) A History of Florida Tourism, p. 10. , Gainesville: University Press of Florida; Revels, T., Paradise, S., (2011) A History of Florida Tourism, p. 16. , Gainesville: University Press of Florida; Vanderhill, B.G., The Historic Spas of Florida (1973) Studies in the Social Sciences, 12, p. 59. , http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ahl&AN=45812256&site=eds-live&scope=site, accessed February 20, 2014); Vanderhill, B.G., The Historic Spas of Florida (1973) Studies in the Social Sciences, 12, p. 60; Vanderhill, B.G., The Historic Spas of Florida (1973) Studies in the Social Sciences, 12, pp. 61, 62, 65, 66, 69; Playter, E., On Consumption: Its Causes and Prevention in Man and Animals, , http://openlibrary.org/books/OL23510205M/On_consumption, (Ottawa: A. Bureau, 1884), Book, Internet Archives Open Library, accessed October 10, 2014), 5; Kenworthy, C.J., Climatology of Florida, , https://openlibrary.org/books/OL22864355M/Climatology_of_Florida, (Savannah, GA: Morning News Steam Printing House, 1880), Pamphlet, Internet Archive Open Library, accessed October 13, 2014), 10, 45; Lente, F.D., Florida as a Health-Resort, , http://ufdc.ufl.edu/UF00055730/00001, (New York: D. Appleton, 1876), Florida History and Heritage Collection, University of Florida, Gainesville, FL, accessed January 17, 2014), 23; Climatology of Florida, p. 8. , Kenworthy; Florida as a Health-Resort, pp. 19-20. , Lente; Rigsby, T.C., Dr. Rigsby’s Papers on Florida Giving a General View of Every Portion of the State, Its Climate, Resources, Statistics, Society, Crops, , http://ufdc.ufl.edu//UF00055747/00001, Cincinnati: E. Mendenhall, 1876), Book, Florida History and Heritage Collection, University of Florida, Gainesville, FL, accessed January 17, 2014), 15; Clarke, G., J. F.-Confirmed, 1816, Spanish Land Grants Collection, State Library and Archives of Florida, , http://floridamemory.com/items/show/232571?id=1, Tallahassee, FL, accessed October 10, 2014); Tyler, D.F., Where to Go in Florida, , http://ufdc.ufl.edu//UF00055132/00001, (New York: Hopcraft, 1880), Book, Florida History and Heritage Collection, University of Florida, Gainesville, FL, accessed January 17, 2014), 14; (1869) Together with Hints to the Tourist, Invalid, and Sportsman, , http://hdl.handle.net/2027/loc.ark:/13960/t50g3z28g, (New York: Wood & Holbrook, Book, HathiTrust Digital Library, accessed October 20, 2014), 96; Jenkins, E.O., (1875) Guide to Florida, , http://ufdc.ufl.edu//UF00055725/00001, New York: The American News, Book, Florida History and Heritage Collection, University of Florida, Gainesville, FL, accessed February 12, 2014), 60-1; http://www.openlibrary.org/books/OL24365606M/Whitney’s_Florida_pathfinder_for_the_tourist_and_invalid, accessed October 10, 2014), 8; Whitney, J.P., (1879) Whitney’s Florida Pathfinder Information for the Tourist, Traveler, Invalid and Pleasure-Seeker, Season 1879, , http://hdl.handle.net/2027/loc.ark:/13960/t69314422, (New York: J.P. Whitney, Book, Hathi-Trust Digital Library, accessed January 20, 2014), 21; Speir, R.F., (1870) Going South for the Winter with Hints for Consumptives, , https://openlibrary.org/books/OL6996676M/Going_south_for_the_winter, (New York: Edward O. Jenkins, Book, Internet Archives Open Library, accessed October 12, 2014), 49; Wall, J.P., The Climate and Diseases of the Gulf Coast of the Florida Peninsula with Remarks of the Former in Relation to Pulmonary Tuberculosis, , https://openlibrary.org/books/OL25336797M/The_climate_and_diseases_of_the_gulf_coast_of_the_Florida_peninsula, (Charleston, SC: H. P. Cooke, 1874), Article, Internet Archive Open Library, accessed October 13, 2014), 12; http://catalog.hathitrust.org/Record/009594759/Home, accessed January 21, 2014), 97; https://openlibrary.org/books/OL24343372M/Florida_for_tourists, (New York: D. Appleton, 1882), Book, Internet Archives Open, accessed October 27, 2014), 111-12; http://ufdc.ufl.edu/UF00005111/00001, J.W.W. Pocket Directory of Green Cove Springs, Clay County, Book, 1889, Florida History and Heritage Collection, University of Florida, Gainesville, FL, accessed January 17, 2014), 1, 4; Clarendon Hotel, Green Cove Springs, Florida; http://www.westegg.com/inflation/, These conversions were generated by Morgan Friedman (‘The Inflation Calculator’, accessed August 22, 2016))","Hause, H.; University of Maryland, University CollegeUnited States; email: hhause@student.umuc.edu",,,"Routledge",,,,,1755182X,,,,"English","J. Tour. Hist.",Article,"Final",,Scopus,2-s2.0-84992036615 "Kuo C.-W.","57191615741;","Transcultural body without organs: From the abolition of Chinese Foot-Binding to medical tourism in East Asia",2016,"International Journal of Critical Cultural Studies","14","3",,"31","44",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992013379&partnerID=40&md5=7e48b87f48ae6ca16de91c6fc8f21ebd","Permanent Peace and Development Association, Taipei, Taiwan","Kuo, C.-W., Permanent Peace and Development Association, Taipei, Taiwan","From the nineteenth century, Westernization has played a vital role in East Asian values; one notable/notorious example would be the abolition of Chinese foot-binding in 1912. Before Westernization, foot-binding on woman was a culturally manufactured attribute to define the genders in China and other East Asian areas such as Japan, Korea, and Taiwan. After 1912, the discourse of East Asian womanhood was revolutionized due to the Western outlook, thus a shift of paradigm took place. Almost a century later, the Asian Financial Crisis in 1997 has initiated many governments in Asia to strengthen their soft power economy. An example of this is medical tourism in South Korea. Many women from China and Taiwan are drawn to South Korea and have cosmetic surgery performed to alter their ethnic features in order to imitate the Western form. East Asian women's bodies are digitized to fit into a globally approved beauty standard. Deleuze and Guttari note that the organism collapses into a Body without Organs after being decoded and deterritorialized by the flows of desire. East Asian culture has been transformed into a state of digital hybridity, in which the English language becomes an instrument to accelerate the makings of a transcultural Body without Organs in East Asia. East Asian female flesh, in terms of medical tourism, is dissolved into a state of flux as human desires are dispersed all over the internet.","Body modification; Chinese foot-binding; East asian womanhood",,,,,,,,,"(2016) Pies de Loto, Una Dolorosa Costumbre en China, , http://www.estamoscenando.com/post/139184930801/pies-de-loto, Burdocracias, Image; Bourdieu, P., (1984) Distinction: A Social Critique of the Judgement of Taste, , Oxon: Routledge; Burawoy, M., Resurrecting the Subaltern: Bodies of Defiance, , http://burawoy.berkeley.edu/Bourdieu/KVH3.pdf, UC Berkeley Sociology; Brand, P.Z., (2000) Beauty Matters, , Indianapolis: Indiana UP; Cahill, S.E., Discipline and transformation: Body and practice in the lives of Daoist holy women (2003) Women and Confucian Cultures in Premodern China, pp. 251-278. , Korea and Japan, edited by Dorothy Ko, JaHyun Kim Haboush, and Joan R. Piggott, Berkeley: University of California Press; Michael Jackson Plastic Surgery Before and After (2015) Image, , http://celebritysurgerynews.com/michael-jackson-plastic-surgery, Celebrity Surgery News; Connell, J., (2011) Medical Tourism, , UK: CAB International; Deleuze, G., Guttari, F., (1983) Anti-Oedipus: Capitalism and Schizophrenia, , Minneapolis: University of Minneapolis Press; Deleuze, G., Guttari, F., (1947) How do you Make Yourself a Body without Organs?, , http://www.generation-online.org/p/fpdeleuze2.htm; Desai, M.V., Globalization and poverty (2004) Globalization in the Asian Region: Impacts and Consequences, pp. 52-55. , edited by Gloria Davis and Chris Nyland, UK: Edward Elgar; Hall, C.M., (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, , NY: Routledge; Hernandez, G.M., The introduction The Deterritorialization of Cultural Heritage in a Globalized Modernity, , http://llull.cat/IMAGES_175/transfer01-foc04.pdf; Hofilena, J., (2013) Japanese Woman Spends $100k on Plastic Surgery to Become 'French Doll., , http://japandailypress.com/japanese-woman-spends-100k-on-plastic-surgery-To-become-french-doll-0728391, May 7, 2013; Ko, D., (2005) Cinderella's Sisters: A Revisionist History of Footbinding, , Los Angeles: University of California Press; Mouer, R., Globalization and Japan after the bubble (2004) Globalization in the Asian Region: Impacts and Consequences, pp. 164-184. , edited by Gloria Davies and Chris Nyland, Cheltenham, UK: Edward Elgar; Orbach, S., (2009) Bodies, , New York: Picador; Peters, J., (2015) Hegel on Beauty, , NY: Routledge; Phillips, K.A., (2005) The Broken Mirror: Understanding and Treating Body Dysmorphic Disorder, , UK: Oxford UP; Prakash, A., The east Asian crisis and the globalization discourse Review of International Economy, 8 (1), pp. 119-146. , (Spring; Spivak, G.C., Can the subaltern speak? (2009) Geographies of Postcolonialism, pp. 109-131. , edited by Joanne Sharp, NY: Sage Publications; Veblen, T., (1994) The Theory of the Leisure Class, , NY: Dover Publications; Wegenstein, B., (2012) The Cosmetic Gaze: The Modification and the Construction of Beauty, , Cambridge, MA: MIT Press; Wen, H., (2013) Buying Beauty, , Hong Kong: Hong Kong University Press","Kuo, C.-W.; Permanent Peace and Development AssociationTaiwan",,,"Common Ground Publishing",,,,,23270055,,,,"English","Int. J. Crit. Cult. Studies",Article,"Final",,Scopus,2-s2.0-84992013379 "Lee H.J., Park S.Y., Jin H.R., Sohn M.","55706785400;14045781800;57191289973;8983941300;","A smart orchestrator of ecosystem in medical tourism",2016,"ACM International Conference Proceeding Series","17-19-August-2016",, 2971627,"","",,,"10.1145/2971603.2971627","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84988700570&doi=10.1145%2f2971603.2971627&partnerID=40&md5=d408838a2247baa51f77a87565a14cc2","Yonsei Institute of Convergence Technology, School of Integrated Technology, Yonsei University, 162-1, Songdo-dong, Yeonsu-Gu, Incheon, South Korea; Department of Industrial Engineering, Sungkyunkwan University, 2066, Seobu-ro, Jangan-Gu, Suwon, South Korea","Lee, H.J., Yonsei Institute of Convergence Technology, School of Integrated Technology, Yonsei University, 162-1, Songdo-dong, Yeonsu-Gu, Incheon, South Korea; Park, S.Y., Department of Industrial Engineering, Sungkyunkwan University, 2066, Seobu-ro, Jangan-Gu, Suwon, South Korea; Jin, H.R., Department of Industrial Engineering, Sungkyunkwan University, 2066, Seobu-ro, Jangan-Gu, Suwon, South Korea; Sohn, M., Department of Industrial Engineering, Sungkyunkwan University, 2066, Seobu-ro, Jangan-Gu, Suwon, South Korea","We are proposing a smart orchestrator as a platform to create and share values in ecosystem in combination with heterogeneous networks. As a smart orchestrator, generative Smart ORCHestrator for converged Tourism ecoSystem (SORCHeTS) supports opportunities to ecologically link multi-organism with symbiotic relationships for the seamlessly plugging. In this research, we are focusing on creation and adaptation of the medical tourism ecosystem on SORCHeTS. The medical tourism as a context-intensive ecosystem is constructed by symbiotic combination of common tourism and medical treatment networks. To do this, it is necessary to combine the keystones and flagships from medical treatment and common tourism organism to create and share productive values. To combine two ecosystems, SORCHeTS are comprised of Genotype and Phenotype modules. Genotype plays a role of creation values in combination with heterogeneous networks. Phenotype dynamically adapts the generative smart ecosystem depending on contextual conditions. Ontology is applied to support dynamic creation and adaptation of the smart ecosystem. To prove effectiveness of the proposed SORCHeTS, we proved interoperability, robustness, creativity, and productivity of newly combined medical tourism ecosystem. © 2016 ACM.","Context; Ecosystem; Ontology; Smart orchestrator; Tourism","Commerce; Ecology; Electronic commerce; Heterogeneous networks; Ontology; Context; Medical treatment; Smart orchestrator; Symbiotic relationship; Tourism; Ecosystems",,,,,"Ministry of Science, ICT and Future Planning, MSIP: IITP-2015-R0346-15-1008 Ministry of Science, ICT and Future Planning, MSIP Korea Evaluation Institute of Industrial Technology, KEIT: 1005-0810","""This research was partially supported by the MSIP(Ministry of Science, ICT and Future Planning), Korea, under the ""IT Consilience Creative Program"" (IITP-2015-R0346-15-1008) supervised by the IITP(Institute for Information and Communications Technology Promotion) and was partially supported by the IT RandD program of KEIT [No. 1005-0810, Development of Disability Independent Accessibility Enhancement Technology for Input and Abnormality of Home Appliances]",,"Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14, p. 135; Chung, N., Koo, C., The use of social media in travel information search (2015) Telematics and Informatics, 32 (2), pp. 215-229; Chuang, T.C., Liu, J.S., Lu, L.Y.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, 45, pp. 49-58; Connell, J., Medical tourism: Sea, sun, sand and . . . surgery (2006) Tourism Management, 27, pp. 1093-1100; Crush, J., Chikanda, A., South-South medical tourism and the quest for health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320; (2009) Medical Travel in Asia and the Pacific. Challenges and Opportunities, United Nations and Social Commission for Asia and Pacific, , ESCAP. Bangkok; Goodrich, J.N., Social Cuba: A study of health tourism (1993) Journal of Travel Research, 32 (1), pp. 36-42; Goodrich, J.N., Health tourism: A new positioning strategy for tourist destinations (1994) Journal of International Consumer Marketing, 6 (3-4), pp. 227-237; Goodrich, J.N., Goodrich, G.E., Health-care tourism - An exploratory study (1987) Tourism Management, 8, pp. 217-222; Gretzel, U., Werthner, H., Koo, C., Lamsfus, C., Conceptual foundations for understanding smart tourism ecosystems (2015) Computers in Human Behavior; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Heck, B.V., Vervest, P., Smart Business Networks: How the network wins (2007) Communications of the ACM, 50 (6), pp. 29-37; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: As assessment of the barriers (2011) Tourism Management, 32, pp. 995-1005; Iansiti, M., Levien, R., Strategy as ecology (2004) Harvard Business Review, 82 (3), pp. 68-78; Crush, J., Chikanda, A., SoutheSouth medical tourism and the quest for health in Southern Africa (2015) Social Science & Medicine, 124, pp. 313-320; Kim, H., Lee, J.N., Han, J., The role of IT in business ecosystems (2010) Communications of the ACM, 53 (5), pp. 151-156; Koo, C., Kim, J.H., Chung, N., Theorization and utilization of smart tourism ecosystems (2014) Information Systems Review, 16 (3), pp. 69-87; Lee, H.J., Lee, J.K., An Effective Customization Procedure with Configurable Standard Models (2005) Decision Support Systems, 41 (1), pp. 262-278; Lee, (2014), U.S. Patent Daejeon: Korea Electronic and Telecommunications Research Institute; Liu, J., Xu, W., Jiang, H., Research on Dynamic Ontology Construction Method for Knowledge Fusion in Group Corporation (2014) Knowledge Engineering and Management, pp. 289-298; Lunt, N., Carrera, P., Medical tourism Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N.T., Mannion, R., Exworthy, M., A Framework for Exploring the Policy Implications of UK Medical Tourism and International Patient Flow (2013) Social Policy & Administration, 47 (1), pp. 1-25; Moore, J.F., Predators and prey: A new ecology of competition (1993) Harvard Business Review, 71 (3), pp. 75-86; Turner, L., Medical tourism Family medicine and international health-related travel (2007) Can Fam Physician, 53 (10), pp. 1639-1641; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201; Yoo, K.H., Gretzel, U., What Motivates Consumers to Write Online Travel Reviews? (2008) Information Technology & Tourism, 10 (4), pp. 283-295; Yoo, K.-H., Gretzel, U., Comparison of Deceptive and Truthful Travel Reviews (2009) Information and Communication Technologies in Tourism, pp. 37-47; Yoo, K.-H., Lee, Y., Gretzel, U., Fesenmaier, D.R., Trust in Travel-Related Consumer Generated Media (2009) Information and Communication Technologies in Tourism, pp. 49-60; Wernz, C., Wernz, P.T., Phusavat, K., Service convergence and service integration in medical tourism (2014) Industrial Management & Data Systems, 114 (7), pp. 1094-1106; Werthner, H., Ricci, F., E-Commerce and Tourism (2004) Communications of the ACM, 47 (12), pp. 101-105; Zhu, H., Tian, Q., Liang, Y., Ji, S., Sun, W., Domain Ontology Component-based Semantic Information Integration (2009) First International Workshop on Education Technology and Computer Science, 10","Sohn, M.; Department of Industrial Engineering, Sungkyunkwan University, 2066, Seobu-ro, Jangan-Gu, South Korea; email: myesohn@skku.edu",,"et al.;Gyeonggi MICE Bureau;Korea Tourism Organization;Korean Federation of Science and Technology Societies (KOFST);National Information Society Agency (NIA);Suwon City","Association for Computing Machinery","18th International Conference on Electronic Commerce, ICEC 2016","17 August 2016 through 19 August 2016",,123480,,9781450342223,,,"English","ACM Int. Conf. Proc. Ser.",Conference Paper,"Final",,Scopus,2-s2.0-84988700570 "Mey S.","57015120200;","Medical tourism: Criticism on comparison portals [Medizintourismus: Kritik an Vergleichsportalen]",2016,"Deutsches Arzteblatt International","113","31-32",,"A1452","A1453",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983358965&partnerID=40&md5=586af3c714a60a89a1924261e37b1725",,"Mey, S.",[No abstract available],,"clinical practice; medical tourism; public opinion; Short Survey",,,,,,,,,,,,"Deutscher Arzte-Verlag GmbH",,,,,18660452,,,,"English; German","Dtsch. Arztebl. Inter.",Short Survey,"Final",,Scopus,2-s2.0-84983358965 "Cooper M., Hieda M.","14032718400;57104879500;","The dark side of medical tourism? End of life choice, human trafficking, and organ transplants",2016,"Oncology: Breakthroughs in Research and Practice","1-2",,,"203","216",,,"10.4018/978-1-5225-0549-5.ch006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014001361&doi=10.4018%2f978-1-5225-0549-5.ch006&partnerID=40&md5=5ecd81b8caac556d8527493cfcc357c0","Ritsumeikan Asia Pacific University, Japan; St Luke Clinic, Japan","Cooper, M., Ritsumeikan Asia Pacific University, Japan; Hieda, M., St Luke Clinic, Japan","There are 4 principles that should govern the response of the healthcare system in its treatment of individual medical problems. These may be summarized as: 1. medical care should be accessible to all; 2. the principle of patient autonomy should govern decision-making; 3. medical treatment should be recognized as being part of cultural behavior; and, 4. the medical profession should support the benefit of the patient. However, the combination of these with the rising cost of healthcare and the impact of globalization, has led to a dark side for medical tourism. In this situation, both patients and physicians are faced with ethical, human security and sustainability issues. This chapter examines 3 major issues in medical tourism: end of life choice, trafficking in human bodies and body parts, and organ transplants. In the healthcare systems of many countries, these issues can also involve criminal activities. © 2017 by IGI Global. All rights reserved.",,,,,,,,,,"Abidin, Z., Zainal, L., Are health professionals responsible for the shortage of organs from deceased donors in Malaysia? 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Retrieved from; Howarth, G., (2007) Death and dying: A sociological introduction., , Cambridge: Polity; Ivanovski, N., Stojkovski, L., Cakalaroski, K., Masin, G., Djikova, S., Polenakovic, M., Renal transplantation from paid, unrelated donors in India-it is not only unethical, it is also medically unsafe (1997) Nephrology, Dialysis, Transplantation, 12 (9), pp. 2028-2029. , PMID:9306369; Jamal, T., Lelo, L., Exploring the conceptual and analytical framing of dark tourism: from darkness to intentionality (2011) Tourist experience: Contemporary perspectives, pp. 29-42. , R. Sharpley & P. R. Stone (Eds.) Abingdon, Oxon: Routledge; Jha, V., Paid transplants in India: The grim reality (2004) Nephrology, Dialysis, Transplantation, 19 (3), pp. 541-543. , PMID:14767006; Lawrence, R., Abuse of live related kidney transplantation (1997) Nephrology, Dialysis, Transplantation, 12 (9), p. 2028. , PMID:9306368; Lennon, J.J., Foley, M., (2000) Dark Tourism., , London: Continuum; Maynard, B., My Right to Death with Dignity at 29 (2014) CNN Report, , November 3; McMurray, R.J., Clarke, O.W., Barrasso, J.A., Clohan, D.B., Epps, C.H., Jr., Glasson, J., Decisions near the end of life (1992) Journal of the American Medical Association, 267 (16), pp. 2229-2233. , PMID:1372944; (2004) Organ Trafficking and Transplantation Pose New Challenges., , September 7, Bexhill-On-Sea, UK: Medilexicon International Ltd; Mellor, P.A., Shilling, C., Modernity, Self-Identity and the Sequestration of Death (1993) Sociology, 27 (3), pp. 3411-3431; Merican, M.I., (2006) Guideline of the Malaysia Medical Council., , Kuala Lumpur: Malaysia Medical Council; Miles, W.F.S., Auschwitz: Museum Interpretation and Darker Tourism (2002) Annals of Tourism Research, 29 (4), pp. 1175-1178; Mitchell, K., Owens, G., End of life decision-making by New Zealand general practitioners: A national survey (2004) The New Zealand Medical Journal, 117 (1196), p. 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Oxford: Elsevier; Scheper-Hughes, N., The Global Traffic in Human Organs (2000) Current Anthropology, 41 (2), pp. 191-224. , PMID:10702141; Scheper-Hughes, N., The tyranny of the gift: Sacrificial violence in living donor transplants (2007) American Journal of Transplantation, 7 (3), pp. 507-511. , PMID:17250554; Seaton, A.V., War and Thanatourism: Waterloo 1815-1914 (1999) Annals of Tourism Research, 26 (1), pp. 130-158; Siminoff, L.A., Arnold, R.M., Hewlett, J., The process of organ donation and its effect on consent (2001) Clinical Transplantation, 15 (1), pp. 39-47. , PMID:11168314; Siraj, S., Organ donation and family relations in Bangladesh (2014) Proceedings of the 15th Asian Bioethics Conference (ABC 15) & 12th Asia Pacific Conference (APC 12), pp. 57-60. , Beppu: Ritsumeikan Asia Pacific University; Smith, A., Medical Tourism and organ trafficking. African Journal of Hospitality (2012) Tourism and Leisure, 2 (1), pp. 1-9; Stone, P., (2014) Frequently Asked Questions., , www.dark-tourism.org.uk/faqs, The Institute for Dark Tourism Research (ITDR). Retrieved from; Stone, P.R., A dark tourism spectrum: Towards a typology of death and macabre related tourist sites, attractions and exhibitions (2006) TOURISM. Special Issue on Spirituality and Meaningful Experiences in Tourism, 52 (2), pp. 145-160; Stone, P.R., Dark Tourism and Significant Other Death: Towards a Model of Mortality Mediation (2012) Annals of Tourism Research, 39 (3), pp. 1565-1587; Stone, P.R., Sharpley, R., Consuming Dark Tourism: A Thanatological Perspective (2008) Annals of Tourism Research, 35 (2), pp. 574-596; Sui, W.G., Yan, Q., Xie, S.P., Chen, H.Z., Li, D., Hu, C.X., Successful Organ Donation from Brain Dead Donors in a Chinese Organ Transplantation Center (2011) American Journal of Transplantation, 11 (10), pp. 2247-2249. , PMID:21883900; Turner, L., Medical Tourism: Family Medicine and International Health-Related Travel (2007) Canadian Family Physician Medecin de Famille Canadien, 53 (10), pp. 1639-1641. , PMID:17934018; (2004) Human Tissue Act., , http://www.legislation.gov.uk/ukpga/2004/30/pdfs/ukpga_20040030_en.pdf, Retrieved from; (2006) Human Tissue Act (Scotland)., , http://www.legislation.gov.uk/asp/2006/4/pdfs/asp_20060004_en.pdf, Retrieved from; (2002) The world health report: reducing risks, promoting healthy life., , Geneva: World Health Organization; (2004) Organ Trafficking And Transplantation Pose New Challenges, , September 1, Geneva: World Health Organization; (2008) WHO Guiding Principles on human cell, tissue and organ transplantation., , Geneva: World Health Organization","Cooper, M.; Ritsumeikan Asia Pacific UniversityJapan",,,"IGI Global",,,,,,9781522506386; 1522505490; 9781522505495,,,"English","Oncol.: Breakthr. in Res. and Pract.",Book Chapter,"Final",,Scopus,2-s2.0-85014001361 "Hjalager A.-M., Tervo-Kankare K., Tuohino A., Konu H.","6603622428;56049620800;6505504519;35976130400;","Robust innovation anchors in rural wellbeing tourism",2016,"Global Dynamics in Travel, Tourism, and Hospitality",,,,"148","162",,,"10.4018/978-1-5225-0201-2.ch009","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018066114&doi=10.4018%2f978-1-5225-0201-2.ch009&partnerID=40&md5=44562b859a5d9f1daaf4247feca334d1","University of Southern Denmark, Denmark; University of Oulu, Finland; University of Eastern Finland, Finland","Hjalager, A.-M., University of Southern Denmark, Denmark; Tervo-Kankare, K., University of Oulu, Finland; Tuohino, A., University of Eastern Finland, Finland; Konu, H., University of Eastern Finland, Finland","Innovation in tourism does not take place in a vacuum. Innovators find inspiration from many sources.This article identifies ten innovation anchors, e.g. critical trends that can guide the long-term innovationactivity and lead to fundamentally new products, services, delivery mechanisms, organizationalmodels, means of collaboration etc. Innovation anchors are robust as they are found persistently in therecent scholarly literature and appear on a consistent base in business related evidence. Rural wellbeingtourism is area of inquiry. The study reveals that innovation, in the future, can take further advantage ofthe following: 1) Towards a holistic wellbeing, 2) Connecting with nature and its resources, 3) Altruismincluded, 4) The rural as a medical prescription, 5) Work-life balance, 6) Wellbeing diversification therural way, 7) Taking advantage of the climate squeeze, 8) Opening the digital channels, 9) A new puritanismrural style, and 10) The gear dimension. © 2016 by IGI Global. All rights reserved.",,,,,,,,,,"Aburdene, P., (2007) Megatrends 2010: The rise of conscious capitalism, , Hampton Roads Publishing; Briedenhann, J., Wickens, E., Tourism routes as a tool for the economic development of rural areas-vibrant hope or impossible dream? (2004) Tourism Management, 25 (1), pp. 71-79; Buhalis, D., Costa, C., Ford, F., (2006) Tourism business frontiers, , London: Routledge; Bushell, R., Sheldon, P.J., (2009) Wellness and tourism: Mind, body, spirit, place, , New York: Cognizant Communication; Connell, J., Medical Tourism: Sea, Sun, Sand and Surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cuhls, K., Johnston, R., Corporate foresight (2008) Future-Oriented Technology Analysis, pp. 102-114. , C. Cagnin, M. Keenan, R. Johnston, F. Scapolo, & R. 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Engineering and Management, 67 (1), pp. 43-53; Hall, M.C., Page, S.J., (2014) The geography of tourism and recreation: Environment, space and place, , London: Routledge; Hjalager, A.M., Repairing innovation defectiveness in tourism (2002) Tourism Management, 23 (5), pp. 465-474; Hjalager, A.-M., Disruptive and sustaining innovations: the case of rural tourism (2014) Handbook of Research on Innovation in Tourism Industries, pp. 56-83. , Edward Elgar; Hjalager, A.M., Konu, H., Huijbens, E.H., Björk, P., Nordin, S., Tuohino, A., (2011) Innovating and re-branding Nordic wellbeing tourism, , Oslo: NICe; Hoggart, K., Black, R., Buller, H., (2014) Rural Europe, , Routledge; Kandampully, J., Service Management a New Paradigm in Health and Wellness Services (2013) Service Management in Health & Wellness Services, pp. 1-6. , J. Kandampully, Dubuque, IA: Kendall Hunt; Koh, S., Yoo, J.J.-E., Boeger, C.A., Importance performance analysis with benefit segmentation of spa goers (2010) International Journal of Contemporary Hospitality Management, 22 (5), pp. 1-20; Konu, H., Identifying potential wellbeing tourism segments in Finland (2010) Tourism Review, 65 (2), pp. 41-51; Konu, H., Laukkanen, T., Predictors of tourists' wellbeing holiday intentions in Finland (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 144-149; Kozak, M.W., Innovation, Tourism and Destination Development: Dolnoslaskie Case Study (2014) European Planning Studies, 22 (8), pp. 1604-1624; Laesser, C., Health travel motivation and activities: Insights from a mature market -Switzerland (2011) Tourism Review, 66 (1-2), pp. 83-89; Laing, J., Weiler, B., Mind, Body and Spirit: Health and Wellness Tourism in Asia (2008) Asian Tourism: Growth and Change, pp. 379-389. , J. Cochrane, Amsterdam: Elsevier; Lehto, X.Y., Brown, S., Chen, Y., Morrison, A.M., Yoga tourism as a niche within the wellness tourism market (2006) Tourism Recreation Research, 31 (1), pp. 5-14; Leigh, J., Webster, C., Ivanov, S., (2013) Future Tourism: Political, Social and Economic Challenges, , Abingdon, UK: Routledge; Mak, A., Wong, K.K., Chang, R.C., Health or self-indulgence? The motivations and characteristics of spa-goers (2009) International Journal of Tourism Research, 11 (2), pp. 185-199; Mei, X.Y., Arcodia, C., Ruhanen, L., Towards tourism innovation: A critical review of public polices at the national level (2012) Tourism Management Perspectives, 4, pp. 92-105; Moutinho, L., Rate, S., Ballantyne, R., Futurecast: an exploration of key emerging megatrends in the tourism arena (2013) Trends in European Tourism Planning and Organisation, pp. 313-325. , C. Costa, E. Pnayik, & D. Buhalis, Bristol, UK: Channel View Publications; Müller, H., Lanz Kauffman, E., Wellness Tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Naisbitt, J., Aburdene, P., (1990) Megatrends 2000, , New York: William Morrow; Pesonen, J., Komppula, R., Rural Wellbeing Tourism: Motivations and Expectations (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 150-157; Roberts, L., Hall, D., Rural tourism and recreation: principles to practice (2001) Wallingford: Cabi Publishing; Sheldon, P., Bushell, R., Introduction to wellness and tourism (2009) Wellness and Tourism. Mind, Body, Spirit, Place, pp. 3-18. , R. Bushell & P. J. Sheldon, New York: Cognizant Communication; Slaughter, R., (1995) Future tools and techniques, , Melbourne: DDM; Smith, M., Puczkó, L., (2013) Regional trends and predictions for global health tourism, , Wellness Tourism: A Destination Perspective. Abingdon, UK: Routledge; Smith, M., Puczkó, L., (2014) Health Tourism and Hospitality: Spas, Wellness and Medical Travel, , Routledge; Smith, M., Puzckó, L., (2009) Health and Wellness Tourism, , Oxford, UK: Butterworth-Heinemann; Suontausta, H., Tyni, M., (2005) Wellness-matkailu -hyvinvointi matkailun tuotekehityksessä, , Helsinki: Edita Prima Oy; Varey, R.J., Marketing in the flourishing society megatrend (2013) Journal of Macromarketing, 33 (4), pp. 354-368; Voigt, C., Pforr, C., (2013) Wellness tourism, , A destination perspective. Abingdon, UK: Routledge; von Groddeck, V., Schwarz, J.O., Perceiving megatrends as empty signifiers: A discoursetheoretical interpretation of trend management (2013) Futures, 47, pp. 28-37","Hjalager, A.-M.; University of Southern DenmarkDenmark",,,"IGI Global",,,,,,9781522502029; 1522502017; 9781522502012,,,"English","Glob. Dyn. in Travel, Tour., and Hosp.",Book Chapter,"Final",,Scopus,2-s2.0-85018066114 "Russo S.","54886116600;","“The writer died at Autun in her 26th year”: genre, health tourism and Anna Jameson’s Diary of an Ennuyée",2016,"Studies in Travel Writing","20","2",,"200","213",,,"10.1080/13645145.2016.1172414","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84967083638&doi=10.1080%2f13645145.2016.1172414&partnerID=40&md5=1feed4e483250eb752a67a9db0f00113","Macquarie University, Sydney, Australia","Russo, S., Macquarie University, Sydney, Australia","In Diary of an Ennuyée (1826), Anna Jameson notoriously combines what is otherwise a rather conventional travel narrative with the romantic tale of its languishing female narrator. The narrative concludes with the death of the narrator, and this overtly fictional element in what otherwise presents itself as a factual piece of writing has proved immensely troubling for readers of Jameson’s text from its initial publication until today. Variously read as a failed experiment and/or a hoax, Jameson’s work is instead, I argue, a parodic exploration of both the growing interest in health tourism, as well as a satiric engagement with the burgeoning genre of invalid travel literature. Diary of an Ennuyee is not a mistake, an aberration, or a hoax, but rather should be read as a lively, self-reflexive satire on the contemporary fashion for seeking health on foreign shores, and writing about it. © 2016 Informa UK Limited, trading as Taylor & Francis Group.","Anna Jameson; health tourism; Italy; satire; women’s travel writing",,,,,,,,,"Adair, J.M., (1786) Medical Cautions, for the Consideration of Invalids: Those Especially Who Resort to Bath: Containing Essays on Fashionable Diseases, , Bath: R. Cruttwell; Adams, J., (1801) A Short Account of the Climate of Madeira: With Instructions to Those Who Resort Thither for the Recovery of Their Health, , London: T. Gillet; Austen, J., Sanditon (1871) Jane Austen’s Manuscript Works, , Bree L., Sabor P., Todd J., (eds), Toronto: Broadview; Budd, A., Why Clarissa Must Die: Richardson’s Tragedy and Editorial Heroism (2007) Eighteenth-Century Life, 31 (3), pp. 1-28; Burgess, T.H., (1852) Climate of Italy in Relation to Pulmonary Consumption with Remarks on the Influence of Foreign Climates upon Invalids, , London: Longman, Brown & Longmans; Chard, C., Lassitude and Revival in the Warm South: Relaxing and Exciting Travel, 1750–1830 (2000) Clio Medica: Act Academia Internationalis Historiae Medicinae, 56 (1), pp. 179-201; Clark, J., (1820) Medical Notes on Climate, Disease, Hospitals, and Medical Schools in France, Italy, and Switzerland, , London: T.G. Underwood; Corbin, A., (1994) The Lure of the Sea: The Discovery of the Seaside in the Western World 1750–1840, , Translated by Jocelyn Phelps, Cambridge: Polity Press; De Stael, G., (1800) Corinne, or Italy, , Translated by Sylvia Raphael, Oxford: Oxford University Press; Eaton, C., (1820) Rome in the Nineteenth Century, , London: Hurst, Robinson; Frawley, M.H., (1994) A Wider Range: Travel Writing by Women in Victorian England, , London: Associated University Presses; Frawley, M.H., (2010) Invalidism and Identity in Nineteenth-Century Britain, , Chicago, IL: University of Chicago Press; Gregory, J., (1815) A Dissertation on the Influence of Change of Climate in Curing Diseases, , Philadelphia, PA: T. Dobson; Jameson, A., (1826) The Diary of an Ennuyée, , London: Colburn; Jameson, A., (1829) Memoirs of the Loves of the Poets. Biographical Sketches of Women Celebrated in Ancient and Modern Poetry, , Philadelphia, PA: Lea & Blanchard; Jameson, A., (1834) Visits and Sketches at Home and Abroad, , London: Saunders and Otley; Jameson, A., (1838) Winter Studies and Summer Rambles in Canada, , London: Saunders and Otley; Janković, V., (2010) Confronting the Climate: British Airs and the Making of Environmental Medicine, , London: Palgrave Macmillan; Johnston, J., (1997) Anna Jameson: Victorian, Feminist, Woman of Letters, , Aldershot: Scolar Press; Johnston, J., Fracturing Perspectives of Italy in Anna Jameson’s Diary of an Ennuyée (2004) Women’s Writing, 11 (1), pp. 11-24; Keats, J., (1899) The Complete Poetical Works and Letters of John Keats, , Boston: Houghton Mifflin; Kemble, J., (1987) The Mediterranean Passion: Victorians and Edwardians in the South, , Oxford: Oxford University Press; Kevan, S.M., Quests for Cures: A History of Tourism for Climate and Health (1993) International Journal of Biometeorology, 37 (3), pp. 113-124; Macpherson, G., (1878) Memoirs of the Life of Anne Jameson, , Edited by Margaret Oliphant, London: Longman; Matthews, H., (1820) The Diary of an Invalid: Being the Journal of a Tour in Pursuit of Health in Portugal, Italy, Switzerland, and France in the Years 1817, 1818 and 1819, , London: John Murray; Morgan, L., (1821) Italy, , Edited by Donatella Badin, London: Pickering & Chatto; Moore, T., (1818) The Fudge Family in Paris, , New York: Kirk & Mercein; Phipps, C.H., (1825) The English in Italy Volume II, , (Marquis of Normanby), London: Saunders and Otley; Piozzi, H.L., (1789) Observations and Reflections Made in the Course of a Journey Through France, Italy and Germany, , Richardson A., Dille C., (eds), London: Pickering & Chatto; Robinson, H.C., (1938) On Books and Their Writers Volume 1, , Edited by Edith Morley, London: J.M. Dent; Robinson, J., (2001) Wayward Women: A Guide to Women Travellers, , Oxford: Oxford University Press; Shelley, M., The English in Italy (1826) The Novels and Selected Works of Mary Shelley Volume 2, , Clemit P., (ed), London: William Pickering; Starke, M., (1800) Letters from Italy, , London: R. Phillips; Thomas, C., (1967) Love and Work Enough: The Life of Anna Jameson, , London: University of Toronto Press; Walchester, K., (2007) “Our Own Fair Italy”: Nineteenth-Century Women’s Travel Writing and Italy, , Bern: Peter Lang; Wordsworth, W., (1807) Poems: In Two Volumes, 2. , London: Longman; Wrigley, R., Infectious Enthusiasm: Influence, Contagion, and the Experience of Rome (1996) Transports: Travel, Pleasure, and Imaginative Geography, 1600–1800, pp. 75-116. , Chard C., Langdon H., (eds), New Haven: Yale University Press; Wrigley, R., Pathological Topographies and Cultural Itineraries: Mapping ‘mal’aria’ in 18th- and 19th-century Rome (2000) Pathologies of Travel, pp. 207-238. , Wrigley R., Revill G., (eds), Atlanta: Rodopi","Russo, S.; Macquarie UniversityAustralia; email: stephanie.russo@mq.edu.au",,,"Routledge",,,,,13645145,,,,"English","Stud. Travel. Writ.",Article,"Final",,Scopus,2-s2.0-84967083638 "Jimeno San Martín L., López Alfaro P., Sarasa Monreal Md.elM., Nicolás Olmedo A., Munárriz Ariz L., Azcona Martínez M.A., Aguirre Santano R., Regaira Martínez E.","16402121300;16402183700;57190309944;55078226100;57190310459;57190309596;57190312446;35331029900;","EVIDENCE BASED NURSING: EARLY AND SAFE PROTOCOL FOR ICU PATIENT'S MOBILIZATION [Enfermería basada en La evidencia. Protocolo para la movilización temprana y segura del paciente en UCI]",2016,"Revista de enfermería (Barcelona, Spain)","39","4",,"52","60",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979094088&partnerID=40&md5=9d7adedd73355f7e14b8edde1de255ad",,"Jimeno San Martín, L.; López Alfaro, P.; Sarasa Monreal, Md.elM.; Nicolás Olmedo, A.; Munárriz Ariz, L.; Azcona Martínez, M.A.; Aguirre Santano, R.; Regaira Martínez, E.","UNLABELLED: Patients admitted to the ICU are at risk of immobility and an early and important physical deconditioning.OBJECTIVE: To develop and to implement an early and safe protocol for ICU patients' mobilization.METHODOLOGY: The Evidence Based Practice Model for Staff Nurses was used. It encompasses Assessment, Problem Identification, Planning, Implementation and Evaluation, Integration and Maintenance in Practice.RESULTS: The research team (Advanced Practice Nurse and expert clinical nurses), along with the medical team and rehabilitation service, identified the need to develop the protocol. For its elaboration, a literature search on the data bases PubMed, CINA-HL and Cochrane Library was performed; a questionnaire was administered and structured observations were conducted. For the implementation training sessions were offered to nurses, posters were placed in the unit and protocol was included in the computer program. Finally, an assessment of the knowledge, perceptions and practices of nurses in the unit and a recording of adverse events related to the mobilization will take place.CONCLUSIONS: The development and implementation of a protocol for early mobilization of ICU patients has facilitated the integration of this care in daily practice. This model of evidence-based practice allows nurses an active part in changing the culture in terms of the integration of research into practice.",,"clinical protocol; decision tree; evidence based nursing; human; intensive care unit; mobilization; nursing; patient safety; Clinical Protocols; Decision Trees; Early Ambulation; Evidence-Based Nursing; Humans; Intensive Care Units; Patient Safety",,,,,,,,,,,,,,,,,02105020,,,"27349064","Spanish","Rev Enferm",Article,"Final",,Scopus,2-s2.0-84979094088 "Weisz G.","34874130300;","Afterword: Historical reflections on medical travel",2016,"Healing Holidays: Itinerant Patients, Therapeutic Locales and the Quest for Health",,,,"137","144",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979096143&partnerID=40&md5=612828e2ac71e401a64a1d7cbb9ee024","Department of Social Studies of Medicine, McGill University, Montréal, Canada","Weisz, G., Department of Social Studies of Medicine, McGill University, Montréal, Canada","The terms 'medical tourism' and 'health tourism' cover many phenomena. Individuals able to afford the costs have frequently traveled great distances to consult with healers considered especially competent in their field. A reputation for expertise has, for the past century, been linked to technological capacity and those who can do so may prefer to travel to places such as the Mayo Clinic rather than relying on technology and expertise available locally. In Canada, there is something like a tradition that provincial Premiers with serious illnesses travel to the United States for their medical care. This is always controversial since Premiers are supposedly responsible for the quality of provincial health-care systems; if they don't trust these institutions why should the rest of us? But despite occasional bursts of outrage, most Canadians understand the desire to obtain the best possible medical care even if it means traveling outside the country. What is unusual about the newest sort of 'health tourism' discussed in several papers in this issue is that technology and excellence are only some of the attracting features. Relatively low costs, desire to avoid waiting lists, access to procedures or facilities unavailable and possibly illegal at home, are often determining factors in individual decisions to travel for health care. One factor that is less than central is place. It just happens that the Mayo Clinic is in Rochester Minnesota, or the Cleveland Clinic is in Cleveland Ohio, or that theinstitutions discussed in these pages are located where they are. Location of course is not irrelevant. Not every locale can bring together the expertise, technology, capital, easy access and relative lack of political violence that turns a city into a medical destination. But there is nothing about these places that is intrinsically healthy or good for you. In many ways, 'tourism' is a catchy misnomer that simply means traveling lone distances for medical care not dissimilar to what is available at home. While this phenomenon has relevance for medical care and global health and for the ways social scientists study them, such practices can best be seen as yet another example of the expanding global economy, another form of 'offshoring', goods and services, whose consequences have yet to be fully understood. It in no way diminishes the significance of this phenomenon to note that its application to health care is too recent for historians to have much in the way of a contribution to make to its discussion. © 2015 Taylor & Francis. All rights reserved.",,,,,,,,,,"Bacon, W., The rise of the German and the demise of the English spa industry: A critical analysis of business success and failure (1997) Leisure Studies, 16, pp. 173-187; Bastos, C., From sulphur to perfume: Spa and SPA at Monchique, Algarve (2011) Anthropology and Medicine, 18 (1), pp. 37-53; Blackbourn, D., Fashionable spa towns in nineteenth-century Europe (2002) Water, leisure, and culture: European historical perspectives, pp. 9-21. , Susan C. Anderson and Bruce H. Tabb, Oxford, New York: Berg; Brockliss, L.W.B., The development of the spa in seventeenth-century France in the medical history of waters and spas (1990) Medical History. Supplement, 10, pp. 23-47; Chambers, T.A., (2002) Drinking the waters: Creating an American leisure class at nineteenth-century mineral springs, , Washington and London: Smithsonian Institution Press; Chiray, M., Leç on d'ouverture: Chaire d'hydrologie thé rapeutique et de climatologie (1938) La Presse médicale, 46, p. 253; Dubois, O., Salamon, R., Poirier, M., Olié, J., Le thermalisme psychiatrique dans les troubles anxieux; crenotherapy in anxiety disorder (2008) Annales Médico-Psychologiques, 166, pp. 109-114; Galliou, P., Water, water everywhere . . . water, ailing bodies and the gods in Roman Gaul and Britain (2006) Spas in Britain and in France in the eighteenth and nineteenth centuries, pp. 9-21. , ed. Annick Cossic and Patrick Galliou, Cambridge: Cambridge Scholars Press; Jennings, E.T., (2006) Curing the colonizers: hydrotherapy, climatology, and French colonial spas, , Durham and London: Duke University Press; Kuhnert, R.P., Urbanitat auf dem Lande. Badereisen nach Pyrmont im 18. Jahrhundert (1984) Veroffentlichungen des Max-PlanckInstituts für Geschichte 77, , Gottingen, Vandenhoeck & Ruprecht; LaFauci, L.E., Taking the (southern) waters: Science, slavery, and nationalism at the antebellum Virginia Springs (2011) Anthropology and Medicine, 18 (1), pp. 7-22; Lempa, H., The spa: Emotional economy and social classes in nineteenth-century Pyrmont (2008) Central European History, 35 (1), pp. 37-73; Mackaman, D.P., (1998) Leisure settings: Bourgeois culture, medicine and the spa in modern France, , Chicago and London: University of Chicago Press; Marland, H., Adams, J., Hydropathy at home: The water cure and domestic healing in mid-nineteenth-century Britain (2009) Bulletin of the History of Medicine, 83, pp. 499-529; Naraindas, H., Of relics, body parts and laser beams: The German Heilpraktiker and his Ayurvedic Spa (2011) Anthropology and Medicine, 18 (1), pp. 67-86; Quintela, M.M., Seeking 'energy' vs (2011) pain relief in spas in Brazil (Caldas da Imperatriz) and Portugal (Termas da Sulfú rea). Anthropology and Medicine, 18 (1), pp. 23-35; Speier, A., Health tourism in a Czech spa (2011) Anthropology and Medicine, 18 (1), pp. 55-66; Steward, J., The spa towns of the Austro-Hungarian Empire and the growth of tourist culture, 1860-1914 (2000) New directions in urban history: Aspects of European art, health, tourism and leisure since the enlightenment, pp. 87-125. , ed. Peter Borsay, Günther Hirschfelder and Ruth-E. Mohrmann, Munster: Waxmann Verlag; Steward, J., The culture of water cure in nineteenth-century Austria, 1800-1914 (2002) Water, leisure and culture: European historical perspectives, pp. 23-35. , ed. S.C. Anderson and B.H. Tabb, Oxford, New York: Berg; Szabo, J., Seeing is believing? The form and substance of French medical debates over Lourdes (2002) Bulletin of the History of Medicine, 76 (2), pp. 199-230; Weisz, G., Spas, mineral waters and hydrological science in twentieth-century France (2001) Isis, 92, pp. 451-483","Weisz, G.; Department of Social Studies of Medicine, McGill UniversityCanada",,,"Taylor and Francis Inc.",,,,,,9781317615101; 9781138806658,,,"English","Heal. Holidays: Itiner. Patients, Therapeutic Locales and the Quest for Health",Book Chapter,"Final",,Scopus,2-s2.0-84979096143 "Sobo E.J., Herlihy E., Bicker M.","7004194791;57195026750;50161056000;","Selling medical travel to US patient-consumers: The cultural appeal of website marketing messages",2016,"Healing Holidays: Itinerant Patients, Therapeutic Locales and the Quest for Health",,,,"119","136",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979093851&partnerID=40&md5=c4b7d87918bdff3b3f89b6b99c0c21a1","San Diego State University, San Diego, CA, United States","Sobo, E.J., San Diego State University, San Diego, CA, United States; Herlihy, E., San Diego State University, San Diego, CA, United States; Bicker, M., San Diego State University, San Diego, CA, United States","More US-based patients than ever are travelling abroad for medical or dental services. Beyond financial incentives, what cultural factors have supported this trend? Because of their interest in selling medical travel, medical travel agencies (MTAs) have vested interests in this question. To find out how they are answering it, an ethnographic content analysis of MTA websites was undertaken. Beyond themes promoting a ""worry-free experience"" of 'legitimate services', themes linking healthcare consumerism to culturally specific identity ideals and self-creation/representation pro- cesses predominated. Themes relating to the demonstration of social position, savvy expression of good consumer judgment, and achievement of libertarian ideals figured highly. However, various inconsistencies (including an appeal to tourism in some but not other situations) suggested that medical travel involves, for the US-based consumer, a complex act of juggling context-specific self-identity desires and expectations in relation to healthcare. The potential impact of prevailing discourses on ""self- construction-in-practice' was explored. Findings enhance understanding of the care seeking process as experienced within the context of globalized, mass-mediated healthcare consumerism. They also point to the need for finer-grained distinctions than the global gloss ""medical travel"" offers. © 2015 Taylor & Francis. All rights reserved.",,,,,,,"Department of Anthropology, History and Social Medicine, University of California, San Francisco, Department of Anthropology, History and Social Medicine, University of California, San Francisco","A portion of this work was funded by a ‘faculty fellowship’ grant from the Ethics Center in Science and Technology. Ethics approval was unnecessary due to the public nature of the data. No conflicts of interest existed. Diane Boyd, President of the medical travel agency Affordable World Care, provided expert feedback over the course of the study. Erik Cohen and Beth Kangas kindly provided early guidance and reading suggestions, as did later anonymous reviewers, and Kent Sandstrom, to whom the authors owe great thanks. The article’s focus on self-contradictions was driven in part by self-contradicting (and self-revealing) responses to preliminary findings presented in the University of California Berkeley/University of California San Francisco Medical Anthropology and History of Health Sciences Colloquium series (22 April 2009). The authors alone remain responsible for the article’s content.",,"Ackerman, S., Plastic paradise: Transforming bodies and selves in Costa Rica's cosmetic surgery tourism industry. Pre-publication version dated 5 May 2009. This paper has since been published Medical Anthropology, 29, p. 4; (2001), Your guide to choosing quality health care. AHRQ Publication No. 99-0012. Rockville, MD: Agency for Healthcare Research and Quality; Altheide, D.L., Ethnographic content analysis (1987) Qualitative Sociology, 10 (1), pp. 65-77; Altheide, D.L., Identity and the definition of the situation in a mass-mediated context (2000) Symbolic Interaction, 23 (1), pp. 1-27; (2006), Anonymous, Medical tourism, Asia's growth industry: Hotelmarketing.com; Baer, H.A., (2001) Biomedicine and alternative healing systems in America: Issues of class, race, ethnicity, and gender, , Madison: University of Wisconsin Press; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York: Palgrave Macmillan; Bramstedt, K., Xu, J., Checklist: Passport, plane ticket, organ transplant (2007) American Journal of Transplantation, 7, pp. 1698-1701; Burns, E., (2008), U.S. search engine rankings. December 2007: SearchEngineWatch.com; Carrol, J., Long-distance medicine: U.S. businesses are looking overseas for a way to keep employee health-care costs down (2007) American Way, pp. 56-57; Cohen, E., Medical tourism in Thailand (2008) Explorations in Thai tourism: Collected case studies, pp. 225-255. , ed. E. Cohen, Bingley: Emerald Group; De Munck, V., The fallacy of the misplaced self: Gender relations and the construction of multiple selves among Sri Lankan Muslims (1992) Ethos, 20 (2), pp. 167-190; De Munck, V., (2000) Culture, self, and meaning, , Long Grove, IL: Waveland Press; Leaders: Importing competition; Globalisation and health (2008) The Economist, 388, p. 8593; Operating profit; Globalisation and health care (2008) The Economist, 388, p. 8593; Ewing, K.P., The illusion of wholeness: 'Culture,' 'self,' and the experience of inconsistency (1990) Ethos, 18 (3), pp. 251-278; Garcia, A.C., Standlee, A.I., Bechkof, J., Cui, Y., Ethnographic approaches to the internet and computer-mediated communication (2009) Journal of Contemporary Ethnography, 38 (1), pp. 52-84; Glaser, B.G., Strauss, A., (1967) The discovery of grounded theory: Strategies for qualitative research, , New York: Aldine de Gruyter; Gunasekera, V., Ernst, E., Ezra, D.G., Systematic Internet-based review of complementary and alternative medicine for glaucoma (2008) Ophthamology, 115, pp. 435-439; Hannerz, U., (1996) Transnational connections: Culture, people, places, , New York: Routledge; Higgins, L.A., Medical tourism takes off, but not without debate (2007) Managed Care, 16 (4), pp. 45-47; Hill, J., Finding culture in narrative (2005) Finding culture in talk: A collection of methods, pp. 157-202. , ed. N. Quinn, New York: Palgrave Macmillan; Holstein, J.A., Gubrium, J.F., (2000) The self we live by: Narrative identity in a postmodern world, , New York: Oxford University Press; Inhorn, M., Patrizio, P., Rethinking reproductive 'tourism' as reproductive 'exile' (2009) Fertility and Sterility, 29 (3), pp. 904-906; Inhorn, M.C., Birenbaum-Carmeli, D., Assisted reproductive technologies and culture change (2008) Annual Reviews in Anthropology, 37, pp. 177-196; Kangas, B., Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21 (1), pp. 35-78; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14 (3), pp. 293-305; Kangas, B., Travelling for medical care in a global world (2010) Medical Anthropology, 29 (4), pp. 344-362; Keckley, P.H., Eselius, L.L., (2009) 2009 survey of health care consumers key findings, strategic implications, , Washington, DC: Deloitte Center for Health Solutions, Deloitte Development LLC; Keckley, P.H., Underwood, H.R., (2008) Medical tourism: Consumers in search of value, , Washington, DC: Deloitte Center for Health Solutions; Kumar, P., (2008) Indian surrogacy: Blessing, business or both? Neem Magazine, 1 (4). , http://www.neemmagazine.com/culture63; Lupton, D., Consumerism, reflexivity and the medical encounter (1997) Social Science and Medicine, 45, pp. 373-381; Milstein, A., Smith, M., America's new refugees - Seeking affordable surgery offshore (2006) New England Journal of Medicine, 355 (16), pp. 1637-1640; Norris, M.L., Boydell, K.M., Pinhas, L., Katzman, D.K., Ana and the internet: A review of pro-anorexia websites (2006) International Journal of Eating Disorders, 39 (6), pp. 443-447; Quinn, N., How to reconstruct schemas people share, from what they say (2005) Finding culture in talk: A collection of methods, ed. N. Quinn, pp. 35-81. , New York: Palgrave Macmillan; Ryan, G.W., Bernard, H.R., Techniques to identify themes (2003) Field Methods, 15 (1), pp. 85-109; Salinger, S., Plonka, L., Prechelt, L., A coding scheme development methodology using grounded theory for qualitative analysis of pair programming (2008) Human Technology, 4 (1), pp. 9-25; Scheper-Hughes, N., The ends of the body: Commodity fetishism and the global traffic in organs (2002) SAIS Review, 22 (1), pp. 61-80; Shilling, C., (1993) The body and social theory, , London: Sage; Siegel, J., Hadassah uses internet to attract foreign surgical patients (2007) Jerusalem Post, p. 5; Sobo, E.J., Rationalization of medical risk through talk of trust: An exploration of elective eye surgery narratives (2001) Anthropology and Medicine, 8 (2-3), pp. 265-278; Sobo, E.J., Parents' perceptions of pediatric day surgery risks: Unforeseeable complications, or avoidable mistakes? (2005) Social Science and Medicine, 60 (10), pp. 2341-2350; Sobo, E.J., Medical travel: What it means and why it matters (2009) Medical Anthropology, 29 (1), pp. 326-335; Speier, A., (2008) IVF vacation: Providing 'modern' fertility treatments at lower costs, , Annual Meeting of the American Anthropological Association. San Francisco; Strauss, A., Corbin, J., (1998) Basics of qualitative research: Techniques and procedures for developing grounded theory, , Thousand Oaks, CA: Sage; Van Esch, S.C.M., Cornel, M.C., Snoek, F.J., Type 2 diabetes and inheritance: What information do diabetes organizations provide on the Internet? (2006) Diabetic Medicine, 23, pp. 1233-1238; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Williams, B., (1994) Patient satisfaction: A valid concept? Social Science and Medicine, 38, pp. 509-516","Sobo, E.J.; San Diego State UniversityUnited States",,,"Taylor and Francis Inc.",,,,,,9781317615101; 9781138806658,,,"English","Heal. Holidays: Itiner. Patients, Therapeutic Locales and the Quest for Health",Book Chapter,"Final",,Scopus,2-s2.0-84979093851 "Solomon H.","55776505200;","Affective journeys: The emotional structuring of medical tourism in India",2016,"Healing Holidays: Itinerant Patients, Therapeutic Locales and the Quest for Health",,,,"105","118",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979093827&partnerID=40&md5=87d0627362b4062d60009cc90e25c146","Department of Anthropology, Brown University, Providence, RI, United States","Solomon, H., Department of Anthropology, Brown University, Providence, RI, United States","This paper examines the grid of sentiment that structures medical travel to India. In contrast to studies that render emotion as ancillary, the paper argues that affect is fundamental to medical travel's ability to ease the linked somatic, emotional, financial, and political injuries of being ill 'back home"". The ethnographic approach follows the scenes of medical travel within the Indian corporate hospital room, based on observations and interviews among foreign patients, caregivers, and hospital staff in Mumbai, New- Delhi, Chennai, and Bangalore. Foreign patients conveyed diverse senti- ments about their journey to India ranging from betrayal to gratitude, and their expressions of risk, healthcare costs, and cultural difference help sustain India's popularity as a medical travel destination. However, although the affective dimensions of medical travel promise a remedy for foreign patients, they also reveal the fault lines of market medicine in India. © 2015 Taylor & Francis. All rights reserved.",,,,,,,,,,"Adams, V., Murphy, M., Clarke, A., Anticipation: Technoscience, life, affect, temporality (2009) Subjectivity, 28 (1), pp. 246-265; Ahmed, S., Affective economies (2004) Social Text, 22 (2), pp. 117-139; Ananthakrishnan, G., (2006) Boom time for medicare, , The Hindu, April 30, Magazine; Applbaum, K., Crossing borders: Globalization as myth and charter in American transnational consumer marketing (2000) American Ethnologist, 27 (2), pp. 257-282; Augé, M., Interpreting illness (1985) History and Anthropology, 2 (1), pp. 1-13; Baru, R., Private health sector in India: Raising inequities (2005) Review of Healthcare in India, , ed. L. Gangolli, Ravi Duggal, and Abhay Shukla. Mumbai: Center for Enquiry into Health & Allied Themes (CEHAT); Beck, G., (2009) The Glenn Beck program, , 9 December 2009; Becker, G., The uninsured and the politics of containment in U.S (2007) health care. Medical Anthropology, 26 (4), pp. 299-321; Berlant, L., (2000) Intimacy, , Chicago: University of Chicago Press; Bhardwaj, A., Biosociality and biocrossings: Encounters with assisted conception and embryonic stem cells in India (2008) Biosocialities, Genetics, and the Social Sciences: Making Biologies and Identities, , ed. Sahra Gibbon and Carlos Novas, New York: Routledge; Biehl, J., (2005) Vita: Life in a zone of social abandonment, , Berkeley: University of California Press; Biehl, J., Coutinho, D., Outeiro, A.L., Technology and affect: HIV/AIDS testing in Brazil (2001) Culture, Medicine and Psychiatry, 25 (1), pp. 87-129; Clough, P., Halley, J., (2007) The affective turn: Theorizing the social, , Durham: Duke University Press; Cohen, L., The epistemological carnival: Meditations on disciplinary intentionality and Ayurveda (1995) Knowledge and the scholarly medical traditions, , ed. D. Bates, Cambridge: Cambridge University Press; Comaroff, J., Comaroff, J., Figuring crime: Quantifacts and the production of the un/real (2006) Public Culture, 18 (1), pp. 209-245; (2002) Healthcare in India: The road ahead, , New Delhi: Confederation of Indian Industry; Cook, R., (2008) Foreign body, , New York: Putnam; Das, V., Das, R.K., Pharmaceuticals in urban ecologies: The register of the local (2006) Pharmaceuticals: Ethics, Markets, Practices, , ed. Adriana Petryna, Andrew Lakoff and Arthur Kleinman, Durham: Duke University Press; Das, V., Technologies of self: Poverty and health in an urban setting (2003) SARAI Reader, pp. 95-102. , New Delhi: SARAI; Ducey, A., More than a job: Meaning, affect, and training health care workers (2007) The affective turn: Theorizing the social, , ed. Patricia T. Clough and Jean Halley. Durham: Duke University Press; Duggal, R., (1996) The private health sector in India: Nature, trends, and a critique, , Mumbai: Centre for Enquiry into Health and Allied Themes (CEHAT); (2002), http://mohfw.nic.in/np2002.htm, Government of India. National Health Policy; Gray, H.H., Poland, S.C., (2008) Medical tourism: Crossing borders to access health care, , National Reference Center for Bioethics Literature SCOPE, note 47; Hamdy, S.F., When the state and your kidneys fail: Political etiologies in an Egyptian dialysis ward (2008) American Ethnologist, 35 (4), pp. 553-569; Haniffa, A., (2009) Indian-American organisations slam Glenn Beck, , http://news.rediff.com/report/2009/dec/17/indian-american-organisations-slam-glenn-beckfor-comments.htm, Rediff News; Henry, J., (2008), http://facts.kff.org/chartbook.aspx?cb=57, Kaiser Family Foundation, Health insurance coverage in America, 2008. Henry J. Kaiser Family Foundation; Hochschild, A., (2003) The managed heart: Commercialization of human feeling, , Berkeley: University of California Press; Iedema, R., Jorm, C., Lum, M., Affect is central to patient safety: The horror stories of young anaesthetists (2009) Social Science & Medicine, 69, pp. 1750-1756; Inhorn, M., Patrizio, P., Rethinking reproductive 'tourism' as reproductive 'exile' (2009) Fertility and Sterility, 92 (3), pp. 904-906; Kangas, B., Therapeutic itineraries in a global world: Yeminis and their search for biomedical treatment abroad (2002) Medical Anthropology, 21, pp. 35-78; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology & Medicine, 14 (3), pp. 293-305; Khan, S., Systems of medicine and nationalist discourse in India: towards 'new horizons' in medical anthropology and history (2006) Social Science & Medicine, 62, pp. 2786-2797; Latour, B., (2005) Reassembling the social: An introduction to actor-network theory, , Oxford: Oxford University Press; Lefebvre, B., The Indian corporate hospitals: Touching middle class lives (2008) Patterns of middle class consumption in India and China, , ed. Christophe Jaffrelot and Peter van der Veer. London: Sage; Lutz, C., Emotion, thought, and estrangement: Emotion as a cultural category (1986) Cultural Anthropology, 1 (3), pp. 287-309; Lutz, C., White, G., The anthropology of emotions (1986) Annual Review of Anthropology, 15 (1), pp. 405-436; Mazzarella, W., (2003) Shoveling smoke: Advertising and globalization in contemporary India, , Durham: Duke University Press; Mazzarella, W., (2009) Affect: What is it good for? In Enchantments of modernity: Empire, nation, globalization, ed, , Saurabh Dube, New Delhi: Routledge; Navaro-Yashin, Y., (2009) Affective spaces, melancholic objects: Ruination and the production of anthropological knowledge, , Journal of the Royal Anthropological Institute (NS) 15: 1-18; Patel, G., Imagining risk, care, and security: Insurance and fantasy (2007) Anthropological Theory, 7 (1), pp. 99-117; Pfeiffer, J., African independent churches in Mozambique: Healing the afflictions of inequality (2002) Medical Anthropology Quarterly, 16 (2), pp. 176-199; Roberts, E.F.S., Disease and destination: Medical travel before the contagious age, , Forthcoming, Body & Society; Rylko-Bauer, B., Farmer, P., Managed care or managed inequality? A call for critiques of market-based medicine (2002) Medical Anthropology Quarterly, 16 (4), pp. 476-502; Scheper-Hughes, N., The last commodity: Post-human ethics and the global traffic in 'fresh' organs (2005) Global assemblages: Technology, politics, and ethics as anthropological problems, , ed. Aihwa Ong and Steven Collier, Oxford: Blackwell; Sengupta, A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1); Sengupta, A., Nundy, S., The private health sector in India is burgeoning, but at the cost of public health care (2005) British Medical Journal, 331, pp. 1157-1158; Sobo, E.J., Medical travel: What it means, why it matters (2009) Medical Anthropology, 28 (4), pp. 326-335; Song, P., Biotech pilgrims and the transnational quest for stem cell cures (2010) Medical Anthropology, 29 (4), pp. 384-402; Stewart, K., (2007) Ordinary affects, , Durham: Duke University Press; Stoler, A.L., (2002) Carnal knowledge and imperial power: Race and the intimate in colonial rule, , Berkeley: University of California Press; Sunder Rajan, K., (2006) Biocapital: The constitution of postgenomic life, , Durham: Duke University Press; Thrift, N., (2007) Non-representational theory: Space, politics, affect, , New York: Routledge; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; Whittaker, A., Global technologies and transnational reproduction in Thailand (2009) Asian Studies Review, 33 (3), pp. 319-332","Solomon, H.; Department of Anthropology, Brown UniversityUnited States",,,"Taylor and Francis Inc.",,,,,,9781317615101; 9781138806658,,,"English","Heal. Holidays: Itiner. Patients, Therapeutic Locales and the Quest for Health",Book Chapter,"Final",,Scopus,2-s2.0-84979093827 "Speier A.R.","37038655600;","Health tourism in a Czech health spa",2016,"Healing Holidays: Itinerant Patients, Therapeutic Locales and the Quest for Health",,,,"55","66",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979093062&partnerID=40&md5=ffdc7b4d3b677c65d89692cfb56a9b7d","Department of Anthropology, Eckerd College, St. Petersburg, FL, United States","Speier, A.R., Department of Anthropology, Eckerd College, St. Petersburg, FL, United States","This paper is about the changing shape of health tourism in a Czech spa town. The research focuses on balneotherapy as a traditional Czech healing technique, which involves complex drinking and bathing therapies, as it is increasingly being incorporated into the development of a Czech health tourism industry. Today, the health tourism industry in Marianske Lazne is attempting to 'harmoniously' combine three elements - balneology, travel and business activities. One detects subtle shifts and consequent incongruities as doctors struggle for control over the medical portion of spa hotels. At the same time, marketing groups are creating new packages for a general clientele, and the implementation of these new packages de-medicalizes balneotherapy. Related to the issue of the doctors authority in the spa. the changes occurring with the privatization of tourism entails the entrance of 'tourists' to Marianske Lazne who are not necessarily seeking spa treatment but who are still staying at spa hotels. There is a general consensus among spa doctors and employees that balneotherapy has become commodified. Thus, while balneotherapy remains a traditional form of therapy, the commercial context in which it exists has created a new form of health tourism. © 2015 Taylor & Francis. All rights reserved.",,,,,,,,,,"Aron, C.S., (1999) Working at play: A history of vacations in the United States, , New York: Oxford University Press; Berdahl, D., (1999) Where the world ended: Re-unification and identity in the German borderland, , Berkeley: University of California Press; Carter, F.W., (1991) Czechoslovakia, , In Tourism and economic development in Eastern Europe and the Soviet Union, ed. D. Hall, London: Belhaven Press; Connell, J., Medical tourism: sea, sun, sand and . . . surgery (2006) Tourism Management, 27, pp. 1093-1100; Errington, F., Gewertz, D., (2004) Tourism and anthropology in a postmodern world, , In Tourists and tourism: A reader, ed. Sharon Bohn Gmelch. Long Grove: Waveland Press; Gal, S., Kligman, G., (2000) The politics of gender after socialism, , Princeton: Princeton University Press; Gmelch, S.B., (2004) Why tourism matters, , In Tourists and tourism: A reader, ed. Sharon Bohn Gmelch, Long Grove: Waveland Press; Hahn, C., (2002) Postsocialism: Ideals, ideologies and practices in Eurasia, , New York: Routledge; Inhorn, M.C., Birenbaum-Carmeli, D., Assisted reproductive technologies and culture change (2008) Annual Review of Anthropology, 37, pp. 177-196; Jirásek, K., (1979) Ceskoslovenské Lázne, , Praha: Olympia; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for health care (2006) International Journal of Fertility and Women's Medicine, 51 (6), pp. 251-255; Matorras, R., Reproductive exile versus reproductive tourism (2005) Human Reproduction, 20 (12), p. 3571; Nepustil, B., (1949) Czechoslovak public health services, , compiled from data supplied by the Ministry of Health; Noack, C., Coping with the tourist: Planned and 'wild' mass tourism on the Soviet Black Sea coast (2006) Turizm: The Russian and East European tourist under capitalism and socialism, , ed. A.E. Gorsuch and D.P. Koeneker, Ithaca: Cornell University Press; Pennings, G., Reply to 'Reproductive exile versus reproductive tourism' (2005) Human Reproduction, 20 (12), pp. 3571-3572; Prerovský, K., (1957) Czechoslovak spas, , Pragne: Mír 1; Urry, J., (2002) The tourist gaze, , 2nd edn. London: Sage Publications","Speier, A.R.; Department of Anthropology, Eckerd CollegeUnited States",,,"Taylor and Francis Inc.",,,,,,9781317615101; 9781138806658,,,"English","Heal. Holidays: Itiner. Patients, Therapeutic Locales and the Quest for Health",Book Chapter,"Final",,Scopus,2-s2.0-84979093062 "Kim M.-S.","57148732000;","Determinants of online information credibility: A case of korean medical tourism industry",2016,"International Journal of Applied Engineering Research","11","2",,"1062","1068",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959531527&partnerID=40&md5=d4b9e06dab908e283d73ff4edbd6e763","Department of International Trade and Commerce, Keimyung University, 1095, Dalseo-Gu, Daegu, 704-701, South Korea","Kim, M.-S., Department of International Trade and Commerce, Keimyung University, 1095, Dalseo-Gu, Daegu, 704-701, South Korea","The aim of this paper is to propose a new model for enhancing medical tourism destination image. The model considers the credibility of both supplier-based official websites and buyer-based private SNS, which influences medical tourism destination image. Medical tourism websites provide supplier-based information storage, while SNS information about Korean medical tourism contains buyer-based information. These two channels play important factors in positioning Korea as a medical tourism destination. © Research India Publications.","Medical tourism destination image; Medical tourism website; SNS information credibility",,,,,,,,,"Milstein, A., Smith, A., America’s New Refugees: Seeking Affordable Surgery Offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; Hu, Y., Sundar, S.S., Effects of Online Health Sources on Credibility and Behavioral Intentions (2010) Communication Research, 37 (1), pp. 105-132; Li, X., Wang, Y., (2011) Depicting Image of China as A Tourism Destination: A Travel Blog Approach, , Paper presented at the 16th Graduated Students Research Conference, Houston, TX; Manson, A., Wright, K.B., Framing Medical Tourism: An Examination of Appeal, Risk, Convalescence, Accreditation, and Interactivity in Medical Tourism Website (2011) Journal of Health Communication, 16, pp. 163-177; (2009) 2008-2009 Statistical Survey Report on Chinese Blog Market and Behavior, , ttp://www.cnnic.cn/uploadfiles/pdf/2009/10/10/105733.pdf; Sun, M., Ryan, C., Pan, S., Using Chinese Travel Blogs to Examine Perceived Destination Image: The Case of New Zealand (2015) Journal of Travel Research, 54 (4), pp. 543-555; Zhang, Z., Ye, Q., Law, R., Li, Y., The Impact of E-Word-of-Mouth on the Online Popularity of Restaurants: A Comparison of Consumer Reviews and Editor Reviews (2010) International Journal of Hospitality Management, 29 (4), pp. 694-700; Lim, S.T., A Study on The Image of the Country of Medical Tourism and Customer’s WOM by The SNS(Social Network Service): Focus on the Cosmetic Surgery (2013) Korea Journal of Tourism and Hospitality Research, 27 (2), pp. 63-74; Jung, S.M., Kim, Y.H., A Study on the Effects of SNS Information Characteristics and SNS Site Characteristics on the Intention to Visit a Restaurant (2015) The Korean Journal of Culinary Research, 21 (2), pp. 159-173; Gary, A., User Generated Content: The Use of Blogs for Tourism Organization and Tourism Consumers (2009) Service Business, 3 (1), pp. 51-61; Cox, C., Burgess, S., Sellitto, C., Buultjens, J., The Role of User-Generated Content in Tourists’ Travel Planning Behavior (2009) Journal of Hospitality Marketing and Management, 18 (8), pp. 743-764; Jin, K.N., Lee, E.J., A Comparative Analysis of Official Medical Tourism Website: Korea, Thailand, Malaysia (2015) Journal of the Kora Contents Association, 15 (2), pp. 408-418; Min, S., Kim, H.S., Ha, Y.J., Kim, H.Y., Kim, E.A., The Effect of Quality Cognition of the Website of the Facility Hospital on Customer Loyalty (2011) Proc. Spring Conf. DAEHAN Association of Business Administration, pp. 372-384; Kim, M.S., SNS Information Credibility, Medical Tourism Website Credibility and Destination Image (2015) Advanced Science and Technology Letters, 114, pp. 141-145. , (Business 2015); Veasna, S., Wu, W.-Y., Huang, C.-H., The Impact of Destination Source Credibility on Destination Satisfaction: The Mediating Effects of Destination Attachment and Destination Image (2013) Tourism Management, 36, pp. 511-526; Chiou, J.S., Cheng, C., Should a Company Have Message Boards on Its Web Sites? (2003) Journal of Interactive Marketing, 17 (3), pp. 50-61; Elliott, K.M., (2002) Understanding Consumer-To-Consumer Influence on the Web, Doctoral Dissertation, , Duke University; Bickart, B., Schindler, R.M., Internet Forms as Influential Sources of Consumer Information (2001) Journal of Interactive Marketing, 15 (3), pp. 31-40; Taylor, S.E., Thompson, S.C., Stalking the Elusive (1982) Psychological Review, 89, pp. 155-181; Kim, J., Kardes, F.R., Herr, P.M., Consumer Expertise and the Vividness Effect: Implication for Judgement and Inference (1991) Advances in Consumer Research, 18, pp. 90-93; McGill, A.L., Anand, P., The Effect of Vivid Attributes on the Evaluation of Alternatives: The Role of Differential Attention and Cognitive Elaboration (1989) Journal of Consumer Research, 16, pp. 188-196; Hovland, C.I., Janis, I.L., Kelley, H.H., (1953) Communication and Persuasion, , New Haven, CT: Yale University Press; Appelman, A., Sundar, S.S., Measuring Message Credibility: Construction and Validation of an Exclusive Scale (2015) Journalism & Mass Communication Quarterly, 5, pp. 1-21. , October; Chih, W.-H., Wang, K.-Y., Hsu, L.-C., Huang, S.-C., Investigating Electronic Word-of-Mouth Effects on Online Discussion Forums: The Role of Perceived Positive Electronic Word-of-Mouth Review Credibility (2013) Cyberpsychology, Behavior, and Social Networking, 16 (9), pp. 658-668; Luo, Y., Determinants of Entry in an Emerging Economy: A Multilevel Approach (2010) Journal of Management Studies, 38 (3), pp. 443-472; Banyai, M., Glover, T.D., Evaluating Research Methods on Travel Blogs (2012) Journal of Travel Research, 51 (3), pp. 267-277","Kim, M.-S.; Department of International Trade and Commerce, Keimyung University, 1095, Dalseo-Gu, South Korea; email: kms@gw.kmu.ac.kr",,,"Research India Publications",,,,,09734562,,,,"English","Int. J. Appl. Eng. Res.",Article,"Final",,Scopus,2-s2.0-84959531527 "Tervo-Kankare K., Tuohino A.","56049620800;6505504519;","Defining ‘rurality’ for rural wellbeing tourism - Halfacree’s conceptual triad of the production of rural space in practical-level tourism development in Northern Europe",2016,"Nordia Geographical Publications","45","2",,"37","52",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043694228&partnerID=40&md5=175de57c647f3cabfd783c20f668ed30","Geography Research Unit, University of Oulu, Finland; Centre for Tourism Studies, University of Eastern Finland, Finland","Tervo-Kankare, K., Geography Research Unit, University of Oulu, Finland; Tuohino, A., Centre for Tourism Studies, University of Eastern Finland, Finland","The developers in Northern Europe are increasingly looking into tourism as a potential livelihood and contributor to employment and local economies, especially in rural (and peripheral) areas. One potential form of tourism to be further developed in these areas is wellbeing tourism that has started to gain increasing attention in rural areas. In addition, the development of the common rural wellbeing tourism market has started to increase in Northern Europe, and especially around the Baltic Sea. However, the nonexistence of shared understanding of the central concepts, ‘rural’ and ‘wellbeing tourism’ hinders international, collaborative development activities among the various tourism stakeholders operating in the area. Therefore, it is essential to construct a common conception in order to progress in the development of the common rural wellbeing tourism market. In this article we describe one construction process of a commonly accepted, over-arching definition for ‘rural tourism’ or ‘rurality’ in a transnational and multi-stakeholder development project. Our aim is to examine the applicability of the well-known triad understanding of the ‘rural’, originally introduced by Halfacree, in this context. The triad has been utilised in different tourism-related contexts, but its practicality and potential for use in tourism development has been studied less. The definition process we describe in this article shows that the triad cannot be directly utilised for practical-level tourism development purposes. The results indicate that a more critical approach or even deconstruction of Halfacree’s triad could give more fresh and new angles to the development of rural tourism products. © 2016 University of Oulu. All Rights Reserved.","Halfacree; Rural tourism; Rurality; Tourism development; Wellbeing tourism","development strategy; rural area; stakeholder; tourism development; tourism market; Northern Europe",,,,,,,,"Anderson, R., (2004) Quality of Life in Rural Europe, , European Foundation for the Improvement of Living and Working Conditions, Dublin; Baležentis, T., Krišciukaitiene, I., Baležentis, A., Garland, R., Rural tourism development in Lithuania (2003-2010) – A quantitative analysis (2012) Tourism Management Perspectives, 2-3, pp. 1-6; Baldacchino, G., Helgadóttir, G., Mykletun, R.J., Rural tourism: Insights from the north Atlantic (2015) Scandinavian Journal of Hospitality and Tourism, 15 (1-2), pp. 1-7; Bell, D., Variation on the rural idyll (2006) Handbook of Rural Studies, pp. 149-160. , Cloke, Marsden, T. & Mooney (eds.): Sage Publications, London; Bell, S., Montarzino, A., Aspinall, P., Peneze, Z., Nikodemus, O., Rural society, social inclusion and landscape change in Central and Eastern Europe: A case study of Latvia (2009) Sociologica Ruralis, 49 (3), pp. 295-326; Bell, S., Simpson, M., Tyrväinen, L., Sievänen, T., Pröbstl, U., (2009) European Forest Recreation and Tourism: A Handbook, , ). 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(eds): Routledge, Abingdon; Butler, R., Hall, C.M., Jenkins, J., (1998) Tourism and Recreation in Rural Areas, , eds.): John Wiley & Sons Ltd, Chichester; Carneiro, M.J., Lima, J., Lavrador Silva, A., Landscape and the rural tourism experience: Identifying key elements, addressing potential, and implications for the future (2015) Journal of Sustainable Tourism, 23 (8-9), pp. 1217-1235; Cawley, M., Gillmor, D.A., Integrated rural tourism: Concepts and practice (2008) Annals of Tourism Research, 35 (2), pp. 316-337; Daugstad, K., Negotiating landscape in rural tourism (2008) Annals of Tourism Research, 35 (2), pp. 402-426; Dong, E., Wang, Y., Morais, D., Brooks, D., Segmenting the rural tourism market: The case of Potter Country, Pennsylvania, USA (2013) Journal of Vacation Marketing, 19 (2), pp. 181-193; Eronen, R., Tuohino, A., (2015) Suomalainen Maaseutu Hyvinvointimatkailun Sisältönä. Finrelax – Suomalainen Maaseutu Hyvinvointimatkailun Sisältönä Ja Toimintaympäristönä -Hankkeen Loppuraportti, , http://epublications.uef.fi/pub/urn_nbn_fi_uef-20150169/urn_nbn_fi_uef-20150169.pdf, ). Itä-Suomen yliopisto. 20.10.2016; (2008) Rural Europe: Definitions, Issues and Policies. 15.9, , http://www.foundationfuturegenerations.org/UserFiles/File/Infopack_en.pdf, European Citizens’ Panel 2016; (2008) Agriculture and Rural Development, , http://ec.europa.eu/agriculture/rurdev/index_en.htm, European Commission 20.10.2016; (2013) Rural Development in The EU. Statistical and Economic Information, , http://ec.europa.eu/agriculture/statistics/rural-development/2013/full-text_en.pdf, European Commission Report 2013. 5.5.2016; (2014) European Network for Rural Development, , http://enrd.ec.europa.eu/enrd-static/policy-in-action/rural-development-policy-overview/introduction/en/introduction_en.html, European Commission 19.9.2016; Fredman, P., Tyrväinen, L., Frontiers in nature-based tourism (2010) Scandinavian Journal of Hospitality and Tourism, 10 (3), pp. 177-189; Frisvoll, S., Power in the production of spaces transformed by rural tourism (2012) Journal of Rural Studies, 28 (4), pp. 447-457; Graefe, A., Armstrong, J.S., Comparing face-to-face meetings, nominal groups, Delphi and prediction markets on an estimation task (2011) International Journal of Forecasting, 1, pp. 183-195; Grimsrud, G.M., How well does the ‘counter-urbanisation story’ travel to other countries? The case of Norway (2011) Population, Space and Place, 17 (5), pp. 642-655; Halfacree, K., Rural space: Constructing a three-fold architecture (2006) Handbook of Rural Studies, pp. 44-62. , Cloke, Marsden, T. & Mooney (eds.): Sage Publications. London; Halfacree, K., Trial by space for a ‘radical rural’: Introducing alternative localities, representations and lives (2007) Journal of Rural Studies, 23 (2), pp. 125-141; Halfacree, K., Heterolocal identities? Counter-urbanisation, second homes, and rural consumption in the era of mobilities (2012) Population, Space and Place, 18 (2), pp. 209-224; Hall, C.M., Boyd, S., Nature-based tourism in peripheral areas: Introduction (2005) Nature-Based Tourism in Peripheral Areas. Development or Disaster?, pp. 3-20. , ). In Hall, C. M. & S. Boyd (eds.): Channel View Publications, Clevedon; Hall, C.M., Müller, D.K., (2008) Nordic Tourism: Issues and Cases, , ). Channel View Publications, Clevedon; Heberlain, T., Fredman, P., Vuorio, T., Current tourism patterns in the Swedish mountain region (2002) Mountain Research and Development, 22 (2), pp. 142-149; Herslund, L., Rural diversification in the Baltic countryside: A local perspective (2007) GeoJournal, 70, pp. 47-59; Hjalager, A.-M., Konu, H., Huijbens, E.H., Björk, P., Flagestad, A., Nordin, S., Tuohino, A., (2011) Innovation and Re-Branding Nordic Wellbeing Tourism, , http://nordicinnovation.org/Global/_Publications/Reports/2011/2011_NordicWellbeingTourism_report.pdf, ). Norden. Nordic Innovation Centre; Hjalager, A.-M., Tervo-Kankare, K., Tuohino, A., Konu, H., (2015) ProWell – Towards A New Understanding of Rural Wellbeing Tourism, , http://static.sdu.dk/Flexpaper/aspnet/Flex_document.aspx?doc=/sitecore/media%20library/Files/epage/Om_SDU/Institutter/Iful/CLF_reports/ProWell%20report%20final%20May%202015pdf?sc_database=web, ). Danish Centre for Rural Research. University of Southern Denmark. 15.10.2016; Ilbery, B., Kneafsey, M., Producer constructions of quality in regional speciality food production: A case study from south west England (2000) Journal of Rural Studies, 16 (2), pp. 217-230; Jepson, D., Sharpley, R., More than sense of place? Exploring the emotional dimension of rural tourism experiences (2015) Journal of Sustainable Tourism, 23 (8-9). , ). 1157–1178; Juska, A., Discourses on rurality in post-socialist news media: The case of Lithuania’s leading daily “lietuvos rytas” (1991-2004) (2007) Journal of Rural Studies, 23 (2), pp. 238-253; Kandampully, J., Service management: A new paradigm in health and wellness services (2014) Service Management in Health & Wellness Services, pp. 1-6. , Kamdampully, J. (ed.): Kendall Hunt, Dubuque; Konu, H., Tuohino, A., Björk, P., Well-being tourism in Finland (2014) Health, Tourism and Hospitality. Wellness, Spas and Medical Travel, pp. 345-349. , ). In Smith, M. & L. Puczkó (eds.): 2nd Ed. Routledge, Abingdon; Kristensen, S.P., Danish rural areas: Recent experiences and future trends (2004) Changing Functions of Rural Areas in The Baltic Sea Region, pp. 59-77. , Banski, J. (ed.): Institute of Agricultural and Food Economics and the Institute of Geography and Spatial Organization, Polish Academy of Sciences, Warsaw; Lane, B., What is rural tourism? (1994) Rural Tourism and Sustainable Rural Development, pp. 7-21. , B. Bramwell, & B. Lane (eds.): Channel View Publications, Clevedon; Lane, B., Rural tourism: An overview (2009) The SAGE Handbook of Tourism Studies, pp. 354-370. , T. Jamal & M. Robinson (eds.): Sage, London; Lane, B., Kastenholz, E., Rural tourism: The evolution of practice and research approaches: Towards a new generation concept? (2015) Journal of Sustainable Tourism, 23 (8-9), pp. 1133-1156; Martins Almeida, A.M., Correia, A., Pimpão, A., Segmentation by benefits sought: The case of rural tourism in Madeira (2014) Current Issues in Tourism, 17 (9), pp. 813-831; (2000) Nordic-Baltic Co-Operation on Sustainable Rural Development. Country Note Report, , Nordic Council Nordic Council of Ministers, Copenhagen; Pesonen, J.A., Segmentation of rural tourists: Combining push and pull motivations (2012) Tourism and Hospitality Management, 18 (1), pp. 69-82; Rye, J.F., Berg, N.G., The second home phenomenon and Norwegian rurality (2011) Norsk Geografisk Tidsskrift, 65 (3), pp. 126-136; Sharpley, R., Jepson, D., Rural tourism A spiritual experience? (2011) Annals of Tourism Research, 38 (1), pp. 52-71; Sharpley, R., Sharpley, J., (1997) Rural Tourism. An Introduction, , ). Thompson, London; Smith, M., Puczkó, L., (2014) Health, Tourism and Hospitality. Wellness, Spas and Medical Travel, , ). 2nd Ed. Routledge, Abingdon; Smith, M., Puczkó, L., Taking your life into your own hands? New trends in European health tourism (2010) Tourism Recreational Research, 35 (2), pp. 161-172; Svendsen, G.L.H., The right to development: Construction of a non-agriculturalist discourse of rurality in Denmark (2004) Journal of Rural Studies, 20 (1), pp. 79-94; Tuohino, A., Konu, H., Local stakeholders’ views about destination management: Who are leading tourism development? (2014) Tourism Review, 69 (3), pp. 202-215; Tuohino, A., Konu, H., Hjalager, A.-M., Huijbens, E., Practical examples of service development and innovations in the Nordic well-being industry (2013) Service Management in Health & Wellness Services, pp. 325-346. , In Kandampully, J. (ed.): Kendall Hunt, Dubuque; (2015) Turizmo Įstatymas, p. 25. , http://www3.lrs.lt/pls/inter3/dokpaieska.showdoc_l?p_id=404344, 9.2016; Turner, B., Economic, social, and cultural contexts for market and product diversification of the Lithuanian tourism sector (2007) Transition Studies Review, 14 (3), pp. 525-542; Vepsäläinen, M., Pitkänen, K., Second home countryside. Representations of the rural in Finnish popular discourses (2010) Journal of Rural Studies, 26 (2), pp. 194-204; Woods, M., (2011) Rural, , Routledge Abingdon; Yarwood, Lost and hound: The more-than-human networks of rural policing (2015) Journal of Rural Studies, 39, pp. 278-286",,,,"Geographical Society of Northern Finland",,,,,12382086,,,,"English","Nord. Geogr. Publ.",Article,"Final",,Scopus,2-s2.0-85043694228 "Vasileiou M., Tsartas P., Stogiannidou M.","36802133300;6507177744;57195353042;","Wellness tourism: Integrating special interest tourism within the Greek tourism market",2016,"Tourismos","11","3",,"210","226",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027394179&partnerID=40&md5=f4ffb62ddb1fdfe41110d24c57540160","University of the Aegean, School of Business Administration, 8, Mihalon str., Chios, 82100, Greece","Vasileiou, M., University of the Aegean, School of Business Administration, 8, Mihalon str., Chios, 82100, Greece; Tsartas, P., University of the Aegean, School of Business Administration, 8, Mihalon str., Chios, 82100, Greece; Stogiannidou, M., University of the Aegean, School of Business Administration, 8, Mihalon str., Chios, 82100, Greece","Tourism industry in the past two decades is increasingly subsuming the identity of an experience industry. Within the framework of the global crisis, Greece seeks for a way of rejuvenating, differentiating and upgrading in quality a ""tired"" tourism product within a broader framework of an enriched tourism product in terms of special interest tourism development- either as a core product or as a complementary product to the mass tourism model. In particular, wellness tourism in Greece, following the tradition of the past - which related to the traditional spa- towns-presents a dynamic revival and claims its position in the global tourism market. This paper examines the typology and potentials created through investing in special interest tourism and in particular in the dynamics of Wellness Tourism development in Greece. It examines the main characteristics and typology of a major part of the supply side of the wellness tourism market in Greece. It tries to identify the possible relation of wellness tourism to other special interest tourism types that could support the development of a complex of special interest tourism activities. It aspires to identify the consumer behaviour / motives of the tourists visiting wellness hotels in Greece in order to relate them with the need to invest in rising markets and new ways of wellness tourism marketing management and finally, presents some of the most important problems the Greek wellness tourism market encounters that must be addressed in order to escape form the crisis vortex. © University of the Aegean.","Motivation; Special interest tourism; Wellness; Wellness tourism product typology; Wellness tourists' typology",,,,,,,,,"Cohen, M., Bodecker, G., (2008) Understanding the global spa industry, , London: Butterworth - Heinemann; Cooper, C., (2008) Tourism: Principles and Practice, , (4th ed.). Edinburgh Gate: Pearson Education ltd; Crompton, J.L., Motivations for pleasure vacation (1979) Annals of Tourism Research, 6 (4), pp. 408-424; Decrop, A., Triangulation in Qualitative tourism research (1999) Tourism Management, 20, pp. 157-161; Survey on the attitudes of Europeans towards tourism (2013), http://ec.europa.eu/public_opinion/flash/fl_370_en.pdf, Accessed the 22th of July 2013; Farsari, I., Soteriadis, M., (2009) Alternative and special interest tourism, , Athens: Interbooks; (2009), http://www.globalwellnesssummit.com/, Spa benchmark report, Accessed the 8h of August 2010; Wellness Tourism and Medical Tourism: Where do Spas fit? (2011), http://www.globalwellnesssummit.com/, Research Report, Accessed the 28th of May2012; Hall, M., Weiler, B., (1992) Special Interest Tourism, , New York: Wiley and sons; Iso-Ahola, S.E., (1980) The Social Psychology of Leisure and Recreation, , Dubuque, IA:W. C. Brown Co. Publishers; (2012) Spa Consumer Snapshot Initiative, 1. , Conducted by PricewaterhouseCoopers LLP; Kaspar, C., A new lease on life for spa and health tourism (1990) Annals of Tourism Research, 17 (2), pp. 298-299; Kokkosis, H., Tsartas, P., (2001) Sustainable tourism development and the environment, , Athens: Kritiki; Maslow, A., (1970) A theory of Motivation. N.A.; Spa tourism International (2007), http://www.mintel.com/search-page?q=spa+tourism+&sa=+, June, Accessed the 26th of October 2009; Mooi, E., Sarstedt, M., (2011) A concise Guide to Market Research: The process, data, methods using IBM SPSS Statistics, , Heidelberg: Springer; Mueller, H., Kaufmann, E., Wellness Tourism: Market Analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Opaschowski, H., (2001) Turismus im 21 jahrjundert, das gekaufte paradies, , Hamburg: B.A.T. Frezeit- Forschungsinstitut GmbH; Greek Tourism Facts and Figures (2013), http://sete.gr/el/statistika-vivliothiki/statistika/, Accessed the 29th of May 2013; Schwandt, T., (1997) Qualitative Inquiry- A dictionary of terms, , London: Sage publications; Smith, M., Puczko, L., (2008) Health and wellness tourism, , London: Butterworth Heinemann; Trauer, B., Conceptualizing special interest tourism- frameworks for analysis (2006) Tourism management, 27, pp. 183-200; Vasileiou, M., Tsartas, P., Special Interest Tourism and Sustainable Tourism development: The case of Wellness Tourism Market in Greece: Can Special Interest Tourism provide ways of rejuvenating and stimulating a traditional tourism destination in crisis in terms of sustainable tourism development? (2013), Paper presented at International Conference: Sustainability Issues and Challenges in Tourism. Bogaziçi University and New Buckinghamshire University Istanbul, Turkey, 3-5/10/ 2013; Vasileiou, M., Tsartas, P., The wellness tourism market in Greece: An interdisciplinary methodology approach (2009) Tourismos, 4 (4), pp. 127-144; Veal, A.J., (2006) Research Methods for leisure and tourism, , (3rd ed). London: Pearson Professional ltd; Weiler, B., Hall, M., (1992) Special interest tourism, , London: Belhaven Press; (2013) 4WR: Wellness for Whom, Where and What?; (2013), www.wellnesstourismworldwide.com, Full research report, Accessed the 28th of May; The role of recreation management in the development of active holidays and special interest tourism and consequent enrichment of the holiday experience (1985), United Nations Development programme /WTO. Madrid: WTO",,,,"University of the Aegean",,,,,17908418,,,,"English","Tourismos",Article,"Final",,Scopus,2-s2.0-85027394179 "Razumovskaya E.M., Mishakin T.S., Berdnikova O.A., Khasanova A.M.","55965843100;56347630500;56938754300;57194099143;","Medical tourism in the republic of Tatarstan: Opportunities and preconditions for sustainable development",2016,"Social Sciences and Interdisciplinary Behavior - Proceedings of the 4th International Congress on Interdisciplinary Behavior and Social Science, ICIBSOS 2015",,,,"227","229",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018667465&partnerID=40&md5=8f9148209009c11a09b63a869b0f4271","Kazan Federal University, Kazan, Russian Federation; City Clinical Hospital, Russian Federation","Razumovskaya, E.M., Kazan Federal University, Kazan, Russian Federation; Mishakin, T.S., Kazan Federal University, Kazan, Russian Federation; Berdnikova, O.A., Kazan Federal University, Kazan, Russian Federation; Khasanova, A.M., City Clinical Hospital, Russian Federation","Every year thousands of people around the world are traveling for medical treatment. Distance, cost, expertise, and availability of treatment are the factors that lead us to make a choice of destination and medical provider. This article discusses and analyzes the condition and development of perspectives of medical tourism in the Republic of Tatarstan. This article contains the definition of key factors in the successful development of medical tourism in Tatarstan and develops an agenda for the future. © 2016 Taylor & Francis Group, London.",,,,,,,,,,"Connell, J., Contemporary medical tourism: Conceptualization, culture and commodification (2013) Tour. Manag, 34; Global Medical Tourism Briefing: A Fast Growing Niche Market (2011) Euromonitor International; Beladi, H., Chao, C.-C., Ee, M.S., Hollas, D., Medical tourism and health worker migration in developing countries (2015) Economic Modelling, 46, pp. 391-396; Amirov, N., Bogdanov, E.I., Guryleva, M.E., Zefirov, A.L., Ismagilov, M.F., Mukhamedzyanov, R.Z., Sozinov, A.S., The history of Kazan neurological school (2007) Journal of the History of the Neurosciences, 16 (1-2), pp. 110-122; Ismagilova, G.N., Safiullin, L.N., Bagautdinova, N.G., Tourism development in region based on historical heritage (2014) Life Science Journal, 11 (6 s), pp. 363-367; Maksimov, D.S., Maximova, M.N., Mishakin, T.S., The System of social support and social services in the Republic of Tatarstan (2015) Mediterranean Journal of Social Sciences, 6 (1S3), pp. 386-390; Razumovskaya, E.M., Mishakin, T.S., Popov, M.L., Kucevol, N.G., Medical services during the XXVII world summer universiade 2013 in Kazan (2014) Mediterranean Journal of Social Sciences, 5 (18), pp. 17-20. , SPEC. ISSUE; Razumovskaya, E.M., Kutsevol, N., Popov, M., Mishakin, T., Leto, L., Tsalikova, V., The effectiveness of management practice in the market of socially important services (2014) Asian Social Science, 10, pp. 118-122. , 28 September; Egorov, E.V., Tsalikova, V.V., Razumovskaya, E.M., Contemporary issues of Russian population’s health economics (2015) Mediterranean Journal of Social Sciences, 6 (1S3), pp. 391-395; Panasyuk, M.V., Dzasaeva, R.D., Shaidullin, R.N., Anopchenko, T.Y., Problems of modernization of the health economics in the russian regions (2013) World Applied Sciences Journal, 27 (13), pp. 154-158; Gafurov, I.R., Bagautdinova, N.G., Panasyuk, M.V., Analysis of Strategic Perspectives of Competitiveness of Kazan // Recent Researches in Urban Sustainability, Architecture and Structures (2013) Proceedings of the 2Nd International Conference on Sustainable Cities, Urban Sustainability and Transportation (SCUST’13), pp. 37-44. , Baltimore, MD, USA, September 17-19, 2013.—Baltimore: WSEAS Press; Bagautdinova, N., Gafurov, I., Kalenskaya, N., Novenkova, A., The regional development strategy based on territorial marketing (The Case of Russia) (2012) World Applied Sciences Journal, 18, pp. 179-184. , Issue SPL. ISSUE. 18)",,"Hutagalung F.Gaol F.L.Bagautdinova N.Safiullin L.","","CRC Press/Balkema","4th International Congress on Interdisciplinary Behavior and Social Science, ICIBSOS 2015","7 November 2015 through 8 November 2015",,180139,,9781138028388,,,"English","Soc. Sci. Interdiscip. Behav. Proc. Int. Congr. Interdiscip. Behav. Soc. Sci.",Conference Paper,"Final",,Scopus,2-s2.0-85018667465 "Reddy S.","36107370400;","Changing health care dynamics: Corporatization and medical tourism in national capital region",2016,"Marginalization in Globalizing Delhi: Issues of Land, Livelihoods and Health",,,,"291","305",,,"10.1007/978-81-322-3583-5_16","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018085783&doi=10.1007%2f978-81-322-3583-5_16&partnerID=40&md5=5104834e343d67cb451858cd8f28bd48","Center of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi, India","Reddy, S., Center of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi, India","This paper analyzes the changing landscape of health care in Delhi and National Capital Region (NCR), post independence. How the landscape changed from public service-oriented health care provisioning to privatized and corporatized health care, thanks to liberalization and health sector reforms. The paper further looks at the growth of the corporate sector from critical public health perspective. Based on the secondary sources of literature, health policies and program documents, the paper traces out the growth of private/corporate sector, which has led to marginalization of the poor and dichotomous health care provisioning. Ill equipped, overburdened public hospital services for the poor and state of art, accredited, posh corporate health care sector for the rich, insured and foreign patients, under the captivating term “Medical Tourism."". © Springer India 2017.","Corporate hospitals; Health care; Medical tourism; Mega cities; Privatization",,,,,,,,,"Baru, R.V., (1998) Private health care in India: Social characteristics and trends., , New Delhi:Sage Publications; Baru, R.V., Privatisation of health services: A South Asian perspective (2003) Economic and Political Weekly, 38 (42), pp. 4433-4437; Borman, E., Health tourism: Where healthcare, ethics, and the state collide (2004) BMJ. British Medical Journal, 328 (7431), p. 60; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Godwin, S.K., Medical tourism: Subsidizing the rich (2004) Economic and Political Weekly, pp. 3981-3983; (1946) Report of the Health Survey & Development Committee (Bhore Committee) Delhi., 2. , Manager of Publications; (1992) Eighth Five Year Plan, 1992-1997., 2. , New Delhi, 1992; (1997) Ninth Five Year Plan, 1997-2002, 2. , New Delhi, 1997; (2002) National Health Policy II., , Ministry of Health and Family Welfare:New Delhi; (2002) Tenth Five Year Plan, 2002-2007., 2. , New Delhi, 2002; (2007) Eleventh Five Year Plan, 2007-2012, 1. , New Delhi:Government of India. 2008; (2001) Enquiry Report of High Level Committee for Hospitals in Delhi., , Qureshi: New Delhi. Chairman A.S; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2010) Journal of Health Planning and Policy., 25 (3), pp. 248-251; Inhorn, M.C., Patrizio, P., Rethinking reproductive “tourism” as reproductive “exile” (2009) Fertility and Sterility, 92 (3), pp. 904-906; Mehta, A., (2015) ‘Delhi: Max hospital in tax trouble; found flouting charity clause’ Hindustan Times, , New Delhi Updated: Apr 05, 2015 08:27 IST; (2015) Draft. December, 2014, , http://www.mohfw.nic.in/showfile.php?lid=3014, Retrieved November 28, 2015, from; Patel, V., Parikh, R., Nandraj, S., Balasubramaniam, P., Narayan, K., Paul, V.K., Assuring Health Coverage for all In India (2015) Lancet, 386, pp. 2422-2435; Qadeer, I., Sen, K., Nayar, K.R., (2001) Public Health & the Poverty of Reforms, , Sage, New Delhi; Qadeer, I., Reddy, S., Medical care in the shadow of public private partnership (2006) Social Scientist, 34 (9-10), pp. 4-20; Qadeer, I., Reddy, S., Medical tourism in India: Perceptions of physicians in tertiary care hospitals (2013) Philosophy, Ethics, and Humanities in Medicine, 8, p. 20; Rao, M., Rao, K.D., Kumar, A.S., Chatterjee, M., Sundararaman, T., Human resources for health in India (2011) The Lancet, 377 (9765), pp. 587-598; Reddy, S., Mary, I., RACHI Scheme in AP: A comprehensive analytical view PPP model (2013) Indian Journal of Public Health, 57 (4), pp. 254-259; Reddy, S., Qadeer, I., Medical tourism in India: Progress or predicament? (2010) Economic and Political Weekly, 45 (20), pp. 69-75; Sengupta, A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1); Sujatha, V., Abraham, L., Medicine, state and society (2009) Economic and Political Weekly, pp. 35-43; Universal Declaration of Human Rights (1948) United Nations, 1948.; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; (2001) ‘Health nutrition, population sector unit South Asian region, raising the sight, better health systems for Indian poor., , Washington: World Bank","Reddy, S.; Center of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru UniversityIndia; email: sunitareddyjnu@gmail.com",,,"Springer India",,,,,,9788132235835; 9788132235811,,,"English","Marginalization in Globalizing Delhi: Issues of Land, Livelihoods and Health",Book Chapter,"Final",,Scopus,2-s2.0-85018085783 "Zain N.A.M., Zahari M.S.M., Hanafiah M.H., Ahmad R.","57189523590;41763046800;55371668100;55851948245;","A conceptual framework on perceived values, satisfaction and behavioral intention of medical tourism",2016,"Heritage, Culture and Society: Research agenda and best practices in the hospitality and tourism industry - Proceedings of the 3rd International Hospitality and Tourism Conference, IHTC 2016 and 2nd International Seminar on Tourism, ISOT 2016",,,,"89","94",,,"10.1201/9781315386980-16","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016227082&doi=10.1201%2f9781315386980-16&partnerID=40&md5=d49b354bac0b799a0f83187212fa9f5f","Faculty of Hotel and Tourism Management, Universiti Teknologi MARA, Puncak Alam CampusSelangor, Malaysia","Zain, N.A.M., Faculty of Hotel and Tourism Management, Universiti Teknologi MARA, Puncak Alam CampusSelangor, Malaysia; Zahari, M.S.M., Faculty of Hotel and Tourism Management, Universiti Teknologi MARA, Puncak Alam CampusSelangor, Malaysia; Hanafiah, M.H., Faculty of Hotel and Tourism Management, Universiti Teknologi MARA, Puncak Alam CampusSelangor, Malaysia; Ahmad, R., Faculty of Hotel and Tourism Management, Universiti Teknologi MARA, Puncak Alam CampusSelangor, Malaysia","The paper reviews the growing dimension of medical tourism industry, whereby patients choose to travel across borders or to overseas destinations to receive medical treatment. An extensive review of the current literature reveals that limited holistic studies on medical tourism industry exist. This study, therefore, aims to fill this gap by proposing a conceptual framework for medical tourism. This study develops a conceptual framework explaining medical travelers’ intention formation by considering the impact of perceived values, satisfaction, behavioral intention. This proposed study not only provides useful information for the academicians but benefit to the relevant authorities like hospitals, clinics, travel agencies, the government agencies and country as a whole. © 2016 Taylor & Francis Group, London.","Behavioral intention; Medical; Perceived value; Satisfaction; Tourism","Behavioral intention; Medical; Perceived value; Satisfaction; Tourism; Patient treatment",,,,,,,,"Ajzen, I., Fishein, M., (1980) Understanding Attitudes and Predicting Social Behaviour, , Englewood Cliffs, NJ: Prentice-Hall; Bagozzi, R.P., The construct validity of the affective behavioral and cognitive components of attitude by analysis of covariance structures (1978) Multivariate Behavioral Research, 13, pp. 9-31; Bloemer, J., De Ruyter, K., Wetzels, M., Linking Perceived Service Quality and Service Loyalty: A Multi-Dimensional Perspective (1999) European Journal of Marketing, 33 (11), pp. 1082-1106; Boulding, W., Kalra, A., Staelin, R., Zeithaml, V., A dynamic process model of service quality. From expectations of behavioral intentions (1993) Journal of Marketing Research, 30, pp. 7-27; Casey, V., (2013) Understanding Friends and Family members’ Experiences of Going Abroad with Medical Tourists, , Unpublished dissertation Simon Fraser University; Chen, Y.Y.B., Flood, C.M., Medical tourism’s impact on health care equity and access in low-and middle-income countries: Making the case for regulation (2013) Journal of Law, Medicine & Ethics, 30, pp. 169-177; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Crooks, V.A., Turner, L., Cohen, I.G., Bristeir, J., Snyder, J., Casey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of Canadian health and safety representatives’ perspectives (2013) BMJ Open, 3 (2); Fisher, C.D., Mood and emotions while working: Missing pieces of job satisfaction (2000) Journal of Organizational Behavior, 21, pp. 185-202; Gale, B.T., (1994) Managing Customer Value: Creating Quality and Service that Customer Can See, , New York: Simon and Schuster; Gallarza, M., Gil, J., Calderon, H., Destination image. Towards a conceptual framework (2002) Annals of Tourism Research., 29 (1), pp. 56-78; Gatrell, A.C., (2011) Mobilities of Carers and Care. in Mobilities and Health, , Farnham: Ashgate; Glinos, I.A., Boffin, N., Cross-border contracted care in Belgian hospitals (2006) Patients Mobility in the European Union Learning from Experience, , M. Rosenmoller, M. Mckee, R. Bacton, Brussel: European Observatory on Health System and Policies; Herrick, D., (2007) Medical Tourism: Global Competition in Health Care, , http://w.medretreat.com/; Hulin, C.L., Judge, T.A., Job attitudes (2003) Handbook of Psychology: Industrial and Organizational Psychology, , W.C. Borman, R. Klimoski, and D. Ilgen (Eds.), New York: Jon Wiley & Sons, Inc; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9, p. 24; Kantamneni, S.P., Coulson, K.R., Measuring perceived value: Scale development and research finding from a consumer survey (1996) Journal of Marketing Management, 6 (2), pp. 72-86; Lunt, N., Machin, L., Green, S., Mannion, R., Are there implications for quality of care for patients who participate in international medical tourism? (2011) Expert Review of Pharmaco Economic Outcomes Research, 11 (2), pp. 133-136; (2013) Malaysia Value for Money Medical Destination, , Malaysia Healthcare Travel Council; (2012) Economic Management and Prospect, , Malaysian Ministry of Finance; Martin, D., O’Neill, M., Hubbard, S., Palmer, A., The role of emotion in explaining consumer satisfaction and future behavioural intention (2008) Journal of Services Marketing, 22 (3), pp. 224-236; Meghani, Z., A robust, particularist ethical assessment of medical tourism (2011) Developing World Bioethics, 11 (1), pp. 16-29; (2013) Health Facts 2013, , Ministry of Health Malaysia; Parasuraman, A., Grewal, D., The impact of technology on quality value loyalty chain: A research agenda (2000) Journal of the Academy of Marketing Science, 28 (1), pp. 168-174; Paskaleva-Shapira, K.A., New paradigms in city tourism management: Redefining destination promotion (2007) Journal of Travel Research, 46, pp. 108-114; (2013) Medical Tourism Statistics & Facts, , http://www.patientsbeyondborders.com/; Penney, K., Snyder, J., Crooks, V.A., Johnston, R., Risk communication and informed consent in the medical tourism industry: A thematic content analysis of Canadian broker websites (2011) BMC Medical Ethics, 12 (17); Pizam, A., Ellis, T., Customer satisfaction and its measurement in hospitality enterprises (1999) International Journal of Contemporary Hospitality Management, 11 (7), pp. 326-339; Reichheld, F.F., Sasser, W.E., Zero Defections: Quality Comes to Services (1990) Harvard Business Review, 68 (5), pp. 105-111; Rollandi, I., (2014) The 10 Best Countries for Medical Tourism, , http://www.insidermon-key.com/; Rust, R.T., Zahorik, A.J., Customer satisfaction, customer retention, and market share (1993) Journal of Retailing, 69 (2), pp. 193-215; Sen Gupta, A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5, pp. 4-5; Sheth, J., Newmangross, B., Why We Buy What We Buy: A Theory of Consumption Values (1991) Journal of Business Research, 22, pp. 159-170; Sweeney, J.C., Soutar, G.N., Johnson, L.W., The Role of Perceived Risk in the Quality-Value Relationship: A Study in a Retail Environment (1999) Journal of Retailing, 75 (1), pp. 77-105; (2012) The Report: Malaysia 2012, , Malaysia: Oxford Business Group; (2006) Medical Tourism: A Global Analysis, , Tourism Research and Marketing, Arnhem, The Netherlands: ATLAS; Turner, L., ‘First world care at third world prices’: Globalization, bioethics and MT (2007) Biosocieties, 2, pp. 303-325; Vavra, T.G., (1997) Improving Your Measurement of Customer Satisfaction: A Guide to Creating, Conducting, Analyzing, and Reporting Customer Satisfaction Measurement Programs, , USA: ASQ Quality Press; Watson, D., Clark, L., Tellegen, A., Development and validation of brief measures of Positive and Negative Affect: The PANAS scales (1988) Journal of Personality and Social Psychology, 54, pp. 1063-1070; Weiss, H.M., Deconstructing job satisfaction: Separating evaluation, belief, and affective experiences (2002) Human Resources Management Review, 12 (2), pp. 1-22; Woodman, J., (2007) Patients beyond Borders: Everybody’s Guide to Affordable World-Class Medical Tourism, , Charlotte, N.C: Catawba Publishing; Zeithaml, V.A., Berry, L.L., Parasuraman, A., The behavioral consequences of service quality (1996) Journal of Marketing, 60, pp. 31-46",,"Radzi S.M.Hanafiah M.H.M.Sumarjan N.Mohi Z.Sukyadi D.Suryadi K.Purnawarman P.",,"CRC Press/Balkema","3rd International Hospitality and Tourism Conference, IHTC 2016 and 2nd International Seminar on Tourism, ISOT 2016","10 October 2016 through 12 October 2016",,181039,,9781138032767,,,"English","Herit. Cult. Soc. Res. Agenda Best Pract. Hosp. Tour. Ind. Proc. Intern. Hosp. Tour. Conf. Intern. Semin. Tour.",Conference Paper,"Final",,Scopus,2-s2.0-85016227082 "de Lira Á.M., Espuny H.G., de Oliveira Costa Neto P.L., de Araújo Lopes R.","56349890300;56349993300;36665983800;56349927200;","Health tourism as an inducer of economic and social development in Teresina city",2016,"IFIP Advances in Information and Communication Technology","488",,,"438","444",,,"10.1007/978-3-319-51133-7_52","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016069702&doi=10.1007%2f978-3-319-51133-7_52&partnerID=40&md5=2f85396cbe949642bdf850ff2a64569f","Paulista University, São Paulo, Brazil","de Lira, Á.M., Paulista University, São Paulo, Brazil; Espuny, H.G., Paulista University, São Paulo, Brazil; de Oliveira Costa Neto, P.L., Paulista University, São Paulo, Brazil; de Araújo Lopes, R., Paulista University, São Paulo, Brazil","In recent years, the global growth of the economy contributed to the significant increase of tourism in the world, spreading its concepts in Brazil. There have also grown the related researches in the academic sector, as well as its concern with long life companies, growth in the Northeast region, globalization and other changes occurring in the short term. Thus, this work aims to present how a state among those with lower income per capita in the Federation, as Piaui, has a health care system in its capital which is a benchmark in Northeastern Brazil, influencing positively health tourism. The work deals with issues involving tourism as a product and service, having as a result the existence of a cluster of health in the city of Teresina with economic expression that justifies its importance as a generator of income, employment, science and technology and a promoter of sustainable development in that city. © IFIP International Federation for Information Processing 2016. All rights reserved.","Health pole; Sustainable development; Tourism","Industrial management; Planning; Sustainable development; Academic sectors; Economic and social development; Health-care system; Northeast regions; Northeastern Brazil; Product and services; Science and Technology; Tourism; Economic and social effects",,,,,,,,"(2011), Conselho de Turismo e Negócios da Fecomercio. Technical report; http://www.teresina.pi.gov.br/, Agenda 2015 da Prefeitura de Teresina; Wahab, S.E.A., (2008) Introdução `A Administração Do Turismo, , Pioneira, São Paulo; Castelli, G., (2010) Hospitalidade: A Inovação Na Gestão Nas Organizações Prestadoras De Serviços, , Saraiva, Rio de Janeiro; Olimpio, B.N., (1984) Introdução Ao Estudo Do Turismo, , Atlas, São Paulo; Arrilaga, J.I.D., (2010) Introdução Ao Estudo Do Turismo. Rio, Rio De Janeiro; Andrade, J.V., (2008) Turismo: Fundamentos E Dimensõesática; Baptista, M., (1991) Caderno temáticos Da Embratur, , Technical report; Lage, B.H.G., Milone, P.C., (2010) Economia Do Turismo, , Papirus, Campinas; Baptista, M., (2004) Turismo: Gestão Estratégica, , Atlas, São Paulo","de Araújo Lopes, R.; Paulista UniversityBrazil; email: mestradoua@bol.com.br","Kiritsis D.von Cieminski G.Naas I.Vendrametto O.Reis J.M.Goncalves R.F.Silva M.T.","Itaipu Binacional","Springer New York LLC","IFIP WG 5.7 International Conference on Advances in Production Management Systems, APMS 2016","3 September 2016 through 7 September 2016",,190049,18684238,9783319511320,,,"English","IFIP Advances in Information and Communication Technology",Conference Paper,"Final",,Scopus,2-s2.0-85016069702 "Hong J.-W., Kwak Y.-S., Kwak Y.-S.","56693371400;35315737400;35315780300;","The effect of diffusion of online culture content on medical tourism: Analysis of keyword",2016,"International Journal of Database Theory and Application","9","11",,"293","304",,,"10.14257/ijdta.2016.9.11.26","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85009787070&doi=10.14257%2fijdta.2016.9.11.26&partnerID=40&md5=84d534fff56a7a89eb82b2ce09614183","Department of Global Trade, Gyeongnam National University of Science and Technology, Jinju, 52725, South Korea; Department of Computer Science, Korea National University of Transportation, Choongju, 27469, South Korea; Department of Venture Business, Gyeongnam National University of Science and Technology, Jinju, 52725, South Korea","Hong, J.-W., Department of Global Trade, Gyeongnam National University of Science and Technology, Jinju, 52725, South Korea; Kwak, Y.-S., Department of Computer Science, Korea National University of Transportation, Choongju, 27469, South Korea; Kwak, Y.-S., Department of Venture Business, Gyeongnam National University of Science and Technology, Jinju, 52725, South Korea","The objective of this study was to evaluate the effects of consumers' Internet search behavior regarding online culture content on medical tourism. For this study, we categorized online culture content into dramatic (drama) and popular (pop) culture. We analyzed the influence of online culture content on medical tourism and the effect of innovation and imitation on the diffusion process. The following major findings and implications were identified: (1) an analysis of search behavior revealed that online culture content influenced medical tourism, (2) evaluations of online culture content differed according to type of content (i.e., pop culture was a more important influence than drama culture on consumers' medical tourism intentions), (3) pop culture content supported the diffusion of medical tourism for a longer period of time compared with drama culture content, and (4) in contrast to the innovation coefficient, the imitation coefficient of pop culture was higher than that of drama culture. The findings of this study may provide a better understanding of the effect of consumers' search behavior on the global diffusion of medical tourism. To advance the knowledge obtained in this study, future studies should focus on medical tourism products and marketing. © 2016 SERSC.","Culture content; Diffusion; Keyword analysis; Medical tourism; Online","Diffusion; Search engines; Diffusion process; Global diffusion; Internet searches; Keyword analysis; Medical tourism; Online; Pop culture; Search behavior; Consumer behavior",,,,,,,,"(2015), http://www.renub.com/report/asia-medical-tourism-analysis-and-forecast-to-2015-83, Renub Research; Bass, F.M., A New Product Growth Model for Consumer Druables (1969) Management Science, 15 (5), pp. 215-227; Bookman, M.Z., Bookman, K.R., Medical tourism in developing countries (2007), Palgrave Macmillan: New York; Connell, J., Medical tourism: sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: globalization of the healthcare marketplace (2007) Medscape Genearal Medicine, 9 (4), p. 33; Hotho, A., Nürnberger, A., Paaß, G., A brief survey of text mining (2005), 20 (1 MAY), pp. 19-62. , In Ldv Forum; Kim, H.J., Yang, N.Y., The Impacts of Medical Tourism Coordinators' Job Characteristics and Job Burnout on Job Satisfaction (2016) International Journal of Bio-Science and Bio-Technology, 8 (1), pp. 85-94; Lazer, D., Kennedy, R., King, G., Vespignani, A., The Parable of Google Flu: Traps in Big Data Analysis (2014) Science, 343 (6176), pp. 1203-1205. , March 14; Lee, M.J., Min, I.S., Seo, B.J., A Study among Chinese Tourists in their 20s and 30s for Determining their Choice of Medical Tourism Destinations (2015) International Journal of u-and e-Service, Science and Technology, 8 (9), pp. 13-20; Lee, S.M., Limbu, M., Korean Wave. The Seoul of Asia. (2011) The Elon Journal of Undergraduate Research in Communications, 2 (1), pp. 85-93; Lim, B.L., Choi, M.K., Park, M.C., The late take-off phenomenon in the diffusion of telecommunication services (2003) Information Economics and Policy, 15, pp. 537-557; http://www.medicaltourism.com.my/en/press-release.aspx, 2014-12-1; Raine, L., Wellman, B., Networked. The new social operating system. (2012), Cambridge: MIT Press; Reddy, S.G., York, V.K., Brannon, L.A., Travel for treatment: students' perspective on medical tourism (2010) International Journal of Tourism Research, 12 (5), pp. 510-522; Pop culture 2011-10-04. wealthy Chinese spur medical tourism in Asia; Ross, K., Health Tourism and overview HSMAI Marketing Review (2001), www.hospitality.net; Song, K.M., Choi, H.Y., Moon, S.I., A Study on the U-health Policy to Promote Medical Tourism Industry (2013) International Journal of Bio-Science and Bio-Technology, 5 (3), pp. 175-180; Lohr, S., The Age of Big Data The New York Times, , February 11; Smith, M., Puczko, L., Health and wellness tourism (2009), Oxford: Elsevier; Plastic Surgery Tourism Brings Chinese to South Korea ; (2006) Medical tourism: a global analysis, , ATLAS publications: The Netherlands; Yun Yu, J., Gyou Ko, T., A cross-cultural study of perceptions of medical tourism among Chinese (2012) Japanese and Korean tourists in Korea. Tourism Management, 33, pp. 80-88","Kwak, Y.-S.; Department of Venture Business, Gyeongnam National University of Science and TechnologySouth Korea; email: yskwak@gntech.ac.kr",,,"Science and Engineering Research Support Society",,,,,20054270,,,,"English","Int. J. Database Theory Appl.",Article,"Final",,Scopus,2-s2.0-85009787070 "Thanuskodi S., Naseehath S.","36146081300;57096066200;","A webometric analysis of medical tourism websites in Kerala",2016,"Library Philosophy and Practice","2016",,,"1","19",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85009433362&partnerID=40&md5=f8f276e50b6bcb201777aa7eacc82b4e","Department of Library and Information Science, Alagappa University, Karaikudi, 630 003, India","Thanuskodi, S., Department of Library and Information Science, Alagappa University, Karaikudi, 630 003, India; Naseehath, S., Department of Library and Information Science, Alagappa University, Karaikudi, 630 003, India","Medical Tourism is any kind of travel to make a person or a member of his family healthier (Raj,2006). The word Medical Tourism was coined when people started looking outside west for cheaper medical treatment with international quality. It can be broadly defined as provision of 'cost effective' private medical care in collaboration with the tourism industry for patients needing surgical care and other forms. Kerala has become one of the leading Medical Tourism destinations of India and gained international attention for health tourism and is becoming a popular health tourism hub. There are a number of speciality hospitals in Kerala that offer specialized care for complex medical conditions. Patients from all over the world are becoming medical tourist in Kerala for low cost and health restorative alternative treatments. Speciality hospitals in Kerala are at the forefront of Medical Tourism. Many of the hospitals offer a complete package that includes consultancy with a medical specialist, diagnosis, appropriative medical treatment, pre and post operative care etc. The quality of health care offered by the doctors, nurses and support staff, makes Medical Tourism in Kerala the preferred choice of patients seeking healthcare solutions in World. Kerala has an excellent track record in the fields of tourism and health care. The Confederation of Indian Industry (CII) has declared 2006-2007 as Medical Tourism Year in Kerala and they organized an International conference and exhibition on Health tourism in 2013 at Kochi, Kerala. According to the CII-Mc Kinsy report Medical Tourism industry in Kerala is expected to be worth $4 billion by 2017. Confederation of Indian Industry along with Kerala Government is organizing an International Conference on Health Tourism 2015 at Le Meridian, Kochi, Ernakulam on 30- 31of October 2015. The event aims to promote Kerala as the hub for Medical Tourism in the country by 2020. The competitiveness of Kerala in health tourism is enhanced by the attractiveness of the alternative systems of medicine, especially ayurveda, for the foreign tourists. Kerala is also known as land of Ayurveda for its traditional medicines which aim at providing rejuvenation, longevity and relaxation to stressed and strained. More over Kerala has a potential to attract tourists around the world due to its cultural diversity, perfect beaches and fabulous cuisine mixed with a pinch of oriental mysticism. Kerala and Ayurveda have virtually become synonymous with each other. World-class facilities are also available in the other traditional forms of medicine as well as modern medical treatment.","Medical tourism; Retrieval efficiency; Searching engines; Webometrics; Websites",,,,,,,,,"Aguillo, I.F., Is Google Scholar useful for bibliometrics? (2012) A webometric analysis. Scientometrics, 91, pp. 343-351; Almind, T., Ingwersen, P., Informetric analysis on the World Wide Web: Methodological approaches to Webometrics (1997) Journal of Documentation, 53, pp. 404-426. , 9; Babu, B.R., Jeyshankar, R., Rao, P.N., Websites of central universities in India: A webometric analysis (2010) DESIDOC Journal of Library & Information Technology, 30 (4), pp. 33-43; Bjorneborn, L., Ingwersen, P., Toward a Basic Framework for Webometrics (2004) Journal of the American Society for Information Science and Technology, 55 (14), pp. 1216-1227; Islam, A., Alam, S., Webometric study of private universities in Bangladesh (2011) Malaysian Journal of Library & Information Science, 16 (2), pp. 115-126; Jeyshankar, R., Link analysis and web impact factor of Indian nationalized bank's website: A webometric study (2011) International Journal of Information Dissemination and Technology, 1 (3), pp. 171-179; Jeyshankar, R., Babu, B.R., Websites of universities in Tamil Nadu: A webometric study (2009) Annals of Library and Information Studies, 56 (1), pp. 69-79; Pechnikov, A.A., Nwohiri, A.M., Webometric analysis of Nigerian university websites (2012) Webology, 9 (1); Pruthi, R., Medical Tourism in India (2006) Arise Publishers and Distributors, , New Delhi; Shukla, A., Tripathi, A., Webometric analysis of institutes of national importance in India (2009) IASLIC Bulletin, 54 (3), pp. 165-180; Thanuskodi, S., A webometric analysis of selected institutes of national importance websites in India (2012) International Journal of Library Science, 1 (1), pp. 13-18; Thanuskodi, S., Webometric analysis of private engineering college websites in Tamil Nadu (2011) J Communication, 2 (2), pp. 73-81; Thelwall, M., Bibliometrics to webometrics (2007) Journal of Information Science. 2007, 34 (4), pp. 1-18; Vaughan, L., New measurements for search engine evaluation proposed and tested (2004) Information Processing & Management, 40 (4), pp. 677-691; Vijayakumar, M., Webometric analysis of university websites in Sri Lanka (2012) International Journal of Information Dissemination and Technology, 2 (3), pp. 155-159",,,,"University of Idaho Library",,,,,15220222,,,,"English","Libr. Philos. Pract.",Article,"Final",,Scopus,2-s2.0-85009433362 "Băltăreţu A., Mihăescu C.","35253499800;55750358800;","General considerations regarding health tourism",2016,"Quality - Access to Success","17",,,"125","134",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85003691538&partnerID=40&md5=9478c6b0094c9d9cf20f2609f1e84547","""Dimitrie Cantemir"" Christian University, Faculty of Tourism and Commercial Management, Bucharest, Romania","Băltăreţu, A., ""Dimitrie Cantemir"" Christian University, Faculty of Tourism and Commercial Management, Bucharest, Romania; Mihăescu, C., ""Dimitrie Cantemir"" Christian University, Faculty of Tourism and Commercial Management, Bucharest, Romania","Health tourism has improved significantly over the years. Thermalism, promoted by the Romanians, developed in many European countries during the nineteenth century. About twenty years later, a strong campaign for the thermal installation and accommodation structure renewal started in those resorts; new formulae such as rejuvenescence treatments and dietary, non-smoking or antistress stays have been promoted in Romania lately. Thalassotherapy represents an opportunity for seaside resort development. Nowadays, most spa resorts look like complex, multifunctional resorts, being located right near resources and being equipped with modern treatment or cure equipment. As spa cure is the main motivation of this vacation, the reference elements for size and location setting of resorts are represented by the natural factors: variety, capacity, quality, territorial distribution etc. The assessment of the other categories of natural resources including the anthropic ones is able to stimulate the associate tourism forms. © 2016, SRAC - Societatea Romana Pentru Asigurarea Calitatii. All rights reserved.","Ground arrangement; Health tourism; Medical tourism; Spa resort; Spa tourism",,,,,,,,,"Alain, M., Pierre, D.-B., (2009) Le tourisme dans le monde, , 7e édition, France, Bréal; (2009) Master Plan for Spa Tourism Development, , http://turism.gov.ro/wp-content/uploads/2013/05/Masterplan-turismbalnear.pdf, Phase 2, J. Benabdallah, J. Tomatis, november, accesed on february 22, 2014; (2013) The Action Plan for Spa Tourism Development, , http://turism.gov.ro/wpcontent/uploads/2013/05/Plan-actiune-turism-balnear.pdf, accesed on july 25, 2014; www.insse.ro-TEMPO-Online, the National Institute of Statistics, accessed on March 1st 2016; (2011) Resorts Guide, , 2011-http://www.mdrap.ro/userfiles/publicatii_ghid_statiuni_balneare.pdf, Ministry of Regional Development and Tourism, june, accessed on March 4, 2016",,,,"SRAC - Societatea Romana Pentru Asigurarea Calitatii",,,,,15822559,,,,"English","Qual. Access Success",Article,"Final",,Scopus,2-s2.0-85003691538 "Aluculesei A.-C., Nistoreanu P.","24073045800;33568099600;","Romanian wellness tourism - A potential solution with positive implications for the effects of the aging population in the European Union",2016,"Amfiteatru Economic","18","Specialissue10",,"767","780",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85002779960&partnerID=40&md5=4cf4f9c57e3ebadf044968541f3a4474","Bucharest University of Economic Studies, Romania","Aluculesei, A.-C., Bucharest University of Economic Studies, Romania; Nistoreanu, P., Bucharest University of Economic Studies, Romania","Romania is a member state of the European Union. Among the resources of the Romanian tourist patrimony, mineral and thermal waters, mofettes, salt mines, muds and the climate build up a valuable portfolio of the wellness tourism offer. These resources are used to recover and reacquire the strength to work, but also for minimizing the effects of degenerative diseases commonly affecting senior citizens. The aging of the population of the European Union is one of the challenges affecting this block on a macroeconomic level increasingly more visibly. A solution for minimizing the effects of the rising number of senior citizens might be the integration of the Romanian wellness offer in the European tourist offer. Our country is also affected by this phenomenon and the existing wellness resources are useful in diminishing the negative effects of the aging process. The research began by analyzing the specialized literature, which confirmed the phenomenon of aging among the Europe's population. This was followed by a pilot study (287 respondents) which was undertaken from June to December 2015 on representatives of the Romanian population. Romania's tourist heritage, represented by its wellness tourism resources, may represent an important tourist product on the European market which can help senior citizens benefit from treatments of degenerative illnesses.","European demographics; European Union; Population ageing; Third age; Wellness tourism",,,,,,,,,"Albu, M., Banks, D., Nash, H., (1997) Mineral and thermal groundwater resources, , Bristol: Chapman and Hall; Altman, N., (2000) Healing springs: the ultimate guide to taking the waters, , Vermont: Healing Arts Press; (2015) Decada balneara, , http://www.anat.ro/campanii/decada-balneara/, [Accessed 20 October 2015]; Baldwin, R., Wyplosz, C., (2006) The Economics of European Integration, , Berkshire: MvGraw-Hill Education; Barbulescu, I.G., Rapan, S., (2009) Dicţionar explicativ trilingv al Uniunii Europene, , Bucureşti: Polirom; Bernd, R., Grundy, E., Robine, J.M., Cylus, J., Mackenbach, J., Ageing in the European Union (2013) The Lancet, 381 (9874), pp. 1312-1322; Borges, T., Mineral waters in rheumatoid arthritis (2013) Balneao Research Journal, 4 (2). , http://bioclima.ro/Balneo%20(40).pdf, [Accessed 02 November 2015]; Castree, N., Kitchin, R., Rogers, A., (2013) A dictionary of humangeography, , Oxford: Oxford University Press; Cooper, P., Cooper, M., (2009) Health and wellness tourism: spas and hot springs, , Toronto: Library of Congress Cataloging in Publication Data; Davoudi, S., Wishardt, M., Strange, I., The ageing of Europe: Demographic scenarios of Europe's futures (2010) Futures, 42 (8), pp. 794-803; (2015) European Policies and Initiatives, , http://www.healthyageing.eu/european-policies-and-initiatives, [Accessed 22 October 2015]; (2015) Healthy Ageing, , http://www.healthyageing.eu/sites/www.healthyageing.eu/files/resources/Healthy%20Ageing%20-%20A%20Challenge%20for%20Europe.pdf, [Accessed 22 October 2015]; (2015) European Union Countries, , http://europa.eu/about-eu/countries/member-countries/, [Accessed 20 October 2015]; (2015) Health Care Cross Border, , http://ec.europa.eu/health/cross_border_care/docs/2015_evaluative_study_frep_en.pdf, [Accessed 20 October 2015]; (2015) Innovation Union, , http://ec.europa.eu/research/innovation-union/index_en.cfm?pg=key, [Accessed 20 October 2015]; (2015) Programme Horizon (2020), , http://ec.europa.eu/programmes/horizon2020/en/h2020-section/health-demographic-change-and-wellbeing, [Accessed 20 October 2015]; (2008), http://www.europarl.europa.eu/sides/getDoc.do?pubRef=//EP//TEXT+IMPRESS+20080414FCS26499+0+DOC+XML+V0//RO, [Accessed 22 October 2015]; (2015) Old-age-dependency ratio, , http://ec.europa.eu/eurostat/tgm/table.do?tab=table&init=1&language=en&pcode=tsdde510&plugin=1, [Accessed 20 October 2015]; (2015) Population Structure and Ageing, , http://ec.europa.eu/eurostat/statisticsexplained/index.php/Population_structure_and_ageing, [Accessed 20 October 2015]; Gustavo, N.S., A 21st-Century Approach to Health Tourism Spas: The Case of Portugal (2010) Journal of Hospitality and Tourism Management, 17 (1), pp. 127-135; Hall, M.C., (2013) Medical tourism: the ethics, regulation and marketing of health mobility, , New York: Routledge; Hanse, J.D., (2005) European integration, , An economic perspective. New York: Oxford University Press; Hudman, L., Jackson, R., (2003) Geography of travel and tourism, , New York: Delmar Learning; Irsay, L., Bordinc, E., Borda, M., Ungur, R., Ciortea, V., Onac, I., Influence Of Mineral Water Consumption And Renal Stone Formation (2014) Balneo Research Journal, 5 (1). , http://bioclima.ro/Balneo%20(62).pdf, [Accessed 29 November 2015]; Jafari, J., (2000) Encyclopedia of tourism, , London: Routledge; Javanovic, M.N., (2005) The Economics of European integration, , Limits and prospect. Northampton: Edward Elgar; Jinga, I., Popescu, A., (2000) Integrare Europeana, , Dicşionar de termeni comunitari. Bucureşti: Luminalex; (2014) Strategia Nationala pentru Promovarea Imbatrânirii Active si Protectia Persoanelor Vârstnice 2014-2020, , http://www.mmuncii.ro/j33/images/Documente/Proiecte_in_dezbatere/2014/2014-1218_Anexa_HG_SAA.pdf, (Proiect). [Accessed 05 December 2015]; (2011) Ghidul staşiunilor balneare, , http://www.mdrap.ro/userfiles/publicatii_ghid_statiuni_balneare.pdf, [Accessed 22 October 2015]; (2008) HG 852/13 august 2008 privind aprobarea normelor şi criteriilor de atestare a staşiunilor turistice, , http://www.mdrl.ro/_documente/turism/legislatie/hg_852_2008.pdf, [Accessed 22 October 2015]; Morgan, N., Pritchard, A., Sedgley, D., Social tourism and well-being in later life (2015) Annals of Tourism Research, 52 (2015), pp. 1-15; Murea, M.M., (2014) De la strategia Lisabona la Europa 2020, , Bucureşti: Editura ASE; (2014) Asistenşa sociala a persoanelor vârstnice furnizata la nivelul comunitaţilor locale, , http://www.cnpv.ro/pdf/analize2014/Asistenta-sociala-a-persoanelor-varstnice.pdf, [Accessed 5 December 2015]; (2014) Populatia vârstnica a României la orizontul anului (2060), , http://www.cnpv.ro/pdf/analize2014/Populatia-varstnica-a-Romaniei-la-orizontul-anului-2060.pdf, [Accessed 20 October2015]; (2009) Imbatrânirea populaţiei în context European şi în România, , http://www.cnpv.ro/pdf/analize2007_2009/LucrareBatraneteNiveltrai.pdf, [Accessed 20 October 2015]; (2015) Protecţie sociala-Comunicat de presa 11 august 2015, , http://www.insse.ro/cms/files/statistici/comunicate/com_trim/nr_pensionari/a15/pensii_trIIr15.pdf, [Accessed 27 October 2015]; (2014) Ordin de acordare a biletelor de tratament balnear, , https://www.cnpp.ro/documents/10180/170207/Criterii%20de%20acordare, [Accessed 28 October 2015]; Poladin, S., Napoleon, P., Albu, C., Cartas, M., (2015) Conjunctura economiei mondiale, , Bucureşti: Institutul de Economie Mondiala-Academia Româna; Reisman, D., (2010) Health Tourism: Social welfare through international trade, , Massachusetts: Edward Elgar Publishing Limited; Scarlet, R., Brailescu, C., Nica, A.S., Methods and particularities of the evaluation and application of kinetoprophilaxy during active balneary treatment (2009) Palestrica Mileniului III-Civilizatie si Sport, 10 (35), pp. 20-26; Sinescu, R.D., Anghel, A., Vulcanescu, R.T., Hand Surgery-Postoperative Recovery and Medical Tourism (2014) Amfiteatru Economic, 16 (ISSUE SPECIAL NO.8), pp. 1125-1135; Smith, M., Puczko, L., (2009) Health and wellness tourism, , Burlington: Elsevier; Smith, M., Puczko, L., (2014) Health, tourism and Hospitality: spas, wellness and medical travel. [e-book] New York: Routledge, , https://books.google.ro/books?id=p0bIAgAAQBAJ&pg=PA50&dq=curative+tourism+romania&hl=ro&sa=X&ved=0CCAQ6AEwAGoVChMI68Ce7LLgyAIVylksCh0wxgM4#v=onepage&q=romania&f=false, [Accessed 26 November 2015]; (2015) Sowell Project, , http://www.sowell-project.eu/en/sowell, [Accessed 26 October 2015]; (2013) Market size of the wellness industry by segment, , http://www.statista.com/statistics/270720/market-size-of-the-wellness-industry-by-segment/, [Accessed 25 October 2015]; Stancioiu, A.F., Baltescu, C.A., Botoş, A., Pârgaru, I., Aspecte conceptuale privind marketingul turismului balnear din România (2013) Economie teoretica si aplicata, 20 (2), pp. 124-137; Surdu, O., Surdu, T.V., Surdu, M., State of Art of Balneotherapy/Thermalisme in Romania (2015) Balneo Research Journal, 6 (2). , http://bioclima.ro/Balneo92.pdf, [Accessed 26 November 2015]; (2011) Folow-up to the UNECE Regional Implementation Strategy (RIS) of the Madrid Plan of Action on Ageing (MIPAA), , http://www.unece.org/fileadmin/DAM/pau/age/country_rpts/ESP_report.pdf, [Accessed 20 October 2015]; Tomasovic, N., Borovac, J.A., Vrdoljak, D., Grazio, S., Tikvica Luetic, A., Tomek-Roksandic, A., When elders choose: Which factors could influence the decision-making among elderly in the selection of health tourism services? (2015) Medical Hypotheses, 85, pp. 898-904; Tragaki, A., Demographics: the vulnerable heel of the European Achilles (2014) European View, 13 (2), pp. 277-285","Aluculesei, A.-C.; Bucharest University of Economic StudiesRomania; email: alina_cerasella@yahoo.com",,,"Editura Cefin",,,,,15829146,,,,"English","Amfiteatru Econ.",Article,"Final",,Scopus,2-s2.0-85002779960 "Sheppard M.K.","55986082000;","The patient mobility directive and the mutual recognition of prescriptions in the EU: A cause for concern for patients and pharmacists alike?",2016,"Medicine and Law","35","1",,"37","46",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85000360813&partnerID=40&md5=1dc3481da532001ed0aa3a77d895db4f","Law Department, Queen Mary University of London, United Kingdom","Sheppard, M.K., Law Department, Queen Mary University of London, United Kingdom","The law on mutual recognition of prescriptions in the EU has been codified in two recent EU Directives, the Patient Mobility Directive, and the Implementing Directive. The objective is to improve access to medicines abroad benefitting, amongst others, patients with chronic diseases wishing to travel to another country and patients with rare diseases where the best expertise can often be found across a border. There are challenges for patient safety due to the increased risk of dispensing errors. These challenges concern the identification of the prescriber and the prescribed medicines. There are also difficulties in the comprehensibility of prescriptions due to the different languages, drug names and abbreviations used in the EU. Although the Directives suggest the use of international non-proprietary names to reduce drug mistakes, this is not obligatory. With dispensing errors by pharmacists in England currently a criminal offence it is likely that pharmacists will hesitate dispensing cross-border prescriptions thus reducing the impact of the Directives. © 2016, Yozmot Heiliger Ltd. All rights reserved.","Cross-border healthcare; Dispensing errors; Implementing directive; Medical prescriptions; Patient mobility directive; Patient safety",,,,,,,,,"Peeters, M., Free Movement of Patients: Directive 2011/24 on the Application of Patients’ Rights in Cross-Border Healthcare (2012) European Journal of Health Law, 19 (1), pp. 29-60; Van Den Steen, D., Cross-Border Health Care: Common Rules on Medical Prescription when Travelling to another EU Country (2013) Eurohealth. (19), 4, pp. 28-30; http://europa.eu/rapid/press-release_IP-12-1422_en.htm, It is estimated that the total number of cross-border prescriptions in the EU is around 2.3 million per year which translated to 0.02 to 0.04 percent of all prescriptions in the EU, EUROPEAN COMMISSION PRESS RELEASE. 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Outcomes Res, 13 (4), pp. 469-482. , but see the experience in Scotland achieving reduced drug costs because of the high voluntary prescribing rates of INNs in Goodman B., et al; (2015) Guideline on Clinical Development of Fixed Combination of Medicinal Products, , http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2015/05/WC500186840.pdf, [Accessed: 24th October 2015]; (2013) Data Exclusivity, Market Protection and Paediatric Rewards, , http://www.ema.europa.eu/docs/en_GB/document_library/Presentation/2013/05/WC500143122.pdf, [Accessed: 24th October 2015]; (2009) Healthcare across Borders: A Safe Framework, , http://www.publications.parliament.uk/pa/ld200809/ldselect/ldeucom/30/3002.htm, [Accessed: 10th October 2015]; (2006) Creation of a Better Medication Safety Culture in Europe: Building up Safe Medication Practice, , http://www.coe.int/t/e/social_cohesion/soc-sp/medication%20safety%20culture%20report%20e.pdf, [Accessed: 20th October 2015]; (2013) Medicines Evidence Commentary, MHRA Drug Safety Update: Drug-Name Confusion Reminder, , file:///C:/Users/User/Downloads/MEC+-+MAW+12+August+2013%20(2).pdf, [Accessed: 20th October 2015]; (2009) Good Dispensing Guidelines-England, , http://www.rpharms.com/practice--science-andresearch/good-dispensing.asp, [Accessed: 10th October 2015]; (2012) Standards of Conduct, Ethics and Performance, , https://www.pharmacyregulation.org/standards/conduct-ethicsand-performance, [Accessed: 10th October 2015]; (2007) Code of Ethics for Pharmacists and Pharmacy Technicians, , http://www.rpharms.com/code-of-ethicspdfs/coeppt.pdf, [Accessed: 10th October 2015]; (2010) Responding to Complaints and Concerns. Guidance Note, , http://www.pharmacyregulation.org/sites/default/files/Responding%20to%20complaints%20and%20concerns%20g.pdf, [Accessed 10th October 2015]","Sheppard, M.K.; Law Department, Queen Mary University of LondonUnited Kingdom; email: maria.sheppard@qmul.ac.uk",,,"Yozmot Heiliger Ltd",,,,,07231393,,MELAD,,"English","Med. Law",Article,"Final",,Scopus,2-s2.0-85000360813 "Permwonguswa S., Khuntia J., Gregg D., Chandra G., Sheiner S., Swaminathan V.","57191989938;55502741500;7005324254;57191997567;57191988659;57191989416;","Development of a doctor rating criteria for a medical tourism portal",2016,"24th European Conference on Information Systems, ECIS 2016",,,,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84995747107&partnerID=40&md5=6140dcef240b28ed9ce0d5d6c1fad40d","University of Colorado, Denver, CO, United States; GlobeMDCO, United States","Permwonguswa, S., University of Colorado, Denver, CO, United States; Khuntia, J., University of Colorado, Denver, CO, United States; Gregg, D., University of Colorado, Denver, CO, United States; Chandra, G., GlobeMDCO, United States; Sheiner, S., GlobeMDCO, United States; Swaminathan, V., GlobeMDCO, United States","Lack of information prior to medical tourism visits is a significant issue in meeting the expectations of patients. A global portal with doctor rating systems plausibly can bridge this gap. Doctor rating comparisons can help to reduce the information asymmetry in medical tourism. This study proposes a set of standards for doctor rating criteria for a medical tourism portal. A model has been developed to investigate the interaction effect of doctor rating systems with trust in an intermediary and information quality on willingness to travel abroad for treatment. Hypotheses were then empirically evaluated using an experiment. Implications and contributions of the study are discussed.","Doctor rating system; Medical tourism; Medical tourism platform; Online portal","Information systems; Information asymmetry; Information quality; Interaction effect; Medical tourism; Medical tourism platform; Rating system; Tourism portal; Rating",,,,,,,,"Adams, S.A., Blog-based applications and health information: Two case studies that illustrate important questions for consumer health informatics (CHI) research (2010) International Journal of Medical Informatics, 79 (6), pp. e89-e96; Amblee, N., Bui, T., Harnessing the influence of social proof in online shopping: The effect of electronic word of mouth on sales of digital microproducts (2011) International Journal of Electronic Commerce, 16 (2), pp. 91-114; Awad, N.F., Ragowsky, A., Establishing trust in electronic commerce through online word of mouth: An examination across genders (2008) Journal of Management Information Systems, 24 (4), pp. 101-121; Bhattacherjee, A., Individual trust in online firms scale development and initial test (2002) Journal of Management Information Systems, 19 (1), pp. 211-241; Chevalier, J.A., Mayzlin, D., The effect of word of mouth on sales: Online book reviews (2006) Journal of Marketing Research, 43 (3), pp. 345-354; Chin, W.W., The partial least squares approach to structural equation modeling (1998) Modern Methods for Business Research, 295 (2), pp. 295-336. , Marcoulides, G. A. (ed.); Connell, J., Medical tourism: Sea, sun, sand and⋯ surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83 (1); Crooks, V.A., Kingsbury, P., Snyder, J., Johnston, R., What is known about the patient's experience of medical tourism? A scoping review (2010) BMC Health Services Research, 10 (266); Cyr, D., Head, M., Larios, H., Pan, B., Exploring human images in website design: A multi-method approach (2009) MIS Quarterly, 33 (3), pp. 539-566; Dranove, D., Sfekas, A., Start spreading the news: A structural estimate of the effects of New York hospital report cards (2008) Journal of Health Economics, 27 (5), pp. 1201-1207; Dunn, P., Medical tourism takes fight (2007) Hospitals & Health Networks/AHA, 81 (11), p. 40; Fleiss, J.L., Measuring nominal scale agreement among many raters (1971) Psychological Bulletin, 76 (5), pp. 378-382; Freeman, B., Chapman, S., Is 'YouTube' telling or selling you something? Tobacco content on the YouTube video-sharing website (2007) Tobacco Control, 16 (3), pp. 207-210; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gefen, D., Straub, D.W., Consumer trust in B2C e-commerce and the importance of social presence: Experiments in e-products and e-services (2004) Omega, 32 (6), pp. 407-424; Gefen, D., Straub, D.W., Boudreau, M., Structural equation modeling and regression: Guidelines for research practice (2000) Communications of AIS, 4 (7), pp. 1-79; Godes, D., Mayzlin, D., Using online conversations to study word-of-mouth communication (2004) Marketing Science, 23 (4), pp. 545-560; Goodhue, D., Lewis, W., Thompson, R., PLS, small sample size and statistical power in MIS research (2006) Proceedings of the 39th Hawaii International Conference on System Sciences, pp. 1-10. , Los Alamitos: California; Grabner-Kräuter, S., Kaluscha, E.A., Empiricalresearch in on-line trust: A review and critical assessment (2003) International Journal of Human-Computer Studies, 58 (1), pp. 783-812; Gregg, D.G., Online reputation scores: How well are they understood? (2009) Journal of Computer Information Systems, 50 (1), pp. 90-97; Gregg, D.G., Walczak, S., Dressing your online auction business for success: An experiment comparing two ebay businesses (2008) MIS Quarterly, 32 (3), pp. 653-670; Gregg, D.G., Walczak, S., The relationship between website quality, trust and price premiums at online auctions (2010) Electronic Commerce Research, 10 (1), pp. 1-25; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4); Jin, G.Z., Leslie, P., The effect of information on product quality: Evidence from restaurant hygiene grade cards (2003) The Quarterly Journal of Economics, 118 (2), pp. 409-451; Jin, G.Z., Sorensen, A.T., Information and consumer choice: The value of publicized health plan ratings (2006) Journal of Health Economics, 25 (2), pp. 248-275; Karahanna, E., Agarwal, R., Angst, C.M., Reconceptualizing compatibility beliefs in technology acceptance research (2006) MIS Quarterly, 30 (4), pp. 781-804; Kim, D.J., Ferrin, D.L., Rao, H.R., A trust-based consumer decision-making model in electronic commerce: The role of trust, perceived risk, and their antecedents (2008) Decision Support Systems, 44 (1), pp. 544-564; Landis, J.R., Koch, G.G., The measurement of observer agreement for categorical data (1977) Biometrics, 33 (1), pp. 159-174; Lim, K.H., Sia, C.L., Lee, M.K., Benbasat, I., Do I trust you online, and if so, will I buy? 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A study of customer reviews on amazon.com (2010) MIS Quarterly, 34 (1), pp. 185-200; (2015) Medical Tourism Statistics & Facts, , http://www.patientsbeyondborders.com/medical-tourism-statistics-facts, (visited on 11/25/2015); Pavlou, P.A., Consumer acceptance of electronic commerce: Integrating trust and risk with the technology acceptance model (2003) International Journal of Electronic Commerce, 7 (3), pp. 101-134; Pavlou, P.A., Gefen, D., Building effective online marketplaces with institution-based trust (2004) Information Systems Research, 15 (1), pp. 37-59; (2015) Health Fact Sheet, , http://www.pewInternet.org/fact-sheets/health-fact-sheet/, (visited on 11/25/2015); Pollard, K., (2007) We've Completed the First Survey of Medical Tourism Market, , http://www.imtj.com/blog/weve-completed-first-survey-medical-tourism-market/, (visited on 03/13/2016); Pollard, K., (2015) Fertility Tourism⋯ a Complex Market Niche, , http://www.imtj.com/blog/fertility-tourism-complex-market-niche/, (visited on 03/13/2016); Rosenthal, R., Rosnow, R.L., (1991) Essentials of Behavioral Research: Methods and Data Analysis, , 2nd Edition. Boston: McGraw-Hill; Smith, R., Álvarez, M.M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2), pp. 276-282; Smyth, F., Medical geography: Therapeutic places, spaces and networks (2005) Progress in Human Geography, 29 (4), pp. 488-495; Turner, L., 'First world health care at third world prices': Globalization, bioethics and medical tourism (2007) BioSocieties, 2 (3), pp. 303-325; Webb, H.W., Webb, L.A., SiteQual: An integrated measure of web site quality (2004) The Journal of Enterprise Information Management, 17 (6), pp. 430-440; Zaiontz, C., (2014) Fleiss' Kappa, , http://www.real-statistics.com/reliability/fleiss-kappa/, (visited on 12/28/2014); Zhu, K., Kraemer, K.L., Dedrick, J., Information technology payoff in e-business environments: An international perspective on value creation of e-business in the financial services industry (2004) Journal of Management Information Systems, 24 (1), pp. 17-54",,,"Garanti;Palgrave Macmillan;Turkish Electro Technology (TET)","Association for Information Systems","24th European Conference on Information Systems, ECIS 2016","12 June 2016 through 15 June 2016",,124170,,,,,"English","Euro. Conf. Inf. Syst., ECIS",Conference Paper,"Final",,Scopus,2-s2.0-84995747107 "Yaakop A.Y., Chee L.M., Mahadi N., Ariffin Z.Z.","55547302300;57191250000;55917161200;57191249974;","Malaysia for medical tourism: How ready are we? Insights from prospective medical tourists",2016,"Social Sciences (Pakistan)","11","11",,"2802","2808",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84988423267&partnerID=40&md5=04820cc49c2e10ace98fb00bba82d389","School of Maritime Business and Management, Universiti Malaysia Terengganu, Kuala Terengganu, Terengganu, Malaysia; International Business School, University of Technology Malaysia (UTM), Kuala Lumpur, Malaysia; Faculty of Defence Studies and Management, National Defence University of Malaysia, Kuala Lumpur, Malaysia","Yaakop, A.Y., School of Maritime Business and Management, Universiti Malaysia Terengganu, Kuala Terengganu, Terengganu, Malaysia; Chee, L.M., School of Maritime Business and Management, Universiti Malaysia Terengganu, Kuala Terengganu, Terengganu, Malaysia; Mahadi, N., International Business School, University of Technology Malaysia (UTM), Kuala Lumpur, Malaysia; Ariffin, Z.Z., Faculty of Defence Studies and Management, National Defence University of Malaysia, Kuala Lumpur, Malaysia","Currently, medical tourism in Malaysia is going through an emergent phase. With the establishment of Malaysia Healthcare Travel Council (MHTC) and its function to promote Malaysia as a medical tourism hub in South East Asia, the condition seems very much promising. Although, medical tourist arrival is on the rise, there are still lacking empirical studies toward the factors that influence potential tourists to choose Malaysia as their medical tourism destination. This issue is worth to study due to the potential of medical tourism to be a competitive advantage of Malaysia's tourism industry. This study examines factors which could determine prospective medical tourists' intentions to choose Malaysia as a destination for medical purpose. To address this objective, the study collects data from personal interviews of prospective medical tourists. After going through a series of analyses, the study finds that accessibility to destination and quality of care significantly predict prospective tourists' intentions to visit Malaysia for medical purpose. The result of this study provided the concern of the respondents for this type of tourism in Malaysia which can be used for both government authority and private enterprises to formulate appropriate strategies to grasp this market effectively. © Medwell Journal 2016.","Destination attributes; Market Malaysia; Medcal; Tourism",,,,,,,,,"Aliman, N.K., Mohamad, W.N., Perceptions of service quality and behavioral intentions: A mediation effect of patient satisfaction in the private health care in Malaysia (2013) Int. J. Marketing Stud, 5, pp. 15-29; Beerli, A., Martin, J.D., Factors influencing destination image (2004) Ann. Tourism Res, 31, pp. 657-681; Chi, C.G., Qu, H., Examining the structural relationships of destination image, tourist satisfaction and destination loyalty (2008) An integrated approach Tourist Manage, 29, pp. 624-636; Chon, K.S., Tourism destination image modification process: Marketing implications (1991) Tourism Manage, 12, pp. 68-72; Goeldner, C.R., Ritchie, J.B., (2007) Tourism Principles, Practices, Philosophies, , John Wiley and Sons, New York, USA; Hazilah, N., Johari, R., Marikar, K., Positioning Malaysia in medical tourism (2010) Proceedings of the International Conference on Marketing (IC-MAR 2010), pp. 1-21. , June 23-24, 2010, IIUM Repository, Kuala Lumpur, Malaysia; Henderson, J.C., Managing tourism and Islam in peninsular Malaysia (2003) Tourism Manage, 24, pp. 447-456; Liu, Y., Siali, F., Darun, M.R., Ismail, M.F., Service quality and customer satisfaction: Rapid kuantan in kuantan route, Malaysia (2014) Proceedings of SOCIOINT14 International Conference on Social Sciences and Humanities, pp. 976-985. , September 8-10, 2014, IIUM Repository, Istanbul, Turkey; Malhotra, N.K., (2008) Marketing Research: An Applied Orientation, p. 749. , 5th Edn., Pearson Education India, India; Manning, M.L., Munro, D., (2007) The Survey Researchers SPSS Cookbook, , Pearson Education Australia, Australia; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) People Strategy, 30, pp. 8-10; Newman, B.Y., Medical tourism (2006) Optometry J. Am. Optometric Assoc, 77, pp. 575-660; Omar, S.S., Ramlan, R., Ahmad, K., Wei, C.S., Small business growth: A review of literature from the tipping points and social network perspectives (2015) Adv. Sci. Lett, 21, pp. 1089-1093; Rittichainuwat, B.N., Qu, H., Brown, T.J., Thailands international travel image: Mostly favorable (2001) Cornell Hospitality Q, 42, pp. 82-95; Sirakaya, E., Sheppard, A.G., McLellan, R.W., Assessment of the relationship between perceived safety at a vacation site and destination choice decisions: Extending the behavioral decision-making model (1997) J. Hospitality Tourism Res, 21, pp. 1-10; Sonmez, S., Sirakaya, E., A distorted destination image? (2002) The case of Turkey. J. Travel Res, 41, pp. 185-196; Wong, C., (2003) Health Tourism to Drive Earnings, , Malaysian Institute of Economic Research, Kuala Lumpur, Malaysia","Yaakop, A.Y.; School of Maritime Business and Management, Universiti Malaysia TerengganuMalaysia",,,"Medwell Journals",,,,,18185800,,,,"English","Soc. Sci.",Article,"Final",,Scopus,2-s2.0-84988423267 "Ordabayeva M., Yessimzhanova S.","57190755888;56499485500;","Development of healthcare and wellness tourism marketing",2016,"International Review of Management and Marketing","6","5",,"118","124",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84982899588&partnerID=40&md5=8a7cd8b90c9781ce4487911c9b696258","Narxoz University, 55 Zhandosov Street, Almaty, Kazakhstan","Ordabayeva, M., Narxoz University, 55 Zhandosov Street, Almaty, Kazakhstan; Yessimzhanova, S., Narxoz University, 55 Zhandosov Street, Almaty, Kazakhstan","The present article is concerned with the study of marketing development prospects for tourism organizations and healthcare and wellness tourism (HCWT) companies as a means for creating their competitive advantages at different management levels. The directions for the intensification of HCWT development in Kazakhstan sanitarium-resort facilities have been substantiated. The review and collation of national and foreign scientists’ works have made it possible to determine the main peculiarities of HCWT development. The definitions of tourist activities in the area under consideration have been classified. Based on the research carried out on the people, consuming healthcare and wellness services provided by the sanatorium Rakhmanovskiye Kluchi, the preferences of Kazakhstan HCWT consumers have been analyzed. Moreover, marketing development measures, both for a specific company and tourism organizations and companies of healthcare and wellness area as a whole, have been suggested. © 2016, Econjournals. All rights reserved.","Health promoting resources; Healthcare and wellness program; Healthcare and wellness tourism; Spa; Wellness",,,,,,,,,"Alikulova, A.S., Sotsial’no kul’turno-ozdorovitel’nyy turizm Kazakhstana [Social and cultural health tourism in Kazakhstan] (2012) Vestnik Kaznu, 4, pp. 76-81; Aslanov, D.I., Osnovnoe soderzhanie sanatorno-kurortnoy deyatel’nosti v kontekste ekonomicheskoy nauki [The main content of the sanatorium and resort activity in the context of economic science] (2011) Rossiyskoe Predprinimatel’stvo, 9-2 (192), pp. 115-118; Bokov, M.A., Vetitnev, A.M., Popkov, V.P., Ugryumov, E.E., Shapovalov, V.I., (2001) Menedzhment V Sanatorno-Kurortnykh Organizatsiyakh [Management at Sanatorium-Resort Organizations], , Saint Petersburg: Izdatel’stvo SPBGUEF; Crebbin-Bailey, J., Harcup, J., Harrington, J., (2010) Spa-Terapiya V Industrii Krasoty. Metodika Protsedur, Ekspluatatsiya Oborudovaniya, Programmy Obucheniya Spa-Menedzhmentu [Spa Therapy in Beauty Industry. Procedure Technique, Equipment Operation, Spa-Management Training Programs], , Moscow: Ripol Classic; Horowitz, M.D., Rosensweig, J., Medical tourism vs. Traditional international medical travel: Atale of two models (2008) International Medical Travel Journal, pp. 1-14. , http://www.imtj.com/articles/can-we-think-industry-medical-tourism-or-international-medical-travel/, [Last retrieved on 2015 Jun 13]; Kazakov, V.F., Opyt organizatsii lechebnogo turizma v sanatorii sredney polosy Rossii [On organizing health tourism services in the Sanatorium in the Midland of Russia] (2002) Kurortnye Vedomosti, 2, pp. 10-12; http://www.newskaz.ru/society/20140616/6612489.html, [Last retrieved on 16 Jun 2014], [Last retrieved on 2016 May 31]; Ofitsial’nyy Sayt. Razdel Turizm I kul’tura [Official Site. Section: Tourism and Culture], , http://www.stat.gov.kz/faces/wcnav_externalId/publicationsPage?_afrLoop=36736614945904525#%40%3F_afrLoop%3D36736614945904525%26_adf.ctrl-state%3D4znsrzmyh_61, [Last retrieved on 2016 May 31]; Moldasheva, A.B., Lechebno-ozdorovitel’nyy Turizm V Kazakhstane [Healthcare and Wellness Tourism in Kazakhstan], , http://www.rusnauka.com/45_OINBG_2015/Economics/10_204341.doc.htm, [Last retrieved on 2016 May 31]; Orlova, V.S., Scherbakova, A.A., Perspektivy razvitiya lechebno-ozdorovitel’nogo turizma v regione [Perspectives for the development of healthcare and wellness tourism in the region] (2014) Problemy Razvitiya Territorii, 4 (4), pp. 34-42; Razumov, A.N., Yashina, E.R., Berezhnov, E.S., Petruni, I.B., Bobrovitsky, I.P., Lechebnyy turizm kak sovremennoe napravlenie kurortnoy meditsiny v Rossii [Healthcare tourism as a modern direction in resort healthcare in Russia] (1999) Voprosy Kurortologii, Fizioterapii I Lechebnoy Fizicheskoy Kul’tury, 3, pp. 23-39; Shcherbakova, A.A., Orlova, V.S., Industriya lechebno-ozdorovitel’nogo turizma i napravleniya ee modernizatsii [Health and recreation tourism industry and directions of its modernization] (2014) Problemy Razvitiya Territorii, 2 (70), pp. 37-47; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31, pp. 1-4; Smith, M., Puczko, L., (2008) Health and Wellness Tourism, , London: Routledge; https://www.unimed.org, [Last retrieved on 2016 May 31]; Vetitnev, A.M., Zhuravleva, L.B., (2006) Kurortnoe Delo [Health Resort Business], , Moscow: KNORUS; Vetitnev, A.M., Dzyubina, A.V., Torgasheva, A.A., Lechebno-ozdorovitel’nyy turizm: Voprosy terminologii i tipologii [Health related tourism: Terminology and typology issues] (2012) Vestnik Sgutikd, 2 (20), pp. 50-56; Zhambekova, R.L., Sheozhev, K.V., Prioritetnye napravleniya razvitiya regional’nogo turistsko-rekreatsionnogo kompleksa [Priority development areas for the regional tourism-recreational complex] (2012) Rossiyskoe Predprinimatel’stvo, 2 (87), pp. 137-141","Ordabayeva, M.; Narxoz University, 55 Zhandosov Street, Kazakhstan; email: mainur.ait@mail.ru",,,"Econjournals",,,,,21464405,,,,"English","Int. Rev. Manag. Mark.",Article,"Final",,Scopus,2-s2.0-84982899588 "Choksuchat C., Chantrapornchai C.","36738807400;6603855808;","On the development of health tourism semantic web with its parallel engine",2016,"International Journal of Metadata, Semantics and Ontologies","11","1",,"16","28",,,"10.1504/IJMSO.2016.078103","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84982084501&doi=10.1504%2fIJMSO.2016.078103&partnerID=40&md5=bbb9e346bcbcd1632f4b3f96c104bfd7","Department of Computing, Faculty of Science, Silpakorn University, Nakorn Pathom, 73000, Thailand; Department of Computer Engineering, Faculty of Engineering, Kasetsart University, Bangkok, 10900, Thailand","Choksuchat, C., Department of Computing, Faculty of Science, Silpakorn University, Nakorn Pathom, 73000, Thailand; Chantrapornchai, C., Department of Computer Engineering, Faculty of Engineering, Kasetsart University, Bangkok, 10900, Thailand","Health tourism is an important source of income for Thailand. Health-oriented tourists need detailed information about available services and attractions. With the semantic web technology, these tourists can find satisfactory health tourism attractions. However, most current tourism ontologies are too general to serve health tourism. They focus on accommodations, attractions, transportation, and so on, but a specific ontology for health tourism does not exist. In this paper, we create a novel health tourism ontology and build a semantic web application around the domain using parallel technology. Real health tourism data were collected and studied for design purposes. We evaluated the resulting ontology in many dimensions: structure, expressiveness, design, granularity, reasoning, strictness, completeness, vocabulary correctness etc. The ontology represents a skeleton for general health tourism concepts. We used our ontology to build a semanticweb-based search application for health tourism in Hua Hin district of Thailand. Finally, we investigated the potential of parallelism to improve the semantic search performance, looking at both multicore and MapReduce cluster technologies. © 2016 Inderscience Enterprises Ltd.","Health tourism; Hua Hin; Java concurrency; Linked data; MapReduce; Multicore; Ontology; Parallel search engine; Semantic web; Tourism and hospitality","Health; Linked data; Ontology; Search engines; Health tourisms; Hua Hin; Java concurrency; Map-reduce; Multi core; Parallel search; Tourism and hospitality; Semantic Web",,,,,"Thailand Research Fund, TRF: PHD/0005/2554, RDG5850042 Kasetsart University, KU","This work was supported in part by the following institutes and research programs: The Thailand Research Fund (TRF) (Royal Golden Jubilee PhD Program) under Grant no. PHD/0005/2554, Thailand Research Fund (Tourism and Hospitality Industry Program) contract number RDG5850042, and Faculty of Engineering Research Funding (Kasetsart University).",,"Almeida, M.B., A proposal to evaluate ontology content (2009) Appl. Ontol., 4 (3-4), pp. 245-265; Baader, F., Calvanese, D., McGuinness, D.L., Nardi, D., Patel-Schneider, P.F., (2003) The Description Logic Handbook: Theory, Implementation, and Applications, , Cambridge University Press, New York, NY, USA; Balduini, M., Celino, I., Dell'Aglio, D., Valle, E.D., Huang, Y., Lee, T., Kim, S.-H., Tresp, V., Bottari: An augmented reality mobile application to deliver personalized and location-based recommendations by continuous analysis of social media streams (2012) Web Semantics: Science, Services and Agents on the World Wide Web, 16 (5); Berners-Lee, T., Hendler, J., Lassila, O., The semantic web (2011) Scientific American, 2001; Blaise, B., (2016) POSIX Threads Programming, , https://computing.llnl.gov/tutorials/pthreads/, Available online at; Cardoso, J., (2005) E-tourism: Creating Dynamic Packages Using Semantic Web Processes, , W3C Workshop on Frameworks for Semantics in Web Services; Cardoso, J., Developing an owl ontology for e-tourism (2006) Semantic Web Services, Processes and Applications, Vol. 3 of Semantic Web and beyond, pp. 247-282. , Cardoso, J. and Sheth, A.P. (Eds) Springer, USA; Cermaák, M., Falt, Z., Dokulil, J., Zavoral, F., SPARQL query processing using Bobox framework (2011) Proceedings of the 5th International Conference on Advances in Semantic Processing, pp. 104-109; Choksuchat, C., Ngamphak, S., Maneesaeng, B., Chiwpreechar, Y., Chantrapornchai, C., Parallel health tourism information extraction and ontology storage (2014) Proceedings of International Joint Conference on Computer Science and Software Engineering, pp. 236-241; Cunningham, H., Gate, a general architecture for text engineering (2002) Computers and the Humanities, 36 (2), pp. 223-254; Cunningham, H., (2014) GATE: General Architecture for Text Engineering, 2014; Dogac, A., Kabak, Y., SATINE project: Exploiting web services in the travel industry (2004) Proc. EChallenges 2004; Fodor, O., Werthner, H., Harmonise: A step toward an interoperable e-tourism marketplace (2005) Int. J. Electron. Commerce, 9 (2), pp. 11-39; Friesen, J., (2013) Java 101: Java Concurrency Without the Pain, , http://www.javaworld.com/article/2078809/java-concurrency/, Available online at; Horrocks, I., Kutz, O., Sattler, U., (2006) The even More Irresistible SROIQ, pp. 57-67; Jakkilinki, R., Georgievski, M., Sharda, N., Connecting destinations with an ontology-based e-tourism planner (2007) Information and Communication Technologies in Tourism 2007, pp. 21-32. , Sigala, M., Mich, L. and Murphy, J. (Eds) Springer, Vienna; Kazakov, Y., Krötzsch, M., Simancík, F., (2011) Concurrent Classification of EL Ontologies Technical Report, 2011; Kehagias, D.D., Papadimitriou, I., Hois, J., Tzovaras, D., Bateman, J., A methodological approach for ontology evaluation and refinement (2008) ASK-IT Final Conference, June; Krötzsch, M., Simancik, F., Horrocks, I., (2012) A Description Logic Primer, , arXiv preprint arXiv: 1201.4089; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17; Siorpaes, K., Prantner, K., Bachlechner, D., (2004) OnTour: E-tourism Ontology, 2004; Supekar, K., A peer-review approach for ontology evaluation (2005) Proceedings of 8th Int. Protégé Conference; Tankeleviciene, L., Damasevicius, R., Characteristics of domain ontologies for web based learning and their application for quality evaluation (2009) Informatics in Education, 8 (1), pp. 131-152; Weaver, J., Williams, G.T., (2009) Scalable RDF Query Processing on Clusters and Supercomputers, , http://ceur-ws.org/Vol-517/ssws09-paper6.pdf, Available online at","Chantrapornchai, C.; Department of Computer Engineering, Faculty of Engineering, Kasetsart UniversityThailand; email: fengcnc@ku.ac.th",,,"Inderscience Publishers",,,,,17442621,,,,"English",,Article,"Final",,Scopus,2-s2.0-84982084501 "Sankar P.","55891012800;","An empirical study on medical tourism in Chennai",2016,"International Journal of Pharmaceutical Sciences Review and Research","36","2", 30,"190","193",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959342211&partnerID=40&md5=575497ef63383e8c3b7c88a8ab59a46d","Dept of Commerce, SRM University, Chennai, Tamil Nadu, India","Sankar, P., Dept of Commerce, SRM University, Chennai, Tamil Nadu, India","In this edge, medical tourism is not a new idea. Medical treatment is one of the essential demands of human beings and it requires high quality and intensive care. Beside western world, few developing countries are playing key roles as medical tourism destinations. India is one of the leading names among these countries. The purpose of the paper is to find the factors influencing the attractiveness of Chennai as a health tourism destination. The policy implications described are of particular relevance for policymakers and industry practitioners in other Southeast Asian countries with similar health systems where governments have expressed interest in facilitating the growth of the medical tourist industry. © protected.","Destinations; Health care; Medical tourism; Medical treatments; Medication cost","empiricism; government; human; India; medical tourism; nomenclature; physician",,,,,,,,"http://www.globalizationandhealth.com; Carrera, P., Bridges, J., Globalization and Healthcare: Understanding Health and Medical Tourism; (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6, pp. 447-454; http://www.medicaltourismassociation.com; www.medscape.com; http://www.tourism.gov.in","Sankar, P.; Dept of Commerce, SRM UniversityIndia; email: Sankar21.vp@gmail.com",,,"Global Research Online",,,,,0976044X,,,,"English","Int. J. Pharm. Sci. Rev. Res.",Article,"Final",,Scopus,2-s2.0-84959342211 "Vetitnev A.M., Savelyeva N.A.","6507543592;57200753028;","Creation of sectoral staff qualification assessment and certification system in sports and health tourism",2015,"Teoriya i Praktika Fizicheskoy Kultury",,"12",,"95","99",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042353912&partnerID=40&md5=27bc3569415d15d30059f21e5607439b","Sochi State University, Sochi, Russian Federation","Vetitnev, A.M., Sochi State University, Sochi, Russian Federation; Savelyeva, N.A., Sochi State University, Sochi, Russian Federation","Staff is the leading resource in the area of sports and health tourism and is a measure of competitiveness of industrial enterprises. So the issues of creation of the sectoral system of assessment and certification of qualifications are essential. The conceptual model of the system designed includes institutional structures such as basic industry organization, expert and methodical center, qualifications assessment and certification centers, educational institutions, as well as evaluators and experts on certification of qualifications. The testing of the model has revealed the key challenges related with creation of the system, including the lack of professional standards; regulatory, organizational and technical and methodological support of the system; the virtual absence of primary demand for the qualifications assessment and certification services; the disinterest of employers and educational institutions; the lack of development of professional sectoral associations and others. The detailed description of the problems and solutions is presented in the paper. © 2015 Teoriya i praktika fizicheskoy kul'tury i sporta. All Rights Reserved.","Certification system; Health tourism; Qualification assessment; Sports",,,,,,,,,"http://www.fitness-pro.ru; http://www.tssr.ru; Federatsiya, R., (2009) Rossiyskaya Federatsiya. Polozhenie ob Otsenke i Sertifikatsii Kvalifikatsiy Vypusknikov Obrazovatelnykh Uchrezhdeniy Professional'nogo Obrazovaniya, Drugikhkategoriygrazhdan, Proshedshikhprofessional'noe Obuchenie v Razlichnykh Formakh (The Russian Federation. Decree on Estimation and Certification of Qualifications of Graduates of Educational Institutions of Vocational Training, other Categories of Citizens who have Finished Vocational Training in Various Forms, , Adopt. by Ministry of Education and Science RF, All-Russian association of employers – RSPP 31.07. № 317/03; Vetitnev, A.M., Creating a system for assessing and certifying qualifications in the area of sports-Fitness tourism as a factor of implementing post-olympic legacy programs (2014) European Journal of Physical Education and Sport, 3 (1), pp. 85-91. , A.M. Vetitnev, N.A. Savelyeva, L.A. Galtsova, T.M. Alimova; Savelyeva, N.A., (2014) Osobennosti Organizatsii Tsentrov Otsenki I Sertifikatsii Kvalifikatsiy V Oblasti Rekreatsii I Sportivno-Ozdorovitel'Nogo Turizma (Features of Organisation of Centres of Evaluation and Certification of Qualifications in Recreation and Sports Tourism Sector), 1 (29), pp. 41-47. , N.A. Saveleva, A.M. Vetitnev // Izvestiya Sochinskogo gosudarstvennogo universiteta; Savelyeva, N.A., (2014) Bazovaya Organizatsiya Kak Klyuchevoe Zveno v Otraslevoy Sisteme Otsenki i Sertifikatsii Kvalifikatsiy (Basic Organisation as a Key Link in Branch System of Estimation and Certification of Qualifications), (1). , http://www.ivdon.ru/magazine/archive/n1y2014/2288, N.A. Saveleva, O.L. Starodub [Electronic resource] // �Inzhenerny vestnik Dona�; Vetitnev, A.M., Creating a system for assessing and certifying qualifications in the area of sports-fitness tourism as a factor of implementing post-olympic legacy programs (2014) European Journal of Physical Education and Sport, 3 (1), pp. 85-91. , A.M. Vetitnev, N.A. Savelyeva, L.A. Galtsova, T.M. Alimova",,,,"Teoriya i praktika fizicheskoy kul'tury i sporta",,,,,00403601,,,,"Russian","Teor. Prakt. Fiz. Kult.",Article,"Final",,Scopus,2-s2.0-85042353912 "Kim M.-Y., Denis E.","49361331000;57140197300;","Medical service evaluation by Russian medical travelers",2015,"Information (Japan)","18","12",,"4907","4915",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959164561&partnerID=40&md5=e1860356b41abb3d677ea0cd2bb6b76b","Coilege of Business, Hankuk University of Foreign Studies, 270 Imun-dong, Dongdaemun-gu, Seoul, 130-791, South Korea; Department of Management, Graduate School, Hankuk University of Foreign Studies, Seoul, 130791, South Korea","Kim, M.-Y., Coilege of Business, Hankuk University of Foreign Studies, 270 Imun-dong, Dongdaemun-gu, Seoul, 130-791, South Korea; Denis, E., Department of Management, Graduate School, Hankuk University of Foreign Studies, Seoul, 130791, South Korea","The current research proposes a medical service evaluation model. Specifically, this research examines the relationships between medical factors (medical quality, service swiftness), facilitating factors (ease of communication, regulatory support), perceived benefit, perceived risk, and trust in the medical service quality on Russian medical travelers' willingness to recommend the medical service in South Korea. A quantitative study was performed using 150 Russian medical travelers who visited South Korea for various medical treatments. The results indicate that service swiftness (H2a), ease of communication (H3a), and regulatory support (H4a) positively affect the perceived benefit of medical service, whereas medical quality (Hlb) and regulatory support (H4b) negatively affect the perceived risk of medical service. In addition, the perceived benefit positively affects the trust in the medical service quality (H5a). Furthermore, the level of trust in the medical service quality positively influences the willingness to recommend medical service (H6). © 2015 International Information Institute.","Facilitating factors; Medical factors; Medical service; Perceived benefit; Perceived risk; Russian medical travelers; Trust; Willingness to recommend",,,,,,,,,"Bigne, J.E., Sanchez, M.I., Sanchez, J., Tourism image, evaluation variables, and after purchase behavior: Inter-relationship (2001) Tour. Manage., 22, pp. 607-616; Business Korea, Russian medical tourists increasingly prefer Korea. 9 April 2014; Chin, W.W., The partial least squares approach to structural equation modeling (1998) Modern Methods Bus. Res., pp. 295-336. , London, Lawrence Erlbaum; Connell, J., Medical tourism: Sea, sun, sand and...surgery (2006) Tour. Manage., 27, pp. 1093-1100; Coulter, K.S., Coulter, R.A., Determinants of trust in a service provider: The moderating role of length of relationship (2002) J. Serv. Mark., 16, pp. 35-50; Ehrbeck, T., Guevara, C., Mango, R.D., Mapping the market for medical travel (2008) The McKinsey Quart., p. 2. , May; Feick, L., Higie, R.A., The effect of preference heterogeneity and source characteristics on ad processing and judgments about endorsers (1992) J. Advert, 21, pp. 9-24; Ferguson, R.J., Paulin, M., Bergeron, J., Customer sociability and the total service experience: Antecedents of positive word-of-mouth intentions (2010) J. Serv. Manage., 21, pp. 25-44; Fornell, C., Larcker, D.F., Evaluating structural equation models with unobservable variables and measurement error (1981) J. Mark. Res., 18, pp. 39-50; Hair, J.F., Jr., Anderson, R.E., Tatham, R.L., Black, W.C., (1998) Multivariate Data Analysis, 5th Ed., , Upper Saddle River, NJ: Prentice Hall; Heung, V.C.S., Kucukustaa, D., Song, H., A conceptual model of medical tourism for future research (2010) J. Travel Tour. Mark., 27, pp. 236-251; Kang, I., Cheon, D., Shin, M.M., Advertising strategy for outbound travel services (2011) Serv. Bus., 5, pp. 361-380; Kang, I., Shin, M.M., Lee, J., Service evaluation model for medical service (2012) J. Hosp. Tour. Res., 20, pp. 1-22; Lee, Y.J., Song, Y.M., A far-east Russian agent's perspective toward South Korea as a medical tourism destination (2012) Kor. J. Tour. Hosp. Res., 26, pp. 297-319; Lunt, N., Carrera, R., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web based health information (2010) Open Med. Inform. J., 4, pp. 1-11; Magnini, V.R., Miler, T., Kim, B.C., The psychological effects of foreign language restaurant signs on potential diners (2011) J. Hosp. Tour. Res., 35, pp. 24-44; Phang, W.C., Sutano, J., Kankanhalli, A., Li, T., Tan, B.C.Y., Teo, H.H., Senior citizen's acceptance of information systems: A study in the context of e-government services (2006) IEEE Trans. Eng. Manage., 53, pp. 555-569; Reisinger, Y., Mavondo, F., Travel anxiety and intentions to travel internationally: Implications of travel risk perception (2005) J. Travel Res., 43, pp. 212-225; Roehl, W.S., Fesenmaier, D.R., Risk perceptions and pleasure travel: An exploratory analysis.'./ (1992) Travel Res., 30, pp. 17-26; Tsaur, S.H., Tzeng, G.H., Wang, K.C., Evaluating tourist risks from fuzzy perspectives (1997) Annu. Tour. Res., 24, pp. 796-812; Wold, H., Partial least squares (1985) Encyclopedia of Statistical Sciences, , Kotz, S. and Johnson, N. (eds.), New York: Wiley; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tour. Manage., 34, pp. 196-201; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese, and Korean tourists in Korea (2012) Tour. Manage., 33, pp. 80-88; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tour. Manage., 35, pp. 32-40","Kim, M.-Y.; Coilege of Business, Hankuk University of Foreign Studies, 270 Imun-dong, South Korea; email: moonyong@hufs.ac.kr",,,"International Information Institute Ltd.",,,,,13434500,,,,"English","Information",Article,"Final",,Scopus,2-s2.0-84959164561 "Debata B.R., Mahapatra S.S., Patnaik B.","55331150500;34881914000;37115884300;","Medical tourism service quality: An Indian perspective",2015,"Web-Based Services: Concepts, Methodologies, Tools, and Applications",,,,"1433","1464",,,"10.4018/978-1-4666-9466-8.ch063","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028288061&doi=10.4018%2f978-1-4666-9466-8.ch063&partnerID=40&md5=6b94f15d69e8103baf659226b9d2af05","University of Macau, Macau; National Institute of Technology Rourkela, India","Debata, B.R., University of Macau, Macau; Mahapatra, S.S., National Institute of Technology Rourkela, India; Patnaik, B., National Institute of Technology Rourkela, India","Medical tourism, a growing phenomenon in the world today, possesses a worthwhile potential for the economic development of any country. Globalization, development of information and communication technology (ICT) and adherence to the international quality standards potentially result in a significant increase in the movement of patients and healthcare professionals across national boundaries. The demand for medical tourism in India is experiencing a tremendous growth. However, the Indian medical tourism sector faces various challenges. Since India attempts to position itself as one of the preferred global medical tourism hub, a thorough understanding of means to attract, satisfy and retain medical tourists is extremely important. Five hundred and thirty four (534) useful responses in two different phases is collected and tested to examine the validity and reliability of the scale to ensure a quantitative and statistically proven identification of the responses. The exploratory factor analysis (EFA) is used to identify the underlying dimensions of medical tourism service quality for medical tourism in India. Next, confirmatory factor analysis (CFA) was used to confirm the factor structure of the constructs and validate EFA results. © 2016, IGI Global.",,"Multivariant analysis; Quality control; Quality of service; Confirmatory factor analyses (CFA); Economic development; Exploratory Factor Analysis (EFA); Factor structure; Health care professionals; Information and Communication Technologies; Quality standard; Tourism service qualities; Factor analysis",,,,,,,,"Andaleeb, S.S., Siddiqui, N., Khandakar, S., Patient Satisfaction with health services in Bangladesh (2007) Health Policy and Planning, 22 (4), pp. 263-273. , PMID:17545252; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review of the two-step approach (1988) Psychological Bulletin, 103 (3), pp. 411-423; Awadzi, W., Panda, D., Medical tourism: Globalization and marketing of medical services (2005) The Consortium Journal of Hospitality and Tourism, 11, pp. 75-80; Babakus, E., Mangold, W.G., Adapting the SERVQUAL scale to hospital services: An empirical investigation (1992) Health Services Research, 26 (6), pp. 767-780. , PMID:1737708; Begde, P., Opportunity and challenges for medical tourism in India (2008) Paper presented at conference on tourism in India-challenges ahead, Indian Institute of Management, , May, Kozhikode, India; Bookman, M., Bookman, K., (2007) Medical tourism in developing countries, , New York, NY: PalgraveMacMillan; Bowers, M.R., Swan, J.E., Koehler, W.F., What attributes determine quality and satisfaction with healthcare delivery? 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(2010) Journal of Public Health Policy, 31 (2), pp. 185-198. , PMID:20535101; Marlowe, J., Sullivan, P., Medical Tourism: The Ultimate Outsourcing (2007) Human Resource Planning, 30 (2), pp. 8-10; McCallum, B.T., Jacoby, P.F., Medical outsourcing: Reducing clients' health care risks (2007) Journal of Financial Planning, 20 (10), pp. 60-70; Meleigy, M., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, pp. 164-166. , PMID:17486202; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the Ethics of Medical Tourism by Canadian Patients: Comparing Patient and Academic Perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Valorie, A.C., Leigh, T., Jeremy, S., Rory, J., Paul, K., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732. , PMID:21310519; Wu, H.L., Liu, C.Y., Hsu, W.H., An integrative model of customers' perception of health care services in Taiwan (2008) Service Industries Journal, 28 (9), pp. 1307-1319","Debata, B.R.; University of MacauMacau",,,"IGI Global",,,,,,9781466694675; 1466694661; 9781466694668,,,"English","Web-Based Serv.: Concepts, Methodol., Tools, and Appl.",Book Chapter,"Final",,Scopus,2-s2.0-85028288061 "Golynker O.","36145687600;","Patient mobility and healthcare in the EU",2015,"Research Handbook on European Social Security Law",,,,"490","514",,,"10.4337/9781782547334.00031","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84960825056&doi=10.4337%2f9781782547334.00031&partnerID=40&md5=9b1354b5cc680e92aa0e16afc2203604","University of Leicester, United Kingdom","Golynker, O., University of Leicester, United Kingdom",[No abstract available],,,,,,,,,,"Azzopardi Muscat, N., Sharing Capacity - Malta and the United Kingdom (2006) Patient Mobility in the European Union: Learning from Experience, pp. 119-136. , M Rosenmöller, M McKee and R Baeten (eds), Copenhagen: WHO Regional Office for Europe; Barnard, C., EU Citizenship and the Principle of Solidarity (2005) Social Welfare and EU Law, p. 157. , E Spaventa and M Dougan (eds), Oxford: Hart Publishing; Cygan, A., Public Healthcare in the European Union: Still a Service of General Interest- (2008) International Comparative Law Quarterly, 57, pp. 529-560; De La Rosa, S., The Directive on Cross-border Healthcare or the Art of Codifying Complex Case Law (2012) CMLR, 49, pp. 15-46; Dougan, M., The Spatial Restructuring of National Welfare States within the European Union: The Contribution of Union Citizenship and the Relevance of the Treaty of Lisbon (2009) Integrating Welfare Functions into EU Law. 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Project DG EMPL/B/4-VC/2012/1110, , Ghent: TrESS; Weale, A., Clarke, S., (2011) High Quality, Comprehensive and Without Barriers to Access- The Future of Healthcare in Europe, , www.ucl.ac.uk/european-institute/analysis-publications/publications/FHE_FINAL_online.pdf, London: UCL; White, R., (1999) EC Social Security Law, , London: Longman","Golynker, O.; University of LeicesterUnited Kingdom",,,"Edward Elgar Publishing Ltd.",,,,,,9781782547334; 9781782547327,,,"English","Res. Handb. on Eur. Soc. Secur. Law",Book Chapter,"Final",,Scopus,2-s2.0-84960825056 "Kurtulmuş S., Öztürk A.O.","57189273657;57189271436;","The rise of medical tourism in Turkey and the unique case of patients from Germany",2015,"Turkish German Affairs from an Interdisciplinary Perspective",,,,"323","352",,,"10.3726/978-3-653-06267-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84967373586&doi=10.3726%2f978-3-653-06267-0&partnerID=40&md5=7bb0f70256389f002cf5799e2a174209","Department of Human Resource Management, Yildirim Beyazit University, Ankara, Turkey; Department of Political Science and Public Administration, Istanbul Medipol University, Istanbul, Turkey","Kurtulmuş, S., Department of Human Resource Management, Yildirim Beyazit University, Ankara, Turkey; Öztürk, A.O., Department of Political Science and Public Administration, Istanbul Medipol University, Istanbul, Turkey","Travelling to a foreign country to receive medical care that may also incorporate an extended holiday is often categorized as medical tourism, a unique industry differentiated from general health and wellness tourism. In recent years, approximately eleven million foreign patients travel abroad to consume cheaper, better, and faster medical treatments globally. Some claim that the rise of elderly population and the healthcare costs in developed economies with the availability of high quality medical services in developing countries has primarily triggered the medical tourism market growth. As one of the developed countries, Germany does not seem to promote medical tourism at the governmental level, but still attract patients who seek high quality medical treatments. As a popular tourist destination, Turkey has lately become an attractive destination with 50 Joint Commission International certified medical facilities for foreign patients where the government accelerated its efforts to improve medical tourism. Since Turkish medical tourism sector is well expected to continue its upward trend for near future, the study tries to scrutinize how Turkish government promotes and regulates its health and wellness tourism sector. To do so, the study uses secondary data to examine current trends of medical tourism in Turkey by elaborating the unique case of German patients. Findings of the study present current capacity and potentials of medical tourism for Turkey, and offer several policy recommendations to Turkish stakeholders who aim to improve economic gains over the sector. © Peter Lang GmbH.","Foreign patients; Germany; Healthcare; Medical tourism; Turkey.",,,,,,,,,"Ağartan, T.I., Marketization and Universalism: Crafting the Right Balance in the Turkish Healthcare System. (2012) Current Sociology, 60 (4), pp. 456-471; Aniza, I., Aidailina, M., Nirmalini, R., Inggit, M.C.H., Ajeng, T.E., Healthcare tourism in Malaysia: The strength and weaknesses. (2009) Journal of Community Health, 15 (1), pp. 11-17; Balaban, V., Marano, C., Medical Tourism Research: A Systematic Review (2010) International Journal of Infectious Diseases, 14, p. 135. , (14th International Congress on Infectious Diseases (ICID) Abstratcs); Bilecen, B., Tezcan-Güntekin, H., (2014) Transnational Healthcare Practices of Retired Circular Migrants, , Center on Migratin, Citizenship and Development, Arbeitspapiere-Working Papers, No. 127; Bristow, R.S., Sustainability and Eco-health Tourism (2013) Sustainability in Tourism, pp. 69-84. , In I. J. R. Schröder (Ed.), Berling, Germany: Springer Fachmedien Wiesbaden; Carrera, P., Bridges, J., Globalization and healthcare: Understanding health and medical tourism"" (2006) Expert Review in Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-453; Connell, J., Medical Tourism: Sea, Sun, Sand, and .... Surgery (2006) Tourism Management, 27, pp. 1093-1100; (2014) Evaluation Report on Medical Tourism in Turkey 2013., , http://saglikturizmi.gov.tr/documents/evaluation-report-on-medical-tourismin-turkey-2013.pdf, Pozitif Printing: Ankara. Authors: Kaya, S., Yildirim, H. H., Karsavuran, S., Özer, O. Retrieved from; Durugönül, E., Turkish Return Migration from Europe (2013) European Review, 21 (3), pp. 412-421; (2013) Health and Wellness Tourism in Germany., , http://www.euromonitor.com/, Retrieved on January 13, 2015 from; (2015), http://www.tatsachen-ueber-deutschland.de/en/society/main-content-08/immigration-and-integration.html, Facts about German Society. Retrieved on March 3, 2015 from; Hall, C.M., Health and Medical Tourism: A Kill or Cure for Global Public Health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfal, D., Mannion, R., Medical Tourism: Treatments, markets and health system implications: A scoping review (2011) OECD, Directorate for Employment, Labour and Social Affairs, , http://www.oecd.org/dataoecd/51/11/48723982.pdf, Retrieved on November 26, 2014 from; Lunt, N., Carrera, P., Medical Tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; (2013), Republic of Turkey Ministry of Health Department of Health Tourism; Paffhausen, A.L., Peguero, C., Roche-Villarreal, L., (2010) Medical Tourism: A Survey., , ECLAC, UN Washington, D.C. Office; Razum, O., Shain-Hodoglugil, N.N., Polit, K., Health, Wealth or Family Ties ? Why Turkish Work Migrants Return from Germany. (2005) Journal of Ethnic and Migration Studies, 31 (4), pp. 719-739; Sencan, I., Aydin, D., Constantinides, C., Mike, C., Yilmaz, C., Genc, A., Lanyi, A., (2012) Definitions and Descriptions Regarding Health Tourism., , The Ministry of Health General Directorate of Health Services Department of Health Tourism. Ankara: Opus Printing LLC; Tatar, M., Mollahaliloglu, S., Sahin, B., Aydin, S., Maresso, A., Hernandez-Quevedo, C., Turkey: Health System Review. (2011) Health System in Transition, 13 (6), pp. 1-186; Tavsan, S., (2015) Government Push to Grow Foreign Patient Numbers, , http://asia.nikkei.com/article/72341, Nikkei Asain Review. Retrieved on January 28 from; (2015) Germany., , https://www.cia.gov/library/publications/the-world-factbook/geos/gm.html, Retrieved on March 5, 2015 from; Turner, L., 'First World Health Care at Third World Prices': Globalization, Bioethics and Medical Tourism (2007) BioScocities, 2, pp. 303-325; (2014) Tourism Highlights, 2014 Edition, , http://dtxtq4w60xqpw.cloudfront.net/sites/all/files/pdf/unwto_highlights14_en.pdf, Retrieved on March 3, 2015 from; Woodman, J., Patient Beyond Borders, Everybody's Guide to Affordable, World-Class Medical Travel (2014) Patient Beyond Borders., , http://www.patientsbeyondborders.com/medical-tourism-statisticsfacts, Retrieved on November 26, 2014 from; Wildirim, H.H., (2013) Turkish Healthcare System: Evaluation Report on Health Transformation Program., , Ankara: Saglik-Sen Publications, Mattek Printing","Kurtulmuş, S.; Department of Human Resource Management, Yildirim Beyazit UniversityTurkey; email: kurtulmus@ybusm.info",,,"Peter Lang AG",,,,,,9783653062670; 9783631668580,,,"English","Turk. Ger. Affairs from an Interdiscip. Perspect.",Book Chapter,"Final",,Scopus,2-s2.0-84967373586 "Pierini E., Pioppo M., Troiano G., Casucci P., Checconi O., Ruffini F., Messina G., Nante N.","57189088379;35079342800;57189086562;6508147120;57189086324;35079347500;24778773900;6602433305;","Patient mobility for bone marrow transplant: the experience of the Perugia Hospital, years 2000-2013",2015,"Annali di igiene : medicina preventiva e di comunità","27","5",,"769","776",,,"10.7416/ai.2015.2069","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84965093522&doi=10.7416%2fai.2015.2069&partnerID=40&md5=24be172a9e09ac2ea0aee5146ac83981","Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy","Pierini, E., Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Pioppo, M., Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Troiano, G., Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Casucci, P., Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Checconi, O., Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Ruffini, F., Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Messina, G., Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy; Nante, N., Full Professor, Health Service Research Laboratory and Post Graduate School of Public Health, University of SienaMD, Italy","INTRODUCTION: Patient mobility, driven by patient preference is an indirect indicator of perception of hospital quality. Patients' choices depend on their previous healthcare experiences, the reputation of the hospital staff and the network of relationships between the patient, hospital doctors, general practitioners/reference specialists, etc. Therefore, the analysis of patient preferences provides an idea of hospital quality as well as qualitative and quantitative lack of services. The aim of the present research was to describe and analyze patient mobility for bone marrow transplantation regarding the Hospital of Perugia, which represents the second most important structure for bone marrow transplant in Italy.METHODS: Data have been collected from hospital discharge records in the ordinary regime related to the Diagnosis Related Group 481 ""bone marrow transplant"" since 2000 to 2013. We included autologous and allogenic transplant, in the adult and the child. Analysis of escaped, attracted and resident patients flows was undertaken using Gandy's nomogram which detects, through repeated time investigations, patients' movement inside and outside their catchment area.RESULTS: Between 2000 and 2013, 1782 patients were admitted to hospital with a DRG 481 ""bone marrow transplant"". Nine hundred and nineteen (51,5%) were resident in Umbria region, 799 (44,8%) in other regions, 64 (0,3%) abroad. Escapes were 158. The high percentage of admissions represented by patients that live out of Umbria, shows a high attractive power of the hospital. For ""distant regions"" this situation was maintained from 2000 to 2003, with a mild decrease from 2004 and, from 2010, the situation is stable. Only for ""bordering regions"" the attraction, which was stable up to 2010, seems to decrease. Gandy's nomogram shows also that the hospital was able to satisfy the health needs of the Umbria residents between 2004 and 2009 with a reductions in the escapes; then, in the last four years there is an increase in Umbria residents who seek care outside the catchment area and, in the last two years a reduction in the attraction power also.CONCLUSIONS: During the analyzed period of time, the Hospital of Perugia has been a choice for patients needing a bone marrow transplant. In the last period of the analysis it seems that patients preferences have changed. The increased availability of new hematologic centers explains two phenomena: on the one hand patients tend to not move for the examined DRG, so that there is a reduction in incoming patients from bordering regions; on the other hand the competition to attract patients from the catchment area leads to an increase in the quality of the service.","Bone marrow transplantation; Cross-border healthcare; Nomogram","adult; allotransplantation; autotransplantation; bone marrow transplantation; child; health service; hospital; human; information processing; Italy; nomogram; patient preference; procedures; statistics and numerical data; travel; Adult; Bone Marrow Transplantation; Child; Data Collection; Health Services Needs and Demand; Hospitals; Humans; Italy; Nomograms; Patient Preference; Transplantation, Autologous; Transplantation, Homologous; Travel",,,,,,,,,,,,,,,,,11209135,,,"26661918","English","Ann Ig",Article,"Final",,Scopus,2-s2.0-84965093522 "Ractham P., Chen C., Nakayama M.","14036025900;7501949741;7401792580;","The trust in online discussion forums and how they influence patients' intention to adopt medical tourism services",2015,"ICE-B 2013 - 10th International Conference on E-Business, Part of the ICETE 2013: 10th International Joint Conference on E-Business and Telecommunications, Proceedings",,, 7230664,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957922360&partnerID=40&md5=ca5647c820cd7ba4ce4cd3b090e3c1f1","Thammasat Business School, Thammasat University, 2 Prachan Street, Barommaharatchawang, Bangkok, Thailand; Walker College of Business, Appalachian State University, 416 Howard Street, Boone, NC, United States; School of Computing, DePaul University, 243 South Wabash Avenue, Chicago, IL, United States","Ractham, P., Thammasat Business School, Thammasat University, 2 Prachan Street, Barommaharatchawang, Bangkok, Thailand; Chen, C., Walker College of Business, Appalachian State University, 416 Howard Street, Boone, NC, United States; Nakayama, M., School of Computing, DePaul University, 243 South Wabash Avenue, Chicago, IL, United States","Demand for medical tourism services originates from lack of health care options locally, increasingly healthcare cost, and improvements in healthcare quality in other countries. Many potential users are anxious about the quality of doctor and facility, as well as other issues (e.g. language barriers, confusion about procedure, and legality). As a result, many potential medical tourists rely on the use of online discussion forums in the decision-making process by seeking useful information and interacting with members who experienced or have the same needs for care abroad. A survey is conducted to collect data from 223 discussion threads in top 3 online discussion forums ranked by 80 participants. Data analysis results show that trust in the use of online discussion forums can help foster trust in hospital and doctor, it has no direct influence on their intention to adopt medical tourism services. Improving trust in doctoral and hospital cannot necessarily help increase the intention of users to adopt these services. Future research may want to seek other important factors such as social influence to help increase the intention of users in adopting medical tourism services. © 2013 SCITEPRESS.","Face-to-Face (F2F) Communication; Medical Tourism Services; Trust","Decision making; Electronic commerce; Health care; Hospitals; Online systems; Surveys; Decision making process; Face to face; Health care costs; Healthcare quality; Language barriers; Online discussion forums; Tourism services; Trust; Social networking (online)",,,,,,,,"Andio Freire, N., The emergent medical tourism: Advantages and disadvantages of the medical treatments abroad (2012) International Business Research, 5 (2), pp. 41-50; Bem, D.J., Self-perception theory (1972) Advances in Experimental Social Psychology, 6, pp. 1-62. , L. Berkowitz (Ed.),. New York: Academic Press; Biggs, M., Self-fulfilling prophecies (2009) The Oxford Handbook of Analytical Sociology, pp. 294-314. , P. Hedström & P. Bearman (Eds.),. New York: Oxford University Press; Blanchard, A.L., Markus, M.L., The experienced ""sense"" of virtual community: Characteristics and processes (2004) The DATABASE for Advances in Information Systems. Winter 2004, 35 (1); Brown, H.G., Poole, M.S., Rodgers, T.L., Interpersonal traits, complementarity, and trust in virtual collaboration (2004) Journal of Management Information Systems, 20 (4); Chin, W., Issues and opinion on structural equation modeling (1998) MIS Quarterly, 22 (1), pp. 7-16; Chin, W., Marcolin, B., Newsted, P., A partial least squares latent variable modeling approach for measuring interaction effects: Results from a monte carlo simulation study and an electronic mail adoption study (2003) Information Systems Research, 14 (2), pp. 189-217; Coefficient alpha and the internal structure of tests (1951) Psychometrika, (16), pp. 297-334. , Cronbach; Doney, P.M., Cannon, J.P., An examination of the nature of trust in buyer-seller relationships (1997) Journal of Marketing, 61 (2), pp. 35-51; Everard, A., Galletta, D.F., How presentation flaws affect perceived site quality, trust, andintention to purchase from an online store (2005) Journal of Management of Information Systems, 22 (3), pp. 55-95; Fogg, B.J., Soohoo, C., Danielson, D., Marable, L., Stanford, J., Tauber, E.R., How do people evaluate a web site's credibility? (2002) Results from A Large Study: Stanford University, , Consumer WebWatch, Sliced Bread Design, LLC; Fornell, C., Larcker, V.F., Evaluating structural equation models with unobservable variables and measurement error (1981) Journal of Marketing Research, 18 (1), pp. 39-50; Diego, G., Can we trust trust (2000) Trust: Making and Breaking Cooperative Relations, Electronic Edition, 13, pp. 213-237. , http://www.sociology.ox.ac.uk/papers/gambetta213-237.pdf, Gambetta, Diego (ed.), Department of Sociology, University of Oxford, chapter; George, D., Mallery, P., SPSS for Windows step by step: A simple guide and reference (2003) 11. 0 Update, , (4th ed.). Boston, M. A. : Allyn & Bacon; Guiry, M., Vequist, D.G., Traveling abroad for medical care: U. S. Medical tourists' expectations and perceptions of service quality (2011) Health Marketing Quarterly, 28 (3), pp. 253-269; Huang, H., Tsai, C., Wang, C., The relationships among social capital, health promotion, and job satisfaction at hospitals in Taiwan (2012) Social Behavior & Personality: An International Journal, 40 (7), pp. 1201-1211; Hwang, A., Francesco, A.M., The influence of individualism-collectivism and power distance on use of feedback channels and consequences for learning (2010) Academy of Management Learning & Education, 9 (2), pp. 243-257; Jarvenpaa, S., Leidner, D.E., Communication and trust in global virtual teams (1999) Organization Science; Special Issue: Communication Processes for Virtual Organizations, 6-10, pp. 791-815. , Jarvenpaa and Leidner. 807; Johnston, R., Crooks, V.A., Snyder, J., ""I didn't even know what i was looking for"": A qualitative study of the decision-making processes of Canadian medical tourists (2012) Globalization & Health, 8 (1), pp. 23-34; Leimeister, J.M., Ebner, W., Kremar, H., Design, implementation, and evaluation of trust-supporting components in virtual communities for patients (2005) Journal of Management Information Systems, 21 (4), pp. 101-135; McKnight, D.H., Choudhury, V., Kacmar, C., Developing and validating trust measures for ecommerce: An integrative typology (2002) Information Systems Research, 13 (3), pp. 334-359; Moorman, C., Deshpande, R., Zaltman, G., Factors affecting trust in market research relationships (1993) Journal of Marketing, 57, pp. 81-102. , 21 Jan; Nohria, N., Eccles, R., Face-to-face: Making network organizations work (1992) Networks and Organizations: Structure, Form, and Action, pp. 288-308. , N. Nohria & R. Eccles (Eds.), Harvard Business School Press; Peppers, D., Rogers, M., (1997) Enterprise One to One: Tools for Competing the Interactive Age, , New York: Currency Doubleday; Ren, Y., Harper, F.M., Drenner, S., Terveen, L., Kiesler, S., Riedl, J., Kraut, R.E., Building member attachment in online communities: Applying theories of group identity and interpersonal bonds (2012) MIS Quarterly, 36 (3), pp. 841-864; Salisbury, W.D., Pearson, R.A., Pearson, A.W., Miller, D.W., Perceived security and worldwide web purchase intention (2001) Industrial Management & Data Systems, 101 (4), pp. 165-177; Sirdeshmukh, D., Singh, J., Sabol, B., Consumer trust, value, and loyalty in relational exchanges (2002) Journal of Marketing, 66 (1), pp. 15-37; Smith, A.K., Health care bargains abroad (2012) Kiplinger's Personal Finance, 66 (1), pp. 65-68; Straub, D.W., Loch, W., Aristo, R., Karahanna, E., Strite, M., Toward a theory-based measurement of culture (2002) Journal of Global Information Management, 10, p. 1. , 13-23; Suki, N.M., Assessing patient satisfaction, trust, commitment, loyalty and doctors' reputation towards doctor services (2011) Pakistan Journal of Medical Sciences, 27 (5), pp. 1207-1210; Tang, L., The influences of patient's satisfaction with medical service delivery, assessment of medical service, and trust in health delivery system on patient's life satisfaction in China (2012) Health & Quality of Life Outcomes, 10 (1), pp. 111-123; Wixom, B.H., Watson, H.J., An empirical investigation of the factors affecting data warehousing success (2001) MIS Quarterly, 25 (1), pp. 17-41; Yee, N., Bailenson, J.N., Ducheneaut, N., The Proteus effect: Implications of transformed digital selfrepresentation on online and offline behavior (2009) Communication Research, 36, pp. 285-312; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88. , http://dx.doi.org/10.1016/j.tourman.2011.02.002",,"Marca D.van Sinderen M.","Institute for Systems and Technologies of Information, Control and Communication (INSTICC);Object Management Group (OMG)","Institute of Electrical and Electronics Engineers Inc.","10th International Conference on E-Business, ICE-B 2013","29 July 2013 through 31 July 2013",,117266,,9789897581281,,,"English","ICE-B - Int. Conf. E-Bus., Part ICETE - Int. Jt. Conf. E-Bus. Telecommun., Proc.",Conference Paper,"Final",,Scopus,2-s2.0-84957922360 "Li M., DeMicco F.J.","57103984100;6506110255;","Best ""experience"" practices in medical tourism",2015,"Handbook of Research on Global Hospitality and Tourism Management",,,,"493","500",,,"10.4018/978-1-4666-8606-9.ch024","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957717903&doi=10.4018%2f978-1-4666-8606-9.ch024&partnerID=40&md5=cc0d7355845c82c0d46a7ad6fd87f25e","The University of Delaware, United States; Department of Hotel, Restaurant and Institutional Management, University of Delaware, United States","Li, M., The University of Delaware, United States; DeMicco, F.J., Department of Hotel, Restaurant and Institutional Management, University of Delaware, United States","The principal objective of this paper is to demonstrate the best practices in the rising trend of H2H and Medical Tourism. The concept of ""Experience Economy"" expedites the merging process of hospitality and hospitals: patients are also travelers now whose needs are not merely commodity type of medical care anymore but a memorable wellbeing experience. Moreover, H2H optimizes the process of realizing excellent care, which serves as the fundamental reason for tourism industry. In the section of ""Best Practices in Medical Tourism, Christiana Care Way, Starwood Five Human Truths, and H2H packages in Switzerland are selected to show how patient/guest experience can be made more interactive and less transactional. Therefore, although H2H demands the considerable collaboration from all parties involved in order to ultimately present the excellent care that customers, tourists, and patients want, H2H indeed carries tremendous opportunity for hospitals, hotels, Spa, restaurants, transportation, and more. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Cetron, M., DeMicco, F., Davies, O., (2010) Hospitality and Travel, , 2015. Orlando, FL: The American Hotel and Lodging Association Educational Institute; About Christiana Care Care, , http://www.christianacare.org/way, n.d., Retrieved from; Deloitte, L.L.P., (2009) Medical tourism: Update and implications, , www.deloitte.com, [Report]. Retrieved from; Lee, F., (2004) If Disney ran your hospital: 9 1/2 things you would do differently, , Bozeman, MT: Second River Healthcare Press; Medical Tourism FAQ's, , http://www.medicaltourismassociation.com/en/medicaltourism-faq-s.html, n.d., Retrieved from; Pine, B.J., Gilmore, J.H., The experience economy (2011), (Updated ed.). Boston: Harvard Business Review Press; (2012) Asia Medical Tourism Analysis and Forecast to 2015, , http://www.marketresearch.com/Renub-Research-v3619/Asia-Medical-Tourism-Forecast-7174680/, Retrieved from; (2010) Inbound Medical Tourism: Survey of US International Patient Departments, , http://www.stackpoleassociates.com/, Retrieved from","Li, M.; The University of DelawareUnited States",,,"IGI Global",,,,,,9781466686076; 1466686065; 9781466686069,,,"English","Handb. of Res. on Glob. Hosp. and Tour. Manag.",Book Chapter,"Final",,Scopus,2-s2.0-84957717903 "De Looze K.","55312799900;","India's kidney belt and medical tourism: A double-edged sword",2015,"Organ Transplantation in Times of Donor Shortage: Challenges and Solutions","59",,,"277","284",,,"10.1007/978-3-319-16441-0_23","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84955739914&doi=10.1007%2f978-3-319-16441-0_23&partnerID=40&md5=12fc13566236b00423a790086e974c86","Center Leo Apostel, Brussels Free University, Belgium","De Looze, K., Center Leo Apostel, Brussels Free University, Belgium",[No abstract available],,,,,,,,,,"Abadie, A., Gay, S., The impact of presumed consent legislation on cadaveric organ donation: a cross-country study (2006) Journal of Health Economics, 25, pp. 599-620; Atala, A., (2011) Printing a human kidney, , http://www.ted.com/talks/anthony_atala_printing_a_human_kidney.html, Accessed 28 April 2011; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York: Palgrave Macmillan; Bunzl, J., (2011) The simultaneous policy, , London: New European Publications; Cohen, L., Where it hurts: Indian material for an ethics of organ transplantation (1999) Daedalus, 128 (4), pp. 135-166; Cohen, L., Ethical publicity: On transplant victims, wounded communities, and the moral demands of dreaming (2010) Ethical life in South Asia, pp. 253-274. , ed. A. Pandian and D. Ali, Bloomington: Indiana University press; Copeman, J., The gift and its forms of life in contemporary India (2011) Modern Asian Studies, 45 (5), pp. 1051-1094; Copeman, J., Reddy, D., The didactic death. (2012) HAU Journal of Ethnographic Theory, 2 (2), pp. 59-83; De Looze, K., My heart will go on: The cybernetics of organ harvesting donor (im)mortality and the politics of the non-self (2011) Worldviews, science and us: Bridging knowledge and its implications for our perspective of the world, , ed. Aerts Diederik, Bart D'Hooghe, and Nicole Note. Singapore: World Scientific; De Looze, K.., Interweaving fragments of ethical publicity and ethical resistance: The quest for cadaver organs in India (2013) Contemporary South Asia, 21 (3), pp. 304-317; De Looze, K., Shroff, S., Can presumed consent overcome organ shortage in India? Lessons from the Belgian experience (2012) National Medical Journal of India, 25 (3), pp. 168-171; Dutta, N., (2012) Organ donation-all your queries answered, , http://health.india.com/diseases-conditions/organ-donation-all-your-queries-answered/, Health.India.com, Accessed 4 May 2013; Evans, D., Seeking an ethical and legal way of procuring transplantable organs from the dying without further attempts to redefine human death (2007) Philosophy, Ethics, and Humanities in Medicine, 2 (1), p. 11; Gautam, V., (2008) Healthcare tourism opportunities for India, , www.eximbankindia.com/ht/prelime.pdf, Accessed 14 Jan 2013; Gervais, K., (1986) Redefining death, , New Haven: Yale University Press; Goyal, M., Mehta, R.L., Schneiderman, L.J., Sehgal, A.R., Economic and health consequences of selling a kidney in India (2002) The Journal of the American Medical Association, 288 (13), pp. 1589-1593; (1994) The transplantation of human organs act, , india.gov.in/allimpfrms/allacts/2606.pdf, April 2011; Lock, M., (2002) Twice dead: Organ transplants and the reinvention of death, , Berkeley: University of California Press; McConnell, J., The ambiguity about death in Japan (1999) Journal of Medical Ethics, 25, pp. 322-324; Morioka, M., (2001) Reconsidering brain death: A lesson from Japan's fifteen years of experience, pp. 41-46. , Hastings Center Report; Mudur, G., Indian doctors hope kidney scandal will spur cadaver donation programme (2008) British Medical Journal, 336 (7641), p. 413; Ohnuki-Tierney, E., Angrosino, M., Brain death and organ transplantation: Cultural bases of medical technology (1994) Current Anthropology, 35 (5), pp. 233-254; Parry, J., (1994) Death in Benares, , Cambridge: Cambridge University Press; Rabinow, P., Artificiality and enlightenment: From sociobiology to biosociality (1999) The Science Studies Reader, pp. 407-416. , ed. M. Biagioli, New York: Routledge; Radin, M.J., (1996) Contested commodities, , Cambridge: Harvard University Press; Raheja, G.G., (1998) The poison in the gift: Ritual prestation and the dominant caste in a North Indian village, , Chicago: University Press; Scheper-Hughes, N., The global traffic in human organs (2000) Current Anthropology, 41 (2), pp. 191-224; Sharp, L., The commodification of the body and its parts (2000) Annual Review of Anthropology, 29, pp. 287-328; Shimazono, Y., The state of the international organ trade: A provisional picture based on integration of available information (2007) Bulletin of the World Health Organization, 85 (12), pp. 901-980; Shroff, S., (2008) Cadaver organ donation and transplantation, , http://www.mohanfoundation.org/SlidesSection.asp, An Indian perspective, Accessed 15 Jan 2008; Shroff, S., (2012) Organ donation and transplantation-tribulations and triumphs-an Indian perspective, , Accessed 20 Sept 2012; Shroff, S., Singh, P., Personal communication on 05/03/2011; Shroff, S., Rao, S., Kurian, G., Suresh, S., Organ donation and transplantation-Chennai experience in India (2007) Transplantation Proceedings, 39 (3), pp. 714-718; Smith, K., The problematization of medical tourism: A critique of neoliberalism (2012) Developing World Bioethics, 12 (1), pp. 1-8; Souter, M., Ethical controversies at end-of-life after traumatic brain injury (2010) Critical Care Medicine, 38, pp. 502-509; Tharakan, A., India moves to contain organ donation havoc (2012) Canadian Medical Association Journal, 184 (8), pp. E387-E388; One-kidney communities (1997) Frontline, 15 (25). , http://www.frontlineonnet.com/fl1425/14250730.htm, Accessed 14 Jan 2013; Turner, L., From the local to the global: Bioethics and the concept of culture (2005) Journal of Medicine and Philosophy, 30, pp. 305-320; Turner, L., 'Medical tourism' initiatives should exclude commercial organ transplantation (2008) Journal of the Royal Society of Medicine, 101, pp. 391-394; (2003) Ethics, access and safety in tissue and organ transplantation: Issues of global concern, , http://www.who.int/transplantation/en/Madrid_Report.pdf, Report of the conference in Madrid, Spain, 6-9 October 2003, Accessed 5 May 2013; Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Youngner, S., (2007) The definition of death, , ed. B. Steinbock. New York: Oxford University Press","De Looze, K.; Center Leo Apostel, Brussels Free UniversityBelgium",,,"Springer International Publishing",,,,,,9783319164410; 9783319164403,,,"English","Organ Transplant. in Times of Donor Short.: Challenges and Solutions",Book Chapter,"Final",,Scopus,2-s2.0-84955739914 "Noguchi H.","57104429300;","Medical nomads: An emerging arm of medical tourism",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"110","121",,,"10.4018/978-1-4666-8574-1.ch008","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957669935&doi=10.4018%2f978-1-4666-8574-1.ch008&partnerID=40&md5=90707198b04bf8c76890170742ae9b26","Noguchi Thyroid Clinic and Hospital Foundation, Japan","Noguchi, H., Noguchi Thyroid Clinic and Hospital Foundation, Japan","Medical tourism is currently a Catch-All phrase to describe any form of travel across borders for the purpose of receiving medical treatment. Up to this point in time, there have basically been only two kinds; patients from developing countries seeking advanced medical care unavailable in their homeland and patients from developed countries seeking lower prices or faster attention for their medical care. Although these two groups have been growing exponentially in recent years and pose substantial challenges on their own, little attention has been paid to a third arm of the medical tourism industry which potentially may have greater ramifications for the future. There is an emerging class of On-Line entrepreneurs who may take advantage of their choice of lifestyle to enhance the range of choices in their medical treatment, and this group should be recognized. This chapter discusses the demands and challenges this new arm of medical tourism may pose for public policy, medical financing and medical practice. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Connell, J., (2011) Medical Tourism, , Ed., Wallingford: CABI; Conzo, G., Candela, G., Tartaglia, E., Gambardella, C., Mauriello, C., Santa Cruz, R., Controversies in the surgical management of thyroid follicular neoplasms. Retrospective analysis of 721 patients (2014) International Journal of Surgery, 12, pp. S29-S34. , PMID:24859409; Keynes, J.M., (1930) Economic Possibilities for our Grandchildren. Essays in Persuasion, pp. 358-373. , New York: W. W. Norton & Co; Makimoto, T., Manners, D., (1997) Digital Nomads, , New York: Wiley; (1930) New York Times, , November 17; Noguchi, H., Thyroid Cancer: The Evolution of Treatment Options (2012) Updates in the Understanding and Management of Thyroid Cancer, , T. J. Fahey (Ed.), New York: Intech Publishing; Noguchi, S., Yamashita, H., Murakami, N., Nakayama, I., Toda, M., Kawamoto, H.S., Small carcinomas of the thyroid: A long-term follow-up of 867 patients (1996) Archives of Surgery (Chicago, Ill.), 131 (2), pp. 187-191. , PMID:8611077; (2013) Health at a Glance 2013: OECD Indicators, , http://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2013_health_glance-2013-en, OECD Publishing, Retrieved from; Ohshima, A., Yamashita, H., Noguchi, S., Uchino, S., Watanabe, S., Koike, E., Is a bilateral modified radical neck dissection beneficial for patients with papillary thyroid cancer? (2002) Surgery Today, 32 (12), pp. 1027-1030. , PMID:12541017; Takami, H., Ito, Y., Noguchi, H., Yoshida, A., Okamoto, T., (2013) Treatment of Thyroid Tumor: Japanese Clinical Guidelines, , New York: Springer; (2011) Japan: Universal Health Care at 50 Years, , The Lancet, 30 August; (2013) Health Insurance in the United States: 2013, Current Population Reports, , Washington: U.S. Census Bureau, September 2014","Noguchi, H.; Noguchi Thyroid Clinic and Hospital FoundationJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957669935 "Ghotbi N.","55957556300;","The ethics of medical tourism",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"79","88",,,"10.4018/978-1-4666-8574-1.ch006","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957666490&doi=10.4018%2f978-1-4666-8574-1.ch006&partnerID=40&md5=8a71b29b9017011050f30a5635fac773","Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan","Ghotbi, N., Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Beppu, Japan","Medical tourism is rapidly growing. There are various reasons for this form of travel; from having lifesaving surgery, receiving organ transplants and other vital operations, to therapeutic massage, using hot spas, and cosmetic surgery, and from receiving assistance with infertility to assisted suicide services at particular destinations. Some forms of medical tourism have strong ethical issues attached to them, but there are also ethical issues that may apply to almost all cases, and these can be discussed in a general way. This chapter discusses fundamental definitions of the concepts and general ethical issues in medical tourism, and then explains in more detail some of the moral issues in medical tourism that need to be examined from an ethical standpoint. The chapter establishes common ground for discussion based on broadly accepted principles that can be used almost universally as general guidelines for ethical Decision-Making in medical tourism activities. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Andorno, R., Bioethics beyond Borders: Non Physician-Assisted Suicide in Switzerland (2013) Cambridge Quarterly of Healthcare Ethics, 22, pp. 1-8; Beauchamp, T.L., Childress, J.F., (2012) Principles of Biomedical Ethics, , Oxford: Oxford University Press; Chuang, T.C., Liu, J.S., Lu, L.Y.Y., Lee, Y., The main paths of medical tourism: From transplantation to beautification (2014) Tourism Management, 45, pp. 49-58; Cohen, G.I., Transplant Tourism: The Ethics and Regulation of International Markets for Organs (2013) The Journal of Law, Medicine & Ethics, 41 (1), pp. 269-285. , PMID:23581670; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism, , London: Channel View Press; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hemphill, J., China's Practice of Procuring Organs from Executed Prisoners: Human rights groups must narrowly tailor their criticism and endorse the Chinese Constitution to end abuses (2007) Pacific Rim Law & Policy Journal, 16 (2), pp. 431-457; (2014) Japanese businessman fathered 13 surrogate babies in Thailand, , http://www.japantoday.com/category/crime/view/japanese-businessman-fathered-13-surrogate-babies-in-thailand, August 9, Retrieved from; Kant, I., (1783) Prolegomena, , http://www.webexhibits.org/causesofcolor/ref/Kant.html, translation by P. Carus, Retrieved from; Pfeffer, N., Eggs-ploiting women: A critical feminist analysis of the different principles in transplant and fertility tourism (2011) Reproductive Biomedicine Online, 23 (5), pp. 634-641. , PMID:21945266; Raywat, D., Green, S., Van Beinum, A., Ethical concerns for maternal surrogacy and reproductive tourism (2012) Journal of Medical Ethics, 38 (12), pp. 742-745. , PMID:23047836; Scheper-Hughes, N., The Global Traffic in Human Organs (2000) Current Anthropology, 41 (2), pp. 191-211. , PMID:10702141; (2005) Universal Declaration on Bioethics and Human Rights, , Adopted by the 33rd session of the General Conference of UNESCO on October 19, 2005","Ghotbi, N.; Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific UniversityJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957666490 "Eades J.","55824409800;","The growth of medical tourism: Recent trends and issues",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"365","378",,,"10.4018/978-1-4666-8574-1.ch025","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957657355&doi=10.4018%2f978-1-4666-8574-1.ch025&partnerID=40&md5=4e8c58d94f0427fac3c0eb6c71abad0c","University of London, United Kingdom; Ritsumeikan Asia Pacific University, Japan; SOAS, London, United Kingdom; University of Kent, United Kingdom","Eades, J., University of London, United Kingdom, Ritsumeikan Asia Pacific University, Japan, SOAS, London, United Kingdom, University of Kent, United Kingdom","In the late 2000s, the author wrote a summary paper on the rise of medical tourism. That paper discussed the rapid growth of interest in medical, health and wellness tourism, especially since 2003. The medical tourism industry has a long history, but this massive growth is a new phenomenon. The important factors are: The changing distribution of medical services and technologies; the growth of interest among both local medical practitioners and travel agents; the packaging of tourism and medical services as a single product; and, most significantly, the availability of the Internet to disseminate information them, creating a global market. The present chapter considers first the burgeoning literature on medical tourism. Second, the processes of development in countries becoming the main players in the international provision of medical services are discussed. Third, the chapter looks at the debates surrounding the rise of medical tourism in the developed countries. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , London: Palgrave; Botterill, D., Pennings, G., Mainil, T., (2013) Medical Tourism and Transnational Healthcare, , Eds., London: Palgrave; Bowring, P., Betting on Thailand (2009) International Herald Tribune, p. 7. , November 5; Brearton, S., Have pain, will travel (2008) Canada: Globe and Mail, , October 31; Chandran, K., Tan, E., A new health crisis: Lack of doctors; Medical workers leaving developing nations for the West (2008) International Herald Tribune, , October 2; Chapman, J., Now we can all be NHS health tourists: Patients' right to treatment abroad (2013) Daily Mail, , July 2; Chapman, J., GPs defy Hunt [Jeremy Hunt, the health minister] over £200 NHS charge for health tourists (2013) Daily Mail, , July 4; Connell, J., (2011) Medical tourism, , Wallingford, UK: CABI; Cook, P., Kendall, G., Michael, M., Brown, N., Medical Tourism, xenotourism and client expectations: Between bioscience and responsibilization (2013) Medical Tourism: The ethics, regulation, and marketing of health mobility, pp. 61-74. , C. M. Hall (Ed.), London: Routledge; (2008) By the way.... Good health, , June 17; Davis, C., (2013) Costa Brava is now Costa Packet for sick Brits abroad, , June 1, Daily Express; Dawar, A., Migrant boy wins right to fight for free care on NHS (2013) Daily Express, , October 24; Eades, J.S., Sun, surgery and cyberspace: The role of the Internet in the rise of medical tourism (2010) Biomedical Knowledge Management: Infrastructures and Processes for E-Health Systems, pp. 217-231. , M. Cooper, W. Pease, & R. Gururajan (Eds.), Hershey, PA: Idea Group Inc; Erfurt Cooper, P., Cooper, M., (2009) Health and Wellness Tourism, , Clevedon: Channel View; Hall, C.M., (2013) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, , Ed., London: Routledge; Hall, C.M., Medical and health tourism: The development and implications of medical mobility (2013) Medical Tourism: The ethics, regulation, and marketing of health mobility, pp. 3-27. , C. M. Hall (Ed.), London: Routledge; Lam, C., Du Cros, H., Vong, L., Macao's cross border medical tourism: a new way forward? (2013) Medical Tourism: The ethics, regulation, and marketing of health mobility, pp. 123-136. , C. M. Hall (Ed.), London: Routledge; Lee, J.-H., Forum promotes medical travel (2008) Korea Herald, , November 21; Li, A., (2008) Thailand: One-stop shop finds favor with patients, , Hong Kong: South China Morning Post, 30 June; Lunt, N., Green, S., Mannion, R., Horsfall, D., Quality, safety and risk in medical tourism (2013) Medical Tourism: The ethics, regulation, and marketing of health mobility, pp. 31-46. , C. M. Hall (Ed.), London: Routledge; Martin, D., (2009) NHS transplant organs given to foreign patients, , January 5, London: Daily Mail, 5 January; Meirion Thomas, J., A £200 bill won't stop foreigners abusing our NHS. But I know what will... (2013) Daily Mail, , July 4; Ormond, M., Claiming 'cultural competence': the promotion of multi-ethnic Malaysia as a medical tourism destination (2013) Medical Tourism: The ethics, regulation, and marketing of health mobility, pp. 187-200. , C. M. In Hall (Ed.), London: Routledge; Prederi, (2013) Quantitative Assessment of Visitor and Migrant Use of the NNS in England: Exploring the Data, , London; (2008) Indian Tourism market surges ahead, , June 19; Slater, A., (2013) Foreign Use of the NHS Costing Two Billion Pounds Every Year?, , http://www.globalsurance.com/news/2013/10/29/foreign-use-of-the-nhs-costing-two-billion-poundsevery-year/#sthash.wHs5coC7.dpuf), Retrieved from; (2008) Phyathai seeks to manage foreign hospitals, , August 26; (2008) Medical hub push taking a ruinous toll on public hospitals, , June 4; (2008) Medical hub strategies drawn up, , August 9; (2008) Private hospitals oppose fee increase, , June 3; (2013) Health tourism: When government propaganda is disguised as fact, , October 27; Wong, K., Musa, G., Medical tourism in Asia: Thailand, Singapore, Malaysia, and India (2012) Medical Tourism: The ethics, regulation, and marketing of health mobility, pp. 167-186. , C. M. Hall (Ed.), London: Routledge","Eades, J.; University of LondonUnited Kingdom",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957657355 "Pardo P.","57102995400;","An early pioneer of medical tourism's use of the internet and social media",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"162","172",,,"10.4018/978-1-4666-8574-1.ch012","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957651611&doi=10.4018%2f978-1-4666-8574-1.ch012&partnerID=40&md5=3330fed531212aa53dd0402287e8b1a9","Graduate School of Management, Ritsumeikan Asia Pacific University (APU), Japan","Pardo, P., Graduate School of Management, Ritsumeikan Asia Pacific University (APU), Japan","Medical tourism, as has been mentioned numerous times in other chapters in this book, is not a new concept, but what happened in the early 1990's with the advent of the Internet was truly novel. For most medical physicians the potential of this innovation was quite unexpected and at first difficult to accept. Some however embraced it... this is the story of one doctor practicing in Belgium who saw the potential of the web and instead of bowing to the perceived threat, embraced its full potential from day one. By looking at the effects of the internet on Medical Tourism using a SWOT analysis and following this pioneer from the mid 1990's (remember that 1993 marks the first real use of websites), this chapter tries to map the earliest evolution of the use of the web for the delivery of medicine and medical advice. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Alba, J., Lynch, J., Weitz, B., Janiszewski, C., Lutz, R., Sawyer, A., Wood, S., Interactive home shopping: Consumer, retailer and manufacturer incentives to participate in electronic marketplaces (1997) Journal of Marketing, 61 (3), pp. 38-53; Arora, N., Dreze, X., Ghose, A., Hess, J.D., Iyengar, R., Jing, B., Putting one-to-one marketing to work: Personalization, customization, and choice (2008) Marketing Letters, 19 (3-4), pp. 305-321; Bailey, J.P., Bakos, J.Y., An exploratory study of the emerging role of electronic intermediaries (1997) International Journal of Electronic Commerce, 1 (3), pp. 7-20; Bakos, J.Y., Reducing buyer search costs: Implications for electronic market places (1997) Management Science, 43 (12), pp. 1676-1692; Chatterjee, P., Narasimhan, A., The web as a distribution channel (1994) Owen Doctoral Seminar Paper, , 2014vanderbilt.edu/seminar/patralianandfinal/first.htm, Retrieved from; Claster, W., Pardo, P., Cooper, M., Tajeddini, K., Tourism, travel and tweets: Algorithmic text analysis methodologies in tourism (2013) Middle East Journal of Management, 1 (1), pp. 81-99; Claster, W.B., Shanmuganathan, S., Ghotbi, N., The use of Artificial Intelligence Systems for Support of Medical Decision-Making (2010) Biomedical Knowledge Management: Infrastructures and Processes for E-Health Systems, , W. Pease, M. Cooper, & R. Gururajan (Eds.), New York: IGI Global Press; Connell, J., Contemporary Medical Tourism: Conceptualization, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; (2014) Your Doctor is Not Social-But 21% of Physicians Are Savvy with Social Media, , http://digitalinsightsgroup.com/, Retrieved from; Doherty, N.F., Ellis-Chadwick, F., Internet retailing: The past, the present and the future (2010) International Journal of Retail & Distribution Management, 38 (11-12), pp. 943-965; Enders, T., Jelassi, A., (2000) Strategies for e-Business, , London: Financial Times /Prentice Hall; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Bristol, UK: Channel View Publications; Friedman, T., (1999) The Lexus and the Olive Tree, , London: Harper Collins; Gillenson, M.L., Sherrell, D.L., Chen, L., Information technology as the enabler of one-toone marketing (1999) Communications of the AIS, 2 (3); Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hoffman, D.L., Novak, T.P., Marketing in hypermedia computer-mediated environments: Conceptual foundations (1996) Journal of Marketing, 60 (3), pp. 50-68; Hsieh, C., Lin, B., Internet commerce for small businesses (1998) Industrial Management & Data Systems, 98 (3), pp. 113-119; Hurt, C., Initial public offerings and the failed promise of disintermediation (2007) Entrepreneurial Business Law Journal, 2 (2), pp. 703-742; Kucuk, U.S., Krishnamurthy, S., An analysis of consumer power on the internet (2007) Technovation, 27 (1-2), pp. 47-56; Lovett, J., Anand, S., The 21st century retailer: managing customers, merchandise and data (2007) The Aberdeen Group, , http://aberdeen.com, Retrieved from; Luedi, A.F., Personalize or perish (1997) Electronic Markets, 7 (3), pp. 22-25; Malone, T.W., Yates, J., Benjamin, R.I., Electronic markets and electronic hierarchies (1997) Communications of the ACM, 30 (6), pp. 484-497; Nath, R., Akmanligil, M., Hjelm, K., Sakaguchi, T., Schultz, M., Electronic commerce and the internet: Issues, problems, and perspectives (1998) International Journal of Information Management, 18 (2), pp. 91-101; O'Keefe, R.M., O'Connor, G., Kung, H.J., Early adopters of the web as a retail medium: Small company winners and losers (1998) European Journal of Marketing, 32 (7-8), pp. 629-643; Peppers, D., Rogers, M., (1993) The One to One Future: Building Relationships One Customer at a Time, , New York: Currency/Doubleday; Peterson, R.A., Balasubranian, S., Bronnenberg, B.J., Exploring the implications of the internet for consumer marketing (1997) Journal of the Academy of Marketing Science, p. 25; Pyle, R., Electronic commerce and the internet (1996) Communications of the ACM, 39 (6), pp. 22-24; Rangaswamy, A., Van Bruggen, G.H., Opportunities and challenges in multi-channel marketing: An introduction to the special issue (2005) Journal of Interactive Marketing, 19 (2), pp. 5-11; Rayport, J.F., Sviokla, J.J., Managing in the marketspace (1994) Harvard Business Review, 72, pp. 141-150; Rezabakhsh, B., Bornemann, D., Hansen, U., Schrader, U., Consumer power: A comparison of the old economy and the internet economy (2006) Journal of Consumer Policy, 29 (1), pp. 3-36; Rosenbloom, B., The ten deadly myths of e-commerce (2002) Business Horizons, 45 (2), pp. 1-6; Rowley, J., Retailing and shopping on the internet (1996) Internet Research, 6 (1), pp. 81-91; Sarkar, M.B., Butler, B., Steinfield, C., Intermediaries and Cybermediaries: A continuing role for mediating players in the electronic marketplace (1996) Journal of Computer-Mediated Communication, 1 (3), pp. 1-14; Schmitt, J.M., Beeres, M., Information and business on the Internet: An overview of the German healthcare sector (2000) International Journal of Medical Marketing, 1 (2), pp. 123-130; Simmons, G., Marketing to postmodern consumers: Introducing the internet chameleon (2008) European Journal of Marketing, 42 (3-4), pp. 299-310; Srinivasan, S., Anderson, R., Kishore, P., Customer loyalty in e-commerce: An exploration of its antecedents and consequences (2002) Journal of Retailing, 78 (1), pp. 41-50; Stern, L.W., Weitz, B.A., The revolution in distribution: Challenges and opportunities (1998) Long Range Planning, 4 (6), pp. 813-821; Vijayasarathy, L., Tyler, M., Adoption factors and electronic data interchange use: A survey of retail companies (1997) International Journal of Retail & Distribution Management, 25 (9), pp. 286-292; Walsh, S.H., The Clinician's Perspective on Electronic Health Records (2004) BMJ (Clinical Research Ed.), 328 (7449), pp. 1184-1187. , PMID:15142929; Wolk, A., Skiera, B., Antecedents and consequences of internet channel performance (2009) Journal of Retailing and Consumer Services, 16 (3), pp. 163-173","Pardo, P.; Graduate School of Management, Ritsumeikan Asia Pacific University (APU)Japan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957651611 "Cooper M.","14032718400;","Health and wellness: A background to medical tourism",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"1","17",,,"10.4018/978-1-4666-8574-1.ch001","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957615629&doi=10.4018%2f978-1-4666-8574-1.ch001&partnerID=40&md5=0790b501cce8ac7b289066fb4af80b51","Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Japan","Cooper, M., Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific University, Japan","This book identifies a range of issues and emerging trends in relation to medical tourism in the 21st Century. One basic issue is the relationship between medical tourism and the wider concept of health and wellness as a framework for living in the present, and another is determination of the extent to which concepts of health and wellness act as a background for medical tourism and the way in which it is constructed and/or practiced. There is no doubt that wellness tourism is a fundamental part of the wider range of treatments now afforded the medical tourist in addition to the medical procedures themselves, and health is of course the condition that all tourists and the members of a host community aspire to. This chapter examines health and wellness tourism as a necessary part of medical treatment for many patients, as one of the reasons why medical tourism has become popular, and its importance as a background to medical tourism. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Adams, T.B., The Power of Perceptions: Measuring Wellness in a Globally Acceptable, Philosophically Consistent Way (2003) Wellness Management, , www.hedir.org, Retrieved from; Altman, N., (2000) Healing Springs: The Ultimate Guide to Taking the Waters-From Hidden Springs to the World's Greatest Spas, , Rochester, Vermont: Healing Arts Press; (2007) The Use of Japanese Hot Springs by Prefecture; Castro, J.M., (2009) Health Care in Japan, , www.expatforum.com/articles/health/healthcare-in-japan.html, Retrieved from; Cohen, M., Bodeker, G., (2008) Understanding the Global Spa Industry: Spa Management, , London: Butterworth & Heinemann; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Connell, J., Contemporary Medical Tourism: Conceptualization, Culture and Commodification (2013) Tourism Management, 34, pp. 1-13; (2006) Deutscher Wellness Verband, , http://www.wellnessverband.de/medical/index.php, Retrieved from; (2012) JAPAN: Certification system to promote medical tourism, , http://www.imtj.com/news/?entryid82=376624#sthash.1fylgi2w.dpuf, Retrieved from; Erfurt-Cooper, P., (2012) An Assessment of the Role of Natural Hot and Mineral Springs in Health, Wellness and Recreational Tourism, , Unpublished PhD Thesis, James Cook University, Townsville, Australia; Erfurt-Cooper, P., Wellness Tourism: a perspective from Japan (2014) Wellness Tourism: A Destination Perspective, pp. 235-254. , C. Voigt., & C. Pforr (Eds.), London: Routledge; Erfurt-Cooper, P., Cooper, M., (2009) Health and Wellness Tourism: Spas and Hot Springs, , Bristol, UK: Channel View Publications; Foster, L.T., Keller, C.P., (2008) British Columbia Atlas of Wellness, , http://.geog.uvic.ca/wellness/, Retrieved from; (2010) Affordable Spa and Fitness Retreats, , http://www.frommers.com/articles/6702.html, Retrieved from; Fukawa, T., (2002) Public Health Insurance in Japan, , Washington, D.C.: World Bank Institute; Funck, C., Cooper, M., (2013) Japanese Tourism, , Oxford: Berghahn Books; (2014) The Global Wellness Tourism Economy Report; Hall, C.M., Spa and Health Tourism (2003) Sport and Adventure Tourism, pp. 273-292. , S. Hudson (Ed.), New York: Haworth Hospitality Press; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Havins, P.J.N., (1976) The Spas of England, , London: Robert Hale & Company; (2005) Healthy Holidays: Combining Leisure Travel with Medical Treatment, , http://web-japan.org/trends/business/bus050518.html, May 19, Retrieved from; (2010) Improve and Maintain Health with Onsen, , http://www.jph-ri.or.jp/kenko_f/Onsen_english/contents/katsuyou.html, Retrieved from; (2012) Guideline for Medical Tourism Coordinators, , Tokyo: JTA; (2014) Medical Tourism Promotion Coordinating Committee, , http://medical-tourism.jnto.go.jp/activities/, Retrieved from; Jeong, H.-S., Hurst, J., An Assessment of the Performance of the Japanese Health Care System (2001) OECD Labor Market and Social Policy Occasional Papers, p. 56. , Paris: OECD Directorate for Employment, Labor and Social Affairs; Kudo, K., 3,000kW Suginoi Hotel Geothermal Power Plant (1996) Geo-heat Center Quarterly Bulletin, 17 (2), pp. 7-8; Lund, J.W., (2002) Balneological Use of Geothermal Waters, , Oregon: Geo-Heat Center; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry, , n. d., Research Institute for Leisure and Tourism. Berne: University of Berne; Myers, J.E., Sweeney, T.J., Witmer, M., (2005) A Holistic Model of Wellness, , http://www.mindgarden.com/products/wells.htm, Retrieved from; Ross, K., Health Tourism: An Overview (HSMAI Marketing review) (2001) Hospitality Net, , http://www.hospitalitynet.org, Retrieved from; Smith, M., Kelly, C., Wellness Tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Smith, M., Puczko, L., (2013) Health, Tourism and Hospitality: Spas, Wellness and Medical Travel, , Oxford: Routledge; Tabacchi, M., (2003) The Spa Industry & Consumer Study, , http://industry.leadingspasofcanada.com/index.php?option=com_content&task=view&id=29&Itemid=64, Retrieved from; Ward, J., Piccolo, C.M., (2010) Healthcare in Japan, , www.medhunters.com/Article/healthcareInJapan, Retrieved from; Yamamoto, E., Nihon kinsei onsenshi kenkyû no genjô to kadai: Kankô to chiiki no shiten kara [Problems and situation of research on Japanese onsen history in early modern times: from the viewpoint of tourism and regions] (2004) Minshûshi Kenkyû, 67, pp. 23-28; Yamamura, J., (1995) Shin kankô chirigaku, , [New tourism geography, Tôkyo: Kokon Shôin; Yeung, O., Johnson, K., (2014) Global Spa & Wellness Economy Monitor. SRI International and the Global Wellness Institute, , Stanford, USA: SRI International; Yusa, Y., Ohsawa, S., Age of the Beppu Hydrothermal System, Japan (2000) Proceedings of the World Geothermal Congress, , May 28-June 10, Kyushu-Tohoku, Japan","Cooper, M.; Graduate School of Asia Pacific Studies, Ritsumeikan Asia Pacific UniversityJapan",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957615629 "Edmonds A.","16645548300;","'Almost invisible scars': Medical tourism to Brazil",2015,"Current Issues and Emerging Trends in Medical Tourism",,,,"153","161",,,"10.4018/978-1-4666-8574-1.ch011","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957614659&doi=10.4018%2f978-1-4666-8574-1.ch011&partnerID=40&md5=ca4a5be5e42bedbfa7244fa593d4fa96","University of Edinburgh, United Kingdom","Edmonds, A., University of Edinburgh, United Kingdom","Taking Brazil as a case study this chapter analyzes the broader inequities and ethical issues involved in cosmetic surgery tourism. Brazil is the world's second largest market for cosmetic surgery, behind the United States. In light of the international respect enjoyed by Brazilian plastic surgeons, and relatively low prices charged by some, it is not surprising that the country has also become a top destination for cosmetic surgery tourism. The growing demand for cosmetic surgery has often been heralded, in Brazil at least, as a national triumph. Drawing on ethnographic fieldwork conducted in Brazilian plastic surgery clinics, this chapter discusses the institutions, clinical practices, and medical construction of women's bodies underlying cosmetic surgery tourism. Cosmetic surgery tourism to Brazil illustrates that a developing country is effectively competing in a global market of private medical treatments, but does so by utilizing economic and 'human' resources provided by a state-Funded healthcare system. © 2015, IGI Global. All rights reserved.",,,,,,,,,,"Biehl, J., (2005) Vita: Life in a Zone of Social Abandonment, , Berkeley: University of California Press; (2001) Veja, , January 10, University of Amsterdam; Carranza, M., Saúde reprodutiva da mulher brasileira [Reproductive health of the Brazilian woman] (1994) Mulher brasileira é assim, pp. 95-150. , I. Heleieth, B. Saffioti, M. Muñoz-Vargas. (Eds.), The Brazilian woman is like this, Rio de Janeiro: Rosa dos Tempos; (2009) Jornal da Tarde, 9 A. , January 11; Connell, J., Medical tourism: sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Costas, R., O turismo do bisturi [Tourism of the scalpel] (2006) Veja, , January, 25; Edmonds, A., The poor have the right to be beautiful: Cosmetic Surgery in Neoliberal Brazil (2007) Journal of the Royal Anthropological Society, 13 (2), pp. 363-381; Edmonds, A., Beauty, Health and Risk in Brazilian Plastic Surgery (2009) Medische antropologie. Medical Anthropology, 21 (1), pp. 21-38; Edmonds, A., Engineering the Erotic: Aesthetic Medicine and Modernization in Brazil (2009) Cosmetic Surgery: A Feminist Primer, pp. 153-169. , C. J. Heyes & M. Jones (Eds.), Farnham, UK: Ashgate; Edmonds, A., Learning to Love Yourself: Esthetics, Health, and Therapeutics in Brazilian Plastic Surgery (2009) Ethnos, 74 (4), pp. 465-489; Edmonds, A., (2010) Pretty Modern: Beauty, Sex, and Plastic Surgery in Brazil, , Durham, USA: Duke University Press; Holliday, R., Transnational health care, cross-border perspectives (2015) Social Science & Medicine, 124, pp. 284-289. , PMID:25467880; Holston, J., (2008) Insurgent Citizenship: Disjunctions of Democracy and Modernity in Brazil, , Princeton, NJ: Princeton University Press; Jones, M., (2008) Skintight: An Anatomy of Cosmetic Surgery, p. 1. , Oxford, UK: Berg Publishers; Phillips, T., (2006) Changing the Face of Cosmetic Surgery, Brazil Leads the Plástica Revolution, p. 3. , August 7, The Guardian; Pitanguy, I., Aspectos filosóficos e psicológicos em cirurgia plástica (1976) Boletim de cirurgia plástica, 66 (3-4), pp. 115-125. , Philosophical and psychological aspects of plastic surgery, Bulletin of plastic surgery; Ramírez de Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198. , PMID:17436992; Schwarcz, L.M., (1999) The Spectacle of the Races: Scientists, Institutions, and the Race Question in Brazil, 1870-1930, , L. Guyer, Trans, New York: Hill & Wang; Stepan, N.L., (1991) The Hour of Eugenics: Race, Gender, and Nation in Latin America, , Ithaca, NY: Cornell University Press","Edmonds, A.; University of EdinburghUnited Kingdom",,,"IGI Global",,,,,,9781466685758; 1466685743; 9781466685741,,,"English","Curr. Issues and Emerg. Trends in Med. Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84957614659 [No author name available],[No author id available],"Erratum: Time to end the political rhetoric on health tourism (BMJ (Online) (2015) 350 (h2215) DOI: 10.1136/bmj.h2321)",2015,"BMJ (Online)","350",, h2321,"","",,,"10.1136/bmj.h2321","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930668155&doi=10.1136%2fbmj.h2321&partnerID=40&md5=4ee2fd1632ed298c9611ba611823ccf7",,"",[No abstract available],,"Erratum; error; priority journal",,,,,,,,,,,,"BMJ Publishing Group",,,,,09598146,,BMJOA,,"English","BMJ (Online)",Erratum,"Final",Open Access,Scopus,2-s2.0-84930668155 "Gan L.L., Frederick J.R.","16480026900;39761481600;","Regional differences: Scope and trust among medical tourism facilitators",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"141","153",,,"10.4337/9781783471195.00024","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038960458&doi=10.4337%2f9781783471195.00024&partnerID=40&md5=4bb0b8692a06d2e641f8fb1224cf390c","School of Business, University of North Carolina, Pembroke, United States","Gan, L.L., School of Business, University of North Carolina, Pembroke, United States; Frederick, J.R., School of Business, University of North Carolina, Pembroke, United States",[No abstract available],,,,,,,,,,"Akerkar, S., Bichile, L., Health information on the internet: Patient empowerment or patient deceit? (2004) Indian Journal of Medical Sciences, 58 (8), pp. 321-326; Asplund, M., Nocke, V., Firm turnover in imperfectly competitive markets (2006) Review of Economic Studies, 73 (2), pp. 295-327; Backman, S., Crompton, J., Differentiating between high, spurious, latent, and low loyalty participants in two leisure activities (1991) Journal of Park and Recreation Administration, 9 (2), pp. 1-17; Besanko, D., Braeutigam, R.R., (2014) Microeconomics, , 5th edition, New York: John Wiley & Sons; Bohnet, I., Herrman, B., Zeckhauser, R., Trust and the reference points for trustworthiness in Gulf and Western countries (2010) Quarterly Journal of Economics, 125 (2), pp. 811-828; Chen, S., Dhillon, G., Interpreting dimensions of consumer trust in E-commerce (2003) Information Technology and Management, 4 (2-3), pp. 303-318; Chon, K., The role of destination image in tourism: A review and discussion (1992) The Tourist Review, 45 (2), pp. 2-9; Connell, J., (2011) Medical Tourism, , Wallingford: CABI; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Cudmore, B., Bobrowski, P., Kiguradze, T., Encouraging consumer searching behavior on healthcare web sites (2011) Journal of Consumer Marketing, 28 (4), pp. 290-299; Frederick, J., Gan, L., (2013) East-West differences among medical tourism facilitators, , Working paper, University of North Carolina-Pembroke; Gan, L., Frederick, J., Medical tourism in Singapore: A structure-conduct-performance analysis (2011) Journal of Asia-Pacific Business, 12 (2), pp. 141-170; Gan, L., Frederick, J., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 165-183; Hu, Y., Ritchie, B., Measuring destination attractiveness: A contextual approach (1993) Journal of Travel Research, 32 (2), pp. 25-34; Kind, T., Wheeler, K., Robinson, B., Cabana, M., Do the leading children’s hospitals have quality web sites? A description of children’s hospital web sites (2004) Journal of Medical Internet Research, 6 (2), p. e20; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) The Open Medical Informatics Journal, 4, pp. 1-11; Luo, W., Najdawi, M., Trust-building measures: A review of consumer health portals (2004) Communication of the ACM, 47 (1), pp. 108-113; Milman, A., Pizam, A., The role of awareness and familiarity with a destination: The central Florida case (1995) Journal of Travel Research, 33 (3), pp. 21-27; (2006) Internet Activities, , Washington, DC: Pew Research Center; (2011) Health Topics: 80% of Internet users look for health information online, , Washington, DC: Pew Research Center; Rains, S., Karmikel, C., Health information-seeking and perceptions of website credibility: Examining web-use orientation, message characteristics, and structural features of websites (2009) Computers in Human Behavior, 25 (2), pp. 544-553; Riley, R., Prestige worthy tourist behavior (1995) Annals of Tourism Research, 22, pp. 630-649; Robertson-Lang, L., Major, S., An exploration of search patterns and credibility issues among older adults seeking online health information (2011) Canadian Journal on Ageing, 30 (4), pp. 631-645; Rosen, L., (2000) The Justice of Islam, , Oxford: Oxford University Press; (2014) So How Does SacuraLife Make Money?, , Singapore: Woodsford Health Pte Ltd; Sirgy, M., Su, C., Destination image, self-congruity, and travel behavior: Toward an integrative model (2000) Journal of Travel Research, 38, pp. 340-352; Strauss, J., Frost, R., (2009) E-Marketing, , 5th edition, Upper Saddle River, NJ: Prentice-Hall; (2014) The Surgeon & Safari Code of Conduct, , Johannesburg: Surgeon and Safari; Ye, Y., Correlates of consumer trust in online health information: Findings from the Health Information National Trends Survey (2011) Journal of Health Communication, 16 (1), pp. 34-49; Zinkewicz, P., Medical tourism on the rise (2008) Rough Notes, 151 (8), p. 88",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038960458 "Hamlyn-Williams C., Lakhanpaul M., Manikam L.","56703449800;6506572494;36499843200;","Child medical tourism: A new phenomenon",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"360","369",,,"10.4337/9781783471195.00048","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038942550&doi=10.4337%2f9781783471195.00048&partnerID=40&md5=b26c8cbda4616e999e4e197acd4de8f7","Institute of Child Health, University College London, United Kingdom; University College London, United Kingdom","Hamlyn-Williams, C., Institute of Child Health, University College London, United Kingdom; Lakhanpaul, M., Institute of Child Health, University College London, United Kingdom; Manikam, L., University College London, United Kingdom",[No abstract available],,,,,,,,,,"Aikenhead, A., Knai, C., Lobstein, T., Do surgical interventions to treat obesity in children and adolescents have long-versus short-term advantages and are they cost-effective? (2012) HEN Synthesis Report, June 2012, , Copenhagen: WHO Europe; Boseley, S., Families raising funds to treat children for cancer abroad (2012) The Guardian, , 24 August 2012; Brennan, Z., As more teenagers have weight-loss surgery, a horrifying insight into the terrible price they pay as they grow up: Agony of the children given gastric bands as young as 13 (2013) The Daily Mail, , 8 May 2013; Cohen, I.G., How to regulate medical tourism (and why it matters for bioethics) (2012) Developing World Bioethics, 12 (1), pp. 9-20; Culley, L., Hudson, N., Baldwin, K., Lakhanpaul, M., Children travelling for treatment: What we don’t know (2013) Archives of Disease in Childhood, 98 (6), pp. 442-444; Dent, M., Chrisopoulos, S., Mulhall, C., Ridler, C., (2010) Bariatric Surgery for Obesity, , Oxford: National Obesity Observatory; (2013) Good Medical Practice, , Manchester: GMC; (2014), General Medical Council, Manchester: GMC; (2013) Medical Tourism for Children in the UK Survey, , London: Institute of Child Health, UCL; Lakhanpaul, M., Bird, D., Culley, L., Hudson, N., Robertson, N., Johal, N., McFeeters, M., Johnson, M., The use of a collaborative structured methodology for the development of a multifaceted intervention programme for the management of asthma (MIA), tailored to the needs of children and families of South Asian origin (2014) Health Services and Delivery Research, 2 (28); Majid, A., Al Khalidi, L., Ahmed, B.Q., Opelz, G., Schaefer, F., Outcomes of kidney transplant tourism in children: A single center experience (2010) Pediatric Nephrology, 25 (1), pp. 155-159; Martin, J., (2013) The English Legal System, , 7th edition, London: Hodder; Murfitt, N., At 16, this girl became the youngest in the world to have a life-changing operation… can you guess what it was? (2012) The Daily Mail, , 13 November 2012; (2013) Paediatric PBT Guide 2013: Guide for Families with Children Receiving Proton Beam Therapy Abroad, , London: NHS; Wilson, J., How to buy a sex change online (2013) The Kernel, , 18 September 2013; Zarzeczny, A., Caulfield, T., Stem cell tourism and doctors’ duties to minors-a view from Canada (2010) American Journal of Bioethics, 10 (5), pp. 3-15",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038942550 "Shaw C.D.","7402629471;","Hospital accreditation and medical tourism",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"370","378",,,"10.4337/9781783471195.00049","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038922231&doi=10.4337%2f9781783471195.00049&partnerID=40&md5=2b9c7e084b95fd2eba1e3c7ffab32e9f","Independent Accreditation Consultant, United Kingdom","Shaw, C.D., Independent Accreditation Consultant, United Kingdom",[No abstract available],,,,,,,,,,"(2014) Accreditation, , Ultimo, ACHS; (2010) Introduction to DNV Healthcare and NIAHO®: A New Choice for Hospital Accreditation, , Høvik: Det Norske Veritas; (2011) Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the Application of Patients’ Rights in Cross-border Healthcare, , Strasbourg: European Parliament; (2012) Guidelines and Standards for External Evaluation Organisations, , 4th edition, Dublin: ISQua; (2014) International Accreditation Programme (IAP) Awards (2014), , Dublin: ISQua; (2015) Medical Tourism and Accreditation, , Sheffield: QHA Trent Accreditation; Shaw, C.D., Braithwaite, J., Moldovan, M., Nicklin, W., Grgic, I., Fortune, T., Whittaker, S., Profiling health-care accreditation organizations: An international survey (2013) International Journal for Quality in Health Care, 25 (3), pp. 222-231","Shaw, C.D.; Independent Accreditation ConsultantUnited Kingdom",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038922231 "Pennings G.","7003820139;","Ethics of medical tourism",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"341","349",,,"10.4337/9781783471195.00046","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038918299&doi=10.4337%2f9781783471195.00046&partnerID=40&md5=d1b4b3cee46d0cd6bf703727f77cae18","Bioethics Institute Ghent, Ghent University, Belgium","Pennings, G., Bioethics Institute Ghent, Ghent University, Belgium",[No abstract available],,,,,,,,,,"(2013) 2012 Plastic surgery procedural statistics, , Arlington Heights: ASPS; Buchanan, A., Decamp, M., Responsibility for global health (2006) Theoretical Medicine and Bioethics, 27 (1), pp. 95-114; Chen, B.Y.Y., Flood, C.M., Medical tourism’s impact on health care equity and access in low-and middle-income countries: Making the case for regulation (2013) Journal of Law, Medicine & Ethics, 41 (1), pp. 286-300; Cohen, I.G., Medical tourism, access to health care, and global justice (2011) Virginia Journal of International Law, 52, pp. 1-56; (2003) Commonwealth code of practice for the international recruitment of health workers, , London: Commonwealth Secretariat; Connell, J., A new inequality? Privatisation, urban bias, migration and medical tourism (2011) Asia Pacific Viewpoint, 52 (3), pp. 260-271; Cummiskey, D., Health care justice: The social insurance approach (2008) International public health policy and ethics, pp. 157-174. , M. Boylan (ed.), New York: Springer Science 1 Business Media; Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare (2011) Official Journal of the European Union, , 4.4.2011: L. 88/45-L. 88/65; Feinberg, J., Wrongful life and the counterfactual element in harming (1986) Social Philosophy and Policy, 4 (1), pp. 145-178; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9, p. 24; Kanchanachitra, C., Lindelow, M., Hanvoravongchai, P., Lorenzo, F.M., Lan Huong, N., Wilopo, S.A., de La Rosa, J.F., Human resources for health in southeast Asia: Shortages, distributional challenges, and international trade in health services (2011) The Lancet, 377, pp. 769-781; Labonte, R., Globalization, health, and the free trade regime: Assessing the links (2004) Perspectives on Global Development and Technology, 3, pp. 47-72; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical tourism: Treatments, markets and health system implications: A scoping review, , Directorate for Employment, Labour and Social Affairs, Paris: OECD; Mechanic, Z., Disadvantage, inequality, and social policy (2002) Health Affairs, 21 (2), pp. 48-59; Meghani, Z., A robust, particularistic ethical assessment of medical tourism (2011) Developing World Bioethics, 11 (1), pp. 16-29; Morreim, E.H., Conception and the concept of harm (1983) Journal of Medicine and Philosophy, 8 (2), pp. 137-157; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand’s experience (2011) Bulletin of the World Health Organization, 89, pp. 336-344; Pennings, G., Ethics without boundaries: Medical tourism (2007) Principles of health care ethics, pp. 505-510. , R.E. Ashcroft, A. Dawson, H. Draper, J.R. McMillan (eds), Chichester: Wiley & Sons; Pogge, T., (2008) World poverty and human rights, , Malden: Polity Press; Smith, R.D., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) The Lancet, 373 (9663), pp. 593-601; Snyder, J., Dharamsi, S., Crooks, V.A., Fly-by medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists (2011) Globalization and Health, 11, p. 7; Snyder, J., Crooks, V., Johnston, R., Kingsbury, P., Beyond sun, sand, and stitches: Assigning responsibility for the harms of medical tourism (2013) Bioethics, 27 (5), pp. 233-242; Turner, L., Medical tourism” and the global marketplace in health services: U.S. patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467; Turner, L., Transnational medical travel: Ethical dimensions of global healthcare (2013) Cambridge Quarterly of Healthcare Ethics, 22 (2), pp. 170-180; International trade in health services: Difficulties and opportunities for developing countries (1998) International trade in health services: A developmental perspective, , UNCTAD-WHO, Geneva: United Nations Conference on Trade and Development; (2010) WHO Global code of practice on the international recruitment of health personnel, , Geneva: WHO; Young, I.M., Responsibility and global justice: A social connection model (2006) Social Philosophy and Policy, 23 (1), pp. 102-118","Pennings, G.; Bioethics Institute Ghent, Ghent UniversityBelgium",,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038918299 "Lunt N., Horsfall D.","6603761945;35848647100;","Outcomes and medical tourism",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"461","472",,,"10.4337/9781783471195.00059","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038916882&doi=10.4337%2f9781783471195.00059&partnerID=40&md5=90a9c9cef56e6d44beacb64de9ed5194","Department of Social Policy and Social Work, University of York, United Kingdom","Lunt, N., Department of Social Policy and Social Work, University of York, United Kingdom; Horsfall, D., Department of Social Policy and Social Work, University of York, United Kingdom",[No abstract available],,,,,,,,,,"Aarts, E.O., Dogan, K., Koehestanie, P., Aufenacker, T.J., Janssen, I.M.C., Berends, F.J., Long-term results after laparoscopic adjustable gastric banding: A mean fourteen year follow-up study (2014) Surgery for Obesity and Related Diseases, 10 (4), pp. 633-640; (2011) Cosmetic Surgery Facts and Figures, , London: BAPRAS; Barrowman, R.A., Grubor, D., Chandu, A., Dental implant tourism (2010) Australian Dental Journal, 55 (4), pp. 441-445; Beed, M., Brindley, P.G., Publication of surgical outcomes-data: Whose team are we on? (2014) British Journal of Anaesthesia, 112 (4), pp. 615-617; Birch, J., Caulfield, R., Ramakrishnan, V., The complications of “cosmetic tourism”-an avoidable burden on the NHS (2007) Journal of Plastic and Reconstructive Aesthetic Surgery, 60 (9), pp. 1075-1077; Cacace, M., Ettelt, S., Brereton, L., Pedersen, J., Nolte, E., (2011) How Health Systems Make Available Information on Service Providers: Experience in Seven Countries, , Santa Monica, CA: RAND Corporation; Canales, M.T., Kasiske, B.L., Rosenberg, M.E., Transplant tourism: Outcomes of United States residents who undergo kidney transplantation overseas (2006) Transplantation, 82 (12), pp. 1658-1661; Chan, H.L.E., Poon, L.M., Chan, S.G., Teo, J.W.P., The perils of medical tourism: NDM-1-positive Escherichiacoli causing febrile neutropenia in a medical tourist (2011) Singapore Medical Journal, 52 (4), pp. 299-302; Ching, S., Thoma, A., McCabe, R.E., Antony, M.M., Measuring outcomes in aesthetic surgery: A comprehensive review of the literature (2003) Plastic and Reconstructive Surgery, 111 (1), pp. 469-480; Davis, P., Lay-Yee, R., Briant, R., Scott, A., Preventable in-hospital medical injury under the no fault system in New Zealand (2003) Quality and Safety in Health Care, 12 (4), pp. 251-256; El-Agroudy, A., Ghareeb, S., Alarrayed, S., Farid, E., Alhellow, H., Abdulla, S., Transplantation tourism: High risk for the recipients (2013) American Transplant Congress, , Abstract number: D1749 2013, Seattle, WA, 18-22 May 2013; Exworthy, M., Smith, G., Gabe, J., Jones, I.R., Disclosing clinical performance: The case of cardiac surgery (2010) Journal of Health, Organisation and Management, 24 (6), pp. 571-583; Fenton, J.J., Jerant, A.F., Bertakis, K.D., Franks, P., The cost of satisfaction: A national study of patient satisfaction, health care utilization, expenditures, and mortality (2012) Archives of Internal Medicine, 172 (5), pp. 405-411; Geddes, C.C., Henderson, A., Mackenzie, P., Rodger, S.C., Outcome of patients from the West of Scotland traveling to Pakistan for living donor kidney transplants (2008) Transplantation, 86 (8), pp. 1143-1145; Gill, J., Madhira, B.R., Gjertson, D., Lipshutz, G., Cecka, J.M., Pham, P.-T., Wilkinson, A., Danovitch, G.M., Transplant tourism in the United States: A single-center experience (2008) Clinical Journal of the American Society of Nephrology, 3 (6), pp. 1820-1828; Grossbart, T.A., Sarwer, D.B., Psychosocial issues and their relevance to the cosmetic surgery patient (2003) Seminars in Cutaneous Medicine and Surgery, 22 (2), pp. 136-147; Hanefeld, J., Smith, R., Horsfall, D., Lunt, N., What do we know about medical tourism? A review of the literature with discussion of its implications for the UK national health service as an example of a public health care system (2014) Journal of Travel Medicine, 21 (6), pp. 410-417; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? The role of networks in determining medical travel (2015) Social Science & Medicine, 124, pp. 356-363; Harling, R., Turbitt, D., Millar, M., Ushiro-Lumb, I., Lacey, S., Xavier, G., Pope, J., Teo, C.-G., Passage from India: An outbreak of hepatitis B linked to a patient who acquired infection from health care overseas (2007) Public Health, 121 (10), pp. 734-741; Holliday, R., Hardy, K., Bell, D., Jones, M., Probyn, E., Sanchez Taylor, J., (2014) Sun, Sea, Sand and Silicone: Mapping Cosmetic Surgery Tourism, , ESRC Study, Leeds: Economic and Social Research Council (Grant Reference RES-062-23-2796), Final Report, University of Leeds; Hurwitz, B., Sheikh, A., Health care mistakes, violations and patient safety (2009) Health Care Errors and Patient Safety, , B. Hurwitz, A. Sheikh (eds), Oxford: Wiley-Blackwell; (2001) Crossing The Quality Chasm: A New Health System for the 21st Century, , Committee on Quality of Health Care in America, Institute of Medicine, Washington, DC: National Academy Press; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the NHS (2008) Journal of Plastic, Reconstructive & Aesthetic Surgery, 61 (12), pp. 1423-1424; Jeevan, R., Birch, J., Armstrong, A.P., Travelling abroad for aesthetic surgery: Informing healthcare practitioners and providers while improving patient safety (2011) Journal of Plastic, Reconstructive & Aesthetic Surgery, 64 (2), pp. 143-147; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal of Fertility and Women’s Medicine, 51 (6), pp. 251-255; Krishnan, N., Cockwell, P., Devulapally, P., Gerber, B., Hanvesakul, R., Higgins, R., Ready, A., Dasgupta, I., Organ trafficking for live donor kidney transplantation in Indoasians resident in the West Midlands: High activity and poor outcomes (2010) Transplantation, 89 (12), pp. 1456-1461; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Bagaria, J., Butt, F., Balakrishnan, R., Chaudhary, U., Woodford, N., Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: A molecular, biological, and epidemiological study (2010) The Lancet Infectious Diseases, 10 (9), pp. 597-602; Ledger, W.L., Anumba, D., Marlow, N., Thomas, C.M., Wilson, E.C., Wilson, F., Fertility and assisted reproduction: The costs to the NHS of multiple births after IVF treatment in the UK (2005) BJOG: An International Journal of Obstetrics & Gynaecology, 113 (1), pp. 21-25; Lunt, N., Smith, R., Mannion, R., Green, S., Exworthy, M., Hanefeld, J., Horsfall, D., King, H., Implications for the NHS of Inward and Outward Medical Tourism: A Policy and Economic Analysis Using Literature Review and Mixed-Methods Approaches (2014) Health Service Delivery Research, 2 (2); McKelvey, A., David, A.L., Shenfield, F., Jauniaux, E.R., The impact of cross-border reproductive care or “fertility tourism” on NHS maternity services (2009) British Journal of Gynaecology, 116 (11), pp. 1520-1523; Mannion, R., Goddard, M., Impact of published clinical outcomes data: Case study in NHS hospital trusts (2001) British Medical Journal, 323 (7307), pp. 260-263; Mannion, R., Goddard, M., Performance measurement and improvement in health care (2002) Applied Health Economics and Health Policy, 1 (1), pp. 13-23; Mannion, R., Goddard, M., Public disclosure of comparative clinical performance data: Lessons from the Scottish experience (2003) Journal of Evaluation in Clinical Practice, 9 (2), pp. 277-286; Melendez, M.M., Alizadeh, K., Complications from international surgery tourism (2011) Aesthetic Surgery Journal, 31 (6), pp. 694-697; Milosevic, A., Dental tourism-a global issue? (2009) Journal of Esthetic and Restorative Dentistry, 21 (5), pp. 289-291; Miyagi, K., Auberson, D., Patel, A.J., Malata, C.M., The unwritten price of cosmetic tourism: An observational study and cost analysis (2012) Journal of Plastic, Reconstructive and Aesthetic Surgery, 65 (1), pp. 22-28; Osterle, A., Balazs, P., Delgado, J., Travelling for teeth: Characteristics and perspectives of dental care tourism in Hungary (2009) British Dental Journal, 206 (8), pp. 425-428; Rogers, B.A., Aminzadeh, Z., Hayashi, Y., Paterson, D.L., Country-to-country transfer of patients and the risk of multi-resistant bacterial infection (2011) Clinical Infectious Diseases, 53 (1), pp. 49-56; Sari, A.B.-A., Sheldon, T.A., Cracknell, A., Turnbull, A., Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: Retrospective patient case note review (2007) British Medical Journal, 334, p. 79; Sherman, K.L., Gordon, E.J., Mahvi, D.M., Chung, J., Bentrem, D.J., Holl, J.L., Bilimoria, K.Y., Surgeons’ perceptions of public reporting of hospital and individual surgeon quality (2013) Medical Care, 51 (12), pp. 1069-1075; Smith, P.C., Street, A.D., On the uses of routine patient-reported health outcomes data (2013) Health Economics, 22 (2), pp. 119-131; Smith, R., Lunt, N., Hanefeld, J., The implications of PIP are more than just cosmetic (2012) The Lancet, 379 (9822), pp. 1180-1181; Vincent, C., Neale, G., Woloshynowych, M., Adverse events in British hospitals: Preliminary retrospective record review (2001) British Medical Journal, 322, pp. 517-519; Weingart, S.N., Wilson, R.M., Gibberd, R.W., Harrison, B., Epidemiology of medical error (2000) British Medical Journal, 320, pp. 774-777",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038916882 "Crooks V.A., Casey V., Whitmore R., Johnston R., Snyder J.","35585107800;55486848400;7005041258;36500711800;24170239100;","‘They go the extra mile, the extra ten miles…’: Examining Canadian medical tourists’ interactions with health care workers abroad",2015,"Handbook on Medical Tourism and Patient Mobility",,,,"451","460",,,"10.4337/9781783471195.00058","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85038886775&doi=10.4337%2f9781783471195.00058&partnerID=40&md5=a0774383b2694c411bbc8c22857f4999","Department of Geography, Simon Fraser University, Canada; Faculty of Health Sciences, Simon Fraser University, Canada","Crooks, V.A., Department of Geography, Simon Fraser University, Canada; Casey, V., Department of Geography, Simon Fraser University, Canada; Whitmore, R., Department of Geography, Simon Fraser University, Canada; Johnston, R., Department of Geography, Simon Fraser University, Canada; Snyder, J., Faculty of Health Sciences, Simon Fraser University, Canada",[No abstract available],,,,,,,,,,"Alleman, B.W., Luger, T., Schacht Reisinger, H., Martin, R., Horowitz, M.D., Cram, P., Medical tourism services available to residents of the United States (2011) Journal of General Internal Medicine, 26 (5), pp. 492-497; Arora, N.K., Interacting with cancer patients: The significance of physicians’ communication behavior (2003) Social Science & Medicine, 57 (5), pp. 791-806; Barclay, E., Stem-cell experts raise concerns about medical tourism (2009) The Lancet, 373 (9667), pp. 883-884; Beach, M.K., Keruly, J., Moore, R.D., Is the quality of the patient-provider relationship associated with better adherence and health outcomes for patients with HIV? (2006) Journal of General Internal Medicine, 21 (6), pp. 661-665; Berkman, L.F., Glass, T., Brissette, I., Seeman, T.E., From social integration to health: Durkheim in the new millennium (2000) Social Science & Medicine, 51 (6), pp. 843-857; Brummett, B.H., Barefoot, J.C., Siegler, I.C., Clapp-Channing, N.E., Lytle, B.L., Bosworth, H.B., Williams, R.B., Jr., Mark, D.B., Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality (2001) Psychosomatic Medicine, 63 (2), pp. 267-272; Burkett, L., Medical tourism concerns, benefits, and the American legal perspective (2007) Journal of Legal Medicine, 28 (2), pp. 223-245; Connell, J., Medical tourism: Sea, sun, sand and… surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Cortez, N., Patient without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83 (1), pp. 71-132; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting medical tourism to India: Messages, images, and the marketing of international patient travel (2011) Social Science & Medicine, 72 (5), pp. 726-732; Crooks, V.A., Snyder, J., Johnston, R., Kingsbury, P., (2011) Perspectives on Canadians’ Involvement in Medical Tourism: Final Research Report, , British Columbia, Canada: Department of Geography, Simon Fraser University; Crooks, V.A., Cameron, K., Chouinard, V., Johnston, R., Snyder, J., Casey, V., Use of medical tourism for hip and knee surgery in osteoarthritis: A qualitative examination of distinctive attitudinal characteristics among Canadian patients (2012) BMC Health Services Research, 12, p. 417; Crooks, V.A., Snyder, J., Turner, L., Adams, K., Johnston, R., Casey, V., Canadian print media coverage of medical tourism: Examining key themes and ethical gaps (2013) The Globalization of Health Care: Legal and Ethical Issues, pp. 52-64. , I. Glen Cohen (ed.), New York: Oxford University Press; Crooks, V.A., Turner, L., Cohen, I.G., Bristeir, J., Snyder, J., Casey, V., Whitmore, R., Ethical and legal implications of the risks of medical tourism for patients: A qualitative study of Canadian health and safety representatives’ perspectives (2013) British Medical Journal Open, 3, p. e002302; Canada, H., (2004) The Kirby Report, , Ottawa: Health Canada; Canada, H., (2011) Canada’s Healthcare System, , Ottawa: Health Canada; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Johnston, R., Crooks, V.A., Snyder, J., “I didn’t even know what I was looking for”: A qualitative study of the decision-making processes of Canadian medical tourists (2012) Globalization and Health, 8, p. 23; Johnston, R., Crooks, V.A., Snyder, J., Exceptional aspects of the experiences of Canadian medical tourists from patient narratives (2013) Travelling Well: Essays in Medical Tourism. Transdisciplinary Studies in Population Health Series, 4 (1), pp. 103-118. , Ottawa, Canada: Institute of Population Health, University of Ottawa R. Labonté, V. Runnels, C. Packer, R. Deonandan (eds); Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9, p. 24; Jones, C.A., Keith, L.G., Medical tourism and reproductive outsourcing: The dawning of a new paradigm for healthcare (2006) International Journal of Fertility and Women’s Medicine, 51 (6), pp. 251-255; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington, DC: Deloitte Center for Health Solutions; Lee, M., Rotheram-Borus, M.J., Challenges associated with increased survival among parents living with HIV (2001) American Journal of Public Health, 91, pp. 1303-1309; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; Lunt, N., Hardey, M., Mannion, R., Nip, tuck and click: Medical tourism and the emergence of web-based health information (2010) Open Medical Informatics Journal, 4, pp. 1-11; McMullan, M., Patients using the internet to obtain health information: How this affects the patient-health professional relationship (2006) Patient Education and Counselling, 63 (1-2), pp. 24-28; Rutledge, T., Reis, S.E., Olson, M., Owens, J., Kelsey, S.F., Pepine, C.J., Mankad, S., Matthews, K.A., Social networks are associated with lower mortality rates among women with suspected coronary disease: The National Heart, Lung, and Blood Institute-sponsored Women’s Ischemia Syndrome Evaluation study (2004) Psychosomatic Medicine, 66 (6), pp. 882-888; Snyder, J., Crooks, V.A., Johnston, R., Perceptions of the ethics of medical tourism by Canadian patients: Comparing patient and academic perspectives (2012) Public Health Ethics, 5 (1), pp. 38-46; Snyder, J., Crooks, V.A., Johnston, R., Kingsbury, P., What do we know about Canadian involvement in medical tourism? A scoping review (2011) Open Medicine, 5 (3), pp. 139-148; Solomon, H., Affective journeys: The emotional structuring of medical tourism in India (2011) Anthropology & Medicine, 18 (1), pp. 105-118; Canada, S., (2013) Health Profile: What are Health Regions, , Ottawa: Statistics Canada; Stewart, M., Brown, J.B., Donner, A., McWhinney, I.R., Oates, J., Weston, W.W., Jordan, J., The impact of patient-centered care on outcomes (2000) The Journal of Family Practice, 49 (9), pp. 796-804; Jr, S.R.L., Makoul, G., Arora, N.K., Epstein, R.M., How does communication heal? Pathways linking clinician-patient communication to health outcomes (2009) Patient Education and Counselling, 74 (3), pp. 295-301; Terry, N., Under-regulated healthcare phenomena in a flat world: Medical tourism and outsourcing (2007) Western New England Law Review, 29, pp. 415-463; Turner, L., “First world health care at third world prices”: Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., Medical tourism’ initiatives should exclude commercial organ transplantation (2008) Journal of the Royal Society of Medicine, 101 (8), pp. 391-394; Uchino, B.N., (2004) Social Support and Physical Health: Understanding the Health Consequences of Relationships, , New Haven, CT: Yale University Press; Uchino, B.N., Social support and health: A review of physiological processes potentially underlying links to disease outcomes (2006) Journal of Behavioral Medicine, 29 (4), pp. 377-387; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3, p. 271",,,,"Edward Elgar Publishing Ltd.",,,,,,9781783471195; 9781783471188,,,"English","Handb. on Med. Tourism and Patient Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-85038886775 "Bennett I., Waite D., Jolly A., Prederi","57192283675;57192281439;57192281287;","Authors of report on cost of visitors and migrants to the NHS reply to letter calling for end to political rhetoric on health tourism",2015,"BMJ (Clinical research ed.)","350",,,"h2660","",,,"10.1136/bmj.h2660","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85003051350&doi=10.1136%2fbmj.h2660&partnerID=40&md5=511cc85a2199a315ba3f8b5f7a32a51d","Oxted, Prederi, RH8 9EE, United Kingdom; Oxted, Prederi, RH8 9EE, United Kingdom; Oxted, Prederi, RH8 9EE, United Kingdom","Bennett, I., Oxted, Prederi, RH8 9EE, United Kingdom; Waite, D., Oxted, Prederi, RH8 9EE, United Kingdom; Jolly, A., Oxted, Prederi, RH8 9EE, United Kingdom; Prederi",[No abstract available],,"economics; health care delivery; human; Human immunodeficiency virus infection; medical tourism; national health service; Delivery of Health Care; HIV Infections; Humans; Medical Tourism; State Medicine",,,,,,,,,,,,,,,,,17561833,,,"25991643","English","BMJ",Letter,"Final",,Scopus,2-s2.0-85003051350 "Shalikar S., Rahim N.Z.A., Jafari S.","55325190600;57195481032;57215965570;","Evaluating the level of knowledge management capability in Medical Tourism industry of Malaysia",2015,"ARPN Journal of Engineering and Applied Sciences","10","23",,"17640","17648",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84953433016&partnerID=40&md5=0ace49635a507313001b1d6efa189f1c","Faculty of Computing, University Technology Malaysia, Johor Bharu, Johor, Malaysia; Advanced Informatics School, University Technology Malaysia, Kuala Lumpur, Malaysia; Faculty of Education and Psychology, Semnan University, Semnan, Iran","Shalikar, S., Faculty of Computing, University Technology Malaysia, Johor Bharu, Johor, Malaysia; Rahim, N.Z.A., Advanced Informatics School, University Technology Malaysia, Kuala Lumpur, Malaysia; Jafari, S., Faculty of Education and Psychology, Semnan University, Semnan, Iran","The aim of this study was to evaluate the current level of knowledge management capabilities in Medical Tourism industry of Malaysia in compare with desirable level. The study was descriptive. Statistical population were Malaysian Healthcare Travel Council (MHTC) center of Malaysia, Medical Tourism Center of KPJ (Kumpulan Perubatan Johor) and Gleneagles Hospitals. Participants were 200 of managers and employees who were selected using random sampling method. All of them have completed the knowledge management capabilities scale. Data were analyzed by SPSS software and one-sample T-test. The results of the analysis showed that Knowledge Management Capabilities and its dimensions (Lessons Learned, Expertise and Knowledge Documents) have been assessed above the acceptable level (Q2) in the Medical Tourism industry of Malaysia. But they have been evaluated below desirable level (Q3) in the Malaysian Health Tourism. Finally, the results show that there are positive and significant relationship between knowledge management capabilities and Lessons Learned, Expertise and Knowledge Documents.","Expertise; Knowledge documents; Knowledge management capability; Lessons learned; Medical tourism",,,,,,,,,"Shalikar, S., Lahoutpour, N., Rahman, A.B.A., The Study on the Impact of Knowledge Inertia on Organization (2011) Australian Journal of Basic and Applied Sciences, 5 (10), pp. 1207-1213; Savage, C.M., (1990) Fifth Generation Management, , Integrating Enterprises through Human Networking (Digital Press); Davis, S., Davidson, B., (1991) Vision 2020 (Simon and Schuster, U.S.A) 2012; Quinn, J.B., (1992) Intelligent Enterprise: A knowledge and Service-Based Paradigm for Industry, , (Free Press, New York); Nonaka, I., Takeuchi, H., (1995) The knowledgecreating company: how Japanese companies create the dynamics of innovation, , Oxford University Press, New York, NY; Prusak, L., (1996) Strategy and Leadership 24, pp. 6-8; Sveiby, K.E., (1997) The New Organizational Wealth: Managing and Measuring Knowledge-Based Assets, , (Berrett-Koehler Publishers, Inc. San Francisco); Davenport, T.H., Prusak, L., (1998) 'Working Knowledge-How Organizations Manage What They Know', , Harvard Business School Press, Boston, MA; 'Creating a Successful Branding for Your Hospitals', , http://www.placidway.com/event/20/Asian-Healthcare-2008-Medical-Tourism-in-Asia; Salleh, N.S.M., Mohamad, S.J.A.N.S., Binti Taib, S.S., 'Investigating Critical Success Factors of Value Chain In Health Tourism Industry In Malaysia' (2011) Business & Management Quarterly Review, 2 (3), pp. 59-69; Sarwar, A., Medical Tourism in Malaysia: Prospect and Challenge (2013) Iranian J Publ Health, 2013, 42 (8), pp. 795-805; Jin, C.L., (2010) Malaysia Healthcare Travel Council officially launched, , http://www.myhealthcare.gov.my/en/index.asp, Healthcare Malaysia, 2010; (2009) Annual Report 2009, , www.moh.gov.my, Retrieved March 07, 2012; Lagace, M., (2008) The Rise of Medical Tourism, , Harvard Business School Working Knowledge. Harvard Business School Working Knowledge; Myhealthcare.gov.my, Retrieved 2011-10-29; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan: New York; Suraya, H., Hamidah, A., Knowledge Management in Tourism Industry: KMS for Tourist Information Counter in Malaysia (2008) Journal of Information and Knowledge Management, 7 (3), pp. 159-172; English, M.J., Baker, W.H., Jr., Rapid Knowledge Transfer: The Key to Success (2006) Quality Progress, 39 (2), pp. 41-48; Frappaolo, C., (2006) Knowledge management (2nd ed.), , Hoboken, NJ: John Wiley & Sons; Hassan, Z.B., Agus, A., Nor, Z.M., The Influence of Training in Supply Chain Management on Competitiveness (2010) Business and Management Quarterly Review, 1 (2), pp. 14-22; Holsapple, C., Wu, J., In search of a missing link (2008) Knowledge Management Research and Practice, 6, pp. 31-40; Freeze, R., Kulkarni, U., Validating distinct knowledge assets: A capability perspective (2008) International Journal of Knowledge Management, 4, pp. 40-61; Oltra, V., Impact of team demography on knowledge sharing in software project teams (2005) South Asian Journal of Management, 12, pp. 67-78; Tanriverdi, H., 'Information Technology Relatedness, Knowledge Management Capability, and Performance of Multibusiness Firms' (2005) MIS Quarterly, 29 (2), pp. 311-334; Makadok, R., Toward a synthesis of resourcebased and dynamic capability views of rent creation (2010) Strategic Management Journal, 22, pp. 387-401; Rico, R., Manzanares, M., Gil, F., Gibson, C., Team implicit coordination processes: A teamknowledge based approach (2008) Academy of Management Review, 33, pp. 163-184; Fraidin, S., When is one head better than two? Interdependent information in group decision making (2004) Organizational Behavior and Human Decision Processes, 93, pp. 102-113; Hastie, R., Kameda, T., The robust beauty of majority rules in group decisions (2005) Organizational Behavior and Human Decision Processes, 70, pp. 117-133; Hutchins, E., (1995) Cognition in the wild, , http://www4.law.cornell.edu/uscode/uscode26/usc_sec_26_00000170-000-.html, Cambridge, MA: MIT Press. Itemized Deductions for Individuals and Corporations, 26 U.S.C. § 170 (2008) Retrieved November 9, 2008; Wilson, J., Goodman, P., Cronin, M., Group learning (2007) Academy of Management Review, 32, pp. 1041-1059; Turner, K., Makhija, M., The role of organizational controls in managing knowledge (2006) Academy of Management Review, 31, pp. 197-217; Aujirapongpan, S., Vadhanasindhu, P., Chandrachai, A., Pracob, C., Indicators of KM capability for knowledge management effectiveness"" (2010) VINE, 40 (2), pp. 183-203; Freeze, R., Hodges, J., Building knowledge capabilities in education (2009) Proceedings of the 15th Americas Conference on Information Systems; Kulkarni, U., Ravindran, S., Freeze, R., A knowledge management success model: Theoretical development and empirical validation (2007) Journal of Management Information Systems, 23, pp. 309-347; Kaplan, R., Norton, D., (1996) The Balanced Scorecard, , Harvard Business School Press, Boston, MA; Milam, J., (2001) Knowledge management for higher education, , http://www.ericdigests.org/2003-1/higher.htm, ERIC Digest. Retrieved November 5, 2008; Drucker, P.F., (1993) Post Capitalist Society, , Harper Business, New York; Alavi, M., Leidner, D.E., Review: knowledge management and knowledge management systems: conceptual foundations and research issues (2001) MIS Quarterly, 25 (1), pp. 107-136; Fukami, C., Strategic metaphysics-Can wisdom be taught? (2007) Handbook of organizational and managerial wisdom, pp. 459-476. , E. H. Kessler and J. R. Bailey (Eds.), Thousand Oaks, CA: Sage; Nonaka, I., ""A dynamic theory of organizational knowledge creation (1994) Organization Science, 5 (1), p. 14. , February; Kulkarni, U., Freeze, R., Measuring knowledge management capabilities (2008) Journal of Knowledge Management, 21, pp. 1-20; McCarthy, A.F., (2006) Knowledge Management: Evaluating Strategies and Processes Used in Higher Education, , Dissertation Doctoral, Nova Southeastern University; Ramezan, M., Examining the impact of knowledge management practices on knowledgebased results (2011) Journal of Knowledge based Innovation in China, 3 (2); Nicolas, C.L., Cerdan, A.L.M., Strategic Knowledge Management, Innovation and Performance (2011) International Journal of Information Management, 31, pp. 502-509","Shalikar, S.; Faculty of Computing, University Technology MalaysiaMalaysia; email: sshalikar@gmail.com",,,"Asian Research Publishing Network",,,,,18196608,,,,"English","ARPN J. Eng. Appl. Sci.",Article,"Final",,Scopus,2-s2.0-84953433016 "Cohen G.","56992133800;","Medical tourism for services legal in the home and destination country: Legal and ethical issues",2015,"Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals",,,,"173","189",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949256557&partnerID=40&md5=d25b245f51426c4dd156006f907f75bd","Harvard Law School, United States","Cohen, G., Harvard Law School, United States","‘Medical tourism’ (to use the most common term, though ‘cross-border health care’ or ‘medical travel’ could also be used), is the travel of patients from their home country to a foreign country for the primary purpose of receiving health care services. There is no doubt that the existing market is significant, even though there are considerable disputes about its exact size (Cohen, 2013; Cortez, 2011, p. 878). One set of estimates suggested roughly 750,000 US patients travelled abroad in 2007 for medical procedures (Cortez, 2011, p. 878; Murphy, 2009; Ehrbeck, Guevar and Mango, 2008, pp. 2–6). In 2004, more than 150,000 foreigners sought medical treatment in India, and that number was projected to increase by 15 per cent per year (Lancaster, 2004). In 2005, Bumrungrad International Hospital in Bangkok saw 400,000 foreign patients (Milstein and Smith, 2006, p. 1,638). In one year alone, it was estimated that 952,000 California residents traveled to Mexico for medical care or prescription drugs (Wallace, Mendez-Luck and Casta–eda, 2009, p. 662). The revenues involved in this trade are also very impressive, with some claiming that medical tourism in India generated $2.2 billion in revenues by 2012, and that it will generate $8 billion in Thailand between 2010 and 2014 (Cohen, 2010, p. 1,472). If insurer-prompted medical tourism picks up in the US, as myself and other scholars expect, the volume and revenue flow is likely to expand even further; indeed, already each of the four largest insurer plans in the US have introduced or are considering introducing plans involving medical tourism (Cohen, 2010b, pp. 1,486–8; Cortez, 2011 pp. 882–4). The European market for medical tourism is poised to continue growing as well, especially now that there is a new European Union Directive on the subject that I will discuss below (Cohen, 2014; European Parliament, 2011). © Bronwyn Parry, Beth Greenhough, Tim Brown and Isabel Dyck 2015. All rights reserved.",,,,,,,,,,"Baker, D., Rho, H.J., (2009) Free Trade in Health Care: The Gains from Globalized Medicare and Medicaid, , http://www.cepr.net/documents/publications/free-trade-hc-2009-09.pdf, Washington: Center for Economic Policy and Research., [Accessed 29 December 2013]; Chalmers, D., Davies, G., Monti, G., (2010) European Union Law, , Cambridge: Cambridge University Press; Chandra, A., Skinner, J., Geography and Racial Health Disparities (2004) Critical Perspectives on Racial and Ethnic Differences in Late Life, , N.N. Anderson, R.A. Bulatao and B. Cohen, eds. 2004, Washington, DC: National Academies Press, ch. 16; Cohen, I.G., Medical Tourism: The view from ten thousand feet (2010) Hastings Center Report, 40 (2), pp. 11-12; Cohen, I.G., Protecting Patients with Passports: Medical tourism and the patient-protective argument (2010) Iowa Law Review, 95 (5), pp. 467-567; Cohen, I.G., How to Regulate Medical Tourism (And Why Bioethicists Should Care) (2012) Journal of Developing World Bioethics, 12 (1), pp. 9-20; Cohen, I.G., Introduction (2013) The Globalization of Health Care: Legal and Ethical Challenge, , I.G. Cohen, ed., Oxford: Oxford University Press. Introduction; Cohen, I.G., (2014) Patients with Passports: Medical Tourism, Law and Ethics, , Oxford: Oxford University Press; Cortez, N., Patients without Borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83, pp. 71-132; Cortez, N., Recalibrating the Legal Risks of Cross-Border Health Care (2010) Yale Journal of Health Policy, Law, and Ethics, 10, pp. 1-89; Cortez, N., Embracing the New Geography of Health Care: A novel way to cover those left out of health reform (2011) Southern California Law Review, 84, pp. 859-931; Currie, J., Macleod, W.B., First Do No Harm? Tort reform and birth outcomes (2008) Quarterly Journal of Economics, 123 (2), pp. 795-830; Cutler, D., Huckman, R., Landrum, M., The Role of Information in Medical Markets: An analysis of publicly reported outcomes in cardiac surgery (2004) American Economic Review, 94 (2), pp. 342-346; Ehrbeck, T., Guevara, C., Mango, P., Mapping the Market for Medical Travel (2008) Mckinsey Quarterly, pp. 1-8; Einhorn, B., Hannaford's Medical-Tourism Experiment (2008) Business Week, , 9 November; Directive 2011/24 of the European Parliament and of the Council of 9 March 2011 on the Application of Patients’ Rights in CrossBorder Healthcare (2011) Official Journal of the European Union, 88-45; Flear, M., Developing Euro-Biocitizens Through Migration for Healthcare Services (2007) Maastricht Journal of European and Comparative Law, 14 (3), pp. 239-262; Frakes, M., Does Medical Malpractice Deter? The impact of tort reforms and malpractice standard reforms on healthcare quality (2012) Cornell Legal Studies Research Paper, pp. 12-29; Frank, R., (2004) Behavioral Economics and Health Economics, (10881). , http://www.nber.org/papers/w10881, [Accessed 29 December 2013]; Greenberg, M., Haviland, A., Ashwood, J.S., Main, R., Is Better Patient Safety Associated with Less Malpractice Activity? (2010) Evidence from California, , http://www.rand.org/pubs/technical_reports/TR824.html, RAND Corporation. [Accessed 29 December 2013]; Hatzopoulos, V., Hervey, T., Coming into Line: The EU's court softens on cross-border health care (2012) Health Economics, Policy and Law, 10 (1), pp. 1-5; Herring, B., Suboptimal Provision of Preventive Healthcare Due to Expected Enrollee Turnover Among Private Insurers (2010) Health Economics, 19 (4), p. 438; Lancaster, J., Surgeries, Side Trips for ‘Medical Tourists’ (2004) The Washington Post, , 23 October, p. 1a; Lancaster, J., Luisi, vMinistero Del Tesoro, 1984. E.C.R. 00377; Madison, K., Regulating Health Care Quality in an Information Age (2007) University of California, Davis Law Review, 40, pp. 1577-1654; Mattoo, A., Rathindran, R., How Health Insurance Inhibits Trade in Health Care (2006) Health Affairs, 25 (2), pp. 358-368; Milstein, A., Smith, M., America's New Refugees - Seeking affordable surgery offshore (2006) New England Journal of Medicine, 355 (16), pp. 1637-1640; Murphy, T., Health Insurers Explore Savings in Overseas Care (2009) Associated Press, p. 23. , August; Quinn, P., De Hert, P., The European Patients’ Rights Directive: A clarification and codification of individual rights relating to cross border healthcare and novel initiatives aimed at improve pan-European healthcare cooperation (2012) Medical Law International, 12 (1), pp. 28-69; Sawicki, N., Patient Protection and Decision-Aid Quality: Regulatory and tort law approaches (2012) Arizona Law Review, 54, pp. 621-672; Schneider, C., Hall, M., The Patient Life: Can consumers direct health care? (2009) American Journal of Law and Medicine, 35, pp. 7-66; (2002) National Survey on Americans as Health Care Consumers: An Update on the Role of Quality Information, , http://www.ahrq.gov/downloads/pub/kffchartbk00.pdf, Washington, DC: The Henry J. Kaiser Family Foundation. Accessed 29 December 2013; Turner, L., Patient Mortality in Medical Tourism: Examining news media reports of deaths following travel for cosmetic surgery and bariatric surgery (2013) The Globalization of Health Care: Legal and ethical challenge, p. 1. , I.G. Cohen, ed., Oxford: Oxford University Press, ch; Wallace, S., Mendez-Luck, C., Castaneda, X., Heading South: Why Mexican immigrants in California seek health services in Mexico (2009) Medical Care, 47 (6), pp. 662-669","Cohen, G.; Harvard Law SchoolUnited States",,,"Ashgate Publishing Ltd",,,,,,9781409457183; 9781409457176,,,"English","Bodies Across Borders: The Global Circulation of Body Parts, Medical Tourists and Professionals",Book Chapter,"Final",,Scopus,2-s2.0-84949256557 "Bayev V.","56993763200;","Cluster approach as an instrument for medical tourism development in Ukraine",2015,"Economic Annals-XXI","7-8","1",,"32","35",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949227146&partnerID=40&md5=cc32d303cf0106f06d33b4e835139ed4","Interregional Academy of Personnel Management, 2 Frometivska Str., Kyiv, 03039, Ukraine","Bayev, V., Interregional Academy of Personnel Management, 2 Frometivska Str., Kyiv, 03039, Ukraine","The paper substantiates the advisability of developing domestic medical tourism based on the cluster approach. A comparative analysis of the main factors determining the competitive ability of medical tourism in Ukraine and foreign countries has been conducted. The interpretation and essence of the definitions «medical tourism industry» and «medical tourism cluster» have been specified. A sectoral model of the medical tourism cluster provided for vertical and horizontal integrative links has been developed. A model of the cluster approach to development of medical tourism in Ukraine has been suggested. © Institute of Society Transformation, 2015.","Cluster; Medical Tourism Cluster; Medical Tourism Industry; Tourism",,,,,,,,,"(2014) Socio-economic Development of Ukraine for 2014, , http://www.ukrstat.gov.ua, The State Statistics Service of Ukraine, (in Ukr.); Tourist Flows (2000-2014), , http://ukrstat.org/uk/operativ/operativ2007/tyr/tyr_u/potoki2006_u.htm, The State Statistics Service of Ukraine, (in Ukr.); Babenko, O., Diversification Strategy at the Tourist Enterprises. Ekonomicnij Casopis-XXI (2014) Economic A Nnals-XXI, 11-12, pp. 128-130. , (in Ukr.); (2014) Medical Tourism Climate Survey 2014, , http://www.imtj.com/resources/research-andstatistics/medical-tourism-climate-survey-2014, International Medical Travel Journal; Porter, M., Clusters and the new economics of competition (1998) Harvard Business Review, 76, pp. 77-90; Morillas, A., Diaz, B., Key sectors, industrial clustering and multivariate outliers (2008) Economic Systems Research, 20, pp. 57-73; Rychen, F., Zimmermann, J., Clusters in the Global Knowledgebased Economy: Knowledge Gatekeepers and Temporary Proximity (2008) Regional Studies, 42 (6), pp. 767-776; Agafonov, V., Cluster strategy: System approach (2011) Ekonomicheskaya Nauka Sovremennoy Rossiyi (Economic Science of Modern Russia), 3 (50), pp. 77-91. , (in Russ.); Erkus-Ozturk, H., The role of cluster types and firm size in designing the level of network relations: The experience of the Antalya tourism region (2009) Tourism Management, 30 (4), pp. 589-597. , (in Turk.); Jackson, J., Murphy, P., Tourism destinations as clusters: Analytical experiences from the New World (2002) Tourism and Hospitality Research, 4 (1), pp. 36-52; Novelli, M., Schmitz, B., Spencer, T., Networks, clusters and innovation in tourism: A UK experience (2006) Tourism Management, 27, pp. 1141-1152; Weidenfeld, A., Butler, R., Williams, A., The role of clustering, cooperation and complementarities in the visitor attraction sector (2011) Current Issues in Tourism, 14 (7), pp. 595-629; Vakhovych, I., Malimon, V., Factors of development of the regional market of medical tourism in the developed world (2012) Finansovyj Prostir (Financial Space), 3 (7), pp. 38-45. , (in Ukr.); Kyfiak, V., The development of medical tourism in the regions of Ukraine (2013) Visnyk Universytetu Bankivskoyi Spravy NBU (Bulletin of the University of Banking of the NBU), 1 (16), pp. 30-33. , (in Ukr.); Malimon, V., Vakhovych, I., Regional medical tourism markets: Features of formation and development in Ukraine (2013) Lutsk: Drukarnia «volynpoligraf», , (in Ukr.); Balaban, V., Marano, C., Medical tourism research: A systematic review (2010) International Journal of Infectious Diseases, 14, pp. 135-152; Lunt, N., Smith, R., Exworthy, M., Green, S., (2013) Medical Tourism: Treatments Markets and Health System Implications: A Scoping Review. Daniel Horsfall and Russell Mannion, , www.oecd.org/els/health-systems/48723982.pdf, OECD; Heung, V., Kucukusta, D., Song, H., A Conceptual Model of Medical Tourism: Implications for Future Research (2010) Journal of Travel & Tourism Marketing, 27, pp. 236-251; Vijaya, R., Medical Tourism: Revenue Generation or International Transfer of Healthcare Problems (2010) Journal of Economic Issues, 44, pp. 53-70; Dyshlovyi, I., Features of functioning of regional recreation-tourism cluster and its regulation. Ekonomika i upravleniye (2010) Economy and Management, 6, pp. 69-75. , (in Ukr.); Todd, M., Medical tourism clusters... Beyond the hype (2012) International Medical Travel Journal, , http://www.imtj.com/articles/2012/medical-tourism-clusters-30138/; Medical and legal aspects of reproductive medicine in Ukraine under the prism of medical tourism. Editorial article (2013) Reproduktivnaya Endokrinologiya (Reproductive Endocrinology), 5 (13), pp. 118-121. , Editorial article, (in Russ.); Bayeva, O., (2013) Medical Insurance and Health Insurance: A Textbook for Students of Higher Educational Institutions, , Kyiv: Publishing house «Staff» (in Ukr.); Podogayev, S., Marketing of works as a source of the new hybrid offerings in widened marketing of goods, works and services (2013) Journal of Business and Industrial Marketing, 28 (8), pp. 638-648; (2015) The Network of Collective Accommodation in 2014. Express Edition from 24.04.2015 No 116/0/05, , http://www.ukrstat.gov.ua, The State Statistics Service of Ukraine, (in Ukr.)","Bayev, V.; Interregional Academy of Personnel Management, 2 Frometivska Str., Ukraine; email: baev11@yandex.ua",,,"Institute of Society Transformation",,,,,17286220,,,,"English","Eco. Annals.",Article,"Final",,Scopus,2-s2.0-84949227146 "López F.P.","56927583200;","Protecting the European medical tourist: A new challenge for the E.U. Law?",2015,"Touring Consumption",,,,"185","200",,,"10.1007/978-3-658-10019-3_9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945576541&doi=10.1007%2f978-3-658-10019-3_9&partnerID=40&md5=d9af0c5f21ed21b4b5638015dc7e30f2","Universidade da Coruna, Spain","López, F.P., Universidade da Coruna, Spain","Medical tourism is currently an emerging issue that will probably have to be tackled by the European Union law, as well as by the member states' internal legal systems in the near future (Pai 2007: 567). This issue has been treated for several years in the US scholarly papers, anticipating a discussion that we could have in Europe soon (Fabbrini 2011: 51, regarding medical tourism linked to access to services). That anticipation was due to certain features of the American health care system that make it clearly different from those of the EU countries. Essentially, I am talking about the lack of a socialized health care in the U.S. equivalent to the European standards, and the high level of prices in the American medical services market. Nowadays, however, there are some reasons to think that we could see a similar development of this question in Europe. © Springer Fachmedien Wiesbaden 2015.",,,,,,,,,,"Chen, Y.Y.B., Plood, C.M., (2013) Medical Tourism Impact on Health Care Equity and Access in Low and Middle-Income Countries: Making the Case for Regulation, 41, p. 286. , J.L. Med. & Ethics; Cohen, G.I., (2010) Protecting Patients with Passports: Medical Tourism and the Patient.Protective Argument, 95, p. 1467. , Iowa L. Rev; Cohen, G.I., (2011) Medical Tourism, Access to Health Care and Global Justice, 52, p. 1. , Va. J. Int’l L; Cortez, N., (2008) Patients without Borders: The Emerging Global Market for Patients and The Evolution of Modern Health Care, 83, p. 71. , Ind. L.J; Cortez, N., (2010) Recalibrating the Legal Risks of Cross-Border Health Care, 10, p. 1. , Yale J. Health Pol’y L. & Ethics; Fabbrini, F., (2011) The European Court of Human Rights, the EU Charter of Fundamental Rights and the Right to Abortion: Roe Vs. Wade on the Other Side of the Altlantic?, 18, p. 1. , Colum. J. Eur. L; Ministerio de industria, energía y turismo (2013) Turismo De Salud En España, , http://www.minetur.gob.es/turismo/es-ES/PNIT/Eje3/Documents/turismo_salud_espana.pdf; Gluck, E., (2008) Incredible Accreditable India: Trends in Hospital Accreditation Coexistent with the Growth of Medical Tourism in India, 1, p. 459. , St. Louis U.J. Health L. & Pol’y; Howze, K.S., (2007) Medical Tourism: Symptom Or Cure?, 41, p. 1013. , Ga. L. Rev; Ikemoto, L.C., (2009) Reproductive Tourism: Equality Concerns in the Global Market for Fertility Services, p. 277. , 27 Law & Ineq; Pai, H., (2007) Watts V. Bedford Primary Health Care Trust: The Uncertain Prognosis for Health Tourism in The European Union, 29, p. 553. , Loy. L. A. Intl & Comp. L. Rev; Terry, N.P., (2007) Symposium: The Politics of Health Law: Under-Regulated Health Care Phenomena in a Flat World: Medical Tourism and Outsourcing, 29, p. 421. , West New Eng. L. Rev; Williams, H.T., (2011) Fighting Fire with Fire: Reforming the Health Care System through a Market Based Approach to Medical Tourism, 89, p. 607. , N.C.L. Rev","López, F.P.; Universidade da CorunaSpain",,,"Springer Science+Business Media",,,,,,9783658100193; 9783658100186,,,"English","tour. Consum.",Book Chapter,"Final",,Scopus,2-s2.0-84945576541 "Leandro M.E., Nogueira F., de Carvalho A.B.S.","57215484653;56692364200;56909519400;","Diversity and interconnection: Spas, health and wellness tourism",2015,"Health and Wellness Tourism: Emergence of a New Market Segment",,,,"153","164",,,"10.1007/978-3-319-11490-3_10","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944582869&doi=10.1007%2f978-3-319-11490-3_10&partnerID=40&md5=e16be15f460bb5a7137947bd8f54fc28","CIES-ISCTE, Instituto Universitário de Lisboa, Lisboa, Portugal; ISCSP, Universidade de Lisboa, Lisboa, Portugal; ESTGL, Instituto Politécnico de Viseu, Lamego, Portugal","Leandro, M.E., CIES-ISCTE, Instituto Universitário de Lisboa, Lisboa, Portugal; Nogueira, F., ISCSP, Universidade de Lisboa, Lisboa, Portugal; de Carvalho, A.B.S., ESTGL, Instituto Politécnico de Viseu, Lamego, Portugal","Health, spa’s, hydrotherapy, tourism, welfare and economic interests become deeply intertwined components. This interconnection is looking for an intense answer to the ills of concern to today’s humans. We emphasize that, in a context where we extremely value health, beyond traditional diseases, we found that have been emerging new diseases and perceptions about them, especially those who are designated as civilization diseases. One of the most notorious problems was depression. This type associated with new dilemmas, which affect individuals in nowadays societies, always in search of more welfare, when human aspirations have no boundaries, diseases assume facets that are not always easy to identify. The person who as depression is, in a way, strongly subject to medication when is bad feeling. But have been many other alternatives arise. Several situations call for new social restructuring forms and styles of life, but also cover other environments and cultures capable to provide access to more time and leisure, which is reflected by behavioral changes and appellative alternative medicines. It is in these situations that the phenomena of Hydrotherapy/SPA’s and tourism, coming from times of yore, with its entire range of activities, have achieved great strength, also appearing as an answer to these well-being matters. These reflective perspectives are issues that we propose to study in this research, with an emphasis on their interconnections. © Springer International Publishing Switzerland 2015.",,,,,,,,,,"Baptista, L., (2006) Relações Sociais de Espaço-Homenagem a Jean Rémy, in Investidações sociológicas, , Lisboa: Colibri; Bourdieu, P., (1980) Questions de Sociologie, , Paris: Ed. De Minuit; Ehrenberg, A.S.C., (1998) Report Writing, , Marketing Learning 3, The R&D Initiative, South Bank Universit; Ferreira, C., (1994) Os usos sociais do termalismo-Práticas, representações e identidades sociais dos frequentadores das termas da Cúria, , Coimbra: Dissertação de Mestrado, Faculdade de Economia da Universidade de Coimbra; Foucault, M., (1975) Surveilleretpunir, , Paris: Gallimard; Griffin, J., (1986) Well-being, , Its Meaning. Measurement and Moral Importance, Oxford: Clarendon Press; Illich, I., (1975) Némésismédicale, , Paris: Ed. DuSeuil; Leandro, M.E., (2014) ""Saberes e saúde: Teorias e usos sociais"", in Saúde no prisma da sociologia, pp. 55-94. , Olhares pl urais, Leandro, E. &. Monteiro, B. (Eds), Editora Psicosoma, Viseu; Leandro, A.S., (2014) Trabalho de emoção: Peculiaridades das artes domésticas no âmbito da saúde, , Braga: húmos Leandro, Mª. E. e; McHado Pais, J., (2007) Sociologia da vida quotidiana: Teorias, métodos e estudos de caso, , Lisboa: EditoraImprensa de Ciências Sociais; Drulhe, M., (1996) Santé et société, , Presses Universitaires France; Nogueira, F., (2014) Da Saúde Ao Económico/Do Económico À Saúde: Questões, Políticas e Contributos para o seu Desenvolvimento, pp. 250-264. , Saúde no prisma da sociologia. Olhares Pl urais. Leandro, E. &. Monteiro, B. (Eds), Editora Psicosoma, Viseu; Servan-Schreiber, D., (2003) Curar, , O stress, a ansiedade e a depressão sem medicamentos nem psicanálise, Lisboa: Publicações Dom Quixote","Leandro, M.E.; CIES-ISCTE, Instituto Universitário de LisboaPortugal",,,"Springer International Publishing",,,,,,9783319114903; 9783319114897,,,"English","Health and Wellness Tourism: Emergence of a New Market Segm.",Book Chapter,"Final",,Scopus,2-s2.0-84944582869 "Watkins E.","56647649000;","Healthcare, tourism propel Cleveland's hotel pipeline",2015,"Hotel Management","230","10",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944345644&partnerID=40&md5=ce0e3d026efb9ee72a386af4e15d9c5e",,"Watkins, E.",[No abstract available],,,,,,,,,,,"Watkins, E.",,,"Advanstar Communications Inc.",,,,,21582122,,,,"English","Hotel Manage.",Article,"Final",,Scopus,2-s2.0-84944345644 "Kogiso K.","56893567600;","The success of health tourism in Thailand: A big demand for asian healing arts",2015,"Sports Management and Sports Humanities",,,,"149","160",,,"10.1007/978-4-431-55324-3_11","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943399863&doi=10.1007%2f978-4-431-55324-3_11&partnerID=40&md5=c924ab7b0c89e3f9d10ec320a1de8bb8","Faculty of Sport Sciences, Waseda University, Tokyo, Japan","Kogiso, K., Faculty of Sport Sciences, Waseda University, Tokyo, Japan","In this chapter, I focus on the relationship between Thai Massage and health tourism in Thailand and examine how the Thai government promotes Thai Massage as a health tourism resource. In recent years, attention to health tourism has been increasing, especially in Asian countries, where tourists often enjoy a variety of traditional medical practices or therapies. Such ‘healing arts’ as Tai Chi, Zen meditation, and Yoga are popular. Thai Massage has also joined the group of traditional medicines, and attracts many tourists as a ‘spiritual’ practice based on Buddhist philosophy. The main destination for such Asian health tourism is the spa; traditional healing arts are often mentioned in health promotion programs. The ‘modern spa’ is a health resort that is different from modern medical facilities. The inclusion of traditional healing arts is an important component of the ‘modern spa’. This article discusses the historical process and socio-cultural context of how Thai Massage has come to be a core activity of health tourism in Thailand. © Springer Japan 2015.","Healing arts; Health tourism; Spa; Thai massage",,,,,,,,,"Banpasirichote, C., (1989) The Indigenization of Development Process in Thailand: A Case Study of the Traditional Medical Revivalist Movement, , (Thai Massage). Ontario, University of Waterloo. PhD thesis; Chokevivat, V., Chuthaputti, A., The role of Thai traditional medicine in health promotion (2005) Conference Paper for 6GCHP Bangkok, , Thailand 2005; Cohen, E., Medical tourism in Thailand (2008) AV-GSB E-J, 1 (1), pp. 24-37; (2008) The Global Spa Economy 2007 Prepared by SRI International; Harada, M., Kimura, K., (2009) Sport Health Tourism, , Taishuukan, Tokyo (In Japanese); Harrison, R.V., Jackson, P.A., (2010) The Ambiguous Allure of the West: Trace of the Colonial in Thailand, , Hong Kong University Press, Hong Kong; Iida, J., (2006) Ethnography of Thai Massage: Body and Practice in the Creation Process of “Thai Traditional medicine”, , Akashishoten, Tokyo (In Japanese); Jacka, A., Spa industry in Thailand (2011) Shohou, 594, pp. 23-26; Kaspar, C., (1996) Gesundheitstourismus Im Trend. Jahrbuch Der Schweizer Tourismuswirtschaft 1995/96, pp. 53-61. , St Gallen Institut für Tourismus und Verkehrswirtschaft; Kogiso, K., Thai Massage and health tourism in Thailand: Tourism acculturation process of “Thai Massage” (2012) Int J Sport Health Sci, 10, pp. 65-70; Laing, J., Weiler, B., Mind, body and spirit: Health and wellness tourism in Asia (2008) Asian Tourism: Growth and Change, , Cochrane J, Elsevier, Amsterdam; Muller, H., Kaufman, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) J Vacat Market, 7 (1), pp. 5-17; (2004) Bangkok Post, , Oct 2, Bangkok; Smith, M., Puczkó, L., (2009) Health and Wellness Tourism, , Elsevier, Oxford; (2010) Ekasaan Prakoop Kaanseunaa: Thong Thiao Thai Khwaam Teek Taang Thii Saang Khaa; (2007), http://www.tatnews.org/emagazine/5599.asp, Accessed 26 Feb 2012","Kogiso, K.; Faculty of Sport Sciences, Waseda UniversityJapan",,,"Springer Japan",,,,,,9784431553243; 9784431553236,,,"English","Sports Management and Sports Humanities",Book Chapter,"Final",,Scopus,2-s2.0-84943399863 "Suetsugu T., Yasuda M., Kobayashi M., Seto Y., Sasaki Y., Arai C., Edamatsu H.","35559773900;35560078400;56320429700;15045704700;36754110300;56646131100;7004207548;","Ear surgery for foreigners living in Japan and medical tourism patient",2015,"Practica Otologica, Supplement",,"143",,"93","98",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938125358&partnerID=40&md5=4eb7eef0d770b40bff528c228a0a5c3d","Shonan Kamakura General Hospital, Omori Hospital, Toho University, School of Medicine, Japan","Suetsugu, T., Shonan Kamakura General Hospital, Omori Hospital, Toho University, School of Medicine, Japan; Yasuda, M., Shonan Kamakura General Hospital, Omori Hospital, Toho University, School of Medicine, Japan; Kobayashi, M., Shonan Kamakura General Hospital, Omori Hospital, Toho University, School of Medicine, Japan; Seto, Y., Shonan Kamakura General Hospital, Omori Hospital, Toho University, School of Medicine, Japan; Sasaki, Y., Shonan Kamakura General Hospital, Omori Hospital, Toho University, School of Medicine, Japan; Arai, C., Shonan Kamakura General Hospital, Omori Hospital, Toho University, School of Medicine, Japan; Edamatsu, H., Shonan Kamakura General Hospital, Omori Hospital, Toho University, School of Medicine, Japan","The number of foreigners living in Japan has been increasing recently, some of whom will probably need treatments for diseases of the ear. We have performed ear surgeries in sixteen foreigners in the past four years. We have noticed clinical and social problems: those patients had difficulty in understanding ear disease, the necessity for surgery and the Japanese medical expenses and health care system because of poor language skills in Japanese or English. Various nationalities were represented: the Philippines (5 patients), China (4), Korea (1), Nepal (1), Mongolia (1), Viet Nam (1), Russia (1), and mixed nationality (2). They had stayed in Japan for more than twenty years before ear surgery. The ear diseases comprised chronic otitis media (twelve ears), otosclerosis (three ears), and cholesteatoma (two ears). We have to offer these overseas patients access to the good and stabilized medical system available in Japan. Ear surgery is one of the important medical issues, because such patients cannot get treatment in their country of origin.","Chronic otitis media; Ear surgery; Foreign patients living in Japan; Medical tourism",,,,,,,,,,,,,"Society of Practical Otolaryngology",,,,,09121870,,JIRHE,,"Japanese","Pract. Otol. Suppl.",Article,"Final",,Scopus,2-s2.0-84938125358 "Cohen I.G.","25653634900;","The non-spaces of medical tourism",2015,"Harvard Design Magazine",,"40",,"126","131",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84937946647&partnerID=40&md5=570557d9967b891f1f9c2472982af961","Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law School, United States","Cohen, I.G., Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law School, United States",[No abstract available],,,,,,,,,,"The Kaiser Family Foundation, Agency for Health Care Research & Quality, (2000) National Survey on Americans as Health Care Consumers: An Update on the Role of Quality Information, , https://kaiserfamilyfoundation.files.wordpress.com/2013/01/national-survey-on-americans-as-healthcare-consumers-an-update-on-the-role-of-quality-information-toplines-survey.pdf; Schneider, C.E., Hall, M.A., (2008) The Patient Life: Can Consumers Direct Health Care?, , Wake Forest University Legal Studies Paper; Sengupta, S., Royal care for some of India's patients, neglect for others (2008) New York Times, p. K3. , June 1","Cohen, I.G.; Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law SchoolUnited States",,,"Harvard University",,,,,10934421,,,,"English","Harv. Des. Mag.",Article,"Final",,Scopus,2-s2.0-84937946647 "Rashid A.","56230248700;","Prostate biopsy, childhood vaccination, oral health, and medical tourism",2015,"British Journal of General Practice","65","636",,"363","",,,"10.3399/bjgp15X685777","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84937691968&doi=10.3399%2fbjgp15X685777&partnerID=40&md5=0fe959af9c64fb895d0ec87b4ca39308","NIHR Academic Clinical Fellow in General Practice, University of Cambridge, Cambridge, United Kingdom","Rashid, A., NIHR Academic Clinical Fellow in General Practice, University of Cambridge, Cambridge, United Kingdom",[No abstract available],,"cancer mortality; cancer risk; evidence based practice; groups by age; human; medical research; medical tourism; mouth hygiene; Note; patient information; primary medical care; prostate biopsy; prostate cancer; qualitative research; quality of life; randomized controlled trial (topic); support group; transrectal ultrasonography; urological procedure; vaccination; child; health; health care delivery; image guided biopsy; male; medical tourism; pathology; procedures; prostate; Prostatic Neoplasms; trends; United Kingdom; utilization; vaccination; Child; Delivery of Health Care; Humans; Image-Guided Biopsy; Male; Medical Tourism; Oral Health; Prostate; Prostatic Neoplasms; United Kingdom; Vaccination",,,,,,,,"Wade, J., Rosario, D.J., Howson, J., Role of information in preparing men for transrectal ultrasound guided prostate biopsy: A qualitative study embedded in the ProtecT trial (2015) BMC Health Serv Res, 28 (15), p. 80; Harvey, H., Reissland, N., Mason, J., Parental reminder recall and educational interventions to improve early childhood immunization uptake: A systematic review and meta-analysis (2015) Vaccine, 33 (25), pp. 2862-2880; Daneshvar, M., Devji, T.F., Davis, A.B., White, M.A., Oral health related quality of life: A novel metric targeted to young adults (2015) J Public Health Dent, , Apr 17; Hanefeld, J., Lunt, N., Smith, R., Horsfall, D., Why do medical tourists travel to where they do? the role of networks in determining medical travel (2015) Soc Sci Med, 124, pp. 356-363","Rashid, A.; NIHR Academic Clinical Fellow in General Practice, University of CambridgeUnited Kingdom",,,"Royal College of General Practitioners",,,,,09601643,,BJGPE,"26120120","English","Br. J. Gen. Pract.",Note,"Final",Open Access,Scopus,2-s2.0-84937691968 "Sujatha S., Subhashini R.","36242427500;55233548800;","A study on quality issues in medical tourism with reference to Chennai City",2015,"International Journal of Pharmaceutical Sciences Review and Research","30","2", 31,"172","174",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84922519864&partnerID=40&md5=e1eaebea6518586d0b1347d303ba820b","SRM School of Management, SRM University, Kattangulathur, Tamilnadu, India; SRM Hotel Management, SRM University, Kattangulathur, Tamilnadu, India","Sujatha, S., SRM School of Management, SRM University, Kattangulathur, Tamilnadu, India; Subhashini, R., SRM Hotel Management, SRM University, Kattangulathur, Tamilnadu, India","Tourism makes a tremendous participation to the improvement of social and political understanding, because it is need for all parties involved in healthcare to become familiar with medical tourism. Indian medical tourism industry is presently at an emerging stage and has an enormous potential for future growth and development. To attract foreign patients, healthcare providers may consider leveraging on both business and clinical considerations medical services in India especially Chennai provide services at affordable price as low as 10% of those in the United States. This study attempts to identify various challenges faced by medical tourism in Chennai and to analyze the quality services provided for foreign patients by medical tourism. Survey was carried out on 72 foreign patients in Chennai. The study results provide strong support for the hypothesis that there is positive association between the indicators of the medical tourism growth and quality services provided. © Global Research Online. All rights reserved.","Foreign patients; Health insurance; Medical tourism; Quality services and growth; Quality standards","adult; aircraft; analytical research; Article; descriptive research; female; health care cost; health care quality; health care survey; hospital service; human; income; inferential statistics; investment; length of stay; major clinical study; male; married person; medical tourism; occupation; questionnaire; satisfaction",,,,,,,,"(2008), http://www.english.alijazeera.net, 18th June, [cited 2011 Dec 31]: available from; Ashok, S., Lakshmi, K., (2011), 18 July, The Hindu (Chennai: The Hindu). Retrieved 16 September 2012; (2012), http://www.indiahealthvisit.com/Chennaihealth-capital.htm, India Health Visit. Retrieved, September; Bies, W., Zacharia, L., (2007) Medical Tourism: Outsourcing Surgery Mathematical and Computer Modeling, 46, pp. 1144-1159; Chinzaman, T., (2013) Binota Meinam, Prospect of Medical Tourism Manipur Cost Comparison Analysis, , Research paper presented at international seminar on kualalumpur, Malaysia; (2013) Chennai Remains Favorite Destination of Medical Tourists, , http://articles.timesofIndia.indiatimes.com/2013-04-20/india/38692142_1_health-tourism-medical-tourists-cii, The Times of India (Chennai: The Times Group).20 April. Retrieved 28 April; www.world-guides.com/Asia/India/tamilnadu/ChennaiMedicaltourisminIndia/medical–tourism-in-India/, Treatment &Surgery in Chennai; (2012), Business Line (Chennai: The Hindu). 14 October 2012. Retrieved 18 October; Ramkumar, P., (2012), (20 November 2012). “Maldivians fly to Chennai hospitals, but face rule hitch”. The Times of India (Chennai: The Times Group). Retrieved 20 November","Sujatha, S.; SRM School of Management, SRM UniversityIndia",,,"Global Research Online",,,,,0976044X,,,,"English","Int. J. Pharm. Sci. Rev. Res.",Article,"Final",,Scopus,2-s2.0-84922519864 "Powell S.K.","25931061800;","Unplanned health care tourism",2015,"Professional Case Management","20","1",,"1","2",,,"10.1097/NCM.0000000000000071","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917729311&doi=10.1097%2fNCM.0000000000000071&partnerID=40&md5=51dde8049f62fc2c90ba403b88a7efb5",,"Powell, S.K.","Health care tourism is often a preplanned event carefully laying out all the details. Sometimes, when one least expects it, medical care is needed outside of the mainland. This Editorial speaks to an unplanned experience. Copyright © 2015 Lippincott Williams & Wilkins.","Global health care; Health care tourism; International case management; Medical tourism","health care cost; human; medical tourism; Health Care Costs; Humans; Medical Tourism",,,,,,,,"Hamilton, J., (2014) A Doctor Unlocks Mysteries of the Brain by Talking and Watching, , http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=351537980&m=352402886, Retrieved September 29, 2014, from",,,,"Lippincott Williams and Wilkins",,,,,19328087,,,"25436438","English","Prof. Case Manage.",Review,"Final",,Scopus,2-s2.0-84917729311 "Dzulkipli M.R., Mohamed-Yunus N.A., Zakaria I.","56299593200;56957983900;56469447000;","STEP analysis and health tourism development in Malaysia",2015,"Theory and Practice in Hospitality and Tourism Research - Proceedings of the 2nd International Hospitality and Tourism Conference 2014",,,,"263","267",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907337091&partnerID=40&md5=799f60dd2aeddedb75579a5d509c81f7","Faculty of Business Management, Universiti Teknologi MARA, Puncak Alam, Malaysia; Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia","Dzulkipli, M.R., Faculty of Business Management, Universiti Teknologi MARA, Puncak Alam, Malaysia; Mohamed-Yunus, N.A., Faculty of Business Management, Universiti Teknologi MARA, Puncak Alam, Malaysia; Zakaria, I., Faculty of Business Management, Universiti Teknologi MARA, Kelantan, Malaysia","Health tourism can be defined as the pursuit of other countries' patient to seek treatment abroad. It was noted that the utmost reason why medical tourists seek medical attention abroad was due to the economy and cost saving factors. In Malaysia, the notion of health tourism has started to emerge in the turbulence recession time in the late 90s. A dawdling economic development had forced the government to diverse its country income, hence resulting the born of health tourism activity in healthcare. This study aims to define the relationship of STEP analysis to measure the development of health tourism in Malaysia. This analysis is useful to measure the external environment that may affect healthcare organization. Apart from that, it will be useful to look the healthcare organization's potential of health tourism development from various factors as listed by STEP analysis. Few recommendations were put forward to expedite the development of health tourism to the desired state. © 2015 Taylor & Francis Group.","Economy; Health tourism development; Politic; Social; Technology","Economics; Patient treatment; Technology; Economic development; Economy; External environments; Health tourisms; Healthcare organizations; Politic; Social; Step analysis; Health",,,,,,,,"Alvarez, M.M., Chanda, R., Smith, R.D., The potential for bi-lateral agreements in medical tourism: A qualitative study of stakeholder perspectives from the UK and India (2011) Globalization and Health, 7 (11), pp. 1-9; Aniza, I., Aidalina, M., Nirmalini, R., Inggit, M., Ajeng, T., Health tourism in Malaysia: The strength and weaknessess (2009) Journal of Community Health, 15 (1), pp. 7-15; Barraclough, S., Constraints on the retreat from a welfare-oriented approach to public health care in Malaysia (1999) Health Policy, 47, pp. 53-67; Carruth, P.J., Carruth, A.K., The Financial and Cost Accounting Implications of Medical Tourism (2010) International Business & Economics Research Journal, 9 (8), pp. 135-140; Chanda, R., Trade in health services (2002) Bulettin of the World Health Organization, 80 (22), pp. 158-163; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulleting of the World Health Organization, 85 (3), pp. 164-165; Crooks, V.A., Turner, L., Snyder, J., Johnston, R., Kingsbury, P., Promoting Medical Tourism to India: Messages, Images, and the Marketing of International Patient Travel (2011) Social Science & Medicine, pp. 726-732; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gupta, A.S., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1), pp. 4-5; Gwatkin, D.R., Bhuiya, A., Victoria, C.G., Making health systems more equitable (2004) The Lancet, 364, pp. 1273-1280; Hakonsen, H., Horn, A.M., Toverud, E.-L., Price control as a strategy for pharmaceutical cost containment - What has been achieved in Norway in the period 1994-2004 (2009) Health Policy, 90, pp. 277-285; Harris, M.G., Strategy and organisational design in healthcare (2006) Managing Health Services: Concepts and Practice, pp. 273-276. , J. Madern, M. Courtney, J. Montgomery & R. Nash (Eds.), Sydney: Elsevier; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27, pp. 236-251; Horowitz, M.D., Rosensweig, J.A., Medical Tourism - Health Care in the Global Economy (2007) Trends, pp. 24-30; Johnston, R., Crooks, V.A., Snyder, J., Kingsbury, P., What is known about the effects of medical tourism in destination and departure countries? A scoping review (2010) International Journal for Equity in Health, 9 (24), pp. 1-13; Kananatu, K., Healthcare financing in Malaysia (2002) Asia Pac J Public Health, 14 (23), pp. 23-28; Kiss, K., Analysis of demand for wellness and medical tourism in Hungary (2012) Applied Studies in Agribusiness and Commerce, 6 (5); Lee, C.G., Health care and tourism: Evidence from Singapore (2010) Tourism Management, 31, pp. 486-488; Leng, C.H., Medical Tourism in Malaysia: International Movement of Healthcare Consumers and the Commodification of Healthcare (2007) ARI Working Paper No. 83, , Asia Research Instititute of the National University of Singapore: National University of Singapore; Leng, C.H., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10 (3), pp. 336-357; Lunt, N.T., Mannion, R., Exworthy, M., A Framework for Exploring the Policy Implications of UK Medical Tourism and International Patient Flows (2013) Social Policy & Administration, 47 (1), pp. 1-25; McNish, M., Guidelines for managing change: A study of their effects on the implementation of new information technology projects in organisations (2002) Journal of Change Management, 2 (3), pp. 201-211; Piggot, C.S., (2000) Business Planning for Healthcare Management, , Open University Press; Yeoh, E., Othman, K., Ahmad, H., Understanding medical tourists: Word-of-mouth and viral marketing as potent marketing tools (2013) Tourism Management, 34, pp. 196-201",,,"","CRC Press/Balkema","2nd International Hospitality and Tourism Conference 2014","2 September 2014 through 4 September 2014","Penang",107321,,9781138027060,,,"English","Theory Pract. Hosp. Tourism Res. - Proc. Int. Hosp. Tourism Conf.",Conference Paper,"Final",,Scopus,2-s2.0-84907337091 "Sim N.K.","57191362972;","The travelling patient: a clinician's guide to the law surrounding medical tourism",2014,"The Medico-legal journal","82","4",,"159","163",,,"10.1177/0025817214526528","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84989162395&doi=10.1177%2f0025817214526528&partnerID=40&md5=f285fb43aced44ccf0b79c477bef0574","Trinity College, Cambridge University, United Kingdom","Sim, N.K., Trinity College, Cambridge University, United Kingdom","European law stipulates that all patients in the European Union (EU) have the right to seek state-funded healthcare in other EU nations as if they were being treated in their home country. This means they should not incur additional costs for their home country's healthcare system. In cases of clinical negligence, patients are unlikely to bring a successful claim against the National Health Service (NHS). They face additional challenges if they bring the foreign service provider to an English court; they would need to establish jurisdiction, the applicable law, and enforce a successful judgment. The NHS may have to bear the cost of corrective treatment which is unlikely to be fully restorative. Clinicians need to be aware of the law so that they can reach a shared decision with the patient which takes into consideration the risks to the patient and service provision within the NHS. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.","European law; healthcare abroad; healthcare system; Medical tourism","economics; human; international cooperation; jurisprudence; medical tourism; national health service; Humans; Internationality; Jurisprudence; Medical Tourism; State Medicine",,,,,,,,,,,,,,,,,20421834,,,"24939986","English","Med Leg J",Article,"Final",,Scopus,2-s2.0-84989162395 "Hsu P.-F., Lan K.-Y., Tsai C.-W.","7202048762;55799297500;55474128500;","Selecting the optimal vendor of customer relationship management system for medical tourism industry using Delphi and AHP",2014,"Hospitality, Travel, and Tourism: Concepts, Methodologies, Tools, and Applications","3",,,"1261","1274",,,"10.4018/978-1-4666-6543-9.ch071","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84946003070&doi=10.4018%2f978-1-4666-6543-9.ch071&partnerID=40&md5=c94c92b73606aa5b3acd7df2f27f7841","Shih Hsin University, Taiwan; Ming Chuan University, Taiwan","Hsu, P.-F., Shih Hsin University, Taiwan; Lan, K.-Y., Shih Hsin University, Taiwan; Tsai, C.-W., Ming Chuan University, Taiwan","This study builds a model to evaluate and select vendors of customer relationship management (CRM) system for the medical tourism industry from the viewpoint of medical tourism industry. Literature in related fields was reviewed, and the modified Delphi method was applied to find proper evaluation and selection criteria for the model. Then the analytic hierarchy process (AHP) was applied to determine weights of criteria in order to rank vendors and pick the optimal choice of vendor of CRM system for the medical tourism industry. The case used in this study was a teaching medical institution. This evaluation and selection model was applied for an empirical study. The results show that the five main criteria were, in order: system integrators' ability to provide services, system integrators' ability to develop software, economic factors of system implementation, ability to implement data mining, ability to implement CRM. Operators in the medical tourism industry could use this model to select the best vedor of CRM system. © 2015, IGI Global.",,,,,,,,,,"Akomode, O.J., Lees, B., Irgens, C., Constructing customized models and providing information to support IT outsourcing (1998) Decisions. Logistics Information Management, 11 (2), pp. 114-127; Berry, M.J.A., Linoff, G., (1997) Data mining techniques for marketing, sale, and customer support, , New York, NY: Wiley; Cheng, E.W.L., Li, H., Contractor selection using the analytic network process (2004) Construction Management and Economics, 22 (10), pp. 1021-1032; (1995) The operation manual for outsourcing services. The Operation Manual for Implementation of Outsourcing Information Operation of the Government, , CISA; Corbett, M.F., Outsourcing and the new IT executive - A trend report (1994) Information Systems Management, 11 (4), pp. 19-22; Delbecq, A.L., Van de Ven, A.H., Gustafson, D.H., (1975) Group techniques for program planning: A guide to nominal group and delphi processes, , Chicago, IL: Scott, Foresman and Company; Dickson, G.W., An analysis of vendor selection system and decision (1996) Purchasing, 2 (1), pp. 5-17; (1996) The guide for the medical information service network, , http://www.doh.gov.tw/lane/health_net/bookw3/dir.htm, Retrieved April 20, 2010, from; (2009) Promoting six emerging industries, , http://www.ey.gov.tw/mp.asp?mp=97, Retrieved April 20, 2010, from; Gell, G., Madjaric, M., Leodolter, W., Kole, W., Leitner, H., HIS purchase projects in Public Hospitals of Styria, Austria (2000) International Journal of Medical Informatics, 57 (2-3), pp. 147-155. , PMID:10978917; George, W.O., Evaluation criteria for district health management information systems: Lessons from the Ministry of Health, Kenya (2005) International Journal of Medical Informatics, 74 (1), pp. 31-38. , PMID:15626634; Hanmer, L., Criteria for the evaluation of district health information systems (1999) International Journal of Medical Informatics, 56 (3), pp. 161-168. , PMID:10659945; Hokey, M., Amitava, M., Sharon, O., Competitive benchmarking of health care quality using the analytic hierarchy process: An example from Korean cancer clinics (1997) Socio-Economic Planning Sciences, 31 (2), pp. 147-159; Hsu, P.F., Dai, P.M., Evaluating the outsourcing of nursing care attendants in the healthcare sector via the analytic hierarchy process and sensitivity analysis (2007) Journal of Statistics & Management Systems, 10 (3), pp. 395-410; Hsu, P.F., Hsu, M.G., Optimal selection of medical information system outsourcing vendors of Taiwanese clinics by using analytic hierarchy process and sensitivity analysis (2007) Journal of Information & Optimization Sciences, 28 (2), pp. 255-277; Hsu, P.F., Lin, Z.W., Outsourcing models based on AHP and sensitive analysis for advanced medical examination centers (2008) Journal of Statistics & Management Systems, 11 (1), pp. 183-200; Hsu, P.F., Wu, C.R., Li, Y.T., Selection of infectious medical waste disposal firms by using the analytic hierarchy process and sensitivity analysis (2008) Waste Management (New York, N.Y.), 28 (8), pp. 1386-1394. , PMID:17689065; Huang, Y.S., Chung, K.F., Li, K.C., A group decision process for evaluating outsourcing vendors of information systems (2003) Information Management Research, 3, pp. 1-15; Jenab, K., Khoury, S., Sarfaraz, A., Manufacturing complexity analysis with fuzzy AHP (2012) International Journal of Strategic Decision Sciences, 3 (2), pp. 31-46; Jones, C., Evaluating software outsourcing options (1994) Information Systems Management, 11 (4), pp. 28-33; Kobielus, J., Evaluation time: Pick outsourcers by using this criteria (1996) Network World, p. 48; Lin, Y.B., Promoting CRM using information technology (1999) eBusiness Executive Report, pp. 35-42; McDonald, M., Service quality and customer lifetime value in professional sport franchises (Doctoral dissertation, University of Massachusetts) (1996) Electronic Doctoral Dissertation for UMass Amherst, , AAI9709627; McDowell, S.W., Wahl, R., Michelson, J., Herding cats: The challenges of EMR vendor selection (2003) Journal of Healthcare Information Management, 17 (3), pp. 63-71. , PMID:12858600; (2000) Leadership strategies in customer relationship management, 9-10, pp. 28-30; Murry, J.W., James, O.H., Delphi: A versatile methodology for conducting qualitative research (1995) The Review of Higher Education, 18 (4), pp. 423-436; Parthasarthy, S., Anbzhagan, N., Evaluating ERP implementation choices using AHP (2007) International Journal of Enterprise Information Systems, 3 (3), pp. 52-65; (1998) Complete guide for implementation of overall information affair outsourcing operation for agencies under the Executive Yuan, , Taipei, Taiwan: Executive Yuan; Rossetti, M.D., Selandari, F., Multiobjective analysis of hospital delivery systems (2001) Computers & Industrial Engineering, 41 (3), pp. 309-333; Saaty, T.L., (1980) The analytic hierarchy process, , New York, NY: McGraw-Hill; Saaty, T.L., How to make a decision: The analytic hierarchy process (1990) European Journal of Operational Research, 48 (1), pp. 9-26; Shea, T., White, D.S., Curran-Kelly, C., Griffin, M., Customer relationship management (CRM) metrics - what's the holdup? (2006) International Journal of Enterprise Information Systems, 2 (3), pp. 1-9; Shi, Y.W., Tang, Z.Y., The critical criteria for evaluating and selecting information service companies (2001) Journal of Management & Systems, 8 (3), pp. 279-296; Sloane, E.B., Liberatore, M.J., Nydick, R.L., Luo, W., Chung, Q.B., Using the analytic hierarchy process as a clinical engineering tool to facilitate an iterative, multidisciplinary, microeconomic health technology assessment (2003) Computers & Operations Research, 30 (10), pp. 1447-1465; Yang, M.B., Wu, S.H., Decision model for the investment in expensive equipments and renewal in medical institutions (2002) Journal of Healthcare Management, 3 (3), pp. 81-100; Yu, M.L., Hsueh, Y.S., Huang, S.J., An empirical study of key factors affecting the performance evaluation of hospital information systems: Executives' perspective (2005) Taiwan Journal of Public Health, 24 (1), pp. 22-32","Hsu, P.-F.; Shih Hsin UniversityTaiwan",,,"IGI Global",,,,,,9781466665446; 1466665432; 9781466665439,,,"English","Hosp., Travel, and Tour.: Concepts, Methodol., Tools, and Appl.",Book Chapter,"Final",,Scopus,2-s2.0-84946003070 "Medhekar A., Wong H.Y., Hall J.","56939297300;56939197200;56727127000;","Innovation in medical tourism service marketing: A case of India",2014,"Hospitality, Travel, and Tourism: Concepts, Methodologies, Tools, and Applications","3",,,"1587","1604",,,"10.4018/978-1-4666-6543-9.ch091","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945986544&doi=10.4018%2f978-1-4666-6543-9.ch091&partnerID=40&md5=a6ce6775fffc09572ed07f4c73f1ed12","CQ University, Australia; Deakin University, Australia","Medhekar, A., CQ University, Australia; Wong, H.Y., Deakin University, Australia; Hall, J., Deakin University, Australia","The aim of this chapter is to critically examine the latest development of medical tourism as an innovation in India. The existing theories and concepts in medical tourism are reviewed and synthesised in order to lay down a foundation for marketing managers to deploy marketing mix strategies to deliver values to the medical tourists. A secondary research method is adapted to gather relevant literature. This chapter not only provides a background introduction to the growing importance of the medical tourism industry to the Indian economy, but also makes major contributions: firstly, that global healthcare service marketing is quite different from marketing of other services and goods. Secondly, it proposes to examine the application of 8Ps of tourism marketing-mix along with another 6Ps, such as personalisation of healthcare, publication for patient, patient packaging, patient education, patient privacy, and patient medical and cultural sensitivities for effective marketing of the popular Indian wellness and medical tourism destinations, super-speciality hospitals, and complex diagnostic tests and surgeries to the world. © 2015, IGI Global.",,,,,,,,,,"Ahluwalia, M.S., Economic reforms in India since 1991: Has gradualiam worked? (2002) The Journal of Economic Perspectives, 16 (3), pp. 67-88; Ali, M.M., Outbound medical tourism: The case of Bangladesh (2012) World Review of Business Research, 2 (4), pp. 50-70; (2012) Apollo Hospitals, , http://www.apollohospitals.com/about_company.php, Retrieved March 2, 2012, from; Asia: Latest statistics and research (2012) International Medical Travel Journal, , http://www.imtj.com/news/?entryid82=397481&utm_source=IMTJ, Retrieved April 2, 2012, from; Baliga, H., Medical tourism is the new wave of outsourcing from India (2006) India Daily, , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234298/, Retrieved April 10, 2010, from; Becheri, E., From thermalism to health tourism (1989) Revue de Tourisme, 44 (4), pp. 15-19; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159; Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries, , New York: Palgrave Macmillan; Brian, M.J., Bhatt, N., Cochlear implants and medical tourism (2010) Cochlear Implants International, 11 (3), pp. 125-132; Brotman, B.A., Medical tourism private hospitals: Focus India (2010) Journal of Health Care Finance, 37 (1), pp. 45-50; Buurma, H., Public policy marketing: Marketing exchange in the public sector (2001) European Journal of Marketing, 35 (11), pp. 1287-1302; Caballero-Danell, S., Mugomba, C., (2007) Medical tourism and its entrepreneurial opportunities: A conceptual framework for entry into the industry, , (Unpublished master's thesis). University of Gothenburg, Gothenburg, Sweden; Chako, P., Medical tourism in India: Issues and challenges (2006) MBA Review, 4, pp. 123-129; Chakraborty, C., Nunnenkamp, P., Economic reforms, FDI, and economic growth in India: A sector level analysis (2008) World Development, 36 (7), pp. 1192-1212; Chinai, R., Goswami, R., Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; (2002) Healthcare in India: The road ahead, , New Delhi: Confederation of Indian Industries and Mckinsey & Company; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 26 (6), pp. 1093-1100; (2008) Medical tourism: Consumers in search of value, , Washington, DC: Deloitte Centre for Health Solutions; (2011) Medical tourism in Australia: A scoping study, , Sydney, Australia: Departmane of Resources, Energy and Tourism; Douglas, D.E., Is medical tourism the answer? 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(2010) Journal of Public Health Policy, 31 (2), pp. 185-198; Horowitz, M.D., Rosensweig, J.A., Medical tourism: Health care in the global economy (2007) Physician Executive, 33 (6), pp. 24-31; (2009) India ranks 2nd in med tourism, , http://www.medicaltourism.org/consortium.jsp?sect=consortiumdetail&id=6, Retreived August 15, 2009, from; (2010) Countrywise patient inflow analysis of hospitals. Newsletter No. 35/38, , Author; (2012) Joint commission international accreditation standards for hospitals, , http://www.jointcommissioninternational.org/, (4th Ed.). Retrieved October 4, 2012, from; Karuppan, C.M., Healthcare tourism: Accelerating diffusion through a more effective use of communication channels (2009) Journal of Community Health, 3 (1), pp. 24-36; Kotler, P., Brown, L., Burton, S., Deans, K., Armstrong, G., (2010) Marketing, , (8th Ed.). Sydney, Australia: Pearson; Kotler, P., Ang, S.H., Leong, S.M., Tan, C.T., (1999) Marketing mangement: An Asian perspective, , (2nd ed.). 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Irwin, Inc; McReady, N., Developing countreis court medical tourism (2007) Lancet, 369 (9576), pp. 1849-1850; Medhekar, A., Public-private partnerships for sustainable growth of medical tourism (2011) Medical Tourism Magazine, pp. 1-5. , August; Medhekar, A., Managing the growth of medical tourism by public-private partnership in India (2012) Development management in the twenty first century: Readings in world development, pp. 73-90. , K. Roy, & S. Kar (Eds.), New York: Nova Science Publishers, Inc; Medhekar, A., Ferdous, T., Importance of culturally competent health literacy for medical tourism (2012) Proceedings of 1st International Conference on Tourism and Hospitality Research, pp. 55-60. , Singapore: Global Science and Technology; Medhekar, A., Haq, F., Marketing Indian medical tourism to Muslim patients in an Islamic way (2010) Proceedings of the 1st International Conference on Islamic Marketing and Branding: Exploring Issues and Challenges, pp. 1-17. , University of Malaysia; Medhekar, A., Haq, F., Development of spiritual tourism circuits: The case of India (2012) Journal of Global Business Review, 2 (2), pp. 212-218; Medhekar, A., Newby, L., Information search for medical treatment abroad (2012) Journal of Applied Global Research, 5 (3), pp. 53-72; Melewar, T.C., Saunders, J., Global corporate visual identity systems: Using an extended marketing mix (2000) European Journal of Marketing, 34 (56), pp. 538-550; (2012) Incredible India Theme brochures-government of India, , http://tourism.gov.in/Tourism, Retrieved September 29, 2012, from; (2010) Health literacy, , http://nnlm.gov/outreach/consumer/hlthlit, Retreived February 15, 2012, from; Petromilli, M., Michalczyk, D., Increasing the value of your hospital through its brand (1999) Marketing Health Services, 19, pp. 4-9; Reppel, A., (2003) The marketing mix: 4Ps, 7Ps or what?, , www.reppel.co.uk/marketing-theory/the-marketingmix-4ps-7ps-or-what.html, Retrieved November 26, 2012, from; (2012) Indian medical tourism industry outlook to 2015, , http://www.researchandmarkets.com/reports/2013588/india_medical_tourism_industry_outlook_to_2015, Retrieved September 9, 2012, from; (2010) Tourism industry: Booming medical tourism in India, industry research solutions, , New Delhi: RNCOS E-Services Pvt Ltd; Sengupta, A., Nundy, S., The private health care sector in India (2005) British Medical Journal, 331, pp. 1157-1158; Singh, N., Exploring the factors influencing the travel motivations of US medical tourists (2012) Current Issues in Tourism, pp. 1-19; Smith, M., Puczkó, L., (2009) Health and wellness tourism, , Oxford, UK: Elsevier; Smith, P., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), p. 19; Stanley, M., Anywhere but here (2010) National Underwriter/Life & Health Financial Services, 114 (18), pp. 22-25; Subrahmanya, B.M., Small industry and globalisation: Implications, performance and prospects (2004) Economic and Political Weekly, 39 (18), pp. 1826-1834; Taleghani, M., Chirani, E., Shaabani, A., Health tourism, tourist satisfaction and motivation (2011) Interdisciplinary Journal of Contemporary Research in Business, 3 (4), pp. 546-555; Hindu, T., 941 foreigners avail VoA facility (2012) The Hindu-Business Line, , http://www.thehindubusinessline.com/news/travel/article3764211.ece, Retrieved August 14, 2012, from; Turner, L., First world healthcare at third world prices: Globalisation, bioethics and medical tourism (2007) Biosocieties, 2 (3), pp. 303-325; Wang, H.Y., Value as a medical tourism driver (2012) Managing Service Quality, 22 (5), pp. 465-491; Ye, B.H., Yuen, P.P., Qiu, H.Z., Zhang, V.H., (2008) Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists, , Paper presented at the Asia Pacific Tourism Association (APTA) Annual Conference. Bangkok, Thailand","Medhekar, A.; CQ UniversityAustralia",,,"IGI Global",,,,,,9781466665446; 1466665432; 9781466665439,,,"English","Hosp., Travel, and Tour.: Concepts, Methodol., Tools, and Appl.",Book Chapter,"Final",,Scopus,2-s2.0-84945986544 "Nelson B.","36197000800;","Hospital rooms with a view: countries and foreign clinics are vying to become the go-to destinations for medical tourists. Is it worth it?",2014,"Cancer cytopathology","122","10",,"711","712",,,"10.1002/cncy.21486","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921994293&doi=10.1002%2fcncy.21486&partnerID=40&md5=faf11c9f9bdc576b2a8e23f0297f5432",,"Nelson, B.",[No abstract available],,"female; financial management; health care facility; hospital; human; international cooperation; male; medical tourism; outpatient department; patient safety; risk assessment; statistics and numerical data; trends; Ambulatory Care Facilities; Female; Health Facilities, Proprietary; Hospitals; Humans; Internationality; Male; Marketing of Health Services; Medical Tourism; Patient Safety; Risk Assessment",,,,,,,,,,,,,,,,,19346638,,,"25314678","English","Cancer Cytopathol",Article,"Final",,Scopus,2-s2.0-84921994293 "Glauser W.","24390498700;","Medicare advocates decry medical tourism",2014,"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","186","13",,"977","",,,"10.1503/cmaj.109-4874","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921668964&doi=10.1503%2fcmaj.109-4874&partnerID=40&md5=6875ada44cb2a361f8b73c113d063794","Ont, Toronto, Canada","Glauser, W., Ont, Toronto, Canada",[No abstract available],,"Canada; Canada; human; legislation and jurisprudence; medical tourism; organization and management; patient advocacy; public health; teaching hospital; Canada; Hospitals, Teaching; Humans; Medical Tourism; National Health Programs; Ontario; Patient Advocacy",,,,,,,,,,,,,,,,,14882329,,,"25157065","English","CMAJ",Note,"Final",Open Access,Scopus,2-s2.0-84921668964 "Chen Y., Lee J.","55428735500;55429136200;","Web-based information system construction of medical tourism in South Korea",2014,"Lecture Notes in Electrical Engineering","269 LNEE",,,"2735","2741",,,"10.1007/978-94-007-7618-0_344","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894420645&doi=10.1007%2f978-94-007-7618-0_344&partnerID=40&md5=cd4f15ae5d13a4ed6edfaf75333f14ff","School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212031 Jiangsu, China; School of Humanities, Inha University, 100 Inha-ro, Nam-Gu, Incheon 402751, South Korea","Chen, Y., School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212031 Jiangsu, China; Lee, J., School of Humanities, Inha University, 100 Inha-ro, Nam-Gu, Incheon 402751, South Korea","This paper aims to find the weak points of South Korea's medical tourism websites construction by relevant websites' situation analysis. Customer attraction, customers' information gathering, medical treatment plan design service, support service, and aftercare feedback are selected as first evaluation standards. And several secondary evaluation items are included under each item. The weak points of South Korea's web-based information system in medical tourism are shown through the compassion analysis with tourism information sites in the conclusion part. © Springer Science+Business Media Dordrecht 2014.","Medical tourism; South Korea tour information sites; Web-based information system",,,,,,,,,"Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Manage, 33, pp. 80-88; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Manage, 32, pp. 709-716. , (2011); Choi, C.-H., A study on the development of the Korean traditional medicine tourism industry (2011) Northeast Tourism Study, 14, pp. 227-248. , (Korean Version); Byeon, H., Users' cognitive absorption and satisfaction on intention to system use in trabel agency websites (2011) Tourism Study, 26 (2), pp. 163-179. , (Korean Version); Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in India (2009) Health Policy Planning, 25, pp. 248-251; Kim, K., The configuration of medical tourism information system by analyzing medical tourism service process (2010) Tourism Study, 81, pp. 311-329. , (Korean Version); Lunt, N., Haardey, M., Mannion, R., (2010) Nip, Tuck and Click: Medical Tourism and the Emergence of Web-based Health Information, 4, pp. 1-11. , http://www.ncbi.nlm.nih.gov/pmc/articles/pmc2874214, (27th March 2013); Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66, pp. 27-32; Yu, T.G., Healthcare system's governance construction type in medical tourism advanced (2009) Korean Public Manage Rev, 23 (4), pp. 257-280. , (Korean Version); Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in hong Kong: An assessment of the barriers (2011) Tourism Manage, 32, pp. 995-1005","Chen, Y.; School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212031 Jiangsu, China; email: touchstones8@yahoo.com",,,,"5th International Symposium on IT in Medicine and Education, ITME 2013","19 July 2013 through 21 July 2013","Xining",102717,18761100,9789400776173,,,"English","Lect. Notes Electr. Eng.",Conference Paper,"Final",,Scopus,2-s2.0-84894420645 "Shafapey F., Bidhendi S., Mohammadi M., Akbari S.K.A., Amani N., Mirzaei S., Ghahramani F., Mahboubi M., Jabari H.","56001295200;55945047100;56002249900;56002235000;56736415200;57208333594;55632448000;55558098500;56708867100;","Infrastructure of health tourism admission at health centers in Kermanshah educational hospitals",2014,"Life Science Journal","11","1 SPECL. ISSUE", 12,"72","76",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892429158&partnerID=40&md5=2cd42bb7ad21f6ddbde8c72d32d1d2f2","Kermanshah University of Medical Sciences, Deputy of Treatment, Kermanshah, Iran; Kermanshah University of Medical Sciences, Kermanshah, Iran; Kermanshah Social Security orgazination, Kermanshah, Iran; Tehran University of Medical Sciences, Tehran, Iran; School of Health, Shiraz University of Medical Sciences, Shiraz, Iran; Tabriz Health Services Management Research Center Tabriz, Tabriz, Iran","Shafapey, F., Kermanshah University of Medical Sciences, Deputy of Treatment, Kermanshah, Iran; Bidhendi, S., Kermanshah University of Medical Sciences, Kermanshah, Iran; Mohammadi, M., Kermanshah University of Medical Sciences, Kermanshah, Iran; Akbari, S.K.A., Kermanshah Social Security orgazination, Kermanshah, Iran; Amani, N., Tehran University of Medical Sciences, Tehran, Iran; Mirzaei, S., Kermanshah University of Medical Sciences, Deputy of Treatment, Kermanshah, Iran; Ghahramani, F., School of Health, Shiraz University of Medical Sciences, Shiraz, Iran; Mahboubi, M., Kermanshah University of Medical Sciences, Kermanshah, Iran; Jabari, H., Tabriz Health Services Management Research Center Tabriz, Tabriz, Iran","Background: Since the 1990s, several factors caused to development of health tourism in Asian countries. Asian financial crisis, favorable changes in foreign exchange rates, global economy, rapidly improving medical equipment, advanced technology, high quality and inexpensive medical services and many other factors caused to introduce some Asian countries as the world tourism destinations. As regards, Kermanshah province has many scenic and historic sites and is one of the seven poles of diagnostic and treatment services in Iran, in this study the infrastructure of health tourism admission were investigated in Kermanshah educational hospitals. Methods: this study was cross-sectional (descriptive-analytic). Health centers in Kermanshah (7 sites) were Study population in this research. Sampling was done by census method. The data collection tools included 4 standard tables for comparing the health centers in the four domains of physical characteristics - location profile - the profile of facilities and human resources with the standards of the World Health Organization. T-test was used for compare of variables by SPSS software (version 18). Results: This study showed that the score of hospital location in three centers (Imam Reza, Mohammad Kermanshahi and Farabi) were more than 50 percent and the other centers were about 50%. Conclusion: It can be said, these three centers over the initial capacity for the reception of health tourism and to achieve the required conditions need to any changes.","Health center; Health tourism; Hospital; Infrastructure",,,,,,,,,"Fayazi, M., The use of e-tourism in the tourism industry in Iran (2007) Review of commerce, p. 23; Tajali, M., (2006) The economic effects of tourism in Iran., , MSc thesis, Alzahra University; Nouri, N., (2005) Government policies in tourism industry and provide a model for sustainable development in tourism., , PhD thesis, Tehran University; Farzamnia, A., (2006) Effects of using information technology in tourism development in Iran., , MSc thesis, Tehran University; Adabi Firouzjah, J., (2006) Effective factors on the development of sports tourism with an emphasis on natural attractions., , MSc thesis, Teacher Training University; Mousavi, F., The role of electronic communication management with customer in Iranian Tourism (2006) Management of tomorrow, p. 14; Shahrokh, D., Development of tourism in Iran (2004) Tourism Studies, p. 4; Chak Vai, G., (2003) Tourism in comprehensive outlook., , Translated by Ali Parsaeian and Seyed Mohammad Arabi, thired edition; (1995) Global Tourism Forecasts to the year 2000 and beyond., p. 9. , World Tourism Organization. Madrid: WTO; Bottril, C.G., Pearce, D.G., Ecotourism: Towards a key elements approach to operational zing the concept Toursim and sustainable development: Monitoring planning, managing., , In J.G. Nelson, R. Butler, and G. Wall, wateroo; Kachom, V., (2004) Implementation of an effective health tourism development plan, , for Thailand Universisty of wiscinsin; Zargham, H., Hot springs and mineral waters, the development of tourism and the role of indigenous people (2000) Journal of Tourism Studies, p. 4; Carrero, Bridges, (2006) Health and medical tourism: What they mean and imply for health care systems., 15. , Geneva Association information newsletter; Morteza, H., (2009) Iran's capabilities in the field of health tourism and identify of effective factors on its development., , MSc thesis, School of Management, Tehran University; Wikipedia., , http://www.wikipedia.com, Accessed:23/05/200 8; (2007) Medical Tourism, , http://www.medicaltourism.com, Accssed: 26/08/2007; Jabbari, A., (1998) Medical Tourism designing in Iran., , PhD thesis, School of Management and Medical Information, Iran University of Medical Sciences","Bidhendi, S.; Kermanshah University of Medical Sciences, Kermanshah, Iran; email: mm59m@yahoo.com",,,,,,,,10978135,,,,"English","Life Sci. J.",Article,"Final",,Scopus,2-s2.0-84892429158 "Glenn Cohen I.","24074127300;","Medical tourism",2014,"The Routledge Companion to Bioethics",,,,"99","113",,,"10.4324/9780203804971-17","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085815136&doi=10.4324%2f9780203804971-17&partnerID=40&md5=51291453c7a6a4d345c86a83c3d0d99f","Harvard Law School, United Kingdom; Center for Health Law Policy, Biotechnology, and Bioethics, United Kingdom","Glenn Cohen, I., Harvard Law School, United Kingdom, Center for Health Law Policy, Biotechnology, and Bioethics, United Kingdom","Health care has ceased to be a set of goods and services delivered only locally; it is now a truly globalized phenomenon, including medical migration-the “brain drain” of health care practitioners, largely from the developing to the developed world; telemedicine; multi-regional clinical trials; the global intellectual property regime that both facilitates innovation and stymies access to drugs; and the flow of tissues, including pandemic influenza vaccine strains. 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(eds.), Santa Barbara, CA: Praeger; Cohen, I.G., Circumvention Tourism (2012) Cornell Law Review, 97, p. 1309; Cohen, I.G., Transplant Tourism: The Ethics and Regulation of International Markets for Organs (2013) Journal of Law, Medicine and Ethics, 41, pp. 269-285; Cohen, I.G., Introduction (2013) The Globalization of Health Care: Legal and Ethical Challenges, , http://global.oup.com/academic/product/the-globalization-of-health-care-9780199917907;jsessionid=3793130A801EABC477E59E8E911B9F86?cc=us&lang=en&, I.G. Cohen (ed.), Oxford: Oxford University Press, Available at, (accessed August 15, 2014); Cohen, I.G., (2014) Patients with Passports: Medical Tourism, Law and Ethics, , http://www.amazon.com/Patients-Passports-Medical-Tourism-Ethics/dp/0190218185/ref=tmm_pap_title_0?_encoding=UTF8&sr=&qid=, Oxford: Oxford University Press. 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Tort Reform and Birth Outcomes (2008) Quarterly Journal of Economics, 123, pp. 795-830; (1978), 379 N.E.2d 1053 (Mass.); Daniels, N., (2008) Just Health: Meeting Health Needs Fairly, , Cambridge: Cambridge University Press; DeRenzo, L., Stem Cell Tourism: The Challenge and Promise of International Regulation of Embryonic Stem Cell-Based Therapies (2011) Case Western Reserve Journal of International Law, 43, pp. 877-918; Ehrbeck, T., Guevara, C., Mango, P., Mapping the Market for Medical Travel (2008) McKinsey Quarterly, , May; Einhorn, B., Hannaford’s Medical-Tourism Experiment (2008) Business Week, , November 9; Einsiedel, E., Adamson, H., Stem Cell Tourism and Future Stem Cell Tourists: Policy and Ethical Implications (2012) Developing World Bioethics, 12, pp. 35-44; Directive 2011/24 of the European Parliament and of the Council of 9 March 2011 on the Application of Patients’ Rights in Cross-Border Healthcare (2011) Official Journal of the European Union, , L 88/45; Feinberg, J., (1986) The Moral Limits of the Criminal Law, Volume 3: Harm to Self, , Oxford: Oxford University Press; Frakes, M., Does Medical Malpractice Deter? The Impact of Tort Reforms and Malpractice Standard Reforms on Healthcare Quality (2012) Cornell Legal Studies Research Paper, , No. 12-29; France, L., Francis, J., Stateless Crimes, Legitimacy, and International Criminal Law: The Case of Organ Trafficking (2010) Criminal Law and Philosophy, 4, pp. 283-295; Greenberg, M., Haviland, A., Ashwood, J.S., Main, R., Is Better Patient Safety Associated with Less Malpractice Activity? Evidence from California (2010) RAND Institute for Civil Justice, , http://www.rand.org/pubs/technical_reports/TR824.html, Available at, (accessed July 7, 2014); Gupta, A., Medical Tourism in India: Winners and Losers (2008) Indian Journal of Medical Ethics, 5, pp. 4-5; Hodges, J., Kimball, A., Unseen Travelers: Medical Tourism and the Spread of Infectious Disease (2012) Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services Controversies in the Exploding Industry of Global Medicine, pp. 111-137. , J. Hodges et al. (eds.), Santa Barbara, CA: Praeger; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical Tourism Today: What is the State of Existing Knowledge? (2010) Journal of Public Health Policy, 31, pp. 185-198; (2008) Guidelines for the Clinical Translation of Stem Cells, , http://www.isscr.org/home/publications/ClinTransGuide, Available at, (accessed August 14, 2014); Patients Beware: Commercialized Stem Cell Treatments on the Web (2010) Cell Stem Cell, 7, pp. 43-49; Janjaroen, W., Supakankunti, S., International Trade in Health Services in the Millennium: The Case of Thailand (2002) Trade in Health Services: Global, Regional, and Country Perspectives, pp. 87-106. , N. Drager and C. Vieira (eds.), Washington, DC: Pan American Health Organization; Johnston, R., Crooks, V., Snyder, J., Kingsbury, P., What Is Known About the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review (2010) International Journal for Equity in Health, 9, pp. 1-13; Lancaster, J., Surgeries, Side Trips for ‘Medical Tourists,' (2004) Washington Post, , October 23: A1; Lau, D., Ogbogu, U., Taylor, B., Stanfinski, T., Menon, D., Caulfield, T., Stem Cell Clinics Online: The Direct-to-Consumer Portrayal of Stem Cell Medicine (2008) Cell Stem Cell, 3, pp. 591-594; Levine, A., Wolf, L., The Roles and Responsibilities of Physicians in Patients’ Decisions about Unproven Stem Cell Therapies (2012) Journal of Law, Medicine, and Ethics, 40, pp. 122-134; Lowe, V., Jurisdiction (2006) International Law, pp. 335-360. , M. Evans (ed.), (2nd edition), Oxford: Oxford University Press; Mattoo, A., Rathindran, R., How Health Insurance Inhibits Trade in Health Care (2006) Health Affairs, 25, pp. 358-368; Milstein, A., Smith, M., America’s New Refugees: Seeking Affordable Surgery Offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; Minow, M., About Women, About Culture: About Them, About Us (2008) Engaging Cultural Differences: The Multicultural Challenges in Liberal Democracies, , R.A. Shweder, M. Minow and H.R. Markus (eds.), New York: Russell Sage Foundation; Murdoch, C., Scott, C., Stem Cell Tourism and the Power of Hope (2010) The American Journal of Bioethics, 10, pp. 16-23; Murphy, T., Health Insurers Explore Savings in Overseas Care (2009) Associated Press, , August 23; Nagel, T., The Problem of Global Justice (2005) Philosophy and Public Affairs, 33, pp. 113-147; Nussbaum, M., (2006) Frontiers of Justice, , Cambridge, MA: Harvard University Press; Pennings, G., Reproductive Tourism as Moral Pluralism in Motion (2002) Journal of Medical Ethics, 28, pp. 337-341; Pogge, T., (2002) World Poverty and Human Rights, , Cambridge: Polity Press; Pogge, T., Human Rights and Global Health: A Research Program (2005) Metaphilosophy, 36, pp. 182-209; Rawls, J., (1999) The Law of Peoples, , Cambridge, MA: Harvard University Press; Re, M.M., (2007) ABPC, p. 6; Ryan, K., Sanders, A., Wang, D., Levine, A., Tracking the Rise of Stem Cell Tourism (2010) Regenerative Medicine, 5, pp. 27-33; Scheper-Hughes, N., The Global Traffic in Human Organs (2000) Current Anthropology, 41, pp. 191-224; Stein, M., Savulescu, J., Welfare Versus Autonomy in Human Subjects Research (2011) Florida State University Law Review, 38, pp. 303-343; Sunstein, C., Thaler, R., Libertarian Paternalism Is Not an Oxymoron (2003) The University of Chicago Law Review, 70, pp. 1159-1202; Terry, N.P., Under-Regulated Health Care Phenomena in a Flat World: Medical Tourism and Outsourcing (2007) Western New England Law Review, 29, pp. 421-472; The Declaration of Istanbul on Organ Trafficking and Transplant Tourism (2008) Nephrology Dialysis Transplantation, 23, pp. 3375-3380; Turner, L., ‘First World Health Care at Third World Prices’: Globalization, Bioethics and Medical Tourism (2007) Biosciences, 2, pp. 303-325; Turner, L., Patient Mortality in Medical Tourism: Examining News Media Reports of Deaths Following Travel for Cosmetic Surgery and Bariatric Surgery (2013) The Globalization of Health Care: Legal and Ethical Challenges, , I.G. Cohen (ed.), Oxford: Oxford University Press; Volokh, E., Medical Self-Defense, Prohibited Experimental Therapies, and Payment for Organs (2007) Harvard Law Review, 120, pp. 1813-1846; Wallace, S., Mendez-Luck, C., Castañeda, X., Heading South: Why Mexican Immigrants in California Seek Health Services in Mexico (2009) Medical Care, 47, pp. 662-669; Zarzezcny, A., Caulfield, T., Stem Cell Tourism and Doctors’ Duties to Minors: A View from Canada (2010) The American Journal of Bioethics, 10, pp. 3-15","Glenn Cohen, I.; Harvard Law SchoolUnited Kingdom",,,"Taylor and Francis",,,,,,9781136644849; 9780415896665,,,"English","The Routledge Companion to Bioethics",Book Chapter,"Final",,Scopus,2-s2.0-85085815136 "Kronfol N.","6603925557;","Medical tourism: A fad or an opportunity: Comment on “patient mobility in the global marketplace: A multidisciplinary perspective”",2014,"International Journal of Health Policy and Management","3","1",,"45","46",,,"10.15171/ijhpm.2014.56","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85002374700&doi=10.15171%2fijhpm.2014.56&partnerID=40&md5=1fbc5e24a6ea7e1bee10aedffebe80e2","Lebanese HealthCare Management Association, Center for Studies on Ageing, Beirut, Lebanon","Kronfol, N., Lebanese HealthCare Management Association, Center for Studies on Ageing, Beirut, Lebanon","This article is a commentary of an overview on “medical tourism” submitted by Lunt and Marrion, which describes a framework for the study of the issues related to medical tourism. The commentary attempts to differentiate between the current interest in medical tourism and the time-honored and well-established treatment abroad from countries with underdeveloped health systems. The commentary also calls for efforts to strengthen medical services and quality of care through the inflow of patients to countries that attract “medical tourists”. © 2014 by Kerman University of Medical Sciences.","Health systems development; Medical tourism; Treatment abroad",,,,,,,,,"Lunt, N., Mannion, R., Patient mobility in the global marketplace: A multidisciplinary perspective (2014) Int J Health Policy Manag, 2, pp. 155-157; Reed, C.M., Medical tourism (2008) Med Clin North Am, 92, pp. 1433-1446; Smith, R.D., Lee, K., Drager, N., Trade and health: An agenda for action (2009) Lancet, 373, pp. 768-773. , 10.1016/S0140-6736(08)61780-8; Hopkins, L., Labonté, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) J Public Health Policy, 31, pp. 185-198","Kronfol, N.; Lebanese HealthCare Management Association, Center for Studies on AgeingLebanon; email: kronfolco@hotmail.com",,,"Kerman University of Medical Sciences",,,,,23225939,,,,"English","Int J Health Policy Manag",Note,"Final",Open Access,Scopus,2-s2.0-85002374700 "Mainil T., Meulemans H.","15029762900;6507922448;","Magic mountains and multi-disciplines in international medical mobilities: Comment on “patient mobility in the global marketplace: A multidisciplinary perspective”",2014,"International Journal of Health Policy and Management","3","1",,"51","52",,,"10.15171/ijhpm.2014.58","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85001889670&doi=10.15171%2fijhpm.2014.58&partnerID=40&md5=ceb25c04a77971bdda4407ab34964482","Centre for Health Region Development, HZ University of Applied Sciences, Zeeland, Netherlands; Academy of Tourism, NHTV Breda University of Applied Sciences, Breda, Netherlands; CELLO, Sociology of Health, University of Antwerpen, Antwerp, Belgium; Centre for Health Systems Research & Development (CHSR and D), University of the Free State, Bloemfontein, South Africa","Mainil, T., Centre for Health Region Development, HZ University of Applied Sciences, Zeeland, Netherlands, Academy of Tourism, NHTV Breda University of Applied Sciences, Breda, Netherlands, CELLO, Sociology of Health, University of Antwerpen, Antwerp, Belgium; Meulemans, H., CELLO, Sociology of Health, University of Antwerpen, Antwerp, Belgium, Centre for Health Systems Research & Development (CHSR and D), University of the Free State, Bloemfontein, South Africa","Medical mobilities offer both opportunities and challenges. This tension follows the same ratio as many other historic fora, but offers at the same time a sustainable equilibrium. Multi-disciplines are, therefore, the key to the medical lifeworld for the global health and well-being of transnational health users around the globe. © 2014 by Kerman University of Medical Sciences.","Citizenship; Global health; Medical mobilities; Regionalism; Transnational healthcare; Well-being",,,,,,,,,"Mann, T., (1996) The Magic Mountain, , New York: Random House, Inc; Lunt, N., Mannion, R., Patient mobility in the global marketplace: A multidisciplinary perspective (2014) Int J Health Policy Manag, 2, pp. 155-157; Kasl, S.V., Cobb, S., Health behavior, illness behavior, and sick role behavior. I. Health and illness behavior (1966) Arch Environ Health, 12, pp. 246-266; Kasl, S.V., Cobb, S., Health behavior, illness behavior, and sick role behavior. II. Sick-Role Behavior (1966) Arch Environ Health, 12, pp. 531-541; McKinlay, J.B., Some Approaches and Problems in the Study of the Use of Services - An Overview (1972) J Health Soc Behav, 13, pp. 115-152; Mechanic, D., Sociological Dimensions of Illness Behavior (1995) Soc Sci Med, 41, pp. 1207-1216; Glinos, I.A., Baeten, R., Helble, M., Maarse, H., A typology of cross-border patient mobility (2010) Health Place, 16, pp. 1145-1155; Mainil, T., Van Loon, F., Dinnie, K., Botterill, D., Platenkamp, V., Meulemans, H., Transnational health care: From a global terminology towards transnational health care region development (2012) Health Policy, 108, pp. 37-44; Farmer, P., Yong Kim, J., Kleinman, A., Basilico, M., (2013) Reimaginingglobal Health, , An Introduction. Berkeley: University of California Press","Mainil, T.; Centre for Health Region Development, HZ University of Applied SciencesNetherlands; email: tomas.mainil@uantwerpen.be",,,"Kerman University of Medical Sciences",,,,,23225939,,,,"English","Int J Health Policy Manag",Note,"Final",Open Access,Scopus,2-s2.0-85001889670 "Moreno J.F., Guiry M.","55420487600;36808069300;","The relationship between income level and medical tourism service quality expectations",2014,"International Journal of Services, Economics and Management","6","3",,"263","281",,,"10.1504/IJSEM.2014.064300","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84964863554&doi=10.1504%2fIJSEM.2014.064300&partnerID=40&md5=c38b96a155b35b6a0609f1cdb68e4f0c","H-E-B School of Business and Administration, University of the Incarnate Word, 4301 Broadway, San Antonio, TX 78209, United States","Moreno, J.F., H-E-B School of Business and Administration, University of the Incarnate Word, 4301 Broadway, San Antonio, TX 78209, United States; Guiry, M., H-E-B School of Business and Administration, University of the Incarnate Word, 4301 Broadway, San Antonio, TX 78209, United States","The research investigates if consumers' expectations of the service quality of foreign healthcare facilities vary depending on their income level. The results show that there are significant differences in medical tourism service quality expectations between different income groups for all five service quality dimensions. The expectations of experienced medical tourists, i.e., consumers who have travelled abroad for medical care, differ between income groups for the reliability and assurance service quality dimensions. No differences in expectations, however, are found between the different income groups of consumers without medical tourism experience. The results suggest using income and medical tourism experience as segmentation variables when identifying potential medical tourist target markets. The study also has implications for managing medical tourists' service quality expectations at the point of service delivery, particularly for the reliability and assurance dimensions. © Copyright 2014 Inderscience Enterprises Ltd.","expectations; health tourism.; healthcare; income; medical care; medical tourism; medical tourists; service quality; services; SERVQUAL",,,,,,,,,"Babakus, E., Mangold, W.G., Adapting the SERVQUAL scale to hospital services: An empirical investigation (1992) Health Services Research, 26 (6), pp. 768-786; Bakar, C., Akgun, H.S., Al Assaf, A.F., The role of expectations in patients hospital assessments: A Turkish university hospital example (2008) International Journal of Health Care Quality Assurance, 21 (5), pp. 503-516; Chin-Tsai, L., In-Fun, L., Ya-Ling, H., Forecasting Thailands medical tourism demand and revenue from foreign patients (2009) The Journal of Grey System, 21 (4), pp. 369-376; Cook, B., Redefining quality within the context of the international patient experience (2012) Medical Tourism Magazine, (24). , http://www.medicaltourismmag.com/article/redefining-quality-within-The-context.html, accessed 1 June 2013; Cormany, D., Taking a pulse on potential medical tourism destinations: The hospitality & tourism industries (2008) Medical Tourism Magazine, pp. 34-37. , November; Cronin, J.J., Jr., Taylor, S.A., Measuring service quality: A reexamination and extension (1992) Journal of Marketing, 56 (3), pp. 55-68; Donthu, N., Yoo, B., Cultural influences on service quality expectations (1998) Journal of Service Research, 1 (2), pp. 178-186; Duffy, J.A., Duffy, M., Kilbourne, W.E., A comparative study of resident, family, and administrator expectations for service quality in nursing homes (2001) Health Care Management Review, 26 (3), pp. 75-85; Ekinci, Y., Riley, M., A critique of the issues and theoretical assumptions in service quality measurement in the lodging industry: Time to move the goal-posts? (1998) International Journal of Hospitality Management, 17 (4), pp. 349-362; Furrer, O., Liu, B.S.C., Sudharshan, D., The relationships between culture and service quality perceptions: Basis for cross-cultural market segmentation and resource allocation (2000) Journal of Service Research, 2 (4), pp. 355-371; Gagliano, K.B., Hatchote, J., Customer expectations and perceptions of service quality in apparel retailing (1994) The Journal of Services Marketing, 8 (1), pp. 60-69; Gan, L.L., Frederick, J.R., Medical tourists: Who goes and what motivates them? (2013) Health Marketing Quarterly, 30 (2), pp. 177-194; Ganesan-Lim, C., Russell-Bennett, R., Dagger, T., The impact of service contact type and demographic characteristics on service quality perceptions (2008) Journal of Services Marketing, 22 (7), pp. 550-561; Guiry, M., Vequist, I.V.D.G., US medical tourists motives for travelling abroad for medical care and their expectations of service quality (2012) International Journal of Leisure and Tourism Marketing, 3 (1), pp. 71-91; Guiry, M., Vequist, D.G., Traveling abroad for medical care: U.S. Medical tourists expectations and perceptions of service quality (2011) Health Marketing Quarterly, 28 (3), pp. 253-269; Guiry, M., Scott, J.J., Vequist, I.V.D.G., Experienced and potential medical tourists service quality expectations (2013) International Journal of Health Care Quality Assurance, 26 (5), pp. 433-446; Hamer, L.O., Liu, B.S.C., Sudharshan, D., The effects of intraencounter changes in expectations on perceived service quality models (1999) Journal of Service Research, 1 (3), pp. 275-289; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Johnson, T.J., Garman, A.N., Impact of medical travel on imports and exports of medical services (2010) Health Policy, 98 (2-3), pp. 171-177; Kalamas, M., Laroche, M., Cezard, A., A model of the antecedents of should and will service expectations (2002) Journal of Retailing and Consumer Services, 9 (6), pp. 291-308; Kassim, N.M., Telecommunication industry in Malaysia: Demographics effect on customer expectations, performance, satisfaction and retention (2006) Asia Pacific Business Review, 12 (4), pp. 437-463; Kotler, P., Armstrong, G., (2010) Principles of Marketing, , 13th ed., Pearson Prentice Hall, Upper Saddle River, NJ; Kueh, K., Voon, B.H., Culture and service quality expectations: Evidence from generation y consumers in Malaysia (2007) Managing Service Quality, 17 (6), pp. 656-680; Lamb, C.W., Hair, J.F., McDaniel, C., (2013) Marketing, , 12th ed., South-Western Cengage Learning, Mason, OH; Lunt, N., Smith, R., Exworthy, M., Green, S.T., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , http://www.oecd.org/health/health-systems/48723982.pdf, accessed 24 February 2013, OECD, Paris; Parasuraman, A., Zeithaml, V.A., Berry, L.L., SERVQUAL: A multi-item scale for measuring consumer perceptions of service quality (1988) Journal of Retailing, 64 (1), pp. 12-40; Pennington-Gray, L., Fridgen, J.D., Stynes, D., Cohort segmentation: An application to tourism (2003) Leisure Sciences, 25 (4), pp. 341-361; Scott, D., Shieff, D.S., Service quality components and group criteria in local government (1993) International Journal of Industry Management, 4 (4), pp. 42-53; Teas, R.K., Expectations, performance evaluation, and consumers perceptions of quality (1993) Journal of Marketing, 57 (4), pp. 18-34; Turner, L.G., Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies (2011) International Journal of Quality in Health Care, 23 (1), pp. 1-7; Webster, C., Can consumers be segmented on the basis of their service quality expectations? (1989) The Journal of Services Marketing, 3 (2), pp. 35-53; Zeithaml, V.A., Bitner, M.J., Gremler, D.D., (2009) Services Marketing: Integrating Customer Focus Across the Firm, 5th Ed, , McGraw-Hill Irwin, New York","Guiry, M.; H-E-B School of Business and Administration, University of the Incarnate Word, 4301 Broadway, United States; email: guiry@uiwtx.edu",,,"Inderscience Publishers",,,,,17530822,,,,"English",,Article,"Final",,Scopus,2-s2.0-84964863554 "Dimitriu R.I., Bulai M., Minea I.","55200569800;55175571200;56951000900;","Mineral groundwater resources and health tourism in the eastern carpathians (Romania)",2014,"International Multidisciplinary Scientific GeoConference Surveying Geology and Mining Ecology Management, SGEM","1","3",,"463","470",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84946572991&partnerID=40&md5=2cc93756b87302c4c4b16984afffb36a","Alexandru Ioan Cuza University of Iasi, Romania","Dimitriu, R.I., Alexandru Ioan Cuza University of Iasi, Romania; Bulai, M., Alexandru Ioan Cuza University of Iasi, Romania; Minea, I., Alexandru Ioan Cuza University of Iasi, Romania","The very diverse hydro-chemical characteristics of the waters, with diverse content of dissolved substances and belonging predominantly to the bicarbonate-chalybeatecarbonated type in over 60% of the cases has had as results a development of great variability of resorts. Most of the resorts present the advantage of various curative possibilities, as well as the accommodation capacity and the curative bases were connected to the catchment volume of waters, which is essential in external cure procedure. Taking into consideration the natural factors, the infrastructural component were built to bring their contribution to health tourism: treatment facilities, different type of accommodation capacities, leisure activities and sports component, green spaces. The hydro-mineral sources determined the appearance of two types of resorts: the balneoclimateric resorts (spas) and the mountain climatic resorts (for winter sports). First are of national interest being generated by the mineral waters with a various hydrochemistry, predominantly belonging to carbogaseous, bicarbonated, ferruginous of the post volcanic gases area. These are at least two centuries old and have the profile facilities located in connections with hydromineral resources. The touristic areas containing the component specific to this type resorts are concentrated at the periphery of some settlements that have become health resorts-town (like Vatra Dornei) or integrated as centres within the residential areas of resort towns (Covasna) or occupying the entire residential area of the resort-town (Slanic Moldova, Baile Tusnad). © SGEM2014.","Groundwater resources; Health tourism; Resorts; Spatial distribution; Water quality","Beverages; Catchments; Groundwater; Groundwater geochemistry; Groundwater resources; Health; Housing; Minerals; Spatial distribution; Sports; Water quality; Green spaces; Health tourisms; Hydrochemical characteristics; Leisure activities; Mineral water; Natural factors; Residential areas; Resorts; Mineral resources",,,,,,,,"Badea, L., Gâştescu, P., Velcea, V.A., (1983) Geography of Romania, 1. , Physical Geography (in Romanian), Academiei Press, Bucharest; Ielenicz, M., Matei, E., Ciangă, N., Iaţu, C., Vert, C., (2009) Resorts of National Interest in the Romanian Carpathians. Nature-Local Comunities-Tourist Facilities-Policies for Sustenable Tourism, , University Press, Bucureşti; Pricajan, A., (1985) Natural Mineral and Healing Substances of Romania,, , (in Romanian), Stiintifica si Enciclopedica Publishing House, Bucharest; Muntele, I., Iatu, C., (2006) Geography of Tourism. Concepts, Methods and Spatial Manifestation, , 2006, Sedcom Libris House, Iasi; Sharpley, R., Telfer, D., (2002) Tourism and Development, Concepts and Issues, , Channel View Publications, London; Hall, C., Page, S., (2004) The Geography of Tourism and Recreation, , Routledge, London and New York; (2002) Census of Population and Housing, , ****, (Recensământul Populației și Locuințelor); (2011) Census of Population and Housing, , ****, (Recensământul Populației și Locuințelor)",,,"","International Multidisciplinary Scientific Geoconference","14th International Multidisciplinary Scientific Geoconference and EXPO, SGEM 2014","17 June 2014 through 26 June 2014",,109749,13142704,,,,"English","Int. Multidisciplinary Sci. Geoconf. Surveying Geology Mining Ecology Manage., SGEM",Conference Paper,"Final",,Scopus,2-s2.0-84946572991 "Mathew S., Brindha G.","56924599200;55774261100;","Medical tourism – An avenue to attract foreign patientsin Indian hospital industry, a study conducted in Chennai city",2014,"International Journal of Applied Engineering Research","9","22",,"7508","7513",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945291292&partnerID=40&md5=c91cf77d5bfbcca749b70ac888a95f40","Department of Management Studies, Tagore Engineering College, Chennai, 127, India; Bharath University, Chennai, 73, India","Mathew, S., Department of Management Studies, Tagore Engineering College, Chennai, 127, India; Brindha, G., Bharath University, Chennai, 73, India","Medical Industry is considered to be the most upcoming industry in the world, people from all-over the globe looking for avenues in availing affordable and best treatments. To carter to the needs of the people across the globe, the term Medical tourism has been evolved and is becoming one of the popular services recently initiated. This has led to a rapid growth in the industry. Healthcare and Tourism industries have covered the major portion among the largest industries in the world. India has several advantages that make it a natural choice for Medical treatment. This study therefore intends to understand the reasons for choosing medical Tourism and the various problems faced by the Medical Tourist in India. This study focuses on foreign visitors coming to India for various medical treatments in one of the JCI/NABH accredited hospitals. � Research India Publications.","Health care industry; Medical tourism; Medical treatments; Problems in medical tourism",,,,,,,,,"Organisation and Management of Medical Tourism in Maharashtra (2012) Public Health: Journal of Clinical Research and Healthcare Management 2012, 3 (1). , January 02; Connell, J., Medical tourism: Sea, sun, sun and… surgery (2007) Tourism Management, 27, pp. 1093-1100; Diekmann, K.H., (2011) Tourism and India, , Routledge Taylor & Francis Group; Lydia Caroline, M., Vasudevan, S., Growth and characterization of l-phenylalanine nitric acid, a new organic nonlinear optical material (2009) Materials Letters, 63 (1), pp. 41-44. , ISSN: 0167-577X; Ansari, I.A., Swot Analysis of Medical Tourism in Varanasi (2012) International Journal of Multidisciplinary Research, 2 (3). , march, march, ISSN 2231 5780; Research, G., (2009) The Rise of Medical Tourism, , Grail Research LLC; Snyder, J., Conceptualizing the Global and Local Social Responsibilities of Medical Tourist and Physician Voluntourists (2011) Globalization and Health 2011, (7), p. 6. , April 06; www.globalizationandhealth.com/content/7/1/6; Langeswaran, K., Gowthamkumar, S., Vijayaprakash, S., Revathy, R., Balasubramanian, M.P., Influence of limonin on Wnt signalling molecule in HepG2 cell lines (2013) Journal of Natural Science, Biology and Medicine, 4 (1), pp. 126-133. , ISSN: 0976-9668; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , Washington D. C.: Deloitte Centre for Health Solutions; (2005), http://www.indianmedicaltourism.net, Medical tourism India: Medical packages to India. Retrieved 08 27, 2010, from Indian Medical Tourism; Pougajendy, S., Senapathi, R., Medical Tourism in Chennai: Challenges and scope (2012) A Journal of Economics and Management, 1 (6). , September 06, September, ISSN 2278‐0629; Kandamuthan, S., Trade and Health: Issues in Medical Tourism in India Heterogeneity in Health Economics Topic Sb5d20cfeda8844a3867aa4d74b51bb53, , http://ihea2013.abstractsubmit.org/sessions/1828; Jayalakshmi, T., Krishnamoorthy, P., Ramesh Kumar, G., Sivamani, P., Optimization of culture conditions for keratinase production in Streptomyces sp. JRS19 for chick feather wastes degradation (2011) Journal of Chemical and Pharmaceutical Research, 3 (4), pp. 498-503. , ISSN: 0975–7384; Kumar, S., Designing Promotional Strategies forMedical Tourism in India (2009) Health and Population: Perspectives and Issues, 32 (2), pp. 86-95; Kumar, S., Medical Tourism in India: Issues, Opportunities and Designing Strategies for Growth and Development (2011) International Journal of Multidisciplinary Research, 1 (3). , July, July 2011, ISSN 2231 5780; Parkhi, S., Role of Information Technology in Medical Tourism Inconi3-It-071, asm’s International E-Journal of Ongoing Research in Management and IT Eissn-2320-0065; Jebaraj, S., Iniyan, S., Renewable energy programmes in India (2006) International Journal of Global Energy Issues, 26, pp. 232-257. , ISSN: 0954-7118, 4Mar; Turner, L., Canadian medicare and the global healthcare bazar (2007) Policy Options, pp. 73-77. , September; UNESCAP, (2009) Medical Travel in Asia and the Pacific-Challenges and Opportunities, , http://www.unescap.org/ESID/hds/lastestadd/MedicalTourismReport09.pdf, Retrieved January 31, 2011; Gopalakrishnan, K., Prem Jeya Kumar, M., Sundeep Aanand, J., Udayakumar, R., Thermal properties of doped azopolyester and its application (2013) Indian Journal of Science and Technology, 6, pp. 4722-4725. , ISSN: 0974-6846; Yap, J., Chen, S.S., Nones, N., (2008) Medical Tourism: The Asian Chapter, , Singapore: Deloitte","Brindha, G.; Bharath UniversityIndia; email: brindha.mba@bharathuniv.ac.in",,,"Research India Publications",,,,,09734562,,,,"English","Int. J. Appl. Eng. Res.",Article,"Final",,Scopus,2-s2.0-84945291292 "Kang M.-S., Song E.-J.","56399890100;55434485300;","A study on the evaluation system for customer satisfaction of medical tourism",2014,"Information (Japan)","17","7",,"3325","3330",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940416708&partnerID=40&md5=cef3e827b4eca79fc730ad01fa2037c1","Department of Industrial and Management Engineering, Namseoul University, 91 Daehakro Seonghwan-eup, Seobuk-gu Cheonan-city, Choongnam, 331-707, South Korea; Department of Computer Science, Namseoul University, 91 Daehakro Seonghwan-eup, Seobuk-gu Cheonan-city, Choongnam, 331-707, South Korea","Kang, M.-S., Department of Industrial and Management Engineering, Namseoul University, 91 Daehakro Seonghwan-eup, Seobuk-gu Cheonan-city, Choongnam, 331-707, South Korea; Song, E.-J., Department of Computer Science, Namseoul University, 91 Daehakro Seonghwan-eup, Seobuk-gu Cheonan-city, Choongnam, 331-707, South Korea","The organizations or businesses in B2C(Business to Customer) industry should accurately identify the service elements customers want, provide desirable services and continue to enhance the service quality or performance by evaluating the results of the provided services. In this paper, we propose an evaluation model and system for customer satisfaction in the medical tour industry that has recently been in the limelight as a high value-added industry among many other B2C service industries in Korea. For that purpose, an analysis of processes for medical tourism is performed to extract contact points with customers and arrange a set of survey items. Based on the extracted survey items, an application system applicable on mobile is presented. © 2014 International Information Institute.","Application system; B2C(Business to Customer) service industry; Customer satisfaction; Evaluation model; Medical tourism",,,,,,"Namseoul University, NSU",,,"Cheong, K., Seo, H.Y., Cho, S.D., Classifications and content analyses of social networking services research (2011) Journal of the Korean Knowledge Information Technology Society, 6 (5), pp. 82-98; Park, Y.T., Moon, Y.E., An empirical study on the relationship between experience and customer loyalty in B2C shopping mall from an is success and customer satisfaction (2010) Korean Internet E-commerce Association, 10 (2), pp. 101-128; Jeon, J.L., Exploratory study on the critical success factor for medical tourism (2009) Journal of Korea Academia-industrial Cooperation Society, 10 (5), pp. 1052-1059; Lee, H., (2011) The Development of the Marketing Strategies for Medical Tourism, , The master's thesis of Kyungwon University Graduate School of Business; Parasuraman, SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality and its implication for future research (1988) Journal of Retailing, 64; Kim, G.J., Han, J.S., Development of ontology based medical mobile CRM (m-CRM) (2009) Journal of the Korea Academia-industrial Cooperation Society, 10 (10), pp. 2721-2727; Song, K.M., Moon, S.I., A study on the systematic improvement plan for the medical tourism (2010) Journal of the Tourism Research Institute in Hanyang University of Korea, 22 (2), pp. 203-222; Kang, M.S., Song, E.J., A study on the application system for evaluation of customer satisfaction with medical tourism (2013) Proceedings of International Workshop on Mobile Wireless 2013, , December 11-13; Jeju, Korea; Ko, T.G., Medical tourism system model (2011) International Journal of Tourism Sciences, 11 (1), pp. 18-51","Song, E.-J.; Department of Computer Science, Namseoul University, 91 Daehakro Seonghwan-eup, South Korea; email: sej@nsu.ac.kr",,,"International Information Institute Ltd.",,,,,13434500,,,,"English","Information",Article,"Final",,Scopus,2-s2.0-84940416708 "Wieser A., Cassens M.","56182466500;54381417800;","From wellness to healthness?: About educational potential in health tourism [Von Wellness zu Healthness?: Über Bildungspotenziale im Gesundheitstourismus]",2014,"Pravention und Gesundheitsforderung","9","4",,"321","324",,,"10.1007/s11553-014-0440-7","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939892117&doi=10.1007%2fs11553-014-0440-7&partnerID=40&md5=43c9396ab68c62145bfeac023790d706","Institut für Gesundheitswissenschaften Scharnitz/Tirol, Gießenbach 327, Scharnitz, 6108, Austria; FOM – Hochschule für Ökonomie und Management, München, Germany","Wieser, A., Institut für Gesundheitswissenschaften Scharnitz/Tirol, Gießenbach 327, Scharnitz, 6108, Austria; Cassens, M., Institut für Gesundheitswissenschaften Scharnitz/Tirol, Gießenbach 327, Scharnitz, 6108, Austria, FOM – Hochschule für Ökonomie und Management, München, Germany","Background: There is a current trend in leisure research from using the term “wellness” to using “healthness”. This trend can be seen as an opportunity for the tourism industry, which is currently seeking new orientation. The new law of prevention in Germany- the “Gesetz zur Förderung der Prävention” which aims to encourage disease/illness prevention is a further reason for a review of the health tourists pallette. This process should lead to structural and systematic innovation. Basis for this appears to be good basic health education.Questions and aims: This paper tries to analyze which role health education in the tourist setting plays towards a sustainable health promotion. The answer of this question is found in the pedagogical field of “Informal Health Education” Aims of this pedagogical solutions are behaviour modifications and the enhancement of health-related subjective quality of life. However, such health education systems are currently rarely used resources, not only by institutions of health costs but also of by their users.Results: Health resorts which are far away from home represent locations of informal education which is suitable for health education. This will provide excellent opportunities to enforce sustainable learning. In the context of self organised, discovering learning which will gain more importance by a to be developed pedagogic interventions. This interventions are characterized by terms such as helping, accompanying and protecting. © 2014, Springer-Verlag Berlin Heidelberg.","Communication and information technology; Health tourism; Informal education methods; Medical technology",,,,,,,,,"Bundesministerium für Wirtschaft und Technologie, (2011) Innovativer Gesundheitstourismus in Deutschland – Leitfaden, p. 28. , Eigendruck, Berlin:; Casens, M., Xsund leben in der Olympiaregion Seefeld (2013) Unveröffentlichter Zwischenbericht des Forschungsprojektes; Cassens, M., (2003) Work-life-balance – Wie Sie Berufs- und Privatleben in Einklang bringen, p. 7. , dtv, München:; Cassens, M., (2013) Gesundheitstourismus und touristische Destinationsentwick-lung, pp. 61-63. , Oldenbourg, München:; Cassens, M., Hörmann, G., Tarnai, C., Trend Gesundheitstourismus – Steigende Bedeutung des touristischen Settings für Gesundheitsförderung und medizinische Prävention (2012) Prävention und Gesundheitsförderung, 1, pp. 24-29; Dohmen, G., (2001) Das informelle Lernen, , Bundesministerium für Bildung und Forschung, Bonn:; Gatterer, H., Huber, T., Huber, J., Kirig, A., Kühmayer, F., Seitz, J., (2012) Healthness – Die nächste Stufe des Megatrends Gesundheit, , Zeitgeist Media, Düsseldorf:; Herold, C., Herold, M., Selbstorganisiertes Lernen in Schule und Beruf – Gestaltung nachhaltiger Lernumgebungen (2011) Beltz; (2009) Neurodidaktik – Grundlagen und Vorschläge für ein gehirngerechtes Lehren und Lernen, , Beltz, Landsberg:; http://kurier.at, Horx M (2013) „Healthness“ als neuer Megatrend. Krone online. Zugegriffen: 09. Aug. 2013; Klafki, W., Neue Studien zur Bildungstheorie und Didaktik – Zeitgemäße Allgemeinbildung und kritisch-konstruktive Didaktik, 6 (2007) Aufl. Beltz, Landsberg, p. 40; Konrad, K., Traub, S., (2010) Selbstgesteuertes Lernen – Grundwissen und Tipps, , Schneider, Hohengehren:; Kron, F.W., Grundwissen Didaktik, 5 (2006) Aufl. Reinhardt, München, p. 101; Rulle, M., Hoffmann, K., Kraft, K., (2010) Erfolgsstrategien im Gesundheitstourismus, pp. 10-11. , ESV, Berlin:; Scheunpflug, A., (2001) Biologische Grundlagen des Lernens, , Cornelsen, Berlin:; Wieser, A., Chovghi, D., Hormann, M., Jenewein, C., (2011) Energy Cuisine – Wohlbefinden und Vitalität mit der Power-Küche des Lanserhofs, , Loewenzahn, Innsbruck:","Cassens, M.; Institut für Gesundheitswissenschaften Scharnitz/Tirol, Gießenbach 327, Austria",,,"Springer Verlag",,,,,18616755,,,,"German","Pravent. Gesundheitsforderung",Article,"Final",,Scopus,2-s2.0-84939892117 "Moreira P.","56707546300;","From European free movement of patients to new trends in Medical and Health Tourism",2014,"International Journal of Healthcare Management","7","1",,"1","2",,,"10.1179/2047970013Z.00000000087","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84926241193&doi=10.1179%2f2047970013Z.00000000087&partnerID=40&md5=8a3884109684e8c1542970063542a74e",,"Moreira, P.",[No abstract available],,,,,,,,,,,"Moreira, P.",,,"Maney Publishing",,,,,20479700,,,,"English","Int. J. Healthc. Manage.",Article,"Final",Open Access,Scopus,2-s2.0-84926241193 "Nelson B.","36197000800;","A trip to remember, with strings attached: Researchers begin sorting through the tangled ethical and legal implications of medical tourism",2014,"Cancer Cytopathology","122","11",,"787","788",,,"10.1002/cncy.21493","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84922481547&doi=10.1002%2fcncy.21493&partnerID=40&md5=ac1ccb75a7fa695df96f1e804e68ccc3",,"Nelson, B.",[No abstract available],,"Article; child neglect; dengue; doctor patient relation; Ebola hemorrhagic fever; Enterobacteriaceae; financial management; general practitioner; health care personnel; help seeking behavior; human; Klebsiella pneumoniae; malaria; malpractice; medical error; medical ethics; medical record; medical tourism; medicolegal aspect; methicillin resistant Staphylococcus aureus; patient attitude; patient care; patient decision making; physician attitude; priority journal; public health service; travel; tuberculosis; ethics; legislation and jurisprudence; medical tourism; outcome assessment; personnel; public health; research; trends; Ethics, Medical; Humans; Medical Tourism; Outcome Assessment (Health Care); Public Health; Research; Research Personnel",,,,,,,,"Chen, L.H., Wilson, M.E., The globalization of healthcare: Implications of medical tourism for the infectious disease clinician (2013) Clin Infect Dis., 57, pp. 1752-1759","Nelson, B.",,,"John Wiley and Sons Inc.",,,,,1934662X,,,"25394309","English","Cancer Cytho.",Article,"Final",,Scopus,2-s2.0-84922481547 "Plonien C., Baldwin K.M.","55697850100;57203215176;","Medical tourism: A Nurse Executive's Need To Know",2014,"AORN Journal","100","4",,"429","434",,,"10.1016/j.aorn.2014.08.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921838306&doi=10.1016%2fj.aorn.2014.08.007&partnerID=40&md5=e314ee99294a5944b50baa9b2aa3cdcd","University of Texas, Arlington College of Nursing, TX, United States; Harris Methodist Hospitals Southwest, Cleburne Texas Health Resources, Arlington, TX, United States","Plonien, C., University of Texas, Arlington College of Nursing, TX, United States; Baldwin, K.M., Harris Methodist Hospitals Southwest, Cleburne Texas Health Resources, Arlington, TX, United States",[No abstract available],,"health care quality; medical tourism; nursing; Medical Tourism; Nursing, Supervisory; Quality of Health Care",,,,,,,,"McCarthy, G., Fitzpatrick, J., Development of a competency framework for nurse managers in Ireland (2009) JContin Educ Nurs, 40 (8), pp. 346-350; (2005) AONE Nurse Executive Competencies, , The American Organization of Nurse Executives, The American Organization of Nurse Executives, Chicago, IL; (2014) Estimated number of medical travelers by country: 2013, , Patients Beyond Borders, Patients Beyond Borders, Chapel Hill, NC; (2014) Major procedures: comparative costs, , Patients Beyond Borders, Patients Beyond Borders, Chapel Hill, NC; http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations, accredited organizations. Joint Commission International. Accessed June 26,2014; (2014), http://www.nursecredentialing.org/Magnet/ProgramOverview, Magnet Recognition Program® overview. American Nurse Credentialing Center. Accessed June 26; Respaut, R., Cleveland clinic exports marquee Ohio brand to Abu Dhabi (2014) Reuters, , http://www.reuters.com/article/2014/04/11/us-healthcare-cleveland-abudhabi-idUSBREA3A0CI20140411, Accessed June 26, 2014; Lee, C.V., Balaban, V., (2014), http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-2-the-pre-travel-consultation/medical-tourism, Chapter 2. The pre-travel consultation: counseling & advice for travelers: medical tourism. Centers for Disease Control and Prevention. Accessed July 31; Forward (2009) Medical Tourism: Update and Implications - 2009 Report, p. 2. , http://www.deloitte.com/view/en_US/us/Insights/centers/center-for-health-solutions/55d9f278c9184210VgnVCM200000bb42f00aRCRD.htm, Deloitte Center for Health Solutions, Charlotte, NC, Accessed July 31, 2014; Growth drivers (2009) Medical Tourism: Update and Implications - 2009 Report, p. 11. , http://www.deloitte.com/view/en_US/us/Insights/centers/center-for-health-solutions/55d9f278c9184210VgnVCM200000bb42f00aRCRD.htm, Deloitte Center for Health Solutions, Charlotte, NC, Accessed July 31, 2014; Huffman, K., Is it time to ""medicalize"" medical tourism? (2014) Int Med Travel J., , http://www.imtj.com/articles/2013/medicalizing-medical-tourism-60164, Access June 26; (2009), http://www.deloitte.com/assets/Dcom-UnitedStates/Local%2520Assets/Documents/us_chs_MedicalTourism_102609.pdf, Role of health plans to incentivize medical travel. In: Medical Tourism: Update and Implications - Report. Charlotte, NC: Deloitte Center for Health Solutions; 5. Accessed June 26,2014; Ozan-Rafferty, M., Engaging patients in a global market (2009) Gallup Business J, , http://businessjournal.gallup.com/content/124586/Engaging-Patients-Global-Market.aspx, Accessed June 26, 2014; Magill, A.J., Shlim, D.R., Chapter 1. Introduction: perspectives: why guidelines differ http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-1-introduction/perspectives-why-guidelines-differ, Centers for Disease Control and Prevention. Accessed July 31,2014; The American Society of Plastic Surgeons, , http://www.plasticsurgery.org/articles-and-galleries/dangers-of-plastic-surgery-tourism.html, Accessed July 31,2014; Travelers guide to safe dental care (2014), http://www.osap.org/?page=TravelersGuide#Checklist, Checklist for obtaining safe dental care abroad. The Organization for Safety, Asepsis and Prevention (OSAP). Accessed July 31; Statement on medical and surgical tourism (2009) Bull Am Coll Surg, 94 (4), pp. 26-27. , http://facs.org/fellows_info/bulletin/2009/2009-april-bulletin.pdf#page=25, American College of Surgeons (ACS) (ST-65), Accessed June 26, 2014; (2002), http://www.asma.org/asma/media/asma/Travel-Publications/paxguidelines.pdf, Medical guidelines for airline passengers. Aerospace Medical Association. May . July 31,2014; Helble, M., The movement of patients across boarders: challenges and opportunities for public health (2011) Bull World Health Organ, 89 (1), pp. 68-72. , http://www.who.int/bulletin/volumes/89/1/10-076612/en/, Accessed June 26, 2014; Eissler, L.A., Casken, J., Seeking healthcare through international medical tourism (2013) JNurs Scholarsh, 45 (2), pp. 177-184; Ben-Natan, M., Ben-Sefer, E., Ehrenfeld, M., Medical tourism: a new role for nursing? (2009) Online J Issues Nurs, 14 (3). , http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No3Sept09/Articles-Previous-Topics/Medical-Tourism.html, Accessed July 31, 2014",,,,"Elsevier USA",,,,,00012092,,,"25260674","English","AORN J.",Article,"Final",,Scopus,2-s2.0-84921838306 "Darabont R.O., Suceveanu P., Suceveanu M., Volintiru C.A.","55882652700;56488088500;52964706500;57217012808;","Medical tourism in Romania: The case study of cardiovascular rehabilitation in Covasna",2014,"Amfiteatru Economic","16","SpecialIssue.8",,"1151","1159",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921390139&partnerID=40&md5=bb069fe019963c48b65852d74f7cce22","University of Medicine and Pharmacy Carol Davila, Bucharest, Romania; Cardiology Hospital dr. Benedek Geza, Covasna, Romania; Bucharest University of Economic Studies, Bucharest, Romania; London School of Economics, United Kingdom","Darabont, R.O., University of Medicine and Pharmacy Carol Davila, Bucharest, Romania; Suceveanu, P., Cardiology Hospital dr. Benedek Geza, Covasna, Romania; Suceveanu, M., Cardiology Hospital dr. Benedek Geza, Covasna, Romania; Volintiru, C.A., Bucharest University of Economic Studies, Bucharest, Romania, London School of Economics, United Kingdom","Romania has one of the highest mortality rates in Europe for ischemic heart disease and, especially, for cerebrovascular disease. Taking into account the actual prevalence of cardiovascular diseases, an augmentation of the demand for specialized medical services is expected. As this paper argues, this situation can have an important impact on medical tourism. We analyze original data on the case study of a hospital, specialized in cardiovascular treatment, in the Romanian county of Covasna, which is offering specific balneal procedures, such as CO2 .hydrotherapy, alongside regular rehabilitation programs. The aim of our study is to evaluate the demographic characteristics, and the pathology of the hospitalized patients, as well as the specific rehabilitation procedures. Our findings suggest that the interest of patients, with cardiovascular diseases, for medical tourism can be influenced by accessibility, by some particularities of the location, but also by the holistic nature of the rehabilitation procedures.","Cardiovascular diseases; CO2 hydrotherapy; Medical tourism",,,,,,,,,"Bookman, M.Z., Bookman, K.R., (2007) Medical tourism in developing countries., , Macmillan; Burnus, C., Hartmann, B., Drews, B., Bassenge, E., Evaluation of the Carbon Dioxide-balneotherapy on the Microcirculation and Oxygen Tension in Peripheral Arterial Occlusive Disease. (1994) The Journal of Japanese Association of Physical Medicine, Balneology and Climatology, 57, pp. 167-175; Connell, J., Medical tourism: Sea, sun, sand and surgery. (2006) Tourism management, 27 (6), pp. 1093-1100; De Arellano, A.B.R., Patients without borders: the emergence of medical tourism. (2007) International Journal of Health Services, 37 (1), pp. 193-198; Dogliotti, G., Galliera, E., Iorio, E., De Bernardi Di Valserra, M., Solimene, U., Corsi, M.M., Effect of immersion in CO2-enriched water on free radical release and total antioxidant status in peripheral arterial occlusive disease. (2011) International Angiology, 30, pp. 12-17; Fabry, R., Monnet, P., Schmidt, J., Lusson, J.R., Carpentier, P.H., Baguet, J.C., Dubray, C., Clinical and microcirculatory effects of transcutaneous CO2 therapy in intermittent claudication. Randomized double-blind clinical trial with a parallel design. (2009) Vasa, 38, pp. 213-224; Hartmann, B.R., Bassenge, E., Pitler, M., Effect of carbon dioxide - enriched water and fresh water on the cutaneous microcirculation and oxygen tension in the skin of the foot. (1997) Angiology, 48, pp. 337-343; Hashimoto, M., Yamamoto, N., Decrease in heart rates by artificial CO2 hot spring bathing is inhibited by ß1-adrenoceptor blockade in anesthetized rats. (2004) Journal of Applied Physiology, 96, pp. 226-232; Irie, H., Tatsumi, T., Takamiya, M., Zen, K., Takahashi, T., Azuma, A., Tateishi, K., Matsubara, H., Carbon dioxide-rich water bathing enhances collateral blood flow in ischemic hind limb via mobilization of endothelial progenitor cells and activation of NO-cGMP system (2005) Circulation, 111, pp. 1523-1529; Müller-Nordhorn, J., Binting, S., Roll, S., Willich, S.N., An update on regional variation in cardiovascular mortality within Europe. (2008) European Heart Journal, 29, pp. 1316-1326; Pagourelias, E.D., Zorou, P.G., Tsaligopoulos, M., Athyros, V.G., Karagiannis, A., Efthimiadis, G.K., Carbon dioxide balneotherapy and cardiovascular disease. (2011) International Journal of Biometeorology, 55, pp. 657-663; Perk, J., European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). (2012) European Heart Journal, 33, pp. 1635-1701; Piepoli, M.F., Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. (2010) European Journal for Cardiovascular Prevention and Rehabilitation, 17, pp. 1-17; Resch, K.L., Just, U., Possibilities and limits of CO2 balneotherapy. (1994) Wien Medizinische Wochenschrift, 144, pp. 45-50; Toriyama, T., Kumada, Y., Matsubara, T., Murata, A., Ogino, A., Hayashi, H., Nakashima, H., Kawahara, H., Effect of artificial carbon dioxide foot bathing on critical limb ischemia (Fontaine IV) in peripheral arterial disease patients. (2002) International Angiology, 21, pp. 367-373","Darabont, R.O.; University of Medicine and Pharmacy Carol DavilaRomania",,,"Editura Cefin",,,,,15829146,,,,"English","Amfiteatru Econ.",Article,"Final",,Scopus,2-s2.0-84921390139 "den Exter A.","6602611750;","The patient mobility saga continues - The ruling of court of justice of European Union in the case of Elena Petru",2014,"Croatian Medical Journal","55","5",,"441","442",,,"10.3325/cmj.2014.55.441","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920137248&doi=10.3325%2fcmj.2014.55.441&partnerID=40&md5=c3cff07a966719ae4d36d583d1bbc4fe","Jean Monnet Chair EU Health Law, Erasmus University Rotterdam, Netherlands","den Exter, A., Jean Monnet Chair EU Health Law, Erasmus University Rotterdam, Netherlands",[No abstract available],,"Editorial; European Union; health care cost; health care financing; health care system; human; jurisprudence; law; national health insurance; patient mobility; reimbursement; health care delivery; legislation and jurisprudence; medical tourism; organization and management; patient right; European Union; Health Services Accessibility; Humans; Legislation as Topic; Medical Tourism; Patient Rights; Reimbursement Mechanisms",,,,,,,,"Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients' rights in cross-border healthcare, OJ L 88, 4.4.2011; (2014), http://curia.europa.eu/jcms/upload/docs/application/pdf/2014-10/cp140134en.pdf, 9 Oct. 2014 (Case C-268/13) Elena Petru v Romanian National Health Insurance Agency, Accessed: October 16; (2014), http://curia.europa.eu/juris/liste.jsf?language=en&jur=C,T,F&num=C-268/13&td=ALL, Press Release No 134/14, Accessed: October 16","den Exter, A.; Jean Monnet Chair EU Health Law, Erasmus University RotterdamNetherlands",,,"Medicinska Naklada Zagreb",,,,,03539504,,CMEJE,"25358875","English","Croat. Med. J.",Editorial,"Final",Open Access,Scopus,2-s2.0-84920137248 "Hsu P.-F.","57216121876;","Reflections on development dilemmas of Taiwan's medical tourism",2014,"Taiwan Journal of Public Health","33","5",,"455","458",,,"10.6288/TJPH201433103054","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84916887974&doi=10.6288%2fTJPH201433103054&partnerID=40&md5=73347683efaf79d3ed9fee34b23e7968",,"Hsu, P.-F.",[No abstract available],,,,,,,,,,"Renub Research, (2012) Taiwan Medical Tourism Analysis and Forecast to 2015, , Noida, India: Renub Research; Liu, I.C., An analysis of medical tourism development with Indian experience (2008) Chin Publ Admin Rev, 16, pp. 111-151. , In Chinese: English abstract; Na Ranong, A., Na Ranong, V., The effects of medical tourism: Thailand's experience (2011) Bull World Health Organ, 89, pp. 336-344; Wu, Y.L., Cheng, Y., Potential impacts of medical tourism on medical care system (2013) Taiwan J Public Health, 32, pp. 303-308. , In Chinese: English abstract; Yuan, R.O.C., (2007) The Flagship Project of Internationalization of Medical Services, , Executive, Taiwan, Taipei: Executive Yuan, R. O. C. Taiwan, In Chinese; Woodman, J., (2008) Patients Beyond Borders: Everybody's Guide to Affordable, World-class Medical Travel, , Chapel Hill, NC: Healthy Travel Media; Gaynor, M., Anderson, G.F., Hospital costs and the cost of empty hospital beds (1995) J Health Econ, 14, pp. 291-317; Carey, K., A panel data design for estimation of hospital cost functions (1997) Rev Econ Stat, 79, pp. 443-453; Li, T., Rosenman, R., Estimating hospital costs with a generalized Leontief function (2001) Health Econ, 10, pp. 523-538; Gan, L., Frederick, J., Medical tourism in Singapore: A structure-conduct-performance analysis (2011) J Asia-pac Bus, 12, pp. 141-170; Yuan, R.O.C., (2010) The Action Plan for the Internationalization of Medical Services in Taiwan, , Executive, Taiwan, Taipei: Executive Yuan, R. O. C. Taiwan, In Chinese","Hsu, P.-F.",,,"Chinese Public Health Association of Taiwan",,,,,10232141,,TGWZA,,"Chinese","Taiwain J. Public Health",Review,"Final",,Scopus,2-s2.0-84916887974 "Desai S.D., Mehta M.M.","23569412200;57214622492;","An unusual cause of headache in the medical tourist",2014,"Annals of Tropical Medicine and Public Health","7","1",,"70","72",,,"10.4103/1755-6783.145030","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84915752518&doi=10.4103%2f1755-6783.145030&partnerID=40&md5=35de52ba9c1cf9fee386abb6b182b47e","Department of Neuromedicine, Pramukhswami Medical College, Shree Krishna Hospital, Karamsad, Anand, Gujarat, 388 325, India; Department of Medicine, Pramukhswami Medical College, Shree Krishna Hospital, Karamsad, Anand, Gujarat, India","Desai, S.D., Department of Neuromedicine, Pramukhswami Medical College, Shree Krishna Hospital, Karamsad, Anand, Gujarat, 388 325, India; Mehta, M.M., Department of Medicine, Pramukhswami Medical College, Shree Krishna Hospital, Karamsad, Anand, Gujarat, India","With booming medical tourism, Indian doctors are seeing a lot of patients from other countries for varied medical conditions. A citizen of Nairobi presented for treatment of his complaints consisting of severe episodic headache, with abdominal pain, spermatorrhea, decreased libido, constipation, and impotence. On detailed evaluation, he was found to have developed dependence to khat chewing; a social habit in his native country and his symptoms were attributed to effects of khat withdrawal. He improved after treatment with topiramate and escitalopram and lifestyle modification. Physicians need to be aware of various cultural habits of addiction in different parts of the world and their common presentations in view of globalization of health care.","Headache; khat; medical tourism",,,,,,,,,"Jose, R., Sachdeva, S., Keeping an eye on future: Medical tourism (2010) Indian J Community Med, 35, pp. 376-378; Shetty, P., Medical tourism booms in India, but at what cost (2010) Lancet, 376, pp. 671-672; Indian Medical Tourism to Touch Rs 9,500 Cr by 2015: ASSOCHAM, , http://economictimes.indiatimes.com/Indian_medical_tourism_to_touch_Rs_9500_cr_by_2015_Assocham/articleshow/3943611.cms, The Economic Times, New Delhi: 2009 Jan 6 [Last assessed on 2013 Aug 28]; Hassan, N.A., Gunaid, A.A., Murray-Lyon, I.M., Khat (Catha edulis): Health aspects of khat chewing (2007) East Mediterr Health J, 13, pp. 706-718; Hassan, N.A., Gunaid, A.A., El Khally, F.M., Murray-Lyon, I.M., The subjective effects of chewing Qat leaves in human volunteers (2002) Ann Saudi Med, 22, pp. 34-37; Kennedy, J.G., Teague, J., Rokaw, W., Cooney, E., A medical evaluation of the use of qat in North Yemen (1983) Soc Sci Med, 17, pp. 783-793; Kennedy, J.G., Teague, J., Fairbanks, L., Qat use in North Yemen and the problem of addiction: A study in medical anthropology (1980) Cult Med Psychiatry, 4, pp. 311-344; Kulkarni, S.V., Mughani, Y.A., Onbol, E.H., Kempegowda, P., Khat and stroke (2012) Ann Indian Acad Neurol, 15, pp. 139-140; Halbach, H., Medical aspects of the chewing of khat leaves (1972) Bull World Health Organ, 47, pp. 21-29; Galkin, V.A., Mironychev, A.V., Effect of the narcotic kat (Catha edulis) on certain functions of the human body (1964) Fed Proc Transl Suppl, 23, pp. 741-742","Desai, S.D.; Department of Neuromedicine, Pramukhswami Medical College, Shree Krishna HospitalIndia",,,"Medknow Publications",,,,,17556783,,,,"English","Ann. Trop. Med. Public Health",Article,"Final",,Scopus,2-s2.0-84915752518 "Lin C.-F.","25937370400;","Commentary to a critical analysis on the impacts of cross-strait service trade agreement, free economic pilot zones and medical tourism",2014,"Taiwan Journal of Public Health","33","4",,"349","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84913552968&partnerID=40&md5=863f884c79536162cde20ee6038a66f6",,"Lin, C.-F.",[No abstract available],,,,,,,,,,"Wu, M.Y., The current status of internationalization of medical services in Taiwan (2014) J Healthcare Qual, 8, pp. 20-22. , In Chinese; Lin, C.F., International integration - Using consensus citizen conference to build consensus for ""internationalization of medical services in Taiwan"" (2014) J Healthcare Qual, 8, pp. 37-38. , In Chinese; Chang, C.F., Opportunities and challenges of internationalization of medical services in Taiwan (2014) J Healthcare Qual, 8, pp. 23-27. , In Chinese; Hsu, S.M., International healthcare industry - Reality, practice and policy implementation (2014) J Healthcare Qual, 8, pp. 28-33. , In Chinese; Cheng, Y., The negative impact of medical tourism and Free Economic Pilot Zones on the health system (2014) J Healthcare Qual, 8, pp. 34-36. , In Chinese","Lin, C.-F.",,,"Chinese Public Health Association of Taiwan",,,,,10232141,,TGWZA,,"Chinese","Taiwain J. Public Health",Note,"Final",,Scopus,2-s2.0-84913552968 "Nelson B.","36197000800;","Patients with passports: Patients are seeking care far from home as part of the growing medical tourism industry",2014,"Cancer Cytopathology","122","9",,"635","636",,,"10.1002/cncy.21478","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908469748&doi=10.1002%2fcncy.21478&partnerID=40&md5=1ef5c5285ca8d4a2d72fbc9ce5367e0d",,"Nelson, B.",[No abstract available],,"cost benefit analysis; cost control; developed country; health care access; health care industry; health care policy; help seeking behavior; human; medical tourism; medicare; patient care; priority journal; resource allocation; Short Survey; specialization; United States; article; health care delivery; international cooperation; patient; Health Services Accessibility; Humans; Internationality; Medical Tourism; Patients; United States",,,,,,,,,,,,"John Wiley and Sons Inc.",,,,,1934662X,,,"25228338","English","Cancer Cytho.",Short Survey,"Final",,Scopus,2-s2.0-84908469748 "Chang S., Pu C.-Y., Hsieh P.-J.","7405602915;56399047600;7101896400;","A regional competition analysis of medical tourism industry - An example of Taiwan",2014,"International Journal of Information and Management Sciences","25","2",,"139","156",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908359924&partnerID=40&md5=10f15530fd0e8ba99b108c3db96d1fda","Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy and Science, 60, Sec. 1, Erren Rd., Rende Dist., Tainan, 717, Taiwan; Department of Teaching and Research, Pingtung Christian Hospital, 60 Dalian Road, Pingtung, 900, Taiwan; Institute of Human Resources and Knowledge Management, National Kaohsiung Normal University, 116, Heping 1st Rd., Lingya District, Kaohsiung, 802, Taiwan","Chang, S., Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy and Science, 60, Sec. 1, Erren Rd., Rende Dist., Tainan, 717, Taiwan; Pu, C.-Y., Department of Teaching and Research, Pingtung Christian Hospital, 60 Dalian Road, Pingtung, 900, Taiwan; Hsieh, P.-J., Institute of Human Resources and Knowledge Management, National Kaohsiung Normal University, 116, Heping 1st Rd., Lingya District, Kaohsiung, 802, Taiwan","This study explores a process that conducts regional competition analysis of medical tourism. It conducts a Modified Delphi expert consensus process and analytic network process (ANP) to explore the associations and weights of the factors in the evaluation model. The results demonstrate that the government factors, including government support and the legal system, are the most important competitive factors of the medical tourism industry. High-ranking sub-criteria, including the marketing strategy and physician training systems, are related to the government factor. Short-term treatment medical programs, such as cosmetic surgery and dentistry, are priorities for development. A friendly legal system and government-led marketing strategies are strongly suggested for development in Taiwan. Superior healthcare quality and a well-established and a physician training system are Taiwans main competitive advantages compared with the rest of Asia. The model provides an objective view for evaluating the importance of competitive factors for developing medical tourism and builds a framework to analyze the regional competition of medical tourism.","Analytic network process (ANP); Diamond model; Expert decision-making model; Medical tourism","Commerce; Decision theory; Laws and legislation; Marketing; Planning; Strategic planning; Analytic network process; Competitive advantage; Decision making models; Diamond model; Evaluation modeling; Medical tourism; Modified Delphi expert consensus process; Regional competition; Competition",,,,,,,,"Bennett, M., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10, pp. 122-137; Bies, W., Zacharia, L., Medical tourism: Outsourcing surgery (2007) Mathematical and Computer Modelling, 46, pp. 1144-1159; Carrera, P.M., Bridges, F.P., Globalization and health care: Understanding health care and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6, pp. 447-454; Chang, Y.H., Wey, W.M., Tseng, H.Y., Using ANP priorities with goal programming for revitalization strategies in historic transport: A case study of the Alishan forest railway (2009) Expert Systems with Applications, 36, pp. 8682-8690; Chen, S.P., Wu, W.Y., A systematic procedure to evaluate an automobile manufactur- erdistributor partnership (2010) European Journal of Operational Research, 205, pp. 687-698; Chinai, R., Goswami, R., Medical visas mark growth of indian medical tourism (2007) Bulletin of the World Health Organization, 85, pp. 164-165; Chung-Hua Institution for Economic Research, Retrieved 06.05.2012, , http://www.cier.edu.tw; Connell, J., Medical tourism: Sea, sun, sand, and surgery (2006) Tourism Management, 29, pp. 1-8; Council for Economic Planning and Development, , http://www.cepd.gov.twhttp://www.cepd.gov.tw, retrieved 06.05.2011; http://www.mohw.gov.tw, DOH, Taiwan, retrieved 04.04.2012, from; Do, Q., Chen, J., Evaluating faculty staff: An application of group MCDM based on the fuzzy AHP approach (2013) International Journal of Information and Management Sciences, 24, pp. 131-150; Garcia-Altes, A., The development of health tourism services (2005) Annals of Tourism Research, 32, pp. 262-266; Gautam, V., Raman, R.M.V., Prahalathan, S., (2008) Healthcare Tourism Opportunities for India., , Exim bank; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18, p. 193201; Gugler, P., Brunner, S., FDI effects on national competitiveness: A cluster approach (2007) International Advances in Economic Research, 13, pp. 268-284; Hadi, A., Globalization medical tourism and health equity (2009) Symposium on Implications of Medical Tourism for Canadian Health and Health Policy on, , Presented at the, Nov. 13, 2009 in Ottawa, Canada; Harryono, M., Huang, Y.F., Miyazawa, K., Sethaput, V., (2006) Thailand Medical Tourism Cluster., , Harvard Business School; Herrick, D.M., (2007) Medical Tourism: Global Competition in Health Care, pp. 1-40. , National Center for Policy Analysis; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel and Tourism Marketing, 27, pp. 236-251; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2011) Tourism Management, 32, pp. 995-1005; Holden, M.C., Wedman, J.F., Future issues of computer-mediated communication: The results of a delphi study (1993) Educational Technology Research & Development, 41, pp. 5-24; Hsieh, L., Lin, L., Lin, Y., A service quality measurement architecture for hot spring hotels in Taiwan (2008) Tourism Management, 29, pp. 429-438; Hsu, C.W., Hu, A.H., Chiou, C.Y., Chen, T.C., Using the FDM and anp to construct a sustainability balanced scorecard for the semiconductor industry (2011) Expert Systems with Applications, 38, pp. 12891-12899; Hu, M.L.M., Developing a core competency model of innovative culinary development (2010) International Journal of Hospitality Management, 29, pp. 582-590; http://www.jointcommissioninterna-tional.org, retrieved 09.21.2012, from; Kim, Y., Boo, C., Kim, M., A framework for health tourism: A case study of JEJU province iv the republic of Korea (2009) Hospitality & Tourism Management, , http://scholarworks.mass.edU/refereed/Sessions/Friday/2, retrieved 12.11., from; Lee, C., Medical tourism an innovative opportunity for entrepreneurs (2007) Journal of Asia Entrepreneurship and Sustainability, 3, pp. 110-123; Lee, C., Spisto, M., Medical tourism, the future of health services (2007) Proceedings of the 12th International Conference on ISO 9000 and TQM, , Taichung, Taiwan, 9-11 April. 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Srivastava, R., Indian society for apheresis and apheresis tourism in India - Is there a future (2006) Transfusion Apheresis Science, 34, pp. 139-144; http://www.superdecisions.com, Superdecision, retrieved 10.05.2010, from; http://www.tier.org.tw, Taiwan Institute of Economic Research, retrieved 15.04.2012, from; http://www.taiwanser-vices.com.tw/org, Taiwan Services Trade Information Platform, retrieved 25.05.2013, from; Thakkar, J., Deshmukh, S.G., Gupta, A.D., Shankar, R., Development of a balanced scorecard: An integrated approach of interpretive structural modelling (ISM) and analytic network process (ANP) (2006) International Journal of Productivity and Performance Management, 56, pp. 25-59; http://www.eiu.com, The Economics Intelligence Unit, EIU, retrieved 18.03. 2013, from; Tsai, H.Y., Huang, B.H., Wang, A.S., Combining ANP and TOPSIS concepts for evaluation the performance of property-liability insurance companies (2008) Journal of Social Sciences, 4, p. 56; Tu, C., Chang, C., Chen, K., Lu, H., Applying an AHP-QFD conceptual model and zero-one goal programming to requirement-based site selection for an airport cargo logistics center (2010) International Journal of Information and Management Sciences, 21, pp. 407-430; Turner, L., Medical tourism and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40, p. 443467; Tzeng, G.H., Huang, C.Y., Combined DEMATEL technique with hybrid mcdm methods for creating the aspired intelligent global manufacturing & logistics systems (2012) Annals of Operations Research, 197, pp. 159-190; Whittaker, A., Pleasure and pain: Medical travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; http://en.wikipedia.org, Wikipedia, retrieved 03.03.2011, from; http://www.who.in, World Health Organization, WHO, retrieved 11.12.2012, from; (2009) World Tourism Organization., , Tourism Highlights 2009 Edition; Wu, C., Lin, C., Tsai, P., Analysing alternatives in financial services for wealth management banks: The analytic network process and the balanced scorecard approach (2009) IMA Journal of Management Mathematics, 20, pp. 303-321; York, D., Medical tourism: The trend toward outsourcing medical procedures to foreign countries (2008) Journal of Continual Education of Health Professions, 28, pp. 99-102; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2011) Tourism Management, 33, pp. 80-88; Yuksel, I., Dagdeviren, M., Using the fuzzy analytic network process (ANP) for balanced scorecard (BSC): A case study for a manufacturing firm (2010) Expert Systems with Applications, 37, p. 12701278","Chang, S.; Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy and Science, 60, Sec. 1, Erren Rd., Taiwan",,,"Tamkang University",,,,,10171819,,IIMSE,,"English","Int J Inf Manage Sci",Article,"Final",,Scopus,2-s2.0-84908359924 "Terzioǧlu A.","56017955400;","Rethinking globalization and health: Medical tourism in Turkey [Le tourisme médical en Turquie. Repenser la santé dans un contexte globalisé]",2014,"Ethnologie Francaise","44","2",,"257","266",,,"10.3917/ethn.142.0257","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907326833&doi=10.3917%2fethn.142.0257&partnerID=40&md5=319185f93e7bf22d451195ec2e32a4b9","Koç Üniversitesi, School of Nursing, Güzelbahçe Sk. No: 20 Nişantaşi, 34365 Istanboul, Turkey","Terzioǧlu, A., Koç Üniversitesi, School of Nursing, Güzelbahçe Sk. No: 20 Nişantaşi, 34365 Istanboul, Turkey","The article explores medical tourism in Turkey, which points out the problems in the globalization in the Turkish health sector. Turkey is becoming one of the most prominent centers for medical tourism with its luxurious private hospitals. However, this development focuses on the economic and technological infrastructure rather than the socio-cultural aspects of medicine. Based on a media survey, observations in the private hospitals, and interviews with doctors, nurses, supervisors and policymakers, the article will focus on the problematic aspects of medical tourism in Turkey.","Biopolitics; Foreign patients; Health policies; Medical tourism; Turkey",,,,,,,,,"Banerji, D., Serious crisis in the practice of international health by the world health organization: The commission on social determinants of health (2007) Neoliberalism, Globalization and Inequalities: Consequences for Health and Quality of Life, pp. 451-464. , Vicente Navarro New York. Baywood Publishing; Erol, M., The second spring of neoliberalism: The social construction of menopause in turkey (2011) Neoliberalizm Ve Mahremiyet: Türkiye'de Beden, Saǧlik Ve Cinsellik, [Neoliberalism and Intimacy: Body, Health and Sexuality in Turkey], pp. 133-147. , Cenk Özbay, Ayşecan Terzioǧlu and Yeşim Yasin (eds.) Istanbul, Metis Yayincilik; Horowitz, M., Rosensweig, J., Medical tourism: Globalization of the healthcare marketplace (2007) Journal of Medscape General Medicine, IX, 4, pp. 33-49; Navarro, V., Assessment of the world health report 2000 (2007) Neoliberalism, Globalization and Inequalities: Consequences for Health and Quality of Life, pp. 441-450. , Vicente Navarro New York, Baywood Publishing; Payer, L., (1996) Medicine and Culture: Varieties of Treatment in the United States, England, West Germany and France, , New York, Owl Books; Petryna, A., Science and citizenship under postsocialism (2005) Anthropologies of Modernity: Foucault, Governmentality, and Life Politics, pp. 158-180. , Jonathan X. Inda (ed.) Malden, Blackwell Publishing; Petryna, A., Lakoff, A., Kleinman, A., (2006) Global Pharmaceuticals: Ethics, Markets, Practices, , Durham, Duke University Press; Rose, N., (2007) The Politics of Life Itself: Biomedicine, Power and Subjectivity in the Twenty-First Century, , New Jersey, Princeton University Press; Sanal, A., (2011) New Organs Within Us: Transplants and the Moral Economy, 2011, , Durham, Duke University Press; Terzioǧlu, A., Globalization, cancer and illness narratives: Transformation from conscientious/unconscientious patients to biological citizenship (2011) Neoliberalizm Ve Mahremiyet: Türkiye'de Beden, Saǧlik Ve Cinsellik [Neoliberalism and Intimacy: Body, Health and Sexuality in Turkey], pp. 111-132. , Cenk Özbay, Ayşecan Terzioǧlu and Yeşim Yasin (eds.) Istanbul, Metis Yayincilik; (2013) Liste des Hôpitaux Privés de la Turquie, , http://www.hastane.com.tr/ozel-hastaneler-listesi.html, H; Radikal, (2012) Système de Performance du Médecin, , http://www.radikal.com.tr/radikal.aspx?atype=radikalyazar&articleid= 1085655; Radikal, (2013) Loi du Coma À Temps Plein, , http://www.radikal.com.tr/turkiye/tam_gun_komasi-1131425; Sabah, (2012) Nombre de Touristes en Turquie, , http://www.sabah.com.tr/Turizm/2012/11/06/turkiyenin-turist-sayisi-artti; (2011) Tourisme et Santé, , http://www.saglik.gov.tr/SaglikTurizmi/belge/1-10592/turizm-ve-saglik. html, SB; (2013) Déclaration du Ministre de la Santé Aux Médecins et Aux Infirmières Étrangers, , http://www.saglikpersoneli.com.tr/bakanlik/saglikbakaninin-yabanci- doktor-ve-hemsire-aciklamasi-h6827.html, SP; (2013) Bulletin D'informations Destiné Aux Étrangers, , http://www.yabancilarhaber.com/?Syf=18&Hbr=241687, YH","Terzioǧlu, A.; Koç Üniversitesi, School of Nursing, Güzelbahçe Sk. No: 20 Nişantaşi, 34365 Istanboul, Turkey; email: ayterzioglu@ku.edu.tr",,,"Presses Universitaires de France, Departement des Revues",,,,,00462616,,,,"French","Ethnol. Fr.",Article,"Final",,Scopus,2-s2.0-84907326833 "de Lira Á.M., Espuny H.G., de Oliveira Costa Neto P.L., de Araujo Lopes R., de Oliveira J.A.","56349890300;56349993300;36665983800;56349927200;56349777600;","Health Tourism in Brazil: The City of Teresina Case",2014,"IFIP Advances in Information and Communication Technology","439","PART 2",,"579","586",,,"10.1007/978-3-662-44736-9_70","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906926230&doi=10.1007%2f978-3-662-44736-9_70&partnerID=40&md5=31d2c433ba4e847507b59720393d3055","Graduate Program in Production Engineering, Paulista University - UNIP, Dr. Bacelar St. 1212, São Paulo, SP, Brazil","de Lira, Á.M., Graduate Program in Production Engineering, Paulista University - UNIP, Dr. Bacelar St. 1212, São Paulo, SP, Brazil; Espuny, H.G., Graduate Program in Production Engineering, Paulista University - UNIP, Dr. Bacelar St. 1212, São Paulo, SP, Brazil; de Oliveira Costa Neto, P.L., Graduate Program in Production Engineering, Paulista University - UNIP, Dr. Bacelar St. 1212, São Paulo, SP, Brazil; de Araujo Lopes, R., Graduate Program in Production Engineering, Paulista University - UNIP, Dr. Bacelar St. 1212, São Paulo, SP, Brazil; de Oliveira, J.A., Graduate Program in Production Engineering, Paulista University - UNIP, Dr. Bacelar St. 1212, São Paulo, SP, Brazil","In recent years, the global growth of the economy contributed to the significant increase of tourism in the world, where the movement of foreign exchange earnings doubled in the last ten years, spreading its effects in Brazil, and particularly, growth in the Northeast region, globalization and other short term changes. This work aims to presents how a Brazilian state, among those with lower income per capita in the Federation, such as Piauí, has a health care system in its capital which is a benchmark in Northeastern Brazil, influencing positively health tourism in this regims. The research deals with issues involving tourism as a product and service, having as a result a cluster of health enterprises in the city of Teresina, whose economic expression justifies its importance as a generator of income, employment, science and technology and a promoter of sustainable development in that city. © IFIP International Federation for Information Processing 2014.","public health; sustainable development; tourism","Economics; Knowledge based systems; Planning; Public health; Sustainable development; Foreign exchange; Health tourisms; Health-care system; Northeast regions; Northeastern Brazil; Product and services; Science and Technology; tourism; Industrial management",,,,,,,,"Buccelli, D.O., Espuny, H.G., Cavaleiro, J.C., de Oliveira Costa Neto, P.L., de Araujo Lopes, R., Romano, S.M.V., Education mediated by technology: Strategy to spread high school learning in piauí state (2013) APMS 2013, 415, pp. 334-341. , brazil. In: Prabhu, V., Taisch, M., Kiritsis, D. (eds.), Part I.I. IFIP AICT, Springer, Heidelberg; (2011), WTO-World Tourism Organization-Fecomercio Tourism and Business Council, São Paulo (June; (2010), Teresina Municipality Agenda 2015 Review, Teresina; (2010), Sindhospi-Piauí Hospitals Syndicate; (2014), http://ethics.unwto.org/sites/all/files/docpdf/portugal.pdf, ESDT. Ethics and Social Dimensions of Tourism. TOURISM WORLD ETHICS CODE., (acessed: March 18; Vergara, S.C., (2010) Methods of Research In Management, , Atlas, São Paulo; Rudio, F.V., (2002) Introduction to The Scientific Research Project, , Petrópolis (RJ): Vozes; Wahab, S.-E.A., (2008) Introduction to Tourism Management, , São Paulo: Pioneira; Castelli, G., (2010) Hospitality: Innovation In Management In Service Organizations, , São Paulo: Saraiva; Dornelas, J.C.A., (2010) Entrepreneurship, , São Paulo: Elsevier; Olímpio, B.N., (1984) Introduction to Tourism Study, , São Paulo: Atlas; Arrilaga, J.I., (2004) Introduction to Tourism Study, , São Paulo: Atlas; Andrade, J.V., (2008) Tourism: Fundamentals and Dimensions, , São Paulo: Ática; Baptista, M., (2004) Tourism: Strategic Management, , São Paulo: Atlas; Lage, B.H.G., Milone, P.C., (2010) Economy of Tourism, , Campinas: Papirus; (2014), http://cnes.datasus.gov.br/Lista_Tot_Es_Municipio.asp?Estado=22&NomeEstado=P%CDAUI, Ministry of Health of Brazil National Register of Health Care Facilities, acessed: March 18; (2014), www:ftp://ftp.ibge.gov.br/Estimativas_de_Populacao/Estimativas_2013/populacoes_estimativas_municipios_TCU_31_10_2013.pdf, IBGE-Brazilian Institute of Geography and Statistics, acessed: March 18",,,"GdR MACS: CNRS Research Group on;IFIP WG 5.7 Advances in Production Management Systems;IODE: Res. Federation on Distributed Organizations Eng.;IRTES: Res. Institute on Transports, Energy and Society;Modelling and Analysis of Complex Systems","Springer New York LLC","IFIP WG 5.7 International Conference on Advances in Production Management Systems, APMS 2014","20 September 2014 through 24 September 2014","Ajaccio",107343,18684238,9783662447352,,,"English","IFIP Advances in Information and Communication Technology",Conference Paper,"Final",,Scopus,2-s2.0-84906926230 "Putit L., Yusof J.M., Khan N.R.M., Suki A.A.","41762608400;41662473500;56330267500;56331105800;","Conceptualizing medical tourists' adoption of destination choice behavior",2014,"Vision 2020: Sustainable Growth, Economic Development, and Global Competitiveness - Proceedings of the 23rd International Business Information Management Association Conference, IBIMA 2014","1",,,"1651","1659",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906235777&partnerID=40&md5=63d8831ba013ff3e8a3112ee00746343","Universiti Teknologi MARA, Selangor, Malaysia","Putit, L., Universiti Teknologi MARA, Selangor, Malaysia; Yusof, J.M., Universiti Teknologi MARA, Selangor, Malaysia; Khan, N.R.M., Universiti Teknologi MARA, Selangor, Malaysia; Suki, A.A., Universiti Teknologi MARA, Selangor, Malaysia","Recent years have witnessed the growth of medical tourism being explored by both researchers and industry practitioners alike. Equally increasing is the medical tourist demands for specific destination choice with regards to provision of 'Halal' (or permissible) medical care treatments. This paper aims to conceptually examine socio-psychological factors that may affect medical tourists' intention to adopt destination choice behavior. In particular, it attempts to investigate the extent to which tourists' attitude and perceived behavioral control influence their intention towards a preferred destination for 'Halal' medical care services. The study further seeks to determine potential significant linkages between tourists' perceived destination image, religiosity, and perceived behavioral control respectively. Using non-probability sampling, data collection would be carried out via distribution of self-administered survey questionnaires to targeted respondents within a progressively developing nation. Procedures for data analysis include utilization of Statistical Package for Social Sciences (SPSS) as well as structural equation modelling (SEM) approach in subsequent testing of the hypothesized relationships. Several contributions of this study are expected. Amongst others, it includes a proposed conceptual research framework on destination choice behavioral adoption in the medical tourism sector. The study is also expected to provide potential managerial implications towards better understanding of medical tourists' needs and acceptance of such preferred medical practices.","Attitude; Halal medical tourism; Intention; Perceived behavioral control","Competition; Information management; Probability distributions; Attitude; Conceptual research; Halal medical tourism; Intention; Managerial implications; Perceived behavioral control; Statistical packages; Structural equation modelling (SEM); Surveys",,,,,,,,"Ajzen, I., Fishbein, M., (1980) Understanding attitudes and predicting social behavior; Ajzen, I., From intentions to actions: A theory of planned behavior (1985) Action Control: From Cognition to Behavior, , J.K. Beckman (Ed.); Ajzen, I., Madden, J.T., Prediction of goal directed behavior: attitudes, intentions, and perceived behavioral control (1986) Journal of Experimental Psychology, 22, pp. 453-474; Ajzen, I., The theory of planned behavior (1991) Organization Behavior and Human Decision Processes, 50 (2), pp. 179-211; Ajzen, I., Attitudes (2001) Annual Review of Psychology, 52, pp. 27-58; Alam, S.S., Nazura, M.S., Applying the Theory of Planned Behavior (TPB) in Halal food purchasing (2011) International Journal of Commerce and Management, 21 (1), pp. 8-20; Alam, S.S., Rohani, M., Badrul, H., Is religiosity an important determinant on Muslim consumer behavior in Malaysia? (2011) Journal of Islamic Marketing, 2 (1), pp. 83-96; Alegre, J., Cladera, M., Analysing the effect of satisfac-tion and previous visits on tourist intentions to return (2009) Eu-ropean Journal of Marketing, 43 (5-6), pp. 670-685; Anuar, M.M., Adam, F., Omar, K., The role of religiosity in social responsible consumption (2012) International Journal of Asian Social Science, 2 (9), pp. 1467-1476; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave Macmillan Ltd, New York, NY; Connell, J., Medical Tourism: Sea, Sun, Sand and... Surgery (2006) Tourism Management, 27, pp. 1093-1100; Fishbein, M., Ajzen, I., (1975) Belief, attitude, intention and behavior: An introduction to theory and research; Gan, L., Frederick, J., (2011) Consumers' Attitudes toward Medical Tourism, , Available at SSRN 1837062; Henderson, J.C., Managing Tourism and Islam in Peninsular Malaysia (2003) Tourism Management, 24, pp. 447-456; Horowitz, M.D., Rosensweig, J.A., Medical tourism-health care in the global economy (2007) Physician Executive, 33 (3). , 24-26+28-30; Huang, Y.C., (2009) Examining the Antecedents of Behavioral Intentions in a Tourism Context, , (Doctoral dissertation, Texas A&M University); Hume, L.F., Demicco, F.J., Bringing hotels to healthcare (2007) Journal of Quality Assurance in Hospitality & Tourism, 8 (1), pp. 75-84; Kotler, P., Consumer market and consumer behavior (2000), Principles of Marketing, 8th ed. Prentice-Hall, Upper Saddle River, NJ; Kuhl, J., Beckmann, J., Action Control from Cognition to Behavior (1985), Berlin:Springer-Verlag; Swan, J., Disconfirmation of expectations and satisfaction with a retail service (1981) Journal of Retailing, 57 (3), pp. 49-66; Lada, S., Tanakinjal, G.H., Amin, H., Predicting intention to choosehalalproducts using theory of reasoned action (2009) International Journal of Islamic and Middle Eastern Finance and Management, 2 (1), pp. 66-75; Lam, T., Hsu, C.H., Predicting behavioral intention of choosing a travel destination (2006) Tourism Management, 27 (4), pp. 589-599; Martin David, S., Zo, R., Martin Warren, S., MEDTOUR: a scale for measuring medical tourism intentions (2011) Tourism Review, 66 (1), pp. 45-56; Milman, A., Pizam, A., The role of awareness and familiarity with a destination: The Central Florida case (1995) Journal of Travel Research, 33 (3), pp. 21-27; Mokhlis, S., Relevancy and measurement of religiosity in consumer behavior research (2009) International Business Research, 2 (3), pp. 75-84; Mukhtar, A., Butt, M.M., Intention to chooseHalalproducts: the role of religiosity (2012) Journal of Islamic Marketing, 3 (2), pp. 108-120; Musa, R., Putit, L., Naziman, Y.H.N.M., Husin, N., Investigating the impact of destination image on Total Tourists' Experience (TTE) and destination loyalty: Using structural equation modelling approach (2011) Business, Engineering and Industrial Applications (ICBEIA), pp. 160-164. , June, 2011 International Conference on, IEEE; Ian, P., Tekle, S., Neema, D., Destination image and choice intention of university student travellers to Mauritius (2010) International Journal of Contemporary Hospitality Management, 22 (5), pp. 758-764; Putit, L., Examining Consumers' E-Transaction Behaviour: An Exploratory Study (2008) Journal of Human Capital Development, 1 (1). , June-December 2008, Universiti Teknikal Malaysia Melaka Publication; 1SSN 1985-7012; Putit, L., (2009) Socio-Psychological Drivers of Internet Transaction Behaviour: An Empirical Analysis, Australian and New Zealand Marketing Academy (ANZMAC) 2009 Conference, , 30th November-2nd December 2009, Melbourne, Australia, ISBN No: 1 86308 158 5; Reza Jalilvand, M., Samiei, N., Dini, B., Yaghoubi Manzari, P., Examining the structural relationships of electronic word of mouth, destination image, tourist attitude toward destination and travel intention: An integrated approach (2012) Journal of Destination Marketing & Management, 1 (1), pp. 134-143; Rahman, R.A., Mohamed, Z., Rezai, G., Nasir, S.M.N., Sharifuddin, J., (2012) Intention towards Adopting Malaysian Halal Logo among OIC Food Manufacturers, , UMT 11th International Annual Symposium on Sustainability Science and Management 09th-11th July 2012; Snepenger, D., Snepenger, M., Information search by pleasure travelers (1993) Encyclopedia of hospitality and tourism, pp. 830-835. , Kahn, M.A. et al. (Eds.), Van Nostrand Reinhold: New York; Sun, X., Geng-Qing Chi, C., Xu, H., Developing destination loyalty: The case of Hainan island Annals of Tourism Research, 43, pp. 547-577. , October 2013; Voigt, C., Laing, J., Wray, M., Brown, G., Howat, G., Weiler, B., Trembath, R., (2010) Health tourism in Australia: Supply, Demand and Opportunities, , CRC for Sustainable Tourism Pty Ltd; Young, M.R., DeSarbo, W.S., Morwitz, V.G., The Stochastic Modeling of Purchase Intentions and Behavior (1998) Management Science, 44 (2), pp. 188-202",,,"","International Business Information Management Association, IBIMA","23rd International Business Information Management Association Conference, IBIMA 2014","13 May 2014 through 14 May 2014","Valencia",107075,,9780986041921,,,"English","Vis.: Sustain. Growth, Econ. Dev.,Glob. Compet. - Proc. Int. Bus. Inf. Manag. Assoc. Conf., IBIMA",Conference Paper,"Final",,Scopus,2-s2.0-84906235777 "Levaggi L., Levaggi R.","6507609832;6602186868;","Patients' mobility across borders: a welfare analysis.",2014,"Developments in health economics and public policy","12",,,"179","200",,,"10.1007/978-88-470-5480-6_8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902653669&doi=10.1007%2f978-88-470-5480-6_8&partnerID=40&md5=a4f15ad922f47e0d3c6a42a95415a118",,"Levaggi, L.; Levaggi, R.","Welfare systems are designed on geographical and membership boundaries. In terms of access to health care this implies that, as a general rule, only individuals residing in their national territory can obtain health care from providers located there. However, in the past few years medical tourism has grown at an explosive pace throughout the world and in Europe. Each year in fact a small, but significant number of European citizens seek medical treatment that is financed by their public insurer in another EU country. From an economic point of view, it is important to distinguish between the two following sources of patients' mobility: a regulated mobility, where the third payer decides to send patients abroad and patients' choice, where the patient himself decides to seek care abroad. In this article we show how the combined effect of restrictions to the use of health care, transfer prices, and mobility rules determine social welfare and its allocation between Regions. The results are quite interesting: if the price set for these patients is equal to the marginal cost of the more efficient Region, patients' mobility should be preferred to patients' choice. On the other hand, if the price is equal to the marginal cost of the less efficient Region, patient choice should be preferred. The other interesting result is a possible trade off between a static model where each Region chooses its level of cost/effectiveness and a more long-term situation, where patient mobility determines a common level for this parameter.",,"article; economics; European Union; health care delivery; human; medical tourism; patient preference; social welfare; Delivery of Health Care; European Union; Humans; Medical Tourism; Patient Preference; Social Welfare",,,,,,,,,"Levaggi, L.",,,,,,,,09274987,,,"24864387","English","Dev Health Econ Public Policy",Article,"Final",,Scopus,2-s2.0-84902653669 "Golikova O.M., Ilkevich S.V.","56073947400;56028209600;","Children's health tourism: A strategic analysis of Russia's competitive position",2014,"World Applied Sciences Journal","30","30",,"82","83",,,"10.5829/idosi.wasj.2014.30.mett.35","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84896481401&doi=10.5829%2fidosi.wasj.2014.30.mett.35&partnerID=40&md5=f759c0188592a4e08e6ff4d7fc056a0c","Russian State University of Tourism and Service, Cherkizovo, Pushkinski District, Moscow Region, Russian Federation","Golikova, O.M., Russian State University of Tourism and Service, Cherkizovo, Pushkinski District, Moscow Region, Russian Federation; Ilkevich, S.V., Russian State University of Tourism and Service, Cherkizovo, Pushkinski District, Moscow Region, Russian Federation","Children's health tourism market is a growing industry with some specific development issues. There are debates even about the right definition and boundaries of this type of tourism, not to mention the absence of a clear indication in the Russian legislation. It is a highly competitive market, with several prominent destinations within Russia and near abroad competing for Russian tourists. This paper suggests a closer look at some aspects of supply, choice motivation, pricing, development and strategy with regards to a number of destinations in Russia, Ukraine, several countries of Eastern Europe and Asia. Some areas for further studies and strategic considerations are suggested. © IDOSI Publications, 2014.","Children's health camps; Children's tourism; Health tourism",,,,,,,,,"Morozov, M.A., A marketing study of Russian market of children's tourism (2010) Marketing in Russia and Abroad, 4 (4); Maslakova, E.A., (2009) Management of children's tourism development under the new economic conditions, , PhD thesis, Russian State University of Management, Moscow; Novikova, N.G., Sakharchuk, E.S., Ilkevich, S.V., The Factors of Russia's Low Competitiveness as a Medical Tourism Destination (2013) World Applied Sciences Journal, 27 (27), pp. 251-255; Cullingford, C., Children's attitudes to holidays overseas (1995) Tourism Management, 16 (2), pp. 121-127; Carr, N., (2010) Children's and families' holiday experience., p. 210. , UK: Abingdon, Routledge, Taylor & Francis; Voronkova, L.V., The system of personnel training for children's health camp (2009) Proceedings of the 6 international conference ""Higher Education for 21st Century"", pp. 32-39. , In the Moscow","Golikova, O. M.; Russian State University of Tourism and Service, Cherkizovo, Pushkinski District, Moscow Region, Russian Federation",,,"International Digital Organization for Scientific Information",,,,,18184952,,,,"English","World Appl. Sci. J.",Article,"Final",,Scopus,2-s2.0-84896481401 [No author name available],[No author id available],"Charging migrants in bid to prevent 'health tourism' branded unethical.",2014,"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","28","19",,"12","",,,"10.7748/ns2014.01.28.19.12.s14","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894619909&doi=10.7748%2fns2014.01.28.19.12.s14&partnerID=40&md5=698c9bd69c1478a6b34ef6c876317474",,"",[No abstract available],,"economics; ethics; human; medical tourism; migration; national health service; note; nurse attitude; United Kingdom; Great Britain; Humans; Medical Tourism; Nurse's Role; State Medicine; Transients and Migrants",,,,,,,,,,,,,,,,,00296570,,,"24397640","English","Nurs Stand",Note,"Final",,Scopus,2-s2.0-84894619909 "Ractham P., Chen C., Nakayama M.","14036025900;7501949741;7401792580;","The trust in online discussion forums and how they influence patients' intention to adopt medical tourism services",2013,"ICETE 2013 - 10th Int. Joint Conf. on E-Business and Telecommunications; 4th Int. Conf. DCNET 2013, - 10th Int. Conf. on ICE-B 2013 and OPTICS 2013 - 4th Int. Conf. on Optical Communication Systems",,,,"298","305",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84887720887&partnerID=40&md5=bb9ff7a7bcd0751d2c6ec0910a3b1153","Thammasat Business School, Thammasat University, 2 Prachan Street, Barommaharatchawang, Bangkok, Thailand; Walker College of Business, Appalachian State University, 416 Howard Street, Boone, NC, United States; School of Computing, DePaul University, 243 South Wabash Avenue, Chicago, IL, United States","Ractham, P., Thammasat Business School, Thammasat University, 2 Prachan Street, Barommaharatchawang, Bangkok, Thailand; Chen, C., Walker College of Business, Appalachian State University, 416 Howard Street, Boone, NC, United States; Nakayama, M., School of Computing, DePaul University, 243 South Wabash Avenue, Chicago, IL, United States","Demand for medical tourism services originates from lack of health care options locally, increasingly healthcare cost, and improvements in healthcare quality in other countries. Many potential users are anxious about the quality of doctor and facility, as well as other issues (e.g. language barriers, confusion about procedure, and legality). As a result, many potential medical tourists rely on the use of online discussion forums in the decision-making process by seeking useful information and interacting with members who experienced or have the same needs for care abroad. A survey is conducted to collect data from 223 discussion threads in top 3 online discussion forums ranked by 80 participants. Data analysis results show that trust in the use of online discussion forums can help foster trust in hospital and doctor, it has no direct influence on their intention to adopt medical tourism services. Improving trust in doctoral and hospital cannot necessarily help increase the intention of users to adopt these services. Future research may want to seek other important factors such as social influence to help increase the intention of users in adopting medical tourism services. Copyright © 2013 SCITEPRESS.","Face-to-face (f2f) communication; Medical tourism services; Trust","Decision making process; Health care costs; Healthcare quality; Language barriers; Online discussion forums; Social influence; Tourism services; Trust; Communication systems; Electronic commerce; Health care; Hospitals; Surveys; Online systems",,,,,,,,"Andio Freire, N., The emergent medical tourism: Advantages and disadvantages of the medical treatments abroad (2012) International Business Research, 5 (2), pp. 41-50; Bem, D.J., Self-perception theory (1972) Advances in Experimental Social Psychology, 6, pp. 1-62. , L. Berkowitz (Ed.), New York: Academic Press; Biggs, M., Self-fulfilling prophecies (2009) The Oxford Handbook of Analytical Sociology, pp. 294-314. , P. Hedström & P. Bearman (Eds.), New York: Oxford University Press; Blanchard, A.L., Markus, M.L., The experienced sense of virtual community: Characteristics and processes (2004) The DATABASE for Advances in Information Systems, 35 (1). , Winter 2004; Brown, H.G., Poole, M.S., Rodgers, T.L., Interpersonal traits, complementarity, and trust in virtual collaboration (2004) Journal of Management Information Systems, 20 (4); Chin, W., Issues and opinion on structural equation modeling (1998) MIS Quarterly, 22 (1), pp. 7-16; Chin, W., Marcolin, B., Newsted, P., A partial least squares latent variable modeling approach for measuring interaction effects: Results from a monte carlo simulation study and an electronic mail adoption study (2003) Information Systems Research, 14 (2), pp. 189-217; Coefficient alpha and the internal structure of tests (1951) Psychometrika, 16, pp. 297-334. , Cronbach; Doney, P.M., Cannon, J.P., An examination of the nature of trust in buyer-seller relationships (1997) Journal of Marketing, 61 (2), pp. 35-51; Everard, A., Galletta, D.F., How presentation flaws affect perceived site quality, trust, andintention to purchase from an online store (2005) Journal of Management of Information Systems, 22 (3), pp. 55-95; Fogg, B.J., Soohoo, C., Danielson, D., Marable, L., Stanford, J., Tauber, E.R., (2002) How do People Evaluate a Web Site's Credibility?, , Results from a large study: Stanford University, Consumer WebWatch, Sliced Bread Design, LLC; Fornell, C., Larcker, V.F., Evaluating structural equation models with unobservable variables and measurement error (1981) Journal of Marketing Research, 18 (1), pp. 39-50; Gambetta, D., (2000) Can We Trust Trust?, , Gambetta, Diego (ed.) Trust; Making and Breaking Cooperative Relations, pp. 213-237. , http://www.sociology.ox.ac.uk/papers/gambetta213-237.pdf, electronic edition, Department of Sociology, University of Oxford, chapter 13; George, D., Mallery, P., (2003) SPSS for Windows Step by Step: A Simple Guide and Reference. 11.0, , update (4th ed.), Boston, M.A.: Allyn & Bacon; Guiry, M., Vequist, D.G., Traveling abroad for medical care: U.s. Medical tourists' expectations and perceptions of service quality (2011) Health Marketing Quarterly, 28 (3), pp. 253-269; Huang, H., Tsai, C., Wang, C., The relationships among social capital, health promotion, and job satisfaction at hospitals in Taiwan (2012) Social Behavior & Personality: An International Journal, 40 (7), pp. 1201-1211; Hwang, A., Francesco, A.M., The influence of individualism-collectivism and power distance on use of feedback channels and consequences for learning (2010) Academy of Management Learning & Education, 9 (2), pp. 243-257; Jarvenpaa, Leidner, Communication and trust in global virtual teams, organization science (1999) Special Issue: Communication Processes for Virtual Organizations, 10 (6), pp. 791-815. , Sirkka Jarvenpaa and Dorothy E. Leidner; Johnston, R., Crooks, V.A., Snyder, J., I didn't even know what i was looking for"": A qualitative study of the decision-making processes of canadian medical tourists (2012) Globalization & Health, 8 (1), pp. 23-34; Leimeister, J.M., Ebner, W., Kremar, H., Design, implementation, and evaluation of trust-supporting components in virtual communities for patients (2005) Journal of Management Information Systems, 21 (4), pp. 101-135; McKnight, D.H., Choudhury, V., Kacmar, C., Developing and validating trust measures for e-commerce: An integrative typology (2002) Information Systems Research, 13 (3), pp. 334-359; Moorman, C., Deshpande, R., Zaltman, G., Factors affecting trust in market research relationships (1993) Journal of Marketing, 57, pp. 81-102. , (21 Jan); Nohria, N., Eccles, R., Face-to-face: Making network organizations work (1992) Networks and Organizations: Structure, Form, and Action, pp. 288-308. , N. Nohria & R. Eccles (Eds.), Harvard Business School Press; Peppers, D., Rogers, M., (1997) Enterprise One to One: Tools for Competing the Interactive Age, , New York: Currency Doubleday; Ren, Y., Harper, F.M., Drenner, S., Terveen, L., Kiesler, S., Riedl, J., Kraut, R.E., Building member attachment in online communities: Applying theories of group identity and interpersonal bonds (2012) MIS Quarterly, 36 (3), pp. 841-864; Salisbury, W.D., Pearson, R.A., Pearson, A.W., Miller, D.W., 'Perceived security and worldwide web purchase intention (2001) Industrial Management & Data Systems, 101 (4), pp. 165-177; Sirdeshmukh, D., Singh, J., Sabol, B., Consumer trust, value, and loyalty in relational exchanges (2002) Journal of Marketing, 66 (1), pp. 15-37; Smith, A.K., Health care bargains abroad (2012) Kiplinger's Personal Finance, 66 (1), pp. 65-68; Straub, D.W., Loch, W., Aristo, R., Karahanna, E., Strite, M., Toward a theory-based measurement of culture (2002) Journal of Global Information Management, 10 (1), pp. 13-23; Suki, N.M., Assessing patient satisfaction, trust, commitment, loyalty and doctors' reputation towards doctor services (2011) Pakistan Journal of Medical Sciences, 27 (5), pp. 1207-1210; Tang, L., The influences of patient's satisfaction with medical service delivery, assessment of medical service, and trust in health delivery system on patient's life satisfaction in China (2012) Health & Quality of Life Outcomes, 10 (1), pp. 111-123; Wixom, B.H., Watson, H.J., An empirical investigation of the factors affecting data warehousing success (2001) MIS Quarterly, 25 (1), pp. 17-41; Yee, N., Bailenson, J.N., Ducheneaut, N., The proteus effect: Implications of transformed digital selfrepresentation on online and offline behavior (2009) Communication Research, 36, pp. 285-312; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among chinese, japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88. , http://dx.doi.org/10.1016/j.tourman.2011.02.002, doi","Thammasat Business School, Thammasat University, 2 Prachan Street, Barommaharatchawang, Bangkok, Thailand",,"Institute for Systems and Technologies of;Information, Control and Communication (INSTICC);Object Management Group (OMG)",,"4th Int. Conf. on Data Communication Networking, DCNET 2013, 10th Int. Conf. on e-Business, ICE-B 2013 and 4th Int. Conf. on Optical Communication Systems, OPTICS 2013 - Part of 10th Int. Joint Conf. on E-Business and Telecommunications, ICETE 2013","29 July 2013 through 31 July 2013","Reykjavik",100808,,9789898565723,,,"English","ICETE - Int. Jt. Conf. E-Bus. Telecommun.; DCNET - Int. Conf. Data Commun. Networking, ICE-B - Int. Conf. e-Bus. OPTICS - Int",Conference Paper,"Final",,Scopus,2-s2.0-84887720887 "Milicevic S., Milutinovic S., Podovac M.","55683750700;55916504800;55915907100;","Wellness tourism in fuction of directing changes in Serbian SPA tourism",2013,"Metalurgia International","18","8",,"75","79",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84887104592&partnerID=40&md5=79b2a9654f87401d1f1c65c5e784827e","University of Kragujevac, Serbia","Milicevic, S., University of Kragujevac, Serbia; Milutinovic, S., University of Kragujevac, Serbia; Podovac, M., University of Kragujevac, Serbia","Wellness tourism represents popular trend on the contemporary tourism market. Millions of tourists travel to destinations all over the world every day, with one goal - to preserve and improve their mental and physical health. Tourism mrket is characterised by intensive changes, so the task of the tourist destinations' management is to follow those changes vigilantly, in order to be able to adjust their offer to the current trends. The survival on the tourism market implies creating competitive advantage by predicting, adjusting and adequate change management. In that way the creation of integral tourism product is achieved, which will meet the needs of the contemporary customers, who are becoming more demanding and sophisticated. Because of the big changes in the demands of the visitors in the last twenty years, great number of spas shifted their focus from the classical activities to the recreative activities and preventive forms of medicine, i.e. wellness elements, which have become important, if not the most important part of the offer. In that way spas are not just health resorts or rehabilitation centers, but modern spa destitations where healthy people come too, with the motives of prevention in health care.The aim of this paper is to present the formation, development and importance of wellness in the contemporary offer of tourist destinations, as well as its implementation in Serbian spas' programs. Wellness was formed as a result of managing changes on the tourism market. Wellness tourism, as global phenomenon of the 21st century, has become an imperative for the successful development of spa destinations. Serbian spas have remarkable, but unused potential, so what is needed is educated staff from the sphere of management, that will develop competitive health-tourism product in accordance with modern trends, by following the changes on the tourism market.","Management; Serbian spas; Wellness concept; Wellness tourism","Change management; Competitive advantage; Managing changes; Physical health; Serbian spas; Tourist destinations; Wellness concept; Wellness tourism; Commerce; Competition; Management; Health",,,,,,,,"http://www.who.int/about/definition/en/print.html, (downloaded 2013, february); Dunn, H.L., High-Level Wellness for man and society (1959) American Journal of Public Health, 49 (6), pp. 786-792. , (june), ISSN 0090-0036; Smith, M., Puczko, L., (2009) Health and wellness tourism, , B-H Elsevier, ISBN 978-0-7506-8343-2, Oxford; http://www.fitness.com.hr/lifestyle/ljepota/Wellness.aspx, (downloaded 2013, february); Myers, J.E., Sweeney, T.J., Witmer, M., Wellness Evaluation of Lifestyle A holistic model of wellness, , http://www.mindgarden.com/products/wells.htm, (downloaded 2013, february); Saracci, R., The world health organisation needs to reconsider its definition of health (1997) BMJ-British Medical Journal Publishing Group Ltd., 314 (7091), pp. 1409-1410. , http://www.bmj.com/content/314/7091/1409, (may), ISSN 09598138, ISBN 095981 (downloaded 2013, february); Smith, M., Global Trends in Health and Wellness Tourism, , http://www.slovenia.info/pictures%5CTB_board%5Catachments_1%5C2011%5CMelanie_Smith_12001.pdf, (downloaded 2013, february); http://www.kneipp.com/kneipp_philosophy.html, (downloaded 2012, december); Spas and the Global Wellness Market: Synergies and Opportunities, , http://www.globalspaandwellnesssummit.org/images/stories/pdf/gss_sri_spasandwellnessreport_rev_82010.pdf, Global Spa Summit: (downloaded 2012, december); Adams, T.B., The Power of Perceptions: Measuring Wellness in a Globally Acceptable (2006) Philosophically Consistent Way, Wellness Management, 31 (1), pp. 1-4. , (taken from M. Smith, C. Kelly: Wellness Tourism, Tourism recreation research, ISSN 0250-8281); www.nationalwellness.org/resource/resmgr/docs/sixdimensionsfactsheet.pdf, (downloaded 2013, january); Smith, M., Kelly, C., Wellness Tourism (2006) Tourism recreation research, 31 (1), pp. 1-4. , ISSN 0250-8281; Mueller, H., Kaufmann, L.E., Wellness Tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-17. , ISSN 1356-7667; (2005) Faculty of Economics Belgrade: Strategija razvoja turizma Srbije, , Horwath Consulting Zagreb, The first phase report, Belgrade; Cleaver, M., Muller, T., The socially aware baby boomer: Gaining a lifestyle-based understanding of the new wave of ecotourists (2002) Journal of Sustainable Tourism, 10 (3), pp. 173-190. , ISSN 0966-9582; http://www.espa-ehv.eu/glossary/, (downloaded 2013. january); www.srbija.travel/destinacije/banje-i-klimatska-mesta/?lng=cir, (downloaded 2013. january); Statistički godišnjak Republike Srbije 2012, , Statistical Office of the Republic of Serbia; Scopel, E., (2011) Banjski turizam, at the seminar of Management and Reconstruction in Serbian spas, , The Italian Chamber of Foreign Trade, European Forum, Megatrend University Belgrade, Belgrade","Milicevic, S.; University of KragujevacSerbia; email: snezana.milicevic@kg.ac.rs",,,,,,,,15822214,,,,"English","Metal. Int.",Article,"Final",,Scopus,2-s2.0-84887104592 "Jolly R.","24556323200;","The english patient and the Italian risorgimento: Medical tourism and the body politic in giovanni ruffini's doctor Antonio (1855)",2013,"Journal of Victorian Culture","18","3",,"387","405",,,"10.1080/13555502.2013.828389","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886619558&doi=10.1080%2f13555502.2013.828389&partnerID=40&md5=3d870cf49ea12a3c3b8d6102e88ea08b","University of New South Wales, Australia","Jolly, R., University of New South Wales, Australia",[No abstract available],"Anglo-Italian relations; Italian Risorgimento; Literature and medicine; Nineteenth century fiction",,,,,,,,,"Young, D., (1886) Rome in Winter and the Tuscan Hills in Summer: A Contribution to the Climate Of, p. 262. , Italy London: H. K. Lewis; Young, Rome in Winter, pp. 279-280; Christensen, A.C., (1996) A European Version of Victorian Fiction: The Novels of Giovanni Ruffini, pp. 11-14. , Amsterdam: Rodopi; Christensen, Ruffini, G., Antonio, D., (1984), 12, pp. 133-151. , Italian and English Contributions to a Myth of Exile', Browning Institute Studies pp.139, 143, 146; Antonio, D., (1855) Literary Gazette, pp. 727-729. , November p.727; Lettres, B., (1856) Westminster Review, pp. 290-312. , January p.299; Antonio, D., (1856) New Quarterly Review, 5 (17), pp. 62-64. , January p.62; Christensen, Giovanni Ruffini, p. 144; Christensen, Giovanni Ruffini, 138, pp. 144-147. , For further development of these ideas, and a useful account of their place in Italian critical responses to Ruffini; Isabella, M., (2009) Risorgimento in Exile: Italian Emigrés and the Liberal International in the Post-Napoleonic Era, pp. 186-212. , Oxford: Oxford University Press; Harry, W., Rudman, (1940) Italian Nationalism and English Letters: Figures of the Risorgimento and Victorian Men of Letters, pp. 222-227. , London: Allen & Unwin 235-39; Rudman, , p. 225; Fiction, L., Section of Rudman's Bibliography, 14, pp. 423-424. , Belles Lettres', p.299; Antonio, D., (1855) The Critic, pp. 580-581. , December p.580; Browning, E.B., (1906) The Poetical Works of Elizabeth Barrett Browning, pp. 322-351. , Casa Guidi Windows' in Frederick G. Kenyon London: Smith, Elder 17; Justice, N., (1851) Edinburgh Review, pp. 490-526. , October p.516; Gladstone, W.E., (1851) Two Letters to the Earl of Aberdeen, on the State Prosecutions of the Neapolitan Government, p. 4. , London: John Murray; Lacaita, C., (1933) An Italian Englishman: Sir James Lacaita, K.C.M.G, 1813-1895, p. 25. , London: Grant Richards 29; Gladstone, Two letters, p.31; W.E. Gladstone (1852) An Examination of the Official Reply of the Neapolitan Government, p. 21. , London: John Murray; , p. 495. , Neapolitan Justice; Ricks, C., (1969) The Poems of Tennyson, , London: Longmans, Green p.1002 and n; Schreuder, D.M., (1970) Gladstone and Italian Unification, 1848-70: The Making of A Liberal', the English Historical Review, 85, pp. 475-501. , pp.480-81, 498-99; Schreuder, p.483; Gladstone, Two Letters, p. 8; An Examination, p. 21; Gladstone, An Examination, 48, p. 25; Dicey, A.V., (1982) Introduction to the Study of the Law of the Constitution 8th Ed, 1915, pp. 107-122. , Indianapolis: Liberty Fund 152-56; Antonio, D., (1855) Eclectic Review, , November 619; Gladstone, An Examination, p. 8. , 31; An Italian idyll and iliad (1855) Tait's Edinburgh Magazine, pp. 683-690. , November p.689; Pemble, J., (1998) The Mediterranean Passion: Victorians and Edwardians in the South, p. 99. , Oxford: OUP; Christensen, A European Version, p. 114. , 11; Clarke, J., (1841) The Sanative Influence of Climate: With An Account of the Best Places of Resort for Invalids in England, the South of Europe, &c., 3rd Ed, p. 10. , London: JohnMurray; Burgess, T., Comments on the inutility of resorting to the italian climate for the cure of pulmonary consumption, No.I (1850) The Lancet, pp. 591-594. , May p.592; Pollock, J.E., Considerations on the climate of italy, with reference to the treatment of chronic disease (1850) London Medical Gazette, 11, pp. 963-966. , 1015-19 p.965; Climate climatology (1862) The Literary Gazette, pp. 19-20. , January p.20; Aword to invalids (1874) Chambers's Journal, pp. 660-662. , October p.661; Burgess, Comments i, p. 593; Copland, J., (1858) A Dictionary of Practical Medicine, 1, p. 343. , 3 vols London: Longman, Brown, Green, Longmans, & Roberts; Scoresby-Jackson, R.E., (1862) Medical Climatology; Or, A Topographical and Meteorological Description of the Localities Resorted to in Winter and Summer by Invalids of Various Classes, Both at Home and Abroad, p. 17. , London: John Churchill 48; Copland 3, p.1049; Forbes, J., (1857) Nature and Art in the Cure of Disease, p. 163. , London: John Churchill 171; Forbes, pp.263-64; Pollock, Odds and ends from the old world (1859) Atlantic Monthly, 48, pp. 1015-1019. , April 423-29 (p.426). 49; 'Odds and Ends', pp.423, 426, 428; Our library table (1855) Athenaeum, pp. 1400-1401. , December p.1401; Antonio, D., New Quarterly Review, p. 62. , 64; Hunt, L., To poerio and his fellow-patriots' in the poetical works of leigh hunt (1860) Thornton Hunt, , Rudman, pp.264-66 London and New York: Routledge,Warne, and Routledge 241-42; Villari, L., (1881) Giovanni Ruffini, , The Academy Nov 383; Clarke, p.214; Burgess, Comments on the inutility of resorting to the italian climate for the cure of pulmonary consumption, No. II (1850) The Lancet, pp. 10-12. , July p.11; (1870) The Riviera: Pen and Pencil Sketches from Cannes to Genoa, p. 53. , The Dean of Canterbury [Henry Alford] London: Bell & Daldry; Hassall, A.H., (1879) San Remo and the Western Riviera Climatically and Medically Considered, p. 127. , London: Longmans, Green; Lindsay, J.A., Climate as a therapeutic agent in phthisis; With an account of the chief sanatoria for phthisis at home and abroad (1887) The Lancet, pp. 871-873. , April p.872; Antonio, D., (1864) Macmillan'Smagazine, 11, pp. 374-387. , Sanremo Revisited 376; Sanremo Revisited', p.381; Sanremo Revisited', pp.383, 387; Life at nice (1860) Fraser's Magazine, pp. 844-860. , E. H. M. June p.855; Bordighera a newwinter home (1865) Once AWeek, pp. 625-627. , H. S. November p.625; (1889) Sunday at Home, pp. 24-28. , A Home on the Riviera November p.24; Miller, A.W., Bordighera: Past and present (1900) Westminster Review, pp. 48-57. , July pp.56-57; Alford, H., (1865) Letters from Abroad, p. 16. , London: Alexander Strahan Our first day's journey took us over ground made almost classical by Ruffini's beautiful story of Doctor Antonio.'; Trevelyan, G.M., (1909) Garibaldi and the Thousand, , London: Longmans, Green p.26","Jolly, R.; University of New South WalesAustralia; email: r.jolly@unsw.edu.au",,,,,,,,13555502,,,,"English","J. Vic. Cult.",Review,"Final",,Scopus,2-s2.0-84886619558 "Tsai H.-Y., Wu C.-R., Lu S.J., Huang T.-Y.","35777160400;57209794751;55668639000;55668389600;","Developing a business model for medical tourism alliance of Taiwanese hospitals by analytic hierarchy process",2013,"Advanced Science Letters","19","9",,"2803","2806",,,"10.1166/asl.2013.5020","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84876866554&doi=10.1166%2fasl.2013.5020&partnerID=40&md5=669f8cbbd7e99df6f1701c34de3e38c3","Department of Hospitality, Toko University, Chiayi County 61363, Taiwan; Department of Leisure Recreation and Travel Management, Toko University, Chiayi County 61363, Taiwan; Department of Shipping and Transportation Management, National Taiwan Ocean University, 2 Pei-Ning Road, Keelung, 20224, Taiwan; Department and Graduate Institute of Business Administration, Yuanpei University, 306 Yuanpei Street, Hsin Chu 30015, Taiwan","Tsai, H.-Y., Department of Hospitality, Toko University, Chiayi County 61363, Taiwan; Wu, C.-R., Department of Leisure Recreation and Travel Management, Toko University, Chiayi County 61363, Taiwan; Lu, S.J., Department of Shipping and Transportation Management, National Taiwan Ocean University, 2 Pei-Ning Road, Keelung, 20224, Taiwan; Huang, T.-Y., Department and Graduate Institute of Business Administration, Yuanpei University, 306 Yuanpei Street, Hsin Chu 30015, Taiwan","At a time when international medical tourism is prospering, our government has planned to foster the international medical industry as one of six key industries that will hopefully make Taiwan more competitive. Consequently, almost 30 hospitals have invested in the international medical industry and have been evaluated by the Department of Health. This paper attempts to select the best medical tourism alliance model by examining the perspectives of hospital operators in Taiwan. The study presents an evaluation model based on the analytic hierarchy process (AHP). Sensitivity analysis is performed in detail by varying the objective factor decision weight, the priority weight of subjective factors, and the gain factors. Adopted herein is the renowned BOCR model, which influences how competitive advantages especially with respect to developing and evaluating the objectives of optimal medical tourism alliance selection are related in order to devise a standardised operational procedure. In addition to a literature review and interviews with experts, this study adopts the modified Delphi method and AHP in order to develop an evaluation method for selecting the optimal medical tourism alliance in Taiwan to determine its effectiveness. Finally, we found that the expert is preferred over the Health Management Company. The proposed evaluation criterion provides a valuable reference for determining the optimal alliance structure for Taiwan's emerging medical tourism sector and provides high-level management of hospital institutions, government supervisors, and academicians with recommendations for future development. © 2013 American Scientific Publishers All rights reserved.","Business model; Medical tourism alliance",,,,,,,,,"Hsu, P.F., Wu, C.R., Li, Y.T., (2008) Waste Manage., 28, p. 1386; Korhonen, P., Voutilainen, R., (2006) Eur. J. Oper. Res., 175, p. 1285; Murry, J.W., Hammons, J.O., (1995) Rev. High. Educ., 18, p. 423; Saaty, T.L., (1980) The Analytic Hierarchy Process, , McGraw Hill, Inc., Boston; Wu, C.R., Chang, C.W., Lin, H.L., (2008) Qual. Quant., 42, p. 283; Wu, C.R., Lin, C.T., Chen, H.C., (2007) Build. Environ., 42, p. 1431; Wu, C.R., Lin, C.T., Lin, Y.F., (2009) Expert. Syst. Appl., 36, p. 3623; Wu, C.R., Lin, C.T., Tsai, P.H., (2010) Eur. J. Oper. Res., 207, p. 971; William, B., Zacharia, L., (2007) Math. Comput. Model., 46, p. 1144","Tsai, H.-Y.; Department of Hospitality, Toko University, Chiayi County 61363, Taiwan",,,,,,,,19366612,,,,"English","Adv. Sci. Lett.",Review,"Final",,Scopus,2-s2.0-84876866554 "Zhu Z., Cao Z., Zeng D.D.","55814204100;7402432208;7102694556;","An analysis of Beijing HFMD patients mobility pattern during seeking treatment",2013,"Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)","8040 LNCS",,,"24","30",,,"10.1007/978-3-642-39844-5_4","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84881144027&doi=10.1007%2f978-3-642-39844-5_4&partnerID=40&md5=43e0c6e1120396e980092cbc93c80eaf","State Key Lab. of Intelligent Control and Management of Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China","Zhu, Z., State Key Lab. of Intelligent Control and Management of Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China; Cao, Z., State Key Lab. of Intelligent Control and Management of Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China; Zeng, D.D., State Key Lab. of Intelligent Control and Management of Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China","Previous epidemiological researches have studied HFMD transmission pattern, but the study on the patients mobility pattern while seeking treatment is absent. In this paper, we present a statistical analysis of the spatialtemporal pattern of the Beijing HFMD patients mobility based on a complete works dataset containing over 40,000 cases in 2010. The main findings are as follows: (1) the patents incline to take their sick children to hospitals on weekdays, especially on Monday; (2) the patients living far from city center are more likely to get to hospitals in the afternoon, while the patients in the downtown in the morning; (3) patients (or their parents) either select the nearby hospitals, or the Class-A hospitals in the downtown. Furthermore, we employ a gravity model to describe the spatial mobility pattern of patients. The experiment results show a good fit. © 2013 Springer-Verlag.","gravity model; Hand-foot-mouth disease; mobility pattern; spatial-temporal analysis","City centers; Gravity model; Mobility pattern; Spatial temporals; Spatial-temporal analysis; Hospitals; Patient treatment",,,,,,,,"Cao, Z., Zeng, D., Wang, Q., Zheng, X., Wang, F., An epidemiological analysis of the Beijing 2008 Hand-Foot-Mouth epidemic (2010) Chinese Science Bulletin, 55, pp. 1142-1149; Chen, K.T., Chang, H.L., Wang, S.T., Epidemiologic features of hand-foot-mouth disease and herpangina caused by enterovirus 71 in Taiwan, 1998-2005 (2007) Pediatrics, 120, pp. E244-E252; Truscott, J., Ferguson, N.M., Evaluating the Adequacy of Gravity Models as a Description of Human Mobility for Epidemic Modelling (2012) PLoS Comput. Biol., 8, pp. e1002699; Casey, H.J., Applications to traffic engineering of the law of retail gravitation (1995) Traffic Quarterly, 9 (1), pp. 23-35; Cheng, Z., Caverleem, J., Lee, K., Exploring Millions of Footprints in Location Sharing Services (2011) ICWSM 2011","State Key Lab. of Intelligent Control and Management of Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China",,"Chinese Academy of Sciences;Chinese Military Academy of Health Sciences;Beijing Centers for Disease Control and Prevention (CDC);University of Arizona",,"2013 International Conference for Smart Health, ICSH 2013","3 August 2013 through 4 August 2013","Beijing",98281,03029743,9783642398438,,,"English","Lect. Notes Comput. Sci.",Conference Paper,"Final",,Scopus,2-s2.0-84881144027 "Liu S.-L., Li Q.-S., Lv W.-F.","55781362200;56146575300;56147595500;","Measuring air anion concentration and researching development of forest health tourism in riyuexia national forest park",2013,"Applied Mechanics and Materials","320",,,"743","747",,,"10.4028/www.scientific.net/AMM.320.743","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879732039&doi=10.4028%2fwww.scientific.net%2fAMM.320.743&partnerID=40&md5=b0073b4984816685b89748275da283bd","Riyuexia National Forest Park, Tieli, Heilongjiang province 152500, China; State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao, Hebei Province 066004, China","Liu, S.-L., Riyuexia National Forest Park, Tieli, Heilongjiang province 152500, China; Li, Q.-S., State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao, Hebei Province 066004, China; Lv, W.-F., State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao, Hebei Province 066004, China","In this paper, air Anion's functions such as cleaning air, resisting bacteria, health care and the seven evaluation criteria system of the air anions concentration were introduced. Air Anion Concentration of Riyuexia National Forest Park in Heilongjiang province was Measured and analyzed. After comparing the result of 10 samples to the Anion's evaluation system we can see that the air quality of Riyuexia National Forest Park is very fresh, it helps to health and is fit for some ecotourism activities such as health preservation of forest and fresh air bath. The paper proposes that we should preserve forest and water tourism resources, construct featured green eco-system and publish air anion Concentration index regularly. © (2013) Trans Tech Publications, Switzerland.","Air anion; Health preservation of forest; Measures air anion concentration; Riyuexia national forest park","Air anions; Air anions concentrations; Eco-tourisms; Evaluation criteria systems; Forest health; Fresh air; Heilongjiang; National forests; Air quality; Forestry; Functional materials; Negative ions; Air cleaners; Air Cleaners; Air Quality; Anions; Forests; Functional Groups; Health",,,,,,,,"Watanabe, I., Noro, H., Ohtsuka, Y., (1997) Biometeorol, 40, p. 107; Qi, H.D., Li, Q.S., Ren, J., (2012) Advanced Materials Research, 427, p. 236; Jin, Z.Z., Hu, B., (2010) Advanced Materials Research, 96, p. 260; Wang, H.S., Li, J., (2008) Forestry Economics, 7, p. 58","Li, Q.-S.; State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao, Hebei Province 066004, China; email: qsli@ysu.edu.cn",,"Chinese Functional Materials Society;Natl. Instrum. Funct. Mater. Eng. Technol. Res. Cent.;Chongqing Functional Materials Periodical Press;Yunnan University;Chongqing Materials Research Institute;et al",,"2012 China Functional Materials Technology and Industry Forum, CFMTIF 2012","9 November 2013 through 12 November 2013","Kunming",97630,16609336,9783037856857,,,"English","Appl. Mech. Mater.",Conference Paper,"Final",,Scopus,2-s2.0-84879732039 "McGuire M.F.","7202376411;","International accreditation of ambulatory surgical centers and medical tourism",2013,"Clinics in Plastic Surgery","40","3",,"493","498",,,"10.1016/j.cps.2013.04.013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879880385&doi=10.1016%2fj.cps.2013.04.013&partnerID=40&md5=e5af9b53819bc9daa59dc0b500c2293a","Department of Surgery, Division of Plastic Surgery, University of Southern California, 1520 San Pablo Street, Los Angeles, CA 90033, United States; Department of Surgery, Division of Plastic Surgery, University of California, Los Angeles, 757 Westwood Plaza, Los Angeles, CA 90095, United States","McGuire, M.F., Department of Surgery, Division of Plastic Surgery, University of Southern California, 1520 San Pablo Street, Los Angeles, CA 90033, United States, Department of Surgery, Division of Plastic Surgery, University of California, Los Angeles, 757 Westwood Plaza, Los Angeles, CA 90095, United States","The two forces that have driven the increase in accreditation of outpatient ambulatory surgery centers (ASC's) in the United States are reimbursement of facility fees by Medicare and commercial insurance companies, which requires either accreditation, Medicare certification, or state licensure, and state laws which mandate one of these three options. Accreditation of ASC's internationally has been driven by national requirements and by the competitive forces of ""medical tourism."" The three American accrediting organizations have all developed international programs to meet this increasing demand outside of the United States. © 2013.","Accreditation; Ambulatory surgical centers; International accreditation; Medical tourism; Outpatient facilities; Outpatient surgery; Patient safety; Plastic surgery","accreditation; ambulatory surgery; cost benefit analysis; government regulation; health care cost; health care facility; human; law; licensing; mandatory program; medical society; medical tourism; medicare; outcome assessment; patient safety; plastic surgery; postoperative complication; protocol compliance; reimbursement; review; risk assessment; surgical approach; surgical ward; United States; Accreditation; Ambulatory surgical centers; International accreditation; Medical tourism; Outpatient facilities; Outpatient surgery; Patient safety; Plastic surgery; Accreditation; Ambulatory Care Facilities; Ambulatory Surgical Procedures; Humans; International Cooperation; Medical Tourism; Surgicenters; United States",,,,,,,,"Code of Federal Regulations, Title 42, Chapter IV, Subchapter B, Part 416, Subpart B; (1996), 61. , Federal Register, Number 245, December 19; (2009) ASC performance survey: 2009 report based on 2008 data, , MGMA, Washington, DC, Medical Group Management Association; California Business and Professions Code, Section 2216; Iverson, R.E., Lynch, D.J., Patient safety in office-based surgery facilities: II. Patient selection (2002) Plast Reconstr Surg, 110 (7), pp. 1785-1790. , the ASPS Task Force on Patient Safety in Officebased Surgery Facilities; Iverson, R.E., Patient safety in office-based surgery facilities: I. Procedures in the office-based surgery setting (2002) Plast Reconstr Surg, 110 (5), pp. 1337-1342. , the ASPS Task Force on Patient Safety in Office-based Surgery Facilities; Byrd, S.H., Barton, F.E., Orenstein, H.H., Safety and efficacy in an accredited outpatient plastic surgery facility: a review of 5316 consecutive cases (2003) Plast Reconstr Surg, 112 (2), pp. 636-641; Keyes, G.R., Singer, R., Iverson, R.E., Analysis of outpatient surgery center safety using an Internet-based quality improvement and peer review program (2004) Plast Reconstr Surg, 113 (6), pp. 1760-1770; American Society of Plastic Surgeons bylaws, Article XV; American Society for Aesthetic Plastic Surgery bylaws, Article XI; Jones, D.M., Global Economic Integration Drives Multinational Demand for Better Health Care , p. 4. , http://www.partners.org/Assets/Documents/International/Partners_Timeline_0309.pd; Kher, U., Outsourcing your heart (2006) Time, 167, pp. 44-47; (2004), Medical tourism: need surgery, will travel. CBC News Online, June 18","McGuire, M.F.1301 20th Street, Suite 460, Santa Monica, CA 90404, United States; email: mmcguire@UCLA.edu",,,,,,,,00941298,,CPSUD,"23830758","English","Clin. Plast. Surg.",Review,"Final",,Scopus,2-s2.0-84879880385 [No author name available],[No author id available],"Another kind of health tourism",2013,"Economist (United Kingdom)","407","8839",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84880300630&partnerID=40&md5=544ccd4b815e3c5e3edd9ba93bd441e9",,"",[No abstract available],,,,,,,,,,,,,,,,,,,00130613,,,,"English","Economist",Short Survey,"Final",,Scopus,2-s2.0-84880300630 [No author name available],[No author id available],"Free-for-all: Doctors fear that health tourism in the NHS is growing",2013,"Economist (United Kingdom)","407","8838",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84880013423&partnerID=40&md5=c2220c1232959f8949e0933f87f8f505",,"",[No abstract available],,,,,,,,,,,,,,,,,,,00130613,,,,"English","Economist",Short Survey,"Final",,Scopus,2-s2.0-84880013423 "Pennings G.","7003820139;","The ethical management of medical tourism",2013,"Medical Tourism and Transnational Health Care",,,,"179","193",,,"10.1057/9781137338495","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996644815&doi=10.1057%2f9781137338495&partnerID=40&md5=f799492282368d6a4cb7bc4e9fd6e216","Ghent University, Belgium; Faculty of Politics, Psychology, Sociology and International Studies, Cambridge University, United Kingdom; Faculty of Medicine and Pharmaceutical Sciences, Free University Brussels, Belgium","Pennings, G., Ghent University, Belgium, Faculty of Politics, Psychology, Sociology and International Studies, Cambridge University, United Kingdom, Faculty of Medicine and Pharmaceutical Sciences, Free University Brussels, Belgium",[No abstract available],,,,,,,,,,"Alleman, W.B., Luger, T., Reisinger, S.H., Martin, R., Horowitz, D.M., Cram, P., Medical tourism services available to residents of the United States (2011) Journal of General Internal Medicine, 26 (5), pp. 492-497; New AMA guidelines on medical tourism (2009), http://www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf, date accessed 19 September 2012; Cattaneo, O., (2009) Trade in Health Services. What's in it for Developing Countries?, , (The World Bank: International Trade Department); Chinai, R., Goswani, R., Are we ready for medical tourism? (2005) The Hindu, , http://www.thehindu.com/thehindu/mag/2005/04/17/stories/2005041700060100.htm, 17 April 2005, date accessed 15 November 2011; Cohen, E., Medical tourism in Thailand (2008) AU-GSB e-Journal, 1 (1), pp. 24-37; Cohen, G.I., Medical tourism, access to health care, and global justice (2011) Virginia Journal of International Law, 52 (1), pp. 1-56; (2003) Commonwealth Code of Practice for the International Recruitment of Health Workers, , http://www.thecommonwealth.org/shared_asp_files/uploadedfiles/%7B7BDD970B-53AE-441D-81DB-1B64C37E992A%7D_CommonwealthCodeofPractice.pdf, date accessed 23 November 2011; Cortez, N., Patients without borders: The emerging global market for patients and the evolution of modern health care (2008) Indiana Law Journal, 83, pp. 71-132; Daniels, N., (1985) Just Health Care, , (Cambridge: Cambridge University Press); Daniels, N., Equity and population health: Toward a broader bioethics agenda (2006) Hastings Center Report, 36 (4), pp. 22-35; Daniels, N., Bryant, J., Castano, A.R., Dantes, G.O., Khan, S.K., Pannarunothai, S., Benchmarks of fairness for health care reform: A policy tool for developing countries (2000) Bulletin of the World Health Organisation, 78 (6), pp. 740-750; Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients' rights in cross-border healthcare (2011) Official Journal of the European Union, , 4 April 2011, L. 88/45-L. 88/65; Feinberg, J., Wrongful life and the counterfactual element in harming (1986) Social Philosophy and Policy, 4 (1), pp. 145-178; Glinos, A.I., Baeten, R., Maase, H., Purchasing health services abroad: Practices of cross-border contracting and patient mobility in six European countries (2010) Health Policy, 95, pp. 103-112; Gupta, S.A., Medical tourism in India: Winners and losers (2008) Indian Journal of Medical Ethics, 5 (1), pp. 4-5; Healy, C., Surgical tourism and the globalization of healthcare (2009) Irish Journal of Medical Sciences, 178, pp. 125-127; Hermans, H., Cross-border health care in the European Union: Recent legal implications of ""Decker and Kohll"" (2008) Journal of Evaluation in Clinical Practice, 6, pp. 431-439; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today:What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31, pp. 185-198; Labonte, R., Globalization, health and the free trade regime: Assessing the links (2004) Perspectives on Global Development and Technology, 3 (1-2), pp. 47-72; Lunt, N., Smith, R., Exworthy, M., Green, T.S., Horsfall, D., Mannion, R., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review, , (Paris: Directorate for Employment, Labour and Social Affairs, OECD); Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (2), pp. 358-368; Mechanic, D., Disadvantage, inequality, and social policy (2002) Health Affairs, 21 (2), pp. 48-59; Meghani, Z., A robust, particularistic ethical assessment of medical tourism (2011) Developing World Bioethics, 11 (1), pp. 16-29; Melnick, A.G., Fonkych, K., Hospital pricing and the uninsured: Do the uninsured pay higher prices? (2008) Health Affairs, 27, pp. w116-22; Morreim, H.E., Conception and the concept of harm (1983) Journal of Medical Philosophy, 8, pp. 137-157; Ormond, M., Shifting subjects of health-care: Placing ""medical tourism"" in the context of Malaysian domestic health-care reform (2011) Asia Pacific Viewpoint, 52 (3), pp. 247-259; Pennings, G., Ethics without boundaries: Medical tourism (2007) Principles of health care ethics, , R. Ashcroft, A. Dawson, H. Draper and J. McMillan (eds), 2nd edn (London: John Wiley and Sons); Pocock, S.N., Phua, H.K., Medical tourism and policy implications for health systems: A conceptual framework for a comparative study of Thailand, Singapore and Malaysia (2011) Globalization and Health, 7, p. 12; Pogge, T., Severe poverty as a violation of negative duties (2005) Ethics and International Affairs, 19 (1), pp. 55-83; NaRanong, A., NaRanong, V., The effects of medical tourism: Thailand's experience (2011) Bulletin of the World Health Organisation, 89, pp. 336-344; Smith, D.R., Chanda, R., Tangcharoensathien, V., Trade in health-related services (2009) The Lancet, 373 (9663), pp. 593-601; Turner, L., ""First world health care at third world prices"": Globalization, bioethics and medical tourism (2007) BioSocieties, 2, pp. 303-325; Turner, L., ""Medical tourism"" and the global marketplace in health services:US patients, international hospitals, and the search for affordable health care (2010) International Journal of Health Services, 40 (3), pp. 443-467; International trade in health services: Difficulties and opportunities for developing countries (1998) International Trade in Health Services: A Developmental Perspective, , http://www.ictsd.org/issarea/services/resou.rces/Docs/WHO-UNCTAD1.pdf, UNCTAD-WHO (eds), (Geneva: UNCTAD), date accessed 8 December 2010; (2010) WHO Global Code of Practice on the International Recruitment of Health Personnel, , http://apps.who.int/gb/ebwha/pdf_files/WHA63/A63_R16-en.pdf, date accessed 13 January 2011; Youngman, I., How many American medical tourists are there? (2009) International Medical Travel Journal, , http://www.imtj.com/articles/2009/how-many-americans-goabroad-for-treatment-30016/?locale=en, date accessed 12 June 2010","Pennings, G.; Ghent UniversityBelgium",,,"Palgrave Macmillan",,,,,,9781137338495; 9780230362369,,,"English","Med. Tour. and Transnatl. Health Care",Book Chapter,"Final",,Scopus,2-s2.0-84996644815 [No author name available],[No author id available],"Summaries for patients. Mobility impairment reduces access to subspecialty care.",2013,"Annals of internal medicine","158","6",,"I","17",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84877601114&partnerID=40&md5=63304e7de708ff752e67747d45e2596a",,"",[No abstract available],,"adult; article; construction work and architectural phenomena; disabled person; equipment; health care delivery; health care survey; human; interview; legal aspect; patient education; patient lifting; specialization; United States; wheelchair; Adult; Architectural Accessibility; Disabled Persons; Health Care Surveys; Health Services Accessibility; Humans; Interviews as Topic; Moving and Lifting Patients; Specialization; United States; Wheelchairs",,,,,,,,,,,,,,,,,15393704,,,"23552958","English","Ann. Intern. Med.",Article,"Final",,Scopus,2-s2.0-84877601114 "Zou F., Hu Z.","55609303900;55608117400;","Study on development of Lushan hot spring health tourism products",2013,"Lecture Notes in Electrical Engineering","209 LNEE",,,"339","346",,,"10.1007/978-1-4471-4805-0_40","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874416945&doi=10.1007%2f978-1-4471-4805-0_40&partnerID=40&md5=4e880c3a7e297c79413fb8d6867e30b0","Xinyu University, Xinyu 338004, Jiangxi, China","Zou, F., Xinyu University, Xinyu 338004, Jiangxi, China; Hu, Z., Xinyu University, Xinyu 338004, Jiangxi, China","Through the development of more than 60 years, the hot spring tourism industry in China will confront with a situation of ""innovative competition, standard development, and secondary upgrade"". In this paper, from the perspective of product integrated marketing theory, by taking Lushan (Xingzi) hot spring as an example, the authors carry out an analysis on some problems in the development of Xingzi hot spring tourism products, propose the framework and model of the integrated development of hot spring health tourism products, and also provide some suggestions for the design of Xingzi hot spring health tourism routes. © 2013 Springer-Verlag.","Health preservation by hot spring; Product integration; Route design","Health tourisms; Integrated development; Integrated marketing; Product integration; Route design; Standard development; Tourism industry; Competition; Health; Information science; Management science; Product design; Hot springs",,,,,,,,"Yanping, W., Qiaoyun, S., (2007) Introduction to Studies of Hot Spring Tourism, 3 (5), pp. 59-64. , China's Tourism Publishing House, Beijing; Shan, L., Jie, Z., Exploration on the development model of hot spring tourism products (2009) J Chongqing Coll Educ, 11 (6), pp. 45-48; Yanping, D., Study on the strategies for the hot spring tourism industry of Jiangxi Province (2011) J Yichun Univ, 21 (6), pp. 78-82; Kuanrong, Y., ChunMei, F., Fei, C., Discussion on the development of hot spring tourism under the background of products transformation (2009) Jiangsu Commercial Forum, 3, pp. 74-78; Yu, Y., Yanping, W., The Progress on hot springtourism of China in 30 years (2009) Tourism Forum, 16 (5), pp. 24-29","Zou, F.; Xinyu University, Xinyu 338004, Jiangxi, China; email: fenglianz791@126.com",,"National Natural Science Foundation of China, (NSFC)",,"International Conference on Informatics and Management Science, IMS 2012","21 December 2012 through 23 December 2012","Kunming",94341,18761100,9781447148043,,,"English","Lect. Notes Electr. Eng.",Conference Paper,"Final",,Scopus,2-s2.0-84874416945 "Bowman D., Dawood R.","7202508734;57197676326;","Travel Medicine, Ethics and Health Tourism",2013,"Principles and Practice of Travel Medicine: Second Edition",,,,"571","578",,,"10.1002/9781118392058.ch31","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84886224882&doi=10.1002%2f9781118392058.ch31&partnerID=40&md5=8e767030f0c29d9ae52b6f1adeb54050","St George's University of London, London, United Kingdom; Fleet Street Clinic, London, United Kingdom","Bowman, D., St George's University of London, London, United Kingdom; Dawood, R., Fleet Street Clinic, London, United Kingdom","Travel, solely or partly for the purpose of healthcare, is increasingly common with both patients and healthcare professionals crossing geographical borders with increasing frequency. Travel medicine and health tourism raise questions about fundamental ethical concepts such as notions of justice, equity and fairness irrespective of the specific context in which care is sought and provided. This chapter suggests what a list of virtues for a professional working in travel medicine might incorporate and how practical wisdom may ensure the ethical enactment of these in clinical practice. It is not intended to be an exhaustive or definitive list, but a starting point. Having suggested that virtues may be a useful way to conceptualise what it means to act 'ethically' as best clinical practice irrespective of context, the chapter demonstrates, via vignettes, how such an approach enhances ethical analysis of situations that occur at each stage of travel and health tourism. © 2013 Blackwell Publishing Ltd.","Clinical practice; Ethics; Health tourism; Travel medicine; Virtues",,,,,,,,,"Ford, J.M.T., Taking the waters at Tunbridge Wells (1986) Stress Med, 2 (2), pp. 169-174; Yap, J., Medical Tourism: The Asian Chapter (2008), Deloitte Consulting SEA; Woodman, J., (2008) Patients Beyond Borders: Everybody ' s Guide to Affordable, World-Class Medical Care Abroad, , Joseph Woodman. Ig Publishing, Chapel Hill; Jamal, T.B., Virtue ethics and sustainable tourism pedagogy: phronesis, principles and practice (2004) J Sust Tourism, 12 (6), pp. 530-545; Gardiner, P., A virtue ethics approach to moral dilemmas in medicine (2003) J Med Ethics, 29, pp. 297-302; Crozier, G.K.D., Bayliss, F., The ethical physician encounters international medical travel (2010) J Med Ethics, 36 (5), pp. 297-301; Shah, S., Wu, T., The medical students global health experience: professionalism and ethical implications (2008) J Med Ethics, 34, pp. 375-378; Bowman, D., Students whose behaviour causes concern: ethical perspective (2009) Br Med J, 338, pp. a2882; Banatvala, N., Knowing, D.L., When to say ' no ' on the student elective (1998) Br Med J, 316, pp. 1404-1405. , Students going on electives abroad need clinical guidelines; Gendreau, M.A., DeJohn, C., Responding to medical events during commercial airline flights (2002) N Engl J Med, 346, pp. 1067-1073; General Medical Council Good Medical Practice GMC, London; Gray, H.H., Poland, S.C., Medical tourism: crossing borders to access health care (2008) Kennedy Inst Ethics J, 18 (2), pp. 193-201; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) J Med Ethics, 26, pp. 337-341; Connell, J., Medical tourism: sun, sea, sand and surgery. (2006) Tourism Manag, 27, pp. 1093-1100; Jones, J.W., McCullough, L.B., What to do when a patient's international medical care goes south (2007) J Vasc Surg, 46, pp. 1077-1079","Bowman, D.; St George's University of London, London, United Kingdom",,,"Wiley-Blackwell",,,,,,9781405197632,,,"English","Princ. and Pract. of Travel Medicine: Second Ed.",Book Chapter,"Final",,Scopus,2-s2.0-84886224882 "Griggs P.","6601914379;","‘Taking the Waters’: Mineral Springs, Artesian Bores and Health Tourism in Queensland, 1870-1950",2013,"Queensland Review","20","2",,"157","173",,,"10.1017/qre.2013.18","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85022850328&doi=10.1017%2fqre.2013.18&partnerID=40&md5=15491c556fe204fed7aa840ea6b8dbe4",,"Griggs, P.",[No abstract available],,,,,,,,,,"French, C., A naturalist's health trip to Northern Queensland (1908) Victorian Naturalist, 24 (11), p. 170; Lambert, S., (2011) Australia's great thermal way, p. 59. , Westminster, WA: Author; Brown, I., (1865) Australia for the consumptive invalid: the voyage, climates and prospects for residence, , London: Robert Hardwicke; Dovey, W., (1899) New South Wales as a health resort, , Sydney: n.p; Powell, J., (1978) Mirrors of the new world: images and imagemakers in the settlement process, pp. 119-143. , Canberra: ANU Press; Pearn, J., Little, V., The taking of the waters: health springs and spa waters of high lithium content at Helidon, Queensland (1997) From migration to mining: medicine and health in Australian history. Occasional Papers in Medical History Australia, pp. 418-423. , Suzanne Parry (ed.), No. 8 (Darwin: Historical Society of Northern Territory; Webster, J., (2007) The Helidon Spa Water Company, , Helidon: Community Books; White, R., From the majestic to the mundane: democracy, sophistication and history among the mineral spas of Australia (2012) Journal of Tourism History, 4 (1), p. 90; Martyr, P., (2002) Paradise of quacks: an alternative history of medicine in Australia, p. 105. , Sydney: Macleay Press; Pfeiffer, C., (1985) The art and practice of western medicine in the early nineteenth century, pp. 171-184. , Jefferson, NC: McFarland & Company; Krizek, V., History of balneotherapy (1963) Medical hydrology, pp. 131-159. , in Sidney Licht and Herman Kamenetz (eds), Baltimore, MD: Waverley Press; Bullard, L., (2004) Healing waters: Missouri's historic mineral springs and spas, pp. 11-15. , (Columbia, MS: Missouri University Press, for Bath's hospital, see; Rolls, R., (1988) The hospital of the nation: the story of spa medicine and the Mineral Water Hospital at Bath, , Avon: Bird; Hall, M., Spa and health tourism (2003) Sport and adventure tourism, pp. 277-278. , in Simon Hudson (ed.), New York: Haworth Hospitality Press; Connell, J., (2011) Medical tourism, pp. 12-22. , Wallingford, UK: CAB International; Bullard, Healing waters, pp. 16-23; Valenza, J., (2000) Taking the waters in Texas: springs, spas, and fountains of youth, pp. 18-29. , Austin, TX: University of Texas Press; White, ‘From the majestic to the mundane’, pp. 85-107. , For a comprehensive account of the history of spa tourism in Australia, see; Woolcock, H., Our salubrious climate”: attitudes to health in colonial Queensland (1988) Disease, medicine and empire: perspectives on western medicine and the experience of European expansion, p. 183. , in Roy Macleod and Milton Lewis (eds), London: Routledge; Hindsdale, G., (1910) Hydrotherapy, p. 59218. , Philadelphia, PA: W. Saunders & Co; Connell, Medical tourism, p. 14; Bullard, Healing waters, pp. 69-73; Claridge, R.T., (1846) Hydropathy, or, the system of effecting cures by means of cold water, , Launceston?: Henry Dowling; La Moile, F., (1861) Victoria water-cure establishment, Malvern Hill, near Toorak, , Melbourne: Clarson, Shallard & Co; Joske, Morton, (1868) A sketch of the mineral springs and their uses, with reference to the properties of the Ballan selters waters, p. 25. , Melbourne: Joske and Morton, 29; reported in the Argus (Melbourne), 17 April 1925, 12; Springthorpe, J.W., (1914) Therapeutics, dietetics and hygiene: an Australian text-book, pp. 815-835. , Melbourne: James Little and Sons; Kerr, E.W., Muckadilla for obstinate rheumatism (1909) Australasian Medical Gazette, pp. 541-543. , 20 October; (1925) Where to go, how to get there, where to stay: Victorian country hotel, guest and boarding house guide, p. 156. , Melbourne: Victorian Railways Advertising Division; Martyr, Paradise of quacks, pp. 142-145. , 151-2, 261; Smith, F., (2011) Illness in colonial Australia, pp. 264-268. , Melbourne: Australian Scholarly Publishing; Einasleigh Hot Springs (1906) Queensland Government Mining Journal, 7, p. 460. , Queensland Government Intelligence and Tourist Bureau (hereafter QGITB); (1915) The pocket Queensland, p. 146. , rev. ed. (Brisbane: Queensland Government; Talbot, D., (1994) History ofWithcottand Upper Lockyer, 2, p. 55. , Withcott: D. Talbot, 57, 98-9; Pearn, Little, ‘The taking of the waters’, p. 420; (1910) Australia's wonderful mineral water: Helidon Spa, p. 7. , Brisbane: Biggs & Co., c; Macluran, H., (1899) Mrs Macluran's cookery book, , For an example of a Helidon Spa Water advertisement, see the advertising material at the front of, 3rd ed. (Brisbane: George Robertson and Co; Meston, A., (1895) Geographic history of Queensland, p. 153. , Charles Garbutt to Under-Secretary, Queensland Department of Lands, Brisbane, 16 January 1889 (attached to in-letter 02891 of 1889) in TR 1794/1, Special Leases, Box 15, File 411, Queensland State Archives, Brisbane: Queensland Government Printer; (1912) Townsville Daily Bulletin, p. 5. , 26 February; Toohey, E., (2001) From bullock to puffing bill: the Atherton Tableland and its hinterland, p. 30. , Rockhampton: Central Queensland University Press, for an example of an Innot Spa Water Company advertisement, see the advertising material at the front of Macluran, Mrs Macluran's Cookery Book); Henderson, J., Annual Report of the Hydraulic Engineer, 1899-1900 (1900) Queensland Parliamentary Papers, 4, p. 916; (1916) The Maranoa District (South Western Queensland): its wonderful pastoral and agricultural resources and its illimitable possibilities, p. 15. , Brisbane: Queensland Government Printer; Kerr, ‘Muckadilla for obstinate rheumatism’, p. 541; Spencer, H., (1946) Roma souvenir booklet, p. 42. , Roma: Roma Centenary Celebrations Committee; (1911) Wise's Queensland Post Office and Commercial Directories, p. 249. , 1913-14, p. 261; 1916-17, p. 323; Hotel, M., (1922) The famous Muckadilla bore, p. 5. , Brisbane: Muckadilla Hotel and Biggs & Morcom, c., 16; Chronicle and North Coast Advertiser, 8 April 1921, 3; (1924) Western Star and Roma Advertiser, p. 5. , 18 October; Hoch, I., (1986) Barcaldine Local Authority 1846-1986, p. 59. , Barcaldine: Barcaldine Shire Council; Bruck, L., The mineral springs of Australia (1891) Australasian Medical Gazette, p. 105. , January; (1921) Western Champion, p. 13. , 18 June; (1912) Townsville Daily Bulletin, p. 3. , 24 September; (1914) Central Queensland: its marvellous pastoral and mineral Resources, p. 37. , Brisbane: Queensland Government Printer; Springthorpe, Therapeutics, dietetics and hygiene: an Australian text-book, p. 997; Woolcock, ‘Our salubrious climate’, p. 184; Blake, T., Cook, M., (2006) Great Artesian Basin: historical overview, p. 54. , Brisbane: Queensland Department of Natural Resources; (1933) Dalby and its wonder water: Dalby's Hot Artesian Baths, pp. 2-5. , Dalby: Dalby Town Council, c; (1922) Brisbane Courier, p. 9. , 24 July, 1 July 1924, 14; The Marona District (South Western Queensland), p. 17; Bruck, ‘The mineral springs of Australia’, p. 103; Pearn, Little, ‘The taking of the waters’, p. 421; Pearn, Little, ‘The taking of the waters’, p. 418; Bruck, ‘The mineral springs of Australia’, p. 104; Bullard, Healing waters, pp. 53-59; Rolls, The hospital of the nation, pp. 151-166; (1920) Muckadilla's hot spring: nature's great healer, p. 3. , (10 pp. pamphlet, c., Wise's Queensland Post Office and Commercial Directory, 1916, p. 323; 1940, p. 491; Chronicle and North Coast Advertiser, 8 April 1921, 3; Bruck, ‘The mineral springs of Australia’, p. 104; Muckadilla's Hot Spring, p. 3; Strachan, R., Scott, J., (1980) In champagne country: stories and photographs of people and events in and around Roma, p. 60. , Toowoomba: Roma State School P&C Association; Kerr, ‘Muckadilla for obstinate rheumatism’, pp. 541-542; Muckadilla's hot spring, p. 3; (1917) Morning Bulletin (Rockhampton), p. 4. , 6 March; (1908) North Queensland, Australia, p. 42. , Brisbane: Queensland Government Tourist Bureau; (1913) Picturesque travel, p. 22. , Sydney: Burns, Philip & Company; Spencer, Roma souvenir booklet, p. 42; Hotel, M., The famous Muckadilla Bore, p. 5; Kerr, ‘Muckadilla for obstinate rheumatism’, p. 542; Corfield, W., (1921) Reminiscences of Queensland, pp. 152-153. , Brisbane: Frater; (1910) Australia's wonderful mineral water, p. 16. , Brisbane: Biggs & Company, c; (1925) North Queensland: the holiday land, p. 16. , Brisbane: Queensland Government, c; Dalby and its wonder water, p. 3; (1896) The Australian tropiculturist and stockbreeder, p. 46. , 11 August; Hotel, M., The famous Muckadilla Bore, p. 10. , for a Helidon Spa Water advertisement, see the advertising material at the front of Macluran, Mrs Macluran's cookery book; (1912) Townsville Daily Bulletin, p. 5. , 26 February; (1918) Western Star and Roma Advertiser, p. 3. , 2 October; (1921) Chronicle and North Coast Advertiser, p. 3. , 8 April; (1926) Brisbane Courier, p. 20. , 6 February; White, ‘From the majestic to the mundane’, p. 99. , For this claim, see; Kerr, ‘Muckadilla for obstinate rheumatism’, p. 542. , For examples of reports about the origins ofvisitors, see the following, Morning Bulletin (Rockhampton), 6 March 1917, 4; Western Champion, 5 October 1912,9; Townsville Daily Bulletin, 26 February 1912,5; Queenslander, 29 March 1934, 36; Brisbane Courier, 21 January 1926, 9; (1930) Cairns Post, p. 8. , 29 November; The Pocket Queensland, p. 21. , See, for example, 146; North Queensland, p. 16. , QGITB, The Maranoa district, pp. 15-16; QGITB, North Queensland: a land teeming with wealth (Brisbane: Queensland Government, 1908), p. 42; Queensland Government, The Queen State: what Queensland can offer (Brisbane: Queensland Government Printer, 1933), p. 155; Anon., Muckadilla bore; Dalby and its wonder water, p. 2; The famous Muckadilla Bore, p. 3; (1897) Northern Miner, p. 4. , 23 January, Cairns Post, 27 June 1923, 4; Hotel, M., The famous Muckadilla bore, p. 20. , Cairns Post, 6 December 1930, 7; Western Star and Roma Advertiser, 9 August 1930, 9; (1929) Queenslander, p. 7. , 3 January, Wise's Queensland Post Office and Commercial Directory, 1929-1930, p. 430; White, ‘From the majestic to the mundane’, pp. 101-102. , for the decline in spa use in the United States, see Valenza, Taking the waters in Texas, pp. 144-7; Matthews, T., (1988) Beyond the crossing: a history of Dalby a.nd district, pp. 66-67. , (Dalby: Dalby Town Council, Courier-Mail, 28 September 1938, 7; Commonwealth Illustrated Directory (Queensland Edition), 1934-35 (Country Directory section), p. 11; Blake, Cook, Great Artesian Basin, p. 55. , 83; Margaret Schneider and Peg Walden, Once across the Maranoa: the story of the Mitchell railway extension (Mitchell: Mitchell Railway Centenary Committee, 1985), p. 35; ‘Muckadilla Hotel’, http://www. muckadillahotel.com.au (viewed 29 June 2013); Pearn, Little, ‘The taking of the waters’, p. 422; Blake, Cook, Great Artesian Basin, p. 57; Rutledge, L., (1993) The motoring holiday guide to North Queensland, Australia, p. 123. , Brisbane: Queensland Tourist & Travel Corporation & Royal Automobile Club of Queensland; Connell, Medical tourism, pp. 15-16; Laing, J., Peninsula Hot Springs: A new spa tourism experience ‘Down Under (2009) Health and wellness tourism, pp. 329-333. , in Melanie Smith and Laszlo Puczko (eds), Oxford: Elsevier; Lambert, Australia's great thermal way, pp. 41-59. , ‘Great Artesian Spa’, http://www. westerndownsholidays.com.au/destinations/mitchell/attractions (viewed 29 June 2013); Innot Hot Springs Leisure and Health Park, http://tur.com.au/parks/qld/tropical-north-queensland/innot-hot-springs-leisure-and-health-park (viewed 29 June 2013)",,,,,,,,,13218166,,,,"English","Qld. Rev.",Article,"Final",,Scopus,2-s2.0-85022850328 "Lordan G.","16646730700;","Travelling for treatment: The emergence of a medical tourist industry",2013,"Handbook of Tourism Economics: Analysis, New Applications and Case Studies",,,,"281","297",,,"10.1142/9789814327084_0013","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84974527503&doi=10.1142%2f9789814327084_0013&partnerID=40&md5=b4882f7be48bbfcc7f8d09a72c49a94a","London School of Economics, United Kingdom","Lordan, G., London School of Economics, United Kingdom","This chapter deals with the emergence of the market for medical tourism in developing countries. In this case, patients travel from highincome countries to get treatment. The factors that have led to a growth in demand for this industry are discussed. In addition, evidence is provided that this industry is growing. The costs and benefits are outlined of this industry to the medical tourist as well as to citizens in the destination country. This chapter finishes by exploring potential incentives and government regulations that could ensure that the costs and concerns associated with the industry are reduced. © 2013 by World Scientific Publishing Co. Pte. Ltd. All rights reserved.","Health tourism; Medical tourism; Medical travel",,,,,,,,,"Appleby, J., Schmidt, J., Sending patients packing (2006) USA Today, , http://www.usatoday.com/money/industries/health/2006-07-26-travel-surgery-usat_x.html, [accessed on 21 June 2011]; Askitas, N., Zimmermann, K.F., Google econometrics and unemployment forecasting (2009) Applied Economics Quarterly, 55 (2), pp. 107-120; (2011) The Value of Health Insurance: Few of the Uninsured have Adequate Resources to Pay Potential Hospital Bills, , http://aspe.hhs.gov/health/reports/2011/ValueofInsurance/rb.shtml, [accessed on 3 May 2011]; Baker, L., Wagner, T.H., Singer, S., Bundorf, M.K., Use of the internet and e-mail for health care information: Results from a national survey (2003) Journal of the Americal Medical Association, 289 (18), pp. 2400-2406; (2006) China ‘selling prisoners’ organs’, , http://news.bbc.co, [accessed on May 2011]; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) The American Journal of Surgery, 199 (5), pp. 604-608; Blyth, E., Farrand, A., Reproductive tourism — a price worth paying for reproductive autonomy? (2005) Critical Social Policy, 25 (1), pp. 91-114; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries; Budiani-Saberi, D., Delmonico, F., Organ trafficking and transplant tourism: A commentary on the global realities (2008) American Journal of Transplantation, 8, pp. 925-929; Choi, H., Varian, H., (2009) Predicting the Present with Google Trends, , http://static.googleusercontent.com/external_content/untrusted_dlcp/www, [accessed on 3 May 2011]; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 7 (6), pp. 1093-1100; Connell, J., (2011) Medical Tourism. Wallingford, , Oxford: CABI; Dawson, D., Jacobs, R., Martin, S., Smith, P., Is patient choice an effective mechanism to reduce waiting times? (2004) Applied Health Economics and Health Policy, 3 (4), pp. 195-203; English, V., Gardner, J., Romano-Critchley, G., Sommerville, A., Ethics briefings (2001) Journal of Medical Ethics, 27, pp. 284-285; Fallas, H., 100.000 turistas vienen al an’o a recibir tratamiento medico (2009) La Nacio’n, , wvw.nacion.com/ln_ee/2009/marzo/13/economial903413.html, [accessed on 24; Freckleton, R., Sutherland, W., Hospital waiting lists. Power laws do not imply self-regulation (2001) Nature, 413, p. 382; Garcia, C., Pagan, J.A., Hardeman, R., Context matters: Where would you be the least worse off in the US if you were uninsured? (2010) Health Policy, 94 (1), pp. 76-83; George, B., Medical tourism in India: A case study of Apollo hospitals (2009) Medical and Wellness Tourism, , M Smith and L Puczko (eds.). Burlington, USA: Elsevier Science and Technology Books; Gris, J.C., Branger, B., Vecina, F.A., Sabadani, B., Fourcade, J., Schved, J.F., Increased cardiovascular risk factors and features of endothelial activation and dysfunction in dialyzed uremic patients (1994) Kidney International, 46, pp. 807-813; Gupta, S., Medical tourism and public health (2004) People’s Democracy, 28 (19), pp. 24-25; Hamblin, R., Harrison, A., Boyle, S., The wrong target (1998) Health Services Journal, 108, pp. 28-31; Hancock, D., (2006) The Complete Medical Tourist: Your Guide to Inexpensive Dental Cosmetic and Medical Surgery Abroad, , London: John Blake; Hanson, F., A revolution in healthcare: Medicine meets the marketplace (2008) Public Affairs Review, 59, pp. 43-45; Letter, H.M., Virtual hitchhiker’s guide to the medical universe (2008) Harvard Medical Letter, 33 (12), p. 1; Heung, V.S., Kucukusta, D., Song, H., Medical tourism development in Hong Kong: An assessment of the barriers (2010) Tourism Management, 32 (5), pp. 995-1005; Hopkins, L., Labonte, R., Runnels, V., Packer, C., Medical tourism today: What is the state of existing knowledge? (2010) Journal of Public Health Policy, 31, pp. 185-198; Horowitz, M.D., Rosenzweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Medscape General Medicine, 9 (4), p. 33; Huysmans, K., Lins, R.L., Daelemans, R., Zachee, P., De Broe, M.E., Hypertension and accelerated atherosclerosis in end-stage renal disease (1998) Journal of Nephrology, 11, pp. 185-195; Kahn, M.E., Kotchen, M.J., Environmental concern and the business cycle: The chilling effect of recession (2010) National Bureau Ofeconomic Research Working Paper Series, No. 16241; Konrad, W., (2007) Employers Make a Push for ‘medical tourism’, , http://money,cnn.com/magazines/fsb/fsb_archive/2007/05/01/100003808/index.htm?postversion=2007043012, [accessed on 21 June 2011]; Kumar, S., Designing promotional strategies for medical tourism in India: A case study of an ophthalmic hospital in NCR (2009) Health and Population: Perspectives and Issues, 32 (2), pp. 86-95; Lam-Po-Tang, J., Mc Kay, D., Dr Google, MD: A survey of mental health- related internet use in a private practice sample (2010) Australasian Psychiatry, 18 (2), pp. 130-133; London, G.M., Drueke, T.B., Atherosclerosis and arteriosclerosis in chronic renal failure (1997) Kidney International, 51, pp. 1678-1695; Lowrie, E.G., Acute-phase inflammatory process contributes to malnutrition, anemia, and possibly other abnormalities in dialysis patients (1998) American Journal of Kidney Disease, 32, pp. S105-S112; Macready, N., Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; Mahon, B.D., Deaths on the cardiac surgery waiting list (2008) Heart, Lung and Circulation, 17 (2), pp. S8; Martin, L.J., Reproductive tourism in the age of globalisation (2009) Globalisations, 6 (2), pp. 249-263; (2009) Medical Tourism Facilitator Certification, , www.medicaltourismassociation.com/certification.html, [accessed on 1 May 2009]; Nakra, P., Could medical tourism aid health care delivery? (2011) The Futurist, 45 (2), p. 23; (2005) National Commission on Macroeconomics Health, Financing and Delivery of Health Care Services in India, , New Delhi: NCMH Background Paper; (2010), http://www.newsweek.com/2010/07/20/should-ivf-be-affordable-for-all.htm, Should IVF be affordable for all? [accessed on 9 April 2011]; Norton, L.P., (2009), http://www.online.barrons.com, Medical tourism takes flight, Barron’s,, [accessed on 3 March 2011]; Pelat, C., Turbelin, C., Bar-Hen, A., Flahault, A., Valleron, A.-J., More diseases tracked by using Google Trends (2009) Emerging Infectious Diseases, 15 (8), pp. 1327-1328; Pennings, G., Reproductive tourism as moral pluralism in motion (2002) Journal of Medical Ethics, 28, pp. 337-341; Plomp, J., Redekop, W.K., Fw, D., Death on the waiting list for cardiac surgery in the Netherlands in 1994 and 1995 (1999) Heart, 81, pp. 593-597; Pollard, P., (2010) Medical Tourism Climate Survey 2010, , www.imtj.com/, [accessed on 25 January 2011]; Reed, C.M., Hot topic: Medical tourism (2010) Plastic Surgical Nursing, 30 (3), pp. 187-190; Resiman, D., (2010) Health Tourism: Social Welfare through International Trade, , Cheltenham, UK: Edward Elgar; Swethurst, D.P., Williams, H.C., Are waiting lists self-regulating? (2001) Nature, 410, pp. 652-653; Tefft, N., Insights on unemployment, unemployment insurance, and mental health (2011) Journal of Health Economics, 30 (2), pp. 258-264; Turner, L., First world health care at third world prices: Globalisation, bioethics and medical tourism (2007) Biosocieties, 2, pp. 303-325; Wanner, C., Zimmermann, J., Quaschning, T., Galle, J., Inflammation, dys- lipidemia and vascular risk factors in hemodialysis patients (1997) Kidney International, 52, pp. S53-S55; Weaver, J.B., Mays, D., Weaver, S.S., Hopkins, G.L., Eroglu, D., Bernhardt, J.M., Health information seeking behaviors, health indicators, and health risks (2010) American Journal of Public Health, 100 (8), pp. 1520-1525; Wheeler, D.C., Cardiovascular disease in patients with chronic renal failure (1996) Lancet, 348, pp. 1673-1674; Wood, T.J., Thomas, S.E., Waiting lists-an overview (1985) Australian Health Review, 8, pp. 88-953; Yi, D., US employers back offshore for healthcare (2006) Los Angeles Times, , http://uncle-scam.com/Breaking/aug-06/latimes-8-1.pdf, 30 July. [accessed on 10 March 2011]; Zimmermann, J., Herrlinger, S., Pruy, A., Metzger, T., Wanner, C., Inflammation enhances cardiovascular risk and mortality in hemodialysis patients (1999) Kidney International, 55, pp. 648-658","Lordan, G.; London School of EconomicsUnited Kingdom",,,"World Scientific Publishing Co.",,,,,,9789814327084; 9789814327077,,,"English","Handb. of Tourism Economics: Analysis, New Applications and Case Stud.",Book Chapter,"Final",,Scopus,2-s2.0-84974527503 "McLean T.R.","7006308481;","Medical tourism vendors and legal jurisdiction",2013,"Legal and Forensic Medicine",,,,"387","404",,,"10.1007/978-3-642-32338-6_124","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84948653082&doi=10.1007%2f978-3-642-32338-6_124&partnerID=40&md5=ea2f5efc3d92a4e3b7be53283658d44f","Third Millennium Consultants LLC, Shawnee, KS, United States","McLean, T.R., Third Millennium Consultants LLC, Shawnee, KS, United States","When patients make cross-border purchases of medical services, they rarely contemplate jurisdiction. When patients experience an adverse outcome at the hands of an overseas medical tourism vendor (MTV) (i.e., a provider or a facilitator), jurisdiction is a key issue that determines whether the patient will receive any compensation. In the European Union (EU), jurisdiction over medical tourism purchases is determined by the Brussels Convention (BC). Under the BC, jurisdiction is not an issue when a patient and a MTV are domiciled in the same country. If a MTV and a medical tourist are domiciled in different EU member states, then jurisdiction over disputes between these parties belongs to the courts where the MTV is domiciled. The BC’s general rules for determining diversity jurisdiction are subject to modification by (1) a MTV’s willingness to make a voluntary appearance in a court where the medical tourist is domiciled, (2) the locus of the contract’s performance, (3) the presence of an arbitration or jurisdiction (forumshifting) clause within the contract for services, and (4) a patient’s ability to demonstrate that they are a consumer. As a general principle of defense strategy, retaining the “home jurisdiction” advantage is desirable. MTVs who wish to retain their home jurisdiction advantage will want to artfully draft their professional services contracts so that all of clauses are valid and develop their advertising campaigns with care so as to prevent medical tourists from being deemed to be consumers. © Springer-Verlag Berlin Heidelberg 2013.",,,,,,,,,,"McLean, T.R., The future of telemedicine & its Faustian reliance on regulatory trade barriers for protection (2006) Health Matrix, 16 (2), pp. 443-509; McLean, T.R., The global market for health care: Economics and regulation (2008) Wis Int’l L J, 29, pp. 591-632; Witz, C., The place of performance of the obligation to pay the price (2006) CISG. J Law and Commer, 25, pp. 225-230; Wang, F.F., Obstacles and solutions to internet jurisdiction a comparative analysis of the EU and US laws (2008) J Int Commercial Law and Tech, 3 (4), pp. 233-237; Kruger, T., (2008) Civil Jurisdiction Rules of the EU and Their Impact on Third States, , Oxford: Oxford Press; Ratner, C., Medical tourism and the law: Could your clinic be sued in a UK court? (2010) Int Med Travel J; Cortez, N., International health care convergence: The benefits and burdens of market-driven standardization (2009) Wis Int’l L J, 26, pp. 646-704; Cortez, N., Recalibrating the legal risks of cross-border health care. Yale J Health Policy (2010) Law, and Ethics, 10, pp. 1-89; McLean, T.R., Will India set the price for teleradiology? (2009) Int J Med Robot, 5 (2), pp. 178-183; McLean, T.R., McLean, A.B., How important is Hageseth’s principle of extra-territorial jurisdiction in the global market? (2008) J Telemed Telecare, 14 (6), pp. 282-284","McLean, T.R.; Third Millennium Consultants LLCUnited States; email: tmclean@isp.com",,,"Springer Berlin Heidelberg",,,,,,9783642323386; 9783642323379,,,"English","Legal and Forensic Medicine",Book Chapter,"Final",,Scopus,2-s2.0-84948653082 "Lee C.V., Taggart L.R.","56889943900;6602805048;","Medical Tourism",2013,"Travel Medicine: Third Edition",,,,"343","347",,,"10.1016/B978-1-4557-1076-8.00036-3","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943257695&doi=10.1016%2fB978-1-4557-1076-8.00036-3&partnerID=40&md5=90a2db82704cb0249f009a03a19dd6a6","Division of Global Migration and Quarantine (DGMQ), National Center for Emerging and Zoonotic, Infectious Diseases (NCEZID), CDC, Atlanta, United States; Division of Infectious Diseases, University of Toronto, Toronto, ON, Canada","Lee, C.V., Division of Global Migration and Quarantine (DGMQ), National Center for Emerging and Zoonotic, Infectious Diseases (NCEZID), CDC, Atlanta, United States; Taggart, L.R., Division of Infectious Diseases, University of Toronto, Toronto, ON, Canada",[No abstract available],,,,,,,,,,"Gesler, W.M., (2003) Healing Places, , Rowman & Littlefield, Lanham, Md.; Oxford; Nightingale, F., (1863) Notes on Hospitals: 2 papers; with evidence given to the royal commissioners on the state of the army in 1857. 3rd , enlarg ed, , Lond; Sternberg, E.M., (2009) Healing Spaces: The Science of Place and Well-being, , Belknap Press of Harvard University Press, Cambridge, Mass; Reed, C.M., Medical tourism (2008) Med Clin North Am, 92 (6), pp. 1433 and 46 and xi. , Nov; Ehrbeck, T., Guevara, C., Mango, P.D., (2008), McKinsey Quarterly; Cohen, I.G., Medical tourism: The view from ten thousand feet (2010) Hastings Cent Rep, 40 (2), pp. 11-12. , Mar-Apr; Huntington, M.K., The expanding scope of medical travel (2011) Am Fam Physician, 84 (8), pp. 863-864. , Oct 15; Office of travel and tourism industries survey of international air travelers US to overseas and Mexico by birth and citizenship (2008), report, 2008 January-December.2009. 2009; (2008) Medical Tourism: Customers in Search of Value; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) Med Gen Med, 9 (4), p. 33. , Nov 13; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , Palgrave, Basingstoke; Einhorn, B., (2008), Outsourcing the patients. BusinessWeek. March 13; Galland, Z., Medical tourism: The insurance debate (2008), BusinessWeek. November 9; Medical guidelines for airline travel, 2nd edition (2003) Aviat Space Environ Med, 74 (5), pp. A1-A19; http://www.merck.com/mmpe/sec22/ch333/ch333b.html#CBBIEDEH; Available from: New AMA Guidelines on Medical Touricty New AMA guidelines on medical tourism [Internet]. Available from: New AMA Guidelines on Medical Tourism; http://www.jointcommissioninternational.org/, Available from; Joint Commission International accreditation standards for hospitals (2010), 4th edition. Joint Commission International; Merion, R.M., Barnes, A.D., Lin, M., Transplants in foreign countries among patients removed from the US transplant waiting list (2008) Am J Transplant, 8 (4), pp. 988-996. , Apr; http://www.nathnac.org/travel/misc/medicaltourism_010911.htm#Introduction, Updated Nov 11, 2011. Available from; Snyder, J., Crooks, V.A., Medical tourism and bariatric surgery: More moral challenges (2010) Am J Bioeth, 10 (12), pp. 28-30. , Dec; Johnston, R., Crooks, V.A., Adams, K., An industry perspective on Canadian patients' involvement in medical tourism: Implications for public health (2011) BMC Public Health, 11, p. 416. , May 31; Weiss, E.M., Spataro, P.F., Kodner, I.J., Banding in Bangkok, CABG in Calcutta: The United States physician and the growing field of medical tourism (2010) Surgery, 148 (3), pp. 597-601. , Sep; Martin, D., Professional and public ethics united in condemnation of transplant tourism (2010) Am J Bioeth, 10 (2), pp. 18-20. , Feb; Hudson, N., Culley, L., Blyth, E., Cross-border reproductive care: A review of the literature (2011) Reprod Biomed Online, 22 (7), pp. 673-685. , Jun; Doheny, K., Sick? don't fly. but if you must, get prepped before takeoff (2004), Los Angeles Times. Oct 17, 2004; Sect. Travel; http://www.plasticsurgery.org/Media/Briefing_Papers/Cosmetic_Surgery_Tourism.html; http://www.isaps.org/medical-procedures-abroad-the-key-guidelines-for-plastic-surgery-travelers.html, Available from; http://www.osap.org/?page=TravelersGuide%26hhSearchTerms=traveler's+and+guide, Available from; (2009) Human organ and tissue transplantation, , March 26; (2007) 2007 annual report of the US. organ procurement and transplantation network and the scientific registry of transplant recipients: Transplant data 1997-2006, , Rockville, MD; Budiani-Saberi, D.A., Delmonico, F.L., Organ trafficking and transplant tourism: A commentary on the global realities (2008) Am J Transplant, 8 (5), pp. 925-929. , May; http://www.who.int/ethics/topics/transplantation_guiding_principles/en/index2.html, Available from; Organ trafficking and transplant tourism and commercialism: The declaration of Istanbul (2008) Lancet, 372 (9632), pp. 5-6. , Jul 5; Shimazono, Y., The state of the international organ trade: A provisional picture based on integration of available information (2007) Bull World Health Organ, 85 (12), pp. 955-962. , Dec; Gill, J., Madhira, B.R., Gjertson, D., Transplant tourism in the United States: A single-center experience (2008) Clin J Am Soc Nephrol, 3 (6), pp. 1820-1828. , Nov; Sajjad, I., Baines, L.S., Patel, P., Commercialization of kidney transplants: A systematic review of outcomes in recipients and donors (2008) Am J Nephrol, 28 (5), pp. 744-754; Birch, D.W., Vu, L., Karmali, S., Medical tourism in bariatric surgery (2010) Am J Surg, 199 (5), pp. 604-608. , May; Medicines: Spurious/falsely-labelled/falsified/counterfeit (SFFC) medicines 2010 Jan 2010. Report No.: Fact Sheet Number 275; Counterfeit drugs and travel, , http://wwwnc.cdc.gov/travel/page/counterfeit-drugs.htm, [Internet]; 2008. Available from; Alghamdi, S.A., Nabi, Z.G., Alkhafaji, D.M., Transplant tourism outcome: A single center experience (2010) Transplantation, 90 (2), pp. 184-188. , Jul 27; Rapidly growing mycobacterial infection following liposuction and liposculpture-Caracas, Venezuela, 1996-1998 (1998) MMWR Morb Mortal Wkly Rep, 47 (49), pp. 1065-1067. , Dec 18; Furuya, E.Y., Paez, A., Srinivasan, A., Outbreak of mycobacterium abscess wound infections among 'lipotourists' from the United States who underwent abdominoplasty in the Dominican Republic (2008) Clin Infect Dis, 46 (8), pp. 1181-1188. , Apr 15; Tangden, T., Cars, O., Melhus, A., Foreign travel is a major risk factor for colonization with escherichia coli producing CTX-M-type extended-spectrum beta-lactamases: A prospective study with Swedish volunteers (2010) Antimicrob Agents Chemother, 54 (9), pp. 3564-3568. , Sep; Yong, D., Toleman, M.A., Giske, C.G., Characterization of a new metallo-beta-lactamase gene, bla(NDM-1), and a novel erythromycin esterase gene carried on a unique genetic structure in klebsiella pneumoniae sequence type 14 from India (2009) Antimicrob Agents Chemother, 53 (12), pp. 5046-5054. , Dec; Kumarasamy, K.K., Toleman, M.A., Walsh, T.R., Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: A molecular, biological, and epidemiological study (2010) Lancet Infect Dis, 10 (9), pp. 597-602. , Sep; Jones, J.W., McCullough, L.B., What to do when a patient's international medical care goes south (2007) J Vasc Surg, 46 (5), pp. 1077-1079. , Nov","Lee, C.V.; Division of Global Migration and Quarantine (DGMQ), National Center for Emerging and Zoonotic, Infectious Diseases (NCEZID), CDCUnited States",,,"Elsevier Inc.",,,,,,9781455745432; 9781455710768,,,"English","Travel Med.: Third Ed.",Book Chapter,"Final",,Scopus,2-s2.0-84943257695 "Milicevic S., Milovanovic V., Mandaric M.","55683750700;57200806787;55605677700;","Potentials of Serbia as medical tourism destination at the international tourism market",2013,"Actual Problems of Economics","142","4",,"397","404",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930009153&partnerID=40&md5=0ad6c2526c84e634f891beb90dbdbd16","University of Kragujevac, Serbia","Milicevic, S., University of Kragujevac, Serbia; Milovanovic, V., University of Kragujevac, Serbia; Mandaric, M., University of Kragujevac, Serbia","The aim of this paper is to present specificities and differences of medical tourism destinations at the international tourism market. Special attention is drawn to the analysis of different profiles of demand and their motivations for visiting medical destinations. The work will also highlight the condition of medical tourism in Serbia, especially in Serbian spa centers. Contribution of this study is to provide Serbian spa industry with recommendations for better usage of capacities to increase competitiveness at the international tourism market as a medical tourism destination. © Snezana Milicevic, Vesna Milovanovic, Marija Mandaric, 2013.","International tourism market; Management of destinations; Medical tourism; Medical tourism destinations; Serbian spas",,,,,,,,,"(2012), http://www.bumrungrad.com, Bumrungrad International Hospital, 06; Connell, J., Medical tourism: Sea, sun, sand and ... surgery (2006) Tourism Management, 27 (6); Cook, P.S., (2008) What is Health and Medical Tourism?, Annual Conference of the Australian Sociological Association, , The University of Melbourne, Victoria; Garcia-Altes, M., The development of health tourism services (2005) Annals of Tourism Research, 32 (1); (2012), http://en.wikipedia.org/wiki/Harley_Street, Harley Street, 06; Herrick, M.D., (2007) Medical Tourism: Global Competition In Health Care, , NCPA Policy Report No. 304; Hunter, C.W., Medical Tourism: A New Global Niche (2007) International Journal of Tourism Sciences, 7 (1); http://www.ikvbd.com/, Institut za Kardiovaskularne bolesti Dedinje, 06.2012; (2012), http://klasteri.merr.gov.rs/en/All-clusters/Medical-Tourism-Cluster, Medical Tourism Cluster in Serbia, 06; (2012), http://www.udel.edu/PR/UDaily/2005/mar/tourism072505.html, Medical Tourism. University of Delaware, 06; Smith, M., Puczko, L., (2009) Health and Wellness Tourism, , Oxford: Elsevier; (2012), http://www.serbia.travel/destinations/spas-and-health-resorts/, Spas and health resorts. Travel Destinations in Serbia, 06; (2012), http://www.vrnjcispa.com/, Specijalna bolnica Merkur, 06; Sziva, I., (2010) Gulliver: In the Land of Giants? the Opportunities of the Hungarian Initiations In the Surgical Medical Touristic Market, , Annual Conference, Travel and Tourism Research Association Europe, Budapest, Hungary; (2012), http://www.healism.com/medical_tourism/overview/what_is_medical_tourism?/, Universal healthcare through medical tourism, 06; (2012), http://www.b92.net/biz/vesti/srbija.php?yyyy=2010&mm=08&dd=15&nav_id=451940, Vesti iz Srbije, 06; (2012), http://www.medicinskagrupa.hr/en/med_turizam.html, What is medical tourism? Medicinska Grupa Pocetna, 06; (2012), http://www.belmedic.rs/Press/699/Zdravstveni-turizam.shtml, Zdravstreni turizam. Opsta bolnica, 06",,,,"National Academy of Management",,,,,19936788,,,,"English; Russian; Ukrainian","Actual Probl. Econ.",Article,"Final",,Scopus,2-s2.0-84930009153 "Wise J.","56371368500;","Medical tourism is a profitable source of income for the NHS, study finds",2013,"BMJ (Clinical research ed.)","347",,,"f6456","",,,"10.1136/bmj.f6456","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84925558592&doi=10.1136%2fbmj.f6456&partnerID=40&md5=c5c8e87a5cbd065e8ae43678d8cbd3cd","London","Wise, J., London",[No abstract available],,"economics; human; income; medical tourism; national health service; statistics and numerical data; United Kingdom; Great Britain; Humans; Income; Medical Tourism; State Medicine",,,,,,,,,,,,,,,,,17561833,,,"24162772","English","BMJ",Note,"Final",,Scopus,2-s2.0-84925558592 "Frädrich A.","36996506600;","Medical tourism: Patients around the world on the move [Patienten weltweit auf Achse]",2013,"Deutsches Arzteblatt International","110","35-36",,"A1616","A1618",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920584061&partnerID=40&md5=dd0a4a34de87e9d7dabe7b0f12576596",,"Frädrich, A.",[No abstract available],,"Article; Article; human; medical tourism; patient",,,,,,,,,"Frädrich, A.",,,"Deutscher Arzte-Verlag GmbH",,,,,18660452,,,,"English; German","Dtsch. Arztebl. Inter.",Article,"Final",,Scopus,2-s2.0-84920584061 "Ractham P., Nakayama M., Chen C.","14036025900;7401792580;7501949741;","Trust in online medical tourism information: Having cosmetic surgery in South Korea",2013,"Proceedings of the International Conference on Electronic Business (ICEB)",,,,"195","200",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902584488&partnerID=40&md5=8e97c53e33a7bfd5ca90fabe13727ed7","Thammasat Business School, Thailand; Depaul, United States; Appalachian State University, United States","Ractham, P., Thammasat Business School, Thailand; Nakayama, M., Depaul, United States; Chen, C., Appalachian State University, United States","Medical tourism continues to expand globally. Many consumers have to rely heavily on online information, given geographical distances and unfamiliarity of a different healthcare system. Yet the quality of information is mixed at best. Few studies have examined factors that can impact trust in healthcare websites, organizations and doctors. In light of the popularity in having a cosmetic surgery in South Korea, we conducted lab experiments using 80 business school students in Bangkok, Thailand. Given the uncertainty of information accuracy and credibility, medical tourists are strongly influenced by social influence, especially by those close to them. Social influence also affects their trust in cosmetic surgery hospitals, doctors, and websites. Furthermore, certain website features and self-efficacy of online searching influence the trust in hospitals, doctors, and websites.","Least likelihood model (ELM); Medical tourism; Online decision-making; Online information search; Self-perception theory; Trust in online information","Cosmetics; Electronic commerce; Health care; Hospitals; Surgery; Websites; Least likelihood model (ELM); Medical tourism; On-line information; Online decision-making; Online information searches; Self-perception theory; Economic and social effects",,,,,,,,"Bates, B.R., Romina, S., Ahmed, R., Hopson, D., The effect of source credibility on consumers' perceptions of the quality of health information on the Internet (2006) Informatics for Health and Social Care, 31 (1), pp. 45-52; Bem, D.J., Self-perception theory (1972) Advances in Experimental Social Psychology, 6, pp. 1-62. , Leonard Berkowitz, ed. New York: Academic Press; Bhattacherjee, A., Sanford, C., Influence processes for information technology acceptance: An elaboration likelihood model (2006) MIS Quarterly, pp. 805-825; Biggs, M., Self-fulfilling prophecies (2009) The Oxford Handbook of Analytical Sociology, pp. 294-314. , In P. Hedström & P. Bearman (Eds.) New York: Oxford University Press; Briggs, P., Burford, B., De Angeli, A., Lynch, P., Trust in online advice (2002) Social Science Computer Review, 20 (3), pp. 321-332; Briggs, P., Simpson, B., Angeli, A., Personalisation and trust: A reciprocal relationship? (2004) Designing Personalized User Experiences in ECommerce, pp. 39-55; Cormany, D., Baloglu, S., Medical travel facilitator websites: An exploratory study of web page contents and services offered to the prospective medical tourist (2011) Tourism Management, 32 (4), pp. 709-716; Cotten, S.R., Gupta, S.S., Characteristics of online and offline health information seekers and factors that discriminate between them (2004) Social Science & Medicine, 59 (9), pp. 1795-1806; Cyr, D., Head, M., Ivanov, A., Design aesthetics leading to m-loyalty in mobile commerce (2006) Information Management, 43 (8), pp. 950-963; Doney, P.M., Cannon, J.P., An examination of the nature of trust in buyer-seller relationships (1997) Journal of Marketing, 61 (2), pp. 35-51; (2012) A Cut Above: Who Has the Most Plastic Surgery?, , http://www.economist.com/blogs/graphicdetail/2012/04/daily-chart-13, April 23 Retrieved February 6, 2013, from; Everard, A., Galletta, D.F., How presentation flaws affect perceived site quality, trust, and intention to purchase from an online store (2005) Journal of Management Information Systems, 22 (3), pp. 55-95; Eysenbach, G., Diepgen, T.L., Gray, J.A.M., Bonati, M., Impicciatore, P., Pandolfini, C., Arunachalam, S., Towards quality management of medical information on the internet: Evaluation, labelling, and filtering of informationHallmarks for quality of informationQuality on the internetAssuring quality and relevance of internet information in the real world (1998) Bmj, 317 (7171), pp. 1496-1502; Eysenbach, G., Powell, J., Kuss, O., Sa, E., Empirical studies assessing the quality of health information for consumers on the world wide web: A systematic review (2002) JAMA, 287 (20), pp. 2691-2700; Flavián, C., Guinalíu, M., Gurrea, R., The role played by perceived usability, satisfaction and consumer trust on website loyalty (2006) Information & Management, 43 (1), pp. 1-14; Fox, S., (2006), Online Health Search 2006: Pew Internet & American Life Project; (2012) Asia Medical Tourism Analysis and Forecast to 2015, , Global Information, I; (2010) Spas and the Global Wellness Market: Synergies and Opportunities, , Global Spa Summit; Gordon, J.B., Barot, L.R., Fahey, A.L., Matthews, M.S., The Internet as a source of information on breast augmentation (2001) Plastic and Reconstructive Surgery, 107 (1), pp. 171-176; Hesse, B.W., Nelson, D.E., Kreps, G.L., Croyle, R.T., Arora, N.K., Rimer, B.K., Viswanath, K., Trust and sources of health information: The impact of the Internet and its implications for health care providers: Findings from the first Health Information National Trends Survey (2005) Archives of Internal Medicine, 165 (22), pp. 2618-2624; (2011) International Survey on Aesthetic/Cosmetic Procedures Performed in 2011, from, , http://www.isaps.org/files/html-contents/Downloads/ISAPS%20Results%20- %20Procedures%20in%202011.pdf, ISAPS; Kang, I., Shin, M.M., Lee, J., Service evaluation model for medical tour service (2012) Journal of Hospitality Tourism Research; Lunt, N., (2011) Medical Tourism: Treatments, Markets and Health System Implications: A Scoping Review: OECD; Marakas, G.M., Yi, M.Y., Johnson, R.D., The Multilevel and Multifaceted Character of Computer Self-Efficacy: Toward Clarification of the Construct and an Integrative Framework for Research (1998) Information Systems Research, 9 (2), pp. 126-163; McKnight, D.H., Choudhury, V., Kacmar, C., The impact of initial consumer trust on intentions to transact with a web site: A trust building model (2002) The Journal of Strategic Information Systems, 11 (3), pp. 297-323; Metzger, M.J., Making sense of credibility on the Web: Models for evaluating online information and recommendations for future research (2007) Journal of the American Society for Information Science and Technology, 58 (13), pp. 2078-2091; Moorman, C., Deshpandé, R., Zaltman, G., Factors affecting trust in market research relationships (1993) Journal of Marketing, 57 (1), pp. 81-101; Morahan-Martin, J.M., How Internet users find, evaluate, and use online health information: A cross-cultural review (2004) CyberPsychology & Behavior, 7 (5), pp. 497-510; Mun, W.K., Musa, G., Medical tourism in Asia (2012) Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility, pp. 167-186. , In M. Hall (Ed.) New York: Routledge; Nakayama, M., Wan, Y., Sutcliffe, N., How dependent are consumers on others when making their shopping decisions? (2011) Journal of Electronic Commerce in Organizations (JECO), 9 (4), pp. 1-21; O'Grady, L., Betel, L., Shachak, A., (2010) Sensemaking and Credibility of Health Information in Online Message Forums: A Multi-Method Study Assessing Tagging and Tag Clouds, , Paper presented at the Proceedings of the 2010 ACM Conference on Computer Supported Cooperative Work; Painter, K., (2013), January 13. 35% of Americans ask Dr. Google for medical diagnose, USA Today; Petty, R.E., Cacioppo, J.T., The elaboration likelihood model of persuasion (1986) Advances in Experimental Social Psychology, 19 (1), pp. 123-205; Shankar, V., Urban, G.L., Sultan, F., Online trust: A stakeholder perspective, concepts, implications, and future directions (2002) The Journal of Strategic Information Systems, 11 (3), pp. 325-344; Silberg, W.M., Lundberg, G.D., Musacchio, R.A., Assessing, controlling, and assuring the quality of medical information on the Internet (1997) JAMA: The Journal of the American Medical Association, 277 (15), pp. 1244-1245; Sillence, E., Briggs, P., Fishwick, L., Harris, P., (2004) Trust and Mistrust of Online Health Sites, , Paper presented at the Proceedings of the SIGCHI conference on Human factors in computing systems; Sillence, E., Briggs, P., Harris, P.R., Fishwick, L., How do patients evaluate and make use of online health information? (2007) Social Science & Medicine, 64 (9), pp. 1853-1862; Sirdeshmukh, D., Singh, J., Sabol, B., Consumer trust, value, and loyalty in relational exchanges (2002) Journal of Marketing, 66 (1), pp. 15-37; Terry, N., Under-regulated healthcare phenomena in a flat world: Medical tourism and outsourcing (2007) Western New England Law Review, 29, pp. 421-472; Thatcher, J.B., Perrewe, P.L., An empirical examination of individual traits as antecedents to computer anxiety and computer self-efficacy (2002) MIS Quarterly, pp. 381-396; Torpy, J.M., Burke, A.E., Golub, R.M., Health literacy (2011) JAMA: The Journal of the American Medical Association, 306 (10), pp. 1158-1158; Venkatesh, V., Morris, M.G., Davis, G.B., Davis, F.D., User acceptance of information technology: Toward a unified view (2003) MIS Quarterly, 27 (3), pp. 425-478; Yee, N., Bailenson, J.N., Ducheneaut, N., The Proteus effect implications of transformed digital self-representation on online and offline behavior (2009) Communication Research, 36 (2), pp. 285-312; Yi, M.Y., Hwang, Y., Predicting the use of web-based information systems: Self-efficacy, enjoyment, learning goal orientation, and the technology acceptance model (2003) International Journal of Human-Computer Studies, 59 (4), pp. 431-449; Yu, J.Y., Ko, T.G., A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea (2012) Tourism Management, 33 (1), pp. 80-88; Zhang, J., Seo, S., Lee, H., The impact of psychological distance on Chinese customers when selecting an international healthcare service country (2013) Tourism Management, 35 (0), pp. 32-40",,,"Fuji Xerox Singapore Private Limited;Nanyang Technological University, WKWSCI Advancement Fund","International Consortium for Electronic Business","13th International Conference on Electronic Business, ICEB 2013","1 December 2013 through 4 December 2013","Singapore",105791,16830040,,,,"English","Proc. Int. Conf. Electron. Bus. (ICEB)",Conference Paper,"Final",,Scopus,2-s2.0-84902584488 "Vakhovych I., Volynchuk Y., Malimon V.","35759687700;56090542300;56157122800;","Development of regional medical tourism markets in Ukraine based on innovation principles",2013,"Economic Annals-XXI","11-12","1",,"42","45",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900407105&partnerID=40&md5=693decbb5165847166dee9726b50cfe3","Financial Department, Lutsk National Technical University, Ukraine, 75 Lvivska St., Lutsk, 43018, Ukraine","Vakhovych, I., Financial Department, Lutsk National Technical University, Ukraine, 75 Lvivska St., Lutsk, 43018, Ukraine; Volynchuk, Y., Financial Department, Lutsk National Technical University, Ukraine, 75 Lvivska St., Lutsk, 43018, Ukraine; Malimon, V., Financial Department, Lutsk National Technical University, Ukraine, 75 Lvivska St., Lutsk, 43018, Ukraine","It is stated in the article that the development of regional medical tourism markets in Ukraine should be based on innovation principles. The types and meaning of innovation technologies according to the medical services provision to tourists (tourist attraction, tourist services, provision of medical services and additional tourist services) have been studied. The characteristic of creation and marketing processes features of medical innovations at regional medical tourism markets were determined. The stages and participants of these processes were selected, which form the support system for the innovation creation.","Innovation technologies; Medical tourism; Region; Regional market; Services",,,,,,,,,"Schumpeter, J., (1982) The Theory of Economic Development: An Inquiry Into Profits, Capital, Credit, Interest, and the Business Cycle, , Moscow: Progress Press in Russ; (2002) About Innovation Activity (Law of Ukraine), , http://zakon1.rada.gov.ua/laws/show/40-15, Retrieved from, in Ukr; (2012) Innovation Capacity and Technological Readiness of the Ukrainian Economy in International Comparisons, , http://www.uintei.kiev.ua/viewpage.php?page_id=432, Retrieved from, in Ukr; Kindruk, T.O., Holovinov, O.M., Innovation activity in tourist industry of Ukraine (2010) Ekonomichni Nauky (Economic Sciences), , http://www.rusnauka.com/11_EISN_2010/Economics/64053.doc.htm, Retrieved from, in Ukr; Vakhovych, I.M., Malimon, V.V., Medical tourism in the system of regional market of tourist services (2012) Ekonomichnyi Forum (Economic Forum), p. 1. , http://archive.nbuv.gov.ua/portal/soc_gum/ekfor/2012_1/16.pdf, Retrieved from, in Ukr; Tymoschchuk, M.P., Tymoschchuk, P.V., Informational support of innovation activity (2010) Naukovyi Visnyk NLTU Ukrainy (Scientific Herald of NLTU of Ukraine), 20, pp. 260-265. , in Ukra; Fedulova, L.I., (2005) Innovative Economic Development: Model, Management System, Public Policy, , Kyiv: Osnova, in Ukr; Hicks, D., Breitzman, T., Olivastro, D., Hamilton, K., The changing composition of innovative activity in the U. S. - A portrait based on patent analysis (2001) Research Policy, 30, pp. 681-703",,,,"Institute of Society Transformation",,,,,17286220,,,,"English","Eco. Annals.",Article,"Final",,Scopus,2-s2.0-84900407105 "Trabacca A., Ricci S., Russo L., Gennaro L., Losito L., De Rinaldis M., Paloscia C.","24476870400;57206190889;51964764800;35169467500;6506791703;24476388200;9747296100;","Medical tourism: Evidence from an Italian descriptive survey on pediatric neurorehabilitation treatment abroad",2013,"European Journal of Physical and Rehabilitation Medicine","49","6",,"829","836",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84896339055&partnerID=40&md5=dd2d9cfc5e9df0ae1e04517c322602eb","Department of Planning and Organization of the National Health Service, Italian Ministry of Health, Rome, Italy; Rehabilitation Center, La Nostra Famiglia Association, Brindisi, Italy; Unit of Neurorehabilitation I - Developmental Neurology and Functional Rehabilitation, Scientific Institute - I.R.C.C.S. E. Medea, Brindisi Research Centre, Brindisi, Italy","Trabacca, A., Unit of Neurorehabilitation I - Developmental Neurology and Functional Rehabilitation, Scientific Institute - I.R.C.C.S. E. Medea, Brindisi Research Centre, Brindisi, Italy; Ricci, S., Department of Planning and Organization of the National Health Service, Italian Ministry of Health, Rome, Italy; Russo, L., Unit of Neurorehabilitation I - Developmental Neurology and Functional Rehabilitation, Scientific Institute - I.R.C.C.S. E. Medea, Brindisi Research Centre, Brindisi, Italy; Gennaro, L., Unit of Neurorehabilitation I - Developmental Neurology and Functional Rehabilitation, Scientific Institute - I.R.C.C.S. E. Medea, Brindisi Research Centre, Brindisi, Italy; Losito, L., Unit of Neurorehabilitation I - Developmental Neurology and Functional Rehabilitation, Scientific Institute - I.R.C.C.S. E. Medea, Brindisi Research Centre, Brindisi, Italy; De Rinaldis, M., Unit of Neurorehabilitation I - Developmental Neurology and Functional Rehabilitation, Scientific Institute - I.R.C.C.S. E. Medea, Brindisi Research Centre, Brindisi, Italy; Paloscia, C., Rehabilitation Center, La Nostra Famiglia Association, Brindisi, Italy","Background. In recent years we have witnessed a rapidly-growing tendency to seek neurorehabilitation abroad. Aim. This study aimed at better understanding this practice through a analysis of the authorizations for pediatric neurorehabilitation services issued by Italian Regions. Design. Descriptive retrospective survey study. Setting. Outpatient. Population. Italian children travelling abroad for neurorehabilitation. Methods. We analyzed the number of authorizations granted in the 2008-2011 period by local health agencies of Italian regions to children aged 0-18 years applying for neurorehabilitation services abroad. Information was obtained from the Ministry of Health database management systems. Results. Our analysis showed an extreme variability across Italian regions. This is probably suggestive of an unbalanced offer of pediatric neurorehabilitation services across regions, different mechanisms used to control the phenomenon. Conclusion. Our study looked specifically at the practice of neurorehabilitation abroad in order to encourage further and larger studies, even at international level. A greater integration of health systems with common policies is to be achieved in order to control this phenomenon in a field as sensitive as pediatric neurorehabilitation. Clinical rehabilitation impact. Our study, which is the only study so far focusing on pediatric neurorehabilitation, looked specifically at the practice of health tourism in order to encourage further and larger studies, even at international level. Health tourism is a critical issue for all Western welfare systems which are under a pressure to cut health-related expenses.","Child -; Medical tourism -; Rehabilitation","adolescent; article; child; ethnology; human; infant; Italy; medical tourism; nervous system injury; neurologic disease; newborn; preschool child; retrospective study; statistics; Adolescent; Child; Child, Preschool; Humans; Infant; Infant, Newborn; Italy; Medical Tourism; Nervous System Diseases; Retrospective Studies; Trauma, Nervous System",,,,,,,,"Rosa-Rizzotto, M., Visonà Dalla Pozza, L., Turconi, A.C., Tornetta, L., Andreucci, E., Zambonin, F., The perception of involved professionals towards research feasibility and usefulness: Lessons from the Multi-Site Trial on Efficacy of Constraint Induced Movement Therapy in Children with Hemiplegia (2010) Eur J Phys Rehabil Med., 46 (3), pp. 369-376. , Sep; Lunt, N., Carrera, P., Medical tourism: Assessing the evidence on treatment abroad (2010) Maturitas, 66 (1), pp. 27-32; (2011), http://dati.istat.it/?lang=it, ISTAT- 15° Censimento generale della popolazione e delle abitazioni 9 ottobre; Carrera, P.M., Bridges, J.F.P., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454. , http://www.future-drugs.com/doi/full/10.1586/14737167.6.4.447, DOI 10.1586/14737167.6.4.447; Connell, J., Medical tourism: Sea, sun, sand and ⋯ surgery (2006) Tourism Management, 27 (6), pp. 1093-1100. , DOI 10.1016/j.tourman.2005.11.005, PII S0261517705001871; Smith, R., Martinez Alvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2-3), pp. 276-282; (2006) Medical Tourism: A Global Analysis, , Tourism Research and Marketing (TRAM) Arnhem, the Netherlands: Atlas; Smith, R., Martinez Alvarez, M., Chanda, R., Medical tourism: A review of the literature and analysis of a role for bi-lateral trade (2011) Health Policy, 103 (2-3), pp. 276-282; Flash EB series #210 (2007) Analytical Report, , http://ec.europa.eu/public_opinion/flash/fl_210_en.pdf, The Gallup Organization cross-border health services in the EU ed. Health Strategy Unit; MacReady, N., Developing countries court medical tourists (2007) Lancet, 369 (9576), pp. 1849-1850; Cohen, I.G., How to regulate medical tourism (and why it matters for bioethics) (2012) Dev World Bioeth, 12 (1), pp. 9-20; Bell, E., Wallace, T., Chouinard, I., Shevell, M., Racine, E., Responding to requests of families for unproven interventions in neurodevelopmental disorders: Hyperbaric oxygen ""treatment"" and stem cell ""therapy"" in cerebral palsy (2011) Dev Disabil Res Rev., 17 (1), pp. 19-26; King, S., Teplicky, R., King, G., Rosenbaum, P., Family-centered service for children with cerebral palsy and their families: A review of the literature (2004) Seminars in Pediatric Neurology, 11 (1), pp. 78-86. , DOI 10.1016/j.spen.2004.01.009; Criteri per la fruizione di prestazioni assistenziali in forma indiretta presso centri di altissima specializzazione all'festero (1989) G U Serie Generale, p. 273. , Ministern della Sanita; Identificazione delle classi di patologia e delle prestazioni fruibili presso centri di altissima specializzazione all'estero (1990) G U Serie Generale, p. 27. , Ministero della Sanita","Trabacca, A.; Unit of Neurorehabilitation I - Developmental Neurology and Functional Rehabilitation, Scientific Institute - I.R.C.C.S. E. Medea, Brindisi Research Centre, Brindisi, Italy",,,"Edizioni Minerva Medica S.p.A.",,,,,19739087,,,"24185691","English","Eur. J. Phys. Rehabil. Med.",Article,"Final",,Scopus,2-s2.0-84896339055 "Thompson S.J.","57199221882;","The overseas patient trap. Systems face language, cultural differences tending to health tourists' needs.",2013,"Modern healthcare","43","5",,"26","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875908351&partnerID=40&md5=efa156764e5543dff7358ceafe44055e","Johns Hopkins Medicine International, Baltimore, United States","Thompson, S.J., Johns Hopkins Medicine International, Baltimore, United States",[No abstract available],,"article; communication disorder; cultural competence; health economics; medical tourism; United States; Communication Barriers; Cultural Competency; Economics, Hospital; Medical Tourism; United States",,,,,,,,,"Thompson, S.J.",,,,,,,,01607480,,,"23437489","English","Mod Healthc",Article,"Final",,Scopus,2-s2.0-84875908351 "Menvielle L.","39361975700;","Medical tourism: What role for developing countries? [Tourisme médical : quelle place pour les pays en développement ?]",2012,"Mondes en Developpement","40","1",,"81","96",,,"10.3917/med.157.0081","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84875190068&doi=10.3917%2fmed.157.0081&partnerID=40&md5=befa4f206831bf010bbdd0325fbc4016","EDHEC Business School, Nice, France","Menvielle, L., EDHEC Business School, Nice, France",[No abstract available],,"developing world; medicine; tourism",,,,,,,,"Al Hamarneh, A., Tourisme médical arabe en Allemagne (2006) Tourisme Islamique, 26 (JANVIER), p. 2; Attali, J., (2008) Rapport de la Commission Pour la Libération de la Croissance Française, , Paris, La documentation Française; Bennett, M., King, B., Milner, L., The health resort sector in australia: A positioning study (2004) Journal of Vacation Marketing, 10 (2), pp. 122-138; Bianchi, R., Tourism and the globalisation of fear: Analysis the politics of risk and (in) security in global travel (2006) Tourism and Hospitality Research, 7 (1), pp. 64-74; Boyer, M., (1996) L'Invention du Tourisme, , Paris, Gallimard; Brun, N., Deau, X., Roffé, J.-L., Tourisme médical : la médecine low cost ? (2008) Médecins., , http://bulletin.conseil-national.medecin.fr/article.php3?id_article=273; Burgun, I., (2010) Une Chirurgie Au Soleil. Agence Science Presse, , http://www.sciencepresse.qc.ca/actualite/2010/03/23/chirurgie-soleil; (2005) Rapport Statistique, , http://www.cleiss.fr/docs/stats/rapport_stat_2005.pdf, [29/07/2009]; Clift, S., Page, S.J., (1996) Health and the International Tourist, , London, Routledge; Connell, J., Medical tourism: Sea, sun, sand* surgery (2005) Tourism Management, 27, pp. 1093-1100; (2012) Healthcare, , http://www.cii.in/Sectors.aspx?SectorID=S000000031, 26 janvier 2012, disponible à, [27/01/2012]; (2008) Pourquoi Nous Voulons un Corps Parfait, (900), pp. 31-46. , COURRIER INTERNATIONAL, janvier; De Corbière, C., (2008) L'Allemagne Chasse Sans Complexe les Patients Fortunés, , Le Figaro, 5 aoÛt; (2008) Medical Tourism: 2008 Survey of Health Care Consumers, , http://www.deloitte.com/dtt/article/0%2C1002%2Ccid%25253D192707%2C00.html; Fakhouri, G., Okour, R.A., (2004) Trade in Health Services: Jordan Case Study, , WHO-EMRO, novembre, Genève; Garcia-Altes, M., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; Gilbert, E., (1954) Brighton: Old Ocean's Bauble, , London, Methuen; Goodrich, J.N., Goodrich, G.E., Health-care tourism. an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; Graham, K., It was a big leap of faith (2005) Guardian, 21 (JUNE), pp. 8-9; Horowitz, M.D., Rosensweig, J.A., Jones, C.A., Medical tourism: Globalization of the healthcare marketplace (2007) MedGenMed, 2007, 9 (4), pp. 33-41; Hutchinson, B., Medical tourism growing wolrdwide (2005) Messenger - University of Delaware Review, 13 (4); (2011) Health Tourism Destination India Rapport Industriel du Secteur Médical et de Santé, , http://www.ibef.org/download/Health-Tourism_091211.pdf, 9 Décembre Disponible À, [27/01/2012]; (2011) Jordan Oman Dubai Unrest in Middle East Impacts Medical Tourism, , http://www.imtj.com/news/?EntryId82=289728, 19 May 2011, [27/01/2012]; Lautier, M., Les exportations de services de santé des pays en développement (2005) Agence Française du Développement, p. 25; Le Borgne, C., Le tourisme médical : une nouvelle façon de se soigner (2007) Sève - Presses de Sciences Po, 2 (15); (2008) Mapping the Market for Medical Travel, , MCKINSEY, McKinsey Quaterly, May; (2008) Accounting for the Cost of US Health Care: A New Look at Why Americans Spend More, , MCKINSEY, McKinsey Global Institute Report, December; Menvielle, L., Medical tourism: Paradoxes of globalisation and ethical issues (2010) Paradoxes of Globalisation, pp. 145-165. , N. Tournois and E. Milliot, Hampshire: Palgrave McMillan; Menvielle, L., Menvielle, W., Tournois, N., Pôles de compétitivité et régionalisation de la santé (2010) Les Pôles de Compétitivité : Gouvernance et Performance des Réseaux d'Innovation, pp. 329-359. , B. Aliouat (éd), Paris, Hermès Sciences Lavoisier; (2010) Comptes Nationaux de la Santé, Ministère de la Santé, , http://www.sante.gouv.fr/IMG/pdf/05_cns_2010_fiches-2.pdf, MINISTERE De La SANTE, Paris, [27/01/2012]; Nys, J.-F., Les nouveaux flux de migrations médicales (2010) Revue Internationale et Stratégique, 77 (1), pp. 24-35; Oppenheimer, A., (2008) Tourisme Médical, Vos Patients Sont les Bienvenus, Courrier International, (900); Porter, M.E., (1990) The Competitive Advantage of Nations, , London, Mac Millan; Prioux, F., L'évolution démographique récente en France (2005) Population, 60 (4), pp. 443-487; Proulx, L., Tourisme, santé et bien-être (2005) Revue Téoros, 24 (3), pp. 5-11; Rawls, J., (1971) Theory of Justice, , Cambridge, Belknap Press; Reisman, D.A., (2010) Health Tourism: Social Welfare Through International Trade, , Cheltenham, Edward Elgar; Sahel, S.M., Kerris, B.C., (2009) Nouvelle Politique Pour la Relance du Secteur Touristique en Algérie : Quelle Stratégie ?, , 2e Journée de recherche sur le tourisme, 3 avril, La Rochelle; Smith, M., Kelly, C., Wellness tourism (2006) Tourism Recreation Research, 31 (1), pp. 1-4; Smith, R.D., Rupa, C., Viroj, T., Trade in health-related services (2009) The Lancet, 373, pp. 593-601; Turner, L., (2007) Canadian Medicare and the Global Health Care Bazaar, , Policy Options, September; Walker, T., Consumers go abroad in pursuit of cost-effective healthcare, managed (2006) Healthcare Executive, 16 (7), p. 10","Menvielle, L.; EDHEC Business School, Nice, France; email: loick.menvielle@edhec.edu",,,,,,,,03023052,,,,"French","Mondes Dev.",Article,"Final",,Scopus,2-s2.0-84875190068 "Nodilo M.","24475309700;","Natural heritage of the island of mljet - the basis of the development of the medical tourism [Prirodna baština otoka mljeta - Temelj razvoja zdravstvenog turizma]",2012,"Sumarski List","136","7-8",,"377","385",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867376026&partnerID=40&md5=858b1f98548e3129289ee4e264f5def4","Polače 38 a, 20 226 Govedari, Croatia","Nodilo, M., Polače 38 a, 20 226 Govedari, Croatia","The island of Mljet is well known for its natural heritage: two salt lakes, forests of Holm oak and Aleppo pine, blatina (brachish water), cliff coasts, sandy coves, caves, richness of underwater life, natural harbours, springs of drinkable water, endemic and medical plants. As a result of awareness of need to protect this amazing natural environment, forests and vegetation are preserved: The one third of the island Mljet was pronounced a national park in the year 1960 to make conditions for systematic nature protection.There are many reasons to encourage health tourism on Mljet: mild Mediterranean climate with green vegetation and possibility for hiking, recreation and sightseeing throughtout the year. Environmental pollution is non existing and for that reason as well, the conditions for rehabilitation in this natural ambience is perfect. To make a progress for inhabitants and guests with this kind of tourism, there should be also infrastructure beside these favourable natural conditions. Until now has been no offi cial medical tourism on Mljet, although long walks and enjoying in natural beauty of Mljet have always been known for their positive impact on health. Mljet is an island so rich with natural beauty is best place there is for health tourism. It can be explored through leisure mountaineering across the hilltops, walks around the lakes, swimming in sea during summertime as well as looking at intact nature from a boat. As well as great natural heritage, one also has to mention cultural heritage: ruin of an old roman palace (4th or 5th century AD), Benedictine monastery (12th century AD) as well as monastery from the time of Republic of Dubrovnik. Above all, Mljet is one of rare places on Earth where pollution is non-existent as there is not one factory anywhere nearby. For all of these reasons, Mljet can be visited during any season of the year.","Health tourism; Island Mljet; Natural heritage","Cultural heritages; Environmental pollutions; Island Mljet; Mediterranean climates; National parks; Natural beauty; Natural conditions; Natural environments; Natural heritage; Salt lakes; Climatology; Coastal zones; Forestry; Lakes; Vegetation; Health; brackish water; cave; cliff; coniferous forest; cultural heritage; deciduous forest; ecotourism; health impact; heritage tourism; island; medical geography; medicinal plant; Mediterranean environment; national park; recreational activity; Roman era; saline lake; spring water; tourism development; underwater environment; Forestry; Health; Lakes; Meteorology; Plants; Croatia; Dubrovnik; Mljet",,,,,,,,"Bertović, S., (1989) Klima Nac. Parka Mljet, Kesić, pp. 13-26. , Vesenjak-Hirjan, J. Ekološke i zdravstvene prilike otoka Mljeta, HAZU, str, Zagreb; Bognar, A., Curić, L., (1985) Geomorfološke Značajke Otoka Mljeta, Simpozij ""prirodne Značajke i Društvena Valorizacija Otoka Mljeta"", , str. 73-84 Pomena; Fisković, C., Crkva i samostan sred Jezera na Mljetu (1958) Bulletin HAZU VI, (1). , str. 11, Zagreb; Gušić, B., Fisković, C., (1980) Otok Mljet, Uprava Nacionalnog Parka Mljet, , str. 101, Govedari; Ivanišević, G., (2010) Lječilišna Medicina i Lječilišni Turizam U Hrvatskoj, Simpozij Lječilišna Medicina i Turizam, pp. 9-17. , V. Lošinj, Akademija medicinskih znanosti Hrvatske, str., Zagreb; Keršek, E., (2008) Ljekovite Biljne i Voćne Rakije, , Rakijska biljaruša, VBZ, str. 271, Zagreb; Kevo, R., (1961) Mljet - Zeleni Otok, Uprava Nacionalnog Parka Mljet, , str. 52, Govedari; Nikolić, T., Topić, J., (2005) Crvena Knjiga Vaskularne Flore Hrvatske, Državni Zavod Za Zaštitu Prirode, , str. 693, Zagreb; Pavletić, Z., (1995) Ugrožene Biljke Otoka Mljeta, Simpozij ""prirodne Značajke i Društvena Valorizacija Otoka Mljeta"", , str. 285-291, Pomena; Prlenda, M., (2010) Otok Mljet - Destinacija Zdravstvenog Turizma, Simpozij Lječilišna Medicina i Turizam, pp. 81-83. , V. Lošinj, Akademija medicinskih znanosti Hrvatske, str., Zagreb; Rauš, D., (1977) Vegetacijske Značajke Uže Okolice Malostonskog Zaljeva, Zbornik Savjetovanja ""malostonski Zaljev"", , str. 27-39 Dubrovnik; Regula-Bevilaqua, Lj., Ilijanić, Lj., Analiza flore otoka Mljeta (1984) Acta Boatanica Croatica, 43, pp. 119-142. , Zagreb; Seletković, Z., Katušin, Z., (1984) Klima Hrvatske, pp. 13-18. , Šume Hrvatske, str., Zagreb; Stražičić, N., Rikavice na otoku Mljetu (1955) Speleolog, 3-4. , str. 77-81 Zagreb; Šegulja, N., (1998) Biljni Svijet Pjeskovito-šljunkovite Obale Našega Jadrana"", pp. 21-27. , Ekološki glasnik 8, str., Zagreb; Šugar, I., (1984) Crvena Knjiga Biljnih Vrsta Republike Hrvatske, , Zavod za zaštitu prirode, str. 521, Zagreb; Toplak Galle, K., (2005) Domaće Ljekovito Bilje, , Mozaik knjiga, str. 310, Zagreb; Trinajstić, I., (1985) Dopune Flori Otoka Mljeta, pp. 7-14. , Poljoprivreda i šumarstvo, 31/1; str., Zagreb; Trinajstić, I., (1995) Vegetacijske Značajke Otoka Mljeta, Simpozij ""prirodne Značajke i Društvena Valorizacija Otoka Mljeta"", , str. 247-269 Pomena","Nodilo, M.Polače 38 a, 20 226 Govedari, Croatia; email: nodilom@gmail.com",,,,,,,,03731332,,,,"Croatian","Sumarsk. List",Article,"Final",,Scopus,2-s2.0-84867376026 "Meng N.K., Tianhuei E.S.","55370623700;55371489000;","Important attributes that affect tourist's decision to visit Penang as a medical tourism destination",2012,"Current Issues in Hospitality and Tourism Research and Innovations - Proceedings of the International Hospitality and Tourism Conference, IHTC 2012",,,,"487","489",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866911843&partnerID=40&md5=55152eec1ebf8484b05f74674294d99b","Department of Tourism and Culinary Arts, School of Hospitality, KDU College Penang, Malaysia","Meng, N.K., Department of Tourism and Culinary Arts, School of Hospitality, KDU College Penang, Malaysia; Tianhuei, E.S., Department of Tourism and Culinary Arts, School of Hospitality, KDU College Penang, Malaysia","Defined by Global Spa Summit LLC 2011 as the travelling of people to another location to receive treatments for their diseases, or other conditions, medical tourism is fast gaining momentum in the world of tourism in Malaysia especially in Penang Island. Surprisingly, it involves citizens of highly developed countries travelling to less developed areas due to several factors. Therefore, this study aims to identify the attributes of Penang Island as a medical tourism destination hence influencing medical tourist's decision. A sample of 258 international medical tourists was randomly selected in different hospitals and data obtained are then tabulated and process using the application of a data analysis package, Statistical Package for the Social Sciences (SPSS). © 2012 Taylor & Francis Group.","Healthcare and facilities; International medical tourists; Medical treatments; Penang island","Developed countries; Gaining momentum; International medical tourists; Malaysia; Medical treatment; Penang island; Statistical packages; Health care",,,,,,,,"The new medical tourism market (2009) Journal of Medical Tourism, , http://www.asrn.org/journalmedical-tourism/681-the-new-medical-tourism- market.html, ISSN 2151-0474, [Online], last visited 11/11/2011; (2004) Medical Tourism: Need Surgery, , http://www.cbc.ca/news/background/healthcare/medicaltourism.html, June 18, will travel [Online], last visited 11/11/2011 http://www.health-tourism.com/malaysiamedical- tourism/(last visited 11/11/2011; Connell, J., The rise of medical tourism in Asia (2006) MedicalTourism: Sea, Sun, Sand and . . . Surgery, 3, pp. 1095-1096; Features penang medical tourism in prime time news (2009) Penang Medical Tourism Increases in Revenue, , http://www.visitpenang.gov.my/portal3/medicaltourism.html, Penang State Tourism Official Website, [Online], CNBC, last visited 11/11/2011; Reid, R.D., Bojanic, D.C., (2009) Hospitality Marketing Management, , Hoboken, New Jersey: John Wiley and Sons; Kulkarni, S., (2008) Medical Tourism in India, , Jaipur, India: Global Media; (2009) Malaysian Medical Tourism Growing, , http://biz.thestar.com.my/news/story.asp?file=/2009/2/14/business/ 3245091&sec=business, Star, the, February 14., [Online], last visited 11/11/2011","Meng, N.K.; Department of Tourism and Culinary Arts, School of Hospitality, KDU College PenangMalaysia",,,,"International Hospitality and Tourism Conference, IHTC 2012","3 September 2012 through 5 September 2012","Kuala Lumpur",92935,,9780415621335,,,"English","Curr. Issues Hosp. Tour. Res. Innov. - Proc. Int. Hosp. Tour. Conf., IHTC",Conference Paper,"Final",,Scopus,2-s2.0-84866911843 "Cassens M.","54381417800;","About the necessity of changemanagement in regional tourism policy: Informal education as solution of the authenticity Problem in health touristic destinations including a case study [Über die Notwendigkeit von Changemanagement regionaler Tourismuspolitik: Informelle Bildung als Lösung des Authentizitätsproblems in gesundheitstouristischen Destinationen am Fallbeispiel]",2012,"Pravention und Gesundheitsforderung","7","3",,"214","219",,,"10.1007/s11553-012-0346-1","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864749420&doi=10.1007%2fs11553-012-0346-1&partnerID=40&md5=04347490afcc0cb0a817a676dfb68387","Institut für Gesundheitswissenschaften Scharnitz/Tirol, Gießenbach 237, 6108 Scharnitz, Austria","Cassens, M., Institut für Gesundheitswissenschaften Scharnitz/Tirol, Gießenbach 237, 6108 Scharnitz, Austria","Background: Classic health tourism and modern alternatives are similar to each other, which equates to the leading concept of health as a continuum. Demographical and epidemiological scenarios indicate interventions, long before relevant diseases become manifest after an often long latent phase. Tourism destinations seem to be preferred for health education. However, people active in the field of health tourism lack authenticity in their own lifestyle. Is this not a basic requirement for people in the health tourism setting?Methods of Evaluation: A search of the scientific literature was carried out with analysis and interpretation triangulated with the active monitoring method. Conclusion: Based on the chances and challenges for health regions the currently running paradigm change of the Olympia region of Seefeld in Tirol will be discussed. At present the ambassadors for health are in staff training and should act as influencers in the long-term perspective. The goal is to incorporate more authenticity into a health tourism region. © 2012 Springer Medizin Verlag.","Authenticity; Health oriented learning; Health tourism; Olympiaregion Seefeld; Tourism destination",,,,,,,,,"Brüning, L., Saum, T., (2009) Erfolgreich Unterrichten Durch Kooperatives Lernen - Strategien Zur Schüleraktivierung, pp. 11-28. , Neue Deutsche Schule, Essen; (2010) Österreichische Empfehlungen Für Gesundheitswirksame Bewegung, , BMGFJ - Bundesministerium für Gesundheit, Familie und Jugend Grasl Druck & Neue Medien, Bad Vöslau; Cassens, M., Meyer, W., Dohnal, K., Stosiek, N., (2011) Wellness - Weitaus Mehr Als Praktizierter Hedonismus, , http://www.wellnessverband.de/infodienste/beitraege/11129_cassens.php, Verfügbar Unter Abgerufen am: 03.01.2012; Cassens, M., Hörmann, G., Tarnai, C., Zukunftstrend Gesundheits- und Patiententourismus - Über die steigende Bedeutung des touristischen Settings für Gesundheitsförderung und Prävention (2012) Prav Gesundheitsförderung, 7, p. 1; Dohmen, G., (2001) Das Informelle Lernen - Die Internationale Erschließung Einer Bisher Vernachlässigten Grundform Menschlichen Lernens Für Das Lebenslange Lernen Aller, p. 25. , Bundesministerium für Bildung und Forschung, Bonn; Hurrelmann, K., Laaser, U., Razum, O., (2006) Handbuch Gesundheitswissenschaften, 4, p. 77. , Vollständig Überarbeitete Auflage Juventa, München; Klafki, W., (2007) Neue Studien Zur Bildungstheorie Und Didaktik - Zeitgemäße Allgemeinbildung Und Kritisch-konstruktive Didaktik, 6, p. 40. , Neu Ausgestattete Auflage Weinheim Basel, Beltz; Nahrstedt, W., (2008) Wellnessbildung - Gesundheitssteigerung In Der Wohlfühlgesellschaft, , Schmidt, Berlin; Wellness & Fitness, , http://www.seefeld.com/de/aktivitaeten/ganzjaehrig/wellness-fitness, Verfügbar Unter Olympiaregion Seefeld, (2012), abgerufen am 17.01.2012; Opaschowski, H.W., Pries, M., Reinhardt, U., (2006) Freizeitwirtschaft - Die Leitökonomie Der Zukunft, p. 267. , Hrsg, LIT, Hamburg; Opaschowski, H.W., Pries, M., Reinhardt, U., (2006) Freizeitwirtschaft - Die Leitökonomie Der Zukunft, pp. 275-277. , Hrsg, LIT, Hamburg; Opaschowski, H.W., Pries, M., Reinhardt, U., (2006) Freizeitwirtschaft - Die Leitökonomie Der Zukunft, p. 271. , Hrsg, LIT, Hamburg; Riedel, M., Röhrling, G., Ursachen für Kostensteigerungen und zukünftige Herausforderungen im österreichischen Gesundheitssystem (2009) WISO 2009, pp. 93-112; Rulle, M., Hoffmann, W., Kraft, K., (2010) Erfolgsstrategien Im Gesundheitstourismus, p. 17. , Schmidt, Berlin; Sabo, P., Gesundheitsbildung (2003) Leitbegriffe Der Gesundheitsförderung, 4, pp. 69-70. , In: BZgA (Hrsg) erweiterte und überarbeitete Auflage. Peter Sabo, Schwabenheim a.d. Selz; Prognose Zum Anstieg Von Zivilisationskrankheiten Bis 2030 Und 2050 Gegenüber Dem Jahr 2007, , http://de.statista.com/statistik/daten/studie/153966/umfrage/prognose-zum-anstieg-von-zivilisationskrankheiten-bis-2050, Statista, 2011, Verfügbar unter, abgerufen am 03.01.2012; Travis, J., Illness/Wellness Continuum (1972) Wellnessbildung - Gesundheitssteigerung In Der Wohlfühlgesellschaft, p. 79. , In: Nahrstedt W, Schmidt, Berlin; Werner, B., Alter Und Pflege - Herausforderungen An Gesellschaft Und Gemeinden, , http://www.pthv.de/fileadmin/user_upload/PDF_Akademietage/Prof._Werner_2011.pdf, (2011), Vortrag im Rahmen der Akademietage der Pallotiner Vallendar. Verfügbar unter, abgerufen am 12.04.2012; Zehrer, A., Authentizität - Inszenierung - Die subjektive Wahrnehmung des touristischen Produkts (2010) Egger R, p. 262. , Herdin T (Hrsg) Tourismus im Spannungsfeld von Polaritäten. LIT, Münster","Cassens, M.; Institut für Gesundheitswissenschaften Scharnitz/Tirol, Gießenbach 237, 6108 Scharnitz, Austria; email: manfred.cassens@unibw.de",,,,,,,,18616755,,,,"German; English","Pravent. Gesundheitsforderung",Article,"Final",,Scopus,2-s2.0-84864749420 "Spielberg P.","6505935286;","International patients in German hospitals: Medical tourists can be slow in coming [Internationale Patienten in deutschen Kliniken - Medizintouristen lassen auf sich warten]",2012,"Diabetes Aktuell","10","2",,"60","",,,"10.1055/s-0032-1313920","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860750879&doi=10.1055%2fs-0032-1313920&partnerID=40&md5=090ab08850a6716bce86a3c37347d9fe","Petra Spielberg Fachjournalistin für Gesundheits- und Sozialpolitik, Wiesbaden/Brüssel, Germany","Spielberg, P., Petra Spielberg Fachjournalistin für Gesundheits- und Sozialpolitik, Wiesbaden/Brüssel, Germany",[No abstract available],,"Germany; hospital; human; international cooperation; medical tourism; note",,,,,,,,,"Spielberg, P.; Petra Spielberg Fachjournalistin für Gesundheits- und Sozialpolitik, Wiesbaden/Brüssel, Germany; email: p.spielberg@t-online.de",,,,,,,,18616089,,,,"German","Diabetes Aktuell",Note,"Final",,Scopus,2-s2.0-84860750879 "Spielberg P.","6505935286;","International patients in German hospitals: Medical tourists will be long in coming [Internationale Patienten in deutschen Kliniken: Medizintouristen lassen auf sich warten]",2012,"Klinikarzt","41","3",,"112","",,,"10.1055/s-0032-1311505","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859234297&doi=10.1055%2fs-0032-1311505&partnerID=40&md5=7ce12806dd07aab2633084891408658e","Fachjournalistin für Gesundheits- und Sozialpolitik, Wiesbaden/Brüssel, Germany","Spielberg, P., Fachjournalistin für Gesundheits- und Sozialpolitik, Wiesbaden/Brüssel, Germany",[No abstract available],,"Germany; hospital; hospital patient; medical tourism; note",,,,,,,,,"Spielberg, P.; Fachjournalistin für Gesundheits- und Sozialpolitik, Wiesbaden/Brüssel, Germany; email: p.spielberg@t-online.de",,,,,,,,03412350,,KLINF,,"German","Klinikarzt",Note,"Final",Open Access,Scopus,2-s2.0-84859234297 "Abdul Hamid S.M., Putit N.","57204310593;55370554100;","Branding Kuching City as health tourism destination",2012,"Current Issues in Hospitality and Tourism Research and Innovations",,,,"263","268",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055195200&partnerID=40&md5=6f61f019c6da79223d579ac90ce629af","UiTM Sarawak, Malaysia","Abdul Hamid, S.M., UiTM Sarawak, Malaysia; Putit, N., UiTM Sarawak, Malaysia","This paper provides an overview of health tourism industry in Malaysia and explores the potential and opportunity for branding Kuching City as a health tourism destination. It discusses the New Economic Model (NEM) as a way to unleash the country’s growth potential in the industry. This paper also presents problems affecting the tourism industry and the prospects for health tourism as the drive toward multiplying economic base for Tourism sectors. Finally, the paper highlights strategies and recommendations for the growth of health tourism and the branding of Kuching City as health tourism destination. © 2012 Taylor & Francis Group, London.","Branding; Destinations; Health tourism; Kuching City; New Economic Model",,,,,,,,,"Medical Tourism Report 2000/2010, , Kuala Lumpur; Borneo Post: Medical Tourism taking root-Abang Johari, 2012/05/12; Borneo Post: Government Eyes Medical Tourism as Good Income Earner-Abang Johari, 2011/12/09; Carrera, Bridges, Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics & Outcomes Research, 6 (4), pp. 445-454; Chaudhuri, Holbrook, The chain of effect from brand trust and brand affect to brand performance: The role of brand loyalty (2001) Journal of Marketing, 65, pp. 81-93; Chinai, Goswami, Medical visas mark growth of Indian medical tourism (2007) Bulletin of the World Health Organization, 85 (3), pp. 164-165; Clarke, Tourism brands: An exploratory study of the brands box model (2000) Journal Ofvacation Marketing, 6 (4), pp. 329-345; Domizlaff, (1992) Die Gewinnung Des ö Ffentlichen Vertrauens: Ein Lehrbuch Der Markentechnik, , Auflage, Hamburg; Dedmon, The future of primary care in Thailand in the context of a global financial crisis (2009) Asian Biomedicine, 3 (4), pp. 345-350; Deloitte, (2009) Medical Tourism: Update and Implications, , Deloitte Centre for Health Solutions, Washington, DC; Freundt, (2006) Emotionalisierung Von Marken, , Deutscher Universitätsverlag, Leipzig; Frost, Sullivan, (2009) Medical Tourism: Update and Implications, , Centre for HealthWashington, DC; Goodrich, Goodrich, Health-care tourism-an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; Hosany, E., Muzaffer, U., Destination image and destination personality: An application of branding theories to tourism places (2006) Journal of Business Research, 59, pp. 638-642; Koll, Von Wallpach, One brand perception? Or many? The heterogeneity of intra-brand knowledge (2009) Journal of Product & Brand Management, 18 (5), pp. 338-345; Kotlerbliemel, K., (2007) Marketing-Management, , 12th ed., Pearson Studium, München; Macready, Developing countries court medical tourists (2007) The Lancet, 369 (9576), pp. 1849-1850; Matzlerbidmon, G.-K., Risk aversion and brand loyalty: The mediating role of brand trust and brand affect (2008) Journal of Product & Brand Management, 17 (3), pp. 154-162; Medical and Health Tourism 2008-2010, , Kuala Lumpur; Meffertkoers, B., (2005) Markenmanagement: Identitätsorientierte Markenführung Und Praktische Umsetzung, , 2nd ed., Gabler Verlag, Wiesbaden; Art and Tourism, Health Tourism Statistic Report 2003-2011, , Kuala Lumpur; Health Statistic Report 2003-2010, , Kuala Lumpur; Najib, (2009) Government Transformation Plan, , Kuala Lumpur; Nefiodov, (1999) Der Sechste Kondratieff: Wege Zur Produktivität undVollbeschäftigung Im Zeitalter Der Information, , 3rd ed., Rhein-Sieg-Verlag, Sankt Augustin; (2009), Report by National Economic Advisory Council; Pasini, Tourist health as a new branch of public health (1989) World Health Statistics Quarterly, 42, pp. 77-84; Pennings, Reproductive tourism as moral pluralism in motion, Journal of tourism in Europe” (2002) Human Reproduction, 19 (12), pp. 2689-2694; Score, (2009) Sarawak Corridor of Renewable Energy Report, , Sarawak; Sheaff, Healthcare access and mobility between the UK and other European Union states: An ‘implementation surplus (1997) Health Policy, 42 (3), pp. 239-253; Smith, Puczkó, (2008) Health and Wellness Tourism, , Butterworth-Heinemann, Oxford; Tasci, Kozak, Destination brands vs. Destination image-do we know what we mean? (2006) Journal Ofvacation Marketing, 12 (4), pp. 299-317; Wagner, Peters, Can association methods reveal the effects of internal branding on tourism stakeholder? (2009) Journal of Place Management and Development, 2 (1), pp. 52-69; Woo, Medical tourism and the future of medical practice inKorea (2009) Journal of Thekorean Medicalassociation, 52 (9), pp. 844-846",,,,"CRC Press",,,,,,9780203075364; 9780415621335,,,"English","Current Issues in Hospitality and Tourism Research and Innovations",Book Chapter,"Final",,Scopus,2-s2.0-85055195200 "Azmi K.M., Awang K.W.","55370898600;36884091500;","Sustainable tourism development and stakeholders’ networking: A case study on medical tourism in Malaysia",2012,"Current Issues in Hospitality and Tourism Research and Innovations",,,,"571","576",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055169946&partnerID=40&md5=ac9575adcf5367afc0b9945e75410d6a","Graduate School of Management, Universiti Putra Malaysia, Serdang, Malaysia","Azmi, K.M., Graduate School of Management, Universiti Putra Malaysia, Serdang, Malaysia; Awang, K.W., Graduate School of Management, Universiti Putra Malaysia, Serdang, Malaysia","This paper studies how sustainable tourism policies could best be developed and ultimately implemented in medical tourism sector. In order to achieve this goal, the study will examine how the concept of sustainable tourism is interpreted in medical tourism as well as investigate the existing pattern of relationships and current networking system among medical tourism stakeholders in order to determine roles and potential influences of legitimate and powerful stakeholders in tourism policy making.The success of achieving sustainable tourism industry depends on full support and commitment from all stakeholders is highly needed.Thus, this is only a conceptual-based paper and future work will broaden the study context by including analysis of stakeholders networking in medical tourism in Malaysia. © 2012 Taylor & Francis Group, London.","Medical tourism; Stakeholders networking; Sustainable tourism; Tourism",,,,,,,,,"Abidin, Z.Z., (1999) The Identification of Criteria and Indicators for the Sustainable Management of Ecotourism in Taman Negara National Park, , Malaysia: A Delphi consensus; (1996) Environmentally Sustainable Tourism in APEC Member Economies, , APEC Secretariat, Singapore; Awadzi, W., Panda, D., Medical tourism: Globalization and the marketing of medical services (2006) Consortium Journal of Hospitality &Tourism, 11 (1), pp. 75-81; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Mc Millan; Bowman, K.S., Sustainable tourism certification and state capacity: Keep it local, simple, and fuzzy (2011) International Journal of Culture, Tourism and Hospitality Research, 5 (3), pp. 269-281; Bramwell, B., Lane, B., Sustainable Tourism: An Evolving Global Approach (1993) Journal of Sustainable Tourism, 1 (1), pp. 1-5; Bramwell, B., Henry, I., AFramework for Understanding Sustainable Tourism Management” (1996) Sustainable Tourism Management, Principles and Practice, pp. 23-71. , Bramwell, B., Straaten J.V. D., and Prat, A. G. Tilburg, the Netherlands: Tilburg University Press; Briassoulis, H., Sustainable tourism and the question of the commons (2002) Annals of Tourism Research, 29 (4), pp. 1065-1085; Bristow, R.S., Yang, W.-T., Lu, M.-T., Sustainable medical tourism in Costa Rica (2011) Tourism Review, 66 (1-2), pp. 107-117; Burkett, L., Medical tourism: Concerns, benefits and the American perspective (2007) The Journal of Legal Medicine, 28, pp. 223-245; Butler, R.W., Sustainable tourism-looking backwards in order to progress? (1998) Sustainable Tourism: A Geographical Perspective, pp. 25-34. , C. M. Hall and A. A. Lew, Harlow: Longman; Butler, R.W., Alternative tourism: Pious hope or Trojan Horse? (1990) Journal of Travel Research, (3), pp. 40-45; Butler, R.W., Tourism, environment, and sustainable development (1991) Environmental Conservation, 18 (3), pp. 201-209; Butler, R.W., The concept of carrying capacity for tourism destinations: Dead or merely buried? (1996) Progress in Tourism and Hospitality Research, 2, pp. 283-293; Butler, R.W., Modeling tourism development: Evolution, growth and decline (1997) Tourism Development and Growth: The Challenge of Sustainability, pp. 109-125. , S. Wahab and J. J. Pigram, London: Routledge; Butler, R.W., Sustainable Tourism—A State of the Art Review (1999) Tourism Geographies, 1, pp. 7-25; Byrd, E.T., Stakeholders in sustainable tourism development and their roles: Applying stakeholder theory to sustainable tourism development (2007) Tourism Review, 62 (2), pp. 6-13; Cernat, L., Gourdon, J., (2007) Is the Concept of Sustainable Tourism Sustainable?, , Developing the Sustainable Tourism Benchmarking Tool. United Nations Conference on Trade and Development: New York and Geneva; Chong, W.Y., Boey, T.S., Vathsala, N., (2005) Promoting Health Tourism Inmalaysia, , Unpublished paper to APacCHRIE conference, Kuala Lumpur; Clarke, J., A framework of approaches to sustainable tourism (1997) Journal of Sustainable Tourism, 5, pp. 224-233; Clarkson, M.B.E., A stakeholder framework for analyzing and evaluation corporate social performance (1995) The Academy of Management Review, 20 (1), pp. 92-117; Cobb, M., (1988) Influence and Exchange Networks among Tourism Oriented Business in Four Michigan Communities, , Doctoral dissertation, Michigan State University, East Lansing, MI; De Kadt, E., (1990) Making the Alternative Sustainable: Lessons from Development for Tourism, , Sussex: Institute of Development Studies (DP 272); De Kadt, E., Making the alternative sustainable: Lessons from the development of tourism (1992) Tourismalternatives: Potentials and Pitfalls in the Development of Tourism, , V.L. Smith and W.R. Eadington, Philadephia: University of Pennsylvania Press and the International Academy for the Study of Tourism; Dewi, K.K., (2003) Hospital Set Fees for Health Tourism, , http://hospitalmalaysia.org/newsmaster.cfm?andmenuid=38andparentid=28andaction=viewandretrieveid=259/, The Star Online; Dhesi, D., (2009) Medical Tourism Arises in Malaysia despite Economic Downturn, , http://www.malaysiahealthcare.com/, The Star Online; Donaldson, T., Preston, L.E., The stakeholder theory of the corporation: Concepts, evidence, and implications (1995) The Academy of Management Review, 20 (1), pp. 65-91; Dowling, R., Tourism and environmental integration, the journey from idealism to realism (1992) Recreation and Hospitality Management, 4, pp. 33-46. , C.P. Cooper and A. Lockwood Progress in Tourism, London: Bellhaven; (2006) Economic Instruments for Environmental Management in Malaysia, , Economic Planning Unit, Prime Minister’s Department, Kuala Lumpur; Enderwick, P., Nagar, S., The competitive challenge of emerging markets: The case of medical tourism (2011) International Journal of Emerging Markets, 6 (4), pp. 329-350; Farrell, B., (1992), pp. 115-132. , Tourism as an Element in Sustainable Development: Hana, Maui. Smith, V and Eadington, W. (Eds.), Tourism Alternatives, University of Pennsylvania Press, Philadelphia (1992); Freeman, R.E., (1984) Strategic Management: A Stakeholder Approach, , Boston, Pitman; Gilbert, D.C., Penda, J., Friel, M., Issues in sustainability and the national parks of Kenya and Cameroon (1994) Progress in Tourism, Recreation, and Hospitality Management, (6), pp. 30-45. , Cooper, C. P., and Lookwood, A, Wiley, New York; Gunn, C.A., (1994) Tourism Planning: Basics, Concepts, Cases, , 3rd ed.Washington, DC: Taylor and Frances; Hardy, A.L., Beeton, R.J.S., Sustainable tourism or maintainable tourism: Managing resources for more than average outcomes (2001) Journal of Sustainable Tourism, 9, pp. 168-192; Hardy, A., Beeton, R.J.S., Pearson, L., Sustainable tourism: An overview of the concept and its position in relation to conceptualizations of tourism (2002) Journal of Sustainable Tourism, 10 (6), pp. 475-496; Heung, V.C.S., Kucukusta, D., Song, H., A conceptual model of medical tourism: Implications for future research (2010) Journal of Travel & Tourism Marketing, 27 (3), pp. 236-251; Hunter, C., On the need to reconceptualise sustainable tourism development (1997) Journal of Sustainable Tourism, 3 (3), pp. 155-165; Inskeep, E.L., (1991) Tourism Planning: An Integrated and Sustainable Development Approach, , New York: Van Nostrand Reinhold; Jamal, T., Getz, D., Community roundtables for tourism related conflicts: The dialectics of consensus and process structures (2000) Tourism Collaboration and Partnerships: Politics, Practice and Sustainability, , Bramwell, B. and Lane, B, ChannelView Publications, Clevedon; Leonard, T., (2009) Medical Tourists to Bring in RM540 Million by 2010, , http://www.malaysiahealthcare.com/; Leposky, G., (1997) Globalization and Sustainable Development, p. 10. , Vocation Industry Review; Middleton, V.T.C., Hawkins, R., (1998) Sustainable Tourism: A Marketing Perspective, , Oxford, UK: Butterworth-Heinemann; Miller, G., The Development of Indicators for Sustainable Tourism: Results of a Delphi Survey of Tourism Researchers (2001) Tourism Management, 22, pp. 351-362; Moore, W., (1996), Adress. Miami Conference on the Carribean and Latin America. Miami, Florida; Musa, G., Thirumoorthi, T., Doshi, D., Travel behavior among inbound medical tourists in Kuala Lumpur (2011) Current Issues in Tourism, Ifirst Article, pp. 1-19; Ormond, M., Medical tourism, medical exile: Responding to the cross-border pursuit of healthcare in Malaysia (2011) Real Tourism: Representation, Practice and the ‘material’ in Contemporary Travel, pp. 143-161. , Minca, C. and Oakes, T., London: Routledge; Pearce, D.W., Markandya, A., Barbier, E.B., (1989) Blueprint for a Green Economy, , (‘Blueprint 1’), London, Earthscan; Pearce, D.G., Alternative tourism: Concepts, classifications, and questions (1992) Tourism Alternatives: Potentials and Problems in the Development of Tourism, , V.L. Smith and W.R. Eadington, Philadelphia: University of Pennslyvania Press and the International Academy for the Study of Tourism; Pforr, The “Makers and Shapers” of Tourism Policy in the NorthernTerritory ofAustralia. APolicy Network Analysis of Actors and Their Relational Constellations (2002) Journal of Hospitality and Tourism Management, 9, pp. 134-151; Robson, J., Robson, I., (1996), From shareholders to stakeholders: Critical issues for tourism; Rostow, W.W., (1960) The Stages of Economic Growth: A Non Communist Manifesto, , London: Cambridge University Press; Scott, N., Cooper, C., Baggio, R., Destination Networks: Four Australian Cases (2008) Annals of Tourism Research, 35 (1), pp. 169-188; Sirakaya, E., Jamal, T., Choi, H.S., Developing Tourism Indicators for Destination Sustainability (2001) The Encyclopedia of Ecotourism, pp. 411-432. , D. B. Weaver. New York: CAB International; Siti Nabiha, A.K., Abdul Wahid, N., Azlan Amran, H., Haat, C., Abustan, I., Towards Sustainable Tourism Management in Malaysia (2008) LEX Et Scientia International Journal, 15 (2), pp. 301-312; Slocum, S.L., (2010) Sustainable Community Tourism Development: The Case of Tanzania, , Doctoral Dissertation. UMI Number: 3402555; Stabler, M.J., (1997) Tourism and Sustainability: Principles and Practice, , CABI Publishing, UK; Swarbrooke, J., (1998) Sustainable Tourism Development, , CABI Publishing, UK; Timur, S., Getz, D., A network perspective on managing stakeholders for sustainable urban tourism (2008) International Journal of Contemporary Hospitality Management, 20 (4), pp. 445-461; Tojeiro, M.C., Welcome to Brazil, Amazon Region, the green center of the world: A strategy for sustainable tourism and eco-tourism (2006) Sustainable Tourism II, , Brebbia, C. A. and Pineda, F. D. WIT Press, UK; (2008) Pro?Le of Tourist by Selected Markets 2008, , Kuala Lumpur: Tourism Malaysia; (2008), http://www.eturbonews.com/6333/unwtofuture-vision-tourism-towards-2030, UNWTO Future Vision: Tourism Towards 2030; Wahab, S., Pigram, J.J., (1997) Tourism Development and Growth: The Challenge of Sustainability, , New York: Routledge; Wall, G., Sustainable tourism-unsustainable development (1997) Tourism Development and Growth: The Challenge of Sustainability, pp. 33-49. , S. Wahab and J. J. Pigram, London: Routledge; (1987) Our Common Future, the World Commission on Environment and Development, , Oxford: Oxford University Press; (1993), WorldTourism Organization (WTO)—International Working Group on Indicators of Sustainable Tourism (IWGIST) (1993). Indicators for the sustainable management of tourism. Winnipeg: WTO; (2006) The Global Travel & Tourism Summit, , http://www.globaltraveltourism.com/previous-summits/2006/default.html, Washington DC; Xinyan, Z., Haiyan, S., Huang, G.Q., Tourism supply chain management: A new research agenda (2009) Tourism Management, 30, pp. 345-358; Yuksel, F., Bramwell, B., Yuksel, A., Stakeholder interviews and tourism planning at Pamukkale, Turkey (1999) Tourism Management, 20 (3), pp. 351-360",,,,"CRC Press",,,,,,9780203075364; 9780415621335,,,"English","Current Issues in Hospitality and Tourism Research and Innovations",Book Chapter,"Final",,Scopus,2-s2.0-85055169946 "Meng N.K., Tianhuei E.S.","55370623700;55371489000;","Important attributes that affect tourist’s decision to visit Penang as a medical tourism destination",2012,"Current Issues in Hospitality and Tourism Research and Innovations",,,,"487","489",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055147981&partnerID=40&md5=e12ba23320f61fa49152e6e924e71605","School of Hospitality, Tourism and Culinary Arts, KDU College Penang, Malaysia","Meng, N.K., School of Hospitality, Tourism and Culinary Arts, KDU College Penang, Malaysia; Tianhuei, E.S., School of Hospitality, Tourism and Culinary Arts, KDU College Penang, Malaysia","Defined by Global Spa Summit LLC 2011 as the travelling of people to another location to receive treatments for their diseases, or other conditions, medical tourism is fast gaining momentum in the world of tourism in Malaysia especially in Penang Island. Surprisingly, it involves citizens of highly developed countries travelling to less developed areas due to several factors. Therefore, this study aims to identify the attributes of Penang Island as a medical tourism destination hence influencing medical tourist’s decision. A sample of 258 international medical tourists was randomly selected in different hospitals and data obtained are then tabulated and process using the application of a data analysis package, Statistical Package for the Social Sciences (SPSS). © 2012 Taylor & Francis Group, London.","Healthcare and facilities; International medical tourists; Medical treatments; Penang Island",,,,,,,,,"The New Medical Tourism Market (2009) Journal of Medical Tourism, , http://www.asrn.org/journalmedical-tourism/681-the-new-medical-tourism-market.html; Medical Tourism: Need Surgery, , http://www.cbc.ca/news/background/healthcare/medicaltourism.html, will travel [Online]; Connell, J., The rise of medical tourism in Asia (2006) Medicaltourism: Sea, Sun, Sand And. Surgery, 3, pp. 1095-1096; (2009) Features Penang Medical Tourism in Prime Time News, , http://www.visitpenang.gov.my/portal3/medicaltourism.html, Penang Medical Tourism Increases in Revenue, [Online], CNBC; Reid, R.D., Bojanic, D.C., (2009) Hospitality Marketing Management, , Hoboken, New Jersey: John Wiley and Sons; Kulkarni, S., (2008) Medical Tourism in India, , http://biz.thestar.com.my/news/story.asp?file=/2009/2/14/business/3245091&sec=business, Jaipur, India: Global Media Star, Malaysian Medical Tourism Growing [Online]",,,,"CRC Press",,,,,,9780203075364; 9780415621335,,,"English","Current Issues in Hospitality and Tourism Research and Innovations",Book Chapter,"Final",,Scopus,2-s2.0-85055147981 "Burns L.R., Jayaram P., Bansal R.","35570599800;56528255000;56527775700;","Medical tourism: Opportunities and challenges",2012,"India's Healthcare Industry: Innovation in Delivery, Financing, and Manufacturing",,,,"219","289",,,"10.1017/CBO9781107360242.007","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84923417302&doi=10.1017%2fCBO9781107360242.007&partnerID=40&md5=165774192cc64dbd99c44bf901019703","Health Care Management Department, Wharton School, University of Pennsylvania, United States","Burns, L.R., Health Care Management Department, Wharton School, University of Pennsylvania, United States; Jayaram, P.; Bansal, R.","Introduction Medical tourism – also known as health travel, medical travel, or healthcare tourism – is the process of traveling to a distant location to obtain general medical, dental, or cosmetic surgery at a higher value (quality divided by cost) than is commonly available in one's own local healthcare system. Three major categories of services are sought: invasive or surgical, diagnostic testing, and lifestyle. The practice is currently endorsed in the European Union (EU), whereby citizens of any EU nation can travel across the EU for healthcare that is paid by the national purchaser in their home country. Medical tourism is a modern version of the ancient practice of traveling to mineral springs, spas, healing centers, coastal localities, sanitaria, and other therapeutic sites in search of wellness (see Figure 6.1). Historically, there have been well-traveled routes in medical tourism between specific country dyads such as the US and Mexico, the UK and Malta, and the UK and Cyprus. Indeed, an estimated 952,000 California residents traveled to Mexico during 1 year for any number of health-related services (medical, dental, prescription). Proximity and cross-border travel have historically been major drivers of this tourism, although the distance barriers have declined due to advances in transportation and the rise of global travel. Emerging factors in country choice are cultural affinity and shared language, specialization, advertising, and the role of intermediaries. © Cambridge University Press 2014.",,,,,,,,,,"Nandraj, S., (2011) Licensing and Accreditation of Hospitals Initiatives in India, , New Delhi: WHO India Country Office; Venkat Raman, A., Private sector in health care delivery in india (2005) National Commission on Macro Economics and Health, , Ministry of Health and Family Welfare, Government of India; (2007) Healthcare in India: Emerging Market Report, , New York: Author;; (2008) The Emerging Role of PPP in Indian Healthcare Sector, , http://www.ibef.org/download/PolicyPaper.pdf, Indian Brand Equity Foundation. Accessed February 12; (2013) National Rural Health Mission, , http://mohfw.nic.in/NRHM/iphs.htm, Accessed February 12; Bhandari, L., Sinha, A., Access to health care (2010) India Health Report, , edited by Ajay S. Mahal, Bibek Debroy, and Laveesh Bhandari, chapter 2. New Delhi: Indicus Analytics; Peters, D.H., Yazbeck, A., Sharma, R., (2002) Better Health Systems for India’s Poor: Findings, Analysis, and Options, , http://www.wds.worldbank.org/servlet/WDSContentServer/WDSP/IB/2002/05/30/000094946_02051604053640/Rendered/PDF/multi0page.pdf; Wilson, R., Michel, P., Olsen, S., Gibberd, R., Vincent, C., El-Assady, R., Patient safety in developing countries: Retrospective estimation of scale and nature of harm to patients in hospital (2012) British Medical Journal, 344, p. e832. , (March 13; Khanna, T., Kasturi Rangan, V., Manocaran, M., Narayana Hrudayalaya Heart Hospital: Cardiac Care for the Poor. (A), , Harvard Business School case 505-078. Boston, MA: Harvard Business School Press; Sengupta, S., Royal care for some of indias patients, neglect for others.” New York Times, , http://www.nytimes.com/2008/06/01/weekinreview/01sengupta.html?_r=0, (June 1, 2008). Accessed February 12, 2013; (2007) Accreditation Standards for Healthcare External Evaluation Organisations, , 3rd edition. Melbourne, VIC: Author; Milstein, A., Smith, M., Will the surgical world become flat? (2007) Health Affairs, 26 (1), pp. 137-141; Richman, B., Udayakumar, K., Mitchell, W., Schulman, K., Lessons from india in organizational innovation: A tale of two heart hospitals (2008) Health Affairs, 27 (5), pp. 1260-1270; Tushman, M., O’Reilly, C., Ambidextrous organizations: Managing evolutionary and revolutionary change (1996) California Management Review, 38 (4), pp. 8-30; Yamey, G., World bank funds private hospitals in india (2001) British Medical Journal, p. 12. , http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1119520/; Vasantha Kumar, R., (2011) CARE Hospitals, , http://www.accessh.org/CaseStudies_Pdf/Care%20Hospitals,%20Hyderabad.pdf, Hyderabad: Center for Emerging Markets Solutions, Indian School of Business. Accessed February 12, 2013; Sharma, D.C., Remote indian villages to benefit from telemedicine project (2000) Lancet, 355, p. (9214). , http://www.lancet.com/journals/lancet/article/PIIS0140-6736, Accessed February 12, 2013; Mogha, S., Yadav, S., Singh, S.P., Performance evaluation of indian private hospitals using dea approach with sensitivity analysis (2012) International Journal of Advances in Management and Economics, 1 (2). , www.managementjournal.info/download1.php?f, Accessed February 12, 2013","Burns, L.R.; Health Care Management Department, Wharton School, University of PennsylvaniaUnited States",,,"Cambridge University Press",,,,,,9781107360242; 9781107044371,,,"English","India's Healthc. Industry: Innovation in Delivery, Financing, and Manufacturing",Book Chapter,"Final",,Scopus,2-s2.0-84923417302 "Gan L.L.","16480026900;","The four modes of medical tourism: Economic, social and institutional impediments",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"47","60",,,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917455659&doi=10.4324%2f9780203109458&partnerID=40&md5=33d42620069cb76d858cdb03039b3128","Department of Economics, Finance, Decision Sciences, University of North Carolina at Pembroke, Box 1510, Pembroke, NC 28372, United States","Gan, L.L., Department of Economics, Finance, Decision Sciences, University of North Carolina at Pembroke, Box 1510, Pembroke, NC 28372, United States",[No abstract available],,,,,,,,,,"Statement on medical tourism and surgical tourism (2009) Bulletin of the American College of Surgeons, 94 (4). , http://www.facs.org/fellows_info/statements/st-65.html; (2009) ADA Findings on Dental Tourism Trends, , http://www.ada.org/news/1161.aspx, 5 January; (2007) Medical Care outside the United States, , http://www.ama-assn.org/ama1/pub/upload/mm/372/a-08cms1.pdf; (2008) New AMA Guidelines on Medical Tourism, , http://www.ama-assn.org/ama1/pub/upload/mm/31/medicaltourism.pdf; Atwater, A., (2008) Galichia Heart Hospitals $10K Bypass Jolts industry’, , The Wichita Eagle, 24 February; Birch, D.W., Vu, L., Karmali, S., Stoklossa, C.J., Sharma, A.M., Medical tourism in bariatric surgery (2010) The American Journal of Surgery, 199 (5), pp. 604-608; Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York: Palgrave MacMillan; Burkett, L., Medical tourism: Concerns, benefits, and the american legal perspective (2007) The Journal of Legal Medicine, 28 (2), pp. 223-245; Carabello, L., A medical tourism primer for u.S. Physicians (2008) Medical Practice Management, 23 (5), pp. 291-294; Carrera, P.M., Bridges, J., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics Outcomes Research, 6 (4), pp. 447-454; (2007) House Bill 1143: A Bill for an Act concerning the Option of A Covered State Employee under A Self-Insured Group Benefit Plan to Obtain Medical Care in an Accredited Foreign Health Care Facility, , Denver, CO: Colorado House of Representatives; Demicco, F.J., Cetron, M., (2006) Asia Pacific Biotech News, 10 (10), pp. 527-531; DeNavas-Walt, C., Proctor, B.D., Smith, J.C., (2010) Income, Poverty, and Health Insurance Coverage in the United States: 2009, Current Population Reports: Consumer Income Series Report No. P60-238, , Washington, DC: U.S. Census Bureau; Dhariwal, R., Tourists arrivals in india: How important are domestic disorders? (2005) Tourism Economics, 11 (2), pp. 185-205; Ernst, D., Medical tourism: Why americans take medical vacations abroad (2006) Pacific Research Institute, 15 September, 4 (9), pp. 1-4; Fernandez, L.S., Byard, D., Lin, C.C., Benson, S., Barbera, J.A., Frail elderly as disaster victims: Emergency management strategies (2002) Prehospital and Disaster Medicine, 17 (2), pp. 67-74; Fisher, J.P., Hip patients find surgeons overseas (2006) The News & Observer, 10, pp. A1. , April; Forgione, D.A., Smith, P.C., Medical tourism and its impact on the us health care system (2007) Journal of Health Care Finance, 34 (1), pp. 27-35; Gan, L., Frederick, J.R., Medical tourism facilitators: Patterns of service differentiation (2011) Journal of Vacation Marketing, 17 (3), pp. 1-19; Gan, L., Frederick, J.R., Medical tourism in singapore: A structure conduct performance analysis (2011) Journal of Asia-Pacific Business, 12 (2), pp. 141-170; García-Altés, A., The development of health tourism services (2005) Annals of Tourism Research, 32 (1), pp. 262-266; (2004) Competition Circling the Globe, , http://www.hhnmag.com, H and HN, Online; Hall, C.M., Health and medical tourism: Kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Hazarika, I., Medical tourism: Its potential impact on the health workforce and health systems in india (2010) Health Policy and Planning, 25 (3), pp. 248-251; Horowitz, M.D., Rosensweig, J.A., Medical tourism vs. Traditional international medical travel: A tale of two models (2008) International Medical Travel Journal, , http://www.imtj.com/articles/2008/medical-tourism-vs-traditional-international-medical-travel-a-tale-of-two-models/; Huan, T.C., Beaman, J., Shelby, L., No escape natural disaster: Mitigating impacts on tourism (2004) Annals of Tourism Research, 31 (2), pp. 255-273; U.S. Risk launches medtour pro for medical tourism industry Insurance Journal, , http://www.insurancejournal.com/news/national/2008/05/29/90432.htm, 29 May; Jeevan, R., Armstrong, A., Cosmetic tourism and the burden on the nhs (2008) Journal of Plastic, Reconstructive and Aesthetic Surgery, 61 (12), pp. 1423-1424; Jones, J.W., McCullough, L.B., What to do when a patients international care goes south?’ (2007) Journal of Vascular Surgery, 46 (5), pp. 1077-1079; Keckley, P.H., Underwood, H.R., (2008) Medical Tourism: Consumers in Search of Value, , http://www.deloitte.com/assets/Dcom-Croatia/Local%20Assets/Documents/hr_Medical_tourism(3).pdf, Washington, DC: Deloitte Center for Health Solutions; Keckley, P.H., Underwood, H.R., (2009) Medical Tourism: Updates and Implications, , http://www.deloitte.com/assets/Dcom-Greece/Local%20Assets/Documents/Attachments/Health/Medical_tourism09.pdf, Washington, DC: Deloitte Center for Health Solutions; Lancaster, J., Surgeries, side trips for ‘medical tourists’: Affordable care at india’s private hospitals draws growing number of foreigners (2004) Washington Post, pp. A1. , October; Lee, O.F., Davis, T., International patients: A lucrative market for u.S. Hospitals (2004) Health Marketing Quarterly, 22 (1), pp. 41-56; McLean, T.R., Commentary: The industrialization of medical tourism and the blue ridge paper claim (2007) Journal of Controversial Medical Claims, 14 (1), pp. 18-19; Marlowe, J., Sullivan, P., Medical tourism: The ultimate outsourcing (2007) Human Resource Planning, 30 (2), pp. 8-10; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affairs, 25 (20), pp. 358-367; (2011) Certified Facilitators, , http://www.medicaltourismassociation.com/en/certified-facilitators.html; Milstein, A., Smith, M., Americas new refugees: Seeking affordable surgery offshore’ (2006) The New England Journal of Medicine, 355 (16), pp. 1637-1640; Ramirez De Arellano, A.B., Patients without borders: The emergence of medical tourism (2007) International Journal of Health Services, 37 (1), pp. 193-198; Rhea, S., Still packing their bags (2009) Modern Healthcare, 27 July, 39 (30), p. 28; Roth, M., (2006) A Cheaper Medical Alternative – for Those with Minimal Health Insurance, Getting Surgery Abroad May Be a Sound Option, 10, pp. G-1. , Pittsburgh Post-Gazette, September; Seddighi, H., Nuttall, M., Theocharous, A., Does cultural background of tourists influence the destination choice? An empirical study with special reference to political instability (2001) Tourism Management, 22 (2), pp. 181-191; Tata, S., (2007) Medical Travel in Asia and the Pacific: Challenges and Opportunities, , http://www.unescap.org/ESID/hds/lastestadd/MedicalTourismReport09.pdf, Bangkok: United Nations Economic and Social Commission for Asia and the Pacific; Vijaya, R.M., Medical tourism: Revenue generation or international transfer of healthcare problems? (2010) Journal of Economic Issues, 44 (1), pp. 53-70; Vitalis, J.E., Milton, G.A., Medical travel: Threat or opportunity for u.S. Providers? it depends on your perspective (2009) Journal of the Center for Health Innovation, pp. 10-13. , http://noblis.com/MissionAreas/HI/private/Documents/horizons2009.pdf, Winter; Weisser, C., Gengler, A., 50 ways to cut your health – care costs (2006) CNN Money, , http://money.cnn.com/popups/2006/moneymag/healthcare/index.html, 1 November, [Online]; (2006) House Bill 4359, , Committee on Health and Human Resources then the Judiciary, West Virginia; World health organization partners with joint commission and joint commission international to eliminate medical errors worldwide (2005) News Release, , http://www.who.int/patientsafety/newsalert/WHO_final.pdf, 23 August, [Online]","Gan, L.L.; Department of Economics, Finance, Decision Sciences, University of North Carolina at Pembroke, Box 1510, United States",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917455659 "Kim Y.H., Boo C., Kim M.","56445563900;56445841000;55686263300;","An investigation of korean health tourists’ behavior: Benefit sought, brand equity, and intention to visit",2012,"Medical Tourism: The Ethics, Regulation, and Marketing of Health Mobility",,,,"154","166",,,"10.4324/9780203109458","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84917408286&doi=10.4324%2f9780203109458&partnerID=40&md5=bdc2f018a31791f26f4d0faadde8f6c2","Department of Hospitality and Tourism Management, University of North Texas, 1155 Union Circle, #311100, Denton, TX 76203-5017, United States; Jeju Sea Grant, Jeju National University, 1, Ara 1-dong, 102 Jejudaehakno, Jeju-si, 690-756, South Korea; Department of Management Information Systems, Jeju National University, 1, Ara 1-dong, 102 Jejudaehakno, Jeju-si, 690-756, South Korea","Kim, Y.H., Department of Hospitality and Tourism Management, University of North Texas, 1155 Union Circle, #311100, Denton, TX 76203-5017, United States; Boo, C., Jeju Sea Grant, Jeju National University, 1, Ara 1-dong, 102 Jejudaehakno, Jeju-si, 690-756, South Korea; Kim, M., Department of Management Information Systems, Jeju National University, 1, Ara 1-dong, 102 Jejudaehakno, Jeju-si, 690-756, South Korea",[No abstract available],,,,,,,,,,"Aaker, D.A., (1991) Managing Brand Equity: Capitalizing on the Value of a Brand Name, , New York: The Free Press; Aaker, D.A., Measuring brand equity across products & markets (1996) California Management Review, 38 (3), pp. 102-120; Anderson, J.C., Gerbing, D.W., Structural equation modeling in practice: A review and recommended two-step approach (1988) Psychological Bulletin, 103, pp. 411-423; Anderson, R.E., Srinivasan, S.S., E-satisfaction and e-loyalty: A contingency framework (2003) Psychology and Marketing, 20 (2), pp. 123-138; Barwise, P., Brand equity: Snark or boojum? (1993) International Journal of Research in Marketing, 10 (1), pp. 93-104; Bookman, M.Z., Bookman, K.R., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Caballero-Danell, S., Mugomba, C., (2007) Medical Tourism and Its Entrepreneurial Opportunities: A Conceptual Framework for Entry into the Industry, , http://gupea.ub.gu.se/bitstream/2077/4671/1/2006_91.pdf, Master’s Thesis, Goteborg University; Calantone, R.J., Johar, J.S., Seasonal segmentation of the tourism market using a benefit segmentation framework (1984) Journal of Travel Research, 23, pp. 14-23. , (Fall); Carrera, P.M., Bridges, J.F., Globalization and healthcare: Understanding health and medical tourism (2006) Expert Review of Pharmacoeconomics and Outcomes Research, 6 (4), pp. 447-454; Chaudhuri, A., Holbrook, M.B., The chain of effects from brand trust and brand affect to brand performance: The role of brand loyalty (2001) Journal of Marketing, 65 (2), pp. 81-93; Connell, J., Medical tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27 (6), pp. 1093-1100; Galloway, C., Medical tourism in asia (2008) Urban Land, 67 (2), pp. 84-88; Gilbert, D.C., Van De Weerdt, M., The health care tourist product in western europe (1991) Revue De Tourism, 46 (2), pp. 5-10; Gitelson, R.J., Kerstetter, D.L., The relationship between sociodemographic variables, benefits sought and subsequent vacation behaviour: A case study (1990) Journal of Travel Research, 30 (2), pp. 24-29; Goodrich, J.N., Benefit bundle analysis: An empirical analysis of international travelers (1977) Journal of Travel Research, 16 (2), pp. 6-9; Goodrich, J.N., Goodrich, G.E., Health-care tourism—an exploratory study (1987) Tourism Management, 8 (3), pp. 217-222; Hair, J.R., Anderson, R.E., Tatham, R.L., Black, W.C., (1998) Multivariate Data Analysis, , 5th ed. Upper Saddle River, NJ: Prentice-Hall; Haley, R.I., Benefit segmentation: A decision-oriented research tool (1968) Journal of Marketing, 32 (July), pp. 30-35; Hall, C.M., Adventure, sport, and health tourism (1992) Special-Interest Tourism, , B. Weiler and C.M. Hall London: Belhaven Press; Hall, C.M., Health and medical tourism: A kill or cure for global public health? (2011) Tourism Review, 66 (1-2), pp. 4-15; Herrick, D.M., (2007) Medical Tourism: Global Competition in Health Care, , http://w.medretreat.com/templates/UserFiles/Documents/Medical%20Tourism%20-%20NCPA%20Report.pdf; Heung, V.C.S., Kucukusta, D., Song, H., Medical tourism development in hong kong: An assessment of the barriers (2011) Tourism Management, 32 (5), pp. 995-1005; Hunter-Jones, P., Cancer and tourism (2005) Annals of Tourism Research, 32 (1), pp. 70-92; Jang, S.C., Morrison, M.A., O’Leary, J.T., Benefit segmentation of japanese pleasure travelers to the usa and canada: Selecting target markets based on the profitability and risk of individual market segments (2002) Tourism Management, 23 (4), pp. 367-378; Keller, K.L., Conceptualizing, measuring, and managing customer-based equity (1993) Journal of Marketing, 57 (1), pp. 1-22; Keyser, H., (2002) Tourism Development, , Cape Town: Oxford University Press; Kim, H.B., Kim, W.G., The relationship between equity and firms’ performance in luxury hotels and chain restaurants (2005) Tourism Management, 26 (4), pp. 549-560; Kim, Y.H., Boo, C., Demirer, I., Kim, M., A case study of health tourism in the jeju province, south korea (2011) FIU Hospitality Review, 29 (1), pp. 64-84; Konecnik, M., Croatian-based brand equity for slovenia as a tourism destination (2006) Economic and Business Review, 8 (1), pp. 83-108; Kozak, M., Comparative analysis of tourist motivations by nationality and destinations (2002) Tourism Management, 23 (3), pp. 221-232; Laws, E., Health tourism: A business opportunity approach (1996) Health and the International Tourist, , S. Clift and S.J. Page (eds.), London: Routledge; Long, M.M., Consumption values and relationships: Segmenting the market for frequency programs (2000) Journal of Consumer Marketing, 17 (3), pp. 214-232; (2008) Medical Tourism, , http://www.medicaltourismmag.com/download/issue6.pdf; Mueller, H., Kaufmann, E.L., Wellness tourism: Market analysis of a special health tourism segment and implications for the hotel industry (2001) Journal of Vacation Marketing, 7 (1), pp. 5-18; Pierskalla, C.D., Lee, M.E., Stein, T.V., Anderson, D.H., Nickerson, R., Understanding relationship among recreation opportunities: A meta-analysis on nine studies (2004) Leisure Sciences, 26 (2), pp. 1-18; Pollock, A., Williams, P., Health tourism trends: Closing the gap between health care and tourism (2000) Trends in Outdoor Recreation, Leisure and Tourism, , W.C. Gartner and D.W. Lime (eds.), Wallingford: CABI Publishing; Schiffman, L.G., Kanuk, L.L., (1987) Consumer Behavior, , 3rd ed. Englewood Cliffs, NJ: Prentice Hall; Sheth, J.N., Newman, B.I., Gross, B.L., Why we buy what we buy: A theory of consumption values (1991) Journal of Business Research, 22, pp. 159-170. , (March); Shoemaker, S., Segmenting the u.S. Travel market according to benefits realized (1994) Journal of Travel Research, 32 (3), pp. 8-21; Singh, P.K., (2008) Medical Tourism, , India: Kanishka; Smith, P.C., Forgione, D.A., Global outsourcing of healthcare: A medical tourism decision model (2007) Journal of Information Technology Case and Application Research, 9 (3), pp. 19-30; Snyder, J., Crooks, V., Turner, L., Issue and challenges in research on the ethics of medical tourism: Reflections from a conference (2010) Journal of Bioethical Inquiry, 8 (1), pp. 3-6; Woodside, A.G., Jacobs, L.W., Stop two in benefit segmentation: Learning the benefits realized by major travel market (1985) Journal of Travel Research, 24 (1), pp. 7-13; Yoo, B.H., Donthu, N., Developing and validating a multidimensional consumer- based brand equity scale (2001) Journal of Business Research, 52 (1), pp. 1-14; Yoo, B.H., Donthu, N., Testing cross-cultural invariance of the brand equity creation process (2002) Journal of Product and Brand Management, 11 (6), pp. 380-398; Zeithaml, A.V., Consumer perceptions of price, quality, and value: A means-end model and synthesis of evidence (1988) Journal of Marketing, 52 (3), pp. 2-22","Kim, Y.H.; Department of Hospitality and Tourism Management, University of North Texas, 1155 Union Circle, #311100, United States",,,"Taylor and Francis",,,,,,9780203109458,,,"English","Med. Tourism: The Ethics, Regulation, and Marketing of Health Mobil.",Book Chapter,"Final",,Scopus,2-s2.0-84917408286 "Grupper M., Potasman I.","22937557100;7006423283;","When uncommon uncovers: Mucosal tuberculosis in a medical tourist from Burundi",2012,"Journal of Travel Medicine","19","1",,"54","56",,,"10.1111/j.1708-8305.2011.00559.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84855492727&doi=10.1111%2fj.1708-8305.2011.00559.x&partnerID=40&md5=b6789e2340b1462b1c425df95f983ab7","Infectious Disease Unit, Bnai Zion Medical Center, 47 Golomb St, P.O. Box 9490, Haifa 31048, Israel; Technion Institute, Haifa, Israel","Grupper, M., Infectious Disease Unit, Bnai Zion Medical Center, 47 Golomb St, P.O. Box 9490, Haifa 31048, Israel, Technion Institute, Haifa, Israel; Potasman, I., Infectious Disease Unit, Bnai Zion Medical Center, 47 Golomb St, P.O. Box 9490, Haifa 31048, Israel, Technion Institute, Haifa, Israel","Tuberculosis confined to the mucus membranes is a rare presentation in the era of effective chemotherapy. We describe a case of mucosal tuberculosis in a ""medical tourist"" from Burundi that went undiagnosed for 6 years. Starting as conjunctivitis, the disease has spread to involve the nose and larynx as well. The clinical, pathophysiological, and epidemiological aspects are discussed. © 2011 International Society of Travel Medicine.",,"ethambutol; isoniazid; pyrazinamide; rifampicin; adult; article; Burundi; case report; clinical feature; conjunctivitis; human; laryngitis; male; mucosa; mucosa tuberculosis; nose infection; pathophysiology; rare disease; tuberculosis; Adult; Burundi; Eyelids; Humans; Male; Medical Tourism; Mucous Membrane; Respiratory Mucosa; Tuberculosis",,"ethambutol, 10054-05-4, 1070-11-7, 3577-94-4, 74-55-5; isoniazid, 54-85-3, 62229-51-0, 65979-32-0; pyrazinamide, 98-96-4; rifampicin, 13292-46-1",,,,,,"Mignogna, F.V., Garay, K.F., Spiegel, R., Tuberculosis of the head and neck and oral cavity (1996) Tuberculosis, pp. 557-575. , Rom WN, Garay SM, eds. New York: Little, Brown and Company; Garg, A., Wadhera, R., Gulati, S.P., Singh, J., Lupus vulgaris of external nose with septal perforation - A rarity in antibiotic era (2010) Indian J Tuberc, 57, pp. 157-159; Taş, A., Yaǧiz, R., Koçyiǧit, M., Karasalihoǧlu, A.R., Primary nasopharyngeal tuberculosis (2009) Kulak Burun Bogaz Ihtis Derg, 19, pp. 109-111; Kim, Y.M., Kim, A.Y., Park, Y.H., Eight cases of nasal tuberculosis (2007) Otolaryngol Head Neck Surg, 137, pp. 500-1404; Prasad, K.C., Sreedharan, S., Chakravarthy, Y., Prasad, S.C., Tuberculosis in the head and neck: Experience in India (2007) Journal of Laryngology and Otology, 121 (10), pp. 979-985. , DOI 10.1017/S0022215107006913, PII S0022215107006913; Street, I., Gillett, D., Sawyer, A., Weighill, J., Laryngeal tuberculosis: Not the usual suspect (2006) British Journal of Hospital Medicine, 67 (4), pp. 212-213; Nalini, B., Vinayak, S., Tuberculosis in ear, nose, and throat practice: Its presentation and diagnosis (2006) American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 27 (1), pp. 39-45. , DOI 10.1016/j.amjoto.2005.07.005, PII S0196070905001341; Ricciardiello, F., Martufi, S., Cardone, M., Otorhinolaryngology-related tuberculosis (2006) Acta Otorhinolaryngol Ital, 26, pp. 38-42; Sá, L.C., Meirelles, R.C., Atherino, C.C., Laryngopharyngeal tuberculosis (2007) Otorhinolaryngology, 73, pp. 862-866; Menon, K., Bem, C., Gouldesbrough, D., Strachan, D.R., A clinical review of 128 cases of head and neck tuberculosis presenting over a 10-year period in Bradford, UK (2007) Journal of Laryngology and Otology, 121 (4), pp. 362-368. , DOI 10.1017/S0022215106002507; Salas, D., Murthy, S., Champ, C., Hawksworth, N., Primary tuberculosis of the conjunctiva (2001) Eye, 15, pp. 674-676. , Lond; Cook, C.D., Hainsworth, M., Tuberculosis of the conjunctiva occurring in association with a neighbouring lupus vulgaris lesion (1990) British Journal of Ophthalmology, 74 (5), pp. 315-316; Sollom, A.W., Primary conjunctival tuberculosis (1967) Br J Ophthalmol, 51, pp. 685-687; Smati, B., Boudaya, M.S., Ayadi, A., Ammar, J., Djilani, H., Mezni, F.E., Kilani, T., Tuberculosis of the Trachea (2006) Annals of Thoracic Surgery, 82 (5), pp. 1900-1901. , DOI 10.1016/j.athoracsur.2006.02.036, PII S0003497506003778; Bravo, F.G., Gotuzzo, E., Cutaneous tuberculosis (2007) Clinics in Dermatology, 25 (2), pp. 173-180. , DOI 10.1016/j.clindermatol.2006.05.005, PII S0738081X06000678; Lugton, I.W., Mucosa-associated lymphoid tissues as sites for uptake, carriage and excretion of tubercle bacilli and other pathogenic mycobacteria (1999) Immunology and Cell Biology, 77 (4), pp. 364-372. , DOI 10.1046/j.1440-1711.1999.00836.x; (2010) Tuberculosis and Air Travel: Guidelines for Prevention and Control - WHO, , http://www.who.int/tb/publications/2008, Available at: (Accessed 2008 Dec 20); (2010) Access to Healthcare Impacts Poverty - Burundi, Africa, , http://www.aidsportal.org, Available at: (Accessed 2010 Dec 20); Shetty, P., Medical tourism booms in India, but at what cost? (2010) Lancet, 376, pp. 671-672","Grupper, M.; Infectious Disease Unit, Bnai Zion Medical Center, 47 Golomb St, P.O. Box 9490, Haifa 31048, Israel; email: moti.grupper@bzion.org.il",,,,,,,,11951982,,JTRMF,"22221812","English","J. Travel Med.",Article,"Final",Open Access,Scopus,2-s2.0-84855492727 "Vequist D.G., Guiry M., Ipock B.","55666196900;36808069300;55961920200;","Controversies in medical tourism",2011,"Controversies in Tourism",,,,"73","85",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890248959&partnerID=40&md5=e84930a522c66d03c8d1563db56ec7d9","Center for Medical Tourism Research, University of the Incarnate Word, San Antonio, TX, United States; International Business and Business Law, H-E-B School of Business and Administration, University of the Incarnate Word, San Antonio, TX, United States","Vequist, D.G., Center for Medical Tourism Research, University of the Incarnate Word, San Antonio, TX, United States; Guiry, M., International Business and Business Law, H-E-B School of Business and Administration, University of the Incarnate Word, San Antonio, TX, United States; Ipock, B., Center for Medical Tourism Research, University of the Incarnate Word, San Antonio, TX, United States",[No abstract available],,,,,,,,,,"Abraham, E.J., Pulse on health and nursing in India (2007) Nursing and Health Sciences, 9, pp. 79-81; Editorial comments: towards an improved framework for cross-border healthcare (2008) Common Law Market Review, 45, pp. 1325-1333. , Anonymous; The future of healthcare: an opportunity for change (2011), http://www.growthconsulting.frost.com/web/images.nsf/0/496847BA5411AB4280257842004C3354/$File/GIL11V4Q2_MEGATREND%20REPORT.html, Anonymous, Available at, accessed 30 March 2011; Brady, C., Offshore gambling: medical outsourcing versus ERISA's fiduciary duty requirement (2007) Washington and Lee Law Review, 64, pp. 1073-1114; Bristow, R., Eco-medical tourism: can it be sustainable? 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Institute of Population Health, Ottawa, Canada; Horowitz, M., Rosensweig, J., Medical tourism-health care in the global economy (2007) The Physician Executive, pp. 24-30. , November-December; Howze, K., Note: medical tourism: symptom or cure? (2007) Georgia Law Review, 41, pp. 1013-1051; Hunter, D., Oultram, S., The ethical and policy implications of rogue medical tourism (2010) Global Social Policy, 10, pp. 297-299; Jones, C., Keith, L., Medical tourism and reproductive outsourcing: the dawning of a new paradigm for health care (2006) International Journal of Fertility and Women's Medicine, 51, pp. 251-255; Kangas, B., Hope from abroad in the international medical travel of Yemeni patients (2007) Anthropology and Medicine, 14, pp. 293-305; Klaus, M., Outsourcing vital operations: what if U.S. health care costs drive patients overseas for surgery? (2006) Quinnipiac Health Law Journal, 9 (219), pp. 235-237; Leahy, A., Editorial (2008) Surgeon, pp. 260-261. , October; Lee, C., Just what the doctor ordered: easy travel to emerging economies with cheaper medical costs turns medical tourism into big business (2007) Monash Business Review, 3, pp. 10-13; Leng, C., Medical tourism and the state in Malaysia and Singapore (2010) Global Social Policy, 10, pp. 336-357; Martin, D., Medical travel and the sale of human biological materials: suggestions for ethical policy development (2010) Global Social Policy, 10, pp. 377-395; Mattoo, A., Rathindran, R., Does health insurance impede trade in health care services? (2005) World Bank Policy Research Working Paper, 3667, pp. 1-35; McCallum, B., Jacoby, P., Medical outsourcing: reducing clients' health care risks (2007) Journal of Financial Planning, pp. 60-69. , October; Milstein, A., Smith, M., America's new refugees-seeking affordable surgery offshore (2006) New England Journal of Medicine, 355, pp. 1637-1640; Mirrer-Singer, P., Note: medical malpractice overseas: the legal uncertainty surrounding medical tourism (2007) Law and Contemporary Problems, 70, pp. 211-232; Moncrieff, A., Federalization snowballs: the need for national action in medical malpractice reform (2009) Columbia Law Review, 109, p. 844; Morris, E., Reproductive tourism and the role of the European Union (2008) Chicago Journal of International Law, 8, pp. 701-713; Mulay, S., Gibson, E., Marketing of assisted human reproduction and the Indian State (2006) Development, 49, pp. 84-93; Parker, T., The future of medicine: Natural Doctors International (2006) Journal of the American Herbalists Guild, 6, pp. 32-34; Pennings, G., Legal harmonization and reproductive tourism in Europe (2004) Human Reproduction, 19, pp. 2689-2694; Pennings, G., Ethics without boundaries: medical tourism (2007) Principles of Health Care Ethics, pp. 505-510. , In: Ashcroft, E., Dawson, A., Draper, H., McMillan, J., Ashcroft, R.E., Dawson, A., Draper, H. and McMillan, J.R. (eds), John Wiley and Sons, London; Ramirez De Arellano, A., Patients without borders: the emergence of medical tourism (2007) International Journal of Health Services, 37, pp. 193-198; Scheper-Hughes, N., The ends of the body: commodity fetishism and the global traffic in organs (2002) SAIS Review, 22, pp. 61-80; Schroth, L., Khawahja, R., Globalization of health care (2007) Frontiers of Health Services Management, 24, pp. 19-30; Shearmur, J., The real body shop, part 2: spare parts (2008) Policy, 24, pp. 25-29; Shimazono, Y., The state of the international organ trade: a provisional picture based on integration of available information (2007) Bulletin of the World Health Organization, 85, pp. 955-962; Sood, A., Cox, E., Medical tourism-a strategy for containing health care cost increases and immigration pull (2008) Working Papers in Global Studies, 2, pp. 1-8; Svantesson, D., From the airport to the surgery to the courtroom-private international law and medical tourism (2008) Commonwealth Law Bulletin, 34, pp. 265-276; Tan, K., Aesthetic medicine: a health regulator's perspective, clinical governance (2007) An International Journal, 12, pp. 13-25; Teachout, M., Vequist, D., Editorial (2010) International Journal of Behavioural and Healthcare Research, 2, pp. 1-4; Terry, N., Under-regulated health care phenomena in a flat world: medical tourism and outsourcing (2007) Western New England Law Review, 29 (2), pp. 421-472; Vequist, D., Medical tourism research: the unfortunate lack of valid data (2012) Journal of Health and Human Services Administration, , in press; Vequist, D., Barnes, R., Assisted suicide tourism: wish fulfillment? (2010) Paper presented at the International Conference on Ethical Issues in Medical Tourism, , http://www.sfu.ca/medicaltourism/2010_conference_archive/presentations/VequistBarnes.pdf, June 25, 2010, Simon Fraser University, Vancouver, Canada. Available at, accessed 31 December; Vequist, D., Valdez, E., The correlation between medical tourism and biotechnology (2009) Journal of Commercial Biotechnology, 15, pp. 287-289; Declaration of Alma-Ata (1978), http://www.who.int/hpr/NPH/docs/declaration_almaata.pdf, WHO-UNICEF, International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September, 1978. Available at, accessed 30 March; Widdows, H., Is global ethics moral neo-colonialism? An investigation of the issue in the context of bioethics (2007) Bioethics, 21, pp. 305-315; Wieners, W., Going global: delivering health care services in a 'flat' world (2007) Frontiers of Health Services Management, 24, pp. 41-43","Vequist, D.G.; Center for Medical Tourism Research, University of the Incarnate Word, San Antonio, TX, United States; email: vequist@uiwtx.edu",,,"CABI Publishing",,,,,,9781845938130,,,"English","Controversies in Tourism",Book Chapter,"Final",,Scopus,2-s2.0-84890248959 "Zabołotny W.M., Wielgórskia R., Nowik M.","6602085525;53880808300;57188751359;","J2ME implementation of system for storing and accessing of sensitive data on patient's mobile device",2011,"Proceedings of SPIE - The International Society for Optical Engineering","8008",, 80081I,"","",,,"10.1117/12.905282","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80054995662&doi=10.1117%2f12.905282&partnerID=40&md5=30a22a70705f6b63e09605274f345322","Institute of Electronic Systems, Warsaw University of Technology, ul. Nowowiejska 15/19, 00-665 Warszawa, Poland","Zabołotny, W.M., Institute of Electronic Systems, Warsaw University of Technology, ul. Nowowiejska 15/19, 00-665 Warszawa, Poland; Wielgórskia, R., Institute of Electronic Systems, Warsaw University of Technology, ul. Nowowiejska 15/19, 00-665 Warszawa, Poland; Nowik, M., Institute of Electronic Systems, Warsaw University of Technology, ul. Nowowiejska 15/19, 00-665 Warszawa, Poland","This paper presents a system allowing to use a patient's mobile phone or PDA for storing of biomedical data, which then, during medical consultation or intervention may be used by the medical staff. The presented solution is aimed on providing both: reliable protection to sensitive patient's data, and easy access to information for authorized medical staff. In the presented system, data are stored in an encrypted form, and the encryption key is available only for authorized persons. The central authentication server verifies the current access rights of the person trying to obtain the information, before providing him or her with the key needed to access the patient's data. The key provided by the server is valid only for the particular device, which minimizes the risk of its misuse. For rare situations when no connection to the authentication server is available (e.g. intervention in the mountains or rural area), system assures an additional ""emergency"" method to access the encryption key in controlled, registered way. The system has been implemented in Java language and tested in the simulated environment provided by ""Sun Java Wireless Toolkit for CLDC""1. © 2011 SPIE.","Biomedical data; Encryption; J2ME; Mobile applications; Sensitive data storage","Access rights; Authentication servers; Biomedical data; Encryption key; J2ME; Java language; Mobile applications; Sensitive datas; Simulated environment; Astronomy; Authentication; Computer software; Cryptography; Experiments; High energy physics; Java programming language; Mobile devices; Patient treatment; Rural areas; Cellular telephone systems",,,,,,,,"Sun Java Wireless Toolkit for CLDC, , http://www.oracle.com/technetwork/java/index-jsp-137162.html; Zhang, P., Kogure, Y., Matsuoka, H., Akutagawa, M., Kinouchi, Y., Zhang, Q., A remote patient monitoring system using a java-enabled 3g mobile phone (2007) Engineering in Medicine and Biology Society, 2007. EMBS 2007. 29th Annual International Conference of the IEEE, pp. 3713-3716; Pinsker, M., Schindler, K., Morak, J., Hayn, D., Kastner, P., Riedl, M., Ludvik, B., Schreier, G., (2008) Experiences Using Mobile Phones as Patient-terminal for Telemedical Home Care and Therapy Monitoring of Patients Suffering from Chronic Diseases, pp. 1305-1312; (2008) IBiTel 2008 Conference on Biomedical Engineering and Telemedicine, , http://ibitel.elka.pw.edu.pl/, 9; SD Association, , http://www.sdcard.org/home/; (2007) SDSD-CPRM Flexible Protection for Digital Content, , http://www.4centity.com/docs/SDSD-CPRM_WP_R2-121107.pdf, 12; The Legion of the Bouncy Castle, , http://www.bouncycastle.org; Apache Derby, , http://db.apache.org/derby/; About Java for Mobile Devices, , http://www.oracle.com/technetwork/java/javame/javamobile/overview/about/ index.html; Security and Trust Services API for J2ME (SATSA); Jsr 177, , http://java.sun.com/products/satsa/; Mobile Media API (JSR-135)., , http://download.oracle.com/javame/config/cldc/opt-pkgs/api/mm/jsr135/ index.html; (2004) Getting Started with the Fileconnection APIs, , http://developers.sun.com/mobility/apis/articles/fileconnection/; Jsr-000082 JavaTM APIs for Bluetooth (Final Release), , http://www.jcp.org/aboutJava/communityprocess/final/jsr082/; JSR-000118 Mobile Information Device Profile 2.0 (Final Release), , http://jcp.org/aboutJava/communityprocess/final/jsr118/index.html; JSR-000139 Connected Limited Device Configuration 1.1 (Maintenance Release), , http://jcp.org/aboutJava/communityprocess/mrel/jsr139/index.html; Ortiz, E., (2003) The MIDP 2.0 Push Registry, , http://developers.sun.com/mobility/midp/articles/pushreg/, 1; Ghosh, S., (2002) J2ME Record Management Store, , http://www.ibm.com/developerworks/library/wi-rms/, 5; (1998) Understanding Java Card 2.0., , http://www.javaworld.com/javaworld/jw-03-1998/jw-03-javadev.html, 3; Java Card Platform Specification 2.2.2., , http://java.sun.com/javacard/specs.html; Java Card 3.0 Platform Specification, , http://java.sun.com/javacard/3.0/specs.jsp","Zabołotny, W.M.; Institute of Electronic Systems, Warsaw University of Technology, ul. Nowowiejska 15/19, 00-665 Warszawa, Poland; email: wzab@ise.pw.edu.pl",,"Photonics Society of Poland (PSP);Pol. Acad. Sci., Comm. Electron. Telecommun.;European Coordination of Accelerator R and D (EuCARD);IEEE Poland Section;Polish Committee of Optoelectronics of SEP (PKOpto)",,"Photonics Applications in Astronomy, Communications, Industry, and High-Energy Physics Experiments 2011","23 May 2011 through 29 May 2011","Wilga",87016,0277786X,9780819485823,PSISD,,"English","Proc SPIE Int Soc Opt Eng",Conference Paper,"Final",,Scopus,2-s2.0-80054995662 "Daniels C.","37080374000;","Which objective? Which medications? Travel properly with rheumatism [Welches ziel? Welche medikamente? Richtig reisen mit rheuma]",2011,"CME","8","9",,"16","17",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053416282&partnerID=40&md5=d7729c7f6cac4a77e2e9dfebed6ce1b3",,"Daniels, C.",[No abstract available],,,,,,,,,,,"Daniels, C.",,,,,,,,1614371X,,,,"German","CME",Article,"Final",,Scopus,2-s2.0-80053416282 "Wocher J.C.","6603106158;","Medical tourism--why are Japanese hospitals still incapable, resistive or opposed to competing in this global trend?",2011,"Japan-hospitals : the journal of the Japan Hospital Association",,"30",,"41","51",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053301665&partnerID=40&md5=d876772d83369b62f3d3bd61e8e916c6","International Patient Services, Kameda Medical Center.","Wocher, J.C., International Patient Services, Kameda Medical Center.",[No abstract available],,"article; economic aspect; emporiatrics; hospital; Japan; organization; Economic Competition; Hospitals; Japan; Organizational Objectives; Travel Medicine",,,,,,,,,"Wocher, J.C.email: johnwocher@kameda.jp",,,,,,,,09101004,,,"21879587","English","Jpn Hosp",Article,"Final",,Scopus,2-s2.0-80053301665 "Noone P.","12783770900;","Monitoring for isocyanates, wood dust, bullying and medical tourism",2011,"Occupational Medicine","61","4",,"286","286",,,"10.1093/occmed/kqr038","https://www.scopus.com/inward/record.uri?eid=2-s2.0-79957811665&doi=10.1093%2foccmed%2fkqr038&partnerID=40&md5=b25467e160515d0c16ee04175c4013fb",,"Noone, P.",[No abstract available],,,,,,,,,,"Cocker, J., Biological monitoring for isocyanates (2011) Ann Occup Hyg, 55, pp. 127-131; (2005) WATCH Committee Biological Monitoring for Isocyanates, , http://www.hse.gov.uk/aboutus/hsc/iacs/acts/watch/051005/13.pdf, HSE. (19 February 2011, date last accessed); Kauppinen, T., Vincent, R., Liukkonen, T., Occupational exposure to inhalable wood dust in the member states of the European Union (2006) Ann Occup Hyg, 6, pp. 549-561; (1995) Air Quality-Particle Size Fraction Definitions for Health-Related, Sampling, , ISO Standard 7708. Geneva, Switzerland: International Organization for Standardization; Lee, T., Harper, M., Slaven, J.E., Wood dust sampling: field evaluation of personal samplers when large particles are present (2011) Ann Occup Hyg, 55, pp. 180-191; Niedhammer, I., David, S., Degionanni, S., Workplace bullying and psychotropic drug use (2011) Ann Occup Hyg, 55, pp. 152-163; Leymann, H., (1996) Handanleitung für den LIPT-Fragebogen (Leymann Inventory of Psychological Terror), , Materialie Nr. 33, Tübingen,Germany:Deutsche Gesellschaft für Verhaltenstherapie e.V; Turner, L., Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies (2011) Int J Qual Health Care, 23, pp. 1-7","Noone, P.email: monitor@som.org.uk",,,,,,,,09627480,,OCMEE,,"English","Occup. Med.",Review,"Final",Open Access,Scopus,2-s2.0-79957811665 "Gönen I.","55966540300;","Health tourism in Turkey and some effects for accredited hospitals",2011,"11th International Multidisciplinary Scientific Geoconference and EXPO - Modern Management of Mine Producing, Geology and Environmental Protection, SGEM 2011","3",,,"1081","1087",,,"10.5593/sgem2011/s22.121","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890743424&doi=10.5593%2fsgem2011%2fs22.121&partnerID=40&md5=65d74eef7aa2c4e7b566dccce388bb70","Okan University, Turkey","Gönen, I., Okan University, Turkey","One of the tourism types thought under the range of variation in tourism is health tourism. In order to have tourism in every season throughout the year, health tourism started to have a great importance nowadays. When you say health tourism, the first thing that comes to mind is thermal sources. In addition to this, some well-developed and well-equipped hospitals have been making big organizations to get patients to treat and earning money on dollar basis in medical tourism. The rise of medical tourism has happened in parallel with the privatization of health care, the growing need for expensive technology, uneven access to health resources and the accelerated globalization of both health care and tourism. In both activities related to health, tourism means have been used. Moreover after their treatments, their some motives like shopping, entertaining, sightseeing, come out and this creates a large amount of increase in tourism income because of their stay for longer periods Under these circumstances, it is essential to think these two topics together and to evaluate the existing possibilities in terms of quality and quantity and it is also a must to renovate environment and organization. This paper evaluates the conditions of the Turkish accredited hospitals and their marketing strategies as a case study in global competition. This study also aimed to diagnose the problems of related institutions in Turkey and in order to give some advice to them to solve their conflicts. In this way it will be easier to take advantage of both health tourism and get better benefits and also in the aspect of getting public health in a proper way. © SGEM2011 All Rights Reserved by the International Multidisciplinary Scientific GeoConference SGEM.","Health tourism; Marketing strategies; Medical tourism","Commerce; Health care; Hospitals; Marketing; Privatization; Strategic planning; Global competition; Health Resources; Health tourisms; Large amounts; Marketing strategy; Medical tourism; Thermal source; Turkishs; Quality control",,,,,,,,"(2009), http://saglikturizmrehberi.com/?medikal.nedir, Accessed:03.01; Tore, Ö., (2011) Asian Medical Tourism Market In a Fast Growth Mode, , http://www.ftnnews.com/health-a-spa/11132-asian-medical-tourism-market-in-a-fastgrowth-mode.html, Accessed: 23.03.2011; Tore, Ö., (2011) Costa Rican Medical Tourism Continues to Grows In 2011, , http://www.ftnnews.com/health-a-spa/11676-costa-rican-medical-tourism-continues-togrows-in-2011.html, Accessed: 23.03.2011; Tore, Ö., (2011) Japan Eases Visa Rules to Attract Medical Tourists, , http://www.ftnnews.com/health-a-spa/11675-japan-eases-visa-rules-to-attract-medicaltourists.html, accessed: 23.03.2011; Woodman, J., (2008) Patients Beyond Borders Korea Edition: Everybody's Guide to Affordable, World-Class Medical Travel, pp. 74-160. , Chapel Hill, NC, USA: Healthy Travel Media, 2008; (2010), http://www.jointcommissioninternational.org/JCI-Accredited-Organizations/#Turkey, accessed: 28.03, prepared by the author; (2011), http://www.jointcommissioninternational.org/JCI-Accredited-Organizations/#Turkey, accessed: 20.04; (2008), http://saglikturizmrehberi.com/?medikal.nedenturkiye, accessed: 03.12; (2011) Call Center Awards Sektoral Meeting, , imi Conferences, 21 April 2011, Swissotel, İstanbul","Gönen, I.; Okan UniversityTurkey",,,"International Multidisciplinary Scientific Geoconference and EXPO","11th International Multidisciplinary Scientific Geoconference and EXPO, SGEM 2011","20 June 2011 through 25 June 2011","Varna",101584,,,,,"English","11th Int. Multidisciplinary Sci. Geoconf. EXPO - Mod. Manage. Mine Producing, Geology Environ. Protection",Conference Paper,"Final",,Scopus,2-s2.0-84890743424 "Bile V., Blanchet K., Corfa V., Jougleux M., Nunes J., Leboucher F., Thivellier A., Levoivenel K., Thiollière F.","54982709600;54983440300;54982709700;54983283400;54982511700;54982710300;54982710400;54982710000;6508166854;","Patient mobilisation: Advantages and risks - Early transfer from bed to chair for ventilated and unsedated intubated patients [La mobilisation des patients : avantages et risques-Le lever au fauteuil précoce des patients intubés, ventilés et non sédatés]",2011,"Reanimation","20","SUPPL.2",,"678","681",,,"10.1007/s13546-010-0098-x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856969429&doi=10.1007%2fs13546-010-0098-x&partnerID=40&md5=7228aa7172acbbdeb8f38c2b0a0774c5","Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France","Bile, V., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France; Blanchet, K., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France; Corfa, V., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France; Jougleux, M., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France; Nunes, J., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France; Leboucher, F., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France; Thivellier, A., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France; Levoivenel, K., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France; Thiollière, F., Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France",[No abstract available],,"article; artificial ventilation; chair; hospital bed; human; intensive care; intubation; mobilization; patient mobility; patient transport; risk benefit analysis",,,,,,,,"Bailey, P., Thomsen, G.E., Spuhler, V.J., Early activity is feasible and safe in respiratory failure patients (2007) Crit Care Med, 35 (1), pp. 139-145; Morris, P.E., Goad, A., Thompson, C., Early intensive care unit mobility therapy in the treatment of acute respiratory failure (2008) Crit Care Med, 36 (8), pp. 2238-2243; Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial (2009) Lancet, 373 (9678), pp. 1874-1882; (2001) Prévention et Traitement des Escarres de L'adulte et du Sujet Âgé : Conférence de Consensus, , Anaes, décembre 2001. Anaes","Bile, V.; Service de Réanimation Médicale, Centre Hospitalier Sud-francilien, 59, boulevard Henri-Dunant, F-91100 Corbeil-Essonnes, France",,,,,,,,16240693,,REANF,,"French","Reanimation",Article,"Final",,Scopus,2-s2.0-84856969429 "Hermetz F., Gourdin E., Lalouette A., Maréchal M., Bertrand F., Codron G., Jamin C., Caloin N., Daumal M.","54982698600;54982656400;54982966900;36457025600;54983612300;54982698700;54982742700;54982698400;54982377800;","Patient mobilisation: Advantages and risks - Experience of the general intensive care department of the Montreuil-sur-Mer local hospital centre [La mobilisation des patients : avantages et risques - Expérience de l'équipe du service de réanimation polyvalente du centre hospitalier de l'arrondissement de Montreuil-sur-Mer]",2011,"Reanimation","20","SUPPL.2",,"682","683",,,"10.1007/s13546-010-0099-9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856967412&doi=10.1007%2fs13546-010-0099-9&partnerID=40&md5=ef1b1e04fa5c53d16c5f54514393b30f","Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France","Hermetz, F., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; Gourdin, E., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; Lalouette, A., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; Maréchal, M., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; Bertrand, F., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; Codron, G., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; Jamin, C., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; Caloin, N., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; Daumal, M., Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France",[No abstract available],,"human; intensive care unit; mobilization; note; risk benefit analysis",,,,,,,,,"Gourdin, E.; Service de Réanimation Polyvalente, Centre Hospitalier de L'arrondissement de Montreuil-sur-Mer, BP 8, F-62180 Rang-du-Fliers, France; email: egourdin@ch-montreuil.fr",,,,,,,,16240693,,REANF,,"French","Reanimation",Note,"Final",,Scopus,2-s2.0-84856967412 "Gourdin E., Devos N., Chergui K., Plantefève G., Camilatto I., Baudel J.-L., Jacobs F., Lambermont B., Liaudet L., Das V., Vinsonneau C., Donetti L., Rigaud J.-P., Berger A., Henon Hilaire S., Pernin A., Boitrou E., Garin C., Leteurtrois L., Brault A., Vanduick A., Levêque C., Hauchard I., Camilatto I., Louro E., Cossard L., Noel C., Moskala B., Cousseau S., Harang C., Cotte C., Sylvestre C., Ogeas M., Deveaux T., Coutolleau A., Paralaticci C., Dumont N., Lesny M., Saidani L., Soulie V., Gaujard E., Gourdin E., Villard I.","54982656400;54415484200;57205009448;6506774173;36015042100;6507135235;57209763302;7003588249;57215706476;7006047807;6602452194;6602408014;7101848081;54983364100;54982694400;54983972700;54982694300;54982399800;54982694200;54983477100;54982693300;54982864300;36015130500;36015042100;54983403800;54982693200;54982362300;54982693100;54982693000;54982693700;54983729200;54982712800;54982693600;57194163059;57213745633;54982693500;57206226623;54983155200;54982693400;54983224800;57190959831;54982656400;55975201700;","Early patient mobilisation - Getting the patient out of bed in intensive therapy units: Practice and prospects [La mobilisation précoce du patient - Lever du patient en réanimation : pratiques et perspectives]",2011,"Reanimation","20","SUPPL.2",,"702","704",,,"10.1007/s13546-010-0137-7","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856964602&doi=10.1007%2fs13546-010-0137-7&partnerID=40&md5=f278e8d875df1bacd1108a50e1724dca","Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France","Gourdin, E., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France, Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Devos, N., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Chergui, K., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Plantefève, G., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Camilatto, I., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France, Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Baudel, J.-L., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Jacobs, F., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Lambermont, B., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Liaudet, L., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Das, V., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Vinsonneau, C., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Donetti, L., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Rigaud, J.-P., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Berger, A., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Henon Hilaire, S., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Pernin, A., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Boitrou, E., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Garin, C., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Leteurtrois, L., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Brault, A., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Vanduick, A., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Levêque, C., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Hauchard, I., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Camilatto, I., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France, Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Louro, E., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Cossard, L., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Noel, C., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Moskala, B., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Cousseau, S., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Harang, C., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Cotte, C., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Sylvestre, C., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Ogeas, M., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Deveaux, T., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Coutolleau, A., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Paralaticci, C., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Dumont, N., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Lesny, M., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Saidani, L., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Soulie, V., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Gaujard, E., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Gourdin, E., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France, Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France; Villard, I., Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France",[No abstract available],,"clinical practice; human; intensive care unit; patient mobility; review",,,,,,,,"Quenot, J.P., Plantefeve, G., Baudel, J.L., Bedside adherence to clinical practice guidelines for enteral nutrition in critically ill patients receiving mechanical ventilation: A prospective, multi-centre, observational study (2010) Crit Care, 14 (2), pp. R37; Thomsen, G.E., Snow, G.L., Rodriguez, L., Hopkins, R.O., Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority (2008) Crit Care Med, 36 (4), pp. 1119-1124; Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial (2009) Lancet, 373 (9678), pp. 1874-1882; Burtin, C., Clerckx, B., Robbeets, C., Early exercise in critically ill patients enhances short-term functional recovery (2009) Crit Care Med, 37 (9), pp. 2499-2505; Needham, D.M., Mobilizing patients in the intensive care unit: Improving neuromuscular weakness and physical function (2008) JAMA, 300 (14), pp. 1685-1690","Gourdin, E.; Société de Réanimation de Langue Française, Commission Epidémiologique et de Recherche Clinique de la SRLF, 48 avenue claude Velfaux, 75010 Paris, France",,,,,,,,16240693,,REANF,,"French","Reanimation",Review,"Final",,Scopus,2-s2.0-84856964602 "Guérin C.","16440241600;","Early patient mobilisation - Advantages and risks [La mobilisation précoce du patient - Intérêts et risques]",2011,"Reanimation","20","SUPPL.2",,"691","697",,,"10.1007/s13546-010-0138-6","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856950052&doi=10.1007%2fs13546-010-0138-6&partnerID=40&md5=3e46a87009279fb6bf4f97c4aaea1902","Service de Réanimation Médicale et D'assistance Respiratoire, Hôpital de la Croix-Rousse, 93, grande rue de la Croix-Rousse, F-69004 Lyon, France; Créatis CNRS 5515, Inserm U630, Université de Lyon, F-69621 Villeurbanne, France","Guérin, C., Service de Réanimation Médicale et D'assistance Respiratoire, Hôpital de la Croix-Rousse, 93, grande rue de la Croix-Rousse, F-69004 Lyon, France, Créatis CNRS 5515, Inserm U630, Université de Lyon, F-69621 Villeurbanne, France",[No abstract available],,"article; human; mobilization; patient mobility; risk",,,,,,,,"Topp, R., Ditmyer, M., King, K., The effect of bed rest and potential of prehabilitation on patients in the intensive care unit (2002) AACN Clin Issues, 13 (2), pp. 263-276; De Jonghe, B., Lacherade, J.C., Durand, M.C., Sharshar, T., Critical illness neuromuscular syndromes (2007) Crit Care Clin, 23, pp. 55-69; Curtis, J.R., The long-term outcomes of mechanical ventilation: What are they and how should they be used? (2002) Respir Care, 47, pp. 496-505. , discussion 05-7; Orme Jr., J., Romney, J.S., Hopkins, R.O., Pulmonary function and health-related quality of life in survivors of acute respiratory distress syndrome (2003) Am J Respir Crit Care Med, 167, pp. 690-694; Herridge, M.S., Cheung, A.M., Tansey, C.M., One-year outcomes in survivors of the acute respiratory distress syndrome (2003) N Engl J Med, 348, pp. 683-693; Bloomfield, S.A., Changes in musculoskeletal structure and function with prolonged bed rest (1997) Med Sci Sports Exerc, 29, pp. 197-206; Griffiths, R.D., Jones, C., Recovery from intensive care (1999) BMJ, 319, pp. 427-429; Morris, P.E., Moving our critically ill patients: Mobility barriers and benefits (2007) Crit Care Clin, 23, pp. 1-20; Needham, D.M., Mobilizing patients in the intensive care unit: Improving neuromuscular weakness and physical function (2008) JAMA, 300, pp. 1685-1690; Staudinger, T., Kofler, J., Mullner, M., Comparison of prone positioning and continuous rotation of patients with adult respiratory distress syndrome: Results of a pilot study (2001) Crit Care Med, 29, pp. 51-56; Richard, J.C., Maggiore, S.M., Mancebo, J., Effects of vertical positioning on gas exchange and lung volumes in acute respiratory distress syndrome (2006) Intensive Care Med, 32, pp. 1623-1626; Morris, P.E., Goad, A., Thompson, C., Early intensive care unit mobility therapy in the treatment of acute respiratory failure (2008) Crit Care Med, 36, pp. 2238-2243; Thomsen, G.E., Snow, G.L., Rodriguez, L., Hopkins, R.O., Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority (2008) Crit Care Med, 36, pp. 1119-1124; Bailey, P., Thomsen, G.E., Spuhler, V.J., Early activity is feasible and safe in respiratory failure patients (2007) Crit Care Med, 35, pp. 139-145; Bourdin, G., Barbier, J., Burle, J.F., The feasibility of early physical activity in intensive care unit patients: A prospective observational one-center study (2010) Respir Care, 55, pp. 400-407; Schweickert, W.D., Poston, J.T., Esbrook, C.L., Temporal relation of early mobilization on revovery of functional independence in mechanically ventilated patients (2009) Am J Respir Crit Care Med, 179, pp. A2168; Mundy, L.M., Leet, T.L., Darst, K., Early mobilization of patients hospitalized with community-acquired pneumonia (2003) Chest, 124, pp. 883-889; Templeton, M., Palazzo, M.G., Chest physiotherapy prolongs duration of ventilation in the critically ill ventilated for more than 48 hours (2007) Intensive Care Med, 33, pp. 1938-1945","Guérin, C.; Service de Réanimation Médicale et D'assistance Respiratoire, Hôpital de la Croix-Rousse, 93, grande rue de la Croix-Rousse, F-69004 Lyon, France",,,,,,,,16240693,,REANF,,"French","Reanimation",Article,"Final",,Scopus,2-s2.0-84856950052 "Ormond M.","7801551522;","International medical travel and the politics of therapeutic place-making in Malaysia",2011,"European Journal of Tourism Research","4","2",,"221","225",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-81855180599&partnerID=40&md5=afbe727a406e45355256df389f362cb9","Wageningen University, Netherlands","Ormond, M., Wageningen University, Netherlands",[No abstract available],,,,,,,,,,,"Ormond, M.; Wageningen UniversityNetherlands; email: meghann.ormond@wur.nl",,,"Varna University of Management",,,,,19947658,,,,"English","Eur. J. Tour. Res.",Article,"Final",,Scopus,2-s2.0-81855180599 "Rosenthal R.J.","35592115900;","Comment on: Medical tourism and bariatric surgery",2011,"Surgery for Obesity and Related Diseases","7","5",,"654","655",,,"10.1016/j.soard.2011.06.002","https://www.scopus.com/inward/record.uri?eid=2-s2.0-80053328555&doi=10.1016%2fj.soard.2011.06.002&partnerID=40&md5=bfc3e6e6a4249d4d5fd8414e29942738","Section of Minimally Invasive Surgery, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, United States","Rosenthal, R.J., Section of Minimally Invasive Surgery, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, United States",[No abstract available],,"bariatric surgery; health care organization; health care quality; health insurance; help seeking behavior; human; medical tourism; medicare; note; obesity; priority journal; socioeconomics; treatment planning; United States",,,,,,,,,"Rosenthal, R.J.; Section of Minimally Invasive Surgery, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, United States",,,"Elsevier Inc.",,,,,15507289,,,"21798819","English","Surg. Obes. Relat. Dis.",Editorial,"Final",,Scopus,2-s2.0-80053328555 "Lenin B.K., Garg R.","49663638900;57196542403;","India: A hot place for medical tourism",2011,"Medico-Legal Update","11","2",,"50","52",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-79961180160&partnerID=40&md5=b12b45005a857397f0dcfcf94f5637b6","RGSOIPL, IIT Kharagpur, India","Lenin, B.K., RGSOIPL, IIT Kharagpur, India; Garg, R., RGSOIPL, IIT Kharagpur, India",[No abstract available],,"article; health care cost; health care delivery; health care facility; health care personnel; human; India; medical tourism; trend study",,,,,,,,"Research by American Medical Association; Article on Medical Tourism growing worldwide from University of Delaware publication; Survey by organization Markets and Research; American Medical Journal, , dated 6th Oct. 2008; Apollo signed an agreement with U.S.-based insurance company IndiaPRWire, , January 5, 2009; Economic Times, , http://economictimes.indiatimes.com/News/News_By_Industry/Healthcare__Biotech/Healthcare/Indian_medical_tourism_to_touch_Rs_9500_cr_by_2015_Assocham/articleshow/3943608.cms, 6th January 2009; Higgans, L.A., Medical Tourism Takes Off, But Not Without Debate (2007) Managed Care; Medical Tourism Blog, , Interview with Jonathan Edelheit - United Group Programs, Aug 1, 2007. Visited on 18th of February 2010 at 20:00 hrs; (2006) Indian Medical Journal, p. 488; Times of India, , June 15, 2008; Abma, J., Chandra, A., Mosher, W., Peterson, L., Piccinino, L., Fertility, family planning, and women's health: New data from the 1995 National Survey of Family Growth Vital Health Stat, 23 (19). , http://www.cdc.gov/NCHS/, National Center for Health Statistics. last visited on 01-5-2010; Why is commercial surrogacy arrangement a contentious issue Express Healthcare, , www.expresshealthcaremgmt.com/200703/strategy05.shtml, The critics of this technology quip that this is nothing short of commercialization of the womb, accessed on 20th June 2010; http://lawcommissionofindia.nic.in/reports/report228.pdf, Law Commission report no.228; Universal Declaration of Human Rights Available, , http://www.un.org/en/documents/udhr/index.shtml#a16, accessed on 19th May 2010 at 7:42pm; AIR 2000 A. P. 156; 316 US 535; AIR 2003 SC 3057; 1978 SCR (2) 621; Supra footnote 13","Lenin, B. K.; RGSOIPL, IIT KharagpurIndia",,,"World Informations Syndicate",,,,,0971720X,,MLUPF,,"English","Med.-Leg. Update",Article,"Final",,Scopus,2-s2.0-79961180160 "Gönen I.","55966540300;","The importance of health tourism in national economies and marketing strategies applied in the global competitive environment (a case from Turkey)",2010,"10th International Multidisciplinary Scientific Geoconference and EXPO - Modern Management of Mine Producing, Geology and Environmental Protection, SGEM 2010","2",,,"1025","1032",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84890630914&partnerID=40&md5=408697fbb60184fe5756d0b3c2c437a3","T.C. Okan University, Istanbul, Turkey","Gönen, I., T.C. Okan University, Istanbul, Turkey","In today's world, tourism issue has been dealt with in another way, totally different from classic tourism. The countries which are able to constitude variour types of alternative tourism, pioneer the others and multiplying their profit share, they have considerable advantages in payment balances. One of the tourism types thought under the range of variation in tourism is health tourism. In order to have tourism in every season throughout the year. When said health tourism, the first thing to remember is thermal sources. In addition to this, some well-developed and well-equipped hospitals have been making big organizations to get patients to treat and earning dollar based Money in medical tourism. In both activities related to health tourism means have been used. Moreover, after their treatments, their some motives like shopping, entertaining, sightseeing, come out and this creates a large amount of increase in tourism income because of their stay for longer periods Under these circumtances, it is essential to think these two topics together and to evaluate the existing possibilities in terms of quality and quantity and it is also a must to renovate environment and organization. This study aimed to diagnose the problems of related medical sector and in order to give advices to them to solve their problems. © SGEM2010 All Rights Reserved by the International Multidisciplinary Scientific GeoConference SGEM Published by STEF92 Technology Ltd.","Health tourism; Marketing strategies; Medical tourism; Thermal tourism","Competitive environment; Health tourisms; Large amounts; Marketing strategy; Medical tourism; National economy; Thermal source; Thermal tourism; Commerce; Exhibitions; Marketing; Medical problems; Strategic planning; Health",,,,,,,,"Helmy, E.M., Travers, R., Towards the Deveiopment of Egyptian Medical Tourism Sector (2009) Anatolia: An International Journal of Tourism and Hospitality Research, 20 (2), pp. 419-439; Toral, R., Quality, Liability, Aftercare (2009) Modern Healthcare, p. 20. , May 25; Song, H., Lin, S., Impacts of the Financial and Economic Crisis on Tourism in Asia (2010) Journal of Travel Research, pp. 16-30; Smeral, E., Impacts of the World Recession and Economic Crisis on Tourism: Forecasts and Potential Risks (2010) Journal of Travel Research, p. 35. , 2010; Papatheodorou, A., Rosselló, J., Xiao, H., Global Economic Crisis and Tourism:Consequences and Perspectives (2010) Journal of Travel Research, pp. 39-45; Ritchie, Molinar, J.R.B., Frechtling, C.M.A., Douglas, C., Impacts of the World Recession and Economic Crisis on Tourism: North America (2010) Journal of Travel Research, pp. 5-15; Fatoş, K., (1999) Kriz, Marketing Türkiye Dergisi, pp. 80-88. , İstanbul, Dünya Süper Daǧi{dotless}ti{dotless}m, 1 Mayi{dotless}s 1999, yi{dotless}l:9, sayi{dotless}:193; Kocabaş, F., Elden, M., Çelebi, S.I., (1999), p. 70. , Marketing PR, 2.Baski{dotless} Ankara: Media Cat Yayi{dotless}nlari{dotless}; Peltekoǧlu, F.B., (1998) Halkla İlişkiler Nedir, p. 54. , İstanbul,1998; Segouin, C., Hodges, B., Brechat, P.H., Globalization in health care: Is international standardization of quality a step toward outsourcing? (2005) International Journal For Quality In Health Care, p. 277; Kinney, E.D., Realization of the International Human Right to Health in an Economically Integrated North America (2009) Developing Oversight Approaches to Nanobiotechnology: The Lessons of History • Winter, pp. 807-818. , 2009; Explosive Growth In Medical Tourism And Rise Of Retail Clinics Provide Cost Savings For Patients-And Challenges For Providers (2008) Healthcare Financial Management, , Healthcare Financial Management Association, News Watch, September, 2008; (2010) The 2010 Healthcare Business Market Research Handbook, ""Medical Tourism"", pp. 75-76; Pang, T., Guindon, G.G., Globalization and risks to Health (2004) Science and Society, p. 3; http://www.jointcommissioninternational.org/JCI-Accredited-Organizations/#Turkey, Joint Commission International, Accessed: 28.03.2010; Murphy, J., International perspectives and initiatives Globalization: Implications for health information professionals (2008) Health Information and Libraries Journal, pp. 62-68; Craig, T., (1998) Marketing Strategy Create Competitive Advantage With Logistics, , http://www.ltdmgmt.com/Accessed, World Wide Shipping, October/November, 10.02.2010; Kubiak, Bernard, F., Korowicki, A., Future Multiorganisation of e- Treatment and Spa Tourism Development Aided by IT (2009) Journal of Internet Banking & Commerce, 14 (3), pp. 1-12. , Dec Special Section; (2010) Buyer's Resource Guide, pp. 46-74; Dowling, M.G., Choosing your RAC consultant (2010) Buyer's Resource Guide, pp. 26-38","Gönen, I.; T.C. Okan University, Istanbul, Turkey",,,,"10th International Multidisciplinary Scientific Geoconference and EXPO, SGEM 2010","20 June 2010 through 26 June 2010","Varna",101583,,9789549181814,,,"English","10th Int. Multidisciplinary Sci. Geoconf. EXPO - Mod. Manage. Mine Producing, Geology Environ. Protection",Conference Paper,"Final",,Scopus,2-s2.0-84890630914 "Vogt H.B.","7202039004;","Medical tourism.",2010,"South Dakota medicine : the journal of the South Dakota State Medical Association","63","12",,"405","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952256196&partnerID=40&md5=64a3e334ae5aa1f612214ed091e87312",,"Vogt, H.B.",[No abstract available],,"editorial; human; international cooperation; medical tourism; patient care; treatment outcome; Continuity of Patient Care; Humans; Internationality; Medical Tourism; Treatment Outcome",,,,,,,,,"Vogt, H.B.",,,,,,,,00383317,,,"21265483","English","S D Med",Editorial,"Final",,Scopus,2-s2.0-79952256196 "Zia Sheikholeslami N., Rezaeian M., Bahsoun M., Taghavipoor M.","56141381700;15053682700;36981178100;36982424500;","Medical tourism: The view of rafsanjan medical university staff",2010,"Iranian Journal of Epidemiology","5","4",,"31","36",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-78751638288&partnerID=40&md5=d5c567eebde259f2a4322293e7b80bc2","Department of Infectious Diseases, Qom University of Medical Sciences, Iran; Department of Social Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Department of Clinical Research, Ali Ebn Abitaleb Hospital Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Rafsanjan University of Medical Sciences, Rafsanjan, Iran","Zia Sheikholeslami, N., Department of Infectious Diseases, Qom University of Medical Sciences, Iran; Rezaeian, M., Department of Social Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Bahsoun, M., Department of Clinical Research, Ali Ebn Abitaleb Hospital Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Taghavipoor, M., Rafsanjan University of Medical Sciences, Rafsanjan, Iran","Background & Objectives: Medical Tourism has been recently paid more attention. Individual practitioners and medical organizations must be able to provide accurate information about this rapidly evolving trend. Since there has been little known about this issue, we decided to assess the knowledge about and attitude towards medical tourism in Rafsanjan, Iran. Methods: A questionnaire including XXX questions were completed by Rafsanjan Medical University staff. All information was analyzed by SPSS software. Results: Only 8.3% of individuals sated that they studied some articles about Medical Tourism, and only 14.7% of them had deal with these kinds of patients. The majority of participants (80.7%) hadn't had any idea about the quality of medical expenses by Medical Tourists. Mainly (68.7%) believed that development of Medical Tourism in Iran would not have any bad social consequences and 62% believed that its development in Iran could improve the knowledge of Iranian doctors. The majority (67.3%) agreed to arrange for inviting tourism to Iran in order to use of Medical Tourists and 54.3 of them believed that development of Medical Tourism could improve treatment of Iranian patients. Conclusions: The knowledge of participants seems is very low therefore appropriate educational programs should be tailored by responsible organizations in Iran. However medical staff's attitude towards medical Tourism seems is very positive which indicates having necessary potential for any activity in this regard in future.","Attitude; Health care professional; Iran; Knowledge; Medical tourism","article; health care organization; health care personnel; health economics; health personnel attitude; human; Iran; knowledge; medical tourism; questionnaire; university",,,,,,,,"Carrera, P., Bridges, J., Health and Medical Tourism: What they mean and imply for health care systems (2006) Geneva Association Information Newsletter, 15, pp. 11-15; Muller, T., Kaufmann, R., Wellness Tourism: Market Analysis of a Special Health Tourism Segment and Implication for the Hotel Industry (2000) Journal of Vacation Marketing, 7, pp. 19-28; Vajirakachom, T., Implementation of an Effective Health Tourism Development Plan For Thailand (2004) A Research Paper For MS Degree In Hospitality and Tourism, 2, pp. 12-40. , University Of Wisconsin; Zargham, H., Spa and mineral water, Tourism development and role of endemic population (2000) Tourism Journal, p. 4; Harahsheh, S., (2002) Curative Tourism In Jordan and It's Potential Development, 3, pp. 45-78. , Bournemouth University, United Kingdom; Garcia, A., (2005) The Development of Health Tourism Services, 32, pp. 262-266. , Annals Of Tourism Research; Garcia, B., Challenges and Opportunities in the Philippine Medical Tourism Industry (2006) SGV Review, 4, pp. 43-55. , Jun; Eggertson, L., Wait-List Weary Canadians Seek Treatment Abroad (2006) CMAJ, 174, p. 1274; Johnston, C., US ad uses lure of prompt treatment to entice Canadians needing joint replacement (1996) CMAJ, 154, pp. 1071-1072; Korcok, M., Excess demand meets excess supply as referral companies link Canadian patients (1997) CMAJ, 157, pp. 767-770. , US hospitals; Alcoba, N., Patrick, K., (2007), 13. , Ontario agrees to pay $52000 cancer bill, National Post, Jan 31, Sect. A; Priest, L., Panel orders Ontario to pay for hip surgery (2007) The Globe and Mail, 6. , Feb 3; Sect. A; Priest, L., Long wait forces cancer patient to buy operation in land he fled (2007) The Globe and Mail, 1. , Jan 31; Sect. A; Awadzi, W., Panda, D., Medical Tourism: Globalization and the Marketing of Medical Services (2005) The Consortium Journal of Hospitality and Tourism, 11, pp. 17-23; Connell, J., Medical Tourism: Sea, sun, sand and surgery (2006) Tourism Management, 27, pp. 1093-1100; Turner, L., Family medicine and international health-related travel (2007) Can Fam Physician, 53, pp. 1639-1641. , Oct; Roth, M., Surgery abroad an option for those with minimal health coverage (2006) Pittsburgh Post-Gazette, , www.post-gazette.com/pg/06253/719928-37.stm, Sept 10, Available from; Michelle, B., King, B., Milner, L., The health resort sector in Australia: A positioning study (2004) Journal of Vacation Marketing, 10, pp. 122-131; Goodrich, R., Socialist Cuba: A Study of Health Tourism (1993) Journal of Travel Research, 41, pp. 10-15; Martin, J., Tourism strategy making: Insights to the events tourism domain (2006) International Journal of Hospitality Management, 5. , Apr; McKinsey, A., Medical tourism in India (2004) Tourism Management Journal, 8. , Dec; John, C., Development of Technological Capability by Jordan Hospitality Organizations (2006) International Journal of Hospitality Management, 3. , Jun; Grennan, T., A Wolf in Sheep's Clothing? A Closer Look at Medical Tourism (2003) Medical Ethics, 1; Teh, I.V., Supplementing Growth with Medical Tourism (2005) Synovate Business Consulting, 9; Ghods, A.J., Renal transplantation in Iran (2002) Nephrol Dial Transplant, 17, pp. 222-228; Prasad, G.V., Shukla, A., Huang, M., D'A Honey, R.J., Zaltzman, J.S., Outcomes of commercial renal transplantation: A Canadian experience (2006) Transplantation, 82, pp. 1130-1135; Canales, M., Kasiske, B., Rosenberg, M., Transplantation Tourism:Outcomes of United State residents who undergo kidney transplantation overseas (2006) Transplantation, 82, pp. 1658-1661; Soo, K.C., Singapore's proposed graduate medical school-an expensive medical tutorial college or an opportunity for transforming Singapore medicine? (2005) Ann Acad Med Singapore, pp. 176C-181C. , Jul; 34; Moore, J.D.J.R., Medical mecca. foreign patients flock to Miami seeking care and services (1997) Med Health C, 27, pp. 30-37. , Jun 2","Zia Sheikholeslami, N.; Department of Infectious Diseases, Qom University of Medical SciencesIran; email: n_sheikholeslam@yahoo.com",,,,,,,,17357489,,,,"Persian","Iran. J. Epidemiol.",Article,"Final",,Scopus,2-s2.0-78751638288 "Bartold P.M.","7007048712;","Medical tourism - An emerging problem",2010,"Australian Dental Journal","55","4",,"357","",,,"10.1111/j.1834-7819.2010.01254.x","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650160035&doi=10.1111%2fj.1834-7819.2010.01254.x&partnerID=40&md5=66d670b82808077d71afde9aacfabf04",,"Bartold, P.M.",[No abstract available],,"editorial; human; medical tourism; philosophy; social behavior; Holistic Health; Humans; Medical Tourism; Social Responsibility",,,,,,,,,"Bartold, P. M.",,,,,,,,00450421,,ADEJA,"21133935","English","Aust. Dent. J.",Editorial,"Final",,Scopus,2-s2.0-78650160035 "Ko C.-P., Chiu S.-C., Ko C.-C.","36668668600;36668200800;36668605300;","An explorative research on human resource development strategy of international medical tourism industry",2010,"2010 International Conference on Management and Service Science, MASS 2010",,, 5578624,"","",,,"10.1109/ICMSS.2010.5578624","https://www.scopus.com/inward/record.uri?eid=2-s2.0-78649437447&doi=10.1109%2fICMSS.2010.5578624&partnerID=40&md5=409e512493f360c68b70f52a23658277","Department of Human Resource Development, Ching-Kuo Institute of Management and Health, Keelung, Taiwan; Department of Applied Cosmetics Science, Ching-Kuo Institute of Management and Health, Keelung, Taiwan; Department of Industrial Education and Technology, National Changhua University of Education, Changhua, Taiwan","Ko, C.-P., Department of Human Resource Development, Ching-Kuo Institute of Management and Health, Keelung, Taiwan; Chiu, S.-C., Department of Applied Cosmetics Science, Ching-Kuo Institute of Management and Health, Keelung, Taiwan; Ko, C.-C., Department of Industrial Education and Technology, National Changhua University of Education, Changhua, Taiwan","The international medical tourism industry has developed rapidly in recent years, becoming one of the emerging industries in the world. Especially in Asian countries, business models and strategic alliances have been developing actively. However, besides product innovation and customer satisfaction, human information management and development are the key success factors to a new business. This paper analyzes the current situation of international medical tourism industry, interviews the professionals of the industry, and classifies and analyzes the key human resource development strategies for the medical tourism industry, which include: (1) the government, hospitals and travel insurance industry should construct the value chain of medical tourism industry; (2) make development plans based on job competence, including the required professional knowledge, technologies, attitude and personal traits for the professionals of the medical tourism industry, and analyze, design and assess the personnel training needs, in order to improve the overall service quality; (3) the organization design and development should meet future demand and customer satisfaction; (4) develop specialty skills accreditation and licensing system to cultivate the competitiveness of professionals. © 2010 IEEE.","Human resource development strategy; Medical tourism","Asian countries; Business models; Current situation; Development plans; Human resource development; Key success factors; Licensing system; Medical tourism; Organization design; Personal traits; Product innovation; Professional knowledge; Service Quality; Strategic alliance; Tourism industry; Travel insurance; Value chains; Accreditation; Competition; Customer satisfaction; Information management; Management science; Mobile telecommunication systems; Personnel training; Strategic planning; Personnel",,,,,,,,"Gilbert, D.C., De W.M.Van, The health care tourism product in western europe (1991) Revue de Tourisme, 46 (2), pp. 5-10; Ross, K., Health tourism: An overview (2001) HSMAI Marketing Review, , http://hospitalitynet.org/news/4010521.search?query=%22health+tourism%, Retrieved October 12, 2006 from 22; Chiang, G.Y., (2006) A Study of Taiwan's Health Tourism Development Strategy--Application of Fuzzy Theory, , master's thesis, Graduate Institute of Health Care Management, National Taipei College of Nursing, Taipei City; Schuler, R.S., Strategic human resource management: Linking the people with the strategic needs of the business (1994) Organizational Dynamics, pp. 18-31; Arthur, J.B., The link between business strategy and and industrial relations systems in American steel minimills (1992) Industrial and Labor Relations Review, 45 (3), pp. 488-506; Pheffer, J., (1994) Competitive Advantage Through People: Unleashing the Power of Workforce, , Boston: MA: HBS Press; Huslid, M.A., The impact of human resource management practices on turnover, productivity, and corporate financial performance (1995) Academy of Management Journal, 38 (3), pp. 635-672; MacDuffie, J.P., Human resource bundles and manufacturing performance: Organizational Logic and flexible production systems in the world auto industry (1995) Industrial and Labor Relations Review, 48, pp. 36-52; Arthur, J.B., Effects of human resource systems on manufacturing performance and turnover (1994) Academy of Management Journal, 37, pp. 670-687; Dyer, J.H., The relational view: Cooperative strategy and sources of interorganizational competitive advantage (1988) The Academy of Management Review, 23 (4), pp. 660-679; Bulter, J.E., Ferris, G.R., Napier, N.K., (1991) Strategy and Human Resources Management, , Cincinnati: South-Western Publishing; Jackson, S.E., Schuler, R.S., Understanding human resource management in the context of organizations and their environments (1995) Annual Review Psychology, 46, pp. 237-264; Guo, C.L., Hsu, C.H., (2007) Extensive Search of Tourism, Recreation and Technology-based Service Industries, , Industrial Technology Research Institute of Taiwan; Fan, Y.H., (2008) Health Tourism Innovation Models - A Case Study of Medical Center in Taiwan, , master's thesis, Graduate Institute of Health Care Administration, National Yang Ming University; Wu, J.H., (2008) A Preliminary Study of Development of Medical Tourism Business Model in Taiwan, , master's thesis, Graduate Institute of Health Care Organization Administration, National Taiwan University, Taipei City","Ko, C.-P.; Department of Human Resource Development, Ching-Kuo Institute of Management and Health, Keelung, Taiwan",,"IEEE Wuhan Section;Sichuan University;Wuhan University;James Madison University",,"2010 International Conference on Management and Service Science, MASS 2010","24 August 2010 through 26 August 2010","Wuhan",82047,,9781424453269,,,"English","Int. Conf. Manage. Serv. Sci., MASS",Conference Paper,"Final",,Scopus,2-s2.0-78649437447 [No author name available],[No author id available],"Sixteenth oration: Held in the month of November 1714. Medical travel, though not necessary, is at least useful in obtaining artistic skill and fame [Orazione sedicesima: Tenuta nel mese di novembre 1714. Il viaggio medico, seppur non indispensabile, è perlomeno utilissimo per procurarsi perizia dell'Arte e fama]",2010,"Medicina del Lavoro","101","SUPPL. 3",,"174","181",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955104295&partnerID=40&md5=76d0bb913093a6723ddff6d82fff2de6",,"",[No abstract available],,"article; clinical competence; history; human; Italy; occupational medicine; physician; social desirability; travel; Clinical Competence; History, 18th Century; Humans; Italy; Occupational Medicine; Physicians; Social Desirability; Travel",,,,,,,,,,,,,,,,,00257818,,MELAA,"20942226","Italian","Med. Lav.",Article,"Final",,Scopus,2-s2.0-77955104295 "Kirkner R.M.","35069663500;","The forces that feed medical travel: Forget about sending members to Thailand for major surgery; there's a center of excellence here that can do the job at a good price",2010,"Managed Care","19","8",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-78149291462&partnerID=40&md5=bd9d31e9cdc68be39a665aa1c745955a",,"Kirkner, R.M.",[No abstract available],,,,,,,,,,,"Kirkner, R.M., Phoenixville, PA, United States; email: RKirkner@managedcaremag.com",,,,,,,,10623388,,,,"English","Managed Care",Article,"Final",,Scopus,2-s2.0-78149291462 "Kirkner R.M.","35069663500;","The forces that feed medical travel",2010,"Managed Care","19","5",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956645987&partnerID=40&md5=13accd69dd5c29ed4b00e4f575d11376",,"Kirkner, R.M.",[No abstract available],,,,,,,,,,,"Kirkner, R.M.email: RKirkner@managedcaremag.com",,,"MediMedia USA Inc.",,,,,10623388,,,"20822068","English","Managed Care",Note,"Final",,Scopus,2-s2.0-77956645987 "MacRez P.","6701427314;","Materials of patient mobilization [Les matériels de mobilisation du patient]",2010,"Aide Soignante","24","118",,"25","26",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956116487&partnerID=40&md5=f8c59b908b538fa9b16f596080ac4fab","Association Altelis, Brétigny-sur-Orge (91), France","MacRez, P., Association Altelis, Brétigny-sur-Orge (91), France",[No abstract available],,,,,,,,,,"Arrêté du 22 Octobre 2005 Relatif au Diplôme Professionnel d'Aidesoignant - Devenu Aujourd'hui un Diplôme d'État, , www.legifrance.gouv.fr, consultable sur; Bregetzer, J., Le premier lever (2010) L'Aide-soignante, 116, pp. 29-30; Piat, A., Techniques de manutention pour prévenir les troubles musculosquelettiques (2008) L'Aide-soignante, 101, pp. 20-31","MacRez, P.; Association Altelis, Brétigny-sur-Orge (91), France; email: pascal.macrez@orange.fr",,,"Elsevier Masson SAS",,,,,11663413,,,,"French","Aide Soignante",Article,"Final",,Scopus,2-s2.0-77956116487 "Berryman P., Tompkins O.S.","35773055600;8407262900;","Medical tourism.",2010,"AAOHN journal : official journal of the American Association of Occupational Health Nurses","58","1",,"40","",,,"10.3928/08910162-20091223-04","https://www.scopus.com/inward/record.uri?eid=2-s2.0-77949523085&doi=10.3928%2f08910162-20091223-04&partnerID=40&md5=1b9c67d08fa285258e285dd54c929eed","FinCor Solutions, Lansing, MI, USA.","Berryman, P., FinCor Solutions, Lansing, MI, USA.; Tompkins, O.S., FinCor Solutions, Lansing, MI, USA.","Medical tourism is becoming popular as an alternative to the high cost of health care in the united States and as an inexpensive resource for cosmetic surgery. The occupational health nurse is an excellent resource to assist in the pre-decision due diligence and post-decision travel health counseling. Copyright 2010, SLACK Incorporated.",,"article; decision making; health care delivery; human; medical tourism; nurse attitude; occupational health nursing; organization and management; patient attitude; psychological aspect; risk assessment; safety; statistics; United States; Decision Making; Health Services Accessibility; Humans; Medical Tourism; Nurse's Role; Occupational Health Nursing; Patient Acceptance of Health Care; Risk Assessment; Safety; United States",,,,,,,,,"Berryman, P.",,,,,,,,08910162,,,"20102121","English","AAOHN J",Article,"Final",,Scopus,2-s2.0-77949523085 "Gerkin D.G.","6603810885;","Medical tourism; your doctor is 7,000 miles away!",2010,"Tennessee medicine : journal of the Tennessee Medical Association","103","1",,"7","8",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77449091312&partnerID=40&md5=a68759d4237d518416f35cd6d01bcc19",,"Gerkin, D.G.",[No abstract available],,"editorial; human; medical tourism; United States; Humans; Medical Tourism; United States",,,,,,,,,"Gerkin, D.G.",,,,,,,,10886222,,,"20108859","English","Tenn Med",Editorial,"Final",,Scopus,2-s2.0-77449091312 "Fujisaki K., Mori C.","35733753900;35399974300;","Generating value of a city based on medical and health service as its resource - Approach from medical tourism perspective.",2009,"Chiba Medical Journal","85","6",,"339","345",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-75749138549&partnerID=40&md5=9d883367149db4a5ac68a3080428c001","Fujisaki Office Co., LTD, Tokyo 107-0052, Japan; Department of Bioenvironmental Medicine, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan; Center for Environment Health and Field Science, Chiba University, Kashiwa 277-0882, Japan; Center for Preventive Medical Science, Chiba University, Kashiwa 277-0882, Japan","Fujisaki, K., Fujisaki Office Co., LTD, Tokyo 107-0052, Japan; Mori, C., Department of Bioenvironmental Medicine, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan, Center for Environment Health and Field Science, Chiba University, Kashiwa 277-0882, Japan, Center for Preventive Medical Science, Chiba University, Kashiwa 277-0882, Japan",[No abstract available],,"article; cardiac patient; health care organization; heart right ventricle dysplasia; human; multidetector computed tomography; prevalence; world health organization",,,,,,,,"Japanese source; http://www.singaporemedicine.com/abt-us/abt-us1.asp, Accessed June. 29. 2009; News-week (2008 3 5 ), 2008: 42-4; http://www.jointcommissioninternational.org/about-jci, About Joint Commission International, Accessed June. 6. 29. 2009; (2007), http://www.jetro.go.jp/jfile/report/05001525/05001525-001-BUP-0.pdf, GCC, Accessed June. 6. 26. 2009; Dubai Healthcare City (DHCC), , http://www.dhcc.ae/EN/AboutDHCC/Pages/Benefits.aspx, Accessed June. 29. 2009; http://www.heri.or.jp/hyokei/hyokei100/100medical.htm, Accessed June. 6. 29. 2009; Japanese source; Japanese source","Fujisaki, K.; Fujisaki Office Co., LTD, Tokyo 107-0052, Japan",,,,,,,,03035476,,CIZAA,,"Japanese","Chiba Med. J.",Article,"Final",,Scopus,2-s2.0-75749138549 "Donohoe M.","57212548118;","Regarding ""the third wave: Medical tourism in the 21st century""",2009,"Southern Medical Journal","102","12",,"1275","",,,"10.1097/SMJ.0b013e3181bfddbb","https://www.scopus.com/inward/record.uri?eid=2-s2.0-73949154964&doi=10.1097%2fSMJ.0b013e3181bfddbb&partnerID=40&md5=41c4fe200f29e4afe205fb29f6e45ae3","School of Community Health, Portland State University, Portland, OR, United States","Donohoe, M., School of Community Health, Portland State University, Portland, OR, United States",[No abstract available],,"clinical practice; cost effectiveness analysis; health care access; health care disparity; health care policy; health care quality; letter; medical care; medical education; medical ethics; medical society; medicare; physician; professionalism; reimbursement; tourism; United States; university hospital; economics; financial management; health care cost; human; income; medicaid; medical tourism; note; patient; social justice; university hospital; Academic Medical Centers; Health Care Costs; Health Expenditures; Humans; Income; Marketing of Health Services; Medicaid; Medical Tourism; Medically Uninsured; Medicare; Social Justice; United States",,,,,,,,"Pafford, B., The third wave: Medical tourism in the 21st century (2009) South Med J, 102, pp. 810-813; Zhao, Y., Hospitals look abroad for patients paying retail (2001) New York Times, pp. A1. , July 21; Donohoe, M.T., Standard vs. Luxury care (2007) Ideological Debates in Family Medicine, , http://phsj.org/?page_id_22, S Buetow and T Kenealy, (eds), New York, Nova Science Publishers, Inc., Available at, Accessed September 30, 2009; Donohoe, M.T., Luxury primary care, academic medical centers, and the erosion of science and professional ethics (2004) J Gen Int Med, 19, pp. 90-94. , http://www.blackwell-synergy.com/doi/pdf/10.1111/j.1525-1497.2004.20631.x, Available at, Accessed September 30, 2009; Alexander, G.C., Kurlander, J., Wynia, M.K., Physicians in retainer (""concierge"") practice: A national survey of physician, patient, and practice characteristics (2005) J Gen Intern Med, 20, pp. 1079-1083; Medical professionalism in the new millennium: A physician charter (2002) Ann Intern Med, 136, pp. 243-246. , ABIM Foundation. American Board of Internal Medicine; ACP-ASIM Foundation. American College of Physicians-American Society of Internal Medicine; European Federation of Internal Medicine","Donohoe, M.; School of Community Health, Portland State University, Portland, OR, United States",,,,,,,,00384348,,SMJOA,"20016442","English","South. Med. J.",Letter,"Final",,Scopus,2-s2.0-73949154964 "Spielberg P.","6505935286;","Medical tourism: A multi-million dollar niche business [Medizintourismus: Ein millionenschweres nischengeschäft]",2009,"Klinikarzt","38","10",,"428","429",,,"10.1055/s-0029-1242876","https://www.scopus.com/inward/record.uri?eid=2-s2.0-72949122551&doi=10.1055%2fs-0029-1242876&partnerID=40&md5=59b2a6138a7ddfdbe70133fbae292a8f","Fachjournalistin für Gesundheitsund Sozialpolitik Köln/Brüssel, Christian-Gau-Straße 24, 50933 Köln, Germany","Spielberg, P., Fachjournalistin für Gesundheitsund Sozialpolitik Köln/Brüssel, Christian-Gau-Straße 24, 50933 Köln, Germany",[No abstract available],,"commercial phenomena; Germany; health care cost; health care quality; interpersonal communication; medical service; orthopedics; pediatrics; short survey; tourism",,,,,,,,,"Spielberg, P.; Fachjournalistin für Gesundheitsund Sozialpolitik Köln/ Brüssel, Christian-Gau-Straße 24, 50933 Köln; email: p.spielberg@t-online.de",,,,,,,,03412350,,KLINF,,"German","Klinikarzt",Short Survey,"Final",,Scopus,2-s2.0-72949122551 "Brun N., Deau D.X., Roffé D.J.-L.","7004749669;36348370200;55525110700;","Medical tourism: Low cost medicine? [Tourisme médical: La médecine low cost?]",2009,"Medecins - Le Magazine Ordre National Des Medecins",,"8",,"11","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955705635&partnerID=40&md5=d22c358362ebe253a014922c1b6cb65a","Union Nationale des Associations Familiales, France; Conseil National de l'Ordre des Médecins, France; Chirurgie Plastique Reconstructrice et Esthétique, France","Brun, N., Union Nationale des Associations Familiales, France; Deau, D.X., Conseil National de l'Ordre des Médecins, France; Roffé, D.J.-L., Chirurgie Plastique Reconstructrice et Esthétique, France",[No abstract available],,,,,,,,,,,"Brun, N.; Union Nationale des Associations FamilialesFrance",,,,,,,,00304565,,,,"French","Med. Mag. Ordre. Nat. Med.",Note,"Final",,Scopus,2-s2.0-77955705635 "Boas G.","7003407591;","Health care takes a vacation: Medical tourism and its impact on the medical laser market",2009,"Biophotonics International","16","9",,"18","19",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-72449170038&partnerID=40&md5=0ee8dd399c9edae781820bbe13f29fac",,"Boas, G.","Medical tourism and its impact on the medical laser market are discussed. The medical tourism industry is a $20 billion market and is expected to reach $100 billion by 2012. Most medical travelers from the US are having procedures done in one of four areas such as dental, cosmetic, orthopedic and cardiovascular. The growth in medical tourism has had a positive impact on sales and revenue in the medical device industry. The growth in countries such as Mexico is largely the result of demand from within a developing economy, however, medical tourism still account for its 3 percent growth of related equipment sales. Manufacturers of medical lasers should also benefit from the medical tourism boom. Attracting medical travelers helps generate revenue that hospitals can reinvest for upgrading facilities or new equipment.",,"Developing economies; Equipment sales; Me-xico; Medical device industry; Medical lasers; Tourism industry; Commerce; Health care; Lasers; Economics",,,,,,,,,,,,,,,,,10818693,,BIINF,,"English","Biophoton Int",Article,"Final",,Scopus,2-s2.0-72449170038 "Palm W., Glinos I.A.","57213547322;15836850800;","Regulation of patient mobility in the European Union: Between free circulation and coordination [La regulación de la movilidad de pacientes en la Unión Europea: Entre libre circulación y coordinación]",2009,"Revista de Administracion Sanitaria","7","4",,"585","602",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955997085&partnerID=40&md5=7620d205cdac69ab608c3c5f91d353a6","Observatorio Europeo de Sistemas, Políticas Sanitarias de la Organización Mundial de la Salud, Sweden","Palm, W., Observatorio Europeo de Sistemas, Políticas Sanitarias de la Organización Mundial de la Salud, Sweden; Glinos, I.A., Observatorio Europeo de Sistemas, Políticas Sanitarias de la Organización Mundial de la Salud, Sweden",[No abstract available],,,,,,,,,,,"Palm, W.; Observatorio Europeo de Sistemas, Políticas Sanitarias de la Organización Mundial de la SaludSweden",,,,,,,,16961641,,,,"Spanish","Rev. Adm. Sanit.",Review,"Final",,Scopus,2-s2.0-77955997085 "Owen M.","23974689900;","Medical tourism inbound to the United States for care: what is different?",2009,"Professional case management","14","5",,"263","264",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349641297&partnerID=40&md5=4db30ea9a2d4166b914b08a6c4f34802","Wesley Regional Medical Center in Wichita, Kansas, USA.","Owen, M., Wesley Regional Medical Center in Wichita, Kansas, USA.",[No abstract available],,"article; case management; health care delivery; human; international cooperation; medical tourism; nursing care; organization and management; United States; Case Management; Delivery of Health Care; Humans; Internationality; Medical Tourism; Nursing Care; United States",,,,,,,,,"Owen, M.email: mindyon@comcast.net",,,,,,,,19328095,,,"19820638","English","Prof Case Manag",Article,"Final",,Scopus,2-s2.0-70349641297 "Grewal I., Das J.K., Nandan D., Kishore J.","36092720000;14033707900;15075156400;57207592700;","Promotion of medical tourism in tertiary care hospitals of Delhi: Opinion of medical administrators and managers",2009,"Health and Population: Perspectives and Issues","32","3",,"159","165",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77957797902&partnerID=40&md5=1571a08431de7cb5e70968e0e221ccec","National Institute of Health and Family Welfare, New Delhi-110067, India; Department of Medical Care and Hospital Administration, National Institute of Health and Family Welfare, New Delhi-110067, India; Department of Community Medicine, Maulana Azad Medical College, New Delhi-110002, India","Grewal, I., National Institute of Health and Family Welfare, New Delhi-110067, India; Das, J.K., Department of Medical Care and Hospital Administration, National Institute of Health and Family Welfare, New Delhi-110067, India; Nandan, D., National Institute of Health and Family Welfare, New Delhi-110067, India; Kishore, J., Department of Community Medicine, Maulana Azad Medical College, New Delhi-110002, India","Medical tourism is rapidly growing all over the world raising many health management issues. After reviewing limited available literature, it appears that the medical tourism is one of the most growing sectors. Many countries including India are very much interested in developing this tourism industry. Moreover, there are hardly any research studies available about the view of administrators of hospitals regarding promotion of medical tourism both in public and private sector hospitals. In this cross-sectional study, 20 hospitals were selected; 10 each from public and private sector. A total of 40 senior managers and administrators of these hospitals were interviewed. The information recorded in a pre-tested interview schedule and analyzed by using the SPSS version 16. Out of the 40 administrators and managers, 35 (87.5%) were aware of medical tourism and initiatives undertaken by the Government of India for its promotion. Regarding their opinion that who will be benefited from the development of medical tourism, majority of the respondents stated that medical tourists (97.5%), private hospitals (95%), department of tourism (92.5%), Government (30%) and others (62.5%) which include travel agents, hotels, airlines and also the country as a whole would be benefited. According to them, building separate block and development of infrastructure (20%), more advertisement to attract medical tourists (15%), public-private partnership (12.5%) and many more government initiatives are needed for the promotion of medical tourism. High awareness about medical tourism is beneficial for its further promotion. However, government has to be proactive for providing basic services such as infrastructure, transport, communication, security, legal guidelines and standard operating procedures.","Administrators; Medical tourism; Opinion; Tertiary care hospitals",,,,,,,,,"http://www.understanding-medicaltourism.com/history-of-medical-tourism. php, accessed on 10 March 2009; Morgan, D., Medical tourism: Ethical baggage and legal currencies (2003) Medical Ethics Tomorrow, 63 (1), pp. 1-5; Mattoo, A., Rathindran, R., How health insurance inhibits trade in health care (2006) Health Affair (Millwood), 25, pp. 358-368; Gray, H.H., Poland, S.C., Medical tourism: Crossing borders to access health care (2008) Kennedy Institute of Ethics Journal, 18 (2), pp. 193-201; Connell, J., Sun, sea, sand and surgery (2006) Tourism Management School of Geosciences, , University of Sydney, NSW, Australia; (2002) Healthcare in India: The Road Ahead, , Cll-Mckinsey, Report by Cll-Mckinsey & Co; Whittaker, A., Pleasure and Pain: Medical Travel in Asia (2008) Global Public Health, 3 (3), pp. 271-290; (2007) Incredible India, , Annual Report 2006-2007, Ministry of Tourism, Government of India; Turner, L., Medical tourism (commentary) (2007) Canadian Family Physician, pp. 1639-1640. , Oct; Gupta, A.S., (2009) People's Democracy, , http://pd.cpim.org/2004/0509/05092004-snd.htm, Accessed on 15 April 2009","Grewal, I.; National Institute of Health and Family Welfare, New Delhi-110067, India; email: drindugrewal@gmail.com",,,,,,,,02536803,,HPPID,,"English","Health Popul. Perspect. Issues",Article,"Final",,Scopus,2-s2.0-77957797902 "Nogrady B.","24825234200;","Sun, surf and sutures with medical tourism booming worldwide, can Australian providers get in on the game?",2009,"Australian Doctor",,"6/MAR.",,"23","24",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-62549161360&partnerID=40&md5=6d093d782dad00a50ab5bd0498861c59",,"Nogrady, B.",[No abstract available],,,,,,,,,,,,,,,,,,,10397116,,,,"English","Aust. Dr.",Short Survey,"Final",,Scopus,2-s2.0-62549161360 "Zwar N.","6601922513;","Misadventures of the medical tourist",2009,"Australian Doctor",,"6/MAR.",,"43","44",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-62549149085&partnerID=40&md5=6bee04248b25548981018af1f3589536","General Practice at the University of NSW, Australia","Zwar, N., General Practice at the University of NSW, Australia",[No abstract available],,,,,,,,,,"Kreckley, P.H., (2007) Medical Tourism: Global Competition in Health Care, , Dallas, Texas: National Center for Policy Analysis; Cheung, I., Wilson, A., Arthroplasty tourism (2007) Medical journal of Australia, 187, pp. 666-667; Holidays from Hell, , www.plasticsurgery.org.au/default.asppitemid=91","Zwar, N.; General Practice at the University of NSWAustralia",,,,,,,,10397116,,,,"English","Aust. Dr.",Short Survey,"Final",,Scopus,2-s2.0-62549149085 "Haque M., Mueenuddin H.","9734816800;57208627816;","Dilemmas in end-of-life decision making for the medical tourist patient",2009,"Virtual Mentor","11","8",,"582","585",,,"10.1001/virtualmentor.2009.11.8.ccas2-0908","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065292852&doi=10.1001%2fvirtualmentor.2009.11.8.ccas2-0908&partnerID=40&md5=be70dbd3bd1b04adbad58cbdc0d0d6e8","College of Medicine, Ohio State University, Nationwide Children's Hospital, Section of Ambulatory, General Pediatrics, Columbus, United States","Haque, M., College of Medicine, Ohio State University, Nationwide Children's Hospital, Section of Ambulatory, General Pediatrics, Columbus, United States; Mueenuddin, H., College of Medicine, Ohio State University, Nationwide Children's Hospital, Section of Ambulatory, General Pediatrics, Columbus, United States",[No abstract available],,,,,,,,,,"Athar, S., Fadel, H.E., Ahmed, W.D., Islamic medical ethics: The IMANA perspective (2005) JIMA, 36, pp. 33-42; Care at the end of life and euthanasia (1997) JIMA, 29, pp. 100-101; Athar, S., Ethical design making in patient care (1996) Health Concerns for Believers: Contemporary Issues, pp. 74-84. , Chicago, IL: Kazi Publications; Khan, F.A., Religious teachings and reflections on advance directive-religious values and legal dilemmas in bioethics: An Islamic perspective (2002) Fordham Urban Law J, 30 (1), pp. 267-275; Ali, A.Y., The qur'an (2001) Tahrike Tarsile Qur'An, 2, p. 187; Ali, Qur'An, 3, p. 195; Sarwar, G., (1989) Islam, Beliefs and Teachings, pp. 142-145. , London, UK: Muslim Educational Trust; Sarwar, p. 197",,,,"American Medical Association",,,,,19377010,,,,"English","Virtual Mentor",Note,"Final",,Scopus,2-s2.0-85065292852 "Mühl J.","57189304384;","Cheju island as a medical tourism hub in northeast Asia",2009,"Korea: Politics, Economy and Society","3",,,"177","204",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84968816664&partnerID=40&md5=bc99fd7fe1cd9aede69641e03468b926","Asian patent information Department, Vienna, Austria","Mühl, J., Asian patent information Department, Vienna, Austria","Following its designation as a free international city and special self-governing province, Cheju island has initiated a number of large-scale economic development projects. One of the most ambitious is the plan to become a hub for medical tourism in Northeast Asia, in order to benefit from this highprofit growth industry and to revitalise the island's stagnating tourism sector. This paper examines the shortcomings in Cheju's traditional tourism, compares Cheju's strengths and weaknesses as a medical tourism destination, analyses possible target groups and introduces the various development plans for medical tourism. On the basis of these examinations, the paper discusses Cheju's prospects for turning its ambitious plan into reality and analyses in what ways the various projects might contribute towards improving shortcomings in Cheju's tourism industry.",,,,,,,,,,"Bookman, M., Bookman, K., (2007) Medical Tourism in Developing Countries, , New York: Palgrave Macmillan; Chang, C.-W., Business plan to be submitted by the end of June ... Proceedings to get permissions completed (2008) Medigatenews, , 23 May 2008; Cheju island natural environment ecology information system (2009) Geographical Feature, , http://nature.jeju.go.kr/emain/nature/e_contents_nat11.html, Cheju Nature, Climate. Online:, (accessed 20 February); Cho, K.-H., 'Han'guk uiryo kwan'gwang hwalsonghwa pangane kwanhan t'amsaekjok yon'gu (2006) Exploratory Study on the Activation Plan for Medical Tourism in Korea, 15 (4), pp. 189-203. , Hot'el kyongyong hak yon'gu; Feng, N., Ning, X., Population aging in China as reflected by the results of the 2005 population sample survey (2007) 23rd Population Census Conference, , http://www.ancsdaap.org/cencon2007/Papers/China/China_Feng.pdf, Association of National Census and Statistics Directors of America, Asia, and the Pacific, Agenda. Online:, (accessed 1 March 2009); FTB, (2008) Der Fischer Weltalmanach 2008, , (Fischer Taschenbuch Verlag), Frankfurt am Main: S. Fischer Verlag; Grevskott, R., Chang-An, C., Korea medical/health sector: Major trends & ageing society (2008) Innovation Norway, Market Information, , http://www.innovasjonnorge.no/Internasjonalisering_fs/Utekontorer/Korea/Medical%20and%20Health%20Sector%20in%20Korea%202008_INK.pdf, Korea. Online:, (accessed 1 March 2009); Hankyoreh, Is the Korean wave dead in Japan Don't bet on it, say experts (2007) The Hankyoreh, , http://english.hani.co.kr/arti/english_edition/e_entertainment/211022.html, (English edition), 22 May 2007. Online:, (accessed 1 March 2009); Heo, H.-J., 'Chongbu chiyok palchon chongch'aek cheju so-oeron kogae (2008) The Government's Policy for the Progress of Provinces as a Climax of Cheju's Neglect, , Hankyoreh, 17 December 2008; Heo, S.-H., 'Taejanggum k'o songhyong haro han'guk e oseyo (2007) Come to Korea to Get the Nose of Taejanggum by Plastic Surgery, 9. , Donga Ilbo, December 2007; Herrick, D.M., Medical tourism: Global competition in health care (2007) NCPA Policy Report, (304). , http://www.ncpa.org/pub/st/st304/st304.pdf, National Center for Policy Analysis, November 2007. Online:, (accessed: 7 September 2008); Hong, H., 'Han'guk uiryo kwan'gwang sanop ui hwalsonghwa rul uihan kwan'gwang kaebal e kwanhan yon'gu (2007) Research on the Development of Tourism for Revitalising the Medical Tourism Industry in Korea, , Master's thesis, Kyunghee University, Graduate School of Tourism, Department of Hospitality and Tourism Management; Hwang, Y.-I., 'Han'guk uiryo kwan'gwang sijang hwakdaerul uihan mak'et'ing chollyak e kwanhan yon'gu (2005) Study of a Marketing Strategy for the Expansion of the Korean Medical Tourism Market, , Master's thesis, Kyunghee University, Graduate School of Business, Department of Health Services Management; JDC, Cheju kukche chayu tosi chonghap kyehoek pohwan kyehoek (an). 4+1 haeksim sanop chungsim uro (2006) Supplementary Provision to the Comprehensive Plan for Cheju Free International City: The 4+1 Core Industries, , http://www.jdcenter.com/files/File/KO01031004.pdf, (Jeju Free International City Development Center), Online:, (accessed 22 February 2009); JDC, Cheju helsu k'eo t'aun chosong saop t'adang song chosa mit kibon kusang (2008) Feasibility Study on Cheju Healthcare Town and its General Concept, , Cheju: Nomura chonghap yon'guso/Tongho; JDC, Jeju always in season (2008) Education and Medicine Team of Cheju Special Self-Governing Province during Author's Research Visit to Cheju, , Document received from the, July 2008; JDC, Jeju healthcare town (2008) JDC Medical Project, , Document received as MS PowerPoint file written by Mr Yu Kyeongheung, assistant manager of the Cheju Free International City Development Center's medical department; JDC, Establishing (foreign) profit-making hospitals inside cheju special self-governing province (2008) The Education and Medicine Team of Cheju Special Self-Governing Province during Author's Research Visit to Cheju, , document received from, July 2008; JDC-HP, (2009) JDC Projects, , http://english.jdcenter.co.kr/sub2/sub020101.html, (Jeju Free International City Development Center), Online:, (accessed 20 February); JHD, Overview of research into strategies for the implementation of medical tourism on cheju (2008) The Education and Medicine Team of Cheju Special Self-Governing Province during Author's Research Visit to Cheju, , (Jeju Hightech Industries Development Institute), document received from, July 2008; JSSGP, Plan for promotion of the medical industry in 2008 (2008) The Education and Medicine Team of Cheju Special Self-Governing Province during Author's Research Trip to Cheju, , (Jeju Special Self-Governing Province), Working paper received from, July 2008; Kang, C.-D., 'Wonju chungangdong: 18 man pyong yang-hanbang uiryo kwan'gwang tansido chosong chung (2007) Medical Tourism Complex for Western and Traditional Korean Medicine under Construction on An 180, 000 Pyong Site in Wonju, Chungang District, , Han'guk Kyongje, 30 May 2007; Kang, H.-G., 'Naeil t'ukpyol chach'i do ch'ulbom, cheju ""uri nun 'hongap'oru' (hongk'ong+singgap'oru) ro kanda (2006) Tomorrow, Cheju Special Self- Governing Province Will Be Inaugurated, , Cheju says, 'we will transform ourselves into a new ""Hongapore"" (Hong Kong + Singapore), in: Kyonghyang Shinmun, 30 June 2006; Kang, H.-J., Establishment of profit-making hospitals on cheju island this year enforced (2009) Kyonghyang Shinmun, , 5 January 2009; Khidi (2008) Attracting Foreign Patients to Medical Institutions: Present Situation and Problems, , (Korea Health Industry Development Institute), working paper received from the Korea Health Industry Development Institute during author's research visit to Seoul, July 2008; Kim, C.-B., 'Cheju in'gu chunggayul chon'guk p'yonggyun midal (2009) Cheju's Population Growth Rate below the National Average, , Cheju Ilbo, 12 January 2009; Kim, C.-J., Si-Hyon, K., Pyongwondul, uiryo hallyu' kkum kkunda (2008) Hospitals are Dreaming of the Medical Korean Wave, , http://www.chosun.com/site/data/html_dir/2008/06/01/2008060100973.html, (Chosun.com, 1 June 2008). Online:, (accessed 7 September 2008); Kim, C.-U., 'Yi myong-bak chongbue chejudo nun omna (2008) Does Cheju Not Exist for Lee Myung-bak's Government, , Chemin Ilbo, 15 December 2008; Kim, H.-C., Three more free economic zones picked (2008) Korea Times, , 25 April 2008; Kim, P., 'Pongyunghap kwan'gwang uroso ui helsuk'eo t'aun (2008) Healthcare Town as a Mixed Form of Tourism, , Cheju Ilbo, 29 January 2008; Kim, P.-J., 'Kotra chung chabon chabara (2007) KOTRA to Raise Capital from China, , Munhwa Ilbo, 27 June 2007; Kim, S.-B., Cheju island, Seoul national university hospital and JDC join hands to foster medical industry (2008) Yonhap News, , 22 April 2008; Kim, S.-B., Cheju to conquer Chinese and Japanese markets (2008) Maeil Kyongje, , 10 April 2008; Kim, S.-B., Cheju moving forward to build up a complex for medical tourism and wellness (2006) Yonhap News, , 26 December 2006; Kim, T.-U., An unexperienced healer causes even more harm to people (2008) Chemin Ilbo, , 29 May 2008; Kim, Y.-J., Permission for profitmaking hospitals on cheju rejected ... Politics for privatisation of medicine have to be revised (2008) Hankyoreh, , 29 July 2008; Lee, C.-M., 'UIryo kwan'gwang sangp'um sont'aek yonghyang yoine kwanhan yon'gu (2007) Study on the Determinants for the Selection of Medical Tourism Products, , Master's thesis, Kyonggi University, Graduate School of Tourism, Department of E-business and Cultural Tourism Consulting; Lee, Y.-T., Cheju free international city plan and national tourism policy agenda (2003) Haengjong Munje Nonmun, 19, pp. 37-54; Oh, S.-H., Free international city and cheju tourism (1999) Cheju Review, 5, pp. 33-45; Park, C., Korea: Hallyu phenomenon faces backlash in east Asia (2006) Korea Times, , 16 January 2006; Park, M., Conclusion of MOU to support healthcare town (2008) Chemin Ilbo, , 25 April 2008; Park, Y.-B., Outline of the 5+2 leading industries of the great-sphere economy (2008) Maeil Kyongje, , 17 December 2008; Pyo, S.-S., Problems and alternatives for cheju tourism (1998) Kwan'gwang P'umjil Sisut'em Yon'gu, pp. 1-18; Song, S.-G., Study on the organisational framework for the promotion of cheju free international city (2003) Chungang Pophak, 4, pp. 153-182; UNPAN, (2009) Special Act on Jeju Free International City, , http://unpan1.un.org/intradoc/groups/public/documents/apcity/unpan011489.pdf, (United Nations Public Administration Network):, Online:, (accessed 26 March); UNWTO, (2006) Mega-Trends of Tourism in Asia- Pacific, , http://www.unwto.org/regional/east_asia_&_pacific/publications/megatrend.pdf, (World Tourism Organisation), Online:, (accessed 28 February 2009); UNWTO, (2008) Tourism Highlights, , http://www.unwto.org/pdf/highlights_e.pdf, 2008 Edition. Online:, (accessed 28 February 2009)","Mühl, J.; Asian patent information DepartmentAustria; email: juergen.muehl@hotmail.com","Kollner P.Frank R.Frank R.Hoare J.E.Pares S.Hoare J.E.",,"Brill Academic Publishers",,,,,18750273,9789004180192,,,"English","Korea Polit. Econ. Soc.",Review,"Final",,Scopus,2-s2.0-84968816664 "Gifford B., Park S., Anand S.","6602149297;36083091200;35147590100;","Perceptions about the impact of global medical travel on poorer populations in India.",2009,"World hospitals and health services : the official journal of the International Hospital Federation","45","4",,"06","10",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952788666&partnerID=40&md5=68f60e89a1502df279e722f57ab5ddec","The Center for Global Health, University of Colorado, Denver, United States","Gifford, B., The Center for Global Health, University of Colorado, Denver, United States; Park, S., The Center for Global Health, University of Colorado, Denver, United States; Anand, S., The Center for Global Health, University of Colorado, Denver, United States","There is anecdotal evidence that the increasing focus on global medical travel health services for foreigners in India is likely to exacerbate the different levels of access to health services between India's wealthy and poor populations. However, surveyed physicians (n=177) at three hospitals in New Delhi indicated positive attitudes to global medical travel, especially in regards to global medical travel's effects on poorer populations. Overall, these results appear to be the result of respondents' support of the economic development, new medical technologies, and increased medical training that comes from the health infrastructure investments needed to attract foreign patients.",,"article; emporiatrics; health care delivery; health care survey; India; international cooperation; poverty; travel; Health Care Surveys; Health Services Accessibility; India; Internationality; Poverty; Travel; Travel Medicine",,,,,,,,,"Gifford, B.",,,,,,,,10290540,,,"20411825","English","World Hosp Health Serv",Article,"Final",,Scopus,2-s2.0-77952788666 "Kirby N.","57198218860;","Patient mobility migration and mitigation - The devil and the deep Blue Sea",2009,"Medicine and Law","28","4",,"673","688",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-74849099115&partnerID=40&md5=1803347b4486373aa806ad5e571a8168","Health Care and Life Sciences Law, Werksmans Incorporating Jan S. de Villiers, South Africa","Kirby, N., Health Care and Life Sciences Law, Werksmans Incorporating Jan S. de Villiers, South Africa","In light of South Africa's economically powerful status in sub-Saharan Africa and its current constitutional directives, there exists arguably a duty on the State to ensure, proactively as opposed to reactively, that quarantine laws are consistent with the Constitution. Such a proactive approach to the mere possibility of dealing effectively with a public health emergency is, in my view, entirely consistent with every South African's right to expect and receive reasonable healthcare and possibly also an environment that is not detrimental to their health or well being, their security, their dignity and their lives. © PROBOOK 2009.","Constitution; Dignity and access; Health care; Public health emergency; Quarantine; Rights","article; human; infection control; legal aspect; migration; public health; South Africa; Emigration and Immigration; Humans; Public Health; Quarantine; South Africa",,,,,,,,"In terms of the Immigration Act No. 13 of 2002, the preamble states that and providing for the regulation of admission of foreigners to, their residence in, and their departure from the Republic and for matters connected therewith, the Immigration Act aims at setting in place a new system of immigration control which ensures that; economic growth is promoted through the employment of needed foreign labour, foreign investment is facilitated, the entry of exceptionally skilled or qualified people is enabled, skilled human resources are increased, academic exchanges within the Southern African development community is [sic] facilitated and tourism is promoted;; the role of the Republic in the continent and the region is recognized;; the role of the Republic in the continent and the region is recognized;; immigration laws are efficiently and effectively enforced, deploying to this end significant administrative capacity of the Department of Home Affairs, thereby reducing the pull factors of illegal immigration;; the South African economy may have access at all times to the full measure of needed contributions by foreigners;; the contribution of foreigners in the South African labour market does not adversely impact on existing labour standards and the rights and expectations of South African workers;; a policy connection is maintained between foreigners working in South Africa and the training of our citizens;; push factors of illegal immigration may be addressed in co-operation with other departments and the foreign states concerned;; push factors of illegal immigration may be addressed in co-operation with other departments and the foreign states concerned;; push factors of illegal immigration may be addressed in co-operation with other departments and the foreign states concerned;; a human rights based culture of enforcement is promoted;; the international obligations of the Republic are complied with; and; The most recent statistics published by Statistics South Africa in two documents: Tourism and Migration: 2006 and Document Migration, 2003 Report No. 03-51-03 (2003, Those statistics reveal that the total number of foreign travellers who visited South Africa through all its ports of entry during December from overseas, main land Africa as well as those who did not specify their country of residence was 844 665. The December 2006 figure represents an increase of 13.6% when compared to December 2005 figure of 743 515. The number of foreign travellers who departed South Africa in December 2006 was 789 115, which increased by 15.6% from 682 896 recorded in December 2006 Tourism and Migration, December 2006, There have been wide fluctuations in the trends of documented immigration to SA, One peak occurred in 1975 and the other in 1982. The 1975 peak was largely due to the doubling in the number of immigrants from the UK between 1973; For self-declared emigrants out of a total of 16 165, 10 540 (65.2%) were economically active, while 5 625 (35.8%) were not economically active. The spread of HIV in Southern Africa is also fostered by the region's dependence on migrant labour, both in the country and across borders when desperate to earn money and leave their women at rural homes just to find work on the mines, in urban areas, on farms or as long-trucker. Recent estimates are that more than 2.5 million legal, and many more illegal, migrants are drawn to South Africa's mines, factories and farms from rural areas within South Africa and neighbouring countries (Lurie 2000). HCJ van Rensburg (ED) Health and Healthcare in South Africa (2004) at 291; Another dimension of migration and its association with HIV relates to the growing issue of illegal migration in South Africa. Since the mid-1990's the country has experienced an unprecedented growth in the influx of undocumented or illegal immigrants. There are widely divergent estimates of the number of illegal immigrants in South Africa. Official estimates put the figure at between 500 000 and 4 000 000, some reports have published figures as high as 8 or 9 or even 12 000 000. The largest proportion of these people comes from Mozambique. The rest originate from countries such as Zimbabwe, Lesotho, Zaire, Angola, Malawi, Tanzania, Nigeria, Sudan, Ethiopia, Rwanda, Burundi, Chinese Taipei, Pakistan, India and Eastern Europe. Several studies have suggested a causal link between illegal immigrants and the spread of HIV virus in the country as well as the region, Many illegal immigrants end up in urban areas without their families; sexual services are thus often purchased. Some; Section 24 of the Constitution provides that: Everyone has the right-(a) to an environment that is not harmful to their health or wellbeing; and; to have the environment protected, for benefit of present and future generations, through reasonable legislative and other measures that; o (i) prevent pollution and ecological degradation;; o (ii) promote conservation; and; o (iii) secure ecologically sustainable development and use of natural resources while promoting justifiable economic and social development; Section 27 of the Constitution provides that: (1) Everyone has the right to have access to-(a) healthcare services, including reproductive healthcare;; sufficient food and water; and; social security, including, if they are unable to support themselves and their dependants, appropriate social assistance; The State must take reasonable legislative and other measures within its available resources to achieve the progressive realization of each of these rights; No one may be refused emergency medical treatment; Section 12 of the Constitution provides that:(1) Everyone has the right to freedom and security of the person which includes the right-; not to be deprived of freedom arbitrarily or without just cause;; not to be detained without trial;; to be free from all forms of violence from either public of private sources;; not to be tortured in any way;; not to be treated or punished in a cruel, inhuman or degrading way;; Everyone has the right to bodily and psychological integrity, which includes the right; to make decisions concerning reproduction;; to security in and control over their body; and; not to be subjected to medical or scientific experiments without their informed consent; Section 10 of the Constitution provides that everyone has inherent dignity and the right to have their dignity respected and protected. Section 14 provides that everyone has the right to privacy, which includes the right not to have-; their person or home searched;; their property searched;; their possessions seized; or; the privacy of their communications infringed. The right to equality is also set out in the Constitution with the general principles set out in section 9(1) of the Constitution as follows: everyone is equal before the law and has the right to equal protection and benefit of the law.; No. 28 of 1974; No. 63 of 1977, as amended; These regulations were adopted by the World Health Assembly at Boston on 25 July 1969 and are set out in a schedule to the IHR; The IHR also affords powers to the Minister to promulgate regulations to apply the substance of the international health regulations in South Africa. Consequently, regulations were published by the Department of Health under GN498 in Government Gazette 24713, dated 11 April 2003 dealing with the issue of sanitary ports and airports. The term sanitary airport is defined in these regulations as any airport designated in terms of section 3(1, b) of the [IHR] and deemed by that section to be a sanitary airport for the purposes of the international health regulations. A similar definition applies to marine ports and terrestrial border posts. A number of airports are then listed in the regulations including the country's two largest airports, being OR Tambo International in Johannesburg and Cape Town International Airport. Similarly, certain ports are also designated as sanitary ports including the country's largest marine ports including border posts along So; See GN377, Government Gazette 4219, dated 15 March 1974 as amended by Proclamation R139, Government Gazette 4741, dated 13 June 1975; See Regulation 26(1)(a) of the quarantine regulations; See article 31; See article 28.1; See articles 39 and 40. In terms of article 51, in respect of plague, the incubation period is six days; in respect of cholera, in terms of article 62, the period of incubation is five days; in respect of smallpox, in terms of article 77, the incubation period is fourteen days; and in terms of article 66, in respect of yellow fever, the incubation period is six days; See article 91; See article 8; See article 31 as read together with article 9; Except for those rights that are expressly granted to citizens, such as the right to vote, all people in South Africa are entitled to enjoy the rights in the Constitution. This includes (but not is limited to) rights to equality, dignity and privacy, as well as access to healthcare services. However, all rights may be limited by law, provided the limitation is reasonable and it can be justified. The test for determining the constitutionality of any limit in law is set out in section 36(1) of the Constitution. A Hassim, M Heywood and J Berger (eds) Health and Democracy: A Guide to Human Rights, Health Law and Policy in Post-Apartheid South Africa (2007) at page 289; Also see the distinction drawn by the Constitutional Court between citizens and non-citizens in the decision of Khoza v Minister of Social Development; Mahlaule v Minister of Social Development 2004 (6) SA 505 (CC) and Lawyers for Human Rights v Minister of Home Affairs 2004 (4) SA 125 CC; Fox, R., Medical Humanitarianism and Human Rights: Reflections on Doctors Without Borders and Doctors of the World (1999) Health and Human Rights, p. 417. , Also see, J M Mann, S Gruskin, M A Grodin and GJ Annas (eds, ) at; Section 2 of the Constitution; See P Carstens and D Pearmain Foundational Principles of South African Medical Law (2007) at 238, 291, 538 to 539, the defence of medical necessity dealt with at page 543, 544, 813,917 at 919: Initially, van Oosten observed that whether or not the court has the power to order an invasion, against the patient's will, of his or her bodily integrity or privacy by means of medical intervention, such as the taking of a blood sample and tissue sample, is a mute point. More recently, Strauss, however, apart from stating that the posed question is controversial and has led to conflicting decisions by the courts, implies that in view of the emphasis on the right to privacy and patient autonomy under the Bill of Rights embodied in the Constitution and legislation giving effect to these rights, it may be assumed that the courts will nowadays order such an intervention only in extreme cases whether the public interest; in other words, the rights and interests of other persons are mani; See the passages quoted above from Carstens and Pearmain; This clause is designed to prevent the absolute application of the rights in the Bill of Rights by limiting the application and tempering the scope and ambit of the rights, 1 The rights in the Bill of Rights may be limited only in terms of law of general application to the extent that the limitation is reasonable and justifiable in an open and democratic society based on human dignity, equality and freedom, taking into account all relevant factors, including; the nature of the right;; the importance of the purpose of the limitation;; the nature and extent of the limitation;; the relation between the limitation and its purpose; and e less restrictive means to achieve the purpose.; Except as provided in subsection 1 or in any other provision of the Constitution, no law may limit any right entrenched in the Bill of Rights; See Act No. 61 of 2003; See regulation 2 of the quarantine regulations. This term is defined to mean a local authority in whose area of jurisdiction a notifiable medical condition occurs or has occurred; In terms of regulation 2(1) read together with regulation 2(2) the following information may appear in an order for the closure of any specified teaching institution, place of public entertainment or place used for public receptions, recreation or amusement or any part of such a place; the regulation or restriction of attendance by any person at any teaching institution, the regulation, restriction or prohibition of the holding of or an attendance at any meeting or reception or other public gathering in a quarantine area, the placement under quarantine of any person or persons actually suffering or suspected to be suffering from a disease or any person who has been in contact with any person who may be suffering from or suspected to be suffering from a communicable disease, placing under quarantine any premises or specific area described by a medical officer. In terms of regulation 22, the order must be published in the Gazette, in newspapers in circulation in the proposed quarantine; See regulation 8.1 of the quarantine regulations; See regulation 13(5)(b) of the quarantine regulations; See regulation 1 of the quarantine regulations; See regulation 14( 1) of the quarantine regulations; 2009(2) SA 248 C; See note 25","Kirby, N.; Health Care and Life Sciences Law, Werksmans Incorporating Jan S. de VilliersSouth Africa",,,"Yozmot Heiliger Ltd",,,,,07231393,,MELAD,"20157978","English","Med. Law",Article,"Final",,Scopus,2-s2.0-74849099115 "Karasu Ç.","7003664586;","Long-age villages as a new concept for health/medical tourism [Saǧlik turizminde yeni bir konsept: ""Uzun yaşam köyleri""]",2009,"Turkiye Klinikleri Journal of Medical Sciences","29","SUPPL.",,"S117","S119",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-73349137650&partnerID=40&md5=4f2dac70d9e0fdd25c038c535d481507","Gazi Üniversitesi Tip Fakültesi, Farmakoloji AD, Ankara, Turkey","Karasu, Ç., Gazi Üniversitesi Tip Fakültesi, Farmakoloji AD, Ankara, Turkey","Long-Age Village includes a dynamic and modular Integration of AntiAging & Longevity Institute into the village area, which mainly comprises residence, resort and special villas in a deep Nature. The main goals of Long-Age Institute are (1) delay or restore aging process to making your ""health span"" almost as long as your ""lifespan"" and making both health span and lifespan longer, (2) to obtain a longer health span integrate the oriental medicine with the modern medicine facilities provide a world class medicine, care, rehabilitation, wellness/wellbeing for parsons who want to be accommodating for increase the quality of own health by medical therapies, integrative therapies and other facilities for AntiAging-Longevity. Copyright © 2009 by Türkiye Klinikleri.","Anti-aging; Health span; Health tourism; Integrative medicine; Life span; Long-age village; Longevity","aging; conference paper; health; human; integrative medicine; lifespan; Long Age Village; longevity; medical care; medical service; oriental medicine; rehabilitation; tourism; wellbeing",,,,,,,,"Special report on health tourism, , http://www.treatmentabroad.com/medical-tourism/a-world-of-medical-opportunity, A world of medical opportunity; Koncept Analytics Report on Medical Tourism Marke, , www.konceptanalytics.com/reportDetail.aspx?reportID=54","Karasu, Ç.; Gazi Üniversitesi Tip Fakültesi, Farmakoloji AD, Ankara, Turkey; email: karasu@gazi.edu.tr",,,"Turkiye Klinikleri",,,,,13000292,,,,"Turkish","Turk. Klinikleri J. Med. Sci.",Conference Paper,"Final",,Scopus,2-s2.0-73349137650 "Kirkner R.M.","35069663500;","Liability concern balances medical tourism's cost appeal",2009,"Managed Care","18","6",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-70349489950&partnerID=40&md5=0b497111abf4821910b43a81a13ec130",,"Kirkner, R.M.","Four years ago Thomas Hiland, a suburban Denver businessman, needed mitral heart valve replacement surgery. He could have gone to the University of Colorado Hospital, or the Mayo Clinic, or the Cleveland Clinic. He chose instead a 15-hour flight and an operation at Escorts Heart Institute in Delhi, India. Last year when he needed a knee replacement, he went back to Delhi. His savings were more than $200,000 compared to prices he was offered in the United States. Hiland had lost his medical insurance, and his health status precluded him from getting coverage for either condition. The University of Colorado Hospital said it would cost him about $150,000 for his mitral valve replacement and a five-night stay in 2005. His knee replacement price from Tampa General Hospital was $55,000 after a 30 percent discount. ""You could have the operations and your lifetime savings could evaporate quickly in one or two procedures,"" he says. Instead, he spent $22,000 plus travel and received a bioprosthetic mitral valve and knee implant, made in the U.S. and preferred by Indian surgeons. He was not offered that valve in Denver, he said. Experiences like Hiland's have pushed employers to ask their health plans about covering major operations at foreign centers. A few have even collaborated on pilot programs. Of course, managed care plans negotiate discounts with providers that can range from one fifth to one half of private-pay charges. Medical tourism gives them an option to slash costs even more while waiving copayments and deductibles for subscribers and covering a companion's travel. Deloitte, the consulting firm, estimates that 1.5 million Americans had an offshore medical procedure last year and 6 million will do so by 2010. Renee-Marie Stephano, JD, general counsel of the Medical Tourism Association, a trade group, concurs that inquiries to its members are in line with Deloitte's projection. The favored offshore procedures for Americans had been cosmetic surgery and dental procedures, but that trend is shifting toward orthopedic, cardiac, and weight-loss operations, Stephano says. ""We have a better definition of what quality is, we have much more transparency, and while we have not solved the issue of legal liability, we have balanced the risk of liability with the potential for opportunity,"" she says. ©MediMedia USA.",,,,,,,,,,,,,,"MediMedia USA Inc.",,,,,10623388,,,"19569569","English","Managed Care",Article,"Final",,Scopus,2-s2.0-70349489950 "Edral A., Matos A.S., Soares B., Leite C., Almeida J., Girão J., Nunes J., Pereira M.I., Lobato M., Silva M., Boaventura R., Faria S., Cruz-Correia R.","25923285900;57201761000;25923616500;35853529900;57213792120;36876037900;57212718469;24825024100;25923473600;57213773036;25923312400;36027473100;8849507000;","Connecting hospitals and health centres could benefit most of porto's children population current trends in paedriatic patients' mobility between institutions requires implementation of electronic patient records",2008,"HEALTHINF 2008 - 1st International Conference on Health Informatics, Proceedings","2",,,"305","310",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-57549105936&partnerID=40&md5=0727e8d43e7c8b9285b193fd1bec38d8","Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Center for Research in Health Information Systems and Technologies","Edral, A., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Matos, A.S., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Soares, B., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Leite, C., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Almeida, J., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Girão, J., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Nunes, J., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Pereira, M.I., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Lobato, M., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Silva, M., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Boaventura, R., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Faria, S., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; Cruz-Correia, R., Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal, Center for Research in Health Information Systems and Technologies","Nowadays, data is spread across many institutions. Aim: This study aims to establish the need for the implementation of a regional Electronic Patient Record (EPR) in Porto area, to support the mobility, and the characteristics of the population that attends Porto's Paediatric Unit (UPP) Methods: The study is crossectional with a consecutive sampling method. A questionnaire was applied during three days. The study population consisted of children attending to Paediatrics Emergency of Porto (UPP). Individuals accompanying those children were approached, in the waiting room in order to answer the designed questionnaire about the patient. Individuals who refused to answer, entered directly to the emergency room or did not complete the interview were excluded. Results: 151 patients entered the emergency room during the shifts, 126 were approached, 25 were immediately non available, 6 refused answering and 8 were incomplete - the response rate was 74%. The age mean was 4 years old, with 46% being under 2. Within children who visited UPP, 37% have been referred: 63% from health centres, 26% from other hospitals and the remaining from private care institutions; 25% of the patients went only to health centres for outpatient care; 56% attended UPP from 2 to 5 times in the last 14 months. Conclusions: Implementing an EPR accessible in health centres and the UPP is relevant for the population studied, especially those under 2 years of age.","Computerized patient record; Health institutions; Medical record linkage; Multi institutional systems; Paediatrics","Electron resonance; Electron spin resonance spectroscopy; Emergency rooms; Epidemiology; Hospitals; Knowledge based systems; Medical computing; Paramagnetic resonance; Pediatrics; Quantum theory; Societies and institutions; Computerized patient record; Health institutions; Medical record linkage; Multi institutional systems; Paediatrics; Health",,,,,,,,"Bates, D., Cohen, M., Leape, L., Overhage, J., Shabot, M., Sheridan, T., Reducing the frequency of errors in medicine using information technology (2001) J Am Med Inform Assoc, 8 (4), pp. 299-308; Branger, P., van Hooft, A., Duisterhout, J., van der Lei, J., A standardized message for supporting shared care (1994) Annu Symp Comput Appl Med Care, , Paper presented at the; Branger, P., van't Hooft, A., van der Wouden, H., (1995) Coordinating shared care using electronic data interchange, , Paper presented at the Medinfo; Hildebrand, C., Pharow, P., Engelbrecht, R., Blobel, B., Savastano, M., Hovsto, A., BioHealth--the need for security and identity management standards in eHealth (2006) Stud Health Technol Inform, 121, pp. 327-336; (2007) Homepage of lnstituto Nacional de Estatí stica, , http://www.ine.pt/prodserv/quadros/periodo.asp7pub-cod=260, Retrieved 2007 May 17, from; Kahn, M., Three perspectives on integrated clinical databases (1997) Acad Med, 72 (4), pp. 281-286; Katehakis, D., Sfakianakis, S., Tsiknakis, M., Orphanoudakis, S., An infrastructure for Integrated Electronic Health Record services: The role of XML (Extensible Markup Language) (2001) J Med Internet Res, 3 (1), pp. E7; Koppel, R., Metlay, J., Cohen, A., Abaluck, B., Localio, A., Kimmel, S., Role of computerized physician order entry systems in facilitating medication errors (2005) JAMA, 295 (10), pp. 1197-1203; Lambrinoudakis, C., Gritzalis, S., Managing medical and insurance information through a smartcard-based information system (2000) J Med Syst, 24 (4), pp. 213-234; Overhage, J.M., Dexter, P.R., Perkins, S.M., Cordell, W.H., McGoff, J., McGrath, R., A Randomized, Controlled Trial of Clinical Information Shared From Another Institution (2002) Ann Emerg Me, 39 (1), pp. 14-23; Schneider, J. (2001). Online personal medical records: are they reliable for acute/critical care? . Crit Care Med, 29(8 Suppl), N 196-201; Shapiro, J., Kannry, J., Lipton, M., Goldberg, E., Conocenti, P., Stuard, S., Approaches to patient health information exchange and their impact on emergency medicine (2006) Ann Emerg Med, 48 (4), pp. 426-432; Sintchenko, V., Coiera, E., Iredell, J., Gilbert, G., Comparative impact of guidelines, clinical data, and decision support on prescribing decisions: An interactive web experiment with simulated cases (2004) J Am Med Inform Assoc, 11 (1), pp. 71-77; van Bemmel, J., van Ginneken, A., Stam, B., van Mulligen, E., (1998) Virtual Electronic patient records for shared care, , Paper presented at the Medinfo; Yoo, S., Kim, B., Park, H., Choi, J., Chun, J., Realization of real-time clinical data integration using advanced database technology (2003) AMIA Annu Symp, , Paper presented at the","Edral, A.; Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal; email: med06161@med.up.pt",,,,"1st International Conference on Health Informatics, HEALTHINF 2008","28 January 2008 through 31 January 2008","Funchal, Madeira",74232,,9789898111166,,,"English","HEALTHINF - Int. Conf. Health Informatics, Proc.",Conference Paper,"Final",,Scopus,2-s2.0-57549105936 "Sefrin P.","55599823600;","A new ray of hope for cardiac patients - A mobile heart-lung machine as a stopgap in an emergency [Neue hoffnung für herzkranke patienten - Mobile herz-lungenmaschine für den notfall]",2008,"Notfall und Hausarztmedizin","34","12",,"620","621",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-58149473938&partnerID=40&md5=60fa32747f6a78ae51ed098a97b2345a","Arbeitsgemeinschaft der in Bayern Tätigen Notärzte (agbn), Würzburg, Germany; agbn Arbeitsgemeinschaft der in Bayern Tätigen Notärzte, Sandweg 11, 97078 Würzburg, Germany","Sefrin, P., Arbeitsgemeinschaft der in Bayern Tätigen Notärzte (agbn), Würzburg, Germany, agbn Arbeitsgemeinschaft der in Bayern Tätigen Notärzte, Sandweg 11, 97078 Würzburg, Germany","If the heart is suddenly no longer capable of pumping the patient's blood sufficiently well, the patient may not be in a condition to be transferred to a hospital. This is an emergency that can now be remedied by means of miniature devices which are actually portable mechanical heart-lung machines that take over the extracorporeal function of the heart and lungs, thus rendering the patient capable of being transported. The blood is circulated parallel externally and enriched with oxygen outside the body while eliminating the CO2. This relieves the heart and prevents an otherwise practically inevitable multi-organ failure due to insufficient cardiac action. This emergency system can be connected with the patient's circulation via the inguinal vessels in a few minutes' time. Any trained medical personnel can activate and operate this equipment. Experts estimate that widespread use of this mobile percutaneous cardiac and pulmonary auxiliary device for cardiac and pulmonary relief may prevent fifty percent of deaths caused by cardiac failure.","Cardiac failure; Emergency; Emergency service; Mobile heart-pulmonary auxiliary device",,,,,,,,,,"Sefrin, P.; agbn Arbeitsgemeinschaft der in Bayern Tätigen Notärzte, Sandweg 11, 97078 Würzburg, Germany; email: sefrin@agbn.de",,,,,,,,16128591,,NHOAB,,"German","Notf. Hausarztmed.",Short Survey,"Final",,Scopus,2-s2.0-58149473938 [No author name available],[No author id available],"Typologies of health and wellness tourism",2008,"Health and Wellness Tourism",,,,"83","104",,,"10.4324/9780080942032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906633094&doi=10.4324%2f9780080942032&partnerID=40&md5=129cfc8b22a24feaf93b75d758e587c4",,"",[No abstract available],,,,,,,,,,,,,,"Butterworth-Heinemann",,,,,,9780080942032,,,"English","Health and Wellness Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84906633094 [No author name available],[No author id available],"Conclusions: The future of health and wellness tourism",2008,"Health and Wellness Tourism",,,,"251","276",,,"10.4324/9780080942032","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906615334&doi=10.4324%2f9780080942032&partnerID=40&md5=8b8165a4e7ddd05919d178b9337b373f",,"",[No abstract available],,,,,,,,,,,,,,"Butterworth-Heinemann",,,,,,9780080942032,,,"English","Health and Wellness Tour.",Book Chapter,"Final",,Scopus,2-s2.0-84906615334 [No author name available],[No author id available],"On airport hubs, religion, medical tourism housing, food and presidential candidates",2008,"Economist","388","8596",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-73449091125&partnerID=40&md5=2ddabed685862631981e6a783b3e8c21",,"",[No abstract available],,,,,,,,,,,,,,,,,,,00130613,,,,"English","Economist (GBR)",Short Survey,"Final",,Scopus,2-s2.0-73449091125 "Arnold P.C.","36052290500;","Doctors' education: Sponsored medical tourism.",2008,"BMJ (Clinical research ed.)","336","7643",,"522","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-41049116331&partnerID=40&md5=82105c89f730dc853bc58fee893befee",,"Arnold, P.C.",[No abstract available],,"international cooperation; medical education; note; Education, Medical; International Cooperation",,,,,,,,,"Arnold, P.C.",,,,,,,,14685833,,,"18325944","English","BMJ",Note,"Final",,Scopus,2-s2.0-41049116331 "Wocher J.C.","6603106158;","Medical tourism--are Japanese hospitals incapable of competing in this global trend?",2007,"Japan-hospitals : the journal of the Japan Hospital Association",,"26",,"13","17",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-61449197718&partnerID=40&md5=3704476e1e8bcb95aa18a106c108536f","International Patient Services, Kameda Medical Center, 929 Higashi Cho, Kamogawa City, Chiba Prefecture, Japan 296-8602.","Wocher, J.C., International Patient Services, Kameda Medical Center, 929 Higashi Cho, Kamogawa City, Chiba Prefecture, Japan 296-8602.",[No abstract available],,"article; health care delivery; hospital; international cooperation; Japan; standard; travel; Delivery of Health Care; Hospitals; Internationality; Japan; Travel",,,,,,,,,"Wocher, J.C.email: johnwocher@kameda.jp",,,,,,,,09101004,,,"19195156","English","Jpn Hosp",Article,"Final",,Scopus,2-s2.0-61449197718 "Bostelman R., Albus J.","6603200295;7006830229;","A novel patient mobility and rehabilitation robot",2007,"Proceedings of the 13th IASTED International Conference on Robotics and Applications, RA 2007 and Proceedings of the IASTED International Conference on Telematics",,,,"370","375",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-56149085259&partnerID=40&md5=888a00a44fbed51ba5e061bae943a6b4","Intelligent Systems Division, National Institute of Standards and Technology, Gaithersburg, MD 20899, United States","Bostelman, R., Intelligent Systems Division, National Institute of Standards and Technology, Gaithersburg, MD 20899, United States; Albus, J., Intelligent Systems Division, National Institute of Standards and Technology, Gaithersburg, MD 20899, United States","This paper describes a novel Home Lift, Position, and Rehabilitation (HLPR) Chair, designed at National Institute of Standards and Technology (NIST), to provide independent patient mobility for indoor tasks, such as moving to and placing a person on a toilet or bed, and lift assistance for tasks, such as accessing kitchen or other tall shelves. These functionalities are currently out of reach of most wheelchair users. One of the design motivations of the HLPR Chair is to reduce back injury, typically, an important issue in the care of this group. The HLPR Chair is currently being extended to be an autonomous mobility device to assist cognition by route and trajectory planning. This paper describes the design of HLPR Chair, its control architecture, and algorithms for autonomous planning and control using its unique kinematics and concludes with an early version, commercialized HLPR Chair concept.","4D/RCS control architecture; Autonomous; Home assist device; Mobility; Patient transfer; Rehabilitation","Robotics; Robots; 4D/RCS control architecture; Autonomous; Home assist device; Mobility; Patient transfer; Rehabilitation; Patient rehabilitation",,,,,,,,"Pollack, M., Intelligent Technology for Adaptive Aging (2004) Presentation, AAAI-04 American Association for Artificial Intelligence Conference, , Keynote Address; van der Woude, L.H.V., Hopman, M.T.E., van Kemenade, C.H., Biomedical Aspects of Manual Wheelchair Propulsion: The State of the Art II (1999) Assistive Technology Research Series, 5. , 392 pp, hardcover; Thrun, S., (2006), Visit to Stanford University to discuss healthcare mobility devices, August; Marras, W., (1999) Lifting Patients Poses High Risk for Back Injuries, , http://researchnews.osu.edu/archive/resthome.htm, Ohio State University; (2006) Blevins, Healthcare Statistics: Blevins Medical, Inc, , http://www.patientlift.net/282164.html; (1994), http://www.patientlift.net/282164.html, U.S. Bureau of Labor Statistics, from Blevins website; (2005) John Henshaw, , http://www.osha.gov/SLTC/nursinghome/solutions.html; Wasatch Digital iQ, InTouch Health's Remote Presence Robot Used by Healthcare Experts, http://www.wasatchdigitaliq.com/parser.php?nav= article&article_id =43, Santa Barbara, CA & Salt Lake City --(Business Wire)--June 16, 2003; Bostelman, R., Albus, J., (2006) Survey of Patient Mobility and Lift Technologies Toward Advancements and Standards, NISTIR, (7384); NIST Intelligent Control of Mobility Systems Program website, , http://www.isd.mel.nist.gov/research_areas/mobility/index.htm; Kuno, Y., Murashima, T., Shimada, N., Shirai, Y., Intelligent Wheelchair Remotely Controlled by Interactive Gestures, International Conference on Pattern Recognition, 04, no. 4, p. 4672, 2000; Patel, S., Jung, S.-H., Ostrowski, J., Rao, R., Taylor, C., Sensor based door navigation for a nonholonomic vehicle (2002) GRASP Laboratory, University of Pennsylvania, Proceedings of the 2002 IEEE International Conference on Robotics and Automation, , Washington, DC, May; Song W.-K.; Lee H.; Bien Z., KAIST - KARES: Intelligent wheelchair-mounted robotic arm system using vision and force sensor, Robotics and Autonomous Systems, 28, no. 1, pp. 83-94(12), 31, Publisher: Elsevier Science, July 1999; Yanco, H., Hazel, A., Peacock, A., Smith, S., Wintermute, H., (1995) Initial Report on Wheelesley: A Robotic Wheelchair System, , Department of Computer Science, Wellesley College; Bostelman, R., Albus, J., HLPR Chair - A Service Robot for the Healthcare Industry (2006) 3rd International Workshop on Advances in Service Robotics, , Vienna, Austria, July 7; Bostelman, R., Russo, P., Albus, J., Hong, T., Madhavan, R., Applications of a 3D Camera Towards Healthcare Mobility Aids (2006) IEEE International Conference on Networking, Sensing and Control, , Ft. Lauderdale, FL, April; Sira-Ramirez, H., Agrawal, S.K., (2004) Differentially Flat Systems, Marcel Dekker (Control Engineering Series), Hardbound, , ISBN 0-8247-5470-0, June, 467 pages; Albus, J., Bostelman, R., Hong, T., Chang, T., Shackleford, W., Shneier, M., (2006) Integrating Learning into a Hierarchical Vehicle Control System, Integrated Computer-Aided Engineering Journal; Banala, S.K., Agrawal, S.K., Fattah, A., Scholz, J.P., Krishnamoorthy, V., Rudolph, K., Hsu, W.-L., Gravity Balancing Leg Orthosis and its Performance Evaluation (2007) IEEE Transactions of Robotics, , to appear in","Bostelman, R.; Intelligent Systems Division, National Institute of Standards and Technology, Gaithersburg, MD 20899, United States; email: roger.bostelman@nist.gov",,"Int. Assoc. Science and Technology for Development (IASTED);Technical Committee on Robotics;Technical Committee on Telecommunications",,"13th IASTED International Conference on Robotics and Applications, RA 2007 and Proceedings of the IASTED International Conference on Telematics","29 August 2007 through 31 August 2007","Wurzburg",74038,,9780889866850,,,"English","Proc. IASTED Int. Conf. Rob. Appl., RA Proc. IASTED Int. Conf. Telematics",Conference Paper,"Final",,Scopus,2-s2.0-56149085259 "Willems H.","57197994555;","Prevention of altitude sickness with acetazolamide in healthy tourists [Preventie van hoogteziekte met acetazolamide bij gezonde toeristen]",2007,"Huisarts en Wetenschap","50","12",,"632","635",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-39749134757&partnerID=40&md5=439e7c742e37413219994e4ff92da0c7","AMC, Coronel Instituut Voor Arbeid en Gezondheid, Meibergdreef 9, 1105 AZ Amsterdam, Netherlands","Willems, H., AMC, Coronel Instituut Voor Arbeid en Gezondheid, Meibergdreef 9, 1105 AZ Amsterdam, Netherlands","During their holidays many tourists cross over the 'altitude boundary' of 2500 m. They climb high mountains, ride with busses over high passes or fly into airports located at high altitudes. Many develop a light, and some a serious, form of altitude sickness and a small number even experience lung or brain edema. A gradual increase in altitude is the best strategy to prevent serious altitude sickness. Another way of reducing or preventing the complaints is the short-term preventive use of acetazolamide. In the event of 'forced' fast altitude rises such as flying into a high-altitude airport or a high sensitivity for altitude sickness, the general practitioner can prescribe this drug for a short period. To do this he must exclude contraindications and have an understanding of the intended rise in altitude, so that he can assess whether or not the indication is acceptable.",,"acetazolamide; Ginkgo biloba extract; airport; altitude acclimatization; altitude disease; aviation; brain edema; clinical feature; clinical trial; controlled clinical trial; disease association; flying; general practitioner; human; lung edema; mountaineering; Nepal; prescription; prophylaxis; randomized controlled trial; sensitivity analysis; short survey; tourism; treatment contraindication; treatment indication",,"acetazolamide, 1424-27-7, 59-66-5",,,,,,,"Willems, H.; AMC, Coronel Instituut Voor Arbeid en Gezondheid, Meibergdreef 9, 1105 AZ Amsterdam, Netherlands; email: Han@willemsnet.com",,,,,,,,00187070,,HUWEA,,"Dutch","Huisarts Wet.",Short Survey,"Final",,Scopus,2-s2.0-39749134757 "Offermanns G.","57193855938;","Patient mobility in Europe [Patientenmobilität in Europa]",2007,"Public Health Forum","15","3",,"13.e1","13.e3",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84927616662&partnerID=40&md5=ec077a6c73b3a0ac18883cbae7f22abc","Alpen-Adria-Universität Klagenfurt, Fakultät für Wirtschaftswissenschaften, Abteilung fur Offentliche Betriebswirtschaftslehre Bereich Management und Okonomie, Universitätsstraße 65-67, Klagenfurt, 9020, Austria","Offermanns, G., Alpen-Adria-Universität Klagenfurt, Fakultät für Wirtschaftswissenschaften, Abteilung fur Offentliche Betriebswirtschaftslehre Bereich Management und Okonomie, Universitätsstraße 65-67, Klagenfurt, 9020, Austria",[No abstract available],,,,,,,,,,"Bertinato, L., (2005) Cross-Border Health Care in Europe - Policy Brief, , http://www.mig.tu-berlin.de/files/2005.publications/2005.bertinato.1.pdf, (online). Copenhagen: World Health Organization, June (Zitierdatum 15.06.07), abrufbar unter; Busse, R., The European Union and Health Services; Busse, R., (2006) Mapping Health Services Access: National and Cross-Border Issues (Health Access Final Report), , http://www.ehma.org/_fileupload/File/HealthACCESS/HealthAccess_FinalReport_20Nov.doc, (online). Brüssel: European Health Management Association (EHMA), November (Zitierdatum 13.06.2007), abrufbar unter; Hurst, J., Siciliani, L., Tackling excessive waiting times for elective surgery: A comparison of policies in twelve OECD countries (2003) Annex 3: Detailed Country Reviews: Figures, , Paris: OECD Health Working Papers No. 6; Karl, B., Economic An Sociopolitical Perspectives for Health Services in Central Europe; Rosenbrock, R., Gerlinger, T., (2004) Gesundheitspolitik, , Bern: Verlag Hans Huber; Rosenmöller, M., (2006) Patient Mobility in the European Union - Learning from Experience, , http://www.iese.edu/en/files/6_22160.pdf, (online). Copenhagen: World Health Organization, May (Zitierdatum 15.06.07), abrufbar unter; Wismar, M., The European Union and Health Services; Wörz, M., (2005) Mapping Health Services Access: National and Cross-Border Issues (Health Access Phase I), , http://www.ehma.org/_fileupload/File/Projects/HA_Summary_Report_01_02_06.pdf, (online). Brüssel: European Health Management Association (EHMA), Dezember (Zitierdatum 13.06.2007), abrufbar unter","Offermanns, G.; Alpen-Adria-Universität Klagenfurt, Fakultät für Wirtschaftswissenschaften, Abteilung fur Offentliche Betriebswirtschaftslehre Bereich Management und OkonomieAustria; email: guido.offermanns@uni-klu.ac.at",,,"Walter de Gruyter GmbH",,,,,09445587,,,,"English; German","Public Health Forum",Article,"Final",,Scopus,2-s2.0-84927616662 [No author name available],[No author id available],"'Medical tourists' are unique ED challenge.",2007,"ED management : the monthly update on emergency department management","19","10",,"113","114",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-38449112455&partnerID=40&md5=2cf8c0c3bd2fd7c8d142ff4b4a3453de",,"","When foreign visitors present in your ED, treating their immediate medical complaints may be the least of your problems, say ED managers who regularly treat ""medical tourists"". You must be prepared to: Help arrange for housing if patients or family members must remain in town until their follow-up visit. Make sure to have access not only to verbal translation services, but to individuals who can read drug labels and medical histories that are written in foreign languages.",,"article; cultural competence; emergency health service; housing; human; language; travel; United States; utilization review; Cultural Competency; Emergency Service, Hospital; Housing; Humans; Translating; Travel; United States",,,,,,,,,,,,,,,,,10449167,,,"17983026","English","ED Manag",Article,"Final",,Scopus,2-s2.0-38449112455 "Mensdorf B.","7004401355;","Step by step for nursing competence--7: Position change in bed: promoting patient mobility [Schritt für Schritt zur Handlungssicherheit--Teil 7: Positionswechsel im Bett: Eigenbewegung fördern.]",2007,"Pflege Zeitschrift","60","11",,"636","638",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-38849205612&partnerID=40&md5=ff8dcf842d51b34b68d69c9f046583a9","Evangelischen Diakonissenanstalt Stuttgart, Pflegezentrum Bethanien","Mensdorf, B., Evangelischen Diakonissenanstalt Stuttgart, Pflegezentrum Bethanien",[No abstract available],,"aged; article; bed; home for the aged; human; in service training; nursing home; nursing theory; self care; walking difficulty; Aged; Beds; Homes for the Aged; Humans; Inservice Training; Mobility Limitation; Nursing Homes; Nursing Theory; Self Care",,,,,,,,,"Mensdorf, B.email: mensdorf@diak-stuttgart.de",,,,,,,,09451129,,,"18062631","German","Pflege Z",Article,"Final",,Scopus,2-s2.0-38849205612 "Kmietowicz Z.","26643098800;","UK residents labelled as ""health tourists"" have problems accessing health care.",2007,"BMJ (Clinical research ed.)","335","7610",,"67","",,,"10.1136/bmj.39272.371377.DB","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34447649015&doi=10.1136%2fbmj.39272.371377.DB&partnerID=40&md5=0a5b54f8630704e0b398255f720bdffd",,"Kmietowicz, Z.",[No abstract available],,"article; health care delivery; human; travel; United Kingdom; Delivery of Health Care; Great Britain; Health Services Accessibility; Humans; Travel",,,,,,,,,"Kmietowicz, Z.",,,,,,,,14685833,,,"17626940","English","BMJ",Article,"Final",,Scopus,2-s2.0-34447649015 "Nys J.-F.","12240594500;","Medical tourism, an expanding phenomenon [Le tourisme médical, un phénomène en expansion]",2007,"Soins Cadres de Sante","16","62 SUPPL.",,"S6","S7",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-34447536654&partnerID=40&md5=db814fd099c2776e215804ff4db23eac","IUP Management des Entreprises de Service Santé, Social, Limoges (87), France","Nys, J.-F., IUP Management des Entreprises de Service Santé, Social, Limoges (87), France",[No abstract available],,,,,,,,,,,"Nys, J.-F.; IUP Management des Entreprises de Service Santé, Social, Limoges (87), France; email: jean-francois.nys@unilim.fr",,,"Elsevier Masson SAS",,,,,01832980,,,,"French","Soins Cadres Sante",Note,"Final",,Scopus,2-s2.0-34447536654 "Veronika H.","16744783400;","Changes in the conceptual system of and demands on health tourism in Hungary [Az egészségturizmus fogalmi rendszerének és keresletének változásai Magyarországon]",2006,"Foldrajzi Ertesito","55","3-4",,"355","373",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-34347391474&partnerID=40&md5=a2f8386529273de01c55949c2937737b","PTE TTK Földtudományok Doktori Iskola, Ifjúság útja 6, 7624 Pécs, Hungary","Veronika, H., PTE TTK Földtudományok Doktori Iskola, Ifjúság útja 6, 7624 Pécs, Hungary","Tourism in general, and health tourism in particular are among the most important factors in the regional development of Hungary. Realising the possibilities and capacities of the branch, a special attention was devoted to health tourism both during the socialist era and after the change of regime. The process of social and economic transition generated changes also in the sphere of tourism. Due to the changed social needs the demand side of the sector changed significantly, a new conteptual approach was adopted, financial support and capital investment have grown, thus strengthening the competitiveness and revenue generating capabilities of health tourism. After an overview of the renewed nomenclature the paper allows an insight into the characteristic features of health tourism before and after the change of regime, with a special reference to up-to-date actualities (appearance of dusters, outlining the anticipated development trends, 'rationalized' future building).",,"capital flow; competitiveness; market transition; tourism development; Central Europe; Eurasia; Europe; Hungary",,,,,,,,"AUBERT, A.-MISZLER, M. 2004. A regionális szintu termékfejlesztés és -menedzselés elméleti keretei a gyógy- és termálturizmusban. - In: AUBERT A.-CSAPÓ J. (szerk): Egészségturizmus. Pécsi Tudományegyetem Földrajzi Intézet, Pécs, pp. 3-29; Az egészségturizmus marketingkoncepciója - Magyar Turizmus Zrt. Turizmus Bulletin. 2002/2. pp. 3-24; BENKE, R., Belso turizmusunk (1981) Kossuth Kiadó, Bp, , 100 p; CZEGLÉDI J.-IMRE J. 1989. Turizmus itthon és küföldön. - Közgazdaságiés Jogi Könyvkiadó, Bp. 376 p; EORY E.-HEGEDÜS V. 2006. Az egészségturizmus Magyarországon. - In: AUBERT A. (szerk.): Magyarország idegenforgalmi atlasza. Cartographia Kiadó, Bp. 64 p; GELLA, I., AZ egészségturizmus szerepe - nagyságrendje Magyarország turizmusában (2004) Kézirat, Bp, , 44 p; GRÖNEMEYER, W., D.H., Med in Deutschland (2001) Standort mit Zukunft, , Leipzig; HEGEDÜS, V., Egy regionális termál- és gyógyfürdo fejlesztési dilemmái Igal példáján (2004) Szakdolgozat, PTE, , Pécs, 96 p; HEGEDÜS V. 2005. A magyar egészségturisztikai fejlesztések és azok hatása a keresletre és kínálatra. - In: TÓTH J.--BARANYAI G. (szerk.): Földrajzi Tanulmányok a Pécsi Doktoriskolából V. Rotari Nyomda, Komló, pp. 60-75; Idegenforgalmi statisztikai évkönyvek 1999-2005. - KSH, Bp; KOCZISKY GY. 2004. Egészségügyi klaszter(ek) kialakításának lehetoségei az Észak-Magyarországi Régióban. - Észak-magyarországi Stratégiai Füizetek, 1/2. pp. 3-32; LENGYEL I. 2005. A regionális versenyképesség értelmezése és piramismodellje. - Területi Statisztika 46. 2. pp. 131-147; LENGYEL I.-RECHNITZER J. 2002. A hazai épitoipar versenyképességének javítása: klaszterek szerepe a gazdaságfejlesztésben. - Régió Art Kiadó, Gyor, pp. 99-125; LENGYEL, M., A turizmus általános elmélete (2004) Heller Farkas Gazdasági és Turisztikai Szolgáltatások Foiskolája, Bp, , 525 p; PORTER, E., M., Clusters and the New Economics of Competition (1998) Harvard Business Review, pp. 77-90; RÁTZ T. 2004. Zennis és Lomi Lomi, avagy ýj trendek az egészségturizmusban. - In: AUBERT A.--CSAPÓ J. (szerk.): Egészségturizmus. PTE Földrajzi Intézet, Pécs. pp. 46-65; RECHNITZER J. 1998. A területi stratégiák. - Dialćg Campus Kiadó, Bp-Pécs, 348 p; Regionális klaszterek és a létesitésükre, muiködtetésükre vonatkozó politikák az Európai Unióban és Magyarországon, 2003. - Szakmai vitaanyag. SEED Kisvállalkozás-fejlesztési Alapitvány, Bp; SASS, M., A beszállító programoktól a klaszter-támogatásig: Nemzetközi tapasz-talatok, hazai lehetoségek (2006) ICEG EC Munkafüzet, 18; VAJDA R.-VADAS V. 1990. Magyarország gyógy-idegenforgalma. -ALFAPRINT Nyomdaipari Kisszövetkezet, Bp., 167 p; http://epa.oszk.hu/00800/00890/00002/data/17.pdf; http://nkomftp.hungary.com/palyazatok/eger_nyitva.pdf; http://www.digitalcity.hu/digitalcity/entity/ entityNews.jsp?dom=AAAABIOO&egd; http://www.onkorkep.hu/15_04/8_15.htm","Veronika, H.; PTE TTK Földtudományok Doktori Iskola, Ifjúság útja 6, 7624 Pécs, Hungary; email: hegevera@freemail.hu",,,,,,,,00155403,,,,"Hungarian","Foldr. Ert.",Article,"Final",,Scopus,2-s2.0-34347391474 "Uremović V., Vukelić I., Gobić J.","55306711400;57210032486;16039167200;","Thalassotherapy and health tourism in Crikvenica: origins and development [Počeci i razvoj talasoterapije i zdravstvenog turizma u Crikvenici]",2006,"AMHA - Acta Medico-Historica Adriatica","4","2",,"247","258",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33947163460&partnerID=40&md5=28d08811acfd0cf110366a213c58694f","Fakultetu Sveučilišta U Rijeci; Klinika za Ginekologiju I Porodništvo KBC-a Rijeka, Croatia; Strossmayerova 14, 51000 Rijeka, Croatia","Uremović, V., Fakultetu Sveučilišta U Rijeci, Strossmayerova 14, 51000 Rijeka, Croatia; Vukelić, I., Fakultetu Sveučilišta U Rijeci; Gobić, J., Klinika za Ginekologiju I Porodništvo KBC-a Rijeka, Croatia","Thalassotherapy and health tourism of Crikvenica date back to the opening of the first public beach in 1888. Favoured by the Archduke Joseph von Hapsburg, Crikvenica soon won over considerable Hungarian capital, invested in hotels and boarding houses. The first hotel was Archduke Joseph, renamed in 1900 to Therapia, followed by hotel Miramar and army resort Militar Kurhaus, which moved to a new Villa Mira in 1897. In 1898, the Archduke's wife Clotilda set up a Ladislaus' Children's Home for paediatric treatment and recovery in St. Paul's monastery. In 1908, Dr Oskar Seidl set up a sanatorium Dr Oskar Seidl's Home. 1913 saw the opening of Villa Ružica, which was a sanatorium for Croatian teachers. In 1909, Marija Steyskalova established a sanatorium for over 400 Czech children. Shortly before the break of the Great War, another sanatorium (and resort) saw the light of day - Pečić - Odilon. At one point, there were eight sanatoriums/health resorts in function. No wonder then that, in 1906, Crikvenica received the official title ""Seaside resort and climate therapy resort"" from the nation's government. This recognition boosted the town's progress.","19th and 20th century; Crikvenica; Croatia; Health tourism; History of medicine; Thalassotherapy",,,,,,,,,"Jurdana Stanko i Uremović Vladimir: Razvoj turizma i talasoterapije u Crikvenici. U: Krištafor Vladimir, Jurdana Stanko i Uremović Vladimir, Turistička Crikvenica 1888.-1988., izd. Turističko društvo Crikvenica, Crikvenica, 1988.: str. 145.-171; Uremović Vladimir i Jurdana Stanko: Uloga Ivana i Milivoja Dežmana na zdravstveno turističko usmjerenje Kvarnera., Medicina, 35., Rijeka, 1999.: str.37.-40; Jurdana Stanko, Kabalin Srećko i Uremović Vladimir: Turizam, zdravstveno-lječilišni turizam i ekologija. U: Općina Crikvenica., izd. Skupština općine, Turistički savez općine Crikvenica., Crikvenica, 1990.: str. 21.-27; Uremović Vladimir i Jurdana Stanko: Biografija dr. Johannesa Frischaufa (1837.-1924.) i osvrt na njegov opus. Vinodolski zbornik 6., Crikvenica, 1991.: str. 157.-161; Uremović Vladimir: Povijest crikveničkog ribarstva. Izd. Grad Crikvenica - Ustanova u kulturi Ivan Kostrenčić, Crikvenica, 1997.: str. 55.-57; Kleković Mirko, Jurdana Stanko i Uremović Vladimir: Crikvenica1888.-1988., izd. Turističko društvo i Privredni vjesnik Zagreb, Crikvenica 1888; Uremović Vladimir i Vukelić Marko: Prilog povijesti turizma u Crikvenici, Vinodolski zbornik. U tisku; Brozičević Ivan, Jurdana Stanko i Uremović Vladimir: Development of Thalassotherapy, Acta Fac. Med. Flum. 15., Rijeka, 1990.: str. 93.-95; Uremović Vladimir: Franjo Brož, pionir hortikulture u Crikvenici, Vinodolski zbornik 6., Crikvenica, 1991.: str. 153.- 156; Župan Josip i sur.: Spomenica morskog kupališta i klimatskog Lječilišta u Crikvenici., Izd. Lječilišno povjerenstvo, Crikvenica, 1933; Žalec T.: Hrvatski učiteljski dom u Crikvenici, Zagreb, 1971.: str. 278.-289; Kričkova Pavla, Život a dilo Marie Steyskalove (1928) Nakladen Českei ženske peče o mladeži na Morave, , Brno","Uremović, V.Strossmayerova 14, 51000 Rijeka",,,,,,,,13344366,,,,"Serbian","AMHA Acta Med. Hist. Adriat.",Review,"Final",,Scopus,2-s2.0-33947163460 "Kozma C.M.","7006146199;","Medical tourism: A role in disease management?",2006,"Managed Care Interface","19","11",,"35","36",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33751247651&partnerID=40&md5=2f04110a6238ffa1ec4c740b0af4493d","Strategic Outcomes Services, Inc., Research Triangle Park, NC, United States","Kozma, C.M., Strategic Outcomes Services, Inc., Research Triangle Park, NC, United States","Although uninsured patients and self-insured employers have opted for medical tourism, it could easily become mainstream as U.S. corporations continue to face rising health care costs. The initial reaction of most people who are unfamiliar with medical tourism is to question the quality of the care. Interestingly, many of these foreign hospitals have U.S.-trained and American board-certified physicians.",,"dental care; health care; health care cost; health care utilization; health insurance; medical care; short survey; tourism; travel; Disease Management; Health Services Accessibility; Humans; Internationality",,,,,,,,"Herrick, D., (2006) Medical Tourism Prompts Price Discussions, , www.heartland.org/article.cfm?artid=19748, The Heartland Institute; (2006), www.wockhardthospitals.net; Kher, U., Outsourcing your heart (2006) Time, , www.time.com/time/magazine/article/0,9171,1196429,00.html, May 21","Kozma, C.M.; Strategic Outcomes Services, Inc., Research Triangle Park, NC, United States",,,,,,,,10965645,,MCIAC,"17137240","English","Managed Care Interface",Short Survey,"Final",,Scopus,2-s2.0-33751247651 "Falcón Romero M., Luna Maldonado A.","7006064869;7004417956;","Physiotherapy and leisure: The presence of physiotherapists in health tourism [Fisioterapia y ocio: La presencia del fisioterapeuta en el llamado turismo saludable]",2006,"Fisioterapia","28","4",,"190","194",,,"10.1016/S0211-5638(06)74046-9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-34547732457&doi=10.1016%2fS0211-5638%2806%2974046-9&partnerID=40&md5=a4bdba9a83854ee9aa249545802c0318","Área de Medicina Legal Y Forense, Universidad de Murcia, Spain; Universidad de Murcia, Spain; Facultad de Medicina, Cátedra de Medicina Legal Y Forense, Campus de Espinard, 30100 Murcia, Spain","Falcón Romero, M., Área de Medicina Legal Y Forense, Universidad de Murcia, Spain, Facultad de Medicina, Cátedra de Medicina Legal Y Forense, Campus de Espinard, 30100 Murcia, Spain; Luna Maldonado, A., Universidad de Murcia, Spain","The problem of unqualified people masquerading as health professionals, such as physiotherapists, is increasing with the boom in health-oriented tourism, which frequently includes offers of massages, aqua-therapy, mud therapy and relaxation, anti-stress and anti-fatigue treatments, despite the fact that in most cases the necessary professional staff is simply not available. We have analysed such offers which specifically mention treatments which may be understood to be related with physiotherapy in the Internet and in several travel agencies to ascertain the extent to which these offers are actually include the intervention of a physiotherapist. The number of results in an Internet search under ""Tourism and Health"" was 1,770,000 of which 676,000 corresponded to Spain. Of these Spanish entries, we made a random analysis of 250 web sites based on the order in which they appeared. Only in 24 % was there specific mention of physiotherapy with the corresponding professional support, while 96 % referred to the use of techniques such as massage and hydrotherapy along with their therapeutic application. When we telephoned to ascertain whether or not a physiotherapist was in charge of providing the treatments, only 45% answered positively.","Physiotherapy; Tourism; Unqualified",,,,,,,,,"Fernández Peón, F. El turismo sostenible en el entorno rural: una necesidad para el agro catalán. (Tesis doctoral). Barcelona: Universitat Ramon Llull. Facultat d'Economia IQS; 2003; San Pedro Martínez, A., Hacia la definición del producto turístico balneario. Propuesta para su promoción (2000) Actas de las V Jornadas de Geografía del Turismo, , Tarragona: Universitat Rovira i Virgili;; Larrubia, R., Luque, A., Las estaciones termales en Andalucía: De la explotación tradicional a la configuración de un nuevo producto turístico integral (2002) Cuadernos de Turismo, 10, pp. 101-122; Ley 44/2003 de 21 de noviembre, de Ordenación de las profesiones sanitarias de salud; Código Penal: Colex, Madrid, 1986; Villanueva E, Gisbert JA. El acto médico. Requisitos para el ejercicio legal de la medicina. Delito de intrusismo. Medicina legal y toxicología. Barcelona: Masson; 2004","Falcón Romero, M.; Facultad de Medicina, Cátedra de Medicina Legal Y Forense, Campus de Espinard, 30100 Murcia, Spain; email: falcon@um.es",,,"Ediciones Doyma, S.L.",,,,,02115638,,,,"Spanish","Fisioterapia",Article,"Final",,Scopus,2-s2.0-34547732457 "Jelinek T.","56437379400;","Your medical travel advice as counterpoint against distressing sensational reporting [Ihre reisemedizinische beratung als kontrapunkt gegen verunsichernde sensationsberichte]",2006,"Medizinische Welt","57","7-8",,"313","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33749396808&partnerID=40&md5=3452a18d199555023941461f3f4a2250",,"Jelinek, T.",[No abstract available],,"clinical practice; consultation; editorial; human; infection control; prophylaxis; quality of life",,,,,,,,,"Jelinek, T., Berlin, Germany",,,,,,,,00258512,,MEWEA,,"German","Med. Welt",Editorial,"Final",,Scopus,2-s2.0-33749396808 "Kiefer B.","34769651300;","Teachers and medical tourism [Profs et tourisme médical]",2006,"Revue Medicale Suisse","2","64",,"1216","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33749236960&partnerID=40&md5=78e77115492c95882e308c2d4e8ea9ea",,"Kiefer, B.",[No abstract available],,"consultation; cost benefit analysis; hospitalization; human; medical specialist; note; tourism; Health Services Accessibility; Internationality; Switzerland",,,,,,,,,,,,,,,,,16609379,,,"16734197","French","Rev. Med. Suisse",Note,"Final",,Scopus,2-s2.0-33749236960 "Exter A.D.","6602611750;","Patient mobility in the European union",2006,"Just Medicare: What's in, What's Out, How We Decide",,,,"331","352",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84966948813&partnerID=40&md5=69500b6291498dfb1a61fce7d9fdd797","Faculty of Law, Department of International and European Law, Radboud University, Netherlands","Exter, A.D., Faculty of Law, Department of International and European Law, Radboud University, Netherlands",[No abstract available],,,,,,,,,,"Jost, T.S., Dawson, D., Den Exter, A.P., The Role of Competition in Health Care: A Western European Perspective J. Health Politics, Policy and Law, , (in press); Hermans, H.E.G.M., Berman, P., Access to Health Care and Health Services in the European Union: Regulation 1408/71 and the E111 Process (1999) Health Care and Its Financing in a Single European Market, p. 329. , Reiner Leidl (ed.), Amsterdam: IOS Press; Temmink, H.A.G., Kroniek van het Europees recht (2001) Nederlands Juristenblad, 31, p. 1502; Hatzopoulos, V.G., Killing National Health and Insurance Systems but Healing Patients? The European Market for Health Care Services after the Judgements of the ECJ in Vanbraekel and Peerbooms (2002) Common Market L. Rev, 39 (4), p. 683; Hermesse, J., Lewalle, H., Palm, W., Patient Mobility within the European Union (2003) Eur. J. Public Health, 3, p. 9; Hermans, H.E.G.M., Den Exter, A.P., Cross-Border Alliances in Health Care: International Co-operation between Health Insurers and Providers in the Euregio Meuse-Rhine (1999) Croatian Med. J, 40 (2), p. 266; Mossialos, E., Palm, W., The European Court of Justice and the Free Movement of Patients in the European Union (2003) International Social Security Rev, 56 (2), p. 25; Nys, H., The Harmonisation of Patient Rights in Europe and Its Consequences for the Accession Countries (2004) EU Accession and Its Consequences for Candidate Countries’ Health Care Systems, p. 40. , André P. den Exter (ed.), Rotterdam: Erasmus University Press","Exter, A.D.; Faculty of Law, Department of International and European Law, Radboud UniversityNetherlands",,,"University of Toronto Press",,,,,,9781442676459; 9780802080028,,,"English","Just Medicare: What's in, What's Out, How We Decide",Book Chapter,"Final",,Scopus,2-s2.0-84966948813 "Neroth P.","25634441700;","MEP warns of growing threat of patient mobility",2005,"Lancet","365","9478",,"2168","",,,"10.1016/S0140-6736(05)66760-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-20744441257&doi=10.1016%2fS0140-6736%2805%2966760-8&partnerID=40&md5=523bf694165dbcf0da6ec9f0afe50c1d",,"Neroth, P.","Several recent European Court rulings state that national health systems must pay for their citizens' health care abroad if appropriate treatment cannot be provided at home within a reasonable time. Will this push more patients to seek medical help abroad? Pelle Neroth reports.",,"article; day care; health care access; health care cost; health care policy; health care system; hospital care; human; patient mobility; patient right; priority journal; reimbursement; social security; Delivery of Health Care; European Union; Health Care Costs; Humans; Patient Satisfaction; Travel",,,,,,,,,,,,,,,,,01406736,,LANCA,"15986553","English","Lancet",Article,"Final",,Scopus,2-s2.0-20744441257 "Wedekind S.","6507577628;","With time, L-dopa loses its effect: What keeps the Parkinson patients mobile? [L-dopa-wirkung geht mit der zeit verloren: Was hält Parkinson-patienten beweglich?]",2005,"MMW-Fortschritte der Medizin","147","22",,"10","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-20644447599&partnerID=40&md5=2f9774dc4e9aabc5bb66d10e5e6ab7ff",,"Wedekind, S.",[No abstract available],,"amine oxidase (flavin containing) isoenzyme B; apomorphine; catechol methyltransferase; catechol methyltransferase inhibitor; dopamine receptor stimulating agent; levodopa; macrogol; monoamine oxidase B inhibitor; cardiovascular disease; conference paper; constipation; drug dose regimen; drug effect; dyskinesia; dystonia; gastrointestinal disease; human; monotherapy; nerve stimulation; Parkinson disease; patient mobility; physiotherapy; sexual function; symptom; training; Antiparkinson Agents; Dopamine Agents; Drug Synergism; Drug Therapy, Combination; Dyskinesia, Drug-Induced; Humans; Levodopa; Long-Term Care; Parkinson Disease; Treatment Outcome",,"apomorphine, 314-19-2, 58-00-4; catechol methyltransferase, 9012-25-3; levodopa, 59-92-7; macrogol, 25322-68-3; Antiparkinson Agents; Dopamine Agents; Levodopa",,,,,,,,,,,,,,,14383276,,MFMEF,"15977622","German","MMW-Fortschr. Med.",Conference Paper,"Final",,Scopus,2-s2.0-20644447599 [No author name available],[No author id available],"Plans to foil health tourists must not damage nurse-patient trust.",2004,"Nursing times","100","20",,"15","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921703889&partnerID=40&md5=ba34c1416dcd6d1d613c1ebe3eb403bc",,"",[No abstract available],,"article; health service; human; national health service; nurse patient relationship; organization and management; travel; treatment refusal; United Kingdom; Eligibility Determination; Great Britain; Health Services Misuse; Humans; Nurse-Patient Relations; State Medicine; Travel; Treatment Refusal",,,,,,,,,,,,,,,,,09547762,,,"15176268","English","Nurs Times",Article,"Final",,Scopus,2-s2.0-84921703889 "Vaj D.","6507945922;","Medical travel at the beginning of the XIXth century [Le voyage medical au début du XIXe siècle.]",2003,"La Revue du praticien","53","20",,"2313","2317",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-2342518806&partnerID=40&md5=1dd437152a74efa6d42d611b5afcd317",,"Vaj, D.",[No abstract available],,"art; article; Europe; health care delivery; history; human; Switzerland; travel; Delivery of Health Care; Europe; History, 19th Century; Humans; Portraits; Switzerland; Travel",,,,,,,,,"Vaj, D.email: vaj.daniela@geneva-link.ch",,,,,,,,00352640,,,"15018088","French","Rev Prat",Article,"Final",,Scopus,2-s2.0-2342518806 "Kalantri S.P.","55407820800;","Medical tourism in Maharashtra...",2003,"National Medical Journal of India","16","6",,"343","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-1642432030&partnerID=40&md5=d6e6abf0aa9e52cbe3fc213e44001893",,"Kalantri, S.P.",[No abstract available],,"health care cost; health care facility; health care quality; health care system; hospital charge; human; India; note; organization and management; patient care; public health service; public hospital; rural area; tourism",,,,,,,,,,,,,,,,,0970258X,,NMJIE,,"English","Natl. Med. J. India",Note,"Final",,Scopus,2-s2.0-1642432030 "Bhattacharjee S.","7102306239;","Noor Fatima and medical tourism.",2003,"Journal of the Indian Medical Association","101","8",,"497","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-2342474504&partnerID=40&md5=c46cb5180d76ec158d03b20ce63c5578",,"Bhattacharjee, S.",[No abstract available],,"article; child; congenital heart malformation; female; human; India; travel; Child; Female; Heart Defects, Congenital; Humans; India; Travel",,,,,,,,,"Bhattacharjee, S.",,,,,,,,00195847,,,"15071806","English","J Indian Med Assoc",Article,"Final",,Scopus,2-s2.0-2342474504 "Jones M.","55700795200;","Foreign patients with AIDS are not 'health tourists'.",2003,"Nursing times","99","29",,"18","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-2142687623&partnerID=40&md5=5f819f5a4c6fbb508658be3bfdcd5aa4","Eastbourne Downs Primary Care Trust.","Jones, M., Eastbourne Downs Primary Care Trust.",[No abstract available],,"acquired immune deficiency syndrome; Africa; article; health care delivery; human; migration; nursing; social psychology; travel; United Kingdom; Acquired Immunodeficiency Syndrome; Africa; Emigration and Immigration; Great Britain; Health Services Accessibility; Humans; Prejudice; Travel",,,,,,,,,"Jones, M.",,,,,,,,09547762,,,"2003172587","English","Nurs Times",Article,"Final",,Scopus,2-s2.0-2142687623 "Foede M.","6506196054;","Medical travel problems with a sports team. What is the role of the physical therapist? [Medizinische Probleme auf Reisen mit einer Sportmannschaft. Was kann ein Physiotherapeut leisten?]",2002,"Sportverletzung Sportschaden : Organ der Gesellschaft für Orthopädisch-Traumatologische Sportmedizin","16","4",,"161","166",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0038728364&partnerID=40&md5=b3d72381b25ccc75ae30a2afe161afa3",,"Foede, M.",[No abstract available],,"article; chronic disease; fitness; human; infection control; patient care; risk factor; sport injury; travel; vaccination; Athletic Injuries; Chronic Disease; Communicable Disease Control; Humans; Patient Care Team; Physical Fitness; Risk Factors; Travel; Vaccination",,,,,,,,,"Foede, M.",,,,,,,,09320555,,,"12627546","German","Sportverletz Sportschaden",Article,"Final",,Scopus,2-s2.0-0038728364 "Rees T.D., Bezruchka S.","36958059200;6601935505;","More ""medical tourists"" needed, not fewer [3] (multiple letters)",2001,"Wilderness and Environmental Medicine","12","1",,"64","65",,,"10.1580/1080-6032(2001)012[0067:MMTNNF]2.0.CO;2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035105817&doi=10.1580%2f1080-6032%282001%29012%5b0067%3aMMTNNF%5d2.0.CO%3b2&partnerID=40&md5=9ea9a1ed8ae6f3acaa201bcd0de94353","African Med. and Research Foundation, New York, NY 10086, United States","Rees, T.D., African Med. and Research Foundation, New York, NY 10086, United States; Bezruchka, S., African Med. and Research Foundation, New York, NY 10086, United States",[No abstract available],,"developing country; health care; human; international cooperation; letter; medical practice; social work; tourism; volunteer",,,,,,,,,"Rees, T.D.; African Med. and Research Foundation, New York, NY 10086, United States",,,"Allen Press Inc.",,,,,10806032,,WEMEF,"11294559","English","Wilderness Environ. Med.",Letter,"Final",Open Access,Scopus,2-s2.0-0035105817 "Lluberas G., Bezruchka S.","6508186413;6601935505;","Medical tourism [2] (multiple letters)",2001,"Wilderness and Environmental Medicine","12","1",,"63","",,,"10.1580/1080-6032(2001)012[0066:MT]2.0.CO;2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035102895&doi=10.1580%2f1080-6032%282001%29012%5b0066%3aMT%5d2.0.CO%3b2&partnerID=40&md5=5b7b17651517888a21b0ee83e8a7d52c",,"Lluberas, G.; Bezruchka, S.",[No abstract available],,"human; international cooperation; letter; medical practice; social work; tourism",,,,,,,,"Bezruchka, S., Medical tourism as medical harm to the third world: Why? For whom? (2000) Wilderness Environ Med, 11, pp. 77-78; Bezruchka, S., Medical treatment of local people by travelers (1992) J Wilderness Med, 3, pp. 1-3; (1996) Health Situation Analysis: Haiti 1996, , Haitian Ministry of Public Health and Population. Pan American Health Organization",,,,"Allen Press Inc.",,,,,10806032,,WEMEF,"11294558","English","Wilderness Environ. Med.",Letter,"Final",Open Access,Scopus,2-s2.0-0035102895 "Paver M.","24071788100;","Beginnings of health tourism in Skrad [Počeci zdravstvenog turizma u Skradu]",2000,"Paediatria Croatica","44","SUPPL. 1",,"43","44",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-42149090457&partnerID=40&md5=027da5c9c4c606ee8d572f1be013398b",,"Paver, M.",[No abstract available],,"conference paper; pediatrics",,,,,,,,,,,,,,,,,13301403,,PCROE,,"Croatian","Paediatr. Croat.",Conference Paper,"Final",,Scopus,2-s2.0-42149090457 "Menéndez P.P., Prosper F.F., Bueno C.C., Arbona C., Garcfaconde J.J., San Miguel J.F.J.F., Sola C., Hornedo J., Cortés-Funes H., Orfao A.A.","7003797107;7003649174;23566711000;6701409503;14522209800;57202475274;35552011900;6603755309;16745995100;7102602445;","Sequential analysis of CD34+ and CD34- cell subsets in peripheral blood and leukapheresis products from breast cancer patients mobilized with SCF plus G-CSF and cyclophosphamide",2000,"Blood","96","11 PART II",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-33748581000&partnerID=40&md5=2d9e5d14f27d022850e22289f870909d","Cytometry, University, Salamanca, Spain; Oncology and Hematology, University Hospital, Valencia, Spain","Menéndez, P.P., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; Prosper, F.F., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; Bueno, C.C., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; Arbona, C., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; Garcfaconde, J.J., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; San Miguel, J.F.J.F., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; Sola, C., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; Hornedo, J., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; Cortés-Funes, H., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain; Orfao, A.A., Cytometry, University, Salamanca, Spain, Oncology and Hematology, University Hospital, Valencia, Spain","The aim of the present study is to explore in a homogeneous group of 22 uniformly treated breast cancer patients the effects of SCF in combination with G-CSF and cyclophosphamide. More specifically we have analyzed: i) the kinetics of mobilization in PB of both CD34+ and CD34- cell subsets, including dendritic cells (DC), in sequential samples obtained from day +7 up to day +12 after mobilization and ii) the composition of the CD34+ and CD34- cell subsets present in the leucapheresis product obtained at day+11 and +12 after mobilization. From the methodological point of view, four-colour stainings measured by flow cytometry were used. Our results show that the absolute number of PB CD34+ HPC progressively increases from day +7 on. As far as the CD34- PB leucocyte subsets were concerned, a significant increase was observed in the absolute counts of all leucocyte subsets except for basophils. Monocytes (CD 14+) displayed the earliest recovery after mobilization and increased in numbers in parallel with CD34+ HPC from day +7 on, predicting neutrophil recovery one day in advance. Within DC the CD 16+ subsets increased from day +9 up to day +12, while the other DC subpopulations (CD33+, CD 123+) did not show significant changes. The mean number of CD34+ HPC collected in a single leucapheresis product was 13±12 xlO'cells/Kg body weight. As far as the composition of the leucapheresis products is concerned, most CD34+ cells showed either a myeloid or erytroid committed phenotype (64% and 26%, respectively). No significant changes were observed between the two leucapheresis sessions except for a higher CD34+ erythroioV CD34+ myeloid ratio (p=0.043, and a greater neutrophil/monocyte proportion (p=0.009) found at day +11. Interestingly, the overall number of DC was higher at day +12 (p=0.02), due to a selective increase of the CD 16+ DC. In summary, our results show that the combination of cyclophosphamide+ G-CSF + SCF is highly effective for stem cell mobilization with interesting differences in the mobilization kinetics for the different hematopoietic cell subsets.",,,,,,,,,,,"Menéndez, P.P.; Oncology and Hematology, University Hospital, Valencia, Spain",,,,,,,,00064971,,BLOOA,,"English","Blood",Article,"Final",,Scopus,2-s2.0-33748581000 "Leibovici D., Manor H., Zisman A., Siegel Y.I., Brankevich I., Lindner A.","7004559210;7005660844;7006542995;7004116685;6504703968;7202329075;","Ureteral catheterization and patient mobilization: Is bed restriction mandatory?",1999,"European Urology","36","3",,"236","239",,,"10.1159/000068004","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0032811588&doi=10.1159%2f000068004&partnerID=40&md5=c9602998ca286fdf5c02609e83d334a9","Department of Urology, Assaf-Harofe Medical Center, Zerifin, 70300, Israel","Leibovici, D., Department of Urology, Assaf-Harofe Medical Center, Zerifin, 70300, Israel; Manor, H., Department of Urology, Assaf-Harofe Medical Center, Zerifin, 70300, Israel; Zisman, A., Department of Urology, Assaf-Harofe Medical Center, Zerifin, 70300, Israel; Siegel, Y.I., Department of Urology, Assaf-Harofe Medical Center, Zerifin, 70300, Israel; Brankevich, I., Department of Urology, Assaf-Harofe Medical Center, Zerifin, 70300, Israel; Lindner, A., Department of Urology, Assaf-Harofe Medical Center, Zerifin, 70300, Israel","Objectives: We determined whether patient mobilization influences ureteral catheter position in the collecting system. Methods: 26 consecutive patients (28 renal units) who underwent ureteral catheterization for the purpose of retrograde pyelography or the relief of ureteral obstruction, were included. The position of the catheter's tip within the collecting system and versus the vertebrae was determined for each patient in the baseline supine position; standing upright, and supine again after walking a distance of 5 m. Catheteral displacement was determined by comparing its position in the upright and supine post-walking postures to its original position with the patient supine before any maneuver was undertaken. Results: Assuming the upright position caused an average downward displacement of ureteral catheters by 7.8 mm (ranges 36 mm downward to 14 mm upward displacements, p = 0.0014). In the supine posture following a 5-meter walk, the catheters were downward displaced by 0.36 mm on average (ranges 12 mm downward and 30 mm upward displacements p = 0.8). None of the ureteral catheters migrated below the uretero-pelvic junction during any phase of the above maneuvers. Conclusion: The position of ureteral catheters remains unchanged within the collecting system when patients stand or walk for 5 m. Therefore, mandatory bed restriction is not justified in patients with ureteral catheters.","Posture; Recumbence; Ureteral catheter","adolescent; adult; aged; article; bed rest; clinical article; controlled study; female; human; male; pelvis; priority journal; retrograde pyelography; standing; supine position; ureter catheterization; ureter obstruction; vertebra; walking; Adolescent; Adult; Aged; Female; Humans; Immobilization; Male; Middle Aged; Posture; Prospective Studies; Reference Values; Sensitivity and Specificity; Ureteral Obstruction; Urinary Catheterization",,,,,,,,,"Lindner, A.; Department of Urology, Assaf-Harofe Medical Center, Zerifin, 70300, Israel",,,,,,,,03022838,,EUURA,"10450009","English","Eur. Urol.",Article,"Final",,Scopus,2-s2.0-0032811588 "Razumov A.N., Iashina E.R., Berezhnov E.S., Petrun' I.B., Merdok D., Bobrovnitskii I.P.","7005900198;7801398706;6602688840;6504658790;6505457319;57201063622;","Medical tourism as the current trend in health resort medicine in Russia [Lechebnyi turizm kak sovremennoe napravlenie kurortnoi meditsiny v Rossii.]",1999,"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury",,"3",,"46","49",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033129380&partnerID=40&md5=e4c9cd2ea1528af48a657e2cd4b2f712",,"Razumov, A.N.; Iashina, E.R.; Berezhnov, E.S.; Petrun', I.B.; Merdok, D.; Bobrovnitskii, I.P.",[No abstract available],,"article; balneotherapy; human; organization and management; public health service; Russian Federation; travel; Balneology; Health Resorts; Humans; Russia; Travel",,,,,,,,,"Razumov, A.N.",,,,,,,,00428787,,,"10429573","Russian","Vopr Kurortol Fizioter Lech Fiz Kult",Article,"Final",,Scopus,2-s2.0-0033129380 "Cossart Y.E.","7004974743;","Medical travel: An opportunistic disease",1996,"Medical Journal of Australia","165","11-12",,"624","627",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029853532&partnerID=40&md5=d3390ba25ba06301d1cb39a630d36e4b","Department of Infectious Diseases, University of Sydney, NSW 2006, Australia","Cossart, Y.E., Department of Infectious Diseases, University of Sydney, NSW 2006, Australia",[No abstract available],,"note; travel; Congresses; England; Europe; Humans; Travel; United States",,,,,,,,,"Cossart, Y.E.; Department of Infectious Diseases, University of Sydney, NSW 2006, Australia",,,,,,,,0025729X,,MJAUA,"8985441","English","MED. J. AUST.",Note,"Final",,Scopus,2-s2.0-0029853532 "Ben-Rafael Z., Orvieto R., Ashkenazi J.","7102174770;55916977300;7004858611;","The role of patient mobilization after embryo transfer in in vitro fertilization programs",1995,"American Journal of Obstetrics and Gynecology","172","6",,"1956","1975",,,"10.1016/0002-9378(95)91460-9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0004306287&doi=10.1016%2f0002-9378%2895%2991460-9&partnerID=40&md5=a0a4a9186f16a2824121ee2ab6b8a6c3","Sherman Fertility Institute, Department of Obstetrics and Gynecology, “Golda” Medical Center (Hasharon Hospital), Petah Tiqva, 49372, Israel","Ben-Rafael, Z., Sherman Fertility Institute, Department of Obstetrics and Gynecology, “Golda” Medical Center (Hasharon Hospital), Petah Tiqva, 49372, Israel; Orvieto, R., Sherman Fertility Institute, Department of Obstetrics and Gynecology, “Golda” Medical Center (Hasharon Hospital), Petah Tiqva, 49372, Israel; Ashkenazi, J., Sherman Fertility Institute, Department of Obstetrics and Gynecology, “Golda” Medical Center (Hasharon Hospital), Petah Tiqva, 49372, Israel",[No abstract available],,,,,,,,,,"Feichtinger, W, Strohmer, H, Radner, KM, Goldin, M, The use of fibrin sealant for embryo transfer: development and clinical studies (1992) Hum Reprod, 7, pp. 890-893; Ashkenazi, J, Farhi, J, Dicker, D, Feldberg, D, Shalev, J, Ben-Rafael, Z, Acute pelvic inflammatory disease after oocyte retrieval: adverse effects on the results of implantation (1994) Fertil Steril, 61, pp. 526-528; Merari, D, Feldberg, D, Elizur, A, Goldman, J, Modn, B, Psychological and hormonal changes in the course of in vitro fertilization (1992) J Assist Reprod Genet, 9, pp. 161-169","Ben-Rafael, Z.; Sherman Fertility Institute, Department of Obstetrics and Gynecology, “Golda” Medical Center (Hasharon Hospital), Petah Tiqva, 49372, Israel",,,,,,,,00029378,,,,"English","Am. J. Obstet. Gynecol.",Letter,"Final",,Scopus,2-s2.0-0004306287 "Stevenson R.L.","56639291700;","The peripatetic medical traveler",1993,"Infectious Diseases in Clinical Practice","2","3",,"216","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929140921&partnerID=40&md5=d7640dbb22cd61a90d07d921195722e2",,"Stevenson, R.L.",[No abstract available],,,,,,,,,,,,,,,,,,,10569103,,,,"English","Infect. Dis. Clin. Pract.",Note,"Final",,Scopus,2-s2.0-84929140921 "Bishai D.","7004085097;","Medical tourists [3]",1991,"Western Journal of Medicine","155","4",,"429","430",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026235755&partnerID=40&md5=e7f1a9003ffddf6722d6ca5e81bf25cd","UCLA Preventive Medicine Dept., 1558 Brockton Av. #8, Los Angeles, CA 90025, United States","Bishai, D., UCLA Preventive Medicine Dept., 1558 Brockton Av. #8, Los Angeles, CA 90025, United States",[No abstract available],,"africa; health care; human; letter; physician; priority journal; tourism; travel; united states; developing country; note; public health; volunteer; Developing Countries; Public Health; Voluntary Workers",,,,,,,,,,,,,,,,,00930415,,WJMDA,"1771896","English","WEST. J. MED.",Letter,"Final",,Scopus,2-s2.0-0026235755 "Rigau-Pérez J.G.","7006255477;","Medical tourism in Washington, DC [Turismo médico en Washington, DC.]",1990,"Boletin de la Asociacion Medica de Puerto Rico","82","2",,"78","80",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0025377191&partnerID=40&md5=044b3cb423c87624ade3cb2e1087f837","Prevention Research Program, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892.","Rigau-Pérez, J.G., Prevention Research Program, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892.",[No abstract available],,"article; health care organization; information center; travel; United States; District of Columbia; Museums; National Institutes of Health (U.S.); Travel; United States",,,,,,,,,"Rigau-Pérez, J.G.",,,,,,,,00044849,,,"2322347","Spanish","Bol Asoc Med P R",Article,"Final",,Scopus,2-s2.0-0025377191 "Heeschen S.J.","6506613066;","Getting a handle on patient mobility",1989,"Geriatric Nursing","10","3",,"146","147",,,"10.1016/S0197-4572(89)80151-X","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0024670691&doi=10.1016%2fS0197-4572%2889%2980151-X&partnerID=40&md5=6a1a1f699bc03ed030c81326bec05c91",,"Heeschen, S.J.",[No abstract available],,"article; education; gait; human; locomotion; nursing; orthopedic equipment; safety; Gait; Geriatric Nursing; Human; Inservice Training; Locomotion; Orthopedic Equipment; Safety",,,,,,,,,,,,,,,,,01974572,,,"2722046","English","Geriatr. Nurs.",Article,"Final",,Scopus,2-s2.0-0024670691 "Brozicević I.","6508088619;","100 years of health tourism in Crikvenica [U povodu stote godisnjice zdravstvenog turizma u Crikvenici.]",1988,"Reumatizam","35","1-6",,"3","6",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0024145857&partnerID=40&md5=ac8fb862f5e5987372b687270eb70587",,"Brozicević, I.",[No abstract available],,"article; history; history of medicine; human; thalassotherapy; Yugoslavia; English Abstract; History of Medicine, 15th Cent.; History of Medicine, 19th Cent.; History of Medicine, 20th Cent.; History of Medicine, Ancient; Human; Thalassotherapy; Yugoslavia",,,,,,,,,"Brozicević, I.",,,,,,,,03741338,,,"3077197","Serbian","Reumatizam",Article,"Final",,Scopus,2-s2.0-0024145857 "del Coro Canalejas Pérez M.","36143785600;","Continuing education. 8. Field: Medical-surgical. Topic: The hemiplegic patient: mobilization and care [Formación continuada. 8. Area: Médico-Quirúrgica. Tema: El enfermo hemipléjico: movilización y cuidados.]",1986,"Revista de enfermeria (Barcelona, Spain)","9","98",,"61","67",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0022775717&partnerID=40&md5=3ab7fb4849c31a0f2ff9ba4b74ed6559",,"del Coro Canalejas Pérez, M.",[No abstract available],,"adult; article; case report; hemiplegia; human; male; nursing; nursing education; Spain; Case Report; Education, Nursing, Continuing; Hemiplegia; Human; Male; Middle Age; Spain",,,,,,,,,"del Coro Canalejas Pérez, M.",,,,,,,,02105020,,,"3640530","Spanish","Rev Enferm",Article,"Final",,Scopus,2-s2.0-0022775717 "Sterev K.","6505712739;","Prospects and problems in the use of mineral waters in Bulgaria for the purposes of international health tourism.",1985,"Problemi na Geografijata","1",,,"26","36",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0022194188&partnerID=40&md5=a17ad7ba41f93afca45fc49f1bd9e26a",,"Sterev, K.","The territory of Bulgaria is rich in thermal and mineral waters, raw materials for mud treatment and adequate bio-climatic conditions for the development of health tourism. Two types of natural combinations of these resources are differentiated: thermal mineral waters in mountainous areas with very rich bio-climatic and landscape-recreational resources, and thermal mineral waters and raw materials for mud-treatment in the thalasso-therapeutic and recreational areas of the coast. Other factors for the development of health tourism are the increasing demand for medical and health services, material incentives, available equipment, training of staff, scientific backing and the organisation and management of the health cure. -from Abstracts of Bulgarian Scientific Literature",,,,,,,,,,,,,,,,,,,,,,,"Bulgarian",,Article,"Final",,Scopus,2-s2.0-0022194188 "Johnson F., Oborne J., Allen M., Waugh W.","24518699500;57204990965;57198934666;7006208015;","Continuous assessment of knee function and patient mobility",1982,"Journal of Biomedical Engineering","4","1",,"2","8",,,"10.1016/0141-5425(82)90019-X","https://www.scopus.com/inward/record.uri?eid=2-s2.0-0020082183&doi=10.1016%2f0141-5425%2882%2990019-X&partnerID=40&md5=ccd36265d06510b868db23bc6cec227b","Department of Surgery (Orthopaedic and Accident Surgery), Medical School, Queens Medical Centre, Nottingham, NG7 2UH, United Kingdom","Johnson, F., Department of Surgery (Orthopaedic and Accident Surgery), Medical School, Queens Medical Centre, Nottingham, NG7 2UH, United Kingdom; Oborne, J., Department of Surgery (Orthopaedic and Accident Surgery), Medical School, Queens Medical Centre, Nottingham, NG7 2UH, United Kingdom; Allen, M., Department of Surgery (Orthopaedic and Accident Surgery), Medical School, Queens Medical Centre, Nottingham, NG7 2UH, United Kingdom; Waugh, W., Department of Surgery (Orthopaedic and Accident Surgery), Medical School, Queens Medical Centre, Nottingham, NG7 2UH, United Kingdom","A technique is described for measuring and analysing the load profile of the knees during daily routine. The method has been used on patients with chronic arthritis of the knee, both before and after joint replacement. Results are presented, and the logistics of carrying out such work are discussed. The method is applicable to joints other than the knee, diseases other than arthritis, and treatments other than joint replacement. © 1982.","arthritis; CREAK; goniometer; joint, total replacement; Patient monitors","GONIOMETERS - Medical Applications; KINEMATICS - Medical Applications; MECHANICAL VARIABLES MEASUREMENT - Medical Applications; PROSTHETICS - Wear; STRAIN GAGE - Medical Applications; HUMAN KNEE JOINTS; KNEE PROSTHESES; KNEE-JOINT FORCES; KNEE-JOINT KINEMATICS; BIOMECHANICS; arthritis; goniometry; joint; knee; major clinical study; total knee replacement; Aged; Arthritis; Comparative Study; Computers; Human; Knee Joint; Knee Prosthesis; Middle Age; Monitoring, Physiologic; Movement; Support, U.S. Gov't, Non-P.H.S.",,,,,"National Science Foundation, NSF ECS-8016226","ACKNOWLEDGEMENTS This work is supported by the Arthritis and Rheumatism Council for Research. We are grateful to D.F. Evans for his continued assistance with transducer development. Research was performed under contract ECS-8016226 of the National Science Foundation, USA, whose financial support is gratefully acknowledged.",,"Dowson, Wright, (1981) An introduction to the bio-mechanics of joints and joint replacement, , Mech. Eng. Pub, London; Williams, (1976) Biocompatibility of implant materials, , Sector Publishing, London; Swanson, The state of the art in joint replacement: 1. Background and History (1977) J. Med. Eng. Tech, 1, pp. 255-259; Swanson, The state of the art in joint replacement: 2. Present practice and results (1977) J. Med. Eng. Tech, 1, pp. 335-339; Swanson, The state of the art in joint replacement: 3. Results, problems and trends (1978) J. Med. Eng. Tech, 2, pp. 16-21; Jobbins, General considerations in joint replacement in Dowson and Wright (1981) General considerations in joint replacement in Dowson and Wright, , q.v; Longton, Seedham, (1981) Total knee replacement in Dowson and Wright, , q.v; Lalor, Groves, Atkinson, Holographic studies of wear in implant materials and devices (1979) Holography in medicine and biology, , G. Von Bally, Springer Verlag, Berlin; Groves, Lalor, Cohen, Atkinson, A holographic technique with computer aided analysis for the measurement of wear (1980) J. Phys. Eng. Sci. Instrum., 13, pp. 741-746; Morrison, Function of the knee joint in various activities (1969) Biomed Eng, 4, pp. 573-579; Seedhom, Terayama, Knees forces during the activity of getting out of a chair with and without the aid of arms (1976) Biomed. Eng., 11, pp. 278-282; Ellis, Seedhom, Amis, Downson, Wright, Forces in the knee joint whilst rising from normal and motorised chairs (1979) Eng. in Med., 8, pp. 33-40; Johnson, Scarrow, Waugh, Assessment of loads in the knee joint (1981) Med. Biol. Eng., 19, pp. 237-243; Tew, Waugh, (1980) Guide to recording information about knee replacements, , Univ. Nottingham; Waugh, Tew, Johnson, Methods of evaluating results of operations for chronic arthritis of the knee (1981) J. Roy. Soc. Med., 74, pp. 343-347; McLeod, Kettlekamp, Srinivasan, Henderson, Measurements of repetitive activities of the knee (1975) J. Biomech., 8, pp. 369-375; Seedhom, Longton, Dowson, Wright, Biomechanics background in the design of a total replacement knee prosthesis (1973) Acta Orthop. Belg., 39, pp. 164-180; Johnson, Watts, Evans, Goniometer for continuous recording of knee angle (1981) Med. Biol. Eng., 19, pp. 255-256; Johnson, Waugh, Continuous recording of everyday activity of the knee (1981) 5th Nordic Meeting on Medical and Biological Engineering, , Linkoping, Sweden; Macgregor, Rehabilitation and ambulatory monitoring (1979) Disability, , R.M. Kenedi, J.P. Paul, J. Hughes, Macmillan; Wall, Ashburn, Klenerman, Gait analysis in the assessment of functional performances before and after total hip replacement (1981) J. Biomed. Eng., 3, pp. 121-127","Johnson, F.; Department of Surgery (Orthopaedic and Accident Surgery), Medical School, Queens Medical Centre, Nottingham, NG7 2UH, United Kingdom",,,,,,,,01415425,,JBIED,"7078137","English","J. Biomed. Eng.",Article,"Final",,Scopus,2-s2.0-0020082183 "Pirktl F., Baumgartner D., Middendorp U.G., Senning A.","6506231584;7006128716;6701680486;57137827800;","Is the pharmacological prophylaxis of thromboembolism necessary in patients mobilized early after visceral surgery? Preliminary report of a prospective randomized trial",1982,"European Surgical Research","14","2",,"149","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0019972398&partnerID=40&md5=0e6a17a8614532ff5776370aefc7b08c","Chir. Klin. A, Universitatsspital. Zurich, Switzerland","Pirktl, F., Chir. Klin. A, Universitatsspital. Zurich, Switzerland; Baumgartner, D., Chir. Klin. A, Universitatsspital. Zurich, Switzerland; Middendorp, U.G., Chir. Klin. A, Universitatsspital. Zurich, Switzerland; Senning, A., Chir. Klin. A, Universitatsspital. Zurich, Switzerland",[No abstract available],,"dihydroergotamine; heparin; abdominal surgery; abstract report; blood and hemopoietic system; cardiovascular system; clinical trial; controlled study; digestive system; human; major clinical study; peripheral vascular system; prevention; prophylaxis; randomized controlled trial; thromboembolism",,"dihydroergotamine, 511-12-6; heparin, 37187-54-5, 8057-48-5, 8065-01-8, 9005-48-5",,,,,,,,,,,,,,,0014312X,,EUSRB,,"English","EUR. SURG. RES.",Article,"Final",,Scopus,2-s2.0-0019972398 "Miuller G.","6507699826;","Early patient mobilization after apoplectic stroke [Ranniaia mobilizatsiia bol'nykh posle apopleksicheskogo udara.]",1979,"Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova","79","11",,"1530","1532",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0018617647&partnerID=40&md5=763c280bc41d0fe6da24b1e57db91391",,"Miuller, G.","Principles of individualized functional mechanotherapy in the early post-hemorrhagic period are briefly presented. This therapy makes it possible to prevent or to alleviate complications specific for cerebral hemorrhage (rigidity of the muscles in the humoral region, development of contractures of the joints and pathological models of movements, unfavourable influence of the psychic syndrome developing after organic affections of the brain). While giving the therapy it is recommended to take into consideration the pathophysiological conditions present by the beginning of the development of the motor activity. Principal rules for the individualized functional mechanotherapy are formulated.",,"adult; article; brain hemorrhage; contracture; human; mental disease; mobilization; muscle atrophy; muscle rigidity; physiotherapy; spasticity; thrombophlebitis; Cerebral Hemorrhage; Contracture; Early Ambulation; English Abstract; Human; Mental Disorders; Middle Age; Muscle Rigidity; Muscle Spasticity; Muscular Atrophy; Physical Therapy Techniques; Thrombophlebitis",,,,,,,,,"Miuller, G.",,,,,,,,00444588,,,"516967","Russian","Zh Nevropatol Psikhiatr Im S S Korsakova",Article,"Final",,Scopus,2-s2.0-0018617647 "Verso M.L.","7003962434;","The peripatetic doctors: an account of some medical travellers.",1978,"The Victorian historical journal","49","1",,"74","88",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0018245594&partnerID=40&md5=b2d34907b9c81ef9ae5ec6ef2c71f383",,"Verso, M.L.",[No abstract available],,"article; history; history of medicine; travel; United Kingdom; Expeditions; Great Britain; History of Medicine, Modern; Travel",,,,,,,,,"Verso, M.L.",,,,,,,,03134938,,,"11633483","English","Vic Hist J",Article,"Final",,Scopus,2-s2.0-0018245594 "Mirschberg G.G., Leon L., Vaughan P.","6505935126;7101666653;57198023865;","Promoting patient mobility",1978,"Taehan kanho. The Korean nurse","17","3",,"59","62",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0018276679&partnerID=40&md5=999034b9e5a80337559eee4077083a22",,"Mirschberg, G.G.; Leon, L.; Vaughan, P.",[No abstract available],,"article; daily life activity; human; locomotion; movement (physiology); nursing; patient education; rehabilitation; Activities of Daily Living; Human; Locomotion; Movement; Patient Education; Rehabilitation",,,,,,,,,"Mirschberg, G.G.",,,,,,,,00473618,,,"249830","Korean","Taehan Kanho",Article,"Final",,Scopus,2-s2.0-0018276679 "Beaven D.W., Brooks S.E.","7005539380;7401651260;","A medical travelling bag.",1977,"New Zealand Medical Journal","85","589",,"488","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0017769688&partnerID=40&md5=4d79fd258a9e7da85f47b75645fcaaa1",,"Beaven, D.W.; Brooks, S.E.",[No abstract available],,"apparatus, equipment and supplies; letter; travel; Equipment and Supplies; Travel",,,,,,,,,"Beaven, D.W.",,,,,,,,00288446,,,"271851","English","N Z Med J",Letter,"Final",,Scopus,2-s2.0-0017769688 "Bodner P., Moesslacher H., Slany J.","6603494779;6603391008;25723880900;","Hemodynamic and clinical follow up of patients mobilized early after myocardial infarction [HAMODYNAMIK UND KLINISCHE LANGZEITERGEBNISSE BEI FRUHMOBILISIERTEN PATIENTEN NACH MYOKARDINFARKT]",1975,"Medizinische Welt","26","16",,"750","752",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0016658646&partnerID=40&md5=118eaaa11dd71418c42bbc7ec7a02ad8","Kardiol. Abt., I. Med. Univ. Klin., Wien, Austria","Bodner, P., Kardiol. Abt., I. Med. Univ. Klin., Wien, Austria; Moesslacher, H., Kardiol. Abt., I. Med. Univ. Klin., Wien, Austria; Slany, J., Kardiol. Abt., I. Med. Univ. Klin., Wien, Austria","A report is presented on clinical and hemodynamic data on patients 4 to 11 months after the onset of myocardial infarction. The hemodynamic results obtained are compared with those for the early phase after myocardial infarction. The essentially unchanged nature of the hemodynamic findings between the 2 dates leads to the conclusion that a moderate physical load, in the early as well as in the late phase after the onset of infarction represents the same limitation of the left ventricular function.",,"exercise; heart hemodynamics; heart infarction; hemodynamics; major clinical study; mobilization; rehabilitation; therapy",,,,,,,,,,,,,,,,,00258512,,MEWEA,,"German","MED. WELT",Article,"Final",,Scopus,2-s2.0-0016658646 "Tanaka S.","57207078855;","Clinical evaluation of therapeutic results in arthrosis deformans of the hip. II. Evaluation based on patients' mobility",1971,"Journal of the Japanese Orthopaedic Association","45","10",,"819","820",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0015139275&partnerID=40&md5=2d3384aecfb46ed22301986823f63f03",,"Tanaka, S.",[No abstract available],,"article; hip; human; movement (physiology); osteoarthritis; Evaluation Studies; Hip Joint; Human; Movement; Osteoarthritis",,,,,,,,,"Tanaka, S.",,,,,,,,00215325,,,"5169446","Japanese","Nippon Seikeigeka Gakkai Zasshi",Article,"Final",,Scopus,2-s2.0-0015139275 "Wessel G.","57213736560;","Medical travel impressions from Tanzania. Structure of health care as well as morbidity [Medizinische Reiseeindrücke aus Tansania. Bemerkungen zur Struktur des Gesundheitswesens sowie zur Morbidität.]",1970,"Deutsche Gesundheitswesen","25","33",,"1575","1578",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0014943909&partnerID=40&md5=302b0771319b1976651a7f4476383662",,"Wessel, G.",[No abstract available],,"article; epidemiology; health care; health care delivery; human; medical staff; morbidity; nursing staff; Tanzania; tropic climate; tropical medicine; Comprehensive Health Care; Delivery of Health Care; Epidemiologic Methods; Human; Medical Staff, Hospital; Morbidity; Nursing Staff, Hospital; Tanzania; Tropical Climate; Tropical Medicine",,,,,,,,,"Wessel, G.",,,,,,,,00120219,,,"5509852","German","Dtsch Gesundheitsw",Article,"Final",,Scopus,2-s2.0-0014943909 "Behrendt T.","57213167948;","Insurance coverage for medical travel expenses.",1970,"Survey of Ophthalmology","14","6",,"477","478",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0014789812&partnerID=40&md5=ee2b48576d7aa4a7df7f179cd7862d1f",,"Behrendt, T.",[No abstract available],,"article; health care facility; health insurance; travel; United States; Health Facilities; Insurance, Health; Travel; United States",,,,,,,,,"Behrendt, T.",,,,,,,,00396257,,,"5446562","English","Surv Ophthalmol",Article,"Final",,Scopus,2-s2.0-0014789812 "Kolff W.J.","57196534188;","Medical travelogue: about artificial organs, kidney transplantation, and unrelated medical experiences in Europe, Fall, 1964.",1966,"Ohio State Medical Journal","62","4",,"323","328",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-0013898133&partnerID=40&md5=f40a9fabbf34a5e7abf29f54904a2a19",,"Kolff, W.J.",[No abstract available],,"article; artificial organ; Europe; Ghana; kidney transplantation; Artificial Organs; Europe; Ghana; Kidney Transplantation",,,,,,,,,"Kolff, W.J.",,,,,,,,00301124,,,"5325163","English","Ohio State Med J",Article,"Final",,Scopus,2-s2.0-0013898133 "LUNDQVIST M.","57196789026;","A FEW MEDICAL TRAVEL IMPRESSIONS DRAWN FROM THE LATE 15TH CENTURY AND THE 1820'S (MICHEL DE MONTAIGNE, JOHAN MAGNUS BERGMAN). [NAGRA MEDICINSKA RESEINTRYCK HAEMTADE FRAN SENT 1500-TAL OCH 1820-TALET.]",1964,"Svensk farmaceutisk tidskrift","68",,,"221","232",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-75549106511&partnerID=40&md5=c3b1d8da7eeb910363b13c9011735cbb",,"LUNDQVIST, M.",[No abstract available],,"article; BIOGRAPHIES; history; history of medicine; literature; BIOGRAPHIES; HISTORY OF MEDICINE, 16TH CENT.; HISTORY OF MEDICINE, 19TH CENT.; Biography; History, 16th Century; History, 19th Century",,,,,,,,,"LUNDQVIST, M.",,,,,,,,00396524,,,"14138032","Swedish","Sven Farm Tidskr",Article,"Final",,Scopus,2-s2.0-75549106511 "GUENIOT M.","57213718549;","A MEDICAL TOURIST'S GUIDE.",1963,"Abbottempo","1",,,"23","25",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-75549106031&partnerID=40&md5=9e0dcb36212b6b2c1603a846cb69e9c2",,"GUENIOT, M.",[No abstract available],,"architecture; art; article; Europe; history; history of medicine; hospital; travel; ARCHITECTURE; EUROPE; HISTORY; HISTORY OF MEDICINE; HOSPITALS; MEDICINE IN ART; TRAVEL; Architecture; Europe; History; History of Medicine; Hospitals; Medicine in Art; Travel",,,,,,,,,"GUENIOT, M.",,,,,,,,05674824,,,"14131740","English","Abbottempo",Article,"Final",,Scopus,2-s2.0-75549106031 "YODICE A.","35261221200;","Sketches of a medical tourist. No. 19.",1960,"El Día médico","32",,,"460","462",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-72849154912&partnerID=40&md5=5a892ce40021b16acd5e7515b6234eb3",,"YODICE, A.",[No abstract available],,"article; travel; TRAVEL; Travel",,,,,,,,,"YODICE, A.",,,,,,,,00121762,,,"13846553","Spanish","Dia Med",Article,"Final",,Scopus,2-s2.0-72849154912 "CAVANAGH G.S.","7004537303;","Medical travel books.",1959,"Bulletin of the Medical Library Association","47","3",,"315","318",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-70449295645&partnerID=40&md5=e7f7dda8f026db5b4892cebfe1d1bb2d",,"CAVANAGH, G.S.",[No abstract available],,"article; book; BOOKS; Books",,,,,,,,,"CAVANAGH, G.S.",,,,,,,,00257338,,,"13671282","English","Bull Med Libr Assoc",Article,"Final",,Scopus,2-s2.0-70449295645 "YODICE A.","35261221200;","Notes of a medical tourist. V. [Aguafuerte de un turista médico. V.]",1958,"El Día médico","30","92",,"","",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-70449262531&partnerID=40&md5=f72190bbf14d674e28d87473caee0204",,"YODICE, A.",[No abstract available],,"article; hospital; HOSPITALS; Hospitals",,,,,,,,,"YODICE, A.",,,,,,,,00121762,,,"13619476","Spanish","Dia Med",Article,"Final",,Scopus,2-s2.0-70449262531 "Bancroft J.G.","24589353200;","REFLECTIONS ON MEDICAL TRAVEL",1957,"The Lancet","270","6998",,"749","",,,"10.1016/S0140-6736(57)92290-0","https://www.scopus.com/inward/record.uri?eid=2-s2.0-49749222421&doi=10.1016%2fS0140-6736%2857%2992290-0&partnerID=40&md5=04c9dc26db79cf89858805efed4647f7","Friends Service Unit, Kunsan, Cholla Pukto, Korea., South Korea","Bancroft, J.G., Friends Service Unit, Kunsan, Cholla Pukto, Korea., South Korea",[No abstract available],,,,,,,,,,,"Bancroft, J.G.",,,,,,,,01406736,,LANCA,,"English","Lancet",Letter,"Final",,Scopus,2-s2.0-49749222421 "Marshall PaulineC.","24589628900;","REFLECTIONS ON MEDICAL TRAVEL",1957,"The Lancet","270","6993",,"490","491",,,"10.1016/S0140-6736(57)90804-8","https://www.scopus.com/inward/record.uri?eid=2-s2.0-49749195752&doi=10.1016%2fS0140-6736%2857%2990804-8&partnerID=40&md5=19d08d58951dbe3c831c7d7d88412591","All Saints Mission Hospital, Transkei, Cape Province, South Africa","Marshall, PaulineC., All Saints Mission Hospital, Transkei, Cape Province, South Africa",[No abstract available],,,,,,,,,,,"Marshall, PaulineC.; All Saints Mission Hospital, Transkei, Cape Province, South Africa",,,,,,,,01406736,,LANCA,,"English","Lancet",Letter,"Final",,Scopus,2-s2.0-49749195752 "Muhammad A.","24594801900;","REFLECTIONS ON MEDICAL TRAVEL",1957,"The Lancet","270","6991",,"391","",,,"10.1016/S0140-6736(57)92634-X","https://www.scopus.com/inward/record.uri?eid=2-s2.0-49749211682&doi=10.1016%2fS0140-6736%2857%2992634-X&partnerID=40&md5=9e272e5c4d059e95a8f567eb3bd1325a","Liaquat Medical College, Hyderabad, W. Pakistan, India., India","Muhammad, A., Liaquat Medical College, Hyderabad, W. Pakistan, India., India",[No abstract available],,,,,,,,,,,"Muhammad, A.",,,,,,,,01406736,,LANCA,,"English","Lancet",Letter,"Final",,Scopus,2-s2.0-49749211682 [No author name available],[No author id available],"REFLECTIONS ON MEDICAL TRAVEL",1957,"The Lancet","270","6985",,"95","",,,"10.1016/S0140-6736(57)92572-2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046332475&doi=10.1016%2fS0140-6736%2857%2992572-2&partnerID=40&md5=5ba1d67a1811e25d1daf3f40bfbcc61a",,"",[No abstract available],,,,,,,,,,,,,,,,,,,01406736,,LANCA,,"English","Lancet",Letter,"Final",,Scopus,2-s2.0-85046332475 "Witts L.J.","6603406891;","REFLECTIONS ON MEDICAL TRAVEL",1957,"The Lancet","269","6983",,"1343","1345",,,"10.1016/S0140-6736(57)91863-9","https://www.scopus.com/inward/record.uri?eid=2-s2.0-49749173739&doi=10.1016%2fS0140-6736%2857%2991863-9&partnerID=40&md5=b2f9033e59142da48e3d2698503eea4f","UNIVERSITY, OXFORD, United Kingdom","Witts, L.J., UNIVERSITY, OXFORD, United Kingdom",[No abstract available],,"article; medicine; MEDICINE; Medicine",,,,,"Medical Research Council","Medical Research Council.",,,"Witts, L.J.; UNIVERSITY, OXFORDUnited Kingdom",,,,,,,,01406736,,LANCA,"13440047","English","Lancet",Article,"Final",,Scopus,2-s2.0-49749173739 "Witts L.J.","6603406891;","REFLECTIONS ON MEDICAL TRAVEL",1957,"The Lancet","269","6982",,"1291","1292",,,"10.1016/S0140-6736(57)92315-2","https://www.scopus.com/inward/record.uri?eid=2-s2.0-49749159158&doi=10.1016%2fS0140-6736%2857%2992315-2&partnerID=40&md5=586c99d89a966e7ac7d29ce6919b22f5","UNIVERSITY, OXFORD, United Kingdom","Witts, L.J., UNIVERSITY, OXFORD, United Kingdom",[No abstract available],,"article; medical education; EDUCATION, MEDICAL; Education, Medical",,,,,,,,,"Witts, L.J.; UNIVERSITY, OXFORDUnited Kingdom",,,,,,,,01406736,,LANCA,"13440029","English","Lancet",Article,"Final",,Scopus,2-s2.0-49749159158 "STANTON M.","56679295300;","The cafeteria comes to the patients; mobilteria makes the best of two systems.",1955,"Modern hospital","84","5",,"114","120",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77049205104&partnerID=40&md5=56c581353d576e6bb3be521d23982994",,"STANTON, M.",[No abstract available],,"article; hospital management; HOSPITAL ADMINISTRATION; Hospital Administration",,,,,,,,,"STANTON, M.",,,,,,,,0026783X,,,"14370038","English","Mod Hosp",Article,"Final",,Scopus,2-s2.0-77049205104 "PAABY H.","57189141639;","Incidence of thromboembolism in surgical patients mobilized early; results of heparin treatment.",1955,"Danish medical bulletin","2","3",,"82","84",,,,"https://www.scopus.com/inward/record.uri?eid=2-s2.0-77049201351&partnerID=40&md5=fb767469bc61e2514d5b0a3678b21c48",,"PAABY, H.",[No abstract available],,"heparin; article; HEPARIN/therapeutic use; thromboembolism; HEPARIN/therapeutic use; THROMBOEMBOLISM; Heparin; Thromboembolism",,"heparin, 37187-54-5, 8057-48-5, 8065-01-8, 9005-48-5; Heparin, 9005-49-6",,,,,,,"PAABY, H.",,,,,,,,09078916,,,"14379742","English","Dan Med Bull",Article,"Final",,Scopus,2-s2.0-77049201351 "Blake R.C.","56877689300;","Medical tourists in great britain",1952,"Journal of the American Medical Association","148","17",,"1527","",,,"10.1001/jama.1952.02930170067022","https://www.scopus.com/inward/record.uri?eid=2-s2.0-84942562563&doi=10.1001%2fjama.1952.02930170067022&partnerID=40&md5=b1fc736d56a5d2fcf0248c9156225983","London Hospital Medical Society, Turner St., London, E.1, United States","Blake, R.C., London Hospital Medical Society, Turner St., London, E.1, United States",[No abstract available],,,,,,,,,,,"Blake, R.C.; London Hospital Medical Society, Turner St., London, E.1, United States",,,,,,,,00029955,,,,"English","JAMA",Letter,"Final",,Scopus,2-s2.0-84942562563